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 | insurance_company_id | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-17 08:17:08.474562 | 2025-12-18 03:33:58.868111 | 16106339 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16106339 | Athletic Physical Therapy Inc | 1987-10-07 | 2025-12-19 | M | PT | WARD | XED911682811 | AUSTIN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13126723/check_16106339_02977418-7bd5-49f5-88bc-78454cc1a292.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 | 9540702210 | N/A | N/A | 13126723 | 2222 | 4793 | 16380512 | N/A | 11277547 | 2025-12-18 03:33:58.868111 | 2026-02-16 19:33:07.484428 |
| 2025-12-17 08:17:08.355532 | 2025-12-18 03:33:14.681943 | 16106331 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16106331 | Athletic Physical Therapy Inc | 1946-12-08 | 2025-12-19 | M | AE | BHOLAT | 31198052201 | MAHMOOD | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12990097/check_16106331_3f0b3dfb-2c87-440e-8c09-19c075f3d36d.json | N/A | N/A | N/A | N/A | N/A | 31198052201 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 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 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9540702209 | N/A | N/A | 12990097 | 2222 | 4801 | 16380174 | 6237 | 11148207 | 2025-12-18 03:33:14.681943 | 2025-12-08 05:48:43.064435 |
| 2025-12-17 08:17:08.256415 | 2025-12-18 03:36:49.332143 | 16106325 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16106325 | Athletic Physical Therapy Inc | 1949-05-18 | 2025-12-19 | F | AE | Burk | 5Y14AG3HK78 | Celine | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12839893/check_16106325_f29db22c-57f2-4b67-bd3b-05a576ba1d0c.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 | 9540702208 | N/A | N/A | 12839893 | 2222 | 4802 | 16381666 | N/A | 11004269 | 2025-12-18 03:36:49.332143 | 2025-11-14 23:42:44.614455 |
| 2025-12-17 08:17:08.169767 | 2025-12-18 03:33:36.474878 | 16106319 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16106319 | Athletic Physical Therapy Inc | 1988-06-08 | 2025-12-19 | F | AE | Parker | 000021005631 | Tiffeny | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12714759/check_16106319_2cf375fa-012c-4f11-84f2-f735939ed729.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 SILVER 70 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9540702207 | N/A | N/A | 12714759 | 2222 | 4802 | 16380336 | N/A | 10878419 | 2025-12-18 03:33:36.474878 | 2025-11-21 21:47:52.393943 |
| 2025-12-17 08:17:08.060301 | 2025-12-18 03:33:36.195394 | 16106312 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 16106312 | Athletic Physical Therapy Inc | 2010-06-29 | 2025-12-19 | F | AE | Gross | 0021438559 | Hanako | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12533089/check_16106312_0114a554-4b6f-480d-864b-681dbc331c0e.json | N/A | N/A | N/A | N/A | N/A | 0021438559 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 2010-06-29 | N/A | N/A | N/A | N/A | false | GROSS | N/A | HANAKO | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9540702206 | N/A | N/A | 12533089 | 2222 | 4802 | 16380334 | N/A | 10704924 | 2025-12-18 03:33:36.195394 | 2025-11-11 04:56:19.809881 |
| 2025-12-17 08:17:07.933437 | 2025-12-18 03:31:37.918779 | 16106304 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | 16106304 | Athletic Physical Therapy Inc | 1957-06-10 | 2025-12-19 | F | AE | Cinney | JQE146W12862 | Nancy | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12199890/check_16106304_8fbbac47-4356-46ad-81c7-9e92eff77d5d.json | N/A | N/A | N/A | N/A | N/A | JQE146W12862 | N/A | N/A | TCCM | N/A | 1957-06-10 | N/A | N/A | N/A | N/A | false | CINNEY | N/A | NANCY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9540702205 | N/A | N/A | 12199890 | 2222 | 4793 | 16379445 | N/A | 10405614 | 2025-12-18 03:31:37.918779 | 2025-11-11 22:04:16.516523 |
| 2025-12-17 08:17:07.840563 | 2025-12-18 03:31:44.189625 | 16106297 | N/A | N/A | 60054 | Aetna | 1114042165 | 16106297 | Athletic Physical Therapy Inc | 1983-01-09 | 2025-12-18 | F | AE | Ovaysikia | W197905578 | Shideh | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12166597/check_16106297_5cfd060e-62c7-4dce-8934-d99d8ba3253d.json | N/A | N/A | N/A | N/A | N/A | W197905578 | Point of Service (POS) | COHNREZNICK | AETNA | N/A | 1983-01-09 | 0884166 | 088416605000001 | N/A | PS | false | OVAYSIKIA | N/A | SHIDEH | 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 | 9540702204 | N/A | N/A | 12166597 | 2222 | 4793 | 16379490 | N/A | 10379320 | 2025-12-18 03:31:44.189625 | 2025-11-04 17:17:17.618107 |
