API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-01-09 08:11:23.780013 | 2026-01-10 05:38:23.962093 | 16917790 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 16917790 | Athletic Physical Therapy Inc | 1972-07-09 | 2026-01-12 | F | AE | PT | JOHNSON OLAD | 97773451D53165 | CATINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101220956.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12713664/check_16917790_1754cb06-8f01-4700-821b-2efa785e931c.json | N/A | N/A | N/A | N/A | N/A | 97773451D53165 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1972-07-09 | N/A | N/A | N/A | N/A | false | JOHNSON OLAD | N/A | CATINA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726074535 | N/A | N/A | 12713664 | 2222 | 4793 | 17199291 | N/A | 9669773 | 2026-01-10 05:38:23.962093 | 2025-10-30 23:36:57.101747 |
| 2026-01-09 08:11:23.645070 | 2026-01-10 05:33:02.263635 | 16917784 | N/A | N/A | 47027 | Physicians Mutual Insurance Company | 1114042165 | 16917784 | Athletic Physical Therapy Inc | 1949-08-12 | 2026-01-12 | F | AE | PT | NAGLE | H730115547 | JAMES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101220956.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11457995/check_16917784_63528a0d-02d7-41fd-8d6c-c33cff61a11b.json | N/A | N/A | N/A | N/A | N/A | H730115547 | N/A | N/A | PHYSICIANS MUTUAL | PAYMENT NOT GUARANTEED; BENEFITS SUBJECT TO CLAIM APPROVAL | 1949-08-12 | N/A | N/A | N/A | N/A | false | NAGLE | N/A | JAMES | N/A | N/A | N/A | MEDICARE SUPPLEMENT 2020 PLAN F | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726074534 | N/A | N/A | 11457995 | 2222 | 4801 | 17198273 | N/A | 9707473 | 2026-01-10 05:33:02.263635 | 2026-02-05 20:49:45.747494 |
| 2026-01-09 08:11:23.484979 | 2026-01-10 05:36:09.500784 | 16917773 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16917773 | Athletic Physical Therapy Inc | 1952-02-16 | 2026-01-12 | F | AE | PT | TEGNAZIAN | XEM905436040 | TERRY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101220956.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11358336/check_16917773_22b632b2-c55b-459b-b4bd-b6944806978e.json | N/A | N/A | N/A | N/A | N/A | XEM905436040 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1952-02-16 | 2004SF000029 | X0001002 | N/A | OT | false | WHITTLE | N/A | SCOTT | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726074533 | N/A | N/A | 11358336 | 2222 | 4802 | 17198895 | N/A | 9629500 | 2026-01-10 05:36:09.500784 | 2025-10-22 16:05:53.920196 |
| 2026-01-09 08:11:23.316137 | 2026-01-10 05:36:06.819118 | 16917768 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16917768 | Athletic Physical Therapy Inc | 1941-08-23 | 2026-01-12 | M | AE | PT | Bogen | WXY0981A22808 | Andrew | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101220956.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11174641/check_16917768_b12f5621-aa6a-4a74-85e6-c77d98951598.json | N/A | N/A | N/A | N/A | N/A | WXY0981A22808 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1941-08-23 | N/A | N/A | N/A | N/A | false | BOGEN | N/A | ANDREW | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726074532 | N/A | N/A | 11174641 | 2222 | 4802 | 17198886 | N/A | 9519718 | 2026-01-10 05:36:06.819118 | 2026-02-02 19:30:57.219688 |
| 2026-01-09 08:11:23.156362 | 2026-01-10 05:36:07.397396 | 16917761 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16917761 | Athletic Physical Therapy Inc | 1942-02-01 | 2026-01-12 | F | AE | PT | CHANG | JQE101W06364 | QUANG | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101220956.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11159407/check_16917761_3a749dfd-5a6a-4311-af70-eb435c66bce1.json | N/A | N/A | N/A | N/A | N/A | JQE101W06364 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1942-02-01 | 040 | CASUPWP0 | N/A | N/A | false | CHANG | N/A | QUANG CHAN | N/A | 9999-12-31 | 2021-01-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726074531 | N/A | N/A | 11159407 | 2222 | 4793 | 17198888 | N/A | 9505845 | 2026-01-10 05:36:07.397396 | 2026-04-29 00:06:17.964395 |
| 2026-01-09 08:11:23.043406 | 2026-01-10 05:36:27.855752 | 16917759 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16917759 | Athletic Physical Therapy Inc | 1947-09-07 | 2026-01-12 | F | AE | PT | SHIBUYA | XEM906397835 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101220956.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11087597/check_16917759_eb8805d5-5c94-447e-99cc-4b9440cb297c.json | N/A | N/A | N/A | N/A | N/A | XEM906397835 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1947-09-07 | 2002SD000004 | X0001002 | N/A | OT | false | SHIBUYA | N/A | LINDA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726074530 | N/A | N/A | 11087597 | 2222 | 4801 | 17198953 | N/A | 9440436 | 2026-01-10 05:36:27.855752 | 2025-10-28 16:54:37.049151 |
