API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-16 08:11:01.677976 | 2025-12-17 01:48:43.445123 | 16046943 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16046943 | Athletic Physical Therapy Inc | 1980-07-16 | 2025-12-19 | M | PT | RUIZ | NCF895A77221 | MIGUEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10079070/check_16046943_d96ac1c8-55a8-4930-bcfc-c0ad12e275b0.json | N/A | N/A | N/A | N/A | N/A | JMV895A77221 | Health Maintenance Organization (HMO) | CALIFORNIA LUTHERAN UNIVERSITY | BLUE SHIELD OF CALIFORNIA | N/A | 1980-07-16 | 040 | 284935H007 | N/A | HM | false | RUIZ | N/A | MIGUEL | N/A | 9999-12-31 | 2024-06-01 | ELEMENTS CHOICE HMO TRADITIONAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9531400043 | N/A | N/A | 10079070 | 2222 | 4801 | 16322852 | N/A | 8422749 | 2025-12-17 01:48:43.445123 | 2025-10-09 18:37:11.515124 |
| 2025-12-16 08:11:01.409644 | 2025-12-17 01:53:42.262982 | 16046911 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16046911 | Athletic Physical Therapy Inc | 1953-11-15 | 2025-12-18 | M | AE | REISMAN | 7JW4EK4UR89 | MARK | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9868745/check_16046911_566f5f17-f951-466b-af4b-e675f0be225f.json | N/A | N/A | N/A | N/A | N/A | 7JW4EK4UR89 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-11-15 | N/A | N/A | N/A | MA | false | REISMAN | N/A | MARK | N/A | N/A | N/A | N/A | N/A | 153445 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400042 | N/A | N/A | 9868745 | 2222 | 4802 | 16329803 | N/A | 8262262 | 2025-12-17 01:53:42.262982 | 2025-09-30 22:45:25.940454 |
| 2025-12-16 08:11:01.177945 | 2025-12-17 01:53:39.122299 | 16046879 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16046879 | Athletic Physical Therapy Inc | 1960-01-10 | 2025-12-17 | F | AE | MAWAS | 1HM1QX0QJ05 | ASMAHAN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9765210/check_16046879_0c5a1f4f-cb85-4f22-a5cb-b2099f31e67e.json | N/A | N/A | N/A | N/A | N/A | 1HM1QX0QJ05 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-01-10 | S5617 | N/A | N/A | MA | false | MAWAS | N/A | ASMAHAN | N/A | N/A | N/A | N/A | N/A | 81323 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400041 | N/A | N/A | 9765210 | 2222 | 4801 | 16329747 | N/A | 8176388 | 2025-12-17 01:53:39.122299 | 2025-10-07 15:06:58.335351 |
| 2025-12-16 08:11:00.944944 | 2025-12-17 01:48:14.825689 | 16046851 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16046851 | Athletic Physical Therapy Inc | 1965-04-22 | 2025-12-19 | M | PT | MCHALE | ZGP814915047 | TIMOTHY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9691017/check_16046851_2ce5303e-99fe-4e1b-a70b-8b702a9c6fae.json | N/A | N/A | N/A | N/A | N/A | ZGP814915047 | Preferred Provider Organization (PPO) | NATIONAL TRENCH SAFETY, INC | ANTHEM BLUE CROSS | N/A | 1965-04-22 | N/A | 400397 | N/A | PR | false | MCHALE | N/A | TIMOTHY | N/A | 9999-12-31 | 2025-01-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9531400040 | N/A | N/A | 9691017 | 2222 | 4801 | 16322223 | N/A | 4212607 | 2025-12-17 01:48:14.825689 | 2025-09-24 22:37:58.534216 |
| 2025-12-16 08:11:00.785784 | 2025-12-17 01:53:45.151260 | 16046830 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16046830 | Athletic Physical Therapy Inc | 1959-02-04 | 2025-12-17 | F | AE | SMITS | 9TF8JW2XU20 | HEIDI | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681583/check_16046830_9447a980-e2af-4afd-a6a3-44606e0596c8.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 | 9531400039 | N/A | N/A | 9681583 | 2222 | 4793 | 16329861 | N/A | 8101289 | 2025-12-17 01:53:45.151260 | 2025-09-24 17:05:46.431721 |
| 2025-12-16 08:11:00.597235 | 2025-12-17 01:48:32.719966 | 16046800 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16046800 | Athletic Physical Therapy Inc | 1962-05-29 | 2025-12-19 | F | PT | LARSON | XEA913804058 | DEBRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9562148/check_16046800_db8f6cfd-15fa-43ed-b865-6880cb388505.json | N/A | N/A | N/A | N/A | N/A | XAN913804058 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1962-05-29 | 1480PPOX0002 | W0051411 | N/A | PR | false | LARSON | N/A | DEBRA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9531400038 | N/A | N/A | 9562148 | 2222 | 4793 | 16322634 | N/A | 7997320 | 2025-12-17 01:48:32.719966 | 2025-10-02 21:07:14.563938 |
