ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260218*0802*^*00501*000041185*0*P*>~
GS*HS*52095*52095*260218*0802*1487113239*X*005010X279A1~
ST*270*000041185*005010X279A1~
BHT*0022*13*000041185*260249*0802~
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*SPENCER*ROBERT****MI*11175167~
DMG*D8*19470522*M~
DTP*291*RD8*20260218-20260519~
EQ*42~
EQ*30~
SE*14*000041185~
GE*1*41185~
IEA*1*000041185~