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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-19 08:11:43.565674 | 2025-12-20 01:46:56.592481 | 16191231 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16191231 | Athletic Physical Therapy Inc | 1987-10-07 | 2025-12-22 | M | PT | WARD | XED911682811 | AUSTIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13126723/check_16191231_023426bc-407e-424c-8b51-ec05a4c69105.json | N/A | N/A | N/A | N/A | N/A | XED911682811 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1987-10-07 | 2001ZK002166 | X0001004 | N/A | PR | false | WARD | N/A | AUSTIN | 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 | 9556407955 | N/A | N/A | 13126723 | 2222 | 4793 | 16457078 | N/A | 11277547 | 2025-12-20 01:46:56.592481 | 2026-02-16 19:33:07.484428 |
| 2025-12-19 08:11:43.055273 | 2025-12-20 01:46:43.457779 | 16191216 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16191216 | Athletic Physical Therapy Inc | 1971-11-21 | 2025-12-22 | F | PT | MARTINEZ | XDP851A67877 | LETICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13122920/check_16191216_c7c74ab3-0256-4c43-ade5-efb99f266943.json | N/A | N/A | N/A | N/A | N/A | XDP851A67877 | Preferred Provider Organization (PPO) | SOUTHERN CALIFORNIA ORTHOPEDIC INSTITUTE CA/OOS | ANTHEM BLUE CROSS | N/A | 1971-11-21 | 040 | L00817M001 | N/A | PR | false | MARTINEZ | N/A | LETICIA | N/A | 9999-12-31 | 2023-11-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556407954 | N/A | N/A | 13122920 | 2222 | 4801 | 16456945 | N/A | 11273967 | 2025-12-20 01:46:43.457779 | 2025-12-31 00:35:32.240284 |
| 2025-12-19 08:11:42.514332 | 2025-12-20 01:46:36.270521 | 16191196 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16191196 | Athletic Physical Therapy Inc | 1964-08-06 | 2025-12-22 | M | PT | BRAND | NCF904A54991 | JEFFREY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13120856/check_16191196_98a16fd4-2509-4d4f-8306-72b6a306fb58.json | N/A | N/A | N/A | N/A | N/A | NCF904A54991 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1964-08-06 | 040 | 57AJCA | N/A | HM | false | BRAND | N/A | JEFFREY | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556407953 | N/A | N/A | 13120856 | 2222 | 4801 | 16456877 | N/A | 11271755 | 2025-12-20 01:46:36.270521 | 2025-12-01 22:10:21.945830 |
| 2025-12-19 08:11:41.888912 | 2025-12-20 01:45:22.375208 | 16191176 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16191176 | Athletic Physical Therapy Inc | 1950-09-27 | 2025-12-22 | F | AD | BHOLAT | 40002437001 | ZUBEDA | 30 | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13044933/check_16191176_1294ea88-53d8-45e0-9c92-a8c2d3140668.json | N/A | N/A | N/A | N/A | N/A | 40002437001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1950-09-27 | 2025H5425001 | H5425M | N/A | N/A | false | BHOLAT | N/A | ZUBEDA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 9556407952 | N/A | N/A | 13044933 | 2222 | 4801 | 16456127 | 6237 | 11202258 | 2025-12-20 01:45:22.375208 | 2025-11-19 19:01:33.367078 |
| 2025-12-19 08:11:41.267070 | 2025-12-20 01:49:48.186660 | 16191156 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16191156 | Athletic Physical Therapy Inc | 1968-10-14 | 2025-12-22 | M | AE | KELLER | 5VY2K78NA88 | JERRY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13041085/check_16191156_234bdb87-cbfd-4f02-ba46-3a894a6200ca.json | N/A | N/A | N/A | N/A | N/A | 5VY2K78NA88 | N/A | N/A | CMS | N/A | 1968-10-14 | N/A | N/A | N/A | N/A | false | KELLER | N/A | JERRY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556407951 | N/A | N/A | 13041085 | 2222 | 4801 | 16458955 | N/A | 11198281 | 2025-12-20 01:49:48.186660 | 2026-04-13 23:30:43.333017 |
| 2025-12-19 08:11:41.001300 | 2025-12-20 01:44:14.140527 | 16191143 | N/A | N/A | 61101 | HUMANA | 1114042165 | 16191143 | Athletic Physical Therapy Inc | 1941-08-28 | 2025-12-22 | M | AE | Kisca | H6309049800 | John | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13037589/check_16191143_9b680481-bd01-4ca7-99d3-cba2c037e6c5.json | N/A | N/A | N/A | N/A | N/A | H63090498 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 557 GOLD+/EMP HMO - ALL OTHR WA MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1941-08-28 | N/A | 0B635001 | N/A | HN | false | KISCA | N/A | JOHN | 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 | 9556407950 | N/A | N/A | 13037589 | 2222 | 4793 | 16455388 | 5349 | 11194723 | 2025-12-20 01:44:14.140527 | 2025-12-17 17:59:32.346197 |
