API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-15 09:04:09.729304 | 2025-06-15 18:23:28.425409 | 8916026 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8916026 | Athletic Physical Therapy Inc | 1970-11-30 | 2025-06-16 | M | PT | AE | FITZGIBBON | R1075485200 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541889/check_8916026_99e0e6a4-09f6-4aac-a4d4-2e496c01a3be.json | N/A | N/A | N/A | N/A | N/A | R1075485200 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1970-11-30 | N/A | N/A | N/A | N/A | false | FITZGIBBON | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947816101 | N/A | N/A | 5541889 | 2222 | 4802 | 8628609 | N/A | 4213867 | 2025-06-15 18:23:28.425409 | 2025-05-13 04:29:37.228184 |
| 2025-06-15 09:04:09.612942 | 2025-06-16 06:02:47.938708 | 8916009 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 8916009 | Athletic Physical Therapy Inc | 1956-11-11 | 2025-06-17 | F | AE | PT | SHAH | 00000313869 | GITABEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140840962.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6125116/check_8916009_d44f6b4a-2e5c-44e6-9805-e86d7e9f4ac3.json | N/A | N/A | N/A | N/A | N/A | 00000313869 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1956-11-11 | H3815030 | N/A | N/A | HM | false | SHAH | N/A | GITABEN | N/A | N/A | N/A | ALIGNMENT HEALTH CALPLUSDUALS (HMO D-SNP) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7947762417 | N/A | N/A | 6125116 | 2222 | 4801 | 8652755 | 2630 | 4767564 | 2025-06-16 06:02:47.938708 | 2025-06-10 20:15:29.406532 |
| 2025-06-15 09:04:09.452042 | 2025-06-15 18:44:21.851100 | 8915980 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8915980 | Athletic Physical Therapy Inc | 1952-05-13 | 2025-06-18 | M | PT | AE | WOLFE | 1HG7NP4AM73 | DIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541812/check_8915980_e56eabe5-c198-455d-8464-18432e04aeb5.json | N/A | N/A | N/A | N/A | N/A | 1HG7NP4AM73 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-05-13 | S4802 | N/A | N/A | MB | false | WOLFE | N/A | DIA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947816100 | N/A | N/A | 5541812 | 2222 | 4801 | 8638406 | N/A | 4213795 | 2025-06-15 18:44:21.851100 | 2026-06-05 00:55:52.281598 |
| 2025-06-15 09:04:09.206700 | 2025-06-15 18:36:43.045307 | 8915941 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8915941 | Athletic Physical Therapy Inc | 1980-03-25 | 2025-06-17 | F | PT | N/A | HILLIGER | XEA902904791 | JENNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541730/check_8915941_ae0b7ac5-79c5-47ed-b3ea-a70faae205f0.json | N/A | N/A | N/A | N/A | N/A | XEA902904791 | Preferred Provider Organization (PPO) | HILLIGER INC | BLUE SHIELD CALIFORNIA | N/A | 1980-03-25 | 1000VX000102 | W0060472 | N/A | PR | false | HILLIGER | N/A | JENNIFER | N/A | 9999-12-31 | 2017-01-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7947816099 | N/A | N/A | 5541730 | 2222 | 4793 | 8634568 | N/A | 4213725 | 2025-06-15 18:36:43.045307 | 2025-05-13 04:29:37.228045 |
| 2025-06-15 09:04:08.947941 | 2025-06-16 06:07:45.361087 | 8915907 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8915907 | Athletic Physical Therapy Inc | 1951-03-27 | 2025-06-17 | F | PT | AE | Jaude | 9MG2QE6VF90 | Anne | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140840962.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124906/check_8915907_4474abe2-8079-4099-b7c9-bac01dbf3511.json | N/A | N/A | N/A | N/A | N/A | 9MG2QE6VF90 | N/A | N/A | CMS | N/A | 1951-03-27 | N/A | N/A | N/A | N/A | false | JAUDE | N/A | ANNE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947762406 | N/A | N/A | 6124906 | 2222 | 4802 | 8654422 | N/A | 4767362 | 2025-06-16 06:07:45.361087 | 2025-09-19 16:49:18.601418 |
| 2025-06-15 09:04:08.941947 | 2025-06-15 18:24:02.158685 | 8915904 | N/A | N/A | VCHCP | Ventura County Health Care Plan | 1114042165 | 8915904 | Athletic Physical Therapy Inc | 2007-05-21 | 2025-06-18 | F | PT | AE | ALEMAN | 00026111804 | ALEXA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541704/check_8915904_dcf56d86-1dcd-4dcd-96b1-aad56f5f528e.json | N/A | N/A | N/A | N/A | N/A | 00026111804 | N/A | N/A | VENTURA COUNTY HEALTH CARE PLAN | N/A | 2007-05-21 | N/A | N/A | N/A | N/A | false | ALEMAN | N/A | ALEXA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947816098 | N/A | N/A | 5541704 | 2222 | 4801 | 8628729 | N/A | 4213696 | 2025-06-15 18:24:02.158685 | 2025-05-13 04:29:37.228015 |
