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 | insurance_company_id | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-01-19 08:56:01.485949 | 2026-01-19 08:56:05.852227 | 17345002 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-01-26 | 2026-01-22 | M | AE | PT | VASEF | 98235678800 | IDEAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542264/check_17345002_25d891d0-efe0-4ffb-a8f9-04b92ae059a1.json | UHC | N/A | GOOGLE_CLOUD | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542264/check_17345002_c6e6b2ad-1788-4b1d-9187-0a90b74265ff.json | N/A | N/A | N/A | N/A | N/A | 98235678800 | Commercial | N/A | UnitedHealthcare Insurance Company | N/A | 1985-01-26 | N/A | 1490012 | N/A | C1 | false | VASEF | N/A | IDEAN | N/A | N/A | N/A | Choice Plus | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542264 | 2222 | N/A | 17532241 | N/A | 4214205 | 2026-01-19 08:56:05.852227 | 2025-06-27 18:49:28.826549 |
| 2026-01-19 08:56:01.398022 | 2026-01-19 08:56:05.543158 | 17345001 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-11-01 | 2026-01-21 | F | AE | PT | LI | 852061712 | DI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538556/check_17345001_f1360d88-5cbe-4f4d-93c5-6ee860405cab.json | UHC | N/A | GOOGLE_CLOUD | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538556/check_17345001_7d09fcbf-4432-4576-8db8-eb8d73972460.json | N/A | N/A | N/A | N/A | N/A | 852061712 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1972-11-01 | N/A | 709335 | N/A | C1 | false | LI | N/A | DI | N/A | N/A | N/A | POS CHOICE PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5538556 | 2222 | N/A | 17532238 | N/A | 4210965 | 2026-01-19 08:56:05.543158 | 2025-05-13 04:29:37.225362 |
| 2026-01-19 08:56:01.225276 | 2026-01-19 08:56:05.272605 | 17344999 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-05-12 | 2026-01-22 | M | AE | PT | DOTEN | 907341342 | DYLAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540540/check_17344999_f7851911-ff7f-4095-9292-ee5199f03b3d.json | UHC | N/A | GOOGLE_CLOUD | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540540/check_17344999_84cef83a-26a5-460b-870b-8c353d47dfa6.json | N/A | N/A | N/A | N/A | N/A | 907341342 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 2008-05-12 | N/A | 701648 | N/A | C1 | false | DOTEN | N/A | DYLAN | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540540 | 2222 | N/A | 17532234 | N/A | 4212680 | 2026-01-19 08:56:05.272605 | 2025-05-13 04:29:37.227024 |
| 2026-01-19 08:56:01.219096 | 2026-01-19 08:56:05.082527 | 17344998 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-07-13 | 2026-01-22 | F | AE | PT | CONNOLLY | 974474822 | ELAINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540675/check_17344998_93f608b8-f026-431b-b9f0-095a5b75632b.json | UHC | N/A | GOOGLE_CLOUD | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540675/check_17344998_0e814a91-d74a-45a5-a260-6b1061398a1a.json | N/A | N/A | N/A | N/A | N/A | 974474822 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 2008-07-13 | N/A | 923812 | N/A | C1 | false | CONNOLLY | N/A | ELAINE | N/A | N/A | N/A | UNITEDHEALTHCARE SELECT PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540675 | 2222 | N/A | 17532233 | N/A | 4212786 | 2026-01-19 08:56:05.082527 | 2025-05-13 04:29:37.227120 |
| 2026-01-19 08:56:00.986074 | 2026-01-19 08:56:04.359399 | 17344997 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-09-10 | 2026-01-20 | M | AE | PT | BRUNSKILL | 9853463-01 | NATHAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538359/check_17344997_2a429796-ab3c-4175-9f89-74b602c5ff07.json | UHC | N/A | GOOGLE_CLOUD | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538359/check_17344997_3d525f0f-4e0a-4af4-bc47-3763031dd583.json | N/A | N/A | N/A | N/A | N/A | 985346301 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1980-09-10 | N/A | 147417 | N/A | C1 | false | BRUNSKILL | N/A | NATHAN | N/A | N/A | N/A | SIGNATUREVALUE ADVANTAGE HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5538359 | 2222 | N/A | 17532228 | N/A | 4210784 | 2026-01-19 08:56:04.359399 | 2025-05-13 04:29:37.225193 |
| 2026-01-19 08:53:58.491466 | 2026-01-19 08:54:02.557136 | 17343897 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2003-05-02 | 2026-01-19 | M | AE | PT | MUHAMMAD | 908836735 | KENNETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/15284623/check_17343897_367c2cf3-3dae-4c67-8f6e-12bec7afc92a.json | UHC | N/A | GOOGLE_CLOUD | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15284623/check_17343897_cc64719d-b914-4cd2-ab84-eb8948312b9a.json | N/A | N/A | N/A | N/A | N/A | 908836735 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 2003-05-02 | N/A | 942837 | N/A | C1 | false | MUHAMMAD | N/A | KENNETH | N/A | N/A | N/A | POS CHOICE PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 15284623 | 2222 | N/A | 17531272 | N/A | 7310369 | 2026-01-19 08:54:02.557136 | 2026-02-03 01:46:10.334485 |
