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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-01-03 08:07:20.189019 | 2026-01-04 01:48:06.979055 | 16640986 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16640986 | Athletic Physical Therapy Inc | 1957-06-10 | 2026-01-05 | F | AE | PT | Cinney | 4Q36GT1PA82 | Nancy | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13415250/check_16640986_c92471ab-a06a-49ea-b607-b216d16e41c8.json | N/A | N/A | N/A | N/A | N/A | 4Q36GT1PA82 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-06-10 | S4802 | N/A | N/A | MA | false | CINNEY | N/A | NANCY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9666695622 | N/A | N/A | 13415250 | 2222 | 4793 | 16895643 | N/A | 10405614 | 2026-01-04 01:48:06.979055 | 2025-11-11 22:04:16.516523 |
| 2026-01-03 08:07:20.105368 | 2026-01-04 01:45:09.779810 | 16640979 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16640979 | Athletic Physical Therapy Inc | 2014-04-09 | 2026-01-06 | M | PT | N/A | RADLOFF | 00054283151 | NOLAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13358977/check_16640979_69bc546e-8038-4053-862e-422fc59f3219.json | N/A | N/A | N/A | N/A | N/A | 00054283151 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2014-04-09 | N/A | N/A | N/A | N/A | false | RADLOFF | N/A | NOLAN | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9666696438 | N/A | N/A | 13358977 | 2222 | 4801 | 16892609 | 4185 | 11504476 | 2026-01-04 01:45:09.779810 | 2025-11-24 23:17:09.076585 |
| 2026-01-03 08:07:19.999647 | 2026-01-04 01:45:09.518850 | 16640972 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16640972 | Athletic Physical Therapy Inc | 2012-07-01 | 2026-01-06 | M | PT | N/A | RADLOFF | XDM000542831 | BRYCE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13302087/check_16640972_c099b1db-8be2-455f-8300-23b4870faba3.json | N/A | N/A | N/A | N/A | N/A | XDM000542831 | Health Maintenance Organization (HMO) | ASSOCIATION FOR LOS ANGELES DEPUTY SHERIFFS INC | ANTHEM BLUE CROSS | N/A | 2012-07-01 | 040 | 57726A | N/A | HM | false | RADLOFF | N/A | BRETT | N/A | 9999-12-31 | 2012-07-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9666696437 | N/A | N/A | 13302087 | 2222 | 4801 | 16892605 | N/A | 11449861 | 2026-01-04 01:45:09.518850 | 2026-01-08 22:48:14.733376 |
| 2026-01-03 08:07:19.856347 | 2026-01-04 01:45:18.354861 | 16640966 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16640966 | Athletic Physical Therapy Inc | 1974-12-26 | 2026-01-06 | M | PT | N/A | SALEWSKE | SZR60090562401 | TYSON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13154733/check_16640966_6e9869c5-c4ba-4caa-b047-3afdb760d121.json | N/A | N/A | N/A | N/A | N/A | SZR60090562401 | Preferred Provider Organization (PPO) | SCHWEITZER ENGINEERING LABORATORIES, INC. | BLUE SHIELD OF CALIFORNIA | N/A | 1974-12-26 | N/A | 1038812 | N/A | PR | false | SALEWSKE | N/A | TYSON | N/A | 9999-12-31 | 2026-01-01 | SELF-FUNDED EXP HERITAGE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9666696436 | N/A | N/A | 13154733 | 2222 | 4793 | 16892753 | N/A | 4213526 | 2026-01-04 01:45:18.354861 | 2025-11-13 19:34:43.197819 |
| 2026-01-03 08:07:19.771459 | 2026-01-04 01:45:07.648647 | 16640959 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16640959 | Athletic Physical Therapy Inc | 1971-11-21 | 2026-01-06 | F | PT | N/A | MARTINEZ | XDP851A67877 | LETICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13122920/check_16640959_6e1583ae-1a39-4090-87d5-8c63e305f6b4.json | N/A | N/A | N/A | N/A | N/A | XDP851A67877 | Preferred Provider Organization (PPO) | SOUTHERN CALIFORNIA ORTHOPEDIC INSTITUTE CA/OOS | ANTHEM BLUE CROSS | N/A | 1971-11-21 | 040 | L00817M001 | N/A | PR | false | MARTINEZ | N/A | LETICIA | N/A | 9999-12-31 | 2023-11-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9666696434 | N/A | N/A | 13122920 | 2222 | 4801 | 16892571 | N/A | 11273967 | 2026-01-04 01:45:07.648647 | 2025-12-31 00:35:32.240284 |
| 2026-01-03 08:07:19.706697 | 2026-01-04 01:44:45.013845 | 16640957 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16640957 | Athletic Physical Therapy Inc | 1958-03-23 | 2026-01-06 | F | AE | PT | Wells | 0022370783 | Paula | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13050785/check_16640957_42afcd14-3eec-4451-8827-e5bcf5685d73.json | N/A | N/A | N/A | N/A | N/A | 0022370783 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1958-03-23 | N/A | N/A | N/A | N/A | false | WELLS | N/A | PAULA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9666696433 | N/A | N/A | 13050785 | 2222 | 4802 | 16892139 | N/A | 11208103 | 2026-01-04 01:44:45.013845 | 2025-11-19 20:42:38.719398 |
