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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-27 08:12:36.396768 | 2025-12-28 01:33:18.195925 | 16411485 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 16411485 | Athletic Physical Therapy Inc | 1956-07-15 | 2025-12-30 | M | AE | PT | Raudonis | 34838892911 | Mark | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.114525417.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12493578/check_16411485_8a48484f-7147-403e-a181-23d8f46bafbb.json | N/A | N/A | N/A | N/A | N/A | 34838892911 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1956-07-15 | N/A | N/A | N/A | SP | false | RAUDONIS | N/A | MARK | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607779453 | N/A | N/A | 12493578 | 2222 | 4793 | 16647307 | N/A | 10670073 | 2025-12-28 01:33:18.195925 | 2025-11-10 18:20:04.243140 |
| 2025-12-27 08:12:36.301744 | 2025-12-28 01:41:09.986405 | 16411484 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16411484 | Athletic Physical Therapy Inc | 1960-03-18 | 2025-12-30 | F | AE | PT | MEYER | JQE221W24060 | LESLIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.114525417.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11928247/check_16411484_2c20fcee-2013-4418-af9c-7189c2cd79d5.json | N/A | N/A | N/A | N/A | N/A | JQE221W24060 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1960-03-18 | 040 | CASUPWP0 | N/A | N/A | false | MEYER | N/A | LESLIE | N/A | 9999-12-31 | 2025-08-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607779452 | N/A | N/A | 11928247 | 2222 | 4793 | 16652930 | N/A | 4215335 | 2025-12-28 01:41:09.986405 | 2025-10-30 21:15:07.766449 |
| 2025-12-27 08:12:36.211034 | 2025-12-28 01:41:08.606917 | 16411481 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16411481 | Athletic Physical Therapy Inc | 1942-12-02 | 2025-12-30 | M | AE | PT | Lawrence | JQE083M00118 | Harvey | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.114525417.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11156182/check_16411481_5a8ccbe3-0ec7-4926-9e55-975d86c6672d.json | N/A | N/A | N/A | N/A | N/A | JQE083M00118 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1942-12-02 | 040 | CASUPWP0 | N/A | N/A | false | LAWRENCE | N/A | HARVEY | N/A | 9999-12-31 | 2023-12-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607779451 | N/A | N/A | 11156182 | 2222 | 4802 | 16652910 | N/A | 9502693 | 2025-12-28 01:41:08.606917 | 2025-12-16 19:10:22.413376 |
| 2025-12-27 08:12:36.129309 | 2025-12-28 01:40:21.499555 | 16411480 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 16411480 | Athletic Physical Therapy Inc | 1950-04-13 | 2025-12-30 | F | AE | PT | NATALI | 94579563C | RENEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.114525417.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8979227/check_16411480_56724981-fefc-4626-b23d-ef0a42a3eb97.json | N/A | N/A | N/A | N/A | N/A | 94579563C | N/A | MCLA WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1950-04-13 | MCLA | MWLLDAGG21 | N/A | N/A | false | NATALI | N/A | RENEE | N/A | 2025-07-31 | 2025-02-01 | LACARE MEDICAL | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607779450 | N/A | N/A | 8979227 | 2222 | 4793 | 16652255 | N/A | 7498543 | 2025-12-28 01:40:21.499555 | 2025-10-14 17:13:32.178778 |
| 2025-12-27 08:12:36.044987 | 2025-12-28 01:41:05.347293 | 16411479 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16411479 | Athletic Physical Therapy Inc | 1959-02-09 | 2025-12-30 | F | AE | PT | FERTSCHNEIDER | JQE833W19120 | NANCY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.114525417.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7204596/check_16411479_c522bb28-d89f-4c1c-8665-639d5a71b4d2.json | N/A | N/A | N/A | N/A | N/A | JQE833W19120 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-02-09 | 040 | CASUPWP0 | N/A | N/A | false | FERTSCHNEIDER | N/A | NANCY | N/A | 9999-12-31 | 2024-02-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607779449 | N/A | N/A | 7204596 | 2222 | 4801 | 16652868 | N/A | 6175435 | 2025-12-28 01:41:05.347293 | 2025-08-05 19:05:08.506352 |
| 2025-12-27 08:12:35.949092 | 2025-12-28 01:41:07.031702 | 16411477 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16411477 | Athletic Physical Therapy Inc | 1936-09-29 | 2025-12-30 | M | AE | PT | JAUDE | JQE122A53874 | KARIM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.114525417.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6821574/check_16411477_59139e26-542b-4c07-af1d-f0125b0a0c84.json | N/A | N/A | N/A | N/A | N/A | JQE122A53874 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1936-09-29 | 040 | CASUPWP0 | N/A | N/A | false | JAUDE | N/A | KARIM | N/A | 9999-12-31 | 2023-12-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607779448 | N/A | N/A | 6821574 | 2222 | 4802 | 16652886 | N/A | 4214191 | 2025-12-28 01:41:07.031702 | 2025-05-13 04:29:37.228525 |
