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 08:07:42.706041 | 2026-01-20 08:10:03.141518 | 17274233 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 17274233 | Athletic Physical Therapy Inc | 1944-09-12 | 2026-01-20 | F | AE | PT | AFSARI | 994467802 | NARGES | 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/2222/7018260/check_17274233_a1f776aa-6d36-4689-88eb-ee82a5c4cade.json | N/A | N/A | N/A | N/A | N/A | 994467802 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1944-09-12 | N/A | 01949 | N/A | HN | false | AFSARI | N/A | NARGES | N/A | N/A | N/A | HMOPOS-AARP MEDICARE ADVANTAGE FROM UHC CA-004P (H | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437479 | N/A | N/A | 7018260 | 2222 | 4801 | 17612786 | 6411 | 6033556 | 2026-01-20 08:10:03.141518 | 2025-07-30 20:38:43.563128 |
| 2026-01-19 08:07:42.498849 | 2026-01-20 08:05:16.906576 | 17274227 | N/A | N/A | 60054 | AETNA | 1114042165 | 17274227 | Athletic Physical Therapy Inc | 1940-12-29 | 2026-01-20 | M | AE | PT | TRUNNELL | 101505559100 | WAYNE | 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/2222/6786642/check_17274227_06656f80-c8d0-4bcb-a419-e4603bdac0d5.json | N/A | N/A | N/A | N/A | N/A | 101505559100 | Health Maintenance Organization (HMO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-12-29 | 000003-CA000116 | 000003-CA | N/A | HM | false | TRUNNELL | N/A | WAYNE | N/A | N/A | N/A | AETNA MEDICARE SIGNATURE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437478 | N/A | N/A | 6786642 | 2222 | 4793 | 17609240 | 3939 | 5818009 | 2026-01-20 08:05:16.906576 | 2025-07-15 23:19:05.900633 |
| 2026-01-19 08:07:42.387311 | 2026-01-20 08:16:14.752097 | 17274224 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17274224 | Athletic Physical Therapy Inc | 1959-09-07 | 2026-01-22 | M | AE | PT | CICCIARI | 1AK4JC6NK84 | LOUIS | 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/2222/6752936/check_17274224_7a687b13-0880-4069-9a14-9f7ffba26764.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5617 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | 20382 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437477 | N/A | N/A | 6752936 | 2222 | 4801 | 17617615 | N/A | 5065602 | 2026-01-20 08:16:14.752097 | 2025-07-01 17:25:13.681724 |
| 2026-01-19 08:07:42.249461 | 2026-01-20 08:08:34.459391 | 17274220 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 17274220 | Athletic Physical Therapy Inc | 1942-07-28 | 2026-01-20 | M | AE | PT | SIMMONS | 40055722801 | J | 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/2222/6685251/check_17274220_74affac5-4491-4176-8b23-5c6e2575a944.json | N/A | N/A | N/A | N/A | N/A | 40055722801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1942-07-28 | 2026H5425001 | H5425M | N/A | N/A | false | SIMMONS | N/A | J | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437476 | N/A | N/A | 6685251 | 2222 | 4793 | 17611675 | 6237 | 4209868 | 2026-01-20 08:08:34.459391 | 2025-08-15 22:13:56.514261 |
| 2026-01-19 08:07:42.118588 | 2026-01-20 08:16:20.859070 | 17274217 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17274217 | Athletic Physical Therapy Inc | 1952-10-25 | 2026-01-20 | F | AE | PT | JOHNSTON | 7KA0H51YU14 | DEBORAH | 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/2222/6638391/check_17274217_9403fca4-3105-40f3-a936-e29da41fddcd.json | N/A | N/A | N/A | N/A | N/A | 7KA0H51YU14 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-10-25 | S5617 | N/A | N/A | MA | false | JOHNSTON | N/A | DEBORAH | N/A | N/A | N/A | N/A | N/A | 20200 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437475 | N/A | N/A | 6638391 | 2222 | 4793 | 17617635 | N/A | 5247837 | 2026-01-20 08:16:20.859070 | 2026-02-24 20:36:49.807283 |
| 2026-01-19 08:07:42.004228 | 2026-01-20 08:11:12.755397 | 17274213 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 17274213 | Athletic Physical Therapy Inc | 1969-06-12 | 2026-01-22 | F | AE | PT | Ballatore | 90665617F | Chloe | 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/2222/6553125/check_17274213_28e4ed42-3a65-4d69-860b-d86ca62ea5f4.json | N/A | N/A | N/A | N/A | N/A | 90665617F | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1969-06-12 | N/A | N/A | N/A | N/A | false | BALLATORE | N/A | CHLOE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437474 | N/A | N/A | 6553125 | 2222 | 4802 | 17613625 | 5538 | 5176363 | 2026-01-20 08:11:12.755397 | 2025-06-23 23:46:22.182955 |
