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 | 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_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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-01-27 08:14:15.183156 | 2026-01-28 01:40:46.396171 | 17681633 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17681633 | Athletic Physical Therapy Inc | 1953-06-18 | 2026-01-30 | F | AE | PT | REISMAN | 6C16CN3FM49 | GAIL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10984906/check_17681633_58ad0d22-c3d8-4d6f-9cd4-3c80ffa0cde0.json | N/A | N/A | N/A | N/A | N/A | 6C16CN3FM49 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-06-18 | N/A | N/A | N/A | MB | false | REISMAN | N/A | GAIL | N/A | N/A | N/A | N/A | N/A | 69417 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9866340189 | N/A | N/A | 10984906 | 2222 | 4802 | 17967056 | N/A | 9156222 | 2026-01-28 01:40:46.396171 | 2026-01-08 22:56:20.879547 |
| 2026-01-27 08:14:14.784211 | 2026-01-28 01:34:11.417161 | 17681599 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17681599 | Athletic Physical Therapy Inc | 1983-05-09 | 2026-01-29 | F | AE | PT | RAJCIC | 622299781 | MAJA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10172287/check_17681599_950eae13-6302-43a9-bdad-ae2ea56ec713.json | N/A | N/A | N/A | N/A | N/A | 622299781 | N/A | N/A | MOLINA_CA | N/A | 1983-05-09 | 18126CA001000101 | QMXEM01910 | N/A | N/A | false | RAJCIC | N/A | MAJA | N/A | 2025-12-31 | 2025-01-01 | INACTIVE COVERAGE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9866340188 | N/A | N/A | 10172287 | 2222 | 4802 | 17951812 | 4211 | 8473558 | 2026-01-28 01:34:11.417161 | 2025-10-10 16:40:45.584452 |
| 2026-01-27 08:14:14.408536 | 2026-01-28 01:37:06.724641 | 17681570 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 17681570 | Athletic Physical Therapy Inc | 2003-04-25 | 2026-01-30 | M | PT | N/A | GREEN | JQV184A72608 | ALLEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10091887/check_17681570_23b7e7a4-eba3-4021-9b27-61d7ca2b0c33.json | N/A | N/A | N/A | N/A | N/A | JQV184A72608 | Health Maintenance Organization (HMO) | GUMM AND GREEN LLP | ANTHEM BLUE CROSS | N/A | 2003-04-25 | 040 | 428474 | N/A | HM | false | GREEN | N/A | LINDSEY | N/A | 9999-12-31 | 2025-12-01 | ANTHEM GOLD SELECT HMO 35 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9866340187 | N/A | N/A | 10091887 | 2222 | 4793 | 17959009 | 4185 | 8429919 | 2026-01-28 01:37:06.724641 | 2025-10-07 22:01:52.720968 |
| 2026-01-27 08:14:13.826665 | 2026-01-28 01:35:30.343540 | 17681524 | N/A | N/A | 62308 | CIGNA PPO | 1114042165 | 17681524 | Athletic Physical Therapy Inc | 1996-03-28 | 2026-01-29 | F | AE | PT | SAGMAN | U9205101701 | SYDNEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9924959/check_17681524_8bb71a31-4526-4c33-9f06-f3495866ecc5.json | N/A | N/A | N/A | N/A | N/A | U9205101701 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1996-03-28 | N/A | 3346355 | N/A | HM | false | SAGMAN | N/A | SYDNEY | N/A | N/A | N/A | NETWORK | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9866340186 | N/A | N/A | 9924959 | 2222 | 4802 | 17954931 | 4437 | 4722569 | 2026-01-28 01:35:30.343540 | 2025-08-26 00:16:35.895658 |
| 2026-01-27 08:14:13.439145 | 2026-01-28 01:37:19.731729 | 17681498 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17681498 | Athletic Physical Therapy Inc | 1967-01-16 | 2026-01-30 | F | PT | N/A | Wesel | UCD914842883 | Ellen | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9854973/check_17681498_08c8b806-b08d-4c51-85a1-16264ce46b2e.json | N/A | N/A | N/A | N/A | N/A | UCD914842883 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | BLUE SHIELD CALIFORNIA | N/A | 1967-01-16 | 1400PPOX0002 | W3000984 | N/A | PR | false | WESEL | N/A | RICHARD | N/A | N/A | N/A | HSA RATED | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9866340185 | N/A | N/A | 9854973 | 2222 | 4802 | 17959567 | N/A | 8205288 | 2026-01-28 01:37:19.731729 | 2025-09-30 16:15:04.552446 |
| 2026-01-27 08:14:13.092805 | 2026-01-28 01:37:10.583033 | 17681473 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17681473 | Athletic Physical Therapy Inc | 2009-10-25 | 2026-01-28 | F | PT | N/A | TAITE | JQU200A62919 | SERAPHINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9610001/check_17681473_6847282c-a0f7-4d87-96c6-3d985b3229db.json | N/A | N/A | N/A | N/A | N/A | JQU200A62919 | Preferred Provider Organization (PPO) | TREATMENT CENTER MANAGEMENT CORPORATION | ANTHEM BLUE CROSS | N/A | 2009-10-25 | 040 | U26732 | N/A | PR | false | TAITE | N/A | RICHARD | N/A | 9999-12-31 | 2026-01-01 | CA SG ANTHEM PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9866340184 | N/A | N/A | 9610001 | 2222 | 4802 | 17959173 | N/A | 8040917 | 2026-01-28 01:37:10.583033 | 2025-09-22 14:19:04.386066 |