| 2026-01-03 08:07:19.623804 | 2026-01-04 01:44:46.021516 | 16640951 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16640951 | Athletic Physical Therapy Inc | 1954-06-16 | 2026-01-06 | M | AE | PT | Grant | 000009933199 | Mark Antonio | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13045814/check_16640951_d7636334-443f-4d4f-8c64-bd4e2c601fd3.json | N/A | N/A | N/A | N/A | N/A | 000009933199 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1954-06-16 | N/A | N/A | N/A | N/A | false | GRANT | N/A | MARK ANTONIO | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9666696432 | N/A | N/A | 13045814 | 2222 | 4802 | 16892158 | N/A | 11203117 | 2026-01-04 01:44:46.021516 | 2026-01-05 17:22:32.137960 |
| 2026-01-03 08:07:19.491541 | 2026-01-04 01:48:07.981008 | 16640942 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16640942 | Athletic Physical Therapy Inc | 1968-10-14 | 2026-01-06 | M | AE | PT | KELLER | 5VY2K78NA88 | JERRY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13041085/check_16640942_1e7bb431-c4d8-469c-a1b2-5aa0da15827c.json | N/A | N/A | N/A | N/A | N/A | 5VY2K78NA88 | N/A | N/A | CMS | N/A | 1968-10-14 | N/A | N/A | N/A | N/A | false | KELLER | N/A | JERRY | 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 | 9666696431 | N/A | N/A | 13041085 | 2222 | 4801 | 16895662 | N/A | 11198281 | 2026-01-04 01:48:07.981008 | 2026-04-13 23:30:43.333017 |
| 2026-01-03 08:07:19.414968 | 2026-01-04 01:45:16.137572 | 16640938 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 16640938 | Athletic Physical Therapy Inc | 1967-03-10 | 2026-01-06 | F | PT | N/A | BROWN | 905610064000 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12893985/check_16640938_3cd91fc2-59c3-4e07-aa8d-be05c50b3b7e.json | N/A | N/A | N/A | N/A | N/A | XEH905610064 | Health Maintenance Organization (HMO) | KOINONIA FOSTER HOMES DBA KOINONIA FAMILY SERVICES | BLUE SHIELD CALIFORNIA | N/A | 1967-03-10 | 1000VX000001 | W0053175 | N/A | HM | false | BROWN | N/A | SANDRA | N/A | 9999-12-31 | 2021-05-01 | KOINONIA FAMILY SERVICES DENTAL 100 90 60 2500 LIF | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9666696430 | N/A | N/A | 12893985 | 2222 | 4801 | 16892716 | 4191 | 4211138 | 2026-01-04 01:45:16.137572 | 2025-05-13 04:29:37.225539 |
| 2026-01-03 08:07:19.333211 | 2026-01-04 01:43:26.129620 | 16640932 | N/A | N/A | 61101 | HUMANA | 1114042165 | 16640932 | Athletic Physical Therapy Inc | 1954-09-04 | 2026-01-05 | F | AE | PT | MENDEZ | H9608321000 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12421991/check_16640932_d1820b66-eb2f-4d90-be12-a4124bbdedc2.json | N/A | N/A | N/A | N/A | N/A | H96083210 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 695 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 | 1954-09-04 | N/A | 2B798001 | N/A | HN | false | MENDEZ | N/A | LINDA | 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 | 9666696429 | N/A | N/A | 12421991 | 2222 | 4793 | 16890708 | 5349 | 10601861 | 2026-01-04 01:43:26.129620 | 2025-11-07 18:35:55.025808 |
| 2026-01-03 08:07:19.239223 | 2026-01-04 01:42:14.504621 | 16640927 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16640927 | Athletic Physical Therapy Inc | 1950-08-09 | 2026-01-06 | M | AE | PT | Kirgizbaev | 94138168G | Bakhtiyar | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12407501/check_16640927_9d35923b-a8dd-4b58-800d-756b8c8e3df2.json | N/A | N/A | N/A | N/A | N/A | 94138168G | 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) | 1950-08-09 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | KIRGIZBAEV | N/A | BAKHTIYAR | N/A | 2078-12-31 | 2025-07-01 | AGED DISABLED - SPD - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9666696428 | N/A | N/A | 12407501 | 2222 | 4802 | 16889622 | 4211 | 10587374 | 2026-01-04 01:42:14.504621 | 2025-12-24 19:36:03.607867 |
| 2026-01-03 08:07:19.130636 | 2026-01-04 01:45:04.646068 | 16640921 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16640921 | Athletic Physical Therapy Inc | 1969-06-19 | 2026-01-06 | F | PT | N/A | SIMSON FRANK | JQU217M93319 | GABRIELLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12377467/check_16640921_9a2a47c1-0abc-4cab-a7d7-04954617db07.json | N/A | N/A | N/A | N/A | N/A | JQU217M93319 | Preferred Provider Organization (PPO) | JONATHAN D FRANK INVESTMENTS | ANTHEM BLUE CROSS | N/A | 1969-06-19 | 040 | Q50696 | N/A | PR | false | FRANK | N/A | JONATHAN | N/A | 9999-12-31 | 2026-01-01 | CA SG ANTHEM HSA | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9666696427 | N/A | N/A | 12377467 | 2222 | 4793 | 16892513 | N/A | 9748796 | 2026-01-04 01:45:04.646068 | 2025-10-30 15:58:51.268962 |
