ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *250922*1309*^*00501*000032670*0*P*>~
GS*HS*52095*52095*250922*1309*1487113239*X*005010X279A1~
ST*270*000032670*005010X279A1~
BHT*0022*13*000032670*2509265*1309~
HL*1**20*1~
NM1*PR*2*KAISER PERMANENTE COMMERCIAL - 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*DIXON*PATRICIA****MI*181124597~
DMG*D8*19591129*F~
DTP*291*RD8*20250922-20251221~
EQ*42~
EQ*30~
SE*14*000032670~
GE*1*32670~
IEA*1*000032670~

