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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-07 08:05:51.452433 | 2025-12-08 03:46:49.364746 | 15668817 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15668817 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-12-10 | M | AE | PT | FORTIN | R14644640MS1 | NATHANIEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.095745869.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_15668817_447fe6f5-9cd6-4df9-a839-f7e29baade8b.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | KVT SBGHMOWC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9464268382 | N/A | N/A | 5543425 | 2222 | 4801 | 15936493 | 4625 | 4215211 | 2025-12-08 03:46:49.364746 | 2026-04-02 22:30:20.020246 |
| 2025-12-07 08:05:51.362727 | 2025-12-08 03:47:07.840709 | 15668813 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 15668813 | Athletic Physical Therapy Inc | 1962-09-27 | 2025-12-10 | F | PT | N/A | BARAJAS | NCF425A56241 | EMMA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.095745869.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543324/check_15668813_6277976b-fa08-412e-95cb-b11fa2cc40d4.json | N/A | N/A | N/A | N/A | N/A | JMV425A56241 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1962-09-27 | 040 | 56677VR000 | N/A | HM | false | BARAJAS | N/A | RAMON | N/A | 9999-12-31 | 2025-09-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9464268381 | N/A | N/A | 5543324 | 2222 | 4801 | 15936565 | 4184 | 4215131 | 2025-12-08 03:47:07.840709 | 2025-08-11 16:45:52.816842 |
| 2025-12-07 08:05:51.262786 | 2025-12-08 03:43:36.730585 | 15668807 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15668807 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-12-10 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.095745869.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_15668807_d3cc4749-d7ef-4bc6-a51b-2d6b3869dcae.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-03-27 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | 2078-12-31 | 2024-11-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9464268380 | N/A | N/A | 5543270 | 2222 | 4793 | 15936015 | 4211 | 4215086 | 2025-12-08 03:43:36.730585 | 2025-05-13 04:29:37.229401 |
| 2025-12-07 08:05:51.189416 | 2025-12-08 03:44:01.696651 | 15668802 | N/A | N/A | 60054 | Aetna | 1114042165 | 15668802 | Athletic Physical Therapy Inc | 1994-09-02 | 2025-12-10 | F | AE | PT | CHEN | W286265318 | KELLY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.095745869.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543266/check_15668802_0933643a-da7a-440d-9c70-020bb2a638b2.json | N/A | N/A | N/A | N/A | N/A | W286265318 | Point of Service (POS) | ADOBE INC. | AETNA | N/A | 1994-09-02 | 0660819 | 066081901600001 | N/A | PS | false | CHEN | N/A | KELLY | 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 | 9464268379 | N/A | N/A | 5543266 | 2222 | 4802 | 15936049 | N/A | 4215081 | 2025-12-08 03:44:01.696651 | 2025-05-13 04:29:37.229396 |
| 2025-12-07 08:05:51.102655 | 2025-12-08 03:47:00.638014 | 15668797 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15668797 | Athletic Physical Therapy Inc | 1940-04-28 | 2025-12-10 | M | AE | PT | NADER | 00000308417 | EDWARD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.095745869.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543151/check_15668797_fcc77466-6433-4ac7-8924-8660dc884f32.json | N/A | N/A | N/A | N/A | N/A | 00000308417 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1940-04-28 | H3815010 | N/A | N/A | HM | false | NADER | N/A | EDWARD | N/A | N/A | N/A | ALIGNMENT HEALTH HEART & DIABETES (HMO C-SNP) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9464268378 | N/A | N/A | 5543151 | 2222 | 4801 | 15936538 | 2630 | 4214983 | 2025-12-08 03:47:00.638014 | 2025-05-13 04:29:37.229305 |
| 2025-12-07 08:05:51.001292 | 2025-12-08 03:46:32.396885 | 15668792 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15668792 | Athletic Physical Therapy Inc | 1957-01-21 | 2025-12-10 | M | AE | PT | SHADDY | 40064865601 | STEVE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.095745869.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543011/check_15668792_8620a432-09dc-406c-86af-cc7eaa0a9eb8.json | N/A | N/A | N/A | N/A | N/A | 40064865601 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | SHADDY | N/A | STEVE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9464268377 | N/A | N/A | 5543011 | 2222 | 4801 | 15936433 | 6237 | 4214861 | 2025-12-08 03:46:32.396885 | 2026-02-04 19:10:58.526441 |
