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 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | 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 08:08:51.059475 | 2025-12-30 01:35:41.103402 | 16425703 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16425703 | Athletic Physical Therapy Inc | 1966-11-27 | 2025-12-31 | M | PT | RANA | 114W0187030 | AJAY | 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/2222/13452088/check_16425703_ec439346-e5bf-4c4f-82b8-1049cc89bbda.json | N/A | N/A | N/A | N/A | N/A | 114W0187030 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-11-27 | N/A | N/A | N/A | N/A | false | RANA | N/A | AJAY | 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 | 9616494016 | N/A | N/A | 13452088 | 2222 | 4801 | 16686116 | 4185 | 10608476 | 2025-12-30 01:35:41.103402 | 2025-11-13 20:33:46.858153 |
| 2025-12-29 08:08:50.962643 | 2025-12-30 01:35:48.299745 | 16425697 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16425697 | Athletic Physical Therapy Inc | 1962-02-12 | 2025-12-31 | F | PT | SZYMANSKI | PNE913933078 | JANA | 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/2222/13435818/check_16425697_509cd23a-c7a9-4864-87ad-729cf7071666.json | N/A | N/A | N/A | N/A | N/A | PNE913933078 | Preferred Provider Organization (PPO) | PRIVATE NATIONAL MORTGAGE ACCEPTANCE COMPANY LLC | BLUE SHIELD CALIFORNIA | N/A | 1962-02-12 | 1000PPOX0003 | W3000535 | N/A | PR | false | SZYMANSKI | N/A | PAUL | N/A | 2025-12-31 | 2025-01-01 | PENNYMAC ASO PPO HSA FAMILY | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9616494015 | N/A | N/A | 13435818 | 2222 | 4801 | 16686246 | N/A | 11596916 | 2025-12-30 01:35:48.299745 | 2025-12-03 21:06:42.446127 |
| 2025-12-29 08:08:50.868429 | 2025-12-30 01:35:41.930039 | 16425692 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16425692 | Athletic Physical Therapy Inc | 1965-10-20 | 2025-12-31 | F | PT | ROHMER | H4W1301747MB | CHRISTY | 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/2222/13310377/check_16425692_f04666a3-2188-4f06-acdf-4c18dcbd5134.json | N/A | N/A | N/A | N/A | N/A | H4W1301747MB | Preferred Provider Organization (PPO) | WHITE CAP LTD | ANTHEM BLUE CROSS | N/A | 1965-10-20 | 101 | JNT019M106 | N/A | PR | false | ROHMER | N/A | CHRISTY | N/A | 9999-12-31 | 2024-11-01 | BLUECARD PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9616494014 | N/A | N/A | 13310377 | 2222 | 4801 | 16686132 | N/A | 10618010 | 2025-12-30 01:35:41.930039 | 2026-04-21 18:05:25.486334 |
| 2025-12-29 08:08:50.765884 | 2025-12-30 01:38:56.138908 | 16425687 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16425687 | Athletic Physical Therapy Inc | 1949-06-19 | 2025-12-31 | F | AE | LIEBELT | 5CX2R09EP18 | MARGARET | PT | 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/2222/13140473/check_16425687_5b2f4173-3b19-459e-abea-274de0dea746.json | N/A | N/A | N/A | N/A | N/A | 5CX2R09EP18 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-06-19 | S4802 | N/A | N/A | MA | false | LIEBELT | N/A | MARGARET | N/A | N/A | N/A | N/A | N/A | 47772 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616494013 | N/A | N/A | 13140473 | 2222 | 4801 | 16690559 | N/A | 11291133 | 2025-12-30 01:38:56.138908 | 2025-11-25 01:31:31.833218 |
| 2025-12-29 08:08:50.658895 | 2025-12-30 01:35:26.226715 | 16425684 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16425684 | Athletic Physical Therapy Inc | 1962-12-31 | 2025-12-31 | F | AE | Vallarta | C4105632001 | Denise | PT | 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/2222/13041876/check_16425684_5ef9680f-83c0-438e-8b98-94dd1b45dac7.json | N/A | N/A | N/A | N/A | N/A | C4105632001 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1962-12-31 | N/A | CA35610008 | N/A | N/A | false | VALLARTA | N/A | DENISE | N/A | N/A | N/A | WELLCARE DUAL ALIGN (HMO DSNP) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616494012 | N/A | N/A | 13041876 | 2222 | 4802 | 16685880 | N/A | 11199149 | 2025-12-30 01:35:26.226715 | 2025-12-15 20:02:32.463902 |
| 2025-12-29 08:08:50.558786 | 2025-12-30 01:33:33.762665 | 16425679 | N/A | N/A | 61101 | HUMANA | 1114042165 | 16425679 | Athletic Physical Therapy Inc | 1941-08-28 | 2025-12-31 | M | AE | Kisca | H6309049800 | John | PT | 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/2222/13037589/check_16425679_ca77167a-c4ac-4868-b993-b7e52037f005.json | N/A | N/A | N/A | N/A | N/A | H63090498 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 557 GOLD+/EMP HMO - ALL OTHR WA MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. 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 | 1941-08-28 | N/A | 0B635001 | N/A | HN | false | KISCA | N/A | JOHN | 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 | 9616494011 | N/A | N/A | 13037589 | 2222 | 4793 | 16684275 | 5349 | 11194723 | 2025-12-30 01:33:33.762665 | 2025-12-17 17:59:32.346197 |
