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 08:07:53.276961 | 2025-12-21 01:35:36.238196 | 16228685 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16228685 | Athletic Physical Therapy Inc | 1950-06-21 | 2025-12-23 | M | PT | Aliabadi | FJB10490729M | Hossein | 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/2222/7877206/check_16228685_93a7169f-dcac-48af-92d0-0aa08df8e760.json | N/A | N/A | N/A | N/A | N/A | FJB10490729M | Preferred Provider Organization (PPO) | ALL | ANTHEM BLUE CROSS | N/A | 1950-06-21 | 101 | 174549M211 | N/A | PR | false | MANTEGHI | N/A | MEHRNAZ | N/A | 9999-12-31 | 2025-01-01 | BLUECARD PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9564463258 | N/A | N/A | 7877206 | 2222 | 4802 | 16481352 | N/A | 6706099 | 2025-12-21 01:35:36.238196 | 2025-11-21 22:00:12.073625 |
| 2025-12-20 08:07:53.070748 | 2025-12-21 01:35:19.743426 | 16228678 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16228678 | Athletic Physical Therapy Inc | 1966-07-12 | 2025-12-23 | M | AE | Cohn | R06589895MM1 | David | 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/2222/7315101/check_16228678_fb60aa78-0d04-4d5d-917e-88f2c3991088.json | N/A | N/A | N/A | N/A | N/A | R06589895MM1 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1966-07-12 | N/A | CA05620125 | N/A | N/A | false | COHN | N/A | DAVID | N/A | N/A | N/A | WELLCARE SIMPLE FOCUS (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463257 | N/A | N/A | 7315101 | 2222 | 4802 | 16480976 | 4625 | 6152454 | 2025-12-21 01:35:19.743426 | 2025-07-17 21:44:04.596080 |
| 2025-12-20 08:07:52.887250 | 2025-12-21 01:40:54.640491 | 16228672 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16228672 | Athletic Physical Therapy Inc | 1959-02-09 | 2025-12-23 | F | AE | FERTSCHNEIDER | 4DU9YG4YD46 | 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/2222/7204595/check_16228672_2ec970bb-81a6-4bbd-b6b0-60966a38ab43.json | N/A | N/A | N/A | N/A | N/A | 4DU9YG4YD46 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-09 | S5884 | N/A | N/A | MA | false | FERTSCHNEIDER | N/A | NANCY | N/A | N/A | N/A | N/A | N/A | 219996 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463256 | N/A | N/A | 7204595 | 2222 | 4801 | 16488350 | N/A | 6175435 | 2025-12-21 01:40:54.640491 | 2025-08-05 19:05:08.506352 |
| 2025-12-20 08:07:52.625395 | 2025-12-21 01:32:05.602370 | 16228665 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16228665 | Athletic Physical Therapy Inc | 1963-05-22 | 2025-12-23 | M | AE | SMITH | 99688004H | MATTHEW | 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/2222/7022680/check_16228665_5810215d-2e6c-481c-af02-851fa3f47bff.json | N/A | N/A | N/A | N/A | N/A | 99688004H | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 02/28/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1963-05-22 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | SMITH | N/A | MATTHEW | N/A | 2078-12-31 | 2025-05-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463255 | N/A | N/A | 7022680 | 2222 | 4793 | 16476587 | 4211 | 6037802 | 2025-12-21 01:32:05.602370 | 2025-07-22 17:48:16.997014 |
| 2025-12-20 08:07:52.359006 | 2025-12-21 01:40:54.045081 | 16228657 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16228657 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-12-23 | M | AE | CICCIARI | 1AK4JC6NK84 | LOUIS | 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/2222/6752936/check_16228657_d49da786-e8a1-4b93-be02-c0994ed69f0f.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5596 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | 420028 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463254 | N/A | N/A | 6752936 | 2222 | 4801 | 16488336 | N/A | 5065602 | 2025-12-21 01:40:54.045081 | 2025-07-01 17:25:13.681724 |
| 2025-12-20 08:07:51.798981 | 2025-12-21 01:34:31.123767 | 16228636 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16228636 | Athletic Physical Therapy Inc | 1942-07-28 | 2025-12-23 | M | AE | SIMMONS | 40055722801 | J | 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/2222/6685251/check_16228636_0b5baed6-01b2-42d3-8d73-5e066a1231ce.json | N/A | N/A | N/A | N/A | N/A | 40055722801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1942-07-28 | 2025H5425001 | H5425M | N/A | N/A | false | SIMMONS | N/A | J | 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 | 9564463253 | N/A | N/A | 6685251 | 2222 | 4793 | 16479990 | 6237 | 4209868 | 2025-12-21 01:34:31.123767 | 2025-08-15 22:13:56.514261 |
