ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260603*1206*^*00501*000042762*0*P*>~
GS*HS*63092*63092*260603*1206*1487113239*X*005010X279A1~
ST*270*000042762*005010X279A1~
BHT*0022*13*000042762*2606154*1206~
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*CUMBERLAND*GERALDINE****MI*35789367~
DMG*D8*19380204*F~
DTP*291*RD8*20260603-20260901~
EQ*42~
EQ*30~
SE*14*000042762~
GE*1*42762~
IEA*1*000042762~