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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-01-09 08:10:25.112316 | 2026-01-10 01:45:00.870572 | 16914579 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 16914579 | Athletic Physical Therapy Inc | 1970-10-16 | 2026-01-12 | F | AE | PT | ARGANO | 566107301 | CHERYL | 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/2222/11373547/check_16914579_db79cbcb-1a9d-451b-9ab7-d1b410c9d6a6.json | N/A | N/A | N/A | N/A | N/A | 566107301 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1970-10-16 | N/A | N/A | N/A | N/A | false | ARGANO | N/A | CHERYL | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726094747 | N/A | N/A | 11373547 | 2222 | 4801 | 17184665 | 6411 | 9641068 | 2026-01-10 01:45:00.870572 | 2026-01-05 00:03:15.190239 |
| 2026-01-09 08:10:24.812198 | 2026-01-10 01:49:13.735309 | 16914563 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16914563 | Athletic Physical Therapy Inc | 1952-02-16 | 2026-01-12 | F | AE | PT | TEGNAZIAN | 6G53Y86XT88 | TERRY | 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/2222/11358335/check_16914563_4b375c83-20d1-4edc-b3b2-22229419b82e.json | N/A | N/A | N/A | N/A | N/A | 6G53Y86XT88 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-02-16 | S5617 | N/A | N/A | MA | false | TEGNAZIAN | N/A | TERRY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726094746 | N/A | N/A | 11358335 | 2222 | 4802 | 17189583 | N/A | 9629500 | 2026-01-10 01:49:13.735309 | 2025-10-22 16:05:53.920196 |
| 2026-01-09 08:10:24.637294 | 2026-01-10 01:49:06.376611 | 16914550 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16914550 | Athletic Physical Therapy Inc | 1941-08-23 | 2026-01-12 | M | AE | PT | Bogen | 9P98YU0FH34 | Andrew | 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/2222/11174640/check_16914550_624d833f-4226-4e10-8ccc-3e46d26e6875.json | N/A | N/A | N/A | N/A | N/A | 9P98YU0FH34 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-08-23 | N/A | N/A | N/A | MA | false | BOGEN | N/A | ANDREW | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726094745 | N/A | N/A | 11174640 | 2222 | 4802 | 17189422 | N/A | 9519718 | 2026-01-10 01:49:06.376611 | 2026-02-02 19:30:57.219688 |
| 2026-01-09 08:10:24.458847 | 2026-01-10 01:49:06.969122 | 16914541 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16914541 | Athletic Physical Therapy Inc | 1942-02-01 | 2026-01-12 | F | AE | PT | CHANG | 3FV9E71EE00 | QUANG | 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/2222/11159406/check_16914541_84735132-586b-4896-b1ad-de4b92065de6.json | N/A | N/A | N/A | N/A | N/A | 3FV9E71EE00 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-02-01 | S4802 | N/A | N/A | MA | false | CHANG | N/A | QUANG CHAN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726094744 | N/A | N/A | 11159406 | 2222 | 4793 | 17189434 | N/A | 9505845 | 2026-01-10 01:49:06.969122 | 2026-04-29 00:06:17.964395 |
| 2026-01-09 08:10:24.152356 | 2026-01-10 01:49:13.167077 | 16914520 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16914520 | Athletic Physical Therapy Inc | 1947-09-07 | 2026-01-12 | F | AE | PT | SHIBUYA | 9CP3FJ2AU75 | LINDA | 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/2222/11087596/check_16914520_b5c4f585-09fb-4496-8c7a-195b3d9708b7.json | N/A | N/A | N/A | N/A | N/A | 9CP3FJ2AU75 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-09-07 | S4802 | N/A | N/A | MB | false | SHIBUYA | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726094743 | N/A | N/A | 11087596 | 2222 | 4801 | 17189571 | N/A | 9440436 | 2026-01-10 01:49:13.167077 | 2025-10-28 16:54:37.049151 |
| 2026-01-09 08:10:23.889792 | 2026-01-10 01:45:55.706195 | 16914503 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16914503 | Athletic Physical Therapy Inc | 1977-11-12 | 2026-01-12 | M | PT | N/A | BARREDA | KXJ508W22665 | JOAQUIN | 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/2222/11085600/check_16914503_f5644f73-8af6-4036-95fb-0bb77fbc1c04.json | N/A | N/A | N/A | N/A | N/A | KXJ508W22665 | Health Maintenance Organization (HMO) | FEHBP FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM | BLUE SHIELD OF CALIFORNIA | N/A | 1977-11-12 | 040 | 277579H010 | N/A | HM | false | BARREDA | N/A | JOAQUIN | N/A | 9999-12-31 | 2026-01-01 | VALUE SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9726094742 | N/A | N/A | 11085600 | 2222 | 4801 | 17185661 | N/A | 9438953 | 2026-01-10 01:45:55.706195 | 2025-10-27 18:23:12.066967 |
