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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-09 17:03:46.370077 | 2025-12-09 17:03:51.970029 | 15775611 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-01-16 | 2025-12-09 | F | AE | PT | Wesel | 953212552 | Ellen | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9795146/check_15775611_b8f1ad57-2447-48f7-afc2-7fa537385c5a.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9795146/check_15775611_ef3eab84-ae92-49b4-b9ae-81af678534bb.json | N/A | N/A | N/A | N/A | N/A | 953212552 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1967-01-16 | N/A | 702581 | N/A | C1 | false | WESEL | N/A | ELLEN | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9795146 | 2222 | N/A | 16000758 | N/A | 8205288 | 2025-12-09 17:03:51.970029 | 2025-09-30 16:15:04.552446 |
| 2025-12-09 16:54:53.570767 | 2025-12-09 16:54:54.236533 | 15773627 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15773627 | Athletic Physical Therapy Inc | 1951-11-14 | 2025-12-11 | M | AE | PT | BELTRAN | 40037866601 | GUSTAVO | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-12-11 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 9903583 | 2222 | 4801 | N/A | 6237 | 8291830 | 2025-12-09 16:54:54.236533 | 2025-10-13 13:22:03.458547 |
| 2025-12-09 16:53:56.961770 | 2025-12-09 16:53:57.422105 | 15773261 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15773261 | Athletic Physical Therapy Inc | 1953-11-15 | 2025-12-11 | M | AE | PT | REISMAN | 7JW4EK4UR89 | MARK | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-12-11 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 9868745 | 2222 | 4802 | N/A | N/A | 8262262 | 2025-12-09 16:53:57.422105 | 2025-09-30 22:45:25.940454 |
| 2025-12-09 16:53:45.534583 | 2025-12-10 03:51:35.271436 | 15773173 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15773173 | Athletic Physical Therapy Inc | 1955-07-01 | 2025-12-11 | F | AE | PT | GREER | 7H09HW9QG44 | ROBIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.205538865.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411083/check_15773173_605212bc-835a-49c9-90ec-a46121fee304.json | N/A | N/A | N/A | N/A | N/A | 7H09HW9QG44 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-01 | S5601 | N/A | N/A | MA | false | GREER | N/A | ROBIN | N/A | N/A | N/A | N/A | N/A | 251057 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481339754 | N/A | N/A | 9411083 | 2222 | 4802 | 16030117 | N/A | 7879863 | 2025-12-10 03:51:35.271436 | 2026-02-04 18:21:13.840230 |
| 2025-12-09 16:53:36.277188 | 2025-12-09 16:54:09.957199 | 15773115 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-08-28 | 2025-12-11 | F | AE | PT | Cedillo | 009183534-04 | Dina | 6341 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13975922/check_15773115_80a9bc09-bfd4-4cbe-aec1-f6f23c60fd9c.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-12-11 | N/A | N/A | N/A | N/A | N/A | N/A | 00918353404 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | 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 | 13975922 | 2222 | N/A | N/A | N/A | 12126264 | 2025-12-09 16:54:09.957199 | 2025-12-20 00:48:52.984127 |
| 2025-12-09 16:53:26.572406 | 2025-12-09 16:53:27.142603 | 15773040 | N/A | N/A | 61101 | HUMANA | 1114042165 | 15773040 | Athletic Physical Therapy Inc | 1956-12-09 | 2025-12-12 | F | AE | PT | MAHBOOB | H6086019300 | MEENA | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-12-12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 9857387 | 2222 | 4801 | N/A | 5349 | 8253020 | 2025-12-09 16:53:27.142603 | 2025-11-24 19:48:59.871982 |
| 2025-12-09 16:53:24.750855 | 2025-12-09 16:53:25.534262 | 15773025 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15773025 | Athletic Physical Therapy Inc | 1954-02-05 | 2025-12-12 | M | PT | N/A | HERNANDEZ | NCF335A78493 | FELIPE | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-12-12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 9857185 | 2222 | 4793 | N/A | N/A | 8252801 | 2025-12-09 16:53:25.534262 | 2026-02-23 23:58:40.440949 |
| 2025-12-09 16:50:51.875468 | 2025-12-10 03:46:55.638013 | 15771783 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15771783 | Athletic Physical Therapy Inc | 1990-12-22 | 2025-12-12 | M | AE | PT | PRABHALA | R13572760MM1 | SAI RAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.205538865.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9321575/check_15771783_3e42f32f-1ff6-453a-89df-6d950c29907f.json | N/A | N/A | N/A | N/A | N/A | R13572760MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1990-12-22 | N/A | N/A | N/A | N/A | false | PRABHALA | N/A | SAI RAM PAVAN PRASAD | N/A | N/A | N/A | KZN SBP | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481340757 | N/A | N/A | 9321575 | 2222 | 4801 | 16026147 | 4625 | 7820903 | 2025-12-10 03:46:55.638013 | 2025-09-22 20:31:02.620835 |
