ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260615*0706*^*00501*000047692*0*P*>~
GS*HS*52095*52095*260615*0706*1487113239*X*005010X279A1~
ST*270*000047692*005010X279A1~
BHT*0022*13*000047692*2606166*0706~
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*RIFFEE*DONNA****MI*75332331~
DMG*D8*19620531*F~
DTP*291*RD8*20260615-20260913~
EQ*42~
EQ*30~
SE*14*000047692~
GE*1*47692~
IEA*1*000047692~

