ISA*00*          *00*          *ZZ*TAIGADEMO      *ZZ*CLINIC         *260924*1200*^*00501*000009008*0*T*:~
GS*HP*TAIGADEMO*CLINIC*20260924*1200*1*X*005010X221A1~
ST*835*0001~
BPR*I*134.00*C*CHK************20260924~
TRN*1*CIG-330142*11982744321~
DTM*405*20260924~
N1*PR*CIGNA~
N1*PE*TAIGA DEMO CLINIC*XX*1982744321~
LX*1~
CLP*VISIT-2026-1008*1*190.00*134.00*0.00*12*PCN-CLM-1008*11*1~
CAS*CO*45*56.00~
NM1*QC*1*MENDEZ*SOFIA~
SVC*HC:99213*190.00*134.00**1~
CAS*CO*45*56.00~
AMT*B6*134.00~
SE*14*0001~
GE*1*1~
IEA*1*000009008~