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 | subscriber_middle_name | service_type_codes_2 | insurance_company_id | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-02-06 08:10:11.128495 | 2026-02-07 01:41:24.346309 | 18175188 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 18175188 | Athletic Physical Therapy Inc | 1955-02-20 | 2026-02-09 | F | 96 | SALGUERO | 35955370 | DINA | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6711965/check_18175188_47c943e4-ad68-4197-a022-eebd2fa3b6d0.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 | 9966656805 | N/A | N/A | 6711965 | 2222 | 4793 | 18451613 | 6798 | 4210430 | 2026-02-07 01:41:24.346309 | 2025-05-13 04:29:37.224841 |
| 2026-02-06 08:10:10.961572 | 2026-02-07 01:45:20.352407 | 18175171 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 18175171 | Athletic Physical Therapy Inc | 1961-03-12 | 2026-02-09 | F | PT | MCNUTT | XED904914958 | YOLANDA | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6668755/check_18175171_55859e1f-9668-42e8-b89a-fb1b48c66973.json | N/A | N/A | N/A | N/A | N/A | XED904914958 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-03-12 | 2001ZL002184 | X0001004 | N/A | PR | false | FERNANDEZ-MCNUTT | N/A | YOLANDA | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9966656804 | N/A | N/A | 6668755 | 2222 | 4801 | 18455512 | N/A | 5282877 | 2026-02-07 01:45:20.352407 | 2025-07-01 15:56:36.473431 |
| 2026-02-06 08:10:10.738505 | 2026-02-07 01:44:46.251634 | 18175148 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 18175148 | Athletic Physical Therapy Inc | 1953-09-16 | 2026-02-09 | F | AE | Sankovich | 00000375069 | Deborah | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_18175148_51648754-052f-460f-aaaf-8762f9780672.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1953-09-16 | H3815028 | N/A | N/A | HM | false | SANKOVICH | N/A | DEBORAH | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9966656803 | N/A | N/A | 6210775 | 2222 | 4793 | 18455041 | 2630 | 4215193 | 2026-02-07 01:44:46.251634 | 2026-01-16 04:38:12.725481 |
| 2026-02-06 08:10:10.564375 | 2026-02-07 01:49:08.889232 | 18175129 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18175129 | Athletic Physical Therapy Inc | 1959-07-07 | 2026-02-09 | M | AE | GREENFIELD | 4QM6F25PT72 | SCOTT | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085694/check_18175129_393d5ec6-13b1-45d3-bae6-917e8588e3a5.json | N/A | N/A | N/A | N/A | N/A | 4QM6F25PT72 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-07 | S4802 | N/A | N/A | MB | false | GREENFIELD | N/A | SCOTT | 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 | 9966656802 | N/A | N/A | 6085694 | 2222 | 4793 | 18458730 | N/A | 4729029 | 2026-02-07 01:49:08.889232 | 2025-05-30 23:20:48.860572 |
| 2026-02-06 08:10:10.408476 | 2026-02-07 01:45:02.296743 | 18175111 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 18175111 | Athletic Physical Therapy Inc | 1994-12-29 | 2026-02-09 | M | PT | Fillo | JQU251W23722 | Benjamin | D | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993941/check_18175111_231b5ef6-8ecd-451f-919a-fa644d014634.json | N/A | N/A | N/A | N/A | N/A | JQU251W23722 | Preferred Provider Organization (PPO) | VALLE REINIS BUILDERS | ANTHEM BLUE CROSS | N/A | 1994-12-29 | 040 | Q82161 | N/A | PR | false | FILLO | N/A | BENJAMIN | N/A | 9999-12-31 | 2025-07-01 | CA SG ANTHEM PPO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9966656801 | N/A | N/A | 5993941 | 2222 | 4802 | 18455256 | N/A | 4642872 | 2026-02-07 01:45:02.296743 | 2026-01-27 23:33:22.153354 |
| 2026-02-06 08:10:10.184182 | 2026-02-07 01:44:41.889151 | 18175090 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 18175090 | Athletic Physical Therapy Inc | 1969-01-08 | 2026-02-09 | F | AE | ALROMAIH | 91237812E | SARAH | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993940/check_18175090_b9554bbb-96e8-41c8-8dfc-4a321e09a9d8.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9966656800 | N/A | N/A | 5993940 | 2222 | 4802 | 18454976 | 4625 | 4642877 | 2026-02-07 01:44:41.889151 | 2025-12-23 23:49:16.627667 |
| 2026-02-06 08:10:09.977321 | 2026-02-07 01:45:08.439604 | 18175070 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 18175070 | Athletic Physical Therapy Inc | 1996-01-20 | 2026-02-09 | F | PT | WORDEN | ORU910469318 | SARAH | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993479/check_18175070_dcdae666-94e8-45c1-94f6-5bedd99bfdee.json | N/A | N/A | N/A | N/A | N/A | ORU910469318 | Preferred Provider Organization (PPO) | OAK RIDGE ASSOCIATED UNIVERSITIES | ANTHEM BLUE CROSS | N/A | 1996-01-20 | MBPORAU0 | 89513 | N/A | PR | false | WORDEN | N/A | SARAH | N/A | 2199-12-31 | 2024-07-16 | BLUE NETWORK P | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9966656799 | N/A | N/A | 5993479 | 2222 | 4801 | 18455327 | N/A | 4219476 | 2026-02-07 01:45:08.439604 | 2025-05-28 20:18:04.039855 |