| 2025-06-15 09:04:08.736786 | 2025-06-15 18:33:51.731032 | 8915874 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | 8915874 | Athletic Physical Therapy Inc | 1985-08-14 | 2025-06-17 | F | PT | AE | LIN | 31177093GEHA | JESSICA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541550/check_8915874_a763613f-3cbb-407f-99a3-66a080c4f169.json | N/A | N/A | N/A | N/A | N/A | 31177093GEHA | N/A | N/A | UNITEDHEALTHCARE | N/A | 1985-08-14 | N/A | N/A | N/A | N/A | false | LIN | N/A | JESSICA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947816097 | N/A | N/A | 5541550 | 2222 | 4802 | 8632960 | N/A | 4213560 | 2025-06-15 18:33:51.731032 | 2025-05-13 04:29:37.227892 |
| 2025-06-15 09:04:08.662312 | 2025-06-16 05:56:25.833500 | 8915862 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8915862 | Athletic Physical Therapy Inc | 1945-07-04 | 2025-06-17 | M | PT | N/A | Seminario | 442W1081810 | Gustavo | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140840962.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124845/check_8915862_c1a32cd9-9eb7-4463-b1bf-65e1939824f3.json | N/A | N/A | N/A | N/A | N/A | 442W1081810 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1945-07-04 | N/A | N/A | N/A | N/A | false | SEMINARIO | N/A | GUSTAVO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7947762402 | N/A | N/A | 6124845 | 2222 | 4793 | 8650488 | N/A | 4767293 | 2025-06-16 05:56:25.833500 | 2025-06-06 15:11:48.015692 |
| 2025-06-15 09:04:08.532225 | 2025-06-15 18:36:55.882954 | 8915847 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8915847 | Athletic Physical Therapy Inc | 1981-08-26 | 2025-06-18 | M | PT | N/A | TOHLCHINSKY | XEA901508061 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541542/check_8915847_d4843554-3cb2-43d1-b0bc-e852c5dd1fcd.json | N/A | N/A | N/A | N/A | N/A | XEA901508061 | Preferred Provider Organization (PPO) | TOHL ENTERPRISES INC | BLUE SHIELD CALIFORNIA | N/A | 1981-08-26 | 1000VX000102 | W0006154 | N/A | PR | false | TOHLCHINSKY | N/A | MICHAEL | N/A | 2025-11-30 | 2024-12-01 | PLATINUM FULL PPO 0 10 OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7947816096 | N/A | N/A | 5541542 | 2222 | 4793 | 8634685 | N/A | 4213542 | 2025-06-15 18:36:55.882954 | 2025-06-03 22:12:38.498592 |
| 2025-06-15 09:04:08.289115 | 2025-06-15 18:36:45.238575 | 8915814 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8915814 | Athletic Physical Therapy Inc | 1980-05-29 | 2025-06-18 | F | PT | N/A | KURTZ | XED906231353 | NINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541378/check_8915814_2f14d821-f2fd-47b8-9bc6-0c03a79d315f.json | N/A | N/A | N/A | N/A | N/A | XED906231353 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-05-29 | 2001ZK002169 | X0001004 | N/A | PR | false | KURTZ | N/A | NINA | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7947816095 | N/A | N/A | 5541378 | 2222 | 4793 | 8634589 | N/A | 4213405 | 2025-06-15 18:36:45.238575 | 2025-05-13 04:29:37.227726 |
| 2025-06-15 09:04:08.120713 | 2025-06-15 18:23:59.517928 | 8915792 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8915792 | Athletic Physical Therapy Inc | 1957-06-02 | 2025-06-17 | M | PT | AE | HUAYNATE | 40052889901 | ERASMO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541316/check_8915792_a738e917-9e9e-441a-b0bd-deb596b4082f.json | N/A | N/A | N/A | N/A | N/A | 40052889901 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1957-06-02 | N/A | N/A | N/A | N/A | false | HUAYNATE | N/A | ERASMO | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947816094 | N/A | N/A | 5541316 | 2222 | 4801 | 8628720 | N/A | 4213347 | 2025-06-15 18:23:59.517928 | 2025-05-13 04:29:37.227669 |
| 2025-06-15 09:04:07.924630 | 2025-06-15 18:36:53.185958 | 8915764 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8915764 | Athletic Physical Therapy Inc | 1965-09-18 | 2025-06-18 | F | PT | N/A | SHAPIRO | XEA901579979 | ANDREA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541315/check_8915764_37733f9b-3504-4367-9a8c-d4d0f466a9f5.json | N/A | N/A | N/A | N/A | N/A | XEA901579979 | Preferred Provider Organization (PPO) | HANGER STEINBERG SHAPIRO AND ASH A LAW COR | BLUE SHIELD CALIFORNIA | N/A | 1965-09-18 | 1000VX000102 | W0045063 | N/A | PR | false | SHAPIRO | N/A | MARC | N/A | 9999-12-31 | 2016-11-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7947816093 | N/A | N/A | 5541315 | 2222 | 4793 | 8634666 | N/A | 4213344 | 2025-06-15 18:36:53.185958 | 2025-05-13 04:29:37.227667 |