| 2025-12-17 08:17:07.732881 | 2025-12-18 03:33:58.343891 | 16106293 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16106293 | Athletic Physical Therapy Inc | 2008-04-21 | 2025-12-19 | M | PT | LANDIS | XED906560014 | BRONN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12097539/check_16106293_c8f55fda-4526-4ebb-a3c3-9f07f1f0116a.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 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9540702203 | N/A | N/A | 12097539 | 2222 | 4793 | 16380508 | N/A | 10315576 | 2025-12-18 03:33:58.343891 | 2025-11-14 23:13:16.002759 |
| 2025-12-17 08:17:07.619438 | 2025-12-18 03:31:43.701257 | 16106283 | N/A | N/A | 60054 | Aetna | 1114042165 | 16106283 | Athletic Physical Therapy Inc | 2011-12-20 | 2025-12-19 | M | AE | NAQVI | W295996740 | KAZIM | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11417253/check_16106283_93e7702c-48f7-42c7-a98d-932deeee20d3.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 | 9540702202 | N/A | N/A | 11417253 | 2222 | 4793 | 16379487 | N/A | 9671738 | 2025-12-18 03:31:43.701257 | 2025-10-29 22:32:21.591395 |
| 2025-12-17 08:17:07.525170 | 2025-12-18 03:33:53.848924 | 16106279 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16106279 | Athletic Physical Therapy Inc | 1959-04-01 | 2025-12-19 | M | PT | MOYER | JXN542M92477 | STEVEN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11278285/check_16106279_3e8b012a-5a0e-47a6-bcd2-18fcd9ca20da.json | N/A | N/A | N/A | N/A | N/A | JXN542M92477 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1959-04-01 | 040 | 174222M2A1 | N/A | PR | false | MOYER | N/A | STEVEN | N/A | 9999-12-31 | 2018-01-01 | BC PPO INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9540702201 | N/A | N/A | 11278285 | 2222 | 4801 | 16380473 | N/A | 9581032 | 2025-12-18 03:33:53.848924 | 2025-10-21 22:24:54.464325 |
| 2025-12-17 08:17:07.403566 | 2025-12-18 03:33:41.358385 | 16106271 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16106271 | Athletic Physical Therapy Inc | 1989-08-21 | 2025-12-19 | F | AE | VANSICKLE | R14610782FS1 | KYLIE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11190514/check_16106271_56760f6f-3445-4528-ab1c-6ef12f3bc338.json | N/A | N/A | N/A | N/A | N/A | R14610782FS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1989-08-21 | N/A | N/A | N/A | N/A | false | VANSICKLE | N/A | KYLIE | N/A | 2025-11-02 | 2025-09-01 | KX6 PPOSBG | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9540702200 | N/A | N/A | 11190514 | 2222 | 4793 | 16380376 | N/A | 9532194 | 2025-12-18 03:33:41.358385 | 2026-04-13 16:03:49.854711 |
| 2025-12-17 08:17:07.293431 | 2025-12-18 03:33:51.749409 | 16106264 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16106264 | Athletic Physical Therapy Inc | 1963-09-07 | 2025-12-19 | M | PT | BAHR | FZX638A69335 | KEVIN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10371931/check_16106264_fb060631-ea5c-48bb-833a-aa610c2eaf58.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 | 9540702199 | N/A | N/A | 10371931 | 2222 | 4793 | 16380457 | N/A | 8634062 | 2025-12-18 03:33:51.749409 | 2025-10-16 21:25:25.746427 |
| 2025-12-17 08:17:07.180302 | 2025-12-18 03:31:19.906514 | 16106258 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16106258 | Athletic Physical Therapy Inc | 1961-11-24 | 2025-12-19 | F | AE | CRUTCHFIELD | 904430653 | HELEN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10103203/check_16106258_be846767-53e0-45a0-be2d-0efeb681d7f9.json | N/A | N/A | N/A | N/A | N/A | 904430653 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1961-11-24 | N/A | N/A | N/A | N/A | false | CRUTCHFIELD | N/A | HELEN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9540702198 | N/A | N/A | 10103203 | 2222 | 4802 | 16379355 | 4211 | 8437251 | 2025-12-18 03:31:19.906514 | 2025-10-07 19:08:26.048804 |
