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 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | 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 08:11:16.587951 | 2025-12-20 03:36:09.456612 | 16190053 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16190053 | Athletic Physical Therapy Inc | 1953-06-17 | 2025-12-22 | M | AE | PT | THOMPSON | XEM906571592 | JAMES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.121425003.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577665/check_16190053_b671e1be-7304-4cff-b2e9-0b84b62f1e4b.json | N/A | N/A | N/A | N/A | N/A | XEM906571592 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1953-06-17 | 2004SF000028 | X0001002 | N/A | OT | false | THOMPSON | N/A | JAMES | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556392032 | N/A | N/A | 6577665 | 2222 | 4793 | 16463641 | N/A | 5197700 | 2025-12-20 03:36:09.456612 | 2025-06-30 15:33:47.069983 |
| 2025-12-19 08:11:16.440332 | 2025-12-20 03:35:47.856112 | 16190050 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16190050 | Athletic Physical Therapy Inc | 1956-09-14 | 2025-12-22 | M | AE | PT | COHENZADEH | JQE934W99391 | DAVOOD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.121425003.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928905/check_16190050_3b2ae9ec-318b-4ea7-bb1e-b844a2cdb7e5.json | N/A | N/A | N/A | N/A | N/A | JQE934W99391 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1956-09-14 | N/A | N/A | N/A | N/A | false | COHENZADEH | N/A | DAVOOD | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556392031 | N/A | N/A | 5928905 | 2222 | 4802 | 16463557 | N/A | 4212983 | 2025-12-20 03:35:47.856112 | 2025-11-19 21:27:11.455704 |
| 2025-12-19 08:11:16.334114 | 2025-12-20 01:46:21.033211 | 16190042 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 16190042 | Athletic Physical Therapy Inc | 1958-04-03 | 2025-12-22 | F | AE | PT | NIAZI | 00000388782 | RAHIMA | 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/2222/6958289/check_16190042_e3d20ed1-2020-4a40-917b-ee0afa99ffb1.json | N/A | N/A | N/A | N/A | N/A | 00000388782 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1958-04-03 | H3815028 | N/A | N/A | HM | false | NIAZI | N/A | RAHIMA | 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 | 9556408960 | N/A | N/A | 6958289 | 2222 | 4793 | 16456726 | N/A | 5983606 | 2025-12-20 01:46:21.033211 | 2025-07-18 18:03:17.155924 |
| 2025-12-19 08:11:16.309624 | 2025-12-20 03:35:49.457548 | 16190040 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16190040 | Athletic Physical Therapy Inc | 1959-12-29 | 2025-12-22 | F | AE | PT | LYGA | LPZ819A58009 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.121425003.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549257/check_16190040_fc39af81-e89a-447d-bd41-4c5c91350cc7.json | N/A | N/A | N/A | N/A | N/A | LPZ819A58009 | Preferred Provider Organization (PPO) | LOS ANGELES POLICE RELIEF ASN INC | MEDICARE D | N/A | 1959-12-29 | 040 | 1841UV | N/A | PR | false | LYGA | N/A | FRANK | N/A | 9999-12-31 | 2024-12-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556392030 | N/A | N/A | 5549257 | 2222 | 4801 | 16463563 | N/A | 4218962 | 2025-12-20 03:35:49.457548 | 2025-05-13 04:29:37.229978 |
| 2025-12-19 08:11:16.131558 | 2025-12-20 03:35:49.715171 | 16190034 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16190034 | Athletic Physical Therapy Inc | 1955-11-18 | 2025-12-22 | M | AE | PT | MCALPIN | JQE303W06176 | MAC | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.121425003.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541066/check_16190034_db9af783-f939-4c83-ab1c-9d6d54e50a43.json | N/A | N/A | N/A | N/A | N/A | JQE303W06176 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1955-11-18 | 040 | CASUPWP0 | N/A | N/A | false | MCALPIN | N/A | MAC | N/A | 9999-12-31 | 2020-11-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556392029 | N/A | N/A | 5541066 | 2222 | 4801 | 16463564 | N/A | 4213124 | 2025-12-20 03:35:49.715171 | 2025-05-13 04:29:37.227452 |
| 2025-12-19 08:11:16.020831 | 2025-12-20 03:35:48.157853 | 16190030 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16190030 | Athletic Physical Therapy Inc | 1956-01-14 | 2025-12-22 | F | AE | PT | COHENZADEH | JQE794W09390 | SIMA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.121425003.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541062/check_16190030_db96b2d2-773e-43cd-b723-1451d3ba61f6.json | N/A | N/A | N/A | N/A | N/A | JQE794W09390 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1956-01-14 | 040 | CASUPWP0 | N/A | N/A | false | COHENZADEH | N/A | SIMA | N/A | 9999-12-31 | 2021-10-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556392028 | N/A | N/A | 5541062 | 2222 | 4802 | 16463558 | N/A | 4213119 | 2025-12-20 03:35:48.157853 | 2025-11-20 01:13:31.057962 |