| 2025-12-19 08:11:40.700051 | 2025-12-20 01:46:06.173162 | 16191131 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16191131 | Athletic Physical Therapy Inc | 1961-06-10 | 2025-12-22 | F | AE | Boutayeb | 000007973321 | Jessie | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13010938/check_16191131_0de7b211-bad6-4eb8-a430-3a7ac2fb953b.json | N/A | N/A | N/A | N/A | N/A | 000007973321 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1961-06-10 | 4178704 | 102624 | N/A | N/A | false | BOUTAYEB | N/A | JESSIE | N/A | N/A | N/A | UNIVERSITY OF CALIFORNIA UCLA - CAMPUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556407949 | N/A | N/A | 13010938 | 2222 | 4802 | 16456565 | N/A | 11169586 | 2025-12-20 01:46:06.173162 | 2025-12-01 17:33:57.898247 |
| 2025-12-19 08:11:40.470524 | 2025-12-20 01:43:16.631064 | 16191123 | N/A | N/A | 60054 | Aetna | 1114042165 | 16191123 | Athletic Physical Therapy Inc | 1962-08-04 | 2025-12-22 | F | AE | Tabb | W291557361 | Kelly | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12993727/check_16191123_94187623-a764-4a3a-b431-f95c3f4e1fff.json | N/A | N/A | N/A | N/A | N/A | W291557361 | Point of Service (POS) | STARZ ENTERTAINMENT, LLC | AETNA | N/A | 1962-08-04 | 0251528 | 025152802100088 | N/A | PS | false | TABB | N/A | KELLI | N/A | N/A | N/A | OA MANAGED CHOICE POS HDHP | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556407948 | N/A | N/A | 12993727 | 2222 | 4802 | 16454721 | N/A | 11151756 | 2025-12-20 01:43:16.631064 | 2025-12-15 17:17:58.439188 |
| 2025-12-19 08:11:40.212052 | 2025-12-20 01:45:22.089500 | 16191112 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16191112 | Athletic Physical Therapy Inc | 1946-12-08 | 2025-12-22 | M | AD | BHOLAT | 31198052201 | MAHMOOD | 30 | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12990097/check_16191112_ae1bddee-5472-4bcf-b66b-011efe7e46ab.json | N/A | N/A | N/A | N/A | N/A | 31198052201 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1946-12-08 | 2025H5425001 | H5425M | N/A | N/A | false | BHOLAT | N/A | MAHMOOD | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 9556407947 | N/A | N/A | 12990097 | 2222 | 4801 | 16456124 | 6237 | 11148207 | 2025-12-20 01:45:22.089500 | 2025-12-08 05:48:43.064435 |
| 2025-12-19 08:11:39.746877 | 2025-12-20 01:46:57.895540 | 16191095 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16191095 | Athletic Physical Therapy Inc | 1963-07-12 | 2025-12-22 | F | PT | MITCHELL | NCF844W18513 | HOLLY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12989755/check_16191095_2260ce88-5fc1-4e55-8a20-ccdaf85ad67d.json | N/A | N/A | N/A | N/A | N/A | NCF844W18513 | Health Maintenance Organization (HMO) | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1963-07-12 | 040 | 57AJCA | N/A | HM | false | MITCHELL | N/A | HOLLY | N/A | 9999-12-31 | 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 | 9556407946 | N/A | N/A | 12989755 | 2222 | 4801 | 16457091 | N/A | 11147858 | 2025-12-20 01:46:57.895540 | 2025-11-24 17:02:55.426297 |
| 2025-12-19 08:11:39.193751 | 2025-12-20 01:46:19.923919 | 16191071 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16191071 | Athletic Physical Therapy Inc | 1959-09-02 | 2025-12-22 | F | AE | GODOY | 00000362350 | KAREN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12928818/check_16191071_1768ea8f-f285-4ced-9cb7-379771e239d5.json | N/A | N/A | N/A | N/A | N/A | 00000362350 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1959-09-02 | H3815028 | N/A | N/A | HM | false | GODOY | N/A | KAREN | 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 | 9556407945 | N/A | N/A | 12928818 | 2222 | 4801 | 16456711 | 2630 | 11089825 | 2025-12-20 01:46:19.923919 | 2025-12-02 22:46:13.601961 |
| 2025-12-19 08:11:38.822155 | 2025-12-20 01:46:06.772170 | 16191053 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16191053 | Athletic Physical Therapy Inc | 1943-09-02 | 2025-12-22 | F | AE | Frank | 000017215132 | Carolyn | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12895085/check_16191053_33b48e88-69e0-42f7-829b-5644dd4e3fa8.json | N/A | N/A | N/A | N/A | N/A | 000017215132 | N/A | N/A | KP MEDICARE | HMO - HMO COMMERCIAL | 1943-09-02 | 3050925 | 105701 | N/A | N/A | false | FRANK | N/A | CAROLYN | N/A | N/A | N/A | STATE OF CALIFORNIA STATE ACTIVES | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556407944 | N/A | N/A | 12895085 | 2222 | 4802 | 16456571 | N/A | 11057875 | 2025-12-20 01:46:06.772170 | 2025-11-17 17:09:13.974870 |
| 2025-12-19 08:11:38.243969 | 2025-12-20 01:45:54.325853 | 16191030 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 16191030 | Athletic Physical Therapy Inc | 1974-04-25 | 2025-12-22 | F | AE | DSOUZA | 032683502 | LOLITA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12890318/check_16191030_6109633f-610f-4fcf-a845-283b5c9aa041.json | N/A | N/A | N/A | N/A | N/A | 032683502 | Commercial | N/A | PACIFICARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1974-04-25 | N/A | 101219 | N/A | C1 | false | DSOUZA | N/A | LOLITA | N/A | N/A | N/A | SIGNATUREVALUE HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556407943 | N/A | N/A | 12890318 | 2222 | 4793 | 16456448 | 6411 | 10843447 | 2025-12-20 01:45:54.325853 | 2025-11-25 16:08:55.540790 |
