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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-01-16 08:09:44.046965 | 2026-01-17 08:11:49.196900 | 17200182 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17200182 | Athletic Physical Therapy Inc | 1954-05-29 | 2026-01-19 | F | AE | PT | HARRISON | 8FY4MN8YC99 | SUSAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13289599/check_17200182_30a7a886-92bf-4e2d-86ea-6d6da576ff48.json | N/A | N/A | N/A | N/A | N/A | 8FY4MN8YC99 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-05-29 | S5884 | N/A | N/A | MA | false | HARRISON | N/A | SUSAN | N/A | N/A | N/A | N/A | N/A | 32427 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9785297594 | N/A | N/A | 13289599 | 2222 | 4801 | 17509518 | N/A | 11437188 | 2026-01-17 08:11:49.196900 | 2026-01-22 17:59:45.999145 |
| 2026-01-16 08:09:43.919458 | 2026-01-17 08:04:49.530191 | 17200170 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 17200170 | Athletic Physical Therapy Inc | 1950-09-27 | 2026-01-19 | F | AD | 30 | BHOLAT | 40002437001 | ZUBEDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13044933/check_17200170_daab62d3-101b-4f1e-af9f-27d621dae083.json | N/A | N/A | N/A | N/A | N/A | 40002437001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1950-09-27 | 2026H5425001 | H5425M | N/A | N/A | false | BHOLAT | N/A | ZUBEDA | 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 | 9785297593 | N/A | N/A | 13044933 | 2222 | 4801 | 17508678 | 6237 | 11202258 | 2026-01-17 08:04:49.530191 | 2025-11-19 19:01:33.367078 |
| 2026-01-16 08:09:43.809152 | 2026-01-17 08:05:06.306531 | 17200158 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 17200158 | Athletic Physical Therapy Inc | 1961-06-10 | 2026-01-19 | F | AE | PT | Boutayeb | 000007973321 | Jessie | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13010938/check_17200158_681fd361-636d-4c65-a142-3ab17a892e38.json | N/A | N/A | N/A | N/A | N/A | 000007973321 | N/A | N/A | KFHP 1000 | SRA - SENIOR ADVANTAGE | 1961-06-10 | 4178704 | 102624 | N/A | N/A | false | BOUTAYEB | N/A | JESSIE | N/A | N/A | N/A | UNIVERSITY OF CALIFORNIA RETIREMENT SYSTEM MEDICAR | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9785297592 | N/A | N/A | 13010938 | 2222 | 4802 | 17508738 | N/A | 11169586 | 2026-01-17 08:05:06.306531 | 2025-12-01 17:33:57.898247 |
| 2026-01-16 08:09:43.668711 | 2026-01-17 08:05:37.612418 | 17200144 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17200144 | Athletic Physical Therapy Inc | 2008-06-09 | 2026-01-19 | M | PT | N/A | Gray | SMD481A55215 | Gary | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12962206/check_17200144_b4591080-f6a0-4590-8281-f1001331412e.json | N/A | N/A | N/A | N/A | N/A | SMD481A55215 | Preferred Provider Organization (PPO) | SMITHS GROUP SERVICES CORPORATION | ANTHEM BLUE CROSS | N/A | 2008-06-09 | 130 | 213010P15K | N/A | PR | false | MAHONEY | N/A | KIM | N/A | 9999-12-31 | 2019-08-01 | BLUE ACCESS PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9785297591 | N/A | N/A | 12962206 | 2222 | 4793 | 17508837 | N/A | 11120601 | 2026-01-17 08:05:37.612418 | 2026-01-06 17:31:01.989894 |
| 2026-01-16 08:09:43.580280 | 2026-01-17 08:05:06.993707 | 17200135 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 17200135 | Athletic Physical Therapy Inc | 1943-09-02 | 2026-01-19 | F | AE | PT | Frank | 000017215132 | Carolyn | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12895085/check_17200135_4a3ccb4d-618f-4690-a6fa-1d909cd9e4d7.json | N/A | N/A | N/A | N/A | N/A | 000017215132 | N/A | N/A | KP MEDICARE | HMO - HMO COMMERCIAL | 1943-09-02 | 3050925 | 105701 | N/A | N/A | false | FRANK | N/A | CAROLYN | N/A | N/A | N/A | STATE OF CALIFORNIA STATE ACTIVES | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9785297589 | N/A | N/A | 12895085 | 2222 | 4802 | 17508740 | N/A | 11057875 | 2026-01-17 08:05:06.993707 | 2025-11-17 17:09:13.974870 |
