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 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-01-12 08:16:39.407562 | 2026-01-13 01:43:15.638834 | 17019838 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 17019838 | Athletic Physical Therapy Inc | 1975-12-22 | 2026-01-14 | M | PT | HUTH | XEH910929228 | KENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7626895/check_17019838_7c235abe-3412-4348-8cf9-6188e544727c.json | N/A | N/A | N/A | N/A | N/A | XEH910929228 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1975-12-22 | 1000HMOX0001 | W0051411 | N/A | HM | false | HUTH | N/A | KENT | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9743736111 | N/A | N/A | 7626895 | 2222 | 4793 | 17282971 | N/A | 6525917 | 2026-01-13 01:43:15.638834 | 2026-05-08 22:53:13.232007 |
| 2026-01-12 08:16:39.049500 | 2026-01-13 01:46:40.641513 | 17019814 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17019814 | Athletic Physical Therapy Inc | 1988-08-19 | 2026-01-14 | M | PT | Bridgemohansingh | NTF910W08222 | Jason | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7258746/check_17019814_c69c24bc-d2e5-449e-bcdf-f67b7e32a79c.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 | 9743736110 | N/A | N/A | 7258746 | 2222 | 4802 | 17287928 | N/A | 6224482 | 2026-01-13 01:46:40.641513 | 2025-08-07 00:03:18.267969 |
| 2026-01-12 08:16:38.635937 | 2026-01-13 01:52:49.955807 | 17019791 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17019791 | Athletic Physical Therapy Inc | 1959-02-09 | 2026-01-14 | F | AE | FERTSCHNEIDER | 4DU9YG4YD46 | NANCY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7204595/check_17019791_dc2f500c-1fa6-4e20-b82d-be57f84d38f5.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 | 9743736109 | N/A | N/A | 7204595 | 2222 | 4801 | 17291359 | N/A | 6175435 | 2026-01-13 01:52:49.955807 | 2025-08-05 19:05:08.506352 |
| 2026-01-12 08:16:38.297356 | 2026-01-13 01:46:25.014809 | 17019776 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 17019776 | Athletic Physical Therapy Inc | 1969-06-12 | 2026-01-15 | F | AE | Ballatore | 90665617F | Chloe | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6553125/check_17019776_a8be43a1-61b0-4921-a98e-e694c18ea92f.json | N/A | N/A | N/A | N/A | N/A | 90665617F | N/A | N/A | LA CARE HEALTH PLAN | N/A | 1969-06-12 | N/A | N/A | N/A | N/A | false | BALLATORE | N/A | CHLOE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9743736108 | N/A | N/A | 6553125 | 2222 | 4802 | 17287719 | 5538 | 5176363 | 2026-01-13 01:46:25.014809 | 2025-06-23 23:46:22.182955 |
| 2026-01-12 08:16:38.045238 | 2026-01-13 01:46:14.560526 | 17019760 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 17019760 | Athletic Physical Therapy Inc | 1981-12-16 | 2026-01-14 | F | AE | DE FELICE | R07457624FM1 | CHRISTINA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140436/check_17019760_c17a8fe6-21cc-4dcb-aa40-5245cfa531f5.json | N/A | N/A | N/A | N/A | N/A | R07457624FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1981-12-16 | N/A | N/A | N/A | N/A | false | DE FELICE | N/A | CHRISTINA | N/A | N/A | N/A | MI4 SBP | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9743736107 | N/A | N/A | 6140436 | 2222 | 4801 | 17287545 | N/A | 4781417 | 2026-01-13 01:46:14.560526 | 2025-06-06 17:03:19.078153 |
| 2026-01-12 08:16:37.812445 | 2026-01-13 01:46:12.837298 | 17019741 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 17019741 | Athletic Physical Therapy Inc | 1960-12-09 | 2026-01-14 | F | AE | ANDREATTE | 95479460G | DEANNA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6112315/check_17019741_d9c1a9a8-38dd-478e-8234-548591e3d865.json | N/A | N/A | N/A | N/A | N/A | 95479460G | N/A | N/A | HEALTH NET, LLC | N/A | 1960-12-09 | N/A | N/A | N/A | N/A | false | ANDREATTE | N/A | DEANNA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9743736106 | N/A | N/A | 6112315 | 2222 | 4802 | 17287510 | 4625 | 4755145 | 2026-01-13 01:46:12.837298 | 2026-01-14 18:08:34.434380 |
