API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | subscriber_middle_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_preferred_provider_organization_name | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-04-20 07:13:47.831364 | 2026-04-21 00:58:02.761710 | 24116964 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24116964 | Athletic Physical Therapy Inc | 1944-09-27 | 2026-04-22 | F | AE | PT | Benton | 1AJ9K18AK34 | Harriet | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18416720/check_24116964_bf463ca1-6ff1-43f5-b658-3bc257148a73.json | N/A | N/A | N/A | N/A | N/A | 1AJ9K18AK34 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-09-27 | S5596 | N/A | N/A | MA | false | BENTON | N/A | HARRIET | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 31083 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481991 | N/A | N/A | 18416720 | 2222 | 4793 | 24326677 | N/A | 16419098 | 2026-04-21 00:58:02.761710 | 2026-03-19 23:28:36.268438 |
| 2026-04-20 07:13:47.718055 | 2026-04-21 00:56:24.769101 | 24116945 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 24116945 | Athletic Physical Therapy Inc | 1943-08-14 | 2026-04-23 | F | AE | PT | Peck | ICA094420 | Geraldine | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18413277/check_24116945_a8cb1cc4-2313-4e4a-b277-40bef726605b.json | N/A | N/A | N/A | N/A | N/A | ICA094420 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1943-08-14 | N/A | N/A | N/A | N/A | false | PECK | N/A | GERALDINE | N/A | N/A | 2026-04-20 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481990 | N/A | N/A | 18413277 | 2222 | 4793 | 24324625 | N/A | 16416105 | 2026-04-21 00:56:24.769101 | 2026-03-19 22:25:59.413894 |
| 2026-04-20 07:13:47.627408 | 2026-04-21 00:56:58.327162 | 24116927 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24116927 | Athletic Physical Therapy Inc | 1987-11-23 | 2026-04-22 | F | PT | N/A | Villanueva | JQU895W03134 | Jennifer | C | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18413103/check_24116927_7f2494a5-7e56-4df7-a50f-555349ace6c1.json | N/A | N/A | N/A | N/A | N/A | JQU895W03134 | Preferred Provider Organization (PPO) | GERSHMAN PROPERTIES LLC | ANTHEM BLUE CROSS | N/A | 1987-11-23 | 040 | 239736 | N/A | PR | false | VILLANUEVA | N/A | JENNIFER | N/A | 2026-12-31 | 2026-01-01 | ANTHEM PLATINUM PPO 15/250/10% | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637481989 | N/A | N/A | 18413103 | 2222 | 4802 | 24325263 | N/A | 16415924 | 2026-04-21 00:56:58.327162 | 2026-03-25 00:06:28.274965 |
| 2026-04-20 07:13:47.496160 | 2026-04-21 00:57:46.313227 | 24116904 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 24116904 | Athletic Physical Therapy Inc | 2008-06-13 | 2026-04-22 | M | AE | PT | SEDGWICK | R02441791MD1 | CASEY | Antonio | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18404932/check_24116904_20dcbf36-c15b-48dd-98e9-55b97ca018bc.json | N/A | N/A | N/A | N/A | N/A | R02441791MD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2008-06-13 | N/A | N/A | N/A | N/A | false | SEDGWICK | N/A | CASEY | N/A | 2026-03-31 | 2026-01-01 | NC0 COMHMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481988 | N/A | N/A | 18404932 | 2222 | 4793 | 24326271 | 4625 | 16408546 | 2026-04-21 00:57:46.313227 | 2026-03-31 19:18:31.355670 |
| 2026-04-20 07:13:47.349835 | 2026-04-21 00:57:13.951272 | 24116880 | N/A | N/A | 60054 | AETNA - PPO | 1114042165 | 24116880 | Athletic Physical Therapy Inc | 1988-02-19 | 2026-04-23 | F | AE | PT | KOVACEVICH | W27795397803 | DANIELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18394146/check_24116880_4e618bce-8ea4-4e22-9fc9-85f750b2ab8d.json | N/A | N/A | N/A | N/A | N/A | W277953978 | Health Maintenance Organization (HMO) | LANDSCAPE DEVELOPMENT, INC. | AETNA | N/A | 1988-02-19 | EACZ4F04 | 017515901200001 | N/A | HM | false | KOVACEVICH | N/A | MATTHEW | N/A | N/A | N/A | AETNA VALUE NETWORK HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481987 | N/A | N/A | 18394146 | 2222 | 4793 | 24325569 | 3948 | 16398404 | 2026-04-21 00:57:13.951272 | 2026-03-30 15:35:26.924597 |
| 2026-04-20 07:13:47.261803 | 2026-04-21 00:58:20.788753 | 24116866 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24116866 | Athletic Physical Therapy Inc | 1944-01-27 | 2026-04-22 | F | AE | PT | KIM | 2CK8PQ4QA27 | SARAH | J | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18379311/check_24116866_55f7409d-1a55-4d45-9e9c-31411e5223d6.json | N/A | N/A | N/A | N/A | N/A | 2CK8PQ4QA27 | Medicare Part B | N/A | SCAN HEALTH PLAN | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-01-27 | H5425 | N/A | N/A | MB | false | KIM | N/A | SARAH | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 18021 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481986 | N/A | N/A | 18379311 | 2222 | 4802 | 24327031 | N/A | 16386056 | 2026-04-21 00:58:20.788753 | 2026-03-19 16:01:57.090565 |
