API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-01-24 08:10:21.544459 | 2026-01-25 03:31:36.810563 | 17571929 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17571929 | Athletic Physical Therapy Inc | 1983-05-09 | 2026-01-27 | F | AE | PT | RAJCIC | 622299781 | MAJA | 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/2222/10172287/check_17571929_429be8d2-cf27-445b-a7d8-1bce9badb133.json | N/A | N/A | N/A | N/A | N/A | 622299781 | N/A | N/A | MOLINA_CA | N/A | 1983-05-09 | 18126CA001000101 | QMXEM01910 | N/A | N/A | false | RAJCIC | N/A | MAJA | N/A | 2025-12-31 | 2025-01-01 | INACTIVE COVERAGE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095059 | N/A | N/A | 10172287 | 2222 | 4802 | 17838003 | 4211 | 8473558 | 2026-01-25 03:31:36.810563 | 2025-10-10 16:40:45.584452 |
| 2026-01-24 08:10:21.126470 | 2026-01-25 03:31:51.062694 | 17571913 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 17571913 | override_provider | 1963-04-03 | 2026-01-27 | F | PT | N/A | Protsenko | AJC912998623 | Tetiana | 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/2222/9958584/check_17571913_d065e4b0-728d-46d8-ad43-1ac2ddb31444.json | N/A | N/A | N/A | N/A | N/A | AJC912998623 | Medicaid | BSC PROMISE HEALTH PLAN MEDI CAL | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1963-04-03 | 1000MCAL0008 | E0001001 | N/A | MC | false | PROTSENKO | N/A | TETIANA | N/A | N/A | N/A | BLUE SHIELD PROMISE MEDI CAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9850095057 | N/A | N/A | 9958584 | 2222 | 4802 | 17838170 | N/A | 7994720 | 2026-01-25 03:31:51.062694 | 2025-09-24 04:33:28.125297 |
| 2026-01-24 08:10:20.772640 | 2026-01-25 03:31:50.547112 | 17571899 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 17571899 | Athletic Physical Therapy Inc | 1977-12-17 | 2026-01-27 | M | PT | N/A | GORMAN | 90370502500 | JOHN | 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/2222/9898664/check_17571899_3bf4ac9e-8b17-42c7-b3aa-7276544e9970.json | N/A | N/A | N/A | N/A | N/A | XEP903705025 | Point of Service (POS) | CAPE | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1977-12-17 | 1000POSX0002 | W0052320 | N/A | PS | false | GORMAN | N/A | JOHN | N/A | 9999-12-31 | 2026-01-01 | CAPE CUSTOM POS LITE OPTION | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9850095054 | N/A | N/A | 9898664 | 2222 | 4793 | 17838164 | N/A | 8287160 | 2026-01-25 03:31:50.547112 | 2025-10-01 22:48:13.212843 |
| 2026-01-24 08:10:20.388156 | 2026-01-25 03:34:32.220566 | 17571884 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 17571884 | Athletic Physical Therapy Inc | 1991-01-13 | 2026-01-27 | F | AE | PT | ALLERS | 90545004F | EMILY | 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/2222/9740927/check_17571884_3cede8fa-368f-4d06-b724-e4f373b113f3.json | N/A | N/A | N/A | N/A | N/A | 90545004F | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1991-01-13 | N/A | N/A | N/A | N/A | false | ALLERS | N/A | EMILY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095053 | N/A | N/A | 9740927 | 2222 | 4802 | 17840063 | 5538 | 8155009 | 2026-01-25 03:34:32.220566 | 2025-10-07 16:02:56.731329 |
| 2026-01-24 08:10:20.058785 | 2026-01-25 03:34:49.342730 | 17571870 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17571870 | Athletic Physical Therapy Inc | 2009-10-25 | 2026-01-27 | F | PT | N/A | TAITE | JQU200A62919 | SERAPHINA | 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/2222/9610001/check_17571870_3a325667-41c0-4a50-a22e-7d2733d7d060.json | N/A | N/A | N/A | N/A | N/A | JQU200A62919 | Preferred Provider Organization (PPO) | TREATMENT CENTER MANAGEMENT CORPORATION | ANTHEM BLUE CROSS | N/A | 2009-10-25 | 040 | U26732 | N/A | PR | false | TAITE | N/A | RICHARD | N/A | 9999-12-31 | 2026-01-01 | CA SG ANTHEM PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9850095052 | N/A | N/A | 9610001 | 2222 | 4802 | 17840263 | N/A | 8040917 | 2026-01-25 03:34:49.342730 | 2025-09-22 14:19:04.386066 |
| 2026-01-24 08:10:19.793627 | 2026-01-25 03:34:59.055776 | 17571859 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17571859 | Athletic Physical Therapy Inc | 1962-05-29 | 2026-01-27 | F | PT | N/A | LARSON | XEA913804058 | DEBRA | 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/2222/9562148/check_17571859_03a067e6-7074-4211-8ed8-62347ec5946e.json | N/A | N/A | N/A | N/A | N/A | XAN913804058 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1962-05-29 | 1480PPOX0002 | W0051411 | N/A | PR | false | LARSON | N/A | DEBRA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9850095051 | N/A | N/A | 9562148 | 2222 | 4793 | 17840380 | N/A | 7997320 | 2026-01-25 03:34:59.055776 | 2025-10-02 21:07:14.563938 |
