ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260106*1301*^*00501*000001383*0*P*>~
GS*HS*52095*52095*260106*1301*1073904009*X*005010X279A1~
ST*270*000001383*005010X279A1~
BHT*0022*13*000001383*260106*1301~
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*HILL*DONNIE****MI*999048532~
DMG*D8*19351030*F~
DTP*291*RD8*20260106-20260406~
EQ*42~
EQ*30~
SE*14*000001383~
GE*1*1383~
IEA*1*000001383~