| 2025-12-07 08:05:50.893443 | 2025-12-08 03:44:02.150582 | 15668788 | N/A | N/A | 60054 | Aetna | 1114042165 | 15668788 | Athletic Physical Therapy Inc | 2005-11-23 | 2025-12-10 | F | AE | PT | FERRELL | W285064666 | AMELIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.095745869.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542678/check_15668788_f0b4df07-ec4e-4ed0-9838-8ac6359bd359.json | N/A | N/A | N/A | N/A | N/A | W285064666 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 2005-11-23 | 0232499 | 023249901000067 | N/A | PS | false | FERRELL | N/A | RALPH | 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 | 9464268376 | N/A | N/A | 5542678 | 2222 | 4802 | 15936050 | N/A | 4214560 | 2025-12-08 03:44:02.150582 | 2025-05-13 04:29:37.228883 |
| 2025-12-07 08:05:50.814999 | 2025-12-08 03:46:50.154455 | 15668783 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15668783 | Athletic Physical Therapy Inc | 1977-02-09 | 2025-12-10 | F | AE | PT | SHAMAT | 96987431H | SAMA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.095745869.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542314/check_15668783_92d81ad9-b3d0-4fb5-8d92-41f7660197f8.json | N/A | N/A | N/A | N/A | N/A | 96987431H | N/A | N/A | HEALTH NET, LLC | N/A | 1977-02-09 | N/A | N/A | N/A | N/A | false | SHAMAT | N/A | SAMA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9464268375 | N/A | N/A | 5542314 | 2222 | 4802 | 15936496 | N/A | 4214238 | 2025-12-08 03:46:50.154455 | 2025-05-13 04:29:37.228571 |
| 2025-12-07 08:05:50.745304 | 2025-12-08 03:47:34.462604 | 15668778 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15668778 | Athletic Physical Therapy Inc | 1983-04-25 | 2025-12-10 | F | PT | N/A | HASERJIAN | XED912403581 | RENEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.095745869.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542222/check_15668778_34e9fda8-6f9f-409e-b6a5-96a3f14c1a7a.json | N/A | N/A | N/A | N/A | N/A | XED912403581 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1983-04-25 | 2001ZK002169 | X0001004 | N/A | PR | false | HASERJIAN | N/A | RENEE | N/A | 9999-12-31 | 2023-08-01 | IFP EMB PED VISION | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9464268374 | N/A | N/A | 5542222 | 2222 | 4793 | 15936663 | N/A | 4214148 | 2025-12-08 03:47:34.462604 | 2025-05-13 04:29:37.228475 |
| 2025-12-07 08:05:50.661543 | 2025-12-08 03:47:07.571759 | 15668772 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 15668772 | Athletic Physical Therapy Inc | 1959-05-13 | 2025-12-10 | F | PT | N/A | ADRIANZEN FERNAN | 221W2005420 | AURA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.095745869.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541944/check_15668772_9c998d05-2ff9-4ced-b8c4-2e5184d8d972.json | N/A | N/A | N/A | N/A | N/A | 221W2005420 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-05-13 | N/A | N/A | N/A | N/A | false | ADRIANZEN FERNAN | N/A | AURA | 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 | 9464268373 | N/A | N/A | 5541944 | 2222 | 4801 | 15936564 | 4184 | 4213907 | 2025-12-08 03:47:07.571759 | 2025-05-13 04:29:37.228228 |
| 2025-12-07 08:05:50.581378 | 2025-12-08 03:47:34.744639 | 15668768 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15668768 | 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/272741.20251207.095745869.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541409/check_15668768_baec6dec-9d1f-408c-b87e-4a1a8ec46b04.json | N/A | N/A | N/A | N/A | N/A | JQT822A53740 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2012-06-25 | N/A | N/A | N/A | N/A | false | LORD | N/A | ALYSSA | 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 | 9464268372 | N/A | N/A | 5541409 | 2222 | 4793 | 15936664 | N/A | 4213435 | 2025-12-08 03:47:34.744639 | 2025-05-13 04:29:37.227756 |
| 2025-12-07 08:05:50.475226 | 2025-12-08 03:43:58.168453 | 15668762 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 15668762 | override_provider | 1980-05-29 | 2025-12-10 | F | PT | N/A | KURTZ | XED906231353 | NINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.095745869.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541378/check_15668762_426516e7-8ed0-49f1-9ceb-5895946fc754.json | N/A | N/A | N/A | N/A | N/A | XED906231353 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1980-05-29 | 2001ZK002169 | X0001004 | N/A | PR | false | KURTZ | N/A | NINA | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9464268371 | N/A | N/A | 5541378 | 2222 | 4793 | 15936043 | N/A | 4213405 | 2025-12-08 03:43:58.168453 | 2025-05-13 04:29:37.227726 |
| 2025-12-07 08:05:50.409707 | 2025-12-08 03:53:17.303782 | 15668759 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15668759 | Athletic Physical Therapy Inc | 1955-11-18 | 2025-12-10 | M | AE | PT | MCALPIN | 5W42YGOAH19 | MAC | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.095745869.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541072/check_15668759_84a42675-582a-458b-acaa-5b55b5cfba4f.json | N/A | N/A | N/A | N/A | N/A | 5W42YGOAH19 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1955-11-18 | N/A | N/A | N/A | N/A | false | MCALPIN | N/A | MAC | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9464268370 | N/A | N/A | 5541072 | 2222 | 4801 | 15937927 | N/A | 4213124 | 2025-12-08 03:53:17.303782 | 2025-05-13 04:29:37.227452 |
