API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-10 09:03:24.627826 | 2025-06-11 02:31:01.140537 | 8685314 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8685314 | Athletic Physical Therapy Inc | 1962-04-09 | 2025-06-13 | F | PT | HARDING | XDP157A51099 | MICHELE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550953/check_8685314_a7408638-760d-4c73-b9af-a07523aaf6bb.json | N/A | N/A | N/A | N/A | N/A | XDP157A51099 | Preferred Provider Organization (PPO) | CALIFORNIA SCHOOL EMPLOYEE BENEFIT ORGANIZATION | ANTHEM BLUE CROSS | N/A | 1962-04-09 | 040 | 175092M330 | N/A | PR | false | HARDING | N/A | MICHELE | N/A | 9999-12-31 | 2024-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881021378 | N/A | N/A | 5550953 | 2222 | 4801 | 8420670 | N/A | 4219788 | 2025-06-11 02:31:01.140537 | 2025-06-06 22:01:46.271450 |
| 2025-06-10 09:03:24.424271 | 2025-06-11 02:48:06.455883 | 8685304 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8685304 | Athletic Physical Therapy Inc | 1951-05-24 | 2025-06-12 | F | PT | LINDSEY | 5NM0ND0FT32 | CHRISTIE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550951/check_8685304_3753075f-7a6c-46b2-93f0-d1847058c546.json | N/A | N/A | N/A | N/A | N/A | 5NM0ND0FT32 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-05-24 | S4802 | N/A | N/A | MA | false | LINDSEY | N/A | CHRISTIE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881021377 | N/A | N/A | 5550951 | 2222 | 4801 | 8427596 | N/A | 4219787 | 2025-06-11 02:48:06.455883 | 2025-05-13 04:29:37.230828 |
| 2025-06-10 09:03:24.351065 | 2025-06-11 02:23:20.008154 | 8685300 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | 8685300 | Athletic Physical Therapy Inc | 1965-07-31 | 2025-06-13 | F | PT | GUEVARA | G45053839 | DIANE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550940/check_8685300_68708eee-e30f-4527-8680-b41e511430b5.json | N/A | N/A | N/A | N/A | N/A | G45053839 | N/A | GEHA MEDICAL FEHB/PSHB | UMR | N/A | 1965-07-31 | 767000416933001 | 76416933 | N/A | N/A | false | GUEVARA | N/A | DIANE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881021376 | N/A | N/A | 5550940 | 2222 | 4793 | 8416315 | N/A | 4219779 | 2025-06-11 02:23:20.008154 | 2025-05-13 04:29:37.230820 |
| 2025-06-10 09:03:24.268754 | 2025-06-11 02:31:09.385263 | 8685292 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8685292 | Athletic Physical Therapy Inc | 1966-03-05 | 2025-06-12 | M | PT | MICHIELSEN | XDP726A24389 | PIETER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550926/check_8685292_cf533f45-7279-42ce-b42e-a769ce837805.json | N/A | N/A | N/A | N/A | N/A | XDP726A24389 | Preferred Provider Organization (PPO) | CONEJO VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 1966-03-05 | 040 | 275928M001 | N/A | PR | false | MICHIELSEN | N/A | PIETER | N/A | 9999-12-31 | 2022-07-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881022717 | N/A | N/A | 5550926 | 2222 | 4801 | 8420786 | N/A | 4219768 | 2025-06-11 02:31:09.385263 | 2025-05-13 04:29:37.230809 |
| 2025-06-10 09:03:24.179975 | 2025-06-11 02:31:02.421642 | 8685287 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 8685287 | Athletic Physical Therapy Inc | 1989-01-23 | 2025-06-12 | F | PT | HINKLE | NCF051W08046 | MARLENA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550925/check_8685287_d271866d-20cf-4bf1-81a2-088e909eeb2b.json | N/A | N/A | N/A | N/A | N/A | 935M99657 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1989-01-23 | 040 | 57AJCA | N/A | HM | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2021-03-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022716 | N/A | N/A | 5550925 | 2222 | 4793 | 8420685 | 4184 | 4219772 | 2025-06-11 02:31:02.421642 | 2025-11-18 00:45:16.378261 |
| 2025-06-10 09:03:24.076872 | 2025-06-11 02:33:25.605144 | 8685279 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8685279 | Athletic Physical Therapy Inc | 1990-03-04 | 2025-06-11 | F | PT | MERKER | FFB813483004 | AMANDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550917/check_8685279_289ea5aa-9ece-45b3-ade9-4fce718eb49c.json | N/A | N/A | N/A | N/A | N/A | FFB813483004 | Preferred Provider Organization (PPO) | 48FORTY INTERMEDIATE HOLDINGS | BLUE SHIELD OF CALIFORNIA | N/A | 1990-03-04 | N/A | 396562 | N/A | PR | false | MERKER | N/A | AMANDA | N/A | 9999-12-31 | 2025-01-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881022715 | N/A | N/A | 5550917 | 2222 | 4802 | 8422481 | N/A | 4219762 | 2025-06-11 02:33:25.605144 | 2025-05-13 04:29:37.230803 |
