API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-10 09:03:11.981774 | 2025-06-11 02:30:59.181811 | 8684065 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8684065 | Athletic Physical Therapy Inc | 1963-05-25 | 2025-06-12 | F | PT | GINSBERG | JQU469A62630 | LISA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539612/check_8684065_d9d77b4e-eaf1-4f69-ae23-dd20856b135a.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1963-05-25 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 9999-12-31 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881021745 | N/A | N/A | 5539612 | 2222 | 4793 | 8420640 | N/A | 4211892 | 2025-06-11 02:30:59.181811 | 2025-11-02 22:03:21.557202 |
| 2025-06-10 09:03:11.890748 | 2025-06-11 02:31:07.185367 | 8684055 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8684055 | Athletic Physical Therapy Inc | 1975-10-23 | 2025-06-13 | F | PT | MAGEE | SRYHC0157512 | JENNIFER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539606/check_8684055_e3f1c05c-e092-4d6f-9164-ea81fb6668f3.json | N/A | N/A | N/A | N/A | N/A | SRYHC0157512 | Preferred Provider Organization (PPO) | SURVEYMONKEY PPO IN STATE | ANTHEM BLUE CROSS | N/A | 1975-10-23 | 040 | L12152M001 | N/A | PR | false | MAGEE | N/A | JENNIFER | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881021744 | N/A | N/A | 5539606 | 2222 | 4793 | 8420752 | N/A | 4211886 | 2025-06-11 02:31:07.185367 | 2026-02-06 19:09:03.082684 |
| 2025-06-10 09:03:11.803663 | 2025-06-11 02:47:41.541312 | 8684044 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8684044 | Athletic Physical Therapy Inc | 1956-08-13 | 2025-06-13 | M | PT | GORODENZIK | 3MC1HC7HE13 | AMIR | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539597/check_8684044_4faeffdb-1c4a-4b37-8656-2ec0550106a9.json | N/A | N/A | N/A | N/A | N/A | 3MC1HC7HE13 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-08-13 | S5601 | N/A | N/A | MA | false | GORODENZIK | N/A | AMIR | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881021743 | N/A | N/A | 5539597 | 2222 | 4793 | 8427541 | N/A | 4211880 | 2025-06-11 02:47:41.541312 | 2025-05-13 04:29:37.226201 |
| 2025-06-10 09:03:11.701068 | 2025-06-11 02:47:44.909634 | 8684033 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8684033 | Athletic Physical Therapy Inc | 1945-12-19 | 2025-06-13 | F | PT | HUERTA | 3HK1VD9DK15 | MARIA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539369/check_8684033_89fd5f98-eea1-4d70-aec2-24dc1a75e4d7.json | N/A | N/A | N/A | N/A | N/A | 3HK1VD9DK15 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-12-19 | S5617 | N/A | N/A | MA | false | HUERTA | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881021742 | N/A | N/A | 5539369 | 2222 | 4802 | 8427554 | N/A | 4211684 | 2025-06-11 02:47:44.909634 | 2025-05-13 04:29:37.226008 |
| 2025-06-10 09:03:11.585124 | 2025-06-11 02:16:13.808481 | 8684020 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8684020 | Athletic Physical Therapy Inc | 1974-11-02 | 2025-06-12 | F | AD | CHUNG | U8197480201 | KRISTINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539237/check_8684020_c6c4e376-0dce-4a78-8487-c76951f187ed.json | N/A | N/A | N/A | N/A | N/A | U8197480201 | N/A | KONAMI DIGITAL ENTERTAINMENT, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED PERSONAL HEALTH SOLUTIONS PLUS | 1974-11-02 | N/A | 3344762 | N/A | N/A | false | CHUNG | N/A | KRISTINA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 7881021741 | N/A | N/A | 5539237 | 2222 | 4802 | 8411033 | N/A | 4211568 | 2025-06-11 02:16:13.808481 | 2025-05-13 04:29:37.225900 |
| 2025-06-10 09:03:11.417881 | 2025-06-11 02:30:59.907965 | 8684002 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8684002 | Athletic Physical Therapy Inc | 1960-08-08 | 2025-06-13 | M | PT | GINSBERG | JQU469A62630 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538693/check_8684002_755f9c20-e50b-40a9-8173-6241d52d9b46.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1960-08-08 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 9999-12-31 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881021738 | N/A | N/A | 5538693 | 2222 | 4793 | 8420650 | N/A | 4211081 | 2025-06-11 02:30:59.907965 | 2025-05-13 04:29:37.225492 |
| 2025-06-10 09:03:11.323075 | 2025-06-11 02:30:53.356313 | 8683991 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 8683991 | Athletic Physical Therapy Inc | 1951-08-02 | 2025-06-12 | M | PT | CHADIDA | XEE980517790 | DAVID | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538674/check_8683991_01792d1e-6c14-474a-8bf9-1236202c998e.json | N/A | N/A | N/A | N/A | N/A | XEE980517790 | Health Maintenance Organization (HMO) - Medicare Risk | MEDICARE ADVANTAGE INDIVIDUAL | ANTHEM BLUE CROSS | N/A | 1951-08-02 | 1000DPPOX001 | W0051752 | N/A | HN | false | CHADIDA | N/A | DAVID | N/A | N/A | N/A | BLUE SHIELD 65 PLUS OPTIONAL SUPPLEMENTAL DENTAL P | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881021737 | N/A | N/A | 5538674 | 2222 | 4793 | 8420568 | 4184 | 4211039 | 2025-06-11 02:30:53.356313 | 2025-05-13 04:29:37.225444 |
