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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-22 08:09:08.815264 | 2025-12-23 01:36:15.752160 | 16257714 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16257714 | Athletic Physical Therapy Inc | 1953-10-24 | 2025-12-24 | F | PT | MENCHACA | JQW272W06388 | RAFAELA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12715192/check_16257714_f0705f9b-1001-4f7f-9635-c9e7f4340a6f.json | N/A | N/A | N/A | N/A | N/A | JQW272W06388 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1953-10-24 | 040 | CAMCRWP0 | N/A | MP | false | MENCHACA | N/A | RAFAELA | N/A | 2025-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9573565092 | N/A | N/A | 12715192 | 2222 | 4793 | 16520830 | 4185 | 10878724 | 2025-12-23 01:36:15.752160 | 2025-11-19 21:36:29.611919 |
| 2025-12-22 08:09:08.663150 | 2025-12-23 01:33:20.330933 | 16257702 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 16257702 | override_provider | 1965-05-26 | 2025-12-24 | M | PT | PARRA | R58564504 | GREGORY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12566263/check_16257702_522c459a-becf-4e96-a749-6978c7215604.json | N/A | N/A | N/A | N/A | N/A | R58564504 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1965-05-26 | N/A | 112 | N/A | PR | false | PARRA | N/A | GREGORY | N/A | 9999-12-31 | 2007-01-07 | BASIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9573565091 | N/A | N/A | 12566263 | 2222 | 4801 | 16518116 | N/A | 10738342 | 2025-12-23 01:33:20.330933 | 2025-11-17 17:10:15.206525 |
| 2025-12-22 08:09:08.507034 | 2025-12-23 01:39:26.076398 | 16257690 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16257690 | Athletic Physical Therapy Inc | 1946-07-09 | 2025-12-24 | M | AE | DAUGHERTY | 2VD0WN0UQ33 | DANNY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12529461/check_16257690_e8f2a07a-68e9-4f0b-b140-531d2abfc344.json | N/A | N/A | N/A | N/A | N/A | 2VD0WN0UQ33 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-07-09 | S5601 | N/A | N/A | MA | false | DAUGHERTY | N/A | DANNY | N/A | N/A | N/A | N/A | N/A | 39527 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9573565721 | N/A | N/A | 12529461 | 2222 | 4801 | 16523643 | N/A | 10701683 | 2025-12-23 01:39:26.076398 | 2025-11-11 19:57:20.774649 |
| 2025-12-22 08:09:08.359402 | 2025-12-23 01:34:13.762643 | 16257679 | N/A | N/A | 61101 | HUMANA | 1114042165 | 16257679 | Athletic Physical Therapy Inc | 1954-09-04 | 2025-12-24 | F | AE | MENDEZ | H9608321000 | LINDA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12421991/check_16257679_30e91435-8f2f-4d7e-9b7e-6d648e6bbec9.json | N/A | N/A | N/A | N/A | N/A | H96083210 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 695 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 | 1954-09-04 | N/A | 0B515001 | N/A | HN | false | MENDEZ | N/A | LINDA | 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 | 9573565720 | N/A | N/A | 12421991 | 2222 | 4793 | 16518806 | 5349 | 10601861 | 2025-12-23 01:34:13.762643 | 2025-11-07 18:35:55.025808 |
| 2025-12-22 08:09:08.160344 | 2025-12-23 01:34:14.298476 | 16257663 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 16257663 | Athletic Physical Therapy Inc | 1954-02-10 | 2025-12-24 | F | AE | SHARMA | H74807838 | MONIKA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12113464/check_16257663_2a9574e2-f659-49c0-8eb3-f7fa03714b70.json | N/A | N/A | N/A | N/A | N/A | H74807838 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1954-02-10 | N/A | 0B666001 | N/A | HN | false | SHARMA | N/A | MONIKA | 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 | 9573565719 | N/A | N/A | 12113464 | 2222 | 4801 | 16518814 | N/A | 10330803 | 2025-12-23 01:34:14.298476 | 2025-11-03 22:25:23.404066 |
| 2025-12-22 08:09:08.005442 | 2025-12-23 01:36:20.622917 | 16257651 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16257651 | Athletic Physical Therapy Inc | 2008-04-21 | 2025-12-24 | M | PT | LANDIS | XED906560014 | BRONN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12097539/check_16257651_3ebb1b99-658c-4aa2-850a-1c4da1fc2942.json | N/A | N/A | N/A | N/A | N/A | XED906560014 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-04-21 | 2001ZK002187 | X0001004 | N/A | PR | false | LANDIS | N/A | KIPP | N/A | 2027-04-30 | 2023-03-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9573565718 | N/A | N/A | 12097539 | 2222 | 4793 | 16520919 | N/A | 10315576 | 2025-12-23 01:36:20.622917 | 2025-11-14 23:13:16.002759 |
