ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260505*1705*^*00501*000043095*0*P*>~
GS*HS*52095*52095*260505*1705*1487113239*X*005010X279A1~
ST*270*000043095*005010X279A1~
BHT*0022*13*000043095*2605125*1705~
HL*1**20*1~
NM1*PR*2*KAISER PERMANENTE ADVANTAGE - 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*JOHNSON*CLARIS****MI*01221640~
DMG*D8*19460621*F~
DTP*291*RD8*20260505-20260803~
EQ*42~
EQ*30~
SE*14*000043095~
GE*1*43095~
IEA*1*000043095~