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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-12 17:29:08.261182 | 2025-12-13 01:35:48.555557 | 15913288 | N/A | N/A | 60054 | Aetna | 1114042165 | 15913288 | Athletic Physical Therapy Inc | 1973-08-11 | 2025-12-15 | M | AE | PT | YAMASAKI | W121490267 | KENNY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7761496/check_15913288_a85ae7f7-b452-4877-a3d1-60aaa06aa880.json | N/A | N/A | N/A | N/A | N/A | W121490767 | Point of Service (POS) | LIONSGATE ENTERTAINMENT INC. | AETNA | N/A | 1973-08-11 | 0881709 | 088170902100001 | N/A | PS | false | YAMASAKI | N/A | KENNY | N/A | N/A | N/A | OA MANAGED CHOICE POS HDHP | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9510388624 | N/A | N/A | 7761496 | 2222 | 4802 | 16155403 | N/A | 6610810 | 2025-12-13 01:35:48.555557 | 2025-08-04 22:41:35.670334 |
| 2025-12-12 17:29:07.485570 | 2025-12-13 01:35:38.208290 | 15913281 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 15913281 | Athletic Physical Therapy Inc | 1975-12-22 | 2025-12-15 | M | PT | N/A | HUTH | XEH910929228 | KENT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7626895/check_15913281_70c6bdab-8832-494c-af7a-0d5f6b611765.json | N/A | N/A | N/A | N/A | N/A | XEH910929228 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1975-12-22 | 1000HMOX0001 | W0051411 | N/A | HM | false | HUTH | N/A | KENT | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9510388623 | N/A | N/A | 7626895 | 2222 | 4793 | 16155262 | N/A | 6525917 | 2025-12-13 01:35:38.208290 | 2026-05-08 22:53:13.232007 |
| 2025-12-12 17:29:06.993885 | 2025-12-13 01:38:21.245024 | 15913274 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15913274 | Athletic Physical Therapy Inc | 1954-02-12 | 2025-12-15 | M | AE | PT | NAGHSHBANDI | 00000388791 | ABDUL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7314863/check_15913274_de4e67ee-ed12-4828-88a0-cb24d5415c1b.json | N/A | N/A | N/A | N/A | N/A | 00000388791 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1954-02-12 | H3815028 | N/A | N/A | HM | false | NAGHSHBANDI | N/A | ABDUL | 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 | 9510388622 | N/A | N/A | 7314863 | 2222 | 4793 | 16158305 | 2630 | 4208741 | 2025-12-13 01:38:21.245024 | 2025-08-01 18:22:58.464314 |
| 2025-12-12 17:29:06.638346 | 2025-12-13 01:38:49.905064 | 15913271 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15913271 | Athletic Physical Therapy Inc | 1991-10-07 | 2025-12-15 | F | PT | N/A | BOYM | XEK903045570 | DANIELLA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7281036/check_15913271_77eccd6d-9787-4925-9253-f2b6b6f59e3a.json | N/A | N/A | N/A | N/A | N/A | XEK903045570 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1991-10-07 | 2001ZJ002648 | X0001000 | N/A | PR | false | BOYM | N/A | DIMITRY | N/A | 9999-12-31 | 2024-02-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9510388621 | N/A | N/A | 7281036 | 2222 | 4793 | 16158885 | N/A | 6245462 | 2025-12-13 01:38:49.905064 | 2025-07-24 01:23:15.134681 |
| 2025-12-12 17:29:06.162984 | 2025-12-13 01:35:20.023823 | 15913265 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15913265 | Athletic Physical Therapy Inc | 1967-12-06 | 2025-12-15 | F | AE | PT | KLOSSOWSKI | 98920892C | TRESSA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7019712/check_15913265_dae932f6-db0a-45f4-b43e-3f462eed620e.json | N/A | N/A | N/A | N/A | N/A | 98920892C | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 01/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1967-12-06 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | KLOSSOWSKI | N/A | TRESSA | N/A | 2078-12-31 | 2025-04-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9510388620 | N/A | N/A | 7019712 | 2222 | 4793 | 16155044 | 4211 | 6034714 | 2025-12-13 01:35:20.023823 | 2025-07-15 18:02:59.670156 |
| 2025-12-12 17:29:05.757192 | 2025-12-13 01:38:21.483287 | 15913260 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 15913260 | Athletic Physical Therapy Inc | 1958-04-03 | 2025-12-15 | F | AE | PT | NIAZI | 00000388782 | RAHIMA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6958289/check_15913260_8bdf5c4f-e1d6-49cd-9006-8f0806c2d266.json | N/A | N/A | N/A | N/A | N/A | 00000388782 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1958-04-03 | H3815028 | N/A | N/A | HM | false | NIAZI | N/A | RAHIMA | 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 | 9510388619 | N/A | N/A | 6958289 | 2222 | 4793 | 16158310 | N/A | 5983606 | 2025-12-13 01:38:21.483287 | 2025-07-18 18:03:17.155924 |