| 2026-01-09 08:10:23.293237 | 2026-01-10 01:45:24.617309 | 16914461 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16914461 | Athletic Physical Therapy Inc | 1955-09-16 | 2026-01-12 | M | AE | PT | HANGVAL | 00000401784 | BAHMANYAR | 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/2222/11061532/check_16914461_ab064cb2-cad6-4c35-a51c-8b8556564289.json | N/A | N/A | N/A | N/A | N/A | 00000401784 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-09-16 | N/A | N/A | N/A | N/A | false | HANGVAL | N/A | BAHMANYAR | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726094741 | N/A | N/A | 11061532 | 2222 | 4793 | 17185091 | 2630 | 9420286 | 2026-01-10 01:45:24.617309 | 2025-10-27 20:50:02.906306 |
| 2026-01-09 08:10:23.080128 | 2026-01-10 01:44:35.870797 | 16914446 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 16914446 | Athletic Physical Therapy Inc | 1949-07-26 | 2026-01-12 | F | AE | PT | BLESSLEY | 40064625701 | DONNA | 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/2222/11011920/check_16914446_18ac8842-189a-4d37-b470-ff032810a4a9.json | N/A | N/A | N/A | N/A | N/A | 40064625701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 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 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726094740 | N/A | N/A | 11011920 | 2222 | 4793 | 17184225 | N/A | 9377403 | 2026-01-10 01:44:35.870797 | 2025-10-15 20:29:32.165707 |
| 2026-01-09 08:10:22.884685 | 2026-01-10 01:45:35.924555 | 16914432 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 16914432 | Athletic Physical Therapy Inc | 1954-11-24 | 2026-01-12 | M | PT | N/A | BLANCHFIELD | JMV780A55541 | THOMAS | 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/2222/10346222/check_16914432_62f18501-6ff2-4ff5-8209-bdaa0024c1ed.json | N/A | N/A | N/A | N/A | N/A | JMV780A55541 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | MEDICARE B | N/A | 1954-11-24 | 040 | 56677TR000 | N/A | HM | false | BLANCHFIELD | N/A | THOMAS | N/A | 9999-12-31 | 2024-07-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9726094739 | N/A | N/A | 10346222 | 2222 | 4793 | 17185298 | 4184 | 4214447 | 2026-01-10 01:45:35.924555 | 2026-04-23 20:11:34.441054 |
| 2026-01-09 08:10:22.684529 | 2026-01-10 01:45:37.944702 | 16914417 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16914417 | Athletic Physical Therapy Inc | 2003-04-25 | 2026-01-12 | M | PT | N/A | GREEN | JQV184A72608 | ALLEN | 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/2222/10091887/check_16914417_cfb57b2a-9d33-4736-a637-4ac5d8c3c74a.json | N/A | N/A | N/A | N/A | N/A | JQV184A72608 | Health Maintenance Organization (HMO) | GUMM AND GREEN LLP | ANTHEM BLUE CROSS | N/A | 2003-04-25 | 040 | 428474 | N/A | HM | false | GREEN | N/A | LINDSEY | N/A | 9999-12-31 | 2025-12-01 | ANTHEM GOLD SELECT HMO 35 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9726094738 | N/A | N/A | 10091887 | 2222 | 4793 | 17185332 | 4185 | 8429919 | 2026-01-10 01:45:37.944702 | 2025-10-07 22:01:52.720968 |
| 2026-01-09 08:10:22.442794 | 2026-01-10 01:42:45.923111 | 16914400 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 16914400 | Athletic Physical Therapy Inc | 1977-12-17 | 2026-01-12 | M | PT | N/A | GORMAN | 90370502500 | JOHN | 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/2222/9898664/check_16914400_a221cfa2-c631-45b9-90d8-1867cebea214.json | N/A | N/A | N/A | N/A | N/A | XEP903705025 | Point of Service (POS) | CAPE | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1977-12-17 | 1000POSX0002 | W0052320 | N/A | PS | false | GORMAN | N/A | JOHN | N/A | 9999-12-31 | 2026-01-01 | GROUP LIFE 20 000 70 65 75 50 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9726094732 | N/A | N/A | 9898664 | 2222 | 4793 | 17182662 | N/A | 8287160 | 2026-01-10 01:42:45.923111 | 2025-10-01 22:48:13.212843 |
| 2026-01-09 08:10:22.279699 | 2026-01-10 01:45:40.706083 | 16914387 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16914387 | Athletic Physical Therapy Inc | 1980-07-01 | 2026-01-12 | M | PT | N/A | Moreno jr | VDHE01043007 | Hector | 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/2222/9691081/check_16914387_c0f98464-f20d-4767-8d57-c838915d6b8a.json | N/A | N/A | N/A | N/A | N/A | VDHE01043007 | Preferred Provider Organization (PPO) | DIGNITY HEALTH VENTURA | ANTHEM BLUE CROSS | N/A | 1980-07-01 | 040 | 174236M3A1 | N/A | PR | false | MORENO JR | N/A | HECTOR | N/A | 9999-12-31 | 2022-07-01 | PB INCENTIVE NO SUTTER | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9726094730 | N/A | N/A | 9691081 | 2222 | 4801 | 17185385 | N/A | 8110015 | 2026-01-10 01:45:40.706083 | 2025-10-05 15:24:30.421551 |
