ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *250912*1309*^*00501*000032365*0*P*>~
GS*HS*63092*63092*250912*1309*1487113239*X*005010X279A1~
ST*270*000032365*005010X279A1~
BHT*0022*13*000032365*2509255*1309~
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*ROWLETTE*ALMA****MI*32952974~
DMG*D8*19340301*M~
DTP*291*RD8*20250912-20251211~
EQ*42~
EQ*30~
SE*14*000032365~
GE*1*32365~
IEA*1*000032365~