ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *251211*1012*^*00501*000037361*0*P*>~
GS*HS*52095*52095*251211*1012*1487113239*X*005010X279A1~
ST*270*000037361*005010X279A1~
BHT*0022*13*000037361*2512345*1012~
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*SMALLWOOD*THEION****MI*13307375~
DMG*D8*19491220*F~
DTP*291*RD8*20251211-20260311~
EQ*42~
EQ*30~
SE*14*000037361~
GE*1*37361~
IEA*1*000037361~