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 08:04:44.022137 | 2025-12-09 01:39:07.679900 | 15686754 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15686754 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-12-11 | F | AE | PT | MARTIN | 5YV3RT3TA75 | DOLLY | N/A | 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/2222/5550797/check_15686754_575ba901-e460-4fff-a7c3-83b9a240ba0c.json | N/A | N/A | N/A | N/A | N/A | 5YV3RT3TA75 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-09-13 | N/A | N/A | N/A | MB | false | MARTIN | N/A | DOLLY | N/A | N/A | N/A | N/A | N/A | 311399 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467540326 | N/A | N/A | 5550797 | 2222 | 4793 | 15977124 | N/A | 4219681 | 2025-12-09 01:39:07.679900 | 2026-01-14 20:54:02.193776 |
| 2025-12-08 08:04:43.843120 | 2025-12-09 01:39:07.344599 | 15686746 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15686746 | Athletic Physical Therapy Inc | 1956-11-29 | 2025-12-10 | M | AE | PT | LYGA | 9E33A44VQ74 | FRANK | N/A | 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/2222/5550634/check_15686746_34e17016-a8e6-4d56-8f8f-1cafd68d5586.json | N/A | N/A | N/A | N/A | N/A | 9E33A44VQ74 | Medicare Part A | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-11-29 | S5596 | DOL 07071986 | N/A | MA | false | LYGA | N/A | FRANK | N/A | N/A | N/A | N/A | N/A | 208379 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467540325 | N/A | N/A | 5550634 | 2222 | 4801 | 15977113 | N/A | 4219584 | 2025-12-09 01:39:07.344599 | 2025-09-29 18:19:47.145731 |
| 2025-12-08 08:04:43.714446 | 2025-12-09 01:35:11.007641 | 15686742 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15686742 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-12-10 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | N/A | 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/2222/5549317/check_15686742_afee74db-f10e-4dfc-a05d-eb6ce7e89c94.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467540324 | N/A | N/A | 5549317 | 2222 | 4801 | 15969002 | N/A | 4219010 | 2025-12-09 01:35:11.007641 | 2026-01-09 18:32:07.618867 |
| 2025-12-08 08:04:43.575325 | 2025-12-09 01:39:06.180438 | 15686735 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15686735 | Athletic Physical Therapy Inc | 1959-09-11 | 2025-12-11 | M | AE | PT | CRAIG | 5GR8W08TR55 | JEFFREY | N/A | 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/2222/5549237/check_15686735_6824d291-ddb6-4d8d-b819-b935225b7d0c.json | N/A | N/A | N/A | N/A | N/A | 5GR8W08TR55 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-11 | N/A | N/A | N/A | MA | false | CRAIG | N/A | JEFFREY | N/A | N/A | N/A | N/A | N/A | 117100 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467539887 | N/A | N/A | 5549237 | 2222 | 4801 | 15977070 | N/A | 4218948 | 2025-12-09 01:39:06.180438 | 2025-05-13 04:29:37.229964 |
| 2025-12-08 08:04:43.108587 | 2025-12-09 01:39:06.499130 | 15686713 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15686713 | Athletic Physical Therapy Inc | 1948-08-18 | 2025-12-11 | M | AE | PT | EDA | 9AC4JX7TW77 | MASAAKI | N/A | 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/2222/5543330/check_15686713_74fbb182-1e5f-4fc6-8d40-0585b10b55e9.json | N/A | N/A | N/A | N/A | N/A | 9AC4JX7TW77 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-08-18 | S5596 | N/A | N/A | MA | false | EDA | N/A | MASAAKI | N/A | N/A | N/A | N/A | N/A | 170415 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467539882 | N/A | N/A | 5543330 | 2222 | 4802 | 15977080 | N/A | 4215140 | 2025-12-09 01:39:06.499130 | 2025-05-13 04:29:37.229453 |
| 2025-12-08 08:04:43.019691 | 2025-12-09 01:35:36.068408 | 15686710 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15686710 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-12-11 | F | PT | N/A | PAUL | XEK914147727 | SARA | N/A | 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/2222/5543211/check_15686710_a0db1073-8082-4c5e-aa84-e9f512739dee.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | 9999-12-31 | 2025-02-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467539881 | N/A | N/A | 5543211 | 2222 | 4801 | 15969902 | N/A | 4215028 | 2025-12-09 01:35:36.068408 | 2025-05-13 04:29:37.229346 |
