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 | insurance_company_id | 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 08:09:38.155486 | 2026-01-17 08:03:09.400830 | 17199641 | N/A | N/A | 60054 | Aetna | 1114042165 | 17199641 | Athletic Physical Therapy Inc | 1991-08-09 | 2026-01-19 | M | AE | PT | TORIO | W287278504 | MICHAEL | N/A | 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/2222/6235883/check_17199641_81b5d063-916f-48d1-9c0f-2add5614945b.json | N/A | N/A | N/A | N/A | N/A | W287278504 | Point of Service (POS) | COADVANTAGE RESOURCES, INC. | AETNA | N/A | 1991-08-09 | 0159468 | 015946801000034 | N/A | PS | false | TORIO | N/A | MICHAEL | 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 | 9785299241 | N/A | N/A | 6235883 | 2222 | 4802 | 17508389 | N/A | 4883697 | 2026-01-17 08:03:09.400830 | 2025-07-08 14:55:53.397662 |
| 2026-01-16 08:09:38.021225 | 2026-01-17 08:02:32.480296 | 17199627 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 17199627 | Athletic Physical Therapy Inc | 1948-06-04 | 2026-01-19 | F | AE | PT | Carrillo | 30127057 | Sandra | N/A | 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/2222/6192336/check_17199627_e2c7788c-5aab-4251-8371-b566e148a95f.json | N/A | N/A | N/A | N/A | N/A | 30127057 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1948-06-04 | 406-034-002 | N/A | N/A | N/A | false | CARRILLO | N/A | SANDRA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9785299240 | N/A | N/A | 6192336 | 2222 | 4801 | 17508293 | 6798 | 4836434 | 2026-01-17 08:02:32.480296 | 2025-06-24 22:10:01.955161 |
| 2026-01-16 08:09:37.911336 | 2026-01-17 08:05:20.124718 | 17199619 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 17199619 | Athletic Physical Therapy Inc | 1943-03-11 | 2026-01-19 | M | AE | PT | MATHEU | 00000270336 | CARLOS | N/A | 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/2222/6189737/check_17199619_1525db2e-aae2-4a21-afce-2f53ac31f661.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 | 9785299239 | N/A | N/A | 6189737 | 2222 | 4801 | 17508784 | 2630 | 4209126 | 2026-01-17 08:05:20.124718 | 2025-05-13 04:29:37.223551 |
| 2026-01-16 08:09:37.804150 | 2026-01-17 08:05:14.876190 | 17199607 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 17199607 | Athletic Physical Therapy Inc | 1969-01-08 | 2026-01-19 | F | AE | PT | ALROMAIH | 91237812E | SARAH | N/A | 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/2222/5993940/check_17199607_ca82687f-aa9a-45a8-b1fe-34468c4680e2.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 | 9785299238 | N/A | N/A | 5993940 | 2222 | 4802 | 17508766 | 4625 | 4642877 | 2026-01-17 08:05:14.876190 | 2025-12-23 23:49:16.627667 |
| 2026-01-16 08:09:37.698333 | 2026-01-17 08:05:41.788623 | 17199599 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17199599 | Athletic Physical Therapy Inc | 1996-01-20 | 2026-01-19 | F | PT | N/A | WORDEN | ORU910469318 | SARAH | N/A | 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/2222/5993479/check_17199599_0b59bd20-44ff-40e7-8660-8d59eb05ac5e.json | N/A | N/A | N/A | N/A | N/A | ORU910469318 | Preferred Provider Organization (PPO) | OAK RIDGE ASSOCIATED UNIVERSITIES | ANTHEM BLUE CROSS | N/A | 1996-01-20 | MBPORAU0 | 89513 | N/A | PR | false | WORDEN | N/A | SARAH | N/A | 2199-12-31 | 2024-07-16 | BLUE NETWORK P | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9785299237 | N/A | N/A | 5993479 | 2222 | 4801 | 17508847 | N/A | 4219476 | 2026-01-17 08:05:41.788623 | 2025-05-28 20:18:04.039855 |
| 2026-01-16 08:09:37.579293 | 2026-01-17 08:02:45.256705 | 17199588 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17199588 | Athletic Physical Therapy Inc | 1990-11-12 | 2026-01-19 | F | AE | PT | SIMONS | 94378141G | DESIREE | N/A | 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/2222/5550102/check_17199588_fdcf6efc-71a4-4dc1-8b53-5fc042c3ae06.json | N/A | N/A | N/A | N/A | N/A | 94378141G | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1990-11-12 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | SIMONS | N/A | DESIREE | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9785299236 | N/A | N/A | 5550102 | 2222 | 4802 | 17508327 | 4211 | 4212176 | 2026-01-17 08:02:45.256705 | 2025-05-13 04:29:37.226514 |