| 2025-06-15 09:04:07.739096 | 2025-06-15 18:36:41.919981 | 8915734 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8915734 | Athletic Physical Therapy Inc | 1963-07-22 | 2025-06-18 | F | PT | N/A | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541314/check_8915734_2bb7438c-2b90-4167-8d5a-24d80de36870.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 9999-12-31 | 2023-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7947816092 | N/A | N/A | 5541314 | 2222 | 4793 | 8634554 | N/A | 4213343 | 2025-06-15 18:36:41.919981 | 2025-06-06 02:21:37.603701 |
| 2025-06-15 09:04:07.562089 | 2025-06-15 18:36:40.884033 | 8915706 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8915706 | Athletic Physical Therapy Inc | 1993-03-02 | 2025-06-16 | M | PT | N/A | CHORLIAN | XED914382344 | BERJ | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541177/check_8915706_e3a8b3d9-fd29-4e91-9bdb-b06bb1e2154b.json | N/A | N/A | N/A | N/A | N/A | XED914382344 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1993-03-02 | 2001ZK002187 | X0001004 | N/A | PR | false | CHORLIAN | N/A | BERJ | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7947816091 | N/A | N/A | 5541177 | 2222 | 4793 | 8634538 | N/A | 4213223 | 2025-06-15 18:36:40.884033 | 2025-06-03 20:59:34.856515 |
| 2025-06-15 09:04:07.383659 | 2025-06-15 18:23:27.536433 | 8915678 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8915678 | Athletic Physical Therapy Inc | 1968-03-30 | 2025-06-17 | M | PT | AE | FARAHMAND | 91957675E | ALEX | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541163/check_8915678_f4325f83-255c-46f9-9484-c7ed21c1fe1b.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947816090 | N/A | N/A | 5541163 | 2222 | 4802 | 8628606 | N/A | 4213207 | 2025-06-15 18:23:27.536433 | 2025-05-13 04:29:37.227536 |
| 2025-06-15 09:04:07.225138 | 2025-06-15 18:27:23.561038 | 8915657 | N/A | N/A | 60054 | Aetna | 1114042165 | 8915657 | Athletic Physical Therapy Inc | 1959-03-07 | 2025-06-17 | F | PT | AE | AFSHAR | W225594564 | NAZFAR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541142/check_8915657_f5a8b98c-7d10-4fdb-94ad-4f9e0a0607f9.json | N/A | N/A | N/A | N/A | N/A | W225594564 | N/A | N/A | AETNA | N/A | 1959-03-07 | 0803677 | 080367701200001 | N/A | N/A | false | AFSHAR | N/A | NAZFAR | N/A | N/A | N/A | OPEN ACCESS MC | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947816089 | N/A | N/A | 5541142 | 2222 | 4802 | 8629690 | N/A | 4213197 | 2025-06-15 18:27:23.561038 | 2025-06-03 05:25:30.972895 |
| 2025-06-15 09:04:07.032820 | 2025-06-15 18:44:19.070799 | 8915626 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8915626 | Athletic Physical Therapy Inc | 1953-03-05 | 2025-06-16 | F | AE | PT | SESAR | 3W68VF2EE20 | SHARON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540946/check_8915626_a3fa8b07-9cef-4634-8ba8-468652c95a23.json | N/A | N/A | N/A | N/A | N/A | 3W68VF2EE20 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-03-05 | S5601 | N/A | N/A | MA | false | SESAR | N/A | SHARON | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7947816088 | N/A | N/A | 5540946 | 2222 | 4793 | 8638376 | N/A | 4213027 | 2025-06-15 18:44:19.070799 | 2025-06-25 17:17:00.282109 |
| 2025-06-15 09:04:06.830776 | 2025-06-15 18:23:25.012638 | 8915603 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8915603 | Athletic Physical Therapy Inc | 2008-09-18 | 2025-06-17 | F | AE | PT | BENDAVID | 95318118F | TALIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540893/check_8915603_b7ce3a7b-997a-4a5f-bbb9-735cd42acf48.json | N/A | N/A | N/A | N/A | N/A | 95318118F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 2008-09-18 | N/A | N/A | N/A | N/A | false | BENDAVID | N/A | TALIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7947816087 | N/A | N/A | 5540893 | 2222 | 4793 | 8628597 | N/A | 4212979 | 2025-06-15 18:23:25.012638 | 2025-06-04 21:11:15.590634 |
| 2025-06-15 09:04:06.579579 | 2025-06-15 18:27:24.026456 | 8915569 | N/A | N/A | 60054 | Aetna | 1114042165 | 8915569 | Athletic Physical Therapy Inc | 1982-07-27 | 2025-06-18 | M | PT | AE | BOKHTIER | W275493875 | GOLAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540723/check_8915569_9bb0b349-c3b5-4b61-ae23-9017a6dc0c2e.json | N/A | N/A | N/A | N/A | N/A | W275493875 | Exclusive Provider Organization | AMERICAN EXPRESS COMPANY | AETNA | N/A | 1982-07-27 | 0169631 | 016963101100001 | N/A | EP | false | BOKHTIER | N/A | SUMMER | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947816086 | N/A | N/A | 5540723 | 2222 | 4793 | 8629695 | N/A | 4212833 | 2025-06-15 18:27:24.026456 | 2025-05-28 20:46:35.079848 |
