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 08:08:31.548973 | 2025-12-16 03:32:27.984184 | 15970410 | N/A | N/A | 60054 | Aetna | 1114042165 | 15970410 | Athletic Physical Therapy Inc | 1946-06-15 | 2025-12-18 | M | AE | PT | SCHECHTER | 102181433800 | STEVEN | 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/2222/9026590/check_15970410_4ac747ce-307f-4a81-ac66-41731e730b5d.json | N/A | N/A | N/A | N/A | N/A | 102181433800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1946-06-15 | 000003-CA000027 | 000003-CA | N/A | PR | false | SCHECHTER | N/A | STEVEN | N/A | 2026-01-01 | 2025-07-01 | AETNA MEDICARE CHOICE (PPO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522215833 | N/A | N/A | 9026590 | 2222 | 4793 | 16260839 | N/A | 7549031 | 2025-12-16 03:32:27.984184 | 2026-05-22 23:37:03.098359 |
| 2025-12-15 08:08:31.446880 | 2025-12-16 03:32:24.287526 | 15970401 | N/A | N/A | 60054 | Aetna | 1114042165 | 15970401 | Athletic Physical Therapy Inc | 1997-02-11 | 2025-12-17 | F | AE | PT | BELL | W29376563901 | FRANCESCA | 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/2222/9020239/check_15970401_6ea0f5d3-c96e-47f3-802d-326e170e0f9b.json | N/A | N/A | N/A | N/A | N/A | W293765639 | Point of Service (POS) | VINSON & ELKINS LLP | AETNA | N/A | 1997-02-11 | 0882904 | 088290401200015 | N/A | PS | false | BELL | N/A | FRANCESCA | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522215832 | N/A | N/A | 9020239 | 2222 | 4802 | 16260800 | N/A | 7543693 | 2025-12-16 03:32:24.287526 | 2025-10-06 20:52:39.651223 |
| 2025-12-15 08:08:31.255569 | 2025-12-16 03:38:00.475328 | 15970389 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15970389 | Athletic Physical Therapy Inc | 1949-12-31 | 2025-12-17 | M | AE | PT | TSING | 00000282272 | KONGHSUNG | 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/2222/8978036/check_15970389_1524c7b1-0060-47a6-a2b1-e877f2673fdc.json | N/A | N/A | N/A | N/A | N/A | 00000282272 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-12-31 | H3815028 | N/A | N/A | HM | false | TSING | N/A | KONGHSUNG | 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 | 9522215831 | N/A | N/A | 8978036 | 2222 | 4793 | 16263732 | 2630 | 7492332 | 2025-12-16 03:38:00.475328 | 2025-10-01 21:03:48.525986 |
| 2025-12-15 08:08:31.101322 | 2025-12-16 03:38:50.422456 | 15970375 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15970375 | Athletic Physical Therapy Inc | 2003-05-02 | 2025-12-17 | M | PT | N/A | MUHAMMAD | XOF828514693 | KENNETH | 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/2222/8675672/check_15970375_b84674f6-050e-423a-b511-608427f06cc6.json | N/A | N/A | N/A | N/A | N/A | XOF828514693 | Preferred Provider Organization (PPO) | IBJI - BRADLEY ACTIVES | HUMANA | N/A | 2003-05-02 | N/A | PK4933 | N/A | PR | false | MUHAMMAD | N/A | KERMIT | N/A | 9999-12-31 | 2022-02-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522215830 | N/A | N/A | 8675672 | 2222 | 4793 | 16264008 | N/A | 7310369 | 2025-12-16 03:38:50.422456 | 2026-02-03 01:46:10.334485 |
| 2025-12-15 08:08:30.971967 | 2025-12-16 03:36:32.739798 | 15970367 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15970367 | Athletic Physical Therapy Inc | 1947-05-27 | 2025-12-17 | F | AE | PT | OJEDA DE VALERIO | 40054924601 | MARCELINA | 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/2222/8634171/check_15970367_75e52641-0b50-4516-a481-c5bf165deb54.json | N/A | N/A | N/A | N/A | N/A | 40054924601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1947-05-27 | 2025H5425001 | H5425M | N/A | N/A | false | OJEDA DE VALERIO | N/A | M | 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 | 9522217510 | N/A | N/A | 8634171 | 2222 | 4801 | 16263065 | 6237 | 7279268 | 2025-12-16 03:36:32.739798 | 2025-09-01 17:13:14.403136 |
| 2025-12-15 08:08:30.827641 | 2025-12-16 03:32:25.648605 | 15970356 | N/A | N/A | 60054 | Aetna | 1114042165 | 15970356 | Athletic Physical Therapy Inc | 1972-12-30 | 2025-12-17 | M | AE | PT | MCHALE | W27265070 | MATT | 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/2222/8173116/check_15970356_eb57e85f-a680-40f8-9e1b-d788e6fbd599.json | N/A | N/A | N/A | N/A | N/A | W272665070 | Point of Service (POS) | SONY CORPORATION OF AMERICA | AETNA | N/A | 1972-12-30 | 0486873 | 048687302100161 | N/A | PS | false | MCHALE | N/A | MATTHEW | 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 | 9522217509 | N/A | N/A | 8173116 | 2222 | 4802 | 16260814 | N/A | 6939617 | 2025-12-16 03:32:25.648605 | 2025-09-16 00:28:24.457071 |
