API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-10 09:03:16.847850 | 2025-06-11 02:30:57.802435 | 8684542 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8684542 | Athletic Physical Therapy Inc | 1963-02-12 | 2025-06-13 | M | PT | FRENCH | XDP573A61655 | JONATHAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543105/check_8684542_7a9fc036-5efe-4c99-9e97-00b0f56f8e3f.json | N/A | N/A | N/A | N/A | N/A | XDP573A61655 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1963-02-12 | N/A | N/A | N/A | N/A | false | FRENCH | N/A | JONATHAN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881022024 | N/A | N/A | 5543105 | 2222 | 4793 | 8420625 | N/A | 4214943 | 2025-06-11 02:30:57.802435 | 2025-05-29 02:21:31.646077 |
| 2025-06-10 09:03:16.785934 | 2025-06-11 02:31:05.428818 | 8684535 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8684535 | Athletic Physical Therapy Inc | 1994-02-19 | 2025-06-11 | M | PT | LIEBLEIN | MSJ60221038001 | RYAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543099/check_8684535_0202d15f-888d-4b25-b918-1c587cea59fc.json | N/A | N/A | N/A | N/A | N/A | MSJ60221038001 | Other | MICROSOFT | ANTHEM BLUE CROSS | N/A | 1994-02-19 | N/A | 1000010 | N/A | OT | false | LIEBLEIN | N/A | RYAN | N/A | 9999-12-31 | 2017-07-10 | SELF-FUNDED HDHP HERITAGE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881022023 | N/A | N/A | 5543099 | 2222 | 4802 | 8420730 | N/A | 4214934 | 2025-06-11 02:31:05.428818 | 2025-05-13 04:29:37.229256 |
| 2025-06-10 09:03:16.717155 | 2025-06-11 02:31:03.093869 | 8684525 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8684525 | Athletic Physical Therapy Inc | 1974-08-13 | 2025-06-13 | F | PT | HUGGINS | JXN261A50994 | DEE DEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543043/check_8684525_90951657-b92e-4c51-a833-3b4977f633a4.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 9999-12-31 | 2022-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881022022 | N/A | N/A | 5543043 | 2222 | 4801 | 8420699 | N/A | 4214884 | 2025-06-11 02:31:03.093869 | 2025-11-12 00:46:10.301659 |
| 2025-06-10 09:03:16.648774 | 2025-06-11 02:16:12.421970 | 8684519 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8684519 | Athletic Physical Therapy Inc | 1991-03-12 | 2025-06-12 | M | AD | ARDERN | 109840605 | LEWIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543007/check_8684519_bcf58946-93f6-41cf-a57e-b463a7363acf.json | N/A | N/A | N/A | N/A | N/A | 10984060500 | N/A | SEMGREP, INC. | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1991-03-12 | N/A | 00652007 | N/A | N/A | false | ARDERN | N/A | LEWIS | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 7881022021 | N/A | N/A | 5543007 | 2222 | 4802 | 8411018 | N/A | 4214851 | 2025-06-11 02:16:12.421970 | 2025-06-26 00:38:34.754169 |
| 2025-06-10 09:03:16.572111 | 2025-06-11 02:32:42.153594 | 8684509 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8684509 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-06-13 | F | PT | JAIN | XEK909304497 | SUPARNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542952/check_8684509_bffa5fd9-1ddd-4ece-b5f6-2b5550d7b603.json | N/A | N/A | N/A | N/A | N/A | XEK909304497 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-01-24 | 2001ZK002189 | X0001000 | N/A | PR | false | JAIN | N/A | SUPARNA | N/A | 9999-12-31 | 2019-09-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881022020 | N/A | N/A | 5542952 | 2222 | 4802 | 8421891 | N/A | 4214804 | 2025-06-11 02:32:42.153594 | 2025-05-13 20:09:53.786482 |
| 2025-06-10 09:03:16.492176 | 2025-06-11 02:07:59.014356 | 8684501 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8684501 | Athletic Physical Therapy Inc | 1954-10-02 | 2025-06-12 | M | PT | TARDIF | 40037365501 | TEDD | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542894/check_8684501_0f0fe3e6-a18e-4fb6-834a-40a7cf1519e0.json | N/A | N/A | N/A | N/A | N/A | 40037365501 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1954-10-02 | N/A | N/A | N/A | N/A | false | TARDIF | N/A | TEDD | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022019 | N/A | N/A | 5542894 | 2222 | 4801 | 8405580 | N/A | 4214757 | 2025-06-11 02:07:59.014356 | 2026-03-20 15:26:52.406374 |
