ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *250728*1207*^*00501*000029768*0*P*>~
GS*HS*52095*52095*250728*1207*1487113239*X*005010X279A1~
ST*270*000029768*005010X279A1~
BHT*0022*13*000029768*2507209*1207~
HL*1**20*1~
NM1*PR*2*KAISER PERMANENTE ADVANTAGE - PT SAFETY ASSESSMENT*****PI*10403~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*JACQUET*MARCELETTE****MI*95113626~
DMG*D8*19570907*F~
DTP*291*RD8*20250728-20251026~
EQ*42~
EQ*30~
SE*14*000029768~
GE*1*29768~
IEA*1*000029768~