ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260819*0808*^*00501*000050069*0*P*>~
GS*HS*52095*52095*260819*0808*1487113239*X*005010X279A1~
ST*270*000050069*005010X279A1~
BHT*0022*13*000050069*2608231*0808~
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*DICKERSON*CYNTHIA****MI*74271816~
DMG*D8*19730830*F~
DTP*291*RD8*20260819-20261117~
EQ*42~
EQ*30~
SE*14*000050069~
GE*1*50069~
IEA*1*000050069~

