ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *251217*0912*^*00501*000037572*0*P*>~
GS*HS*52095*52095*251217*0912*1487113239*X*005010X279A1~
ST*270*000037572*005010X279A1~
BHT*0022*13*000037572*2512351*0912~
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*COLE*DANIELLE****MI*	18270364~
DMG*D8*19730902*M~
DTP*291*RD8*20251217-20260317~
EQ*42~
EQ*30~
SE*14*000037572~
GE*1*37572~
IEA*1*000037572~