ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260116*0901*^*00501*000023669*0*P*>~
GS*HS*63092*63092*260116*0901*1487113239*X*005010X279A1~
ST*270*000023669*005010X279A1~
BHT*0022*13*000023669*260116*0901~
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*WIGGINS*SURVESTER****MI*31342304~
DMG*D8*19290331*F~
DTP*291*RD8*20260116-20260416~
EQ*42~
EQ*30~
SE*14*000023669~
GE*1*23669~
IEA*1*000023669~