| 2025-12-08 08:04:42.914859 | 2025-12-09 01:34:58.240352 | 15686704 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 15686704 | Athletic Physical Therapy Inc | 1947-12-04 | 2025-12-10 | F | AE | PT | CHARTER | 00000357514 | JEAN | N/A | 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/2222/5543042/check_15686704_cbb1acdc-840c-4fae-8711-aa94dfd73278.json | N/A | N/A | N/A | N/A | N/A | 00000357514 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1947-12-04 | H3815028 | N/A | N/A | HM | false | CHARTER | N/A | JEAN | 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 | 9467539880 | N/A | N/A | 5543042 | 2222 | 4793 | 15968539 | N/A | 4214881 | 2025-12-09 01:34:58.240352 | 2025-10-23 00:25:28.237067 |
| 2025-12-08 08:04:42.778111 | 2025-12-09 01:39:09.039377 | 15686698 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15686698 | Athletic Physical Therapy Inc | 1951-06-05 | 2025-12-11 | F | AE | PT | Roberts | 8J26AQ7EV76 | Mary Bryan | N/A | 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/2222/5542843/check_15686698_c1e5eaaa-dda0-425f-905f-b7dd63346bf9.json | N/A | N/A | N/A | N/A | N/A | 8J26AQ7EV76 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-05 | S5601 | N/A | N/A | MA | false | ROBERTS | N/A | MARY | N/A | N/A | N/A | N/A | N/A | 197122 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467539879 | N/A | N/A | 5542843 | 2222 | 4793 | 15977168 | N/A | 4214712 | 2025-12-09 01:39:09.039377 | 2025-11-12 19:26:06.663656 |
| 2025-12-08 08:04:42.691308 | 2025-12-09 01:35:11.303825 | 15686696 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15686696 | Athletic Physical Therapy Inc | 2009-08-28 | 2025-12-11 | M | PT | N/A | GARCIA | FJB21294792M | STARR | N/A | 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/2222/5542769/check_15686696_896bd6ba-5792-40f6-b63d-83783c746ac4.json | N/A | N/A | N/A | N/A | N/A | FJB21294792M | Preferred Provider Organization (PPO) | BANK OF AMERICA CORPORATION | ANTHEM BLUE CROSS | N/A | 2009-08-28 | 101 | 174549M111 | N/A | PR | false | RAY | N/A | ALLISON | N/A | 9999-12-31 | 2016-01-01 | BLUECARD PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467539878 | N/A | N/A | 5542769 | 2222 | 4801 | 15969013 | N/A | 4214641 | 2025-12-09 01:35:11.303825 | 2025-12-09 08:50:02.875071 |
| 2025-12-08 08:04:42.598802 | 2025-12-09 01:34:50.296990 | 15686688 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15686688 | Athletic Physical Therapy Inc | 1972-07-22 | 2025-12-11 | M | AE | PT | KOZMA | U9714475101 | JASON | N/A | 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/2222/5542709/check_15686688_6f5ff438-d5e5-4d54-a827-6891296af0c2.json | N/A | N/A | N/A | N/A | N/A | U9714475101 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1972-07-22 | 67138CA0700027-01 | N/A | N/A | N/A | false | KOZMA | N/A | JASON | N/A | N/A | N/A | BRONZE 60 HDHP AMBETTER PPO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467539877 | N/A | N/A | 5542709 | 2222 | 4802 | 15968253 | N/A | 4214582 | 2025-12-09 01:34:50.296990 | 2025-12-02 00:00:04.433236 |
| 2025-12-08 08:04:42.496409 | 2025-12-09 01:34:50.838882 | 15686684 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15686684 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-12-11 | F | AE | PT | CHERE | 98953535F | DIANA | N/A | 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/2222/5542660/check_15686684_8cabe1e9-9811-49c0-9f65-858f6500f5e7.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467539876 | N/A | N/A | 5542660 | 2222 | 4802 | 15968272 | 4625 | 4214542 | 2025-12-09 01:34:50.838882 | 2025-05-13 04:29:37.228868 |
| 2025-12-08 08:04:42.364579 | 2025-12-09 01:32:04.443405 | 15686677 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15686677 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-12-11 | F | AE | PT | HAMI | 92932800G | FARIBA | N/A | 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/2222/5542611/check_15686677_710c6beb-aca7-4216-91fc-20d687a7b70f.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MEDICARE PART AB CI003 | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1960-09-15 | BP0001 | QMXEM01909 | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | 2078-12-31 | 2025-11-01 | DUAL ELIGIBLE AGED - MSP - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467539875 | N/A | N/A | 5542611 | 2222 | 4802 | 15961922 | 4211 | 4214490 | 2025-12-09 01:32:04.443405 | 2025-05-13 04:29:37.228806 |
