API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-01-24 08:10:38.954105 | 2026-01-25 03:34:44.751199 | 17572650 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17572650 | Athletic Physical Therapy Inc | 1957-07-16 | 2026-01-27 | M | PT | GREENHALGE | 143A55388 | STEVE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14411082/check_17572650_6132ebb0-f4ee-40b2-89e6-897def4648ab.json | N/A | N/A | N/A | N/A | N/A | NCF143A55388 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1957-07-16 | 040 | 57AJCA | N/A | HM | false | GREENHALGE | N/A | STEVE | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9850094190 | N/A | N/A | 14411082 | 2222 | 4801 | 17840207 | N/A | 12546413 | 2026-01-25 03:34:44.751199 | 2026-02-05 22:22:26.212113 |
| 2026-01-24 08:10:38.620025 | 2026-01-25 03:34:46.807547 | 17572631 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 17572631 | Athletic Physical Therapy Inc | 1958-08-20 | 2026-01-27 | F | PT | MICHAEL | 291W2286820 | ABEBU | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14345284/check_17572631_8ce6df65-d56a-4795-b473-9d1f003ea280.json | N/A | N/A | N/A | N/A | N/A | 291W2286820 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1958-08-20 | N/A | N/A | N/A | N/A | false | MICHAEL | N/A | ABEBU | N/A | 9999-12-31 | 2025-02-01 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9850094189 | N/A | N/A | 14345284 | 2222 | 4802 | 17840232 | 4184 | 4534565 | 2026-01-25 03:34:46.807547 | 2026-03-10 20:57:14.661259 |
| 2026-01-24 08:10:38.108356 | 2026-01-25 03:38:47.344139 | 17572606 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17572606 | Athletic Physical Therapy Inc | 1955-09-26 | 2026-01-27 | F | AE | Sekhar | 1G35N33PH70 | Vasu | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14339190/check_17572606_ffd22f17-2f37-4aa0-b4b8-e2dbd26fa73b.json | N/A | N/A | N/A | N/A | N/A | 1G35N33PH70 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-09-26 | S5617 | N/A | N/A | MA | false | SEKHAR | N/A | VASU | N/A | N/A | N/A | N/A | N/A | 30791 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850094188 | N/A | N/A | 14339190 | 2222 | 4793 | 17842957 | N/A | 12476351 | 2026-01-25 03:38:47.344139 | 2026-01-18 18:06:46.384672 |
| 2026-01-24 08:10:37.943742 | 2026-01-25 03:38:40.603886 | 17572595 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17572595 | Athletic Physical Therapy Inc | 1964-10-15 | 2026-01-27 | F | AE | Antseliovich | 9UE7EK6ME45 | Yelena | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14339028/check_17572595_82e577b5-fa5c-4c36-95af-acfb7946e2d9.json | N/A | N/A | N/A | N/A | N/A | 9UE7EK6ME45 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1964-10-15 | S4802 | N/A | N/A | MA | false | ANTSELIOVICH | N/A | YELENA | N/A | N/A | N/A | N/A | N/A | 30380 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850094187 | N/A | N/A | 14339028 | 2222 | 4793 | 17842876 | N/A | 12476196 | 2026-01-25 03:38:40.603886 | 2025-12-17 00:17:13.955399 |
| 2026-01-24 08:10:37.533492 | 2026-01-25 03:34:48.772443 | 17572578 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17572578 | Athletic Physical Therapy Inc | 2011-08-19 | 2026-01-26 | F | PT | SETH HUNTER | 628A7430270 | TAYLOR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14324732/check_17572578_0fdb0d4a-6607-459c-b935-d5b0f586dc66.json | N/A | N/A | N/A | N/A | N/A | 628A7430270 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2011-08-19 | N/A | N/A | N/A | N/A | false | SETH HUNTER | N/A | TAYLOR | 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 | 9850094186 | N/A | N/A | 14324732 | 2222 | 4801 | 17840255 | N/A | 12463052 | 2026-01-25 03:34:48.772443 | 2025-12-22 20:52:15.149356 |
| 2026-01-24 08:10:37.226147 | 2026-01-25 03:34:21.095675 | 17572562 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 17572562 | Athletic Physical Therapy Inc | 1975-02-03 | 2026-01-27 | F | AE | Rogers | 000020304750 | Erin | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14298287/check_17572562_473f8592-49e6-41e2-955d-7012e69c114e.json | N/A | N/A | N/A | N/A | N/A | 000020304750 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1975-02-03 | 4332613 | 399999 | N/A | N/A | false | ROGERS | N/A | ERIN | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 87 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850094185 | N/A | N/A | 14298287 | 2222 | 4802 | 17839931 | N/A | 12432234 | 2026-01-25 03:34:21.095675 | 2025-12-16 23:22:49.710697 |
