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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-26 08:24:15.323397 | 2025-12-26 08:24:20.083325 | 16380494 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-05-23 | 2025-12-29 | F | AE | PT | Hanson | 6403111400 | Stasia | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9316600/check_16380494_e2ba9e65-a98b-4d8b-bc88-e94133a4c9c8.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9316600/check_16380494_042b22f2-ce54-417e-b6f3-fb17dd93f051.json | N/A | N/A | N/A | N/A | N/A | 640311400 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 2005-05-23 | N/A | 215825 | N/A | C1 | false | HANSON | N/A | STASIA | 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 | 9316600 | 2222 | N/A | 16602863 | N/A | 7815191 | 2025-12-26 08:24:20.083325 | 2025-09-11 15:56:53.475981 |
| 2025-12-26 08:24:15.211001 | 2025-12-26 08:24:18.911831 | 16380493 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-01-07 | 2025-12-29 | F | AE | PT | BUCHLER | 941436830 | Miroslava | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9277476/check_16380493_c32126f6-7670-4aed-8806-222092cf380b.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9277476/check_16380493_140957b7-dfe0-4f73-bcdd-b88bd393b5cf.json | N/A | N/A | N/A | N/A | N/A | 941436830 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1976-01-07 | N/A | 701444 | N/A | C1 | false | BUCHLER | N/A | MIROSLAVA | 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 | 9277476 | 2222 | N/A | 16602850 | N/A | 7785772 | 2025-12-26 08:24:18.911831 | 2025-09-16 03:06:31.754909 |
| 2025-12-26 08:24:15.161183 | 2025-12-26 08:24:19.406518 | 16380492 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-06-06 | 2025-12-29 | F | AE | PT | GIESSINGER | 976913826 | OLIVIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/8385973/check_16380492_e34fec57-cf8a-45e6-b41b-da063873945d.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8385973/check_16380492_85c3a77d-2e36-48df-adc0-23743561cf29.json | N/A | N/A | N/A | N/A | N/A | 976913826 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 2001-06-06 | N/A | 48656 | N/A | C1 | false | GIESSINGER | N/A | OLIVIA | N/A | N/A | N/A | VANTAGEPLUS PPO FGK | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8385973 | 2222 | N/A | 16602858 | N/A | 7065184 | 2025-12-26 08:24:19.406518 | 2025-08-21 01:04:39.891389 |
| 2025-12-26 08:24:15.120740 | 2025-12-26 08:24:20.057527 | 16380491 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-01-04 | 2025-12-29 | M | AE | PT | GERSHMAN | 987203340 | TYLER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542830/check_16380491_8717073e-40c0-4097-bdad-8f0d3b7c7f9d.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542830/check_16380491_abfeb6d9-98cb-4f65-b023-e9b724368bfe.json | N/A | N/A | N/A | N/A | N/A | 987203340 | Consolidated Omnibus Budget Reconciliation Act (COBRA) | N/A | UNITEDHEALTHCARE | N/A | 1997-01-04 | N/A | 228485 | N/A | CO | false | GERSHMAN | N/A | TYLER | N/A | N/A | N/A | SELECT PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542830 | 2222 | N/A | 16602862 | N/A | 4214699 | 2025-12-26 08:24:20.057527 | 2025-05-13 04:29:37.229016 |
| 2025-12-26 08:24:15.068395 | 2025-12-26 08:24:18.901445 | 16380490 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2000-11-27 | 2025-12-29 | M | AE | PT | SHEMIAN | 975315828 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9041184/check_16380490_8561936f-25d9-4e14-beb5-cd13da2d79d9.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9041184/check_16380490_762a8372-f3a9-4549-a66f-0ac1bfbff3fd.json | N/A | N/A | N/A | N/A | N/A | 975315828 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 2000-11-27 | N/A | 184514 | N/A | C1 | false | SHEMIAN | N/A | MICHAEL | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9041184 | 2222 | N/A | 16602851 | N/A | 7559423 | 2025-12-26 08:24:18.901445 | 2025-09-03 00:01:07.192254 |
| 2025-12-26 08:24:14.875846 | 2025-12-26 08:24:19.038453 | 16380488 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-01-26 | 2025-12-29 | M | AE | PT | VASEF | 98235678800 | IDEAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542264/check_16380488_d95cb57d-31c6-4c11-821b-4542d4ebd147.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542264/check_16380488_1feacc4e-bf98-457e-844a-7ccad0f53cf3.json | N/A | N/A | N/A | N/A | N/A | 98235678800 | Commercial | N/A | UnitedHealthcare Insurance Company | N/A | 1985-01-26 | N/A | 1490012 | N/A | C1 | false | VASEF | N/A | IDEAN | N/A | N/A | N/A | Choice Plus | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542264 | 2222 | N/A | 16602853 | N/A | 4214205 | 2025-12-26 08:24:19.038453 | 2025-06-27 18:49:28.826549 |
