ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260511*1105*^*00501*000001938*0*P*>~
GS*HS*52095*52095*260511*1105*1073904009*X*005010X279A1~
ST*270*000001938*005010X279A1~
BHT*0022*13*000001938*2605131*1105~
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*KAMAL*CHAUDREY****MI*95219274~
DMG*D8*19650301*M~
DTP*291*RD8*20260511-20260809~
EQ*42~
EQ*30~
SE*14*000001938~
GE*1*1938~
IEA*1*000001938~

