API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-01-28 08:09:13.557252 | 2026-01-29 01:33:14.835829 | 17729682 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 17729682 | Athletic Physical Therapy Inc | 1956-02-09 | 2026-01-30 | F | AE | PT | DOUGLAS | 34470011211 | HEATHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.121715320.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5548966/check_17729682_6dfa5425-e69b-43c1-af21-cb41395fb62a.json | N/A | N/A | N/A | N/A | N/A | 34470011211 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1956-02-09 | N/A | N/A | N/A | SP | false | DOUGLAS | N/A | HEATHER | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN K | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9875943236 | N/A | N/A | 5548966 | 2222 | 4802 | 18000836 | N/A | 4218725 | 2026-01-29 01:33:14.835829 | 2025-05-13 04:29:37.229715 |
| 2026-01-28 08:08:39.897354 | 2026-01-28 08:08:43.231964 | 17728009 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-08-20 | 2026-01-28 | F | PT | N/A | MICHAEL | 291W2286820 | ABEBU | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14345284/check_17728009_6cc241ba-135b-47f1-8af0-3d47e5565f6c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14345284/check_17728009_d4f1035f-82af-4c1a-b345-fe0097a3a019.json | N/A | N/A | N/A | N/A | N/A | 291W2286820 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1958-08-20 | N/A | N/A | N/A | N/A | false | MICHAEL | N/A | ABEBU | N/A | 9999-12-31 | 2025-02-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14345284 | 2222 | N/A | 17974979 | N/A | 4534565 | 2026-01-28 08:08:43.231964 | 2026-03-10 20:57:14.661259 |
| 2026-01-28 08:08:35.996807 | 2026-01-28 08:08:39.035280 | 17727844 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-01-04 | 2026-01-28 | M | AE | PT | CATLIN | U0538312401 | VINCE | 4437 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537309/check_17727844_7fa76637-a08b-4992-9ff8-c64b615d40f5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537309/check_17727844_a653903a-70bc-427b-bf6d-deaa2fa5b255.json | N/A | N/A | N/A | N/A | N/A | U0538312401 | Health Maintenance Organization (HMO) | PANAVISION INTERNATIONAL, L.P. | CGLIC | N/A | 1960-01-04 | N/A | 3345947 | N/A | HM | false | CATLIN | N/A | VINCE | N/A | N/A | N/A | HMO | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9875864454 | N/A | N/A | 5537309 | 2222 | N/A | 17974959 | N/A | 4209897 | 2026-01-28 08:08:39.035280 | 2025-11-25 00:42:44.777389 |
| 2026-01-28 08:08:35.907381 | 2026-01-28 08:08:39.887807 | 17727838 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-08-20 | 2026-01-28 | F | PT | N/A | MICHAEL | 291W2286820 | ABEBU | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14345284/check_17727838_c0f3fd35-640a-4b4a-a172-e50bc10215b0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-28 | N/A | N/A | N/A | N/A | N/A | N/A | 291W2286820 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1958-08-20 | N/A | N/A | N/A | N/A | false | MICHAEL | N/A | ABEBU | N/A | 9999-12-31 | 2025-02-01 | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14345284 | 2222 | N/A | N/A | N/A | 4534565 | 2026-01-28 08:08:39.887807 | 2026-03-10 20:57:14.661259 |
| 2026-01-28 08:08:35.603698 | 2026-01-28 08:08:41.513887 | 17727825 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-07-09 | 2026-01-28 | F | AE | PT | JOHNSON OLAD | H6507221700 | CATINA | 5349 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11415027/check_17727825_c8861cbe-76f5-4601-9b25-91913e73b45c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11415027/check_17727825_392d0bc6-fdf9-4622-bed0-511f57115161.json | N/A | N/A | N/A | N/A | N/A | H65072217 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1972-07-09 | N/A | 2B506001 | N/A | HN | false | JOHNSON OLAD | N/A | CATINA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9875864427 | N/A | N/A | 11415027 | 2222 | N/A | 17974971 | N/A | 9669773 | 2026-01-28 08:08:41.513887 | 2025-10-30 23:36:57.101747 |
| 2026-01-28 08:08:35.437911 | 2026-01-28 08:08:41.375009 | 17727817 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-06-17 | 2026-01-28 | M | AE | PT | FAVELA | 620360888 | MAXIMILIAN | 5538 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8960010/check_17727817_764f27e3-900c-4c69-aee7-faa4752e5049.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8960010/check_17727817_603a0de9-b1d5-4078-bbf9-b76a304cd431.json | N/A | N/A | N/A | N/A | N/A | 620360888 | N/A | L.A. CARE COVERED GOLD 80 HMO | LA CARE HEALTH PLAN | N/A | 1987-06-17 | LACC | 92815CA001000701 | N/A | N/A | false | FAVELA | N/A | MAXIMILIAN | N/A | 2026-12-31 | 2026-01-01 | L.A. CARE COVERED | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9875864411 | N/A | N/A | 8960010 | 2222 | N/A | 17974970 | N/A | 7476978 | 2026-01-28 08:08:41.375009 | 2026-01-07 18:27:22.752552 |
