ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260615*0906*^*00501*000047703*0*P*>~
GS*HS*63092*63092*260615*0906*1487113239*X*005010X279A1~
ST*270*000047703*005010X279A1~
BHT*0022*13*000047703*2606166*0906~
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*MOORE*BRENDA****MI*10044418~
DMG*D8*19401114*F~
DTP*291*RD8*20260615-20260913~
EQ*42~
EQ*30~
SE*14*000047703~
GE*1*47703~
IEA*1*000047703~