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 | insurance_company_id | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-10 08:06:36.444858 | 2025-12-11 01:50:37.863404 | 15802566 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15802566 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-12-12 | M | AE | PT | ULLMAN | 3A76X26KQ40 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251210.121031650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535838/check_15802566_cb63df76-b948-4320-ab73-c1caeee666d4.json | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9486321662 | N/A | N/A | 5535838 | 2222 | 4801 | 16074372 | N/A | 4208696 | 2025-12-11 01:50:37.863404 | 2025-06-07 16:16:45.844566 |
| 2025-12-10 08:06:36.225503 | 2025-12-11 01:47:00.077592 | 15802556 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15802556 | Athletic Physical Therapy Inc | 1960-04-27 | 2025-12-12 | M | PT | N/A | ENRIGHT | DGA10462968J | HAROLD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251210.121031650.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535419/check_15802556_8a4ca8eb-bb83-4309-9943-3da67670738b.json | N/A | N/A | N/A | N/A | N/A | DGA10462968J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1960-04-27 | 040 | 276945M001 | N/A | PR | false | ENRIGHT | N/A | HAROLD | N/A | 9999-12-31 | 2017-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9486321661 | N/A | N/A | 5535419 | 2222 | 4793 | 16070805 | N/A | 4208347 | 2025-12-11 01:47:00.077592 | 2025-05-13 04:29:37.222769 |
| 2025-12-10 08:06:36.147666 | 2025-12-11 01:37:38.187822 | 15802550 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15802550 | Athletic Physical Therapy Inc | 1956-11-29 | 2025-12-12 | F | AE | PT | GOMEZ | 00000401101 | ALICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251210.100158479.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9555104/check_15802550_48136c1f-70c2-4dee-b178-4ee151e7bf4c.json | N/A | N/A | N/A | N/A | N/A | 00000401101 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-11-29 | H3815007 | N/A | N/A | HM | false | GOMEZ | N/A | ALICIA | N/A | 2025-12-31 | 2025-06-01 | ALIGNMENT HEALTH MY CHOICE CALPLUS (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9486329323 | N/A | N/A | 9555104 | 2222 | 4801 | 16063896 | 2630 | 7990617 | 2025-12-11 01:37:38.187822 | 2025-09-29 20:34:47.088032 |
| 2025-12-10 08:06:31.080845 | 2025-12-11 01:47:38.952671 | 15802282 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15802282 | Athletic Physical Therapy Inc | 2015-02-07 | 2025-12-12 | M | PT | N/A | HENRY | JQO465A58408 | KIRAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251210.120925167.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13601397/check_15802282_b8a1eef4-f373-4d66-a0c7-efc21d492ff4.json | N/A | N/A | N/A | N/A | N/A | JQO465A58408 | Health Maintenance Organization (HMO) | N/A | ANTHEM BLUE CROSS | N/A | 2015-02-07 | 040 | 82DQ00 | N/A | HM | false | HENRY | N/A | JUSTIN | N/A | 2026-01-01 | 2025-10-01 | EXCHANGE MEMBER - ANTHEM BRONZE 60 HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9486315030 | N/A | N/A | 13601397 | 2222 | 4793 | 16071512 | N/A | 4215004 | 2025-12-11 01:47:38.952671 | 2025-05-16 02:19:23.134024 |
| 2025-12-10 08:06:21.700206 | 2025-12-10 08:06:24.464033 | 15801783 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-10-19 | 2025-12-10 | M | PT | N/A | NIELSEN | XDP057A76330 | ROY | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537188/check_15801783_0bd07d57-7d03-4bea-9ed5-5d4dfc20d09b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537188/check_15801783_2cb9c7f5-f0e1-44ca-9bbb-01ddcdb71b24.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC COBRA | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629MN17 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 9999-12-31 | 2025-11-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9486301018 | N/A | N/A | 5537188 | 2222 | N/A | 16042480 | N/A | 4209789 | 2025-12-10 08:06:24.464033 | 2025-05-13 04:29:37.224215 |
| 2025-12-10 08:06:21.691134 | 2025-12-10 08:06:26.476376 | 15801781 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-10-31 | 2025-12-10 | M | AE | PT | SCHWARTZ | W286B-12579-01 | STEVEN | 3948 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542851/check_15801781_e31b5009-c300-4ef3-be19-85c99c871c7e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542851/check_15801781_5b2af8e7-9793-4952-b3ab-aded5f517348.json | N/A | N/A | N/A | N/A | N/A | W286312579 | Health Maintenance Organization (HMO) | VINFAST AUTO, LLC | AETNA | N/A | 1962-10-31 | EACZM805 | 017515801000101 | N/A | HM | false | SCHWARTZ | N/A | STEVEN | N/A | N/A | N/A | HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9486301020 | N/A | N/A | 5542851 | 2222 | N/A | 16042495 | N/A | 4214717 | 2025-12-10 08:06:26.476376 | 2025-11-14 20:45:59.804575 |
