ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260326*1003*^*00501*000042781*0*P*>~
GS*HS*63092*63092*260326*1003*1487113239*X*005010X279A1~
ST*270*000042781*005010X279A1~
BHT*0022*13*000042781*260385*1003~
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*CAMPBELL*JOYCE****MI*36883744~
DMG*D8*19350930*F~
DTP*291*RD8*20260326-20260624~
EQ*42~
EQ*30~
SE*14*000042781~
GE*1*42781~
IEA*1*000042781~