| 2025-12-19 08:11:37.878608 | 2025-12-20 01:49:45.786739 | 16191015 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16191015 | Athletic Physical Therapy Inc | 1949-05-18 | 2025-12-22 | F | AE | Burk | 5Y14AG3HK78 | Celine | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12839893/check_16191015_caa155cb-e9bf-41eb-a636-134eac742644.json | N/A | N/A | N/A | N/A | N/A | 5Y14AG3HK78 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-05-18 | S5921 | N/A | N/A | MA | false | BURK | N/A | CELINE | N/A | N/A | N/A | N/A | N/A | 471881 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556407942 | N/A | N/A | 12839893 | 2222 | 4802 | 16458921 | N/A | 11004269 | 2025-12-20 01:49:45.786739 | 2025-11-14 23:42:44.614455 |
| 2025-12-19 08:11:37.415486 | 2025-12-20 01:43:07.464084 | 16190995 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 16190995 | override_provider | 1951-12-15 | 2025-12-22 | F | PT | STYLES | XVL990311433 | SUSAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12835425/check_16190995_8f40dfde-77b4-445e-8035-bd3e442b54e5.json | N/A | N/A | N/A | N/A | N/A | XVL990311433 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1951-12-15 | N/A | N/A | N/A | N/A | false | STYLES | N/A | SUSAN | 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 | 9556407941 | N/A | N/A | 12835425 | 2222 | 4801 | 16454602 | N/A | 10999467 | 2025-12-20 01:43:07.464084 | 2025-11-14 21:36:13.911423 |
| 2025-12-19 08:11:37.118164 | 2025-12-20 01:49:52.258997 | 16190983 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16190983 | Athletic Physical Therapy Inc | 1958-11-06 | 2025-12-22 | F | AE | TARZI | 7DN9AU1HM20 | MAIMO | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12790971/check_16190983_e5ebf7f2-b029-4a3b-b8c2-aa03d18e26e2.json | N/A | N/A | N/A | N/A | N/A | 7DN9AU1HM20 | Medicare Part B | N/A | ICW GROUP - SAN DIEGO | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-11-06 | S4802 | DOL 01192023 | N/A | MB | false | TARZI | N/A | MAIMO | N/A | N/A | N/A | N/A | N/A | 47772 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556407940 | N/A | N/A | 12790971 | 2222 | 4801 | 16459009 | N/A | 10956893 | 2025-12-20 01:49:52.258997 | 2025-11-17 21:42:16.129156 |
| 2025-12-19 08:11:36.818686 | 2025-12-20 01:46:07.781565 | 16190970 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16190970 | Athletic Physical Therapy Inc | 1988-06-08 | 2025-12-22 | F | AE | Parker | 000021005631 | Tiffeny | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12714759/check_16190970_e398c0a9-6b77-45df-8ac2-a291b48d5bbd.json | N/A | N/A | N/A | N/A | N/A | 000021005631 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1988-06-08 | 4332645 | 1650095001 | N/A | N/A | false | PARKER | N/A | TIFFENY | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE PLATINUM 90 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556407939 | N/A | N/A | 12714759 | 2222 | 4802 | 16456582 | N/A | 10878419 | 2025-12-20 01:46:07.781565 | 2025-11-21 21:47:52.393943 |
| 2025-12-19 08:11:36.513217 | 2025-12-20 01:46:39.333313 | 16190957 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16190957 | Athletic Physical Therapy Inc | 1957-04-20 | 2025-12-22 | F | PT | FOX | 941W2386920 | GENOVEVA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12570095/check_16190957_4bb2b1b8-ac60-4111-a491-22b1d3cec0fd.json | N/A | N/A | N/A | N/A | N/A | 941W2386920 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1957-04-20 | N/A | N/A | N/A | N/A | false | FOX | N/A | GENOVEVA | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556407938 | N/A | N/A | 12570095 | 2222 | 4793 | 16456906 | N/A | 10741847 | 2025-12-20 01:46:39.333313 | 2025-11-17 21:17:39.202453 |
| 2025-12-19 08:11:36.248006 | 2025-12-20 01:43:07.099960 | 16190944 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 16190944 | override_provider | 1965-05-26 | 2025-12-22 | M | PT | PARRA | R58564504 | GREGORY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12566263/check_16190944_490d3b0c-77d9-4981-99bc-9cdf4f9bbb9c.json | N/A | N/A | N/A | N/A | N/A | R58564504 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1965-05-26 | N/A | 112 | N/A | PR | false | PARRA | N/A | GREGORY | N/A | 9999-12-31 | 2007-01-07 | BASIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556407160 | N/A | N/A | 12566263 | 2222 | 4801 | 16454598 | N/A | 10738342 | 2025-12-20 01:43:07.099960 | 2025-11-17 17:10:15.206525 |
