API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-23 08:07:11.482525 | 2025-12-25 01:34:21.792812 | 16297333 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16297333 | Athletic Physical Therapy Inc | 1967-12-07 | 2025-12-26 | M | PT | Ferrara | WMO891A21933 | Paul | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13731115/check_16297333_615ccd04-aac4-4468-a5d2-a6cb5423b1b6.json | N/A | N/A | N/A | N/A | N/A | WMO891A21933 | Preferred Provider Organization (PPO) | MOLINA HEALTHCARE INC | ANTHEM BLUE CROSS | N/A | 1967-12-07 | 040 | 174232M3A1 | N/A | PR | false | FERRARA | N/A | PAUL | N/A | 2026-01-01 | 2024-01-01 | BC PPO INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9581433163 | N/A | N/A | 13731115 | 2222 | 4801 | 16576942 | N/A | 11882246 | 2025-12-25 01:34:21.792812 | 2025-12-05 17:44:18.044286 |
| 2025-12-23 08:07:11.367331 | 2025-12-25 01:39:06.429017 | 16297329 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16297329 | Athletic Physical Therapy Inc | 1957-03-11 | 2025-12-24 | M | AE | Senet | 6MN5MW1PY78 | Bradley | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13657352/check_16297329_2980dd05-b1a2-439f-8d8f-93b3da5fe570.json | N/A | N/A | N/A | N/A | N/A | 6MN5MW1PY78 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-03-11 | S5884 | N/A | N/A | MA | false | SENET | N/A | BRADLEY | N/A | N/A | N/A | N/A | N/A | 20106 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9581433162 | N/A | N/A | 13657352 | 2222 | 4793 | 16577670 | N/A | 11805320 | 2025-12-25 01:39:06.429017 | 2025-12-04 02:10:22.875325 |
| 2025-12-23 08:07:11.264711 | 2025-12-25 01:34:36.163546 | 16297326 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16297326 | Athletic Physical Therapy Inc | 1976-06-02 | 2025-12-26 | M | PT | DRELLO | FJB27232467M | JUSTIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13652765/check_16297326_fcc26014-c3ed-4db8-8334-5cdc794c39ba.json | N/A | N/A | N/A | N/A | N/A | FJB27232467M | Preferred Provider Organization (PPO) | ALL | BLUE SHIELD OF CALIFORNIA | N/A | 1976-06-02 | 101 | 174549M211 | N/A | PR | false | DRELLO | N/A | MICHELLE | N/A | 9999-12-31 | 2020-02-01 | BLUECARD PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9581433161 | N/A | N/A | 13652765 | 2222 | 4801 | 16576977 | N/A | 11800844 | 2025-12-25 01:34:36.163546 | 2025-12-03 23:22:53.729122 |
| 2025-12-23 08:07:11.149618 | 2025-12-25 01:32:35.751731 | 16297322 | N/A | N/A | 61101 | HUMANA | 1114042165 | 16297322 | Athletic Physical Therapy Inc | 1959-02-22 | 2025-12-26 | M | AE | ELGHANIAN | H6572019100 | KAM | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13644533/check_16297322_7f989515-6e54-412f-8966-0067b7d69304.json | N/A | N/A | N/A | N/A | N/A | H65720191 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 657 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 | 1959-02-22 | N/A | 5A962001 | N/A | HN | false | ELGHANIAN | N/A | KAMBIZ | 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 | 9581433160 | N/A | N/A | 13644533 | 2222 | 4802 | 16576591 | 5349 | 11234326 | 2025-12-25 01:32:35.751731 | 2026-04-14 20:04:17.055093 |
| 2025-12-23 08:07:11.024015 | 2025-12-25 01:32:01.786942 | 16297318 | N/A | N/A | 60054 | Aetna | 1114042165 | 16297318 | Athletic Physical Therapy Inc | 2013-08-17 | 2025-12-26 | F | AE | RUEMMELE | W297102676 | MAKENA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13600510/check_16297318_b0812560-07b4-429a-ada8-c65c72b080dc.json | N/A | N/A | N/A | N/A | N/A | W297102676 | Point of Service (POS) | RIPPLING PEO 1, INC. | AETNA | N/A | 2013-08-17 | 0169696 | 016969602100020 | N/A | PS | false | ALFONSO | N/A | TANYA | 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 | 9581433159 | N/A | N/A | 13600510 | 2222 | 4793 | 16576480 | N/A | 4534546 | 2025-12-25 01:32:01.786942 | 2025-12-03 00:06:29.870228 |
| 2025-12-23 08:07:10.859644 | 2025-12-25 01:34:36.529954 | 16297313 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16297313 | Athletic Physical Therapy Inc | 1963-04-21 | 2025-12-26 | F | PT | CHERAGHI | XDP453W22160 | SHAHLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13543700/check_16297313_c8d77ee0-21e4-4304-bccc-b76bca284be1.json | N/A | N/A | N/A | N/A | N/A | XDP453W22160 | Preferred Provider Organization (PPO) | COUNTY OF LOS ANGELES | BLUE SHIELD OF CALIFORNIA | N/A | 1963-04-21 | 040 | 1284EH | N/A | PR | false | FATEMI | N/A | SEYED ZIAEDD | N/A | 9999-12-31 | 2025-04-01 | CUSTOM PPO NETWORK COUNTY OF LOS ANGELES | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9581433158 | N/A | N/A | 13543700 | 2222 | 4793 | 16576978 | N/A | 11693294 | 2025-12-25 01:34:36.529954 | 2026-01-15 18:14:50.604237 |
