ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *250819*1508*^*00501*000004808*0*P*>~
GS*HS*52095*52095*250819*1508*1487113239*X*005010X279A1~
ST*270*000004808*005010X279A1~
BHT*0022*13*000004808*2508231*1508~
HL*1**20*1~
NM1*PR*2*KAISER PERMANENTE*****PI*10403~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*BIBI*ZARINA****MI*79229842~
DMG*D8*19600103*F~
DTP*291*RD8*20250819-20251117~
EQ*42~
EQ*30~
SE*14*000004808~
GE*1*4808~
IEA*1*000004808~