| 2026-01-09 08:10:22.072080 | 2026-01-10 01:49:09.215807 | 16914373 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16914373 | Athletic Physical Therapy Inc | 1955-07-01 | 2026-01-12 | F | AE | PT | GREER | 7H09HW9QG44 | ROBIN | 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/2222/9411083/check_16914373_8572e7ed-54d7-4239-938a-6422951b9107.json | N/A | N/A | N/A | N/A | N/A | 7H09HW9QG44 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-01 | S5601 | N/A | N/A | MA | false | GREER | N/A | ROBIN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726094727 | N/A | N/A | 9411083 | 2222 | 4802 | 17189485 | N/A | 7879863 | 2026-01-10 01:49:09.215807 | 2026-02-04 18:21:13.840230 |
| 2026-01-09 08:10:21.735226 | 2026-01-10 01:49:05.240156 | 16914347 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16914347 | Athletic Physical Therapy Inc | 1946-06-01 | 2026-01-12 | F | AE | PT | AMIRI | 5A52N18CA24 | POURAN | 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/2222/9399844/check_16914347_f198efc9-9454-42fb-8293-d2dd4d818770.json | N/A | N/A | N/A | N/A | N/A | 5A52N18CA24 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-06-01 | S4802 | N/A | N/A | MB | false | AMIRI | N/A | POURAN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726094726 | N/A | N/A | 9399844 | 2222 | 4802 | 17189398 | N/A | 4210607 | 2026-01-10 01:49:05.240156 | 2025-08-01 18:31:38.620742 |
| 2026-01-09 08:10:21.216581 | 2026-01-10 01:49:08.344600 | 16914317 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16914317 | Athletic Physical Therapy Inc | 1948-07-07 | 2026-01-12 | F | AE | PT | GOEL | 5RR4M63DR65 | VEENA | 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/2222/8969533/check_16914317_bab59920-fa62-4499-89b3-ee86d85a4d12.json | N/A | N/A | N/A | N/A | N/A | 5RR4M63DR65 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-07 | S4802 | N/A | N/A | MB | false | GOEL | N/A | VEENA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726094725 | N/A | N/A | 8969533 | 2222 | 4802 | 17189465 | N/A | 7485064 | 2026-01-10 01:49:08.344600 | 2025-12-29 22:41:16.623495 |
| 2026-01-09 08:10:20.830608 | 2026-01-10 01:45:41.268254 | 16914297 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16914297 | Athletic Physical Therapy Inc | 2003-05-02 | 2026-01-12 | M | PT | N/A | MUHAMMAD | XOF828514693 | KENNETH | 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/2222/8675672/check_16914297_37695d15-2e82-4a11-96be-61b9e9688002.json | N/A | N/A | N/A | N/A | N/A | XOF828514693 | Preferred Provider Organization (PPO) | IBJI - BRADLEY ACTIVES | ANTHEM BLUE CROSS | N/A | 2003-05-02 | N/A | PK4933 | N/A | PR | false | MUHAMMAD | N/A | KERMIT | N/A | N/A | N/A | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9726094724 | N/A | N/A | 8675672 | 2222 | 4793 | 17185397 | N/A | 7310369 | 2026-01-10 01:45:41.268254 | 2026-02-03 01:46:10.334485 |
| 2026-01-09 08:10:20.573793 | 2026-01-10 01:45:35.651258 | 16914283 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16914283 | Athletic Physical Therapy Inc | 1961-03-04 | 2026-01-12 | M | PT | N/A | AVEDISSIAN | JQU233A54125 | ARMEN | 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/2222/8472241/check_16914283_d5ed2575-e688-4872-abc9-87e82d874338.json | N/A | N/A | N/A | N/A | N/A | JQU233A54125 | Preferred Provider Organization (PPO) | BRAND PRODUCE INC | MEDICARE A | N/A | 1961-03-04 | 040 | J35185 | N/A | PR | false | AVEDISSIAN | N/A | ARMEN | 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 | 9726094723 | N/A | N/A | 8472241 | 2222 | 4801 | 17185292 | N/A | 7143064 | 2026-01-10 01:45:35.651258 | 2025-10-10 06:06:58.213429 |
| 2026-01-09 08:10:20.309609 | 2026-01-10 01:42:32.410593 | 16914270 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16914270 | Athletic Physical Therapy Inc | 2001-06-21 | 2026-01-12 | M | AE | PT | RAFIEI | 92836714F | SAM | 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/2222/8173002/check_16914270_2833850b-bf8b-49df-969f-cde898974ce3.json | N/A | N/A | N/A | N/A | N/A | 92836714F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-06-21 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | RAFIEI | N/A | SAM | N/A | 2078-12-31 | 2024-02-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726094722 | N/A | N/A | 8173002 | 2222 | 4793 | 17182537 | 4211 | 6939518 | 2026-01-10 01:42:32.410593 | 2025-08-18 21:40:08.349494 |
