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 08:08:09.572464 | 2025-12-28 01:41:07.851458 | 16403679 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16403679 | Athletic Physical Therapy Inc | 1943-03-11 | 2025-12-30 | M | AE | PT | MATHEU | 00000270336 | CARLOS | 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/2222/6189737/check_16403679_3cfc0066-71cd-4641-9b11-5ea0ed2585ac.json | N/A | N/A | N/A | N/A | N/A | 00000270336 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1943-03-11 | H3815028 | N/A | N/A | HM | false | MATHEU | N/A | CARLOS | 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 | 9607763019 | N/A | N/A | 6189737 | 2222 | 4801 | 16652903 | 2630 | 4209126 | 2025-12-28 01:41:07.851458 | 2025-05-13 04:29:37.223551 |
| 2025-12-27 08:08:09.479023 | 2025-12-28 01:41:06.381491 | 16403675 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16403675 | Athletic Physical Therapy Inc | 1956-07-24 | 2025-12-30 | F | AE | PT | HOCHFELD | 00000365425 | 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/2222/5676362/check_16403675_e585fbc1-288e-4b50-9b04-b2f3daf78db7.json | N/A | N/A | N/A | N/A | N/A | 00000365425 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-07-24 | H3815028 | N/A | N/A | HM | false | HOCHFELD | N/A | PAMELA | 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 | 9607763018 | N/A | N/A | 5676362 | 2222 | 4793 | 16652881 | 2630 | 4219743 | 2025-12-28 01:41:06.381491 | 2025-12-04 22:36:02.632383 |
| 2025-12-27 08:08:09.392278 | 2025-12-28 01:50:44.768572 | 16403671 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16403671 | Athletic Physical Therapy Inc | 1951-12-26 | 2025-12-30 | M | AE | PT | FINEBERG | 9FX3D52YD09 | MARTIN | 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/2222/5549980/check_16403671_080f7ce1-363e-4f72-887d-24a1da670c5e.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MA | false | FINEBERG | N/A | MARTIN | N/A | N/A | N/A | N/A | N/A | 308537 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607763017 | N/A | N/A | 5549980 | 2222 | 4802 | 16659133 | N/A | 4219436 | 2025-12-28 01:50:44.768572 | 2025-05-13 04:29:37.230471 |
| 2025-12-27 08:08:09.299095 | 2025-12-28 01:35:11.100335 | 16403664 | N/A | N/A | 60054 | Aetna | 1114042165 | 16403664 | Athletic Physical Therapy Inc | 1955-03-15 | 2025-12-30 | F | AE | PT | MORTENSEN | MBL800W05634 | JEANIE | 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/2222/5549946/check_16403664_6c1b34d8-6917-43e5-81d2-518e16c4df94.json | N/A | N/A | N/A | N/A | N/A | MBL800W05634 | N/A | N/A | AETNA | N/A | 1955-03-15 | 0169623 | 016962301000201 | N/A | N/A | false | MORTENSEN | N/A | JEANIE | N/A | N/A | N/A | PPO DENTAL 2000 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607763016 | N/A | N/A | 5549946 | 2222 | 4801 | 16648799 | N/A | 4219431 | 2025-12-28 01:35:11.100335 | 2025-12-01 18:45:07.315802 |
| 2025-12-27 08:08:09.200809 | 2025-12-28 01:41:28.665149 | 16403658 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16403658 | Athletic Physical Therapy Inc | 1955-10-09 | 2025-12-30 | M | PT | N/A | COE | JQS589W10732 | SCOTT | 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/2222/5549514/check_16403658_aef8c1d5-bde6-4e07-a824-8f63d2034dc2.json | N/A | N/A | N/A | N/A | N/A | JQS589W10732 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1955-10-09 | 040 | CAMCRWP0 | N/A | MP | false | COE | N/A | SCOTT | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607763015 | N/A | N/A | 5549514 | 2222 | 4801 | 16653188 | 4185 | 4219161 | 2025-12-28 01:41:28.665149 | 2025-10-16 23:24:12.118501 |
| 2025-12-27 08:08:09.102259 | 2025-12-28 01:41:00.957696 | 16403654 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16403654 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-12-30 | M | AE | PT | FORTIN | R14644640MS1 | NATHANIEL | 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/2222/5543425/check_16403654_b5f8180e-7b5f-4d6c-ac01-fb315066e8a5.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | KVT SBGHMOWC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607763014 | N/A | N/A | 5543425 | 2222 | 4801 | 16652800 | 4625 | 4215211 | 2025-12-28 01:41:00.957696 | 2026-04-02 22:30:20.020246 |
