ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *251120*1411*^*00501*000003976*0*P*>~
GS*HS*52095*52095*251120*1411*1487113239*X*005010X279A1~
ST*270*000003976*005010X279A1~
BHT*0022*13*000003976*2511324*1411~
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*HESS*SUSAN****MI*261060524~
DMG*D8*19450613*F~
DTP*291*RD8*20251120-20260218~
EQ*42~
EQ*30~
SE*14*000003976~
GE*1*3976~
IEA*1*000003976~

