API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-27 08:08:14.225530 | 2025-12-28 01:39:04.965858 | 16403932 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16403932 | Athletic Physical Therapy Inc | 1944-05-15 | 2025-12-30 | F | AE | PT | MANANSALA | 31050880701 | CARMENCITA | 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/2222/13429096/check_16403932_ac7f428f-9076-4a2d-a666-a8a3df7a9b3d.json | N/A | N/A | N/A | N/A | N/A | 31050880701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1944-05-15 | 2025H5425001 | H5425M | N/A | N/A | false | MANANSALA | N/A | CARMENCITA | 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 | 9607764204 | N/A | N/A | 13429096 | 2222 | 4793 | 16651342 | 6237 | 11589389 | 2025-12-28 01:39:04.965858 | 2025-12-30 01:04:09.965015 |
| 2025-12-27 08:08:14.138479 | 2025-12-28 01:50:46.377152 | 16403929 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16403929 | Athletic Physical Therapy Inc | 1959-08-12 | 2025-12-29 | F | AE | PT | JUVONEN | 3MH3Y09HE60 | JAANA | 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/2222/13358116/check_16403929_a51e9e5f-894b-4e28-878b-7a004e5da0d4.json | N/A | N/A | N/A | N/A | N/A | 3MH3Y09HE60 | Medicare Part B | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-08-12 | S9701 | N/A | N/A | MB | false | JUVONEN | N/A | JAANA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | 80556 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607764203 | N/A | N/A | 13358116 | 2222 | 4802 | 16659139 | N/A | 11503717 | 2025-12-28 01:50:46.377152 | 2026-03-30 23:12:27.831360 |
| 2025-12-27 08:08:14.048153 | 2025-12-28 01:50:47.925691 | 16403925 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16403925 | Athletic Physical Therapy Inc | 1946-07-10 | 2025-12-30 | F | AE | PT | KOREY | 1HM0J93JP19 | SHEILA | 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/2222/13136123/check_16403925_63c01381-a72f-4758-b5af-df5a24ec4158.json | N/A | N/A | N/A | N/A | N/A | 1HM0J93JP19 | Medicare Part B | N/A | WELLCARE OF CALIFORNIA, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-07-10 | H5087 | N/A | N/A | MB | false | KOREY | N/A | SHEILA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607764202 | N/A | N/A | 13136123 | 2222 | 4793 | 16659146 | N/A | 4214919 | 2025-12-28 01:50:47.925691 | 2025-10-15 18:27:18.538651 |
| 2025-12-27 08:08:13.956853 | 2025-12-28 01:41:38.478576 | 16403919 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16403919 | Athletic Physical Therapy Inc | 2008-06-24 | 2025-12-30 | M | PT | N/A | Koplow | JQU363M83319 | Alexander | 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/2222/13127568/check_16403919_35eb9645-4eb9-4658-9d40-1a9d612e2b7d.json | N/A | N/A | N/A | N/A | N/A | JQU363M83319 | Preferred Provider Organization (PPO) | ALARE TECHNOLOGIES LLC | ANTHEM BLUE CROSS | N/A | 2008-06-24 | 040 | H24644 | N/A | PR | false | KOPLOW | N/A | DAVID | N/A | 2026-01-01 | 2025-01-01 | CA SG ANTHEM PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607764201 | N/A | N/A | 13127568 | 2222 | 4801 | 16653340 | N/A | 11278212 | 2025-12-28 01:41:38.478576 | 2025-12-10 00:01:25.104261 |
| 2025-12-27 08:08:13.860983 | 2025-12-28 01:41:40.366113 | 16403915 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16403915 | Athletic Physical Therapy Inc | 1971-11-21 | 2025-12-30 | F | PT | N/A | MARTINEZ | XDP851A67877 | LETICIA | 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/2222/13122920/check_16403915_f6a9f7f5-a9bb-4ead-bce2-8ba140ad957d.json | N/A | N/A | N/A | N/A | N/A | XDP851A67877 | Preferred Provider Organization (PPO) | SOUTHERN CALIFORNIA ORTHOPEDIC INSTITUTE CA/OOS | ANTHEM BLUE CROSS | N/A | 1971-11-21 | 040 | L00817M001 | N/A | PR | false | MARTINEZ | N/A | LETICIA | N/A | 9999-12-31 | 2023-11-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607764200 | N/A | N/A | 13122920 | 2222 | 4801 | 16653367 | N/A | 11273967 | 2025-12-28 01:41:40.366113 | 2025-12-31 00:35:32.240284 |
| 2025-12-27 08:08:13.780027 | 2025-12-28 01:40:37.949150 | 16403910 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16403910 | Athletic Physical Therapy Inc | 1958-03-23 | 2025-12-30 | F | AE | PT | Wells | 0022370783 | Paula | 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/2222/13050785/check_16403910_ec9f7337-2de3-42e5-ad64-39cafd898fb4.json | N/A | N/A | N/A | N/A | N/A | 0022370783 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1958-03-23 | N/A | N/A | N/A | N/A | false | WELLS | N/A | PAULA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607764199 | N/A | N/A | 13050785 | 2222 | 4802 | 16652477 | N/A | 11208103 | 2025-12-28 01:40:37.949150 | 2025-11-19 20:42:38.719398 |