| 2025-12-09 16:47:50.225467 | 2025-12-09 16:47:51.933376 | 15770396 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 15770396 | Athletic Physical Therapy Inc | 1952-03-30 | 2025-12-11 | F | AE | PT | MATTHEWS | H41656712 | JUNE | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-12-11 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 9767878 | 2222 | 4801 | N/A | N/A | 8178957 | 2025-12-09 16:47:51.933376 | 2025-10-06 01:53:28.213209 |
| 2025-12-09 16:47:39.863465 | 2025-12-09 16:47:40.432169 | 15770337 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15770337 | Athletic Physical Therapy Inc | 1958-08-10 | 2025-12-10 | M | AE | PT | FURTAK | 00000370322 | WAYNE | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-12-10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 9766428 | 2222 | 4801 | N/A | 2630 | 8177700 | 2025-12-09 16:47:40.432169 | 2025-09-26 21:44:23.687707 |
| 2025-12-09 16:45:25.613793 | 2025-12-09 16:45:26.246427 | 15769523 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15769523 | Athletic Physical Therapy Inc | 1982-12-08 | 2025-12-10 | M | PT | N/A | Magpali | VUC967W18809 | Aaron | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-12-10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 9737460 | 2222 | 4801 | N/A | N/A | 8152382 | 2025-12-09 16:45:26.246427 | 2025-09-28 17:20:36.874498 |
| 2025-12-09 16:44:27.629741 | 2025-12-09 16:45:01.341632 | 15769120 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-12-12 | F | AE | PT | YUNG | 00854676304 | MAYA | 6338 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_15769120_f0157670-f88e-49ff-a2d8-130447578ad5.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-12-12 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | 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 | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2025-12-09 16:45:01.341632 | 2025-05-13 04:29:37.229495 |
| 2025-12-09 16:43:23.141085 | 2025-12-10 03:36:15.986571 | 15768416 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15768416 | Athletic Physical Therapy Inc | 1961-03-07 | 2025-12-11 | F | PT | N/A | PERLOV | XEA905216171 | MERA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204623979.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814311/check_15768416_8ca119d5-3cb0-4ff6-900c-3e19ceb30ee1.json | N/A | N/A | N/A | N/A | N/A | XEA905216171 | Preferred Provider Organization (PPO) | LA CARE HEALTH PLAN | BLUE SHIELD CALIFORNIA | N/A | 1961-03-07 | 1000PPOX0003 | W0051027 | N/A | PR | false | PERLOV | N/A | MERA | N/A | 2025-12-31 | 2025-01-01 | LA CARE HEALTH PLAN PPO SAVINGS TWO TIER EMBEDDED | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481199453 | N/A | N/A | 6814311 | 2222 | 4793 | 16018466 | N/A | 5856694 | 2025-12-10 03:36:15.986571 | 2025-07-07 18:45:06.287504 |
| 2025-12-09 16:43:11.913897 | 2025-12-09 16:43:12.645883 | 15768288 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15768288 | Athletic Physical Therapy Inc | 1965-04-22 | 2025-12-12 | M | PT | N/A | MCHALE | ZGP814915047 | TIMOTHY | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-12-12 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 9691017 | 2222 | 4801 | N/A | N/A | 4212607 | 2025-12-09 16:43:12.645883 | 2025-09-24 22:37:58.534216 |
| 2025-12-09 16:43:05.790776 | 2025-12-10 03:32:40.735015 | 15768219 | N/A | N/A | 60054 | AETNA | 1114042165 | 15768219 | Athletic Physical Therapy Inc | 1940-12-29 | 2025-12-11 | M | AE | PT | TRUNNELL | 101505559100 | WAYNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204623979.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6786642/check_15768219_327d18f1-e99d-4cc0-bb6b-f1937890cca5.json | N/A | N/A | N/A | N/A | N/A | 101505559100 | Point of Service (POS) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-12-29 | 000003-CA000074 | 000003-CA | N/A | PS | false | TRUNNELL | N/A | WAYNE | N/A | N/A | N/A | AETNA MEDICARE PLUS (HMO-POS) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481199412 | N/A | N/A | 6786642 | 2222 | 4793 | 16015465 | 3939 | 5818009 | 2025-12-10 03:32:40.735015 | 2025-07-15 23:19:05.900633 |
| 2025-12-09 16:42:35.590235 | 2025-12-10 03:39:11.002766 | 15767863 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15767863 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-12-11 | M | AE | PT | CICCIARI | 1AK4JC6NK84 | LOUIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204623979.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_15767863_640e4f70-b4b0-461b-a984-e3a78ef4e0c6.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5596 | N/A | N/A | MB | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | 363358 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481197985 | N/A | N/A | 6752936 | 2222 | 4801 | 16020917 | N/A | 5065602 | 2025-12-10 03:39:11.002766 | 2025-07-01 17:25:13.681724 |
