ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260619*1106*^*00501*000001146*0*P*>~
GS*HS*52095*52095*260619*1106*1487113239*X*005010X279A1~
ST*270*000001146*005010X279A1~
BHT*0022*13*000001146*2606170*1106~
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*FREELAND*RAMONA****MI*11281007~
DMG*D8*19570910*F~
DTP*291*RD8*20260619-20260917~
EQ*42~
EQ*30~
SE*14*000001146~
GE*1*1146~
IEA*1*000001146~