| 2026-01-16 08:09:43.475335 | 2026-01-17 08:04:57.998908 | 17200124 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 17200124 | Athletic Physical Therapy Inc | 2019-04-29 | 2026-01-19 | M | AE | PT | BEJGUM | 124204503 | ABHIRAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12841694/check_17200124_f1318f63-bfda-48e5-8930-7ccabe2274f8.json | N/A | N/A | N/A | N/A | N/A | 124204503 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 2019-03-04 | N/A | 147378 | N/A | C1 | false | BEJGUM | N/A | ABHIRAM | N/A | N/A | N/A | SIGNATUREVALUE HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9785297588 | N/A | N/A | 12841694 | 2222 | 4793 | 17508708 | 6411 | 11005792 | 2026-01-17 08:04:57.998908 | 2025-12-20 00:52:29.690688 |
| 2026-01-16 08:09:43.362479 | 2026-01-17 08:05:21.566501 | 17200115 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 17200115 | Athletic Physical Therapy Inc | 1961-02-08 | 2026-01-19 | F | AE | PT | KATKHOUDA | 95258599G | RYME | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12788343/check_17200115_09942062-09bd-4392-9404-ec6c781e1095.json | N/A | N/A | N/A | N/A | N/A | 95258599G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1961-02-08 | MCLA | MWLLNMEG21 | N/A | N/A | false | KATKHOUDA | N/A | RYME | N/A | 2078-12-31 | 2023-01-01 | LACARE MEDICAL | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9785297587 | N/A | N/A | 12788343 | 2222 | 4802 | 17508789 | N/A | 10954913 | 2026-01-17 08:05:21.566501 | 2026-02-03 00:31:49.512761 |
| 2026-01-16 08:09:43.229676 | 2026-01-17 08:05:08.216031 | 17200103 | N/A | N/A | 94134 | Kaiser Permanente KPIC | 1114042165 | 17200103 | Athletic Physical Therapy Inc | 1970-06-12 | 2026-01-19 | M | AE | PT | Rosell | 000023922241 | Steven | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12786540/check_17200103_0903daa1-f542-4a05-9b91-d4dde81e6865.json | N/A | N/A | N/A | N/A | N/A | 000023922241 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1970-06-12 | 4308534 | 1650095001 | N/A | N/A | false | ROSELL | N/A | STEVEN | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 94 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9785297586 | N/A | N/A | 12786540 | 2222 | 4802 | 17508744 | N/A | 10953465 | 2026-01-17 08:05:08.216031 | 2025-12-17 20:07:45.135929 |
| 2026-01-16 08:09:43.105370 | 2026-01-17 08:05:32.352947 | 17200093 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17200093 | Athletic Physical Therapy Inc | 1994-07-04 | 2026-01-19 | M | PT | N/A | Daich | JQY912W17468 | Austin | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12517512/check_17200093_e2fc54eb-a42c-4b51-9a69-c7704f4905df.json | N/A | N/A | N/A | N/A | N/A | JQY912W17468 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1994-07-04 | 040 | 476522 | N/A | PR | false | DAICH | N/A | AUSTIN | N/A | 9999-12-31 | 2026-01-01 | ANTHEM SILVER SELECT PPO HSA/H 3000/3400/6000 35% | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9785297585 | N/A | N/A | 12517512 | 2222 | 4802 | 17508823 | N/A | 9234161 | 2026-01-17 08:05:32.352947 | 2025-10-15 16:55:10.102836 |
| 2026-01-16 08:09:43.001810 | 2026-01-17 08:05:07.555024 | 17200083 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 17200083 | Athletic Physical Therapy Inc | 1981-02-27 | 2026-01-19 | F | AE | PT | Lee | 000017103326 | Jean | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12437386/check_17200083_0017951a-01d7-46bf-ab6a-7bb5f763ef4f.json | N/A | N/A | N/A | N/A | N/A | 000017103326 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1981-02-27 | 4320748 | 228273 | N/A | N/A | false | LEE | N/A | JEAN | N/A | N/A | N/A | GF JANUARY - KPIF COPAY COPAYMENT $50 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9785297584 | N/A | N/A | 12437386 | 2222 | 4802 | 17508742 | N/A | 10617653 | 2026-01-17 08:05:07.555024 | 2025-11-07 22:17:52.515771 |
| 2026-01-16 08:09:42.855477 | 2026-01-17 08:03:52.064939 | 17200068 | N/A | N/A | 61101 | HUMANA | 1114042165 | 17200068 | Athletic Physical Therapy Inc | 1954-09-04 | 2026-01-19 | F | AE | PT | MENDEZ | H9608321000 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12421991/check_17200068_92c2f717-09c4-4c75-9712-f986dc7b90ad.json | N/A | N/A | N/A | N/A | N/A | H96083210 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 695 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1954-09-04 | N/A | 2B798001 | N/A | HN | false | MENDEZ | N/A | LINDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9785297583 | N/A | N/A | 12421991 | 2222 | 4793 | 17508493 | 5349 | 10601861 | 2026-01-17 08:03:52.064939 | 2025-11-07 18:35:55.025808 |