| 2026-01-24 08:10:36.906477 | 2026-01-25 03:38:44.423860 | 17572548 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17572548 | Athletic Physical Therapy Inc | 1939-03-14 | 2026-01-27 | M | AE | Mainland | 8DW0UX8AC37 | Richard | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14273866/check_17572548_f667c0c1-bea3-4a05-9402-1f4ee4f241f3.json | N/A | N/A | N/A | N/A | N/A | 8DW0UX8AC37 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-03-14 | S4802 | N/A | N/A | MA | false | MAINLAND | N/A | RICHARD | N/A | N/A | N/A | N/A | N/A | 33416 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850094184 | N/A | N/A | 14273866 | 2222 | 4802 | 17842922 | N/A | 12407790 | 2026-01-25 03:38:44.423860 | 2025-12-31 18:42:30.100074 |
| 2026-01-24 08:10:36.526390 | 2026-01-25 03:35:01.228498 | 17572529 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17572529 | Athletic Physical Therapy Inc | 2000-11-21 | 2026-01-27 | M | PT | Toobi | XDL045A69958 | Sean | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14226250/check_17572529_b7eaf425-2407-419c-81f8-d8abb5e26c81.json | N/A | N/A | N/A | N/A | N/A | XDL045A69958 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 2000-11-21 | 040 | PE4800 | N/A | PR | false | TOOBI | N/A | SEAN | N/A | 9999-12-31 | 2009-03-01 | RIGHTPLAN | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9850094182 | N/A | N/A | 14226250 | 2222 | 4802 | 17840405 | N/A | 12357271 | 2026-01-25 03:35:01.228498 | 2025-12-12 23:21:42.214124 |
| 2026-01-24 08:10:36.267135 | 2026-01-25 03:34:42.623191 | 17572515 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17572515 | Athletic Physical Therapy Inc | 1970-03-18 | 2026-01-27 | F | PT | Fardad Finn | JQU683A20101 | Farnaz | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14187202/check_17572515_d88828e7-aa0b-45a7-8b88-10b55860a5fd.json | N/A | N/A | N/A | N/A | N/A | JQU683A20101 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1970-03-18 | N/A | N/A | N/A | N/A | false | FARDAD FINN | N/A | FARNAZ | 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 | 9850094181 | N/A | N/A | 14187202 | 2222 | 4793 | 17840183 | N/A | 12318785 | 2026-01-25 03:34:42.623191 | 2026-03-02 22:19:42.373924 |
| 2026-01-24 08:10:35.961415 | 2026-01-25 03:31:49.689332 | 17572500 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 17572500 | override_provider | 1962-09-10 | 2026-01-27 | M | PT | M Johnson | KWS141015355001 | David | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14108628/check_17572500_d7992aba-fb0a-4c50-a420-12a26408d222.json | N/A | N/A | N/A | N/A | N/A | KWS141015355001 | Preferred Provider Organization (PPO) | BOIRON, INC. ACTIVE | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = FULLY INSURED | 1962-09-10 | 376 | 10897275 | N/A | PR | false | JOHNSON | N/A | DAVID | N/A | 9999-12-31 | 2025-07-01 | PPO BLUE HDHP MED/SURG | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9850094180 | N/A | N/A | 14108628 | 2222 | 4801 | 17838154 | N/A | 12247347 | 2026-01-25 03:31:49.689332 | 2025-12-10 23:35:09.824882 |
| 2026-01-24 08:10:35.612407 | 2026-01-25 03:38:41.717755 | 17572485 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17572485 | Athletic Physical Therapy Inc | 1959-05-15 | 2026-01-27 | F | AE | Cicciari | 4VM4EY9AM67 | Lynda | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14108420/check_17572485_91060b09-748c-403d-a23d-8227f2f1068e.json | N/A | N/A | N/A | N/A | N/A | 4VM4EY9AM67 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-05-15 | S5617 | N/A | N/A | MA | false | CICCIARI | N/A | LYNDA | N/A | N/A | N/A | N/A | N/A | 43236 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850094179 | N/A | N/A | 14108420 | 2222 | 4801 | 17842890 | N/A | 12247121 | 2026-01-25 03:38:41.717755 | 2025-12-17 23:22:24.041593 |
| 2026-01-24 08:10:35.322050 | 2026-01-25 03:38:45.807662 | 17572469 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17572469 | Athletic Physical Therapy Inc | 1956-12-17 | 2026-01-27 | M | AE | RANGEL ZUNIGA | 5DA7U87NX56 | LAZARO | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14106133/check_17572469_d6d0d487-761e-4b01-838a-ca3029c4d8b1.json | N/A | N/A | N/A | N/A | N/A | 5DA7U87NX56 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-12-17 | S4802 | N/A | N/A | MB | false | RANGEL-ZUNIGA | N/A | LAZARO | N/A | N/A | N/A | N/A | N/A | 50470 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850094178 | N/A | N/A | 14106133 | 2222 | 4801 | 17842939 | N/A | 12245075 | 2026-01-25 03:38:45.807662 | 2025-12-10 21:47:44.167225 |
| 2026-01-24 08:10:35.008805 | 2026-01-25 03:34:58.797302 | 17572455 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17572455 | Athletic Physical Therapy Inc | 1958-05-28 | 2026-01-27 | F | PT | GRAY | XEM912431675 | TAMMIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14052325/check_17572455_9cddc910-661d-4c00-977d-3c7a82101555.json | N/A | N/A | N/A | N/A | N/A | XEM912431675 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1958-05-28 | 2002SF000028 | X0001002 | N/A | OT | false | GRAY | N/A | TAMMIE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9850094177 | N/A | N/A | 14052325 | 2222 | 4801 | 17840376 | N/A | 12198042 | 2026-01-25 03:34:58.797302 | 2025-12-15 23:37:40.244228 |
