ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260327*1203*^*00501*000042855*0*P*>~
GS*HS*52095*52095*260327*1203*1487113239*X*005010X279A1~
ST*270*000042855*005010X279A1~
BHT*0022*13*000042855*260386*1203~
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*BRIGGS*MICHAEL****MI*53120875~
DMG*D8*19651220*M~
DTP*291*RD8*20260327-20260625~
EQ*42~
EQ*30~
SE*14*000042855~
GE*1*42855~
IEA*1*000042855~