| 2026-02-06 08:10:09.766074 | 2026-02-07 01:44:44.557091 | 18175048 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 18175048 | Athletic Physical Therapy Inc | 1953-03-27 | 2026-02-09 | F | AE | FINE | 00000272194 | MICHELLE | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858742/check_18175048_cf5f0c1f-3623-4ba9-a6c0-5ed6a56d97ed.json | N/A | N/A | N/A | N/A | N/A | 00000272194 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1953-03-27 | H3815028 | N/A | N/A | HM | false | FINE | N/A | MICHELLE | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9966656798 | N/A | N/A | 5858742 | 2222 | 4801 | 18455013 | 2630 | 4219630 | 2026-02-07 01:44:44.557091 | 2025-05-13 04:29:37.230672 |
| 2026-02-06 08:10:09.518481 | 2026-02-07 01:44:42.981573 | 18175028 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 18175028 | Athletic Physical Therapy Inc | 1966-02-05 | 2026-02-09 | F | AE | VANCELETTE | 99775204F | DEBORAH | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550875/check_18175028_46791f2f-ee37-4dec-b51f-64bc528091fe.json | N/A | N/A | N/A | N/A | N/A | 99775204F | N/A | N/A | HEALTH NET, LLC | N/A | 1966-02-05 | N/A | N/A | N/A | N/A | false | VANCELETTE | N/A | DEBORAH | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9966656797 | N/A | N/A | 5550875 | 2222 | 4802 | 18454989 | N/A | 4219732 | 2026-02-07 01:44:42.981573 | 2025-05-13 04:29:37.230772 |
| 2026-02-06 08:10:09.372424 | 2026-02-07 01:49:10.846912 | 18175012 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18175012 | Athletic Physical Therapy Inc | 1956-11-29 | 2026-02-09 | M | AE | LYGA | 9E33A44VQ74 | FRANK | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550634/check_18175012_edf3e975-b9bd-494e-b446-dcf86a1d7173.json | N/A | N/A | N/A | N/A | N/A | 9E33A44VQ74 | Medicare Part B | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-11-29 | S5596 | DOL 07071986 | N/A | MB | false | LYGA | N/A | FRANK | N/A | N/A | N/A | N/A | N/A | N/A | 50323 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9966656795 | N/A | N/A | 5550634 | 2222 | 4801 | 18458760 | N/A | 4219584 | 2026-02-07 01:49:10.846912 | 2025-09-29 18:19:47.145731 |
| 2026-02-06 08:10:09.176115 | 2026-02-07 01:49:06.506413 | 18174988 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18174988 | Athletic Physical Therapy Inc | 1951-06-01 | 2026-02-09 | F | AE | BRADBURY | 5W31MW6FP03 | BONNIE | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550534/check_18174988_ee888eee-0501-4099-9bda-ca883aa6ee58.json | N/A | N/A | N/A | N/A | N/A | 5W31MW6FP03 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-01 | S5617 | N/A | N/A | MA | false | BRADBURY | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | N/A | 10757 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9966656794 | N/A | N/A | 5550534 | 2222 | 4801 | 18458691 | N/A | 4219556 | 2026-02-07 01:49:06.506413 | 2025-05-13 04:29:37.230592 |
| 2026-02-06 08:10:09.051018 | 2026-02-07 01:49:09.867552 | 18174978 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18174978 | Athletic Physical Therapy Inc | 1942-04-09 | 2026-02-09 | F | AE | JALLAD | 7AY7QW7EK46 | IKRAM | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549454/check_18174978_b970fbc8-e49c-43e4-a46a-f637c9877ff9.json | N/A | N/A | N/A | N/A | N/A | 7AY7QW7EK46 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-04-09 | S5617 | N/A | N/A | MA | false | JALLAD | N/A | IKRAM | N/A | N/A | N/A | N/A | N/A | N/A | 58582 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9966656793 | N/A | N/A | 5549454 | 2222 | 4801 | 18458742 | N/A | 4219116 | 2026-02-07 01:49:09.867552 | 2025-05-16 16:43:35.854220 |
| 2026-02-06 08:10:08.844827 | 2026-02-07 01:45:05.333338 | 18174959 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 18174959 | Athletic Physical Therapy Inc | 1962-01-25 | 2026-02-09 | F | PT | LUCZYWEK | HFD100011213709 | DEBORA | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_18174959_121ff2e3-d01c-4e43-810c-08b2d6ede358.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2027-01-01 | 2026-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9966656792 | N/A | N/A | 5549317 | 2222 | 4801 | 18455286 | N/A | 4219010 | 2026-02-07 01:45:05.333338 | 2026-01-09 18:32:07.618867 |
