ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260831*1408*^*00501*000050320*0*P*>~
GS*HS*63092*63092*260831*1408*1487113239*X*005010X279A1~
ST*270*000050320*005010X279A1~
BHT*0022*13*000050320*2608243*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*GOODWIN*JOYCE****MI*36576735~
DMG*D8*19561002*F~
DTP*291*RD8*20260831-20261129~
EQ*42~
EQ*30~
SE*14*000050320~
GE*1*50320~
IEA*1*000050320~