| 2026-01-24 08:10:19.418814 | 2026-01-25 03:38:40.350402 | 17571847 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17571847 | Athletic Physical Therapy Inc | 1946-06-01 | 2026-01-27 | F | AE | PT | AMIRI | 5A52N18CA24 | POURAN | 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/2222/9399844/check_17571847_91e08fbb-15e4-42c6-8894-904b197221d0.json | N/A | N/A | N/A | N/A | N/A | 5A52N18CA24 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-06-01 | S4802 | N/A | N/A | MB | false | AMIRI | N/A | POURAN | N/A | N/A | N/A | N/A | N/A | 30539 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095050 | N/A | N/A | 9399844 | 2222 | 4802 | 17842873 | N/A | 4210607 | 2026-01-25 03:38:40.350402 | 2025-08-01 18:31:38.620742 |
| 2026-01-24 08:10:18.993461 | 2026-01-25 03:34:49.635918 | 17571831 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17571831 | Athletic Physical Therapy Inc | 2005-12-13 | 2026-01-27 | F | PT | N/A | Varivoda | ZTQ335M98588 | Alex | 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/2222/9338185/check_17571831_70eff5ba-b124-4195-9cc8-6b0d2902f176.json | N/A | N/A | N/A | N/A | N/A | ZTQ335M98588 | Preferred Provider Organization (PPO) | TELEDYNE TECH INC LECROY | ANTHEM BLUE CROSS | N/A | 2005-12-13 | 040 | 174249M3AW | N/A | PR | false | VARIVODA | N/A | ALEXEY | N/A | 9999-12-31 | 2020-03-19 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9850095049 | N/A | N/A | 9338185 | 2222 | 4802 | 17840266 | N/A | 7837035 | 2026-01-25 03:34:49.635918 | 2025-09-17 13:44:26.939662 |
| 2026-01-24 08:10:18.665943 | 2026-01-25 03:35:00.940195 | 17571819 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17571819 | Athletic Physical Therapy Inc | 1988-09-12 | 2026-01-27 | M | PT | N/A | Guzzo | JQU895W23533 | Aaron | 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/2222/9274785/check_17571819_80d6df0e-b580-43d1-9db6-142f3d9489e6.json | N/A | N/A | N/A | N/A | N/A | JQU895W23533 | Preferred Provider Organization (PPO) | 3 ARTS ENTERTAINMENT LLC | BLUE SHIELD OF CALIFORNIA | N/A | 1988-09-12 | 040 | H59723 | N/A | PR | false | RATHER-GUZZO | N/A | SANDY | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9850095047 | N/A | N/A | 9274785 | 2222 | 4802 | 17840402 | N/A | 6451061 | 2026-01-25 03:35:00.940195 | 2025-07-28 22:43:26.605856 |
| 2026-01-24 08:10:18.411058 | 2026-01-25 03:34:41.442381 | 17571807 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 17571807 | Athletic Physical Therapy Inc | 1966-12-04 | 2026-01-27 | M | PT | N/A | CLANCY | XDMOE0503879 | JOSEPH | 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/2222/9194927/check_17571807_1c281ec3-0ed7-4fb9-a4b0-27fd41bb62d2.json | N/A | N/A | N/A | N/A | N/A | XDMOE0503879 | Health Maintenance Organization (HMO) | OPERATING ENGINEERS HEALTH&WELFARE FUND | ANTHEM BLUE CROSS | N/A | 1966-12-04 | 040 | 278671H001 | N/A | HM | false | CLANCY | N/A | JOSEPH | N/A | 9999-12-31 | 2025-02-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9850095045 | N/A | N/A | 9194927 | 2222 | 4793 | 17840169 | 4184 | 7712549 | 2026-01-25 03:34:41.442381 | 2025-09-10 17:29:28.945035 |
| 2026-01-24 08:10:17.994230 | 2026-01-25 03:34:47.653586 | 17571791 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 17571791 | Athletic Physical Therapy Inc | 2009-01-14 | 2026-01-27 | F | PT | N/A | OBACZ | JQV897A63197 | KLOIE | 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/2222/9102655/check_17571791_fdf62174-1f2f-49f7-960e-205b0d4d8ea0.json | N/A | N/A | N/A | N/A | N/A | JQV897A63197 | Health Maintenance Organization (HMO) | EVOLVED NOVELTIES INC | ANTHEM BLUE CROSS | N/A | 2009-01-14 | 040 | F45883 | N/A | HM | false | OBACZ | N/A | JUSTIN | N/A | 9999-12-31 | 2026-01-01 | CA SG SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9850095044 | N/A | N/A | 9102655 | 2222 | 4801 | 17840243 | 4185 | 7621062 | 2026-01-25 03:34:47.653586 | 2025-09-12 19:10:20.936695 |
| 2026-01-24 08:10:17.655628 | 2026-01-25 03:38:45.017504 | 17571775 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17571775 | Athletic Physical Therapy Inc | 1950-04-13 | 2026-01-27 | F | AE | PT | NATALI | 2XU8UK4DF50 | RENEE | 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/2222/8979192/check_17571775_3fcce7c9-8580-477e-8539-f7f99b35d6e3.json | N/A | N/A | N/A | N/A | N/A | 2XU8UK4DF50 | Medicare Part B | N/A | HEALTH CARE SERVICE CORPORATION | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-04-13 | S5715 | N/A | N/A | MB | false | NATALI | N/A | RENEE | N/A | N/A | N/A | N/A | N/A | 50900 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095043 | N/A | N/A | 8979192 | 2222 | 4793 | 17842929 | N/A | 7498543 | 2026-01-25 03:38:45.017504 | 2025-10-14 17:13:32.178778 |
