API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-01-03 08:07:15.384585 | 2026-01-04 01:42:13.974545 | 16640685 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16640685 | Athletic Physical Therapy Inc | 1961-07-08 | 2026-01-06 | F | AE | PT | BERRY | 606308574 | KAREN | N/A | 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/2222/5543264/check_16640685_6e01146c-f636-4f15-ba1a-b7158f2d42c2.json | N/A | N/A | N/A | N/A | N/A | 606308574 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-07-08 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | BERRY | N/A | KAREN | N/A | 2026-12-31 | 2026-01-01 | SILVER 87 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9666696387 | N/A | N/A | 5543264 | 2222 | 4802 | 16889612 | 4211 | 4215080 | 2026-01-04 01:42:13.974545 | 2025-05-13 04:29:37.229395 |
| 2026-01-03 08:07:15.288106 | 2026-01-04 01:45:06.091902 | 16640681 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16640681 | Athletic Physical Therapy Inc | 1990-07-10 | 2026-01-06 | F | PT | N/A | Gadde | X8B467M70158 | Lavanya | N/A | 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/2222/5543090/check_16640681_d7304f34-3cba-46d6-afa3-a90aa369ac4c.json | N/A | N/A | N/A | N/A | N/A | X8B4876692CT | Preferred Provider Organization (PPO) | BYTEDANCE INC | ANTHEM BLUE CROSS | N/A | 1990-07-10 | 040 | L15214M002 | N/A | PR | false | KONDABOLU | N/A | KUSHVANTH | N/A | 9999-12-31 | 2026-01-01 | BC PPO INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9666696386 | N/A | N/A | 5543090 | 2222 | 4793 | 16892540 | N/A | 4214925 | 2026-01-04 01:45:06.091902 | 2025-12-17 00:54:52.714750 |
| 2026-01-03 08:07:15.173359 | 2026-01-04 01:45:10.049788 | 16640673 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16640673 | Athletic Physical Therapy Inc | 1972-01-23 | 2026-01-06 | M | PT | N/A | SHER | JQV274M76470 | ARTUR | N/A | 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/2222/5543024/check_16640673_51510c13-b1c7-4aa7-a62f-3f6322fb3f20.json | N/A | N/A | N/A | N/A | N/A | JQV274M76470 | Health Maintenance Organization (HMO) | ROYAL WINE CORP | ANTHEM BLUE CROSS | N/A | 1972-01-23 | 040 | Q41837 | N/A | HM | false | SHER | N/A | ARTUR | N/A | 9999-12-31 | 2026-01-01 | CA SG SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9666696385 | N/A | N/A | 5543024 | 2222 | 4801 | 16892614 | N/A | 4214858 | 2026-01-04 01:45:10.049788 | 2025-05-13 04:29:37.229182 |
| 2026-01-03 08:07:15.082920 | 2026-01-04 01:42:42.927295 | 16640667 | N/A | N/A | 60054 | Aetna | 1114042165 | 16640667 | Athletic Physical Therapy Inc | 1982-02-18 | 2026-01-06 | M | AE | PT | TORGAN | W291598583 | SPENCER | N/A | 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/2222/5542863/check_16640667_c3819a28-e52a-4a7e-948e-63b0369818ac.json | N/A | N/A | N/A | N/A | N/A | W291598583 | Point of Service (POS) | MORGAN STANLEY DOMESTIC HOLDINGS, L | AETNA | N/A | 1982-02-18 | 0868849 | 086884901000001 | N/A | PS | false | TORGAN | N/A | SPENCER | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9666696384 | N/A | N/A | 5542863 | 2222 | 4793 | 16890079 | N/A | 4214725 | 2026-01-04 01:42:42.927295 | 2025-05-13 04:29:37.229043 |
| 2026-01-03 08:07:15.001619 | 2026-01-04 01:48:09.859471 | 16640662 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16640662 | Athletic Physical Therapy Inc | 1959-10-03 | 2026-01-06 | F | AE | PT | REED | 2YY5KV0WP59 | SONIA | N/A | 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/2222/5542497/check_16640662_172bc5c8-5ab2-48bb-b257-9e608840f335.json | N/A | N/A | N/A | N/A | N/A | 2YY5KV0WP59 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-10-03 | S5617 | N/A | N/A | MA | false | REED | N/A | SONIA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9666696383 | N/A | N/A | 5542497 | 2222 | 4801 | 16895696 | N/A | 4214397 | 2026-01-04 01:48:09.859471 | 2025-05-13 04:29:37.228723 |
| 2026-01-03 08:07:14.911821 | 2026-01-04 01:48:07.514002 | 16640656 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16640656 | Athletic Physical Therapy Inc | 1936-09-29 | 2026-01-06 | M | AE | PT | JAUDE | 8D38EF9GV30 | KARIM | N/A | 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/2222/5542251/check_16640656_bfb723be-b911-43cb-ac11-0487d03af26c.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MA | false | JAUDE | N/A | KARIM | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9666696382 | N/A | N/A | 5542251 | 2222 | 4802 | 16895653 | N/A | 4214191 | 2026-01-04 01:48:07.514002 | 2025-05-13 04:29:37.228525 |
