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 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | 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 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-16 09:04:51.845768 | 2025-06-17 02:04:15.852273 | 8950028 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8950028 | Athletic Physical Therapy Inc | 1972-03-17 | 2025-06-18 | M | PT | BARNETT | JMV357W05874 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.140927826.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078082/check_8950028_4b564d5a-ecf3-4bda-a1e5-215f6f4b6d4f.json | N/A | N/A | N/A | N/A | N/A | JMV357W05874 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1972-03-17 | N/A | N/A | N/A | N/A | false | BARNETT | N/A | MARK | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7955057837 | N/A | N/A | 6078082 | 2222 | 4793 | 8681140 | N/A | 4722340 | 2025-06-17 02:04:15.852273 | 2025-06-06 20:33:59.683125 |
| 2025-06-16 09:04:51.582900 | 2025-06-17 02:12:02.655689 | 8950013 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8950013 | Athletic Physical Therapy Inc | 1959-07-17 | 2025-06-17 | F | PT | GILBERT | JPU461A71640 | SHERRI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550973/check_8950013_70a18e9a-d9a2-4434-9324-113eb375f376.json | N/A | N/A | N/A | N/A | N/A | 3VT9D21WD25 | Preferred Provider Organization (PPO) | AGENCY FOR THE PERFORMING ARTS INC CA/OOS | ANTHEM BLUE CROSS | N/A | 1959-07-17 | 040 | L12155M001 | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER CLASSIC MULTI-CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7955119834 | N/A | N/A | 5550973 | 2222 | 4793 | 8691062 | N/A | 4219803 | 2025-06-17 02:12:02.655689 | 2025-05-13 04:29:37.230842 |
| 2025-06-16 09:04:51.000642 | 2025-06-17 02:12:05.828335 | 8949991 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8949991 | Athletic Physical Therapy Inc | 1962-04-09 | 2025-06-18 | F | PT | HARDING | XDP157A51099 | MICHELE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550953/check_8949991_173cc572-4c42-423b-b172-70069fa28292.json | N/A | N/A | N/A | N/A | N/A | XDP157A51099 | Preferred Provider Organization (PPO) | CALIFORNIA SCHOOL EMPLOYEE BENEFIT ORGANIZATION | ANTHEM BLUE CROSS | N/A | 1962-04-09 | 040 | 175092M330 | N/A | PR | false | HARDING | N/A | MICHELE | N/A | 9999-12-31 | 2024-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7955119833 | N/A | N/A | 5550953 | 2222 | 4801 | 8691128 | N/A | 4219788 | 2025-06-17 02:12:05.828335 | 2025-06-06 22:01:46.271450 |
| 2025-06-16 09:04:50.751583 | 2025-06-17 02:12:06.615335 | 8949981 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8949981 | Athletic Physical Therapy Inc | 1969-02-19 | 2025-06-18 | F | PT | HARRIS | AER805281513 | LYNNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550952/check_8949981_6944593b-d0df-45ab-94bc-fd348839dff1.json | N/A | N/A | N/A | N/A | N/A | AER805281513 | Preferred Provider Organization (PPO) | GLOBAL MEDICAL RESPONSE INC. | ANTHEM BLUE CROSS | N/A | 1969-02-19 | N/A | 275619 | N/A | PR | false | HARRIS | N/A | KENNETH | N/A | 9999-12-31 | 2023-01-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7955119832 | N/A | N/A | 5550952 | 2222 | 4801 | 8691141 | N/A | 4219786 | 2025-06-17 02:12:06.615335 | 2025-07-28 00:01:15.733373 |
| 2025-06-16 09:04:50.536607 | 2025-06-17 02:18:50.888686 | 8949969 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8949969 | Athletic Physical Therapy Inc | 1951-05-24 | 2025-06-19 | F | PT | LINDSEY | 5NM0ND0FT32 | CHRISTIE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550951/check_8949969_f0e1bbcf-0499-4ff3-9c1d-242887f0325f.json | N/A | N/A | N/A | N/A | N/A | 5NM0ND0FT32 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-05-24 | S4802 | N/A | N/A | MB | false | LINDSEY | N/A | CHRISTIE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7955119831 | N/A | N/A | 5550951 | 2222 | 4801 | 8701447 | N/A | 4219787 | 2025-06-17 02:18:50.888686 | 2025-05-13 04:29:37.230828 |
| 2025-06-16 09:04:50.144132 | 2025-06-17 02:10:51.661920 | 8949946 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | 8949946 | Athletic Physical Therapy Inc | 1965-07-31 | 2025-06-19 | F | PT | GUEVARA | G45053839 | DIANE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550940/check_8949946_28c84e45-580a-439a-920c-8bd30397e760.json | N/A | N/A | N/A | N/A | N/A | G45053839 | N/A | GEHA MEDICAL FEHB/PSHB | UMR | N/A | 1965-07-31 | 767000416933001 | 76416933 | N/A | N/A | false | GUEVARA | N/A | DIANE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7955119830 | N/A | N/A | 5550940 | 2222 | 4793 | 8689699 | N/A | 4219779 | 2025-06-17 02:10:51.661920 | 2025-05-13 04:29:37.230820 |
