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 | insurance_company_id | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-01-19 08:08:04.761036 | 2026-01-19 08:08:08.712178 | 17274969 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-12-06 | 2026-01-19 | F | AE | PT | 4211 | KLOSSOWSKI | 98920892C | TRESSA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7019712/check_17274969_87438046-15c1-43ba-9e86-6d822e146b93.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7019712/check_17274969_ce438c3a-8093-4718-8f92-5c8d83d07be4.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 | 9803367705 | N/A | N/A | 7019712 | 2222 | N/A | 17519465 | N/A | 6034714 | 2026-01-19 08:08:08.712178 | 2025-07-15 18:02:59.670156 |
| 2026-01-19 08:08:04.569451 | 2026-01-20 08:12:12.629921 | 17274964 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17274964 | Athletic Physical Therapy Inc | 1984-06-20 | 2026-01-21 | M | PT | N/A | N/A | YOUSSEF | XDL437A72851 | FOUAD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13578623/check_17274964_d80eed06-df7e-4fea-a449-454f866fd093.json | N/A | N/A | N/A | N/A | N/A | XDL437A72851 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1984-06-20 | 040 | 789100 | N/A | PR | false | YOUSSEF | N/A | FOUAD | N/A | 9999-12-31 | 2025-07-01 | PPO SHARE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803436139 | N/A | N/A | 13578623 | 2222 | 4801 | 17614412 | N/A | 11728581 | 2026-01-20 08:12:12.629921 | 2025-12-03 14:59:32.997300 |
| 2026-01-19 08:08:04.549799 | 2026-01-19 08:08:06.545590 | 17274962 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-10-14 | 2026-01-19 | F | AE | PT | 4497 | PATTERSON | 2XW3VQ1QD60 | DIANNE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540286/check_17274962_1ab0c6c9-f2a4-438d-855b-d60ee0cd8a09.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540286/check_17274962_3ba8be89-05c6-476b-ab3e-d5f478edd103.json | N/A | N/A | N/A | N/A | N/A | 2XW3VQ1QD60 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-10-14 | S4802 | N/A | N/A | MA | false | PATTERSON | N/A | DIANNE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803367687 | N/A | N/A | 5540286 | 2222 | N/A | 17519452 | N/A | 4212467 | 2026-01-19 08:08:06.545590 | 2026-01-16 16:48:22.087083 |
| 2026-01-19 08:08:04.401573 | 2026-01-20 08:16:22.041852 | 17274958 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17274958 | Athletic Physical Therapy Inc | 1953-05-06 | 2026-01-21 | F | AE | PT | N/A | KENNEDY | 1VE8RT0TN22 | ELIZABETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13574410/check_17274958_164e6618-7962-4d05-9f15-76f1935ca5b2.json | N/A | N/A | N/A | N/A | N/A | 1VE8RT0TN22 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-05-06 | S4802 | N/A | N/A | MB | false | KENNEDY | N/A | ELIZABETH | N/A | N/A | N/A | N/A | N/A | 30135 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803436137 | N/A | N/A | 13574410 | 2222 | 4801 | 17617639 | N/A | 4219622 | 2026-01-20 08:16:22.041852 | 2025-05-13 04:29:37.230664 |
| 2026-01-19 08:08:04.378441 | 2026-01-19 08:08:07.031391 | 17274956 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-05-14 | 2026-01-19 | M | AE | PT | 4437 | DAVIES | II1868958 | GEORGE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538782/check_17274956_e6d84977-677d-4b05-8bd8-79ce1f668580.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-19 | N/A | N/A | N/A | N/A | N/A | N/A | II1868958 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1993-05-14 | N/A | N/A | N/A | N/A | false | DAVIES | 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 | N/A | N/A | N/A | 5538782 | 2222 | N/A | N/A | N/A | 4211149 | 2026-01-19 08:08:07.031391 | 2025-05-13 04:29:37.225549 |
| 2026-01-19 08:08:04.268167 | 2026-01-19 08:08:06.295359 | 17274950 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-06-22 | 2026-01-19 | F | AE | PT | 4497 | STEINHAUER | 4DQ5DA3XG85 | ILENE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538179/check_17274950_a7a12841-f8d5-4ac3-a12d-55deb06ed915.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538179/check_17274950_1fa75bb2-99ae-4744-a22b-1ab9a2835b95.json | N/A | N/A | N/A | N/A | N/A | 4DQ5DA3XG85 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-06-22 | S4802 | N/A | N/A | MA | false | STEINHAUER | N/A | ILENE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803367648 | N/A | N/A | 5538179 | 2222 | N/A | 17519450 | N/A | 4210639 | 2026-01-19 08:08:06.295359 | 2025-05-13 04:29:37.225054 |
