ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260514*1705*^*00501*000045916*0*P*>~
GS*HS*63092*63092*260514*1705*1487113239*X*005010X279A1~
ST*270*000045916*005010X279A1~
BHT*0022*13*000045916*2605134*1705~
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*GOLDBECK*PAUL****MI*36575655~
DMG*D8*19440610*M~
DTP*291*RD8*20260514-20260812~
EQ*42~
EQ*30~
SE*14*000045916~
GE*1*45916~
IEA*1*000045916~