ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *251117*0911*^*00501*000035979*0*P*>~
GS*HS*63092*63092*251117*0911*1487113239*X*005010X279A1~
ST*270*000035979*005010X279A1~
BHT*0022*13*000035979*2511321*0911~
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*GOURDIN*MARIA****MI*3699480~
DMG*D8*19400701*F~
DTP*291*RD8*20251117-20260215~
EQ*42~
EQ*30~
SE*14*000035979~
GE*1*35979~
IEA*1*000035979~