| 2025-12-08 08:04:42.240454 | 2025-12-09 01:35:09.259019 | 15686670 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15686670 | Athletic Physical Therapy Inc | 1969-08-05 | 2025-12-10 | F | PT | N/A | ABRAHAM | JQU232A63569 | NICOLE | N/A | 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/2222/5542580/check_15686670_97f3ce40-0dac-4005-aaf3-15590e736be0.json | N/A | N/A | N/A | N/A | N/A | JQU232A63569 | Preferred Provider Organization (PPO) | LOGICUBE INC | ANTHEM BLUE CROSS | N/A | 1969-08-05 | 040 | 398615 | N/A | PR | false | ABRAHAM | N/A | GABI | N/A | 9999-12-31 | 2025-05-01 | ANTHEM GOLD PPO 35/1000/20% | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467539874 | N/A | N/A | 5542580 | 2222 | 4793 | 15968939 | N/A | 4214472 | 2025-12-09 01:35:09.259019 | 2025-12-01 23:39:05.994242 |
| 2025-12-08 08:04:42.153131 | 2025-12-09 01:35:35.787718 | 15686665 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15686665 | Athletic Physical Therapy Inc | 1983-10-27 | 2025-12-11 | M | PT | N/A | FEDERER | XEA911365031 | MITCH | N/A | 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/2222/5542512/check_15686665_045cce69-d932-46b9-a3cf-a0c5fd17bf5d.json | N/A | N/A | N/A | N/A | N/A | XEA911365031 | Preferred Provider Organization (PPO) | WEINSTEIN SENIOR LLP | BLUE SHIELD CALIFORNIA | N/A | 1983-10-27 | 1000VX000102 | W0122744 | N/A | PR | false | FEDERER | N/A | MITCHEL | N/A | 9999-12-31 | 2023-05-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467539873 | N/A | N/A | 5542512 | 2222 | 4793 | 15969891 | N/A | 4214416 | 2025-12-09 01:35:35.787718 | 2025-05-13 04:29:37.228740 |
| 2025-12-08 08:04:42.027288 | 2025-12-09 01:34:58.741246 | 15686660 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15686660 | Athletic Physical Therapy Inc | 1957-10-24 | 2025-12-11 | F | AE | PT | MCSHEA | 00000364203 | SANDRA | N/A | 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/2222/5542046/check_15686660_40dbb50a-372a-4a6a-9eb3-5f9a10449a16.json | N/A | N/A | N/A | N/A | N/A | 00000364203 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-10-24 | H3815028 | N/A | N/A | HM | false | MCSHEA | N/A | SANDRA | 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 | 9467539871 | N/A | N/A | 5542046 | 2222 | 4801 | 15968559 | 2630 | 4214001 | 2025-12-09 01:34:58.741246 | 2025-05-13 04:29:37.228323 |
| 2025-12-08 08:04:41.897076 | 2025-12-09 01:35:11.608509 | 15686652 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15686652 | Athletic Physical Therapy Inc | 1942-12-17 | 2025-12-10 | F | PT | N/A | STEINBERG | MBL988M98459 | JUDY | N/A | 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/2222/5542014/check_15686652_1509efdf-1825-4d27-a43c-5510d3c9ab54.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467539870 | N/A | N/A | 5542014 | 2222 | 4793 | 15969022 | N/A | 4213977 | 2025-12-09 01:35:11.608509 | 2025-05-13 04:29:37.228294 |
| 2025-12-08 08:04:41.813552 | 2025-12-09 01:32:18.545116 | 15686647 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 15686647 | override_provider | 1957-04-11 | 2025-12-11 | M | PT | N/A | ADRIAN | MBL508W11635 | NELSON | N/A | 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/2222/5541841/check_15686647_0b92813a-4208-445d-955f-770c819dc2d0.json | N/A | N/A | N/A | N/A | N/A | MBL508W11635 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | BLUE SHIELD OF CALIFORNIA | N/A | 1957-04-11 | 040 | CAEGR005 | N/A | N/A | false | ADRIAN | N/A | NELSON | N/A | 2025-12-31 | 2022-04-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467539869 | N/A | N/A | 5541841 | 2222 | 4801 | 15962504 | N/A | 4213826 | 2025-12-09 01:32:18.545116 | 2025-05-13 04:29:37.228146 |
