ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260708*1207*^*00501*000048622*0*P*>~
GS*HS*52095*52095*260708*1207*1487113239*X*005010X279A1~
ST*270*000048622*005010X279A1~
BHT*0022*13*000048622*2607189*1207~
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*REILLY*ROBERT****MI*999150984~
DMG*D8*19390109*M~
DTP*291*RD8*20260708-20261006~
EQ*42~
EQ*30~
SE*14*000048622~
GE*1*48622~
IEA*1*000048622~