ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *250825*1208*^*00501*000022405*0*P*>~
GS*HS*52095*52095*250825*1208*1487113239*X*005010X279A1~
ST*270*000022405*005010X279A1~
BHT*0022*13*000022405*2508237*1208~
HL*1**20*1~
NM1*PR*2*KAISER PERMANENTE MEDICARE ADVANTAGE 1*****PI*10403~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*TAYLOR*HOWARD****MI*36256301~
DMG*D8*19810802*M~
DTP*291*RD8*20250825-20251123~
EQ*42~
EQ*30~
SE*14*000022405~
GE*1*22405~
IEA*1*000022405~