| 2026-01-27 08:14:12.869735 | 2026-01-28 01:37:17.553795 | 17681462 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17681462 | Athletic Physical Therapy Inc | 1962-05-29 | 2026-01-30 | F | PT | N/A | LARSON | XEA913804058 | DEBRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9562148/check_17681462_02e280ce-c183-4ac9-bf4f-e1ab59e0ec92.json | N/A | N/A | N/A | N/A | N/A | XAN913804058 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1962-05-29 | 1480PPOX0002 | W0051411 | N/A | PR | false | LARSON | N/A | DEBRA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9866340183 | N/A | N/A | 9562148 | 2222 | 4793 | 17959472 | N/A | 7997320 | 2026-01-28 01:37:17.553795 | 2025-10-02 21:07:14.563938 |
| 2026-01-27 08:14:12.626974 | 2026-01-28 01:34:25.560621 | 17681447 | N/A | N/A | 60054 | AETNA - PPO | 1114042165 | 17681447 | Athletic Physical Therapy Inc | 1940-05-16 | 2026-01-30 | M | AE | PT | HOPE | 101144710900 | LYNN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9477069/check_17681447_582f1f9b-b430-4c44-8087-7bdb225c4c81.json | N/A | N/A | N/A | N/A | N/A | 101144710900 | Health Maintenance Organization (HMO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-05-16 | 000003-CA000116 | 000003-CA | N/A | HM | false | HOPE | N/A | LYNN | N/A | N/A | N/A | AETNA MEDICARE SIGNATURE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9866340182 | N/A | N/A | 9477069 | 2222 | 4802 | 17952367 | 3948 | 7927787 | 2026-01-28 01:34:25.560621 | 2025-09-17 17:11:58.574244 |
| 2026-01-27 08:14:12.397095 | 2026-01-28 01:37:10.853257 | 17681428 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17681428 | Athletic Physical Therapy Inc | 2005-12-13 | 2026-01-29 | F | PT | N/A | Varivoda | ZTQ335M98588 | Alex | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9338185/check_17681428_c284ed5e-d328-486a-8545-72342735d71c.json | N/A | N/A | N/A | N/A | N/A | ZTQ335M98588 | Preferred Provider Organization (PPO) | TELEDYNE TECH INC LECROY | ANTHEM BLUE CROSS | N/A | 2005-12-13 | 040 | 174249M3AW | N/A | PR | false | VARIVODA | N/A | ALEXEY | N/A | 9999-12-31 | 2020-03-19 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9866340181 | N/A | N/A | 9338185 | 2222 | 4802 | 17959186 | N/A | 7837035 | 2026-01-28 01:37:10.853257 | 2025-09-17 13:44:26.939662 |
| 2026-01-27 08:14:12.200435 | 2026-01-28 01:37:02.882255 | 17681414 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 17681414 | Athletic Physical Therapy Inc | 1966-12-04 | 2026-01-30 | M | PT | N/A | CLANCY | XDMOE0503879 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9194927/check_17681414_31523a91-a688-4304-9223-3d6a618a6cd0.json | N/A | N/A | N/A | N/A | N/A | XDMOE0503879 | Health Maintenance Organization (HMO) | OPERATING ENGINEERS HEALTH&WELFARE FUND | ANTHEM BLUE CROSS | N/A | 1966-12-04 | 040 | 278671H001 | N/A | HM | false | CLANCY | N/A | JOSEPH | N/A | 9999-12-31 | 2025-02-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9866340180 | N/A | N/A | 9194927 | 2222 | 4793 | 17958850 | 4184 | 7712549 | 2026-01-28 01:37:02.882255 | 2025-09-10 17:29:28.945035 |
| 2026-01-27 08:14:11.995106 | 2026-01-28 01:37:09.170776 | 17681397 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 17681397 | Athletic Physical Therapy Inc | 2009-01-14 | 2026-01-29 | F | PT | N/A | OBACZ | JQV897A63197 | KLOIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9102655/check_17681397_568c1fce-83d5-4621-b994-e1e02388d51c.json | N/A | N/A | N/A | N/A | N/A | JQV897A63197 | Health Maintenance Organization (HMO) | EVOLVED NOVELTIES INC | ANTHEM BLUE CROSS | N/A | 2009-01-14 | 040 | F45883 | N/A | HM | false | OBACZ | N/A | JUSTIN | N/A | 9999-12-31 | 2026-01-01 | CA SG SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9866340179 | N/A | N/A | 9102655 | 2222 | 4801 | 17959113 | 4185 | 7621062 | 2026-01-28 01:37:09.170776 | 2025-09-12 19:10:20.936695 |
