API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-01-10 08:11:10.054900 | 2026-01-11 03:59:12.908577 | 16970204 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16970204 | Athletic Physical Therapy Inc | 1959-12-29 | 2026-01-13 | F | AE | PT | LYGA | 3W97CK7AN48 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11604276/check_16970204_19752410-aa03-4014-84de-598c285224ca.json | N/A | N/A | N/A | N/A | N/A | 3W97CK7AN48 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-12-29 | S5596 | N/A | N/A | MB | false | LYGA | N/A | LISA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9735618644 | N/A | N/A | 11604276 | 2222 | 4801 | 17228145 | N/A | 4218962 | 2026-01-11 03:59:12.908577 | 2025-05-13 04:29:37.229978 |
| 2026-01-10 08:11:09.834657 | 2026-01-11 03:51:40.047958 | 16970188 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 16970188 | Athletic Physical Therapy Inc | 1956-09-25 | 2026-01-13 | M | AD | 30 | Marvin | 40059610101 | Terry | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11529617/check_16970188_fb6ce7ff-e9ea-4322-8f23-198a77160296.json | N/A | N/A | N/A | N/A | N/A | 40059610101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1956-09-25 | 2026H5425001 | H5425M | N/A | N/A | false | MARVIN | N/A | TERRY | 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 | 9735618640 | N/A | N/A | 11529617 | 2222 | 4801 | 17227231 | N/A | 9770503 | 2026-01-11 03:51:40.047958 | 2025-11-05 23:33:36.141284 |
| 2026-01-10 08:11:09.624608 | 2026-01-11 03:51:39.370033 | 16970174 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 16970174 | Athletic Physical Therapy Inc | 1954-02-02 | 2026-01-13 | F | AD | 30 | CORNEL | 40037363901 | GLORIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11111720/check_16970174_456e3cfb-6c53-4682-bc82-83fa1165bbb2.json | N/A | N/A | N/A | N/A | N/A | 40037363901 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1954-02-02 | 2026H5425001 | H5425M | N/A | N/A | false | CORNEL | N/A | GLORIA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 9735618639 | N/A | N/A | 11111720 | 2222 | 4801 | 17227229 | N/A | 9461873 | 2026-01-11 03:51:39.370033 | 2025-10-28 18:04:57.630831 |
| 2026-01-10 08:11:09.468233 | 2026-01-11 03:55:24.722219 | 16970163 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16970163 | Athletic Physical Therapy Inc | 1974-12-08 | 2026-01-13 | M | PT | N/A | MAGEE | SRYHC0157512 | TERRENCE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11084204/check_16970163_cb06cff7-e48f-495f-ae45-b7ae90cb9329.json | N/A | N/A | N/A | N/A | N/A | SRYHC0157512 | Preferred Provider Organization (PPO) | SURVEYMONKEY PPO IN STATE | BLUE SHIELD OF CALIFORNIA | N/A | 1974-12-08 | 040 | L12152M001 | N/A | PR | false | MAGEE | N/A | JENNIFER | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9735618638 | N/A | N/A | 11084204 | 2222 | 4793 | 17227480 | N/A | 9438176 | 2026-01-11 03:55:24.722219 | 2025-11-14 22:03:28.394724 |
| 2026-01-10 08:11:09.301654 | 2026-01-11 03:51:38.997578 | 16970150 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 16970150 | Athletic Physical Therapy Inc | 1949-07-26 | 2026-01-12 | F | AD | 30 | BLESSLEY | 40064625701 | DONNA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11011920/check_16970150_c8f2e296-b567-420f-a3a3-51e25c044c6d.json | N/A | N/A | N/A | N/A | N/A | 40064625701 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1949-07-26 | 2026H5425001 | H5425M | N/A | N/A | false | BLESSLEY | N/A | DONNA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 9735618636 | N/A | N/A | 11011920 | 2222 | 4793 | 17227228 | N/A | 9377403 | 2026-01-11 03:51:38.997578 | 2025-10-15 20:29:32.165707 |
| 2026-01-10 08:11:09.142235 | 2026-01-11 03:59:14.952052 | 16970140 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16970140 | Athletic Physical Therapy Inc | 1953-06-18 | 2026-01-13 | F | AE | PT | REISMAN | 6C16CN3FM49 | GAIL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10984906/check_16970140_a268a7b5-598b-460d-a166-fd15397cfdfe.json | N/A | N/A | N/A | N/A | N/A | 6C16CN3FM49 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-06-18 | N/A | N/A | N/A | MB | false | REISMAN | N/A | GAIL | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9735618634 | N/A | N/A | 10984906 | 2222 | 4802 | 17228151 | N/A | 9156222 | 2026-01-11 03:59:14.952052 | 2026-01-08 22:56:20.879547 |
