ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *250805*1308*^*00501*000029704*0*P*>~
GS*HS*63092*63092*250805*1308*1487113239*X*005010X279A1~
ST*270*000029704*005010X279A1~
BHT*0022*13*000029704*2508217*1308~
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*TRAVIS*CATHERINE****MI*12A3X1R27~
DMG*D8*19380119*F~
DTP*291*RD8*20250805-20251103~
EQ*42~
EQ*30~
SE*14*000029704~
GE*1*29704~
IEA*1*000029704~