API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-26 08:07:43.461832 | 2025-12-27 01:35:28.347915 | 16363654 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16363654 | Athletic Physical Therapy Inc | 1963-04-21 | 2025-12-29 | F | PT | CHERAGHI | XDP453W22160 | SHAHLA | 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/2222/13543700/check_16363654_6e01c7a7-68c5-43d9-b012-ab725e9cf23b.json | N/A | N/A | N/A | N/A | N/A | XDP453W22160 | Preferred Provider Organization (PPO) | COUNTY OF LOS ANGELES | BLUE SHIELD OF CALIFORNIA | N/A | 1963-04-21 | 040 | 1284EH | N/A | PR | false | FATEMI | N/A | SEYED ZIAEDD | N/A | 9999-12-31 | 2025-04-01 | CUSTOM PPO NETWORK COUNTY OF LOS ANGELES | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600883270 | N/A | N/A | 13543700 | 2222 | 4793 | 16625201 | N/A | 11693294 | 2025-12-27 01:35:28.347915 | 2026-01-15 18:14:50.604237 |
| 2025-12-26 08:07:43.313747 | 2025-12-27 01:35:27.222936 | 16363638 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16363638 | Athletic Physical Therapy Inc | 1962-02-12 | 2025-12-29 | F | PT | SZYMANSKI | PNE913933078 | JANA | 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/2222/13435818/check_16363638_57c92a72-71f4-4e44-8b5a-191fc1a28213.json | N/A | N/A | N/A | N/A | N/A | PNE913933078 | Preferred Provider Organization (PPO) | PRIVATE NATIONAL MORTGAGE ACCEPTANCE COMPANY LLC | BLUE SHIELD CALIFORNIA | N/A | 1962-02-12 | 1000PPOX0003 | W3000535 | N/A | PR | false | SZYMANSKI | N/A | PAUL | N/A | 9999-12-31 | 2025-01-01 | HSA RATED | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600883269 | N/A | N/A | 13435818 | 2222 | 4801 | 16625177 | N/A | 11596916 | 2025-12-27 01:35:27.222936 | 2025-12-03 21:06:42.446127 |
| 2025-12-26 08:07:43.178019 | 2025-12-27 01:35:11.508656 | 16363630 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16363630 | Athletic Physical Therapy Inc | 1973-12-16 | 2025-12-29 | M | PT | PAKANATI | ZYF260M98532 | RAMGOPAL | 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/2222/13386966/check_16363630_286f9174-d8eb-45f6-be6f-0c6999ff3d9f.json | N/A | N/A | N/A | N/A | N/A | ZYF260M98532 | Preferred Provider Organization (PPO) | MANAGEMENT | ANTHEM BLUE CROSS | N/A | 1973-12-16 | 040 | 174257M2A1 | N/A | PR | false | PAKANATI | N/A | JYOTHI | N/A | 2026-01-01 | 2025-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600882611 | N/A | N/A | 13386966 | 2222 | 4801 | 16624878 | N/A | 11532449 | 2025-12-27 01:35:11.508656 | 2025-11-25 20:32:49.288912 |
| 2025-12-26 08:07:42.988990 | 2025-12-27 01:35:12.025333 | 16363615 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16363615 | Athletic Physical Therapy Inc | 2014-04-09 | 2025-12-29 | M | PT | RADLOFF | 00054283151 | NOLAN | 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/2222/13358977/check_16363615_d6240c1c-1690-4828-b729-0059506d81ca.json | N/A | N/A | N/A | N/A | N/A | 00054283151 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2014-04-09 | N/A | N/A | N/A | N/A | false | RADLOFF | N/A | NOLAN | 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 | 9600882610 | N/A | N/A | 13358977 | 2222 | 4801 | 16624891 | 4185 | 11504476 | 2025-12-27 01:35:12.025333 | 2025-11-24 23:17:09.076585 |
| 2025-12-26 08:07:42.887357 | 2025-12-27 01:35:11.771064 | 16363608 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16363608 | Athletic Physical Therapy Inc | 2012-07-01 | 2025-12-29 | M | PT | RADLOFF | XDM000542831 | BRYCE | 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/2222/13302087/check_16363608_f644faf9-6116-4524-9a01-e1b18a3b0e89.json | N/A | N/A | N/A | N/A | N/A | XDM000542831 | Health Maintenance Organization (HMO) | ASSOCIATION FOR LOS ANGELES DEPUTY SHERIFFS INC | ANTHEM BLUE CROSS | N/A | 2012-07-01 | 040 | 57726A | N/A | HM | false | RADLOFF | N/A | BRETT | N/A | 9999-12-31 | 2012-07-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600882609 | N/A | N/A | 13302087 | 2222 | 4801 | 16624884 | N/A | 11449861 | 2025-12-27 01:35:11.771064 | 2026-01-08 22:48:14.733376 |
| 2025-12-26 08:07:42.728530 | 2025-12-27 01:39:03.732617 | 16363597 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16363597 | Athletic Physical Therapy Inc | 1954-05-29 | 2025-12-29 | F | AE | HARRISON | 8FY4MN8YC99 | SUSAN | PT | 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/2222/13289599/check_16363597_fa905910-cd4e-49ba-bd5f-6a320473198e.json | N/A | N/A | N/A | N/A | N/A | 8FY4MN8YC99 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-05-29 | S5884 | N/A | N/A | MB | false | HARRISON | N/A | SUSAN | N/A | N/A | N/A | N/A | N/A | 19844 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600882608 | N/A | N/A | 13289599 | 2222 | 4801 | 16629007 | N/A | 11437188 | 2025-12-27 01:39:03.732617 | 2026-01-22 17:59:45.999145 |