| 2026-01-24 08:10:34.479561 | 2026-01-25 03:34:49.086047 | 17572433 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17572433 | Athletic Physical Therapy Inc | 1970-01-25 | 2026-01-27 | F | PT | STEWART | XDM771M99896 | JANIELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14037889/check_17572433_ad4f8b10-bee8-4c6d-8e26-248803e403f0.json | N/A | N/A | N/A | N/A | N/A | XDM771M99896 | Health Maintenance Organization (HMO) | UFCW BENEFIT FUNDS ADMIN LLC | ANTHEM BLUE CROSS | N/A | 1970-01-25 | 040 | 282241H001 | N/A | HM | false | STEWART | N/A | JANIELLE | N/A | 9999-12-31 | 2022-03-01 | CLASSIC SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9850094176 | N/A | N/A | 14037889 | 2222 | 4801 | 17840259 | N/A | 11788524 | 2026-01-25 03:34:49.086047 | 2025-12-03 18:16:49.699604 |
| 2026-01-24 08:10:34.080429 | 2026-01-25 03:33:36.691609 | 17572415 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 17572415 | Athletic Physical Therapy Inc | 1958-02-02 | 2026-01-27 | F | AD | Reardon | 40067213101 | Pamela | 30 | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13736409/check_17572415_36c0a010-4ea8-4e2f-a7f8-5cda00e88490.json | N/A | N/A | N/A | N/A | N/A | 40067213101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1958-02-02 | 2026H5425001 | H5425M | N/A | N/A | false | REARDON | N/A | PAMELA | 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 | 9850094175 | N/A | N/A | 13736409 | 2222 | 4801 | 17839416 | N/A | 11887763 | 2026-01-25 03:33:36.691609 | 2026-01-22 00:49:45.798733 |
| 2026-01-24 08:10:33.511231 | 2026-01-25 03:34:29.360720 | 17572392 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 17572392 | Athletic Physical Therapy Inc | 1956-03-07 | 2026-01-27 | M | AE | BURKS | 00000292168 | WESLEY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13691995/check_17572392_b876d121-a93f-4033-aca4-f5b291ac3d3c.json | N/A | N/A | N/A | N/A | N/A | 00000292168 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-03-07 | H3815028 | N/A | N/A | HM | false | BURKS | N/A | WESLEY | 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 | 9850094174 | N/A | N/A | 13691995 | 2222 | 4801 | 17840028 | 2630 | 11842216 | 2026-01-25 03:34:29.360720 | 2026-05-05 16:28:27.100977 |
| 2026-01-24 08:10:33.134073 | 2026-01-25 03:34:45.340212 | 17572372 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17572372 | Athletic Physical Therapy Inc | 1976-11-10 | 2026-01-27 | F | PT | HUYNH | NCF560A74564 | NHUNG | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13683615/check_17572372_1c1e8e1a-e574-4bfa-9af7-798b509bfcdb.json | N/A | N/A | N/A | N/A | N/A | NCF560A74564 | Health Maintenance Organization (HMO) | CEDARS SINAI HEALTH SYSTEM | ANTHEM BLUE CROSS | N/A | 1976-11-10 | 040 | 57ADZG | N/A | HM | false | HUYNH | N/A | NHUNG HONG | N/A | 9999-12-31 | 2012-01-01 | HMO CEDARS SINAI ONLY | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9850094173 | N/A | N/A | 13683615 | 2222 | 4801 | 17840215 | N/A | 11833771 | 2026-01-25 03:34:45.340212 | 2025-12-10 10:41:11.441314 |
| 2026-01-24 08:10:32.787003 | 2026-01-25 03:33:36.068568 | 17572356 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 17572356 | Athletic Physical Therapy Inc | 1947-01-22 | 2026-01-26 | F | AE | MEZA | 31192859301 | CARMEN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13683476/check_17572356_7d3bf687-d537-447d-b18d-9ee8d4dcc3ad.json | N/A | N/A | N/A | N/A | N/A | 31192859301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1947-01-22 | 2026H5425001 | H5425M | N/A | N/A | false | MEZA | N/A | CARMEN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850094172 | N/A | N/A | 13683476 | 2222 | 4801 | 17839409 | 6237 | 11833622 | 2026-01-25 03:33:36.068568 | 2025-12-15 22:10:36.727511 |
| 2026-01-24 08:10:32.465375 | 2026-01-25 03:34:59.885151 | 17572345 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17572345 | Athletic Physical Therapy Inc | 1976-06-02 | 2026-01-27 | M | PT | DRELLO | FJB27232467M | JUSTIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13652765/check_17572345_79a697d5-12a3-4a61-bf1a-0b4c8548ccf5.json | N/A | N/A | N/A | N/A | N/A | FJB27232467M | Preferred Provider Organization (PPO) | ALL | BLUE SHIELD OF CALIFORNIA | N/A | 1976-06-02 | 101 | 174549M211 | N/A | PR | false | DRELLO | N/A | MICHELLE | N/A | 9999-12-31 | 2020-02-01 | BLUECARD PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9850094171 | N/A | N/A | 13652765 | 2222 | 4801 | 17840389 | N/A | 11800844 | 2026-01-25 03:34:59.885151 | 2025-12-03 23:22:53.729122 |
