ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *250908*1109*^*00501*000031092*0*P*>~
GS*HS*52095*52095*250908*1109*1487113239*X*005010X279A1~
ST*270*000031092*005010X279A1~
BHT*0022*13*000031092*2509251*1109~
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*BARKSDALE*BEVERLY****MI*22110257~
DMG*D8*19570327*F~
DTP*291*RD8*20250908-20251207~
EQ*42~
EQ*30~
SE*14*000031092~
GE*1*31092~
IEA*1*000031092~