ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260517*1038*^*00501*000045975*0*P*>~
GS*HS*52095*52095*260517*1038*1487113239*X*005010X279A1~
ST*270*000045975*005010X279A1~
BHT*0022*13*000045975*2605137*1038~
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*HARLEE*LAVERNE****MI*68303329~
DMG*D8*19520913*F~
DTP*291*RD8*20260517-20260815~
EQ*42~
EQ*30~
SE*14*000045975~
GE*1*45975~
IEA*1*000045975~