API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-16 08:10:47.562120 | 2025-12-17 01:46:32.407624 | 16044932 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 16044932 | Athletic Physical Therapy Inc | 1942-12-11 | 2025-12-17 | F | AE | PT | HENDERSHOT | 31071948801 | RENNE | 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/2222/5543556/check_16044932_f981181b-a819-415d-b011-983910d29a9c.json | N/A | N/A | N/A | N/A | N/A | 31071948801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1942-12-11 | 2025H5425001 | H5425M | N/A | N/A | false | HENDERSHOT | N/A | RENEE | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400787 | N/A | N/A | 5543556 | 2222 | 4793 | 16320064 | N/A | 4215334 | 2025-12-17 01:46:32.407624 | 2025-12-09 18:18:58.430690 |
| 2025-12-16 08:10:47.367136 | 2025-12-17 01:53:25.009259 | 16044902 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16044902 | Athletic Physical Therapy Inc | 1957-05-23 | 2025-12-18 | F | AE | PT | CEASAR | 6XR6JY3MJ89 | DEBBIE | 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/2222/5543553/check_16044902_bd08566e-ebc0-4962-808b-f363e8a590bc.json | N/A | N/A | N/A | N/A | N/A | 6XR6JY3MJ89 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-23 | S5660 | N/A | N/A | MA | false | CEASAR | N/A | DEBBIE | N/A | N/A | N/A | N/A | N/A | 100562 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400786 | N/A | N/A | 5543553 | 2222 | 4793 | 16329466 | N/A | 4215327 | 2025-12-17 01:53:25.009259 | 2025-05-13 04:29:37.229651 |
| 2025-12-16 08:10:47.205337 | 2025-12-17 01:47:46.796035 | 16044882 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16044882 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-12-18 | M | AE | PT | FORTIN | R14644640MS1 | NATHANIEL | 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/2222/5543425/check_16044882_24bc70d1-f4b4-4eb4-b018-5493611a55bd.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | KVT SBGHMOWC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400785 | N/A | N/A | 5543425 | 2222 | 4801 | 16321583 | 4625 | 4215211 | 2025-12-17 01:47:46.796035 | 2026-04-02 22:30:20.020246 |
| 2025-12-16 08:10:47.003591 | 2025-12-17 01:48:07.628523 | 16044851 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16044851 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-12-18 | F | PT | N/A | DAKE | SIF326M90066 | RENEE | 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/2222/5543355/check_16044851_9cdca6e6-4fc9-4c80-9adb-f4f2b39e2ad8.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | Preferred Provider Organization (PPO) | SISC - MEADOWS ARTS & TECH ELEMENTARY SCHOOL | ANTHEM BLUE CROSS | N/A | 1968-01-29 | 040 | 40424B | N/A | PR | false | DAKE | N/A | RENEE | N/A | 9999-12-31 | 2018-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9531400784 | N/A | N/A | 5543355 | 2222 | 4793 | 16322070 | N/A | 4215158 | 2025-12-17 01:48:07.628523 | 2025-05-13 04:29:37.229475 |
| 2025-12-16 08:10:46.822251 | 2025-12-17 01:53:29.592373 | 16044828 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16044828 | Athletic Physical Therapy Inc | 1948-08-18 | 2025-12-18 | M | AE | PT | EDA | 9AC4JX7TW77 | MASAAKI | 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/2222/5543330/check_16044828_09a66981-ea83-4292-978a-f33239d4de42.json | N/A | N/A | N/A | N/A | N/A | 9AC4JX7TW77 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-08-18 | S5596 | N/A | N/A | MB | false | EDA | N/A | MASAAKI | N/A | N/A | N/A | N/A | N/A | 180597 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400783 | N/A | N/A | 5543330 | 2222 | 4802 | 16329562 | N/A | 4215140 | 2025-12-17 01:53:29.592373 | 2025-05-13 04:29:37.229453 |
| 2025-12-16 08:10:46.549878 | 2025-12-17 01:44:13.530846 | 16044800 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16044800 | Athletic Physical Therapy Inc | 1961-07-08 | 2025-12-19 | F | AE | PT | BERRY | 606308574 | KAREN | 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/2222/5543264/check_16044800_5be99cd4-4332-442d-b434-87979fd65ad5.json | N/A | N/A | N/A | N/A | N/A | 606308574 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 1961-07-08 | 18126CA001000306 | QMXEM01910 | N/A | N/A | false | BERRY | N/A | KAREN | N/A | 2025-12-31 | 2025-09-01 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400782 | N/A | N/A | 5543264 | 2222 | 4802 | 16317677 | 4211 | 4215080 | 2025-12-17 01:44:13.530846 | 2025-05-13 04:29:37.229395 |
