ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260719*1307*^*00501*000049245*0*P*>~
GS*HS*52095*52095*260719*1307*1487113239*X*005010X279A1~
ST*270*000049245*005010X279A1~
BHT*0022*13*000049245*2607200*1307~
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*PARR*MARYELLEN****MI*41356352~
DMG*D8*19500626*M~
DTP*291*RD8*20260719-20261017~
EQ*42~
EQ*30~
SE*14*000049245~
GE*1*49245~
IEA*1*000049245~