| 2026-01-12 08:16:37.298140 | 2026-01-13 01:46:12.564502 | 17019708 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 17019708 | Athletic Physical Therapy Inc | 1969-01-08 | 2026-01-14 | F | AE | ALROMAIH | 91237812E | SARAH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993940/check_17019708_af150b5d-d4a2-4918-96b1-1da9527efec9.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 | 9743736105 | N/A | N/A | 5993940 | 2222 | 4802 | 17287506 | 4625 | 4642877 | 2026-01-13 01:46:12.564502 | 2025-12-23 23:49:16.627667 |
| 2026-01-12 08:16:36.929810 | 2026-01-13 01:46:13.689828 | 17019686 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 17019686 | Athletic Physical Therapy Inc | 1964-11-15 | 2026-01-14 | F | AE | BIKOULOVA | 92040499F | ALEXANDRA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874423/check_17019686_b5e73280-9da9-4f1c-b994-20d14e0d4ebf.json | N/A | N/A | N/A | N/A | N/A | 92040499F | N/A | N/A | HEALTH NET, LLC | N/A | 1964-11-15 | N/A | N/A | N/A | N/A | false | BIKOULOVA | N/A | ALEXANDRA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9743736104 | N/A | N/A | 5874423 | 2222 | 4802 | 17287524 | 4625 | 4534552 | 2026-01-13 01:46:13.689828 | 2025-05-30 18:01:03.324126 |
| 2026-01-12 08:16:36.671897 | 2026-01-13 01:44:06.763812 | 17019677 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 17019677 | Athletic Physical Therapy Inc | 1970-09-15 | 2026-01-14 | F | AE | DON | H74748118 | JACKIE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550314/check_17019677_506d33c4-2a0e-4b91-ba9e-d46c25e81a7c.json | N/A | N/A | N/A | N/A | N/A | H74748118 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1970-09-15 | N/A | 2B506001 | N/A | HN | false | DON | N/A | JACKIE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9743736103 | N/A | N/A | 5550314 | 2222 | 4801 | 17284604 | N/A | 4219523 | 2026-01-13 01:44:06.763812 | 2025-12-13 21:47:36.966446 |
| 2026-01-12 08:16:36.487858 | 2026-01-13 01:52:51.543735 | 17019667 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17019667 | Athletic Physical Therapy Inc | 1942-04-09 | 2026-01-14 | F | AE | JALLAD | 7AY7QW7EK46 | IKRAM | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549454/check_17019667_cdd13a03-0273-42de-b99b-f8162fda90df.json | N/A | N/A | N/A | N/A | N/A | 7AY7QW7EK46 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-04-09 | S5617 | N/A | N/A | MB | false | JALLAD | N/A | IKRAM | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9743736102 | N/A | N/A | 5549454 | 2222 | 4801 | 17291377 | N/A | 4219116 | 2026-01-13 01:52:51.543735 | 2025-05-16 16:43:35.854220 |
| 2026-01-12 08:16:35.988984 | 2026-01-13 01:46:45.892970 | 17019634 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17019634 | Athletic Physical Therapy Inc | 1962-01-25 | 2026-01-14 | F | PT | LUCZYWEK | HFD100011213709 | DEBORA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_17019634_7acc6492-4d9f-4344-b0ca-bb0bdf02d73f.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2027-01-01 | 2026-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9743736101 | N/A | N/A | 5549317 | 2222 | 4801 | 17288000 | N/A | 4219010 | 2026-01-13 01:46:45.892970 | 2026-01-09 18:32:07.618867 |
| 2026-01-12 08:16:35.554168 | 2026-01-13 01:45:29.900977 | 17019605 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 17019605 | Athletic Physical Therapy Inc | 1950-03-29 | 2026-01-15 | M | AE | AKHTARI | 40045421301 | SHAHROKH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543493/check_17019605_47c5f041-7c5a-443a-8b37-e0cd3416aa67.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 | 9743736100 | N/A | N/A | 5543493 | 2222 | 4793 | 17286784 | 6237 | 4215273 | 2026-01-13 01:45:29.900977 | 2025-05-13 04:29:37.229594 |
| 2026-01-12 08:16:35.186503 | 2026-01-13 01:43:01.438842 | 17019584 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17019584 | Athletic Physical Therapy Inc | 1964-03-27 | 2026-01-14 | M | AE | MCCOWAN | 93341440D | KEVIN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_17019584_a58407f5-bc8e-46a5-8eaa-38b7e210d822.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-03-27 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | 2078-12-31 | 2024-11-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9743734908 | N/A | N/A | 5543270 | 2222 | 4793 | 17282472 | 4211 | 4215086 | 2026-01-13 01:43:01.438842 | 2025-05-13 04:29:37.229401 |