| 2025-12-23 08:07:10.713866 | 2025-12-25 01:39:04.522580 | 16297308 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16297308 | Athletic Physical Therapy Inc | 1953-07-03 | 2025-12-26 | M | AE | BANBROOK | 2JU7EP9NY73 | HAL MARK | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13538651/check_16297308_b43ff871-61b7-4385-a32a-5dcb6335d47b.json | N/A | N/A | N/A | N/A | N/A | 2JU7EP9NY73 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-07-03 | S4802 | N/A | N/A | MA | false | BANBROOK | N/A | HAL | N/A | N/A | N/A | N/A | N/A | 62667 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9581433157 | N/A | N/A | 13538651 | 2222 | 4793 | 16577663 | N/A | 11688569 | 2025-12-25 01:39:04.522580 | 2026-02-25 18:57:49.387834 |
| 2025-12-23 08:07:10.587699 | 2025-12-25 01:34:25.356897 | 16297305 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16297305 | Athletic Physical Therapy Inc | 1973-12-16 | 2025-12-26 | M | PT | PAKANATI | ZYF260M98532 | RAMGOPAL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13386966/check_16297305_56504867-d8ae-49ab-95e4-77a9832bc933.json | N/A | N/A | N/A | N/A | N/A | ZYF260M98532 | Preferred Provider Organization (PPO) | MANAGEMENT | ANTHEM BLUE CROSS | N/A | 1973-12-16 | 040 | 174257M2A1 | N/A | PR | false | PAKANATI | N/A | JYOTHI | N/A | 2026-01-01 | 2025-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9581433156 | N/A | N/A | 13386966 | 2222 | 4801 | 16576951 | N/A | 11532449 | 2025-12-25 01:34:25.356897 | 2025-11-25 20:32:49.288912 |
| 2025-12-23 08:07:10.450538 | 2025-12-25 01:34:37.491019 | 16297300 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16297300 | Athletic Physical Therapy Inc | 1969-03-30 | 2025-12-26 | F | PT | Ramachandran | JPU237A20670 | Shalini | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13383139/check_16297300_a743ce81-653a-43b9-8138-e082eefabb0a.json | N/A | N/A | N/A | N/A | N/A | JPU237A20670 | Preferred Provider Organization (PPO) | LOYOLA MARYMOUNT UNIVERSITY | BLUE SHIELD OF CALIFORNIA | N/A | 1969-03-30 | 040 | L08144M001 | N/A | PR | false | RAMACHANDRAN | N/A | SHALINI | N/A | 2026-01-01 | 2024-01-01 | PREMIER PPO MODIFIED 51+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9581433155 | N/A | N/A | 13383139 | 2222 | 4802 | 16576980 | N/A | 11528695 | 2025-12-25 01:34:37.491019 | 2025-11-25 15:50:24.358772 |
| 2025-12-23 08:07:10.255465 | 2025-12-25 01:34:26.197493 | 16297293 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16297293 | Athletic Physical Therapy Inc | 2014-04-09 | 2025-12-26 | M | PT | RADLOFF | 00054283151 | NOLAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13358977/check_16297293_cd9de567-d40f-494e-9539-df2cdb241d5c.json | N/A | N/A | N/A | N/A | N/A | 00054283151 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2014-04-09 | N/A | N/A | N/A | N/A | false | RADLOFF | N/A | NOLAN | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9581433154 | N/A | N/A | 13358977 | 2222 | 4801 | 16576953 | 4185 | 11504476 | 2025-12-25 01:34:26.197493 | 2025-11-24 23:17:09.076585 |
| 2025-12-23 08:07:10.092685 | 2025-12-25 01:39:05.328189 | 16297288 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16297288 | Athletic Physical Therapy Inc | 1959-08-12 | 2025-12-26 | F | AE | JUVONEN | 3MH3Y09HE60 | JAANA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13358116/check_16297288_413ab0d5-d2b5-4096-bcef-853ed79b58c4.json | N/A | N/A | N/A | N/A | N/A | 3MH3Y09HE60 | Medicare Part B | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-08-12 | S9701 | N/A | N/A | MB | false | JUVONEN | N/A | JAANA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | 80556 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9581433153 | N/A | N/A | 13358116 | 2222 | 4802 | 16577666 | N/A | 11503717 | 2025-12-25 01:39:05.328189 | 2026-03-30 23:12:27.831360 |
| 2025-12-23 08:07:09.973682 | 2025-12-25 01:34:25.816052 | 16297285 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16297285 | Athletic Physical Therapy Inc | 2012-07-01 | 2025-12-26 | M | PT | RADLOFF | XDM000542831 | BRYCE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13302087/check_16297285_cf65fb6e-ebe2-426d-b0f9-3bed793eb6a9.json | N/A | N/A | N/A | N/A | N/A | XDM000542831 | Health Maintenance Organization (HMO) | ASSOCIATION FOR LOS ANGELES DEPUTY SHERIFFS INC | ANTHEM BLUE CROSS | N/A | 2012-07-01 | 040 | 57726A | N/A | HM | false | RADLOFF | N/A | BRETT | N/A | 9999-12-31 | 2012-07-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9581433152 | N/A | N/A | 13302087 | 2222 | 4801 | 16576952 | N/A | 11449861 | 2025-12-25 01:34:25.816052 | 2026-01-08 22:48:14.733376 |