| 2025-06-10 09:03:23.964370 | 2025-06-11 02:48:23.022538 | 8685273 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8685273 | Athletic Physical Therapy Inc | 1958-07-03 | 2025-06-13 | M | PT | NOVORR | 8UK6F04XX74 | TERRY | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550906/check_8685273_80768a59-75f4-42b2-93a3-d67ded7e9a33.json | N/A | N/A | N/A | N/A | N/A | 8UK6F04XX74 | Medicare Part A | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-07-03 | S9701 | N/A | N/A | MA | false | NOVORR | N/A | TERRY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022714 | N/A | N/A | 5550906 | 2222 | 4801 | 8427614 | N/A | 4219758 | 2025-06-11 02:48:23.022538 | 2025-05-13 04:29:37.230800 |
| 2025-06-10 09:03:23.861184 | 2025-06-11 02:08:23.129484 | 8685268 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8685268 | Athletic Physical Therapy Inc | 1970-06-09 | 2025-06-13 | M | PT | HELLER | JQV410A55020 | FRANK | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550902/check_8685268_97c4f443-e796-4840-9107-8f1a28db1fa7.json | N/A | N/A | N/A | N/A | N/A | JQV410A55020 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1970-06-09 | N/A | N/A | N/A | N/A | false | HELLER | N/A | FRANK | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022713 | N/A | N/A | 5550902 | 2222 | 4801 | 8405810 | N/A | 4219740 | 2025-06-11 02:08:23.129484 | 2025-05-13 04:29:37.230778 |
| 2025-06-10 09:03:23.781538 | 2025-06-11 02:47:23.803113 | 8685256 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8685256 | Athletic Physical Therapy Inc | 1954-01-20 | 2025-06-13 | F | AE | BRENNER | 8F12ED9EE92 | ROCIO FLORES | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550896/check_8685256_400109e4-e249-4a74-a21a-083a776c2c33.json | N/A | N/A | N/A | N/A | N/A | 8F12ED9EE92 | N/A | N/A | CMS | N/A | 1954-01-20 | N/A | N/A | N/A | N/A | false | BRENNER | N/A | ROCIO FLORES | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7881022712 | N/A | N/A | 5550896 | 2222 | 4793 | 8427507 | N/A | 4219750 | 2025-06-11 02:47:23.803113 | 2025-06-06 02:15:39.377685 |
| 2025-06-10 09:03:23.705498 | 2025-06-11 02:24:14.922139 | 8685252 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8685252 | Athletic Physical Therapy Inc | 1991-12-01 | 2025-06-13 | M | PT | BUCHMAN | 961481996 | SAM | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550893/check_8685252_3e5d0d5c-c5ca-44e5-a606-38627a3dc2b2.json | N/A | N/A | N/A | N/A | N/A | 961481996 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1991-12-01 | N/A | N/A | N/A | N/A | false | BUCHMAN | N/A | SAM | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022711 | N/A | N/A | 5550893 | 2222 | 4802 | 8416851 | N/A | 4219737 | 2025-06-11 02:24:14.922139 | 2025-05-13 04:29:37.230776 |
| 2025-06-10 09:03:23.578408 | 2025-06-11 02:32:43.937015 | 8685241 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8685241 | Athletic Physical Therapy Inc | 1997-08-28 | 2025-06-12 | F | PT | KAUFMAN | XEK910972639 | ALEXIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550866/check_8685241_119053af-b7f3-4c3a-93bc-72925be59b19.json | N/A | N/A | N/A | N/A | N/A | XEK910972639 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-08-28 | 2001ZK002168 | X0001000 | N/A | PR | false | KAUFMAN | N/A | ALEXIS | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881022710 | N/A | N/A | 5550866 | 2222 | 4802 | 8421911 | N/A | 4219724 | 2025-06-11 02:32:43.937015 | 2025-06-02 15:55:15.666421 |
| 2025-06-10 09:03:23.442056 | 2025-06-11 02:32:38.037562 | 8685228 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8685228 | Athletic Physical Therapy Inc | 1986-08-03 | 2025-06-12 | M | PT | AMENT | XED913057951 | NATHAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550865/check_8685228_4098887e-60e3-444b-9db4-93975841b1cc.json | N/A | N/A | N/A | N/A | N/A | XED913057951 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-08-03 | 2001ZK002185 | X0001004 | N/A | PR | false | AMENT | N/A | NATHAN | N/A | 9999-12-31 | 2025-01-01 | SILVER 87 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881022709 | N/A | N/A | 5550865 | 2222 | 4802 | 8421846 | N/A | 4215196 | 2025-06-11 02:32:38.037562 | 2025-05-13 04:29:37.229513 |
