ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260604*1706*^*00501*000045894*0*P*>~
GS*HS*52095*52095*260604*1706*1487113239*X*005010X279A1~
ST*270*000045894*005010X279A1~
BHT*0022*13*000045894*2606155*1706~
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*MAYNARD*DANIEL****MI*22296566~
DMG*D8*19651010*M~
DTP*291*RD8*20260604-20260902~
EQ*42~
EQ*30~
SE*14*000045894~
GE*1*45894~
IEA*1*000045894~