ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260917*1009*^*00501*000051006*0*P*>~
GS*HS*52095*52095*260917*1009*1487113239*X*005010X279A1~
ST*270*000051006*005010X279A1~
BHT*0022*13*000051006*2609260*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*BATES*YOLANDA****MI* 92241132~
DMG*D8*19700829*M~
DTP*291*RD8*20260917-20261216~
EQ*42~
EQ*30~
SE*14*000051006~
GE*1*51006~
IEA*1*000051006~