| 2025-12-27 08:08:09.009491 | 2025-12-28 01:34:00.741784 | 16403648 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16403648 | Athletic Physical Therapy Inc | 1961-07-08 | 2025-12-30 | F | AE | PT | BERRY | 606308574 | KAREN | 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/2222/5543264/check_16403648_903185f8-9c5a-4f9b-b9f8-b446ed3344c3.json | N/A | N/A | N/A | N/A | N/A | 606308574 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-07-08 | 18126CA001000306 | QMXEM01910 | N/A | N/A | false | BERRY | N/A | KAREN | N/A | 2025-12-31 | 2025-09-01 | SILVER 94 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607763013 | N/A | N/A | 5543264 | 2222 | 4802 | 16647954 | 4211 | 4215080 | 2025-12-28 01:34:00.741784 | 2025-05-13 04:29:37.229395 |
| 2025-12-27 08:08:08.918696 | 2025-12-28 01:41:37.357495 | 16403642 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16403642 | Athletic Physical Therapy Inc | 1974-08-13 | 2025-12-30 | F | PT | N/A | HUGGINS | JXN261A50994 | DEEDEE | 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/2222/5543043/check_16403642_55ac0bc4-5f65-4d3f-b844-bacdb5f4105b.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 9999-12-31 | 2022-01-01 | BC PPO INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607763012 | N/A | N/A | 5543043 | 2222 | 4801 | 16653318 | N/A | 4214884 | 2025-12-28 01:41:37.357495 | 2025-11-12 00:46:10.301659 |
| 2025-12-27 08:08:08.787640 | 2025-12-28 01:50:55.987794 | 16403635 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16403635 | Athletic Physical Therapy Inc | 1959-10-03 | 2025-12-30 | F | AE | PT | REED | 2YY5KV0WP59 | SONIA | 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/2222/5542497/check_16403635_bbf81d42-b2d4-4ce1-ba7e-0e06415bf53e.json | N/A | N/A | N/A | N/A | N/A | 2YY5KV0WP59 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-10-03 | S5617 | N/A | N/A | MB | false | REED | N/A | SONIA | N/A | N/A | N/A | N/A | N/A | 236553 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607763011 | N/A | N/A | 5542497 | 2222 | 4801 | 16659165 | N/A | 4214397 | 2025-12-28 01:50:55.987794 | 2025-05-13 04:29:37.228723 |
| 2025-12-27 08:08:08.701925 | 2025-12-28 01:50:50.705616 | 16403630 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16403630 | Athletic Physical Therapy Inc | 1953-03-17 | 2025-12-30 | F | AE | PT | MARCUS | 4VG5XF7HN64 | LISSA | 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/2222/5542318/check_16403630_c52a86df-d9e2-4f17-bf66-7d352ab91898.json | N/A | N/A | N/A | N/A | N/A | 4VG5XF7HN64 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-03-17 | S4802 | N/A | N/A | MB | false | MARCUS | N/A | LISSA | N/A | N/A | N/A | N/A | N/A | 241000 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607763010 | N/A | N/A | 5542318 | 2222 | 4802 | 16659154 | N/A | 4214241 | 2025-12-28 01:50:50.705616 | 2025-05-13 04:29:37.228574 |
| 2025-12-27 08:08:08.612143 | 2025-12-28 01:50:45.547785 | 16403624 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16403624 | Athletic Physical Therapy Inc | 1936-09-29 | 2025-12-30 | M | AE | PT | JAUDE | 8D38EF9GV30 | KARIM | 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/2222/5542251/check_16403624_1707cb4a-97fd-4cd1-9c1e-fb4c4d6c105a.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MB | false | JAUDE | N/A | KARIM | N/A | N/A | N/A | N/A | N/A | 355964 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607763009 | N/A | N/A | 5542251 | 2222 | 4802 | 16659136 | N/A | 4214191 | 2025-12-28 01:50:45.547785 | 2025-05-13 04:29:37.228525 |
| 2025-12-27 08:08:08.514006 | 2025-12-28 01:34:01.874130 | 16403620 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16403620 | Athletic Physical Therapy Inc | 1975-03-26 | 2025-12-30 | F | AE | PT | HEYES | 95596436F | DARCIE | 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/2222/5542233/check_16403620_d29d1f84-7f51-434d-879a-3413fe7c2c5f.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1975-03-26 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | 2078-12-31 | 2024-04-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607763008 | N/A | N/A | 5542233 | 2222 | 4793 | 16647970 | 4211 | 4214178 | 2025-12-28 01:34:01.874130 | 2025-05-13 04:29:37.228506 |
| 2025-12-27 08:08:08.427156 | 2025-12-28 01:41:58.041629 | 16403615 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16403615 | Athletic Physical Therapy Inc | 1980-10-14 | 2025-12-30 | M | PT | N/A | ABI MALHAB | KSI73549599C | NADIM | 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/2222/5541968/check_16403615_65e808a6-0e58-4c16-8a8c-b6696d2c7f71.json | N/A | N/A | N/A | N/A | N/A | KSI73549599C | Preferred Provider Organization (PPO) | KARL STORZ ENDOSCOPY AMERICA INC | BLUE SHIELD CALIFORNIA | N/A | 1980-10-14 | 1000PPOX0003 | W8002382 | N/A | PR | false | ABI MALHAB | N/A | NADIM | N/A | N/A | N/A | KARL STORZ ENDOSCOPY AMERICA INC SHARED ADVANTAGE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607763007 | N/A | N/A | 5541968 | 2222 | 4802 | 16653652 | N/A | 4213936 | 2025-12-28 01:41:58.041629 | 2025-05-13 04:29:37.228255 |
