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 | 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 08:07:34.685352 | 2025-12-27 01:35:14.594062 | 16363016 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16363016 | Athletic Physical Therapy Inc | 1947-12-19 | 2025-12-29 | F | PT | Taggart | MBL830M95233 | Rita | N/A | 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/2222/6780011/check_16363016_ad210216-9412-4f3e-8ae7-074a276fbde3.json | N/A | N/A | N/A | N/A | N/A | MBL830M95233 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1947-12-19 | 040 | CAEGR002 | N/A | N/A | false | TAGGART | N/A | RITA | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600882563 | N/A | N/A | 6780011 | 2222 | 4802 | 16624942 | N/A | 5811238 | 2025-12-27 01:35:14.594062 | 2025-07-03 18:24:56.520298 |
| 2025-12-26 08:07:34.424782 | 2025-12-27 01:34:00.294288 | 16362996 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16362996 | Athletic Physical Therapy Inc | 1951-11-24 | 2025-12-29 | F | AE | SILVA | 40047267701 | ROSALIA | PT | 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/2222/6445982/check_16362996_eea0a47e-0b77-4393-8b92-5e3615abfd75.json | N/A | N/A | N/A | N/A | N/A | 40047267701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-11-24 | 2025H5425001 | H5425M | N/A | N/A | false | SILVA | N/A | ROSALIA | 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 | 9600882562 | N/A | N/A | 6445982 | 2222 | 4801 | 16623356 | 6237 | 5085675 | 2025-12-27 01:34:00.294288 | 2025-11-17 23:46:25.232629 |
| 2025-12-26 08:07:34.098808 | 2025-12-27 01:32:17.388818 | 16362971 | N/A | N/A | 60054 | Aetna | 1114042165 | 16362971 | Athletic Physical Therapy Inc | 1968-11-30 | 2025-12-29 | F | AE | Bitton MANFREDI | W228688169 | SANDRA | PT | 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/2222/6417889/check_16362971_55087f69-ac6b-4651-9ec2-1fb738114050.json | N/A | N/A | N/A | N/A | N/A | W228688169 | Point of Service (POS) | AIR CANADA | AETNA | N/A | 1968-11-30 | 0479208 | 047920803100012 | N/A | PS | false | BITTON MANFREDI | N/A | SANDRA | 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 | 9600882561 | N/A | N/A | 6417889 | 2222 | 4793 | 16621072 | N/A | 5065591 | 2025-12-27 01:32:17.388818 | 2025-06-18 18:47:45.179937 |
| 2025-12-26 08:07:33.857677 | 2025-12-27 01:32:59.516943 | 16362955 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 16362955 | Athletic Physical Therapy Inc | 1947-04-26 | 2025-12-29 | F | AE | BARCENES | H9209970900 | IRENE | PT | 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/2222/6231314/check_16362955_f2443490-6d06-4053-aa6e-030d72a5291b.json | N/A | N/A | N/A | N/A | N/A | H92099709 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1947-04-26 | N/A | 0B527001 | N/A | HN | false | BARCENES DES | N/A | IRENE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600882560 | N/A | N/A | 6231314 | 2222 | 4801 | 16621997 | N/A | 4219033 | 2025-12-27 01:32:59.516943 | 2025-05-13 04:29:37.230052 |
| 2025-12-26 08:07:33.584568 | 2025-12-27 01:34:46.043433 | 16362936 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16362936 | Athletic Physical Therapy Inc | 1981-12-16 | 2025-12-29 | F | AE | DE FELICE | R07457624FM1 | CHRISTINA | PT | 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/2222/6140436/check_16362936_6fa1b939-24ca-4212-bbcc-ee11fa7581d3.json | N/A | N/A | N/A | N/A | N/A | R07457624FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1981-12-16 | N/A | N/A | N/A | N/A | false | DE FELICE | N/A | CHRISTINA | N/A | N/A | N/A | MI4 SBP | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600882559 | N/A | N/A | 6140436 | 2222 | 4801 | 16624372 | N/A | 4781417 | 2025-12-27 01:34:46.043433 | 2025-06-06 17:03:19.078153 |
| 2025-12-26 08:07:33.404087 | 2025-12-27 01:39:03.974720 | 16362924 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16362924 | Athletic Physical Therapy Inc | 1951-03-27 | 2025-12-29 | F | AE | Jaude | 9MG2QE6VF90 | Anne | PT | 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/2222/6124906/check_16362924_1a4ce68e-262e-4359-b7cd-108ad9a5f0d0.json | N/A | N/A | N/A | N/A | N/A | 9MG2QE6VF90 | N/A | N/A | CMS | N/A | 1951-03-27 | N/A | N/A | N/A | N/A | false | JAUDE | N/A | ANNE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600882558 | N/A | N/A | 6124906 | 2222 | 4802 | 16629011 | N/A | 4767362 | 2025-12-27 01:39:03.974720 | 2025-09-19 16:49:18.601418 |
