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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-01-21 08:29:00.373726 | 2026-01-22 01:44:44.683617 | 17430680 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 17430680 | Athletic Physical Therapy Inc | 1961-02-08 | 2026-01-22 | F | AE | PT | KATKHOUDA | 95258599G | RYME | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12788343/check_17430680_d8a835dc-aada-406e-90c4-6d109230cd4d.json | N/A | N/A | N/A | N/A | N/A | 95258599G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1961-02-08 | MCLA | MWLLNMEG21 | N/A | N/A | false | KATKHOUDA | N/A | RYME | N/A | 2078-12-31 | 2023-01-01 | LACARE MEDICAL | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9822094847 | N/A | N/A | 12788343 | 2222 | 4802 | 17689488 | N/A | 10954913 | 2026-01-22 01:44:44.683617 | 2026-02-03 00:31:49.512761 |
| 2026-01-21 08:28:59.973427 | 2026-01-22 01:44:33.928161 | 17430671 | N/A | N/A | 94134 | Kaiser Permanente KPIC | 1114042165 | 17430671 | Athletic Physical Therapy Inc | 1970-06-12 | 2026-01-23 | M | AE | PT | Rosell | 000023922241 | Steven | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12786540/check_17430671_91a40ae4-00f6-4d3a-a992-c664ee02aad9.json | N/A | N/A | N/A | N/A | N/A | 000023922241 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1970-06-12 | 4308534 | 1650095001 | N/A | N/A | false | ROSELL | N/A | STEVEN | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 94 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9822094846 | N/A | N/A | 12786540 | 2222 | 4802 | 17689077 | N/A | 10953465 | 2026-01-22 01:44:33.928161 | 2025-12-17 20:07:45.135929 |
| 2026-01-21 08:28:59.488862 | 2026-01-22 01:44:55.550870 | 17430661 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17430661 | Athletic Physical Therapy Inc | 1994-07-04 | 2026-01-23 | M | PT | N/A | Daich | JQY912W17468 | Austin | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12517512/check_17430661_1927a55f-3795-499a-b042-a802971f1126.json | N/A | N/A | N/A | N/A | N/A | JQY912W17468 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1994-07-04 | 040 | 476522 | N/A | PR | false | DAICH | N/A | AUSTIN | N/A | 9999-12-31 | 2026-01-01 | ANTHEM SILVER SELECT PPO HSA/H 3000/3400/6000 35% | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9822094845 | N/A | N/A | 12517512 | 2222 | 4802 | 17689857 | N/A | 9234161 | 2026-01-22 01:44:55.550870 | 2025-10-15 16:55:10.102836 |
| 2026-01-21 08:28:58.848332 | 2026-01-22 01:45:09.402449 | 17430647 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17430647 | Athletic Physical Therapy Inc | 2006-05-05 | 2026-01-23 | F | PT | N/A | LOWRY | XEK911000149 | KERIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12496183/check_17430647_d5a89d76-a19c-4b1c-a255-c71daae9debf.json | N/A | N/A | N/A | N/A | N/A | XEK911000149 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2006-05-05 | 2001ZK002648 | X0001000 | N/A | PR | false | LOWRY | N/A | KEIRA | N/A | 9999-12-31 | 2026-01-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9822094844 | N/A | N/A | 12496183 | 2222 | 4793 | 17690241 | N/A | 10672548 | 2026-01-22 01:45:09.402449 | 2025-11-10 18:16:44.084643 |
| 2026-01-21 08:28:58.344191 | 2026-01-22 01:48:03.196512 | 17430633 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17430633 | Athletic Physical Therapy Inc | 1951-07-30 | 2026-01-23 | F | AE | PT | Ruhe | 6E08G29GT63 | Jacqueline | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12438098/check_17430633_87608439-edc2-4b5c-94ac-3f1330483795.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 | 9822094843 | N/A | N/A | 12438098 | 2222 | 4802 | 17694093 | N/A | 10618088 | 2026-01-22 01:48:03.196512 | 2026-03-18 22:31:10.360004 |
| 2026-01-21 08:28:57.574383 | 2026-01-22 01:43:17.673152 | 17430613 | N/A | N/A | 61101 | HUMANA | 1114042165 | 17430613 | Athletic Physical Therapy Inc | 1954-09-04 | 2026-01-23 | F | AE | PT | MENDEZ | H9608321000 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12421991/check_17430613_ce9a68ee-1c19-4be9-9631-517f8908f6a9.json | N/A | N/A | N/A | N/A | N/A | H96083210 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 695 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1954-09-04 | N/A | 2B798001 | N/A | HN | false | MENDEZ | N/A | LINDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9822094842 | N/A | N/A | 12421991 | 2222 | 4793 | 17686054 | 5349 | 10601861 | 2026-01-22 01:43:17.673152 | 2025-11-07 18:35:55.025808 |
