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 | 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 08:09:21.082179 | 2025-12-14 01:47:12.281498 | 15936032 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15936032 | Athletic Physical Therapy Inc | 1961-03-04 | 2025-12-16 | M | PT | AVEDISSIAN | JQU233A54125 | ARMEN | N/A | 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/2222/8472241/check_15936032_eae02c72-a26d-43bb-ae89-174800b4eff0.json | N/A | N/A | N/A | N/A | N/A | JQU233A54125 | Preferred Provider Organization (PPO) | BRAND PRODUCE INC | MEDICARE A | N/A | 1961-03-04 | 040 | J35185 | N/A | PR | false | AVEDISSIAN | N/A | ARMEN | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514034696 | N/A | N/A | 8472241 | 2222 | 4801 | 16197165 | N/A | 7143064 | 2025-12-14 01:47:12.281498 | 2025-10-10 06:06:58.213429 |
| 2025-12-13 08:09:20.922144 | 2025-12-14 01:47:16.237605 | 15936025 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15936025 | Athletic Physical Therapy Inc | 2011-10-18 | 2025-12-16 | F | PT | GARCIA | LDU736A55056 | SADIE | N/A | 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/2222/8387470/check_15936025_9c93a0f5-8d83-40d9-835b-4424d18c7083.json | N/A | N/A | N/A | N/A | N/A | LDU736A55056 | Exclusive Provider Organization | LAUSD | ANTHEM BLUE CROSS | N/A | 2011-10-18 | 040 | 1838NJ | N/A | EP | false | GARCIA | N/A | RUBEN | N/A | 2026-01-01 | 2024-01-01 | PRUDENT BUYER EXCLUSIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514034695 | N/A | N/A | 8387470 | 2222 | 4801 | 16197221 | N/A | 5132739 | 2025-12-14 01:47:16.237605 | 2025-07-14 21:32:03.363712 |
| 2025-12-13 08:09:20.731741 | 2025-12-14 01:48:15.308646 | 15936014 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15936014 | Athletic Physical Therapy Inc | 1980-12-02 | 2025-12-16 | M | PT | GODINEZ | XEK907039926 | RICHARD | N/A | 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/2222/8202901/check_15936014_21277504-722f-4678-a18d-d9c55b76479b.json | N/A | N/A | N/A | N/A | N/A | XEK907039926 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-12-02 | 2001ZK002171 | X0001000 | N/A | PR | false | GODINEZ | N/A | RICHARD | N/A | 9999-12-31 | 2019-01-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514034694 | N/A | N/A | 8202901 | 2222 | 4793 | 16197946 | N/A | 6965521 | 2025-12-14 01:48:15.308646 | 2025-09-10 21:42:23.177790 |
| 2025-12-13 08:09:20.567207 | 2025-12-14 01:48:23.277456 | 15936007 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15936007 | Athletic Physical Therapy Inc | 1985-01-29 | 2025-12-16 | F | PT | MURPHY | NGO398A23229 | DARA | N/A | 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/2222/8202094/check_15936007_5d0864e5-7dbc-4b6f-9796-52b55eee1309.json | N/A | N/A | N/A | N/A | N/A | NGO398A23229 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORPORATION | BLUE SHIELD OF CALIFORNIA | N/A | 1985-01-29 | 040 | 174022MJAD | N/A | PR | false | MURPHY | N/A | SCOTT | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514034693 | N/A | N/A | 8202094 | 2222 | 4793 | 16198059 | N/A | 6964828 | 2025-12-14 01:48:23.277456 | 2025-08-21 15:20:41.432970 |
| 2025-12-13 08:09:20.402009 | 2025-12-14 01:43:17.735478 | 15935999 | N/A | N/A | 60054 | Aetna | 1114042165 | 15935999 | Athletic Physical Therapy Inc | 1972-12-30 | 2025-12-15 | M | AE | MCHALE | W27265070 | MATT | PT | 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/2222/8173116/check_15935999_de3ec7cf-1cce-4c0d-be32-f087dfff818c.json | N/A | N/A | N/A | N/A | N/A | W272665070 | Point of Service (POS) | SONY CORPORATION OF AMERICA | AETNA | N/A | 1972-12-30 | 0486873 | 048687302100161 | N/A | PS | false | MCHALE | N/A | MATTHEW | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514034692 | N/A | N/A | 8173116 | 2222 | 4802 | 16193921 | N/A | 6939617 | 2025-12-14 01:43:17.735478 | 2025-09-16 00:28:24.457071 |
| 2025-12-13 08:09:20.278747 | 2025-12-14 01:48:14.984342 | 15935993 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15935993 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-12-15 | F | PT | GIANNE | XED910762094 | NATALIE | N/A | 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/2222/7994545/check_15935993_0f5ce378-4e8a-4047-ac2f-29d6910b7888.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 9999-12-31 | 2021-09-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514034691 | N/A | N/A | 7994545 | 2222 | 4802 | 16197941 | N/A | 6802250 | 2025-12-14 01:48:14.984342 | 2025-08-11 23:58:28.358402 |
