API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-26 08:07:17.246201 | 2025-12-26 08:07:20.430163 | 16361950 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-05-18 | 2025-12-26 | F | AE | PT | 4184 | Burk | JQE091A77884 | Celine | https://storage.googleapis.com/normandy-eligibility-checks/2222/12839894/check_16361950_8669032c-3195-4e04-862d-ae90f3919c27.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12839894/check_16361950_7f9fb904-bd93-4a09-b134-64bec7b5eb8c.json | N/A | N/A | N/A | N/A | N/A | JQE091A77884 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1949-05-18 | 040 | CASUPWP0 | N/A | N/A | false | BURK | N/A | CELINE | N/A | 9999-12-31 | 2017-11-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600872777 | N/A | N/A | 12839894 | 2222 | N/A | 16600016 | N/A | 11004269 | 2025-12-26 08:07:20.430163 | 2025-11-14 23:42:44.614455 |
| 2025-12-26 08:07:17.107274 | 2025-12-26 08:07:18.931045 | 16361939 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-12-07 | 2025-12-26 | F | AE | PT | 4185 | MOONVES | MISSINGPOLICYNUMBER | NANCY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928920/check_16361939_e0fbca5b-f39b-41f9-8f09-e0b0744bb320.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-26 | N/A | 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 | N/A | N/A | 4208883 | 2025-12-26 08:07:18.931045 | 2025-05-13 04:29:37.223310 |
| 2025-12-26 08:06:43.989668 | 2025-12-27 01:45:08.898793 | 16359888 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16359888 | Athletic Physical Therapy Inc | 1956-06-27 | 2025-12-29 | M | AE | PT | N/A | WECHTER | WRXA10231348 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100114542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14513881/check_16359888_3edcc7bc-cc09-4ea4-ba66-879082378efb.json | N/A | N/A | N/A | N/A | N/A | WRXA10231348 | Preferred Provider Organization (PPO) | WRITERS GUILD INDUSTRY HEALTH FUND | ANTHEM BLUE CROSS | N/A | 1956-06-27 | 040 | 277242M003 | N/A | PR | false | WECHTER | N/A | DAVID | N/A | 9999-12-31 | 2017-12-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600879033 | N/A | N/A | 14513881 | 2222 | 4793 | 16633699 | N/A | 12644286 | 2025-12-27 01:45:08.898793 | 2025-12-22 18:40:58.838910 |
| 2025-12-26 08:06:43.866632 | 2025-12-27 01:45:07.082128 | 16359883 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16359883 | Athletic Physical Therapy Inc | 1960-11-20 | 2025-12-29 | F | AE | PT | N/A | RUND | JQE413W24976 | Stephanie | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100114542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14414101/check_16359883_31a0b824-e43e-4757-bea0-7008fdc8069c.json | N/A | N/A | N/A | N/A | N/A | JQE413W24976 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1960-11-20 | 040 | CASUPWP0 | N/A | N/A | false | RUND | N/A | STEPHANIE | N/A | 9999-12-31 | 2025-11-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600879032 | N/A | N/A | 14414101 | 2222 | 4802 | 16633684 | N/A | 5046194 | 2025-12-27 01:45:07.082128 | 2026-01-06 19:15:31.520951 |
| 2025-12-26 08:06:43.773573 | 2025-12-27 01:46:01.333100 | 16359876 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16359876 | Athletic Physical Therapy Inc | 1955-09-26 | 2025-12-29 | F | AE | PT | N/A | Sekhar | JQE713W06991 | Vasu | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100114542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14339191/check_16359876_0153ef75-8a37-4d3e-a088-2676343aa697.json | N/A | N/A | N/A | N/A | N/A | JQE713W06991 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1955-09-26 | N/A | N/A | N/A | N/A | false | SEKHAR | N/A | VASU | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600879031 | N/A | N/A | 14339191 | 2222 | 4793 | 16634179 | N/A | 12476351 | 2025-12-27 01:46:01.333100 | 2026-01-18 18:06:46.384672 |
| 2025-12-26 08:06:43.667206 | 2025-12-27 01:45:43.878618 | 16359872 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16359872 | Athletic Physical Therapy Inc | 1948-08-18 | 2025-12-29 | M | AE | PT | N/A | EDA | XEM904118196 | MASAAKI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100114542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14326899/check_16359872_9f8f2dfd-3292-4292-81a2-fd13c893ed43.json | N/A | N/A | N/A | N/A | N/A | XEM904118196 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1948-08-18 | 2002SA000005 | X0001002 | N/A | OT | false | EDA | N/A | MASAAKI | N/A | N/A | N/A | MEDICARE SUPPLEMENT HIGH DEDUCTIBLE PLAN F | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600879030 | N/A | N/A | 14326899 | 2222 | 4802 | 16634029 | N/A | 4215140 | 2025-12-27 01:45:43.878618 | 2025-05-13 04:29:37.229453 |