| 2025-12-20 08:07:51.421576 | 2025-12-21 01:40:57.078862 | 16228619 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16228619 | Athletic Physical Therapy Inc | 1952-10-25 | 2025-12-23 | F | AE | JOHNSTON | 7KA0H51YU14 | DEBORAH | 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/2222/6638066/check_16228619_67c4433a-74e9-40ad-a84e-db83bff1adb8.json | N/A | N/A | N/A | N/A | N/A | 7KA0H51YU14 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-10-25 | S5617 | N/A | N/A | MA | false | JOHNSTON | N/A | DEBORAH | N/A | N/A | N/A | N/A | N/A | 241000 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463252 | N/A | N/A | 6638066 | 2222 | 4793 | 16488401 | N/A | 5247837 | 2025-12-21 01:40:57.078862 | 2026-02-24 20:36:49.807283 |
| 2025-12-20 08:07:51.309132 | 2025-12-21 01:33:26.448865 | 16228616 | N/A | N/A | 61101 | HUMANA | 1114042165 | 16228616 | Athletic Physical Therapy Inc | 1950-06-01 | 2025-12-23 | F | AE | MCDEVITT | H7220666800 | GUADALUPE | 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/2222/6221805/check_16228616_556b17de-6193-4e98-a127-cd545f4a1d9a.json | N/A | N/A | N/A | N/A | N/A | H72206668 | 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 | 1950-06-01 | N/A | 0B527001 | N/A | HN | false | MCDEVITT | N/A | GUADALUPE | 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 | 9564463251 | N/A | N/A | 6221805 | 2222 | 4801 | 16478468 | 5349 | 4865742 | 2025-12-21 01:33:26.448865 | 2025-06-11 15:46:59.098537 |
| 2025-12-20 08:07:51.182215 | 2025-12-21 01:35:18.204773 | 16228608 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16228608 | Athletic Physical Therapy Inc | 1964-11-15 | 2025-12-23 | F | AE | BIKOULOVA | 92040499F | ALEXANDRA | 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/2222/5874423/check_16228608_e48237f5-1fbb-420a-bf0c-0d6b01f38a87.json | N/A | N/A | N/A | N/A | N/A | 92040499F | N/A | N/A | HEALTH NET, LLC | N/A | 1964-11-15 | N/A | N/A | N/A | N/A | false | BIKOULOVA | N/A | ALEXANDRA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463250 | N/A | N/A | 5874423 | 2222 | 4802 | 16480943 | 4625 | 4534552 | 2025-12-21 01:35:18.204773 | 2025-05-30 18:01:03.324126 |
| 2025-12-20 08:07:51.079535 | 2025-12-21 01:35:21.205044 | 16228604 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16228604 | Athletic Physical Therapy Inc | 1956-07-24 | 2025-12-23 | F | AE | HOCHFELD | 00000365425 | PAMELA | 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/2222/5676362/check_16228604_be52b11d-7f69-41a6-8a38-b20e05e9f196.json | N/A | N/A | N/A | N/A | N/A | 00000365425 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-07-24 | H3815028 | N/A | N/A | HM | false | HOCHFELD | N/A | PAMELA | 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 | 9564463249 | N/A | N/A | 5676362 | 2222 | 4793 | 16481008 | 2630 | 4219743 | 2025-12-21 01:35:21.205044 | 2025-12-04 22:36:02.632383 |
| 2025-12-20 08:07:50.916795 | 2025-12-21 01:35:36.841929 | 16228597 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 16228597 | Athletic Physical Therapy Inc | 1946-04-03 | 2025-12-23 | F | PT | OBLINGER | JQS491M78254 | 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/2222/5676340/check_16228597_6799d914-9a7c-49c9-8577-caf9e44e025f.json | N/A | N/A | N/A | N/A | N/A | JQS491M78254 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1946-04-03 | 040 | CAMCRWP0 | N/A | MP | false | OBLINGER | N/A | MARIA | 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 | 9564463247 | N/A | N/A | 5676340 | 2222 | 4793 | 16481367 | 4184 | 4210531 | 2025-12-21 01:35:36.841929 | 2025-12-09 17:09:13.960610 |
| 2025-12-20 08:07:50.816054 | 2025-12-21 01:40:55.018071 | 16228591 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16228591 | Athletic Physical Therapy Inc | 1951-12-26 | 2025-12-23 | M | AE | FINEBERG | 9FX3D52YD09 | MARTIN | 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/2222/5549980/check_16228591_6a7576cf-714d-4d13-bb61-6c8d294fcdd5.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MA | false | FINEBERG | N/A | MARTIN | N/A | N/A | N/A | N/A | N/A | 298480 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463246 | N/A | N/A | 5549980 | 2222 | 4802 | 16488357 | N/A | 4219436 | 2025-12-21 01:40:55.018071 | 2025-05-13 04:29:37.230471 |
