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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-01-05 08:09:41.412819 | 2026-01-06 01:41:59.121091 | 16686420 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16686420 | Athletic Physical Therapy Inc | 1942-12-02 | 2026-01-08 | M | AE | PT | Lawrence | 5N91QT7KX96 | Harvey | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11156181/check_16686420_c7b8ed6a-14f9-4be7-baf9-66f453eb6279.json | N/A | N/A | N/A | N/A | N/A | 5N91QT7KX96 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-12-02 | S5884 | N/A | N/A | MB | false | LAWRENCE | N/A | HARVEY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9679468308 | N/A | N/A | 11156181 | 2222 | 4802 | 16959535 | N/A | 9502693 | 2026-01-06 01:41:59.121091 | 2025-12-16 19:10:22.413376 |
| 2026-01-05 08:09:41.311844 | 2026-01-06 01:37:03.384654 | 16686408 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 16686408 | Athletic Physical Therapy Inc | 1954-02-02 | 2026-01-08 | F | AE | PT | CORNEL | 40037363901 | GLORIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11111720/check_16686408_73d37b83-564a-4673-a4be-cb343cef0698.json | N/A | N/A | N/A | N/A | N/A | 40037363901 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1954-02-02 | 2026H5425001 | H5425M | N/A | N/A | false | CORNEL | N/A | GLORIA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9679468307 | N/A | N/A | 11111720 | 2222 | 4801 | 16947530 | N/A | 9461873 | 2026-01-06 01:37:03.384654 | 2025-10-28 18:04:57.630831 |
| 2026-01-05 08:09:41.153232 | 2026-01-06 01:39:03.735842 | 16686388 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16686388 | Athletic Physical Therapy Inc | 1977-11-12 | 2026-01-07 | M | PT | N/A | BARREDA | KXJ508W22665 | JOAQUIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11085600/check_16686388_f3ab89f1-ff81-4e87-9a76-984f2eda64f4.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 | 9679468306 | N/A | N/A | 11085600 | 2222 | 4801 | 16951836 | N/A | 9438953 | 2026-01-06 01:39:03.735842 | 2025-10-27 18:23:12.066967 |
| 2026-01-05 08:09:41.062229 | 2026-01-06 01:38:26.234296 | 16686379 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16686379 | Athletic Physical Therapy Inc | 1955-09-16 | 2026-01-07 | M | AE | PT | HANGVAL | 00000401784 | BAHMANYAR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11061532/check_16686379_365b65d4-66ce-4456-b58d-d2c095d3c4dd.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 | 9679468305 | N/A | N/A | 11061532 | 2222 | 4793 | 16950331 | 2630 | 9420286 | 2026-01-06 01:38:26.234296 | 2025-10-27 20:50:02.906306 |
| 2026-01-05 08:09:40.952783 | 2026-01-06 01:38:39.369282 | 16686362 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16686362 | Athletic Physical Therapy Inc | 1963-09-07 | 2026-01-07 | M | PT | N/A | BAHR | FZX638A69335 | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10371931/check_16686362_a77742ed-039c-402e-b283-095c03c5cb47.json | N/A | N/A | N/A | N/A | N/A | FZX638A69335 | Preferred Provider Organization (PPO) | CDHP HSA NON-INTEGRATED BNK | ANTHEM BLUE CROSS | N/A | 1963-09-07 | 423 | 201028M2CA | N/A | PR | false | BAHR | N/A | KEVIN | N/A | 9999-12-31 | 2022-01-01 | CDHP VIRGINIA HEALTH SAVINGS ACCOUNT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9679468304 | N/A | N/A | 10371931 | 2222 | 4793 | 16950843 | N/A | 8634062 | 2026-01-06 01:38:39.369282 | 2025-10-16 21:25:25.746427 |
| 2026-01-05 08:09:40.774915 | 2026-01-06 01:38:42.025133 | 16686341 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16686341 | Athletic Physical Therapy Inc | 1977-11-16 | 2026-01-07 | M | PT | N/A | COPELAND | SIF818M55219 | CHRISTOPHER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10355543/check_16686341_f34f2a27-e728-4001-bd63-86c347e9ddae.json | N/A | N/A | N/A | N/A | N/A | SIF818M55219 | Preferred Provider Organization (PPO) | SISC - VENTURA COUNTY COMMUNITY COLLEGE DISTRICT | ANTHEM BLUE CROSS | N/A | 1977-11-16 | 040 | 40971D | N/A | PR | false | COPELAND | N/A | CHRISTOPHER | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9679468303 | N/A | N/A | 10355543 | 2222 | 4801 | 16950945 | N/A | 8619978 | 2026-01-06 01:38:42.025133 | 2025-10-13 20:53:09.422541 |