| 2025-12-12 17:29:05.356572 | 2025-12-13 01:38:52.591149 | 15913256 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15913256 | Athletic Physical Therapy Inc | 1961-03-07 | 2025-12-15 | F | PT | N/A | PERLOV | XEA905216171 | MERA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814311/check_15913256_d9e73ba8-f2b4-4a39-bf5f-ff896c1fc518.json | N/A | N/A | N/A | N/A | N/A | XEA905216171 | Preferred Provider Organization (PPO) | LA CARE HEALTH PLAN | BLUE SHIELD CALIFORNIA | N/A | 1961-03-07 | 1000PPOX0003 | W0051027 | N/A | PR | false | PERLOV | N/A | MERA | N/A | 2025-12-31 | 2025-01-01 | LA CARE HEALTH PLAN PPO SAVINGS TWO TIER EMBEDDED | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9510388618 | N/A | N/A | 6814311 | 2222 | 4793 | 16158946 | N/A | 5856694 | 2025-12-13 01:38:52.591149 | 2025-07-07 18:45:06.287504 |
| 2025-12-12 17:29:04.878327 | 2025-12-13 01:38:43.491005 | 15913251 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15913251 | Athletic Physical Therapy Inc | 1947-12-19 | 2025-12-15 | F | PT | N/A | Taggart | MBL830M95233 | Rita | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6780011/check_15913251_59760ee8-4a88-4a70-8180-cca652f596fd.json | N/A | N/A | N/A | N/A | N/A | MBL830M95233 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1947-12-19 | 040 | CAEGR002 | N/A | N/A | false | TAGGART | N/A | RITA | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9510388617 | N/A | N/A | 6780011 | 2222 | 4802 | 16158746 | N/A | 5811238 | 2025-12-13 01:38:43.491005 | 2025-07-03 18:24:56.520298 |
| 2025-12-12 17:29:04.383142 | 2025-12-13 01:38:09.860029 | 15913245 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15913245 | Athletic Physical Therapy Inc | 2008-04-21 | 2025-12-15 | M | AE | PT | BERMUDEZ | 000019836525 | RAFAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6721942/check_15913245_a247bb4d-0b90-4214-885c-4880f4f77765.json | N/A | N/A | N/A | N/A | N/A | 000019836525 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 2008-04-21 | 4327748 | 226977 | N/A | N/A | false | BERMUDEZ | N/A | RAFAEL | N/A | N/A | N/A | MEDI-CAL LA CARE HEALTH PLAN HF AID CODE H2 AGES 1 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9510388616 | N/A | N/A | 6721942 | 2222 | 4793 | 16158077 | N/A | 5322280 | 2025-12-13 01:38:09.860029 | 2025-07-01 21:45:15.878047 |
| 2025-12-12 17:29:03.922996 | 2025-12-13 01:38:50.475725 | 15913240 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15913240 | Athletic Physical Therapy Inc | 1961-03-12 | 2025-12-15 | F | PT | N/A | MCNUTT | XED904914958 | YOLANDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6668755/check_15913240_0184bc6e-f41f-4f84-b223-57c37838e97f.json | N/A | N/A | N/A | N/A | N/A | XED904914958 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-03-12 | 2001ZK002184 | X0001004 | N/A | PR | false | FERNANDEZ-MCNUTT | N/A | YOLANDA | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9510388615 | N/A | N/A | 6668755 | 2222 | 4801 | 16158898 | N/A | 5282877 | 2025-12-13 01:38:50.475725 | 2025-07-01 15:56:36.473431 |
| 2025-12-12 17:29:03.385446 | 2025-12-13 01:38:53.897212 | 15913235 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15913235 | Athletic Physical Therapy Inc | 2012-11-14 | 2025-12-15 | F | PT | N/A | IOANNOU | PAS839113807 | PENELOPE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6621141/check_15913235_4f084758-210d-4066-af11-732917b460cf.json | N/A | N/A | N/A | N/A | N/A | PAS839113807 | Preferred Provider Organization (PPO) | WEST HEALTH CARE NETWORK | BLUE SHIELD OF CALIFORNIA | N/A | 2012-11-14 | N/A | 152010 | N/A | PR | false | IOANNOU | N/A | GEORGE | N/A | 2025-12-31 | 2018-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9510388614 | N/A | N/A | 6621141 | 2222 | 4801 | 16158974 | N/A | 5237460 | 2025-12-13 01:38:53.897212 | 2025-07-24 16:59:54.908041 |
| 2025-12-12 17:29:02.775763 | 2025-12-13 01:41:54.420496 | 15913228 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15913228 | Athletic Physical Therapy Inc | 1934-12-03 | 2025-12-15 | M | AE | PT | Dayzadeh | 9A94PK6GA08 | Nasser | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583825/check_15913228_eed85fa4-7bff-4257-8866-06ca94e81330.json | N/A | N/A | N/A | N/A | N/A | 9A94PK6GA08 | Medicare Part B | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1934-12-03 | S2468 | N/A | N/A | MB | false | DAYZADEH | N/A | NASSER | N/A | N/A | N/A | N/A | N/A | 271171 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9510388613 | N/A | N/A | 6583825 | 2222 | 4802 | 16162998 | N/A | 5202586 | 2025-12-13 01:41:54.420496 | 2025-06-25 17:55:27.155518 |