| 2025-12-29 08:08:50.474131 | 2025-12-30 01:35:16.364026 | 16425678 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16425678 | Athletic Physical Therapy Inc | 1961-06-10 | 2025-12-31 | F | AE | Boutayeb | 000007973321 | Jessie | PT | 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/2222/13010938/check_16425678_2df4d9ec-45ed-4f1c-86dc-e486b87a33c2.json | N/A | N/A | N/A | N/A | N/A | 000007973321 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1961-06-10 | 4178704 | 102624 | N/A | N/A | false | BOUTAYEB | N/A | JESSIE | N/A | N/A | N/A | UNIVERSITY OF CALIFORNIA RETIREMENT SYSTEM EARLY R | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616494010 | N/A | N/A | 13010938 | 2222 | 4802 | 16685719 | N/A | 11169586 | 2025-12-30 01:35:16.364026 | 2025-12-01 17:33:57.898247 |
| 2025-12-29 08:08:50.219095 | 2025-12-30 01:33:33.992969 | 16425664 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 16425664 | Athletic Physical Therapy Inc | 1941-11-29 | 2025-12-31 | F | AE | RUSCIO | H77607290 | PATRICIA | PT | 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/2222/12962715/check_16425664_3d859174-2057-4d1a-a5f8-196b0a9f1ff7.json | N/A | N/A | N/A | N/A | N/A | H77607290 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 465 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1941-11-29 | N/A | 0B617001 | N/A | HN | false | RUSCIO | N/A | PATRICIA | N/A | N/A | N/A | HUMANA HONOR | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616494009 | N/A | N/A | 12962715 | 2222 | 4801 | 16684279 | N/A | 11121118 | 2025-12-30 01:33:33.992969 | 2025-12-04 18:56:20.767982 |
| 2025-12-29 08:08:49.759251 | 2025-12-30 01:38:55.315509 | 16425644 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16425644 | Athletic Physical Therapy Inc | 1949-05-18 | 2025-12-31 | F | AE | Burk | 5Y14AG3HK78 | Celine | PT | 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/2222/12839893/check_16425644_3e97b4bf-0544-4753-9344-9cd9d4a6f774.json | N/A | N/A | N/A | N/A | N/A | 5Y14AG3HK78 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-05-18 | S5921 | N/A | N/A | MB | false | BURK | N/A | CELINE | N/A | N/A | N/A | N/A | N/A | 493645 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616494008 | N/A | N/A | 12839893 | 2222 | 4802 | 16690536 | N/A | 11004269 | 2025-12-30 01:38:55.315509 | 2025-11-14 23:42:44.614455 |
| 2025-12-29 08:08:49.468914 | 2025-12-30 01:38:57.585093 | 16425633 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16425633 | Athletic Physical Therapy Inc | 1958-11-06 | 2025-12-31 | F | AE | TARZI | 7DN9AU1HM20 | MAIMO | PT | 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/2222/12790971/check_16425633_d30b68f1-bc5c-4b48-ad47-76ffd37a1388.json | N/A | N/A | N/A | N/A | N/A | 7DN9AU1HM20 | Medicare Part B | N/A | ICW GROUP - SAN DIEGO | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-11-06 | S4802 | DOL 01192023 | N/A | MB | false | TARZI | N/A | MAIMO | N/A | N/A | N/A | N/A | N/A | 77913 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616494007 | N/A | N/A | 12790971 | 2222 | 4801 | 16690594 | N/A | 10956893 | 2025-12-30 01:38:57.585093 | 2025-11-17 21:42:16.129156 |
| 2025-12-29 08:08:49.140251 | 2025-12-30 01:35:39.770199 | 16425615 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16425615 | Athletic Physical Therapy Inc | 1953-10-24 | 2025-12-31 | F | PT | MENCHACA | JQW272W06388 | RAFAELA | 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/2222/12715192/check_16425615_94be7e9b-6d3a-4330-91a3-ba8b373d26cb.json | N/A | N/A | N/A | N/A | N/A | JQW272W06388 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1953-10-24 | 040 | CAMCRWP0 | N/A | MP | false | MENCHACA | N/A | RAFAELA | N/A | 2025-12-31 | 2024-01-01 | 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 | 9616494006 | N/A | N/A | 12715192 | 2222 | 4793 | 16686097 | 4185 | 10878724 | 2025-12-30 01:35:39.770199 | 2025-11-19 21:36:29.611919 |
| 2025-12-29 08:08:48.780236 | 2025-12-30 01:35:17.239938 | 16425600 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16425600 | Athletic Physical Therapy Inc | 1988-06-08 | 2025-12-31 | F | AE | Parker | 000021005631 | Tiffeny | PT | 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/2222/12714759/check_16425600_faffdbd1-2c4a-48dd-ab71-a7d1d8e7382f.json | N/A | N/A | N/A | N/A | N/A | 000021005631 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1988-06-08 | 4332645 | 1650095001 | N/A | N/A | false | PARKER | N/A | TIFFENY | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE PLATINUM 90 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616494005 | N/A | N/A | 12714759 | 2222 | 4802 | 16685734 | N/A | 10878419 | 2025-12-30 01:35:17.239938 | 2025-11-21 21:47:52.393943 |
