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GS*HS*52095*52095*260422*1304*1487113239*X*005010X279A1~
ST*270*000044351*005010X279A1~
BHT*0022*13*000044351*2604112*1304~
HL*1**20*1~
NM1*PR*2*KAISER PERMANENTE COMMERCIAL JOINT*****PI*10403~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*ISHWAY*ROBERT****MI*68268176~
DMG*D8*19640926*M~
DTP*291*RD8*20260422-20260721~
EQ*42~
EQ*30~
SE*14*000044351~
GE*1*44351~
IEA*1*000044351~