| 2026-01-12 08:16:34.855780 | 2026-01-13 01:46:45.559463 | 17019564 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17019564 | Athletic Physical Therapy Inc | 1972-06-23 | 2026-01-14 | F | PT | LAWSON | JXN663W00172 | MICHELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543167/check_17019564_b13bc124-d705-47df-8433-6e708967eaeb.json | N/A | N/A | N/A | N/A | N/A | JXN663W00172 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1972-06-23 | 040 | 174222M2A1 | N/A | PR | false | LAWSON | N/A | MICHELLE | N/A | 9999-12-31 | 2020-01-01 | BC PPO INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9743734907 | N/A | N/A | 5543167 | 2222 | 4793 | 17287996 | N/A | 4214995 | 2026-01-13 01:46:45.559463 | 2025-05-13 04:29:37.229315 |
| 2026-01-12 08:16:34.516829 | 2026-01-13 01:47:06.749269 | 17019548 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17019548 | Athletic Physical Therapy Inc | 1975-03-27 | 2026-01-15 | M | PT | SHAW | JQW647W16708 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542902/check_17019548_916652f9-a97e-4ecd-96cc-83c68d756601.json | N/A | N/A | N/A | N/A | N/A | JQW647W16708 | Medicare Primary | CA MEDICARE | BLUE SHIELD OF CALIFORNIA | N/A | 1975-03-27 | 040 | CAMCRWP0 | N/A | MP | false | SHAW | N/A | MICHAEL | N/A | 9999-12-31 | 2026-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9743734906 | N/A | N/A | 5542902 | 2222 | 4801 | 17288267 | N/A | 4214761 | 2026-01-13 01:47:06.749269 | 2026-01-08 16:06:40.256372 |
| 2026-01-12 08:16:34.001197 | 2026-01-13 01:43:24.334728 | 17019516 | N/A | N/A | 60054 | Aetna | 1114042165 | 17019516 | Athletic Physical Therapy Inc | 1962-10-31 | 2026-01-14 | M | AE | SCHWARTZ | W286B1257901 | STEVEN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542851/check_17019516_b0488f01-2489-4ca7-a5cc-c8367088f53d.json | N/A | N/A | N/A | N/A | N/A | W286312579 | Health Maintenance Organization (HMO) | VINFAST AUTO, LLC | AETNA | N/A | 1962-10-31 | EACZM805 | 017515801000101 | N/A | HM | false | SCHWARTZ | N/A | STEVEN | N/A | N/A | N/A | HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9743734905 | N/A | N/A | 5542851 | 2222 | 4802 | 17283262 | N/A | 4214717 | 2026-01-13 01:43:24.334728 | 2025-11-14 20:45:59.804575 |
| 2026-01-12 08:16:33.576134 | 2026-01-13 01:46:55.368660 | 17019491 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17019491 | Athletic Physical Therapy Inc | 1949-06-30 | 2026-01-15 | F | PT | STEWART | WSP370A66341 | ALBERTA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542834/check_17019491_1cef6437-d7fd-472a-9944-e5c6fc42b619.json | N/A | N/A | N/A | N/A | N/A | WSP370A66341 | N/A | ELEVANCE HEALTH | ANTHEM BLUE CROSS | N/A | 1949-06-30 | 130 | IN002GRS | N/A | N/A | false | STEWART | N/A | ALBERTA | N/A | 9999-12-31 | 2021-01-01 | IN GRS ELEVANCE HEALTH H4036-801 ANTHEM MED PREFER | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9743734904 | N/A | N/A | 5542834 | 2222 | 4801 | 17288116 | N/A | 4214700 | 2026-01-13 01:46:55.368660 | 2025-05-13 04:29:37.229017 |
| 2026-01-12 08:16:33.207639 | 2026-01-13 01:46:12.290268 | 17019469 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | 17019469 | override_provider | 1972-07-22 | 2026-01-15 | M | AE | KOZMA | U9714475101 | JASON | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542709/check_17019469_6e49aa93-6d5f-4a8a-9263-78f9785a5736.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 | 9743734903 | N/A | N/A | 5542709 | 2222 | 4802 | 17287501 | N/A | 4214582 | 2026-01-13 01:46:12.290268 | 2025-12-02 00:00:04.433236 |
| 2026-01-12 08:16:32.863300 | 2026-01-13 01:43:22.634093 | 17019452 | N/A | N/A | 60054 | Aetna | 1114042165 | 17019452 | Athletic Physical Therapy Inc | 2005-11-23 | 2026-01-15 | F | AE | FERRELL | W285064666 | AMELIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542678/check_17019452_3fc95dd0-da0f-4dda-8757-6794b98d4878.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 | 9743734902 | N/A | N/A | 5542678 | 2222 | 4802 | 17283219 | N/A | 4214560 | 2026-01-13 01:43:22.634093 | 2025-05-13 04:29:37.228883 |
