ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260625*1506*^*00501*000027715*0*P*>~
GS*HS*63092*63092*260625*1506*1487113239*X*005010X279A1~
ST*270*000027715*005010X279A1~
BHT*0022*13*000027715*2606176*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*SWEETWINE*IVY****MI*32372264~
DMG*D8*19471226*F~
DTP*291*RD8*20260625-20260923~
EQ*42~
EQ*30~
SE*14*000027715~
GE*1*27715~
IEA*1*000027715~