ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260607*1406*^*00501*000047476*0*P*>~
GS*HS*52095*52095*260607*1406*1487113239*X*005010X279A1~
ST*270*000047476*005010X279A1~
BHT*0022*13*000047476*2606158*1406~
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*MCDOUGALD*DORIS****MI*431056651~
DMG*D8*19570509*F~
DTP*291*RD8*20260607-20260905~
EQ*42~
EQ*30~
SE*14*000047476~
GE*1*47476~
IEA*1*000047476~