| 2026-01-12 08:16:32.468056 | 2026-01-13 01:43:01.176176 | 17019428 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17019428 | Athletic Physical Therapy Inc | 1960-09-15 | 2026-01-15 | F | AE | HAMI | 92932800G | FARIBA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542611/check_17019428_71fd18b8-5bc7-428a-bedc-82df660b8a91.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MEDICARE PART AB CI003 | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1960-09-15 | BP0001 | QMXEM01909 | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | 2078-12-31 | 2025-11-01 | DUAL ELIGIBLE AGED - MSP - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9743734901 | N/A | N/A | 5542611 | 2222 | 4802 | 17282461 | 4211 | 4214490 | 2026-01-13 01:43:01.176176 | 2025-05-13 04:29:37.228806 |
| 2026-01-12 08:16:32.193066 | 2026-01-13 01:46:54.036208 | 17019412 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17019412 | Athletic Physical Therapy Inc | 1942-12-17 | 2026-01-14 | F | PT | STEINBERG | MBL988M98459 | JUDY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542014/check_17019412_3f9633b3-5630-4ee3-b724-0d94b21de688.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9743734900 | N/A | N/A | 5542014 | 2222 | 4793 | 17288095 | N/A | 4213977 | 2026-01-13 01:46:54.036208 | 2025-05-13 04:29:37.228294 |
| 2026-01-12 08:16:31.822102 | 2026-01-13 01:43:02.297203 | 17019393 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 17019393 | Athletic Physical Therapy Inc | 1961-02-27 | 2026-01-14 | M | AE | SHRIVER | 90771207E | DANIEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541984/check_17019393_9307fc6e-d3d9-4068-a56a-5ed63e815a31.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-02-27 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | SHRIVER | N/A | DANIEL | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9743734899 | N/A | N/A | 5541984 | 2222 | 4802 | 17282491 | 4211 | 4213934 | 2026-01-13 01:43:02.297203 | 2026-01-27 23:36:44.802366 |
| 2026-01-12 08:16:31.453492 | 2026-01-13 01:47:01.816247 | 17019363 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17019363 | Athletic Physical Therapy Inc | 1980-10-14 | 2026-01-15 | M | PT | ABI MALHAB | KSI73549599C | NADIM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541968/check_17019363_91e0da68-7a8b-4359-a685-49a20bccf73e.json | N/A | N/A | N/A | N/A | N/A | KSI73549599C | Preferred Provider Organization (PPO) | KARL STORZ ENDOSCOPY AMERICA INC | BLUE SHIELD CALIFORNIA | N/A | 1980-10-14 | 1000PPOX0003 | W8002382 | N/A | PR | false | ABI MALHAB | N/A | NADIM | N/A | N/A | N/A | KARL STORZ ENDOSCOPY AMERICA INC SHARED ADVANTAGE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9743734898 | N/A | N/A | 5541968 | 2222 | 4802 | 17288204 | N/A | 4213936 | 2026-01-13 01:47:01.816247 | 2025-05-13 04:29:37.228255 |
| 2026-01-12 08:16:31.022439 | 2026-01-13 01:46:39.310758 | 17019334 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17019334 | Athletic Physical Therapy Inc | 1959-05-13 | 2026-01-14 | F | PT | ADRIANZEN FERNAN | MMA221W20054 | AURA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541944/check_17019334_e86e93b9-2075-4fac-8e1b-b84fb186df4a.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 | 9743734897 | N/A | N/A | 5541944 | 2222 | 4801 | 17287910 | N/A | 4213907 | 2026-01-13 01:46:39.310758 | 2025-05-13 04:29:37.228228 |
| 2026-01-12 08:16:30.659652 | 2026-01-13 01:43:24.589043 | 17019318 | N/A | N/A | 60054 | Aetna | 1114042165 | 17019318 | Athletic Physical Therapy Inc | 1986-03-06 | 2026-01-15 | M | AE | LOPEZ | W27941988601 | NORBY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541926/check_17019318_9429f703-9bd0-42cb-bbc8-f85400cc6593.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 | 9743734896 | N/A | N/A | 5541926 | 2222 | 4802 | 17283270 | N/A | 4213897 | 2026-01-13 01:43:24.589043 | 2026-01-05 15:53:04.731703 |
| 2026-01-12 08:16:30.109622 | 2026-01-13 01:46:15.761929 | 17019286 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 17019286 | Athletic Physical Therapy Inc | 1985-02-07 | 2026-01-15 | F | AE | SHEPHERD | 93180838F | EMILY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541519/check_17019286_203860f4-1cab-4138-9dfe-5485e064fcde.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | HEALTH NET, LLC | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9743734895 | N/A | N/A | 5541519 | 2222 | 4802 | 17287569 | 4625 | 4213530 | 2026-01-13 01:46:15.761929 | 2025-05-13 04:29:37.227860 |