| 2026-01-21 08:28:56.875803 | 2026-01-22 01:42:30.972498 | 17430602 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17430602 | Athletic Physical Therapy Inc | 1950-08-09 | 2026-01-23 | M | AE | PT | Kirgizbaev | 94138168G | Bakhtiyar | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12407501/check_17430602_b55a69c2-26a1-4894-b675-48c291ee3bfe.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 | 9822094841 | N/A | N/A | 12407501 | 2222 | 4802 | 17684070 | 4211 | 10587374 | 2026-01-22 01:42:30.972498 | 2025-12-24 19:36:03.607867 |
| 2026-01-21 08:28:56.471191 | 2026-01-22 01:42:47.814686 | 17430589 | N/A | N/A | 60054 | Aetna | 1114042165 | 17430589 | Athletic Physical Therapy Inc | 1980-12-26 | 2026-01-23 | M | AE | PT | MAHINAY | W219751013 | JASON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12366384/check_17430589_a8875f38-46e6-48d0-8466-eed33f60d7ae.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 | 9822094840 | N/A | N/A | 12366384 | 2222 | 4793 | 17684819 | N/A | 10546247 | 2026-01-22 01:42:47.814686 | 2025-11-14 17:19:10.403651 |
| 2026-01-21 08:28:56.046460 | 2026-01-22 01:44:58.676012 | 17430581 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17430581 | Athletic Physical Therapy Inc | 1957-05-05 | 2026-01-23 | F | PT | N/A | HOUSTON | TRJNP0019401 | VELINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12244725/check_17430581_35757f0a-0e02-4ef0-90e6-614971ae6dc4.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 | 9822094839 | N/A | N/A | 12244725 | 2222 | 4802 | 17689946 | N/A | 9637804 | 2026-01-22 01:44:58.676012 | 2026-04-24 18:56:42.779565 |
| 2026-01-21 08:28:55.639747 | 2026-01-22 01:42:30.022012 | 17430570 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17430570 | Athletic Physical Therapy Inc | 1963-03-31 | 2026-01-23 | M | AE | PT | MILLER | 93938354D | GUSSIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12109408/check_17430570_252c2e7c-536b-45cb-9389-a06600966c55.json | N/A | N/A | N/A | N/A | N/A | 93938354D | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1963-03-31 | N/A | N/A | N/A | N/A | false | MILLER | N/A | GUSSIE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9822094838 | N/A | N/A | 12109408 | 2222 | 4793 | 17684027 | 4211 | 10327291 | 2026-01-22 01:42:30.022012 | 2025-11-04 18:11:41.886029 |
| 2026-01-21 08:28:54.970371 | 2026-01-22 01:45:00.212255 | 17430554 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 17430554 | Athletic Physical Therapy Inc | 1965-07-12 | 2026-01-22 | F | PT | N/A | BENSON | 361A55900 | ELIZABETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11917007/check_17430554_afd2f8cb-3f76-4946-aae2-4094724598c3.json | N/A | N/A | N/A | N/A | N/A | NCF361A55900 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1965-07-12 | 040 | 276193H001 | N/A | HM | false | MANICHIA | N/A | GINA | N/A | 9999-12-31 | 2025-07-01 | PREMIER SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9822094837 | N/A | N/A | 11917007 | 2222 | 4793 | 17689987 | 4185 | 10144918 | 2026-01-22 01:45:00.212255 | 2025-11-17 16:03:18.208475 |
| 2026-01-21 08:28:54.262921 | 2026-01-22 01:44:03.542305 | 17430537 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 17430537 | Athletic Physical Therapy Inc | 1986-03-20 | 2026-01-22 | M | AE | PT | Vallez | UZ171007801 | Christopher | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11619496/check_17430537_4a4f4c55-fb9a-459c-b5ea-8f492978500e.json | N/A | N/A | N/A | N/A | N/A | UZ171007801 | N/A | N/A | CENTENE CORPORATION | N/A | 1986-03-20 | N/A | N/A | N/A | N/A | false | VALLEZ | N/A | CHRISTOPHER | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9822094836 | N/A | N/A | 11619496 | 2222 | 4802 | 17687930 | N/A | 9856940 | 2026-01-22 01:44:03.542305 | 2025-11-10 19:43:16.763776 |
