ISA|00|          |00|          |ZZ|ZIRMED         |ZZ|947971C9807506 |260202|0124|}|00501|000003508|0|P|^~GS|HP|ZIRMED|947971C9807506|20260202|0124|3508|X|005010X221A1~ST|835|0001~BPR|I|1929.82|C|ACH|CCP|01|031100209|DA|38876542|1520954463||01|055002338|DA|93128821|20260202~TRN|1|000001850813971|1520954463~DTM|405|20260202~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|1150-260112133506|22|-5600|0||MA|186911487|32|2~NM1|QC|1|DILLARD|JUANITA||||MI|961059578~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|F8|185717249~REF|EA|961059578~DTM|232|20251223~DTM|233|20260105~DTM|050|20260127~SVC|HC^G0299|-700|0|0551|0~DTM|472|20251223~CAS|PI|16|-700~REF|6R|11235056856Z1~LQ|HE|MA30~SVC|HC^G0151|-700|0|0421|0~DTM|472|20251223~CAS|PI|16|-700~REF|6R|11235056856Z2~LQ|HE|MA30~SVC|HC^G0152|-700|0|0431|0~DTM|472|20251224~CAS|PI|16|-700~REF|6R|11235056856Z3~LQ|HE|MA30~SVC|HC^G0156|-700|0|0571|0~DTM|472|20251229~CAS|PI|16|-700~REF|6R|11235056856Z4~LQ|HE|MA30~SVC|HC^G0151|-700|0|0421|0~DTM|472|20251231~CAS|PI|16|-700~REF|6R|11235056856Z5~LQ|HE|MA30~SVC|HC^G0299|-700|0|0551|0~DTM|472|20260103~CAS|PI|16|-700~REF|6R|11235056856Z6~LQ|HE|MA30~SVC|HC^G0152|-700|0|0431|0~DTM|472|20260105~CAS|PI|16|-700~REF|6R|11235056856Z7~LQ|HE|MA30~SVC|HC^G0156|-700|0|0571|0~DTM|472|20260105~CAS|PI|16|-700~REF|6R|11235056856Z8~LQ|HE|MA30~CLP|1150-260126161927|1|10500.01|1929.82||MA|186911490|32|7~NM1|QC|1|DILLARD|JUANITA||||MI|961059578~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|F8|185717249~REF|EA|961059578~REF|G1|1720441255~DTM|232|20251223~DTM|233|20260120~DTM|050|20260127~AMT|AU|10500.01~SVC|HC^1AB11|0|1929.82|0023~DTM|472|20251223~CAS|CO|45|-1969.2||253|39.38~REF|6R|11311666475Z1~AMT|B6|1969.2~LQ|HE|N669~SVC|HC^Q5001|.01|0|0551|0~DTM|472|20251223~CAS|CO|45|.01~REF|6R|11311666475Z2~SVC|HC^G0299|700|0|0551|0~DTM|472|20251223~CAS|CO|45|700~REF|6R|11311666475Z3~SVC|HC^G0151|700|0|0421|0~DTM|472|20251223~CAS|CO|45|700~REF|6R|11311666475Z4~SVC|HC^G0152|700|0|0431|0~DTM|472|20251224~CAS|CO|45|700~REF|6R|11311666475Z5~SVC|HC^G0156|700|0|0571|0~DTM|472|20251229~CAS|CO|45|700~REF|6R|11311666475Z6~SVC|HC^G0151|700|0|0421|0~DTM|472|20251231~CAS|CO|45|700~REF|6R|11311666475Z7~SVC|HC^G0299|700|0|0551|0~DTM|472|20260103~CAS|CO|45|700~REF|6R|11311666475Z8~SVC|HC^G0152|700|0|0431|0~DTM|472|20260105~CAS|CO|45|700~REF|6R|11311666475Z9~SVC|HC^G0156|700|0|0571|0~DTM|472|20260105~CAS|CO|45|700~REF|6R|11311666475Z10~SVC|HC^G0299|700|0|0551|0~DTM|472|20260107~CAS|CO|45|700~REF|6R|11311666475Z11~SVC|HC^G0157|700|0|0421|0~DTM|472|20260108~CAS|CO|45|700~REF|6R|11311666475Z12~SVC|HC^G0299|700|0|0551|0~DTM|472|20260112~CAS|CO|45|700~REF|6R|11311666475Z13~SVC|HC^G0156|700|0|0571|0~DTM|472|20260112~CAS|CO|45|700~REF|6R|11311666475Z14~SVC|HC^G0152|700|0|0431|0~DTM|472|20260113~CAS|CO|45|700~REF|6R|11311666475Z15~SVC|HC^G0299|700|0|0551|0~DTM|472|20260120~CAS|CO|45|700~REF|6R|11311666475Z16~SVC|HC^G0151|700|0|0421|0~DTM|472|20260120~CAS|CO|45|700~REF|6R|11311666475Z17~SE|143|0001~GE|1|3508~IEA|1|000003508~