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GS*HS*52095*52095*260518*0805*1487113239*X*005010X279A1~
ST*270*000045985*005010X279A1~
BHT*0022*13*000045985*2605138*0805~
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*HARVIN*DEANNA****MI*88233361~
DMG*D8*19650602*F~
DTP*291*RD8*20260518-20260816~
EQ*42~
EQ*30~
SE*14*000045985~
GE*1*45985~
IEA*1*000045985~