| 2025-06-16 09:04:49.696246 | 2025-06-17 02:12:10.532399 | 8949921 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8949921 | Athletic Physical Therapy Inc | 1966-03-05 | 2025-06-19 | M | PT | MICHIELSEN | XDP726A24389 | PIETER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550926/check_8949921_8c0d2a17-4b83-4fb8-9b14-b8cfa5fdaa23.json | N/A | N/A | N/A | N/A | N/A | XDP726A24389 | Preferred Provider Organization (PPO) | CONEJO VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 1966-03-05 | 040 | 275928M001 | N/A | PR | false | MICHIELSEN | N/A | PIETER | N/A | 9999-12-31 | 2022-07-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7955119829 | N/A | N/A | 5550926 | 2222 | 4801 | 8691218 | N/A | 4219768 | 2025-06-17 02:12:10.532399 | 2025-05-13 04:29:37.230809 |
| 2025-06-16 09:04:49.440448 | 2025-06-17 02:12:07.806206 | 8949907 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 8949907 | Athletic Physical Therapy Inc | 1989-01-23 | 2025-06-19 | F | PT | HINKLE | NCF051W08046 | MARLENA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550925/check_8949907_b3fa714f-16e5-4cac-beef-5f3961497942.json | N/A | N/A | N/A | N/A | N/A | 935M99657 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1989-01-23 | 040 | 57AJCA | N/A | HM | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2021-03-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7955119828 | N/A | N/A | 5550925 | 2222 | 4793 | 8691160 | 4184 | 4219772 | 2025-06-17 02:12:07.806206 | 2025-11-18 00:45:16.378261 |
| 2025-06-16 09:04:49.229053 | 2025-06-17 02:14:10.272741 | 8949896 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8949896 | Athletic Physical Therapy Inc | 1990-03-04 | 2025-06-18 | F | PT | MERKER | FFB813483004 | AMANDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550917/check_8949896_0796163b-9b8e-46b0-a154-233665d07310.json | N/A | N/A | N/A | N/A | N/A | FFB813483004 | Preferred Provider Organization (PPO) | 48FORTY INTERMEDIATE HOLDINGS | BLUE SHIELD OF CALIFORNIA | N/A | 1990-03-04 | N/A | 396562 | N/A | PR | false | MERKER | N/A | AMANDA | N/A | 9999-12-31 | 2025-01-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7955119827 | N/A | N/A | 5550917 | 2222 | 4802 | 8693693 | N/A | 4219762 | 2025-06-17 02:14:10.272741 | 2025-05-13 04:29:37.230803 |
| 2025-06-16 09:04:48.793636 | 2025-06-17 02:13:40.683243 | 8949877 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8949877 | Athletic Physical Therapy Inc | 1997-08-28 | 2025-06-19 | F | PT | KAUFMAN | XEK910972639 | ALEXIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550866/check_8949877_2bdc6d0d-90e3-4f23-acec-4c5df0732c1d.json | N/A | N/A | N/A | N/A | N/A | XEK910972639 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-08-28 | 2001ZK002168 | X0001000 | N/A | PR | false | KAUFMAN | N/A | ALEXIS | N/A | 9999-12-31 | 2022-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7955119826 | N/A | N/A | 5550866 | 2222 | 4802 | 8693077 | N/A | 4219724 | 2025-06-17 02:13:40.683243 | 2025-06-02 15:55:15.666421 |
| 2025-06-16 09:04:48.481743 | 2025-06-17 02:13:35.272016 | 8949863 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8949863 | Athletic Physical Therapy Inc | 1986-08-03 | 2025-06-18 | M | PT | AMENT | XED913057951 | NATHAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550865/check_8949863_0eaf8a41-3d42-491e-a6c0-3744d7c856fc.json | N/A | N/A | N/A | N/A | N/A | XED913057951 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-08-03 | 2001ZK002185 | X0001004 | N/A | PR | false | AMENT | N/A | NATHAN | N/A | 9999-12-31 | 2025-01-01 | SILVER 87 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7955119825 | N/A | N/A | 5550865 | 2222 | 4802 | 8692966 | N/A | 4215196 | 2025-06-17 02:13:35.272016 | 2025-05-13 04:29:37.229513 |
| 2025-06-16 09:04:48.434967 | 2025-06-17 02:11:44.723371 | 8949858 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 8949858 | Athletic Physical Therapy Inc | 1957-09-06 | 2025-06-18 | M | AE | BECKLEY | 00000375188 | STEVE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.140927826.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077164/check_8949858_26f221ea-88fc-4228-839f-27eca4f9a9a8.json | N/A | N/A | N/A | N/A | N/A | 00000375188 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1957-09-06 | H3815028 | N/A | N/A | HM | false | BECKLEY | N/A | STEVE | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7955057814 | N/A | N/A | 6077164 | 2222 | 4793 | 8690726 | 2630 | 4720748 | 2025-06-17 02:11:44.723371 | 2025-06-11 15:34:07.942696 |