| 2025-06-10 09:03:11.243701 | 2025-06-11 02:47:25.039584 | 8683981 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8683981 | Athletic Physical Therapy Inc | 1954-01-12 | 2025-06-12 | F | AE | FINCH | 3YV4XM6FP06 | DAWN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538472/check_8683981_bef796fa-4cbe-453b-b559-93a5049806b8.json | N/A | N/A | N/A | N/A | N/A | 3YV4XM6FP06 | Medicare Part A | N/A | OPTUM INSURANCE OF OHIO, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-12 | S8841 | N/A | N/A | MA | false | FINCH | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7881021736 | N/A | N/A | 5538472 | 2222 | 4802 | 8427510 | N/A | 4210886 | 2025-06-11 02:47:25.039584 | 2025-05-13 04:29:37.225284 |
| 2025-06-10 09:03:11.167323 | 2025-06-11 02:48:24.646711 | 8683973 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8683973 | Athletic Physical Therapy Inc | 1957-07-21 | 2025-06-12 | U | PT | ROOFEH | 8QJ0UJ1EM45 | NADDER | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538287/check_8683973_eade48f8-c039-4992-be25-1279def1a30e.json | N/A | N/A | N/A | N/A | N/A | 8QJ0UJ1EM45 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-07-21 | S5617 | N/A | N/A | MB | false | ROOFEH | N/A | NADDER | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881021735 | N/A | N/A | 5538287 | 2222 | 4802 | 8427620 | N/A | 4210725 | 2025-06-11 02:48:24.646711 | 2025-06-16 16:15:05.679018 |
| 2025-06-10 09:03:11.082232 | 2025-06-11 02:42:22.447307 | 8683965 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 8683965 | Athletic Physical Therapy Inc | 1946-06-01 | 2025-06-12 | F | PT | AMIRI | 5A52N18CA24 | POURAN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538157/check_8683965_0ef2938e-da07-4220-925e-adf9ef933035.json | N/A | N/A | N/A | N/A | N/A | 5A52N18CA24 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1946-06-01 | N/A | N/A | N/A | N/A | false | AMIRI | N/A | POURAN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881021734 | N/A | N/A | 5538157 | 2222 | 4802 | 8426650 | N/A | 4210607 | 2025-06-11 02:42:22.447307 | 2025-08-01 18:31:38.620742 |
| 2025-06-10 09:03:10.998524 | 2025-06-11 02:32:53.022314 | 8683957 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8683957 | Athletic Physical Therapy Inc | 1993-09-10 | 2025-06-12 | M | AD | WARD | XED913389013 | WILLIAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538129/check_8683957_8931e291-613b-4e25-94ba-f6ed68bdba4a.json | N/A | N/A | N/A | N/A | N/A | XED913389013 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1993-09-10 | 2001ZK002169 | X0001004 | N/A | PR | false | WARD | N/A | WILLIAM | N/A | 9999-12-31 | 2024-08-01 | IFP EMB PED VISION | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 7881021733 | N/A | N/A | 5538129 | 2222 | 4802 | 8422022 | N/A | 4210590 | 2025-06-11 02:32:53.022314 | 2025-05-13 04:29:37.225004 |
| 2025-06-10 09:03:10.905388 | 2025-06-11 02:47:38.856907 | 8683946 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8683946 | Athletic Physical Therapy Inc | 1941-11-29 | 2025-06-13 | F | AE | GODBOLD | 2J64V06CN85 | SHARI | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537856/check_8683946_83a5f844-8e25-45c4-a3ea-f9106d5dbe6b.json | N/A | N/A | N/A | N/A | N/A | 2J64V06CN85 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-11-29 | S5921 | N/A | N/A | MA | false | GODBOLD | N/A | SHARI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7881021732 | N/A | N/A | 5537856 | 2222 | 4802 | 8427534 | N/A | 4210360 | 2025-06-11 02:47:38.856907 | 2025-05-13 04:29:37.224766 |
| 2025-06-10 09:03:10.793734 | 2025-06-11 02:30:50.965045 | 8683933 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8683933 | Athletic Physical Therapy Inc | 1985-10-24 | 2025-06-12 | F | PT | ARTHUR | JQU013A76182 | EMILY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537835/check_8683933_411ab2f6-de75-49ed-868b-b2b956a4a822.json | N/A | N/A | N/A | N/A | N/A | JQU013A76182 | Preferred Provider Organization (PPO) | FOCUSRITE GROUP US INC | ANTHEM BLUE CROSS | N/A | 1985-10-24 | 040 | 478491 | N/A | PR | false | BLISS | N/A | HANNAH | N/A | 9999-12-31 | 2025-06-01 | ANTHEM GOLD PPO 30/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881021731 | N/A | N/A | 5537835 | 2222 | 4802 | 8420540 | N/A | 4210344 | 2025-06-11 02:30:50.965045 | 2025-05-13 04:29:37.224750 |
