ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *250807*1308*^*00501*000005640*0*P*>~
GS*HS*63092*63092*250807*1308*1487113239*X*005010X279A1~
ST*270*000005640*005010X279A1~
BHT*0022*13*000005640*2508219*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*EASTON*ELIZABETH****MI*36459444~
DMG*D8*19360215*F~
DTP*291*RD8*20250807-20251105~
EQ*42~
EQ*30~
SE*14*000005640~
GE*1*5640~
IEA*1*000005640~