| 2026-01-10 08:11:08.958781 | 2026-01-11 03:45:01.235644 | 16970126 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16970126 | Athletic Physical Therapy Inc | 1983-05-09 | 2026-01-13 | F | AE | PT | RAJCIC | 622299781 | MAJA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10172287/check_16970126_43dd09c8-9a2a-4a21-8563-1a7bd60b35d7.json | N/A | N/A | N/A | N/A | N/A | 622299781 | N/A | N/A | MOLINA_CA | N/A | 1983-05-09 | 18126CA001000101 | QMXEM01910 | N/A | N/A | false | RAJCIC | N/A | MAJA | N/A | N/A | N/A | PLATINUM 90 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9735618633 | N/A | N/A | 10172287 | 2222 | 4802 | 17226605 | 4211 | 8473558 | 2026-01-11 03:45:01.235644 | 2025-10-10 16:40:45.584452 |
| 2026-01-10 08:11:08.785510 | 2026-01-11 03:46:39.973198 | 16970115 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 16970115 | override_provider | 1963-04-03 | 2026-01-13 | F | PT | N/A | Protsenko | AJC912998623 | Tetiana | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9958584/check_16970115_ba064799-7e22-44b9-9cfd-0a0d37979968.json | N/A | N/A | N/A | N/A | N/A | AJC912998623 | Medicaid | BSC PROMISE HEALTH PLAN MEDI CAL | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1963-04-03 | 1000MCAL0008 | E0001001 | N/A | MC | false | PROTSENKO | N/A | TETIANA | N/A | N/A | N/A | BLUE SHIELD PROMISE MEDI CAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9735618629 | N/A | N/A | 9958584 | 2222 | 4802 | 17226742 | N/A | 7994720 | 2026-01-11 03:46:39.973198 | 2025-09-24 04:33:28.125297 |
| 2026-01-10 08:11:08.640744 | 2026-01-11 03:53:32.173383 | 16970105 | N/A | N/A | 95340 | Adventist Health System West (Roseville, CA) | 1114042165 | 16970105 | Athletic Physical Therapy Inc | 1967-12-04 | 2026-01-13 | M | AE | PT | Laurente | A01280467 | Noel | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9690147/check_16970105_1556d953-26c5-4427-b8ed-ae0461936aef.json | N/A | N/A | N/A | N/A | N/A | A01280467 | N/A | N/A | ADVENTIST HEALTH SYSTEM WEST ROSEVI | N/A | 1967-12-04 | N/A | N/A | N/A | N/A | false | LAURENTE | N/A | NOEL | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9735618628 | N/A | N/A | 9690147 | 2222 | 4802 | 17227377 | N/A | 8109308 | 2026-01-11 03:53:32.173383 | 2025-09-30 00:20:12.971904 |
| 2026-01-10 08:11:08.492245 | 2026-01-11 03:59:11.738666 | 16970093 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16970093 | Athletic Physical Therapy Inc | 1952-08-04 | 2026-01-13 | F | AE | PT | Dunkerley | 9N89GR7HH33 | Elizabeth | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9665219/check_16970093_87f8ab22-bd24-40f5-8a69-1af906bf68bd.json | N/A | N/A | N/A | N/A | N/A | 9N89GR7HH33 | N/A | N/A | CMS | N/A | 1952-08-04 | N/A | N/A | N/A | N/A | false | DUNKERLEY | N/A | ELIZABETH | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9735618627 | N/A | N/A | 9665219 | 2222 | 4802 | 17228141 | N/A | 8086688 | 2026-01-11 03:59:11.738666 | 2026-01-15 18:07:39.869679 |
| 2026-01-10 08:11:08.229658 | 2026-01-11 03:55:18.795400 | 16970077 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16970077 | Athletic Physical Therapy Inc | 1962-05-29 | 2026-01-13 | F | PT | N/A | LARSON | XEA913804058 | DEBRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9562148/check_16970077_3344cf4a-84be-4628-8c7a-a5823a3553f2.json | N/A | N/A | N/A | N/A | N/A | XAN913804058 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1962-05-29 | 1480PPOX0002 | W0051411 | N/A | PR | false | LARSON | N/A | DEBRA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9735618626 | N/A | N/A | 9562148 | 2222 | 4793 | 17227473 | N/A | 7997320 | 2026-01-11 03:55:18.795400 | 2025-10-02 21:07:14.563938 |
| 2026-01-10 08:11:07.995291 | 2026-01-11 03:53:39.288477 | 16970063 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16970063 | Athletic Physical Therapy Inc | 1959-04-22 | 2026-01-13 | F | AE | PT | MATHESON | 00000433752 | JANET | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9511696/check_16970063_a7a3ff5a-352e-4a3d-acf4-a4efa721008f.json | N/A | N/A | N/A | N/A | N/A | 00000433752 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1959-04-22 | H3815028 | N/A | N/A | HM | false | MATHESON | N/A | JANET | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9735618624 | N/A | N/A | 9511696 | 2222 | 4801 | 17227387 | 2630 | 7954244 | 2026-01-11 03:53:39.288477 | 2025-09-29 18:15:39.145358 |
