ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260406*0704*^*00501*000034241*0*P*>~
GS*HS*52095*52095*260406*0704*1487113239*X*005010X279A1~
ST*270*000034241*005010X279A1~
BHT*0022*13*000034241*260496*0704~
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*WILLIAMS*GWENDOLYN****MI*76164033~
DMG*D8*19570726*F~
DTP*291*RD8*20260406-20260705~
EQ*42~
EQ*30~
SE*14*000034241~
GE*1*34241~
IEA*1*000034241~