| 2025-06-10 09:03:16.430050 | 2025-06-11 02:12:13.961258 | 8684493 | N/A | N/A | 60054 | Aetna | 1114042165 | 8684493 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-06-13 | M | PT | KORY | 10216158100 | MICHAEL | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542868/check_8684493_5be1b659-6ce2-42cb-99fb-e230fbf5264a.json | N/A | N/A | N/A | N/A | N/A | 102161581800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1959-05-08 | 000003-CA000058 | 000003-CA | N/A | PR | false | KORY | N/A | MICHAEL | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022018 | N/A | N/A | 5542868 | 2222 | 4793 | 8408265 | N/A | 4214732 | 2025-06-11 02:12:13.961258 | 2025-06-24 20:13:53.579048 |
| 2025-06-10 09:03:16.357747 | 2025-06-11 02:24:18.779809 | 8684483 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8684483 | Athletic Physical Therapy Inc | 1997-01-04 | 2025-06-12 | M | PT | GERSHMAN | 987203340 | TYLER | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542830/check_8684483_76501045-2c59-464e-a57c-09ef32497d5d.json | N/A | N/A | N/A | N/A | N/A | 987203340 | Consolidated Omnibus Budget Reconciliation Act (COBRA) | ORACLE | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1997-01-04 | 0169 0169 | 228485 | N/A | CO | false | GERSHMAN | N/A | TYLER | N/A | N/A | N/A | SELECT PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022017 | N/A | N/A | 5542830 | 2222 | 4802 | 8416899 | N/A | 4214699 | 2025-06-11 02:24:18.779809 | 2025-05-13 04:29:37.229016 |
| 2025-06-10 09:03:16.282968 | 2025-06-11 02:32:45.093833 | 8684476 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8684476 | Athletic Physical Therapy Inc | 2000-07-25 | 2025-06-13 | F | PT | MAGHSOUDLOO | XEA913772161 | SAHAR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542822/check_8684476_d4ee3481-4329-4ddf-9271-f20014e21bc8.json | N/A | N/A | N/A | N/A | N/A | XAN913772161 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 2000-07-25 | 1254PPOX0002 | W0051411 | N/A | PR | false | MAGHSOUDLOO | N/A | FARIBA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881022016 | N/A | N/A | 5542822 | 2222 | 4793 | 8421919 | N/A | 4214688 | 2025-06-11 02:32:45.093833 | 2025-06-25 17:57:14.838266 |
| 2025-06-10 09:03:16.176896 | 2025-06-11 02:12:12.862895 | 8684463 | N/A | N/A | 60054 | Aetna | 1114042165 | 8684463 | Athletic Physical Therapy Inc | 2005-11-23 | 2025-06-12 | F | PT | FERRELL | W285064666 | AMELIA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542678/check_8684463_acbb5241-c435-4029-88bc-4f9ecfb93156.json | N/A | N/A | N/A | N/A | N/A | W285064666 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 2005-11-23 | 0232499 | 023249901000051 | N/A | PS | false | FERRELL | N/A | RALPH | N/A | N/A | N/A | OPEN ACCESS MC | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022015 | N/A | N/A | 5542678 | 2222 | 4802 | 8408247 | N/A | 4214560 | 2025-06-11 02:12:12.862895 | 2025-05-13 04:29:37.228883 |
| 2025-06-10 09:03:16.088368 | 2025-06-11 02:16:28.204116 | 8684456 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8684456 | Athletic Physical Therapy Inc | 2011-05-03 | 2025-06-12 | F | AD | ZISKIN | U5838130501 | AVA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542654/check_8684456_d25a49b6-4274-41e4-91d0-014be0eca9c0.json | N/A | N/A | N/A | N/A | N/A | U5838130504 | N/A | EQUITABLE FINANCIAL LIFE INSURANCE COMPA | CHLIC | COMPLETE CARE MANAGEMENT | 2011-05-03 | N/A | 3339125 | N/A | N/A | false | ZISKIN | N/A | AVA | N/A | N/A | N/A | LOCALPLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 7881022014 | N/A | N/A | 5542654 | 2222 | 4793 | 8411218 | N/A | 4214539 | 2025-06-11 02:16:28.204116 | 2025-05-13 04:29:37.228865 |
| 2025-06-10 09:03:16.016504 | 2025-06-11 02:31:14.242790 | 8684452 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8684452 | Athletic Physical Therapy Inc | 2009-08-14 | 2025-06-13 | F | PT | WEBER | JQU141A54789 | MADELINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542628/check_8684452_cfe28e0a-dce0-4942-86df-bb1b8ebc0d5b.json | N/A | N/A | N/A | N/A | N/A | JQU141A54789 | Preferred Provider Organization (PPO) | MARK H. WEBER, CPA AN ACCT CORP | ANTHEM BLUE CROSS | N/A | 2009-08-14 | 040 | F18235 | N/A | PR | false | WEBER | N/A | MARK | N/A | 9999-12-31 | 2024-08-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881022013 | N/A | N/A | 5542628 | 2222 | 4793 | 8420828 | N/A | 4214508 | 2025-06-11 02:31:14.242790 | 2025-06-04 00:05:22.392827 |