| 2025-06-16 09:04:47.981788 | 2025-06-17 02:05:18.187412 | 8949835 | N/A | N/A | 60054 | Aetna | 1114042165 | 8949835 | Athletic Physical Therapy Inc | 1991-03-21 | 2025-06-18 | F | PT | CARDINALI | W286606913 | NICOLE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550850/check_8949835_ff618ba1-2b4b-4a1e-a5d0-f5f151eb9632.json | N/A | N/A | N/A | N/A | N/A | W286606913 | Preferred Provider Organization (PPO) | LHI GROUP INC. | AETNA | N/A | 1991-03-21 | 0887487 | 088748701000001 | N/A | PR | false | CARDINALI | N/A | NICOLE | N/A | N/A | N/A | OPEN CHOICE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7955119824 | N/A | N/A | 5550850 | 2222 | 4802 | 8682363 | N/A | 4215195 | 2025-06-17 02:05:18.187412 | 2025-05-14 09:08:40.751930 |
| 2025-06-16 09:04:47.606941 | 2025-06-17 02:13:43.205268 | 8949816 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8949816 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-06-19 | M | PT | PANDYA | XEA913306283 | DHARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_8949816_0f008ee5-862f-48cc-b33e-7cca02756250.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1975-08-17 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2025-01-01 | BLUE SHIELD OF CA ASO VIRTUAL BLUE FULL PPO SAVING | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7955119823 | N/A | N/A | 5550845 | 2222 | 4801 | 8693127 | N/A | 4219713 | 2025-06-17 02:13:43.205268 | 2025-08-13 22:46:55.732965 |
| 2025-06-16 09:04:46.941285 | 2025-06-17 02:18:52.362149 | 8949795 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8949795 | Athletic Physical Therapy Inc | 1970-03-04 | 2025-06-19 | F | AE | VITATOE | 4YM5KY1DG73 | RHONDA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550839/check_8949795_3039ea62-1da8-4835-844f-071c16c13699.json | N/A | N/A | N/A | N/A | N/A | 4YM5KY1DG73 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1970-03-04 | S4802 | N/A | N/A | MA | false | VITATOE | N/A | RHONDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7955119822 | N/A | N/A | 5550839 | 2222 | 4801 | 8701494 | N/A | 4219707 | 2025-06-17 02:18:52.362149 | 2025-05-13 04:29:37.230750 |
| 2025-06-16 09:04:46.409667 | 2025-06-17 02:05:19.397091 | 8949775 | N/A | N/A | 60054 | Aetna | 1114042165 | 8949775 | Athletic Physical Therapy Inc | 1970-02-16 | 2025-06-19 | M | PT | OCHOA | W263373040 | JACK | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550823/check_8949775_a3a761cb-344e-4fc3-adb6-0088fd6c3bb3.json | N/A | N/A | N/A | N/A | N/A | W263373040 | Preferred Provider Organization (PPO) | HOSPITAL CORPORATION OF AMERICA | AETNA | N/A | 1970-02-16 | 0160879 | 016087905000013 | N/A | PR | false | OCHOA | N/A | JACK | N/A | N/A | N/A | OPEN CHOICE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7955119821 | N/A | N/A | 5550823 | 2222 | 4801 | 8682386 | N/A | 4219698 | 2025-06-17 02:05:19.397091 | 2025-05-13 04:29:37.230743 |
| 2025-06-16 09:04:46.161042 | 2025-06-17 02:18:51.160864 | 8949763 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8949763 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-06-19 | F | PT | MARTIN | 5YV3RT3TA75 | DOLLY | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550797/check_8949763_54cf89f3-c29f-4621-9cd8-7f743d9facf0.json | N/A | N/A | N/A | N/A | N/A | 5YV3RT3TA75 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-09-13 | N/A | N/A | N/A | MA | false | MARTIN | N/A | DOLLY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7955119820 | N/A | N/A | 5550797 | 2222 | 4793 | 8701455 | N/A | 4219681 | 2025-06-17 02:18:51.160864 | 2026-01-14 20:54:02.193776 |
| 2025-06-16 09:04:45.715577 | 2025-06-17 02:11:21.490107 | 8949738 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 8949738 | Athletic Physical Therapy Inc | 1954-03-04 | 2025-06-19 | M | AE | ARUJO | 00000223568 | RAMON | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550751/check_8949738_dc0ef4c0-8c7d-4058-b3a9-4c3e4d89eab6.json | N/A | N/A | N/A | N/A | N/A | 00000223568 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1954-03-04 | H3815028 | N/A | N/A | HM | false | ARUJO | N/A | RAMON | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7955119819 | N/A | N/A | 5550751 | 2222 | 4801 | 8690260 | 2630 | 4219640 | 2025-06-17 02:11:21.490107 | 2025-05-13 04:29:37.230682 |