| 2025-12-23 08:07:09.834523 | 2025-12-25 01:32:02.598271 | 16297279 | N/A | N/A | 60054 | Aetna | 1114042165 | 16297279 | Athletic Physical Therapy Inc | 2008-09-19 | 2025-12-26 | M | AE | Pandola Paik | W284312002 | Jude | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13301746/check_16297279_b137e428-2057-4229-9862-ddf25ea72a81.json | N/A | N/A | N/A | N/A | N/A | W284312002 | Health Maintenance Organization (HMO) | RUBIN POSTAER AND ASSOCIATES | AETNA | N/A | 2008-09-19 | EAC8UH02 | 023730701000001 | N/A | HM | false | PAIK | N/A | ROMAN | N/A | N/A | N/A | HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9581433151 | N/A | N/A | 13301746 | 2222 | 4802 | 16576482 | N/A | 11449497 | 2025-12-25 01:32:02.598271 | 2025-11-21 23:43:22.822489 |
| 2025-12-23 08:07:09.729890 | 2025-12-25 01:39:05.581461 | 16297276 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16297276 | Athletic Physical Therapy Inc | 1949-06-19 | 2025-12-26 | F | AE | LIEBELT | 5CX2R09EP18 | MARGARET | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13140473/check_16297276_1ecd3179-cd56-4c12-9e2a-eeb1a5896bd8.json | N/A | N/A | N/A | N/A | N/A | 5CX2R09EP18 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-06-19 | S4802 | N/A | N/A | MA | false | LIEBELT | N/A | MARGARET | N/A | N/A | N/A | N/A | N/A | 47772 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9581433150 | N/A | N/A | 13140473 | 2222 | 4801 | 16577667 | N/A | 11291133 | 2025-12-25 01:39:05.581461 | 2025-11-25 01:31:31.833218 |
| 2025-12-23 08:07:09.493254 | 2025-12-25 01:33:35.625830 | 16297269 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16297269 | Athletic Physical Therapy Inc | 1950-09-27 | 2025-12-26 | F | AD | BHOLAT | 40002437001 | ZUBEDA | 30 | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13044933/check_16297269_20386b84-aebc-4b45-a0cc-3eb00eac8e90.json | N/A | N/A | N/A | N/A | N/A | 40002437001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1950-09-27 | 2025H5425001 | H5425M | N/A | N/A | false | BHOLAT | N/A | ZUBEDA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 9581433149 | N/A | N/A | 13044933 | 2222 | 4801 | 16576812 | 6237 | 11202258 | 2025-12-25 01:33:35.625830 | 2025-11-19 19:01:33.367078 |
| 2025-12-23 08:07:09.332098 | 2025-12-25 01:33:35.359998 | 16297264 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16297264 | Athletic Physical Therapy Inc | 1946-12-08 | 2025-12-26 | M | AD | BHOLAT | 31198052201 | MAHMOOD | 30 | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12990097/check_16297264_5bb58a20-550c-46d0-816b-cb5422fc61e9.json | N/A | N/A | N/A | N/A | N/A | 31198052201 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1946-12-08 | 2025H5425001 | H5425M | N/A | N/A | false | BHOLAT | N/A | MAHMOOD | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 9581433147 | N/A | N/A | 12990097 | 2222 | 4801 | 16576811 | 6237 | 11148207 | 2025-12-25 01:33:35.359998 | 2025-12-08 05:48:43.064435 |
| 2025-12-23 08:07:09.224111 | 2025-12-25 01:33:53.761970 | 16297260 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16297260 | Athletic Physical Therapy Inc | 1959-06-17 | 2025-12-26 | M | AE | La Brie | 000009766266 | Richard | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12906322/check_16297260_66c2a4e4-2279-4588-9da1-cb9e1781c015.json | N/A | N/A | N/A | N/A | N/A | 000009766266 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1959-06-17 | 4359396 | 106000 | N/A | N/A | false | LA BRIE | N/A | RICHARD | N/A | N/A | N/A | VERIZON COMMUNICATIONS WIRELINE 253 MGMT. PRE 65 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9581433146 | N/A | N/A | 12906322 | 2222 | 4802 | 16576864 | N/A | 11068953 | 2025-12-25 01:33:53.761970 | 2025-11-17 19:56:24.527366 |
| 2025-12-23 08:07:09.117380 | 2025-12-25 01:34:37.058881 | 16297257 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16297257 | Athletic Physical Therapy Inc | 1975-08-07 | 2025-12-26 | M | PT | GEFFEN | CFT037A52287 | JASON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12686965/check_16297257_da6dceba-201a-405b-9304-842496d65fa0.json | N/A | N/A | N/A | N/A | N/A | CFT037A52287 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1975-08-07 | N/A | N/A | N/A | N/A | false | GEFFEN | N/A | JASON | 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 | 9581433145 | N/A | N/A | 12686965 | 2222 | 4793 | 16576979 | N/A | 10856744 | 2025-12-25 01:34:37.058881 | 2025-12-29 22:47:44.157557 |