| 2025-12-08 08:04:41.707932 | 2025-12-09 01:39:09.304120 | 15686643 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15686643 | Athletic Physical Therapy Inc | 1949-07-06 | 2025-12-11 | M | AE | PT | SILVERMAN | 1P91CV2QF22 | LAWRENCE | N/A | 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/2222/5541609/check_15686643_6d10f0db-7cc5-495f-9766-950275477ce9.json | N/A | N/A | N/A | N/A | N/A | 1P91CV2QF22 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-07-06 | N/A | N/A | N/A | MB | false | SILVERMAN | N/A | LAWRENCE | N/A | N/A | N/A | N/A | N/A | 111141 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467539868 | N/A | N/A | 5541609 | 2222 | 4793 | 15977180 | N/A | 4213611 | 2025-12-09 01:39:09.304120 | 2025-05-13 04:29:37.227938 |
| 2025-12-08 08:04:41.602067 | 2025-12-09 01:35:44.663238 | 15686636 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15686636 | Athletic Physical Therapy Inc | 2012-06-25 | 2025-12-10 | F | PT | N/A | LORD | JQT822A53740 | ALYSSA | N/A | 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/2222/5541409/check_15686636_bdd871c7-d616-497e-a23e-9552695c8211.json | N/A | N/A | N/A | N/A | N/A | JQT822A53740 | Health Maintenance Organization (HMO) | JLIV SERVICES INC | BLUE SHIELD OF CALIFORNIA | N/A | 2012-06-25 | 040 | U54789 | N/A | HM | false | LORD | N/A | JETHRO | N/A | 9999-12-31 | 2025-08-01 | CA SG PRISELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467539867 | N/A | N/A | 5541409 | 2222 | 4793 | 15970210 | N/A | 4213435 | 2025-12-09 01:35:44.663238 | 2025-05-13 04:29:37.227756 |
| 2025-12-08 08:04:41.464916 | 2025-12-09 01:34:51.385735 | 15686629 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15686629 | Athletic Physical Therapy Inc | 1968-03-30 | 2025-12-11 | M | AE | PT | FARAHMAND | 91957675E | ALEX | N/A | 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/2222/5541163/check_15686629_af2e063a-c175-4474-8794-0d6f01b1f2c8.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | HEALTH NET, LLC | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467539866 | N/A | N/A | 5541163 | 2222 | 4802 | 15968292 | 4625 | 4213207 | 2025-12-09 01:34:51.385735 | 2025-05-13 04:29:37.227536 |
| 2025-12-08 08:04:41.367814 | 2025-12-09 01:34:20.076318 | 15686623 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15686623 | Athletic Physical Therapy Inc | 1946-11-23 | 2025-12-10 | F | AE | PT | POLAK | 40047825101 | JOANNA | N/A | 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/2222/5541023/check_15686623_14fa50a8-698f-49f3-83d2-ba00ad1a6179.json | N/A | N/A | N/A | N/A | N/A | 40047825101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1946-11-23 | 2025H5425006 | H5425M | N/A | N/A | false | POLAK | N/A | JOANNA | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467539865 | N/A | N/A | 5541023 | 2222 | 4793 | 15967163 | 6237 | 4213093 | 2025-12-09 01:34:20.076318 | 2025-05-13 04:29:37.227419 |
| 2025-12-08 08:04:41.284940 | 2025-12-09 01:39:05.877585 | 15686619 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15686619 | Athletic Physical Therapy Inc | 1940-05-13 | 2025-12-11 | F | AE | PT | ALIZADEH GHARBAGHI | 6AX8PH3NH43 | TOURAN | N/A | 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/2222/5540531/check_15686619_84ed5949-0686-4691-a31c-2ac080c5ee84.json | N/A | N/A | N/A | N/A | N/A | 6AX8PH3NH43 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-05-13 | S5617 | N/A | N/A | MB | false | ALIZADEH GHARBAGHI | N/A | TOURAN | N/A | N/A | N/A | N/A | N/A | 284528 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467539864 | N/A | N/A | 5540531 | 2222 | 4802 | 15977061 | N/A | 4212676 | 2025-12-09 01:39:05.877585 | 2025-07-03 21:09:02.193065 |
| 2025-12-08 08:04:41.202185 | 2025-12-09 01:35:09.556268 | 15686614 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15686614 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-12-09 | F | PT | N/A | BOYLAN | MBL857M98403 | JOAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251208.121025330.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540074/check_15686614_2c69997f-9ecc-4b77-ae4c-9fff810bf631.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467539863 | N/A | N/A | 5540074 | 2222 | 4802 | 15968948 | N/A | 4212282 | 2025-12-09 01:35:09.556268 | 2025-05-13 04:29:37.226623 |