| 2025-06-15 09:04:06.277175 | 2025-06-15 18:44:05.928634 | 8915530 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8915530 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-06-18 | F | PT | AE | GNAD | 9EM9VP4XX36 | MELANIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540676/check_8915530_8f6d39df-db9a-4f46-8666-de3f59738fc6.json | N/A | N/A | N/A | N/A | N/A | 9EM9VP4XX36 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-04-16 | S5601 | N/A | N/A | MA | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947816085 | N/A | N/A | 5540676 | 2222 | 4801 | 8638289 | N/A | 4212792 | 2025-06-15 18:44:05.928634 | 2025-10-07 20:33:25.637997 |
| 2025-06-15 09:04:05.903995 | 2025-06-16 06:03:06.606203 | 8915481 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8915481 | Athletic Physical Therapy Inc | 1948-09-14 | 2025-06-17 | F | PT | N/A | Yiannakakis | 913624039 | Kathy | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140840962.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124357/check_8915481_f89b424f-2948-476e-a33b-891b0bc582ca.json | N/A | N/A | N/A | N/A | N/A | 913624039 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1948-09-14 | N/A | N/A | N/A | N/A | false | YIANNAKAKIS | N/A | KATHY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7947762083 | N/A | N/A | 6124357 | 2222 | 4793 | 8652862 | N/A | 4766950 | 2025-06-16 06:03:06.606203 | 2025-06-03 22:10:54.646473 |
| 2025-06-15 09:04:05.801017 | 2025-06-16 06:02:06.485188 | 8915471 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8915471 | Athletic Physical Therapy Inc | 1954-10-02 | 2025-06-18 | M | PT | AE | TARDIF | 1DU7DV5YD36 | TEDD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140609723.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6143995/check_8915471_6f1e3492-cbf7-40de-ab9b-9a93dd98d4af.json | N/A | N/A | N/A | N/A | N/A | 1DU7DV5YD36 | Medicare Part B | N/A | SCAN HEALTH PLAN | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-10-02 | H5425 | N/A | N/A | MB | false | TARDIF | N/A | TEDD | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947740388 | N/A | N/A | 6143995 | 2222 | 4801 | 8652495 | N/A | 4214757 | 2025-06-16 06:02:06.485188 | 2026-03-20 15:26:52.406374 |
| 2025-06-15 09:04:05.756233 | 2025-06-15 18:34:30.809344 | 8915464 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 8915464 | Athletic Physical Therapy Inc | 1959-09-28 | 2025-06-18 | F | AE | PT | STEVENS | 00000348252 | JANET | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540659/check_8915464_49916c76-0bba-49a3-95cf-582650abda73.json | N/A | N/A | N/A | N/A | N/A | 00000348252 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1959-09-28 | H3815028 | N/A | N/A | HM | false | STEVENS | N/A | JANET | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7947816084 | N/A | N/A | 5540659 | 2222 | 4801 | 8633351 | N/A | 4212773 | 2025-06-15 18:34:30.809344 | 2026-04-04 05:51:01.155131 |
| 2025-06-15 09:04:05.592051 | 2025-06-16 05:59:36.587421 | 8915442 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8915442 | Athletic Physical Therapy Inc | 1955-12-01 | 2025-06-17 | F | PT | AE | PARLIER | MBL624W07406 | MERILEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140609723.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6143804/check_8915442_33ee1052-1fff-47ab-a9ee-5297cdb74640.json | N/A | N/A | N/A | N/A | N/A | MBL624W07406 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1955-12-01 | 040 | CAEGR002 | N/A | N/A | false | PARLIER | N/A | MERILEE | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947740386 | N/A | N/A | 6143804 | 2222 | 4801 | 8651493 | N/A | 4642861 | 2025-06-16 05:59:36.587421 | 2025-11-25 19:25:55.074534 |
| 2025-06-15 09:04:05.542864 | 2025-06-15 18:23:55.325906 | 8915436 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8915436 | Athletic Physical Therapy Inc | 1963-09-10 | 2025-06-17 | M | PT | AE | DEANS | U5981746801 | PHIL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540446/check_8915436_e86d4cb6-0752-4fcc-995c-64ce984ffc5e.json | N/A | N/A | N/A | N/A | N/A | U5981746801 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1963-09-10 | N/A | N/A | N/A | N/A | false | DEANS | N/A | PHIL | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947816083 | N/A | N/A | 5540446 | 2222 | 4793 | 8628704 | N/A | 4212605 | 2025-06-15 18:23:55.325906 | 2025-05-13 04:29:37.226953 |