| 2025-12-12 17:29:02.246172 | 2025-12-13 01:38:16.463508 | 15913219 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15913219 | Athletic Physical Therapy Inc | 2009-08-12 | 2025-12-15 | M | AE | PT | Aldana | 95423949E | George | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6568645/check_15913219_71ac0fa5-3390-4021-bf8a-96ee9dea6edd.json | N/A | N/A | N/A | N/A | N/A | 95423949E | N/A | N/A | CENTENE CORPORATION | N/A | 2009-08-12 | N/A | N/A | N/A | N/A | false | ALDANA | N/A | GEORGE | N/A | N/A | N/A | TANF | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9510388612 | N/A | N/A | 6568645 | 2222 | 4802 | 16158210 | N/A | 5190481 | 2025-12-13 01:38:16.463508 | 2025-06-24 17:29:30.756528 |
| 2025-12-12 17:29:01.610579 | 2025-12-13 01:35:45.439353 | 15913215 | N/A | N/A | 60054 | Aetna | 1114042165 | 15913215 | Athletic Physical Therapy Inc | 1968-11-30 | 2025-12-15 | F | AE | PT | Bitton MANFREDI | W228688169 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6417889/check_15913215_dccf8322-b174-43a9-ad7a-2047d117fa8d.json | N/A | N/A | N/A | N/A | N/A | W228688169 | Point of Service (POS) | AIR CANADA | AETNA | N/A | 1968-11-30 | 0479208 | 047920803100012 | N/A | PS | false | BITTON MANFREDI | N/A | SANDRA | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9510388611 | N/A | N/A | 6417889 | 2222 | 4793 | 16155360 | N/A | 5065591 | 2025-12-13 01:35:45.439353 | 2025-06-18 18:47:45.179937 |
| 2025-12-12 17:29:01.166745 | 2025-12-13 01:35:48.288803 | 15913210 | N/A | N/A | 60054 | Aetna | 1114042165 | 15913210 | Athletic Physical Therapy Inc | 1991-08-09 | 2025-12-15 | M | AE | PT | TORIO | W287278504 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6235883/check_15913210_0c6ada8f-5f12-4613-a865-6006d2148b85.json | N/A | N/A | N/A | N/A | N/A | W287278504 | Point of Service (POS) | COADVANTAGE RESOURCES, INC. | AETNA | N/A | 1991-08-09 | 0159468 | 015946801000034 | N/A | PS | false | TORIO | N/A | MICHAEL | N/A | N/A | N/A | OPEN ACCESS MC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9510388610 | N/A | N/A | 6235883 | 2222 | 4802 | 16155399 | N/A | 4883697 | 2025-12-13 01:35:48.288803 | 2025-07-08 14:55:53.397662 |
| 2025-12-12 17:29:00.602544 | 2025-12-13 01:38:21.022440 | 15913201 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15913201 | Athletic Physical Therapy Inc | 1943-03-11 | 2025-12-15 | M | AE | PT | MATHEU | 00000270336 | CARLOS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6189737/check_15913201_5de3ae9b-48c1-47ee-bb43-4c9ec5aad82a.json | N/A | N/A | N/A | N/A | N/A | 00000270336 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1943-03-11 | H3815028 | N/A | N/A | HM | false | MATHEU | N/A | CARLOS | 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 | 9510388609 | N/A | N/A | 6189737 | 2222 | 4801 | 16158300 | 2630 | 4209126 | 2025-12-13 01:38:21.022440 | 2025-05-13 04:29:37.223551 |
| 2025-12-12 17:29:00.100058 | 2025-12-13 01:35:45.694545 | 15913192 | N/A | N/A | 60054 | Aetna | 1114042165 | 15913192 | Athletic Physical Therapy Inc | 1986-01-20 | 2025-12-15 | F | AE | PT | DAVIS | W258779471 | MARTINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993951/check_15913192_6c64191c-6dee-4413-9d2b-6ae84781b8db.json | N/A | N/A | N/A | N/A | N/A | W258779471 | Point of Service (POS) | ADP TOTALSOURCE SERVICES, INC. | AETNA | N/A | 1986-01-20 | 0251371 | 025137101900020 | N/A | PS | false | DAVIS | N/A | ASTIN | 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 | 9510388608 | N/A | N/A | 5993951 | 2222 | 4802 | 16155365 | N/A | 4642884 | 2025-12-13 01:35:45.694545 | 2025-12-02 20:19:19.910444 |
| 2025-12-12 17:28:59.590170 | 2025-12-13 01:38:17.485707 | 15913181 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15913181 | Athletic Physical Therapy Inc | 1969-01-08 | 2025-12-15 | F | AE | PT | ALROMAIH | 91237812E | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993940/check_15913181_4d575987-9c01-4a4c-8b19-bc04faad4b61.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9510388607 | N/A | N/A | 5993940 | 2222 | 4802 | 16158230 | 4625 | 4642877 | 2025-12-13 01:38:17.485707 | 2025-12-23 23:49:16.627667 |
