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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-08 08:31:40.470334 | 2025-12-08 08:31:44.478285 | 15719842 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-12-03 | 2025-12-11 | F | AE | PT | LEOS | 2463080-01 | ALICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11842311/check_15719842_617ebd82-4c12-4656-a5d3-e663ba98c3a1.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11842311/check_15719842_d52f468a-f314-49c5-970c-f91fc8508add.json | N/A | N/A | N/A | N/A | N/A | 246308001 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1962-12-03 | N/A | 252771 | N/A | C1 | false | LEOS | N/A | ALICIA | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11842311 | 2222 | N/A | 15944508 | N/A | 10074336 | 2025-12-08 08:31:44.478285 | 2025-11-10 00:48:51.394426 |
| 2025-12-08 08:31:38.669518 | 2025-12-08 08:31:42.175048 | 15719823 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-06-29 | 2025-12-10 | F | AE | PT | Ghahremanpour | 967262832 | Nikka | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11805214/check_15719823_f3eeefb5-31ab-4309-84d7-1d4af631435a.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11805214/check_15719823_e37d6286-1e2a-4720-9c80-1d4f121b2c1b.json | N/A | N/A | N/A | N/A | N/A | 967262832 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 2011-06-29 | N/A | 907643 | N/A | C1 | false | GHAHREMANPOUR | N/A | NIKKA | N/A | N/A | N/A | SELECT PLUS PPO CA 2023 CQI3 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11805214 | 2222 | N/A | 15944485 | N/A | 10038545 | 2025-12-08 08:31:42.175048 | 2025-10-29 17:23:04.303840 |
| 2025-12-08 08:31:38.213789 | 2025-12-08 08:31:41.629928 | 15719816 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-03-05 | 2025-12-10 | M | AE | PT | Hoisch | 822226237 | Matthew | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11803510/check_15719816_bcb7018b-9dd8-4729-a5cf-66e0282d1e99.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11803510/check_15719816_c917d29b-d405-44bd-9726-33515572f2b8.json | N/A | N/A | N/A | N/A | N/A | 822226237 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1996-03-05 | N/A | 905531 | N/A | C1 | false | HOISCH | N/A | MATTHEW | N/A | N/A | N/A | POS CHOICE PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11803510 | 2222 | N/A | 15944483 | N/A | 10037109 | 2025-12-08 08:31:41.629928 | 2025-11-17 19:02:48.042732 |
| 2025-12-08 08:31:29.237347 | 2025-12-08 08:31:32.585980 | 15719717 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-09-06 | 2025-12-11 | F | AE | PT | OLIVER | 946483728 | FIONA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11459502/check_15719717_340f4bda-bb4e-4ca8-a2c9-c535299ad6d0.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11459502/check_15719717_b25215c6-b85e-4906-a1a0-ff4dc1872e00.json | N/A | N/A | N/A | N/A | N/A | 946483728 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 2005-09-06 | N/A | 182563 | N/A | C1 | false | OLIVER | N/A | FIONA | N/A | N/A | N/A | POS CHOICE PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11459502 | 2222 | N/A | 15944393 | N/A | 9709200 | 2025-12-08 08:31:32.585980 | 2025-10-31 23:42:27.621107 |
| 2025-12-08 08:31:13.702931 | 2025-12-08 08:31:16.676445 | 15719552 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-06-09 | 2025-12-11 | F | AE | PT | DIXON | 98864903900 | JUDIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11013047/check_15719552_86212fe8-7736-46a7-a6b3-dc69129c1a5c.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11013047/check_15719552_677a43ee-5837-4c53-959a-5dfc451d3420.json | N/A | N/A | N/A | N/A | N/A | 988649039 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | N/A | 1941-06-09 | N/A | 74134 | N/A | PR | false | DIXON | N/A | JUDIE | N/A | N/A | N/A | LPPO-AARP MEDICARE ADVANTAGE FROM UHC CA-0038 (PPO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11013047 | 2222 | N/A | 15944245 | N/A | 9378405 | 2025-12-08 08:31:16.676445 | 2025-10-21 21:08:18.331994 |
| 2025-12-08 08:30:38.824129 | 2025-12-08 08:30:42.222267 | 15719170 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-12-22 | 2025-12-11 | M | AE | PT | Hsiao | 984507138 | PHINEAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9691111/check_15719170_92c157dd-e057-4b76-9851-b16faa85d5a7.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9691111/check_15719170_ef5460a0-ccce-4526-9ebf-4449b88aa673.json | N/A | N/A | N/A | N/A | N/A | 984507138 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 2011-12-22 | N/A | 14904 | N/A | C1 | false | HSIAO | N/A | PHINEAS | N/A | N/A | N/A | MEDICA PASSPORTCHO FFS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9691111 | 2222 | N/A | 15943916 | N/A | 8110062 | 2025-12-08 08:30:42.222267 | 2025-11-04 00:13:56.329364 |