| 2026-01-16 08:09:37.489534 | 2026-01-17 08:11:50.141549 | 17199579 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17199579 | Athletic Physical Therapy Inc | 1942-04-09 | 2026-01-19 | F | AE | PT | JALLAD | 7AY7QW7EK46 | IKRAM | N/A | 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/2222/5549454/check_17199579_24923185-39e1-4888-ae3a-63f08244165d.json | N/A | N/A | N/A | N/A | N/A | 7AY7QW7EK46 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-04-09 | S5617 | N/A | N/A | MA | 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 | 9785299235 | N/A | N/A | 5549454 | 2222 | 4801 | 17509520 | N/A | 4219116 | 2026-01-17 08:11:50.141549 | 2025-05-16 16:43:35.854220 |
| 2026-01-16 08:09:37.373797 | 2026-01-17 08:02:33.132723 | 17199567 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 17199567 | Athletic Physical Therapy Inc | 1941-05-24 | 2026-01-19 | F | AE | PT | REGGIANI | 41813758 | SUSANA | N/A | 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/2222/5549015/check_17199567_7c7a6a28-420d-452b-9fc2-a73368ca33a8.json | N/A | N/A | N/A | N/A | N/A | 41813758 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1941-05-24 | 406-034-002 | N/A | N/A | N/A | false | REGGIANI | N/A | SUSANA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9785299234 | N/A | N/A | 5549015 | 2222 | 4801 | 17508295 | 6798 | 4208849 | 2026-01-17 08:02:33.132723 | 2025-05-13 04:29:37.223279 |
| 2026-01-16 08:09:37.257201 | 2026-01-17 08:11:51.618766 | 17199558 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17199558 | Athletic Physical Therapy Inc | 1947-11-15 | 2026-01-19 | F | AE | PT | NOGHREIAN | 6XG3KA2TP05 | FLORIA | N/A | 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/2222/5548970/check_17199558_35ff5d73-957b-43f7-8144-4a903d2f7325.json | N/A | N/A | N/A | N/A | N/A | 6XG3KA2TP05 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-11-15 | S5617 | N/A | N/A | MA | 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 | 9785299233 | N/A | N/A | 5548970 | 2222 | 4802 | 17509525 | N/A | 4218728 | 2026-01-17 08:11:51.618766 | 2025-05-13 04:29:37.229718 |
| 2026-01-16 08:09:37.152821 | 2026-01-17 08:10:41.556874 | 17199548 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17199548 | Athletic Physical Therapy Inc | 1957-05-23 | 2026-01-19 | F | AE | PT | CEASAR | 6XR6JY3MJ89 | DEBBIE | N/A | 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/2222/5543553/check_17199548_780deec7-6ee4-4852-b536-c9294902852f.json | N/A | N/A | N/A | N/A | N/A | 6XR6JY3MJ89 | N/A | N/A | N/A | N/A | 1957-05-23 | N/A | N/A | N/A | N/A | false | CEASAR | N/A | DEBBIE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9785299232 | N/A | N/A | 5543553 | 2222 | 4793 | 17509382 | N/A | 4215327 | 2026-01-17 08:10:41.556874 | 2025-05-13 04:29:37.229651 |
| 2026-01-16 08:09:37.035348 | 2026-01-17 08:04:48.763490 | 17199537 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 17199537 | Athletic Physical Therapy Inc | 1950-03-29 | 2026-01-19 | M | AE | PT | AKHTARI | 40045421301 | SHAHROKH | N/A | 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/2222/5543493/check_17199537_74a2d0d2-496d-4708-ad66-50f8404290a1.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 | 9785299231 | N/A | N/A | 5543493 | 2222 | 4793 | 17508675 | 6237 | 4215273 | 2026-01-17 08:04:48.763490 | 2025-05-13 04:29:37.229594 |
| 2026-01-16 08:09:36.917825 | 2026-01-17 08:03:07.749771 | 17199526 | N/A | N/A | 60054 | Aetna | 1114042165 | 17199526 | Athletic Physical Therapy Inc | 1951-05-22 | 2026-01-19 | M | AE | PT | KAGON | VUC099A45201 | ROBERT | N/A | 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/2222/5543391/check_17199526_12efb496-f47f-4a42-976e-eb3b3576ee38.json | N/A | N/A | N/A | N/A | N/A | VUC099A45201 | N/A | N/A | AETNA | N/A | 1951-05-22 | 0789193 | 078919301000701 | N/A | N/A | false | KAGON | N/A | ROBERT | N/A | N/A | N/A | HSA OPEN ACCESS MC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9785299230 | N/A | N/A | 5543391 | 2222 | 4793 | 17508385 | N/A | 4215182 | 2026-01-17 08:03:07.749771 | 2025-05-13 04:29:37.229498 |
| 2026-01-16 08:09:36.794273 | 2026-01-17 08:11:49.712922 | 17199515 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17199515 | Athletic Physical Therapy Inc | 1952-11-19 | 2026-01-19 | F | AE | PT | HOWARD | 6JJ9KX0PY45 | JUDI | N/A | 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/2222/5543348/check_17199515_3a546267-c83a-477b-acc5-51f871a9e292.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 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9785299229 | N/A | N/A | 5543348 | 2222 | 4793 | 17509519 | N/A | 4215147 | 2026-01-17 08:11:49.712922 | 2025-05-13 04:29:37.229464 |