| 2025-12-15 08:08:30.686760 | 2025-12-16 03:31:48.601609 | 15970340 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15970340 | Athletic Physical Therapy Inc | 2001-06-21 | 2025-12-17 | M | AE | PT | RAFIEI | 92836714F | SAM | 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/2222/8173002/check_15970340_71ce18d1-9f79-495d-96ed-bff0ad2395ca.json | N/A | N/A | N/A | N/A | N/A | 92836714F | 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) | 2001-06-21 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | RAFIEI | N/A | SAM | N/A | 2078-12-31 | 2024-02-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522217508 | N/A | N/A | 8173002 | 2222 | 4793 | 16260432 | 4211 | 6939518 | 2025-12-16 03:31:48.601609 | 2025-08-18 21:40:08.349494 |
| 2025-12-15 08:08:30.337826 | 2025-12-16 03:37:13.033507 | 15970310 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 15970310 | Athletic Physical Therapy Inc | 1980-08-02 | 2025-12-17 | M | AE | PT | HILTSER | 208616901 | LORNE | 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/2222/8048052/check_15970310_ccaf8e78-6a0a-4e89-8063-5e2fb6350190.json | N/A | N/A | N/A | N/A | N/A | 208616901 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1980-08-02 | N/A | 265486 | N/A | C1 | false | HILTSER | N/A | LORNE | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO GOLD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522217507 | N/A | N/A | 8048052 | 2222 | 4802 | 16263384 | 6411 | 6844134 | 2025-12-16 03:37:13.033507 | 2025-08-29 16:18:21.978739 |
| 2025-12-15 08:08:30.066054 | 2025-12-16 03:38:32.539476 | 15970289 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 15970289 | Athletic Physical Therapy Inc | 1959-05-18 | 2025-12-17 | F | PT | N/A | BARRUNDIA DE AVENDAN | 789W2003120 | Maria | 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/2222/8046575/check_15970289_7636a9a5-4456-4161-92cd-4ebeb3fa7752.json | N/A | N/A | N/A | N/A | N/A | 789W2003120 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-05-18 | N/A | N/A | N/A | N/A | false | BARRUNDIA DE AVENDAN | N/A | MARIA | 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 | 9522217506 | N/A | N/A | 8046575 | 2222 | 4801 | 16263909 | 4184 | 4642900 | 2025-12-16 03:38:32.539476 | 2025-12-12 21:30:04.843166 |
| 2025-12-15 08:08:29.842635 | 2025-12-16 03:32:29.166862 | 15970272 | N/A | N/A | 60054 | Aetna | 1114042165 | 15970272 | Athletic Physical Therapy Inc | 2005-12-05 | 2025-12-17 | M | AE | PT | LEE | W46967828 | MICAH | 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/2222/8025873/check_15970272_54649498-dcea-427f-b626-390e2d22e092.json | N/A | N/A | N/A | N/A | N/A | W46967828 | N/A | N/A | AETNA INC | N/A | 2005-12-05 | N/A | N/A | N/A | N/A | false | LEE | N/A | MICAH | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522217505 | N/A | N/A | 8025873 | 2222 | 4802 | 16260851 | N/A | 6827370 | 2025-12-16 03:32:29.166862 | 2025-08-19 17:52:17.507801 |
| 2025-12-15 08:08:29.698370 | 2025-12-16 03:38:44.538934 | 15970261 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15970261 | Athletic Physical Therapy Inc | 1971-05-04 | 2025-12-17 | F | PT | N/A | MAHAARACHCHI | EXHAN7912598 | Nilanthi | 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/2222/7988722/check_15970261_b40e7ad0-bb92-4801-93d2-0c71c8dc3704.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | Preferred Provider Organization (PPO) | XEROX CORPORATION | ANTHEM BLUE CROSS | N/A | 1971-05-04 | 060 | 270101M11A | N/A | PR | false | MAHAARACHCHI | N/A | SENAKA | N/A | 9999-12-31 | 2025-01-01 | CDHP CT BC PPO HEALTH SAVINGS ACCOUNT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522217504 | N/A | N/A | 7988722 | 2222 | 4793 | 16263973 | 4185 | 6798209 | 2025-12-16 03:38:44.538934 | 2025-10-29 15:15:17.952230 |
| 2025-12-15 08:08:29.600353 | 2025-12-16 03:38:45.600424 | 15970249 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15970249 | Athletic Physical Therapy Inc | 1950-06-21 | 2025-12-17 | M | PT | N/A | Aliabadi | FJB10490729M | Hossein | 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/2222/7877206/check_15970249_c6d87dfb-177d-454e-a6c1-d360f34f4667.json | N/A | N/A | N/A | N/A | N/A | FJB10490729M | Preferred Provider Organization (PPO) | ALL | ANTHEM BLUE CROSS | N/A | 1950-06-21 | 101 | 174549M211 | N/A | PR | false | MANTEGHI | N/A | MEHRNAZ | N/A | 9999-12-31 | 2025-01-01 | BLUECARD PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522217503 | N/A | N/A | 7877206 | 2222 | 4802 | 16263979 | N/A | 6706099 | 2025-12-16 03:38:45.600424 | 2025-11-21 22:00:12.073625 |
