ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260630*1806*^*00501*000005730*0*P*>~
GS*HS*63092*63092*260630*1806*1487113239*X*005010X279A1~
ST*270*000005730*005010X279A1~
BHT*0022*13*000005730*2606181*1806~
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*CLARK*CAROLYN****MI*35886022~
DMG*D8*19600411*F~
DTP*291*RD8*20260630-20260928~
EQ*42~
EQ*30~
SE*14*000005730~
GE*1*5730~
IEA*1*000005730~