| 2025-06-16 09:04:44.342285 | 2025-06-17 02:18:49.693674 | 8949688 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8949688 | Athletic Physical Therapy Inc | 1951-12-26 | 2025-06-19 | M | AE | FINEBERG | 9FX3D52YD09 | MARTIN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549981/check_8949688_0e2335c3-68bd-41b7-a29a-9913e2ada093.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MA | false | FINEBERG | N/A | MARTIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7955119817 | N/A | N/A | 5549981 | 2222 | 4802 | 8701407 | N/A | 4219436 | 2025-06-17 02:18:49.693674 | 2025-05-13 04:29:37.230471 |
| 2025-06-16 09:04:43.966834 | 2025-06-17 02:04:07.662196 | 8949668 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8949668 | Athletic Physical Therapy Inc | 1949-06-06 | 2025-06-18 | M | PT | WILSON | 31187497801 | MARVIN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549707/check_8949668_bed1088d-3e84-4530-90b8-381325fe61cd.json | N/A | N/A | N/A | N/A | N/A | 31187497801 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1949-06-06 | N/A | N/A | N/A | N/A | false | WILSON | N/A | MARVIN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7955119816 | N/A | N/A | 5549707 | 2222 | 4801 | 8681008 | N/A | 4219317 | 2025-06-17 02:04:07.662196 | 2025-05-13 04:29:37.230340 |
| 2025-06-16 09:04:43.460545 | 2025-06-17 02:12:13.840897 | 8949643 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8949643 | Athletic Physical Therapy Inc | 1957-04-19 | 2025-06-18 | F | PT | VALDIVIA | JQW088W14517 | CRISTINA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549398/check_8949643_12caff0e-6daa-43f6-8520-c5e2d749a2cc.json | N/A | N/A | N/A | N/A | N/A | JQW088W14517 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1957-04-19 | 040 | CAMCRWP0 | N/A | MP | false | VALDIVIA | N/A | CRISTINA | N/A | 9999-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7955119815 | N/A | N/A | 5549398 | 2222 | 4801 | 8691287 | N/A | 4219064 | 2025-06-17 02:12:13.840897 | 2025-06-06 15:26:44.406275 |
| 2025-06-16 09:04:42.901090 | 2025-06-17 02:05:17.833431 | 8949627 | N/A | N/A | 60054 | AETNA | 1114042165 | 8949627 | Athletic Physical Therapy Inc | 1947-04-26 | 2025-06-19 | F | PT | BARCENES | 101198878000 | IRENE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549354/check_8949627_54739885-fbf0-419a-a0f9-b6ac010a117b.json | N/A | N/A | N/A | N/A | N/A | 101198878000 | N/A | N/A | AETNA | N/A | 1947-04-26 | 000003-CA000017 | N/A | N/A | N/A | false | BARCENES DES | N/A | IRENE | N/A | N/A | N/A | 000003-CA HMO - H4982 PBP 012 | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7955119814 | N/A | N/A | 5549354 | 2222 | 4801 | 8682358 | 3939 | 4219033 | 2025-06-17 02:05:17.833431 | 2025-05-13 04:29:37.230052 |
| 2025-06-16 09:04:42.725516 | 2025-06-17 02:04:05.339573 | 8949616 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8949616 | Athletic Physical Therapy Inc | 1965-07-05 | 2025-06-19 | F | PT | CEJA | W0052266 | PATRICIA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549285/check_8949616_ebc36e3c-8e79-4298-a337-d47b8f6a51c2.json | N/A | N/A | N/A | N/A | N/A | W0052266 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1965-07-05 | N/A | N/A | N/A | N/A | false | CEJA | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7955119813 | N/A | N/A | 5549285 | 2222 | 4801 | 8680968 | N/A | 4218983 | 2025-06-17 02:04:05.339573 | 2025-05-13 04:29:37.230000 |
| 2025-06-16 09:04:35.838277 | 2025-06-17 02:12:42.308601 | 8949314 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8949314 | Athletic Physical Therapy Inc | 1949-06-20 | 2025-06-19 | F | PT | MORALES | XEM904136832 | ANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.140927826.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074748/check_8949314_c7d958a3-6570-4734-880e-ba22a437c045.json | N/A | N/A | N/A | N/A | N/A | XEM904136832 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1949-06-20 | 2002SD000004 | X0001002 | N/A | OT | false | MORALES | N/A | ANA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7955057286 | N/A | N/A | 6074748 | 2222 | 4793 | 8691894 | N/A | 4718913 | 2025-06-17 02:12:42.308601 | 2025-05-29 22:23:40.462913 |
| 2025-06-16 09:04:33.894181 | 2025-06-17 02:04:06.143664 | 8949219 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8949219 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-06-18 | M | PT | FORTIN | R14644640MS1 | NATHANIEL | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_8949219_51f082d8-06ef-4a03-9b46-93c235d91d62.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7955119126 | N/A | N/A | 5543425 | 2222 | 4801 | 8680983 | N/A | 4215211 | 2025-06-17 02:04:06.143664 | 2026-04-02 22:30:20.020246 |
