ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260210*1602*^*00501*000040834*0*P*>~
GS*HS*52095*52095*260210*1602*1487113239*X*005010X279A1~
ST*270*000040834*005010X279A1~
BHT*0022*13*000040834*260241*1602~
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*DINKINS*MELVIN****MI*51356144~
DMG*D8*19691004*M~
DTP*291*RD8*20260210-20260511~
EQ*42~
EQ*30~
SE*14*000040834~
GE*1*40834~
IEA*1*000040834~