| 2026-01-10 08:11:07.782303 | 2026-01-11 03:55:25.741667 | 16970049 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16970049 | Athletic Physical Therapy Inc | 1988-09-12 | 2026-01-13 | M | PT | N/A | Guzzo | JQU895W23533 | Aaron | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9274785/check_16970049_2c044567-7110-4809-ba78-2bfeab343c9a.json | N/A | N/A | N/A | N/A | N/A | JQU895W23533 | Preferred Provider Organization (PPO) | 3 ARTS ENTERTAINMENT LLC | BLUE SHIELD OF CALIFORNIA | N/A | 1988-09-12 | 040 | H59723 | N/A | PR | false | RATHER-GUZZO | N/A | SANDY | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9735618623 | N/A | N/A | 9274785 | 2222 | 4802 | 17227481 | N/A | 6451061 | 2026-01-11 03:55:25.741667 | 2025-07-28 22:43:26.605856 |
| 2026-01-10 08:11:07.535501 | 2026-01-11 03:54:10.147050 | 16970031 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 16970031 | Athletic Physical Therapy Inc | 1966-12-04 | 2026-01-13 | M | PT | N/A | CLANCY | XDMOE0503879 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9194927/check_16970031_075ad34c-6f3f-4896-b25b-9fd90a54263d.json | N/A | N/A | N/A | N/A | N/A | XDMOE0503879 | Health Maintenance Organization (HMO) | OPERATING ENGINEERS HEALTH&WELFARE FUND | ANTHEM BLUE CROSS | N/A | 1966-12-04 | 040 | 278671H001 | N/A | HM | false | CLANCY | N/A | JOSEPH | N/A | 9999-12-31 | 2025-02-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9735618622 | N/A | N/A | 9194927 | 2222 | 4793 | 17227423 | 4184 | 7712549 | 2026-01-11 03:54:10.147050 | 2025-09-10 17:29:28.945035 |
| 2026-01-10 08:11:07.215969 | 2026-01-11 03:53:44.129163 | 16970012 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 16970012 | Athletic Physical Therapy Inc | 1999-03-02 | 2026-01-12 | F | AE | PT | Andrieieva | 92598899G | Taisiia | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9104487/check_16970012_aa8f3454-69ff-4327-ad6a-2448134c5ee8.json | N/A | N/A | N/A | N/A | N/A | 92598899G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1999-03-02 | MCLA | MWLLNMEG21 | N/A | N/A | false | ANDRIEIVA | N/A | TAISIIA | N/A | 2078-12-31 | 2023-01-01 | LACARE MEDICAL | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9735618620 | N/A | N/A | 9104487 | 2222 | 4802 | 17227393 | 5538 | 6709145 | 2026-01-11 03:53:44.129163 | 2025-08-07 23:35:55.091438 |
| 2026-01-10 08:11:07.078686 | 2026-01-11 03:54:29.342677 | 16970004 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16970004 | Athletic Physical Therapy Inc | 2009-01-14 | 2026-01-13 | F | PT | N/A | OBACZ | JQV897A63197 | KLOIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9102655/check_16970004_f4290498-729d-42fa-aaeb-0f02022b3977.json | N/A | N/A | N/A | N/A | N/A | JQV897A63197 | Health Maintenance Organization (HMO) | EVOLVED NOVELTIES INC | ANTHEM BLUE CROSS | N/A | 2009-01-14 | 040 | F45883 | N/A | HM | false | OBACZ | N/A | JUSTIN | N/A | 9999-12-31 | 2026-01-01 | CA SG SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9735618618 | N/A | N/A | 9102655 | 2222 | 4801 | 17227445 | 4185 | 7621062 | 2026-01-11 03:54:29.342677 | 2025-09-12 19:10:20.936695 |
| 2026-01-10 08:11:06.842335 | 2026-01-11 03:59:14.034104 | 16969990 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16969990 | Athletic Physical Therapy Inc | 1950-04-13 | 2026-01-13 | F | AE | PT | NATALI | 2XU8UK4DF50 | RENEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8979192/check_16969990_04e307ec-493b-4a3f-8ca0-9202d08f01b8.json | N/A | N/A | N/A | N/A | N/A | 2XU8UK4DF50 | Medicare Part B | N/A | HEALTH CARE SERVICE CORPORATION | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-04-13 | S5715 | N/A | N/A | MB | false | NATALI | N/A | RENEE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9735618617 | N/A | N/A | 8979192 | 2222 | 4793 | 17228148 | N/A | 7498543 | 2026-01-11 03:59:14.034104 | 2025-10-14 17:13:32.178778 |
| 2026-01-10 08:11:06.677189 | 2026-01-11 03:53:41.891249 | 16969978 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16969978 | Athletic Physical Therapy Inc | 1949-12-31 | 2026-01-13 | M | AE | PT | TSING | 00000282272 | KONGHSUNG | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8978036/check_16969978_226f7ac2-c1fd-4cfc-b816-af50d9187373.json | N/A | N/A | N/A | N/A | N/A | 00000282272 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-12-31 | H3815028 | N/A | N/A | HM | false | TSING | N/A | KONGHSUNG | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9735618616 | N/A | N/A | 8978036 | 2222 | 4793 | 17227390 | 2630 | 7492332 | 2026-01-11 03:53:41.891249 | 2025-10-01 21:03:48.525986 |
