ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260703*1407*^*00501*000048241*0*P*>~
GS*HS*63092*63092*260703*1407*1487113239*X*005010X279A1~
ST*270*000048241*005010X279A1~
BHT*0022*13*000048241*2607184*1407~
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*SZYMANSKI*THOMAS****MI*37148117~
DMG*D8*19540709*M~
DTP*291*RD8*20260703-20261001~
EQ*42~
EQ*30~
SE*14*000048241~
GE*1*48241~
IEA*1*000048241~