API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-01-19 08:07:53.086281 | 2026-01-20 08:11:06.695511 | 17274551 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 17274551 | Athletic Physical Therapy Inc | 1955-07-01 | 2026-01-21 | F | AE | PT | HINDOYAN | 00000381176 | MARIAM | 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/2222/11415049/check_17274551_eec25687-b391-4ef9-95a4-edf5f1e6bbb5.json | N/A | N/A | N/A | N/A | N/A | 00000381176 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1955-07-01 | H3815039 | N/A | N/A | HM | false | HINDOYAN | N/A | MARIAM | N/A | N/A | N/A | ALIGNMENT HEALTH HEART & DIABETES CALPLUS (HMO C-S | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437729 | N/A | N/A | 11415049 | 2222 | 4801 | 17613547 | 2630 | 4219019 | 2026-01-20 08:11:06.695511 | 2026-03-18 18:00:45.440632 |
| 2026-01-19 08:07:52.849485 | 2026-01-20 08:11:36.384838 | 17274543 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17274543 | Athletic Physical Therapy Inc | 2002-03-15 | 2026-01-21 | F | PT | N/A | DUMAIS | JQV380A68679 | JULIA | 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/2222/11399834/check_17274543_a43af4d5-e51b-42ce-8c69-ea178403d7ba.json | N/A | N/A | N/A | N/A | N/A | JQV380A68679 | Health Maintenance Organization (HMO) | BRIGHTSTAR PARTNERS INSURANCE SERVICES | ANTHEM BLUE CROSS | N/A | 2002-03-15 | 040 | Q84248 | N/A | HM | false | DUMAIS | N/A | JULIA | N/A | 9999-12-31 | 2025-07-01 | CA SG SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803437728 | N/A | N/A | 11399834 | 2222 | 4801 | 17613946 | N/A | 9659468 | 2026-01-20 08:11:36.384838 | 2025-10-23 16:38:33.858959 |
| 2026-01-19 08:07:52.588433 | 2026-01-20 08:16:29.769278 | 17274536 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17274536 | Athletic Physical Therapy Inc | 1959-01-17 | 2026-01-20 | M | AE | PT | WAHL | 6CX2NW3WP90 | LELAND | 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/2222/11364481/check_17274536_53e66d8e-db0f-411f-98b8-63131c729f0c.json | N/A | N/A | N/A | N/A | N/A | 6CX2NW3WP90 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-01-17 | S5617 | N/A | N/A | MA | false | WAHL | N/A | LELAND | N/A | N/A | N/A | N/A | N/A | 20601 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437727 | N/A | N/A | 11364481 | 2222 | 4793 | 17617668 | N/A | 9633229 | 2026-01-20 08:16:29.769278 | 2026-02-05 17:07:37.378883 |
| 2026-01-19 08:07:52.471009 | 2026-01-20 08:11:54.959689 | 17274533 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17274533 | Athletic Physical Therapy Inc | 1959-04-01 | 2026-01-21 | M | PT | N/A | MOYER | JXN542M92477 | STEVEN | 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/2222/11278285/check_17274533_962f1abb-c3dc-481f-9869-8ec829a6194f.json | N/A | N/A | N/A | N/A | N/A | JXN542M92477 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1959-04-01 | 040 | 174222M2A1 | N/A | PR | false | MOYER | N/A | STEVEN | N/A | 9999-12-31 | 2018-01-01 | BC PPO INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803437726 | N/A | N/A | 11278285 | 2222 | 4801 | 17614191 | N/A | 9581032 | 2026-01-20 08:11:54.959689 | 2025-10-21 22:24:54.464325 |
| 2026-01-19 08:07:52.335492 | 2026-01-20 08:16:13.746760 | 17274527 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17274527 | Athletic Physical Therapy Inc | 1941-08-23 | 2026-01-22 | M | AE | PT | Bogen | 9P98YU0FH34 | Andrew | 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/2222/11174640/check_17274527_87e775bd-2532-4e02-a323-563977f9b611.json | N/A | N/A | N/A | N/A | N/A | 9P98YU0FH34 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-08-23 | N/A | N/A | N/A | MA | false | BOGEN | N/A | ANDREW | N/A | N/A | N/A | N/A | N/A | 31194 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437725 | N/A | N/A | 11174640 | 2222 | 4802 | 17617612 | N/A | 9519718 | 2026-01-20 08:16:13.746760 | 2026-02-02 19:30:57.219688 |
| 2026-01-19 08:07:52.096096 | 2026-01-20 08:12:17.586516 | 17274521 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17274521 | Athletic Physical Therapy Inc | 2011-08-24 | 2026-01-22 | M | PT | N/A | ASHER | XEA905199322 | ZACHARY | 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/2222/11156602/check_17274521_5ad23beb-db5b-4ba3-b73d-f13f05ed8770.json | N/A | N/A | N/A | N/A | N/A | VBG905199322 | Preferred Provider Organization (PPO) | DIGITAL LION MARKETING | BLUE SHIELD CALIFORNIA | N/A | 2011-08-24 | 1000VX000102 | W0005232 | N/A | PR | false | ASHER | N/A | RACHEL | N/A | 2030-08-31 | 2016-05-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803437724 | N/A | N/A | 11156602 | 2222 | 4793 | 17614477 | N/A | 9503413 | 2026-01-20 08:12:17.586516 | 2025-10-22 21:03:24.468784 |
