ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *250923*1409*^*00501*000032666*0*P*>~
GS*HS*52095*52095*250923*1409*1487113239*X*005010X279A1~
ST*270*000032666*005010X279A1~
BHT*0022*13*000032666*2509266*1409~
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*DAVEY*DEBORAH****MI*18213525~
DMG*D8*19510618*F~
DTP*291*RD8*20250923-20251222~
EQ*42~
EQ*30~
SE*14*000032666~
GE*1*32666~
IEA*1*000032666~

