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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-20 08:08:03.461350 | 2025-12-21 01:35:48.663867 | 16228990 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16228990 | Athletic Physical Therapy Inc | 1963-06-22 | 2025-12-23 | M | PT | MOSS | XA910317218 | KENNETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13047676/check_16228990_1a95c13c-fa97-41f2-b8d4-72152e384b3f.json | N/A | N/A | N/A | N/A | N/A | XA910317218 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1963-06-22 | N/A | N/A | N/A | N/A | false | MOSS | N/A | KENNETH | 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 | 9564463650 | N/A | N/A | 13047676 | 2222 | 4793 | 16481641 | N/A | 11205149 | 2025-12-21 01:35:48.663867 | 2025-11-24 18:32:22.314223 |
| 2025-12-20 08:08:03.302623 | 2025-12-21 01:35:07.750872 | 16228985 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16228985 | Athletic Physical Therapy Inc | 1954-06-16 | 2025-12-23 | M | AE | Grant | 000009933199 | Mark Antonio | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13045814/check_16228985_5403ee8a-a4d0-4f85-a467-74c0701b900f.json | N/A | N/A | N/A | N/A | N/A | 000009933199 | N/A | N/A | KAISER PERMANENTE OF SOUTHERN CALIFORNIA | N/A | 1954-06-16 | N/A | N/A | N/A | N/A | false | GRANT | N/A | MARK ANTONIO | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463649 | N/A | N/A | 13045814 | 2222 | 4802 | 16480700 | N/A | 11203117 | 2025-12-21 01:35:07.750872 | 2026-01-05 17:22:32.137960 |
| 2025-12-20 08:08:03.188365 | 2025-12-21 01:35:06.954632 | 16228984 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16228984 | Athletic Physical Therapy Inc | 1966-12-11 | 2025-12-23 | F | AE | Shanti | 0014025277 | Senna | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13000772/check_16228984_30a214d8-923a-43f7-a819-a91f50c7f4a3.json | N/A | N/A | N/A | N/A | N/A | 0014025277 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1966-12-11 | N/A | N/A | N/A | N/A | false | SHANTI | N/A | SENNA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463648 | N/A | N/A | 13000772 | 2222 | 4802 | 16480680 | N/A | 11158952 | 2025-12-21 01:35:06.954632 | 2025-11-24 23:21:16.746095 |
| 2025-12-20 08:08:03.012520 | 2025-12-21 01:35:52.676269 | 16228977 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16228977 | Athletic Physical Therapy Inc | 1970-11-01 | 2025-12-23 | F | PT | ANDERSON | NCF059A21440 | AIMEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12966312/check_16228977_2960c2ba-c6d6-4581-9ce2-1f91968076ff.json | N/A | N/A | N/A | N/A | N/A | NCF059A21440 | Health Maintenance Organization (HMO) | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1970-11-01 | 040 | 57AJCA | N/A | HM | false | ANDERSON | N/A | AIMEE | N/A | 2026-01-01 | 2024-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9564463647 | N/A | N/A | 12966312 | 2222 | 4801 | 16481732 | N/A | 11124576 | 2025-12-21 01:35:52.676269 | 2025-11-23 22:20:55.773725 |
| 2025-12-20 08:08:02.810575 | 2025-12-21 01:35:19.221352 | 16228972 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16228972 | Athletic Physical Therapy Inc | 1977-12-02 | 2025-12-23 | M | AE | MAGALLANES | 98578736C | OCTAVIO | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12966296/check_16228972_f3726825-277e-4cb8-8d73-3588e714bb3a.json | N/A | N/A | N/A | N/A | N/A | 98578736C | N/A | N/A | HEALTH NET, LLC | N/A | 1977-12-02 | N/A | N/A | N/A | N/A | false | MAGALLANES | N/A | OCTAVIO | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463646 | N/A | N/A | 12966296 | 2222 | 4802 | 16480963 | 4625 | 11124567 | 2025-12-21 01:35:19.221352 | 2025-11-18 00:49:11.709178 |
| 2025-12-20 08:08:02.507663 | 2025-12-21 01:35:10.117952 | 16228964 | N/A | N/A | 94134 | Kaiser Permanente KPIC | 1114042165 | 16228964 | Athletic Physical Therapy Inc | 2001-08-05 | 2025-12-22 | F | AE | Salzman | 000018209067 | Samantha | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12843691/check_16228964_a733bfdc-cfcf-41b1-87cd-2de4a88d405a.json | N/A | N/A | N/A | N/A | N/A | 000018209067 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 2001-08-05 | 3018178 | 113301 | N/A | N/A | false | SALZMAN | N/A | SAMANTHA | N/A | 2026-12-31 | 2026-01-01 | SCPMG PHYSICIANS TRADITIONAL HMO SCR | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463645 | N/A | N/A | 12843691 | 2222 | 4802 | 16480755 | N/A | 11006444 | 2025-12-21 01:35:10.117952 | 2026-04-01 19:24:43.143105 |