| 2025-12-10 08:06:18.926924 | 2025-12-11 01:47:13.963598 | 15801626 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15801626 | Athletic Physical Therapy Inc | 1979-02-24 | 2025-12-11 | F | AE | PT | McCoy | 000024352430 | Colleen | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251210.120925167.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13582387/check_15801626_3423ad9b-5856-4749-a14c-b5531703933b.json | N/A | N/A | N/A | N/A | N/A | 000024352430 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1979-02-24 | 4317984 | 225599 | N/A | N/A | false | MCCOY | N/A | COLLEEN | N/A | N/A | N/A | EDWARDS LIFESCIENCES EDWARDS LIFESCIENCES | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9486315870 | N/A | N/A | 13582387 | 2222 | 4802 | 16071054 | N/A | 11732070 | 2025-12-11 01:47:13.963598 | 2025-12-02 18:46:08.427375 |
| 2025-12-10 08:06:18.723649 | 2025-12-11 05:38:58.455656 | 15801614 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15801614 | Athletic Physical Therapy Inc | 1953-11-15 | 2025-12-11 | M | AE | PT | REISMAN | 7JW4EK4UR89 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251210.100830994.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9868745/check_15801614_3de208d3-32f3-4398-9db7-8add4c7e8001.json | N/A | N/A | N/A | N/A | N/A | 7JW4EK4UR89 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-11-15 | N/A | N/A | N/A | MB | false | REISMAN | N/A | MARK | N/A | N/A | N/A | N/A | N/A | 153445 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9486396930 | N/A | N/A | 9868745 | 2222 | 4802 | 16082192 | N/A | 8262262 | 2025-12-11 05:38:58.455656 | 2025-09-30 22:45:25.940454 |
| 2025-12-10 08:06:17.138147 | 2025-12-11 01:43:51.210976 | 15801523 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15801523 | Athletic Physical Therapy Inc | 2010-06-29 | 2025-12-12 | F | AE | PT | Gross | 0021438559 | Hanako | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251210.121325030.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12533089/check_15801523_53095522-1ff1-4b91-9d5c-b0bad0f01a41.json | N/A | N/A | N/A | N/A | N/A | 0021438559 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 2010-06-29 | N/A | N/A | N/A | N/A | false | GROSS | N/A | HANAKO | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9486334835 | N/A | N/A | 12533089 | 2222 | 4802 | 16067563 | N/A | 10704924 | 2025-12-11 01:43:51.210976 | 2025-11-11 04:56:19.809881 |
| 2025-12-10 08:06:07.546977 | 2025-12-11 01:47:13.703243 | 15800954 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15800954 | Athletic Physical Therapy Inc | 1948-08-02 | 2025-12-12 | F | AE | PT | Taylor | 00000976475 | Gabriela | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251210.120925167.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13547881/check_15800954_03798861-79aa-44d7-b880-0026e9e14486.json | N/A | N/A | N/A | N/A | N/A | 00000976475 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1948-08-02 | N/A | N/A | N/A | N/A | false | TAYLOR | N/A | GABRIELA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9486315829 | N/A | N/A | 13547881 | 2222 | 4802 | 16071049 | N/A | 11697288 | 2025-12-11 01:47:13.703243 | 2025-12-02 00:07:51.825213 |
| 2025-12-10 08:06:04.842629 | 2025-12-11 01:48:10.732878 | 15800805 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15800805 | Athletic Physical Therapy Inc | 1963-04-21 | 2025-12-12 | F | PT | N/A | CHERAGHI | XDP453W22160 | SHAHLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251210.120925167.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13543700/check_15800805_4fbf6a61-0ce3-4162-85e4-6adb782218f9.json | N/A | N/A | N/A | N/A | N/A | XDP453W22160 | Preferred Provider Organization (PPO) | COUNTY OF LOS ANGELES | BLUE SHIELD OF CALIFORNIA | N/A | 1963-04-21 | 040 | 1284EH | N/A | PR | false | FATEMI | N/A | SEYED ZIAEDD | N/A | 9999-12-31 | 2025-04-01 | CUSTOM PPO NETWORK COUNTY OF LOS ANGELES | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9486315809 | N/A | N/A | 13543700 | 2222 | 4793 | 16072102 | N/A | 11693294 | 2025-12-11 01:48:10.732878 | 2026-01-15 18:14:50.604237 |
| 2025-12-10 08:06:03.129431 | 2025-12-11 01:51:28.978000 | 15800702 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15800702 | Athletic Physical Therapy Inc | 1953-07-03 | 2025-12-12 | M | AE | PT | BANBROOK | 2JU7EP9NY73 | HAL MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251210.120925167.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13538651/check_15800702_0d6f4532-5aa5-44f0-84f5-8addfa24e730.json | N/A | N/A | N/A | N/A | N/A | 2JU7EP9NY73 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-07-03 | S4802 | N/A | N/A | MB | false | BANBROOK | N/A | HAL | N/A | N/A | N/A | N/A | N/A | 20496 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9486315790 | N/A | N/A | 13538651 | 2222 | 4793 | 16074999 | N/A | 11688569 | 2025-12-11 01:51:28.978000 | 2026-02-25 18:57:49.387834 |
