ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260304*1203*^*00501*000041743*0*P*>~
GS*HS*63092*63092*260304*1203*1487113239*X*005010X279A1~
ST*270*000041743*005010X279A1~
BHT*0022*13*000041743*260363*1203~
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*PARKER*ALLEN****MI*36215458~
DMG*D8*19470108*M~
DTP*291*RD8*20260304-20260602~
EQ*42~
EQ*30~
SE*14*000041743~
GE*1*41743~
IEA*1*000041743~