| 2025-12-27 08:08:13.686950 | 2025-12-28 01:40:41.151885 | 16403905 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16403905 | Athletic Physical Therapy Inc | 1954-06-16 | 2025-12-30 | M | AE | PT | Grant | 000009933199 | Mark Antonio | 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/2222/13045814/check_16403905_c63d1709-3a37-4efd-ab04-232062078498.json | N/A | N/A | N/A | N/A | N/A | 000009933199 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1954-06-16 | N/A | N/A | N/A | N/A | false | GRANT | N/A | MARK ANTONIO | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607764198 | N/A | N/A | 13045814 | 2222 | 4802 | 16652529 | N/A | 11203117 | 2025-12-28 01:40:41.151885 | 2026-01-05 17:22:32.137960 |
| 2025-12-27 08:08:13.577971 | 2025-12-28 01:42:01.529382 | 16403899 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16403899 | Athletic Physical Therapy Inc | 1963-07-12 | 2025-12-30 | F | PT | N/A | MITCHELL | NCF844W18513 | HOLLY | 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/2222/12989755/check_16403899_d6c23e5b-ca62-43b1-a000-7fe14fbbb8cb.json | N/A | N/A | N/A | N/A | N/A | NCF844W18513 | Health Maintenance Organization (HMO) | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1963-07-12 | 040 | 57AJCA | N/A | HM | false | MITCHELL | N/A | HOLLY | N/A | 9999-12-31 | 2024-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607764197 | N/A | N/A | 12989755 | 2222 | 4801 | 16653708 | N/A | 11147858 | 2025-12-28 01:42:01.529382 | 2025-11-24 17:02:55.426297 |
| 2025-12-27 08:08:13.482756 | 2025-12-28 01:41:03.429916 | 16403893 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16403893 | Athletic Physical Therapy Inc | 1977-12-02 | 2025-12-30 | M | AE | PT | MAGALLANES | 98578736C | OCTAVIO | 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/2222/12966296/check_16403893_516913e5-94d2-41af-89da-e6cb81b805a2.json | N/A | N/A | N/A | N/A | N/A | 98578736C | N/A | N/A | HEALTH NET, LLC | N/A | 1977-12-02 | N/A | N/A | N/A | N/A | false | MAGALLANES | N/A | OCTAVIO | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607764196 | N/A | N/A | 12966296 | 2222 | 4802 | 16652836 | 4625 | 11124567 | 2025-12-28 01:41:03.429916 | 2025-11-18 00:49:11.709178 |
| 2025-12-27 08:08:13.393293 | 2025-12-28 01:41:44.954039 | 16403889 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16403889 | Athletic Physical Therapy Inc | 2008-03-11 | 2025-12-30 | F | PT | N/A | WOLF | JQU574A63585 | SAMANTHA | 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/2222/12936257/check_16403889_136366d5-9a27-4446-8ed5-cb84e9d69e8d.json | N/A | N/A | N/A | N/A | N/A | JQU574A63585 | Preferred Provider Organization (PPO) | WEB CONCRETE ENGINEERING LLC | ANTHEM BLUE CROSS | N/A | 2008-03-11 | 040 | U36736 | N/A | PR | false | WOLF | N/A | CHRIS | N/A | 9999-12-31 | 2025-03-01 | CA SG ANTHEM PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607764194 | N/A | N/A | 12936257 | 2222 | 4801 | 16653452 | N/A | 11097204 | 2025-12-28 01:41:44.954039 | 2026-02-23 22:39:24.005488 |
| 2025-12-27 08:08:13.305278 | 2025-12-28 01:40:36.844649 | 16403884 | N/A | N/A | 94134 | Kaiser Permanente KPIC | 1114042165 | 16403884 | Athletic Physical Therapy Inc | 1998-09-04 | 2025-12-30 | M | AE | PT | Spiro | 00003207453 | Caleb | 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/2222/12841515/check_16403884_22920503-733c-4f8a-8034-a1f109db09ce.json | N/A | N/A | N/A | N/A | N/A | 00003207453 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1998-09-04 | N/A | N/A | N/A | N/A | false | SPIRO | N/A | CALEB | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607764193 | N/A | N/A | 12841515 | 2222 | 4802 | 16652469 | N/A | 11005691 | 2025-12-28 01:40:36.844649 | 2025-11-15 00:55:09.557191 |
| 2025-12-27 08:08:13.216836 | 2025-12-28 01:50:41.779113 | 16403881 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16403881 | Athletic Physical Therapy Inc | 1949-05-18 | 2025-12-29 | F | AE | PT | Burk | 5Y14AG3HK78 | Celine | 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/2222/12839893/check_16403881_1fd3b13d-89c8-4d58-a129-8a145ff3b691.json | N/A | N/A | N/A | N/A | N/A | 5Y14AG3HK78 | Medicare Part A | 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 | MA | 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 | 9607764192 | N/A | N/A | 12839893 | 2222 | 4802 | 16659123 | N/A | 11004269 | 2025-12-28 01:50:41.779113 | 2025-11-14 23:42:44.614455 |