| 2025-12-12 17:28:59.100271 | 2025-12-13 01:38:16.735091 | 15913173 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15913173 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-12-15 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_15913173_fd9cba6a-9b26-408b-af83-1d45aefd50af.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9510388606 | N/A | N/A | 5568076 | 2222 | 4802 | 16158214 | 4625 | 4209480 | 2025-12-13 01:38:16.735091 | 2026-04-10 02:05:15.976484 |
| 2025-12-12 17:28:58.760583 | 2025-12-13 01:38:38.155501 | 15913166 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15913166 | Athletic Physical Therapy Inc | 1989-01-23 | 2025-12-15 | F | PT | N/A | HINKLE | NCF051W08046 | MARLENA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550925/check_15913166_c5e28b3b-3433-4306-b73f-523804cc0a7d.json | N/A | N/A | N/A | N/A | N/A | NCF051W08046 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1989-01-23 | 040 | 57AJCA | N/A | HM | false | HINKLE | N/A | MARLENA | N/A | 9999-12-31 | 2021-03-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9510388605 | N/A | N/A | 5550925 | 2222 | 4793 | 16158642 | N/A | 4219772 | 2025-12-13 01:38:38.155501 | 2025-11-18 00:45:16.378261 |
| 2025-12-12 17:28:58.358765 | 2025-12-13 01:38:18.455519 | 15913157 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15913157 | Athletic Physical Therapy Inc | 1966-02-05 | 2025-12-15 | F | AE | PT | VANCELETTE | 99775204F | DEBORAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550875/check_15913157_dca1f4b3-f568-4e90-953c-cbf6369e6cb3.json | N/A | N/A | N/A | N/A | N/A | 99775204F | N/A | N/A | HEALTH NET, LLC | N/A | 1966-02-05 | N/A | N/A | N/A | N/A | false | VANCELETTE | N/A | DEBORAH | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9510388604 | N/A | N/A | 5550875 | 2222 | 4802 | 16158250 | N/A | 4219732 | 2025-12-13 01:38:18.455519 | 2025-05-13 04:29:37.230772 |
| 2025-12-12 17:28:57.594863 | 2025-12-13 01:41:57.360412 | 15913148 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15913148 | Athletic Physical Therapy Inc | 1956-11-29 | 2025-12-15 | M | AE | PT | LYGA | 9E33A44VQ74 | FRANK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550634/check_15913148_801b1f88-7aa2-40c2-a8a4-422357c7eb96.json | N/A | N/A | N/A | N/A | N/A | 9E33A44VQ74 | Medicare Part A | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-11-29 | S5596 | DOL 07071986 | N/A | MA | false | LYGA | N/A | FRANK | N/A | N/A | N/A | N/A | N/A | 238148 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9510388603 | N/A | N/A | 5550634 | 2222 | 4801 | 16163066 | N/A | 4219584 | 2025-12-13 01:41:57.360412 | 2025-09-29 18:19:47.145731 |
| 2025-12-12 17:28:57.118671 | 2025-12-13 01:41:53.027785 | 15913144 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15913144 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-12-15 | F | AE | PT | BRADBURY | 5W31MW6FP03 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550534/check_15913144_b74d8baf-5af1-409c-9853-fdda7960b765.json | N/A | N/A | N/A | N/A | N/A | 5W31MW6FP03 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-01 | S5617 | N/A | N/A | MA | false | BRADBURY | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | 431171 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9510388602 | N/A | N/A | 5550534 | 2222 | 4801 | 16162969 | N/A | 4219556 | 2025-12-13 01:41:53.027785 | 2025-05-13 04:29:37.230592 |
| 2025-12-12 17:28:56.482252 | 2025-12-13 01:37:04.694252 | 15913133 | N/A | N/A | 62308 | CIGNA PPO | 1114042165 | 15913133 | Athletic Physical Therapy Inc | 1986-05-15 | 2025-12-15 | M | AE | PT | SOLHJOU | U7549246801 | BAHRAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549949/check_15913133_dceafd6f-9329-449b-bc19-75db4d5bc5b6.json | N/A | N/A | N/A | N/A | N/A | U7549246801 | Health Maintenance Organization (HMO) | COUNTY OF LOS ANGELES | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1986-05-15 | N/A | 3212364 | N/A | HM | false | SOLHJOU | N/A | BAHRAM | N/A | N/A | N/A | NETWORK | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9510388601 | N/A | N/A | 5549949 | 2222 | 4802 | 16156767 | 4437 | 4219432 | 2025-12-13 01:37:04.694252 | 2025-05-13 04:29:37.230466 |
| 2025-12-12 17:28:55.868691 | 2025-12-13 01:38:39.802923 | 15913125 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15913125 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-12-15 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_15913125_59e0c8b4-3713-4467-955c-50ded8f819ec.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9510388600 | N/A | N/A | 5549317 | 2222 | 4801 | 16158672 | N/A | 4219010 | 2025-12-13 01:38:39.802923 | 2026-01-09 18:32:07.618867 |
