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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-02-11 08:12:29.718482 | 2026-02-12 05:32:11.088731 | 18369939 | N/A | N/A | 60054 | Aetna | 1114042165 | 18369939 | Athletic Physical Therapy Inc | 2013-08-17 | 2026-02-12 | F | AE | PT | RUEMMELE | W297102676 | MAKENA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13600510/check_18369939_ce1b8142-9846-4ae8-ab9b-7a48612b6179.json | N/A | N/A | N/A | N/A | N/A | W297102676 | Point of Service (POS) | RIPPLING PEO 1, INC. | AETNA | N/A | 2013-08-17 | 0169696 | 016969602100020 | N/A | PS | false | ALFONSO | N/A | TANYA | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10005806026 | N/A | N/A | 13600510 | 2222 | 4793 | 18678376 | N/A | 4534546 | 2026-02-12 05:32:11.088731 | 2025-12-03 00:06:29.870228 |
| 2026-02-11 08:12:29.571924 | 2026-02-12 05:35:21.078564 | 18369921 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 18369921 | Athletic Physical Therapy Inc | 1984-06-20 | 2026-02-12 | M | PT | N/A | YOUSSEF | XDL437A72851 | FOUAD | Sami | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13578623/check_18369921_4ca384b5-ede1-479a-ab46-7d28eab27f85.json | N/A | N/A | N/A | N/A | N/A | XDL437A72851 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1984-06-20 | 040 | 789100 | N/A | PR | false | YOUSSEF | N/A | FOUAD | N/A | 9999-12-31 | 2025-07-01 | PPO SHARE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10005806019 | N/A | N/A | 13578623 | 2222 | 4801 | 18682152 | N/A | 11728581 | 2026-02-12 05:35:21.078564 | 2025-12-03 14:59:32.997300 |
| 2026-02-11 08:12:29.451846 | 2026-02-12 05:35:31.576121 | 18369911 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 18369911 | Athletic Physical Therapy Inc | 1974-12-26 | 2026-02-13 | M | PT | N/A | SALEWSKE | SZR60090562401 | TYSON | J | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13154733/check_18369911_f2770093-9d92-4a76-8313-586e78577ff0.json | N/A | N/A | N/A | N/A | N/A | SZR60090562401 | Preferred Provider Organization (PPO) | SCHWEITZER ENGINEERING LABORATORIES, INC. | BLUE SHIELD OF CALIFORNIA | N/A | 1974-12-26 | N/A | 1038812 | N/A | PR | false | SALEWSKE | N/A | TYSON | N/A | 9999-12-31 | 2026-01-01 | SELF-FUNDED EXP HERITAGE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10005806011 | N/A | N/A | 13154733 | 2222 | 4793 | 18682374 | N/A | 4213526 | 2026-02-12 05:35:31.576121 | 2025-11-13 19:34:43.197819 |
| 2026-02-11 08:12:29.292440 | 2026-02-12 05:35:15.719681 | 18369891 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 18369891 | Athletic Physical Therapy Inc | 1971-11-21 | 2026-02-12 | F | PT | N/A | MARTINEZ | XDP851A67877 | LETICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13122920/check_18369891_8af615ec-5f42-4e57-abee-e1c1ce472718.json | N/A | N/A | N/A | N/A | N/A | XDP851A67877 | Preferred Provider Organization (PPO) | SOUTHERN CALIFORNIA ORTHOPEDIC INSTITUTE CA/OOS | ANTHEM BLUE CROSS | N/A | 1971-11-21 | 040 | L00817M001 | N/A | PR | false | MARTINEZ | N/A | LETICIA | N/A | 9999-12-31 | 2023-11-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10005806002 | N/A | N/A | 13122920 | 2222 | 4801 | 18682036 | N/A | 11273967 | 2026-02-12 05:35:15.719681 | 2025-12-31 00:35:32.240284 |
| 2026-02-11 08:12:29.159482 | 2026-02-12 05:34:45.167888 | 18369883 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 18369883 | Athletic Physical Therapy Inc | 1958-03-23 | 2026-02-13 | F | AE | PT | Wells | 000022370783 | Paula | A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13050785/check_18369883_876da18e-c833-418c-8986-d8060a29e443.json | N/A | N/A | N/A | N/A | N/A | 000022370783 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1958-03-23 | 4319463 | 105702 | N/A | N/A | false | WELLS | N/A | PAULA | N/A | N/A | N/A | STATE OF CALIFORNIA STATE ACTIVES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10005805997 | N/A | N/A | 13050785 | 2222 | 4802 | 18681381 | N/A | 11208103 | 2026-02-12 05:34:45.167888 | 2025-11-19 20:42:38.719398 |
| 2026-02-11 08:12:28.972570 | 2026-02-12 05:35:11.215893 | 18369864 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 18369864 | Athletic Physical Therapy Inc | 1957-04-20 | 2026-02-13 | F | PT | N/A | FOX | 941W2386920 | GENOVEVA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12570095/check_18369864_65e57a30-7ed3-498c-921e-1f9da9e75ae3.json | N/A | N/A | N/A | N/A | N/A | 941W2386920 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1957-04-20 | N/A | N/A | N/A | N/A | false | FOX | N/A | GENOVEVA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10005805994 | N/A | N/A | 12570095 | 2222 | 4793 | 18681941 | 4185 | 10741847 | 2026-02-12 05:35:11.215893 | 2025-11-17 21:17:39.202453 |
