ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *250828*1608*^*00501*000031441*0*P*>~
GS*HS*52095*52095*250828*1608*1487113239*X*005010X279A1~
ST*270*000031441*005010X279A1~
BHT*0022*13*000031441*2508240*1608~
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*CUNNINGTHAM*ERNESTINE****MI*11254622~
DMG*D8*19600104*F~
DTP*291*RD8*20250828-20251126~
EQ*42~
EQ*30~
SE*14*000031441~
GE*1*31441~
IEA*1*000031441~