ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *250825*0808*^*00501*000031252*0*P*>~
GS*HS*52095*52095*250825*0808*1487113239*X*005010X279A1~
ST*270*000031252*005010X279A1~
BHT*0022*13*000031252*2508237*0808~
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*BUIE*MARGARET****MI*481169287~
DMG*D8*19520614*F~
DTP*291*RD8*20250825-20251123~
EQ*42~
EQ*30~
SE*14*000031252~
GE*1*31252~
IEA*1*000031252~