ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260913*1009*^*00501*000050865*0*P*>~
GS*HS*52095*52095*260913*1009*1487113239*X*005010X279A1~
ST*270*000050865*005010X279A1~
BHT*0022*13*000050865*2609256*1009~
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*PALM*JOAN****MI*89174844~
DMG*D8*19470811*F~
DTP*291*RD8*20260913-20261212~
EQ*42~
EQ*30~
SE*14*000050865~
GE*1*50865~
IEA*1*000050865~