| 2025-12-13 08:09:20.071389 | 2025-12-14 01:48:22.422792 | 15935984 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15935984 | Athletic Physical Therapy Inc | 1987-11-24 | 2025-12-16 | F | PT | Halat | FIZ100010118257 | Hooram | N/A | 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/2222/7870152/check_15935984_216a909a-21ad-4a88-a80f-845b1303927e.json | N/A | N/A | N/A | N/A | N/A | FIZ100010118257 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS. | 1987-11-24 | N/A | N/A | N/A | PR | false | HALAT | N/A | HOORAM | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514034690 | N/A | N/A | 7870152 | 2222 | 4802 | 16198047 | N/A | 6698799 | 2025-12-14 01:48:22.422792 | 2025-08-07 18:40:53.120761 |
| 2025-12-13 08:09:19.687338 | 2025-12-14 01:42:48.441026 | 15935968 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15935968 | Athletic Physical Therapy Inc | 1962-09-23 | 2025-12-16 | M | AE | Thur | 95641377F | Pyi | PT | 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/2222/7449843/check_15935968_61cb30e7-e18a-4900-ba45-9d4b93298a96.json | N/A | N/A | N/A | N/A | N/A | 95641377F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 11/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1962-09-23 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | THUR | N/A | PYI | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514034689 | N/A | N/A | 7449843 | 2222 | 4802 | 16193445 | 4211 | 6399635 | 2025-12-14 01:42:48.441026 | 2025-07-29 18:42:47.970149 |
| 2025-12-13 08:09:19.338241 | 2025-12-14 01:46:56.724338 | 15935952 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15935952 | Athletic Physical Therapy Inc | 1966-07-12 | 2025-12-16 | M | AE | Cohn | R06589895MM1 | David | PT | 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/2222/7315101/check_15935952_3f228943-4b83-4a3e-b21b-067c6b222d67.json | N/A | N/A | N/A | N/A | N/A | R06589895MM1 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1966-07-12 | N/A | CA05620125 | N/A | N/A | false | COHN | N/A | DAVID | N/A | N/A | N/A | WELLCARE SIMPLE FOCUS (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514034688 | N/A | N/A | 7315101 | 2222 | 4802 | 16196951 | 4625 | 6152454 | 2025-12-14 01:46:56.724338 | 2025-07-17 21:44:04.596080 |
| 2025-12-13 08:09:19.042310 | 2025-12-14 01:48:17.516113 | 15935940 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15935940 | Athletic Physical Therapy Inc | 1976-09-29 | 2025-12-16 | F | PT | RAND | XED912141111 | ELLEN | N/A | 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/2222/7257479/check_15935940_47b675cf-28dc-4efb-b64f-87efe68a1507.json | N/A | N/A | N/A | N/A | N/A | XED912141111 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1976-09-29 | 2001ZK002193 | X0001004 | N/A | PR | false | RAND | N/A | ELLEN | N/A | 9999-12-31 | 2023-03-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514034687 | N/A | N/A | 7257479 | 2222 | 4802 | 16197978 | N/A | 4210270 | 2025-12-14 01:48:17.516113 | 2025-07-08 18:23:05.596578 |
| 2025-12-13 08:09:18.917708 | 2025-12-14 01:42:46.110819 | 15935935 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15935935 | Athletic Physical Therapy Inc | 1976-02-07 | 2025-12-16 | F | AE | MALTSEVA | 94237973H65017 | YEVHENIIA | PT | 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/2222/7253095/check_15935935_1792d3cc-70ef-4ab9-9453-4418ecfb1ad8.json | N/A | N/A | N/A | N/A | N/A | 94237973H65017 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1976-02-07 | N/A | N/A | N/A | N/A | false | MALTSEVA | N/A | YEVHENIIA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514034686 | N/A | N/A | 7253095 | 2222 | 4802 | 16193413 | 4211 | 6219145 | 2025-12-14 01:42:46.110819 | 2025-07-21 16:40:35.276086 |
| 2025-12-13 08:09:18.792638 | 2025-12-14 01:45:52.913677 | 15935926 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15935926 | Athletic Physical Therapy Inc | 1942-07-28 | 2025-12-16 | M | AE | SIMMONS | 40055722801 | J | PT | 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/2222/6685251/check_15935926_8b40e3a9-b23c-4739-a980-27e7dca98732.json | N/A | N/A | N/A | N/A | N/A | 40055722801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1942-07-28 | 2025H5425001 | H5425M | N/A | N/A | false | SIMMONS | N/A | J | 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 | 9514034685 | N/A | N/A | 6685251 | 2222 | 4793 | 16196129 | 6237 | 4209868 | 2025-12-14 01:45:52.913677 | 2025-08-15 22:13:56.514261 |
