ISA*00*          *00*          *ZZ*600095         *ZZ*600095         *260706*1507*^*00501*000045945*0*P*>~
GS*HS*600095*600095*260706*1507*1487113239*X*005010X279A1~
ST*270*000045945*005010X279A1~
BHT*0022*13*000045945*2607187*1507~
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*MASSEY*CAROLYN****MI*32804534~
DMG*D8*19460218*F~
DTP*291*RD8*20260706-20261004~
EQ*42~
EQ*30~
SE*14*000045945~
GE*1*45945~
IEA*1*000045945~

