ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260526*1305*^*00501*000046307*0*P*>~
GS*HS*63092*63092*260526*1305*1487113239*X*005010X279A1~
ST*270*000046307*005010X279A1~
BHT*0022*13*000046307*2605146*1305~
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*ANGEL*MARTHA****MI*33495234~
DMG*D8*19500909*F~
DTP*291*RD8*20260526-20260824~
EQ*42~
EQ*30~
SE*14*000046307~
GE*1*46307~
IEA*1*000046307~

