ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *251215*0812*^*00501*000037486*0*P*>~
GS*HS*52095*52095*251215*0812*1487113239*X*005010X279A1~
ST*270*000037486*005010X279A1~
BHT*0022*13*000037486*2512349*0812~
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*KESSINGER*VANESSA****MI*12215373~
DMG*D8*19860120*F~
DTP*291*RD8*20251215-20260315~
EQ*42~
EQ*30~
SE*14*000037486~
GE*1*37486~
IEA*1*000037486~