ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260805*0708*^*00501*000049714*0*P*>~
GS*HS*52095*52095*260805*0708*1487113239*X*005010X279A1~
ST*270*000049714*005010X279A1~
BHT*0022*13*000049714*2608217*0708~
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*HAMILTON*DOROTHY****MI*53137787~
DMG*D8*19550929*F~
DTP*291*RD8*20260805-20261103~
EQ*42~
EQ*30~
SE*14*000049714~
GE*1*49714~
IEA*1*000049714~