| 2025-12-26 08:07:42.635069 | 2025-12-27 01:39:04.734843 | 16363591 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16363591 | Athletic Physical Therapy Inc | 1949-06-19 | 2025-12-29 | F | AE | LIEBELT | 5CX2R09EP18 | MARGARET | PT | 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/2222/13140473/check_16363591_d76b5880-218b-41e8-8b0c-4d8e09d41c8d.json | N/A | N/A | N/A | N/A | N/A | 5CX2R09EP18 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-06-19 | S4802 | N/A | N/A | MA | false | LIEBELT | N/A | MARGARET | N/A | N/A | N/A | N/A | N/A | 47772 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600882607 | N/A | N/A | 13140473 | 2222 | 4801 | 16629020 | N/A | 11291133 | 2025-12-27 01:39:04.734843 | 2025-11-25 01:31:31.833218 |
| 2025-12-26 08:07:42.488205 | 2025-12-27 01:35:02.769180 | 16363583 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16363583 | Athletic Physical Therapy Inc | 1964-08-06 | 2025-12-29 | M | PT | BRAND | NCF904A54991 | JEFFREY | 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/2222/13120856/check_16363583_9d0e797a-a2fd-4f94-8d64-865a6e722b7a.json | N/A | N/A | N/A | N/A | N/A | NCF904A54991 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1964-08-06 | 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 | 9600882606 | N/A | N/A | 13120856 | 2222 | 4801 | 16624697 | N/A | 11271755 | 2025-12-27 01:35:02.769180 | 2025-12-01 22:10:21.945830 |
| 2025-12-26 08:07:42.283681 | 2025-12-27 01:39:04.479214 | 16363565 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16363565 | Athletic Physical Therapy Inc | 1968-10-14 | 2025-12-29 | M | AE | KELLER | 5VY2K78NA88 | JERRY | PT | 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/2222/13041085/check_16363565_557048e1-ac8b-4e81-93c1-102da3096838.json | N/A | N/A | N/A | N/A | N/A | 5VY2K78NA88 | N/A | N/A | CMS | N/A | 1968-10-14 | N/A | N/A | N/A | N/A | false | KELLER | N/A | JERRY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600882605 | N/A | N/A | 13041085 | 2222 | 4801 | 16629018 | N/A | 11198281 | 2025-12-27 01:39:04.479214 | 2026-04-13 23:30:43.333017 |
| 2025-12-26 08:07:42.176607 | 2025-12-27 01:34:39.179191 | 16363561 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16363561 | Athletic Physical Therapy Inc | 1961-06-10 | 2025-12-29 | F | AE | Boutayeb | 000007973321 | Jessie | PT | 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/2222/13010938/check_16363561_c5397201-af75-4992-bf9d-ed92e26cf50b.json | N/A | N/A | N/A | N/A | N/A | 000007973321 | N/A | N/A | KFHP 1000 | SRA - SENIOR ADVANTAGE | 1961-06-10 | 4178704 | 102624 | N/A | N/A | false | BOUTAYEB | N/A | JESSIE | N/A | N/A | N/A | UNIVERSITY OF CALIFORNIA RETIREMENT SYSTEM MEDICAR | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600882604 | N/A | N/A | 13010938 | 2222 | 4802 | 16624227 | N/A | 11169586 | 2025-12-27 01:34:39.179191 | 2025-12-01 17:33:57.898247 |
| 2025-12-26 08:07:42.025099 | 2025-12-27 01:32:59.996036 | 16363548 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 16363548 | Athletic Physical Therapy Inc | 1941-11-29 | 2025-12-29 | F | AE | RUSCIO | H77607290 | PATRICIA | PT | 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/2222/12962715/check_16363548_f86ac699-97f0-48f1-9831-57e3bf840bcb.json | N/A | N/A | N/A | N/A | N/A | H77607290 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 465 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1941-11-29 | N/A | 0B617001 | N/A | HN | false | RUSCIO | N/A | PATRICIA | N/A | N/A | N/A | HUMANA HONOR | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600882603 | N/A | N/A | 12962715 | 2222 | 4801 | 16622007 | N/A | 11121118 | 2025-12-27 01:32:59.996036 | 2025-12-04 18:56:20.767982 |
| 2025-12-26 08:07:41.900583 | 2025-12-27 01:34:40.400601 | 16363540 | N/A | N/A | 94134 | Kaiser Permanente KPIC | 1114042165 | 16363540 | Athletic Physical Therapy Inc | 2001-08-05 | 2025-12-29 | F | AE | Salzman | 000018209067 | Samantha | PT | 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/2222/12843691/check_16363540_b32f6683-6dee-4260-841e-56d8ed9d4856.json | N/A | N/A | N/A | N/A | N/A | 000018209067 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 2001-08-05 | 3018178 | 113301 | N/A | N/A | false | SALZMAN | N/A | SAMANTHA | N/A | 2026-12-31 | 2026-01-01 | SCPMG PHYSICIANS TRADITIONAL HMO SCR | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600882602 | N/A | N/A | 12843691 | 2222 | 4802 | 16624256 | N/A | 11006444 | 2025-12-27 01:34:40.400601 | 2026-04-01 19:24:43.143105 |