| 2025-12-19 08:11:15.965607 | 2025-12-20 01:46:55.039382 | 16190025 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16190025 | Athletic Physical Therapy Inc | 1961-03-07 | 2025-12-22 | F | PT | N/A | PERLOV | XEA905216171 | MERA | 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/2222/6814311/check_16190025_cb24ead2-d3ec-4b82-92d3-8bc9c32e9963.json | N/A | N/A | N/A | N/A | N/A | XEA905216171 | Preferred Provider Organization (PPO) | LA CARE HEALTH PLAN | BLUE SHIELD CALIFORNIA | N/A | 1961-03-07 | 1000PPOX0003 | W0051027 | N/A | PR | false | PERLOV | N/A | MERA | N/A | 2025-12-31 | 2025-01-01 | LA CARE HEALTH PLAN PPO SAVINGS TWO TIER EMBEDDED | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556408959 | N/A | N/A | 6814311 | 2222 | 4793 | 16457064 | N/A | 5856694 | 2025-12-20 01:46:55.039382 | 2025-07-07 18:45:06.287504 |
| 2025-12-19 08:11:15.867992 | 2025-12-20 03:35:48.411456 | 16190021 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16190021 | Athletic Physical Therapy Inc | 1952-12-18 | 2025-12-22 | F | AE | PT | DU BRIN | JQE162M93481 | SUSAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.121425003.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538605/check_16190021_18c6d426-c661-4551-a850-dceb193b7c5e.json | N/A | N/A | N/A | N/A | N/A | JQE162M93481 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-12-18 | 040 | CASUPWP0 | N/A | N/A | false | DU BRIN | N/A | SUSAN | N/A | 9999-12-31 | 2021-03-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556392027 | N/A | N/A | 5538605 | 2222 | 4793 | 16463559 | N/A | 4210998 | 2025-12-20 03:35:48.411456 | 2026-02-23 18:49:01.874308 |
| 2025-12-19 08:11:15.739502 | 2025-12-20 03:34:33.439296 | 16190013 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 16190013 | Athletic Physical Therapy Inc | 1958-02-17 | 2025-12-22 | F | AE | PT | MASATANI | U0538822602 | LAURA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.121425003.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538411/check_16190013_82c805a9-0244-4578-a46a-671599270400.json | N/A | N/A | N/A | N/A | N/A | U0538822602 | N/A | MIZUHO BANK, LTD | CHLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PREFERRED CARE MANAGEMENT | 1958-02-17 | N/A | 3207232 | N/A | N/A | false | MASATANI | N/A | LAURA G | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556392026 | N/A | N/A | 5538411 | 2222 | 4802 | 16463263 | N/A | 4210838 | 2025-12-20 03:34:33.439296 | 2025-05-13 04:29:37.225242 |
| 2025-12-19 08:11:15.625274 | 2025-12-20 01:46:47.935359 | 16190009 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16190009 | Athletic Physical Therapy Inc | 1947-12-19 | 2025-12-22 | F | PT | N/A | Taggart | MBL830M95233 | Rita | 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/2222/6780011/check_16190009_cd64a850-d001-461d-9b63-bc40bf2cc32d.json | N/A | N/A | N/A | N/A | N/A | MBL830M95233 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1947-12-19 | 040 | CAEGR002 | N/A | N/A | false | TAGGART | N/A | RITA | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556408958 | N/A | N/A | 6780011 | 2222 | 4802 | 16456992 | N/A | 5811238 | 2025-12-20 01:46:47.935359 | 2025-07-03 18:24:56.520298 |
| 2025-12-19 08:11:15.572478 | 2025-12-20 03:35:50.466848 | 16190005 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16190005 | Athletic Physical Therapy Inc | 1945-03-19 | 2025-12-22 | F | AE | PT | ROSS | JQU064A62211 | MARTHA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.121425003.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536304/check_16190005_2df5eba4-c112-48de-80b5-8339881110ea.json | N/A | N/A | N/A | N/A | N/A | JQU064A62211 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1945-03-19 | 040 | 07MS00 | N/A | N/A | false | ROSS | N/A | MARTHA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556392025 | N/A | N/A | 5536304 | 2222 | 4802 | 16463567 | N/A | 4209073 | 2025-12-20 03:35:50.466848 | 2025-11-19 19:47:03.642493 |