| 2025-12-27 08:12:35.841186 | 2025-12-28 01:41:10.480435 | 16411475 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16411475 | Athletic Physical Therapy Inc | 1946-12-07 | 2025-12-30 | F | AE | PT | MOONVES | MISSINGPOLICYNUMBER | NANCY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.114525417.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928920/check_16411475_ed89bc5e-a9d4-4591-a160-e4617d3a7416.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1946-12-07 | N/A | N/A | N/A | N/A | false | MOONVES | N/A | NANCY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607779447 | N/A | N/A | 5928920 | 2222 | 4802 | 16652938 | N/A | 4208883 | 2025-12-28 01:41:10.480435 | 2025-05-13 04:29:37.223310 |
| 2025-12-27 08:12:35.757348 | 2025-12-28 01:41:09.325981 | 16411473 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16411473 | Athletic Physical Therapy Inc | 1959-12-29 | 2025-12-30 | F | AE | PT | LYGA | LPZ819A58009 | LISA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.114525417.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549257/check_16411473_016c04e2-0bac-47f8-908d-3d7209ffe7ba.json | N/A | N/A | N/A | N/A | N/A | LPZ819A58009 | Preferred Provider Organization (PPO) | LOS ANGELES POLICE RELIEF ASN INC | MEDICARE D | N/A | 1959-12-29 | 040 | 1841UV | N/A | PR | false | LYGA | N/A | FRANK | N/A | 9999-12-31 | 2024-12-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607779446 | N/A | N/A | 5549257 | 2222 | 4801 | 16652920 | N/A | 4218962 | 2025-12-28 01:41:09.325981 | 2025-05-13 04:29:37.229978 |
| 2025-12-27 08:12:35.672068 | 2025-12-28 01:42:05.358195 | 16411471 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16411471 | Athletic Physical Therapy Inc | 1953-03-17 | 2025-12-30 | F | AE | PT | MARCUS | XEM909523924 | LISSA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.114525417.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542324/check_16411471_f1a09a67-e183-4944-a686-5cfcf5ae0cc4.json | N/A | N/A | N/A | N/A | N/A | XEM909523924 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1953-03-17 | 2002SF000029 | X0001002 | N/A | OT | false | MARCUS | N/A | LISSA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607779445 | N/A | N/A | 5542324 | 2222 | 4802 | 16653765 | N/A | 4214241 | 2025-12-28 01:42:05.358195 | 2025-05-13 04:29:37.228574 |
| 2025-12-27 08:12:35.587455 | 2025-12-28 01:42:04.755441 | 16411470 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16411470 | Athletic Physical Therapy Inc | 1954-01-24 | 2025-12-30 | F | AE | PT | DIGIOVANNI | XEM910156092 | JILL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.114525417.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538594/check_16411470_ef3f57ea-64f3-450c-8649-8c077aeb66fe.json | N/A | N/A | N/A | N/A | N/A | XEM910156092 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1954-01-24 | 2002SF000029 | X0001002 | N/A | OT | false | DIGIOVANNI | N/A | JILL | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607779444 | N/A | N/A | 5538594 | 2222 | 4801 | 16653757 | N/A | 4210993 | 2025-12-28 01:42:04.755441 | 2025-05-13 04:29:37.225395 |
| 2025-12-27 08:12:35.476452 | 2025-12-28 01:33:18.509492 | 16411468 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 16411468 | Athletic Physical Therapy Inc | 1947-01-11 | 2025-12-30 | F | AE | PT | STROM | 32481540111 | YOLANDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.114525417.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538186/check_16411468_4eda6378-0770-4e1e-b83d-aa9c0ba53117.json | N/A | N/A | N/A | N/A | N/A | 32481540111 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1947-01-11 | N/A | N/A | N/A | SP | false | STROM | N/A | YOLANDA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607779443 | N/A | N/A | 5538186 | 2222 | 4802 | 16647312 | N/A | 4210637 | 2025-12-28 01:33:18.509492 | 2025-05-13 04:29:37.225051 |
| 2025-12-27 08:12:35.370291 | 2025-12-28 01:41:10.974178 | 16411466 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16411466 | Athletic Physical Therapy Inc | 1945-03-19 | 2025-12-30 | F | AE | PT | ROSS | JQU064A62211 | MARTHA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.114525417.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536304/check_16411466_2fbcfce7-877c-47dc-85a5-86408d4254a7.json | N/A | N/A | N/A | N/A | N/A | JQU064A62211 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1945-03-19 | 040 | 07MS00 | N/A | N/A | false | ROSS | N/A | MARTHA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607779442 | N/A | N/A | 5536304 | 2222 | 4802 | 16652947 | N/A | 4209073 | 2025-12-28 01:41:10.974178 | 2025-11-19 19:47:03.642493 |