| 2025-12-08 08:30:34.907011 | 2025-12-08 08:30:36.717116 | 15719126 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-07-01 | 2025-12-10 | M | AE | PT | Short | 987552320 | Sam | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9486147/check_15719126_177a939e-6ab6-44c2-9130-368630e4490f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9486147/check_15719126_c85a194d-1391-4bc0-8d7f-2c9ca30c164b.json | N/A | N/A | N/A | N/A | N/A | 987552320 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1998-07-01 | N/A | N/A | N/A | N/A | false | SHORT | N/A | SAM | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9486147 | 2222 | N/A | 15943865 | N/A | 7936262 | 2025-12-08 08:30:36.717116 | 2026-01-27 18:32:18.583878 |
| 2025-12-08 08:30:32.270558 | 2025-12-08 08:30:34.902236 | 15719097 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-07-01 | 2025-12-10 | M | AE | PT | Short | 987552320 | Sam | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9486147/check_15719097_74e7cde6-45c6-44ab-80c4-e492224d5a98.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-10 | N/A | N/A | N/A | N/A | N/A | N/A | 987552320 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1998-07-01 | N/A | N/A | N/A | N/A | false | SHORT | N/A | SAM | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9486147 | 2222 | N/A | N/A | N/A | 7936262 | 2025-12-08 08:30:34.902236 | 2026-01-27 18:32:18.583878 |
| 2025-12-08 08:30:30.697291 | 2025-12-08 08:30:30.961918 | 15719077 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-07-01 | 2025-12-10 | M | AE | PT | Short | 987552320 | Sam | N/A | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-12-10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9486147 | 2222 | N/A | N/A | N/A | 7936262 | 2025-12-08 08:30:30.961918 | 2026-01-27 18:32:18.583878 |
| 2025-12-08 08:30:22.013371 | 2025-12-08 08:30:25.936213 | 15718978 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-01-07 | 2025-12-09 | F | AE | PT | BUCHLER | 941436830 | Miroslava | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9277476/check_15718978_07ce0d7e-cf8c-4277-9aaa-db874338971f.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9277476/check_15718978_378a836a-d216-4f88-b88b-9aabfd67168b.json | N/A | N/A | N/A | N/A | N/A | 941436830 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1976-01-07 | N/A | 701444 | N/A | C1 | false | BUCHLER | N/A | MIROSLAVA | N/A | N/A | N/A | POS CHOICE PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9277476 | 2222 | N/A | 15943755 | N/A | 7785772 | 2025-12-08 08:30:25.936213 | 2025-09-16 03:06:31.754909 |
| 2025-12-08 08:29:19.417574 | 2025-12-08 08:29:22.955534 | 15718277 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-03-29 | 2025-12-10 | F | AE | PT | ALVAREZ | 2421008-02 | ROSARIO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6996230/check_15718277_c8506697-c1a3-4710-a734-7a7ad519f5b0.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6996230/check_15718277_92ffcc57-4678-4841-85e4-db82f974bc21.json | N/A | N/A | N/A | N/A | N/A | 979847724 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1966-03-29 | N/A | 369407 | N/A | C1 | false | ALVAREZ | N/A | ROSARIO | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6996230 | 2222 | N/A | 15943133 | N/A | 6016355 | 2025-12-08 08:29:22.955534 | 2025-10-30 17:36:25.778617 |
| 2025-12-08 08:28:41.058878 | 2025-12-08 08:28:44.311118 | 15717922 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-02-03 | 2025-12-10 | F | AE | PT | MCKAY | 93518017100 | JEANNETTE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6398744/check_15717922_630f97f0-db76-4e0b-8450-b1c3033e46b3.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398744/check_15717922_c2b48663-0c3c-4c1f-94b2-4fa896489f19.json | N/A | N/A | N/A | N/A | N/A | 935180171 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | N/A | 1953-02-03 | N/A | 15725 | N/A | PR | false | MCKAY | N/A | JEANNETTE | N/A | N/A | N/A | LPPO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (PP | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6398744 | 2222 | N/A | 15942815 | N/A | 5046297 | 2025-12-08 08:28:44.311118 | 2025-06-17 15:15:28.403654 |
| 2025-12-08 08:28:22.478654 | 2025-12-08 08:28:28.255385 | 15717724 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-01-26 | 2025-12-10 | M | AE | PT | VASEF | 98235678800 | IDEAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542264/check_15717724_e42e0923-ed0d-4381-ac4d-4c7d1366e7d6.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542264/check_15717724_02609215-255c-4f50-bfa9-55179aaf308a.json | N/A | N/A | N/A | N/A | N/A | 98235678800 | Commercial | N/A | UnitedHealthcare Insurance Company | N/A | 1985-01-26 | N/A | 1490012 | N/A | C1 | false | VASEF | N/A | IDEAN | N/A | N/A | N/A | Choice Plus | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542264 | 2222 | N/A | 15942667 | N/A | 4214205 | 2025-12-08 08:28:28.255385 | 2025-06-27 18:49:28.826549 |