| 2025-12-09 16:42:23.202977 | 2025-12-10 05:35:06.188676 | 15767630 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15767630 | Athletic Physical Therapy Inc | 1950-09-17 | 2025-12-12 | M | AE | PT | BRIERS | 00000368043 | WILLIAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204421896.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13358057/check_15767630_ecb64d2d-d4d5-439b-ac07-e7dc59e05c8d.json | N/A | N/A | N/A | N/A | N/A | 00000368043 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1950-09-17 | H3815028 | N/A | N/A | HM | false | BRIERS | N/A | WILLIAM | 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 | 9481175674 | N/A | N/A | 13358057 | 2222 | 4801 | 16034594 | 2630 | 11503648 | 2025-12-10 05:35:06.188676 | 2026-01-23 20:34:04.657885 |
| 2025-12-09 16:42:22.765881 | 2025-12-10 03:45:01.716593 | 15767621 | N/A | N/A | 60054 | Aetna | 1114042165 | 15767621 | Athletic Physical Therapy Inc | 1972-12-30 | 2025-12-12 | M | AE | PT | MCHALE | W27265070 | MATT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204419722.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173116/check_15767621_68e1f545-f477-4105-8eb5-4b710a6f9e52.json | N/A | N/A | N/A | N/A | N/A | W272665070 | Point of Service (POS) | SONY CORPORATION OF AMERICA | AETNA | N/A | 1972-12-30 | 0486873 | 048687302100161 | N/A | PS | false | MCHALE | N/A | MATTHEW | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481185871 | N/A | N/A | 8173116 | 2222 | 4802 | 16024359 | N/A | 6939617 | 2025-12-10 03:45:01.716593 | 2025-09-16 00:28:24.457071 |
| 2025-12-09 16:42:18.204287 | 2025-12-10 03:47:22.365631 | 15767514 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 15767514 | Athletic Physical Therapy Inc | 1966-12-04 | 2025-12-12 | M | PT | N/A | CLANCY | XDMOE0503879 | JOSEPH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.205538865.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9194927/check_15767514_6aa759c1-6ad9-48fc-a8c5-974e1ee482f4.json | N/A | N/A | N/A | N/A | N/A | XDMOE0503879 | Health Maintenance Organization (HMO) | OPERATING ENGINEERS HEALTH&WELFARE FUND | ANTHEM BLUE CROSS | N/A | 1966-12-04 | 040 | 278671H001 | N/A | HM | false | CLANCY | N/A | JOSEPH | N/A | 9999-12-31 | 2025-02-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481340389 | N/A | N/A | 9194927 | 2222 | 4793 | 16026540 | 4184 | 7712549 | 2025-12-10 03:47:22.365631 | 2025-09-10 17:29:28.945035 |
| 2025-12-09 16:42:13.076637 | 2025-12-10 03:35:33.299220 | 15767383 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15767383 | Athletic Physical Therapy Inc | 2008-04-21 | 2025-12-11 | M | AE | PT | BERMUDEZ | 000019836525 | RAFAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204623979.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6721942/check_15767383_673ba2c8-8d94-49fb-b1ee-74d51f009128.json | N/A | N/A | N/A | N/A | N/A | 000019836525 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 2008-04-21 | 4327748 | 226977 | N/A | N/A | false | BERMUDEZ | N/A | RAFAEL | N/A | N/A | N/A | MEDI-CAL LA CARE HEALTH PLAN ADULT AND FAMILY LTSS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481198428 | N/A | N/A | 6721942 | 2222 | 4793 | 16017859 | N/A | 5322280 | 2025-12-10 03:35:33.299220 | 2025-07-01 21:45:15.878047 |
| 2025-12-09 16:41:53.702893 | 2025-12-10 03:48:15.235171 | 15766913 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15766913 | Athletic Physical Therapy Inc | 1958-12-04 | 2025-12-12 | M | PT | N/A | JESTER | MBL989W18008 | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204324513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11937085/check_15766913_84a8ea3b-4e62-4da4-b738-6a5dd1e4991e.json | N/A | N/A | N/A | N/A | N/A | MBL989W18008 | N/A | CALIFORNIA PUBLIC EMPLOYEES RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1958-12-04 | 040 | CAEGR001 | N/A | N/A | false | JESTER | N/A | KEVIN | N/A | 9999-12-31 | 2023-12-01 | CA GRS CALPERS H4036-802 ANTHEM MEDICARE PREFERRED | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481165015 | N/A | N/A | 11937085 | 2222 | 4801 | 16027264 | N/A | 10164167 | 2025-12-10 03:48:15.235171 | 2025-11-21 20:26:53.682988 |