| 2025-12-29 08:08:48.610469 | 2025-12-30 01:34:32.896108 | 16425592 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16425592 | Athletic Physical Therapy Inc | 1958-07-25 | 2025-12-31 | F | AE | TRAN | 40058254001 | OANH | PT | 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/2222/12272024/check_16425592_8cdc2df8-25fb-42a7-9863-9dc368cf60ec.json | N/A | N/A | N/A | N/A | N/A | 40058254001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1958-07-25 | 2025H5425001 | H5425M | N/A | N/A | false | TRAN | N/A | OANH | 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 | 9616494004 | N/A | N/A | 12272024 | 2222 | 4801 | 16685104 | 6237 | 10459569 | 2025-12-30 01:34:32.896108 | 2025-11-05 16:33:57.136921 |
| 2025-12-29 08:08:48.475280 | 2025-12-30 01:32:38.334124 | 16425583 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16425583 | Athletic Physical Therapy Inc | 1965-08-15 | 2025-12-31 | M | AE | BRISICK | 2320654 | STEVEN | PT | 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/2222/12172112/check_16425583_85684f90-8064-4f5f-9c76-80582f6ae523.json | N/A | N/A | N/A | N/A | N/A | 2320654 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1965-08-15 | 18126CA001000401 | QMXEM01910 | N/A | N/A | false | BRISICK | N/A | STEVEN | N/A | 2025-12-31 | 2025-01-01 | BRONZE 60 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616494003 | N/A | N/A | 12172112 | 2222 | 4802 | 16683685 | 4211 | 10384933 | 2025-12-30 01:32:38.334124 | 2025-11-04 18:26:03.763078 |
| 2025-12-29 08:08:48.353186 | 2025-12-30 01:35:34.723688 | 16425577 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16425577 | Athletic Physical Therapy Inc | 1975-12-13 | 2025-12-31 | F | PT | ASSENGA | TWA295A70455 | NANCY | 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/2222/12129904/check_16425577_85b7d7d3-73fe-4f6a-8cb5-67aca13f7c2a.json | N/A | N/A | N/A | N/A | N/A | TWA295A70455 | Preferred Provider Organization (PPO) | WTW HSA 1650 - ACTIVE | ANTHEM BLUE CROSS | N/A | 1975-12-13 | 101 | 270127M9A0 | N/A | PR | false | ASSENGA | N/A | NANCY | N/A | 2026-01-01 | 2024-01-01 | CDHP NY NAT GENC HEALTH SAVINGS ACCT (HSA) | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9616494002 | N/A | N/A | 12129904 | 2222 | 4801 | 16686014 | N/A | 4214504 | 2025-12-30 01:35:34.723688 | 2025-05-13 04:29:37.228820 |
| 2025-12-29 08:08:48.220707 | 2025-12-30 01:35:46.993218 | 16425573 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16425573 | Athletic Physical Therapy Inc | 2008-04-21 | 2025-12-31 | M | PT | LANDIS | XED906560014 | BRONN | 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/2222/12097539/check_16425573_dde2ca79-2d7b-4490-b8c4-ab236777ff95.json | N/A | N/A | N/A | N/A | N/A | XED906560014 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-04-21 | 2001ZK002187 | X0001004 | N/A | PR | false | LANDIS | N/A | KIPP | N/A | 2027-04-30 | 2023-03-01 | IFP EMB PED VISION | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9616494001 | N/A | N/A | 12097539 | 2222 | 4793 | 16686217 | N/A | 10315576 | 2025-12-30 01:35:46.993218 | 2025-11-14 23:13:16.002759 |
| 2025-12-29 08:08:48.083224 | 2025-12-30 01:38:57.858537 | 16425567 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16425567 | Athletic Physical Therapy Inc | 1944-03-27 | 2025-12-31 | F | AE | Verratti | 1E21E50VR34 | Kathleen | PT | 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/2222/11936768/check_16425567_ac4da8e5-4495-4e54-ae14-6d88b375b254.json | N/A | N/A | N/A | N/A | N/A | 1E21E50VR34 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-03-27 | S4802 | N/A | N/A | MB | false | VERRATTI | N/A | KATHLEEN | N/A | N/A | N/A | N/A | N/A | 235934 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616494000 | N/A | N/A | 11936768 | 2222 | 4802 | 16690601 | N/A | 10163894 | 2025-12-30 01:38:57.858537 | 2025-10-30 22:58:10.977312 |
| 2025-12-29 08:08:47.913542 | 2025-12-30 01:35:40.327096 | 16425558 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16425558 | Athletic Physical Therapy Inc | 1965-10-16 | 2025-12-31 | F | PT | OTA | JQK708W18818 | JULIANNE | 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/2222/11614506/check_16425558_150bf187-4092-45fd-bf63-db2fdef7ebf8.json | N/A | N/A | N/A | N/A | N/A | JQK708W18818 | Health Maintenance Organization (HMO) | HYPERCOMP INC | ANTHEM BLUE CROSS | N/A | 1965-10-16 | 040 | G78593 | N/A | HM | false | OTA | N/A | JULIANNE | N/A | 2026-01-01 | 2025-01-01 | CA SG ANTHEM HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9616493999 | N/A | N/A | 11614506 | 2222 | 4801 | 16686107 | N/A | 4208609 | 2025-12-30 01:35:40.327096 | 2025-11-06 22:22:57.784313 |
