ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *251215*1012*^*00501*000037494*0*P*>~
GS*HS*63092*63092*251215*1012*1487113239*X*005010X279A1~
ST*270*000037494*005010X279A1~
BHT*0022*13*000037494*2512349*1012~
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*JORDAN*GWENDOLYN****MI*10029697~
DMG*D8*19380809*F~
DTP*291*RD8*20251215-20260315~
EQ*42~
EQ*30~
SE*14*000037494~
GE*1*37494~
IEA*1*000037494~