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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-29 08:32:10.888779 | 2025-12-29 08:32:14.682378 | 16443998 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-01-26 | 2025-12-31 | M | AE | PT | VASEF | 98235678800 | IDEAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542264/check_16443998_471f1bc5-3cae-49a1-b0c2-ef8323a5a71a.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542264/check_16443998_6ca321fc-cf26-4fc5-9f5e-9795f69ff131.json | N/A | N/A | N/A | N/A | N/A | 98235678800 | Commercial | N/A | UnitedHealthcare Insurance Company | N/A | 1985-01-26 | N/A | 1490012 | N/A | C1 | false | VASEF | N/A | IDEAN | N/A | N/A | N/A | Choice Plus | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542264 | 2222 | N/A | 16669183 | N/A | 4214205 | 2025-12-29 08:32:14.682378 | 2025-06-27 18:49:28.826549 |
| 2025-12-29 08:32:10.762841 | 2025-12-29 08:32:15.666241 | 16443997 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-08-02 | 2025-12-31 | F | AE | PT | RAMSEY KANZAWA | 77879024100 | JENNIFER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541156/check_16443997_fad5f9d9-f09d-479e-9537-a0a2ed0cb77d.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541156/check_16443997_e46eec0e-eb3a-49ad-aa86-00795f6c7f7d.json | N/A | N/A | N/A | N/A | N/A | 77879024100 | Commercial | N/A | UnitedHealthcare Benefits Plan of California | N/A | 1972-08-02 | N/A | 1687339 | N/A | C1 | false | KANZAWA | N/A | JENNIFER | N/A | N/A | N/A | Select Plus | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541156 | 2222 | N/A | 16669191 | N/A | 4213204 | 2025-12-29 08:32:15.666241 | 2025-05-28 20:17:37.873556 |
| 2025-12-29 08:17:43.296582 | 2025-12-29 08:18:19.129649 | 16439805 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-05-11 | 2025-12-31 | F | AE | PT | YOUNG | 1297768537 | JESSICA | 6341 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14110854/check_16439805_645ef284-80f4-4681-86b5-675613576449.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-12-31 | N/A | N/A | N/A | N/A | N/A | N/A | 1297768537 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14110854 | 2222 | N/A | N/A | N/A | 12249693 | 2025-12-29 08:18:19.129649 | 2025-12-11 01:09:37.722947 |
| 2025-12-29 08:17:42.329675 | 2025-12-29 08:18:18.518768 | 16439795 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-12-30 | F | AE | PT | YUNG | 00854676304 | MAYA | 6338 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_16439795_08ca5371-329f-40b6-82bd-0012e3e2e530.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-12-30 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2025-12-29 08:18:18.518768 | 2025-05-13 04:29:37.229495 |
| 2025-12-29 08:17:42.275407 | 2025-12-29 08:18:15.799797 | 16439794 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2025-12-30 | M | AE | PT | HOLGUIN | 1407861520 | VINCENT | 6341 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_16439794_5528793c-7fae-4791-bd99-9545bc2f538a.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-12-30 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2025-12-29 08:18:15.799797 | 2025-11-11 01:01:48.778756 |
| 2025-12-29 08:12:47.975820 | 2025-12-30 01:38:41.495613 | 16434142 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16434142 | Athletic Physical Therapy Inc | 1970-07-04 | 2025-12-31 | F | PT | N/A | Patel | SXM56817077C | Chhaya | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.121654518.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14641027/check_16434142_2a3ca119-e9b4-4827-aff9-00bd226719ca.json | N/A | N/A | N/A | N/A | N/A | SXM56817077C | Preferred Provider Organization (PPO) | SPACE EXPLORATION TECHNOLOGIES | BLUE SHIELD CALIFORNIA | N/A | 1970-07-04 | 1000PPOX0001 | W0054279 | N/A | PR | false | PATEL | N/A | RASIK | N/A | N/A | N/A | SPACE EXPLORATION TECHNOLOGIES SHARED ADVANTAGE PP | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9616474717 | N/A | N/A | 14641027 | 2222 | 4801 | 16690200 | N/A | 12720087 | 2025-12-30 01:38:41.495613 | 2025-12-23 17:31:18.155676 |
| 2025-12-29 08:12:47.600907 | 2025-12-30 01:38:36.507754 | 16434133 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16434133 | Athletic Physical Therapy Inc | 1956-06-27 | 2025-12-31 | M | AE | PT | WECHTER | WRXA10231348 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.121654518.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14513881/check_16434133_5a8aa38d-73f2-4ef1-b72f-0edf8a3a9bc1.json | N/A | N/A | N/A | N/A | N/A | WRXA10231348 | Preferred Provider Organization (PPO) | WRITERS GUILD INDUSTRY HEALTH FUND | ANTHEM BLUE CROSS | N/A | 1956-06-27 | 040 | 277242M003 | N/A | PR | false | WECHTER | N/A | DAVID | N/A | 9999-12-31 | 2017-12-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616474716 | N/A | N/A | 14513881 | 2222 | 4793 | 16690073 | N/A | 12644286 | 2025-12-30 01:38:36.507754 | 2025-12-22 18:40:58.838910 |
