API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-06 08:14:27.378775 | 2025-12-07 01:34:25.630283 | 15632212 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15632212 | Athletic Physical Therapy Inc | 1963-06-22 | 2025-12-09 | M | PT | MOSS | XA910317218 | KENNETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.100919922.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13047676/check_15632212_2d293679-84ea-4e19-9f16-3bfe2d0bc953.json | N/A | N/A | N/A | N/A | N/A | XA910317218 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1963-06-22 | N/A | N/A | N/A | N/A | false | MOSS | N/A | KENNETH | 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 | 9459007319 | N/A | N/A | 13047676 | 2222 | 4793 | 15897121 | N/A | 11205149 | 2025-12-07 01:34:25.630283 | 2025-11-24 18:32:22.314223 |
| 2025-12-06 08:14:25.470624 | 2025-12-07 01:47:04.185686 | 15632072 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15632072 | Athletic Physical Therapy Inc | 1952-10-12 | 2025-12-09 | F | AE | Abraha | 22679175290 | Tarik | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115220123.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11843086/check_15632072_f702d01c-0bb2-436a-ac32-4fa5835508fe.json | N/A | N/A | N/A | N/A | N/A | 22679175290 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1952-10-12 | N/A | N/A | N/A | N/A | false | ABRAHA | N/A | TARIK | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9459020603 | N/A | N/A | 11843086 | 2222 | 4802 | 15912882 | N/A | 10074998 | 2025-12-07 01:47:04.185686 | 2025-10-29 23:19:49.535455 |
| 2025-12-06 08:14:25.183935 | 2025-12-07 01:32:17.828575 | 15632049 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15632049 | Athletic Physical Therapy Inc | 1976-02-07 | 2025-12-09 | F | AE | MALTSEVA | 94237973H65017 | YEVHENIIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115220283.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7253095/check_15632049_ea9cd08f-0fc0-4cc1-9b12-3959ec43ff7b.json | N/A | N/A | N/A | N/A | N/A | 94237973H65017 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1976-02-07 | N/A | N/A | N/A | N/A | false | MALTSEVA | N/A | YEVHENIIA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9458979435 | N/A | N/A | 7253095 | 2222 | 4802 | 15892783 | 4211 | 6219145 | 2025-12-07 01:32:17.828575 | 2025-07-21 16:40:35.276086 |
| 2025-12-06 08:14:24.795003 | 2025-12-07 01:35:36.504390 | 15632021 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15632021 | Athletic Physical Therapy Inc | 1979-04-20 | 2025-12-09 | F | PT | NOSRAT | XEK904721388 | CAROLYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115220283.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7252533/check_15632021_2a594c70-e596-4948-84ab-9b52bc36860e.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1979-04-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | NOSRAT | N/A | CAROLYN | 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 | 9458979432 | N/A | N/A | 7252533 | 2222 | 4802 | 15899470 | N/A | 4214065 | 2025-12-07 01:35:36.504390 | 2025-05-13 04:29:37.228379 |
| 2025-12-06 08:14:24.451978 | 2025-12-07 01:33:49.689564 | 15631996 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15631996 | Athletic Physical Therapy Inc | 1954-06-16 | 2025-12-09 | M | AE | Grant | 0009933199 | Mark Antonio | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.100919922.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13045814/check_15631996_6380fa67-bd07-47c9-bca8-a816cbc7c6d7.json | N/A | N/A | N/A | N/A | N/A | 0009933199 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1954-06-16 | N/A | N/A | N/A | N/A | false | GRANT | N/A | MARK ANTONIO | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9459007309 | N/A | N/A | 13045814 | 2222 | 4802 | 15895853 | N/A | 11203117 | 2025-12-07 01:33:49.689564 | 2026-01-05 17:22:32.137960 |
| 2025-12-06 08:14:23.144525 | 2025-12-07 01:36:49.633343 | 15631897 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15631897 | Athletic Physical Therapy Inc | 1964-11-15 | 2025-12-09 | F | AE | BIKOULOVA | 92040499F | ALEXANDRA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115426308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874423/check_15631897_30468d2b-e8a2-4ffe-b22a-3c91fa38c25c.json | N/A | N/A | N/A | N/A | N/A | 92040499F | N/A | N/A | HEALTH NET, LLC | N/A | 1964-11-15 | N/A | N/A | N/A | N/A | false | BIKOULOVA | N/A | ALEXANDRA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9459001276 | N/A | N/A | 5874423 | 2222 | 4802 | 15901919 | 4625 | 4534552 | 2025-12-07 01:36:49.633343 | 2025-05-30 18:01:03.324126 |
