ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260330*1203*^*00501*000042925*0*P*>~
GS*HS*63092*63092*260330*1203*1487113239*X*005010X279A1~
ST*270*000042925*005010X279A1~
BHT*0022*13*000042925*260389*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*JOHNSON*DUBLIN****MI*33451272~
DMG*D8*19410613*M~
DTP*291*RD8*20260330-20260628~
EQ*42~
EQ*30~
SE*14*000042925~
GE*1*42925~
IEA*1*000042925~