| 2026-01-16 08:09:42.729949 | 2026-01-17 08:02:32.181358 | 17200058 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 17200058 | Athletic Physical Therapy Inc | 1951-05-28 | 2026-01-19 | M | AE | PT | ADELMAN | 27936686 | JEFFREY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12298760/check_17200058_11025b48-825b-4bfb-a213-6b0dc72a5e64.json | N/A | N/A | N/A | N/A | N/A | 27936686 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1951-05-28 | 406-034-002 | N/A | N/A | N/A | false | ADELMAN | N/A | JEFFREY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9785297582 | N/A | N/A | 12298760 | 2222 | 4801 | 17508292 | 6798 | 10484794 | 2026-01-17 08:02:32.181358 | 2025-11-05 22:04:00.322040 |
| 2026-01-16 08:09:42.652893 | 2026-01-17 08:05:34.786762 | 17200047 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17200047 | Athletic Physical Therapy Inc | 1957-05-05 | 2026-01-19 | F | PT | N/A | HOUSTON | TRJNP0019401 | VELINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12244725/check_17200047_d488af84-772c-48f6-91d7-204eeefbfb7e.json | N/A | N/A | N/A | N/A | N/A | TRJNP0019401 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1957-05-05 | 040 | 276727M001 | N/A | PR | false | HOUSTON | N/A | VELINA | N/A | 9999-12-31 | 2012-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9785297581 | N/A | N/A | 12244725 | 2222 | 4802 | 17508830 | N/A | 9637804 | 2026-01-17 08:05:34.786762 | 2026-04-24 18:56:42.779565 |
| 2026-01-16 08:09:42.524636 | 2026-01-17 08:02:43.702640 | 17200037 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17200037 | Athletic Physical Therapy Inc | 1963-03-31 | 2026-01-19 | M | AE | PT | MILLER | 93938354D | GUSSIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12109408/check_17200037_ed50b317-b620-44de-8c4e-f3e23bad66c0.json | N/A | N/A | N/A | N/A | N/A | 93938354D | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1963-03-31 | N/A | N/A | N/A | N/A | false | MILLER | N/A | GUSSIE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9785297580 | N/A | N/A | 12109408 | 2222 | 4793 | 17508323 | 4211 | 10327291 | 2026-01-17 08:02:43.702640 | 2025-11-04 18:11:41.886029 |
| 2026-01-16 08:09:42.402528 | 2026-01-17 08:11:50.772467 | 17200025 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17200025 | Athletic Physical Therapy Inc | 1959-12-29 | 2026-01-19 | F | AE | PT | LYGA | 3W97CK7AN48 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11604276/check_17200025_8af2461a-5104-4d2e-b922-93eb24969681.json | N/A | N/A | N/A | N/A | N/A | 3W97CK7AN48 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-12-29 | S5596 | N/A | N/A | MB | false | LYGA | N/A | LISA | N/A | N/A | N/A | N/A | N/A | 40229 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9785299277 | N/A | N/A | 11604276 | 2222 | 4801 | 17509522 | N/A | 4218962 | 2026-01-17 08:11:50.772467 | 2025-05-13 04:29:37.229978 |
| 2026-01-16 08:09:42.291480 | 2026-01-17 08:05:06.003999 | 17200016 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 17200016 | Athletic Physical Therapy Inc | 1972-07-02 | 2026-01-19 | F | AE | PT | Batra | 000022291228 | Anuradha | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11466567/check_17200016_c1ae4d0d-8540-4d36-ac6c-8f1f0d108565.json | N/A | N/A | N/A | N/A | N/A | 000022291228 | N/A | N/A | SELF-FUNDED/KPIC | ASO - SELF FUNDED | 1972-07-02 | 4161897 | 230283 | N/A | N/A | false | BATRA | N/A | ANURADHA | N/A | N/A | N/A | KAISER PERMANENTE SELF-FUNDED NBU NBU PO HIGH ACTI | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9785299276 | N/A | N/A | 11466567 | 2222 | 4802 | 17508737 | N/A | 9715446 | 2026-01-17 08:05:06.003999 | 2025-10-24 23:56:29.543956 |
| 2026-01-16 08:09:42.164757 | 2026-01-17 08:05:40.074626 | 17200003 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17200003 | Athletic Physical Therapy Inc | 1961-06-24 | 2026-01-19 | M | PT | N/A | RAY | PAS838471972 | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11420779/check_17200003_d3573823-ab22-4144-93ed-fa377be131bc.json | N/A | N/A | N/A | N/A | N/A | PAS838471972 | Preferred Provider Organization (PPO) | ATT BROAD OPTION 1 | ANTHEM BLUE CROSS | N/A | 1961-06-24 | N/A | 416970 | N/A | PR | false | RAY | N/A | JOHN | N/A | 9999-12-31 | 2026-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9785299275 | N/A | N/A | 11420779 | 2222 | 4801 | 17508843 | N/A | 9673427 | 2026-01-17 08:05:40.074626 | 2025-11-03 19:27:12.288254 |