| 2026-02-06 08:10:08.697358 | 2026-02-07 01:43:59.198919 | 18174946 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 18174946 | Athletic Physical Therapy Inc | 1950-03-29 | 2026-02-09 | M | AE | AKHTARI | 40045421301 | SHAHROKH | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543493/check_18174946_626f8406-2bea-4306-b84f-b48a36f66be9.json | N/A | N/A | N/A | N/A | N/A | 40045421301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-03-29 | 2026H5425006 | H5425M | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9966656791 | N/A | N/A | 5543493 | 2222 | 4793 | 18454339 | 6237 | 4215273 | 2026-02-07 01:43:59.198919 | 2025-05-13 04:29:37.229594 |
| 2026-02-06 08:10:08.488082 | 2026-02-07 01:45:20.941254 | 18174923 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 18174923 | Athletic Physical Therapy Inc | 1951-05-22 | 2026-02-09 | M | PT | KAGON | UCD914864022 | ROBERT | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543391/check_18174923_98a06803-0877-4814-bc14-bd763f60f334.json | N/A | N/A | N/A | N/A | N/A | UCD914864022 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | BLUE SHIELD CALIFORNIA | N/A | 1951-05-22 | 1400PPOX0001 | W3000984 | N/A | PR | false | FRIEDMAN | N/A | JULIE | N/A | N/A | N/A | UNIVERSITY OF CALIFORNIA ASO UC CARE PLAN | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9966656790 | N/A | N/A | 5543391 | 2222 | 4793 | 18455521 | N/A | 4215182 | 2026-02-07 01:45:20.941254 | 2025-05-13 04:29:37.229498 |
| 2026-02-06 08:10:08.315211 | 2026-02-07 01:44:01.543669 | 18174906 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 18174906 | Athletic Physical Therapy Inc | 1956-05-26 | 2026-02-09 | F | AD | TORRES | 40067303001 | OLGA | N/A | 30 | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543371/check_18174906_c6ad9420-262f-4bdf-aa86-7cd05e308808.json | N/A | N/A | N/A | N/A | N/A | 40067303001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1956-05-26 | 2026H5425001 | H5425M | N/A | N/A | false | TORRES | N/A | OLGA | 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 | 9966656789 | N/A | N/A | 5543371 | 2222 | 4793 | 18454371 | 6237 | 4215172 | 2026-02-07 01:44:01.543669 | 2025-05-13 04:29:37.229489 |
| 2026-02-06 08:10:08.112891 | 2026-02-07 01:41:36.726028 | 18174881 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 18174881 | Athletic Physical Therapy Inc | 2001-01-23 | 2026-02-09 | F | AE | SILVERS | 1866968 | JOIEMAY | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543335/check_18174881_a81443dd-87ad-4825-b09b-584f6acc8d12.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 | 2026-12-31 | 2026-01-01 | SILVER 87 HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9966656788 | N/A | N/A | 5543335 | 2222 | 4802 | 18451803 | 4211 | 4215139 | 2026-02-07 01:41:36.726028 | 2025-05-13 21:20:11.455022 |
| 2026-02-06 08:10:07.932688 | 2026-02-07 01:45:03.335681 | 18174861 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 18174861 | Athletic Physical Therapy Inc | 1974-08-13 | 2026-02-09 | F | PT | HUGGINS | JXN261A50994 | DEEDEE | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543043/check_18174861_3d6884db-bec2-4c65-b1e0-5738c9ee1be2.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 9999-12-31 | 2022-01-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9966656787 | N/A | N/A | 5543043 | 2222 | 4801 | 18455267 | N/A | 4214884 | 2026-02-07 01:45:03.335681 | 2025-11-12 00:46:10.301659 |
| 2026-02-06 08:10:07.741452 | 2026-02-07 01:44:01.254549 | 18174842 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 18174842 | Athletic Physical Therapy Inc | 1954-10-02 | 2026-02-09 | M | AD | TARDIF | 40037365501 | TEDD | N/A | 30 | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542894/check_18174842_35838788-a2c4-44d5-8623-c852aed169af.json | N/A | N/A | N/A | N/A | N/A | 40037365501 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1954-10-02 | 2026H5425001 | H5425M | N/A | N/A | false | TARDIF | N/A | TEDD | 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 | 9966656786 | N/A | N/A | 5542894 | 2222 | 4801 | 18454368 | 6237 | 4214757 | 2026-02-07 01:44:01.254549 | 2026-03-20 15:26:52.406374 |
