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 | 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 08:09:47.413628 | 2025-12-09 01:39:56.637389 | 15706675 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 15706675 | Athletic Physical Therapy Inc | 1946-06-01 | 2025-12-11 | F | AE | PT | AMIRI | 5A52N18CA24 | POURAN | 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/2222/5538157/check_15706675_d69e224b-2bb5-4538-9e9f-1f498dff5280.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 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467570338 | N/A | N/A | 5538157 | 2222 | 4802 | 15978785 | N/A | 4210607 | 2025-12-09 01:39:56.637389 | 2025-08-01 18:31:38.620742 |
| 2025-12-08 08:09:47.261867 | 2025-12-09 01:31:43.407373 | 15706668 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 15706668 | Athletic Physical Therapy Inc | 1945-09-15 | 2025-12-11 | F | AE | PT | KHORSANDI | 02684303511 | PARIVASH | 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/2222/5536016/check_15706668_e66ede58-c40e-4e61-99ce-1bef2ce272d5.json | N/A | N/A | N/A | N/A | N/A | 34309193111 | 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. | 1945-09-15 | N/A | N/A | N/A | SP | false | KHORSANDI | N/A | PARIVASH | 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 | 9467570337 | N/A | N/A | 5536016 | 2222 | 4802 | 15961122 | N/A | 4208831 | 2025-12-09 01:31:43.407373 | 2025-10-30 22:42:31.399473 |
| 2025-12-08 08:09:47.029711 | 2025-12-09 01:31:43.688662 | 15706657 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 15706657 | Athletic Physical Therapy Inc | 1939-10-22 | 2025-12-11 | M | AE | PT | ODONNELL | 02722745411 | JOHN | 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/2222/5535496/check_15706657_97fc1edc-2ab0-4821-a7c0-1f05a5b7a762.json | N/A | N/A | N/A | N/A | N/A | 02722745411 | 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. | 1939-10-22 | N/A | N/A | N/A | SP | false | O DONNELL | 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 | 9467570336 | N/A | N/A | 5535496 | 2222 | 4802 | 15961134 | N/A | 4208408 | 2025-12-09 01:31:43.688662 | 2025-05-13 04:29:37.222823 |
| 2025-12-08 08:09:38.947245 | 2025-12-09 01:38:35.931446 | 15706283 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15706283 | Athletic Physical Therapy Inc | 1960-01-10 | 2025-12-10 | F | AE | PT | MAWAS | 1HM1QX0QJ05 | ASMAHAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.102525626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9765210/check_15706283_5937e8ff-e1c5-4d06-b37f-b96c3b916721.json | N/A | N/A | N/A | N/A | N/A | 1HM1QX0QJ05 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-01-10 | S5617 | N/A | N/A | MA | false | MAWAS | N/A | ASMAHAN | N/A | N/A | N/A | N/A | N/A | 48314 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467578938 | N/A | N/A | 9765210 | 2222 | 4801 | 15976012 | N/A | 8176388 | 2025-12-09 01:38:35.931446 | 2025-10-07 15:06:58.335351 |
| 2025-12-08 08:09:37.696325 | 2025-12-09 01:35:37.129928 | 15706221 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15706221 | Athletic Physical Therapy Inc | 2003-04-25 | 2025-12-10 | M | PT | N/A | GREEN | JQV184A72608 | ALLEN | 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/2222/10091887/check_15706221_e181ea6c-790b-4186-a6c9-efd994f92d59.json | N/A | N/A | N/A | N/A | N/A | JQV184A72608 | Health Maintenance Organization (HMO) | GUMM AND GREEN LLP | ANTHEM BLUE CROSS | N/A | 2003-04-25 | 040 | 428474 | N/A | HM | false | GREEN | N/A | LINDSEY | N/A | 9999-12-31 | 2025-12-01 | ANTHEM GOLD SELECT HMO 35 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467594064 | N/A | N/A | 10091887 | 2222 | 4793 | 15969936 | 4185 | 8429919 | 2025-12-09 01:35:37.129928 | 2025-10-07 22:01:52.720968 |
| 2025-12-08 08:09:37.086703 | 2025-12-09 01:35:36.670743 | 15706184 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15706184 | Athletic Physical Therapy Inc | 1976-08-13 | 2025-12-11 | F | PT | N/A | GODWIN | JPU097W07528 | CASSANDRA | 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/2222/10090153/check_15706184_176f6202-fb68-4bb2-a63b-9f6d9ec485df.json | N/A | N/A | N/A | N/A | N/A | JPU097W07528 | Preferred Provider Organization (PPO) | MAJCO LLC | ANTHEM BLUE CROSS | N/A | 1976-08-13 | 040 | 281949M014 | N/A | PR | false | GODWIN | N/A | CASSANDRA | N/A | 9999-12-31 | 2023-06-01 | SOLUTION PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467594063 | N/A | N/A | 10090153 | 2222 | 4801 | 15969923 | N/A | 8428668 | 2025-12-09 01:35:36.670743 | 2025-10-12 20:55:35.014952 |
| 2025-12-08 08:09:24.150133 | 2025-12-09 01:33:00.011160 | 15705475 | N/A | N/A | 60054 | Aetna | 1114042165 | 15705475 | Athletic Physical Therapy Inc | 1976-05-25 | 2025-12-11 | M | AE | PT | BINSON | W290639708 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121229711.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13729235/check_15705475_237eea41-6a40-47bc-9801-596cef8f1184.json | N/A | N/A | N/A | N/A | N/A | W290639708 | Point of Service (POS) | OMNICOM BENEFITS INC. | AETNA | N/A | 1976-05-25 | 0247087 | 024708701800002 | N/A | PS | false | JOSEPH | N/A | BINSON | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467564311 | N/A | N/A | 13729235 | 2222 | 4801 | 15964138 | N/A | 11880346 | 2025-12-09 01:33:00.011160 | 2025-12-11 21:31:08.022159 |