| 2025-12-23 08:07:09.004083 | 2025-12-25 01:34:22.444556 | 16297253 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16297253 | Athletic Physical Therapy Inc | 1957-04-20 | 2025-12-26 | F | PT | FOX | 941W2386920 | GENOVEVA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12570095/check_16297253_325d4daf-696c-48af-8a6b-2e04fe460a47.json | N/A | N/A | N/A | N/A | N/A | 941W2386920 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1957-04-20 | N/A | N/A | N/A | N/A | false | FOX | N/A | GENOVEVA | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9581433144 | N/A | N/A | 12570095 | 2222 | 4793 | 16576944 | N/A | 10741847 | 2025-12-25 01:34:22.444556 | 2025-11-17 21:17:39.202453 |
| 2025-12-23 08:07:08.880734 | 2025-12-25 01:31:38.385014 | 16297247 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16297247 | Athletic Physical Therapy Inc | 1950-08-09 | 2025-12-26 | M | AE | Kirgizdaev | 9438168G | Bakhtiyar | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12407501/check_16297247_2dc62dd5-2b2c-44de-997f-4e5529c7b43d.json | N/A | N/A | N/A | N/A | N/A | 9438168G | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1950-08-09 | N/A | N/A | N/A | N/A | false | KIRGIZDAEV | N/A | BAKHTIYAR | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9581433143 | N/A | N/A | 12407501 | 2222 | 4802 | 16576404 | 4211 | 10587374 | 2025-12-25 01:31:38.385014 | 2025-12-24 19:36:03.607867 |
| 2025-12-23 08:07:08.771553 | 2025-12-25 01:32:00.046074 | 16297243 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | 16297243 | Athletic Physical Therapy Inc | 1957-06-10 | 2025-12-26 | F | AE | Cinney | JQE146W12862 | Nancy | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12199890/check_16297243_e9074e36-2c97-45c4-ad51-6f0608d0061b.json | N/A | N/A | N/A | N/A | N/A | JQE146W12862 | N/A | N/A | TCCM | N/A | 1957-06-10 | N/A | N/A | N/A | N/A | false | CINNEY | N/A | NANCY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9581433142 | N/A | N/A | 12199890 | 2222 | 4793 | 16576474 | N/A | 10405614 | 2025-12-25 01:32:00.046074 | 2025-11-11 22:04:16.516523 |
| 2025-12-23 08:07:08.657182 | 2025-12-25 01:39:05.855613 | 16297240 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16297240 | Athletic Physical Therapy Inc | 1960-03-18 | 2025-12-26 | F | AE | MEYER | 6AA8T47WQ51 | LESLIE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11928201/check_16297240_d5836ab8-7b4d-46e3-881c-e542cb8ed9f9.json | N/A | N/A | N/A | N/A | N/A | 6AA8T47WQ51 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-03-18 | S5921 | N/A | N/A | MA | false | MEYER | N/A | LESLIE | N/A | N/A | N/A | N/A | N/A | 120676 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9581433141 | N/A | N/A | 11928201 | 2222 | 4793 | 16577668 | N/A | 4215335 | 2025-12-25 01:39:05.855613 | 2025-10-30 21:15:07.766449 |
| 2025-12-23 08:07:08.550479 | 2025-12-25 01:34:24.840886 | 16297237 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16297237 | Athletic Physical Therapy Inc | 1965-10-16 | 2025-12-26 | F | PT | OTA | JQK708W18818 | JULIANNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11614506/check_16297237_f63a7601-8c8e-4674-b389-927b2efbc355.json | N/A | N/A | N/A | N/A | N/A | JQK708W18818 | Health Maintenance Organization (HMO) | HYPERCOMP INC | ANTHEM BLUE CROSS | N/A | 1965-10-16 | 040 | G78593 | N/A | HM | false | OTA | N/A | JULIANNE | N/A | 2026-01-01 | 2025-01-01 | CA SG ANTHEM HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9581433140 | N/A | N/A | 11614506 | 2222 | 4801 | 16576950 | N/A | 4208609 | 2025-12-25 01:34:24.840886 | 2025-11-06 22:22:57.784313 |
| 2025-12-23 08:07:08.447259 | 2025-12-25 01:33:53.402901 | 16297234 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16297234 | Athletic Physical Therapy Inc | 1994-09-23 | 2025-12-26 | M | AE | RUIZ CORTES | 0023841194 | ROGELIO | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11537156/check_16297234_f8a08e63-6624-4eb7-833f-a323821e81fa.json | N/A | N/A | N/A | N/A | N/A | 0023841194 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1994-09-23 | N/A | N/A | N/A | N/A | false | RUIZ CORTES | N/A | ROGELIO | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9581433139 | N/A | N/A | 11537156 | 2222 | 4802 | 16576863 | N/A | 9778191 | 2025-12-25 01:33:53.402901 | 2025-10-27 23:17:48.522975 |