| 2026-01-10 08:11:06.486134 | 2026-01-11 03:53:44.935341 | 16969965 | N/A | N/A | LACAR | LA CARE HEALTH PLAN | 1114042165 | 16969965 | Athletic Physical Therapy Inc | 1987-06-17 | 2026-01-13 | M | AE | PT | FAVELA | 620360888 | MAXIMILIAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8960010/check_16969965_0b65e81a-af21-4faf-a079-6c4901faf40a.json | N/A | N/A | N/A | N/A | N/A | 620360888 | N/A | L.A. CARE COVERED GOLD 80 HMO | LA CARE HEALTH PLAN | N/A | 1987-06-17 | LACC | 92815CA001000701 | N/A | N/A | false | FAVELA | N/A | MAXIMILIAN | N/A | 2026-12-31 | 2026-01-01 | L.A. CARE COVERED | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9735618615 | N/A | N/A | 8960010 | 2222 | 4802 | 17227394 | 5538 | 7476978 | 2026-01-11 03:53:44.935341 | 2026-01-07 18:27:22.752552 |
| 2026-01-10 08:11:06.304194 | 2026-01-11 03:47:05.625662 | 16969951 | N/A | N/A | 60054 | Aetna | 1114042165 | 16969951 | Athletic Physical Therapy Inc | 1972-12-30 | 2026-01-13 | M | AE | PT | MCHALE | W27265070 | MATT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173116/check_16969951_70bb405f-6f60-4528-9777-89a44ab11e7c.json | N/A | N/A | N/A | N/A | N/A | W272665070 | Point of Service (POS) | SONY CORPORATION OF AMERICA | AETNA | N/A | 1972-12-30 | 0486873 | 048687302100161 | N/A | PS | false | MCHALE | N/A | MATTHEW | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9735618614 | N/A | N/A | 8173116 | 2222 | 4802 | 17226785 | N/A | 6939617 | 2026-01-11 03:47:05.625662 | 2025-09-16 00:28:24.457071 |
| 2026-01-10 08:11:06.106839 | 2026-01-11 03:59:13.674621 | 16969937 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16969937 | Athletic Physical Therapy Inc | 1959-08-14 | 2026-01-13 | F | AE | PT | McKinnon | 4Q81VP4NU12 | Dawn | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7783105/check_16969937_d2f4ced1-a972-425e-9a03-024045958e04.json | N/A | N/A | N/A | N/A | N/A | 4Q81VP4NU12 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-08-14 | S4802 | N/A | N/A | MA | false | MCKINNON | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9735618612 | N/A | N/A | 7783105 | 2222 | 4802 | 17228147 | N/A | 6628331 | 2026-01-11 03:59:13.674621 | 2025-08-22 15:16:03.942743 |
| 2026-01-10 08:11:05.953485 | 2026-01-11 03:59:09.649200 | 16969925 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16969925 | Athletic Physical Therapy Inc | 1950-02-07 | 2026-01-12 | M | AE | PT | BHAMRAH | 8FX0NA8MD19 | KULDIP | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7442857/check_16969925_9c163e7c-1571-4454-8597-3a3c120f296d.json | N/A | N/A | N/A | N/A | N/A | 8FX0NA8MD19 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-02-07 | S5617 | N/A | N/A | MA | false | BHAMRAH | N/A | KULDIP | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9735618611 | N/A | N/A | 7442857 | 2222 | 4801 | 17228134 | N/A | 6393941 | 2026-01-11 03:59:09.649200 | 2025-08-13 16:33:53.313259 |
| 2026-01-10 08:11:05.759624 | 2026-01-11 03:45:00.441513 | 16969912 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16969912 | Athletic Physical Therapy Inc | 1976-02-07 | 2026-01-13 | F | AE | PT | MALTSEVA | 94237973H | YEVHENIIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7253095/check_16969912_de12c21d-91cb-4007-8e16-654938d7fe8e.json | N/A | N/A | N/A | N/A | N/A | 94237973H | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1976-02-07 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MALTSEVA | N/A | YEVHENIIA | N/A | 2078-12-31 | 2025-08-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9735618610 | N/A | N/A | 7253095 | 2222 | 4802 | 17226603 | 4211 | 6219145 | 2026-01-11 03:45:00.441513 | 2025-07-21 16:40:35.276086 |
| 2026-01-10 08:11:05.506979 | 2026-01-11 03:44:59.551389 | 16969896 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16969896 | Athletic Physical Therapy Inc | 1967-12-06 | 2026-01-13 | F | AE | PT | KLOSSOWSKI | 98920892C | TRESSA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7019712/check_16969896_096c6193-b32d-4cd3-a266-119edf515f01.json | N/A | N/A | N/A | N/A | N/A | 98920892C | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 01/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1967-12-06 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | KLOSSOWSKI | N/A | TRESSA | N/A | 2078-12-31 | 2025-04-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9735618609 | N/A | N/A | 7019712 | 2222 | 4793 | 17226601 | 4211 | 6034714 | 2026-01-11 03:44:59.551389 | 2025-07-15 18:02:59.670156 |
