ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260314*1503*^*00501*000042375*0*P*>~
GS*HS*52095*52095*260314*1503*1487113239*X*005010X279A1~
ST*270*000042375*005010X279A1~
BHT*0022*13*000042375*260373*1503~
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*SHIVE*FLORA****MI*52282852~
DMG*D8*19540214*F~
DTP*291*RD8*20260314-20260612~
EQ*42~
EQ*30~
SE*14*000042375~
GE*1*42375~
IEA*1*000042375~