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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-05 08:05:24.511964 | 2025-12-06 01:44:58.746986 | 15582880 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15582880 | Athletic Physical Therapy Inc | 1965-10-16 | 2025-12-08 | F | PT | OTA | JQK708W18818 | JULIANNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.121122589.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11614506/check_15582880_1b559740-a2fe-4343-871c-11d381ce1ca1.json | N/A | N/A | N/A | N/A | N/A | JQK708W18818 | Health Maintenance Organization (HMO) | HYPERCOMP INC | ANTHEM BLUE CROSS | N/A | 1965-10-16 | 040 | G78593 | N/A | HM | false | OTA | N/A | JULIANNE | N/A | 2026-01-01 | 2025-01-01 | CA SG ANTHEM HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9450156688 | N/A | N/A | 11614506 | 2222 | 4801 | 15868629 | N/A | 4208609 | 2025-12-06 01:44:58.746986 | 2025-11-06 22:22:57.784313 |
| 2025-12-05 08:05:21.096918 | 2025-12-06 01:42:48.567325 | 15582646 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15582646 | Athletic Physical Therapy Inc | 1961-03-12 | 2025-12-08 | F | PT | MCNUTT | XED904914958 | YOLANDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.121319546.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6668755/check_15582646_2db42ba5-9763-4be9-ae87-dc4c5b099a23.json | N/A | N/A | N/A | N/A | N/A | XED904914958 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-03-12 | 2001ZK002184 | X0001004 | N/A | PR | false | FERNANDEZ-MCNUTT | N/A | YOLANDA | N/A | 2025-12-31 | 2025-01-01 | SILVER 94 PPO JAN25 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9450178573 | N/A | N/A | 6668755 | 2222 | 4801 | 15865734 | N/A | 5282877 | 2025-12-06 01:42:48.567325 | 2025-07-01 15:56:36.473431 |
| 2025-12-05 08:05:20.658749 | 2025-12-06 05:35:23.221119 | 15582614 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15582614 | Athletic Physical Therapy Inc | 1944-02-19 | 2025-12-08 | M | PT | CHRISTIE | JQS302A78569 | GEORGE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.101426463.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9635046/check_15582614_6138ef48-09d2-488b-a304-a9cff3e38f58.json | N/A | N/A | N/A | N/A | N/A | JQS302A78569 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1944-02-19 | 040 | CAMCRWP0 | N/A | MP | false | CHRISTIE JR | N/A | GEORGE | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9450252734 | N/A | N/A | 9635046 | 2222 | 4801 | 15881420 | 4185 | 4213398 | 2025-12-06 05:35:23.221119 | 2025-09-22 22:02:57.508447 |
| 2025-12-05 08:05:16.414864 | 2025-12-06 01:42:59.604944 | 15582316 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15582316 | Athletic Physical Therapy Inc | 1957-04-20 | 2025-12-08 | F | PT | FOX | 941W2386920 | GENOVEVA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.121342398.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12570095/check_15582316_cd97824d-a24e-4783-ac5d-2fe1d7c87114.json | N/A | N/A | N/A | N/A | N/A | 941W2386920 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1957-04-20 | N/A | N/A | N/A | N/A | false | FOX | N/A | GENOVEVA | 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 | 9450160210 | N/A | N/A | 12570095 | 2222 | 4793 | 15866039 | N/A | 10741847 | 2025-12-06 01:42:59.604944 | 2025-11-17 21:17:39.202453 |
| 2025-12-05 08:05:14.758642 | 2025-12-06 01:34:53.438403 | 15582209 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 15582209 | override_provider | 1965-05-26 | 2025-12-08 | M | PT | PARRA | R58564504 | GREGORY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.121342398.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12566263/check_15582209_66c0c28f-b063-4372-8d46-4c9cf7487cf4.json | N/A | N/A | N/A | N/A | N/A | R58564504 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1965-05-26 | N/A | 112 | N/A | PR | false | PARRA | N/A | GREGORY | N/A | 9999-12-31 | 2007-01-07 | BASIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9450160204 | N/A | N/A | 12566263 | 2222 | 4801 | 15858634 | N/A | 10738342 | 2025-12-06 01:34:53.438403 | 2025-11-17 17:10:15.206525 |