| 2025-12-08 08:09:22.466988 | 2025-12-09 01:35:19.562112 | 15705381 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15705381 | Athletic Physical Therapy Inc | 2003-05-02 | 2025-12-10 | M | PT | N/A | MUHAMMAD | XOF828514693 | KENNETH | 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/2222/8675672/check_15705381_bc12f2df-2d25-44ac-9787-d636b49ceb00.json | N/A | N/A | N/A | N/A | N/A | XOF828514693 | Preferred Provider Organization (PPO) | IBJI - BRADLEY ACTIVES | HUMANA | N/A | 2003-05-02 | N/A | PK4933 | N/A | PR | false | MUHAMMAD | N/A | KERMIT | N/A | 9999-12-31 | 2022-02-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467560895 | N/A | N/A | 8675672 | 2222 | 4793 | 15969299 | N/A | 7310369 | 2025-12-09 01:35:19.562112 | 2026-02-03 01:46:10.334485 |
| 2025-12-08 08:09:16.822859 | 2025-12-09 01:35:01.701861 | 15705108 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15705108 | Athletic Physical Therapy Inc | 1968-10-03 | 2025-12-11 | M | PT | N/A | RAMIREZ | Z7M7740597AB | CESAR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.102525626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9729132/check_15705108_d4ab7174-71cd-45d5-9690-6b247b769129.json | N/A | N/A | N/A | N/A | N/A | Z7M7740597AB | Preferred Provider Organization (PPO) | HI DED LOWER FAMILY ONLY | ANTHEM BLUE CROSS | N/A | 1968-10-03 | 241 | L11957M003 | N/A | PR | false | RAMIREZ | N/A | CESAR | N/A | 9999-12-31 | 2025-01-01 | PPO WITH MO BLUE ACCESS CHOICE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467577386 | N/A | N/A | 9729132 | 2222 | 4801 | 15968668 | N/A | 8145241 | 2025-12-09 01:35:01.701861 | 2025-09-25 17:51:33.170014 |
| 2025-12-08 08:09:15.546230 | 2025-12-09 01:31:53.860292 | 15705055 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15705055 | Athletic Physical Therapy Inc | 2014-05-27 | 2025-12-11 | F | AE | PT | Odate | 96680377F | Keina | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121220085.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7295079/check_15705055_7c50c411-4ab7-4a90-aa8a-848ce11dd105.json | N/A | N/A | N/A | N/A | N/A | 96680377F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 09/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2014-05-27 | TFU223BP0000008 | QMXEM01909 | N/A | N/A | false | ODATE | N/A | WOW | N/A | 2078-12-31 | 2025-05-01 | ADULT FAMILY - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467568159 | N/A | N/A | 7295079 | 2222 | 4802 | 15961495 | 4211 | 6254701 | 2025-12-09 01:31:53.860292 | 2026-05-21 14:19:15.159394 |
| 2025-12-08 08:09:14.407247 | 2025-12-09 01:44:44.876317 | 15705010 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15705010 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-12-11 | M | AE | PT | NAZARRAN | 62Y6KJ7TA60 | FARHAD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121229711.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13702395/check_15705010_3e9c5870-d95c-4be6-8f89-008c26697bb6.json | N/A | N/A | N/A | N/A | N/A | 62Y6KJ7TA60 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | 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 | 9467563667 | N/A | N/A | 13702395 | 2222 | 4802 | 15984860 | N/A | 11853279 | 2025-12-09 01:44:44.876317 | 2025-12-16 22:47:56.805997 |
| 2025-12-08 08:09:13.451124 | 2025-12-09 01:35:17.991678 | 15704967 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15704967 | Athletic Physical Therapy Inc | 1991-10-07 | 2025-12-10 | F | PT | N/A | BOYM | XEK903045570 | DANIELLA | 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/2222/7281036/check_15704967_eb99f939-73eb-44b8-af49-e77b5ef5d6b9.json | N/A | N/A | N/A | N/A | N/A | XEK903045570 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1991-10-07 | 2001ZJ002648 | X0001000 | N/A | PR | false | BOYM | N/A | DIMITRY | N/A | 9999-12-31 | 2024-02-01 | IFP EMB PED VISION | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467568150 | N/A | N/A | 7281036 | 2222 | 4793 | 15969248 | N/A | 6245462 | 2025-12-09 01:35:17.991678 | 2025-07-24 01:23:15.134681 |
| 2025-12-08 08:09:07.888824 | 2025-12-09 01:36:16.581428 | 15704729 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15704729 | Athletic Physical Therapy Inc | 1956-03-07 | 2025-12-11 | M | AE | PT | BURKS | 00000292168 | WESLEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121229711.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13691995/check_15704729_94f96dcd-14ca-4626-8ed9-e1fc2dc49e6c.json | N/A | N/A | N/A | N/A | N/A | 00000292168 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-03-07 | H3815028 | N/A | N/A | HM | false | BURKS | N/A | WESLEY | 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 | 9467564239 | N/A | N/A | 13691995 | 2222 | 4801 | 15971328 | 2630 | 11842216 | 2025-12-09 01:36:16.581428 | 2026-05-05 16:28:27.100977 |