| 2025-12-13 08:09:18.649019 | 2025-12-14 01:42:36.157034 | 15935919 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 15935919 | Athletic Physical Therapy Inc | 1962-06-24 | 2025-12-16 | F | AE | GOMEZ | 44116442 | CAROL | PT | 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/2222/6434660/check_15935919_efd19a04-b4f2-414b-a1cd-8964720208b3.json | N/A | N/A | N/A | N/A | N/A | 44116442 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1962-06-24 | 406-024-000 | N/A | N/A | N/A | false | GOMEZ | N/A | CAROL | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514034684 | N/A | N/A | 6434660 | 2222 | 4801 | 16193270 | 6798 | 5079832 | 2025-12-14 01:42:36.157034 | 2025-06-23 20:02:36.660262 |
| 2025-12-13 08:09:18.535003 | 2025-12-14 01:44:20.709835 | 15935913 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 15935913 | Athletic Physical Therapy Inc | 1947-04-26 | 2025-12-16 | F | AE | BARCENES | H9209970900 | IRENE | PT | 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/2222/6231314/check_15935913_555d98dc-2eb1-459f-a74b-de5f0c071c11.json | N/A | N/A | N/A | N/A | N/A | H92099709 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 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 | 1947-04-26 | N/A | 0B527001 | N/A | HN | false | BARCENES DES | N/A | IRENE | 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 | 9514034683 | N/A | N/A | 6231314 | 2222 | 4801 | 16194880 | N/A | 4219033 | 2025-12-14 01:44:20.709835 | 2025-05-13 04:29:37.230052 |
| 2025-12-13 08:09:18.419051 | 2025-12-14 01:44:21.311981 | 15935905 | N/A | N/A | 61101 | HUMANA | 1114042165 | 15935905 | Athletic Physical Therapy Inc | 1950-06-01 | 2025-12-16 | F | AE | MCDEVITT | H7220666800 | GUADALUPE | PT | 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/2222/6221805/check_15935905_b8634865-b45f-49d5-9151-266b6540ffff.json | N/A | N/A | N/A | N/A | N/A | H72206668 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 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 | 1950-06-01 | N/A | 0B527001 | N/A | HN | false | MCDEVITT | N/A | GUADALUPE | 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 | 9514034682 | N/A | N/A | 6221805 | 2222 | 4801 | 16194888 | 5349 | 4865742 | 2025-12-14 01:44:21.311981 | 2025-06-11 15:46:59.098537 |
| 2025-12-13 08:09:18.257411 | 2025-12-14 01:46:59.022624 | 15935898 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15935898 | Athletic Physical Therapy Inc | 1957-09-06 | 2025-12-16 | M | AE | BECKLEY | 00000375188 | STEVE | PT | 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/2222/6077164/check_15935898_7582c2ef-3e0c-48b0-84a3-a83bac826f3e.json | N/A | N/A | N/A | N/A | N/A | 00000375188 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-09-06 | H3815028 | N/A | N/A | HM | false | BECKLEY | N/A | STEVE | 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 | 9514034681 | N/A | N/A | 6077164 | 2222 | 4801 | 16196987 | 2630 | 4720748 | 2025-12-14 01:46:59.022624 | 2025-06-11 15:34:07.942696 |
| 2025-12-13 08:09:18.151890 | 2025-12-14 01:48:18.457486 | 15935892 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15935892 | Athletic Physical Therapy Inc | 1973-02-24 | 2025-12-16 | F | PT | TAKEMOTO | XED906098170 | NICOLE | N/A | 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/2222/5928752/check_15935892_d219af20-b692-4eba-97d9-c254d1f5895c.json | N/A | N/A | N/A | N/A | N/A | XED906098170 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1973-02-24 | 2001ZK002184 | X0001004 | N/A | PR | false | TAKEMOTO | N/A | NICOLE | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED VISION | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514034680 | N/A | N/A | 5928752 | 2222 | 4802 | 16197991 | N/A | 4583701 | 2025-12-14 01:48:18.457486 | 2025-07-24 17:50:11.805587 |
| 2025-12-13 08:09:18.017920 | 2025-12-14 01:46:55.037590 | 15935885 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15935885 | Athletic Physical Therapy Inc | 1964-11-15 | 2025-12-16 | F | AE | BIKOULOVA | 92040499F | ALEXANDRA | PT | 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/2222/5874423/check_15935885_70fb891d-7cc3-4328-bc31-72195bbe9fad.json | N/A | N/A | N/A | N/A | N/A | 92040499F | N/A | N/A | HEALTH NET, LLC | N/A | 1964-11-15 | N/A | N/A | N/A | N/A | false | BIKOULOVA | N/A | ALEXANDRA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514034679 | N/A | N/A | 5874423 | 2222 | 4802 | 16196925 | 4625 | 4534552 | 2025-12-14 01:46:55.037590 | 2025-05-30 18:01:03.324126 |