| 2025-12-26 08:24:14.858065 | 2025-12-26 08:24:20.896024 | 16380487 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-02-01 | 2025-12-29 | M | AE | PT | YEE | 911-87726-04 | HARRY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541972/check_16380487_8f4987c3-382b-4ccd-a8fd-58425e6a3232.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541972/check_16380487_37aafd70-60f6-4007-818d-3487739bcf0d.json | N/A | N/A | N/A | N/A | N/A | 412922301 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | N/A | 1947-02-01 | N/A | HCFA21 | N/A | HN | false | YEE | N/A | HARRY | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541972 | 2222 | N/A | 16602869 | N/A | 4213941 | 2025-12-26 08:24:20.896024 | 2025-05-13 04:29:37.228259 |
| 2025-12-26 08:24:14.751697 | 2025-12-26 08:24:19.320248 | 16380486 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-08-02 | 2025-12-29 | F | AE | PT | RAMSEY KANZAWA | 77879024100 | JENNIFER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541156/check_16380486_44def962-56e7-4b4b-85e9-c4bb469e1b6b.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541156/check_16380486_c039e66d-5381-4ad5-bd92-66c0ca53a228.json | N/A | N/A | N/A | N/A | N/A | 77879024100 | Commercial | N/A | UnitedHealthcare Benefits Plan of California | N/A | 1972-08-02 | N/A | 1687339 | N/A | C1 | false | KANZAWA | N/A | JENNIFER | N/A | N/A | N/A | Select Plus | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541156 | 2222 | N/A | 16602857 | N/A | 4213204 | 2025-12-26 08:24:19.320248 | 2025-05-28 20:17:37.873556 |
| 2025-12-26 08:24:14.527715 | 2025-12-26 08:24:17.880427 | 16380484 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-03-09 | 2025-12-29 | M | AE | PT | BEST | 983112629-00 | JEFFREY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539159/check_16380484_0c8ecb1a-f360-4183-b845-9983279e0441.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539159/check_16380484_f8a670f3-7d15-40e5-919f-3d315a43f237.json | N/A | N/A | N/A | N/A | N/A | 983112629 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | N/A | 1951-03-09 | N/A | 15743 | N/A | PR | false | BEST | N/A | JEFFREY | N/A | N/A | N/A | LPPO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (PP | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539159 | 2222 | N/A | 16602846 | N/A | 4211483 | 2025-12-26 08:24:17.880427 | 2025-05-13 04:29:37.225819 |
| 2025-12-26 08:09:08.111292 | 2025-12-26 08:09:16.255472 | 16370822 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-01 | 2025-12-29 | M | AE | PT | Gonzalez | 01358434700 | Elliott | 6341 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14362980/check_16370822_81706977-5f84-4bf3-9256-f3249d7bcbfe.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14362980/check_16370822_35596f8b-04a4-45d9-8e6f-ebff7d7af48f.json | N/A | N/A | N/A | N/A | N/A | 01358434700 | N/A | N/A | TRIWEST - TRICARE | N/A | 1992-09-01 | N/A | N/A | N/A | N/A | false | GONZALEZ | N/A | ELLIOTT | 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 | 14362980 | 2222 | N/A | 16600385 | N/A | 12500529 | 2025-12-26 08:09:16.255472 | 2025-12-17 16:44:32.237676 |
| 2025-12-26 08:09:06.003723 | 2025-12-26 08:09:39.665323 | 16370646 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-05-11 | 2025-12-29 | F | AE | PT | YOUNG | 1297768537 | JESSICA | 6341 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14110854/check_16370646_fbf54093-448c-43fe-b794-348885c613e1.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-12-29 | N/A | N/A | N/A | N/A | N/A | N/A | 1297768537 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14110854 | 2222 | N/A | N/A | N/A | 12249693 | 2025-12-26 08:09:39.665323 | 2025-12-11 01:09:37.722947 |
| 2025-12-26 08:07:47.749075 | 2025-12-27 01:39:07.234895 | 16364008 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16364008 | Athletic Physical Therapy Inc | 1956-06-27 | 2025-12-29 | M | AE | PT | WECHTER | 3J65TR5GR88 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14513880/check_16364008_bfa78dc4-f7e9-4fcb-802d-41b8e2d8099a.json | N/A | N/A | N/A | N/A | N/A | 3J65TR5GR88 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-06-27 | N/A | N/A | N/A | MA | false | WECHTER | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | 20106 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883309 | N/A | N/A | 14513880 | 2222 | 4793 | 16629058 | N/A | 12644286 | 2025-12-27 01:39:07.234895 | 2025-12-22 18:40:58.838910 |