| 2025-12-19 08:11:15.378408 | 2025-12-20 03:36:09.223279 | 16189993 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16189993 | Athletic Physical Therapy Inc | 1946-08-26 | 2025-12-22 | M | AE | PT | ROTHMAN | XEM909022493 | MIKE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251219.121425003.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536206/check_16189993_7273b4e2-e6e3-465d-a649-3e002bf86718.json | N/A | N/A | N/A | N/A | N/A | XEM909022493 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1946-08-26 | 2002SF000029 | X0001002 | N/A | OT | false | ROTHMAN | N/A | MIKE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556392024 | N/A | N/A | 5536206 | 2222 | 4801 | 16463640 | N/A | 4208978 | 2025-12-20 03:36:09.223279 | 2025-05-13 04:29:37.223404 |
| 2025-12-19 08:11:15.231057 | 2025-12-20 01:46:05.875738 | 16189987 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16189987 | Athletic Physical Therapy Inc | 2008-04-21 | 2025-12-22 | M | AE | PT | BERMUDEZ | 000019836525 | RAFAEL | 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/2222/6721942/check_16189987_027ac3eb-bb42-467a-8e42-3d655246f621.json | N/A | N/A | N/A | N/A | N/A | 000019836525 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 2008-04-21 | 4327748 | 226977 | N/A | N/A | false | BERMUDEZ | N/A | RAFAEL | N/A | N/A | N/A | MEDI-CAL SCR 19_ADULT & FAMILY | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556408957 | N/A | N/A | 6721942 | 2222 | 4793 | 16456561 | N/A | 5322280 | 2025-12-20 01:46:05.875738 | 2025-07-01 21:45:15.878047 |
| 2025-12-19 08:11:14.748349 | 2025-12-20 01:42:35.233040 | 16189970 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 16189970 | Athletic Physical Therapy Inc | 1955-02-20 | 2025-12-22 | F | AE | PT | SALGUERO | 35955370 | DINA | 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/2222/6711965/check_16189970_b2d02a92-36aa-46ee-b54c-63ce3da5e9e8.json | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | 406-005-000 | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556408956 | N/A | N/A | 6711965 | 2222 | 4793 | 16454210 | 6798 | 4210430 | 2025-12-20 01:42:35.233040 | 2025-05-13 04:29:37.224841 |
| 2025-12-19 08:11:14.330449 | 2025-12-20 01:46:57.528033 | 16189951 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16189951 | Athletic Physical Therapy Inc | 2012-11-14 | 2025-12-22 | F | PT | N/A | IOANNOU | PAS839113807 | PENELOPE | 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/2222/6621141/check_16189951_f6fecc17-cfbf-4166-8c7e-54dd63716dd2.json | N/A | N/A | N/A | N/A | N/A | PAS839113807 | Preferred Provider Organization (PPO) | WEST HEALTH CARE NETWORK | BLUE SHIELD OF CALIFORNIA | N/A | 2012-11-14 | N/A | 152010 | N/A | PR | false | IOANNOU | N/A | GEORGE | N/A | 2025-12-31 | 2018-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556408955 | N/A | N/A | 6621141 | 2222 | 4801 | 16457088 | N/A | 5237460 | 2025-12-20 01:46:57.528033 | 2025-07-24 16:59:54.908041 |
| 2025-12-19 08:11:13.988322 | 2025-12-20 01:49:46.883757 | 16189934 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16189934 | Athletic Physical Therapy Inc | 1934-12-03 | 2025-12-22 | M | AE | PT | Dayzadeh | 9A94PK6GA08 | Nasser | 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/2222/6583825/check_16189934_1c75afe5-907d-4ec9-9806-64f326be328b.json | N/A | N/A | N/A | N/A | N/A | 9A94PK6GA08 | Medicare Part B | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1934-12-03 | S2468 | N/A | N/A | MB | false | DAYZADEH | N/A | NASSER | N/A | N/A | N/A | N/A | N/A | 281353 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556408954 | N/A | N/A | 6583825 | 2222 | 4802 | 16458936 | N/A | 5202586 | 2025-12-20 01:49:46.883757 | 2025-06-25 17:55:27.155518 |
| 2025-12-19 08:11:13.690665 | 2025-12-20 01:42:34.405378 | 16189923 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 16189923 | Athletic Physical Therapy Inc | 1962-06-24 | 2025-12-22 | F | AE | PT | GOMEZ | 44116442 | CAROL | 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/2222/6434660/check_16189923_a9cc7651-40b1-4d51-867f-4546412394f6.json | N/A | N/A | N/A | N/A | N/A | 44116442 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1962-06-24 | 406-024-000 | N/A | N/A | N/A | false | GOMEZ | N/A | CAROL | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556408953 | N/A | N/A | 6434660 | 2222 | 4801 | 16454198 | 6798 | 5079832 | 2025-12-20 01:42:34.405378 | 2025-06-23 20:02:36.660262 |
