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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-15 08:10:26.821874 | 2025-12-16 01:45:55.981853 | 15979974 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15979974 | Athletic Physical Therapy Inc | 1954-01-24 | 2025-12-18 | F | AE | PT | DIGIOVANNI | XEM910156092 | JILL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.102524314.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538594/check_15979974_a213f745-ed60-4f25-be21-7fa1b1cb07ce.json | N/A | N/A | N/A | N/A | N/A | XEM910156092 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1954-01-24 | 2002SF000029 | X0001002 | N/A | OT | false | DIGIOVANNI | N/A | JILL | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522263657 | N/A | N/A | 5538594 | 2222 | 4801 | 16253718 | N/A | 4210993 | 2025-12-16 01:45:55.981853 | 2025-05-13 04:29:37.225395 |
| 2025-12-15 08:10:26.604187 | 2025-12-16 01:34:39.915960 | 15979953 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 15979953 | Athletic Physical Therapy Inc | 1947-01-11 | 2025-12-18 | F | AE | PT | STROM | 32481540111 | YOLANDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.102524314.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538186/check_15979953_3fcefde6-2c49-4b3a-aed9-160fa42c3e0e.json | N/A | N/A | N/A | N/A | N/A | 32481540111 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1947-01-11 | N/A | N/A | N/A | SP | false | STROM | N/A | YOLANDA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522263656 | N/A | N/A | 5538186 | 2222 | 4802 | 16241335 | N/A | 4210637 | 2025-12-16 01:34:39.915960 | 2025-05-13 04:29:37.225051 |
| 2025-12-15 08:10:26.486652 | 2025-12-16 01:34:38.393114 | 15979940 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 15979940 | Athletic Physical Therapy Inc | 1945-09-15 | 2025-12-18 | F | AE | PT | KHORSANDI | 02684303511 | PARIVASH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.102524314.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536016/check_15979940_764b11be-dbd6-4b55-a6ef-6f353153f006.json | N/A | N/A | N/A | N/A | N/A | 34309193111 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1945-09-15 | N/A | N/A | N/A | SP | false | KHORSANDI | N/A | PARIVASH | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522263655 | N/A | N/A | 5536016 | 2222 | 4802 | 16241315 | N/A | 4208831 | 2025-12-16 01:34:38.393114 | 2025-10-30 22:42:31.399473 |
| 2025-12-15 08:10:26.370480 | 2025-12-16 01:34:40.325775 | 15979930 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 15979930 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-12-17 | M | AE | PT | ULLMAN | 557489000 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.102524314.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535842/check_15979930_d6123cec-67c5-48ca-9b50-4a0124f38071.json | N/A | N/A | N/A | N/A | N/A | 557489000 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | 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 | 9522263654 | N/A | N/A | 5535842 | 2222 | 4801 | 16241346 | N/A | 4208696 | 2025-12-16 01:34:40.325775 | 2025-06-07 16:16:45.844566 |
| 2025-12-15 08:10:26.117396 | 2025-12-16 01:34:39.224695 | 15979906 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 15979906 | Athletic Physical Therapy Inc | 1939-10-22 | 2025-12-18 | M | AE | PT | ODONNELL | 02722745411 | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.102524314.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535496/check_15979906_b039e63e-86d3-4238-b7a8-b02e378fc1fb.json | N/A | N/A | N/A | N/A | N/A | 02722745411 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1939-10-22 | N/A | N/A | N/A | SP | false | O DONNELL | N/A | JOHN | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522263653 | N/A | N/A | 5535496 | 2222 | 4802 | 16241321 | N/A | 4208408 | 2025-12-16 01:34:39.224695 | 2025-05-13 04:29:37.222823 |
| 2025-12-15 08:08:41.636557 | 2025-12-16 03:39:19.492408 | 15971276 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15971276 | Athletic Physical Therapy Inc | 1970-08-16 | 2025-12-17 | M | PT | N/A | TAMHANE | VBG913306283 | SHAILESH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14216912/check_15971276_89c023f5-c2db-4051-881f-e2023ad05c8e.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1970-08-16 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2025-01-01 | BLUE SHIELD OF CALIFORNIA ASO VISION PLUS PLAN | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522216540 | N/A | N/A | 14216912 | 2222 | 4801 | 16264177 | N/A | 12348892 | 2025-12-16 03:39:19.492408 | 2025-12-13 17:39:44.718220 |