| 2025-12-13 08:09:17.865853 | 2025-12-14 01:46:59.777576 | 15935875 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 15935875 | Athletic Physical Therapy Inc | 1956-07-24 | 2025-12-16 | F | AE | HOCHFELD | 00000365425 | PAMELA | PT | 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/2222/5676362/check_15935875_9e2da2d7-4ee8-4ea7-8440-28276eccf8fe.json | N/A | N/A | N/A | N/A | N/A | 00000365425 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-07-24 | H3815028 | N/A | N/A | HM | false | HOCHFELD | N/A | PAMELA | 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 | 9514034678 | N/A | N/A | 5676362 | 2222 | 4793 | 16196997 | N/A | 4219743 | 2025-12-14 01:46:59.777576 | 2025-12-04 22:36:02.632383 |
| 2025-12-13 08:09:17.733716 | 2025-12-14 01:48:16.901655 | 15935868 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15935868 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-12-16 | F | PT | PANDYA | XEA913306283 | DHARA | N/A | 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/2222/5550845/check_15935868_3cc8190f-3f8a-4ab8-95de-dacf545ea919.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 | 2024-06-03 | HSA RATED | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514034677 | N/A | N/A | 5550845 | 2222 | 4801 | 16197969 | N/A | 4219713 | 2025-12-14 01:48:16.901655 | 2025-08-13 22:46:55.732965 |
| 2025-12-13 08:09:17.427127 | 2025-12-14 01:42:48.151376 | 15935855 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15935855 | Athletic Physical Therapy Inc | 1990-11-12 | 2025-12-16 | F | AE | SIMONS | 94378141G | DESIREE | PT | 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/2222/5550102/check_15935855_5e2c890a-f613-434f-ae9d-3e97dec716ef.json | N/A | N/A | N/A | N/A | N/A | 94378141G | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1990-11-12 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | SIMONS | N/A | DESIREE | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514034676 | N/A | N/A | 5550102 | 2222 | 4802 | 16193441 | 4211 | 4212176 | 2025-12-14 01:42:48.151376 | 2025-05-13 04:29:37.226514 |
| 2025-12-13 08:09:16.980753 | 2025-12-14 01:47:14.446874 | 15935835 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15935835 | Athletic Physical Therapy Inc | 1955-10-09 | 2025-12-16 | M | PT | COE | JQS589W10732 | SCOTT | N/A | 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/2222/5549514/check_15935835_4463d4d9-2a88-469a-b8d2-5b28aa0a680c.json | N/A | N/A | N/A | N/A | N/A | JQS589W10732 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1955-10-09 | 040 | CAMCRWP0 | N/A | MP | false | COE | N/A | SCOTT | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514034675 | N/A | N/A | 5549514 | 2222 | 4801 | 16197196 | 4185 | 4219161 | 2025-12-14 01:47:14.446874 | 2025-10-16 23:24:12.118501 |
| 2025-12-13 08:09:16.621429 | 2025-12-14 01:46:54.796591 | 15935821 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15935821 | Athletic Physical Therapy Inc | 1967-12-23 | 2025-12-16 | F | AE | SOL | U9859952501 | ISABEL | PT | 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/2222/5549212/check_15935821_a3f82d79-c269-47d9-8e7c-773eb41486a2.json | N/A | N/A | N/A | N/A | N/A | U9859952501 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1967-12-23 | 67138CA0520015-04 | N/A | N/A | N/A | false | SOL | N/A | ISABEL | N/A | N/A | N/A | SILVER 73 AMBETTER HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514034674 | N/A | N/A | 5549212 | 2222 | 4793 | 16196921 | N/A | 4218926 | 2025-12-14 01:46:54.796591 | 2025-07-30 14:07:18.779456 |
| 2025-12-13 08:09:16.464108 | 2025-12-14 01:42:36.423660 | 15935813 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 15935813 | Athletic Physical Therapy Inc | 1941-05-24 | 2025-12-16 | F | AE | REGGIANI | 41813758 | SUSANA | PT | 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/2222/5549015/check_15935813_ac9dc8b8-22c3-4c60-865a-81e703b0a25c.json | N/A | N/A | N/A | N/A | N/A | 41813758 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1941-05-24 | 406-024-000 | N/A | N/A | N/A | false | REGGIANI | N/A | SUSANA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514034673 | N/A | N/A | 5549015 | 2222 | 4801 | 16193274 | 6798 | 4208849 | 2025-12-14 01:42:36.423660 | 2025-05-13 04:29:37.223279 |
| 2025-12-13 08:09:16.298286 | 2025-12-14 01:45:51.823859 | 15935807 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15935807 | Athletic Physical Therapy Inc | 1942-12-11 | 2025-12-16 | F | AE | HENDERSHOT | 31071948801 | RENNE | PT | 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/2222/5543556/check_15935807_22642a5a-cca2-4353-bbc1-1e109d59c39f.json | N/A | N/A | N/A | N/A | N/A | 31071948801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1942-12-11 | 2025H5425001 | H5425M | N/A | N/A | false | HENDERSHOT | N/A | RENEE | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514034672 | N/A | N/A | 5543556 | 2222 | 4793 | 16196115 | N/A | 4215334 | 2025-12-14 01:45:51.823859 | 2025-12-09 18:18:58.430690 |
