ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260604*1806*^*00501*000037359*0*P*>~
GS*HS*52095*52095*260604*1806*1487113239*X*005010X279A1~
ST*270*000037359*005010X279A1~
BHT*0022*13*000037359*2606155*1806~
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*MOORE*LAWRENCE****MI*26260411~
DMG*D8*19501003*M~
DTP*291*RD8*20260604-20260902~
EQ*42~
EQ*30~
SE*14*000037359~
GE*1*37359~
IEA*1*000037359~