ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260605*1306*^*00501*000002330*0*P*>~
GS*HS*52095*52095*260605*1306*1487113239*X*005010X279A1~
ST*270*000002330*005010X279A1~
BHT*0022*13*000002330*2606156*1306~
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*REED*FRANCES****MI*591281227~
DMG*D8*19510130*F~
DTP*291*RD8*20260605-20260903~
EQ*42~
EQ*30~
SE*14*000002330~
GE*1*2330~
IEA*1*000002330~

