ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *250731*1107*^*00501*000029910*0*P*>~
GS*HS*63092*63092*250731*1107*1487113239*X*005010X279A1~
ST*270*000029910*005010X279A1~
BHT*0022*13*000029910*2507212*1107~
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*TABATABAEE*FARIBA****MI*10614711700~
DMG*D8*19630222*F~
DTP*291*RD8*20250731-20251029~
EQ*42~
EQ*30~
SE*14*000029910~
GE*1*29910~
IEA*1*000029910~