| 2026-01-19 08:08:04.226769 | 2026-01-20 08:10:32.811429 | 17274947 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 17274947 | Athletic Physical Therapy Inc | 1948-08-02 | 2026-01-20 | F | AE | PT | N/A | Taylor | 000009764775 | Gabriela | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13547881/check_17274947_0cc080a6-3fc6-4b2d-8af3-ae96bd32beff.json | N/A | N/A | N/A | N/A | N/A | 000009764775 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1948-08-02 | 3051762 | 101728 | N/A | N/A | false | TAYLOR | N/A | GABRIELA | N/A | N/A | N/A | UNIVERSITY OF SOUTHERN CALIFORNIA USC/ACTIVES | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803436136 | N/A | N/A | 13547881 | 2222 | 4802 | 17613145 | N/A | 11697288 | 2026-01-20 08:10:32.811429 | 2025-12-02 00:07:51.825213 |
| 2026-01-19 08:08:04.182408 | 2026-01-19 08:08:05.967376 | 17274944 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-10-22 | 2026-01-19 | F | AE | PT | 6798 | VARGAS | C4080406701 | AUXILIADOR | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538314/check_17274944_58f65c45-4e1f-46c7-9139-286b205dced2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-19 | N/A | N/A | N/A | N/A | N/A | N/A | C4080406701 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1956-10-22 | N/A | N/A | N/A | N/A | false | VARGAS | N/A | AUXILIADOR | 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 | 5538314 | 2222 | N/A | N/A | N/A | 4210749 | 2026-01-19 08:08:05.967376 | 2026-01-29 18:21:20.298304 |
| 2026-01-19 08:08:04.010645 | 2026-01-20 08:16:12.903646 | 17274937 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17274937 | Athletic Physical Therapy Inc | 1953-07-03 | 2026-01-21 | M | AE | PT | N/A | BANBROOK | 2JU7EP9NY73 | HAL MARK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13538651/check_17274937_d252ed8d-1e1b-44b3-95ce-17097133b19f.json | N/A | N/A | N/A | N/A | N/A | 2JU7EP9NY73 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-07-03 | S4802 | N/A | N/A | MA | false | BANBROOK | N/A | HAL | N/A | N/A | N/A | N/A | N/A | 32100 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803436135 | N/A | N/A | 13538651 | 2222 | 4793 | 17617607 | N/A | 11688569 | 2026-01-20 08:16:12.903646 | 2026-02-25 18:57:49.387834 |
| 2026-01-19 08:08:03.800087 | 2026-01-20 08:10:27.342127 | 17274928 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 17274928 | Athletic Physical Therapy Inc | 1956-12-08 | 2026-01-22 | M | AE | PT | N/A | Jinks | 000022510815 | Roger | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13538250/check_17274928_a84c80f4-24e6-428e-b8fc-622fdc0bd4fb.json | N/A | N/A | N/A | N/A | N/A | 000022510815 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1956-12-08 | 4373777 | 106210 | N/A | N/A | false | JINKS | N/A | ROGER | N/A | N/A | N/A | INTER REG'L NO. CAL. MBRS RES SC INTERREG-NCR MBRS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803436134 | N/A | N/A | 13538250 | 2222 | 4802 | 17613076 | N/A | 11688214 | 2026-01-20 08:10:27.342127 | 2025-12-03 07:14:09.191958 |
| 2026-01-19 08:08:03.618756 | 2026-01-20 08:10:25.316045 | 17274920 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 17274920 | Athletic Physical Therapy Inc | 1996-02-29 | 2026-01-20 | F | AE | PT | N/A | Elzinga | 000025992229 | Stevie | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13437538/check_17274920_29c5002a-e7de-4b96-9561-6a82418fb441.json | N/A | N/A | N/A | N/A | N/A | 000025992229 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1996-02-29 | 4383425 | 100990 | N/A | N/A | false | ELZINGA | N/A | STEVIE | N/A | N/A | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT L.A.USD-CERTIF | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803436133 | N/A | N/A | 13437538 | 2222 | 4802 | 17613051 | N/A | 11598678 | 2026-01-20 08:10:25.316045 | 2025-11-26 19:50:29.795204 |
| 2026-01-19 08:08:03.320005 | 2026-01-20 08:08:31.422027 | 17274909 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 17274909 | Athletic Physical Therapy Inc | 1944-05-15 | 2026-01-21 | F | AD | 30 | N/A | MANANSALA | 31050880701 | CARMENCITA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13429096/check_17274909_a875c701-115b-4990-bc38-f982f5f665e8.json | N/A | N/A | N/A | N/A | N/A | 31050880701 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1944-05-15 | 2026H5425001 | H5425M | N/A | N/A | false | MANANSALA | N/A | CARMENCITA | 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 | 9803436132 | N/A | N/A | 13429096 | 2222 | 4793 | 17611630 | N/A | 11589389 | 2026-01-20 08:08:31.422027 | 2025-12-30 01:04:09.965015 |