| 2025-12-29 08:12:47.268283 | 2025-12-30 01:38:43.047568 | 16434123 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16434123 | Athletic Physical Therapy Inc | 1955-09-26 | 2025-12-31 | F | AE | PT | Sekhar | JQE713W06991 | Vasu | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.121654518.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14339191/check_16434123_9c16a92c-fd03-4793-9d80-d5b985fded79.json | N/A | N/A | N/A | N/A | N/A | JQE713W06991 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1955-09-26 | N/A | N/A | N/A | N/A | false | SEKHAR | N/A | VASU | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616474715 | N/A | N/A | 14339191 | 2222 | 4793 | 16690241 | N/A | 12476351 | 2025-12-30 01:38:43.047568 | 2026-01-18 18:06:46.384672 |
| 2025-12-29 08:12:47.163358 | 2025-12-30 01:38:35.712391 | 16434118 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16434118 | Athletic Physical Therapy Inc | 1939-03-14 | 2025-12-31 | M | AE | PT | Mainland | 500A23791 | Richard | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.121654518.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14273867/check_16434118_781dc66d-bb6f-483d-8e4e-ca38a389aa15.json | N/A | N/A | N/A | N/A | N/A | 500A23791 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1939-03-14 | N/A | N/A | N/A | N/A | false | MAINLAND | N/A | RICHARD | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616474714 | N/A | N/A | 14273867 | 2222 | 4802 | 16690052 | N/A | 12407790 | 2025-12-30 01:38:35.712391 | 2025-12-31 18:42:30.100074 |
| 2025-12-29 08:12:47.075636 | 2025-12-30 01:38:36.215901 | 16434115 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16434115 | Athletic Physical Therapy Inc | 1958-11-06 | 2025-12-31 | F | AE | PT | TARZI | XEM912581221 | MAIMO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.121654518.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12914083/check_16434115_98f37880-f3b5-49af-a899-cae19734c109.json | N/A | N/A | N/A | N/A | N/A | XEM912581221 | Supplemental Policy | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1958-11-06 | 2004SF000028 | X0001002 | N/A | SP | false | TARZI | N/A | MAIMO | N/A | 9999-12-31 | 2025-07-01 | MEDICARE SUPPLEMENT DENTAL 1500 APR24 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616474713 | N/A | N/A | 12914083 | 2222 | 4801 | 16690066 | N/A | 10956893 | 2025-12-30 01:38:36.215901 | 2025-11-17 21:42:16.129156 |
| 2025-12-29 08:12:46.996621 | 2025-12-30 01:38:34.904198 | 16434112 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16434112 | Athletic Physical Therapy Inc | 1949-05-18 | 2025-12-31 | F | AE | PT | Burk | JQE091A77884 | Celine | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.121654518.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12839894/check_16434112_c6d0fc94-fa44-498c-8b9d-3d07575f354d.json | N/A | N/A | N/A | N/A | N/A | JQE091A77884 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1949-05-18 | 040 | CASUPWP0 | N/A | N/A | false | BURK | N/A | CELINE | N/A | 9999-12-31 | 2017-11-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616474712 | N/A | N/A | 12839894 | 2222 | 4802 | 16690032 | N/A | 11004269 | 2025-12-30 01:38:34.904198 | 2025-11-14 23:42:44.614455 |
| 2025-12-29 08:12:46.855506 | 2025-12-30 01:37:15.343606 | 16434108 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 16434108 | Athletic Physical Therapy Inc | 1944-03-27 | 2025-12-31 | F | AE | PT | Verratti | H73649103 | Kathleen | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.121654518.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11936769/check_16434108_3e296f56-ee31-4d25-86e0-e8ba85305c29.json | N/A | N/A | N/A | N/A | N/A | H73649103 | Supplemental Policy | COMPBENEFITS INSURANCE COMPANY | HUMANA | 067 004 | 1944-03-27 | N/A | 5A591003 | N/A | SP | false | VERRATTI | N/A | KATHLEEN | N/A | N/A | N/A | MEDICARE MES | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616474711 | N/A | N/A | 11936769 | 2222 | 4802 | 16688086 | N/A | 10163894 | 2025-12-30 01:37:15.343606 | 2025-10-30 22:58:10.977312 |
| 2025-12-29 08:12:46.708676 | 2025-12-30 01:38:35.159348 | 16434102 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16434102 | Athletic Physical Therapy Inc | 1942-02-01 | 2025-12-31 | F | AE | PT | CHANG | JQE101W06364 | QUANG | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.121654518.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11159407/check_16434102_b7e3d464-3eb2-4426-82dd-33da9fc0eff9.json | N/A | N/A | N/A | N/A | N/A | JQE101W06364 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1942-02-01 | 040 | CASUPWP0 | N/A | N/A | false | CHANG | N/A | QUANG CHAN | N/A | 9999-12-31 | 2021-01-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616474710 | N/A | N/A | 11159407 | 2222 | 4793 | 16690038 | N/A | 9505845 | 2025-12-30 01:38:35.159348 | 2026-04-29 00:06:17.964395 |