| 2025-12-26 08:06:43.567072 | 2025-12-27 01:40:33.878209 | 16359866 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 16359866 | Athletic Physical Therapy Inc | 1942-10-09 | 2025-12-29 | M | AE | PT | N/A | SZABO | 12F0052013 | GEORGE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100114542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14109998/check_16359866_80ba1310-b780-4a3e-aab2-f662d17e5dc7.json | N/A | N/A | N/A | N/A | N/A | 12F0052013 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1942-10-09 | N/A | N/A | N/A | N/A | false | SZABO | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600879029 | N/A | N/A | 14109998 | 2222 | 4801 | 16630623 | N/A | 12248869 | 2025-12-27 01:40:33.878209 | 2025-12-10 22:52:03.780467 |
| 2025-12-26 08:06:43.455718 | 2025-12-27 01:56:03.615097 | 16359860 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16359860 | Athletic Physical Therapy Inc | 1957-04-20 | 2025-12-29 | F | PT | N/A | N/A | FOX | 7YK5QU4DW64 | GENOVEVA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100114542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13997303/check_16359860_94f9e37b-9d3c-4b7a-9c7f-7d84b51744e5.json | N/A | N/A | N/A | N/A | N/A | 7YK5QU4DW64 | Medicare Part A | N/A | COMMUNITY MEMORIAL HEALTHCARE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-04-20 | H4161 | DOL 07072022 | N/A | MA | 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 | 9600879028 | N/A | N/A | 13997303 | 2222 | 4793 | 16636884 | N/A | 10741847 | 2025-12-27 01:56:03.615097 | 2025-11-17 21:17:39.202453 |
| 2025-12-26 08:06:43.353904 | 2025-12-27 01:44:57.507001 | 16359859 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16359859 | Athletic Physical Therapy Inc | 1955-06-19 | 2025-12-29 | F | AE | PT | N/A | BAZILE MARVIN | JQE619W05249 | TERRY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100114542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13875019/check_16359859_c1277393-6869-43a8-b0ea-6b118cd55877.json | N/A | N/A | N/A | N/A | N/A | JQE619W05249 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1955-06-19 | N/A | N/A | N/A | N/A | false | BAZILE MARVIN | N/A | TERRY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600879027 | N/A | N/A | 13875019 | 2222 | 4801 | 16633588 | N/A | 12022445 | 2025-12-27 01:44:57.507001 | 2025-12-05 23:18:29.715172 |
| 2025-12-26 08:06:43.256504 | 2025-12-27 01:40:33.315561 | 16359852 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 16359852 | Athletic Physical Therapy Inc | 1943-11-25 | 2025-12-29 | M | AE | PT | N/A | Maher | 80Y0447913 | Timothy | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100114542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13655343/check_16359852_c3b58721-e723-4590-b532-fe64c3cc25e2.json | N/A | N/A | N/A | N/A | N/A | 80Y0447913 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1943-11-25 | N/A | N/A | N/A | N/A | false | MAHER | N/A | TIMOTHY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600879026 | N/A | N/A | 13655343 | 2222 | 4802 | 16630614 | N/A | 11803316 | 2025-12-27 01:40:33.315561 | 2025-12-16 19:29:59.872631 |
| 2025-12-26 08:06:43.113032 | 2025-12-27 01:36:46.159522 | 16359847 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 16359847 | override_provider | 1954-05-29 | 2025-12-29 | F | AE | PT | N/A | HARRISON | XEM909104279 | SUSAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100114542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13289600/check_16359847_349f7561-d7c8-4537-b436-702597f4a372.json | N/A | N/A | N/A | N/A | N/A | XEM909104279 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1954-05-29 | 2002SF000029 | X0001002 | N/A | OT | false | HARRISON | N/A | SUSAN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600879025 | N/A | N/A | 13289600 | 2222 | 4801 | 16626936 | N/A | 11437188 | 2025-12-27 01:36:46.159522 | 2026-01-22 17:59:45.999145 |
| 2025-12-26 08:06:42.937635 | 2025-12-27 01:45:05.567179 | 16359839 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16359839 | Athletic Physical Therapy Inc | 1968-10-14 | 2025-12-29 | M | AE | PT | N/A | KELLER | JQE327W24348 | JERRY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100114542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13041086/check_16359839_41f25bad-f1d3-40c2-9562-a7dc85b622d1.json | N/A | N/A | N/A | N/A | N/A | JQE327W24348 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1968-10-14 | N/A | N/A | N/A | N/A | false | KELLER | N/A | JERRY | N/A | 9999-12-31 | 2025-10-01 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600879024 | N/A | N/A | 13041086 | 2222 | 4801 | 16633668 | N/A | 11198281 | 2025-12-27 01:45:05.567179 | 2026-04-13 23:30:43.333017 |