| 2025-12-15 08:08:41.542051 | 2025-12-16 03:39:01.182564 | 15971267 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15971267 | Athletic Physical Therapy Inc | 1970-03-18 | 2025-12-17 | U | PT | N/A | Fardad Finn | JQU683A20101 | Farnaz | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14187202/check_15971267_4574f946-b196-4984-9770-554c91d79d89.json | N/A | N/A | N/A | N/A | N/A | JQU683A20101 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1970-03-18 | N/A | N/A | N/A | N/A | false | FARDAD FINN | N/A | FARNAZ | 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 | 9522216539 | N/A | N/A | 14187202 | 2222 | 4793 | 16264070 | N/A | 12318785 | 2025-12-16 03:39:01.182564 | 2026-03-02 22:19:42.373924 |
| 2025-12-15 08:08:41.440399 | 2025-12-16 03:37:33.690146 | 15971257 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15971257 | Athletic Physical Therapy Inc | 1997-05-10 | 2025-12-18 | F | AE | PT | Navarro | 000026320236 | Elena | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14172979/check_15971257_e7d46fe2-6edb-4376-b6b9-7eea868b1cd0.json | N/A | N/A | N/A | N/A | N/A | 000026320236 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1997-05-10 | 4374205 | 231110 | N/A | N/A | false | NAVARRO | N/A | ELENA | N/A | N/A | N/A | COADVANTAGE INC. COAD - HMO 30 - AC - 0.66 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522216538 | N/A | N/A | 14172979 | 2222 | 4802 | 16263556 | N/A | 12306093 | 2025-12-16 03:37:33.690146 | 2025-12-11 22:28:04.966621 |
| 2025-12-15 08:08:41.348733 | 2025-12-16 03:38:02.564970 | 15971252 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 15971252 | Athletic Physical Therapy Inc | 1964-08-04 | 2025-12-18 | U | AE | PT | Starling | 92082724H | Kenneth | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14155873/check_15971252_8e147ae5-dba5-4206-9ab8-4670b3ad143a.json | N/A | N/A | N/A | N/A | N/A | 92082724H | N/A | N/A | LA CARE HEALTH PLAN LOS ANGELES CARE HEALTH PLAN | N/A | 1964-08-04 | N/A | N/A | N/A | N/A | false | STARLING | N/A | KENNETH | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522216537 | N/A | N/A | 14155873 | 2222 | 4793 | 16263744 | N/A | 12295953 | 2025-12-16 03:38:02.564970 | 2026-02-02 21:13:50.348766 |
| 2025-12-15 08:08:41.205747 | 2025-12-16 03:32:26.696272 | 15971241 | N/A | N/A | 60054 | Aetna | 1114042165 | 15971241 | Athletic Physical Therapy Inc | 1963-08-23 | 2025-12-17 | M | AE | PT | OMID | W263035338 | RAMBOD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14143115/check_15971241_34ce125f-484f-4517-a425-63aff4d174d1.json | N/A | N/A | N/A | N/A | N/A | W263035338 | Point of Service (POS) | SYNEOS HEALTH, LLC | AETNA | N/A | 1963-08-23 | 0161087 | 016108701100001 | N/A | PS | false | OMID | N/A | RAMBOD | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522216536 | N/A | N/A | 14143115 | 2222 | 4802 | 16260825 | N/A | 12282275 | 2025-12-16 03:32:26.696272 | 2025-12-12 22:24:17.407952 |
| 2025-12-15 08:08:41.075951 | 2025-12-16 03:38:31.332997 | 15971228 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15971228 | Athletic Physical Therapy Inc | 1967-09-23 | 2025-12-18 | F | PT | N/A | ARTUSO | QHA503257045H | SONIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14135206/check_15971228_c6146d0c-9e94-4846-919b-d18a0cb4a641.json | N/A | N/A | N/A | N/A | N/A | QHA503257045H | Preferred Provider Organization (PPO) | 006470 EMBASSY OF ITALY | ANTHEM BLUE CROSS | N/A | 1967-09-23 | N/A | 020291 | N/A | PR | false | ARTUSO | N/A | SONIA | N/A | 2999-12-31 | 2025-01-01 | BLUE CROSS BLUE SHIELD GLOBAL SOLUTIONS | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522216535 | N/A | N/A | 14135206 | 2222 | 4802 | 16263903 | N/A | 12273698 | 2025-12-16 03:38:31.332997 | 2025-12-16 18:22:28.733462 |
| 2025-12-15 08:08:40.920106 | 2025-12-16 03:32:13.616414 | 15971217 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 15971217 | override_provider | 1962-09-10 | 2025-12-18 | M | PT | N/A | M Johnson | KWS141015355001 | David | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14108628/check_15971217_90048716-4c52-48e1-9028-0c22bba85a09.json | N/A | N/A | N/A | N/A | N/A | KWS141015355001 | Preferred Provider Organization (PPO) | BOIRON, INC. ACTIVE | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = FULLY INSURED | 1962-09-10 | 376 | 10897275 | N/A | PR | false | JOHNSON | N/A | DAVID | N/A | 9999-12-31 | 2025-07-01 | PPO BLUE HDHP MED/SURG | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522216534 | N/A | N/A | 14108628 | 2222 | 4801 | 16260695 | N/A | 12247347 | 2025-12-16 03:32:13.616414 | 2025-12-10 23:35:09.824882 |
