ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260420*0704*^*00501*000044211*0*P*>~
GS*HS*52095*52095*260420*0704*1487113239*X*005010X279A1~
ST*270*000044211*005010X279A1~
BHT*0022*13*000044211*2604110*0704~
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*GRUVER*COURTNEY****MI*16231593~
DMG*D8*19710415*F~
DTP*291*RD8*20260420-20260719~
EQ*42~
EQ*30~
SE*14*000044211~
GE*1*44211~
IEA*1*000044211~