| 2025-12-19 08:11:36.033344 | 2025-12-20 01:46:38.060706 | 16190933 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16190933 | Athletic Physical Therapy Inc | 1994-07-04 | 2025-12-22 | M | PT | Daich | JQY912W17468 | Austin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12517512/check_16190933_22fadea9-6c10-4fd4-aee0-a17668c26028.json | N/A | N/A | N/A | N/A | N/A | JQY912W17468 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1994-07-04 | 040 | 476522 | N/A | PR | false | DAICH | N/A | AUSTIN | N/A | 2026-01-01 | 2025-09-01 | ANTHEM SILVER SELECT PPO HSA/H 2000/3300/4000 35% | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556407159 | N/A | N/A | 12517512 | 2222 | 4802 | 16456894 | N/A | 9234161 | 2025-12-20 01:46:38.060706 | 2025-10-15 16:55:10.102836 |
| 2025-12-19 08:11:35.561827 | 2025-12-20 01:46:54.381601 | 16190910 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16190910 | Athletic Physical Therapy Inc | 2006-05-05 | 2025-12-22 | F | PT | LOWRY | XEK911000149 | KERIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12496183/check_16190910_f263a89d-b178-4dcd-9e77-300fa81295cb.json | N/A | N/A | N/A | N/A | N/A | XEK911000149 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2006-05-05 | 2001ZJ002648 | X0001000 | N/A | PR | false | LOWRY | N/A | KEIRA | N/A | 9999-12-31 | 2025-06-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556407158 | N/A | N/A | 12496183 | 2222 | 4793 | 16457057 | N/A | 10672548 | 2025-12-20 01:46:54.381601 | 2025-11-10 18:16:44.084643 |
| 2025-12-19 08:11:35.200513 | 2025-12-20 01:46:07.114415 | 16190894 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16190894 | Athletic Physical Therapy Inc | 1981-02-27 | 2025-12-22 | F | AE | Lee | 000017103326 | Jean | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12437386/check_16190894_648fa155-ac58-4b7d-9734-268e9cc547ee.json | N/A | N/A | N/A | N/A | N/A | 000017103326 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1981-02-27 | 4320748 | 228273 | N/A | N/A | false | LEE | N/A | JEAN | N/A | N/A | N/A | GILEAD SCIENCES, INC. GILEAD SCIENCES, INC. HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556407157 | N/A | N/A | 12437386 | 2222 | 4802 | 16456575 | N/A | 10617653 | 2025-12-20 01:46:07.114415 | 2025-11-07 22:17:52.515771 |
| 2025-12-19 08:11:34.685249 | 2025-12-20 01:46:17.259332 | 16190872 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16190872 | Athletic Physical Therapy Inc | 1972-03-06 | 2025-12-22 | F | AE | JACKSIER | R06211516FM1 | JENNIFER | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12436059/check_16190872_fa2b024d-bcba-4220-8fe9-d414052287f8.json | N/A | N/A | N/A | N/A | N/A | R06211516FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1972-03-06 | N/A | N/A | N/A | N/A | false | JACKSIER | N/A | JENNIFER | N/A | N/A | N/A | MFM COMHMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556407156 | N/A | N/A | 12436059 | 2222 | 4793 | 16456686 | 4625 | 10616484 | 2025-12-20 01:46:17.259332 | 2025-11-24 21:45:10.432927 |
| 2025-12-19 08:11:34.439706 | 2025-12-20 01:46:53.407937 | 16190864 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16190864 | Athletic Physical Therapy Inc | 1988-05-01 | 2025-12-22 | F | PT | GRAZER | XEK911792761 | SAGE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12352160/check_16190864_b147ff77-cf78-40b9-97e2-1be9f7dd71f6.json | N/A | N/A | N/A | N/A | N/A | XEK911792761 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1988-05-01 | 2001ZH002662 | X0001000 | N/A | PR | false | GRAZER | N/A | SAGE | N/A | 2025-12-31 | 2025-01-01 | SILVER 70 OFF EXCHANGE PPO JAN25 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556407154 | N/A | N/A | 12352160 | 2222 | 4802 | 16457048 | N/A | 10532608 | 2025-12-20 01:46:53.407937 | 2025-11-06 20:03:58.652707 |
| 2025-12-19 08:11:34.157356 | 2025-12-20 01:49:52.770821 | 16190854 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16190854 | Athletic Physical Therapy Inc | 1953-06-17 | 2025-12-22 | M | AE | THOMPSON | 5NK7CD2VM65 | JAMES | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12249537/check_16190854_815e7f3c-b228-4082-af78-0305a69e0b6a.json | N/A | N/A | N/A | N/A | N/A | 5NK7CD2VM65 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-06-17 | S5601 | N/A | N/A | MA | false | THOMPSON | N/A | JAMES | N/A | N/A | N/A | N/A | N/A | 177396 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556407153 | N/A | N/A | 12249537 | 2222 | 4793 | 16459017 | N/A | 5197700 | 2025-12-20 01:49:52.770821 | 2025-06-30 15:33:47.069983 |