| 2025-12-20 08:07:50.587793 | 2025-12-21 01:32:29.844721 | 16228583 | N/A | N/A | 60054 | Aetna | 1114042165 | 16228583 | Athletic Physical Therapy Inc | 1955-03-15 | 2025-12-23 | F | AE | MORTENSEN | MBL800W05634 | JEANIE | 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/2222/5549946/check_16228583_c6085d01-691f-4245-bc98-da5bb01c897b.json | N/A | N/A | N/A | N/A | N/A | MBL800W05634 | N/A | N/A | AETNA | N/A | 1955-03-15 | 0169623 | 016962301000201 | N/A | N/A | false | MORTENSEN | N/A | JEANIE | N/A | N/A | N/A | PPO DENTAL 2000 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463245 | N/A | N/A | 5549946 | 2222 | 4801 | 16477201 | N/A | 4219431 | 2025-12-21 01:32:29.844721 | 2025-12-01 18:45:07.315802 |
| 2025-12-20 08:07:50.334576 | 2025-12-21 01:40:54.345932 | 16228576 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16228576 | Athletic Physical Therapy Inc | 1959-09-11 | 2025-12-23 | M | AE | CRAIG | 5GR8W08TR55 | 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/2222/5549237/check_16228576_f5fdc29b-a39d-4ab2-a567-8b82a409c456.json | N/A | N/A | N/A | N/A | N/A | 5GR8W08TR55 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-11 | N/A | N/A | N/A | MB | false | CRAIG | N/A | JEFFREY | N/A | N/A | N/A | N/A | N/A | 156792 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463244 | N/A | N/A | 5549237 | 2222 | 4801 | 16488344 | N/A | 4218948 | 2025-12-21 01:40:54.345932 | 2025-05-13 04:29:37.229964 |
| 2025-12-20 08:07:50.136457 | 2025-12-21 01:40:59.044396 | 16228567 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16228567 | Athletic Physical Therapy Inc | 1947-11-15 | 2025-12-23 | F | AE | NOGHREIAN | 6XG3KA2TP05 | FLORIA | 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/2222/5548970/check_16228567_38598962-668c-46f5-aa8b-4cf988bc4df4.json | N/A | N/A | N/A | N/A | N/A | 6XG3KA2TP05 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-11-15 | S5617 | N/A | N/A | MB | false | NOGHREIAN | N/A | FLORIA | N/A | N/A | N/A | N/A | N/A | 20565 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463243 | N/A | N/A | 5548970 | 2222 | 4802 | 16488438 | N/A | 4218728 | 2025-12-21 01:40:59.044396 | 2025-05-13 04:29:37.229718 |
| 2025-12-20 08:07:49.865657 | 2025-12-21 01:40:53.604431 | 16228556 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16228556 | Athletic Physical Therapy Inc | 1957-05-23 | 2025-12-23 | F | AE | CEASAR | 6XR6JY3MJ89 | DEBBIE | 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/2222/5543553/check_16228556_8a5e8c3b-e75e-4c5f-8b22-419021e327e9.json | N/A | N/A | N/A | N/A | N/A | 6XR6JY3MJ89 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-23 | S5660 | N/A | N/A | MA | false | CEASAR | N/A | DEBBIE | N/A | N/A | N/A | N/A | N/A | 110619 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463242 | N/A | N/A | 5543553 | 2222 | 4793 | 16488327 | N/A | 4215327 | 2025-12-21 01:40:53.604431 | 2025-05-13 04:29:37.229651 |
| 2025-12-20 08:07:49.671948 | 2025-12-21 01:32:04.137774 | 16228548 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16228548 | Athletic Physical Therapy Inc | 1961-07-08 | 2025-12-23 | F | AE | BERRY | 606308574 | KAREN | 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/2222/5543264/check_16228548_812bc36d-bdfa-40e8-8978-8574a0eed6fd.json | N/A | N/A | N/A | N/A | N/A | 606308574 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-07-08 | 18126CA001000306 | QMXEM01910 | N/A | N/A | false | BERRY | N/A | KAREN | N/A | 2025-12-31 | 2025-09-01 | SILVER 94 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463241 | N/A | N/A | 5543264 | 2222 | 4802 | 16476546 | 4211 | 4215080 | 2025-12-21 01:32:04.137774 | 2025-05-13 04:29:37.229395 |
| 2025-12-20 08:07:49.430225 | 2025-12-21 01:35:49.256577 | 16228538 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16228538 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-12-23 | F | PT | PAUL | XEK914147727 | SARA | 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/2222/5543211/check_16228538_c9aef0bb-8cb1-49d5-bd16-f4412f883cab.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | 9999-12-31 | 2025-02-01 | IFP EMB PED VISION | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9564463240 | N/A | N/A | 5543211 | 2222 | 4801 | 16481651 | N/A | 4215028 | 2025-12-21 01:35:49.256577 | 2025-05-13 04:29:37.229346 |
| 2025-12-20 08:07:49.200651 | 2025-12-21 01:35:20.522468 | 16228533 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16228533 | Athletic Physical Therapy Inc | 1947-12-04 | 2025-12-23 | F | AE | CHARTER | 00000357514 | JEAN | 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/2222/5543042/check_16228533_34b1fd4a-65b7-44e4-8c96-9e4325c88cbe.json | N/A | N/A | N/A | N/A | N/A | 00000357514 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1947-12-04 | H3815028 | N/A | N/A | HM | false | CHARTER | N/A | JEAN | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463239 | N/A | N/A | 5543042 | 2222 | 4793 | 16480994 | 2630 | 4214881 | 2025-12-21 01:35:20.522468 | 2025-10-23 00:25:28.237067 |
