ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260203*1002*^*00501*000039995*0*P*>~
GS*HS*52095*52095*260203*1002*1487113239*X*005010X279A1~
ST*270*000039995*005010X279A1~
BHT*0022*13*000039995*260234*1002~
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*GLADDEN*LEROY****MI*	921036331~
DMG*D8*19460711*M~
DTP*291*RD8*20260203-20260504~
EQ*42~
EQ*30~
SE*14*000039995~
GE*1*39995~
IEA*1*000039995~