ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260814*0808*^*00501*000050010*0*P*>~
GS*HS*63092*63092*260814*0808*1487113239*X*005010X279A1~
ST*270*000050010*005010X279A1~
BHT*0022*13*000050010*2608226*0808~
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*BROWN*HARVEY****MI*35787954~
DMG*D8*19500719*M~
DTP*291*RD8*20260814-20261112~
EQ*42~
EQ*30~
SE*14*000050010~
GE*1*50010~
IEA*1*000050010~