| 2025-12-12 17:28:55.376848 | 2025-12-13 01:41:54.131382 | 15913114 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15913114 | Athletic Physical Therapy Inc | 1959-09-11 | 2025-12-15 | M | AE | PT | CRAIG | 5GR8W08TR55 | JEFFREY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549237/check_15913114_bffba4a3-82a0-4c49-a2a9-d37a7e395419.json | N/A | N/A | N/A | N/A | N/A | 5GR8W08TR55 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-11 | N/A | N/A | N/A | MA | false | CRAIG | N/A | JEFFREY | N/A | N/A | N/A | N/A | N/A | 136946 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9510387820 | N/A | N/A | 5549237 | 2222 | 4801 | 16162994 | N/A | 4218948 | 2025-12-13 01:41:54.131382 | 2025-05-13 04:29:37.229964 |
| 2025-12-12 17:28:54.830326 | 2025-12-13 01:38:17.235612 | 15913103 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15913103 | Athletic Physical Therapy Inc | 1967-12-23 | 2025-12-15 | F | AE | PT | SOL | U9859952501 | ISABEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549212/check_15913103_2c661ed2-83e1-4302-b13e-551f83be5990.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 | 9510387819 | N/A | N/A | 5549212 | 2222 | 4793 | 16158226 | N/A | 4218926 | 2025-12-13 01:38:17.235612 | 2025-07-30 14:07:18.779456 |
| 2025-12-12 17:28:54.419709 | 2025-12-13 01:41:55.211952 | 15913091 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15913091 | Athletic Physical Therapy Inc | 1948-08-18 | 2025-12-15 | M | AE | PT | EDA | 9AC4JX7TW77 | MASAAKI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543330/check_15913091_3456fe72-7bd6-4277-9420-094d78ba2555.json | N/A | N/A | N/A | N/A | N/A | 9AC4JX7TW77 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-08-18 | S5596 | N/A | N/A | MA | false | EDA | N/A | MASAAKI | N/A | N/A | N/A | N/A | N/A | 180597 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9510387818 | N/A | N/A | 5543330 | 2222 | 4802 | 16163018 | N/A | 4215140 | 2025-12-13 01:41:55.211952 | 2025-05-13 04:29:37.229453 |
| 2025-12-12 17:28:53.849041 | 2025-12-13 01:38:19.789372 | 15913080 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 15913080 | Athletic Physical Therapy Inc | 1947-12-04 | 2025-12-15 | F | AE | PT | CHARTER | 00000357514 | JEAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543042/check_15913080_a872f937-2d23-48e6-a619-bc4c05067f63.json | N/A | N/A | N/A | N/A | N/A | 00000357514 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1947-12-04 | H3815028 | N/A | N/A | HM | false | CHARTER | N/A | JEAN | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9510387817 | N/A | N/A | 5543042 | 2222 | 4793 | 16158276 | N/A | 4214881 | 2025-12-13 01:38:19.789372 | 2025-10-23 00:25:28.237067 |
| 2025-12-12 17:28:53.337865 | 2025-12-13 01:41:58.910010 | 15913074 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15913074 | Athletic Physical Therapy Inc | 1951-06-05 | 2025-12-15 | F | AE | PT | Roberts | 8J26AQ7EV76 | Mary Bryan | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542843/check_15913074_a6d4199a-8733-4969-88c5-3030980d43a3.json | N/A | N/A | N/A | N/A | N/A | 8J26AQ7EV76 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-05 | S5601 | N/A | N/A | MA | false | ROBERTS | N/A | MARY | N/A | N/A | N/A | N/A | N/A | 207665 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9510387816 | N/A | N/A | 5542843 | 2222 | 4793 | 16163102 | N/A | 4214712 | 2025-12-13 01:41:58.910010 | 2025-11-12 19:26:06.663656 |
| 2025-12-12 17:28:52.730053 | 2025-12-13 01:38:52.334706 | 15913065 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15913065 | Athletic Physical Therapy Inc | 1964-08-15 | 2025-12-15 | F | PT | N/A | OCONLON | XED909983270 | SARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542827/check_15913065_b24c9d96-54d3-4e50-ac2a-324b524fde69.json | N/A | N/A | N/A | N/A | N/A | XED909983270 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1964-08-15 | 2001ZK002185 | X0001004 | N/A | PR | false | OCONLON | N/A | SARA | N/A | 2025-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9510387815 | N/A | N/A | 5542827 | 2222 | 4793 | 16158941 | N/A | 4214693 | 2025-12-13 01:38:52.334706 | 2025-05-13 04:29:37.229010 |
