ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260707*1307*^*00501*000046243*0*P*>~
GS*HS*63092*63092*260707*1307*1487113239*X*005010X279A1~
ST*270*000046243*005010X279A1~
BHT*0022*13*000046243*2607188*1307~
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*POPP*VERNON****MI*36138735~
DMG*D8*19530614*M~
DTP*291*RD8*20260707-20261005~
EQ*42~
EQ*30~
SE*14*000046243~
GE*1*46243~
IEA*1*000046243~