| 2025-12-05 08:05:05.360670 | 2025-12-06 01:39:37.256004 | 15581608 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15581608 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-12-08 | F | AE | MARTIN | DGA11867912J | DOLLY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.103420562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550799/check_15581608_7af4bc68-acf6-4784-97d5-4d6af553010b.json | N/A | N/A | N/A | N/A | N/A | DGA11867912J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | MEDICARE B | N/A | 1944-09-13 | 040 | 276945M001 | N/A | PR | false | MARTIN | N/A | DOLLY | N/A | 9999-12-31 | 2013-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9450152574 | N/A | N/A | 5550799 | 2222 | 4793 | 15862026 | N/A | 4219681 | 2025-12-06 01:39:37.256004 | 2026-01-14 20:54:02.193776 |
| 2025-12-05 08:05:05.002202 | 2025-12-06 01:39:36.453473 | 15581585 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15581585 | Athletic Physical Therapy Inc | 1948-08-18 | 2025-12-08 | M | AE | EDA | 776A78714 | MASAAKI | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.103420562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543332/check_15581585_b0088493-a879-46e2-934e-5f8367d784e5.json | N/A | N/A | N/A | N/A | N/A | 776A78714 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1948-08-18 | N/A | N/A | N/A | N/A | false | EDA | N/A | MASAAKI | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9450152571 | N/A | N/A | 5543332 | 2222 | 4802 | 15862016 | N/A | 4215140 | 2025-12-06 01:39:36.453473 | 2025-05-13 04:29:37.229453 |
| 2025-12-05 08:05:04.877553 | 2025-12-06 01:42:33.704835 | 15581574 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 15581574 | Athletic Physical Therapy Inc | 1946-06-01 | 2025-12-08 | F | AE | AMIRI | 5A52N18CA24 | POURAN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.103420562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538157/check_15581574_4c20a582-7f62-40e7-bd8d-615575df82aa.json | N/A | N/A | N/A | N/A | N/A | 5A52N18CA24 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1946-06-01 | N/A | N/A | N/A | N/A | false | AMIRI | N/A | POURAN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9450152570 | N/A | N/A | 5538157 | 2222 | 4802 | 15865308 | N/A | 4210607 | 2025-12-06 01:42:33.704835 | 2025-08-01 18:31:38.620742 |
| 2025-12-05 08:05:04.722747 | 2025-12-06 01:39:37.755103 | 15581562 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15581562 | Athletic Physical Therapy Inc | 1945-03-19 | 2025-12-08 | F | AE | ROSS | JQU064A62211 | MARTHA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.103420562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536304/check_15581562_ef969fef-3574-43cb-8a65-8378352330ff.json | N/A | N/A | N/A | N/A | N/A | JQU064A62211 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1945-03-19 | 040 | 07MS00 | N/A | N/A | false | ROSS | N/A | MARTHA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9450152569 | N/A | N/A | 5536304 | 2222 | 4802 | 15862032 | N/A | 4209073 | 2025-12-06 01:39:37.755103 | 2025-11-19 19:47:03.642493 |
| 2025-12-05 08:05:04.584433 | 2025-12-06 01:32:37.218808 | 15581551 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 15581551 | Athletic Physical Therapy Inc | 1939-10-22 | 2025-12-08 | M | AE | ODONNELL | 02722745411 | JOHN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.103420562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535496/check_15581551_8fd4280d-9e4f-467c-a9f4-70212fd28647.json | N/A | N/A | N/A | N/A | N/A | 02722745411 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1939-10-22 | N/A | N/A | N/A | SP | false | O DONNELL | N/A | JOHN | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9450152568 | N/A | N/A | 5535496 | 2222 | 4802 | 15857054 | N/A | 4208408 | 2025-12-06 01:32:37.218808 | 2025-05-13 04:29:37.222823 |
| 2025-12-05 08:05:02.490985 | 2025-12-06 01:51:35.862847 | 15581409 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 15581409 | Athletic Physical Therapy Inc | 1959-05-18 | 2025-12-08 | F | PT | BARRUNDIA DE AVENDAN | 789W2003120 | M | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.121020142.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8046575/check_15581409_4672f5be-b243-4bd1-81d7-3d215b935036.json | N/A | N/A | N/A | N/A | N/A | 789W2003120 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-05-18 | N/A | N/A | N/A | N/A | false | BARRUNDIA DE AVENDAN | N/A | M | 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 | 9450148541 | N/A | N/A | 8046575 | 2222 | 4801 | 15873261 | 4184 | 4642900 | 2025-12-06 01:51:35.862847 | 2025-12-12 21:30:04.843166 |
