ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *250903*1509*^*00501*000000534*0*P*>~
GS*HS*52095*52095*250903*1509*1073904009*X*005010X279A1~
ST*270*000000534*005010X279A1~
BHT*0022*13*000000534*2509246*1509~
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*ARMANIOUSS*NABIL****MI*461281341~
DMG*D8*19490720*M~
DTP*291*RD8*20250903-20251202~
EQ*42~
EQ*30~
SE*14*000000534~
GE*1*534~
IEA*1*000000534~

