ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260518*0705*^*00501*000045979*0*P*>~
GS*HS*52095*52095*260518*0705*1487113239*X*005010X279A1~
ST*270*000045979*005010X279A1~
BHT*0022*13*000045979*2605138*0705~
HL*1**20*1~
NM1*PR*2*KAISER MEDICARE ADV JOINT*****PI*10403~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*SHAW*CYNTHIA****MI*94294639~
DMG*D8*19470127*F~
DTP*291*RD8*20260518-20260816~
EQ*42~
EQ*30~
SE*14*000045979~
GE*1*45979~
IEA*1*000045979~