| 2025-12-20 08:07:48.912333 | 2025-12-21 01:35:38.420470 | 16228526 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16228526 | Athletic Physical Therapy Inc | 1972-01-23 | 2025-12-23 | M | AE | SHER | JQV724M6470 | ARTUR | 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/2222/5543024/check_16228526_76f42a22-2969-4c7a-8b2d-71701a960ce6.json | N/A | N/A | N/A | N/A | N/A | JQV724M6470 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1972-01-23 | N/A | N/A | N/A | N/A | false | SHER | N/A | ARTUR | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463238 | N/A | N/A | 5543024 | 2222 | 4801 | 16481397 | N/A | 4214858 | 2025-12-21 01:35:38.420470 | 2025-05-13 04:29:37.229182 |
| 2025-12-20 08:07:48.687839 | 2025-12-21 01:34:30.755359 | 16228518 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16228518 | Athletic Physical Therapy Inc | 1957-01-21 | 2025-12-23 | M | AE | SHADDY | 40064865601 | STEVE | 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/2222/5543011/check_16228518_ad936c34-4f40-457e-8579-6ddd4b56e3dd.json | N/A | N/A | N/A | N/A | N/A | 40064865601 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | SHADDY | N/A | STEVE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463237 | N/A | N/A | 5543011 | 2222 | 4801 | 16479981 | 6237 | 4214861 | 2025-12-21 01:34:30.755359 | 2026-02-04 19:10:58.526441 |
| 2025-12-20 08:07:48.442297 | 2025-12-21 01:35:31.525936 | 16228513 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16228513 | Athletic Physical Therapy Inc | 1943-04-14 | 2025-12-23 | M | PT | DESMET | MBL584M98446 | GRANT | 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/2222/5542900/check_16228513_5bdd5bd0-9d43-42ce-81b1-c1b9690a48b0.json | N/A | N/A | N/A | N/A | N/A | MBL584M98446 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1943-04-14 | 040 | CAEGR005 | N/A | N/A | false | DESMET | N/A | GRANT | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9564463236 | N/A | N/A | 5542900 | 2222 | 4801 | 16481245 | N/A | 4214759 | 2025-12-21 01:35:31.525936 | 2025-05-13 04:29:37.229079 |
| 2025-12-20 08:07:48.187173 | 2025-12-21 01:35:48.929346 | 16228504 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16228504 | Athletic Physical Therapy Inc | 1964-08-15 | 2025-12-22 | F | PT | OCONLON | XED909983270 | SARA | 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/2222/5542827/check_16228504_be01cf47-8733-467e-a480-362a4e38f033.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 | 9564463235 | N/A | N/A | 5542827 | 2222 | 4793 | 16481646 | N/A | 4214693 | 2025-12-21 01:35:48.929346 | 2025-05-13 04:29:37.229010 |
| 2025-12-20 08:07:48.005159 | 2025-12-21 01:32:29.415343 | 16228497 | N/A | N/A | 60054 | Aetna | 1114042165 | 16228497 | Athletic Physical Therapy Inc | 2015-03-25 | 2025-12-23 | M | AE | MOLAVI | W290733985 | MATTHEW | 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/2222/5542759/check_16228497_7435c039-fa70-4339-9dcc-0c076019c866.json | N/A | N/A | N/A | N/A | N/A | W290733985 | Point of Service (POS) | THE TCW GROUP, INC. | AETNA | N/A | 2015-03-25 | 0247292 | 024729201100001 | N/A | PS | false | MOLAVI | N/A | MOHAMAD | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463234 | N/A | N/A | 5542759 | 2222 | 4793 | 16477189 | N/A | 4214620 | 2025-12-21 01:32:29.415343 | 2025-08-05 22:41:29.756445 |
| 2025-12-20 08:07:47.785321 | 2025-12-21 01:35:17.956534 | 16228489 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16228489 | Athletic Physical Therapy Inc | 1972-07-22 | 2025-12-23 | M | AE | KOZMA | U9714475101 | 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/2222/5542709/check_16228489_95f132e5-4e34-4260-8697-1ebef72ac60d.json | N/A | N/A | N/A | N/A | N/A | U9714475101 | 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. | 1972-07-22 | 67138CA0700027-01 | N/A | N/A | N/A | false | KOZMA | N/A | JASON | N/A | N/A | N/A | BRONZE 60 HDHP AMBETTER PPO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463233 | N/A | N/A | 5542709 | 2222 | 4802 | 16480932 | N/A | 4214582 | 2025-12-21 01:35:17.956534 | 2025-12-02 00:00:04.433236 |