| 2025-12-27 08:08:08.329920 | 2025-12-28 01:41:23.164491 | 16403609 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 16403609 | Athletic Physical Therapy Inc | 1959-05-13 | 2025-12-30 | F | PT | N/A | ADRIANZEN FERNAN | 221W2005420 | AURA | 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/2222/5541944/check_16403609_9c197dd9-fa25-4f94-8a66-86db58aa69ed.json | N/A | N/A | N/A | N/A | N/A | 221W2005420 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-05-13 | N/A | N/A | N/A | N/A | false | ADRIANZEN FERNAN | N/A | AURA | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607763006 | N/A | N/A | 5541944 | 2222 | 4801 | 16653110 | 4184 | 4213907 | 2025-12-28 01:41:23.164491 | 2025-05-13 04:29:37.228228 |
| 2025-12-27 08:08:08.231125 | 2025-12-28 01:41:31.792992 | 16403604 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16403604 | Athletic Physical Therapy Inc | 1974-10-21 | 2025-12-29 | F | PT | N/A | GARCIA | NCF666A56083 | DAWN | 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/2222/5541664/check_16403604_646e9cec-21d0-45fe-8599-291a0c8d90ff.json | N/A | N/A | N/A | N/A | N/A | NCF666A56083 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1974-10-21 | 040 | 57AJCA | N/A | HM | false | GARCIA | N/A | DAWN | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607763005 | N/A | N/A | 5541664 | 2222 | 4793 | 16653227 | 4185 | 4213662 | 2025-12-28 01:41:31.792992 | 2025-05-13 04:29:37.227982 |
| 2025-12-27 08:08:08.139177 | 2025-12-28 01:41:03.903450 | 16403598 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16403598 | Athletic Physical Therapy Inc | 1985-02-07 | 2025-12-30 | F | AE | PT | SHEPHERD | 93180838F | EMILY | 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/2222/5541519/check_16403598_55ec9de9-fa2c-40dc-9e89-6b28be115e26.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | HEALTH NET, LLC | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607763004 | N/A | N/A | 5541519 | 2222 | 4802 | 16652849 | 4625 | 4213530 | 2025-12-28 01:41:03.903450 | 2025-05-13 04:29:37.227860 |
| 2025-12-27 08:08:08.043825 | 2025-12-28 01:42:00.831658 | 16403592 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16403592 | Athletic Physical Therapy Inc | 2012-06-25 | 2025-12-30 | F | PT | N/A | LORD | JQT822A53740 | ALYSSA | 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/2222/5541409/check_16403592_64ad12fa-052c-4b45-9f05-6c8893d9085c.json | N/A | N/A | N/A | N/A | N/A | JQT822A53740 | Health Maintenance Organization (HMO) | JLIV SERVICES INC | BLUE SHIELD OF CALIFORNIA | N/A | 2012-06-25 | 040 | U54789 | N/A | HM | false | LORD | N/A | JETHRO | N/A | 9999-12-31 | 2025-08-01 | CA SG PRISELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607763003 | N/A | N/A | 5541409 | 2222 | 4793 | 16653693 | N/A | 4213435 | 2025-12-28 01:42:00.831658 | 2025-05-13 04:29:37.227756 |
| 2025-12-27 08:08:07.949870 | 2025-12-28 01:41:26.922854 | 16403587 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16403587 | Athletic Physical Therapy Inc | 1955-11-11 | 2025-12-30 | F | PT | N/A | CALDERON | JQU450A75837 | DEBBIE | 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/2222/5540282/check_16403587_494185a1-154c-439e-98ef-08c728efaa49.json | N/A | N/A | N/A | N/A | N/A | JQU450A75837 | Preferred Provider Organization (PPO) | ELKINS KALT WEINTRAUB REU | ANTHEM BLUE CROSS | N/A | 1955-11-11 | 040 | 494793 | N/A | PR | false | CALDERON | N/A | DEBBIE | N/A | 9999-12-31 | 2025-12-01 | ANTHEM GOLD PPO 30/500/20% | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607763001 | N/A | N/A | 5540282 | 2222 | 4802 | 16653164 | N/A | 4212465 | 2025-12-28 01:41:26.922854 | 2025-05-13 04:29:37.226801 |
| 2025-12-27 08:08:07.844915 | 2025-12-28 01:40:58.862491 | 16403581 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16403581 | Athletic Physical Therapy Inc | 1973-07-11 | 2025-12-30 | M | AE | PT | HERMAN | 95836743G | BRETT | 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/2222/5540113/check_16403581_8166d12c-5ba5-4e70-a437-70c6867cbcfc.json | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | CENTENE CORPORATION | N/A | 1973-07-11 | N/A | N/A | N/A | N/A | false | HERMAN | N/A | BRETT | N/A | N/A | N/A | MCE NON DUAL | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607763000 | N/A | N/A | 5540113 | 2222 | 4801 | 16652778 | 4625 | 4212315 | 2025-12-28 01:40:58.862491 | 2025-12-29 21:20:15.158611 |