| 2025-12-29 08:08:47.596913 | 2025-12-30 01:35:17.545849 | 16425548 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16425548 | Athletic Physical Therapy Inc | 1994-09-23 | 2025-12-31 | M | AE | RUIZ CORTES | 000023841194 | ROGELIO | PT | 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/2222/11537156/check_16425548_87589924-6fcb-4db4-aa36-a3b51bc541f1.json | N/A | N/A | N/A | N/A | N/A | 000023841194 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1994-09-23 | 4327440 | 226369 | N/A | N/A | false | RUIZ CORTES | N/A | ROGELIO | N/A | N/A | N/A | PACWEST BANCORP PACWEST BANCORP | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616493998 | N/A | N/A | 11537156 | 2222 | 4802 | 16685738 | N/A | 9778191 | 2025-12-30 01:35:17.545849 | 2025-10-27 23:17:48.522975 |
| 2025-12-29 08:08:47.353157 | 2025-12-30 01:35:36.940561 | 16425536 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16425536 | Athletic Physical Therapy Inc | 1954-03-01 | 2025-12-31 | M | PT | FELLOWS | 805A69219 | WILLIAM | 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/2222/11415367/check_16425536_0ad09a0c-f578-4a27-a45d-bad180f1dff2.json | N/A | N/A | N/A | N/A | N/A | NCF805A69219 | Health Maintenance Organization (HMO) | PRUDENTIAL LIGHTING CORPORATION | ANTHEM BLUE CROSS | N/A | 1954-03-01 | 040 | 275720H004 | N/A | HM | false | FELLOWS | N/A | SUSAN J | N/A | 9999-12-31 | 2025-02-01 | VALUE COINSURANCE TRADITIONAL HMO NETWORK NON DUR | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9616493997 | N/A | N/A | 11415367 | 2222 | 4801 | 16686052 | 4185 | 9670147 | 2025-12-30 01:35:36.940561 | 2025-10-23 23:05:46.960193 |
| 2025-12-29 08:08:47.013595 | 2025-12-30 01:35:36.101300 | 16425523 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16425523 | Athletic Physical Therapy Inc | 2002-03-15 | 2025-12-31 | F | PT | DUMAIS | JQV380A68679 | JULIA | 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/2222/11399834/check_16425523_38693ead-8ad6-4856-ba26-a2120c0b56c7.json | N/A | N/A | N/A | N/A | N/A | JQV380A68679 | Health Maintenance Organization (HMO) | BRIGHTSTAR PARTNERS INSURANCE SERVICES | ANTHEM BLUE CROSS | N/A | 2002-03-15 | 040 | Q84248 | N/A | HM | false | DUMAIS | N/A | JULIA | N/A | 9999-12-31 | 2025-07-01 | CA SG SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9616493996 | N/A | N/A | 11399834 | 2222 | 4801 | 16686038 | N/A | 9659468 | 2025-12-30 01:35:36.101300 | 2025-10-23 16:38:33.858959 |
| 2025-12-29 08:08:46.686312 | 2025-12-30 01:38:55.603522 | 16425504 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16425504 | Athletic Physical Therapy Inc | 1942-02-01 | 2025-12-31 | F | AE | CHANG | 3FV9E71EE00 | QUANG | PT | 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/2222/11159406/check_16425504_4132bae8-dba5-4048-acda-1376f5ddd009.json | N/A | N/A | N/A | N/A | N/A | 3FV9E71EE00 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-02-01 | S4802 | N/A | N/A | MB | false | CHANG | N/A | QUANG CHAN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | 192398 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616493995 | N/A | N/A | 11159406 | 2222 | 4793 | 16690544 | N/A | 9505845 | 2025-12-30 01:38:55.603522 | 2026-04-29 00:06:17.964395 |
| 2025-12-29 08:08:46.459570 | 2025-12-30 01:35:27.557476 | 16425492 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16425492 | Athletic Physical Therapy Inc | 1955-09-16 | 2025-12-31 | M | AE | HANGVAL | 00000401784 | BAHMANYAR | PT | 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/2222/11061532/check_16425492_8e7b579f-d64d-4bff-abb6-6a33cf50c723.json | N/A | N/A | N/A | N/A | N/A | 00000401784 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1955-09-16 | H3815048 | N/A | N/A | HM | false | HANGVAL | N/A | BAHMANYAR | N/A | 2025-12-31 | 2025-02-01 | ALIGNMENT HEALTH HEART & DIABETES CARE (HMO C-SNP) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616493994 | N/A | N/A | 11061532 | 2222 | 4793 | 16685900 | 2630 | 9420286 | 2025-12-30 01:35:27.557476 | 2025-10-27 20:50:02.906306 |
| 2025-12-29 08:08:46.298555 | 2025-12-30 01:38:57.014255 | 16425482 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16425482 | Athletic Physical Therapy Inc | 1953-06-18 | 2025-12-31 | F | AE | REISMAN | 6C16CN3FM49 | GAIL | PT | 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/2222/10984906/check_16425482_43a0d3d9-6905-45f5-b336-a45ebacdd705.json | N/A | N/A | N/A | N/A | N/A | 6C16CN3FM49 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-06-18 | N/A | N/A | N/A | MB | false | REISMAN | N/A | GAIL | N/A | N/A | N/A | N/A | N/A | 195037 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616493993 | N/A | N/A | 10984906 | 2222 | 4802 | 16690579 | N/A | 9156222 | 2025-12-30 01:38:57.014255 | 2026-01-08 22:56:20.879547 |