| 2025-12-19 08:11:13.452135 | 2025-12-20 01:44:13.815304 | 16189913 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 16189913 | Athletic Physical Therapy Inc | 1947-04-26 | 2025-12-22 | F | AE | PT | BARCENES | H9209970900 | IRENE | 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/2222/6231314/check_16189913_07d9a86c-19bc-49a9-9456-d74185e7485f.json | N/A | N/A | N/A | N/A | N/A | H92099709 | 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 | 1947-04-26 | N/A | 0B527001 | N/A | HN | false | BARCENES DES | N/A | IRENE | 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 | 9556408952 | N/A | N/A | 6231314 | 2222 | 4801 | 16455385 | N/A | 4219033 | 2025-12-20 01:44:13.815304 | 2025-05-13 04:29:37.230052 |
| 2025-12-19 08:11:13.071074 | 2025-12-20 01:46:16.162254 | 16189893 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16189893 | Athletic Physical Therapy Inc | 1981-12-16 | 2025-12-22 | F | AE | PT | DE FELICE | R07457624FM1 | CHRISTINA | 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/2222/6140436/check_16189893_2e61d43e-b639-4660-9883-6d60afc0c38c.json | N/A | N/A | N/A | N/A | N/A | R07457624FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1981-12-16 | N/A | N/A | N/A | N/A | false | DE FELICE | N/A | CHRISTINA | N/A | N/A | N/A | MI4 SBP | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556408951 | N/A | N/A | 6140436 | 2222 | 4801 | 16456672 | N/A | 4781417 | 2025-12-20 01:46:16.162254 | 2025-06-06 17:03:19.078153 |
| 2025-12-19 08:11:12.851592 | 2025-12-20 01:43:14.853564 | 16189887 | N/A | N/A | 60054 | Aetna | 1114042165 | 16189887 | Athletic Physical Therapy Inc | 1986-01-20 | 2025-12-22 | F | AE | PT | DAVIS | W258779471 | MARTINA | 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/2222/5993951/check_16189887_0e1ba7ba-32c5-41f4-837d-95813a4279fc.json | N/A | N/A | N/A | N/A | N/A | W258779471 | Point of Service (POS) | ADP TOTALSOURCE SERVICES, INC. | AETNA | N/A | 1986-01-20 | 0251371 | 025137101900020 | N/A | PS | false | DAVIS | N/A | ASTIN | N/A | N/A | N/A | OPEN ACCESS MC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556408950 | N/A | N/A | 5993951 | 2222 | 4802 | 16454699 | N/A | 4642884 | 2025-12-20 01:43:14.853564 | 2025-12-02 20:19:19.910444 |
| 2025-12-19 08:11:12.453160 | 2025-12-20 01:46:15.195239 | 16189872 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16189872 | Athletic Physical Therapy Inc | 1969-01-08 | 2025-12-22 | F | AE | PT | ALROMAIH | 91237812E | SARAH | 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/2222/5993940/check_16189872_9ec21c11-4cf4-4fc8-8f8c-e8bb70663a06.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556408949 | N/A | N/A | 5993940 | 2222 | 4802 | 16456662 | 4625 | 4642877 | 2025-12-20 01:46:15.195239 | 2025-12-23 23:49:16.627667 |
| 2025-12-19 08:11:12.053891 | 2025-12-20 01:46:48.812436 | 16189854 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16189854 | Athletic Physical Therapy Inc | 1996-01-20 | 2025-12-22 | F | PT | N/A | WORDEN | ORU910469318 | SARAH | 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/2222/5993479/check_16189854_2b683574-e0a4-4377-ac47-4df2b0696fae.json | N/A | N/A | N/A | N/A | N/A | ORU910469318 | Preferred Provider Organization (PPO) | OAK RIDGE ASSOCIATED UNIVERSITIES | ANTHEM BLUE CROSS | N/A | 1996-01-20 | MBPORAU0 | 89513 | N/A | PR | false | WORDEN | N/A | SARAH | N/A | 2199-12-31 | 2024-07-16 | BLUE NETWORK P | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556408948 | N/A | N/A | 5993479 | 2222 | 4801 | 16457002 | N/A | 4219476 | 2025-12-20 01:46:48.812436 | 2025-05-28 20:18:04.039855 |
| 2025-12-19 08:11:11.827508 | 2025-12-20 01:46:14.250822 | 16189843 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16189843 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-12-22 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | 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/2222/5568076/check_16189843_5aa761d6-d9bd-454c-9985-983158fab5b8.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556408947 | N/A | N/A | 5568076 | 2222 | 4802 | 16456652 | 4625 | 4209480 | 2025-12-20 01:46:14.250822 | 2026-04-10 02:05:15.976484 |
| 2025-12-19 08:11:11.648413 | 2025-12-20 01:46:41.040576 | 16189834 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16189834 | Athletic Physical Therapy Inc | 1989-01-23 | 2025-12-22 | F | PT | N/A | HINKLE | NCF051W08046 | MARLENA | 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/2222/5550925/check_16189834_509e95fc-b904-4206-8c22-7170643ab8e7.json | N/A | N/A | N/A | N/A | N/A | NCF051W08046 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1989-01-23 | 040 | 57AJCA | N/A | HM | false | HINKLE | N/A | MARLENA | N/A | 9999-12-31 | 2021-03-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556408946 | N/A | N/A | 5550925 | 2222 | 4793 | 16456922 | N/A | 4219772 | 2025-12-20 01:46:41.040576 | 2025-11-18 00:45:16.378261 |