| 2026-01-05 08:09:40.651384 | 2026-01-06 01:38:39.906914 | 16686324 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 16686324 | Athletic Physical Therapy Inc | 1954-11-24 | 2026-01-08 | M | PT | N/A | BLANCHFIELD | JMV780A55541 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10346222/check_16686324_8bc8d65b-7ec1-46a9-a5f9-545b1fc72b4f.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 | 9679468302 | N/A | N/A | 10346222 | 2222 | 4793 | 16950863 | 4184 | 4214447 | 2026-01-06 01:38:39.906914 | 2026-04-23 20:11:34.441054 |
| 2026-01-05 08:09:40.448602 | 2026-01-06 01:33:15.029835 | 16686298 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16686298 | Athletic Physical Therapy Inc | 1961-11-24 | 2026-01-07 | F | AE | PT | CRUTCHFIELD | 904430653 | HELEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10103203/check_16686298_4f3b5540-155c-4c5e-82a0-379e8c11b6e5.json | N/A | N/A | N/A | N/A | N/A | 904430653 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1961-11-24 | N/A | N/A | N/A | N/A | false | CRUTCHFIELD | N/A | HELEN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9679468301 | N/A | N/A | 10103203 | 2222 | 4802 | 16941628 | 4211 | 8437251 | 2026-01-06 01:33:15.029835 | 2025-10-07 19:08:26.048804 |
| 2026-01-05 08:09:40.348891 | 2026-01-06 01:38:43.606604 | 16686282 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16686282 | Athletic Physical Therapy Inc | 2003-04-25 | 2026-01-07 | M | PT | N/A | GREEN | JQV184A72608 | ALLEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10091887/check_16686282_6f7f45e8-da5b-4b36-a0fd-f7087719ca30.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 | 9679468299 | N/A | N/A | 10091887 | 2222 | 4793 | 16950996 | 4185 | 8429919 | 2026-01-06 01:38:43.606604 | 2025-10-07 22:01:52.720968 |
| 2026-01-05 08:09:40.158661 | 2026-01-06 01:33:31.930059 | 16686260 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 16686260 | override_provider | 1963-04-03 | 2026-01-07 | F | PT | N/A | Protsenko | AJC912998623 | Tetiana | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9958584/check_16686260_8675702c-7694-4e1c-9277-f650ff43eaf1.json | N/A | N/A | N/A | N/A | N/A | AJC912998623 | Medicaid | BSC PROMISE HEALTH PLAN MEDI CAL | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1963-04-03 | 1000MCAL0008 | E0001001 | N/A | MC | false | PROTSENKO | N/A | TETIANA | N/A | N/A | N/A | BLUE SHIELD PROMISE MEDI CAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9679468298 | N/A | N/A | 9958584 | 2222 | 4802 | 16941971 | N/A | 7994720 | 2026-01-06 01:33:31.930059 | 2025-09-24 04:33:28.125297 |
| 2026-01-05 08:09:40.044235 | 2026-01-06 01:42:00.184664 | 16686246 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16686246 | Athletic Physical Therapy Inc | 1959-02-04 | 2026-01-08 | F | AE | PT | SMITS | 9TF8JW2XU20 | HEIDI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681583/check_16686246_a77d7c47-6d28-44cb-ac74-294493d792eb.json | N/A | N/A | N/A | N/A | N/A | 9TF8JW2XU20 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-04 | S4802 | N/A | N/A | MA | false | SMITS | N/A | HEIDI | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9679468297 | N/A | N/A | 9681583 | 2222 | 4793 | 16959585 | N/A | 8101289 | 2026-01-06 01:42:00.184664 | 2025-09-24 17:05:46.431721 |
| 2026-01-05 08:09:39.885995 | 2026-01-06 01:38:41.576932 | 16686226 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16686226 | Athletic Physical Therapy Inc | 1944-02-19 | 2026-01-08 | M | PT | N/A | CHRISTIE | JQS302A78569 | GEORGE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9635046/check_16686226_0936e9f5-15f4-4692-a0f7-2da869410f43.json | N/A | N/A | N/A | N/A | N/A | JQS302A78569 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1944-02-19 | 040 | CAMCRWP0 | N/A | MP | false | CHRISTIE JR | N/A | GEORGE | 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 | 9679468296 | N/A | N/A | 9635046 | 2222 | 4801 | 16950934 | 4185 | 4213398 | 2026-01-06 01:38:41.576932 | 2025-09-22 22:02:57.508447 |