| 2025-12-20 08:07:47.487709 | 2025-12-21 01:40:56.792504 | 16228479 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16228479 | Athletic Physical Therapy Inc | 1936-09-29 | 2025-12-23 | M | AE | JAUDE | 8D38EF9GV30 | KARIM | 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/2222/5542251/check_16228479_807a6244-73c9-4b52-a4d5-fbea19a1f54e.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MA | false | JAUDE | N/A | KARIM | N/A | N/A | N/A | N/A | N/A | 347451 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463232 | N/A | N/A | 5542251 | 2222 | 4802 | 16488396 | N/A | 4214191 | 2025-12-21 01:40:56.792504 | 2025-05-13 04:29:37.228525 |
| 2025-12-20 08:07:46.936834 | 2025-12-21 01:32:04.745922 | 16228458 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16228458 | Athletic Physical Therapy Inc | 1975-03-26 | 2025-12-23 | F | AE | HEYES | 95596436F | DARCIE | 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/2222/5542233/check_16228458_2524bed1-69a8-418b-93d5-3bf5bcccebc8.json | N/A | N/A | N/A | N/A | N/A | 95596436F | 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) | 1975-03-26 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | 2078-12-31 | 2024-04-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463231 | N/A | N/A | 5542233 | 2222 | 4793 | 16476564 | 4211 | 4214178 | 2025-12-21 01:32:04.745922 | 2025-05-13 04:29:37.228506 |
| 2025-12-20 08:07:46.398056 | 2025-12-21 01:32:05.318055 | 16228438 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16228438 | Athletic Physical Therapy Inc | 1961-02-27 | 2025-12-23 | M | AE | SHRIVER | 90771207E | DANIEL | 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/2222/5541984/check_16228438_c408f15c-adc7-4734-b5ec-de038ae7ffd9.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-02-27 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | SHRIVER | N/A | DANIEL | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463118 | N/A | N/A | 5541984 | 2222 | 4802 | 16476579 | 4211 | 4213934 | 2025-12-21 01:32:05.318055 | 2026-01-27 23:36:44.802366 |
| 2025-12-20 08:07:46.154741 | 2025-12-21 01:35:47.348258 | 16228426 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16228426 | Athletic Physical Therapy Inc | 1980-10-14 | 2025-12-23 | M | PT | ABI MALHAB | KSI73549599C | NADIM | 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/2222/5541968/check_16228426_c45855fa-a518-4259-850f-25afe6b57034.json | N/A | N/A | N/A | N/A | N/A | KSI73549599C | Preferred Provider Organization (PPO) | KARL STORZ ENDOSCOPY AMERICA INC | BLUE SHIELD CALIFORNIA | N/A | 1980-10-14 | 1000PPOX0003 | W8002382 | N/A | PR | false | ABI MALHAB | N/A | NADIM | N/A | N/A | N/A | KARL STORZ ENDOSCOPY AMERICA INC SHARED ADVANTAGE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9564463117 | N/A | N/A | 5541968 | 2222 | 4802 | 16481610 | N/A | 4213936 | 2025-12-21 01:35:47.348258 | 2025-05-13 04:29:37.228255 |
| 2025-12-20 08:07:45.909525 | 2025-12-21 01:35:48.410440 | 16228417 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16228417 | Athletic Physical Therapy Inc | 1990-09-04 | 2025-12-23 | M | PT | HASHEMI | XEA914007676 | SEYED | 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/2222/5541956/check_16228417_ed043133-5e85-4d77-9609-7dfd62951178.json | N/A | N/A | N/A | N/A | N/A | XEA914007676 | Preferred Provider Organization (PPO) | SILVUS TECHNOLOGIES INC | BLUE SHIELD CALIFORNIA | N/A | 1990-09-04 | 1000PPOX0002 | W3000628 | N/A | PR | false | HASHEMI | N/A | SEYED MEHRDAD | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1800 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9564463116 | N/A | N/A | 5541956 | 2222 | 4802 | 16481636 | N/A | 4213923 | 2025-12-21 01:35:48.410440 | 2025-05-13 04:29:37.228244 |
| 2025-12-20 08:07:45.634625 | 2025-12-21 01:32:22.023626 | 16228405 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 16228405 | override_provider | 1957-04-11 | 2025-12-23 | M | PT | ADRIAN | MBL508W11635 | NELSON | 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/2222/5541841/check_16228405_4c81f299-a581-4421-aad8-7153f3797738.json | N/A | N/A | N/A | N/A | N/A | MBL508W11635 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | BLUE SHIELD OF CALIFORNIA | N/A | 1957-04-11 | 040 | CAEGR005 | N/A | N/A | false | ADRIAN | N/A | NELSON | N/A | 2025-12-31 | 2022-04-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9564463115 | N/A | N/A | 5541841 | 2222 | 4801 | 16477008 | N/A | 4213826 | 2025-12-21 01:32:22.023626 | 2025-05-13 04:29:37.228146 |
