ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260908*0909*^*00501*000050435*0*P*>~
GS*HS*52095*52095*260908*0909*1487113239*X*005010X279A1~
ST*270*000050435*005010X279A1~
BHT*0022*13*000050435*2609251*0909~
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*BROOKS*RACHEL****MI*421302161~
DMG*D8*19570622*F~
DTP*291*RD8*20260908-20261207~
EQ*42~
EQ*30~
SE*14*000050435~
GE*1*50435~
IEA*1*000050435~