| 2025-12-15 08:08:29.470455 | 2025-12-16 03:39:16.579514 | 15970239 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15970239 | Athletic Physical Therapy Inc | 1970-10-11 | 2025-12-17 | M | PT | N/A | Kahen | XEK909669840 | Shervin | 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/2222/7787192/check_15970239_1480dc56-438a-4184-b9ad-4208ce48e589.json | N/A | N/A | N/A | N/A | N/A | XEK909669840 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1970-10-11 | 2001ZK002195 | X0001000 | N/A | PR | false | KAHEN | N/A | SHERVIN | N/A | 9999-12-31 | 2025-05-18 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522217502 | N/A | N/A | 7787192 | 2222 | 4802 | 16264160 | N/A | 6631054 | 2025-12-16 03:39:16.579514 | 2025-12-12 20:45:04.787542 |
| 2025-12-15 08:08:29.374308 | 2025-12-16 03:32:28.881321 | 15970231 | N/A | N/A | 60054 | Aetna | 1114042165 | 15970231 | Athletic Physical Therapy Inc | 1973-08-11 | 2025-12-18 | M | AE | PT | YAMASAKI | W121490267 | KENNY | 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/2222/7761496/check_15970231_3a009aa5-0f49-4eef-9167-85d84c3f79ef.json | N/A | N/A | N/A | N/A | N/A | W121490767 | Point of Service (POS) | LIONSGATE ENTERTAINMENT INC. | AETNA | N/A | 1973-08-11 | 0881709 | 088170902100001 | N/A | PS | false | YAMASAKI | N/A | KENNY | 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 | 9522217501 | N/A | N/A | 7761496 | 2222 | 4802 | 16260848 | N/A | 6610810 | 2025-12-16 03:32:28.881321 | 2025-08-04 22:41:35.670334 |
| 2025-12-15 08:08:29.281504 | 2025-12-16 03:32:14.178799 | 15970221 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 15970221 | Athletic Physical Therapy Inc | 1975-12-22 | 2025-12-17 | M | PT | N/A | HUTH | XEH910929228 | KENT | 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/2222/7626895/check_15970221_22756135-4547-47ee-a910-a4bbc777bdf2.json | N/A | N/A | N/A | N/A | N/A | XEH910929228 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1975-12-22 | 1000HMOX0001 | W0051411 | N/A | HM | false | HUTH | N/A | KENT | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522217500 | N/A | N/A | 7626895 | 2222 | 4793 | 16260701 | N/A | 6525917 | 2025-12-16 03:32:14.178799 | 2026-05-08 22:53:13.232007 |
| 2025-12-15 08:08:29.184038 | 2025-12-16 03:31:48.322299 | 15970212 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15970212 | Athletic Physical Therapy Inc | 2014-05-27 | 2025-12-18 | F | AE | PT | Odate | 96680377F | Keina | 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/2222/7295079/check_15970212_0d24c5bd-883d-4554-9466-9953d457ac21.json | N/A | N/A | N/A | N/A | N/A | 96680377F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 09/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2014-05-27 | TFU223BP0000008 | QMXEM01909 | N/A | N/A | false | ODATE | N/A | WOW | N/A | 2078-12-31 | 2025-05-01 | ADULT FAMILY - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522217499 | N/A | N/A | 7295079 | 2222 | 4802 | 16260430 | 4211 | 6254701 | 2025-12-16 03:31:48.322299 | 2026-05-21 14:19:15.159394 |
| 2025-12-15 08:08:29.101213 | 2025-12-16 03:39:17.125310 | 15970205 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15970205 | Athletic Physical Therapy Inc | 1963-01-14 | 2025-12-18 | F | PT | N/A | KRAFT | XED911569862 | KATHRIN | 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/2222/7294742/check_15970205_2b25170e-c49e-4119-8b6e-339ed1351309.json | N/A | N/A | N/A | N/A | N/A | XED911569862 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-01-14 | 2001ZK002175 | X0001004 | N/A | PR | false | KRAFT | N/A | KATHRIN | N/A | 9999-12-31 | 2022-08-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522217498 | N/A | N/A | 7294742 | 2222 | 4801 | 16264164 | N/A | 6254569 | 2025-12-16 03:39:17.125310 | 2025-08-12 09:24:43.956957 |
| 2025-12-15 08:08:29.005314 | 2025-12-16 03:39:13.832720 | 15970196 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15970196 | Athletic Physical Therapy Inc | 1991-10-07 | 2025-12-17 | F | PT | N/A | BOYM | XEK903045570 | DANIELLA | 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/2222/7281036/check_15970196_0b60c452-6417-4d5d-b1da-4bcbe50e9161.json | N/A | N/A | N/A | N/A | N/A | XEK903045570 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1991-10-07 | 2001ZJ002648 | X0001000 | N/A | PR | false | BOYM | N/A | DIMITRY | N/A | 9999-12-31 | 2024-02-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522217497 | N/A | N/A | 7281036 | 2222 | 4793 | 16264146 | N/A | 6245462 | 2025-12-16 03:39:13.832720 | 2025-07-24 01:23:15.134681 |