| 2025-12-09 16:41:41.932993 | 2025-12-10 03:48:13.749158 | 15766588 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15766588 | Athletic Physical Therapy Inc | 1965-07-12 | 2025-12-11 | F | PT | N/A | BENSON | NCF361A559000 | ELIZABETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204324513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11917007/check_15766588_be111408-22e5-4984-a2bb-9a3df9624bb4.json | N/A | N/A | N/A | N/A | N/A | NCF361A559000 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1965-07-12 | N/A | N/A | N/A | N/A | false | BENSON | N/A | ELIZABETH | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481166492 | N/A | N/A | 11917007 | 2222 | 4793 | 16027251 | 4185 | 10144918 | 2025-12-10 03:48:13.749158 | 2025-11-17 16:03:18.208475 |
| 2025-12-09 16:41:24.518395 | 2025-12-10 03:34:44.850860 | 15765912 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15765912 | Athletic Physical Therapy Inc | 1968-02-12 | 2025-12-12 | M | AE | PT | GUTIERREZ | 90938896D | RAUL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204220485.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13879811/check_15765912_8c49ee2b-26ee-4e6f-9c77-d1655002c71b.json | N/A | N/A | N/A | N/A | N/A | 90938896D | N/A | N/A | HEALTH NET, LLC | N/A | 1968-02-12 | N/A | N/A | N/A | N/A | false | GUTIERREZ | N/A | RAUL | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481152392 | N/A | N/A | 13879811 | 2222 | 4801 | 16017148 | N/A | 12027353 | 2025-12-10 03:34:44.850860 | 2025-12-09 04:56:01.783985 |
| 2025-12-09 16:41:23.352715 | 2025-12-10 03:39:04.264421 | 15765872 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15765872 | Athletic Physical Therapy Inc | 1955-06-19 | 2025-12-12 | F | AE | PT | BAZILE MARVIN | 2WJ8D55UX64 | TERRY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204220485.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13875017/check_15765872_d7a093cc-e765-4960-9e19-7d7139c03e86.json | N/A | N/A | N/A | N/A | N/A | 2WJ8D55UX64 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-06-19 | S4802 | N/A | N/A | MB | false | BAZILE MARVIN | N/A | TERRY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481152388 | N/A | N/A | 13875017 | 2222 | 4801 | 16020820 | N/A | 12022445 | 2025-12-10 03:39:04.264421 | 2025-12-05 23:18:29.715172 |
| 2025-12-09 16:41:18.855296 | 2025-12-10 05:35:12.714274 | 15765700 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15765700 | Athletic Physical Therapy Inc | 1965-10-20 | 2025-12-11 | F | PT | N/A | ROHMER | H4W1301747MB | CHRISTY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204421896.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13310377/check_15765700_d63f69f0-bb54-4871-b2bb-78305a7f85be.json | N/A | N/A | N/A | N/A | N/A | H4W1301747MB | Preferred Provider Organization (PPO) | WHITE CAP LTD | ANTHEM BLUE CROSS | N/A | 1965-10-20 | 101 | JNT019M106 | N/A | PR | false | ROHMER | N/A | CHRISTY | N/A | 9999-12-31 | 2024-11-01 | BLUECARD PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481176829 | N/A | N/A | 13310377 | 2222 | 4801 | 16034640 | N/A | 10618010 | 2025-12-10 05:35:12.714274 | 2026-04-21 18:05:25.486334 |
| 2025-12-09 16:41:10.140375 | 2025-12-10 03:47:50.310950 | 15765335 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15765335 | Athletic Physical Therapy Inc | 1952-10-12 | 2025-12-11 | F | AE | PT | Abraha | 22679175290 | Tarik | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204324513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11843086/check_15765335_4beb91cc-97ac-43d0-9840-905ac4640823.json | N/A | N/A | N/A | N/A | N/A | 22679175290 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1952-10-12 | N/A | N/A | N/A | N/A | false | ABRAHA | N/A | TARIK | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481166728 | N/A | N/A | 11843086 | 2222 | 4802 | 16026927 | N/A | 10074998 | 2025-12-10 03:47:50.310950 | 2025-10-29 23:19:49.535455 |
| 2025-12-09 16:41:05.471732 | 2025-12-10 03:35:01.940865 | 15765164 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15765164 | Athletic Physical Therapy Inc | 1996-10-16 | 2025-12-12 | M | PT | N/A | COSTI | NGO566W23846 | CAMRON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204220485.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13738718/check_15765164_db86b8ff-13bb-49fe-a0a1-ea6a3d788343.json | N/A | N/A | N/A | N/A | N/A | NGO566W23846 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORPORATION | ANTHEM BLUE CROSS | N/A | 1996-10-16 | 040 | 174022MJAF | N/A | PR | false | COSTI | N/A | CAMRON | N/A | 9999-12-31 | 2025-04-14 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481152557 | N/A | N/A | 13738718 | 2222 | 4801 | 16017404 | N/A | 11890074 | 2025-12-10 03:35:01.940865 | 2025-12-12 15:49:49.268154 |