| 2025-12-16 08:11:00.400020 | 2025-12-17 01:50:48.524660 | 16046776 | N/A | N/A | SRRGA | Railroad Medicare | 1114042165 | 16046776 | Athletic Physical Therapy Inc | 1977-03-25 | 2025-12-17 | M | AE | BRADBURY | 7HR3VE4QQ94 | ROBERT | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9557582/check_16046776_64c462f5-fcd5-43c9-a0cd-97720098c05e.json | N/A | N/A | N/A | N/A | N/A | 7HR3VE4QQ94 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1977-03-25 | S5617 | N/A | N/A | MB | false | BRADBURY | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400037 | N/A | N/A | 9557582 | 2222 | 4801 | 16325863 | N/A | 7992729 | 2025-12-17 01:50:48.524660 | 2025-10-01 17:15:45.167667 |
| 2025-12-16 08:11:00.200092 | 2025-12-17 01:53:28.728694 | 16046745 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16046745 | Athletic Physical Therapy Inc | 1952-12-18 | 2025-12-19 | F | AE | DU BRIN | 7KN7YG8XT63 | SUSAN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9556751/check_16046745_d045ca7e-f5ac-40b6-bd23-6f7ef95e8e63.json | N/A | N/A | N/A | N/A | N/A | 7KN7YG8XT63 | Medicare Part A | N/A | UNITED SERVICES AUTOMOBILE ASSOC | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-12-18 | S4802 | DOL 06142025 | N/A | MA | false | DU BRIN | N/A | SUSAN | N/A | N/A | N/A | N/A | N/A | 168098 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400036 | N/A | N/A | 9556751 | 2222 | 4793 | 16329546 | N/A | 4210998 | 2025-12-17 01:53:28.728694 | 2026-02-23 18:49:01.874308 |
| 2025-12-16 08:10:59.923613 | 2025-12-17 01:53:45.567421 | 16046699 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16046699 | Athletic Physical Therapy Inc | 1959-02-07 | 2025-12-17 | F | AE | STARK | 5T98ME7EA67 | CHERYL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9449995/check_16046699_3d35f045-99d6-42b5-a2f5-92e554247cb0.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 | 9531400035 | N/A | N/A | 9449995 | 2222 | 4793 | 16329867 | N/A | 7905968 | 2025-12-17 01:53:45.567421 | 2025-09-22 17:53:24.196861 |
| 2025-12-16 08:10:59.642193 | 2025-12-17 01:53:32.041841 | 16046655 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16046655 | Athletic Physical Therapy Inc | 1955-07-01 | 2025-12-18 | F | AE | GREER | 7H09HW9QG44 | ROBIN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411083/check_16046655_0bf99eda-7a5e-409c-ba12-ad925d328d33.json | N/A | N/A | N/A | N/A | N/A | 7H09HW9QG44 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-01 | S5601 | N/A | N/A | MB | false | GREER | N/A | ROBIN | N/A | N/A | N/A | N/A | N/A | 251057 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400034 | N/A | N/A | 9411083 | 2222 | 4802 | 16329612 | N/A | 7879863 | 2025-12-17 01:53:32.041841 | 2026-02-04 18:21:13.840230 |
| 2025-12-16 08:10:59.359191 | 2025-12-17 01:48:04.412816 | 16046615 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 16046615 | Athletic Physical Therapy Inc | 1966-12-04 | 2025-12-19 | M | PT | CLANCY | XDMOE0503879 | JOSEPH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9194927/check_16046615_6a9b35a9-e36c-42a5-b87d-a45298d5ac57.json | N/A | N/A | N/A | N/A | N/A | XDMOE0503879 | Health Maintenance Organization (HMO) | OPERATING ENGINEERS HEALTH&WELFARE FUND | ANTHEM BLUE CROSS | N/A | 1966-12-04 | 040 | 278671H001 | N/A | HM | false | CLANCY | N/A | JOSEPH | N/A | 9999-12-31 | 2025-02-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9531400033 | N/A | N/A | 9194927 | 2222 | 4793 | 16321996 | 4184 | 7712549 | 2025-12-17 01:48:04.412816 | 2025-09-10 17:29:28.945035 |
| 2025-12-16 08:10:59.121725 | 2025-12-17 01:48:19.295044 | 16046579 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16046579 | Athletic Physical Therapy Inc | 2009-01-14 | 2025-12-18 | F | PT | OBACZ | JQV897A63197 | KLOIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9102655/check_16046579_bc7306ec-5e42-4d19-8850-d9234cc76c2e.json | N/A | N/A | N/A | N/A | N/A | JQV897A63197 | Health Maintenance Organization (HMO) | EVOLVED NOVELTIES INC | ANTHEM BLUE CROSS | N/A | 2009-01-14 | 040 | F45883 | N/A | HM | false | OBACZ | N/A | JUSTIN | N/A | 2026-01-01 | 2025-01-01 | CA SG SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9531400032 | N/A | N/A | 9102655 | 2222 | 4801 | 16322312 | 4185 | 7621062 | 2025-12-17 01:48:19.295044 | 2025-09-12 19:10:20.936695 |
