ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260407*1704*^*00501*000002644*0*P*>~
GS*HS*52095*52095*260407*1704*1487113239*X*005010X279A1~
ST*270*000002644*005010X279A1~
BHT*0022*13*000002644*260497*1704~
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*ALTEMA*JEAN****MI*63154390~
DMG*D8*19520114*M~
DTP*291*RD8*20260407-20260706~
EQ*42~
EQ*30~
SE*14*000002644~
GE*1*2644~
IEA*1*000002644~