| 2026-02-06 08:10:07.586196 | 2026-02-07 01:44:41.639585 | 18174822 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | 18174822 | override_provider | 1972-07-22 | 2026-02-09 | M | AE | KOZMA | U9714475101 | JASON | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542709/check_18174822_aeb83757-df83-4c4f-a0d0-c2d3db180e64.json | N/A | N/A | N/A | N/A | N/A | U9714475101 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1972-07-22 | 67138CA0700027-01 | N/A | N/A | N/A | false | KOZMA | N/A | JASON | N/A | N/A | N/A | BRONZE 60 HDHP AMBETTER PPO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9966656785 | N/A | N/A | 5542709 | 2222 | 4802 | 18454971 | N/A | 4214582 | 2026-02-07 01:44:41.639585 | 2025-12-02 00:00:04.433236 |
| 2026-02-06 08:10:07.373855 | 2026-02-07 01:41:57.148022 | 18174803 | N/A | N/A | 60054 | Aetna | 1114042165 | 18174803 | Athletic Physical Therapy Inc | 2005-11-23 | 2026-02-09 | F | AE | FERRELL | W285064666 | AMELIA | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542678/check_18174803_880a14e1-e004-4f56-a1ba-4cb858d0e1ab.json | N/A | N/A | N/A | N/A | N/A | W285064666 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 2005-11-23 | 0232499 | 023249901000067 | N/A | PS | false | FERRELL | N/A | RALPH | 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 | 9966656784 | N/A | N/A | 5542678 | 2222 | 4802 | 18452170 | N/A | 4214560 | 2026-02-07 01:41:57.148022 | 2025-05-13 04:29:37.228883 |
| 2026-02-06 08:10:07.191410 | 2026-02-07 01:44:48.518384 | 18174783 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 18174783 | Athletic Physical Therapy Inc | 1988-11-03 | 2026-02-09 | F | AE | CAPISTRANO | 98696372G | FERDELLE | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542513/check_18174783_732f09ec-7dd3-479f-9c61-ab0c18046bd5.json | N/A | N/A | N/A | N/A | N/A | 98696372G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1988-11-03 | MCLA | MWLLNMEG21 | N/A | N/A | false | CAPISTRANO | N/A | FERDELLE | N/A | 2078-12-31 | 2024-05-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9966656783 | N/A | N/A | 5542513 | 2222 | 4793 | 18455075 | N/A | 4214418 | 2026-02-07 01:44:48.518384 | 2025-07-03 18:12:11.075357 |
| 2026-02-06 08:10:07.013795 | 2026-02-07 01:41:36.477214 | 18174769 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 18174769 | Athletic Physical Therapy Inc | 1961-02-27 | 2026-02-09 | M | AE | SHRIVER | 90771207E | DANIEL | Adam | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541984/check_18174769_11daf6ef-e613-45da-96a8-fac3afbe20b0.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-02-27 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | SHRIVER | N/A | DANIEL | 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 | 9966656782 | N/A | N/A | 5541984 | 2222 | 4802 | 18451801 | N/A | 4213934 | 2026-02-07 01:41:36.477214 | 2026-01-27 23:36:44.802366 |
| 2026-02-06 08:10:06.781450 | 2026-02-07 01:44:24.631449 | 18174749 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 18174749 | Athletic Physical Therapy Inc | 1947-02-01 | 2026-02-09 | M | AE | YEE | 9118772604 | HARRY | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541972/check_18174749_202bf8d7-4b7c-43e0-b5f3-ef8f5dd5017a.json | N/A | N/A | N/A | N/A | N/A | 978120842 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1947-02-01 | N/A | 01949 | N/A | HN | false | YEE | N/A | HARRY | N/A | N/A | N/A | HMOPOS-AARP MEDICARE ADVANTAGE FROM UHC CA-004P (H | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9966656781 | N/A | N/A | 5541972 | 2222 | 4793 | 18454712 | 6411 | 4213941 | 2026-02-07 01:44:24.631449 | 2025-05-13 04:29:37.228259 |
| 2026-02-06 08:10:06.605265 | 2026-02-07 01:45:07.545809 | 18174731 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 18174731 | Athletic Physical Therapy Inc | 1940-08-31 | 2026-02-09 | M | PT | STEINBERG | MBL875M98441 | HARRIS | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_18174731_bf3aab5d-e68d-4398-b806-06baaf3189fb.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9966656780 | N/A | N/A | 5541917 | 2222 | 4793 | 18455315 | N/A | 4213891 | 2026-02-07 01:45:07.545809 | 2025-05-13 04:29:37.228207 |
| 2026-02-06 08:10:06.471379 | 2026-02-07 01:45:21.230674 | 18174717 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 18174717 | Athletic Physical Therapy Inc | 1965-09-18 | 2026-02-09 | F | PT | SHAPIRO | XEA901579979 | ANDREA | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541315/check_18174717_dafc3792-08ec-4ac6-b379-891ef8094718.json | N/A | N/A | N/A | N/A | N/A | XEA901579979 | Preferred Provider Organization (PPO) | HANGER STEINBERG SHAPIRO AND ASH A LAW COR | BLUE SHIELD CALIFORNIA | N/A | 1965-09-18 | 1000VX000102 | W0045063 | N/A | PR | false | SHAPIRO | N/A | MARC | N/A | 9999-12-31 | 2016-11-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9966656779 | N/A | N/A | 5541315 | 2222 | 4793 | 18455525 | N/A | 4213344 | 2026-02-07 01:45:21.230674 | 2025-05-13 04:29:37.227667 |
