ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *251222*0812*^*00501*000037671*0*P*>~
GS*HS*52095*52095*251222*0812*1487113239*X*005010X279A1~
ST*270*000037671*005010X279A1~
BHT*0022*13*000037671*2512356*0812~
HL*1**20*1~
NM1*PR*2*KAISER PERMANENTE ADVANTAGE - 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*KERN*BERKLEY****MI*59189182~
DMG*D8*19511028*M~
DTP*291*RD8*20251222-20260322~
EQ*42~
EQ*30~
SE*14*000037671~
GE*1*37671~
IEA*1*000037671~