| 2026-01-03 08:07:14.790477 | 2026-01-04 01:42:14.235417 | 16640647 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16640647 | Athletic Physical Therapy Inc | 1975-03-26 | 2026-01-06 | F | AE | PT | HEYES | 95596436F | DARCIE | N/A | 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/2222/5542233/check_16640647_92918be6-b7b2-47aa-b9aa-405a2360aa6b.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1975-03-26 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | 2078-12-31 | 2024-04-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9666696381 | N/A | N/A | 5542233 | 2222 | 4793 | 16889617 | 4211 | 4214178 | 2026-01-04 01:42:14.235417 | 2025-05-13 04:29:37.228506 |
| 2026-01-03 08:07:14.644013 | 2026-01-04 01:45:01.173774 | 16640640 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 16640640 | Athletic Physical Therapy Inc | 1959-05-13 | 2026-01-06 | F | PT | N/A | ADRIANZEN FERNAN | 221W2005420 | AURA | N/A | 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/2222/5541944/check_16640640_7f485d1d-b927-4b9b-b74d-1b1c750855fc.json | N/A | N/A | N/A | N/A | N/A | 221W2005420 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-05-13 | N/A | N/A | N/A | N/A | false | ADRIANZEN FERNAN | N/A | AURA | 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 | 9666695316 | N/A | N/A | 5541944 | 2222 | 4801 | 16892448 | 4184 | 4213907 | 2026-01-04 01:45:01.173774 | 2025-05-13 04:29:37.228228 |
| 2026-01-03 08:07:14.540443 | 2026-01-04 01:42:36.365331 | 16640634 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 16640634 | override_provider | 1957-04-11 | 2026-01-06 | M | PT | N/A | ADRIAN | MBL508W11635 | NELSON | N/A | 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/2222/5541841/check_16640634_8d35a6f2-ce4d-4e38-b3b5-bfc35755297f.json | N/A | N/A | N/A | N/A | N/A | MBL508W11635 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | BLUE SHIELD OF CALIFORNIA | N/A | 1957-04-11 | 040 | CAEGR005 | N/A | N/A | false | ADRIAN | N/A | NELSON | N/A | 9999-12-31 | 2026-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9666695315 | N/A | N/A | 5541841 | 2222 | 4801 | 16889993 | N/A | 4213826 | 2026-01-04 01:42:36.365331 | 2025-05-13 04:29:37.228146 |
| 2026-01-03 08:07:14.414455 | 2026-01-04 01:45:06.340410 | 16640627 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16640627 | Athletic Physical Therapy Inc | 2009-08-02 | 2026-01-06 | F | PT | N/A | KUZMICZ | LFYHC0059374 | AUDREY | N/A | 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/2222/5541748/check_16640627_c6fe1762-1b4b-428b-b902-e0f4dc3d1d0d.json | N/A | N/A | N/A | N/A | N/A | LFYHC0059374 | Preferred Provider Organization (PPO) | LOS ANGELES FIREMENS RELIEF ASSOCIATION | ANTHEM BLUE CROSS | N/A | 2009-08-02 | 040 | 282527M001 | N/A | PR | false | KUZMICZ | N/A | CHRISTOPHER | N/A | 9999-12-31 | 2020-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9666695314 | N/A | N/A | 5541748 | 2222 | 4801 | 16892546 | N/A | 4213741 | 2026-01-04 01:45:06.340410 | 2025-10-10 22:38:21.840610 |
| 2026-01-03 08:07:14.233480 | 2026-01-04 01:45:04.964038 | 16640619 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16640619 | Athletic Physical Therapy Inc | 1974-10-21 | 2026-01-06 | F | PT | N/A | GARCIA | NCF666A56083 | DAWN | N/A | 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/2222/5541664/check_16640619_4a15ce08-3678-424f-8d45-571c04409045.json | N/A | N/A | N/A | N/A | N/A | NCF666A56083 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1974-10-21 | 040 | 57AJCA | N/A | HM | false | GARCIA | N/A | DAWN | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9666695313 | N/A | N/A | 5541664 | 2222 | 4793 | 16892520 | 4185 | 4213662 | 2026-01-04 01:45:04.964038 | 2025-05-13 04:29:37.227982 |
| 2026-01-03 08:07:14.112340 | 2026-01-04 01:45:18.614761 | 16640610 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16640610 | Athletic Physical Therapy Inc | 1994-03-01 | 2026-01-05 | F | PT | N/A | VANE | GMB812956081 | KYLE | N/A | 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/2222/5541563/check_16640610_ee53faa9-7407-41c4-93ac-fcfc512ac538.json | N/A | N/A | N/A | N/A | N/A | GMB812956081 | Preferred Provider Organization (PPO) | ARTHUR J GALLAGHER ILLINOIS, LLC | BLUE SHIELD OF CALIFORNIA | HEALTH CARE ACCOUNT BALANCE PLEASE DO NOT BILL THE PATIENT. THIS POLICY HAS AN EMPLOYER-FUNDED HEALTH CARE ACCOUNT. THIS TYPE OF HRA WILL BE USED TO PAY FOR QUALIFIED MEDICAL EXPENSES, INCLUDING, BUT NOT LIMITED TO DEDUCTIBLE. | 1994-03-01 | N/A | 169150 | N/A | PR | false | VANE | N/A | KYLE | N/A | 9999-12-31 | 2025-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9666695312 | N/A | N/A | 5541563 | 2222 | 4793 | 16892757 | N/A | 4213573 | 2026-01-04 01:45:18.614761 | 2026-01-05 00:56:21.017893 |