| 2025-12-26 08:07:47.597038 | 2025-12-27 01:35:03.755017 | 16363997 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16363997 | Athletic Physical Therapy Inc | 1969-03-28 | 2025-12-29 | F | PT | N/A | COLVIN | LLTFF1096380 | KATELYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14483971/check_16363997_b8c81846-6660-4e95-a01b-b02c69a8ac73.json | N/A | N/A | N/A | N/A | N/A | LLTFF1096380 | Preferred Provider Organization (PPO) | LA COUNTY FIREFIGHTERS LOCAL 1014 | ANTHEM BLUE CROSS | N/A | 1969-03-28 | 040 | 277276M001 | N/A | PR | false | COLVIN | N/A | JAY | N/A | 9999-12-31 | 2021-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600883308 | N/A | N/A | 14483971 | 2222 | 4801 | 16624712 | N/A | 12614186 | 2025-12-27 01:35:03.755017 | 2025-12-19 18:29:06.016221 |
| 2025-12-26 08:07:47.408330 | 2025-12-27 01:35:06.618885 | 16363982 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16363982 | Athletic Physical Therapy Inc | 1996-01-28 | 2025-12-29 | F | PT | N/A | GORYOKA | ZD0891W25215 | HEATHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14435433/check_16363982_bb599611-1238-4719-896d-b555ee6951f2.json | N/A | N/A | N/A | N/A | N/A | ZD0891W25215 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1996-01-28 | N/A | N/A | N/A | N/A | false | GORYOKA | N/A | HEATHER | 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 | 9600883307 | N/A | N/A | 14435433 | 2222 | 4802 | 16624775 | N/A | 12566878 | 2025-12-27 01:35:06.618885 | 2026-02-03 19:52:21.086943 |
| 2025-12-26 08:07:47.284018 | 2025-12-27 01:35:22.817275 | 16363972 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16363972 | Athletic Physical Therapy Inc | 2013-05-30 | 2025-12-29 | F | PT | N/A | Davenport | XEA910143106 | Aaliyah | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14430082/check_16363972_f17d0e34-34cf-45ad-9666-26ba58012c55.json | N/A | N/A | N/A | N/A | N/A | XEA910143106 | Preferred Provider Organization (PPO) | WESTMOUNT PARTNERS LLC | BLUE SHIELD CALIFORNIA | N/A | 2013-05-30 | 1000VX000102 | W0012920 | N/A | PR | false | DAVENPORT | N/A | CORY | N/A | 2032-05-31 | 2020-12-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600883306 | N/A | N/A | 14430082 | 2222 | 4802 | 16625098 | N/A | 12562673 | 2025-12-27 01:35:22.817275 | 2025-12-23 19:24:06.109719 |
| 2025-12-26 08:07:47.165689 | 2025-12-27 01:35:03.115633 | 16363965 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16363965 | Athletic Physical Therapy Inc | 2009-04-29 | 2025-12-29 | M | PT | N/A | BRAND | NCF904A54991 | LUKE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14410470/check_16363965_be9936d7-1103-4693-ac84-9d0c4128f2c0.json | N/A | N/A | N/A | N/A | N/A | NCF904A54991 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 2009-04-29 | 040 | 57AJCA | N/A | HM | false | BRAND | N/A | JEFFREY | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600883305 | N/A | N/A | 14410470 | 2222 | 4801 | 16624701 | N/A | 12545717 | 2025-12-27 01:35:03.115633 | 2025-12-18 16:21:03.286825 |
| 2025-12-26 08:07:47.055875 | 2025-12-27 01:32:19.616160 | 16363955 | N/A | N/A | 60054 | Aetna | 1114042165 | 16363955 | Athletic Physical Therapy Inc | 1996-06-18 | 2025-12-29 | M | AE | PT | Alberto | W254631024 | Oscar | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14393533/check_16363955_14b8004e-62c4-4041-ad00-6a4380c4b0fc.json | N/A | N/A | N/A | N/A | N/A | W254631024 | Point of Service (POS) | UNIVERSITY OF SOUTHERN CALIFORNIA | AETNA | N/A | 1996-06-18 | 0474947 | 047494703600101 | N/A | PS | false | ALBERTO DE LA FUENTE | N/A | OSCAR | N/A | N/A | N/A | OPEN CHOICE-ON CAMPUS BASIC PLAN | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883304 | N/A | N/A | 14393533 | 2222 | 4802 | 16621124 | N/A | 12527613 | 2025-12-27 01:32:19.616160 | 2025-12-18 01:46:23.839620 |
| 2025-12-26 08:07:46.968904 | 2025-12-27 01:34:46.291419 | 16363950 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16363950 | Athletic Physical Therapy Inc | 1987-08-28 | 2025-12-29 | M | AE | PT | Grinberg | 91813553H | Kostyantyn | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14391843/check_16363950_187392d4-5bb2-44ad-98b1-a365d30f92e6.json | N/A | N/A | N/A | N/A | N/A | 91813553H | N/A | N/A | HEALTH NET, LLC | N/A | 1987-08-28 | N/A | N/A | N/A | N/A | false | GRINBERG | N/A | KOSTYANTYN | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883303 | N/A | N/A | 14391843 | 2222 | 4802 | 16624376 | N/A | 12525833 | 2025-12-27 01:34:46.291419 | 2025-12-18 00:21:04.843955 |
| 2025-12-26 08:07:46.822951 | 2025-12-27 01:35:07.193772 | 16363937 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16363937 | Athletic Physical Therapy Inc | 2014-01-06 | 2025-12-29 | F | PT | N/A | HEINL | 146A63323 | MAYA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14389916/check_16363937_3a4ab2a5-5720-4613-814a-f1e5149aa05f.json | N/A | N/A | N/A | N/A | N/A | LSA146A63323 | Preferred Provider Organization (PPO) | LOS ANGELES POLICE RELIEF ASN INC | ANTHEM BLUE CROSS | N/A | 2014-01-06 | 040 | 1841AC | N/A | PR | false | HEINL | N/A | HEIDI | N/A | 9999-12-31 | 2018-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600883302 | N/A | N/A | 14389916 | 2222 | 4793 | 16624788 | N/A | 12524083 | 2025-12-27 01:35:07.193772 | 2025-12-17 23:40:25.293610 |
