ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260911*1209*^*00501*000050795*0*P*>~
GS*HS*52095*52095*260911*1209*1487113239*X*005010X279A1~
ST*270*000050795*005010X279A1~
BHT*0022*13*000050795*2609254*1209~
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*GARCZYNSKI*ELIZABETH****MI*15195655~
DMG*D8*19520528*F~
DTP*291*RD8*20260911-20261210~
EQ*42~
EQ*30~
SE*14*000050795~
GE*1*50795~
IEA*1*000050795~