ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *250730*1207*^*00501*000000000*0*P*>~
GS*HS*63092*63092*250730*1207*1487113239*X*005010X279A1~
ST*270*000000000*005010X279A1~
BHT*0022*13*000000000*2507211*1207~
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*MITCHEM*CINDERELLA****MI*10021871~
DMG*D8*19360121*M~
DTP*291*RD8*20250730-20251028~
EQ*42~
EQ*30~
SE*14*000000000~
GE*1*~
IEA*1*000000000~