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 16:38:38.945919 | 2025-12-10 03:32:57.952363 | 15759754 | N/A | N/A | 61101 | HUMANA | 1114042165 | 15759754 | Athletic Physical Therapy Inc | 1959-02-22 | 2025-12-12 | M | AE | PT | ELGHANIAN | H6572019100 | KAM | 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/2222/13644533/check_15759754_f5792d4b-51dd-446e-8f80-86a094f0b24e.json | N/A | N/A | N/A | N/A | N/A | H65720191 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 657 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1959-02-22 | N/A | 5A962001 | N/A | HN | false | ELGHANIAN | N/A | KAMBIZ | 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 | 9481152009 | N/A | N/A | 13644533 | 2222 | 4802 | 16015707 | 5349 | 11234326 | 2025-12-10 03:32:57.952363 | 2026-04-14 20:04:17.055093 |
| 2025-12-09 16:38:31.124097 | 2025-12-10 03:39:39.120824 | 15759504 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15759504 | Athletic Physical Therapy Inc | 1952-07-15 | 2025-12-10 | M | AE | PT | WOLFE | 9Y10EH3AK90 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204432685.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10239788/check_15759504_f99cd80c-f3e4-4038-a987-bef66620fb5e.json | N/A | N/A | N/A | N/A | N/A | 9Y10EH3AK90 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-15 | S5617 | N/A | N/A | MA | false | WOLFE | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | 83364 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481173895 | N/A | N/A | 10239788 | 2222 | 4793 | 16021328 | N/A | 8527464 | 2025-12-10 03:39:39.120824 | 2025-10-14 15:25:46.972104 |
| 2025-12-09 16:38:24.610245 | 2025-12-10 03:36:46.259131 | 15759282 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15759282 | Athletic Physical Therapy Inc | 1952-02-16 | 2025-12-11 | M | AE | PT | Scott | XEM911093537 | Alan Timothy | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204318153.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12010278/check_15759282_dbba7a6a-ce28-44c6-8ab1-989f722766db.json | N/A | N/A | N/A | N/A | N/A | XEM911093537 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1952-02-16 | 2004SE000030 | X0001002 | N/A | OT | false | HOWARD | N/A | NANCY | 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 | 9481158318 | N/A | N/A | 12010278 | 2222 | 4802 | 16018870 | N/A | 10232028 | 2025-12-10 03:36:46.259131 | 2025-11-05 23:04:36.909932 |
| 2025-12-09 16:38:14.462170 | 2025-12-09 16:38:18.269868 | 15758933 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-01-19 | 2025-12-09 | F | AE | PT | GONZALEZ | 000022526618 | CAITLIN | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12540718/check_15758933_afc3c4c9-c9cb-4494-a146-5b5928dc218b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12540718/check_15758933_40a9b5af-7c71-4c97-b38e-3ff2ba995b5e.json | N/A | N/A | N/A | N/A | N/A | 000022526618 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 2008-01-19 | 4377125 | 104236 | N/A | N/A | false | GONZALEZ | N/A | CAITLIN | N/A | N/A | N/A | SEMPRA SOCALGAS NON-UNION | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481105758 | N/A | N/A | 12540718 | 2222 | N/A | 15995646 | N/A | 9440359 | 2025-12-09 16:38:18.269868 | 2025-10-27 23:07:07.958316 |
| 2025-12-09 16:38:00.302147 | 2025-12-10 03:48:16.122875 | 15758421 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15758421 | Athletic Physical Therapy Inc | 1956-10-03 | 2025-12-11 | F | PT | N/A | NIELSEN | MBL578W09588 | KIMBERLEY | 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/2222/11462282/check_15758421_03da1f6b-5a7b-4156-9e4b-dc37815b386e.json | N/A | N/A | N/A | N/A | N/A | MBL578W09588 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1956-10-03 | 040 | CAEGR002 | N/A | N/A | false | NIELSEN | N/A | KIMBERLEY | N/A | 9999-12-31 | 2021-10-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481165596 | N/A | N/A | 11462282 | 2222 | 4801 | 16027280 | N/A | 9712126 | 2025-12-10 03:48:16.122875 | 2025-11-07 02:53:21.972143 |
| 2025-12-09 16:37:47.994111 | 2025-12-10 03:52:27.792184 | 15757936 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15757936 | Athletic Physical Therapy Inc | 1949-10-28 | 2025-12-11 | M | AE | PT | WALROTH | 7X79TQ1VA36 | TERRY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204419722.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7785550/check_15757936_9eb890cf-efb9-4ca2-967e-3e769019c221.json | N/A | N/A | N/A | N/A | N/A | 7X79TQ1VA36 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-10-28 | N/A | N/A | N/A | MB | false | WALROTH | N/A | TERRY | N/A | N/A | N/A | N/A | N/A | 194573 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481186244 | N/A | N/A | 7785550 | 2222 | 4801 | 16031075 | N/A | 6629682 | 2025-12-10 03:52:27.792184 | 2025-08-05 17:28:10.392410 |