| 2026-01-03 08:07:13.997461 | 2026-01-04 01:45:10.567790 | 16640607 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16640607 | Athletic Physical Therapy Inc | 2010-03-06 | 2026-01-06 | F | PT | N/A | VEN OSTEN | MPI01516884Q | ELIANA | N/A | 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/2222/5541160/check_16640607_17656d72-3278-4f64-9376-d4fc75048811.json | N/A | N/A | N/A | N/A | N/A | MPI01516884Q | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2010-03-06 | N/A | N/A | N/A | N/A | false | VEN OSTEN | N/A | ELIANA | 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 | 9666695311 | N/A | N/A | 5541160 | 2222 | 4801 | 16892623 | N/A | 4213210 | 2026-01-04 01:45:10.567790 | 2025-12-26 18:56:20.362982 |
| 2026-01-03 08:07:13.820187 | 2026-01-04 01:48:05.955827 | 16640599 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16640599 | Athletic Physical Therapy Inc | 1940-05-13 | 2026-01-06 | F | AE | PT | ALIZADEH GHARBAGHI | 6AX8PH3NH43 | TOURAN | N/A | 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/2222/5540531/check_16640599_4da447e5-0dfc-46f9-a366-8cfedf14d836.json | N/A | N/A | N/A | N/A | N/A | 6AX8PH3NH43 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-05-13 | S5617 | N/A | N/A | MB | false | ALIZADEH GHARBAGHI | N/A | TOURAN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9666695310 | N/A | N/A | 5540531 | 2222 | 4802 | 16895625 | N/A | 4212676 | 2026-01-04 01:48:05.955827 | 2025-07-03 21:09:02.193065 |
| 2026-01-03 08:07:13.717449 | 2026-01-04 01:45:02.489849 | 16640592 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16640592 | Athletic Physical Therapy Inc | 1955-11-11 | 2026-01-06 | F | PT | N/A | CALDERON | JQU450A75837 | DEBBIE | N/A | 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/2222/5540282/check_16640592_5dcfa99d-2820-4e58-94dc-f724f9520eb0.json | N/A | N/A | N/A | N/A | N/A | JQU450A75837 | Preferred Provider Organization (PPO) | ELKINS KALT WEINTRAUB REU | ANTHEM BLUE CROSS | N/A | 1955-11-11 | 040 | 494793 | N/A | PR | false | CALDERON | N/A | DEBBIE | N/A | 9999-12-31 | 2025-12-01 | ANTHEM GOLD PPO 30/500/20% | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9666695309 | N/A | N/A | 5540282 | 2222 | 4802 | 16892474 | N/A | 4212465 | 2026-01-04 01:45:02.489849 | 2025-05-13 04:29:37.226801 |
| 2026-01-03 08:07:13.623462 | 2026-01-04 01:45:10.306425 | 16640587 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16640587 | Athletic Physical Therapy Inc | 1961-10-29 | 2026-01-06 | F | PT | N/A | STEWARD | NCF874A20085 | ANDREA | N/A | 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/2222/5539556/check_16640587_62d2f79d-a3d7-40dd-b857-13a248f73614.json | N/A | N/A | N/A | N/A | N/A | NCF874A20085 | Health Maintenance Organization (HMO) | LACERS- LOS ANGELES CITY RETIREMENT SYSTEMS | ANTHEM BLUE CROSS | N/A | 1961-10-29 | 040 | 57ABBA | N/A | HM | false | STEWARD | N/A | ANDREA | N/A | 9999-12-31 | 2017-04-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9666695308 | N/A | N/A | 5539556 | 2222 | 4801 | 16892618 | N/A | 4211841 | 2026-01-04 01:45:10.306425 | 2025-10-23 18:30:51.891275 |
| 2026-01-03 08:07:13.499378 | 2026-01-04 01:45:05.829642 | 16640580 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16640580 | Athletic Physical Therapy Inc | 1980-04-11 | 2026-01-05 | M | PT | N/A | Hurst | JQY695A75359 | Gregory | N/A | 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/2222/5539085/check_16640580_625fb62a-554f-4bff-bdd3-c51b12221e98.json | N/A | N/A | N/A | N/A | N/A | JQY695A75359 | Preferred Provider Organization (PPO) | YALE MANAGEMENT SERVICES | ANTHEM BLUE CROSS | N/A | 1980-04-11 | 040 | 342584 | N/A | PR | false | HURST | N/A | GREGORY | N/A | 9999-12-31 | 2025-12-01 | ANTHEM SILVER SELECT PPO 50/2200/40% | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9666695307 | N/A | N/A | 5539085 | 2222 | 4793 | 16892536 | N/A | 4211408 | 2026-01-04 01:45:05.829642 | 2025-09-18 00:42:48.586801 |
| 2026-01-03 08:07:13.412484 | 2026-01-04 01:45:05.568431 | 16640574 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16640574 | Athletic Physical Therapy Inc | 1995-11-17 | 2026-01-06 | M | PT | N/A | HAMILTON | KZU14135950E | JAMES | N/A | 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/2222/5538409/check_16640574_bd9b961c-06bd-420e-a022-cc25cb6fc3b9.json | N/A | N/A | N/A | N/A | N/A | KZU14135950E | Preferred Provider Organization (PPO) | AEROVIRONMENT INC | ANTHEM BLUE CROSS | N/A | 1995-11-17 | 040 | 277825M007 | N/A | PR | false | HAMILTON | N/A | JAMES | N/A | 9999-12-31 | 2022-10-10 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9666695306 | N/A | N/A | 5538409 | 2222 | 4801 | 16892531 | N/A | 4210828 | 2026-01-04 01:45:05.568431 | 2025-05-13 04:29:37.225234 |