| 2025-12-19 08:11:11.238982 | 2025-12-20 01:46:17.820925 | 16189816 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16189816 | Athletic Physical Therapy Inc | 1966-02-05 | 2025-12-22 | F | AE | PT | VANCELETTE | 99775204F | DEBORAH | 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/2222/5550875/check_16189816_8cc84f7c-98f6-4cfd-b666-59c9d5fb4164.json | N/A | N/A | N/A | N/A | N/A | 99775204F | N/A | N/A | HEALTH NET, LLC | N/A | 1966-02-05 | N/A | N/A | N/A | N/A | false | VANCELETTE | N/A | DEBORAH | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556408945 | N/A | N/A | 5550875 | 2222 | 4802 | 16456691 | N/A | 4219732 | 2025-12-20 01:46:17.820925 | 2025-05-13 04:29:37.230772 |
| 2025-12-19 08:11:10.709723 | 2025-12-20 01:46:54.720058 | 16189791 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16189791 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-12-22 | F | PT | N/A | PANDYA | XEA913306283 | DHARA | 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/2222/5550845/check_16189791_aa556445-5f30-468e-9e06-e75cee6004ab.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1975-08-17 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 2025-12-31 | 2025-01-01 | BLUE SHIELD OF CA ASO VIRTUAL BLUE FULL PPO SAVING | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556408944 | N/A | N/A | 5550845 | 2222 | 4801 | 16457061 | N/A | 4219713 | 2025-12-20 01:46:54.720058 | 2025-08-13 22:46:55.732965 |
| 2025-12-19 08:11:10.349471 | 2025-12-20 01:46:37.727765 | 16189769 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16189769 | Athletic Physical Therapy Inc | 1955-10-09 | 2025-12-22 | M | PT | N/A | COE | JQS589W10732 | SCOTT | 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/2222/5549514/check_16189769_be84bf56-1f1d-48eb-a921-ed8974c30217.json | N/A | N/A | N/A | N/A | N/A | JQS589W10732 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1955-10-09 | 040 | CAMCRWP0 | N/A | MP | false | COE | N/A | SCOTT | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556408943 | N/A | N/A | 5549514 | 2222 | 4801 | 16456891 | 4185 | 4219161 | 2025-12-20 01:46:37.727765 | 2025-10-16 23:24:12.118501 |
| 2025-12-19 08:11:10.002910 | 2025-12-20 01:46:42.336499 | 16189750 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16189750 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-12-22 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | 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/2222/5549317/check_16189750_868e060a-822f-483b-bebc-8d156c49eba8.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556408942 | N/A | N/A | 5549317 | 2222 | 4801 | 16456935 | N/A | 4219010 | 2025-12-20 01:46:42.336499 | 2026-01-09 18:32:07.618867 |
| 2025-12-19 08:11:09.732112 | 2025-12-20 01:46:14.859804 | 16189733 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16189733 | Athletic Physical Therapy Inc | 1967-12-23 | 2025-12-22 | F | AE | PT | SOL | U9859952501 | ISABEL | 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/2222/5549212/check_16189733_b0239a48-2e45-447f-95c0-ceade26b8566.json | N/A | N/A | N/A | N/A | N/A | U9859952501 | 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. | 1967-12-23 | 67138CA0520015-04 | N/A | N/A | N/A | false | SOL | N/A | ISABEL | N/A | N/A | N/A | SILVER 73 AMBETTER HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556408941 | N/A | N/A | 5549212 | 2222 | 4793 | 16456658 | N/A | 4218926 | 2025-12-20 01:46:14.859804 | 2025-07-30 14:07:18.779456 |
| 2025-12-19 08:11:09.404408 | 2025-12-20 01:42:34.958636 | 16189713 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 16189713 | Athletic Physical Therapy Inc | 1941-05-24 | 2025-12-22 | F | AE | PT | REGGIANI | 41813758 | SUSANA | 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/2222/5549015/check_16189713_26d092e3-06d9-4632-8774-d48fdb5ee20c.json | N/A | N/A | N/A | N/A | N/A | 41813758 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1941-05-24 | 406-024-000 | N/A | N/A | N/A | false | REGGIANI | N/A | SUSANA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556408940 | N/A | N/A | 5549015 | 2222 | 4801 | 16454206 | 6798 | 4208849 | 2025-12-20 01:42:34.958636 | 2025-05-13 04:29:37.223279 |