| 2025-12-19 08:11:33.827680 | 2025-12-20 01:42:34.122772 | 16190842 | N/A | N/A | 14163 | Lakeside Medical Group | 1114042165 | 16190842 | Athletic Physical Therapy Inc | 1955-11-11 | 2025-12-22 | F | AE | ALMOND SPENCER | 33766249 | PATRICIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12162966/check_16190842_069de9ff-0233-4606-8570-45f2f4a8e7ac.json | N/A | N/A | N/A | N/A | N/A | 33766249 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-11-11 | 406-032-000 | N/A | N/A | N/A | false | ALMOND SPENCER | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556407152 | N/A | N/A | 12162966 | 2222 | 4802 | 16454195 | N/A | 10376019 | 2025-12-20 01:42:34.122772 | 2025-12-29 16:36:47.628314 |
| 2025-12-19 08:11:33.605428 | 2025-12-20 01:44:14.735556 | 16190833 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 16190833 | Athletic Physical Therapy Inc | 1954-02-10 | 2025-12-22 | F | AE | SHARMA | H74807838 | MONIKA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12113464/check_16190833_37652ce4-6c63-4ff1-b76a-c8d43c46e6df.json | N/A | N/A | N/A | N/A | N/A | H74807838 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1954-02-10 | N/A | 0B666001 | N/A | HN | false | SHARMA | N/A | MONIKA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556407151 | N/A | N/A | 12113464 | 2222 | 4801 | 16455396 | N/A | 10330803 | 2025-12-20 01:44:14.735556 | 2025-11-03 22:25:23.404066 |
| 2025-12-19 08:11:33.282021 | 2025-12-20 01:46:53.694717 | 16190820 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16190820 | Athletic Physical Therapy Inc | 2008-04-21 | 2025-12-22 | M | PT | LANDIS | XED906560014 | BRONN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12097539/check_16190820_514d674a-79b8-420e-8dac-c1910b551aa5.json | N/A | N/A | N/A | N/A | N/A | XED906560014 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-04-21 | 2001ZK002187 | X0001004 | N/A | PR | false | LANDIS | N/A | KIPP | N/A | 2025-12-31 | 2025-01-01 | BRONZE 60 PPO JAN25 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556407150 | N/A | N/A | 12097539 | 2222 | 4793 | 16457051 | N/A | 10315576 | 2025-12-20 01:46:53.694717 | 2025-11-14 23:13:16.002759 |
| 2025-12-19 08:11:32.946203 | 2025-12-20 01:49:50.595662 | 16190804 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16190804 | Athletic Physical Therapy Inc | 1960-03-18 | 2025-12-22 | F | AE | MEYER | 6AA8T47WQ51 | LESLIE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11928201/check_16190804_1030d401-6813-4779-ae77-792c2573d47c.json | N/A | N/A | N/A | N/A | N/A | 6AA8T47WQ51 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-03-18 | S5921 | N/A | N/A | MB | false | MEYER | N/A | LESLIE | N/A | N/A | N/A | N/A | N/A | 110619 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556407149 | N/A | N/A | 11928201 | 2222 | 4793 | 16458987 | N/A | 4215335 | 2025-12-20 01:49:50.595662 | 2025-10-30 21:15:07.766449 |
| 2025-12-19 08:11:32.596192 | 2025-12-20 01:49:48.975680 | 16190791 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16190791 | Athletic Physical Therapy Inc | 1959-12-29 | 2025-12-22 | F | AE | LYGA | 3W97CK7AN48 | LISA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11604276/check_16190791_43ba6d13-0973-424d-8303-f6f8ecaa79fc.json | N/A | N/A | N/A | N/A | N/A | 3W97CK7AN48 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-12-29 | S5596 | N/A | N/A | MB | false | LYGA | N/A | LISA | N/A | N/A | N/A | N/A | N/A | 49613 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556407148 | N/A | N/A | 11604276 | 2222 | 4801 | 16458966 | N/A | 4218962 | 2025-12-20 01:49:48.975680 | 2025-05-13 04:29:37.229978 |
| 2025-12-19 08:11:32.248497 | 2025-12-20 01:43:17.172046 | 16190780 | N/A | N/A | 60054 | Aetna | 1114042165 | 16190780 | Athletic Physical Therapy Inc | 1998-11-14 | 2025-12-22 | M | AE | Shirian | W742094344 | Jonathan | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11519732/check_16190780_dbba2ded-af28-4bff-8950-1ec59be16059.json | N/A | N/A | N/A | N/A | N/A | W274093844 | Point of Service (POS) | CASE WESTERN RESERVE UNIVERSITY | AETNA | N/A | 1998-11-14 | 0686194 | 068619403600108 | N/A | PS | false | SHIRIAN | N/A | JONATHAN | N/A | N/A | N/A | OPEN CHOICE-EARLY ARRIVAL | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556407147 | N/A | N/A | 11519732 | 2222 | 4802 | 16454727 | N/A | 9760542 | 2025-12-20 01:43:17.172046 | 2025-10-27 21:44:20.466934 |
| 2025-12-19 08:11:31.869116 | 2025-12-20 01:46:05.575690 | 16190764 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16190764 | Athletic Physical Therapy Inc | 1972-07-02 | 2025-12-22 | F | AE | Batra | 000022291228 | Anuradha | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11466567/check_16190764_09869b0a-e0c0-4d2c-98cf-f4940d27560a.json | N/A | N/A | N/A | N/A | N/A | 000022291228 | N/A | N/A | SELF-FUNDED/KPIC | ASO - SELF FUNDED | 1972-07-02 | 4161897 | 230283 | N/A | N/A | false | BATRA | N/A | ANURADHA | N/A | N/A | N/A | KAISER PERMANENTE SELF-FUNDED NBU NBU PO HIGH ACTI | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556407146 | N/A | N/A | 11466567 | 2222 | 4802 | 16456559 | N/A | 9715446 | 2025-12-20 01:46:05.575690 | 2025-10-24 23:56:29.543956 |