| 2025-12-27 08:08:13.135865 | 2025-12-28 01:46:38.508412 | 16403876 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 16403876 | Athletic Physical Therapy Inc | 2001-06-21 | 2025-12-30 | F | AE | PT | HAMILTON | 96975620F | JASMINE | 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/2222/12788618/check_16403876_0b20c2b9-f8fd-49e4-b6c4-f05c77b2b246.json | N/A | N/A | N/A | N/A | N/A | 96975620F | N/A | N/A | MEDICAID CALIFORNIA | N/A | 2001-06-21 | N/A | N/A | N/A | N/A | false | HAMILTON | N/A | JASMINE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607764191 | N/A | N/A | 12788618 | 2222 | 4801 | 16657627 | N/A | 10955192 | 2025-12-28 01:46:38.508412 | 2026-01-04 17:51:11.904509 |
| 2025-12-27 08:08:13.051511 | 2025-12-28 01:41:10.589832 | 16403870 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 16403870 | Athletic Physical Therapy Inc | 1961-02-08 | 2025-12-30 | F | AE | PT | KATKHOUDA | 95258599G | RYME | 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/2222/12788343/check_16403870_d546d54a-622b-4800-a263-fbf1cc02c908.json | N/A | N/A | N/A | N/A | N/A | 95258599G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1961-02-08 | MCLA | MWLLNMEG21 | N/A | N/A | false | KATKHOUDA | N/A | RYME | N/A | 2078-12-31 | 2023-01-01 | LACARE MEDICAL | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607764190 | N/A | N/A | 12788343 | 2222 | 4802 | 16652940 | N/A | 10954913 | 2025-12-28 01:41:10.589832 | 2026-02-03 00:31:49.512761 |
| 2025-12-27 08:08:12.969063 | 2025-12-28 01:50:54.655762 | 16403867 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16403867 | Athletic Physical Therapy Inc | 1956-07-15 | 2025-12-30 | M | AE | PT | Raudonis | 4QT6EC7VG78 | Mark | 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/2222/12493577/check_16403867_4fb6a3a6-aaaa-4274-b449-70e780f48ea6.json | N/A | N/A | N/A | N/A | N/A | 4QT6EC7VG78 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-07-15 | S4802 | N/A | N/A | MB | false | RAUDONIS | N/A | MARK | N/A | N/A | N/A | N/A | N/A | 105881 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607764189 | N/A | N/A | 12493577 | 2222 | 4793 | 16659162 | N/A | 10670073 | 2025-12-28 01:50:54.655762 | 2025-11-10 18:20:04.243140 |
| 2025-12-27 08:08:12.873211 | 2025-12-28 01:34:03.058001 | 16403860 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16403860 | Athletic Physical Therapy Inc | 1950-08-09 | 2025-12-30 | M | AE | PT | Kirgizbaev | 94138168G | Bakhtiyar | 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/2222/12407501/check_16403860_f0714241-a48c-46c0-b664-474f2bf28561.json | N/A | N/A | N/A | N/A | N/A | 94138168G | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1950-08-09 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | KIRGIZBAEV | N/A | BAKHTIYAR | N/A | 2078-12-31 | 2025-07-01 | AGED DISABLED - SPD - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607764188 | N/A | N/A | 12407501 | 2222 | 4802 | 16647978 | 4211 | 10587374 | 2025-12-28 01:34:03.058001 | 2025-12-24 19:36:03.607867 |
| 2025-12-27 08:08:12.761499 | 2025-12-28 01:35:09.643543 | 16403855 | N/A | N/A | 60054 | Aetna | 1114042165 | 16403855 | Athletic Physical Therapy Inc | 1980-12-26 | 2025-12-30 | M | AE | PT | MAHINAY | W219751013 | JASON | 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/2222/12366384/check_16403855_94c51219-ac5b-4eff-a801-cc5520d4ce70.json | N/A | N/A | N/A | N/A | N/A | W219751013 | Point of Service (POS) | HOLTHOUSE CARLIN & VAN TRIGT LLP | AETNA | N/A | 1980-12-26 | 0803905 | 080390501200002 | N/A | PS | false | MAHINAY | N/A | JASON | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607764187 | N/A | N/A | 12366384 | 2222 | 4793 | 16648781 | N/A | 10546247 | 2025-12-28 01:35:09.643543 | 2025-11-14 17:19:10.403651 |
| 2025-12-27 08:08:12.668745 | 2025-12-28 01:41:36.786463 | 16403851 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16403851 | Athletic Physical Therapy Inc | 1957-05-05 | 2025-12-30 | F | PT | N/A | HOUSTON | TRJNP0019401 | VELINA | 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/2222/12244725/check_16403851_e15796d1-f303-4f94-be7c-24f99a7331ee.json | N/A | N/A | N/A | N/A | N/A | TRJNP0019401 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1957-05-05 | 040 | 276727M001 | N/A | PR | false | HOUSTON | N/A | VELINA | N/A | 9999-12-31 | 2012-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607764186 | N/A | N/A | 12244725 | 2222 | 4802 | 16653301 | N/A | 9637804 | 2025-12-28 01:41:36.786463 | 2026-04-24 18:56:42.779565 |
| 2025-12-27 08:08:12.570280 | 2025-12-28 01:34:01.257031 | 16403845 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16403845 | Athletic Physical Therapy Inc | 1965-08-15 | 2025-12-29 | M | AE | PT | BRISICK | 2320654 | STEVEN | 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/2222/12172112/check_16403845_34835d96-3457-4032-ac90-2c1b8b533cc8.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 | 9607763051 | N/A | N/A | 12172112 | 2222 | 4802 | 16647962 | 4211 | 10384933 | 2025-12-28 01:34:01.257031 | 2025-11-04 18:26:03.763078 |