| 2025-12-08 08:28:22.310918 | 2025-12-08 08:28:26.473852 | 15717722 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-01-04 | 2025-12-10 | M | AE | PT | GERSHMAN | 987203340 | TYLER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542830/check_15717722_907d621c-15a1-474d-b9aa-2c6135352393.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542830/check_15717722_eba15b8f-b6c5-484c-abd5-b255141ae6f0.json | N/A | N/A | N/A | N/A | N/A | 987203340 | Consolidated Omnibus Budget Reconciliation Act (COBRA) | N/A | UNITEDHEALTHCARE | N/A | 1997-01-04 | N/A | 228485 | N/A | CO | false | GERSHMAN | N/A | TYLER | N/A | N/A | N/A | SELECT PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542830 | 2222 | N/A | 15942653 | N/A | 4214699 | 2025-12-08 08:28:26.473852 | 2025-05-13 04:29:37.229016 |
| 2025-12-08 08:28:21.911940 | 2025-12-08 08:28:26.698453 | 15717720 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-04-03 | 2025-12-10 | M | AE | PT | IASCONE | 960990032400 | CRAIG | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539761/check_15717720_e0eda637-71da-4f82-994f-ff85eaf15a34.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539761/check_15717720_406b3fa0-a79e-4539-ba3e-792e79955420.json | N/A | N/A | N/A | N/A | N/A | 960990324 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | N/A | 1956-04-03 | N/A | 74134 | N/A | PR | false | IASCONE | N/A | CRAIG | N/A | N/A | N/A | LPPO-AARP MEDICARE ADVANTAGE FROM UHC CA-0038 (PPO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539761 | 2222 | N/A | 15942657 | N/A | 4212022 | 2025-12-08 08:28:26.698453 | 2025-05-13 04:29:37.226346 |
| 2025-12-08 08:28:21.783806 | 2025-12-08 08:28:25.146322 | 15717718 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-07-03 | 2025-12-11 | F | AE | PT | BUSH | 914098310 | YVONNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535687/check_15717718_b63ac5fa-5e2e-4f8e-9210-e73d9da92483.json | UHC | N/A | GOOGLE_CLOUD | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535687/check_15717718_d32ea032-4f46-41b5-9af2-f8b915def027.json | N/A | N/A | N/A | N/A | N/A | 914098310 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | N/A | 1948-07-03 | N/A | 15937 | N/A | PR | false | BUSH | N/A | YVONNE | N/A | N/A | N/A | LPPO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (PP | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5535687 | 2222 | N/A | 15942644 | N/A | 4208566 | 2025-12-08 08:28:25.146322 | 2025-11-20 20:20:17.790934 |
| 2025-12-08 08:18:29.653911 | 2025-12-08 08:19:03.591478 | 15715467 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1994-02-11 | 2025-12-10 | M | AE | PT | SOLARES | 1457494420 | WILBER | 6341 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13852801/check_15715467_3117bceb-2ee1-473d-8038-d007543fa3f4.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-12-10 | N/A | N/A | N/A | N/A | N/A | N/A | 1457494420 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 13852801 | 2222 | N/A | N/A | N/A | 12000360 | 2025-12-08 08:19:03.591478 | 2026-01-27 17:13:10.189797 |
| 2025-12-08 08:16:49.694182 | 2025-12-09 01:39:26.346281 | 15715112 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15715112 | Athletic Physical Therapy Inc | 1947-09-07 | 2025-12-10 | F | AE | PT | SHIBUYA | 9CP3FJ2AU75 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121824273.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11087596/check_15715112_0c81b3fb-df88-44e3-bb78-ef27d016f26f.json | N/A | N/A | N/A | N/A | N/A | 9CP3FJ2AU75 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-09-07 | S4802 | N/A | N/A | MA | false | SHIBUYA | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | 241000 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467595709 | N/A | N/A | 11087596 | 2222 | 4801 | 15977759 | N/A | 9440436 | 2025-12-09 01:39:26.346281 | 2025-10-28 16:54:37.049151 |
| 2025-12-08 08:16:28.411539 | 2025-12-09 01:42:33.721612 | 15714911 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15714911 | Athletic Physical Therapy Inc | 1945-08-05 | 2025-12-11 | M | AE | PT | KEARIN | 8FY8ZY5YC59 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121824273.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11013087/check_15714911_8bbcc803-5742-462e-8efe-cc6e4fa85f7b.json | N/A | N/A | N/A | N/A | N/A | 8FY8ZY5YC59 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1945-08-05 | N/A | N/A | N/A | N/A | false | KEARIN | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467595906 | N/A | N/A | 11013087 | 2222 | 4802 | 15983592 | N/A | 9378476 | 2025-12-09 01:42:33.721612 | 2025-12-16 16:36:57.740246 |