| 2025-12-16 08:10:58.856759 | 2025-12-17 01:48:24.168313 | 16046540 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16046540 | Athletic Physical Therapy Inc | 1962-08-12 | 2025-12-18 | F | PT | SCHOLEFIELD | TRJNP1055193 | ROBIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9087505/check_16046540_46b095d8-4691-4296-8689-a62178220b52.json | N/A | N/A | N/A | N/A | N/A | TRJNP1055193 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1962-08-12 | 040 | 276727M007 | N/A | PR | false | SCHOLEFIELD | N/A | ROBIN | N/A | 9999-12-31 | 2020-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9531400031 | N/A | N/A | 9087505 | 2222 | 4793 | 16322419 | N/A | 7605100 | 2025-12-17 01:48:24.168313 | 2025-09-11 15:07:41.965017 |
| 2025-12-16 08:10:58.427395 | 2025-12-17 01:53:43.754340 | 16046482 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16046482 | Athletic Physical Therapy Inc | 1942-10-02 | 2025-12-17 | M | AE | SAWAYA | 3R88YH3MG32 | PETER | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9033458/check_16046482_3f313dca-907a-42b7-8be8-17b4a2d27cb8.json | N/A | N/A | N/A | N/A | N/A | 3R88YH3MG32 | Medicare Part A | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-10-02 | S9701 | N/A | N/A | MA | false | SAWAYA | N/A | PETER | N/A | N/A | N/A | N/A | N/A | 229181 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400030 | N/A | N/A | 9033458 | 2222 | 4802 | 16329834 | N/A | 7553607 | 2025-12-17 01:53:43.754340 | 2025-09-02 22:55:04.873891 |
| 2025-12-16 08:10:58.085937 | 2025-12-17 01:48:21.525421 | 16046437 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16046437 | Athletic Physical Therapy Inc | 1952-08-20 | 2025-12-19 | M | PT | POLK | MBL292M95257 | KENNETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9022039/check_16046437_11137021-b4a0-4df3-9d0a-aa40563bb8b4.json | N/A | N/A | N/A | N/A | N/A | MBL292M95257 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1952-08-20 | 040 | CAEGR002 | N/A | N/A | false | POLK | N/A | KENNETH | 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 | 9531400029 | N/A | N/A | 9022039 | 2222 | 4801 | 16322357 | N/A | 7544773 | 2025-12-17 01:48:21.525421 | 2025-09-02 18:35:33.812098 |
| 2025-12-16 08:10:57.740685 | 2025-12-17 01:53:31.168323 | 16046388 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16046388 | Athletic Physical Therapy Inc | 1948-07-07 | 2025-12-19 | F | AE | GOEL | 5RR4M63DR65 | VEENA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969533/check_16046388_7f71d1b0-5e2d-43fe-abd6-60afc0489049.json | N/A | N/A | N/A | N/A | N/A | 5RR4M63DR65 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-07 | S5596 | N/A | N/A | MA | false | GOEL | N/A | VEENA | N/A | N/A | N/A | N/A | N/A | 241000 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400028 | N/A | N/A | 8969533 | 2222 | 4802 | 16329595 | N/A | 7485064 | 2025-12-17 01:53:31.168323 | 2025-12-29 22:41:16.623495 |
| 2025-12-16 08:10:57.452570 | 2025-12-17 01:53:31.552389 | 16046350 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16046350 | Athletic Physical Therapy Inc | 1955-11-13 | 2025-12-18 | F | AE | GRANT | 9JA3JK2TK87 | ROBIN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8493311/check_16046350_8c56427e-5134-4b50-a11b-67014c260503.json | N/A | N/A | N/A | N/A | N/A | 9JA3JK2TK87 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-11-13 | S4802 | N/A | N/A | MA | false | GRANT | N/A | ROBIN | N/A | N/A | N/A | N/A | N/A | 216109 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400027 | N/A | N/A | 8493311 | 2222 | 4802 | 16329604 | N/A | 7159835 | 2025-12-17 01:53:31.552389 | 2025-08-25 22:38:59.735145 |
| 2025-12-16 08:10:57.095796 | 2025-12-17 01:48:01.098265 | 16046304 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16046304 | Athletic Physical Therapy Inc | 1961-03-04 | 2025-12-19 | M | PT | AVEDISSIAN | JQU233A54125 | ARMEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8472241/check_16046304_60901491-aded-4074-beb4-bf559dfbe281.json | N/A | N/A | N/A | N/A | N/A | JQU233A54125 | Preferred Provider Organization (PPO) | BRAND PRODUCE INC | MEDICARE A | N/A | 1961-03-04 | 040 | J35185 | N/A | PR | false | AVEDISSIAN | N/A | ARMEN | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9531400026 | N/A | N/A | 8472241 | 2222 | 4801 | 16321923 | N/A | 7143064 | 2025-12-17 01:48:01.098265 | 2025-10-10 06:06:58.213429 |
