ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260623*1506*^*00501*000047955*0*P*>~
GS*HS*63092*63092*260623*1506*1487113239*X*005010X279A1~
ST*270*000047955*005010X279A1~
BHT*0022*13*000047955*2606174*1506~
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*VOLZ*DOROTHY****MI*36294425~
DMG*D8*19391203*F~
DTP*291*RD8*20260623-20260921~
EQ*42~
EQ*30~
SE*14*000047955~
GE*1*47955~
IEA*1*000047955~