| 2025-12-26 08:06:42.715678 | 2025-12-27 01:45:08.064810 | 16359827 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16359827 | Athletic Physical Therapy Inc | 1958-11-06 | 2025-12-29 | F | AE | PT | N/A | TARZI | XEM912581221 | MAIMO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100114542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12914083/check_16359827_5bc5101f-1d31-46ce-832a-a869923ed77a.json | N/A | N/A | N/A | N/A | N/A | XEM912581221 | Supplemental Policy | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1958-11-06 | 2004SF000028 | X0001002 | N/A | SP | false | TARZI | N/A | MAIMO | N/A | 9999-12-31 | 2025-07-01 | MEDICARE SUPPLEMENT DENTAL 1500 APR24 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600879023 | N/A | N/A | 12914083 | 2222 | 4801 | 16633690 | N/A | 10956893 | 2025-12-27 01:45:08.064810 | 2025-11-17 21:42:16.129156 |
| 2025-12-26 08:06:42.546531 | 2025-12-27 01:44:59.325452 | 16359817 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16359817 | Athletic Physical Therapy Inc | 1942-02-01 | 2025-12-29 | F | AE | PT | N/A | CHANG | JQE101W06364 | QUANG | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100114542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11159407/check_16359817_4a841dc0-7fb4-44b9-a60d-568d8f451546.json | N/A | N/A | N/A | N/A | N/A | JQE101W06364 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1942-02-01 | 040 | CASUPWP0 | N/A | N/A | false | CHANG | N/A | QUANG CHAN | N/A | 9999-12-31 | 2021-01-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600879022 | N/A | N/A | 11159407 | 2222 | 4793 | 16633606 | N/A | 9505845 | 2025-12-27 01:44:59.325452 | 2026-04-29 00:06:17.964395 |
| 2025-12-26 08:06:42.383132 | 2025-12-27 01:45:06.359842 | 16359808 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16359808 | Athletic Physical Therapy Inc | 1953-06-18 | 2025-12-29 | F | AE | PT | N/A | REISMAN | WRXA13289369 | GAIL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100114542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10984907/check_16359808_75f8c55b-4737-40ca-8d3f-8ecdfd9a046a.json | N/A | N/A | N/A | N/A | N/A | WRXA13289369 | Preferred Provider Organization (PPO) | WRITERS GUILD INDUSTRY HEALTH FUND | MEDICARE B | N/A | 1953-06-18 | 040 | 277242M003 | N/A | PR | false | REISMAN | N/A | MARK | N/A | 9999-12-31 | 2025-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600879021 | N/A | N/A | 10984907 | 2222 | 4802 | 16633677 | N/A | 9156222 | 2025-12-27 01:45:06.359842 | 2026-01-08 22:56:20.879547 |
| 2025-12-26 08:06:42.223475 | 2025-12-27 01:45:44.692615 | 16359803 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16359803 | Athletic Physical Therapy Inc | 1955-07-01 | 2025-12-29 | F | AE | PT | N/A | GREER | XEM909858172 | ROBIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100114542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411084/check_16359803_63337f75-e539-49ad-9bb6-c256807031da.json | N/A | N/A | N/A | N/A | N/A | XEM909858172 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-07-01 | 2002SE000030 | X0001002 | N/A | OT | false | GREER | N/A | ROBIN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600879020 | N/A | N/A | 9411084 | 2222 | 4802 | 16634033 | N/A | 7879863 | 2025-12-27 01:45:44.692615 | 2026-02-04 18:21:13.840230 |
| 2025-12-26 08:06:42.086690 | 2025-12-27 01:45:03.352058 | 16359797 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16359797 | Athletic Physical Therapy Inc | 1948-07-07 | 2025-12-29 | F | AE | PT | N/A | GOEL | JQE690A74746 | VEENA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100114542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969545/check_16359797_884376f2-2d5c-4e4a-996a-c42785d15f0e.json | N/A | N/A | N/A | N/A | N/A | JQE690A74746 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1948-07-07 | 040 | CASUPWP0 | N/A | N/A | false | GOEL | N/A | VEENA | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600879019 | N/A | N/A | 8969545 | 2222 | 4802 | 16633646 | N/A | 7485064 | 2025-12-27 01:45:03.352058 | 2025-12-29 22:41:16.623495 |
| 2025-12-26 08:06:41.932388 | 2025-12-27 01:52:55.553111 | 16359791 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 16359791 | Athletic Physical Therapy Inc | 1963-05-22 | 2025-12-29 | M | AE | PT | N/A | SMITH | 99688004H | MATTHEW | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100114542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7321767/check_16359791_ac1f8e42-c0a7-4e3b-bf96-d3933ddf7b1f.json | N/A | N/A | N/A | N/A | N/A | 99688004H | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1963-05-22 | N/A | N/A | N/A | N/A | false | SMITH | N/A | MATTHEW | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600879018 | N/A | N/A | 7321767 | 2222 | 4793 | 16636291 | N/A | 6037802 | 2025-12-27 01:52:55.553111 | 2025-07-22 17:48:16.997014 |
| 2025-12-26 08:06:41.801794 | 2025-12-27 01:45:04.826798 | 16359783 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16359783 | Athletic Physical Therapy Inc | 1936-09-29 | 2025-12-29 | M | AE | PT | N/A | JAUDE | JQE122A53874 | KARIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100114542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6821574/check_16359783_52fbe413-c9c9-4eac-90e9-cd52d6e0b9ca.json | N/A | N/A | N/A | N/A | N/A | JQE122A53874 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1936-09-29 | 040 | CASUPWP0 | N/A | N/A | false | JAUDE | N/A | KARIM | N/A | 9999-12-31 | 2023-12-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600879017 | N/A | N/A | 6821574 | 2222 | 4802 | 16633659 | N/A | 4214191 | 2025-12-27 01:45:04.826798 | 2025-05-13 04:29:37.228525 |