| 2026-02-11 08:12:28.823118 | 2026-02-12 05:39:11.614920 | 18369850 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18369850 | Athletic Physical Therapy Inc | 1951-07-30 | 2026-02-13 | F | AE | PT | Ruhe | 6E08G29GT63 | Jacqueline | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12438098/check_18369850_f8f89bc3-5aad-4357-b789-49f5ad7af7fb.json | N/A | N/A | N/A | N/A | N/A | 6E08G29GT63 | N/A | N/A | CMS | N/A | 1951-07-30 | N/A | N/A | N/A | N/A | false | RUHE | N/A | JACQUELINE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10005805987 | N/A | N/A | 12438098 | 2222 | 4802 | 18685900 | N/A | 10618088 | 2026-02-12 05:39:11.614920 | 2026-03-18 22:31:10.360004 |
| 2026-02-11 08:12:28.656355 | 2026-02-12 05:32:50.829629 | 18369833 | N/A | N/A | 61101 | HUMANA | 1114042165 | 18369833 | Athletic Physical Therapy Inc | 1954-09-04 | 2026-02-13 | F | AE | PT | MENDEZ | H9608321000 | LINDA | I | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12421991/check_18369833_3bb45930-a376-4769-923b-f00c48bbc728.json | N/A | N/A | N/A | N/A | N/A | H96083210 | 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 | 1954-09-04 | N/A | 2B798001 | N/A | HN | false | MENDEZ | N/A | LINDA | 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 | 10005805979 | N/A | N/A | 12421991 | 2222 | 4793 | 18679252 | 5349 | 10601861 | 2026-02-12 05:32:50.829629 | 2025-11-07 18:35:55.025808 |
| 2026-02-11 08:12:28.505743 | 2026-02-12 05:31:44.054257 | 18369820 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 18369820 | Athletic Physical Therapy Inc | 1951-05-28 | 2026-02-13 | M | 96 | N/A | ADELMAN | 27936686 | JEFFREY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12298760/check_18369820_8ad4e12d-d2dc-4b01-9784-4a4ae313e388.json | N/A | N/A | N/A | N/A | N/A | 27936686 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1951-05-28 | 406-034-002 | N/A | N/A | N/A | false | ADELMAN | N/A | JEFFREY | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 10005805978 | N/A | N/A | 12298760 | 2222 | 4801 | 18677873 | 6798 | 10484794 | 2026-02-12 05:31:44.054257 | 2025-11-05 22:04:00.322040 |
| 2026-02-11 08:12:28.382235 | 2026-02-12 05:31:54.130840 | 18369803 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 18369803 | Athletic Physical Therapy Inc | 1963-03-31 | 2026-02-13 | M | AE | PT | MILLER | 93938354D | GUSSIE | C | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12109408/check_18369803_50c922be-2cd4-47ce-bbc0-55041a3de4f1.json | N/A | N/A | N/A | N/A | N/A | 93938354D | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1963-03-31 | N/A | N/A | N/A | N/A | false | MILLER | N/A | GUSSIE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10005805977 | N/A | N/A | 12109408 | 2222 | 4793 | 18678062 | 4211 | 10327291 | 2026-02-12 05:31:54.130840 | 2025-11-04 18:11:41.886029 |
| 2026-02-11 08:12:28.087116 | 2026-02-12 05:35:19.368715 | 18369775 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 18369775 | Athletic Physical Therapy Inc | 1994-07-03 | 2026-02-12 | M | PT | N/A | STEALEY | JQU013W15922 | JACOB | REDMOND | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12010678/check_18369775_fcb929a9-6935-4ca3-b2fe-15f2d9d5bc8f.json | N/A | N/A | N/A | N/A | N/A | JQU013W15922 | Preferred Provider Organization (PPO) | THE SAW, INC | ANTHEM BLUE CROSS | N/A | 1994-07-03 | 040 | K45474 | N/A | PR | false | STEALEY | N/A | JACOB | N/A | 9999-12-31 | 2026-02-01 | CA SG ANTHEM PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10005805976 | N/A | N/A | 12010678 | 2222 | 4801 | 18682115 | N/A | 10232475 | 2026-02-12 05:35:19.368715 | 2025-11-01 00:03:21.076437 |
| 2026-02-11 08:12:27.727573 | 2026-02-12 05:39:13.390942 | 18369745 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18369745 | Athletic Physical Therapy Inc | 1944-03-27 | 2026-02-12 | F | AE | PT | Verratti | 1E21E50VR34 | Kathleen | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11936768/check_18369745_2cef7604-7d3f-4192-86cb-9b32b57ebfaf.json | N/A | N/A | N/A | N/A | N/A | 1E21E50VR34 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-03-27 | S4802 | N/A | N/A | MA | false | VERRATTI | N/A | KATHLEEN | N/A | N/A | N/A | N/A | N/A | N/A | 39515 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10005805968 | N/A | N/A | 11936768 | 2222 | 4802 | 18685934 | N/A | 10163894 | 2026-02-12 05:39:13.390942 | 2025-10-30 22:58:10.977312 |
