ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260513*1205*^*00501*000045855*0*P*>~
GS*HS*52095*52095*260513*1205*1487113239*X*005010X279A1~
ST*270*000045855*005010X279A1~
BHT*0022*13*000045855*2605133*1205~
HL*1**20*1~
NM1*PR*2*KAISER PERMANENTE*****PI*10403~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*DIAZ*BRANDI****MI*56268656~
DMG*D8*19720820*F~
DTP*291*RD8*20260513-20260811~
EQ*42~
EQ*30~
SE*14*000045855~
GE*1*45855~
IEA*1*000045855~