| 2026-01-27 08:14:11.780780 | 2026-01-28 01:40:44.207040 | 17681381 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17681381 | Athletic Physical Therapy Inc | 1950-04-13 | 2026-01-29 | F | AE | PT | NATALI | 2XU8UK4DF50 | RENEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8979192/check_17681381_ad16b3d4-f28d-47d5-bd1e-6f028bcffb88.json | N/A | N/A | N/A | N/A | N/A | 2XU8UK4DF50 | Medicare Part A | N/A | HEALTH CARE SERVICE CORPORATION | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-04-13 | S5715 | N/A | N/A | MA | false | NATALI | N/A | RENEE | N/A | N/A | N/A | N/A | N/A | 50900 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9866340178 | N/A | N/A | 8979192 | 2222 | 4793 | 17966988 | N/A | 7498543 | 2026-01-28 01:40:44.207040 | 2025-10-14 17:13:32.178778 |
| 2026-01-27 08:14:11.388316 | 2026-01-28 01:36:52.164658 | 17681362 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 17681362 | Athletic Physical Therapy Inc | 1987-06-17 | 2026-01-29 | M | AE | PT | FAVELA | 620360888 | MAXIMILIAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8960010/check_17681362_a9606527-6499-4e27-9f84-b380cffbf993.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 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9866340177 | N/A | N/A | 8960010 | 2222 | 4802 | 17958381 | 5538 | 7476978 | 2026-01-28 01:36:52.164658 | 2026-01-07 18:27:22.752552 |
| 2026-01-27 08:14:10.891885 | 2026-01-28 01:37:01.619488 | 17681327 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17681327 | Athletic Physical Therapy Inc | 1961-03-04 | 2026-01-30 | M | PT | N/A | AVEDISSIAN | JQU233A54125 | ARMEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8472241/check_17681327_55a7accf-a313-40a5-ac61-e5b1f3886d32.json | N/A | N/A | N/A | N/A | N/A | JQU233A54125 | Preferred Provider Organization (PPO) | BRAND PRODUCE INC | MEDICARE A | N/A | 1961-03-04 | 040 | J35185 | N/A | PR | false | AVEDISSIAN | N/A | ARMEN | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9866340176 | N/A | N/A | 8472241 | 2222 | 4801 | 17958794 | N/A | 7143064 | 2026-01-28 01:37:01.619488 | 2025-10-10 06:06:58.213429 |
| 2026-01-27 08:14:10.481575 | 2026-01-28 01:40:43.680764 | 17681298 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17681298 | Athletic Physical Therapy Inc | 1959-08-14 | 2026-01-29 | F | AE | PT | McKinnon | 4Q81VP4NU12 | Dawn | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7783105/check_17681298_4d17f158-fcab-4ca9-9cd5-874d43b19239.json | N/A | N/A | N/A | N/A | N/A | 4Q81VP4NU12 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-08-14 | S4802 | N/A | N/A | MB | false | MCKINNON | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | 60920 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9866340175 | N/A | N/A | 7783105 | 2222 | 4802 | 17966973 | N/A | 6628331 | 2026-01-28 01:40:43.680764 | 2025-08-22 15:16:03.942743 |
| 2026-01-27 08:14:10.067627 | 2026-01-28 01:34:11.096095 | 17681269 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17681269 | Athletic Physical Therapy Inc | 1976-02-07 | 2026-01-30 | F | AE | PT | MALTSEVA | 94237973H | YEVHENIIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7253095/check_17681269_7b571071-08b0-41ce-8e9f-bc5a6a8f0d9b.json | N/A | N/A | N/A | N/A | N/A | 94237973H | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1976-02-07 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MALTSEVA | N/A | YEVHENIIA | N/A | 2078-12-31 | 2025-08-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9866340174 | N/A | N/A | 7253095 | 2222 | 4802 | 17951802 | 4211 | 6219145 | 2026-01-28 01:34:11.096095 | 2025-07-21 16:40:35.276086 |
| 2026-01-27 08:14:09.645340 | 2026-01-28 01:34:12.078951 | 17681237 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17681237 | Athletic Physical Therapy Inc | 1963-05-22 | 2026-01-30 | M | AE | PT | SMITH | 99688004H | MATTHEW | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7022680/check_17681237_6df24aea-f988-410d-9751-edaf0f2bbae9.json | N/A | N/A | N/A | N/A | N/A | 99688004H | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 02/28/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1963-05-22 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | SMITH | N/A | MATTHEW | N/A | 2078-12-31 | 2025-05-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9866340173 | N/A | N/A | 7022680 | 2222 | 4793 | 17951836 | 4211 | 6037802 | 2026-01-28 01:34:12.078951 | 2025-07-22 17:48:16.997014 |
