ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260408*0904*^*00501*000043590*0*P*>~
GS*HS*52095*52095*260408*0904*1487113239*X*005010X279A1~
ST*270*000043590*005010X279A1~
BHT*0022*13*000043590*260498*0904~
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*TARR*JEFFREY****MI*69262389~
DMG*D8*19560108*M~
DTP*291*RD8*20260408-20260707~
EQ*42~
EQ*30~
SE*14*000043590~
GE*1*43590~
IEA*1*000043590~

