ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260622*1606*^*00501*000047926*0*P*>~
GS*HS*52095*52095*260622*1606*1487113239*X*005010X279A1~
ST*270*000047926*005010X279A1~
BHT*0022*13*000047926*2606173*1606~
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*EVANS*JOHNNY****MI*11259301~
DMG*D8*19540808*M~
DTP*291*RD8*20260622-20260920~
EQ*42~
EQ*30~
SE*14*000047926~
GE*1*47926~
IEA*1*000047926~