| 2026-01-21 08:28:53.957711 | 2026-01-22 01:44:10.688070 | 17430529 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 17430529 | Athletic Physical Therapy Inc | 1956-09-25 | 2026-01-22 | M | AD | 30 | Marvin | 40059610101 | Terry | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11529617/check_17430529_c7e72713-b2e5-440f-a822-0f06c21e103e.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 | 9822094835 | N/A | N/A | 11529617 | 2222 | 4801 | 17688211 | N/A | 9770503 | 2026-01-22 01:44:10.688070 | 2025-11-05 23:33:36.141284 |
| 2026-01-21 08:28:53.558982 | 2026-01-22 01:44:55.769481 | 17430521 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17430521 | Athletic Physical Therapy Inc | 1966-12-01 | 2026-01-22 | F | PT | N/A | DE LUNA | JMV025A51982 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11526121/check_17430521_d71dcb78-18ca-4f53-b224-963e84a5ff5c.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 | 9822094834 | N/A | N/A | 11526121 | 2222 | 4801 | 17689865 | N/A | 9766947 | 2026-01-22 01:44:55.769481 | 2025-11-11 21:32:02.372730 |
| 2026-01-21 08:28:53.267027 | 2026-01-22 01:45:03.040788 | 17430514 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17430514 | Athletic Physical Therapy Inc | 1961-06-24 | 2026-01-23 | M | PT | N/A | RAY | PAS838471972 | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11420779/check_17430514_ff0eacc2-cf26-43d3-8065-e8602607142d.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 | 9822094833 | N/A | N/A | 11420779 | 2222 | 4801 | 17690071 | N/A | 9673427 | 2026-01-22 01:45:03.040788 | 2025-11-03 19:27:12.288254 |
| 2026-01-21 08:28:52.812659 | 2026-01-22 01:44:41.773802 | 17430501 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 17430501 | Athletic Physical Therapy Inc | 1955-07-01 | 2026-01-23 | F | AE | PT | HINDOYAN | 00000381176 | MARIAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11415049/check_17430501_db224ecd-f38a-4057-8dc2-e316328c3791.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 | 9822094831 | N/A | N/A | 11415049 | 2222 | 4801 | 17689384 | 2630 | 4219019 | 2026-01-22 01:44:41.773802 | 2026-03-18 18:00:45.440632 |
| 2026-01-21 08:28:52.281566 | 2026-01-22 01:48:03.715842 | 17430492 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17430492 | Athletic Physical Therapy Inc | 1959-01-17 | 2026-01-22 | M | AE | PT | WAHL | 6CX2NW3WP90 | LELAND | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11364481/check_17430492_5b45288c-6c59-4332-910c-4f69c1581c84.json | N/A | N/A | N/A | N/A | N/A | 6CX2NW3WP90 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-01-17 | S5617 | N/A | N/A | MA | false | WAHL | N/A | LELAND | N/A | N/A | N/A | N/A | N/A | 20601 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9822094830 | N/A | N/A | 11364481 | 2222 | 4793 | 17694105 | N/A | 9633229 | 2026-01-22 01:48:03.715842 | 2026-02-05 17:07:37.378883 |
| 2026-01-21 08:28:51.664542 | 2026-01-22 01:45:01.240814 | 17430479 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17430479 | Athletic Physical Therapy Inc | 1959-04-01 | 2026-01-23 | M | PT | N/A | MOYER | JXN542M92477 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11278285/check_17430479_6e3dfbae-2170-44cb-9720-b043a56e3416.json | N/A | N/A | N/A | N/A | N/A | JXN542M92477 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1959-04-01 | 040 | 174222M2A1 | N/A | PR | false | MOYER | N/A | STEVEN | N/A | 9999-12-31 | 2018-01-01 | BC PPO INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9822094093 | N/A | N/A | 11278285 | 2222 | 4801 | 17690015 | N/A | 9581032 | 2026-01-22 01:45:01.240814 | 2025-10-21 22:24:54.464325 |
| 2026-01-21 08:28:51.131553 | 2026-01-22 01:44:53.517412 | 17430467 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 17430467 | Athletic Physical Therapy Inc | 1954-11-24 | 2026-01-23 | M | PT | N/A | BLANCHFIELD | JMV780A55541 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10346222/check_17430467_2e72185f-bfae-4433-baf6-7d14b847d5cf.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 | 9822094092 | N/A | N/A | 10346222 | 2222 | 4793 | 17689790 | 4184 | 4214447 | 2026-01-22 01:44:53.517412 | 2026-04-23 20:11:34.441054 |
