ISA|00|          |00|          |ZZ|ZIRMED         |ZZ|923001C9807506 |250924|2205|}|00501|000003431|0|P|^~GS|HP|ZIRMED|923001C9807506|20250924|2205|3431|X|005010X221A1~ST|835|0001~BPR|I|2131.08|C|ACH|CCP|01|031100209|DA|38876542|1520954463||01|055002338|DA|93128821|20250924~TRN|1|000001850769977|1520954463~DTM|405|20250924~N1|PR|KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES~N3|PO BOX 64533~N4|BALTIMORE|MD|21264~PER|CX|EDICLAIMSNCSO|TE|8008132000|EM|EDICLAIMSNCSO@KP.ORG~PER|BL|NEBO|EM|NEHBO@KP.ORG~N1|PE|HOMECENTRIS HOME HEALTH II LLC|XX|1487113239~N3|10 CROSSROADS DR STE 110~N4|OWINGS MILLS|MD|211175464~REF|TJ|833992125~LX|1~CLP|1150-250917125650|1|5600.01|2131.08||MA|174551724|32|9~NM1|QC|1|MACK|MARTIN||||MI|511025803~NM1|74|1|MACK II||J~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|511025803~REF|G1|1720041639~DTM|232|20250826~DTM|233|20250905~DTM|050|20250918~AMT|AU|5600.01~SVC|HC^1EB11|0|2131.08|0023~DTM|472|20250826~CAS|CO|45|-2174.57||253|43.49~REF|6R|10590466834Z1~AMT|B6|2174.57~LQ|HE|N669~SVC|HC^Q5001|.01|0|0551|0~DTM|472|20250826~CAS|CO|45|.01~REF|6R|10590466834Z2~SVC|HC^G0299|700|0|0551|0~DTM|472|20250826~CAS|CO|45|700~REF|6R|10590466834Z3~SVC|HC^G0151|700|0|0421|0~DTM|472|20250826~CAS|CO|45|700~REF|6R|10590466834Z4~SVC|HC^G0151|700|0|0421|0~DTM|472|20250828~CAS|CO|45|700~REF|6R|10590466834Z5~SVC|HC^G0151|700|0|0421|0~DTM|472|20250829~CAS|CO|45|700~REF|6R|10590466834Z6~SVC|HC^G0299|700|0|0551|0~DTM|472|20250902~CAS|CO|45|700~REF|6R|10590466834Z7~SVC|HC^G0151|700|0|0421|0~DTM|472|20250903~CAS|CO|45|700~REF|6R|10590466834Z8~SVC|HC^G0151|700|0|0421|0~DTM|472|20250904~CAS|CO|45|700~REF|6R|10590466834Z9~SVC|HC^G0151|700|0|0421|0~DTM|472|20250905~CAS|CO|45|700~REF|6R|10590466834Z10~SE|67|0001~GE|1|3431~IEA|1|000003431~