| 2026-01-28 08:08:19.792921 | 2026-01-29 01:32:42.936818 | 17727246 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 17727246 | Athletic Physical Therapy Inc | 1955-09-24 | 2026-01-29 | F | AE | PT | Acres | H9604296300 | Mercedes | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15812762/check_17727246_22c5b170-1bc8-4713-8511-6115d022b4cc.json | N/A | N/A | N/A | N/A | N/A | H96042963 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | AS OF THE CURRENT DATE THE MEMBER'S PCP IS DELEGATED FOR CLAIMS TO REGAL MEDICAL GROUP | 1955-09-24 | N/A | 2B722001 | N/A | HN | false | ACRES | N/A | MERCEDES | N/A | N/A | N/A | AFFILIATION/CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9875894691 | N/A | N/A | 15812762 | 2222 | 4801 | 17999944 | N/A | 13902523 | 2026-01-29 01:32:42.936818 | 2026-01-26 23:06:50.200052 |
| 2026-01-28 08:08:19.728861 | 2026-01-29 01:35:00.233732 | 17727245 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 17727245 | Athletic Physical Therapy Inc | 1956-11-03 | 2026-01-30 | F | AE | PT | GONZALES | 00000374506 | ANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15747368/check_17727245_68575a75-1957-440d-8b6c-9137901654af.json | N/A | N/A | N/A | N/A | N/A | 00000374506 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-11-03 | H3815028 | N/A | N/A | HM | false | GONZALES | N/A | ANA | 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 | 9875894690 | N/A | N/A | 15747368 | 2222 | 4793 | 18003773 | N/A | 13844800 | 2026-01-29 01:35:00.233732 | 2026-01-26 17:18:13.645285 |
| 2026-01-28 08:08:19.643211 | 2026-01-29 01:35:17.601791 | 17727244 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17727244 | Athletic Physical Therapy Inc | 1975-06-19 | 2026-01-29 | M | PT | N/A | ZEITHAMMER | UCD914833466 | ROBERT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15745085/check_17727244_e03fc700-c217-4c47-9fad-f22723909981.json | N/A | N/A | N/A | N/A | N/A | UCD914833466 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | BLUE SHIELD CALIFORNIA | N/A | 1975-06-19 | 1400PPOX0001 | W3000984 | N/A | PR | false | ZEITHAMMER | N/A | ROBERT | 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 | 9875894689 | N/A | N/A | 15745085 | 2222 | 4802 | 18004257 | N/A | 13842766 | 2026-01-29 01:35:17.601791 | 2026-01-26 16:51:25.727723 |
| 2026-01-28 08:08:19.542075 | 2026-01-29 01:34:59.996106 | 17727242 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 17727242 | Athletic Physical Therapy Inc | 1952-07-14 | 2026-01-30 | F | AE | PT | Barney | 00000272692 | Kathe | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15491721/check_17727242_f08b50fe-314e-45a8-8768-a19b37988661.json | N/A | N/A | N/A | N/A | N/A | 00000272692 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1952-07-14 | H3815028 | N/A | N/A | HM | false | BARNEY | N/A | KATHE | 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 | 9875894688 | N/A | N/A | 15491721 | 2222 | 4801 | 18003765 | 2630 | 13576496 | 2026-01-29 01:34:59.996106 | 2026-01-16 21:08:33.800613 |
| 2026-01-28 08:08:19.465161 | 2026-01-29 01:34:17.817102 | 17727241 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 17727241 | Athletic Physical Therapy Inc | 1956-04-02 | 2026-01-30 | M | AD | 30 | Blazej | 40065745601 | Loren | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15486412/check_17727241_f47682b1-0c1a-4718-ac60-ca1318e4878d.json | N/A | N/A | N/A | N/A | N/A | 40065745601 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1956-04-02 | 2026H5425001 | H5425M | N/A | N/A | false | BLAZEJ | N/A | LOREN | 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 | 9875894687 | N/A | N/A | 15486412 | 2222 | 4801 | 18002550 | N/A | 13572705 | 2026-01-29 01:34:17.817102 | 2026-01-21 20:58:04.331356 |
| 2026-01-28 08:08:19.366371 | 2026-01-29 01:35:12.129704 | 17727240 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17727240 | Athletic Physical Therapy Inc | 1937-05-16 | 2026-01-30 | M | PT | N/A | MUIRHEAD | MBL983M98448 | GARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15483494/check_17727240_016962bf-6071-4226-8be7-019693a18b9a.json | N/A | N/A | N/A | N/A | N/A | MBL983M98448 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1937-05-16 | 040 | CAEGR005 | N/A | N/A | false | MUIRHEAD | N/A | GARY | 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 | 9875894686 | N/A | N/A | 15483494 | 2222 | 4801 | 18004112 | N/A | 13569666 | 2026-01-29 01:35:12.129704 | 2026-01-19 23:27:00.524405 |