| 2026-01-19 08:07:51.786874 | 2026-01-20 08:10:22.564071 | 17274513 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 17274513 | Athletic Physical Therapy Inc | 2008-01-19 | 2026-01-20 | F | AE | PT | GONZALEZ | 002526618 | CAITLIN | 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/2222/11087501/check_17274513_a94eb620-b10f-42be-9b4f-98528c183209.json | N/A | N/A | N/A | N/A | N/A | 002526618 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 2008-01-19 | N/A | N/A | N/A | N/A | false | GONZALEZ | N/A | CAITLIN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437723 | N/A | N/A | 11087501 | 2222 | 4801 | 17613019 | N/A | 9440359 | 2026-01-20 08:10:22.564071 | 2025-10-27 23:07:07.958316 |
| 2026-01-19 08:07:51.423743 | 2026-01-20 08:11:06.259863 | 17274504 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 17274504 | Athletic Physical Therapy Inc | 1955-09-16 | 2026-01-21 | M | AE | PT | HANGVAL | 00000401784 | BAHMANYAR | 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/2222/11061532/check_17274504_ecfc50e4-c4dc-48ec-a7c6-565c8e6ac24f.json | N/A | N/A | N/A | N/A | N/A | 00000401784 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-09-16 | N/A | N/A | N/A | N/A | false | HANGVAL | N/A | BAHMANYAR | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437722 | N/A | N/A | 11061532 | 2222 | 4793 | 17613541 | 2630 | 9420286 | 2026-01-20 08:11:06.259863 | 2025-10-27 20:50:02.906306 |
| 2026-01-19 08:07:51.145363 | 2026-01-20 08:08:30.200084 | 17274495 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 17274495 | Athletic Physical Therapy Inc | 1949-07-26 | 2026-01-21 | F | AD | 30 | BLESSLEY | 40064625701 | DONNA | 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/2222/11011920/check_17274495_e56d12b2-fe11-42c5-80f5-3953db0526c2.json | N/A | N/A | N/A | N/A | N/A | 40064625701 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1949-07-26 | 2026H5425001 | H5425M | N/A | N/A | false | BLESSLEY | N/A | DONNA | 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 | 9803437721 | N/A | N/A | 11011920 | 2222 | 4793 | 17611613 | N/A | 9377403 | 2026-01-20 08:08:30.200084 | 2025-10-15 20:29:32.165707 |
| 2026-01-19 08:07:50.900796 | 2026-01-20 08:12:17.054241 | 17274486 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17274486 | Athletic Physical Therapy Inc | 1979-08-24 | 2026-01-21 | M | PT | N/A | ANDRIEU DELILLE | PNE914532321 | AYMERIC | 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/2222/10979165/check_17274486_98ac9256-687e-4045-aed9-1b6797ea6949.json | N/A | N/A | N/A | N/A | N/A | PNE914532321 | Preferred Provider Organization (PPO) | PRIVATE NATIONAL MORTGAGE ACCEPTANCE COMPANY LLC | BLUE SHIELD CALIFORNIA | N/A | 1979-08-24 | 1000PPOX0001 | W3000535 | N/A | PR | false | ANDRIEU DELILLE | N/A | AYMERIC | N/A | N/A | N/A | PENNYMAC ASO PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803437720 | N/A | N/A | 10979165 | 2222 | 4793 | 17614472 | N/A | 4210368 | 2026-01-20 08:12:17.054241 | 2025-05-13 04:29:37.224773 |
| 2026-01-19 08:07:50.577630 | 2026-01-20 08:04:26.528395 | 17274475 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17274475 | Athletic Physical Therapy Inc | 1983-05-09 | 2026-01-20 | F | AE | PT | RAJCIC | 622299781 | MAJA | 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/2222/10172287/check_17274475_cdedc139-46c1-48b3-8366-e62240b3765b.json | N/A | N/A | N/A | N/A | N/A | 622299781 | N/A | N/A | MOLINA_CA | N/A | 1983-05-09 | 18126CA001000101 | QMXEM01910 | N/A | N/A | false | RAJCIC | N/A | MAJA | N/A | 2025-11-30 | 2025-01-01 | INACTIVE COVERAGE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437719 | N/A | N/A | 10172287 | 2222 | 4802 | 17608753 | 4211 | 8473558 | 2026-01-20 08:04:26.528395 | 2025-10-10 16:40:45.584452 |
| 2026-01-19 08:07:50.199753 | 2026-01-20 08:04:22.692657 | 17274462 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17274462 | Athletic Physical Therapy Inc | 1961-11-24 | 2026-01-21 | F | AE | PT | CRUTCHFIELD | 90443065C | HELEN | 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/2222/10103203/check_17274462_38fba870-96ad-41ae-97af-9327030d4b5d.json | N/A | N/A | N/A | N/A | N/A | 90443065C | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-11-24 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | CRUTCHFIELD | N/A | HELEN | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437718 | N/A | N/A | 10103203 | 2222 | 4802 | 17608732 | 4211 | 8437251 | 2026-01-20 08:04:22.692657 | 2025-10-07 19:08:26.048804 |
