ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260504*1605*^*00501*000038356*0*P*>~
GS*HS*52095*52095*260504*1605*1487113239*X*005010X279A1~
ST*270*000038356*005010X279A1~
BHT*0022*13*000038356*2605124*1605~
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*ANDERSON*ROBIN****MI*72121872~
DMG*D8*19540809*M~
DTP*291*RD8*20260504-20260802~
EQ*42~
EQ*30~
SE*14*000038356~
GE*1*38356~
IEA*1*000038356~