ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260804*1208*^*00501*000049589*0*P*>~
GS*HS*63092*63092*260804*1208*1487113239*X*005010X279A1~
ST*270*000049589*005010X279A1~
BHT*0022*13*000049589*2608216*1208~
HL*1**20*1~
NM1*PR*2*CIGNA HEALTH SPRING  MEDICARE HMO ADVANTAGE*****PI*14120~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*CAMPBELL*ETHEL****MI*35914455~
DMG*D8*19470315*F~
DTP*291*RD8*20260804-20261102~
EQ*42~
EQ*30~
SE*14*000049589~
GE*1*49589~
IEA*1*000049589~