| 2025-12-16 08:10:46.122750 | 2025-12-17 01:48:33.957775 | 16044748 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16044748 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-12-18 | F | PT | N/A | PAUL | XEK914147727 | SARA | 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/2222/5543211/check_16044748_433ed45f-47c1-4ac0-90c4-36d1e9518f11.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | 9999-12-31 | 2025-02-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9531400781 | N/A | N/A | 5543211 | 2222 | 4801 | 16322660 | N/A | 4215028 | 2025-12-17 01:48:33.957775 | 2025-05-13 04:29:37.229346 |
| 2025-12-16 08:10:45.767249 | 2025-12-17 01:48:13.647069 | 16044714 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16044714 | Athletic Physical Therapy Inc | 1974-08-13 | 2025-12-19 | F | PT | N/A | HUGGINS | JXN261A50994 | DEEDEE | 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/2222/5543043/check_16044714_33924f9c-febd-4c65-a144-e923e9be9c31.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 9999-12-31 | 2022-01-01 | BC PPO INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9531400780 | N/A | N/A | 5543043 | 2222 | 4801 | 16322194 | N/A | 4214884 | 2025-12-17 01:48:13.647069 | 2025-11-12 00:46:10.301659 |
| 2025-12-16 08:10:45.396823 | 2025-12-17 01:48:23.631922 | 16044666 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16044666 | Athletic Physical Therapy Inc | 1963-10-10 | 2025-12-18 | F | PT | N/A | RUEGGER | MPI01409385Q | ANNE | 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/2222/5542955/check_16044666_7dfb94e4-aeac-44a0-856c-d8f719830bdd.json | N/A | N/A | N/A | N/A | N/A | MPI01409385Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN - RETIREE | ANTHEM BLUE CROSS | N/A | 1963-10-10 | 040 | 277163M406 | N/A | PR | false | RUEGGER | N/A | THOMAS | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9531400779 | N/A | N/A | 5542955 | 2222 | 4793 | 16322404 | N/A | 4214809 | 2025-12-17 01:48:23.631922 | 2025-06-05 16:00:56.918021 |
| 2025-12-16 08:10:45.128029 | 2025-12-17 01:53:42.651505 | 16044638 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16044638 | Athletic Physical Therapy Inc | 1951-06-05 | 2025-12-19 | F | AE | PT | Roberts | 8J26AQ7EV76 | Mary Bryan | 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/2222/5542843/check_16044638_6162fe6c-e5c3-4db0-97aa-8ddb9c336b8a.json | N/A | N/A | N/A | N/A | N/A | 8J26AQ7EV76 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-05 | S5601 | N/A | N/A | MA | false | ROBERTS | N/A | MARY | N/A | N/A | N/A | N/A | N/A | 207665 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400778 | N/A | N/A | 5542843 | 2222 | 4793 | 16329811 | N/A | 4214712 | 2025-12-17 01:53:42.651505 | 2025-11-12 19:26:06.663656 |
| 2025-12-16 08:10:44.783933 | 2025-12-17 01:47:49.112785 | 16044600 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16044600 | Athletic Physical Therapy Inc | 1979-11-17 | 2025-12-19 | F | AE | PT | WOODS | 96781627F | JESSICA | 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/2222/5542752/check_16044600_9d34e8a3-8cdc-4131-a5c0-f60202df4c97.json | N/A | N/A | N/A | N/A | N/A | 96781627F | N/A | N/A | HEALTH NET, LLC | N/A | 1979-11-17 | N/A | N/A | N/A | N/A | false | WOODS | N/A | JESSICA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400777 | N/A | N/A | 5542752 | 2222 | 4793 | 16321639 | 4625 | 4214627 | 2025-12-17 01:47:49.112785 | 2025-06-23 18:58:46.304598 |
| 2025-12-16 08:10:44.393034 | 2025-12-17 01:47:46.023375 | 16044553 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 16044553 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-12-19 | F | AE | PT | CHERE | 98953535F | DIANA | 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/2222/5542660/check_16044553_c615bee0-b19a-45e9-ac2e-6464a5899483.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400776 | N/A | N/A | 5542660 | 2222 | 4802 | 16321564 | 4625 | 4214542 | 2025-12-17 01:47:46.023375 | 2025-05-13 04:29:37.228868 |
| 2025-12-16 08:10:44.065188 | 2025-12-17 01:44:14.976681 | 16044513 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16044513 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-12-18 | F | AE | PT | HAMI | 92932800G | FARIBA | 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/2222/5542611/check_16044513_1c5de613-e6ae-4849-925f-489e9ee2474b.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MEDICARE PART AB CI003 | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1960-09-15 | BP0001 | QMXEM01909 | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | 2078-12-31 | 2025-11-01 | DUAL ELIGIBLE AGED - MSP - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400775 | N/A | N/A | 5542611 | 2222 | 4802 | 16317693 | 4211 | 4214490 | 2025-12-17 01:44:14.976681 | 2025-05-13 04:29:37.228806 |