| 2025-12-26 08:07:46.710475 | 2025-12-27 01:39:06.231819 | 16363926 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16363926 | Athletic Physical Therapy Inc | 1955-09-26 | 2025-12-29 | F | AE | PT | Sekhar | 1G35N33PH70 | Vasu | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14339190/check_16363926_b67a7fd2-e97e-44e6-9b53-c36c4ca26b07.json | N/A | N/A | N/A | N/A | N/A | 1G35N33PH70 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-09-26 | S5617 | N/A | N/A | MB | false | SEKHAR | N/A | VASU | N/A | N/A | N/A | N/A | N/A | 474772 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883301 | N/A | N/A | 14339190 | 2222 | 4793 | 16629043 | N/A | 12476351 | 2025-12-27 01:39:06.231819 | 2026-01-18 18:06:46.384672 |
| 2025-12-26 08:07:46.576322 | 2025-12-27 01:35:10.251517 | 16363916 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16363916 | Athletic Physical Therapy Inc | 1950-06-28 | 2025-12-29 | F | PT | N/A | MCCOWAN | R57824861 | ANNAMARIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14338876/check_16363916_20677541-a26d-457f-9bde-7c52bc557713.json | N/A | N/A | N/A | N/A | N/A | R57824861 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1950-06-28 | N/A | 33F | N/A | PR | false | MCCOWAN | N/A | DON | N/A | 9999-12-31 | 2025-01-01 | STANDARD SECONDARY | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600883300 | N/A | N/A | 14338876 | 2222 | 4802 | 16624845 | N/A | 12476020 | 2025-12-27 01:35:10.251517 | 2025-12-16 21:49:52.634130 |
| 2025-12-26 08:07:46.394622 | 2025-12-27 01:35:27.711135 | 16363904 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16363904 | Athletic Physical Therapy Inc | 2001-09-07 | 2025-12-29 | M | PT | N/A | Taryle | XAN913807118 | Ari | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14331478/check_16363904_1eb8fbb0-9fe2-47e8-9c43-1c558b1743ef.json | N/A | N/A | N/A | N/A | N/A | XAN913807118 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 2001-09-07 | 1000PPOX0002 | W0051411 | N/A | PR | false | TARYLE | N/A | SCOTT | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600883299 | N/A | N/A | 14331478 | 2222 | 4802 | 16625187 | N/A | 12468498 | 2025-12-27 01:35:27.711135 | 2025-12-17 16:47:05.654260 |
| 2025-12-26 08:07:46.303440 | 2025-12-27 01:35:12.637779 | 16363898 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16363898 | Athletic Physical Therapy Inc | 2011-08-19 | 2025-12-29 | F | PT | N/A | SETH HUNTER | 628A7430270 | TAYLOR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14324732/check_16363898_8ff18116-0898-4a8e-b72e-f7509eb88dfb.json | N/A | N/A | N/A | N/A | N/A | 628A7430270 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2011-08-19 | N/A | N/A | N/A | N/A | false | SETH HUNTER | N/A | TAYLOR | 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 | 9600883298 | N/A | N/A | 14324732 | 2222 | 4801 | 16624902 | N/A | 12463052 | 2025-12-27 01:35:12.637779 | 2025-12-22 20:52:15.149356 |
| 2025-12-26 08:07:46.203816 | 2025-12-27 01:35:29.863826 | 16363887 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16363887 | Athletic Physical Therapy Inc | 2000-11-21 | 2025-12-29 | M | PT | N/A | Toobi | XDL045A69958 | Sean | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14226250/check_16363887_8d6131b4-4d2a-44d2-b845-c3018531986a.json | N/A | N/A | N/A | N/A | N/A | XDL045A69958 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 2000-11-21 | 040 | PE4800 | N/A | PR | false | TOOBI | N/A | SEAN | N/A | 9999-12-31 | 2009-03-01 | RIGHTPLAN | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600883297 | N/A | N/A | 14226250 | 2222 | 4802 | 16625230 | N/A | 12357271 | 2025-12-27 01:35:29.863826 | 2025-12-12 23:21:42.214124 |
| 2025-12-26 08:07:46.097424 | 2025-12-27 01:32:19.359210 | 16363881 | N/A | N/A | 60054 | Aetna | 1114042165 | 16363881 | Athletic Physical Therapy Inc | 2001-04-06 | 2025-12-29 | M | AE | PT | Serrano | W292956883 | Oscar | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14204032/check_16363881_57641f8e-5490-41d9-ac42-06c7c242c1b2.json | N/A | N/A | N/A | N/A | N/A | W292956883 | Exclusive Provider Organization | ADP TOTALSOURCE SERVICES, INC. | AETNA | N/A | 2001-04-06 | 0251369 | 025136901200011 | N/A | EP | false | SERRANO | N/A | OSCAR | N/A | N/A | N/A | OPEN ACCESS ELECT CHOICE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883296 | N/A | N/A | 14204032 | 2222 | 4802 | 16621118 | N/A | 12335433 | 2025-12-27 01:32:19.359210 | 2025-12-12 16:21:02.747024 |
