ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260428*1204*^*00501*000044529*0*P*>~
GS*HS*63092*63092*260428*1204*1487113239*X*005010X279A1~
ST*270*000044529*005010X279A1~
BHT*0022*13*000044529*2604118*1204~
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*WILLIAMS*GEORGE****MI*36156887~
DMG*D8*19610925*M~
DTP*291*RD8*20260428-20260727~
EQ*42~
EQ*30~
SE*14*000044529~
GE*1*44529~
IEA*1*000044529~