| 2025-12-08 08:15:58.428871 | 2025-12-09 01:35:49.489974 | 15714709 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15714709 | Athletic Physical Therapy Inc | 1979-08-24 | 2025-12-10 | M | PT | N/A | ANDRIEU DELILLE | PNE914532321 | AYMERIC | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121824273.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10979165/check_15714709_a7561968-0b60-4685-a48f-78dbea552e4a.json | N/A | N/A | N/A | N/A | N/A | PNE914532321 | Preferred Provider Organization (PPO) | PRIVATE NATIONAL MORTGAGE ACCEPTANCE COMPANY LLC | BLUE SHIELD CALIFORNIA | N/A | 1979-08-24 | 1000PPOX0001 | W3000535 | N/A | PR | false | ANDRIEU DELILLE | N/A | AYMERIC | N/A | N/A | N/A | PENNYMAC ASO PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467595272 | N/A | N/A | 10979165 | 2222 | 4793 | 15970374 | N/A | 4210368 | 2025-12-09 01:35:49.489974 | 2025-05-13 04:29:37.224773 |
| 2025-12-08 08:15:10.261637 | 2025-12-09 01:44:49.972923 | 15714322 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 15714322 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-12-11 | F | AE | PT | MARTIN | H71092437 | DOLLY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121618859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7293279/check_15714322_daba2316-a93b-446d-a0e9-a05c37a1b042.json | N/A | N/A | N/A | N/A | N/A | H71092437 | Supplemental Policy | HUMANA INSURANCE CO. | HUMANA | 067 005 | 1944-09-13 | N/A | R0802005 | N/A | SP | false | MARTIN | N/A | DOLLY | N/A | N/A | N/A | MEDICARE MES | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467589107 | N/A | N/A | 7293279 | 2222 | 4793 | 15984888 | N/A | 4219681 | 2025-12-09 01:44:49.972923 | 2026-01-14 20:54:02.193776 |
| 2025-12-08 08:14:51.448978 | 2025-12-09 01:35:36.061963 | 15714107 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15714107 | Athletic Physical Therapy Inc | 1963-09-07 | 2025-12-10 | M | PT | N/A | BAHR | FZX638A69335 | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121824273.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10371931/check_15714107_8797776e-8f2b-4856-837e-83654ebfca6b.json | N/A | N/A | N/A | N/A | N/A | FZX638A69335 | Preferred Provider Organization (PPO) | CDHP HSA NON-INTEGRATED BNK | ANTHEM BLUE CROSS | N/A | 1963-09-07 | 423 | 201028M2CA | N/A | PR | false | BAHR | N/A | KEVIN | N/A | 9999-12-31 | 2022-01-01 | CDHP VIRGINIA HEALTH SAVINGS ACCOUNT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467594661 | N/A | N/A | 10371931 | 2222 | 4793 | 15969905 | N/A | 8634062 | 2025-12-09 01:35:36.061963 | 2025-10-16 21:25:25.746427 |
| 2025-12-08 08:14:16.548752 | 2025-12-09 01:35:36.336604 | 15713761 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15713761 | Athletic Physical Therapy Inc | 1977-11-16 | 2025-12-10 | M | PT | N/A | COPELAND | SIF818M55219 | CHRISTOPHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121824273.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10355543/check_15713761_0006b06e-7612-41c5-92c8-8fb575f80a27.json | N/A | N/A | N/A | N/A | N/A | SIF818M55219 | Preferred Provider Organization (PPO) | SISC - VENTURA COUNTY COMMUNITY COLLEGE DISTRICT | ANTHEM BLUE CROSS | N/A | 1977-11-16 | 040 | 40971D | N/A | PR | false | COPELAND | N/A | CHRISTOPHER | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467594895 | N/A | N/A | 10355543 | 2222 | 4801 | 15969912 | N/A | 8619978 | 2025-12-09 01:35:36.336604 | 2025-10-13 20:53:09.422541 |
| 2025-12-08 08:14:12.569976 | 2025-12-09 01:48:18.432239 | 15713709 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15713709 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-12-11 | M | AE | PT | NAZARRAN | 99893792F | FARHAD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121618859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13702396/check_15713709_3c85c4cf-a7dd-4c43-b388-643dcada37a5.json | N/A | N/A | N/A | N/A | N/A | 99893792F | N/A | N/A | CENTENE CORPORATION | N/A | 1961-09-17 | N/A | N/A | N/A | N/A | false | NAZARRAN | N/A | FARHAD | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467589971 | N/A | N/A | 13702396 | 2222 | 4802 | 15985320 | N/A | 11853279 | 2025-12-09 01:48:18.432239 | 2025-12-16 22:47:56.805997 |
| 2025-12-08 08:14:04.430180 | 2025-12-09 01:50:06.472208 | 15713622 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15713622 | Athletic Physical Therapy Inc | 1957-03-11 | 2025-12-10 | M | AE | PT | Senet | ZOH250031624 | Bradley | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121618859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13657353/check_15713622_ff255253-7a52-418b-b6a5-2ebc43e12db7.json | N/A | N/A | N/A | N/A | N/A | ZOH250031624 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1957-03-11 | N/A | N/A | N/A | N/A | false | SENET | N/A | BRADLEY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467588527 | N/A | N/A | 13657353 | 2222 | 4793 | 15985566 | N/A | 11805320 | 2025-12-09 01:50:06.472208 | 2025-12-04 02:10:22.875325 |