| 2025-12-15 08:08:28.916007 | 2025-12-16 03:39:18.176677 | 15970188 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15970188 | Athletic Physical Therapy Inc | 1979-04-20 | 2025-12-17 | F | PT | N/A | NOSRAT | XEK904721388 | CAROLYN | 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/2222/7252533/check_15970188_6f7c297b-e25d-4d04-b65c-cf90c4690ac6.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1979-04-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | NOSRAT | N/A | CAROLYN | N/A | 9999-12-31 | 2016-01-01 | IFP EMB PED VISION | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522217496 | N/A | N/A | 7252533 | 2222 | 4802 | 16264170 | N/A | 4214065 | 2025-12-16 03:39:18.176677 | 2025-05-13 04:29:37.228379 |
| 2025-12-15 08:08:28.819422 | 2025-12-16 03:31:47.775361 | 15970180 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15970180 | Athletic Physical Therapy Inc | 1967-12-06 | 2025-12-18 | F | AE | PT | KLOSSOWSKI | 98920892C | TRESSA | 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/2222/7019712/check_15970180_295d93cb-c7db-4323-9d35-6d77456d0626.json | N/A | N/A | N/A | N/A | N/A | 98920892C | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 01/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1967-12-06 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | KLOSSOWSKI | N/A | TRESSA | N/A | 2078-12-31 | 2025-04-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522217495 | N/A | N/A | 7019712 | 2222 | 4793 | 16260426 | 4211 | 6034714 | 2025-12-16 03:31:47.775361 | 2025-07-15 18:02:59.670156 |
| 2025-12-15 08:08:28.712255 | 2025-12-16 03:39:20.015712 | 15970171 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15970171 | Athletic Physical Therapy Inc | 1961-03-07 | 2025-12-17 | F | PT | N/A | PERLOV | XEA905216171 | MERA | 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/2222/6814311/check_15970171_0089bf20-d721-4447-98db-4ef93fdfde9a.json | N/A | N/A | N/A | N/A | N/A | XEA905216171 | Preferred Provider Organization (PPO) | LA CARE HEALTH PLAN | BLUE SHIELD CALIFORNIA | N/A | 1961-03-07 | 1000PPOX0003 | W0051027 | N/A | PR | false | PERLOV | N/A | MERA | N/A | 2025-12-31 | 2025-01-01 | LA CARE HEALTH PLAN PPO SAVINGS TWO TIER EMBEDDED | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522217494 | N/A | N/A | 6814311 | 2222 | 4793 | 16264181 | N/A | 5856694 | 2025-12-16 03:39:20.015712 | 2025-07-07 18:45:06.287504 |
| 2025-12-15 08:08:28.618864 | 2025-12-16 03:38:57.427455 | 15970160 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15970160 | Athletic Physical Therapy Inc | 1947-12-19 | 2025-12-17 | F | PT | N/A | Taggart | MBL830M95233 | Rita | 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/2222/6780011/check_15970160_a76c09e3-fece-400a-a7f4-3005e37ab6af.json | N/A | N/A | N/A | N/A | N/A | MBL830M95233 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1947-12-19 | 040 | CAEGR002 | N/A | N/A | false | TAGGART | N/A | RITA | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522217493 | N/A | N/A | 6780011 | 2222 | 4802 | 16264049 | N/A | 5811238 | 2025-12-16 03:38:57.427455 | 2025-07-03 18:24:56.520298 |
| 2025-12-15 08:08:28.500160 | 2025-12-16 03:37:31.039534 | 15970151 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15970151 | Athletic Physical Therapy Inc | 2008-04-21 | 2025-12-17 | M | AE | PT | BERMUDEZ | 000019836525 | RAFAEL | 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/2222/6721942/check_15970151_b9246072-2458-45e2-b508-31e56f020889.json | N/A | N/A | N/A | N/A | N/A | 000019836525 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 2008-04-21 | 4327748 | 226977 | N/A | N/A | false | BERMUDEZ | N/A | RAFAEL | N/A | N/A | N/A | STATE OF CA- MRMIB - HEALTHY FAMILIES HF, AGES 2-1 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522217492 | N/A | N/A | 6721942 | 2222 | 4793 | 16263538 | N/A | 5322280 | 2025-12-16 03:37:31.039534 | 2025-07-01 21:45:15.878047 |
| 2025-12-15 08:08:28.400203 | 2025-12-16 03:31:37.137137 | 15970141 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 15970141 | Athletic Physical Therapy Inc | 1955-02-20 | 2025-12-17 | F | AE | PT | SALGUERO | 35955370 | DINA | 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/2222/6711965/check_15970141_54f45ae9-ecfc-4453-a8d8-98df7430a83c.json | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | 406-005-000 | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522217491 | N/A | N/A | 6711965 | 2222 | 4793 | 16260351 | 6798 | 4210430 | 2025-12-16 03:31:37.137137 | 2025-05-13 04:29:37.224841 |