| 2025-12-27 08:08:12.485556 | 2025-12-28 01:37:03.974261 | 16403840 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 16403840 | Athletic Physical Therapy Inc | 1954-02-10 | 2025-12-30 | F | AE | PT | SHARMA | H74807838 | MONIKA | 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/2222/12113464/check_16403840_a88338b8-97ce-4d27-85eb-9c0af1537c6a.json | N/A | N/A | N/A | N/A | N/A | H74807838 | 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 | 1954-02-10 | N/A | 0B666001 | N/A | HN | false | SHARMA | N/A | MONIKA | 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 | 9607763050 | N/A | N/A | 12113464 | 2222 | 4801 | 16649980 | N/A | 10330803 | 2025-12-28 01:37:03.974261 | 2025-11-03 22:25:23.404066 |
| 2025-12-27 08:08:12.387248 | 2025-12-28 01:37:03.475113 | 16403836 | N/A | N/A | 61101 | HUMANA | 1114042165 | 16403836 | Athletic Physical Therapy Inc | 1935-03-07 | 2025-12-30 | F | AE | PT | MYERS | H6760956100 | LILA | 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/2222/12016953/check_16403836_83156cee-1ffa-4fbb-b058-2689a2d5a404.json | N/A | N/A | N/A | N/A | N/A | H67609561 | 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 | 1935-03-07 | N/A | 0B617001 | N/A | HN | false | MYERS | N/A | LILA | N/A | N/A | N/A | HUMANA HONOR | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607763049 | N/A | N/A | 12016953 | 2222 | 4793 | 16649976 | 5349 | 10238684 | 2025-12-28 01:37:03.475113 | 2025-10-31 23:14:33.453582 |
| 2025-12-27 08:08:12.301272 | 2025-12-28 01:50:51.391986 | 16403831 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16403831 | Athletic Physical Therapy Inc | 1960-03-18 | 2025-12-30 | F | AE | PT | MEYER | 6AA8T47WQ51 | LESLIE | 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/2222/11928201/check_16403831_c29c787b-8a1e-4a49-8512-7bc774c525f2.json | N/A | N/A | N/A | N/A | N/A | 6AA8T47WQ51 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-03-18 | S5921 | N/A | N/A | MA | false | MEYER | N/A | LESLIE | N/A | N/A | N/A | N/A | N/A | 140790 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607763048 | N/A | N/A | 11928201 | 2222 | 4793 | 16659155 | N/A | 4215335 | 2025-12-28 01:50:51.391986 | 2025-10-30 21:15:07.766449 |
| 2025-12-27 08:08:12.203270 | 2025-12-28 01:41:25.627482 | 16403824 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16403824 | Athletic Physical Therapy Inc | 1965-07-12 | 2025-12-30 | F | PT | N/A | BENSON | NCF361A559000 | ELIZABETH | 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/2222/11917007/check_16403824_a4f87d7a-6784-42ea-892d-2122473e11a2.json | N/A | N/A | N/A | N/A | N/A | NCF361A559000 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1965-07-12 | N/A | N/A | N/A | N/A | false | BENSON | N/A | ELIZABETH | 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 | 9607763047 | N/A | N/A | 11917007 | 2222 | 4793 | 16653140 | 4185 | 10144918 | 2025-12-28 01:41:25.627482 | 2025-11-17 16:03:18.208475 |
| 2025-12-27 08:08:12.106790 | 2025-12-28 01:40:38.452821 | 16403820 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16403820 | Athletic Physical Therapy Inc | 1952-10-12 | 2025-12-30 | F | AE | PT | Abraha | 000011262592 | Tarik | 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/2222/11843086/check_16403820_e71547ae-fbe6-41f6-bfc7-e23ae2133bf1.json | N/A | N/A | N/A | N/A | N/A | 000011262592 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1952-10-12 | 564559 | 105702 | N/A | N/A | false | ABRAHA | N/A | TARIK | N/A | N/A | N/A | STATE EMPLOYEES RETIREMENT SYSTEM STATE RETIREES | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607763046 | N/A | N/A | 11843086 | 2222 | 4802 | 16652492 | N/A | 10074998 | 2025-12-28 01:40:38.452821 | 2025-10-29 23:19:49.535455 |
| 2025-12-27 08:08:12.015518 | 2025-12-28 01:39:10.610126 | 16403814 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 16403814 | Athletic Physical Therapy Inc | 1952-06-27 | 2025-12-30 | M | AE | PT | WEST | 40065315001 | KIRK | 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/2222/11799742/check_16403814_54538abb-eff8-45c8-9a4f-873c062f3ad0.json | N/A | N/A | N/A | N/A | N/A | 40065315001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-06-27 | 2025H5425001 | H5425M | N/A | N/A | false | WEST | N/A | KIRK | 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 | 9607763045 | N/A | N/A | 11799742 | 2222 | 4801 | 16651413 | N/A | 10033486 | 2025-12-28 01:39:10.610126 | 2025-11-04 21:34:59.842331 |