| 2025-06-15 09:04:05.360612 | 2025-06-15 18:23:30.774656 | 8915414 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8915414 | Athletic Physical Therapy Inc | 1973-07-11 | 2025-06-17 | M | PT | AE | HERMAN | 95836743G | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540113/check_8915414_1803f406-2c51-4476-8219-71a8e5e57d58.json | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1973-07-11 | N/A | N/A | N/A | N/A | false | HERMAN | N/A | BRETT | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947816082 | N/A | N/A | 5540113 | 2222 | 4801 | 8628620 | N/A | 4212315 | 2025-06-15 18:23:30.774656 | 2025-12-29 21:20:15.158611 |
| 2025-06-15 09:04:05.112959 | 2025-06-15 18:35:07.112347 | 8915374 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8915374 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-06-17 | F | PT | N/A | BOYLAN | MBL857M98403 | JOAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540074/check_8915374_f2f4ca9e-6178-4e75-9f7b-ef019db94520.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7947816081 | N/A | N/A | 5540074 | 2222 | 4802 | 8633652 | N/A | 4212282 | 2025-06-15 18:35:07.112347 | 2025-05-13 04:29:37.226623 |
| 2025-06-15 09:04:04.839957 | 2025-06-15 18:23:58.803505 | 8915328 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8915328 | Athletic Physical Therapy Inc | 1957-04-05 | 2025-06-17 | M | PT | AE | GHAFFARI | XEE980566737 | HAMID | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540041/check_8915328_d03dc47f-5a7f-421f-b47b-260ff253dceb.json | N/A | N/A | N/A | N/A | N/A | XEE980566737 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1957-04-05 | N/A | N/A | N/A | N/A | false | GHAFFARI | N/A | HAMID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947816080 | N/A | N/A | 5540041 | 2222 | 4802 | 8628717 | N/A | 4212255 | 2025-06-15 18:23:58.803505 | 2025-05-13 04:29:37.226591 |
| 2025-06-15 09:04:04.599532 | 2025-06-15 18:35:22.925060 | 8915286 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8915286 | Athletic Physical Therapy Inc | 1967-09-30 | 2025-06-18 | F | PT | N/A | HOW | LTC753A71345 | DEBORAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539919/check_8915286_6b570bcb-fc8d-44f7-89d8-443e02aacfab.json | N/A | N/A | N/A | N/A | N/A | LTC753A71345 | Preferred Provider Organization (PPO) | THE AEROSPACE CORPORATION | ANTHEM BLUE CROSS | N/A | 1967-09-30 | 040 | 174151M1A3 | N/A | PR | false | TUNG | N/A | YEH-CHING | N/A | 9999-12-31 | 2014-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7947816079 | N/A | N/A | 5539919 | 2222 | 4802 | 8633812 | N/A | 4212155 | 2025-06-15 18:35:22.925060 | 2025-05-13 04:29:37.226493 |
| 2025-06-15 09:04:04.478181 | 2025-06-16 06:02:40.639541 | 8915266 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8915266 | Athletic Physical Therapy Inc | 1958-01-09 | 2025-06-16 | F | AE | PT | MEISTER | 4042289 | JACQUELINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140840962.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124078/check_8915266_4583090d-09d4-4268-95f7-1716b9e5c62d.json | N/A | N/A | N/A | N/A | N/A | 4042289 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1958-01-09 | N/A | N/A | N/A | N/A | false | MEISTER | N/A | JACQUELINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7947762067 | N/A | N/A | 6124078 | 2222 | 4793 | 8652714 | N/A | 4766789 | 2025-06-16 06:02:40.639541 | 2025-06-04 04:12:38.642669 |
| 2025-06-15 09:04:04.421086 | 2025-06-16 06:03:36.707166 | 8915260 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8915260 | Athletic Physical Therapy Inc | 1969-07-12 | 2025-06-16 | F | PT | N/A | Davis | GMB811453374 | Colleen | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140840962.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124061/check_8915260_5ef6167d-3431-42dc-9866-c08a933e18a7.json | N/A | N/A | N/A | N/A | N/A | GMB811453374 | Preferred Provider Organization (PPO) | ARTHUR J GALLAGHER (ILLINOIS), LLC | BLUE SHIELD OF CALIFORNIA | N/A | 1969-07-12 | N/A | 169148 | N/A | PR | false | DAVIS | N/A | COLLEEN | N/A | 9999-12-31 | 2024-08-26 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7947762066 | N/A | N/A | 6124061 | 2222 | 4793 | 8653023 | N/A | 4766777 | 2025-06-16 06:03:36.707166 | 2025-06-19 23:01:11.277116 |
| 2025-06-15 09:04:04.393451 | 2025-06-15 18:35:11.451479 | 8915256 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8915256 | Athletic Physical Therapy Inc | 1963-05-25 | 2025-06-16 | F | PT | N/A | GINSBERG | JQU469A62630 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539612/check_8915256_bfb8e8d2-b9ad-47a2-8a60-9a62f1bef87b.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1963-05-25 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 9999-12-31 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7947816078 | N/A | N/A | 5539612 | 2222 | 4793 | 8633690 | N/A | 4211892 | 2025-06-15 18:35:11.451479 | 2025-11-02 22:03:21.557202 |