| 2026-04-20 07:13:47.142048 | 2026-04-21 00:57:46.816810 | 24116840 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 24116840 | Athletic Physical Therapy Inc | 1967-10-10 | 2026-04-23 | M | AE | PT | SMITH | 99060653C | CHRISTOPHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18347087/check_24116840_05e8efa7-d098-400e-8ea4-0202905755d8.json | N/A | N/A | N/A | N/A | N/A | 99060653C | N/A | N/A | HEALTH NET, LLC | N/A | 1967-10-10 | N/A | N/A | N/A | N/A | false | SMITH | N/A | CHRISTOPHER | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481985 | N/A | N/A | 18347087 | 2222 | 4802 | 24326285 | 4625 | 16354698 | 2026-04-21 00:57:46.816810 | 2026-03-18 21:43:09.638645 |
| 2026-04-20 07:13:47.022943 | 2026-04-21 00:58:08.082622 | 24116820 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24116820 | Athletic Physical Therapy Inc | 1969-07-22 | 2026-04-22 | F | PT | N/A | Noshi | KAE820275362 | Lisa | Jayne | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18274089/check_24116820_9758db68-5a26-4d28-9833-ddcde3ddd61e.json | N/A | N/A | N/A | N/A | N/A | KAE820275362 | Preferred Provider Organization (PPO) | PPO DED PLAN 600 SMA | ANTHEM BLUE CROSS | N/A | 1969-07-22 | N/A | 016260 | N/A | PR | false | NOSHI | N/A | LISA | N/A | 9999-12-31 | 2014-07-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637481984 | N/A | N/A | 18274089 | 2222 | 4802 | 24326775 | N/A | 16288996 | 2026-04-21 00:58:08.082622 | 2026-03-17 22:30:09.889822 |
| 2026-04-20 07:13:46.898045 | 2026-04-21 00:56:55.865770 | 24116801 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 24116801 | override_provider | 1988-11-15 | 2026-04-22 | M | PT | N/A | RHODES | AJC914491557 | THOMAS | J | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18252435/check_24116801_e41f9666-6315-4f77-86e1-988a9cdadca2.json | N/A | N/A | N/A | N/A | N/A | AJC914491557 | Medicaid | BSC PROMISE HEALTH PLAN MEDI CAL | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1988-11-15 | 1000MCAL0008 | E0001001 | N/A | MC | false | RHODES | N/A | THOMAS | N/A | N/A | 2026-04-20 | BLUE SHIELD PROMISE MEDI CAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637481983 | N/A | N/A | 18252435 | 2222 | 4802 | 24325203 | N/A | 16267835 | 2026-04-21 00:56:55.865770 | 2026-04-21 18:01:49.356237 |
| 2026-04-20 07:13:46.800696 | 2026-04-21 00:57:54.900402 | 24116787 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 24116787 | Athletic Physical Therapy Inc | 2012-08-12 | 2026-04-22 | M | AE | PT | Lopez Garcia | 95890433F | Eduardo | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18216914/check_24116787_19d6dd00-d0cb-4b2e-ab04-0536ae24204e.json | N/A | N/A | N/A | N/A | N/A | 95890433F | N/A | MCLA ND AD/FA/CH<19 | LA CARE HEALTH PLAN | N/A | 2012-08-12 | MCLA | MCLANFAL19 | N/A | N/A | false | LOPEZ GARCIA | N/A | EDUARDO | N/A | 2078-12-31 | 2024-07-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481982 | N/A | N/A | 18216914 | 2222 | 4802 | 24326490 | N/A | 16232218 | 2026-04-21 00:57:54.900402 | 2026-03-16 23:33:21.904145 |
| 2026-04-20 07:13:46.679580 | 2026-04-21 00:57:57.179676 | 24116768 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 24116768 | Athletic Physical Therapy Inc | 1959-09-16 | 2026-04-22 | M | AE | PT | ALCANTAR NINO JR | 91443370E | ROBERT | D | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18211182/check_24116768_4c2301d7-9c9a-4d06-b813-f6579e795089.json | N/A | N/A | N/A | N/A | N/A | 91443370E | N/A | MCLA WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1959-09-16 | MCLA | MWLLDAGG21 | N/A | N/A | false | NINO | N/A | ROBERT | N/A | 2078-12-31 | 2024-12-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481981 | N/A | N/A | 18211182 | 2222 | 4802 | 24326551 | N/A | 16226174 | 2026-04-21 00:57:57.179676 | 2026-03-16 20:58:43.263663 |
| 2026-04-20 07:13:46.573699 | 2026-04-21 00:57:17.459841 | 24116748 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 24116748 | Athletic Physical Therapy Inc | 1952-06-27 | 2026-04-22 | M | AD | 30 | WEST | 40065315001 | KIRK | A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18198006/check_24116748_01db0a67-7a7a-4b18-acd0-2818de350f44.json | N/A | N/A | N/A | N/A | N/A | 40065315001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1952-06-27 | 2026H5425001 | H5425M | N/A | N/A | false | WEST | N/A | KIRK | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10637481980 | N/A | N/A | 18198006 | 2222 | 4801 | 24325633 | 6237 | 10033486 | 2026-04-21 00:57:17.459841 | 2025-11-04 21:34:59.842331 |
