ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260201*1302*^*00501*000039499*0*P*>~
GS*HS*52095*52095*260201*1302*1487113239*X*005010X279A1~
ST*270*000039499*005010X279A1~
BHT*0022*13*000039499*260232*1302~
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*REYES*ANA****MI*931302661~
DMG*D8*19691208*F~
DTP*291*RD8*20260201-20260502~
EQ*42~
EQ*30~
SE*14*000039499~
GE*1*39499~
IEA*1*000039499~