| 2026-01-10 08:11:05.256425 | 2026-01-11 03:52:37.694650 | 16969879 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 16969879 | Athletic Physical Therapy Inc | 1944-09-12 | 2026-01-13 | F | AE | PT | AFSARI | 994467802 | NARGES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7018260/check_16969879_5ec0ad3f-de5f-47b6-bef3-84dd9d28f2aa.json | N/A | N/A | N/A | N/A | N/A | 994467802 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1944-09-12 | N/A | 01949 | N/A | HN | false | AFSARI | N/A | NARGES | N/A | N/A | N/A | HMOPOS-AARP MEDICARE ADVANTAGE FROM UHC CA-004P (H | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9735618605 | N/A | N/A | 7018260 | 2222 | 4801 | 17227306 | 6411 | 6033556 | 2026-01-11 03:52:37.694650 | 2025-07-30 20:38:43.563128 |
| 2026-01-10 08:11:04.998379 | 2026-01-11 03:47:07.564021 | 16969863 | N/A | N/A | 60054 | AETNA | 1114042165 | 16969863 | Athletic Physical Therapy Inc | 1940-12-29 | 2026-01-13 | M | AE | PT | TRUNNELL | 101505559100 | WAYNE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6786642/check_16969863_ca9ec2ab-7de9-4775-be4c-ce76e6d1e404.json | N/A | N/A | N/A | N/A | N/A | 101505559100 | Health Maintenance Organization (HMO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-12-29 | 000003-CA000116 | 000003-CA | N/A | HM | false | TRUNNELL | N/A | WAYNE | N/A | N/A | N/A | AETNA MEDICARE SIGNATURE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9735618603 | N/A | N/A | 6786642 | 2222 | 4793 | 17226789 | 3939 | 5818009 | 2026-01-11 03:47:07.564021 | 2025-07-15 23:19:05.900633 |
| 2026-01-10 08:11:04.821620 | 2026-01-11 03:59:10.254945 | 16969849 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16969849 | Athletic Physical Therapy Inc | 1959-09-07 | 2026-01-13 | M | AE | PT | CICCIARI | 1AK4JC6NK84 | LOUIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_16969849_ada4ab3b-b7f9-4c25-b1fc-7688083ad283.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5617 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9735618602 | N/A | N/A | 6752936 | 2222 | 4801 | 17228136 | N/A | 5065602 | 2026-01-11 03:59:10.254945 | 2025-07-01 17:25:13.681724 |
| 2026-01-10 08:11:04.626824 | 2026-01-11 03:51:41.443769 | 16969838 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16969838 | Athletic Physical Therapy Inc | 1942-07-28 | 2026-01-13 | M | AE | PT | SIMMONS | 40055722801 | J | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6685251/check_16969838_9ef63301-f945-4e06-a0eb-29ea33fa1ed0.json | N/A | N/A | N/A | N/A | N/A | 40055722801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1942-07-28 | 2026H5425001 | H5425M | N/A | N/A | false | SIMMONS | N/A | J | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9735618601 | N/A | N/A | 6685251 | 2222 | 4793 | 17227234 | 6237 | 4209868 | 2026-01-11 03:51:41.443769 | 2025-08-15 22:13:56.514261 |
| 2026-01-10 08:11:04.473700 | 2026-01-11 03:53:41.115152 | 16969828 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 16969828 | Athletic Physical Therapy Inc | 1953-09-16 | 2026-01-13 | F | AE | PT | Sankovich | 00000375069 | Deborahann | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210775/check_16969828_117ef793-6c9c-4f94-9584-11fdc49682db.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 | 9735618599 | N/A | N/A | 6210775 | 2222 | 4793 | 17227389 | N/A | 4215193 | 2026-01-11 03:53:41.115152 | 2026-01-16 04:38:12.725481 |
| 2026-01-10 08:11:04.262655 | 2026-01-11 03:44:37.532192 | 16969813 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 16969813 | Athletic Physical Therapy Inc | 1948-06-04 | 2026-01-12 | F | AE | PT | Carrillo | 30127057 | Sandra | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6192336/check_16969813_02bc6f00-de7a-4c1d-8047-c590837eb917.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 | 9735618596 | N/A | N/A | 6192336 | 2222 | 4801 | 17226557 | 6798 | 4836434 | 2026-01-11 03:44:37.532192 | 2025-06-24 22:10:01.955161 |
| 2026-01-10 08:11:04.126628 | 2026-01-11 03:53:40.326127 | 16969803 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16969803 | Athletic Physical Therapy Inc | 1943-03-11 | 2026-01-13 | M | AE | PT | MATHEU | 00000270336 | CARLOS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6189737/check_16969803_f8dfd4ec-24ed-4d15-9c94-21e8621c70b5.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 | 9735618595 | N/A | N/A | 6189737 | 2222 | 4801 | 17227388 | 2630 | 4209126 | 2026-01-11 03:53:40.326127 | 2025-05-13 04:29:37.223551 |