| 2025-06-15 09:04:04.352177 | 2025-06-16 05:59:00.268113 | 8915247 | N/A | N/A | 60054 | Aetna | 1114042165 | 8915247 | Athletic Physical Therapy Inc | 1969-05-02 | 2025-06-17 | F | AE | PT | Taylor | 0322952413 | Vienna | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140840962.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124049/check_8915247_de47a570-e0aa-46b1-825c-f56e86718a5f.json | N/A | N/A | N/A | N/A | N/A | 0322952413 | Group Policy | N/A | AETNA INC | PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE, IND. OUT OF POCKET, FAMILY OUT OF POCKET INFORMATION | 1969-05-02 | 001 | 24281 | N/A | GP | false | TAYLOR | N/A | JEFFREY | N/A | N/A | N/A | VELOCITY COMMERCIAL CAPITAL LLC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7947762065 | N/A | N/A | 6124049 | 2222 | 4793 | 8651235 | N/A | 4766759 | 2025-06-16 05:59:00.268113 | 2025-06-04 21:51:50.184092 |
| 2025-06-15 09:04:04.173661 | 2025-06-15 18:36:51.441452 | 8915219 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8915219 | Athletic Physical Therapy Inc | 2007-11-18 | 2025-06-18 | F | PT | N/A | PELLEGRINI | XEA913808278 | REY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539457/check_8915219_33da610b-1b9f-4a0c-a825-11f8c74016d6.json | N/A | N/A | N/A | N/A | N/A | XAN913808278 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 2007-11-18 | 1479PPOX0002 | W0051411 | N/A | PR | false | PELLEGRINI | N/A | PATRICIA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7947816077 | N/A | N/A | 5539457 | 2222 | 4793 | 8634652 | N/A | 4211757 | 2025-06-15 18:36:51.441452 | 2025-06-05 23:05:44.239427 |
| 2025-06-15 09:04:04.081761 | 2025-06-16 06:03:28.289900 | 8915205 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8915205 | Athletic Physical Therapy Inc | 2006-11-22 | 2025-06-16 | F | PT | N/A | MICHAEL | XEA913728701 | KRISTY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140840962.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6123875/check_8915205_770d0f76-53f3-45fe-aabc-fb545484a98c.json | N/A | N/A | N/A | N/A | N/A | XAN913728701 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 2006-11-22 | 1477PPOX0003 | W0051411 | N/A | PR | false | ZAKLAMA | N/A | DINA | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7947762060 | N/A | N/A | 6123875 | 2222 | 4801 | 8652981 | N/A | 4766599 | 2025-06-16 06:03:28.289900 | 2025-06-04 14:54:47.230310 |
| 2025-06-15 09:04:03.987721 | 2025-06-15 18:32:40.391945 | 8915190 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 8915190 | N/A | 1958-02-11 | 2025-06-16 | F | AE | PT | LEVESQUE | 097A2439020 | JACQUELINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539382/check_8915190_6bec520b-5102-42b0-988a-7a5c7c834aab.json | N/A | N/A | N/A | N/A | N/A | 097A2439020 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1958-02-11 | N/A | N/A | N/A | N/A | false | LEVESQUE | N/A | JACQUELINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7947816076 | N/A | N/A | 5539382 | 2222 | 4793 | 8632286 | N/A | 4211704 | 2025-06-15 18:32:40.391945 | 2025-06-06 23:08:42.876895 |
| 2025-06-15 09:04:03.799422 | 2025-06-15 18:31:04.067605 | 8915161 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8915161 | Athletic Physical Therapy Inc | 1974-11-02 | 2025-06-16 | F | AD | N/A | CHUNG | U8197480201 | KRISTINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539237/check_8915161_90dc44ff-a47c-4f12-b46e-8e277f068098.json | N/A | N/A | N/A | N/A | N/A | U8197480201 | N/A | KONAMI DIGITAL ENTERTAINMENT, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED PERSONAL HEALTH SOLUTIONS PLUS | 1974-11-02 | N/A | 3344762 | N/A | N/A | false | CHUNG | N/A | KRISTINA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 7947816075 | N/A | N/A | 5539237 | 2222 | 4802 | 8631408 | N/A | 4211568 | 2025-06-15 18:31:04.067605 | 2025-05-13 04:29:37.225900 |
| 2025-06-15 09:04:03.736403 | 2025-06-16 05:56:25.089462 | 8915151 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8915151 | Athletic Physical Therapy Inc | 1959-10-10 | 2025-06-18 | F | PT | AE | AV | H6124714500 | KOUI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140840962.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6123813/check_8915151_24747b53-2789-4be0-a6d6-39918b4ec040.json | N/A | N/A | N/A | N/A | N/A | H6124714500 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1959-10-10 | N/A | N/A | N/A | N/A | false | AV | N/A | KOUI | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947762054 | N/A | N/A | 6123813 | 2222 | 4801 | 8650485 | N/A | 4766544 | 2025-06-16 05:56:25.089462 | 2025-06-03 20:39:17.779681 |