| 2025-06-10 09:03:10.717959 | 2025-06-11 02:48:21.750748 | 8683925 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8683925 | Athletic Physical Therapy Inc | 1948-08-31 | 2025-06-12 | F | PT | MIYATA | 3HJ1RG9AV22 | LARAINE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537627/check_8683925_8962cf9d-7988-4f29-9cdd-f87b4879deb8.json | N/A | N/A | N/A | N/A | N/A | 3HJ1RG9AV22 | Medicare Part A | N/A | ONEBEACON INSURANCE GROUP | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-08-31 | S4802 | DOL 05242017 | N/A | MA | false | MIYATA | N/A | LARAINE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881021730 | N/A | N/A | 5537627 | 2222 | 4802 | 8427610 | N/A | 4210159 | 2025-06-11 02:48:21.750748 | 2025-05-13 04:29:37.224576 |
| 2025-06-10 09:03:10.642365 | 2025-06-11 02:30:24.288194 | 8683917 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 8683917 | Athletic Physical Therapy Inc | 1949-09-13 | 2025-06-12 | M | PT | GOMES | 00000285293 | NEMESIO | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537439/check_8683917_dc43326a-84bf-4f55-aff9-07fa023519e2.json | N/A | N/A | N/A | N/A | N/A | 00000285293 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1949-09-13 | H3815028 | N/A | N/A | HM | false | GOMES | N/A | NEMESIO | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881021729 | N/A | N/A | 5537439 | 2222 | 4801 | 8420292 | 2630 | 4210001 | 2025-06-11 02:30:24.288194 | 2025-05-13 04:29:37.224421 |
| 2025-06-10 09:03:10.565268 | 2025-06-11 02:12:14.319392 | 8683907 | N/A | N/A | 60054 | Aetna | 1114042165 | 8683907 | Athletic Physical Therapy Inc | 1964-10-19 | 2025-06-13 | M | PT | NIELSEN | W272380860 | ROY | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537178/check_8683907_0ab958fd-6524-457d-b52a-fca23b3bc620.json | N/A | N/A | N/A | N/A | N/A | W272380860 | N/A | N/A | AETNA | N/A | 1964-10-19 | 0176563 | 017656301100058 | N/A | N/A | false | NIELSEN | N/A | ROY | N/A | N/A | N/A | OPEN ACCESS MC | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881021728 | N/A | N/A | 5537178 | 2222 | 4802 | 8408267 | N/A | 4209789 | 2025-06-11 02:12:14.319392 | 2025-05-13 04:29:37.224215 |
| 2025-06-10 09:03:10.471517 | 2025-06-11 02:31:09.751989 | 8683898 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8683898 | Athletic Physical Therapy Inc | 1954-03-31 | 2025-06-12 | M | PT | MILES | MBL835W05431 | KEITH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536896/check_8683898_abd735b7-e13e-4d83-a3e4-22f347b67fc7.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881021726 | N/A | N/A | 5536896 | 2222 | 4793 | 8420791 | N/A | 4209567 | 2025-06-11 02:31:09.751989 | 2025-05-13 04:29:37.223990 |
| 2025-06-10 09:03:10.405508 | 2025-06-11 02:31:12.854415 | 8683894 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8683894 | Athletic Physical Therapy Inc | 1960-10-26 | 2025-06-12 | M | PT | SUCHER | NCF577A55433 | JAY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536746/check_8683894_f7dbc2dd-dac1-4367-b745-3abe9b94ba6f.json | N/A | N/A | N/A | N/A | N/A | NCF577A55433 | Health Maintenance Organization (HMO) | CALTECH JPL HMO ADVANTAGE | ANTHEM BLUE CROSS | N/A | 1960-10-26 | 040 | 175104H220 | N/A | HM | false | SUCHER | N/A | JAY | N/A | 9999-12-31 | 2020-01-01 | BLUE CROSS ADVANTAGE HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881021725 | N/A | N/A | 5536746 | 2222 | 4801 | 8420817 | N/A | 4209436 | 2025-06-11 02:31:12.854415 | 2025-06-27 22:58:27.733010 |
| 2025-06-10 09:03:10.316173 | 2025-06-11 02:07:40.162254 | 8683882 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8683882 | Athletic Physical Therapy Inc | 2009-12-30 | 2025-06-12 | F | AE | DICKSON | R07337778FD1 | CAILEY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536227/check_8683882_980d455d-2ed6-4f0f-b570-91bfbb0d734c.json | N/A | N/A | N/A | N/A | N/A | R07337778FD1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 2009-12-30 | N/A | N/A | N/A | N/A | false | DICKSON | N/A | CAILEY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7881021724 | N/A | N/A | 5536227 | 2222 | 4793 | 8405385 | N/A | 4209013 | 2025-06-11 02:07:40.162254 | 2025-06-03 20:19:45.253620 |
| 2025-06-10 09:03:10.191918 | 2025-06-11 02:47:57.316312 | 8683870 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8683870 | Athletic Physical Therapy Inc | 1945-09-15 | 2025-06-12 | M | PT | KHORSANDI | 3CF4YQ5UH79 | PARIVASH | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536012/check_8683870_5ad20b5a-2512-4370-bfe1-2c4a31f03810.json | N/A | N/A | N/A | N/A | N/A | 3CF4YQ5UH79 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-09-15 | S5921 | N/A | N/A | MA | false | KHORSANDI | N/A | PARIVASH | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881021723 | N/A | N/A | 5536012 | 2222 | 4802 | 8427561 | N/A | 4208831 | 2025-06-11 02:47:57.316312 | 2025-10-30 22:42:31.399473 |