| 2026-01-03 08:07:19.047471 | 2026-01-04 01:42:41.898558 | 16640914 | N/A | N/A | 60054 | Aetna | 1114042165 | 16640914 | Athletic Physical Therapy Inc | 1980-12-26 | 2026-01-06 | M | AE | PT | MAHINAY | W219751013 | JASON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12366384/check_16640914_4a74a616-8a33-4413-bb5d-de3a2f8bc45c.json | N/A | N/A | N/A | N/A | N/A | W219751013 | Point of Service (POS) | HOLTHOUSE CARLIN & VAN TRIGT LLP | AETNA | N/A | 1980-12-26 | 0803905 | 080390501200002 | N/A | PS | false | MAHINAY | N/A | JASON | 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 | 9666696426 | N/A | N/A | 12366384 | 2222 | 4793 | 16890067 | N/A | 10546247 | 2026-01-04 01:42:41.898558 | 2025-11-14 17:19:10.403651 |
| 2026-01-03 08:07:18.975843 | 2026-01-04 01:44:46.254865 | 16640909 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16640909 | Athletic Physical Therapy Inc | 1946-03-30 | 2026-01-06 | M | AE | PT | Kuyumjian | 000004103769 | Kevork | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12360718/check_16640909_bc968ecb-c6ad-46cb-ae06-6fba41290a21.json | N/A | N/A | N/A | N/A | N/A | 000004103769 | N/A | N/A | KFHP 1000 | SRA - SENIOR ADVANTAGE | 1946-03-30 | 3034560 | 225576 | N/A | N/A | false | KUYUMJIAN | N/A | KEVORK | N/A | N/A | N/A | LOS ANGELES CITY EMPLOYEES' RETIREMENT SYSTEM CIVI | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9666696425 | N/A | N/A | 12360718 | 2222 | 4802 | 16892163 | N/A | 10540808 | 2026-01-04 01:44:46.254865 | 2025-11-12 20:09:27.257151 |
| 2026-01-03 08:07:18.877407 | 2026-01-04 01:43:26.409641 | 16640900 | N/A | N/A | 61101 | HUMANA | 1114042165 | 16640900 | Athletic Physical Therapy Inc | 1935-03-07 | 2026-01-06 | F | AE | PT | MYERS | H6760956100 | LILA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12016953/check_16640900_ea4a2ee8-3149-4641-8cf2-40d0f2e8fc50.json | N/A | N/A | N/A | N/A | N/A | H67609561 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC | HUMANA | 076 465 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 | 1935-03-07 | N/A | 2B429001 | N/A | HN | false | MYERS | N/A | LILA | N/A | N/A | N/A | HUMANA HONOR | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9666696424 | N/A | N/A | 12016953 | 2222 | 4793 | 16890711 | 5349 | 10238684 | 2026-01-04 01:43:26.409641 | 2025-10-31 23:14:33.453582 |
| 2026-01-03 08:07:18.760944 | 2026-01-04 01:48:09.119220 | 16640895 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16640895 | Athletic Physical Therapy Inc | 1960-03-18 | 2026-01-06 | F | AE | PT | MEYER | 6AA8T47WQ51 | LESLIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11928201/check_16640895_1999b63f-df62-4c6c-8f98-7c73220601ae.json | N/A | N/A | N/A | N/A | N/A | 6AA8T47WQ51 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-03-18 | S5921 | N/A | N/A | MA | false | MEYER | N/A | LESLIE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9666696423 | N/A | N/A | 11928201 | 2222 | 4793 | 16895683 | N/A | 4215335 | 2026-01-04 01:48:09.119220 | 2025-10-30 21:15:07.766449 |
| 2026-01-03 08:07:18.675824 | 2026-01-04 01:45:07.140109 | 16640889 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16640889 | Athletic Physical Therapy Inc | 1965-07-12 | 2026-01-06 | F | PT | N/A | BENSON | 361A55900 | ELIZABETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11917007/check_16640889_4541fe68-cf6e-4ba5-bdb6-df31ebc430ca.json | N/A | N/A | N/A | N/A | N/A | NCF361A55900 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1965-07-12 | 040 | 276193H001 | N/A | HM | false | MANICHIA | N/A | GINA | N/A | 9999-12-31 | 2025-07-01 | PREMIER SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9666696422 | N/A | N/A | 11917007 | 2222 | 4793 | 16892561 | 4185 | 10144918 | 2026-01-04 01:45:07.140109 | 2025-11-17 16:03:18.208475 |
| 2026-01-03 08:07:18.521659 | 2026-01-04 01:44:45.263530 | 16640882 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16640882 | Athletic Physical Therapy Inc | 1952-10-12 | 2026-01-06 | F | AE | PT | Abraha | 000011262592 | Tarik | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11843086/check_16640882_30dd30e2-99e5-4697-b572-e8facfce23d8.json | N/A | N/A | N/A | N/A | N/A | 000011262592 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1952-10-12 | 564559 | 105702 | N/A | N/A | false | ABRAHA | N/A | TARIK | N/A | N/A | N/A | COUNTY OF LOS ANGELES COUNTY OF LOS ANGELES - AC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9666696421 | N/A | N/A | 11843086 | 2222 | 4802 | 16892143 | N/A | 10074998 | 2026-01-04 01:44:45.263530 | 2025-10-29 23:19:49.535455 |