| 2026-01-09 08:11:22.928492 | 2026-01-10 05:39:28.818588 | 16917751 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16917751 | Athletic Physical Therapy Inc | 1949-07-26 | 2026-01-12 | F | AE | PT | BLESSLEY | 9DW9YM7ND57 | DONNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101220956.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11011921/check_16917751_981abcd9-84c6-4640-93c8-789968df6a7f.json | N/A | N/A | N/A | N/A | N/A | 9DW9YM7ND57 | Medicare Part B | N/A | SCAN HEALTH PLAN | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-07-26 | H5425 | N/A | N/A | MB | false | BLESSLEY | N/A | DONNA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726074529 | N/A | N/A | 11011921 | 2222 | 4793 | 17199450 | N/A | 9377403 | 2026-01-10 05:39:28.818588 | 2025-10-15 20:29:32.165707 |
| 2026-01-09 08:11:22.821753 | 2026-01-10 05:36:26.960088 | 16917748 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16917748 | Athletic Physical Therapy Inc | 1955-07-01 | 2026-01-12 | F | AE | PT | GREER | XEM909858172 | ROBIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101220956.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411084/check_16917748_bfb9d1a1-019d-4728-983f-ce1ff2be439e.json | N/A | N/A | N/A | N/A | N/A | XEM909858172 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-07-01 | 2002SE000030 | X0001002 | N/A | OT | false | GREER | N/A | ROBIN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726074528 | N/A | N/A | 9411084 | 2222 | 4802 | 17198950 | N/A | 7879863 | 2026-01-10 05:36:26.960088 | 2026-02-04 18:21:13.840230 |
| 2026-01-09 08:11:22.708049 | 2026-01-10 05:36:08.336272 | 16917742 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16917742 | Athletic Physical Therapy Inc | 1948-07-07 | 2026-01-12 | F | AE | PT | GOEL | JQE690A74746 | VEENA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101220956.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969545/check_16917742_267e866d-434d-4f33-b109-2e8079e67dd1.json | N/A | N/A | N/A | N/A | N/A | JQE690A74746 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1948-07-07 | 040 | CASUPWP0 | N/A | N/A | false | GOEL | N/A | VEENA | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726075457 | N/A | N/A | 8969545 | 2222 | 4802 | 17198891 | N/A | 7485064 | 2026-01-10 05:36:08.336272 | 2025-12-29 22:41:16.623495 |
| 2026-01-09 08:11:22.567727 | 2026-01-10 05:35:57.791647 | 16917736 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 16917736 | Athletic Physical Therapy Inc | 1973-05-29 | 2026-01-12 | M | AE | PT | KIM | 96135332F | JOSEPH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101220956.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6917652/check_16917736_2a3047f8-0063-47cc-b842-eda47e00cfe2.json | N/A | N/A | N/A | N/A | N/A | 96135332F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1973-05-29 | MCLA | MWLLNMEG21 | N/A | N/A | false | KIM | N/A | JOSEPH | N/A | 2078-12-31 | 2023-09-01 | LACARE MEDICAL | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726075456 | N/A | N/A | 6917652 | 2222 | 4802 | 17198858 | N/A | 5949044 | 2026-01-10 05:35:57.791647 | 2025-07-08 23:15:13.625855 |
| 2026-01-09 08:11:22.409862 | 2026-01-10 05:39:29.154099 | 16917728 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16917728 | Athletic Physical Therapy Inc | 1954-10-02 | 2026-01-12 | M | AD | 30 | TARDIF | 1DU7DV5YD36 | TEDD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101220956.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6143995/check_16917728_fedc632f-8db4-4d49-9599-26030cc93be0.json | N/A | N/A | N/A | N/A | N/A | 1DU7DV5YD36 | Medicare Part A | N/A | SCAN HEALTH PLAN | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-10-02 | H5425 | N/A | N/A | MA | false | TARDIF | N/A | TEDD | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 9726075455 | N/A | N/A | 6143995 | 2222 | 4801 | 17199451 | N/A | 4214757 | 2026-01-10 05:39:29.154099 | 2026-03-20 15:26:52.406374 |
| 2026-01-09 08:11:22.205359 | 2026-01-10 05:36:08.599479 | 16917716 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16917716 | Athletic Physical Therapy Inc | 1951-03-27 | 2026-01-12 | F | AE | PT | Jaude | JQE818A61594 | Anne | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101220956.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6125110/check_16917716_b91f263a-1a28-4e5a-bb2d-497297ab9ca0.json | N/A | N/A | N/A | N/A | N/A | JQE818A61594 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1951-03-27 | N/A | N/A | N/A | N/A | false | JAUDE | N/A | ANNE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726075454 | N/A | N/A | 6125110 | 2222 | 4802 | 17198892 | N/A | 4767362 | 2026-01-10 05:36:08.599479 | 2025-09-19 16:49:18.601418 |
| 2026-01-09 08:11:21.792725 | 2026-01-10 05:38:23.652184 | 16917689 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 16917689 | Athletic Physical Therapy Inc | 1946-06-01 | 2026-01-12 | F | AE | PT | AMIRI | 95207221G | POURAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101220956.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928924/check_16917689_b0847501-aba7-403f-8850-271630d921ed.json | N/A | N/A | N/A | N/A | N/A | 95207221G | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1946-06-01 | N/A | N/A | N/A | N/A | false | AMIRI | N/A | POURAN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726075453 | N/A | N/A | 5928924 | 2222 | 4802 | 17199290 | N/A | 4210607 | 2026-01-10 05:38:23.652184 | 2025-08-01 18:31:38.620742 |
