ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260428*0804*^*00501*000044519*0*P*>~
GS*HS*63092*63092*260428*0804*1487113239*X*005010X279A1~
ST*270*000044519*005010X279A1~
BHT*0022*13*000044519*2604118*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*MYERS*JAMES****MI*36294373~
DMG*D8*19371014*M~
DTP*291*RD8*20260428-20260727~
EQ*42~
EQ*30~
SE*14*000044519~
GE*1*44519~
IEA*1*000044519~