| 2025-12-20 08:07:45.312179 | 2025-12-21 01:35:53.987204 | 16228393 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16228393 | Athletic Physical Therapy Inc | 2012-06-25 | 2025-12-23 | F | PT | LORD | JQT822A53740 | ALYSSA | 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/2222/5541409/check_16228393_8358449e-5492-4908-83f2-74f70f66ed50.json | N/A | N/A | N/A | N/A | N/A | JQT822A53740 | Health Maintenance Organization (HMO) | JLIV SERVICES INC | BLUE SHIELD OF CALIFORNIA | N/A | 2012-06-25 | 040 | U54789 | N/A | HM | false | LORD | N/A | JETHRO | N/A | 9999-12-31 | 2025-08-01 | CA SG PRISELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9564463114 | N/A | N/A | 5541409 | 2222 | 4793 | 16481756 | N/A | 4213435 | 2025-12-21 01:35:53.987204 | 2025-05-13 04:29:37.227756 |
| 2025-12-20 08:07:45.121311 | 2025-12-21 01:35:32.704718 | 16228385 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16228385 | Athletic Physical Therapy Inc | 1995-06-07 | 2025-12-23 | M | PT | Greathouse | MPI30458946Q | Kheperan | 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/2222/5540871/check_16228385_ca2c8de6-db6c-48c5-a420-853e5b5a674d.json | N/A | N/A | N/A | N/A | N/A | MPI30458946Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1995-06-07 | 040 | 277163M402 | N/A | PR | false | GREATHOUSE | N/A | KHEPERAN | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9564463113 | N/A | N/A | 5540871 | 2222 | 4793 | 16481271 | N/A | 4212959 | 2025-12-21 01:35:32.704718 | 2025-10-17 20:08:21.136268 |
| 2025-12-20 08:07:44.925062 | 2025-12-21 01:32:28.371078 | 16228378 | N/A | N/A | 60054 | Aetna | 1114042165 | 16228378 | Athletic Physical Therapy Inc | 1982-07-27 | 2025-12-23 | M | AE | BOKHTIER | W275493875 | GOLAM | 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/2222/5540723/check_16228378_094ef6b5-b163-4340-950f-d6b06ed28040.json | N/A | N/A | N/A | N/A | N/A | W275493875 | Exclusive Provider Organization | AMERICAN EXPRESS COMPANY | AETNA | N/A | 1982-07-27 | 0169631 | 016963101100001 | N/A | EP | false | BOKHTIER | N/A | SUMMER | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463112 | N/A | N/A | 5540723 | 2222 | 4793 | 16477169 | N/A | 4212833 | 2025-12-21 01:32:28.371078 | 2025-05-28 20:46:35.079848 |
| 2025-12-20 08:07:44.716530 | 2025-12-21 01:35:50.166124 | 16228368 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16228368 | Athletic Physical Therapy Inc | 1997-07-14 | 2025-12-23 | M | PT | SHERBETJIAN | XED910281081 | JACK | 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/2222/5540558/check_16228368_5ed59f23-10fb-4607-af61-4b06090be71a.json | N/A | N/A | N/A | N/A | N/A | XED910281081 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-14 | 2001ZK002184 | X0001004 | N/A | PR | false | SHERBETJIAN | N/A | JACK | N/A | 2025-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9564463111 | N/A | N/A | 5540558 | 2222 | 4801 | 16481670 | N/A | 4212698 | 2025-12-21 01:35:50.166124 | 2025-05-13 04:29:37.227042 |
| 2025-12-20 08:07:44.567294 | 2025-12-21 01:34:27.816437 | 16228362 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 16228362 | Athletic Physical Therapy Inc | 1956-07-18 | 2025-12-23 | M | AE | BELL | 40055462001 | LOWELL | 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/2222/5540339/check_16228362_8b36bb92-6f51-4dea-b180-8a6001aa3f93.json | N/A | N/A | N/A | N/A | N/A | 40055462001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-07-18 | 2025H5425097VEF | H5425CSNP | N/A | N/A | false | BELL | N/A | LOWELL | N/A | N/A | N/A | SCAN STRIVE (HMO SNP), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463110 | N/A | N/A | 5540339 | 2222 | 4801 | 16479921 | N/A | 4212512 | 2025-12-21 01:34:27.816437 | 2025-11-04 22:17:35.476315 |
| 2025-12-20 08:07:44.352555 | 2025-12-21 01:38:02.007512 | 16228353 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 16228353 | Athletic Physical Therapy Inc | 1993-05-23 | 2025-12-23 | F | AE | KANNAN | 93042851G09182 | MANJU | 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/2222/5540295/check_16228353_91a80896-2855-4161-84ab-2e216be33eae.json | N/A | N/A | N/A | N/A | N/A | 93042851G09182 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1993-05-23 | N/A | N/A | N/A | N/A | false | KANNAN | N/A | MANJU | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463109 | N/A | N/A | 5540295 | 2222 | 4801 | 16484559 | N/A | 4212481 | 2025-12-21 01:38:02.007512 | 2025-05-13 04:29:37.226817 |