| 2025-12-10 08:05:54.168876 | 2025-12-11 03:38:32.289281 | 15800185 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15800185 | Athletic Physical Therapy Inc | 1955-07-22 | 2025-12-11 | M | AE | PT | BUDIG | 4GX0DV0TW14 | FREDERICK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251210.120827629.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11916686/check_15800185_7eec632d-1648-41c8-8787-4e0cfbdc812e.json | N/A | N/A | N/A | N/A | N/A | 4GX0DV0TW14 | Medicare Part A | N/A | ALIGNMENT HEALTH PLAN | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-22 | H3815 | N/A | N/A | MA | false | BUDIG | N/A | FREDERICK | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9486308164 | N/A | N/A | 11916686 | 2222 | 4793 | 16077950 | N/A | 10144604 | 2025-12-11 03:38:32.289281 | 2025-11-18 17:17:05.039116 |
| 2025-12-10 08:05:49.297184 | 2025-12-11 05:33:24.422942 | 15799909 | N/A | N/A | 61101 | HUMANA | 1114042165 | 15799909 | Athletic Physical Therapy Inc | 1956-12-09 | 2025-12-12 | F | AE | PT | MAHBOOB | H6086019300 | MEENA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251210.100830994.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9857387/check_15799909_ccf80e6b-6055-45cf-8e5f-8a1f92c932f4.json | N/A | N/A | N/A | N/A | N/A | H60860193 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1956-12-09 | N/A | 0B666001 | N/A | HN | false | MAHBOOB | N/A | MEENA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9486396661 | N/A | N/A | 9857387 | 2222 | 4801 | 16081056 | 5349 | 8253020 | 2025-12-11 05:33:24.422942 | 2025-11-24 19:48:59.871982 |
| 2025-12-10 08:05:48.948938 | 2025-12-11 05:36:04.008130 | 15799887 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15799887 | Athletic Physical Therapy Inc | 1954-02-05 | 2025-12-12 | M | PT | N/A | HERNANDEZ | NCF335A78493 | FELIPE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251210.100830994.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9857185/check_15799887_4d25c1c3-d1d1-4eb6-859a-e228fb6dad91.json | N/A | N/A | N/A | N/A | N/A | NCF335A78493 | Health Maintenance Organization (HMO) | CITY OF LOS ANGELES | ANTHEM BLUE CROSS | N/A | 1954-02-05 | 040 | 280612H004 | N/A | HM | false | HERNANDEZ | N/A | FELIPE | N/A | 9999-12-31 | 2017-10-18 | PREMIER SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9486396660 | N/A | N/A | 9857185 | 2222 | 4793 | 16081599 | N/A | 8252801 | 2025-12-11 05:36:04.008130 | 2026-02-23 23:58:40.440949 |
| 2025-12-10 08:05:47.387770 | 2025-12-11 01:37:38.425956 | 15799803 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 15799803 | Athletic Physical Therapy Inc | 1959-04-22 | 2025-12-12 | F | AE | PT | MATHESON | 00000433752 | JANET | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251210.100158479.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9511696/check_15799803_d480a40b-7c12-4d5b-9af0-43e1844d1cc6.json | N/A | N/A | N/A | N/A | N/A | 00000433752 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1959-04-22 | H3815028 | N/A | N/A | HM | false | MATHESON | N/A | JANET | 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 | 9486328205 | N/A | N/A | 9511696 | 2222 | 4801 | 16063898 | N/A | 7954244 | 2025-12-11 01:37:38.425956 | 2025-09-29 18:15:39.145358 |
| 2025-12-10 08:05:33.864711 | 2025-12-11 01:44:33.256716 | 15799076 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15799076 | Athletic Physical Therapy Inc | 1986-11-30 | 2025-12-12 | F | AE | PT | Kapsman | 108076150 | Alia | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251210.120925167.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13444338/check_15799076_1cf20252-0023-4cd7-9b9f-ff203747b9d6.json | N/A | N/A | N/A | N/A | N/A | 108076150 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 1986-11-30 | 18126CA001000304 | QMXEM01910 | N/A | N/A | false | KATSMAN | N/A | ALIA | N/A | 2025-12-31 | 2025-09-01 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9486316435 | N/A | N/A | 13444338 | 2222 | 4802 | 16068314 | 4211 | 11604567 | 2025-12-11 01:44:33.256716 | 2026-02-04 19:41:52.179287 |
| 2025-12-10 08:05:12.183187 | 2025-12-11 03:48:47.534693 | 15797857 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15797857 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-12-11 | F | PT | N/A | GIANNE | XED910762094 | NATALIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251210.121232455.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_15797857_745030a7-77dc-46dd-8dfd-2d1fb250a7b7.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 9999-12-31 | 2021-09-01 | IFP EMB PED VISION | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9486325355 | N/A | N/A | 7994545 | 2222 | 4802 | 16079400 | N/A | 6802250 | 2025-12-11 03:48:47.534693 | 2025-08-11 23:58:28.358402 |