| 2026-01-24 08:10:17.231816 | 2026-01-25 03:34:32.487287 | 17571761 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 17571761 | Athletic Physical Therapy Inc | 1987-06-17 | 2026-01-27 | M | AE | PT | FAVELA | 620360888 | MAXIMILIAN | 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/2222/8960010/check_17571761_2a173d33-593c-4671-972a-90dbabe46fac.json | N/A | N/A | N/A | N/A | N/A | 620360888 | N/A | L.A. CARE COVERED GOLD 80 HMO | LA CARE HEALTH PLAN | N/A | 1987-06-17 | LACC | 92815CA001000701 | N/A | N/A | false | FAVELA | N/A | MAXIMILIAN | N/A | 2026-12-31 | 2026-01-01 | L.A. CARE COVERED | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095042 | N/A | N/A | 8960010 | 2222 | 4802 | 17840066 | 5538 | 7476978 | 2026-01-25 03:34:32.487287 | 2026-01-07 18:27:22.752552 |
| 2026-01-24 08:10:16.983122 | 2026-01-25 03:34:39.799378 | 17571753 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17571753 | Athletic Physical Therapy Inc | 1961-03-04 | 2026-01-27 | M | PT | N/A | AVEDISSIAN | JQU233A54125 | ARMEN | 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/2222/8472241/check_17571753_0d190507-0c42-4b02-a2bb-004546e7ebf9.json | N/A | N/A | N/A | N/A | N/A | JQU233A54125 | Preferred Provider Organization (PPO) | BRAND PRODUCE INC | MEDICARE A | N/A | 1961-03-04 | 040 | J35185 | N/A | PR | false | AVEDISSIAN | N/A | ARMEN | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9850095041 | N/A | N/A | 8472241 | 2222 | 4801 | 17840151 | N/A | 7143064 | 2026-01-25 03:34:39.799378 | 2025-10-10 06:06:58.213429 |
| 2026-01-24 08:10:16.630034 | 2026-01-25 03:34:46.472855 | 17571738 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17571738 | Athletic Physical Therapy Inc | 1950-06-21 | 2026-01-27 | M | PT | N/A | Aliabadi | FJB10490729M | Hossein | 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/2222/7877206/check_17571738_58c8d552-3df5-49f3-b0cc-512a974871e2.json | N/A | N/A | N/A | N/A | N/A | FJB10490729M | Preferred Provider Organization (PPO) | ALL | ANTHEM BLUE CROSS | N/A | 1950-06-21 | 101 | 174549M211 | N/A | PR | false | MANTEGHI | N/A | MEHRNAZ | N/A | 9999-12-31 | 2025-01-01 | BLUECARD PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9850095040 | N/A | N/A | 7877206 | 2222 | 4802 | 17840229 | N/A | 6706099 | 2026-01-25 03:34:46.472855 | 2025-11-21 22:00:12.073625 |
| 2026-01-24 08:10:16.384849 | 2026-01-25 03:38:44.743571 | 17571728 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17571728 | Athletic Physical Therapy Inc | 1959-08-14 | 2026-01-27 | F | AE | PT | McKinnon | 4Q81VP4NU12 | Dawn | 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/2222/7783105/check_17571728_05c4e8ca-d500-4f41-8851-c5856567c9fb.json | N/A | N/A | N/A | N/A | N/A | 4Q81VP4NU12 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-08-14 | S4802 | N/A | N/A | MB | false | MCKINNON | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | 60920 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095039 | N/A | N/A | 7783105 | 2222 | 4802 | 17842925 | N/A | 6628331 | 2026-01-25 03:38:44.743571 | 2025-08-22 15:16:03.942743 |
| 2026-01-24 08:10:16.060402 | 2026-01-25 03:31:50.806654 | 17571713 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 17571713 | Athletic Physical Therapy Inc | 1975-12-22 | 2026-01-26 | M | PT | N/A | HUTH | XEH910929228 | KENT | 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/2222/7626895/check_17571713_0cb725eb-49e3-4ed2-aa98-3df1fcdc220d.json | N/A | N/A | N/A | N/A | N/A | XEH910929228 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1975-12-22 | 1000HMOX0001 | W0051411 | N/A | HM | false | HUTH | N/A | KENT | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9850095038 | N/A | N/A | 7626895 | 2222 | 4793 | 17838166 | N/A | 6525917 | 2026-01-25 03:31:50.806654 | 2026-05-08 22:53:13.232007 |
| 2026-01-24 08:10:15.815780 | 2026-01-25 03:31:36.494423 | 17571702 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17571702 | Athletic Physical Therapy Inc | 1976-02-07 | 2026-01-27 | F | AE | PT | MALTSEVA | 94237973H | YEVHENIIA | 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/2222/7253095/check_17571702_0669780b-ffe0-45a3-abd4-9698b0f3d3a2.json | N/A | N/A | N/A | N/A | N/A | 94237973H | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1976-02-07 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MALTSEVA | N/A | YEVHENIIA | N/A | 2078-12-31 | 2025-08-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095037 | N/A | N/A | 7253095 | 2222 | 4802 | 17838000 | 4211 | 6219145 | 2026-01-25 03:31:36.494423 | 2025-07-21 16:40:35.276086 |