| 2026-01-09 08:10:20.049541 | 2026-01-10 01:42:46.165577 | 16914258 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 16914258 | Athletic Physical Therapy Inc | 1975-12-22 | 2026-01-12 | M | PT | N/A | HUTH | XEH910929228 | KENT | 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/2222/7626895/check_16914258_e20e0bac-f90e-4194-896d-1a017814c194.json | N/A | N/A | N/A | N/A | N/A | XEH910929228 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1975-12-22 | 1000HMOX0001 | W0051411 | N/A | HM | false | HUTH | N/A | KENT | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9726094719 | N/A | N/A | 7626895 | 2222 | 4793 | 17182665 | N/A | 6525917 | 2026-01-10 01:42:46.165577 | 2026-05-08 22:53:13.232007 |
| 2026-01-09 08:10:19.889677 | 2026-01-10 01:45:36.227730 | 16914242 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16914242 | Athletic Physical Therapy Inc | 1988-08-19 | 2026-01-12 | M | PT | N/A | Bridgemohansingh | NTF910W08222 | Jason | 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/2222/7258746/check_16914242_5c51586b-ed46-4642-8df2-9f49d6e3169e.json | N/A | N/A | N/A | N/A | N/A | NTF910W08222 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | ANTHEM BLUE CROSS | N/A | 1988-08-19 | 040 | L08669M002 | N/A | PR | false | BRIDGEMOHANSINGH | N/A | JASON | N/A | 9999-12-31 | 2025-08-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9726094713 | N/A | N/A | 7258746 | 2222 | 4802 | 17185302 | N/A | 6224482 | 2026-01-10 01:45:36.227730 | 2025-08-07 00:03:18.267969 |
| 2026-01-09 08:10:19.739467 | 2026-01-10 01:45:24.863272 | 16914230 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16914230 | Athletic Physical Therapy Inc | 1958-04-03 | 2026-01-12 | F | AE | PT | NIAZI | 00000388782 | RAHIMA | 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/2222/6958289/check_16914230_5a8c7afa-d132-4c0c-9cd1-388ac1893982.json | N/A | N/A | N/A | N/A | N/A | 00000388782 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1958-04-03 | H3815028 | N/A | N/A | HM | false | NIAZI | N/A | RAHIMA | 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 | 9726094709 | N/A | N/A | 6958289 | 2222 | 4793 | 17185097 | 2630 | 5983606 | 2026-01-10 01:45:24.863272 | 2025-07-18 18:03:17.155924 |
| 2026-01-09 08:10:19.549894 | 2026-01-10 01:42:22.175462 | 16914216 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 16914216 | Athletic Physical Therapy Inc | 1955-02-20 | 2026-01-12 | F | AE | PT | SALGUERO | 35955370 | DINA | 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/2222/6711965/check_16914216_fbb788fa-a13f-4f53-80d9-7a0b819a4c03.json | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | 406-005-000 | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726094706 | N/A | N/A | 6711965 | 2222 | 4793 | 17182451 | 6798 | 4210430 | 2026-01-10 01:42:22.175462 | 2025-05-13 04:29:37.224841 |
| 2026-01-09 08:10:19.400580 | 2026-01-10 01:45:54.089772 | 16914204 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16914204 | Athletic Physical Therapy Inc | 1961-03-12 | 2026-01-12 | F | PT | N/A | MCNUTT | XED904914958 | YOLANDA | 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/2222/6668755/check_16914204_5038fcfd-d46c-4650-8ef4-71dfecafd09f.json | N/A | N/A | N/A | N/A | N/A | XED904914958 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-03-12 | 2001ZL002184 | X0001004 | N/A | PR | false | FERNANDEZ-MCNUTT | N/A | YOLANDA | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9726094702 | N/A | N/A | 6668755 | 2222 | 4801 | 17185628 | N/A | 5282877 | 2026-01-10 01:45:54.089772 | 2025-07-01 15:56:36.473431 |
| 2026-01-09 08:10:19.224914 | 2026-01-10 01:49:10.338353 | 16914190 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16914190 | Athletic Physical Therapy Inc | 1952-10-25 | 2026-01-12 | F | AE | PT | JOHNSTON | 7KA0H51YU14 | DEBORAH | 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/2222/6638391/check_16914190_dc9ad41d-41d0-4110-b977-4bb0633cc597.json | N/A | N/A | N/A | N/A | N/A | 7KA0H51YU14 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-10-25 | S5617 | N/A | N/A | MA | false | JOHNSTON | N/A | DEBORAH | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726094701 | N/A | N/A | 6638391 | 2222 | 4793 | 17189509 | N/A | 5247837 | 2026-01-10 01:49:10.338353 | 2026-02-24 20:36:49.807283 |