| 2025-12-08 08:13:59.166413 | 2025-12-09 01:50:06.861591 | 15713570 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15713570 | Athletic Physical Therapy Inc | 1952-07-29 | 2025-12-11 | F | AE | PT | Wachtel | JOE236M90654 | Suzette | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121618859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13636079/check_15713570_3b10a188-9cef-4d7f-8337-b9bf52273a61.json | N/A | N/A | N/A | N/A | N/A | JQE236M90654 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-07-29 | 040 | CASUPWP0 | N/A | N/A | false | WACHTEL | N/A | SUZETTE | N/A | 9999-12-31 | 2017-08-01 | CA MODERNIZED PLAN F | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467588502 | N/A | N/A | 13636079 | 2222 | 4802 | 15985567 | N/A | 11783912 | 2025-12-09 01:50:06.861591 | 2025-12-12 16:43:29.386846 |
| 2025-12-08 08:13:35.646630 | 2025-12-09 01:50:32.013254 | 15713334 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15713334 | Athletic Physical Therapy Inc | 1950-03-28 | 2025-12-11 | M | AE | PT | MARGALITH | XEM904148831 | AVIRAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121618859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13526095/check_15713334_6d912c56-8611-42ef-9ec7-a998474b7f36.json | N/A | N/A | N/A | N/A | N/A | XEM904148831 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1950-03-28 | 2004SF000028 | X0001002 | N/A | OT | false | MARGALITH | N/A | AVIRAM | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467589022 | N/A | N/A | 13526095 | 2222 | 4802 | 15985628 | N/A | 11675973 | 2025-12-09 01:50:32.013254 | 2026-02-13 18:57:58.856823 |
| 2025-12-08 08:13:08.027303 | 2025-12-09 01:42:32.034291 | 15713040 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 15713040 | Athletic Physical Therapy Inc | 1937-01-13 | 2025-12-11 | M | AE | PT | PARKER | 04882966911 | JOHN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121618859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13432156/check_15713040_18a363d8-07c3-4812-9a8d-8fab5bd69fa5.json | N/A | N/A | N/A | N/A | N/A | 04882966911 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1937-01-13 | N/A | N/A | N/A | SP | false | PARKER | N/A | JOHN | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467588942 | N/A | N/A | 13432156 | 2222 | 4801 | 15983563 | N/A | 11154110 | 2025-12-09 01:42:32.034291 | 2025-11-18 18:40:09.680449 |
| 2025-12-08 08:12:34.408632 | 2025-12-09 01:37:14.189715 | 15712588 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15712588 | Athletic Physical Therapy Inc | 1942-02-01 | 2025-12-10 | F | AE | PT | CHANG | JQE101W06364 | QUANG | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.102433050.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11159407/check_15712588_e4fc2727-55e3-4962-8dd0-3d45d5b90a5f.json | N/A | N/A | N/A | N/A | N/A | JQE101W06364 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1942-02-01 | 040 | CASUPWP0 | N/A | N/A | false | CHANG | N/A | QUANG CHAN | N/A | 9999-12-31 | 2021-01-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467575259 | N/A | N/A | 11159407 | 2222 | 4793 | 15973151 | N/A | 9505845 | 2025-12-09 01:37:14.189715 | 2026-04-29 00:06:17.964395 |
| 2025-12-08 08:12:33.623963 | 2025-12-09 01:37:36.617336 | 15712570 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15712570 | Athletic Physical Therapy Inc | 1942-12-02 | 2025-12-11 | M | AE | PT | Lawrence | JOE083M00118 | Harvey | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.102433050.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11156182/check_15712570_064d50fa-c204-4240-9c57-944d2345130e.json | N/A | N/A | N/A | N/A | N/A | JOE083M00118 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1942-12-02 | N/A | N/A | N/A | N/A | false | LAWRENCE | N/A | HARVEY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467576303 | N/A | N/A | 11156182 | 2222 | 4802 | 15973884 | N/A | 9502693 | 2025-12-09 01:37:36.617336 | 2025-12-16 19:10:22.413376 |
| 2025-12-08 08:12:23.754280 | 2025-12-09 01:37:37.227707 | 15712361 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15712361 | Athletic Physical Therapy Inc | 1947-09-07 | 2025-12-10 | F | AE | PT | SHIBUYA | XEM906397835 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.102433050.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11087597/check_15712361_14732f20-5fa4-4a8b-b14c-4a50caf8b66a.json | N/A | N/A | N/A | N/A | N/A | XEM906397835 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1947-09-07 | 2002SD000004 | X0001002 | N/A | OT | false | SHIBUYA | N/A | LINDA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467575015 | N/A | N/A | 11087597 | 2222 | 4801 | 15973904 | N/A | 9440436 | 2025-12-09 01:37:37.227707 | 2025-10-28 16:54:37.049151 |
| 2025-12-08 08:12:19.531488 | 2025-12-09 01:37:14.798556 | 15712278 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15712278 | Athletic Physical Therapy Inc | 1945-08-05 | 2025-12-11 | M | AE | PT | KEARIN | JQE915W09564 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.102433050.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11013088/check_15712278_48d82959-f55b-4e37-940f-6c10205f4b6d.json | N/A | N/A | N/A | N/A | N/A | JQE915W09564 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1945-08-05 | 040 | CASUPWP0 | N/A | N/A | false | KEARIN | N/A | MICHAEL | N/A | 9999-12-31 | 2021-10-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467574983 | N/A | N/A | 11013088 | 2222 | 4802 | 15973171 | N/A | 9378476 | 2025-12-09 01:37:14.798556 | 2025-12-16 16:36:57.740246 |