| 2025-12-26 08:07:41.748003 | 2025-12-27 01:32:12.520337 | 16363528 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 16363528 | override_provider | 1951-12-15 | 2025-12-29 | F | PT | STYLES | XVL990311433 | 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/2222/12835425/check_16363528_ad808a9d-45e5-4d7d-9299-ad44e6ef1d57.json | N/A | N/A | N/A | N/A | N/A | XVL990311433 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1951-12-15 | N/A | N/A | N/A | N/A | false | STYLES | N/A | SUSAN | 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 | 9600882601 | N/A | N/A | 12835425 | 2222 | 4801 | 16620965 | N/A | 10999467 | 2025-12-27 01:32:12.520337 | 2025-11-14 21:36:13.911423 |
| 2025-12-26 08:07:41.651996 | 2025-12-27 01:39:06.735301 | 16363521 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16363521 | Athletic Physical Therapy Inc | 1958-11-06 | 2025-12-29 | F | AE | TARZI | 7DN9AU1HM20 | MAIMO | PT | 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/2222/12790971/check_16363521_74d86223-fba6-4f65-8b5b-19b3bb50ea58.json | N/A | N/A | N/A | N/A | N/A | 7DN9AU1HM20 | Medicare Part A | N/A | ICW GROUP - SAN DIEGO | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-11-06 | S4802 | DOL 01192023 | N/A | MA | false | TARZI | N/A | MAIMO | N/A | N/A | N/A | N/A | N/A | 77913 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600882600 | N/A | N/A | 12790971 | 2222 | 4801 | 16629050 | N/A | 10956893 | 2025-12-27 01:39:06.735301 | 2025-11-17 21:42:16.129156 |
| 2025-12-26 08:07:41.525767 | 2025-12-27 01:35:05.233676 | 16363509 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16363509 | Athletic Physical Therapy Inc | 1957-04-20 | 2025-12-29 | F | PT | FOX | 941W2386920 | GENOVEVA | 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/2222/12570095/check_16363509_050aa4dd-d905-4e0b-87f5-884531769292.json | N/A | N/A | N/A | N/A | N/A | 941W2386920 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1957-04-20 | N/A | N/A | N/A | N/A | false | FOX | N/A | GENOVEVA | 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 | 9600882599 | N/A | N/A | 12570095 | 2222 | 4793 | 16624745 | N/A | 10741847 | 2025-12-27 01:35:05.233676 | 2025-11-17 21:17:39.202453 |
| 2025-12-26 08:07:41.429233 | 2025-12-27 01:35:24.596666 | 16363502 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16363502 | Athletic Physical Therapy Inc | 2006-05-05 | 2025-12-29 | F | PT | LOWRY | XEK911000149 | KERIA | 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/2222/12496183/check_16363502_330f63e1-33ad-4a99-ad86-c6aa147de15e.json | N/A | N/A | N/A | N/A | N/A | XEK911000149 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2006-05-05 | 2001ZJ002648 | X0001000 | N/A | PR | false | LOWRY | N/A | KEIRA | N/A | 9999-12-31 | 2025-06-01 | IFP EMB PED VISION | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600882598 | N/A | N/A | 12496183 | 2222 | 4793 | 16625125 | N/A | 10672548 | 2025-12-27 01:35:24.596666 | 2025-11-10 18:16:44.084643 |
| 2025-12-26 08:07:41.332994 | 2025-12-27 01:34:46.805858 | 16363493 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16363493 | Athletic Physical Therapy Inc | 1972-03-06 | 2025-12-29 | F | AE | JACKSIER | R06211516FM1 | JENNIFER | PT | 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/2222/12436059/check_16363493_40639ff4-ac57-43c2-aed1-92945ecb5a8c.json | N/A | N/A | N/A | N/A | N/A | R06211516FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1972-03-06 | N/A | N/A | N/A | N/A | false | JACKSIER | N/A | JENNIFER | N/A | N/A | N/A | MFM COMHMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600882597 | N/A | N/A | 12436059 | 2222 | 4793 | 16624387 | 4625 | 10616484 | 2025-12-27 01:34:46.805858 | 2025-11-24 21:45:10.432927 |
| 2025-12-26 08:07:41.212924 | 2025-12-27 01:31:43.491984 | 16363487 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 16363487 | Athletic Physical Therapy Inc | 1951-05-28 | 2025-12-29 | M | AE | ADELMAN | 27936686 | JEFFREY | PT | 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/2222/12298760/check_16363487_7b105b31-e63f-4a75-9a68-7e9ac5235ae4.json | N/A | N/A | N/A | N/A | N/A | 27936686 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1951-05-28 | 406-024-000 | N/A | N/A | N/A | false | ADELMAN | N/A | JEFFREY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600882596 | N/A | N/A | 12298760 | 2222 | 4801 | 16620447 | 6798 | 10484794 | 2025-12-27 01:31:43.491984 | 2025-11-05 22:04:00.322040 |
| 2025-12-26 08:07:41.126420 | 2025-12-27 01:32:14.258549 | 16363477 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | 16363477 | Athletic Physical Therapy Inc | 1957-06-10 | 2025-12-29 | F | AE | Cinney | JQE146W12862 | Nancy | PT | 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/2222/12199890/check_16363477_e96cf08f-aaf4-4efa-8b1a-61eedf5fa45a.json | N/A | N/A | N/A | N/A | N/A | JQE146W12862 | N/A | N/A | TCCM | N/A | 1957-06-10 | N/A | N/A | N/A | N/A | false | CINNEY | N/A | NANCY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600882595 | N/A | N/A | 12199890 | 2222 | 4793 | 16621003 | N/A | 10405614 | 2025-12-27 01:32:14.258549 | 2025-11-11 22:04:16.516523 |