| 2025-12-15 08:08:28.297040 | 2025-12-16 03:39:22.884600 | 15970130 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15970130 | Athletic Physical Therapy Inc | 2012-11-14 | 2025-12-18 | F | PT | N/A | IOANNOU | PAS839113807 | PENELOPE | 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/2222/6621141/check_15970130_f776f96d-ff5c-4eaf-93a9-c5fe4f3eba1d.json | N/A | N/A | N/A | N/A | N/A | PAS839113807 | Preferred Provider Organization (PPO) | WEST HEALTH CARE NETWORK | BLUE SHIELD OF CALIFORNIA | N/A | 2012-11-14 | N/A | 152010 | N/A | PR | false | IOANNOU | N/A | GEORGE | N/A | 2025-12-31 | 2018-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522217490 | N/A | N/A | 6621141 | 2222 | 4801 | 16264193 | N/A | 5237460 | 2025-12-16 03:39:22.884600 | 2025-07-24 16:59:54.908041 |
| 2025-12-15 08:08:28.193434 | 2025-12-16 03:38:47.105213 | 15970121 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15970121 | Athletic Physical Therapy Inc | 1963-02-27 | 2025-12-18 | F | PT | N/A | MARYAN | JPU047A23611 | MICHELLE | 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/2222/6600346/check_15970121_fc3d9414-79b3-48ed-8578-bb3ee23945ca.json | N/A | N/A | N/A | N/A | N/A | JPU047A23611 | Preferred Provider Organization (PPO) | PREMIER AMERICA CREDIT UNION | ANTHEM BLUE CROSS | N/A | 1963-02-27 | 040 | L06734M004 | N/A | PR | false | MARYAN | N/A | MICHELLE | N/A | 2026-01-01 | 2025-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522217489 | N/A | N/A | 6600346 | 2222 | 4801 | 16263987 | N/A | 4211322 | 2025-12-16 03:38:47.105213 | 2025-07-17 16:31:59.104530 |
| 2025-12-15 08:08:28.095024 | 2025-12-16 03:37:42.584531 | 15970111 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15970111 | Athletic Physical Therapy Inc | 2009-08-12 | 2025-12-17 | M | AE | PT | Aldana | 95423949E | George | 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/2222/6568645/check_15970111_bc6ab414-0a6a-4d86-b75c-7c64428a26e9.json | N/A | N/A | N/A | N/A | N/A | 95423949E | N/A | N/A | CENTENE CORPORATION | N/A | 2009-08-12 | N/A | N/A | N/A | N/A | false | ALDANA | N/A | GEORGE | N/A | N/A | N/A | TANF | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522217488 | N/A | N/A | 6568645 | 2222 | 4802 | 16263616 | N/A | 5190481 | 2025-12-16 03:37:42.584531 | 2025-06-24 17:29:30.756528 |
| 2025-12-15 08:08:28.000542 | 2025-12-16 03:32:24.550557 | 15970102 | N/A | N/A | 60054 | Aetna | 1114042165 | 15970102 | Athletic Physical Therapy Inc | 1968-11-30 | 2025-12-17 | F | AE | PT | Bitton MANFREDI | W228688169 | 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/2222/6417889/check_15970102_ff5a3558-ceed-43bd-bc0b-60925bc2b58d.json | N/A | N/A | N/A | N/A | N/A | W228688169 | Point of Service (POS) | AIR CANADA | AETNA | N/A | 1968-11-30 | 0479208 | 047920803100012 | N/A | PS | false | BITTON MANFREDI | N/A | SANDRA | 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 | 9522217487 | N/A | N/A | 6417889 | 2222 | 4793 | 16260802 | N/A | 5065591 | 2025-12-16 03:32:24.550557 | 2025-06-18 18:47:45.179937 |
| 2025-12-15 08:08:27.897344 | 2025-12-16 03:32:28.622942 | 15970095 | N/A | N/A | 60054 | Aetna | 1114042165 | 15970095 | Athletic Physical Therapy Inc | 1991-08-09 | 2025-12-17 | M | AE | PT | TORIO | W287278504 | MICHAEL | 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/2222/6235883/check_15970095_625febdb-cd5b-4210-95bd-06bc14023a87.json | N/A | N/A | N/A | N/A | N/A | W287278504 | Point of Service (POS) | COADVANTAGE RESOURCES, INC. | AETNA | N/A | 1991-08-09 | 0159468 | 015946801000034 | N/A | PS | false | TORIO | N/A | MICHAEL | N/A | N/A | N/A | OPEN ACCESS MC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522217486 | N/A | N/A | 6235883 | 2222 | 4802 | 16260845 | N/A | 4883697 | 2025-12-16 03:32:28.622942 | 2025-07-08 14:55:53.397662 |
| 2025-12-15 08:08:27.769294 | 2025-12-16 03:37:46.992417 | 15970084 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15970084 | Athletic Physical Therapy Inc | 1981-12-16 | 2025-12-17 | F | AE | PT | DE FELICE | R07457624FM1 | CHRISTINA | 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/2222/6140436/check_15970084_0c4a11cc-3163-412a-83e2-8d2cb553e821.json | N/A | N/A | N/A | N/A | N/A | R07457624FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1981-12-16 | N/A | N/A | N/A | N/A | false | DE FELICE | N/A | CHRISTINA | N/A | N/A | N/A | MI4 SBP | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522217485 | N/A | N/A | 6140436 | 2222 | 4801 | 16263646 | N/A | 4781417 | 2025-12-16 03:37:46.992417 | 2025-06-06 17:03:19.078153 |
