ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *250908*0809*^*00501*000031920*0*P*>~
GS*HS*52095*52095*250908*0809*1487113239*X*005010X279A1~
ST*270*000031920*005010X279A1~
BHT*0022*13*000031920*2509251*0809~
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*SIBISKI*KATHERINE****MI*581182935~
DMG*D8*19480807*F~
DTP*291*RD8*20250908-20251207~
EQ*42~
EQ*30~
SE*14*000031920~
GE*1*31920~
IEA*1*000031920~