| 2026-01-16 08:09:36.661904 | 2026-01-17 08:02:44.938135 | 17199502 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17199502 | Athletic Physical Therapy Inc | 2001-01-23 | 2026-01-19 | F | AE | PT | SILVERS | 1866968 | JOIEMAY | N/A | 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/2222/5543335/check_17199502_dbda5462-21da-460a-9c98-83ad886dfc72.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 | 9785299228 | N/A | N/A | 5543335 | 2222 | 4802 | 17508326 | 4211 | 4215139 | 2026-01-17 08:02:44.938135 | 2025-05-13 21:20:11.455022 |
| 2026-01-16 08:09:36.554826 | 2026-01-17 08:05:35.116332 | 17199492 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17199492 | Athletic Physical Therapy Inc | 1974-08-13 | 2026-01-19 | F | PT | N/A | HUGGINS | JXN261A50994 | DEEDEE | N/A | 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/2222/5543043/check_17199492_a5dd6f75-2bac-4933-a2e9-192af1abd5e0.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 9999-12-31 | 2022-01-01 | BC PPO INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9785299227 | N/A | N/A | 5543043 | 2222 | 4801 | 17508831 | N/A | 4214884 | 2026-01-17 08:05:35.116332 | 2025-11-12 00:46:10.301659 |
| 2026-01-16 08:09:36.442195 | 2026-01-17 08:04:51.647367 | 17199482 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 17199482 | Athletic Physical Therapy Inc | 1954-10-02 | 2026-01-19 | M | AD | 30 | TARDIF | 40037365501 | TEDD | N/A | 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/2222/5542894/check_17199482_09016d05-4e05-4b74-93b0-733d7b58b89b.json | N/A | N/A | N/A | N/A | N/A | 40037365501 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1954-10-02 | 2026H5425001 | H5425M | N/A | N/A | false | TARDIF | N/A | TEDD | 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 | 9785299226 | N/A | N/A | 5542894 | 2222 | 4801 | 17508686 | 6237 | 4214757 | 2026-01-17 08:04:51.647367 | 2026-03-20 15:26:52.406374 |
| 2026-01-16 08:09:36.330838 | 2026-01-17 08:03:09.048501 | 17199470 | N/A | N/A | 60054 | Aetna | 1114042165 | 17199470 | Athletic Physical Therapy Inc | 2009-08-28 | 2026-01-19 | F | AE | PT | GARCIA | FJB21294792M | STARR | N/A | 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/2222/5542769/check_17199470_0fcb8666-3478-4557-894b-19d731fab002.json | N/A | N/A | N/A | N/A | N/A | FJB21294792M | 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 | 9785299225 | N/A | N/A | 5542769 | 2222 | 4801 | 17508388 | N/A | 4214641 | 2026-01-17 08:03:09.048501 | 2025-12-09 08:50:02.875071 |
| 2026-01-16 08:09:36.231240 | 2026-01-17 08:05:16.061023 | 17199461 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 17199461 | Athletic Physical Therapy Inc | 1979-11-17 | 2026-01-19 | F | AE | PT | WOODS | 96781627F | JESSICA | N/A | 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/2222/5542752/check_17199461_31cebc1e-76d3-4d8d-8aed-90887f9fb366.json | N/A | N/A | N/A | N/A | N/A | 96781627F | N/A | N/A | HEALTH NET, LLC | N/A | 1979-11-17 | N/A | N/A | N/A | N/A | false | WOODS | N/A | JESSICA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9785299224 | N/A | N/A | 5542752 | 2222 | 4793 | 17508770 | 4625 | 4214627 | 2026-01-17 08:05:16.061023 | 2025-06-23 18:58:46.304598 |
| 2026-01-16 08:09:36.104884 | 2026-01-17 08:06:10.526904 | 17199451 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17199451 | Athletic Physical Therapy Inc | 1991-05-27 | 2026-01-19 | M | PT | N/A | MOYNIHAN | QMS905764029 | KEITH | N/A | 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/2222/5542720/check_17199451_55542367-2c84-4671-aaea-fbc18d6df341.json | N/A | N/A | N/A | N/A | N/A | QMS905764029 | Preferred Provider Organization (PPO) | MILLENNIUM SPACE SYSTEMS INC | BLUE SHIELD CALIFORNIA | N/A | 1991-05-27 | 1000VX000102 | W0037357 | N/A | PR | false | MOYNIHAN | N/A | KEITH | N/A | N/A | N/A | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9785299223 | N/A | N/A | 5542720 | 2222 | 4802 | 17508872 | N/A | 4214596 | 2026-01-17 08:06:10.526904 | 2025-05-13 04:29:37.228923 |