| 2026-01-19 08:07:41.868071 | 2026-01-20 08:11:09.160549 | 17274210 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 17274210 | Athletic Physical Therapy Inc | 1953-09-16 | 2026-01-20 | F | AE | PT | Sankovich | 00000375069 | Deborah | 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/2222/6210775/check_17274210_16c61e93-4c2e-46d6-98f8-c1201ca46f68.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1953-09-16 | H3815028 | N/A | N/A | HM | false | SANKOVICH | N/A | DEBORAH | 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 | 9803437473 | N/A | N/A | 6210775 | 2222 | 4793 | 17613581 | 2630 | 4215193 | 2026-01-20 08:11:09.160549 | 2026-01-16 04:38:12.725481 |
| 2026-01-19 08:07:41.610166 | 2026-01-20 08:11:07.922647 | 17274203 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 17274203 | Athletic Physical Therapy Inc | 1943-03-11 | 2026-01-22 | M | AE | PT | MATHEU | 00000270336 | CARLOS | 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/2222/6189737/check_17274203_a34f421a-2562-4b61-91f9-5f740a809873.json | N/A | N/A | N/A | N/A | N/A | 00000270336 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1943-03-11 | H3815028 | N/A | N/A | HM | false | MATHEU | N/A | CARLOS | 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 | 9803437472 | N/A | N/A | 6189737 | 2222 | 4801 | 17613565 | 2630 | 4209126 | 2026-01-20 08:11:07.922647 | 2025-05-13 04:29:37.223551 |
| 2026-01-19 08:07:41.420743 | 2026-01-20 08:11:57.102960 | 17274199 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17274199 | Athletic Physical Therapy Inc | 1968-11-26 | 2026-01-21 | F | PT | N/A | PELLEGRINI | XEA913808278 | PATRICIA | 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/2222/6165269/check_17274199_e486a909-1737-4079-9104-457f0d448f83.json | N/A | N/A | N/A | N/A | N/A | XAN913808278 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1968-11-26 | 1479PPOX0002 | W0051411 | N/A | PR | false | PELLEGRINI | N/A | PATRICIA | 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 | 9803437471 | N/A | N/A | 6165269 | 2222 | 4793 | 17614218 | N/A | 4807600 | 2026-01-20 08:11:57.102960 | 2025-06-18 15:19:08.524396 |
| 2026-01-19 08:07:41.287382 | 2026-01-20 08:10:58.216514 | 17274193 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 17274193 | Athletic Physical Therapy Inc | 1981-12-16 | 2026-01-21 | F | AE | PT | DE FELICE | R07457624FM1 | CHRISTINA | 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/2222/6140436/check_17274193_ef342605-d872-4d03-bc7c-28f49f56d87b.json | N/A | N/A | N/A | N/A | N/A | R07457624FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1981-12-16 | N/A | N/A | N/A | N/A | false | DE FELICE | N/A | CHRISTINA | N/A | N/A | N/A | MI4 SBP | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437470 | N/A | N/A | 6140436 | 2222 | 4801 | 17613441 | N/A | 4781417 | 2026-01-20 08:10:58.216514 | 2025-06-06 17:03:19.078153 |
| 2026-01-19 08:07:41.167039 | 2026-01-20 08:16:20.294368 | 17274190 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17274190 | Athletic Physical Therapy Inc | 1951-03-27 | 2026-01-22 | F | AE | PT | Jaude | 9MG2QE6VF90 | Anne | 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/2222/6124906/check_17274190_8c84a33d-e6cc-4caf-9e07-869c7f2e665b.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 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437469 | N/A | N/A | 6124906 | 2222 | 4802 | 17617633 | N/A | 4767362 | 2026-01-20 08:16:20.294368 | 2025-09-19 16:49:18.601418 |
| 2026-01-19 08:07:41.040196 | 2026-01-20 08:10:56.263337 | 17274186 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 17274186 | Athletic Physical Therapy Inc | 1969-01-08 | 2026-01-21 | F | AE | PT | ALROMAIH | 91237812E | SARAH | 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/2222/5993940/check_17274186_e98abadc-36d6-4436-b863-3c1addb2b782.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437468 | N/A | N/A | 5993940 | 2222 | 4802 | 17613416 | 4625 | 4642877 | 2026-01-20 08:10:56.263337 | 2025-12-23 23:49:16.627667 |
| 2026-01-19 08:07:40.903224 | 2026-01-20 08:10:57.143244 | 17274181 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 17274181 | Athletic Physical Therapy Inc | 1964-11-15 | 2026-01-21 | F | AE | PT | BIKOULOVA | 92040499F | ALEXANDRA | 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/2222/5874423/check_17274181_c6f00ec5-e1e5-4ccc-8e39-46ff33171775.json | N/A | N/A | N/A | N/A | N/A | 92040499F | N/A | N/A | HEALTH NET, LLC | N/A | 1964-11-15 | N/A | N/A | N/A | N/A | false | BIKOULOVA | N/A | ALEXANDRA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437467 | N/A | N/A | 5874423 | 2222 | 4802 | 17613428 | 4625 | 4534552 | 2026-01-20 08:10:57.143244 | 2025-05-30 18:01:03.324126 |