| 2025-12-26 08:07:33.173657 | 2025-12-27 01:34:45.250595 | 16362910 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16362910 | Athletic Physical Therapy Inc | 1969-01-08 | 2025-12-29 | F | AE | ALROMAIH | 91237812E | SARAH | PT | 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/2222/5993940/check_16362910_9ff78bf9-8b56-4dde-a1d6-702afe93f26c.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600882557 | N/A | N/A | 5993940 | 2222 | 4802 | 16624357 | 4625 | 4642877 | 2025-12-27 01:34:45.250595 | 2025-12-23 23:49:16.627667 |
| 2025-12-26 08:07:32.930665 | 2025-12-27 01:34:45.519620 | 16362893 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16362893 | Athletic Physical Therapy Inc | 1964-11-15 | 2025-12-29 | F | AE | BIKOULOVA | 92040499F | ALEXANDRA | PT | 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/2222/5874423/check_16362893_e8da6922-a8fa-43a3-98be-473e2d42f574.json | N/A | N/A | N/A | N/A | N/A | 92040499F | N/A | N/A | HEALTH NET, LLC | N/A | 1964-11-15 | N/A | N/A | N/A | N/A | false | BIKOULOVA | N/A | ALEXANDRA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600882556 | N/A | N/A | 5874423 | 2222 | 4802 | 16624363 | 4625 | 4534552 | 2025-12-27 01:34:45.519620 | 2025-05-30 18:01:03.324126 |
| 2025-12-26 08:07:32.628400 | 2025-12-27 01:34:49.395945 | 16362873 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16362873 | Athletic Physical Therapy Inc | 1953-03-27 | 2025-12-29 | F | AE | FINE | 00000272194 | MICHELLE | PT | 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/2222/5858742/check_16362873_2b2114ab-e799-4423-8db1-bd5db63b699e.json | N/A | N/A | N/A | N/A | N/A | 00000272194 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1953-03-27 | H3815028 | N/A | N/A | HM | false | FINE | N/A | MICHELLE | 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 | 9600883268 | N/A | N/A | 5858742 | 2222 | 4801 | 16624438 | 2630 | 4219630 | 2025-12-27 01:34:49.395945 | 2025-05-13 04:29:37.230672 |
| 2025-12-26 08:07:32.388747 | 2025-12-27 01:34:44.693706 | 16362854 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16362854 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-12-29 | F | AE | GIANOLI | R11857813FM1 | ELSY | PT | 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/2222/5568076/check_16362854_d39a2b26-4394-4634-8e03-b531f0d2e158.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883267 | N/A | N/A | 5568076 | 2222 | 4802 | 16624346 | 4625 | 4209480 | 2025-12-27 01:34:44.693706 | 2026-04-10 02:05:15.976484 |
| 2025-12-26 08:07:32.057688 | 2025-12-27 01:35:07.478051 | 16362834 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16362834 | Athletic Physical Therapy Inc | 1989-01-23 | 2025-12-29 | F | PT | HINKLE | NCF051W08046 | MARLENA | N/A | 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/2222/5550925/check_16362834_e7a06896-7543-4666-b020-4bc52b9e18b9.json | N/A | N/A | N/A | N/A | N/A | NCF051W08046 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1989-01-23 | 040 | 57AJCA | N/A | HM | false | HINKLE | N/A | MARLENA | N/A | 9999-12-31 | 2021-03-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600883266 | N/A | N/A | 5550925 | 2222 | 4793 | 16624795 | N/A | 4219772 | 2025-12-27 01:35:07.478051 | 2025-11-18 00:45:16.378261 |
| 2025-12-26 08:07:31.845862 | 2025-12-27 01:34:47.345725 | 16362819 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16362819 | Athletic Physical Therapy Inc | 1966-02-05 | 2025-12-29 | F | AE | VANCELETTE | 99775204F | DEBORAH | PT | 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/2222/5550875/check_16362819_16b25035-1a84-4ee4-9638-149765a5e2e5.json | N/A | N/A | N/A | N/A | N/A | 99775204F | N/A | N/A | HEALTH NET, LLC | N/A | 1966-02-05 | N/A | N/A | N/A | N/A | false | VANCELETTE | N/A | DEBORAH | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883265 | N/A | N/A | 5550875 | 2222 | 4802 | 16624398 | N/A | 4219732 | 2025-12-27 01:34:47.345725 | 2025-05-13 04:29:37.230772 |
| 2025-12-26 08:07:31.589940 | 2025-12-27 01:35:25.609273 | 16362799 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16362799 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-12-29 | F | PT | PANDYA | XEA913306283 | DHARA | N/A | 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/2222/5550845/check_16362799_cb983728-a35d-4dc2-a27b-91fdca9bc8a5.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1975-08-17 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2024-06-03 | BLUE SHIELD OF CALIFORNIA ASO VISION PLUS PLAN | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600883264 | N/A | N/A | 5550845 | 2222 | 4801 | 16625146 | N/A | 4219713 | 2025-12-27 01:35:25.609273 | 2025-08-13 22:46:55.732965 |