| 2025-12-19 08:11:31.483460 | 2025-12-20 01:46:35.077409 | 16190751 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16190751 | Athletic Physical Therapy Inc | 2016-05-10 | 2025-12-22 | M | PT | ARRIOLA | XDM000517776 | ELLIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11464639/check_16190751_6a627af4-33a1-40b2-8a7c-e2711cfd9bd5.json | N/A | N/A | N/A | N/A | N/A | XDM000517776 | Health Maintenance Organization (HMO) | ASSOCIATION FOR LOS ANGELES DEPUTY SHERIFFS INC | ANTHEM BLUE CROSS | N/A | 2016-05-10 | 040 | 57726A | N/A | HM | false | ARRIOLA | N/A | VICTOR | N/A | 9999-12-31 | 2016-05-10 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556407145 | N/A | N/A | 11464639 | 2222 | 4801 | 16456866 | N/A | 9714270 | 2025-12-20 01:46:35.077409 | 2025-11-06 01:09:13.623652 |
| 2025-12-19 08:11:30.610524 | 2025-12-20 01:43:15.768501 | 16190720 | N/A | N/A | 60054 | Aetna | 1114042165 | 16190720 | Athletic Physical Therapy Inc | 2011-12-20 | 2025-12-22 | M | AE | NAQVI | W295996740 | KAZIM | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11417253/check_16190720_c3126ff4-4b7e-43e2-9cc6-c7439beee705.json | N/A | N/A | N/A | N/A | N/A | W295996740 | Point of Service (POS) | SHI INTERNATIONAL CORP. | AETNA | N/A | 2011-12-20 | 0308616 | 030861601600001 | N/A | PS | false | NAQVI | N/A | SYED | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556407144 | N/A | N/A | 11417253 | 2222 | 4793 | 16454711 | N/A | 9671738 | 2025-12-20 01:43:15.768501 | 2025-10-29 22:32:21.591395 |
| 2025-12-19 08:11:30.197375 | 2025-12-20 01:46:38.384561 | 16190705 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16190705 | Athletic Physical Therapy Inc | 2002-03-15 | 2025-12-22 | F | PT | DUMAIS | JQV380A68679 | JULIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11399834/check_16190705_216e2fbe-2f33-4eb9-b22a-d666e777bcfd.json | N/A | N/A | N/A | N/A | N/A | JQV380A68679 | Health Maintenance Organization (HMO) | BRIGHTSTAR PARTNERS INSURANCE SERVICES | ANTHEM BLUE CROSS | N/A | 2002-03-15 | 040 | Q84248 | N/A | HM | false | DUMAIS | N/A | JULIA | N/A | 9999-12-31 | 2025-07-01 | CA SG SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556407143 | N/A | N/A | 11399834 | 2222 | 4801 | 16456898 | N/A | 9659468 | 2025-12-20 01:46:38.384561 | 2025-10-23 16:38:33.858959 |
| 2025-12-19 08:11:29.794696 | 2025-12-20 01:46:21.340761 | 16190689 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16190689 | Athletic Physical Therapy Inc | 1957-11-06 | 2025-12-22 | M | AE | PAZ | 00000376554 | MARIO | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11359237/check_16190689_b6bf48b6-55de-4eae-8631-e4c3b61aee85.json | N/A | N/A | N/A | N/A | N/A | 00000376554 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-11-06 | H3815028 | N/A | N/A | HM | false | PAZ | N/A | MARIO | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556407142 | N/A | N/A | 11359237 | 2222 | 4801 | 16456730 | 2630 | 9630212 | 2025-12-20 01:46:21.340761 | 2025-10-22 17:21:29.196650 |
| 2025-12-19 08:11:29.357786 | 2025-12-20 01:49:52.505704 | 16190668 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16190668 | Athletic Physical Therapy Inc | 1952-02-16 | 2025-12-22 | F | AE | TEGNAZIAN | 6G53Y86XT88 | TERRY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11358335/check_16190668_c4255aa4-9160-435c-9b8d-0f6ffb615952.json | N/A | N/A | N/A | N/A | N/A | 6G53Y86XT88 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-02-16 | S5617 | N/A | N/A | MA | false | TEGNAZIAN | N/A | TERRY | N/A | N/A | N/A | N/A | N/A | 102208 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556407141 | N/A | N/A | 11358335 | 2222 | 4802 | 16459013 | N/A | 9629500 | 2025-12-20 01:49:52.505704 | 2025-10-22 16:05:53.920196 |
| 2025-12-19 08:11:28.974488 | 2025-12-20 01:49:45.520000 | 16190655 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16190655 | Athletic Physical Therapy Inc | 1941-08-23 | 2025-12-22 | M | AE | Bogen | 9P98YU0FH34 | Andrew | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11174640/check_16190655_bcc956be-b1bc-4186-a152-bfd4ff6f9aa8.json | N/A | N/A | N/A | N/A | N/A | 9P98YU0FH34 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-08-23 | N/A | N/A | N/A | MB | false | BOGEN | N/A | ANDREW | N/A | N/A | N/A | N/A | N/A | 142648 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556407140 | N/A | N/A | 11174640 | 2222 | 4802 | 16458918 | N/A | 9519718 | 2025-12-20 01:49:45.520000 | 2026-02-02 19:30:57.219688 |
