ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260515*1605*^*00501*000045971*0*P*>~
GS*HS*63092*63092*260515*1605*1487113239*X*005010X279A1~
ST*270*000045971*005010X279A1~
BHT*0022*13*000045971*2605135*1605~
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*COMMODORE*IRENE****MI*31628880~
DMG*D8*19531004*F~
DTP*291*RD8*20260515-20260813~
EQ*42~
EQ*30~
SE*14*000045971~
GE*1*45971~
IEA*1*000045971~