| 2026-01-05 08:09:39.759094 | 2026-01-06 01:33:40.790596 | 16686208 | N/A | N/A | 60054 | Aetna | 1114042165 | 16686208 | Athletic Physical Therapy Inc | 1960-01-04 | 2026-01-07 | F | AE | PT | MARLEY | W032070695 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9512811/check_16686208_b9651da6-f22c-46ce-af4f-1cbf28778ec5.json | N/A | N/A | N/A | N/A | N/A | W032070695 | Exclusive Provider Organization | COSTCO WHOLESALE CORPORATION | AETNA | N/A | 1960-01-04 | 0169579 | 016957901100002 | N/A | EP | false | MARLEY | N/A | MARIA | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9679468295 | N/A | N/A | 9512811 | 2222 | 4801 | 16942147 | N/A | 7955514 | 2026-01-06 01:33:40.790596 | 2025-09-26 00:32:05.426711 |
| 2026-01-05 08:09:39.595115 | 2026-01-06 01:38:26.695239 | 16686190 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16686190 | Athletic Physical Therapy Inc | 1959-04-22 | 2026-01-07 | F | AE | PT | MATHESON | 00000433752 | JANET | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9511696/check_16686190_a81da102-2f8c-4499-9aab-455fcf3fa7e1.json | N/A | N/A | N/A | N/A | N/A | 00000433752 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1959-04-22 | H3815028 | N/A | N/A | HM | false | MATHESON | N/A | JANET | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9679468294 | N/A | N/A | 9511696 | 2222 | 4801 | 16950354 | 2630 | 7954244 | 2026-01-06 01:38:26.695239 | 2025-09-29 18:15:39.145358 |
| 2026-01-05 08:09:39.503884 | 2026-01-06 01:41:57.584164 | 16686181 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16686181 | Athletic Physical Therapy Inc | 1955-07-01 | 2026-01-06 | F | AE | PT | GREER | 7H09HW9QG44 | ROBIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411083/check_16686181_c40ab06c-5cda-4144-aff3-9b3311236e58.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 | 9679468293 | N/A | N/A | 9411083 | 2222 | 4802 | 16959466 | N/A | 7879863 | 2026-01-06 01:41:57.584164 | 2026-02-04 18:21:13.840230 |
| 2026-01-05 08:09:39.369024 | 2026-01-06 01:33:31.344141 | 16686165 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 16686165 | override_provider | 2003-11-16 | 2026-01-08 | F | PT | N/A | HAYASHI | XLXR000032097727 | LAUREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9066824/check_16686165_8a603a4b-5177-4e69-87f3-1588f63ca021.json | N/A | N/A | N/A | N/A | N/A | XLXR000032097727 | Preferred Provider Organization (PPO) | OSF INDIVIDUAL PLATINUM PPO W/ DENTAL HIGH (GOLD) | BLUE SHIELD OF CALIFORNIA | N/A | 2003-11-16 | N/A | 24048 1 | N/A | PR | false | HAYASHI | N/A | NANCY | N/A | 9999-12-31 | 2023-12-01 | PLATINUM PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9679468292 | N/A | N/A | 9066824 | 2222 | 4802 | 16941958 | N/A | 7582776 | 2026-01-06 01:33:31.344141 | 2025-09-24 22:06:50.112056 |
| 2026-01-05 08:09:39.210906 | 2026-01-06 01:41:59.378099 | 16686148 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16686148 | Athletic Physical Therapy Inc | 1950-04-13 | 2026-01-08 | F | AE | PT | NATALI | 2XU8UK4DF50 | RENEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8979192/check_16686148_a47d6a58-1d0c-4e62-994c-bc0021ec2d7a.json | N/A | N/A | N/A | N/A | N/A | 2XU8UK4DF50 | Medicare Part A | N/A | HEALTH CARE SERVICE CORPORATION | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-04-13 | S5715 | N/A | N/A | MA | false | NATALI | N/A | RENEE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9679468291 | N/A | N/A | 8979192 | 2222 | 4793 | 16959548 | N/A | 7498543 | 2026-01-06 01:41:59.378099 | 2025-10-14 17:13:32.178778 |
| 2026-01-05 08:09:39.016246 | 2026-01-06 01:41:54.672021 | 16686125 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16686125 | Athletic Physical Therapy Inc | 1951-10-12 | 2026-01-08 | F | AE | PT | Ahadian | 3PT2AT4QU70 | Vida | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8477425/check_16686125_4f446149-a1a1-4365-8626-f1066f574544.json | N/A | N/A | N/A | N/A | N/A | 3PT2AT4QU70 | Medicare Part B | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-10-12 | S9701 | N/A | N/A | MB | false | AHADIAN | N/A | VIDA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9679468290 | N/A | N/A | 8477425 | 2222 | 4802 | 16959328 | N/A | 7146980 | 2026-01-06 01:41:54.672021 | 2025-08-25 22:34:13.951153 |