| 2025-12-19 08:11:09.090047 | 2025-12-20 01:45:23.728470 | 16189694 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 16189694 | Athletic Physical Therapy Inc | 1942-12-11 | 2025-12-22 | F | AE | PT | HENDERSHOT | 31071948801 | RENNE | 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/2222/5543556/check_16189694_04098e87-9ce1-43de-be86-498426e4fcb2.json | N/A | N/A | N/A | N/A | N/A | 31071948801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1942-12-11 | 2025H5425001 | H5425M | N/A | N/A | false | HENDERSHOT | N/A | RENEE | 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 | 9556408939 | N/A | N/A | 5543556 | 2222 | 4793 | 16456142 | N/A | 4215334 | 2025-12-20 01:45:23.728470 | 2025-12-09 18:18:58.430690 |
| 2025-12-19 08:11:08.587676 | 2025-12-20 01:46:16.720199 | 16189666 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16189666 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-12-22 | M | AE | PT | FORTIN | R14644640MS1 | NATHANIEL | 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/2222/5543425/check_16189666_901f1cda-30b2-47e7-b0e7-12fd4e2662ad.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | KVT SBGHMOWC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556408938 | N/A | N/A | 5543425 | 2222 | 4801 | 16456679 | 4625 | 4215211 | 2025-12-20 01:46:16.720199 | 2026-04-02 22:30:20.020246 |
| 2025-12-19 08:11:08.236058 | 2025-12-20 01:45:24.860287 | 16189653 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16189653 | Athletic Physical Therapy Inc | 1956-05-26 | 2025-12-22 | F | AD | 30 | TORRES | 40067303001 | OLGA | 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/2222/5543371/check_16189653_a0916d2e-e1fe-44dc-904c-8a50b3086851.json | N/A | N/A | N/A | N/A | N/A | 40067303001 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1956-05-26 | 2025H5425001 | H5425M | N/A | N/A | false | TORRES | N/A | OLGA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 9556408937 | N/A | N/A | 5543371 | 2222 | 4793 | 16456153 | 6237 | 4215172 | 2025-12-20 01:45:24.860287 | 2025-05-13 04:29:37.229489 |
| 2025-12-19 08:11:07.891043 | 2025-12-20 01:42:39.802010 | 16189632 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16189632 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-12-22 | F | AE | PT | SILVERS | 1866968 | JOIEMAY | 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/2222/5543335/check_16189632_fa2410ec-4d55-45a2-b1a5-8b02d7f26395.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-01-23 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | 2025-12-31 | 2025-01-01 | SILVER 87 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556408936 | N/A | N/A | 5543335 | 2222 | 4802 | 16454267 | 4211 | 4215139 | 2025-12-20 01:42:39.802010 | 2025-05-13 21:20:11.455022 |
| 2025-12-19 08:11:07.443451 | 2025-12-20 01:49:47.404497 | 16189608 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16189608 | Athletic Physical Therapy Inc | 1948-08-18 | 2025-12-22 | M | AE | PT | EDA | 9AC4JX7TW77 | MASAAKI | 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/2222/5543330/check_16189608_b50e78b6-50d1-413e-9182-41c55cd144eb.json | N/A | N/A | N/A | N/A | N/A | 9AC4JX7TW77 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-08-18 | S5596 | N/A | N/A | MA | false | EDA | N/A | MASAAKI | N/A | N/A | N/A | N/A | N/A | 180597 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556408935 | N/A | N/A | 5543330 | 2222 | 4802 | 16458944 | N/A | 4215140 | 2025-12-20 01:49:47.404497 | 2025-05-13 04:29:37.229453 |
| 2025-12-19 08:11:07.015415 | 2025-12-20 01:46:42.005945 | 16189587 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16189587 | Athletic Physical Therapy Inc | 1990-07-10 | 2025-12-22 | F | PT | N/A | Gadde | X8B467M70158 | Lavanya | 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/2222/5543090/check_16189587_3da37c45-49fe-419d-a3fe-6309bfe0f190.json | N/A | N/A | N/A | N/A | N/A | X8B467M70158 | Preferred Provider Organization (PPO) | BYTEDANCE INC | ANTHEM BLUE CROSS | N/A | 1990-07-10 | 040 | L03868M031 | N/A | PR | false | KONDABOLU | N/A | KUSHVANTH | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556408934 | N/A | N/A | 5543090 | 2222 | 4793 | 16456931 | N/A | 4214925 | 2025-12-20 01:46:42.005945 | 2025-12-17 00:54:52.714750 |
| 2025-12-19 08:11:06.682871 | 2025-12-20 01:46:47.352227 | 16189568 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16189568 | Athletic Physical Therapy Inc | 1949-06-30 | 2025-12-22 | F | PT | N/A | STEWART | WSP370A66341 | ALBERTA | 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/2222/5542834/check_16189568_5fb886b9-dc8f-43f5-9939-27a78f6145a7.json | N/A | N/A | N/A | N/A | N/A | WSP370A66341 | N/A | ELEVANCE HEALTH | ANTHEM BLUE CROSS | N/A | 1949-06-30 | 130 | IN002GRS | N/A | N/A | false | STEWART | N/A | ALBERTA | N/A | 9999-12-31 | 2021-01-01 | IN GRS ELEVANCE HEALTH H4036-801 ANTHEM MED PREFER | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556408933 | N/A | N/A | 5542834 | 2222 | 4801 | 16456986 | N/A | 4214700 | 2025-12-20 01:46:47.352227 | 2025-05-13 04:29:37.229017 |
