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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-13 08:09:30.648934 | 2025-12-14 01:47:00.547608 | 15936494 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15936494 | Athletic Physical Therapy Inc | 1957-01-26 | 2025-12-16 | M | AE | PT | REED | 00000391094 | JAMES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13634717/check_15936494_0f19558b-235d-47e0-a97c-fe11e88832e8.json | N/A | N/A | N/A | N/A | N/A | 00000391094 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-01-26 | H3815028 | N/A | N/A | HM | false | REED | N/A | JAMES | 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 | 9514033850 | N/A | N/A | 13634717 | 2222 | 4801 | 16197005 | 2630 | 11782524 | 2025-12-14 01:47:00.547608 | 2025-12-08 14:47:13.868275 |
| 2025-12-13 08:09:30.508626 | 2025-12-14 01:43:17.217490 | 15936488 | N/A | N/A | 60054 | Aetna | 1114042165 | 15936488 | Athletic Physical Therapy Inc | 2013-08-17 | 2025-12-16 | F | AE | PT | RUEMMELE | W297102676 | MAKENA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13600510/check_15936488_fc3b2d46-d864-41d5-99f1-f9dba0e7c7c7.json | N/A | N/A | N/A | N/A | N/A | W297102676 | Point of Service (POS) | RIPPLING PEO 1, INC. | AETNA | N/A | 2013-08-17 | 0169696 | 016969602100020 | N/A | PS | false | ALFONSO | N/A | TANYA | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514033849 | N/A | N/A | 13600510 | 2222 | 4793 | 16193911 | N/A | 4534546 | 2025-12-14 01:43:17.217490 | 2025-12-03 00:06:29.870228 |
| 2025-12-13 08:09:30.368795 | 2025-12-14 01:47:25.593640 | 15936480 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15936480 | Athletic Physical Therapy Inc | 1984-06-20 | 2025-12-16 | M | PT | N/A | YOUSSEF | XDL437A72851 | FOUAD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13578623/check_15936480_063cff02-26cb-445b-b851-a8bae2b27edb.json | N/A | N/A | N/A | N/A | N/A | XDL437A72851 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1984-06-20 | 040 | 789100 | N/A | PR | false | YOUSSEF | N/A | FOUAD | N/A | 9999-12-31 | 2025-07-01 | PPO SHARE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514033848 | N/A | N/A | 13578623 | 2222 | 4801 | 16197344 | N/A | 11728581 | 2025-12-14 01:47:25.593640 | 2025-12-03 14:59:32.997300 |
| 2025-12-13 08:09:30.231674 | 2025-12-14 01:46:45.751877 | 15936472 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15936472 | Athletic Physical Therapy Inc | 1941-07-18 | 2025-12-16 | M | AE | PT | Dennis Jr | 000019022389 | Winston | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13546039/check_15936472_fa1c5f89-177c-4290-b289-fc17ec715cda.json | N/A | N/A | N/A | N/A | N/A | 000019022389 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1941-07-18 | 4298967 | 1650095002 | N/A | N/A | false | DENNIS | N/A | WINSTON | N/A | N/A | N/A | KPSA ARHE SOUTH KPSA ARHE SOUTH | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514033847 | N/A | N/A | 13546039 | 2222 | 4802 | 16196795 | N/A | 11695604 | 2025-12-14 01:46:45.751877 | 2025-12-12 19:30:50.989086 |
| 2025-12-13 08:09:29.972266 | 2025-12-14 01:47:19.654260 | 15936461 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15936461 | Athletic Physical Therapy Inc | 1966-11-27 | 2025-12-16 | M | PT | N/A | RANA | 114W0187030 | AJAY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13452088/check_15936461_2c63dc98-0d29-4c37-982e-4c2e48c1875e.json | N/A | N/A | N/A | N/A | N/A | 114W0187030 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-11-27 | N/A | N/A | N/A | N/A | false | RANA | N/A | AJAY | 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 | 9514033846 | N/A | N/A | 13452088 | 2222 | 4801 | 16197272 | 4185 | 10608476 | 2025-12-14 01:47:19.654260 | 2025-11-13 20:33:46.858153 |
| 2025-12-13 08:09:29.720304 | 2025-12-14 01:47:00.021772 | 15936448 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 15936448 | Athletic Physical Therapy Inc | 1947-03-22 | 2025-12-16 | F | AE | PT | NAGEL | 00000394109 | NANCY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13436509/check_15936448_5a7e83bd-420e-4ad1-84ef-9c739ba9c334.json | N/A | N/A | N/A | N/A | N/A | 00000394109 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1947-03-22 | H3815028 | N/A | N/A | HM | false | NAGEL | N/A | NANCY | 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 | 9514033845 | N/A | N/A | 13436509 | 2222 | 4801 | 16197000 | N/A | 11597637 | 2025-12-14 01:47:00.021772 | 2025-12-05 03:13:34.667390 |