| 2025-12-22 08:09:07.878415 | 2025-12-23 01:39:27.067500 | 16257642 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16257642 | Athletic Physical Therapy Inc | 1959-12-29 | 2025-12-24 | F | AE | LYGA | 3W97CK7AN48 | LISA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11604276/check_16257642_6cdc43b8-c7f3-4c31-9da4-9aea6931aa52.json | N/A | N/A | N/A | N/A | N/A | 3W97CK7AN48 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-12-29 | S5596 | N/A | N/A | MB | false | LYGA | N/A | LISA | N/A | N/A | N/A | N/A | N/A | 79382 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9573565717 | N/A | N/A | 11604276 | 2222 | 4801 | 16523659 | N/A | 4218962 | 2025-12-23 01:39:27.067500 | 2025-05-13 04:29:37.229978 |
| 2025-12-22 08:09:07.746029 | 2025-12-23 01:33:27.710082 | 16257636 | N/A | N/A | 60054 | Aetna | 1114042165 | 16257636 | Athletic Physical Therapy Inc | 2011-12-20 | 2025-12-24 | M | AE | NAQVI | W295996740 | KAZIM | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11417253/check_16257636_98600dca-001d-43df-8d46-abd3921a640b.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 | 9573565716 | N/A | N/A | 11417253 | 2222 | 4793 | 16518221 | N/A | 9671738 | 2025-12-23 01:33:27.710082 | 2025-10-29 22:32:21.591395 |
| 2025-12-22 08:09:07.484139 | 2025-12-23 01:36:01.196704 | 16257614 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16257614 | Athletic Physical Therapy Inc | 1957-11-06 | 2025-12-24 | M | AE | PAZ | 00000376554 | MARIO | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11359237/check_16257614_f885816d-3ee3-4a59-8e66-9a09c00c2e11.json | N/A | N/A | N/A | N/A | N/A | 00000376554 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-11-06 | H3815028 | N/A | N/A | HM | false | PAZ | N/A | MARIO | 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 | 9573565715 | N/A | N/A | 11359237 | 2222 | 4801 | 16520578 | 2630 | 9630212 | 2025-12-23 01:36:01.196704 | 2025-10-22 17:21:29.196650 |
| 2025-12-22 08:09:07.179117 | 2025-12-23 01:39:25.324100 | 16257592 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16257592 | Athletic Physical Therapy Inc | 1942-02-01 | 2025-12-24 | F | AE | CHANG | 3FV9E71EE00 | QUANG | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11159406/check_16257592_e65cff65-2cf1-4d57-a06e-3c46fb4faef6.json | N/A | N/A | N/A | N/A | N/A | 3FV9E71EE00 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-02-01 | S4802 | N/A | N/A | MB | false | CHANG | N/A | QUANG CHAN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | 182341 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9573565714 | N/A | N/A | 11159406 | 2222 | 4793 | 16523631 | N/A | 9505845 | 2025-12-23 01:39:25.324100 | 2026-04-29 00:06:17.964395 |
| 2025-12-22 08:09:06.941478 | 2025-12-23 01:39:26.805806 | 16257575 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16257575 | Athletic Physical Therapy Inc | 1942-12-02 | 2025-12-24 | M | AE | Lawrence | 5N91QT7KX96 | Harvey | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11156181/check_16257575_4ca14e63-f68a-4456-9558-11db8d91cb6a.json | N/A | N/A | N/A | N/A | N/A | 5N91QT7KX96 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-12-02 | S5884 | N/A | N/A | MA | false | LAWRENCE | N/A | HARVEY | N/A | N/A | N/A | N/A | N/A | 157519 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9573565713 | N/A | N/A | 11156181 | 2222 | 4802 | 16523655 | N/A | 9502693 | 2025-12-23 01:39:26.805806 | 2025-12-16 19:10:22.413376 |
| 2025-12-22 08:09:06.650536 | 2025-12-23 01:36:00.652888 | 16257555 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16257555 | Athletic Physical Therapy Inc | 1955-09-16 | 2025-12-24 | M | AE | HANGVAL | 00000401784 | BAHMANYAR | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11061532/check_16257555_7a74228e-0aaf-42f5-8c5d-e2628e9abaab.json | N/A | N/A | N/A | N/A | N/A | 00000401784 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1955-09-16 | H3815048 | N/A | N/A | HM | false | HANGVAL | N/A | BAHMANYAR | N/A | 2025-12-31 | 2025-02-01 | ALIGNMENT HEALTH HEART & DIABETES CARE (HMO C-SNP) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9573565712 | N/A | N/A | 11061532 | 2222 | 4793 | 16520568 | 2630 | 9420286 | 2025-12-23 01:36:00.652888 | 2025-10-27 20:50:02.906306 |