| 2025-12-26 08:07:41.005062 | 2025-12-27 01:31:43.768105 | 16363468 | N/A | N/A | 14163 | Lakeside Medical Group | 1114042165 | 16363468 | Athletic Physical Therapy Inc | 1955-11-11 | 2025-12-29 | F | AE | ALMOND SPENCER | 33766249 | PATRICIA | PT | 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/2222/12162966/check_16363468_5d13f70f-5c29-469f-8c29-132febf7337b.json | N/A | N/A | N/A | N/A | N/A | 33766249 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-11-11 | 406-032-000 | N/A | N/A | N/A | false | ALMOND SPENCER | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600882594 | N/A | N/A | 12162966 | 2222 | 4802 | 16620450 | N/A | 10376019 | 2025-12-27 01:31:43.768105 | 2025-12-29 16:36:47.628314 |
| 2025-12-26 08:07:40.933426 | 2025-12-27 01:35:01.690011 | 16363463 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16363463 | Athletic Physical Therapy Inc | 1975-12-13 | 2025-12-29 | F | PT | ASSENGA | TWA295A70455 | NANCY | 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/2222/12129904/check_16363463_c90c538e-5961-477d-a1a4-af9d54dab589.json | N/A | N/A | N/A | N/A | N/A | TWA295A70455 | Preferred Provider Organization (PPO) | WTW HSA 1650 - ACTIVE | ANTHEM BLUE CROSS | N/A | 1975-12-13 | 101 | 270127M9A0 | N/A | PR | false | ASSENGA | N/A | NANCY | N/A | 2026-01-01 | 2024-01-01 | CDHP NY NAT GENC HEALTH SAVINGS ACCT (HSA) | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600882593 | N/A | N/A | 12129904 | 2222 | 4801 | 16624670 | N/A | 4214504 | 2025-12-27 01:35:01.690011 | 2025-05-13 04:29:37.228820 |
| 2025-12-26 08:07:40.844412 | 2025-12-27 01:35:11.191800 | 16363454 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16363454 | Athletic Physical Therapy Inc | 1965-10-16 | 2025-12-29 | F | PT | OTA | JQK708W18818 | JULIANNE | 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/2222/11614506/check_16363454_50c03242-cb2c-4c68-a762-7dacab386714.json | N/A | N/A | N/A | N/A | N/A | JQK708W18818 | Health Maintenance Organization (HMO) | HYPERCOMP INC | ANTHEM BLUE CROSS | N/A | 1965-10-16 | 040 | G78593 | N/A | HM | false | OTA | N/A | JULIANNE | N/A | 2026-01-01 | 2025-01-01 | CA SG ANTHEM HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600882592 | N/A | N/A | 11614506 | 2222 | 4801 | 16624873 | N/A | 4208609 | 2025-12-27 01:35:11.191800 | 2025-11-06 22:22:57.784313 |
| 2025-12-26 08:07:40.693577 | 2025-12-27 01:32:19.859820 | 16363441 | N/A | N/A | 60054 | Aetna | 1114042165 | 16363441 | Athletic Physical Therapy Inc | 1998-11-14 | 2025-12-29 | M | AE | Shirian | W742094344 | Jonathan | PT | 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/2222/11519732/check_16363441_6ebc24ae-bee6-4b72-8545-d7b9ace2efcb.json | N/A | N/A | N/A | N/A | N/A | W274093844 | Point of Service (POS) | CASE WESTERN RESERVE UNIVERSITY | AETNA | N/A | 1998-11-14 | 0686194 | 068619403600108 | N/A | PS | false | SHIRIAN | N/A | JONATHAN | N/A | N/A | N/A | OPEN CHOICE-EARLY ARRIVAL | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600882591 | N/A | N/A | 11519732 | 2222 | 4802 | 16621131 | N/A | 9760542 | 2025-12-27 01:32:19.859820 | 2025-10-27 21:44:20.466934 |
| 2025-12-26 08:07:40.595548 | 2025-12-27 01:35:29.584360 | 16363435 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16363435 | Athletic Physical Therapy Inc | 1977-08-05 | 2025-12-29 | F | PT | ORNELAS | NCF054W10834 | MELISSA | 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/2222/11513735/check_16363435_587dc7f5-a393-42aa-a901-ef2585450336.json | N/A | N/A | N/A | N/A | N/A | NCF054W10834 | Health Maintenance Organization (HMO) | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1977-08-05 | 040 | 57AJCA | N/A | HM | false | ORNELAS | N/A | MELISSA | N/A | 9999-12-31 | 2022-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600882590 | N/A | N/A | 11513735 | 2222 | 4801 | 16625225 | N/A | 9754522 | 2025-12-27 01:35:29.584360 | 2025-11-11 18:53:52.074262 |
| 2025-12-26 08:07:40.515828 | 2025-12-27 01:34:47.955358 | 16363428 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16363428 | Athletic Physical Therapy Inc | 1989-08-21 | 2025-12-29 | F | AE | VANSICKLE | R14610782FS1 | KYLIE | PT | 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/2222/11190514/check_16363428_f41c3ad1-23fe-4695-81da-8a22e6a9d022.json | N/A | N/A | N/A | N/A | N/A | R14610782FS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1989-08-21 | N/A | N/A | N/A | N/A | false | VANSICKLE | N/A | KYLIE | N/A | 2025-11-02 | 2025-09-01 | KX6 PPOSBG | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600882589 | N/A | N/A | 11190514 | 2222 | 4793 | 16624405 | N/A | 9532194 | 2025-12-27 01:34:47.955358 | 2026-04-13 16:03:49.854711 |
