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 | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-15 09:04:43.276369 | 2025-06-15 18:44:21.194669 | 8920537 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8920537 | Athletic Physical Therapy Inc | 1970-03-04 | 2025-06-17 | F | AE | PT | VITATOE | 4YM5KY1DG73 | RHONDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550839/check_8920537_851326d3-b1ab-4ec4-8e5b-9dea67b0e349.json | N/A | N/A | N/A | N/A | N/A | 4YM5KY1DG73 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1970-03-04 | S4802 | N/A | N/A | MA | false | VITATOE | N/A | RHONDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7947817104 | N/A | N/A | 5550839 | 2222 | 4801 | 8638399 | N/A | 4219707 | 2025-06-15 18:44:21.194669 | 2025-05-13 04:29:37.230750 |
| 2025-06-15 09:04:42.910509 | 2025-06-15 18:27:28.457742 | 8920491 | N/A | N/A | 60054 | Aetna | 1114042165 | 8920491 | Athletic Physical Therapy Inc | 1970-02-16 | 2025-06-17 | M | PT | AE | OCHOA | W263373040 | JACK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550823/check_8920491_76b7bfe9-4cb0-4490-9d35-0c5e6ba27230.json | N/A | N/A | N/A | N/A | N/A | W263373040 | Preferred Provider Organization (PPO) | HOSPITAL CORPORATION OF AMERICA | AETNA | N/A | 1970-02-16 | 0160879 | 016087905000013 | N/A | PR | false | OCHOA | N/A | JACK | N/A | N/A | N/A | OPEN CHOICE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947817103 | N/A | N/A | 5550823 | 2222 | 4801 | 8629714 | N/A | 4219698 | 2025-06-15 18:27:28.457742 | 2025-05-13 04:29:37.230743 |
| 2025-06-15 09:04:42.778668 | 2025-06-16 06:03:04.967372 | 8920473 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8920473 | Athletic Physical Therapy Inc | 1990-11-01 | 2025-06-16 | F | PT | N/A | BRIGHT | G9X845W07853 | HALEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140840962.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6133568/check_8920473_664c4ffb-25e9-4112-8fb2-3d4c7261cc3c.json | N/A | N/A | N/A | N/A | N/A | G9X845W07853 | Preferred Provider Organization (PPO) | GOODRX INC CA/OOS | ANTHEM BLUE CROSS | N/A | 1990-11-01 | 040 | 282182M001 | N/A | PR | false | HUMPHREYS | N/A | IAN | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER CLASSIC MULTI-CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7947762606 | N/A | N/A | 6133568 | 2222 | 4793 | 8652854 | N/A | 4209943 | 2025-06-16 06:03:04.967372 | 2025-05-13 04:29:37.224360 |
| 2025-06-15 09:04:42.563638 | 2025-06-15 18:23:29.168652 | 8920444 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8920444 | Athletic Physical Therapy Inc | 1964-09-23 | 2025-06-17 | F | PT | AE | FLORES | R04366782FS1 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550814/check_8920444_36f7d4f9-7b6f-450f-acbc-df65819d1c98.json | N/A | N/A | N/A | N/A | N/A | R04366782FS1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-09-23 | N/A | N/A | N/A | N/A | false | FLORES | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947817102 | N/A | N/A | 5550814 | 2222 | 4801 | 8628611 | N/A | 4219692 | 2025-06-15 18:23:29.168652 | 2025-05-13 04:29:37.230737 |
| 2025-06-15 09:04:42.345142 | 2025-06-15 18:27:19.935004 | 8920412 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | 8920412 | Athletic Physical Therapy Inc | 1960-10-21 | 2025-06-17 | M | PT | AE | UPSON | 15831U29031 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550812/check_8920412_514bd888-3a6b-48d7-8035-03a7ca7f6135.json | N/A | N/A | N/A | N/A | N/A | 15831U29031 | N/A | N/A | MEDI-SHARE | N/A | 1960-10-21 | N/A | N/A | N/A | N/A | false | UPSON | N/A | MARK | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947817101 | N/A | N/A | 5550812 | 2222 | 4801 | 8629656 | N/A | 4219691 | 2025-06-15 18:27:19.935004 | 2025-05-13 04:29:37.230736 |
| 2025-06-15 09:04:42.134843 | 2025-06-15 18:44:12.171738 | 8920382 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8920382 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-06-17 | F | PT | AE | MARTIN | 5YV3RT3TA75 | DOLLY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550797/check_8920382_8d14ac9b-d900-4ba5-af04-08eeb59122bc.json | N/A | N/A | N/A | N/A | N/A | 5YV3RT3TA75 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-09-13 | N/A | N/A | N/A | MB | false | MARTIN | N/A | DOLLY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947817100 | N/A | N/A | 5550797 | 2222 | 4793 | 8638336 | N/A | 4219681 | 2025-06-15 18:44:12.171738 | 2026-01-14 20:54:02.193776 |