| 2025-06-16 09:04:33.861413 | 2025-06-17 02:04:14.113380 | 8949217 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8949217 | Athletic Physical Therapy Inc | 1973-03-27 | 2025-06-19 | F | PT | KAUFMAN | R05917930FM1 | AMANDA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.140927826.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074035/check_8949217_36fec16b-ec5c-4714-b9b2-65bf40bcda8c.json | N/A | N/A | N/A | N/A | N/A | R05917930FM1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1973-03-27 | N/A | N/A | N/A | N/A | false | KAUFMAN | N/A | AMANDA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7955057275 | N/A | N/A | 6074035 | 2222 | 4801 | 8681112 | N/A | 4718592 | 2025-06-17 02:04:14.113380 | 2025-05-29 20:00:22.627186 |
| 2025-06-16 09:04:33.678644 | 2025-06-17 02:11:59.259450 | 8949205 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8949205 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-06-19 | F | PT | DAKE | SIF326M90066 | RENEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543355/check_8949205_5fbc7742-7e57-4210-99b7-5a40749f6745.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | Preferred Provider Organization (PPO) | SISC - MEADOWS ARTS & TECH ELEMENTARY SCHOOL | ANTHEM BLUE CROSS | N/A | 1968-01-29 | 040 | 40424B | N/A | PR | false | DAKE | N/A | RENEE | N/A | 9999-12-31 | 2018-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7955119125 | N/A | N/A | 5543355 | 2222 | 4793 | 8690995 | N/A | 4215158 | 2025-06-17 02:11:59.259450 | 2025-05-13 04:29:37.229475 |
| 2025-06-16 09:04:33.350057 | 2025-06-17 02:04:59.145600 | 8949187 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 8949187 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-06-19 | F | PT | SILVERS | 1866968 | JOIEMAY | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543335/check_8949187_324c066d-131d-4d80-82d7-59c28010a553.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-01-23 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | 2025-12-31 | 2025-01-01 | SILVER 87 HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7955119124 | N/A | N/A | 5543335 | 2222 | 4802 | 8681961 | N/A | 4215139 | 2025-06-17 02:04:59.145600 | 2025-05-13 21:20:11.455022 |
| 2025-06-16 09:04:33.086984 | 2025-06-17 02:11:55.987355 | 8949173 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 8949173 | Athletic Physical Therapy Inc | 1962-09-27 | 2025-06-19 | F | PT | BARAJAS | NCF425A56241 | EMMA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543324/check_8949173_36efd6a3-d309-46d5-b95a-56fe9822b84b.json | N/A | N/A | N/A | N/A | N/A | JMV425A56241 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1962-09-27 | 040 | 56677WR000 | N/A | HM | false | BARAJAS | N/A | RAMON | N/A | 9999-12-31 | 2024-07-01 | BLUE CROSS HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7955119123 | N/A | N/A | 5543324 | 2222 | 4801 | 8690930 | 4184 | 4215131 | 2025-06-17 02:11:55.987355 | 2025-08-11 16:45:52.816842 |
| 2025-06-16 09:04:32.399834 | 2025-06-17 02:18:52.057102 | 8949152 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8949152 | Athletic Physical Therapy Inc | 1938-03-08 | 2025-06-19 | M | AE | TEAGUE | 1T39QJ8JV30 | LEWIS | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543292/check_8949152_2c7ce391-419f-4c0b-bbce-d77ecd32e1f6.json | N/A | N/A | N/A | N/A | N/A | 1T39QJ8JV30 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1938-03-08 | N/A | N/A | N/A | MB | false | TEAGUE | N/A | LEWIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7955119122 | N/A | N/A | 5543292 | 2222 | 4802 | 8701483 | N/A | 4215104 | 2025-06-17 02:18:52.057102 | 2025-05-13 04:29:37.229416 |
| 2025-06-16 09:04:32.028895 | 2025-06-17 02:08:13.757860 | 8949135 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8949135 | Athletic Physical Therapy Inc | 1993-07-24 | 2025-06-19 | M | AD | SJUKUR | U0030031901 | HANSEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543268/check_8949135_3a6f80c3-5b35-4edb-87cf-d5d99f2d321b.json | N/A | N/A | N/A | N/A | N/A | U0030031901 | N/A | MCKINSEY & COMPANY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1993-07-24 | N/A | 2500547 | N/A | N/A | false | SJUKUR | N/A | HANSEL C | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 7955119121 | N/A | N/A | 5543268 | 2222 | 4802 | 8686619 | N/A | 4215085 | 2025-06-17 02:08:13.757860 | 2025-05-23 17:53:24.114484 |
| 2025-06-16 09:04:31.801847 | 2025-06-17 02:04:05.028700 | 8949123 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8949123 | Athletic Physical Therapy Inc | 1962-05-10 | 2025-06-18 | F | AE | ADHAMI | 95671183F | SOHAILA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543265/check_8949123_2f456001-9681-4d5a-a379-8672f6f76beb.json | N/A | N/A | N/A | N/A | N/A | 95671183F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1962-05-10 | N/A | N/A | N/A | N/A | false | ADHAMI | N/A | SOHAILA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7955119120 | N/A | N/A | 5543265 | 2222 | 4802 | 8680961 | N/A | 4215082 | 2025-06-17 02:04:05.028700 | 2025-05-13 04:29:37.229397 |