| 2025-06-15 09:04:03.495434 | 2025-06-16 05:08:21.497498 | 8915114 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8915114 | Athletic Physical Therapy Inc | 1965-06-20 | 2025-06-16 | F | PT | AE | TRUE | 000019461014 | MYRNA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140829367.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068073/check_8915114_1b7a429f-6253-4ce5-8f81-aac10111fe97.json | N/A | N/A | N/A | N/A | N/A | 000019461014 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1965-06-20 | 3055890 | 100200 | N/A | N/A | false | TRUE | N/A | MYRNA | N/A | N/A | N/A | KAISER FOUNDATION HEALTH PLAN KPHP - PHARMACISTS F | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947760122 | N/A | N/A | 6068073 | 2222 | 4801 | 8645783 | N/A | 4713010 | 2025-06-16 05:08:21.497498 | 2025-05-28 23:30:35.802750 |
| 2025-06-15 09:04:03.436379 | 2025-06-16 05:02:47.732094 | 8915104 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8915104 | Athletic Physical Therapy Inc | 1993-12-11 | 2025-06-17 | F | PT | AE | FREEMAN | XDM000900795 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140829367.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068071/check_8915104_7dfa37aa-18c3-4bc7-b61a-5348aacea6c6.json | N/A | N/A | N/A | N/A | N/A | XDM000900795 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1993-12-11 | N/A | N/A | N/A | N/A | false | FREEMAN | N/A | NICOLE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947760121 | N/A | N/A | 6068071 | 2222 | 4801 | 8643441 | N/A | 4713009 | 2025-06-16 05:02:47.732094 | 2025-05-30 17:56:41.585988 |
| 2025-06-15 09:04:03.181939 | 2025-06-16 05:02:48.481677 | 8915072 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8915072 | Athletic Physical Therapy Inc | 1966-06-14 | 2025-06-16 | F | PT | AE | OROZCO | 22483267 | ODILIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140829367.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068063/check_8915072_733e4950-2196-4faa-98a3-cff56d8e17cb.json | N/A | N/A | N/A | N/A | N/A | 22483267 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1966-06-14 | N/A | N/A | N/A | N/A | false | OROZCO | N/A | ODILIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947760120 | N/A | N/A | 6068063 | 2222 | 4802 | 8643443 | N/A | 4713004 | 2025-06-16 05:02:48.481677 | 2025-05-29 21:14:47.925641 |
| 2025-06-15 09:04:03.106800 | 2025-06-15 18:35:11.981683 | 8915063 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8915063 | Athletic Physical Therapy Inc | 1960-08-08 | 2025-06-16 | M | PT | N/A | GINSBERG | JQU469A62630 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538693/check_8915063_65f7d129-31fd-413b-bae9-010315ee92de.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1960-08-08 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 9999-12-31 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7947815619 | N/A | N/A | 5538693 | 2222 | 4793 | 8633698 | N/A | 4211081 | 2025-06-15 18:35:11.981683 | 2025-05-13 04:29:37.225492 |
| 2025-06-15 09:04:02.938966 | 2025-06-16 05:13:13.130116 | 8915050 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8915050 | Athletic Physical Therapy Inc | 1943-02-13 | 2025-06-16 | F | AE | PT | DAVIS | 3M07R08AX76 | HOLLY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140829367.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068062/check_8915050_88fe5747-944a-43dd-be63-355edef8ce08.json | N/A | N/A | N/A | N/A | N/A | 3M07R08AX76 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-02-13 | S5596 | N/A | N/A | MB | false | DAVIS | N/A | HOLLY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7947760119 | N/A | N/A | 6068062 | 2222 | 4802 | 8648133 | N/A | 4713002 | 2025-06-16 05:13:13.130116 | 2025-06-03 01:39:13.971712 |
| 2025-06-15 09:04:02.831728 | 2025-06-15 18:23:54.457888 | 8915037 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8915037 | Athletic Physical Therapy Inc | 1951-08-02 | 2025-06-17 | M | PT | AE | CHADIDA | 40060913601 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538674/check_8915037_da6c5575-692b-459e-96ce-6f2d8a91698c.json | N/A | N/A | N/A | N/A | N/A | 40060913601 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1951-08-02 | N/A | N/A | N/A | N/A | false | CHADIDA | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947815618 | N/A | N/A | 5538674 | 2222 | 4793 | 8628701 | N/A | 4211039 | 2025-06-15 18:23:54.457888 | 2025-05-13 04:29:37.225444 |