| 2025-12-15 08:08:40.806060 | 2025-12-16 03:38:47.701249 | 15971210 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15971210 | Athletic Physical Therapy Inc | 1954-08-25 | 2025-12-18 | F | PT | N/A | MCALISTER | 279W0132020 | DEBORAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14107674/check_15971210_e43b8381-bfd2-469d-88fe-ef56cb4900ac.json | N/A | N/A | N/A | N/A | N/A | 279W0132020 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-08-25 | N/A | N/A | N/A | N/A | false | MCALISTER | N/A | DEBORAH | 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 | 9522216533 | N/A | N/A | 14107674 | 2222 | 4801 | 16263990 | N/A | 12246494 | 2025-12-16 03:38:47.701249 | 2025-12-10 22:29:06.761586 |
| 2025-12-15 08:08:40.700439 | 2025-12-16 03:38:58.347612 | 15971199 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15971199 | Athletic Physical Therapy Inc | 1965-11-05 | 2025-12-17 | F | PT | N/A | VENEZKY | MPI01533904Q | JOANNA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14098118/check_15971199_dccca69b-4998-4db6-aa08-7366fb3117c5.json | N/A | N/A | N/A | N/A | N/A | MPI01533904Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1965-11-05 | 040 | 277163M402 | N/A | PR | false | VENEZKY | N/A | JOANNA | 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 | 9522216532 | N/A | N/A | 14098118 | 2222 | 4802 | 16264055 | N/A | 12236862 | 2025-12-16 03:38:58.347612 | 2025-12-10 19:17:39.902173 |
| 2025-12-15 08:08:40.595143 | 2025-12-16 03:37:29.670204 | 15971193 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15971193 | Athletic Physical Therapy Inc | 1951-11-17 | 2025-12-17 | M | AE | PT | Mardasov | 15361766 | Gennady | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14089494/check_15971193_b144bae8-733c-4a78-8b03-b072e6cdf2f4.json | N/A | N/A | N/A | N/A | N/A | 15361766 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1951-11-17 | N/A | N/A | N/A | N/A | false | MARDASOV | N/A | GENNADY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522216531 | N/A | N/A | 14089494 | 2222 | 4802 | 16263529 | N/A | 12228989 | 2025-12-16 03:37:29.670204 | 2025-12-10 17:26:08.469563 |
| 2025-12-15 08:08:40.449924 | 2025-12-16 03:37:30.206263 | 15971179 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15971179 | Athletic Physical Therapy Inc | 1953-12-09 | 2025-12-17 | M | AE | PT | PENHASIAN | 22524260 | MOURICE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14056391/check_15971179_ff395c0f-23ac-4795-8fde-8f0408b16849.json | N/A | N/A | N/A | N/A | N/A | 22524260 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1953-12-09 | N/A | N/A | N/A | N/A | false | PENHASIAN | N/A | MOURICE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522216530 | N/A | N/A | 14056391 | 2222 | 4802 | 16263532 | N/A | 12201478 | 2025-12-16 03:37:30.206263 | 2025-12-17 18:52:21.824194 |
| 2025-12-15 08:08:40.268212 | 2025-12-16 03:32:13.291778 | 15971163 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 15971163 | override_provider | 1974-05-24 | 2025-12-17 | F | PT | N/A | DOUCETTE | T7T800949917 | ALISON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14048400/check_15971163_b4fb5254-a051-4947-a4f3-8971cf47624e.json | N/A | N/A | N/A | N/A | N/A | T7T800949917 | Preferred Provider Organization (PPO) | TYLER TECHNOLOGIES | BLUE SHIELD OF CALIFORNIA | N/A | 1974-05-24 | N/A | PT5632 | N/A | PR | false | DOUCETTE | N/A | JAMES | N/A | 9999-12-31 | 2022-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522216529 | N/A | N/A | 14048400 | 2222 | 4801 | 16260692 | N/A | 12194671 | 2025-12-16 03:32:13.291778 | 2025-12-09 23:51:54.944921 |
| 2025-12-15 08:08:40.160873 | 2025-12-16 03:38:56.913532 | 15971155 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15971155 | Athletic Physical Therapy Inc | 1970-01-25 | 2025-12-17 | F | PT | N/A | STEWART | XDM771M99896 | JANIELLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14037889/check_15971155_72abdcd3-c8c5-4b32-8848-e9ac738afc25.json | N/A | N/A | N/A | N/A | N/A | XDM771M99896 | Health Maintenance Organization (HMO) | UFCW BENEFIT FUNDS ADMIN LLC | ANTHEM BLUE CROSS | N/A | 1970-01-25 | 040 | 282241H001 | N/A | HM | false | STEWART | N/A | JANIELLE | N/A | 9999-12-31 | 2022-03-01 | CLASSIC SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522216528 | N/A | N/A | 14037889 | 2222 | 4801 | 16264046 | N/A | 11788524 | 2025-12-16 03:38:56.913532 | 2025-12-03 18:16:49.699604 |
| 2025-12-15 08:08:40.038340 | 2025-12-16 03:38:51.530437 | 15971146 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 15971146 | Athletic Physical Therapy Inc | 1953-12-02 | 2025-12-18 | F | PT | N/A | NAVARRO | 845W2168720 | SYLVIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14028853/check_15971146_8b5e19bf-8124-4b15-820d-d745ba329710.json | N/A | N/A | N/A | N/A | N/A | 845W2168720 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1953-12-02 | N/A | N/A | N/A | N/A | false | NAVARRO | N/A | SYLVIA | 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 | 9522216527 | N/A | N/A | 14028853 | 2222 | 4793 | 16264015 | 4184 | 5788735 | 2025-12-16 03:38:51.530437 | 2025-07-09 16:24:26.907790 |