| 2026-02-11 08:12:27.308634 | 2026-02-12 05:35:15.189996 | 18369706 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 18369706 | Athletic Physical Therapy Inc | 1965-07-12 | 2026-02-12 | F | PT | N/A | BENSON | 361A55900 | ELIZABETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11917007/check_18369706_53693257-7dfa-4ce8-b327-ce62e35de368.json | N/A | N/A | N/A | N/A | N/A | NCF361A55900 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1965-07-12 | 040 | 276193H001 | N/A | HM | false | MANICHIA | N/A | GINA | N/A | 9999-12-31 | 2025-07-01 | PREMIER SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10005805959 | N/A | N/A | 11917007 | 2222 | 4793 | 18682025 | 4185 | 10144918 | 2026-02-12 05:35:15.189996 | 2025-11-17 16:03:18.208475 |
| 2026-02-11 08:12:27.188620 | 2026-02-12 05:33:56.274728 | 18369692 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 18369692 | Athletic Physical Therapy Inc | 1986-03-20 | 2026-02-13 | M | AE | PT | Vallez | UZ171007801 | Christopher | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11619496/check_18369692_38cfb0d3-fa1c-4313-bd40-ef3a49507ee7.json | N/A | N/A | N/A | N/A | N/A | UZ171007801 | N/A | N/A | CENTENE CORPORATION | N/A | 1986-03-20 | N/A | N/A | N/A | N/A | false | VALLEZ | N/A | CHRISTOPHER | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10005805952 | N/A | N/A | 11619496 | 2222 | 4802 | 18680547 | N/A | 9856940 | 2026-02-12 05:33:56.274728 | 2025-11-10 19:43:16.763776 |
| 2026-02-11 08:12:27.035370 | 2026-02-12 05:34:06.215678 | 18369675 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 18369675 | Athletic Physical Therapy Inc | 1956-09-25 | 2026-02-12 | M | AD | 30 | Marvin | 40059610101 | Terry | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11529617/check_18369675_870efbb4-aaf6-4829-b485-4503834453cb.json | N/A | N/A | N/A | N/A | N/A | 40059610101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1956-09-25 | 2026H5425001 | H5425M | N/A | N/A | false | MARVIN | N/A | TERRY | 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 | 10005805951 | N/A | N/A | 11529617 | 2222 | 4801 | 18680749 | N/A | 9770503 | 2026-02-12 05:34:06.215678 | 2025-11-05 23:33:36.141284 |
| 2026-02-11 08:12:26.910039 | 2026-02-12 05:39:10.373473 | 18369659 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18369659 | Athletic Physical Therapy Inc | 1949-08-12 | 2026-02-12 | F | AE | PT | Nagle | 6VF8A13VP64 | James | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11457994/check_18369659_d3c6b5e8-52f6-4809-b6c6-888e1e7dbccb.json | N/A | N/A | N/A | N/A | N/A | 6VF8A13VP64 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-08-12 | S5617 | N/A | N/A | MB | false | NAGLE | N/A | JAMES | N/A | N/A | N/A | N/A | N/A | N/A | 33621 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10005805950 | N/A | N/A | 11457994 | 2222 | 4801 | 18685876 | N/A | 9707473 | 2026-02-12 05:39:10.373473 | 2026-02-05 20:49:45.747494 |
| 2026-02-11 08:12:26.738055 | 2026-02-12 05:32:50.314702 | 18369644 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 18369644 | Athletic Physical Therapy Inc | 1972-07-09 | 2026-02-13 | F | AE | PT | JOHNSON OLAD | H6507221700 | CATINA | L | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11415027/check_18369644_5077d79d-0f7d-4b16-a849-0eb9596245a2.json | N/A | N/A | N/A | N/A | N/A | H65072217 | 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 | 1972-07-09 | N/A | 2B506001 | N/A | HN | false | JOHNSON OLAD | N/A | CATINA | 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 | 10005805949 | N/A | N/A | 11415027 | 2222 | 4793 | 18679244 | N/A | 9669773 | 2026-02-12 05:32:50.314702 | 2025-10-30 23:36:57.101747 |
| 2026-02-11 08:12:26.581731 | 2026-02-12 05:39:13.639524 | 18369626 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18369626 | Athletic Physical Therapy Inc | 1959-01-17 | 2026-02-13 | M | AE | PT | WAHL | 6CX2NW3WP90 | LELAND | A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11364481/check_18369626_21f734cb-baf9-4921-9699-ed74caccb716.json | N/A | N/A | N/A | N/A | N/A | 6CX2NW3WP90 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-01-17 | S5617 | N/A | N/A | MB | false | WAHL | N/A | LELAND | N/A | N/A | N/A | N/A | N/A | N/A | 31301 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10005805948 | N/A | N/A | 11364481 | 2222 | 4793 | 18685938 | N/A | 9633229 | 2026-02-12 05:39:13.639524 | 2026-02-05 17:07:37.378883 |
| 2026-02-11 08:12:26.447503 | 2026-02-12 05:34:52.965761 | 18369610 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | 18369610 | override_provider | 1989-08-21 | 2026-02-13 | F | AE | PT | VANSICKLE | R14610782FS1 | KYLIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11190514/check_18369610_051388da-82b8-45cb-8188-6f05fdff922d.json | N/A | N/A | N/A | N/A | N/A | R14610782FS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1989-08-21 | N/A | N/A | N/A | N/A | false | VANSICKLE | N/A | KYLIE | N/A | 2025-11-02 | 2025-09-01 | KX6 PPOSBG | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10005805947 | N/A | N/A | 11190514 | 2222 | 4793 | 18681543 | N/A | 9532194 | 2026-02-12 05:34:52.965761 | 2026-04-13 16:03:49.854711 |