| 2026-01-19 08:53:58.448973 | 2026-01-19 08:54:02.109956 | 17343896 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-01-06 | 2026-01-19 | M | AE | PT | Glaswand | 910084286 | Matthew | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11364623/check_17343896_7b9715bb-b132-4e56-937e-e8b665c4046a.json | UHC | N/A | GOOGLE_CLOUD | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11364623/check_17343896_ca6656a5-d3ea-416c-8b33-0ca677f7bb5b.json | N/A | N/A | N/A | N/A | N/A | 910084286 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1993-01-06 | N/A | 903887 | N/A | C1 | false | GLASWAND | N/A | MATTHEW | N/A | N/A | N/A | POS CHOICE PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11364623 | 2222 | N/A | 17531269 | N/A | 9633386 | 2026-01-19 08:54:02.109956 | 2025-10-22 18:27:33.120022 |
| 2026-01-19 08:23:21.940468 | 2026-01-19 08:23:56.259265 | 17338322 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-09-21 | 2026-01-20 | F | AE | PT | Grant | 1540368844 | Arden | 6341 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14708284/check_17338322_9df363f1-b25c-4d78-87de-2139c4c4a37c.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-01-20 | N/A | N/A | N/A | N/A | N/A | N/A | 1540368844 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14708284 | 2222 | N/A | N/A | N/A | 12837261 | 2026-01-19 08:23:56.259265 | 2025-12-26 20:53:51.700105 |
| 2026-01-19 08:23:21.611362 | 2026-01-19 08:23:29.761477 | 17338320 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-08-28 | 2026-01-20 | F | AE | PT | Cedillo | 009183534-04 | Dina | 6341 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13975922/check_17338320_20a1c759-adea-4db4-aa9b-e58b1b3eb528.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13975922/check_17338320_6b37df5c-73c5-48e7-8c30-58e26030274d.json | N/A | N/A | N/A | N/A | N/A | 00918353404 | N/A | N/A | TRIWEST - TRICARE | N/A | 1974-08-28 | N/A | N/A | N/A | N/A | false | CEDILLO | 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 | N/A | N/A | N/A | 13975922 | 2222 | N/A | 17526399 | N/A | 12126264 | 2026-01-19 08:23:29.761477 | 2025-12-20 00:48:52.984127 |
| 2026-01-19 08:23:21.553438 | 2026-01-19 08:23:54.928945 | 17338319 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-05-11 | 2026-01-21 | F | AE | PT | YOUNG | 1297768537 | JESSICA | 6341 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14110854/check_17338319_bdd7e7f0-1a63-4ddf-8b6f-ab841d31daba.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-01-21 | N/A | N/A | N/A | N/A | N/A | N/A | 1297768537 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14110854 | 2222 | N/A | N/A | N/A | 12249693 | 2026-01-19 08:23:54.928945 | 2025-12-11 01:09:37.722947 |
| 2026-01-19 08:23:21.078955 | 2026-01-19 08:23:29.672382 | 17338318 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-05-17 | 2026-01-22 | F | AE | PT | LINDSEY | 146923221 | JENNIFER | 6341 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13542497/check_17338318_1bf76778-c06c-45db-a14f-6e76748fa637.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13542497/check_17338318_e6055f8e-f0c5-4e64-88f7-3c78dd096d14.json | N/A | N/A | N/A | N/A | N/A | 146923221 | N/A | N/A | TRIWEST - TRICARE | N/A | 1983-05-17 | N/A | N/A | N/A | N/A | false | LINDSEY | N/A | JENNIFER | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 13542497 | 2222 | N/A | 17526398 | N/A | 11692158 | 2026-01-19 08:23:29.672382 | 2025-12-08 15:01:31.426210 |
| 2026-01-19 08:23:20.545819 | 2026-01-19 08:23:54.329499 | 17338316 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2026-01-22 | M | AE | PT | HOLGUIN | 1407861520 | VINCENT | 6341 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_17338316_fd74abf9-4249-4488-b4a1-68bb0a22caaf.json | AVAILITY | N/A | GOOGLE_CLOUD | 2026-01-22 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2026-01-19 08:23:54.329499 | 2025-11-11 01:01:48.778756 |