| 2025-12-07 08:05:50.330890 | 2025-12-08 03:44:01.167537 | 15668754 | N/A | N/A | 60054 | Aetna | 1114042165 | 15668754 | Athletic Physical Therapy Inc | 1982-07-27 | 2025-12-10 | M | AE | PT | BOKHTIER | W275493875 | GOLAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.095745869.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540723/check_15668754_42d3f3cf-67e2-4513-b7be-fe630883cced.json | N/A | N/A | N/A | N/A | N/A | W275493875 | Exclusive Provider Organization | AMERICAN EXPRESS COMPANY | AETNA | N/A | 1982-07-27 | 0169631 | 016963101100001 | N/A | EP | false | BOKHTIER | N/A | SUMMER | 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 | 9464268369 | N/A | N/A | 5540723 | 2222 | 4793 | 15936048 | N/A | 4212833 | 2025-12-08 03:44:01.167537 | 2025-05-28 20:46:35.079848 |
| 2025-12-07 08:05:50.261182 | 2025-12-08 03:47:35.009677 | 15668750 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15668750 | Athletic Physical Therapy Inc | 1997-07-14 | 2025-12-10 | M | PT | N/A | SHERBETJIAN | XED910281081 | JACK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.095745869.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540558/check_15668750_c841d816-3825-4e25-ace8-edfa034b5523.json | N/A | N/A | N/A | N/A | N/A | XED910281081 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-14 | 2001ZK002184 | X0001004 | N/A | PR | false | SHERBETJIAN | N/A | JACK | N/A | 9999-12-31 | 2021-01-01 | IFP EMB PED VISION | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9464268368 | N/A | N/A | 5540558 | 2222 | 4801 | 15936665 | N/A | 4212698 | 2025-12-08 03:47:35.009677 | 2025-05-13 04:29:37.227042 |
| 2025-12-07 08:05:50.176554 | 2025-12-08 03:46:32.062078 | 15668744 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15668744 | Athletic Physical Therapy Inc | 1948-04-26 | 2025-12-10 | M | AE | PT | LODIN | 40064763401 | MOHAMMED | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.095745869.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540259/check_15668744_029a9691-0907-4d48-a18f-7e86964d59e3.json | N/A | N/A | N/A | N/A | N/A | 40064763401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1948-04-26 | 2025H5425001 | H5425M | N/A | N/A | false | LODIN | N/A | MOHAMMED | 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 | 9464268367 | N/A | N/A | 5540259 | 2222 | 4793 | 15936432 | 6237 | 4212442 | 2025-12-08 03:46:32.062078 | 2025-05-13 04:29:37.226772 |
| 2025-12-07 08:05:50.093423 | 2025-12-08 03:46:49.657914 | 15668740 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15668740 | Athletic Physical Therapy Inc | 1982-06-09 | 2025-12-10 | M | AE | PT | FULKERSON | R12222652MM1 | SCOTT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.095745869.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539956/check_15668740_fe4880d1-ba27-4f04-97c2-861adeed0228.json | N/A | N/A | N/A | N/A | N/A | R12222652MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1982-06-09 | N/A | N/A | N/A | N/A | false | FULKERSON | N/A | SCOTT | N/A | N/A | N/A | MFC UCNNHMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9464268366 | N/A | N/A | 5539956 | 2222 | 4801 | 15936494 | N/A | 4212166 | 2025-12-08 03:46:49.657914 | 2025-10-23 15:59:33.239127 |
| 2025-12-07 08:05:49.977787 | 2025-12-08 03:47:08.379279 | 15668735 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15668735 | Athletic Physical Therapy Inc | 1963-05-25 | 2025-12-10 | F | PT | N/A | GINSBERG | JQU469A62630 | LISA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.095745869.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539612/check_15668735_816c84d9-9af3-4e74-8a6d-5626e8e915eb.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1963-05-25 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 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 | 9464268365 | N/A | N/A | 5539612 | 2222 | 4793 | 15936567 | N/A | 4211892 | 2025-12-08 03:47:08.379279 | 2025-11-02 22:03:21.557202 |
| 2025-12-07 08:05:49.888302 | 2025-12-08 03:50:29.934437 | 15668729 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15668729 | Athletic Physical Therapy Inc | 1945-04-13 | 2025-12-10 | F | AE | PT | BLUM | 4TT3J24RG08 | BONNIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.095745869.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539301/check_15668729_b96270ff-9cfc-40a9-89a7-80f82f3c6253.json | N/A | N/A | N/A | N/A | N/A | 4TT3J24RG08 | Medicare Part B | N/A | UNITEDHEALTHCARE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-04-13 | S5820 | N/A | N/A | MB | false | BLUM | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9464268364 | N/A | N/A | 5539301 | 2222 | 4802 | 15937324 | N/A | 4211624 | 2025-12-08 03:50:29.934437 | 2025-05-13 04:29:37.225953 |
