ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260506*1605*^*00501*000040983*0*P*>~
GS*HS*52095*52095*260506*1605*1487113239*X*005010X279A1~
ST*270*000040983*005010X279A1~
BHT*0022*13*000040983*2605126*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*HAYNES*LARRY****MI*78287091~
DMG*D8*19540526*M~
DTP*291*RD8*20260506-20260804~
EQ*42~
EQ*30~
SE*14*000040983~
GE*1*40983~
IEA*1*000040983~