| 2026-01-27 08:14:09.183694 | 2026-01-28 01:34:10.831035 | 17681201 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17681201 | Athletic Physical Therapy Inc | 1967-12-06 | 2026-01-30 | F | AE | PT | KLOSSOWSKI | 98920892C | TRESSA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7019712/check_17681201_e4ffa6b4-81fa-472c-b862-91027eb20e5c.json | N/A | N/A | N/A | N/A | N/A | 98920892C | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 01/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1967-12-06 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | KLOSSOWSKI | N/A | TRESSA | N/A | 2078-12-31 | 2025-04-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9866340172 | N/A | N/A | 7019712 | 2222 | 4793 | 17951790 | 4211 | 6034714 | 2026-01-28 01:34:10.831035 | 2025-07-15 18:02:59.670156 |
| 2026-01-27 08:14:08.826733 | 2026-01-28 01:40:37.219756 | 17681174 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17681174 | Athletic Physical Therapy Inc | 1959-09-07 | 2026-01-29 | M | AE | PT | CICCIARI | 1AK4JC6NK84 | LOUIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_17681174_1046c8de-b72d-4a5f-94e5-20b0af4a4fea.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5617 | N/A | N/A | MB | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | 42000 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9866340171 | N/A | N/A | 6752936 | 2222 | 4801 | 17966817 | N/A | 5065602 | 2026-01-28 01:40:37.219756 | 2025-07-01 17:25:13.681724 |
| 2026-01-27 08:14:08.584462 | 2026-01-28 01:34:00.431981 | 17681156 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 17681156 | Athletic Physical Therapy Inc | 1955-02-20 | 2026-01-30 | F | AE | PT | SALGUERO | 35955370 | DINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6711965/check_17681156_fb57a411-0fd4-470d-bf85-e6bcb57216db.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 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9866340170 | N/A | N/A | 6711965 | 2222 | 4793 | 17951396 | 6798 | 4210430 | 2026-01-28 01:34:00.431981 | 2025-05-13 04:29:37.224841 |
| 2026-01-27 08:14:08.447549 | 2026-01-28 01:40:41.857471 | 17681145 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17681145 | Athletic Physical Therapy Inc | 1952-10-25 | 2026-01-29 | F | AE | PT | JOHNSTON | 7KA0H51YU14 | DEBORAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638391/check_17681145_c75c0ec3-bc0b-4f39-b66b-3226059645fa.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 | 40560 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9866340169 | N/A | N/A | 6638391 | 2222 | 4793 | 17966935 | N/A | 5247837 | 2026-01-28 01:40:41.857471 | 2026-02-24 20:36:49.807283 |
| 2026-01-27 08:14:07.999055 | 2026-01-28 01:37:21.508917 | 17681116 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17681116 | Athletic Physical Therapy Inc | 2012-11-14 | 2026-01-28 | F | PT | N/A | IOANNOU | PAS839113807 | PENELOPE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6621141/check_17681116_c9e8b4fc-050e-4051-9d33-0eb7f1b4f25b.json | N/A | N/A | N/A | N/A | N/A | PAS839113807 | Preferred Provider Organization (PPO) | ATT BROAD OPTION 1 | BLUE SHIELD OF CALIFORNIA | N/A | 2012-11-14 | N/A | 416964 | N/A | PR | false | IOANNOU | N/A | GEORGE | N/A | 9999-12-31 | 2026-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9866340168 | N/A | N/A | 6621141 | 2222 | 4801 | 17959638 | N/A | 5237460 | 2026-01-28 01:37:21.508917 | 2025-07-24 16:59:54.908041 |
| 2026-01-27 08:14:07.523471 | 2026-01-28 01:37:18.749516 | 17681086 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17681086 | Athletic Physical Therapy Inc | 1968-11-26 | 2026-01-30 | F | PT | N/A | PELLEGRINI | XAN913808278 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6165269/check_17681086_ecd6af3c-0aae-4151-bde5-aae2f0835683.json | N/A | N/A | N/A | N/A | N/A | XAN913808278 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1968-11-26 | 1479PPOX0002 | W0051411 | N/A | PR | false | PELLEGRINI | N/A | PATRICIA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9866340167 | N/A | N/A | 6165269 | 2222 | 4793 | 17959525 | N/A | 4807600 | 2026-01-28 01:37:18.749516 | 2025-06-18 15:19:08.524396 |
| 2026-01-27 08:14:07.108821 | 2026-01-28 01:40:41.242046 | 17681057 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17681057 | Athletic Physical Therapy Inc | 1951-03-27 | 2026-01-30 | F | AE | PT | Jaude | 9MG2QE6VF90 | Anne | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124906/check_17681057_6c710df6-1409-46bb-a391-04328d793ded.json | N/A | N/A | N/A | N/A | N/A | 9MG2QE6VF90 | N/A | N/A | CMS | N/A | 1951-03-27 | N/A | N/A | N/A | N/A | false | JAUDE | N/A | ANNE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9866340166 | N/A | N/A | 6124906 | 2222 | 4802 | 17966918 | N/A | 4767362 | 2026-01-28 01:40:41.242046 | 2025-09-19 16:49:18.601418 |