| 2025-12-08 08:11:20.744849 | 2025-12-09 01:37:15.305596 | 15710835 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15710835 | Athletic Physical Therapy Inc | 1956-11-29 | 2025-12-10 | M | AE | PT | LYGA | LPZ819A58009 | FRANK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.102433050.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9812143/check_15710835_7bc6a0be-64f0-49da-b03a-6ee1f217df4e.json | N/A | N/A | N/A | N/A | N/A | LPZ819A58009 | Preferred Provider Organization (PPO) | LOS ANGELES POLICE RELIEF ASN INC | MEDICARE D | N/A | 1956-11-29 | 040 | 1841UV | N/A | PR | false | LYGA | N/A | FRANK | N/A | 9999-12-31 | 2024-12-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467575516 | N/A | N/A | 9812143 | 2222 | 4801 | 15973190 | N/A | 4219584 | 2025-12-09 01:37:15.305596 | 2025-09-29 18:19:47.145731 |
| 2025-12-08 08:11:16.513857 | 2025-12-09 01:36:50.013580 | 15710654 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15710654 | Athletic Physical Therapy Inc | 1959-02-09 | 2025-12-10 | F | AE | PT | FERTSCHNEIDER | JQE833W19120 | NANCY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.102516714.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7204596/check_15710654_cb26460a-9aa7-442d-a2c7-961672af8fc8.json | N/A | N/A | N/A | N/A | N/A | JQE833W19120 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-02-09 | 040 | CASUPWP0 | N/A | N/A | false | FERTSCHNEIDER | N/A | NANCY | N/A | 9999-12-31 | 2024-02-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467571978 | N/A | N/A | 7204596 | 2222 | 4801 | 15972416 | N/A | 6175435 | 2025-12-09 01:36:50.013580 | 2025-08-05 19:05:08.506352 |
| 2025-12-08 08:11:08.637735 | 2025-12-09 01:50:05.861428 | 15710334 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15710334 | Athletic Physical Therapy Inc | 1949-05-18 | 2025-12-10 | F | AE | PT | Burk | JQE091A77884 | Celine | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121618859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12839894/check_15710334_dc5f652d-961e-4d24-bc3c-0e3ef7d0e963.json | N/A | N/A | N/A | N/A | N/A | JQE091A77884 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1949-05-18 | 040 | CASUPWP0 | N/A | N/A | false | BURK | N/A | CELINE | N/A | 9999-12-31 | 2017-11-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467588124 | N/A | N/A | 12839894 | 2222 | 4802 | 15985564 | N/A | 11004269 | 2025-12-09 01:50:05.861428 | 2025-11-14 23:42:44.614455 |
| 2025-12-08 08:11:07.868399 | 2025-12-09 01:32:12.776381 | 15710300 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 15710300 | Athletic Physical Therapy Inc | 1975-12-22 | 2025-12-10 | M | PT | N/A | HUTH | XEH910929228 | KENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121220085.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7626895/check_15710300_2d8ccb51-95b5-408b-aa9f-9afd57d2cf46.json | N/A | N/A | N/A | N/A | N/A | XEH910929228 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1975-12-22 | 1000HMOX0001 | W0051411 | N/A | HM | false | HUTH | N/A | KENT | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467569190 | N/A | N/A | 7626895 | 2222 | 4793 | 15962263 | N/A | 6525917 | 2025-12-09 01:32:12.776381 | 2026-05-08 22:53:13.232007 |
| 2025-12-08 08:11:06.278431 | 2025-12-09 01:36:43.287309 | 15710227 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 15710227 | Athletic Physical Therapy Inc | 1973-05-29 | 2025-12-10 | M | AE | PT | KIM | 96135332F | JOSEPH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.102516714.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6917652/check_15710227_2ce70480-6253-4add-85c1-02bcbeda1a7d.json | N/A | N/A | N/A | N/A | N/A | 96135332F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1973-05-29 | MCLA | MWLLNMEG21 | N/A | N/A | false | KIM | N/A | JOSEPH | N/A | 2078-12-31 | 2023-09-01 | LACARE MEDICAL | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467572261 | N/A | N/A | 6917652 | 2222 | 4802 | 15972209 | N/A | 5949044 | 2025-12-09 01:36:43.287309 | 2025-07-08 23:15:13.625855 |
| 2025-12-08 08:10:55.361384 | 2025-12-09 01:36:50.326632 | 15709772 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15709772 | Athletic Physical Therapy Inc | 1959-07-23 | 2025-12-11 | M | AE | PT | Harvey | LFYHC0062508 | Roy | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.102516714.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714942/check_15709772_243cf026-a674-42bf-861e-a779a65a5c16.json | N/A | N/A | N/A | N/A | N/A | LFYHC0062508 | Preferred Provider Organization (PPO) | LOS ANGELES FIREMENS RELIEF ASSOCIATION - RETIREE | ANTHEM BLUE CROSS | N/A | 1959-07-23 | 040 | 282527M002 | N/A | PR | false | HARVEY | N/A | ROY | N/A | 9999-12-31 | 2020-02-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467570426 | N/A | N/A | 6714942 | 2222 | 4802 | 15972428 | N/A | 5316172 | 2025-12-09 01:36:50.326632 | 2025-07-02 15:09:36.678003 |
