ISA*00*          *00*          *ZZ*63092          *ZZ*63092          *260921*1109*^*00501*000051072*0*P*>~
GS*HS*63092*63092*260921*1109*1487113239*X*005010X279A1~
ST*270*000051072*005010X279A1~
BHT*0022*13*000051072*2609264*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*DEMPSEY*CHARLENE****MI*32323384~
DMG*D8*19450530*F~
DTP*291*RD8*20260921-20261220~
EQ*42~
EQ*30~
SE*14*000051072~
GE*1*51072~
IEA*1*000051072~