ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260602*1106*^*00501*000001436*0*P*>~
GS*HS*52095*52095*260602*1106*1487113239*X*005010X279A1~
ST*270*000001436*005010X279A1~
BHT*0022*13*000001436*2606153*1106~
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*RUSSELL*JANICE****MI*61306601~
DMG*D8*19490525*F~
DTP*291*RD8*20260602-20260831~
EQ*42~
EQ*30~
SE*14*000001436~
GE*1*1436~
IEA*1*000001436~