ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260508*1205*^*00501*000045518*0*P*>~
GS*HS*63092*63092*260508*1205*1487113239*X*005010X279A1~
ST*270*000045518*005010X279A1~
BHT*0022*13*000045518*2605128*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*MADDOX*GERALDINE****MI*10003655~
DMG*D8*19430728*F~
DTP*291*RD8*20260508-20260806~
EQ*42~
EQ*30~
SE*14*000045518~
GE*1*45518~
IEA*1*000045518~