| 2026-02-11 08:12:26.269118 | 2026-02-12 05:39:05.531362 | 18369591 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18369591 | Athletic Physical Therapy Inc | 1941-08-23 | 2026-02-12 | M | AE | PT | Bogen | 9P98YU0FH34 | Andrew | E | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11174640/check_18369591_224e65e2-f418-447d-80ea-61f879caba3b.json | N/A | N/A | N/A | N/A | N/A | 9P98YU0FH34 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-08-23 | N/A | N/A | N/A | MA | false | BOGEN | N/A | ANDREW | N/A | N/A | N/A | N/A | N/A | N/A | 114378 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10005805938 | N/A | N/A | 11174640 | 2222 | 4802 | 18685771 | N/A | 9519718 | 2026-02-12 05:39:05.531362 | 2026-02-02 19:30:57.219688 |
| 2026-02-11 08:12:26.135460 | 2026-02-12 05:34:55.509537 | 18369576 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 18369576 | Athletic Physical Therapy Inc | 1944-07-08 | 2026-02-12 | F | AE | PT | NORTHCOTT | 00000355643 | BONNIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10978392/check_18369576_d573ea78-4e47-456a-8030-ab4912106c1f.json | N/A | N/A | N/A | N/A | N/A | 00000355643 | N/A | N/A | ALIGNMENT HEALTH CARE FEE FOR SERVICE | N/A | 1944-07-08 | N/A | N/A | N/A | N/A | false | NORTHCOTT | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10005805937 | N/A | N/A | 10978392 | 2222 | 4793 | 18681593 | 2630 | 9150778 | 2026-02-12 05:34:55.509537 | 2025-10-14 22:56:42.444869 |
| 2026-02-11 08:12:25.985262 | 2026-02-12 05:35:07.606733 | 18369559 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 18369559 | Athletic Physical Therapy Inc | 1954-11-24 | 2026-02-13 | M | PT | N/A | BLANCHFIELD | JMV780A55541 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10346222/check_18369559_b8d01e45-876b-4516-84ca-c2d9014da4c3.json | N/A | N/A | N/A | N/A | N/A | JMV780A55541 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | MEDICARE B | N/A | 1954-11-24 | 040 | 56677TR000 | N/A | HM | false | BLANCHFIELD | N/A | THOMAS | N/A | 9999-12-31 | 2024-07-01 | BLUE CROSS HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10005805936 | N/A | N/A | 10346222 | 2222 | 4793 | 18681857 | 4184 | 4214447 | 2026-02-12 05:35:07.606733 | 2026-04-23 20:11:34.441054 |
| 2026-02-11 08:12:25.872736 | 2026-02-12 05:35:29.942364 | 18369548 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 18369548 | Athletic Physical Therapy Inc | 1952-07-15 | 2026-02-12 | M | PT | N/A | WOLFE | XEM909964699 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10239789/check_18369548_910c404d-795c-4c7b-a911-3bc905348b9f.json | N/A | N/A | N/A | N/A | N/A | XEM909964699 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1952-07-15 | 2004SF000028 | X0001002 | N/A | OT | false | WOLFE | N/A | MICHAEL | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10005805935 | N/A | N/A | 10239789 | 2222 | 4793 | 18682338 | N/A | 8527464 | 2026-02-12 05:35:29.942364 | 2025-10-14 15:25:46.972104 |
| 2026-02-11 08:12:25.701336 | 2026-02-12 05:31:54.460682 | 18369527 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 18369527 | Athletic Physical Therapy Inc | 1961-11-24 | 2026-02-12 | F | AE | PT | CRUTCHFIELD | 90443065C | HELEN | Denise | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10103203/check_18369527_2eef2ede-93a0-407d-ba44-37d9a24052dc.json | N/A | N/A | N/A | N/A | N/A | 90443065C | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-11-24 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | CRUTCHFIELD | N/A | HELEN | 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 | 10005805934 | N/A | N/A | 10103203 | 2222 | 4802 | 18678070 | 4211 | 8437251 | 2026-02-12 05:31:54.460682 | 2025-10-07 19:08:26.048804 |
| 2026-02-11 08:12:25.560425 | 2026-02-12 05:35:12.602288 | 18369515 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 18369515 | Athletic Physical Therapy Inc | 2003-04-25 | 2026-02-13 | M | PT | N/A | GREEN | JQV184A72608 | ALLEN | E | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10091887/check_18369515_3062010f-1e3d-4022-89a7-c337657c2e93.json | N/A | N/A | N/A | N/A | N/A | JQV184A72608 | Health Maintenance Organization (HMO) | GUMM AND GREEN LLP | ANTHEM BLUE CROSS | N/A | 2003-04-25 | 040 | 428474 | N/A | HM | false | GREEN | N/A | LINDSEY | N/A | 9999-12-31 | 2025-12-01 | ANTHEM GOLD SELECT HMO 35 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10005805933 | N/A | N/A | 10091887 | 2222 | 4793 | 18681970 | 4185 | 8429919 | 2026-02-12 05:35:12.602288 | 2025-10-07 22:01:52.720968 |