| 2025-12-26 08:07:31.387241 | 2025-12-27 01:32:59.747844 | 16362784 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 16362784 | Athletic Physical Therapy Inc | 1970-09-15 | 2025-12-29 | F | AE | DON | H74748118 | JACKIE | PT | 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/2222/5550314/check_16362784_5c8ee038-c4ad-452a-8987-d18c86624183.json | N/A | N/A | N/A | N/A | N/A | H74748118 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1970-09-15 | N/A | 0B666001 | N/A | HN | false | DON | N/A | JACKIE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883263 | N/A | N/A | 5550314 | 2222 | 4801 | 16622003 | N/A | 4219523 | 2025-12-27 01:32:59.747844 | 2025-12-13 21:47:36.966446 |
| 2025-12-26 08:07:31.173662 | 2025-12-27 01:35:09.259472 | 16362772 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16362772 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-12-29 | F | PT | LUCZYWEK | HFD100011213709 | DEBORA | N/A | 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/2222/5549317/check_16362772_caa55900-3005-4b2c-afd6-cd325857037a.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | 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." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | 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 | 9600883262 | N/A | N/A | 5549317 | 2222 | 4801 | 16624831 | N/A | 4219010 | 2025-12-27 01:35:09.259472 | 2026-01-09 18:32:07.618867 |
| 2025-12-26 08:07:30.960098 | 2025-12-27 01:34:44.970426 | 16362757 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16362757 | Athletic Physical Therapy Inc | 1967-12-23 | 2025-12-29 | F | AE | SOL | U9859952501 | ISABEL | PT | 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/2222/5549212/check_16362757_e2d7c83d-9942-4ff4-b60b-b70b21f7081e.json | N/A | N/A | N/A | N/A | N/A | U9859952501 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1967-12-23 | 67138CA0520015-04 | N/A | N/A | N/A | false | SOL | N/A | ISABEL | N/A | N/A | N/A | SILVER 73 AMBETTER HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883261 | N/A | N/A | 5549212 | 2222 | 4793 | 16624353 | N/A | 4218926 | 2025-12-27 01:34:44.970426 | 2025-07-30 14:07:18.779456 |
| 2025-12-26 08:07:30.711485 | 2025-12-27 01:39:05.475014 | 16362740 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16362740 | Athletic Physical Therapy Inc | 1947-11-15 | 2025-12-29 | F | AE | NOGHREIAN | 6XG3KA2TP05 | FLORIA | PT | 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/2222/5548970/check_16362740_c8bd807f-b86a-4d6c-a58a-4824a3330c58.json | N/A | N/A | N/A | N/A | N/A | 6XG3KA2TP05 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-11-15 | S5617 | N/A | N/A | MB | false | NOGHREIAN | N/A | FLORIA | N/A | N/A | N/A | N/A | N/A | 31447 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883260 | N/A | N/A | 5548970 | 2222 | 4802 | 16629033 | N/A | 4218728 | 2025-12-27 01:39:05.475014 | 2025-05-13 04:29:37.229718 |
| 2025-12-26 08:07:30.410424 | 2025-12-27 01:33:58.632725 | 16362723 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16362723 | Athletic Physical Therapy Inc | 1950-03-29 | 2025-12-29 | M | AE | AKHTARI | 40045421301 | SHAHROKH | PT | 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/2222/5543493/check_16362723_e13a4250-4304-43da-8dd6-1a9746c234b7.json | N/A | N/A | N/A | N/A | N/A | 40045421301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-03-29 | 2025H5425084LA | H5425M | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | SCAN VENTURE (HMO), LOS ANGELES | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883259 | N/A | N/A | 5543493 | 2222 | 4793 | 16623320 | 6237 | 4215273 | 2025-12-27 01:33:58.632725 | 2025-05-13 04:29:37.229594 |
| 2025-12-26 08:07:30.203161 | 2025-12-27 01:39:03.011870 | 16362711 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16362711 | Athletic Physical Therapy Inc | 1948-08-18 | 2025-12-29 | M | AE | EDA | 9AC4JX7TW77 | MASAAKI | PT | 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/2222/5543330/check_16362711_c6b2af85-abd6-41ec-a783-06c75e618ec0.json | N/A | N/A | N/A | N/A | N/A | 9AC4JX7TW77 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-08-18 | S5596 | N/A | N/A | MA | false | EDA | N/A | MASAAKI | N/A | N/A | N/A | N/A | N/A | 211142 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883258 | N/A | N/A | 5543330 | 2222 | 4802 | 16628995 | N/A | 4215140 | 2025-12-27 01:39:03.011870 | 2025-05-13 04:29:37.229453 |