| 2025-12-09 16:37:45.942444 | 2025-12-10 05:35:43.148231 | 15757843 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15757843 | Athletic Physical Therapy Inc | 1963-06-22 | 2025-12-11 | M | PT | N/A | MOSS | XA910317218 | KENNETH | 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/2222/13047676/check_15757843_05aa3c4e-4ade-4a8e-9d07-f551f17e2722.json | N/A | N/A | N/A | N/A | N/A | XA910317218 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1963-06-22 | N/A | N/A | N/A | N/A | false | MOSS | N/A | KENNETH | 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 | 9481176370 | N/A | N/A | 13047676 | 2222 | 4793 | 16034752 | N/A | 11205149 | 2025-12-10 05:35:43.148231 | 2025-11-24 18:32:22.314223 |
| 2025-12-09 16:37:45.098307 | 2025-12-10 03:47:22.923543 | 15757797 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15757797 | Athletic Physical Therapy Inc | 1952-08-20 | 2025-12-12 | M | PT | N/A | POLK | MBL292M95257 | KENNETH | 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/2222/9022039/check_15757797_d6dcb20c-362f-4579-a299-75a5153ca0a2.json | N/A | N/A | N/A | N/A | N/A | MBL292M95257 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1952-08-20 | 040 | CAEGR002 | N/A | N/A | false | POLK | N/A | KENNETH | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481339397 | N/A | N/A | 9022039 | 2222 | 4801 | 16026548 | N/A | 7544773 | 2025-12-10 03:47:22.923543 | 2025-09-02 18:35:33.812098 |
| 2025-12-09 16:37:43.615264 | 2025-12-10 05:34:59.219003 | 15757717 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15757717 | Athletic Physical Therapy Inc | 1954-06-16 | 2025-12-12 | M | AE | PT | Grant | 0009933199 | Mark Antonio | 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/2222/13045814/check_15757717_7381ec21-66b5-4575-87e0-81bac56fb26d.json | N/A | N/A | N/A | N/A | N/A | 0009933199 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1954-06-16 | N/A | N/A | N/A | N/A | false | GRANT | N/A | MARK ANTONIO | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481176365 | N/A | N/A | 13045814 | 2222 | 4802 | 16034541 | N/A | 11203117 | 2025-12-10 05:34:59.219003 | 2026-01-05 17:22:32.137960 |
| 2025-12-09 16:37:41.925523 | 2025-12-10 05:45:30.637891 | 15757621 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15757621 | Athletic Physical Therapy Inc | 1957-04-20 | 2025-12-12 | F | PT | N/A | FOX | 941W2386920 | GENOVEVA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204028380.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12570095/check_15757621_9e6ed053-0586-4723-872e-e3b2c86cb266.json | N/A | N/A | N/A | N/A | N/A | 941W2386920 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1957-04-20 | N/A | N/A | N/A | N/A | false | FOX | N/A | GENOVEVA | 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 | 9481121973 | N/A | N/A | 12570095 | 2222 | 4793 | 16036826 | N/A | 10741847 | 2025-12-10 05:45:30.637891 | 2025-11-17 21:17:39.202453 |
| 2025-12-09 16:37:39.958087 | 2025-12-10 03:35:02.214530 | 15757510 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15757510 | Athletic Physical Therapy Inc | 2015-02-07 | 2025-12-11 | M | PT | N/A | HENRY | JQO465A58408 | KIRAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204220485.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13601397/check_15757510_2b3808ad-ab8f-469c-99d1-ca93877caae7.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 | 9481153276 | N/A | N/A | 13601397 | 2222 | 4793 | 16017408 | N/A | 4215004 | 2025-12-10 03:35:02.214530 | 2025-05-16 02:19:23.134024 |
| 2025-12-09 16:37:39.517454 | 2025-12-10 03:48:00.239666 | 15757491 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15757491 | Athletic Physical Therapy Inc | 1956-09-29 | 2025-12-11 | M | AE | PT | Dougherty | 00000388695 | Brian | 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/2222/11420900/check_15757491_864bea43-7388-4bf0-af85-8297272867ea.json | N/A | N/A | N/A | N/A | N/A | 00000388695 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-09-29 | H3815028 | N/A | N/A | HM | false | DOUGHERTY | N/A | BRIAN | 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 | 9481166804 | N/A | N/A | 11420900 | 2222 | 4801 | 16027056 | 2630 | 9673509 | 2025-12-10 03:48:00.239666 | 2025-12-08 18:11:10.424524 |
