ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260514*1605*^*00501*000045925*0*P*>~
GS*HS*52095*52095*260514*1605*1487113239*X*005010X279A1~
ST*270*000045925*005010X279A1~
BHT*0022*13*000045925*2605134*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*KIRBY*FRANKLIN****MI*47311083~
DMG*D8*19460402*M~
DTP*291*RD8*20260514-20260812~
EQ*42~
EQ*30~
SE*14*000045925~
GE*1*45925~
IEA*1*000045925~