| 2026-01-19 08:07:40.752716 | 2026-01-20 08:11:07.110130 | 17274177 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 17274177 | Athletic Physical Therapy Inc | 1956-07-24 | 2026-01-20 | F | AE | PT | HOCHFELD | 00000365425 | PAMELA | 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/2222/5676362/check_17274177_6e156521-7ab8-47d3-b5fa-3150e147faf5.json | N/A | N/A | N/A | N/A | N/A | 00000365425 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-07-24 | H3815028 | N/A | N/A | HM | false | HOCHFELD | N/A | PAMELA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437466 | N/A | N/A | 5676362 | 2222 | 4793 | 17613552 | 2630 | 4219743 | 2026-01-20 08:11:07.110130 | 2025-12-04 22:36:02.632383 |
| 2026-01-19 08:07:40.597839 | 2026-01-20 08:10:54.290634 | 17274172 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 17274172 | Athletic Physical Therapy Inc | 1961-09-17 | 2026-01-20 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | 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/2222/5568076/check_17274172_cbd2abb8-3219-4a0d-9fbb-0c8703a0b11d.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437465 | N/A | N/A | 5568076 | 2222 | 4802 | 17613393 | 4625 | 4209480 | 2026-01-20 08:10:54.290634 | 2026-04-10 02:05:15.976484 |
| 2026-01-19 08:07:40.418027 | 2026-01-20 08:16:22.357677 | 17274168 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17274168 | Athletic Physical Therapy Inc | 1956-11-29 | 2026-01-21 | M | AE | PT | LYGA | 9E33A44VQ74 | FRANK | 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/2222/5550634/check_17274168_6d2409a7-3ae8-4b46-81bd-3e13722f0902.json | N/A | N/A | N/A | N/A | N/A | 9E33A44VQ74 | Medicare Part A | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-11-29 | S5596 | DOL 07071986 | N/A | MA | false | LYGA | N/A | FRANK | N/A | N/A | N/A | N/A | N/A | 20041 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437464 | N/A | N/A | 5550634 | 2222 | 4801 | 17617640 | N/A | 4219584 | 2026-01-20 08:16:22.357677 | 2025-09-29 18:19:47.145731 |
| 2026-01-19 08:07:40.308615 | 2026-01-20 08:06:34.067051 | 17274163 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 17274163 | Athletic Physical Therapy Inc | 1970-09-15 | 2026-01-20 | F | AE | PT | DON | H74748118 | JACKIE | 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/2222/5550314/check_17274163_dffe4b90-3f14-4f42-a154-08ac251ca6af.json | N/A | N/A | N/A | N/A | N/A | H74748118 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1970-09-15 | N/A | 2B506001 | N/A | HN | false | DON | N/A | JACKIE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437463 | N/A | N/A | 5550314 | 2222 | 4801 | 17610019 | N/A | 4219523 | 2026-01-20 08:06:34.067051 | 2025-12-13 21:47:36.966446 |
| 2026-01-19 08:07:40.202833 | 2026-01-20 08:16:17.636088 | 17274161 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17274161 | Athletic Physical Therapy Inc | 1951-12-26 | 2026-01-20 | M | AE | PT | FINEBERG | 9FX3D52YD09 | MARTIN | 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/2222/5549980/check_17274161_5e72b3dd-f43c-45e0-a0f3-52a9bbd3e4fa.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MB | false | FINEBERG | N/A | MARTIN | N/A | N/A | N/A | N/A | N/A | 10180 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437462 | N/A | N/A | 5549980 | 2222 | 4802 | 17617624 | N/A | 4219436 | 2026-01-20 08:16:17.636088 | 2025-05-13 04:29:37.230471 |
| 2026-01-19 08:07:40.083076 | 2026-01-20 08:11:34.392455 | 17274156 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 17274156 | Athletic Physical Therapy Inc | 1955-10-09 | 2026-01-20 | M | PT | N/A | COE | JQS589W10732 | SCOTT | 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/2222/5549514/check_17274156_239216ca-9278-4106-9c3f-205631a79605.json | N/A | N/A | N/A | N/A | N/A | JQS589W10732 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1955-10-09 | 040 | CAMCRWP0 | N/A | MP | false | COE | N/A | SCOTT | 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 | 9803437461 | N/A | N/A | 5549514 | 2222 | 4801 | 17613917 | 4185 | 4219161 | 2026-01-20 08:11:34.392455 | 2025-10-16 23:24:12.118501 |