| 2025-06-10 09:03:15.885236 | 2025-06-11 02:32:46.394897 | 8684442 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8684442 | Athletic Physical Therapy Inc | 1964-12-21 | 2025-06-13 | F | PT | BERMAN | XEK909562521 | AMY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542576/check_8684442_46518e9c-60ff-4ffe-8184-82d5b6f5915f.json | N/A | N/A | N/A | N/A | N/A | XEK909562521 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1964-12-21 | 2001ZK002189 | X0001000 | N/A | PR | false | NEAL | N/A | RON | N/A | 9999-12-31 | 2020-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881022012 | N/A | N/A | 5542576 | 2222 | 4793 | 8421935 | N/A | 4214467 | 2025-06-11 02:32:46.394897 | 2025-05-13 04:29:37.228779 |
| 2025-06-10 09:03:15.805183 | 2025-06-11 02:48:23.810835 | 8684433 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8684433 | Athletic Physical Therapy Inc | 1959-10-03 | 2025-06-12 | F | PT | REED | 2YY5KV0WP59 | SONIA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542497/check_8684433_35c847d7-f24f-4b81-a75b-9d24c61c25f5.json | N/A | N/A | N/A | N/A | N/A | 2YY5KV0WP59 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-10-03 | S5617 | N/A | N/A | MB | false | REED | N/A | SONIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022011 | N/A | N/A | 5542497 | 2222 | 4801 | 8427618 | N/A | 4214397 | 2025-06-11 02:48:23.810835 | 2025-05-13 04:29:37.228723 |
| 2025-06-10 09:03:15.671724 | 2025-06-11 02:48:09.897467 | 8684419 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8684419 | Athletic Physical Therapy Inc | 1953-03-17 | 2025-06-13 | F | PT | MARCUS | 4VG5XF7HN64 | LISSA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542318/check_8684419_467767b7-9749-4a45-abad-e2f8e4b1d754.json | N/A | N/A | N/A | N/A | N/A | 4VG5XF7HN64 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-03-17 | S4802 | N/A | N/A | MB | false | MARCUS | N/A | LISSA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022010 | N/A | N/A | 5542318 | 2222 | 4802 | 8427600 | N/A | 4214241 | 2025-06-11 02:48:09.897467 | 2025-05-13 04:29:37.228574 |
| 2025-06-10 09:03:15.578449 | 2025-06-11 02:07:52.425837 | 8684410 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8684410 | Athletic Physical Therapy Inc | 1975-03-26 | 2025-06-12 | F | PT | HEYES | 95596436F | DARCIE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542233/check_8684410_a2ccfeb6-d94e-4311-9dbf-e212be7177a7.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1975-03-26 | N/A | N/A | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022009 | N/A | N/A | 5542233 | 2222 | 4793 | 8405520 | N/A | 4214178 | 2025-06-11 02:07:52.425837 | 2025-05-13 04:29:37.228506 |
| 2025-06-10 09:03:15.496680 | 2025-06-11 02:32:43.230741 | 8684403 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8684403 | Athletic Physical Therapy Inc | 2016-06-10 | 2025-06-13 | M | PT | KARZI | XEK904667385 | DAMAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542225/check_8684403_a4fbec71-126c-4702-8964-8828f4a55eef.json | N/A | N/A | N/A | N/A | N/A | XEK904667385 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2016-06-10 | 2001ZH002662 | X0001000 | N/A | PR | false | KARZI | N/A | AHSAN | N/A | 2042-06-30 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881022008 | N/A | N/A | 5542225 | 2222 | 4801 | 8421901 | N/A | 4214165 | 2025-06-11 02:32:43.230741 | 2025-06-06 02:22:28.229626 |
| 2025-06-10 09:03:15.412235 | 2025-06-11 02:12:13.352962 | 8684395 | N/A | N/A | 60054 | Aetna | 1114042165 | 8684395 | Athletic Physical Therapy Inc | 1959-04-20 | 2025-06-13 | M | PT | GRANT | W285866811 | ROBERT | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542136/check_8684395_c8a06dcb-5558-4a1b-8571-f855bd920ed0.json | N/A | N/A | N/A | N/A | N/A | W285866811 | N/A | N/A | AETNA | N/A | 1959-04-20 | 0193038 | 019303801200101 | N/A | N/A | false | GRANT | N/A | ROBERT | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022007 | N/A | N/A | 5542136 | 2222 | 4793 | 8408256 | N/A | 4214087 | 2025-06-11 02:12:13.352962 | 2025-05-13 04:29:37.228402 |