| 2026-01-21 08:28:50.556411 | 2026-01-22 01:42:30.276992 | 17430454 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17430454 | Athletic Physical Therapy Inc | 1961-11-24 | 2026-01-23 | F | AE | PT | CRUTCHFIELD | 90443065C | HELEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10103203/check_17430454_1491d5d0-5916-4fa0-8dab-589e1564e21e.json | N/A | N/A | N/A | N/A | N/A | 90443065C | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-11-24 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | CRUTCHFIELD | N/A | HELEN | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9822094091 | N/A | N/A | 10103203 | 2222 | 4802 | 17684036 | 4211 | 8437251 | 2026-01-22 01:42:30.276992 | 2025-10-07 19:08:26.048804 |
| 2026-01-21 08:28:50.068660 | 2026-01-22 01:44:57.855520 | 17430447 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 17430447 | Athletic Physical Therapy Inc | 2003-04-25 | 2026-01-23 | M | PT | N/A | GREEN | JQV184A72608 | ALLEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10091887/check_17430447_7214de18-de08-4460-96d5-030a29d7fcec.json | N/A | N/A | N/A | N/A | N/A | JQV184A72608 | Health Maintenance Organization (HMO) | GUMM AND GREEN LLP | ANTHEM BLUE CROSS | N/A | 2003-04-25 | 040 | 428474 | N/A | HM | false | GREEN | N/A | LINDSEY | N/A | 9999-12-31 | 2025-12-01 | ANTHEM GOLD SELECT HMO 35 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9822094090 | N/A | N/A | 10091887 | 2222 | 4793 | 17689921 | 4185 | 8429919 | 2026-01-22 01:44:57.855520 | 2025-10-07 22:01:52.720968 |
| 2026-01-21 08:28:49.670325 | 2026-01-22 01:44:04.485078 | 17430439 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 17430439 | Athletic Physical Therapy Inc | 1991-10-20 | 2026-01-23 | M | AE | PT | Liranzo | 95222529G | Antonio | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9985996/check_17430439_82ca2f36-4e53-4ae8-a924-2b9ee79e4710.json | N/A | N/A | N/A | N/A | N/A | 95222529G | N/A | N/A | HEALTH NET, LLC | N/A | 1991-10-20 | N/A | N/A | N/A | N/A | false | LIRANZO | N/A | ANTONIO | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9822094089 | N/A | N/A | 9985996 | 2222 | 4802 | 17687966 | N/A | 8356571 | 2026-01-22 01:44:04.485078 | 2025-10-27 21:41:29.184520 |
| 2026-01-21 08:28:48.868136 | 2026-01-22 01:42:47.086877 | 17430421 | N/A | N/A | 60054 | AETNA - PPO | 1114042165 | 17430421 | Athletic Physical Therapy Inc | 1940-05-16 | 2026-01-23 | M | AE | PT | HOPE | 101144710900 | LYNN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9477069/check_17430421_75587f74-2f7f-4685-aee7-d3296631ff57.json | N/A | N/A | N/A | N/A | N/A | 101144710900 | Health Maintenance Organization (HMO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-05-16 | 000003-CA000116 | 000003-CA | N/A | HM | false | HOPE | N/A | LYNN | N/A | N/A | N/A | AETNA MEDICARE SIGNATURE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9822094088 | N/A | N/A | 9477069 | 2222 | 4802 | 17684790 | 3948 | 7927787 | 2026-01-22 01:42:47.086877 | 2025-09-17 17:11:58.574244 |
| 2026-01-21 08:28:48.218501 | 2026-01-22 01:45:04.525772 | 17430415 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17430415 | Athletic Physical Therapy Inc | 2005-12-13 | 2026-01-22 | F | PT | N/A | Varivoda | ZTQ335M98588 | Alex | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9338185/check_17430415_13fb5af8-8c31-4ed1-aacf-ec36046bb2b8.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 | 9822094087 | N/A | N/A | 9338185 | 2222 | 4802 | 17690113 | N/A | 7837035 | 2026-01-22 01:45:04.525772 | 2025-09-17 13:44:26.939662 |
| 2026-01-21 08:28:47.465164 | 2026-01-22 01:44:54.787538 | 17430405 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 17430405 | Athletic Physical Therapy Inc | 1966-12-04 | 2026-01-23 | M | PT | N/A | CLANCY | XDMOE0503879 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9194927/check_17430405_c5af34cf-918e-4302-87f3-d290b99b1e4a.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 | 9822094086 | N/A | N/A | 9194927 | 2222 | 4793 | 17689832 | 4184 | 7712549 | 2026-01-22 01:44:54.787538 | 2025-09-10 17:29:28.945035 |
