ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *251217*0912*^*00501*000037574*0*P*>~
GS*HS*52095*52095*251217*0912*1487113239*X*005010X279A1~
ST*270*000037574*005010X279A1~
BHT*0022*13*000037574*2512351*0912~
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*BARRETT*DAVID****MI*	95123373~
DMG*D8*19550903*M~
DTP*291*RD8*20251217-20260317~
EQ*42~
EQ*30~
SE*14*000037574~
GE*1*37574~
IEA*1*000037574~