ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260414*1504*^*00501*000044057*0*P*>~
GS*HS*63092*63092*260414*1504*1487113239*X*005010X279A1~
ST*270*000044057*005010X279A1~
BHT*0022*13*000044057*2604104*1504~
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*WASHINGTON*SYLVIA****MI*32829555~
DMG*D8*19370401*F~
DTP*291*RD8*20260414-20260713~
EQ*42~
EQ*30~
SE*14*000044057~
GE*1*44057~
IEA*1*000044057~