| 2026-01-05 08:09:38.937504 | 2026-01-06 01:42:01.304990 | 16686113 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16686113 | Athletic Physical Therapy Inc | 1949-10-28 | 2026-01-07 | M | AE | PT | WALROTH | 7X79TQ1VA36 | TERRY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7785550/check_16686113_d5991bc4-20c7-435d-9ad6-ec9c64853c1e.json | N/A | N/A | N/A | N/A | N/A | 7X79TQ1VA36 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-10-28 | N/A | N/A | N/A | MA | false | WALROTH | 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 | 9679468289 | N/A | N/A | 7785550 | 2222 | 4801 | 16959635 | N/A | 6629682 | 2026-01-06 01:42:01.304990 | 2025-08-05 17:28:10.392410 |
| 2026-01-05 08:09:38.750949 | 2026-01-06 01:33:31.648284 | 16686092 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 16686092 | Athletic Physical Therapy Inc | 1975-12-22 | 2026-01-07 | M | PT | N/A | HUTH | XEH910929228 | KENT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7626895/check_16686092_c17a665f-cab5-446b-a6aa-cb5e9fff8cab.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 | 9679468288 | N/A | N/A | 7626895 | 2222 | 4793 | 16941964 | N/A | 6525917 | 2026-01-06 01:33:31.648284 | 2026-05-08 22:53:13.232007 |
| 2026-01-05 08:09:38.645811 | 2026-01-06 01:38:40.675315 | 16686079 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16686079 | Athletic Physical Therapy Inc | 1988-08-19 | 2026-01-07 | M | PT | N/A | Bridgemohansingh | NTF910W08222 | Jason | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7258746/check_16686079_12725651-89ac-4985-84d3-d07efc0b21e6.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 | 9679468287 | N/A | N/A | 7258746 | 2222 | 4802 | 16950899 | N/A | 6224482 | 2026-01-06 01:38:40.675315 | 2025-08-07 00:03:18.267969 |
| 2026-01-05 08:09:38.429087 | 2026-01-06 01:33:15.361740 | 16686052 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16686052 | Athletic Physical Therapy Inc | 1967-12-06 | 2026-01-08 | F | AE | PT | KLOSSOWSKI | 98920892C | TRESSA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7019712/check_16686052_45dafd13-17f1-42e7-bb92-d45e0bd44a02.json | N/A | N/A | N/A | N/A | N/A | 98920892C | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 01/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1967-12-06 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | KLOSSOWSKI | N/A | TRESSA | N/A | 2078-12-31 | 2025-04-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9679468286 | N/A | N/A | 7019712 | 2222 | 4793 | 16941636 | 4211 | 6034714 | 2026-01-06 01:33:15.361740 | 2025-07-15 18:02:59.670156 |
| 2026-01-05 08:09:38.254290 | 2026-01-06 01:41:56.307913 | 16686028 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16686028 | Athletic Physical Therapy Inc | 1959-09-07 | 2026-01-07 | M | AE | PT | CICCIARI | 1AK4JC6NK84 | LOUIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_16686028_5222b37b-8c54-41d9-b669-7c8d404e9e0f.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5617 | N/A | N/A | MB | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9679468285 | N/A | N/A | 6752936 | 2222 | 4801 | 16959404 | N/A | 5065602 | 2026-01-06 01:41:56.307913 | 2025-07-01 17:25:13.681724 |
| 2026-01-05 08:09:38.065032 | 2026-01-06 01:37:54.221618 | 16686001 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16686001 | Athletic Physical Therapy Inc | 2008-04-21 | 2026-01-07 | M | AE | PT | BERMUDEZ | 000019836525 | RAFAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6721942/check_16686001_0db25683-4950-4ad1-a5c0-b31ab9d152b5.json | N/A | N/A | N/A | N/A | N/A | 000019836525 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 2008-04-21 | 4327748 | 226977 | N/A | N/A | false | BERMUDEZ | N/A | RAFAEL | N/A | N/A | N/A | MEDI-CAL LA CARE HEALTH PLAN HF TRANSITIONAL AID C | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9679468284 | N/A | N/A | 6721942 | 2222 | 4793 | 16949162 | N/A | 5322280 | 2026-01-06 01:37:54.221618 | 2025-07-01 21:45:15.878047 |