| 2025-12-22 08:09:06.314579 | 2025-12-23 01:39:28.823244 | 16257530 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16257530 | Athletic Physical Therapy Inc | 1953-06-18 | 2025-12-24 | F | AE | REISMAN | 6C16CN3FM49 | GAIL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10984906/check_16257530_9e142235-43c6-4fa4-abe7-6947005faad5.json | N/A | N/A | N/A | N/A | N/A | 6C16CN3FM49 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-06-18 | N/A | N/A | N/A | MA | false | REISMAN | N/A | GAIL | N/A | N/A | N/A | N/A | N/A | 172146 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9573565711 | N/A | N/A | 10984906 | 2222 | 4802 | 16523686 | N/A | 9156222 | 2025-12-23 01:39:28.823244 | 2026-01-08 22:56:20.879547 |
| 2025-12-22 08:09:06.078651 | 2025-12-23 01:36:11.257039 | 16257511 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16257511 | Athletic Physical Therapy Inc | 1963-09-07 | 2025-12-24 | M | PT | BAHR | FZX638A69335 | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10371931/check_16257511_b39be0b6-b4ad-4c31-9752-a4954b871181.json | N/A | N/A | N/A | N/A | N/A | FZX638A69335 | Preferred Provider Organization (PPO) | CDHP HSA NON-INTEGRATED BNK | ANTHEM BLUE CROSS | N/A | 1963-09-07 | 423 | 201028M2CA | N/A | PR | false | BAHR | N/A | KEVIN | N/A | 9999-12-31 | 2022-01-01 | CDHP VIRGINIA HEALTH SAVINGS ACCOUNT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9573565710 | N/A | N/A | 10371931 | 2222 | 4793 | 16520752 | N/A | 8634062 | 2025-12-23 01:36:11.257039 | 2025-10-16 21:25:25.746427 |
| 2025-12-22 08:09:05.703850 | 2025-12-23 01:32:57.998691 | 16257484 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16257484 | Athletic Physical Therapy Inc | 1961-11-24 | 2025-12-24 | F | AE | CRUTCHFIELD | 904430653 | HELEN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10103203/check_16257484_911febef-15e4-49c6-b2d5-1053366295b2.json | N/A | N/A | N/A | N/A | N/A | 904430653 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1961-11-24 | N/A | N/A | N/A | N/A | false | CRUTCHFIELD | N/A | HELEN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9573565709 | N/A | N/A | 10103203 | 2222 | 4802 | 16517866 | 4211 | 8437251 | 2025-12-23 01:32:57.998691 | 2025-10-07 19:08:26.048804 |
| 2025-12-22 08:09:05.281001 | 2025-12-23 01:36:13.250534 | 16257454 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16257454 | Athletic Physical Therapy Inc | 2003-04-25 | 2025-12-24 | M | PT | GREEN | JQV184A72608 | ALLEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10091887/check_16257454_37a8948c-144d-44c0-8fc8-1c68195cbdae.json | N/A | N/A | N/A | N/A | N/A | JQV184A72608 | Health Maintenance Organization (HMO) | GUMM AND GREEN LLP | ANTHEM BLUE CROSS | N/A | 2003-04-25 | 040 | 428474 | N/A | HM | false | GREEN | N/A | LINDSEY | N/A | 9999-12-31 | 2025-12-01 | ANTHEM GOLD SELECT HMO 35 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9573565708 | N/A | N/A | 10091887 | 2222 | 4793 | 16520787 | 4185 | 8429919 | 2025-12-23 01:36:13.250534 | 2025-10-07 22:01:52.720968 |
| 2025-12-22 08:09:04.814379 | 2025-12-23 01:39:29.056324 | 16257424 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16257424 | Athletic Physical Therapy Inc | 1953-11-15 | 2025-12-24 | M | AE | REISMAN | 7JW4EK4UR89 | MARK | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9868745/check_16257424_fdc3e8d3-86a8-4acf-85a8-f061992e0183.json | N/A | N/A | N/A | N/A | N/A | 7JW4EK4UR89 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-11-15 | N/A | N/A | N/A | MA | false | REISMAN | N/A | MARK | N/A | N/A | N/A | N/A | N/A | 153445 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9573565707 | N/A | N/A | 9868745 | 2222 | 4802 | 16523690 | N/A | 8262262 | 2025-12-23 01:39:29.056324 | 2025-09-30 22:45:25.940454 |
| 2025-12-22 08:09:04.435184 | 2025-12-23 01:39:27.553241 | 16257400 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16257400 | Athletic Physical Therapy Inc | 1960-01-10 | 2025-12-24 | F | AE | MAWAS | 1HM1QX0QJ05 | ASMAHAN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9765210/check_16257400_6bbec316-6532-45a0-ad5c-260d646cd3b8.json | N/A | N/A | N/A | N/A | N/A | 1HM1QX0QJ05 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-01-10 | S5617 | N/A | N/A | MA | false | MAWAS | N/A | ASMAHAN | N/A | N/A | N/A | N/A | N/A | 92326 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9573565705 | N/A | N/A | 9765210 | 2222 | 4801 | 16523666 | N/A | 8176388 | 2025-12-23 01:39:27.553241 | 2025-10-07 15:06:58.335351 |
