ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *250912*0909*^*00501*000032368*0*P*>~
GS*HS*52095*52095*250912*0909*1487113239*X*005010X279A1~
ST*270*000032368*005010X279A1~
BHT*0022*13*000032368*2509255*0909~
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*WASHINGTON*DORIS****MI*72115260~
DMG*D8*19570811*F~
DTP*291*RD8*20250912-20251211~
EQ*42~
EQ*30~
SE*14*000032368~
GE*1*32368~
IEA*1*000032368~