| 2025-12-08 08:10:44.597436 | 2025-12-09 01:37:34.781181 | 15709291 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15709291 | Athletic Physical Therapy Inc | 1953-06-17 | 2025-12-11 | M | AE | PT | THOMPSON | XEM906571592 | JAMES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.102516714.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577665/check_15709291_774fdb17-a4fa-4d14-9aec-c3e1edb3d57a.json | N/A | N/A | N/A | N/A | N/A | XEM906571592 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1953-06-17 | 2004SF000028 | X0001002 | N/A | OT | false | THOMPSON | N/A | JAMES | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467570740 | N/A | N/A | 6577665 | 2222 | 4793 | 15973808 | N/A | 5197700 | 2025-12-09 01:37:34.781181 | 2025-06-30 15:33:47.069983 |
| 2025-12-08 08:10:14.057978 | 2025-12-09 01:39:04.488038 | 15707770 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15707770 | Athletic Physical Therapy Inc | 1942-10-02 | 2025-12-10 | M | AE | PT | SAWAYA | 3R88YH3MG32 | PETER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121252355.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9033458/check_15707770_1f5671a2-6215-4b62-b413-722eccc65345.json | N/A | N/A | N/A | N/A | N/A | 3R88YH3MG32 | Medicare Part A | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-10-02 | S9701 | N/A | N/A | MA | false | SAWAYA | N/A | PETER | N/A | N/A | N/A | N/A | N/A | 190165 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467561128 | N/A | N/A | 9033458 | 2222 | 4802 | 15977010 | N/A | 7553607 | 2025-12-09 01:39:04.488038 | 2025-09-02 22:55:04.873891 |
| 2025-12-08 08:10:13.836254 | 2025-12-09 01:35:14.680822 | 15707758 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 15707758 | Athletic Physical Therapy Inc | 1949-06-04 | 2025-12-10 | F | AE | PT | RASMUSSEN | 00000390859 | SHARION | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121425343.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13355411/check_15707758_c744a8ed-8e5f-4471-a8b8-95453cc854b7.json | N/A | N/A | N/A | N/A | N/A | 00000390859 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-06-04 | H3815028 | N/A | N/A | HM | false | RASMUSSEN | N/A | SHARION | 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 | 9467581269 | N/A | N/A | 13355411 | 2222 | 4801 | 15969132 | N/A | 4212984 | 2025-12-09 01:35:14.680822 | 2025-11-24 23:20:09.683036 |
| 2025-12-08 08:10:13.066374 | 2025-12-09 01:32:18.689088 | 15707724 | N/A | N/A | 60054 | Aetna | 1114042165 | 15707724 | Athletic Physical Therapy Inc | 1946-06-15 | 2025-12-11 | M | AE | PT | SCHECHTER | 102181433800 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121252355.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9026590/check_15707724_ca891ce2-b6ed-4df6-a5e2-cd51800f98ce.json | N/A | N/A | N/A | N/A | N/A | 102181433800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1946-06-15 | 000003-CA000027 | 000003-CA | N/A | PR | false | SCHECHTER | N/A | STEVEN | N/A | 2026-01-01 | 2025-07-01 | AETNA MEDICARE CHOICE (PPO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467561121 | N/A | N/A | 9026590 | 2222 | 4793 | 15962513 | N/A | 7549031 | 2025-12-09 01:32:18.689088 | 2026-05-22 23:37:03.098359 |
| 2025-12-08 08:10:04.475925 | 2025-12-09 01:32:18.440198 | 15707387 | N/A | N/A | 60054 | Aetna | 1114042165 | 15707387 | Athletic Physical Therapy Inc | 1997-02-11 | 2025-12-10 | F | AE | PT | BELL | W29376563901 | FRANCESCA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121252355.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9020239/check_15707387_de5ec7d0-6b2b-4224-9f41-2197c2332767.json | N/A | N/A | N/A | N/A | N/A | W293765639 | Point of Service (POS) | VINSON & ELKINS LLP | AETNA | N/A | 1997-02-11 | 0882904 | 088290401200015 | N/A | PS | false | BELL | N/A | FRANCESCA | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467561104 | N/A | N/A | 9020239 | 2222 | 4802 | 15962500 | N/A | 7543693 | 2025-12-09 01:32:18.440198 | 2025-10-06 20:52:39.651223 |
| 2025-12-08 08:10:02.071193 | 2025-12-09 01:37:36.360357 | 15707288 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15707288 | Athletic Physical Therapy Inc | 1955-07-01 | 2025-12-09 | F | AE | PT | GREER | XEM909858172 | ROBIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.102433050.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411084/check_15707288_c2006b5b-6559-4c65-b585-b898497f0123.json | N/A | N/A | N/A | N/A | N/A | XEM909858172 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-07-01 | 2002SE000030 | X0001002 | N/A | OT | false | GREER | N/A | ROBIN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467575896 | N/A | N/A | 9411084 | 2222 | 4802 | 15973875 | N/A | 7879863 | 2025-12-09 01:37:36.360357 | 2026-02-04 18:21:13.840230 |