| 2025-12-16 08:10:56.652219 | 2025-12-17 01:48:10.344664 | 16046238 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16046238 | Athletic Physical Therapy Inc | 2011-10-18 | 2025-12-18 | F | PT | GARCIA | LDU736A55056 | SADIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8387470/check_16046238_32a63aa1-f72c-4890-bd37-0a688ba3ee3a.json | N/A | N/A | N/A | N/A | N/A | LDU736A55056 | Exclusive Provider Organization | LAUSD | ANTHEM BLUE CROSS | N/A | 2011-10-18 | 040 | 1838NJ | N/A | EP | false | GARCIA | N/A | RUBEN | N/A | 2026-01-01 | 2024-01-01 | PRUDENT BUYER EXCLUSIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9531400025 | N/A | N/A | 8387470 | 2222 | 4801 | 16322122 | N/A | 5132739 | 2025-12-17 01:48:10.344664 | 2025-07-14 21:32:03.363712 |
| 2025-12-16 08:10:56.322411 | 2025-12-17 01:48:41.967890 | 16046185 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16046185 | Athletic Physical Therapy Inc | 1985-01-29 | 2025-12-18 | F | PT | MURPHY | NGO398A23229 | DARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202094/check_16046185_6cd5505d-7982-4f05-9fe2-6c605acb2f53.json | N/A | N/A | N/A | N/A | N/A | NGO398A23229 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORPORATION | BLUE SHIELD OF CALIFORNIA | N/A | 1985-01-29 | 040 | 174022MJAD | N/A | PR | false | MURPHY | N/A | SCOTT | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9531400024 | N/A | N/A | 8202094 | 2222 | 4793 | 16322815 | N/A | 6964828 | 2025-12-17 01:48:41.967890 | 2025-08-21 15:20:41.432970 |
| 2025-12-16 08:10:56.047354 | 2025-12-17 01:48:30.575768 | 16046142 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16046142 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-12-17 | F | PT | GIANNE | XED910762094 | NATALIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_16046142_7adf0754-f275-45cf-aab0-f2b3823b5d83.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 | 9531400023 | N/A | N/A | 7994545 | 2222 | 4802 | 16322577 | N/A | 6802250 | 2025-12-17 01:48:30.575768 | 2025-08-11 23:58:28.358402 |
| 2025-12-16 08:10:55.841726 | 2025-12-17 01:48:39.512635 | 16046103 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16046103 | Athletic Physical Therapy Inc | 1987-11-24 | 2025-12-18 | F | PT | Halat | FIZ100010118257 | Hooram | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7870152/check_16046103_2add6493-1c66-4b88-bbe5-51f7070944dc.json | N/A | N/A | N/A | N/A | N/A | FIZ100010118257 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | 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. | 1987-11-24 | N/A | N/A | N/A | PR | false | HALAT | N/A | HOORAM | 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 | 9531400022 | N/A | N/A | 7870152 | 2222 | 4802 | 16322762 | N/A | 6698799 | 2025-12-17 01:48:39.512635 | 2025-08-07 18:40:53.120761 |
| 2025-12-16 08:10:55.691846 | 2025-12-17 01:53:48.507226 | 16046076 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16046076 | Athletic Physical Therapy Inc | 1949-10-28 | 2025-12-18 | M | AE | WALROTH | 7X79TQ1VA36 | TERRY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7785550/check_16046076_aff7335a-7297-475e-be67-4620d08dc3da.json | N/A | N/A | N/A | N/A | N/A | 7X79TQ1VA36 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-10-28 | N/A | N/A | N/A | MA | false | WALROTH | N/A | TERRY | N/A | N/A | N/A | N/A | N/A | 216469 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400021 | N/A | N/A | 7785550 | 2222 | 4801 | 16329923 | N/A | 6629682 | 2025-12-17 01:53:48.507226 | 2025-08-05 17:28:10.392410 |
| 2025-12-16 08:10:55.541459 | 2025-12-17 01:44:17.049534 | 16046049 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16046049 | Athletic Physical Therapy Inc | 1962-09-23 | 2025-12-17 | M | AE | Thur | 95641377F | Pyi | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449843/check_16046049_3c06fcc7-542f-461a-a849-f8d4f9526f88.json | N/A | N/A | N/A | N/A | N/A | 95641377F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 11/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1962-09-23 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | THUR | N/A | PYI | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400020 | N/A | N/A | 7449843 | 2222 | 4802 | 16317727 | 4211 | 6399635 | 2025-12-17 01:44:17.049534 | 2025-07-29 18:42:47.970149 |
