ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260210*1202*^*00501*000039428*0*P*>~
GS*HS*52095*52095*260210*1202*1487113239*X*005010X279A1~
ST*270*000039428*005010X279A1~
BHT*0022*13*000039428*260241*1202~
HL*1**20*1~
NM1*PR*2*KAISER MEDICARE ADV JOINT*****PI*10403~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*NWANNA*VINCENT****MI*391292164~
DMG*D8*19490511*M~
DTP*291*RD8*20260210-20260511~
EQ*42~
EQ*30~
SE*14*000039428~
GE*1*39428~
IEA*1*000039428~