| 2025-06-10 09:03:10.088057 | 2025-06-11 02:30:22.986970 | 8683860 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 8683860 | Athletic Physical Therapy Inc | 1952-10-14 | 2025-06-13 | M | PT | CHISARI | 00000386684 | THOMAS | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536007/check_8683860_2c63e078-932c-42e6-8daf-0cb10eb7a56a.json | N/A | N/A | N/A | N/A | N/A | 00000386684 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1952-10-14 | H3815028 | N/A | N/A | HM | false | CHISARI | N/A | THOMAS | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881021722 | N/A | N/A | 5536007 | 2222 | 4793 | 8420272 | N/A | 4208829 | 2025-06-11 02:30:22.986970 | 2025-06-03 01:05:45.663969 |
| 2025-06-10 09:03:09.994382 | 2025-06-11 02:08:18.320208 | 8683851 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8683851 | Athletic Physical Therapy Inc | 1961-06-27 | 2025-06-13 | F | PT | BRACKEN | NCF378A67692 | CELINA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535853/check_8683851_63b327e1-0155-43d1-ac02-4dc8e97981e3.json | N/A | N/A | N/A | N/A | N/A | NCF378A67692 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1961-06-27 | N/A | N/A | N/A | N/A | false | BRACKEN | N/A | CELINA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881021721 | N/A | N/A | 5535853 | 2222 | 4793 | 8405775 | N/A | 4208702 | 2025-06-11 02:08:18.320208 | 2025-05-13 04:29:37.223129 |
| 2025-06-10 09:03:09.890785 | 2025-06-11 02:48:30.532955 | 8683840 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8683840 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-06-13 | M | PT | ULLMAN | 3A76X26KQ40 | DAVID | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535838/check_8683840_ef3b3a8b-aaf6-4f97-8694-d12e3d057a5e.json | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881021720 | N/A | N/A | 5535838 | 2222 | 4801 | 8427633 | N/A | 4208696 | 2025-06-11 02:48:30.532955 | 2025-06-07 16:16:45.844566 |
| 2025-06-10 09:03:09.783335 | 2025-06-11 02:33:24.195383 | 8683831 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8683831 | Athletic Physical Therapy Inc | 1962-08-19 | 2025-06-13 | F | PT | FOREST | UAG827985788 | VERONICA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535501/check_8683831_c75c93c5-da40-4043-8f60-0ecf197f0d61.json | N/A | N/A | N/A | N/A | N/A | UAG827985788 | Preferred Provider Organization (PPO) | USI INSURANCE SERVICES | BLUE SHIELD OF CALIFORNIA | N/A | 1962-08-19 | N/A | 372213 | N/A | PR | false | FOREST | N/A | VERONICA | N/A | 9999-12-31 | 2025-02-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881021719 | N/A | N/A | 5535501 | 2222 | 4802 | 8422468 | N/A | 4208423 | 2025-06-11 02:33:24.195383 | 2025-05-13 04:29:37.222838 |
| 2025-06-10 09:03:09.687443 | 2025-06-11 02:07:55.684312 | 8683819 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8683819 | Athletic Physical Therapy Inc | 1941-04-16 | 2025-06-12 | F | AE | RYAN | 31026142401 | CAROL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535455/check_8683819_85725346-d45f-43f7-b85f-f3a391045233.json | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1941-04-16 | N/A | N/A | N/A | N/A | false | RYAN | N/A | CAROL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7881021718 | N/A | N/A | 5535455 | 2222 | 4793 | 8405551 | N/A | 4208375 | 2025-06-11 02:07:55.684312 | 2025-08-08 21:08:12.459471 |
| 2025-06-10 09:03:09.560276 | 2025-06-11 02:08:27.269494 | 8683806 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8683806 | Athletic Physical Therapy Inc | 1946-07-28 | 2025-06-13 | M | PT | LOGAN | 198908101 | SIDNEY | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140726752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535427/check_8683806_b6514839-0592-419c-ba33-a901290ebd62.json | N/A | N/A | N/A | N/A | N/A | 198908101 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1946-07-28 | N/A | N/A | N/A | N/A | false | LOGAN | N/A | SIDNEY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881021717 | N/A | N/A | 5535427 | 2222 | 4802 | 8405846 | N/A | 4208354 | 2025-06-11 02:08:27.269494 | 2025-05-13 04:29:37.222775 |
