ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260602*1306*^*00501*000046456*0*P*>~
GS*HS*63092*63092*260602*1306*1487113239*X*005010X279A1~
ST*270*000046456*005010X279A1~
BHT*0022*13*000046456*2606153*1306~
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*BETCH*TERESA****MI*37198301~
DMG*D8*19570506*F~
DTP*291*RD8*20260602-20260831~
EQ*42~
EQ*30~
SE*14*000046456~
GE*1*46456~
IEA*1*000046456~