| 2025-12-15 08:08:39.936390 | 2025-12-16 03:39:23.338646 | 15971135 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15971135 | Athletic Physical Therapy Inc | 1993-05-14 | 2025-12-17 | M | PT | N/A | KRASNY | VDHE01154199 | BRENNAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13980735/check_15971135_b3a9cc1a-3016-47e9-ba01-95e1cf0b92e1.json | N/A | N/A | N/A | N/A | N/A | VDHE01154199 | Preferred Provider Organization (PPO) | DIGNITY HEALTH VENTURA | BLUE SHIELD OF CALIFORNIA | N/A | 1993-05-14 | 040 | 174236M1A1 | N/A | PR | false | KRASNY | N/A | JOSEPHINE | N/A | 9999-12-31 | 2025-05-01 | PB INCENTIVE NO SUTTER | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522216526 | N/A | N/A | 13980735 | 2222 | 4793 | 16264196 | N/A | 12130740 | 2025-12-16 03:39:23.338646 | 2025-12-08 18:23:01.413319 |
| 2025-12-15 08:08:39.844887 | 2025-12-16 03:38:43.215172 | 15971128 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15971128 | Athletic Physical Therapy Inc | 2012-04-19 | 2025-12-17 | M | PT | N/A | LAWSON | JXN663W00172 | BEAU | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13853727/check_15971128_a4708f85-aa1d-4703-a655-fa4cc38eac3b.json | N/A | N/A | N/A | N/A | N/A | JXN663W00172 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 2012-04-19 | 040 | 174222M2A1 | N/A | PR | false | LAWSON | N/A | MICHELLE | N/A | 9999-12-31 | 2023-04-01 | BC PPO INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522216525 | N/A | N/A | 13853727 | 2222 | 4793 | 16263967 | N/A | 12001252 | 2025-12-16 03:38:43.215172 | 2025-12-10 00:54:14.073096 |
| 2025-12-15 08:08:39.685107 | 2025-12-16 03:36:33.284307 | 15971118 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15971118 | Athletic Physical Therapy Inc | 1958-02-02 | 2025-12-17 | F | AE | PT | REARDON | 40067213101 | PAMELA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13736409/check_15971118_5f84eefb-1442-439e-a331-9cdd2710f185.json | N/A | N/A | N/A | N/A | N/A | 40067213101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1958-02-02 | 2025H5425001 | H5425M | N/A | N/A | false | REARDON | N/A | PAMELA | 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 | 9522216524 | N/A | N/A | 13736409 | 2222 | 4801 | 16263070 | N/A | 11887763 | 2025-12-16 03:36:33.284307 | 2026-01-22 00:49:45.798733 |
| 2025-12-15 08:08:39.560203 | 2025-12-16 03:38:33.703870 | 15971106 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15971106 | Athletic Physical Therapy Inc | 1986-05-25 | 2025-12-17 | M | PT | N/A | Bolander | JQU852W11534 | Brian | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13684454/check_15971106_4465f7ab-5a1c-4c06-a485-3c6f7543d36b.json | N/A | N/A | N/A | N/A | N/A | JQU852W11534 | Preferred Provider Organization (PPO) | THE ROSALINDE AND ARTHUR | ANTHEM BLUE CROSS | N/A | 1986-05-25 | 040 | 230150 | N/A | PR | false | BOLANDER | N/A | BRIAN | 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 | 9522216523 | N/A | N/A | 13684454 | 2222 | 4802 | 16263915 | N/A | 11834634 | 2025-12-16 03:38:33.703870 | 2025-12-04 17:35:32.679589 |
| 2025-12-15 08:08:39.473008 | 2025-12-16 03:36:32.291362 | 15971096 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15971096 | Athletic Physical Therapy Inc | 1943-11-17 | 2025-12-17 | F | AE | PT | LOPEZ | 31043161801 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13683788/check_15971096_c16c0528-d0ac-4600-8a94-8284cdf20f72.json | N/A | N/A | N/A | N/A | N/A | 31043161801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1943-11-17 | 2025H5425001 | H5425M | N/A | N/A | false | LOPEZ | N/A | PATRICIA | 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 | 9522216522 | N/A | N/A | 13683788 | 2222 | 4801 | 16263063 | 6237 | 11833947 | 2025-12-16 03:36:32.291362 | 2025-12-04 17:20:32.526280 |
| 2025-12-15 08:08:39.370543 | 2025-12-16 03:36:31.445931 | 15971087 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15971087 | Athletic Physical Therapy Inc | 1952-09-29 | 2025-12-17 | F | AE | PT | GOLDSTEIN | 40055964601 | SUSAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13682215/check_15971087_60936d1f-9819-4bda-8222-89653ad5cf70.json | N/A | N/A | N/A | N/A | N/A | 40055964601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-09-29 | 2025H5425001 | H5425M | N/A | N/A | false | GOLDSTEIN | N/A | SUSAN | 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 | 9522216521 | N/A | N/A | 13682215 | 2222 | 4801 | 16263056 | 6237 | 11832349 | 2025-12-16 03:36:31.445931 | 2025-12-10 13:58:21.205018 |