| 2026-01-24 08:10:31.857349 | 2026-01-25 03:32:31.731710 | 17572322 | N/A | N/A | 61101 | HUMANA | 1114042165 | 17572322 | Athletic Physical Therapy Inc | 1959-02-22 | 2026-01-27 | M | AE | ELGHANIAN | H6572019100 | KAM | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13644533/check_17572322_0d9df1e6-41ee-47bd-bbb4-dbd1d1c45524.json | N/A | N/A | N/A | N/A | N/A | H65720191 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 657 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1959-02-22 | N/A | 5A962001 | N/A | HN | false | ELGHANIAN | N/A | KAMBIZ | 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 | 9850094169 | N/A | N/A | 13644533 | 2222 | 4802 | 17838639 | 5349 | 11234326 | 2026-01-25 03:32:31.731710 | 2026-04-14 20:04:17.055093 |
| 2026-01-24 08:10:31.421135 | 2026-01-25 03:34:30.912551 | 17572306 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 17572306 | Athletic Physical Therapy Inc | 1956-07-18 | 2026-01-26 | F | AE | watson | 00000380103 | stella | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13644272/check_17572306_68078b81-4176-4c27-bacf-fb30721732a0.json | N/A | N/A | N/A | N/A | N/A | 00000380103 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-07-18 | H3815050 | N/A | N/A | HM | false | WATSON | N/A | STELLA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE CALCARE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850094168 | N/A | N/A | 13644272 | 2222 | 4801 | 17840047 | 2630 | 11792017 | 2026-01-25 03:34:30.912551 | 2025-12-04 01:49:08.682293 |
| 2026-01-24 08:10:31.040771 | 2026-01-25 03:38:48.087641 | 17572296 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17572296 | Athletic Physical Therapy Inc | 1952-07-29 | 2026-01-27 | F | AE | Wachtel | 8GU2FH7UC95 | Suzette | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13636079/check_17572296_83c3b181-0100-445a-a08b-ebdbdefabe5b.json | N/A | N/A | N/A | N/A | N/A | 8GU2FH7UC95 | Medicare Part A | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-29 | S2468 | N/A | N/A | MA | false | WACHTEL | N/A | SUZETTE | N/A | N/A | N/A | N/A | N/A | 30867 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850094167 | N/A | N/A | 13636079 | 2222 | 4802 | 17842967 | N/A | 11783912 | 2026-01-25 03:38:48.087641 | 2025-12-12 16:43:29.386846 |
| 2026-01-24 08:10:30.696607 | 2026-01-25 03:31:57.198595 | 17572284 | N/A | N/A | 60054 | Aetna | 1114042165 | 17572284 | Athletic Physical Therapy Inc | 2013-08-17 | 2026-01-27 | F | AE | RUEMMELE | W297102676 | MAKENA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13600510/check_17572284_eab3e1b2-62c6-4b0e-b27d-d5305942b308.json | N/A | N/A | N/A | N/A | N/A | W297102676 | Point of Service (POS) | RIPPLING PEO 1, INC. | AETNA | N/A | 2013-08-17 | 0169696 | 016969602100020 | N/A | PS | false | ALFONSO | N/A | TANYA | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850094166 | N/A | N/A | 13600510 | 2222 | 4793 | 17838241 | N/A | 4534546 | 2026-01-25 03:31:57.198595 | 2025-12-03 00:06:29.870228 |
| 2026-01-24 08:10:30.407695 | 2026-01-25 03:34:49.939303 | 17572276 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17572276 | Athletic Physical Therapy Inc | 1984-06-20 | 2026-01-26 | M | PT | YOUSSEF | XDL437A72851 | FOUAD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13578623/check_17572276_baab5958-608d-442e-893e-060c72505a6e.json | N/A | N/A | N/A | N/A | N/A | XDL437A72851 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1984-06-20 | 040 | 789100 | N/A | PR | false | YOUSSEF | N/A | FOUAD | N/A | 9999-12-31 | 2025-07-01 | PPO SHARE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9850094165 | N/A | N/A | 13578623 | 2222 | 4801 | 17840269 | N/A | 11728581 | 2026-01-25 03:34:49.939303 | 2025-12-03 14:59:32.997300 |
| 2026-01-24 08:10:30.161354 | 2026-01-25 03:34:21.955907 | 17572269 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 17572269 | Athletic Physical Therapy Inc | 1948-08-02 | 2026-01-27 | F | AE | Taylor | 000009764775 | Gabriela | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13547881/check_17572269_1cf77485-e0fc-495c-b9ab-86b22f1ff36b.json | N/A | N/A | N/A | N/A | N/A | 000009764775 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1948-08-02 | 3051762 | 101728 | N/A | N/A | false | TAYLOR | N/A | GABRIELA | N/A | N/A | N/A | LA WEEKLY MEDIA, INC. L.A. WEEKLY MEDIA, INC. | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850094163 | N/A | N/A | 13547881 | 2222 | 4802 | 17839941 | N/A | 11697288 | 2026-01-25 03:34:21.955907 | 2025-12-02 00:07:51.825213 |