| 2026-02-06 08:10:06.374177 | 2026-02-07 01:49:11.824985 | 18174706 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18174706 | Athletic Physical Therapy Inc | 1949-10-14 | 2026-02-09 | F | AE | PATTERSON | 2XW3VQ1QD60 | DIANNE | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540286/check_18174706_f1b6d61b-5cfe-42cc-a134-3b66de6643dd.json | N/A | N/A | N/A | N/A | N/A | 2XW3VQ1QD60 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-10-14 | S4802 | N/A | N/A | MB | false | PATTERSON | N/A | DIANNE | N/A | N/A | N/A | N/A | N/A | N/A | 48380 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9966656778 | N/A | N/A | 5540286 | 2222 | 4801 | 18458774 | N/A | 4212467 | 2026-02-07 01:49:11.824985 | 2026-01-16 16:48:22.087083 |
| 2026-02-06 08:10:06.204741 | 2026-02-07 01:44:00.152066 | 18174691 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 18174691 | Athletic Physical Therapy Inc | 1948-04-26 | 2026-02-09 | M | AE | LODIN | 40064763401 | MOHAMMED | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540259/check_18174691_86c799a4-2ccb-4eae-b4ea-127086ac6051.json | N/A | N/A | N/A | N/A | N/A | 40064763401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1948-04-26 | 2026H5425001 | H5425M | N/A | N/A | false | LODIN | N/A | MOHAMMED | 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 | 9966656777 | N/A | N/A | 5540259 | 2222 | 4793 | 18454351 | 6237 | 4212442 | 2026-02-07 01:44:00.152066 | 2025-05-13 04:29:37.226772 |
| 2026-02-06 08:10:06.071661 | 2026-02-07 01:45:03.636571 | 18174677 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 18174677 | Athletic Physical Therapy Inc | 1980-04-11 | 2026-02-09 | M | PT | Hurst | JQY695A75359 | Gregory | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539085/check_18174677_a83b1122-8677-4e76-8563-ed49f5fd80b0.json | N/A | N/A | N/A | N/A | N/A | JQY695A75359 | Preferred Provider Organization (PPO) | YALE MANAGEMENT SERVICES | ANTHEM BLUE CROSS | N/A | 1980-04-11 | 040 | 342584 | N/A | PR | false | HURST | N/A | GREGORY | N/A | 9999-12-31 | 2025-12-01 | ANTHEM SILVER SELECT PPO 50/2200/40% | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9966657826 | N/A | N/A | 5539085 | 2222 | 4793 | 18455270 | N/A | 4211408 | 2026-02-07 01:45:03.636571 | 2025-09-18 00:42:48.586801 |
| 2026-02-06 08:10:05.931221 | 2026-02-07 01:45:22.853656 | 18174662 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 18174662 | Athletic Physical Therapy Inc | 1961-12-01 | 2026-02-09 | M | PT | TOOCH | JPU633M84536 | PETER | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538874/check_18174662_b70f7270-255d-408c-a55f-00dd03c29825.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M005 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 9999-12-31 | 2026-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9966657825 | N/A | N/A | 5538874 | 2222 | 4801 | 18455542 | N/A | 4211227 | 2026-02-07 01:45:22.853656 | 2025-05-13 04:29:37.225625 |
| 2026-02-06 08:10:05.811703 | 2026-02-07 01:49:07.114461 | 18174653 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18174653 | Athletic Physical Therapy Inc | 1954-01-24 | 2026-02-09 | F | AE | DIGIOVANNI | 4N09TQ2YY18 | JILL | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538592/check_18174653_36228393-1aa1-4a7f-8c7e-15d2dd7ca4eb.json | N/A | N/A | N/A | N/A | N/A | 4N09TQ2YY18 | Medicare Part A | N/A | SENTRY INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-24 | S4802 | DOL 11022017 | N/A | MA | false | DIGIOVANNI | N/A | JILL | N/A | N/A | N/A | N/A | N/A | N/A | 30606 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9966657824 | N/A | N/A | 5538592 | 2222 | 4801 | 18458700 | N/A | 4210993 | 2026-02-07 01:49:07.114461 | 2025-05-13 04:29:37.225395 |
| 2026-02-06 08:10:05.649875 | 2026-02-07 01:41:24.607242 | 18174633 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 18174633 | Athletic Physical Therapy Inc | 1956-10-22 | 2026-02-09 | F | AE | VARGAS | C4080406701 | AUXILIADORA | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538314/check_18174633_ea36ef31-2a69-4735-8c84-a1d2be4f5a39.json | N/A | N/A | N/A | N/A | N/A | 33970109 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1956-10-22 | N/A | N/A | N/A | N/A | false | VARGAS | N/A | AUXILIADORA | 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 | 9966657823 | N/A | N/A | 5538314 | 2222 | 4802 | 18451618 | 6798 | 4210749 | 2026-02-07 01:41:24.607242 | 2026-01-29 18:21:20.298304 |