| 2025-06-15 09:04:41.835339 | 2025-06-15 18:34:26.636436 | 8920351 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 8920351 | Athletic Physical Therapy Inc | 1954-03-04 | 2025-06-17 | M | AE | PT | ARUJO | 00000223568 | RAMON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550751/check_8920351_f0cbe7b1-cc9a-4594-a54c-775563924aa6.json | N/A | N/A | N/A | N/A | N/A | 00000223568 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1954-03-04 | H3815028 | N/A | N/A | HM | false | ARUJO | N/A | RAMON | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7947817099 | N/A | N/A | 5550751 | 2222 | 4801 | 8633305 | 2630 | 4219640 | 2025-06-15 18:34:26.636436 | 2025-05-13 04:29:37.230682 |
| 2025-06-15 09:04:41.561427 | 2025-06-15 18:27:29.857300 | 8920319 | N/A | N/A | 60054 | Aetna | 1114042165 | 8920319 | Athletic Physical Therapy Inc | 1961-11-04 | 2025-06-18 | F | PT | AE | SANTITORO | W267422430 | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550743/check_8920319_268fda15-20f0-4558-9a7a-fae3f93a1d37.json | N/A | N/A | N/A | N/A | N/A | W267422430 | Point of Service (POS) | CIENA CORPORATION | AETNA | N/A | 1961-11-04 | 0486875 | 048687501000001 | N/A | PS | false | SANTITORO | N/A | RALPH | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947817098 | N/A | N/A | 5550743 | 2222 | 4801 | 8629720 | N/A | 4219643 | 2025-06-15 18:27:29.857300 | 2025-05-13 04:29:37.230685 |
| 2025-06-15 09:04:41.351133 | 2025-06-15 18:23:57.989086 | 8920294 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8920294 | Athletic Physical Therapy Inc | 1943-06-13 | 2025-06-18 | F | PT | AE | DOULTON | JQW535W08774 | ELAINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550735/check_8920294_39933eaa-76e3-48aa-abe2-de9629637a72.json | N/A | N/A | N/A | N/A | N/A | JQW535W08774 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1943-06-13 | N/A | N/A | N/A | N/A | false | DOULTON | N/A | ELAINE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947817097 | N/A | N/A | 5550735 | 2222 | 4801 | 8628714 | N/A | 4219637 | 2025-06-15 18:23:57.989086 | 2025-06-09 15:04:30.013896 |
| 2025-06-15 09:04:41.134161 | 2025-06-15 18:44:14.703771 | 8920265 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8920265 | Athletic Physical Therapy Inc | 1947-03-15 | 2025-06-18 | M | PT | AE | RASHMAN | 9FN0XY7RR02 | RICHARD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550657/check_8920265_405fb964-66f8-4b49-b585-8ba4d8b3f87f.json | N/A | N/A | N/A | N/A | N/A | 9FN0XY7RR02 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-03-15 | S4802 | N/A | N/A | MA | false | RASHMAN | N/A | RICHARD | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947817096 | N/A | N/A | 5550657 | 2222 | 4802 | 8638350 | N/A | 4219593 | 2025-06-15 18:44:14.703771 | 2025-05-13 04:29:37.230634 |
| 2025-06-15 09:04:40.882521 | 2025-06-15 18:44:02.520832 | 8920233 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8920233 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-06-17 | F | PT | AE | BRADBURY | 5W31MW6FP03 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550534/check_8920233_ca982f7a-02ef-47b0-801a-07cb561dc246.json | N/A | N/A | N/A | N/A | N/A | 5W31MW6FP03 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-01 | S5617 | N/A | N/A | MB | false | BRADBURY | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947817095 | N/A | N/A | 5550534 | 2222 | 4801 | 8638252 | N/A | 4219556 | 2025-06-15 18:44:02.520832 | 2025-05-13 04:29:37.230592 |
| 2025-06-15 09:04:40.639137 | 2025-06-15 18:44:10.085030 | 8920196 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8920196 | Athletic Physical Therapy Inc | 1951-08-07 | 2025-06-18 | F | PT | AE | JOEL | 9TY9VF4DK26 | CANDACE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550243/check_8920196_f4a444f9-1a6d-4270-a296-39f0caf32775.json | N/A | N/A | N/A | N/A | N/A | 9TY9VF4DK26 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-08-07 | S4802 | N/A | N/A | MA | false | JOEL | N/A | CANDACE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947817094 | N/A | N/A | 5550243 | 2222 | 4801 | 8638322 | N/A | 4212766 | 2025-06-15 18:44:10.085030 | 2025-05-13 04:29:37.227101 |
| 2025-06-15 09:04:40.276876 | 2025-06-15 18:44:04.265901 | 8920144 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8920144 | Athletic Physical Therapy Inc | 1951-12-26 | 2025-06-17 | M | AE | PT | FINEBERG | 9FX3D52YD09 | MARTIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549981/check_8920144_634c10d2-f3cc-4064-9734-c73a53a7a593.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MA | false | FINEBERG | N/A | MARTIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7947817092 | N/A | N/A | 5549981 | 2222 | 4802 | 8638266 | N/A | 4219436 | 2025-06-15 18:44:04.265901 | 2025-05-13 04:29:37.230471 |