| 2026-01-24 08:10:29.835625 | 2026-01-25 03:34:19.123133 | 17572258 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 17572258 | Athletic Physical Therapy Inc | 1996-02-29 | 2026-01-27 | F | AE | Elzinga | 000025992229 | Stevie | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13437538/check_17572258_f8fa91a7-0c11-43f6-84a7-74ebae533857.json | N/A | N/A | N/A | N/A | N/A | 000025992229 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1996-02-29 | 4383425 | 100990 | N/A | N/A | false | ELZINGA | N/A | STEVIE | N/A | N/A | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT L.A.USD-CERTIF | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850094162 | N/A | N/A | 13437538 | 2222 | 4802 | 17839908 | N/A | 11598678 | 2026-01-25 03:34:19.123133 | 2025-11-26 19:50:29.795204 |
| 2026-01-24 08:10:29.481713 | 2026-01-25 03:34:59.603249 | 17572249 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17572249 | Athletic Physical Therapy Inc | 1962-02-12 | 2026-01-27 | F | PT | SZYMANSKI | PNE913933078 | JANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13435818/check_17572249_d38efa7b-7afc-4199-992d-770a15f92060.json | N/A | N/A | N/A | N/A | N/A | PNE913933078 | Preferred Provider Organization (PPO) | PRIVATE NATIONAL MORTGAGE ACCEPTANCE COMPANY LLC | BLUE SHIELD CALIFORNIA | N/A | 1962-02-12 | 1000PPOX0003 | W3000535 | N/A | PR | false | SZYMANSKI | N/A | PAUL | N/A | 9999-12-31 | 2026-01-01 | HSA RATED | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9850094161 | N/A | N/A | 13435818 | 2222 | 4801 | 17840386 | N/A | 11596916 | 2026-01-25 03:34:59.603249 | 2025-12-03 21:06:42.446127 |
| 2026-01-24 08:10:29.099961 | 2026-01-25 03:38:41.968597 | 17572235 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17572235 | Athletic Physical Therapy Inc | 1957-06-10 | 2026-01-27 | F | AE | Cinney | 4Q36GT1PA82 | Nancy | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13415250/check_17572235_28fe945a-a78e-4c26-8a05-6c21b0e2341b.json | N/A | N/A | N/A | N/A | N/A | 4Q36GT1PA82 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-06-10 | S4802 | N/A | N/A | MB | false | CINNEY | N/A | NANCY | N/A | N/A | N/A | N/A | N/A | 50740 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850094159 | N/A | N/A | 13415250 | 2222 | 4793 | 17842893 | N/A | 10405614 | 2026-01-25 03:38:41.968597 | 2025-11-11 22:04:16.516523 |
| 2026-01-24 08:10:28.689106 | 2026-01-25 03:34:48.239421 | 17572223 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17572223 | Athletic Physical Therapy Inc | 2014-04-09 | 2026-01-27 | M | PT | RADLOFF | XDM000542831 | NOLAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13358977/check_17572223_d44f8461-5817-44a9-986b-6b17c4c52fae.json | N/A | N/A | N/A | N/A | N/A | XDM000542831 | Health Maintenance Organization (HMO) | ASSOCIATION FOR LOS ANGELES DEPUTY SHERIFFS INC | ANTHEM BLUE CROSS | N/A | 2014-04-09 | 040 | 57726A | N/A | HM | false | RADLOFF | N/A | BRETT | N/A | 9999-12-31 | 2015-01-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9850094158 | N/A | N/A | 13358977 | 2222 | 4801 | 17840249 | N/A | 11504476 | 2026-01-25 03:34:48.239421 | 2025-11-24 23:17:09.076585 |
| 2026-01-24 08:10:28.476641 | 2026-01-25 03:34:29.080543 | 17572215 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 17572215 | Athletic Physical Therapy Inc | 1950-09-17 | 2026-01-26 | M | AE | Briers | 00000368043 | William | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13358057/check_17572215_c0da6c2b-6c01-4ab5-acfb-3dce6f028d70.json | N/A | N/A | N/A | N/A | N/A | 00000368043 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1950-09-17 | H3815028 | N/A | N/A | HM | false | BRIERS | N/A | WILLIAM | 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 | 9850094157 | N/A | N/A | 13358057 | 2222 | 4801 | 17840025 | 2630 | 11503648 | 2026-01-25 03:34:29.080543 | 2026-01-23 20:34:04.657885 |
| 2026-01-24 08:10:28.080717 | 2026-01-25 03:38:42.486902 | 17572195 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17572195 | Athletic Physical Therapy Inc | 1952-08-04 | 2026-01-27 | F | AE | Dunkerley | 9M89GR7HH33 | Elizabeth | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13335579/check_17572195_36bd0063-3aaf-40ee-8f4c-e09fa13e9c52.json | N/A | N/A | N/A | N/A | N/A | 9M89GR7HH33 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-08-04 | S5884 | N/A | N/A | MA | false | DUNKERLEY | N/A | ELIZABETH | N/A | N/A | N/A | N/A | N/A | 30380 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850094154 | N/A | N/A | 13335579 | 2222 | 4802 | 17842899 | N/A | 8086688 | 2026-01-25 03:38:42.486902 | 2026-01-15 18:07:39.869679 |