| 2025-12-09 16:41:04.065007 | 2025-12-10 05:32:48.182263 | 15765109 | N/A | N/A | 60054 | Aetna | 1114042165 | 15765109 | Athletic Physical Therapy Inc | 2008-09-19 | 2025-12-12 | M | AE | PT | Pandola Paik | W284312002 | Jude | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204421896.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13301746/check_15765109_da514c84-9c0e-4d43-aee7-ee63791b3fd2.json | N/A | N/A | N/A | N/A | N/A | W284312002 | Health Maintenance Organization (HMO) | RUBIN POSTAER AND ASSOCIATES | AETNA | N/A | 2008-09-19 | EAC8UH02 | 023730701000001 | N/A | HM | false | PAIK | N/A | ROMAN | N/A | N/A | N/A | HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481175633 | N/A | N/A | 13301746 | 2222 | 4802 | 16033516 | N/A | 11449497 | 2025-12-10 05:32:48.182263 | 2025-11-21 23:43:22.822489 |
| 2025-12-09 16:41:03.541497 | 2025-12-10 03:47:22.644699 | 15765089 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15765089 | Athletic Physical Therapy Inc | 2009-01-14 | 2025-12-11 | F | PT | N/A | OBACZ | JQV897A63197 | KLOIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.205538865.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9102655/check_15765089_cc58ecd3-b0d2-4262-b0fa-cc2785cbd451.json | N/A | N/A | N/A | N/A | N/A | JQV897A63197 | Health Maintenance Organization (HMO) | EVOLVED NOVELTIES INC | ANTHEM BLUE CROSS | N/A | 2009-01-14 | 040 | F45883 | N/A | HM | false | OBACZ | N/A | JUSTIN | N/A | 2026-01-01 | 2025-01-01 | CA SG SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481340619 | N/A | N/A | 9102655 | 2222 | 4801 | 16026544 | 4185 | 7621062 | 2025-12-10 03:47:22.644699 | 2025-09-12 19:10:20.936695 |
| 2025-12-09 16:40:57.325814 | 2025-12-10 03:47:43.699865 | 15764844 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15764844 | Athletic Physical Therapy Inc | 1955-07-01 | 2025-12-11 | F | AE | PT | GREER | XEM909858172 | ROBIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204212570.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411084/check_15764844_8035c1c5-b519-4b20-be3c-cbbb6dd7c622.json | N/A | N/A | N/A | N/A | N/A | XEM909858172 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-07-01 | 2002SE000030 | X0001002 | N/A | OT | false | GREER | N/A | ROBIN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481147806 | N/A | N/A | 9411084 | 2222 | 4802 | 16026848 | N/A | 7879863 | 2025-12-10 03:47:43.699865 | 2026-02-04 18:21:13.840230 |
| 2025-12-09 16:40:55.427759 | 2025-12-10 03:40:53.540831 | 15764768 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15764768 | Athletic Physical Therapy Inc | 1960-11-20 | 2025-12-12 | F | PT | N/A | RUND | 5UNOTP0YV05 | Stephanie | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204220485.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13733413/check_15764768_7312660a-f79a-4199-8614-72ff402f475b.json | N/A | N/A | N/A | N/A | N/A | 5UNOTP0YV05 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1960-11-20 | N/A | N/A | N/A | N/A | false | RUND | N/A | STEPHANIE | 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 | 9481152514 | N/A | N/A | 13733413 | 2222 | 4802 | 16022112 | N/A | 5046194 | 2025-12-10 03:40:53.540831 | 2026-01-06 19:15:31.520951 |
| 2025-12-09 16:40:42.096977 | 2025-12-09 16:40:45.849774 | 15764217 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-01-16 | 2025-12-09 | F | AE | PT | Wesel | QUC628W15332 | Ellen | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9854973/check_15764217_04b0948a-3dc7-401a-b067-8b860fe197ba.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9854973/check_15764217_f1270016-ae2e-464e-a8be-ff99bf153544.json | N/A | N/A | N/A | N/A | N/A | QUC628W15332 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | UNITEDHEALTHCARE | N/A | 1967-01-16 | 040 | 280509A420 | N/A | PR | false | WESEL | N/A | RICHARD | N/A | 9999-12-31 | 2023-01-01 | UC CORE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481133959 | N/A | N/A | 9854973 | 2222 | N/A | 15996709 | N/A | 8205288 | 2025-12-09 16:40:45.849774 | 2025-09-30 16:15:04.552446 |
| 2025-12-09 16:40:38.076662 | 2025-12-10 03:47:23.192699 | 15764059 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15764059 | Athletic Physical Therapy Inc | 1962-08-12 | 2025-12-11 | F | PT | N/A | SCHOLEFIELD | TRJNP1055193 | ROBIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.205538865.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9087505/check_15764059_6d98914e-b7c7-470e-b16c-7b5fb08de4a7.json | N/A | N/A | N/A | N/A | N/A | TRJNP1055193 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1962-08-12 | 040 | 276727M007 | N/A | PR | false | SCHOLEFIELD | N/A | ROBIN | N/A | 9999-12-31 | 2020-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481339894 | N/A | N/A | 9087505 | 2222 | 4793 | 16026553 | N/A | 7605100 | 2025-12-10 03:47:23.192699 | 2025-09-11 15:07:41.965017 |