| 2026-01-10 08:11:03.952745 | 2026-01-11 03:53:38.107487 | 16969792 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16969792 | Athletic Physical Therapy Inc | 1956-07-24 | 2026-01-13 | F | AE | PT | HOCHFELD | 00000365425 | PAMELA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676362/check_16969792_7b38a7ce-1c43-4028-af78-e8298b7a2aa5.json | N/A | N/A | N/A | N/A | N/A | 00000365425 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-07-24 | H3815028 | N/A | N/A | HM | false | HOCHFELD | N/A | PAMELA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9735618594 | N/A | N/A | 5676362 | 2222 | 4793 | 17227385 | 2630 | 4219743 | 2026-01-11 03:53:38.107487 | 2025-12-04 22:36:02.632383 |
| 2026-01-10 08:11:03.800003 | 2026-01-11 03:53:32.952153 | 16969782 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16969782 | Athletic Physical Therapy Inc | 1961-09-17 | 2026-01-13 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_16969782_5fdb5663-ae52-46b3-8390-258da6b70129.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9735618593 | N/A | N/A | 5568076 | 2222 | 4802 | 17227378 | 4625 | 4209480 | 2026-01-11 03:53:32.952153 | 2026-04-10 02:05:15.976484 |
| 2026-01-10 08:11:03.603476 | 2026-01-11 03:55:20.285417 | 16969767 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16969767 | Athletic Physical Therapy Inc | 2005-05-27 | 2026-01-13 | F | PT | N/A | PARVIZI | XED914141701 | SIMONE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550844/check_16969767_56aa918a-4f22-4a47-bbed-28cefe72ee7b.json | N/A | N/A | N/A | N/A | N/A | XED914141701 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2005-05-27 | 2001ZL002187 | X0001004 | N/A | PR | false | PARVIZI | N/A | SIMONE | N/A | 9999-12-31 | 2026-01-01 | BLUE SHIELD BRONZE 60 PPO JAN26 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9735618592 | N/A | N/A | 5550844 | 2222 | 4802 | 17227475 | N/A | 4215184 | 2026-01-11 03:55:20.285417 | 2025-05-13 04:29:37.229500 |
| 2026-01-10 08:11:03.412354 | 2026-01-11 03:54:10.996280 | 16969754 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16969754 | Athletic Physical Therapy Inc | 1955-10-09 | 2026-01-13 | M | PT | N/A | COE | JQS589W10732 | SCOTT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549514/check_16969754_124c9bf6-1398-4949-ab2a-a8c377d82d7f.json | N/A | N/A | N/A | N/A | N/A | JQS589W10732 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1955-10-09 | 040 | CAMCRWP0 | N/A | MP | false | COE | N/A | SCOTT | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9735618591 | N/A | N/A | 5549514 | 2222 | 4801 | 17227424 | 4185 | 4219161 | 2026-01-11 03:54:10.996280 | 2025-10-16 23:24:12.118501 |
| 2026-01-10 08:11:03.240413 | 2026-01-11 03:59:11.120706 | 16969743 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16969743 | Athletic Physical Therapy Inc | 1937-02-10 | 2026-01-13 | F | AE | PT | COLE | 2TT9RA1JK41 | JACQUELINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549104/check_16969743_3e763eb6-a630-4b5e-8690-a2fd6adaacc7.json | N/A | N/A | N/A | N/A | N/A | 2TT9RA1JK41 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-02-10 | S5601 | N/A | N/A | MB | false | COLE | N/A | JACQUELINE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9735618590 | N/A | N/A | 5549104 | 2222 | 4801 | 17228139 | N/A | 4218829 | 2026-01-11 03:59:11.120706 | 2025-05-13 04:29:37.229824 |
| 2026-01-10 08:11:03.058285 | 2026-01-11 03:59:14.344709 | 16969732 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16969732 | Athletic Physical Therapy Inc | 1947-11-15 | 2026-01-13 | F | AE | PT | NOGHREIAN | 6XG3KA2TP05 | FLORIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5548970/check_16969732_846b96ae-8d4e-4b3f-af4e-af7e8d08801c.json | N/A | N/A | N/A | N/A | N/A | 6XG3KA2TP05 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-11-15 | S5617 | N/A | N/A | MB | false | NOGHREIAN | N/A | FLORIA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9735619807 | N/A | N/A | 5548970 | 2222 | 4802 | 17228149 | N/A | 4218728 | 2026-01-11 03:59:14.344709 | 2025-05-13 04:29:37.229718 |