| 2025-12-15 08:08:27.672447 | 2025-12-16 03:32:27.723144 | 15970074 | N/A | N/A | 60054 | Aetna | 1114042165 | 15970074 | Athletic Physical Therapy Inc | 1992-06-11 | 2025-12-17 | M | AE | PT | ROSS | W292476869 | BRYAN | 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/2222/5993949/check_15970074_48eacb31-05a1-4a4e-bbb0-f51e5bf7b239.json | N/A | N/A | N/A | N/A | N/A | W292476869 | Point of Service (POS) | PAYCHEX BUSINESS SOLUTIONS, LLC. | AETNA | N/A | 1992-06-11 | 0176563 | 017656301200042 | N/A | PS | false | ROSS | N/A | BRYAN | N/A | N/A | N/A | OPEN ACCESS MC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522217484 | N/A | N/A | 5993949 | 2222 | 4793 | 16260836 | N/A | 4642881 | 2025-12-16 03:32:27.723144 | 2025-06-06 02:27:19.212061 |
| 2025-12-15 08:08:27.553902 | 2025-12-16 03:37:45.935056 | 15970064 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15970064 | Athletic Physical Therapy Inc | 1969-01-08 | 2025-12-17 | F | AE | PT | ALROMAIH | 91237812E | SARAH | 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/2222/5993940/check_15970064_72eb1892-3056-4f39-94e9-94ff9dc7f06a.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522217483 | N/A | N/A | 5993940 | 2222 | 4802 | 16263637 | 4625 | 4642877 | 2025-12-16 03:37:45.935056 | 2025-12-23 23:49:16.627667 |
| 2025-12-15 08:08:27.432340 | 2025-12-16 03:38:52.149173 | 15970055 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 15970055 | Athletic Physical Therapy Inc | 1946-04-03 | 2025-12-17 | F | PT | N/A | OBLINGER | JQS491M78254 | MARIA | 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/2222/5676340/check_15970055_15a201ff-9f73-403c-a4b4-3587f01cb6af.json | N/A | N/A | N/A | N/A | N/A | JQS491M78254 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1946-04-03 | 040 | CAMCRWP0 | N/A | MP | false | OBLINGER | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522217482 | N/A | N/A | 5676340 | 2222 | 4793 | 16264018 | 4184 | 4210531 | 2025-12-16 03:38:52.149173 | 2025-12-09 17:09:13.960610 |
| 2025-12-15 08:08:27.327969 | 2025-12-16 03:37:44.400163 | 15970044 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15970044 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-12-16 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251215.095928004.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_15970044_10b28851-bbc6-4fca-b414-26ec5628d6e7.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522217481 | N/A | N/A | 5568076 | 2222 | 4802 | 16263629 | 4625 | 4209480 | 2025-12-16 03:37:44.400163 | 2026-04-10 02:05:15.976484 |
| 2025-12-15 08:08:27.177223 | 2025-12-16 03:38:58.845764 | 15970030 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15970030 | Athletic Physical Therapy Inc | 2016-10-15 | 2025-12-18 | F | PT | N/A | WALTER | JXN523A76388 | KARA | 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/2222/5550923/check_15970030_cfb36575-8b53-4529-8116-a6ad00e4b286.json | N/A | N/A | N/A | N/A | N/A | JXN523A76388 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 2016-10-15 | 040 | 174222M3A1 | N/A | PR | false | WALTER | N/A | KYLE | N/A | 9999-12-31 | 2023-01-01 | BC PPO INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522217480 | N/A | N/A | 5550923 | 2222 | 4801 | 16264057 | N/A | 4219763 | 2025-12-16 03:38:58.845764 | 2025-05-13 04:29:37.230804 |
| 2025-12-15 08:08:27.087480 | 2025-12-16 03:37:49.688648 | 15970023 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15970023 | Athletic Physical Therapy Inc | 1966-02-05 | 2025-12-18 | F | AE | PT | VANCELETTE | 99775204F | 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/2222/5550875/check_15970023_5a02f39f-c85b-4552-a0d9-185fadf859ed.json | N/A | N/A | N/A | N/A | N/A | 99775204F | N/A | N/A | HEALTH NET, LLC | N/A | 1966-02-05 | N/A | N/A | N/A | N/A | false | VANCELETTE | N/A | DEBORAH | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522217479 | N/A | N/A | 5550875 | 2222 | 4802 | 16263663 | N/A | 4219732 | 2025-12-16 03:37:49.688648 | 2025-05-13 04:29:37.230772 |
| 2025-12-15 08:08:26.994895 | 2025-12-16 03:32:26.153230 | 15970016 | N/A | N/A | 60054 | Aetna | 1114042165 | 15970016 | Athletic Physical Therapy Inc | 1955-03-15 | 2025-12-17 | F | AE | PT | MORTENSEN | MBL800W05634 | JEANIE | 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/2222/5549946/check_15970016_38a72f0b-f80b-496e-9a7f-6b65613d0db1.json | N/A | N/A | N/A | N/A | N/A | MBL800W05634 | N/A | N/A | AETNA | N/A | 1955-03-15 | 0169623 | 016962301000201 | N/A | N/A | false | MORTENSEN | N/A | JEANIE | N/A | N/A | N/A | PPO DENTAL 2000 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522217478 | N/A | N/A | 5549946 | 2222 | 4801 | 16260819 | N/A | 4219431 | 2025-12-16 03:32:26.153230 | 2025-12-01 18:45:07.315802 |