| 2026-01-27 08:14:06.576893 | 2026-01-28 01:36:50.184076 | 17681026 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 17681026 | Athletic Physical Therapy Inc | 1956-07-24 | 2026-01-29 | F | AE | PT | HOCHFELD | 00000365425 | PAMELA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676362/check_17681026_f8d340d7-136c-4785-8a22-d0474750648f.json | N/A | N/A | N/A | N/A | N/A | 00000365425 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-07-24 | H3815028 | N/A | N/A | HM | false | HOCHFELD | N/A | PAMELA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9866340165 | N/A | N/A | 5676362 | 2222 | 4793 | 17958302 | 2630 | 4219743 | 2026-01-28 01:36:50.184076 | 2025-12-04 22:36:02.632383 |
| 2026-01-27 08:14:06.351436 | 2026-01-28 01:34:25.311455 | 17681007 | N/A | N/A | 60054 | Aetna | 1114042165 | 17681007 | Athletic Physical Therapy Inc | 2012-12-14 | 2026-01-29 | M | AE | PT | Bigelow | W227343071 | EDWARD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550924/check_17681007_d68c6b8c-aec7-4ea3-b700-6ce4a7e2835a.json | N/A | N/A | N/A | N/A | N/A | W227343071 | Point of Service (POS) | ADOBE INC. | AETNA | N/A | 2012-12-14 | 0660819 | 066081901600001 | N/A | PS | false | BIGELOW | N/A | TIMOTHY | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9866340164 | N/A | N/A | 5550924 | 2222 | 4793 | 17952357 | N/A | 4219767 | 2026-01-28 01:34:25.311455 | 2026-03-10 05:28:29.748799 |
| 2026-01-27 08:14:06.124732 | 2026-01-28 01:36:46.118362 | 17680987 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 17680987 | Athletic Physical Therapy Inc | 1966-02-05 | 2026-01-29 | F | AE | PT | VANCELETTE | 99775204F | DEBORAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550875/check_17680987_c1803a0b-6e93-485c-8a98-de376a585566.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 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9866340163 | N/A | N/A | 5550875 | 2222 | 4802 | 17958131 | N/A | 4219732 | 2026-01-28 01:36:46.118362 | 2025-05-13 04:29:37.230772 |
| 2026-01-27 08:14:05.888903 | 2026-01-28 01:35:01.523745 | 17680974 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 17680974 | Athletic Physical Therapy Inc | 1970-09-15 | 2026-01-30 | F | AE | PT | DON | H74748118 | JACKIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550314/check_17680974_9d8cf9c6-95a9-4a76-bf63-72292fa68339.json | N/A | N/A | N/A | N/A | N/A | H74748118 | 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 | 1970-09-15 | N/A | 2B506001 | N/A | HN | false | DON | N/A | JACKIE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9866340162 | N/A | N/A | 5550314 | 2222 | 4801 | 17953763 | N/A | 4219523 | 2026-01-28 01:35:01.523745 | 2025-12-13 21:47:36.966446 |
| 2026-01-27 08:14:05.616793 | 2026-01-28 01:37:03.131756 | 17680956 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 17680956 | Athletic Physical Therapy Inc | 1955-10-09 | 2026-01-30 | M | PT | N/A | COE | JQS589W10732 | SCOTT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549514/check_17680956_b2b57eae-cffb-495e-8267-eaf62cd578ad.json | N/A | N/A | N/A | N/A | N/A | JQS589W10732 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1955-10-09 | 040 | CAMCRWP0 | N/A | MP | false | COE | N/A | SCOTT | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9866340161 | N/A | N/A | 5549514 | 2222 | 4801 | 17958860 | 4185 | 4219161 | 2026-01-28 01:37:03.131756 | 2025-10-16 23:24:12.118501 |
| 2026-01-27 08:14:05.300661 | 2026-01-28 01:40:44.565811 | 17680936 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17680936 | Athletic Physical Therapy Inc | 1947-11-15 | 2026-01-29 | F | AE | PT | NOGHREIAN | 6XG3KA2TP05 | FLORIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5548970/check_17680936_70ccaecf-b51c-4f63-a795-1415c766d8e0.json | N/A | N/A | N/A | N/A | N/A | 6XG3KA2TP05 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-11-15 | S5617 | N/A | N/A | MB | false | NOGHREIAN | N/A | FLORIA | N/A | N/A | N/A | N/A | N/A | 55025 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9866340160 | N/A | N/A | 5548970 | 2222 | 4802 | 17967000 | N/A | 4218728 | 2026-01-28 01:40:44.565811 | 2025-05-13 04:29:37.229718 |
| 2026-01-27 08:14:05.129324 | 2026-01-28 01:40:38.456118 | 17680925 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17680925 | Athletic Physical Therapy Inc | 1956-02-09 | 2026-01-29 | F | AE | PT | DOUGLAS | 6RW0R23KU11 | HEATHER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5548965/check_17680925_06b3f8e8-fa75-4643-98c6-e59f1fd2b5e7.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 | 50740 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9866340159 | N/A | N/A | 5548965 | 2222 | 4802 | 17966848 | N/A | 4218725 | 2026-01-28 01:40:38.456118 | 2025-05-13 04:29:37.229715 |