| 2026-01-03 08:07:18.352585 | 2026-01-04 01:42:37.200599 | 16640872 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 16640872 | override_provider | 1997-11-05 | 2026-01-06 | M | PT | N/A | VILLANUEVA | ZGP813002220 | YAIR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11623284/check_16640872_660ae6a7-00e0-4078-bf13-10b13e92cb10.json | N/A | N/A | N/A | N/A | N/A | ZGP813002220 | Preferred Provider Organization (PPO) | RIMKUS CONSULTING GROUP, INC | BLUE SHIELD OF CALIFORNIA | N/A | 1997-11-05 | N/A | 279469 | N/A | PR | false | VILLANUEVA | N/A | YAIR | N/A | 9999-12-31 | 2025-03-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9666696420 | N/A | N/A | 11623284 | 2222 | 4801 | 16890007 | N/A | 9860485 | 2026-01-04 01:42:37.200599 | 2025-11-10 18:34:52.696278 |
| 2026-01-03 08:07:18.275865 | 2026-01-04 01:48:08.557942 | 16640869 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16640869 | Athletic Physical Therapy Inc | 1959-12-29 | 2026-01-06 | F | AE | PT | LYGA | 3W97CK7AN48 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11604276/check_16640869_112d8994-b782-4eeb-b986-4040dd0abc97.json | N/A | N/A | N/A | N/A | N/A | 3W97CK7AN48 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-12-29 | S5596 | N/A | N/A | MA | false | LYGA | N/A | LISA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9666696419 | N/A | N/A | 11604276 | 2222 | 4801 | 16895671 | N/A | 4218962 | 2026-01-04 01:48:08.557942 | 2025-05-13 04:29:37.229978 |
| 2026-01-03 08:07:18.180511 | 2026-01-04 01:44:16.070278 | 16640864 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 16640864 | Athletic Physical Therapy Inc | 1956-09-25 | 2026-01-06 | M | AE | PT | Marvin | 40059610101 | Terry | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11529617/check_16640864_8c54538a-829a-487d-a5cb-bb35262c4fb2.json | N/A | N/A | N/A | N/A | N/A | 40059610101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-09-25 | 2026H5425001 | H5425M | N/A | N/A | false | MARVIN | N/A | TERRY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9666696418 | N/A | N/A | 11529617 | 2222 | 4801 | 16891579 | N/A | 9770503 | 2026-01-04 01:44:16.070278 | 2025-11-05 23:33:36.141284 |
| 2026-01-03 08:07:18.074650 | 2026-01-04 01:45:18.078668 | 16640858 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16640858 | Athletic Physical Therapy Inc | 1977-08-05 | 2026-01-06 | F | PT | N/A | ORNELAS | NCF054W10834 | MELISSA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11513735/check_16640858_80baa9c9-91a2-497c-98eb-a6e9c9680d95.json | N/A | N/A | N/A | N/A | N/A | NCF054W10834 | Health Maintenance Organization (HMO) | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1977-08-05 | 040 | 57AJCA | N/A | HM | false | ORNELAS | N/A | MELISSA | N/A | 9999-12-31 | 2022-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9666696417 | N/A | N/A | 11513735 | 2222 | 4801 | 16892747 | N/A | 9754522 | 2026-01-04 01:45:18.078668 | 2025-11-11 18:53:52.074262 |
| 2026-01-03 08:07:17.994685 | 2026-01-04 01:44:54.143259 | 16640852 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16640852 | Athletic Physical Therapy Inc | 1956-09-29 | 2026-01-06 | M | AE | PT | Dougherty | 00000388695 | Brian | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11420900/check_16640852_c933b61d-f9df-4f09-8212-70d150f5f074.json | N/A | N/A | N/A | N/A | N/A | 00000388695 | N/A | N/A | MEDICARE | N/A | 1956-09-29 | H3815028 | N/A | N/A | N/A | false | DOUGHERTY | N/A | BRIAN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9666696416 | N/A | N/A | 11420900 | 2222 | 4801 | 16892316 | 2630 | 9673509 | 2026-01-04 01:44:54.143259 | 2025-12-08 18:11:10.424524 |
| 2026-01-03 08:07:17.915348 | 2026-01-04 01:42:42.644681 | 16640847 | N/A | N/A | 60054 | Aetna | 1114042165 | 16640847 | Athletic Physical Therapy Inc | 2011-12-20 | 2026-01-05 | M | AE | PT | NAQVI | W295996740 | KAZIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11417253/check_16640847_aa484cef-09cf-4e5b-8af8-ca4dd6e3caf6.json | N/A | N/A | N/A | N/A | N/A | W295996740 | Point of Service (POS) | SHI INTERNATIONAL CORP. | AETNA | N/A | 2011-12-20 | 0308616 | 030861602200001 | N/A | PS | false | NAQVI | N/A | SYED | 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 | 9666696415 | N/A | N/A | 11417253 | 2222 | 4793 | 16890077 | N/A | 9671738 | 2026-01-04 01:42:42.644681 | 2025-10-29 22:32:21.591395 |