| 2025-06-10 09:03:15.328240 | 2025-06-11 02:31:10.329200 | 8684389 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 8684389 | Athletic Physical Therapy Inc | 2000-02-29 | 2025-06-12 | M | PT | MILLER | XDM622A62041 | WILLIAM | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542028/check_8684389_4575f5a2-d264-475c-84f9-9f07d638b3ef.json | N/A | N/A | N/A | N/A | N/A | XDM622A62041 | Health Maintenance Organization (HMO) | MOUNTAINS RECREATION AND CONSERVATION AUTHORITY | ANTHEM BLUE CROSS | N/A | 2000-02-29 | 040 | 166337H004 | N/A | HM | false | MILLER | N/A | TIMOTHY | N/A | 9999-12-31 | 2025-01-01 | PREMIER TRADITIONAL HMO NETWORK NON DURATIONAL | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022006 | N/A | N/A | 5542028 | 2222 | 4801 | 8420795 | 4184 | 4213985 | 2025-06-11 02:31:10.329200 | 2025-05-13 04:29:37.228303 |
| 2025-06-10 09:03:15.254024 | 2025-06-11 02:32:40.569584 | 8684380 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8684380 | Athletic Physical Therapy Inc | 1990-09-04 | 2025-06-13 | M | PT | HASHEMI | XEA914007676 | SEYED | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541956/check_8684380_a0f1eebb-8d9a-472f-9a1e-0fca508ae1c3.json | N/A | N/A | N/A | N/A | N/A | XEA914007676 | Preferred Provider Organization (PPO) | SILVUS TECHNOLOGIES INC | BLUE SHIELD CALIFORNIA | N/A | 1990-09-04 | 1000PPOX0002 | W3000628 | N/A | PR | false | HASHEMI | N/A | SEYED MEHRDAD | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1800 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881022005 | N/A | N/A | 5541956 | 2222 | 4802 | 8421879 | N/A | 4213923 | 2025-06-11 02:32:40.569584 | 2025-05-13 04:29:37.228244 |
| 2025-06-10 09:03:15.145998 | 2025-06-11 02:30:48.163424 | 8684366 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 8684366 | Athletic Physical Therapy Inc | 1959-05-13 | 2025-06-13 | F | PT | ADRIANZEN FERNAN | MMA221W20054 | AURA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541944/check_8684366_bd6a4a16-b1bc-4f33-a7b5-7f9bacda8181.json | N/A | N/A | N/A | N/A | N/A | MMA221W20054 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-05-13 | 040 | CAMCRWP0 | N/A | MP | false | ADRIANZEN FERNANDEZ | N/A | AURA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881022004 | N/A | N/A | 5541944 | 2222 | 4801 | 8420515 | 4184 | 4213907 | 2025-06-11 02:30:48.163424 | 2025-05-13 04:29:37.228228 |
| 2025-06-10 09:03:15.025346 | 2025-06-11 02:31:12.368890 | 8684354 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8684354 | Athletic Physical Therapy Inc | 1940-08-31 | 2025-06-13 | M | PT | STEINBERG | MBL875M98441 | HARRIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_8684354_e9119a05-0c65-41b6-b751-f9c67d9d10e0.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 | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881022003 | N/A | N/A | 5541917 | 2222 | 4793 | 8420813 | N/A | 4213891 | 2025-06-11 02:31:12.368890 | 2025-05-13 04:29:37.228207 |
| 2025-06-10 09:03:14.920594 | 2025-06-11 02:07:41.705349 | 8684342 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8684342 | Athletic Physical Therapy Inc | 1970-11-30 | 2025-06-11 | M | AE | FITZGIBBON | R1075485200 | MICHAEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541889/check_8684342_d398bfd9-3000-4b9e-a8b6-7f129e54d070.json | N/A | N/A | N/A | N/A | N/A | R1075485200 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1970-11-30 | N/A | N/A | N/A | N/A | false | FITZGIBBON | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7881022002 | N/A | N/A | 5541889 | 2222 | 4802 | 8405402 | N/A | 4213867 | 2025-06-11 02:07:41.705349 | 2025-05-13 04:29:37.228184 |
| 2025-06-10 09:03:14.817045 | 2025-06-11 02:16:23.607745 | 8684331 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8684331 | Athletic Physical Therapy Inc | 1963-10-30 | 2025-06-12 | M | PT | SCHIRO | U4234027401 | CRAIG | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541834/check_8684331_ac5ece04-859b-4538-bc34-1ee490cb202c.json | N/A | N/A | N/A | N/A | N/A | U4234027401 | N/A | EQUIFAX INC. | CHLIC | PREFERRED CARE MANAGEMENT | 1963-10-30 | N/A | 3333787 | N/A | N/A | false | SCHIRO | N/A | CRAIG | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881022001 | N/A | N/A | 5541834 | 2222 | 4802 | 8411152 | N/A | 4213817 | 2025-06-11 02:16:23.607745 | 2025-05-13 04:29:37.228137 |
| 2025-06-10 09:03:14.703824 | 2025-06-11 02:48:39.543240 | 8684322 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8684322 | Athletic Physical Therapy Inc | 1952-05-13 | 2025-06-13 | M | PT | WOLFE | 1HG7NP4AM73 | DIA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541812/check_8684322_e7ee2074-1e04-4baa-93a4-2b99cb8b7dcf.json | N/A | N/A | N/A | N/A | N/A | 1HG7NP4AM73 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-05-13 | S4802 | N/A | N/A | MA | false | WOLFE | N/A | DIA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881021772 | N/A | N/A | 5541812 | 2222 | 4801 | 8427636 | N/A | 4213795 | 2025-06-11 02:48:39.543240 | 2026-06-05 00:55:52.281598 |