| 2025-12-12 17:28:52.144859 | 2025-12-13 01:38:18.694747 | 15913053 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15913053 | Athletic Physical Therapy Inc | 1979-11-17 | 2025-12-15 | F | AE | PT | WOODS | 96781627F | JESSICA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542752/check_15913053_e7826574-8813-41fc-9d87-78893de18dbe.json | N/A | N/A | N/A | N/A | N/A | 96781627F | N/A | N/A | HEALTH NET, LLC | N/A | 1979-11-17 | N/A | N/A | N/A | N/A | false | WOODS | N/A | JESSICA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9510387814 | N/A | N/A | 5542752 | 2222 | 4793 | 16158255 | 4625 | 4214627 | 2025-12-13 01:38:18.694747 | 2025-06-23 18:58:46.304598 |
| 2025-12-12 17:28:51.521875 | 2025-12-13 01:38:17.004563 | 15913040 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15913040 | Athletic Physical Therapy Inc | 1972-07-22 | 2025-12-15 | M | AE | PT | KOZMA | U9714475101 | JASON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542709/check_15913040_c7937615-306e-4379-a55e-f49b0a08d660.json | N/A | N/A | N/A | N/A | N/A | U9714475101 | 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. | 1972-07-22 | 67138CA0700027-01 | N/A | N/A | N/A | false | KOZMA | N/A | JASON | N/A | N/A | N/A | BRONZE 60 HDHP AMBETTER PPO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9510387813 | N/A | N/A | 5542709 | 2222 | 4802 | 16158220 | N/A | 4214582 | 2025-12-13 01:38:17.004563 | 2025-12-02 00:00:04.433236 |
| 2025-12-12 17:28:51.056738 | 2025-12-13 01:38:43.198726 | 15913030 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15913030 | Athletic Physical Therapy Inc | 1942-12-17 | 2025-12-15 | F | PT | N/A | STEINBERG | MBL988M98459 | JUDY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542014/check_15913030_d0263918-a482-4946-9640-49879a6caf37.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | 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 | 9510387812 | N/A | N/A | 5542014 | 2222 | 4793 | 16158739 | N/A | 4213977 | 2025-12-13 01:38:43.198726 | 2025-05-13 04:29:37.228294 |
| 2025-12-12 17:28:50.290237 | 2025-12-13 01:38:42.857134 | 15913019 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15913019 | Athletic Physical Therapy Inc | 1940-08-31 | 2025-12-15 | M | PT | N/A | STEINBERG | MBL875M98441 | HARRIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_15913019_51f823cc-3aa1-4491-b57a-2f80b63cb93b.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | 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 | 9510387811 | N/A | N/A | 5541917 | 2222 | 4793 | 16158731 | N/A | 4213891 | 2025-12-13 01:38:42.857134 | 2025-05-13 04:29:37.228207 |
| 2025-12-12 17:28:49.839390 | 2025-12-13 01:38:52.842812 | 15913010 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15913010 | Athletic Physical Therapy Inc | 1965-09-18 | 2025-12-15 | F | PT | N/A | SHAPIRO | XEA901579979 | ANDREA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541315/check_15913010_af91dd9b-b279-49f1-98fe-30c46db09a40.json | N/A | N/A | N/A | N/A | N/A | XEA901579979 | Preferred Provider Organization (PPO) | HANGER STEINBERG SHAPIRO AND ASH A LAW COR | BLUE SHIELD CALIFORNIA | N/A | 1965-09-18 | 1000VX000102 | W0045063 | N/A | PR | false | SHAPIRO | N/A | MARC | N/A | 9999-12-31 | 2025-11-01 | GOLD FULL PPO SAVINGS 1750 15 HDHP PREVRX OFFEX F | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9510387810 | N/A | N/A | 5541315 | 2222 | 4793 | 16158952 | N/A | 4213344 | 2025-12-13 01:38:52.842812 | 2025-05-13 04:29:37.227667 |
| 2025-12-12 17:28:49.185823 | 2025-12-13 01:38:17.729966 | 15913003 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15913003 | Athletic Physical Therapy Inc | 1968-03-30 | 2025-12-15 | M | AE | PT | FARAHMAND | 91957675E | ALEX | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541163/check_15913003_04c43b24-6eca-4a05-a73e-b4fb6d8a295f.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | HEALTH NET, LLC | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9510387809 | N/A | N/A | 5541163 | 2222 | 4802 | 16158234 | 4625 | 4213207 | 2025-12-13 01:38:17.729966 | 2025-05-13 04:29:37.227536 |
| 2025-12-12 17:28:48.751206 | 2025-12-13 01:41:53.875050 | 15912997 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15912997 | Athletic Physical Therapy Inc | 1956-01-14 | 2025-12-15 | F | AE | PT | COHENZADEH | 1YM2D25GY27 | SIMA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541059/check_15912997_93490fe8-6014-423c-880d-437f6aa54a78.json | N/A | N/A | N/A | N/A | N/A | 1YM2D25GY27 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-14 | S4802 | N/A | N/A | MA | false | COHENZADEH | N/A | SIMA | N/A | N/A | N/A | N/A | N/A | 38223 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9510387808 | N/A | N/A | 5541059 | 2222 | 4802 | 16162987 | N/A | 4213119 | 2025-12-13 01:41:53.875050 | 2025-11-20 01:13:31.057962 |
