ISA*00*          *00*          *ZZ*600095         *ZZ*600095         *260716*1407*^*00501*000049195*0*P*>~
GS*HS*600095*600095*260716*1407*1487113239*X*005010X279A1~
ST*270*000049195*005010X279A1~
BHT*0022*13*000049195*2607197*1407~
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*SMITH*HERVERY****MI*36635308~
DMG*D8*20260716*M~
DTP*291*RD8*20260716-20261014~
EQ*42~
EQ*30~
SE*14*000049195~
GE*1*49195~
IEA*1*000049195~