ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260603*1206*^*00501*000043639*0*P*>~
GS*HS*52095*52095*260603*1206*1487113239*X*005010X279A1~
ST*270*000043639*005010X279A1~
BHT*0022*13*000043639*2606154*1206~
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*BROWN*PATRICIA****MI*16356850~
DMG*D8*19610405*F~
DTP*291*RD8*20260603-20260901~
EQ*42~
EQ*30~
SE*14*000043639~
GE*1*43639~
IEA*1*000043639~