ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260316*1603*^*00501*000042463*0*P*>~
GS*HS*63092*63092*260316*1603*1487113239*X*005010X279A1~
ST*270*000042463*005010X279A1~
BHT*0022*13*000042463*260375*1603~
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*BEARRY*CRESTON****MI*36718520~
DMG*D8*19570423*M~
DTP*291*RD8*20260316-20260614~
EQ*42~
EQ*30~
SE*14*000042463~
GE*1*42463~
IEA*1*000042463~