| 2025-06-16 09:04:31.396597 | 2025-06-17 02:13:45.427101 | 8949105 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8949105 | Athletic Physical Therapy Inc | 2002-06-02 | 2025-06-19 | M | PT | VIRGIL | XEK905426435 | NICHOLAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543237/check_8949105_58a7aebd-dced-46f2-956f-6fe0e94958a7.json | N/A | N/A | N/A | N/A | N/A | XEK905426435 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2002-06-02 | 2001ZK002195 | X0001000 | N/A | PR | false | VIRGIL | N/A | JEFF | N/A | 2028-06-30 | 2025-01-01 | ULTIMATE VISION 15 25 120 JAN16 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7955119119 | N/A | N/A | 5543237 | 2222 | 4802 | 8693167 | N/A | 4215054 | 2025-06-17 02:13:45.427101 | 2025-05-13 04:29:37.229375 |
| 2025-06-16 09:04:30.767067 | 2025-06-17 02:12:04.949810 | 8949090 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8949090 | Athletic Physical Therapy Inc | 1981-10-08 | 2025-06-19 | F | PT | GOULD | M9Z806734456 | HEATHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543209/check_8949090_ccf8e663-81a5-4da5-9513-3b6ca340affa.json | N/A | N/A | N/A | N/A | N/A | M9Z806734456 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1981-10-08 | N/A | 55060 | N/A | PR | false | GOULD | N/A | HEATHER | N/A | N/A | N/A | PREFERRED CARE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7955119118 | N/A | N/A | 5543209 | 2222 | 4793 | 8691111 | N/A | 4215027 | 2025-06-17 02:12:04.949810 | 2025-05-13 04:29:37.229345 |
| 2025-06-16 09:04:30.610421 | 2025-06-17 02:08:14.497451 | 8949081 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8949081 | Athletic Physical Therapy Inc | 1999-02-08 | 2025-06-18 | F | AD | SMALLWOOD | 109798591 | CORINNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543189/check_8949081_d74d6031-9bbc-407f-9016-439cdf5d7de3.json | N/A | N/A | N/A | N/A | N/A | 10979859100 | N/A | STUBHUB HOLDINGS, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1999-02-08 | N/A | 00636303 | N/A | N/A | false | SMALLWOOD | N/A | CORINNE | N/A | N/A | N/A | OPEN ACCESS PLUS IN-NETWORK | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 7955119117 | N/A | N/A | 5543189 | 2222 | 4802 | 8686638 | N/A | 4215016 | 2025-06-17 02:08:14.497451 | 2025-05-13 04:29:37.229333 |
| 2025-06-16 09:04:30.427207 | 2025-06-17 02:12:09.970862 | 8949072 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8949072 | Athletic Physical Therapy Inc | 2003-10-09 | 2025-06-18 | F | PT | LUKOWITSCH | XDPCA8263500 | HALLIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543178/check_8949072_a798a417-3577-40fc-8ca5-ce297bfb4bcc.json | N/A | N/A | N/A | N/A | N/A | XDPCA8263500 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | ANTHEM BLUE CROSS | N/A | 2003-10-09 | 040 | 275958P701 | N/A | PR | false | LUKOWITSCH | N/A | HALLIE | N/A | 9999-12-31 | 2024-09-23 | PPO UC SHIP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7955119116 | N/A | N/A | 5543178 | 2222 | 4802 | 8691205 | N/A | 4215006 | 2025-06-17 02:12:09.970862 | 2025-05-13 04:29:37.229325 |
| 2025-06-16 09:04:30.176431 | 2025-06-17 02:13:39.742139 | 8949063 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8949063 | Athletic Physical Therapy Inc | 2003-07-09 | 2025-06-18 | M | PT | FEY | XED912890874 | JOSEPH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543173/check_8949063_452e04b7-b026-4fc7-9401-8712eb71cf7c.json | N/A | N/A | N/A | N/A | N/A | XED912890874 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2003-07-09 | 2001ZK002185 | X0001004 | N/A | PR | false | FEY | N/A | JOSEPH | N/A | 9999-12-31 | 2024-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7955119115 | N/A | N/A | 5543173 | 2222 | 4793 | 8693055 | N/A | 4215000 | 2025-06-17 02:13:39.742139 | 2025-05-13 04:29:37.229320 |
| 2025-06-16 09:04:29.724487 | 2025-06-17 02:13:43.753770 | 8949048 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8949048 | Athletic Physical Therapy Inc | 1991-10-03 | 2025-06-18 | M | PT | PANTOSKEY | XED914113497 | SCOTT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543146/check_8949048_d8c3cb1d-e0d0-451a-aa9d-fdb32aef6a89.json | N/A | N/A | N/A | N/A | N/A | XED914113497 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1991-10-03 | 2001ZK002184 | X0001004 | N/A | PR | false | PANTOSKEY | N/A | SCOTT | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7955119114 | N/A | N/A | 5543146 | 2222 | 4802 | 8693138 | N/A | 4214969 | 2025-06-17 02:13:43.753770 | 2025-06-06 17:35:27.697291 |