| 2025-12-12 17:28:48.249906 | 2025-12-13 01:37:39.166299 | 15912989 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15912989 | Athletic Physical Therapy Inc | 1948-04-26 | 2025-12-15 | M | AE | PT | LODIN | 40064763401 | MOHAMMED | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540259/check_15912989_8a4b1e1e-12d8-4cf3-a5cb-33c81614820e.json | N/A | N/A | N/A | N/A | N/A | 40064763401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1948-04-26 | 2025H5425001 | H5425M | N/A | N/A | false | LODIN | N/A | MOHAMMED | 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 | 9510387807 | N/A | N/A | 5540259 | 2222 | 4793 | 16157437 | 6237 | 4212442 | 2025-12-13 01:37:39.166299 | 2025-05-13 04:29:37.226772 |
| 2025-12-12 17:28:47.814962 | 2025-12-13 01:38:17.963683 | 15912979 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15912979 | Athletic Physical Therapy Inc | 1982-06-09 | 2025-12-15 | M | AE | PT | FULKERSON | R12222652MM1 | SCOTT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539956/check_15912979_de021411-73c7-4921-8337-17d638ff6e4f.json | N/A | N/A | N/A | N/A | N/A | R12222652MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1982-06-09 | N/A | N/A | N/A | N/A | false | FULKERSON | N/A | SCOTT | N/A | N/A | N/A | MFC UCNNHMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9510387806 | N/A | N/A | 5539956 | 2222 | 4801 | 16158240 | N/A | 4212166 | 2025-12-13 01:38:17.963683 | 2025-10-23 15:59:33.239127 |
| 2025-12-12 17:28:47.297639 | 2025-12-13 01:37:38.657445 | 15912969 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15912969 | Athletic Physical Therapy Inc | 1939-12-29 | 2025-12-15 | F | AE | PT | ALESSI | 31019902301 | JEAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539133/check_15912969_34cdcb59-c914-48f7-9083-1717c8b7e0ef.json | N/A | N/A | N/A | N/A | N/A | 31019902301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1939-12-29 | 2025H5425001 | H5425M | N/A | N/A | false | ALESSI | N/A | JEAN | 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 | 9510387805 | N/A | N/A | 5539133 | 2222 | 4793 | 16157427 | N/A | 4211471 | 2025-12-13 01:37:38.657445 | 2025-07-09 03:59:33.308587 |
| 2025-12-12 17:28:46.530293 | 2025-12-13 01:38:39.292176 | 15912960 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15912960 | Athletic Physical Therapy Inc | 1980-04-11 | 2025-12-15 | M | PT | N/A | Hurst | JQY695A75359 | Gregory | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539085/check_15912960_47ce1373-28e7-451e-8e87-ef5abec3bbbd.json | N/A | N/A | N/A | N/A | N/A | JQY695A75359 | Preferred Provider Organization (PPO) | YALE MANAGEMENT SERVICES | ANTHEM BLUE CROSS | N/A | 1980-04-11 | 040 | 342584 | N/A | PR | false | HURST | N/A | GREGORY | N/A | 9999-12-31 | 2025-12-01 | ANTHEM SILVER SELECT PPO 50/2200/40% | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9510387804 | N/A | N/A | 5539085 | 2222 | 4793 | 16158654 | N/A | 4211408 | 2025-12-13 01:38:39.292176 | 2025-09-18 00:42:48.586801 |
| 2025-12-12 17:28:46.101783 | 2025-12-13 01:38:37.067749 | 15912948 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15912948 | Athletic Physical Therapy Inc | 1960-08-08 | 2025-12-15 | M | PT | N/A | GINSBERG | JQU469A62630 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538693/check_15912948_f5416e00-1168-4809-b408-33a520e97da6.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1960-08-08 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 2026-01-01 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9510387803 | N/A | N/A | 5538693 | 2222 | 4793 | 16158622 | N/A | 4211081 | 2025-12-13 01:38:37.067749 | 2025-05-13 04:29:37.225492 |
| 2025-12-12 17:28:45.626447 | 2025-12-13 01:35:46.191160 | 15912938 | N/A | N/A | 60054 | Aetna | 1114042165 | 15912938 | Athletic Physical Therapy Inc | 1992-03-04 | 2025-12-15 | M | AE | PT | INCHALIK | W291674431 | BENJAMIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538651/check_15912938_a7050e3e-2792-4328-9fdd-71fa6523b7a6.json | N/A | N/A | N/A | N/A | N/A | W291674431 | Point of Service (POS) | FIGS, INC. | AETNA | N/A | 1992-03-04 | 0251488 | 025148801200001 | N/A | PS | false | INCHALIK | N/A | BENJAMIN | 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 | 9510387802 | N/A | N/A | 5538651 | 2222 | 4802 | 16155371 | N/A | 4211040 | 2025-12-13 01:35:46.191160 | 2025-05-13 04:29:37.225445 |