| 2025-12-06 08:14:19.832923 | 2025-12-07 01:46:11.564059 | 15631667 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15631667 | Athletic Physical Therapy Inc | 1952-06-27 | 2025-12-09 | M | AE | WEST | 40065315001 | KIRK | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115220123.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11799742/check_15631667_2f3ce63e-b0c3-4da9-8fa2-da0486135dad.json | N/A | N/A | N/A | N/A | N/A | 40065315001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-06-27 | 2025H5425001 | H5425M | N/A | N/A | false | WEST | N/A | KIRK | 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 | 9459020323 | N/A | N/A | 11799742 | 2222 | 4801 | 15912589 | N/A | 10033486 | 2025-12-07 01:46:11.564059 | 2025-11-04 21:34:59.842331 |
| 2025-12-06 08:14:19.596137 | 2025-12-07 01:45:34.913817 | 15631650 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15631650 | Athletic Physical Therapy Inc | 1946-11-22 | 2025-12-09 | F | AE | CAPUTA | 6JV7KY8CA74 | SANDRA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.122030581.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9336757/check_15631650_ed1b6859-ab6e-45a7-98e3-a57da5e182eb.json | N/A | N/A | N/A | N/A | N/A | 6JV7KY8CA74 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-11-22 | S5601 | N/A | N/A | MB | false | CAPUTA | N/A | SANDRA | N/A | N/A | N/A | N/A | N/A | 130349 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9458995816 | N/A | N/A | 9336757 | 2222 | 4801 | 15912341 | N/A | 7835556 | 2025-12-07 01:45:34.913817 | 2025-09-12 16:59:25.752326 |
| 2025-12-06 08:14:18.616482 | 2025-12-07 01:32:37.653138 | 15631576 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 15631576 | Athletic Physical Therapy Inc | 1952-07-09 | 2025-12-09 | F | AE | GILBERT | H746944777 | ELINOR | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.100919922.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13040906/check_15631576_bb4f8bea-336b-4f90-850f-64852ed44c91.json | N/A | N/A | N/A | N/A | N/A | H746944777 | N/A | N/A | HUMANA | N/A | N/A | N/A | N/A | N/A | N/A | false | GILBERT | N/A | ELINOR | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9459007174 | N/A | N/A | 13040906 | 2222 | 4802 | 15893433 | N/A | 11198096 | 2025-12-07 01:32:37.653138 | 2025-11-19 17:42:16.749935 |
| 2025-12-06 08:14:16.551407 | 2025-12-07 01:43:16.561213 | 15631438 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 15631438 | override_provider | 1997-11-05 | 2025-12-09 | M | PT | VILLANUEVA | ZGP813002220 | YAIR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115220123.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11623284/check_15631438_cbc81bdc-fa52-495b-9585-a38cc73a296f.json | N/A | N/A | N/A | N/A | N/A | ZGP813002220 | Preferred Provider Organization (PPO) | RIMKUS CONSULTING GROUP, INC | BLUE SHIELD OF CALIFORNIA | N/A | 1997-11-05 | N/A | 279469 | N/A | PR | false | VILLANUEVA | N/A | YAIR | N/A | 9999-12-31 | 2025-03-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9459020123 | N/A | N/A | 11623284 | 2222 | 4801 | 15911315 | N/A | 9860485 | 2025-12-07 01:43:16.561213 | 2025-11-10 18:34:52.696278 |
| 2025-12-06 08:14:13.342281 | 2025-12-07 01:38:26.062676 | 15631228 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15631228 | Athletic Physical Therapy Inc | 1990-12-22 | 2025-12-09 | M | AE | PRABHALA | R13572760MM1 | SAI RAM | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.122030581.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9321575/check_15631228_cd401ddc-43bd-469f-8708-154748713159.json | N/A | N/A | N/A | N/A | N/A | R13572760MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1990-12-22 | N/A | N/A | N/A | N/A | false | PRABHALA | N/A | SAI RAM PAVAN PRASAD | N/A | N/A | N/A | KZN SBP | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9458996886 | N/A | N/A | 9321575 | 2222 | 4801 | 15905390 | 4625 | 7820903 | 2025-12-07 01:38:26.062676 | 2025-09-22 20:31:02.620835 |
| 2025-12-06 08:14:13.062308 | 2025-12-07 01:52:38.257301 | 15631207 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15631207 | Athletic Physical Therapy Inc | 1959-12-29 | 2025-12-09 | F | AE | LYGA | 3W97CK7AN48 | LISA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115220123.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11604276/check_15631207_dd79aa0a-1db7-4faf-b944-558ac3df6e95.json | N/A | N/A | N/A | N/A | N/A | 3W97CK7AN48 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-12-29 | S5596 | N/A | N/A | MA | false | LYGA | N/A | LISA | N/A | N/A | N/A | N/A | N/A | 29767 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9459020093 | N/A | N/A | 11604276 | 2222 | 4801 | 15914644 | N/A | 4218962 | 2025-12-07 01:52:38.257301 | 2025-05-13 04:29:37.229978 |
