ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *251222*1212*^*00501*000037653*0*P*>~
GS*HS*52095*52095*251222*1212*1487113239*X*005010X279A1~
ST*270*000037653*005010X279A1~
BHT*0022*13*000037653*2512356*1212~
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*INGRAHAM*ROBIN****MI*63181321~
DMG*D8*19550728*F~
DTP*291*RD8*20251222-20260322~
EQ*42~
EQ*30~
SE*14*000037653~
GE*1*37653~
IEA*1*000037653~