| 2025-12-26 08:06:41.635686 | 2025-12-27 01:44:58.560138 | 16359777 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16359777 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-12-29 | M | PT | N/A | N/A | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100114542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6528155/check_16359777_e1b834f8-db9c-4a3d-9e7c-a50efb28a363.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-11-24 | N/A | N/A | N/A | N/A | false | BLANCHFIELD | N/A | THOMAS | N/A | 9999-12-31 | 2024-07-01 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600878791 | N/A | N/A | 6528155 | 2222 | 4793 | 16633597 | 4185 | 4214447 | 2025-12-27 01:44:58.560138 | 2026-04-23 20:11:34.441054 |
| 2025-12-26 08:06:41.513267 | 2025-12-27 01:45:03.937206 | 16359774 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16359774 | Athletic Physical Therapy Inc | 1951-03-27 | 2025-12-29 | F | AE | PT | N/A | Jaude | JQE818A61594 | Anne | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100114542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6125110/check_16359774_31172144-b190-4e43-a989-0b08a5811582.json | N/A | N/A | N/A | N/A | N/A | JQE818A61594 | N/A | N/A | ANTHEM BLUE CROSS | 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 | 9600878790 | N/A | N/A | 6125110 | 2222 | 4802 | 16633652 | N/A | 4767362 | 2025-12-27 01:45:03.937206 | 2025-09-19 16:49:18.601418 |
| 2025-12-26 08:06:41.379975 | 2025-12-27 01:45:00.558614 | 16359767 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16359767 | Athletic Physical Therapy Inc | 1956-09-14 | 2025-12-29 | M | AE | PT | N/A | COHENZADEH | JQE934W99391 | DAVOOD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100114542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928905/check_16359767_21d9e70f-1d52-4d8b-9473-dfb9cbd0fac0.json | N/A | N/A | N/A | N/A | N/A | JQE934W99391 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1956-09-14 | N/A | N/A | N/A | N/A | false | COHENZADEH | N/A | DAVOOD | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600878789 | N/A | N/A | 5928905 | 2222 | 4802 | 16633614 | N/A | 4212983 | 2025-12-27 01:45:00.558614 | 2025-11-19 21:27:11.455704 |
| 2025-12-26 08:06:41.231250 | 2025-12-27 01:52:54.812956 | 16359761 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 16359761 | Athletic Physical Therapy Inc | 1947-11-15 | 2025-12-29 | F | AE | PT | N/A | NOGHREIAN | 95391425F20105 | FLORIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100114542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5548971/check_16359761_d62ef32c-9b6d-4bd6-98b5-deededf6cd5d.json | N/A | N/A | N/A | N/A | N/A | 95391425F20105 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1947-11-15 | N/A | N/A | N/A | N/A | false | NOGHREIAN | N/A | FLORIA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600878788 | N/A | N/A | 5548971 | 2222 | 4802 | 16636289 | N/A | 4218728 | 2025-12-27 01:52:54.812956 | 2025-05-13 04:29:37.229718 |
| 2025-12-26 08:06:41.052574 | 2025-12-27 01:45:01.597687 | 16359753 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16359753 | Athletic Physical Therapy Inc | 1956-01-14 | 2025-12-29 | F | AE | PT | N/A | COHENZADEH | JQE794W09390 | SIMA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100114542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541062/check_16359753_df075e98-9381-455c-8452-8e3c66ee6d08.json | N/A | N/A | N/A | N/A | N/A | JQE794W09390 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1956-01-14 | 040 | CASUPWP0 | N/A | N/A | false | COHENZADEH | N/A | SIMA | N/A | 9999-12-31 | 2021-10-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600878787 | N/A | N/A | 5541062 | 2222 | 4802 | 16633625 | N/A | 4213119 | 2025-12-27 01:45:01.597687 | 2025-11-20 01:13:31.057962 |
| 2025-12-26 08:06:40.924868 | 2025-12-27 01:45:45.641502 | 16359746 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16359746 | Athletic Physical Therapy Inc | 2007-11-18 | 2025-12-29 | F | PT | N/A | N/A | PELLEGRINI | XEA913808278 | REY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100114542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539457/check_16359746_0dd63d56-e498-41ab-bf94-a4dc483eb6b8.json | N/A | N/A | N/A | N/A | N/A | XAN913808278 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 2007-11-18 | 1479PPOX0002 | W0051411 | N/A | PR | false | PELLEGRINI | N/A | PATRICIA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9600878786 | N/A | N/A | 5539457 | 2222 | 4793 | 16634042 | N/A | 4211757 | 2025-12-27 01:45:45.641502 | 2025-06-05 23:05:44.239427 |