| 2025-12-22 08:09:04.112251 | 2025-12-23 01:36:20.055820 | 16257379 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16257379 | Athletic Physical Therapy Inc | 1963-11-05 | 2025-12-24 | M | PT | GAVCUS | 913959142000 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9684155/check_16257379_dbe04fe8-2619-464c-93b5-862b9486e012.json | N/A | N/A | N/A | N/A | N/A | XEH913959142 | Health Maintenance Organization (HMO) | KB CONSTRUCTION COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1963-11-05 | 1000VX000150 | W0022613 | N/A | HM | false | GAVCUS | N/A | VINCENT | N/A | 9999-12-31 | 2024-10-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9573565704 | N/A | N/A | 9684155 | 2222 | 4801 | 16520909 | N/A | 8103467 | 2025-12-23 01:36:20.055820 | 2025-09-25 15:37:09.669427 |
| 2025-12-22 08:09:03.582629 | 2025-12-23 01:32:43.043826 | 16257343 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 16257343 | Athletic Physical Therapy Inc | 1937-04-20 | 2025-12-24 | M | AE | HAUSMAN | 34751866 | GARY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9280203/check_16257343_fa9270a4-39fd-41b4-b253-5445db71fe84.json | N/A | N/A | N/A | N/A | N/A | 34751866 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1937-04-20 | 406-024-000 | N/A | N/A | N/A | false | HAUSMAN | N/A | GARY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9573565703 | N/A | N/A | 9280203 | 2222 | 4793 | 16517688 | 6798 | 7788651 | 2025-12-23 01:32:43.043826 | 2025-09-10 18:50:22.494063 |
| 2025-12-22 08:09:03.261015 | 2025-12-23 01:39:26.298760 | 16257323 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16257323 | Athletic Physical Therapy Inc | 1959-07-16 | 2025-12-24 | F | AE | JESTER | 8WT9EW5DX41 | AUREA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9104610/check_16257323_ae0c4788-7776-41d7-a365-9a35ed89f96a.json | N/A | N/A | N/A | N/A | N/A | 8WT9EW5DX41 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-16 | H4036 | N/A | N/A | MA | false | JESTER | N/A | AUREA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9573565702 | N/A | N/A | 9104610 | 2222 | 4801 | 16523647 | N/A | 7624564 | 2025-12-23 01:39:26.298760 | 2025-10-06 23:19:36.703282 |
| 2025-12-22 08:09:02.932510 | 2025-12-23 01:36:16.873669 | 16257299 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16257299 | Athletic Physical Therapy Inc | 2009-01-14 | 2025-12-24 | F | PT | OBACZ | JQV897A63197 | KLOIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9102655/check_16257299_2aec036a-f62f-47d8-9580-71dde4adbfbb.json | N/A | N/A | N/A | N/A | N/A | JQV897A63197 | Health Maintenance Organization (HMO) | EVOLVED NOVELTIES INC | ANTHEM BLUE CROSS | N/A | 2009-01-14 | 040 | F45883 | N/A | HM | false | OBACZ | N/A | JUSTIN | N/A | 2026-01-01 | 2025-01-01 | CA SG SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9573565701 | N/A | N/A | 9102655 | 2222 | 4801 | 16520850 | 4185 | 7621062 | 2025-12-23 01:36:16.873669 | 2025-09-12 19:10:20.936695 |
| 2025-12-22 08:09:02.533309 | 2025-12-23 01:39:28.049362 | 16257269 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16257269 | Athletic Physical Therapy Inc | 1950-04-13 | 2025-12-23 | F | AE | NATALI | 2XU8UK4DF50 | RENEE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8979192/check_16257269_b6e7edf3-1422-4e3d-ada9-8edf5674d264.json | N/A | N/A | N/A | N/A | N/A | 2XU8UK4DF50 | Medicare Part B | N/A | HEALTH CARE SERVICE CORPORATION | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-04-13 | S5715 | N/A | N/A | MB | false | NATALI | N/A | RENEE | N/A | N/A | N/A | N/A | N/A | 93170 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9573565700 | N/A | N/A | 8979192 | 2222 | 4793 | 16523674 | N/A | 7498543 | 2025-12-23 01:39:28.049362 | 2025-10-14 17:13:32.178778 |
| 2025-12-22 08:09:02.280589 | 2025-12-23 01:36:16.293836 | 16257249 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16257249 | Athletic Physical Therapy Inc | 2003-05-02 | 2025-12-23 | M | PT | MUHAMMAD | XOF828514693 | KENNETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8675672/check_16257249_e7419458-ce9d-4a3a-9d41-8aed9fc6436b.json | N/A | N/A | N/A | N/A | N/A | XOF828514693 | Preferred Provider Organization (PPO) | IBJI - BRADLEY ACTIVES | HUMANA | N/A | 2003-05-02 | N/A | PK4933 | N/A | PR | false | MUHAMMAD | N/A | KERMIT | N/A | 2025-12-31 | 2022-02-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9573565699 | N/A | N/A | 8675672 | 2222 | 4793 | 16520840 | N/A | 7310369 | 2025-12-23 01:36:16.293836 | 2026-02-03 01:46:10.334485 |