| 2025-12-20 08:07:44.070155 | 2025-12-21 01:35:30.137945 | 16228345 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16228345 | Athletic Physical Therapy Inc | 1955-11-11 | 2025-12-23 | F | PT | CALDERON | JQU450A75837 | DEBBIE | 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/2222/5540282/check_16228345_45f735d6-c155-4e0a-a4da-5fbc01057ee9.json | N/A | N/A | N/A | N/A | N/A | JQU450A75837 | Preferred Provider Organization (PPO) | ELKINS KALT WEINTRAUB REU | ANTHEM BLUE CROSS | N/A | 1955-11-11 | 040 | 494793 | N/A | PR | false | CALDERON | N/A | DEBBIE | N/A | 9999-12-31 | 2025-12-01 | ANTHEM GOLD PPO 30/500/20% | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9564463108 | N/A | N/A | 5540282 | 2222 | 4802 | 16481209 | N/A | 4212465 | 2025-12-21 01:35:30.137945 | 2025-05-13 04:29:37.226801 |
| 2025-12-20 08:07:43.798453 | 2025-12-21 01:35:29.135796 | 16228336 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16228336 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-12-23 | F | PT | BOYLAN | MBL857M98403 | JOAN | 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/2222/5540074/check_16228336_1ebc3f4c-5a04-4377-9daa-8a6314e1af08.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9564463107 | N/A | N/A | 5540074 | 2222 | 4802 | 16481189 | N/A | 4212282 | 2025-12-21 01:35:29.135796 | 2025-05-13 04:29:37.226623 |
| 2025-12-20 08:07:43.600263 | 2025-12-21 01:35:53.518583 | 16228328 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16228328 | Athletic Physical Therapy Inc | 1983-08-31 | 2025-12-23 | M | PT | FLEMING | SZF839281184 | CHASE | 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/2222/5539901/check_16228328_fff16e78-29e8-4511-85df-296b6c860afa.json | N/A | N/A | N/A | N/A | N/A | SZF839281184 | Preferred Provider Organization (PPO) | ACTIVE | BLUE SHIELD OF CALIFORNIA | N/A | 1983-08-31 | N/A | 018137 | N/A | PR | false | FLEMING | N/A | CHASE | N/A | 9999-12-31 | 2021-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9564463106 | N/A | N/A | 5539901 | 2222 | 4793 | 16481745 | N/A | 4212134 | 2025-12-21 01:35:53.518583 | 2025-08-05 02:56:55.384378 |
| 2025-12-20 08:07:43.315844 | 2025-12-21 01:35:38.657773 | 16228317 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16228317 | Athletic Physical Therapy Inc | 1961-10-29 | 2025-12-23 | F | PT | STEWARD | NCF874A20085 | ANDREA | 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/2222/5539556/check_16228317_e086ccd2-86b0-4eff-b638-5a208c6b9ddb.json | N/A | N/A | N/A | N/A | N/A | NCF874A20085 | Health Maintenance Organization (HMO) | LACERS- LOS ANGELES CITY RETIREMENT SYSTEMS | ANTHEM BLUE CROSS | N/A | 1961-10-29 | 040 | 57ABBA | N/A | HM | false | STEWARD | N/A | ANDREA | N/A | 9999-12-31 | 2017-04-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9564463105 | N/A | N/A | 5539556 | 2222 | 4801 | 16481407 | N/A | 4211841 | 2025-12-21 01:35:38.657773 | 2025-10-23 18:30:51.891275 |
| 2025-12-20 08:07:43.156393 | 2025-12-21 01:35:38.909551 | 16228311 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16228311 | Athletic Physical Therapy Inc | 1954-09-23 | 2025-12-23 | M | PT | STRASSNER | 653M8615410 | MARCUS | 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/2222/5538249/check_16228311_5407b76a-a881-494f-a33b-d7fc9a710903.json | N/A | N/A | N/A | N/A | N/A | 653M8615410 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-09-23 | N/A | N/A | N/A | N/A | false | STRASSNER | N/A | MARCUS | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9564463104 | N/A | N/A | 5538249 | 2222 | 4801 | 16481414 | N/A | 4210696 | 2025-12-21 01:35:38.909551 | 2026-01-04 17:14:56.140441 |
| 2025-12-20 08:07:42.928093 | 2025-12-21 01:35:35.381502 | 16228304 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16228304 | Athletic Physical Therapy Inc | 1952-06-27 | 2025-12-23 | F | PT | KEYLON | JOS346M97871 | SYLVIA | 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/2222/5537990/check_16228304_d8ae303f-cce6-468f-9a6e-8551ef86b9ca.json | N/A | N/A | N/A | N/A | N/A | JQS346M97871 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-06-27 | 040 | CAMCRWP0 | N/A | MP | false | KEYLON | N/A | SYLVIA | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9564463103 | N/A | N/A | 5537990 | 2222 | 4801 | 16481332 | N/A | 4210479 | 2025-12-21 01:35:35.381502 | 2025-11-25 04:56:21.589579 |
| 2025-12-20 08:07:42.691418 | 2025-12-21 01:34:28.932965 | 16228297 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 16228297 | Athletic Physical Therapy Inc | 1957-02-16 | 2025-12-23 | F | AE | OSE | 40050866601 | KAREN | 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/2222/5537366/check_16228297_4007f56f-3775-471b-8aa6-521476559ffc.json | N/A | N/A | N/A | N/A | N/A | 40050866601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1957-02-16 | 2025H5425001 | H5425M | N/A | N/A | false | OSE | N/A | KAREN | 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 | 9564463102 | N/A | N/A | 5537366 | 2222 | 4793 | 16479947 | N/A | 4209945 | 2025-12-21 01:34:28.932965 | 2025-08-13 22:24:17.841096 |
