ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260224*1502*^*00501*000041527*0*P*>~
GS*HS*52095*52095*260224*1502*1487113239*X*005010X279A1~
ST*270*000041527*005010X279A1~
BHT*0022*13*000041527*260255*1502~
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*SEWELL*WAYNE****MI*18285714~
DMG*D8*19740611*M~
DTP*291*RD8*20260224-20260525~
EQ*42~
EQ*30~
SE*14*000041527~
GE*1*41527~
IEA*1*000041527~