| 2025-12-08 08:09:01.404634 | 2025-12-09 01:35:01.408145 | 15704375 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15704375 | Athletic Physical Therapy Inc | 1980-07-01 | 2025-12-10 | M | PT | N/A | Moreno jr | VDHE01043007 | Hector | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.102525626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9691081/check_15704375_d7957a00-8125-4101-8bba-df3512819e97.json | N/A | N/A | N/A | N/A | N/A | VDHE01043007 | Preferred Provider Organization (PPO) | DIGNITY HEALTH VENTURA | ANTHEM BLUE CROSS | N/A | 1980-07-01 | 040 | 174236M3A1 | N/A | PR | false | MORENO JR | N/A | HECTOR | N/A | 9999-12-31 | 2022-07-01 | PB INCENTIVE NO SUTTER | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467577546 | N/A | N/A | 9691081 | 2222 | 4801 | 15968657 | N/A | 8110015 | 2025-12-09 01:35:01.408145 | 2025-10-05 15:24:30.421551 |
| 2025-12-08 08:08:58.159053 | 2025-12-09 01:34:52.720300 | 15704224 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15704224 | Athletic Physical Therapy Inc | 1965-05-25 | 2025-12-11 | F | PT | N/A | CLOONAN | XDM481M99931 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121220085.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7246170/check_15704224_273141a6-bf7b-4347-9261-9b38df41862c.json | N/A | N/A | N/A | N/A | N/A | XDM481M99931 | Health Maintenance Organization (HMO) | UFCW BENEFIT FUNDS ADMIN LLC RETIREE | ANTHEM BLUE CROSS | N/A | 1965-05-25 | 040 | 282241H019 | N/A | HM | false | CLOONAN | N/A | LINDA | N/A | 9999-12-31 | 2020-12-01 | CLASSIC SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467569537 | N/A | N/A | 7246170 | 2222 | 4801 | 15968337 | 4185 | 4837995 | 2025-12-09 01:34:52.720300 | 2025-06-13 00:15:18.726975 |
| 2025-12-08 08:08:55.065951 | 2025-12-09 01:37:15.881707 | 15704073 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15704073 | Athletic Physical Therapy Inc | 1942-10-02 | 2025-12-10 | M | AE | PT | SAWAYA | XDD599A52218 | PETER | 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/2222/9033459/check_15704073_a9838241-ca74-4535-abc4-5801b7ffe0ba.json | N/A | N/A | N/A | N/A | N/A | XDD599A52218 | Indemnity | SISC - COMPANIONCARE | MEDICARE D | N/A | 1942-10-02 | 040 | 40003A | N/A | IN | false | SAWAYA | N/A | PETER | N/A | 9999-12-31 | 2023-01-01 | MEDICARE SUPPLEMENT | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467576573 | N/A | N/A | 9033459 | 2222 | 4802 | 15973206 | N/A | 7553607 | 2025-12-09 01:37:15.881707 | 2025-09-02 22:55:04.873891 |
| 2025-12-08 08:08:49.985293 | 2025-12-09 01:38:35.446469 | 15703777 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15703777 | Athletic Physical Therapy Inc | 1959-02-09 | 2025-12-10 | F | AE | PT | FERTSCHNEIDER | 4DU9YG4YD46 | NANCY | 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/2222/7204595/check_15703777_1b0c0ab0-2980-4f8d-b1c2-45ec7c136a15.json | N/A | N/A | N/A | N/A | N/A | 4DU9YG4YD46 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-09 | S5884 | N/A | N/A | MA | false | FERTSCHNEIDER | N/A | NANCY | N/A | N/A | N/A | N/A | N/A | 174660 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467568940 | N/A | N/A | 7204595 | 2222 | 4801 | 15975995 | N/A | 6175435 | 2025-12-09 01:38:35.446469 | 2025-08-05 19:05:08.506352 |
| 2025-12-08 08:08:49.889978 | 2025-12-09 01:39:03.508338 | 15703769 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15703769 | Athletic Physical Therapy Inc | 1955-11-13 | 2025-12-11 | F | AE | PT | GRANT | 9JA3JK2TK87 | ROBIN | 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/2222/8493311/check_15703769_eb1dcf91-79ee-43da-855e-69e99a544d36.json | N/A | N/A | N/A | N/A | N/A | 9JA3JK2TK87 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-11-13 | S4802 | N/A | N/A | MA | false | GRANT | N/A | ROBIN | N/A | N/A | N/A | N/A | N/A | 204837 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467560816 | N/A | N/A | 8493311 | 2222 | 4802 | 15976976 | N/A | 7159835 | 2025-12-09 01:39:03.508338 | 2025-08-25 22:38:59.735145 |
| 2025-12-08 08:08:48.133417 | 2025-12-09 01:50:06.161229 | 15703681 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15703681 | Athletic Physical Therapy Inc | 1951-08-07 | 2025-12-11 | F | AE | PT | HYATT | XEM911540996 | CINDY | 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/2222/12216825/check_15703681_11d19bdd-5a5f-414f-92f0-9ea7b2713a00.json | N/A | N/A | N/A | N/A | N/A | XEM911540996 | Supplemental Policy | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1951-08-07 | 2004SF000028 | X0001002 | N/A | SP | false | HYATT | N/A | CINDY | N/A | 2025-12-31 | 2025-07-01 | MEDICARE SUPPLEMENT DENTAL PPO 1500 AUG14 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467589596 | N/A | N/A | 12216825 | 2222 | 4802 | 15985565 | N/A | 10415709 | 2025-12-09 01:50:06.161229 | 2025-11-05 17:32:26.509741 |