| 2025-12-17 08:17:07.090598 | 2025-12-18 03:32:14.894031 | 16106252 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 16106252 | Athletic Physical Therapy Inc | 1952-03-30 | 2025-12-19 | F | AE | MATTHEWS | H41656712 | JUNE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9767878/check_16106252_e1173e8b-7e2c-4ab6-a6ba-4f474d127324.json | N/A | N/A | N/A | N/A | N/A | H41656712 | 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 | 1952-03-30 | N/A | 0B527001 | N/A | HN | false | MATTHEWS | N/A | JUNE ANNE | 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 | 9540702197 | N/A | N/A | 9767878 | 2222 | 4801 | 16379717 | N/A | 8178957 | 2025-12-18 03:32:14.894031 | 2025-10-06 01:53:28.213209 |
| 2025-12-17 08:17:06.994836 | 2025-12-18 03:36:50.926305 | 16106246 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16106246 | Athletic Physical Therapy Inc | 1959-02-04 | 2025-12-19 | F | AE | SMITS | 9TF8JW2XU20 | HEIDI | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681583/check_16106246_2f0d8e38-ba53-4e56-a8a4-3b1aba041954.json | N/A | N/A | N/A | N/A | N/A | 9TF8JW2XU20 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-04 | S4802 | N/A | N/A | MA | false | SMITS | N/A | HEIDI | N/A | N/A | N/A | N/A | N/A | 191309 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9540702196 | N/A | N/A | 9681583 | 2222 | 4793 | 16381678 | N/A | 8101289 | 2025-12-18 03:36:50.926305 | 2025-09-24 17:05:46.431721 |
| 2025-12-17 08:17:06.913892 | 2025-12-18 03:36:51.177315 | 16106240 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16106240 | Athletic Physical Therapy Inc | 1959-02-07 | 2025-12-18 | F | AE | STARK | 5T98ME7EA67 | CHERYL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9449995/check_16106240_75d14220-fd6e-4411-bd41-9aa88378e53d.json | N/A | N/A | N/A | N/A | N/A | 5T98ME7EA67 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-07 | S4802 | N/A | N/A | MA | false | STARK | N/A | CHERYL | N/A | N/A | N/A | N/A | N/A | 181010 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9540702195 | N/A | N/A | 9449995 | 2222 | 4793 | 16381680 | N/A | 7905968 | 2025-12-18 03:36:51.177315 | 2025-09-22 17:53:24.196861 |
| 2025-12-17 08:17:06.803619 | 2025-12-18 03:33:54.358298 | 16106231 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16106231 | Athletic Physical Therapy Inc | 2005-12-13 | 2025-12-19 | F | PT | Varivoda | ZTQ335M98588 | Alex | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9338185/check_16106231_f51dba56-95e6-4d7d-8821-da3ca5804baf.json | N/A | N/A | N/A | N/A | N/A | ZTQ335M98588 | Preferred Provider Organization (PPO) | TELEDYNE TECH INC LECROY | ANTHEM BLUE CROSS | N/A | 2005-12-13 | 040 | 174249M3AW | N/A | PR | false | VARIVODA | N/A | ALEXEY | N/A | 9999-12-31 | 2020-03-19 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9540702194 | N/A | N/A | 9338185 | 2222 | 4802 | 16380477 | N/A | 7837035 | 2025-12-18 03:33:54.358298 | 2025-09-17 13:44:26.939662 |
| 2025-12-17 08:17:06.698050 | 2025-12-18 03:33:58.084282 | 16106226 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16106226 | Athletic Physical Therapy Inc | 1980-12-02 | 2025-12-18 | M | PT | GODINEZ | XEK907039926 | RICHARD | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202901/check_16106226_7cee8fa4-f402-4da1-8e56-8c2429a74fae.json | N/A | N/A | N/A | N/A | N/A | XEK907039926 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-12-02 | 2001ZK002171 | X0001000 | N/A | PR | false | GODINEZ | N/A | RICHARD | N/A | 9999-12-31 | 2019-01-01 | IFP EMB PED VISION | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9540702193 | N/A | N/A | 8202901 | 2222 | 4793 | 16380506 | N/A | 6965521 | 2025-12-18 03:33:58.084282 | 2025-09-10 21:42:23.177790 |
| 2025-12-17 08:17:06.591140 | 2025-12-18 03:33:28.460935 | 16106218 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 16106218 | Athletic Physical Therapy Inc | 1980-08-02 | 2025-12-19 | M | AE | HILTSER | 208616901 | LORNE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8048052/check_16106218_64609c94-34c0-4803-8272-095a7b4c9d61.json | N/A | N/A | N/A | N/A | N/A | 208616901 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1980-08-02 | N/A | 265486 | N/A | C1 | false | HILTSER | N/A | LORNE | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO GOLD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9540702192 | N/A | N/A | 8048052 | 2222 | 4802 | 16380275 | 6411 | 6844134 | 2025-12-18 03:33:28.460935 | 2025-08-29 16:18:21.978739 |
