ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260713*1407*^*00501*000002523*0*P*>~
GS*HS*52095*52095*260713*1407*1073904009*X*005010X279A1~
ST*270*000002523*005010X279A1~
BHT*0022*13*000002523*2607194*1407~
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*STRAWSER*SARAH****MI*14199981~
DMG*D8*19711112*F~
DTP*291*RD8*20260713-20261011~
EQ*42~
EQ*30~
SE*14*000002523~
GE*1*2523~
IEA*1*000002523~

