ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *250729*1607*^*00501*000000322*0*P*>~
GS*HS*52095*52095*250729*1607*1073904009*X*005010X279A1~
ST*270*000000322*005010X279A1~
BHT*0022*13*000000322*2507210*1607~
HL*1**20*1~
NM1*PR*2*KAISER PERMANENTE*****PI*10403~
HL*2*1*21*1~
NM1*1P*2*GRACE HOME HEALTHCARE, LLC*****XX*1073904009~
HL*3*2*22*0~
NM1*IL*1*LAMB*LESLIE****MI*54136995~
DMG*D8*19611221*F~
DTP*291*RD8*20250729-20251027~
EQ*42~
EQ*30~
SE*14*000000322~
GE*1*322~
IEA*1*000000322~