| 2025-12-17 08:17:06.478507 | 2025-12-18 03:33:57.824552 | 16106210 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16106210 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-12-18 | F | PT | GIANNE | XED910762094 | NATALIE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_16106210_8688f6af-41fd-4480-8ff8-8c96a0b64cc7.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 9999-12-31 | 2021-09-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9540702191 | N/A | N/A | 7994545 | 2222 | 4802 | 16380504 | N/A | 6802250 | 2025-12-18 03:33:57.824552 | 2025-08-11 23:58:28.358402 |
| 2025-12-17 08:17:06.354662 | 2025-12-18 03:33:53.582278 | 16106199 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16106199 | Athletic Physical Therapy Inc | 1971-05-04 | 2025-12-19 | F | PT | MAHAARACHCHI | EXHAN7912598 | Nilanthi | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7988722/check_16106199_1a2f962a-cb26-4245-a7d6-c11449a4025a.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | Preferred Provider Organization (PPO) | XEROX CORPORATION | ANTHEM BLUE CROSS | N/A | 1971-05-04 | 060 | 270101M11A | N/A | PR | false | MAHAARACHCHI | N/A | SENAKA | N/A | 9999-12-31 | 2025-01-01 | CDHP CT BC PPO HEALTH SAVINGS ACCOUNT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9540702190 | N/A | N/A | 7988722 | 2222 | 4793 | 16380471 | 4185 | 6798209 | 2025-12-18 03:33:53.582278 | 2025-10-29 15:15:17.952230 |
| 2025-12-17 08:17:06.071737 | 2025-12-18 03:33:44.075071 | 16106184 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16106184 | Athletic Physical Therapy Inc | 1954-02-12 | 2025-12-19 | M | AE | NAGHSHBANDI | 00000388791 | ABDUL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7314863/check_16106184_0e1eb0e3-133f-4ffc-8e1a-6adebd241f72.json | N/A | N/A | N/A | N/A | N/A | 00000388791 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1954-02-12 | H3815028 | N/A | N/A | HM | false | NAGHSHBANDI | N/A | ABDUL | 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 | 9540702189 | N/A | N/A | 7314863 | 2222 | 4793 | 16380397 | 2630 | 4208741 | 2025-12-18 03:33:44.075071 | 2025-08-01 18:22:58.464314 |
| 2025-12-17 08:17:05.815497 | 2025-12-18 03:33:57.577333 | 16106167 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16106167 | Athletic Physical Therapy Inc | 1991-10-07 | 2025-12-19 | F | PT | BOYM | XEK903045570 | DANIELLA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7281036/check_16106167_dbab775c-308e-40e8-bbf8-0e64346a3d0d.json | N/A | N/A | N/A | N/A | N/A | XEK903045570 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1991-10-07 | 2001ZJ002648 | X0001000 | N/A | PR | false | BOYM | N/A | DIMITRY | N/A | 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 | 9540702188 | N/A | N/A | 7281036 | 2222 | 4793 | 16380502 | N/A | 6245462 | 2025-12-18 03:33:57.577333 | 2025-07-24 01:23:15.134681 |
| 2025-12-17 08:17:05.595969 | 2025-12-18 03:31:44.916394 | 16106151 | N/A | N/A | 60054 | Aetna | 1114042165 | 16106151 | Athletic Physical Therapy Inc | 1987-03-08 | 2025-12-20 | F | AE | Fulker | 123123123 | Megan | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6996570/check_16106151_a5ec73b6-e08c-41ac-8d96-3bb1165463fb.json | N/A | N/A | N/A | N/A | N/A | 123123123 | N/A | N/A | AETNA INC | N/A | 1987-03-08 | N/A | N/A | N/A | N/A | false | FULKER | N/A | MEGAN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9540702187 | N/A | N/A | 6996570 | 2222 | 4801 | 16379496 | N/A | 6016782 | 2025-12-18 03:31:44.916394 | 2025-07-14 16:56:31.587983 |
| 2025-12-17 08:17:05.477524 | 2025-12-18 03:36:50.137922 | 16106144 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16106144 | Athletic Physical Therapy Inc | 1952-10-25 | 2025-12-18 | F | AE | JOHNSTON | 7KA0H51YU14 | DEBORAH | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638066/check_16106144_555d383d-f8fe-42b7-9b77-96df7e8c6192.json | N/A | N/A | N/A | N/A | N/A | 7KA0H51YU14 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-10-25 | S5617 | N/A | N/A | MB | false | JOHNSTON | N/A | DEBORAH | N/A | N/A | N/A | N/A | N/A | 241000 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9540702186 | N/A | N/A | 6638066 | 2222 | 4793 | 16381672 | N/A | 5247837 | 2025-12-18 03:36:50.137922 | 2026-02-24 20:36:49.807283 |