| 2025-12-07 08:05:49.800713 | 2025-12-08 03:47:35.260700 | 15668724 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15668724 | Athletic Physical Therapy Inc | 1980-08-15 | 2025-12-10 | F | PT | N/A | SNELL | XED912271222 | NICOLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.095745869.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537740/check_15668724_94c645ab-8b07-4a0a-a651-038e9dca0972.json | N/A | N/A | N/A | N/A | N/A | XED912271222 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-08-15 | 2001ZK002185 | X0001004 | N/A | PR | false | SNELL | N/A | NICOLE | 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 | 9464268363 | N/A | N/A | 5537740 | 2222 | 4802 | 15936666 | N/A | 4210260 | 2025-12-08 03:47:35.260700 | 2025-05-13 04:29:37.224672 |
| 2025-12-07 08:05:49.720499 | 2025-12-08 03:47:08.696019 | 15668722 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15668722 | Athletic Physical Therapy Inc | 1969-03-28 | 2025-12-10 | M | PT | N/A | KOSTER | DGA11321380J | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.095745869.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536722/check_15668722_617f619c-f389-4cac-b5db-eca2796a38d1.json | N/A | N/A | N/A | N/A | N/A | DGA11321380J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1969-03-28 | 040 | 276945M001 | N/A | PR | false | KOSTER | N/A | KEVIN | N/A | 9999-12-31 | 2025-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9464268362 | N/A | N/A | 5536722 | 2222 | 4802 | 15936568 | N/A | 4209420 | 2025-12-08 03:47:08.696019 | 2025-05-13 04:29:37.223843 |
| 2025-12-07 08:05:49.601551 | 2025-12-08 03:47:08.119750 | 15668716 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 15668716 | Athletic Physical Therapy Inc | 1947-04-18 | 2025-12-10 | F | PT | N/A | BELL | MNL880M78427 | JACQUELYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.095745869.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536041/check_15668716_956e2a94-0dc4-4003-8213-39542d9c3d5f.json | N/A | N/A | N/A | N/A | N/A | MNL880M78427 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1947-04-18 | 040 | CAMCRWP0 | N/A | MP | false | BELL | N/A | JACQUELYN | N/A | 2025-12-31 | 2024-07-01 | CA H4471-001-000 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9464268361 | N/A | N/A | 5536041 | 2222 | 4802 | 15936566 | 4184 | 4208856 | 2025-12-08 03:47:08.119750 | 2025-05-13 04:29:37.223284 |
| 2025-12-07 08:05:49.508094 | 2025-12-08 03:47:00.356908 | 15668710 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 15668710 | Athletic Physical Therapy Inc | 1952-10-14 | 2025-12-10 | M | AE | PT | CHISARI | 00000386684 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.095745869.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536007/check_15668710_47ad534c-58ce-421d-a08d-00029525a88c.json | N/A | N/A | N/A | N/A | N/A | 00000386684 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1952-10-14 | H3815028 | N/A | N/A | HM | false | CHISARI | N/A | THOMAS | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9464268360 | N/A | N/A | 5536007 | 2222 | 4793 | 15936537 | N/A | 4208829 | 2025-12-08 03:47:00.356908 | 2025-06-03 01:05:45.663969 |
| 2025-12-07 08:05:49.416307 | 2025-12-08 03:50:30.487230 | 15668706 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15668706 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-12-10 | M | AE | PT | ULLMAN | 3A76X26KQ40 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.095745869.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535838/check_15668706_77d844c3-2438-495f-8de9-dfdfbc46f690.json | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9464268359 | N/A | N/A | 5535838 | 2222 | 4801 | 15937326 | N/A | 4208696 | 2025-12-08 03:50:30.487230 | 2025-06-07 16:16:45.844566 |
| 2025-12-07 08:05:27.077530 | 2025-12-08 01:39:56.270716 | 15667487 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15667487 | Athletic Physical Therapy Inc | 1959-07-16 | 2025-12-10 | F | AE | PT | JESTER | 8WT9EW5DX41 | AUREA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.101025372.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9104610/check_15667487_977c4685-1abe-4870-9c60-56e5bc289f13.json | N/A | N/A | N/A | N/A | N/A | 8WT9EW5DX41 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-16 | H4036 | N/A | N/A | MA | false | JESTER | N/A | AUREA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9464319043 | N/A | N/A | 9104610 | 2222 | 4801 | 15925983 | N/A | 7624564 | 2025-12-08 01:39:56.270716 | 2025-10-06 23:19:36.703282 |