| 2025-12-27 08:08:07.741678 | 2025-12-28 01:41:26.241675 | 16403574 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16403574 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-12-30 | F | PT | N/A | BOYLAN | MBL857M98403 | JOAN | 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/2222/5540074/check_16403574_3725a10d-cb19-4840-9f98-c9ee4c6789ae.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | 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 | 9607762999 | N/A | N/A | 5540074 | 2222 | 4802 | 16653156 | N/A | 4212282 | 2025-12-28 01:41:26.241675 | 2025-05-13 04:29:37.226623 |
| 2025-12-27 08:08:07.659872 | 2025-12-28 01:41:01.865386 | 16403570 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16403570 | Athletic Physical Therapy Inc | 1982-06-09 | 2025-12-30 | M | AE | PT | FULKERSON | R12222652MM1 | SCOTT | 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/2222/5539956/check_16403570_dd139dec-5483-4762-acf4-62a591ea6e05.json | N/A | N/A | N/A | N/A | N/A | R12222652MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1982-06-09 | N/A | N/A | N/A | N/A | false | FULKERSON | N/A | SCOTT | N/A | N/A | N/A | MFC UCNNHMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607762998 | N/A | N/A | 5539956 | 2222 | 4801 | 16652816 | N/A | 4212166 | 2025-12-28 01:41:01.865386 | 2025-10-23 15:59:33.239127 |
| 2025-12-27 08:08:07.569077 | 2025-12-28 01:41:44.374491 | 16403563 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16403563 | Athletic Physical Therapy Inc | 1961-10-29 | 2025-12-30 | F | PT | N/A | STEWARD | NCF874A20085 | ANDREA | 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/2222/5539556/check_16403563_64ca2982-0fcc-4cdf-996b-dc9375f3911a.json | N/A | N/A | N/A | N/A | N/A | NCF874A20085 | Health Maintenance Organization (HMO) | LACERS- LOS ANGELES CITY RETIREMENT SYSTEMS | ANTHEM BLUE CROSS | N/A | 1961-10-29 | 040 | 57ABBA | N/A | HM | false | STEWARD | N/A | ANDREA | N/A | 9999-12-31 | 2017-04-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607762997 | N/A | N/A | 5539556 | 2222 | 4801 | 16653434 | N/A | 4211841 | 2025-12-28 01:41:44.374491 | 2025-10-23 18:30:51.891275 |
| 2025-12-27 08:08:07.484079 | 2025-12-28 01:42:02.596139 | 16403558 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16403558 | Athletic Physical Therapy Inc | 1961-12-01 | 2025-12-30 | M | PT | N/A | TOOCH | JPU633M84536 | PETER | 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/2222/5538874/check_16403558_e8869342-b5f3-461f-a226-ad1bf8986a11.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M001 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 2026-01-01 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607762996 | N/A | N/A | 5538874 | 2222 | 4801 | 16653718 | N/A | 4211227 | 2025-12-28 01:42:02.596139 | 2025-05-13 04:29:37.225625 |
| 2025-12-27 08:08:07.392755 | 2025-12-28 01:50:42.580819 | 16403554 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16403554 | Athletic Physical Therapy Inc | 1954-01-24 | 2025-12-30 | F | AE | PT | DIGIOVANNI | 4N09TQ2YY18 | JILL | 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/2222/5538592/check_16403554_adc96fba-1376-465f-9d19-f1f8054bc887.json | N/A | N/A | N/A | N/A | N/A | 4N09TQ2YY18 | Medicare Part A | N/A | SENTRY INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-24 | S4802 | DOL 11022017 | N/A | MA | false | DIGIOVANNI | N/A | JILL | N/A | N/A | N/A | N/A | N/A | 118101 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607762995 | N/A | N/A | 5538592 | 2222 | 4801 | 16659126 | N/A | 4210993 | 2025-12-28 01:50:42.580819 | 2025-05-13 04:29:37.225395 |
| 2025-12-27 08:08:07.304011 | 2025-12-28 01:50:58.142235 | 16403548 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16403548 | Athletic Physical Therapy Inc | 1947-01-11 | 2025-12-30 | F | AE | PT | STROM | 1NH2KJ7FT00 | YOLANDA | 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/2222/5538182/check_16403548_c64c7115-b751-451c-8fce-7f7725e61bb7.json | N/A | N/A | N/A | N/A | N/A | 1NH2KJ7FT00 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-01-11 | S5921 | N/A | N/A | MB | false | STROM | N/A | YOLANDA | N/A | N/A | N/A | N/A | N/A | 30163 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607764185 | N/A | N/A | 5538182 | 2222 | 4802 | 16659171 | N/A | 4210637 | 2025-12-28 01:50:58.142235 | 2025-05-13 04:29:37.225051 |