| 2026-04-20 07:13:46.464116 | 2026-04-21 00:57:27.134014 | 24116729 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 24116729 | Athletic Physical Therapy Inc | 2008-01-01 | 2026-04-23 | M | AE | PT | Talasazan | 90246457E | Adam | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18095833/check_24116729_b186a952-8c58-4807-b67e-6e889a127758.json | N/A | N/A | N/A | N/A | N/A | 90246457E | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2008-01-01 | TFU223BP0000008 | QMXEM01909 | N/A | N/A | false | TALASAZAN | N/A | ADAM | N/A | 2078-12-31 | 2025-09-01 | ADULT FAMILY - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481979 | N/A | N/A | 18095833 | 2222 | 4802 | 24325836 | N/A | 16119978 | 2026-04-21 00:57:27.134014 | 2026-04-03 21:05:07.393901 |
| 2026-04-20 07:13:46.339490 | 2026-04-21 00:58:01.965016 | 24116712 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24116712 | Athletic Physical Therapy Inc | 1946-11-04 | 2026-04-23 | M | AE | PT | BARDIA | 9YD1K19FG26 | KANHAIYA | L | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18033660/check_24116712_38b754d7-d970-425a-9082-a57753639fb2.json | N/A | N/A | N/A | N/A | N/A | 9YD1K19FG26 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-11-04 | S5884 | N/A | N/A | MB | false | BARDIA | N/A | KANHAIYA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 73919 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481978 | N/A | N/A | 18033660 | 2222 | 4802 | 24326663 | N/A | 16061630 | 2026-04-21 00:58:01.965016 | 2026-03-18 23:17:28.107701 |
| 2026-04-20 07:13:46.233147 | 2026-04-21 00:57:46.843552 | 24116694 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24116694 | Athletic Physical Therapy Inc | 1952-03-09 | 2026-04-22 | M | PT | N/A | Hattem | S9A901W08857 | Neil | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18029271/check_24116694_f57745e9-06fd-4c3f-8165-99fc2eb3ed0f.json | N/A | N/A | N/A | N/A | N/A | S9A901W08857 | Preferred Provider Organization (PPO) | STIFEL FINANCIAL CORP | ANTHEM BLUE CROSS | N/A | 1952-03-09 | 241 | 230039M5AU | N/A | PR | false | HATTEM | N/A | NEIL | N/A | 2026-12-31 | 2026-01-01 | BLUE ACCESS PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637481977 | N/A | N/A | 18029271 | 2222 | 4793 | 24326286 | N/A | 16057887 | 2026-04-21 00:57:46.843552 | 2026-03-23 17:30:23.761066 |
| 2026-04-20 07:13:46.143916 | 2026-04-21 00:57:24.189446 | 24116677 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 24116677 | Athletic Physical Therapy Inc | 1978-12-17 | 2026-04-22 | F | PT | N/A | UPDIKE | XAN903412717 | AMIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18021836/check_24116677_606b592f-1dd7-4e9e-b0e4-4c0c72160b11.json | N/A | N/A | N/A | N/A | N/A | XAN903412717 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1978-12-17 | 1478PPOX0003 | W0051411 | N/A | PR | false | UPDIKE | N/A | JOSEPH | N/A | N/A | 2026-04-20 | CALPERS ASO GOLD PPO GROUP BILL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637481976 | N/A | N/A | 18021836 | 2222 | 4801 | 24325775 | N/A | 14884291 | 2026-04-21 00:57:24.189446 | 2026-02-12 23:28:22.567862 |
| 2026-04-20 07:13:46.015600 | 2026-04-21 00:58:16.511339 | 24116657 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24116657 | Athletic Physical Therapy Inc | 1948-02-13 | 2026-04-23 | M | AE | PT | HARY | 2YH6T54NH61 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/18020019/check_24116657_a05cf4ff-39fb-4214-8498-ef97e8bb4262.json | N/A | N/A | N/A | N/A | N/A | 2YH6T54NH61 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-02-13 | S4802 | N/A | N/A | MA | false | HARY | N/A | DAVID | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 101205 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481975 | N/A | N/A | 18020019 | 2222 | 4802 | 24326954 | N/A | 16048388 | 2026-04-21 00:58:16.511339 | 2026-03-12 19:28:18.393557 |
| 2026-04-20 07:13:45.917840 | 2026-04-21 00:58:33.673353 | 24116641 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24116641 | Athletic Physical Therapy Inc | 1952-01-06 | 2026-04-22 | F | AE | PT | WEST | 1HK9RC5WQ19 | HOLLIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17961735/check_24116641_17947555-a5e2-456b-bbcf-9eb4c9b412d8.json | N/A | N/A | N/A | N/A | N/A | 1HK9RC5WQ19 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-01-06 | S5617 | N/A | N/A | MA | false | WEST | N/A | HOLLIE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 120981 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481974 | N/A | N/A | 17961735 | 2222 | 4801 | 24327273 | N/A | 15883502 | 2026-04-21 00:58:33.673353 | 2026-03-11 00:48:56.434845 |
| 2026-04-20 07:13:45.826839 | 2026-04-21 00:58:10.895456 | 24116624 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24116624 | Athletic Physical Therapy Inc | 1968-01-17 | 2026-04-23 | F | AE | PT | FLEMING | 1R95FV2XE71 | LORIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17944211/check_24116624_82e4bcfc-dd27-403a-a453-f2eec4793302.json | N/A | N/A | N/A | N/A | N/A | 1R95FV2XE71 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1968-01-17 | S5617 | N/A | N/A | MA | false | FLEMING | N/A | LORIE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 27976 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481973 | N/A | N/A | 17944211 | 2222 | 4801 | 24326836 | N/A | 15983370 | 2026-04-21 00:58:10.895456 | 2026-03-16 17:56:49.633280 |