| 2025-12-26 08:07:46.026690 | 2025-12-27 01:34:39.601083 | 16363873 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16363873 | Athletic Physical Therapy Inc | 2000-01-21 | 2025-12-29 | F | AE | PT | Czapla | 000023476805 | Elizabeth | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14187404/check_16363873_723866e3-8314-421e-80eb-1d066807c15a.json | N/A | N/A | N/A | N/A | N/A | 000023476805 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 2000-01-21 | N/A | N/A | N/A | N/A | false | CZAPLA | N/A | ELIZABETH | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883295 | N/A | N/A | 14187404 | 2222 | 4802 | 16624236 | N/A | 12319104 | 2025-12-27 01:34:39.601083 | 2025-12-12 00:58:12.994301 |
| 2025-12-26 08:07:45.921483 | 2025-12-27 01:35:04.937365 | 16363864 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16363864 | Athletic Physical Therapy Inc | 1970-03-18 | 2025-12-29 | F | PT | N/A | Fardad Finn | JQU683A20101 | Farnaz | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14187202/check_16363864_1adffa8c-0ad5-464d-af23-95da0dacd75a.json | N/A | N/A | N/A | N/A | N/A | JQU683A20101 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1970-03-18 | N/A | N/A | N/A | N/A | false | FARDAD FINN | N/A | FARNAZ | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600883294 | N/A | N/A | 14187202 | 2222 | 4793 | 16624738 | N/A | 12318785 | 2025-12-27 01:35:04.937365 | 2026-03-02 22:19:42.373924 |
| 2025-12-26 08:07:45.790751 | 2025-12-27 01:34:52.911710 | 16363853 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 16363853 | Athletic Physical Therapy Inc | 1964-08-04 | 2025-12-29 | M | AE | PT | Starling | 92082724H | Kenneth | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14155873/check_16363853_dfa2475d-82b1-4dde-830e-a7e96ed0a948.json | N/A | N/A | N/A | N/A | N/A | 92082724H | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1964-08-04 | MCLA | MWLLNMEG21 | N/A | N/A | false | STARLING | N/A | KENNETH | N/A | 2025-12-31 | 2025-12-01 | LACARE MEDICAL | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883293 | N/A | N/A | 14155873 | 2222 | 4793 | 16624508 | N/A | 12295953 | 2025-12-27 01:34:52.911710 | 2026-02-02 21:13:50.348766 |
| 2025-12-26 08:07:45.683594 | 2025-12-27 01:32:18.705612 | 16363842 | N/A | N/A | 60054 | Aetna | 1114042165 | 16363842 | Athletic Physical Therapy Inc | 1963-08-23 | 2025-12-29 | M | AE | PT | OMID | W263035338 | RAMBOD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14143115/check_16363842_02b2ba15-55ad-490b-90bd-794f8a20c209.json | N/A | N/A | N/A | N/A | N/A | W263035338 | Point of Service (POS) | SYNEOS HEALTH, LLC | AETNA | N/A | 1963-08-23 | 0161087 | 016108701100001 | N/A | PS | false | OMID | N/A | RAMBOD | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883292 | N/A | N/A | 14143115 | 2222 | 4802 | 16621105 | N/A | 12282275 | 2025-12-27 01:32:18.705612 | 2025-12-12 22:24:17.407952 |
| 2025-12-26 08:07:45.569610 | 2025-12-27 01:35:14.896315 | 16363831 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16363831 | Athletic Physical Therapy Inc | 1973-01-01 | 2025-12-29 | F | PT | N/A | Vo | TOA651A68427 | Tram | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14115191/check_16363831_46c7b2d2-23c2-4410-b832-661e07c51425.json | N/A | N/A | N/A | N/A | N/A | TOA651A68427 | Preferred Provider Organization (PPO) | PPO 1 PLAN W/IHM AND AIM | ANTHEM BLUE CROSS | N/A | 1973-01-01 | 160 | 214021M1NR | N/A | PR | false | VO | N/A | TRAM | N/A | 9999-12-31 | 2022-01-01 | BLUE ACCESS PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600883291 | N/A | N/A | 14115191 | 2222 | 4802 | 16624949 | N/A | 12253534 | 2025-12-27 01:35:14.896315 | 2025-12-11 19:59:32.714775 |
| 2025-12-26 08:07:45.463949 | 2025-12-27 01:39:06.489301 | 16363825 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16363825 | Athletic Physical Therapy Inc | 1942-10-09 | 2025-12-29 | M | AE | PT | SZABO | 2D94CA5UN80 | GEORGE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14109997/check_16363825_a9a6157f-7279-4a61-b4cd-f99555cc5f86.json | N/A | N/A | N/A | N/A | N/A | 2D94CA5UN80 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-10-09 | S5601 | N/A | N/A | MB | false | SZABO | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | 19844 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883290 | N/A | N/A | 14109997 | 2222 | 4801 | 16629048 | N/A | 12248869 | 2025-12-27 01:39:06.489301 | 2025-12-10 22:52:03.780467 |