| 2025-12-13 08:09:29.380709 | 2025-12-14 01:46:59.526668 | 15936431 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 15936431 | Athletic Physical Therapy Inc | 1950-05-22 | 2025-12-16 | F | AE | PT | Cave | 00000272920 | Deborah | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13436400/check_15936431_66cfa503-4497-4933-84da-2d8da72e9053.json | N/A | N/A | N/A | N/A | N/A | 00000272920 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1950-05-22 | H3815028 | N/A | N/A | HM | false | CAVE | N/A | DEBORAH | 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 | 9514033844 | N/A | N/A | 13436400 | 2222 | 4801 | 16196994 | N/A | 4219166 | 2025-12-14 01:46:59.526668 | 2025-12-05 03:00:39.564193 |
| 2025-12-13 08:09:29.128358 | 2025-12-14 01:46:55.997973 | 15936417 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15936417 | Athletic Physical Therapy Inc | 1966-08-19 | 2025-12-16 | F | AE | PT | GUYON | R07053865FM1 | EILEEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13436292/check_15936417_7fe6a6cc-59e5-4b18-8d69-ebee5fa0670a.json | N/A | N/A | N/A | N/A | N/A | R07053865FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1966-08-19 | N/A | N/A | N/A | N/A | false | GUYON | N/A | EILEEN | N/A | N/A | N/A | KVZ SBGHMOWC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514033843 | N/A | N/A | 13436292 | 2222 | 4801 | 16196940 | 4625 | 11597392 | 2025-12-14 01:46:55.997973 | 2025-11-26 19:15:08.793696 |
| 2025-12-13 08:09:29.017579 | 2025-12-14 01:47:19.391062 | 15936412 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15936412 | Athletic Physical Therapy Inc | 1973-12-16 | 2025-12-16 | M | PT | N/A | PAKANATI | ZYF260M98532 | RAMGOPAL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13386966/check_15936412_83f3234d-db69-40ae-9a32-4e079ddb0c8b.json | N/A | N/A | N/A | N/A | N/A | ZYF260M98532 | Preferred Provider Organization (PPO) | MANAGEMENT | ANTHEM BLUE CROSS | N/A | 1973-12-16 | 040 | 174257M2A1 | N/A | PR | false | PAKANATI | N/A | JYOTHI | N/A | 2026-01-01 | 2025-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514033842 | N/A | N/A | 13386966 | 2222 | 4801 | 16197269 | N/A | 11532449 | 2025-12-14 01:47:19.391062 | 2025-11-25 20:32:49.288912 |
| 2025-12-13 08:09:28.902248 | 2025-12-14 01:48:23.700211 | 15936403 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15936403 | Athletic Physical Therapy Inc | 1974-12-26 | 2025-12-15 | M | PT | N/A | SALEWSKE | SZR60090562401 | TYSON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13154733/check_15936403_680be28e-761d-49f7-bc4a-9070b1e12515.json | N/A | N/A | N/A | N/A | N/A | SZR60090562401 | Preferred Provider Organization (PPO) | SCHWEITZER ENGINEERING LABORATORIES, INC. | BLUE SHIELD OF CALIFORNIA | N/A | 1974-12-26 | N/A | 1038812 | N/A | PR | false | SALEWSKE | N/A | TYSON | N/A | 9999-12-31 | 2023-01-01 | SELF-FUNDED EXP HERITAGE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514033841 | N/A | N/A | 13154733 | 2222 | 4793 | 16198064 | N/A | 4213526 | 2025-12-14 01:48:23.700211 | 2025-11-13 19:34:43.197819 |
| 2025-12-13 08:09:28.769088 | 2025-12-14 01:46:44.178111 | 15936399 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15936399 | Athletic Physical Therapy Inc | 1958-03-23 | 2025-12-16 | F | AE | PT | Wells | 0022370783 | Paula | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13050785/check_15936399_04da2851-b35e-4605-b9e8-4294b85eb235.json | N/A | N/A | N/A | N/A | N/A | 0022370783 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1958-03-23 | N/A | N/A | N/A | N/A | false | WELLS | N/A | PAULA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514033840 | N/A | N/A | 13050785 | 2222 | 4802 | 16196775 | N/A | 11208103 | 2025-12-14 01:46:44.178111 | 2025-11-19 20:42:38.719398 |
| 2025-12-13 08:09:28.642902 | 2025-12-14 01:48:16.606607 | 15936392 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15936392 | Athletic Physical Therapy Inc | 1963-06-22 | 2025-12-16 | M | PT | N/A | MOSS | XA910317218 | KENNETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13047676/check_15936392_5a2b9e5f-2bec-4f97-a4ae-5341b673ba29.json | N/A | N/A | N/A | N/A | N/A | XA910317218 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1963-06-22 | N/A | N/A | N/A | N/A | false | MOSS | N/A | KENNETH | 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 | 9514033839 | N/A | N/A | 13047676 | 2222 | 4793 | 16197964 | N/A | 11205149 | 2025-12-14 01:48:16.606607 | 2025-11-24 18:32:22.314223 |
| 2025-12-13 08:09:28.505564 | 2025-12-14 01:46:43.251404 | 15936385 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15936385 | Athletic Physical Therapy Inc | 1954-06-16 | 2025-12-16 | M | AE | PT | Grant | 0009933199 | Mark Antonio | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13045814/check_15936385_3e4cd840-3e61-411d-9190-dec46b330dc7.json | N/A | N/A | N/A | N/A | N/A | 0009933199 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1954-06-16 | N/A | N/A | N/A | N/A | false | GRANT | N/A | MARK ANTONIO | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514033838 | N/A | N/A | 13045814 | 2222 | 4802 | 16196763 | N/A | 11203117 | 2025-12-14 01:46:43.251404 | 2026-01-05 17:22:32.137960 |