| 2025-12-16 08:10:43.833207 | 2025-12-17 01:53:38.071835 | 16044483 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16044483 | Athletic Physical Therapy Inc | 1953-03-17 | 2025-12-19 | F | AE | PT | MARCUS | 4VG5XF7HN64 | LISSA | 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/2222/5542318/check_16044483_9518ca5b-25a5-46f7-a60f-bd429eb45234.json | N/A | N/A | N/A | N/A | N/A | 4VG5XF7HN64 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-03-17 | S4802 | N/A | N/A | MA | false | MARCUS | N/A | LISSA | N/A | N/A | N/A | N/A | N/A | 236988 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400774 | N/A | N/A | 5542318 | 2222 | 4802 | 16329725 | N/A | 4214241 | 2025-12-17 01:53:38.071835 | 2025-05-13 04:29:37.228574 |
| 2025-12-16 08:10:43.523217 | 2025-12-17 01:44:15.616465 | 16044444 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 16044444 | Athletic Physical Therapy Inc | 1975-03-26 | 2025-12-18 | F | AE | PT | HEYES | 95596436F | DARCIE | 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/2222/5542233/check_16044444_483dbbcf-cee3-4c7f-a649-695549dc0119.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1975-03-26 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | 2078-12-31 | 2024-04-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400773 | N/A | N/A | 5542233 | 2222 | 4793 | 16317706 | 4211 | 4214178 | 2025-12-17 01:44:15.616465 | 2025-05-13 04:29:37.228506 |
| 2025-12-16 08:10:43.217103 | 2025-12-17 01:48:29.178518 | 16044405 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16044405 | Athletic Physical Therapy Inc | 1980-10-14 | 2025-12-18 | M | PT | N/A | ABI MALHAB | KSI73549599C | NADIM | 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/2222/5541968/check_16044405_220c1750-4ee7-4712-a92f-70c5f52d61c7.json | N/A | N/A | N/A | N/A | N/A | KSI73549599C | Preferred Provider Organization (PPO) | KARL STORZ ENDOSCOPY AMERICA INC | BLUE SHIELD CALIFORNIA | N/A | 1980-10-14 | 1000PPOX0003 | W8002382 | N/A | PR | false | ABI MALHAB | N/A | NADIM | N/A | N/A | N/A | KARL STORZ ENDOSCOPY AMERICA INC SHARED ADVANTAGE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9531400772 | N/A | N/A | 5541968 | 2222 | 4802 | 16322538 | N/A | 4213936 | 2025-12-17 01:48:29.178518 | 2025-05-13 04:29:37.228255 |
| 2025-12-16 08:10:42.968868 | 2025-12-17 01:48:31.354949 | 16044376 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16044376 | Athletic Physical Therapy Inc | 1990-09-04 | 2025-12-19 | M | PT | N/A | HASHEMI | XEA914007676 | SEYED | 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/2222/5541956/check_16044376_e1f016e1-f555-4c57-9129-c8fde7a18e4f.json | N/A | N/A | N/A | N/A | N/A | XEA914007676 | Preferred Provider Organization (PPO) | SILVUS TECHNOLOGIES INC | BLUE SHIELD CALIFORNIA | N/A | 1990-09-04 | 1000PPOX0002 | W3000628 | N/A | PR | false | HASHEMI | N/A | SEYED MEHRDAD | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1800 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9531400771 | N/A | N/A | 5541956 | 2222 | 4802 | 16322596 | N/A | 4213923 | 2025-12-17 01:48:31.354949 | 2025-05-13 04:29:37.228244 |
| 2025-12-16 08:10:42.702922 | 2025-12-17 01:53:44.831150 | 16044349 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16044349 | Athletic Physical Therapy Inc | 1949-07-06 | 2025-12-17 | M | AE | PT | SILVERMAN | 1P91CV2QF22 | LAWRENCE | 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/2222/5541609/check_16044349_f655c3fb-9df0-4ae3-940b-4d7f9c4d8abb.json | N/A | N/A | N/A | N/A | N/A | 1P91CV2QF22 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-07-06 | N/A | N/A | N/A | MB | false | SILVERMAN | N/A | LAWRENCE | N/A | N/A | N/A | N/A | N/A | 121683 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400770 | N/A | N/A | 5541609 | 2222 | 4793 | 16329854 | N/A | 4213611 | 2025-12-17 01:53:44.831150 | 2025-05-13 04:29:37.227938 |
| 2025-12-16 08:10:42.413402 | 2025-12-17 01:46:01.119252 | 16044312 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 16044312 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-12-19 | M | AD | N/A | LYKIDIS | U1221753503 | JOHN | 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/2222/5541552/check_16044312_641f870f-f2e6-4ad7-aec9-6425f017a619.json | N/A | N/A | N/A | N/A | N/A | U1221753503 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 2001-11-21 | N/A | 3207160 | N/A | N/A | false | LYKIDIS | N/A | JOHN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 9531400769 | N/A | N/A | 5541552 | 2222 | 4802 | 16319531 | N/A | 4213562 | 2025-12-17 01:46:01.119252 | 2025-05-13 04:29:37.227895 |