| 2025-06-15 09:04:40.073103 | 2025-06-15 18:23:37.712620 | 8920117 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8920117 | Athletic Physical Therapy Inc | 1949-06-06 | 2025-06-16 | M | PT | AE | WILSON | 31187497801 | MARVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549707/check_8920117_559498f2-a631-41a4-a549-c6c7e3049b10.json | N/A | N/A | N/A | N/A | N/A | 31187497801 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1949-06-06 | N/A | N/A | N/A | N/A | false | WILSON | N/A | MARVIN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947817091 | N/A | N/A | 5549707 | 2222 | 4801 | 8628643 | N/A | 4219317 | 2025-06-15 18:23:37.712620 | 2025-05-13 04:29:37.230340 |
| 2025-06-15 09:04:39.894253 | 2025-06-15 18:44:09.230090 | 8920091 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8920091 | Athletic Physical Therapy Inc | 1942-04-09 | 2025-06-18 | F | PT | AE | JALLAD | 7AY7QW7EK46 | IKRAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549454/check_8920091_a981ed3f-ccfe-4aee-b168-9c43a54b2452.json | N/A | N/A | N/A | N/A | N/A | 7AY7QW7EK46 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-04-09 | S5617 | N/A | N/A | MB | false | JALLAD | N/A | IKRAM | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947817090 | N/A | N/A | 5549454 | 2222 | 4801 | 8638317 | N/A | 4219116 | 2025-06-15 18:44:09.230090 | 2025-05-16 16:43:35.854220 |
| 2025-06-15 09:04:39.679785 | 2025-06-16 05:09:54.792698 | 8920061 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8920061 | Athletic Physical Therapy Inc | 1961-05-24 | 2025-06-16 | M | PT | N/A | TIDMORE | XOX826489646 | FRED | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140829367.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6079116/check_8920061_cbd258d2-dec2-4339-8b0e-af7906405d82.json | N/A | N/A | N/A | N/A | N/A | XOX826489646 | Preferred Provider Organization (PPO) | SODICK, INC. | BLUE SHIELD OF CALIFORNIA | N/A | 1961-05-24 | N/A | 327914 | N/A | PR | false | TIDMORE | N/A | FRED | N/A | 9999-12-31 | 2023-10-01 | PPO DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7947760329 | N/A | N/A | 6079116 | 2222 | 4801 | 8646546 | N/A | 4723148 | 2025-06-16 05:09:54.792698 | 2025-05-30 15:53:57.629593 |
| 2025-06-15 09:04:39.662501 | 2025-06-15 18:35:23.809893 | 8920057 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8920057 | Athletic Physical Therapy Inc | 1957-04-19 | 2025-06-16 | F | PT | AE | VALDIVIA | JQW088W14517 | CRISTINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549398/check_8920057_13138fb4-ecca-4cc0-92e2-f1e8cc729874.json | N/A | N/A | N/A | N/A | N/A | JQW088W14517 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1957-04-19 | 040 | CAMCRWP0 | N/A | MP | false | VALDIVIA | N/A | CRISTINA | N/A | 9999-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947817089 | N/A | N/A | 5549398 | 2222 | 4801 | 8633819 | N/A | 4219064 | 2025-06-15 18:35:23.809893 | 2025-06-06 15:26:44.406275 |
| 2025-06-15 09:04:39.469449 | 2025-06-15 18:23:25.823607 | 8920023 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8920023 | Athletic Physical Therapy Inc | 1965-07-05 | 2025-06-17 | F | PT | AE | CEJA | W0052266 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549285/check_8920023_7a6dc875-1df2-466e-85af-f7befc9ed772.json | N/A | N/A | N/A | N/A | N/A | W0052266 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1965-07-05 | N/A | N/A | N/A | N/A | false | CEJA | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947817088 | N/A | N/A | 5549285 | 2222 | 4801 | 8628601 | N/A | 4218983 | 2025-06-15 18:23:25.823607 | 2025-05-13 04:29:37.230000 |
| 2025-06-15 09:04:38.112611 | 2025-06-16 06:04:29.731798 | 8919853 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8919853 | Athletic Physical Therapy Inc | 1956-01-20 | 2025-06-17 | F | AE | PT | SCHLEIKORN | XDD664W08200 | MARIETTE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140852314.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550960/check_8919853_ab3d06a1-55b1-46ce-918e-7bbdbb27a5ae.json | N/A | N/A | N/A | N/A | N/A | XDD664W08200 | Supplemental Policy | LOS ANGELES COUNTY EMPLOYEE RETIREMENT ASSOC | ANTHEM BLUE CROSS | N/A | 1956-01-20 | 040 | 1264MD | N/A | SP | false | SCHLEIKORN | N/A | MARIETTE | N/A | 9999-12-31 | 2024-03-01 | MEDICARE SUPPLEMENT-PBP PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7947766153 | N/A | N/A | 5550960 | 2222 | 4793 | 8653310 | N/A | 4219792 | 2025-06-16 06:04:29.731798 | 2025-05-13 04:29:37.230832 |
