ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *251008*1510*^*00501*000032963*0*P*>~
GS*HS*52095*52095*251008*1510*1487113239*X*005010X279A1~
ST*270*000032963*005010X279A1~
BHT*0022*13*000032963*2510281*1510~
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*SEWELL*DONALD****MI*88109796~
DMG*D8*19830205*M~
DTP*291*RD8*20251008-20260106~
EQ*42~
EQ*30~
SE*14*000032963~
GE*1*32963~
IEA*1*000032963~