| 2025-06-10 09:03:09.313316 | 2025-06-11 02:27:31.407212 | 8683778 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8683778 | Athletic Physical Therapy Inc | 2014-10-30 | 2025-06-11 | F | PT | ARROCHA | M9Z801270679 | REBECCA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.141029523.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085906/check_8683778_be3ac261-e02b-4b7a-b421-6a95ccd0d490.json | N/A | N/A | N/A | N/A | N/A | M9Z801270679 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 2014-10-30 | N/A | 55060 | N/A | PR | false | ARROCHA CONTRERAS | N/A | EDGAR | N/A | 9999-12-31 | 2025-01-01 | PREFERRED CARE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881062383 | N/A | N/A | 6085906 | 2222 | 4793 | 8418764 | N/A | 4729280 | 2025-06-11 02:27:31.407212 | 2025-06-03 23:56:51.902281 |
| 2025-06-10 09:03:09.038313 | 2025-06-11 02:21:33.192447 | 8683748 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 8683748 | Athletic Physical Therapy Inc | 1954-02-25 | 2025-06-11 | F | AE | ROBERTS | 00000402630 | DEBRA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.141029523.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085762/check_8683748_383bfc19-219d-462a-ab6a-ea90c97f71fa.json | N/A | N/A | N/A | N/A | N/A | 00000402630 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1954-02-25 | H3815028 | N/A | N/A | HM | false | ROBERTS | N/A | DEBRA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7881062382 | N/A | N/A | 6085762 | 2222 | 4793 | 8415458 | N/A | 4729138 | 2025-06-11 02:21:33.192447 | 2025-05-31 14:20:56.156252 |
| 2025-06-10 09:03:07.626019 | 2025-06-11 02:48:26.019067 | 8683623 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8683623 | Athletic Physical Therapy Inc | 1959-07-07 | 2025-06-13 | M | PT | GREENFIELD | 4QM6F25PT72 | SCOTT | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.141029523.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085694/check_8683623_8ed85112-17ed-4770-8def-9040d745e3dc.json | N/A | N/A | N/A | N/A | N/A | 4QM6F25PT72 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-07 | S4802 | N/A | N/A | MA | false | GREENFIELD | N/A | SCOTT | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881062374 | N/A | N/A | 6085694 | 2222 | 4793 | 8427621 | N/A | 4729029 | 2025-06-11 02:48:26.019067 | 2025-05-30 23:20:48.860572 |
| 2025-06-10 09:03:07.136031 | 2025-06-11 02:22:21.426796 | 8683572 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8683572 | Athletic Physical Therapy Inc | 1991-01-16 | 2025-06-13 | F | PT | LI | XTS845M84428 | ZHANMEI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.141029523.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085650/check_8683572_b7eb4ec3-a3f5-4908-904e-15e856df68ec.json | N/A | N/A | N/A | N/A | N/A | XTS845M84428 | Preferred Provider Organization (PPO) | SEMTECH CORPORATION CA/OOS | ANTHEM BLUE CROSS | N/A | 1991-01-16 | 040 | 277405M037 | N/A | PR | false | HAN | N/A | PENGCHENG | N/A | 9999-12-31 | 2023-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881062370 | N/A | N/A | 6085650 | 2222 | 4793 | 8415875 | N/A | 4728966 | 2025-06-11 02:22:21.426796 | 2025-06-09 22:35:38.956800 |
| 2025-06-10 09:03:03.611756 | 2025-06-11 02:30:17.243096 | 8683249 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8683249 | Athletic Physical Therapy Inc | 1999-05-15 | 2025-06-13 | M | PT | CAMPOS | JQU035W17626 | DEVON | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140628406.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6193743/check_8683249_41727090-a744-4731-8f62-054dc32cf7c7.json | N/A | N/A | N/A | N/A | N/A | JQU035W17626 | Preferred Provider Organization (PPO) | A TECH CONSULTING INC | ANTHEM BLUE CROSS | N/A | 1999-05-15 | 040 | H27312 | N/A | PR | false | CAMPOS | N/A | DEVON | N/A | 9999-12-31 | 2025-01-01 | CA SG ANTHEM HSA | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881004063 | N/A | N/A | 6193743 | 2222 | 4802 | 8420215 | N/A | 4343457 | 2025-06-11 02:30:17.243096 | 2025-05-13 04:29:37.230935 |
| 2025-06-10 09:03:02.405468 | 2025-06-11 02:16:21.751362 | 8683133 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 8683133 | Athletic Physical Therapy Inc | 1956-11-15 | 2025-06-11 | F | PT | OROZCO | H4811970900 | BETTY | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140628406.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6193347/check_8683133_b07883d6-43a5-4e17-b0cc-4ea4b8dd5624.json | N/A | N/A | N/A | N/A | N/A | H48119709 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 557 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 | 1956-11-15 | N/A | 0B635001 | N/A | HN | false | OROZCO | N/A | BETTY | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881004057 | N/A | N/A | 6193347 | 2222 | 4801 | 8411135 | N/A | 4219752 | 2025-06-11 02:16:21.751362 | 2025-05-13 04:29:37.230794 |
