ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260126*0801*^*00501*000039361*0*P*>~
GS*HS*63092*63092*260126*0801*1487113239*X*005010X279A1~
ST*270*000039361*005010X279A1~
BHT*0022*13*000039361*260126*0801~
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*SINGLETON*LILLIE****MI*32065764~
DMG*D8*19300226*F~
DTP*291*RD8*20260126-20260426~
EQ*42~
EQ*30~
SE*14*000039361~
GE*1*39361~
IEA*1*000039361~