| 2025-12-27 08:12:35.277493 | 2025-12-28 01:33:17.928408 | 16411464 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 16411464 | Athletic Physical Therapy Inc | 1945-09-15 | 2025-12-30 | F | AE | PT | KHORSANDI | 02684303511 | PARIVASH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.114525417.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536016/check_16411464_c83dc010-c8e1-4b4d-8147-1b351e1ee7a2.json | N/A | N/A | N/A | N/A | N/A | 34309193111 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1945-09-15 | N/A | N/A | N/A | SP | false | KHORSANDI | N/A | PARIVASH | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607779441 | N/A | N/A | 5536016 | 2222 | 4802 | 16647303 | N/A | 4208831 | 2025-12-28 01:33:17.928408 | 2025-10-30 22:42:31.399473 |
| 2025-12-27 08:10:00.739435 | 2025-12-27 08:10:34.748518 | 16408482 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-05-11 | 2025-12-29 | F | AE | PT | YOUNG | 1297768537 | JESSICA | 6341 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14110854/check_16408482_2a661f33-6dd9-4a19-8784-6eac3dbbb6c6.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-12-29 | 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 | 2025-12-27 08:10:34.748518 | 2025-12-11 01:09:37.722947 |
| 2025-12-27 08:10:00.617917 | 2025-12-27 08:10:35.076951 | 16408479 | 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_16408479_a0713458-1133-4986-bb35-314ee2a51156.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 | 2025-12-27 08:10:35.076951 | 2025-11-11 01:01:48.778756 |
| 2025-12-27 08:10:00.595385 | 2025-12-27 08:10:35.055545 | 16408478 | 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_16408478_9fa2451e-00c6-457a-a27e-214791dc7545.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 | 2025-12-27 08:10:35.055545 | 2025-05-13 04:29:37.229495 |
| 2025-12-27 08:08:17.442868 | 2025-12-28 01:41:23.697345 | 16404098 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16404098 | Athletic Physical Therapy Inc | 1997-08-27 | 2025-12-30 | M | PT | N/A | ANTINORO | KZU11989344E | FRANCESCO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14720656/check_16404098_398f681e-2839-4729-b00a-16e950aabced.json | N/A | N/A | N/A | N/A | N/A | KZU11989344E | Preferred Provider Organization (PPO) | AEROVIRONMENT INC | ANTHEM BLUE CROSS | N/A | 1997-08-27 | 040 | 277825M007 | N/A | PR | false | ANTINORO | N/A | FRANCESCO | N/A | 9999-12-31 | 2022-06-06 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607764243 | N/A | N/A | 14720656 | 2222 | 4801 | 16653124 | N/A | 12848742 | 2025-12-28 01:41:23.697345 | 2025-12-30 16:01:54.498072 |
| 2025-12-27 08:08:17.349291 | 2025-12-28 01:41:24.295544 | 16404095 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16404095 | Athletic Physical Therapy Inc | 1959-10-01 | 2025-12-29 | M | PT | N/A | BECHMAN | MBL601W21232 | STUART | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14718282/check_16404095_ef05400a-e48e-455f-a3f0-c5262bfc2219.json | N/A | N/A | N/A | N/A | N/A | MBL601W21232 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1959-10-01 | 040 | CAEGR005 | N/A | N/A | false | BECHMAN | N/A | STUART | N/A | 2025-12-31 | 2024-09-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607764242 | N/A | N/A | 14718282 | 2222 | 4801 | 16653131 | N/A | 12846357 | 2025-12-28 01:41:24.295544 | 2025-12-28 22:27:32.983904 |
| 2025-12-27 08:08:17.255887 | 2025-12-28 01:39:03.252695 | 16404089 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16404089 | Athletic Physical Therapy Inc | 1943-09-10 | 2025-12-29 | F | AD | 30 | BURNS | 31022221301 | ANGELITA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14707029/check_16404089_939b9694-9a8f-49b4-891b-884dd9b15d05.json | N/A | N/A | N/A | N/A | N/A | 31022221301 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1943-09-10 | 2025H5425001 | H5425M | N/A | N/A | false | BURNS | N/A | ANGELITA | 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 | 9607764241 | N/A | N/A | 14707029 | 2222 | 4801 | 16651322 | 6237 | 12835920 | 2025-12-28 01:39:03.252695 | 2025-12-26 17:10:37.667078 |