| 2026-01-19 08:19:51.165592 | 2026-01-19 08:19:58.998304 | 17336601 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-10-14 | 2026-01-19 | F | AE | PT | PATTERSON | JQE803W14407 | DIANNE | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540293/check_17336601_f4dc83e0-5158-47a7-bfb7-8bac7e1afdee.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540293/check_17336601_78f1ecad-dab4-4cf5-86f4-c6a877bb86b1.json | N/A | N/A | N/A | N/A | N/A | JQE803W14407 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1949-10-14 | 040 | CASUPWP0 | N/A | N/A | false | PATTERSON | N/A | DIANNE | N/A | 9999-12-31 | 2022-11-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803483002 | N/A | N/A | 5540293 | 2222 | N/A | 17525075 | N/A | 4212467 | 2026-01-19 08:19:58.998304 | 2026-01-16 16:48:22.087083 |
| 2026-01-19 08:19:51.055735 | 2026-01-19 08:19:54.781406 | 17336598 | N/A | N/A | 74095 | United States Automobile Association (USAA) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-06-22 | 2026-01-19 | F | AE | PT | STEINHAUER | 007805910 | ILENE | 3597 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538181/check_17336598_ac4827e4-f52f-4f65-a6a9-9cf099997f75.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538181/check_17336598_5774b34e-a069-4c67-a7c2-fc0c0cb295f9.json | N/A | N/A | N/A | N/A | N/A | G127664023 | N/A | N/A | USAA-MEDICARE SUPPLEMENTAL | N/A | 1945-06-22 | 05052GZ61 | N/A | N/A | N/A | false | STEINHAUER | N/A | ILENE | N/A | N/A | N/A | MED SUPP PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803482997 | N/A | N/A | 5538181 | 2222 | N/A | 17525033 | N/A | 4210639 | 2026-01-19 08:19:54.781406 | 2025-05-13 04:29:37.225054 |
| 2026-01-19 08:12:56.252431 | 2026-01-20 01:52:40.558025 | 17312193 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17312193 | Athletic Physical Therapy Inc | 1960-09-19 | 2026-01-20 | F | AE | PT | Kellogg Darrin | XEM914551431 | Christine | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15422699/check_17312193_c0b0f196-7fb1-4f9f-ad82-5327295bb775.json | N/A | N/A | N/A | N/A | N/A | XEM914551431 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1960-09-19 | 2002SFW00028 | X0001002 | N/A | OT | false | KELLOGG DARRIN | N/A | CHRISTINE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803486992 | N/A | N/A | 15422699 | 2222 | 4802 | 17591443 | N/A | 13512843 | 2026-01-20 01:52:40.558025 | 2026-01-15 01:39:59.802810 |
| 2026-01-19 08:12:55.951803 | 2026-01-20 01:55:36.253823 | 17312150 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 17312150 | Athletic Physical Therapy Inc | 1953-07-26 | 2026-01-21 | F | AE | PT | PARK | 99507904F93319 | DIANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15414878/check_17312150_e8eb62f3-f20e-48ce-87b4-8697e715e9f1.json | N/A | N/A | N/A | N/A | N/A | 99507904F93319 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1953-07-26 | N/A | N/A | N/A | N/A | false | PARK | N/A | DIANA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803486991 | N/A | N/A | 15414878 | 2222 | 4802 | 17595536 | N/A | 13505314 | 2026-01-20 01:55:36.253823 | 2026-01-15 00:02:53.322805 |
| 2026-01-19 08:12:55.610625 | 2026-01-20 01:52:23.112874 | 17312103 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17312103 | Athletic Physical Therapy Inc | 1952-10-04 | 2026-01-22 | F | AE | PT | TAIDI | JQE079W10256 | FARINAZ | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15364575/check_17312103_0f34731a-5e02-4b91-b7ec-564d1433fda1.json | N/A | N/A | N/A | N/A | N/A | JQE079W10256 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-10-04 | 040 | CASUPWP0 | N/A | N/A | false | TAIDI | N/A | FARINAZ | N/A | 9999-12-31 | 2022-01-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803486990 | N/A | N/A | 15364575 | 2222 | 4802 | 17590566 | N/A | 13461080 | 2026-01-20 01:52:23.112874 | 2026-01-21 02:53:42.067479 |
| 2026-01-19 08:12:55.236717 | 2026-01-20 01:47:12.465707 | 17312058 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 17312058 | Athletic Physical Therapy Inc | 1940-01-03 | 2026-01-21 | M | AE | PT | YARROW | 06804273011 | FREDERICK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15193196/check_17312058_75b2c37d-6ae2-4ce9-9a83-65dbf9be800b.json | N/A | N/A | N/A | N/A | N/A | 06804273011 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1940-01-03 | N/A | N/A | N/A | SP | false | YARROW | N/A | FREDERICK | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN J | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803486989 | N/A | N/A | 15193196 | 2222 | 4801 | 17579331 | N/A | 13295466 | 2026-01-20 01:47:12.465707 | 2026-01-08 22:41:21.406873 |