| 2025-12-13 08:09:28.408015 | 2025-12-14 01:46:43.854478 | 15936378 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15936378 | Athletic Physical Therapy Inc | 1966-12-11 | 2025-12-16 | F | AE | PT | Shanti | 0014025277 | Senna | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13000772/check_15936378_120d4089-03c7-4b70-919b-92358045b843.json | N/A | N/A | N/A | N/A | N/A | 0014025277 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1966-12-11 | N/A | N/A | N/A | N/A | false | SHANTI | N/A | SENNA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514033837 | N/A | N/A | 13000772 | 2222 | 4802 | 16196771 | N/A | 11158952 | 2025-12-14 01:46:43.854478 | 2025-11-24 23:21:16.746095 |
| 2025-12-13 08:09:28.302363 | 2025-12-14 01:48:22.849853 | 15936372 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15936372 | Athletic Physical Therapy Inc | 1963-07-12 | 2025-12-16 | F | PT | N/A | MITCHELL | NCF844W18513 | HOLLY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12989755/check_15936372_dda930e5-5a16-4422-bf42-d8ddc66c0d2c.json | N/A | N/A | N/A | N/A | N/A | NCF844W18513 | Health Maintenance Organization (HMO) | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1963-07-12 | 040 | 57AJCA | N/A | HM | false | MITCHELL | N/A | HOLLY | N/A | 9999-12-31 | 2024-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514033836 | N/A | N/A | 12989755 | 2222 | 4801 | 16198052 | N/A | 11147858 | 2025-12-14 01:48:22.849853 | 2025-11-24 17:02:55.426297 |
| 2025-12-13 08:09:28.184318 | 2025-12-14 01:46:56.242063 | 15936367 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15936367 | Athletic Physical Therapy Inc | 1977-12-02 | 2025-12-16 | M | AE | PT | MAGALLANES | 98578736C | OCTAVIO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12966296/check_15936367_db218d93-a318-4120-842c-ddac9566731a.json | N/A | N/A | N/A | N/A | N/A | 98578736C | N/A | N/A | HEALTH NET, LLC | N/A | 1977-12-02 | N/A | N/A | N/A | N/A | false | MAGALLANES | N/A | OCTAVIO | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514033835 | N/A | N/A | 12966296 | 2222 | 4802 | 16196944 | 4625 | 11124567 | 2025-12-14 01:46:56.242063 | 2025-11-18 00:49:11.709178 |
| 2025-12-13 08:09:28.082716 | 2025-12-14 01:47:00.275157 | 15936359 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 15936359 | Athletic Physical Therapy Inc | 1960-06-12 | 2025-12-16 | M | AE | PT | RAY | 00000282226 | WALTER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12962194/check_15936359_83e66aa2-93fa-4bb2-8c3e-17dad0c78569.json | N/A | N/A | N/A | N/A | N/A | 00000282226 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1960-06-12 | H3815028 | N/A | N/A | HM | false | RAY | N/A | WALTER | 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 | 9514033834 | N/A | N/A | 12962194 | 2222 | 4801 | 16197003 | N/A | 4219006 | 2025-12-14 01:47:00.275157 | 2025-05-13 04:29:37.230023 |
| 2025-12-13 08:09:27.943082 | 2025-12-14 01:46:26.738332 | 15936351 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 15936351 | Athletic Physical Therapy Inc | 1974-04-25 | 2025-12-16 | F | AE | PT | DSOUZA | 032683502 | LOLITA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12890318/check_15936351_3f631ab3-924f-4eae-b941-93a7c4b484a0.json | N/A | N/A | N/A | N/A | N/A | 032683502 | Commercial | N/A | PACIFICARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1974-04-25 | N/A | 101219 | N/A | C1 | false | DSOUZA | N/A | LOLITA | N/A | N/A | N/A | SIGNATUREVALUE HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514033833 | N/A | N/A | 12890318 | 2222 | 4793 | 16196559 | 6411 | 10843447 | 2025-12-14 01:46:26.738332 | 2025-11-25 16:08:55.540790 |
| 2025-12-13 08:09:27.767666 | 2025-12-14 01:47:13.366582 | 15936340 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15936340 | Athletic Physical Therapy Inc | 2006-06-07 | 2025-12-16 | M | PT | N/A | BROWN | PWF566A67898 | ROY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12756456/check_15936340_d750e3de-23c8-45fe-ac3f-15ffaa874981.json | N/A | N/A | N/A | N/A | N/A | PWF7431690PT | Preferred Provider Organization (PPO) | PUBLIC-ALL REGIONS-ACTIVE/RETIREE | ANTHEM BLUE CROSS | N/A | 2006-06-07 | 040 | L02978M001 | N/A | PR | false | BROWN | N/A | ROY | N/A | 9999-12-31 | 2022-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514033832 | N/A | N/A | 12756456 | 2222 | 4793 | 16197180 | N/A | 10914431 | 2025-12-14 01:47:13.366582 | 2025-11-16 20:25:40.530209 |