| 2025-06-10 09:02:54.020163 | 2025-06-11 02:14:49.523538 | 8682264 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8682264 | Athletic Physical Therapy Inc | 1967-02-21 | 2025-06-13 | M | AD | LEVINE | 110561060 | ROCIO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140732401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5994830/check_8682264_8dec8a30-c34b-4580-8ea0-f761453269d2.json | N/A | N/A | N/A | N/A | N/A | 11056106000 | N/A | CYDCOR, LLC | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1967-02-21 | N/A | 00654768 | N/A | N/A | false | LEVINE | N/A | ROCIO | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 7881020211 | N/A | N/A | 5994830 | 2222 | 4793 | 8410107 | N/A | 4210945 | 2025-06-11 02:14:49.523538 | 2025-06-24 15:38:48.246227 |
| 2025-06-10 09:02:52.258338 | 2025-06-11 02:31:07.408944 | 8682086 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8682086 | Athletic Physical Therapy Inc | 2009-09-07 | 2025-06-11 | M | PT | CRUZ | TYW851751152 | GIOVANI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140732401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993970/check_8682086_4f13f833-8e0c-49fa-b1e8-ff0872963aa9.json | N/A | N/A | N/A | N/A | N/A | TYW851751152 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 2009-09-07 | N/A | 031843 | N/A | PR | false | CRUZ GARIBAY | N/A | JAVIER | N/A | 9999-12-31 | 2025-01-01 | BLUE PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881020189 | N/A | N/A | 5993970 | 2222 | 4801 | 8420753 | N/A | 4642901 | 2025-06-11 02:31:07.408944 | 2025-06-06 02:34:37.518805 |
| 2025-06-10 09:02:52.188279 | 2025-06-11 02:31:08.983698 | 8682079 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8682079 | Athletic Physical Therapy Inc | 1953-05-16 | 2025-06-12 | F | PT | MASUDA | MISSINGPOLICYNUMBER | MASAKO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140732401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993968/check_8682079_debc1088-bf68-402b-8788-2a93555ba6cb.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1953-05-16 | N/A | N/A | N/A | N/A | false | MASUDA | N/A | MASAKO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881020188 | N/A | N/A | 5993968 | 2222 | 4802 | 8420782 | N/A | 4642899 | 2025-06-11 02:31:08.983698 | 2025-06-06 02:16:59.685673 |
| 2025-06-10 09:02:52.085098 | 2025-06-11 02:31:05.632840 | 8682068 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8682068 | Athletic Physical Therapy Inc | 2009-04-05 | 2025-06-13 | M | PT | WISEMAN | XXP966051946 | ELIAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140732401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993964/check_8682068_3f4d09c1-6f1f-41b2-b7f3-ab052f8bbe19.json | N/A | N/A | N/A | N/A | N/A | XXP966051946 | Preferred Provider Organization (PPO) | LASTPASS | ANTHEM BLUE CROSS | N/A | 2009-04-05 | N/A | 002377750 | N/A | PR | false | ANDERSON | N/A | ERIC | N/A | 9999-12-31 | 2024-01-01 | PPO - BLUE CARE ELECT DEDUCTIBLE WITH COINSURANCE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881020187 | N/A | N/A | 5993964 | 2222 | 4801 | 8420733 | N/A | 4642896 | 2025-06-11 02:31:05.632840 | 2025-06-04 17:16:59.944493 |
| 2025-06-10 09:02:51.942682 | 2025-06-11 02:47:41.805839 | 8682055 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8682055 | Athletic Physical Therapy Inc | 1959-07-02 | 2025-06-12 | M | PT | BALLETTA | 8XJ1TM6DQ90 | EDWARD | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140732401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993961/check_8682055_b5092e31-2a7a-4a12-a08f-83ce49bbef0a.json | N/A | N/A | N/A | N/A | N/A | 8XJ1TM6DQ90 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-02 | S5617 | N/A | N/A | MB | false | BALLETTA | N/A | EDWARD | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881020186 | N/A | N/A | 5993961 | 2222 | 4793 | 8427543 | N/A | 4642893 | 2025-06-11 02:47:41.805839 | 2025-05-28 20:58:29.913655 |
| 2025-06-10 09:02:51.871855 | 2025-06-11 02:29:52.104254 | 8682047 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8682047 | Athletic Physical Therapy Inc | 1977-04-16 | 2025-06-13 | U | PT | MUDDANA | 000019632130 | MADHU | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140732401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993960/check_8682047_f06cadb0-66a1-4c3c-a5fe-7acf4d5ba241.json | N/A | N/A | N/A | N/A | N/A | 000019632130 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1977-04-16 | N/A | N/A | N/A | N/A | false | MUDDANA | N/A | MADHU | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881020185 | N/A | N/A | 5993960 | 2222 | 4801 | 8419990 | N/A | 4642894 | 2025-06-11 02:29:52.104254 | 2025-06-26 23:37:55.748278 |