| 2025-12-27 08:08:11.902346 | 2025-12-28 01:34:53.710336 | 16403808 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 16403808 | override_provider | 1997-11-05 | 2025-12-30 | M | PT | N/A | VILLANUEVA | ZGP813002220 | YAIR | 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/2222/11623284/check_16403808_f88e6403-035e-47c1-a176-0ecb5d753692.json | N/A | N/A | N/A | N/A | N/A | ZGP813002220 | Preferred Provider Organization (PPO) | RIMKUS CONSULTING GROUP, INC | BLUE SHIELD OF CALIFORNIA | N/A | 1997-11-05 | N/A | 279469 | N/A | PR | false | VILLANUEVA | N/A | YAIR | N/A | 9999-12-31 | 2025-03-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607763044 | N/A | N/A | 11623284 | 2222 | 4801 | 16648615 | N/A | 9860485 | 2025-12-28 01:34:53.710336 | 2025-11-10 18:34:52.696278 |
| 2025-12-27 08:08:11.814712 | 2025-12-28 01:50:49.902742 | 16403803 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16403803 | Athletic Physical Therapy Inc | 1959-12-29 | 2025-12-30 | F | AE | PT | LYGA | 3W97CK7AN48 | LISA | 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/2222/11604276/check_16403803_54ef77c3-9441-4530-96be-97695ee1220d.json | N/A | N/A | N/A | N/A | N/A | 3W97CK7AN48 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-12-29 | S5596 | N/A | N/A | MB | false | LYGA | N/A | LISA | N/A | N/A | N/A | N/A | N/A | 89305 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607763043 | N/A | N/A | 11604276 | 2222 | 4801 | 16659153 | N/A | 4218962 | 2025-12-28 01:50:49.902742 | 2025-05-13 04:29:37.229978 |
| 2025-12-27 08:08:11.725012 | 2025-12-28 01:41:30.518073 | 16403799 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16403799 | Athletic Physical Therapy Inc | 1966-12-01 | 2025-12-30 | F | PT | N/A | DE LUNA | JMV025A51982 | MARIA | 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/2222/11526121/check_16403799_1fc4d616-9c77-4721-b5c9-28f9f5d5dde3.json | N/A | N/A | N/A | N/A | N/A | JMV025A51982 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1966-12-01 | 040 | 56677NR000 | N/A | HM | false | DE LUNA | N/A | MARIA | N/A | 9999-12-31 | 2024-07-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607763042 | N/A | N/A | 11526121 | 2222 | 4801 | 16653204 | N/A | 9766947 | 2025-12-28 01:41:30.518073 | 2025-11-11 21:32:02.372730 |
| 2025-12-27 08:08:11.637294 | 2025-12-28 01:41:34.918590 | 16403794 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16403794 | Athletic Physical Therapy Inc | 1957-11-01 | 2025-12-30 | F | PT | N/A | Hennes | JEXNP2009208 | Valerie | 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/2222/11463855/check_16403794_436b7124-c69a-43f8-b19c-17bdb9c66f8c.json | N/A | N/A | N/A | N/A | N/A | JEXNP2009208 | Exclusive Provider Organization | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1957-11-01 | 040 | 276727M005 | N/A | EP | false | HENNES | N/A | VALERIE | N/A | 9999-12-31 | 2018-01-01 | USC EPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607763041 | N/A | N/A | 11463855 | 2222 | 4801 | 16653267 | N/A | 9713608 | 2025-12-28 01:41:34.918590 | 2025-11-13 07:29:15.484206 |
| 2025-12-27 08:08:11.547392 | 2025-12-28 01:41:42.645243 | 16403789 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16403789 | Athletic Physical Therapy Inc | 1961-06-24 | 2025-12-30 | M | PT | N/A | RAY | PAS838471972 | JOHN | 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/2222/11420779/check_16403789_e5632493-9719-4cd4-b456-a2c2d23a28dc.json | N/A | N/A | N/A | N/A | N/A | PAS838471972 | Preferred Provider Organization (PPO) | WEST HEALTH CARE NETWORK | ANTHEM BLUE CROSS | N/A | 1961-06-24 | N/A | 152001 | N/A | PR | false | RAY | N/A | JOHN | N/A | 2025-12-31 | 2025-06-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607763040 | N/A | N/A | 11420779 | 2222 | 4801 | 16653410 | N/A | 9673427 | 2025-12-28 01:41:42.645243 | 2025-11-03 19:27:12.288254 |
| 2025-12-27 08:08:11.462215 | 2025-12-28 01:50:48.963202 | 16403784 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16403784 | Athletic Physical Therapy Inc | 1942-12-02 | 2025-12-30 | M | AE | PT | Lawrence | 5N91QT7KX96 | Harvey | 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/2222/11156181/check_16403784_6f16ef34-f602-4c23-81a7-a51f9a963d15.json | N/A | N/A | N/A | N/A | N/A | 5N91QT7KX96 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-12-02 | S5884 | N/A | N/A | MB | false | LAWRENCE | N/A | HARVEY | N/A | N/A | N/A | N/A | N/A | 179283 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607763039 | N/A | N/A | 11156181 | 2222 | 4802 | 16659151 | N/A | 9502693 | 2025-12-28 01:50:48.963202 | 2025-12-16 19:10:22.413376 |