| 2025-12-26 08:07:29.919803 | 2025-12-27 01:35:08.703646 | 16362694 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16362694 | Athletic Physical Therapy Inc | 1990-07-10 | 2025-12-29 | F | PT | Gadde | X8B467M70158 | Lavanya | N/A | 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/2222/5543090/check_16362694_9b3739cf-692c-4037-b6a4-e40668ea3b07.json | N/A | N/A | N/A | N/A | N/A | X8B467M70158 | Preferred Provider Organization (PPO) | BYTEDANCE INC | ANTHEM BLUE CROSS | N/A | 1990-07-10 | 040 | L03868M031 | N/A | PR | false | KONDABOLU | N/A | KUSHVANTH | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600883257 | N/A | N/A | 5543090 | 2222 | 4793 | 16624820 | N/A | 4214925 | 2025-12-27 01:35:08.703646 | 2025-12-17 00:54:52.714750 |
| 2025-12-26 08:07:29.744799 | 2025-12-27 01:35:12.917528 | 16362684 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16362684 | Athletic Physical Therapy Inc | 1972-01-23 | 2025-12-29 | M | PT | SHER | JQV274M76470 | ARTUR | N/A | 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/2222/5543024/check_16362684_18a664c2-564d-4739-93ff-ab6751e3d8b3.json | N/A | N/A | N/A | N/A | N/A | JQV274M76470 | Health Maintenance Organization (HMO) | ROYAL WINE CORP | ANTHEM BLUE CROSS | N/A | 1972-01-23 | 040 | Q41837 | N/A | HM | false | SHER | N/A | ARTUR | N/A | 2026-01-01 | 2025-01-01 | CA SG SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600883256 | N/A | N/A | 5543024 | 2222 | 4801 | 16624908 | N/A | 4214858 | 2025-12-27 01:35:12.917528 | 2025-05-13 04:29:37.229182 |
| 2025-12-26 08:07:29.466671 | 2025-12-27 01:35:13.896518 | 16362669 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16362669 | Athletic Physical Therapy Inc | 1949-06-30 | 2025-12-29 | F | PT | STEWART | WSP370A66341 | ALBERTA | N/A | 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/2222/5542834/check_16362669_4cabefb7-781f-4f32-a26b-3624b4adb414.json | N/A | N/A | N/A | N/A | N/A | WSP370A66341 | N/A | ELEVANCE HEALTH | ANTHEM BLUE CROSS | N/A | 1949-06-30 | 130 | IN002GRS | N/A | N/A | false | STEWART | N/A | ALBERTA | N/A | 9999-12-31 | 2021-01-01 | IN GRS ELEVANCE HEALTH H4036-801 ANTHEM MED PREFER | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600883255 | N/A | N/A | 5542834 | 2222 | 4801 | 16624926 | N/A | 4214700 | 2025-12-27 01:35:13.896518 | 2025-05-13 04:29:37.229017 |
| 2025-12-26 08:07:29.151695 | 2025-12-27 01:35:25.142523 | 16362652 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16362652 | Athletic Physical Therapy Inc | 1964-08-15 | 2025-12-29 | F | PT | OCONLON | XED909983270 | SARA | N/A | 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/2222/5542827/check_16362652_125b11f9-7c05-4027-b267-7fe28b02780f.json | N/A | N/A | N/A | N/A | N/A | XED909983270 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1964-08-15 | 2001ZK002185 | X0001004 | N/A | PR | false | OCONLON | N/A | SARA | N/A | 9999-12-31 | 2020-08-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600883254 | N/A | N/A | 5542827 | 2222 | 4793 | 16625135 | N/A | 4214693 | 2025-12-27 01:35:25.142523 | 2025-05-13 04:29:37.229010 |
| 2025-12-26 08:07:28.846662 | 2025-12-27 01:32:18.420071 | 16362629 | N/A | N/A | 60054 | Aetna | 1114042165 | 16362629 | Athletic Physical Therapy Inc | 2015-03-25 | 2025-12-29 | M | AE | MOLAVI | W290733985 | MATTHEW | PT | 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/2222/5542759/check_16362629_227459b4-f9d7-4420-bee9-974ebcbbf77c.json | N/A | N/A | N/A | N/A | N/A | W290733985 | Point of Service (POS) | THE TCW GROUP, INC. | AETNA | N/A | 2015-03-25 | 0247292 | 024729201100001 | N/A | PS | false | MOLAVI | N/A | MOHAMAD | 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 | 9600883253 | N/A | N/A | 5542759 | 2222 | 4793 | 16621097 | N/A | 4214620 | 2025-12-27 01:32:18.420071 | 2025-08-05 22:41:29.756445 |
| 2025-12-26 08:07:28.583914 | 2025-12-27 01:34:48.464190 | 16362615 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16362615 | Athletic Physical Therapy Inc | 1979-11-17 | 2025-12-29 | F | AE | WOODS | 96781627F | JESSICA | PT | 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/2222/5542752/check_16362615_9a1de322-12b9-4a0e-ae77-b0e8683e0aa4.json | N/A | N/A | N/A | N/A | N/A | 96781627F | N/A | N/A | HEALTH NET, LLC | N/A | 1979-11-17 | N/A | N/A | N/A | N/A | false | WOODS | N/A | JESSICA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883252 | N/A | N/A | 5542752 | 2222 | 4793 | 16624418 | 4625 | 4214627 | 2025-12-27 01:34:48.464190 | 2025-06-23 18:58:46.304598 |