| 2026-01-03 08:07:13.278862 | 2026-01-04 01:45:07.394220 | 16640568 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16640568 | Athletic Physical Therapy Inc | 1977-06-07 | 2026-01-06 | M | PT | N/A | MARSHALL | MPI01520612Q | THOMAS | N/A | 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/2222/5537511/check_16640568_a698fa00-3cd2-4c0d-972c-2ff2f6800b86.json | N/A | N/A | N/A | N/A | N/A | MPI01520612Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1977-06-07 | 040 | 277163M401 | N/A | PR | false | MARSHALL | N/A | THOMAS | N/A | 9999-12-31 | 2024-06-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9666695305 | N/A | N/A | 5537511 | 2222 | 4801 | 16892566 | N/A | 4210061 | 2026-01-04 01:45:07.394220 | 2025-05-13 04:29:37.224481 |
| 2026-01-03 08:07:13.149217 | 2026-01-04 01:45:03.279857 | 16640561 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 16640561 | Athletic Physical Therapy Inc | 1957-04-03 | 2026-01-06 | M | PT | N/A | CRUZ CHEVEZ | JQW952W07822 | RICARDO | N/A | 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/2222/5537237/check_16640561_ff53b4b0-0b39-46bf-b9fa-803de406a262.json | N/A | N/A | N/A | N/A | N/A | JQW952W07822 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1957-04-03 | 040 | CAMCRWP0 | N/A | MP | false | CRUZ CHEVEZ | N/A | RICARDO | 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 | 9666695304 | N/A | N/A | 5537237 | 2222 | 4793 | 16892487 | 4184 | 4209841 | 2026-01-04 01:45:03.279857 | 2025-10-22 16:05:52.993032 |
| 2026-01-03 08:07:13.068551 | 2026-01-04 01:45:08.739971 | 16640557 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16640557 | Athletic Physical Therapy Inc | 1964-10-19 | 2026-01-06 | M | PT | N/A | NIELSEN | XDP057A76330 | ROY | N/A | 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/2222/5537188/check_16640557_109b1b17-639d-4652-9277-1bb6dbf43879.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC COBRA | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629MN17 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 9999-12-31 | 2025-11-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9666695303 | N/A | N/A | 5537188 | 2222 | 4802 | 16892591 | N/A | 4209789 | 2026-01-04 01:45:08.739971 | 2025-05-13 04:29:37.224215 |
| 2026-01-03 08:07:12.987859 | 2026-01-04 01:43:25.885491 | 16640552 | N/A | N/A | 61101 | HUMANA | 1114042165 | 16640552 | Athletic Physical Therapy Inc | 1952-05-02 | 2026-01-05 | F | AE | PT | HASSEY DE HANSON | H6569972200 | HILDA | N/A | 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/2222/5536963/check_16640552_696861d9-edda-4187-bee0-ba80b044fc46.json | N/A | N/A | N/A | N/A | N/A | H65699722 | 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 | 1952-05-02 | N/A | 2B722001 | N/A | HN | false | HASSEY DE HA | N/A | HILDA | 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 | 9666695302 | N/A | N/A | 5536963 | 2222 | 4793 | 16890704 | 5349 | 4209616 | 2026-01-04 01:43:25.885491 | 2025-12-02 19:38:35.715555 |
| 2026-01-03 08:07:12.923302 | 2026-01-04 01:45:08.461905 | 16640548 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16640548 | Athletic Physical Therapy Inc | 1954-03-31 | 2026-01-06 | M | PT | N/A | MILES | MBL835W05431 | KEITH | N/A | 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/2222/5536896/check_16640548_8d3c1ee2-db04-4805-a218-4b6e877eeca6.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | 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 | 9666695300 | N/A | N/A | 5536896 | 2222 | 4793 | 16892587 | N/A | 4209567 | 2026-01-04 01:45:08.461905 | 2025-05-13 04:29:37.223990 |
| 2026-01-03 08:07:12.847733 | 2026-01-04 01:48:09.369252 | 16640543 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16640543 | Athletic Physical Therapy Inc | 1946-12-07 | 2026-01-06 | F | AE | PT | MOONVES | 9VC3KJ4XU95 | NANCY | N/A | 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/2222/5536069/check_16640543_1f71418a-0bc9-4c23-bfaa-1704e4aa323a.json | N/A | N/A | N/A | N/A | N/A | 9VC3KJ4XU95 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-12-07 | S4802 | N/A | N/A | MA | false | MOONVES | 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 | 9666695299 | N/A | N/A | 5536069 | 2222 | 4802 | 16895687 | N/A | 4208883 | 2026-01-04 01:48:09.369252 | 2025-05-13 04:29:37.223310 |
| 2026-01-03 08:07:12.751434 | 2026-01-04 01:44:16.781866 | 16640536 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16640536 | Athletic Physical Therapy Inc | 1941-04-16 | 2026-01-06 | F | AD | 30 | RYAN | 31026142401 | CAROL | N/A | 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/2222/5535455/check_16640536_5f27313f-919d-48e9-a004-b529652c7444.json | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1941-04-16 | 2026H5425001 | H5425M | N/A | N/A | false | RYAN | N/A | CAROL | 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 | 9666695298 | N/A | N/A | 5535455 | 2222 | 4793 | 16891593 | 6237 | 4208375 | 2026-01-04 01:44:16.781866 | 2025-08-08 21:08:12.459471 |
