ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260507*1305*^*00501*000044081*0*P*>~
GS*HS*52095*52095*260507*1305*1487113239*X*005010X279A1~
ST*270*000044081*005010X279A1~
BHT*0022*13*000044081*2605127*1305~
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*FULLER*BRENDA****MI*951038733~
DMG*D8*19660308*F~
DTP*291*RD8*20260507-20260805~
EQ*42~
EQ*30~
SE*14*000044081~
GE*1*44081~
IEA*1*000044081~