| 2025-12-15 08:08:39.268022 | 2025-12-16 03:37:34.723841 | 15971078 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15971078 | Athletic Physical Therapy Inc | 1954-07-29 | 2025-12-17 | M | AE | PT | Vannoy | 000008656315 | John | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13647562/check_15971078_15aaf349-5e35-494a-91de-d965830173f0.json | N/A | N/A | N/A | N/A | N/A | 000008656315 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1954-07-29 | 4330351 | 1650095002 | N/A | N/A | false | VANNOY | N/A | JOHN | N/A | N/A | N/A | KPSA CONVERSION - SOUTH KPSA CONVERSION - SOUTH | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522216520 | N/A | N/A | 13647562 | 2222 | 4802 | 16263563 | N/A | 11795301 | 2025-12-16 03:37:34.723841 | 2025-12-03 20:30:37.565513 |
| 2025-12-15 08:08:39.144432 | 2025-12-16 03:38:50.937971 | 15971070 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15971070 | Athletic Physical Therapy Inc | 1946-10-06 | 2025-12-18 | F | PT | N/A | Nathanson | MBL249M98436 | Esther | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13642000/check_15971070_39751050-ed74-41d7-ae59-ac89f8299f56.json | N/A | N/A | N/A | N/A | N/A | MBL249M98436 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1946-10-06 | 040 | CAEGR005 | N/A | N/A | false | NATHANSON | N/A | ESTHER | 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 | 9522216519 | N/A | N/A | 13642000 | 2222 | 4802 | 16264011 | N/A | 11789494 | 2025-12-16 03:38:50.937971 | 2025-12-03 18:37:13.762964 |
| 2025-12-15 08:08:39.037596 | 2025-12-16 03:36:31.731147 | 15971062 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15971062 | Athletic Physical Therapy Inc | 1953-04-04 | 2025-12-17 | F | AE | PT | GUIBOR | 40041978101 | ANNE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13634180/check_15971062_34526e92-f7f0-4739-ad92-4af9aa7688f0.json | N/A | N/A | N/A | N/A | N/A | 40041978101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1953-04-04 | 2025H5425001 | H5425M | N/A | N/A | false | GUIBOR | N/A | ANNE | 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 | 9522216518 | N/A | N/A | 13634180 | 2222 | 4801 | 16263058 | N/A | 11782007 | 2025-12-16 03:36:31.731147 | 2025-12-08 21:02:26.767589 |
| 2025-12-15 08:08:38.952719 | 2025-12-16 03:37:32.581605 | 15971054 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15971054 | Athletic Physical Therapy Inc | 1991-09-19 | 2025-12-18 | F | AE | PT | Martynowicz | 000022075799 | Alexandra | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13602015/check_15971054_87fdd63a-1872-49a0-b24e-34e108b6348b.json | N/A | N/A | N/A | N/A | N/A | 000022075799 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1991-09-19 | 4165374 | 228273 | N/A | N/A | false | MARTYNOWICZ | N/A | ALEXANDRA | N/A | N/A | N/A | CAL CHOICE SCR GOLD DHMO 500/30 JAN | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522216517 | N/A | N/A | 13602015 | 2222 | 4802 | 16263548 | N/A | 11750353 | 2025-12-16 03:37:32.581605 | 2025-12-03 00:47:03.591796 |
| 2025-12-15 08:08:38.834953 | 2025-12-16 03:37:33.152209 | 15971043 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15971043 | Athletic Physical Therapy Inc | 1979-02-24 | 2025-12-17 | F | AE | PT | McCoy | 000024352430 | Colleen | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13582387/check_15971043_b7d91f3f-423a-46bb-bc05-a7a4b835109f.json | N/A | N/A | N/A | N/A | N/A | 000024352430 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1979-02-24 | 4317984 | 225599 | N/A | N/A | false | MCCOY | N/A | COLLEEN | N/A | N/A | N/A | UNIVERSITY OF CALIFORNIA UCLA - CAMPUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522216516 | N/A | N/A | 13582387 | 2222 | 4802 | 16263552 | N/A | 11732070 | 2025-12-16 03:37:33.152209 | 2025-12-02 18:46:08.427375 |
| 2025-12-15 08:08:38.753800 | 2025-12-16 03:37:30.649389 | 15971036 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15971036 | Athletic Physical Therapy Inc | 1948-08-02 | 2025-12-17 | F | AE | PT | Taylor | 00000976475 | Gabriela | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13547881/check_15971036_64063987-797b-4eda-a46a-4b383df59115.json | N/A | N/A | N/A | N/A | N/A | 00000976475 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1948-08-02 | N/A | N/A | N/A | N/A | false | TAYLOR | N/A | GABRIELA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522216515 | N/A | N/A | 13547881 | 2222 | 4802 | 16263536 | N/A | 11697288 | 2025-12-16 03:37:30.649389 | 2025-12-02 00:07:51.825213 |