| 2026-01-16 08:09:35.975002 | 2026-01-17 08:05:14.475729 | 17199436 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | 17199436 | override_provider | 1972-07-22 | 2026-01-19 | M | AE | PT | KOZMA | U9714475101 | JASON | N/A | 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/2222/5542709/check_17199436_69c44b98-2439-495e-869c-dea3c66a4e8b.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 | 9785299222 | N/A | N/A | 5542709 | 2222 | 4802 | 17508765 | N/A | 4214582 | 2026-01-17 08:05:14.475729 | 2025-12-02 00:00:04.433236 |
| 2026-01-16 08:09:35.853143 | 2026-01-17 08:03:06.892612 | 17199427 | N/A | N/A | 60054 | Aetna | 1114042165 | 17199427 | Athletic Physical Therapy Inc | 2005-11-23 | 2026-01-19 | F | AE | PT | FERRELL | W285064666 | AMELIA | N/A | 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/2222/5542678/check_17199427_99ccce6c-d071-4f23-855a-3482a44da345.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 | 9785298099 | N/A | N/A | 5542678 | 2222 | 4802 | 17508383 | N/A | 4214560 | 2026-01-17 08:03:06.892612 | 2025-05-13 04:29:37.228883 |
| 2026-01-16 08:09:35.752260 | 2026-01-17 08:05:15.179620 | 17199415 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 17199415 | Athletic Physical Therapy Inc | 1968-04-07 | 2026-01-19 | F | AE | PT | CHERE | 98953535F | DIANA | N/A | 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/2222/5542660/check_17199415_5ae4f876-1bf4-46af-8daa-a5c4bedcaf70.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9785298097 | N/A | N/A | 5542660 | 2222 | 4802 | 17508767 | 4625 | 4214542 | 2026-01-17 08:05:15.179620 | 2025-05-13 04:29:37.228868 |
| 2026-01-16 08:09:35.650663 | 2026-01-17 08:05:15.767840 | 17199406 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 17199406 | Athletic Physical Therapy Inc | 1977-02-09 | 2026-01-19 | F | AE | PT | SHAMAT | 96987431H | SAMA | N/A | 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/2222/5542314/check_17199406_68f03f24-1c51-432f-9726-9c804e576043.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 | 9785298093 | N/A | N/A | 5542314 | 2222 | 4802 | 17508769 | N/A | 4214238 | 2026-01-17 08:05:15.767840 | 2025-05-13 04:29:37.228571 |
| 2026-01-16 08:09:35.544369 | 2026-01-17 08:05:30.311024 | 17199394 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17199394 | Athletic Physical Therapy Inc | 1959-05-13 | 2026-01-19 | F | PT | N/A | ADRIANZEN FERNAN | MMA221W20054 | AURA | N/A | 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/2222/5541944/check_17199394_4824f9ec-2214-402c-99c6-cd86517c4388.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 | 9785298091 | N/A | N/A | 5541944 | 2222 | 4801 | 17508817 | N/A | 4213907 | 2026-01-17 08:05:30.311024 | 2025-05-13 04:29:37.228228 |
| 2026-01-16 08:09:35.423876 | 2026-01-17 08:03:09.889336 | 17199384 | N/A | N/A | 60054 | Aetna | 1114042165 | 17199384 | Athletic Physical Therapy Inc | 1986-03-06 | 2026-01-19 | M | AE | PT | LOPEZ | W27941988601 | NORBY | N/A | 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/2222/5541926/check_17199384_56a7ca54-d921-48f5-aedd-dc9349c61598.json | N/A | N/A | N/A | N/A | N/A | W27941988601 | N/A | N/A | AETNA INC | N/A | 1986-03-06 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | NORBY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9785298088 | N/A | N/A | 5541926 | 2222 | 4802 | 17508390 | N/A | 4213897 | 2026-01-17 08:03:09.889336 | 2026-01-05 15:53:04.731703 |
| 2026-01-16 08:09:35.303591 | 2026-01-17 08:05:40.821976 | 17199375 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17199375 | Athletic Physical Therapy Inc | 1940-08-31 | 2026-01-19 | M | PT | N/A | STEINBERG | MBL875M98441 | HARRIS | N/A | 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/2222/5541917/check_17199375_0671572b-6231-47f3-8ced-bef7a3a4d8e4.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | 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 | 9785298086 | N/A | N/A | 5541917 | 2222 | 4793 | 17508845 | N/A | 4213891 | 2026-01-17 08:05:40.821976 | 2025-05-13 04:29:37.228207 |
