ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260408*0804*^*00501*000043592*0*P*>~
GS*HS*52095*52095*260408*0804*1487113239*X*005010X279A1~
ST*270*000043592*005010X279A1~
BHT*0022*13*000043592*260498*0804~
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*WHITE*DANA****MI*231108529~
DMG*D8*19660520*F~
DTP*291*RD8*20260408-20260707~
EQ*42~
EQ*30~
SE*14*000043592~
GE*1*43592~
IEA*1*000043592~

