ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260428*1304*^*00501*000044541*0*P*>~
GS*HS*52095*52095*260428*1304*1487113239*X*005010X279A1~
ST*270*000044541*005010X279A1~
BHT*0022*13*000044541*2604118*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*TAYLOR*TIMOTHY****MI*26309233~
DMG*D8*19610622*M~
DTP*291*RD8*20260428-20260727~
EQ*42~
EQ*30~
SE*14*000044541~
GE*1*44541~
IEA*1*000044541~