| 2025-12-29 08:12:46.618219 | 2025-12-30 01:38:35.957302 | 16434099 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16434099 | Athletic Physical Therapy Inc | 1953-06-18 | 2025-12-31 | F | AE | PT | REISMAN | WRXA13289369 | GAIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.121654518.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10984907/check_16434099_e818406e-e5a8-4678-bdab-41096ff05f9f.json | N/A | N/A | N/A | N/A | N/A | WRXA13289369 | Preferred Provider Organization (PPO) | WRITERS GUILD INDUSTRY HEALTH FUND | MEDICARE B | N/A | 1953-06-18 | 040 | 277242M003 | N/A | PR | false | REISMAN | N/A | MARK | N/A | 9999-12-31 | 2025-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616474709 | N/A | N/A | 10984907 | 2222 | 4802 | 16690059 | N/A | 9156222 | 2025-12-30 01:38:35.957302 | 2026-01-08 22:56:20.879547 |
| 2025-12-29 08:12:46.516913 | 2025-12-30 01:40:43.105090 | 16434095 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 16434095 | Athletic Physical Therapy Inc | 1963-05-22 | 2025-12-31 | M | AE | PT | SMITH | 99688004H | MATTHEW | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.121654518.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7321767/check_16434095_182d0446-3c77-4210-bea6-4f896adbb40c.json | N/A | N/A | N/A | N/A | N/A | 99688004H | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1963-05-22 | N/A | N/A | N/A | N/A | false | SMITH | N/A | MATTHEW | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616474708 | N/A | N/A | 7321767 | 2222 | 4793 | 16693243 | N/A | 6037802 | 2025-12-30 01:40:43.105090 | 2025-07-22 17:48:16.997014 |
| 2025-12-29 08:12:46.425111 | 2025-12-30 01:38:25.582243 | 16434090 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 16434090 | Athletic Physical Therapy Inc | 1973-05-29 | 2025-12-31 | M | AE | PT | KIM | 96135332F | JOSEPH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.121654518.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6917652/check_16434090_8be47fea-288f-4b61-886d-6c20d2864b22.json | N/A | N/A | N/A | N/A | N/A | 96135332F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1973-05-29 | MCLA | MWLLNMEG21 | N/A | N/A | false | KIM | N/A | JOSEPH | N/A | 2078-12-31 | 2023-09-01 | LACARE MEDICAL | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616474707 | N/A | N/A | 6917652 | 2222 | 4802 | 16689796 | N/A | 5949044 | 2025-12-30 01:38:25.582243 | 2025-07-08 23:15:13.625855 |
| 2025-12-29 08:12:46.331097 | 2025-12-30 01:38:35.419267 | 16434087 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16434087 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-12-31 | M | AE | PT | CICCIARI | JQE123W23890 | LOUIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.121654518.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752939/check_16434087_c43d9e03-dedf-408f-8747-caf13278ce6e.json | N/A | N/A | N/A | N/A | N/A | JQE123W23890 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-09-07 | 040 | CASUPWP0 | N/A | N/A | false | CICCIARI | N/A | LOUIS | N/A | 9999-12-31 | 2025-06-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616474706 | N/A | N/A | 6752939 | 2222 | 4801 | 16690045 | N/A | 5065602 | 2025-12-30 01:38:35.419267 | 2025-07-01 17:25:13.681724 |
| 2025-12-29 08:12:46.240166 | 2025-12-30 01:40:42.846764 | 16434083 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 16434083 | Athletic Physical Therapy Inc | 1947-11-15 | 2025-12-31 | F | AE | PT | NOGHREIAN | 95391425F20105 | FLORIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.121654518.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5548971/check_16434083_fa2e3694-13fe-4e48-9157-8d048c8c6334.json | N/A | N/A | N/A | N/A | N/A | 95391425F20105 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1947-11-15 | N/A | N/A | N/A | N/A | false | NOGHREIAN | N/A | FLORIA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616474705 | N/A | N/A | 5548971 | 2222 | 4802 | 16693237 | N/A | 4218728 | 2025-12-30 01:40:42.846764 | 2025-05-13 04:29:37.229718 |