| 2025-12-07 08:05:21.020235 | 2025-12-08 01:42:45.770095 | 15667173 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15667173 | Athletic Physical Therapy Inc | 1945-12-27 | 2025-12-10 | F | AE | PT | SANDERS | 8300000009139 | ELIZA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.120936239.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11616313/check_15667173_e8f80214-a3a7-4a5c-850e-b20254014a4e.json | N/A | N/A | N/A | N/A | N/A | 8300000009139 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1945-12-27 | TFU223BP0000006 | QMXEM01909 | N/A | N/A | false | SANDERS | N/A | ELIZA | N/A | 2025-12-31 | 2024-11-01 | CA EAE DSNP MEDICARE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9464278399 | N/A | N/A | 11616313 | 2222 | 4802 | 15927589 | 4211 | 9854001 | 2025-12-08 01:42:45.770095 | 2025-10-28 23:10:42.487962 |
| 2025-12-07 08:05:10.174856 | 2025-12-08 01:45:24.151204 | 15666689 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15666689 | Athletic Physical Therapy Inc | 1959-01-17 | 2025-12-10 | M | AE | PT | WAHL | XEM912647011 | LELAND | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.101214608.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11364482/check_15666689_6b3154c8-c9ba-441e-ab0f-1627ba7f8e87.json | N/A | N/A | N/A | N/A | N/A | XEM912647011 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1959-01-17 | 2002SE000030 | X0001002 | N/A | OT | false | WAHL | N/A | LELAND | 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 | 9464281445 | N/A | N/A | 11364482 | 2222 | 4793 | 15929135 | N/A | 9633229 | 2025-12-08 01:45:24.151204 | 2026-02-05 17:07:37.378883 |
| 2025-12-07 08:05:02.038031 | 2025-12-08 01:35:36.113563 | 15666456 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15666456 | Athletic Physical Therapy Inc | 1971-11-21 | 2025-12-10 | F | PT | N/A | MARTINEZ | XDP851A67877 | LETICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.121025244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13122920/check_15666456_27bfdd7f-3c36-4ada-b3fe-091b00fe3d8b.json | N/A | N/A | N/A | N/A | N/A | XDP851A67877 | Preferred Provider Organization (PPO) | SOUTHERN CALIFORNIA ORTHOPEDIC INSTITUTE CA/OOS | ANTHEM BLUE CROSS | N/A | 1971-11-21 | 040 | L00817M001 | N/A | PR | false | MARTINEZ | N/A | LETICIA | N/A | 9999-12-31 | 2023-11-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9464284938 | N/A | N/A | 13122920 | 2222 | 4801 | 15924129 | N/A | 11273967 | 2025-12-08 01:35:36.113563 | 2025-12-31 00:35:32.240284 |
| 2025-12-07 08:04:52.017475 | 2025-12-08 03:31:16.371962 | 15666108 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 15666108 | Athletic Physical Therapy Inc | 1962-06-24 | 2025-12-10 | F | AE | PT | GOMEZ | 44116442 | CAROL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.100222099.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6434660/check_15666108_06fd7758-1f9c-43ca-9fc2-9d9deebc0ab6.json | N/A | N/A | N/A | N/A | N/A | 44116442 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1962-06-24 | 406-024-000 | N/A | N/A | N/A | false | GOMEZ | N/A | CAROL | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9464294024 | N/A | N/A | 6434660 | 2222 | 4801 | 15933969 | 6798 | 5079832 | 2025-12-08 03:31:16.371962 | 2025-06-23 20:02:36.660262 |
| 2025-12-07 08:04:46.645328 | 2025-12-08 01:45:35.359933 | 15665921 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15665921 | Athletic Physical Therapy Inc | 2016-05-10 | 2025-12-10 | M | PT | N/A | ARRIOLA | XDM000517776 | ELLIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.120936239.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11464639/check_15665921_0ccef967-0d0d-4f78-85a8-bed99a77914c.json | N/A | N/A | N/A | N/A | N/A | XDM000517776 | Health Maintenance Organization (HMO) | ASSOCIATION FOR LOS ANGELES DEPUTY SHERIFFS INC | ANTHEM BLUE CROSS | N/A | 2016-05-10 | 040 | 57726A | N/A | HM | false | ARRIOLA | N/A | VICTOR | N/A | 9999-12-31 | 2016-05-10 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9464277851 | N/A | N/A | 11464639 | 2222 | 4801 | 15929224 | N/A | 9714270 | 2025-12-08 01:45:35.359933 | 2025-11-06 01:09:13.623652 |
| 2025-12-07 08:04:42.194780 | 2025-12-08 01:35:57.525060 | 15665750 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15665750 | Athletic Physical Therapy Inc | 1978-07-20 | 2025-12-10 | M | PT | N/A | LESTER | PAS811517757 | WILLIAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.121025244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13056730/check_15665750_b405da45-c67a-4aaa-8fe2-cc7a84610376.json | N/A | N/A | N/A | N/A | N/A | PAS811517757 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1978-07-20 | N/A | N/A | N/A | N/A | false | LESTER | N/A | WILLIAM | 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 | 9464284663 | N/A | N/A | 13056730 | 2222 | 4801 | 15924279 | N/A | 11213990 | 2025-12-08 01:35:57.525060 | 2025-11-19 23:10:09.275320 |