| 2026-01-19 08:12:54.897096 | 2026-01-20 01:52:17.096284 | 17312013 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17312013 | Athletic Physical Therapy Inc | 1949-01-24 | 2026-01-20 | F | AE | PT | Carpenter | LPZ239A54878 | Marilyn | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14943774/check_17312013_1e0e34e0-0c0c-439a-9e22-62ea6008f413.json | N/A | N/A | N/A | N/A | N/A | LPZ239A54878 | Preferred Provider Organization (PPO) | LOS ANGELES POLICE RELIEF ASN INC | MEDICARE B | N/A | 1949-01-24 | 040 | 1841UV | N/A | PR | false | CARPENTER | N/A | RONALD | N/A | 9999-12-31 | 2018-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803486988 | N/A | N/A | 14943774 | 2222 | 4801 | 17590288 | N/A | 13055411 | 2026-01-20 01:52:17.096284 | 2026-01-07 15:39:02.191415 |
| 2026-01-19 08:12:54.568305 | 2026-01-20 01:52:16.531304 | 17311967 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17311967 | Athletic Physical Therapy Inc | 2005-06-28 | 2026-01-20 | M | PT | N/A | ALEKS | XDPCA8458463 | Gabriel | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14942515/check_17311967_81932e51-e05b-4905-b374-4a3292ba5e29.json | N/A | N/A | N/A | N/A | N/A | XDPCA8458463 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | BLUE CROSS | N/A | 2005-06-28 | 040 | 275958P701 | N/A | PR | false | ALEKS | N/A | GABRIEL | N/A | 9999-12-31 | 2025-09-22 | PPO UC SHIP | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803486987 | N/A | N/A | 14942515 | 2222 | 4801 | 17590263 | N/A | 12743076 | 2026-01-20 01:52:16.531304 | 2026-01-23 21:42:43.573069 |
| 2026-01-19 08:12:54.272714 | 2026-01-20 01:52:21.637377 | 17311930 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17311930 | Athletic Physical Therapy Inc | 1951-09-10 | 2026-01-21 | M | AE | PT | RAMIREZ | JQE382M76888 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14776267/check_17311930_7185b50d-9c69-4ead-ba40-d18b84d31149.json | N/A | N/A | N/A | N/A | N/A | JQE382M76888 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-09-10 | 040 | CASUPWP0 | N/A | N/A | false | RAMIREZ | N/A | DAVID | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803486985 | N/A | N/A | 14776267 | 2222 | 4801 | 17590500 | N/A | 12906847 | 2026-01-20 01:52:21.637377 | 2025-12-29 19:48:47.079480 |
| 2026-01-19 08:12:54.018589 | 2026-01-20 01:52:42.460977 | 17311892 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17311892 | Athletic Physical Therapy Inc | 1954-10-04 | 2026-01-22 | F | AE | PT | Zlotnik | XEM909280395 | Arna | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14680294/check_17311892_a9299c64-a993-4768-8a00-54f209babe23.json | N/A | N/A | N/A | N/A | N/A | XEM909280395 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1954-10-04 | 2002SF000029 | X0001002 | N/A | OT | false | ZLOTNIK | N/A | ARNA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803486982 | N/A | N/A | 14680294 | 2222 | 4802 | 17591526 | N/A | 12809193 | 2026-01-20 01:52:42.460977 | 2025-12-24 22:33:12.925424 |
| 2026-01-19 08:12:53.754984 | 2026-01-20 01:52:22.207412 | 17311855 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17311855 | Athletic Physical Therapy Inc | 1960-11-20 | 2026-01-22 | F | AE | PT | Rund | JQE413W24976 | Stephanie | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14414101/check_17311855_dc71fd8a-e8d5-4874-9c57-b91c92a93e3f.json | N/A | N/A | N/A | N/A | N/A | JQE413W24976 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1960-11-20 | 040 | CASUPWP0 | N/A | N/A | false | RUND | N/A | STEPHANIE | N/A | 9999-12-31 | 2025-11-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803486981 | N/A | N/A | 14414101 | 2222 | 4802 | 17590527 | N/A | 5046194 | 2026-01-20 01:52:22.207412 | 2026-01-06 19:15:31.520951 |
| 2026-01-19 08:12:53.408356 | 2026-01-20 01:52:54.133414 | 17311807 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17311807 | Athletic Physical Therapy Inc | 1955-09-26 | 2026-01-22 | F | AE | PT | Sekhar | JQE713W06991 | Vasu | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14339191/check_17311807_2b2e7a83-d786-4c7b-84d4-bb37628721bf.json | N/A | N/A | N/A | N/A | N/A | JQE713W06991 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1955-09-26 | N/A | N/A | N/A | N/A | false | SEKHAR | N/A | VASU | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803486980 | N/A | N/A | 14339191 | 2222 | 4793 | 17591983 | N/A | 12476351 | 2026-01-20 01:52:54.133414 | 2026-01-18 18:06:46.384672 |
| 2026-01-19 08:12:53.066905 | 2026-01-20 01:52:21.383383 | 17311767 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17311767 | Athletic Physical Therapy Inc | 1939-03-14 | 2026-01-20 | M | AE | PT | Mainland | 500A23791 | Richard | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14273867/check_17311767_06d8c60f-72ba-48a2-b13d-a0a9c45b4433.json | N/A | N/A | N/A | N/A | N/A | 500A23791 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1939-03-14 | N/A | N/A | N/A | N/A | false | MAINLAND | N/A | RICHARD | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803486979 | N/A | N/A | 14273867 | 2222 | 4802 | 17590487 | N/A | 12407790 | 2026-01-20 01:52:21.383383 | 2025-12-31 18:42:30.100074 |