| 2025-06-16 09:04:29.332301 | 2025-06-17 02:10:45.433341 | 8949029 | N/A | N/A | 81264 | Nippon Life Insurance Company of America | 1114042165 | 8949029 | Athletic Physical Therapy Inc | 1974-01-11 | 2025-06-19 | F | PT | TSUKINO | N10109768 | YOSHIKO | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543128/check_8949029_81f57eba-da11-4660-80ff-fb0bbba51d16.json | N/A | N/A | N/A | N/A | N/A | N10109768-01 | Preferred Provider Organization (PPO) | NIPPON | NIPPON LIFE BENEFITS | N/A | 1974-01-11 | 4208 | R73200 | N/A | PR | false | TSUKINO | N/A | HIROAKI | N/A | N/A | N/A | AETNA SIGNATURE ADMIN, AETNA DENTAL ADMIN | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7955119113 | N/A | N/A | 5543128 | 2222 | 4802 | 8689575 | N/A | 4214959 | 2025-06-17 02:10:45.433341 | 2025-05-13 04:29:37.229282 |
| 2025-06-16 09:04:29.174274 | 2025-06-17 02:12:01.780464 | 8949015 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8949015 | Athletic Physical Therapy Inc | 1963-02-12 | 2025-06-18 | M | PT | FRENCH | XDP573A61655 | JONATHAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543105/check_8949015_de72e135-a409-428c-b93e-b77a113c91dd.json | N/A | N/A | N/A | N/A | N/A | XDP573A61655 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1963-02-12 | N/A | N/A | N/A | N/A | false | FRENCH | N/A | JONATHAN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7955119112 | N/A | N/A | 5543105 | 2222 | 4793 | 8691047 | N/A | 4214943 | 2025-06-17 02:12:01.780464 | 2025-05-29 02:21:31.646077 |
| 2025-06-16 09:04:29.013046 | 2025-06-17 02:12:08.833587 | 8949006 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8949006 | Athletic Physical Therapy Inc | 1994-02-19 | 2025-06-18 | M | PT | LIEBLEIN | MSJ60221038001 | RYAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543099/check_8949006_b3487765-df7b-4c0c-8452-b4939d939275.json | N/A | N/A | N/A | N/A | N/A | MSJ60221038001 | Other | MICROSOFT | ANTHEM BLUE CROSS | N/A | 1994-02-19 | N/A | 1000010 | N/A | OT | false | LIEBLEIN | N/A | RYAN | N/A | 9999-12-31 | 2017-07-10 | SELF-FUNDED HDHP HERITAGE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7955119111 | N/A | N/A | 5543099 | 2222 | 4802 | 8691183 | N/A | 4214934 | 2025-06-17 02:12:08.833587 | 2025-05-13 04:29:37.229256 |
| 2025-06-16 09:04:28.742727 | 2025-06-17 02:13:37.966519 | 8948996 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8948996 | Athletic Physical Therapy Inc | 1986-09-15 | 2025-06-18 | M | PT | ELLSWORTH | XEK911198887 | ADAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543012/check_8948996_f56c6d6a-87be-45a3-9f5b-3f90bba5ee21.json | N/A | N/A | N/A | N/A | N/A | XEK911198887 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-09-15 | 2001ZD002666 | X0001000 | N/A | PR | false | ELLSWORTH | N/A | ADAM | N/A | 9999-12-31 | 2022-02-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7955119110 | N/A | N/A | 5543012 | 2222 | 4802 | 8693017 | N/A | 4214859 | 2025-06-17 02:13:37.966519 | 2025-12-03 23:27:09.735417 |
| 2025-06-16 09:04:28.415250 | 2025-06-17 02:05:19.085446 | 8948986 | N/A | N/A | 60054 | Aetna | 1114042165 | 8948986 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-06-19 | M | PT | KORY | 10216158100 | MICHAEL | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542868/check_8948986_b9c0746e-1ddf-4396-8be7-ad24f7266b3c.json | N/A | N/A | N/A | N/A | N/A | 102161581800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1959-05-08 | 000003-CA000058 | 000003-CA | N/A | PR | false | KORY | N/A | MICHAEL | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7955119109 | N/A | N/A | 5542868 | 2222 | 4793 | 8682380 | N/A | 4214732 | 2025-06-17 02:05:19.085446 | 2025-06-24 20:13:53.579048 |
| 2025-06-16 09:04:27.960056 | 2025-06-17 02:05:20.103758 | 8948968 | N/A | N/A | 60054 | Aetna | 1114042165 | 8948968 | Athletic Physical Therapy Inc | 1982-02-18 | 2025-06-19 | M | PT | TORGAN | W291598583 | SPENCER | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542863/check_8948968_3eb9d7ab-a0c6-4a68-a7e0-7bbdc0486b93.json | N/A | N/A | N/A | N/A | N/A | W291598583 | Point of Service (POS) | MORGAN STANLEY DOMESTIC HOLDINGS, L | AETNA | N/A | 1982-02-18 | 0868849 | 086884901000001 | N/A | PS | false | TORGAN | N/A | SPENCER | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7955119108 | N/A | N/A | 5542863 | 2222 | 4793 | 8682400 | N/A | 4214725 | 2025-06-17 02:05:20.103758 | 2025-05-13 04:29:37.229043 |
