ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260911*1109*^*00501*000050764*0*P*>~
GS*HS*63092*63092*260911*1109*1487113239*X*005010X279A1~
ST*270*000050764*005010X279A1~
BHT*0022*13*000050764*2609254*1109~
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*PORTIA****MI*36507017~
DMG*D8*19510509*M~
DTP*291*RD8*20260911-20261210~
EQ*42~
EQ*30~
SE*14*000050764~
GE*1*50764~
IEA*1*000050764~