ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260505*1105*^*00501*000028173*0*P*>~
GS*HS*63092*63092*260505*1105*1487113239*X*005010X279A1~
ST*270*000028173*005010X279A1~
BHT*0022*13*000028173*2605125*1105~
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*RHODES*PATRICIA****MI*36867070~
DMG*D8*19580801*F~
DTP*291*RD8*20260505-20260803~
EQ*42~
EQ*30~
SE*14*000028173~
GE*1*28173~
IEA*1*000028173~