| 2026-01-09 08:11:21.544842 | 2026-01-10 05:36:27.492790 | 16917674 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16917674 | Athletic Physical Therapy Inc | 1946-12-07 | 2026-01-12 | F | AE | PT | MOONVES | XEM913053395 | NANCY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101220956.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928920/check_16917674_820d2bc5-564a-4e2f-87bb-6b56a899eafe.json | N/A | N/A | N/A | N/A | N/A | XEM913053395 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1946-12-07 | 2002SE000030 | X0001002 | N/A | OT | false | MOONVES | N/A | NANCY | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726075452 | N/A | N/A | 5928920 | 2222 | 4802 | 17198952 | N/A | 4208883 | 2026-01-10 05:36:27.492790 | 2025-05-13 04:29:37.223310 |
| 2026-01-09 08:11:21.393089 | 2026-01-10 05:36:07.696742 | 16917668 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16917668 | Athletic Physical Therapy Inc | 1956-09-14 | 2026-01-12 | M | AE | PT | COHENZADEH | JQE934W99391 | DAVOOD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101220956.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928905/check_16917668_59bdf387-370e-49e1-9bdb-ce62b1d0ffc2.json | N/A | N/A | N/A | N/A | N/A | JQE934W99391 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1956-09-14 | N/A | N/A | N/A | N/A | 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 | 9726075451 | N/A | N/A | 5928905 | 2222 | 4802 | 17198889 | N/A | 4212983 | 2026-01-10 05:36:07.696742 | 2025-11-19 21:27:11.455704 |
| 2026-01-09 08:11:21.232269 | 2026-01-10 05:36:07.138115 | 16917659 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16917659 | Athletic Physical Therapy Inc | 1957-05-23 | 2026-01-12 | F | AE | PT | CEASAR | LFYHC0061172 | DEBBIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101220956.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543548/check_16917659_1006da15-0b59-4939-85cb-4901ee91f5cb.json | N/A | N/A | N/A | N/A | N/A | LFYHC0061172 | Preferred Provider Organization (PPO) | LOS ANGELES FIREMENS RELIEF ASSOCIATION - RETIREE | ANTHEM BLUE CROSS | N/A | 1957-05-23 | 040 | 282527M002 | N/A | PR | false | CEASAR | N/A | JAY | N/A | 9999-12-31 | 2020-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726075450 | N/A | N/A | 5543548 | 2222 | 4793 | 17198887 | N/A | 4215327 | 2026-01-10 05:36:07.138115 | 2025-05-13 04:29:37.229651 |
| 2026-01-09 08:11:21.043158 | 2026-01-10 05:34:42.386858 | 16917651 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 16917651 | Athletic Physical Therapy Inc | 1940-11-11 | 2026-01-12 | M | AE | PT | GOLDBERG | U5126496602 | Michael | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101220956.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542973/check_16917651_f9556873-1546-40b6-a8f7-ba03b4741a47.json | N/A | N/A | N/A | N/A | N/A | U5126496602 | Indemnity | MONTGOMERY COUNTY PUBLIC SCHOOLS | CHLIC | N/A | 1940-11-11 | N/A | 2501729 | N/A | IN | false | GOLDBERG | N/A | MICHAEL | N/A | N/A | N/A | INDEMNITY | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726075449 | N/A | N/A | 5542973 | 2222 | 4802 | 17198608 | N/A | 4214820 | 2026-01-10 05:34:42.386858 | 2025-06-30 02:56:23.324592 |
| 2026-01-09 08:11:20.900381 | 2026-01-10 05:34:42.084412 | 16917642 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 16917642 | Athletic Physical Therapy Inc | 1944-10-29 | 2026-01-12 | F | AE | PT | GOLDBERG | U51264966 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101220956.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542937/check_16917642_43939050-0125-48e9-a990-fec9d9d458f3.json | N/A | N/A | N/A | N/A | N/A | U5126496601 | Indemnity | MONTGOMERY COUNTY PUBLIC SCHOOLS | CHLIC | N/A | 1944-10-29 | N/A | 2501729 | N/A | IN | false | GOLDBERG | N/A | LINDA | N/A | N/A | N/A | INDEMNITY | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726075448 | N/A | N/A | 5542937 | 2222 | 4802 | 17198607 | N/A | 4214789 | 2026-01-10 05:34:42.084412 | 2025-12-11 23:30:31.319246 |
| 2026-01-09 08:11:20.789430 | 2026-01-10 05:36:08.017840 | 16917638 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16917638 | Athletic Physical Therapy Inc | 1956-01-14 | 2026-01-12 | F | AE | PT | COHENZADEH | JQE794W09390 | SIMA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101220956.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541062/check_16917638_8274a291-2bab-4802-85c0-7da29b2e7d51.json | N/A | N/A | N/A | N/A | N/A | JQE794W09390 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1956-01-14 | 040 | CASUPWP0 | N/A | N/A | false | COHENZADEH | N/A | SIMA | N/A | 9999-12-31 | 2021-10-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726075447 | N/A | N/A | 5541062 | 2222 | 4802 | 17198890 | N/A | 4213119 | 2026-01-10 05:36:08.017840 | 2025-11-20 01:13:31.057962 |