| 2025-12-26 08:06:40.776259 | 2025-12-27 01:45:02.637280 | 16359738 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16359738 | Athletic Physical Therapy Inc | 1952-12-18 | 2025-12-29 | F | AE | PT | N/A | DU BRIN | JQE162M93481 | SUSAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100114542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538605/check_16359738_edf54b6d-3ce0-4ebf-90d1-9dbc87de2936.json | N/A | N/A | N/A | N/A | N/A | JQE162M93481 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-12-18 | 040 | CASUPWP0 | N/A | N/A | false | DU BRIN | N/A | SUSAN | N/A | 9999-12-31 | 2021-03-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600878785 | N/A | N/A | 5538605 | 2222 | 4793 | 16633635 | N/A | 4210998 | 2025-12-27 01:45:02.637280 | 2026-02-23 18:49:01.874308 |
| 2025-12-26 08:06:40.655118 | 2025-12-27 01:40:22.240319 | 16359731 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 16359731 | Athletic Physical Therapy Inc | 1958-02-17 | 2025-12-29 | F | AE | PT | N/A | MASATANI | U0538822602 | LAURA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100114542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538411/check_16359731_2f563388-c262-46c5-a97b-de0ca1d7ef71.json | N/A | N/A | N/A | N/A | N/A | U0538822602 | N/A | MIZUHO BANK, LTD | CHLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PREFERRED CARE MANAGEMENT | 1958-02-17 | N/A | 3207232 | N/A | N/A | false | MASATANI | N/A | LAURA G | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600878784 | N/A | N/A | 5538411 | 2222 | 4802 | 16630420 | N/A | 4210838 | 2025-12-27 01:40:22.240319 | 2025-05-13 04:29:37.225242 |
| 2025-12-26 08:06:40.490924 | 2025-12-27 01:32:51.118851 | 16359724 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 16359724 | Athletic Physical Therapy Inc | 1939-10-22 | 2025-12-29 | M | AE | PT | N/A | ODONNELL | 02722745411 | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251226.100114542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535496/check_16359724_a3a53c20-3e15-42f6-b039-c4aaa2155090.json | N/A | N/A | N/A | N/A | N/A | 02722745411 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1939-10-22 | N/A | N/A | N/A | SP | false | O DONNELL | N/A | JOHN | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9600878783 | N/A | N/A | 5535496 | 2222 | 4802 | 16621806 | N/A | 4208408 | 2025-12-27 01:32:51.118851 | 2025-05-13 04:29:37.222823 |
| 2025-12-25 08:18:26.636735 | 2025-12-25 08:18:30.994429 | 16353641 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1977-05-19 | 2025-12-26 | M | AE | PT | N/A | MALHOTRA | 42360756 | DAVE | https://storage.googleapis.com/normandy-eligibility-checks/2222/9680809/check_16353641_728797e2-b7e8-4921-8524-e922fdbba156.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9680809/check_16353641_9da2ecce-86d4-4ba6-8d1c-8f35dc3b08b5.json | N/A | N/A | N/A | N/A | N/A | 612027650 | Preferred Provider Organization (PPO) | N/A | OPTUMHEALTH BEHAVIORAL SOLUTIONS | N/A | 1977-05-19 | N/A | 15385 | N/A | PR | false | MALHOTRA | N/A | DAVE | N/A | N/A | N/A | FIDELITY BH UMR HEALTHFLEX PPO 2025 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9680809 | 2222 | N/A | 16580116 | N/A | 8100424 | 2025-12-25 08:18:30.994429 | 2025-10-07 13:46:29.078092 |
| 2025-12-25 08:09:03.521192 | 2025-12-25 08:09:03.599371 | 16342334 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16342334 | Athletic Physical Therapy Inc | 1949-05-18 | 2025-12-26 | F | AE | PT | N/A | Burk | JQE091A77884 | Celine | N/A | WAYSTAR | N/A | BATCH | 2025-12-26 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 12839894 | 2222 | 4802 | N/A | N/A | 11004269 | 2025-12-25 08:09:03.599371 | 2025-11-14 23:42:44.614455 |
| 2025-12-25 08:09:03.444448 | 2025-12-25 08:09:03.517859 | 16342326 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16342326 | Athletic Physical Therapy Inc | 1946-12-07 | 2025-12-26 | F | AE | PT | N/A | MOONVES | MISSINGPOLICYNUMBER | NANCY | N/A | WAYSTAR | N/A | BATCH | 2025-12-26 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5928920 | 2222 | 4802 | N/A | N/A | 4208883 | 2025-12-25 08:09:03.517859 | 2025-05-13 04:29:37.223310 |
| 2025-12-25 08:08:03.293540 | 2025-12-26 03:51:21.825674 | 16338212 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16338212 | Athletic Physical Therapy Inc | 1997-11-14 | 2025-12-26 | F | PT | N/A | N/A | WILLIAMS | V7Y697W21837 | REAGAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251225.100119412.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14412401/check_16338212_4d958fa7-9c48-4e22-b1f5-f434bcbd0059.json | N/A | N/A | N/A | N/A | N/A | V7Y697W21837 | Health Maintenance Organization (HMO) | SPINDLEHORSE | BLUE SHIELD OF CALIFORNIA | N/A | 1997-11-14 | 040 | U08679 | N/A | HM | false | WILLIAMS | N/A | REAGAN | N/A | 9999-12-31 | 2025-11-01 | HMO VIVITY | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9596272532 | N/A | N/A | 14412401 | 2222 | 4801 | 16595743 | N/A | 12547822 | 2025-12-26 03:51:21.825674 | 2025-12-21 18:11:52.465034 |
