ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260928*0709*^*00501*000051231*0*P*>~
GS*HS*52095*52095*260928*0709*1487113239*X*005010X279A1~
ST*270*000051231*005010X279A1~
BHT*0022*13*000051231*2609271*0709~
HL*1**20*1~
NM1*PR*2*KAISER MEDICARE ADV JOINT*****PI*10403~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*PARK*HANNAH****MI*49349760~
DMG*D8*19490409*F~
DTP*291*RD8*20260928-20261227~
EQ*42~
EQ*30~
SE*14*000051231~
GE*1*51231~
IEA*1*000051231~

