ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260507*1605*^*00501*000044219*0*P*>~
GS*HS*52095*52095*260507*1605*1487113239*X*005010X279A1~
ST*270*000044219*005010X279A1~
BHT*0022*13*000044219*2605127*1605~
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*SMITH*KATHLEEN****MI*64330347~
DMG*D8*19511206*F~
DTP*291*RD8*20260507-20260805~
EQ*42~
EQ*30~
SE*14*000044219~
GE*1*44219~
IEA*1*000044219~