| 2025-12-27 08:08:11.377484 | 2025-12-28 01:40:59.823649 | 16403779 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16403779 | Athletic Physical Therapy Inc | 1991-07-29 | 2025-12-30 | F | AE | PT | NELSON | R12416085MM1 | JAZMIN | 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/2222/11011103/check_16403779_59bc2e4a-60d4-48b3-bd54-a1993c8ef194.json | N/A | N/A | N/A | N/A | N/A | R12416085MM1 | N/A | N/A | CENTENE CORPORATION | N/A | 1991-07-29 | N/A | N/A | N/A | N/A | false | NELSON | N/A | JAZMIN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607763038 | N/A | N/A | 11011103 | 2222 | 4801 | 16652790 | N/A | 9376481 | 2025-12-28 01:40:59.823649 | 2025-10-27 22:16:51.510374 |
| 2025-12-27 08:08:11.286023 | 2025-12-28 01:39:10.030593 | 16403774 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 16403774 | Athletic Physical Therapy Inc | 1943-02-06 | 2025-12-30 | F | AE | PT | TIPPITT | 40065208701 | SHIRLEY | 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/2222/10305383/check_16403774_afb54103-0f30-45a3-9446-42287992a288.json | N/A | N/A | N/A | N/A | N/A | 40065208701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1943-02-06 | 2025H5425001 | H5425M | N/A | N/A | false | TIPPITT | N/A | SHIRLEY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607763037 | N/A | N/A | 10305383 | 2222 | 4793 | 16651400 | N/A | 8574477 | 2025-12-28 01:39:10.030593 | 2025-10-22 02:47:47.756973 |
| 2025-12-27 08:08:11.181952 | 2025-12-28 01:34:04.676915 | 16403769 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16403769 | Athletic Physical Therapy Inc | 1983-05-09 | 2025-12-30 | F | AE | PT | RAJCIC | 622299781 | MAJA | 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/2222/10172287/check_16403769_bae1c4cd-419b-4c43-b025-c1b50be7ece4.json | N/A | N/A | N/A | N/A | N/A | 622299781 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1983-05-09 | 18126CA001000101 | QMXEM01910 | N/A | N/A | false | RAJCIC | N/A | MAJA | N/A | 2025-12-31 | 2025-01-01 | PLATINUM 90 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607763036 | N/A | N/A | 10172287 | 2222 | 4802 | 16648012 | 4211 | 8473558 | 2025-12-28 01:34:04.676915 | 2025-10-10 16:40:45.584452 |
| 2025-12-27 08:08:11.074953 | 2025-12-28 01:41:31.002432 | 16403763 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16403763 | Athletic Physical Therapy Inc | 1991-12-10 | 2025-12-30 | F | PT | N/A | DUBOIS | UCR377M98570 | DANIELLE | 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/2222/10089562/check_16403763_a3103cc6-ded1-47c1-a490-b44a53e0729b.json | N/A | N/A | N/A | N/A | N/A | UCR377M98570 | Preferred Provider Organization (PPO) | CHARTER COMMUNICATIONS INC | ANTHEM BLUE CROSS | N/A | 1991-12-10 | 241 | 230018ACA2 | N/A | PR | false | DUBOIS | N/A | WESTON | N/A | 9999-12-31 | 2020-01-01 | CDHP MISSOURI HEALTH SAVINGS ACCOUNT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607763035 | N/A | N/A | 10089562 | 2222 | 4801 | 16653220 | N/A | 8428267 | 2025-12-28 01:41:31.002432 | 2025-10-08 02:27:24.446873 |
| 2025-12-27 08:08:10.980817 | 2025-12-28 01:39:02.490847 | 16403760 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16403760 | Athletic Physical Therapy Inc | 1951-11-14 | 2025-12-30 | M | AE | PT | BELTRAN | 40037866601 | GUSTAVO | 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/2222/9903583/check_16403760_cfddce95-fcd0-414e-b5e0-385084cb40e0.json | N/A | N/A | N/A | N/A | N/A | 40037866601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-11-14 | 2025H5425001 | H5425M | N/A | N/A | false | BELTRAN | N/A | GUSTAVO | 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 | 9607763034 | N/A | N/A | 9903583 | 2222 | 4801 | 16651313 | 6237 | 8291830 | 2025-12-28 01:39:02.490847 | 2025-10-13 13:22:03.458547 |
| 2025-12-27 08:08:10.890499 | 2025-12-28 01:41:59.044358 | 16403753 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16403753 | Athletic Physical Therapy Inc | 1962-05-29 | 2025-12-30 | F | PT | N/A | LARSON | XEA913804058 | DEBRA | 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/2222/9562148/check_16403753_bc76d76f-7033-4d34-9b83-156c57403380.json | N/A | N/A | N/A | N/A | N/A | XAN913804058 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1962-05-29 | 1480PPOX0002 | W0051411 | N/A | PR | false | LARSON | N/A | DEBRA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607763033 | N/A | N/A | 9562148 | 2222 | 4793 | 16653673 | N/A | 7997320 | 2025-12-28 01:41:59.044358 | 2025-10-02 21:07:14.563938 |
| 2025-12-27 08:08:10.803537 | 2025-12-28 01:35:10.379115 | 16403748 | N/A | N/A | 60054 | Aetna | 1114042165 | 16403748 | Athletic Physical Therapy Inc | 1960-01-04 | 2025-12-30 | F | AE | PT | MARLEY | W032070695 | MARIA | 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/2222/9512811/check_16403748_bbfb77b2-3cfb-4af0-9627-f70f3da2801d.json | N/A | N/A | N/A | N/A | N/A | W032070695 | Exclusive Provider Organization | COSTCO WHOLESALE CORPORATION | AETNA | N/A | 1960-01-04 | 0169579 | 016957901100002 | N/A | EP | false | MARLEY | N/A | MARIA | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607763032 | N/A | N/A | 9512811 | 2222 | 4801 | 16648792 | N/A | 7955514 | 2025-12-28 01:35:10.379115 | 2025-09-26 00:32:05.426711 |