| 2025-12-13 08:09:27.412910 | 2025-12-14 01:48:22.063962 | 15936324 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15936324 | Athletic Physical Therapy Inc | 1975-08-07 | 2025-12-16 | M | PT | N/A | GEFFEN | CFT037A52287 | JASON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12686965/check_15936324_3c44aeb9-18e9-47c3-be93-ae6b62e8fea5.json | N/A | N/A | N/A | N/A | N/A | CFT037A52287 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1975-08-07 | N/A | N/A | N/A | N/A | false | GEFFEN | N/A | JASON | 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 | 9514033831 | N/A | N/A | 12686965 | 2222 | 4793 | 16198041 | N/A | 10856744 | 2025-12-14 01:48:22.063962 | 2025-12-29 22:47:44.157557 |
| 2025-12-13 08:09:27.037262 | 2025-12-14 01:46:46.058960 | 15936309 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15936309 | Athletic Physical Therapy Inc | 2008-01-19 | 2025-12-16 | F | AE | PT | GONZALEZ | 000022526618 | CAITLIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12540718/check_15936309_9cd2afd9-75db-43ca-8d89-cccc8fd9fa20.json | N/A | N/A | N/A | N/A | N/A | 000022526618 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 2008-01-19 | 4377125 | 104236 | N/A | N/A | false | GONZALEZ | N/A | CAITLIN | N/A | N/A | N/A | SEMPRA SOCALGAS NON-UNION | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514033830 | N/A | N/A | 12540718 | 2222 | 4801 | 16196799 | N/A | 9440359 | 2025-12-14 01:46:46.058960 | 2025-10-27 23:07:07.958316 |
| 2025-12-13 08:09:26.797140 | 2025-12-14 01:47:17.767866 | 15936295 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15936295 | Athletic Physical Therapy Inc | 2008-09-26 | 2025-12-16 | M | PT | N/A | McNulty | NSA00515638H | Colton | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12493147/check_15936295_eaa04505-f1e0-4a83-85aa-7c5c6d99d57f.json | N/A | N/A | N/A | N/A | N/A | NSA00515638H | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2008-09-26 | N/A | N/A | N/A | N/A | false | MCNULTY | N/A | COLTON | N/A | 2026-04-30 | 2026-01-01 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514033829 | N/A | N/A | 12493147 | 2222 | 4802 | 16197245 | N/A | 10669635 | 2025-12-14 01:47:17.767866 | 2026-04-13 22:33:15.662813 |
| 2025-12-13 08:09:26.674234 | 2025-12-14 01:47:19.933769 | 15936291 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15936291 | Athletic Physical Therapy Inc | 1994-12-09 | 2025-12-16 | F | PT | N/A | SEGURA | XDP470W14971 | YAZMIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12436044/check_15936291_d094d884-dca9-42ec-906c-bc18c060061d.json | N/A | N/A | N/A | N/A | N/A | XDP470W14971 | Preferred Provider Organization (PPO) | AMALGAMATED TRANSIT UNION | ANTHEM BLUE CROSS | N/A | 1994-12-09 | 040 | 1115QA | N/A | PR | false | REEVES | N/A | ELI | N/A | 9999-12-31 | 2022-11-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514033828 | N/A | N/A | 12436044 | 2222 | 4801 | 16197276 | N/A | 10616467 | 2025-12-14 01:47:19.933769 | 2025-11-10 22:21:46.684447 |
| 2025-12-13 08:09:26.497440 | 2025-12-14 01:42:45.806055 | 15936279 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15936279 | Athletic Physical Therapy Inc | 1950-08-09 | 2025-12-16 | M | AE | PT | Kirgizdaev | 9438168G | Bakhtiyar | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12407501/check_15936279_c14c46f6-8880-4310-ad22-7aad7dfa16b2.json | N/A | N/A | N/A | N/A | N/A | 9438168G | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1950-08-09 | N/A | N/A | N/A | N/A | false | KIRGIZDAEV | N/A | BAKHTIYAR | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514033827 | N/A | N/A | 12407501 | 2222 | 4802 | 16193409 | 4211 | 10587374 | 2025-12-14 01:42:45.806055 | 2025-12-24 19:36:03.607867 |
| 2025-12-13 08:09:26.385912 | 2025-12-14 01:43:17.479439 | 15936272 | N/A | N/A | 60054 | Aetna | 1114042165 | 15936272 | Athletic Physical Therapy Inc | 1980-12-26 | 2025-12-16 | M | AE | PT | MAHINAY | W219751013 | JASON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12366384/check_15936272_27c81e81-5359-44d1-befa-7e45a5a8e860.json | N/A | N/A | N/A | N/A | N/A | W219751013 | Point of Service (POS) | HOLTHOUSE CARLIN & VAN TRIGT LLP | AETNA | N/A | 1980-12-26 | 0803905 | 080390501200002 | N/A | PS | false | MAHINAY | N/A | JASON | 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 | 9514033826 | N/A | N/A | 12366384 | 2222 | 4793 | 16193916 | N/A | 10546247 | 2025-12-14 01:43:17.479439 | 2025-11-14 17:19:10.403651 |