| 2025-12-06 08:14:01.441722 | 2025-12-07 01:37:00.474294 | 15630521 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 15630521 | Athletic Physical Therapy Inc | 1956-07-24 | 2025-12-09 | F | AE | HOCHFELD | 00000365425 | PAMELA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115426308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676362/check_15630521_5506ea38-d3f1-45cc-b6c5-8df126ee8ccc.json | N/A | N/A | N/A | N/A | N/A | 00000365425 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-07-24 | H3815028 | N/A | N/A | HM | false | HOCHFELD | N/A | PAMELA | 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 | 9458999772 | N/A | N/A | 5676362 | 2222 | 4793 | 15902308 | N/A | 4219743 | 2025-12-07 01:37:00.474294 | 2025-12-04 22:36:02.632383 |
| 2025-12-06 08:14:01.209121 | 2025-12-07 01:37:15.172521 | 15630510 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 15630510 | Athletic Physical Therapy Inc | 1946-04-03 | 2025-12-09 | F | PT | OBLINGER | JQS491M78254 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115426308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676340/check_15630510_4922d5ee-a8e7-4036-bbd2-d0a55900e267.json | N/A | N/A | N/A | N/A | N/A | JQS491M78254 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1946-04-03 | 040 | CAMCRWP0 | N/A | MP | false | OBLINGER | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9458999771 | N/A | N/A | 5676340 | 2222 | 4793 | 15902837 | 4184 | 4210531 | 2025-12-07 01:37:15.172521 | 2025-12-09 17:09:13.960610 |
| 2025-12-06 08:14:00.286529 | 2025-12-07 01:47:04.742482 | 15630453 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15630453 | Athletic Physical Therapy Inc | 1994-09-23 | 2025-12-09 | M | AE | RUIZ CORTES | 0023841194 | ROGELIO | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115220123.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11537156/check_15630453_29fc20f9-9301-4dd1-9ee7-8fa6c0f87829.json | N/A | N/A | N/A | N/A | N/A | 0023841194 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1994-09-23 | N/A | N/A | N/A | N/A | false | RUIZ CORTES | N/A | ROGELIO | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9459019457 | N/A | N/A | 11537156 | 2222 | 4802 | 15912885 | N/A | 9778191 | 2025-12-07 01:47:04.742482 | 2025-10-27 23:17:48.522975 |
| 2025-12-06 08:13:58.309130 | 2025-12-07 01:32:57.886917 | 15630334 | N/A | N/A | 61101 | HUMANA | 1114042165 | 15630334 | Athletic Physical Therapy Inc | 1953-11-10 | 2025-12-09 | F | AE | Herreres | H6884136600 | Irene | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.104242017.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10019260/check_15630334_bbd44b2d-a1b7-4f0d-b90e-2d2a36e2da8f.json | N/A | N/A | N/A | N/A | N/A | H68841366 | 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 | 1953-11-10 | N/A | 0B666001 | N/A | HN | false | HERRERES | N/A | IRENE | 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 | 9459054690 | N/A | N/A | 10019260 | 2222 | 4801 | 15894094 | 5349 | 8386960 | 2025-12-07 01:32:57.886917 | 2025-10-06 18:27:19.967736 |
| 2025-12-06 08:13:58.117885 | 2025-12-07 01:39:12.299812 | 15630325 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15630325 | Athletic Physical Therapy Inc | 1963-09-25 | 2025-12-09 | M | PT | zev | XED912627946 | ari | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.122030581.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9280765/check_15630325_d32f8a6e-a50b-439c-a1ae-6f5e87f1070e.json | N/A | N/A | N/A | N/A | N/A | XED912627946 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-09-25 | 2001ZK002185 | X0001004 | N/A | PR | false | ZEV | N/A | ARI | N/A | 9999-12-31 | 2023-11-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9458997362 | N/A | N/A | 9280765 | 2222 | 4802 | 15906949 | N/A | 7789190 | 2025-12-07 01:39:12.299812 | 2025-09-16 16:41:33.330373 |
| 2025-12-06 08:13:57.717136 | 2025-12-07 01:43:23.753552 | 15630301 | N/A | N/A | 60054 | Aetna | 1114042165 | 15630301 | Athletic Physical Therapy Inc | 1998-11-14 | 2025-12-09 | M | AE | Shirian | W742094344 | Jonathan | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115220123.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11519732/check_15630301_059ff9ab-2695-40a7-8671-c54e8cd4024f.json | N/A | N/A | N/A | N/A | N/A | W274093844 | Point of Service (POS) | CASE WESTERN RESERVE UNIVERSITY | AETNA | N/A | 1998-11-14 | 0686194 | 068619403600108 | N/A | PS | false | SHIRIAN | N/A | JONATHAN | N/A | N/A | N/A | OPEN CHOICE-EARLY ARRIVAL | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9459019439 | N/A | N/A | 11519732 | 2222 | 4802 | 15911371 | N/A | 9760542 | 2025-12-07 01:43:23.753552 | 2025-10-27 21:44:20.466934 |
| 2025-12-06 08:13:55.161293 | 2025-12-07 01:33:49.942920 | 15630173 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15630173 | Athletic Physical Therapy Inc | 1966-12-11 | 2025-12-09 | F | AE | Shanti | 0014025277 | Senna | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.100919922.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13000772/check_15630173_be0d4dc6-af15-478a-9cb4-1e1d8faf4146.json | N/A | N/A | N/A | N/A | N/A | 0014025277 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1966-12-11 | N/A | N/A | N/A | N/A | false | SHANTI | N/A | SENNA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9459006565 | N/A | N/A | 13000772 | 2222 | 4802 | 15895863 | N/A | 11158952 | 2025-12-07 01:33:49.942920 | 2025-11-24 23:21:16.746095 |