| 2025-12-08 08:09:50.491976 | 2025-12-09 01:35:13.284245 | 15706813 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15706813 | Athletic Physical Therapy Inc | 1949-12-31 | 2025-12-10 | M | AE | PT | TSING | 00000282272 | KONGHSUNG | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121252355.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8978036/check_15706813_007cb51f-707c-4385-8e60-081a36f19bb1.json | N/A | N/A | N/A | N/A | N/A | 00000282272 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-12-31 | H3815028 | N/A | N/A | HM | false | TSING | N/A | KONGHSUNG | 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 | 9467560124 | N/A | N/A | 8978036 | 2222 | 4793 | 15969082 | 2630 | 7492332 | 2025-12-09 01:35:13.284245 | 2025-10-01 21:03:48.525986 |
| 2025-12-08 08:09:48.256220 | 2025-12-09 01:36:50.713109 | 15706713 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15706713 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-12-11 | F | AE | PT | MARTIN | DGA11867912J | DOLLY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.102516714.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550799/check_15706713_73b23acf-ac40-4eba-ae61-bda4fc309487.json | N/A | N/A | N/A | N/A | N/A | DGA11867912J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | MEDICARE B | N/A | 1944-09-13 | 040 | 276945M001 | N/A | PR | false | MARTIN | N/A | DOLLY | N/A | 9999-12-31 | 2013-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467570344 | N/A | N/A | 5550799 | 2222 | 4793 | 15972438 | N/A | 4219681 | 2025-12-09 01:36:50.713109 | 2026-01-14 20:54:02.193776 |
| 2025-12-08 08:09:48.035270 | 2025-12-09 01:36:49.305306 | 15706703 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15706703 | Athletic Physical Therapy Inc | 1957-05-23 | 2025-12-11 | F | AE | PT | CEASAR | LFYHC0061172 | DEBBIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.102516714.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543548/check_15706703_1aef137f-05a1-470a-97e3-9807953ebbdc.json | N/A | N/A | N/A | N/A | N/A | LFYHC0061172 | Preferred Provider Organization (PPO) | LOS ANGELES FIREMENS RELIEF ASSOCIATION - RETIREE | ANTHEM BLUE CROSS | N/A | 1957-05-23 | 040 | 282527M002 | N/A | PR | false | CEASAR | N/A | JAY | N/A | 9999-12-31 | 2020-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467570342 | N/A | N/A | 5543548 | 2222 | 4793 | 15972396 | N/A | 4215327 | 2025-12-09 01:36:49.305306 | 2025-05-13 04:29:37.229651 |
| 2025-12-08 08:09:47.916899 | 2025-12-09 01:36:49.607367 | 15706698 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15706698 | Athletic Physical Therapy Inc | 1948-08-18 | 2025-12-11 | M | AE | PT | EDA | 776A78714 | MASAAKI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.102516714.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543332/check_15706698_75718797-d7b2-4771-bedd-c49bc847f58b.json | N/A | N/A | N/A | N/A | N/A | 776A78714 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1948-08-18 | N/A | N/A | N/A | N/A | false | EDA | N/A | MASAAKI | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467570341 | N/A | N/A | 5543332 | 2222 | 4802 | 15972407 | N/A | 4215140 | 2025-12-09 01:36:49.607367 | 2025-05-13 04:29:37.229453 |
| 2025-12-08 08:09:47.727432 | 2025-12-09 01:36:51.192263 | 15706689 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15706689 | Athletic Physical Therapy Inc | 1949-07-06 | 2025-12-11 | M | AE | PT | SILVERMAN | XDD460A67934 | LAWRENCE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.102516714.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541611/check_15706689_3cc8569f-1380-4455-a9fe-2df43e0e78e8.json | N/A | N/A | N/A | N/A | N/A | XDD460A67934 | Supplemental Policy | LOS ANGELES COUNTY EMPLOYEE RETIREMENT ASSOC | MEDICARE B | N/A | 1949-07-06 | 040 | 1264MD | N/A | SP | false | SILVERMAN | N/A | LAWRENCE | N/A | 9999-12-31 | 2016-04-01 | MEDICARE SUPPLEMENT-PBP PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467570340 | N/A | N/A | 5541611 | 2222 | 4793 | 15972451 | N/A | 4213611 | 2025-12-09 01:36:51.192263 | 2025-05-13 04:29:37.227938 |
| 2025-12-08 08:09:47.562171 | 2025-12-09 01:34:36.965697 | 15706683 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 15706683 | Athletic Physical Therapy Inc | 1958-02-17 | 2025-12-11 | F | AE | PT | MASATANI | U0538822602 | LAURA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.102516714.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538411/check_15706683_da278bae-96d7-403e-b8bf-9561a4588cc5.json | N/A | N/A | N/A | N/A | N/A | U0538822602 | N/A | MIZUHO BANK, LTD | CHLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PREFERRED CARE MANAGEMENT | 1958-02-17 | N/A | 3207232 | N/A | N/A | false | MASATANI | N/A | LAURA G | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467570339 | N/A | N/A | 5538411 | 2222 | 4802 | 15967774 | N/A | 4210838 | 2025-12-09 01:34:36.965697 | 2025-05-13 04:29:37.225242 |