| 2025-12-27 08:08:07.210084 | 2025-12-28 01:39:07.218483 | 16403543 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 16403543 | Athletic Physical Therapy Inc | 1957-02-16 | 2025-12-30 | F | AE | PT | OSE | 40050866601 | KAREN | 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/2222/5537366/check_16403543_04531e64-3927-411b-9f11-6f5cdb29b888.json | N/A | N/A | N/A | N/A | N/A | 40050866601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1957-02-16 | 2025H5425001 | H5425M | N/A | N/A | false | OSE | N/A | KAREN | 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 | 9607764184 | N/A | N/A | 5537366 | 2222 | 4793 | 16651364 | N/A | 4209945 | 2025-12-28 01:39:07.218483 | 2025-08-13 22:24:17.841096 |
| 2025-12-27 08:08:07.113866 | 2025-12-28 01:41:29.207505 | 16403538 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 16403538 | Athletic Physical Therapy Inc | 1957-04-03 | 2025-12-30 | M | PT | N/A | CRUZ CHEVEZ | JQW952W07822 | RICARDO | 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/2222/5537237/check_16403538_b7d2581b-58cb-463b-bc6e-95a3587b0202.json | N/A | N/A | N/A | N/A | N/A | JQW952W07822 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1957-04-03 | 040 | CAMCRWP0 | N/A | MP | false | CRUZ CHEVEZ | N/A | RICARDO | N/A | 2025-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9607764183 | N/A | N/A | 5537237 | 2222 | 4793 | 16653196 | 4184 | 4209841 | 2025-12-28 01:41:29.207505 | 2025-10-22 16:05:52.993032 |
| 2025-12-27 08:08:07.027526 | 2025-12-28 01:41:40.842934 | 16403533 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16403533 | Athletic Physical Therapy Inc | 1954-03-31 | 2025-12-30 | M | PT | N/A | MILES | MBL835W05431 | KEITH | 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/2222/5536896/check_16403533_6ad88fb2-25d7-48b5-8743-cabe9b0bd616.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | N/A | 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 | 9607764182 | N/A | N/A | 5536896 | 2222 | 4793 | 16653382 | N/A | 4209567 | 2025-12-28 01:41:40.842934 | 2025-05-13 04:29:37.223990 |
| 2025-12-27 08:08:06.938516 | 2025-12-28 01:50:56.674630 | 16403527 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16403527 | Athletic Physical Therapy Inc | 1945-03-19 | 2025-12-30 | F | AE | PT | ROSS | 6QX7T41GM46 | MARTHA | 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/2222/5536301/check_16403527_57855d2b-b3cf-4b7c-a279-ec9539f315b8.json | N/A | N/A | N/A | N/A | N/A | 6QX7T41GM46 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-03-19 | S5617 | N/A | N/A | MB | false | ROSS | N/A | MARTHA | N/A | N/A | N/A | N/A | N/A | 90505 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607764181 | N/A | N/A | 5536301 | 2222 | 4802 | 16659169 | N/A | 4209073 | 2025-12-28 01:50:56.674630 | 2025-11-19 19:47:03.642493 |
| 2025-12-27 08:08:06.848713 | 2025-12-28 01:50:52.141335 | 16403523 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16403523 | Athletic Physical Therapy Inc | 1946-12-07 | 2025-12-30 | F | AE | PT | MOONVES | 9VC3KJ4XU95 | NANCY | 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/2222/5536069/check_16403523_7e21a737-a7a2-4d8b-afb5-4ab5fa8217db.json | N/A | N/A | N/A | N/A | N/A | 9VC3KJ4XU95 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-12-07 | S5596 | N/A | N/A | MA | false | MOONVES | N/A | NANCY | N/A | N/A | N/A | N/A | N/A | 140845 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607764180 | N/A | N/A | 5536069 | 2222 | 4802 | 16659156 | N/A | 4208883 | 2025-12-28 01:50:52.141335 | 2025-05-13 04:29:37.223310 |
| 2025-12-27 08:08:06.735691 | 2025-12-28 01:50:47.175344 | 16403517 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16403517 | Athletic Physical Therapy Inc | 1945-09-15 | 2025-12-30 | F | AE | PT | KHORSANDI | 3CF4YQ5UH79 | PARIVASH | 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/2222/5536010/check_16403517_8f6bf429-ad5c-416a-8e95-56c916131d77.json | N/A | N/A | N/A | N/A | N/A | 3CF4YQ5UH79 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-09-15 | S5921 | N/A | N/A | MA | false | KHORSANDI | N/A | PARIVASH | N/A | N/A | N/A | N/A | N/A | 191067 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9607764179 | N/A | N/A | 5536010 | 2222 | 4802 | 16659143 | N/A | 4208831 | 2025-12-28 01:50:47.175344 | 2025-10-30 22:42:31.399473 |
| 2025-12-27 08:08:06.640190 | 2025-12-28 01:39:08.970975 | 16403510 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16403510 | Athletic Physical Therapy Inc | 1941-04-16 | 2025-12-30 | F | AD | 30 | RYAN | 31026142401 | CAROL | 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/2222/5535455/check_16403510_fa7a9dc8-e346-4203-9f1d-88c43df5afcb.json | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1941-04-16 | 2025H5425001 | H5425M | N/A | N/A | false | RYAN | N/A | CAROL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 9607764178 | N/A | N/A | 5535455 | 2222 | 4793 | 16651389 | 6237 | 4208375 | 2025-12-28 01:39:08.970975 | 2025-08-08 21:08:12.459471 |