| 2026-01-21 08:28:46.863477 | 2026-01-22 01:45:02.149544 | 17430396 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 17430396 | Athletic Physical Therapy Inc | 2009-01-14 | 2026-01-22 | F | PT | N/A | OBACZ | JQV897A63197 | KLOIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9102655/check_17430396_82a62479-fa94-468e-88d7-899653e9607e.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 | 9822094085 | N/A | N/A | 9102655 | 2222 | 4801 | 17690045 | 4185 | 7621062 | 2026-01-22 01:45:02.149544 | 2025-09-12 19:10:20.936695 |
| 2026-01-21 08:28:46.332780 | 2026-01-22 01:42:40.832259 | 17430385 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 17430385 | override_provider | 2003-11-16 | 2026-01-22 | F | PT | N/A | HAYASHI | XLXR000032097727 | LAUREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9066824/check_17430385_e9fed4e5-601b-4e23-a152-96ddd484d936.json | N/A | N/A | N/A | N/A | N/A | XLXR000032097727 | Preferred Provider Organization (PPO) | OSF INDIVIDUAL PLATINUM PPO W/ DENTAL HIGH (GOLD) | BLUE SHIELD OF CALIFORNIA | N/A | 2003-11-16 | N/A | 24048 1 | N/A | PR | false | HAYASHI | N/A | NANCY | N/A | 9999-12-31 | 2023-12-01 | PLATINUM PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9822094084 | N/A | N/A | 9066824 | 2222 | 4802 | 17684530 | N/A | 7582776 | 2026-01-22 01:42:40.832259 | 2025-09-24 22:06:50.112056 |
| 2026-01-21 08:28:45.743922 | 2026-01-22 01:48:02.454256 | 17430375 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17430375 | Athletic Physical Therapy Inc | 1950-04-13 | 2026-01-22 | F | AE | PT | NATALI | 2XU8UK4DF50 | RENEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8979192/check_17430375_be769e70-a26c-4c28-9854-1931527d8f7b.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 | 40720 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9822094083 | N/A | N/A | 8979192 | 2222 | 4793 | 17694081 | N/A | 7498543 | 2026-01-22 01:48:02.454256 | 2025-10-14 17:13:32.178778 |
| 2026-01-21 08:28:45.248739 | 2026-01-22 01:44:43.004313 | 17430366 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 17430366 | Athletic Physical Therapy Inc | 1949-12-31 | 2026-01-22 | M | AE | PT | TSING | 00000282272 | KONGHSUNG | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8978036/check_17430366_c2c51274-ac17-431d-84f4-75a2d4d940d7.json | N/A | N/A | N/A | N/A | N/A | 00000282272 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-12-31 | H3815028 | N/A | N/A | HM | false | TSING | N/A | KONGHSUNG | 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 | 9822094082 | N/A | N/A | 8978036 | 2222 | 4793 | 17689428 | 2630 | 7492332 | 2026-01-22 01:44:43.004313 | 2025-10-01 21:03:48.525986 |
| 2026-01-21 08:28:44.749143 | 2026-01-22 01:42:46.843243 | 17430359 | N/A | N/A | 60054 | Aetna | 1114042165 | 17430359 | Athletic Physical Therapy Inc | 1967-12-19 | 2026-01-23 | F | AE | PT | BURRY | 101323278900 | CAROLYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8971092/check_17430359_e0995be1-3c93-4fac-8fe5-cec736e44501.json | N/A | N/A | N/A | N/A | N/A | 101323278900 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1967-12-19 | 000003-CA000058 | 000003-CA | N/A | PR | false | BURRY | N/A | CAROLYN | N/A | N/A | N/A | AETNA MEDICARE SIGNATURE (PPO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9822094081 | N/A | N/A | 8971092 | 2222 | 4801 | 17684782 | N/A | 7486536 | 2026-01-22 01:42:46.843243 | 2025-09-15 03:16:44.869236 |
| 2026-01-21 08:28:44.076973 | 2026-01-22 01:44:44.404422 | 17430348 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 17430348 | Athletic Physical Therapy Inc | 1987-06-17 | 2026-01-22 | M | AE | PT | FAVELA | 620360888 | MAXIMILIAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8960010/check_17430348_7c7f9e89-5b94-4d56-a320-26a5eeb71c16.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 | 9822094080 | N/A | N/A | 8960010 | 2222 | 4802 | 17689476 | 5538 | 7476978 | 2026-01-22 01:44:44.404422 | 2026-01-07 18:27:22.752552 |