| 2026-02-11 08:12:25.347838 | 2026-02-12 05:32:50.565535 | 18369492 | N/A | N/A | 61101 | HUMANA | 1114042165 | 18369492 | Athletic Physical Therapy Inc | 1956-12-09 | 2026-02-13 | F | AE | PT | MAHBOOB | H6086019300 | MEENA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9857387/check_18369492_ed1edfa7-759c-480b-b3fb-8764bf0f9bc4.json | N/A | N/A | N/A | N/A | N/A | H60860193 | 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 | 1956-12-09 | N/A | 2B506001 | N/A | HN | false | MAHBOOB | N/A | MEENA | 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 | 10005805925 | N/A | N/A | 9857387 | 2222 | 4801 | 18679247 | 5349 | 8253020 | 2026-02-12 05:32:50.565535 | 2025-11-24 19:48:59.871982 |
| 2026-02-11 08:12:25.137604 | 2026-02-12 05:34:59.147787 | 18369472 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 18369472 | Athletic Physical Therapy Inc | 1971-01-02 | 2026-02-12 | F | AE | PT | SIVAMALAR | 98940148E11084 | THANGIAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9854943/check_18369472_138a3777-6da2-43ad-b532-5b54becfd3eb.json | N/A | N/A | N/A | N/A | N/A | 98940148E11084 | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1971-01-02 | N/A | N/A | N/A | N/A | false | SIVAMALAR | N/A | THANGIAH | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10005805924 | N/A | N/A | 9854943 | 2222 | 4802 | 18681659 | 5538 | 8251172 | 2026-02-12 05:34:59.147787 | 2025-10-03 18:17:22.871347 |
| 2026-02-11 08:12:24.891288 | 2026-02-12 05:34:57.812160 | 18369445 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 18369445 | Athletic Physical Therapy Inc | 1991-01-13 | 2026-02-12 | F | AE | PT | ALLERS | 90545004F | EMILY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9740927/check_18369445_0f3cb4a7-8ecf-497c-8bd3-92b4e66e96e4.json | N/A | N/A | N/A | N/A | N/A | 90545004F | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1991-01-13 | N/A | N/A | N/A | N/A | false | ALLERS | N/A | EMILY | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10005805923 | N/A | N/A | 9740927 | 2222 | 4802 | 18681635 | 5538 | 8155009 | 2026-02-12 05:34:57.812160 | 2025-10-07 16:02:56.731329 |
| 2026-02-11 08:12:24.626106 | 2026-02-12 05:35:27.987304 | 18369426 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 18369426 | Athletic Physical Therapy Inc | 1962-05-29 | 2026-02-13 | F | PT | N/A | LARSON | XEA913804058 | DEBRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9562148/check_18369426_dff4b93f-e8f1-4b63-8a96-1b28fec0b1ae.json | N/A | N/A | N/A | N/A | N/A | XAN913804058 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1962-05-29 | 1480PPOX0002 | W0051411 | N/A | PR | false | LARSON | N/A | DEBRA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10005805922 | N/A | N/A | 9562148 | 2222 | 4793 | 18682299 | N/A | 7997320 | 2026-02-12 05:35:27.987304 | 2025-10-02 21:07:14.563938 |
| 2026-02-11 08:12:24.260318 | 2026-02-12 05:39:06.502746 | 18369396 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18369396 | Athletic Physical Therapy Inc | 1952-12-18 | 2026-02-13 | F | AE | PT | DU BRIN | 7KN7YG8XT63 | SUSAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9556751/check_18369396_730d7e52-703d-43ec-a02a-6df1be3a4ddc.json | N/A | N/A | N/A | N/A | N/A | 7KN7YG8XT63 | Medicare Part B | N/A | UNITED SERVICES AUTOMOBILE ASSOC | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-12-18 | S4802 | DOL 06142025 | N/A | MB | false | DU BRIN | N/A | SUSAN | N/A | N/A | N/A | N/A | N/A | N/A | 21530 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10005805921 | N/A | N/A | 9556751 | 2222 | 4793 | 18685793 | N/A | 4210998 | 2026-02-12 05:39:06.502746 | 2026-02-23 18:49:01.874308 |
| 2026-02-11 08:12:23.839599 | 2026-02-12 05:35:09.460339 | 18369353 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 18369353 | Athletic Physical Therapy Inc | 1966-12-04 | 2026-02-13 | M | PT | N/A | CLANCY | XDMOE0503879 | JOSEPH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9194927/check_18369353_b5b23b4d-744a-42b1-b2f1-7266c5a6c1dd.json | N/A | N/A | N/A | N/A | N/A | XDMOE0503879 | N/A | OPERATING ENGINEERS HEALTH&WELFARE FUND | ANTHEM BLUE CROSS | N/A | 1966-12-04 | 040 | 278671H001 | N/A | N/A | false | CLANCY | N/A | JOSEPH | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10005805920 | N/A | N/A | 9194927 | 2222 | 4793 | 18681900 | 4184 | 7712549 | 2026-02-12 05:35:09.460339 | 2025-09-10 17:29:28.945035 |
