ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260714*1007*^*00501*000006718*0*P*>~
GS*HS*63092*63092*260714*1007*1487113239*X*005010X279A1~
ST*270*000006718*005010X279A1~
BHT*0022*13*000006718*2607195*1007~
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*HOLMES*HATTIE****MI*32086021~
DMG*D8*19430812*F~
DTP*291*RD8*20260714-20261012~
EQ*42~
EQ*30~
SE*14*000006718~
GE*1*6718~
IEA*1*000006718~