ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260408*0904*^*00501*000043602*0*P*>~
GS*HS*63092*63092*260408*0904*1487113239*X*005010X279A1~
ST*270*000043602*005010X279A1~
BHT*0022*13*000043602*260498*0904~
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*HOWARD*JAMES****MI*36161361~
DMG*D8*19520505*F~
DTP*291*RD8*20260408-20260707~
EQ*42~
EQ*30~
SE*14*000043602~
GE*1*43602~
IEA*1*000043602~