| 2025-12-26 08:07:45.383630 | 2025-12-27 01:32:12.269267 | 16363816 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 16363816 | override_provider | 1962-09-10 | 2025-12-29 | M | PT | N/A | M Johnson | KWS141015355001 | David | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14108628/check_16363816_4283c0b2-e51e-4f9f-a776-4f415e38af1c.json | N/A | N/A | N/A | N/A | N/A | KWS141015355001 | Preferred Provider Organization (PPO) | BOIRON, INC. ACTIVE | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = FULLY INSURED | 1962-09-10 | 376 | 10897275 | N/A | PR | false | JOHNSON | N/A | DAVID | N/A | 9999-12-31 | 2025-07-01 | PPO BLUE HDHP MED/SURG | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600883289 | N/A | N/A | 14108628 | 2222 | 4801 | 16620959 | N/A | 12247347 | 2025-12-27 01:32:12.269267 | 2025-12-10 23:35:09.824882 |
| 2025-12-26 08:07:45.298441 | 2025-12-27 01:35:09.604140 | 16363806 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16363806 | Athletic Physical Therapy Inc | 1954-08-25 | 2025-12-29 | F | PT | N/A | MCALISTER | JQS279W01320 | DEBORAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14107674/check_16363806_7257f720-21ec-4e7a-afac-766eed4b1da4.json | N/A | N/A | N/A | N/A | N/A | JQS279W01320 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1954-08-25 | 040 | CAMCRWP0 | N/A | MP | false | MCALISTER | N/A | DEBORAH | 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 | 9600883288 | N/A | N/A | 14107674 | 2222 | 4801 | 16624836 | N/A | 12246494 | 2025-12-27 01:35:09.604140 | 2025-12-10 22:29:06.761586 |
| 2025-12-26 08:07:45.178785 | 2025-12-27 01:34:38.815813 | 16363799 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16363799 | Athletic Physical Therapy Inc | 1951-11-17 | 2025-12-29 | M | AE | PT | Mardasov | 15361766 | Gennady | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14089494/check_16363799_17419ca3-62a7-45e4-b707-b8bd81f36ea0.json | N/A | N/A | N/A | N/A | N/A | 15361766 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1951-11-17 | N/A | N/A | N/A | N/A | false | MARDASOV | N/A | GENNADY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883287 | N/A | N/A | 14089494 | 2222 | 4802 | 16624217 | N/A | 12228989 | 2025-12-27 01:34:38.815813 | 2025-12-10 17:26:08.469563 |
| 2025-12-26 08:07:45.085583 | 2025-12-27 01:34:39.883359 | 16363792 | N/A | N/A | 94134 | Kaiser Permanente KPIC | 1114042165 | 16363792 | Athletic Physical Therapy Inc | 1961-07-18 | 2025-12-29 | F | AE | PT | Hartman | 000016528383 | Pamela | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14050933/check_16363792_2da8f989-8023-4834-81fb-75a2ce8993e5.json | N/A | N/A | N/A | N/A | N/A | 000016528383 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1961-07-18 | 4332645 | 1650095001 | N/A | N/A | false | HARTMAN | N/A | PAMELA | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 70 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883286 | N/A | N/A | 14050933 | 2222 | 4802 | 16624242 | N/A | 12196734 | 2025-12-27 01:34:39.883359 | 2025-12-16 19:40:10.416579 |
| 2025-12-26 08:07:44.962990 | 2025-12-27 01:33:59.417655 | 16363782 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16363782 | Athletic Physical Therapy Inc | 1952-03-06 | 2025-12-29 | M | AE | PT | E Sack | 40039393001 | Robert | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14042644/check_16363782_cba28b64-348a-4de3-b440-257db54bbb4a.json | N/A | N/A | N/A | N/A | N/A | 40039393001 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | E SACK | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883285 | N/A | N/A | 14042644 | 2222 | 4793 | 16623338 | 6237 | 10314571 | 2025-12-27 01:33:59.417655 | 2026-01-04 16:54:02.110823 |
| 2025-12-26 08:07:44.861097 | 2025-12-27 01:34:46.563429 | 16363774 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16363774 | Athletic Physical Therapy Inc | 1968-02-12 | 2025-12-29 | M | AE | PT | GUTIERREZ | 90938896D | RAUL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13879811/check_16363774_6a3856e9-bded-4ac2-8328-17e0f456daaa.json | N/A | N/A | N/A | N/A | N/A | 90938896D | N/A | N/A | HEALTH NET, LLC | N/A | 1968-02-12 | N/A | N/A | N/A | N/A | false | GUTIERREZ | N/A | RAUL | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883284 | N/A | N/A | 13879811 | 2222 | 4801 | 16624383 | N/A | 12027353 | 2025-12-27 01:34:46.563429 | 2025-12-09 04:56:01.783985 |
| 2025-12-26 08:07:44.785584 | 2025-12-27 01:39:01.695896 | 16363765 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16363765 | Athletic Physical Therapy Inc | 1955-06-19 | 2025-12-29 | F | AE | PT | BAZILE MARVIN | 2WJ8D55UX64 | TERRY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13875017/check_16363765_50e7a9e5-793d-4085-bfac-6a332eb52e80.json | N/A | N/A | N/A | N/A | N/A | 2WJ8D55UX64 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-06-19 | S4802 | N/A | N/A | MA | false | BAZILE MARVIN | N/A | TERRY | N/A | N/A | N/A | N/A | N/A | 19844 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883283 | N/A | N/A | 13875017 | 2222 | 4801 | 16628976 | N/A | 12022445 | 2025-12-27 01:39:01.695896 | 2025-12-05 23:18:29.715172 |
