ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260615*1306*^*00501*000002469*0*P*>~
GS*HS*52095*52095*260615*1306*1073904009*X*005010X279A1~
ST*270*000002469*005010X279A1~
BHT*0022*13*000002469*2606166*1306~
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*ALAM*NAZIRA****MI*82273017~
DMG*D8*19700501*F~
DTP*291*RD8*20260615-20260913~
EQ*42~
EQ*30~
SE*14*000002469~
GE*1*2469~
IEA*1*000002469~