| 2026-04-20 07:13:45.712514 | 2026-04-21 00:58:11.602285 | 24116607 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24116607 | Athletic Physical Therapy Inc | 1948-09-17 | 2026-04-23 | F | AE | PT | GALERA | 5NG1DR7VP25 | EMMA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17943086/check_24116607_8d070ec5-5922-4775-8b65-cb4b1762b06e.json | N/A | N/A | N/A | N/A | N/A | 5NG1DR7VP25 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-09-17 | S5884 | N/A | N/A | MB | false | GALERA | N/A | EMMA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 60416 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637481972 | N/A | N/A | 17943086 | 2222 | 4801 | 24326851 | N/A | 15982010 | 2026-04-21 00:58:11.602285 | 2026-03-11 22:46:44.886390 |
| 2026-04-20 07:13:45.575060 | 2026-04-21 00:58:10.221517 | 24116582 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 24116582 | Athletic Physical Therapy Inc | 1960-12-21 | 2026-04-22 | M | AE | PT | PACHECO | H90214706 | PETER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17932257/check_24116582_2e9cac4a-2493-4f01-b190-a82753126730.json | N/A | N/A | N/A | N/A | N/A | H90214706 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1960-12-21 | N/A | 2B722001 | N/A | HN | false | PACHECO | N/A | PETER | N/A | N/A | N/A | AFFILIATION/CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637480689 | N/A | N/A | 17932257 | 2222 | 4793 | 24326821 | N/A | 15970549 | 2026-04-21 00:58:10.221517 | 2026-03-11 20:12:02.029845 |
| 2026-04-20 07:13:45.486051 | 2026-04-21 00:58:18.762034 | 24116569 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24116569 | Athletic Physical Therapy Inc | 1945-04-09 | 2026-04-22 | M | AE | PT | Kelly | 7N90G97RP30 | Eugene | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17929435/check_24116569_3679a93a-55b9-4cb1-9b92-2f0d476519dd.json | N/A | N/A | N/A | N/A | N/A | 7N90G97RP30 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-04-09 | S4802 | N/A | N/A | MA | false | KELLY | N/A | EUGENE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 64555 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637480688 | N/A | N/A | 17929435 | 2222 | 4793 | 24326995 | N/A | 15967689 | 2026-04-21 00:58:18.762034 | 2026-03-23 15:15:28.421254 |
| 2026-04-20 07:13:45.355454 | 2026-04-21 00:58:13.463475 | 24116550 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 24116550 | Athletic Physical Therapy Inc | 1957-01-09 | 2026-04-22 | F | AE | PT | COLEY | 910143184 | GWENDOLYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17918121/check_24116550_f249bf0a-6673-47d5-83cc-469664742c23.json | N/A | N/A | N/A | N/A | N/A | 910143184 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1957-01-09 | N/A | 01991 | N/A | HN | false | COLEY | N/A | GWENDOLYN | N/A | N/A | N/A | HMOPOS-AARP MEDICARE ADVANTAGE FROM UHC CA-004P (H | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637480687 | N/A | N/A | 17918121 | 2222 | 4802 | 24326895 | 6411 | 4213018 | 2026-04-21 00:58:13.463475 | 2025-05-22 00:04:46.399580 |
| 2026-04-20 07:13:45.231143 | 2026-04-21 00:57:43.153769 | 24116526 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 24116526 | Athletic Physical Therapy Inc | 1975-02-05 | 2026-04-22 | M | AE | PT | Chow | R12970238MM1 | Claude | C | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17892830/check_24116526_9177459c-3fc5-4d49-9f60-a4ea3580f84b.json | N/A | N/A | N/A | N/A | N/A | R12970238MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1975-02-05 | N/A | N/A | N/A | N/A | false | CHOW | N/A | CLAUDE | N/A | N/A | N/A | KZN SBP | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637480681 | N/A | N/A | 17892830 | 2222 | 4802 | 24326188 | 4625 | 15348203 | 2026-04-21 00:57:43.153769 | 2026-03-04 19:35:37.847456 |
| 2026-04-20 07:13:45.117477 | 2026-04-21 00:57:46.213311 | 24116508 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 24116508 | Athletic Physical Therapy Inc | 1958-08-20 | 2026-04-22 | F | PT | N/A | HAILEMICHAEL | JQQ291W22868 | ABEBU | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17880760/check_24116508_07dd8f15-9191-441b-808e-13b12bf3a191.json | N/A | N/A | N/A | N/A | N/A | JQQ291W22868 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-08-20 | 040 | CAMCRWP0 | N/A | MP | false | HAILE MICHAEL | N/A | ABEBU | N/A | 9999-12-31 | 2025-02-01 | CA H0544-058-000 ANTHEM SELECT (HMO-POS) RISK | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637480680 | N/A | N/A | 17880760 | 2222 | 4802 | 24326268 | 4184 | 4534565 | 2026-04-21 00:57:46.213311 | 2026-03-10 20:57:14.661259 |