| 2025-12-17 08:17:05.364556 | 2025-12-18 03:36:49.859713 | 16106137 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16106137 | Athletic Physical Therapy Inc | 1947-08-18 | 2025-12-19 | F | AE | FABER | 4X26K21EE83 | LINDA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_16106137_b7f6d454-0de0-4fce-9d25-c84530242d97.json | N/A | N/A | N/A | N/A | N/A | 4X26K21EE83 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-08-18 | S5617 | N/A | N/A | MA | false | FABER | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | 262764 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9540702185 | N/A | N/A | 6522947 | 2222 | 4802 | 16381670 | N/A | 5146127 | 2025-12-18 03:36:49.859713 | 2025-06-20 17:58:23.371130 |
| 2025-12-17 08:17:05.260583 | 2025-12-18 03:31:44.681051 | 16106131 | N/A | N/A | 60054 | Aetna | 1114042165 | 16106131 | Athletic Physical Therapy Inc | 1992-06-11 | 2025-12-19 | M | AE | ROSS | W292476869 | BRYAN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993949/check_16106131_dcdd282e-8063-4e64-840b-9e836d67c2ec.json | N/A | N/A | N/A | N/A | N/A | W292476869 | Point of Service (POS) | PAYCHEX BUSINESS SOLUTIONS, LLC. | AETNA | N/A | 1992-06-11 | 0176563 | 017656301200042 | N/A | PS | false | ROSS | N/A | BRYAN | 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 | 9540702184 | N/A | N/A | 5993949 | 2222 | 4793 | 16379494 | N/A | 4642881 | 2025-12-18 03:31:44.681051 | 2025-06-06 02:27:19.212061 |
| 2025-12-17 08:17:05.128440 | 2025-12-18 03:31:43.444684 | 16106123 | N/A | N/A | 60054 | Aetna | 1114042165 | 16106123 | Athletic Physical Therapy Inc | 1955-03-15 | 2025-12-19 | F | AE | MORTENSEN | MBL800W05634 | JEANIE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549946/check_16106123_df175649-fa4e-47ea-a116-938902ea56f5.json | N/A | N/A | N/A | N/A | N/A | MBL800W05634 | N/A | N/A | AETNA | N/A | 1955-03-15 | 0169623 | 016962301000201 | N/A | N/A | false | MORTENSEN | N/A | JEANIE | N/A | N/A | N/A | PPO DENTAL 2000 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9540702183 | N/A | N/A | 5549946 | 2222 | 4801 | 16379485 | N/A | 4219431 | 2025-12-18 03:31:43.444684 | 2025-12-01 18:45:07.315802 |
| 2025-12-17 08:17:04.999578 | 2025-12-18 03:33:41.114780 | 16106112 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16106112 | Athletic Physical Therapy Inc | 1962-06-19 | 2025-12-19 | M | AE | MILIAN GOMEZ | 93331019F | MIGUEL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543555/check_16106112_41af9207-4182-40b2-89b8-e9f96aed0392.json | N/A | N/A | N/A | N/A | N/A | 93331019F | N/A | N/A | HEALTH NET, LLC | N/A | 1962-06-19 | N/A | N/A | N/A | N/A | false | MILIAN GOMEZ | N/A | MIGUEL | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9540702182 | N/A | N/A | 5543555 | 2222 | 4802 | 16380374 | N/A | 4215332 | 2025-12-18 03:33:41.114780 | 2025-08-06 16:15:15.716322 |
| 2025-12-17 08:17:04.904155 | 2025-12-18 03:33:40.874333 | 16106109 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16106109 | Athletic Physical Therapy Inc | 1963-07-02 | 2025-12-19 | M | AE | RAMPTON | R02515710MM1 | JAMES | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543519/check_16106109_9d390ba7-1db3-44f8-96fc-b5899acdbf27.json | N/A | N/A | N/A | N/A | N/A | R02515710MM1 | N/A | N/A | CENTENE CORPORATION | N/A | 1963-07-02 | N/A | N/A | N/A | N/A | false | RAMPTON | N/A | JAMES | N/A | N/A | N/A | HMO FULL NETWORK SMALL GROUP (PLATINUM, GOLD, SIL | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9540702181 | N/A | N/A | 5543519 | 2222 | 4801 | 16380372 | N/A | 4215303 | 2025-12-18 03:33:40.874333 | 2025-05-13 04:29:37.229622 |
| 2025-12-17 08:17:04.777887 | 2025-12-18 03:33:15.436688 | 16106102 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16106102 | Athletic Physical Therapy Inc | 1956-05-26 | 2025-12-19 | F | AE | TORRES | 40067303001 | OLGA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543371/check_16106102_4ff660dd-e960-465d-bda4-4fac5e9f4584.json | N/A | N/A | N/A | N/A | N/A | 40067303001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 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 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9540702180 | N/A | N/A | 5543371 | 2222 | 4793 | 16380180 | 6237 | 4215172 | 2025-12-18 03:33:15.436688 | 2025-05-13 04:29:37.229489 |
