ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *251201*0712*^*00501*000036449*0*P*>~
GS*HS*52095*52095*251201*0712*1487113239*X*005010X279A1~
ST*270*000036449*005010X279A1~
BHT*0022*13*000036449*2512335*0712~
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*OKANG*ELIZABETH****MI*47324193~
DMG*D8*19630831*M~
DTP*291*RD8*20251201-20260301~
EQ*42~
EQ*30~
SE*14*000036449~
GE*1*36449~
IEA*1*000036449~