| 2026-01-05 08:09:37.919365 | 2026-01-06 01:33:07.599032 | 16685984 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 16685984 | Athletic Physical Therapy Inc | 1955-02-20 | 2026-01-07 | F | AE | PT | SALGUERO | 35955370 | DINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6711965/check_16685984_cbf0dabe-37ce-414e-ba48-e0c191a98900.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 | 9679468282 | N/A | N/A | 6711965 | 2222 | 4793 | 16941504 | 6798 | 4210430 | 2026-01-06 01:33:07.599032 | 2025-05-13 04:29:37.224841 |
| 2026-01-05 08:09:37.766920 | 2026-01-06 01:33:07.176319 | 16685967 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 16685967 | Athletic Physical Therapy Inc | 1962-06-24 | 2026-01-07 | F | AE | PT | GOMEZ | 44116442 | CAROL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6434660/check_16685967_cbc74bc9-c19b-45f7-86cb-126da4a26a17.json | N/A | N/A | N/A | N/A | N/A | 44116442 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1962-06-24 | 406-034-002 | N/A | N/A | N/A | false | GOMEZ | N/A | CAROL | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9679468281 | N/A | N/A | 6434660 | 2222 | 4801 | 16941498 | 6798 | 5079832 | 2026-01-06 01:33:07.176319 | 2025-06-23 20:02:36.660262 |
| 2026-01-05 08:09:37.667576 | 2026-01-06 01:34:26.655378 | 16685955 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 16685955 | Athletic Physical Therapy Inc | 1947-04-26 | 2026-01-08 | F | AE | PT | BARCENES | H9209970900 | IRENE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6231314/check_16685955_9967079a-067c-410c-811a-afb31192caca.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 | 9679468280 | N/A | N/A | 6231314 | 2222 | 4801 | 16943267 | N/A | 4219033 | 2026-01-06 01:34:26.655378 | 2025-05-13 04:29:37.230052 |
| 2026-01-05 08:09:37.504008 | 2026-01-06 01:38:27.057316 | 16685934 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16685934 | Athletic Physical Therapy Inc | 1943-03-11 | 2026-01-08 | M | AE | PT | MATHEU | 00000270336 | CARLOS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6189737/check_16685934_a16ad838-8042-415f-9669-9eab371652db.json | N/A | N/A | N/A | N/A | N/A | 00000270336 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1943-03-11 | H3815028 | N/A | N/A | HM | false | MATHEU | N/A | CARLOS | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9679468279 | N/A | N/A | 6189737 | 2222 | 4801 | 16950372 | 2630 | 4209126 | 2026-01-06 01:38:27.057316 | 2025-05-13 04:29:37.223551 |
| 2026-01-05 08:09:37.411081 | 2026-01-06 01:38:20.816089 | 16685924 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16685924 | Athletic Physical Therapy Inc | 1981-12-16 | 2026-01-07 | F | AE | PT | DE FELICE | R07457624FM1 | CHRISTINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140436/check_16685924_794dcd1c-9d22-4b67-86cf-45950f4d42a0.json | N/A | N/A | N/A | N/A | N/A | R07457624FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1981-12-16 | N/A | N/A | N/A | N/A | false | DE FELICE | N/A | CHRISTINA | N/A | N/A | N/A | MI4 SBP | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9679468278 | N/A | N/A | 6140436 | 2222 | 4801 | 16950128 | N/A | 4781417 | 2026-01-06 01:38:20.816089 | 2025-06-06 17:03:19.078153 |
| 2026-01-05 08:09:37.210199 | 2026-01-06 01:41:58.107584 | 16685901 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16685901 | Athletic Physical Therapy Inc | 1951-03-27 | 2026-01-08 | F | AE | PT | Jaude | 9MG2QE6VF90 | Anne | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124906/check_16685901_b8e53336-dd6d-4ac7-909d-3482126037ed.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 | 9679468277 | N/A | N/A | 6124906 | 2222 | 4802 | 16959487 | N/A | 4767362 | 2026-01-06 01:41:58.107584 | 2025-09-19 16:49:18.601418 |
| 2026-01-05 08:09:37.105550 | 2026-01-06 01:38:19.161297 | 16685884 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16685884 | Athletic Physical Therapy Inc | 1960-12-09 | 2026-01-07 | F | AE | PT | ANDREATTE | 95479460G | DEANNA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6112315/check_16685884_839f2ad1-5fbe-427c-926d-f0e2ef9122e8.json | N/A | N/A | N/A | N/A | N/A | 95479460G | N/A | N/A | HEALTH NET, LLC | N/A | 1960-12-09 | N/A | N/A | N/A | N/A | false | ANDREATTE | N/A | DEANNA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9679468276 | N/A | N/A | 6112315 | 2222 | 4802 | 16950063 | 4625 | 4755145 | 2026-01-06 01:38:19.161297 | 2026-01-14 18:08:34.434380 |
