ISA*00*          *00*          *ZZ*xxxxx          *ZZ*52095          *260608*1606*^*00501*000001517*0*P*>~
GS*HS*52095*52095*260608*1606*1073904009*X*005010X279A1~
ST*270*000001517*005010X279A1~
BHT*0022*13*000001517*2606159*1606~
HL*1**20*1~
NM1*PR*2*KAISER PERMANENTE MEDICARE ADVANTAGE 1*****PI*10403~
HL*2*1*21*1~
NM1*1P*2*GRACE HOME HEALTHCARE, LLC*****XX*1073904009~
HL*3*2*22*0~
NM1*IL*1*FELKEL*RITA****MI*02236300~
DMG*D8*19530123*F~
DTP*291*RD8*20260608-20260906~
EQ*42~
EQ*30~
SE*14*000001517~
GE*1*1517~
IEA*1*000001517~

