ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260228*1402*^*00501*000041653*0*P*>~
GS*HS*52095*52095*260228*1402*1487113239*X*005010X279A1~
ST*270*000041653*005010X279A1~
BHT*0022*13*000041653*260259*1402~
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*JONES*MAGALINE****MI*54104778~
DMG*D8*19400308*M~
DTP*291*RD8*20260228-20260529~
EQ*42~
EQ*30~
SE*14*000041653~
GE*1*41653~
IEA*1*000041653~