| 2025-12-13 08:09:16.134243 | 2025-12-14 01:46:54.562213 | 15935799 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15935799 | Athletic Physical Therapy Inc | 1963-07-02 | 2025-12-16 | M | AE | RAMPTON | R02515710 | JAMES | PT | 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/2222/5543519/check_15935799_afa879ac-ea13-452d-baac-a9956b5a9f41.json | N/A | N/A | N/A | N/A | N/A | R02515710 | N/A | N/A | CENTENE CORPORATION | N/A | 1963-07-02 | N/A | N/A | N/A | N/A | false | RAMPTON | N/A | JAMES | N/A | N/A | N/A | HMO FULL NETWORK SMALL GROUP (PLATINUM, GOLD, SIL | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514034671 | N/A | N/A | 5543519 | 2222 | 4801 | 16196918 | N/A | 4215303 | 2025-12-14 01:46:54.562213 | 2025-05-13 04:29:37.229622 |
| 2025-12-13 08:09:15.967986 | 2025-12-14 01:46:55.529291 | 15935792 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15935792 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-12-16 | M | AE | FORTIN | R14644640MS1 | NATHANIEL | PT | 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/2222/5543425/check_15935792_108488cd-04c3-4b63-8e38-4d2be4c5771c.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | KVT SBGHMOWC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514034670 | N/A | N/A | 5543425 | 2222 | 4801 | 16196933 | 4625 | 4215211 | 2025-12-14 01:46:55.529291 | 2026-04-02 22:30:20.020246 |
| 2025-12-13 08:09:15.836082 | 2025-12-14 01:47:15.051472 | 15935785 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15935785 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-12-16 | F | PT | DAKE | SIF326M90066 | RENEE | N/A | 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/2222/5543355/check_15935785_f2bfa46b-3d3d-4681-be18-98e7c22b0763.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | Preferred Provider Organization (PPO) | SISC - MEADOWS ARTS & TECH ELEMENTARY SCHOOL | ANTHEM BLUE CROSS | N/A | 1968-01-29 | 040 | 40424B | N/A | PR | false | DAKE | N/A | RENEE | N/A | 9999-12-31 | 2018-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514034669 | N/A | N/A | 5543355 | 2222 | 4793 | 16197205 | N/A | 4215158 | 2025-12-14 01:47:15.051472 | 2025-05-13 04:29:37.229475 |
| 2025-12-13 08:09:15.684108 | 2025-12-14 01:48:15.914789 | 15935780 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15935780 | Athletic Physical Therapy Inc | 1987-10-17 | 2025-12-16 | F | PT | PATEL | XEA910759571 | MAMTABEN | N/A | 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/2222/5543327/check_15935780_d759db49-c49d-499c-b028-5c94785ce829.json | N/A | N/A | N/A | N/A | N/A | XEA910759571 | Preferred Provider Organization (PPO) | RELATIVITY SPACE INC | BLUE SHIELD CALIFORNIA | N/A | 1987-10-17 | 1000PPOX0004 | W0071038 | N/A | PR | false | KROL | N/A | JEREMY | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1650 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514034668 | N/A | N/A | 5543327 | 2222 | 4802 | 16197955 | N/A | 4215137 | 2025-12-14 01:48:15.914789 | 2025-10-13 23:09:53.444170 |
| 2025-12-13 08:09:15.528032 | 2025-12-14 01:47:12.507762 | 15935771 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 15935771 | Athletic Physical Therapy Inc | 1962-09-27 | 2025-12-16 | F | PT | BARAJAS | NCF425A56241 | EMMA | N/A | 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/2222/5543324/check_15935771_354cb56b-c28e-4320-b531-c352b8a6167d.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 | 56677VR000 | N/A | HM | false | BARAJAS | N/A | RAMON | N/A | 9999-12-31 | 2025-09-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514034667 | N/A | N/A | 5543324 | 2222 | 4801 | 16197167 | 4184 | 4215131 | 2025-12-14 01:47:12.507762 | 2025-08-11 16:45:52.816842 |
| 2025-12-13 08:09:15.360808 | 2025-12-14 01:42:46.408005 | 15935761 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15935761 | Athletic Physical Therapy Inc | 1961-07-08 | 2025-12-16 | F | AE | BERRY | 606308574 | KAREN | PT | 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/2222/5543264/check_15935761_9025f999-d3b3-4f82-bce9-14161ca67438.json | N/A | N/A | N/A | N/A | N/A | 606308574 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 1961-07-08 | 18126CA001000306 | QMXEM01910 | N/A | N/A | false | BERRY | N/A | KAREN | N/A | 2025-12-31 | 2025-09-01 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514034666 | N/A | N/A | 5543264 | 2222 | 4802 | 16193417 | 4211 | 4215080 | 2025-12-14 01:42:46.408005 | 2025-05-13 04:29:37.229395 |
