ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260515*1405*^*00501*000045959*0*P*>~
GS*HS*63092*63092*260515*1405*1487113239*X*005010X279A1~
ST*270*000045959*005010X279A1~
BHT*0022*13*000045959*2605135*1405~
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*SMITH*HOWARD****MI*35791451~
DMG*D8*19320331*M~
DTP*291*RD8*20260515-20260813~
EQ*42~
EQ*30~
SE*14*000045959~
GE*1*45959~
IEA*1*000045959~