| 2026-01-28 08:08:19.286585 | 2026-01-29 01:35:12.422188 | 17727238 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17727238 | Athletic Physical Therapy Inc | 2010-12-30 | 2026-01-30 | F | PT | N/A | RUFF | SIF205A51860 | EMILY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15463468/check_17727238_6ea888fb-0ea5-48ba-9593-80a2a11e66d3.json | N/A | N/A | N/A | N/A | N/A | SIF205A51860 | Preferred Provider Organization (PPO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 2010-12-30 | 040 | 40954A | N/A | PR | false | RUFF | N/A | CRISTIN | N/A | 9999-12-31 | 2025-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9875894685 | N/A | N/A | 15463468 | 2222 | 4793 | 18004120 | N/A | 13550284 | 2026-01-29 01:35:12.422188 | 2026-01-22 19:55:29.040205 |
| 2026-01-28 08:08:19.199680 | 2026-01-29 01:34:18.075746 | 17727237 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 17727237 | Athletic Physical Therapy Inc | 1951-01-31 | 2026-01-30 | F | AE | PT | KIER | 40054488301 | MELINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15215976/check_17727237_20bb5f05-f832-400c-a1f7-32a37122d486.json | N/A | N/A | N/A | N/A | N/A | 40054488301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-01-31 | 2026H5425001 | H5425M | N/A | N/A | false | KIER | N/A | MELINDA | 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 | 9875894684 | N/A | N/A | 15215976 | 2222 | 4801 | 18002561 | 6237 | 13317487 | 2026-01-29 01:34:18.075746 | 2026-01-09 15:30:49.875836 |
| 2026-01-28 08:08:19.126865 | 2026-01-29 01:38:39.475514 | 17727234 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17727234 | Athletic Physical Therapy Inc | 1940-01-03 | 2026-01-30 | M | AE | PT | YARROW | 6X53H18QY12 | FREDERICK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15193195/check_17727234_e92cd8fc-0223-4c48-9d9d-cb8ed86bde5b.json | N/A | N/A | N/A | N/A | N/A | 6X53H18QY12 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-01-03 | S5921 | N/A | N/A | MA | false | YARROW | N/A | FREDERICK | N/A | N/A | N/A | N/A | N/A | N/A | 40229 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9875894683 | N/A | N/A | 15193195 | 2222 | 4801 | 18009899 | N/A | 13295466 | 2026-01-29 01:38:39.475514 | 2026-01-08 22:41:21.406873 |
| 2026-01-28 08:08:19.045605 | 2026-01-29 01:35:11.461717 | 17727231 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17727231 | Athletic Physical Therapy Inc | 1952-11-07 | 2026-01-30 | M | PT | N/A | FRIEDMAN | JPU173A63431 | PHILLIP | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15026498/check_17727231_76aaa308-a5fb-4b78-8479-26345907ba79.json | N/A | N/A | N/A | N/A | N/A | JPU173A63431 | Preferred Provider Organization (PPO) | NC DYNAMICS LLC | ANTHEM BLUE CROSS | N/A | 1952-11-07 | 040 | L03068M001 | N/A | PR | false | FRIEDMAN | N/A | PHILLIP | N/A | 9999-12-31 | 2025-06-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9875894682 | N/A | N/A | 15026498 | 2222 | 4802 | 18004096 | N/A | 13139277 | 2026-01-29 01:35:11.461717 | 2026-01-08 19:03:05.462828 |
| 2026-01-28 08:08:18.928010 | 2026-01-29 01:34:46.907651 | 17727228 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1356006142 | 17727228 | override_provider | 1951-06-29 | 2026-01-30 | M | AE | PT | Logoteti | 000022436714 | Radu | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15005414/check_17727228_a18e10e8-3029-4278-976c-e69fba5998a9.json | N/A | N/A | N/A | N/A | N/A | 000022436714 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1951-06-29 | 4384933 | 500600 | N/A | N/A | false | LOGOTETI | N/A | RADU | N/A | N/A | N/A | KPSA SOLD TO-SOUTH KPSA SOLD TO-SOUTH | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9875894681 | N/A | N/A | 15005414 | 2222 | 4802 | 18003378 | N/A | 13118277 | 2026-01-29 01:34:46.907651 | 2026-01-05 18:20:01.918853 |
| 2026-01-28 08:08:18.858075 | 2026-01-29 01:38:37.653895 | 17727226 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17727226 | Athletic Physical Therapy Inc | 1958-05-28 | 2026-01-29 | F | PT | N/A | GRAY | 3WR7HV0WT36 | TAMMIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14664973/check_17727226_88ae4aeb-eece-4f45-b9d1-61c721cd5608.json | N/A | N/A | N/A | N/A | N/A | 3WR7HV0WT36 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-05-28 | N/A | N/A | N/A | MA | false | GRAY | N/A | TAMMIE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9875894680 | N/A | N/A | 14664973 | 2222 | 4801 | 18009850 | N/A | 12198042 | 2026-01-29 01:38:37.653895 | 2025-12-15 23:37:40.244228 |