| 2025-12-13 08:09:26.254821 | 2025-12-14 01:45:53.986081 | 15936268 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15936268 | Athletic Physical Therapy Inc | 1958-07-25 | 2025-12-16 | F | AE | PT | TRAN | 40058254001 | OANH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12272024/check_15936268_76add74c-38f1-4f4f-9795-35649da079e4.json | N/A | N/A | N/A | N/A | N/A | 40058254001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1958-07-25 | 2025H5425001 | H5425M | N/A | N/A | false | TRAN | N/A | OANH | 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 | 9514033825 | N/A | N/A | 12272024 | 2222 | 4801 | 16196144 | 6237 | 10459569 | 2025-12-14 01:45:53.986081 | 2025-11-05 16:33:57.136921 |
| 2025-12-13 08:09:26.064817 | 2025-12-14 01:45:53.300480 | 15936256 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15936256 | Athletic Physical Therapy Inc | 1952-08-24 | 2025-12-16 | F | AE | PT | SORIA | 40056947101 | ELSA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12207499/check_15936256_00e37817-6514-4a97-a50d-6ba365ab05d7.json | N/A | N/A | N/A | N/A | N/A | 40056947101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-08-24 | 2025H5425001 | H5425M | N/A | N/A | false | SORIA | N/A | ELSA | 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 | 9514033824 | N/A | N/A | 12207499 | 2222 | 4801 | 16196135 | 6237 | 10411439 | 2025-12-14 01:45:53.300480 | 2025-11-05 00:22:12.798650 |
| 2025-12-13 08:09:25.902871 | 2025-12-14 01:42:46.723000 | 15936249 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15936249 | Athletic Physical Therapy Inc | 1965-08-15 | 2025-12-16 | M | AE | PT | BRISICK | 2320654 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12172112/check_15936249_8e7de3ff-42ae-4184-a035-9b08e41bd472.json | N/A | N/A | N/A | N/A | N/A | 2320654 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 1965-08-15 | 18126CA001000401 | QMXEM01910 | N/A | N/A | false | BRISICK | N/A | STEVEN | 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 | 9514033823 | N/A | N/A | 12172112 | 2222 | 4802 | 16193421 | 4211 | 10384933 | 2025-12-14 01:42:46.723000 | 2025-11-04 18:26:03.763078 |
| 2025-12-13 08:09:25.713801 | 2025-12-14 01:44:21.599151 | 15936243 | N/A | N/A | 61101 | HUMANA | 1114042165 | 15936243 | Athletic Physical Therapy Inc | 1935-03-07 | 2025-12-16 | F | AE | PT | MYERS | H6760956100 | LILA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12016953/check_15936243_ed5c2db9-ffc6-4d32-9a58-1ef6ec318d27.json | N/A | N/A | N/A | N/A | N/A | H67609561 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 465 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1935-03-07 | N/A | 0B617001 | N/A | HN | false | MYERS | N/A | LILA | N/A | N/A | N/A | HUMANA HONOR | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514033822 | N/A | N/A | 12016953 | 2222 | 4793 | 16194892 | 5349 | 10238684 | 2025-12-14 01:44:21.599151 | 2025-10-31 23:14:33.453582 |
| 2025-12-13 08:09:25.507875 | 2025-12-14 01:47:12.822336 | 15936232 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15936232 | Athletic Physical Therapy Inc | 1965-07-12 | 2025-12-16 | F | PT | N/A | BENSON | NCF361A559000 | ELIZABETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11917007/check_15936232_1394d11c-6e0b-4ac4-bdbb-319c026b2994.json | N/A | N/A | N/A | N/A | N/A | NCF361A559000 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1965-07-12 | N/A | N/A | N/A | N/A | false | BENSON | N/A | ELIZABETH | 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 | 9514033821 | N/A | N/A | 11917007 | 2222 | 4793 | 16197171 | 4185 | 10144918 | 2025-12-14 01:47:12.822336 | 2025-11-17 16:03:18.208475 |
| 2025-12-13 08:09:25.344988 | 2025-12-14 01:45:54.326500 | 15936223 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15936223 | Athletic Physical Therapy Inc | 1952-06-27 | 2025-12-16 | M | AE | PT | WEST | 40065315001 | KIRK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11799742/check_15936223_10cfc6bc-41a5-422a-846b-1c2cfd177838.json | N/A | N/A | N/A | N/A | N/A | 40065315001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-06-27 | 2025H5425001 | H5425M | N/A | N/A | false | WEST | N/A | KIRK | 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 | 9514033820 | N/A | N/A | 11799742 | 2222 | 4801 | 16196148 | N/A | 10033486 | 2025-12-14 01:45:54.326500 | 2025-11-04 21:34:59.842331 |
| 2025-12-13 08:09:24.837405 | 2025-12-14 01:43:09.647936 | 15936206 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 15936206 | override_provider | 1997-11-05 | 2025-12-16 | M | PT | N/A | VILLANUEVA | ZGP813002220 | YAIR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11623284/check_15936206_c0b351ac-dd1d-46ef-816d-a00bdf0fb724.json | N/A | N/A | N/A | N/A | N/A | ZGP813002220 | Preferred Provider Organization (PPO) | RIMKUS CONSULTING GROUP, INC | BLUE SHIELD OF CALIFORNIA | N/A | 1997-11-05 | N/A | 279469 | N/A | PR | false | VILLANUEVA | N/A | YAIR | N/A | 9999-12-31 | 2025-03-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514033819 | N/A | N/A | 11623284 | 2222 | 4801 | 16193776 | N/A | 9860485 | 2025-12-14 01:43:09.647936 | 2025-11-10 18:34:52.696278 |
