ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260622*0706*^*00501*000047883*0*P*>~
GS*HS*52095*52095*260622*0706*1487113239*X*005010X279A1~
ST*270*000047883*005010X279A1~
BHT*0022*13*000047883*2606173*0706~
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*JEFFRIES*MICHAEL****MI*96283239~
DMG*D8*19660622*M~
DTP*291*RD8*20260622-20260920~
EQ*42~
EQ*30~
SE*14*000047883~
GE*1*47883~
IEA*1*000047883~