ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260310*1403*^*00501*000041084*0*P*>~
GS*HS*52095*52095*260310*1403*1487113239*X*005010X279A1~
ST*270*000041084*005010X279A1~
BHT*0022*13*000041084*260369*1403~
HL*1**20*1~
NM1*PR*2*KAISER MEDICARE ADV JOINT*****PI*10403~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*STEVENSON*INGER****MI*27124382~
DMG*D8*19650629*F~
DTP*291*RD8*20260310-20260608~
EQ*42~
EQ*30~
SE*14*000041084~
GE*1*41084~
IEA*1*000041084~