| 2025-12-23 08:07:08.332298 | 2025-12-25 01:34:19.557557 | 16297230 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16297230 | Athletic Physical Therapy Inc | 2016-05-10 | 2025-12-26 | M | PT | ARRIOLA | XDM000517776 | ELLIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11464639/check_16297230_e96067f0-8b7f-4a3a-835c-da47e0007481.json | N/A | N/A | N/A | N/A | N/A | XDM000517776 | Health Maintenance Organization (HMO) | ASSOCIATION FOR LOS ANGELES DEPUTY SHERIFFS INC | ANTHEM BLUE CROSS | N/A | 2016-05-10 | 040 | 57726A | N/A | HM | false | ARRIOLA | N/A | VICTOR | N/A | 9999-12-31 | 2016-05-10 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9581433138 | N/A | N/A | 11464639 | 2222 | 4801 | 16576936 | N/A | 9714270 | 2025-12-25 01:34:19.557557 | 2025-11-06 01:09:13.623652 |
| 2025-12-23 08:07:08.206379 | 2025-12-25 01:34:23.269891 | 16297226 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16297226 | Athletic Physical Therapy Inc | 1957-11-01 | 2025-12-24 | F | PT | Hennes | JEXNP2009208 | Valerie | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11463855/check_16297226_5ba843cc-f5fb-4586-a3fb-2e80c8ebe915.json | N/A | N/A | N/A | N/A | N/A | JEXNP2009208 | Exclusive Provider Organization | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1957-11-01 | 040 | 276727M005 | N/A | EP | false | HENNES | N/A | VALERIE | N/A | 9999-12-31 | 2018-01-01 | USC EPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9581433137 | N/A | N/A | 11463855 | 2222 | 4801 | 16576946 | N/A | 9713608 | 2025-12-25 01:34:23.269891 | 2025-11-13 07:29:15.484206 |
| 2025-12-23 08:07:08.101801 | 2025-12-25 01:34:33.534631 | 16297220 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16297220 | Athletic Physical Therapy Inc | 1956-10-11 | 2025-12-24 | M | PT | Bou Chacra | XED912823926 | Akram | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11201492/check_16297220_cd436440-b486-48cb-9efe-2516d701a8a1.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 VISION | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9581433136 | N/A | N/A | 11201492 | 2222 | 4793 | 16576970 | N/A | 9540458 | 2025-12-25 01:34:33.534631 | 2025-10-26 04:16:16.050614 |
| 2025-12-23 08:07:07.986432 | 2025-12-25 01:33:35.896950 | 16297217 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 16297217 | Athletic Physical Therapy Inc | 1954-02-02 | 2025-12-26 | F | AE | CORNEL | 40037363901 | GLORIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11111720/check_16297217_d1d574b3-041a-4b5e-bb8a-4a1744054571.json | N/A | N/A | N/A | N/A | N/A | 40037363901 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1954-02-02 | 2025H5425001 | H5425M | N/A | N/A | false | CORNEL | N/A | GLORIA | 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 | 9581433135 | N/A | N/A | 11111720 | 2222 | 4801 | 16576813 | N/A | 9461873 | 2025-12-25 01:33:35.896950 | 2025-10-28 18:04:57.630831 |
| 2025-12-23 08:07:07.878188 | 2025-12-25 01:34:20.369378 | 16297212 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 16297212 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-12-26 | M | PT | BLANCHFIELD | JMV780A55541 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10346222/check_16297212_b298ce2b-f5c5-49ea-aadd-94995ffd38ef.json | N/A | N/A | N/A | N/A | N/A | JMV780A55541 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | MEDICARE B | N/A | 1954-11-24 | 040 | 56677TR000 | N/A | HM | false | BLANCHFIELD | N/A | THOMAS | N/A | 9999-12-31 | 2024-07-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9581433134 | N/A | N/A | 10346222 | 2222 | 4793 | 16576938 | 4184 | 4214447 | 2025-12-25 01:34:20.369378 | 2026-04-23 20:11:34.441054 |
| 2025-12-23 08:07:07.738762 | 2025-12-25 01:33:37.060605 | 16297209 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 16297209 | Athletic Physical Therapy Inc | 1943-02-06 | 2025-12-26 | F | AE | TIPPITT | 40065208701 | SHIRLEY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10305383/check_16297209_a7e2bce6-d8be-474e-a21c-f971008e5c34.json | N/A | N/A | N/A | N/A | N/A | 40065208701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1943-02-06 | 2025H5425001 | H5425M | N/A | N/A | false | TIPPITT | N/A | SHIRLEY | 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 | 9581433133 | N/A | N/A | 10305383 | 2222 | 4793 | 16576817 | N/A | 8574477 | 2025-12-25 01:33:37.060605 | 2025-10-22 02:47:47.756973 |
| 2025-12-23 08:07:07.594737 | 2025-12-25 01:31:58.916941 | 16297204 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 16297204 | override_provider | 1963-04-03 | 2025-12-24 | F | PT | Protsenko | AJC912998623 | Tetiana | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9958584/check_16297204_010e78cd-59f5-491a-8f27-089cd16c76ab.json | N/A | N/A | N/A | N/A | N/A | AJC912998623 | Medicaid | BSC PROMISE HEALTH PLAN MEDI CAL | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1963-04-03 | 1000MCAL0008 | E0001001 | N/A | MC | false | PROTSENKO | N/A | TETIANA | N/A | N/A | N/A | BLUE SHIELD PROMISE MEDI CAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9581433132 | N/A | N/A | 9958584 | 2222 | 4802 | 16576470 | N/A | 7994720 | 2025-12-25 01:31:58.916941 | 2025-09-24 04:33:28.125297 |