| 2025-12-22 08:09:01.974653 | 2025-12-23 01:32:58.546738 | 16257226 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16257226 | Athletic Physical Therapy Inc | 2001-06-21 | 2025-12-24 | M | AE | RAFIEI | 92836714F | SAM | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173002/check_16257226_d7a06a87-4ca3-4d9c-9bd1-d942663ba63b.json | N/A | N/A | N/A | N/A | N/A | 92836714F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-06-21 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | RAFIEI | N/A | SAM | N/A | 2078-12-31 | 2024-02-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9573565698 | N/A | N/A | 8173002 | 2222 | 4793 | 16517875 | 4211 | 6939518 | 2025-12-23 01:32:58.546738 | 2025-08-18 21:40:08.349494 |
| 2025-12-22 08:09:01.735872 | 2025-12-23 01:36:20.335084 | 16257210 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16257210 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-12-23 | F | PT | GIANNE | XED910762094 | NATALIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_16257210_c294a237-a37f-4bba-baf3-1a0d75065c33.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 | 9999-12-31 | 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 | 9573565697 | N/A | N/A | 7994545 | 2222 | 4802 | 16520914 | N/A | 6802250 | 2025-12-23 01:36:20.335084 | 2025-08-11 23:58:28.358402 |
| 2025-12-22 08:09:01.486882 | 2025-12-23 01:36:16.008212 | 16257193 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16257193 | Athletic Physical Therapy Inc | 1962-09-14 | 2025-12-24 | F | PT | MOORE | W2A952W18561 | YOLANDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7447590/check_16257193_e794b770-54b3-461a-a1ae-c7c8be1c1036.json | N/A | N/A | N/A | N/A | N/A | WZA952W18561 | Preferred Provider Organization (PPO) | WARNER BROS DISCOVERY INC | ANTHEM BLUE CROSS | N/A | 1962-09-14 | 130 | 270240M25A | N/A | PR | false | MOORE | N/A | YOLANDA | N/A | 9999-12-31 | 2024-01-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9573565696 | N/A | N/A | 7447590 | 2222 | 4801 | 16520835 | N/A | 6397797 | 2025-12-23 01:36:16.008212 | 2025-08-12 19:16:58.418300 |
| 2025-12-22 08:09:01.283852 | 2025-12-23 01:36:19.768203 | 16257178 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16257178 | Athletic Physical Therapy Inc | 1991-10-07 | 2025-12-24 | F | PT | BOYM | XEK903045570 | DANIELLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7281036/check_16257178_e75ebfda-5d59-4e7c-aeb1-e328ebea1ffb.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 | 9999-12-31 | 2024-02-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9573565695 | N/A | N/A | 7281036 | 2222 | 4793 | 16520904 | N/A | 6245462 | 2025-12-23 01:36:19.768203 | 2025-07-24 01:23:15.134681 |
| 2025-12-22 08:09:01.069272 | 2025-12-23 01:36:11.831886 | 16257162 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16257162 | Athletic Physical Therapy Inc | 1988-08-19 | 2025-12-24 | M | PT | Bridgemohansingh | NTF910W08222 | Jason | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7258746/check_16257162_445e3f6b-ad1f-40fb-8ae3-f9669c8a843d.json | N/A | N/A | N/A | N/A | N/A | NTF910W08222 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | ANTHEM BLUE CROSS | N/A | 1988-08-19 | 040 | L08669M002 | N/A | PR | false | BRIDGEMOHANSINGH | N/A | JASON | N/A | 9999-12-31 | 2025-08-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9573565693 | N/A | N/A | 7258746 | 2222 | 4802 | 16520762 | N/A | 6224482 | 2025-12-23 01:36:11.831886 | 2025-08-07 00:03:18.267969 |
| 2025-12-22 08:09:00.855302 | 2025-12-23 01:35:24.868827 | 16257147 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 16257147 | Athletic Physical Therapy Inc | 1934-05-05 | 2025-12-24 | F | AE | MORENO | 31064935201 | AGUSTINA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6935100/check_16257147_c3192fd5-3f7b-4fcb-98fc-747fb9989c47.json | N/A | N/A | N/A | N/A | N/A | 31064935201 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1934-05-05 | 2025H5425001 | H5425M | N/A | N/A | false | MORENO | N/A | AGUSTINA | 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 | 9573565692 | N/A | N/A | 6935100 | 2222 | 4801 | 16519973 | N/A | 5966217 | 2025-12-23 01:35:24.868827 | 2025-07-23 21:14:08.339230 |