| 2026-01-19 08:08:03.091227 | 2026-01-20 08:16:15.346295 | 17274897 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17274897 | Athletic Physical Therapy Inc | 1957-06-10 | 2026-01-20 | F | AE | PT | N/A | Cinney | 4Q36GT1PA82 | Nancy | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13415250/check_17274897_64cd44b1-866e-456a-b27c-36f5052843ca.json | N/A | N/A | N/A | N/A | N/A | 4Q36GT1PA82 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-06-10 | S4802 | N/A | N/A | MA | false | CINNEY | N/A | NANCY | N/A | N/A | N/A | N/A | N/A | 50740 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803436131 | N/A | N/A | 13415250 | 2222 | 4793 | 17617617 | N/A | 10405614 | 2026-01-20 08:16:15.346295 | 2025-11-11 22:04:16.516523 |
| 2026-01-19 08:08:02.846857 | 2026-01-20 08:11:58.075065 | 17274888 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17274888 | Athletic Physical Therapy Inc | 2014-04-09 | 2026-01-20 | M | PT | N/A | N/A | RADLOFF | XDM000542831 | NOLAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13358977/check_17274888_eda271c7-3882-417b-aa48-dbb8489038c6.json | N/A | N/A | N/A | N/A | N/A | XDM000542831 | Health Maintenance Organization (HMO) | ASSOCIATION FOR LOS ANGELES DEPUTY SHERIFFS INC | ANTHEM BLUE CROSS | N/A | 2014-04-09 | 040 | 57726A | N/A | HM | false | RADLOFF | N/A | BRETT | N/A | 9999-12-31 | 2015-01-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803436130 | N/A | N/A | 13358977 | 2222 | 4801 | 17614233 | N/A | 11504476 | 2026-01-20 08:11:58.075065 | 2025-11-24 23:17:09.076585 |
| 2026-01-19 08:08:02.687753 | 2026-01-20 08:16:21.129035 | 17274882 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17274882 | Athletic Physical Therapy Inc | 1959-08-12 | 2026-01-21 | F | AE | PT | N/A | JUVONEN | 3MH3Y09HE60 | JAANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13358116/check_17274882_49b8d47a-7892-4bc4-a8e6-240552388b93.json | N/A | N/A | N/A | N/A | N/A | 3MH3Y09HE60 | Medicare Part A | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-08-12 | S9701 | N/A | N/A | MA | false | JUVONEN | N/A | JAANA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | 22908 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803436129 | N/A | N/A | 13358116 | 2222 | 4802 | 17617636 | N/A | 11503717 | 2026-01-20 08:16:21.129035 | 2026-03-30 23:12:27.831360 |
| 2026-01-19 08:08:02.436020 | 2026-01-20 08:11:02.660445 | 17274869 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 17274869 | Athletic Physical Therapy Inc | 1950-09-17 | 2026-01-21 | M | AE | PT | N/A | BRIERS | 00000368043 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13358057/check_17274869_a5b74614-a4f6-4601-befb-75e8dfad0e89.json | N/A | N/A | N/A | N/A | N/A | 00000368043 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1950-09-17 | H3815028 | N/A | N/A | HM | false | BRIERS | N/A | WILLIAM | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803436128 | N/A | N/A | 13358057 | 2222 | 4801 | 17613496 | 2630 | 11503648 | 2026-01-20 08:11:02.660445 | 2026-01-23 20:34:04.657885 |
| 2026-01-19 08:08:02.267034 | 2026-01-20 08:11:08.284103 | 17274859 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 17274859 | Athletic Physical Therapy Inc | 1949-06-04 | 2026-01-21 | F | AE | PT | N/A | RASMUSSEN | 00000390859 | SHARION | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13355411/check_17274859_d86adbd6-22c7-419b-a878-b1576202ddc1.json | N/A | N/A | N/A | N/A | N/A | 00000390859 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-06-04 | H3815028 | N/A | N/A | HM | false | RASMUSSEN | N/A | SHARION | 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 | 9803436126 | N/A | N/A | 13355411 | 2222 | 4801 | 17613570 | 2630 | 4212984 | 2026-01-20 08:11:08.284103 | 2025-11-24 23:20:09.683036 |
| 2026-01-19 08:08:02.021183 | 2026-01-20 08:11:57.597023 | 17274848 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17274848 | Athletic Physical Therapy Inc | 2012-07-01 | 2026-01-20 | M | PT | N/A | N/A | RADLOFF | XDM000542831 | BRYCE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13302087/check_17274848_6d0e3848-051c-458a-8c62-860621dcbac0.json | N/A | N/A | N/A | N/A | N/A | XDM000542831 | Health Maintenance Organization (HMO) | ASSOCIATION FOR LOS ANGELES DEPUTY SHERIFFS INC | ANTHEM BLUE CROSS | N/A | 2012-07-01 | 040 | 57726A | N/A | HM | false | RADLOFF | N/A | BRETT | N/A | 9999-12-31 | 2012-07-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803436125 | N/A | N/A | 13302087 | 2222 | 4801 | 17614226 | N/A | 11449861 | 2026-01-20 08:11:57.597023 | 2026-01-08 22:48:14.733376 |
