ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *251215*1412*^*00501*000037509*0*P*>~
GS*HS*52095*52095*251215*1412*1487113239*X*005010X279A1~
ST*270*000037509*005010X279A1~
BHT*0022*13*000037509*2512349*1412~
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*BERK*MARK****MI*681601164~
DMG*D8*19470731*M~
DTP*291*RD8*20251215-20260315~
EQ*42~
EQ*30~
SE*14*000037509~
GE*1*37509~
IEA*1*000037509~