| 2025-06-10 09:03:23.304001 | 2025-06-11 02:32:48.806719 | 8685219 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8685219 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-06-12 | M | PT | PANDYA | XEA913306283 | DHARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_8685219_4aabee9e-2121-492a-b31d-7348756fdb85.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 | 1975-08-17 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2025-01-01 | BLUE SHIELD OF CA ASO VIRTUAL BLUE FULL PPO SAVING | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881022708 | N/A | N/A | 5550845 | 2222 | 4801 | 8421970 | N/A | 4219713 | 2025-06-11 02:32:48.806719 | 2025-08-13 22:46:55.732965 |
| 2025-06-10 09:03:23.189435 | 2025-06-11 02:12:14.663711 | 8685208 | N/A | N/A | 60054 | Aetna | 1114042165 | 8685208 | Athletic Physical Therapy Inc | 1970-02-16 | 2025-06-12 | M | PT | OCHOA | W263373040 | JACK | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550823/check_8685208_669d297e-1c7f-4b22-b28c-5826d381eb78.json | N/A | N/A | N/A | N/A | N/A | W263373040 | Preferred Provider Organization (PPO) | HOSPITAL CORPORATION OF AMERICA | AETNA | N/A | 1970-02-16 | 0160879 | 016087905000013 | N/A | PR | false | OCHOA | N/A | JACK | N/A | N/A | N/A | OPEN CHOICE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022707 | N/A | N/A | 5550823 | 2222 | 4801 | 8408272 | N/A | 4219698 | 2025-06-11 02:12:14.663711 | 2025-05-13 04:29:37.230743 |
| 2025-06-10 09:03:23.079603 | 2025-06-11 02:08:26.037991 | 8685197 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8685197 | Athletic Physical Therapy Inc | 1982-11-09 | 2025-06-12 | M | PT | JOHNSON | XEH907100980 | DANIEL | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550815/check_8685197_833cd5af-7b8d-47ac-a5a5-829ef0c33897.json | N/A | N/A | N/A | N/A | N/A | XEH907100980 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1982-11-09 | N/A | N/A | N/A | N/A | false | JOHNSON | N/A | DANIEL | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022706 | N/A | N/A | 5550815 | 2222 | 4801 | 8405830 | N/A | 4219693 | 2025-06-11 02:08:26.037991 | 2025-05-13 04:29:37.230738 |
| 2025-06-10 09:03:22.973232 | 2025-06-11 02:12:05.699942 | 8685187 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | 8685187 | Athletic Physical Therapy Inc | 1960-10-21 | 2025-06-13 | M | PT | UPSON | 15831U29031 | MARK | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550812/check_8685187_fffdce89-ee1f-484b-a995-06c13bdb0706.json | N/A | N/A | N/A | N/A | N/A | 15831U29031 | N/A | N/A | MEDI-SHARE | N/A | 1960-10-21 | N/A | N/A | N/A | N/A | false | UPSON | N/A | MARK | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022705 | N/A | N/A | 5550812 | 2222 | 4801 | 8408164 | N/A | 4219691 | 2025-06-11 02:12:05.699942 | 2025-05-13 04:29:37.230736 |
| 2025-06-10 09:03:22.905580 | 2025-06-11 02:47:42.756961 | 8685180 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8685180 | Athletic Physical Therapy Inc | 1950-09-13 | 2025-06-12 | M | PT | GU | 4AN1F55YR02 | WINSTON | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550800/check_8685180_1fda62fa-0904-4267-9828-425391c11c39.json | N/A | N/A | N/A | N/A | N/A | 4AN1F55YR02 | Medicare Part B | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-09-13 | S5884 | N/A | N/A | MB | false | GU | N/A | WINSTON | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022704 | N/A | N/A | 5550800 | 2222 | 4801 | 8427548 | N/A | 4219679 | 2025-06-11 02:47:42.756961 | 2025-05-13 04:29:37.230723 |
| 2025-06-10 09:03:22.847307 | 2025-06-11 02:48:19.471721 | 8685173 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8685173 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-06-12 | F | PT | MARTIN | 5YV3RT3TA75 | DOLLY | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550797/check_8685173_4067c8c1-a951-419c-990a-03334b173fed.json | N/A | N/A | N/A | N/A | N/A | 5YV3RT3TA75 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-09-13 | N/A | N/A | N/A | MA | false | MARTIN | N/A | DOLLY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022703 | N/A | N/A | 5550797 | 2222 | 4793 | 8427601 | N/A | 4219681 | 2025-06-11 02:48:19.471721 | 2026-01-14 20:54:02.193776 |
| 2025-06-10 09:03:22.752230 | 2025-06-11 02:12:15.016289 | 8685163 | N/A | N/A | 60054 | Aetna | 1114042165 | 8685163 | Athletic Physical Therapy Inc | 1961-11-04 | 2025-06-13 | F | PT | SANTITORO | W267422430 | SARAH | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550743/check_8685163_a70a5062-adb2-4509-b40e-b6d55105995d.json | N/A | N/A | N/A | N/A | N/A | W267422430 | Point of Service (POS) | CIENA CORPORATION | AETNA | N/A | 1961-11-04 | 0486875 | 048687501000001 | N/A | PS | false | SANTITORO | N/A | RALPH | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022702 | N/A | N/A | 5550743 | 2222 | 4801 | 8408278 | N/A | 4219643 | 2025-06-11 02:12:15.016289 | 2025-05-13 04:29:37.230685 |