| 2026-01-19 08:07:50.014177 | 2026-01-20 08:04:49.613643 | 17274457 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 17274457 | override_provider | 1963-04-03 | 2026-01-20 | F | PT | N/A | Protsenko | AJC912998623 | Tetiana | 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/2222/9958584/check_17274457_d174ee0a-e059-4315-aaba-77bec633a180.json | N/A | N/A | N/A | N/A | N/A | AJC912998623 | Medicaid | BSC PROMISE HEALTH PLAN MEDI CAL | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1963-04-03 | 1000MCAL0008 | E0001001 | N/A | MC | false | PROTSENKO | N/A | TETIANA | N/A | N/A | N/A | BLUE SHIELD PROMISE MEDI CAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803437717 | N/A | N/A | 9958584 | 2222 | 4802 | 17608960 | N/A | 7994720 | 2026-01-20 08:04:49.613643 | 2025-09-24 04:33:28.125297 |
| 2026-01-19 08:07:49.818092 | 2026-01-20 08:04:48.171382 | 17274451 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 17274451 | Athletic Physical Therapy Inc | 1977-12-17 | 2026-01-21 | M | PT | N/A | GORMAN | 90370502500 | 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/2222/9898664/check_17274451_e5729cf7-90b4-4cd4-b4c0-116396fc71aa.json | N/A | N/A | N/A | N/A | N/A | XEP903705025 | Point of Service (POS) | CAPE | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1977-12-17 | 1000POSX0002 | W0052320 | N/A | PS | false | GORMAN | N/A | JOHN | N/A | 9999-12-31 | 2026-01-01 | GROUP LIFE 20 000 70 65 75 50 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803437716 | N/A | N/A | 9898664 | 2222 | 4793 | 17608947 | N/A | 8287160 | 2026-01-20 08:04:48.171382 | 2025-10-01 22:48:13.212843 |
| 2026-01-19 08:07:49.605315 | 2026-01-20 08:11:14.957005 | 17274443 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 17274443 | Athletic Physical Therapy Inc | 1971-01-02 | 2026-01-22 | F | AE | PT | SIVAMALAR | 98940148E11084 | THANGIAH | 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/2222/9854943/check_17274443_b277dc14-3e11-4c39-abe7-b1e8a2abf190.json | N/A | N/A | N/A | N/A | N/A | 98940148E11084 | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1971-01-02 | N/A | N/A | N/A | N/A | false | SIVAMALAR | N/A | THANGIAH | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437715 | N/A | N/A | 9854943 | 2222 | 4802 | 17613654 | 5538 | 8251172 | 2026-01-20 08:11:14.957005 | 2025-10-03 18:17:22.871347 |
| 2026-01-19 08:07:49.319197 | 2026-01-20 08:11:53.977372 | 17274433 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17274433 | Athletic Physical Therapy Inc | 1980-07-01 | 2026-01-21 | M | PT | N/A | Moreno jr | VDHE01043007 | Hector | 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/2222/9691081/check_17274433_e2f75cf5-27e5-444f-8880-7a3f5ebb0193.json | N/A | N/A | N/A | N/A | N/A | VDHE01043007 | Preferred Provider Organization (PPO) | DIGNITY HEALTH VENTURA | ANTHEM BLUE CROSS | N/A | 1980-07-01 | 040 | 174236M3A1 | N/A | PR | false | MORENO JR | N/A | HECTOR | N/A | 9999-12-31 | 2022-07-01 | PB INCENTIVE NO SUTTER | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803437714 | N/A | N/A | 9691081 | 2222 | 4801 | 17614176 | N/A | 8110015 | 2026-01-20 08:11:53.977372 | 2025-10-05 15:24:30.421551 |
| 2026-01-19 08:07:49.187201 | 2026-01-20 08:16:28.362207 | 17274428 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17274428 | Athletic Physical Therapy Inc | 1959-02-04 | 2026-01-21 | F | AE | PT | SMITS | 9TF8JW2XU20 | HEIDI | 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/2222/9681583/check_17274428_b058a603-eb9b-4de0-a613-326959f38197.json | N/A | N/A | N/A | N/A | N/A | 9TF8JW2XU20 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-04 | S4802 | N/A | N/A | MA | false | SMITS | N/A | HEIDI | N/A | N/A | N/A | N/A | N/A | 31301 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437713 | N/A | N/A | 9681583 | 2222 | 4793 | 17617663 | N/A | 8101289 | 2026-01-20 08:16:28.362207 | 2025-09-24 17:05:46.431721 |
| 2026-01-19 08:07:49.001177 | 2026-01-20 08:16:16.889734 | 17274422 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17274422 | Athletic Physical Therapy Inc | 1952-08-04 | 2026-01-20 | F | AE | PT | Dunkerley | 9N89GR7HH33 | 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/2222/9665219/check_17274422_0fce3242-a92a-4888-bc17-a255b01b1d0f.json | N/A | N/A | N/A | N/A | N/A | 9N89GR7HH33 | N/A | N/A | CMS | N/A | 1952-08-04 | N/A | N/A | N/A | N/A | false | DUNKERLEY | N/A | ELIZABETH | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437712 | N/A | N/A | 9665219 | 2222 | 4802 | 17617622 | N/A | 8086688 | 2026-01-20 08:16:16.889734 | 2026-01-15 18:07:39.869679 |
| 2026-01-19 08:07:48.600119 | 2026-01-20 08:11:33.294497 | 17274410 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 17274410 | Athletic Physical Therapy Inc | 1944-02-19 | 2026-01-22 | M | PT | N/A | CHRISTIE | JQS302A78569 | GEORGE | 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/2222/9635046/check_17274410_5565e3a2-ceb5-4f4f-878c-59b6e33188b1.json | N/A | N/A | N/A | N/A | N/A | JQS302A78569 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1944-02-19 | 040 | CAMCRWP0 | N/A | MP | false | CHRISTIE JR | N/A | GEORGE | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803437711 | N/A | N/A | 9635046 | 2222 | 4801 | 17613903 | 4185 | 4213398 | 2026-01-20 08:11:33.294497 | 2025-09-22 22:02:57.508447 |