| 2025-12-10 08:05:11.484972 | 2025-12-11 03:48:15.509719 | 15797823 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15797823 | Athletic Physical Therapy Inc | 1971-05-04 | 2025-12-12 | F | PT | N/A | MAHAARACHCHI | EXHAN7912598 | Nilanthi | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251210.121232455.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7988722/check_15797823_7931fea5-8dbb-44b3-9ca6-54beaea98996.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | Preferred Provider Organization (PPO) | XEROX CORPORATION | ANTHEM BLUE CROSS | N/A | 1971-05-04 | 060 | 270101M11A | N/A | PR | false | MAHAARACHCHI | N/A | SENAKA | N/A | 9999-12-31 | 2025-01-01 | CDHP CT BC PPO HEALTH SAVINGS ACCOUNT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9486325352 | N/A | N/A | 7988722 | 2222 | 4793 | 16079291 | 4185 | 6798209 | 2025-12-11 03:48:15.509719 | 2025-10-29 15:15:17.952230 |
| 2025-12-10 08:05:04.136328 | 2025-12-11 01:49:14.866775 | 15797433 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15797433 | Athletic Physical Therapy Inc | 1959-07-16 | 2025-12-12 | F | AE | PT | JESTER | MBL344W20467 | AUREA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251210.121319618.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9926970/check_15797433_bf4dc998-4651-4a17-ac98-38d357820bb5.json | N/A | N/A | N/A | N/A | N/A | MBL344W20467 | N/A | CALIFORNIA PUBLIC EMPLOYEES RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1959-07-16 | 040 | CAEGR001 | N/A | N/A | false | JESTER | N/A | AUREA | N/A | 9999-12-31 | 2024-07-01 | CA GRS CALPERS H4036-802 ANTHEM MEDICARE PREFERRED | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9486337947 | N/A | N/A | 9926970 | 2222 | 4801 | 16073106 | N/A | 7624564 | 2025-12-11 01:49:14.866775 | 2025-10-06 23:19:36.703282 |
| 2025-12-10 08:04:59.043936 | 2025-12-11 03:32:35.375034 | 15797164 | N/A | N/A | 60054 | Aetna | 1114042165 | 15797164 | Athletic Physical Therapy Inc | 2011-12-20 | 2025-12-12 | M | AE | PT | NAQVI | W295996740 | KAZIM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251210.120827629.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11417253/check_15797164_facd95bd-6a0a-4c12-8f46-06b26b05f4b3.json | N/A | N/A | N/A | N/A | N/A | W295996740 | Point of Service (POS) | SHI INTERNATIONAL CORP. | AETNA | N/A | 2011-12-20 | 0308616 | 030861601600001 | N/A | PS | false | NAQVI | N/A | SYED | 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 | 9486308464 | N/A | N/A | 11417253 | 2222 | 4793 | 16076639 | N/A | 9671738 | 2025-12-11 03:32:35.375034 | 2025-10-29 22:32:21.591395 |
| 2025-12-10 08:04:58.494838 | 2025-12-11 03:33:17.684850 | 15797133 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 15797133 | Athletic Physical Therapy Inc | 1972-07-09 | 2025-12-12 | F | AE | PT | JOHNSON OLAD | H6507221700 | CATINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251210.120827629.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11415027/check_15797133_c720148b-69ab-4f62-b1be-c322424c4191.json | N/A | N/A | N/A | N/A | N/A | H65072217 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1972-07-09 | N/A | 0B666001 | N/A | HN | false | JOHNSON OLAD | N/A | CATINA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9486308459 | N/A | N/A | 11415027 | 2222 | 4793 | 16076795 | N/A | 9669773 | 2025-12-11 03:33:17.684850 | 2025-10-30 23:36:57.101747 |
| 2025-12-10 08:04:57.388402 | 2025-12-11 03:48:51.632740 | 15797075 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15797075 | Athletic Physical Therapy Inc | 1987-11-24 | 2025-12-11 | F | PT | N/A | Halat | FIZ100010118257 | Hooram | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251210.121232455.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7870152/check_15797075_b2117788-ef4b-423f-9bcb-e4eb8526c8c1.json | N/A | N/A | N/A | N/A | N/A | FIZ100010118257 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS. | 1987-11-24 | N/A | N/A | N/A | PR | false | HALAT | N/A | HOORAM | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9486326331 | N/A | N/A | 7870152 | 2222 | 4802 | 16079414 | N/A | 6698799 | 2025-12-11 03:48:51.632740 | 2025-08-07 18:40:53.120761 |
| 2025-12-10 08:04:43.399816 | 2025-12-11 03:38:32.543733 | 15796462 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15796462 | Athletic Physical Therapy Inc | 1959-01-17 | 2025-12-12 | M | AE | PT | WAHL | 6CX2NW3WP90 | LELAND | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251210.120827629.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11364481/check_15796462_4f79ca20-a970-4725-8176-73d3ad4dd1dd.json | N/A | N/A | N/A | N/A | N/A | 6CX2NW3WP90 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-01-17 | S5617 | N/A | N/A | MA | false | WAHL | N/A | LELAND | N/A | N/A | N/A | N/A | N/A | 136469 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9486308661 | N/A | N/A | 11364481 | 2222 | 4793 | 16077951 | N/A | 9633229 | 2025-12-11 03:38:32.543733 | 2026-02-05 17:07:37.378883 |