| 2025-12-20 08:08:02.131728 | 2025-12-21 01:35:09.840741 | 16228953 | N/A | N/A | 94134 | Kaiser Permanente KPIC | 1114042165 | 16228953 | Athletic Physical Therapy Inc | 1970-06-12 | 2025-12-22 | M | AE | Rosell | 000023922241 | Steven | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12786540/check_16228953_dcf7d948-527f-4df5-b6c1-f38509c73434.json | N/A | N/A | N/A | N/A | N/A | 000023922241 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1970-06-12 | 4308534 | 1650095001 | N/A | N/A | false | ROSELL | N/A | STEVEN | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 94 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463644 | N/A | N/A | 12786540 | 2222 | 4802 | 16480748 | N/A | 10953465 | 2025-12-21 01:35:09.840741 | 2025-12-17 20:07:45.135929 |
| 2025-12-20 08:08:01.790828 | 2025-12-21 01:35:07.503203 | 16228943 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16228943 | Athletic Physical Therapy Inc | 2008-01-19 | 2025-12-23 | F | AE | GONZALEZ | 000022526618 | CAITLIN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12540718/check_16228943_f3b6f924-ba48-4aa5-b898-c4f8f8aa3c30.json | N/A | N/A | N/A | N/A | N/A | 000022526618 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 2008-01-19 | 4377125 | 104236 | N/A | N/A | false | GONZALEZ | N/A | CAITLIN | N/A | N/A | N/A | SEMPRA SOCALGAS NON-UNION | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463643 | N/A | N/A | 12540718 | 2222 | 4801 | 16480694 | N/A | 9440359 | 2025-12-21 01:35:07.503203 | 2025-10-27 23:07:07.958316 |
| 2025-12-20 08:08:01.392875 | 2025-12-21 01:40:59.366736 | 16228932 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16228932 | Athletic Physical Therapy Inc | 1956-07-15 | 2025-12-23 | M | AE | Raudonis | 4QT6EC7VG78 | Mark | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12493577/check_16228932_d35e537f-e807-4d42-8c2d-1d056671e7c2.json | N/A | N/A | N/A | N/A | N/A | 4QT6EC7VG78 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-07-15 | S4802 | N/A | N/A | MA | false | RAUDONIS | N/A | MARK | N/A | N/A | N/A | N/A | N/A | 95824 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463642 | N/A | N/A | 12493577 | 2222 | 4793 | 16488446 | N/A | 10670073 | 2025-12-21 01:40:59.366736 | 2025-11-10 18:20:04.243140 |
| 2025-12-20 08:08:01.116894 | 2025-12-21 01:32:03.695190 | 16228922 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16228922 | Athletic Physical Therapy Inc | 1950-08-09 | 2025-12-23 | M | AE | Kirgizdaev | 9438168G | Bakhtiyar | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12407501/check_16228922_adf856ac-18b0-4ad6-8592-1a20eba4cfc3.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 | 9564463641 | N/A | N/A | 12407501 | 2222 | 4802 | 16476534 | 4211 | 10587374 | 2025-12-21 01:32:03.695190 | 2025-12-24 19:36:03.607867 |
| 2025-12-20 08:08:00.931647 | 2025-12-21 01:32:28.927641 | 16228916 | N/A | N/A | 60054 | Aetna | 1114042165 | 16228916 | Athletic Physical Therapy Inc | 1980-12-26 | 2025-12-23 | M | AE | MAHINAY | W219751013 | JASON | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12366384/check_16228916_1d97bac4-65dd-4cd9-859f-fce6b37ad663.json | N/A | N/A | N/A | N/A | N/A | W219751013 | Point of Service (POS) | HOLTHOUSE CARLIN & VAN TRIGT LLP | AETNA | N/A | 1980-12-26 | 0803905 | 080390501200002 | N/A | PS | false | MAHINAY | N/A | JASON | 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 | 9564463640 | N/A | N/A | 12366384 | 2222 | 4793 | 16477176 | N/A | 10546247 | 2025-12-21 01:32:28.927641 | 2025-11-14 17:19:10.403651 |
| 2025-12-20 08:08:00.789515 | 2025-12-21 01:31:57.006248 | 16228910 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 16228910 | Athletic Physical Therapy Inc | 1951-05-28 | 2025-12-23 | M | AE | ADELMAN | 27936686 | JEFFREY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12298760/check_16228910_5a079ee5-597b-4f8b-86b2-167214ff84e4.json | N/A | N/A | N/A | N/A | N/A | 27936686 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1951-05-28 | 406-024-000 | N/A | N/A | N/A | false | ADELMAN | N/A | JEFFREY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463639 | N/A | N/A | 12298760 | 2222 | 4801 | 16476376 | 6798 | 10484794 | 2025-12-21 01:31:57.006248 | 2025-11-05 22:04:00.322040 |