| 2026-02-11 08:12:23.341771 | 2026-02-12 05:34:56.289335 | 18369296 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 18369296 | Athletic Physical Therapy Inc | 1949-12-31 | 2026-02-13 | M | AE | PT | TSING | 00000282272 | KONGHSUNG | A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8978036/check_18369296_95539aff-1965-4cb2-86dc-d8f7001821b6.json | N/A | N/A | N/A | N/A | N/A | 00000282272 | N/A | N/A | ALIGNMENT HEALTH CARE FEE FOR SERVICE | N/A | 1949-12-31 | N/A | N/A | N/A | N/A | false | TSING | N/A | KONGHSUNG | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10005805919 | N/A | N/A | 8978036 | 2222 | 4793 | 18681608 | 2630 | 7492332 | 2026-02-12 05:34:56.289335 | 2025-10-01 21:03:48.525986 |
| 2026-02-11 08:12:22.953827 | 2026-02-12 05:39:04.758044 | 18369261 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18369261 | Athletic Physical Therapy Inc | 1951-10-12 | 2026-02-12 | F | AE | PT | Ahadian | 3PT2AT4QU70 | Vida | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8477425/check_18369261_1a9de585-7d63-4e45-867b-e1b83039df43.json | N/A | N/A | N/A | N/A | N/A | 3PT2AT4QU70 | Medicare Part A | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-10-12 | S9701 | N/A | N/A | MA | false | AHADIAN | N/A | VIDA | N/A | N/A | N/A | N/A | N/A | N/A | 44577 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10005805912 | N/A | N/A | 8477425 | 2222 | 4802 | 18685754 | N/A | 7146980 | 2026-02-12 05:39:04.758044 | 2025-08-25 22:34:13.951153 |
| 2026-02-11 08:12:22.686389 | 2026-02-12 05:35:07.358568 | 18369241 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 18369241 | Athletic Physical Therapy Inc | 1961-03-04 | 2026-02-12 | M | PT | N/A | AVEDISSIAN | JQU233A54125 | ARMEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8472241/check_18369241_bf0a40ca-7d9c-4fc5-a5f9-9969089dcf60.json | N/A | N/A | N/A | N/A | N/A | JQU233A54125 | Preferred Provider Organization (PPO) | BRAND PRODUCE INC | MEDICARE A | N/A | 1961-03-04 | 040 | J35185 | N/A | PR | false | AVEDISSIAN | N/A | ARMEN | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10005805905 | N/A | N/A | 8472241 | 2222 | 4801 | 18681850 | N/A | 7143064 | 2026-02-12 05:35:07.358568 | 2025-10-10 06:06:58.213429 |
| 2026-02-11 08:12:22.451230 | 2026-02-12 05:39:13.898039 | 18369219 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18369219 | Athletic Physical Therapy Inc | 1971-12-07 | 2026-02-12 | M | AE | PT | WALLACH | 1PD0KF7JH37 | CHARLES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7821426/check_18369219_c61d6525-2574-4520-a493-f4109aee693b.json | N/A | N/A | N/A | N/A | N/A | 1PD0KF7JH37 | Medicare Part A | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1971-12-07 | N/A | N/A | N/A | MA | false | WALLACH IV | N/A | CHARLES | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10005805904 | N/A | N/A | 7821426 | 2222 | 4801 | 18685943 | N/A | 6660003 | 2026-02-12 05:39:13.898039 | 2026-06-01 17:03:48.982724 |
| 2026-02-11 08:12:22.252906 | 2026-02-12 05:39:09.603005 | 18369204 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18369204 | Athletic Physical Therapy Inc | 1959-08-14 | 2026-02-13 | F | AE | PT | McKinnon | 4Q81VP4NU12 | Dawn | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7783105/check_18369204_963a1d5d-9ef5-4b0f-b89b-0af7425cec45.json | N/A | N/A | N/A | N/A | N/A | 4Q81VP4NU12 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-08-14 | S4802 | N/A | N/A | MA | false | MCKINNON | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | N/A | 111820 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10005805903 | N/A | N/A | 7783105 | 2222 | 4802 | 18685859 | N/A | 6628331 | 2026-02-12 05:39:09.603005 | 2025-08-22 15:16:03.942743 |
| 2026-02-11 08:12:22.007202 | 2026-02-12 05:31:55.544493 | 18369173 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 18369173 | Athletic Physical Therapy Inc | 1967-12-06 | 2026-02-12 | F | AE | PT | KLOSSOWSKI | 98920892C | TRESSA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7019712/check_18369173_95d6aa7f-c2c3-4179-8e31-e63b3a28dc68.json | N/A | N/A | N/A | N/A | N/A | 98920892C | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 01/31/27 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1967-12-06 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | KLOSSOWSKI | N/A | TRESSA | N/A | 2078-12-31 | 2025-04-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10005805901 | N/A | N/A | 7019712 | 2222 | 4793 | 18678092 | 4211 | 6034714 | 2026-02-12 05:31:55.544493 | 2025-07-15 18:02:59.670156 |