| 2025-12-27 08:08:17.162120 | 2025-12-28 01:41:45.439560 | 16404086 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16404086 | Athletic Physical Therapy Inc | 1988-06-27 | 2025-12-30 | M | PT | N/A | YASSAMAN | NCF517A76394 | CAMERON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14583871/check_16404086_94edbb9a-14c1-401a-8cd9-2edf6df692d8.json | N/A | N/A | N/A | N/A | N/A | NCF517A76394 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1988-06-27 | 040 | 57AJCA | N/A | HM | false | YASSAMAN | N/A | CAMERON | N/A | 9999-12-31 | 2025-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607764240 | N/A | N/A | 14583871 | 2222 | 4801 | 16653462 | N/A | 12714924 | 2025-12-28 01:41:45.439560 | 2026-01-19 00:04:41.950139 |
| 2025-12-27 08:08:17.056091 | 2025-12-28 01:40:43.049818 | 16404080 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16404080 | Athletic Physical Therapy Inc | 1956-09-04 | 2025-12-30 | M | AE | PT | Power | 000022537970 | Dennis | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14578630/check_16404080_33f5555b-11f0-480d-949c-8ec28f2bf8fb.json | N/A | N/A | N/A | N/A | N/A | 000022537970 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1956-09-04 | 4299202 | 1650095001 | N/A | N/A | false | POWER | N/A | DENNIS | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 87 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607764239 | N/A | N/A | 14578630 | 2222 | 4802 | 16652550 | N/A | 12709990 | 2025-12-28 01:40:43.049818 | 2025-12-22 17:32:14.322898 |
| 2025-12-27 08:08:16.958356 | 2025-12-28 01:41:39.593577 | 16404076 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16404076 | Athletic Physical Therapy Inc | 1993-05-14 | 2025-12-30 | M | PT | N/A | KRASNY | VDHE01154199 | BRENNAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14434644/check_16404076_646ad39f-1781-4929-99f4-760a7ca7efbe.json | N/A | N/A | N/A | N/A | N/A | VDHE01154199 | Preferred Provider Organization (PPO) | DIGNITY HEALTH VENTURA | ANTHEM BLUE CROSS | N/A | 1993-05-14 | 040 | 174236M1A1 | N/A | PR | false | KRASNY | N/A | JOSEPHINE | N/A | 9999-12-31 | 2025-05-01 | PB INCENTIVE NO SUTTER | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607764238 | N/A | N/A | 14434644 | 2222 | 4793 | 16653349 | N/A | 12130740 | 2025-12-28 01:41:39.593577 | 2025-12-08 18:23:01.413319 |
| 2025-12-27 08:08:16.826108 | 2025-12-28 01:41:32.679232 | 16404071 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16404071 | Athletic Physical Therapy Inc | 1957-07-16 | 2025-12-30 | M | PT | N/A | GREENHALGE | 143A55388 | STEVE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14411082/check_16404071_69164f12-cf32-46e9-a48a-e99adea3c10a.json | N/A | N/A | N/A | N/A | N/A | NCF143A55388 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1957-07-16 | 040 | 57AJCA | N/A | HM | false | GREENHALGE | N/A | STEVE | 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 | 9607764237 | N/A | N/A | 14411082 | 2222 | 4801 | 16653236 | N/A | 12546413 | 2025-12-28 01:41:32.679232 | 2026-02-05 22:22:26.212113 |
| 2025-12-27 08:08:16.729665 | 2025-12-28 01:39:11.992448 | 16404065 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16404065 | Athletic Physical Therapy Inc | 1942-07-27 | 2025-12-30 | M | AE | PT | WOLFF | 31074823601 | ALEXIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14384454/check_16404065_76723165-08df-48a9-96a3-6bba46d8272c.json | N/A | N/A | N/A | N/A | N/A | 31074823601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1942-07-27 | 2025H5425001 | H5425M | N/A | N/A | false | WOLFF | N/A | ALEXIS | 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 | 9607764236 | N/A | N/A | 14384454 | 2222 | 4801 | 16651421 | 6237 | 4212193 | 2025-12-28 01:39:11.992448 | 2025-05-13 04:29:37.226536 |
| 2025-12-27 08:08:16.643376 | 2025-12-28 01:40:35.377003 | 16404061 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16404061 | Athletic Physical Therapy Inc | 1954-07-06 | 2025-12-30 | M | AE | PT | Kuromiya | 0015110957 | Larry | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14375909/check_16404061_f667d15d-e757-4349-8d4c-f93f35cca5f5.json | N/A | N/A | N/A | N/A | N/A | 0015110957 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1954-07-06 | N/A | N/A | N/A | N/A | false | KUROMIYA | N/A | LARRY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607764235 | N/A | N/A | 14375909 | 2222 | 4802 | 16652446 | N/A | 12511339 | 2025-12-28 01:40:35.377003 | 2025-12-17 19:55:42.975472 |
