ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260527*0905*^*00501*000046356*0*P*>~
GS*HS*63092*63092*260527*0905*1487113239*X*005010X279A1~
ST*270*000046356*005010X279A1~
BHT*0022*13*000046356*2605147*0905~
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*MYERS*WILLIAM****MI*35627138~
DMG*D8*19350217*M~
DTP*291*RD8*20260527-20260825~
EQ*42~
EQ*30~
SE*14*000046356~
GE*1*46356~
IEA*1*000046356~

