ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *250729*1007*^*00501*000029827*0*P*>~
GS*HS*63092*63092*250729*1007*1487113239*X*005010X279A1~
ST*270*000029827*005010X279A1~
BHT*0022*13*000029827*2507210*1007~
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*TYER*NICOLE****MI*35899264~
DMG*D8*19841204*F~
DTP*291*RD8*20250729-20251027~
EQ*42~
EQ*30~
SE*14*000029827~
GE*1*29827~
IEA*1*000029827~