| 2025-12-09 16:37:39.215959 | 2025-12-10 03:48:16.526438 | 15757479 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15757479 | Athletic Physical Therapy Inc | 1961-06-24 | 2025-12-11 | M | PT | N/A | RAY | PAS838471972 | JOHN | 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/2222/11420779/check_15757479_385090f0-a281-4c77-bcda-6ffe1197d3a7.json | N/A | N/A | N/A | N/A | N/A | PAS838471972 | Preferred Provider Organization (PPO) | WEST HEALTH CARE NETWORK | ANTHEM BLUE CROSS | N/A | 1961-06-24 | N/A | 152001 | N/A | PR | false | RAY | N/A | JOHN | N/A | 2025-12-31 | 2025-06-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481166803 | N/A | N/A | 11420779 | 2222 | 4801 | 16027287 | N/A | 9673427 | 2025-12-10 03:48:16.526438 | 2025-11-03 19:27:12.288254 |
| 2025-12-09 16:37:39.116672 | 2025-12-10 03:32:20.473317 | 15757473 | N/A | N/A | 60054 | Aetna | 1114042165 | 15757473 | Athletic Physical Therapy Inc | 2013-08-17 | 2025-12-11 | F | AE | PT | RUEMMELE | W297102676 | MAKENA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.204220485.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13600510/check_15757473_1a63c7d4-65b0-47c1-a163-836635a850e6.json | N/A | N/A | N/A | N/A | N/A | W297102676 | Point of Service (POS) | RIPPLING PEO 1, INC. | AETNA | N/A | 2013-08-17 | 0169696 | 016969602100020 | N/A | PS | false | ALFONSO | N/A | TANYA | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481153272 | N/A | N/A | 13600510 | 2222 | 4793 | 16015168 | N/A | 4534546 | 2025-12-10 03:32:20.473317 | 2025-12-03 00:06:29.870228 |
| 2025-12-09 16:37:38.934167 | 2025-12-10 06:10:50.623847 | 15757468 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15757468 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-12-11 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_15757468_4ed78d97-147e-4abf-909e-b12a430c7e97.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481109831 | N/A | N/A | 5568076 | 2222 | 4802 | 16039132 | 4625 | 4209480 | 2025-12-10 06:10:50.623847 | 2026-04-10 02:05:15.976484 |
| 2025-12-09 16:37:36.836800 | 2025-12-09 16:37:37.083533 | 15757350 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15757350 | Athletic Physical Therapy Inc | 1962-05-29 | 2025-12-12 | F | PT | N/A | LARSON | XEA913804058 | DEBRA | 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 | 9562148 | 2222 | 4793 | N/A | N/A | 7997320 | 2025-12-09 16:37:37.083533 | 2025-10-02 21:07:14.563938 |
| 2025-12-09 16:37:32.670923 | 2025-12-10 06:08:32.505220 | 15757120 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15757120 | Athletic Physical Therapy Inc | 1986-10-29 | 2025-12-12 | M | AE | PT | DEROOS | 182788571 | SEAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551009/check_15757120_0e92d102-051e-4832-921e-958a0fb3a755.json | N/A | N/A | N/A | N/A | N/A | 182788571 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 1986-10-29 | 18126CA001000101 | QMXEM01910 | N/A | N/A | false | DEROOS | N/A | SEAN | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481108831 | N/A | N/A | 5551009 | 2222 | 4802 | 16038593 | 4211 | 4219827 | 2025-12-10 06:08:32.505220 | 2025-10-31 23:39:58.530194 |
| 2025-12-09 16:37:32.581294 | 2025-12-10 06:11:42.912368 | 15757116 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15757116 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-12-11 | F | PT | N/A | PANDYA | XEA913306283 | DHARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_15757116_b777aa09-0b88-4c48-82be-c00eccf3c107.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1975-08-17 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2024-06-03 | HSA RATED | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481108830 | N/A | N/A | 5550845 | 2222 | 4801 | 16039350 | N/A | 4219713 | 2025-12-10 06:11:42.912368 | 2025-08-13 22:46:55.732965 |
| 2025-12-09 16:37:32.472878 | 2025-12-10 06:14:48.553063 | 15757108 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15757108 | Athletic Physical Therapy Inc | 1954-05-11 | 2025-12-12 | M | AE | PT | A Peters | 1R78CR5JR59 | Dennis | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550025/check_15757108_2276ce8b-12d7-4e0a-9e45-cd1c3e623da8.json | N/A | N/A | N/A | N/A | N/A | 1R78CR5JR59 | N/A | N/A | CMS | N/A | 1954-05-11 | N/A | N/A | N/A | N/A | false | A PETERS | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481108829 | N/A | N/A | 5550025 | 2222 | 4801 | 16039959 | N/A | 4219449 | 2025-12-10 06:14:48.553063 | 2025-10-07 21:32:27.567534 |