| 2026-01-05 08:09:36.979154 | 2026-01-06 01:38:18.770029 | 16685867 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16685867 | Athletic Physical Therapy Inc | 1969-01-08 | 2026-01-07 | F | AE | PT | ALROMAIH | 91237812E | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993940/check_16685867_a92f0376-9a4a-4dec-89cb-851d83cea734.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 | 9679468275 | N/A | N/A | 5993940 | 2222 | 4802 | 16950047 | 4625 | 4642877 | 2026-01-06 01:38:18.770029 | 2025-12-23 23:49:16.627667 |
| 2026-01-05 08:09:36.848059 | 2026-01-06 01:38:20.186180 | 16685852 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16685852 | Athletic Physical Therapy Inc | 1964-11-15 | 2026-01-07 | F | AE | PT | BIKOULOVA | 92040499F | ALEXANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874423/check_16685852_6d0c257b-2880-40f2-a923-435dbe4eaa05.json | N/A | N/A | N/A | N/A | N/A | 92040499F | N/A | N/A | HEALTH NET, LLC | N/A | 1964-11-15 | N/A | N/A | N/A | N/A | false | BIKOULOVA | N/A | ALEXANDRA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9679468274 | N/A | N/A | 5874423 | 2222 | 4802 | 16950096 | 4625 | 4534552 | 2026-01-06 01:38:20.186180 | 2025-05-30 18:01:03.324126 |
| 2026-01-05 08:09:36.753005 | 2026-01-06 01:38:48.410350 | 16685841 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16685841 | Athletic Physical Therapy Inc | 1962-01-25 | 2026-01-07 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_16685841_37b5aa84-a958-460a-9b8b-54a912c469c3.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 | 9679468273 | N/A | N/A | 5549317 | 2222 | 4801 | 16951195 | N/A | 4219010 | 2026-01-06 01:38:48.410350 | 2026-01-09 18:32:07.618867 |
| 2026-01-05 08:09:36.649024 | 2026-01-06 01:41:57.325745 | 16685825 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16685825 | Athletic Physical Therapy Inc | 1937-02-10 | 2026-01-07 | F | AE | PT | COLE | 2TT9RA1JK41 | JACQUELINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549104/check_16685825_d7a29471-e329-4223-9bfb-7066bb8664ee.json | N/A | N/A | N/A | N/A | N/A | 2TT9RA1JK41 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-02-10 | S5601 | N/A | N/A | MB | false | COLE | N/A | JACQUELINE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9679468272 | N/A | N/A | 5549104 | 2222 | 4801 | 16959453 | N/A | 4218829 | 2026-01-06 01:41:57.325745 | 2025-05-13 04:29:37.229824 |
| 2026-01-05 08:09:36.491063 | 2026-01-06 01:36:59.879702 | 16685805 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16685805 | Athletic Physical Therapy Inc | 1950-03-29 | 2026-01-08 | M | AE | PT | AKHTARI | 40045421301 | SHAHROKH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543493/check_16685805_f342119b-4ff9-48a0-b766-8f2934e4e1a8.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 | 9679468271 | N/A | N/A | 5543493 | 2222 | 4793 | 16947423 | 6237 | 4215273 | 2026-01-06 01:36:59.879702 | 2025-05-13 04:29:37.229594 |
| 2026-01-05 08:09:36.380201 | 2026-01-06 01:37:06.405271 | 16685790 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16685790 | Athletic Physical Therapy Inc | 1956-05-26 | 2026-01-07 | F | AD | 30 | TORRES | 40067303001 | OLGA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543371/check_16685790_d924b2e5-0513-4dd3-9f46-003b8778f00f.json | N/A | N/A | N/A | N/A | N/A | 40067303001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1956-05-26 | 2026H5425001 | H5425M | N/A | N/A | false | TORRES | N/A | OLGA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 9679468270 | N/A | N/A | 5543371 | 2222 | 4793 | 16947621 | 6237 | 4215172 | 2026-01-06 01:37:06.405271 | 2025-05-13 04:29:37.229489 |
| 2026-01-05 08:09:36.279467 | 2026-01-06 01:33:15.675575 | 16685777 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16685777 | Athletic Physical Therapy Inc | 1964-03-27 | 2026-01-07 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_16685777_b8a49219-07f7-428b-82ec-40b4fe34dc65.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-03-27 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | 2078-12-31 | 2024-11-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9679468268 | N/A | N/A | 5543270 | 2222 | 4793 | 16941641 | 4211 | 4215086 | 2026-01-06 01:33:15.675575 | 2025-05-13 04:29:37.229401 |