| 2025-12-20 08:07:42.496220 | 2025-12-21 01:35:30.994242 | 16228289 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 16228289 | Athletic Physical Therapy Inc | 1957-04-03 | 2025-12-23 | M | PT | CRUZ CHEVEZ | JQW952W07822 | RICARDO | 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/2222/5537237/check_16228289_dbb487e3-d35a-426c-9d6d-3b6cc0951373.json | N/A | N/A | N/A | N/A | N/A | JQW952W07822 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1957-04-03 | 040 | CAMCRWP0 | N/A | MP | false | CRUZ CHEVEZ | N/A | RICARDO | 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 | 9564463101 | N/A | N/A | 5537237 | 2222 | 4793 | 16481232 | 4184 | 4209841 | 2025-12-21 01:35:30.994242 | 2025-10-22 16:05:52.993032 |
| 2025-12-20 08:07:42.257956 | 2025-12-21 01:35:36.568680 | 16228280 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16228280 | Athletic Physical Therapy Inc | 1954-03-31 | 2025-12-23 | M | PT | MILES | MBL835W05431 | KEITH | 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/2222/5536896/check_16228280_1911adee-0cef-4bf9-b9ad-63c55b81677f.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9564463100 | N/A | N/A | 5536896 | 2222 | 4793 | 16481358 | N/A | 4209567 | 2025-12-21 01:35:36.568680 | 2025-05-13 04:29:37.223990 |
| 2025-12-20 08:07:41.712345 | 2025-12-21 01:40:58.703673 | 16228263 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16228263 | Athletic Physical Therapy Inc | 1946-12-07 | 2025-12-23 | F | AE | MOONVES | 9VC3KJ4XU95 | 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/2222/5536069/check_16228263_d62dfd61-5074-4a12-9c15-9771aa2f9f56.json | N/A | N/A | N/A | N/A | N/A | 9VC3KJ4XU95 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-12-07 | S5596 | N/A | N/A | MB | false | MOONVES | N/A | NANCY | N/A | N/A | N/A | N/A | N/A | 140845 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9564463099 | N/A | N/A | 5536069 | 2222 | 4802 | 16488426 | N/A | 4208883 | 2025-12-21 01:40:58.703673 | 2025-05-13 04:29:37.223310 |
| 2025-12-20 08:07:41.343283 | 2025-12-21 01:35:28.257946 | 16228249 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 16228249 | Athletic Physical Therapy Inc | 1947-04-18 | 2025-12-23 | F | PT | BELL | MNL880M78427 | JACQUELYN | 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/2222/5536041/check_16228249_70ffd7ec-d38b-491a-8c13-a61be5a8f358.json | N/A | N/A | N/A | N/A | N/A | MNL880M78427 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1947-04-18 | 040 | CAMCRWP0 | N/A | MP | false | BELL | N/A | JACQUELYN | N/A | 2025-12-31 | 2024-07-01 | CA H4471-001-000 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9564463098 | N/A | N/A | 5536041 | 2222 | 4802 | 16481169 | 4184 | 4208856 | 2025-12-21 01:35:28.257946 | 2025-05-13 04:29:37.223284 |
| 2025-12-20 08:07:41.105599 | 2025-12-21 01:34:29.843509 | 16228238 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16228238 | Athletic Physical Therapy Inc | 1941-04-16 | 2025-12-23 | F | AD | RYAN | 31026142401 | CAROL | 30 | 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/2222/5535455/check_16228238_00bdd10e-8dbc-4b14-ab91-da4c4d896a1c.json | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1941-04-16 | 2025H5425001 | H5425M | N/A | N/A | false | RYAN | N/A | CAROL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 9564463097 | N/A | N/A | 5535455 | 2222 | 4793 | 16479961 | 6237 | 4208375 | 2025-12-21 01:34:29.843509 | 2025-08-08 21:08:12.459471 |
| 2025-12-20 08:07:40.871702 | 2025-12-21 01:34:29.242893 | 16228228 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16228228 | Athletic Physical Therapy Inc | 1952-12-16 | 2025-12-23 | F | AE | PORTER | 40028215401 | SHERIL | 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/2222/5535434/check_16228228_1ec43ded-497f-4c87-992b-631590888a22.json | N/A | N/A | N/A | N/A | N/A | 40028215401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-12-16 | 2025H5425001 | H5425M | N/A | N/A | false | PORTER | N/A | SHERIL | 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 | 9564463096 | N/A | N/A | 5535434 | 2222 | 4793 | 16479954 | 6237 | 4208356 | 2025-12-21 01:34:29.242893 | 2025-08-25 14:49:27.724897 |