ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260215*1102*^*00501*000040987*0*P*>~
GS*HS*63092*63092*260215*1102*1487113239*X*005010X279A1~
ST*270*000040987*005010X279A1~
BHT*0022*13*000040987*260246*1102~
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*ALBRIGHT*MARGARET****MI*33452250~
DMG*D8*19430204*F~
DTP*291*RD8*20260215-20260516~
EQ*42~
EQ*30~
SE*14*000040987~
GE*1*40987~
IEA*1*000040987~