| 2025-12-06 08:13:45.423666 | 2025-12-07 01:36:49.021699 | 15629650 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15629650 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-12-09 | F | AE | GIANOLI | R11857813FM1 | ELSY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115426308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_15629650_ca226282-5bd4-4e98-97ba-31d3b69cf5bf.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | 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. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9459001495 | N/A | N/A | 5568076 | 2222 | 4802 | 15901898 | 4625 | 4209480 | 2025-12-07 01:36:49.021699 | 2026-04-10 02:05:15.976484 |
| 2025-12-06 08:13:36.952540 | 2025-12-07 01:38:52.833505 | 15629240 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15629240 | Athletic Physical Therapy Inc | 2009-01-14 | 2025-12-09 | F | PT | OBACZ | JQV897A63197 | KLOIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.122030581.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9102655/check_15629240_e8578f66-dffa-4558-af85-9e3da8e22b78.json | N/A | N/A | N/A | N/A | N/A | JQV897A63197 | Health Maintenance Organization (HMO) | EVOLVED NOVELTIES INC | ANTHEM BLUE CROSS | N/A | 2009-01-14 | 040 | F45883 | N/A | HM | false | OBACZ | N/A | JUSTIN | N/A | 2026-01-01 | 2025-01-01 | CA SG SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9458996318 | N/A | N/A | 9102655 | 2222 | 4801 | 15906326 | 4185 | 7621062 | 2025-12-07 01:38:52.833505 | 2025-09-12 19:10:20.936695 |
| 2025-12-06 08:13:34.162272 | 2025-12-07 01:33:01.826295 | 15629114 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15629114 | Athletic Physical Therapy Inc | 1986-10-29 | 2025-12-09 | M | AE | DEROOS | 182788571 | SEAN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115426308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551009/check_15629114_d2737df2-c523-4867-9be0-92fd8ffe45e0.json | N/A | N/A | N/A | N/A | N/A | 182788571 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 1986-10-29 | 18126CA001000101 | QMXEM01910 | N/A | N/A | false | DEROOS | N/A | SEAN | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9459001218 | N/A | N/A | 5551009 | 2222 | 4802 | 15894224 | 4211 | 4219827 | 2025-12-07 01:33:01.826295 | 2025-10-31 23:39:58.530194 |
| 2025-12-06 08:13:33.970468 | 2025-12-07 01:37:38.692127 | 15629104 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15629104 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-12-09 | F | PT | PANDYA | XEA913306283 | DHARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115426308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_15629104_9e236466-6a93-4dbf-8324-22206c08ce7f.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1975-08-17 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 2025-12-31 | 2025-01-01 | BLUE SHIELD OF CA ASO VIRTUAL BLUE FULL PPO SAVING | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9459001217 | N/A | N/A | 5550845 | 2222 | 4801 | 15903682 | N/A | 4219713 | 2025-12-07 01:37:38.692127 | 2025-08-13 22:46:55.732965 |
| 2025-12-06 08:13:33.751149 | 2025-12-07 01:33:03.833195 | 15629094 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15629094 | Athletic Physical Therapy Inc | 1990-11-12 | 2025-12-09 | F | AE | SIMONS | 94378141G | DESIREE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115426308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550102/check_15629094_f525675e-f633-4684-98b0-30aeaf28e6cb.json | N/A | N/A | N/A | N/A | N/A | 94378141G | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1990-11-12 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | SIMONS | N/A | DESIREE | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9459001216 | N/A | N/A | 5550102 | 2222 | 4802 | 15894294 | 4211 | 4212176 | 2025-12-07 01:33:03.833195 | 2025-05-13 04:29:37.226514 |
| 2025-12-06 08:13:33.507717 | 2025-12-07 01:40:49.252829 | 15629082 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15629082 | Athletic Physical Therapy Inc | 1954-05-11 | 2025-12-09 | M | AE | A Peters | 1R78CR5JR59 | Dennis | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115426308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550025/check_15629082_0f17a9c7-1b0c-4176-b82a-972bded2a4e0.json | N/A | N/A | N/A | N/A | N/A | 1R78CR5JR59 | N/A | N/A | CMS | N/A | 1954-05-11 | N/A | N/A | N/A | N/A | false | A PETERS | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9459001215 | N/A | N/A | 5550025 | 2222 | 4801 | 15909499 | N/A | 4219449 | 2025-12-07 01:40:49.252829 | 2025-10-07 21:32:27.567534 |