| 2025-12-16 08:10:55.401591 | 2025-12-17 01:48:17.233712 | 16046030 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16046030 | Athletic Physical Therapy Inc | 1962-09-14 | 2025-12-17 | F | PT | MOORE | W2A952W18561 | YOLANDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7447590/check_16046030_c157dccc-8f0a-40a3-aebd-649b56723161.json | N/A | N/A | N/A | N/A | N/A | WZA952W18561 | Preferred Provider Organization (PPO) | WARNER BROS DISCOVERY INC | ANTHEM BLUE CROSS | N/A | 1962-09-14 | 130 | 270240M25A | N/A | PR | false | MOORE | N/A | YOLANDA | N/A | 9999-12-31 | 2024-01-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9531400814 | N/A | N/A | 7447590 | 2222 | 4801 | 16322269 | N/A | 6397797 | 2025-12-17 01:48:17.233712 | 2025-08-12 19:16:58.418300 |
| 2025-12-16 08:10:55.247125 | 2025-12-17 01:47:49.942802 | 16046002 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16046002 | Athletic Physical Therapy Inc | 1966-07-12 | 2025-12-18 | M | AE | Cohn | R06589895MM1 | David | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7315101/check_16046002_1cf40238-edf5-4084-b6e4-602d2a81a21a.json | N/A | N/A | N/A | N/A | N/A | R06589895MM1 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1966-07-12 | N/A | CA05620125 | N/A | N/A | false | COHN | N/A | DAVID | N/A | N/A | N/A | WELLCARE SIMPLE FOCUS (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400813 | N/A | N/A | 7315101 | 2222 | 4802 | 16321657 | 4625 | 6152454 | 2025-12-17 01:47:49.942802 | 2025-07-17 21:44:04.596080 |
| 2025-12-16 08:10:55.114818 | 2025-12-17 01:47:54.676394 | 16045981 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16045981 | Athletic Physical Therapy Inc | 1954-02-12 | 2025-12-17 | M | AE | NAGHSHBANDI | 00000388791 | ABDUL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7314863/check_16045981_d1735234-61d8-4b3f-9ba5-792e77fd8f7e.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 | 9531400812 | N/A | N/A | 7314863 | 2222 | 4793 | 16321770 | 2630 | 4208741 | 2025-12-17 01:47:54.676394 | 2025-08-01 18:22:58.464314 |
| 2025-12-16 08:10:54.959466 | 2025-12-17 01:48:34.803595 | 16045955 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16045955 | Athletic Physical Therapy Inc | 1976-09-29 | 2025-12-18 | F | PT | RAND | XED912141111 | ELLEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7257479/check_16045955_b9d7e50d-0bee-47d3-a1aa-7ab38e632ed5.json | N/A | N/A | N/A | N/A | N/A | XED912141111 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1976-09-29 | 2001ZK002193 | X0001004 | N/A | PR | false | RAND | N/A | ELLEN | N/A | 9999-12-31 | 2023-03-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9531400811 | N/A | N/A | 7257479 | 2222 | 4802 | 16322674 | N/A | 4210270 | 2025-12-17 01:48:34.803595 | 2025-07-08 18:23:05.596578 |
| 2025-12-16 08:10:54.712457 | 2025-12-17 01:44:12.735870 | 16045918 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16045918 | Athletic Physical Therapy Inc | 1976-02-07 | 2025-12-19 | F | AE | MALTSEVA | 94237973H65017 | YEVHENIIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7253095/check_16045918_9221b0a4-af94-4fbf-92a0-4a64bb002bdb.json | N/A | N/A | N/A | N/A | N/A | 94237973H65017 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1976-02-07 | N/A | N/A | N/A | N/A | false | MALTSEVA | N/A | YEVHENIIA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400810 | N/A | N/A | 7253095 | 2222 | 4802 | 16317666 | 4211 | 6219145 | 2025-12-17 01:44:12.735870 | 2025-07-21 16:40:35.276086 |
| 2025-12-16 08:10:54.359524 | 2025-12-17 01:53:30.273483 | 16045865 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16045865 | Athletic Physical Therapy Inc | 1959-02-09 | 2025-12-18 | F | AE | FERTSCHNEIDER | 4DU9YG4YD46 | NANCY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7204595/check_16045865_c925c20c-d67e-49b8-a4fc-20c3d3c3d00f.json | N/A | N/A | N/A | N/A | N/A | 4DU9YG4YD46 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-09 | S5884 | N/A | N/A | MA | false | FERTSCHNEIDER | N/A | NANCY | N/A | N/A | N/A | N/A | N/A | 208662 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400809 | N/A | N/A | 7204595 | 2222 | 4801 | 16329577 | N/A | 6175435 | 2025-12-17 01:53:30.273483 | 2025-08-05 19:05:08.506352 |
