ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260528*1005*^*00501*000046402*0*P*>~
GS*HS*52095*52095*260528*1005*1487113239*X*005010X279A1~
ST*270*000046402*005010X279A1~
BHT*0022*13*000046402*2605148*1005~
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*HOWELL*GAYNELL****MI*61190655~
DMG*D8*19490619*F~
DTP*291*RD8*20260528-20260826~
EQ*42~
EQ*30~
SE*14*000046402~
GE*1*46402~
IEA*1*000046402~