| 2025-12-06 08:13:33.313567 | 2025-12-07 01:40:51.850422 | 15629072 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15629072 | Athletic Physical Therapy Inc | 1951-12-26 | 2025-12-09 | M | AE | FINEBERG | 9FX3D52YD09 | MARTIN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115426308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549980/check_15629072_c8210b74-2a7a-4654-8f2f-8b159931875f.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MB | false | FINEBERG | N/A | MARTIN | N/A | N/A | N/A | N/A | N/A | 268309 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9459001214 | N/A | N/A | 5549980 | 2222 | 4802 | 15909545 | N/A | 4219436 | 2025-12-07 01:40:51.850422 | 2025-05-13 04:29:37.230471 |
| 2025-12-06 08:13:33.186201 | 2025-12-07 01:38:53.301914 | 15629068 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15629068 | Athletic Physical Therapy Inc | 1962-08-12 | 2025-12-09 | F | PT | SCHOLEFIELD | TRJNP1055193 | ROBIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.122030581.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9087505/check_15629068_a74fdd52-adfa-4dbf-a540-acc3ad093037.json | N/A | N/A | N/A | N/A | N/A | TRJNP1055193 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1962-08-12 | 040 | 276727M007 | N/A | PR | false | SCHOLEFIELD | N/A | ROBIN | N/A | 9999-12-31 | 2020-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9458996116 | N/A | N/A | 9087505 | 2222 | 4793 | 15906340 | N/A | 7605100 | 2025-12-07 01:38:53.301914 | 2025-09-11 15:07:41.965017 |
| 2025-12-06 08:13:33.090275 | 2025-12-07 01:33:38.434379 | 15629063 | N/A | N/A | 60054 | Aetna | 1114042165 | 15629063 | Athletic Physical Therapy Inc | 1955-03-15 | 2025-12-09 | F | PT | MORTENSEN | MBL800W05634 | JEANIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115426308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549946/check_15629063_4eaf84f7-c9c8-4956-83bc-2163400345f4.json | N/A | N/A | N/A | N/A | N/A | MBL800W05634 | N/A | N/A | AETNA | N/A | 1955-03-15 | 0169623 | 016962301000201 | N/A | N/A | false | MORTENSEN | N/A | JEANIE | N/A | N/A | N/A | PPO DENTAL 2000 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9459001213 | N/A | N/A | 5549946 | 2222 | 4801 | 15895457 | N/A | 4219431 | 2025-12-07 01:33:38.434379 | 2025-12-01 18:45:07.315802 |
| 2025-12-06 08:13:32.853310 | 2025-12-07 01:36:49.307657 | 15629053 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15629053 | Athletic Physical Therapy Inc | 1967-12-23 | 2025-12-09 | F | AE | SOL | U9859952501 | ISABEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115426308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549212/check_15629053_4b2265c6-64ef-4ff1-aa80-226dec454856.json | N/A | N/A | N/A | N/A | N/A | U9859952501 | 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. | 1967-12-23 | 67138CA0520015-04 | N/A | N/A | N/A | false | SOL | N/A | ISABEL | N/A | N/A | N/A | SILVER 73 AMBETTER HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9459001212 | N/A | N/A | 5549212 | 2222 | 4793 | 15901909 | N/A | 4218926 | 2025-12-07 01:36:49.307657 | 2025-07-30 14:07:18.779456 |
| 2025-12-06 08:13:31.791493 | 2025-12-07 01:40:49.897694 | 15628998 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15628998 | Athletic Physical Therapy Inc | 1957-05-23 | 2025-12-09 | F | AE | CEASAR | 6XR6JY3MJ89 | DEBBIE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115426308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543553/check_15628998_6ab44a30-75e8-48ad-9762-635579bf2fbb.json | N/A | N/A | N/A | N/A | N/A | 6XR6JY3MJ89 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-23 | S5660 | N/A | N/A | MA | false | CEASAR | N/A | DEBBIE | N/A | N/A | N/A | N/A | N/A | 80448 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9459001207 | N/A | N/A | 5543553 | 2222 | 4793 | 15909510 | N/A | 4215327 | 2025-12-07 01:40:49.897694 | 2025-05-13 04:29:37.229651 |
| 2025-12-06 08:13:31.540867 | 2025-12-07 01:36:29.778090 | 15628988 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15628988 | Athletic Physical Therapy Inc | 1956-05-26 | 2025-12-09 | F | AE | TORRES | 40067303001 | OLGA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115426308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543371/check_15628988_8f80ae70-154d-4c36-9466-9e4a27702ba8.json | N/A | N/A | N/A | N/A | N/A | 40067303001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-05-26 | 2025H5425001 | H5425M | N/A | N/A | false | TORRES | N/A | OLGA | 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 | 9459001206 | N/A | N/A | 5543371 | 2222 | 4793 | 15901249 | 6237 | 4215172 | 2025-12-07 01:36:29.778090 | 2025-05-13 04:29:37.229489 |