| 2026-01-09 08:11:20.634029 | 2026-01-10 05:32:08.442293 | 16917632 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 16917632 | Athletic Physical Therapy Inc | 1933-03-03 | 2026-01-12 | M | AE | PT | FISCHEL | 04588955211 | DONALD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101220956.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539218/check_16917632_2d5442c9-0cf4-47eb-bdb8-6f54ea360524.json | N/A | N/A | N/A | N/A | N/A | 04588955211 | 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. | 1933-03-03 | N/A | N/A | N/A | SP | false | FISCHEL | N/A | DONALD | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726075446 | N/A | N/A | 5539218 | 2222 | 4801 | 17198155 | N/A | 4211550 | 2026-01-10 05:32:08.442293 | 2025-07-06 18:22:48.105422 |
| 2026-01-09 08:11:20.479162 | 2026-01-10 05:36:26.720466 | 16917624 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16917624 | Athletic Physical Therapy Inc | 1954-01-24 | 2026-01-12 | F | AE | PT | DIGIOVANNI | XEM910156092 | JILL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101220956.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538594/check_16917624_cb878f2a-a18a-42c1-9050-983006499496.json | N/A | N/A | N/A | N/A | N/A | XEM910156092 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1954-01-24 | 2002SF000029 | X0001002 | N/A | OT | false | DIGIOVANNI | N/A | JILL | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726075445 | N/A | N/A | 5538594 | 2222 | 4801 | 17198949 | N/A | 4210993 | 2026-01-10 05:36:26.720466 | 2025-05-13 04:29:37.225395 |
| 2026-01-09 08:11:11.937146 | 2026-01-09 08:11:14.371742 | 16917205 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-01-03 | 2026-01-09 | M | AE | PT | YARROW | NEEDTOENTER | FREDERICK | 3842 | https://storage.googleapis.com/normandy-eligibility-checks/2222/15193196/check_16917205_c4c62771-d4d7-43ba-8c17-48446cf1963a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15193196/check_16917205_a15bded7-d0f2-4015-a6a8-1431785614bd.json | N/A | N/A | N/A | N/A | N/A | NEEDTOENTER | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1940-01-03 | N/A | N/A | N/A | N/A | false | YARROW | N/A | FREDERICK | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 15193196 | 2222 | N/A | 17142267 | N/A | 13295466 | 2026-01-09 08:11:14.371742 | 2026-01-08 22:41:21.406873 |
| 2026-01-09 08:11:08.667075 | 2026-01-09 08:11:11.913705 | 16917041 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-01-03 | 2026-01-09 | M | AE | PT | YARROW | NEEDTOENTER | FREDERICK | 3842 | https://storage.googleapis.com/normandy-eligibility-checks/2222/15193196/check_16917041_bc8ec0ad-f76a-4638-94b8-7f90c3b7e467.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2026-01-09 | N/A | N/A | N/A | N/A | N/A | N/A | NEEDTOENTER | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1940-01-03 | N/A | N/A | N/A | N/A | false | YARROW | N/A | FREDERICK | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 15193196 | 2222 | N/A | N/A | N/A | 13295466 | 2026-01-09 08:11:11.913705 | 2026-01-08 22:41:21.406873 |
| 2026-01-09 08:10:49.633987 | 2026-01-10 01:45:40.440408 | 16915942 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16915942 | Athletic Physical Therapy Inc | 1958-10-18 | 2026-01-12 | F | PT | N/A | MORAN | CAEGR014 | EILEEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101918534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15198667/check_16915942_f8aa5e61-ed2b-494a-89e6-830c3b0e3444.json | N/A | N/A | N/A | N/A | N/A | CAEGR014 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1958-10-18 | N/A | N/A | N/A | N/A | false | MORAN | N/A | EILEEN | 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 | 9726093626 | N/A | N/A | 15198667 | 2222 | 4801 | 17185379 | N/A | 13299863 | 2026-01-10 01:45:40.440408 | 2026-01-09 01:03:22.708235 |
| 2026-01-09 08:10:49.339262 | 2026-01-10 01:45:11.915945 | 16915927 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16915927 | Athletic Physical Therapy Inc | 1971-11-24 | 2026-01-12 | M | AE | PT | Lilli | 0021071229 | Joseph | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101918534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15192067/check_16915927_4ec4ba47-3eb1-4895-a02b-70461e6a3ec6.json | N/A | N/A | N/A | N/A | N/A | 0021071229 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1971-11-24 | N/A | N/A | N/A | N/A | false | LILLI | N/A | JOSEPH | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726093624 | N/A | N/A | 15192067 | 2222 | 4802 | 17184866 | N/A | 13294448 | 2026-01-10 01:45:11.915945 | 2026-01-08 22:14:35.165843 |