| 2025-12-09 16:40:34.305767 | 2025-12-10 03:39:11.544437 | 15763920 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15763920 | Athletic Physical Therapy Inc | 1952-10-25 | 2025-12-11 | F | AE | PT | JOHNSTON | 7KA0H51YU14 | DEBORAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204623979.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638066/check_15763920_5bc5964e-fed8-40db-8d68-cac5c17bba69.json | N/A | N/A | N/A | N/A | N/A | 7KA0H51YU14 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-10-25 | S5617 | N/A | N/A | MA | false | JOHNSTON | N/A | DEBORAH | N/A | N/A | N/A | N/A | N/A | 231294 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481198376 | N/A | N/A | 6638066 | 2222 | 4793 | 16020926 | N/A | 5247837 | 2025-12-10 03:39:11.544437 | 2026-02-24 20:36:49.807283 |
| 2025-12-09 16:40:32.618943 | 2025-12-10 03:48:04.263187 | 15763844 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 15763844 | Athletic Physical Therapy Inc | 1980-08-02 | 2025-12-12 | M | AE | PT | HILTSER | 208616901 | LORNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204419722.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8048052/check_15763844_08c5b259-cf75-4139-8e4d-a33e84b29fe7.json | N/A | N/A | N/A | N/A | N/A | 208616901 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1980-08-02 | N/A | 265486 | N/A | C1 | false | HILTSER | N/A | LORNE | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO GOLD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481185669 | N/A | N/A | 8048052 | 2222 | 4802 | 16027115 | 6411 | 6844134 | 2025-12-10 03:48:04.263187 | 2025-08-29 16:18:21.978739 |
| 2025-12-09 16:40:31.167970 | 2025-12-10 03:48:28.176734 | 15763794 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 15763794 | Athletic Physical Therapy Inc | 1959-05-18 | 2025-12-12 | F | PT | N/A | BARRUNDIA DE AVENDAN | 789W2003120 | M | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204419722.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8046575/check_15763794_546f95a8-f502-41ed-bc55-9120309fb91b.json | N/A | N/A | N/A | N/A | N/A | 789W2003120 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-05-18 | N/A | N/A | N/A | N/A | false | BARRUNDIA DE AVENDAN | N/A | M | 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 | 9481185666 | N/A | N/A | 8046575 | 2222 | 4801 | 16027446 | 4184 | 4642900 | 2025-12-10 03:48:28.176734 | 2025-12-12 21:30:04.843166 |
| 2025-12-09 16:40:29.092352 | 2025-12-10 03:36:21.531544 | 15763707 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 15763707 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-12-11 | M | PT | N/A | BLANCHFIELD | JMV780A55541 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204432685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10346222/check_15763707_d157e3d9-831d-4a4b-a24c-60e5e3a0d903.json | N/A | N/A | N/A | N/A | N/A | JMV780A55541 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | MEDICARE B | N/A | 1954-11-24 | 040 | 56677TR000 | N/A | HM | false | BLANCHFIELD | N/A | THOMAS | N/A | 9999-12-31 | 2024-07-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481173988 | N/A | N/A | 10346222 | 2222 | 4793 | 16018538 | 4184 | 4214447 | 2025-12-10 03:36:21.531544 | 2026-04-23 20:11:34.441054 |
| 2025-12-09 16:40:12.453168 | 2025-12-10 03:52:52.711927 | 15763091 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15763091 | Athletic Physical Therapy Inc | 1959-12-29 | 2025-12-11 | F | AE | PT | LYGA | 3W97CK7AN48 | LISA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204324513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11604276/check_15763091_60b40e12-8dc6-497e-bdff-8b3b4e52e34b.json | N/A | N/A | N/A | N/A | N/A | 3W97CK7AN48 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-12-29 | S5596 | N/A | N/A | MB | false | LYGA | N/A | LISA | N/A | N/A | N/A | N/A | N/A | 29767 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481166028 | N/A | N/A | 11604276 | 2222 | 4801 | 16031527 | N/A | 4218962 | 2025-12-10 03:52:52.711927 | 2025-05-13 04:29:37.229978 |
| 2025-12-09 16:40:08.478774 | 2025-12-10 03:35:02.989276 | 15762954 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15762954 | Athletic Physical Therapy Inc | 2011-01-18 | 2025-12-12 | F | PT | N/A | RIGGIO | SIF227A52267 | NEPHTALIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204220485.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13697022/check_15762954_7a41788c-f837-47e4-bd68-8d1d4cf1455c.json | N/A | N/A | N/A | N/A | N/A | SIF227A52267 | Preferred Provider Organization (PPO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 2011-01-18 | 040 | 40954C | N/A | PR | false | RIGGIO | N/A | SUZANNE | N/A | 9999-12-31 | 2024-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481151426 | N/A | N/A | 13697022 | 2222 | 4801 | 16017420 | N/A | 11847750 | 2025-12-10 03:35:02.989276 | 2025-12-12 20:15:18.288231 |
