ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *250917*1609*^*00501*000032562*0*P*>~
GS*HS*63092*63092*250917*1609*1487113239*X*005010X279A1~
ST*270*000032562*005010X279A1~
BHT*0022*13*000032562*2509260*1609~
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*NORTHROP*FREIDA****MI*36889486~
DMG*D8*19570814*F~
DTP*291*RD8*20250917-20251216~
EQ*42~
EQ*30~
SE*14*000032562~
GE*1*32562~
IEA*1*000032562~