ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *250822*1308*^*00501*000013991*0*P*>~
GS*HS*52095*52095*250822*1308*1487113239*X*005010X279A1~
ST*270*000013991*005010X279A1~
BHT*0022*13*000013991*2508234*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*ABOLARIN*FOLASADE****MI*341096722~
DMG*D8*19551024*F~
DTP*291*RD8*20250822-20251120~
EQ*42~
EQ*30~
SE*14*000013991~
GE*1*13991~
IEA*1*000013991~