| 2026-01-03 08:07:17.832442 | 2026-01-04 01:45:03.553310 | 16640844 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16640844 | Athletic Physical Therapy Inc | 2002-03-15 | 2026-01-06 | F | PT | N/A | DUMAIS | JQV380A68679 | JULIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11399834/check_16640844_30d9a70f-8071-4c17-a288-8dd0e6c9ff67.json | N/A | N/A | N/A | N/A | N/A | JQV380A68679 | Health Maintenance Organization (HMO) | BRIGHTSTAR PARTNERS INSURANCE SERVICES | ANTHEM BLUE CROSS | N/A | 2002-03-15 | 040 | Q84248 | N/A | HM | false | DUMAIS | N/A | JULIA | N/A | 9999-12-31 | 2025-07-01 | CA SG SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9666696414 | N/A | N/A | 11399834 | 2222 | 4801 | 16892493 | N/A | 9659468 | 2026-01-04 01:45:03.553310 | 2025-10-23 16:38:33.858959 |
| 2026-01-03 08:07:17.721738 | 2026-01-04 01:48:07.743008 | 16640837 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16640837 | Athletic Physical Therapy Inc | 1945-08-05 | 2026-01-06 | M | AE | PT | KEARIN | 8FY8VY5YC59 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11013087/check_16640837_fbddaf12-15d1-4627-9706-ac379dadd3d1.json | N/A | N/A | N/A | N/A | N/A | 8FY8VY5YC59 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-08-05 | S4802 | N/A | N/A | MA | false | KEARIN | 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 | 9666696413 | N/A | N/A | 11013087 | 2222 | 4802 | 16895657 | N/A | 9378476 | 2026-01-04 01:48:07.743008 | 2025-12-16 16:36:57.740246 |
| 2026-01-03 08:07:17.645658 | 2026-01-04 01:44:17.178155 | 16640832 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 16640832 | Athletic Physical Therapy Inc | 1943-02-06 | 2026-01-06 | F | AE | PT | TIPPITT | 40065208701 | SHIRLEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10305383/check_16640832_9825cc1c-415c-4091-b824-6dd3f332af0a.json | N/A | N/A | N/A | N/A | N/A | 40065208701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1943-02-06 | 2026H5425001 | H5425M | N/A | N/A | false | TIPPITT | N/A | SHIRLEY | 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 | 9666696412 | N/A | N/A | 10305383 | 2222 | 4793 | 16891598 | N/A | 8574477 | 2026-01-04 01:44:17.178155 | 2025-10-22 02:47:47.756973 |
| 2026-01-03 08:07:17.556222 | 2026-01-04 01:42:15.317808 | 16640826 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16640826 | Athletic Physical Therapy Inc | 1983-05-09 | 2026-01-06 | F | AE | PT | RAJCIC | 622299781 | MAJA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10172287/check_16640826_ed04b1b2-4033-44c6-8210-e83f02a990fd.json | N/A | N/A | N/A | N/A | N/A | 622299781 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1983-05-09 | 18126CA001000101 | QMXEM01910 | N/A | N/A | false | RAJCIC | N/A | MAJA | N/A | 2026-12-31 | 2026-01-01 | PLATINUM 90 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9666696411 | N/A | N/A | 10172287 | 2222 | 4802 | 16889638 | 4211 | 8473558 | 2026-01-04 01:42:15.317808 | 2025-10-10 16:40:45.584452 |
| 2026-01-03 08:07:17.455356 | 2026-01-04 01:45:16.922950 | 16640818 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16640818 | Athletic Physical Therapy Inc | 1962-05-29 | 2026-01-06 | F | PT | N/A | LARSON | XEA913804058 | DEBRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9562148/check_16640818_52134253-9606-475a-8b44-5d6f876f7b01.json | N/A | N/A | N/A | N/A | N/A | XAN913804058 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1962-05-29 | 1480PPOX0002 | W0051411 | N/A | PR | false | LARSON | N/A | DEBRA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9666696410 | N/A | N/A | 9562148 | 2222 | 4793 | 16892730 | N/A | 7997320 | 2026-01-04 01:45:16.922950 | 2025-10-02 21:07:14.563938 |
| 2026-01-03 08:07:17.326684 | 2026-01-04 01:48:06.199812 | 16640809 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16640809 | Athletic Physical Therapy Inc | 1946-06-01 | 2026-01-06 | F | AE | PT | AMIRI | 5A52N18CA24 | POURAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9399844/check_16640809_88219cf7-eca2-4e44-9ef4-bc2469e205e0.json | N/A | N/A | N/A | N/A | N/A | 5A52N18CA24 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-06-01 | S4802 | N/A | N/A | MA | 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 | 9666696409 | N/A | N/A | 9399844 | 2222 | 4802 | 16895630 | N/A | 4210607 | 2026-01-04 01:48:06.199812 | 2025-08-01 18:31:38.620742 |
