ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260710*1107*^*00501*000042350*0*P*>~
GS*HS*52095*52095*260710*1107*1487113239*X*005010X279A1~
ST*270*000042350*005010X279A1~
BHT*0022*13*000042350*2607191*1107~
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*KESSLER*RONALD****MI*57229462~
DMG*D8*19430719*M~
DTP*291*RD8*20260710-20261008~
EQ*42~
EQ*30~
SE*14*000042350~
GE*1*42350~
IEA*1*000042350~