| 2026-04-20 07:13:45.012109 | 2026-04-21 00:58:10.961887 | 24116492 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 24116492 | Athletic Physical Therapy Inc | 1969-06-12 | 2026-04-22 | F | AE | PT | Rowlands | H69992193 | Kimberly | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17870887/check_24116492_3ab3a735-45b0-49f3-be9f-3929fab6f06e.json | N/A | N/A | N/A | N/A | N/A | H69992193 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 695 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1969-06-12 | N/A | 2B798001 | N/A | HN | false | ROWLANDS | N/A | KIMBERLY | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637480679 | N/A | N/A | 17870887 | 2222 | 4801 | 24326837 | N/A | 15914963 | 2026-04-21 00:58:10.961887 | 2026-03-15 17:01:29.240163 |
| 2026-04-20 07:13:44.880058 | 2026-04-21 00:57:01.057994 | 24116463 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 24116463 | Athletic Physical Therapy Inc | 1961-12-26 | 2026-04-22 | F | AE | PT | Tadmor | 99113784F | Lisa | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17749411/check_24116463_9b07b041-655b-4da4-b031-6a400348a557.json | N/A | N/A | N/A | N/A | N/A | 99113784F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1961-12-26 | MCLA | MWLLNMEG21 | N/A | N/A | false | TADMOR | N/A | LISA | N/A | 2078-12-31 | 2024-12-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637480678 | N/A | N/A | 17749411 | 2222 | 4802 | 24325317 | N/A | 15798656 | 2026-04-21 00:57:01.057994 | 2026-03-07 00:12:23.548270 |
| 2026-04-20 07:13:44.777964 | 2026-04-21 00:57:25.318406 | 24116446 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 24116446 | Athletic Physical Therapy Inc | 1961-02-27 | 2026-04-22 | M | AE | PT | SHRIVER | 8300000159953 | DANIEL | Adam | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17744755/check_24116446_db6307d6-0349-4e8d-ae1f-2ba0b58cc849.json | N/A | N/A | N/A | N/A | N/A | 8300000159953 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-02-27 | QMXBPREG020038 | QMXEM01909 | N/A | N/A | false | SHRIVER | N/A | DAN | N/A | 2078-12-31 | 2026-03-01 | CA EAE DSNP 004 001 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637480677 | N/A | N/A | 17744755 | 2222 | 4802 | 24325620 | 4211 | 4213934 | 2026-04-21 00:57:25.318406 | 2026-01-27 23:36:44.802366 |
| 2026-04-20 07:13:44.654016 | 2026-04-21 00:58:07.800937 | 24116423 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 24116423 | Athletic Physical Therapy Inc | 1953-08-24 | 2026-04-22 | M | AE | PT | DHIR | 1C87N86JG62 | PRADEEP | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17719412/check_24116423_b075ec08-c6b2-42ef-aa21-1b37a367646b.json | N/A | N/A | N/A | N/A | N/A | 1C87N86JG62 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-08-24 | S4802 | N/A | N/A | MB | false | DHIR | N/A | PRADEEP | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 89135 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637480676 | N/A | N/A | 17719412 | 2222 | 4801 | 24326768 | N/A | 15603579 | 2026-04-21 00:58:07.800937 | 2026-04-17 17:11:47.109035 |
| 2026-04-20 07:13:44.536204 | 2026-04-21 00:57:37.071440 | 24116400 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24116400 | Athletic Physical Therapy Inc | 1958-04-28 | 2026-04-22 | F | PT | N/A | Chalquest | JQW812W16348 | Christine | E | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17660872/check_24116400_268a1bef-6a66-4cf0-b751-e074224b4464.json | N/A | N/A | N/A | N/A | N/A | JQW812W16348 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-04-28 | 040 | CAMCRWP0 | N/A | MP | false | CHALQUEST | N/A | CHRISTINE | N/A | 9999-12-31 | 2026-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637480671 | N/A | N/A | 17660872 | 2222 | 4801 | 24326039 | N/A | 15705146 | 2026-04-21 00:57:37.071440 | 2026-03-05 22:44:33.989062 |
| 2026-04-20 07:13:44.429151 | 2026-04-21 00:58:05.002647 | 24116385 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 24116385 | Athletic Physical Therapy Inc | 1939-04-08 | 2026-04-22 | F | AE | PT | HILL | H96403611 | KAREN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17641125/check_24116385_e49cd807-606f-485b-beef-4ab4c8a99e70.json | N/A | N/A | N/A | N/A | N/A | H96403611 | Preferred Provider Organization (PPO) | PFIZER | HUMANA | 079 830 MEDICARE PPO/EMPLOYER PPO PLUS | 1939-04-08 | N/A | 3B310001 | N/A | PR | false | HILL | N/A | KAREN | N/A | N/A | N/A | PFIZER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637480670 | N/A | N/A | 17641125 | 2222 | 4793 | 24326708 | N/A | 4213760 | 2026-04-21 00:58:05.002647 | 2026-03-23 22:17:45.263893 |