| 2025-12-22 08:09:00.642755 | 2025-12-23 01:36:21.143902 | 16257130 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16257130 | Athletic Physical Therapy Inc | 1961-03-07 | 2025-12-23 | F | PT | PERLOV | XEA905216171 | MERA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814311/check_16257130_71f6d5ee-f7e7-4554-81d9-25d85efe3287.json | N/A | N/A | N/A | N/A | N/A | XEA905216171 | Preferred Provider Organization (PPO) | LA CARE HEALTH PLAN | BLUE SHIELD CALIFORNIA | N/A | 1961-03-07 | 1000PPOX0003 | W0051027 | N/A | PR | false | PERLOV | N/A | MERA | N/A | 2025-12-31 | 2025-01-01 | HSA RATED | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9573565691 | N/A | N/A | 6814311 | 2222 | 4793 | 16520930 | N/A | 5856694 | 2025-12-23 01:36:21.143902 | 2025-07-07 18:45:06.287504 |
| 2025-12-22 08:09:00.443153 | 2025-12-23 01:36:17.733487 | 16257115 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16257115 | Athletic Physical Therapy Inc | 1947-12-19 | 2025-12-24 | F | PT | Taggart | MBL830M95233 | Rita | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6780011/check_16257115_5c153031-a1cf-4e19-8563-a0c7f9e39e7b.json | N/A | N/A | N/A | N/A | N/A | MBL830M95233 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1947-12-19 | 040 | CAEGR002 | N/A | N/A | false | TAGGART | N/A | RITA | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9573565690 | N/A | N/A | 6780011 | 2222 | 4802 | 16520865 | N/A | 5811238 | 2025-12-23 01:36:17.733487 | 2025-07-03 18:24:56.520298 |
| 2025-12-22 08:09:00.242651 | 2025-12-23 01:35:49.473214 | 16257102 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16257102 | Athletic Physical Therapy Inc | 2008-04-21 | 2025-12-24 | M | AE | BERMUDEZ | 000019836525 | RAFAEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6721942/check_16257102_4535f840-5a2c-4dcc-9300-dbd699e56c05.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 | MEDI-CAL LA CARE HEALTH PLAN HF TRANSITIONAL AID C | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9573565689 | N/A | N/A | 6721942 | 2222 | 4793 | 16520366 | N/A | 5322280 | 2025-12-23 01:35:49.473214 | 2025-07-01 21:45:15.878047 |
| 2025-12-22 08:09:00.091602 | 2025-12-23 01:32:43.903291 | 16257091 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 16257091 | Athletic Physical Therapy Inc | 1955-02-20 | 2025-12-24 | F | AE | SALGUERO | 35955370 | DINA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6711965/check_16257091_fb98edaa-baac-4244-a8c5-bb7ba47c50d5.json | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | 406-005-000 | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9573565688 | N/A | N/A | 6711965 | 2222 | 4793 | 16517696 | 6798 | 4210430 | 2025-12-23 01:32:43.903291 | 2025-05-13 04:29:37.224841 |
| 2025-12-22 08:08:59.919004 | 2025-12-23 01:36:22.030323 | 16257079 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16257079 | Athletic Physical Therapy Inc | 2012-11-14 | 2025-12-24 | F | PT | IOANNOU | PAS839113807 | PENELOPE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6621141/check_16257079_bbba041d-471c-47ec-95ed-2d09f7fc1eb6.json | N/A | N/A | N/A | N/A | N/A | PAS839113807 | Preferred Provider Organization (PPO) | WEST HEALTH CARE NETWORK | BLUE SHIELD OF CALIFORNIA | N/A | 2012-11-14 | N/A | 152010 | N/A | PR | false | IOANNOU | N/A | GEORGE | N/A | 2025-12-31 | 2018-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9573565687 | N/A | N/A | 6621141 | 2222 | 4801 | 16520946 | N/A | 5237460 | 2025-12-23 01:36:22.030323 | 2025-07-24 16:59:54.908041 |
| 2025-12-22 08:08:59.667463 | 2025-12-23 01:36:00.928170 | 16257058 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16257058 | Athletic Physical Therapy Inc | 1943-03-11 | 2025-12-24 | M | AE | MATHEU | 00000270336 | CARLOS | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6189737/check_16257058_3ce966f3-2951-4a60-9f19-52468af2519a.json | N/A | N/A | N/A | N/A | N/A | 00000270336 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1943-03-11 | H3815028 | N/A | N/A | HM | false | MATHEU | N/A | CARLOS | 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 | 9573565686 | N/A | N/A | 6189737 | 2222 | 4801 | 16520573 | 2630 | 4209126 | 2025-12-23 01:36:00.928170 | 2025-05-13 04:29:37.223551 |
| 2025-12-22 08:08:59.518126 | 2025-12-23 01:35:57.204404 | 16257049 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16257049 | Athletic Physical Therapy Inc | 1969-01-08 | 2025-12-24 | F | AE | ALROMAIH | 91237812E | SARAH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993940/check_16257049_5ef626a5-bde0-4928-a0f4-88e4fe1bb55d.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9573565685 | N/A | N/A | 5993940 | 2222 | 4802 | 16520506 | 4625 | 4642877 | 2025-12-23 01:35:57.204404 | 2025-12-23 23:49:16.627667 |
