ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260803*0708*^*00501*000049515*0*P*>~
GS*HS*52095*52095*260803*0708*1487113239*X*005010X279A1~
ST*270*000049515*005010X279A1~
BHT*0022*13*000049515*2608215*0708~
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*EVANS*CAROLYN****MI*37288191~
DMG*D8*19650623*F~
DTP*291*RD8*20260803-20261101~
EQ*42~
EQ*30~
SE*14*000049515~
GE*1*49515~
IEA*1*000049515~