| 2026-01-16 08:09:35.197997 | 2026-01-17 08:06:10.097322 | 17199364 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17199364 | Athletic Physical Therapy Inc | 1979-11-13 | 2026-01-19 | F | PT | N/A | MEYER | ZUP42832760C | TRICIA | N/A | 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/2222/5541844/check_17199364_0bcefcd2-884e-4337-9c14-810546a216a9.json | N/A | N/A | N/A | N/A | N/A | ZUP42832760C | Preferred Provider Organization (PPO) | PINTEREST INC | BLUE SHIELD CALIFORNIA | N/A | 1979-11-13 | 1000PPOX0002 | W0065128 | N/A | PR | false | MEYER | N/A | ROBERT | N/A | N/A | N/A | PINTEREST INC PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9785298084 | N/A | N/A | 5541844 | 2222 | 4793 | 17508871 | N/A | 4213829 | 2026-01-17 08:06:10.097322 | 2025-05-13 04:29:37.228149 |
| 2026-01-16 08:09:35.077513 | 2026-01-17 08:06:10.901356 | 17199352 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17199352 | Athletic Physical Therapy Inc | 1965-09-18 | 2026-01-19 | F | PT | N/A | SHAPIRO | XEA901579979 | ANDREA | N/A | 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/2222/5541315/check_17199352_0af596e6-2113-45a4-bd85-4642d5bececa.json | N/A | N/A | N/A | N/A | N/A | XEA901579979 | Preferred Provider Organization (PPO) | HANGER STEINBERG SHAPIRO AND ASH A LAW COR | BLUE SHIELD CALIFORNIA | N/A | 1965-09-18 | 1000VX000102 | W0045063 | N/A | PR | false | SHAPIRO | N/A | MARC | N/A | 9999-12-31 | 2016-11-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9785298081 | N/A | N/A | 5541315 | 2222 | 4793 | 17508873 | N/A | 4213344 | 2026-01-17 08:06:10.901356 | 2025-05-13 04:29:37.227667 |
| 2026-01-16 08:09:34.958686 | 2026-01-17 08:11:46.628297 | 17199339 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17199339 | Athletic Physical Therapy Inc | 1956-01-14 | 2026-01-19 | F | AE | PT | COHENZADEH | 1YM2D25GY27 | SIMA | N/A | 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/2222/5541059/check_17199339_925e8939-25ed-4191-8f49-ff9008bc41cb.json | N/A | N/A | N/A | N/A | N/A | 1YM2D25GY27 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-14 | S4802 | N/A | N/A | MB | false | COHENZADEH | N/A | SIMA | N/A | N/A | N/A | N/A | N/A | 32408 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9785298078 | N/A | N/A | 5541059 | 2222 | 4802 | 17509514 | N/A | 4213119 | 2026-01-17 08:11:46.628297 | 2025-11-20 01:13:31.057962 |
| 2026-01-16 08:09:34.859158 | 2026-01-17 08:11:46.145101 | 17199330 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17199330 | Athletic Physical Therapy Inc | 1956-09-14 | 2026-01-19 | M | AE | PT | COHENZADEH | 7UJ5QD2DD88 | DAVOOD | N/A | 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/2222/5540904/check_17199330_a0917d40-5ab0-4e29-b4b4-12939084ceff.json | N/A | N/A | N/A | N/A | N/A | 7UJ5QD2DD88 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-09-14 | S4802 | N/A | N/A | MA | false | COHENZADEH | N/A | DAVOOD | N/A | N/A | N/A | N/A | N/A | 42588 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9785298076 | N/A | N/A | 5540904 | 2222 | 4802 | 17509513 | N/A | 4212983 | 2026-01-17 08:11:46.145101 | 2025-11-19 21:27:11.455704 |
| 2026-01-16 08:09:34.746942 | 2026-01-17 08:05:41.306845 | 17199319 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17199319 | Athletic Physical Therapy Inc | 2011-05-18 | 2026-01-19 | F | PT | N/A | WILLIAMS | XDP795A62672 | PIPER | N/A | 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/2222/5540171/check_17199319_3d52eb79-40fb-4064-ba52-8b4a2739e91b.json | N/A | N/A | N/A | N/A | N/A | XDP795A62672 | N/A | DELOS DATA INC | ANTHEM BLUE CROSS | THIS INACTIVE MEMBER MAY BE ELIGIBLE FOR COVERAGE UNDER THEIR PRIOR COVERAGE IF THEY MEET THE ELIGIBILITY REQUIREMENTS OF THE CONSOLIDATED APPROPRIATIONS ACT. COVERAGE IS LIMITED TO SERVICES FOR CONTINUITY OF CARE CONDITIONS. ASK THE MEMBER FOR MORE INFORMATION. | 2011-05-18 | 040 | U36898 | N/A | N/A | false | WILLIAMS | N/A | ERIC | 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 | 9785298073 | N/A | N/A | 5540171 | 2222 | 4793 | 17508846 | N/A | 4212367 | 2026-01-17 08:05:41.306845 | 2025-05-13 04:29:37.226697 |
| 2026-01-16 08:09:34.648442 | 2026-01-17 08:11:44.650423 | 17199310 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17199310 | Athletic Physical Therapy Inc | 1945-04-13 | 2026-01-19 | F | AE | PT | BLUM | 4TT3J24RG08 | BONNIE | N/A | 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/2222/5539301/check_17199310_57a8cda7-b8c3-4db9-9d0e-8c33e7523d5c.json | N/A | N/A | N/A | N/A | N/A | 4TT3J24RG08 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-04-13 | S5601 | N/A | N/A | MB | false | BLUM | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9785298072 | N/A | N/A | 5539301 | 2222 | 4802 | 17509510 | N/A | 4211624 | 2026-01-17 08:11:44.650423 | 2025-05-13 04:29:37.225953 |