| 2025-12-10 08:04:21.488559 | 2025-12-11 01:41:46.722641 | 15795459 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15795459 | Athletic Physical Therapy Inc | 1950-08-09 | 2025-12-12 | M | AE | PT | Kirgizdaev | 9438168G | Bakhtiyar | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251210.121325030.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12407501/check_15795459_bbcd7fb7-5051-43ae-a8ab-43e6a852f940.json | N/A | N/A | N/A | N/A | N/A | 9438168G | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1950-08-09 | N/A | N/A | N/A | N/A | false | KIRGIZDAEV | N/A | BAKHTIYAR | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9486335048 | N/A | N/A | 12407501 | 2222 | 4802 | 16066075 | 4211 | 10587374 | 2025-12-11 01:41:46.722641 | 2025-12-24 19:36:03.607867 |
| 2025-12-10 08:04:06.425905 | 2025-12-11 01:40:29.791890 | 15794834 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15794834 | Athletic Physical Therapy Inc | 1959-02-07 | 2025-12-12 | F | AE | PT | STARK | 5T98ME7EA67 | CHERYL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251210.100158479.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9449995/check_15794834_4badb4bf-7370-42b9-9469-23c4aaa72621.json | N/A | N/A | N/A | N/A | N/A | 5T98ME7EA67 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-07 | S4802 | N/A | N/A | MA | false | STARK | N/A | CHERYL | N/A | N/A | N/A | N/A | N/A | 170953 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9486328837 | N/A | N/A | 9449995 | 2222 | 4793 | 16065229 | N/A | 7905968 | 2025-12-11 01:40:29.791890 | 2025-09-22 17:53:24.196861 |
| 2025-12-10 08:03:14.532291 | 2025-12-11 03:48:47.217728 | 15793404 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15793404 | Athletic Physical Therapy Inc | 1991-10-07 | 2025-12-12 | F | PT | N/A | BOYM | XEK903045570 | DANIELLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251210.121232455.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7281036/check_15793404_c5b5b52d-76f1-4314-affd-a0c546275c71.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 | 9486325585 | N/A | N/A | 7281036 | 2222 | 4793 | 16079399 | N/A | 6245462 | 2025-12-11 03:48:47.217728 | 2025-07-24 01:23:15.134681 |
| 2025-12-10 08:03:13.613093 | 2025-12-11 03:48:15.245281 | 15793381 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15793381 | Athletic Physical Therapy Inc | 1988-08-19 | 2025-12-12 | M | PT | N/A | Bridgemohansingh | NTF910W08222 | Jason | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251210.121232455.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7258746/check_15793381_9661a704-e2ee-40fe-b081-0df86ed18120.json | N/A | N/A | N/A | N/A | N/A | NTF910W08222 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | ANTHEM BLUE CROSS | N/A | 1988-08-19 | 040 | L08669M002 | N/A | PR | false | BRIDGEMOHANSINGH | N/A | JASON | N/A | 9999-12-31 | 2025-08-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9486325573 | N/A | N/A | 7258746 | 2222 | 4802 | 16079290 | N/A | 6224482 | 2025-12-11 03:48:15.245281 | 2025-08-07 00:03:18.267969 |
| 2025-12-10 06:50:32.752181 | 2025-12-10 06:50:34.669010 | 15792812 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2025-12-03 | N/A | PT | AE | ULLMAN | 8HC8F35AX50 | DAVID | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543201/check_15792812_efd910fe-8e17-4ea6-9a94-2820464f26aa.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543201/check_15792812_da805648-3c09-44f1-9f8c-f25b53c1dcf4.json | N/A | N/A | N/A | N/A | N/A | 8HC8F35AX50 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-24 | S5921 | N/A | N/A | MA | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | 359206 | PT | AE | N/A | N/A | N/A | N/A | N/A | 9486014449 | 1275 | N/A | 5543201 | 2222 | N/A | 16041146 | N/A | 4215026 | 2025-12-10 06:50:34.669010 | 2025-06-07 16:16:41.178119 |
| 2025-12-10 05:05:42.770378 | 2025-12-10 05:05:45.934793 | 15791472 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-04-20 | 2025-06-13 | N/A | PT | AE | GRANT | W285866811 | ROBERT | 3939 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542136/check_15791472_e036923d-1bcf-49ba-8505-57b6303a7909.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542136/check_15791472_c6568710-ca45-4782-b943-d265c64ee23c.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 | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9485637889 | 1275 | N/A | 5542136 | 2222 | N/A | 16032669 | N/A | 4214087 | 2025-12-10 05:05:45.934793 | 2025-05-13 04:29:37.228402 |
| 2025-12-10 01:05:59.773050 | 2025-12-10 01:06:02.808288 | 15790815 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-04-19 | 2025-12-10 | M | PT | N/A | LAWSON | JXN663W00172 | BEAU | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13853727/check_15790815_0c88e988-1714-4e4f-943c-3bbb43384d5a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13853727/check_15790815_39e64507-f90f-4660-ac4f-16c6fe6e32a2.json | N/A | N/A | N/A | N/A | N/A | JXN663W00172 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 2012-04-19 | 040 | 174222M2A1 | N/A | PR | false | LAWSON | N/A | MICHELLE | N/A | 9999-12-31 | 2023-04-01 | BC PPO INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9484695936 | N/A | N/A | 13853727 | 2222 | N/A | 16014084 | N/A | 12001252 | 2025-12-10 01:06:02.808288 | 2025-12-10 00:54:14.073096 |
