ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260605*1406*^*00501*000045742*0*P*>~
GS*HS*52095*52095*260605*1406*1487113239*X*005010X279A1~
ST*270*000045742*005010X279A1~
BHT*0022*13*000045742*2606156*1406~
HL*1**20*1~
NM1*PR*2*KAISER MEDICARE ADV JOINT*****PI*10403~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*SHIVE*STEPHEN****MI*01037956~
DMG*D8*19510928*M~
DTP*291*RD8*20260605-20260903~
EQ*42~
EQ*30~
SE*14*000045742~
GE*1*45742~
IEA*1*000045742~