| 2026-01-24 08:10:27.677589 | 2026-01-25 03:34:47.931297 | 17572180 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17572180 | Athletic Physical Therapy Inc | 2012-07-01 | 2026-01-27 | M | PT | RADLOFF | XDM000542831 | BRYCE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13302087/check_17572180_310488c7-a54e-4e2c-abf2-a830471dd7af.json | N/A | N/A | N/A | N/A | N/A | XDM000542831 | Health Maintenance Organization (HMO) | ASSOCIATION FOR LOS ANGELES DEPUTY SHERIFFS INC | ANTHEM BLUE CROSS | N/A | 2012-07-01 | 040 | 57726A | N/A | HM | false | RADLOFF | N/A | BRETT | N/A | 9999-12-31 | 2012-07-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9850094153 | N/A | N/A | 13302087 | 2222 | 4801 | 17840246 | N/A | 11449861 | 2026-01-25 03:34:47.931297 | 2026-01-08 22:48:14.733376 |
| 2026-01-24 08:10:27.466850 | 2026-01-25 03:34:22.469693 | 17572172 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 17572172 | Athletic Physical Therapy Inc | 1958-03-23 | 2026-01-27 | F | AE | Wells | 000022370783 | Paula | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13050785/check_17572172_f9683629-a2ca-4ba5-8a3a-ec788e949cd4.json | N/A | N/A | N/A | N/A | N/A | 000022370783 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1958-03-23 | 4319463 | 105702 | N/A | N/A | false | WELLS | N/A | PAULA | N/A | N/A | N/A | STATE OF CALIFORNIA STATE ACTIVES | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850094152 | N/A | N/A | 13050785 | 2222 | 4802 | 17839947 | N/A | 11208103 | 2026-01-25 03:34:22.469693 | 2025-11-19 20:42:38.719398 |
| 2026-01-24 08:10:27.031800 | 2026-01-25 03:34:19.652696 | 17572153 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 17572153 | Athletic Physical Therapy Inc | 1954-06-16 | 2026-01-27 | M | AE | Grant | 000009933199 | Mark | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13045814/check_17572153_ef8db771-055a-49a4-a5ff-7f1bcf5d9452.json | N/A | N/A | N/A | N/A | N/A | 000009933199 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1954-06-16 | N/A | N/A | N/A | N/A | false | GRANT | N/A | MARK | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850094151 | N/A | N/A | 13045814 | 2222 | 4802 | 17839915 | N/A | 11203117 | 2026-01-25 03:34:19.652696 | 2026-01-05 17:22:32.137960 |
| 2026-01-24 08:10:26.748546 | 2026-01-25 03:38:43.884888 | 17572143 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17572143 | Athletic Physical Therapy Inc | 1960-10-14 | 2026-01-27 | M | AE | KELLER | 5VY2K78NA88 | JERRY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13041085/check_17572143_5f35d044-8c99-420b-87f0-e8ff57377265.json | N/A | N/A | N/A | N/A | N/A | 5VY2K78NA88 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-10-14 | S4802 | N/A | N/A | MA | false | KELLER | N/A | JERRY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | 43236 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850094150 | N/A | N/A | 13041085 | 2222 | 4801 | 17842916 | N/A | 11198281 | 2026-01-25 03:38:43.884888 | 2026-04-13 23:30:43.333017 |
| 2026-01-24 08:10:26.588790 | 2026-01-25 03:35:00.392453 | 17572136 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17572136 | Athletic Physical Therapy Inc | 1963-07-12 | 2026-01-27 | F | PT | MITCHELL | NCF844W18513 | HOLLY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12989755/check_17572136_e4737a4f-f285-4f93-a642-ef04a641e8ac.json | N/A | N/A | N/A | N/A | N/A | NCF844W18513 | Health Maintenance Organization (HMO) | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1963-07-12 | 040 | 57AJCA | N/A | HM | false | MITCHELL | N/A | HOLLY | N/A | 9999-12-31 | 2024-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9850094149 | N/A | N/A | 12989755 | 2222 | 4801 | 17840395 | N/A | 11147858 | 2026-01-25 03:35:00.392453 | 2025-11-24 17:02:55.426297 |
| 2026-01-24 08:10:26.232272 | 2026-01-25 03:38:47.073430 | 17572123 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17572123 | Athletic Physical Therapy Inc | 1951-07-30 | 2026-01-26 | F | AE | Ruhe | 6E08G29GT63 | Jacqueline | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12438098/check_17572123_1e3780f7-6955-4e88-868d-d8b7c6c93edb.json | N/A | N/A | N/A | N/A | N/A | 6E08G29GT63 | N/A | N/A | CMS | N/A | 1951-07-30 | N/A | N/A | N/A | N/A | false | RUHE | N/A | JACQUELINE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850094148 | N/A | N/A | 12438098 | 2222 | 4802 | 17842954 | N/A | 10618088 | 2026-01-25 03:38:47.073430 | 2026-03-18 22:31:10.360004 |