| 2025-12-15 08:08:26.881740 | 2025-12-16 03:38:43.948360 | 15970005 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15970005 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-12-17 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | 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/2222/5549317/check_15970005_3eceb2a8-6715-447f-90b4-75e66de132e9.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522217477 | N/A | N/A | 5549317 | 2222 | 4801 | 16263970 | N/A | 4219010 | 2025-12-16 03:38:43.948360 | 2026-01-09 18:32:07.618867 |
| 2025-12-15 08:08:26.788806 | 2025-12-16 03:37:48.625212 | 15969995 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15969995 | Athletic Physical Therapy Inc | 1962-06-19 | 2025-12-17 | M | AE | PT | MILIAN GOMEZ | 93331019F | MIGUEL | 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/2222/5543555/check_15969995_b1510509-c6a3-4025-8612-7543e8b32e41.json | N/A | N/A | N/A | N/A | N/A | 93331019F | N/A | N/A | HEALTH NET, LLC | N/A | 1962-06-19 | N/A | N/A | N/A | N/A | false | MILIAN GOMEZ | N/A | MIGUEL | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522217476 | N/A | N/A | 5543555 | 2222 | 4802 | 16263655 | N/A | 4215332 | 2025-12-16 03:37:48.625212 | 2025-08-06 16:15:15.716322 |
| 2025-12-15 08:08:26.689556 | 2025-12-16 03:36:33.794765 | 15969991 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15969991 | Athletic Physical Therapy Inc | 1956-05-26 | 2025-12-17 | F | AE | PT | TORRES | 40067303001 | OLGA | 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/2222/5543371/check_15969991_1f4c7e5f-7a62-4d9d-800a-7a5d6617e304.json | N/A | N/A | N/A | N/A | N/A | 40067303001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-05-26 | 2025H5425001 | H5425M | N/A | N/A | false | TORRES | N/A | OLGA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522217475 | N/A | N/A | 5543371 | 2222 | 4793 | 16263074 | 6237 | 4215172 | 2025-12-16 03:36:33.794765 | 2025-05-13 04:29:37.229489 |
| 2025-12-15 08:08:26.603847 | 2025-12-16 03:31:49.198748 | 15969981 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15969981 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-12-17 | F | AE | PT | SILVERS | 1866968 | JOIEMAY | 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/2222/5543335/check_15969981_4d20d566-8051-4956-9f79-fbe20c00522b.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 2001-01-23 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522217474 | N/A | N/A | 5543335 | 2222 | 4802 | 16260438 | 4211 | 4215139 | 2025-12-16 03:31:49.198748 | 2025-05-13 21:20:11.455022 |
| 2025-12-15 08:08:26.487401 | 2025-12-16 03:31:48.047565 | 15969972 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15969972 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-12-17 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | 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/2222/5543270/check_15969972_b40d6e8b-99f8-4f82-a8cc-6e25b3b8ef65.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-03-27 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | 2078-12-31 | 2024-11-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522217473 | N/A | N/A | 5543270 | 2222 | 4793 | 16260428 | 4211 | 4215086 | 2025-12-16 03:31:48.047565 | 2025-05-13 04:29:37.229401 |
| 2025-12-15 08:08:26.396870 | 2025-12-16 03:32:25.067551 | 15969962 | N/A | N/A | 60054 | Aetna | 1114042165 | 15969962 | Athletic Physical Therapy Inc | 1994-09-02 | 2025-12-18 | F | AE | PT | CHEN | W286265318 | KELLY | 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/2222/5543266/check_15969962_6ba60320-e631-4953-832a-807b965141fa.json | N/A | N/A | N/A | N/A | N/A | W286265318 | Point of Service (POS) | ADOBE INC. | AETNA | N/A | 1994-09-02 | 0660819 | 066081901600001 | N/A | PS | false | CHEN | N/A | KELLY | 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 | 9522217472 | N/A | N/A | 5543266 | 2222 | 4802 | 16260808 | N/A | 4215081 | 2025-12-16 03:32:25.067551 | 2025-05-13 04:29:37.229396 |
| 2025-12-15 08:08:26.297777 | 2025-12-16 03:38:42.715630 | 15969955 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15969955 | Athletic Physical Therapy Inc | 1972-06-23 | 2025-12-18 | F | PT | N/A | LAWSON | JXN663W00172 | MICHELLE | 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/2222/5543167/check_15969955_edcacea6-105f-4666-a85e-305a20be10ab.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 | 1972-06-23 | 040 | 174222M2A1 | N/A | PR | false | LAWSON | N/A | MICHELLE | N/A | 9999-12-31 | 2020-01-01 | BC PPO INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522217471 | N/A | N/A | 5543167 | 2222 | 4793 | 16263964 | N/A | 4214995 | 2025-12-16 03:38:42.715630 | 2025-05-13 04:29:37.229315 |