| 2025-06-10 09:02:51.776922 | 2025-06-11 02:05:00.116468 | 8682039 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8682039 | Athletic Physical Therapy Inc | 1959-09-09 | 2025-06-13 | M | PT | BRUNO | NCF254A54902 | PHILLIP | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140732401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993958/check_8682039_d69b44a6-7163-4acc-90e8-07a75dcde93b.json | N/A | N/A | N/A | N/A | N/A | NCF254A54902 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1959-09-09 | N/A | N/A | N/A | N/A | false | BRUNO | N/A | PHILLIP | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881020184 | N/A | N/A | 5993958 | 2222 | 4801 | 8404053 | N/A | 4642892 | 2025-06-11 02:05:00.116468 | 2025-05-29 23:29:01.820749 |
| 2025-06-10 09:02:51.699088 | 2025-06-11 02:29:53.161836 | 8682031 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8682031 | Athletic Physical Therapy Inc | 2002-09-02 | 2025-06-13 | U | PT | TCHORBAJIAN | 000015560662 | AREN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140732401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993954/check_8682031_c2334e04-9dac-4119-8b25-111567163a14.json | N/A | N/A | N/A | N/A | N/A | 000015560662 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 2002-09-02 | N/A | N/A | N/A | N/A | false | TCHORBAJIAN | N/A | AREN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881020183 | N/A | N/A | 5993954 | 2222 | 4801 | 8419996 | N/A | 4642889 | 2025-06-11 02:29:53.161836 | 2025-06-13 05:53:58.450942 |
| 2025-06-10 09:02:51.627857 | 2025-06-11 02:11:52.494151 | 8682027 | N/A | N/A | 60054 | Aetna | 1114042165 | 8682027 | Athletic Physical Therapy Inc | 1986-01-20 | 2025-06-12 | F | PT | DAVIS | W258779471 | MARTINA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140732401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993951/check_8682027_7bc376cd-2847-48d0-a5cf-e3fb3bdb1892.json | N/A | N/A | N/A | N/A | N/A | W258779471 | Point of Service (POS) | ADP TOTALSOURCE SERVICES, INC. | AETNA | N/A | 1986-01-20 | 0251371 | 025137101900020 | N/A | PS | false | DAVIS | N/A | ASTIN | N/A | N/A | N/A | OPEN ACCESS MC | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881020182 | N/A | N/A | 5993951 | 2222 | 4802 | 8407985 | N/A | 4642884 | 2025-06-11 02:11:52.494151 | 2025-12-02 20:19:19.910444 |
| 2025-06-10 09:02:51.564661 | 2025-06-11 02:29:56.238815 | 8682018 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8682018 | Athletic Physical Therapy Inc | 1953-08-14 | 2025-06-13 | F | PT | ZIMMERMAN | 000021134035 | DEBORA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140732401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993948/check_8682018_d3583997-00b4-4b74-a457-a104c4571a5e.json | N/A | N/A | N/A | N/A | N/A | 000021134035 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1953-08-14 | 4183353 | 1650095001 | N/A | N/A | false | ZIMMERMAN | N/A | DEBORA | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 87 HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881020181 | N/A | N/A | 5993948 | 2222 | 4801 | 8420024 | N/A | 4642885 | 2025-06-11 02:29:56.238815 | 2025-06-03 23:30:41.439757 |
| 2025-06-10 09:02:51.472167 | 2025-06-11 02:31:08.572219 | 8682011 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8682011 | Athletic Physical Therapy Inc | 1991-12-24 | 2025-06-12 | M | PT | KOLKER | S4G373W20309 | JOSH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140732401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993943/check_8682011_3fb45ece-30ef-4615-95f2-38b6ae56627c.json | N/A | N/A | N/A | N/A | N/A | S4G373W20309 | Preferred Provider Organization (PPO) | HSA | ANTHEM BLUE CROSS | N/A | 1991-12-24 | 423 | 270237M3AA | N/A | PR | false | KOLKER | N/A | JOSH | N/A | 9999-12-31 | 2024-05-01 | CDHP VIRGINIA HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881020180 | N/A | N/A | 5993943 | 2222 | 4802 | 8420776 | N/A | 4642875 | 2025-06-11 02:31:08.572219 | 2025-06-06 02:22:03.703999 |
| 2025-06-10 09:02:51.389268 | 2025-06-11 02:29:54.234774 | 8682003 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8682003 | Athletic Physical Therapy Inc | 1949-03-01 | 2025-06-12 | F | PT | MIROBALLI | 000002447244 | KATHLEEN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140732401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993939/check_8682003_2e1122da-48d5-4d1d-a7f6-c2e07d440c4c.json | N/A | N/A | N/A | N/A | N/A | 000002447244 | N/A | N/A | KFHP 1000 | SRA - SENIOR ADVANTAGE | 1949-03-01 | 3064746 | 101112 | N/A | N/A | false | MIROBALLI | N/A | KATHLEEN | N/A | N/A | N/A | LOS ANGELES DEPARTMENT OF WATER & POWER - RETIREES | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881020179 | N/A | N/A | 5993939 | 2222 | 4793 | 8420004 | N/A | 4642874 | 2025-06-11 02:29:54.234774 | 2025-05-29 22:38:22.995059 |
