ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260909*1509*^*00501*000050540*0*P*>~
GS*HS*52095*52095*260909*1509*1487113239*X*005010X279A1~
ST*270*000050540*005010X279A1~
BHT*0022*13*000050540*2609252*1509~
HL*1**20*1~
NM1*PR*2*KAISER PERMANENTE*****PI*10403~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*PURNELL*MARCINA****MI*17260522~
DMG*D8*19611127*F~
DTP*291*RD8*20260909-20261208~
EQ*42~
EQ*30~
SE*14*000050540~
GE*1*50540~
IEA*1*000050540~