| 2026-01-19 08:07:39.924023 | 2026-01-20 08:16:19.968904 | 17274152 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17274152 | Athletic Physical Therapy Inc | 1942-04-09 | 2026-01-22 | F | AE | PT | JALLAD | 7AY7QW7EK46 | IKRAM | 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/2222/5549454/check_17274152_e24f6179-14e6-4ccb-a37f-054b3d789129.json | N/A | N/A | N/A | N/A | N/A | 7AY7QW7EK46 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-04-09 | S5617 | N/A | N/A | MB | false | JALLAD | N/A | IKRAM | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437460 | N/A | N/A | 5549454 | 2222 | 4801 | 17617632 | N/A | 4219116 | 2026-01-20 08:16:19.968904 | 2025-05-16 16:43:35.854220 |
| 2026-01-19 08:07:39.711743 | 2026-01-20 08:16:15.901099 | 17274147 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17274147 | Athletic Physical Therapy Inc | 1937-02-10 | 2026-01-22 | F | AE | PT | COLE | 2TT9RA1JK41 | JACQUELINE | 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/2222/5549104/check_17274147_ad4a55ba-bc24-4103-b978-ae3ff70868e8.json | N/A | N/A | N/A | N/A | N/A | 2TT9RA1JK41 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-02-10 | S5601 | N/A | N/A | MA | false | COLE | N/A | JACQUELINE | N/A | N/A | N/A | N/A | N/A | 30282 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437459 | N/A | N/A | 5549104 | 2222 | 4801 | 17617619 | N/A | 4218829 | 2026-01-20 08:16:15.901099 | 2025-05-13 04:29:37.229824 |
| 2026-01-19 08:07:39.590535 | 2026-01-20 08:16:24.376993 | 17274144 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17274144 | Athletic Physical Therapy Inc | 1947-11-15 | 2026-01-22 | F | AE | PT | NOGHREIAN | 6XG3KA2TP05 | FLORIA | 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/2222/5548970/check_17274144_d4e570b1-eb67-402c-80d9-0987cb4c9383.json | N/A | N/A | N/A | N/A | N/A | 6XG3KA2TP05 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-11-15 | S5617 | N/A | N/A | MB | false | NOGHREIAN | N/A | FLORIA | N/A | N/A | N/A | N/A | N/A | 22010 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437458 | N/A | N/A | 5548970 | 2222 | 4802 | 17617649 | N/A | 4218728 | 2026-01-20 08:16:24.376993 | 2025-05-13 04:29:37.229718 |
| 2026-01-19 08:07:39.478130 | 2026-01-20 08:16:16.538299 | 17274140 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17274140 | Athletic Physical Therapy Inc | 1956-02-09 | 2026-01-20 | F | AE | PT | DOUGLAS | 6RW0R23KU11 | HEATHER | 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/2222/5548965/check_17274140_3e1b07c1-a437-4bc7-b44d-2734d42caff5.json | N/A | N/A | N/A | N/A | N/A | 6RW0R23KU11 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-02-09 | S5617 | N/A | N/A | MA | false | DOUGLAS | N/A | HEATHER | N/A | N/A | N/A | N/A | N/A | 20200 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437457 | N/A | N/A | 5548965 | 2222 | 4802 | 17617621 | N/A | 4218725 | 2026-01-20 08:16:16.538299 | 2025-05-13 04:29:37.229715 |
| 2026-01-19 08:07:39.366675 | 2026-01-20 08:16:14.484815 | 17274136 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17274136 | Athletic Physical Therapy Inc | 1957-05-23 | 2026-01-22 | F | AE | PT | CEASAR | 6XR6JY3MJ89 | DEBBIE | 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/2222/5543553/check_17274136_1e36f511-adba-4e8b-add8-1a4aed39ac2c.json | N/A | N/A | N/A | N/A | N/A | 6XR6JY3MJ89 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-23 | S5660 | N/A | N/A | MA | false | CEASAR | N/A | DEBBIE | N/A | N/A | N/A | N/A | N/A | 45946 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437456 | N/A | N/A | 5543553 | 2222 | 4793 | 17617614 | N/A | 4215327 | 2026-01-20 08:16:14.484815 | 2025-05-13 04:29:37.229651 |
| 2026-01-19 08:07:39.251193 | 2026-01-20 08:08:28.515704 | 17274132 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 17274132 | Athletic Physical Therapy Inc | 1950-03-29 | 2026-01-22 | M | AE | PT | AKHTARI | 40045421301 | SHAHROKH | 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/2222/5543493/check_17274132_f8356e5c-6038-4e1e-81bc-7aa31cba5447.json | N/A | N/A | N/A | N/A | N/A | 40045421301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-03-29 | 2026H5425006 | H5425M | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437455 | N/A | N/A | 5543493 | 2222 | 4793 | 17611585 | 6237 | 4215273 | 2026-01-20 08:08:28.515704 | 2025-05-13 04:29:37.229594 |
| 2026-01-19 08:07:39.129458 | 2026-01-20 08:10:58.712534 | 17274129 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 17274129 | Athletic Physical Therapy Inc | 1999-02-06 | 2026-01-20 | M | AE | PT | FORTIN | R14644640MS1 | NATHANIEL | 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/2222/5543425/check_17274129_07dd43cf-7626-4f50-b0bb-3c1893144bbc.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | KVT SBGHMOWC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437454 | N/A | N/A | 5543425 | 2222 | 4801 | 17613447 | 4625 | 4215211 | 2026-01-20 08:10:58.712534 | 2026-04-02 22:30:20.020246 |