| 2025-06-10 09:02:51.298603 | 2025-06-11 02:31:09.366990 | 8681993 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8681993 | Athletic Physical Therapy Inc | 1964-06-11 | 2025-06-12 | F | PT | MEDINA | XDP628W03244 | RACHEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140732401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993935/check_8681993_294a944d-b7cb-42d5-b476-920233b3e06f.json | N/A | N/A | N/A | N/A | N/A | XDP628W03244 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1964-06-11 | N/A | N/A | N/A | N/A | false | MEDINA | N/A | RACHEL | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881020178 | N/A | N/A | 5993935 | 2222 | 4802 | 8420787 | N/A | 4642857 | 2025-06-11 02:31:09.366990 | 2025-07-07 14:11:20.082988 |
| 2025-06-10 09:02:51.242799 | 2025-06-11 02:32:48.709505 | 8681988 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8681988 | Athletic Physical Therapy Inc | 1990-12-10 | 2025-06-13 | M | PT | DA SILVA | XEA913717284 | ALEXANDER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140732401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993933/check_8681988_84273937-25d7-46f9-b70c-572eb2017588.json | N/A | N/A | N/A | N/A | N/A | XAN913717284 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1990-12-10 | 1477PPOX0002 | W0051411 | N/A | PR | false | DA SILVA | N/A | ALEXANDER | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881020177 | N/A | N/A | 5993933 | 2222 | 4793 | 8421971 | N/A | 4642870 | 2025-06-11 02:32:48.709505 | 2025-06-06 02:32:24.489244 |
| 2025-06-10 09:02:51.184317 | 2025-06-11 02:47:45.523077 | 8681980 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8681980 | Athletic Physical Therapy Inc | 1955-12-01 | 2025-06-12 | F | PT | PARLIER | 7D70AM9KX14 | MERILEE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140732401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993924/check_8681980_cbbd6197-f245-4a78-b369-87c673415ca8.json | N/A | N/A | N/A | N/A | N/A | 7D70AM9KX14 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-12-01 | H4036 | N/A | N/A | MA | false | PARLIER | N/A | MERILEE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881020176 | N/A | N/A | 5993924 | 2222 | 4801 | 8427555 | N/A | 4642861 | 2025-06-11 02:47:45.523077 | 2025-11-25 19:25:55.074534 |
| 2025-06-10 09:02:51.115127 | 2025-06-11 02:31:09.715298 | 8681968 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8681968 | Athletic Physical Therapy Inc | 1993-10-14 | 2025-06-12 | M | PT | SPENCE | SGEFW1503472 | STEPHEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140732401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993917/check_8681968_d7ba4f2d-f6bb-4751-b611-eba85cc8a502.json | N/A | N/A | N/A | N/A | N/A | SGEFW1503472 | Preferred Provider Organization (PPO) | UNITED FOOD & COMMERCIAL WORKERS UNION | ANTHEM BLUE CROSS | N/A | 1993-10-14 | 040 | 276886M003 | N/A | PR | false | SPENCE | N/A | STEPHEN | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881020175 | N/A | N/A | 5993917 | 2222 | 4793 | 8420790 | N/A | 4642854 | 2025-06-11 02:31:09.715298 | 2025-05-28 20:57:05.075130 |
| 2025-06-10 09:02:51.021192 | 2025-06-11 02:31:06.332934 | 8681955 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 8681955 | Athletic Physical Therapy Inc | 1957-07-08 | 2025-06-12 | M | PT | CRANE | 121W1857510 | ROBIN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140732401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993914/check_8681955_cf7c958e-326a-4047-a622-5a83a4280fda.json | N/A | N/A | N/A | N/A | N/A | 121W1857510 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1957-07-08 | N/A | N/A | N/A | N/A | false | CRANE | N/A | ROBIN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7881020174 | N/A | N/A | 5993914 | 2222 | 4801 | 8420745 | 4184 | 4642853 | 2025-06-11 02:31:06.332934 | 2025-06-18 17:41:38.051091 |
| 2025-06-10 09:02:50.938451 | 2025-06-11 02:32:49.402844 | 8681948 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8681948 | Athletic Physical Therapy Inc | 1984-05-19 | 2025-06-13 | F | PT | DANG | XAN913823841 | TRAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250610.140732401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993908/check_8681948_e7456b16-677a-4ec1-ad8a-7ab4bb3ce483.json | N/A | N/A | N/A | N/A | N/A | XAN913823841 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1984-05-16 | 1479PPOX0002 | W0051411 | N/A | PR | false | DANG | N/A | TRAM | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7881020173 | N/A | N/A | 5993908 | 2222 | 4802 | 8421984 | N/A | 4534561 | 2025-06-11 02:32:49.402844 | 2025-06-02 15:59:21.578406 |