| 2025-12-08 08:04:41.077576 | 2025-12-09 01:35:09.872605 | 15686608 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15686608 | Athletic Physical Therapy Inc | 2011-01-19 | 2025-12-11 | M | PT | N/A | CHELIUS | JXN662A51170 | CADEN | N/A | 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/2222/5539929/check_15686608_0709e241-3dfa-460e-a5c5-c4aae1e8173d.json | N/A | N/A | N/A | N/A | N/A | JXN662A51170 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 2011-01-19 | 040 | 174222M9A1 | N/A | PR | false | CHELIUS | N/A | CRAIG | N/A | 9999-12-31 | 2021-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467539862 | N/A | N/A | 5539929 | 2222 | 4793 | 15968959 | N/A | 4212158 | 2025-12-09 01:35:09.872605 | 2025-10-22 16:00:14.919111 |
| 2025-12-08 08:04:40.995557 | 2025-12-09 01:34:19.818504 | 15686601 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15686601 | Athletic Physical Therapy Inc | 1939-12-29 | 2025-12-10 | F | AE | PT | ALESSI | 31019902301 | JEAN | N/A | 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/2222/5539133/check_15686601_23de1c61-2772-4ed4-8615-d6662b8365d2.json | N/A | N/A | N/A | N/A | N/A | 31019902301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1939-12-29 | 2025H5425001 | H5425M | N/A | N/A | false | ALESSI | N/A | JEAN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467539861 | N/A | N/A | 5539133 | 2222 | 4793 | 15967153 | N/A | 4211471 | 2025-12-09 01:34:19.818504 | 2025-07-09 03:59:33.308587 |
| 2025-12-08 08:04:40.909347 | 2025-12-09 01:35:10.720282 | 15686598 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15686598 | Athletic Physical Therapy Inc | 1980-04-11 | 2025-12-10 | M | PT | N/A | Hurst | JQY695A75359 | Gregory | N/A | 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/2222/5539085/check_15686598_b706f3ba-06df-45b9-ac1e-921bed10ae02.json | N/A | N/A | N/A | N/A | N/A | JQY695A75359 | Preferred Provider Organization (PPO) | YALE MANAGEMENT SERVICES | ANTHEM BLUE CROSS | N/A | 1980-04-11 | 040 | 342584 | N/A | PR | false | HURST | N/A | GREGORY | N/A | 9999-12-31 | 2025-12-01 | ANTHEM SILVER SELECT PPO 50/2200/40% | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467539860 | N/A | N/A | 5539085 | 2222 | 4793 | 15968991 | N/A | 4211408 | 2025-12-09 01:35:10.720282 | 2025-09-18 00:42:48.586801 |
| 2025-12-08 08:04:40.822186 | 2025-12-09 01:35:10.443375 | 15686592 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15686592 | Athletic Physical Therapy Inc | 1960-08-08 | 2025-12-10 | M | PT | N/A | GINSBERG | JQU469A62630 | STEVEN | N/A | 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/2222/5538693/check_15686592_5e135e6b-39a8-4bd3-b3cc-145336476879.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1960-08-08 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 2026-01-01 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467539859 | N/A | N/A | 5538693 | 2222 | 4793 | 15968981 | N/A | 4211081 | 2025-12-09 01:35:10.443375 | 2025-05-13 04:29:37.225492 |
| 2025-12-08 08:04:40.718339 | 2025-12-09 01:32:23.601829 | 15686586 | N/A | N/A | 60054 | Aetna | 1114042165 | 15686586 | Athletic Physical Therapy Inc | 1992-03-04 | 2025-12-11 | M | AE | PT | INCHALIK | W291674431 | BENJAMIN | N/A | 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/2222/5538651/check_15686586_b81783a5-95d5-409f-99f8-c1d70cbc309e.json | N/A | N/A | N/A | N/A | N/A | W291674431 | Point of Service (POS) | FIGS, INC. | AETNA | N/A | 1992-03-04 | 0251488 | 025148801200001 | N/A | PS | false | INCHALIK | N/A | BENJAMIN | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467539858 | N/A | N/A | 5538651 | 2222 | 4802 | 15962712 | N/A | 4211040 | 2025-12-09 01:32:23.601829 | 2025-05-13 04:29:37.225445 |
| 2025-12-08 08:04:40.610386 | 2025-12-09 01:39:08.210607 | 15686580 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15686580 | Athletic Physical Therapy Inc | 1958-02-17 | 2025-12-11 | F | AE | PT | MASATANI | 8A21NQ8MC22 | LAURA | N/A | 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/2222/5538406/check_15686580_54bb0c21-b603-4659-bd7d-bc7b50f09c97.json | N/A | N/A | N/A | N/A | N/A | 8A21NQ8MC22 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-02-17 | N/A | N/A | N/A | MA | false | MASATANI | N/A | LAURA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467539857 | N/A | N/A | 5538406 | 2222 | 4802 | 15977137 | N/A | 4210838 | 2025-12-09 01:39:08.210607 | 2025-05-13 04:29:37.225242 |
