ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260617*1406*^*00501*000047806*0*P*>~
GS*HS*52095*52095*260617*1406*1487113239*X*005010X279A1~
ST*270*000047806*005010X279A1~
BHT*0022*13*000047806*2606168*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*FINKLEA*CHARLOTTE****MI*95323157~
DMG*D8*19410928*F~
DTP*291*RD8*20260617-20260915~
EQ*42~
EQ*30~
SE*14*000047806~
GE*1*47806~
IEA*1*000047806~