| 2025-06-15 09:04:37.989933 | 2025-06-16 06:04:28.571413 | 8919835 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8919835 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-06-17 | F | PT | AE | MARTIN | DGA11867912J | DOLLY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140852314.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550799/check_8919835_1f157534-ac6a-4d4c-9c9b-753b90be224b.json | N/A | N/A | N/A | N/A | N/A | 5YV3RT3TA75 | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | MEDICARE B | N/A | 1944-09-13 | 040 | 276945M001 | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2013-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947766152 | N/A | N/A | 5550799 | 2222 | 4793 | 8653304 | N/A | 4219681 | 2025-06-16 06:04:28.571413 | 2026-01-14 20:54:02.193776 |
| 2025-06-15 09:04:37.845092 | 2025-06-16 06:04:27.104942 | 8919817 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8919817 | Athletic Physical Therapy Inc | 1960-03-13 | 2025-06-18 | M | AE | PT | COLLINS | JQE212W23450 | CHARLES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140852314.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550686/check_8919817_766fde94-d76f-4de5-b387-d8f95303794b.json | N/A | N/A | N/A | N/A | N/A | JQE212W23450 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1960-03-13 | 040 | CASUPWP0 | N/A | N/A | false | COLLINS | N/A | CHARLES | N/A | 9999-12-31 | 2025-04-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7947766151 | N/A | N/A | 5550686 | 2222 | 4801 | 8653294 | N/A | 4219605 | 2025-06-16 06:04:27.104942 | 2025-06-06 16:26:34.530119 |
| 2025-06-15 09:04:37.709332 | 2025-06-16 06:05:18.999805 | 8919798 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8919798 | Athletic Physical Therapy Inc | 1947-03-15 | 2025-06-18 | M | PT | AE | RASHMAN | XEM909129373 | RICHARD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140852314.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550658/check_8919798_27a8cb8c-b48d-4592-8c78-1f28bd623dc5.json | N/A | N/A | N/A | N/A | N/A | XEM909129373 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1947-03-15 | 2002SE000029 | X0001002 | N/A | OT | false | RASHMAN | N/A | RICHARD | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947766150 | N/A | N/A | 5550658 | 2222 | 4802 | 8653588 | N/A | 4219593 | 2025-06-16 06:05:18.999805 | 2025-05-13 04:29:37.230634 |
| 2025-06-15 09:04:37.643829 | 2025-06-16 06:04:26.456726 | 8919787 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8919787 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-06-17 | F | PT | AE | BRADBURY | JQE669W05502 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140852314.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550535/check_8919787_e7913dd5-84e7-4290-a4b2-b26a00464bdb.json | N/A | N/A | N/A | N/A | N/A | JQE669W05502 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-06-01 | 040 | CASUPWP0 | N/A | N/A | false | BRADBURY | N/A | BONNIE | N/A | 9999-12-31 | 2022-12-01 | CA PLAN F INNOVATIVE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947766149 | N/A | N/A | 5550535 | 2222 | 4801 | 8653290 | N/A | 4219556 | 2025-06-16 06:04:26.456726 | 2025-05-13 04:29:37.230592 |
| 2025-06-15 09:04:37.515182 | 2025-06-16 06:02:39.504208 | 8919771 | N/A | N/A | 71412 | Mutual of Omaha Insurance Company | 1114042165 | 8919771 | Athletic Physical Therapy Inc | 1951-08-07 | 2025-06-18 | F | PT | AE | JOEL | 51533897 | CANDACE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140852314.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550248/check_8919771_41ea5b8e-52e9-4105-b0cc-97bc209b78f2.json | N/A | N/A | N/A | N/A | N/A | 515338-97 | N/A | N/A | MUTUAL OF OMAHA | MUTUAL OF OMAHA OFFERS ONLINE ACCESS TO ELIGIBILITY, BENEFITS AND DETAILED CLAIM STATUS INFORMATION AT WWW.MUTUALOFOMAHA.COM/PROVIDERACCESS | 1951-08-07 | N/A | N/A | N/A | N/A | false | JOEL | N/A | CANDACE | N/A | N/A | N/A | MEDICARE SUPPLEMENT - PLAN TYPE F | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947766148 | N/A | N/A | 5550248 | 2222 | 4801 | 8652706 | N/A | 4212766 | 2025-06-16 06:02:39.504208 | 2025-05-13 04:29:37.227101 |
| 2025-06-15 09:04:36.845176 | 2025-06-16 06:04:28.014811 | 8919693 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8919693 | Athletic Physical Therapy Inc | 1949-12-17 | 2025-06-18 | M | AE | PT | GEVURTZ | JQE714A62350 | IRWIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140852314.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543273/check_8919693_d9763a01-f6f2-4ce5-aa87-fc2d19411053.json | N/A | N/A | N/A | N/A | N/A | JQE714A62350 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1949-12-17 | 040 | CASUPWP0 | N/A | N/A | false | GEVURTZ | N/A | IRWIN | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7947766142 | N/A | N/A | 5543273 | 2222 | 4802 | 8653300 | N/A | 4215069 | 2025-06-16 06:04:28.014811 | 2025-05-13 04:29:37.229385 |
