ISA*00*          *00*          *ZZ*600095         *ZZ*600095         *260626*1606*^*00501*000048090*0*P*>~
GS*HS*600095*600095*260626*1606*1487113239*X*005010X279A1~
ST*270*000048090*005010X279A1~
BHT*0022*13*000048090*2606177*1606~
HL*1**20*1~
NM1*PR*2*CIGNA HEALTH SPRING MEDICARE PPO ADVANTAGE*****PI*10158~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*GENCO*JASPER****MI*3242056601~
DMG*D8*19400809*M~
DTP*291*RD8*20260626-20260924~
EQ*42~
EQ*30~
SE*14*000048090~
GE*1*48090~
IEA*1*000048090~