ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *251009*1010*^*00501*000033934*0*P*>~
GS*HS*63092*63092*251009*1010*1487113239*X*005010X279A1~
ST*270*000033934*005010X279A1~
BHT*0022*13*000033934*2510282*1010~
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*KEMP*TINA****MI*37073707~
DMG*D8*19671029*F~
DTP*291*RD8*20251009-20260107~
EQ*42~
EQ*30~
SE*14*000033934~
GE*1*33934~
IEA*1*000033934~