| 2026-01-09 08:10:19.038167 | 2026-01-10 01:42:52.053103 | 16914175 | N/A | N/A | 60054 | Aetna | 1114042165 | 16914175 | Athletic Physical Therapy Inc | 1991-08-09 | 2026-01-12 | M | AE | PT | TORIO | W287278504 | MICHAEL | 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/2222/6235883/check_16914175_57d02ec8-f9ca-4bbc-a9dd-671d64746b55.json | N/A | N/A | N/A | N/A | N/A | W287278504 | Point of Service (POS) | COADVANTAGE RESOURCES, INC. | AETNA | N/A | 1991-08-09 | 0159468 | 015946801000034 | N/A | PS | false | TORIO | N/A | MICHAEL | N/A | N/A | N/A | OPEN ACCESS MC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726094700 | N/A | N/A | 6235883 | 2222 | 4802 | 17182722 | N/A | 4883697 | 2026-01-10 01:42:52.053103 | 2025-07-08 14:55:53.397662 |
| 2026-01-09 08:10:18.525177 | 2026-01-10 01:43:34.340389 | 16914142 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 16914142 | Athletic Physical Therapy Inc | 1947-04-26 | 2026-01-12 | F | AE | PT | BARCENES | H9209970900 | IRENE | 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/2222/6231314/check_16914142_a502d760-033e-49af-aec3-84e54771f731.json | N/A | N/A | N/A | N/A | N/A | H92099709 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1947-04-26 | N/A | 2B722001 | N/A | HN | false | BARCENES DES | N/A | IRENE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726094692 | N/A | N/A | 6231314 | 2222 | 4801 | 17183216 | N/A | 4219033 | 2026-01-10 01:43:34.340389 | 2025-05-13 04:29:37.230052 |
| 2026-01-09 08:10:18.138955 | 2026-01-10 01:49:10.022221 | 16914119 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16914119 | Athletic Physical Therapy Inc | 1951-03-27 | 2026-01-12 | F | AE | PT | Jaude | 9MG2QE6VF90 | Anne | 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/2222/6124906/check_16914119_c3141358-56fe-4d3a-993d-84f5a5f4878b.json | N/A | N/A | N/A | N/A | N/A | 9MG2QE6VF90 | N/A | N/A | CMS | 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 | 9726094691 | N/A | N/A | 6124906 | 2222 | 4802 | 17189501 | N/A | 4767362 | 2026-01-10 01:49:10.022221 | 2025-09-19 16:49:18.601418 |
| 2026-01-09 08:10:17.777802 | 2026-01-10 01:45:20.730304 | 16914098 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16914098 | Athletic Physical Therapy Inc | 1969-01-08 | 2026-01-12 | F | AE | PT | ALROMAIH | 91237812E | SARAH | 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/2222/5993940/check_16914098_24ad0e5c-9a4c-40c7-a695-44373ed5b340.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726094688 | N/A | N/A | 5993940 | 2222 | 4802 | 17185024 | 4625 | 4642877 | 2026-01-10 01:45:20.730304 | 2025-12-23 23:49:16.627667 |
| 2026-01-09 08:10:17.512682 | 2026-01-10 01:45:44.276196 | 16914081 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16914081 | Athletic Physical Therapy Inc | 1996-01-20 | 2026-01-12 | F | PT | N/A | WORDEN | ORU910469318 | SARAH | 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/2222/5993479/check_16914081_90084e99-f528-4e57-beba-9bc435aeb06a.json | N/A | N/A | N/A | N/A | N/A | ORU910469318 | Preferred Provider Organization (PPO) | OAK RIDGE ASSOCIATED UNIVERSITIES | ANTHEM BLUE CROSS | N/A | 1996-01-20 | MBPORAU0 | 89513 | N/A | PR | false | WORDEN | N/A | SARAH | N/A | 2199-12-31 | 2024-07-16 | BLUE NETWORK P | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9726094683 | N/A | N/A | 5993479 | 2222 | 4801 | 17185451 | N/A | 4219476 | 2026-01-10 01:45:44.276196 | 2025-05-28 20:18:04.039855 |
| 2026-01-09 08:10:17.196570 | 2026-01-10 01:42:51.292499 | 16914062 | N/A | N/A | 60054 | Aetna | 1114042165 | 16914062 | Athletic Physical Therapy Inc | 1955-03-15 | 2026-01-12 | F | AE | PT | MORTENSEN | MBL800W05634 | JEANIE | 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/2222/5549946/check_16914062_dfe7bb47-c2d1-49e2-9d40-eeef41d51fa5.json | N/A | N/A | N/A | N/A | N/A | MBL800W05634 | N/A | N/A | AETNA | N/A | 1955-03-15 | 0169623 | 016962301000201 | N/A | N/A | false | MORTENSEN | N/A | JEANIE | N/A | N/A | N/A | PPO DENTAL 2000 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726094679 | N/A | N/A | 5549946 | 2222 | 4801 | 17182714 | N/A | 4219431 | 2026-01-10 01:42:51.292499 | 2025-12-01 18:45:07.315802 |
| 2026-01-09 08:10:16.821126 | 2026-01-10 01:45:39.311181 | 16914040 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16914040 | Athletic Physical Therapy Inc | 1962-01-25 | 2026-01-12 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | 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/2222/5549317/check_16914040_b5c09d8d-124f-4551-a863-8c6a0a1c4a3e.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2027-01-01 | 2026-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9726094678 | N/A | N/A | 5549317 | 2222 | 4801 | 17185359 | N/A | 4219010 | 2026-01-10 01:45:39.311181 | 2026-01-09 18:32:07.618867 |