| 2026-01-16 08:09:42.050216 | 2026-01-17 08:03:08.530046 | 17199994 | N/A | N/A | 60054 | Aetna | 1114042165 | 17199994 | Athletic Physical Therapy Inc | 2011-12-20 | 2026-01-19 | M | AE | PT | NAQVI | W295996740 | KAZIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11417253/check_17199994_42cf4b65-0480-4340-a9d9-089041dac047.json | N/A | N/A | N/A | N/A | N/A | W295996740 | Point of Service (POS) | SHI INTERNATIONAL CORP. | AETNA | N/A | 2011-12-20 | 0308616 | 030861602200001 | N/A | PS | false | NAQVI | N/A | SYED | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9785299274 | N/A | N/A | 11417253 | 2222 | 4793 | 17508387 | N/A | 9671738 | 2026-01-17 08:03:08.530046 | 2025-10-29 22:32:21.591395 |
| 2026-01-16 08:09:41.920510 | 2026-01-17 08:04:57.753725 | 17199980 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 17199980 | Athletic Physical Therapy Inc | 1970-10-16 | 2026-01-19 | F | AE | PT | ARGANO | 566107301 | CHERYL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11373547/check_17199980_b6b4a912-cef4-4f7f-b7cc-e8dfa22136fb.json | N/A | N/A | N/A | N/A | N/A | 566107301 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1970-10-16 | N/A | N/A | N/A | N/A | false | ARGANO | N/A | CHERYL | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9785299273 | N/A | N/A | 11373547 | 2222 | 4801 | 17508707 | 6411 | 9641068 | 2026-01-17 08:04:57.753725 | 2026-01-05 00:03:15.190239 |
| 2026-01-16 08:09:41.797350 | 2026-01-17 08:11:45.089292 | 17199972 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17199972 | Athletic Physical Therapy Inc | 1941-08-23 | 2026-01-19 | M | AE | PT | Bogen | 9P98YU0FH34 | Andrew | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11174640/check_17199972_56004a7f-4f92-4f88-879b-fba2dc15e362.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 | 9785299272 | N/A | N/A | 11174640 | 2222 | 4802 | 17509511 | N/A | 9519718 | 2026-01-17 08:11:45.089292 | 2026-02-02 19:30:57.219688 |
| 2026-01-16 08:09:41.670335 | 2026-01-17 08:04:50.028663 | 17199960 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 17199960 | Athletic Physical Therapy Inc | 1954-02-02 | 2026-01-19 | F | AD | 30 | CORNEL | 40037363901 | GLORIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11111720/check_17199960_5f950534-f9a2-4d1b-8acf-e4b6fcd3af54.json | N/A | N/A | N/A | N/A | N/A | 40037363901 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1954-02-02 | 2026H5425001 | H5425M | N/A | N/A | false | CORNEL | N/A | GLORIA | 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 | 9785299271 | N/A | N/A | 11111720 | 2222 | 4801 | 17508680 | N/A | 9461873 | 2026-01-17 08:04:50.028663 | 2025-10-28 18:04:57.630831 |
| 2026-01-16 08:09:41.537525 | 2026-01-17 08:05:19.794429 | 17199948 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 17199948 | Athletic Physical Therapy Inc | 1955-09-16 | 2026-01-19 | M | AE | PT | HANGVAL | 00000401784 | BAHMANYAR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11061532/check_17199948_1e0fbe96-f156-4cc1-93d0-d425ca080137.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 | 9785299270 | N/A | N/A | 11061532 | 2222 | 4793 | 17508783 | 2630 | 9420286 | 2026-01-17 08:05:19.794429 | 2025-10-27 20:50:02.906306 |
| 2026-01-16 08:09:41.410658 | 2026-01-17 08:04:49.784608 | 17199938 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 17199938 | Athletic Physical Therapy Inc | 1949-07-26 | 2026-01-19 | F | AD | 30 | BLESSLEY | 40064625701 | DONNA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11011920/check_17199938_e354f25b-5c68-4ee3-87a3-c74f39e61e41.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 | 9785299269 | N/A | N/A | 11011920 | 2222 | 4793 | 17508679 | N/A | 9377403 | 2026-01-17 08:04:49.784608 | 2025-10-15 20:29:32.165707 |