| 2025-12-26 08:07:44.699946 | 2025-12-27 01:35:04.404244 | 16363758 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16363758 | Athletic Physical Therapy Inc | 1996-10-16 | 2025-12-29 | M | PT | N/A | COSTI | NGO566W23846 | CAMRON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13738718/check_16363758_ebaf57f7-8a35-4589-985c-a45578504175.json | N/A | N/A | N/A | N/A | N/A | NGO566W23846 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORPORATION | ANTHEM BLUE CROSS | N/A | 1996-10-16 | 040 | 174022MJAF | N/A | PR | false | COSTI | N/A | CAMRON | N/A | 9999-12-31 | 2025-04-14 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600883282 | N/A | N/A | 13738718 | 2222 | 4801 | 16624725 | N/A | 11890074 | 2025-12-27 01:35:04.404244 | 2025-12-12 15:49:49.268154 |
| 2025-12-26 08:07:44.573946 | 2025-12-27 01:41:19.662881 | 16363745 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16363745 | Athletic Physical Therapy Inc | 1960-11-20 | 2025-12-29 | F | AE | PT | RUND | 5UNOTP0YV05 | Stephanie | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13733413/check_16363745_2cfe1446-737c-4247-b276-a8df8ff4baab.json | N/A | N/A | N/A | N/A | N/A | 5UNOTP0YV05 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1960-11-20 | N/A | N/A | N/A | N/A | false | RUND | N/A | STEPHANIE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883281 | N/A | N/A | 13733413 | 2222 | 4802 | 16631150 | N/A | 5046194 | 2025-12-27 01:41:19.662881 | 2026-01-06 19:15:31.520951 |
| 2025-12-26 08:07:44.482535 | 2025-12-27 01:35:26.023275 | 16363739 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16363739 | Athletic Physical Therapy Inc | 2007-11-18 | 2025-12-29 | F | PT | N/A | PELLEGRINI | XAN913808278 | REY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13732651/check_16363739_37ffe8f5-1b48-4ba5-b08a-65d3297ffdf1.json | N/A | N/A | N/A | N/A | N/A | XAN913808278 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 2007-11-18 | 1479PPOX0002 | W0051411 | N/A | PR | false | PELLEGRINI | N/A | PATRICIA | 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 | 9600883280 | N/A | N/A | 13732651 | 2222 | 4793 | 16625156 | N/A | 4211757 | 2025-12-27 01:35:26.023275 | 2025-06-05 23:05:44.239427 |
| 2025-12-26 08:07:44.395849 | 2025-12-27 01:32:18.156395 | 16363733 | N/A | N/A | 60054 | Aetna | 1114042165 | 16363733 | Athletic Physical Therapy Inc | 1976-05-25 | 2025-12-29 | M | AE | PT | BINSON | W290639708 | JOSEPH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13729235/check_16363733_090a922b-6911-4b64-934f-8082152afd1d.json | N/A | N/A | N/A | N/A | N/A | W290639708 | Point of Service (POS) | OMNICOM BENEFITS INC. | AETNA | N/A | 1976-05-25 | 0247087 | 024708701800002 | N/A | PS | false | JOSEPH | N/A | BINSON | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883279 | N/A | N/A | 13729235 | 2222 | 4801 | 16621092 | N/A | 11880346 | 2025-12-27 01:32:18.156395 | 2025-12-11 21:31:08.022159 |
| 2025-12-26 08:07:44.303737 | 2025-12-27 01:35:12.327619 | 16363723 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16363723 | Athletic Physical Therapy Inc | 2011-01-18 | 2025-12-29 | F | PT | N/A | RIGGIO | SIF227A52267 | NEPHTALIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13697022/check_16363723_2b1f21d0-e347-4ec5-9203-3d3c9ef353f0.json | N/A | N/A | N/A | N/A | N/A | SIF227A52267 | Preferred Provider Organization (PPO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 2011-01-18 | 040 | 40954C | N/A | PR | false | RIGGIO | N/A | SUZANNE | N/A | 9999-12-31 | 2024-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600883278 | N/A | N/A | 13697022 | 2222 | 4801 | 16624895 | N/A | 11847750 | 2025-12-27 01:35:12.327619 | 2025-12-12 20:15:18.288231 |
| 2025-12-26 08:07:44.180053 | 2025-12-27 01:33:59.725987 | 16363712 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16363712 | Athletic Physical Therapy Inc | 1952-09-29 | 2025-12-29 | F | AD | 30 | GOLDSTEIN | 40055964601 | SUSAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13682215/check_16363712_aa115b90-4587-44bc-b89f-9bfa921b25be.json | N/A | N/A | N/A | N/A | N/A | 40055964601 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1952-09-29 | 2025H5425001 | H5425M | N/A | N/A | false | GOLDSTEIN | N/A | SUSAN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 9600883277 | N/A | N/A | 13682215 | 2222 | 4801 | 16623343 | 6237 | 11832349 | 2025-12-27 01:33:59.725987 | 2025-12-10 13:58:21.205018 |
