ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260706*1907*^*00501*000044604*0*P*>~
GS*HS*63092*63092*260706*1907*1487113239*X*005010X279A1~
ST*270*000044604*005010X279A1~
BHT*0022*13*000044604*2607187*1907~
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*MCCULLOUGH*MABLE****MI*36368785~
DMG*D8*19420829*F~
DTP*291*RD8*20260706-20261004~
EQ*42~
EQ*30~
SE*14*000044604~
GE*1*44604~
IEA*1*000044604~