| 2026-01-10 08:11:02.855885 | 2026-01-11 03:59:11.407074 | 16969719 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16969719 | Athletic Physical Therapy Inc | 1956-02-09 | 2026-01-13 | F | AE | PT | DOUGLAS | 6RW0R23KU11 | HEATHER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5548965/check_16969719_8a05af5a-95e9-488f-ae67-4a0d9bc34ef8.json | N/A | N/A | N/A | N/A | N/A | 6RW0R23KU11 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-02-09 | S5617 | N/A | N/A | MB | false | DOUGLAS | N/A | HEATHER | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9735619806 | N/A | N/A | 5548965 | 2222 | 4802 | 17228140 | N/A | 4218725 | 2026-01-11 03:59:11.407074 | 2025-05-13 04:29:37.229715 |
| 2026-01-10 08:11:02.641521 | 2026-01-11 03:53:33.789854 | 16969706 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16969706 | Athletic Physical Therapy Inc | 1999-02-06 | 2026-01-13 | M | AE | PT | FORTIN | R14644640MS1 | NATHANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_16969706_8e5e1cbe-7ca4-49d8-b243-16ebffc721b7.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | KVT SBGHMOWC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9735619805 | N/A | N/A | 5543425 | 2222 | 4801 | 17227379 | 4625 | 4215211 | 2026-01-11 03:53:33.789854 | 2026-04-02 22:30:20.020246 |
| 2026-01-10 08:11:02.387342 | 2026-01-11 03:51:42.045412 | 16969685 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16969685 | Athletic Physical Therapy Inc | 1956-05-26 | 2026-01-12 | F | AD | 30 | TORRES | 40067303001 | OLGA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543371/check_16969685_24d1e816-bfd5-4ede-be7d-d939de0db3de.json | N/A | N/A | N/A | N/A | N/A | 40067303001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1956-05-26 | 2026H5425001 | H5425M | N/A | N/A | false | TORRES | N/A | OLGA | 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 | 9735619804 | N/A | N/A | 5543371 | 2222 | 4793 | 17227235 | 6237 | 4215172 | 2026-01-11 03:51:42.045412 | 2025-05-13 04:29:37.229489 |
| 2026-01-10 08:11:02.245135 | 2026-01-11 03:59:12.022209 | 16969675 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16969675 | Athletic Physical Therapy Inc | 1952-11-19 | 2026-01-13 | F | AE | PT | HOWARD | 6JJ9KX0PY45 | JUDI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543340/check_16969675_b384d7ce-2041-4834-8bdf-e7e12f9ee720.json | N/A | N/A | N/A | N/A | N/A | 6JJ9KX0PY45 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-11-19 | S4802 | N/A | N/A | MB | 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 | 9735619803 | N/A | N/A | 5543340 | 2222 | 4793 | 17228142 | N/A | 4215147 | 2026-01-11 03:59:12.022209 | 2025-05-13 04:29:37.229464 |
| 2026-01-10 08:11:02.076928 | 2026-01-11 03:44:56.337540 | 16969665 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16969665 | Athletic Physical Therapy Inc | 1961-07-08 | 2026-01-13 | F | AE | PT | BERRY | 606308574 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543264/check_16969665_d713eac5-2493-4461-9079-43dc783c8cb8.json | N/A | N/A | N/A | N/A | N/A | 606308574 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-07-08 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | BERRY | N/A | KAREN | N/A | 2026-12-31 | 2026-01-01 | SILVER 87 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9735619802 | N/A | N/A | 5543264 | 2222 | 4802 | 17226595 | 4211 | 4215080 | 2026-01-11 03:44:56.337540 | 2025-05-13 04:29:37.229395 |
| 2026-01-10 08:11:01.929341 | 2026-01-11 03:55:21.056316 | 16969654 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16969654 | Athletic Physical Therapy Inc | 2008-12-30 | 2026-01-13 | F | PT | N/A | PAUL | XEK914147727 | SARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543211/check_16969654_afcb0113-48cd-4104-8224-0c7a1a33c784.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZE002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | 9999-12-31 | 2026-01-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9735619801 | N/A | N/A | 5543211 | 2222 | 4801 | 17227476 | N/A | 4215028 | 2026-01-11 03:55:21.056316 | 2025-05-13 04:29:37.229346 |
| 2026-01-10 08:11:01.802646 | 2026-01-11 03:54:16.103903 | 16969646 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16969646 | Athletic Physical Therapy Inc | 1990-07-10 | 2026-01-13 | F | PT | N/A | Gadde | X8B487662CT | Lavanya | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543090/check_16969646_283d5dbe-fa8f-48d5-bd81-b6c6419a6bb5.json | N/A | N/A | N/A | N/A | N/A | X8B487662CT | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1990-07-10 | N/A | N/A | N/A | N/A | false | GADDE | N/A | LAVANYA | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9735619800 | N/A | N/A | 5543090 | 2222 | 4793 | 17227430 | N/A | 4214925 | 2026-01-11 03:54:16.103903 | 2025-12-17 00:54:52.714750 |