| 2025-12-19 08:11:06.441202 | 2025-12-20 01:46:18.179092 | 16189555 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16189555 | Athletic Physical Therapy Inc | 1979-11-17 | 2025-12-22 | F | AE | PT | WOODS | 96781627F | JESSICA | 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/2222/5542752/check_16189555_7802e1ff-7a08-4eba-ac0a-6d51d6e17762.json | N/A | N/A | N/A | N/A | N/A | 96781627F | N/A | N/A | HEALTH NET, LLC | N/A | 1979-11-17 | N/A | N/A | N/A | N/A | false | WOODS | N/A | JESSICA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556408932 | N/A | N/A | 5542752 | 2222 | 4793 | 16456695 | 4625 | 4214627 | 2025-12-20 01:46:18.179092 | 2025-06-23 18:58:46.304598 |
| 2025-12-19 08:11:06.180107 | 2025-12-20 01:46:14.580647 | 16189541 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16189541 | Athletic Physical Therapy Inc | 1972-07-22 | 2025-12-22 | M | AE | PT | KOZMA | U9714475101 | JASON | 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/2222/5542709/check_16189541_8feefa1c-0955-4857-8f48-34cfad8d6a55.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 | 9556408931 | N/A | N/A | 5542709 | 2222 | 4802 | 16456655 | N/A | 4214582 | 2025-12-20 01:46:14.580647 | 2025-12-02 00:00:04.433236 |
| 2025-12-19 08:11:05.947990 | 2025-12-20 01:46:15.873535 | 16189521 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16189521 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-12-22 | F | AE | PT | CHERE | 98953535F | DIANA | 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/2222/5542660/check_16189521_50c2f87c-2c3c-4e86-a9af-4fd02bcf5874.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556408930 | N/A | N/A | 5542660 | 2222 | 4802 | 16456670 | 4625 | 4214542 | 2025-12-20 01:46:15.873535 | 2025-05-13 04:29:37.228868 |
| 2025-12-19 08:11:05.636881 | 2025-12-20 01:46:17.497938 | 16189502 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16189502 | Athletic Physical Therapy Inc | 1977-02-09 | 2025-12-22 | F | AE | PT | SHAMAT | 96987431H | SAMA | 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/2222/5542314/check_16189502_7903938d-794d-430e-9039-462d65933e96.json | N/A | N/A | N/A | N/A | N/A | 96987431H | N/A | N/A | HEALTH NET, LLC | N/A | 1977-02-09 | N/A | N/A | N/A | N/A | false | SHAMAT | N/A | SAMA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556408929 | N/A | N/A | 5542314 | 2222 | 4802 | 16456689 | N/A | 4214238 | 2025-12-20 01:46:17.497938 | 2025-05-13 04:29:37.228571 |
| 2025-12-19 08:11:05.403071 | 2025-12-20 01:46:47.056120 | 16189486 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16189486 | Athletic Physical Therapy Inc | 1942-12-17 | 2025-12-22 | F | PT | N/A | STEINBERG | MBL988M98459 | JUDY | 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/2222/5542014/check_16189486_24d15b58-3ad9-4b72-82d8-8143de3e88fc.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | 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 | 9556408928 | N/A | N/A | 5542014 | 2222 | 4793 | 16456983 | N/A | 4213977 | 2025-12-20 01:46:47.056120 | 2025-05-13 04:29:37.228294 |
| 2025-12-19 08:11:05.121896 | 2025-12-20 01:46:46.760893 | 16189465 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16189465 | Athletic Physical Therapy Inc | 1940-08-31 | 2025-12-22 | M | PT | N/A | STEINBERG | MBL875M98441 | HARRIS | 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/2222/5541917/check_16189465_5548d7c3-5bf2-4cb0-b12b-3e59a84cd37d.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | 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 | 9556408927 | N/A | N/A | 5541917 | 2222 | 4793 | 16456981 | N/A | 4213891 | 2025-12-20 01:46:46.760893 | 2025-05-13 04:29:37.228207 |
| 2025-12-19 08:11:04.884872 | 2025-12-20 01:46:39.702633 | 16189453 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16189453 | Athletic Physical Therapy Inc | 1974-10-21 | 2025-12-22 | F | PT | N/A | GARCIA | NCF666A56083 | DAWN | 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/2222/5541664/check_16189453_9dc07220-2f35-44d9-a7e1-e7d956966a75.json | N/A | N/A | N/A | N/A | N/A | NCF666A56083 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1974-10-21 | 040 | 57AJCA | N/A | HM | false | GARCIA | N/A | DAWN | 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 | 9556408926 | N/A | N/A | 5541664 | 2222 | 4793 | 16456909 | 4185 | 4213662 | 2025-12-20 01:46:39.702633 | 2025-05-13 04:29:37.227982 |