| 2026-01-03 08:07:17.218867 | 2026-01-04 01:45:02.743849 | 16640802 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 16640802 | Athletic Physical Therapy Inc | 1966-12-04 | 2026-01-06 | M | PT | N/A | CLANCY | XDMOE0503879 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9194927/check_16640802_cc701b4f-6f43-4cda-9922-ad7a9c9d2c79.json | N/A | N/A | N/A | N/A | N/A | XDMOE0503879 | Health Maintenance Organization (HMO) | OPERATING ENGINEERS HEALTH&WELFARE FUND | ANTHEM BLUE CROSS | N/A | 1966-12-04 | 040 | 278671H001 | N/A | HM | false | CLANCY | N/A | JOSEPH | N/A | 9999-12-31 | 2025-02-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9666696408 | N/A | N/A | 9194927 | 2222 | 4793 | 16892478 | 4184 | 7712549 | 2026-01-04 01:45:02.743849 | 2025-09-10 17:29:28.945035 |
| 2026-01-03 08:07:17.097254 | 2026-01-04 01:45:09.001331 | 16640795 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16640795 | Athletic Physical Therapy Inc | 2009-01-14 | 2026-01-06 | F | PT | N/A | OBACZ | JQV897A63197 | KLOIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9102655/check_16640795_3a869627-65c1-44e9-9a0e-37c8de7dd8b8.json | N/A | N/A | N/A | N/A | N/A | JQV897A63197 | Health Maintenance Organization (HMO) | EVOLVED NOVELTIES INC | ANTHEM BLUE CROSS | N/A | 2009-01-14 | 040 | F45883 | N/A | HM | false | OBACZ | N/A | JUSTIN | N/A | 9999-12-31 | 2026-01-01 | CA SG SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9666696407 | N/A | N/A | 9102655 | 2222 | 4801 | 16892596 | 4185 | 7621062 | 2026-01-04 01:45:09.001331 | 2025-09-12 19:10:20.936695 |
| 2026-01-03 08:07:16.980658 | 2026-01-04 01:42:41.647912 | 16640789 | N/A | N/A | 60054 | Aetna | 1114042165 | 16640789 | Athletic Physical Therapy Inc | 1967-12-19 | 2026-01-06 | F | AE | PT | BURRY | 101323278900 | CAROLYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8971092/check_16640789_cea3384d-6808-408b-b5ca-c9dcd14dcb77.json | N/A | N/A | N/A | N/A | N/A | 101323278900 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1967-12-19 | 000003-CA000058 | 000003-CA | N/A | PR | false | BURRY | N/A | CAROLYN | N/A | N/A | N/A | AETNA MEDICARE SIGNATURE (PPO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9666696406 | N/A | N/A | 8971092 | 2222 | 4801 | 16890065 | N/A | 7486536 | 2026-01-04 01:42:41.647912 | 2025-09-15 03:16:44.869236 |
| 2026-01-03 08:07:16.902294 | 2026-01-04 01:45:01.746520 | 16640783 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16640783 | Athletic Physical Therapy Inc | 1961-03-04 | 2026-01-06 | M | PT | N/A | AVEDISSIAN | JQU233A54125 | ARMEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8472241/check_16640783_f6c2cbae-f645-4abf-af80-3e20ec2ea7c6.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 | 9666696405 | N/A | N/A | 8472241 | 2222 | 4801 | 16892460 | N/A | 7143064 | 2026-01-04 01:45:01.746520 | 2025-10-10 06:06:58.213429 |
| 2026-01-03 08:07:16.819534 | 2026-01-04 01:45:01.963601 | 16640779 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16640779 | Athletic Physical Therapy Inc | 1945-04-26 | 2026-01-05 | M | PT | N/A | BARKEY | JQS728M78455 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7545690/check_16640779_b95033f7-c539-4149-af98-d667b28634de.json | N/A | N/A | N/A | N/A | N/A | JQS728M78455 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1945-04-26 | 040 | CAMCRWP0 | N/A | MP | false | BARKEY | N/A | JOSEPH | 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 | 9666696404 | N/A | N/A | 7545690 | 2222 | 4801 | 16892465 | 4185 | 4211589 | 2026-01-04 01:45:01.963601 | 2025-05-13 04:29:37.225916 |
| 2026-01-03 08:07:16.724003 | 2026-01-04 01:42:15.055291 | 16640772 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16640772 | Athletic Physical Therapy Inc | 1976-02-07 | 2026-01-06 | F | AE | PT | MALTSEVA | 94237973H | YEVHENIIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7253095/check_16640772_6db411d9-5c44-49be-a7e0-c7675d69c070.json | N/A | N/A | N/A | N/A | N/A | 94237973H | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1976-02-07 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MALTSEVA | N/A | YEVHENIIA | N/A | 2078-12-31 | 2025-08-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9666696403 | N/A | N/A | 7253095 | 2222 | 4802 | 16889632 | 4211 | 6219145 | 2026-01-04 01:42:15.055291 | 2025-07-21 16:40:35.276086 |