| 2026-02-06 08:10:05.517028 | 2026-02-07 01:44:45.626773 | 18174623 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 18174623 | Athletic Physical Therapy Inc | 1936-05-08 | 2026-02-09 | F | AE | KENT | 00000365314 | BARBARA | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537777/check_18174623_10ab92ca-4135-4430-98af-1e06af8dad3a.json | N/A | N/A | N/A | N/A | N/A | 00000365314 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1936-05-08 | H3815028 | N/A | N/A | HM | false | KENT | N/A | BARBARA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9966657822 | N/A | N/A | 5537777 | 2222 | 4793 | 18455031 | 2630 | 4210288 | 2026-02-07 01:44:45.626773 | 2025-05-13 04:29:37.224698 |
| 2026-02-06 08:10:05.368296 | 2026-02-07 01:44:45.055062 | 18174606 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 18174606 | Athletic Physical Therapy Inc | 1949-09-13 | 2026-02-09 | M | AE | GOMES | 00000285293 | NEMESIO | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537439/check_18174606_98d7e718-8729-4892-b752-bedc88a9c1ed.json | N/A | N/A | N/A | N/A | N/A | 00000285293 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-09-13 | H3815028 | N/A | N/A | HM | false | GOMES | N/A | NEMESIO | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9966657821 | N/A | N/A | 5537439 | 2222 | 4801 | 18455021 | 2630 | 4210001 | 2026-02-07 01:44:45.055062 | 2025-05-13 04:29:37.224421 |
| 2026-02-06 08:10:05.237737 | 2026-02-07 01:45:07.166912 | 18174596 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 18174596 | Athletic Physical Therapy Inc | 2005-01-18 | 2026-02-09 | F | PT | SONNENBERG RHIM | JXN215M92476 | MIA | N/A | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537289/check_18174596_f4299413-8117-4578-8d87-168d336b2cde.json | N/A | N/A | N/A | N/A | N/A | JXN215M92476 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 2005-01-18 | 040 | 174222M2A1 | N/A | PR | false | SONNENBERG RHIM | N/A | JENNIFER | N/A | 9999-12-31 | 2018-01-01 | BC PPO INCENTIVE | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9966657820 | N/A | N/A | 5537289 | 2222 | 4802 | 18455309 | N/A | 4209879 | 2026-02-07 01:45:07.166912 | 2026-02-02 17:58:08.499602 |
| 2026-02-06 08:10:05.078477 | 2026-02-07 01:42:41.370422 | 18174576 | N/A | N/A | 61101 | HUMANA | 1114042165 | 18174576 | Athletic Physical Therapy Inc | 1952-05-02 | 2026-02-09 | F | AE | HASSEY DE HANSON | H6569972200 | HILDA | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536963/check_18174576_888ce873-3030-4c34-89ed-17c05ae79ebd.json | N/A | N/A | N/A | N/A | N/A | H65699722 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1952-05-02 | N/A | 2B722001 | N/A | HN | false | HASSEY DE HA | N/A | HILDA | 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 | 9966657819 | N/A | N/A | 5536963 | 2222 | 4801 | 18453004 | 5349 | 4209616 | 2026-02-07 01:42:41.370422 | 2025-12-02 19:38:35.715555 |
| 2026-02-06 08:10:04.913964 | 2026-02-07 01:44:41.293132 | 18174562 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | 18174562 | override_provider | 1972-10-15 | 2026-02-09 | F | AE | BAHGAT | R0765902916 | MONA | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536335/check_18174562_b69edc6f-9d9f-464d-b2e0-7acdaaa1331b.json | N/A | N/A | N/A | N/A | N/A | R0765902916 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1972-10-15 | 67138CA0520010-01 | N/A | N/A | N/A | false | BAHGAT | N/A | MONA | N/A | N/A | N/A | GOLD 80 AMBETTER HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9966657818 | N/A | N/A | 5536335 | 2222 | 4802 | 18454967 | N/A | 4209098 | 2026-02-07 01:44:41.293132 | 2025-05-13 04:29:37.223519 |
| 2026-02-06 08:10:04.805560 | 2026-02-07 01:49:12.662549 | 18174552 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18174552 | Athletic Physical Therapy Inc | 1946-08-26 | 2026-02-09 | M | AE | ROTHMAN | 6H65JC7UD67 | MIKE | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536194/check_18174552_dd2642ad-2a81-4c3b-873d-9c93eb4ca7bd.json | N/A | N/A | N/A | N/A | N/A | 6H65JC7UD67 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-08-26 | S4802 | N/A | N/A | MA | false | ROTHMAN | N/A | MIKE | N/A | N/A | N/A | N/A | N/A | N/A | 50323 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9966657817 | N/A | N/A | 5536194 | 2222 | 4801 | 18458790 | N/A | 4208978 | 2026-02-07 01:49:12.662549 | 2025-05-13 04:29:37.223404 |