| 2025-06-10 09:03:22.680162 | 2025-06-11 02:47:22.700642 | 8685156 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8685156 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-06-13 | F | PT | BRADBURY | 5W31MW6FP03 | BONNIE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550534/check_8685156_43ed6909-25c5-4ea0-837f-928f3c000028.json | N/A | N/A | N/A | N/A | N/A | 5W31MW6FP03 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-01 | S5617 | N/A | N/A | MA | false | BRADBURY | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022701 | N/A | N/A | 5550534 | 2222 | 4801 | 8427502 | N/A | 4219556 | 2025-06-11 02:47:22.700642 | 2025-05-13 04:29:37.230592 |
| 2025-06-10 09:03:22.588782 | 2025-06-11 02:30:55.120712 | 8685147 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8685147 | Athletic Physical Therapy Inc | 1983-08-30 | 2025-06-13 | F | PT | COOPER | NCF583A24290 | JENNIFER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550450/check_8685147_b2886aec-9dd6-40a9-9083-7f1ba66f9a45.json | N/A | N/A | N/A | N/A | N/A | NCF583A24290 | Health Maintenance Organization (HMO) | CEDARS SINAI HEALTH SYSTEM | ANTHEM BLUE CROSS | N/A | 1983-08-30 | 040 | 57ADZG | N/A | HM | false | COOPER | N/A | JENNIFER | N/A | 9999-12-31 | 2014-08-01 | HMO CEDARS SINAI ONLY | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881022700 | N/A | N/A | 5550450 | 2222 | 4793 | 8420592 | N/A | 4219541 | 2025-06-11 02:30:55.120712 | 2025-05-13 04:29:37.230577 |
| 2025-06-10 09:03:22.526521 | 2025-06-11 02:47:48.697459 | 8685140 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8685140 | Athletic Physical Therapy Inc | 1951-08-07 | 2025-06-13 | F | PT | JOEL | 9TY9VF4DK26 | CANDACE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550243/check_8685140_1de270cf-3e28-4333-82c6-b1fe6a696ae1.json | N/A | N/A | N/A | N/A | N/A | 9TY9VF4DK26 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-08-07 | S4802 | N/A | N/A | MA | false | JOEL | N/A | CANDACE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022699 | N/A | N/A | 5550243 | 2222 | 4801 | 8427559 | N/A | 4212766 | 2025-06-11 02:47:48.697459 | 2025-05-13 04:29:37.227101 |
| 2025-06-10 09:03:22.385852 | 2025-06-11 02:47:27.018402 | 8685124 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8685124 | Athletic Physical Therapy Inc | 1951-12-26 | 2025-06-12 | M | PT | FINEBERG | 9FX3D52YD09 | MARTIN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549981/check_8685124_bb91ab00-f70d-4c37-936b-4de9ff83c302.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MB | false | FINEBERG | N/A | MARTIN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022697 | N/A | N/A | 5549981 | 2222 | 4802 | 8427515 | N/A | 4219436 | 2025-06-11 02:47:27.018402 | 2025-05-13 04:29:37.230471 |
| 2025-06-10 09:03:22.321752 | 2025-06-11 02:47:46.396083 | 8685116 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8685116 | Athletic Physical Therapy Inc | 1942-04-09 | 2025-06-13 | F | PT | JALLAD | 7AY7QW7EK46 | IKRAM | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549454/check_8685116_9f4a6caa-ab6a-405e-bcc2-c41decc209b7.json | N/A | N/A | N/A | N/A | N/A | 7AY7QW7EK46 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-04-09 | S5617 | N/A | N/A | MB | false | JALLAD | N/A | IKRAM | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022696 | N/A | N/A | 5549454 | 2222 | 4801 | 8427557 | N/A | 4219116 | 2025-06-11 02:47:46.396083 | 2025-05-16 16:43:35.854220 |
| 2025-06-10 09:03:22.243025 | 2025-06-11 02:12:10.749031 | 8685108 | N/A | N/A | 60054 | AETNA | 1114042165 | 8685108 | Athletic Physical Therapy Inc | 1947-04-26 | 2025-06-12 | F | PT | BARCENES | 101198878000 | IRENE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549354/check_8685108_72d61a50-7d10-4ae5-a815-879728bd1566.json | N/A | N/A | N/A | N/A | N/A | 101198878000 | N/A | N/A | AETNA | N/A | 1947-04-26 | 000003-CA000017 | N/A | N/A | N/A | false | BARCENES DES | N/A | IRENE | N/A | N/A | N/A | 000003-CA HMO - H4982 PBP 012 | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022695 | N/A | N/A | 5549354 | 2222 | 4801 | 8408223 | 3939 | 4219033 | 2025-06-11 02:12:10.749031 | 2025-05-13 04:29:37.230052 |
