ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *251128*1111*^*00501*000036417*0*P*>~
GS*HS*52095*52095*251128*1111*1487113239*X*005010X279A1~
ST*270*000036417*005010X279A1~
BHT*0022*13*000036417*2511332*1111~
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*GAITHER*ELANDA****MI*081139693~
DMG*D8*19631204*F~
DTP*291*RD8*20251128-20260226~
EQ*42~
EQ*30~
SE*14*000036417~
GE*1*36417~
IEA*1*000036417~