| 2025-12-27 08:08:16.547187 | 2025-12-28 01:41:33.225140 | 16404055 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 16404055 | Athletic Physical Therapy Inc | 1958-08-20 | 2025-12-30 | F | PT | N/A | HAILE MICHAEL | 291W2286820 | ABEBU | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14345284/check_16404055_18e484de-e388-4053-b4a2-97cb736f0c1c.json | N/A | N/A | N/A | N/A | N/A | 291W2286820 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1958-08-20 | N/A | N/A | N/A | N/A | false | HAILE MICHAEL | N/A | ABEBU | N/A | 9999-12-31 | 2025-02-01 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607764232 | N/A | N/A | 14345284 | 2222 | 4802 | 16653248 | 4184 | 4534565 | 2025-12-28 01:41:33.225140 | 2026-03-10 20:57:14.661259 |
| 2025-12-27 08:08:16.465102 | 2025-12-28 01:40:40.646259 | 16404051 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16404051 | Athletic Physical Therapy Inc | 1970-09-24 | 2025-12-30 | F | AE | PT | Franzblau | 000023384123 | Jean | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14320858/check_16404051_a3e35a6d-a0ac-4d55-a5ca-a715a6bc22a0.json | N/A | N/A | N/A | N/A | N/A | 000023384123 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1970-09-24 | 4371939 | 1650095001 | N/A | N/A | false | FRANZBLAU | N/A | JEAN | N/A | N/A | N/A | KP INDIVIDUAL AND FAMILY SILVER 70 HMO 2850/50% PC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607764231 | N/A | N/A | 14320858 | 2222 | 4802 | 16652516 | N/A | 12459118 | 2025-12-28 01:40:40.646259 | 2025-12-16 16:43:42.250412 |
| 2025-12-27 08:08:16.383093 | 2025-12-28 01:40:36.338947 | 16404048 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16404048 | Athletic Physical Therapy Inc | 1975-02-03 | 2025-12-30 | F | AE | PT | Rogers | 0020304750 | Erin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14298287/check_16404048_2f70071e-095c-4dba-85cc-e46a39d039b0.json | N/A | N/A | N/A | N/A | N/A | 0020304750 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1975-02-03 | N/A | N/A | N/A | N/A | false | ROGERS | N/A | ERIN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607764230 | N/A | N/A | 14298287 | 2222 | 4802 | 16652457 | N/A | 12432234 | 2025-12-28 01:40:36.338947 | 2025-12-16 23:22:49.710697 |
| 2025-12-27 08:08:16.289177 | 2025-12-28 01:40:43.488096 | 16404043 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16404043 | Athletic Physical Therapy Inc | 1960-03-01 | 2025-12-30 | F | AE | PT | Thomas | 000017578312 | Clare | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14227418/check_16404043_ba6e85d5-a21c-43b5-b1fd-cd57882a4885.json | N/A | N/A | N/A | N/A | N/A | 000017578312 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1960-03-01 | 4368486 | 100201 | N/A | N/A | false | THOMAS | N/A | CLARE | N/A | N/A | N/A | UNIVERSITY OF CALIFORNIA UCLA - CAMPUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607764229 | N/A | N/A | 14227418 | 2222 | 4802 | 16652565 | N/A | 12358465 | 2025-12-28 01:40:43.488096 | 2025-12-12 23:54:22.872674 |
| 2025-12-27 08:08:16.193127 | 2025-12-28 01:41:59.794582 | 16404037 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16404037 | Athletic Physical Therapy Inc | 1970-08-16 | 2025-12-30 | M | PT | N/A | TAMHANE | VBG913306283 | SHAILESH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14216912/check_16404037_b22af4df-2e2f-4bf9-812c-67f80edae8db.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 | 1970-08-16 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2025-01-01 | BLUE SHIELD OF CALIFORNIA ASO VISION PLUS PLAN | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607764228 | N/A | N/A | 14216912 | 2222 | 4801 | 16653683 | N/A | 12348892 | 2025-12-28 01:41:59.794582 | 2025-12-13 17:39:44.718220 |
| 2025-12-27 08:08:16.069594 | 2025-12-28 01:50:53.710046 | 16404031 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16404031 | Athletic Physical Therapy Inc | 1956-12-17 | 2025-12-30 | M | AE | PT | RANGEL ZUNIGA | 5DA7U87NX56 | LAZARO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14106133/check_16404031_23721bb3-06ba-463d-bcc5-0f1da822f8fb.json | N/A | N/A | N/A | N/A | N/A | 5DA7U87NX56 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-12-17 | S4802 | N/A | N/A | MA | false | RANGEL-ZUNIGA | N/A | LAZARO | N/A | N/A | N/A | N/A | N/A | 19844 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607764227 | N/A | N/A | 14106133 | 2222 | 4801 | 16659160 | N/A | 12245075 | 2025-12-28 01:50:53.710046 | 2025-12-10 21:47:44.167225 |
| 2025-12-27 08:08:15.980448 | 2025-12-28 01:46:39.263874 | 16404027 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 16404027 | Athletic Physical Therapy Inc | 1982-08-25 | 2025-12-29 | F | AE | PT | HERNANDEZ | 98922553G79170 | JUANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14058775/check_16404027_08eb2f46-e532-4c0d-b829-a81f6c6fcb4e.json | N/A | N/A | N/A | N/A | N/A | 98922553G79170 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1982-08-25 | N/A | N/A | N/A | N/A | false | HERNANDEZ | N/A | JUANA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607764226 | N/A | N/A | 14058775 | 2222 | 4802 | 16657637 | N/A | 12203619 | 2025-12-28 01:46:39.263874 | 2025-12-24 19:48:19.199045 |