| 2025-12-26 21:02:21.151705 | 2025-12-26 21:02:22.940345 | 16396863 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-12-26 | 2026-01-07 | M | AE | PT | Ramos | R1137852900 | Jimmy | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14714435/check_16396863_6d8b2655-ebd6-4b1f-9ed7-0cfcb1b11aa0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14714435/check_16396863_717fe561-9604-4b50-8180-c4db79727ae2.json | N/A | N/A | N/A | N/A | N/A | R1137852900 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1970-12-26 | 67138CA0520015-06 | N/A | N/A | N/A | false | RAMOS | N/A | JIMMY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9605202410 | N/A | N/A | 14714435 | 2222 | N/A | 16618902 | N/A | 12842873 | 2025-12-26 21:02:22.940345 | 2025-12-26 20:01:20.701115 |
| 2025-12-26 21:02:03.550933 | 2025-12-26 21:02:05.550721 | 16396853 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-12-26 | 2026-01-07 | M | AE | PT | Ramos | R1137852900 | Jimmy | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14714435/check_16396853_bc89c728-7285-45f1-8116-21a94630e1c3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14714435/check_16396853_0ca64b56-ad93-4aaa-b0cc-540ada0775f8.json | N/A | N/A | N/A | N/A | N/A | R1137852900 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1970-12-26 | 67138CA0520015-06 | N/A | N/A | N/A | false | RAMOS | N/A | JIMMY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9605200841 | N/A | N/A | 14714435 | 2222 | N/A | 16618894 | N/A | 12842873 | 2025-12-26 21:02:05.550721 | 2025-12-26 20:01:20.701115 |
| 2025-12-26 21:01:40.555591 | 2025-12-26 21:01:42.507118 | 16396851 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-12-26 | 2026-01-07 | M | AE | PT | Ramos | R1137852900 | Jimmy | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14714435/check_16396851_f08d3201-f271-44da-9638-069212fc2c61.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14714435/check_16396851_1e8bd753-3ccf-4bf7-844f-ba40165f7f43.json | N/A | N/A | N/A | N/A | N/A | R1137852900 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1970-12-26 | 67138CA0520015-06 | N/A | N/A | N/A | false | RAMOS | N/A | JIMMY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9605198673 | N/A | N/A | 14714435 | 2222 | N/A | 16618892 | N/A | 12842873 | 2025-12-26 21:01:42.507118 | 2025-12-26 20:01:20.701115 |
| 2025-12-26 21:01:17.397336 | 2025-12-26 21:01:19.246967 | 16396845 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-12-26 | 2026-01-07 | M | AE | PT | Ramos | R1137852900 | Jimmy | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14714435/check_16396845_eccc11f7-433a-48e6-992e-8977ed727735.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14714435/check_16396845_3b81a508-81d4-4801-823e-531578c6f887.json | N/A | N/A | N/A | N/A | N/A | R1137852900 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1970-12-26 | 67138CA0520015-06 | N/A | N/A | N/A | false | RAMOS | N/A | JIMMY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9605196850 | N/A | N/A | 14714435 | 2222 | N/A | 16618887 | N/A | 12842873 | 2025-12-26 21:01:19.246967 | 2025-12-26 20:01:20.701115 |
| 2025-12-26 21:01:03.479871 | 2025-12-26 21:01:05.250308 | 16396844 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-12-26 | 2026-01-07 | M | AE | PT | Ramos | R1137852900 | Jimmy | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14714435/check_16396844_c034e374-fba7-422c-8cf6-a763ac19cfbe.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14714435/check_16396844_df7bbd0d-640a-4d5c-9e89-257ac6c75f64.json | N/A | N/A | N/A | N/A | N/A | R1137852900 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1970-12-26 | 67138CA0520015-06 | N/A | N/A | N/A | false | RAMOS | N/A | JIMMY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9605195803 | N/A | N/A | 14714435 | 2222 | N/A | 16618885 | N/A | 12842873 | 2025-12-26 21:01:05.250308 | 2025-12-26 20:01:20.701115 |