| 2026-02-11 08:12:21.734362 | 2026-02-12 05:32:13.799050 | 18369151 | N/A | N/A | 60054 | AETNA | 1114042165 | 18369151 | Athletic Physical Therapy Inc | 1940-12-29 | 2026-02-12 | M | AE | PT | TRUNNELL | 101505559100 | WAYNE | L | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6786642/check_18369151_bbcb8443-5004-4eaa-a55e-db238bcf1976.json | N/A | N/A | N/A | N/A | N/A | 101505559100 | Health Maintenance Organization (HMO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-12-29 | 000003-CA000116 | 000003-CA | N/A | HM | false | TRUNNELL | N/A | WAYNE | N/A | N/A | N/A | AETNA MEDICARE SIGNATURE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10005805899 | N/A | N/A | 6786642 | 2222 | 4793 | 18678439 | 3939 | 5818009 | 2026-02-12 05:32:13.799050 | 2025-07-15 23:19:05.900633 |
| 2026-02-11 08:12:21.488804 | 2026-02-12 05:39:06.022479 | 18369131 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18369131 | Athletic Physical Therapy Inc | 1959-09-07 | 2026-02-12 | M | AE | PT | CICCIARI | 1AK4JC6NK84 | LOUIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_18369131_9ee36ac8-231f-40c3-b8a2-01c0d8c62914.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5617 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | N/A | 96045 | AE | PT | N/A | N/A | N/A | N/A | N/A | 10005805897 | N/A | N/A | 6752936 | 2222 | 4801 | 18685783 | N/A | 5065602 | 2026-02-12 05:39:06.022479 | 2025-07-01 17:25:13.681724 |
| 2026-02-11 08:12:21.167339 | 2026-02-12 05:31:44.570690 | 18369102 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 18369102 | Athletic Physical Therapy Inc | 1955-02-20 | 2026-02-13 | F | 96 | N/A | SALGUERO | 35955370 | DINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6711965/check_18369102_7491cb93-d9e9-4cce-b297-c9d1962d7625.json | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | 406-005-000 | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 96 | N/A | N/A | N/A | N/A | N/A | N/A | 10005805886 | N/A | N/A | 6711965 | 2222 | 4793 | 18677882 | 6798 | 4210430 | 2026-02-12 05:31:44.570690 | 2025-05-13 04:29:37.224841 |
| 2026-02-11 08:12:19.917447 | 2026-02-12 05:34:07.452126 | 18368989 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 18368989 | Athletic Physical Therapy Inc | 1942-07-28 | 2026-02-13 | M | AE | PT | SIMMONS | 40055722801 | J | C | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6685251/check_18368989_8014a792-688d-4c86-bd95-d266ca1d3da6.json | N/A | N/A | N/A | N/A | N/A | 40055722801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1942-07-28 | 2026H5425001 | H5425M | N/A | N/A | false | SIMMONS | N/A | J | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10005805885 | N/A | N/A | 6685251 | 2222 | 4793 | 18680775 | 6237 | 4209868 | 2026-02-12 05:34:07.452126 | 2025-08-15 22:13:56.514261 |
| 2026-02-11 08:12:19.478266 | 2026-02-12 05:39:06.801658 | 18368957 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18368957 | Athletic Physical Therapy Inc | 1947-08-18 | 2026-02-12 | F | AE | PT | FABER | 4X26K21EE83 | LINDA | A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_18368957_ddbdbecb-93f4-4c03-aea5-b35e4a873ee5.json | N/A | N/A | N/A | N/A | N/A | 4X26K21EE83 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-08-18 | S5617 | N/A | N/A | MA | false | FABER | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10005805884 | N/A | N/A | 6522947 | 2222 | 4802 | 18685801 | N/A | 5146127 | 2026-02-12 05:39:06.801658 | 2025-06-20 17:58:23.371130 |
| 2026-02-11 08:12:10.281195 | 2026-02-12 05:35:10.000996 | 18368131 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 18368131 | Athletic Physical Therapy Inc | 1965-05-25 | 2026-02-12 | F | PT | N/A | CLOONAN | XDM481M99931 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6193751/check_18368131_e2756c00-6565-40ab-9593-0b2deb93ea0d.json | N/A | N/A | N/A | N/A | N/A | XDM481M99931 | Health Maintenance Organization (HMO) | UFCW BENEFIT FUNDS ADMIN LLC RETIREE | ANTHEM BLUE CROSS | N/A | 1965-05-25 | 040 | 282241H019 | N/A | HM | false | CLOONAN | N/A | LINDA | N/A | 9999-12-31 | 2020-12-01 | CLASSIC SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10005805883 | N/A | N/A | 6193751 | 2222 | 4801 | 18681912 | N/A | 4837995 | 2026-02-12 05:35:10.000996 | 2025-06-13 00:15:18.726975 |
| 2026-02-11 08:12:10.117924 | 2026-02-12 05:35:28.798590 | 18368117 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 18368117 | Athletic Physical Therapy Inc | 1968-11-26 | 2026-02-13 | F | PT | N/A | PELLEGRINI | XAN913808278 | PATRICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6165269/check_18368117_bf360cc6-72dc-4d32-b63a-032bc4ebd0b3.json | N/A | N/A | N/A | N/A | N/A | XAN913808278 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1968-11-26 | 1479PPOX0002 | W0051411 | N/A | PR | false | PELLEGRINI | N/A | PATRICIA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 10005805882 | N/A | N/A | 6165269 | 2222 | 4793 | 18682316 | N/A | 4807600 | 2026-02-12 05:35:28.798590 | 2025-06-18 15:19:08.524396 |
