ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260609*0906*^*00501*000047574*0*P*>~
GS*HS*52095*52095*260609*0906*1487113239*X*005010X279A1~
ST*270*000047574*005010X279A1~
BHT*0022*13*000047574*2606160*0906~
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*GREEN*SHIRLEY****MI*89318752~
DMG*D8*19590626*F~
DTP*291*RD8*20260609-20260907~
EQ*42~
EQ*30~
SE*14*000047574~
GE*1*47574~
IEA*1*000047574~