| 2026-01-24 08:10:15.579543 | 2026-01-25 03:31:37.482319 | 17571689 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17571689 | Athletic Physical Therapy Inc | 1963-05-22 | 2026-01-27 | M | AE | PT | SMITH | 99688004H | MATTHEW | 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/2222/7022680/check_17571689_77be7ea6-2b6f-4e47-a0f5-fafc7a8d4244.json | N/A | N/A | N/A | N/A | N/A | 99688004H | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 02/28/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1963-05-22 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | SMITH | N/A | MATTHEW | N/A | 2078-12-31 | 2025-05-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095036 | N/A | N/A | 7022680 | 2222 | 4793 | 17838011 | 4211 | 6037802 | 2026-01-25 03:31:37.482319 | 2025-07-22 17:48:16.997014 |
| 2026-01-24 08:10:15.041028 | 2026-01-25 03:31:36.238549 | 17571669 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17571669 | Athletic Physical Therapy Inc | 1967-12-06 | 2026-01-27 | F | AE | PT | KLOSSOWSKI | 98920892C | TRESSA | 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/2222/7019712/check_17571669_eeccfe98-a969-47af-880f-635839c0e294.json | N/A | N/A | N/A | N/A | N/A | 98920892C | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 01/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1967-12-06 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | KLOSSOWSKI | N/A | TRESSA | N/A | 2078-12-31 | 2025-04-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095035 | N/A | N/A | 7019712 | 2222 | 4793 | 17837997 | 4211 | 6034714 | 2026-01-25 03:31:36.238549 | 2025-07-15 18:02:59.670156 |
| 2026-01-24 08:10:14.718506 | 2026-01-25 03:34:01.905076 | 17571653 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 17571653 | Athletic Physical Therapy Inc | 1944-09-12 | 2026-01-27 | F | AE | PT | AFSARI | 994467802 | NARGES | 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/2222/7018260/check_17571653_f51eee50-31df-4917-841b-4b645a6c855b.json | N/A | N/A | N/A | N/A | N/A | 994467802 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1944-09-12 | N/A | 02049 | N/A | HN | false | AFSARI | N/A | NARGES | N/A | N/A | N/A | HMOPOS-AARP MEDICARE ADVANTAGE FROM UHC CA-004P (H | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095034 | N/A | N/A | 7018260 | 2222 | 4801 | 17839707 | 6411 | 6033556 | 2026-01-25 03:34:01.905076 | 2025-07-30 20:38:43.563128 |
| 2026-01-24 08:10:14.208135 | 2026-01-25 03:38:41.418038 | 17571634 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17571634 | Athletic Physical Therapy Inc | 1959-09-07 | 2026-01-27 | M | AE | PT | CICCIARI | 1AK4JC6NK84 | LOUIS | 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/2222/6752936/check_17571634_ff1c7a53-a0c6-4536-a6f0-1d01a8500f44.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5617 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | 42000 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095033 | N/A | N/A | 6752936 | 2222 | 4801 | 17842886 | N/A | 5065602 | 2026-01-25 03:38:41.418038 | 2025-07-01 17:25:13.681724 |
| 2026-01-24 08:10:13.830700 | 2026-01-25 03:31:29.897830 | 17571620 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 17571620 | Athletic Physical Therapy Inc | 1955-02-20 | 2026-01-27 | F | AE | PT | SALGUERO | 35955370 | DINA | 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/2222/6711965/check_17571620_201c88ae-dfda-4e4a-a3d4-bab3a9950847.json | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | 406-005-000 | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095032 | N/A | N/A | 6711965 | 2222 | 4793 | 17837935 | 6798 | 4210430 | 2026-01-25 03:31:29.897830 | 2025-05-13 04:29:37.224841 |
| 2026-01-24 08:10:13.550513 | 2026-01-25 03:33:37.244846 | 17571609 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 17571609 | Athletic Physical Therapy Inc | 1942-07-28 | 2026-01-27 | M | AE | PT | SIMMONS | 40055722801 | J | 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/2222/6685251/check_17571609_ce9113db-66b1-4ae1-8841-d4e939409cd0.json | N/A | N/A | N/A | N/A | N/A | 40055722801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1942-07-28 | 2026H5425001 | H5425M | N/A | N/A | false | SIMMONS | N/A | J | 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 | 9850095030 | N/A | N/A | 6685251 | 2222 | 4793 | 17839423 | 6237 | 4209868 | 2026-01-25 03:33:37.244846 | 2025-08-15 22:13:56.514261 |