| 2026-01-19 08:12:52.685559 | 2026-01-20 01:52:23.385591 | 17311714 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17311714 | Athletic Physical Therapy Inc | 1952-07-29 | 2026-01-22 | F | AE | PT | Wachtel | JQE236M90654 | Suzette | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14147026/check_17311714_7f21cae8-9490-44b9-9a15-357fbf7b1b7b.json | N/A | N/A | N/A | N/A | N/A | JQE236M90654 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-07-29 | 040 | CASUPWP0 | N/A | N/A | false | WACHTEL | N/A | SUZETTE | N/A | 9999-12-31 | 2017-08-01 | CA MODERNIZED PLAN F | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803486978 | N/A | N/A | 14147026 | 2222 | 4802 | 17590582 | N/A | 11783912 | 2026-01-20 01:52:23.385591 | 2025-12-12 16:43:29.386846 |
| 2026-01-19 08:12:52.424982 | 2026-01-20 01:50:28.118777 | 17311676 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 17311676 | Athletic Physical Therapy Inc | 1942-10-09 | 2026-01-22 | M | AE | PT | SZABO | 12F0052013 | GEORGE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14109998/check_17311676_e6607ad1-af8f-45cf-a806-aa0b686df32c.json | N/A | N/A | N/A | N/A | N/A | 12F0052013 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1942-10-09 | N/A | N/A | N/A | N/A | false | SZABO | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803486976 | N/A | N/A | 14109998 | 2222 | 4801 | 17586034 | N/A | 12248869 | 2026-01-20 01:50:28.118777 | 2025-12-10 22:52:03.780467 |
| 2026-01-19 08:12:52.190906 | 2026-01-20 01:52:17.989109 | 17311643 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17311643 | Athletic Physical Therapy Inc | 1959-05-15 | 2026-01-20 | F | AE | PT | Cicciari | JQE979M00132 | Lynda | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14108421/check_17311643_7a7dc0d2-204b-4376-9567-7b40035fa076.json | N/A | N/A | N/A | N/A | N/A | JQE979M00132 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-05-15 | 040 | CASUPWP0 | N/A | N/A | false | CICCIARI | N/A | LYNDA | N/A | 9999-12-31 | 2025-06-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803486975 | N/A | N/A | 14108421 | 2222 | 4801 | 17590331 | N/A | 12247121 | 2026-01-20 01:52:17.989109 | 2025-12-17 23:22:24.041593 |
| 2026-01-19 08:12:51.883867 | 2026-01-20 01:52:19.124564 | 17311603 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17311603 | Athletic Physical Therapy Inc | 1958-05-28 | 2026-01-20 | F | PT | N/A | GRAY | XEM912431675 | TAMMIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14052326/check_17311603_e053a9ac-c89a-480c-9996-62e858dd97d4.json | N/A | N/A | N/A | N/A | N/A | XEM912431675 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1958-05-28 | 2002SF000028 | X0001002 | N/A | OT | false | GRAY | N/A | TAMMIE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803486973 | N/A | N/A | 14052326 | 2222 | 4801 | 17590383 | N/A | 12198042 | 2026-01-20 01:52:19.124564 | 2025-12-15 23:37:40.244228 |
| 2026-01-19 08:12:51.585795 | 2026-01-20 01:52:22.554599 | 17311565 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17311565 | Athletic Physical Therapy Inc | 1957-03-11 | 2026-01-22 | M | AE | PT | Senet | ZOH250031624 | Bradley | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13657353/check_17311565_143dafb9-4ee9-4fb6-a7ad-99a8d6a6c26b.json | N/A | N/A | N/A | N/A | N/A | ZOH250031624 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1957-03-11 | N/A | N/A | N/A | N/A | false | SENET | N/A | BRADLEY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803486972 | N/A | N/A | 13657353 | 2222 | 4793 | 17590541 | N/A | 11805320 | 2026-01-20 01:52:22.554599 | 2025-12-04 02:10:22.875325 |
| 2026-01-19 08:12:51.213181 | 2026-01-20 01:46:42.339671 | 17311513 | N/A | N/A | 13193 | Continental General Insurance Company - Medicare Supplement | 1114042165 | 17311513 | Athletic Physical Therapy Inc | 1943-11-25 | 2026-01-21 | M | AE | PT | Maher | 80Y0447913 | Timothy | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13655343/check_17311513_91deec36-a77b-4120-bf8d-71c68e2a5c44.json | N/A | N/A | N/A | N/A | N/A | 80Y0447913 | N/A | N/A | GREAT AMERICAN | N/A | 1943-11-25 | MSM16F80 | N/A | N/A | N/A | false | MAHER | N/A | TIMOTHY | N/A | N/A | N/A | PLAN F | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803486971 | N/A | N/A | 13655343 | 2222 | 4802 | 17578084 | N/A | 11803316 | 2026-01-20 01:46:42.339671 | 2025-12-16 19:29:59.872631 |