| 2025-06-10 09:03:22.184353 | 2025-06-11 02:31:06.293635 | 8685101 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8685101 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-06-11 | F | PT | LUCZYWEK | HFD100011213709 | DEBORA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_8685101_8b70d241-4d24-4a78-948e-8d747c3118b6.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | IF THE MEMBER QUALIFIES FOR COBRA COVERAGE,THE POLICY MAY BE SUBJECT TO RETROACTIVE CANCELLATION OR REINSTATEMENT, BASED ON THE PLAN DESIGN AND THE MEMBER COBRA ELECTION. 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 USPSTF 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 | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881022694 | N/A | N/A | 5549317 | 2222 | 4801 | 8420741 | N/A | 4219010 | 2025-06-11 02:31:06.293635 | 2026-01-09 18:32:07.618867 |
| 2025-06-10 09:03:22.101989 | 2025-06-11 02:47:43.974151 | 8685089 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8685089 | Athletic Physical Therapy Inc | 1948-10-09 | 2025-06-12 | M | PT | HELLER | 4WQ0H64HT25 | LAWRENCE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549009/check_8685089_3d8ee010-6f09-459d-9ecf-ff7a01fc9bc7.json | N/A | N/A | N/A | N/A | N/A | 4WQ0H64HT25 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-10-09 | S5596 | N/A | N/A | MB | false | HELLER | N/A | LAWRENCE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022693 | N/A | N/A | 5549009 | 2222 | 4802 | 8427551 | N/A | 4208819 | 2025-06-11 02:47:43.974151 | 2025-05-13 04:29:37.223245 |
| 2025-06-10 09:03:18.565945 | 2025-06-11 02:48:27.877504 | 8684718 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8684718 | Athletic Physical Therapy Inc | 1945-02-14 | 2025-06-13 | M | PT | SLAUGHTER | 6V77P87YA36 | KAY | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543377/check_8684718_e92e7ff7-77de-4ad2-aba4-55e04fc4c9e7.json | N/A | N/A | N/A | N/A | N/A | 6V77P87YA36 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-02-14 | S5601 | N/A | N/A | MA | false | SLAUGHTER | N/A | KAY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022047 | N/A | N/A | 5543377 | 2222 | 4802 | 8427626 | N/A | 4215177 | 2025-06-11 02:48:27.877504 | 2025-05-13 04:29:37.229493 |
| 2025-06-10 09:03:18.499042 | 2025-06-11 02:31:10.996276 | 8684711 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8684711 | Athletic Physical Therapy Inc | 1985-06-18 | 2025-06-12 | F | PT | SCHULMAN | XDP423M94945 | JESSICA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543362/check_8684711_f68de473-5180-41ba-9c35-07a827011e83.json | N/A | N/A | N/A | N/A | N/A | XDP423M94945 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1985-06-18 | 040 | 280629MK16 | N/A | PR | false | SCHULMAN | N/A | JESSICA | N/A | 9999-12-31 | 2025-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881022046 | N/A | N/A | 5543362 | 2222 | 4793 | 8420801 | N/A | 4215155 | 2025-06-11 02:31:10.996276 | 2025-05-13 04:29:37.229472 |
| 2025-06-10 09:03:18.430349 | 2025-06-11 02:31:07.829781 | 8684703 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 8684703 | Athletic Physical Therapy Inc | 1960-09-07 | 2025-06-13 | M | PT | MEINERT | XEH912496752 | TIM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543360/check_8684703_e4907e50-4c96-4f5b-a296-30f55026c0fc.json | N/A | N/A | N/A | N/A | N/A | XEH912496752 | Health Maintenance Organization (HMO) | MILKEN COMMUNITY SCHOOLS | ANTHEM BLUE CROSS | N/A | 1960-09-07 | 1000HMOX0001 | W0070317 | N/A | HM | false | MEINERT | N/A | TIMOTHY | N/A | N/A | N/A | ACCESS HMO R PER ADMIT 10 250 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881022045 | N/A | N/A | 5543360 | 2222 | 4793 | 8420765 | 4184 | 4215161 | 2025-06-11 02:31:07.829781 | 2025-05-13 04:29:37.229478 |
| 2025-06-10 09:03:18.369120 | 2025-06-11 02:24:13.619989 | 8684695 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8684695 | Athletic Physical Therapy Inc | 2007-11-30 | 2025-06-12 | F | AE | BIERNER | 941921536 | ISABEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543359/check_8684695_21331c1d-6883-4b80-923c-2a4715bf792b.json | N/A | N/A | N/A | N/A | N/A | 941921536 | Commercial | APPLE INC. | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 2007-11-30 | 1254 1254 | 700406 | N/A | C1 | false | BIERNER | N/A | JACOB | N/A | N/A | N/A | SELECT PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7881022044 | N/A | N/A | 5543359 | 2222 | 4802 | 8416831 | N/A | 4215160 | 2025-06-11 02:24:13.619989 | 2025-05-13 04:29:37.229477 |