| 2025-12-27 08:08:15.888586 | 2025-12-28 01:40:42.026757 | 16404020 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16404020 | Athletic Physical Therapy Inc | 1953-11-29 | 2025-12-30 | M | AE | PT | PENHASIAN | 000022524260 | MOURICE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14056391/check_16404020_522b8f43-17eb-487e-bdd1-fdd49da0489b.json | N/A | N/A | N/A | N/A | N/A | 000022524260 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1953-11-29 | 4360630 | 1650095002 | N/A | N/A | false | PENHASIAN | N/A | MOURICE | N/A | N/A | N/A | KPSA CONVERSION - SOUTH KPSA CONVERSION - SOUTH | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607764225 | N/A | N/A | 14056391 | 2222 | 4802 | 16652538 | N/A | 12201478 | 2025-12-28 01:40:42.026757 | 2025-12-17 18:52:21.824194 |
| 2025-12-27 08:08:15.803094 | 2025-12-28 01:41:58.496507 | 16404016 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16404016 | Athletic Physical Therapy Inc | 1958-05-28 | 2025-12-30 | F | PT | N/A | GRAY | XEM912431675 | TAMMIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14052325/check_16404016_78eb0279-c676-484d-a490-e452935595e3.json | N/A | N/A | N/A | N/A | N/A | XEM912431675 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1958-05-28 | 2002SF000028 | X0001002 | N/A | OT | false | GRAY | N/A | TAMMIE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607764223 | N/A | N/A | 14052325 | 2222 | 4801 | 16653668 | N/A | 12198042 | 2025-12-28 01:41:58.496507 | 2025-12-15 23:37:40.244228 |
| 2025-12-27 08:08:15.711894 | 2025-12-28 01:34:53.041677 | 16404011 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 16404011 | override_provider | 1974-05-24 | 2025-12-30 | F | PT | N/A | DOUCETTE | T7T800949917 | ALISON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14048400/check_16404011_fe09e41c-f333-4a50-b84a-eedd6c2605a7.json | N/A | N/A | N/A | N/A | N/A | T7T800949917 | Preferred Provider Organization (PPO) | TYLER TECHNOLOGIES | BLUE SHIELD OF CALIFORNIA | N/A | 1974-05-24 | N/A | PT5632 | N/A | PR | false | DOUCETTE | N/A | JAMES | N/A | 9999-12-31 | 2022-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607764222 | N/A | N/A | 14048400 | 2222 | 4801 | 16648608 | N/A | 12194671 | 2025-12-28 01:34:53.041677 | 2025-12-09 23:51:54.944921 |
| 2025-12-27 08:08:15.622020 | 2025-12-28 01:46:37.390741 | 16404006 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 16404006 | Athletic Physical Therapy Inc | 1961-08-27 | 2025-12-30 | M | AE | PT | COOTS | 98679526G04141 | ROLAND | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14035970/check_16404006_fc4f03ff-11b0-40be-bab7-1cbb9a19adce.json | N/A | N/A | N/A | N/A | N/A | 98679526G04141 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1961-08-27 | N/A | N/A | N/A | N/A | false | COOTS | N/A | ROLAND | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607764220 | N/A | N/A | 14035970 | 2222 | 4801 | 16657621 | N/A | 12182698 | 2025-12-28 01:46:37.390741 | 2025-12-16 21:29:57.722718 |
| 2025-12-27 08:08:15.530583 | 2025-12-28 01:41:33.755929 | 16404001 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16404001 | Athletic Physical Therapy Inc | 1972-02-08 | 2025-12-30 | F | PT | N/A | CUTRONA | XDP175A72570 | HANNAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14031531/check_16404001_ae8eb193-1fa0-4083-9b97-0bad9a11c827.json | N/A | N/A | N/A | N/A | N/A | XDP175A72570 | Preferred Provider Organization (PPO) | ALLSAINTS USA LIMITED CA/OOS | ANTHEM BLUE CROSS | N/A | 1972-02-08 | 040 | 282916M001 | N/A | PR | false | HEITKAM | N/A | PATRICK | N/A | 9999-12-31 | 2024-04-01 | PPO PRUDENT BUYER CLASSIC MULTI-CHOICE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607764219 | N/A | N/A | 14031531 | 2222 | 4801 | 16653258 | N/A | 12178385 | 2025-12-28 01:41:33.755929 | 2025-12-09 17:40:18.370186 |
| 2025-12-27 08:08:15.445699 | 2025-12-28 01:41:43.330004 | 16403997 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16403997 | Athletic Physical Therapy Inc | 1964-04-19 | 2025-12-30 | F | PT | N/A | ROTER | ZYF318M98531 | KIMBERLY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14029284/check_16403997_ca4f4210-acda-4f71-a961-f8f2cb3dce22.json | N/A | N/A | N/A | N/A | N/A | ZYF318M98531 | Preferred Provider Organization (PPO) | MANAGEMENT | ANTHEM BLUE CROSS | N/A | 1964-04-19 | 040 | 174257M2A1 | N/A | PR | false | ROTER | N/A | KIMBERLY | N/A | 9999-12-31 | 2019-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607764218 | N/A | N/A | 14029284 | 2222 | 4801 | 16653421 | N/A | 12176068 | 2025-12-28 01:41:43.330004 | 2026-01-22 17:57:37.664415 |