| 2025-12-19 08:11:04.640470 | 2025-12-20 01:46:55.785137 | 16189436 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16189436 | Athletic Physical Therapy Inc | 1965-09-18 | 2025-12-22 | F | PT | N/A | SHAPIRO | XEA901579979 | ANDREA | 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/2222/5541315/check_16189436_c079e1fa-f392-4114-a63e-2b2558e34711.json | N/A | N/A | N/A | N/A | N/A | XEA901579979 | Preferred Provider Organization (PPO) | HANGER STEINBERG SHAPIRO AND ASH A LAW COR | BLUE SHIELD CALIFORNIA | N/A | 1965-09-18 | 1000VX000102 | W0045063 | N/A | PR | false | SHAPIRO | N/A | MARC | N/A | 9999-12-31 | 2016-11-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9556408925 | N/A | N/A | 5541315 | 2222 | 4793 | 16457072 | N/A | 4213344 | 2025-12-20 01:46:55.785137 | 2025-05-13 04:29:37.227667 |
| 2025-12-19 08:11:04.352923 | 2025-12-20 01:46:16.429028 | 16189422 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16189422 | Athletic Physical Therapy Inc | 1968-03-30 | 2025-12-22 | M | AE | PT | FARAHMAND | 91957675E | ALEX | 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/2222/5541163/check_16189422_bfb882c9-53e3-49dd-b90a-b3f29f885121.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | HEALTH NET, LLC | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556408924 | N/A | N/A | 5541163 | 2222 | 4802 | 16456676 | 4625 | 4213207 | 2025-12-20 01:46:16.429028 | 2025-05-13 04:29:37.227536 |
| 2025-12-19 08:11:03.949904 | 2025-12-20 01:49:50.309865 | 16189392 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16189392 | Athletic Physical Therapy Inc | 1955-11-18 | 2025-12-22 | M | AE | PT | MCALPIN | 5W42YG0AH19 | MAC | 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/2222/5541072/check_16189392_240f3390-57a6-4366-88e8-bf6f37bdecf8.json | N/A | N/A | N/A | N/A | N/A | 5W42YG0AH19 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-11-18 | S5617 | N/A | N/A | MB | false | MCALPIN | N/A | MAC | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556408923 | N/A | N/A | 5541072 | 2222 | 4801 | 16458983 | N/A | 4213124 | 2025-12-20 01:49:50.309865 | 2025-05-13 04:29:37.227452 |
| 2025-12-19 08:11:03.405017 | 2025-12-20 01:49:46.617994 | 16189359 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16189359 | Athletic Physical Therapy Inc | 1956-01-14 | 2025-12-22 | F | AE | PT | COHENZADEH | 1YM2D25GY27 | SIMA | 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/2222/5541059/check_16189359_1bd8cf96-ee64-44b1-b607-32767f885039.json | N/A | N/A | N/A | N/A | N/A | 1YM2D25GY27 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-14 | S4802 | N/A | N/A | MA | false | COHENZADEH | N/A | SIMA | N/A | N/A | N/A | N/A | N/A | 39764 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556408922 | N/A | N/A | 5541059 | 2222 | 4802 | 16458932 | N/A | 4213119 | 2025-12-20 01:49:46.617994 | 2025-11-20 01:13:31.057962 |
| 2025-12-19 08:11:02.910480 | 2025-12-20 01:45:24.067405 | 16189326 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16189326 | Athletic Physical Therapy Inc | 1946-11-23 | 2025-12-22 | F | AD | 30 | POLAK | 40047825101 | JOANNA | 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/2222/5541023/check_16189326_a400cb50-e692-4fbe-8cbf-0ce85ed8f717.json | N/A | N/A | N/A | N/A | N/A | 40047825101 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1946-11-23 | 2025H5425006 | H5425M | N/A | N/A | false | POLAK | N/A | JOANNA | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | AD | 30 | N/A | N/A | N/A | N/A | N/A | 9556408921 | N/A | N/A | 5541023 | 2222 | 4793 | 16456145 | 6237 | 4213093 | 2025-12-20 01:45:24.067405 | 2025-05-13 04:29:37.227419 |
| 2025-12-19 08:11:02.583221 | 2025-12-20 01:49:46.335312 | 16189304 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16189304 | Athletic Physical Therapy Inc | 1956-09-14 | 2025-12-22 | M | AE | PT | COHENZADEH | 7UJ5QD2DD88 | DAVOOD | 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/2222/5540904/check_16189304_663000ba-8da5-44ae-8865-722aeb9cc7fd.json | N/A | N/A | N/A | N/A | N/A | 7UJ5QD2DD88 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-09-14 | S4802 | N/A | N/A | MA | false | COHENZADEH | N/A | DAVOOD | N/A | N/A | N/A | N/A | N/A | 51817 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9556408920 | N/A | N/A | 5540904 | 2222 | 4802 | 16458928 | N/A | 4212983 | 2025-12-20 01:49:46.335312 | 2025-11-19 21:27:11.455704 |