| 2026-01-16 08:09:34.505372 | 2026-01-17 08:05:36.194722 | 17199296 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 17199296 | Athletic Physical Therapy Inc | 1952-09-29 | 2026-01-19 | F | PT | N/A | JOHNSON | JQS766M90611 | JANET | N/A | 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/2222/5539188/check_17199296_e3535c96-7dc6-4dfa-8cee-21987a8779f1.json | N/A | N/A | N/A | N/A | N/A | JQS766M90611 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-09-29 | 040 | CAMCRWP0 | N/A | MP | false | JOHNSON | N/A | JANET | 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 | 9785298071 | N/A | N/A | 5539188 | 2222 | 4801 | 17508834 | 4185 | 4211521 | 2026-01-17 08:05:36.194722 | 2025-10-19 23:43:25.603984 |
| 2026-01-16 08:09:34.371810 | 2026-01-17 08:04:49.013574 | 17199282 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 17199282 | Athletic Physical Therapy Inc | 1939-12-29 | 2026-01-19 | F | AD | 30 | ALESSI | 31019902301 | JEAN | N/A | 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/2222/5539133/check_17199282_c40198f9-1dd9-4538-83f3-ad58d53192a5.json | N/A | N/A | N/A | N/A | N/A | 31019902301 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1939-12-29 | 2026H5425001 | H5425M | N/A | N/A | false | ALESSI | N/A | JEAN | 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 | 9785298070 | N/A | N/A | 5539133 | 2222 | 4793 | 17508676 | N/A | 4211471 | 2026-01-17 08:04:49.013574 | 2025-07-09 03:59:33.308587 |
| 2026-01-16 08:09:34.271796 | 2026-01-17 08:05:35.469475 | 17199272 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17199272 | Athletic Physical Therapy Inc | 1980-04-11 | 2026-01-19 | M | PT | N/A | Hurst | JQY695A75359 | Gregory | N/A | 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/2222/5539085/check_17199272_6a67c883-e364-44f5-94fe-94ce343e37b1.json | N/A | N/A | N/A | N/A | N/A | JQY695A75359 | Preferred Provider Organization (PPO) | YALE MANAGEMENT SERVICES | ANTHEM BLUE CROSS | N/A | 1980-04-11 | 040 | 342584 | N/A | PR | false | HURST | N/A | GREGORY | N/A | 9999-12-31 | 2025-12-01 | ANTHEM SILVER SELECT PPO 50/2200/40% | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9785298069 | N/A | N/A | 5539085 | 2222 | 4793 | 17508832 | N/A | 4211408 | 2026-01-17 08:05:35.469475 | 2025-09-18 00:42:48.586801 |
| 2026-01-16 08:09:34.139327 | 2026-01-17 08:06:12.981611 | 17199257 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17199257 | Athletic Physical Therapy Inc | 1961-12-01 | 2026-01-19 | M | PT | N/A | TOOCH | JPU633M84536 | PETER | N/A | 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/2222/5538874/check_17199257_9f54321f-0e57-4811-856c-5b0da24ec41e.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M005 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 9999-12-31 | 2026-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9785298068 | N/A | N/A | 5538874 | 2222 | 4801 | 17508878 | N/A | 4211227 | 2026-01-17 08:06:12.981611 | 2025-05-13 04:29:37.225625 |
| 2026-01-16 08:09:34.009365 | 2026-01-17 08:05:19.200601 | 17199249 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 17199249 | Athletic Physical Therapy Inc | 1949-09-13 | 2026-01-19 | M | AE | PT | GOMES | 00000285293 | NEMESIO | N/A | 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/2222/5537439/check_17199249_ff1075d3-9547-4779-b3d4-7987fa3e4804.json | N/A | N/A | N/A | N/A | N/A | 00000285293 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-09-13 | H3815028 | N/A | N/A | HM | false | GOMES | N/A | NEMESIO | 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 | 9785298065 | N/A | N/A | 5537439 | 2222 | 4801 | 17508781 | 2630 | 4210001 | 2026-01-17 08:05:19.200601 | 2025-05-13 04:29:37.224421 |
| 2026-01-16 08:09:33.884350 | 2026-01-17 08:04:50.807711 | 17199235 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 17199235 | Athletic Physical Therapy Inc | 1957-02-16 | 2026-01-19 | F | AD | 30 | OSE | 40050866601 | KAREN | N/A | 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/2222/5537366/check_17199235_3b60c75c-8139-4cd6-ab22-6cd1d14bdbe9.json | N/A | N/A | N/A | N/A | N/A | 40050866601 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1957-02-16 | 2026H5425001 | H5425M | N/A | N/A | false | OSE | N/A | KAREN | 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 | 9785298064 | N/A | N/A | 5537366 | 2222 | 4793 | 17508683 | N/A | 4209945 | 2026-01-17 08:04:50.807711 | 2025-08-13 22:24:17.841096 |