| 2026-01-19 08:12:50.669683 | 2026-01-20 01:51:07.405329 | 17311438 | N/A | N/A | 74095 | United States Automobile Association (USAA) | 1114042165 | 17311438 | Athletic Physical Therapy Inc | 1953-07-03 | 2026-01-21 | M | AE | PT | BANBROOK | J258442047 | HAL MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13538652/check_17311438_e25d99f3-49f0-477c-8344-0eef6e1da56f.json | N/A | N/A | N/A | N/A | N/A | J258442047 | N/A | N/A | USAA-MEDICARE SUPPLEMENTAL | N/A | 1953-07-03 | 05052GZ61 | N/A | N/A | N/A | false | BANBROOK | N/A | HAL | N/A | N/A | N/A | MED SUPP PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803486970 | N/A | N/A | 13538652 | 2222 | 4793 | 17587305 | N/A | 11688569 | 2026-01-20 01:51:07.405329 | 2026-02-25 18:57:49.387834 |
| 2026-01-19 08:12:50.141279 | 2026-01-20 01:52:20.286122 | 17311355 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17311355 | Athletic Physical Therapy Inc | 1959-08-12 | 2026-01-21 | F | AE | PT | JUVONEN | VUC230M87193 | JAANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13358117/check_17311355_b7029f28-efd2-491e-9ef3-b0ec9f105d21.json | N/A | N/A | N/A | N/A | N/A | U5X230M87193 | Indemnity | UNIVERSITY OF CALIFORNIA | MEDICARE D | N/A | 1959-08-12 | 040 | 280509C475 | N/A | IN | false | JUVONEN | N/A | JAANA | N/A | 9999-12-31 | 2025-08-01 | UC MEDICARE PPO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803486969 | N/A | N/A | 13358117 | 2222 | 4802 | 17590437 | N/A | 11503717 | 2026-01-20 01:52:20.286122 | 2026-03-30 23:12:27.831360 |
| 2026-01-19 08:12:49.636097 | 2026-01-20 01:48:44.950712 | 17311270 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 17311270 | override_provider | 1954-05-29 | 2026-01-22 | F | AE | PT | HARRISON | XEM909104279 | SUSAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13289600/check_17311270_9d2833ca-edee-465a-a7aa-a443c4f90f53.json | N/A | N/A | N/A | N/A | N/A | XEM909104279 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1954-05-29 | 2002SF000029 | X0001002 | N/A | OT | false | HARRISON | N/A | SUSAN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803486968 | N/A | N/A | 13289600 | 2222 | 4801 | 17582663 | N/A | 11437188 | 2026-01-20 01:48:44.950712 | 2026-01-22 17:59:45.999145 |
| 2026-01-19 08:12:49.322526 | 2026-01-20 01:52:20.557683 | 17311219 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17311219 | Athletic Physical Therapy Inc | 1960-10-14 | 2026-01-20 | M | AE | PT | KELLER | JQE327W24348 | JERRY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13041086/check_17311219_bc37325a-ac87-4ec0-b0fc-81fcb1cbefbb.json | N/A | N/A | N/A | N/A | N/A | JQE327W24348 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1960-10-14 | 040 | CASUPWP0 | N/A | N/A | false | KELLER | N/A | JERRY | N/A | 9999-12-31 | 2025-10-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803486967 | N/A | N/A | 13041086 | 2222 | 4801 | 17590451 | N/A | 11198281 | 2026-01-20 01:52:20.557683 | 2026-04-13 23:30:43.333017 |
| 2026-01-19 08:12:48.984755 | 2026-01-20 01:52:18.280822 | 17311161 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17311161 | Athletic Physical Therapy Inc | 1957-06-10 | 2026-01-20 | F | AE | PT | Cinney | JQE146W12862 | Nancy | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12872907/check_17311161_1768c6a4-69a2-4c67-8adb-e1a327526b4a.json | N/A | N/A | N/A | N/A | N/A | JQE146W12862 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1957-06-10 | 040 | CASUPWP0 | N/A | N/A | false | CINNEY | N/A | NANCY | N/A | 9999-12-31 | 2022-06-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803486964 | N/A | N/A | 12872907 | 2222 | 4793 | 17590346 | N/A | 10405614 | 2026-01-20 01:52:18.280822 | 2025-11-11 22:04:16.516523 |
| 2026-01-19 08:12:48.702008 | 2026-01-20 01:52:41.873687 | 17311117 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17311117 | Athletic Physical Therapy Inc | 1951-07-30 | 2026-01-20 | F | AE | PT | Ruhe | XEM912278054 | Jacqueline | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12438099/check_17311117_a84010b8-7a72-4fb3-b125-9151c18d5de0.json | N/A | N/A | N/A | N/A | N/A | XEM912278054 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1958-07-30 | 2002SF000028 | X0001002 | N/A | OT | false | RUHE | N/A | JACQUELINE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803486962 | N/A | N/A | 12438099 | 2222 | 4802 | 17591500 | N/A | 10618088 | 2026-01-20 01:52:41.873687 | 2026-03-18 22:31:10.360004 |
