ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260316*1603*^*00501*000042405*0*P*>~
GS*HS*52095*52095*260316*1603*1487113239*X*005010X279A1~
ST*270*000042405*005010X279A1~
BHT*0022*13*000042405*260375*1603~
HL*1**20*1~
NM1*PR*2*KAISER PERMANENTE COMMERCIAL - 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*DYES*DONNA****MI*71159187~
DMG*D8*19630403*F~
DTP*291*RD8*20260316-20260614~
EQ*42~
EQ*30~
SE*14*000042405~
GE*1*42405~
IEA*1*000042405~

