ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *251212*0812*^*00501*000000962*0*P*>~
GS*HS*52095*52095*251212*0812*1073904009*X*005010X279A1~
ST*270*000000962*005010X279A1~
BHT*0022*13*000000962*2512346*0812~
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*DUONG*HAU****MI*19217261~
DMG*D8*19651215*M~
DTP*291*RD8*20251212-20260312~
EQ*42~
EQ*30~
SE*14*000000962~
GE*1*962~
IEA*1*000000962~