ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260723*1007*^*00501*000049341*0*P*>~
GS*HS*63092*63092*260723*1007*1487113239*X*005010X279A1~
ST*270*000049341*005010X279A1~
BHT*0022*13*000049341*2607204*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*RAGA*DORA****MI*10051531~
DMG*D8*19340427*F~
DTP*291*RD8*20260723-20261021~
EQ*42~
EQ*30~
SE*14*000049341~
GE*1*49341~
IEA*1*000049341~