| 2025-12-09 16:37:32.388996 | 2025-12-10 06:14:50.771099 | 15757105 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15757105 | Athletic Physical Therapy Inc | 1951-12-26 | 2025-12-11 | M | AE | PT | FINEBERG | 9FX3D52YD09 | MARTIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549980/check_15757105_23f4c780-359c-47fb-8f71-87c062a0c08c.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MA | false | FINEBERG | N/A | MARTIN | N/A | N/A | N/A | N/A | N/A | 268309 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481108828 | N/A | N/A | 5549980 | 2222 | 4802 | 16039966 | N/A | 4219436 | 2025-12-10 06:14:50.771099 | 2025-05-13 04:29:37.230471 |
| 2025-12-09 16:37:32.296624 | 2025-12-10 06:08:42.859045 | 15757101 | N/A | N/A | 60054 | Aetna | 1114042165 | 15757101 | Athletic Physical Therapy Inc | 1955-03-15 | 2025-12-12 | F | PT | N/A | MORTENSEN | MBL800W05634 | JEANIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549946/check_15757101_918fe558-6be4-44b7-9bf7-1a191398caab.json | N/A | N/A | N/A | N/A | N/A | MBL800W05634 | N/A | N/A | AETNA | N/A | 1955-03-15 | 0169623 | 016962301000201 | N/A | N/A | false | MORTENSEN | N/A | JEANIE | N/A | N/A | N/A | PPO DENTAL 2000 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481108827 | N/A | N/A | 5549946 | 2222 | 4801 | 16038634 | N/A | 4219431 | 2025-12-10 06:08:42.859045 | 2025-12-01 18:45:07.315802 |
| 2025-12-09 16:37:32.202807 | 2025-12-10 06:11:00.032667 | 15757097 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15757097 | Athletic Physical Therapy Inc | 1955-10-09 | 2025-12-12 | M | PT | N/A | COE | JQS589W10732 | SCOTT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549514/check_15757097_be6ebc0e-a1f6-42f9-9b40-fa9287001962.json | N/A | N/A | N/A | N/A | N/A | JQS589W10732 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1955-10-09 | 040 | CAMCRWP0 | N/A | MP | false | COE | N/A | SCOTT | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481108826 | N/A | N/A | 5549514 | 2222 | 4801 | 16039169 | 4185 | 4219161 | 2025-12-10 06:11:00.032667 | 2025-10-16 23:24:12.118501 |
| 2025-12-09 16:37:32.114152 | 2025-12-10 06:10:50.858565 | 15757090 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15757090 | Athletic Physical Therapy Inc | 1967-12-23 | 2025-12-11 | F | AE | PT | SOL | U9859952501 | ISABEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549212/check_15757090_2bf66b19-7982-44bc-8862-76c1ec6aa815.json | N/A | N/A | N/A | N/A | N/A | U9859952501 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1967-12-23 | 67138CA0520015-04 | N/A | N/A | N/A | false | SOL | N/A | ISABEL | N/A | N/A | N/A | SILVER 73 AMBETTER HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481108825 | N/A | N/A | 5549212 | 2222 | 4793 | 16039133 | N/A | 4218926 | 2025-12-10 06:10:50.858565 | 2025-07-30 14:07:18.779456 |
| 2025-12-09 16:37:32.026762 | 2025-12-10 06:08:20.993501 | 15757084 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 15757084 | Athletic Physical Therapy Inc | 1941-05-24 | 2025-12-12 | F | AE | PT | REGGIANI | 41813758 | SUSANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549015/check_15757084_2975efc8-2f39-4e5d-b1b3-42d1627578cc.json | N/A | N/A | N/A | N/A | N/A | 41813758 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1941-05-24 | 406-024-000 | N/A | N/A | N/A | false | REGGIANI | N/A | SUSANA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481108824 | N/A | N/A | 5549015 | 2222 | 4801 | 16038552 | 6798 | 4208849 | 2025-12-10 06:08:20.993501 | 2025-05-13 04:29:37.223279 |
| 2025-12-09 16:37:31.346316 | 2025-12-10 06:14:49.101738 | 15757042 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15757042 | Athletic Physical Therapy Inc | 1957-05-23 | 2025-12-11 | F | AE | PT | CEASAR | 6XR6JY3MJ89 | DEBBIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543553/check_15757042_84796392-61b6-40a6-afbc-88aae7e862ea.json | N/A | N/A | N/A | N/A | N/A | 6XR6JY3MJ89 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-23 | S5660 | N/A | N/A | MB | false | CEASAR | N/A | DEBBIE | N/A | N/A | N/A | N/A | N/A | 80448 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481108815 | N/A | N/A | 5543553 | 2222 | 4793 | 16039961 | N/A | 4215327 | 2025-12-10 06:14:49.101738 | 2025-05-13 04:29:37.229651 |