| 2026-01-12 08:16:29.624043 | 2026-01-13 01:47:05.934807 | 17019249 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17019249 | Athletic Physical Therapy Inc | 2012-06-25 | 2026-01-14 | F | PT | LORD | JQT822A53740 | ALYSSA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541409/check_17019249_6de6f065-9f70-4761-9c62-52bc5c04b1cf.json | N/A | N/A | N/A | N/A | N/A | JQT822A53740 | Health Maintenance Organization (HMO) | JLIV SERVICES INC | BLUE SHIELD OF CALIFORNIA | N/A | 2012-06-25 | 040 | U54789 | N/A | HM | false | LORD | N/A | JETHRO | N/A | 9999-12-31 | 2025-08-01 | CA SG PRISELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9743734894 | N/A | N/A | 5541409 | 2222 | 4793 | 17288263 | N/A | 4213435 | 2026-01-13 01:47:05.934807 | 2025-05-13 04:29:37.227756 |
| 2026-01-12 08:16:29.036034 | 2026-01-13 01:47:04.468897 | 17019216 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17019216 | Athletic Physical Therapy Inc | 1965-09-18 | 2026-01-14 | F | PT | SHAPIRO | XEA901579979 | ANDREA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541315/check_17019216_9c43b4e8-16bf-42ad-a943-ea5ba260f943.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 | 9743734893 | N/A | N/A | 5541315 | 2222 | 4793 | 17288241 | N/A | 4213344 | 2026-01-13 01:47:04.468897 | 2025-05-13 04:29:37.227667 |
| 2026-01-12 08:16:28.651555 | 2026-01-13 01:52:48.871267 | 17019193 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17019193 | Athletic Physical Therapy Inc | 1956-01-14 | 2026-01-14 | F | AE | COHENZADEH | 1YM2D25GY27 | SIMA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541059/check_17019193_f6710fcc-d9d9-4e0f-b775-4c1b87ce2402.json | N/A | N/A | N/A | N/A | N/A | 1YM2D25GY27 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-14 | S4802 | N/A | N/A | MA | false | COHENZADEH | N/A | SIMA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9743734892 | N/A | N/A | 5541059 | 2222 | 4802 | 17291349 | N/A | 4213119 | 2026-01-13 01:52:48.871267 | 2025-11-20 01:13:31.057962 |
| 2026-01-12 08:16:28.216968 | 2026-01-13 01:45:31.447679 | 17019170 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 17019170 | Athletic Physical Therapy Inc | 1946-11-23 | 2026-01-14 | F | AD | POLAK | 40047825101 | JOANNA | 30 | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541023/check_17019170_395ce003-2f8b-4ab9-9045-b53bb408124a.json | N/A | N/A | N/A | N/A | N/A | 40047825101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1946-11-23 | 2026H5425006 | H5425M | N/A | N/A | false | POLAK | N/A | JOANNA | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 9743734891 | N/A | N/A | 5541023 | 2222 | 4793 | 17286811 | 6237 | 4213093 | 2026-01-13 01:45:31.447679 | 2025-05-13 04:29:37.227419 |
| 2026-01-12 08:16:27.736765 | 2026-01-13 01:52:48.568777 | 17019142 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17019142 | Athletic Physical Therapy Inc | 1956-09-14 | 2026-01-14 | M | AE | COHENZADEH | 7UJ5QD2DD88 | DAVOOD | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540904/check_17019142_717a33cc-36db-4eeb-b594-dd69fbb3ba6a.json | N/A | N/A | N/A | N/A | N/A | 7UJ5QD2DD88 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-09-14 | S4802 | N/A | N/A | MB | false | COHENZADEH | N/A | DAVOOD | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9743734890 | N/A | N/A | 5540904 | 2222 | 4802 | 17291346 | N/A | 4212983 | 2026-01-13 01:52:48.568777 | 2025-11-19 21:27:11.455704 |
| 2026-01-12 08:16:27.238355 | 2026-01-13 01:47:04.766342 | 17019119 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 17019119 | Athletic Physical Therapy Inc | 1997-07-14 | 2026-01-14 | M | PT | SHERBETJIAN | XED910281081 | JACK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540558/check_17019119_9f78023a-327e-44e0-b1db-a8db04b9d536.json | N/A | N/A | N/A | N/A | N/A | XED910281081 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-14 | 2001ZL002184 | X0001004 | N/A | PR | false | SHERBETJIAN | N/A | JACK | N/A | 9999-12-31 | 2021-01-01 | IFP EMB PED VISION | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9743734888 | N/A | N/A | 5540558 | 2222 | 4801 | 17288245 | N/A | 4212698 | 2026-01-13 01:47:04.766342 | 2025-05-13 04:29:37.227042 |