| 2026-04-20 07:13:44.321719 | 2026-04-21 00:58:11.791163 | 24116363 | N/A | N/A | 61101 | HUMANA | 1114042165 | 24116363 | Athletic Physical Therapy Inc | 1954-02-10 | 2026-04-23 | F | AE | PT | SHARMA | H74807838 | MONIKA | Sarin | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17636010/check_24116363_5dfeb770-a481-4e29-8d7d-8e4496d872c4.json | N/A | N/A | N/A | N/A | N/A | H74807838 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1954-02-10 | N/A | 2B506001 | N/A | HN | false | SHARMA | N/A | MONIKA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637480669 | N/A | N/A | 17636010 | 2222 | 4801 | 24326857 | 5349 | 10330803 | 2026-04-21 00:58:11.791163 | 2025-11-03 22:25:23.404066 |
| 2026-04-20 07:13:44.237157 | 2026-04-21 00:57:01.615241 | 24116348 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24116348 | Athletic Physical Therapy Inc | 1981-07-18 | 2026-04-23 | F | AE | PT | Peterson | 000022138564 | Kimberly | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17598240/check_24116348_085232f0-5585-48d8-aafa-361d3f74d2ee.json | N/A | N/A | N/A | N/A | N/A | 000022138564 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1981-07-18 | 4287078 | 100201 | N/A | N/A | false | PETERSON | N/A | KIMBERLY | N/A | 2026-12-31 | 2026-01-01 | SCPMG - 100201 SCPMG PHYSICIANS FT HDHP | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637480668 | N/A | N/A | 17598240 | 2222 | 4802 | 24325327 | N/A | 15645175 | 2026-04-21 00:57:01.615241 | 2026-03-04 21:28:46.922129 |
| 2026-04-20 07:13:44.101327 | 2026-04-21 00:57:01.057856 | 24116328 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24116328 | Athletic Physical Therapy Inc | 1987-08-15 | 2026-04-23 | F | AE | PT | Patel | 000017203177 | Rutvi | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17597372/check_24116328_a2aa8be1-8886-41b8-adcd-56c1378713a3.json | N/A | N/A | N/A | N/A | N/A | 000017203177 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1987-08-15 | 4391123 | 101869 | N/A | N/A | false | PATEL | N/A | RUTVI | N/A | 2026-06-30 | 2025-07-01 | CHILDRENS HOSPITAL LOS ANGELES CHILDRENS HOSPITAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637480667 | N/A | N/A | 17597372 | 2222 | 4802 | 24325318 | N/A | 15644152 | 2026-04-21 00:57:01.057856 | 2026-03-04 21:09:35.971399 |
| 2026-04-20 07:13:43.981118 | 2026-04-21 00:57:49.084980 | 24116304 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24116304 | Athletic Physical Therapy Inc | 1954-04-01 | 2026-04-22 | F | PT | N/A | Hoffmon | FJB24530065M | Desiree | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17585043/check_24116304_de6f2175-1ee3-4e70-8e82-5ce457c11eae.json | N/A | N/A | N/A | N/A | N/A | FJB24530065M | Preferred Provider Organization (PPO) | ALL | ANTHEM BLUE CROSS | N/A | 1954-04-01 | 101 | 174549M211 | N/A | PR | false | HOFFMAN | N/A | DESIREE | N/A | 2026-12-31 | 2026-01-01 | BLUECARD PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637480666 | N/A | N/A | 17585043 | 2222 | 4802 | 24326342 | N/A | 15632407 | 2026-04-21 00:57:49.084980 | 2026-03-04 17:26:22.963141 |
| 2026-04-20 07:13:43.875071 | 2026-04-21 00:58:10.302876 | 24116285 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 24116285 | Athletic Physical Therapy Inc | 1959-09-28 | 2026-04-22 | F | AE | PT | Barrientos | 958247698 | Antoniette | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17540931/check_24116285_aeb724cd-37b3-4641-99cd-2b9b9ae1ee29.json | N/A | N/A | N/A | N/A | N/A | 958247698 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1959-09-28 | N/A | 22448 | N/A | HN | false | BARRIENTOS | N/A | ANTONIETTE | N/A | N/A | N/A | HMO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637480650 | N/A | N/A | 17540931 | 2222 | 4801 | 24326824 | 6411 | 15585907 | 2026-04-21 00:58:10.302876 | 2026-03-09 18:22:22.279915 |
| 2026-04-20 07:13:43.780865 | 2026-04-21 00:57:28.121305 | 24116268 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 24116268 | Athletic Physical Therapy Inc | 1957-02-06 | 2026-04-22 | M | AE | PT | Tatum | 97633918F | Tatum | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17509843/check_24116268_a0ae7e52-d3d2-41a7-8350-f157c4c61bcd.json | N/A | N/A | N/A | N/A | N/A | 97633918F | N/A | N/A | MEDICARE PART B CI002 | MEDICAID REDETERMINATION DATE 01/31/27 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1957-02-06 | BP0003 | NO | N/A | N/A | false | TATUM | N/A | TATUM | N/A | 2078-12-31 | 2025-04-01 | AGED DISABLED - SPD - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637480649 | N/A | N/A | 17509843 | 2222 | 4802 | 24325854 | 4211 | 15524188 | 2026-04-21 00:57:28.121305 | 2026-03-03 00:12:08.668405 |
