ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260712*1107*^*00501*000049038*0*P*>~
GS*HS*52095*52095*260712*1107*1487113239*X*005010X279A1~
ST*270*000049038*005010X279A1~
BHT*0022*13*000049038*2607193*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*BROWN*MICHAEL****MI*	31172621~
DMG*D8*19420914*M~
DTP*291*RD8*20260712-20261010~
EQ*42~
EQ*30~
SE*14*000049038~
GE*1*49038~
IEA*1*000049038~