ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260323*0903*^*00501*000042654*0*P*>~
GS*HS*52095*52095*260323*0903*1487113239*X*005010X279A1~
ST*270*000042654*005010X279A1~
BHT*0022*13*000042654*260382*0903~
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*WILSON*JERI****MI*63159861~
DMG*D8*19450102*F~
DTP*291*RD8*20260323-20260621~
EQ*42~
EQ*30~
SE*14*000042654~
GE*1*42654~
IEA*1*000042654~