| 2025-12-25 08:08:03.207499 | 2025-12-26 03:51:14.683353 | 16338206 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16338206 | Athletic Physical Therapy Inc | 1957-07-16 | 2025-12-26 | M | PT | N/A | N/A | GREENHALGE | 143A55388 | STEVE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251225.100119412.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14411082/check_16338206_bf1541a1-2009-4ee7-a59f-b55e1d2c698e.json | N/A | N/A | N/A | N/A | N/A | NCF143A55388 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1957-07-16 | 040 | 57AJCA | N/A | HM | false | GREENHALGE | N/A | STEVE | 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 | 9596272531 | N/A | N/A | 14411082 | 2222 | 4801 | 16595720 | N/A | 12546413 | 2025-12-26 03:51:14.683353 | 2026-02-05 22:22:26.212113 |
| 2025-12-25 08:08:03.116998 | 2025-12-26 03:51:14.097003 | 16338203 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16338203 | Athletic Physical Therapy Inc | 2009-04-29 | 2025-12-26 | M | PT | N/A | N/A | BRAND | NCF904A54991 | LUKE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251225.100119412.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14410470/check_16338203_2c4b4cb5-ee97-4750-930f-5868b99219c7.json | N/A | N/A | N/A | N/A | N/A | NCF904A54991 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 2009-04-29 | 040 | 57AJCA | N/A | HM | false | BRAND | N/A | JEFFREY | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9596272530 | N/A | N/A | 14410470 | 2222 | 4801 | 16595718 | N/A | 12545717 | 2025-12-26 03:51:14.097003 | 2025-12-18 16:21:03.286825 |
| 2025-12-25 08:08:03.035820 | 2025-12-26 03:51:20.902969 | 16338197 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16338197 | Athletic Physical Therapy Inc | 2001-09-07 | 2025-12-26 | M | PT | N/A | N/A | Taryle | XAN913807118 | Ari | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251225.100119412.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14331478/check_16338197_931dad12-55fa-48b5-aee6-d5aa9522070b.json | N/A | N/A | N/A | N/A | N/A | XAN913807118 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 2001-09-07 | 1000PPOX0002 | W0051411 | N/A | PR | false | TARYLE | N/A | SCOTT | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9596272528 | N/A | N/A | 14331478 | 2222 | 4802 | 16595741 | N/A | 12468498 | 2025-12-26 03:51:20.902969 | 2025-12-17 16:47:05.654260 |
| 2025-12-25 08:08:02.951506 | 2025-12-26 03:50:54.988032 | 16338194 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16338194 | Athletic Physical Therapy Inc | 1970-09-24 | 2025-12-26 | F | AE | PT | N/A | Franzblau | 000023384123 | Jean | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251225.100119412.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14320858/check_16338194_5569403c-2b39-4938-8af8-f86b1d0b3baf.json | N/A | N/A | N/A | N/A | N/A | 000023384123 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1970-09-24 | 4371939 | 1650095001 | N/A | N/A | false | FRANZBLAU | N/A | JEAN | N/A | N/A | N/A | KP INDIVIDUAL AND FAMILY SILVER 70 HMO 2850/50% PC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9596272527 | N/A | N/A | 14320858 | 2222 | 4802 | 16595672 | N/A | 12459118 | 2025-12-26 03:50:54.988032 | 2025-12-16 16:43:42.250412 |
| 2025-12-25 08:08:02.870034 | 2025-12-26 03:44:46.523080 | 16338190 | N/A | N/A | 60054 | Aetna | 1114042165 | 16338190 | Athletic Physical Therapy Inc | 2001-04-06 | 2025-12-26 | M | AE | PT | N/A | Serrano | W292956883 | Oscar | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251225.100119412.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14204032/check_16338190_7ba722bc-5aae-4865-a71f-12a02c4eaaf6.json | N/A | N/A | N/A | N/A | N/A | W292956883 | Exclusive Provider Organization | ADP TOTALSOURCE SERVICES, INC. | AETNA | N/A | 2001-04-06 | 0251369 | 025136901200011 | N/A | EP | false | SERRANO | N/A | OSCAR | N/A | N/A | N/A | OPEN ACCESS ELECT CHOICE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9596272526 | N/A | N/A | 14204032 | 2222 | 4802 | 16595171 | N/A | 12335433 | 2025-12-26 03:44:46.523080 | 2025-12-12 16:21:02.747024 |
| 2025-12-25 08:08:02.771490 | 2025-12-26 03:51:15.257422 | 16338187 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16338187 | Athletic Physical Therapy Inc | 1973-01-01 | 2025-12-26 | F | PT | N/A | N/A | Vo | TOA651A68427 | Tram | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251225.100119412.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14115191/check_16338187_ec06a03e-2966-4e4a-a2d9-d98462fd47d8.json | N/A | N/A | N/A | N/A | N/A | TOA651A68427 | Preferred Provider Organization (PPO) | PPO 1 PLAN W/IHM AND AIM | ANTHEM BLUE CROSS | N/A | 1973-01-01 | 160 | 214021M1NR | N/A | PR | false | VO | N/A | TRAM | N/A | 9999-12-31 | 2022-01-01 | BLUE ACCESS PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9596272525 | N/A | N/A | 14115191 | 2222 | 4802 | 16595722 | N/A | 12253534 | 2025-12-26 03:51:15.257422 | 2025-12-11 19:59:32.714775 |