| 2025-12-27 08:08:15.344936 | 2025-12-28 01:40:59.258154 | 16403991 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16403991 | Athletic Physical Therapy Inc | 2013-04-23 | 2025-12-30 | M | AE | PT | KRASNO | 907100781003 | ETHAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13974038/check_16403991_55a5311b-4ac5-4f9b-aa0e-3426abc43ba3.json | N/A | N/A | N/A | N/A | N/A | 907100781003 | N/A | N/A | CENTENE CORPORATION | N/A | 2013-04-23 | N/A | N/A | N/A | N/A | false | KRASNO | N/A | ETHAN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607764217 | N/A | N/A | 13974038 | 2222 | 4801 | 16652785 | N/A | 12124199 | 2025-12-28 01:40:59.258154 | 2025-12-09 19:44:50.970187 |
| 2025-12-27 08:08:15.254156 | 2025-12-28 01:39:08.108179 | 16403988 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 16403988 | Athletic Physical Therapy Inc | 1958-02-02 | 2025-12-30 | F | AE | PT | REARDON | 40067213101 | PAMELA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13736409/check_16403988_76df303f-949f-4f5e-8f89-8a7c61f92c6f.json | N/A | N/A | N/A | N/A | N/A | 40067213101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1958-02-02 | 2025H5425001 | H5425M | N/A | N/A | false | REARDON | N/A | PAMELA | 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 | 9607764216 | N/A | N/A | 13736409 | 2222 | 4801 | 16651380 | N/A | 11887763 | 2025-12-28 01:39:08.108179 | 2026-01-22 00:49:45.798733 |
| 2025-12-27 08:08:15.147567 | 2025-12-28 01:41:38.011543 | 16403982 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16403982 | Athletic Physical Therapy Inc | 1976-11-10 | 2025-12-30 | F | PT | N/A | HUYNH | NCF560A74564 | NHUNG | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13683615/check_16403982_d90d0308-1573-4294-90f7-880e48bf9837.json | N/A | N/A | N/A | N/A | N/A | NCF560A74564 | Health Maintenance Organization (HMO) | CEDARS SINAI HEALTH SYSTEM | ANTHEM BLUE CROSS | N/A | 1976-11-10 | 040 | 57ADZG | N/A | HM | false | HUYNH | N/A | NHUNG HONG | N/A | 9999-12-31 | 2012-01-01 | HMO CEDARS SINAI ONLY | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607764215 | N/A | N/A | 13683615 | 2222 | 4801 | 16653328 | N/A | 11833771 | 2025-12-28 01:41:38.011543 | 2025-12-10 10:41:11.441314 |
| 2025-12-27 08:08:15.053368 | 2025-12-28 01:41:08.384506 | 16403976 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16403976 | Athletic Physical Therapy Inc | 1956-07-18 | 2025-12-30 | F | AE | PT | watson | 00000380103 | stella | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13644272/check_16403976_0a928edb-61f3-49c2-bfef-109b395fb806.json | N/A | N/A | N/A | N/A | N/A | 00000380103 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-07-18 | H3815007 | N/A | N/A | HM | false | WATSON | N/A | STELLA | N/A | 2025-12-31 | 2025-01-01 | ALIGNMENT HEALTH MY CHOICE CALPLUS (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607764214 | N/A | N/A | 13644272 | 2222 | 4801 | 16652908 | 2630 | 11792017 | 2025-12-28 01:41:08.384506 | 2025-12-04 01:49:08.682293 |
| 2025-12-27 08:08:14.961729 | 2025-12-28 01:41:42.035055 | 16403972 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16403972 | Athletic Physical Therapy Inc | 1946-10-06 | 2025-12-30 | F | PT | N/A | Nathanson | MBL249M98436 | Esther | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13642000/check_16403972_258bff73-48b3-4c0e-a52b-a50ee0ec90fa.json | N/A | N/A | N/A | N/A | N/A | MBL249M98436 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1946-10-06 | 040 | CAEGR005 | N/A | N/A | false | NATHANSON | N/A | ESTHER | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607764213 | N/A | N/A | 13642000 | 2222 | 4802 | 16653390 | N/A | 11789494 | 2025-12-28 01:41:42.035055 | 2025-12-03 18:37:13.762964 |
| 2025-12-27 08:08:14.876773 | 2025-12-28 01:50:58.842528 | 16403967 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16403967 | Athletic Physical Therapy Inc | 1952-07-29 | 2025-12-30 | F | AE | PT | Wachtel | 8GU2FH7UC95 | Suzette | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13636079/check_16403967_b9ce7e3f-fb6f-49c8-8037-2c7ed914b5f8.json | N/A | N/A | N/A | N/A | N/A | 8GU2FH7UC95 | Medicare Part A | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-29 | S2468 | N/A | N/A | MA | false | WACHTEL | N/A | SUZETTE | N/A | N/A | N/A | N/A | N/A | 72682 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607764212 | N/A | N/A | 13636079 | 2222 | 4802 | 16659175 | N/A | 11783912 | 2025-12-28 01:50:58.842528 | 2025-12-12 16:43:29.386846 |
