ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260729*0707*^*00501*000049438*0*P*>~
GS*HS*52095*52095*260729*0707*1487113239*X*005010X279A1~
ST*270*000049438*005010X279A1~
BHT*0022*13*000049438*2607210*0707~
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*HAMMER*LINDA****MI*811070365~
DMG*D8*19470819*F~
DTP*291*RD8*20260729-20261027~
EQ*42~
EQ*30~
SE*14*000049438~
GE*1*49438~
IEA*1*000049438~