ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260312*1403*^*00501*000042299*0*P*>~
GS*HS*63092*63092*260312*1403*1487113239*X*005010X279A1~
ST*270*000042299*005010X279A1~
BHT*0022*13*000042299*260371*1403~
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*JOHNSON*VICTOR****MI*36853329~
DMG*D8*19630510*M~
DTP*291*RD8*20260312-20260610~
EQ*42~
EQ*30~
SE*14*000042299~
GE*1*42299~
IEA*1*000042299~