| 2026-01-09 08:10:49.121057 | 2026-01-10 01:43:56.872098 | 16915912 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 16915912 | Athletic Physical Therapy Inc | 1997-11-19 | 2026-01-12 | F | AE | PT | Mitchell | U8329729001 | Brooke | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101918534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15117106/check_16915912_40893517-c5ef-4760-9563-a397c318c62f.json | N/A | N/A | N/A | N/A | N/A | U8329729001 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1997-11-19 | N/A | 3346355 | N/A | HM | false | MITCHELL | N/A | BROOKE | N/A | N/A | N/A | NETWORK | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726093622 | N/A | N/A | 15117106 | 2222 | 4802 | 17183546 | N/A | 13224956 | 2026-01-10 01:43:56.872098 | 2026-05-18 18:05:49.101987 |
| 2026-01-09 08:10:48.968979 | 2026-01-10 01:42:32.688075 | 16915899 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 16915899 | Athletic Physical Therapy Inc | 1962-09-15 | 2026-01-12 | F | AE | PT | TANAKA | 93122656F | HIROK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101918534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15071367/check_16915899_d316f403-d17d-4bde-b888-fc579842c69a.json | N/A | N/A | N/A | N/A | N/A | 93122656F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 02/28/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1962-09-15 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | TANAKA | N/A | HIROKO | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726093619 | N/A | N/A | 15071367 | 2222 | 4802 | 17182540 | N/A | 13182586 | 2026-01-10 01:42:32.688075 | 2026-02-23 21:17:02.734567 |
| 2026-01-09 08:10:48.739993 | 2026-01-10 01:45:42.716751 | 16915886 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16915886 | Athletic Physical Therapy Inc | 1959-07-26 | 2026-01-12 | F | PT | N/A | SHAFFER | MBL208W20694 | DEBORAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101918534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15053219/check_16915886_56844fca-3ba6-40ee-b2de-730f1605f507.json | N/A | N/A | N/A | N/A | N/A | MBL208W20694 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1959-07-26 | 040 | CAEGR002 | N/A | N/A | false | SHAFFER | N/A | DEBORAH | N/A | 9999-12-31 | 2024-08-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9726093618 | N/A | N/A | 15053219 | 2222 | 4801 | 17185424 | N/A | 4209855 | 2026-01-10 01:45:42.716751 | 2025-05-13 04:29:37.224273 |
| 2026-01-09 08:10:48.404986 | 2026-01-10 01:45:01.157548 | 16915867 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 16915867 | Athletic Physical Therapy Inc | 1966-06-02 | 2026-01-12 | F | AE | PT | ISRAEL | 102601501 | JJ | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101918534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15051093/check_16915867_fbdc1f1c-ba8c-4faf-a2e4-755b9ce507f6.json | N/A | N/A | N/A | N/A | N/A | 102601501 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1966-06-02 | N/A | N/A | N/A | N/A | false | ISRAEL | N/A | JJ | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726093612 | N/A | N/A | 15051093 | 2222 | 4802 | 17184670 | 6411 | 4214617 | 2026-01-10 01:45:01.157548 | 2025-07-28 17:06:19.583415 |
| 2026-01-09 08:10:48.074446 | 2026-01-10 01:49:12.543914 | 16915851 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16915851 | Athletic Physical Therapy Inc | 1960-11-20 | 2026-01-12 | F | AE | PT | Rund | 5UN0TP0YV05 | Stephanie | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101918534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15024391/check_16915851_5448a2a8-52cb-4909-9388-e4b1fb53e4d8.json | N/A | N/A | N/A | N/A | N/A | 5UN0TP0YV05 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-11-20 | S5884 | N/A | N/A | MB | false | RUND | N/A | STEPHANIE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726093607 | N/A | N/A | 15024391 | 2222 | 4802 | 17189557 | N/A | 5046194 | 2026-01-10 01:49:12.543914 | 2026-01-06 19:15:31.520951 |
| 2026-01-09 08:10:47.467379 | 2026-01-10 01:45:14.712254 | 16915823 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16915823 | Athletic Physical Therapy Inc | 1951-06-29 | 2026-01-12 | M | AE | PT | Logoteti | 000022436714 | Radu | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101918534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15005414/check_16915823_7a6ca54f-1a53-4196-a39f-d5da92be5bc2.json | N/A | N/A | N/A | N/A | N/A | 000022436714 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1951-06-29 | 4384933 | 500600 | N/A | N/A | false | LOGOTETI | N/A | RADU | N/A | N/A | N/A | KPSA SOLD TO-SOUTH KPSA SOLD TO-SOUTH | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726093599 | N/A | N/A | 15005414 | 2222 | 4802 | 17184914 | N/A | 13118277 | 2026-01-10 01:45:14.712254 | 2026-01-05 18:20:01.918853 |
| 2026-01-09 08:10:46.941243 | 2026-01-10 01:45:39.054288 | 16915796 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16915796 | Athletic Physical Therapy Inc | 1956-04-03 | 2026-01-12 | M | PT | N/A | IASCONE | JQE071M00136 | CRAIG | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101918534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/15001887/check_16915796_9c0ae52c-5fca-4ae7-b6ea-8da8cef83636.json | N/A | N/A | N/A | N/A | N/A | JQE071M00136 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1956-04-03 | 040 | CASUPWP0 | N/A | N/A | false | IASCONE | N/A | CRAIG | N/A | 9999-12-31 | 2026-01-01 | CA MODERNIZED PLAN G | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9726093595 | N/A | N/A | 15001887 | 2222 | 4793 | 17185353 | N/A | 4212022 | 2026-01-10 01:45:39.054288 | 2025-05-13 04:29:37.226346 |