| 2025-06-10 09:03:14.564226 | 2025-06-11 02:16:15.427156 | 8684308 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8684308 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-06-13 | M | AD | LYKIDIS | U1221753503 | JOHN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541552/check_8684308_13fe6a49-3543-4e65-8b6b-25ef23abde71.json | N/A | N/A | N/A | N/A | N/A | U1221753503 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST 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 | AD | N/A | N/A | N/A | N/A | N/A | N/A | 7881021771 | N/A | N/A | 5541552 | 2222 | 4802 | 8411047 | N/A | 4213562 | 2025-06-11 02:16:15.427156 | 2025-05-13 04:29:37.227895 |
| 2025-06-10 09:03:14.448128 | 2025-06-11 02:07:57.980742 | 8684297 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8684297 | Athletic Physical Therapy Inc | 1985-02-07 | 2025-06-12 | F | PT | SHEPHERD | 93180838F | EMILY | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541519/check_8684297_d2d7f228-d158-43ac-b71b-886649f54dcb.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881021770 | N/A | N/A | 5541519 | 2222 | 4802 | 8405573 | N/A | 4213530 | 2025-06-11 02:07:57.980742 | 2025-05-13 04:29:37.227860 |
| 2025-06-10 09:03:14.366500 | 2025-06-11 02:24:16.329422 | 8684288 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8684288 | Athletic Physical Therapy Inc | 1978-02-23 | 2025-06-12 | F | PT | CHVATIKOVA | 99518696 | MONIKA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541499/check_8684288_14a6f51d-66db-453b-9434-a93339e5d908.json | N/A | N/A | N/A | N/A | N/A | 995186969 | Commercial | ABC FITNESS SOLUTIONS LLC | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1978-02-23 | 0002 0002 | 929625 | N/A | C1 | false | CHVATIKOVA | N/A | MONIKA | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881021769 | N/A | N/A | 5541499 | 2222 | 4802 | 8416867 | N/A | 4213512 | 2025-06-11 02:24:16.329422 | 2025-05-09 03:59:22.501514 |
| 2025-06-10 09:03:14.292918 | 2025-06-11 02:12:11.702981 | 8684280 | N/A | N/A | 60054 | Aetna | 1114042165 | 8684280 | Athletic Physical Therapy Inc | 2003-08-09 | 2025-06-12 | F | PT | CHORSKE | W279473475 | GABRIELLE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541384/check_8684280_651eb9e7-f593-4437-be79-e82328df2d96.json | N/A | N/A | N/A | N/A | N/A | W279473475 | Point of Service (POS) | WESTERN ALLIANCE BANK | AETNA | N/A | 2003-08-09 | 0237851 | 023785101200005 | N/A | PS | false | CHORSKE | N/A | MATTHEW | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881021768 | N/A | N/A | 5541384 | 2222 | 4793 | 8408232 | N/A | 4213412 | 2025-06-11 02:12:11.702981 | 2025-05-13 04:29:37.227734 |
| 2025-06-10 09:03:14.194501 | 2025-06-11 02:08:24.705397 | 8684272 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8684272 | Athletic Physical Therapy Inc | 1957-06-02 | 2025-06-13 | M | AE | HUAYNATE | 40052889901 | ERASMO | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541316/check_8684272_cb89474d-a550-426a-99bc-6b26a94c185c.json | N/A | N/A | N/A | N/A | N/A | 40052889901 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1957-06-02 | N/A | N/A | N/A | N/A | false | HUAYNATE | N/A | ERASMO | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7881021767 | N/A | N/A | 5541316 | 2222 | 4801 | 8405821 | N/A | 4213347 | 2025-06-11 02:08:24.705397 | 2025-05-13 04:29:37.227669 |
| 2025-06-10 09:03:14.107927 | 2025-06-11 02:24:17.749742 | 8684263 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8684263 | Athletic Physical Therapy Inc | 1977-05-05 | 2025-06-12 | F | PT | FERRER | 983167284 | AUDEEN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541310/check_8684263_1ff27996-d46e-4620-a115-b37524fceb3d.json | N/A | N/A | N/A | N/A | N/A | 983167284 | Commercial | KINDEVA DRUG DELIVERY | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1977-05-05 | 0001 0001 | 926994 | N/A | C1 | false | FERRER | N/A | AUDEEN | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881021766 | N/A | N/A | 5541310 | 2222 | 4801 | 8416884 | N/A | 4213342 | 2025-06-11 02:24:17.749742 | 2025-06-06 02:19:28.320975 |