| 2026-01-19 08:07:48.175035 | 2026-01-20 08:08:33.998378 | 17274393 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 17274393 | Athletic Physical Therapy Inc | 1944-03-02 | 2026-01-21 | F | AE | PT | SETRAK | 40064880801 | SETA | 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/2222/9634904/check_17274393_31f05c88-bbaf-4675-9b80-c3f6672ca79f.json | N/A | N/A | N/A | N/A | N/A | 40064880801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1944-03-02 | 2026H5425001 | H5425M | N/A | N/A | false | SETRAK | N/A | SETA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437710 | N/A | N/A | 9634904 | 2222 | 4801 | 17611668 | 6237 | 8061360 | 2026-01-20 08:08:33.998378 | 2025-09-22 21:51:14.372865 |
| 2026-01-19 08:07:47.999389 | 2026-01-20 08:12:03.080471 | 17274387 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17274387 | Athletic Physical Therapy Inc | 2009-10-25 | 2026-01-22 | F | PT | N/A | TAITE | JQU200A62919 | SERAPHINA | 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/2222/9610001/check_17274387_35750e8c-0593-43a9-9215-ae9bfedc8d48.json | N/A | N/A | N/A | N/A | N/A | JQU200A62919 | Preferred Provider Organization (PPO) | TREATMENT CENTER MANAGEMENT CORPORATION | ANTHEM BLUE CROSS | N/A | 2009-10-25 | 040 | U26732 | N/A | PR | false | TAITE | N/A | RICHARD | N/A | 9999-12-31 | 2026-01-01 | CA SG ANTHEM PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803437709 | N/A | N/A | 9610001 | 2222 | 4802 | 17614302 | N/A | 8040917 | 2026-01-20 08:12:03.080471 | 2025-09-22 14:19:04.386066 |
| 2026-01-19 08:07:47.836963 | 2026-01-20 08:12:20.731382 | 17274382 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17274382 | Athletic Physical Therapy Inc | 1962-05-29 | 2026-01-21 | F | PT | N/A | LARSON | XEA913804058 | DEBRA | 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/2222/9562148/check_17274382_49ecc917-a271-4ab3-99e1-1fef827e7a7a.json | N/A | N/A | N/A | N/A | N/A | XAN913804058 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1962-05-29 | 1480PPOX0002 | W0051411 | N/A | PR | false | LARSON | N/A | DEBRA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803437708 | N/A | N/A | 9562148 | 2222 | 4793 | 17614522 | N/A | 7997320 | 2026-01-20 08:12:20.731382 | 2025-10-02 21:07:14.563938 |
| 2026-01-19 08:07:47.636793 | 2026-01-20 08:11:05.754590 | 17274375 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 17274375 | Athletic Physical Therapy Inc | 1956-11-29 | 2026-01-22 | F | AE | PT | GOMEZ | 00000401101 | ALICIA | 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/2222/9555104/check_17274375_95f6b73e-09eb-4327-b28f-9c4900d69b08.json | N/A | N/A | N/A | N/A | N/A | 00000401101 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-11-29 | H3815050 | N/A | N/A | HM | false | GOMEZ | N/A | ALICIA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE CALCARE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437707 | N/A | N/A | 9555104 | 2222 | 4801 | 17613531 | 2630 | 7990617 | 2026-01-20 08:11:05.754590 | 2025-09-29 20:34:47.088032 |
| 2026-01-19 08:07:47.427927 | 2026-01-20 08:05:12.543544 | 17274369 | N/A | N/A | 60054 | Aetna | 1114042165 | 17274369 | Athletic Physical Therapy Inc | 1960-01-04 | 2026-01-22 | F | AE | PT | MARLEY | W032070695 | MARIA | 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/2222/9512811/check_17274369_9d96e6ec-05b3-43c4-8cdb-7a340a4b1430.json | N/A | N/A | N/A | N/A | N/A | W032070695 | Exclusive Provider Organization | COSTCO WHOLESALE CORPORATION | AETNA | N/A | 1960-01-04 | 0169579 | 016957901100002 | N/A | EP | false | MARLEY | N/A | MARIA | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437706 | N/A | N/A | 9512811 | 2222 | 4801 | 17609194 | N/A | 7955514 | 2026-01-20 08:05:12.543544 | 2025-09-26 00:32:05.426711 |
| 2026-01-19 08:07:47.249487 | 2026-01-20 08:11:07.533517 | 17274361 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 17274361 | Athletic Physical Therapy Inc | 1959-04-22 | 2026-01-20 | F | AE | PT | MATHESON | 00000433752 | JANET | 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/2222/9511696/check_17274361_b02e9b8a-aba5-4784-bd23-8ff3026ad297.json | N/A | N/A | N/A | N/A | N/A | 00000433752 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1959-04-22 | H3815028 | N/A | N/A | HM | false | MATHESON | N/A | JANET | 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 | 9803437705 | N/A | N/A | 9511696 | 2222 | 4801 | 17613559 | 2630 | 7954244 | 2026-01-20 08:11:07.533517 | 2025-09-29 18:15:39.145358 |