| 2026-01-24 08:10:25.847523 | 2026-01-25 03:31:35.940372 | 17572107 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17572107 | Athletic Physical Therapy Inc | 1950-08-09 | 2026-01-27 | M | AE | Kirgizbaev | 94138168G | Bakhtiyar | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12407501/check_17572107_412075b9-80c1-4126-946c-76f008407840.json | N/A | N/A | N/A | N/A | N/A | 94138168G | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1950-08-09 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | KIRGIZBAEV | N/A | BAKHTIYAR | N/A | 2078-12-31 | 2025-07-01 | AGED DISABLED - SPD - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850094147 | N/A | N/A | 12407501 | 2222 | 4802 | 17837994 | 4211 | 10587374 | 2026-01-25 03:31:35.940372 | 2025-12-24 19:36:03.607867 |
| 2026-01-24 08:10:25.669994 | 2026-01-25 03:31:58.523158 | 17572100 | N/A | N/A | 60054 | Aetna | 1114042165 | 17572100 | Athletic Physical Therapy Inc | 1980-12-26 | 2026-01-27 | M | AE | MAHINAY | W219751013 | JASON | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12366384/check_17572100_9c463841-b6a9-41ce-8cba-ce2b191b36cf.json | N/A | N/A | N/A | N/A | N/A | W219751013 | Point of Service (POS) | HOLTHOUSE CARLIN & VAN TRIGT LLP | AETNA | N/A | 1980-12-26 | 0803905 | 080390501200002 | N/A | PS | false | MAHINAY | N/A | JASON | 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 | 9850094146 | N/A | N/A | 12366384 | 2222 | 4793 | 17838257 | N/A | 10546247 | 2026-01-25 03:31:58.523158 | 2025-11-14 17:19:10.403651 |
| 2026-01-24 08:10:25.072716 | 2026-01-25 03:34:45.042370 | 17572071 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17572071 | Athletic Physical Therapy Inc | 1957-05-05 | 2026-01-27 | F | PT | HOUSTON | TRJNP0019401 | VELINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12244725/check_17572071_46c68444-ab84-47f6-9c00-181875da6767.json | N/A | N/A | N/A | N/A | N/A | TRJNP0019401 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1957-05-05 | 040 | 276727M001 | N/A | PR | false | HOUSTON | N/A | VELINA | N/A | 9999-12-31 | 2012-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9850094145 | N/A | N/A | 12244725 | 2222 | 4802 | 17840211 | N/A | 9637804 | 2026-01-25 03:34:45.042370 | 2026-04-24 18:56:42.779565 |
| 2026-01-24 08:10:24.813458 | 2026-01-25 03:33:37.778911 | 17572060 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 17572060 | Athletic Physical Therapy Inc | 1952-06-27 | 2026-01-27 | M | AD | WEST | 40065315001 | KIRK | 30 | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11799742/check_17572060_7d010e8f-9281-482c-9ef9-b1436da940b1.json | N/A | N/A | N/A | N/A | N/A | 40065315001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1952-06-27 | 2026H5425001 | H5425M | N/A | N/A | false | WEST | N/A | KIRK | 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 | 9850094144 | N/A | N/A | 11799742 | 2222 | 4801 | 17839429 | N/A | 10033486 | 2026-01-25 03:33:37.778911 | 2025-11-04 21:34:59.842331 |
| 2026-01-24 08:10:24.493482 | 2026-01-25 03:31:50.292728 | 17572047 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 17572047 | override_provider | 1997-11-05 | 2026-01-27 | M | PT | VILLANUEVA | ZGP813002220 | YAIR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11623284/check_17572047_5bf19f03-9ac0-4caf-9afe-b1c92966b9a2.json | N/A | N/A | N/A | N/A | N/A | ZGP813002220 | Preferred Provider Organization (PPO) | RIMKUS CONSULTING GROUP, INC | BLUE SHIELD OF CALIFORNIA | N/A | 1997-11-05 | N/A | 279469 | N/A | PR | false | VILLANUEVA | N/A | YAIR | N/A | 9999-12-31 | 2025-03-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9850094143 | N/A | N/A | 11623284 | 2222 | 4801 | 17838161 | N/A | 9860485 | 2026-01-25 03:31:50.292728 | 2025-11-10 18:34:52.696278 |
| 2026-01-24 08:10:24.109099 | 2026-01-25 03:34:21.370502 | 17572034 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 17572034 | Athletic Physical Therapy Inc | 1994-09-23 | 2026-01-27 | M | AE | RUIZ CORTES | 000023841194 | ROGELIO | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11537156/check_17572034_237a8318-e63b-4e99-9d3d-930d98e73dc5.json | N/A | N/A | N/A | N/A | N/A | 000023841194 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1994-09-23 | 4327440 | 226369 | N/A | N/A | false | RUIZ CORTES | N/A | ROGELIO | N/A | N/A | N/A | SISC-SELF INSURED SCHOOLS OF CALIFORNIA RG 46 - $1 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850094140 | N/A | N/A | 11537156 | 2222 | 4802 | 17839935 | N/A | 9778191 | 2026-01-25 03:34:21.370502 | 2025-10-27 23:17:48.522975 |
| 2026-01-24 08:10:23.787987 | 2026-01-25 03:33:35.805195 | 17572021 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 17572021 | Athletic Physical Therapy Inc | 1956-09-25 | 2026-01-27 | M | AD | Marvin | 40059610101 | Terry | 30 | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11529617/check_17572021_fe877bd9-0070-4563-bd73-202475c56b44.json | N/A | N/A | N/A | N/A | N/A | 40059610101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1956-09-25 | 2026H5425001 | H5425M | N/A | N/A | false | MARVIN | N/A | TERRY | 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 | 9850094139 | N/A | N/A | 11529617 | 2222 | 4801 | 17839406 | N/A | 9770503 | 2026-01-25 03:33:35.805195 | 2025-11-05 23:33:36.141284 |