| 2026-01-28 08:08:18.772218 | 2026-01-29 01:35:18.258550 | 17727224 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17727224 | Athletic Physical Therapy Inc | 1976-10-14 | 2026-01-30 | F | PT | N/A | Cherry | XDP380A22244 | Megan | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14387696/check_17727224_fbfffc27-787d-48bd-995b-09b365f35080.json | N/A | N/A | N/A | N/A | N/A | NCF380A22244 | Point of Service (POS) | COUNTY OF LOS ANGELES | BLUE SHIELD OF CALIFORNIA | N/A | 1976-10-14 | 040 | 56061A | N/A | PS | false | CHERRY | N/A | MEGAN | N/A | 9999-12-31 | 2025-01-01 | POINT OF SERVICE COUNTY OF LOS ANGELES | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9875894679 | N/A | N/A | 14387696 | 2222 | 4802 | 18004273 | N/A | 12521666 | 2026-01-29 01:35:18.258550 | 2025-12-17 22:18:09.286393 |
| 2026-01-28 08:08:18.701938 | 2026-01-29 01:38:38.517356 | 17727222 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17727222 | Athletic Physical Therapy Inc | 1955-09-26 | 2026-01-30 | F | AE | PT | Sekhar | 1G35N33PH70 | Vasu | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14339190/check_17727222_b889def4-533f-4f1d-b58f-8677a963025c.json | N/A | N/A | N/A | N/A | N/A | 1G35N33PH70 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-09-26 | S5617 | N/A | N/A | MA | false | SEKHAR | N/A | VASU | N/A | N/A | N/A | N/A | N/A | N/A | 40971 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9875894678 | N/A | N/A | 14339190 | 2222 | 4793 | 18009874 | N/A | 12476351 | 2026-01-29 01:38:38.517356 | 2026-01-18 18:06:46.384672 |
| 2026-01-28 08:08:18.629634 | 2026-01-29 01:35:02.231429 | 17727220 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 17727220 | Athletic Physical Therapy Inc | 1964-08-04 | 2026-01-30 | M | AE | PT | Starling | 92082724H | Kenneth | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14155873/check_17727220_58e7cd78-1e13-4b6c-a946-05700d20b93e.json | N/A | N/A | N/A | N/A | N/A | 92082724H | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1964-08-04 | MCLA | MWLLNMEG21 | N/A | N/A | false | STARLING | N/A | KENNETH | N/A | 2078-12-31 | 2026-01-01 | LACARE MEDICAL | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9875894677 | N/A | N/A | 14155873 | 2222 | 4793 | 18003829 | N/A | 12295953 | 2026-01-29 01:35:02.231429 | 2026-02-02 21:13:50.348766 |
| 2026-01-28 08:08:18.538622 | 2026-01-29 01:35:00.531248 | 17727217 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 17727217 | Athletic Physical Therapy Inc | 1955-04-09 | 2026-01-30 | F | AE | PT | TEETERS | 00000389272 | APRIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14096166/check_17727217_3a2fd01e-8a8b-48c0-bb80-b856c622f345.json | N/A | N/A | N/A | N/A | N/A | 00000389272 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1955-04-09 | H3815050 | N/A | N/A | HM | false | TEETERS | N/A | APRIL | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE CALCARE (HMO) | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9875894676 | N/A | N/A | 14096166 | 2222 | 4793 | 18003778 | 2630 | 12234988 | 2026-01-29 01:35:00.531248 | 2026-01-01 18:08:02.280495 |
| 2026-01-28 08:08:18.423760 | 2026-01-29 01:35:10.590190 | 17727215 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17727215 | Athletic Physical Therapy Inc | 1986-05-25 | 2026-01-30 | M | PT | N/A | Bolander | JQU852W11534 | Brian | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13684454/check_17727215_f86e124b-a947-4df0-8c45-11789be54e9a.json | N/A | N/A | N/A | N/A | N/A | JQU852W11534 | Preferred Provider Organization (PPO) | THE ROSALINDE AND ARTHUR | ANTHEM BLUE CROSS | N/A | 1986-05-25 | 040 | 230150 | N/A | PR | false | BOLANDER | N/A | BRIAN | N/A | 9999-12-31 | 2025-12-01 | ANTHEM GOLD PPO 30/500/20% | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9875894675 | N/A | N/A | 13684454 | 2222 | 4802 | 18004068 | N/A | 11834634 | 2026-01-29 01:35:10.590190 | 2025-12-04 17:35:32.679589 |
| 2026-01-28 08:08:18.351724 | 2026-01-29 01:34:46.655952 | 17727212 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 17727212 | Athletic Physical Therapy Inc | 1979-02-24 | 2026-01-30 | F | AE | PT | McCoy | 000024352430 | Colleen | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13582387/check_17727212_ea040657-9d49-41c4-a94d-354b9ed1047e.json | N/A | N/A | N/A | N/A | N/A | 000024352430 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1979-02-24 | 4317984 | 225599 | N/A | N/A | false | MCCOY | N/A | COLLEEN | N/A | N/A | N/A | UNIVERSITY OF CALIFORNIA UCLA - CAMPUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9875894674 | N/A | N/A | 13582387 | 2222 | 4802 | 18003368 | N/A | 11732070 | 2026-01-29 01:34:46.655952 | 2025-12-02 18:46:08.427375 |