| 2026-01-10 08:11:01.648542 | 2026-01-11 03:55:19.527111 | 16969636 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16969636 | Athletic Physical Therapy Inc | 1991-05-27 | 2026-01-13 | M | PT | N/A | MOYNIHAN | QMS905764029 | KEITH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542720/check_16969636_a3961643-2f02-4c9e-8e2c-e3eded926c01.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 | 9735619799 | N/A | N/A | 5542720 | 2222 | 4802 | 17227474 | N/A | 4214596 | 2026-01-11 03:55:19.527111 | 2025-05-13 04:29:37.228923 |
| 2026-01-10 08:11:01.527828 | 2026-01-11 03:54:18.319977 | 16969628 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16969628 | Athletic Physical Therapy Inc | 1957-03-15 | 2026-01-13 | F | PT | N/A | GOLDMAN | MBL801W11756 | ROBERTA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542655/check_16969628_f1340145-86a5-4f7d-808a-f4f144ae1440.json | N/A | N/A | N/A | N/A | N/A | MBL801W11756 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1957-03-15 | 040 | CAEGR005 | N/A | N/A | false | GOLDMAN | N/A | ROBERTA | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9735619798 | N/A | N/A | 5542655 | 2222 | 4802 | 17227432 | N/A | 4214541 | 2026-01-11 03:54:18.319977 | 2025-05-13 04:29:37.228867 |
| 2026-01-10 08:11:01.399336 | 2026-01-11 03:59:12.340061 | 16969620 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16969620 | Athletic Physical Therapy Inc | 1936-09-29 | 2026-01-13 | M | AE | PT | JAUDE | 8D38EF9GV30 | KARIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542251/check_16969620_1c4eb22e-d0c8-4116-8748-01d74ed3abbd.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MA | false | JAUDE | N/A | KARIM | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9735619797 | N/A | N/A | 5542251 | 2222 | 4802 | 17228143 | N/A | 4214191 | 2026-01-11 03:59:12.340061 | 2025-05-13 04:29:37.228525 |
| 2026-01-10 08:11:01.165529 | 2026-01-11 03:46:34.417142 | 16969608 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 16969608 | override_provider | 1957-04-11 | 2026-01-13 | M | PT | N/A | ADRIAN | MBL508W11635 | NELSON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541841/check_16969608_5b613a50-76d3-4077-a7e6-b636d70240ce.json | N/A | N/A | N/A | N/A | N/A | MBL508W11635 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | BLUE SHIELD OF CALIFORNIA | N/A | 1957-04-11 | 040 | CAEGR005 | N/A | N/A | false | ADRIAN | N/A | NELSON | 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 | 9735619795 | N/A | N/A | 5541841 | 2222 | 4801 | 17226732 | N/A | 4213826 | 2026-01-11 03:46:34.417142 | 2025-05-13 04:29:37.228146 |
| 2026-01-10 08:11:00.889048 | 2026-01-11 03:54:21.445928 | 16969590 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16969590 | Athletic Physical Therapy Inc | 2009-08-02 | 2026-01-13 | F | PT | N/A | KUZMICZ | LFYHC0059374 | AUDREY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541748/check_16969590_e6696d18-53af-4728-9a4d-b02d274055df.json | N/A | N/A | N/A | N/A | N/A | LFYHC0059374 | Preferred Provider Organization (PPO) | LOS ANGELES FIREMENS RELIEF ASSOCIATION | ANTHEM BLUE CROSS | N/A | 2009-08-02 | 040 | 282527M001 | N/A | PR | false | KUZMICZ | N/A | CHRISTOPHER | N/A | 9999-12-31 | 2020-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9735619794 | N/A | N/A | 5541748 | 2222 | 4801 | 17227436 | N/A | 4213741 | 2026-01-11 03:54:21.445928 | 2025-10-10 22:38:21.840610 |
| 2026-01-10 08:11:00.605699 | 2026-01-11 03:54:18.907230 | 16969574 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16969574 | Athletic Physical Therapy Inc | 1995-06-07 | 2026-01-13 | M | PT | N/A | Greathouse | MPI30458946Q | Kheperan | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260110.100917968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540871/check_16969574_2fd42e50-31a3-43e8-95ff-ffc6f67c3123.json | N/A | N/A | N/A | N/A | N/A | MPI30458946Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1995-06-07 | 040 | 277163M402 | N/A | PR | false | GREATHOUSE | N/A | KHEPERAN | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9735619793 | N/A | N/A | 5540871 | 2222 | 4793 | 17227433 | N/A | 4212959 | 2026-01-11 03:54:18.907230 | 2025-10-17 20:08:21.136268 |