| 2025-12-26 08:07:28.226128 | 2025-12-27 01:34:45.776327 | 16362591 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16362591 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-12-29 | F | AE | CHERE | 98953535F | DIANA | PT | 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/2222/5542660/check_16362591_a1b41cfb-1b5a-47d5-a289-cef258706905.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883251 | N/A | N/A | 5542660 | 2222 | 4802 | 16624367 | 4625 | 4214542 | 2025-12-27 01:34:45.776327 | 2025-05-13 04:29:37.228868 |
| 2025-12-26 08:07:27.947615 | 2025-12-27 01:34:47.064644 | 16362575 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16362575 | Athletic Physical Therapy Inc | 1977-02-09 | 2025-12-29 | F | AE | SHAMAT | 96987431H | SAMA | PT | 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/2222/5542314/check_16362575_51fbf70a-8359-48d1-8b31-2c172de557d6.json | N/A | N/A | N/A | N/A | N/A | 96987431H | N/A | N/A | HEALTH NET, LLC | N/A | 1977-02-09 | N/A | N/A | N/A | N/A | false | SHAMAT | N/A | SAMA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883250 | N/A | N/A | 5542314 | 2222 | 4802 | 16624391 | N/A | 4214238 | 2025-12-27 01:34:47.064644 | 2025-05-13 04:29:37.228571 |
| 2025-12-26 08:07:27.739172 | 2025-12-27 01:39:04.226465 | 16362560 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16362560 | Athletic Physical Therapy Inc | 1936-09-29 | 2025-12-29 | M | AE | JAUDE | 8D38EF9GV30 | KARIM | PT | 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/2222/5542251/check_16362560_3c2024e6-d215-4742-af7b-80a0124b62b0.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MA | false | JAUDE | N/A | KARIM | N/A | N/A | N/A | N/A | N/A | 355964 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883249 | N/A | N/A | 5542251 | 2222 | 4802 | 16629013 | N/A | 4214191 | 2025-12-27 01:39:04.226465 | 2025-05-13 04:29:37.228525 |
| 2025-12-26 08:07:27.586380 | 2025-12-27 01:35:13.433303 | 16362549 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16362549 | Athletic Physical Therapy Inc | 1940-08-31 | 2025-12-29 | M | PT | STEINBERG | MBL875M98441 | HARRIS | N/A | 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/2222/5541917/check_16362549_ea574763-845a-42ae-ac83-d03ecbad39cc.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600883248 | N/A | N/A | 5541917 | 2222 | 4793 | 16624914 | N/A | 4213891 | 2025-12-27 01:35:13.433303 | 2025-05-13 04:29:37.228207 |
| 2025-12-26 08:07:27.351313 | 2025-12-27 01:32:12.020579 | 16362533 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 16362533 | override_provider | 1957-04-11 | 2025-12-29 | M | PT | ADRIAN | MBL508W11635 | NELSON | N/A | 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/2222/5541841/check_16362533_7c882f11-8ac8-4935-b30a-fea379650e3b.json | N/A | N/A | N/A | N/A | N/A | MBL508W11635 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | BLUE SHIELD OF CALIFORNIA | N/A | 1957-04-11 | 040 | CAEGR005 | N/A | N/A | false | ADRIAN | N/A | NELSON | N/A | 2025-12-31 | 2022-04-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600883247 | N/A | N/A | 5541841 | 2222 | 4801 | 16620953 | N/A | 4213826 | 2025-12-27 01:32:12.020579 | 2025-05-13 04:29:37.228146 |
| 2025-12-26 08:07:27.128294 | 2025-12-27 01:35:08.968931 | 16362519 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16362519 | Athletic Physical Therapy Inc | 2009-08-02 | 2025-12-29 | F | PT | KUZMICZ | LFYHC0059374 | AUDREY | N/A | 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/2222/5541748/check_16362519_5dcc34e8-8256-4a39-af8d-df0a577b24a7.json | N/A | N/A | N/A | N/A | N/A | LFYHC0059374 | Preferred Provider Organization (PPO) | LOS ANGELES FIREMENS RELIEF ASSOCIATION | ANTHEM BLUE CROSS | N/A | 2009-08-02 | 040 | 282527M001 | N/A | PR | false | KUZMICZ | N/A | CHRISTOPHER | N/A | 9999-12-31 | 2020-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600883246 | N/A | N/A | 5541748 | 2222 | 4801 | 16624826 | N/A | 4213741 | 2025-12-27 01:35:08.968931 | 2025-10-10 22:38:21.840610 |
| 2025-12-26 08:07:26.969733 | 2025-12-27 01:39:02.502955 | 16362510 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16362510 | Athletic Physical Therapy Inc | 1956-01-14 | 2025-12-29 | F | AE | COHENZADEH | 1YM2D25GY27 | SIMA | PT | 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/2222/5541059/check_16362510_f4724dc4-fba7-47c2-83d9-3c271de4c30b.json | N/A | N/A | N/A | N/A | N/A | 1YM2D25GY27 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-14 | S4802 | N/A | N/A | MB | false | COHENZADEH | N/A | SIMA | N/A | N/A | N/A | N/A | N/A | 104497 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883245 | N/A | N/A | 5541059 | 2222 | 4802 | 16628988 | N/A | 4213119 | 2025-12-27 01:39:02.502955 | 2025-11-20 01:13:31.057962 |
