ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *250911*1009*^*00501*000032332*0*P*>~
GS*HS*63092*63092*250911*1009*1487113239*X*005010X279A1~
ST*270*000032332*005010X279A1~
BHT*0022*13*000032332*2509254*1009~
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*ELLIS*HELEN****MI*10020565~
DMG*D8*19330722*F~
DTP*291*RD8*20250911-20251210~
EQ*42~
EQ*30~
SE*14*000032332~
GE*1*32332~
IEA*1*000032332~