ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260918*0709*^*00501*000051025*0*P*>~
GS*HS*52095*52095*260918*0709*1487113239*X*005010X279A1~
ST*270*000051025*005010X279A1~
BHT*0022*13*000051025*2609261*0709~
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*ROBERTS*PATRICIA****MI*67176352~
DMG*D8*19410819*F~
DTP*291*RD8*20260918-20261217~
EQ*42~
EQ*30~
SE*14*000051025~
GE*1*51025~
IEA*1*000051025~