| 2025-12-09 16:37:31.255941 | 2025-12-10 06:10:34.157506 | 15757037 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15757037 | Athletic Physical Therapy Inc | 1956-05-26 | 2025-12-12 | F | AE | PT | TORRES | 40067303001 | OLGA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543371/check_15757037_313c1514-f462-4481-8672-b0888c5b5e4f.json | N/A | N/A | N/A | N/A | N/A | 40067303001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-05-26 | 2025H5425001 | H5425M | N/A | N/A | false | TORRES | N/A | OLGA | 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 | 9481108814 | N/A | N/A | 5543371 | 2222 | 4793 | 16039071 | 6237 | 4215172 | 2025-12-10 06:10:34.157506 | 2025-05-13 04:29:37.229489 |
| 2025-12-09 16:37:31.162488 | 2025-12-10 06:11:00.571490 | 15757031 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15757031 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-12-11 | F | PT | N/A | DAKE | SIF326M90066 | RENEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543355/check_15757031_777c9039-c936-4119-80ca-07dcb3736b9a.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | Preferred Provider Organization (PPO) | SISC - MEADOWS ARTS & TECH ELEMENTARY SCHOOL | ANTHEM BLUE CROSS | N/A | 1968-01-29 | 040 | 40424B | N/A | PR | false | DAKE | N/A | RENEE | N/A | 9999-12-31 | 2018-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481108813 | N/A | N/A | 5543355 | 2222 | 4793 | 16039171 | N/A | 4215158 | 2025-12-10 06:11:00.571490 | 2025-05-13 04:29:37.229475 |
| 2025-12-09 16:37:31.077677 | 2025-12-10 06:08:33.302149 | 15757027 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15757027 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-12-11 | F | AE | PT | SILVERS | 1866968 | JOIEMAY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543335/check_15757027_6e720278-21a2-4932-b586-2b3ee40024f4.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 2001-01-23 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481108812 | N/A | N/A | 5543335 | 2222 | 4802 | 16038596 | 4211 | 4215139 | 2025-12-10 06:08:33.302149 | 2025-05-13 21:20:11.455022 |
| 2025-12-09 16:37:30.977186 | 2025-12-10 06:11:42.353312 | 15757021 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15757021 | Athletic Physical Therapy Inc | 1987-10-17 | 2025-12-11 | F | PT | N/A | PATEL | XEA910759571 | MAMTABEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543327/check_15757021_1daf8179-5c78-49f5-ae20-b6e8c3038662.json | N/A | N/A | N/A | N/A | N/A | XEA910759571 | Preferred Provider Organization (PPO) | RELATIVITY SPACE INC | BLUE SHIELD CALIFORNIA | N/A | 1987-10-17 | 1000PPOX0004 | W0071038 | N/A | PR | false | KROL | N/A | JEREMY | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1650 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481108811 | N/A | N/A | 5543327 | 2222 | 4802 | 16039347 | N/A | 4215137 | 2025-12-10 06:11:42.353312 | 2025-10-13 23:09:53.444170 |
| 2025-12-09 16:37:30.870779 | 2025-12-10 06:08:32.235988 | 15757015 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15757015 | Athletic Physical Therapy Inc | 1961-07-08 | 2025-12-12 | F | AE | PT | BERRY | 606308574 | KAREN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543264/check_15757015_744c7ac2-cc94-4789-af1f-a7567e7a7adc.json | N/A | N/A | N/A | N/A | N/A | 606308574 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 1961-07-08 | 18126CA001000306 | QMXEM01910 | N/A | N/A | false | BERRY | N/A | KAREN | N/A | 2025-12-31 | 2025-09-01 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481108810 | N/A | N/A | 5543264 | 2222 | 4802 | 16038592 | 4211 | 4215080 | 2025-12-10 06:08:32.235988 | 2025-05-13 04:29:37.229395 |
| 2025-12-09 16:37:30.739987 | 2025-12-10 06:11:02.506383 | 15757010 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15757010 | Athletic Physical Therapy Inc | 1972-06-23 | 2025-12-12 | F | PT | N/A | LAWSON | JXN663W00172 | MICHELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543167/check_15757010_dade92e5-fc48-4a4d-a885-fbc94d075771.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 | 1972-06-23 | 040 | 174222M2A1 | N/A | PR | false | LAWSON | N/A | MICHELLE | N/A | 9999-12-31 | 2020-01-01 | BC PPO INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481108809 | N/A | N/A | 5543167 | 2222 | 4793 | 16039178 | N/A | 4214995 | 2025-12-10 06:11:02.506383 | 2025-05-13 04:29:37.229315 |