| 2025-06-15 09:04:36.845471 | 2025-06-16 05:13:13.451196 | 8919691 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8919691 | Athletic Physical Therapy Inc | 1954-07-17 | 2025-06-16 | F | PT | AE | EDWARDS | 6HW5XY3AH52 | JOAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140829367.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078387/check_8919691_358cdb09-46a0-409e-98f6-52ade63fade9.json | N/A | N/A | N/A | N/A | N/A | 6HW5XY3AH52 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-07-17 | S4802 | N/A | N/A | MB | false | EDWARDS | N/A | JOAN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947760296 | N/A | N/A | 6078387 | 2222 | 4802 | 8648137 | N/A | 4722636 | 2025-06-16 05:13:13.451196 | 2025-06-02 23:35:29.493163 |
| 2025-06-15 09:04:36.705950 | 2025-06-16 06:02:24.378708 | 8919673 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8919673 | Athletic Physical Therapy Inc | 1940-11-11 | 2025-06-16 | M | PT | AE | GOLDBERG | U5126496602 | MICAHEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140852314.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542973/check_8919673_7f739aa5-6d68-4eb3-9875-39545c3fcde7.json | N/A | N/A | N/A | N/A | N/A | U5126496602 | Indemnity | MONTGOMERY COUNTY PUBLIC SCHOOLS | CHLIC | N/A | 1940-11-11 | N/A | 2501729 | N/A | IN | false | GOLDBERG | N/A | MICHAEL | N/A | N/A | N/A | INDEMNITY | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947766141 | N/A | N/A | 5542973 | 2222 | 4802 | 8652622 | N/A | 4214820 | 2025-06-16 06:02:24.378708 | 2025-06-30 02:56:23.324592 |
| 2025-06-15 09:04:36.569837 | 2025-06-16 06:02:24.110526 | 8919657 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8919657 | Athletic Physical Therapy Inc | 1944-10-29 | 2025-06-16 | F | PT | AE | GOLDBERG | U51264966 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140852314.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542937/check_8919657_a648a25e-03a5-46a6-ac63-4e83ad1e5c92.json | N/A | N/A | N/A | N/A | N/A | U5126496601 | Indemnity | MONTGOMERY COUNTY PUBLIC SCHOOLS | CHLIC | N/A | 1944-10-29 | N/A | 2501729 | N/A | IN | false | GOLDBERG | N/A | LINDA | N/A | N/A | N/A | INDEMNITY | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947766140 | N/A | N/A | 5542937 | 2222 | 4802 | 8652620 | N/A | 4214789 | 2025-06-16 06:02:24.110526 | 2025-12-11 23:30:31.319246 |
| 2025-06-15 09:04:36.506527 | 2025-06-16 05:06:16.696573 | 8919650 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8919650 | Athletic Physical Therapy Inc | 1996-03-28 | 2025-06-16 | F | PT | AE | SAGMAN | U9205101701 | SYDNEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140829367.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078312/check_8919650_7d64ad6c-7312-4c51-a211-a7e3fc75acef.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 | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947760291 | N/A | N/A | 6078312 | 2222 | 4802 | 8644840 | N/A | 4722569 | 2025-06-16 05:06:16.696573 | 2025-08-26 00:16:35.895658 |
| 2025-06-15 09:04:36.300669 | 2025-06-16 06:01:01.756134 | 8919627 | N/A | N/A | 60054 | Aetna | 1114042165 | 8919627 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-06-16 | M | PT | AE | KORY | 102161581800 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140852314.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542870/check_8919627_71181cba-e11b-459f-80b9-98df76f2b5fd.json | N/A | N/A | N/A | N/A | N/A | 102161581800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1959-05-08 | 000003-CA000058 | 000003-CA | N/A | PR | false | KORY | N/A | MICHAEL | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947766139 | N/A | N/A | 5542870 | 2222 | 4793 | 8652008 | N/A | 4214732 | 2025-06-16 06:01:01.756134 | 2025-06-24 20:13:53.579048 |
| 2025-06-15 09:04:36.240440 | 2025-06-16 05:13:12.811917 | 8919620 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8919620 | Athletic Physical Therapy Inc | 1951-05-08 | 2025-06-16 | F | AE | PT | BERNSTEIN NOAH | 6HK3VD1GN77 | PAULA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140829367.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078301/check_8919620_ba1e0d6a-97a8-4e25-8a1e-d0f426748ab0.json | N/A | N/A | N/A | N/A | N/A | 6HK3VD1GN77 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-05-08 | S5617 | N/A | N/A | MB | false | BERNSTEIN NOAH | N/A | PAULA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7947760290 | N/A | N/A | 6078301 | 2222 | 4802 | 8648128 | N/A | 4722556 | 2025-06-16 05:13:12.811917 | 2025-06-04 18:06:16.300392 |
