ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260429*0704*^*00501*000022395*0*P*>~
GS*HS*52095*52095*260429*0704*1487113239*X*005010X279A1~
ST*270*000022395*005010X279A1~
BHT*0022*13*000022395*2604119*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*BRADLEY*VICKI****MI*01183000~
DMG*D8*19680301*F~
DTP*291*RD8*20260429-20260728~
EQ*42~
EQ*30~
SE*14*000022395~
GE*1*22395~
IEA*1*000022395~