| 2025-12-26 08:07:40.422555 | 2025-12-27 01:39:01.994044 | 16363420 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16363420 | Athletic Physical Therapy Inc | 1942-02-01 | 2025-12-29 | F | AE | CHANG | 3FV9E71EE00 | QUANG | PT | 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/2222/11159406/check_16363420_e05f4ba3-70ca-452d-8a43-d12c6d131bbf.json | N/A | N/A | N/A | N/A | N/A | 3FV9E71EE00 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-02-01 | S4802 | N/A | N/A | MA | false | CHANG | N/A | QUANG CHAN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | 192398 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600882588 | N/A | N/A | 11159406 | 2222 | 4793 | 16628981 | N/A | 9505845 | 2025-12-27 01:39:01.994044 | 2026-04-29 00:06:17.964395 |
| 2025-12-26 08:07:40.288383 | 2025-12-27 01:34:49.754016 | 16363410 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16363410 | Athletic Physical Therapy Inc | 1955-09-16 | 2025-12-29 | M | AE | HANGVAL | 00000401784 | BAHMANYAR | PT | 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/2222/11061532/check_16363410_e16ee293-b35c-4b80-83bc-c71432be5230.json | N/A | N/A | N/A | N/A | N/A | 00000401784 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1955-09-16 | H3815048 | N/A | N/A | HM | false | HANGVAL | N/A | BAHMANYAR | N/A | 2025-12-31 | 2025-02-01 | ALIGNMENT HEALTH HEART & DIABETES CARE (HMO C-SNP) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600882587 | N/A | N/A | 11061532 | 2222 | 4793 | 16624443 | 2630 | 9420286 | 2025-12-27 01:34:49.754016 | 2025-10-27 20:50:02.906306 |
| 2025-12-26 08:07:40.120309 | 2025-12-27 01:39:05.978885 | 16363398 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16363398 | Athletic Physical Therapy Inc | 1953-06-18 | 2025-12-29 | F | AE | REISMAN | 6C16CN3FM49 | GAIL | PT | 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/2222/10984906/check_16363398_8e1e6fb2-27ee-42c0-96e0-3dfc9bb7a7fb.json | N/A | N/A | N/A | N/A | N/A | 6C16CN3FM49 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-06-18 | N/A | N/A | N/A | MA | false | REISMAN | N/A | GAIL | N/A | N/A | N/A | N/A | N/A | 195037 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600882586 | N/A | N/A | 10984906 | 2222 | 4802 | 16629040 | N/A | 9156222 | 2025-12-27 01:39:05.978885 | 2026-01-08 22:56:20.879547 |
| 2025-12-26 08:07:39.989116 | 2025-12-27 01:35:04.092891 | 16363387 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16363387 | Athletic Physical Therapy Inc | 1977-11-16 | 2025-12-29 | M | PT | COPELAND | SIF818M55219 | CHRISTOPHER | 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/2222/10355543/check_16363387_0c57637f-8c52-4d31-a020-47c0c5861d85.json | N/A | N/A | N/A | N/A | N/A | SIF818M55219 | Preferred Provider Organization (PPO) | SISC - VENTURA COUNTY COMMUNITY COLLEGE DISTRICT | ANTHEM BLUE CROSS | N/A | 1977-11-16 | 040 | 40971D | N/A | PR | false | COPELAND | N/A | CHRISTOPHER | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600882585 | N/A | N/A | 10355543 | 2222 | 4801 | 16624719 | N/A | 8619978 | 2025-12-27 01:35:04.092891 | 2025-10-13 20:53:09.422541 |
| 2025-12-26 08:07:39.902666 | 2025-12-27 01:35:02.454071 | 16363378 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 16363378 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-12-29 | M | PT | BLANCHFIELD | JMV780A55541 | THOMAS | 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/2222/10346222/check_16363378_bf4ea060-8e47-4bf1-875d-3b51294f196f.json | N/A | N/A | N/A | N/A | N/A | JMV780A55541 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | MEDICARE B | N/A | 1954-11-24 | 040 | 56677TR000 | N/A | HM | false | BLANCHFIELD | N/A | THOMAS | N/A | 9999-12-31 | 2024-07-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600882584 | N/A | N/A | 10346222 | 2222 | 4793 | 16624689 | 4184 | 4214447 | 2025-12-27 01:35:02.454071 | 2026-04-23 20:11:34.441054 |
| 2025-12-26 08:07:39.792474 | 2025-12-27 01:35:10.894443 | 16363370 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16363370 | Athletic Physical Therapy Inc | 1983-01-16 | 2025-12-29 | M | PT | MIRANDA | NCF728A24383 | ERICK | 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/2222/10294700/check_16363370_7ab30b53-2026-4371-9ac5-74e4247f4b79.json | N/A | N/A | N/A | N/A | N/A | NCF728A24383 | Health Maintenance Organization (HMO) | LOS ANGELES POLICE RELIEF ASN INC | ANTHEM BLUE CROSS | N/A | 1983-01-16 | 040 | 57CP3A | N/A | HM | false | MIRANDA | N/A | ERICK | N/A | 9999-12-31 | 2023-03-01 | BLUE CROSS HMO PLUS CC01 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600882583 | N/A | N/A | 10294700 | 2222 | 4801 | 16624866 | 4185 | 6149607 | 2025-12-27 01:35:10.894443 | 2025-07-17 18:34:10.184195 |