| 2025-12-16 08:10:42.095974 | 2025-12-17 01:48:40.347779 | 16044272 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16044272 | Athletic Physical Therapy Inc | 2012-06-25 | 2025-12-19 | F | PT | N/A | LORD | JQT822A53740 | ALYSSA | 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/2222/5541409/check_16044272_fb56889b-d66e-417a-9754-a54cdb51410f.json | N/A | N/A | N/A | N/A | N/A | JQT822A53740 | Health Maintenance Organization (HMO) | JLIV SERVICES INC | BLUE SHIELD OF CALIFORNIA | N/A | 2012-06-25 | 040 | U54789 | N/A | HM | false | LORD | N/A | JETHRO | N/A | 9999-12-31 | 2025-08-01 | CA SG PRISELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9531400768 | N/A | N/A | 5541409 | 2222 | 4793 | 16322776 | N/A | 4213435 | 2025-12-17 01:48:40.347779 | 2025-05-13 04:29:37.227756 |
| 2025-12-16 08:10:41.765099 | 2025-12-17 01:47:47.861856 | 16044231 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 16044231 | Athletic Physical Therapy Inc | 1969-06-19 | 2025-12-19 | M | AE | PT | RODRIGUEZ | R0141403581 | FRANCISCO | 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/2222/5541282/check_16044231_130c2773-748f-4059-afdc-0413feebd3f1.json | N/A | N/A | N/A | N/A | N/A | R0141403581 | N/A | N/A | HEALTH NET, LLC | N/A | 1969-06-19 | N/A | N/A | N/A | N/A | false | RODRIGUEZ | N/A | FRANCISCO | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400767 | N/A | N/A | 5541282 | 2222 | 4801 | 16321610 | N/A | 4213312 | 2025-12-17 01:47:47.861856 | 2025-05-13 04:29:37.227635 |
| 2025-12-16 08:10:41.564885 | 2025-12-17 01:53:39.531280 | 16044208 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16044208 | Athletic Physical Therapy Inc | 1955-11-18 | 2025-12-17 | M | AE | PT | MCALPIN | 5W42YG0AH19 | MAC | 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/2222/5541072/check_16044208_be50c6de-359a-4d9f-99c1-2c164257e6f4.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 | 9531400766 | N/A | N/A | 5541072 | 2222 | 4801 | 16329757 | N/A | 4213124 | 2025-12-17 01:53:39.531280 | 2025-05-13 04:29:37.227452 |
| 2025-12-16 08:10:41.316239 | 2025-12-17 01:53:27.567902 | 16044187 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16044187 | Athletic Physical Therapy Inc | 1956-01-14 | 2025-12-17 | F | AE | PT | COHENZADEH | 1YM2D25GY27 | SIMA | 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/2222/5541059/check_16044187_279f0db1-9df1-445b-bb0b-9b71a8518e8b.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 | 9531400765 | N/A | N/A | 5541059 | 2222 | 4802 | 16329520 | N/A | 4213119 | 2025-12-17 01:53:27.567902 | 2025-11-20 01:13:31.057962 |
| 2025-12-16 08:10:41.076369 | 2025-12-17 01:46:33.416050 | 16044157 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16044157 | Athletic Physical Therapy Inc | 1946-11-23 | 2025-12-18 | F | AE | PT | POLAK | 40047825101 | JOANNA | 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/2222/5541023/check_16044157_8aa17baf-65a8-4d06-bd5b-dc553c114870.json | N/A | N/A | N/A | N/A | N/A | 40047825101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1946-11-23 | 2025H5425006 | H5425M | N/A | N/A | false | POLAK | N/A | JOANNA | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400764 | N/A | N/A | 5541023 | 2222 | 4793 | 16320086 | 6237 | 4213093 | 2025-12-17 01:46:33.416050 | 2025-05-13 04:29:37.227419 |
| 2025-12-16 08:10:40.900259 | 2025-12-17 01:53:27.188073 | 16044136 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16044136 | Athletic Physical Therapy Inc | 1956-09-14 | 2025-12-19 | M | AE | PT | COHENZADEH | 7UJ5QD2DD88 | DAVOOD | 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/2222/5540904/check_16044136_edc86c20-f461-4b82-8db4-54801dee50cf.json | N/A | N/A | N/A | N/A | N/A | 7UJ5QD2DD88 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-09-14 | S4802 | N/A | N/A | MA | false | COHENZADEH | N/A | DAVOOD | N/A | N/A | N/A | N/A | N/A | 51817 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400763 | N/A | N/A | 5540904 | 2222 | 4802 | 16329507 | N/A | 4212983 | 2025-12-17 01:53:27.188073 | 2025-11-19 21:27:11.455704 |