| 2026-01-24 08:10:23.483360 | 2026-01-25 03:34:42.297739 | 17572012 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17572012 | Athletic Physical Therapy Inc | 1966-12-01 | 2026-01-27 | F | PT | DE LUNA | JMV025A51982 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11526121/check_17572012_581b0913-a821-4a3e-9321-9780c04e7faa.json | N/A | N/A | N/A | N/A | N/A | JMV025A51982 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1966-12-01 | 040 | 56677NR000 | N/A | HM | false | DE LUNA | N/A | MARIA | N/A | 9999-12-31 | 2024-07-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9850094138 | N/A | N/A | 11526121 | 2222 | 4801 | 17840180 | N/A | 9766947 | 2026-01-25 03:34:42.297739 | 2025-11-11 21:32:02.372730 |
| 2026-01-24 08:10:23.189588 | 2026-01-25 03:34:48.490744 | 17572001 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17572001 | Athletic Physical Therapy Inc | 1961-06-24 | 2026-01-27 | M | PT | RAY | PAS838471972 | JOHN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11420779/check_17572001_67d69a69-2c6b-4237-b370-feb502b0785f.json | N/A | N/A | N/A | N/A | N/A | PAS838471972 | Preferred Provider Organization (PPO) | ATT BROAD OPTION 1 | ANTHEM BLUE CROSS | N/A | 1961-06-24 | N/A | 416970 | N/A | PR | false | RAY | N/A | JOHN | 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 | 9850095065 | N/A | N/A | 11420779 | 2222 | 4801 | 17840252 | N/A | 9673427 | 2026-01-25 03:34:48.490744 | 2025-11-03 19:27:12.288254 |
| 2026-01-24 08:10:22.988119 | 2026-01-25 03:34:30.139185 | 17571990 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 17571990 | Athletic Physical Therapy Inc | 1955-07-01 | 2026-01-27 | F | AE | HINDOYAN | 00000381176 | MARIAM | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11415049/check_17571990_3445a090-4d8a-481e-b255-74cce168945b.json | N/A | N/A | N/A | N/A | N/A | 00000381176 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1955-07-01 | H3815039 | N/A | N/A | HM | false | HINDOYAN | N/A | MARIAM | N/A | N/A | N/A | ALIGNMENT HEALTH HEART & DIABETES CALPLUS (HMO C-S | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095064 | N/A | N/A | 11415049 | 2222 | 4801 | 17840038 | 2630 | 4219019 | 2026-01-25 03:34:30.139185 | 2026-03-18 18:00:45.440632 |
| 2026-01-24 08:10:22.650030 | 2026-01-25 03:34:18.494539 | 17571974 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 17571974 | Athletic Physical Therapy Inc | 2008-01-19 | 2026-01-27 | F | AE | GONZALEZ | 002526618 | CAITLIN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11087501/check_17571974_b2f5a104-1273-4188-b9b3-1bb34314da4d.json | N/A | N/A | N/A | N/A | N/A | 002526618 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 2008-01-19 | N/A | N/A | N/A | N/A | false | GONZALEZ | N/A | CAITLIN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095063 | N/A | N/A | 11087501 | 2222 | 4801 | 17839901 | N/A | 9440359 | 2026-01-25 03:34:18.494539 | 2025-10-27 23:07:07.958316 |
| 2026-01-24 08:10:22.352853 | 2026-01-25 03:38:46.307006 | 17571959 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17571959 | Athletic Physical Therapy Inc | 1953-06-18 | 2026-01-27 | F | AE | REISMAN | 6C16CN3FM49 | GAIL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10984906/check_17571959_b607b7d3-b326-4948-bef6-717d38bd3f62.json | N/A | N/A | N/A | N/A | N/A | 6C16CN3FM49 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-06-18 | N/A | N/A | N/A | MA | 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 | 9850095062 | N/A | N/A | 10984906 | 2222 | 4802 | 17842945 | N/A | 9156222 | 2026-01-25 03:38:46.307006 | 2026-01-08 22:56:20.879547 |
| 2026-01-24 08:10:21.941865 | 2026-01-25 03:34:40.092599 | 17571942 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 17571942 | Athletic Physical Therapy Inc | 1954-11-24 | 2026-01-26 | M | PT | BLANCHFIELD | JMV780A55541 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260124.100222957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10346222/check_17571942_fb78112a-249e-4b31-b885-dbddb20f9101.json | N/A | N/A | N/A | N/A | N/A | JMV780A55541 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | MEDICARE B | N/A | 1954-11-24 | 040 | 56677TR000 | N/A | HM | false | BLANCHFIELD | N/A | THOMAS | N/A | 9999-12-31 | 2024-07-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9850095061 | N/A | N/A | 10346222 | 2222 | 4793 | 17840154 | 4184 | 4214447 | 2026-01-25 03:34:40.092599 | 2026-04-23 20:11:34.441054 |