| 2025-12-26 08:07:39.618257 | 2025-12-27 01:35:06.890271 | 16363358 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16363358 | Athletic Physical Therapy Inc | 2003-04-25 | 2025-12-29 | M | PT | GREEN | JQV184A72608 | ALLEN | 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/2222/10091887/check_16363358_17b3f648-d262-4dd1-8c88-8f65ae070930.json | N/A | N/A | N/A | N/A | N/A | JQV184A72608 | Health Maintenance Organization (HMO) | GUMM AND GREEN LLP | ANTHEM BLUE CROSS | N/A | 2003-04-25 | 040 | 428474 | N/A | HM | false | GREEN | N/A | LINDSEY | N/A | 9999-12-31 | 2025-12-01 | ANTHEM GOLD SELECT HMO 35 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600882582 | N/A | N/A | 10091887 | 2222 | 4793 | 16624783 | 4185 | 8429919 | 2025-12-27 01:35:06.890271 | 2025-10-07 22:01:52.720968 |
| 2025-12-26 08:07:39.475993 | 2025-12-27 01:35:24.036331 | 16363349 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16363349 | Athletic Physical Therapy Inc | 1961-05-13 | 2025-12-29 | F | PT | HOUSEMAN | JAC912275311 | REBECCA | 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/2222/9937308/check_16363349_daa70b7a-1c54-4da0-ae98-5d38f2908651.json | N/A | N/A | N/A | N/A | N/A | JAC912275311 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-05-13 | 2001ZK002198 | X0001004 | N/A | PR | false | HOUSEMAN | N/A | REBECCA | N/A | 9999-12-31 | 2023-05-01 | IFP EMB PED VISION | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600882581 | N/A | N/A | 9937308 | 2222 | 4793 | 16625116 | N/A | 8318674 | 2025-12-27 01:35:24.036331 | 2025-10-03 16:07:07.538918 |
| 2025-12-26 08:07:39.283947 | 2025-12-27 01:35:10.614323 | 16363335 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16363335 | Athletic Physical Therapy Inc | 1965-04-22 | 2025-12-29 | M | PT | MCHALE | ZGP814915047 | 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/2222/9691017/check_16363335_b578f6b1-34c4-4bb9-aa33-682db5d19ee0.json | N/A | N/A | N/A | N/A | N/A | ZGP814915047 | Preferred Provider Organization (PPO) | NATIONAL TRENCH SAFETY, INC | ANTHEM BLUE CROSS | N/A | 1965-04-22 | N/A | 400397 | N/A | PR | false | MCHALE | N/A | TIMOTHY | N/A | 9999-12-31 | 2025-01-01 | PPO DENTAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600882580 | N/A | N/A | 9691017 | 2222 | 4801 | 16624858 | N/A | 4212607 | 2025-12-27 01:35:10.614323 | 2025-09-24 22:37:58.534216 |
| 2025-12-26 08:07:38.876255 | 2025-12-27 01:39:02.759459 | 16363304 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16363304 | Athletic Physical Therapy Inc | 1952-12-18 | 2025-12-29 | F | AE | DU BRIN | 7KN7YG8XT63 | SUSAN | PT | 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/2222/9556751/check_16363304_893576c8-f785-4f6b-9d38-ae32ec910d6e.json | N/A | N/A | N/A | N/A | N/A | 7KN7YG8XT63 | Medicare Part B | N/A | UNITED SERVICES AUTOMOBILE ASSOC | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-12-18 | S4802 | DOL 06142025 | N/A | MB | false | DU BRIN | N/A | SUSAN | N/A | N/A | N/A | N/A | N/A | 178641 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600882579 | N/A | N/A | 9556751 | 2222 | 4793 | 16628992 | N/A | 4210998 | 2025-12-27 01:39:02.759459 | 2026-02-23 18:49:01.874308 |
| 2025-12-26 08:07:38.616382 | 2025-12-27 01:39:03.496607 | 16363284 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16363284 | Athletic Physical Therapy Inc | 1955-07-01 | 2025-12-29 | F | AE | GREER | 7H09HW9QG44 | ROBIN | PT | 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/2222/9411083/check_16363284_7fe64101-1843-40e0-b7a0-8ec9838400eb.json | N/A | N/A | N/A | N/A | N/A | 7H09HW9QG44 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-01 | S5601 | N/A | N/A | MA | false | GREER | N/A | ROBIN | N/A | N/A | N/A | N/A | N/A | 291285 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600882578 | N/A | N/A | 9411083 | 2222 | 4802 | 16629004 | N/A | 7879863 | 2025-12-27 01:39:03.496607 | 2026-02-04 18:21:13.840230 |
| 2025-12-26 08:07:38.409118 | 2025-12-27 01:31:44.086388 | 16363269 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 16363269 | Athletic Physical Therapy Inc | 1937-04-20 | 2025-12-29 | M | AE | HAUSMAN | 34751866 | GARY | PT | 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/2222/9280203/check_16363269_834cc763-7eac-4516-95d6-d2cc9ea36a2c.json | N/A | N/A | N/A | N/A | N/A | 34751866 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1937-04-20 | 406-024-000 | N/A | N/A | N/A | false | HAUSMAN | N/A | GARY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600882577 | N/A | N/A | 9280203 | 2222 | 4793 | 16620455 | 6798 | 7788651 | 2025-12-27 01:31:44.086388 | 2025-09-10 18:50:22.494063 |