| 2025-12-08 08:08:40.712198 | 2025-12-09 01:39:20.214435 | 15703203 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15703203 | Athletic Physical Therapy Inc | 1949-06-19 | 2025-12-11 | F | AE | PT | LIEBELT | 5CX2R09EP18 | MARGARET | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121425343.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13140473/check_15703203_46717bac-2317-48cf-b721-0b309972f9af.json | N/A | N/A | N/A | N/A | N/A | 5CX2R09EP18 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-06-19 | S4802 | N/A | N/A | MA | false | LIEBELT | N/A | MARGARET | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467582199 | N/A | N/A | 13140473 | 2222 | 4801 | 15977552 | N/A | 11291133 | 2025-12-09 01:39:20.214435 | 2025-11-25 01:31:31.833218 |
| 2025-12-08 08:08:39.427371 | 2025-12-09 01:36:33.370800 | 15703122 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15703122 | Athletic Physical Therapy Inc | 1946-10-06 | 2025-12-11 | F | PT | N/A | Nathanson | 490345 | Esther | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121229711.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13642000/check_15703122_643b36a2-e13c-40b4-bb11-e519c04487a0.json | N/A | N/A | N/A | N/A | N/A | 490345 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1946-10-06 | N/A | N/A | N/A | N/A | false | NATHANSON | N/A | ESTHER | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467563210 | N/A | N/A | 13642000 | 2222 | 4802 | 15971878 | N/A | 11789494 | 2025-12-09 01:36:33.370800 | 2025-12-03 18:37:13.762964 |
| 2025-12-08 08:08:35.034307 | 2025-12-09 01:44:45.579060 | 15702842 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15702842 | Athletic Physical Therapy Inc | 1952-07-29 | 2025-12-11 | F | AE | PT | Wachtel | 8GU21FH7UC95 | Suzette | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121229711.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13636078/check_15702842_79dad64b-b52b-4b67-ba28-4b943c70e189.json | N/A | N/A | N/A | N/A | N/A | 8GU21FH7UC95 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1952-07-29 | N/A | N/A | N/A | N/A | false | WACHTEL | N/A | SUZETTE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467564207 | N/A | N/A | 13636078 | 2222 | 4802 | 15984864 | N/A | 11783912 | 2025-12-09 01:44:45.579060 | 2025-12-12 16:43:29.386846 |
| 2025-12-08 08:08:31.703092 | 2025-12-09 01:34:50.004526 | 15702611 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15702611 | Athletic Physical Therapy Inc | 2009-08-12 | 2025-12-10 | M | AE | PT | Aldana | 95423949E | George | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121025330.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6568645/check_15702611_3f970750-51c2-427f-8d51-4fa853053cbf.json | N/A | N/A | N/A | N/A | N/A | 95423949E | N/A | N/A | CENTENE CORPORATION | N/A | 2009-08-12 | N/A | N/A | N/A | N/A | false | ALDANA | N/A | GEORGE | N/A | N/A | N/A | TANF | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467539999 | N/A | N/A | 6568645 | 2222 | 4802 | 15968238 | N/A | 5190481 | 2025-12-09 01:34:50.004526 | 2025-06-24 17:29:30.756528 |
| 2025-12-08 08:08:25.519402 | 2025-12-09 01:35:44.712630 | 15702154 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15702154 | Athletic Physical Therapy Inc | 1987-10-07 | 2025-12-11 | M | PT | N/A | WARD | XED911682811 | AUSTIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121425343.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13126723/check_15702154_081865ba-e1a4-4dd8-8399-0f9195fe2b86.json | N/A | N/A | N/A | N/A | N/A | XED911682811 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1987-10-07 | 2001ZK002166 | X0001004 | N/A | PR | false | WARD | N/A | AUSTIN | N/A | 9999-12-31 | 2022-10-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467581213 | N/A | N/A | 13126723 | 2222 | 4793 | 15970213 | N/A | 11277547 | 2025-12-09 01:35:44.712630 | 2026-02-16 19:33:07.484428 |
| 2025-12-08 08:08:24.179098 | 2025-12-09 01:37:36.112406 | 15702050 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15702050 | Athletic Physical Therapy Inc | 1955-11-13 | 2025-12-11 | F | AE | PT | GRANT | XEM910029614 | ROBIN | 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/2222/8493312/check_15702050_dfa87ebe-0e23-45df-b907-4d35beaf341d.json | N/A | N/A | N/A | N/A | N/A | XEM910029614 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-11-13 | 2002SE000030 | X0001002 | N/A | OT | false | GRANT | 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 | 9467575110 | N/A | N/A | 8493312 | 2222 | 4802 | 15973866 | N/A | 7159835 | 2025-12-09 01:37:36.112406 | 2025-08-25 22:38:59.735145 |