| 2026-01-21 08:28:43.443420 | 2026-01-22 01:42:48.082778 | 17430339 | N/A | N/A | 60054 | Aetna | 1114042165 | 17430339 | Athletic Physical Therapy Inc | 1972-12-30 | 2026-01-22 | M | AE | PT | MCHALE | W27265070 | MATT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173116/check_17430339_76a288ee-574b-439d-9792-0f8e41a82c71.json | N/A | N/A | N/A | N/A | N/A | W272665070 | Point of Service (POS) | SONY CORPORATION OF AMERICA | AETNA | N/A | 1972-12-30 | 0486873 | 048687302100161 | N/A | PS | false | MCHALE | N/A | MATTHEW | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9822094079 | N/A | N/A | 8173116 | 2222 | 4802 | 17684829 | N/A | 6939617 | 2026-01-22 01:42:48.082778 | 2025-09-16 00:28:24.457071 |
| 2026-01-21 08:28:42.850014 | 2026-01-22 01:48:01.951263 | 17430326 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17430326 | Athletic Physical Therapy Inc | 1959-08-14 | 2026-01-23 | F | AE | PT | McKinnon | 4Q81VP4NU12 | Dawn | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7783105/check_17430326_e40c981a-fe19-439e-b24a-4804742cadd8.json | N/A | N/A | N/A | N/A | N/A | 4Q81VP4NU12 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-08-14 | S4802 | N/A | N/A | MA | false | MCKINNON | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | 40560 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9822094078 | N/A | N/A | 7783105 | 2222 | 4802 | 17694069 | N/A | 6628331 | 2026-01-22 01:48:01.951263 | 2025-08-22 15:16:03.942743 |
| 2026-01-21 08:28:42.314595 | 2026-01-22 01:42:41.349777 | 17430317 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 17430317 | Athletic Physical Therapy Inc | 1975-12-22 | 2026-01-23 | M | PT | N/A | HUTH | XEH910929228 | KENT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7626895/check_17430317_3f01dd19-b463-4613-859a-70ce34cbaab3.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 | 9822094077 | N/A | N/A | 7626895 | 2222 | 4793 | 17684555 | N/A | 6525917 | 2026-01-22 01:42:41.349777 | 2026-05-08 22:53:13.232007 |
| 2026-01-21 08:28:41.679409 | 2026-01-22 01:44:52.987834 | 17430302 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 17430302 | Athletic Physical Therapy Inc | 1945-04-26 | 2026-01-23 | M | PT | N/A | BARKEY | JQS728M78455 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7545690/check_17430302_22a00ab9-7076-4b0b-8545-ba586a685f55.json | N/A | N/A | N/A | N/A | N/A | JQS728M78455 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1945-04-26 | 040 | CAMCRWP0 | N/A | MP | false | BARKEY | N/A | JOSEPH | 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 | 9822094076 | N/A | N/A | 7545690 | 2222 | 4801 | 17689774 | 4185 | 4211589 | 2026-01-22 01:44:52.987834 | 2025-05-13 04:29:37.225916 |
| 2026-01-21 08:28:41.180184 | 2026-01-22 01:42:31.487371 | 17430292 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17430292 | Athletic Physical Therapy Inc | 1976-02-07 | 2026-01-23 | F | AE | PT | MALTSEVA | 94237973H | YEVHENIIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7253095/check_17430292_f48e2f31-92c2-457c-802a-39daa3382148.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 | 9822094075 | N/A | N/A | 7253095 | 2222 | 4802 | 17684091 | 4211 | 6219145 | 2026-01-22 01:42:31.487371 | 2025-07-21 16:40:35.276086 |
| 2026-01-21 08:28:40.497891 | 2026-01-22 01:42:31.225026 | 17430278 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17430278 | Athletic Physical Therapy Inc | 1967-12-06 | 2026-01-23 | F | AE | PT | KLOSSOWSKI | 98920892C | TRESSA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7019712/check_17430278_f2a1c37c-6d7a-4eb5-bd89-adcc35fc346e.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 | 9822094074 | N/A | N/A | 7019712 | 2222 | 4793 | 17684079 | 4211 | 6034714 | 2026-01-22 01:42:31.225026 | 2025-07-15 18:02:59.670156 |
| 2026-01-21 08:28:39.879464 | 2026-01-22 01:44:22.783532 | 17430268 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 17430268 | Athletic Physical Therapy Inc | 1944-09-12 | 2026-01-23 | F | AE | PT | AFSARI | 994467802 | NARGES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7018260/check_17430268_03628f0e-46b0-4bc5-b9ad-e084a9983683.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 | 01949 | 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 | 9822094073 | N/A | N/A | 7018260 | 2222 | 4801 | 17688642 | 6411 | 6033556 | 2026-01-22 01:44:22.783532 | 2025-07-30 20:38:43.563128 |
