ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *251223*1212*^*00501*000005883*0*P*>~
GS*HS*63092*63092*251223*1212*1487113239*X*005010X279A1~
ST*270*000005883*005010X279A1~
BHT*0022*13*000005883*2512357*1212~
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*BURCH*DORETHA****MI*35931316~
DMG*D8*19360815*F~
DTP*291*RD8*20251223-20260323~
EQ*42~
EQ*30~
SE*14*000005883~
GE*1*5883~
IEA*1*000005883~