| 2025-12-26 08:07:26.496120 | 2025-12-27 01:39:02.248997 | 16362485 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16362485 | Athletic Physical Therapy Inc | 1956-09-14 | 2025-12-29 | M | AE | COHENZADEH | 7UJ5QD2DD88 | DAVOOD | PT | 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/2222/5540904/check_16362485_1e26a21f-4951-4a41-81ed-d9fc79f571bf.json | N/A | N/A | N/A | N/A | N/A | 7UJ5QD2DD88 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-09-14 | S4802 | N/A | N/A | MB | false | COHENZADEH | N/A | DAVOOD | N/A | N/A | N/A | N/A | N/A | 72057 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883244 | N/A | N/A | 5540904 | 2222 | 4802 | 16628984 | N/A | 4212983 | 2025-12-27 01:39:02.248997 | 2025-11-19 21:27:11.455704 |
| 2025-12-26 08:07:26.261177 | 2025-12-27 01:32:17.653650 | 16362472 | N/A | N/A | 60054 | Aetna | 1114042165 | 16362472 | Athletic Physical Therapy Inc | 1982-07-27 | 2025-12-29 | M | AE | BOKHTIER | W275493875 | GOLAM | PT | 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/2222/5540723/check_16362472_34214cf7-c5b9-4ade-b6d2-31791629f37c.json | N/A | N/A | N/A | N/A | N/A | W275493875 | Exclusive Provider Organization | AMERICAN EXPRESS COMPANY | AETNA | N/A | 1982-07-27 | 0169631 | 016963101100001 | N/A | EP | false | BOKHTIER | N/A | SUMMER | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883243 | N/A | N/A | 5540723 | 2222 | 4793 | 16621080 | N/A | 4212833 | 2025-12-27 01:32:17.653650 | 2025-05-28 20:46:35.079848 |
| 2025-12-26 08:07:25.883085 | 2025-12-27 01:39:01.447286 | 16362452 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16362452 | Athletic Physical Therapy Inc | 1940-05-13 | 2025-12-29 | F | AE | ALIZADEH GHARBAGHI | 6AX8PH3NH43 | TOURAN | PT | 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/2222/5540531/check_16362452_3a318e25-c724-4817-84a2-da82b67317dd.json | N/A | N/A | N/A | N/A | N/A | 6AX8PH3NH43 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-05-13 | S5617 | N/A | N/A | MB | false | ALIZADEH GHARBAGHI | N/A | TOURAN | N/A | N/A | N/A | N/A | N/A | 306292 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883242 | N/A | N/A | 5540531 | 2222 | 4802 | 16628974 | N/A | 4212676 | 2025-12-27 01:39:01.447286 | 2025-07-03 21:09:02.193065 |
| 2025-12-26 08:07:25.662316 | 2025-12-27 01:33:59.160890 | 16362440 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 16362440 | Athletic Physical Therapy Inc | 1956-07-18 | 2025-12-29 | M | AE | BELL | 40055462001 | LOWELL | PT | 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/2222/5540339/check_16362440_2532dc5d-4cdf-4432-bc42-b739f5c5c8c8.json | N/A | N/A | N/A | N/A | N/A | 40055462001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-07-18 | 2025H5425097VEF | H5425CSNP | N/A | N/A | false | BELL | N/A | LOWELL | N/A | N/A | N/A | SCAN STRIVE (HMO SNP), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883241 | N/A | N/A | 5540339 | 2222 | 4801 | 16623332 | N/A | 4212512 | 2025-12-27 01:33:59.160890 | 2025-11-04 22:17:35.476315 |
| 2025-12-26 08:07:25.369673 | 2025-12-27 01:35:05.731160 | 16362424 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16362424 | Athletic Physical Therapy Inc | 1963-05-25 | 2025-12-29 | F | PT | GINSBERG | JQU469A62630 | LISA | N/A | 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/2222/5539612/check_16362424_26e3569a-e3fe-4892-a45b-33687eefffd5.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1963-05-25 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 2026-01-01 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600883240 | N/A | N/A | 5539612 | 2222 | 4793 | 16624753 | N/A | 4211892 | 2025-12-27 01:35:05.731160 | 2025-11-02 22:03:21.557202 |
| 2025-12-26 08:07:25.163733 | 2025-12-27 01:35:08.104363 | 16362410 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16362410 | Athletic Physical Therapy Inc | 1952-09-29 | 2025-12-29 | F | PT | JOHNSON | JQS766M90611 | JANET | N/A | 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/2222/5539188/check_16362410_215142d1-6f2c-4d5a-a741-70e890aac630.json | N/A | N/A | N/A | N/A | N/A | JQS766M90611 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-09-29 | 040 | CAMCRWP0 | N/A | MP | false | JOHNSON | N/A | JANET | 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 | 9600883239 | N/A | N/A | 5539188 | 2222 | 4801 | 16624807 | 4185 | 4211521 | 2025-12-27 01:35:08.104363 | 2025-10-19 23:43:25.603984 |