| 2025-06-10 09:03:14.022697 | 2025-06-11 02:07:40.997599 | 8684254 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8684254 | Athletic Physical Therapy Inc | 1968-03-30 | 2025-06-12 | M | PT | FARAHMAND | 91957675E | ALEX | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541163/check_8684254_bf25206b-bc0f-4ae6-93d5-52d63a1a8acf.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881021765 | N/A | N/A | 5541163 | 2222 | 4802 | 8405394 | N/A | 4213207 | 2025-06-11 02:07:40.997599 | 2025-05-13 04:29:37.227536 |
| 2025-06-10 09:03:13.943694 | 2025-06-11 02:24:20.497727 | 8684248 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8684248 | Athletic Physical Therapy Inc | 1972-08-02 | 2025-06-12 | F | PT | RAMSEY KANZAWA | 778790241 | JENNIFER | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541156/check_8684248_3e79f096-38db-465d-a181-ee24dd0b8bd1.json | N/A | N/A | N/A | N/A | N/A | 77879024100 | Commercial | N/A | UNITEDHEALTHCARE BENEFITS PLAN OF CALIFORNIA | FUNDING TYPE = FULLY INSURED - SMALL GROUP | 1972-08-02 | N/A | 1687339 | N/A | C1 | false | KANZAWA | N/A | JENNIFER | N/A | N/A | N/A | SELECT PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881021764 | N/A | N/A | 5541156 | 2222 | 4802 | 8416906 | N/A | 4213204 | 2025-06-11 02:24:20.497727 | 2025-05-28 20:17:37.873556 |
| 2025-06-10 09:03:13.855924 | 2025-06-11 02:12:08.977453 | 8684237 | N/A | N/A | 60054 | Aetna | 1114042165 | 8684237 | Athletic Physical Therapy Inc | 1959-03-07 | 2025-06-12 | F | PT | AFSHAR | W225594564 | NAZFAR | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541142/check_8684237_cd94b2ef-3e62-4c34-9ec1-a576aa7741f9.json | N/A | N/A | N/A | N/A | N/A | W225594564 | N/A | N/A | AETNA | N/A | 1959-03-07 | 0803677 | 080367701200001 | N/A | N/A | false | AFSHAR | N/A | NAZFAR | N/A | N/A | N/A | OPEN ACCESS MC | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881021763 | N/A | N/A | 5541142 | 2222 | 4802 | 8408198 | N/A | 4213197 | 2025-06-11 02:12:08.977453 | 2025-06-03 05:25:30.972895 |
| 2025-06-10 09:03:13.773062 | 2025-06-11 02:32:49.459389 | 8684228 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8684228 | Athletic Physical Therapy Inc | 1988-05-30 | 2025-06-13 | M | PT | SCOTT | XEA900656048 | ZACHARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541110/check_8684228_0adbed98-a381-4be7-a37b-9b72b4900f70.json | N/A | N/A | N/A | N/A | N/A | XEA900656048 | Preferred Provider Organization (PPO) | WC3 WHOLESALE | BLUE SHIELD CALIFORNIA | N/A | 1988-05-30 | 1000V0000279 | W0012993 | N/A | PR | false | SCOTT | N/A | ZACHARY | N/A | 9999-12-31 | 2025-04-01 | ULTIMATE VISION PLUS FOR SMALL BUSINESS 0 0 150 15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881021762 | N/A | N/A | 5541110 | 2222 | 4802 | 8421985 | N/A | 4213165 | 2025-06-11 02:32:49.459389 | 2025-05-13 04:29:37.227492 |
| 2025-06-10 09:03:13.688965 | 2025-06-11 02:08:17.524712 | 8684221 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8684221 | Athletic Physical Therapy Inc | 1949-03-25 | 2025-06-12 | F | AE | BARON | H7986555300 | AIDA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541086/check_8684221_33f9d343-e146-49dc-8a66-e20bd8d63381.json | N/A | N/A | N/A | N/A | N/A | H7986555300 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1949-03-25 | N/A | N/A | N/A | N/A | false | BARON | N/A | AIDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7881021761 | N/A | N/A | 5541086 | 2222 | 4793 | 8405766 | N/A | 4213141 | 2025-06-11 02:08:17.524712 | 2025-05-13 04:29:37.227470 |
| 2025-06-10 09:03:13.579765 | 2025-06-11 02:30:25.956427 | 8684211 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 8684211 | Athletic Physical Therapy Inc | 1962-09-10 | 2025-06-13 | F | PT | QUIJANO CASTRO | 00000259543 | PATRICIA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540970/check_8684211_c1b661ab-8097-45ce-a019-8db2edb7bcfb.json | N/A | N/A | N/A | N/A | N/A | 00000259543 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1962-09-10 | N/A | N/A | N/A | N/A | false | QUIJANO CASTRO | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881021760 | N/A | N/A | 5540970 | 2222 | 4801 | 8420304 | 2630 | 4213051 | 2025-06-11 02:30:25.956427 | 2025-05-13 04:29:37.227377 |