| 2025-12-12 17:28:45.161301 | 2025-12-13 01:41:54.691962 | 15912931 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15912931 | Athletic Physical Therapy Inc | 1954-01-24 | 2025-12-15 | F | AE | PT | DIGIOVANNI | 4N09TQ2YY18 | JILL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538592/check_15912931_5e78ff6b-de6b-441f-b6cd-9c88285fa7e8.json | N/A | N/A | N/A | N/A | N/A | 4N09TQ2YY18 | Medicare Part A | N/A | SENTRY INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-24 | S4802 | DOL 11022017 | N/A | MA | false | DIGIOVANNI | N/A | JILL | N/A | N/A | N/A | N/A | N/A | 98007 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9510387801 | N/A | N/A | 5538592 | 2222 | 4801 | 16163006 | N/A | 4210993 | 2025-12-13 01:41:54.691962 | 2025-05-13 04:29:37.225395 |
| 2025-12-12 17:28:44.633399 | 2025-12-13 01:38:43.748263 | 15912923 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15912923 | Athletic Physical Therapy Inc | 1964-06-08 | 2025-12-15 | F | PT | N/A | YOUHANAIE | UQK557A62707 | TERESA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537881/check_15912923_a675022c-7be8-42c7-8bab-c379fb2bd2f6.json | N/A | N/A | N/A | N/A | N/A | UQK557A62707 | Preferred Provider Organization (PPO) | CDHP HSA W/NON INTG BANKING-SILVER HDHP | ANTHEM BLUE CROSS | N/A | 1964-06-08 | 130 | 270213OHXB | N/A | PR | false | YOUHANAIE | N/A | TERESA | N/A | 9999-12-31 | 2024-08-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9510387800 | N/A | N/A | 5537881 | 2222 | 4793 | 16158751 | N/A | 4210385 | 2025-12-13 01:38:43.748263 | 2026-03-06 18:49:17.116017 |
| 2025-12-12 17:28:44.248367 | 2025-12-13 01:38:20.759883 | 15912910 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15912910 | Athletic Physical Therapy Inc | 1936-05-08 | 2025-12-15 | F | AE | PT | KENT | 00000365314 | BARBARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537777/check_15912910_456142fb-edb1-4dfd-9efe-30070c52a29f.json | N/A | N/A | N/A | N/A | N/A | 00000365314 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1936-05-08 | H3815028 | N/A | N/A | HM | false | KENT | N/A | BARBARA | 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 | 9510387799 | N/A | N/A | 5537777 | 2222 | 4793 | 16158295 | 2630 | 4210288 | 2025-12-13 01:38:20.759883 | 2025-05-13 04:29:37.224698 |
| 2025-12-12 17:28:43.840494 | 2025-12-13 01:38:49.379452 | 15912898 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15912898 | Athletic Physical Therapy Inc | 1974-06-04 | 2025-12-15 | F | PT | N/A | NAIMI | KSI73549599C | ERIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537507/check_15912898_657fe209-5cb9-465b-b5bd-6fd0e5a87527.json | N/A | N/A | N/A | N/A | N/A | KSI73549599C | Preferred Provider Organization (PPO) | KARL STORZ ENDOSCOPY AMERICA INC | BLUE SHIELD CALIFORNIA | N/A | 1974-06-04 | 1000PPOX0003 | W8002382 | N/A | PR | false | ABI MALHAB | N/A | NADIM | N/A | N/A | N/A | KARL STORZ ENDOSCOPY AMERICA INC SHARED ADVANTAGE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9510387798 | N/A | N/A | 5537507 | 2222 | 4802 | 16158875 | N/A | 4210057 | 2025-12-13 01:38:49.379452 | 2025-05-13 04:29:37.224477 |
| 2025-12-12 17:28:43.331517 | 2025-12-13 01:38:20.281915 | 15912881 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15912881 | Athletic Physical Therapy Inc | 1949-09-13 | 2025-12-15 | M | AE | PT | GOMES | 00000285293 | NEMESIO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537439/check_15912881_62764637-e1f7-4e5a-8161-2e1e700c3850.json | N/A | N/A | N/A | N/A | N/A | 00000285293 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-09-13 | H3815028 | N/A | N/A | HM | false | GOMES | N/A | NEMESIO | 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 | 9510387797 | N/A | N/A | 5537439 | 2222 | 4801 | 16158286 | 2630 | 4210001 | 2025-12-13 01:38:20.281915 | 2025-05-13 04:29:37.224421 |
| 2025-12-12 17:28:42.834884 | 2025-12-13 01:41:59.180681 | 15912875 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15912875 | Athletic Physical Therapy Inc | 1945-03-19 | 2025-12-15 | F | AE | PT | ROSS | 6QX7T41GM46 | MARTHA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251212.194241178.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536301/check_15912875_e67bd8e8-7916-4988-b2a2-a041c7ce7b3b.json | N/A | N/A | N/A | N/A | N/A | 6QX7T41GM46 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-03-19 | S5617 | N/A | N/A | MA | false | ROSS | N/A | MARTHA | N/A | N/A | N/A | N/A | N/A | 30163 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9510387796 | N/A | N/A | 5536301 | 2222 | 4802 | 16163108 | N/A | 4209073 | 2025-12-13 01:41:59.180681 | 2025-11-19 19:47:03.642493 |