ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260219*1702*^*00501*000041320*0*P*>~
GS*HS*52095*52095*260219*1702*1487113239*X*005010X279A1~
ST*270*000041320*005010X279A1~
BHT*0022*13*000041320*260250*1702~
HL*1**20*1~
NM1*PR*2*KAISER MEDICAID*****PI*10403~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*MOSCATI*SAMUEL****MI*21139526~
DMG*D8*20020626*F~
DTP*291*RD8*20260219-20260520~
EQ*42~
EQ*30~
SE*14*000041320~
GE*1*41320~
IEA*1*000041320~