| 2026-01-03 08:07:12.635917 | 2026-01-04 01:44:16.300239 | 16640530 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16640530 | Athletic Physical Therapy Inc | 1952-12-16 | 2026-01-06 | F | AE | PT | PORTER | 40028215401 | SHERIL | N/A | 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/2222/5535434/check_16640530_b0a4c08d-de02-4649-8992-569ed89bf004.json | N/A | N/A | N/A | N/A | N/A | 40028215401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-12-16 | 2026H5425001 | H5425M | N/A | N/A | false | PORTER | N/A | SHERIL | 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 | 9666695297 | N/A | N/A | 5535434 | 2222 | 4793 | 16891583 | 6237 | 4208356 | 2026-01-04 01:44:16.300239 | 2025-08-25 14:49:27.724897 |
| 2026-01-03 08:07:12.567685 | 2026-01-04 01:45:03.843733 | 16640527 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16640527 | Athletic Physical Therapy Inc | 1960-04-27 | 2026-01-06 | M | PT | N/A | ENRIGHT | DGA10462968J | HAROLD | N/A | 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/2222/5535419/check_16640527_f97e3ef9-2237-4930-8b81-8adb3dcedafd.json | N/A | N/A | N/A | N/A | N/A | DGA10462968J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1960-04-27 | 040 | 276945M001 | N/A | PR | false | ENRIGHT | N/A | HAROLD | N/A | 9999-12-31 | 2017-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9666695296 | N/A | N/A | 5535419 | 2222 | 4793 | 16892499 | N/A | 4208347 | 2026-01-04 01:45:03.843733 | 2025-05-13 04:29:37.222769 |
| 2026-01-03 01:16:56.174796 | 2026-01-03 01:16:58.036301 | 16637908 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-11-27 | 2025-01-02 | U | PT | AE | NANDAKUMAR | W200927151 | VISHWA | 3939 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542718/check_16637908_aa065f59-1f58-4b2c-bb89-ff3e669d8403.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-01-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542718/check_16637908_284e520e-3dfd-44ec-aff0-9fde64c72332.json | N/A | N/A | N/A | N/A | N/A | W200927151 | N/A | N/A | AETNA | N/A | 2008-11-27 | N/A | N/A | N/A | N/A | false | NANDAKUMAR | N/A | VISHWA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1865 | N/A | 5542718 | 2222 | N/A | 16841508 | N/A | 4214593 | 2026-01-03 01:16:58.036301 | 2025-04-29 21:12:43.283054 |
| 2026-01-03 01:16:52.448430 | 2026-01-03 01:16:56.170283 | 16637907 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-11-27 | 2025-01-02 | U | PT | AE | NANDAKUMAR | W200927151 | VISHWA | 3939 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542718/check_16637907_1b248729-10f4-4620-b19c-101a46d0d52e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-01-02 | N/A | N/A | N/A | N/A | N/A | N/A | W200927151 | N/A | N/A | AETNA | N/A | 2008-11-27 | N/A | N/A | N/A | N/A | false | NANDAKUMAR | N/A | VISHWA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1865 | N/A | 5542718 | 2222 | N/A | N/A | N/A | 4214593 | 2026-01-03 01:16:56.170283 | 2025-04-29 21:12:43.283054 |
| 2026-01-03 01:08:35.495034 | 2026-01-03 01:08:41.561655 | 16637863 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-08-02 | 2025-01-02 | F | PT | AE | RAMSEY KANZAWA | 804015480 | JENNIFER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541155/check_16637863_fe3be2d1-865b-4aca-8c50-74f635523bcb.json | UHC | N/A | INSIGHTS | 2025-01-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541155/check_16637863_be6eae08-a110-4e1b-9fba-fb4c9786294f.json | N/A | N/A | N/A | N/A | N/A | 804015480 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1972-08-02 | N/A | 7S3354 | N/A | N/A | false | KANZAWA | N/A | JENNIFER | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1865 | N/A | 5541155 | 2222 | N/A | 16841463 | N/A | 4213204 | 2026-01-03 01:08:41.561655 | 2025-05-28 20:17:37.873556 |
| 2026-01-03 01:06:27.867416 | 2026-01-03 01:06:32.746657 | 16637849 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-06-21 | 2026-01-05 | M | AE | PT | RAFIEI | 92836714F | SAM | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8173002/check_16637849_9a2b8880-e856-427b-a826-8c80c32162bf.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173002/check_16637849_4c589ce4-e95b-4b2c-a2fe-26d5f16a30fc.json | N/A | N/A | N/A | N/A | N/A | 92836714F | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-06-21 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | RAFIEI | N/A | SAM | N/A | 2078-12-31 | 2024-02-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9664631208 | 2182 | N/A | 8173002 | 2222 | N/A | 16841450 | N/A | 6939518 | 2026-01-03 01:06:32.746657 | 2025-08-18 21:40:08.349494 |