| 2025-12-29 08:08:46.152320 | 2025-12-30 01:35:35.012410 | 16425471 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16425471 | Athletic Physical Therapy Inc | 1963-09-07 | 2025-12-31 | M | PT | BAHR | FZX638A69335 | KEVIN | 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/2222/10371931/check_16425471_f7e204f1-0424-4b12-95eb-94310a9a6a74.json | N/A | N/A | N/A | N/A | N/A | FZX638A69335 | Preferred Provider Organization (PPO) | CDHP HSA NON-INTEGRATED BNK | ANTHEM BLUE CROSS | N/A | 1963-09-07 | 423 | 201028M2CA | N/A | PR | false | BAHR | N/A | KEVIN | N/A | 9999-12-31 | 2022-01-01 | CDHP VIRGINIA HEALTH SAVINGS ACCOUNT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9616493992 | N/A | N/A | 10371931 | 2222 | 4793 | 16686020 | N/A | 8634062 | 2025-12-30 01:35:35.012410 | 2025-10-16 21:25:25.746427 |
| 2025-12-29 08:08:46.030316 | 2025-12-30 01:35:38.124286 | 16425464 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16425464 | Athletic Physical Therapy Inc | 2003-04-25 | 2025-12-31 | M | PT | GREEN | JQV184A72608 | ALLEN | 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/2222/10091887/check_16425464_6cb78335-b1da-4c8d-b5fa-645da8cd40d5.json | N/A | N/A | N/A | N/A | N/A | JQV184A72608 | Health Maintenance Organization (HMO) | GUMM AND GREEN LLP | ANTHEM BLUE CROSS | N/A | 2003-04-25 | 040 | 428474 | N/A | HM | false | GREEN | N/A | LINDSEY | N/A | 9999-12-31 | 2025-12-01 | ANTHEM GOLD SELECT HMO 35 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9616493991 | N/A | N/A | 10091887 | 2222 | 4793 | 16686069 | 4185 | 8429919 | 2025-12-30 01:35:38.124286 | 2025-10-07 22:01:52.720968 |
| 2025-12-29 08:08:45.922506 | 2025-12-30 01:35:46.710205 | 16425457 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16425457 | Athletic Physical Therapy Inc | 1961-05-13 | 2025-12-31 | F | PT | HOUSEMAN | JAC912275311 | REBECCA | 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/2222/9937308/check_16425457_021aae0d-167c-49e2-8417-00db932ba080.json | N/A | N/A | N/A | N/A | N/A | JAC912275311 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-05-13 | 2001ZK002198 | X0001004 | N/A | PR | false | HOUSEMAN | N/A | REBECCA | N/A | 9999-12-31 | 2023-05-01 | IFP EMB PED DPPO NATIVE AMER JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9616493990 | N/A | N/A | 9937308 | 2222 | 4793 | 16686212 | N/A | 8318674 | 2025-12-30 01:35:46.710205 | 2025-10-03 16:07:07.538918 |
| 2025-12-29 08:08:45.822452 | 2025-12-30 01:32:31.561423 | 16425452 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 16425452 | Athletic Physical Therapy Inc | 1937-04-20 | 2025-12-31 | M | AE | HAUSMAN | 34751866 | GARY | PT | 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/2222/9280203/check_16425452_d514daa2-cd99-405e-860f-5e149cc518b7.json | N/A | N/A | N/A | N/A | N/A | 34751866 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1937-04-20 | 406-024-000 | N/A | N/A | N/A | false | HAUSMAN | N/A | GARY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616493989 | N/A | N/A | 9280203 | 2222 | 4793 | 16683655 | 6798 | 7788651 | 2025-12-30 01:32:31.561423 | 2025-09-10 18:50:22.494063 |
| 2025-12-29 08:08:45.733294 | 2025-12-30 01:35:40.051859 | 16425446 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16425446 | Athletic Physical Therapy Inc | 2003-05-02 | 2025-12-31 | M | PT | MUHAMMAD | XOF828514693 | 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/2222/8675672/check_16425446_ea2e7399-e3ff-4822-911e-40d18dc16e61.json | N/A | N/A | N/A | N/A | N/A | XOF828514693 | Preferred Provider Organization (PPO) | IBJI - BRADLEY ACTIVES | HUMANA | N/A | 2003-05-02 | N/A | PK4933 | N/A | PR | false | MUHAMMAD | N/A | KERMIT | N/A | 2025-12-31 | 2022-02-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9616493988 | N/A | N/A | 8675672 | 2222 | 4793 | 16686100 | N/A | 7310369 | 2025-12-30 01:35:40.051859 | 2026-02-03 01:46:10.334485 |
| 2025-12-29 08:08:45.443798 | 2025-12-30 01:32:38.643467 | 16425433 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16425433 | Athletic Physical Therapy Inc | 2001-06-21 | 2025-12-31 | M | AE | RAFIEI | 92836714F | SAM | PT | 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/2222/8173002/check_16425433_c28f004b-420d-47ad-9b96-35c29924a139.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 | 9616493987 | N/A | N/A | 8173002 | 2222 | 4793 | 16683686 | 4211 | 6939518 | 2025-12-30 01:32:38.643467 | 2025-08-18 21:40:08.349494 |
