ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260330*1503*^*00501*000042964*0*P*>~
GS*HS*63092*63092*260330*1503*1487113239*X*005010X279A1~
ST*270*000042964*005010X279A1~
BHT*0022*13*000042964*260389*1503~
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*PARRISH*GLADYS****MI*32045657~
DMG*D8*19320508*F~
DTP*291*RD8*20260330-20260628~
EQ*42~
EQ*30~
SE*14*000042964~
GE*1*42964~
IEA*1*000042964~