| 2025-12-13 08:09:15.233832 | 2025-12-14 01:48:17.218313 | 15935752 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15935752 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-12-16 | F | PT | PAUL | XEK914147727 | SARA | N/A | 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/2222/5543211/check_15935752_15729cd2-a44f-45ba-9623-80cd858ef318.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | 9999-12-31 | 2025-02-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514034665 | N/A | N/A | 5543211 | 2222 | 4801 | 16197973 | N/A | 4215028 | 2025-12-14 01:48:17.218313 | 2025-05-13 04:29:37.229346 |
| 2025-12-13 08:09:15.126612 | 2025-12-14 01:48:08.568391 | 15935745 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15935745 | Athletic Physical Therapy Inc | 1990-07-10 | 2025-12-16 | U | PT | GADDE | X8B467M70158 | LAVANYA | N/A | 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/2222/5543090/check_15935745_57dd02f7-33bb-4feb-9372-45f37415c26f.json | N/A | N/A | N/A | N/A | N/A | X8B467M70158 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1990-07-10 | N/A | N/A | N/A | N/A | false | GADDE | N/A | LAVANYA | 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 | 9514034664 | N/A | N/A | 5543090 | 2222 | 4793 | 16197850 | N/A | 4214925 | 2025-12-14 01:48:08.568391 | 2025-12-17 00:54:52.714750 |
| 2025-12-13 08:09:14.760438 | 2025-12-14 01:47:20.477081 | 15935726 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15935726 | Athletic Physical Therapy Inc | 1963-10-10 | 2025-12-16 | F | PT | RUEGGER | MPI01409385Q | ANNE | N/A | 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/2222/5542955/check_15935726_5d4e7275-3d14-442d-8b96-92c6e6a1f1bf.json | N/A | N/A | N/A | N/A | N/A | MPI01409385Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN - RETIREE | ANTHEM BLUE CROSS | N/A | 1963-10-10 | 040 | 277163M406 | N/A | PR | false | RUEGGER | N/A | THOMAS | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514034663 | N/A | N/A | 5542955 | 2222 | 4793 | 16197285 | N/A | 4214809 | 2025-12-14 01:47:20.477081 | 2025-06-05 16:00:56.918021 |
| 2025-12-13 08:09:14.523273 | 2025-12-14 01:43:18.030335 | 15935716 | N/A | N/A | 60054 | Aetna | 1114042165 | 15935716 | Athletic Physical Therapy Inc | 1962-10-31 | 2025-12-16 | M | AE | SCHWARTZ | W286B1257901 | STEVEN | PT | 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/2222/5542851/check_15935716_2c0c937f-d439-42fd-9bd1-1d8e4e546b59.json | N/A | N/A | N/A | N/A | N/A | W286312579 | Health Maintenance Organization (HMO) | VINFAST AUTO, LLC | AETNA | N/A | 1962-10-31 | EACZM805 | 017515801000101 | N/A | HM | false | SCHWARTZ | N/A | STEVEN | N/A | N/A | N/A | HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514034662 | N/A | N/A | 5542851 | 2222 | 4802 | 16193926 | N/A | 4214717 | 2025-12-14 01:43:18.030335 | 2025-11-14 20:45:59.804575 |
| 2025-12-13 08:09:14.245458 | 2025-12-14 01:46:55.283409 | 15935702 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15935702 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-12-16 | F | AE | CHERE | 98953535F | DIANA | PT | 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/2222/5542660/check_15935702_7186d3ff-2977-4677-b052-0a8790203270.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514034661 | N/A | N/A | 5542660 | 2222 | 4802 | 16196929 | 4625 | 4214542 | 2025-12-14 01:46:55.283409 | 2025-05-13 04:29:37.228868 |
| 2025-12-13 08:09:14.139544 | 2025-12-14 01:42:47.018297 | 15935697 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15935697 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-12-16 | F | AE | HAMI | 92932800G | FARIBA | PT | 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/2222/5542611/check_15935697_eb051569-8206-42fa-9d90-9325b718ea5d.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MEDICARE PART AB CI003 | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1960-09-15 | BP0001 | QMXEM01909 | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | 2078-12-31 | 2025-11-01 | DUAL ELIGIBLE AGED - MSP - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514034660 | N/A | N/A | 5542611 | 2222 | 4802 | 16193425 | 4211 | 4214490 | 2025-12-14 01:42:47.018297 | 2025-05-13 04:29:37.228806 |
