ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260114*0901*^*00501*000038871*0*P*>~
GS*HS*52095*52095*260114*0901*1487113239*X*005010X279A1~
ST*270*000038871*005010X279A1~
BHT*0022*13*000038871*260114*0901~
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*GREEN*SHEILA****MI*	 471283509~
DMG*D8*19641002*F~
DTP*291*RD8*20260114-20260414~
EQ*42~
EQ*30~
SE*14*000038871~
GE*1*38871~
IEA*1*000038871~