| 2026-01-12 08:16:26.942748 | 2026-01-13 01:52:46.741771 | 17019100 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17019100 | Athletic Physical Therapy Inc | 1940-05-13 | 2026-01-15 | F | AE | ALIZADEH GHARBAGHI | 6AX8PH3NH43 | TOURAN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540531/check_17019100_3e402677-f138-4df0-bddf-af39efc0e51f.json | N/A | N/A | N/A | N/A | N/A | 6AX8PH3NH43 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-05-13 | S5617 | N/A | N/A | MA | false | ALIZADEH GHARBAGHI | N/A | TOURAN | N/A | N/A | N/A | N/A | N/A | 11005 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9743734887 | N/A | N/A | 5540531 | 2222 | 4802 | 17291325 | N/A | 4212676 | 2026-01-13 01:52:46.741771 | 2025-07-03 21:09:02.193065 |
| 2026-01-12 08:16:26.521684 | 2026-01-13 01:45:31.119777 | 17019075 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 17019075 | Athletic Physical Therapy Inc | 1948-04-26 | 2026-01-15 | M | AE | LODIN | 40064763401 | MOHAMMED | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540259/check_17019075_db2a7139-4f94-4cc0-9d0b-b79699217b4b.json | N/A | N/A | N/A | N/A | N/A | 40064763401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1948-04-26 | 2026H5425001 | H5425M | N/A | N/A | false | LODIN | N/A | MOHAMMED | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9743734886 | N/A | N/A | 5540259 | 2222 | 4793 | 17286802 | 6237 | 4212442 | 2026-01-13 01:45:31.119777 | 2025-05-13 04:29:37.226772 |
| 2026-01-12 08:16:25.982345 | 2026-01-13 01:46:40.172269 | 17019038 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17019038 | Athletic Physical Therapy Inc | 1936-06-28 | 2026-01-15 | F | PT | BOYLAN | MBL857M98403 | JOAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540074/check_17019038_b1265bad-bd78-495c-bf74-967ca5fe525b.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 9999-12-31 | 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 | 9743734885 | N/A | N/A | 5540074 | 2222 | 4802 | 17287923 | N/A | 4212282 | 2026-01-13 01:46:40.172269 | 2025-05-13 04:29:37.226623 |
| 2026-01-12 08:16:25.710601 | 2026-01-13 01:46:14.819930 | 17019021 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 17019021 | Athletic Physical Therapy Inc | 1982-06-09 | 2026-01-14 | M | AE | FULKERSON | R12222652MM1 | SCOTT | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539956/check_17019021_b145d1d8-0780-47bd-9c02-fd10a3968473.json | N/A | N/A | N/A | N/A | N/A | R12222652MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1982-06-09 | N/A | N/A | N/A | N/A | false | FULKERSON | N/A | SCOTT | N/A | N/A | N/A | NCE UCNNHMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9743734884 | N/A | N/A | 5539956 | 2222 | 4801 | 17287551 | N/A | 4212166 | 2026-01-13 01:46:14.819930 | 2025-10-23 15:59:33.239127 |
| 2026-01-12 08:16:25.358780 | 2026-01-13 01:46:40.958746 | 17018994 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17018994 | Athletic Physical Therapy Inc | 2011-01-19 | 2026-01-15 | M | PT | CHELIUS | JXN662A51170 | CADEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539929/check_17018994_477f5874-5d9b-45a7-8fd4-a44c7d8ad372.json | N/A | N/A | N/A | N/A | N/A | JXN662A51170 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 2011-01-19 | 040 | 174222M9A1 | N/A | PR | false | CHELIUS | N/A | CRAIG | N/A | 9999-12-31 | 2021-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9743734883 | N/A | N/A | 5539929 | 2222 | 4793 | 17287935 | N/A | 4212158 | 2026-01-13 01:46:40.958746 | 2025-10-22 16:00:14.919111 |
| 2026-01-12 08:16:24.875301 | 2026-01-13 01:46:54.963298 | 17018962 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17018962 | Athletic Physical Therapy Inc | 1961-10-29 | 2026-01-15 | F | PT | STEWARD | NCF874A20085 | ANDREA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539556/check_17018962_2b4c4572-4a85-4f4e-99f2-000dcee48855.json | N/A | N/A | N/A | N/A | N/A | NCF874A20085 | Health Maintenance Organization (HMO) | LACERS- LOS ANGELES CITY RETIREMENT SYSTEMS | ANTHEM BLUE CROSS | N/A | 1961-10-29 | 040 | 57ABBA | N/A | HM | false | STEWARD | N/A | ANDREA | N/A | 9999-12-31 | 2017-04-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9743734881 | N/A | N/A | 5539556 | 2222 | 4801 | 17288103 | N/A | 4211841 | 2026-01-13 01:46:54.963298 | 2025-10-23 18:30:51.891275 |