| 2026-01-09 08:10:16.630634 | 2026-01-10 01:42:21.933736 | 16914026 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 16914026 | Athletic Physical Therapy Inc | 1941-05-24 | 2026-01-12 | F | AE | PT | REGGIANI | 41813758 | SUSANA | 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/2222/5549015/check_16914026_54771224-c939-4f42-bbf3-79d2b9f592e6.json | N/A | N/A | N/A | N/A | N/A | 41813758 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1941-05-24 | 406-034-002 | N/A | N/A | N/A | false | REGGIANI | N/A | SUSANA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726093867 | N/A | N/A | 5549015 | 2222 | 4801 | 17182449 | 6798 | 4208849 | 2026-01-10 01:42:21.933736 | 2025-05-13 04:29:37.223279 |
| 2026-01-09 08:10:16.398349 | 2026-01-10 01:49:06.650966 | 16914007 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16914007 | Athletic Physical Therapy Inc | 1957-05-23 | 2026-01-12 | F | AE | PT | CEASAR | 6XR6JY3MJ89 | DEBBIE | 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/2222/5543553/check_16914007_32f53dee-2122-4f82-a7c5-205b13aaf2a5.json | N/A | N/A | N/A | N/A | N/A | 6XR6JY3MJ89 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-23 | S5660 | N/A | N/A | MA | false | CEASAR | N/A | DEBBIE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726093866 | N/A | N/A | 5543553 | 2222 | 4793 | 17189428 | N/A | 4215327 | 2026-01-10 01:49:06.650966 | 2025-05-13 04:29:37.229651 |
| 2026-01-09 08:10:15.928519 | 2026-01-10 01:44:34.690676 | 16913978 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16913978 | Athletic Physical Therapy Inc | 1950-03-29 | 2026-01-12 | M | AE | PT | AKHTARI | 40045421301 | SHAHROKH | 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/2222/5543493/check_16913978_445c8c45-83b1-4bf7-b96a-89d9dd646183.json | N/A | N/A | N/A | N/A | N/A | 40045421301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-03-29 | 2026H5425006 | H5425M | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726093865 | N/A | N/A | 5543493 | 2222 | 4793 | 17184206 | 6237 | 4215273 | 2026-01-10 01:44:34.690676 | 2025-05-13 04:29:37.229594 |
| 2026-01-09 08:10:15.397758 | 2026-01-10 01:45:42.965195 | 16913944 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16913944 | Athletic Physical Therapy Inc | 1972-01-23 | 2026-01-12 | M | PT | N/A | SHER | JQV274M76470 | ARTUR | 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/2222/5543024/check_16913944_5c5f4e56-83d3-4e42-b016-e0e78a941db5.json | N/A | N/A | N/A | N/A | N/A | JQV274M76470 | Health Maintenance Organization (HMO) | ROYAL WINE CORP | ANTHEM BLUE CROSS | N/A | 1972-01-23 | 040 | Q41837 | N/A | HM | false | SHER | N/A | ARTUR | 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 | 9726093864 | N/A | N/A | 5543024 | 2222 | 4801 | 17185429 | N/A | 4214858 | 2026-01-10 01:45:42.965195 | 2025-05-13 04:29:37.229182 |
| 2026-01-09 08:10:15.199267 | 2026-01-10 01:49:08.946197 | 16913931 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16913931 | Athletic Physical Therapy Inc | 1940-11-11 | 2026-01-12 | M | AE | PT | GOLDBERG | 9EE6XY2TM41 | Michael | 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/2222/5542970/check_16913931_6321b383-50d1-49f8-b5cf-c38bbdadaf34.json | N/A | N/A | N/A | N/A | N/A | 9EE6XY2TM41 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-11-11 | S5601 | N/A | N/A | MB | false | GOLDBERG | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726093863 | N/A | N/A | 5542970 | 2222 | 4802 | 17189479 | N/A | 4214820 | 2026-01-10 01:49:08.946197 | 2025-06-30 02:56:23.324592 |
| 2026-01-09 08:10:15.065934 | 2026-01-10 01:49:08.681736 | 16913922 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16913922 | Athletic Physical Therapy Inc | 1944-10-29 | 2026-01-12 | F | AE | PT | GOLDBERG | 6YD7TP7AC72 | LINDA | 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/2222/5542935/check_16913922_450cc0ba-38ec-4536-b367-e11beb9580ee.json | N/A | N/A | N/A | N/A | N/A | 6YD7TP7AC72 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-10-29 | S5601 | N/A | N/A | MB | false | GOLDBERG | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726093861 | N/A | N/A | 5542935 | 2222 | 4802 | 17189471 | N/A | 4214789 | 2026-01-10 01:49:08.681736 | 2025-12-11 23:30:31.319246 |
