ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260720*0907*^*00501*000002609*0*P*>~
GS*HS*52095*52095*260720*0907*1073904009*X*005010X279A1~
ST*270*000002609*005010X279A1~
BHT*0022*13*000002609*2607201*0907~
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*KENNEDY*THOMAS****MI*61115339~
DMG*D8*19621125*M~
DTP*291*RD8*20260720-20261018~
EQ*42~
EQ*30~
SE*14*000002609~
GE*1*2609~
IEA*1*000002609~