| 2025-12-27 08:08:10.704792 | 2025-12-28 01:41:07.418270 | 16403744 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16403744 | Athletic Physical Therapy Inc | 1959-04-22 | 2025-12-30 | F | AE | PT | MATHESON | 00000433752 | JANET | 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/2222/9511696/check_16403744_62fd38a5-8219-4698-b49b-91767c7fac3d.json | N/A | N/A | N/A | N/A | N/A | 00000433752 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1959-04-22 | H3815028 | N/A | N/A | HM | false | MATHESON | N/A | JANET | 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 | 9607763031 | N/A | N/A | 9511696 | 2222 | 4801 | 16652890 | 2630 | 7954244 | 2025-12-28 01:41:07.418270 | 2025-09-29 18:15:39.145358 |
| 2025-12-27 08:08:10.609962 | 2025-12-28 01:41:28.141658 | 16403737 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 16403737 | Athletic Physical Therapy Inc | 1966-12-04 | 2025-12-30 | M | PT | N/A | CLANCY | XDMOE0503879 | JOSEPH | 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/2222/9194927/check_16403737_061fb946-9c3f-45d7-9231-7172ab54c95d.json | N/A | N/A | N/A | N/A | N/A | XDMOE0503879 | Health Maintenance Organization (HMO) | OPERATING ENGINEERS HEALTH&WELFARE FUND | ANTHEM BLUE CROSS | N/A | 1966-12-04 | 040 | 278671H001 | N/A | HM | false | CLANCY | N/A | JOSEPH | N/A | 9999-12-31 | 2025-02-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607763030 | N/A | N/A | 9194927 | 2222 | 4793 | 16653175 | 4184 | 7712549 | 2025-12-28 01:41:28.141658 | 2025-09-10 17:29:28.945035 |
| 2025-12-27 08:08:10.518701 | 2025-12-28 01:50:53.057589 | 16403733 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16403733 | Athletic Physical Therapy Inc | 1950-04-13 | 2025-12-30 | F | AE | PT | NATALI | 2XU8UK4DF50 | RENEE | 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/2222/8979192/check_16403733_e5b509b0-2f19-4a4c-b301-babfa92bc15b.json | N/A | N/A | N/A | N/A | N/A | 2XU8UK4DF50 | Medicare Part B | N/A | HEALTH CARE SERVICE CORPORATION | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-04-13 | S5715 | N/A | N/A | MB | false | NATALI | N/A | RENEE | N/A | N/A | N/A | N/A | N/A | 103227 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607763029 | N/A | N/A | 8979192 | 2222 | 4793 | 16659157 | N/A | 7498543 | 2025-12-28 01:50:53.057589 | 2025-10-14 17:13:32.178778 |
| 2025-12-27 08:08:10.425291 | 2025-12-28 01:39:06.052339 | 16403727 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16403727 | Athletic Physical Therapy Inc | 1947-05-27 | 2025-12-30 | F | AD | 30 | OJEDA DE VALERIO | 40054924601 | MARCELINA | 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/2222/8634171/check_16403727_10e212c5-848f-42c6-951a-fec04d3cb1da.json | N/A | N/A | N/A | N/A | N/A | 40054924601 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1947-05-27 | 2025H5425001 | H5425M | N/A | N/A | false | OJEDA DE VALERIO | N/A | M | 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 | 9607763028 | N/A | N/A | 8634171 | 2222 | 4801 | 16651352 | 6237 | 7279268 | 2025-12-28 01:39:06.052339 | 2025-09-01 17:13:14.403136 |
| 2025-12-27 08:08:10.335214 | 2025-12-28 01:37:04.513498 | 16403724 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 16403724 | Athletic Physical Therapy Inc | 1958-02-20 | 2025-12-30 | F | AE | PT | SHERRY | H7159538300 | PAULA | 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/2222/8193020/check_16403724_075deca6-80e2-4235-930b-c2ef189ad0f5.json | N/A | N/A | N/A | N/A | N/A | H71595383 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1958-02-20 | N/A | 0B527001 | N/A | HN | false | SHERRY | N/A | PAULA | 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 | 9607763027 | N/A | N/A | 8193020 | 2222 | 4801 | 16649987 | N/A | 4214141 | 2025-12-28 01:37:04.513498 | 2025-05-13 04:29:37.228469 |
| 2025-12-27 08:08:10.238747 | 2025-12-28 01:34:04.168880 | 16403716 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16403716 | Athletic Physical Therapy Inc | 1976-02-07 | 2025-12-30 | F | AE | PT | MALTSEVA | 94237973H | YEVHENIIA | 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/2222/7253095/check_16403716_8af6e757-9413-43f4-8fe5-860133fdc163.json | N/A | N/A | N/A | N/A | N/A | 94237973H | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1976-02-07 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MALTSEVA | N/A | YEVHENIIA | N/A | 2078-12-31 | 2025-08-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607763026 | N/A | N/A | 7253095 | 2222 | 4802 | 16648004 | 4211 | 6219145 | 2025-12-28 01:34:04.168880 | 2025-07-21 16:40:35.276086 |