| 2025-12-09 16:37:30.394179 | 2025-12-10 06:11:03.871902 | 15756996 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15756996 | Athletic Physical Therapy Inc | 1963-10-10 | 2025-12-11 | F | PT | N/A | RUEGGER | MPI01409385Q | ANNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542955/check_15756996_e92465d7-9182-459e-a17f-9acffe19d074.json | N/A | N/A | N/A | N/A | N/A | MPI01409385Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN - RETIREE | ANTHEM BLUE CROSS | N/A | 1963-10-10 | 040 | 277163M406 | N/A | PR | false | RUEGGER | N/A | THOMAS | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481108808 | N/A | N/A | 5542955 | 2222 | 4793 | 16039184 | N/A | 4214809 | 2025-12-10 06:11:03.871902 | 2025-06-05 16:00:56.918021 |
| 2025-12-09 16:37:30.178142 | 2025-12-10 06:11:01.114401 | 15756982 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15756982 | Athletic Physical Therapy Inc | 1943-04-14 | 2025-12-11 | M | PT | N/A | DESMET | MBL584M98446 | GRANT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542900/check_15756982_341c2534-2dbe-46c1-9ea4-5e086832cee9.json | N/A | N/A | N/A | N/A | N/A | MBL584M98446 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1943-04-14 | 040 | CAEGR005 | N/A | N/A | false | DESMET | N/A | GRANT | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481108807 | N/A | N/A | 5542900 | 2222 | 4801 | 16039173 | N/A | 4214759 | 2025-12-10 06:11:01.114401 | 2025-05-13 04:29:37.229079 |
| 2025-12-09 16:37:30.025156 | 2025-12-10 06:11:04.155569 | 15756970 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15756970 | Athletic Physical Therapy Inc | 1949-06-30 | 2025-12-12 | F | PT | N/A | STEWART | WSP370A66341 | ALBERTA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542834/check_15756970_43a0c3af-51f3-42e6-ae3e-43ab22b87407.json | N/A | N/A | N/A | N/A | N/A | WSP370A66341 | N/A | ELEVANCE HEALTH | ANTHEM BLUE CROSS | N/A | 1949-06-30 | 130 | IN002GRS | N/A | N/A | false | STEWART | N/A | ALBERTA | N/A | 9999-12-31 | 2021-01-01 | IN GRS ELEVANCE HEALTH H4036-801 ANTHEM MED PREFER | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481108806 | N/A | N/A | 5542834 | 2222 | 4801 | 16039185 | N/A | 4214700 | 2025-12-10 06:11:04.155569 | 2025-05-13 04:29:37.229017 |
| 2025-12-09 16:37:29.883616 | 2025-12-10 06:11:42.624235 | 15756960 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15756960 | Athletic Physical Therapy Inc | 1974-06-26 | 2025-12-12 | M | PT | N/A | ARSHADNIA | XEK904721388 | SHAHRIAR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542770/check_15756960_27cf5bcc-e505-43b4-9764-f4a616c22902.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1974-06-26 | 2001ZJ002648 | X0001000 | N/A | PR | false | NOSRAT | N/A | CAROLYN | N/A | 9999-12-31 | 2016-01-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481108805 | N/A | N/A | 5542770 | 2222 | 4802 | 16039349 | N/A | 4214643 | 2025-12-10 06:11:42.624235 | 2025-05-13 04:29:37.228964 |
| 2025-12-09 16:37:29.784304 | 2025-12-10 06:10:51.361609 | 15756957 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15756957 | Athletic Physical Therapy Inc | 1979-11-17 | 2025-12-10 | F | AE | PT | WOODS | 96781627F | JESSICA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542752/check_15756957_1f17ef25-4ac2-47be-a1b0-55af43e49ba5.json | N/A | N/A | N/A | N/A | N/A | 96781627F | N/A | N/A | HEALTH NET, LLC | N/A | 1979-11-17 | N/A | N/A | N/A | N/A | false | WOODS | N/A | JESSICA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481108804 | N/A | N/A | 5542752 | 2222 | 4793 | 16039135 | 4625 | 4214627 | 2025-12-10 06:10:51.361609 | 2025-06-23 18:58:46.304598 |
| 2025-12-09 16:37:29.648643 | 2025-12-10 06:14:51.773576 | 15756950 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15756950 | Athletic Physical Therapy Inc | 1959-10-03 | 2025-12-12 | F | AE | PT | REED | 2YY5KV0WP59 | SONIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542497/check_15756950_982f18f9-481e-45a3-b16b-ca77a3ea2984.json | N/A | N/A | N/A | N/A | N/A | 2YY5KV0WP59 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-10-03 | S5617 | N/A | N/A | MB | false | REED | N/A | SONIA | N/A | N/A | N/A | N/A | N/A | 196365 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481108803 | N/A | N/A | 5542497 | 2222 | 4801 | 16039969 | N/A | 4214397 | 2025-12-10 06:14:51.773576 | 2025-05-13 04:29:37.228723 |
| 2025-12-09 16:37:29.558929 | 2025-12-10 06:14:51.057468 | 15756945 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15756945 | Athletic Physical Therapy Inc | 1953-03-17 | 2025-12-12 | F | AE | PT | MARCUS | 4VG5XF7HN64 | LISSA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542318/check_15756945_10589c11-e215-441a-b8f8-64177496a745.json | N/A | N/A | N/A | N/A | N/A | 4VG5XF7HN64 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-03-17 | S4802 | N/A | N/A | MB | false | MARCUS | N/A | LISSA | N/A | N/A | N/A | N/A | N/A | 226444 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481108802 | N/A | N/A | 5542318 | 2222 | 4802 | 16039967 | N/A | 4214241 | 2025-12-10 06:14:51.057468 | 2025-05-13 04:29:37.228574 |