| 2025-12-16 08:10:40.699239 | 2025-12-17 01:48:11.010163 | 16044113 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16044113 | Athletic Physical Therapy Inc | 1995-06-07 | 2025-12-18 | M | PT | N/A | Greathouse | MPI30458946Q | Kheperan | 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/2222/5540871/check_16044113_aaa222d4-e6c3-4125-8598-e51891a5d192.json | N/A | N/A | N/A | N/A | N/A | MPI30458946Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1995-06-07 | 040 | 277163M402 | N/A | PR | false | GREATHOUSE | N/A | KHEPERAN | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9531400762 | N/A | N/A | 5540871 | 2222 | 4793 | 16322138 | N/A | 4212959 | 2025-12-17 01:48:11.010163 | 2025-10-17 20:08:21.136268 |
| 2025-12-16 08:10:40.496201 | 2025-12-17 01:48:35.467307 | 16044092 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16044092 | Athletic Physical Therapy Inc | 1997-07-14 | 2025-12-18 | M | PT | N/A | SHERBETJIAN | XED910281081 | JACK | 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/2222/5540558/check_16044092_1e3b66da-656a-4335-bc16-479ddd87a38e.json | N/A | N/A | N/A | N/A | N/A | XED910281081 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-14 | 2001ZK002184 | X0001004 | N/A | PR | false | SHERBETJIAN | N/A | JACK | N/A | 2025-12-31 | 2025-01-01 | SILVER 94 PPO JAN25 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9531400761 | N/A | N/A | 5540558 | 2222 | 4801 | 16322688 | N/A | 4212698 | 2025-12-17 01:48:35.467307 | 2025-05-13 04:29:37.227042 |
| 2025-12-16 08:10:40.246844 | 2025-12-17 01:46:31.089233 | 16044062 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 16044062 | Athletic Physical Therapy Inc | 1956-07-18 | 2025-12-19 | M | AE | PT | BELL | 40055462001 | LOWELL | 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/2222/5540339/check_16044062_c48df57e-3e84-4abd-aca4-5f41f04a2a9a.json | N/A | N/A | N/A | N/A | N/A | 40055462001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-07-18 | 2025H5425097VEF | H5425CSNP | N/A | N/A | false | BELL | N/A | LOWELL | N/A | N/A | N/A | SCAN STRIVE (HMO SNP), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400760 | N/A | N/A | 5540339 | 2222 | 4801 | 16320043 | N/A | 4212512 | 2025-12-17 01:46:31.089233 | 2025-11-04 22:17:35.476315 |
| 2025-12-16 08:10:40.004610 | 2025-12-17 01:53:23.090722 | 16044031 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16044031 | Athletic Physical Therapy Inc | 1954-06-15 | 2025-12-17 | F | AE | PT | ADIB | 1TJ9E76RP17 | JILA | 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/2222/5540303/check_16044031_89317eed-3262-4da6-bd75-093b5cbf02de.json | N/A | N/A | N/A | N/A | N/A | 1TJ9E76RP17 | Medicare Part A | N/A | ACCESS GENERALINSUR COMP | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-06-15 | S4802 | DOL 10302012 | N/A | MA | false | ADIB | N/A | JILA | N/A | N/A | N/A | N/A | N/A | 260846 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400759 | N/A | N/A | 5540303 | 2222 | 4801 | 16329420 | N/A | 4212486 | 2025-12-17 01:53:23.090722 | 2025-09-30 02:32:14.808821 |
| 2025-12-16 08:10:39.706102 | 2025-12-17 01:48:03.619780 | 16043995 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16043995 | Athletic Physical Therapy Inc | 1955-11-11 | 2025-12-18 | F | PT | N/A | CALDERON | JQU450A75837 | DEBBIE | 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/2222/5540282/check_16043995_7481049e-a538-4594-9748-7e2c90daeb74.json | N/A | N/A | N/A | N/A | N/A | JQU450A75837 | Preferred Provider Organization (PPO) | ELKINS KALT WEINTRAUB REU | ANTHEM BLUE CROSS | N/A | 1955-11-11 | 040 | 494793 | N/A | PR | false | CALDERON | N/A | DEBBIE | N/A | 9999-12-31 | 2025-12-01 | ANTHEM GOLD PPO 30/500/20% | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9531400758 | N/A | N/A | 5540282 | 2222 | 4802 | 16321975 | N/A | 4212465 | 2025-12-17 01:48:03.619780 | 2025-05-13 04:29:37.226801 |
| 2025-12-16 08:10:39.444467 | 2025-12-17 01:48:27.119937 | 16043964 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16043964 | Athletic Physical Therapy Inc | 2011-05-18 | 2025-12-19 | F | PT | N/A | WILLIAMS | XDP795A62672 | PIPER | 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/2222/5540171/check_16043964_01d0d095-139d-4086-96f4-7c4fd28a5849.json | N/A | N/A | N/A | N/A | N/A | JQU795A62672 | Preferred Provider Organization (PPO) | DELOS DATA INC | ANTHEM BLUE CROSS | N/A | 2011-05-18 | 040 | U36898 | N/A | PR | false | WILLIAMS | N/A | ERIC | N/A | 2026-01-01 | 2025-12-01 | CA SG ANTHEM PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9531400019 | N/A | N/A | 5540171 | 2222 | 4793 | 16322493 | N/A | 4212367 | 2025-12-17 01:48:27.119937 | 2025-05-13 04:29:37.226697 |