| 2025-06-10 09:03:18.288668 | 2025-06-11 02:30:55.860725 | 8684687 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8684687 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-06-12 | F | PT | DAKE | SIF326M90066 | RENEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543355/check_8684687_7a02b4b1-59e6-4e60-9b1c-fe49048cb809.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | Preferred Provider Organization (PPO) | SISC - MEADOWS ARTS & TECH ELEMENTARY SCHOOL | ANTHEM BLUE CROSS | N/A | 1968-01-29 | 040 | 40424B | N/A | PR | false | DAKE | N/A | RENEE | N/A | 9999-12-31 | 2018-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881022043 | N/A | N/A | 5543355 | 2222 | 4793 | 8420601 | N/A | 4215158 | 2025-06-11 02:30:55.860725 | 2025-05-13 04:29:37.229475 |
| 2025-06-10 09:03:18.183318 | 2025-06-11 02:30:49.182348 | 8684677 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 8684677 | Athletic Physical Therapy Inc | 1962-09-27 | 2025-06-13 | F | PT | BARAJAS | NCF425A56241 | EMMA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543324/check_8684677_af529630-e016-4a18-8176-9839dcb49df6.json | N/A | N/A | N/A | N/A | N/A | JMV425A56241 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1962-09-27 | 040 | 56677WR000 | N/A | HM | false | BARAJAS | N/A | RAMON | N/A | 9999-12-31 | 2024-07-01 | BLUE CROSS HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022042 | N/A | N/A | 5543324 | 2222 | 4801 | 8420524 | 4184 | 4215131 | 2025-06-11 02:30:49.182348 | 2025-08-11 16:45:52.816842 |
| 2025-06-10 09:03:18.113562 | 2025-06-11 02:48:03.268023 | 8684671 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8684671 | Athletic Physical Therapy Inc | 1937-05-27 | 2025-06-13 | F | AE | LANGINGER | 8T45CA9CE85 | BARBARA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543302/check_8684671_185150c6-2faf-4677-b29a-2caaef600b90.json | N/A | N/A | N/A | N/A | N/A | 8T45CA9CE85 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-05-27 | S5596 | N/A | N/A | MA | false | LANGINGER | N/A | BARBARA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7881022041 | N/A | N/A | 5543302 | 2222 | 4793 | 8427587 | N/A | 4215107 | 2025-06-11 02:48:03.268023 | 2025-05-13 04:29:37.229419 |
| 2025-06-10 09:03:18.010225 | 2025-06-11 02:11:02.503576 | 8684663 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 8684663 | Athletic Physical Therapy Inc | 1941-01-15 | 2025-06-13 | F | PT | PENATE | 100200006880 | VIANCA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543301/check_8684663_2fc8c9e7-eafb-4648-8f12-b3f51f446045.json | N/A | N/A | N/A | N/A | N/A | 100200006880 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1941-01-15 | N/A | N/A | N/A | N/A | false | PENATE | N/A | VIANCA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022040 | N/A | N/A | 5543301 | 2222 | 4802 | 8407411 | N/A | 4215112 | 2025-06-11 02:11:02.503576 | 2026-02-20 19:52:51.272757 |
| 2025-06-10 09:03:17.914722 | 2025-06-11 02:24:28.782944 | 8684651 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8684651 | Athletic Physical Therapy Inc | 2009-05-06 | 2025-06-12 | M | PT | MYER | 992215076 | REMSEN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543288/check_8684651_65c58e4f-cffb-4fab-a97e-c10a0c4c2dc1.json | N/A | N/A | N/A | N/A | N/A | 992215076 | Commercial | TRINET B | UNITEDHEALTHCARE | FUNDING TYPE = FULLY INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 2009-05-06 | 0999 0999 | 911528 | N/A | C1 | false | MYER | N/A | JARRET | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022039 | N/A | N/A | 5543288 | 2222 | 4802 | 8416915 | N/A | 4215102 | 2025-06-11 02:24:28.782944 | 2025-06-02 22:31:17.941501 |
| 2025-06-10 09:03:17.815670 | 2025-06-11 02:07:54.189002 | 8684644 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8684644 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-06-13 | M | AE | MCCOWAN | 93341440D | KEVIN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_8684644_0e97a798-a81a-4b1e-967b-5b3f550f7331.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-03-27 | N/A | N/A | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7881022038 | N/A | N/A | 5543270 | 2222 | 4793 | 8405535 | N/A | 4215086 | 2025-06-11 02:07:54.189002 | 2025-05-13 04:29:37.229401 |
| 2025-06-10 09:03:17.748195 | 2025-06-11 02:16:25.874431 | 8684636 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8684636 | Athletic Physical Therapy Inc | 1993-07-24 | 2025-06-12 | M | AD | SJUKUR | U0030031901 | HANSEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543268/check_8684636_6c745662-de2c-454d-850f-8837b2faa96d.json | N/A | N/A | N/A | N/A | N/A | U0030031901 | N/A | MCKINSEY & COMPANY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1993-07-24 | N/A | 2500547 | N/A | N/A | false | SJUKUR | N/A | HANSEL C | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 7881022037 | N/A | N/A | 5543268 | 2222 | 4802 | 8411184 | N/A | 4215085 | 2025-06-11 02:16:25.874431 | 2025-05-23 17:53:24.114484 |