| 2026-01-16 08:09:33.741865 | 2026-01-17 08:06:11.378601 | 17199223 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17199223 | Athletic Physical Therapy Inc | 1981-07-19 | 2026-01-19 | M | PT | N/A | SWAMINATHAN | PAM911049144 | SRIHARI prasath | N/A | 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/2222/5537224/check_17199223_905d85eb-6790-4a7f-be90-9e417a202024.json | N/A | N/A | N/A | N/A | N/A | PAM911049144 | Preferred Provider Organization (PPO) | PALO ALTO NETWORKS INC | BLUE SHIELD CALIFORNIA | N/A | 1981-07-19 | 1000PPOX0001 | W8000013 | N/A | PR | false | SWAMINATHAN | N/A | SRIHARI PRASATH | N/A | N/A | N/A | PALO ALTO NETWORKS INC ASO PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9785298063 | N/A | N/A | 5537224 | 2222 | 4793 | 17508874 | N/A | 4209830 | 2026-01-17 08:06:11.378601 | 2026-01-05 23:05:15.485219 |
| 2026-01-16 06:31:29.795616 | 2026-01-16 06:31:34.055659 | 17189930 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-05-28 | 2026-01-09 | N/A | PT | AE | GRAY | 3WR7HV0WT36 | TAMMIE | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14664973/check_17189930_7a899412-60f9-4e15-ad70-eb5f6fa833db.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14664973/check_17189930_18996720-e052-436e-97c2-09d40ecd4b18.json | N/A | N/A | N/A | N/A | N/A | 3WR7HV0WT36 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-05-28 | N/A | N/A | N/A | MA | false | GRAY | N/A | TAMMIE | N/A | N/A | N/A | N/A | N/A | 15546 | PT | AE | N/A | N/A | N/A | N/A | N/A | 9784920197 | 1275 | N/A | 14664973 | 2222 | N/A | 17434328 | N/A | 12198042 | 2026-01-16 06:31:34.055659 | 2025-12-15 23:37:40.244228 |
| 2026-01-16 05:00:46.478199 | 2026-01-16 05:00:49.350426 | 17189247 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-08-26 | 2026-01-16 | M | AE | PT | ROTHMAN | XEM909022493 | MIKE | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536206/check_17189247_4f84143a-4e7c-4df2-8327-17578be42eff.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536206/check_17189247_3ca165ee-4818-4039-a549-7e6b6a30cb71.json | N/A | N/A | N/A | N/A | N/A | XEM909022493 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1946-08-26 | 2002SF000029 | X0001002 | N/A | OT | false | ROTHMAN | N/A | MIKE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9784603151 | 7927 | N/A | 5536206 | 2222 | N/A | 17433628 | N/A | 4208978 | 2026-01-16 05:00:49.350426 | 2025-05-13 04:29:37.223404 |
| 2026-01-16 05:00:31.820225 | 2026-01-16 05:00:34.913294 | 17189245 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-08-26 | 2026-01-16 | M | AE | PT | ROTHMAN | 6H65JC7UD67 | MIKE | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536194/check_17189245_88df5208-5f29-4ead-8680-80c6e302b9a4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536194/check_17189245_abb05726-5dc5-449a-955e-fa56b53529ea.json | N/A | N/A | N/A | N/A | N/A | 6H65JC7UD67 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-08-26 | S4802 | N/A | N/A | MA | false | ROTHMAN | N/A | MIKE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9784602513 | 7927 | N/A | 5536194 | 2222 | N/A | 17433626 | N/A | 4208978 | 2026-01-16 05:00:34.913294 | 2025-05-13 04:29:37.223404 |
| 2026-01-16 04:48:09.316697 | 2026-01-16 04:48:11.242866 | 17189232 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-11-24 | 2026-01-16 | F | AE | PT | CRUTCHFIELD | 904430653 | HELEN | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10103203/check_17189232_1eec2200-adb1-4d65-bb11-fd8f097fec17.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10103203/check_17189232_3f82d616-f5c3-48a6-a09d-17247b089e1a.json | N/A | N/A | N/A | N/A | N/A | 904430653 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1961-11-24 | N/A | N/A | N/A | N/A | false | CRUTCHFIELD | N/A | HELEN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 10103203 | 2222 | N/A | 17433614 | N/A | 8437251 | 2026-01-16 04:48:11.242866 | 2025-10-07 19:08:26.048804 |