| 2026-01-19 08:07:47.064991 | 2026-01-20 08:05:09.092325 | 17274356 | N/A | N/A | 60054 | AETNA - PPO | 1114042165 | 17274356 | Athletic Physical Therapy Inc | 1940-05-16 | 2026-01-21 | M | AE | PT | HOPE | 101144710900 | LYNN | 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/2222/9477069/check_17274356_0650a467-e8b0-4d84-b87b-aaffb5514a57.json | N/A | N/A | N/A | N/A | N/A | 101144710900 | Health Maintenance Organization (HMO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-05-16 | 000003-CA000116 | 000003-CA | N/A | HM | false | HOPE | N/A | LYNN | N/A | N/A | N/A | AETNA MEDICARE SIGNATURE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437704 | N/A | N/A | 9477069 | 2222 | 4802 | 17609159 | 3948 | 7927787 | 2026-01-20 08:05:09.092325 | 2025-09-17 17:11:58.574244 |
| 2026-01-19 08:07:46.839869 | 2026-01-20 08:08:06.890674 | 17274349 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 17274349 | Athletic Physical Therapy Inc | 1964-03-23 | 2026-01-21 | F | AE | PT | GERAMIAN MOGHADDAM | 98454624D | SHAHLA | 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/2222/9443681/check_17274349_1c7ecd7b-d733-485a-8ff7-0513b02314bb.json | N/A | N/A | N/A | N/A | N/A | 98454624D | N/A | N/A | CENTENE CORPORATION | N/A | 1964-03-23 | N/A | N/A | N/A | N/A | false | GERAMIAN MOGHADDAM | N/A | SHAHLA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437703 | N/A | N/A | 9443681 | 2222 | 4802 | 17611259 | N/A | 7900208 | 2026-01-20 08:08:06.890674 | 2025-09-17 23:29:57.116770 |
| 2026-01-19 08:07:46.635064 | 2026-01-20 08:16:19.180941 | 17274343 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17274343 | Athletic Physical Therapy Inc | 1955-07-01 | 2026-01-22 | F | AE | PT | GREER | 7H09HW9QG44 | ROBIN | 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/2222/9411083/check_17274343_6c039d90-5787-4227-9679-7be7c1773240.json | N/A | N/A | N/A | N/A | N/A | 7H09HW9QG44 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-01 | S5601 | N/A | N/A | MA | false | GREER | N/A | ROBIN | N/A | N/A | N/A | N/A | N/A | 30380 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437702 | N/A | N/A | 9411083 | 2222 | 4802 | 17617629 | N/A | 7879863 | 2026-01-20 08:16:19.180941 | 2026-02-04 18:21:13.840230 |
| 2026-01-19 08:07:46.514596 | 2026-01-20 08:12:03.599916 | 17274340 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17274340 | Athletic Physical Therapy Inc | 2005-12-13 | 2026-01-20 | F | PT | N/A | Varivoda | ZTQ335M98588 | Alex | 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/2222/9338185/check_17274340_570de980-d266-401f-862e-43be71e7de84.json | N/A | N/A | N/A | N/A | N/A | ZTQ335M98588 | Preferred Provider Organization (PPO) | TELEDYNE TECH INC LECROY | ANTHEM BLUE CROSS | N/A | 2005-12-13 | 040 | 174249M3AW | N/A | PR | false | VARIVODA | N/A | ALEXEY | N/A | 9999-12-31 | 2020-03-19 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803437701 | N/A | N/A | 9338185 | 2222 | 4802 | 17614308 | N/A | 7837035 | 2026-01-20 08:12:03.599916 | 2025-09-17 13:44:26.939662 |
| 2026-01-19 08:07:46.349593 | 2026-01-20 08:08:09.425463 | 17274335 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 17274335 | Athletic Physical Therapy Inc | 1963-03-16 | 2026-01-21 | M | AE | PT | SENDEROVICH | 93289206A | RUBIN | 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/2222/9321915/check_17274335_0ac017f4-e1bd-426d-9be1-0d70d1dba0c5.json | N/A | N/A | N/A | N/A | N/A | 93289206A | N/A | N/A | HEALTH NET, LLC | N/A | 1963-03-16 | N/A | N/A | N/A | N/A | false | SENDEROVICH | N/A | RUBIN | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437700 | N/A | N/A | 9321915 | 2222 | 4793 | 17611300 | N/A | 7821358 | 2026-01-20 08:08:09.425463 | 2025-09-16 21:45:39.144990 |
| 2026-01-19 08:07:46.205261 | 2026-01-20 08:04:16.323242 | 17274329 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 17274329 | Athletic Physical Therapy Inc | 1937-04-20 | 2026-01-21 | M | AE | PT | HAUSMAN | 34751866 | 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/2222/9280203/check_17274329_5ef90427-9342-4947-9929-fe7a29dfa022.json | N/A | N/A | N/A | N/A | N/A | 34751866 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1937-04-20 | 406-034-002 | N/A | N/A | N/A | false | HAUSMAN | N/A | GARY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437699 | N/A | N/A | 9280203 | 2222 | 4793 | 17608692 | 6798 | 7788651 | 2026-01-20 08:04:16.323242 | 2025-09-10 18:50:22.494063 |
