ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260210*1702*^*00501*000040839*0*P*>~
GS*HS*52095*52095*260210*1702*1487113239*X*005010X279A1~
ST*270*000040839*005010X279A1~
BHT*0022*13*000040839*260241*1702~
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*DARKOW*CAROLINE****MI*17331122~
DMG*D8*19370812*F~
DTP*291*RD8*20260210-20260511~
EQ*42~
EQ*30~
SE*14*000040839~
GE*1*40839~
IEA*1*000040839~