| 2025-06-15 09:04:02.740711 | 2025-06-16 05:08:26.923300 | 8915033 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 8915033 | Athletic Physical Therapy Inc | 1955-09-16 | 2025-06-17 | F | PT | AE | ARCHULETA | 00000367146 | JAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.140829367.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068048/check_8915033_37ad2d89-b277-4f7d-b971-041c4dde365f.json | N/A | N/A | N/A | N/A | N/A | 00000367146 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1955-09-16 | H3815028 | N/A | N/A | HM | false | ARCHULETA | N/A | JAN | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947760118 | N/A | N/A | 6068048 | 2222 | 4793 | 8645837 | 2630 | 4208438 | 2025-06-16 05:08:26.923300 | 2025-06-03 23:28:44.457715 |
| 2025-06-15 09:04:02.653268 | 2025-06-15 18:44:16.326155 | 8915021 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8915021 | Athletic Physical Therapy Inc | 1957-07-21 | 2025-06-16 | U | AE | PT | ROOFEH | 8QJ0UJ1EM45 | NADDER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538287/check_8915021_6a959b06-7e60-47cb-9ec4-56a3bd780eff.json | N/A | N/A | N/A | N/A | N/A | 8QJ0UJ1EM45 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-07-21 | S5617 | N/A | N/A | MA | false | ROOFEH | N/A | NADDER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7947815617 | N/A | N/A | 5538287 | 2222 | 4802 | 8638363 | N/A | 4210725 | 2025-06-15 18:44:16.326155 | 2025-06-16 16:15:05.679018 |
| 2025-06-15 09:04:02.458045 | 2025-06-15 18:36:58.290307 | 8914999 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8914999 | Athletic Physical Therapy Inc | 1993-09-10 | 2025-06-16 | M | AD | N/A | WARD | XED913389013 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538129/check_8914999_f55cfe63-5696-40d7-9bf6-0425bdc046a7.json | N/A | N/A | N/A | N/A | N/A | XED913389013 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1993-09-10 | 2001ZK002169 | X0001004 | N/A | PR | false | WARD | N/A | WILLIAM | N/A | 9999-12-31 | 2024-08-01 | IFP EMB PED VISION | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 7947815616 | N/A | N/A | 5538129 | 2222 | 4802 | 8634700 | N/A | 4210590 | 2025-06-15 18:36:58.290307 | 2025-05-13 04:29:37.225004 |
| 2025-06-15 09:04:02.247339 | 2025-06-15 18:35:26.571916 | 8914967 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8914967 | Athletic Physical Therapy Inc | 1964-06-08 | 2025-06-16 | F | PT | N/A | YOUHANAIE | UQK557A62707 | TERESA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537881/check_8914967_228810c1-f6e4-4a36-9ee9-cb1403aae01a.json | N/A | N/A | N/A | N/A | N/A | UQK557A62707 | Preferred Provider Organization (PPO) | CDHP HSA W/NON INTG BANKING-SILVER HDHP | ANTHEM BLUE CROSS | N/A | 1964-06-08 | 130 | 270213OHXB | N/A | PR | false | YOUHANAIE | N/A | TERESA | N/A | 9999-12-31 | 2024-08-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7947815615 | N/A | N/A | 5537881 | 2222 | 4793 | 8633840 | N/A | 4210385 | 2025-06-15 18:35:26.571916 | 2026-03-06 18:49:17.116017 |
| 2025-06-15 09:04:01.927531 | 2025-06-15 18:44:06.430955 | 8914916 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8914916 | Athletic Physical Therapy Inc | 1941-11-29 | 2025-06-18 | F | AE | PT | GODBOLD | 2J64V06CN85 | SHARI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537856/check_8914916_eefce6a2-18cd-48a1-a149-22f1cb4107e5.json | N/A | N/A | N/A | N/A | N/A | 2J64V06CN85 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-11-29 | S5921 | N/A | N/A | MB | false | GODBOLD | N/A | SHARI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7947815614 | N/A | N/A | 5537856 | 2222 | 4802 | 8638295 | N/A | 4210360 | 2025-06-15 18:44:06.430955 | 2025-05-13 04:29:37.224766 |
| 2025-06-15 09:04:01.724962 | 2025-06-15 18:44:03.050192 | 8914884 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8914884 | Athletic Physical Therapy Inc | 1951-06-30 | 2025-06-16 | F | PT | AE | CHADORCHI | 8MR2X19XD04 | JAFFA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250615.141111333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537480/check_8914884_ee53756c-ef14-4678-9099-c4c3b64243f7.json | N/A | N/A | N/A | N/A | N/A | 8MR2X19XD04 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-30 | S5601 | N/A | N/A | MA | false | CHADORCHI | N/A | JAFFA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7947815613 | N/A | N/A | 5537480 | 2222 | 4802 | 8638262 | N/A | 4210038 | 2025-06-15 18:44:03.050192 | 2025-06-02 14:57:36.820684 |