| 2025-12-10 00:36:03.843424 | 2025-12-10 00:36:05.596130 | 15790731 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-06-09 | 2025-12-10 | F | AE | PT | Lopez | 00 0004622863 | Rachel | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13727884/check_15790731_288ad00e-54d4-438a-a863-25888c22b9ec.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13727884/check_15790731_82c1f70d-7a9d-4471-95fe-8257ba7794aa.json | N/A | N/A | N/A | N/A | N/A | 00 0004622863 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1974-06-09 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | RACHEL | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 13727884 | 2222 | N/A | 16014002 | N/A | 11878746 | 2025-12-10 00:36:05.596130 | 2026-01-15 03:14:06.737546 |
| 2025-12-10 00:36:01.955816 | 2025-12-10 00:36:03.837906 | 15790730 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-06-09 | 2025-12-10 | F | AE | PT | Lopez | 00 0004622863 | Rachel | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13727884/check_15790730_450363c5-868d-4698-8ca9-d083c51d01e8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-10 | N/A | N/A | N/A | N/A | N/A | N/A | 00 0004622863 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1974-06-09 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | RACHEL | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 13727884 | 2222 | N/A | N/A | N/A | 11878746 | 2025-12-10 00:36:03.837906 | 2026-01-15 03:14:06.737546 |
| 2025-12-10 00:24:38.407149 | 2025-12-10 00:24:40.266646 | 15790693 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-11-11 | 2026-01-05 | M | AE | PT | GOLDBERG | 9EE6XY2TM41 | Michael | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542970/check_15790693_67c8d203-0eea-4c44-839c-486d69129873.edi.txt | WAYSTAR | N/A | INSIGHTS | 2026-01-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542970/check_15790693_15a9e789-ea9c-4439-8e9f-0414365dff29.json | N/A | N/A | N/A | N/A | N/A | 9EE6XY2TM41 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-11-11 | S5601 | N/A | N/A | MA | false | GOLDBERG | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9484504463 | N/A | N/A | 5542970 | 2222 | N/A | 16013966 | N/A | 4214820 | 2025-12-10 00:24:40.266646 | 2025-06-30 02:56:23.324592 |
| 2025-12-10 00:18:04.473736 | 2025-12-10 00:18:06.284315 | 15790679 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-06-24 | 2025-12-09 | M | PT | N/A | Koplow | JOU353M83319 | Alexander | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13127568/check_15790679_07fdf138-cd27-4cdf-a67a-defa44a9cdc2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13127568/check_15790679_3e0af44a-cedb-496e-91a1-b79652c1216d.json | N/A | N/A | N/A | N/A | N/A | JOU353M83319 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2008-06-24 | N/A | N/A | N/A | N/A | false | KOPLOW | N/A | ALEXANDER | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 13127568 | 2222 | N/A | 16013950 | N/A | 11278212 | 2025-12-10 00:18:06.284315 | 2025-12-10 00:01:25.104261 |
| 2025-12-10 00:18:00.742242 | 2025-12-10 00:18:04.470733 | 15790676 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-06-24 | 2025-12-09 | M | PT | N/A | Koplow | JOU353M83319 | Alexander | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13127568/check_15790676_7811aef4-ea3e-4820-b849-cc4deb5451fe.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-09 | N/A | N/A | N/A | N/A | N/A | N/A | JOU353M83319 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2008-06-24 | N/A | N/A | N/A | N/A | false | KOPLOW | N/A | ALEXANDER | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 13127568 | 2222 | N/A | N/A | N/A | 11278212 | 2025-12-10 00:18:04.470733 | 2025-12-10 00:01:25.104261 |
| 2025-12-10 00:07:11.950536 | 2025-12-10 00:07:15.814257 | 15790460 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-07-29 | 2025-12-10 | M | AE | PT | Vannoy | 000008656315 | John | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13647562/check_15790460_3475fdb7-48f7-4115-9eca-7ddff6a2426e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13647562/check_15790460_ff26c8eb-3012-45a1-97e5-423cfd80aada.json | N/A | N/A | N/A | N/A | N/A | 000008656315 | N/A | N/A | KP MEDICARE | SRA - SENIOR ADVANTAGE | 1954-07-29 | 4330351 | 1650095002 | N/A | N/A | false | VANNOY | N/A | JOHN | N/A | N/A | N/A | KPSA CONVERSION - SOUTH KPSA CONVERSION - SOUTH | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9484463245 | N/A | N/A | 13647562 | 2222 | N/A | 16013740 | N/A | 11795301 | 2025-12-10 00:07:15.814257 | 2025-12-03 20:30:37.565513 |
