ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *250908*1109*^*00501*000031941*0*P*>~
GS*HS*63092*63092*250908*1109*1487113239*X*005010X279A1~
ST*270*000031941*005010X279A1~
BHT*0022*13*000031941*2509251*1109~
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*CROUSE*PATRICIA****MI*37099690~
DMG*D8*19350427*F~
DTP*291*RD8*20250908-20251207~
EQ*42~
EQ*30~
SE*14*000031941~
GE*1*31941~
IEA*1*000031941~