| 2026-01-19 08:08:01.800862 | 2026-01-20 08:16:19.447896 | 17274841 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17274841 | Athletic Physical Therapy Inc | 1954-05-29 | 2026-01-22 | F | AE | PT | N/A | HARRISON | 8FY4MN8YC99 | SUSAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13289599/check_17274841_602828bb-69b1-418d-adbf-e25450257157.json | N/A | N/A | N/A | N/A | N/A | 8FY4MN8YC99 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-05-29 | S5884 | N/A | N/A | MB | false | HARRISON | N/A | SUSAN | N/A | N/A | N/A | N/A | N/A | 32427 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803436124 | N/A | N/A | 13289599 | 2222 | 4801 | 17617630 | N/A | 11437188 | 2026-01-20 08:16:19.447896 | 2026-01-22 17:59:45.999145 |
| 2026-01-19 08:08:01.472105 | 2026-01-20 08:11:51.382165 | 17274830 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17274830 | Athletic Physical Therapy Inc | 1971-11-21 | 2026-01-20 | F | PT | N/A | N/A | MARTINEZ | XDP851A67877 | LETICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13122920/check_17274830_33738ea0-bde2-4813-9caf-10153aabb57a.json | N/A | N/A | N/A | N/A | N/A | XDP851A67877 | Preferred Provider Organization (PPO) | SOUTHERN CALIFORNIA ORTHOPEDIC INSTITUTE CA/OOS | ANTHEM BLUE CROSS | N/A | 1971-11-21 | 040 | L00817M001 | N/A | PR | false | MARTINEZ | N/A | LETICIA | N/A | 9999-12-31 | 2023-11-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803436123 | N/A | N/A | 13122920 | 2222 | 4801 | 17614143 | N/A | 11273967 | 2026-01-20 08:11:51.382165 | 2025-12-31 00:35:32.240284 |
| 2026-01-19 08:08:01.215748 | 2026-01-20 08:10:33.548006 | 17274819 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 17274819 | Athletic Physical Therapy Inc | 1958-03-23 | 2026-01-20 | F | AE | PT | N/A | Wells | 000022370783 | Paula | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13050785/check_17274819_10db360c-973a-4566-9b6a-2c80a82e88a3.json | N/A | N/A | N/A | N/A | N/A | 000022370783 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1958-03-23 | 4319463 | 105702 | N/A | N/A | false | WELLS | N/A | PAULA | N/A | N/A | N/A | STATE EMPLOYEES RETIREMENT SYSTEM STATE RETIREES | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803436122 | N/A | N/A | 13050785 | 2222 | 4802 | 17613153 | N/A | 11208103 | 2026-01-20 08:10:33.548006 | 2025-11-19 20:42:38.719398 |
| 2026-01-19 08:08:00.895208 | 2026-01-20 08:10:25.759374 | 17274807 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 17274807 | Athletic Physical Therapy Inc | 1954-06-16 | 2026-01-20 | M | AE | PT | N/A | Grant | 000009933199 | Mark | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13045814/check_17274807_c1ea4e70-5b8b-4b74-b187-cd80d59c9ccb.json | N/A | N/A | N/A | N/A | N/A | 000009933199 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1954-06-16 | N/A | N/A | N/A | N/A | false | GRANT | N/A | MARK | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803436121 | N/A | N/A | 13045814 | 2222 | 4802 | 17613058 | N/A | 11203117 | 2026-01-20 08:10:25.759374 | 2026-01-05 17:22:32.137960 |
| 2026-01-19 08:08:00.620585 | 2026-01-20 08:16:21.422963 | 17274797 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17274797 | Athletic Physical Therapy Inc | 1960-10-14 | 2026-01-20 | M | AE | PT | N/A | KELLER | 5VY2K78NA88 | JERRY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13041085/check_17274797_31cb0bdb-06a9-476f-ba6c-269295b9c3bf.json | N/A | N/A | N/A | N/A | N/A | 5VY2K78NA88 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-10-14 | S4802 | N/A | N/A | MA | false | KELLER | N/A | JERRY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | 32427 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803436120 | N/A | N/A | 13041085 | 2222 | 4801 | 17617637 | N/A | 11198281 | 2026-01-20 08:16:21.422963 | 2026-04-13 23:30:43.333017 |
| 2026-01-19 08:08:00.399001 | 2026-01-20 08:06:34.561981 | 17274790 | N/A | N/A | 61101 | HUMANA | 1114042165 | 17274790 | Athletic Physical Therapy Inc | 1941-08-28 | 2026-01-21 | M | AE | PT | N/A | Kisca | H6309049800 | John | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13037589/check_17274790_42ddb63c-02e9-487a-9802-d666565610b0.json | N/A | N/A | N/A | N/A | N/A | H63090498 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 666 GOLD+/EMP HMO - ALL OTHR WA 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 | 1941-08-28 | N/A | 2B863001 | N/A | HN | false | KISCA | N/A | JOHN | 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 | 9803436119 | N/A | N/A | 13037589 | 2222 | 4793 | 17610022 | 5349 | 11194723 | 2026-01-20 08:06:34.561981 | 2025-12-17 17:59:32.346197 |