| 2025-06-10 09:03:13.485057 | 2025-06-11 02:12:09.712747 | 8684198 | N/A | N/A | 60054 | Aetna | 1114042165 | 8684198 | Athletic Physical Therapy Inc | 1975-09-11 | 2025-06-13 | F | AE | AMIN | W180890750 | SHIRIN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540912/check_8684198_2be2dd68-a660-4684-8963-e810c8e8b04d.json | N/A | N/A | N/A | N/A | N/A | W180890750 | N/A | N/A | AETNA | N/A | 1975-09-11 | 0563253 | 056325301000702 | N/A | N/A | false | AMIN | N/A | SHIRIN | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7881021758 | N/A | N/A | 5540912 | 2222 | 4802 | 8408209 | N/A | 4212993 | 2025-06-11 02:12:09.712747 | 2025-05-13 04:29:37.227321 |
| 2025-06-10 09:03:13.391586 | 2025-06-11 02:07:38.961600 | 8684190 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8684190 | Athletic Physical Therapy Inc | 2008-09-18 | 2025-06-13 | F | AE | BENDAVID | 95318118F | TALIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540893/check_8684190_fac5ab89-3903-453a-a9e1-6c89ec44f10b.json | N/A | N/A | N/A | N/A | N/A | 95318118F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 2008-09-18 | N/A | N/A | N/A | N/A | false | BENDAVID | N/A | TALIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7881021757 | N/A | N/A | 5540893 | 2222 | 4793 | 8405365 | N/A | 4212979 | 2025-06-11 02:07:38.961600 | 2025-06-04 21:11:15.590634 |
| 2025-06-10 09:03:13.246124 | 2025-06-11 02:14:27.704350 | 8684177 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 8684177 | Athletic Physical Therapy Inc | 1941-02-15 | 2025-06-12 | M | PT | LAMANTIA | H79604971 | THOMAS | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540865/check_8684177_a1023295-e6ff-496d-83c3-0617bc08c22a.json | N/A | N/A | N/A | N/A | N/A | H79604971 | Preferred Provider Organization (PPO) | L3HARRIS TECHNOLOGIES | HUMANA | 079 249 MEDICARE PPO | 1941-02-15 | N/A | 5A763001 | N/A | PR | false | LAMANTIA | N/A | THOMAS | N/A | N/A | N/A | L3 HARRIS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881021756 | N/A | N/A | 5540865 | 2222 | 4801 | 8409870 | N/A | 4212955 | 2025-06-11 02:14:27.704350 | 2025-07-08 12:47:00.203499 |
| 2025-06-10 09:03:13.142379 | 2025-06-11 02:47:59.365177 | 8684168 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8684168 | Athletic Physical Therapy Inc | 1949-12-02 | 2025-06-13 | F | PT | LADEN | 6GY2TG9HX06 | CANDACE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540768/check_8684168_850877bd-6bcb-432e-b585-19b5ff4a3c31.json | N/A | N/A | N/A | N/A | N/A | 6GY2TG9HX06 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-12-02 | S4802 | N/A | N/A | MA | false | LADEN | N/A | CANDACE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881021755 | N/A | N/A | 5540768 | 2222 | 4802 | 8427576 | N/A | 4212856 | 2025-06-11 02:47:59.365177 | 2025-08-04 18:33:35.319989 |
| 2025-06-10 09:03:12.944208 | 2025-06-11 02:12:11.136425 | 8684151 | N/A | N/A | 60054 | Aetna | 1114042165 | 8684151 | Athletic Physical Therapy Inc | 1982-07-27 | 2025-06-13 | M | PT | BOKHTIER | W275493875 | GOLAM | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540723/check_8684151_1d793ac7-10be-441b-9d8d-6cb5ebbbf7ea.json | N/A | N/A | N/A | N/A | N/A | W275493875 | Exclusive Provider Organization | AMERICAN EXPRESS COMPANY | AETNA | N/A | 1982-07-27 | 0169631 | 016963101100001 | N/A | EP | false | BOKHTIER | N/A | SUMMER | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881021754 | N/A | N/A | 5540723 | 2222 | 4793 | 8408228 | N/A | 4212833 | 2025-06-11 02:12:11.136425 | 2025-05-28 20:46:35.079848 |
| 2025-06-10 09:03:12.798058 | 2025-06-11 02:47:35.807964 | 8684143 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8684143 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-06-13 | F | PT | GNAD | 9EM9VP4XX36 | MELANIE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540676/check_8684143_491c5847-8a48-486b-b011-4551d01a53b5.json | N/A | N/A | N/A | N/A | N/A | 9EM9VP4XX36 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-04-16 | S5601 | N/A | N/A | MA | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881021753 | N/A | N/A | 5540676 | 2222 | 4801 | 8427521 | N/A | 4212792 | 2025-06-11 02:47:35.807964 | 2025-10-07 20:33:25.637997 |