| 2026-02-06 08:10:04.621858 | 2026-02-07 01:49:09.549597 | 18174532 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 18174532 | Athletic Physical Therapy Inc | 1952-10-01 | 2026-02-09 | M | AE | IMPELLIZZERI | 3UJ4DN6CC87 | ROBERT | N/A | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260206.100024582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-02-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535551/check_18174532_493e71b8-36c3-4a86-9132-b0fc2f28b623.json | N/A | N/A | N/A | N/A | N/A | 3UJ4DN6CC87 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-10-01 | N/A | N/A | N/A | MA | false | IMPELLIZZERI | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | N/A | 30135 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9966657816 | N/A | N/A | 5535551 | 2222 | 4801 | 18458738 | N/A | 4208460 | 2026-02-07 01:49:09.549597 | 2026-01-01 00:19:01.120151 |
| 2026-02-06 08:07:20.135940 | 2026-02-06 08:07:23.960748 | 18162080 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-05-01 | 2026-02-06 | M | PT | LANDAVERDE | MMA833W19349 | OSCAR | N/A | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/15594276/check_18162080_9b9e4982-d049-499f-8b54-5700b45b3452.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-02-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15594276/check_18162080_8d21859c-34ec-4356-9f04-8011809b9a30.json | N/A | N/A | N/A | N/A | N/A | MMA833W19349 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1949-05-01 | 040 | CAMCRWP0 | N/A | MP | false | LANDAVERDE | N/A | OSCAR | N/A | 9999-12-31 | 2026-02-01 | CA H4161-009-000 ANTHEM PRIME (HMO-POS) RISK | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9966607355 | N/A | N/A | 15594276 | 2222 | N/A | 18411029 | N/A | 12549123 | 2026-02-06 08:07:23.960748 | 2025-12-18 17:22:21.485744 |
| 2026-02-06 06:20:36.537262 | 2026-02-06 06:20:38.409123 | 18160960 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-02-10 | 2026-01-26 | N/A | PT | DHIMAN | 00000390792 | SUKHDEV | N/A | AE | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9838502/check_18160960_05e2cda6-452b-4216-9bac-9dd15ae041cd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9838502/check_18160960_7aa32ea3-b790-4ede-a458-8b1a013f8846.json | N/A | N/A | N/A | N/A | N/A | 00000390792 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1943-02-10 | N/A | N/A | N/A | N/A | false | DHIMAN | N/A | SUKHDEV | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 9838502 | 2222 | N/A | 18410369 | N/A | 8236812 | 2026-02-06 06:20:38.409123 | 2026-01-23 23:12:04.578617 |
| 2026-02-06 06:20:34.810367 | 2026-02-06 06:20:36.534089 | 18160958 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-02-10 | 2026-01-26 | N/A | PT | DHIMAN | 00000390792 | SUKHDEV | N/A | AE | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9838502/check_18160958_b3cfde9d-e660-4494-baf5-3244074f9524.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-26 | N/A | N/A | N/A | N/A | N/A | N/A | 00000390792 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1943-02-10 | N/A | N/A | N/A | N/A | false | DHIMAN | N/A | SUKHDEV | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 9838502 | 2222 | N/A | N/A | N/A | 8236812 | 2026-02-06 06:20:36.534089 | 2026-01-23 23:12:04.578617 |
| 2026-02-06 06:20:32.450649 | 2026-02-06 06:20:34.423539 | 18160957 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-02-10 | 2026-01-26 | N/A | PT | DHIMAN | 00000390792 | SUKHDEV | N/A | AE | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9838502/check_18160957_abf76872-2443-4a96-ab76-12149b3dbc32.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9838502/check_18160957_ce40ab2a-33b1-43e0-b848-e11a0385d62b.json | N/A | N/A | N/A | N/A | N/A | 00000390792 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1943-02-10 | N/A | N/A | N/A | N/A | false | DHIMAN | N/A | SUKHDEV | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 9838502 | 2222 | N/A | 18410366 | N/A | 8236812 | 2026-02-06 06:20:34.423539 | 2026-01-23 23:12:04.578617 |
| 2026-02-06 06:20:29.069370 | 2026-02-06 06:20:32.410918 | 18160955 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-02-10 | 2026-01-26 | N/A | PT | DHIMAN | 00000390792 | SUKHDEV | N/A | AE | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9838502/check_18160955_b96b36cd-709d-4f97-9019-8606ba8606ff.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-26 | N/A | N/A | N/A | N/A | N/A | N/A | 00000390792 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1943-02-10 | N/A | N/A | N/A | N/A | false | DHIMAN | N/A | SUKHDEV | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 9838502 | 2222 | N/A | N/A | N/A | 8236812 | 2026-02-06 06:20:32.410918 | 2026-01-23 23:12:04.578617 |
