ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260413*0804*^*00501*000043973*0*P*>~
GS*HS*63092*63092*260413*0804*1487113239*X*005010X279A1~
ST*270*000043973*005010X279A1~
BHT*0022*13*000043973*2604103*0804~
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*FOSTER*ALBERT****MI*37020934~
DMG*D8*19510922*M~
DTP*291*RD8*20260413-20260712~
EQ*42~
EQ*30~
SE*14*000043973~
GE*1*43973~
IEA*1*000043973~