| 2026-01-28 08:08:18.267962 | 2026-01-29 01:32:43.449416 | 17727210 | N/A | N/A | 61101 | HUMANA | 1114042165 | 17727210 | Athletic Physical Therapy Inc | 1954-09-04 | 2026-01-29 | F | AE | PT | MENDEZ | H9608321000 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12421991/check_17727210_463935de-f57a-425f-b550-e743593fb76a.json | N/A | N/A | N/A | N/A | N/A | H96083210 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 695 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1954-09-04 | N/A | 2B798001 | N/A | HN | false | MENDEZ | N/A | LINDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9875894673 | N/A | N/A | 12421991 | 2222 | 4793 | 17999959 | 5349 | 10601861 | 2026-01-29 01:32:43.449416 | 2025-11-07 18:35:55.025808 |
| 2026-01-28 08:08:18.193483 | 2026-01-29 01:38:38.790715 | 17727208 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17727208 | Athletic Physical Therapy Inc | 1959-01-17 | 2026-01-30 | M | AE | PT | WAHL | 6CX2NW3WP90 | LELAND | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11364481/check_17727208_ae87f9b8-e68a-48cd-a388-bc0e72c7da80.json | N/A | N/A | N/A | N/A | N/A | 6CX2NW3WP90 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-01-17 | S5617 | N/A | N/A | MB | false | WAHL | N/A | LELAND | N/A | N/A | N/A | N/A | N/A | N/A | 20601 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9875894672 | N/A | N/A | 11364481 | 2222 | 4793 | 18009882 | N/A | 9633229 | 2026-01-29 01:38:38.790715 | 2026-02-05 17:07:37.378883 |
| 2026-01-28 08:08:18.105915 | 2026-01-29 01:35:11.725764 | 17727205 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17727205 | Athletic Physical Therapy Inc | 1959-04-01 | 2026-01-30 | M | PT | N/A | MOYER | JXN542M92477 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11278285/check_17727205_75409343-b2f6-40a0-a951-4071bcf12e4c.json | N/A | N/A | N/A | N/A | N/A | JXN542M92477 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1959-04-01 | 040 | 174222M2A1 | N/A | PR | false | MOYER | N/A | STEVEN | 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 | 9875894671 | N/A | N/A | 11278285 | 2222 | 4801 | 18004104 | N/A | 9581032 | 2026-01-29 01:35:11.725764 | 2025-10-21 22:24:54.464325 |
| 2026-01-28 08:08:18.014251 | 2026-01-29 01:31:41.036457 | 17727203 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17727203 | Athletic Physical Therapy Inc | 1961-11-24 | 2026-01-30 | F | AE | PT | CRUTCHFIELD | 90443065C | HELEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10103203/check_17727203_9204e7c2-400a-423e-8b36-17bae0e509bc.json | N/A | N/A | N/A | N/A | N/A | 90443065C | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-11-24 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | CRUTCHFIELD | N/A | HELEN | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9875894670 | N/A | N/A | 10103203 | 2222 | 4802 | 17999109 | 4211 | 8437251 | 2026-01-29 01:31:41.036457 | 2025-10-07 19:08:26.048804 |
| 2026-01-28 08:08:17.950750 | 2026-01-29 01:34:01.067432 | 17727202 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 17727202 | Athletic Physical Therapy Inc | 1991-10-20 | 2026-01-29 | M | AE | PT | Liranzo | 95222529G | Antonio | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9985996/check_17727202_e4308528-78d1-4690-81db-1df8bf96ca63.json | N/A | N/A | N/A | N/A | N/A | 95222529G | N/A | N/A | HEALTH NET, LLC | N/A | 1991-10-20 | N/A | N/A | N/A | N/A | false | LIRANZO | N/A | ANTONIO | 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 | 9875894669 | N/A | N/A | 9985996 | 2222 | 4802 | 18002121 | N/A | 8356571 | 2026-01-29 01:34:01.067432 | 2025-10-27 21:41:29.184520 |
| 2026-01-28 08:08:17.881153 | 2026-01-29 01:38:38.207175 | 17727200 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17727200 | Athletic Physical Therapy Inc | 1953-11-15 | 2026-01-30 | M | AE | PT | REISMAN | 7JW4EK4UR89 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9868745/check_17727200_2f44f18b-fb4d-41f3-bc8c-2b564063d58b.json | N/A | N/A | N/A | N/A | N/A | 7JW4EK4UR89 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-11-15 | N/A | N/A | N/A | MB | false | REISMAN | N/A | MARK | N/A | N/A | N/A | N/A | N/A | N/A | 38599 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9875894668 | N/A | N/A | 9868745 | 2222 | 4802 | 18009866 | N/A | 8262262 | 2026-01-29 01:38:38.207175 | 2025-09-30 22:45:25.940454 |
| 2026-01-28 08:08:17.801757 | 2026-01-29 01:35:01.972504 | 17727197 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 17727197 | Athletic Physical Therapy Inc | 1991-01-13 | 2026-01-29 | F | AE | PT | ALLERS | 90545004F | EMILY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9740927/check_17727197_be47984c-73c0-4b75-85eb-5dbe2566efba.json | N/A | N/A | N/A | N/A | N/A | 90545004F | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1991-01-13 | N/A | N/A | N/A | N/A | false | ALLERS | N/A | EMILY | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9875894667 | N/A | N/A | 9740927 | 2222 | 4802 | 18003818 | 5538 | 8155009 | 2026-01-29 01:35:01.972504 | 2025-10-07 16:02:56.731329 |
