ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260914*1409*^*00501*000050893*0*P*>~
GS*HS*63092*63092*260914*1409*1487113239*X*005010X279A1~
ST*270*000050893*005010X279A1~
BHT*0022*13*000050893*2609257*1409~
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*TRILBY****MI*32H1R2R2901~
DMG*D8*19370521*F~
DTP*291*RD8*20260914-20261213~
EQ*42~
EQ*30~
SE*14*000050893~
GE*1*50893~
IEA*1*000050893~