| 2025-12-20 08:08:00.622265 | 2025-12-21 01:35:35.142766 | 16228904 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16228904 | Athletic Physical Therapy Inc | 1957-05-05 | 2025-12-23 | F | PT | HOUSTON | TRJNP0019401 | VELINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12244725/check_16228904_06b4c790-dd70-4b62-847d-dcd4ec077a51.json | N/A | N/A | N/A | N/A | N/A | TRJNP0019401 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1957-05-05 | 040 | 276727M001 | N/A | PR | false | HOUSTON | N/A | VELINA | N/A | 9999-12-31 | 2012-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9564463638 | N/A | N/A | 12244725 | 2222 | 4802 | 16481327 | N/A | 9637804 | 2025-12-21 01:35:35.142766 | 2026-04-24 18:56:42.779565 |
| 2025-12-20 08:08:00.492794 | 2025-12-21 01:40:56.518101 | 16228900 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16228900 | Athletic Physical Therapy Inc | 1951-08-07 | 2025-12-23 | F | AE | HYATT | 8F50NM2MU09 | CINDY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12216824/check_16228900_36be175b-483b-4a27-9643-9e83fcedface.json | N/A | N/A | N/A | N/A | N/A | 8F50NM2MU09 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-08-07 | S4802 | N/A | N/A | MA | false | HYATT | N/A | CINDY | N/A | N/A | N/A | N/A | N/A | 80448 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463637 | N/A | N/A | 12216824 | 2222 | 4802 | 16488390 | N/A | 10415709 | 2025-12-21 01:40:56.518101 | 2025-11-05 17:32:26.509741 |
| 2025-12-20 08:08:00.345883 | 2025-12-21 01:32:24.012993 | 16228894 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | 16228894 | Athletic Physical Therapy Inc | 1957-06-10 | 2025-12-23 | F | AE | Cinney | JQE146W12862 | Nancy | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12199890/check_16228894_e81960f6-0210-46cf-a747-1e3fffe56669.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 | 9564463636 | N/A | N/A | 12199890 | 2222 | 4793 | 16477058 | N/A | 10405614 | 2025-12-21 01:32:24.012993 | 2025-11-11 22:04:16.516523 |
| 2025-12-20 08:08:00.172770 | 2025-12-21 01:32:04.418127 | 16228886 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16228886 | Athletic Physical Therapy Inc | 1965-08-15 | 2025-12-23 | M | AE | BRISICK | 2320654 | STEVEN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12172112/check_16228886_f44ea3b8-872e-4a9a-9a80-28eb54883a66.json | N/A | N/A | N/A | N/A | N/A | 2320654 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1965-08-15 | 18126CA001000401 | QMXEM01910 | N/A | N/A | false | BRISICK | N/A | STEVEN | N/A | 2025-12-31 | 2025-01-01 | BRONZE 60 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463635 | N/A | N/A | 12172112 | 2222 | 4802 | 16476556 | 4211 | 10384933 | 2025-12-21 01:32:04.418127 | 2025-11-04 18:26:03.763078 |
| 2025-12-20 08:08:00.057266 | 2025-12-21 01:35:27.987644 | 16228883 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16228883 | Athletic Physical Therapy Inc | 1975-12-13 | 2025-12-23 | F | PT | ASSENGA | TWA295A70455 | NANCY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12129904/check_16228883_9fc7e843-07e6-445f-933f-97ea5d3ef709.json | N/A | N/A | N/A | N/A | N/A | TWA295A70455 | Preferred Provider Organization (PPO) | WTW HSA 1650 - ACTIVE | ANTHEM BLUE CROSS | N/A | 1975-12-13 | 101 | 270127M9A0 | N/A | PR | false | ASSENGA | N/A | NANCY | N/A | 2026-01-01 | 2024-01-01 | CDHP NY NAT GENC HEALTH SAVINGS ACCT (HSA) | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9564463634 | N/A | N/A | 12129904 | 2222 | 4801 | 16481163 | N/A | 4214504 | 2025-12-21 01:35:27.987644 | 2025-05-13 04:29:37.228820 |
| 2025-12-20 08:07:59.861966 | 2025-12-21 01:33:26.788774 | 16228876 | N/A | N/A | 61101 | HUMANA | 1114042165 | 16228876 | Athletic Physical Therapy Inc | 1935-03-07 | 2025-12-23 | F | AE | MYERS | H6760956100 | LILA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12016953/check_16228876_f98c2976-f1fe-49d9-bd02-a127050c55a7.json | N/A | N/A | N/A | N/A | N/A | H67609561 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 465 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1935-03-07 | N/A | 0B617001 | N/A | HN | false | MYERS | N/A | LILA | N/A | N/A | N/A | HUMANA HONOR | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463633 | N/A | N/A | 12016953 | 2222 | 4793 | 16478478 | 5349 | 10238684 | 2025-12-21 01:33:26.788774 | 2025-10-31 23:14:33.453582 |
