ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260202*0902*^*00501*000039513*0*P*>~
GS*HS*63092*63092*260202*0902*1487113239*X*005010X279A1~
ST*270*000039513*005010X279A1~
BHT*0022*13*000039513*260233*0902~
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*MARTIN*GEORGE****MI*36347731~
DMG*D8*19520204*M~
DTP*291*RD8*20260202-20260503~
EQ*42~
EQ*30~
SE*14*000039513~
GE*1*39513~
IEA*1*000039513~