| 2026-01-19 08:07:38.967031 | 2026-01-20 08:12:19.801830 | 17274123 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17274123 | Athletic Physical Therapy Inc | 1951-05-22 | 2026-01-21 | M | AE | PT | KAGON | UCD914864022 | ROBERT | 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/2222/5543391/check_17274123_c048dfb4-53ac-4c6f-bcd7-1656662c41af.json | N/A | N/A | N/A | N/A | N/A | UCD914864022 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | BLUE SHIELD CALIFORNIA | N/A | 1951-05-22 | 1400PPOX0001 | W3000984 | N/A | PR | false | FRIEDMAN | N/A | JULIE | N/A | N/A | N/A | UNIVERSITY OF CALIFORNIA ASO UC CARE PLAN | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437453 | N/A | N/A | 5543391 | 2222 | 4793 | 17614509 | N/A | 4215182 | 2026-01-20 08:12:19.801830 | 2025-05-13 04:29:37.229498 |
| 2026-01-19 08:07:38.781470 | 2026-01-20 08:16:19.704714 | 17274119 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17274119 | Athletic Physical Therapy Inc | 1952-11-19 | 2026-01-21 | F | AE | PT | HOWARD | 6JJ9KX0PY45 | JUDI | 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/2222/5543348/check_17274119_1f233f7c-0738-4cd4-85d6-a268c6321d10.json | N/A | N/A | N/A | N/A | N/A | 6JJ9KX0PY45 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-11-19 | S4802 | N/A | N/A | MA | false | HOWARD | N/A | JUDI | N/A | N/A | N/A | N/A | N/A | 20492 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437452 | N/A | N/A | 5543348 | 2222 | 4793 | 17617631 | N/A | 4215147 | 2026-01-20 08:16:19.704714 | 2025-05-13 04:29:37.229464 |
| 2026-01-19 08:07:38.380556 | 2026-01-20 08:04:27.277979 | 17274108 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17274108 | Athletic Physical Therapy Inc | 2001-01-23 | 2026-01-21 | F | AE | PT | SILVERS | 1866968 | JOIEMAY | 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/2222/5543335/check_17274108_59e0cfac-a054-4c5f-96e2-3524c7c5dc2b.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-01-23 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | 2026-12-31 | 2026-01-01 | SILVER 87 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437451 | N/A | N/A | 5543335 | 2222 | 4802 | 17608755 | 4211 | 4215139 | 2026-01-20 08:04:27.277979 | 2025-05-13 21:20:11.455022 |
| 2026-01-19 08:07:38.070205 | 2026-01-20 08:04:25.396549 | 17274101 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17274101 | Athletic Physical Therapy Inc | 1964-03-27 | 2026-01-21 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | 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/2222/5543270/check_17274101_2d8a3d68-e55a-4214-9181-a95d6cec5336.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-03-27 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | 2078-12-31 | 2024-11-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437449 | N/A | N/A | 5543270 | 2222 | 4793 | 17608749 | 4211 | 4215086 | 2026-01-20 08:04:25.396549 | 2025-05-13 04:29:37.229401 |
| 2026-01-19 08:07:37.831915 | 2026-01-20 08:04:22.083513 | 17274095 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17274095 | Athletic Physical Therapy Inc | 1961-07-08 | 2026-01-20 | F | AE | PT | BERRY | 606308574 | KAREN | 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/2222/5543264/check_17274095_b02b96fa-17c6-4853-88fe-32c4e208c3f6.json | N/A | N/A | N/A | N/A | N/A | 606308574 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-07-08 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | BERRY | N/A | KAREN | N/A | 2026-12-31 | 2026-01-01 | SILVER 87 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437448 | N/A | N/A | 5543264 | 2222 | 4802 | 17608729 | 4211 | 4215080 | 2026-01-20 08:04:22.083513 | 2025-05-13 04:29:37.229395 |
| 2026-01-19 08:07:37.643357 | 2026-01-20 08:11:47.193604 | 17274088 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17274088 | Athletic Physical Therapy Inc | 1972-06-23 | 2026-01-21 | F | PT | N/A | LAWSON | JXN663W00172 | MICHELLE | 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/2222/5543167/check_17274088_abd87ea8-45c7-432b-9f30-d9f50e9e7872.json | N/A | N/A | N/A | N/A | N/A | JXN663W00172 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1972-06-23 | 040 | 174222M2A1 | N/A | PR | false | LAWSON | N/A | MICHELLE | N/A | 9999-12-31 | 2020-01-01 | BC PPO INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803437447 | N/A | N/A | 5543167 | 2222 | 4793 | 17614091 | N/A | 4214995 | 2026-01-20 08:11:47.193604 | 2025-05-13 04:29:37.229315 |
