ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260902*0809*^*00501*000050347*0*P*>~
GS*HS*52095*52095*260902*0809*1487113239*X*005010X279A1~
ST*270*000050347*005010X279A1~
BHT*0022*13*000050347*2609245*0809~
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*DEMBY*SHIRLE****MI*14165928~
DMG*D8*19511214*F~
DTP*291*RD8*20260902-20261201~
EQ*42~
EQ*30~
SE*14*000050347~
GE*1*50347~
IEA*1*000050347~