ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260309*1103*^*00501*000041944*0*P*>~
GS*HS*63092*63092*260309*1103*1487113239*X*005010X279A1~
ST*270*000041944*005010X279A1~
BHT*0022*13*000041944*260368*1103~
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*GILL*CHARLES****MI*37221406~
DMG*D8*19510701*M~
DTP*291*RD8*20260309-20260607~
EQ*42~
EQ*30~
SE*14*000041944~
GE*1*41944~
IEA*1*000041944~