| 2026-02-06 06:17:05.920770 | 2026-02-06 06:17:07.733249 | 18160716 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-02-10 | 2026-01-23 | N/A | PT | DHIMAN | 00000390792 | SUKHDEV | N/A | AE | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9838502/check_18160716_22e9d900-0adc-4f30-b08e-9214345f7fee.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9838502/check_18160716_0ce0f838-00ab-4b6c-a1b4-0dffcdc297c2.json | N/A | N/A | N/A | N/A | N/A | 00000390792 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1943-02-10 | N/A | N/A | N/A | N/A | false | DHIMAN | N/A | SUKHDEV | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 9838502 | 2222 | N/A | 18410120 | N/A | 8236812 | 2026-02-06 06:17:07.733249 | 2026-01-23 23:12:04.578617 |
| 2026-02-06 06:17:03.245950 | 2026-02-06 06:17:05.917748 | 18160710 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-02-10 | 2026-01-23 | N/A | PT | DHIMAN | 00000390792 | SUKHDEV | N/A | AE | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9838502/check_18160710_95623ccb-d393-4df9-afa3-2c8d003ffb8f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-23 | N/A | N/A | N/A | N/A | N/A | N/A | 00000390792 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1943-02-10 | N/A | N/A | N/A | N/A | false | DHIMAN | N/A | SUKHDEV | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 9838502 | 2222 | N/A | N/A | N/A | 8236812 | 2026-02-06 06:17:05.917748 | 2026-01-23 23:12:04.578617 |
| 2026-02-06 06:17:01.165232 | 2026-02-06 06:17:02.904823 | 18160701 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-02-10 | 2026-01-23 | N/A | PT | DHIMAN | 00000390792 | SUKHDEV | N/A | AE | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9838502/check_18160701_07378388-8f58-49d9-b089-689b8377275a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9838502/check_18160701_8c7d3916-a3ed-465c-9594-f33c273f9229.json | N/A | N/A | N/A | N/A | N/A | 00000390792 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1943-02-10 | N/A | N/A | N/A | N/A | false | DHIMAN | N/A | SUKHDEV | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 9838502 | 2222 | N/A | 18410104 | N/A | 8236812 | 2026-02-06 06:17:02.904823 | 2026-01-23 23:12:04.578617 |
| 2026-02-06 06:16:57.460695 | 2026-02-06 06:17:01.147212 | 18160694 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-02-10 | 2026-01-23 | N/A | PT | DHIMAN | 00000390792 | SUKHDEV | N/A | AE | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9838502/check_18160694_da31d676-1f76-487d-954d-f953f8dce70d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-23 | N/A | N/A | N/A | N/A | N/A | N/A | 00000390792 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1943-02-10 | N/A | N/A | N/A | N/A | false | DHIMAN | N/A | SUKHDEV | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 9838502 | 2222 | N/A | N/A | N/A | 8236812 | 2026-02-06 06:17:01.147212 | 2026-01-23 23:12:04.578617 |
| 2026-02-06 06:13:12.120571 | 2026-02-06 06:13:13.912329 | 18160535 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-02-10 | 2026-01-19 | N/A | PT | DHIMAN | 00000390792 | SUKHDEV | N/A | AE | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9838502/check_18160535_c7c3b166-9812-478e-a5f8-697db8e65dd5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9838502/check_18160535_4f72a91e-e328-4ed2-ab27-d4e961ddf33d.json | N/A | N/A | N/A | N/A | N/A | 00000390792 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1943-02-10 | N/A | N/A | N/A | N/A | false | DHIMAN | N/A | SUKHDEV | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 9838502 | 2222 | N/A | 18409934 | N/A | 8236812 | 2026-02-06 06:13:13.912329 | 2026-01-23 23:12:04.578617 |
| 2026-02-06 06:13:10.431111 | 2026-02-06 06:13:12.114406 | 18160534 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-02-10 | 2026-01-19 | N/A | PT | DHIMAN | 00000390792 | SUKHDEV | N/A | AE | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9838502/check_18160534_33c2ea96-1f0f-4e9a-be72-742b50bfacea.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-19 | N/A | N/A | N/A | N/A | N/A | N/A | 00000390792 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1943-02-10 | N/A | N/A | N/A | N/A | false | DHIMAN | N/A | SUKHDEV | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 9838502 | 2222 | N/A | N/A | N/A | 8236812 | 2026-02-06 06:13:12.114406 | 2026-01-23 23:12:04.578617 |