ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260729*1307*^*00501*000049452*0*P*>~
GS*HS*52095*52095*260729*1307*1487113239*X*005010X279A1~
ST*270*000049452*005010X279A1~
BHT*0022*13*000049452*2607210*1307~
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*BURDYK*STEVEN****MI*45201096~
DMG*D8*19621226*M~
DTP*291*RD8*20260729-20261027~
EQ*42~
EQ*30~
SE*14*000049452~
GE*1*49452~
IEA*1*000049452~