| 2025-12-26 08:07:38.017109 | 2025-12-27 01:32:19.034801 | 16363243 | N/A | N/A | 60054 | Aetna | 1114042165 | 16363243 | Athletic Physical Therapy Inc | 1946-06-15 | 2025-12-29 | M | AE | SCHECHTER | 102181433800 | STEVEN | PT | 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/2222/9026590/check_16363243_1441dbba-ba28-458a-a1ae-8516190a97fb.json | N/A | N/A | N/A | N/A | N/A | 102181433800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1946-06-15 | 000003-CA000027 | 000003-CA | N/A | PR | false | SCHECHTER | N/A | STEVEN | N/A | 2026-01-01 | 2025-07-01 | AETNA MEDICARE CHOICE (PPO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600882576 | N/A | N/A | 9026590 | 2222 | 4793 | 16621111 | N/A | 7549031 | 2025-12-27 01:32:19.034801 | 2026-05-22 23:37:03.098359 |
| 2025-12-26 08:07:37.627940 | 2025-12-27 01:39:03.268551 | 16363215 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16363215 | Athletic Physical Therapy Inc | 1948-07-07 | 2025-12-29 | F | AE | GOEL | 5RR4M63DR65 | VEENA | PT | 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/2222/8969533/check_16363215_bac5e3a2-cdae-4dea-b956-79681990a389.json | N/A | N/A | N/A | N/A | N/A | 5RR4M63DR65 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-07 | S5596 | N/A | N/A | MA | false | GOEL | N/A | VEENA | N/A | N/A | N/A | N/A | N/A | 261614 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600882575 | N/A | N/A | 8969533 | 2222 | 4802 | 16628999 | N/A | 7485064 | 2025-12-27 01:39:03.268551 | 2025-12-29 22:41:16.623495 |
| 2025-12-26 08:07:37.322688 | 2025-12-27 01:35:02.078026 | 16363190 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16363190 | Athletic Physical Therapy Inc | 1961-03-04 | 2025-12-29 | M | PT | AVEDISSIAN | JQU233A54125 | ARMEN | 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/2222/8472241/check_16363190_6b60f634-a639-4086-98e0-380793dc1d24.json | N/A | N/A | N/A | N/A | N/A | JQU233A54125 | Preferred Provider Organization (PPO) | BRAND PRODUCE INC | MEDICARE A | N/A | 1961-03-04 | 040 | J35185 | N/A | PR | false | AVEDISSIAN | N/A | ARMEN | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600882574 | N/A | N/A | 8472241 | 2222 | 4801 | 16624681 | N/A | 7143064 | 2025-12-27 01:35:02.078026 | 2025-10-10 06:06:58.213429 |
| 2025-12-26 08:07:37.052340 | 2025-12-27 01:31:49.568732 | 16363171 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16363171 | Athletic Physical Therapy Inc | 2001-06-21 | 2025-12-29 | M | AE | RAFIEI | 92836714F | SAM | PT | 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/2222/8173002/check_16363171_606b6f8d-e45d-45d5-876d-17088a2d4f2f.json | N/A | N/A | N/A | N/A | N/A | 92836714F | 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) | 2001-06-21 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | RAFIEI | N/A | SAM | N/A | 2078-12-31 | 2024-02-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600882573 | N/A | N/A | 8173002 | 2222 | 4793 | 16620546 | 4211 | 6939518 | 2025-12-27 01:31:49.568732 | 2025-08-18 21:40:08.349494 |
| 2025-12-26 08:07:36.799046 | 2025-12-27 01:35:23.431709 | 16363152 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16363152 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-12-29 | F | PT | GIANNE | XED910762094 | NATALIE | 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/2222/7994545/check_16363152_7f5dde87-4d81-445c-a09f-8da660d3bf14.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 2025-12-31 | 2021-09-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600882572 | N/A | N/A | 7994545 | 2222 | 4802 | 16625105 | N/A | 6802250 | 2025-12-27 01:35:23.431709 | 2025-08-11 23:58:28.358402 |
| 2025-12-26 08:07:36.563147 | 2025-12-27 01:35:28.712467 | 16363138 | N/A | N/A | SB542 | CALIFORNIA BLUE SHIELD | 1114042165 | 16363138 | Athletic Physical Therapy Inc | 1993-12-24 | 2025-12-29 | F | PT | Garcia | NCF409W01940 | Jessica | 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/2222/7965049/check_16363138_3ac144ab-ec7c-49bf-90ba-227f650f96f3.json | N/A | N/A | N/A | N/A | N/A | NCF409W01940 | Health Maintenance Organization (HMO) | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1993-12-24 | 040 | 57AJCA | N/A | HM | false | GARCIA | N/A | JESSICA | N/A | 9999-12-31 | 2019-09-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600882571 | N/A | N/A | 7965049 | 2222 | 4802 | 16625206 | 4191 | 6604326 | 2025-12-27 01:35:28.712467 | 2025-08-06 18:06:11.137864 |
| 2025-12-26 08:07:36.328662 | 2025-12-27 01:35:29.221722 | 16363123 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16363123 | Athletic Physical Therapy Inc | 1987-11-24 | 2025-12-29 | F | PT | Halat | FIZ100010118257 | Hooram | 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/2222/7870152/check_16363123_5556d143-c6ec-4af8-936e-111be2fad476.json | N/A | N/A | N/A | N/A | N/A | FIZ100010118257 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS. | 1987-11-24 | N/A | 716071106 | N/A | PR | false | HALAT | N/A | HOORAM | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600882570 | N/A | N/A | 7870152 | 2222 | 4802 | 16625215 | N/A | 6698799 | 2025-12-27 01:35:29.221722 | 2025-08-07 18:40:53.120761 |