| 2025-12-17 08:17:04.658979 | 2025-12-18 03:31:20.445557 | 16106094 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16106094 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-12-19 | M | AE | MCCOWAN | 93341440D | KEVIN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_16106094_d2e26e25-ac80-4e05-9870-8081c26b68fc.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-03-27 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | 2078-12-31 | 2024-11-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9540702179 | N/A | N/A | 5543270 | 2222 | 4793 | 16379357 | 4211 | 4215086 | 2025-12-18 03:31:20.445557 | 2025-05-13 04:29:37.229401 |
| 2025-12-17 08:17:04.547334 | 2025-12-18 03:33:52.562296 | 16106090 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16106090 | Athletic Physical Therapy Inc | 1943-04-14 | 2025-12-19 | M | PT | DESMET | MBL584M98446 | GRANT | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542900/check_16106090_05db50c8-ef94-4fbc-916d-e766cc154fad.json | N/A | N/A | N/A | N/A | N/A | MBL584M98446 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1943-04-14 | 040 | CAEGR005 | N/A | N/A | false | DESMET | N/A | GRANT | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9540702178 | N/A | N/A | 5542900 | 2222 | 4801 | 16380463 | N/A | 4214759 | 2025-12-18 03:33:52.562296 | 2025-05-13 04:29:37.229079 |
| 2025-12-17 08:17:04.370108 | 2025-12-18 03:33:58.630257 | 16106076 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16106076 | Athletic Physical Therapy Inc | 1964-08-15 | 2025-12-19 | F | PT | OCONLON | XED909983270 | SARA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542827/check_16106076_e6229a54-a2fd-4a65-8066-6dc47db0e1c5.json | N/A | N/A | N/A | N/A | N/A | XED909983270 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1964-08-15 | 2001ZK002185 | X0001004 | N/A | PR | false | OCONLON | N/A | SARA | N/A | 9999-12-31 | 2020-08-01 | IFP EMB PED VISION | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9540702177 | N/A | N/A | 5542827 | 2222 | 4793 | 16380510 | N/A | 4214693 | 2025-12-18 03:33:58.630257 | 2025-05-13 04:29:37.229010 |
| 2025-12-17 08:17:04.257570 | 2025-12-18 03:31:44.431448 | 16106068 | N/A | N/A | 60054 | Aetna | 1114042165 | 16106068 | Athletic Physical Therapy Inc | 2009-08-28 | 2025-12-19 | F | PT | GARCIA | FJB21294792M | STARR | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542769/check_16106068_59e6534a-0aff-4c22-bb17-acd195db36eb.json | N/A | N/A | N/A | N/A | N/A | FJB21294792M | N/A | N/A | AETNA | N/A | 2009-08-28 | 0811385 | 081138503000106 | N/A | N/A | false | RAY | N/A | ALLISON | N/A | N/A | N/A | AETNA VISION PREFERRED | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9540702176 | N/A | N/A | 5542769 | 2222 | 4801 | 16379492 | N/A | 4214641 | 2025-12-18 03:31:44.431448 | 2025-12-09 08:50:02.875071 |
| 2025-12-17 08:17:04.132581 | 2025-12-18 03:31:20.704010 | 16106061 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16106061 | Athletic Physical Therapy Inc | 1961-02-27 | 2025-12-19 | M | AE | SHRIVER | 90771207E | DANIEL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541984/check_16106061_d6e93030-aaaa-4a2c-850b-bf5a95a10b6e.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-02-27 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | SHRIVER | N/A | DANIEL | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9540702175 | N/A | N/A | 5541984 | 2222 | 4802 | 16379358 | 4211 | 4213934 | 2025-12-18 03:31:20.704010 | 2026-01-27 23:36:44.802366 |
| 2025-12-17 08:17:04.023582 | 2025-12-18 03:31:37.143181 | 16106053 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 16106053 | override_provider | 1957-04-11 | 2025-12-19 | M | PT | ADRIAN | MBL508W11635 | NELSON | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541841/check_16106053_9eb4a614-d782-4bc3-9d2a-d315ca1dca34.json | N/A | N/A | N/A | N/A | N/A | MBL508W11635 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | BLUE SHIELD OF CALIFORNIA | N/A | 1957-04-11 | 040 | CAEGR005 | N/A | N/A | false | ADRIAN | N/A | NELSON | N/A | 2025-12-31 | 2022-04-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9540702174 | N/A | N/A | 5541841 | 2222 | 4801 | 16379439 | N/A | 4213826 | 2025-12-18 03:31:37.143181 | 2025-05-13 04:29:37.228146 |
