ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *250918*0909*^*00501*000032578*0*P*>~
GS*HS*52095*52095*250918*0909*1487113239*X*005010X279A1~
ST*270*000032578*005010X279A1~
BHT*0022*13*000032578*2509261*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*WHITE*ROBERT****MI*84320342~
DMG*D8*19770217*M~
DTP*291*RD8*20250918-20251217~
EQ*42~
EQ*30~
SE*14*000032578~
GE*1*32578~
IEA*1*000032578~