| 2025-12-26 08:07:24.985340 | 2025-12-27 01:33:58.913980 | 16362400 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 16362400 | Athletic Physical Therapy Inc | 1939-12-29 | 2025-12-29 | F | AE | ALESSI | 31019902301 | JEAN | PT | 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/2222/5539133/check_16362400_cc5af7c1-def5-4628-bd29-be22aeb05148.json | N/A | N/A | N/A | N/A | N/A | 31019902301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1939-12-29 | 2025H5425001 | H5425M | N/A | N/A | false | ALESSI | N/A | JEAN | 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 | 9600883238 | N/A | N/A | 5539133 | 2222 | 4793 | 16623326 | N/A | 4211471 | 2025-12-27 01:33:58.913980 | 2025-07-09 03:59:33.308587 |
| 2025-12-26 08:07:24.704012 | 2025-12-27 01:35:07.757112 | 16362383 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16362383 | Athletic Physical Therapy Inc | 1980-04-11 | 2025-12-29 | M | PT | Hurst | JQY695A75359 | Gregory | N/A | 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/2222/5539085/check_16362383_64282883-312a-433b-b2b3-bcc54a895682.json | N/A | N/A | N/A | N/A | N/A | JQY695A75359 | Preferred Provider Organization (PPO) | YALE MANAGEMENT SERVICES | ANTHEM BLUE CROSS | N/A | 1980-04-11 | 040 | 342584 | N/A | PR | false | HURST | N/A | GREGORY | N/A | 9999-12-31 | 2025-12-01 | ANTHEM SILVER SELECT PPO 50/2200/40% | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600883237 | N/A | N/A | 5539085 | 2222 | 4793 | 16624800 | N/A | 4211408 | 2025-12-27 01:35:07.757112 | 2025-09-18 00:42:48.586801 |
| 2025-12-26 08:07:24.552147 | 2025-12-27 01:35:06.224122 | 16362371 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16362371 | Athletic Physical Therapy Inc | 1960-08-08 | 2025-12-29 | M | PT | GINSBERG | JQU469A62630 | STEVEN | N/A | 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/2222/5538693/check_16362371_6c8baac5-3736-4083-83e3-b1b145877b42.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1960-08-08 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 2026-01-01 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600883236 | N/A | N/A | 5538693 | 2222 | 4793 | 16624763 | N/A | 4211081 | 2025-12-27 01:35:06.224122 | 2025-05-13 04:29:37.225492 |
| 2025-12-26 08:07:24.377358 | 2025-12-27 01:32:17.906326 | 16362363 | N/A | N/A | 60054 | Aetna | 1114042165 | 16362363 | Athletic Physical Therapy Inc | 1992-03-04 | 2025-12-29 | M | AE | INCHALIK | W291674431 | BENJAMIN | PT | 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/2222/5538651/check_16362363_46057711-ec6a-472e-9dd8-b88fa845265d.json | N/A | N/A | N/A | N/A | N/A | W291674431 | Point of Service (POS) | FIGS, INC. | AETNA | N/A | 1992-03-04 | 0251488 | 025148801200001 | N/A | PS | false | INCHALIK | N/A | BENJAMIN | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883235 | N/A | N/A | 5538651 | 2222 | 4802 | 16621086 | N/A | 4211040 | 2025-12-27 01:32:17.906326 | 2025-05-13 04:29:37.225445 |
| 2025-12-26 08:07:24.150629 | 2025-12-27 01:39:05.222295 | 16362350 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16362350 | Athletic Physical Therapy Inc | 1958-02-17 | 2025-12-29 | F | AE | MASATANI | 8A21NQ8MC22 | LAURA | PT | 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/2222/5538406/check_16362350_90719ac7-f933-40ae-806f-0bbca813a35a.json | N/A | N/A | N/A | N/A | N/A | 8A21NQ8MC22 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-02-17 | N/A | N/A | N/A | MB | false | MASATANI | N/A | LAURA | N/A | N/A | N/A | N/A | N/A | 40220 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883234 | N/A | N/A | 5538406 | 2222 | 4802 | 16629028 | N/A | 4210838 | 2025-12-27 01:39:05.222295 | 2025-05-13 04:29:37.225242 |
| 2025-12-26 08:07:23.943625 | 2025-12-27 01:35:14.275320 | 16362336 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16362336 | Athletic Physical Therapy Inc | 1954-09-23 | 2025-12-29 | M | PT | STRASSNER | 653M8615410 | MARCUS | N/A | 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/2222/5538249/check_16362336_b3fc2e62-9d0a-448a-a23d-50535190b362.json | N/A | N/A | N/A | N/A | N/A | 653M8615410 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-09-23 | N/A | N/A | N/A | N/A | false | STRASSNER | N/A | MARCUS | 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 | 9600883233 | N/A | N/A | 5538249 | 2222 | 4801 | 16624933 | N/A | 4210696 | 2025-12-27 01:35:14.275320 | 2026-01-04 17:14:56.140441 |
