ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *251226*1412*^*00501*000037819*0*P*>~
GS*HS*63092*63092*251226*1412*1487113239*X*005010X279A1~
ST*270*000037819*005010X279A1~
BHT*0022*13*000037819*2512360*1412~
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*JOHNSON*DONETTE****MI*36647736~
DMG*D8*19570117*F~
DTP*291*RD8*20251226-20260326~
EQ*42~
EQ*30~
SE*14*000037819~
GE*1*37819~
IEA*1*000037819~