| 2025-12-20 08:07:59.680559 | 2025-12-21 01:40:59.648545 | 16228870 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16228870 | Athletic Physical Therapy Inc | 1952-02-16 | 2025-12-23 | M | AE | Scott | 5FQ0Y32GF25 | Alan Timothy | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12010277/check_16228870_d245158e-4b7c-45cb-852b-417e616c6a3b.json | N/A | N/A | N/A | N/A | N/A | 5FQ0Y32GF25 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-02-16 | S5601 | N/A | N/A | MB | false | SCOTT | N/A | ALAN | N/A | N/A | N/A | N/A | N/A | 97074 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463632 | N/A | N/A | 12010277 | 2222 | 4802 | 16488453 | N/A | 10232028 | 2025-12-21 01:40:59.648545 | 2025-11-05 23:04:36.909932 |
| 2025-12-20 08:07:59.545451 | 2025-12-21 01:41:02.416567 | 16228865 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16228865 | Athletic Physical Therapy Inc | 1944-03-27 | 2025-12-23 | F | AE | Verratti | 1E21E50VR34 | Kathleen | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11936768/check_16228865_4f9cc862-024d-4a11-b741-c7ef4e77d59f.json | N/A | N/A | N/A | N/A | N/A | 1E21E50VR34 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-03-27 | S4802 | N/A | N/A | MA | false | VERRATTI | N/A | KATHLEEN | N/A | N/A | N/A | N/A | N/A | 225752 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463631 | N/A | N/A | 11936768 | 2222 | 4802 | 16488504 | N/A | 10163894 | 2025-12-21 01:41:02.416567 | 2025-10-30 22:58:10.977312 |
| 2025-12-20 08:07:59.346239 | 2025-12-21 01:35:28.519722 | 16228858 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16228858 | Athletic Physical Therapy Inc | 1965-07-12 | 2025-12-23 | F | PT | BENSON | NCF361A559000 | ELIZABETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11917007/check_16228858_9303289a-f712-4374-995d-2b976ef04ab3.json | N/A | N/A | N/A | N/A | N/A | NCF361A559000 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1965-07-12 | N/A | N/A | N/A | N/A | false | BENSON | N/A | ELIZABETH | 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 | 9564463630 | N/A | N/A | 11917007 | 2222 | 4793 | 16481175 | 4185 | 10144918 | 2025-12-21 01:35:28.519722 | 2025-11-17 16:03:18.208475 |
| 2025-12-20 08:07:59.212766 | 2025-12-21 01:40:53.073166 | 16228857 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16228857 | Athletic Physical Therapy Inc | 1955-07-22 | 2025-12-23 | M | AE | BUDIG | 4GX0DV0TW14 | FREDERICK | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11916686/check_16228857_60182cf8-d92d-49dd-8eba-a2c250fa4f6b.json | N/A | N/A | N/A | N/A | N/A | 4GX0DV0TW14 | Medicare Part A | N/A | ALIGNMENT HEALTH PLAN | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-22 | H3815 | N/A | N/A | MA | false | BUDIG | N/A | FREDERICK | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463288 | N/A | N/A | 11916686 | 2222 | 4793 | 16488314 | N/A | 10144604 | 2025-12-21 01:40:53.073166 | 2025-11-18 17:17:05.039116 |
| 2025-12-20 08:07:59.005209 | 2025-12-21 01:35:07.229064 | 16228850 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16228850 | Athletic Physical Therapy Inc | 1952-10-12 | 2025-12-23 | F | AE | Abraha | 000011262592 | Tarik | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11843086/check_16228850_a1ca647c-d30f-430f-b3d0-22f836b1505f.json | N/A | N/A | N/A | N/A | N/A | 000011262592 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1952-10-12 | 564559 | 105702 | N/A | N/A | false | ABRAHA | N/A | TARIK | N/A | N/A | N/A | COUNTY OF LOS ANGELES COUNTY OF LOS ANGELES - AC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463287 | N/A | N/A | 11843086 | 2222 | 4802 | 16480687 | N/A | 10074998 | 2025-12-21 01:35:07.229064 | 2025-10-29 23:19:49.535455 |
| 2025-12-20 08:07:58.886054 | 2025-12-21 01:35:37.189398 | 16228849 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16228849 | Athletic Physical Therapy Inc | 1965-10-16 | 2025-12-23 | F | PT | OTA | JQK708W18818 | JULIANNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11614506/check_16228849_63a36b5b-0b49-45bd-865e-eebb5ca8b63c.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 | 9564463286 | N/A | N/A | 11614506 | 2222 | 4801 | 16481374 | N/A | 4208609 | 2025-12-21 01:35:37.189398 | 2025-11-06 22:22:57.784313 |