| 2025-06-15 09:04:36.221483 | 2025-06-16 06:04:28.984432 | 8919618 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8919618 | Athletic Physical Therapy Inc | 1941-11-27 | 2025-06-18 | M | PT | AE | NEILSON | 468A54912 | GEORGE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140852314.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542625/check_8919618_a474f92d-f21f-4041-87ca-ba96b43d3d49.json | N/A | N/A | N/A | N/A | N/A | 468A54912 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1941-11-27 | N/A | N/A | N/A | N/A | false | NEILSON | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947766138 | N/A | N/A | 5542625 | 2222 | 4801 | 8653306 | N/A | 4214511 | 2025-06-16 06:04:28.984432 | 2025-05-13 04:29:37.228826 |
| 2025-06-15 09:04:36.096702 | 2025-06-16 06:04:27.728999 | 8919605 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8919605 | Athletic Physical Therapy Inc | 1950-10-11 | 2025-06-16 | F | PT | AE | FRANK | JQE134A79727 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140852314.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542269/check_8919605_beb7c99c-90fa-4a0d-9ba8-436e67f9073f.json | N/A | N/A | N/A | N/A | N/A | JQE134A79727 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1950-10-11 | 040 | CASUPWP0 | N/A | N/A | false | FRANK | N/A | KAREN | N/A | 9999-12-31 | 2022-01-01 | CA MODERNIZED PLAN G | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947766137 | N/A | N/A | 5542269 | 2222 | 4802 | 8653299 | N/A | 4214201 | 2025-06-16 06:04:27.728999 | 2025-05-13 04:29:37.228535 |
| 2025-06-15 09:04:36.013742 | 2025-06-16 06:04:30.638647 | 8919591 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8919591 | Athletic Physical Therapy Inc | 1952-05-13 | 2025-06-18 | M | PT | AE | WOLFE | JQE369M78235 | DIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140852314.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541818/check_8919591_77e7e8e9-5b44-4fbe-9163-d95e1b37efc5.json | N/A | N/A | N/A | N/A | N/A | JQE369M78235 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-05-13 | 040 | CASUPWP0 | N/A | N/A | false | WOLFE | N/A | DIA | N/A | 9999-12-31 | 2024-06-01 | CA MODERNIZED PLAN G | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947766136 | N/A | N/A | 5541818 | 2222 | 4801 | 8653313 | N/A | 4213795 | 2025-06-16 06:04:30.638647 | 2026-06-05 00:55:52.281598 |
| 2025-06-15 09:04:35.887470 | 2025-06-16 06:04:30.219566 | 8919573 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8919573 | Athletic Physical Therapy Inc | 1953-03-05 | 2025-06-16 | F | AE | PT | SESAR | JQE697M91288 | SHARON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140852314.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540948/check_8919573_cd2f97e8-be9b-4e54-989c-0d7c5275d691.json | N/A | N/A | N/A | N/A | N/A | JQE697M91288 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1953-03-05 | 040 | CASUPWP0 | N/A | N/A | false | SESAR | N/A | SHARON | N/A | 9999-12-31 | 2018-03-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7947766135 | N/A | N/A | 5540948 | 2222 | 4793 | 8653311 | N/A | 4213027 | 2025-06-16 06:04:30.219566 | 2025-06-25 17:17:00.282109 |
| 2025-06-15 09:04:35.822239 | 2025-06-16 06:05:18.690688 | 8919565 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8919565 | Athletic Physical Therapy Inc | 1957-08-09 | 2025-06-16 | M | PT | AE | DASILVA | XEM911406068 | BOB | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140852314.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540845/check_8919565_f24f2872-f8e1-4a26-9d84-809bb81362ae.json | N/A | N/A | N/A | N/A | N/A | XEM911406068 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1957-08-09 | 2002SE000028 | X0001002 | N/A | OT | false | DASILVA | N/A | BOB | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947766134 | N/A | N/A | 5540845 | 2222 | 4793 | 8653586 | N/A | 4212930 | 2025-06-16 06:05:18.690688 | 2025-05-13 04:29:37.227258 |
| 2025-06-15 09:04:35.739661 | 2025-06-16 05:57:10.347608 | 8919555 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8919555 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-06-18 | F | PT | AE | GNAD | 03840002311 | MELANIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140852314.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540682/check_8919555_576ff7c5-8360-4fa3-8afa-cfbec2960c24.json | N/A | N/A | N/A | N/A | N/A | 03840002311 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1946-04-16 | N/A | N/A | N/A | N/A | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947766133 | N/A | N/A | 5540682 | 2222 | 4801 | 8650671 | N/A | 4212792 | 2025-06-16 05:57:10.347608 | 2025-10-07 20:33:25.637997 |