| 2025-12-08 08:04:40.512974 | 2025-12-09 01:34:58.493865 | 15686576 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15686576 | Athletic Physical Therapy Inc | 1949-09-13 | 2025-12-10 | M | AE | PT | GOMES | 00000285293 | NEMESIO | N/A | 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/2222/5537439/check_15686576_3d6b3511-b8c1-4513-9c81-74708843f2b5.json | N/A | N/A | N/A | N/A | N/A | 00000285293 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-09-13 | H3815028 | N/A | N/A | HM | false | GOMES | N/A | NEMESIO | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467539856 | N/A | N/A | 5537439 | 2222 | 4801 | 15968552 | 2630 | 4210001 | 2025-12-09 01:34:58.493865 | 2025-05-13 04:29:37.224421 |
| 2025-12-08 08:04:40.403455 | 2025-12-09 01:33:08.158613 | 15686569 | N/A | N/A | 61101 | HUMANA | 1114042165 | 15686569 | Athletic Physical Therapy Inc | 1952-05-02 | 2025-12-10 | F | AE | PT | HASSEY DE HANSON | H6569972200 | HILDA | N/A | 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/2222/5536963/check_15686569_69ab18ad-ed37-4a03-8c4b-da588ac63328.json | N/A | N/A | N/A | N/A | N/A | H65699722 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1952-05-02 | N/A | 0B527001 | N/A | HN | false | HASSEY DE HA | N/A | HILDA | 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 | 9467539855 | N/A | N/A | 5536963 | 2222 | 4793 | 15964457 | 5349 | 4209616 | 2025-12-09 01:33:08.158613 | 2025-12-02 19:38:35.715555 |
| 2025-12-08 08:04:40.246080 | 2025-12-09 01:39:07.067866 | 15686563 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15686563 | Athletic Physical Therapy Inc | 1945-09-15 | 2025-12-11 | F | AE | PT | KHORSANDI | 3CF4YQ5UH79 | PARIVASH | N/A | 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/2222/5536010/check_15686563_86cb9c3c-2f30-44d5-8a95-7827ec9207c5.json | N/A | N/A | N/A | N/A | N/A | 3CF4YQ5UH79 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-09-15 | S5921 | N/A | N/A | MA | false | KHORSANDI | N/A | PARIVASH | N/A | N/A | N/A | N/A | N/A | 181010 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467539854 | N/A | N/A | 5536010 | 2222 | 4802 | 15977104 | N/A | 4208831 | 2025-12-09 01:39:07.067866 | 2025-10-30 22:42:31.399473 |
| 2025-12-08 08:04:40.123796 | 2025-12-09 01:39:08.679570 | 15686555 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15686555 | Athletic Physical Therapy Inc | 1939-10-22 | 2025-12-11 | M | AE | PT | ODONNELL | 9FJ2YV1NR89 | JOHN | N/A | 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/2222/5535491/check_15686555_4d68a11a-8898-44a9-8905-9f25dd646ccf.json | N/A | N/A | N/A | N/A | N/A | 9FJ2YV1NR89 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-10-22 | N/A | N/A | N/A | MA | false | ODONNELL | N/A | JOHN | N/A | N/A | N/A | N/A | N/A | 230548 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467539853 | N/A | N/A | 5535491 | 2222 | 4802 | 15977153 | N/A | 4208408 | 2025-12-09 01:39:08.679570 | 2025-05-13 04:29:37.222823 |
| 2025-12-08 08:04:39.939398 | 2025-12-09 01:35:10.140541 | 15686546 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15686546 | Athletic Physical Therapy Inc | 1960-04-27 | 2025-12-10 | M | PT | N/A | ENRIGHT | DGA10462968J | HAROLD | N/A | 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/2222/5535419/check_15686546_f7077b06-9591-4dea-9d81-98822929ae65.json | N/A | N/A | N/A | N/A | N/A | DGA10462968J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1960-04-27 | 040 | 276945M001 | N/A | PR | false | ENRIGHT | N/A | HAROLD | N/A | 9999-12-31 | 2017-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467539852 | N/A | N/A | 5535419 | 2222 | 4793 | 15968970 | N/A | 4208347 | 2025-12-09 01:35:10.140541 | 2025-05-13 04:29:37.222769 |