| 2025-12-29 08:08:45.082214 | 2025-12-30 01:35:46.437367 | 16425417 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16425417 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-12-30 | F | PT | GIANNE | XED910762094 | NATALIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_16425417_01a183c8-e004-45af-896c-013b1580f6f1.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 2025-12-31 | 2025-01-01 | SILVER 87 PPO JAN25 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9616493986 | N/A | N/A | 7994545 | 2222 | 4802 | 16686208 | N/A | 6802250 | 2025-12-30 01:35:46.437367 | 2025-08-11 23:58:28.358402 |
| 2025-12-29 08:08:44.776814 | 2025-12-30 01:35:50.311203 | 16425406 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16425406 | Athletic Physical Therapy Inc | 1987-11-24 | 2025-12-30 | F | PT | Halat | FIZ100010118257 | Hooram | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7870152/check_16425406_2b465cc2-26bf-4fc7-99c7-0d38084606bb.json | N/A | N/A | N/A | N/A | N/A | FIZ100010118257 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS. | 1987-11-24 | N/A | 716071106 | N/A | PR | false | HALAT | N/A | HOORAM | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9616493985 | N/A | N/A | 7870152 | 2222 | 4802 | 16686282 | N/A | 6698799 | 2025-12-30 01:35:50.311203 | 2025-08-07 18:40:53.120761 |
| 2025-12-29 08:08:44.342100 | 2025-12-30 01:35:46.118045 | 16425389 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16425389 | Athletic Physical Therapy Inc | 1991-10-07 | 2025-12-31 | F | PT | BOYM | XEK903045570 | DANIELLA | 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/2222/7281036/check_16425389_f87d3401-0266-4ca7-9725-ef05e301bce1.json | N/A | N/A | N/A | N/A | N/A | XEK903045570 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1991-10-07 | 2001ZJ002648 | X0001000 | N/A | PR | false | BOYM | N/A | DIMITRY | N/A | 9999-12-31 | 2024-02-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9616493984 | N/A | N/A | 7281036 | 2222 | 4793 | 16686203 | N/A | 6245462 | 2025-12-30 01:35:46.118045 | 2025-07-24 01:23:15.134681 |
| 2025-12-29 08:08:44.195100 | 2025-12-30 01:35:35.551663 | 16425381 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16425381 | Athletic Physical Therapy Inc | 1988-08-19 | 2025-12-31 | M | PT | Bridgemohansingh | NTF910W08222 | Jason | 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/2222/7258746/check_16425381_eb329216-5391-4553-90ba-e24a8803d249.json | N/A | N/A | N/A | N/A | N/A | NTF910W08222 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | ANTHEM BLUE CROSS | N/A | 1988-08-19 | 040 | L08669M002 | N/A | PR | false | BRIDGEMOHANSINGH | N/A | JASON | N/A | 9999-12-31 | 2025-08-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9616493983 | N/A | N/A | 7258746 | 2222 | 4802 | 16686030 | N/A | 6224482 | 2025-12-30 01:35:35.551663 | 2025-08-07 00:03:18.267969 |
| 2025-12-29 08:08:44.061456 | 2025-12-30 01:32:39.193477 | 16425373 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16425373 | Athletic Physical Therapy Inc | 1963-05-22 | 2025-12-31 | M | AE | SMITH | 99688004H | MATTHEW | PT | 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/2222/7022680/check_16425373_f567771e-095c-4db6-8d6d-1c7fd0bd96f0.json | N/A | N/A | N/A | N/A | N/A | 99688004H | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1963-05-22 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | SMITH | N/A | MATTHEW | N/A | 2078-12-31 | 2025-05-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616493982 | N/A | N/A | 7022680 | 2222 | 4793 | 16683689 | 4211 | 6037802 | 2025-12-30 01:32:39.193477 | 2025-07-22 17:48:16.997014 |
| 2025-12-29 08:08:43.761506 | 2025-12-30 01:35:47.776619 | 16425357 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16425357 | Athletic Physical Therapy Inc | 1961-03-07 | 2025-12-31 | F | PT | PERLOV | XEA905216171 | MERA | 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/2222/6814311/check_16425357_a0baf4b0-d0d3-4b41-97b8-ec37e86361e6.json | N/A | N/A | N/A | N/A | N/A | XEA905216171 | Preferred Provider Organization (PPO) | LA CARE HEALTH PLAN | BLUE SHIELD CALIFORNIA | N/A | 1961-03-07 | 1000PPOX0003 | W0051027 | N/A | PR | false | PERLOV | N/A | MERA | N/A | 9999-12-31 | 2017-05-01 | HSA RATED | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9616493981 | N/A | N/A | 6814311 | 2222 | 4793 | 16686236 | N/A | 5856694 | 2025-12-30 01:35:47.776619 | 2025-07-07 18:45:06.287504 |
| 2025-12-29 08:08:43.453319 | 2025-12-30 01:38:55.879970 | 16425342 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16425342 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-12-31 | M | AE | CICCIARI | 1AK4JC6NK84 | LOUIS | PT | 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/2222/6752936/check_16425342_8c234b3b-33a1-4444-acb9-82486df1e125.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5596 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | 442696 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616493980 | N/A | N/A | 6752936 | 2222 | 4801 | 16690551 | N/A | 5065602 | 2025-12-30 01:38:55.879970 | 2025-07-01 17:25:13.681724 |