| 2025-12-22 08:08:59.366856 | 2025-12-23 01:36:00.389270 | 16257037 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16257037 | Athletic Physical Therapy Inc | 1953-03-27 | 2025-12-24 | F | AE | FINE | 00000272194 | MICHELLE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858742/check_16257037_2aba78a3-76a4-4af5-96df-749cc8d82ab7.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 | 9573565684 | N/A | N/A | 5858742 | 2222 | 4801 | 16520563 | 2630 | 4219630 | 2025-12-23 01:36:00.389270 | 2025-05-13 04:29:37.230672 |
| 2025-12-22 08:08:59.238875 | 2025-12-23 01:35:56.891687 | 16257028 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16257028 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-12-23 | F | AE | GIANOLI | R11857813FM1 | ELSY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_16257028_0e921d79-be9f-473e-bf4f-88be78a50c44.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9573565683 | N/A | N/A | 5568076 | 2222 | 4802 | 16520501 | 4625 | 4209480 | 2025-12-23 01:35:56.891687 | 2026-04-10 02:05:15.976484 |
| 2025-12-22 08:08:59.107833 | 2025-12-23 01:34:13.209490 | 16257015 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 16257015 | Athletic Physical Therapy Inc | 1970-09-15 | 2025-12-24 | F | AE | DON | H74748118 | JACKIE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550314/check_16257015_74df61bb-f124-4da2-b652-06174f006ccd.json | N/A | N/A | N/A | N/A | N/A | H74748118 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1970-09-15 | N/A | 0B666001 | N/A | HN | false | DON | N/A | JACKIE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9573565682 | N/A | N/A | 5550314 | 2222 | 4801 | 16518797 | N/A | 4219523 | 2025-12-23 01:34:13.209490 | 2025-12-13 21:47:36.966446 |
| 2025-12-22 08:08:58.955489 | 2025-12-23 01:36:12.080455 | 16257004 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16257004 | Athletic Physical Therapy Inc | 1955-10-09 | 2025-12-24 | M | PT | COE | JQS589W10732 | SCOTT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549514/check_16257004_9b45c2f3-d8aa-451a-b4f9-bcb58a8e2052.json | N/A | N/A | N/A | N/A | N/A | JQS589W10732 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1955-10-09 | 040 | CAMCRWP0 | N/A | MP | false | COE | N/A | SCOTT | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9573565681 | N/A | N/A | 5549514 | 2222 | 4801 | 16520768 | 4185 | 4219161 | 2025-12-23 01:36:12.080455 | 2025-10-16 23:24:12.118501 |
| 2025-12-22 08:08:58.796525 | 2025-12-23 01:36:14.851976 | 16256994 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16256994 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-12-24 | F | PT | LUCZYWEK | HFD100011213709 | DEBORA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_16256994_6bdd1b72-66ea-46e4-9ed5-bda64733a207.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9573565680 | N/A | N/A | 5549317 | 2222 | 4801 | 16520815 | N/A | 4219010 | 2025-12-23 01:36:14.851976 | 2026-01-09 18:32:07.618867 |
| 2025-12-22 08:08:58.625538 | 2025-12-23 01:32:43.506416 | 16256981 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 16256981 | Athletic Physical Therapy Inc | 1941-05-24 | 2025-12-24 | F | AE | REGGIANI | 41813758 | SUSANA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549015/check_16256981_51cdf600-0904-44b2-ac48-0c007d85ab60.json | N/A | N/A | N/A | N/A | N/A | 41813758 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1941-05-24 | 406-024-000 | N/A | N/A | N/A | false | REGGIANI | N/A | SUSANA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9573565679 | N/A | N/A | 5549015 | 2222 | 4801 | 16517693 | 6798 | 4208849 | 2025-12-23 01:32:43.506416 | 2025-05-13 04:29:37.223279 |
| 2025-12-22 08:08:58.477064 | 2025-12-23 01:35:58.295340 | 16256969 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16256969 | Athletic Physical Therapy Inc | 1962-06-19 | 2025-12-24 | M | AE | MILIAN GOMEZ | 93331019F | MIGUEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543555/check_16256969_3b5025ae-4432-4e58-a9c0-726361f45f00.json | N/A | N/A | N/A | N/A | N/A | 93331019F | N/A | N/A | HEALTH NET, LLC | N/A | 1962-06-19 | N/A | N/A | N/A | N/A | false | MILIAN GOMEZ | N/A | MIGUEL | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9573565678 | N/A | N/A | 5543555 | 2222 | 4802 | 16520525 | N/A | 4215332 | 2025-12-23 01:35:58.295340 | 2025-08-06 16:15:15.716322 |
