ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *250818*1308*^*00501*000030984*0*P*>~
GS*HS*52095*52095*250818*1308*1487113239*X*005010X279A1~
ST*270*000030984*005010X279A1~
BHT*0022*13*000030984*2508230*1308~
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*STULLER*MARY****MI*131282918~
DMG*D8*19470413*F~
DTP*291*RD8*20250818-20251116~
EQ*42~
EQ*30~
SE*14*000030984~
GE*1*30984~
IEA*1*000030984~