| 2026-01-24 08:10:13.100944 | 2026-01-25 03:38:43.618739 | 17571588 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17571588 | Athletic Physical Therapy Inc | 1952-10-25 | 2026-01-27 | F | AE | PT | JOHNSTON | 7KA0H51YU14 | DEBORAH | 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/2222/6638391/check_17571588_672b6dc1-e778-4c4d-9af4-c514e9f52358.json | N/A | N/A | N/A | N/A | N/A | 7KA0H51YU14 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-10-25 | S5617 | N/A | N/A | MA | false | JOHNSTON | N/A | DEBORAH | N/A | N/A | N/A | N/A | N/A | 40560 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095029 | N/A | N/A | 6638391 | 2222 | 4793 | 17842912 | N/A | 5247837 | 2026-01-25 03:38:43.618739 | 2026-02-24 20:36:49.807283 |
| 2026-01-24 08:10:12.798628 | 2026-01-25 03:34:30.651954 | 17571572 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 17571572 | Athletic Physical Therapy Inc | 1953-09-16 | 2026-01-27 | F | AE | PT | Sankovich | 00000375069 | Deborah | 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/2222/6210775/check_17571572_d43502ed-f977-4456-a599-810a2913d061.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1953-09-16 | H3815028 | N/A | N/A | HM | false | SANKOVICH | N/A | DEBORAH | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095028 | N/A | N/A | 6210775 | 2222 | 4793 | 17840044 | 2630 | 4215193 | 2026-01-25 03:34:30.651954 | 2026-01-16 04:38:12.725481 |
| 2026-01-24 08:10:12.589086 | 2026-01-25 03:34:42.937409 | 17571562 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17571562 | Athletic Physical Therapy Inc | 1994-12-29 | 2026-01-27 | M | PT | N/A | FILLO | JQU251W23722 | BENJAMIN | 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/2222/5993941/check_17571562_8fdff7d2-e866-4a77-b6b6-2677ee3a9284.json | N/A | N/A | N/A | N/A | N/A | JQU251W23722 | Preferred Provider Organization (PPO) | VALLE REINIS BUILDERS | ANTHEM BLUE CROSS | N/A | 1994-12-29 | 040 | Q82161 | N/A | PR | false | FILLO | N/A | BENJAMIN | N/A | 9999-12-31 | 2025-07-01 | CA SG ANTHEM PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9850095027 | N/A | N/A | 5993941 | 2222 | 4802 | 17840186 | N/A | 4642872 | 2026-01-25 03:34:42.937409 | 2026-01-27 23:33:22.153354 |
| 2026-01-24 08:10:12.268722 | 2026-01-25 03:34:29.892180 | 17571547 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 17571547 | Athletic Physical Therapy Inc | 1953-03-27 | 2026-01-27 | F | AE | PT | FINE | 00000272194 | MICHELLE | 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/2222/5858742/check_17571547_d745cbe7-3c31-40c8-bc08-48cc960f8d6e.json | N/A | N/A | N/A | N/A | N/A | 00000272194 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1953-03-27 | H3815028 | N/A | N/A | HM | false | FINE | N/A | MICHELLE | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095026 | N/A | N/A | 5858742 | 2222 | 4801 | 17840035 | N/A | 4219630 | 2026-01-25 03:34:29.892180 | 2025-05-13 04:29:37.230672 |
| 2026-01-24 08:10:11.951946 | 2026-01-25 03:34:30.373961 | 17571534 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 17571534 | Athletic Physical Therapy Inc | 1956-07-24 | 2026-01-27 | F | AE | PT | HOCHFELD | 00000365425 | PAMELA | 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/2222/5676362/check_17571534_c520501a-c062-487b-bc74-083c827a189c.json | N/A | N/A | N/A | N/A | N/A | 00000365425 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-07-24 | H3815028 | N/A | N/A | HM | false | HOCHFELD | N/A | PAMELA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095025 | N/A | N/A | 5676362 | 2222 | 4793 | 17840041 | 2630 | 4219743 | 2026-01-25 03:34:30.373961 | 2025-12-04 22:36:02.632383 |
| 2026-01-24 08:10:11.638674 | 2026-01-25 03:31:57.719822 | 17571521 | N/A | N/A | 60054 | Aetna | 1114042165 | 17571521 | Athletic Physical Therapy Inc | 2012-12-14 | 2026-01-27 | M | AE | PT | Bigelow | W227343071 | EDWARD | 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/2222/5550924/check_17571521_72cf2182-7bc5-4a3f-8e66-5c2a6a2b5d88.json | N/A | N/A | N/A | N/A | N/A | W227343071 | Point of Service (POS) | ADOBE INC. | AETNA | N/A | 2012-12-14 | 0660819 | 066081901600001 | N/A | PS | false | BIGELOW | N/A | TIMOTHY | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095024 | N/A | N/A | 5550924 | 2222 | 4793 | 17838248 | N/A | 4219767 | 2026-01-25 03:31:57.719822 | 2026-03-10 05:28:29.748799 |
| 2026-01-24 08:10:11.202617 | 2026-01-25 03:32:31.455369 | 17571507 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 17571507 | Athletic Physical Therapy Inc | 1970-09-15 | 2026-01-27 | F | AE | PT | DON | H74748118 | JACKIE | 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/2222/5550314/check_17571507_f9a56817-7023-4bd6-9a7b-025760721ee9.json | N/A | N/A | N/A | N/A | N/A | H74748118 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1970-09-15 | N/A | 2B506001 | N/A | HN | false | DON | N/A | JACKIE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095022 | N/A | N/A | 5550314 | 2222 | 4801 | 17838635 | N/A | 4219523 | 2026-01-25 03:32:31.455369 | 2025-12-13 21:47:36.966446 |