| 2025-12-20 08:07:58.753913 | 2025-12-21 01:35:06.622256 | 16228844 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16228844 | Athletic Physical Therapy Inc | 1994-09-23 | 2025-12-23 | M | AE | RUIZ CORTES | 0023841194 | ROGELIO | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11537156/check_16228844_3dc92792-9bf5-49f8-b345-ea6198d3caea.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 | 9564463285 | N/A | N/A | 11537156 | 2222 | 4802 | 16480675 | N/A | 9778191 | 2025-12-21 01:35:06.622256 | 2025-10-27 23:17:48.522975 |
| 2025-12-20 08:07:58.589954 | 2025-12-21 01:35:31.243764 | 16228840 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16228840 | Athletic Physical Therapy Inc | 1966-12-01 | 2025-12-23 | F | PT | DE LUNA | JMV025A51982 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11526121/check_16228840_ec429bc5-dccc-42cd-886a-d1c81077a6d6.json | N/A | N/A | N/A | N/A | N/A | JMV025A51982 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1966-12-01 | 040 | 56677NR000 | N/A | HM | false | DE LUNA | N/A | MARIA | 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 | 9564463284 | N/A | N/A | 11526121 | 2222 | 4801 | 16481239 | N/A | 9766947 | 2025-12-21 01:35:31.243764 | 2025-11-11 21:32:02.372730 |
| 2025-12-20 08:07:58.420689 | 2025-12-21 01:35:54.423569 | 16228835 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16228835 | Athletic Physical Therapy Inc | 1977-08-05 | 2025-12-23 | F | PT | ORNELAS | NCF054W10834 | MELISSA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11513735/check_16228835_bbf0563f-280f-42cd-a24e-c3e8e16ee9bf.json | N/A | N/A | N/A | N/A | N/A | NCF054W10834 | Health Maintenance Organization (HMO) | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1977-08-05 | 040 | 57AJCA | N/A | HM | false | ORNELAS | N/A | MELISSA | N/A | 9999-12-31 | 2022-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9564463282 | N/A | N/A | 11513735 | 2222 | 4801 | 16481768 | N/A | 9754522 | 2025-12-21 01:35:54.423569 | 2025-11-11 18:53:52.074262 |
| 2025-12-20 08:07:58.173341 | 2025-12-21 01:35:34.295848 | 16228827 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16228827 | Athletic Physical Therapy Inc | 1957-11-01 | 2025-12-23 | F | PT | Hennes | JEXNP2009208 | Valerie | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11463855/check_16228827_4814da65-49bd-4926-bb6b-298303d0e6a2.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 | 9564463281 | N/A | N/A | 11463855 | 2222 | 4801 | 16481309 | N/A | 9713608 | 2025-12-21 01:35:34.295848 | 2025-11-13 07:29:15.484206 |
| 2025-12-20 08:07:57.926038 | 2025-12-21 01:35:20.782707 | 16228822 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16228822 | Athletic Physical Therapy Inc | 1956-09-29 | 2025-12-23 | M | AE | Dougherty | 00000388695 | Brian | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11420900/check_16228822_3dcc0c6a-c81f-4b58-9fb4-043c2004684d.json | N/A | N/A | N/A | N/A | N/A | 00000388695 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-09-29 | H3815028 | N/A | N/A | HM | false | DOUGHERTY | N/A | BRIAN | 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 | 9564463280 | N/A | N/A | 11420900 | 2222 | 4801 | 16481002 | 2630 | 9673509 | 2025-12-21 01:35:20.782707 | 2025-12-08 18:11:10.424524 |
| 2025-12-20 08:07:57.738895 | 2025-12-21 01:35:47.614059 | 16228816 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16228816 | Athletic Physical Therapy Inc | 1956-10-11 | 2025-12-23 | M | PT | Bou Chacra | XED912823926 | Akram | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11201492/check_16228816_2c6ab90b-f26a-4599-bbf2-3e11ee99b323.json | N/A | N/A | N/A | N/A | N/A | XED912823926 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1956-10-11 | 2001ZK002185 | X0001004 | N/A | PR | false | BOU CHACRA | N/A | AKRAM | N/A | 9999-12-31 | 2024-01-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9564463279 | N/A | N/A | 11201492 | 2222 | 4793 | 16481617 | N/A | 9540458 | 2025-12-21 01:35:47.614059 | 2025-10-26 04:16:16.050614 |
| 2025-12-20 08:07:57.301098 | 2025-12-21 01:35:19.480679 | 16228803 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16228803 | Athletic Physical Therapy Inc | 1989-08-21 | 2025-12-23 | F | AE | VANSICKLE | R14610782FS1 | KYLIE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11190514/check_16228803_05c3e012-af95-4754-b231-1f27a3146917.json | N/A | N/A | N/A | N/A | N/A | R14610782FS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1989-08-21 | N/A | N/A | N/A | N/A | false | VANSICKLE | N/A | KYLIE | N/A | 2025-11-02 | 2025-09-01 | KX6 PPOSBG | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463278 | N/A | N/A | 11190514 | 2222 | 4793 | 16480970 | N/A | 9532194 | 2025-12-21 01:35:19.480679 | 2026-04-13 16:03:49.854711 |