| 2025-06-10 09:03:17.671937 | 2025-06-11 02:48:26.121147 | 8684629 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8684629 | Athletic Physical Therapy Inc | 1953-05-17 | 2025-06-13 | F | PT | SINGER | 8XN3QF1XM78 | KAREN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543247/check_8684629_eeb9707f-d4bb-4e27-a200-3039816d372e.json | N/A | N/A | N/A | N/A | N/A | 8XN3QF1XM78 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-05-17 | S5601 | N/A | N/A | MB | false | SINGER | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022036 | N/A | N/A | 5543247 | 2222 | 4793 | 8427623 | N/A | 4215066 | 2025-06-11 02:48:26.121147 | 2025-05-13 04:29:37.229384 |
| 2025-06-10 09:03:17.594315 | 2025-06-11 02:24:30.982627 | 8684620 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8684620 | Athletic Physical Therapy Inc | 1999-09-11 | 2025-06-13 | M | PT | PETERSON | 987565290 | CONNOR | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543238/check_8684620_e301e081-a85e-431d-99ca-53d8c6e8dfd8.json | N/A | N/A | N/A | N/A | N/A | 987565290 | Commercial | ORACLE | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1999-09-11 | 0181 0181 | 228485 | N/A | C1 | false | PETERSON | N/A | CONNOR | N/A | N/A | N/A | SELECT PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022035 | N/A | N/A | 5543238 | 2222 | 4802 | 8416973 | N/A | 4215055 | 2025-06-11 02:24:30.982627 | 2025-05-13 04:29:37.229376 |
| 2025-06-10 09:03:17.529168 | 2025-06-11 02:32:51.666212 | 8684613 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8684613 | Athletic Physical Therapy Inc | 2002-06-02 | 2025-06-13 | M | PT | VIRGIL | XEK905426435 | NICHOLAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543237/check_8684613_74bc21eb-557e-48d1-b292-c8737c52bde4.json | N/A | N/A | N/A | N/A | N/A | XEK905426435 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2002-06-02 | 2001ZK002195 | X0001000 | N/A | PR | false | VIRGIL | N/A | JEFF | N/A | 2028-06-30 | 2025-01-01 | ULTIMATE VISION 15 25 120 JAN16 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881022034 | N/A | N/A | 5543237 | 2222 | 4802 | 8422002 | N/A | 4215054 | 2025-06-11 02:32:51.666212 | 2025-05-13 04:29:37.229375 |
| 2025-06-10 09:03:17.471226 | 2025-06-11 02:31:04.663408 | 8684606 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 8684606 | Athletic Physical Therapy Inc | 1971-12-13 | 2025-06-13 | M | PT | LEO | NCF949A57364 | SEAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543220/check_8684606_f1a3154d-ab9c-47e5-aa3c-6b4be11c139d.json | N/A | N/A | N/A | N/A | N/A | NCF949A57364 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1971-12-13 | 040 | 57AJCA | N/A | HM | false | LEO | N/A | DAYNA | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881022033 | N/A | N/A | 5543220 | 2222 | 4793 | 8420718 | 4184 | 4215036 | 2025-06-11 02:31:04.663408 | 2025-05-13 04:29:37.229353 |
| 2025-06-10 09:03:17.404319 | 2025-06-11 02:31:00.511124 | 8684601 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8684601 | Athletic Physical Therapy Inc | 1981-10-08 | 2025-06-12 | F | PT | GOULD | M9Z806734456 | HEATHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543209/check_8684601_17aa97d0-14e4-4a6b-b772-0018b5dd6047.json | N/A | N/A | N/A | N/A | N/A | M9Z806734456 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1981-10-08 | N/A | 55060 | N/A | PR | false | GOULD | N/A | HEATHER | N/A | N/A | N/A | PREFERRED CARE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881022032 | N/A | N/A | 5543209 | 2222 | 4793 | 8420660 | N/A | 4215027 | 2025-06-11 02:31:00.511124 | 2025-05-13 04:29:37.229345 |
| 2025-06-10 09:03:17.330490 | 2025-06-11 02:31:08.985054 | 8684592 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8684592 | Athletic Physical Therapy Inc | 1983-04-13 | 2025-06-13 | F | PT | MICHAEL | JXN531M63256 | JUNITHA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543190/check_8684592_2e9f07f5-5823-4281-bc93-c5baec5c5ae4.json | N/A | N/A | N/A | N/A | N/A | JXN531M63256 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 1983-04-13 | 040 | 174222M9A1 | N/A | PR | false | MICHAEL | N/A | JUNITHA | N/A | 9999-12-31 | 2021-05-11 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881022031 | N/A | N/A | 5543190 | 2222 | 4793 | 8420780 | N/A | 4215014 | 2025-06-11 02:31:08.985054 | 2025-06-01 22:57:55.386960 |
