ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260309*1803*^*00501*000000706*0*P*>~
GS*HS*52095*52095*260309*1803*1487113239*X*005010X279A1~
ST*270*000000706*005010X279A1~
BHT*0022*13*000000706*260368*1803~
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*MCKENZIE*JUDITH****MI*971294405~
DMG*D8*19580628*F~
DTP*291*RD8*20260309-20260607~
EQ*42~
EQ*30~
SE*14*000000706~
GE*1*706~
IEA*1*000000706~