| 2026-01-12 08:16:24.428128 | 2026-01-13 01:52:50.270036 | 17018937 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17018937 | Athletic Physical Therapy Inc | 1933-03-03 | 2026-01-15 | M | AE | FISCHEL | 7PC7UV8HH46 | DONALD | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539216/check_17018937_647af8eb-e616-4bec-bfc8-0631f3eac8ff.json | N/A | N/A | N/A | N/A | N/A | 7PC7UV8HH46 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1933-03-03 | S5921 | N/A | N/A | MA | false | FISCHEL | N/A | DONALD | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9743734880 | N/A | N/A | 5539216 | 2222 | 4801 | 17291362 | N/A | 4211550 | 2026-01-13 01:52:50.270036 | 2025-07-06 18:22:48.105422 |
| 2026-01-12 08:16:23.911973 | 2026-01-13 01:45:30.155064 | 17018903 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 17018903 | Athletic Physical Therapy Inc | 1939-12-29 | 2026-01-15 | F | AD | ALESSI | 31019902301 | JEAN | 30 | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539133/check_17018903_a7e92a7a-3b19-4001-a89f-15aa0b739472.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 | 9743734879 | N/A | N/A | 5539133 | 2222 | 4793 | 17286791 | N/A | 4211471 | 2026-01-13 01:45:30.155064 | 2025-07-09 03:59:33.308587 |
| 2026-01-12 08:16:23.381267 | 2026-01-13 01:46:45.180169 | 17018874 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17018874 | Athletic Physical Therapy Inc | 1980-04-11 | 2026-01-14 | M | PT | Hurst | JQY695A75359 | Gregory | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539085/check_17018874_c6a765e8-bbeb-445d-abb2-3e5234917d7f.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 | 9743734878 | N/A | N/A | 5539085 | 2222 | 4793 | 17287990 | N/A | 4211408 | 2026-01-13 01:46:45.180169 | 2025-09-18 00:42:48.586801 |
| 2026-01-12 08:16:22.966123 | 2026-01-13 01:45:30.583172 | 17018848 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 17018848 | Athletic Physical Therapy Inc | 1951-08-02 | 2026-01-15 | M | AE | CHADIDA | 40060913601 | DAVID | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538674/check_17018848_e168ed54-4fd7-4c9b-93d8-d9f66dc2e89a.json | N/A | N/A | N/A | N/A | N/A | 40060913601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-08-02 | 2026H5425001 | H5425M | N/A | N/A | false | CHADIDA | N/A | DAVID | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9743734876 | N/A | N/A | 5538674 | 2222 | 4793 | 17286795 | 6237 | 4211039 | 2026-01-13 01:45:30.583172 | 2025-05-13 04:29:37.225444 |
| 2026-01-12 08:16:22.524943 | 2026-01-13 01:46:22.075050 | 17018823 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 17018823 | Athletic Physical Therapy Inc | 1949-09-13 | 2026-01-15 | M | AE | GOMES | 00000285293 | NEMESIO | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537439/check_17018823_a2b061ab-3015-4245-affd-a06a9468f0b0.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 | 9743734875 | N/A | N/A | 5537439 | 2222 | 4801 | 17287681 | 2630 | 4210001 | 2026-01-13 01:46:22.075050 | 2025-05-13 04:29:37.224421 |
| 2026-01-12 08:16:22.125895 | 2026-01-13 01:44:39.756070 | 17018793 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 17018793 | Athletic Physical Therapy Inc | 1960-01-04 | 2026-01-14 | M | AE | CATLIN | U0538312401 | VINCE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537309/check_17018793_81efdf20-060b-47ae-987f-112e411acbea.json | N/A | N/A | N/A | N/A | N/A | U0538312401 | Health Maintenance Organization (HMO) | PANAVISION INTERNATIONAL, L.P. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1960-01-04 | N/A | 3345947 | N/A | HM | false | CATLIN | N/A | VINCE | N/A | N/A | N/A | HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9743734874 | N/A | N/A | 5537309 | 2222 | 4793 | 17285668 | N/A | 4209897 | 2026-01-13 01:44:39.756070 | 2025-11-25 00:42:44.777389 |