| 2026-01-09 08:10:14.910317 | 2026-01-10 01:44:37.427852 | 16913911 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16913911 | Athletic Physical Therapy Inc | 1954-10-02 | 2026-01-12 | M | AD | 30 | TARDIF | 40037365501 | TEDD | 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/2222/5542894/check_16913911_1fb5ac54-6b53-4860-b967-d84d74a9acd6.json | N/A | N/A | N/A | N/A | N/A | 40037365501 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1954-10-02 | 2026H5425001 | H5425M | N/A | N/A | false | TARDIF | N/A | TEDD | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 9726093859 | N/A | N/A | 5542894 | 2222 | 4801 | 17184246 | 6237 | 4214757 | 2026-01-10 01:44:37.427852 | 2026-03-20 15:26:52.406374 |
| 2026-01-09 08:10:14.743900 | 2026-01-10 01:42:51.803634 | 16913897 | N/A | N/A | 60054 | Aetna | 1114042165 | 16913897 | Athletic Physical Therapy Inc | 1982-02-18 | 2026-01-12 | M | AE | PT | TORGAN | W291598583 | SPENCER | 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/2222/5542863/check_16913897_09831a02-f733-4c85-9792-ffa694ce2fa9.json | N/A | N/A | N/A | N/A | N/A | W291598583 | Point of Service (POS) | MORGAN STANLEY DOMESTIC HOLDINGS, L | AETNA | N/A | 1982-02-18 | 0868849 | 086884901000001 | N/A | PS | false | TORGAN | N/A | SPENCER | 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 | 9726093858 | N/A | N/A | 5542863 | 2222 | 4793 | 17182719 | N/A | 4214725 | 2026-01-10 01:42:51.803634 | 2025-05-13 04:29:37.229043 |
| 2026-01-09 08:10:14.631027 | 2026-01-10 01:49:12.222245 | 16913891 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16913891 | Athletic Physical Therapy Inc | 1951-06-05 | 2026-01-12 | F | AE | PT | Roberts | 8J26AQ7EV76 | Mary Bryan | 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/2222/5542843/check_16913891_657c713e-6905-4a5c-b56f-90323c55c495.json | N/A | N/A | N/A | N/A | N/A | 8J26AQ7EV76 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-05 | S5601 | N/A | N/A | MB | false | ROBERTS | N/A | MARY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726093857 | N/A | N/A | 5542843 | 2222 | 4793 | 17189551 | N/A | 4214712 | 2026-01-10 01:49:12.222245 | 2025-11-12 19:26:06.663656 |
| 2026-01-09 08:10:14.464973 | 2026-01-10 01:45:43.941105 | 16913878 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16913878 | Athletic Physical Therapy Inc | 1949-06-30 | 2026-01-12 | F | PT | N/A | STEWART | WSP370A66341 | ALBERTA | 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/2222/5542834/check_16913878_dca70dea-6a9b-4bf5-a399-5ca9790aa72c.json | N/A | N/A | N/A | N/A | N/A | WSP370A66341 | N/A | ELEVANCE HEALTH | ANTHEM BLUE CROSS | N/A | 1949-06-30 | 130 | IN002GRS | N/A | N/A | false | STEWART | N/A | ALBERTA | N/A | 9999-12-31 | 2021-01-01 | IN GRS ELEVANCE HEALTH H4036-801 ANTHEM MED PREFER | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9726093855 | N/A | N/A | 5542834 | 2222 | 4801 | 17185445 | N/A | 4214700 | 2026-01-10 01:45:43.941105 | 2025-05-13 04:29:37.229017 |
| 2026-01-09 08:10:14.298703 | 2026-01-10 01:45:21.785231 | 16913866 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16913866 | Athletic Physical Therapy Inc | 1979-11-17 | 2026-01-12 | F | AE | PT | WOODS | 96781627F | JESSICA | 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/2222/5542752/check_16913866_8a85494f-7739-44ca-8ef7-47de3afdf771.json | N/A | N/A | N/A | N/A | N/A | 96781627F | N/A | N/A | HEALTH NET, LLC | N/A | 1979-11-17 | N/A | N/A | N/A | N/A | false | WOODS | N/A | JESSICA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726093854 | N/A | N/A | 5542752 | 2222 | 4793 | 17185044 | 4625 | 4214627 | 2026-01-10 01:45:21.785231 | 2025-06-23 18:58:46.304598 |
| 2026-01-09 08:10:14.095768 | 2026-01-10 01:45:20.229581 | 16913853 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16913853 | Athletic Physical Therapy Inc | 1972-07-22 | 2026-01-12 | M | AE | PT | KOZMA | U9714475101 | JASON | 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/2222/5542709/check_16913853_a70ae540-034b-4813-be18-93af05bd84a4.json | N/A | N/A | N/A | N/A | N/A | U9714475101 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1972-07-22 | 67138CA0700027-01 | N/A | N/A | N/A | false | KOZMA | N/A | JASON | N/A | N/A | N/A | BRONZE 60 HDHP AMBETTER PPO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726093853 | N/A | N/A | 5542709 | 2222 | 4802 | 17185015 | N/A | 4214582 | 2026-01-10 01:45:20.229581 | 2025-12-02 00:00:04.433236 |