| 2026-01-05 08:09:36.142503 | 2026-01-06 01:37:05.172904 | 16685758 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16685758 | Athletic Physical Therapy Inc | 1957-01-21 | 2026-01-07 | M | AE | PT | SHADDY | 40064865601 | STEVE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543011/check_16685758_c21c43d7-5a0e-4bec-b607-1a60d6715fe4.json | N/A | N/A | N/A | N/A | N/A | 40064865601 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | SHADDY | N/A | STEVE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9679468267 | N/A | N/A | 5543011 | 2222 | 4801 | 16947586 | 6237 | 4214861 | 2026-01-06 01:37:05.172904 | 2026-02-04 19:10:58.526441 |
| 2026-01-05 08:09:35.969508 | 2026-01-06 01:38:52.600750 | 16685739 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16685739 | Athletic Physical Therapy Inc | 1975-03-27 | 2026-01-07 | M | PT | N/A | SHAW | JQW647W16708 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542902/check_16685739_be70d43b-7690-4125-87bd-84400bdd096b.json | N/A | N/A | N/A | N/A | N/A | JQW647W16708 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1975-03-27 | 040 | CAMCRWP0 | N/A | MP | false | SHAW | N/A | MICHAEL | N/A | 9999-12-31 | 2026-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9679468266 | N/A | N/A | 5542902 | 2222 | 4801 | 16951367 | 4185 | 4214761 | 2026-01-06 01:38:52.600750 | 2026-01-08 16:06:40.256372 |
| 2026-01-05 08:09:35.809617 | 2026-01-06 01:37:05.682003 | 16685717 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16685717 | Athletic Physical Therapy Inc | 1954-10-02 | 2026-01-07 | M | AD | 30 | TARDIF | 40037365501 | TEDD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542894/check_16685717_2d208398-0919-409e-b1e1-447c535aa06b.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 | 9679468264 | N/A | N/A | 5542894 | 2222 | 4801 | 16947606 | 6237 | 4214757 | 2026-01-06 01:37:05.682003 | 2026-03-20 15:26:52.406374 |
| 2026-01-05 08:09:35.664831 | 2026-01-06 01:38:17.913308 | 16685697 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16685697 | Athletic Physical Therapy Inc | 1972-07-22 | 2026-01-08 | M | AE | PT | KOZMA | U9714475101 | JASON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542709/check_16685697_913bec08-2254-437d-b22e-043d47faf65e.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 | 9679468263 | N/A | N/A | 5542709 | 2222 | 4802 | 16950016 | N/A | 4214582 | 2026-01-06 01:38:17.913308 | 2025-12-02 00:00:04.433236 |
| 2026-01-05 08:09:35.449227 | 2026-01-06 01:33:40.480327 | 16685671 | N/A | N/A | 60054 | Aetna | 1114042165 | 16685671 | Athletic Physical Therapy Inc | 2005-11-23 | 2026-01-08 | F | AE | PT | FERRELL | W285064666 | AMELIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542678/check_16685671_43f55e8b-d9bd-439b-9008-290235194f22.json | N/A | N/A | N/A | N/A | N/A | W285064666 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 2005-11-23 | 0232499 | 023249901000067 | N/A | PS | false | FERRELL | N/A | RALPH | N/A | N/A | N/A | OPEN ACCESS MC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9679468262 | N/A | N/A | 5542678 | 2222 | 4802 | 16942140 | N/A | 4214560 | 2026-01-06 01:33:40.480327 | 2025-05-13 04:29:37.228883 |
| 2026-01-05 08:09:35.272673 | 2026-01-06 01:38:20.536616 | 16685650 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16685650 | Athletic Physical Therapy Inc | 1968-04-07 | 2026-01-07 | F | AE | PT | CHERE | 98953535F | DIANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_16685650_b9e160ce-5c3b-4529-b4a0-a084c5fe1629.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 | 9679468261 | N/A | N/A | 5542660 | 2222 | 4802 | 16950115 | 4625 | 4214542 | 2026-01-06 01:38:20.536616 | 2025-05-13 04:29:37.228868 |