| 2026-01-03 01:06:14.584544 | 2026-01-03 01:06:16.498465 | 16637847 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-10-09 | 2026-01-05 | M | AE | PT | SZABO | 2D94CA5UN80 | GEORGE | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14109997/check_16637847_3d3c2607-da43-4e29-9e73-d80b64706952.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14109997/check_16637847_d8f64f2e-04d6-47a9-8caa-fd7dfc2614d0.json | N/A | N/A | N/A | N/A | N/A | 2D94CA5UN80 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-10-09 | S5601 | N/A | N/A | MA | false | SZABO | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9664628891 | 2182 | N/A | 14109997 | 2222 | N/A | 16841448 | N/A | 12248869 | 2026-01-03 01:06:16.498465 | 2025-12-10 22:52:03.780467 |
| 2026-01-03 01:05:22.471471 | 2026-01-03 01:05:26.421686 | 16637840 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-09-04 | 2026-01-05 | M | AE | PT | Power | 000022537970 | Dennis | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14578630/check_16637840_d930567c-4aa6-49c0-ab6b-0244a27bb212.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14578630/check_16637840_c2cb21ca-d1e2-41f6-857c-efb1e2674981.json | N/A | N/A | N/A | N/A | N/A | 000022537970 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | SRA - SENIOR ADVANTAGE | 1956-09-04 | 4299202 | 1650095001 | N/A | N/A | false | POWER | N/A | DENNIS | N/A | N/A | N/A | KPSA CONVERSION - SOUTH KPSA CONVERSION - SOUTH | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9664622137 | 2182 | N/A | 14578630 | 2222 | N/A | 16841441 | N/A | 12709990 | 2026-01-03 01:05:26.421686 | 2025-12-22 17:32:14.322898 |
| 2026-01-03 01:04:59.992232 | 2026-01-03 01:05:02.939343 | 16637838 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-08-04 | 2026-01-05 | F | AE | PT | Tabb | W291557361 | Kelly | 3948 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12993727/check_16637838_eb4690cd-474d-4641-a1bf-5652561515a3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12993727/check_16637838_0c7260d0-bab7-481c-ad67-166576901e7c.json | N/A | N/A | N/A | N/A | N/A | W291557361 | N/A | N/A | AETNA | N/A | 1962-08-04 | 0251528 | 025152802100088 | N/A | N/A | false | TABB | N/A | KELLI | N/A | N/A | N/A | HSA OPEN ACCESS MC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9664618306 | 2182 | N/A | 12993727 | 2222 | N/A | 16841439 | N/A | 11151756 | 2026-01-03 01:05:02.939343 | 2025-12-15 17:17:58.439188 |
| 2026-01-03 01:04:53.369010 | 2026-01-03 01:04:55.287161 | 16637836 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-06-19 | 2026-01-05 | F | AE | PT | BAZILE MARVIN | 2WJ8D55UX64 | TERRY | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13875017/check_16637836_be5df0cd-b8b3-45c0-ad3c-37a356f35a49.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13875017/check_16637836_aa6a38f7-ca40-46dc-8dde-9a0c454fe433.json | N/A | N/A | N/A | N/A | N/A | 2WJ8D55UX64 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-06-19 | S4802 | N/A | N/A | MA | false | BAZILE MARVIN | 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 | 9664617796 | 2182 | N/A | 13875017 | 2222 | N/A | 16841437 | N/A | 12022445 | 2026-01-03 01:04:55.287161 | 2025-12-05 23:18:29.715172 |
| 2026-01-03 01:02:58.498530 | 2026-01-03 01:03:01.307418 | 16637825 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-03-06 | 2026-01-05 | F | AE | PT | JACKSIER | R06211516FM1 | JENNIFER | 4625 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12436059/check_16637825_17475416-5045-46c0-857e-fdfc9ab458a1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12436059/check_16637825_3d566b52-7f52-410c-9094-ca2fd3339d9d.json | N/A | N/A | N/A | N/A | N/A | R06211516FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1972-03-06 | N/A | N/A | N/A | N/A | false | JACKSIER | N/A | JENNIFER | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 2182 | N/A | 12436059 | 2222 | N/A | 16841426 | N/A | 10616484 | 2026-01-03 01:03:01.307418 | 2025-11-24 21:45:10.432927 |
| 2026-01-03 01:02:55.660353 | 2026-01-03 01:02:58.495902 | 16637824 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-03-06 | 2026-01-05 | F | AE | PT | JACKSIER | R06211516FM1 | JENNIFER | 4625 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12436059/check_16637824_ed3dbd45-cc56-4f8c-859d-ef1fc2137245.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | N/A | N/A | N/A | N/A | N/A | N/A | R06211516FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1972-03-06 | N/A | N/A | N/A | N/A | false | JACKSIER | N/A | JENNIFER | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 2182 | N/A | 12436059 | 2222 | N/A | N/A | N/A | 10616484 | 2026-01-03 01:02:58.495902 | 2025-11-24 21:45:10.432927 |
