ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260407*0204*^*00501*000041585*0*P*>~
GS*HS*63092*63092*260407*0204*1487113239*X*005010X279A1~
ST*270*000041585*005010X279A1~
BHT*0022*13*000041585*260497*0204~
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*HUGHES*PATRICK****MI*36726312~
DMG*D8*19540831*M~
DTP*291*RD8*20260407-20260706~
EQ*42~
EQ*30~
SE*14*000041585~
GE*1*41585~
IEA*1*000041585~