| 2025-06-10 09:03:12.685183 | 2025-06-11 02:31:01.638762 | 8684132 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8684132 | Athletic Physical Therapy Inc | 2008-07-13 | 2025-06-13 | F | PT | CONNOLLY | A5N1011264BL | ELAINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540670/check_8684132_ecf4ce2c-8b88-4cb7-b685-979aa9fcbf5b.json | N/A | N/A | N/A | N/A | N/A | A5N1011264BL | N/A | CSC GENERATION PPO CA PLAN | ANTHEM BLUE CROSS | N/A | 2008-07-13 | 040 | L08414M001 | N/A | N/A | false | HILL | N/A | JENNIFER | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881021752 | N/A | N/A | 5540670 | 2222 | 4793 | 8420678 | N/A | 4212786 | 2025-06-11 02:31:01.638762 | 2025-05-13 04:29:37.227120 |
| 2025-06-10 09:03:12.577631 | 2025-06-11 02:08:19.645658 | 8684122 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8684122 | Athletic Physical Therapy Inc | 1963-09-10 | 2025-06-12 | M | PT | DEANS | U5981746801 | PHIL | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540446/check_8684122_057cb297-925a-4535-81a9-1c0e723b2376.json | N/A | N/A | N/A | N/A | N/A | U5981746801 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1963-09-10 | N/A | N/A | N/A | N/A | false | DEANS | N/A | PHIL | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881021751 | N/A | N/A | 5540446 | 2222 | 4793 | 8405788 | N/A | 4212605 | 2025-06-11 02:08:19.645658 | 2025-05-13 04:29:37.226953 |
| 2025-06-10 09:03:12.466376 | 2025-06-11 02:07:44.413809 | 8684112 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8684112 | Athletic Physical Therapy Inc | 1973-07-11 | 2025-06-12 | M | PT | HERMAN | 95836743G | BRETT | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540113/check_8684112_c635f1d6-7fa3-486e-afb1-0f6d0583c0bb.json | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1973-07-11 | N/A | N/A | N/A | N/A | false | HERMAN | N/A | BRETT | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881021750 | N/A | N/A | 5540113 | 2222 | 4801 | 8405425 | N/A | 4212315 | 2025-06-11 02:07:44.413809 | 2025-12-29 21:20:15.158611 |
| 2025-06-10 09:03:12.369706 | 2025-06-11 02:30:52.144834 | 8684103 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8684103 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-06-12 | F | PT | BOYLAN | MBL857M98403 | JOAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540074/check_8684103_0344bf7c-25e9-4d15-9834-a71f547552ee.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 | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881021749 | N/A | N/A | 5540074 | 2222 | 4802 | 8420552 | N/A | 4212282 | 2025-06-11 02:30:52.144834 | 2025-05-13 04:29:37.226623 |
| 2025-06-10 09:03:12.268217 | 2025-06-11 02:08:21.631762 | 8684092 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8684092 | Athletic Physical Therapy Inc | 1957-04-05 | 2025-06-12 | M | PT | GHAFFARI | XEE980566737 | HAMID | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540041/check_8684092_b629e8dd-f3f9-4e72-a298-b3f87c338e41.json | N/A | N/A | N/A | N/A | N/A | XEE980566737 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1957-04-05 | N/A | N/A | N/A | N/A | false | GHAFFARI | N/A | HAMID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881021748 | N/A | N/A | 5540041 | 2222 | 4802 | 8405800 | N/A | 4212255 | 2025-06-11 02:08:21.631762 | 2025-05-13 04:29:37.226591 |
| 2025-06-10 09:03:12.147731 | 2025-06-11 02:08:00.209207 | 8684079 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8684079 | Athletic Physical Therapy Inc | 1951-02-23 | 2025-06-12 | F | PT | WENSEL | 40065419401 | KAREN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539718/check_8684079_3648baef-a2a0-4f6f-a1e5-c263b5787e14.json | N/A | N/A | N/A | N/A | N/A | 40065419401 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1951-02-23 | N/A | N/A | N/A | N/A | false | WENSEL | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881021747 | N/A | N/A | 5539718 | 2222 | 4793 | 8405585 | N/A | 4211977 | 2025-06-11 02:08:00.209207 | 2025-05-13 04:29:37.226299 |
| 2025-06-10 09:03:12.060793 | 2025-06-11 02:30:57.124823 | 8684073 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8684073 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-06-13 | M | PT | FINNLEY | NGO832M81089 | ZEV | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539664/check_8684073_06299756-6a69-45da-b98d-bf5a36138d5c.json | N/A | N/A | N/A | N/A | N/A | 474M92023 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 1991-07-13 | 040 | 174022MJAC | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2022-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881021746 | N/A | N/A | 5539664 | 2222 | 4793 | 8420619 | N/A | 4211935 | 2025-06-11 02:30:57.124823 | 2025-05-13 04:29:37.226259 |