| 2025-12-19 08:11:28.608823 | 2025-12-20 01:49:46.065301 | 16190635 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16190635 | Athletic Physical Therapy Inc | 1942-02-01 | 2025-12-22 | F | AE | CHANG | 3FV9E71EE00 | QUANG | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11159406/check_16190635_a2d5d035-c6b3-4dac-933f-0e20ff83cf72.json | N/A | N/A | N/A | N/A | N/A | 3FV9E71EE00 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-02-01 | S4802 | N/A | N/A | MA | false | CHANG | N/A | QUANG CHAN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | 161977 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556407139 | N/A | N/A | 11159406 | 2222 | 4793 | 16458924 | N/A | 9505845 | 2025-12-20 01:49:46.065301 | 2026-04-29 00:06:17.964395 |
| 2025-12-19 08:11:28.333768 | 2025-12-20 01:46:52.745339 | 16190622 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16190622 | Athletic Physical Therapy Inc | 2011-08-24 | 2025-12-22 | M | PT | ASHER | XEA905199322 | ZACHARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11156602/check_16190622_9e2cc212-0db0-4ba0-ae8c-5411e33c502e.json | N/A | N/A | N/A | N/A | N/A | XEA905199322 | Preferred Provider Organization (PPO) | DIGITAL LION MARKETING | BLUE SHIELD CALIFORNIA | N/A | 2011-08-24 | 1000VX000102 | W0005232 | N/A | PR | false | ASHER | N/A | RACHEL | N/A | 2030-08-31 | 2016-05-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556407138 | N/A | N/A | 11156602 | 2222 | 4793 | 16457040 | N/A | 9503413 | 2025-12-20 01:46:52.745339 | 2025-10-22 21:03:24.468784 |
| 2025-12-19 08:11:28.002231 | 2025-12-20 01:49:48.714592 | 16190605 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16190605 | Athletic Physical Therapy Inc | 1942-12-02 | 2025-12-22 | M | AE | Lawrence | 5N91QT7KX96 | Harvey | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11156181/check_16190605_bc36697f-9f3d-41ab-998c-89a01f205544.json | N/A | N/A | N/A | N/A | N/A | 5N91QT7KX96 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-12-02 | S5884 | N/A | N/A | MA | false | LAWRENCE | N/A | HARVEY | N/A | N/A | N/A | N/A | N/A | 135755 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556407137 | N/A | N/A | 11156181 | 2222 | 4802 | 16458963 | N/A | 9502693 | 2025-12-20 01:49:48.714592 | 2025-12-16 19:10:22.413376 |
| 2025-12-19 08:11:27.683141 | 2025-12-20 01:46:56.961289 | 16190587 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16190587 | Athletic Physical Therapy Inc | 1977-11-12 | 2025-12-22 | M | PT | BARREDA | KXJ508W22665 | JOAQUIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11085600/check_16190587_dfc2a5b8-f252-4b9a-a5f3-faa4bfcfed61.json | N/A | N/A | N/A | N/A | N/A | KXJ508W22665 | Health Maintenance Organization (HMO) | FEHBP FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM | BLUE SHIELD OF CALIFORNIA | N/A | 1977-11-12 | 040 | 277579H010 | N/A | HM | false | BARREDA | N/A | JOAQUIN | N/A | 2026-01-01 | 2025-01-12 | VALUE SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556407136 | N/A | N/A | 11085600 | 2222 | 4801 | 16457081 | N/A | 9438953 | 2025-12-20 01:46:56.961289 | 2025-10-27 18:23:12.066967 |
| 2025-12-19 08:11:27.388753 | 2025-12-20 01:46:20.216031 | 16190577 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16190577 | Athletic Physical Therapy Inc | 1955-09-16 | 2025-12-22 | M | AE | HANGVAL | 00000401784 | BAHMANYAR | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11061532/check_16190577_883cc133-8137-4242-845a-88f16ae0e9e4.json | N/A | N/A | N/A | N/A | N/A | 00000401784 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1955-09-16 | H3815048 | N/A | N/A | HM | false | HANGVAL | N/A | BAHMANYAR | N/A | 2025-12-31 | 2025-02-01 | ALIGNMENT HEALTH HEART & DIABETES CARE (HMO C-SNP) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556407135 | N/A | N/A | 11061532 | 2222 | 4793 | 16456715 | 2630 | 9420286 | 2025-12-20 01:46:20.216031 | 2025-10-27 20:50:02.906306 |
| 2025-12-19 08:11:26.867774 | 2025-12-20 01:49:51.120039 | 16190551 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16190551 | Athletic Physical Therapy Inc | 1953-06-18 | 2025-12-22 | F | AE | REISMAN | 6C16CN3FM49 | GAIL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10984906/check_16190551_d9cf12a1-5362-4e8b-b647-4f9287e69515.json | N/A | N/A | N/A | N/A | N/A | 6C16CN3FM49 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-06-18 | N/A | N/A | N/A | MA | false | REISMAN | N/A | GAIL | N/A | N/A | N/A | N/A | N/A | 172146 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556407134 | N/A | N/A | 10984906 | 2222 | 4802 | 16458994 | N/A | 9156222 | 2025-12-20 01:49:51.120039 | 2026-01-08 22:56:20.879547 |
