ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *251118*1211*^*00501*000035990*0*P*>~
GS*HS*52095*52095*251118*1211*1487113239*X*005010X279A1~
ST*270*000035990*005010X279A1~
BHT*0022*13*000035990*2511322*1211~
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*GLOWACKI*SCOTT****MI*29181561~
DMG*D8*19630529*M~
DTP*291*RD8*20251118-20260216~
EQ*42~
EQ*30~
SE*14*000035990~
GE*1*35990~
IEA*1*000035990~