| 2025-12-07 08:04:38.092367 | 2025-12-08 01:43:39.832359 | 15665572 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 15665572 | Athletic Physical Therapy Inc | 1972-07-09 | 2025-12-10 | F | AE | PT | JOHNSON OLAD | H6507221700 | CATINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.120936239.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11415027/check_15665572_6a7c6a91-ff59-4a57-9d70-2a2ec247dfd7.json | N/A | N/A | N/A | N/A | N/A | H65072217 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP 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 | 1972-07-09 | N/A | 0B666001 | N/A | HN | false | JOHNSON OLAD | N/A | CATINA | 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 | 9464278638 | N/A | N/A | 11415027 | 2222 | 4793 | 15928236 | N/A | 9669773 | 2025-12-08 01:43:39.832359 | 2025-10-30 23:36:57.101747 |
| 2025-12-07 08:04:27.229491 | 2025-12-08 01:50:11.350989 | 15665137 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15665137 | Athletic Physical Therapy Inc | 1959-01-17 | 2025-12-10 | M | AE | PT | WAHL | 6CX2NW3WP90 | LELAND | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.120936239.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11364481/check_15665137_44af4cc4-c2d5-4155-8a47-22c918372126.json | N/A | N/A | N/A | N/A | N/A | 6CX2NW3WP90 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-01-17 | S5617 | N/A | N/A | MA | false | WAHL | N/A | LELAND | N/A | N/A | N/A | N/A | N/A | 136469 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9464277780 | N/A | N/A | 11364481 | 2222 | 4793 | 15931639 | N/A | 9633229 | 2025-12-08 01:50:11.350989 | 2026-02-05 17:07:37.378883 |
| 2025-12-07 08:04:25.277370 | 2025-12-08 01:39:36.689158 | 15665068 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15665068 | Athletic Physical Therapy Inc | 1968-10-14 | 2025-12-10 | M | AE | PT | KELLER | 5VY2K78NA88 | JERRY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.121025244.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13041085/check_15665068_80c28e9f-4362-4a29-b633-e205baeabb5a.json | N/A | N/A | N/A | N/A | N/A | 5VY2K78NA88 | N/A | N/A | CMS | N/A | 1968-10-14 | N/A | N/A | N/A | N/A | false | KELLER | N/A | JERRY | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9464284393 | N/A | N/A | 13041085 | 2222 | 4801 | 15925843 | N/A | 11198281 | 2025-12-08 01:39:36.689158 | 2026-04-13 23:30:43.333017 |
| 2025-12-07 08:04:23.883402 | 2025-12-08 01:45:18.658579 | 15665014 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15665014 | Athletic Physical Therapy Inc | 1957-11-06 | 2025-12-10 | M | AE | PT | PAZ | 00000376554 | MARIO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.120936239.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11359237/check_15665014_90c03ba2-62b6-4b46-bc6e-31afe66fb40f.json | N/A | N/A | N/A | N/A | N/A | 00000376554 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-11-06 | H3815028 | N/A | N/A | HM | false | PAZ | N/A | MARIO | 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 | 9464277765 | N/A | N/A | 11359237 | 2222 | 4801 | 15929103 | 2630 | 9630212 | 2025-12-08 01:45:18.658579 | 2025-10-22 17:21:29.196650 |
| 2025-12-07 08:04:23.366468 | 2025-12-08 01:34:50.349451 | 15664994 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15664994 | Athletic Physical Therapy Inc | 1947-05-27 | 2025-12-10 | F | AE | PT | OJEDA DE VALERIO | 40054924601 | MARCELINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.101025372.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8634171/check_15664994_7f954709-6689-47c0-ba35-ba5c979a8289.json | N/A | N/A | N/A | N/A | N/A | 40054924601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1947-05-27 | 2025H5425001 | H5425M | N/A | N/A | false | OJEDA DE VALERIO | N/A | M | 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 | 9464318833 | N/A | N/A | 8634171 | 2222 | 4801 | 15923814 | 6237 | 7279268 | 2025-12-08 01:34:50.349451 | 2025-09-01 17:13:14.403136 |
| 2025-12-07 08:04:02.322283 | 2025-12-08 03:32:48.375134 | 15664227 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 15664227 | Athletic Physical Therapy Inc | 1950-06-01 | 2025-12-10 | F | AE | PT | MCDEVITT | H7220666800 | GUADALUPE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.100222099.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6221805/check_15664227_01c04ebb-1137-4530-87ac-a90d8a2c4c0c.json | N/A | N/A | N/A | N/A | N/A | H72206668 | 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 | 1950-06-01 | N/A | 0B527001 | N/A | HN | false | MCDEVITT | N/A | GUADALUPE | 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 | 9464293506 | N/A | N/A | 6221805 | 2222 | 4801 | 15934282 | N/A | 4865742 | 2025-12-08 03:32:48.375134 | 2025-06-11 15:46:59.098537 |