| 2025-12-20 08:07:56.811095 | 2025-12-21 01:34:28.070260 | 16228787 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 16228787 | Athletic Physical Therapy Inc | 1954-02-02 | 2025-12-23 | F | AE | CORNEL | 40037363901 | GLORIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11111720/check_16228787_34ff7bc1-859d-4d5b-b530-4fc7c3ff88e7.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 | 9564463277 | N/A | N/A | 11111720 | 2222 | 4801 | 16479927 | N/A | 9461873 | 2025-12-21 01:34:28.070260 | 2025-10-28 18:04:57.630831 |
| 2025-12-20 08:07:56.321384 | 2025-12-21 01:35:28.814845 | 16228774 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 16228774 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-12-23 | M | PT | BLANCHFIELD | JMV780A55541 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10346222/check_16228774_488bcdaf-7f0c-4f68-96dc-2c7d56a910d5.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 | 9564463276 | N/A | N/A | 10346222 | 2222 | 4793 | 16481182 | 4184 | 4214447 | 2025-12-21 01:35:28.814845 | 2026-04-23 20:11:34.441054 |
| 2025-12-20 08:07:56.103952 | 2025-12-21 01:34:31.472097 | 16228766 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 16228766 | Athletic Physical Therapy Inc | 1943-02-06 | 2025-12-23 | F | AE | TIPPITT | 40065208701 | SHIRLEY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10305383/check_16228766_478122b9-e460-48b5-b820-7d0aae74ee52.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 | 9564463275 | N/A | N/A | 10305383 | 2222 | 4793 | 16479998 | N/A | 8574477 | 2025-12-21 01:34:31.472097 | 2025-10-22 02:47:47.756973 |
| 2025-12-20 08:07:55.841949 | 2025-12-21 01:35:50.690409 | 16228758 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16228758 | Athletic Physical Therapy Inc | 1952-07-15 | 2025-12-23 | M | PT | WOLFE | XEM909964699 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10239789/check_16228758_ee573518-bbfd-4b89-a2a7-551a5b49d8af.json | N/A | N/A | N/A | N/A | N/A | XEM909964699 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1952-07-15 | 2004SF000028 | X0001002 | N/A | OT | false | WOLFE | N/A | MICHAEL | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9564463274 | N/A | N/A | 10239789 | 2222 | 4793 | 16481688 | N/A | 8527464 | 2025-12-21 01:35:50.690409 | 2025-10-14 15:25:46.972104 |
| 2025-12-20 08:07:55.640179 | 2025-12-21 01:32:05.026600 | 16228753 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16228753 | Athletic Physical Therapy Inc | 1983-05-09 | 2025-12-23 | F | AE | RAJCIC | 622299781 | MAJA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10172287/check_16228753_068ebed5-2fee-4851-8a98-e87bc8b2cda5.json | N/A | N/A | N/A | N/A | N/A | 622299781 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1983-05-09 | 18126CA001000101 | QMXEM01910 | N/A | N/A | false | RAJCIC | N/A | MAJA | N/A | 2025-12-31 | 2025-01-01 | PLATINUM 90 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463273 | N/A | N/A | 10172287 | 2222 | 4802 | 16476572 | 4211 | 8473558 | 2025-12-21 01:32:05.026600 | 2025-10-10 16:40:45.584452 |
| 2025-12-20 08:07:55.490633 | 2025-12-21 01:35:31.832472 | 16228747 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16228747 | Athletic Physical Therapy Inc | 1991-12-10 | 2025-12-23 | F | PT | DUBOIS | UCR377M98570 | DANIELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10089562/check_16228747_e7e5cb41-327b-4604-9936-ebb7c407806e.json | N/A | N/A | N/A | N/A | N/A | UCR377M98570 | Preferred Provider Organization (PPO) | CHARTER COMMUNICATIONS INC | ANTHEM BLUE CROSS | N/A | 1991-12-10 | 241 | 230018ACA2 | N/A | PR | false | DUBOIS | N/A | WESTON | N/A | 9999-12-31 | 2020-01-01 | CDHP MISSOURI HEALTH SAVINGS ACCOUNT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9564463272 | N/A | N/A | 10089562 | 2222 | 4801 | 16481252 | N/A | 8428267 | 2025-12-21 01:35:31.832472 | 2025-10-08 02:27:24.446873 |
