ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260226*1602*^*00501*000041621*0*P*>~
GS*HS*52095*52095*260226*1602*1487113239*X*005010X279A1~
ST*270*000041621*005010X279A1~
BHT*0022*13*000041621*260257*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*SPENCER*DONALD****MI*01240676~
DMG*D8*19510509*M~
DTP*291*RD8*20260226-20260527~
EQ*42~
EQ*30~
SE*14*000041621~
GE*1*41621~
IEA*1*000041621~