| 2025-12-22 08:08:58.334045 | 2025-12-23 01:32:58.876495 | 16256963 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16256963 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-12-24 | F | AE | SILVERS | 1866968 | JOIEMAY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543335/check_16256963_87b4682c-a07e-4745-a969-ab20d3cd1820.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-01-23 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | 2025-12-31 | 2025-01-01 | SILVER 87 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9573565677 | N/A | N/A | 5543335 | 2222 | 4802 | 16517879 | 4211 | 4215139 | 2025-12-23 01:32:58.876495 | 2025-05-13 21:20:11.455022 |
| 2025-12-22 08:08:58.208021 | 2025-12-23 01:36:14.088530 | 16256950 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16256950 | Athletic Physical Therapy Inc | 1990-07-10 | 2025-12-23 | F | PT | Gadde | X8B467M70158 | Lavanya | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543090/check_16256950_fe3b0e3d-05b3-4b6c-8f3e-3b76e3b0f988.json | N/A | N/A | N/A | N/A | N/A | X8B467M70158 | Preferred Provider Organization (PPO) | BYTEDANCE INC | ANTHEM BLUE CROSS | N/A | 1990-07-10 | 040 | L03868M031 | N/A | PR | false | KONDABOLU | N/A | KUSHVANTH | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9573565676 | N/A | N/A | 5543090 | 2222 | 4793 | 16520801 | N/A | 4214925 | 2025-12-23 01:36:14.088530 | 2025-12-17 00:54:52.714750 |
| 2025-12-22 08:08:58.073993 | 2025-12-23 01:36:20.914403 | 16256937 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16256937 | Athletic Physical Therapy Inc | 1964-08-15 | 2025-12-24 | F | PT | OCONLON | XED909983270 | SARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542827/check_16256937_906e5dab-270d-4638-9874-95a41f69f1c0.json | N/A | N/A | N/A | N/A | N/A | XED909983270 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1964-08-15 | 2001ZK002185 | X0001004 | N/A | PR | false | OCONLON | N/A | SARA | N/A | 9999-12-31 | 2020-08-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9573565675 | N/A | N/A | 5542827 | 2222 | 4793 | 16520924 | N/A | 4214693 | 2025-12-23 01:36:20.914403 | 2025-05-13 04:29:37.229010 |
| 2025-12-22 08:08:57.884630 | 2025-12-23 01:35:57.758104 | 16256925 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16256925 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-12-24 | F | AE | CHERE | 98953535F | DIANA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_16256925_77ff6e7e-1861-4e00-9d2a-65826c6a168a.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9573565674 | N/A | N/A | 5542660 | 2222 | 4802 | 16520516 | 4625 | 4214542 | 2025-12-23 01:35:57.758104 | 2025-05-13 04:29:37.228868 |
| 2025-12-22 08:08:57.673656 | 2025-12-23 01:32:58.292877 | 16256908 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16256908 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-12-24 | F | AE | HAMI | 92932800G | FARIBA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542611/check_16256908_d534e587-829d-4895-a41e-2cc35397d2a8.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MEDICARE PART AB CI003 | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1960-09-15 | BP0001 | QMXEM01909 | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | 2078-12-31 | 2025-11-01 | DUAL ELIGIBLE AGED - MSP - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9573565673 | N/A | N/A | 5542611 | 2222 | 4802 | 16517871 | 4211 | 4214490 | 2025-12-23 01:32:58.292877 | 2025-05-13 04:29:37.228806 |
| 2025-12-22 08:08:57.530732 | 2025-12-23 01:39:28.568778 | 16256894 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16256894 | Athletic Physical Therapy Inc | 1959-10-03 | 2025-12-24 | F | AE | REED | 2YY5KV0WP59 | SONIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251222.100535269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542497/check_16256894_93749767-f425-486a-9202-75c2beb0e024.json | N/A | N/A | N/A | N/A | N/A | 2YY5KV0WP59 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-10-03 | S5617 | N/A | N/A | MA | false | REED | N/A | SONIA | N/A | N/A | N/A | N/A | N/A | 236553 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9573565672 | N/A | N/A | 5542497 | 2222 | 4801 | 16523682 | N/A | 4214397 | 2025-12-23 01:39:28.568778 | 2025-05-13 04:29:37.228723 |