| 2025-12-15 08:08:26.206718 | 2025-12-16 03:37:56.228538 | 15969948 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 15969948 | Athletic Physical Therapy Inc | 1947-12-04 | 2025-12-17 | F | AE | PT | CHARTER | 00000357514 | JEAN | 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/2222/5543042/check_15969948_0e137100-376d-4c1d-8832-9cc923617611.json | N/A | N/A | N/A | N/A | N/A | 00000357514 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1947-12-04 | H3815028 | N/A | N/A | HM | false | CHARTER | N/A | JEAN | 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 | 9522217470 | N/A | N/A | 5543042 | 2222 | 4793 | 16263707 | N/A | 4214881 | 2025-12-16 03:37:56.228538 | 2025-10-23 00:25:28.237067 |
| 2025-12-15 08:08:26.095055 | 2025-12-16 03:36:33.542940 | 15969938 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15969938 | Athletic Physical Therapy Inc | 1957-01-21 | 2025-12-17 | M | AE | PT | SHADDY | 40064865601 | STEVE | 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/2222/5543011/check_15969938_5cdfbfe4-81fc-4273-9e48-aae881e70baa.json | N/A | N/A | N/A | N/A | N/A | 40064865601 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | SHADDY | N/A | STEVE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9522217469 | N/A | N/A | 5543011 | 2222 | 4801 | 16263071 | 6237 | 4214861 | 2025-12-16 03:36:33.542940 | 2026-02-04 19:10:58.526441 |
| 2025-12-15 08:08:25.985674 | 2025-12-16 03:38:37.223747 | 15969929 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15969929 | Athletic Physical Therapy Inc | 1943-04-14 | 2025-12-17 | M | PT | N/A | DESMET | MBL584M98446 | GRANT | 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/2222/5542900/check_15969929_c82a4df2-02fd-4e4a-888f-f33d86ab0670.json | N/A | N/A | N/A | N/A | N/A | MBL584M98446 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1943-04-14 | 040 | CAEGR005 | N/A | N/A | false | DESMET | N/A | GRANT | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522217468 | N/A | N/A | 5542900 | 2222 | 4801 | 16263936 | N/A | 4214759 | 2025-12-16 03:38:37.223747 | 2025-05-13 04:29:37.229079 |
| 2025-12-15 08:08:25.886125 | 2025-12-16 03:38:56.348527 | 15969921 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15969921 | Athletic Physical Therapy Inc | 1949-06-30 | 2025-12-17 | F | PT | N/A | STEWART | WSP370A66341 | ALBERTA | 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/2222/5542834/check_15969921_d4d8c1ed-7d98-4ddb-bb9c-9a036e050a79.json | N/A | N/A | N/A | N/A | N/A | WSP370A66341 | N/A | ELEVANCE HEALTH | ANTHEM BLUE CROSS | N/A | 1949-06-30 | 130 | IN002GRS | N/A | N/A | false | STEWART | N/A | ALBERTA | N/A | 9999-12-31 | 2021-01-01 | IN GRS ELEVANCE HEALTH H4036-801 ANTHEM MED PREFER | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522217467 | N/A | N/A | 5542834 | 2222 | 4801 | 16264042 | N/A | 4214700 | 2025-12-16 03:38:56.348527 | 2025-05-13 04:29:37.229017 |
| 2025-12-15 08:08:25.788143 | 2025-12-16 03:39:18.718306 | 15969913 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15969913 | Athletic Physical Therapy Inc | 1964-08-15 | 2025-12-17 | F | PT | N/A | OCONLON | XED909983270 | SARA | 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/2222/5542827/check_15969913_655d344e-66c2-4283-b87e-af8ba12d20f8.json | N/A | N/A | N/A | N/A | N/A | XED909983270 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1964-08-15 | 2001ZK002185 | X0001004 | N/A | PR | false | OCONLON | N/A | SARA | N/A | 9999-12-31 | 2020-08-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522217466 | N/A | N/A | 5542827 | 2222 | 4793 | 16264173 | N/A | 4214693 | 2025-12-16 03:39:18.718306 | 2025-05-13 04:29:37.229010 |
| 2025-12-15 08:08:25.680369 | 2025-12-16 03:32:27.192022 | 15969906 | N/A | N/A | 60054 | Aetna | 1114042165 | 15969906 | Athletic Physical Therapy Inc | 2009-08-28 | 2025-12-17 | F | PT | N/A | GARCIA | FJB21294792M | STARR | 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/2222/5542769/check_15969906_c5632487-2455-4dc8-b78f-9c470d4cb81a.json | N/A | N/A | N/A | N/A | N/A | FJB21294792M | N/A | N/A | AETNA | N/A | 2009-08-28 | 0811385 | 081138503000106 | N/A | N/A | false | RAY | N/A | ALLISON | N/A | N/A | N/A | AETNA VISION PREFERRED | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9522217465 | N/A | N/A | 5542769 | 2222 | 4801 | 16260830 | N/A | 4214641 | 2025-12-16 03:32:27.192022 | 2025-12-09 08:50:02.875071 |