| 2025-12-13 08:09:14.030609 | 2025-12-14 01:46:56.489635 | 15935689 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15935689 | Athletic Physical Therapy Inc | 1977-02-09 | 2025-12-16 | F | AE | SHAMAT | 96987431H | SAMA | PT | 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/2222/5542314/check_15935689_b8175bd8-ff79-44d8-adb7-6968a06bab56.json | N/A | N/A | N/A | N/A | N/A | 96987431H | N/A | N/A | HEALTH NET, LLC | N/A | 1977-02-09 | N/A | N/A | N/A | N/A | false | SHAMAT | N/A | SAMA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514034659 | N/A | N/A | 5542314 | 2222 | 4802 | 16196948 | N/A | 4214238 | 2025-12-14 01:46:56.489635 | 2025-05-13 04:29:37.228571 |
| 2025-12-13 08:09:13.865552 | 2025-12-14 01:42:47.293277 | 15935682 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15935682 | Athletic Physical Therapy Inc | 1975-03-26 | 2025-12-16 | F | AE | HEYES | 95596436F | DARCIE | PT | 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/2222/5542233/check_15935682_f025b87f-d24f-4771-bebd-bf1c0ed7971c.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1975-03-26 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | 2078-12-31 | 2024-04-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514034658 | N/A | N/A | 5542233 | 2222 | 4793 | 16193429 | 4211 | 4214178 | 2025-12-14 01:42:47.293277 | 2025-05-13 04:29:37.228506 |
| 2025-12-13 08:09:13.739742 | 2025-12-14 01:44:54.448593 | 15935677 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 15935677 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-12-16 | M | AD | LYKIDIS | U1221753503 | JOHN | N/A | 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/2222/5541552/check_15935677_6a44fb4c-fe99-4cee-8539-faa2a89d66e2.json | N/A | N/A | N/A | N/A | N/A | U1221753503 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 2001-11-21 | N/A | 3207160 | N/A | N/A | false | LYKIDIS | N/A | JOHN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 9514034657 | N/A | N/A | 5541552 | 2222 | 4802 | 16195342 | N/A | 4213562 | 2025-12-14 01:44:54.448593 | 2025-05-13 04:29:37.227895 |
| 2025-12-13 08:09:13.640274 | 2025-12-14 01:48:15.615112 | 15935670 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15935670 | Athletic Physical Therapy Inc | 1963-07-22 | 2025-12-16 | F | PT | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | N/A | 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/2222/5541314/check_15935670_4d2bae51-7c3e-436b-8bfb-2484038146de.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 9999-12-31 | 2023-01-01 | IFP EMB PED VISION | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514034656 | N/A | N/A | 5541314 | 2222 | 4793 | 16197951 | N/A | 4213343 | 2025-12-14 01:48:15.615112 | 2025-06-06 02:21:37.603701 |
| 2025-12-13 08:09:13.526504 | 2025-12-14 01:45:52.539454 | 15935666 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15935666 | Athletic Physical Therapy Inc | 1946-11-23 | 2025-12-16 | F | AE | POLAK | 40047825101 | JOANNA | PT | 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/2222/5541023/check_15935666_19ec4e06-1dd7-4d42-bbdf-dbc423959817.json | N/A | N/A | N/A | N/A | N/A | 40047825101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1946-11-23 | 2025H5425006 | H5425M | N/A | N/A | false | POLAK | N/A | JOANNA | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514034655 | N/A | N/A | 5541023 | 2222 | 4793 | 16196125 | 6237 | 4213093 | 2025-12-14 01:45:52.539454 | 2025-05-13 04:29:37.227419 |
| 2025-12-13 08:09:13.398893 | 2025-12-14 01:47:16.503445 | 15935660 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15935660 | Athletic Physical Therapy Inc | 1995-06-07 | 2025-12-16 | M | PT | Greathouse | MPI30458946Q | Kheperan | N/A | 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/2222/5540871/check_15935660_5db28b4c-4a85-449e-bfd5-0c760c78a29b.json | N/A | N/A | N/A | N/A | N/A | MPI30458946Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1995-06-07 | 040 | 277163M402 | N/A | PR | false | GREATHOUSE | N/A | KHEPERAN | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514034654 | N/A | N/A | 5540871 | 2222 | 4793 | 16197225 | N/A | 4212959 | 2025-12-14 01:47:16.503445 | 2025-10-17 20:08:21.136268 |
| 2025-12-13 08:09:13.233444 | 2025-12-14 01:48:17.834168 | 15935651 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15935651 | Athletic Physical Therapy Inc | 1997-07-14 | 2025-12-16 | M | PT | SHERBETJIAN | XED910281081 | JACK | N/A | 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/2222/5540558/check_15935651_e85415a4-821f-48ac-8027-d655256a9d71.json | N/A | N/A | N/A | N/A | N/A | XED910281081 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-14 | 2001ZK002184 | X0001004 | N/A | PR | false | SHERBETJIAN | N/A | JACK | N/A | 2025-12-31 | 2025-01-01 | SILVER 94 PPO JAN25 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514033813 | N/A | N/A | 5540558 | 2222 | 4801 | 16197982 | N/A | 4212698 | 2025-12-14 01:48:17.834168 | 2025-05-13 04:29:37.227042 |