| 2025-12-13 08:09:24.528868 | 2025-12-14 01:47:19.136499 | 15936191 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15936191 | Athletic Physical Therapy Inc | 1965-10-16 | 2025-12-16 | F | PT | N/A | OTA | JQK708W18818 | JULIANNE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11614506/check_15936191_30d112d9-a125-4634-8b2a-4bbd24b6c871.json | N/A | N/A | N/A | N/A | N/A | JQK708W18818 | Health Maintenance Organization (HMO) | HYPERCOMP INC | ANTHEM BLUE CROSS | N/A | 1965-10-16 | 040 | G78593 | N/A | HM | false | OTA | N/A | JULIANNE | N/A | 2026-01-01 | 2025-01-01 | CA SG ANTHEM HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514033818 | N/A | N/A | 11614506 | 2222 | 4801 | 16197265 | N/A | 4208609 | 2025-12-14 01:47:19.136499 | 2025-11-06 22:22:57.784313 |
| 2025-12-13 08:09:24.230704 | 2025-12-14 01:46:43.553749 | 15936181 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15936181 | Athletic Physical Therapy Inc | 1994-09-23 | 2025-12-16 | M | AE | PT | RUIZ CORTES | 0023841194 | ROGELIO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11537156/check_15936181_ae5482d1-c03a-48c5-9af1-bd760b4059e8.json | N/A | N/A | N/A | N/A | N/A | 0023841194 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1994-09-23 | N/A | N/A | N/A | N/A | false | RUIZ CORTES | N/A | ROGELIO | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514033817 | N/A | N/A | 11537156 | 2222 | 4802 | 16196767 | N/A | 9778191 | 2025-12-14 01:46:43.553749 | 2025-10-27 23:17:48.522975 |
| 2025-12-13 08:09:24.122418 | 2025-12-14 01:47:17.029790 | 15936173 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15936173 | Athletic Physical Therapy Inc | 1957-11-01 | 2025-12-16 | F | PT | N/A | Hennes | JEXNP2009208 | Valerie | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11463855/check_15936173_618c53e4-aeb1-4234-a5b7-b08fceb80c0a.json | N/A | N/A | N/A | N/A | N/A | JEXNP2009208 | Exclusive Provider Organization | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1957-11-01 | 040 | 276727M003 | N/A | EP | false | HENNES | N/A | VALERIE | N/A | 9999-12-31 | 2021-09-01 | USC EPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514033816 | N/A | N/A | 11463855 | 2222 | 4801 | 16197233 | N/A | 9713608 | 2025-12-14 01:47:17.029790 | 2025-11-13 07:29:15.484206 |
| 2025-12-13 08:09:23.999377 | 2025-12-14 01:47:18.302561 | 15936168 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15936168 | Athletic Physical Therapy Inc | 1956-10-03 | 2025-12-16 | F | PT | N/A | NIELSEN | MBL578W09588 | KIMBERLEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11462282/check_15936168_dcb5c731-3ff6-4c66-8272-65a835b5dce7.json | N/A | N/A | N/A | N/A | N/A | MBL578W09588 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1956-10-03 | 040 | CAEGR002 | N/A | N/A | false | NIELSEN | N/A | KIMBERLEY | N/A | 9999-12-31 | 2021-10-01 | 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 | 9514033815 | N/A | N/A | 11462282 | 2222 | 4801 | 16197253 | N/A | 9712126 | 2025-12-14 01:47:18.302561 | 2025-11-07 02:53:21.972143 |
| 2025-12-13 08:09:23.869681 | 2025-12-14 01:47:15.943719 | 15936162 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15936162 | Athletic Physical Therapy Inc | 2002-03-15 | 2025-12-16 | F | AE | PT | DUMAIS | JQV380A68679 | JULIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11399834/check_15936162_2622a738-9d99-44e0-9d98-1a3e1b814edc.json | N/A | N/A | N/A | N/A | N/A | JQV380A68679 | Health Maintenance Organization (HMO) | BRIGHTSTAR PARTNERS INSURANCE SERVICES | ANTHEM BLUE CROSS | N/A | 2002-03-15 | 040 | Q84248 | N/A | HM | false | DUMAIS | N/A | JULIA | N/A | 9999-12-31 | 2025-07-01 | CA SG SELECT HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514033814 | N/A | N/A | 11399834 | 2222 | 4801 | 16197217 | N/A | 9659468 | 2025-12-14 01:47:15.943719 | 2025-10-23 16:38:33.858959 |
| 2025-12-13 08:09:23.749335 | 2025-12-14 01:43:18.297686 | 15936154 | N/A | N/A | 60054 | Aetna | 1114042165 | 15936154 | Athletic Physical Therapy Inc | 1980-11-22 | 2025-12-16 | F | AE | PT | LEE | W170593107 | VIVIAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11398810/check_15936154_1e047d64-2c5f-4c2c-afed-b5fe1946c2db.json | N/A | N/A | N/A | N/A | N/A | W170593107 | Point of Service (POS) | ADP TOTALSOURCE SERVICES, INC. | AETNA | N/A | 1980-11-22 | 0251371 | 025137101500044 | N/A | PS | false | TAM | N/A | JIMMY | 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 | 9514034709 | N/A | N/A | 11398810 | 2222 | 4793 | 16193931 | N/A | 9658574 | 2025-12-14 01:43:18.297686 | 2025-12-02 16:17:29.671080 |