| 2025-06-15 09:04:35.485521 | 2025-06-16 05:57:10.850330 | 8919518 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8919518 | Athletic Physical Therapy Inc | 1941-11-29 | 2025-06-18 | F | AE | PT | GODBOLD | 33204792612 | SHARI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140852314.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537863/check_8919518_aa963851-602a-43a1-99b0-63d7ebe98704.json | N/A | N/A | N/A | N/A | N/A | 33204792612 | 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. | 1941-11-29 | N/A | N/A | N/A | SP | false | GODBOLD | N/A | SHARI | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN N | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7947766131 | N/A | N/A | 5537863 | 2222 | 4802 | 8650674 | N/A | 4210360 | 2025-06-16 05:57:10.850330 | 2025-05-13 04:29:37.224766 |
| 2025-06-15 09:04:35.416955 | 2025-06-16 05:57:09.384185 | 8919509 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8919509 | Athletic Physical Therapy Inc | 1951-06-30 | 2025-06-16 | F | PT | AE | CHADORCHI | 33261790711 | JAFFA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140852314.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537483/check_8919509_1d25f183-e73b-46c6-bfb7-659bacc4278d.json | N/A | N/A | N/A | N/A | N/A | 33261790711 | 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. | 1951-06-30 | N/A | N/A | N/A | SP | false | CHADORCHI | N/A | JAFFA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947766130 | N/A | N/A | 5537483 | 2222 | 4802 | 8650668 | N/A | 4210038 | 2025-06-16 05:57:09.384185 | 2025-06-02 14:57:36.820684 |
| 2025-06-15 09:04:35.391340 | 2025-06-16 05:02:47.020020 | 8919507 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8919507 | Athletic Physical Therapy Inc | 1972-03-17 | 2025-06-17 | M | PT | N/A | BARNETT | JMV357W05874 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140829367.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078082/check_8919507_b9849e4d-73a4-418f-8613-3b046a00e1af.json | N/A | N/A | N/A | N/A | N/A | JMV357W05874 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1972-03-17 | N/A | N/A | N/A | N/A | false | BARNETT | N/A | MARK | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7947759564 | N/A | N/A | 6078082 | 2222 | 4793 | 8643439 | N/A | 4722340 | 2025-06-16 05:02:47.020020 | 2025-06-06 20:33:59.683125 |
| 2025-06-15 09:04:35.351577 | 2025-06-16 05:57:11.339374 | 8919502 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8919502 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-06-18 | M | PT | AE | ULLMAN | 557489000 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140852314.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535842/check_8919502_7d884d62-4183-40b7-8aab-f48a85de63cf.json | N/A | N/A | N/A | N/A | N/A | 557489000 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947766129 | N/A | N/A | 5535842 | 2222 | 4801 | 8650677 | N/A | 4208696 | 2025-06-16 05:57:11.339374 | 2025-06-07 16:16:45.844566 |
| 2025-06-15 09:04:32.375151 | 2025-06-16 05:08:27.302502 | 8919148 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 8919148 | Athletic Physical Therapy Inc | 1957-09-06 | 2025-06-16 | M | AE | PT | BECKLEY | 00000375188 | STEVE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140829367.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077164/check_8919148_7a5b7600-e8cc-457d-a259-646f1be9de72.json | N/A | N/A | N/A | N/A | N/A | 00000375188 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1957-09-06 | H3815028 | N/A | N/A | HM | false | BECKLEY | N/A | STEVE | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7947759530 | N/A | N/A | 6077164 | 2222 | 4793 | 8645840 | 2630 | 4720748 | 2025-06-16 05:08:27.302502 | 2025-06-11 15:34:07.942696 |
| 2025-06-15 09:04:23.046328 | 2025-06-16 05:13:13.827462 | 8917992 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8917992 | Athletic Physical Therapy Inc | 1957-05-22 | 2025-06-18 | F | AE | PT | Hugh | 8H19UT2PE13 | Debra | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140829367.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074786/check_8917992_017a0607-d9c0-4dc9-ac9c-9174c9c503ed.json | N/A | N/A | N/A | N/A | N/A | 8H19UT2PE13 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-22 | S5601 | N/A | N/A | MB | false | HUGH | N/A | DEBRA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7947760475 | N/A | N/A | 6074786 | 2222 | 4801 | 8648142 | N/A | 4718946 | 2025-06-16 05:13:13.827462 | 2025-06-04 21:27:14.065817 |
| 2025-06-15 09:04:22.620985 | 2025-06-15 18:23:29.880427 | 8917925 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8917925 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-06-16 | M | PT | AE | FORTIN | R14644640MS1 | NATHANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_8917925_bf6efefd-020f-408e-863a-cc925db76358.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947816666 | N/A | N/A | 5543425 | 2222 | 4801 | 8628617 | N/A | 4215211 | 2025-06-15 18:23:29.880427 | 2026-04-02 22:30:20.020246 |