| 2025-12-25 08:08:02.653857 | 2025-12-26 03:51:21.359629 | 16338182 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16338182 | Athletic Physical Therapy Inc | 1993-05-14 | 2025-12-26 | M | PT | N/A | N/A | KRASNY | VDHE01154199 | BRENNAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251225.100119412.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13980735/check_16338182_1526b41d-0076-449c-96f0-a1450d3d5399.json | N/A | N/A | N/A | N/A | N/A | VDHE01154199 | Preferred Provider Organization (PPO) | DIGNITY HEALTH VENTURA | BLUE SHIELD OF CALIFORNIA | N/A | 1993-05-14 | 040 | 174236M1A1 | N/A | PR | false | KRASNY | N/A | JOSEPHINE | N/A | 9999-12-31 | 2025-05-01 | PB INCENTIVE NO SUTTER | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9596272524 | N/A | N/A | 13980735 | 2222 | 4793 | 16595742 | N/A | 12130740 | 2025-12-26 03:51:21.359629 | 2025-12-08 18:23:01.413319 |
| 2025-12-25 08:08:02.573983 | 2025-12-26 03:50:56.664368 | 16338177 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16338177 | Athletic Physical Therapy Inc | 1968-02-12 | 2025-12-26 | M | AE | PT | N/A | GUTIERREZ | 90938896D | RAUL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251225.100119412.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13879811/check_16338177_336697af-4445-414f-85bc-cd9c140dc84a.json | N/A | N/A | N/A | N/A | N/A | 90938896D | N/A | N/A | HEALTH NET, LLC | N/A | 1968-02-12 | N/A | N/A | N/A | N/A | false | GUTIERREZ | N/A | RAUL | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9596272523 | N/A | N/A | 13879811 | 2222 | 4801 | 16595677 | N/A | 12027353 | 2025-12-26 03:50:56.664368 | 2025-12-09 04:56:01.783985 |
| 2025-12-25 08:08:02.494440 | 2025-12-26 03:44:45.403048 | 16338174 | N/A | N/A | 60054 | Aetna | 1114042165 | 16338174 | Athletic Physical Therapy Inc | 1976-05-25 | 2025-12-26 | M | AE | PT | N/A | BINSON | W290639708 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251225.100119412.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13729235/check_16338174_5a13d455-c44f-4be1-8a26-3feab08d224b.json | N/A | N/A | N/A | N/A | N/A | W290639708 | Point of Service (POS) | OMNICOM BENEFITS INC. | AETNA | N/A | 1976-05-25 | 0247087 | 024708701800002 | N/A | PS | false | JOSEPH | N/A | BINSON | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9596272522 | N/A | N/A | 13729235 | 2222 | 4801 | 16595169 | N/A | 11880346 | 2025-12-26 03:44:45.403048 | 2025-12-11 21:31:08.022159 |
| 2025-12-25 08:08:02.413789 | 2025-12-26 03:51:14.965979 | 16338169 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16338169 | Athletic Physical Therapy Inc | 2011-01-18 | 2025-12-26 | F | PT | N/A | N/A | RIGGIO | SIF227A52267 | NEPHTALIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251225.100119412.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13697022/check_16338169_72925bb0-e2d1-4100-9124-990ab80d6ae9.json | N/A | N/A | N/A | N/A | N/A | SIF227A52267 | Preferred Provider Organization (PPO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 2011-01-18 | 040 | 40954C | N/A | PR | false | RIGGIO | N/A | SUZANNE | N/A | 9999-12-31 | 2024-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9596272520 | N/A | N/A | 13697022 | 2222 | 4801 | 16595721 | N/A | 11847750 | 2025-12-26 03:51:14.965979 | 2025-12-12 20:15:18.288231 |
| 2025-12-25 08:08:02.336655 | 2025-12-26 03:54:59.971762 | 16338166 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16338166 | Athletic Physical Therapy Inc | 1949-05-18 | 2025-12-26 | F | AE | PT | N/A | Burk | 5Y14AG3HK78 | Celine | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251225.100119412.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12839893/check_16338166_6b18d7fc-7d7e-433c-a39f-8e961237ef6a.json | N/A | N/A | N/A | N/A | N/A | 5Y14AG3HK78 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-05-18 | S5921 | N/A | N/A | MA | false | BURK | N/A | CELINE | N/A | N/A | N/A | N/A | N/A | 482763 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9596272519 | N/A | N/A | 12839893 | 2222 | 4802 | 16596319 | N/A | 11004269 | 2025-12-26 03:54:59.971762 | 2025-11-14 23:42:44.614455 |
| 2025-12-25 08:08:02.248708 | 2025-12-26 03:50:54.099266 | 16338163 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16338163 | Athletic Physical Therapy Inc | 1952-10-12 | 2025-12-26 | F | AE | PT | N/A | Abraha | 000011262592 | Tarik | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251225.100119412.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11843086/check_16338163_ac53335e-711d-418d-bea9-ed245196cb57.json | N/A | N/A | N/A | N/A | N/A | 000011262592 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1952-10-12 | 564559 | 105702 | N/A | N/A | false | ABRAHA | N/A | TARIK | N/A | N/A | N/A | STATE EMPLOYEES RETIREMENT SYSTEM STATE RETIREES | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9596272518 | N/A | N/A | 11843086 | 2222 | 4802 | 16595670 | N/A | 10074998 | 2025-12-26 03:50:54.099266 | 2025-10-29 23:19:49.535455 |
