ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260206*0902*^*00501*000035541*0*P*>~
GS*HS*63092*63092*260206*0902*1487113239*X*005010X279A1~
ST*270*000035541*005010X279A1~
BHT*0022*13*000035541*260237*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*DWYER*MARY****MI*34913226~
DMG*D8*19620125*F~
DTP*291*RD8*20260206-20260507~
EQ*42~
EQ*30~
SE*14*000035541~
GE*1*35541~
IEA*1*000035541~