| 2026-01-24 08:10:10.737451 | 2026-01-25 03:31:37.135124 | 17571489 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17571489 | Athletic Physical Therapy Inc | 1990-11-12 | 2026-01-27 | F | AE | PT | SIMONS | 94378141G | DESIREE | 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/2222/5550102/check_17571489_cce30f93-9f67-4f7e-9e01-6f2b84c03921.json | N/A | N/A | N/A | N/A | N/A | 94378141G | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1990-11-12 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | SIMONS | N/A | DESIREE | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095021 | N/A | N/A | 5550102 | 2222 | 4802 | 17838008 | 4211 | 4212176 | 2026-01-25 03:31:37.135124 | 2025-05-13 04:29:37.226514 |
| 2026-01-24 08:10:10.335488 | 2026-01-25 03:34:41.745359 | 17571469 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 17571469 | Athletic Physical Therapy Inc | 1955-10-09 | 2026-01-27 | M | PT | N/A | COE | JQS589W10732 | SCOTT | 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/2222/5549514/check_17571469_2bcd9d5a-90cf-405f-b312-5f00ffbc7554.json | N/A | N/A | N/A | N/A | N/A | JQS589W10732 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1955-10-09 | 040 | CAMCRWP0 | N/A | MP | false | COE | N/A | SCOTT | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9850095020 | N/A | N/A | 5549514 | 2222 | 4801 | 17840173 | 4185 | 4219161 | 2026-01-25 03:34:41.745359 | 2025-10-16 23:24:12.118501 |
| 2026-01-24 08:10:09.874447 | 2026-01-25 03:31:29.643094 | 17571450 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 17571450 | Athletic Physical Therapy Inc | 1941-05-24 | 2026-01-27 | F | AE | PT | REGGIANI | 41813758 | SUSANA | 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/2222/5549015/check_17571450_85dfbdc4-d51c-412d-98bd-5e622398656b.json | N/A | N/A | N/A | N/A | N/A | 41813758 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1941-05-24 | 406-034-002 | N/A | N/A | N/A | false | REGGIANI | N/A | SUSANA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095019 | N/A | N/A | 5549015 | 2222 | 4801 | 17837933 | 6798 | 4208849 | 2026-01-25 03:31:29.643094 | 2025-05-13 04:29:37.223279 |
| 2026-01-24 08:10:09.636653 | 2026-01-25 03:38:43.035317 | 17571436 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17571436 | Athletic Physical Therapy Inc | 1952-05-20 | 2026-01-26 | M | AE | PT | GOODMAN | 2VJ5RN1UV72 | ALAN | 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/2222/5548975/check_17571436_927a3a67-fdd2-4013-aade-a3449ab34afd.json | N/A | N/A | N/A | N/A | N/A | 2VJ5RN1UV72 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-05-20 | S4802 | N/A | N/A | MB | false | GOODMAN | N/A | ALAN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095018 | N/A | N/A | 5548975 | 2222 | 4793 | 17842905 | N/A | 4218732 | 2026-01-25 03:38:43.035317 | 2026-01-21 19:34:27.540544 |
| 2026-01-24 08:10:09.232860 | 2026-01-25 03:38:45.289858 | 17571414 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17571414 | Athletic Physical Therapy Inc | 1947-11-15 | 2026-01-27 | F | AE | PT | NOGHREIAN | 6XG3KA2TP05 | FLORIA | 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/2222/5548970/check_17571414_f3e86014-fd73-4f0a-99ba-10a3a0ef7f57.json | N/A | N/A | N/A | N/A | N/A | 6XG3KA2TP05 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-11-15 | S5617 | N/A | N/A | MB | false | NOGHREIAN | N/A | FLORIA | N/A | N/A | N/A | N/A | N/A | 55025 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095017 | N/A | N/A | 5548970 | 2222 | 4802 | 17842932 | N/A | 4218728 | 2026-01-25 03:38:45.289858 | 2025-05-13 04:29:37.229718 |
| 2026-01-24 08:10:08.910390 | 2026-01-25 03:38:42.223917 | 17571396 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17571396 | Athletic Physical Therapy Inc | 1956-02-09 | 2026-01-27 | F | AE | PT | DOUGLAS | 6RW0R23KU11 | HEATHER | 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/2222/5548965/check_17571396_efa1dfb3-0659-4b4c-808d-211a5a3a1310.json | N/A | N/A | N/A | N/A | N/A | 6RW0R23KU11 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-02-09 | S5617 | N/A | N/A | MB | false | DOUGLAS | N/A | HEATHER | N/A | N/A | N/A | N/A | N/A | 30380 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095016 | N/A | N/A | 5548965 | 2222 | 4802 | 17842896 | N/A | 4218725 | 2026-01-25 03:38:42.223917 | 2025-05-13 04:29:37.229715 |