| 2026-01-27 08:14:04.955967 | 2026-01-28 01:40:36.709783 | 17680912 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17680912 | Athletic Physical Therapy Inc | 1957-05-23 | 2026-01-30 | F | AE | PT | CEASAR | 6XR6JY3MJ89 | DEBBIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543553/check_17680912_912b7c7f-bb6c-4e31-8957-67e2ddf768c7.json | N/A | N/A | N/A | N/A | N/A | 6XR6JY3MJ89 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-23 | S5660 | N/A | N/A | MA | false | CEASAR | N/A | DEBBIE | N/A | N/A | N/A | N/A | N/A | 66306 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9866340158 | N/A | N/A | 5543553 | 2222 | 4793 | 17966804 | N/A | 4215327 | 2026-01-28 01:40:36.709783 | 2025-05-13 04:29:37.229651 |
| 2026-01-27 08:14:04.524061 | 2026-01-28 01:36:10.637883 | 17680886 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 17680886 | Athletic Physical Therapy Inc | 1956-05-26 | 2026-01-30 | F | AD | 30 | TORRES | 40067303001 | OLGA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543371/check_17680886_9499da35-ea56-4461-8887-73ae4d409b5c.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 | AD | 30 | N/A | N/A | N/A | N/A | N/A | 9866340157 | N/A | N/A | 5543371 | 2222 | 4793 | 17956635 | 6237 | 4215172 | 2026-01-28 01:36:10.637883 | 2025-05-13 04:29:37.229489 |
| 2026-01-27 08:14:04.073696 | 2026-01-28 01:37:04.983977 | 17680859 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17680859 | Athletic Physical Therapy Inc | 1990-07-10 | 2026-01-30 | F | PT | N/A | Gadde | X8B487662CT | Lavanya | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543090/check_17680859_2125a53e-67d5-4d55-8ac1-5397d0914972.json | N/A | N/A | N/A | N/A | N/A | X8B487662CT | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1990-07-10 | N/A | N/A | N/A | N/A | false | GADDE | N/A | LAVANYA | 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 | 9866340156 | N/A | N/A | 5543090 | 2222 | 4793 | 17958923 | N/A | 4214925 | 2026-01-28 01:37:04.983977 | 2025-12-17 00:54:52.714750 |
| 2026-01-27 08:14:03.695411 | 2026-01-28 01:36:10.356434 | 17680832 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 17680832 | Athletic Physical Therapy Inc | 1957-01-21 | 2026-01-28 | M | AE | PT | SHADDY | 40064865601 | STEVE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543011/check_17680832_1f3e2d8b-1948-4991-ae21-113071aa0407.json | N/A | N/A | N/A | N/A | N/A | 40064865601 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1957-01-21 | N/A | N/A | N/A | N/A | false | SHADDY | N/A | STEVE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9866340155 | N/A | N/A | 5543011 | 2222 | 4801 | 17956625 | 6237 | 4214861 | 2026-01-28 01:36:10.356434 | 2026-02-04 19:10:58.526441 |
| 2026-01-27 08:14:03.374541 | 2026-01-28 01:37:05.582591 | 17680811 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17680811 | Athletic Physical Therapy Inc | 1967-09-16 | 2026-01-29 | M | PT | N/A | GOLDFILL | ALR918A22328 | AMIT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542979/check_17680811_735372c1-3c49-478b-875e-da5292c0a289.json | N/A | N/A | N/A | N/A | N/A | ALR918A22328 | Preferred Provider Organization (PPO) | GLOBAL SOLUTION PLATINUM PPO PLAN | ANTHEM BLUE CROSS | N/A | 1967-09-16 | 060 | 270191G1WA | N/A | PR | false | GOLDFILL | N/A | YOSSEPH | N/A | 9999-12-31 | 2025-01-01 | CT BLUE CARD PREFERRED PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9866340154 | N/A | N/A | 5542979 | 2222 | 4793 | 17958959 | N/A | 4214828 | 2026-01-28 01:37:05.582591 | 2025-05-13 04:29:37.229149 |
| 2026-01-27 08:14:03.046261 | 2026-01-28 01:34:26.948178 | 17680790 | N/A | N/A | 60054 | Aetna | 1114042165 | 17680790 | Athletic Physical Therapy Inc | 1982-02-18 | 2026-01-29 | M | AE | PT | TORGAN | W291598583 | SPENCER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542863/check_17680790_7137db84-d16d-4be6-9f7c-fd228260514f.json | N/A | N/A | N/A | N/A | N/A | W291598583 | Point of Service (POS) | MORGAN STANLEY DOMESTIC HOLDINGS, L | AETNA | N/A | 1982-02-18 | 0868849 | 086884901000001 | N/A | PS | false | TORGAN | N/A | SPENCER | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9866340153 | N/A | N/A | 5542863 | 2222 | 4793 | 17952423 | N/A | 4214725 | 2026-01-28 01:34:26.948178 | 2025-05-13 04:29:37.229043 |