| 2026-01-09 08:10:13.623139 | 2026-01-10 01:45:21.002271 | 16913828 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16913828 | Athletic Physical Therapy Inc | 1968-04-07 | 2026-01-12 | F | AE | PT | CHERE | 98953535F | DIANA | 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/2222/5542660/check_16913828_6e384e39-ae95-445e-8ed8-b8754dbd837b.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726093852 | N/A | N/A | 5542660 | 2222 | 4802 | 17185029 | 4625 | 4214542 | 2026-01-10 01:45:21.002271 | 2025-05-13 04:29:37.228868 |
| 2026-01-09 08:10:13.339135 | 2026-01-10 01:45:43.602122 | 16913805 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16913805 | Athletic Physical Therapy Inc | 1942-12-17 | 2026-01-12 | F | PT | N/A | STEINBERG | MBL988M98459 | JUDY | 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/2222/5542014/check_16913805_beb29106-7d4c-4cf8-a91a-acc40c4fa296.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9726093851 | N/A | N/A | 5542014 | 2222 | 4793 | 17185439 | N/A | 4213977 | 2026-01-10 01:45:43.602122 | 2025-05-13 04:29:37.228294 |
| 2026-01-09 08:10:13.004789 | 2026-01-10 01:42:52.337665 | 16913781 | N/A | N/A | 60054 | Aetna | 1114042165 | 16913781 | Athletic Physical Therapy Inc | 1986-03-06 | 2026-01-12 | M | AE | PT | LOPEZ | W27941988601 | NORBY | 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/2222/5541926/check_16913781_86fb99c3-25c3-4359-a39a-bcc01eb69508.json | N/A | N/A | N/A | N/A | N/A | W27941988601 | N/A | N/A | AETNA INC | N/A | 1986-03-06 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | NORBY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726093850 | N/A | N/A | 5541926 | 2222 | 4802 | 17182724 | N/A | 4213897 | 2026-01-10 01:42:52.337665 | 2026-01-05 15:53:04.731703 |
| 2026-01-09 08:10:12.898876 | 2026-01-10 01:45:43.253252 | 16913770 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16913770 | Athletic Physical Therapy Inc | 1940-08-31 | 2026-01-12 | M | PT | N/A | STEINBERG | MBL875M98441 | HARRIS | 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/2222/5541917/check_16913770_eee4c6c4-1c8d-48d6-a030-408c5d453fdf.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9726093849 | N/A | N/A | 5541917 | 2222 | 4793 | 17185434 | N/A | 4213891 | 2026-01-10 01:45:43.253252 | 2025-05-13 04:29:37.228207 |
| 2026-01-09 08:10:12.782083 | 2026-01-10 01:49:07.500551 | 16913763 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16913763 | Athletic Physical Therapy Inc | 1956-01-14 | 2026-01-12 | F | AE | PT | COHENZADEH | 1YM2D25GY27 | SIMA | 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/2222/5541059/check_16913763_b74084c8-9bee-405f-82c3-c9995e5c7bed.json | N/A | N/A | N/A | N/A | N/A | 1YM2D25GY27 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-14 | S4802 | N/A | N/A | MA | false | COHENZADEH | N/A | SIMA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726093848 | N/A | N/A | 5541059 | 2222 | 4802 | 17189447 | N/A | 4213119 | 2026-01-10 01:49:07.500551 | 2025-11-20 01:13:31.057962 |
| 2026-01-09 08:10:12.679284 | 2026-01-10 01:44:36.644575 | 16913754 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16913754 | Athletic Physical Therapy Inc | 1946-11-23 | 2026-01-12 | F | AD | 30 | POLAK | 40047825101 | JOANNA | 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/2222/5541023/check_16913754_9b857690-c218-42cf-a7e0-e2e055e5c42a.json | N/A | N/A | N/A | N/A | N/A | 40047825101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1946-11-23 | 2026H5425006 | H5425M | N/A | N/A | false | POLAK | N/A | JOANNA | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 9726093847 | N/A | N/A | 5541023 | 2222 | 4793 | 17184238 | 6237 | 4213093 | 2026-01-10 01:44:36.644575 | 2025-05-13 04:29:37.227419 |
| 2026-01-09 08:10:12.571898 | 2026-01-10 01:49:07.228965 | 16913747 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16913747 | Athletic Physical Therapy Inc | 1956-09-14 | 2026-01-12 | M | AE | PT | COHENZADEH | 7UJ5QD2DD88 | DAVOOD | 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/2222/5540904/check_16913747_34fb71dd-901b-4276-a41f-04ceda89ce0c.json | N/A | N/A | N/A | N/A | N/A | 7UJ5QD2DD88 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-09-14 | S4802 | N/A | N/A | MA | false | COHENZADEH | N/A | DAVOOD | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9726093846 | N/A | N/A | 5540904 | 2222 | 4802 | 17189441 | N/A | 4212983 | 2026-01-10 01:49:07.228965 | 2025-11-19 21:27:11.455704 |