| 2026-01-16 04:48:07.244810 | 2026-01-16 04:48:09.312547 | 17189231 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-11-24 | 2026-01-16 | F | AE | PT | CRUTCHFIELD | 904430653 | HELEN | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10103203/check_17189231_d3ea048f-5e87-4307-afae-d76086c91a1b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-16 | N/A | N/A | N/A | N/A | N/A | N/A | 904430653 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1961-11-24 | N/A | N/A | N/A | N/A | false | CRUTCHFIELD | N/A | HELEN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 10103203 | 2222 | N/A | N/A | N/A | 8437251 | 2026-01-16 04:48:09.312547 | 2025-10-07 19:08:26.048804 |
| 2026-01-16 04:47:08.848398 | 2026-01-16 04:47:10.703919 | 17189230 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-11-24 | 2026-01-16 | F | AE | PT | CRUTCHFIELD | 904430653 | HELEN | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10103203/check_17189230_8c25963e-5329-42c6-8d75-6e1f58931475.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10103203/check_17189230_38429a9a-3996-4394-ba22-9407ebf75388.json | N/A | N/A | N/A | N/A | N/A | 904430653 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1961-11-24 | N/A | N/A | N/A | N/A | false | CRUTCHFIELD | N/A | HELEN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 10103203 | 2222 | N/A | 17433612 | N/A | 8437251 | 2026-01-16 04:47:10.703919 | 2025-10-07 19:08:26.048804 |
| 2026-01-16 04:47:04.644450 | 2026-01-16 04:47:08.844275 | 17189229 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-11-24 | 2026-01-16 | F | AE | PT | CRUTCHFIELD | 904430653 | HELEN | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10103203/check_17189229_7e68f564-04ef-410c-9e9b-1919ee65aa0c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-16 | N/A | N/A | N/A | N/A | N/A | N/A | 904430653 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1961-11-24 | N/A | N/A | N/A | N/A | false | CRUTCHFIELD | N/A | HELEN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 10103203 | 2222 | N/A | N/A | N/A | 8437251 | 2026-01-16 04:47:08.844275 | 2025-10-07 19:08:26.048804 |
| 2026-01-16 04:43:53.036032 | 2026-01-16 04:43:54.882989 | 17189228 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2026-01-16 | F | AE | PT | Sankovich | 00000375069 | Deborahann | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_17189228_6cb8eeaa-f5fb-4b09-b69a-69faf65c9880.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_17189228_5ef82dd7-829b-4f3c-bae5-01a0f92729b7.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAHANN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6210775 | 2222 | N/A | 17433610 | N/A | 4215193 | 2026-01-16 04:43:54.882989 | 2026-01-16 04:38:12.725481 |
| 2026-01-16 04:43:50.322801 | 2026-01-16 04:43:53.031881 | 17189227 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2026-01-16 | F | AE | PT | Sankovich | 00000375069 | Deborahann | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_17189227_a2e20e02-a7e6-4241-8646-170848c18571.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-16 | N/A | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAHANN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6210775 | 2222 | N/A | N/A | N/A | 4215193 | 2026-01-16 04:43:53.031881 | 2026-01-16 04:38:12.725481 |
| 2026-01-16 04:43:36.121255 | 2026-01-16 04:43:37.937581 | 17189224 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2026-01-16 | F | AE | PT | Sankovich | 00000375069 | Deborah | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_17189224_a460048d-6e3a-4f03-9471-957b621525a5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_17189224_bfb0c650-15e1-40f5-b539-314bc6d40672.json | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6210775 | 2222 | N/A | 17433605 | N/A | 4215193 | 2026-01-16 04:43:37.937581 | 2026-01-16 04:38:12.725481 |
| 2026-01-16 04:43:34.186689 | 2026-01-16 04:43:36.116052 | 17189222 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-09-16 | 2026-01-16 | F | AE | PT | Sankovich | 00000375069 | Deborah | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6210775/check_17189222_67f22044-b94d-4f8a-9462-5f10d58c2e8c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-16 | N/A | N/A | N/A | N/A | N/A | N/A | 00000375069 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-09-16 | N/A | N/A | N/A | N/A | false | SANKOVICH | N/A | DEBORAH | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6210775 | 2222 | N/A | N/A | N/A | 4215193 | 2026-01-16 04:43:36.116052 | 2026-01-16 04:38:12.725481 |