| 2026-01-24 08:10:08.531705 | 2026-01-25 03:38:41.147282 | 17571377 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17571377 | Athletic Physical Therapy Inc | 1957-05-23 | 2026-01-27 | F | AE | PT | CEASAR | 6XR6JY3MJ89 | DEBBIE | 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/2222/5543553/check_17571377_4ba26c38-a250-4ccf-9306-43827711a708.json | N/A | N/A | N/A | N/A | N/A | 6XR6JY3MJ89 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-23 | S5660 | N/A | N/A | MA | false | CEASAR | N/A | DEBBIE | N/A | N/A | N/A | N/A | N/A | 66306 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095015 | N/A | N/A | 5543553 | 2222 | 4793 | 17842883 | N/A | 4215327 | 2026-01-25 03:38:41.147282 | 2025-05-13 04:29:37.229651 |
| 2026-01-24 08:10:08.066031 | 2026-01-25 03:33:37.525617 | 17571352 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 17571352 | Athletic Physical Therapy Inc | 1956-05-26 | 2026-01-26 | F | AD | 30 | TORRES | 40067303001 | OLGA | 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/2222/5543371/check_17571352_66b36a56-0df9-40bc-b15e-289dbef3171f.json | N/A | N/A | N/A | N/A | N/A | 40067303001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1956-05-26 | 2026H5425001 | H5425M | N/A | N/A | false | TORRES | N/A | OLGA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 9850095014 | N/A | N/A | 5543371 | 2222 | 4793 | 17839426 | 6237 | 4215172 | 2026-01-25 03:33:37.525617 | 2025-05-13 04:29:37.229489 |
| 2026-01-24 08:10:07.850842 | 2026-01-25 03:31:35.078176 | 17571342 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17571342 | Athletic Physical Therapy Inc | 1961-07-08 | 2026-01-27 | F | AE | PT | BERRY | 606308574 | KAREN | 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/2222/5543264/check_17571342_80f7b47c-22e9-4d41-9d3a-63596c61f29e.json | N/A | N/A | N/A | N/A | N/A | 606308574 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-07-08 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | BERRY | N/A | KAREN | N/A | 2026-12-31 | 2026-01-01 | SILVER 87 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095013 | N/A | N/A | 5543264 | 2222 | 4802 | 17837985 | 4211 | 4215080 | 2026-01-25 03:31:35.078176 | 2025-05-13 04:29:37.229395 |
| 2026-01-24 08:10:07.425432 | 2026-01-25 03:34:43.517903 | 17571321 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17571321 | Athletic Physical Therapy Inc | 1967-09-16 | 2026-01-27 | M | PT | N/A | GOLDFILL | ALR918A22328 | AMIT | 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/2222/5542979/check_17571321_3e6fe33c-d310-4562-837d-99d83793aac9.json | N/A | N/A | N/A | N/A | N/A | ALR918A22328 | Preferred Provider Organization (PPO) | GLOBAL SOLUTION PLATINUM PPO PLAN | ANTHEM BLUE CROSS | N/A | 1967-09-16 | 060 | 270191G1WA | N/A | PR | false | GOLDFILL | N/A | YOSSEPH | N/A | 9999-12-31 | 2025-01-01 | CT BLUE CARD PREFERRED PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9850095010 | N/A | N/A | 5542979 | 2222 | 4793 | 17840194 | N/A | 4214828 | 2026-01-25 03:34:43.517903 | 2025-05-13 04:29:37.229149 |
| 2026-01-24 08:10:07.088754 | 2026-01-25 03:31:59.087595 | 17571306 | N/A | N/A | 60054 | Aetna | 1114042165 | 17571306 | Athletic Physical Therapy Inc | 1982-02-18 | 2026-01-27 | M | AE | PT | TORGAN | W291598583 | SPENCER | 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/2222/5542863/check_17571306_0cc94447-3dc0-4afd-8beb-541ae5d67ac3.json | N/A | N/A | N/A | N/A | N/A | W291598583 | Point of Service (POS) | MORGAN STANLEY DOMESTIC HOLDINGS, L | AETNA | N/A | 1982-02-18 | 0868849 | 086884901000001 | N/A | PS | false | TORGAN | N/A | SPENCER | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095009 | N/A | N/A | 5542863 | 2222 | 4793 | 17838263 | N/A | 4214725 | 2026-01-25 03:31:59.087595 | 2025-05-13 04:29:37.229043 |
| 2026-01-24 08:10:06.613111 | 2026-01-25 03:34:27.545397 | 17571282 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | 17571282 | override_provider | 2007-12-08 | 2026-01-27 | F | AE | PT | LARSEN | R06053944FD1 | LANA | 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/2222/5542850/check_17571282_81e1b33c-7308-4d64-bb15-37f61ff78e2f.json | N/A | N/A | N/A | N/A | N/A | R06053944FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2007-12-08 | N/A | N/A | N/A | N/A | false | LARSEN | N/A | LANA | N/A | N/A | N/A | NDB COMHMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095008 | N/A | N/A | 5542850 | 2222 | 4793 | 17840008 | N/A | 4214714 | 2026-01-25 03:34:27.545397 | 2025-05-13 04:29:37.229031 |
| 2026-01-24 08:10:06.324002 | 2026-01-25 03:34:02.200704 | 17571266 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 17571266 | Athletic Physical Therapy Inc | 1971-09-10 | 2026-01-27 | M | AE | PT | STRONG | 292014001 | JOHN | 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/2222/5542808/check_17571266_66038e04-21ba-4688-875c-6571834b083c.json | N/A | N/A | N/A | N/A | N/A | 292014001 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1971-09-10 | N/A | 234485 | N/A | C1 | false | STRONG | N/A | JOHN | N/A | N/A | N/A | SIGNATUREVALUE HMO PLATINUM | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095007 | N/A | N/A | 5542808 | 2222 | 4801 | 17839711 | 6411 | 4214674 | 2026-01-25 03:34:02.200704 | 2025-05-13 04:29:37.228994 |