| 2026-01-12 08:16:21.753893 | 2026-01-13 01:46:12.011486 | 17018766 | N/A | N/A | 95567 | Health Net of California and Oregon | 1588406342 | 17018766 | override_provider | 1972-10-15 | 2026-01-15 | F | AE | BAHGAT | R0765902916 | MONA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536335/check_17018766_6522e60c-2047-4d00-9963-4c1c8e520baf.json | N/A | N/A | N/A | N/A | N/A | R0765902916 | 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. | 1972-10-15 | 67138CA0520010-01 | N/A | N/A | N/A | false | BAHGAT | N/A | MONA | N/A | N/A | N/A | GOLD 80 AMBETTER HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9743734873 | N/A | N/A | 5536335 | 2222 | 4802 | 17287494 | N/A | 4209098 | 2026-01-13 01:46:12.011486 | 2025-05-13 04:29:37.223519 |
| 2026-01-12 08:16:21.363922 | 2026-01-13 01:46:13.208150 | 17018749 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 17018749 | Athletic Physical Therapy Inc | 2008-04-21 | 2026-01-14 | F | AE | BAUMAN | R01271027FD1 | ALEXIS | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536279/check_17018749_4d68c47c-e104-4a23-9fb5-8a5585a4ea96.json | N/A | N/A | N/A | N/A | N/A | R01271027FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2008-04-21 | N/A | N/A | N/A | N/A | false | BAUMAN | N/A | ALEXIS | N/A | N/A | N/A | NA6 COMHMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9743734872 | N/A | N/A | 5536279 | 2222 | 4793 | 17287516 | N/A | 4209049 | 2026-01-13 01:46:13.208150 | 2025-12-12 22:17:49.863168 |
| 2026-01-12 08:16:20.953462 | 2026-01-13 01:52:53.664092 | 17018715 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 17018715 | Athletic Physical Therapy Inc | 1946-12-07 | 2026-01-14 | F | AE | MOONVES | 9VC3KJ4XU95 | NANCY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536069/check_17018715_0f7f9113-3fc2-45dd-aab1-c8dfe4e5b1a5.json | N/A | N/A | N/A | N/A | N/A | 9VC3KJ4XU95 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-12-07 | S4802 | N/A | N/A | MA | false | MOONVES | 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 | 9743734871 | N/A | N/A | 5536069 | 2222 | 4802 | 17291392 | N/A | 4208883 | 2026-01-13 01:52:53.664092 | 2025-05-13 04:29:37.223310 |
| 2026-01-12 08:16:20.538355 | 2026-01-13 01:46:21.404939 | 17018686 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 17018686 | Athletic Physical Therapy Inc | 1952-10-14 | 2026-01-14 | M | AE | CHISARI | 00000386684 | THOMAS | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536007/check_17018686_5a9a152b-df56-4fba-bce8-93ebf34d66ee.json | N/A | N/A | N/A | N/A | N/A | 00000386684 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1952-10-14 | H3815028 | N/A | N/A | HM | false | CHISARI | N/A | THOMAS | 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 | 9743734870 | N/A | N/A | 5536007 | 2222 | 4793 | 17287671 | 2630 | 4208829 | 2026-01-13 01:46:21.404939 | 2025-06-03 01:05:45.663969 |
| 2026-01-12 08:16:19.955993 | 2026-01-13 01:46:42.299383 | 17018659 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 17018659 | Athletic Physical Therapy Inc | 1960-04-27 | 2026-01-14 | M | PT | ENRIGHT | DGA10462968J | HAROLD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.105930685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535419/check_17018659_84fc1583-9969-438c-b326-bdda5215d7bf.json | N/A | N/A | N/A | N/A | N/A | DGA10462968J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1960-04-27 | 040 | 276945M001 | N/A | PR | false | ENRIGHT | N/A | HAROLD | N/A | 9999-12-31 | 2017-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9743734868 | N/A | N/A | 5535419 | 2222 | 4793 | 17287951 | N/A | 4208347 | 2026-01-13 01:46:42.299383 | 2025-05-13 04:29:37.222769 |
| 2026-01-12 08:11:52.372525 | 2026-01-13 01:34:00.852898 | 17001242 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 17001242 | Athletic Physical Therapy Inc | 1940-01-03 | 2026-01-14 | M | AE | YARROW | 06804273011 | FREDERICK | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260112.122113725.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15193196/check_17001242_d635f817-905d-4ca9-bfd0-cba7b0becc28.json | N/A | N/A | N/A | N/A | N/A | 06804273011 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1940-01-03 | N/A | N/A | N/A | SP | false | YARROW | N/A | FREDERICK | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN J | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9743739416 | N/A | N/A | 15193196 | 2222 | 4801 | 17265494 | N/A | 13295466 | 2026-01-13 01:34:00.852898 | 2026-01-08 22:41:21.406873 |