| 2026-01-03 08:07:16.614723 | 2026-01-04 01:42:14.762771 | 16640764 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16640764 | Athletic Physical Therapy Inc | 1967-12-06 | 2026-01-05 | F | AE | PT | KLOSSOWSKI | 98920892C | TRESSA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7019712/check_16640764_0fc7b493-e6e5-4bbc-96c7-dd777246231d.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 | 9666696402 | N/A | N/A | 7019712 | 2222 | 4793 | 16889627 | 4211 | 6034714 | 2026-01-04 01:42:14.762771 | 2025-07-15 18:02:59.670156 |
| 2026-01-03 08:07:16.531122 | 2026-01-04 01:44:54.676235 | 16640760 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16640760 | Athletic Physical Therapy Inc | 1958-04-03 | 2026-01-05 | F | AE | PT | NIAZI | 00000388782 | RAHIMA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6958289/check_16640760_52ad6e74-6911-4810-a6a0-1ad4c7927b75.json | N/A | N/A | N/A | N/A | N/A | 00000388782 | N/A | N/A | MEDICARE | N/A | 1958-04-03 | H3815028 | N/A | N/A | N/A | false | NIAZI | N/A | RAHIMA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9666696401 | N/A | N/A | 6958289 | 2222 | 4793 | 16892326 | 2630 | 5983606 | 2026-01-04 01:44:54.676235 | 2025-07-18 18:03:17.155924 |
| 2026-01-03 08:07:16.444326 | 2026-01-04 01:42:43.191578 | 16640750 | N/A | N/A | 60054 | AETNA | 1114042165 | 16640750 | Athletic Physical Therapy Inc | 1940-12-29 | 2026-01-06 | M | AE | PT | TRUNNELL | 101505559100 | WAYNE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6786642/check_16640750_24bc8cbf-fb75-46b5-aa12-3b8868dc639a.json | N/A | N/A | N/A | N/A | N/A | 101505559100 | Health Maintenance Organization (HMO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-12-29 | 000003-CA000116 | 000003-CA | N/A | HM | false | TRUNNELL | N/A | WAYNE | N/A | N/A | N/A | AETNA MEDICARE SIGNATURE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9666696400 | N/A | N/A | 6786642 | 2222 | 4793 | 16890083 | 3939 | 5818009 | 2026-01-04 01:42:43.191578 | 2025-07-15 23:19:05.900633 |
| 2026-01-03 08:07:16.371346 | 2026-01-04 01:44:45.496923 | 16640747 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16640747 | Athletic Physical Therapy Inc | 2008-04-21 | 2026-01-05 | M | AE | PT | BERMUDEZ | 000019836525 | RAFAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6721942/check_16640747_856540b6-c3cf-4a53-9839-b91a1421c613.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 ADULT AND FAMILY LTSS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9666696399 | N/A | N/A | 6721942 | 2222 | 4793 | 16892148 | N/A | 5322280 | 2026-01-04 01:44:45.496923 | 2025-07-01 21:45:15.878047 |
| 2026-01-03 08:07:16.272714 | 2026-01-04 01:42:08.839800 | 16640742 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 16640742 | Athletic Physical Therapy Inc | 1955-02-20 | 2026-01-05 | F | AE | PT | SALGUERO | 35955370 | DINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6711965/check_16640742_247898d9-c33d-4b3f-b63d-aa811ae973a5.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 | 9666696398 | N/A | N/A | 6711965 | 2222 | 4793 | 16889521 | 6798 | 4210430 | 2026-01-04 01:42:08.839800 | 2025-05-13 04:29:37.224841 |
| 2026-01-03 08:07:16.154808 | 2026-01-04 01:44:54.397883 | 16640735 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16640735 | Athletic Physical Therapy Inc | 1956-07-24 | 2026-01-06 | F | AE | PT | HOCHFELD | 00000365425 | PAMELA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676362/check_16640735_72d06aad-70dd-4476-bf32-240ccca3fd7f.json | N/A | N/A | N/A | N/A | N/A | 00000365425 | N/A | N/A | MEDICARE | N/A | 1956-07-24 | H3815028 | N/A | N/A | N/A | false | HOCHFELD | N/A | PAMELA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9666696397 | N/A | N/A | 5676362 | 2222 | 4793 | 16892322 | 2630 | 4219743 | 2026-01-04 01:44:54.397883 | 2025-12-04 22:36:02.632383 |
| 2026-01-03 08:07:16.082139 | 2026-01-04 01:45:09.268963 | 16640729 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 16640729 | Athletic Physical Therapy Inc | 1946-04-03 | 2026-01-06 | F | PT | N/A | OBLINGER | JQS491M78254 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676340/check_16640729_0aff02ce-6d27-494d-b74e-c91e73338755.json | N/A | N/A | N/A | N/A | N/A | JQS491M78254 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1946-04-03 | 040 | CAMCRWP0 | N/A | MP | false | OBLINGER | N/A | MARIA | 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 | 9666696396 | N/A | N/A | 5676340 | 2222 | 4793 | 16892600 | 4184 | 4210531 | 2026-01-04 01:45:09.268963 | 2025-12-09 17:09:13.960610 |