| 2026-01-28 08:08:17.715632 | 2026-01-29 01:32:01.380666 | 17727194 | N/A | N/A | 60054 | Aetna | 1114042165 | 17727194 | Athletic Physical Therapy Inc | 1972-12-30 | 2026-01-30 | M | AE | PT | MCHALE | W27265070 | MATT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173116/check_17727194_54209527-3238-4208-bf40-5f21fa5b6a16.json | N/A | N/A | N/A | N/A | N/A | W272665070 | Point of Service (POS) | SONY CORPORATION OF AMERICA | AETNA | N/A | 1972-12-30 | 0486873 | 048687302100161 | N/A | PS | false | MCHALE | N/A | MATTHEW | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9875894666 | N/A | N/A | 8173116 | 2222 | 4802 | 17999283 | N/A | 6939617 | 2026-01-29 01:32:01.380666 | 2025-09-16 00:28:24.457071 |
| 2026-01-28 08:08:17.613657 | 2026-01-29 01:38:39.156166 | 17727192 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17727192 | Athletic Physical Therapy Inc | 1929-10-10 | 2026-01-30 | M | AE | PT | Walter | 1TQ1EQ4FJ98 | Howard | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751304/check_17727192_27bb880a-8a44-4575-a181-23deb2852cc5.json | N/A | N/A | N/A | N/A | N/A | 1TQ1EQ4FJ98 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-10-10 | N/A | N/A | N/A | MA | false | WALTER | N/A | HOWARD | 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 | 9875894665 | N/A | N/A | 6751304 | 2222 | 4802 | 18009890 | N/A | 5557241 | 2026-01-29 01:38:39.156166 | 2025-07-22 17:08:51.810153 |
| 2026-01-28 08:08:17.549616 | 2026-01-29 01:38:37.942539 | 17727189 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17727189 | Athletic Physical Therapy Inc | 1952-10-25 | 2026-01-29 | F | AE | PT | JOHNSTON | 7KA0H51YU14 | DEBORAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638066/check_17727189_5dc8b106-085a-4c9f-b2db-6c55bae3509d.json | N/A | N/A | N/A | N/A | N/A | 7KA0H51YU14 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-10-25 | S5617 | N/A | N/A | MB | false | JOHNSTON | N/A | DEBORAH | N/A | N/A | N/A | N/A | N/A | N/A | 50740 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9875894664 | N/A | N/A | 6638066 | 2222 | 4793 | 18009857 | N/A | 5247837 | 2026-01-29 01:38:37.942539 | 2026-02-24 20:36:49.807283 |
| 2026-01-28 08:08:17.477924 | 2026-01-29 01:32:01.077430 | 17727188 | N/A | N/A | 60054 | Aetna | 1114042165 | 17727188 | Athletic Physical Therapy Inc | 1968-11-30 | 2026-01-30 | F | AE | PT | Bitton MANFREDI | W228688169 | SANDRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6417889/check_17727188_ae256d82-23f6-4b09-b13c-ce0bb407b1d3.json | N/A | N/A | N/A | N/A | N/A | W228688169 | Point of Service (POS) | AIR CANADA | AETNA | N/A | 1968-11-30 | 0479208 | 047920803100012 | N/A | PS | false | BITTON MANFREDI | N/A | SANDRA | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9875894663 | N/A | N/A | 6417889 | 2222 | 4793 | 17999281 | N/A | 5065591 | 2026-01-29 01:32:01.077430 | 2025-06-18 18:47:45.179937 |
| 2026-01-28 08:08:17.412315 | 2026-01-29 01:35:11.169722 | 17727186 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17727186 | Athletic Physical Therapy Inc | 1965-05-25 | 2026-01-30 | F | PT | N/A | CLOONAN | XDM481M99931 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6193751/check_17727186_ac5e5816-2b4a-4f5d-b878-74d971ea850e.json | N/A | N/A | N/A | N/A | N/A | XDM481M99931 | Health Maintenance Organization (HMO) | UFCW BENEFIT FUNDS ADMIN LLC RETIREE | ANTHEM BLUE CROSS | N/A | 1965-05-25 | 040 | 282241H019 | N/A | HM | false | CLOONAN | N/A | LINDA | N/A | 9999-12-31 | 2020-12-01 | CLASSIC SELECT HMO | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9875894662 | N/A | N/A | 6193751 | 2222 | 4801 | 18004085 | N/A | 4837995 | 2026-01-29 01:35:11.169722 | 2025-06-13 00:15:18.726975 |
| 2026-01-28 08:08:17.331393 | 2026-01-29 01:31:25.928840 | 17727183 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 17727183 | Athletic Physical Therapy Inc | 1948-06-04 | 2026-01-30 | F | AE | PT | Carrillo | 30127057 | Sandra | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6192336/check_17727183_cfac77b5-1f3d-4d15-97bd-4316fd703501.json | N/A | N/A | N/A | N/A | N/A | 30127057 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1948-06-04 | 406-034-002 | N/A | N/A | N/A | false | CARRILLO | N/A | SANDRA | 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 | 9875894661 | N/A | N/A | 6192336 | 2222 | 4801 | 17999041 | 6798 | 4836434 | 2026-01-29 01:31:25.928840 | 2025-06-24 22:10:01.955161 |
