ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *250908*1209*^*00501*000001296*0*P*>~
GS*HS*52095*52095*250908*1209*1487113239*X*005010X279A1~
ST*270*000001296*005010X279A1~
BHT*0022*13*000001296*2509251*1209~
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*GARDNER*CRYSTAL****MI*01121811~
DMG*D8*19621116*F~
DTP*291*RD8*20250908-20251207~
EQ*42~
EQ*30~
SE*14*000001296~
GE*1*1296~
IEA*1*000001296~