ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260315*1003*^*00501*000042378*0*P*>~
GS*HS*52095*52095*260315*1003*1487113239*X*005010X279A1~
ST*270*000042378*005010X279A1~
BHT*0022*13*000042378*260374*1003~
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*ADAMS*ROYAL****MI*57259335~
DMG*D8*19430125*M~
DTP*291*RD8*20260315-20260613~
EQ*42~
EQ*30~
SE*14*000042378~
GE*1*42378~
IEA*1*000042378~