| 2025-12-13 08:09:23.622677 | 2025-12-14 01:52:11.216776 | 15936148 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15936148 | Athletic Physical Therapy Inc | 1959-01-17 | 2025-12-15 | M | AE | PT | WAHL | 6CX2NW3WP90 | LELAND | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11364481/check_15936148_ab71945b-efcf-413d-a87a-8f137b8e7abb.json | N/A | N/A | N/A | N/A | N/A | 6CX2NW3WP90 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-01-17 | S5617 | N/A | N/A | MB | false | WAHL | N/A | LELAND | N/A | N/A | N/A | N/A | N/A | 136469 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514034708 | N/A | N/A | 11364481 | 2222 | 4793 | 16200492 | N/A | 9633229 | 2025-12-14 01:52:11.216776 | 2026-02-05 17:07:37.378883 |
| 2025-12-13 08:09:23.462102 | 2025-12-14 01:48:14.641672 | 15936139 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15936139 | Athletic Physical Therapy Inc | 1956-10-11 | 2025-12-16 | M | PT | N/A | Bou Chacra | XED912823926 | Akram | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11201492/check_15936139_56a2b104-2728-46d1-9605-e09a30c199c7.json | N/A | N/A | N/A | N/A | N/A | XED912823926 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1956-10-11 | 2001ZK002185 | X0001004 | N/A | PR | false | BOU CHACRA | N/A | AKRAM | N/A | 9999-12-31 | 2024-01-01 | IFP EMB PED VISION | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514034707 | N/A | N/A | 11201492 | 2222 | 4793 | 16197937 | N/A | 9540458 | 2025-12-14 01:48:14.641672 | 2025-10-26 04:16:16.050614 |
| 2025-12-13 08:09:23.320684 | 2025-12-14 01:45:51.382814 | 15936133 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15936133 | Athletic Physical Therapy Inc | 1954-02-02 | 2025-12-16 | F | AE | PT | CORNEL | 40037363901 | GLORIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11111720/check_15936133_4c52d385-a04a-4200-a616-3041ba96a3ef.json | N/A | N/A | N/A | N/A | N/A | 40037363901 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1954-02-02 | 2025H5425001 | H5425M | N/A | N/A | false | CORNEL | N/A | GLORIA | 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 | 9514034706 | N/A | N/A | 11111720 | 2222 | 4801 | 16196111 | N/A | 9461873 | 2025-12-14 01:45:51.382814 | 2025-10-28 18:04:57.630831 |
| 2025-12-13 08:09:23.156622 | 2025-12-14 01:45:53.674512 | 15936122 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15936122 | Athletic Physical Therapy Inc | 1943-02-06 | 2025-12-16 | F | AE | PT | TIPPITT | 40065208701 | SHIRLEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10305383/check_15936122_e57270b8-9074-4672-825f-995dfd5a13cd.json | N/A | N/A | N/A | N/A | N/A | 40065208701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1943-02-06 | 2025H5425001 | H5425M | N/A | N/A | false | TIPPITT | N/A | SHIRLEY | 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 | 9514034705 | N/A | N/A | 10305383 | 2222 | 4793 | 16196139 | N/A | 8574477 | 2025-12-14 01:45:53.674512 | 2025-10-22 02:47:47.756973 |
| 2025-12-13 08:09:22.944080 | 2025-12-14 01:42:47.867784 | 15936112 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15936112 | Athletic Physical Therapy Inc | 1983-05-09 | 2025-12-16 | F | AE | PT | RAJCIC | 622299781 | MAJA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10172287/check_15936112_d8740022-3967-4a72-89e4-ee5508758afb.json | N/A | N/A | N/A | N/A | N/A | 622299781 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 1983-05-09 | 18126CA001000101 | QMXEM01910 | N/A | N/A | false | RAJCIC | N/A | MAJA | 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 | 9514034704 | N/A | N/A | 10172287 | 2222 | 4802 | 16193437 | 4211 | 8473558 | 2025-12-14 01:42:47.867784 | 2025-10-10 16:40:45.584452 |
| 2025-12-13 08:09:22.600941 | 2025-12-14 01:47:15.643399 | 15936095 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15936095 | Athletic Physical Therapy Inc | 1991-12-10 | 2025-12-16 | F | PT | N/A | DUBOIS | UCR377M98570 | DANIELLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10089562/check_15936095_265e0f5c-1802-4026-b47e-b99fe8f63550.json | N/A | N/A | N/A | N/A | N/A | UCR377M98570 | Preferred Provider Organization (PPO) | CHARTER COMMUNICATIONS INC | ANTHEM BLUE CROSS | N/A | 1991-12-10 | 241 | 230018ACA2 | N/A | PR | false | DUBOIS | N/A | WESTON | N/A | 9999-12-31 | 2020-01-01 | CDHP MISSOURI HEALTH SAVINGS ACCOUNT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514034703 | N/A | N/A | 10089562 | 2222 | 4801 | 16197213 | N/A | 8428267 | 2025-12-14 01:47:15.643399 | 2025-10-08 02:27:24.446873 |