| 2025-12-23 08:07:07.416684 | 2025-12-25 01:34:24.481802 | 16297199 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16297199 | Athletic Physical Therapy Inc | 1965-04-22 | 2025-12-26 | M | PT | MCHALE | ZGP814915047 | TIMOTHY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9691017/check_16297199_56b884a6-74ef-438c-b01c-d8b32ef64f40.json | N/A | N/A | N/A | N/A | N/A | ZGP814915047 | Preferred Provider Organization (PPO) | NATIONAL TRENCH SAFETY, INC | ANTHEM BLUE CROSS | N/A | 1965-04-22 | N/A | 400397 | N/A | PR | false | MCHALE | N/A | TIMOTHY | N/A | 9999-12-31 | 2025-01-01 | PPO DENTAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9581433131 | N/A | N/A | 9691017 | 2222 | 4801 | 16576949 | N/A | 4212607 | 2025-12-25 01:34:24.481802 | 2025-09-24 22:37:58.534216 |
| 2025-12-23 08:07:07.311488 | 2025-12-25 01:34:34.701509 | 16297195 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16297195 | Athletic Physical Therapy Inc | 1962-05-29 | 2025-12-26 | F | PT | LARSON | XEA913804058 | DEBRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9562148/check_16297195_bc3d82b1-7cd1-4111-8115-189aec04759d.json | N/A | N/A | N/A | N/A | N/A | XAN913804058 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1962-05-29 | 1480PPOX0002 | W0051411 | N/A | PR | false | LARSON | N/A | DEBRA | 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 | 9581433130 | N/A | N/A | 9562148 | 2222 | 4793 | 16576973 | N/A | 7997320 | 2025-12-25 01:34:34.701509 | 2025-10-02 21:07:14.563938 |
| 2025-12-23 08:07:07.198735 | 2025-12-25 01:39:05.033472 | 16297191 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16297191 | Athletic Physical Therapy Inc | 1952-12-18 | 2025-12-26 | F | AE | DU BRIN | 7KN7YG8XT63 | SUSAN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9556751/check_16297191_d99792ba-3713-4196-a258-de0c200d3f0a.json | N/A | N/A | N/A | N/A | N/A | 7KN7YG8XT63 | Medicare Part A | N/A | UNITED SERVICES AUTOMOBILE ASSOC | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-12-18 | S4802 | DOL 06142025 | N/A | MA | false | DU BRIN | N/A | SUSAN | N/A | N/A | N/A | N/A | N/A | 178641 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9581433129 | N/A | N/A | 9556751 | 2222 | 4793 | 16577665 | N/A | 4210998 | 2025-12-25 01:39:05.033472 | 2026-02-23 18:49:01.874308 |
| 2025-12-23 08:07:07.059566 | 2025-12-25 01:34:20.782421 | 16297186 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 16297186 | Athletic Physical Therapy Inc | 1966-12-04 | 2025-12-26 | M | PT | CLANCY | XDMOE0503879 | JOSEPH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9194927/check_16297186_5a66f5f1-f689-4fc5-adfa-3441011f9d77.json | N/A | N/A | N/A | N/A | N/A | XDMOE0503879 | Health Maintenance Organization (HMO) | OPERATING ENGINEERS HEALTH&WELFARE FUND | ANTHEM BLUE CROSS | N/A | 1966-12-04 | 040 | 278671H001 | N/A | HM | false | CLANCY | N/A | JOSEPH | N/A | 9999-12-31 | 2025-02-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9581433128 | N/A | N/A | 9194927 | 2222 | 4793 | 16576939 | 4184 | 7712549 | 2025-12-25 01:34:20.782421 | 2025-09-10 17:29:28.945035 |
| 2025-12-23 08:07:06.948893 | 2025-12-25 01:34:34.288186 | 16297181 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16297181 | Athletic Physical Therapy Inc | 1980-12-02 | 2025-12-26 | M | PT | GODINEZ | XEK907039926 | RICHARD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202901/check_16297181_47d35fb2-f4e6-4678-b217-82229a32d875.json | N/A | N/A | N/A | N/A | N/A | XEK907039926 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-12-02 | 2001ZK002171 | X0001000 | N/A | PR | false | GODINEZ | N/A | RICHARD | 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 | 9581433127 | N/A | N/A | 8202901 | 2222 | 4793 | 16576972 | N/A | 6965521 | 2025-12-25 01:34:34.288186 | 2025-09-10 21:42:23.177790 |
| 2025-12-23 08:07:06.826209 | 2025-12-25 01:33:45.333843 | 16297179 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 16297179 | Athletic Physical Therapy Inc | 1980-08-02 | 2025-12-26 | M | AE | HILTSER | 208616901 | LORNE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8048052/check_16297179_c9ac0d11-e3d5-4231-86a3-559eda8ee14c.json | N/A | N/A | N/A | N/A | N/A | 208616901 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1980-08-02 | N/A | 265486 | N/A | C1 | false | HILTSER | N/A | LORNE | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO GOLD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9581433126 | N/A | N/A | 8048052 | 2222 | 4802 | 16576842 | 6411 | 6844134 | 2025-12-25 01:33:45.333843 | 2025-08-29 16:18:21.978739 |
