ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260805*1408*^*00501*000049745*0*P*>~
GS*HS*63092*63092*260805*1408*1487113239*X*005010X279A1~
ST*270*000049745*005010X279A1~
BHT*0022*13*000049745*2608217*1408~
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*LIPSCOMB*ROBIN****MI*3634677801~
DMG*D8*19560107*F~
DTP*291*RD8*20260805-20261103~
EQ*42~
EQ*30~
SE*14*000049745~
GE*1*49745~
IEA*1*000049745~