ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260309*1703*^*00501*000001479*0*P*>~
GS*HS*52095*52095*260309*1703*1487113239*X*005010X279A1~
ST*270*000001479*005010X279A1~
BHT*0022*13*000001479*260368*1703~
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*FRAILER*ROSANNE****MI*37331433~
DMG*D8*19520825*F~
DTP*291*RD8*20260309-20260607~
EQ*42~
EQ*30~
SE*14*000001479~
GE*1*1479~
IEA*1*000001479~