| 2026-02-11 08:12:09.960123 | 2026-02-12 05:34:51.792733 | 18368099 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 18368099 | Athletic Physical Therapy Inc | 1981-12-16 | 2026-02-12 | F | AE | PT | DE FELICE | R07457624FM1 | CHRISTINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140436/check_18368099_5409f567-8e44-4b4d-9814-cc575f1d1661.json | N/A | N/A | N/A | N/A | N/A | R07457624FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1981-12-16 | N/A | N/A | N/A | N/A | false | DE FELICE | N/A | CHRISTINA | N/A | N/A | N/A | MI4 SBP | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10005805881 | N/A | N/A | 6140436 | 2222 | 4801 | 18681521 | N/A | 4781417 | 2026-02-12 05:34:51.792733 | 2025-06-06 17:03:19.078153 |
| 2026-02-11 08:12:09.775827 | 2026-02-12 05:39:08.029705 | 18368083 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18368083 | Athletic Physical Therapy Inc | 1951-03-27 | 2026-02-13 | F | AE | PT | Jaude | 9MG2QE6VF90 | Anne | Elspeth | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124906/check_18368083_308156fe-86d6-419b-bbdb-df6a500209ac.json | N/A | N/A | N/A | N/A | N/A | 9MG2QE6VF90 | N/A | N/A | CMS | N/A | 1951-03-27 | N/A | N/A | N/A | N/A | false | JAUDE | N/A | ANNE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10005805873 | N/A | N/A | 6124906 | 2222 | 4802 | 18685825 | N/A | 4767362 | 2026-02-12 05:39:08.029705 | 2025-09-19 16:49:18.601418 |
| 2026-02-11 08:12:09.575390 | 2026-02-12 05:32:13.040945 | 18368065 | N/A | N/A | 60054 | Aetna | 1114042165 | 18368065 | Athletic Physical Therapy Inc | 1992-06-11 | 2026-02-13 | M | AE | PT | ROSS | W292476869 | BRYAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993949/check_18368065_85032cec-d8b7-4e33-b720-591abfccb34c.json | N/A | N/A | N/A | N/A | N/A | W292476869 | Point of Service (POS) | PAYCHEX BUSINESS SOLUTIONS, LLC. | AETNA | N/A | 1992-06-11 | 0176563 | 017656301100088 | N/A | PS | false | ROSS | N/A | BRYAN | N/A | N/A | N/A | OPEN ACCESS MC | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10005805872 | N/A | N/A | 5993949 | 2222 | 4793 | 18678420 | N/A | 4642881 | 2026-02-12 05:32:13.040945 | 2025-06-06 02:27:19.212061 |
| 2026-02-11 08:12:09.402089 | 2026-02-12 05:34:54.549078 | 18368050 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 18368050 | Athletic Physical Therapy Inc | 1953-03-27 | 2026-02-13 | F | AE | PT | FINE | 00000272194 | MICHELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858742/check_18368050_c20b74ba-5b7b-4166-b327-74cbdb5d938a.json | N/A | N/A | N/A | N/A | N/A | 00000272194 | N/A | N/A | ALIGNMENT HEALTH CARE FEE FOR SERVICE | N/A | 1953-03-27 | N/A | N/A | N/A | N/A | false | FINE | N/A | MICHELLE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10005805871 | N/A | N/A | 5858742 | 2222 | 4801 | 18681574 | 2630 | 4219630 | 2026-02-12 05:34:54.549078 | 2025-05-13 04:29:37.230672 |
| 2026-02-11 08:12:09.061156 | 2026-02-12 05:32:11.336619 | 18368023 | N/A | N/A | 60054 | Aetna | 1114042165 | 18368023 | Athletic Physical Therapy Inc | 1956-11-03 | 2026-02-13 | M | AE | PT | ARROW | 101393152200 | PAUL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676385/check_18368023_6d5130ca-230f-41a7-afc4-f901f260244b.json | N/A | N/A | N/A | N/A | N/A | 101393152200 | Preferred Provider Organization (PPO) | BP CORPORATION NORTH AMERICA - MA | AETNA | MEDICARE | 1956-11-03 | 100181-02EG0001 | 100181-02 | N/A | PR | false | ARROW | N/A | PAUL | N/A | N/A | N/A | BP MEDICARE PPO ESA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 10005805870 | N/A | N/A | 5676385 | 2222 | 4802 | 18678382 | N/A | 4343439 | 2026-02-12 05:32:11.336619 | 2025-05-13 04:29:37.230918 |
| 2026-02-11 08:12:08.447427 | 2026-02-12 05:32:11.560341 | 18367976 | N/A | N/A | 60054 | Aetna | 1114042165 | 18367976 | Athletic Physical Therapy Inc | 2012-12-14 | 2026-02-12 | M | AE | PT | Bigelow | W227343071 | EDWARD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260211.121921959.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550924/check_18367976_aed3856d-a39d-4ae8-b47e-604fdaaf784b.json | N/A | N/A | N/A | N/A | N/A | W227343071 | Point of Service (POS) | ADOBE INC. | AETNA | N/A | 2012-12-14 | 0660819 | 066081901600001 | N/A | PS | false | BIGELOW | N/A | TIMOTHY | 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 | 10005805869 | N/A | N/A | 5550924 | 2222 | 4793 | 18678388 | N/A | 4219767 | 2026-02-12 05:32:11.560341 | 2026-03-10 05:28:29.748799 |