| 2025-12-06 08:13:31.305238 | 2025-12-07 01:37:10.849104 | 15628978 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15628978 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-12-09 | F | PT | DAKE | SIF326M90066 | RENEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115426308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543355/check_15628978_d6b19c14-f145-4add-8c9e-d9fd13532454.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | Preferred Provider Organization (PPO) | SISC - MEADOWS ARTS & TECH ELEMENTARY SCHOOL | ANTHEM BLUE CROSS | N/A | 1968-01-29 | 040 | 40424B | N/A | PR | false | DAKE | N/A | RENEE | N/A | 9999-12-31 | 2018-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9459001205 | N/A | N/A | 5543355 | 2222 | 4793 | 15902686 | N/A | 4215158 | 2025-12-07 01:37:10.849104 | 2025-05-13 04:29:37.229475 |
| 2025-12-06 08:13:31.108434 | 2025-12-07 01:33:03.416155 | 15628967 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15628967 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-12-09 | F | AE | SILVERS | 1866968 | JOIEMAY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115426308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543335/check_15628967_b22942ef-cded-455b-9bef-394b656e697c.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 2001-01-23 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9459001204 | N/A | N/A | 5543335 | 2222 | 4802 | 15894281 | 4211 | 4215139 | 2025-12-07 01:33:03.416155 | 2025-05-13 21:20:11.455022 |
| 2025-12-06 08:13:30.914325 | 2025-12-07 01:37:38.349818 | 15628958 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15628958 | Athletic Physical Therapy Inc | 1987-10-17 | 2025-12-09 | F | PT | PATEL | XEA910759571 | MAMTABEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115426308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543327/check_15628958_21f1dfc2-91db-4310-9a07-f37dbae9dd0f.json | N/A | N/A | N/A | N/A | N/A | XEA910759571 | Preferred Provider Organization (PPO) | RELATIVITY SPACE INC | BLUE SHIELD CALIFORNIA | N/A | 1987-10-17 | 1000PPOX0004 | W0071038 | N/A | PR | false | KROL | N/A | JEREMY | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1650 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9459001203 | N/A | N/A | 5543327 | 2222 | 4802 | 15903669 | N/A | 4215137 | 2025-12-07 01:37:38.349818 | 2025-10-13 23:09:53.444170 |
| 2025-12-06 08:13:30.663068 | 2025-12-07 01:33:01.431167 | 15628946 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15628946 | Athletic Physical Therapy Inc | 1961-07-08 | 2025-12-09 | F | AE | BERRY | 606308574 | KAREN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115426308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543264/check_15628946_e90f36d0-772b-4a53-a660-4429c4aeac0c.json | N/A | N/A | N/A | N/A | N/A | 606308574 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 1961-07-08 | 18126CA001000306 | QMXEM01910 | N/A | N/A | false | BERRY | N/A | KAREN | N/A | 2025-12-31 | 2025-09-01 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9459001202 | N/A | N/A | 5543264 | 2222 | 4802 | 15894210 | 4211 | 4215080 | 2025-12-07 01:33:01.431167 | 2025-05-13 04:29:37.229395 |
| 2025-12-06 08:13:30.384201 | 2025-12-07 01:37:15.516620 | 15628933 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15628933 | Athletic Physical Therapy Inc | 1963-10-10 | 2025-12-09 | F | PT | RUEGGER | MPI01409385Q | ANNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115426308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542955/check_15628933_80979539-2492-445e-870b-91600fa6ab53.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 | 9459001201 | N/A | N/A | 5542955 | 2222 | 4793 | 15902855 | N/A | 4214809 | 2025-12-07 01:37:15.516620 | 2025-06-05 16:00:56.918021 |
| 2025-12-06 08:13:30.107046 | 2025-12-07 01:37:11.562964 | 15628919 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15628919 | Athletic Physical Therapy Inc | 1943-04-14 | 2025-12-09 | M | PT | DESMET | MBL584M98446 | GRANT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115426308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542900/check_15628919_75b8990c-74c9-4664-9ce5-221a841e00e5.json | N/A | N/A | N/A | N/A | N/A | MBL584M98446 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1943-04-14 | 040 | CAEGR005 | N/A | N/A | false | DESMET | N/A | GRANT | 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 | 9459001200 | N/A | N/A | 5542900 | 2222 | 4801 | 15902707 | N/A | 4214759 | 2025-12-07 01:37:11.562964 | 2025-05-13 04:29:37.229079 |
| 2025-12-06 08:13:29.853451 | 2025-12-07 01:33:38.713101 | 15628910 | N/A | N/A | 60054 | Aetna | 1114042165 | 15628910 | Athletic Physical Therapy Inc | 1982-02-18 | 2025-12-09 | M | AE | TORGAN | W291598583 | SPENCER | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115426308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542863/check_15628910_35328e38-0d4a-4a2a-9014-3ea2eeab379b.json | N/A | N/A | N/A | N/A | N/A | W291598583 | Point of Service (POS) | MORGAN STANLEY DOMESTIC HOLDINGS, L | AETNA | N/A | 1982-02-18 | 0868849 | 086884901000001 | N/A | PS | false | TORGAN | N/A | SPENCER | 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 | 9459001199 | N/A | N/A | 5542863 | 2222 | 4793 | 15895469 | N/A | 4214725 | 2025-12-07 01:33:38.713101 | 2025-05-13 04:29:37.229043 |