| 2025-12-25 08:08:02.161393 | 2025-12-26 03:44:45.809574 | 16338159 | N/A | N/A | 60054 | Aetna | 1114042165 | 16338159 | Athletic Physical Therapy Inc | 2011-12-20 | 2025-12-26 | M | AE | PT | N/A | NAQVI | W295996740 | KAZIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251225.100119412.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11417253/check_16338159_09914336-1f8d-4c0d-acf8-e327a1c94a81.json | N/A | N/A | N/A | N/A | N/A | W295996740 | Point of Service (POS) | SHI INTERNATIONAL CORP. | AETNA | N/A | 2011-12-20 | 0308616 | 030861601600001 | N/A | PS | false | NAQVI | N/A | SYED | 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 | 9596272517 | N/A | N/A | 11417253 | 2222 | 4793 | 16595170 | N/A | 9671738 | 2025-12-26 03:44:45.809574 | 2025-10-29 22:32:21.591395 |
| 2025-12-25 08:08:02.075980 | 2025-12-26 03:51:19.659956 | 16338153 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16338153 | Athletic Physical Therapy Inc | 1956-10-11 | 2025-12-26 | M | PT | N/A | N/A | Bou Chacra | XED912823926 | Akram | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251225.100119412.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11201492/check_16338153_55df3890-1686-4176-b9eb-c44897d067a6.json | N/A | N/A | N/A | N/A | N/A | XED912823926 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1956-10-11 | 2001ZK002185 | X0001004 | N/A | PR | false | BOU CHACRA | N/A | AKRAM | N/A | 9999-12-31 | 2024-01-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9596272516 | N/A | N/A | 11201492 | 2222 | 4793 | 16595737 | N/A | 9540458 | 2025-12-26 03:51:19.659956 | 2025-10-26 04:16:16.050614 |
| 2025-12-25 08:08:01.989300 | 2025-12-26 03:51:20.218187 | 16338151 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16338151 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-12-26 | F | PT | N/A | N/A | GIANNE | XED910762094 | NATALIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251225.100119412.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_16338151_1b97740f-2680-4013-ab66-51eb74d44c81.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 | 9596272513 | N/A | N/A | 7994545 | 2222 | 4802 | 16595739 | N/A | 6802250 | 2025-12-26 03:51:20.218187 | 2025-08-11 23:58:28.358402 |
| 2025-12-25 08:08:01.905136 | 2025-12-26 03:51:19.930638 | 16338145 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16338145 | Athletic Physical Therapy Inc | 1991-10-07 | 2025-12-26 | F | PT | N/A | N/A | BOYM | XEK903045570 | DANIELLA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251225.100119412.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7281036/check_16338145_b683a7c6-1822-4b3c-a38b-60517f7f0475.json | N/A | N/A | N/A | N/A | N/A | XEK903045570 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1991-10-07 | 2001ZJ002648 | X0001000 | N/A | PR | false | BOYM | N/A | DIMITRY | N/A | 2025-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9596272511 | N/A | N/A | 7281036 | 2222 | 4793 | 16595738 | N/A | 6245462 | 2025-12-26 03:51:19.930638 | 2025-07-24 01:23:15.134681 |
| 2025-12-25 08:08:01.818628 | 2025-12-26 03:50:54.505040 | 16338142 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16338142 | Athletic Physical Therapy Inc | 2008-04-21 | 2025-12-26 | M | AE | PT | N/A | BERMUDEZ | 000019836525 | RAFAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251225.100119412.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6721942/check_16338142_f6e7ce25-de23-42d6-b35b-441a8e61bab4.json | N/A | N/A | N/A | N/A | N/A | 000019836525 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 2008-04-21 | 4327748 | 226977 | N/A | N/A | false | BERMUDEZ | N/A | RAFAEL | N/A | N/A | N/A | STATE OF CA- MRMIB - HEALTHY FAMILIES HF, AGES 2-1 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9596272510 | N/A | N/A | 6721942 | 2222 | 4793 | 16595671 | N/A | 5322280 | 2025-12-26 03:50:54.505040 | 2025-07-01 21:45:15.878047 |
| 2025-12-25 08:08:01.721647 | 2025-12-26 03:50:57.981994 | 16338138 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16338138 | Athletic Physical Therapy Inc | 1953-03-27 | 2025-12-26 | F | AE | PT | N/A | FINE | 00000272194 | MICHELLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251225.100119412.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858742/check_16338138_eda1bca7-9c9e-4789-9448-946d7d358947.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 | 9596272509 | N/A | N/A | 5858742 | 2222 | 4801 | 16595681 | 2630 | 4219630 | 2025-12-26 03:50:57.981994 | 2025-05-13 04:29:37.230672 |