| 2025-12-26 08:07:23.755775 | 2025-12-27 01:35:08.402957 | 16362325 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16362325 | Athletic Physical Therapy Inc | 1952-06-27 | 2025-12-29 | F | PT | KEYLON | JOS346M97871 | SYLVIA | N/A | 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/2222/5537990/check_16362325_25c6d9ca-5242-45e5-b312-ef1c46e817e5.json | N/A | N/A | N/A | N/A | N/A | JQS346M97871 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-06-27 | 040 | CAMCRWP0 | N/A | MP | false | KEYLON | N/A | SYLVIA | 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 | 9600883232 | N/A | N/A | 5537990 | 2222 | 4801 | 16624813 | N/A | 4210479 | 2025-12-27 01:35:08.402957 | 2025-11-25 04:56:21.589579 |
| 2025-12-26 08:07:23.593297 | 2025-12-27 01:35:15.199068 | 16362317 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16362317 | Athletic Physical Therapy Inc | 1964-06-08 | 2025-12-29 | F | PT | YOUHANAIE | UQK557A62707 | TERESA | N/A | 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/2222/5537881/check_16362317_69afd335-7c7a-4b25-a9bc-94be81e90732.json | N/A | N/A | N/A | N/A | N/A | UQK557A62707 | Preferred Provider Organization (PPO) | CDHP HSA W/NON INTG BANKING-SILVER HDHP | ANTHEM BLUE CROSS | N/A | 1964-06-08 | 130 | 270213OHXB | N/A | PR | false | YOUHANAIE | N/A | TERESA | N/A | 9999-12-31 | 2024-08-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600883231 | N/A | N/A | 5537881 | 2222 | 4793 | 16624954 | N/A | 4210385 | 2025-12-27 01:35:15.199068 | 2026-03-06 18:49:17.116017 |
| 2025-12-26 08:07:23.345604 | 2025-12-27 01:35:22.271143 | 16362302 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16362302 | Athletic Physical Therapy Inc | 1974-06-04 | 2025-12-29 | F | PT | NAIMI | KSI73549599C | ERIN | N/A | 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/2222/5537507/check_16362302_160254ef-f166-4813-b5ee-ebde7003e672.json | N/A | N/A | N/A | N/A | N/A | KSI73549599C | Preferred Provider Organization (PPO) | KARL STORZ ENDOSCOPY AMERICA INC | BLUE SHIELD CALIFORNIA | N/A | 1974-06-04 | 1000PPOX0003 | W8002382 | N/A | PR | false | ABI MALHAB | N/A | NADIM | N/A | N/A | N/A | KARL STORZ ENDOSCOPY AMERICA INC SHARED ADVANTAGE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600883230 | N/A | N/A | 5537507 | 2222 | 4802 | 16625084 | N/A | 4210057 | 2025-12-27 01:35:22.271143 | 2025-05-13 04:29:37.224477 |
| 2025-12-26 08:07:23.144652 | 2025-12-27 01:39:05.737319 | 16362289 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16362289 | Athletic Physical Therapy Inc | 1939-10-22 | 2025-12-29 | M | AE | ODONNELL | 9FJ2YV1NR89 | JOHN | PT | 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/2222/5535491/check_16362289_8b6f5681-cebd-4976-a310-18d4d1e4c9b3.json | N/A | N/A | N/A | N/A | N/A | 9FJ2YV1NR89 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-10-22 | N/A | N/A | N/A | MA | false | ODONNELL | N/A | JOHN | N/A | N/A | N/A | N/A | N/A | 252271 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600883229 | N/A | N/A | 5535491 | 2222 | 4802 | 16629037 | N/A | 4208408 | 2025-12-27 01:39:05.737319 | 2025-05-13 04:29:37.222823 |
| 2025-12-26 08:07:22.977966 | 2025-12-27 01:35:04.664517 | 16362279 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16362279 | Athletic Physical Therapy Inc | 1960-04-27 | 2025-12-29 | M | PT | ENRIGHT | DGA10462968J | HAROLD | N/A | 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/2222/5535419/check_16362279_ce3371b7-4e43-4f9e-a2b8-acf1da6b1d0a.json | N/A | N/A | N/A | N/A | N/A | DGA10462968J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1960-04-27 | 040 | 276945M001 | N/A | PR | false | ENRIGHT | N/A | HAROLD | N/A | 9999-12-31 | 2017-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600883228 | N/A | N/A | 5535419 | 2222 | 4793 | 16624732 | N/A | 4208347 | 2025-12-27 01:35:04.664517 | 2025-05-13 04:29:37.222769 |
| 2025-12-26 08:07:18.960896 | 2025-12-26 08:07:21.079466 | 16362050 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-12-07 | 2025-12-26 | F | AE | MOONVES | MISSINGPOLICYNUMBER | NANCY | PT | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928920/check_16362050_44b078df-6110-4bf3-b9ca-7c4666e54d16.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928920/check_16362050_f9e232a4-f1bf-4699-85e1-60c18ba708be.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1946-12-07 | N/A | N/A | N/A | N/A | false | MOONVES | N/A | NANCY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5928920 | 2222 | N/A | 16600020 | N/A | 4208883 | 2025-12-26 08:07:21.079466 | 2025-05-13 04:29:37.223310 |