| 2026-01-27 08:14:02.732875 | 2026-01-28 01:36:24.603420 | 17680774 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 17680774 | Athletic Physical Therapy Inc | 1971-09-10 | 2026-01-29 | M | AE | PT | STRONG | 292014001 | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542808/check_17680774_2cf56da6-ebaf-4ef1-b087-18aafce96c69.json | N/A | N/A | N/A | N/A | N/A | 292014001 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1971-09-10 | N/A | 234485 | N/A | C1 | false | STRONG | N/A | JOHN | N/A | N/A | N/A | SIGNATUREVALUE HMO PLATINUM | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9866340152 | N/A | N/A | 5542808 | 2222 | 4801 | 17957220 | 6411 | 4214674 | 2026-01-28 01:36:24.603420 | 2025-05-13 04:29:37.228994 |
| 2026-01-27 08:14:02.274382 | 2026-01-28 01:36:46.386931 | 17680745 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 17680745 | Athletic Physical Therapy Inc | 1979-11-17 | 2026-01-30 | F | AE | PT | WOODS | 96781627F | JESSICA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542752/check_17680745_bfca29cc-eaab-4197-94d4-c522cc2dc05d.json | N/A | N/A | N/A | N/A | N/A | 96781627F | N/A | N/A | HEALTH NET, LLC | N/A | 1979-11-17 | N/A | N/A | N/A | N/A | false | WOODS | N/A | JESSICA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9866340151 | N/A | N/A | 5542752 | 2222 | 4793 | 17958142 | 4625 | 4214627 | 2026-01-28 01:36:46.386931 | 2025-06-23 18:58:46.304598 |
| 2026-01-27 08:14:01.745548 | 2026-01-28 01:37:18.446727 | 17680715 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17680715 | Athletic Physical Therapy Inc | 1991-05-27 | 2026-01-30 | M | PT | N/A | MOYNIHAN | QMS905764029 | KEITH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542720/check_17680715_230423ad-fbad-4904-ba7c-474c02966f26.json | N/A | N/A | N/A | N/A | N/A | QMS905764029 | Preferred Provider Organization (PPO) | MILLENNIUM SPACE SYSTEMS INC | BLUE SHIELD CALIFORNIA | N/A | 1991-05-27 | 1000VX000102 | W0037357 | N/A | PR | false | MOYNIHAN | N/A | KEITH | N/A | N/A | N/A | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9866340150 | N/A | N/A | 5542720 | 2222 | 4802 | 17959512 | N/A | 4214596 | 2026-01-28 01:37:18.446727 | 2025-05-13 04:29:37.228923 |
| 2026-01-27 08:14:01.280039 | 2026-01-28 01:36:45.370430 | 17680680 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 17680680 | Athletic Physical Therapy Inc | 1968-04-07 | 2026-01-30 | F | AE | PT | CHERE | 98953535F | DIANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_17680680_67694bf2-9d85-4f6d-84c7-f41fe30edd81.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9866340149 | N/A | N/A | 5542660 | 2222 | 4802 | 17958099 | 4625 | 4214542 | 2026-01-28 01:36:45.370430 | 2025-05-13 04:29:37.228868 |
| 2026-01-27 08:14:01.093334 | 2026-01-28 01:37:05.866477 | 17680667 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17680667 | Athletic Physical Therapy Inc | 1957-03-15 | 2026-01-29 | F | PT | N/A | GOLDMAN | MBL801W11756 | ROBERTA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542655/check_17680667_1b794b2e-5ab3-4c66-862e-27fa2a98655a.json | N/A | N/A | N/A | N/A | N/A | MBL801W11756 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1957-03-15 | 040 | CAEGR005 | N/A | N/A | false | GOLDMAN | N/A | ROBERTA | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9866340148 | N/A | N/A | 5542655 | 2222 | 4802 | 17958973 | N/A | 4214541 | 2026-01-28 01:37:05.866477 | 2025-05-13 04:29:37.228867 |
| 2026-01-27 08:14:00.612620 | 2026-01-28 01:34:10.531665 | 17680634 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17680634 | Athletic Physical Therapy Inc | 1960-09-15 | 2026-01-29 | F | AE | PT | HAMI | 92932800G | FARIBA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542611/check_17680634_46ab3ca5-ce00-4fdd-ab01-038a494cfcc4.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MEDICARE PART AB CI003 | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1960-09-15 | BP0001 | QMXEM01909 | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | 2078-12-31 | 2025-11-01 | DUAL ELIGIBLE AGED - MSP - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9866340147 | N/A | N/A | 5542611 | 2222 | 4802 | 17951781 | 4211 | 4214490 | 2026-01-28 01:34:10.531665 | 2025-05-13 04:29:37.228806 |