| 2025-12-20 08:07:55.269375 | 2025-12-21 01:35:54.689087 | 16228742 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16228742 | Athletic Physical Therapy Inc | 1980-07-16 | 2025-12-23 | M | PT | RUIZ | NCF895A77221 | MIGUEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10079070/check_16228742_988a7462-f26c-4bbd-aa43-9b9c9c1c791f.json | N/A | N/A | N/A | N/A | N/A | JMV895A77221 | Health Maintenance Organization (HMO) | CALIFORNIA LUTHERAN UNIVERSITY | BLUE SHIELD OF CALIFORNIA | N/A | 1980-07-16 | 040 | 284935H007 | N/A | HM | false | RUIZ | N/A | MIGUEL | N/A | 9999-12-31 | 2024-06-01 | ELEMENTS CHOICE HMO TRADITIONAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9564463271 | N/A | N/A | 10079070 | 2222 | 4801 | 16481778 | N/A | 8422749 | 2025-12-21 01:35:54.689087 | 2025-10-09 18:37:11.515124 |
| 2025-12-20 08:07:55.119973 | 2025-12-21 01:32:22.952596 | 16228737 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 16228737 | override_provider | 1963-04-03 | 2025-12-23 | F | PT | Protsenko | AJC912998623 | Tetiana | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9958584/check_16228737_e02b67db-8b5d-4afd-b847-a7f7d73565e0.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 | 9564463270 | N/A | N/A | 9958584 | 2222 | 4802 | 16477035 | N/A | 7994720 | 2025-12-21 01:32:22.952596 | 2025-09-24 04:33:28.125297 |
| 2025-12-20 08:07:54.977282 | 2025-12-21 01:32:22.699072 | 16228733 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 16228733 | Athletic Physical Therapy Inc | 1977-12-17 | 2025-12-23 | M | PT | GORMAN | 90370502500 | JOHN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9898664/check_16228733_7d7fd10e-57cf-43a0-9cc1-e9d9fffa1296.json | N/A | N/A | N/A | N/A | N/A | XEP903705025 | Point of Service (POS) | CAPE | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1977-12-17 | 1000POSX0002 | W0052320 | N/A | PS | false | GORMAN | N/A | JOHN | N/A | 9999-12-31 | 2022-01-01 | GROUP LIFE 20 000 70 65 75 50 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9564463269 | N/A | N/A | 9898664 | 2222 | 4793 | 16477025 | N/A | 8287160 | 2025-12-21 01:32:22.699072 | 2025-10-01 22:48:13.212843 |
| 2025-12-20 08:07:54.833298 | 2025-12-21 01:35:34.869003 | 16228730 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16228730 | Athletic Physical Therapy Inc | 1954-02-05 | 2025-12-23 | M | PT | HERNANDEZ | NCF335A78493 | FELIPE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9857185/check_16228730_d352cd49-00bb-4986-89f9-1f493b8e576c.json | N/A | N/A | N/A | N/A | N/A | NCF335A78493 | Health Maintenance Organization (HMO) | CITY OF LOS ANGELES | ANTHEM BLUE CROSS | N/A | 1954-02-05 | 040 | 280612H004 | N/A | HM | false | HERNANDEZ | N/A | FELIPE | N/A | 9999-12-31 | 2017-10-18 | PREMIER SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9564463268 | N/A | N/A | 9857185 | 2222 | 4793 | 16481320 | N/A | 8252801 | 2025-12-21 01:35:34.869003 | 2026-02-23 23:58:40.440949 |
| 2025-12-20 08:07:54.621222 | 2025-12-21 01:34:30.326681 | 16228723 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16228723 | Athletic Physical Therapy Inc | 1944-03-02 | 2025-12-23 | F | AE | SETRAK | 40064880801 | SETA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9634904/check_16228723_52f02199-772e-4f43-ba1c-821fe519d493.json | N/A | N/A | N/A | N/A | N/A | 40064880801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1944-03-02 | 2025H5425001 | H5425M | N/A | N/A | false | SETRAK | N/A | SETA | 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 | 9564463267 | N/A | N/A | 9634904 | 2222 | 4801 | 16479971 | 6237 | 8061360 | 2025-12-21 01:34:30.326681 | 2025-09-22 21:51:14.372865 |
| 2025-12-20 08:07:54.493253 | 2025-12-21 01:35:39.183953 | 16228716 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16228716 | Athletic Physical Therapy Inc | 2005-12-13 | 2025-12-23 | F | PT | Varivoda | ZTQ335M98588 | Alex | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9338185/check_16228716_45da7a18-2756-467d-b7f3-8cee8a3117ea.json | N/A | N/A | N/A | N/A | N/A | ZTQ335M98588 | Preferred Provider Organization (PPO) | TELEDYNE TECH INC LECROY | ANTHEM BLUE CROSS | N/A | 2005-12-13 | 040 | 174249M3AW | N/A | PR | false | VARIVODA | N/A | ALEXEY | N/A | 9999-12-31 | 2020-03-19 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9564463266 | N/A | N/A | 9338185 | 2222 | 4802 | 16481419 | N/A | 7837035 | 2025-12-21 01:35:39.183953 | 2025-09-17 13:44:26.939662 |