| 2026-01-19 08:07:37.531295 | 2026-01-20 08:11:39.526963 | 17274085 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17274085 | Athletic Physical Therapy Inc | 1990-07-10 | 2026-01-20 | F | PT | N/A | Gadde | X8B487662CT | Lavanya | 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/2222/5543090/check_17274085_09500917-4a39-4641-b647-611fda1ed799.json | N/A | N/A | N/A | N/A | N/A | X8B487662CT | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1990-07-10 | N/A | N/A | N/A | N/A | false | GADDE | N/A | LAVANYA | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803437446 | N/A | N/A | 5543090 | 2222 | 4793 | 17613986 | N/A | 4214925 | 2026-01-20 08:11:39.526963 | 2025-12-17 00:54:52.714750 |
| 2026-01-19 08:07:37.387817 | 2026-01-20 08:11:40.088114 | 17274083 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17274083 | Athletic Physical Therapy Inc | 1967-09-16 | 2026-01-21 | M | PT | N/A | GOLDFILL | ALR918A22328 | AMIT | 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/2222/5542979/check_17274083_e54c650b-37b8-4b01-a11a-e3dc1a7643d4.json | N/A | N/A | N/A | N/A | N/A | ALR918A22328 | Preferred Provider Organization (PPO) | GLOBAL SOLUTION PLATINUM PPO PLAN | ANTHEM BLUE CROSS | N/A | 1967-09-16 | 060 | 270191G1WA | N/A | PR | false | GOLDFILL | N/A | YOSSEPH | N/A | 9999-12-31 | 2025-01-01 | CT BLUE CARD PREFERRED PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803437445 | N/A | N/A | 5542979 | 2222 | 4793 | 17613994 | N/A | 4214828 | 2026-01-20 08:11:40.088114 | 2025-05-13 04:29:37.229149 |
| 2026-01-19 08:07:37.214699 | 2026-01-20 08:16:18.896368 | 17274078 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17274078 | Athletic Physical Therapy Inc | 1940-11-11 | 2026-01-20 | M | AE | PT | GOLDBERG | 9EE6XY2TM41 | Michael | 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/2222/5542970/check_17274078_81548cb1-5692-4efa-8ea3-bb00fe49a7c1.json | N/A | N/A | N/A | N/A | N/A | 9EE6XY2TM41 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-11-11 | S5601 | N/A | N/A | MA | false | GOLDBERG | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | 30900 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437444 | N/A | N/A | 5542970 | 2222 | 4802 | 17617628 | N/A | 4214820 | 2026-01-20 08:16:18.896368 | 2025-06-30 02:56:23.324592 |
| 2026-01-19 08:07:36.954733 | 2026-01-20 08:16:18.590530 | 17274074 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17274074 | Athletic Physical Therapy Inc | 1944-10-29 | 2026-01-20 | F | AE | PT | GOLDBERG | 6YD7TP7AC72 | LINDA | 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/2222/5542935/check_17274074_7cbc458d-0d93-4c9c-9345-f04662cf2cea.json | N/A | N/A | N/A | N/A | N/A | 6YD7TP7AC72 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-10-29 | S5601 | N/A | N/A | MA | false | GOLDBERG | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | 30380 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437443 | N/A | N/A | 5542935 | 2222 | 4802 | 17617627 | N/A | 4214789 | 2026-01-20 08:16:18.590530 | 2025-12-11 23:30:31.319246 |
| 2026-01-19 08:07:36.777347 | 2026-01-20 08:12:27.446244 | 17274072 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17274072 | Athletic Physical Therapy Inc | 1975-03-27 | 2026-01-22 | M | PT | N/A | SHAW | JQW647W16708 | MICHAEL | 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/2222/5542902/check_17274072_3551da18-8b53-42b0-96a8-a983555b00d3.json | N/A | N/A | N/A | N/A | N/A | JQW647W16708 | Medicare Primary | CA MEDICARE | BLUE SHIELD OF CALIFORNIA | N/A | 1975-03-27 | 040 | CAMCRWP0 | N/A | MP | false | SHAW | N/A | MICHAEL | N/A | 9999-12-31 | 2026-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803437442 | N/A | N/A | 5542902 | 2222 | 4801 | 17614611 | N/A | 4214761 | 2026-01-20 08:12:27.446244 | 2026-01-08 16:06:40.256372 |
| 2026-01-19 08:07:36.673051 | 2026-01-20 08:05:16.298494 | 17274069 | N/A | N/A | 60054 | Aetna | 1114042165 | 17274069 | Athletic Physical Therapy Inc | 1982-02-18 | 2026-01-20 | M | AE | PT | TORGAN | W291598583 | SPENCER | 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/2222/5542863/check_17274069_750d2ff1-5800-4ebf-be95-8e4cf7f11963.json | N/A | N/A | N/A | N/A | N/A | W291598583 | Point of Service (POS) | MORGAN STANLEY DOMESTIC HOLDINGS, L | AETNA | N/A | 1982-02-18 | 0868849 | 086884901000001 | N/A | PS | false | TORGAN | N/A | SPENCER | 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 | 9803437441 | N/A | N/A | 5542863 | 2222 | 4793 | 17609233 | N/A | 4214725 | 2026-01-20 08:05:16.298494 | 2025-05-13 04:29:37.229043 |
