ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260420*0704*^*00501*000044218*0*P*>~
GS*HS*52095*52095*260420*0704*1487113239*X*005010X279A1~
ST*270*000044218*005010X279A1~
BHT*0022*13*000044218*2604110*0704~
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*SMITH*KATHLEEN****MI*64330347~
DMG*D8*19511206*F~
DTP*291*RD8*20260420-20260719~
EQ*42~
EQ*30~
SE*14*000044218~
GE*1*44218~
IEA*1*000044218~