| 2025-12-16 08:10:54.020178 | 2025-12-17 01:47:55.262974 | 16045819 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 16045819 | Athletic Physical Therapy Inc | 1958-04-03 | 2025-12-18 | F | AE | NIAZI | 00000388782 | RAHIMA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6958289/check_16045819_4db6a29f-bf56-4228-863b-04e58a4b7267.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 | 9531400808 | N/A | N/A | 6958289 | 2222 | 4793 | 16321785 | N/A | 5983606 | 2025-12-17 01:47:55.262974 | 2025-07-18 18:03:17.155924 |
| 2025-12-16 08:10:53.687214 | 2025-12-17 01:53:25.979806 | 16045776 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16045776 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-12-18 | M | AE | CICCIARI | 1AK4JC6NK84 | LOUIS | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_16045776_c9cd959e-9c03-4c26-aff8-8e751005d0a2.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5596 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | 397360 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400807 | N/A | N/A | 6752936 | 2222 | 4801 | 16329484 | N/A | 5065602 | 2025-12-17 01:53:25.979806 | 2025-07-01 17:25:13.681724 |
| 2025-12-16 08:10:53.375283 | 2025-12-17 01:53:28.071175 | 16045732 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16045732 | Athletic Physical Therapy Inc | 1934-12-03 | 2025-12-19 | M | AE | Dayzadeh | 9A94PK6GA08 | Nasser | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583825/check_16045732_4e1f4377-6a26-4041-91b0-379ea9c2ded5.json | N/A | N/A | N/A | N/A | N/A | 9A94PK6GA08 | Medicare Part A | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1934-12-03 | S2468 | N/A | N/A | MA | 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 | 9531400806 | N/A | N/A | 6583825 | 2222 | 4802 | 16329529 | N/A | 5202586 | 2025-12-17 01:53:28.071175 | 2025-06-25 17:55:27.155518 |
| 2025-12-16 08:10:53.042970 | 2025-12-17 01:53:29.940151 | 16045682 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16045682 | Athletic Physical Therapy Inc | 1947-08-18 | 2025-12-17 | F | AE | FABER | 4X26K21EE83 | LINDA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_16045682_8799e7e1-02af-4863-b71c-afcfb9195bc4.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 | 9531400805 | N/A | N/A | 6522947 | 2222 | 4802 | 16329571 | N/A | 5146127 | 2025-12-17 01:53:29.940151 | 2025-06-20 17:58:23.371130 |
| 2025-12-16 08:10:52.676463 | 2025-12-17 01:46:34.625038 | 16045622 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16045622 | Athletic Physical Therapy Inc | 1951-11-24 | 2025-12-19 | F | AE | SILVA | 40047267701 | ROSALIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6445982/check_16045622_170a9aea-657d-41f3-a219-ca6ebbb2c1b1.json | N/A | N/A | N/A | N/A | N/A | 40047267701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-11-24 | 2025H5425001 | H5425M | N/A | N/A | false | SILVA | N/A | ROSALIA | 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 | 9531400804 | N/A | N/A | 6445982 | 2222 | 4801 | 16320104 | 6237 | 5085675 | 2025-12-17 01:46:34.625038 | 2025-11-17 23:46:25.232629 |
| 2025-12-16 08:10:52.364244 | 2025-12-17 01:44:06.416506 | 16045566 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 16045566 | Athletic Physical Therapy Inc | 1962-06-24 | 2025-12-18 | F | AE | GOMEZ | 44116442 | CAROL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6434660/check_16045566_eaad80a5-dfaf-4fd1-9bff-fe37dbd1b6b9.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 | 9531400803 | N/A | N/A | 6434660 | 2222 | 4801 | 16317586 | 6798 | 5079832 | 2025-12-17 01:44:06.416506 | 2025-06-23 20:02:36.660262 |
| 2025-12-16 08:10:51.959067 | 2025-12-17 01:45:38.373588 | 16045502 | N/A | N/A | 61101 | HUMANA | 1114042165 | 16045502 | Athletic Physical Therapy Inc | 1950-06-01 | 2025-12-19 | F | AE | MCDEVITT | H7220666800 | GUADALUPE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6221805/check_16045502_155537ef-d6f9-4ad1-b671-e25c6d23db10.json | N/A | N/A | N/A | N/A | N/A | H72206668 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1950-06-01 | N/A | 0B527001 | N/A | HN | false | MCDEVITT | N/A | GUADALUPE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400802 | N/A | N/A | 6221805 | 2222 | 4801 | 16319141 | 5349 | 4865742 | 2025-12-17 01:45:38.373588 | 2025-06-11 15:46:59.098537 |