| 2026-01-03 01:02:47.644309 | 2026-01-03 01:02:49.476036 | 16637823 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-11-11 | 2026-01-05 | M | AE | PT | GOLDBERG | 9EE6XY2TM41 | Michael | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542970/check_16637823_e8c56b7f-9d5e-469c-bbcd-e4be7f54aea3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542970/check_16637823_757d73d1-fe22-4785-921e-07b111d1ab46.json | N/A | N/A | N/A | N/A | N/A | 9EE6XY2TM41 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-11-11 | S5601 | N/A | N/A | MA | false | GOLDBERG | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9664597113 | 2182 | N/A | 5542970 | 2222 | N/A | 16841424 | N/A | 4214820 | 2026-01-03 01:02:49.476036 | 2025-06-30 02:56:23.324592 |
| 2026-01-03 01:02:39.026905 | 2026-01-03 01:02:41.957709 | 16637820 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1977-11-16 | 2026-01-05 | M | PT | N/A | COPELAND | SIF818M55219 | CHRISTOPHER | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10355543/check_16637820_79bf9560-c732-4cae-86c1-b9791292f8bf.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10355543/check_16637820_6ba62ef7-d84b-4a89-bf1c-f366d53149ab.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 | 9664595861 | 2182 | N/A | 10355543 | 2222 | N/A | 16841421 | N/A | 8619978 | 2026-01-03 01:02:41.957709 | 2025-10-13 20:53:09.422541 |
| 2026-01-03 01:02:12.518781 | 2026-01-03 01:02:15.359211 | 16637817 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-07-01 | 2026-01-05 | M | PT | N/A | Moreno jr | VDHE01043007 | Hector | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9691081/check_16637817_4adc89cc-01e6-446e-9c0d-ab4dae6ae2dc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9691081/check_16637817_5c3a55fc-9b9c-418f-b35f-64615527e0c2.json | N/A | N/A | N/A | N/A | N/A | VDHE01043007 | Preferred Provider Organization (PPO) | DIGNITY HEALTH VENTURA | ANTHEM BLUE CROSS | N/A | 1980-07-01 | 040 | 174236M3A1 | N/A | PR | false | MORENO JR | N/A | HECTOR | N/A | 9999-12-31 | 2022-07-01 | PB INCENTIVE NO SUTTER | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9664588885 | 2182 | N/A | 9691081 | 2222 | N/A | 16841418 | N/A | 8110015 | 2026-01-03 01:02:15.359211 | 2025-10-05 15:24:30.421551 |
| 2026-01-03 01:02:05.387413 | 2026-01-03 01:02:07.218021 | 16637813 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-03-06 | 2026-01-05 | M | AE | PT | E Sack | 400393930-01 | Robert | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14042644/check_16637813_c7bf9a5e-0b81-4ba0-9e7c-5ce47f832596.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14042644/check_16637813_ed475c61-7dbf-473a-9e18-28d81b16d1b7.json | N/A | N/A | N/A | N/A | N/A | 400393930-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | E SACK | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 2182 | N/A | 14042644 | 2222 | N/A | 16841413 | N/A | 10314571 | 2026-01-03 01:02:07.218021 | 2026-01-04 16:54:02.110823 |
| 2026-01-03 01:02:00.535835 | 2026-01-03 01:02:05.383933 | 16637807 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-03-06 | 2026-01-05 | M | AE | PT | E Sack | 400393930-01 | Robert | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14042644/check_16637807_f701a484-bbd0-4fb5-b774-8ac65b84e210.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | N/A | N/A | N/A | N/A | N/A | N/A | 400393930-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | E SACK | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 2182 | N/A | 14042644 | 2222 | N/A | N/A | N/A | 10314571 | 2026-01-03 01:02:05.383933 | 2026-01-04 16:54:02.110823 |
| 2026-01-03 01:01:53.748361 | 2026-01-03 01:01:55.575301 | 16637806 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-07-03 | 2026-01-05 | M | AE | PT | BANBROOK | 2JU7EP9NY73 | HAL MARK | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13538651/check_16637806_8e733798-a273-49dc-94fc-09328b5c8b14.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13538651/check_16637806_09b62f86-0e79-4e80-bb37-117aa7663337.json | N/A | N/A | N/A | N/A | N/A | 2JU7EP9NY73 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-07-03 | S4802 | N/A | N/A | MA | false | BANBROOK | N/A | HAL | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9664586489 | 2182 | N/A | 13538651 | 2222 | N/A | 16841406 | N/A | 11688569 | 2026-01-03 01:01:55.575301 | 2026-02-25 18:57:49.387834 |
| 2026-01-03 00:47:45.192432 | 2026-01-03 00:47:48.208652 | 16637752 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-06-28 | 2026-01-02 | M | PT | N/A | ALEKS | ALX617A23704 | Gabriel | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14942515/check_16637752_ed8efe6c-5cc5-4a07-b802-4d04843b802e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14942515/check_16637752_bdc143b8-ddcb-4dcf-a892-996f852f54a9.json | N/A | N/A | N/A | N/A | N/A | ALX617A23704 | Preferred Provider Organization (PPO) | CDHP HSA W/NIB-BASIC CONS W/ESIW/IHM&AIM | ANTHEM BLUE CROSS | N/A | 2005-06-28 | 130 | 270214M2AA | N/A | PR | false | ALEKS | N/A | NORBERT | N/A | 9999-12-31 | 2022-01-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9664480878 | 2182 | N/A | 14942515 | 2222 | N/A | 16841354 | N/A | 12743076 | 2026-01-03 00:47:48.208652 | 2026-01-23 21:42:43.573069 |