| 2025-12-16 08:10:39.171160 | 2025-12-17 01:48:25.634313 | 16043924 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16043924 | Athletic Physical Therapy Inc | 1967-09-30 | 2025-12-19 | F | PT | N/A | HOW | LTC753A71345 | DEBORAH | 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/2222/5539919/check_16043924_737dbbeb-0324-40e9-a00e-68814b037f65.json | N/A | N/A | N/A | N/A | N/A | LTC753A71345 | Preferred Provider Organization (PPO) | THE AEROSPACE CORPORATION | ANTHEM BLUE CROSS | N/A | 1967-09-30 | 040 | 174151M1A3 | N/A | PR | false | TUNG | N/A | YEH-CHING | N/A | 9999-12-31 | 2014-01-01 | BC PPO INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9531400018 | N/A | N/A | 5539919 | 2222 | 4802 | 16322448 | N/A | 4212155 | 2025-12-17 01:48:25.634313 | 2025-05-13 04:29:37.226493 |
| 2025-12-16 08:10:38.886989 | 2025-12-17 01:48:37.941514 | 16043884 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 16043884 | Athletic Physical Therapy Inc | 1983-08-31 | 2025-12-18 | M | PT | N/A | FLEMING | SZF839281184 | CHASE | 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/2222/5539901/check_16043884_5e18a5a7-e99d-4cd4-9716-fb358df1d804.json | N/A | N/A | N/A | N/A | N/A | SZF839281184 | Preferred Provider Organization (PPO) | ACTIVE | BLUE SHIELD OF CALIFORNIA | N/A | 1983-08-31 | N/A | 018137 | N/A | PR | false | FLEMING | N/A | CHASE | N/A | 9999-12-31 | 2021-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9531400017 | N/A | N/A | 5539901 | 2222 | 4793 | 16322727 | N/A | 4212134 | 2025-12-17 01:48:37.941514 | 2025-08-05 02:56:55.384378 |
| 2025-12-16 08:10:38.669604 | 2025-12-17 01:53:34.677386 | 16043854 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16043854 | Athletic Physical Therapy Inc | 1956-03-01 | 2025-12-17 | M | AE | PT | KLINGE | 9JP2FT7FX98 | JOHN | 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/2222/5539484/check_16043854_1752cbad-5188-413a-8f6d-a46be734813a.json | N/A | N/A | N/A | N/A | N/A | 9JP2FT7FX98 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-03-01 | S4802 | N/A | N/A | MB | false | KLINGE | N/A | JOHN | N/A | N/A | N/A | N/A | N/A | 60334 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400016 | N/A | N/A | 5539484 | 2222 | 4793 | 16329665 | N/A | 4211780 | 2025-12-17 01:53:34.677386 | 2025-10-27 16:53:51.769426 |
| 2025-12-16 08:10:38.486059 | 2025-12-17 01:53:23.788881 | 16043828 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16043828 | Athletic Physical Therapy Inc | 1945-04-13 | 2025-12-18 | F | AE | PT | BLUM | 4TT3J24RG08 | BONNIE | 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/2222/5539301/check_16043828_a794b654-5f02-439e-9ace-1744fd5855bf.json | N/A | N/A | N/A | N/A | N/A | 4TT3J24RG08 | Medicare Part A | N/A | UNITEDHEALTHCARE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-04-13 | S5820 | N/A | N/A | MA | false | BLUM | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | 20565 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400015 | N/A | N/A | 5539301 | 2222 | 4802 | 16329436 | N/A | 4211624 | 2025-12-17 01:53:23.788881 | 2025-05-13 04:29:37.225953 |
| 2025-12-16 08:10:38.274014 | 2025-12-17 01:53:28.408959 | 16043803 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16043803 | Athletic Physical Therapy Inc | 1954-01-24 | 2025-12-18 | F | AE | PT | DIGIOVANNI | 4N09TQ2YY18 | JILL | 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/2222/5538592/check_16043803_e5cc69fd-557f-4303-a00e-4ce1be69aa48.json | N/A | N/A | N/A | N/A | N/A | 4N09TQ2YY18 | Medicare Part A | N/A | SENTRY INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-24 | S4802 | DOL 11022017 | N/A | MA | false | DIGIOVANNI | N/A | JILL | N/A | N/A | N/A | N/A | N/A | 98007 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400014 | N/A | N/A | 5538592 | 2222 | 4801 | 16329538 | N/A | 4210993 | 2025-12-17 01:53:28.408959 | 2025-05-13 04:29:37.225395 |
| 2025-12-16 08:10:38.054456 | 2025-12-17 01:48:24.795931 | 16043770 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16043770 | Athletic Physical Therapy Inc | 1954-09-23 | 2025-12-17 | M | PT | N/A | STRASSNER | 653M8615410 | MARCUS | 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/2222/5538249/check_16043770_d3210b9d-29ce-49dd-b97d-d914c696677c.json | N/A | N/A | N/A | N/A | N/A | 653M8615410 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-09-23 | N/A | N/A | N/A | N/A | false | STRASSNER | N/A | MARCUS | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9531400013 | N/A | N/A | 5538249 | 2222 | 4801 | 16322432 | N/A | 4210696 | 2025-12-17 01:48:24.795931 | 2026-01-04 17:14:56.140441 |