| 2025-12-27 08:08:10.151763 | 2025-12-28 01:50:44.214694 | 16403713 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16403713 | Athletic Physical Therapy Inc | 1959-02-09 | 2025-12-30 | F | AE | PT | FERTSCHNEIDER | 4DU9YG4YD46 | NANCY | 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/2222/7204595/check_16403713_8b38330e-9e0b-4ac4-bb2d-80d8618b85bd.json | N/A | N/A | N/A | N/A | N/A | 4DU9YG4YD46 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-09 | S5884 | N/A | N/A | MA | false | FERTSCHNEIDER | N/A | NANCY | N/A | N/A | N/A | N/A | N/A | 231330 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607763025 | N/A | N/A | 7204595 | 2222 | 4801 | 16659130 | N/A | 6175435 | 2025-12-28 01:50:44.214694 | 2025-08-05 19:05:08.506352 |
| 2025-12-27 08:08:10.058230 | 2025-12-28 01:34:03.650423 | 16403707 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16403707 | Athletic Physical Therapy Inc | 1967-12-06 | 2025-12-29 | F | AE | PT | KLOSSOWSKI | 98920892C | TRESSA | 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/2222/7019712/check_16403707_316cacee-b85b-4da2-ad22-0116fad7c613.json | N/A | N/A | N/A | N/A | N/A | 98920892C | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 01/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1967-12-06 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | KLOSSOWSKI | N/A | TRESSA | N/A | 2078-12-31 | 2025-04-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607763024 | N/A | N/A | 7019712 | 2222 | 4793 | 16647995 | 4211 | 6034714 | 2025-12-28 01:34:03.650423 | 2025-07-15 18:02:59.670156 |
| 2025-12-27 08:08:09.958941 | 2025-12-28 01:35:12.043944 | 16403701 | N/A | N/A | 60054 | AETNA | 1114042165 | 16403701 | Athletic Physical Therapy Inc | 1940-12-29 | 2025-12-30 | M | AE | PT | TRUNNELL | 101505559100 | WAYNE | 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/2222/6786642/check_16403701_0e0abd35-6055-49b9-948a-c66f028b3782.json | N/A | N/A | N/A | N/A | N/A | 101505559100 | Point of Service (POS) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-12-29 | 000003-CA000074 | 000003-CA | N/A | PS | false | TRUNNELL | N/A | WAYNE | N/A | N/A | N/A | AETNA MEDICARE PLUS (HMO-POS) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607763023 | N/A | N/A | 6786642 | 2222 | 4793 | 16648806 | 3939 | 5818009 | 2025-12-28 01:35:12.043944 | 2025-07-15 23:19:05.900633 |
| 2025-12-27 08:08:09.851649 | 2025-12-28 01:40:38.965040 | 16403696 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16403696 | Athletic Physical Therapy Inc | 2008-04-21 | 2025-12-29 | M | AE | PT | BERMUDEZ | 000019836525 | RAFAEL | 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/2222/6721942/check_16403696_d6d5e8b7-f567-4cb8-87f4-36b1fd53d840.json | N/A | N/A | N/A | N/A | N/A | 000019836525 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 2008-04-21 | 4327748 | 226977 | N/A | N/A | false | BERMUDEZ | N/A | RAFAEL | N/A | N/A | N/A | MEDI-CAL LA CARE HEALTH PLAN HF AID CODE H2 AGES 1 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607763022 | N/A | N/A | 6721942 | 2222 | 4793 | 16652500 | N/A | 5322280 | 2025-12-28 01:40:38.965040 | 2025-07-01 21:45:15.878047 |
| 2025-12-27 08:08:09.750274 | 2025-12-28 01:33:22.166454 | 16403690 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 16403690 | Athletic Physical Therapy Inc | 1955-02-20 | 2025-12-30 | F | AE | PT | SALGUERO | 35955370 | DINA | 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/2222/6711965/check_16403690_bb0cd918-4034-4349-8b5e-86b054bcfe69.json | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | 406-005-000 | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607763021 | N/A | N/A | 6711965 | 2222 | 4793 | 16647374 | 6798 | 4210430 | 2025-12-28 01:33:22.166454 | 2025-05-13 04:29:37.224841 |
| 2025-12-27 08:08:09.664763 | 2025-12-28 01:50:43.106950 | 16403684 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16403684 | Athletic Physical Therapy Inc | 1947-08-18 | 2025-12-30 | F | AE | PT | FABER | 4X26K21EE83 | LINDA | 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/2222/6522947/check_16403684_7bebc60a-9751-40ac-b225-56cbc8892e12.json | N/A | N/A | N/A | N/A | N/A | 4X26K21EE83 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-08-18 | S5617 | N/A | N/A | MB | false | FABER | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | 284528 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607763020 | N/A | N/A | 6522947 | 2222 | 4802 | 16659128 | N/A | 5146127 | 2025-12-28 01:50:43.106950 | 2025-06-20 17:58:23.371130 |