| 2026-01-21 08:28:38.892814 | 2026-01-22 01:42:49.017546 | 17430254 | N/A | N/A | 60054 | AETNA | 1114042165 | 17430254 | Athletic Physical Therapy Inc | 1940-12-29 | 2026-01-22 | M | AE | PT | TRUNNELL | 101505559100 | WAYNE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6786642/check_17430254_0fcc3547-3f1d-4dac-8ebf-001175bdf040.json | N/A | N/A | N/A | N/A | N/A | 101505559100 | Health Maintenance Organization (HMO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-12-29 | 000003-CA000116 | 000003-CA | N/A | HM | false | TRUNNELL | N/A | WAYNE | N/A | N/A | N/A | AETNA MEDICARE SIGNATURE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9822094072 | N/A | N/A | 6786642 | 2222 | 4793 | 17684866 | 3939 | 5818009 | 2026-01-22 01:42:49.017546 | 2025-07-15 23:19:05.900633 |
| 2026-01-21 08:28:38.049417 | 2026-01-22 01:42:23.345968 | 17430235 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 17430235 | Athletic Physical Therapy Inc | 1955-02-20 | 2026-01-23 | F | AE | PT | SALGUERO | 35955370 | DINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6711965/check_17430235_c155441e-d51c-4ccf-8fc8-ade2955f00f2.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 | 9822094071 | N/A | N/A | 6711965 | 2222 | 4793 | 17683745 | 6798 | 4210430 | 2026-01-22 01:42:23.345968 | 2025-05-13 04:29:37.224841 |
| 2026-01-21 08:28:37.525084 | 2026-01-22 01:44:11.862629 | 17430226 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 17430226 | Athletic Physical Therapy Inc | 1942-07-28 | 2026-01-23 | M | AE | PT | SIMMONS | 40055722801 | J | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6685251/check_17430226_c50aa3b2-a459-448c-8244-84c234bfffdf.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 | 9822094070 | N/A | N/A | 6685251 | 2222 | 4793 | 17688261 | 6237 | 4209868 | 2026-01-22 01:44:11.862629 | 2025-08-15 22:13:56.514261 |
| 2026-01-21 08:28:37.015562 | 2026-01-22 01:48:00.540486 | 17430212 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17430212 | Athletic Physical Therapy Inc | 1952-10-25 | 2026-01-22 | F | AE | PT | JOHNSTON | 7KA0H51YU14 | DEBORAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638391/check_17430212_42d9b3c3-aa0a-4230-99ae-b7b5ce6067fb.json | N/A | N/A | N/A | N/A | N/A | 7KA0H51YU14 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-10-25 | S5617 | N/A | N/A | MB | false | JOHNSTON | N/A | DEBORAH | N/A | N/A | N/A | N/A | N/A | 20200 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9822094069 | N/A | N/A | 6638391 | 2222 | 4793 | 17694044 | N/A | 5247837 | 2026-01-22 01:48:00.540486 | 2026-02-24 20:36:49.807283 |
| 2026-01-21 08:28:36.341994 | 2026-01-22 01:42:46.600669 | 17430197 | N/A | N/A | 60054 | Aetna | 1114042165 | 17430197 | Athletic Physical Therapy Inc | 1968-11-30 | 2026-01-23 | F | AE | PT | Bitton MANFREDI | W228688169 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6417889/check_17430197_1accda84-9cb3-41cf-88b0-3f8e589b0f78.json | N/A | N/A | N/A | N/A | N/A | W228688169 | Point of Service (POS) | AIR CANADA | AETNA | N/A | 1968-11-30 | 0479208 | 047920803100012 | N/A | PS | false | BITTON MANFREDI | N/A | SANDRA | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9822094068 | N/A | N/A | 6417889 | 2222 | 4793 | 17684772 | N/A | 5065591 | 2026-01-22 01:42:46.600669 | 2025-06-18 18:47:45.179937 |
| 2026-01-21 08:28:35.816449 | 2026-01-22 01:42:48.774649 | 17430184 | N/A | N/A | 60054 | Aetna | 1114042165 | 17430184 | Athletic Physical Therapy Inc | 1991-08-09 | 2026-01-22 | M | AE | PT | TORIO | W287278504 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6235883/check_17430184_afb50d1d-a8dd-4e49-936b-45b6a0f06536.json | N/A | N/A | N/A | N/A | N/A | W287278504 | Point of Service (POS) | COADVANTAGE RESOURCES, INC. | AETNA | N/A | 1991-08-09 | 0159468 | 015946801000034 | N/A | PS | false | TORIO | N/A | MICHAEL | N/A | N/A | N/A | OPEN ACCESS MC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9822094067 | N/A | N/A | 6235883 | 2222 | 4802 | 17684857 | N/A | 4883697 | 2026-01-22 01:42:48.774649 | 2025-07-08 14:55:53.397662 |
