ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *251216*1412*^*00501*000001238*0*P*>~
GS*HS*52095*52095*251216*1412*1073904009*X*005010X279A1~
ST*270*000001238*005010X279A1~
BHT*0022*13*000001238*2512350*1412~
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*BEGUM*MASAMMAT****MI*74249974~
DMG*D8*19721112*F~
DTP*291*RD8*20251216-20260316~
EQ*42~
EQ*30~
SE*14*000001238~
GE*1*1238~
IEA*1*000001238~