ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260618*1906*^*00501*000047835*0*P*>~
GS*HS*63092*63092*260618*1906*1487113239*X*005010X279A1~
ST*270*000047835*005010X279A1~
BHT*0022*13*000047835*2606169*1906~
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*DEHAVEN*LUCY****MI*10003613~
DMG*D8*19371228*M~
DTP*291*RD8*20260618-20260916~
EQ*42~
EQ*30~
SE*14*000047835~
GE*1*47835~
IEA*1*000047835~