| 2025-12-08 08:04:38.387014 | 2025-12-09 01:35:46.170670 | 15686478 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15686478 | Athletic Physical Therapy Inc | 1970-10-11 | 2025-12-10 | M | PT | N/A | Kahen | XEK909669840 | Shervin | 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/2222/7787192/check_15686478_fd04bcb1-a5ca-4987-9e15-8cb76b8bfd24.json | N/A | N/A | N/A | N/A | N/A | XEK909669840 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1970-10-11 | 2001ZK002195 | X0001000 | N/A | PR | false | KAHEN | N/A | SHERVIN | N/A | 2025-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467559959 | N/A | N/A | 7787192 | 2222 | 4802 | 15970262 | N/A | 6631054 | 2025-12-09 01:35:46.170670 | 2025-12-12 20:45:04.787542 |
| 2025-12-08 08:04:37.553634 | 2025-12-09 01:35:18.270727 | 15686446 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15686446 | Athletic Physical Therapy Inc | 1961-03-12 | 2025-12-10 | F | PT | N/A | MCNUTT | XED904914958 | YOLANDA | 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/2222/6668755/check_15686446_1ad9eac8-5042-4a7a-ad35-75af52f807b4.json | N/A | N/A | N/A | N/A | N/A | XED904914958 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-03-12 | 2001ZK002184 | X0001004 | N/A | PR | false | FERNANDEZ-MCNUTT | N/A | YOLANDA | N/A | 2025-12-31 | 2025-01-01 | SILVER 94 PPO JAN25 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9467568057 | N/A | N/A | 6668755 | 2222 | 4801 | 15969259 | N/A | 5282877 | 2025-12-09 01:35:18.270727 | 2025-07-01 15:56:36.473431 |
| 2025-12-08 08:04:35.113704 | 2025-12-09 01:39:04.042690 | 15686371 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15686371 | Athletic Physical Therapy Inc | 1959-08-14 | 2025-12-11 | F | AE | PT | McKinnon | 4Q81VP4NU12 | Dawn | 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/2222/7783105/check_15686371_b4f684cf-74e6-4cbd-b67e-74f9934a8426.json | N/A | N/A | N/A | N/A | N/A | 4Q81VP4NU12 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-08-14 | S4802 | N/A | N/A | MA | false | MCKINNON | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | 101524 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467559175 | N/A | N/A | 7783105 | 2222 | 4802 | 15976994 | N/A | 6628331 | 2025-12-09 01:39:04.042690 | 2025-08-22 15:16:03.942743 |
| 2025-12-08 08:04:28.655015 | 2025-12-09 01:32:18.937193 | 15686131 | N/A | N/A | 60054 | Aetna | 1114042165 | 15686131 | Athletic Physical Therapy Inc | 1973-08-11 | 2025-12-11 | M | AE | PT | YAMASAKI | W121490267 | KENNY | 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/2222/7761496/check_15686131_ced62dc2-988a-4993-ae43-4894eee1e769.json | N/A | N/A | N/A | N/A | N/A | W121490767 | Point of Service (POS) | LIONSGATE ENTERTAINMENT INC. | AETNA | N/A | 1973-08-11 | 0881709 | 088170902100001 | N/A | PS | false | YAMASAKI | N/A | KENNY | N/A | N/A | N/A | OA MANAGED CHOICE POS HDHP | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467559141 | N/A | N/A | 7761496 | 2222 | 4802 | 15962523 | N/A | 6610810 | 2025-12-09 01:32:18.937193 | 2025-08-04 22:41:35.670334 |
| 2025-12-08 05:53:54.220983 | 2025-12-08 05:53:59.343272 | 15684685 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-12-08 | 2025-12-08 | M | AE | PT | BHOLAT | 31198052201 | MAHMOOD | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12990097/check_15684685_2dcde712-196b-4080-9288-04aa65d8f09a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12990097/check_15684685_aa7e4f6c-7183-4cbc-ad6b-0652f8543e9f.json | N/A | N/A | N/A | N/A | N/A | 31198052201 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1946-12-08 | 2025H5425001 | H5425M | N/A | N/A | false | BHOLAT | N/A | MAHMOOD | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9467072110 | N/A | N/A | 12990097 | 2222 | N/A | 15937970 | N/A | 11148207 | 2025-12-08 05:53:59.343272 | 2025-12-08 05:48:43.064435 |
| 2025-12-08 03:21:43.841247 | 2025-12-08 03:21:56.775729 | 15684652 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-09-19 | 2025-12-08 | F | AE | PT | Martynowicz | 000022075799 | Alexandra | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13602015/check_15684652_54c8beec-44e5-45af-a44f-52a594ce2c5d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13602015/check_15684652_f6a8b179-d3c0-4941-95a1-bf3844806877.json | N/A | N/A | N/A | N/A | N/A | 000022075799 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1991-09-19 | 4165374 | 228273 | N/A | N/A | false | MARTYNOWICZ | N/A | ALEXANDRA | N/A | N/A | N/A | CALIFORNIACHOICE SCR SILVER DHMO 2000/65 JAN PCP | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9466703204 | N/A | N/A | 13602015 | 2222 | N/A | 15933951 | N/A | 11750353 | 2025-12-08 03:21:56.775729 | 2025-12-03 00:47:03.591796 |