| 2026-01-19 08:07:36.569916 | 2026-01-20 08:05:15.021472 | 17274068 | N/A | N/A | 60054 | Aetna | 1114042165 | 17274068 | Athletic Physical Therapy Inc | 1962-10-31 | 2026-01-21 | M | AE | PT | SCHWARTZ | W286B1257901 | 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/2222/5542851/check_17274068_1932731d-b60e-4fcc-b406-09ac6a7647a6.json | N/A | N/A | N/A | N/A | N/A | W286312579 | Health Maintenance Organization (HMO) | VINFAST AUTO, LLC | AETNA | N/A | 1962-10-31 | EACZM805 | 017515801000101 | N/A | HM | false | SCHWARTZ | N/A | STEVEN | N/A | N/A | N/A | HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437440 | N/A | N/A | 5542851 | 2222 | 4802 | 17609220 | N/A | 4214717 | 2026-01-20 08:05:15.021472 | 2025-11-14 20:45:59.804575 |
| 2026-01-19 08:07:36.418112 | 2026-01-20 08:12:02.625811 | 17274064 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17274064 | Athletic Physical Therapy Inc | 1949-06-30 | 2026-01-21 | F | PT | N/A | STEWART | WSP370A66341 | ALBERTA | 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/2222/5542834/check_17274064_90046c41-8f10-41c2-881a-8f2f1722a568.json | N/A | N/A | N/A | N/A | N/A | WSP370A66341 | N/A | ELEVANCE HEALTH | ANTHEM BLUE CROSS | N/A | 1949-06-30 | 130 | IN002GRS | N/A | N/A | false | STEWART | N/A | ALBERTA | N/A | 9999-12-31 | 2021-01-01 | IN GRS ELEVANCE HEALTH H4036-801 ANTHEM MED PREFER | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803437439 | N/A | N/A | 5542834 | 2222 | 4801 | 17614295 | N/A | 4214700 | 2026-01-20 08:12:02.625811 | 2025-05-13 04:29:37.229017 |
| 2026-01-19 08:07:36.231772 | 2026-01-20 08:10:04.451017 | 17274060 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 17274060 | Athletic Physical Therapy Inc | 1971-09-10 | 2026-01-20 | M | AE | PT | STRONG | 292014001 | JOHN | 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/2222/5542808/check_17274060_95cf7534-3700-44ef-b516-4e60babe335c.json | N/A | N/A | N/A | N/A | N/A | 292014001 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1971-09-10 | N/A | 234485 | N/A | C1 | false | STRONG | N/A | JOHN | N/A | N/A | N/A | SIGNATUREVALUE HMO PLATINUM | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437438 | N/A | N/A | 5542808 | 2222 | 4801 | 17612802 | 6411 | 4214674 | 2026-01-20 08:10:04.451017 | 2025-05-13 04:29:37.228994 |
| 2026-01-19 08:07:36.032635 | 2026-01-20 08:05:14.297115 | 17274057 | N/A | N/A | 60054 | Aetna | 1114042165 | 17274057 | Athletic Physical Therapy Inc | 2009-08-28 | 2026-01-22 | F | AE | PT | GARCIA | FJB2294792M | STARR | 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/2222/5542769/check_17274057_966440fa-d3ad-4a98-b0d3-39da5c44b7c0.json | N/A | N/A | N/A | N/A | N/A | FJB2294792M | N/A | N/A | AETNA | N/A | 2009-08-28 | 0811385 | 081138503000106 | N/A | N/A | false | RAY | N/A | ALLISON | N/A | N/A | N/A | AETNA VISION PREFERRED | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437437 | N/A | N/A | 5542769 | 2222 | 4801 | 17609214 | N/A | 4214641 | 2026-01-20 08:05:14.297115 | 2025-12-09 08:50:02.875071 |
| 2026-01-19 08:07:35.901982 | 2026-01-20 08:10:55.626595 | 17274055 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | 17274055 | override_provider | 1972-07-22 | 2026-01-22 | M | AE | PT | KOZMA | U9714475101 | JASON | 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/2222/5542709/check_17274055_3ac3ca0b-3930-412f-8c3b-b1f63545adb5.json | N/A | N/A | N/A | N/A | N/A | U9714475101 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1972-07-22 | 67138CA0700027-01 | N/A | N/A | N/A | false | KOZMA | N/A | JASON | N/A | N/A | N/A | BRONZE 60 HDHP AMBETTER PPO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437436 | N/A | N/A | 5542709 | 2222 | 4802 | 17613411 | N/A | 4214582 | 2026-01-20 08:10:55.626595 | 2025-12-02 00:00:04.433236 |
| 2026-01-19 08:07:35.763138 | 2026-01-20 08:05:07.296214 | 17274053 | N/A | N/A | 60054 | Aetna | 1114042165 | 17274053 | Athletic Physical Therapy Inc | 2005-11-23 | 2026-01-22 | F | AE | PT | FERRELL | W285064666 | AMELIA | 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/2222/5542678/check_17274053_bc6e2ece-600f-4e87-9746-271b7b40171b.json | N/A | N/A | N/A | N/A | N/A | W285064666 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 2005-11-23 | 0232499 | 023249901000067 | N/A | PS | false | FERRELL | N/A | RALPH | N/A | N/A | N/A | OPEN ACCESS MC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437435 | N/A | N/A | 5542678 | 2222 | 4802 | 17609141 | N/A | 4214560 | 2026-01-20 08:05:07.296214 | 2025-05-13 04:29:37.228883 |