| 2025-12-08 08:08:24.083176 | 2025-12-09 01:35:39.755959 | 15702047 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15702047 | Athletic Physical Therapy Inc | 1975-08-07 | 2025-12-10 | M | PT | N/A | GEFFEN | CFT037A52287 | JASON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121025031.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12686965/check_15702047_c763f332-3db2-48ea-a96d-477d0c7b0b7c.json | N/A | N/A | N/A | N/A | N/A | CFT037A52287 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1975-08-07 | N/A | N/A | N/A | N/A | false | GEFFEN | N/A | JASON | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467543873 | N/A | N/A | 12686965 | 2222 | 4793 | 15970036 | N/A | 10856744 | 2025-12-09 01:35:39.755959 | 2025-12-29 22:47:44.157557 |
| 2025-12-08 08:08:20.617128 | 2025-12-09 01:35:01.115201 | 15701787 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15701787 | Athletic Physical Therapy Inc | 1944-02-19 | 2025-12-11 | M | PT | N/A | CHRISTIE | JQS302A78569 | GEORGE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.102525626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9635046/check_15701787_1fc5cd4f-5b94-486c-a708-5f93b16732c3.json | N/A | N/A | N/A | N/A | N/A | JQS302A78569 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1944-02-19 | 040 | CAMCRWP0 | N/A | MP | false | CHRISTIE JR | N/A | GEORGE | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467578888 | N/A | N/A | 9635046 | 2222 | 4801 | 15968647 | 4185 | 4213398 | 2025-12-09 01:35:01.115201 | 2025-09-22 22:02:57.508447 |
| 2025-12-08 08:08:19.426712 | 2025-12-09 01:39:06.796746 | 15701700 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15701700 | Athletic Physical Therapy Inc | 1947-08-18 | 2025-12-11 | F | AE | PT | FABER | 4X26K21EE83 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121025330.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_15701700_bcdfdc64-3f9b-474b-a23e-0d468e9b5805.json | N/A | N/A | N/A | N/A | N/A | 4X26K21EE83 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-08-18 | S5617 | N/A | N/A | MB | false | FABER | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | 251882 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467541018 | N/A | N/A | 6522947 | 2222 | 4802 | 15977094 | N/A | 5146127 | 2025-12-09 01:39:06.796746 | 2025-06-20 17:58:23.371130 |
| 2025-12-08 08:08:16.867442 | 2025-12-09 01:32:13.606801 | 15701505 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15701505 | Athletic Physical Therapy Inc | 1977-09-01 | 2025-12-11 | F | AE | PT | GONZALEZ | 90973117G | KARINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121025031.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12676900/check_15701505_b31e97d3-8c8a-44fa-b40a-d666b32b1fe1.json | N/A | N/A | N/A | N/A | N/A | 90973117G | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 01/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1977-09-01 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | GONZALEZ | N/A | KARINA | N/A | 2078-12-31 | 2025-09-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467543818 | N/A | N/A | 12676900 | 2222 | 4793 | 15962300 | 4211 | 10845891 | 2025-12-09 01:32:13.606801 | 2025-11-17 16:21:20.857261 |
| 2025-12-08 08:08:16.854244 | 2025-12-09 01:31:53.579806 | 15701503 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15701503 | Athletic Physical Therapy Inc | 1967-12-06 | 2025-12-09 | F | AE | PT | KLOSSOWSKI | 98920892C | TRESSA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121220085.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7019712/check_15701503_08969bc4-0465-4faa-9f1e-63c3e6688e0e.json | N/A | N/A | N/A | N/A | N/A | 98920892C | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 01/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1967-12-06 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | KLOSSOWSKI | N/A | TRESSA | N/A | 2078-12-31 | 2025-04-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467569150 | N/A | N/A | 7019712 | 2222 | 4793 | 15961487 | 4211 | 6034714 | 2025-12-09 01:31:53.579806 | 2025-07-15 18:02:59.670156 |
| 2025-12-08 08:08:09.521915 | 2025-12-09 01:36:33.908229 | 15700929 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15700929 | Athletic Physical Therapy Inc | 1984-06-20 | 2025-12-11 | M | PT | N/A | YOUSSEF | XDL437A72851 | FOUAD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121229711.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13578623/check_15700929_6f1698e9-e1b6-4624-b5b9-d142cf64200a.json | N/A | N/A | N/A | N/A | N/A | XDL437A72851 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1984-06-20 | 040 | 789100 | N/A | PR | false | YOUSSEF | N/A | FOUAD | N/A | 9999-12-31 | 2025-07-01 | PPO SHARE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467564536 | N/A | N/A | 13578623 | 2222 | 4801 | 15971892 | N/A | 11728581 | 2025-12-09 01:36:33.908229 | 2025-12-03 14:59:32.997300 |