| 2026-01-19 08:12:48.403794 | 2026-01-20 01:52:42.183501 | 17311068 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17311068 | Athletic Physical Therapy Inc | 1959-01-17 | 2026-01-20 | M | AE | PT | WAHL | XEM912647011 | LELAND | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11364482/check_17311068_b6c58f3e-c6ad-4c90-b7d8-947cfbea1f6a.json | N/A | N/A | N/A | N/A | N/A | XEM912647011 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1959-01-17 | 2002SE000030 | X0001002 | N/A | OT | false | WAHL | N/A | LELAND | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803486961 | N/A | N/A | 11364482 | 2222 | 4793 | 17591514 | N/A | 9633229 | 2026-01-20 01:52:42.183501 | 2026-02-05 17:07:37.378883 |
| 2026-01-19 08:12:48.103760 | 2026-01-20 01:52:41.332543 | 17311020 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17311020 | Athletic Physical Therapy Inc | 1959-04-01 | 2026-01-21 | M | PT | N/A | MOYER | W0051411 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11282027/check_17311020_3903d05d-97d8-417c-bea9-6e2700650faf.json | N/A | N/A | N/A | N/A | N/A | W0051411 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1959-04-01 | N/A | N/A | N/A | N/A | false | MOYER | N/A | STEVEN | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803486960 | N/A | N/A | 11282027 | 2222 | 4801 | 17591479 | N/A | 9581032 | 2026-01-20 01:52:41.332543 | 2025-10-21 22:24:54.464325 |
| 2026-01-19 08:12:47.727531 | 2026-01-20 01:52:16.799630 | 17310956 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17310956 | Athletic Physical Therapy Inc | 1941-08-23 | 2026-01-22 | M | AE | PT | Bogen | WXY0981A22808 | Andrew | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11174641/check_17310956_9a19e8d5-a02e-41b9-a3f2-ee3a95278f28.json | N/A | N/A | N/A | N/A | N/A | WXY0981A22808 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1941-08-23 | N/A | N/A | N/A | N/A | false | BOGEN | N/A | ANDREW | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803486959 | N/A | N/A | 11174641 | 2222 | 4802 | 17590273 | N/A | 9519718 | 2026-01-20 01:52:16.799630 | 2026-02-02 19:30:57.219688 |
| 2026-01-19 08:12:47.418094 | 2026-01-20 01:57:11.066767 | 17310901 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17310901 | Athletic Physical Therapy Inc | 1949-07-26 | 2026-01-21 | F | AD | 30 | BLESSLEY | 9DW9YM7ND57 | DONNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11011921/check_17310901_ae65bd5c-d456-401e-96db-445916b581b1.json | N/A | N/A | N/A | N/A | N/A | 9DW9YM7ND57 | Medicare Part B | N/A | SCAN HEALTH PLAN | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-07-26 | H5425 | N/A | N/A | MB | false | BLESSLEY | N/A | DONNA | N/A | N/A | N/A | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 9803486958 | N/A | N/A | 11011921 | 2222 | 4793 | 17597224 | N/A | 9377403 | 2026-01-20 01:57:11.066767 | 2025-10-15 20:29:32.165707 |
| 2026-01-19 08:12:47.080823 | 2026-01-20 01:52:20.846002 | 17310847 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17310847 | Athletic Physical Therapy Inc | 1956-11-29 | 2026-01-21 | M | AE | PT | LYGA | LPZ819A58009 | FRANK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9812143/check_17310847_fe462cf6-966c-42a9-a22d-ebec98d22573.json | N/A | N/A | N/A | N/A | N/A | LPZ819A58009 | Preferred Provider Organization (PPO) | LOS ANGELES POLICE RELIEF ASN INC | MEDICARE D | N/A | 1956-11-29 | 040 | 1841UV | N/A | PR | false | LYGA | N/A | FRANK | N/A | 9999-12-31 | 2024-12-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803486957 | N/A | N/A | 9812143 | 2222 | 4801 | 17590463 | N/A | 4219584 | 2026-01-20 01:52:20.846002 | 2025-09-29 18:19:47.145731 |
| 2026-01-19 08:12:46.779791 | 2026-01-20 01:52:22.804882 | 17310799 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17310799 | Athletic Physical Therapy Inc | 1959-02-04 | 2026-01-21 | F | AE | PT | SMITS | JQE291W18998 | HEIDI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681615/check_17310799_b3f5d922-1beb-4ba7-9523-aefd9ffb42c6.json | N/A | N/A | N/A | N/A | N/A | JQE291W18998 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-02-04 | 040 | CASUPWP0 | N/A | N/A | false | SMITS | N/A | HEIDI | N/A | 9999-12-31 | 2024-02-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803486955 | N/A | N/A | 9681615 | 2222 | 4793 | 17590557 | N/A | 8101289 | 2026-01-20 01:52:22.804882 | 2025-09-24 17:05:46.431721 |
| 2026-01-19 08:12:46.471944 | 2026-01-20 01:48:46.736749 | 17310745 | N/A | N/A | 60054 | Aetna | 1114042165 | 17310745 | Athletic Physical Therapy Inc | 1952-08-04 | 2026-01-20 | F | AE | PT | Dunkerley | AHC2057583 | Elizabeth | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9665220/check_17310745_fa3625eb-1125-4bd3-9543-43fd869b5b4b.json | N/A | N/A | N/A | N/A | N/A | AHC2057583 | N/A | N/A | AETNA INC | N/A | 1952-08-04 | N/A | N/A | N/A | N/A | false | DUNKERLEY | N/A | ELIZABETH | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803486954 | N/A | N/A | 9665220 | 2222 | 4802 | 17582720 | N/A | 8086688 | 2026-01-20 01:48:46.736749 | 2026-01-15 18:07:39.869679 |