| 2025-12-16 08:10:37.751467 | 2025-12-17 01:48:08.396350 | 16043736 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16043736 | Athletic Physical Therapy Inc | 2006-06-08 | 2025-12-18 | M | PT | N/A | DATO | NGO555A50496 | LUKE | 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/2222/5538229/check_16043736_ef7b2912-de43-49c7-9e14-082806944283.json | N/A | N/A | N/A | N/A | N/A | NGO555A50496 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORPORATION | ANTHEM BLUE CROSS | N/A | 2006-06-08 | 040 | 174022MJAD | N/A | PR | false | DATO | N/A | GREGORY | 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 | 9531400012 | N/A | N/A | 5538229 | 2222 | 4793 | 16322083 | N/A | 4210676 | 2025-12-17 01:48:08.396350 | 2026-05-21 21:09:28.809390 |
| 2025-12-16 08:10:37.508059 | 2025-12-17 01:53:45.971776 | 16043703 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16043703 | Athletic Physical Therapy Inc | 1947-01-11 | 2025-12-18 | F | AE | PT | STROM | 1NH2KJ7FT00 | YOLANDA | 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/2222/5538182/check_16043703_eb2eb965-bb0c-471a-9df9-31a127708b64.json | N/A | N/A | N/A | N/A | N/A | 1NH2KJ7FT00 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-01-11 | S5921 | N/A | N/A | MA | false | STROM | N/A | YOLANDA | N/A | N/A | N/A | N/A | N/A | 30163 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400011 | N/A | N/A | 5538182 | 2222 | 4802 | 16329874 | N/A | 4210637 | 2025-12-17 01:53:45.971776 | 2025-05-13 04:29:37.225051 |
| 2025-12-16 08:10:37.197823 | 2025-12-17 01:47:53.036016 | 16043662 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 16043662 | Athletic Physical Therapy Inc | 1936-05-08 | 2025-12-19 | F | AE | PT | KENT | 00000365314 | BARBARA | 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/2222/5537777/check_16043662_0af63f02-a4e2-4298-afb1-05a2093a734c.json | N/A | N/A | N/A | N/A | N/A | 00000365314 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1936-05-08 | H3815028 | N/A | N/A | HM | false | KENT | N/A | BARBARA | 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 | 9531400010 | N/A | N/A | 5537777 | 2222 | 4793 | 16321730 | 2630 | 4210288 | 2025-12-17 01:47:53.036016 | 2025-05-13 04:29:37.224698 |
| 2025-12-16 08:10:36.893220 | 2025-12-17 01:48:14.267809 | 16043623 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16043623 | Athletic Physical Therapy Inc | 1977-06-07 | 2025-12-18 | M | PT | N/A | MARSHALL | MPI01520612Q | THOMAS | 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/2222/5537511/check_16043623_1ba5dd99-3281-4a85-a763-38b31f332bea.json | N/A | N/A | N/A | N/A | N/A | MPI01520612Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1977-06-07 | 040 | 277163M401 | N/A | PR | false | MARSHALL | N/A | THOMAS | N/A | 9999-12-31 | 2024-06-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9531400009 | N/A | N/A | 5537511 | 2222 | 4801 | 16322206 | N/A | 4210061 | 2025-12-17 01:48:14.267809 | 2025-05-13 04:29:37.224481 |
| 2025-12-16 08:10:36.574923 | 2025-12-17 01:46:32.884533 | 16043583 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 16043583 | Athletic Physical Therapy Inc | 1957-02-16 | 2025-12-18 | F | AE | PT | OSE | 40050866601 | KAREN | 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/2222/5537366/check_16043583_89a7f403-8bc3-4eec-95d0-06194da8b856.json | N/A | N/A | N/A | N/A | N/A | 40050866601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1957-02-16 | 2025H5425001 | H5425M | N/A | N/A | false | OSE | N/A | KAREN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400008 | N/A | N/A | 5537366 | 2222 | 4793 | 16320079 | N/A | 4209945 | 2025-12-17 01:46:32.884533 | 2025-08-13 22:24:17.841096 |
| 2025-12-16 08:10:36.311006 | 2025-12-17 01:48:05.986684 | 16043548 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 16043548 | Athletic Physical Therapy Inc | 1957-04-03 | 2025-12-18 | M | PT | N/A | CRUZ CHEVEZ | JQW952W07822 | RICARDO | 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/2222/5537237/check_16043548_f6620ee0-2a45-40e0-b3b1-d4fd5275bb86.json | N/A | N/A | N/A | N/A | N/A | JQW952W07822 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1957-04-03 | 040 | CAMCRWP0 | N/A | MP | false | CRUZ CHEVEZ | N/A | RICARDO | N/A | 2025-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9531400006 | N/A | N/A | 5537237 | 2222 | 4793 | 16322032 | 4184 | 4209841 | 2025-12-17 01:48:05.986684 | 2025-10-22 16:05:52.993032 |
