ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *251027*0810*^*00501*000034520*0*P*>~
GS*HS*52095*52095*251027*0810*1487113239*X*005010X279A1~
ST*270*000034520*005010X279A1~
BHT*0022*13*000034520*2510300*0810~
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*BECKMAN*ELVIE****MI*921051068~
DMG*D8*19660224*F~
DTP*291*RD8*20251027-20260125~
EQ*42~
EQ*30~
SE*14*000034520~
GE*1*34520~
IEA*1*000034520~