| 2026-01-19 08:12:46.205289 | 2026-01-20 01:52:40.286908 | 17310699 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17310699 | Athletic Physical Therapy Inc | 1955-07-01 | 2026-01-22 | F | AE | PT | GREER | XEM909858172 | ROBIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411084/check_17310699_d5aa9a93-e8cc-46e8-9567-6b0d88420f9b.json | N/A | N/A | N/A | N/A | N/A | XEM909858172 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-07-01 | 2002SE000030 | X0001002 | N/A | OT | false | GREER | N/A | ROBIN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803486953 | N/A | N/A | 9411084 | 2222 | 4802 | 17591431 | N/A | 7879863 | 2026-01-20 01:52:40.286908 | 2026-02-04 18:21:13.840230 |
| 2026-01-19 08:12:46.020267 | 2026-01-20 01:52:05.234911 | 17310663 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 17310663 | Athletic Physical Therapy Inc | 1950-04-13 | 2026-01-20 | F | AE | PT | NATALI | 94579563C | RENEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8979227/check_17310663_e01bee76-2138-4020-98a1-bd9a10611143.json | N/A | N/A | N/A | N/A | N/A | 94579563C | N/A | MCLA WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1950-04-13 | MCLA | MWLLDAGG21 | N/A | N/A | false | NATALI | N/A | RENEE | N/A | 2025-07-31 | 2025-02-01 | LACARE MEDICAL | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803486952 | N/A | N/A | 8979227 | 2222 | 4793 | 17589699 | N/A | 7498543 | 2026-01-20 01:52:05.234911 | 2025-10-14 17:13:32.178778 |
| 2026-01-19 08:12:45.816485 | 2026-01-20 01:52:16.275931 | 17310630 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17310630 | Athletic Physical Therapy Inc | 1951-10-12 | 2026-01-21 | F | AE | PT | Ahadian | U5X795M98275 | Vida | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8479499/check_17310630_d79ff61e-2e5f-4be5-a055-75c8316f0141.json | N/A | N/A | N/A | N/A | N/A | U5X795M98275 | Indemnity | UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1951-10-12 | 040 | 280509C465 | N/A | IN | false | AHADIAN | N/A | VIDA | N/A | 9999-12-31 | 2019-01-01 | UC HIGH OPTION SUPPLEMENT | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803486951 | N/A | N/A | 8479499 | 2222 | 4802 | 17590248 | N/A | 7146980 | 2026-01-20 01:52:16.275931 | 2025-08-25 22:34:13.951153 |
| 2026-01-19 08:12:45.546067 | 2026-01-20 01:57:10.746838 | 17310588 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17310588 | Athletic Physical Therapy Inc | 1950-06-21 | 2026-01-20 | M | PT | N/A | Aliabadi | 4H63HH1UD97 | Hossein | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7983538/check_17310588_95fa6b8f-53a8-4f09-8f7e-385b85972abc.json | N/A | N/A | N/A | N/A | N/A | 4H63HH1UD97 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-06-21 | N/A | N/A | N/A | MB | false | ALIABADI | N/A | HOSSEIN | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803486950 | N/A | N/A | 7983538 | 2222 | 4802 | 17597217 | N/A | 6706099 | 2026-01-20 01:57:10.746838 | 2025-11-21 22:00:12.073625 |
| 2026-01-19 08:12:45.261252 | 2026-01-20 01:52:40.836322 | 17310546 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17310546 | Athletic Physical Therapy Inc | 1959-08-14 | 2026-01-20 | F | AE | PT | McKinnon | XEM913376502 | Dawn | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7783106/check_17310546_a0699ce4-78d4-45e9-89db-7e6c0f5665b9.json | N/A | N/A | N/A | N/A | N/A | XEM913376502 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1959-08-14 | 2002SE000030 | X0001002 | N/A | OT | false | MCKINNON | N/A | DAWN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803486949 | N/A | N/A | 7783106 | 2222 | 4802 | 17591456 | N/A | 6628331 | 2026-01-20 01:52:40.836322 | 2025-08-22 15:16:03.942743 |
| 2026-01-19 08:12:45.049530 | 2026-01-20 01:50:27.635942 | 17310514 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 17310514 | Athletic Physical Therapy Inc | 1950-02-07 | 2026-01-21 | M | AE | PT | BHAMRAH | 12Y0175341 | KULDIP | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.122116970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7442859/check_17310514_df74a279-87b8-4ace-b4f1-2ca746e6f593.json | N/A | N/A | N/A | N/A | N/A | 12Y0175341 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1950-02-07 | N/A | N/A | N/A | N/A | false | BHAMRAH | N/A | KULDIP | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803487898 | N/A | N/A | 7442859 | 2222 | 4801 | 17586019 | N/A | 6393941 | 2026-01-20 01:50:27.635942 | 2025-08-13 16:33:53.313259 |