| 2025-12-13 08:09:13.071850 | 2025-12-14 01:45:50.723085 | 15935642 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15935642 | Athletic Physical Therapy Inc | 1956-07-18 | 2025-12-16 | M | AE | BELL | 40055462001 | LOWELL | PT | 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/2222/5540339/check_15935642_30630289-f339-42ed-9612-28a534d0b56d.json | N/A | N/A | N/A | N/A | N/A | 40055462001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-07-18 | 2025H5425097VEF | H5425CSNP | N/A | N/A | false | BELL | N/A | LOWELL | N/A | N/A | N/A | SCAN STRIVE (HMO SNP), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9514033812 | N/A | N/A | 5540339 | 2222 | 4801 | 16196102 | N/A | 4212512 | 2025-12-14 01:45:50.723085 | 2025-11-04 22:17:35.476315 |
| 2025-12-13 08:09:12.850003 | 2025-12-14 01:47:13.635474 | 15935632 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15935632 | Athletic Physical Therapy Inc | 1955-11-11 | 2025-12-16 | F | PT | CALDERON | JQU450A75837 | DEBBIE | N/A | 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/2222/5540282/check_15935632_4e11e1b7-9144-46da-a848-3780ef7b3b8e.json | N/A | N/A | N/A | N/A | N/A | JQU450A75837 | Preferred Provider Organization (PPO) | ELKINS KALT WEINTRAUB REU | ANTHEM BLUE CROSS | N/A | 1955-11-11 | 040 | 494793 | N/A | PR | false | CALDERON | N/A | DEBBIE | N/A | 9999-12-31 | 2025-12-01 | ANTHEM GOLD PPO 30/500/20% | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514033811 | N/A | N/A | 5540282 | 2222 | 4802 | 16197184 | N/A | 4212465 | 2025-12-14 01:47:13.635474 | 2025-05-13 04:29:37.226801 |
| 2025-12-13 08:09:12.465671 | 2025-12-14 01:47:25.188151 | 15935619 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15935619 | Athletic Physical Therapy Inc | 2011-05-18 | 2025-12-16 | F | PT | WILLIAMS | XDP795A62672 | PIPER | N/A | 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/2222/5540171/check_15935619_10528425-3f27-4af0-900b-2aef8ed840f6.json | N/A | N/A | N/A | N/A | N/A | JQU795A62672 | Preferred Provider Organization (PPO) | DELOS DATA INC | ANTHEM BLUE CROSS | N/A | 2011-05-18 | 040 | U36898 | N/A | PR | false | WILLIAMS | N/A | ERIC | N/A | 2026-01-01 | 2025-12-01 | CA SG ANTHEM PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514033810 | N/A | N/A | 5540171 | 2222 | 4793 | 16197339 | N/A | 4212367 | 2025-12-14 01:47:25.188151 | 2025-05-13 04:29:37.226697 |
| 2025-12-13 08:09:12.188372 | 2025-12-14 01:47:13.084130 | 15935607 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15935607 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-12-16 | F | PT | BOYLAN | MBL857M98403 | JOAN | N/A | 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/2222/5540074/check_15935607_d77f092d-8fd8-42f9-9094-1341bd3cf718.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514033809 | N/A | N/A | 5540074 | 2222 | 4802 | 16197176 | N/A | 4212282 | 2025-12-14 01:47:13.084130 | 2025-05-13 04:29:37.226623 |
| 2025-12-13 08:09:12.073058 | 2025-12-14 01:47:13.891371 | 15935598 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15935598 | Athletic Physical Therapy Inc | 2011-01-19 | 2025-12-15 | M | PT | CHELIUS | JXN662A51170 | CADEN | N/A | 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/2222/5539929/check_15935598_d3d7da05-36f9-4c0f-bf23-38c17d6ad6b4.json | N/A | N/A | N/A | N/A | N/A | JXN662A51170 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 2011-01-19 | 040 | 174222M9A1 | N/A | PR | false | CHELIUS | N/A | CRAIG | N/A | 9999-12-31 | 2021-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514033808 | N/A | N/A | 5539929 | 2222 | 4793 | 16197188 | N/A | 4212158 | 2025-12-14 01:47:13.891371 | 2025-10-22 16:00:14.919111 |
| 2025-12-13 08:09:11.937668 | 2025-12-14 01:48:21.660164 | 15935591 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15935591 | Athletic Physical Therapy Inc | 1983-08-31 | 2025-12-16 | M | PT | FLEMING | SZF839281184 | CHASE | N/A | 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/2222/5539901/check_15935591_12cc686f-7e42-4dac-9d6d-e3706289ce46.json | N/A | N/A | N/A | N/A | N/A | SZF839281184 | Preferred Provider Organization (PPO) | ACTIVE | BLUE SHIELD OF CALIFORNIA | N/A | 1983-08-31 | N/A | 018137 | N/A | PR | false | FLEMING | N/A | CHASE | N/A | 9999-12-31 | 2021-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9514033807 | N/A | N/A | 5539901 | 2222 | 4793 | 16198036 | N/A | 4212134 | 2025-12-14 01:48:21.660164 | 2025-08-05 02:56:55.384378 |