| 2026-01-19 08:07:46.065404 | 2026-01-20 08:12:26.903995 | 17274325 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17274325 | Athletic Physical Therapy Inc | 1988-09-12 | 2026-01-20 | M | PT | N/A | Guzzo | JQU895W23533 | Aaron | 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/2222/9274785/check_17274325_28e95c8f-e41e-4217-8421-1cb9e443af4c.json | N/A | N/A | N/A | N/A | N/A | JQU895W23533 | Preferred Provider Organization (PPO) | 3 ARTS ENTERTAINMENT LLC | BLUE SHIELD OF CALIFORNIA | N/A | 1988-09-12 | 040 | H59723 | N/A | PR | false | RATHER-GUZZO | N/A | SANDY | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803437698 | N/A | N/A | 9274785 | 2222 | 4802 | 17614604 | N/A | 6451061 | 2026-01-20 08:12:26.903995 | 2025-07-28 22:43:26.605856 |
| 2026-01-19 08:07:45.908960 | 2026-01-20 08:11:33.797583 | 17274320 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 17274320 | Athletic Physical Therapy Inc | 1966-12-04 | 2026-01-20 | M | PT | N/A | CLANCY | XDMOE0503879 | JOSEPH | 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/2222/9194927/check_17274320_52a64cf0-51b5-46f1-83d0-c034e5f7ffa2.json | N/A | N/A | N/A | N/A | N/A | XDMOE0503879 | Health Maintenance Organization (HMO) | OPERATING ENGINEERS HEALTH&WELFARE FUND | ANTHEM BLUE CROSS | N/A | 1966-12-04 | 040 | 278671H001 | N/A | HM | false | CLANCY | N/A | JOSEPH | N/A | 9999-12-31 | 2025-02-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803437694 | N/A | N/A | 9194927 | 2222 | 4793 | 17613909 | 4184 | 7712549 | 2026-01-20 08:11:33.797583 | 2025-09-10 17:29:28.945035 |
| 2026-01-19 08:07:45.717160 | 2026-01-20 08:11:56.521341 | 17274315 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 17274315 | Athletic Physical Therapy Inc | 2009-01-14 | 2026-01-20 | F | PT | N/A | OBACZ | JQV897A63197 | KLOIE | 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/2222/9102655/check_17274315_df9b0cc7-ce5e-4611-8b66-ff231f451477.json | N/A | N/A | N/A | N/A | N/A | JQV897A63197 | Health Maintenance Organization (HMO) | EVOLVED NOVELTIES INC | ANTHEM BLUE CROSS | N/A | 2009-01-14 | 040 | F45883 | N/A | HM | false | OBACZ | N/A | JUSTIN | N/A | 9999-12-31 | 2026-01-01 | CA SG SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803437693 | N/A | N/A | 9102655 | 2222 | 4801 | 17614212 | 4185 | 7621062 | 2026-01-20 08:11:56.521341 | 2025-09-12 19:10:20.936695 |
| 2026-01-19 08:07:45.606665 | 2026-01-20 08:16:24.099284 | 17274311 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17274311 | Athletic Physical Therapy Inc | 1950-04-13 | 2026-01-20 | F | AE | PT | NATALI | 2XU8UK4DF50 | RENEE | 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/2222/8979192/check_17274311_51bd9bae-9149-4d8f-9668-67ab06235a47.json | N/A | N/A | N/A | N/A | N/A | 2XU8UK4DF50 | Medicare Part A | N/A | HEALTH CARE SERVICE CORPORATION | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-04-13 | S5715 | N/A | N/A | MA | false | NATALI | N/A | RENEE | N/A | N/A | N/A | N/A | N/A | 40720 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437692 | N/A | N/A | 8979192 | 2222 | 4793 | 17617647 | N/A | 7498543 | 2026-01-20 08:16:24.099284 | 2025-10-14 17:13:32.178778 |
| 2026-01-19 08:07:45.478812 | 2026-01-20 08:11:09.983757 | 17274308 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 17274308 | Athletic Physical Therapy Inc | 1949-12-31 | 2026-01-20 | M | AE | PT | TSING | 00000282272 | KONGHSUNG | 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/2222/8978036/check_17274308_29fb994e-3038-4d97-b4bd-73e1176268e1.json | N/A | N/A | N/A | N/A | N/A | 00000282272 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-12-31 | H3815028 | N/A | N/A | HM | false | TSING | N/A | KONGHSUNG | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437691 | N/A | N/A | 8978036 | 2222 | 4793 | 17613593 | 2630 | 7492332 | 2026-01-20 08:11:09.983757 | 2025-10-01 21:03:48.525986 |
| 2026-01-19 08:07:45.322190 | 2026-01-20 08:05:06.644010 | 17274303 | N/A | N/A | 60054 | Aetna | 1114042165 | 17274303 | Athletic Physical Therapy Inc | 1967-12-19 | 2026-01-21 | F | AE | PT | BURRY | 101323278900 | CAROLYN | 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/2222/8971092/check_17274303_e5855d95-7476-40ea-93ad-8c825c0d7337.json | N/A | N/A | N/A | N/A | N/A | 101323278900 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1967-12-19 | 000003-CA000058 | 000003-CA | N/A | PR | false | BURRY | N/A | CAROLYN | N/A | N/A | N/A | AETNA MEDICARE SIGNATURE (PPO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437690 | N/A | N/A | 8971092 | 2222 | 4801 | 17609134 | N/A | 7486536 | 2026-01-20 08:05:06.644010 | 2025-09-15 03:16:44.869236 |