| 2025-12-15 08:08:38.653274 | 2025-12-16 03:39:21.984540 | 15971023 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15971023 | Athletic Physical Therapy Inc | 1963-04-21 | 2025-12-17 | F | PT | N/A | CHERAGHI | XDP453W22160 | SHAHLA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13543700/check_15971023_8e153cb4-20fd-43b2-8a9f-81acce16cac1.json | N/A | N/A | N/A | N/A | N/A | XDP453W22160 | Preferred Provider Organization (PPO) | COUNTY OF LOS ANGELES | BLUE SHIELD OF CALIFORNIA | N/A | 1963-04-21 | 040 | 1284EH | N/A | PR | false | FATEMI | N/A | SEYED ZIAEDD | N/A | 9999-12-31 | 2025-04-01 | CUSTOM PPO NETWORK COUNTY OF LOS ANGELES | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522216513 | N/A | N/A | 13543700 | 2222 | 4793 | 16264192 | N/A | 11693294 | 2025-12-16 03:39:21.984540 | 2026-01-15 18:14:50.604237 |
| 2025-12-15 08:08:38.554095 | 2025-12-16 03:37:29.064687 | 15971015 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15971015 | Athletic Physical Therapy Inc | 1956-12-08 | 2025-12-18 | M | AE | PT | Jinks | 22510815 | Roger | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13538250/check_15971015_cc6f389c-f69c-4d2c-bf85-66f0b9e2ecb1.json | N/A | N/A | N/A | N/A | N/A | 22510815 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1956-12-08 | N/A | N/A | N/A | N/A | false | JINKS | N/A | ROGER | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522216512 | N/A | N/A | 13538250 | 2222 | 4802 | 16263526 | N/A | 11688214 | 2025-12-16 03:37:29.064687 | 2025-12-03 07:14:09.191958 |
| 2025-12-15 08:08:38.450938 | 2025-12-16 03:36:31.157793 | 15971006 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15971006 | Athletic Physical Therapy Inc | 1958-02-21 | 2025-12-17 | F | AE | PT | GILL | 400599936801 | Sandra | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13437540/check_15971006_7a1a2df4-a350-458a-a964-f200295ff2fa.json | N/A | N/A | N/A | N/A | N/A | 40059936801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1958-02-21 | 2025H5425001 | H5425M | N/A | N/A | false | GILL | N/A | SANDRA | 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 | 9522216511 | N/A | N/A | 13437540 | 2222 | 4801 | 16263054 | N/A | 11598682 | 2025-12-16 03:36:31.157793 | 2025-12-05 21:56:09.960213 |
| 2025-12-15 08:08:38.356393 | 2025-12-16 03:39:20.457318 | 15970995 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15970995 | Athletic Physical Therapy Inc | 1962-02-12 | 2025-12-17 | F | PT | N/A | SZYMANSKI | PNE913933078 | JANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13435818/check_15970995_4ea7f4ce-3e3b-412a-b4e5-51034671f8d8.json | N/A | N/A | N/A | N/A | N/A | PNE913933078 | Preferred Provider Organization (PPO) | PRIVATE NATIONAL MORTGAGE ACCEPTANCE COMPANY LLC | BLUE SHIELD CALIFORNIA | N/A | 1962-02-12 | 1000PPOX0003 | W3000535 | N/A | PR | false | SZYMANSKI | N/A | PAUL | N/A | 2025-12-31 | 2025-01-01 | PENNYMAC ASO PPO HSA FAMILY | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522216510 | N/A | N/A | 13435818 | 2222 | 4801 | 16264184 | N/A | 11596916 | 2025-12-16 03:39:20.457318 | 2025-12-03 21:06:42.446127 |
| 2025-12-15 08:08:38.243128 | 2025-12-16 03:38:53.353726 | 15970982 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15970982 | Athletic Physical Therapy Inc | 2014-04-09 | 2025-12-17 | M | PT | N/A | RADLOFF | 00054283151 | NOLAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13358977/check_15970982_5e587077-7739-4322-a858-0e3e5af7d57b.json | N/A | N/A | N/A | N/A | N/A | 00054283151 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2014-04-09 | N/A | N/A | N/A | N/A | false | RADLOFF | N/A | NOLAN | 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 | 9522216509 | N/A | N/A | 13358977 | 2222 | 4801 | 16264024 | 4185 | 11504476 | 2025-12-16 03:38:53.353726 | 2025-11-24 23:17:09.076585 |
| 2025-12-15 08:08:38.116129 | 2025-12-16 03:37:55.644453 | 15970974 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15970974 | Athletic Physical Therapy Inc | 1950-09-17 | 2025-12-17 | M | AE | PT | BRIERS | 00000368043 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13358057/check_15970974_d82f95e1-e63c-4838-9651-9fa753b66d99.json | N/A | N/A | N/A | N/A | N/A | 00000368043 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1950-09-17 | H3815028 | N/A | N/A | HM | false | BRIERS | N/A | WILLIAM | 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 | 9522216508 | N/A | N/A | 13358057 | 2222 | 4801 | 16263701 | 2630 | 11503648 | 2025-12-16 03:37:55.644453 | 2026-01-23 20:34:04.657885 |