| 2025-12-08 08:08:07.676296 | 2025-12-09 01:40:19.791883 | 15700806 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 15700806 | Athletic Physical Therapy Inc | 1989-04-29 | 2025-12-11 | F | AE | PT | OCHOA | 93495705A45309 | COURTNEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121229711.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13577417/check_15700806_e03e2b95-53f0-46cf-bf4b-51f0139420fe.json | N/A | N/A | N/A | N/A | N/A | 93495705A45309 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1989-04-29 | N/A | N/A | N/A | N/A | false | OCHOA | N/A | COURTNEY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467564531 | N/A | N/A | 13577417 | 2222 | 4802 | 15979552 | N/A | 11727433 | 2025-12-09 01:40:19.791883 | 2025-12-03 17:40:53.061344 |
| 2025-12-08 08:08:03.545621 | 2025-12-09 01:41:49.480207 | 15700546 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15700546 | Athletic Physical Therapy Inc | 1953-05-06 | 2025-12-10 | F | AE | PT | KENNEDY | 1VE8RT0TN22 | ELIZABETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121229711.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13574410/check_15700546_c5aa06d7-1ab8-4130-9f14-377b53c4e3ad.json | N/A | N/A | N/A | N/A | N/A | 1VE8RT0TN22 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-05-06 | S4802 | N/A | N/A | MA | false | KENNEDY | N/A | ELIZABETH | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467564519 | N/A | N/A | 13574410 | 2222 | 4801 | 15982555 | N/A | 4219622 | 2025-12-09 01:41:49.480207 | 2025-05-13 04:29:37.230664 |
| 2025-12-08 08:08:02.915033 | 2025-12-09 01:35:52.543580 | 15700508 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15700508 | Athletic Physical Therapy Inc | 1978-07-20 | 2025-12-10 | M | PT | N/A | LESTER | PAS811517757 | WILLIAM | 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/2222/13056730/check_15700508_7e1365d6-7fc3-4bd0-bb96-19246ef3f8a6.json | N/A | N/A | N/A | N/A | N/A | PAS811517757 | Preferred Provider Organization (PPO) | WEST HEALTH CARE NETWORK | BLUE SHIELD OF CALIFORNIA | N/A | 1978-07-20 | N/A | 152000 | N/A | PR | false | LESTER | N/A | WILLIAM | N/A | 2025-12-31 | 2025-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467580657 | N/A | N/A | 13056730 | 2222 | 4801 | 15970480 | N/A | 11213990 | 2025-12-09 01:35:52.543580 | 2025-11-19 23:10:09.275320 |
| 2025-12-08 08:08:02.307149 | 2025-12-09 03:34:33.968468 | 15700478 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15700478 | Athletic Physical Therapy Inc | 1994-07-03 | 2025-12-11 | M | PT | N/A | STEALEY | JQU013W15922 | JACOB | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.120927206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12010678/check_15700478_2ac79dea-f0f0-49fc-bcce-de89f251befa.json | N/A | N/A | N/A | N/A | N/A | JQU013W15922 | Preferred Provider Organization (PPO) | THE SAW, INC | ANTHEM BLUE CROSS | N/A | 1994-07-03 | 040 | K45474 | N/A | PR | false | STEALEY | N/A | JACOB | N/A | 9999-12-31 | 2025-02-01 | CA SG ANTHEM PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467532387 | N/A | N/A | 12010678 | 2222 | 4801 | 15987434 | N/A | 10232475 | 2025-12-09 03:34:33.968468 | 2025-11-01 00:03:21.076437 |
| 2025-12-08 08:08:00.181407 | 2025-12-09 01:35:00.806638 | 15700351 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15700351 | Athletic Physical Therapy Inc | 2016-09-02 | 2025-12-11 | M | PT | N/A | BARREDA | KXJ508W22665 | XANDER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.102525626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9561269/check_15700351_e184270c-6480-46cd-9bb2-26e4a0b0f70d.json | N/A | N/A | N/A | N/A | N/A | KXJ508W22665 | Health Maintenance Organization (HMO) | FEHBP FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM | ANTHEM BLUE CROSS | N/A | 2016-09-02 | 040 | 277579H010 | N/A | HM | false | BARREDA | N/A | JOAQUIN | N/A | 2026-01-01 | 2025-01-12 | VALUE SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467578832 | N/A | N/A | 9561269 | 2222 | 4801 | 15968638 | 4185 | 7996503 | 2025-12-09 01:35:00.806638 | 2025-09-26 19:44:10.906799 |
| 2025-12-08 08:07:56.516646 | 2025-12-09 01:35:08.132510 | 15700103 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15700103 | Athletic Physical Therapy Inc | 1958-03-23 | 2025-12-11 | F | AE | PT | Wells | 0022370783 | Paula | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121425343.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13050785/check_15700103_309893ed-14e0-40de-b2d1-b86f918c2013.json | N/A | N/A | N/A | N/A | N/A | 0022370783 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1958-03-23 | N/A | N/A | N/A | N/A | false | WELLS | N/A | PAULA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467580635 | N/A | N/A | 13050785 | 2222 | 4802 | 15968899 | N/A | 11208103 | 2025-12-09 01:35:08.132510 | 2025-11-19 20:42:38.719398 |