| 2025-12-09 16:39:46.655943 | 2025-12-10 03:35:46.606790 | 15762134 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15762134 | Athletic Physical Therapy Inc | 1996-07-04 | 2025-12-12 | F | PT | N/A | STOLTZ | JQY361W23827 | ARDENN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204623979.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6605808/check_15762134_9c21b2f9-e79d-48b2-8702-32e67272d829.json | N/A | N/A | N/A | N/A | N/A | JQY361W23827 | Preferred Provider Organization (PPO) | KENT TAKEMOTO, M.D., INC. | ANTHEM BLUE CROSS | N/A | 1996-07-04 | 040 | Q62351 | N/A | PR | false | STOLZ | N/A | ARDENN | N/A | 9999-12-31 | 2025-04-01 | CA SG SELECT PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481199114 | N/A | N/A | 6605808 | 2222 | 4802 | 16018052 | N/A | 4214948 | 2025-12-10 03:35:46.606790 | 2025-06-26 01:28:07.741882 |
| 2025-12-09 16:39:46.051757 | 2025-12-10 03:43:36.919095 | 15762113 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 15762113 | override_provider | 2003-11-16 | 2025-12-12 | F | PT | N/A | HAYASHI | XLXR000032097727 | LAUREN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.205538865.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9066824/check_15762113_63cf41ce-20c5-4bf7-8aff-e6ef7bb1e4cb.json | N/A | N/A | N/A | N/A | N/A | XLXR000032097727 | Preferred Provider Organization (PPO) | OSF INDIVIDUAL PLATINUM PPO W/ DENTAL HIGH (GOLD) | BLUE SHIELD OF CALIFORNIA | N/A | 2003-11-16 | N/A | 24048 1 | N/A | PR | false | HAYASHI | N/A | NANCY | N/A | 9999-12-31 | 2023-12-01 | PLATINUM PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481338847 | N/A | N/A | 9066824 | 2222 | 4802 | 16023189 | N/A | 7582776 | 2025-12-10 03:43:36.919095 | 2025-09-24 22:06:50.112056 |
| 2025-12-09 16:39:45.923013 | 2025-12-10 03:35:40.600725 | 15762106 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15762106 | Athletic Physical Therapy Inc | 1943-02-06 | 2025-12-12 | F | AE | PT | TIPPITT | 40065208701 | SHIRLEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204432685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10305383/check_15762106_2d0e771d-9e72-4724-bd3b-235fba136453.json | N/A | N/A | N/A | N/A | N/A | 40065208701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1943-02-06 | 2025H5425001 | H5425M | N/A | N/A | false | TIPPITT | N/A | SHIRLEY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481174641 | N/A | N/A | 10305383 | 2222 | 4793 | 16017964 | N/A | 8574477 | 2025-12-10 03:35:40.600725 | 2025-10-22 02:47:47.756973 |
| 2025-12-09 16:39:32.564675 | 2025-12-10 03:47:11.643151 | 15761619 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 15761619 | Athletic Physical Therapy Inc | 1950-04-13 | 2025-12-11 | F | AE | PT | NATALI | 94579563C | RENEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204212570.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8979227/check_15761619_2f7db7c4-e8a8-48ff-aaf0-c92d254e23d0.json | N/A | N/A | N/A | N/A | N/A | 94579563C | N/A | MCLA WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1950-04-13 | MCLA | MWLLDAGG21 | N/A | N/A | false | NATALI | N/A | RENEE | N/A | 2025-07-31 | 2025-02-01 | LACARE MEDICAL | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481147449 | N/A | N/A | 8979227 | 2222 | 4793 | 16026388 | N/A | 7498543 | 2025-12-10 03:47:11.643151 | 2025-10-14 17:13:32.178778 |
| 2025-12-09 16:39:30.657511 | 2025-12-10 03:36:21.940265 | 15761561 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15761561 | Athletic Physical Therapy Inc | 1983-01-16 | 2025-12-12 | M | PT | N/A | MIRANDA | NCF728A24383 | ERICK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204432685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10294700/check_15761561_f534610c-7519-4d5a-b823-7345acc4a6b0.json | N/A | N/A | N/A | N/A | N/A | NCF728A24383 | Health Maintenance Organization (HMO) | LOS ANGELES POLICE RELIEF ASN INC | ANTHEM BLUE CROSS | N/A | 1983-01-16 | 040 | 57CP3A | N/A | HM | false | MIRANDA | N/A | ERICK | N/A | 9999-12-31 | 2023-03-01 | BLUE CROSS HMO PLUS CC01 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481173232 | N/A | N/A | 10294700 | 2222 | 4801 | 16018542 | 4185 | 6149607 | 2025-12-10 03:36:21.940265 | 2025-07-17 18:34:10.184195 |