| 2025-12-26 21:00:55.097631 | 2025-12-26 21:00:56.957935 | 16396842 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-12-26 | 2026-01-07 | M | AE | PT | Ramos | R1137852900 | Jimmy | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14714435/check_16396842_868b187b-cdf9-4802-b7b0-d64b78c47a4b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14714435/check_16396842_6110f0b0-f45c-467d-913e-daa1c9004ba8.json | N/A | N/A | N/A | N/A | N/A | R1137852900 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1970-12-26 | 67138CA0520015-06 | N/A | N/A | N/A | false | RAMOS | N/A | JIMMY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9605195236 | N/A | N/A | 14714435 | 2222 | N/A | 16618884 | N/A | 12842873 | 2025-12-26 21:00:56.957935 | 2025-12-26 20:01:20.701115 |
| 2025-12-26 21:00:38.459393 | 2025-12-26 21:00:41.178125 | 16396840 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-12-26 | 2026-01-07 | M | AE | PT | Ramos | R1137852900 | Jimmy | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14714435/check_16396840_c5610b23-32bd-4c9b-b498-5da681f75943.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14714435/check_16396840_ec1363d7-713b-4bd6-857c-2a002a9079a2.json | N/A | N/A | N/A | N/A | N/A | R1137852900 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1970-12-26 | 67138CA0520015-06 | N/A | N/A | N/A | false | RAMOS | N/A | JIMMY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9605193867 | N/A | N/A | 14714435 | 2222 | N/A | 16618880 | N/A | 12842873 | 2025-12-26 21:00:41.178125 | 2025-12-26 20:01:20.701115 |
| 2025-12-26 21:00:30.523278 | 2025-12-26 21:00:33.457358 | 16396838 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-12-26 | 2026-01-07 | M | AE | PT | Ramos | R1137852900 | Jimmy | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14714435/check_16396838_1a75044d-0bc4-440d-a64a-80e34a4da887.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14714435/check_16396838_1090b9a5-a66e-4331-8a89-1ed4db87e980.json | N/A | N/A | N/A | N/A | N/A | R1137852900 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1970-12-26 | 67138CA0520015-06 | N/A | N/A | N/A | false | RAMOS | N/A | JIMMY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9605193244 | N/A | N/A | 14714435 | 2222 | N/A | 16618879 | N/A | 12842873 | 2025-12-26 21:00:33.457358 | 2025-12-26 20:01:20.701115 |
| 2025-12-26 18:57:32.568251 | 2025-12-26 18:57:45.913335 | 16395910 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1997-11-05 | 2025-12-30 | M | PT | N/A | VILLANUEVA | ZGP813002220 | YAIR | 4197 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11623284/check_16395910_a78d9a0a-7d68-4c9b-bd83-2b4379d09435.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11623284/check_16395910_d6b13fe4-0a2e-45e3-8dab-9e09903fb5d4.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 | 9604557268 | 8428 | N/A | 11623284 | 2222 | N/A | 16617829 | N/A | 9860485 | 2025-12-26 18:57:45.913335 | 2025-11-10 18:34:52.696278 |
| 2025-12-26 18:10:24.936030 | 2025-12-26 18:10:26.794463 | 16395415 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-11-25 | 2025-12-29 | M | AE | PT | Maher | 80Y0447913 | Timothy | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13655342/check_16395415_2f1793fd-213a-4243-9e9b-8b9cf60667af.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13655342/check_16395415_2c116ab3-0451-457c-8438-3a3a1c18cc3e.json | N/A | N/A | N/A | N/A | N/A | 80Y0447913 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1943-11-25 | N/A | N/A | N/A | N/A | false | MAHER | N/A | TIMOTHY | 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 | 8428 | N/A | 13655342 | 2222 | N/A | 16617327 | N/A | 11803316 | 2025-12-26 18:10:26.794463 | 2025-12-16 19:29:59.872631 |
| 2025-12-26 18:10:23.213234 | 2025-12-26 18:10:24.932887 | 16395413 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-11-25 | 2025-12-29 | M | AE | PT | Maher | 80Y0447913 | Timothy | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13655342/check_16395413_9251a5d4-4d80-437f-9cc0-734908295654.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-29 | N/A | N/A | N/A | N/A | N/A | N/A | 80Y0447913 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1943-11-25 | N/A | N/A | N/A | N/A | false | MAHER | N/A | TIMOTHY | 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 | 8428 | N/A | 13655342 | 2222 | N/A | N/A | N/A | 11803316 | 2025-12-26 18:10:24.932887 | 2025-12-16 19:29:59.872631 |
| 2025-12-26 16:46:45.355064 | 2025-12-26 16:46:48.221738 | 16394494 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-12-16 | 2025-10-29 | F | AE | PT | DE FELICE | R07457624FM1 | CHRISTINA | 4625 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6140436/check_16394494_0a7f53b3-da09-43ed-9bf7-11808c2165b3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140436/check_16394494_094a5ca4-2968-4644-a8f5-6c3f24994c4a.json | N/A | N/A | N/A | N/A | N/A | R07457624FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1981-12-16 | N/A | N/A | N/A | N/A | false | DE FELICE | N/A | CHRISTINA | N/A | 2025-11-30 | 2024-12-01 | KA9 SBP | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9603908293 | 8428 | N/A | 6140436 | 2222 | N/A | 16616361 | N/A | 4781417 | 2025-12-26 16:46:48.221738 | 2025-06-06 17:03:19.078153 |
