ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260716*1507*^*00501*000049204*0*P*>~
GS*HS*63092*63092*260716*1507*1487113239*X*005010X279A1~
ST*270*000049204*005010X279A1~
BHT*0022*13*000049204*2607197*1507~
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*HUNT*WILLIAM****MI*36312311~
DMG*D8*19470528*M~
DTP*291*RD8*20260716-20261014~
EQ*42~
EQ*30~
SE*14*000049204~
GE*1*49204~
IEA*1*000049204~