ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260624*0906*^*00501*000047987*0*P*>~
GS*HS*52095*52095*260624*0906*1487113239*X*005010X279A1~
ST*270*000047987*005010X279A1~
BHT*0022*13*000047987*2606175*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*MUNDELL*EUGENE****MI*92208340~
DMG*D8*19411025*M~
DTP*291*RD8*20260624-20260922~
EQ*42~
EQ*30~
SE*14*000047987~
GE*1*47987~
IEA*1*000047987~