| 2026-01-19 08:08:00.198364 | 2026-01-20 08:10:23.302779 | 17274781 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 17274781 | Athletic Physical Therapy Inc | 1959-06-06 | 2026-01-20 | F | AE | PT | N/A | Benzaquen | 000007108227 | Yafa | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13007520/check_17274781_d53520da-ad29-4fc0-8c1f-2d2db5f80a7b.json | N/A | N/A | N/A | N/A | N/A | 000007108227 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1959-06-06 | 4332645 | 1650095001 | N/A | N/A | false | BENZAQUEN | N/A | YAFA | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 70 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803436118 | N/A | N/A | 13007520 | 2222 | 4802 | 17613026 | N/A | 11166074 | 2026-01-20 08:10:23.302779 | 2025-11-18 22:12:26.920696 |
| 2026-01-19 08:08:00.023627 | 2026-01-20 08:08:29.390505 | 17274774 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 17274774 | Athletic Physical Therapy Inc | 1946-12-08 | 2026-01-21 | M | AD | 30 | N/A | BHOLAT | 31198052201 | MAHMOOD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12990097/check_17274774_565d04c2-2000-4ee6-960c-778eb7154e32.json | N/A | N/A | N/A | N/A | N/A | 31198052201 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1946-12-08 | 2026H5425001 | H5425M | N/A | N/A | false | BHOLAT | N/A | MAHMOOD | 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 | 9803436117 | N/A | N/A | 12990097 | 2222 | 4801 | 17611598 | 6237 | 11148207 | 2026-01-20 08:08:29.390505 | 2025-12-08 05:48:43.064435 |
| 2026-01-19 08:07:59.765706 | 2026-01-20 08:12:25.302212 | 17274762 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17274762 | Athletic Physical Therapy Inc | 1963-07-12 | 2026-01-21 | F | PT | N/A | N/A | MITCHELL | NCF844W18513 | HOLLY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12989755/check_17274762_ba49da8e-424f-4dd3-a16c-5c4448f8eaf6.json | N/A | N/A | N/A | N/A | N/A | NCF844W18513 | Health Maintenance Organization (HMO) | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1963-07-12 | 040 | 57AJCA | N/A | HM | false | MITCHELL | N/A | HOLLY | N/A | 9999-12-31 | 2024-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803436116 | N/A | N/A | 12989755 | 2222 | 4801 | 17614583 | N/A | 11147858 | 2026-01-20 08:12:25.302212 | 2025-11-24 17:02:55.426297 |
| 2026-01-19 08:07:59.605974 | 2026-01-20 08:11:49.197883 | 17274756 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17274756 | Athletic Physical Therapy Inc | 2008-06-09 | 2026-01-21 | M | PT | N/A | N/A | Gray | SMD481A55215 | Gary | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12962206/check_17274756_bf956ba2-573d-4bd0-8167-2df55c0d3942.json | N/A | N/A | N/A | N/A | N/A | SMD481A55215 | Preferred Provider Organization (PPO) | SMITHS GROUP SERVICES CORPORATION | ANTHEM BLUE CROSS | N/A | 2008-06-09 | 130 | 213010P15K | N/A | PR | false | MAHONEY | N/A | KIM | N/A | 9999-12-31 | 2019-08-01 | BLUE ACCESS PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803436114 | N/A | N/A | 12962206 | 2222 | 4793 | 17614116 | N/A | 11120601 | 2026-01-20 08:11:49.197883 | 2026-01-06 17:31:01.989894 |
| 2026-01-19 08:07:59.409085 | 2026-01-20 08:10:03.591090 | 17274748 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 17274748 | Athletic Physical Therapy Inc | 2019-04-29 | 2026-01-22 | M | AE | PT | N/A | BEJGUM | 124204503 | ABHIRAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12841694/check_17274748_9f21fed3-8ccf-408e-89a9-9e887b4a9e0c.json | N/A | N/A | N/A | N/A | N/A | 124204503 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 2019-03-04 | N/A | 147378 | N/A | C1 | false | BEJGUM | N/A | ABHIRAM | N/A | N/A | N/A | SIGNATUREVALUE HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803436112 | N/A | N/A | 12841694 | 2222 | 4793 | 17612791 | 6411 | 11005792 | 2026-01-20 08:10:03.591090 | 2025-12-20 00:52:29.690688 |
| 2026-01-19 08:07:59.191459 | 2026-01-20 08:11:14.015897 | 17274738 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 17274738 | Athletic Physical Therapy Inc | 1961-02-08 | 2026-01-21 | F | AE | PT | N/A | KATKHOUDA | 95258599G | RYME | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12788343/check_17274738_3f869440-c154-41d0-93d8-53d24d04781a.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 | 9803436111 | N/A | N/A | 12788343 | 2222 | 4802 | 17613640 | N/A | 10954913 | 2026-01-20 08:11:14.015897 | 2026-02-03 00:31:49.512761 |
