ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *251021*0810*^*00501*000034327*0*P*>~
GS*HS*63092*63092*251021*0810*1487113239*X*005010X279A1~
ST*270*000034327*005010X279A1~
BHT*0022*13*000034327*2510294*0810~
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*FELDER*LOUIS****MI*31451839~
DMG*D8*19420724*M~
DTP*291*RD8*20251021-20260119~
EQ*42~
EQ*30~
SE*14*000034327~
GE*1*34327~
IEA*1*000034327~