| 2026-01-21 08:28:35.282260 | 2026-01-22 01:42:23.109653 | 17430172 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 17430172 | Athletic Physical Therapy Inc | 1948-06-04 | 2026-01-23 | F | AE | PT | Carrillo | 30127057 | Sandra | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6192336/check_17430172_12b5475b-b161-4984-aa7f-2f2cb82db2f8.json | N/A | N/A | N/A | N/A | N/A | 30127057 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1948-06-04 | 406-034-002 | N/A | N/A | N/A | false | CARRILLO | N/A | SANDRA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9822094066 | N/A | N/A | 6192336 | 2222 | 4801 | 17683738 | 6798 | 4836434 | 2026-01-22 01:42:23.109653 | 2025-06-24 22:10:01.955161 |
| 2026-01-21 08:28:34.495483 | 2026-01-22 01:44:38.325435 | 17430154 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 17430154 | Athletic Physical Therapy Inc | 1964-11-15 | 2026-01-22 | F | AE | PT | BIKOULOVA | 92040499F | ALEXANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874423/check_17430154_892ad305-f2c2-42ab-a862-e5636e41c7cf.json | N/A | N/A | N/A | N/A | N/A | 92040499F | N/A | N/A | HEALTH NET, LLC | N/A | 1964-11-15 | N/A | N/A | N/A | N/A | false | BIKOULOVA | N/A | ALEXANDRA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9822094065 | N/A | N/A | 5874423 | 2222 | 4802 | 17689255 | 4625 | 4534552 | 2026-01-22 01:44:38.325435 | 2025-05-30 18:01:03.324126 |
| 2026-01-21 08:28:34.000815 | 2026-01-22 01:44:41.997958 | 17430144 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 17430144 | Athletic Physical Therapy Inc | 1956-07-24 | 2026-01-22 | F | AE | PT | HOCHFELD | 00000365425 | PAMELA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676362/check_17430144_67930703-9bed-4a06-b9a0-6a732d9e05c8.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 | 9822094064 | N/A | N/A | 5676362 | 2222 | 4793 | 17689391 | 2630 | 4219743 | 2026-01-22 01:44:41.997958 | 2025-12-04 22:36:02.632383 |
| 2026-01-21 08:28:33.453700 | 2026-01-22 01:45:04.267149 | 17430130 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17430130 | Athletic Physical Therapy Inc | 1992-05-25 | 2026-01-23 | F | PT | N/A | THANG | JMV448A23012 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550962/check_17430130_4cee087e-f003-4ea1-9ca1-dc8392456b3d.json | N/A | N/A | N/A | N/A | N/A | JMV448A23012 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1992-05-25 | 040 | 56677NR000 | N/A | HM | false | THANG | N/A | CHI | 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 | 9822094063 | N/A | N/A | 5550962 | 2222 | 4801 | 17690103 | N/A | 4219789 | 2026-01-22 01:45:04.267149 | 2025-11-06 23:39:18.562797 |
| 2026-01-21 08:28:32.804821 | 2026-01-22 01:43:17.155327 | 17430115 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 17430115 | Athletic Physical Therapy Inc | 1970-09-15 | 2026-01-23 | F | AE | PT | DON | H74748118 | JACKIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550314/check_17430115_0ca82437-25ab-4ca8-a380-ead44d20845a.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 | 9822094062 | N/A | N/A | 5550314 | 2222 | 4801 | 17686033 | N/A | 4219523 | 2026-01-22 01:43:17.155327 | 2025-12-13 21:47:36.966446 |
| 2026-01-21 08:28:32.162611 | 2026-01-22 01:48:00.283751 | 17430099 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17430099 | Athletic Physical Therapy Inc | 1951-12-26 | 2026-01-22 | M | AE | PT | FINEBERG | 9FX3D52YD09 | MARTIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260121.115425190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549981/check_17430099_ba34f589-6822-499e-bea0-4ad7e35935b1.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MA | false | FINEBERG | N/A | MARTIN | N/A | N/A | N/A | N/A | N/A | 10180 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9822094061 | N/A | N/A | 5549981 | 2222 | 4802 | 17694038 | N/A | 4219436 | 2026-01-22 01:48:00.283751 | 2025-05-13 04:29:37.230471 |