| 2026-01-19 08:07:58.967991 | 2026-01-20 08:10:31.549090 | 17274728 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 17274728 | Athletic Physical Therapy Inc | 1988-06-08 | 2026-01-21 | F | AE | PT | N/A | Parker | 000021005631 | Tiffeny | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12714759/check_17274728_75cc554d-bdb2-4fcf-bef9-2c5473a16d25.json | N/A | N/A | N/A | N/A | N/A | 000021005631 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1988-06-08 | 4332645 | 1650095001 | N/A | N/A | false | PARKER | N/A | TIFFENY | N/A | N/A | N/A | TRINET HR III, INC. - 232001 (OCT HMO20) $20 HMO B | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803436110 | N/A | N/A | 12714759 | 2222 | 4802 | 17613129 | N/A | 10878419 | 2026-01-20 08:10:31.549090 | 2025-11-21 21:47:52.393943 |
| 2026-01-19 08:07:58.605155 | 2026-01-20 08:16:27.216670 | 17274717 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17274717 | Athletic Physical Therapy Inc | 1951-07-30 | 2026-01-20 | F | AE | PT | N/A | Ruhe | 6E08G29GT63 | Jacqueline | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12438098/check_17274717_d87a366d-f504-4ad3-8596-e766db6644ae.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 | 9803436109 | N/A | N/A | 12438098 | 2222 | 4802 | 17617659 | N/A | 10618088 | 2026-01-20 08:16:27.216670 | 2026-03-18 22:31:10.360004 |
| 2026-01-19 08:07:58.153449 | 2026-01-20 08:16:26.402766 | 17274702 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17274702 | Athletic Physical Therapy Inc | 1957-04-23 | 2026-01-20 | M | AE | PT | N/A | ROHMER | 5UM1C62RC09 | FREDRICK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12437513/check_17274702_15e5fecb-491c-4910-bb8d-ff7ca4e2963b.json | N/A | N/A | N/A | N/A | N/A | 5UM1C62RC09 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-04-23 | S4802 | N/A | N/A | MB | false | ROHMER | N/A | FREDRICK | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | 20188 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803436108 | N/A | N/A | 12437513 | 2222 | 4801 | 17617656 | N/A | 10617817 | 2026-01-20 08:16:26.402766 | 2026-04-13 20:25:45.522313 |
| 2026-01-19 08:07:57.906464 | 2026-01-20 08:10:28.518591 | 17274690 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 17274690 | Athletic Physical Therapy Inc | 1981-02-27 | 2026-01-22 | F | AE | PT | N/A | Lee | 000017103326 | Jean | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12437386/check_17274690_eebaad2b-3dc4-4423-86c7-9fe7d2d00242.json | N/A | N/A | N/A | N/A | N/A | 000017103326 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1981-02-27 | 4320748 | 228273 | N/A | N/A | false | LEE | N/A | JEAN | N/A | N/A | N/A | CALIFORNIACHOICE SCR GOLD HMO 1000/40 JUL PCP | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803436107 | N/A | N/A | 12437386 | 2222 | 4802 | 17613090 | N/A | 10617653 | 2026-01-20 08:10:28.518591 | 2025-11-07 22:17:52.515771 |
| 2026-01-19 08:07:57.606898 | 2026-01-20 08:10:59.601876 | 17274680 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 17274680 | Athletic Physical Therapy Inc | 1972-03-06 | 2026-01-21 | F | AE | PT | N/A | JACKSIER | R06211516FM1 | JENNIFER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12436059/check_17274680_6e819988-0041-4a3f-a792-f59e555717f9.json | N/A | N/A | N/A | N/A | N/A | R06211516FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1972-03-06 | N/A | N/A | N/A | N/A | false | JACKSIER | N/A | JENNIFER | N/A | N/A | N/A | NC0 COMHMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803436106 | N/A | N/A | 12436059 | 2222 | 4793 | 17613458 | 4625 | 10616484 | 2026-01-20 08:10:59.601876 | 2025-11-24 21:45:10.432927 |
| 2026-01-19 08:07:57.415135 | 2026-01-20 08:06:35.758329 | 17274673 | N/A | N/A | 61101 | HUMANA | 1114042165 | 17274673 | Athletic Physical Therapy Inc | 1954-09-04 | 2026-01-21 | F | AE | PT | N/A | MENDEZ | H9608321000 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12421991/check_17274673_590b4ede-e555-4508-a137-ebb724be3819.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 | 9803436105 | N/A | N/A | 12421991 | 2222 | 4793 | 17610033 | 5349 | 10601861 | 2026-01-20 08:06:35.758329 | 2025-11-07 18:35:55.025808 |
| 2026-01-19 08:07:57.212372 | 2026-01-20 08:04:24.090031 | 17274667 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17274667 | Athletic Physical Therapy Inc | 1950-08-09 | 2026-01-21 | M | AE | PT | N/A | Kirgizbaev | 94138168G | Bakhtiyar | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12407501/check_17274667_a59e6ca4-7c45-4040-ac5a-c0b64326fa4f.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 | 9803436104 | N/A | N/A | 12407501 | 2222 | 4802 | 17608741 | 4211 | 10587374 | 2026-01-20 08:04:24.090031 | 2025-12-24 19:36:03.607867 |
