ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260722*0807*^*00501*000049318*0*P*>~
GS*HS*52095*52095*260722*0807*1487113239*X*005010X279A1~
ST*270*000049318*005010X279A1~
BHT*0022*13*000049318*2607203*0807~
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*SHELL*DOUGLAS****MI*32108491~
DMG*D8*19490311*M~
DTP*291*RD8*20260722-20261020~
EQ*42~
EQ*30~
SE*14*000049318~
GE*1*49318~
IEA*1*000049318~

