ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260630*0806*^*00501*000048089*0*P*>~
GS*HS*52095*52095*260630*0806*1487113239*X*005010X279A1~
ST*270*000048089*005010X279A1~
BHT*0022*13*000048089*2606181*0806~
HL*1**20*1~
NM1*PR*2*KAISER MEDICARE ADV JOINT*****PI*10403~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*VILORIA*JOHN****MI*361027560~
DMG*D8*19580329*M~
DTP*291*RD8*20260630-20260928~
EQ*42~
EQ*30~
SE*14*000048089~
GE*1*48089~
IEA*1*000048089~