| 2026-01-19 08:07:45.112880 | 2026-01-20 08:11:13.363051 | 17274296 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 17274296 | Athletic Physical Therapy Inc | 1987-06-17 | 2026-01-20 | M | AE | PT | FAVELA | 620360888 | MAXIMILIAN | 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/2222/8960010/check_17274296_679a6fbf-775a-44e6-a56d-84ab326446ca.json | N/A | N/A | N/A | N/A | N/A | 620360888 | N/A | L.A. CARE COVERED GOLD 80 HMO | LA CARE HEALTH PLAN | N/A | 1987-06-17 | LACC | 92815CA001000701 | N/A | N/A | false | FAVELA | N/A | MAXIMILIAN | N/A | 2026-12-31 | 2026-01-01 | L.A. CARE COVERED | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437689 | N/A | N/A | 8960010 | 2222 | 4802 | 17613634 | 5538 | 7476978 | 2026-01-20 08:11:13.363051 | 2026-01-07 18:27:22.752552 |
| 2026-01-19 08:07:44.885876 | 2026-01-20 08:16:12.621682 | 17274290 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17274290 | Athletic Physical Therapy Inc | 1951-10-12 | 2026-01-21 | F | AE | PT | Ahadian | 3PT2AT4QU70 | Vida | 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/2222/8477425/check_17274290_eda81534-1b7a-4b01-909b-11d4c3592772.json | N/A | N/A | N/A | N/A | N/A | 3PT2AT4QU70 | Medicare Part A | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-10-12 | S9701 | N/A | N/A | MA | false | AHADIAN | N/A | VIDA | N/A | N/A | N/A | N/A | N/A | 5495 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437688 | N/A | N/A | 8477425 | 2222 | 4802 | 17617606 | N/A | 7146980 | 2026-01-20 08:16:12.621682 | 2025-08-25 22:34:13.951153 |
| 2026-01-19 08:07:44.728789 | 2026-01-20 08:11:30.051604 | 17274286 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17274286 | Athletic Physical Therapy Inc | 1961-03-04 | 2026-01-20 | M | PT | N/A | AVEDISSIAN | JQU233A54125 | ARMEN | 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/2222/8472241/check_17274286_46f53aa6-acf9-4a57-a983-94d1e615d178.json | N/A | N/A | N/A | N/A | N/A | JQU233A54125 | Preferred Provider Organization (PPO) | BRAND PRODUCE INC | MEDICARE A | N/A | 1961-03-04 | 040 | J35185 | N/A | PR | false | AVEDISSIAN | N/A | ARMEN | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803437687 | N/A | N/A | 8472241 | 2222 | 4801 | 17613859 | N/A | 7143064 | 2026-01-20 08:11:30.051604 | 2025-10-10 06:06:58.213429 |
| 2026-01-19 08:07:44.585893 | 2026-01-20 08:05:13.188603 | 17274282 | N/A | N/A | 60054 | Aetna | 1114042165 | 17274282 | Athletic Physical Therapy Inc | 1972-12-30 | 2026-01-20 | M | AE | PT | MCHALE | W27265070 | MATT | 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/2222/8173116/check_17274282_d7c01312-accd-4284-8935-039404c8ecc2.json | N/A | N/A | N/A | N/A | N/A | W272665070 | Point of Service (POS) | SONY CORPORATION OF AMERICA | AETNA | N/A | 1972-12-30 | 0486873 | 048687302100161 | N/A | PS | false | MCHALE | N/A | MATTHEW | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437686 | N/A | N/A | 8173116 | 2222 | 4802 | 17609201 | N/A | 6939617 | 2026-01-20 08:05:13.188603 | 2025-09-16 00:28:24.457071 |
| 2026-01-19 08:07:44.440594 | 2026-01-20 08:04:25.997125 | 17274277 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17274277 | Athletic Physical Therapy Inc | 2001-06-21 | 2026-01-21 | M | AE | PT | RAFIEI | 92836714F | SAM | 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/2222/8173002/check_17274277_ea997435-8aa6-4ea8-a29e-3e61d99d69ba.json | N/A | N/A | N/A | N/A | N/A | 92836714F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-06-21 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | RAFIEI | N/A | SAM | N/A | 2078-12-31 | 2024-02-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437685 | N/A | N/A | 8173002 | 2222 | 4793 | 17608751 | 4211 | 6939518 | 2026-01-20 08:04:25.997125 | 2025-08-18 21:40:08.349494 |
| 2026-01-19 08:07:44.264730 | 2026-01-20 08:08:08.613943 | 17274271 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 17274271 | Athletic Physical Therapy Inc | 1996-12-13 | 2026-01-21 | F | AE | PT | BANITT | 91412011H | MAYA | 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/2222/7982486/check_17274271_3de0b435-52f6-42ed-a626-dc2373c50253.json | N/A | N/A | N/A | N/A | N/A | 91412011H | N/A | N/A | HEALTH NET, LLC | N/A | 1996-12-13 | N/A | N/A | N/A | N/A | false | BANITT | N/A | MAYA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437684 | N/A | N/A | 7982486 | 2222 | 4802 | 17611285 | N/A | 6793895 | 2026-01-20 08:08:08.613943 | 2025-08-11 19:39:51.529122 |
| 2026-01-19 08:07:44.124492 | 2026-01-20 08:11:50.259354 | 17274268 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17274268 | Athletic Physical Therapy Inc | 1950-06-21 | 2026-01-20 | M | PT | N/A | Aliabadi | FJB10490729M | Hossein | 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/2222/7877206/check_17274268_9b97efed-f117-4b06-a176-21a80896dd7b.json | N/A | N/A | N/A | N/A | N/A | FJB10490729M | Preferred Provider Organization (PPO) | ALL | ANTHEM BLUE CROSS | N/A | 1950-06-21 | 101 | 174549M211 | N/A | PR | false | MANTEGHI | N/A | MEHRNAZ | N/A | 9999-12-31 | 2025-01-01 | BLUECARD PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803437683 | N/A | N/A | 7877206 | 2222 | 4802 | 17614128 | N/A | 6706099 | 2026-01-20 08:11:50.259354 | 2025-11-21 22:00:12.073625 |