| 2025-12-07 09:08:07.204530 | 2025-12-07 09:08:09.206081 | 15683245 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-29 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15683245_12ccf095-a355-449c-b3f2-660c5c4da50e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15683245_6ac8cc1b-774f-4cae-82ed-32855ba1b40a.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | 15921537 | N/A | 4215317 | 2025-12-07 09:08:09.206081 | 2025-06-24 21:13:18.739779 |
| 2025-12-07 09:08:05.479558 | 2025-12-07 09:08:07.200739 | 15683244 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-29 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15683244_069969f8-d750-446f-9b06-16b97cf21119.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-29 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-12-07 09:08:07.200739 | 2025-06-24 21:13:18.739779 |
| 2025-12-07 09:08:04.808626 | 2025-12-07 09:08:06.619921 | 15683242 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15683242_796b9099-a43a-423e-9eb0-2a2f8feaad26.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15683242_76f4987d-22ae-41b7-bbc7-fb3a15567846.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | 15921533 | N/A | 4215317 | 2025-12-07 09:08:06.619921 | 2025-06-24 21:13:18.739779 |
| 2025-12-07 09:08:03.111489 | 2025-12-07 09:08:04.799917 | 15683239 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15683239_87c47708-6dcd-4419-b56f-936d4e8987cf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-12-07 09:08:04.799917 | 2025-06-24 21:13:18.739779 |
| 2025-12-07 09:08:03.110567 | 2025-12-07 09:08:04.958287 | 15683238 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-29 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15683238_07bbce65-8405-477e-8c76-32fab777b0d6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15683238_2a6e5ce1-31e6-4823-a91e-5e70e957cd2b.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | 15921532 | N/A | 4215317 | 2025-12-07 09:08:04.958287 | 2025-06-24 21:13:18.739779 |
| 2025-12-07 09:08:01.358752 | 2025-12-07 09:08:03.104113 | 15683237 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-29 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15683237_1a123b51-2084-4882-9635-d3ef3737d441.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-29 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-12-07 09:08:03.104113 | 2025-06-24 21:13:18.739779 |
| 2025-12-07 09:08:00.965375 | 2025-12-07 09:08:02.755124 | 15683235 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15683235_7111a6b5-baa8-41fd-9f08-76013eb1f63b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15683235_09248903-2bba-405d-8746-beb22194b774.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | 15921527 | N/A | 4215317 | 2025-12-07 09:08:02.755124 | 2025-06-24 21:13:18.739779 |
| 2025-12-07 09:07:59.281665 | 2025-12-07 09:08:00.961749 | 15683233 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15683233_8278bdef-a65c-4437-a177-54e384a45c3f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-12-07 09:08:00.961749 | 2025-06-24 21:13:18.739779 |
| 2025-12-07 09:07:58.847621 | 2025-12-07 09:08:00.797401 | 15683231 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-29 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15683231_6c0db22e-bd62-407f-a317-2b5debbbd36e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15683231_f6dfde8c-3630-4484-8512-fb7df279a607.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | 15921525 | N/A | 4215317 | 2025-12-07 09:08:00.797401 | 2025-06-24 21:13:18.739779 |
| 2025-12-07 09:07:57.171042 | 2025-12-07 09:07:58.927693 | 15683230 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-09-11 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_15683230_bfb0efef-b91d-4c34-bfda-77da200c0581.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_15683230_98ca125b-86de-4333-aeea-6eb1c13a3b29.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | 15921521 | N/A | 4215317 | 2025-12-07 09:07:58.927693 | 2025-06-24 21:13:18.739779 |