ISA*00*          *00*          *ZZ*600095         *ZZ*600095         *250909*1509*^*00501*000032246*0*P*>~
GS*HS*600095*600095*250909*1509*1487113239*X*005010X279A1~
ST*270*000032246*005010X279A1~
BHT*0022*13*000032246*2509252*1509~
HL*1**20*1~
NM1*PR*2*CIGNA HEALTH SPRING MEDICARE PPO ADVANTAGE*****PI*10158~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*HABERSHAM-BEY*FLORENCE****MI*32446924~
DMG*D8*19430923*F~
DTP*291*RD8*20250909-20251208~
EQ*42~
EQ*30~
SE*14*000032246~
GE*1*32246~
IEA*1*000032246~