| 2026-01-19 08:07:56.948801 | 2026-01-20 08:05:11.906498 | 17274660 | N/A | N/A | 60054 | Aetna | 1114042165 | 17274660 | Athletic Physical Therapy Inc | 1980-12-26 | 2026-01-21 | M | AE | PT | N/A | MAHINAY | W219751013 | JASON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12366384/check_17274660_e8f213a9-a99f-4521-93e0-4530c00875d2.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 | 9803436103 | N/A | N/A | 12366384 | 2222 | 4793 | 17609187 | N/A | 10546247 | 2026-01-20 08:05:11.906498 | 2025-11-14 17:19:10.403651 |
| 2026-01-19 08:07:56.668041 | 2026-01-20 08:04:15.087394 | 17274653 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 17274653 | Athletic Physical Therapy Inc | 1951-05-28 | 2026-01-21 | M | AE | PT | N/A | ADELMAN | 27936686 | JEFFREY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12298760/check_17274653_81ddc4a4-35e5-48ad-9fbe-c8759819d963.json | N/A | N/A | N/A | N/A | N/A | 27936686 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1951-05-28 | 406-034-002 | N/A | N/A | N/A | false | ADELMAN | N/A | JEFFREY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803436102 | N/A | N/A | 12298760 | 2222 | 4801 | 17608685 | 6798 | 10484794 | 2026-01-20 08:04:15.087394 | 2025-11-05 22:04:00.322040 |
| 2026-01-19 08:07:56.452881 | 2026-01-20 08:04:20.814566 | 17274646 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17274646 | Athletic Physical Therapy Inc | 1963-03-31 | 2026-01-21 | M | AE | PT | N/A | MILLER | 93938354D | GUSSIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12109408/check_17274646_ec584ba1-f0f4-41fb-9411-adffc4b69970.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 | 9803436101 | N/A | N/A | 12109408 | 2222 | 4793 | 17608720 | 4211 | 10327291 | 2026-01-20 08:04:20.814566 | 2025-11-04 18:11:41.886029 |
| 2026-01-19 08:07:56.291443 | 2026-01-20 08:06:36.249469 | 17274640 | N/A | N/A | 61101 | HUMANA | 1114042165 | 17274640 | Athletic Physical Therapy Inc | 1935-03-07 | 2026-01-20 | F | AE | PT | N/A | MYERS | H6760956100 | LILA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12016953/check_17274640_e6fc6cc0-3ab0-46fc-a8fd-615837cfd526.json | N/A | N/A | N/A | N/A | N/A | H67609561 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 465 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 | 1935-03-07 | N/A | 2B429001 | N/A | HN | false | MYERS | N/A | LILA | N/A | N/A | N/A | HUMANA HONOR | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803436100 | N/A | N/A | 12016953 | 2222 | 4793 | 17610037 | 5349 | 10238684 | 2026-01-20 08:06:36.249469 | 2025-10-31 23:14:33.453582 |
| 2026-01-19 08:07:56.063754 | 2026-01-20 08:12:00.679703 | 17274634 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17274634 | Athletic Physical Therapy Inc | 1994-07-03 | 2026-01-21 | M | PT | N/A | N/A | STEALEY | JQU013W15922 | JACOB | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12010678/check_17274634_29fec8cd-38d3-41c0-8e9b-7d069f459744.json | N/A | N/A | N/A | N/A | N/A | JQU013W15922 | Preferred Provider Organization (PPO) | THE SAW, INC | ANTHEM BLUE CROSS | N/A | 1994-07-03 | 040 | K45474 | N/A | PR | false | STEALEY | N/A | JACOB | N/A | 2026-02-01 | 2025-02-01 | CA SG ANTHEM PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803436099 | N/A | N/A | 12010678 | 2222 | 4801 | 17614268 | N/A | 10232475 | 2026-01-20 08:12:00.679703 | 2025-11-01 00:03:21.076437 |
| 2026-01-19 08:07:55.851670 | 2026-01-20 08:11:49.723281 | 17274626 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 17274626 | Athletic Physical Therapy Inc | 1965-07-12 | 2026-01-20 | F | PT | N/A | N/A | BENSON | 361A55900 | ELIZABETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11917007/check_17274626_c6084a43-14a1-438b-83f1-717e01fa847b.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 | 9803436098 | N/A | N/A | 11917007 | 2222 | 4793 | 17614121 | 4185 | 10144918 | 2026-01-20 08:11:49.723281 | 2025-11-17 16:03:18.208475 |
| 2026-01-19 08:07:55.573813 | 2026-01-20 08:08:35.036699 | 17274619 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 17274619 | Athletic Physical Therapy Inc | 1952-06-27 | 2026-01-21 | M | AD | 30 | N/A | WEST | 40065315001 | KIRK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11799742/check_17274619_655bc071-d928-435b-b2b4-8d476906cb0c.json | N/A | N/A | N/A | N/A | N/A | 40065315001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1952-06-27 | 2026H5425001 | H5425M | N/A | N/A | false | WEST | N/A | KIRK | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 9803437736 | N/A | N/A | 11799742 | 2222 | 4801 | 17611682 | N/A | 10033486 | 2026-01-20 08:08:35.036699 | 2025-11-04 21:34:59.842331 |