| 2026-01-03 08:07:15.984637 | 2026-01-04 01:44:52.100219 | 16640724 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16640724 | Athletic Physical Therapy Inc | 1961-09-17 | 2026-01-06 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_16640724_f905d095-22cd-4590-979e-23c7a036bf8e.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9666696395 | N/A | N/A | 5568076 | 2222 | 4802 | 16892276 | 4625 | 4209480 | 2026-01-04 01:44:52.100219 | 2026-04-10 02:05:15.976484 |
| 2026-01-03 08:07:15.909960 | 2026-01-04 01:45:17.211938 | 16640719 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16640719 | Athletic Physical Therapy Inc | 2005-05-27 | 2026-01-06 | F | PT | N/A | PARVIZI | XED914141701 | SIMONE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550844/check_16640719_eddddc06-a9d7-4d78-b323-d11b1ebb2d3e.json | N/A | N/A | N/A | N/A | N/A | XED914141701 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2005-05-27 | 2001ZL002187 | X0001004 | N/A | PR | false | PARVIZI | N/A | SIMONE | N/A | 9999-12-31 | 2025-02-01 | IFP EMB PED VISION | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9666696394 | N/A | N/A | 5550844 | 2222 | 4802 | 16892734 | N/A | 4215184 | 2026-01-04 01:45:17.211938 | 2025-05-13 04:29:37.229500 |
| 2026-01-03 08:07:15.838417 | 2026-01-04 01:48:07.259891 | 16640715 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16640715 | Athletic Physical Therapy Inc | 1951-12-26 | 2026-01-06 | M | AE | PT | FINEBERG | 9FX3D52YD09 | MARTIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549980/check_16640715_b8fb0cff-baa5-4b21-8c2c-7bc724d2588a.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MB | false | FINEBERG | N/A | MARTIN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9666696393 | N/A | N/A | 5549980 | 2222 | 4802 | 16895648 | N/A | 4219436 | 2026-01-04 01:48:07.259891 | 2025-05-13 04:29:37.230471 |
| 2026-01-03 08:07:15.759513 | 2026-01-04 01:42:42.135076 | 16640710 | N/A | N/A | 60054 | Aetna | 1114042165 | 16640710 | Athletic Physical Therapy Inc | 1955-03-15 | 2026-01-06 | F | AE | PT | MORTENSEN | MBL800W05634 | JEANIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549946/check_16640710_92f57a22-bad4-4bda-bfe8-db1fb97e3c32.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 | 9666696392 | N/A | N/A | 5549946 | 2222 | 4801 | 16890071 | N/A | 4219431 | 2026-01-04 01:42:42.135076 | 2025-12-01 18:45:07.315802 |
| 2026-01-03 08:07:15.647571 | 2026-01-04 01:45:02.985632 | 16640702 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16640702 | Athletic Physical Therapy Inc | 1955-10-09 | 2026-01-06 | M | PT | N/A | COE | JQS589W10732 | SCOTT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549514/check_16640702_b3739e82-cd79-4a53-8856-821dc36d3590.json | N/A | N/A | N/A | N/A | N/A | JQS589W10732 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1955-10-09 | 040 | CAMCRWP0 | N/A | MP | false | COE | N/A | SCOTT | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9666696391 | N/A | N/A | 5549514 | 2222 | 4801 | 16892482 | 4185 | 4219161 | 2026-01-04 01:45:02.985632 | 2025-10-16 23:24:12.118501 |
| 2026-01-03 08:07:15.566233 | 2026-01-04 01:48:06.452654 | 16640697 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16640697 | Athletic Physical Therapy Inc | 1957-05-23 | 2026-01-06 | F | AE | PT | CEASAR | 6XR6JY3MJ89 | DEBBIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543553/check_16640697_620ef3b2-3c56-4c20-921d-14cf43e276a5.json | N/A | N/A | N/A | N/A | N/A | 6XR6JY3MJ89 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-23 | S5660 | N/A | N/A | MB | 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 | 9666696390 | N/A | N/A | 5543553 | 2222 | 4793 | 16895634 | N/A | 4215327 | 2026-01-04 01:48:06.452654 | 2025-05-13 04:29:37.229651 |
| 2026-01-03 08:07:15.469330 | 2026-01-04 01:44:52.329657 | 16640691 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16640691 | Athletic Physical Therapy Inc | 1999-02-06 | 2026-01-06 | M | AE | PT | FORTIN | R14644640MS1 | NATHANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20260103.095729671.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2026-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_16640691_388e4af1-f8cc-4b1e-b281-de8d42b3d551.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | KVT SBGHMOWC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9666696389 | N/A | N/A | 5543425 | 2222 | 4801 | 16892280 | 4625 | 4215211 | 2026-01-04 01:44:52.329657 | 2026-04-02 22:30:20.020246 |