| 2025-12-10 00:02:54.570884 | 2025-12-10 00:02:59.691675 | 15790428 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-05-24 | 2025-12-17 | F | PT | N/A | DOUCETTE | T7T800949917 | ALISON | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14048400/check_15790428_74d07fc1-e03d-425b-a90a-e93101f95570.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14048400/check_15790428_525d066b-6ab9-446e-9632-2081c156894c.json | N/A | N/A | N/A | N/A | N/A | T7T800949917 | Preferred Provider Organization (PPO) | TYLER TECHNOLOGIES | ANTHEM BLUE CROSS | N/A | 1974-05-24 | N/A | PT5632 | N/A | PR | false | DOUCETTE | N/A | JAMES | N/A | 9999-12-31 | 2022-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9484451006 | N/A | N/A | 14048400 | 2222 | N/A | 16013704 | N/A | 12194671 | 2025-12-10 00:02:59.691675 | 2025-12-09 23:51:54.944921 |
| 2025-12-09 23:16:22.451472 | 2025-12-09 23:16:27.409154 | 15790176 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-12-26 | 2025-12-12 | M | PT | N/A | SALEWSKE | SZR60090562401 | TYSON | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13154733/check_15790176_b7d07ae9-61e6-476e-b49e-d24ac5d7037a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13154733/check_15790176_54bf4057-3802-4985-999f-3f5e9a7fe9e4.json | N/A | N/A | N/A | N/A | N/A | SZR60090562401 | Preferred Provider Organization (PPO) | SCHWEITZER ENGINEERING LABORATORIES, INC. | BLUE SHIELD OF CALIFORNIA | N/A | 1974-12-26 | N/A | 1038812 | N/A | PR | false | SALEWSKE | N/A | TYSON | N/A | 9999-12-31 | 2023-01-01 | SELF-FUNDED EXP HERITAGE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9484278862 | 9227 | N/A | 13154733 | 2222 | N/A | 16013312 | N/A | 4213526 | 2025-12-09 23:16:27.409154 | 2025-11-13 19:34:43.197819 |
| 2025-12-09 23:11:08.628263 | 2025-12-09 23:11:10.506975 | 15790066 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-06-22 | 2025-12-11 | M | PT | N/A | MOSS | XEA910317218 | KENNETH | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13047676/check_15790066_24e5a473-9926-463e-a4c6-9d8d89b17c0a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13047676/check_15790066_edc64dc0-0730-432d-836f-46f66d1aebbf.json | N/A | N/A | N/A | N/A | N/A | XEA910317218 | Preferred Provider Organization (PPO) | PACHOWICZ GOLDENRING A PROFESSIONAL LAW CORPORATIO | BLUE SHIELD CALIFORNIA | N/A | 1963-06-22 | 1000VX000102 | W0078340 | N/A | PR | false | MOSS | N/A | KENNETH | N/A | 9999-12-31 | 2021-01-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9484262714 | 162972 | N/A | 13047676 | 2222 | N/A | 16013199 | N/A | 11205149 | 2025-12-09 23:11:10.506975 | 2025-11-24 18:32:22.314223 |
| 2025-12-09 23:09:15.838754 | 2025-12-09 23:09:18.915670 | 15790035 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-06-22 | 2025-12-11 | M | PT | N/A | MOSS | XEA910317218 | KENNETH | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13047676/check_15790035_781abb49-f1bf-4605-bd8a-2efa5a7b2685.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13047676/check_15790035_ad99d4be-787b-4abe-b3cf-e59eab848c4d.json | N/A | N/A | N/A | N/A | N/A | XEA910317218 | Preferred Provider Organization (PPO) | PACHOWICZ GOLDENRING A PROFESSIONAL LAW CORPORATIO | BLUE SHIELD CALIFORNIA | N/A | 1963-06-22 | 1000VX000102 | W0078340 | N/A | PR | false | MOSS | N/A | KENNETH | N/A | 9999-12-31 | 2021-01-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9484256760 | 162972 | N/A | 13047676 | 2222 | N/A | 16013167 | N/A | 11205149 | 2025-12-09 23:09:18.915670 | 2025-11-24 18:32:22.314223 |
| 2025-12-09 23:03:58.693553 | 2025-12-09 23:04:00.532527 | 15789795 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-03-06 | 2025-12-10 | M | AE | PT | E Sack | 40039393001 | Robert | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12096570/check_15789795_833c2878-b81f-43b1-9922-95091e53e5fb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12096570/check_15789795_0094b3d7-53ae-4154-b2c5-75b221e02e7e.json | N/A | N/A | N/A | N/A | N/A | 40039393001 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | E SACK | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 162972 | N/A | 12096570 | 2222 | N/A | 16012925 | N/A | 10314571 | 2025-12-09 23:04:00.532527 | 2026-01-04 16:54:02.110823 |
| 2025-12-09 23:03:55.928719 | 2025-12-09 23:03:58.689687 | 15789790 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-03-06 | 2025-12-10 | M | AE | PT | E Sack | 40039393001 | Robert | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12096570/check_15789790_05f03d73-50b1-43e8-806c-d8881bfa0a58.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-10 | N/A | N/A | N/A | N/A | N/A | N/A | 40039393001 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | E SACK | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 162972 | N/A | 12096570 | 2222 | N/A | N/A | N/A | 10314571 | 2025-12-09 23:03:58.689687 | 2026-01-04 16:54:02.110823 |
| 2025-12-09 23:03:32.260368 | 2025-12-09 23:03:34.201167 | 15789780 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-03-06 | 2025-12-10 | M | AE | PT | E Sack | 40039993001 | Robert | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12096570/check_15789780_e335fc0d-f1a4-406e-a65f-9e87ec4efa70.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12096570/check_15789780_223b2cca-6961-45e7-bee9-ebdcb3605a03.json | N/A | N/A | N/A | N/A | N/A | 40039993001 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | E SACK | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 162972 | N/A | 12096570 | 2222 | N/A | 16012912 | N/A | 10314571 | 2025-12-09 23:03:34.201167 | 2026-01-04 16:54:02.110823 |