| 2026-01-03 00:47:14.968949 | 2026-01-03 00:47:17.819904 | 16637750 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-06-28 | 2026-01-02 | M | PT | N/A | ALEKS | XDPCA8458463 | Gabriel | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14612248/check_16637750_9e516e42-38dd-4512-8e88-3b65922ace0b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14612248/check_16637750_de37c63e-5c18-4262-9162-148cd002662a.json | N/A | N/A | N/A | N/A | N/A | XDPCA8458463 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | BLUE CROSS | N/A | 2005-06-28 | 040 | 275958P701 | N/A | PR | false | ALEKS | N/A | GABRIEL | N/A | 9999-12-31 | 2025-09-22 | PPO UC SHIP | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9664478712 | 2182 | N/A | 14612248 | 2222 | N/A | 16841352 | N/A | 12743076 | 2026-01-03 00:47:17.819904 | 2026-01-23 21:42:43.573069 |
| 2026-01-03 00:45:07.607737 | 2026-01-03 00:45:09.512944 | 16637739 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-06-28 | 2026-01-02 | M | PT | N/A | BOGUMILA | XDPCA8458463 | ALEKS | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14612248/check_16637739_684b4acf-ed70-48d8-b808-c6964872c4cb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14612248/check_16637739_b5e947be-4a8a-47b6-82ae-ac125dc105ee.json | N/A | N/A | N/A | N/A | N/A | XDPCA8458463 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2005-06-28 | N/A | N/A | N/A | N/A | false | BOGUMILA | N/A | ALEKS | 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 | N/A | 2182 | N/A | 14612248 | 2222 | N/A | 16841341 | N/A | 12743076 | 2026-01-03 00:45:09.512944 | 2026-01-23 21:42:43.573069 |
| 2026-01-03 00:45:03.914839 | 2026-01-03 00:45:07.605015 | 16637737 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-06-28 | 2026-01-02 | M | PT | N/A | BOGUMILA | XDPCA8458463 | ALEKS | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14612248/check_16637737_c7a8cc37-af3e-4c2f-9129-83b988c626c5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-02 | N/A | N/A | N/A | N/A | N/A | N/A | XDPCA8458463 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2005-06-28 | N/A | N/A | N/A | N/A | false | BOGUMILA | N/A | ALEKS | 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 | N/A | 2182 | N/A | 14612248 | 2222 | N/A | N/A | N/A | 12743076 | 2026-01-03 00:45:07.605015 | 2026-01-23 21:42:43.573069 |
| 2026-01-03 00:44:15.928696 | 2026-01-03 00:44:17.716742 | 16637734 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-06-28 | 2026-01-02 | M | PT | N/A | BOGUMILA | ALX617A23704 | ALEKS | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14612248/check_16637734_1cee83dc-6619-44be-9d32-04fed550228b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14612248/check_16637734_4d1ba966-9f84-413d-8b00-daabe7ef9de4.json | N/A | N/A | N/A | N/A | N/A | ALX617A23704 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2005-06-28 | N/A | N/A | N/A | N/A | false | BOGUMILA | N/A | ALEKS | 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 | N/A | 2182 | N/A | 14612248 | 2222 | N/A | 16841336 | N/A | 12743076 | 2026-01-03 00:44:17.716742 | 2026-01-23 21:42:43.573069 |
| 2026-01-03 00:44:14.264953 | 2026-01-03 00:44:15.926093 | 16637732 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-06-28 | 2026-01-02 | M | PT | N/A | BOGUMILA | ALX617A23704 | ALEKS | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14612248/check_16637732_68123213-2c4a-4426-86ce-8ff5ea364387.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-02 | N/A | N/A | N/A | N/A | N/A | N/A | ALX617A23704 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2005-06-28 | N/A | N/A | N/A | N/A | false | BOGUMILA | N/A | ALEKS | 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 | N/A | 2182 | N/A | 14612248 | 2222 | N/A | N/A | N/A | 12743076 | 2026-01-03 00:44:15.926093 | 2026-01-23 21:42:43.573069 |
| 2026-01-03 00:43:51.555196 | 2026-01-03 00:43:53.347320 | 16637731 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-06-28 | 2026-01-02 | M | PT | N/A | BOGUMILA | ALX617A23704 | ALEKS | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14612248/check_16637731_1ea7a503-4929-43c0-878a-477dba48c0a4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14612248/check_16637731_007d9398-9220-499b-b3c4-448d5a787b18.json | N/A | N/A | N/A | N/A | N/A | ALX617A23704 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2005-06-28 | N/A | N/A | N/A | N/A | false | BOGUMILA | N/A | ALEKS | 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 | N/A | 2182 | N/A | 14612248 | 2222 | N/A | 16841334 | N/A | 12743076 | 2026-01-03 00:43:53.347320 | 2026-01-23 21:42:43.573069 |