| 2026-01-19 08:07:55.385411 | 2026-01-20 08:04:47.648021 | 17274614 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 17274614 | override_provider | 1997-11-05 | 2026-01-20 | M | PT | N/A | N/A | VILLANUEVA | ZGP813002220 | YAIR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11623284/check_17274614_8b703b71-2f53-4a41-8b8c-3a32f3a0b20a.json | N/A | N/A | N/A | N/A | N/A | ZGP813002220 | Preferred Provider Organization (PPO) | RIMKUS CONSULTING GROUP, INC | BLUE SHIELD OF CALIFORNIA | N/A | 1997-11-05 | N/A | 279469 | N/A | PR | false | VILLANUEVA | N/A | YAIR | N/A | 9999-12-31 | 2025-03-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803437735 | N/A | N/A | 11623284 | 2222 | 4801 | 17608941 | N/A | 9860485 | 2026-01-20 08:04:47.648021 | 2025-11-10 18:34:52.696278 |
| 2026-01-19 08:07:55.191480 | 2026-01-20 08:16:22.662406 | 17274608 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17274608 | Athletic Physical Therapy Inc | 1959-12-29 | 2026-01-22 | F | AE | PT | N/A | LYGA | 3W97CK7AN48 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11604276/check_17274608_a2ce7a5d-13d5-4c1e-8bb4-44fc22d262fe.json | N/A | N/A | N/A | N/A | N/A | 3W97CK7AN48 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-12-29 | S5596 | N/A | N/A | MA | false | LYGA | N/A | LISA | N/A | N/A | N/A | N/A | N/A | 40229 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437734 | N/A | N/A | 11604276 | 2222 | 4801 | 17617641 | N/A | 4218962 | 2026-01-20 08:16:22.662406 | 2025-05-13 04:29:37.229978 |
| 2026-01-19 08:07:54.926974 | 2026-01-20 08:10:32.448346 | 17274602 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 17274602 | Athletic Physical Therapy Inc | 1994-09-23 | 2026-01-21 | M | AE | PT | N/A | RUIZ CORTES | 000023841194 | ROGELIO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11537156/check_17274602_1067f8c7-4678-4811-b740-1e042cb9041a.json | N/A | N/A | N/A | N/A | N/A | 000023841194 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1994-09-23 | 4327440 | 226369 | N/A | N/A | false | RUIZ CORTES | N/A | ROGELIO | N/A | N/A | N/A | SISC-SELF INSURED SCHOOLS OF CALIFORNIA RG 46 - $1 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437733 | N/A | N/A | 11537156 | 2222 | 4802 | 17613140 | N/A | 9778191 | 2026-01-20 08:10:32.448346 | 2025-10-27 23:17:48.522975 |
| 2026-01-19 08:07:54.588605 | 2026-01-20 08:08:31.883203 | 17274593 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 17274593 | Athletic Physical Therapy Inc | 1956-09-25 | 2026-01-20 | M | AD | 30 | N/A | Marvin | 40059610101 | Terry | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11529617/check_17274593_edf5199c-428b-45b9-998e-cc9f32012f0c.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 | 9803437732 | N/A | N/A | 11529617 | 2222 | 4801 | 17611635 | N/A | 9770503 | 2026-01-20 08:08:31.883203 | 2025-11-05 23:33:36.141284 |
| 2026-01-19 08:07:54.205309 | 2026-01-20 08:11:35.524103 | 17274583 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17274583 | Athletic Physical Therapy Inc | 1966-12-01 | 2026-01-20 | F | PT | N/A | N/A | DE LUNA | JMV025A51982 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11526121/check_17274583_23aea3a5-4568-4a51-b3f5-b4a1af3cd663.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 | 9803437731 | N/A | N/A | 11526121 | 2222 | 4801 | 17613934 | N/A | 9766947 | 2026-01-20 08:11:35.524103 | 2025-11-11 21:32:02.372730 |
| 2026-01-19 08:07:53.870898 | 2026-01-20 08:05:13.747600 | 17274570 | N/A | N/A | 60054 | Aetna | 1114042165 | 17274570 | Athletic Physical Therapy Inc | 2011-12-20 | 2026-01-21 | M | AE | PT | N/A | NAQVI | W295996740 | KAZIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260119.121519464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11417253/check_17274570_8805ba9d-836c-4c06-9b56-ba5c9573079d.json | N/A | N/A | N/A | N/A | N/A | W295996740 | Point of Service (POS) | SHI INTERNATIONAL CORP. | AETNA | N/A | 2011-12-20 | 0308616 | 030861602200001 | N/A | PS | false | NAQVI | N/A | SYED | 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 | 9803437730 | N/A | N/A | 11417253 | 2222 | 4793 | 17609207 | N/A | 9671738 | 2026-01-20 08:05:13.747600 | 2025-10-29 22:32:21.591395 |