| 2026-01-24 08:10:05.952705 | 2026-01-25 03:34:43.831480 | 17571246 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17571246 | Athletic Physical Therapy Inc | 1957-03-15 | 2026-01-27 | F | PT | N/A | GOLDMAN | MBL801W11756 | ROBERTA | 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/2222/5542655/check_17571246_c23adf3f-e624-474a-80d3-1826d6e7faba.json | N/A | N/A | N/A | N/A | N/A | MBL801W11756 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1957-03-15 | 040 | CAEGR005 | N/A | N/A | false | GOLDMAN | N/A | ROBERTA | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9850095006 | N/A | N/A | 5542655 | 2222 | 4802 | 17840197 | N/A | 4214541 | 2026-01-25 03:34:43.831480 | 2025-05-13 04:29:37.228867 |
| 2026-01-24 08:10:05.625192 | 2026-01-25 03:31:35.651268 | 17571227 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17571227 | Athletic Physical Therapy Inc | 1960-09-15 | 2026-01-27 | F | AE | PT | HAMI | 92932800G | FARIBA | 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/2222/5542611/check_17571227_7e4225a1-13fd-451f-9bc2-03621ed6fa18.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MEDICARE PART AB CI003 | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1960-09-15 | BP0001 | QMXEM01909 | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | 2078-12-31 | 2025-11-01 | DUAL ELIGIBLE AGED - MSP - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095005 | N/A | N/A | 5542611 | 2222 | 4802 | 17837991 | 4211 | 4214490 | 2026-01-25 03:31:35.651268 | 2025-05-13 04:29:37.228806 |
| 2026-01-24 08:10:05.391328 | 2026-01-25 03:38:46.053804 | 17571211 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17571211 | Athletic Physical Therapy Inc | 1959-10-03 | 2026-01-27 | F | AE | PT | REED | 2YY5KV0WP59 | SONIA | 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/2222/5542497/check_17571211_fb2a03a8-2be3-4aed-8d5e-c7d67d3a1613.json | N/A | N/A | N/A | N/A | N/A | 2YY5KV0WP59 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-10-03 | S5617 | N/A | N/A | MA | false | REED | N/A | SONIA | N/A | N/A | N/A | N/A | N/A | 17774 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095004 | N/A | N/A | 5542497 | 2222 | 4801 | 17842942 | N/A | 4214397 | 2026-01-25 03:38:46.053804 | 2025-05-13 04:29:37.228723 |
| 2026-01-24 08:10:05.091956 | 2026-01-25 03:31:59.346268 | 17571194 | N/A | N/A | 60054 | Aetna | 1114042165 | 17571194 | Athletic Physical Therapy Inc | 1986-03-06 | 2026-01-27 | M | AE | PT | LOPEZ | W27941988601 | NORBY | 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/2222/5541926/check_17571194_a74b500d-8052-4eb1-9ea0-1c543669a036.json | N/A | N/A | N/A | N/A | N/A | W27941988601 | N/A | N/A | AETNA INC | N/A | 1986-03-06 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | NORBY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095003 | N/A | N/A | 5541926 | 2222 | 4802 | 17838266 | N/A | 4213897 | 2026-01-25 03:31:59.346268 | 2026-01-05 15:53:04.731703 |
| 2026-01-24 08:10:04.564686 | 2026-01-25 03:31:49.378469 | 17571161 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 17571161 | override_provider | 1957-04-11 | 2026-01-27 | M | PT | N/A | ADRIAN | MBL508W11635 | NELSON | 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/2222/5541841/check_17571161_354631a9-224b-4a77-953a-f0b7ebdf1de0.json | N/A | N/A | N/A | N/A | N/A | MBL508W11635 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | BLUE SHIELD OF CALIFORNIA | N/A | 1957-04-11 | 040 | CAEGR005 | N/A | N/A | false | ADRIAN | N/A | NELSON | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9850095002 | N/A | N/A | 5541841 | 2222 | 4801 | 17838151 | N/A | 4213826 | 2026-01-25 03:31:49.378469 | 2025-05-13 04:29:37.228146 |
| 2026-01-24 08:10:04.358429 | 2026-01-25 03:34:27.254773 | 17571147 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 17571147 | Athletic Physical Therapy Inc | 1968-03-30 | 2026-01-27 | M | AE | PT | FARAHMAND | 91957675E | ALEX | 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/2222/5541163/check_17571147_aa3c00cd-95ff-4f17-ae7a-269defde8cec.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | HEALTH NET, LLC | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9850095001 | N/A | N/A | 5541163 | 2222 | 4802 | 17840005 | 4625 | 4213207 | 2026-01-25 03:34:27.254773 | 2025-05-13 04:29:37.227536 |