| 2025-12-29 08:08:58.376518 | 2025-12-30 01:35:15.820231 | 16426084 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16426084 | Athletic Physical Therapy Inc | 1960-12-14 | 2025-12-31 | M | AE | PT | Desjardins | 0006623220 | Paul | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14590030/check_16426084_645522ee-ee11-4a4e-a621-239ec520177b.json | N/A | N/A | N/A | N/A | N/A | 0006623220 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1960-12-14 | N/A | N/A | N/A | N/A | false | DESJARDINS | N/A | PAUL | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616494217 | N/A | N/A | 14590030 | 2222 | 4802 | 16685712 | N/A | 12721115 | 2025-12-30 01:35:15.820231 | 2025-12-22 19:30:09.907535 |
| 2025-12-29 08:08:58.284298 | 2025-12-30 01:35:40.585479 | 16426076 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16426076 | Athletic Physical Therapy Inc | 1970-07-04 | 2025-12-31 | F | PT | N/A | Patel | SIF446W13786 | Chhaya | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14589048/check_16426076_590e0dab-7a7f-4696-acf5-19c767b8f092.json | N/A | N/A | N/A | N/A | N/A | SIF446W13786 | Preferred Provider Organization (PPO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 1970-07-04 | 040 | 40954B | N/A | PR | false | PATEL | N/A | CHHAYA | N/A | 9999-12-31 | 2025-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9616494216 | N/A | N/A | 14589048 | 2222 | 4801 | 16686109 | N/A | 12720087 | 2025-12-30 01:35:40.585479 | 2025-12-23 17:31:18.155676 |
| 2025-12-29 08:08:58.186237 | 2025-12-30 01:35:16.657127 | 16426071 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16426071 | Athletic Physical Therapy Inc | 1996-09-25 | 2025-12-31 | M | AE | PT | Kurth | 000025184071 | Cole | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14584134/check_16426071_f525e9b9-d519-47b0-a3cc-57ece5f44d2b.json | N/A | N/A | N/A | N/A | N/A | 000025184071 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1996-09-25 | 4362358 | 228273 | N/A | N/A | false | KURTH | N/A | COLE | N/A | N/A | N/A | CALIFORNIACHOICE SCR PLATINUM HMO 0/10 JUN PCP | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616494215 | N/A | N/A | 14584134 | 2222 | 4802 | 16685723 | N/A | 12715195 | 2025-12-30 01:35:16.657127 | 2025-12-22 18:25:59.905344 |
| 2025-12-29 08:08:58.067854 | 2025-12-30 01:35:40.834790 | 16426064 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16426064 | Athletic Physical Therapy Inc | 1997-12-03 | 2025-12-31 | F | PT | N/A | Raal | XEA913853315 | Naomi | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14582229/check_16426064_57da5fe1-d8d7-4194-ae10-ab30e8515bc1.json | N/A | N/A | N/A | N/A | N/A | XAN913853315 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1997-12-03 | 1000PPOX0003 | W0051411 | N/A | PR | false | RAAL | N/A | NAOMI | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9616494214 | N/A | N/A | 14582229 | 2222 | 4802 | 16686113 | N/A | 12713566 | 2025-12-30 01:35:40.834790 | 2025-12-22 18:04:04.486346 |
| 2025-12-29 08:08:57.903527 | 2025-12-30 01:38:58.158199 | 16426053 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16426053 | Athletic Physical Therapy Inc | 1956-06-27 | 2025-12-31 | M | AE | PT | WECHTER | 3J65TR5GR88 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14513880/check_16426053_374ece0f-e0b7-4480-9a83-d56422186174.json | N/A | N/A | N/A | N/A | N/A | 3J65TR5GR88 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-06-27 | N/A | N/A | N/A | MB | false | WECHTER | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | 20106 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616494213 | N/A | N/A | 14513880 | 2222 | 4793 | 16690608 | N/A | 12644286 | 2025-12-30 01:38:58.158199 | 2025-12-22 18:40:58.838910 |
| 2025-12-29 08:08:57.609216 | 2025-12-30 01:35:25.417673 | 16426039 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16426039 | Athletic Physical Therapy Inc | 1993-10-25 | 2025-12-31 | M | AE | PT | EHRENBERG | R14963929MM1 | JOSHUA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14473338/check_16426039_6f89069d-d0f1-4310-994e-849a47aec988.json | N/A | N/A | N/A | N/A | N/A | R14963929MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1993-10-25 | N/A | N/A | N/A | N/A | false | EHRENBERG | N/A | JOSHUA | N/A | N/A | N/A | MFM COMHMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616494212 | N/A | N/A | 14473338 | 2222 | 4801 | 16685866 | 4625 | 12603558 | 2025-12-30 01:35:25.417673 | 2026-01-19 22:54:19.729728 |
| 2025-12-29 08:08:57.273040 | 2025-12-30 01:35:50.861919 | 16426020 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16426020 | Athletic Physical Therapy Inc | 1997-11-14 | 2025-12-31 | F | PT | N/A | WILLIAMS | V7Y697W21837 | REAGAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14412401/check_16426020_758ad393-42c1-43f9-9dc1-cfe594c1a966.json | N/A | N/A | N/A | N/A | N/A | V7Y697W21837 | Health Maintenance Organization (HMO) | SPINDLEHORSE | BLUE SHIELD OF CALIFORNIA | N/A | 1997-11-14 | 040 | U08679 | N/A | HM | false | WILLIAMS | N/A | REAGAN | N/A | 9999-12-31 | 2025-11-01 | HMO VIVITY | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9616494211 | N/A | N/A | 14412401 | 2222 | 4801 | 16686294 | N/A | 12547822 | 2025-12-30 01:35:50.861919 | 2025-12-21 18:11:52.465034 |
