ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *260924*1609*^*00501*000051202*0*P*>~
GS*HS*52095*52095*260924*1609*1487113239*X*005010X279A1~
ST*270*000051202*005010X279A1~
BHT*0022*13*000051202*2609267*1609~
HL*1**20*1~
NM1*PR*2*KAISER PERMANENTE*****PI*10403~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*DUNST*BRADLEY****MI*100040865~
DMG*D8*19780711*M~
DTP*291*RD8*20260924-20261223~
EQ*42~
EQ*30~
SE*14*000051202~
GE*1*51202~
IEA*1*000051202~