| 2026-01-16 08:09:41.300823 | 2026-01-17 08:05:30.669887 | 17199925 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 17199925 | Athletic Physical Therapy Inc | 1954-11-24 | 2026-01-19 | M | PT | N/A | BLANCHFIELD | JMV780A55541 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10346222/check_17199925_4f40d974-3b27-4b0f-a398-ec8bb80bd57b.json | N/A | N/A | N/A | N/A | N/A | JMV780A55541 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | MEDICARE B | N/A | 1954-11-24 | 040 | 56677TR000 | N/A | HM | false | BLANCHFIELD | N/A | THOMAS | N/A | 9999-12-31 | 2024-07-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9785299268 | N/A | N/A | 10346222 | 2222 | 4793 | 17508818 | 4184 | 4214447 | 2026-01-17 08:05:30.669887 | 2026-04-23 20:11:34.441054 |
| 2026-01-16 08:09:41.164744 | 2026-01-17 08:05:34.410324 | 17199916 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 17199916 | Athletic Physical Therapy Inc | 2003-04-25 | 2026-01-19 | M | PT | N/A | GREEN | JQV184A72608 | ALLEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10091887/check_17199916_9661ddde-6936-4249-870d-35d3422b9903.json | N/A | N/A | N/A | N/A | N/A | JQV184A72608 | Health Maintenance Organization (HMO) | GUMM AND GREEN LLP | ANTHEM BLUE CROSS | N/A | 2003-04-25 | 040 | 428474 | N/A | HM | false | GREEN | N/A | LINDSEY | N/A | 9999-12-31 | 2025-12-01 | ANTHEM GOLD SELECT HMO 35 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9785299267 | N/A | N/A | 10091887 | 2222 | 4793 | 17508829 | 4185 | 8429919 | 2026-01-17 08:05:34.410324 | 2025-10-07 22:01:52.720968 |
| 2026-01-16 08:09:41.047897 | 2026-01-17 08:03:01.426438 | 17199904 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 17199904 | Athletic Physical Therapy Inc | 1977-12-17 | 2026-01-19 | M | PT | N/A | GORMAN | 90370502500 | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9898664/check_17199904_76dfb97d-5670-4583-bdc3-10ecb58213a2.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 | 2022-01-01 | 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 | 9785299266 | N/A | N/A | 9898664 | 2222 | 4793 | 17508369 | N/A | 8287160 | 2026-01-17 08:03:01.426438 | 2025-10-01 22:48:13.212843 |
| 2026-01-16 08:09:40.933861 | 2026-01-17 08:06:12.165749 | 17199895 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17199895 | Athletic Physical Therapy Inc | 1967-01-16 | 2026-01-19 | F | AE | PT | Wesel | UCD914842883 | Ellen | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9854973/check_17199895_5ec9e6f0-d283-41d3-96b8-582b783d3c90.json | N/A | N/A | N/A | N/A | N/A | UCD914842883 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | BLUE SHIELD CALIFORNIA | N/A | 1967-01-16 | 1400PPOX0002 | W3000984 | N/A | PR | false | WESEL | N/A | RICHARD | N/A | N/A | N/A | HSA RATED | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9785299265 | N/A | N/A | 9854973 | 2222 | 4802 | 17508876 | N/A | 8205288 | 2026-01-17 08:06:12.165749 | 2025-09-30 16:15:04.552446 |
| 2026-01-16 08:09:40.809716 | 2026-01-17 08:05:22.504233 | 17199882 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 17199882 | Athletic Physical Therapy Inc | 1971-01-02 | 2026-01-19 | F | AE | PT | SIVAMALAR | 98940148E11084 | THANGIAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9854943/check_17199882_6e7b2887-6a24-4c1e-af80-abd7cb103b87.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 | 9785299264 | N/A | N/A | 9854943 | 2222 | 4802 | 17508792 | 5538 | 8251172 | 2026-01-17 08:05:22.504233 | 2025-10-03 18:17:22.871347 |
| 2026-01-16 08:09:40.683717 | 2026-01-17 08:05:18.909304 | 17199872 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 17199872 | Athletic Physical Therapy Inc | 1958-08-10 | 2026-01-19 | M | AE | PT | FURTAK | 00000370322 | WAYNE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9766428/check_17199872_c0ea1f27-0562-4d3e-bb54-1ad6ae50e0dd.json | N/A | N/A | N/A | N/A | N/A | 00000370322 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1958-08-10 | H3815028 | N/A | N/A | HM | false | FURTAK | N/A | WAYNE | 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 | 9785299263 | N/A | N/A | 9766428 | 2222 | 4801 | 17508780 | 2630 | 8177700 | 2026-01-17 08:05:18.909304 | 2025-09-26 21:44:23.687707 |
