ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *250820*1508*^*00501*000000419*0*P*>~
GS*HS*52095*52095*250820*1508*1073904009*X*005010X279A1~
ST*270*000000419*005010X279A1~
BHT*0022*13*000000419*2508232*1508~
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*ANDREA*CHRISTINE****MI*98177989~
DMG*D8*19480207*F~
DTP*291*RD8*20250820-20251118~
EQ*42~
EQ*30~
SE*14*000000419~
GE*1*419~
IEA*1*000000419~