ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260601*1206*^*00501*000040203*0*P*>~
GS*HS*52095*52095*260601*1206*1487113239*X*005010X279A1~
ST*270*000040203*005010X279A1~
BHT*0022*13*000040203*2606152*1206~
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*ROSS*DIANA****MI*61105501~
DMG*D8*19510719*F~
DTP*291*RD8*20260601-20260830~
EQ*42~
EQ*30~
SE*14*000040203~
GE*1*40203~
IEA*1*000040203~