| 2025-12-26 08:28:49.830118 | 2025-12-26 08:28:52.534785 | 16383220 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-10-28 | 2025-12-29 | M | AE | PT | WALROTH | 342501887-11 | TERRY | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7785551/check_16383220_0690baa7-28c1-4b3f-a90c-8a9ce1b1eafe.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7785551/check_16383220_51fbab5b-c1ac-4799-85f7-9c7f88197ac6.json | N/A | N/A | N/A | N/A | N/A | 342501887 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1949-10-28 | N/A | N/A | N/A | N/A | false | WALROTH | N/A | TERRY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7785551 | 2222 | N/A | 16605271 | N/A | 6629682 | 2025-12-26 08:28:52.534785 | 2025-08-05 17:28:10.392410 |
| 2025-12-26 08:28:47.218195 | 2025-12-26 08:28:49.827354 | 16383174 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-10-28 | 2025-12-29 | M | AE | PT | WALROTH | 342501887-11 | TERRY | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7785551/check_16383174_4e980cfb-f3ab-4703-9d9c-ea4c90eff8f7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-29 | N/A | N/A | N/A | N/A | N/A | N/A | 342501887 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1949-10-28 | N/A | N/A | N/A | N/A | false | WALROTH | N/A | TERRY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7785551 | 2222 | N/A | N/A | N/A | 6629682 | 2025-12-26 08:28:49.827354 | 2025-08-05 17:28:10.392410 |
| 2025-12-26 08:24:18.731351 | 2025-12-26 08:24:21.591763 | 16380525 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-10-30 | 2025-12-29 | F | AE | PT | Levenson | 46816461 | Kyra | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12841638/check_16380525_4b6d1b2b-d244-42f9-9eb8-483e68f3c09c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12841638/check_16380525_bd414210-5df7-4537-9f11-510791d726ac.json | N/A | N/A | N/A | N/A | N/A | 46816461 | N/A | COMCAST CORPORATION | UMR | N/A | 1997-10-30 | 767000416942004 | 76416942 | N/A | N/A | false | LEVENSON | N/A | KYRA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600925860 | N/A | N/A | 12841638 | 2222 | N/A | 16602876 | N/A | 11005795 | 2025-12-26 08:24:21.591763 | 2025-11-15 00:37:20.611855 |
| 2025-12-26 08:24:16.054298 | 2025-12-26 08:24:16.394962 | 16380497 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-10-30 | 2025-12-29 | F | AE | PT | Levenson | 46816461 | Kyra | N/A | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-12-29 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 12841638 | 2222 | N/A | N/A | N/A | 11005795 | 2025-12-26 08:24:16.394962 | 2025-11-15 00:37:20.611855 |
| 2025-12-26 08:24:15.525936 | 2025-12-26 08:24:22.119469 | 16380496 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-11-18 | 2025-12-29 | F | AE | PT | Liberto | 229149130300 | Virginia | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9487561/check_16380496_35425f92-844f-490b-9c93-78d73854cf19.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9487561/check_16380496_8346c6c0-d294-4981-a12c-692568e5fc5d.json | N/A | N/A | N/A | N/A | N/A | 22914913000 | Commercial | N/A | Oxford Health Insurance, Inc. | N/A | 1996-11-18 | N/A | 1363990 | N/A | C1 | false | Liberto | N/A | Virginia | N/A | N/A | N/A | Freedom Network | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9487561 | 2222 | N/A | 16602884 | N/A | 7937193 | 2025-12-26 08:24:22.119469 | 2025-09-17 23:48:53.744310 |
| 2025-12-26 08:24:15.523271 | 2025-12-26 08:24:18.920992 | 16380495 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-01-06 | 2025-12-29 | M | AE | PT | Glaswand | 910084286 | Matthew | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11364623/check_16380495_c1ff630e-0991-4b48-acb9-be7657e2c0ad.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11364623/check_16380495_c046835a-818d-4f15-a949-883b47a5aa5e.json | N/A | N/A | N/A | N/A | N/A | 910084286 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1993-01-06 | N/A | 903887 | N/A | C1 | false | GLASWAND | N/A | MATTHEW | N/A | N/A | N/A | POS CHOICE PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11364623 | 2222 | N/A | 16602852 | N/A | 9633386 | 2025-12-26 08:24:18.920992 | 2025-10-22 18:27:33.120022 |