| 2025-06-15 09:04:22.396478 | 2025-06-15 18:44:19.823344 | 8917891 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8917891 | Athletic Physical Therapy Inc | 1945-02-14 | 2025-06-18 | M | PT | AE | SLAUGHTER | 6V77P87YA36 | KAY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543377/check_8917891_78206bf1-4234-4eb0-953f-573d93a3cd22.json | N/A | N/A | N/A | N/A | N/A | 6V77P87YA36 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-02-14 | S5601 | N/A | N/A | MA | false | SLAUGHTER | N/A | KAY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947816665 | N/A | N/A | 5543377 | 2222 | 4802 | 8638386 | N/A | 4215177 | 2025-06-15 18:44:19.823344 | 2025-05-13 04:29:37.229493 |
| 2025-06-15 09:04:22.151212 | 2025-06-15 18:35:21.348932 | 8917857 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8917857 | Athletic Physical Therapy Inc | 1985-06-18 | 2025-06-18 | F | PT | N/A | SCHULMAN | XDP423M94945 | JESSICA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543362/check_8917857_a3117739-b7db-410b-bd9f-3d43167ad274.json | N/A | N/A | N/A | N/A | N/A | XDP423M94945 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1985-06-18 | 040 | 280629MK16 | N/A | PR | false | SCHULMAN | N/A | JESSICA | N/A | 9999-12-31 | 2025-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7947816664 | N/A | N/A | 5543362 | 2222 | 4793 | 8633788 | N/A | 4215155 | 2025-06-15 18:35:21.348932 | 2025-05-13 04:29:37.229472 |
| 2025-06-15 09:04:21.967255 | 2025-06-15 18:35:17.569099 | 8917830 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 8917830 | Athletic Physical Therapy Inc | 1960-09-07 | 2025-06-17 | M | PT | N/A | MEINERT | XEH912496752 | TIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543360/check_8917830_36932565-dac7-43b7-bbd8-b9c5a6135e6c.json | N/A | N/A | N/A | N/A | N/A | XEH912496752 | Health Maintenance Organization (HMO) | MILKEN COMMUNITY SCHOOLS | ANTHEM BLUE CROSS | N/A | 1960-09-07 | 1000HMOX0001 | W0070317 | N/A | HM | false | MEINERT | N/A | TIMOTHY | N/A | N/A | N/A | ACCESS HMO R PER ADMIT 10 250 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7947816663 | N/A | N/A | 5543360 | 2222 | 4793 | 8633756 | 4184 | 4215161 | 2025-06-15 18:35:17.569099 | 2025-05-13 04:29:37.229478 |
| 2025-06-15 09:04:21.733942 | 2025-06-15 18:35:08.666902 | 8917799 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8917799 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-06-17 | F | PT | N/A | DAKE | SIF326M90066 | RENEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543355/check_8917799_9f026667-139c-4da3-a7b5-4a1e1115f847.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | Preferred Provider Organization (PPO) | SISC - MEADOWS ARTS & TECH ELEMENTARY SCHOOL | ANTHEM BLUE CROSS | N/A | 1968-01-29 | 040 | 40424B | N/A | PR | false | DAKE | N/A | RENEE | N/A | 9999-12-31 | 2018-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7947816662 | N/A | N/A | 5543355 | 2222 | 4793 | 8633667 | N/A | 4215158 | 2025-06-15 18:35:08.666902 | 2025-05-13 04:29:37.229475 |
| 2025-06-15 09:04:21.550311 | 2025-06-15 18:25:32.159180 | 8917776 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 8917776 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-06-17 | F | PT | AE | SILVERS | 1866968 | JOIEMAY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543335/check_8917776_9fff7df9-5240-4d72-83d3-ad7ed4dce807.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-01-23 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | 2025-12-31 | 2025-01-01 | SILVER 87 HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947816661 | N/A | N/A | 5543335 | 2222 | 4802 | 8629184 | N/A | 4215139 | 2025-06-15 18:25:32.159180 | 2025-05-13 21:20:11.455022 |
| 2025-06-15 09:04:21.237322 | 2025-06-16 05:02:36.279638 | 8917742 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8917742 | Athletic Physical Therapy Inc | 1973-03-27 | 2025-06-16 | F | PT | AE | KAUFMAN | R05917930FM1 | AMANDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140829367.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074035/check_8917742_6ec31536-97b1-4236-8bc0-705ae060a0ae.json | N/A | N/A | N/A | N/A | N/A | R05917930FM1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1973-03-27 | N/A | N/A | N/A | N/A | false | KAUFMAN | N/A | AMANDA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947759849 | N/A | N/A | 6074035 | 2222 | 4801 | 8643414 | N/A | 4718592 | 2025-06-16 05:02:36.279638 | 2025-05-29 20:00:22.627186 |