| 2026-01-19 08:07:35.631840 | 2026-01-20 08:11:40.510138 | 17274050 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17274050 | Athletic Physical Therapy Inc | 1957-03-15 | 2026-01-20 | F | PT | N/A | GOLDMAN | MBL801W11756 | ROBERTA | 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/2222/5542655/check_17274050_4175b3aa-72d1-42e4-9363-b9ca5dd973ea.json | N/A | N/A | N/A | N/A | N/A | MBL801W11756 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1957-03-15 | 040 | CAEGR005 | N/A | N/A | false | GOLDMAN | N/A | ROBERTA | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803437434 | N/A | N/A | 5542655 | 2222 | 4802 | 17614001 | N/A | 4214541 | 2026-01-20 08:11:40.510138 | 2025-05-13 04:29:37.228867 |
| 2026-01-19 08:07:35.480486 | 2026-01-20 08:12:19.274919 | 17274046 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17274046 | Athletic Physical Therapy Inc | 1983-10-27 | 2026-01-22 | M | PT | N/A | FEDERER | XEA911365031 | MITCH | 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/2222/5542512/check_17274046_044e1587-5b7f-4c16-a531-e08e6498d04a.json | N/A | N/A | N/A | N/A | N/A | XEA911365031 | Preferred Provider Organization (PPO) | WEINSTEIN SENIOR LLP | BLUE SHIELD CALIFORNIA | N/A | 1983-10-27 | 1000VX000102 | W0122744 | N/A | PR | false | FEDERER | N/A | MITCHEL | N/A | 2026-04-30 | 2025-05-01 | GOLD FULL PPO 750 30 OFFEX | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803437433 | N/A | N/A | 5542512 | 2222 | 4793 | 17614502 | N/A | 4214416 | 2026-01-20 08:12:19.274919 | 2025-05-13 04:29:37.228740 |
| 2026-01-19 08:07:35.278105 | 2026-01-20 08:11:00.136742 | 17274043 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 17274043 | Athletic Physical Therapy Inc | 1977-02-09 | 2026-01-20 | F | AE | PT | SHAMAT | 96987431H | SAMA | 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/2222/5542314/check_17274043_fad1666b-3c26-46ff-b883-ddb866d84520.json | N/A | N/A | N/A | N/A | N/A | 96987431H | N/A | N/A | HEALTH NET, LLC | N/A | 1977-02-09 | N/A | N/A | N/A | N/A | false | SHAMAT | N/A | SAMA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437432 | N/A | N/A | 5542314 | 2222 | 4802 | 17613463 | N/A | 4214238 | 2026-01-20 08:11:00.136742 | 2025-05-13 04:29:37.228571 |
| 2026-01-19 08:07:35.159184 | 2026-01-20 08:16:20.590272 | 17274041 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17274041 | Athletic Physical Therapy Inc | 1936-09-29 | 2026-01-20 | M | AE | PT | JAUDE | 8D38EF9GV30 | KARIM | 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/2222/5542251/check_17274041_230bae6a-06c6-45e6-8d05-f09c7bc51d9f.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MA | false | JAUDE | N/A | KARIM | N/A | N/A | N/A | N/A | N/A | 10990 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9803437431 | N/A | N/A | 5542251 | 2222 | 4802 | 17617634 | N/A | 4214191 | 2026-01-20 08:16:20.590272 | 2025-05-13 04:29:37.228525 |
| 2026-01-19 08:07:35.045842 | 2026-01-20 08:12:01.442867 | 17274039 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17274039 | Athletic Physical Therapy Inc | 1942-12-17 | 2026-01-20 | F | PT | N/A | STEINBERG | MBL988M98459 | JUDY | 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/2222/5542014/check_17274039_55e1cc13-c871-4a05-a7c6-70b6e4732cbf.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803437430 | N/A | N/A | 5542014 | 2222 | 4793 | 17614276 | N/A | 4213977 | 2026-01-20 08:12:01.442867 | 2025-05-13 04:29:37.228294 |
| 2026-01-19 08:07:34.914389 | 2026-01-20 08:11:28.435023 | 17274037 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17274037 | Athletic Physical Therapy Inc | 1959-05-13 | 2026-01-21 | F | PT | N/A | ADRIANZEN FERNAN | MMA221W20054 | AURA | 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/2222/5541944/check_17274037_3344361b-3c5a-49a3-90cb-a22f6551dfeb.json | N/A | N/A | N/A | N/A | N/A | MMA221W20054 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-05-13 | 040 | CAMCRWP0 | N/A | MP | false | ADRIANZEN FERNANDEZ | N/A | AURA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9803437429 | N/A | N/A | 5541944 | 2222 | 4801 | 17613838 | N/A | 4213907 | 2026-01-20 08:11:28.435023 | 2025-05-13 04:29:37.228228 |