| 2025-12-07 08:03:59.468827 | 2025-12-08 01:44:46.109316 | 15664120 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15664120 | Athletic Physical Therapy Inc | 1959-07-16 | 2025-12-10 | F | AE | PT | JESTER | MBL344W20467 | AUREA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.101214608.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9926970/check_15664120_deca1b46-1ecf-4d6e-985c-636b36883d2b.json | N/A | N/A | N/A | N/A | N/A | MBL344W20467 | N/A | CALIFORNIA PUBLIC EMPLOYEES RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1959-07-16 | 040 | CAEGR001 | N/A | N/A | false | JESTER | N/A | AUREA | N/A | 9999-12-31 | 2024-07-01 | CA GRS CALPERS H4036-802 ANTHEM MEDICARE PREFERRED | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9464280981 | N/A | N/A | 9926970 | 2222 | 4801 | 15928875 | N/A | 7624564 | 2025-12-08 01:44:46.109316 | 2025-10-06 23:19:36.703282 |
| 2025-12-07 08:03:33.993172 | 2025-12-08 01:45:10.534992 | 15663183 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15663183 | Athletic Physical Therapy Inc | 1991-07-29 | 2025-12-10 | F | AE | PT | NELSON | R12416085MM1 | JAZMIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.120936239.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11011103/check_15663183_7e8cf99c-9455-461b-9a8f-eddecdcaa38f.json | N/A | N/A | N/A | N/A | N/A | R12416085MM1 | N/A | N/A | CENTENE CORPORATION | N/A | 1991-07-29 | N/A | N/A | N/A | N/A | false | NELSON | N/A | JAZMIN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9464278323 | N/A | N/A | 11011103 | 2222 | 4801 | 15929040 | N/A | 9376481 | 2025-12-08 01:45:10.534992 | 2025-10-27 22:16:51.510374 |
| 2025-12-07 08:03:18.879428 | 2025-12-08 01:35:51.700924 | 15662706 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15662706 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-12-10 | F | PT | N/A | GIANNE | XED910762094 | NATALIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.101025372.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_15662706_c48e1ce6-74ca-4efd-92fe-eb2f40cd0dcb.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 9999-12-31 | 2021-09-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9464318770 | N/A | N/A | 7994545 | 2222 | 4802 | 15924238 | N/A | 6802250 | 2025-12-08 01:35:51.700924 | 2025-08-11 23:58:28.358402 |
| 2025-12-07 08:03:16.588355 | 2025-12-08 01:35:25.168799 | 15662634 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15662634 | Athletic Physical Therapy Inc | 1963-09-19 | 2025-12-10 | M | PT | N/A | SENKUS | XDM878M77372 | TONY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.101025372.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7964946/check_15662634_db0b2cbe-3e1d-4dc1-9a3a-f76bd14138a3.json | N/A | N/A | N/A | N/A | N/A | XDM878M77372 | Health Maintenance Organization (HMO) | TEAMSTERS MISC SECURITY TRUST - EARLY RETIREE | ANTHEM BLUE CROSS | N/A | 1963-09-19 | 040 | 278680H052 | N/A | HM | false | SENKUS | N/A | TONY | N/A | 9999-12-31 | 2024-10-01 | CLASSIC TRADITIONAL HMO NETWORK NON DURATIONAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9464318746 | N/A | N/A | 7964946 | 2222 | 4801 | 15924053 | 4185 | 6247001 | 2025-12-08 01:35:25.168799 | 2025-07-25 21:24:35.111542 |
| 2025-12-07 08:02:57.626117 | 2025-12-08 01:35:24.900404 | 15662145 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15662145 | Athletic Physical Therapy Inc | 1958-12-06 | 2025-12-10 | F | PT | N/A | MARCHETTI | 759W1879320 | PAULA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.101025372.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7755198/check_15662145_aaf949b3-42fc-4793-b1b4-5fa143d6d562.json | N/A | N/A | N/A | N/A | N/A | 759W1879320 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1958-12-06 | N/A | N/A | N/A | N/A | false | MARCHETTI | N/A | PAULA | 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 | 9464317976 | N/A | N/A | 7755198 | 2222 | 4793 | 15924051 | 4185 | 6606171 | 2025-12-08 01:35:24.900404 | 2025-08-04 19:27:53.075551 |
| 2025-12-07 08:02:52.290498 | 2025-12-08 03:35:01.632811 | 15662041 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15662041 | Athletic Physical Therapy Inc | 1957-09-06 | 2025-12-10 | M | AE | PT | BECKLEY | 00000375188 | STEVE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251207.100222099.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077164/check_15662041_f6d2829e-41eb-4aba-9726-9ddd5654328b.json | N/A | N/A | N/A | N/A | N/A | 00000375188 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-09-06 | H3815028 | N/A | N/A | HM | false | BECKLEY | N/A | STEVE | 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 | 9464292883 | N/A | N/A | 6077164 | 2222 | 4801 | 15934754 | 2630 | 4720748 | 2025-12-08 03:35:01.632811 | 2025-06-11 15:34:07.942696 |
| 2025-12-06 19:27:03.780898 | 2025-12-06 19:27:05.592290 | 15660122 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-12-26 | 2025-01-10 | M | PT | AE | SALEWSKE | 600905624 | TYSON | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541518/check_15660122_075fb513-ad8f-4ec3-9ec0-2374292575ec.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-01-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541518/check_15660122_d7cd844b-27e4-4e32-a7fe-e654ead002d7.json | N/A | N/A | N/A | N/A | N/A | 600905624 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1974-12-26 | N/A | N/A | N/A | N/A | false | SALEWSKE | N/A | TYSON | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 162919 | N/A | 5541518 | 2222 | N/A | 15890866 | N/A | 4213526 | 2025-12-06 19:27:05.592290 | 2025-11-13 19:34:43.197819 |