| 2025-06-16 09:04:27.798894 | 2025-06-17 02:13:41.818739 | 8948954 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8948954 | Athletic Physical Therapy Inc | 2000-07-25 | 2025-06-18 | F | PT | MAGHSOUDLOO | XEA913772161 | SAHAR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542822/check_8948954_3bd7fc21-f8e9-412f-98e2-529fad1c61c4.json | N/A | N/A | N/A | N/A | N/A | XAN913772161 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 2000-07-25 | 1254PPOX0002 | W0051411 | N/A | PR | false | MAGHSOUDLOO | N/A | FARIBA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7955119107 | N/A | N/A | 5542822 | 2222 | 4793 | 8693094 | N/A | 4214688 | 2025-06-17 02:13:41.818739 | 2025-06-25 17:57:14.838266 |
| 2025-06-16 09:04:27.608865 | 2025-06-17 02:12:12.259643 | 8948937 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8948937 | Athletic Physical Therapy Inc | 2009-08-28 | 2025-06-18 | M | PT | GARCIA | FJB21294792M | STARR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542769/check_8948937_ba400a27-05f7-42f7-b5ed-8e4a3098cc28.json | N/A | N/A | N/A | N/A | N/A | FJB21294792M | Preferred Provider Organization (PPO) | BANK OF AMERICA CORPORATION | ANTHEM BLUE CROSS | N/A | 2009-08-28 | 101 | 174549M111 | N/A | PR | false | RAY | N/A | ALLISON | N/A | 9999-12-31 | 2016-01-01 | BLUECARD PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7955119106 | N/A | N/A | 5542769 | 2222 | 4801 | 8691255 | N/A | 4214641 | 2025-06-17 02:12:12.259643 | 2025-12-09 08:50:02.875071 |
| 2025-06-16 09:04:26.952845 | 2025-06-17 02:08:15.162831 | 8948898 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8948898 | Athletic Physical Therapy Inc | 2011-05-03 | 2025-06-19 | F | AD | ZISKIN | U5838130501 | AVA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542654/check_8948898_7d4289b1-7119-4b55-b00d-61b97a370e8d.json | N/A | N/A | N/A | N/A | N/A | U5838130504 | N/A | EQUITABLE FINANCIAL LIFE INSURANCE COMPA | CHLIC | COMPLETE CARE MANAGEMENT | 2011-05-03 | N/A | 3339125 | N/A | N/A | false | ZISKIN | N/A | AVA | N/A | N/A | N/A | LOCALPLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 7955119105 | N/A | N/A | 5542654 | 2222 | 4793 | 8686655 | N/A | 4214539 | 2025-06-17 02:08:15.162831 | 2025-05-13 04:29:37.228865 |
| 2025-06-16 09:04:26.596830 | 2025-06-17 02:12:14.463071 | 8948887 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8948887 | Athletic Physical Therapy Inc | 2009-08-14 | 2025-06-17 | F | PT | WEBER | JQU141A54789 | MADELINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542628/check_8948887_1783beb8-9ac6-4191-b8b9-211aea66dd87.json | N/A | N/A | N/A | N/A | N/A | JQU141A54789 | Preferred Provider Organization (PPO) | MARK H. WEBER, CPA AN ACCT CORP | ANTHEM BLUE CROSS | N/A | 2009-08-14 | 040 | F18235 | N/A | PR | false | WEBER | N/A | MARK | N/A | 2025-08-01 | 2024-08-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7955119104 | N/A | N/A | 5542628 | 2222 | 4793 | 8691296 | N/A | 4214508 | 2025-06-17 02:12:14.463071 | 2025-06-04 00:05:22.392827 |
| 2025-06-16 09:04:26.465936 | 2025-06-17 02:13:42.494744 | 8948881 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8948881 | Athletic Physical Therapy Inc | 1964-12-21 | 2025-06-19 | F | PT | BERMAN | XEK909562521 | AMY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542576/check_8948881_da4ee439-c50c-4d31-9d81-b0c5417d8332.json | N/A | N/A | N/A | N/A | N/A | XEK909562521 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1964-12-21 | 2001ZK002189 | X0001000 | N/A | PR | false | NEAL | N/A | RON | N/A | 9999-12-31 | 2020-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7955119103 | N/A | N/A | 5542576 | 2222 | 4793 | 8693115 | N/A | 4214467 | 2025-06-17 02:13:42.494744 | 2025-05-13 04:29:37.228779 |
| 2025-06-16 09:04:26.249182 | 2025-06-17 02:13:38.986338 | 8948868 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8948868 | Athletic Physical Therapy Inc | 1983-10-27 | 2025-06-19 | M | PT | FEDERER | XEA911365031 | MITCH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250616.141546548.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542512/check_8948868_2e6e2b4f-8ce0-4f8a-a99c-d001f70424cf.json | N/A | N/A | N/A | N/A | N/A | XEA911365031 | Preferred Provider Organization (PPO) | WEINSTEIN SENIOR LLP | BLUE SHIELD CALIFORNIA | N/A | 1983-10-27 | 1000VX000102 | W0122744 | N/A | PR | false | FEDERER | N/A | MITCHEL | N/A | 9999-12-31 | 2025-05-01 | GOLD FULL PPO 750 30 OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7955119102 | N/A | N/A | 5542512 | 2222 | 4793 | 8693036 | N/A | 4214416 | 2025-06-17 02:13:38.986338 | 2025-05-13 04:29:37.228740 |