| 2026-04-20 07:13:43.623698 | 2026-04-21 00:57:00.072884 | 24116245 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 24116245 | Athletic Physical Therapy Inc | 1946-11-04 | 2026-04-23 | F | AE | PT | RODRIGUEZ | M013647 | MARIA | C | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17501934/check_24116245_97e36dc2-7d2b-4d5e-91dc-672d39c3dcc0.json | N/A | N/A | N/A | N/A | N/A | M013647 | N/A | L.A. CARE MEDICARE PLUS | LA CARE HEALTH PLAN | N/A | 1946-11-04 | DSNP | DSNP001 | N/A | N/A | false | RODRIGUEZ | N/A | MARIA | N/A | 2078-12-31 | 2023-01-01 | L.A. CARE MEDICARE | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637480648 | N/A | N/A | 17501934 | 2222 | 4802 | 24325296 | 5538 | 15517334 | 2026-04-21 00:57:00.072884 | 2026-03-02 22:33:54.498929 |
| 2026-04-20 07:13:43.504581 | 2026-04-21 00:57:51.735181 | 24116222 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24116222 | Athletic Physical Therapy Inc | 2008-02-25 | 2026-04-22 | F | PT | N/A | Jimenez | MPI30060766Q | Arabelle | M | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17497004/check_24116222_6ae8ceba-7d99-47b1-87f8-c86aede80fc7.json | N/A | N/A | N/A | N/A | N/A | MPI30060766Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 2008-02-25 | 040 | 277163M402 | N/A | PR | false | KIM | N/A | ANNY | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637480647 | N/A | N/A | 17497004 | 2222 | 4802 | 24326411 | N/A | 15511990 | 2026-04-21 00:57:51.735181 | 2026-03-02 20:39:57.609466 |
| 2026-04-20 07:13:43.386760 | 2026-04-21 00:57:59.422174 | 24116202 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 24116202 | Athletic Physical Therapy Inc | 1998-03-03 | 2026-04-22 | F | AE | PT | RODEN | 622540880 | BERNADETTE | MARIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17493076/check_24116202_c1731a9d-8deb-400f-b643-9845be36f817.json | N/A | N/A | N/A | N/A | N/A | 622540880 | N/A | L.A. CARE COVERED SILVER 87 HMO | LA CARE HEALTH PLAN | N/A | 1998-03-03 | LACC | 92815CA001000805 | N/A | N/A | false | RODEN | N/A | BERNADETTE | N/A | 2026-12-31 | 2026-01-01 | L.A. CARE COVERED | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637480646 | N/A | N/A | 17493076 | 2222 | 4802 | 24326613 | N/A | 15508238 | 2026-04-21 00:57:59.422174 | 2026-03-02 19:30:52.935313 |
| 2026-04-20 07:13:43.257995 | 2026-04-21 00:58:11.636994 | 24116184 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 24116184 | Athletic Physical Therapy Inc | 1960-03-17 | 2026-04-23 | M | AE | PT | Bischoff | 890196801 | Marc | D | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17493013/check_24116184_c825e712-1e72-4b81-9113-fd73fdbccf34.json | N/A | N/A | N/A | N/A | N/A | 890196801 | Commercial | CALPERS-LTB010A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1960-03-17 | N/A | 682300 | N/A | C1 | false | BISCHOFF | N/A | MARC | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637480645 | N/A | N/A | 17493013 | 2222 | 4801 | 24326852 | 6411 | 15508155 | 2026-04-21 00:58:11.636994 | 2026-03-09 16:11:53.480346 |
| 2026-04-20 07:13:43.127071 | 2026-04-21 00:57:48.246116 | 24116164 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 24116164 | Athletic Physical Therapy Inc | 1961-08-03 | 2026-04-22 | M | PT | N/A | Higa | NCF843A55961 | Parrish | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17446858/check_24116164_6e05ffd1-88db-46bc-894a-83ca21546b32.json | N/A | N/A | N/A | N/A | N/A | NCF843A55961 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1961-08-03 | 040 | 276193H001 | N/A | HM | false | HIGA | N/A | PARRISH | N/A | 9999-12-31 | 2023-07-01 | PREMIER SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637480644 | N/A | N/A | 17446858 | 2222 | 4801 | 24326322 | 4185 | 14698980 | 2026-04-21 00:57:48.246116 | 2026-02-09 18:51:36.820546 |
| 2026-04-20 07:13:43.007846 | 2026-04-21 00:57:09.146403 | 24116144 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 24116144 | Athletic Physical Therapy Inc | 1958-03-29 | 2026-04-22 | F | AD | 30 | MONTALVO | 40057101101 | PAMELA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17396005/check_24116144_13eb162c-aa84-4010-8915-13fdbc94a9b4.json | N/A | N/A | N/A | N/A | N/A | 40057101101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1958-03-29 | 2026H5425001 | H5425M | N/A | N/A | false | MONTALVO | N/A | PAMELA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 10637480630 | N/A | N/A | 17396005 | 2222 | 4801 | 24325477 | N/A | 15407473 | 2026-04-21 00:57:09.146403 | 2026-03-02 03:41:34.276739 |
| 2026-04-20 07:13:42.884717 | 2026-04-21 00:57:04.721710 | 24116124 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 24116124 | Athletic Physical Therapy Inc | 1989-12-20 | 2026-04-23 | F | AE | PT | Valenza | 000026028938 | Magali | Giselle | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17355763/check_24116124_ddabc75d-cd16-424e-8eac-80ee6fd4c30a.json | N/A | N/A | N/A | N/A | N/A | 000026028938 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1989-12-20 | 4378729 | 1650095001 | N/A | N/A | false | VALENZA | N/A | MAGALI | N/A | 2026-12-31 | 2026-01-01 | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 87 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637480629 | N/A | N/A | 17355763 | 2222 | 4802 | 24325394 | N/A | 15367776 | 2026-04-21 00:57:04.721710 | 2026-03-02 18:02:01.247721 |
