ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260512*1305*^*00501*000045807*0*P*>~
GS*HS*52095*52095*260512*1305*1487113239*X*005010X279A1~
ST*270*000045807*005010X279A1~
BHT*0022*13*000045807*2605132*1305~
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*MCILWAIN*WILLIAM****MI*87296463~
DMG*D8*19530905*M~
DTP*291*RD8*20260512-20260810~
EQ*42~
EQ*30~
SE*14*000045807~
GE*1*45807~
IEA*1*000045807~