| 2026-01-19 08:07:43.828880 | 2026-01-20 08:16:23.512040 | 17274261 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17274261 | Athletic Physical Therapy Inc | 1959-08-14 | 2026-01-20 | F | AE | PT | McKinnon | 4Q81VP4NU12 | Dawn | 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/2222/7783105/check_17274261_acb428b5-1320-4c07-863f-d3ab81b50093.json | N/A | N/A | N/A | N/A | N/A | 4Q81VP4NU12 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-08-14 | S4802 | N/A | N/A | MA | false | MCKINNON | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | 40560 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437682 | N/A | N/A | 7783105 | 2222 | 4802 | 17617645 | N/A | 6628331 | 2026-01-20 08:16:23.512040 | 2025-08-22 15:16:03.942743 |
| 2026-01-19 08:07:43.561154 | 2026-01-20 08:04:48.909085 | 17274255 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 17274255 | Athletic Physical Therapy Inc | 1975-12-22 | 2026-01-21 | M | PT | N/A | HUTH | XEH910929228 | KENT | 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/2222/7626895/check_17274255_8c16a56b-44b2-4070-962d-55f0bf09104b.json | N/A | N/A | N/A | N/A | N/A | XEH910929228 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1975-12-22 | 1000HMOX0001 | W0051411 | N/A | HM | false | HUTH | N/A | KENT | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803437678 | N/A | N/A | 7626895 | 2222 | 4793 | 17608952 | N/A | 6525917 | 2026-01-20 08:04:48.909085 | 2026-05-08 22:53:13.232007 |
| 2026-01-19 08:07:43.280248 | 2026-01-20 08:16:13.195092 | 17274248 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17274248 | Athletic Physical Therapy Inc | 1950-02-07 | 2026-01-21 | M | AE | PT | BHAMRAH | 8FX0NA8MD19 | KULDIP | 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/2222/7442857/check_17274248_bafc69c8-3fbc-417a-a4da-300a82e9a450.json | N/A | N/A | N/A | N/A | N/A | 8FX0NA8MD19 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-02-07 | S5617 | N/A | N/A | MA | false | BHAMRAH | N/A | KULDIP | N/A | N/A | N/A | N/A | N/A | 15507 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437677 | N/A | N/A | 7442857 | 2222 | 4801 | 17617609 | N/A | 6393941 | 2026-01-20 08:16:13.195092 | 2025-08-13 16:33:53.313259 |
| 2026-01-19 08:07:43.146794 | 2026-01-20 08:11:31.696422 | 17274244 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17274244 | Athletic Physical Therapy Inc | 1988-08-19 | 2026-01-21 | M | PT | N/A | Bridgemohansingh | NTF910W08222 | 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/2222/7258746/check_17274244_462f750a-52a2-4f0b-932e-f07bb137f6d7.json | N/A | N/A | N/A | N/A | N/A | NTF910W08222 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | ANTHEM BLUE CROSS | N/A | 1988-08-19 | 040 | L08669M002 | N/A | PR | false | BRIDGEMOHANSINGH | N/A | JASON | N/A | 9999-12-31 | 2025-08-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803437676 | N/A | N/A | 7258746 | 2222 | 4802 | 17613879 | N/A | 6224482 | 2026-01-20 08:11:31.696422 | 2025-08-07 00:03:18.267969 |
| 2026-01-19 08:07:43.030653 | 2026-01-20 08:04:24.735675 | 17274242 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17274242 | Athletic Physical Therapy Inc | 1976-02-07 | 2026-01-20 | F | AE | PT | MALTSEVA | 94237973H | YEVHENIIA | 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/2222/7253095/check_17274242_9c57d123-42d5-45b1-85ae-38766161fcce.json | N/A | N/A | N/A | N/A | N/A | 94237973H | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1976-02-07 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MALTSEVA | N/A | YEVHENIIA | N/A | 2078-12-31 | 2025-08-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437675 | N/A | N/A | 7253095 | 2222 | 4802 | 17608745 | 4211 | 6219145 | 2026-01-20 08:04:24.735675 | 2025-07-21 16:40:35.276086 |
| 2026-01-19 08:07:42.900957 | 2026-01-20 08:16:17.268459 | 17274238 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17274238 | Athletic Physical Therapy Inc | 1959-02-09 | 2026-01-22 | F | AE | PT | FERTSCHNEIDER | 4DU9YG4YD46 | NANCY | 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/2222/7204595/check_17274238_e3432f68-af06-4ad5-9154-4635bf41edfd.json | N/A | N/A | N/A | N/A | N/A | 4DU9YG4YD46 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-09 | S4802 | N/A | N/A | MA | false | FERTSCHNEIDER | N/A | NANCY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437480 | N/A | N/A | 7204595 | 2222 | 4801 | 17617623 | N/A | 6175435 | 2026-01-20 08:16:17.268459 | 2025-08-05 19:05:08.506352 |