| 2025-12-26 08:07:36.164646 | 2025-12-27 01:39:06.990282 | 16363114 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16363114 | Athletic Physical Therapy Inc | 1949-10-28 | 2025-12-29 | M | AE | WALROTH | 7X79TQ1VA36 | TERRY | PT | 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/2222/7785550/check_16363114_cf701e20-6708-4988-8e36-fdca14197612.json | N/A | N/A | N/A | N/A | N/A | 7X79TQ1VA36 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-10-28 | N/A | N/A | N/A | MA | false | WALROTH | N/A | TERRY | N/A | N/A | N/A | N/A | N/A | 238365 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600882569 | N/A | N/A | 7785550 | 2222 | 4801 | 16629055 | N/A | 6629682 | 2025-12-27 01:39:06.990282 | 2025-08-05 17:28:10.392410 |
| 2025-12-26 08:07:35.954757 | 2025-12-27 01:34:50.016167 | 16363100 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16363100 | Athletic Physical Therapy Inc | 1954-02-12 | 2025-12-29 | M | AE | NAGHSHBANDI | 00000388791 | ABDUL | PT | 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/2222/7314863/check_16363100_e93087b7-a14c-42af-8db7-fd543bb6bc1e.json | N/A | N/A | N/A | N/A | N/A | 00000388791 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1954-02-12 | H3815028 | N/A | N/A | HM | false | NAGHSHBANDI | N/A | ABDUL | 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 | 9600882568 | N/A | N/A | 7314863 | 2222 | 4793 | 16624451 | 2630 | 4208741 | 2025-12-27 01:34:50.016167 | 2025-08-01 18:22:58.464314 |
| 2025-12-26 08:07:35.811614 | 2025-12-27 01:35:03.377267 | 16363090 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16363090 | Athletic Physical Therapy Inc | 1988-08-19 | 2025-12-29 | M | PT | Bridgemohansingh | NTF910W08222 | Jason | 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/2222/7258746/check_16363090_24132cb2-901b-4f99-93ad-d41e27e22561.json | N/A | N/A | N/A | N/A | N/A | NTF910W08222 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | ANTHEM BLUE CROSS | N/A | 1988-08-19 | 040 | L08669M002 | N/A | PR | false | BRIDGEMOHANSINGH | N/A | JASON | N/A | 9999-12-31 | 2025-08-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600882567 | N/A | N/A | 7258746 | 2222 | 4802 | 16624709 | N/A | 6224482 | 2025-12-27 01:35:03.377267 | 2025-08-07 00:03:18.267969 |
| 2025-12-26 08:07:35.539658 | 2025-12-27 01:31:49.831830 | 16363074 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16363074 | Athletic Physical Therapy Inc | 1963-05-22 | 2025-12-29 | M | AE | SMITH | 99688004H | MATTHEW | PT | 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/2222/7022680/check_16363074_6cff6f7b-e7ed-4722-b8d0-b74fde644216.json | N/A | N/A | N/A | N/A | N/A | 99688004H | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 02/28/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1963-05-22 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | SMITH | N/A | MATTHEW | N/A | 2078-12-31 | 2025-05-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600882566 | N/A | N/A | 7022680 | 2222 | 4793 | 16620550 | 4211 | 6037802 | 2025-12-27 01:31:49.831830 | 2025-07-22 17:48:16.997014 |
| 2025-12-26 08:07:35.246132 | 2025-12-27 01:34:50.321452 | 16363056 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16363056 | Athletic Physical Therapy Inc | 1958-04-03 | 2025-12-29 | F | AE | NIAZI | 00000388782 | RAHIMA | PT | 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/2222/6958289/check_16363056_026101a8-6326-46f8-a94f-960c6e1f153a.json | N/A | N/A | N/A | N/A | N/A | 00000388782 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1958-04-03 | H3815028 | N/A | N/A | HM | false | NIAZI | N/A | RAHIMA | 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 | 9600882565 | N/A | N/A | 6958289 | 2222 | 4793 | 16624457 | 2630 | 5983606 | 2025-12-27 01:34:50.321452 | 2025-07-18 18:03:17.155924 |
| 2025-12-26 08:07:35.021667 | 2025-12-27 01:35:26.628083 | 16363040 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16363040 | Athletic Physical Therapy Inc | 1961-03-07 | 2025-12-29 | F | PT | PERLOV | XEA905216171 | MERA | 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/2222/6814311/check_16363040_a950f292-8da7-4790-9071-b1e6a1bf4930.json | N/A | N/A | N/A | N/A | N/A | XEA905216171 | Preferred Provider Organization (PPO) | LA CARE HEALTH PLAN | BLUE SHIELD CALIFORNIA | N/A | 1961-03-07 | 1000PPOX0003 | W0051027 | N/A | PR | false | PERLOV | N/A | MERA | N/A | 2025-12-31 | 2025-01-01 | HSA RATED | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600882564 | N/A | N/A | 6814311 | 2222 | 4793 | 16625165 | N/A | 5856694 | 2025-12-27 01:35:26.628083 | 2025-07-07 18:45:06.287504 |