| 2026-01-09 08:10:46.602039 | 2026-01-10 01:45:53.777770 | 16915776 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16915776 | Athletic Physical Therapy Inc | 1991-09-17 | 2026-01-12 | F | PT | N/A | Levitt | XEA906302743 | Hannah | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101918534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14999324/check_16915776_9fe7d7a1-3d8c-4ebf-bcfa-49e31264ec32.json | N/A | N/A | N/A | N/A | N/A | XEA906302743 | Preferred Provider Organization (PPO) | AETHER FILMS INC | BLUE SHIELD CALIFORNIA | N/A | 1991-09-17 | 1000VX000103 | W0065938 | N/A | PR | false | DILILLO | N/A | DAVIS | N/A | 9999-12-31 | 2025-10-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC CCSB MIR | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9726093594 | N/A | N/A | 14999324 | 2222 | 4802 | 17185622 | N/A | 13112676 | 2026-01-10 01:45:53.777770 | 2026-01-05 17:03:35.278778 |
| 2026-01-09 08:10:46.318827 | 2026-01-10 01:51:59.266460 | 16915755 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16915755 | Athletic Physical Therapy Inc | 1953-08-11 | 2026-01-12 | F | AE | PT | GOLSHANI | 7PGQ10J3JX11 | ZOHREH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101918534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14935873/check_16915755_cb47d123-551d-49f0-b61d-d46e4c5ef6f9.json | N/A | N/A | N/A | N/A | N/A | 7PGQ10J3JX11 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1953-08-11 | N/A | N/A | N/A | N/A | false | GOLSHANI | N/A | ZOHREH | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726093593 | N/A | N/A | 14935873 | 2222 | 4802 | 17192424 | N/A | 13046160 | 2026-01-10 01:51:59.266460 | 2026-01-02 18:57:35.868899 |
| 2026-01-09 08:10:45.948580 | 2026-01-10 01:45:36.770359 | 16915737 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16915737 | Athletic Physical Therapy Inc | 1950-01-10 | 2026-01-12 | F | PT | N/A | CHRISTIE | JQS818M78541 | MARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101918534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14934206/check_16915737_dcc4265c-6956-43cf-9950-4b62216ec339.json | N/A | N/A | N/A | N/A | N/A | JQS818M78541 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1950-01-10 | 040 | CAMCRWP0 | N/A | MP | false | CHRISTIE | N/A | MARY | 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 | 9726093592 | N/A | N/A | 14934206 | 2222 | 4801 | 17185312 | N/A | 13044328 | 2026-01-10 01:45:36.770359 | 2026-01-02 18:17:52.800755 |
| 2026-01-09 08:10:45.747695 | 2026-01-10 01:45:55.424094 | 16915725 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16915725 | Athletic Physical Therapy Inc | 1983-01-03 | 2026-01-12 | F | PT | N/A | Watson | PNE913933925 | Jennifer | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101918534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14817809/check_16915725_9f9b3324-7de0-441c-8868-dbedd74a7846.json | N/A | N/A | N/A | N/A | N/A | PNE913933925 | Preferred Provider Organization (PPO) | PRIVATE NATIONAL MORTGAGE ACCEPTANCE COMPANY LLC | BLUE SHIELD CALIFORNIA | N/A | 1983-01-03 | 1000PPOX0001 | W3000535 | N/A | PR | false | WATSON | N/A | JENNIFER | N/A | N/A | N/A | PENNYMAC ASO PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9726093591 | N/A | N/A | 14817809 | 2222 | 4801 | 17185655 | N/A | 12948252 | 2026-01-10 01:45:55.424094 | 2025-12-31 00:05:27.755860 |
| 2026-01-09 08:10:45.410638 | 2026-01-10 01:49:04.988337 | 16915712 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16915712 | Athletic Physical Therapy Inc | 1957-02-16 | 2026-01-12 | F | AE | PT | Alznauer | 4AW3R69YD60 | Patricia | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101918534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14817517/check_16915712_7bf00a77-9b61-4aef-90b1-03210115acce.json | N/A | N/A | N/A | N/A | N/A | 4AW3R69YD60 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-02-16 | S5617 | N/A | N/A | MB | false | ALZNAUER | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726093590 | N/A | N/A | 14817517 | 2222 | 4802 | 17189392 | N/A | 12947969 | 2026-01-10 01:49:04.988337 | 2025-12-30 18:41:13.794359 |
| 2026-01-09 08:10:44.902075 | 2026-01-10 01:45:13.329836 | 16915689 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16915689 | Athletic Physical Therapy Inc | 1982-09-29 | 2026-01-12 | M | AE | PT | Gill | 000023394350 | Eli | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101918534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14792524/check_16915689_0113e0a7-2db8-4cd6-9fba-3f0987e7ed2f.json | N/A | N/A | N/A | N/A | N/A | 000023394350 | N/A | N/A | KFHP 1001 | HMO - HMO COMMERCIAL | 1982-09-29 | 4372793 | 236672 | N/A | N/A | false | GILL | N/A | ELI | N/A | N/A | N/A | AECOM PLATINUM / AC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726093588 | N/A | N/A | 14792524 | 2222 | 4802 | 17184891 | N/A | 12922959 | 2026-01-10 01:45:13.329836 | 2025-12-30 00:47:01.960830 |