| 2025-12-17 08:17:03.920656 | 2025-12-18 03:36:50.389014 | 16106047 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16106047 | Athletic Physical Therapy Inc | 1955-11-18 | 2025-12-19 | M | AE | MCALPIN | 5W42YG0AH19 | MAC | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541072/check_16106047_ad5f2e7e-df48-4dbc-9ac8-a393ed96a3bb.json | N/A | N/A | N/A | N/A | N/A | 5W42YG0AH19 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-11-18 | S5617 | N/A | N/A | MA | 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 | 9540702173 | N/A | N/A | 5541072 | 2222 | 4801 | 16381674 | N/A | 4213124 | 2025-12-18 03:36:50.389014 | 2025-05-13 04:29:37.227452 |
| 2025-12-17 08:17:03.817081 | 2025-12-18 03:36:49.596285 | 16106039 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16106039 | Athletic Physical Therapy Inc | 1956-01-14 | 2025-12-19 | F | AE | COHENZADEH | 1YM2D25GY27 | SIMA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541059/check_16106039_b5d3d692-ceab-4933-81be-0cf0171a68b8.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 | 9540702172 | N/A | N/A | 5541059 | 2222 | 4802 | 16381668 | N/A | 4213119 | 2025-12-18 03:36:49.596285 | 2025-11-20 01:13:31.057962 |
| 2025-12-17 08:17:03.702819 | 2025-12-18 03:31:43.211208 | 16106029 | N/A | N/A | 60054 | Aetna | 1114042165 | 16106029 | Athletic Physical Therapy Inc | 1982-07-27 | 2025-12-19 | M | AE | BOKHTIER | W275493875 | GOLAM | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540723/check_16106029_7f1d1530-af27-43e9-93e1-af480803c7bf.json | N/A | N/A | N/A | N/A | N/A | W275493875 | Exclusive Provider Organization | AMERICAN EXPRESS COMPANY | AETNA | N/A | 1982-07-27 | 0169631 | 016963101100001 | N/A | EP | false | BOKHTIER | N/A | SUMMER | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9540702171 | N/A | N/A | 5540723 | 2222 | 4793 | 16379483 | N/A | 4212833 | 2025-12-18 03:31:43.211208 | 2025-05-28 20:46:35.079848 |
| 2025-12-17 08:17:03.583814 | 2025-12-18 03:33:52.821131 | 16106018 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16106018 | Athletic Physical Therapy Inc | 1963-05-25 | 2025-12-19 | F | PT | GINSBERG | JQU469A62630 | LISA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539612/check_16106018_ae971818-555c-4b43-b7ee-277d37842d13.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1963-05-25 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 2026-01-01 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9540702170 | N/A | N/A | 5539612 | 2222 | 4793 | 16380465 | N/A | 4211892 | 2025-12-18 03:33:52.821131 | 2025-11-02 22:03:21.557202 |
| 2025-12-17 08:17:03.485593 | 2025-12-18 03:33:53.068936 | 16106012 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16106012 | Athletic Physical Therapy Inc | 1960-08-08 | 2025-12-19 | M | PT | GINSBERG | JQU469A62630 | STEVEN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538693/check_16106012_9de96472-6f40-42f0-873c-2e77ce791ea6.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1960-08-08 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 2026-01-01 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9540702169 | N/A | N/A | 5538693 | 2222 | 4793 | 16380467 | N/A | 4211081 | 2025-12-18 03:33:53.068936 | 2025-05-13 04:29:37.225492 |
| 2025-12-17 08:17:03.369062 | 2025-12-18 03:33:52.013237 | 16106004 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 16106004 | Athletic Physical Therapy Inc | 1947-04-18 | 2025-12-18 | F | PT | BELL | MNL880M78427 | JACQUELYN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536041/check_16106004_9f20a9b1-1869-456c-bbf2-dbd5856d1e68.json | N/A | N/A | N/A | N/A | N/A | MNL880M78427 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1947-04-18 | 040 | CAMCRWP0 | N/A | MP | false | BELL | N/A | JACQUELYN | N/A | 2025-12-31 | 2024-07-01 | CA H4471-001-000 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9540702168 | N/A | N/A | 5536041 | 2222 | 4802 | 16380459 | 4184 | 4208856 | 2025-12-18 03:33:52.013237 | 2025-05-13 04:29:37.223284 |
| 2025-12-17 08:17:03.257017 | 2025-12-18 03:33:15.172955 | 16105996 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16105996 | Athletic Physical Therapy Inc | 1952-12-16 | 2025-12-19 | F | AE | PORTER | 40028215401 | SHERIL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251217.122421887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535434/check_16105996_72795df4-40c6-409d-af02-4b39e0508dd4.json | N/A | N/A | N/A | N/A | N/A | 40028215401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-12-16 | 2025H5425001 | H5425M | N/A | N/A | false | PORTER | N/A | SHERIL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9540702167 | N/A | N/A | 5535434 | 2222 | 4793 | 16380178 | 6237 | 4208356 | 2025-12-18 03:33:15.172955 | 2025-08-25 14:49:27.724897 |
