ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *251111*1011*^*00501*000035479*0*P*>~
GS*HS*63092*63092*251111*1011*1487113239*X*005010X279A1~
ST*270*000035479*005010X279A1~
BHT*0022*13*000035479*2511315*1011~
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*LEWIS*DAVID****MI*35777225~
DMG*D8*19530729*F~
DTP*291*RD8*20251111-20260209~
EQ*42~
EQ*30~
SE*14*000035479~
GE*1*35479~
IEA*1*000035479~