| 2026-01-09 08:10:44.234113 | 2026-01-10 01:45:20.464961 | 16915659 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16915659 | Athletic Physical Therapy Inc | 1970-12-26 | 2026-01-12 | M | AE | PT | Ramos | R1137852900 | Jimmy | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101918534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14714435/check_16915659_226df304-4aa5-4385-8887-d55b9d493e6d.json | N/A | N/A | N/A | N/A | N/A | R1137852900 | 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. | 1970-12-26 | 67138CA0520015-06 | N/A | N/A | N/A | false | RAMOS | N/A | JIMMY | 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 | 9726093580 | N/A | N/A | 14714435 | 2222 | 4802 | 17185020 | N/A | 12842873 | 2026-01-10 01:45:20.464961 | 2025-12-26 20:01:20.701115 |
| 2026-01-09 08:10:43.856514 | 2026-01-10 01:45:14.973091 | 16915640 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16915640 | Athletic Physical Therapy Inc | 1991-03-13 | 2026-01-12 | F | AE | PT | Mallo | 000024434351 | Charlotte | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101918534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14708525/check_16915640_07562f5e-fb65-4b4d-a131-87627bc527c0.json | N/A | N/A | N/A | N/A | N/A | 000024434351 | N/A | N/A | SELF-FUNDED/KPIC | ASO - SELF FUNDED | 1991-03-13 | 4359088 | 230851 | N/A | N/A | false | MALLO | N/A | CHARLOTTE | N/A | N/A | N/A | SOUTHERN CALIFORNIA EDISON COMPANY $25 ACTIVE EPO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726093572 | N/A | N/A | 14708525 | 2222 | 4802 | 17184919 | N/A | 12837539 | 2026-01-10 01:45:14.973091 | 2025-12-28 00:15:49.843523 |
| 2026-01-09 08:10:43.375868 | 2026-01-10 01:45:12.175517 | 16915617 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16915617 | Athletic Physical Therapy Inc | 2005-09-21 | 2026-01-12 | M | AE | PT | Mccallum | 0016751002 | Caden | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101918534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14655669/check_16915617_ce5e7b17-ca8b-436b-b797-d616b5cbc1b8.json | N/A | N/A | N/A | N/A | N/A | 0016751002 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 2005-09-21 | N/A | N/A | N/A | N/A | false | MCCALLUM | N/A | CADEN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726093571 | N/A | N/A | 14655669 | 2222 | 4802 | 17184871 | N/A | 12783185 | 2026-01-10 01:45:12.175517 | 2025-12-23 22:44:08.924085 |
| 2026-01-09 08:10:43.042262 | 2026-01-10 01:45:26.801160 | 16915600 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 16915600 | Athletic Physical Therapy Inc | 1996-12-16 | 2026-01-12 | F | AE | PT | Luckow | 904884429E | Alexa | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101918534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14604613/check_16915600_dd1bbd1b-7b58-4f07-b71f-a624edd4bdfd.json | N/A | N/A | N/A | N/A | N/A | 90488429E | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1996-12-16 | MCLA | MWLLNMEG21 | N/A | N/A | false | LUCKOW | N/A | ALEXA | N/A | 2078-12-31 | 2025-11-01 | LACARE MEDICAL | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726093562 | N/A | N/A | 14604613 | 2222 | 4802 | 17185133 | N/A | 12735885 | 2026-01-10 01:45:26.801160 | 2025-12-22 22:47:42.103130 |
| 2026-01-09 08:10:42.775806 | 2026-01-10 01:45:15.233146 | 16915585 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16915585 | Athletic Physical Therapy Inc | 1956-09-04 | 2026-01-12 | M | AE | PT | Power | 000022537970 | Dennis | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101918534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14578630/check_16915585_97590667-d492-4bf6-a57b-2475bf217d30.json | N/A | N/A | N/A | N/A | N/A | 000022537970 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1956-09-04 | 4299202 | 1650095001 | N/A | N/A | false | POWER | N/A | DENNIS | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 94 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726093558 | N/A | N/A | 14578630 | 2222 | 4802 | 17184922 | N/A | 12709990 | 2026-01-10 01:45:15.233146 | 2025-12-22 17:32:14.322898 |
| 2026-01-09 08:10:42.413711 | 2026-01-10 01:45:21.284184 | 16915567 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16915567 | Athletic Physical Therapy Inc | 1993-10-25 | 2026-01-12 | M | AE | PT | EHRENBERG | R14963929MM1 | JOSHUA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101918534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14473338/check_16915567_f75417e5-0f73-4187-9382-78c6b40d9d61.json | N/A | N/A | N/A | N/A | N/A | R14963929MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1993-10-25 | N/A | N/A | N/A | N/A | false | EHRENBERG | N/A | JOSHUA | N/A | N/A | N/A | NC0 COMHMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726093555 | N/A | N/A | 14473338 | 2222 | 4801 | 17185034 | 4625 | 12603558 | 2026-01-10 01:45:21.284184 | 2026-01-19 22:54:19.729728 |