| 2026-01-05 08:09:35.140278 | 2026-01-06 01:39:01.715523 | 16685633 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16685633 | Athletic Physical Therapy Inc | 1983-10-27 | 2026-01-08 | M | PT | N/A | FEDERER | XEA911365031 | MITCH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542512/check_16685633_83b89b67-35d5-458a-9c33-cceb8e783bc0.json | N/A | N/A | N/A | N/A | N/A | XEA911365031 | Preferred Provider Organization (PPO) | WEINSTEIN SENIOR LLP | BLUE SHIELD CALIFORNIA | N/A | 1983-10-27 | 1000VX000102 | W0122744 | N/A | PR | false | FEDERER | N/A | MITCHEL | N/A | 2026-04-30 | 2025-05-01 | GOLD FULL PPO 750 30 OFFEX | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9679468260 | N/A | N/A | 5542512 | 2222 | 4793 | 16951735 | N/A | 4214416 | 2026-01-06 01:39:01.715523 | 2025-05-13 04:29:37.228740 |
| 2026-01-05 08:09:35.041519 | 2026-01-06 01:38:52.988746 | 16685621 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16685621 | Athletic Physical Therapy Inc | 1942-12-17 | 2026-01-07 | F | PT | N/A | STEINBERG | MBL988M98459 | JUDY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542014/check_16685621_ee0a6936-e2b0-446b-a45f-8fc337d2147a.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 | 9679469527 | N/A | N/A | 5542014 | 2222 | 4793 | 16951388 | N/A | 4213977 | 2026-01-06 01:38:52.988746 | 2025-05-13 04:29:37.228294 |
| 2026-01-05 08:09:34.920116 | 2026-01-06 01:33:15.954491 | 16685605 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16685605 | Athletic Physical Therapy Inc | 1961-02-27 | 2026-01-07 | M | AE | PT | SHRIVER | 90771207E | DANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541984/check_16685605_0f34210e-63cc-4af9-a2b4-5e547ad4c31e.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-02-27 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | SHRIVER | N/A | DANIEL | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9679469526 | N/A | N/A | 5541984 | 2222 | 4802 | 16941647 | 4211 | 4213934 | 2026-01-06 01:33:15.954491 | 2026-01-27 23:36:44.802366 |
| 2026-01-05 08:09:34.802037 | 2026-01-06 01:39:00.755012 | 16685592 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16685592 | Athletic Physical Therapy Inc | 1980-10-14 | 2026-01-08 | M | PT | N/A | ABI MALHAB | KSI73549599C | NADIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541968/check_16685592_f94798b9-f93c-4733-86ab-af45a5233b47.json | N/A | N/A | N/A | N/A | N/A | KSI73549599C | Preferred Provider Organization (PPO) | KARL STORZ ENDOSCOPY AMERICA INC | BLUE SHIELD CALIFORNIA | N/A | 1980-10-14 | 1000PPOX0003 | W8002382 | N/A | PR | false | ABI MALHAB | N/A | NADIM | N/A | N/A | N/A | KARL STORZ ENDOSCOPY AMERICA INC SHARED ADVANTAGE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9679469525 | N/A | N/A | 5541968 | 2222 | 4802 | 16951703 | N/A | 4213936 | 2026-01-06 01:39:00.755012 | 2025-05-13 04:29:37.228255 |
| 2026-01-05 08:09:34.660147 | 2026-01-06 01:38:22.845746 | 16685571 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16685571 | Athletic Physical Therapy Inc | 1985-02-07 | 2026-01-08 | F | AE | PT | SHEPHERD | 93180838F | EMILY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541519/check_16685571_52303c44-cdea-4f9c-b56d-c9469bc30e94.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | HEALTH NET, LLC | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9679469524 | N/A | N/A | 5541519 | 2222 | 4802 | 16950194 | 4625 | 4213530 | 2026-01-06 01:38:22.845746 | 2025-05-13 04:29:37.227860 |
| 2026-01-05 08:09:34.567743 | 2026-01-06 01:39:03.983444 | 16685557 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16685557 | Athletic Physical Therapy Inc | 2012-06-25 | 2026-01-07 | F | PT | N/A | LORD | JQT822A53740 | ALYSSA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260105.121220968.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541409/check_16685557_bdf7b65f-999b-4155-b9e4-6051ab2b5dfb.json | N/A | N/A | N/A | N/A | N/A | JQT822A53740 | Health Maintenance Organization (HMO) | JLIV SERVICES INC | BLUE SHIELD OF CALIFORNIA | N/A | 2012-06-25 | 040 | U54789 | N/A | HM | false | LORD | N/A | JETHRO | N/A | 9999-12-31 | 2025-08-01 | CA SG PRISELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9679469523 | N/A | N/A | 5541409 | 2222 | 4793 | 16951847 | N/A | 4213435 | 2026-01-06 01:39:03.983444 | 2025-05-13 04:29:37.227756 |