| 2025-12-09 16:37:29.464210 | 2025-12-10 06:08:32.766365 | 15756939 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15756939 | Athletic Physical Therapy Inc | 1975-03-26 | 2025-12-11 | F | AE | PT | HEYES | 95596436F | DARCIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542233/check_15756939_9d47b491-1c77-409e-acd8-d65ab832b9c5.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1975-03-26 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | 2078-12-31 | 2024-04-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481108801 | N/A | N/A | 5542233 | 2222 | 4793 | 16038594 | 4211 | 4214178 | 2025-12-10 06:08:32.766365 | 2025-05-13 04:29:37.228506 |
| 2025-12-09 16:37:29.354580 | 2025-12-10 06:08:33.020828 | 15756931 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15756931 | Athletic Physical Therapy Inc | 1961-02-27 | 2025-12-12 | M | AE | PT | SHRIVER | 90771207E | DANIEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541984/check_15756931_9316b288-b0d9-43eb-badf-ac5958a19980.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-02-27 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | SHRIVER | N/A | DANIEL | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481108800 | N/A | N/A | 5541984 | 2222 | 4802 | 16038595 | 4211 | 4213934 | 2025-12-10 06:08:33.020828 | 2026-01-27 23:36:44.802366 |
| 2025-12-09 16:37:29.257286 | 2025-12-10 06:11:42.089360 | 15756929 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15756929 | Athletic Physical Therapy Inc | 1990-09-04 | 2025-12-12 | M | PT | N/A | HASHEMI | XEA914007676 | SEYED | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541956/check_15756929_b98f5f96-2416-4ba5-99f6-370dc3f752f3.json | N/A | N/A | N/A | N/A | N/A | XEA914007676 | Preferred Provider Organization (PPO) | SILVUS TECHNOLOGIES INC | BLUE SHIELD CALIFORNIA | N/A | 1990-09-04 | 1000PPOX0002 | W3000628 | N/A | PR | false | HASHEMI | N/A | SEYED MEHRDAD | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1800 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481108799 | N/A | N/A | 5541956 | 2222 | 4802 | 16039346 | N/A | 4213923 | 2025-12-10 06:11:42.089360 | 2025-05-13 04:29:37.228244 |
| 2025-12-09 16:37:29.169010 | 2025-12-10 06:11:02.242506 | 15756925 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15756925 | Athletic Physical Therapy Inc | 2009-08-02 | 2025-12-11 | F | PT | N/A | KUZMICZ | LFYHC0059374 | AUDREY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541748/check_15756925_1fa3c9ed-102b-4008-bcfe-56103736f3bb.json | N/A | N/A | N/A | N/A | N/A | LFYHC0059374 | Preferred Provider Organization (PPO) | LOS ANGELES FIREMENS RELIEF ASSOCIATION | ANTHEM BLUE CROSS | N/A | 2009-08-02 | 040 | 282527M001 | N/A | PR | false | KUZMICZ | N/A | CHRISTOPHER | N/A | 9999-12-31 | 2020-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481108798 | N/A | N/A | 5541748 | 2222 | 4801 | 16039177 | N/A | 4213741 | 2025-12-10 06:11:02.242506 | 2025-10-10 22:38:21.840610 |
| 2025-12-09 16:37:29.162413 | 2025-12-10 03:48:14.641297 | 15756924 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15756924 | Athletic Physical Therapy Inc | 1954-03-01 | 2025-12-11 | M | PT | N/A | FELLOWS | 805A69219 | WILLIAM | 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/2222/11415367/check_15756924_90f5623c-c15b-462e-9ccf-c0cfeaa35628.json | N/A | N/A | N/A | N/A | N/A | NCF805A69219 | Health Maintenance Organization (HMO) | PRUDENTIAL LIGHTING CORPORATION | ANTHEM BLUE CROSS | N/A | 1954-03-01 | 040 | 275720H004 | N/A | HM | false | FELLOWS | N/A | SUSAN J | N/A | 9999-12-31 | 2025-02-01 | VALUE COINSURANCE TRADITIONAL HMO NETWORK NON DUR | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481165813 | N/A | N/A | 11415367 | 2222 | 4801 | 16027260 | 4185 | 9670147 | 2025-12-10 03:48:14.641297 | 2025-10-23 23:05:46.960193 |
| 2025-12-09 16:37:29.091084 | 2025-12-10 06:09:53.035236 | 15756920 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 15756920 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-12-12 | M | AD | N/A | LYKIDIS | U1221753503 | JOHN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541552/check_15756920_f2c6cafb-f060-4d64-a7e6-d558f6f643d5.json | N/A | N/A | N/A | N/A | N/A | U1221753503 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 2001-11-21 | N/A | 3207160 | N/A | N/A | false | LYKIDIS | N/A | JOHN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 9481108797 | N/A | N/A | 5541552 | 2222 | 4802 | 16038911 | N/A | 4213562 | 2025-12-10 06:09:53.035236 | 2025-05-13 04:29:37.227895 |