| 2026-01-09 08:10:42.086046 | 2026-01-10 01:45:40.973468 | 16915550 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16915550 | Athletic Physical Therapy Inc | 1963-06-22 | 2026-01-12 | M | PT | N/A | MOSS | XEA910317218 | KENNETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101918534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14434936/check_16915550_d0dc7269-fe85-402e-8e25-61160d54c4b8.json | N/A | N/A | N/A | N/A | N/A | XEA910317218 | Preferred Provider Organization (PPO) | PACHOWICZ GOLDENRING A PROFESSIONAL LAW CORPORATIO | ANTHEM BLUE CROSS | N/A | 1963-06-22 | 1000VX000102 | W0078340 | N/A | PR | false | MOSS | N/A | KENNETH | N/A | 9999-12-31 | 2021-01-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9726093548 | N/A | N/A | 14434936 | 2222 | 4793 | 17185391 | N/A | 11205149 | 2026-01-10 01:45:40.973468 | 2025-11-24 18:32:22.314223 |
| 2026-01-09 08:10:41.831655 | 2026-01-10 01:45:53.433212 | 16915535 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16915535 | Athletic Physical Therapy Inc | 2013-05-30 | 2026-01-12 | F | PT | N/A | Davenport | XEA910143106 | Aaliyah | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101918534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14430082/check_16915535_b7a9988a-9b7e-446e-b714-25b43a36a58d.json | N/A | N/A | N/A | N/A | N/A | XEA910143106 | Preferred Provider Organization (PPO) | WESTMOUNT PARTNERS LLC | BLUE SHIELD CALIFORNIA | N/A | 2013-05-30 | 1000VX000102 | W0012920 | N/A | PR | false | DAVENPORT | N/A | CORY | N/A | 2039-05-31 | 2025-12-01 | SILVER FULL PPO SAVINGS 2600 35 HDHP PREVRX OFFEX | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9726093545 | N/A | N/A | 14430082 | 2222 | 4802 | 17185616 | N/A | 12562673 | 2026-01-10 01:45:53.433212 | 2025-12-23 19:24:06.109719 |
| 2026-01-09 08:10:41.607636 | 2026-01-10 01:45:21.523168 | 16915524 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16915524 | Athletic Physical Therapy Inc | 1987-08-28 | 2026-01-12 | M | AE | PT | Grinberg | 91813553H | Kostyantyn | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101918534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14391843/check_16915524_a5997543-eb63-4136-a9aa-53ee1dd8de97.json | N/A | N/A | N/A | N/A | N/A | 91813553H | N/A | N/A | HEALTH NET, LLC | N/A | 1987-08-28 | N/A | N/A | N/A | N/A | false | GRINBERG | N/A | KOSTYANTYN | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726093544 | N/A | N/A | 14391843 | 2222 | 4802 | 17185039 | N/A | 12525833 | 2026-01-10 01:45:21.523168 | 2025-12-18 00:21:04.843955 |
| 2026-01-09 08:10:41.349977 | 2026-01-10 01:49:05.542200 | 16915506 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16915506 | Athletic Physical Therapy Inc | 1964-10-15 | 2026-01-12 | F | AE | PT | Antseliovich | 9UE7EK6ME45 | Yelena | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101918534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14339028/check_16915506_7a0a1283-6150-4f33-bb22-50c4497b9bdc.json | N/A | N/A | N/A | N/A | N/A | 9UE7EK6ME45 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1964-10-15 | S4802 | N/A | N/A | MA | false | ANTSELIOVICH | N/A | YELENA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726093543 | N/A | N/A | 14339028 | 2222 | 4793 | 17189404 | N/A | 12476196 | 2026-01-10 01:49:05.542200 | 2025-12-17 00:17:13.955399 |
| 2026-01-09 08:10:41.088112 | 2026-01-10 01:45:42.394629 | 16915492 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16915492 | Athletic Physical Therapy Inc | 2011-08-19 | 2026-01-12 | F | PT | N/A | SETH HUNTER | 628A7430270 | TAYLOR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101918534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14324732/check_16915492_85e530af-de4b-4b40-939a-c402dbc76abd.json | N/A | N/A | N/A | N/A | N/A | 628A7430270 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2011-08-19 | N/A | N/A | N/A | N/A | false | SETH HUNTER | N/A | TAYLOR | 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 | 9726093542 | N/A | N/A | 14324732 | 2222 | 4801 | 17185418 | N/A | 12463052 | 2026-01-10 01:45:42.394629 | 2025-12-22 20:52:15.149356 |
| 2026-01-09 08:10:40.580204 | 2026-01-10 01:45:23.993780 | 16915462 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16915462 | Athletic Physical Therapy Inc | 1953-01-30 | 2026-01-12 | F | AE | PT | CHEVALIER | 00000382324 | SHIRLEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260109.101918534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14319509/check_16915462_f30a9b19-8a75-4dcc-a25f-ff4dada76ffc.json | N/A | N/A | N/A | N/A | N/A | 00000382324 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1953-01-30 | H3815028 | N/A | N/A | HM | false | CHEVALIER | N/A | SHIRLEY | 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 | 9726093541 | N/A | N/A | 14319509 | 2222 | 4801 | 17185079 | 2630 | 4213815 | 2026-01-10 01:45:23.993780 | 2025-05-13 04:29:37.228135 |