| 2025-12-08 08:07:56.509017 | 2025-12-09 01:35:18.755737 | 15700102 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15700102 | Athletic Physical Therapy Inc | 2011-10-18 | 2025-12-11 | F | PT | N/A | GARCIA | LDU736A55056 | SADIE | 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/2222/8387470/check_15700102_b569f429-c3b0-4d80-97bb-fd9373ab1fa0.json | N/A | N/A | N/A | N/A | N/A | LDU736A55056 | Exclusive Provider Organization | LAUSD | ANTHEM BLUE CROSS | N/A | 2011-10-18 | 040 | 1838NJ | N/A | EP | false | GARCIA | N/A | RUBEN | N/A | 2026-01-01 | 2024-01-01 | PRUDENT BUYER EXCLUSIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467559641 | N/A | N/A | 8387470 | 2222 | 4801 | 15969276 | N/A | 5132739 | 2025-12-09 01:35:18.755737 | 2025-07-14 21:32:03.363712 |
| 2025-12-08 08:07:45.543444 | 2025-12-09 01:32:23.326861 | 15699353 | N/A | N/A | 60054 | Aetna | 1114042165 | 15699353 | Athletic Physical Therapy Inc | 1968-11-30 | 2025-12-10 | F | AE | PT | Bitton MANFREDI | W228688169 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121025330.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6417889/check_15699353_ec7c2cc6-79fe-4ffa-9d9e-c317fab1ecd3.json | N/A | N/A | N/A | N/A | N/A | W228688169 | Point of Service (POS) | AIR CANADA | AETNA | N/A | 1968-11-30 | 0479208 | 047920803100012 | N/A | PS | false | BITTON MANFREDI | N/A | SANDRA | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467540694 | N/A | N/A | 6417889 | 2222 | 4793 | 15962701 | N/A | 5065591 | 2025-12-09 01:32:23.326861 | 2025-06-18 18:47:45.179937 |
| 2025-12-08 08:07:44.214049 | 2025-12-09 01:32:25.982646 | 15699260 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 15699260 | override_provider | 1965-05-26 | 2025-12-11 | M | PT | N/A | PARRA | R58564504 | GREGORY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121025031.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12566263/check_15699260_3709d78e-81a3-47a8-967c-05d750aae64e.json | N/A | N/A | N/A | N/A | N/A | R58564504 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1965-05-26 | N/A | 112 | N/A | PR | false | PARRA | N/A | GREGORY | N/A | 9999-12-31 | 2007-01-07 | BASIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467544278 | N/A | N/A | 12566263 | 2222 | 4801 | 15962810 | N/A | 10738342 | 2025-12-09 01:32:25.982646 | 2025-11-17 17:10:15.206525 |
| 2025-12-08 08:07:44.195210 | 2025-12-09 01:39:19.951975 | 15699259 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15699259 | Athletic Physical Therapy Inc | 1944-07-03 | 2025-12-11 | F | AE | PT | CAMOU | 8V27MR5GC32 | CECILIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121425343.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13042025/check_15699259_22d69f2e-64ba-4495-b934-e738cc22ea4a.json | N/A | N/A | N/A | N/A | N/A | 8V27MR5GC32 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-07-03 | S5884 | N/A | N/A | MA | false | CAMOU | N/A | CECILIA | N/A | N/A | N/A | N/A | N/A | 27677 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467581900 | N/A | N/A | 13042025 | 2222 | 4801 | 15977542 | N/A | 11199300 | 2025-12-09 01:39:19.951975 | 2025-11-19 18:06:00.743602 |
| 2025-12-08 08:07:39.878860 | 2025-12-09 01:32:23.952481 | 15698950 | N/A | N/A | 60054 | Aetna | 1114042165 | 15698950 | Athletic Physical Therapy Inc | 1960-01-04 | 2025-12-10 | F | AE | PT | MARLEY | W032070695 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.102525626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9512811/check_15698950_e1f7abdd-3da0-45f8-8e1c-c06294cd8a3e.json | N/A | N/A | N/A | N/A | N/A | W032070695 | Exclusive Provider Organization | COSTCO WHOLESALE CORPORATION | AETNA | N/A | 1960-01-04 | 0169579 | 016957901100002 | N/A | EP | false | MARLEY | N/A | MARIA | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467577637 | N/A | N/A | 9512811 | 2222 | 4801 | 15962726 | N/A | 7955514 | 2025-12-09 01:32:23.952481 | 2025-09-26 00:32:05.426711 |
| 2025-12-08 08:07:34.643338 | 2025-12-09 03:34:33.680117 | 15698618 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15698618 | Athletic Physical Therapy Inc | 1983-01-08 | 2025-12-11 | F | PT | N/A | SERRENO | 441A7301220 | BRANDEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.120927206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11937469/check_15698618_c05705a0-7c9e-4833-9166-a681691da681.json | N/A | N/A | N/A | N/A | N/A | 441A7301220 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1983-01-08 | N/A | N/A | N/A | N/A | false | SERRENO | N/A | BRANDEE | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467533378 | N/A | N/A | 11937469 | 2222 | 4801 | 15987433 | 4185 | 10164489 | 2025-12-09 03:34:33.680117 | 2025-11-13 00:06:18.666005 |
| 2025-12-08 08:07:29.160517 | 2025-12-09 01:32:23.991821 | 15698278 | N/A | N/A | 60054 | Aetna | 1114042165 | 15698278 | Athletic Physical Therapy Inc | 1991-08-09 | 2025-12-10 | M | AE | PT | TORIO | W287278504 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121025330.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6235883/check_15698278_391c3037-cde5-4193-954a-55b50156d4e6.json | N/A | N/A | N/A | N/A | N/A | W287278504 | Point of Service (POS) | COADVANTAGE RESOURCES, INC. | AETNA | N/A | 1991-08-09 | 0159468 | 015946801000034 | N/A | PS | false | TORIO | N/A | MICHAEL | N/A | N/A | N/A | OPEN ACCESS MC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467540227 | N/A | N/A | 6235883 | 2222 | 4802 | 15962724 | N/A | 4883697 | 2025-12-09 01:32:23.991821 | 2025-07-08 14:55:53.397662 |
