ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260608*1006*^*00501*000047492*0*P*>~
GS*HS*63092*63092*260608*1006*1487113239*X*005010X279A1~
ST*270*000047492*005010X279A1~
BHT*0022*13*000047492*2606159*1006~
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*BROWN*DOROTHY****MI*32269221~
DMG*D8*19431107*F~
DTP*291*RD8*20260608-20260906~
EQ*42~
EQ*30~
SE*14*000047492~
GE*1*47492~
IEA*1*000047492~