| 2025-12-06 19:27:00.090243 | 2025-12-06 19:27:03.777727 | 15660121 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-12-26 | 2025-01-10 | M | PT | AE | SALEWSKE | 600905624 | TYSON | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541518/check_15660121_04767b83-a27b-46be-b185-6d497f0af3b9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-01-10 | N/A | N/A | N/A | N/A | N/A | N/A | 600905624 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1974-12-26 | N/A | N/A | N/A | N/A | false | SALEWSKE | N/A | TYSON | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 162919 | N/A | 5541518 | 2222 | N/A | N/A | N/A | 4213526 | 2025-12-06 19:27:03.777727 | 2025-11-13 19:34:43.197819 |
| 2025-12-06 19:23:50.143361 | 2025-12-06 19:23:51.920498 | 15660118 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-12-26 | 2025-01-06 | M | PT | AE | SALEWSKE | 600905624 | TYSON | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541518/check_15660118_dc987386-2b87-4482-a628-c1e92b929088.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541518/check_15660118_82f14a4b-3a6d-4c21-9ee5-d76ee41a38db.json | N/A | N/A | N/A | N/A | N/A | 600905624 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1974-12-26 | N/A | N/A | N/A | N/A | false | SALEWSKE | N/A | TYSON | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 162919 | N/A | 5541518 | 2222 | N/A | 15890862 | N/A | 4213526 | 2025-12-06 19:23:51.920498 | 2025-11-13 19:34:43.197819 |
| 2025-12-06 19:23:48.211827 | 2025-12-06 19:23:50.140091 | 15660117 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-12-26 | 2025-01-06 | M | PT | AE | SALEWSKE | 600905624 | TYSON | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541518/check_15660117_981b6946-96de-4a7a-ae8f-d61a92fc208d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-01-06 | N/A | N/A | N/A | N/A | N/A | N/A | 600905624 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1974-12-26 | N/A | N/A | N/A | N/A | false | SALEWSKE | N/A | TYSON | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 162919 | N/A | 5541518 | 2222 | N/A | N/A | N/A | 4213526 | 2025-12-06 19:23:50.140091 | 2025-11-13 19:34:43.197819 |
| 2025-12-06 19:23:34.586170 | 2025-12-06 19:23:36.406061 | 15660116 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-12-26 | 2025-01-06 | M | PT | AE | SALEWSKE | 600905624 | TYSON | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541518/check_15660116_fa53d998-20d0-4a78-b7e9-cf6bbab5c99b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-01-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541518/check_15660116_17e03d06-4b12-49f3-9f08-15572fb0cf20.json | N/A | N/A | N/A | N/A | N/A | 600905624 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1974-12-26 | N/A | N/A | N/A | N/A | false | SALEWSKE | N/A | TYSON | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 162919 | N/A | 5541518 | 2222 | N/A | 15890860 | N/A | 4213526 | 2025-12-06 19:23:36.406061 | 2025-11-13 19:34:43.197819 |
| 2025-12-06 19:23:32.639924 | 2025-12-06 19:23:34.581809 | 15660115 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-12-26 | 2025-01-06 | M | PT | AE | SALEWSKE | 600905624 | TYSON | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541518/check_15660115_fbb6d34b-ebc4-4553-b8bc-5fb0b7b59365.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-01-06 | N/A | N/A | N/A | N/A | N/A | N/A | 600905624 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1974-12-26 | N/A | N/A | N/A | N/A | false | SALEWSKE | N/A | TYSON | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 162919 | N/A | 5541518 | 2222 | N/A | N/A | N/A | 4213526 | 2025-12-06 19:23:34.581809 | 2025-11-13 19:34:43.197819 |
| 2025-12-06 18:29:38.115310 | 2025-12-06 18:29:40.063206 | 15660000 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-10-10 | 2025-11-18 | F | PT | N/A | RUEGGER | MPI01409385Q | ANNE | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542955/check_15660000_1b8db468-abd8-4bd9-8a8b-31f36a5dd73a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542955/check_15660000_44d31732-1d5a-4bde-aa60-5b505f2be6b1.json | N/A | N/A | N/A | N/A | N/A | MPI01409385Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN - RETIREE | ANTHEM BLUE CROSS | N/A | 1963-10-10 | 040 | 277163M406 | N/A | PR | false | RUEGGER | N/A | THOMAS | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9462337304 | 162907 | N/A | 5542955 | 2222 | N/A | 15890746 | N/A | 4214809 | 2025-12-06 18:29:40.063206 | 2025-06-05 16:00:56.918021 |