ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *251111*1211*^*00501*000032672*0*P*>~
GS*HS*52095*52095*251111*1211*1487113239*X*005010X279A1~
ST*270*000032672*005010X279A1~
BHT*0022*13*000032672*2511315*1211~
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*CARROLL*KIMBERLY****MI*57347988~
DMG*D8*19670808*F~
DTP*291*RD8*20251111-20260209~
EQ*42~
EQ*30~
SE*14*000032672~
GE*1*32672~
IEA*1*000032672~