| 2025-12-23 08:07:06.700667 | 2025-12-25 01:34:19.965571 | 16297174 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 16297174 | Athletic Physical Therapy Inc | 1959-05-18 | 2025-12-26 | F | PT | BARRUNDIA DE AVENDAN | 789W2003120 | Maria | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8046575/check_16297174_5657a50c-56d6-4cb6-b55c-3ccfcc71ecf4.json | N/A | N/A | N/A | N/A | N/A | 789W2003120 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-05-18 | N/A | N/A | N/A | N/A | false | BARRUNDIA DE AVENDAN | N/A | MARIA | 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 | 9581433125 | N/A | N/A | 8046575 | 2222 | 4801 | 16576937 | 4184 | 4642900 | 2025-12-25 01:34:19.965571 | 2025-12-12 21:30:04.843166 |
| 2025-12-23 08:07:06.586198 | 2025-12-25 01:34:33.948128 | 16297170 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16297170 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-12-24 | F | PT | GIANNE | XED910762094 | NATALIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_16297170_c7670cc0-ab37-4822-ab63-797d43c3073a.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 | 2025-01-01 | SILVER 87 PPO JAN25 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9581433124 | N/A | N/A | 7994545 | 2222 | 4802 | 16576971 | N/A | 6802250 | 2025-12-25 01:34:33.948128 | 2025-08-11 23:58:28.358402 |
| 2025-12-23 08:07:06.470796 | 2025-12-25 01:31:58.503918 | 16297167 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 16297167 | Athletic Physical Therapy Inc | 1975-12-22 | 2025-12-26 | M | PT | HUTH | XEH910929228 | KENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7626895/check_16297167_b39a3b30-2839-40b3-ae28-8ac80ba22952.json | N/A | N/A | N/A | N/A | N/A | XEH910929228 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1975-12-22 | 1000HMOX0001 | W0051411 | N/A | HM | false | HUTH | N/A | KENT | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9581433123 | N/A | N/A | 7626895 | 2222 | 4793 | 16576469 | N/A | 6525917 | 2025-12-25 01:31:58.503918 | 2026-05-08 22:53:13.232007 |
| 2025-12-23 08:07:06.350264 | 2025-12-25 01:34:08.154054 | 16297162 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16297162 | Athletic Physical Therapy Inc | 1954-02-12 | 2025-12-26 | M | AE | NAGHSHBANDI | 00000388791 | ABDUL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7314863/check_16297162_18bc2571-db9c-414c-aa63-9c25b42c73e6.json | N/A | N/A | N/A | N/A | N/A | 00000388791 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1954-02-12 | H3815028 | N/A | N/A | HM | false | NAGHSHBANDI | N/A | ABDUL | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9581433122 | N/A | N/A | 7314863 | 2222 | 4793 | 16576903 | 2630 | 4208741 | 2025-12-25 01:34:08.154054 | 2025-08-01 18:22:58.464314 |
| 2025-12-23 08:07:06.234575 | 2025-12-25 01:31:38.656345 | 16297159 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16297159 | Athletic Physical Therapy Inc | 1967-12-06 | 2025-12-26 | F | AE | KLOSSOWSKI | 98920892C | TRESSA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7019712/check_16297159_f0c4bf5b-98f4-4dab-903d-9ab16be8b2dc.json | N/A | N/A | N/A | N/A | N/A | 98920892C | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 01/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1967-12-06 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | KLOSSOWSKI | N/A | TRESSA | N/A | 2078-12-31 | 2025-04-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9581433121 | N/A | N/A | 7019712 | 2222 | 4793 | 16576405 | 4211 | 6034714 | 2025-12-25 01:31:38.656345 | 2025-07-15 18:02:59.670156 |
| 2025-12-23 08:07:06.120545 | 2025-12-25 01:31:30.161469 | 16297155 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 16297155 | Athletic Physical Therapy Inc | 1962-06-24 | 2025-12-26 | F | AE | GOMEZ | 44116442 | CAROL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6434660/check_16297155_c47148a1-3a36-4be6-8e7e-7aed89f2ea6e.json | N/A | N/A | N/A | N/A | N/A | 44116442 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1962-06-24 | 406-024-000 | N/A | N/A | N/A | false | GOMEZ | N/A | CAROL | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9581433120 | N/A | N/A | 6434660 | 2222 | 4801 | 16576374 | 6798 | 5079832 | 2025-12-25 01:31:30.161469 | 2025-06-23 20:02:36.660262 |