| 2025-12-08 08:07:28.650373 | 2025-12-09 01:35:08.414869 | 15698246 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15698246 | Athletic Physical Therapy Inc | 1961-06-10 | 2025-12-10 | F | AE | PT | Boutayeb | 000007973321 | Jessie | 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/2222/13010938/check_15698246_e9ff514e-a8b3-4cb8-96bf-0d689115b014.json | N/A | N/A | N/A | N/A | N/A | 000007973321 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1961-06-10 | 4178704 | 102624 | N/A | N/A | false | BOUTAYEB | N/A | JESSIE | N/A | N/A | N/A | UNIVERSITY OF CALIFORNIA UCLA - CAMPUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467582132 | N/A | N/A | 13010938 | 2222 | 4802 | 15968911 | N/A | 11169586 | 2025-12-09 01:35:08.414869 | 2025-12-01 17:33:57.898247 |
| 2025-12-08 08:07:27.360610 | 2025-12-09 01:40:09.891786 | 15698160 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15698160 | Athletic Physical Therapy Inc | 1946-07-09 | 2025-12-10 | M | AE | PT | DAUGHERTY | 2VD0WN0UQ33 | DANNY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121025031.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12529461/check_15698160_a083c7c9-d02c-4805-8ef0-2a64cf8708eb.json | N/A | N/A | N/A | N/A | N/A | 2VD0WN0UQ33 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-07-09 | S5601 | N/A | N/A | MA | false | DAUGHERTY | N/A | DANNY | N/A | N/A | N/A | N/A | N/A | 17769 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467544220 | N/A | N/A | 12529461 | 2222 | 4801 | 15979226 | N/A | 10701683 | 2025-12-09 01:40:09.891786 | 2025-11-11 19:57:20.774649 |
| 2025-12-08 08:07:24.912066 | 2025-12-09 01:35:45.912458 | 15697986 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15697986 | Athletic Physical Therapy Inc | 1980-12-02 | 2025-12-11 | M | PT | N/A | GODINEZ | XEK907039926 | RICHARD | 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/2222/8202901/check_15697986_0f603bf9-6aa6-43db-9f67-f8b731d57dfc.json | N/A | N/A | N/A | N/A | N/A | XEK907039926 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-12-02 | 2001ZK002171 | X0001000 | N/A | PR | false | GODINEZ | N/A | RICHARD | N/A | 2025-12-31 | 2025-01-01 | SPECIALTY DUO SM | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467560737 | N/A | N/A | 8202901 | 2222 | 4793 | 15970254 | N/A | 6965521 | 2025-12-09 01:35:45.912458 | 2025-09-10 21:42:23.177790 |
| 2025-12-08 08:07:23.394453 | 2025-12-09 01:34:56.441807 | 15697869 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15697869 | Athletic Physical Therapy Inc | 1955-08-03 | 2025-12-10 | M | AE | PT | Eisenberg | 000000569463 | Paul | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121025031.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12524155/check_15697869_847c0879-07f4-4fd5-ae81-c4436610ddd8.json | N/A | N/A | N/A | N/A | N/A | 000000569463 | N/A | N/A | KP MEDICARE | MDC - MEDICAID | 1955-08-03 | 4295404 | 1650095002 | N/A | N/A | false | EISENBERG | N/A | PAUL | N/A | N/A | N/A | MEDI-CAL LA CARE HEALTH PLAN MM DISABLED FULL DUAL | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467543504 | N/A | N/A | 12524155 | 2222 | 4802 | 15968469 | N/A | 10696748 | 2025-12-09 01:34:56.441807 | 2025-11-10 21:50:10.385299 |
| 2025-12-08 08:07:14.396435 | 2025-12-09 01:32:55.558303 | 15697202 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 15697202 | Athletic Physical Therapy Inc | 1968-12-28 | 2025-12-11 | F | AE | PT | TAYLOR | H79560388 | JOY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121220085.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6892305/check_15697202_862214df-8dc1-4778-ab00-27740ba58f6d.json | N/A | N/A | N/A | N/A | N/A | H79560388 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1968-12-28 | N/A | 0B527001 | N/A | HN | false | TAYLOR | N/A | JOY | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467568845 | N/A | N/A | 6892305 | 2222 | 4801 | 15963964 | N/A | 5926158 | 2025-12-09 01:32:55.558303 | 2025-07-23 16:31:42.104431 |
| 2025-12-08 08:07:11.641452 | 2025-12-09 01:39:20.489255 | 15697007 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15697007 | Athletic Physical Therapy Inc | 1937-01-13 | 2025-12-11 | M | AE | PT | PARKER | 2A53X09CA74 | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121425343.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12996333/check_15697007_b2608247-66bd-4b02-8a21-1cc291c63b60.json | N/A | N/A | N/A | N/A | N/A | 2A53X09CA74 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-01-13 | S5921 | N/A | N/A | MA | false | PARKER | N/A | JOHN | N/A | N/A | N/A | N/A | N/A | 17631 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467581156 | N/A | N/A | 12996333 | 2222 | 4801 | 15977559 | N/A | 11154110 | 2025-12-09 01:39:20.489255 | 2025-11-18 18:40:09.680449 |