| 2025-12-27 08:08:14.791051 | 2025-12-28 01:41:35.799596 | 16403963 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16403963 | Athletic Physical Therapy Inc | 2015-02-07 | 2025-12-30 | M | PT | N/A | HENRY | JQO465A58408 | KIRAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13601397/check_16403963_bd4d79be-5c62-4559-b3e3-e9b90a09d049.json | N/A | N/A | N/A | N/A | N/A | JQO465A58408 | Health Maintenance Organization (HMO) | N/A | ANTHEM BLUE CROSS | N/A | 2015-02-07 | 040 | 82DQ00 | N/A | HM | false | HENRY | N/A | JUSTIN | N/A | 2026-01-01 | 2025-10-01 | EXCHANGE MEMBER - ANTHEM BRONZE 60 HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607764211 | N/A | N/A | 13601397 | 2222 | 4793 | 16653288 | N/A | 4215004 | 2025-12-28 01:41:35.799596 | 2025-05-16 02:19:23.134024 |
| 2025-12-27 08:08:14.697945 | 2025-12-28 01:35:08.456816 | 16403957 | N/A | N/A | 60054 | Aetna | 1114042165 | 16403957 | Athletic Physical Therapy Inc | 2013-08-17 | 2025-12-30 | F | AE | PT | RUEMMELE | W297102676 | MAKENA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13600510/check_16403957_ff2be5c5-9797-4fbc-aa96-6dd2cd86993f.json | N/A | N/A | N/A | N/A | N/A | W297102676 | Point of Service (POS) | RIPPLING PEO 1, INC. | AETNA | N/A | 2013-08-17 | 0169696 | 016969602100020 | N/A | PS | false | ALFONSO | N/A | TANYA | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607764210 | N/A | N/A | 13600510 | 2222 | 4793 | 16648774 | N/A | 4534546 | 2025-12-28 01:35:08.456816 | 2025-12-03 00:06:29.870228 |
| 2025-12-27 08:08:14.608729 | 2025-12-28 01:50:40.676161 | 16403953 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16403953 | Athletic Physical Therapy Inc | 1953-07-03 | 2025-12-30 | M | AE | PT | BANBROOK | 2JU7EP9NY73 | HAL MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13538651/check_16403953_7248e3ea-fd65-4dfa-92ad-9eb6a690c97b.json | N/A | N/A | N/A | N/A | N/A | 2JU7EP9NY73 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-07-03 | S4802 | N/A | N/A | MB | false | BANBROOK | N/A | HAL | N/A | N/A | N/A | N/A | N/A | 73211 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607764208 | N/A | N/A | 13538651 | 2222 | 4793 | 16659121 | N/A | 11688569 | 2025-12-28 01:50:40.676161 | 2026-02-25 18:57:49.387834 |
| 2025-12-27 08:08:14.518669 | 2025-12-28 01:39:04.268869 | 16403947 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 16403947 | Athletic Physical Therapy Inc | 1958-02-21 | 2025-12-30 | F | AE | PT | GILL | 400599936801 | Sandra | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13437540/check_16403947_7547b251-c610-450b-85c9-8a6818140dae.json | N/A | N/A | N/A | N/A | N/A | 40059936801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1958-02-21 | 2025H5425001 | H5425M | N/A | N/A | false | GILL | N/A | SANDRA | 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 | 9607764207 | N/A | N/A | 13437540 | 2222 | 4801 | 16651331 | N/A | 11598682 | 2025-12-28 01:39:04.268869 | 2025-12-05 21:56:09.960213 |
| 2025-12-27 08:08:14.418489 | 2025-12-28 01:40:39.643745 | 16403942 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16403942 | Athletic Physical Therapy Inc | 1996-02-29 | 2025-12-30 | F | AE | PT | Elzinga | 000025992229 | Stevie | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13437538/check_16403942_eb8b4e2e-d5a5-4261-9db9-184eba2ff775.json | N/A | N/A | N/A | N/A | N/A | 000025992229 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1996-02-29 | 4362023 | 100990 | N/A | N/A | false | ELZINGA | N/A | STEVIE | N/A | N/A | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT L.A.USD-CERTIF | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607764206 | N/A | N/A | 13437538 | 2222 | 4802 | 16652507 | N/A | 11598678 | 2025-12-28 01:40:39.643745 | 2025-11-26 19:50:29.795204 |
| 2025-12-27 08:08:14.319725 | 2025-12-28 01:41:02.398997 | 16403937 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16403937 | Athletic Physical Therapy Inc | 1966-08-19 | 2025-12-30 | F | AE | PT | GUYON | R07053865FM1 | EILEEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251227.100034120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13436292/check_16403937_cc7949e0-1b95-4846-985f-00dacf9c70b5.json | N/A | N/A | N/A | N/A | N/A | R07053865FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1966-08-19 | N/A | N/A | N/A | N/A | false | GUYON | N/A | EILEEN | N/A | N/A | N/A | KVZ SBGHMOWC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607764205 | N/A | N/A | 13436292 | 2222 | 4801 | 16652828 | 4625 | 11597392 | 2025-12-28 01:41:02.398997 | 2025-11-26 19:15:08.793696 |