| 2025-12-13 08:09:22.206731 | 2025-12-14 01:43:09.906630 | 15936080 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 15936080 | override_provider | 1963-04-03 | 2025-12-16 | F | PT | N/A | Protsenko | AJC912998623 | Tetiana | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9958584/check_15936080_c6fd5ca7-4b42-415c-ba07-23517c3d3821.json | N/A | N/A | N/A | N/A | N/A | AJC912998623 | Medicaid | BSC PROMISE HEALTH PLAN MEDI CAL | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1963-04-03 | 1000MCAL0008 | E0001001 | N/A | MC | false | PROTSENKO | N/A | TETIANA | N/A | N/A | N/A | BLUE SHIELD PROMISE MEDI CAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514034702 | N/A | N/A | 9958584 | 2222 | 4802 | 16193781 | N/A | 7994720 | 2025-12-14 01:43:09.906630 | 2025-09-24 04:33:28.125297 |
| 2025-12-13 08:09:21.909533 | 2025-12-14 01:45:51.048418 | 15936069 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15936069 | Athletic Physical Therapy Inc | 1951-11-14 | 2025-12-16 | M | AE | PT | BELTRAN | 40037866601 | GUSTAVO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9903583/check_15936069_4851a0bc-0f5e-4945-aafb-63d5cf840d36.json | N/A | N/A | N/A | N/A | N/A | 40037866601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-11-14 | 2025H5425001 | H5425M | N/A | N/A | false | BELTRAN | N/A | GUSTAVO | 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 | 9514034701 | N/A | N/A | 9903583 | 2222 | 4801 | 16196106 | 6237 | 8291830 | 2025-12-14 01:45:51.048418 | 2025-10-13 13:22:03.458547 |
| 2025-12-13 08:09:21.785345 | 2025-12-14 01:44:21.013337 | 15936062 | N/A | N/A | 61101 | HUMANA | 1114042165 | 15936062 | Athletic Physical Therapy Inc | 1956-12-09 | 2025-12-15 | F | AE | PT | MAHBOOB | H6086019300 | MEENA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9857387/check_15936062_088e881e-90d7-4435-aa8f-1a5c18055a7e.json | N/A | N/A | N/A | N/A | N/A | H60860193 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1956-12-09 | N/A | 0B666001 | N/A | HN | false | MAHBOOB | N/A | MEENA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514034700 | N/A | N/A | 9857387 | 2222 | 4801 | 16194884 | 5349 | 8253020 | 2025-12-14 01:44:21.013337 | 2025-11-24 19:48:59.871982 |
| 2025-12-13 08:09:21.677625 | 2025-12-14 01:48:16.215090 | 15936056 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15936056 | Athletic Physical Therapy Inc | 1962-05-29 | 2025-12-16 | F | PT | N/A | LARSON | XEA913804058 | DEBRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9562148/check_15936056_b21330eb-9ef2-4142-9c6d-6eada973c642.json | N/A | N/A | N/A | N/A | N/A | XAN913804058 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1962-05-29 | 1480PPOX0002 | W0051411 | N/A | PR | false | LARSON | N/A | DEBRA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514034699 | N/A | N/A | 9562148 | 2222 | 4793 | 16197959 | N/A | 7997320 | 2025-12-14 01:48:16.215090 | 2025-10-02 21:07:14.563938 |
| 2025-12-13 08:09:21.467276 | 2025-12-14 01:47:14.191803 | 15936046 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 15936046 | Athletic Physical Therapy Inc | 1966-12-04 | 2025-12-16 | M | PT | N/A | CLANCY | XDMOE0503879 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9194927/check_15936046_8a49299b-ad64-4425-9f34-0df3295844cb.json | N/A | N/A | N/A | N/A | N/A | XDMOE0503879 | Health Maintenance Organization (HMO) | OPERATING ENGINEERS HEALTH&WELFARE FUND | ANTHEM BLUE CROSS | N/A | 1966-12-04 | 040 | 278671H001 | N/A | HM | false | CLANCY | N/A | JOSEPH | N/A | 9999-12-31 | 2025-02-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514034698 | N/A | N/A | 9194927 | 2222 | 4793 | 16197192 | 4184 | 7712549 | 2025-12-14 01:47:14.191803 | 2025-09-10 17:29:28.945035 |
| 2025-12-13 08:09:21.220043 | 2025-12-14 01:47:18.864965 | 15936037 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15936037 | Athletic Physical Therapy Inc | 2009-01-14 | 2025-12-16 | F | PT | N/A | OBACZ | JQV897A63197 | KLOIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251213.110038244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9102655/check_15936037_80502a0d-6969-42d7-b1f7-47ed926c69ef.json | N/A | N/A | N/A | N/A | N/A | JQV897A63197 | Health Maintenance Organization (HMO) | EVOLVED NOVELTIES INC | ANTHEM BLUE CROSS | N/A | 2009-01-14 | 040 | F45883 | N/A | HM | false | OBACZ | N/A | JUSTIN | N/A | 2026-01-01 | 2025-01-01 | CA SG SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514034697 | N/A | N/A | 9102655 | 2222 | 4801 | 16197261 | 4185 | 7621062 | 2025-12-14 01:47:18.864965 | 2025-09-12 19:10:20.936695 |