ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260603*1306*^*00501*000042531*0*P*>~
GS*HS*63092*63092*260603*1306*1487113239*X*005010X279A1~
ST*270*000042531*005010X279A1~
BHT*0022*13*000042531*2606154*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*HAUPT*WILLIAM****MI*34626124~
DMG*D8*19370724*M~
DTP*291*RD8*20260603-20260901~
EQ*42~
EQ*30~
SE*14*000042531~
GE*1*42531~
IEA*1*000042531~