| 2026-01-16 08:09:40.567549 | 2026-01-17 08:05:21.887611 | 17199862 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 17199862 | Athletic Physical Therapy Inc | 1973-05-29 | 2026-01-19 | M | AE | PT | KIM | 96135332F | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9742628/check_17199862_a905530f-1c66-4ade-95e6-d7919e3341a6.json | N/A | N/A | N/A | N/A | N/A | 96135332F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1973-05-29 | MCLA | MWLLNMEG21 | N/A | N/A | false | KIM | N/A | JOSEPH | N/A | 2078-12-31 | 2023-09-01 | LACARE MEDICAL | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9785299262 | N/A | N/A | 9742628 | 2222 | 4802 | 17508790 | 5538 | 5949044 | 2026-01-17 08:05:21.887611 | 2025-07-08 23:15:13.625855 |
| 2026-01-16 08:09:40.453084 | 2026-01-17 08:05:38.054172 | 17199852 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17199852 | Athletic Physical Therapy Inc | 1980-07-01 | 2026-01-19 | M | PT | N/A | Moreno jr | VDHE01043007 | Hector | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9691081/check_17199852_89f01145-ee9d-4a84-ae53-b0ff3b0a5e13.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 | 9785299261 | N/A | N/A | 9691081 | 2222 | 4801 | 17508838 | N/A | 8110015 | 2026-01-17 08:05:38.054172 | 2025-10-05 15:24:30.421551 |
| 2026-01-16 08:09:40.330950 | 2026-01-17 08:05:32.028850 | 17199839 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 17199839 | Athletic Physical Therapy Inc | 1944-02-19 | 2026-01-19 | M | PT | N/A | CHRISTIE | JQS302A78569 | GEORGE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9635046/check_17199839_85965cf2-3d62-42f6-b706-0c2e74536dcd.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 | 9785299260 | N/A | N/A | 9635046 | 2222 | 4801 | 17508822 | 4185 | 4213398 | 2026-01-17 08:05:32.028850 | 2025-09-22 22:02:57.508447 |
| 2026-01-16 08:09:40.208567 | 2026-01-17 08:06:09.694871 | 17199828 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17199828 | Athletic Physical Therapy Inc | 1962-05-29 | 2026-01-19 | F | PT | N/A | LARSON | XEA913804058 | DEBRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9562148/check_17199828_8ead8088-6daa-4a5a-959e-8b89bd05febd.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 | 9785299259 | N/A | N/A | 9562148 | 2222 | 4793 | 17508870 | N/A | 7997320 | 2026-01-17 08:06:09.694871 | 2025-10-02 21:07:14.563938 |
| 2026-01-16 08:09:40.089841 | 2026-01-17 08:05:19.500258 | 17199819 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 17199819 | Athletic Physical Therapy Inc | 1956-11-29 | 2026-01-19 | F | AE | PT | GOMEZ | 00000401101 | ALICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9555104/check_17199819_446096da-9b9f-40ec-bf08-45ed139ad898.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 | 9785299258 | N/A | N/A | 9555104 | 2222 | 4801 | 17508782 | 2630 | 7990617 | 2026-01-17 08:05:19.500258 | 2025-09-29 20:34:47.088032 |
| 2026-01-16 08:09:39.953671 | 2026-01-17 08:03:07.400976 | 17199805 | N/A | N/A | 60054 | AETNA - PPO | 1114042165 | 17199805 | Athletic Physical Therapy Inc | 1940-05-16 | 2026-01-19 | M | AE | PT | HOPE | 101144710900 | LYNN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9477069/check_17199805_8cf93a5a-1bea-42fb-a481-473b5909c0e7.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 | 9785299257 | N/A | N/A | 9477069 | 2222 | 4802 | 17508384 | 3948 | 7927787 | 2026-01-17 08:03:07.400976 | 2025-09-17 17:11:58.574244 |
| 2026-01-16 08:09:39.830475 | 2026-01-17 08:04:44.701700 | 17199798 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 17199798 | Athletic Physical Therapy Inc | 1964-03-23 | 2026-01-19 | F | AE | PT | GERAMIAN MOGHADDAM | 98454624D | SHAHLA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9443681/check_17199798_0a0c617e-efaa-41ab-bc69-e71074ace1d4.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 | 9785299256 | N/A | N/A | 9443681 | 2222 | 4802 | 17508660 | N/A | 7900208 | 2026-01-17 08:04:44.701700 | 2025-09-17 23:29:57.116770 |
| 2026-01-16 08:09:39.729849 | 2026-01-17 08:11:48.467016 | 17199786 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17199786 | Athletic Physical Therapy Inc | 1955-07-01 | 2026-01-19 | F | AE | PT | GREER | 7H09HW9QG44 | ROBIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411083/check_17199786_1f8f088d-9cf9-470e-9ea5-fd91728ca0ba.json | N/A | N/A | N/A | N/A | N/A | 7H09HW9QG44 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-01 | S5601 | N/A | N/A | MB | 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 | 9785299255 | N/A | N/A | 9411083 | 2222 | 4802 | 17509517 | N/A | 7879863 | 2026-01-17 08:11:48.467016 | 2026-02-04 18:21:13.840230 |
