ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260507*1205*^*00501*000045478*0*P*>~
GS*HS*63092*63092*260507*1205*1487113239*X*005010X279A1~
ST*270*000045478*005010X279A1~
BHT*0022*13*000045478*2605127*1205~
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*BEDWELL*PATRICIA****MI*32743330~
DMG*D8*19410910*F~
DTP*291*RD8*20260507-20260805~
EQ*42~
EQ*30~
SE*14*000045478~
GE*1*45478~
IEA*1*000045478~