ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *250825*1808*^*00501*000000438*0*P*>~
GS*HS*52095*52095*250825*1808*1073904009*X*005010X279A1~
ST*270*000000438*005010X279A1~
BHT*0022*13*000000438*2508237*1808~
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*MILLER*STEWART****MI*47206415~
DMG*D8*19620222*M~
DTP*291*RD8*20250825-20251123~
EQ*42~
EQ*30~
SE*14*000000438~
GE*1*438~
IEA*1*000000438~

