ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260330*0703*^*00501*000042900*0*P*>~
GS*HS*52095*52095*260330*0703*1487113239*X*005010X279A1~
ST*270*000042900*005010X279A1~
BHT*0022*13*000042900*260389*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*HOLMES*GEORGIA****MI*38298835~
DMG*D8*19430726*F~
DTP*291*RD8*20260330-20260628~
EQ*42~
EQ*30~
SE*14*000042900~
GE*1*42900~
IEA*1*000042900~