| 2026-01-16 08:09:39.610957 | 2026-01-17 08:11:43.223165 | 17199777 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17199777 | Athletic Physical Therapy Inc | 1946-06-01 | 2026-01-19 | F | AE | PT | AMIRI | 5A52N18CA24 | POURAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9399844/check_17199777_0186c28f-9d26-4201-a244-bfb87e627f27.json | N/A | N/A | N/A | N/A | N/A | 5A52N18CA24 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-06-01 | S4802 | N/A | N/A | MB | false | AMIRI | N/A | POURAN | N/A | N/A | N/A | N/A | N/A | 20360 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9785299254 | N/A | N/A | 9399844 | 2222 | 4802 | 17509507 | N/A | 4210607 | 2026-01-17 08:11:43.223165 | 2025-08-01 18:31:38.620742 |
| 2026-01-16 08:09:39.488276 | 2026-01-17 08:04:46.131583 | 17199765 | N/A | N/A | 68069 | Regal Medical Group | 1114042165 | 17199765 | Athletic Physical Therapy Inc | 1963-03-16 | 2026-01-19 | M | AE | PT | SENDEROVICH | 93289206A | RUBIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9321915/check_17199765_a8852a7d-2dcd-483f-9f23-d9bf19cf65ce.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 | 9785299253 | N/A | N/A | 9321915 | 2222 | 4793 | 17508665 | N/A | 7821358 | 2026-01-17 08:04:46.131583 | 2025-09-16 21:45:39.144990 |
| 2026-01-16 08:09:39.382403 | 2026-01-17 08:02:32.803625 | 17199755 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 17199755 | Athletic Physical Therapy Inc | 1937-04-20 | 2026-01-19 | M | AE | PT | HAUSMAN | 34751866 | GARY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9280203/check_17199755_184094cc-7a7a-4816-a563-ec99241fb432.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 | 9785299252 | N/A | N/A | 9280203 | 2222 | 4793 | 17508294 | 6798 | 7788651 | 2026-01-17 08:02:32.803625 | 2025-09-10 18:50:22.494063 |
| 2026-01-16 08:09:39.258455 | 2026-01-17 08:03:01.043958 | 17199745 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 17199745 | override_provider | 2003-11-16 | 2026-01-19 | F | PT | N/A | HAYASHI | XLXR000032097727 | LAUREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9066824/check_17199745_488aab40-1868-4b51-a1cf-f24509a21d8b.json | N/A | N/A | N/A | N/A | N/A | XLXR000032097727 | Preferred Provider Organization (PPO) | OSF INDIVIDUAL PLATINUM PPO W/ DENTAL HIGH (GOLD) | BLUE SHIELD OF CALIFORNIA | N/A | 2003-11-16 | N/A | 24048 1 | N/A | PR | false | HAYASHI | N/A | NANCY | N/A | 9999-12-31 | 2023-12-01 | PLATINUM PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9785299251 | N/A | N/A | 9066824 | 2222 | 4802 | 17508368 | N/A | 7582776 | 2026-01-17 08:03:01.043958 | 2025-09-24 22:06:50.112056 |
| 2026-01-16 08:09:39.150829 | 2026-01-17 08:11:47.555325 | 17199734 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17199734 | Athletic Physical Therapy Inc | 1948-07-07 | 2026-01-19 | F | AE | PT | GOEL | 5RR4M63DR65 | VEENA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969533/check_17199734_48447d64-4945-4d06-99cc-f94fe1b4e07f.json | N/A | N/A | N/A | N/A | N/A | 5RR4M63DR65 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-07 | S4802 | N/A | N/A | MA | false | GOEL | N/A | VEENA | N/A | N/A | N/A | N/A | N/A | 30816 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9785299250 | N/A | N/A | 8969533 | 2222 | 4802 | 17509516 | N/A | 7485064 | 2026-01-17 08:11:47.555325 | 2025-12-29 22:41:16.623495 |
| 2026-01-16 08:09:39.028950 | 2026-01-17 08:02:44.529072 | 17199722 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17199722 | Athletic Physical Therapy Inc | 2001-06-21 | 2026-01-19 | M | AE | PT | RAFIEI | 92836714F | SAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173002/check_17199722_c3467998-e198-4973-becf-94aa61fe4f04.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 | 9785299249 | N/A | N/A | 8173002 | 2222 | 4793 | 17508325 | 4211 | 6939518 | 2026-01-17 08:02:44.529072 | 2025-08-18 21:40:08.349494 |