| 2025-12-29 08:08:43.136284 | 2025-12-30 01:35:16.095513 | 16425324 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16425324 | Athletic Physical Therapy Inc | 2008-04-21 | 2025-12-31 | M | AE | BERMUDEZ | 000019836525 | RAFAEL | PT | 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/2222/6721942/check_16425324_013389c8-ba39-4725-a0e0-2b862f2c39de.json | N/A | N/A | N/A | N/A | N/A | 000019836525 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 2008-04-21 | 4327748 | 226977 | N/A | N/A | false | BERMUDEZ | N/A | RAFAEL | N/A | N/A | N/A | MEDI-CAL SCR 19_ADULT & FAMILY | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616493979 | N/A | N/A | 6721942 | 2222 | 4793 | 16685716 | N/A | 5322280 | 2025-12-30 01:35:16.095513 | 2025-07-01 21:45:15.878047 |
| 2025-12-29 08:08:42.506979 | 2025-12-30 01:33:00.405038 | 16425296 | N/A | N/A | 60054 | Aetna | 1114042165 | 16425296 | Athletic Physical Therapy Inc | 1968-11-30 | 2025-12-31 | F | AE | Bitton MANFREDI | W228688169 | SANDRA | PT | 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/2222/6417889/check_16425296_97d7bdd5-6591-48af-9c5f-085a7178dc7d.json | N/A | N/A | N/A | N/A | N/A | W228688169 | Point of Service (POS) | AIR CANADA | AETNA | N/A | 1968-11-30 | 0479208 | 047920803100012 | N/A | PS | false | BITTON MANFREDI | N/A | SANDRA | 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 | 9616493978 | N/A | N/A | 6417889 | 2222 | 4793 | 16683834 | N/A | 5065591 | 2025-12-30 01:33:00.405038 | 2025-06-18 18:47:45.179937 |
| 2025-12-29 08:08:42.146781 | 2025-12-30 01:35:48.037115 | 16425285 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16425285 | Athletic Physical Therapy Inc | 1994-02-23 | 2025-12-31 | F | PT | SHU | XAN913831469 | GABRIELA | 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/2222/6121701/check_16425285_977d88d0-aeef-4b4f-a112-1fb2b3f65391.json | N/A | N/A | N/A | N/A | N/A | XAN913831469 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1994-02-23 | 1479PPOX0003 | W0051411 | N/A | PR | false | SHU | N/A | GABRIELA | 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 | 9616493977 | N/A | N/A | 6121701 | 2222 | 4793 | 16686239 | N/A | 4764460 | 2025-12-30 01:35:48.037115 | 2025-06-04 04:30:06.494155 |
| 2025-12-29 08:08:41.690764 | 2025-12-30 01:35:24.903169 | 16425269 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16425269 | Athletic Physical Therapy Inc | 1969-01-08 | 2025-12-31 | F | AE | ALROMAIH | 91237812E | SARAH | PT | 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/2222/5993940/check_16425269_0f4c98cb-9ad1-4310-96bd-32ad49df930f.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616493976 | N/A | N/A | 5993940 | 2222 | 4802 | 16685859 | 4625 | 4642877 | 2025-12-30 01:35:24.903169 | 2025-12-23 23:49:16.627667 |
| 2025-12-29 08:08:41.331132 | 2025-12-30 01:35:27.242221 | 16425256 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16425256 | Athletic Physical Therapy Inc | 1953-03-27 | 2025-12-31 | F | AE | FINE | 00000272194 | MICHELLE | PT | 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/2222/5858742/check_16425256_0db266d6-fa42-4bc5-9154-456c8f614d01.json | N/A | N/A | N/A | N/A | N/A | 00000272194 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1953-03-27 | H3815028 | N/A | N/A | HM | false | FINE | N/A | MICHELLE | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616493975 | N/A | N/A | 5858742 | 2222 | 4801 | 16685896 | 2630 | 4219630 | 2025-12-30 01:35:27.242221 | 2025-05-13 04:29:37.230672 |
| 2025-12-29 08:08:40.726899 | 2025-12-30 01:35:24.391605 | 16425229 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16425229 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-12-30 | F | AE | GIANOLI | R11857813FM1 | ELSY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_16425229_71aec3ca-d40c-439f-9e73-f68ba3e836fe.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616493974 | N/A | N/A | 5568076 | 2222 | 4802 | 16685850 | 4625 | 4209480 | 2025-12-30 01:35:24.391605 | 2026-04-10 02:05:15.976484 |
| 2025-12-29 08:08:40.475913 | 2025-12-30 01:35:47.536838 | 16425215 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16425215 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-12-31 | F | PT | PANDYA | XEA913306283 | DHARA | 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/2222/5550845/check_16425215_8db0312b-6dd2-4fad-a5e5-9e4962d21f7c.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1975-08-17 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 2025-12-31 | 2025-01-01 | HSA RATED | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9616493973 | N/A | N/A | 5550845 | 2222 | 4801 | 16686229 | N/A | 4219713 | 2025-12-30 01:35:47.536838 | 2025-08-13 22:46:55.732965 |