| 2026-01-27 08:14:00.147982 | 2026-01-28 01:37:01.013319 | 17680604 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17680604 | Athletic Physical Therapy Inc | 1969-08-05 | 2026-01-28 | F | PT | N/A | ABRAHAM | JQU232A63569 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542580/check_17680604_1d1baf62-baed-4147-ab3b-0709f7767a2f.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 | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9866340956 | N/A | N/A | 5542580 | 2222 | 4793 | 17958771 | N/A | 4214472 | 2026-01-28 01:37:01.013319 | 2025-12-01 23:39:05.994242 |
| 2026-01-27 08:13:59.683229 | 2026-01-28 01:40:46.093748 | 17680578 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17680578 | Athletic Physical Therapy Inc | 1959-10-03 | 2026-01-30 | F | AE | PT | REED | 2YY5KV0WP59 | SONIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542497/check_17680578_5b31c814-26e3-42a3-80aa-62d1a8234cbe.json | N/A | N/A | N/A | N/A | N/A | 2YY5KV0WP59 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-10-03 | S5617 | N/A | N/A | MB | false | REED | N/A | SONIA | N/A | N/A | N/A | N/A | N/A | 27976 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9866340955 | N/A | N/A | 5542497 | 2222 | 4801 | 17967046 | N/A | 4214397 | 2026-01-28 01:40:46.093748 | 2025-05-13 04:29:37.228723 |
| 2026-01-27 08:13:59.464581 | 2026-01-28 01:40:43.119073 | 17680564 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17680564 | Athletic Physical Therapy Inc | 1953-03-17 | 2026-01-30 | F | AE | PT | MARCUS | 4VG5XF7HN64 | LISSA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542318/check_17680564_c954ca73-8982-47ee-a88f-ac56222a270a.json | N/A | N/A | N/A | N/A | N/A | 4VG5XF7HN64 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-03-17 | S4802 | N/A | N/A | MA | false | MARCUS | N/A | LISSA | N/A | N/A | N/A | N/A | N/A | 20200 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9866340954 | N/A | N/A | 5542318 | 2222 | 4802 | 17966966 | N/A | 4214241 | 2026-01-28 01:40:43.119073 | 2025-05-13 04:29:37.228574 |
| 2026-01-27 08:13:59.098705 | 2026-01-28 01:40:41.567839 | 17680542 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17680542 | Athletic Physical Therapy Inc | 1936-09-29 | 2026-01-29 | M | AE | PT | JAUDE | 8D38EF9GV30 | KARIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542251/check_17680542_6d46e0f3-6e99-4de6-b3ab-57d95de58405.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MB | false | JAUDE | N/A | KARIM | N/A | N/A | N/A | N/A | N/A | 29777 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9866340953 | N/A | N/A | 5542251 | 2222 | 4802 | 17966927 | N/A | 4214191 | 2026-01-28 01:40:41.567839 | 2025-05-13 04:29:37.228525 |
| 2026-01-27 08:13:58.594817 | 2026-01-28 01:36:50.420973 | 17680512 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 17680512 | Athletic Physical Therapy Inc | 1957-10-24 | 2026-01-30 | F | AE | PT | MCSHEA | 00000364203 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542046/check_17680512_e1c423cc-1eae-40fe-b983-29d8e5fa5e4a.json | N/A | N/A | N/A | N/A | N/A | 00000364203 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-10-24 | H3815028 | N/A | N/A | HM | false | MCSHEA | N/A | SANDRA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9866340952 | N/A | N/A | 5542046 | 2222 | 4801 | 17958312 | 2630 | 4214001 | 2026-01-28 01:36:50.420973 | 2025-05-13 04:29:37.228323 |
| 2026-01-27 08:13:58.195428 | 2026-01-28 01:34:11.770659 | 17680488 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17680488 | Athletic Physical Therapy Inc | 1961-02-27 | 2026-01-28 | M | AE | PT | SHRIVER | 90771207E | DANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541984/check_17680488_f05b6db7-0564-4c8f-9453-b1a4772e5aee.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 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9866340951 | N/A | N/A | 5541984 | 2222 | 4802 | 17951824 | 4211 | 4213934 | 2026-01-28 01:34:11.770659 | 2026-01-27 23:36:44.802366 |
| 2026-01-27 08:13:57.651192 | 2026-01-28 01:36:24.848456 | 17680452 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 17680452 | Athletic Physical Therapy Inc | 1947-02-01 | 2026-01-30 | M | AE | PT | YEE | 9118772604 | HARRY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260127.102118387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541972/check_17680452_a4a0aa5a-8f4a-4af5-bfe6-7d2a767d0171.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 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9866340950 | N/A | N/A | 5541972 | 2222 | 4793 | 17957232 | 6411 | 4213941 | 2026-01-28 01:36:24.848456 | 2025-05-13 04:29:37.228259 |