| 2025-12-06 08:13:29.549320 | 2025-12-07 01:37:16.286388 | 15628895 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15628895 | Athletic Physical Therapy Inc | 1949-06-30 | 2025-12-09 | F | PT | STEWART | WSP370A66341 | ALBERTA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115426308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542834/check_15628895_7adc76f4-cb05-4721-b5ae-7a946e2a7620.json | N/A | N/A | N/A | N/A | N/A | WSP370A66341 | N/A | ELEVANCE HEALTH | ANTHEM BLUE CROSS | N/A | 1949-06-30 | 130 | IN002GRS | N/A | N/A | false | STEWART | N/A | ALBERTA | N/A | 9999-12-31 | 2021-01-01 | IN GRS ELEVANCE HEALTH H4036-801 ANTHEM MED PREFER | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9459001198 | N/A | N/A | 5542834 | 2222 | 4801 | 15902881 | N/A | 4214700 | 2025-12-07 01:37:16.286388 | 2025-05-13 04:29:37.229017 |
| 2025-12-06 08:13:29.258777 | 2025-12-07 01:40:53.106218 | 15628884 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15628884 | Athletic Physical Therapy Inc | 1941-11-27 | 2025-12-09 | M | AE | NEILSON | 2VG5XR5CT78 | GEORGE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115426308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542623/check_15628884_16808a20-0126-4350-9887-6f0a3a825994.json | N/A | N/A | N/A | N/A | N/A | 2VG5XR5CT78 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-11-27 | S4802 | N/A | N/A | MB | false | NEILSON | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | 199328 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9459001197 | N/A | N/A | 5542623 | 2222 | 4801 | 15909570 | N/A | 4214511 | 2025-12-07 01:40:53.106218 | 2025-05-13 04:29:37.228826 |
| 2025-12-06 08:13:28.999994 | 2025-12-07 01:40:53.402628 | 15628874 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15628874 | Athletic Physical Therapy Inc | 1959-10-03 | 2025-12-09 | F | AE | REED | 2YY5KV0WP59 | SONIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115426308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542497/check_15628874_a701e6c3-9577-46ab-ae0c-80461ee4cfa2.json | N/A | N/A | N/A | N/A | N/A | 2YY5KV0WP59 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-10-03 | S5617 | N/A | N/A | MB | false | REED | N/A | SONIA | N/A | N/A | N/A | N/A | N/A | 196365 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9459001196 | N/A | N/A | 5542497 | 2222 | 4801 | 15909577 | N/A | 4214397 | 2025-12-07 01:40:53.402628 | 2025-05-13 04:29:37.228723 |
| 2025-12-06 08:13:28.792668 | 2025-12-07 01:40:52.132815 | 15628864 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15628864 | Athletic Physical Therapy Inc | 1936-09-29 | 2025-12-09 | M | AE | JAUDE | 8D38EF9GV30 | KARIM | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115426308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542251/check_15628864_09600cd7-c673-4a43-9bad-4adbdc176293.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MA | false | JAUDE | N/A | KARIM | N/A | N/A | N/A | N/A | N/A | 273646 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9459001195 | N/A | N/A | 5542251 | 2222 | 4802 | 15909551 | N/A | 4214191 | 2025-12-07 01:40:52.132815 | 2025-05-13 04:29:37.228525 |
| 2025-12-06 08:13:28.577839 | 2025-12-07 01:33:02.189835 | 15628854 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15628854 | Athletic Physical Therapy Inc | 1975-03-26 | 2025-12-09 | F | AE | HEYES | 95596436F | DARCIE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115426308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542233/check_15628854_58bb0f03-fce4-48de-b0fc-2722d7d484bf.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1975-03-26 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | 2078-12-31 | 2024-04-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9459001194 | N/A | N/A | 5542233 | 2222 | 4793 | 15894239 | 4211 | 4214178 | 2025-12-07 01:33:02.189835 | 2025-05-13 04:29:37.228506 |
| 2025-12-06 08:13:28.340908 | 2025-12-07 01:33:03.034438 | 15628844 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15628844 | Athletic Physical Therapy Inc | 1961-02-27 | 2025-12-09 | M | AE | SHRIVER | 90771207E | DANIEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115426308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541984/check_15628844_532a3faa-569b-47c3-beaa-5d6462cafd1a.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-02-27 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | SHRIVER | N/A | DANIEL | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9459001193 | N/A | N/A | 5541984 | 2222 | 4802 | 15894267 | 4211 | 4213934 | 2025-12-07 01:33:03.034438 | 2026-01-27 23:36:44.802366 |