| 2025-12-26 08:07:44.101037 | 2025-12-27 01:39:04.978935 | 16363707 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16363707 | Athletic Physical Therapy Inc | 1943-11-25 | 2025-12-29 | M | AE | PT | Maher | 6FT2G33TN93 | Timothy | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13655342/check_16363707_14a30951-ce41-4005-9169-2289d9b845bc.json | N/A | N/A | N/A | N/A | N/A | 6FT2G33TN93 | Medicare Part A | N/A | ZURICH AMERICAN INSURANCE COMPAN | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-11-25 | S5617 | DOL 07222014 | N/A | MA | false | MAHER | N/A | TIMOTHY | N/A | N/A | N/A | N/A | N/A | 56346 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883276 | N/A | N/A | 13655342 | 2222 | 4802 | 16629026 | N/A | 11803316 | 2025-12-27 01:39:04.978935 | 2025-12-16 19:29:59.872631 |
| 2025-12-26 08:07:44.021637 | 2025-12-27 01:35:27.999597 | 16363697 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16363697 | Athletic Physical Therapy Inc | 1976-06-02 | 2025-12-29 | M | PT | N/A | DRELLO | FJB27232467M | JUSTIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13652765/check_16363697_86ff8916-8b2d-46e8-a102-f78a3f425648.json | N/A | N/A | N/A | N/A | N/A | FJB27232467M | Preferred Provider Organization (PPO) | ALL | BLUE SHIELD OF CALIFORNIA | N/A | 1976-06-02 | 101 | 174549M211 | N/A | PR | false | DRELLO | N/A | MICHELLE | N/A | 9999-12-31 | 2020-02-01 | BLUECARD PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600883275 | N/A | N/A | 13652765 | 2222 | 4801 | 16625196 | N/A | 11800844 | 2025-12-27 01:35:27.999597 | 2025-12-03 23:22:53.729122 |
| 2025-12-26 08:07:43.917737 | 2025-12-27 01:34:40.642326 | 16363689 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16363689 | Athletic Physical Therapy Inc | 1954-07-29 | 2025-12-29 | M | AE | PT | Vannoy | 000008656315 | John | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13647562/check_16363689_02287bac-7003-41bf-92af-ac1c748488cc.json | N/A | N/A | N/A | N/A | N/A | 000008656315 | N/A | N/A | KP MEDICARE | HMO - HMO COMMERCIAL | 1954-07-29 | 4330351 | 1650095002 | N/A | N/A | false | VANNOY | N/A | JOHN | N/A | N/A | N/A | PEPPERDINE UNIVERSITY PEPPERDINE UNIVERSITY | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883274 | N/A | N/A | 13647562 | 2222 | 4802 | 16624261 | N/A | 11795301 | 2025-12-27 01:34:40.642326 | 2025-12-03 20:30:37.565513 |
| 2025-12-26 08:07:43.821238 | 2025-12-27 01:33:59.976647 | 16363681 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 16363681 | Athletic Physical Therapy Inc | 1953-04-04 | 2025-12-29 | F | AE | PT | GUIBOR | 40041978101 | ANNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13634180/check_16363681_825bafd4-fdee-4e7a-a581-8b8e6482bbdd.json | N/A | N/A | N/A | N/A | N/A | 40041978101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1953-04-04 | 2025H5425001 | H5425M | N/A | N/A | false | GUIBOR | N/A | ANNE | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883273 | N/A | N/A | 13634180 | 2222 | 4801 | 16623349 | N/A | 11782007 | 2025-12-27 01:33:59.976647 | 2025-12-08 21:02:26.767589 |
| 2025-12-26 08:07:43.746718 | 2025-12-27 01:34:40.153110 | 16363674 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16363674 | Athletic Physical Therapy Inc | 1979-02-24 | 2025-12-29 | F | AE | PT | McCoy | 000024352430 | Colleen | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13582387/check_16363674_6460915e-68e3-4fe3-b10a-403fac7e5ac4.json | N/A | N/A | N/A | N/A | N/A | 000024352430 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1979-02-24 | 4317984 | 225599 | N/A | N/A | false | MCCOY | N/A | COLLEEN | N/A | N/A | N/A | UNIVERSITY OF CALIFORNIA UCLA - CAMPUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883272 | N/A | N/A | 13582387 | 2222 | 4802 | 16624250 | N/A | 11732070 | 2025-12-27 01:34:40.153110 | 2025-12-02 18:46:08.427375 |
| 2025-12-26 08:07:43.613752 | 2025-12-27 01:37:30.990097 | 16363665 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 16363665 | Athletic Physical Therapy Inc | 1989-04-29 | 2025-12-29 | F | AE | PT | OCHOA | 93495705A45309 | COURTNEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100215886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13577417/check_16363665_a0d64d9e-04cf-4584-8925-6d13cc2c3709.json | N/A | N/A | N/A | N/A | N/A | 93495705A45309 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1989-04-29 | N/A | N/A | N/A | N/A | false | OCHOA | N/A | COURTNEY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883271 | N/A | N/A | 13577417 | 2222 | 4802 | 16627700 | N/A | 11727433 | 2025-12-27 01:37:30.990097 | 2025-12-03 17:40:53.061344 |