| 2025-12-16 08:10:51.545477 | 2025-12-17 01:47:53.545879 | 16045440 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16045440 | Athletic Physical Therapy Inc | 1943-03-11 | 2025-12-19 | M | AE | MATHEU | 00000270336 | CARLOS | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6189737/check_16045440_111d5a70-6b1d-496e-badb-8d75791adcd1.json | N/A | N/A | N/A | N/A | N/A | 00000270336 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1943-03-11 | H3815028 | N/A | N/A | HM | false | MATHEU | N/A | CARLOS | 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 | 9531400800 | N/A | N/A | 6189737 | 2222 | 4801 | 16321746 | 2630 | 4209126 | 2025-12-17 01:47:53.545879 | 2025-05-13 04:29:37.223551 |
| 2025-12-16 08:10:51.212062 | 2025-12-17 01:47:45.234769 | 16045390 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16045390 | Athletic Physical Therapy Inc | 1964-11-15 | 2025-12-18 | F | AE | BIKOULOVA | 92040499F | ALEXANDRA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874423/check_16045390_d52a392d-1e1f-4888-a172-b6363653f34e.json | N/A | N/A | N/A | N/A | N/A | 92040499F | N/A | N/A | HEALTH NET, LLC | N/A | 1964-11-15 | N/A | N/A | N/A | N/A | false | BIKOULOVA | N/A | ALEXANDRA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400799 | N/A | N/A | 5874423 | 2222 | 4802 | 16321549 | 4625 | 4534552 | 2025-12-17 01:47:45.234769 | 2025-05-30 18:01:03.324126 |
| 2025-12-16 08:10:50.740481 | 2025-12-17 01:47:52.381963 | 16045330 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 16045330 | Athletic Physical Therapy Inc | 1956-07-24 | 2025-12-18 | F | AE | HOCHFELD | 00000365425 | PAMELA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676362/check_16045330_907b399e-0fcb-4fd0-8487-590c4d499219.json | N/A | N/A | N/A | N/A | N/A | 00000365425 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-07-24 | H3815028 | N/A | N/A | HM | false | HOCHFELD | N/A | PAMELA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400798 | N/A | N/A | 5676362 | 2222 | 4793 | 16321718 | N/A | 4219743 | 2025-12-17 01:47:52.381963 | 2025-12-04 22:36:02.632383 |
| 2025-12-16 08:10:50.342367 | 2025-12-17 01:48:19.990570 | 16045280 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 16045280 | Athletic Physical Therapy Inc | 1946-04-03 | 2025-12-18 | F | PT | OBLINGER | JQS491M78254 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676340/check_16045280_82a71c39-5f65-4773-971b-859f424f1f38.json | N/A | N/A | N/A | N/A | N/A | JQS491M78254 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1946-04-03 | 040 | CAMCRWP0 | N/A | MP | false | OBLINGER | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9531400797 | N/A | N/A | 5676340 | 2222 | 4793 | 16322325 | 4184 | 4210531 | 2025-12-17 01:48:19.990570 | 2025-12-09 17:09:13.960610 |
| 2025-12-16 08:10:49.970575 | 2025-12-17 01:47:43.928199 | 16045229 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16045229 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-12-18 | F | AE | GIANOLI | R11857813FM1 | ELSY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_16045229_97246893-a24d-4174-873e-24470992518e.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 | 9531400796 | N/A | N/A | 5568076 | 2222 | 4802 | 16321517 | 4625 | 4209480 | 2025-12-17 01:47:43.928199 | 2026-04-10 02:05:15.976484 |
| 2025-12-16 08:10:49.704539 | 2025-12-17 01:53:36.259525 | 16045197 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16045197 | Athletic Physical Therapy Inc | 1956-11-29 | 2025-12-17 | M | AE | LYGA | 9E33A44VQ74 | FRANK | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550634/check_16045197_c1681137-74ed-4b99-8606-763a998443c2.json | N/A | N/A | N/A | N/A | N/A | 9E33A44VQ74 | Medicare Part A | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-11-29 | S5596 | DOL 07071986 | N/A | MA | false | LYGA | N/A | FRANK | N/A | N/A | N/A | N/A | N/A | 238148 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400795 | N/A | N/A | 5550634 | 2222 | 4801 | 16329689 | N/A | 4219584 | 2025-12-17 01:53:36.259525 | 2025-09-29 18:19:47.145731 |