| 2025-12-06 08:13:28.154875 | 2025-12-07 01:37:12.957838 | 15628835 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15628835 | Athletic Physical Therapy Inc | 2009-08-02 | 2025-12-09 | F | PT | KUZMICZ | LFYHC0059374 | AUDREY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115426308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541748/check_15628835_f57f11a0-3f6d-4cfc-9e14-aefdd18c4401.json | N/A | N/A | N/A | N/A | N/A | LFYHC0059374 | Preferred Provider Organization (PPO) | LOS ANGELES FIREMENS RELIEF ASSOCIATION | ANTHEM BLUE CROSS | N/A | 2009-08-02 | 040 | 282527M001 | N/A | PR | false | KUZMICZ | N/A | CHRISTOPHER | N/A | 9999-12-31 | 2020-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9459001192 | N/A | N/A | 5541748 | 2222 | 4801 | 15902761 | N/A | 4213741 | 2025-12-07 01:37:12.957838 | 2025-10-10 22:38:21.840610 |
| 2025-12-06 08:13:27.915978 | 2025-12-07 01:35:20.384367 | 15628825 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 15628825 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-12-09 | M | AD | LYKIDIS | U1221753503 | JOHN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115426308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541552/check_15628825_5fe28326-c65e-4e4a-a057-c8cb0e9af025.json | N/A | N/A | N/A | N/A | N/A | U1221753503 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 2001-11-21 | N/A | 3207160 | N/A | N/A | false | LYKIDIS | N/A | JOHN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 9459001191 | N/A | N/A | 5541552 | 2222 | 4802 | 15898972 | N/A | 4213562 | 2025-12-07 01:35:20.384367 | 2025-05-13 04:29:37.227895 |
| 2025-12-06 08:13:27.696370 | 2025-12-07 01:37:37.968964 | 15628813 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15628813 | Athletic Physical Therapy Inc | 1963-07-22 | 2025-12-09 | F | PT | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115426308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541314/check_15628813_2a5c3f5e-c625-4734-ac66-53ae5c3173f6.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 2025-12-31 | 2025-01-01 | SILVER 73 PPO JAN25 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9459001190 | N/A | N/A | 5541314 | 2222 | 4793 | 15903657 | N/A | 4213343 | 2025-12-07 01:37:37.968964 | 2025-06-06 02:21:37.603701 |
| 2025-12-06 08:13:27.458102 | 2025-12-07 01:40:50.859246 | 15628805 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15628805 | Athletic Physical Therapy Inc | 1956-01-14 | 2025-12-09 | F | AE | COHENZADEH | 1YM2D25GY27 | SIMA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115426308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541059/check_15628805_3e410d30-6a1f-49af-9d87-615367a6f9c4.json | N/A | N/A | N/A | N/A | N/A | 1YM2D25GY27 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-14 | S4802 | N/A | N/A | MA | false | COHENZADEH | N/A | SIMA | N/A | N/A | N/A | N/A | N/A | 1541 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9459000795 | N/A | N/A | 5541059 | 2222 | 4802 | 15909527 | N/A | 4213119 | 2025-12-07 01:40:50.859246 | 2025-11-20 01:13:31.057962 |
| 2025-12-06 08:13:27.262191 | 2025-12-07 01:40:50.559469 | 15628795 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15628795 | Athletic Physical Therapy Inc | 1956-09-14 | 2025-12-09 | M | AE | COHENZADEH | 7UJ5QD2DD88 | DAVOOD | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115426308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540904/check_15628795_91d4828a-9ff3-4d85-a9f1-1a7101cc3d3f.json | N/A | N/A | N/A | N/A | N/A | 7UJ5QD2DD88 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-09-14 | S4802 | N/A | N/A | MA | false | COHENZADEH | N/A | DAVOOD | N/A | N/A | N/A | N/A | N/A | 21647 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9459000794 | N/A | N/A | 5540904 | 2222 | 4802 | 15909523 | N/A | 4212983 | 2025-12-07 01:40:50.559469 | 2025-11-19 21:27:11.455704 |
| 2025-12-06 08:13:27.045149 | 2025-12-07 01:37:11.908046 | 15628786 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15628786 | Athletic Physical Therapy Inc | 1995-06-07 | 2025-12-09 | M | PT | Greathouse | MPI30458946Q | Kheperan | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251206.115426308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540871/check_15628786_72fa3201-e42c-42dd-9744-68c33ec4fcd8.json | N/A | N/A | N/A | N/A | N/A | MPI30458946Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1995-06-07 | 040 | 277163M402 | N/A | PR | false | GREATHOUSE | N/A | KHEPERAN | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9459000793 | N/A | N/A | 5540871 | 2222 | 4793 | 15902724 | N/A | 4212959 | 2025-12-07 01:37:11.908046 | 2025-10-17 20:08:21.136268 |