ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260410*1404*^*00501*000041562*0*P*>~
GS*HS*52095*52095*260410*1404*1487113239*X*005010X279A1~
ST*270*000041562*005010X279A1~
BHT*0022*13*000041562*2604100*1404~
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*BOST*CHERYL****MI*081069141~
DMG*D8*19670305*F~
DTP*291*RD8*20260410-20260709~
EQ*42~
EQ*30~
SE*14*000041562~
GE*1*41562~
IEA*1*000041562~

