ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260109*1001*^*00501*000038825*0*P*>~
GS*HS*52095*52095*260109*1001*1487113239*X*005010X279A1~
ST*270*000038825*005010X279A1~
BHT*0022*13*000038825*260109*1001~
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*COLLINS*GERALDINE****MI*871074925~
DMG*D8*19341101*F~
DTP*291*RD8*20260109-20260409~
EQ*42~
EQ*30~
SE*14*000038825~
GE*1*38825~
IEA*1*000038825~