| 2025-12-16 08:10:36.035145 | 2025-12-17 01:48:18.661473 | 16043517 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16043517 | Athletic Physical Therapy Inc | 1964-10-19 | 2025-12-19 | M | PT | N/A | NIELSEN | XDP057A76330 | ROY | 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/2222/5537188/check_16043517_b43f22b8-615c-405f-b016-50524b2dce7d.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC COBRA | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629MN17 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 9999-12-31 | 2025-11-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9531400005 | N/A | N/A | 5537188 | 2222 | 4802 | 16322297 | N/A | 4209789 | 2025-12-17 01:48:18.661473 | 2025-05-13 04:29:37.224215 |
| 2025-12-16 08:10:35.805583 | 2025-12-17 01:48:16.431017 | 16043488 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 16043488 | Athletic Physical Therapy Inc | 1954-03-31 | 2025-12-18 | M | PT | N/A | MILES | MBL835W05431 | KEITH | 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/2222/5536896/check_16043488_7502d285-c008-4367-bfb0-b788cc2f062f.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9531400004 | N/A | N/A | 5536896 | 2222 | 4793 | 16322252 | N/A | 4209567 | 2025-12-17 01:48:16.431017 | 2025-05-13 04:29:37.223990 |
| 2025-12-16 08:10:35.558412 | 2025-12-17 01:53:43.486691 | 16043457 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16043457 | Athletic Physical Therapy Inc | 1945-03-19 | 2025-12-19 | F | AE | PT | ROSS | 6QX7T41GM46 | MARTHA | 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/2222/5536301/check_16043457_5ee599d4-b9d9-42d8-bbb6-737884360d56.json | N/A | N/A | N/A | N/A | N/A | 6QX7T41GM46 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-03-19 | S5617 | N/A | N/A | MA | false | ROSS | N/A | MARTHA | N/A | N/A | N/A | N/A | N/A | 50277 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400003 | N/A | N/A | 5536301 | 2222 | 4802 | 16329826 | N/A | 4209073 | 2025-12-17 01:53:43.486691 | 2025-11-19 19:47:03.642493 |
| 2025-12-16 08:10:35.348702 | 2025-12-17 01:53:34.093585 | 16043430 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16043430 | Athletic Physical Therapy Inc | 1945-09-15 | 2025-12-18 | F | AE | PT | KHORSANDI | 3CF4YQ5UH79 | PARIVASH | 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/2222/5536010/check_16043430_8709cd8b-456d-41de-8cb6-6535a03fd80b.json | N/A | N/A | N/A | N/A | N/A | 3CF4YQ5UH79 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-09-15 | S5921 | N/A | N/A | MB | false | KHORSANDI | N/A | PARIVASH | N/A | N/A | N/A | N/A | N/A | 181010 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400002 | N/A | N/A | 5536010 | 2222 | 4802 | 16329654 | N/A | 4208831 | 2025-12-17 01:53:34.093585 | 2025-10-30 22:42:31.399473 |
| 2025-12-16 08:10:35.203123 | 2025-12-17 01:53:47.288595 | 16043409 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16043409 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-12-17 | M | AE | PT | ULLMAN | 3A76X26KQ40 | DAVID | 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/2222/5535838/check_16043409_fb9154fc-4383-4484-b23d-e56eec7eb934.json | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400001 | N/A | N/A | 5535838 | 2222 | 4801 | 16329899 | N/A | 4208696 | 2025-12-17 01:53:47.288595 | 2025-06-07 16:16:45.844566 |
| 2025-12-16 08:10:35.036173 | 2025-12-17 01:53:40.620636 | 16043388 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 16043388 | Athletic Physical Therapy Inc | 1939-10-22 | 2025-12-18 | M | AE | PT | ODONNELL | 9FJ2YV1NR89 | JOHN | 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/2222/5535491/check_16043388_0404bbab-ade5-4796-96c5-9c018c57cd5c.json | N/A | N/A | N/A | N/A | N/A | 9FJ2YV1NR89 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-10-22 | N/A | N/A | N/A | MA | false | ODONNELL | N/A | JOHN | N/A | N/A | N/A | N/A | N/A | 241000 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531400000 | N/A | N/A | 5535491 | 2222 | 4802 | 16329776 | N/A | 4208408 | 2025-12-17 01:53:40.620636 | 2025-05-13 04:29:37.222823 |
| 2025-12-16 08:10:34.843662 | 2025-12-17 01:46:34.065326 | 16043368 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 16043368 | Athletic Physical Therapy Inc | 1941-04-16 | 2025-12-18 | F | AE | PT | RYAN | 31026142401 | CAROL | 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/2222/5535455/check_16043368_2bb8ef58-bea3-44b2-ac41-c1d6925ad43b.json | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1941-04-16 | 2025H5425001 | H5425M | N/A | N/A | false | RYAN | N/A | CAROL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9531399999 | N/A | N/A | 5535455 | 2222 | 4793 | 16320094 | 6237 | 4208375 | 2025-12-17 01:46:34.065326 | 2025-08-08 21:08:12.459471 |