| 2026-04-20 07:13:42.728055 | 2026-04-21 00:57:49.825880 | 24116096 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 24116096 | Athletic Physical Therapy Inc | 1986-05-18 | 2026-04-23 | M | PT | N/A | Hymel | XYQM66935041 | Dustin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17346208/check_24116096_bc2637fe-cd4d-42c4-9470-581421506685.json | N/A | N/A | N/A | N/A | N/A | XYQM66935041 | Preferred Provider Organization (PPO) | PIXOVR, CORP. | ANTHEM BLUE CROSS | N/A | 1986-05-18 | 710 | 0070340580002003 | N/A | PR | false | HYMEL | N/A | DUSTIN | N/A | 2026-12-31 | 2026-03-01 | SIMPLY BLUE PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637480628 | N/A | N/A | 17346208 | 2222 | 4802 | 24326362 | N/A | 15356693 | 2026-04-21 00:57:49.825880 | 2026-02-25 22:30:35.848496 |
| 2026-04-20 07:13:42.617849 | 2026-04-21 00:57:56.100759 | 24116079 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 24116079 | Athletic Physical Therapy Inc | 1978-07-26 | 2026-04-22 | M | AE | PT | Michael | 93519276F | Thomas | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17302887/check_24116079_a45e8c9a-27d1-47a6-8530-0bf10cdd07b2.json | N/A | N/A | N/A | N/A | N/A | 93519276F | N/A | MCLA WELL ND AD/FA/CH>=21 | LA CARE HEALTH PLAN | N/A | 1978-07-26 | MCLA | MWLLNFAG21 | N/A | N/A | false | MICHAEL | N/A | THOMAS | N/A | 2078-12-31 | 2019-01-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637480627 | N/A | N/A | 17302887 | 2222 | 4793 | 24326521 | N/A | 15318734 | 2026-04-21 00:57:56.100759 | 2026-02-27 16:33:40.478105 |
| 2026-04-20 07:13:42.502711 | 2026-04-21 00:57:41.167028 | 24116061 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 24116061 | Athletic Physical Therapy Inc | 1967-09-04 | 2026-04-23 | M | PT | N/A | DE LUNA | JMV025A51982 | NOEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17274520/check_24116061_e34bec75-64c4-4c63-8154-5ed09111cd08.json | N/A | N/A | N/A | N/A | N/A | JMV025A51982 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1967-09-04 | 040 | 56677WR000 | N/A | HM | false | DE LUNA | N/A | MARIA | N/A | 9999-12-31 | 2026-03-01 | BLUE CROSS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10637480626 | N/A | N/A | 17274520 | 2222 | 4801 | 24326139 | 4185 | 4343453 | 2026-04-21 00:57:41.167028 | 2025-05-13 04:29:37.230931 |
| 2026-04-20 07:13:42.394566 | 2026-04-21 00:58:06.139486 | 24116042 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 24116042 | Athletic Physical Therapy Inc | 1958-07-12 | 2026-04-22 | M | AE | PT | LY | H65390314 | CHAU | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17257404/check_24116042_75498971-5a4f-41b6-b680-b0200cfbf12e.json | N/A | N/A | N/A | N/A | N/A | H65390314 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1958-07-12 | N/A | 2B722001 | N/A | HN | false | LY | N/A | CHAU | N/A | N/A | N/A | AFFILIATION/CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637480625 | N/A | N/A | 17257404 | 2222 | 4801 | 24326730 | N/A | 15274585 | 2026-04-21 00:58:06.139486 | 2026-02-23 22:57:14.756651 |
| 2026-04-20 07:13:42.297510 | 2026-04-21 00:57:11.360307 | 24116026 | N/A | N/A | 60054 | Aetna | 1114042165 | 24116026 | Athletic Physical Therapy Inc | 1999-07-02 | 2026-04-22 | M | AE | PT | Clemen | IDN268756197 | Tate | W | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17257296/check_24116026_88c78496-a3d8-4cd5-ab2f-97655b26de30.json | N/A | N/A | N/A | N/A | N/A | W268756197 | Point of Service (POS) | THE BOSTON CONSULTING GROUP, INC. | AETNA | N/A | 1999-07-02 | 0657263 | 065726301000101 | N/A | PS | false | CLEMEN | N/A | TATE | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637480612 | N/A | N/A | 17257296 | 2222 | 4802 | 24325521 | N/A | 15274431 | 2026-04-21 00:57:11.360307 | 2026-02-26 01:15:47.249061 |
| 2026-04-20 07:13:42.163439 | 2026-04-21 00:57:29.415025 | 24116005 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 24116005 | Athletic Physical Therapy Inc | 1989-11-05 | 2026-04-22 | M | AE | PT | WALTHER | 91450497C | EDGAR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260420.121821157.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-04-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/17145820/check_24116005_ba71ee22-2265-4445-85b1-a782ec8cf628.json | N/A | N/A | N/A | N/A | N/A | 91450497C | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1989-11-05 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | WALTHER | N/A | EDGAR | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10637480611 | N/A | N/A | 17145820 | 2222 | 4802 | 24325881 | 4211 | 15134963 | 2026-04-21 00:57:29.415025 | 2026-03-05 23:10:38.165816 |