ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260309*0703*^*00501*000041953*0*P*>~
GS*HS*52095*52095*260309*0703*1487113239*X*005010X279A1~
ST*270*000041953*005010X279A1~
BHT*0022*13*000041953*260368*0703~
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*COLEMAN*DONALD****MI*98318308~
DMG*D8*19520310*M~
DTP*291*RD8*20260309-20260607~
EQ*42~
EQ*30~
SE*14*000041953~
GE*1*41953~
IEA*1*000041953~