ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *250723*1607*^*00501*000029635*0*P*>~
GS*HS*63092*63092*250723*1607*1487113239*X*005010X279A1~
ST*270*000029635*005010X279A1~
BHT*0022*13*000029635*2507204*1607~
HL*1**20*1~
NM1*PR*2*CIGNA HEALTH SPRING  MEDICARE HMO ADVANTAGE*****PI*10158~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*VOGEL*SHARON****MI*35854979~
DMG*D8*19560924*F~
DTP*291*RD8*20250723-20251021~
EQ*42~
EQ*30~
SE*14*000029635~
GE*1*29635~
IEA*1*000029635~