| 2025-12-17 07:54:20.737935 | 2025-12-17 07:54:22.585069 | 16103304 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2025-12-10 | N/A | PT | ULLMAN | 8HC8F35AX50 | DAVID | AE | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7589050/check_16103304_2118887a-66c2-480b-a4ce-c8cf98856dd4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7589050/check_16103304_16305329-b656-48ec-9d79-37761f2edbd1.json | N/A | N/A | N/A | N/A | N/A | 8HC8F35AX50 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-24 | S5921 | N/A | N/A | MB | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | 391444 | PT | AE | N/A | N/A | N/A | N/A | N/A | 9540552098 | 1275 | N/A | 7589050 | 2222 | N/A | 16344882 | N/A | 4208696 | 2025-12-17 07:54:22.585069 | 2025-06-07 16:16:45.844566 |
| 2025-12-17 02:03:45.837014 | 2025-12-17 02:03:47.709157 | 16101958 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-08-20 | 2025-12-17 | F | AE | HAILE MICHAEL | 291W2286820 | ABEBU | PT | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14345284/check_16101958_5b17649f-185d-4c5b-86a2-69fc477ad328.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14345284/check_16101958_fdb27217-de44-45f7-b087-c24e1b3039aa.json | N/A | N/A | N/A | N/A | N/A | 291W2286820 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1958-08-20 | N/A | N/A | N/A | N/A | false | HAILE MICHAEL | N/A | ABEBU | N/A | 9999-12-31 | 2025-02-01 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14345284 | 2222 | N/A | 16335352 | N/A | 4534565 | 2025-12-17 02:03:47.709157 | 2026-03-10 20:57:14.661259 |
| 2025-12-17 02:03:44.132784 | 2025-12-17 02:03:45.833235 | 16101954 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-08-20 | 2025-12-17 | F | AE | HAILE MICHAEL | 291W2286820 | ABEBU | PT | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14345284/check_16101954_cbb40d58-94d7-4f20-b079-dd9c34411dee.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-17 | N/A | N/A | N/A | N/A | N/A | N/A | 291W2286820 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1958-08-20 | N/A | N/A | N/A | N/A | false | HAILE MICHAEL | N/A | ABEBU | N/A | 9999-12-31 | 2025-02-01 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 14345284 | 2222 | N/A | N/A | N/A | 4534565 | 2025-12-17 02:03:45.833235 | 2026-03-10 20:57:14.661259 |
| 2025-12-17 01:01:02.284986 | 2025-12-17 01:01:05.084144 | 16101845 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-12-16 | 2025-12-29 | F | AE | DE FELICE | R07457624FM1 | CHRISTINA | PT | 4625 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6140436/check_16101845_fe5bf641-3fd6-4939-91da-caa11e871043.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140436/check_16101845_6e1ee5a2-1749-4c9e-8eff-0e4e13d73f21.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 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 2708 | N/A | 6140436 | 2222 | N/A | 16299341 | N/A | 4781417 | 2025-12-17 01:01:05.084144 | 2025-06-06 17:03:19.078153 |
| 2025-12-17 01:00:59.405789 | 2025-12-17 01:01:02.281843 | 16101844 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-12-16 | 2025-12-29 | F | AE | DE FELICE | R07457624FM1 | CHRISTINA | PT | 4625 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6140436/check_16101844_95d3d92d-8d02-4272-85d1-f774a4b196de.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-29 | N/A | 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 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 2708 | N/A | 6140436 | 2222 | N/A | N/A | N/A | 4781417 | 2025-12-17 01:01:02.281843 | 2025-06-06 17:03:19.078153 |
| 2025-12-17 00:58:00.476591 | 2025-12-17 00:58:02.681823 | 16101840 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-07-10 | 2025-12-16 | F | PT | Gadde | X8B467M70158 | Lavanya | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543090/check_16101840_15170c61-2a0e-4ba7-9205-735baf709a72.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543090/check_16101840_8a4364d2-fda0-4ad0-bf37-f77d958eaec8.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 | 9538869986 | 162972 | N/A | 5543090 | 2222 | N/A | 16299336 | N/A | 4214925 | 2025-12-17 00:58:02.681823 | 2025-12-17 00:54:52.714750 |