ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260430*1404*^*00501*000044664*0*P*>~
GS*HS*52095*52095*260430*1404*1487113239*X*005010X279A1~
ST*270*000044664*005010X279A1~
BHT*0022*13*000044664*2604120*1404~
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*YOUNG*MAURICE****MI*34252952~
DMG*D8*19591221*M~
DTP*291*RD8*20260430-20260729~
EQ*42~
EQ*30~
SE*14*000044664~
GE*1*44664~
IEA*1*000044664~