| 2025-12-29 08:08:40.163622 | 2025-12-30 01:33:33.499332 | 16425199 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 16425199 | Athletic Physical Therapy Inc | 1970-09-15 | 2025-12-31 | F | AE | DON | H74748118 | JACKIE | PT | 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/2222/5550314/check_16425199_ef04b2a7-073a-47f3-a8cf-e7d0fd1b3cd1.json | N/A | N/A | N/A | N/A | N/A | H74748118 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. 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 | 1970-09-15 | N/A | 0B666001 | N/A | HN | false | DON | N/A | JACKIE | 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 | 9616493972 | N/A | N/A | 5550314 | 2222 | 4801 | 16684271 | N/A | 4219523 | 2025-12-30 01:33:33.499332 | 2025-12-13 21:47:36.966446 |
| 2025-12-29 08:08:39.728280 | 2025-12-30 01:35:24.642220 | 16425180 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16425180 | Athletic Physical Therapy Inc | 1967-12-23 | 2025-12-30 | F | AE | SOL | U9859952501 | ISABEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549212/check_16425180_1f95ba09-d051-4e2d-8a98-5f2b5be2dacc.json | N/A | N/A | N/A | N/A | N/A | U9859952501 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1967-12-23 | 67138CA0520015-04 | N/A | N/A | N/A | false | SOL | N/A | ISABEL | N/A | N/A | N/A | SILVER 73 AMBETTER HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616493971 | N/A | N/A | 5549212 | 2222 | 4793 | 16685855 | N/A | 4218926 | 2025-12-30 01:35:24.642220 | 2025-07-30 14:07:18.779456 |
| 2025-12-29 08:08:39.259445 | 2025-12-30 01:38:56.712731 | 16425168 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16425168 | Athletic Physical Therapy Inc | 1947-11-15 | 2025-12-31 | F | AE | NOGHREIAN | 6XG3KA2TP05 | FLORIA | PT | 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/2222/5548970/check_16425168_38fe67b1-0e57-4831-81ea-2852037f4597.json | N/A | N/A | N/A | N/A | N/A | 6XG3KA2TP05 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-11-15 | S5617 | N/A | N/A | MB | false | NOGHREIAN | N/A | FLORIA | N/A | N/A | N/A | N/A | N/A | 31447 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616493970 | N/A | N/A | 5548970 | 2222 | 4802 | 16690572 | N/A | 4218728 | 2025-12-30 01:38:56.712731 | 2025-05-13 04:29:37.229718 |
| 2025-12-29 08:08:38.834784 | 2025-12-30 01:34:32.605066 | 16425157 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16425157 | Athletic Physical Therapy Inc | 1956-05-26 | 2025-12-31 | F | AD | TORRES | 40067303001 | OLGA | 30 | 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/2222/5543371/check_16425157_f64ca912-7823-4e80-986b-589f642bf9e4.json | N/A | N/A | N/A | N/A | N/A | 40067303001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1956-05-26 | 2025H5425001 | H5425M | N/A | N/A | false | TORRES | N/A | OLGA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 9616493969 | N/A | N/A | 5543371 | 2222 | 4793 | 16685098 | 6237 | 4215172 | 2025-12-30 01:34:32.605066 | 2025-05-13 04:29:37.229489 |
| 2025-12-29 08:08:37.854105 | 2025-12-30 01:35:39.493204 | 16425119 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16425119 | Athletic Physical Therapy Inc | 1990-07-10 | 2025-12-30 | F | PT | Gadde | X8B467M70158 | Lavanya | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251229.100714118.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543090/check_16425119_08a0546c-701c-447a-aea7-5357341cee2f.json | N/A | N/A | N/A | N/A | N/A | X8B467M70158 | Preferred Provider Organization (PPO) | BYTEDANCE INC | ANTHEM BLUE CROSS | N/A | 1990-07-10 | 040 | L03868M031 | N/A | PR | false | KONDABOLU | N/A | KUSHVANTH | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9616493741 | N/A | N/A | 5543090 | 2222 | 4793 | 16686091 | N/A | 4214925 | 2025-12-30 01:35:39.493204 | 2025-12-17 00:54:52.714750 |
| 2025-12-29 08:08:37.341577 | 2025-12-30 01:35:26.968871 | 16425095 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16425095 | Athletic Physical Therapy Inc | 1947-12-04 | 2025-12-31 | F | AE | CHARTER | 00000357514 | JEAN | PT | 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/2222/5543042/check_16425095_d2175925-8db0-4e84-8133-7b33e8c145d8.json | N/A | N/A | N/A | N/A | N/A | 00000357514 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1947-12-04 | H3815028 | N/A | N/A | HM | false | CHARTER | N/A | JEAN | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9616493740 | N/A | N/A | 5543042 | 2222 | 4793 | 16685891 | 2630 | 4214881 | 2025-12-30 01:35:26.968871 | 2025-10-23 00:25:28.237067 |