| 2025-12-29 08:08:56.910215 | 2025-12-30 01:35:35.285900 | 16425997 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16425997 | Athletic Physical Therapy Inc | 2009-04-29 | 2025-12-31 | M | PT | N/A | BRAND | NCF904A54991 | LUKE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14410470/check_16425997_2d763111-1937-48ca-bcd7-7bbf84968af9.json | N/A | N/A | N/A | N/A | N/A | NCF904A54991 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 2009-04-29 | 040 | 57AJCA | N/A | HM | false | BRAND | N/A | JEFFREY | 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 | 9616494210 | N/A | N/A | 14410470 | 2222 | 4801 | 16686025 | N/A | 12545717 | 2025-12-30 01:35:35.285900 | 2025-12-18 16:21:03.286825 |
| 2025-12-29 08:08:56.548713 | 2025-12-30 01:33:01.729026 | 16425979 | N/A | N/A | 60054 | Aetna | 1114042165 | 16425979 | Athletic Physical Therapy Inc | 1996-06-18 | 2025-12-31 | M | AE | PT | Alberto | W254631024 | Oscar | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14393533/check_16425979_a9f2ceb1-1dfe-419d-9a60-72466929e20f.json | N/A | N/A | N/A | N/A | N/A | W254631024 | Point of Service (POS) | UNIVERSITY OF SOUTHERN CALIFORNIA | AETNA | N/A | 1996-06-18 | 0474947 | 047494703600101 | N/A | PS | false | ALBERTO DE LA FUENTE | N/A | OSCAR | N/A | N/A | N/A | OPEN CHOICE-ON CAMPUS BASIC PLAN | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616494209 | N/A | N/A | 14393533 | 2222 | 4802 | 16683848 | N/A | 12527613 | 2025-12-30 01:33:01.729026 | 2025-12-18 01:46:23.839620 |
| 2025-12-29 08:08:56.190816 | 2025-12-30 01:35:25.677337 | 16425968 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16425968 | Athletic Physical Therapy Inc | 1987-08-28 | 2025-12-31 | M | AE | PT | Grinberg | 91813553H | Kostyantyn | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14391843/check_16425968_5eabde46-9794-4f9e-8bee-7c5080a8f9fb.json | N/A | N/A | N/A | N/A | N/A | 91813553H | N/A | N/A | HEALTH NET, LLC | N/A | 1987-08-28 | N/A | N/A | N/A | N/A | false | GRINBERG | N/A | KOSTYANTYN | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616494208 | N/A | N/A | 14391843 | 2222 | 4802 | 16685872 | N/A | 12525833 | 2025-12-30 01:35:25.677337 | 2025-12-18 00:21:04.843955 |
| 2025-12-29 08:08:56.092592 | 2025-12-30 01:35:38.406970 | 16425960 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16425960 | Athletic Physical Therapy Inc | 2014-01-06 | 2025-12-31 | F | PT | N/A | HEINL | 146A63323 | MAYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14389916/check_16425960_8371db33-85a4-4737-b75a-9e215f5e2e1f.json | N/A | N/A | N/A | N/A | N/A | LSA146A63323 | Preferred Provider Organization (PPO) | LOS ANGELES POLICE RELIEF ASN INC | ANTHEM BLUE CROSS | N/A | 2014-01-06 | 040 | 1841AC | N/A | PR | false | HEINL | N/A | HEIDI | N/A | 9999-12-31 | 2018-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9616494207 | N/A | N/A | 14389916 | 2222 | 4793 | 16686074 | N/A | 12524083 | 2025-12-30 01:35:38.406970 | 2025-12-17 23:40:25.293610 |
| 2025-12-29 08:08:55.971287 | 2025-12-30 01:38:57.310677 | 16425953 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16425953 | Athletic Physical Therapy Inc | 1955-09-26 | 2025-12-31 | F | AE | PT | Sekhar | 1G35N33PH70 | Vasu | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14339190/check_16425953_0a16f2fe-d799-4a10-9cc5-e64053906671.json | N/A | N/A | N/A | N/A | N/A | 1G35N33PH70 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-09-26 | S5617 | N/A | N/A | MA | false | SEKHAR | N/A | VASU | N/A | N/A | N/A | N/A | N/A | 474772 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616494206 | N/A | N/A | 14339190 | 2222 | 4793 | 16690586 | N/A | 12476351 | 2025-12-30 01:38:57.310677 | 2026-01-18 18:06:46.384672 |
| 2025-12-29 08:08:55.760543 | 2025-12-30 01:35:48.568152 | 16425944 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16425944 | Athletic Physical Therapy Inc | 2001-09-07 | 2025-12-31 | M | PT | N/A | Taryle | XAN913807118 | Ari | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14331478/check_16425944_f4b6cac2-da0e-4442-a2aa-dac2439d7f9f.json | N/A | N/A | N/A | N/A | N/A | XAN913807118 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 2001-09-07 | 1000PPOX0002 | W0051411 | N/A | PR | false | TARYLE | N/A | SCOTT | 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 | 9616494205 | N/A | N/A | 14331478 | 2222 | 4802 | 16686250 | N/A | 12468498 | 2025-12-30 01:35:48.568152 | 2025-12-17 16:47:05.654260 |