| 2026-01-28 08:08:17.260021 | 2026-01-29 01:38:37.353795 | 17727180 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17727180 | Athletic Physical Therapy Inc | 1956-02-09 | 2026-01-30 | F | AE | PT | DOUGLAS | 6RW0R23KU11 | HEATHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5548965/check_17727180_5126bb77-f849-4240-8b5c-5bd7b0ff0fba.json | N/A | N/A | N/A | N/A | N/A | 6RW0R23KU11 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-02-09 | S5617 | N/A | N/A | MA | false | DOUGLAS | N/A | HEATHER | N/A | N/A | N/A | N/A | N/A | N/A | 50740 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9875894660 | N/A | N/A | 5548965 | 2222 | 4802 | 18009840 | N/A | 4218725 | 2026-01-29 01:38:37.353795 | 2025-05-13 04:29:37.229715 |
| 2026-01-28 08:08:17.159145 | 2026-01-29 01:31:41.359248 | 17727179 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17727179 | Athletic Physical Therapy Inc | 1964-03-27 | 2026-01-30 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_17727179_c22005df-5ef8-48dd-8ca8-e77965c2d341.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-03-27 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | 2078-12-31 | 2024-11-01 | ACA - LA | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9875894659 | N/A | N/A | 5543270 | 2222 | 4793 | 17999112 | 4211 | 4215086 | 2026-01-29 01:31:41.359248 | 2025-05-13 04:29:37.229401 |
| 2026-01-28 08:08:17.058382 | 2026-01-29 01:35:18.692825 | 17727175 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17727175 | Athletic Physical Therapy Inc | 1975-03-27 | 2026-01-30 | M | PT | N/A | SHAW | JQW647W16708 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542902/check_17727175_c22e5a53-67d0-4810-ab92-4094bcbbe55e.json | N/A | N/A | N/A | N/A | N/A | JQW647W16708 | Medicare Primary | CA MEDICARE | BLUE SHIELD OF CALIFORNIA | N/A | 1975-03-27 | 040 | CAMCRWP0 | N/A | MP | false | SHAW | N/A | MICHAEL | N/A | 9999-12-31 | 2026-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9875894658 | N/A | N/A | 5542902 | 2222 | 4801 | 18004281 | N/A | 4214761 | 2026-01-29 01:35:18.692825 | 2026-01-08 16:06:40.256372 |
| 2026-01-28 08:08:16.987768 | 2026-01-29 01:35:10.323633 | 17727174 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17727174 | Athletic Physical Therapy Inc | 1969-08-05 | 2026-01-29 | F | PT | N/A | ABRAHAM | JQU232A63569 | NICOLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542580/check_17727174_a1815145-6383-4e37-9dcd-f2ecb6033165.json | N/A | N/A | N/A | N/A | N/A | JQU232A63569 | Preferred Provider Organization (PPO) | LOGICUBE INC | ANTHEM BLUE CROSS | N/A | 1969-08-05 | 040 | 398615 | N/A | PR | false | ABRAHAM | N/A | GABI | N/A | 9999-12-31 | 2025-05-01 | ANTHEM GOLD PPO 35/1000/20% | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9875894657 | N/A | N/A | 5542580 | 2222 | 4793 | 18004062 | N/A | 4214472 | 2026-01-29 01:35:10.323633 | 2025-12-01 23:39:05.994242 |
| 2026-01-28 08:08:16.925482 | 2026-01-29 01:35:12.737383 | 17727173 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17727173 | Athletic Physical Therapy Inc | 1942-12-17 | 2026-01-30 | F | PT | N/A | STEINBERG | MBL988M98459 | JUDY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542014/check_17727173_87658300-0c26-44c8-8d2c-f537f3143356.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | 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 | 9875894656 | N/A | N/A | 5542014 | 2222 | 4793 | 18004129 | N/A | 4213977 | 2026-01-29 01:35:12.737383 | 2025-05-13 04:29:37.228294 |
| 2026-01-28 08:08:16.853420 | 2026-01-29 01:35:10.866189 | 17727170 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17727170 | Athletic Physical Therapy Inc | 1955-11-11 | 2026-01-29 | F | PT | N/A | CALDERON | JQU450A75837 | DEBBIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540282/check_17727170_65faa95f-4bcf-488d-92aa-fde7abc23c50.json | N/A | N/A | N/A | N/A | N/A | JQU450A75837 | Preferred Provider Organization (PPO) | ELKINS KALT WEINTRAUB REU | ANTHEM BLUE CROSS | N/A | 1955-11-11 | 040 | 494793 | N/A | PR | false | CALDERON | N/A | DEBBIE | N/A | 9999-12-31 | 2025-12-01 | ANTHEM GOLD PPO 30/500/20% | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9875894655 | N/A | N/A | 5540282 | 2222 | 4802 | 18004076 | N/A | 4212465 | 2026-01-29 01:35:10.866189 | 2025-05-13 04:29:37.226801 |
| 2026-01-28 08:08:16.766903 | 2026-01-29 01:32:43.195900 | 17727168 | N/A | N/A | 61101 | HUMANA | 1114042165 | 17727168 | Athletic Physical Therapy Inc | 1952-05-02 | 2026-01-29 | F | AE | PT | HASSEY DE HANSON | H6569972200 | HILDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260128.095917309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536963/check_17727168_da2320f0-df3f-4394-94fe-96d3a7fd3765.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 | AFFILIATION/CENTER | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9875894520 | N/A | N/A | 5536963 | 2222 | 4801 | 17999952 | 5349 | 4209616 | 2026-01-29 01:32:43.195900 | 2025-12-02 19:38:35.715555 |