| 2026-01-16 08:09:38.896465 | 2026-01-17 08:05:33.740489 | 17199710 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 17199710 | Athletic Physical Therapy Inc | 1993-12-24 | 2026-01-19 | F | PT | N/A | Garcia | NCF409W01940 | Jessica | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7965049/check_17199710_cfd582c1-dd19-4fc2-9da8-2b5a3636834d.json | N/A | N/A | N/A | N/A | N/A | NCF409W01940 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1993-12-24 | 040 | 57AJCA | N/A | HM | false | GARCIA | N/A | JESSICA | N/A | 9999-12-31 | 2019-09-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9785299248 | N/A | N/A | 7965049 | 2222 | 4802 | 17508827 | 4184 | 6604326 | 2026-01-17 08:05:33.740489 | 2025-08-06 18:06:11.137864 |
| 2026-01-16 08:09:38.796562 | 2026-01-17 08:11:44.155224 | 17199702 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17199702 | Athletic Physical Therapy Inc | 1950-02-07 | 2026-01-19 | M | AE | PT | BHAMRAH | 8FX0NA8MD19 | KULDIP | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7442857/check_17199702_ede54506-3620-4490-9cfc-749414b4bfb6.json | N/A | N/A | N/A | N/A | N/A | 8FX0NA8MD19 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-02-07 | S5617 | N/A | N/A | MB | 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 | 9785299247 | N/A | N/A | 7442857 | 2222 | 4801 | 17509509 | N/A | 6393941 | 2026-01-17 08:11:44.155224 | 2025-08-13 16:33:53.313259 |
| 2026-01-16 08:09:38.691274 | 2026-01-17 08:05:31.330870 | 17199687 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17199687 | Athletic Physical Therapy Inc | 1988-08-19 | 2026-01-19 | M | PT | N/A | Bridgemohansingh | NTF910W08222 | Jason | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7258746/check_17199687_23db589b-4167-4ea2-af2c-5db52cec42e7.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 | 9785299246 | N/A | N/A | 7258746 | 2222 | 4802 | 17508820 | N/A | 6224482 | 2026-01-17 08:05:31.330870 | 2025-08-07 00:03:18.267969 |
| 2026-01-16 08:09:38.575175 | 2026-01-17 08:11:47.042863 | 17199680 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17199680 | Athletic Physical Therapy Inc | 1959-02-09 | 2026-01-19 | F | AE | PT | FERTSCHNEIDER | 4DU9YG4YD46 | NANCY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7204595/check_17199680_5faf649a-1e39-4b4e-8a03-7f24c901ae9f.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 | 9785299245 | N/A | N/A | 7204595 | 2222 | 4801 | 17509515 | N/A | 6175435 | 2026-01-17 08:11:47.042863 | 2025-08-05 19:05:08.506352 |
| 2026-01-16 08:09:38.453985 | 2026-01-17 08:11:45.595347 | 17199668 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17199668 | Athletic Physical Therapy Inc | 1959-09-07 | 2026-01-19 | M | AE | PT | CICCIARI | 1AK4JC6NK84 | LOUIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_17199668_2a6272bf-e21d-4424-8689-c380d0078417.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 | 9785299244 | N/A | N/A | 6752936 | 2222 | 4801 | 17509512 | N/A | 5065602 | 2026-01-17 08:11:45.595347 | 2025-07-01 17:25:13.681724 |
| 2026-01-16 08:09:38.357122 | 2026-01-17 08:02:33.416409 | 17199658 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 17199658 | Athletic Physical Therapy Inc | 1955-02-20 | 2026-01-19 | F | AE | PT | SALGUERO | 35955370 | DINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6711965/check_17199658_eae529ba-af98-4de5-be45-f7167a755500.json | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | 406-005-000 | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9785299243 | N/A | N/A | 6711965 | 2222 | 4793 | 17508296 | 6798 | 4210430 | 2026-01-17 08:02:33.416409 | 2025-05-13 04:29:37.224841 |
| 2026-01-16 08:09:38.252322 | 2026-01-17 08:06:09.329942 | 17199650 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17199650 | Athletic Physical Therapy Inc | 1961-03-12 | 2026-01-19 | F | PT | N/A | MCNUTT | XED904914958 | YOLANDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260116.095839384.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6668755/check_17199650_4246ea91-5b86-4b0b-868f-abacae76f258.json | N/A | N/A | N/A | N/A | N/A | XED904914958 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-03-12 | 2001ZL002184 | X0001004 | N/A | PR | false | FERNANDEZ-MCNUTT | N/A | YOLANDA | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED VISION | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9785299242 | N/A | N/A | 6668755 | 2222 | 4801 | 17508869 | N/A | 5282877 | 2026-01-17 08:06:09.329942 | 2025-07-01 15:56:36.473431 |