| 2025-12-09 23:03:29.541913 | 2025-12-09 23:03:32.256110 | 15789779 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-03-06 | 2025-12-10 | M | AE | PT | E Sack | 40039993001 | Robert | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12096570/check_15789779_c5b380a7-6ac0-4f1a-a655-13714d9b23d2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-10 | N/A | N/A | N/A | N/A | N/A | N/A | 40039993001 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | E SACK | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 162972 | N/A | 12096570 | 2222 | N/A | N/A | N/A | 10314571 | 2025-12-09 23:03:32.256110 | 2026-01-04 16:54:02.110823 |
| 2025-12-09 22:28:02.544631 | 2025-12-09 22:28:04.436695 | 15789368 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 2009-06-02 | 2025-12-09 | F | PT | N/A | MCDONALD | 90189112-02 | DYLAN | 4197 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12770187/check_15789368_c5bfb8e9-3f7f-42c7-b726-9f95315781c6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12770187/check_15789368_a3117871-f3d2-469a-abbf-9757b1f87194.json | N/A | N/A | N/A | N/A | N/A | 90189112-02 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2009-06-02 | N/A | N/A | N/A | N/A | false | MCDONALD | N/A | DYLAN | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 162972 | N/A | 12770187 | 2222 | N/A | 16012422 | N/A | 10925815 | 2025-12-09 22:28:04.436695 | 2025-11-26 16:58:09.174115 |
| 2025-12-09 22:28:00.853653 | 2025-12-09 22:28:02.539731 | 15789367 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 2009-06-02 | 2025-12-09 | F | PT | N/A | MCDONALD | 90189112-02 | DYLAN | 4197 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12770187/check_15789367_e70d0abe-49e6-458d-83db-07b9e7d8c646.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-09 | N/A | N/A | N/A | N/A | N/A | N/A | 90189112-02 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2009-06-02 | N/A | N/A | N/A | N/A | false | MCDONALD | N/A | DYLAN | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 162972 | N/A | 12770187 | 2222 | N/A | N/A | N/A | 10925815 | 2025-12-09 22:28:02.539731 | 2025-11-26 16:58:09.174115 |
| 2025-12-09 22:10:54.254476 | 2025-12-09 22:11:00.477536 | 15789197 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-12-26 | 2025-01-13 | M | PT | AE | SALEWSKE | SZR600905624 | TYSON | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541518/check_15789197_a8596b3c-b19b-4531-b3bb-27c364e4bf76.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-01-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541518/check_15789197_97e3a7ea-2083-4856-8dc2-a245ac19cb33.json | N/A | N/A | N/A | N/A | N/A | SZR60090562401 | Preferred Provider Organization (PPO) | SCHWEITZER ENGINEERING LABORATORIES, INC. | BLUE SHIELD OF CALIFORNIA | N/A | 1974-12-26 | N/A | 1038812 | N/A | PR | false | SALEWSKE | N/A | TYSON | N/A | 9999-12-31 | 2023-01-01 | SELF-FUNDED EXP HERITAGE | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9484006353 | 6189 | N/A | 5541518 | 2222 | N/A | 16012188 | N/A | 4213526 | 2025-12-09 22:11:00.477536 | 2025-11-13 19:34:43.197819 |
| 2025-12-09 21:43:50.236796 | 2025-12-09 21:43:53.163639 | 15788827 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-12-03 | 2025-10-02 | M | PT | N/A | WONG | 6GE2PF6CC92 | STANLEY | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9132315/check_15788827_5163b4c8-9974-4892-9e50-68bee20ba529.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9132315/check_15788827_48f73066-d1b7-405a-a819-9aa444b8d964.json | N/A | N/A | N/A | N/A | N/A | 6GE2PF6CC92 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-12-03 | H4036 | N/A | N/A | MA | false | WONG | N/A | STANLEY | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9483812592 | 6189 | N/A | 9132315 | 2222 | N/A | 16011716 | N/A | 7140615 | 2025-12-09 21:43:53.163639 | 2025-09-05 16:51:17.488032 |
| 2025-12-09 21:28:48.130596 | 2025-12-09 21:28:52.975406 | 15788511 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2010-11-10 | 2025-12-10 | F | AE | PT | gardiner | W269946952 | Sharelle | 3948 | https://storage.googleapis.com/normandy-eligibility-checks/2222/14046794/check_15788511_2a873381-1354-4ef2-a059-a1ddc461238f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/14046794/check_15788511_dc2d958f-998a-424f-aa00-1182a1e23fe4.json | N/A | N/A | N/A | N/A | N/A | W269946952 | Point of Service (POS) | FARMERS GROUP, INC. | AETNA | N/A | 2010-11-10 | 0109164 | 010916404400002 | N/A | PS | false | GARDINER | N/A | VIJAY | 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 | 9483724567 | 163852 | N/A | 14046794 | 2222 | N/A | 16011365 | N/A | 12192932 | 2025-12-09 21:28:52.975406 | 2025-12-10 22:52:31.768060 |