| 2025-12-16 08:10:49.488251 | 2025-12-17 01:45:36.066396 | 16045168 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 16045168 | Athletic Physical Therapy Inc | 1970-09-15 | 2025-12-19 | F | AE | DON | H74748118 | JACKIE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550314/check_16045168_dc5abd0d-ff2c-4679-8b64-5c583f43815e.json | N/A | N/A | N/A | N/A | N/A | H74748118 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1970-09-15 | N/A | 0B666001 | N/A | HN | false | DON | N/A | JACKIE | 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 | 9531400794 | N/A | N/A | 5550314 | 2222 | 4801 | 16319113 | N/A | 4219523 | 2025-12-17 01:45:36.066396 | 2025-12-13 21:47:36.966446 |
| 2025-12-16 08:10:49.223787 | 2025-12-17 01:53:22.727056 | 16045134 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16045134 | Athletic Physical Therapy Inc | 1954-05-11 | 2025-12-19 | M | AE | A Peters | 1R78CR5JR59 | Dennis | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550025/check_16045134_8d22c0bc-d9c4-47f2-99df-0a77fbb53836.json | N/A | N/A | N/A | N/A | N/A | 1R78CR5JR59 | N/A | N/A | CMS | N/A | 1954-05-11 | N/A | N/A | N/A | N/A | false | A PETERS | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400793 | N/A | N/A | 5550025 | 2222 | 4801 | 16329410 | N/A | 4219449 | 2025-12-17 01:53:22.727056 | 2025-10-07 21:32:27.567534 |
| 2025-12-16 08:10:49.014213 | 2025-12-17 01:53:30.773593 | 16045105 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16045105 | Athletic Physical Therapy Inc | 1951-12-26 | 2025-12-18 | M | AE | FINEBERG | 9FX3D52YD09 | MARTIN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549980/check_16045105_a51af2a4-78b4-48e9-9260-ca6fdbdd7d6e.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MA | false | FINEBERG | N/A | MARTIN | N/A | N/A | N/A | N/A | N/A | 278366 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400792 | N/A | N/A | 5549980 | 2222 | 4802 | 16329586 | N/A | 4219436 | 2025-12-17 01:53:30.773593 | 2025-05-13 04:29:37.230471 |
| 2025-12-16 08:10:48.769663 | 2025-12-17 01:48:05.243927 | 16045070 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 16045070 | Athletic Physical Therapy Inc | 1955-10-09 | 2025-12-18 | M | PT | COE | JQS589W10732 | SCOTT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549514/check_16045070_535347bd-3601-41bc-8c88-94ff448b2891.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 | 9531400791 | N/A | N/A | 5549514 | 2222 | 4801 | 16322014 | 4185 | 4219161 | 2025-12-17 01:48:05.243927 | 2025-10-16 23:24:12.118501 |
| 2025-12-16 08:10:48.419647 | 2025-12-17 01:47:44.564291 | 16045035 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16045035 | Athletic Physical Therapy Inc | 1967-12-23 | 2025-12-19 | F | AE | SOL | U9859952501 | ISABEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549212/check_16045035_79c6b1fd-4747-423c-b316-7cc59d2e389f.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 | 9531400790 | N/A | N/A | 5549212 | 2222 | 4793 | 16321532 | N/A | 4218926 | 2025-12-17 01:47:44.564291 | 2025-07-30 14:07:18.779456 |
| 2025-12-16 08:10:48.072080 | 2025-12-17 01:44:07.103105 | 16044999 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 16044999 | Athletic Physical Therapy Inc | 1941-05-24 | 2025-12-18 | F | AE | REGGIANI | 41813758 | SUSANA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549015/check_16044999_1d433129-b4ae-4def-8f44-d1059c5e3727.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 | 9531400789 | N/A | N/A | 5549015 | 2222 | 4801 | 16317595 | 6798 | 4208849 | 2025-12-17 01:44:07.103105 | 2025-05-13 04:29:37.223279 |
| 2025-12-16 08:10:47.804129 | 2025-12-17 01:53:26.696509 | 16044960 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16044960 | Athletic Physical Therapy Inc | 1946-03-10 | 2025-12-19 | F | AE | CLARK | 8KR2PU6TJ09 | CARLA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251216.100240070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549006/check_16044960_f0ee07c3-ec97-4a5d-9e32-01bc43b37454.json | N/A | N/A | N/A | N/A | N/A | 8KR2PU6TJ09 | Medicare Part A | N/A | EMPLOYERS INSURANCE COMPANY OF N | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-03-10 | N/A | DOL 06022014 | N/A | MA | false | CLARK | N/A | CARLA | N/A | N/A | N/A | N/A | N/A | 148843 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400788 | N/A | N/A | 5549006 | 2222 | 4801 | 16329500 | N/A | 4218754 | 2025-12-17 01:53:26.696509 | 2025-05-13 04:29:37.229746 |