| 2025-12-15 08:08:38.015109 | 2025-12-16 03:37:59.826588 | 15970963 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 15970963 | Athletic Physical Therapy Inc | 1949-06-04 | 2025-12-17 | F | AE | PT | RASMUSSEN | 00000390859 | SHARION | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13355411/check_15970963_12ba7982-9731-4978-ac16-f1480b3fdf22.json | N/A | N/A | N/A | N/A | N/A | 00000390859 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-06-04 | H3815028 | N/A | N/A | HM | false | RASMUSSEN | N/A | SHARION | 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 | 9522216507 | N/A | N/A | 13355411 | 2222 | 4801 | 16263728 | N/A | 4212984 | 2025-12-16 03:37:59.826588 | 2025-11-24 23:20:09.683036 |
| 2025-12-15 08:08:37.907456 | 2025-12-16 03:38:52.545837 | 15970956 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15970956 | Athletic Physical Therapy Inc | 2012-07-01 | 2025-12-17 | M | PT | N/A | RADLOFF | 00054283150 | BRYCE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13302087/check_15970956_74f60840-c730-42eb-bd28-0325953aacfe.json | N/A | N/A | N/A | N/A | N/A | 00054283150 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2012-07-01 | N/A | N/A | N/A | N/A | false | RADLOFF | N/A | BRYCE | 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 | 9522216506 | N/A | N/A | 13302087 | 2222 | 4801 | 16264021 | 4185 | 11449861 | 2025-12-16 03:38:52.545837 | 2026-01-08 22:48:14.733376 |
| 2025-12-15 08:08:37.815004 | 2025-12-16 03:38:42.063227 | 15970949 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15970949 | Athletic Physical Therapy Inc | 2008-06-24 | 2025-12-18 | M | PT | N/A | Koplow | JOU353M83319 | Alexander | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13127568/check_15970949_2ec26550-e485-47d2-a3e1-6d4538da1adf.json | N/A | N/A | N/A | N/A | N/A | JOU353M83319 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2008-06-24 | N/A | N/A | N/A | N/A | false | KOPLOW | N/A | ALEXANDER | 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 | 9522216505 | N/A | N/A | 13127568 | 2222 | 4801 | 16263961 | N/A | 11278212 | 2025-12-16 03:38:42.063227 | 2025-12-10 00:01:25.104261 |
| 2025-12-15 08:08:37.658317 | 2025-12-16 03:39:21.025773 | 15970934 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15970934 | Athletic Physical Therapy Inc | 1987-10-07 | 2025-12-17 | M | PT | N/A | WARD | XED911682811 | AUSTIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13126723/check_15970934_efa14bbe-4335-4024-8134-b9287e9a3457.json | N/A | N/A | N/A | N/A | N/A | XED911682811 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1987-10-07 | 2001ZK002166 | X0001004 | N/A | PR | false | WARD | N/A | AUSTIN | N/A | 9999-12-31 | 2022-10-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522216504 | N/A | N/A | 13126723 | 2222 | 4793 | 16264187 | N/A | 11277547 | 2025-12-16 03:39:21.025773 | 2026-02-16 19:33:07.484428 |
| 2025-12-15 08:08:37.553006 | 2025-12-16 03:38:46.497380 | 15970923 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15970923 | Athletic Physical Therapy Inc | 1971-11-21 | 2025-12-17 | F | PT | N/A | MARTINEZ | XDP851A67877 | LETICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13122920/check_15970923_6bf7bf37-5d12-4294-99a7-2872f9db3470.json | N/A | N/A | N/A | N/A | N/A | XDP851A67877 | Preferred Provider Organization (PPO) | SOUTHERN CALIFORNIA ORTHOPEDIC INSTITUTE CA/OOS | ANTHEM BLUE CROSS | N/A | 1971-11-21 | 040 | L00817M001 | N/A | PR | false | MARTINEZ | N/A | LETICIA | N/A | 9999-12-31 | 2023-11-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522216503 | N/A | N/A | 13122920 | 2222 | 4801 | 16263983 | N/A | 11273967 | 2025-12-16 03:38:46.497380 | 2025-12-31 00:35:32.240284 |
| 2025-12-15 08:08:37.454233 | 2025-12-16 03:38:34.194600 | 15970916 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15970916 | Athletic Physical Therapy Inc | 1964-08-06 | 2025-12-17 | M | PT | N/A | BRAND | 904A5499110 | JEFFREY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13120856/check_15970916_6e4d3def-ca16-42df-9058-af1b235e0681.json | N/A | N/A | N/A | N/A | N/A | 904A5499110 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1964-08-06 | N/A | N/A | N/A | N/A | false | BRAND | N/A | JEFFREY | 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 | 9522216502 | N/A | N/A | 13120856 | 2222 | 4801 | 16263920 | N/A | 11271755 | 2025-12-16 03:38:34.194600 | 2025-12-01 22:10:21.945830 |
| 2025-12-15 08:08:37.366112 | 2025-12-16 03:39:23.775005 | 15970907 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15970907 | Athletic Physical Therapy Inc | 1978-07-20 | 2025-12-18 | M | PT | N/A | LESTER | PAS811517757 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13056730/check_15970907_7b4370d6-2cb2-4b24-a756-c903138ae17a.json | N/A | N/A | N/A | N/A | N/A | PAS811517757 | Preferred Provider Organization (PPO) | WEST HEALTH CARE NETWORK | BLUE SHIELD OF CALIFORNIA | N/A | 1978-07-20 | N/A | 152000 | N/A | PR | false | LESTER | N/A | WILLIAM | N/A | 2025-12-31 | 2025-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522216501 | N/A | N/A | 13056730 | 2222 | 4801 | 16264198 | N/A | 11213990 | 2025-12-16 03:39:23.775005 | 2025-11-19 23:10:09.275320 |
