ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260828*1008*^*00501*000050284*0*P*>~
GS*HS*52095*52095*260828*1008*1487113239*X*005010X279A1~
ST*270*000050284*005010X279A1~
BHT*0022*13*000050284*2608240*1008~
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*RICHARDS*IGNATIOUS****MI*35182381~
DMG*D8*19451105*M~
DTP*291*RD8*20260828-20261126~
EQ*42~
EQ*30~
SE*14*000050284~
GE*1*50284~
IEA*1*000050284~