ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260603*0806*^*00501*000046695*0*P*>~
GS*HS*52095*52095*260603*0806*1487113239*X*005010X279A1~
ST*270*000046695*005010X279A1~
BHT*0022*13*000046695*2606154*0806~
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*SMYTH*PATRICK****MI*72229910~
DMG*D8*19540110*M~
DTP*291*RD8*20260603-20260901~
EQ*42~
EQ*30~
SE*14*000046695~
GE*1*46695~
IEA*1*000046695~