| 2025-12-15 08:08:37.273371 | 2025-12-16 03:36:30.348355 | 15970897 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15970897 | Athletic Physical Therapy Inc | 1950-09-27 | 2025-12-17 | F | AE | PT | BHOLAT | 40002437001 | ZUBEDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13044933/check_15970897_87e7516e-2310-440f-a45a-0960d71be21e.json | N/A | N/A | N/A | N/A | N/A | 40002437001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-09-27 | 2025H5425001 | H5425M | N/A | N/A | false | BHOLAT | N/A | ZUBEDA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522216500 | N/A | N/A | 13044933 | 2222 | 4801 | 16263047 | 6237 | 11202258 | 2025-12-16 03:36:30.348355 | 2025-11-19 19:01:33.367078 |
| 2025-12-15 08:08:37.173488 | 2025-12-16 03:37:31.411083 | 15970888 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15970888 | Athletic Physical Therapy Inc | 1961-06-10 | 2025-12-17 | F | AE | PT | Boutayeb | 000007973321 | Jessie | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13010938/check_15970888_a97c15c3-50bb-4966-b4c9-c4d950ff1bd0.json | N/A | N/A | N/A | N/A | N/A | 000007973321 | N/A | N/A | KFHP 1000 | SRA - SENIOR ADVANTAGE | 1961-06-10 | 4178704 | 102624 | N/A | N/A | false | BOUTAYEB | N/A | JESSIE | N/A | N/A | N/A | UNIVERSITY OF CALIFORNIA RETIREMENT SYSTEM MEDICAR | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522216499 | N/A | N/A | 13010938 | 2222 | 4802 | 16263542 | N/A | 11169586 | 2025-12-16 03:37:31.411083 | 2025-12-01 17:33:57.898247 |
| 2025-12-15 08:08:37.090174 | 2025-12-16 03:32:28.307076 | 15970880 | N/A | N/A | 60054 | Aetna | 1114042165 | 15970880 | Athletic Physical Therapy Inc | 1962-08-04 | 2025-12-17 | F | AE | PT | Tabb | W291557361 | Kelly | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12993727/check_15970880_503ced91-2569-4191-823a-3d62d418a3b2.json | N/A | N/A | N/A | N/A | N/A | W291557361 | Point of Service (POS) | STARZ ENTERTAINMENT, LLC | AETNA | N/A | 1962-08-04 | 0251528 | 025152802100088 | N/A | PS | false | TABB | N/A | KELLI | N/A | N/A | N/A | OA MANAGED CHOICE POS HDHP | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522216498 | N/A | N/A | 12993727 | 2222 | 4802 | 16260842 | N/A | 11151756 | 2025-12-16 03:32:28.307076 | 2025-12-15 17:17:58.439188 |
| 2025-12-15 08:08:36.988008 | 2025-12-16 03:36:29.522436 | 15970868 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15970868 | Athletic Physical Therapy Inc | 1949-05-18 | 2025-12-17 | F | AE | PT | ADAMS | 40064874001 | FLORENCE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12993504/check_15970868_badefb2c-d1a6-4f83-9b75-052fb41ab2bd.json | N/A | N/A | N/A | N/A | N/A | 40064874001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1949-05-18 | 2025H5425001 | H5425M | N/A | N/A | false | ADAMS | N/A | FLORENCE | 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 | 9522216497 | N/A | N/A | 12993504 | 2222 | 4801 | 16263041 | 6237 | 11151506 | 2025-12-16 03:36:29.522436 | 2025-11-18 17:54:46.455094 |
| 2025-12-15 08:08:36.848995 | 2025-12-16 03:36:30.058765 | 15970859 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15970859 | Athletic Physical Therapy Inc | 1946-12-08 | 2025-12-17 | M | AE | PT | BHOLAT | 31198052201 | MAHMOOD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12990097/check_15970859_0507fbe0-85c4-40b8-b10f-7bf18a29cd9b.json | N/A | N/A | N/A | N/A | N/A | 31198052201 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1946-12-08 | 2025H5425001 | H5425M | N/A | N/A | false | BHOLAT | N/A | MAHMOOD | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522215885 | N/A | N/A | 12990097 | 2222 | 4801 | 16263046 | 6237 | 11148207 | 2025-12-16 03:36:30.058765 | 2025-12-08 05:48:43.064435 |
| 2025-12-15 08:08:36.761343 | 2025-12-16 03:38:45.010062 | 15970852 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15970852 | Athletic Physical Therapy Inc | 2008-06-09 | 2025-12-18 | M | PT | N/A | Gray | SMD481A55215 | Gary | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12962206/check_15970852_34e35256-61ec-4ca5-9d53-6adc0695226c.json | N/A | N/A | N/A | N/A | N/A | SMD481A55215 | Preferred Provider Organization (PPO) | SMITHS GROUP SERVICES CORPORATION | ANTHEM BLUE CROSS | N/A | 2008-06-09 | 130 | 213010P15K | N/A | PR | false | MAHONEY | N/A | KIM | N/A | 9999-12-31 | 2019-08-01 | BLUE ACCESS PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522215884 | N/A | N/A | 12962206 | 2222 | 4793 | 16263976 | N/A | 11120601 | 2025-12-16 03:38:45.010062 | 2026-01-06 17:31:01.989894 |