| 2025-12-09 16:39:23.951097 | 2025-12-10 03:47:16.963525 | 15761330 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15761330 | Athletic Physical Therapy Inc | 1948-07-07 | 2025-12-12 | F | AE | PT | GOEL | JQE690A74746 | VEENA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204212570.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969545/check_15761330_96f14351-5b50-464f-8ea2-aae0515b4452.json | N/A | N/A | N/A | N/A | N/A | JQE690A74746 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1948-07-07 | 040 | CASUPWP0 | N/A | N/A | false | GOEL | N/A | VEENA | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481148714 | N/A | N/A | 8969545 | 2222 | 4802 | 16026462 | N/A | 7485064 | 2025-12-10 03:47:16.963525 | 2025-12-29 22:41:16.623495 |
| 2025-12-09 16:39:16.388492 | 2025-12-10 03:47:50.926899 | 15761087 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15761087 | Athletic Physical Therapy Inc | 1994-09-23 | 2025-12-11 | M | AE | PT | RUIZ CORTES | 0023841194 | ROGELIO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204324513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11537156/check_15761087_1ffd09d8-5602-4986-b4fd-e419f3166cdf.json | N/A | N/A | N/A | N/A | N/A | 0023841194 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1994-09-23 | N/A | N/A | N/A | N/A | false | RUIZ CORTES | N/A | ROGELIO | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481165634 | N/A | N/A | 11537156 | 2222 | 4802 | 16026934 | N/A | 9778191 | 2025-12-10 03:47:50.926899 | 2025-10-27 23:17:48.522975 |
| 2025-12-09 16:39:15.852529 | 2025-12-10 03:39:11.255877 | 15761070 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15761070 | Athletic Physical Therapy Inc | 1934-12-03 | 2025-12-12 | M | AE | PT | Dayzadeh | 9A94PK6GA08 | Nasser | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204623979.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583825/check_15761070_d2a94cf0-97a3-4d62-b5fa-dfc7cc64fbac.json | N/A | N/A | N/A | N/A | N/A | 9A94PK6GA08 | Medicare Part A | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1934-12-03 | S2468 | N/A | N/A | MA | false | DAYZADEH | N/A | NASSER | N/A | N/A | N/A | N/A | N/A | 271171 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481198306 | N/A | N/A | 6583825 | 2222 | 4802 | 16020921 | N/A | 5202586 | 2025-12-10 03:39:11.255877 | 2025-06-25 17:55:27.155518 |
| 2025-12-09 16:39:14.578594 | 2025-12-10 03:48:14.194049 | 15761035 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15761035 | Athletic Physical Therapy Inc | 1966-12-01 | 2025-12-11 | F | PT | N/A | DE LUNA | JMV025A51982 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204324513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11526121/check_15761035_df0196b3-c175-4d2f-91f4-7565de00b31d.json | N/A | N/A | N/A | N/A | N/A | JMV025A51982 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1966-12-01 | 040 | 56677NR000 | N/A | HM | false | DE LUNA | N/A | MARIA | N/A | 9999-12-31 | 2024-07-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481165630 | N/A | N/A | 11526121 | 2222 | 4801 | 16027255 | N/A | 9766947 | 2025-12-10 03:48:14.194049 | 2025-11-11 21:32:02.372730 |
| 2025-12-09 16:39:06.966077 | 2025-12-10 03:36:15.733696 | 15760780 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15760780 | Athletic Physical Therapy Inc | 1966-03-26 | 2025-12-12 | F | PT | N/A | Deschatres | XED912070650 | Nathalie | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204623979.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577909/check_15760780_b3546155-a5fa-4b56-99b7-0ed2bd90b1cc.json | N/A | N/A | N/A | N/A | N/A | XED912070650 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1966-03-26 | 2001ZK002186 | X0001004 | N/A | PR | false | DESCHATRES | N/A | NATHALIE | N/A | 2025-12-31 | 2025-01-01 | SILVER 73 PPO JAN25 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481198287 | N/A | N/A | 6577909 | 2222 | 4802 | 16018462 | N/A | 4766701 | 2025-12-10 03:36:15.733696 | 2025-06-03 21:11:46.573919 |
| 2025-12-09 16:39:04.735476 | 2025-12-10 03:44:16.488808 | 15760700 | N/A | N/A | 60054 | Aetna | 1114042165 | 15760700 | Athletic Physical Therapy Inc | 1998-11-14 | 2025-12-11 | M | AE | PT | Shirian | W742094344 | Jonathan | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204324513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11519732/check_15760700_69d362a6-4f77-4d08-abbf-71c4f3d88416.json | N/A | N/A | N/A | N/A | N/A | W274093844 | Point of Service (POS) | CASE WESTERN RESERVE UNIVERSITY | AETNA | N/A | 1998-11-14 | 0686194 | 068619403600108 | N/A | PS | false | SHIRIAN | N/A | JONATHAN | N/A | N/A | N/A | OPEN CHOICE-EARLY ARRIVAL | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481166670 | N/A | N/A | 11519732 | 2222 | 4802 | 16023742 | N/A | 9760542 | 2025-12-10 03:44:16.488808 | 2025-10-27 21:44:20.466934 |