| 2025-12-19 08:11:26.415090 | 2025-12-20 01:46:52.309737 | 16190532 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16190532 | Athletic Physical Therapy Inc | 1979-08-24 | 2025-12-22 | M | PT | ANDRIEU DELILLE | PNE914532321 | AYMERIC | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10979165/check_16190532_8c1a1a68-79d8-46f8-ab6f-c8122ea2d235.json | N/A | N/A | N/A | N/A | N/A | PNE914532321 | Preferred Provider Organization (PPO) | PRIVATE NATIONAL MORTGAGE ACCEPTANCE COMPANY LLC | BLUE SHIELD CALIFORNIA | N/A | 1979-08-24 | 1000PPOX0001 | W3000535 | N/A | PR | false | ANDRIEU DELILLE | N/A | AYMERIC | N/A | N/A | N/A | PENNYMAC ASO PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556407133 | N/A | N/A | 10979165 | 2222 | 4793 | 16457036 | N/A | 4210368 | 2025-12-20 01:46:52.309737 | 2025-05-13 04:29:37.224773 |
| 2025-12-19 08:11:25.823523 | 2025-12-20 01:46:35.619265 | 16190505 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16190505 | Athletic Physical Therapy Inc | 1963-09-07 | 2025-12-22 | M | PT | BAHR | FZX638A69335 | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10371931/check_16190505_e0865631-6224-4d02-ab8c-5a7455d358ae.json | N/A | N/A | N/A | N/A | N/A | FZX638A69335 | Preferred Provider Organization (PPO) | CDHP HSA NON-INTEGRATED BNK | ANTHEM BLUE CROSS | N/A | 1963-09-07 | 423 | 201028M2CA | N/A | PR | false | BAHR | N/A | KEVIN | N/A | 9999-12-31 | 2022-01-01 | CDHP VIRGINIA HEALTH SAVINGS ACCOUNT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556407132 | N/A | N/A | 10371931 | 2222 | 4793 | 16456872 | N/A | 8634062 | 2025-12-20 01:46:35.619265 | 2025-10-16 21:25:25.746427 |
| 2025-12-19 08:11:25.475114 | 2025-12-20 01:46:40.346524 | 16190491 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16190491 | Athletic Physical Therapy Inc | 2003-04-25 | 2025-12-22 | M | PT | GREEN | JQV184A72608 | ALLEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10091887/check_16190491_78908cc1-c141-406b-bfe5-14c8c366ee38.json | N/A | N/A | N/A | N/A | N/A | JQV184A72608 | Health Maintenance Organization (HMO) | GUMM AND GREEN LLP | ANTHEM BLUE CROSS | N/A | 2003-04-25 | 040 | 428474 | N/A | HM | false | GREEN | N/A | LINDSEY | N/A | 9999-12-31 | 2025-12-01 | ANTHEM GOLD SELECT HMO 35 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556407131 | N/A | N/A | 10091887 | 2222 | 4793 | 16456915 | 4185 | 8429919 | 2025-12-20 01:46:40.346524 | 2025-10-07 22:01:52.720968 |
| 2025-12-19 08:11:25.084560 | 2025-12-20 01:45:21.697037 | 16190475 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16190475 | Athletic Physical Therapy Inc | 1951-11-14 | 2025-12-22 | M | AE | BELTRAN | 40037866601 | GUSTAVO | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9903583/check_16190475_ee5503a8-b595-4f44-b8f8-7f098ef71758.json | N/A | N/A | N/A | N/A | N/A | 40037866601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-11-14 | 2025H5425001 | H5425M | N/A | N/A | false | BELTRAN | N/A | GUSTAVO | 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 | 9556407130 | N/A | N/A | 9903583 | 2222 | 4801 | 16456119 | 6237 | 8291830 | 2025-12-20 01:45:21.697037 | 2025-10-13 13:22:03.458547 |
| 2025-12-19 08:11:24.766371 | 2025-12-20 01:44:14.447011 | 16190458 | N/A | N/A | 61101 | HUMANA | 1114042165 | 16190458 | Athletic Physical Therapy Inc | 1956-12-09 | 2025-12-22 | F | AE | MAHBOOB | H6086019300 | MEENA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9857387/check_16190458_afe530f8-905c-4e51-a892-911e98888e69.json | N/A | N/A | N/A | N/A | N/A | H60860193 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1956-12-09 | N/A | 0B666001 | N/A | HN | false | MAHBOOB | N/A | MEENA | 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 | 9556407129 | N/A | N/A | 9857387 | 2222 | 4801 | 16455392 | 5349 | 8253020 | 2025-12-20 01:44:14.447011 | 2025-11-24 19:48:59.871982 |
| 2025-12-19 08:11:24.538148 | 2025-12-20 01:49:50.035281 | 16190443 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16190443 | Athletic Physical Therapy Inc | 1960-01-10 | 2025-12-22 | F | AE | MAWAS | 1HM1QX0QJ05 | ASMAHAN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.100718534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9765210/check_16190443_d154c599-2622-4c8a-b1c7-f401c3cd03ef.json | N/A | N/A | N/A | N/A | N/A | 1HM1QX0QJ05 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-01-10 | S5617 | N/A | N/A | MB | false | MAWAS | N/A | ASMAHAN | N/A | N/A | N/A | N/A | N/A | 81323 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556407128 | N/A | N/A | 9765210 | 2222 | 4801 | 16458979 | N/A | 8176388 | 2025-12-20 01:49:50.035281 | 2025-10-07 15:06:58.335351 |