| 2025-12-23 08:07:06.011427 | 2025-12-25 01:32:03.019454 | 16297153 | N/A | N/A | 60054 | Aetna | 1114042165 | 16297153 | Athletic Physical Therapy Inc | 1992-06-11 | 2025-12-26 | M | AE | ROSS | W292476869 | BRYAN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993949/check_16297153_239dd6de-b5ab-4f4a-8248-f945df69cffd.json | N/A | N/A | N/A | N/A | N/A | W292476869 | Point of Service (POS) | PAYCHEX BUSINESS SOLUTIONS, LLC. | AETNA | N/A | 1992-06-11 | 0176563 | 017656301200042 | N/A | PS | false | ROSS | N/A | BRYAN | N/A | N/A | N/A | OPEN ACCESS MC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9581433119 | N/A | N/A | 5993949 | 2222 | 4793 | 16576483 | N/A | 4642881 | 2025-12-25 01:32:03.019454 | 2025-06-06 02:27:19.212061 |
| 2025-12-23 08:07:05.895690 | 2025-12-25 01:34:05.283638 | 16297148 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16297148 | Athletic Physical Therapy Inc | 1964-11-15 | 2025-12-24 | F | AE | BIKOULOVA | 92040499F | ALEXANDRA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874423/check_16297148_403d1c39-2a0f-4fc1-95e7-0f30554058c9.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 | 9581433118 | N/A | N/A | 5874423 | 2222 | 4802 | 16576895 | 4625 | 4534552 | 2025-12-25 01:34:05.283638 | 2025-05-30 18:01:03.324126 |
| 2025-12-23 08:07:05.781482 | 2025-12-25 01:32:02.092681 | 16297145 | N/A | N/A | 60054 | Aetna | 1114042165 | 16297145 | Athletic Physical Therapy Inc | 1955-03-15 | 2025-12-26 | F | AE | MORTENSEN | MBL800W05634 | JEANIE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549946/check_16297145_eac84408-b1d4-4715-9821-e5b0e5cfa631.json | N/A | N/A | N/A | N/A | N/A | MBL800W05634 | N/A | N/A | AETNA | N/A | 1955-03-15 | 0169623 | 016962301000201 | N/A | N/A | false | MORTENSEN | N/A | JEANIE | N/A | N/A | N/A | PPO DENTAL 2000 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9581433116 | N/A | N/A | 5549946 | 2222 | 4801 | 16576481 | N/A | 4219431 | 2025-12-25 01:32:02.092681 | 2025-12-01 18:45:07.315802 |
| 2025-12-23 08:07:05.660573 | 2025-12-25 01:39:04.788203 | 16297140 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16297140 | Athletic Physical Therapy Inc | 1957-05-23 | 2025-12-26 | F | AE | CEASAR | 6XR6JY3MJ89 | DEBBIE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543553/check_16297140_ebbd96a4-ab6f-48a4-bf8e-25b0687c6fba.json | N/A | N/A | N/A | N/A | N/A | 6XR6JY3MJ89 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-23 | S5660 | N/A | N/A | MB | false | CEASAR | N/A | DEBBIE | N/A | N/A | N/A | N/A | N/A | 110619 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9581433115 | N/A | N/A | 5543553 | 2222 | 4793 | 16577664 | N/A | 4215327 | 2025-12-25 01:39:04.788203 | 2025-05-13 04:29:37.229651 |
| 2025-12-23 08:07:05.490273 | 2025-12-25 01:33:37.411373 | 16297137 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16297137 | Athletic Physical Therapy Inc | 1956-05-26 | 2025-12-24 | F | AD | TORRES | 40067303001 | OLGA | 30 | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543371/check_16297137_26b562f8-f5e2-4dc6-a8a3-051242f86f2b.json | N/A | N/A | N/A | N/A | N/A | 40067303001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1956-05-26 | 2025H5425001 | H5425M | N/A | N/A | false | TORRES | N/A | OLGA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 9581433114 | N/A | N/A | 5543371 | 2222 | 4793 | 16576818 | 6237 | 4215172 | 2025-12-25 01:33:37.411373 | 2025-05-13 04:29:37.229489 |
| 2025-12-23 08:07:05.304266 | 2025-12-25 01:34:07.803181 | 16297132 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16297132 | Athletic Physical Therapy Inc | 1947-12-04 | 2025-12-26 | F | AE | CHARTER | 00000357514 | JEAN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543042/check_16297132_d11566b4-d803-412b-a190-7a36da2bb510.json | N/A | N/A | N/A | N/A | N/A | 00000357514 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1947-12-04 | H3815028 | N/A | N/A | HM | false | CHARTER | N/A | JEAN | 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 | 9581433113 | N/A | N/A | 5543042 | 2222 | 4793 | 16576902 | 2630 | 4214881 | 2025-12-25 01:34:07.803181 | 2025-10-23 00:25:28.237067 |
| 2025-12-23 08:07:05.175534 | 2025-12-25 01:34:26.554585 | 16297127 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16297127 | Athletic Physical Therapy Inc | 1949-06-30 | 2025-12-26 | F | PT | STEWART | WSP370A66341 | ALBERTA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251223.121419739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542834/check_16297127_3d378a44-fbfb-45ff-99d6-7729beaf3b3c.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 | 9581433112 | N/A | N/A | 5542834 | 2222 | 4801 | 16576954 | N/A | 4214700 | 2025-12-25 01:34:26.554585 | 2025-05-13 04:29:37.229017 |