ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260414*1304*^*00501*000044034*0*P*>~
GS*HS*52095*52095*260414*1304*1487113239*X*005010X279A1~
ST*270*000044034*005010X279A1~
BHT*0022*13*000044034*2604104*1304~
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*BROGDON*JANET****MI*11309400~
DMG*D8*19501101*M~
DTP*291*RD8*20260414-20260713~
EQ*42~
EQ*30~
SE*14*000044034~
GE*1*44034~
IEA*1*000044034~