| 2025-12-29 08:08:55.664721 | 2025-12-30 01:38:56.417634 | 16425939 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16425939 | Athletic Physical Therapy Inc | 1939-03-14 | 2025-12-31 | M | AE | PT | Mainland | 8DW0UX8AC37 | Richard | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14273866/check_16425939_0d7325f8-5427-498d-9e0c-eba2de6f318b.json | N/A | N/A | N/A | N/A | N/A | 8DW0UX8AC37 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-03-14 | S5596 | N/A | N/A | MA | false | MAINLAND | N/A | RICHARD | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616494204 | N/A | N/A | 14273866 | 2222 | 4802 | 16690566 | N/A | 12407790 | 2025-12-30 01:38:56.417634 | 2025-12-31 18:42:30.100074 |
| 2025-12-29 08:08:55.557378 | 2025-12-30 01:35:50.577972 | 16425932 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16425932 | Athletic Physical Therapy Inc | 2000-11-21 | 2025-12-31 | M | PT | N/A | Toobi | XDL045A69958 | Sean | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14226250/check_16425932_7b5e070e-9095-4640-89e8-d977ddcf4770.json | N/A | N/A | N/A | N/A | N/A | XDL045A69958 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 2000-11-21 | 040 | PE4800 | N/A | PR | false | TOOBI | N/A | SEAN | N/A | 9999-12-31 | 2009-03-01 | RIGHTPLAN | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9616494203 | N/A | N/A | 14226250 | 2222 | 4802 | 16686289 | N/A | 12357271 | 2025-12-30 01:35:50.577972 | 2025-12-12 23:21:42.214124 |
| 2025-12-29 08:08:55.394664 | 2025-12-30 01:35:36.643891 | 16425928 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16425928 | Athletic Physical Therapy Inc | 1970-03-18 | 2025-12-31 | F | PT | N/A | Fardad Finn | JQU683A20101 | Farnaz | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14187202/check_16425928_b62ec26d-2a48-4b11-862f-d837e6a86dc7.json | N/A | N/A | N/A | N/A | N/A | JQU683A20101 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1970-03-18 | N/A | N/A | N/A | N/A | false | FARDAD FINN | N/A | FARNAZ | 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 | 9616494202 | N/A | N/A | 14187202 | 2222 | 4793 | 16686047 | N/A | 12318785 | 2025-12-30 01:35:36.643891 | 2026-03-02 22:19:42.373924 |
| 2025-12-29 08:08:55.206856 | 2025-12-30 01:35:29.247384 | 16425916 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 16425916 | Athletic Physical Therapy Inc | 1964-08-04 | 2025-12-31 | M | AE | PT | Starling | 92082724H | Kenneth | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14155873/check_16425916_4127114a-80ee-40d4-884d-2cdc73e4f69c.json | N/A | N/A | N/A | N/A | N/A | 92082724H | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1964-08-04 | MCLA | MWLLNMEG21 | N/A | N/A | false | STARLING | N/A | KENNETH | N/A | 2025-12-31 | 2025-12-01 | LACARE MEDICAL | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616494201 | N/A | N/A | 14155873 | 2222 | 4793 | 16685927 | N/A | 12295953 | 2025-12-30 01:35:29.247384 | 2026-02-02 21:13:50.348766 |
| 2025-12-29 08:08:54.951304 | 2025-12-30 01:33:01.441616 | 16425903 | N/A | N/A | 60054 | Aetna | 1114042165 | 16425903 | Athletic Physical Therapy Inc | 1963-08-23 | 2025-12-31 | M | AE | PT | OMID | W263035338 | RAMBOD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14143115/check_16425903_08c5cc7b-d0ee-40c8-8edb-25652b089941.json | N/A | N/A | N/A | N/A | N/A | W263035338 | Point of Service (POS) | SYNEOS HEALTH, LLC | AETNA | N/A | 1963-08-23 | 0161087 | 016108701100001 | N/A | PS | false | OMID | N/A | RAMBOD | 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 | 9616494200 | N/A | N/A | 14143115 | 2222 | 4802 | 16683847 | N/A | 12282275 | 2025-12-30 01:33:01.441616 | 2025-12-12 22:24:17.407952 |
| 2025-12-29 08:08:54.606802 | 2025-12-30 01:35:42.982945 | 16425885 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16425885 | Athletic Physical Therapy Inc | 1973-01-01 | 2025-12-31 | F | PT | N/A | Vo | TOA651A68427 | Tram | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14115191/check_16425885_828d6baa-274d-4f41-acab-93409d53a565.json | N/A | N/A | N/A | N/A | N/A | TOA651A68427 | Preferred Provider Organization (PPO) | PPO 1 PLAN W/IHM AND AIM | ANTHEM BLUE CROSS | N/A | 1973-01-01 | 160 | 214021M1NR | N/A | PR | false | VO | N/A | TRAM | N/A | 9999-12-31 | 2022-01-01 | BLUE ACCESS PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9616494199 | N/A | N/A | 14115191 | 2222 | 4802 | 16686150 | N/A | 12253534 | 2025-12-30 01:35:42.982945 | 2025-12-11 19:59:32.714775 |
