ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *251222*1112*^*00501*000037696*0*P*>~
GS*HS*63092*63092*251222*1112*1487113239*X*005010X279A1~
ST*270*000037696*005010X279A1~
BHT*0022*13*000037696*2512356*1112~
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*M~
DTP*291*RD8*20251222-20260322~
EQ*42~
EQ*30~
SE*14*000037696~
GE*1*37696~
IEA*1*000037696~