ISA*00*          *00*          *ZZ*45282          *ZZ*45282          *260915*1109*^*00501*000050942*0*P*>~
GS*HS*45282*45282*260915*1109*1487113239*X*005010X279A1~
ST*270*000050942*005010X279A1~
BHT*0022*13*000050942*2609258*1109~
HL*1**20*1~
NM1*PR*2*CAREFIRST MEDICARE ADVANTAGE*****PI*45282~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*WALKER*JAQUELINE****MI*32972339~
DMG*D8*19570711*F~
DTP*291*RD8*20260915-20261214~
EQ*42~
EQ*30~
SE*14*000050942~
GE*1*50942~
IEA*1*000050942~