| 2025-12-29 08:08:54.184250 | 2025-12-30 01:32:54.873435 | 16425861 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 16425861 | override_provider | 1962-09-10 | 2025-12-31 | M | PT | N/A | M Johnson | KWS141015355001 | David | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14108628/check_16425861_62e45026-332b-4f19-8eee-52dc283550f8.json | N/A | N/A | N/A | N/A | N/A | KWS141015355001 | Preferred Provider Organization (PPO) | BOIRON, INC. ACTIVE | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = FULLY INSURED | 1962-09-10 | 376 | 10897275 | N/A | PR | false | JOHNSON | N/A | DAVID | N/A | 9999-12-31 | 2025-07-01 | PPO BLUE HDHP MED/SURG | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9616494198 | N/A | N/A | 14108628 | 2222 | 4801 | 16683783 | N/A | 12247347 | 2025-12-30 01:32:54.873435 | 2025-12-10 23:35:09.824882 |
| 2025-12-29 08:08:53.753492 | 2025-12-30 01:33:00.938800 | 16425839 | N/A | N/A | 60054 | Aetna | 1114042165 | 16425839 | Athletic Physical Therapy Inc | 2010-11-10 | 2025-12-31 | F | AE | PT | GARDINER | W269946952 | SHANELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14046794/check_16425839_ca0146f7-5b69-4cb4-a682-639b40545295.json | N/A | N/A | N/A | N/A | N/A | W269946952 | Point of Service (POS) | FARMERS GROUP, INC. | AETNA | N/A | 2010-11-10 | 0109164 | 010916404400002 | N/A | PS | false | GARDINER | N/A | VIJAY | 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 | 9616494197 | N/A | N/A | 14046794 | 2222 | 4801 | 16683841 | N/A | 12192932 | 2025-12-30 01:33:00.938800 | 2025-12-10 22:52:31.768060 |
| 2025-12-29 08:08:53.534105 | 2025-12-30 01:34:31.298102 | 16425827 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16425827 | Athletic Physical Therapy Inc | 1952-03-06 | 2025-12-31 | M | AE | PT | E Sack | 40039393001 | Robert | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14042644/check_16425827_23054266-5bc8-490b-88a3-bace59bb7165.json | N/A | N/A | N/A | N/A | N/A | 40039393001 | 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 | 9616494196 | N/A | N/A | 14042644 | 2222 | 4793 | 16685078 | 6237 | 10314571 | 2025-12-30 01:34:31.298102 | 2026-01-04 16:54:02.110823 |
| 2025-12-29 08:08:53.402323 | 2025-12-30 01:35:41.645607 | 16425821 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16425821 | Athletic Physical Therapy Inc | 1973-05-26 | 2025-12-31 | M | PT | N/A | RODGERS | MPI01419027Q | CHRISTOPHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13999789/check_16425821_1aca64a4-634e-4324-8e17-a4b349b94e2e.json | N/A | N/A | N/A | N/A | N/A | MPI01419027Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1973-05-26 | 040 | 277163M401 | N/A | PR | false | RODGERS | N/A | LORA | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9616494195 | N/A | N/A | 13999789 | 2222 | 4793 | 16686126 | N/A | 12149654 | 2025-12-30 01:35:41.645607 | 2025-12-12 18:32:41.341148 |
| 2025-12-29 08:08:53.224199 | 2025-12-30 01:35:25.940290 | 16425814 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16425814 | Athletic Physical Therapy Inc | 1968-02-12 | 2025-12-31 | M | AE | PT | GUTIERREZ | 90938896D | RAUL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13879811/check_16425814_142b045d-ea7a-458f-9b45-2b0e66fbb4e3.json | N/A | N/A | N/A | N/A | N/A | 90938896D | N/A | N/A | HEALTH NET, LLC | N/A | 1968-02-12 | N/A | N/A | N/A | N/A | false | GUTIERREZ | N/A | RAUL | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616494194 | N/A | N/A | 13879811 | 2222 | 4801 | 16685874 | N/A | 12027353 | 2025-12-30 01:35:25.940290 | 2025-12-09 04:56:01.783985 |
| 2025-12-29 08:08:53.108731 | 2025-12-30 01:35:35.821685 | 16425808 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16425808 | Athletic Physical Therapy Inc | 1996-10-16 | 2025-12-31 | M | PT | N/A | COSTI | NGO566W23846 | CAMRON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13738718/check_16425808_ef172eae-c3b9-4bac-8075-74586b1c6719.json | N/A | N/A | N/A | N/A | N/A | NGO566W23846 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORPORATION | ANTHEM BLUE CROSS | N/A | 1996-10-16 | 040 | 174022MJAF | N/A | PR | false | COSTI | N/A | CAMRON | N/A | 9999-12-31 | 2025-04-14 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9616494024 | N/A | N/A | 13738718 | 2222 | 4801 | 16686032 | N/A | 11890074 | 2025-12-30 01:35:35.821685 | 2025-12-12 15:49:49.268154 |
| 2025-12-29 08:08:52.883503 | 2025-12-30 01:33:01.173787 | 16425797 | N/A | N/A | 60054 | Aetna | 1114042165 | 16425797 | Athletic Physical Therapy Inc | 1976-05-25 | 2025-12-31 | M | AE | PT | BINSON | W290639708 | JOSEPH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13729235/check_16425797_b376a6e3-905d-4d36-9289-cc015c2ea495.json | N/A | N/A | N/A | N/A | N/A | W290639708 | Point of Service (POS) | OMNICOM BENEFITS INC. | AETNA | N/A | 1976-05-25 | 0247087 | 024708701800002 | N/A | PS | false | JOSEPH | N/A | BINSON | 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 | 9616494023 | N/A | N/A | 13729235 | 2222 | 4801 | 16683844 | N/A | 11880346 | 2025-12-30 01:33:01.173787 | 2025-12-11 21:31:08.022159 |