| 2025-06-10 09:03:17.266680 | 2025-06-11 02:16:27.284823 | 8684586 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8684586 | Athletic Physical Therapy Inc | 1999-02-08 | 2025-06-13 | F | AD | SMALLWOOD | 109798591 | CORINNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543189/check_8684586_2cd8be9f-03cb-40e8-896d-de960d2467bd.json | N/A | N/A | N/A | N/A | N/A | 10979859100 | N/A | STUBHUB HOLDINGS, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1999-02-08 | N/A | 00636303 | N/A | N/A | false | SMALLWOOD | N/A | CORINNE | N/A | N/A | N/A | OPEN ACCESS PLUS IN-NETWORK | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 7881022030 | N/A | N/A | 5543189 | 2222 | 4802 | 8411208 | N/A | 4215016 | 2025-06-11 02:16:27.284823 | 2025-05-13 04:29:37.229333 |
| 2025-06-10 09:03:17.187425 | 2025-06-11 02:12:12.214163 | 8684580 | N/A | N/A | 60054 | AETNA | 1114042165 | 8684580 | Athletic Physical Therapy Inc | 1954-11-18 | 2025-06-12 | M | PT | CUNNINGHAM | 101899291800 | RAY | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543176/check_8684580_1bc33139-a143-4226-a669-d48a86ad4ae9.json | N/A | N/A | N/A | N/A | N/A | 101899291800 | Qualified Medicare Beneficiary | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1954-11-18 | 000003-CA000083 | 000003-CA | N/A | QM | false | CUNNINGHAM | N/A | RAY | N/A | N/A | N/A | AETNA MEDICARE VALUE PLUS (HMO-POS) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022029 | N/A | N/A | 5543176 | 2222 | 4802 | 8408240 | 3939 | 4215002 | 2025-06-11 02:12:12.214163 | 2025-05-28 20:18:01.917044 |
| 2025-06-10 09:03:17.106503 | 2025-06-11 02:32:39.467773 | 8684569 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8684569 | Athletic Physical Therapy Inc | 2003-07-09 | 2025-06-13 | M | PT | FEY | XED912890874 | JOSEPH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543173/check_8684569_91423c1d-e233-429e-80c5-8e068c4fb77c.json | N/A | N/A | N/A | N/A | N/A | XED912890874 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2003-07-09 | 2001ZK002185 | X0001004 | N/A | PR | false | FEY | N/A | JOSEPH | N/A | 9999-12-31 | 2025-01-01 | SILVER 87 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881022028 | N/A | N/A | 5543173 | 2222 | 4793 | 8421860 | N/A | 4215000 | 2025-06-11 02:32:39.467773 | 2025-05-13 04:29:37.229320 |
| 2025-06-10 09:03:17.041977 | 2025-06-11 02:31:03.861759 | 8684560 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8684560 | Athletic Physical Therapy Inc | 1972-06-23 | 2025-06-13 | F | PT | LAWSON | JXN663W00172 | MICHELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543167/check_8684560_86c1905a-dad1-46af-aed4-91a678cdf8bc.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 | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881022027 | N/A | N/A | 5543167 | 2222 | 4793 | 8420710 | N/A | 4214995 | 2025-06-11 02:31:03.861759 | 2025-05-13 04:29:37.229315 |
| 2025-06-10 09:03:16.969847 | 2025-06-11 02:30:49.858631 | 8684554 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8684554 | Athletic Physical Therapy Inc | 1958-07-27 | 2025-06-12 | F | PT | BERARDI | JQU360A51420 | JACQUELINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543161/check_8684554_4b76b963-e5fb-4692-81fa-604d02581c7a.json | N/A | N/A | N/A | N/A | N/A | JQU360A51420 | Preferred Provider Organization (PPO) | CAL CHOICE AUGUST 1.00 | ANTHEM BLUE CROSS | N/A | 1958-07-27 | 040 | 476497 | N/A | PR | false | BERARDI | N/A | PHILIP | N/A | 9999-12-31 | 2024-08-01 | ANTHEM GOLD PPO 30/60/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881022026 | N/A | N/A | 5543161 | 2222 | 4793 | 8420532 | N/A | 4214989 | 2025-06-11 02:30:49.858631 | 2025-05-13 04:29:37.229310 |
| 2025-06-10 09:03:16.906053 | 2025-06-11 02:32:50.132977 | 8684549 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8684549 | Athletic Physical Therapy Inc | 1996-07-04 | 2025-06-13 | F | PT | STOLZ | MISSINGPOLICYNUMBER | ARDENN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543118/check_8684549_e5074b20-5425-4635-b0e0-210513206a76.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1996-07-04 | N/A | N/A | N/A | N/A | false | STOLZ | N/A | ARDENN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022025 | N/A | N/A | 5543118 | 2222 | 4802 | 8421991 | N/A | 4214948 | 2025-06-11 02:32:50.132977 | 2025-06-26 01:28:07.741882 |