| 2025-12-20 08:07:54.318223 | 2025-12-21 01:35:30.414893 | 16228713 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 16228713 | Athletic Physical Therapy Inc | 1966-12-04 | 2025-12-23 | M | PT | CLANCY | XDMOE0503879 | JOSEPH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9194927/check_16228713_b097828c-d415-46c8-b82a-39064fdaec2a.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 | 9564463265 | N/A | N/A | 9194927 | 2222 | 4793 | 16481220 | 4184 | 7712549 | 2025-12-21 01:35:30.414893 | 2025-09-10 17:29:28.945035 |
| 2025-12-20 08:07:54.191490 | 2025-12-21 01:40:55.624982 | 16228708 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16228708 | Athletic Physical Therapy Inc | 1948-07-07 | 2025-12-22 | F | AE | GOEL | 5RR4M63DR65 | VEENA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969533/check_16228708_f5fa3177-ceb0-45b4-ac7e-094f2c82a6d1.json | N/A | N/A | N/A | N/A | N/A | 5RR4M63DR65 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-07 | S5596 | N/A | N/A | MA | false | GOEL | N/A | VEENA | N/A | N/A | N/A | N/A | N/A | 251307 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463264 | N/A | N/A | 8969533 | 2222 | 4802 | 16488370 | N/A | 7485064 | 2025-12-21 01:40:55.624982 | 2025-12-29 22:41:16.623495 |
| 2025-12-20 08:07:54.021040 | 2025-12-21 01:41:01.244984 | 16228706 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16228706 | Athletic Physical Therapy Inc | 1952-07-08 | 2025-12-23 | F | AE | STERINA | 5G17E95JX47 | ELIZABETH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8632769/check_16228706_0c53edc4-024b-488e-9d86-101dba2b684f.json | N/A | N/A | N/A | N/A | N/A | 5G17E95JX47 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-08 | S4802 | N/A | N/A | MA | false | STERINA | N/A | ELIZABETH | N/A | N/A | N/A | N/A | N/A | 144268 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463263 | N/A | N/A | 8632769 | 2222 | 4802 | 16488472 | N/A | 7278220 | 2025-12-21 01:41:01.244984 | 2025-08-26 15:52:58.453727 |
| 2025-12-20 08:07:53.858168 | 2025-12-21 01:33:27.051423 | 16228701 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 16228701 | Athletic Physical Therapy Inc | 1958-02-20 | 2025-12-23 | F | AE | SHERRY | H7159538300 | PAULA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8193020/check_16228701_f2db6b75-0cec-45e2-9af7-ab518c6229c3.json | N/A | N/A | N/A | N/A | N/A | H71595383 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1958-02-20 | N/A | 0B527001 | N/A | HN | false | SHERRY | N/A | PAULA | 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 | 9564463262 | N/A | N/A | 8193020 | 2222 | 4801 | 16478485 | N/A | 4214141 | 2025-12-21 01:33:27.051423 | 2025-05-13 04:29:37.228469 |
| 2025-12-20 08:07:53.725612 | 2025-12-21 01:34:53.465752 | 16228698 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 16228698 | Athletic Physical Therapy Inc | 1980-08-02 | 2025-12-23 | M | AE | HILTSER | 208616901 | LORNE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8048052/check_16228698_b6fe9386-9a0d-4fc2-98b8-586c0484a4b6.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 | 9564463261 | N/A | N/A | 8048052 | 2222 | 4802 | 16480360 | 6411 | 6844134 | 2025-12-21 01:34:53.465752 | 2025-08-29 16:18:21.978739 |
| 2025-12-20 08:07:53.548925 | 2025-12-21 01:32:30.698680 | 16228693 | N/A | N/A | 60054 | Aetna | 1114042165 | 16228693 | Athletic Physical Therapy Inc | 2005-12-05 | 2025-12-23 | M | AE | LEE | W46967828 | MICAH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8025873/check_16228693_b1e5e5c7-ac0c-4656-8c00-bb522ffaada1.json | N/A | N/A | N/A | N/A | N/A | W46967828 | N/A | N/A | AETNA INC | N/A | 2005-12-05 | N/A | N/A | N/A | N/A | false | LEE | N/A | MICAH | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463260 | N/A | N/A | 8025873 | 2222 | 4802 | 16477227 | N/A | 6827370 | 2025-12-21 01:32:30.698680 | 2025-08-19 17:52:17.507801 |
| 2025-12-20 08:07:53.436528 | 2025-12-21 01:35:48.160465 | 16228690 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16228690 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-12-22 | F | PT | GIANNE | XED910762094 | NATALIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251220.095819357.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_16228690_1e929ef9-409f-437a-8d4e-7f239523a6cd.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 | 9564463259 | N/A | N/A | 7994545 | 2222 | 4802 | 16481629 | N/A | 6802250 | 2025-12-21 01:35:48.160465 | 2025-08-11 23:58:28.358402 |