| 2026-01-28 07:54:57.030206 | 2026-01-28 07:54:58.761132 | 17726604 | N/A | N/A | 38333 | Molina Healthcare of California | 1205397536 | N/A | override_provider | 1941-01-15 | 2025-07-03 | F | PT | AE | PENATE | 100200006880 | VIANCA | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543301/check_17726604_7ae4883c-b41a-4767-895a-9c2feef6f879.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543301/check_17726604_96287672-9a67-44a1-95da-fa0397a30cee.json | N/A | N/A | N/A | N/A | N/A | 100200006880 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1941-01-15 | N/A | N/A | N/A | N/A | false | PENATE | N/A | VIANCA | 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 | N/A | N/A | 5543301 | 2222 | N/A | 17974820 | N/A | 4215112 | 2026-01-28 07:54:58.761132 | 2026-02-20 19:52:51.272757 |
| 2026-01-28 07:54:53.494052 | 2026-01-28 07:54:57.028008 | 17726603 | N/A | N/A | 38333 | Molina Healthcare of California | 1205397536 | N/A | override_provider | 1941-01-15 | 2025-07-03 | F | PT | AE | PENATE | 100200006880 | VIANCA | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543301/check_17726603_1cb60e26-87f0-4b84-aaac-c0c44f950329.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-03 | N/A | N/A | N/A | N/A | N/A | N/A | 100200006880 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1941-01-15 | N/A | N/A | N/A | N/A | false | PENATE | N/A | VIANCA | 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 | N/A | N/A | 5543301 | 2222 | N/A | N/A | N/A | 4215112 | 2026-01-28 07:54:57.028008 | 2026-02-20 19:52:51.272757 |
| 2026-01-28 06:20:58.348594 | 2026-01-28 06:21:00.115234 | 17725720 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-07-13 | 2026-02-05 | M | AE | PT | GROSS | 5J34NT0FH08 | HUGH | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/15810927/check_17725720_38c9c325-ed8b-4a6c-83da-479a36c5530b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-02-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15810927/check_17725720_a25696e1-49c7-488c-97ff-fd5f14ccbc64.json | N/A | N/A | N/A | N/A | N/A | 5J34NT0FH08 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-13 | S5617 | N/A | N/A | MA | false | GROSS | N/A | HUGH | 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 | 9875457879 | N/A | N/A | 15810927 | 2222 | N/A | 17973648 | N/A | 13900460 | 2026-01-28 06:21:00.115234 | 2026-01-27 16:41:56.120390 |
| 2026-01-28 06:13:01.780140 | 2026-01-28 06:13:03.592945 | 17725615 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-11-24 | 2025-12-18 | N/A | PT | AE | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542555/check_17725615_81a940c8-030f-40f2-8986-e051fe5a25d4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542555/check_17725615_1a0adff7-7937-48d3-843e-25d78aa06ad0.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-24 | N/A | N/A | N/A | MA | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 440268 | PT | AE | N/A | N/A | N/A | N/A | N/A | 9875433252 | 1275 | N/A | 5542555 | 2222 | N/A | 17973518 | N/A | 4214447 | 2026-01-28 06:13:03.592945 | 2026-04-23 20:11:34.441054 |
| 2026-01-28 06:09:16.922186 | 2026-01-28 06:09:18.943047 | 17725596 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-11-24 | 2025-12-15 | N/A | PT | AE | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542555/check_17725596_b0790ca6-0b35-4f7c-953e-5abb838e46f0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542555/check_17725596_d9508c20-9ba1-4d23-9585-152f12768f34.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-24 | N/A | N/A | N/A | MA | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 440268 | PT | AE | N/A | N/A | N/A | N/A | N/A | 9875415854 | 1275 | N/A | 5542555 | 2222 | N/A | 17973499 | N/A | 4214447 | 2026-01-28 06:09:18.943047 | 2026-04-23 20:11:34.441054 |
| 2026-01-28 06:08:22.610950 | 2026-01-28 06:08:24.747115 | 17725592 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-11-24 | 2025-12-11 | N/A | PT | AE | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542555/check_17725592_006125fd-bb0a-458e-af7c-6bf8b3195c4d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542555/check_17725592_4b31f616-b81e-476b-90dd-c2664bdc950c.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-24 | N/A | N/A | N/A | MB | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | 440268 | PT | AE | N/A | N/A | N/A | N/A | N/A | 9875407730 | 1275 | N/A | 5542555 | 2222 | N/A | 17973496 | N/A | 4214447 | 2026-01-28 06:08:24.747115 | 2026-04-23 20:11:34.441054 |