| 2025-12-29 08:08:52.664390 | 2025-12-30 01:35:41.362740 | 16425785 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16425785 | Athletic Physical Therapy Inc | 2011-01-18 | 2025-12-31 | F | PT | N/A | RIGGIO | SIF227A52267 | NEPHTALIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13697022/check_16425785_d48ac397-7652-408f-ad1b-8adc888e4fcf.json | N/A | N/A | N/A | N/A | N/A | SIF227A52267 | Preferred Provider Organization (PPO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 2011-01-18 | 040 | 40954C | N/A | PR | false | RIGGIO | N/A | SUZANNE | N/A | 9999-12-31 | 2024-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9616494022 | N/A | N/A | 13697022 | 2222 | 4801 | 16686122 | N/A | 11847750 | 2025-12-30 01:35:41.362740 | 2025-12-12 20:15:18.288231 |
| 2025-12-29 08:08:52.285178 | 2025-12-30 01:34:31.570178 | 16425764 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16425764 | Athletic Physical Therapy Inc | 1952-09-29 | 2025-12-31 | F | AD | 30 | GOLDSTEIN | 40055964601 | SUSAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13682215/check_16425764_3635bdc8-0149-4b5c-98e4-ccd3f2427dbe.json | N/A | N/A | N/A | N/A | N/A | 40055964601 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1952-09-29 | 2025H5425001 | H5425M | N/A | N/A | false | GOLDSTEIN | N/A | SUSAN | 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 | 9616494021 | N/A | N/A | 13682215 | 2222 | 4801 | 16685081 | 6237 | 11832349 | 2025-12-30 01:34:31.570178 | 2025-12-10 13:58:21.205018 |
| 2025-12-29 08:08:51.933193 | 2025-12-30 01:35:49.698234 | 16425744 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16425744 | Athletic Physical Therapy Inc | 1976-06-02 | 2025-12-31 | M | PT | N/A | DRELLO | FJB27232467M | JUSTIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13652765/check_16425744_50051dd5-c4ae-4183-8792-ce316097eefe.json | N/A | N/A | N/A | N/A | N/A | FJB27232467M | Preferred Provider Organization (PPO) | ALL | BLUE SHIELD OF CALIFORNIA | N/A | 1976-06-02 | 101 | 174549M211 | N/A | PR | false | DRELLO | N/A | MICHELLE | N/A | 9999-12-31 | 2020-02-01 | BLUECARD PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9616494020 | N/A | N/A | 13652765 | 2222 | 4801 | 16686272 | N/A | 11800844 | 2025-12-30 01:35:49.698234 | 2025-12-03 23:22:53.729122 |
| 2025-12-29 08:08:51.620753 | 2025-12-30 01:34:31.817044 | 16425731 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 16425731 | Athletic Physical Therapy Inc | 1953-04-04 | 2025-12-31 | F | AE | PT | GUIBOR | 40041978101 | ANNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13634180/check_16425731_f3bb6bc5-599d-4b9c-818f-f4f49c78a1b3.json | N/A | N/A | N/A | N/A | N/A | 40041978101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1953-04-04 | 2025H5425001 | H5425M | N/A | N/A | false | GUIBOR | N/A | ANNE | 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 | 9616494019 | N/A | N/A | 13634180 | 2222 | 4801 | 16685087 | N/A | 11782007 | 2025-12-30 01:34:31.817044 | 2025-12-08 21:02:26.767589 |
| 2025-12-29 08:08:51.377491 | 2025-12-30 01:35:16.958985 | 16425718 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16425718 | Athletic Physical Therapy Inc | 1979-02-24 | 2025-12-31 | F | AE | PT | McCoy | 000024352430 | Colleen | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13582387/check_16425718_d72c7348-1251-4b07-9526-ab6ea44e4754.json | N/A | N/A | N/A | N/A | N/A | 000024352430 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1979-02-24 | 4317984 | 225599 | N/A | N/A | false | MCCOY | N/A | COLLEEN | N/A | N/A | N/A | EDWARDS LIFESCIENCES EDWARDS LIFESCIENCES | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616494018 | N/A | N/A | 13582387 | 2222 | 4802 | 16685727 | N/A | 11732070 | 2025-12-30 01:35:16.958985 | 2025-12-02 18:46:08.427375 |
| 2025-12-29 08:08:51.168146 | 2025-12-30 01:35:50.008864 | 16425708 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16425708 | Athletic Physical Therapy Inc | 1963-04-21 | 2025-12-31 | F | PT | N/A | CHERAGHI | XDP453W22160 | SHAHLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13543700/check_16425708_317d11cc-73cc-4b1f-9dab-594039583d32.json | N/A | N/A | N/A | N/A | N/A | XDP453W22160 | Preferred Provider Organization (PPO) | COUNTY OF LOS ANGELES | BLUE SHIELD OF CALIFORNIA | N/A | 1963-04-21 | 040 | 1284EH | N/A | PR | false | FATEMI | N/A | SEYED ZIAEDD | N/A | 9999-12-31 | 2025-04-01 | CUSTOM PPO NETWORK COUNTY OF LOS ANGELES | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9616494017 | N/A | N/A | 13543700 | 2222 | 4793 | 16686276 | N/A | 11693294 | 2025-12-30 01:35:50.008864 | 2026-01-15 18:14:50.604237 |