ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260416*1504*^*00501*000041957*0*P*>~
GS*HS*52095*52095*260416*1504*1487113239*X*005010X279A1~
ST*270*000041957*005010X279A1~
BHT*0022*13*000041957*2604106*1504~
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*BLOTTENBERGER*BONNIE****MI*31151192~
DMG*D8*19500205*F~
DTP*291*RD8*20260416-20260715~
EQ*42~
EQ*30~
SE*14*000041957~
GE*1*41957~
IEA*1*000041957~