| 2025-12-09 16:37:28.979606 | 2025-12-10 06:10:51.111023 | 15756916 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15756916 | Athletic Physical Therapy Inc | 1985-02-07 | 2025-12-12 | F | AE | PT | SHEPHERD | 93180838F | EMILY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541519/check_15756916_9f09c0ec-d4e0-475e-bee7-6317e3a83a06.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | HEALTH NET, LLC | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481108796 | N/A | N/A | 5541519 | 2222 | 4802 | 16039134 | 4625 | 4213530 | 2025-12-10 06:10:51.111023 | 2025-05-13 04:29:37.227860 |
| 2025-12-09 16:37:28.835510 | 2025-12-10 06:11:43.170318 | 15756907 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15756907 | Athletic Physical Therapy Inc | 1974-12-26 | 2025-12-12 | M | PT | N/A | SALEWSKE | 600905624 | TYSON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541518/check_15756907_588bf17a-b6a1-4025-a6f1-ce118e40aaeb.json | N/A | N/A | N/A | N/A | N/A | 600905624 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1974-12-26 | N/A | N/A | N/A | N/A | false | SALEWSKE | N/A | TYSON | 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 | 9481108795 | N/A | N/A | 5541518 | 2222 | 4793 | 16039351 | N/A | 4213526 | 2025-12-10 06:11:43.170318 | 2025-11-13 19:34:43.197819 |
| 2025-12-09 16:37:28.731387 | 2025-12-10 06:11:41.828056 | 15756902 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15756902 | Athletic Physical Therapy Inc | 1963-07-22 | 2025-12-12 | F | PT | N/A | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541314/check_15756902_43926fa7-3f3b-4784-8ccc-8686071e04a1.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 2025-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481108794 | N/A | N/A | 5541314 | 2222 | 4793 | 16039345 | N/A | 4213343 | 2025-12-10 06:11:41.828056 | 2025-06-06 02:21:37.603701 |
| 2025-12-09 16:37:28.634707 | 2025-12-10 06:14:49.720839 | 15756897 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15756897 | Athletic Physical Therapy Inc | 1956-01-14 | 2025-12-12 | F | AE | PT | COHENZADEH | 1YM2D25GY27 | SIMA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541059/check_15756897_2b9f3805-e884-4e40-ac73-86b3f70bc89d.json | N/A | N/A | N/A | N/A | N/A | 1YM2D25GY27 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-14 | S4802 | N/A | N/A | MA | false | COHENZADEH | N/A | SIMA | N/A | N/A | N/A | N/A | N/A | 38223 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481108793 | N/A | N/A | 5541059 | 2222 | 4802 | 16039963 | N/A | 4213119 | 2025-12-10 06:14:49.720839 | 2025-11-20 01:13:31.057962 |
| 2025-12-09 16:37:28.537630 | 2025-12-10 06:14:49.382674 | 15756890 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15756890 | Athletic Physical Therapy Inc | 1956-09-14 | 2025-12-12 | M | AE | PT | COHENZADEH | 7UJ5QD2DD88 | DAVOOD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540904/check_15756890_99e3d639-aec2-4dca-b5b7-7c3dac039d3b.json | N/A | N/A | N/A | N/A | N/A | 7UJ5QD2DD88 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-09-14 | S4802 | N/A | N/A | MB | false | COHENZADEH | N/A | DAVOOD | N/A | N/A | N/A | N/A | N/A | 41761 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9481108792 | N/A | N/A | 5540904 | 2222 | 4802 | 16039962 | N/A | 4212983 | 2025-12-10 06:14:49.382674 | 2025-11-19 21:27:11.455704 |
| 2025-12-09 16:37:28.432961 | 2025-12-10 06:11:01.447007 | 15756882 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15756882 | Athletic Physical Therapy Inc | 1995-06-07 | 2025-12-11 | M | PT | N/A | Greathouse | MPI30458946Q | Kheperan | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251209.203923886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540871/check_15756882_26b7b13e-2d1b-4798-955b-0dcbbf9cc3ec.json | N/A | N/A | N/A | N/A | N/A | MPI30458946Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1995-06-07 | 040 | 277163M402 | N/A | PR | false | GREATHOUSE | N/A | KHEPERAN | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481108791 | N/A | N/A | 5540871 | 2222 | 4793 | 16039174 | N/A | 4212959 | 2025-12-10 06:11:01.447007 | 2025-10-17 20:08:21.136268 |