| 2025-12-05 08:05:01.768418 | 2025-12-06 03:34:56.130512 | 15581367 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15581367 | Athletic Physical Therapy Inc | 1989-01-23 | 2025-12-08 | F | PT | HINKLE | NCF051W08046 | MARLENA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550925/check_15581367_438cead9-8fbc-48d3-a411-f87f2772864c.json | N/A | N/A | N/A | N/A | N/A | NCF051W08046 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1989-01-23 | 040 | 57AJCA | N/A | HM | false | HINKLE | N/A | MARLENA | N/A | 9999-12-31 | 2021-03-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9450139264 | N/A | N/A | 5550925 | 2222 | 4793 | 15876295 | N/A | 4219772 | 2025-12-06 03:34:56.130512 | 2025-11-18 00:45:16.378261 |
| 2025-12-05 08:05:01.603551 | 2025-12-06 03:34:57.773745 | 15581357 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15581357 | Athletic Physical Therapy Inc | 2016-10-15 | 2025-12-08 | F | PT | WALTER | JXN523A76388 | KARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550923/check_15581357_3e590e51-16b1-4be7-8ca5-a452691a7a6f.json | N/A | N/A | N/A | N/A | N/A | JXN523A76388 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 2016-10-15 | 040 | 174222M3A1 | N/A | PR | false | WALTER | N/A | KYLE | N/A | 9999-12-31 | 2023-01-01 | BC PPO INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9450139263 | N/A | N/A | 5550923 | 2222 | 4801 | 15876300 | N/A | 4219763 | 2025-12-06 03:34:57.773745 | 2025-05-13 04:29:37.230804 |
| 2025-12-05 08:05:01.488107 | 2025-12-06 03:34:33.822391 | 15581352 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15581352 | Athletic Physical Therapy Inc | 1966-02-05 | 2025-12-08 | F | AE | VANCELETTE | 99775204F | DEBORAH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550875/check_15581352_7d5efa4a-3d14-4049-b70f-66997fb4c364.json | N/A | N/A | N/A | N/A | N/A | 99775204F | N/A | N/A | HEALTH NET, LLC | N/A | 1966-02-05 | N/A | N/A | N/A | N/A | false | VANCELETTE | N/A | DEBORAH | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9450139262 | N/A | N/A | 5550875 | 2222 | 4802 | 15876222 | N/A | 4219732 | 2025-12-06 03:34:33.822391 | 2025-05-13 04:29:37.230772 |
| 2025-12-05 08:05:01.308596 | 2025-12-06 03:38:03.453493 | 15581337 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15581337 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-12-08 | F | AE | MARTIN | 5YV3RT3TA75 | DOLLY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550797/check_15581337_d314cf05-4073-4501-b702-222641c551a0.json | N/A | N/A | N/A | N/A | N/A | 5YV3RT3TA75 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-09-13 | N/A | N/A | N/A | MB | false | MARTIN | N/A | DOLLY | N/A | N/A | N/A | N/A | N/A | 311399 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9450139261 | N/A | N/A | 5550797 | 2222 | 4793 | 15876906 | N/A | 4219681 | 2025-12-06 03:38:03.453493 | 2026-01-14 20:54:02.193776 |
| 2025-12-05 08:05:01.158244 | 2025-12-06 03:38:03.169137 | 15581329 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15581329 | Athletic Physical Therapy Inc | 1956-11-29 | 2025-12-08 | M | AE | LYGA | 9E33A44VQ74 | FRANK | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550634/check_15581329_227b894f-a22a-47ee-9104-ba1d1763bb2c.json | N/A | N/A | N/A | N/A | N/A | 9E33A44VQ74 | Medicare Part B | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-11-29 | S5596 | DOL 07071986 | N/A | MB | false | LYGA | N/A | FRANK | N/A | N/A | N/A | N/A | N/A | 208379 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9450139260 | N/A | N/A | 5550634 | 2222 | 4801 | 15876905 | N/A | 4219584 | 2025-12-06 03:38:03.169137 | 2025-09-29 18:19:47.145731 |
| 2025-12-05 08:05:01.042181 | 2025-12-06 03:34:56.789454 | 15581321 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15581321 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-12-08 | F | PT | LUCZYWEK | HFD100011213709 | DEBORA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_15581321_e246e3c7-cf98-4456-bc02-d0088e795fc6.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9450139259 | N/A | N/A | 5549317 | 2222 | 4801 | 15876297 | N/A | 4219010 | 2025-12-06 03:34:56.789454 | 2026-01-09 18:32:07.618867 |
| 2025-12-05 08:05:00.944240 | 2025-12-06 03:38:01.559313 | 15581315 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15581315 | Athletic Physical Therapy Inc | 1959-09-11 | 2025-12-08 | M | AE | CRAIG | 5GR8W08TR55 | JEFFREY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549237/check_15581315_c8c40e83-c3fe-4a68-b71c-d163bfaed160.json | N/A | N/A | N/A | N/A | N/A | 5GR8W08TR55 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-11 | N/A | N/A | N/A | MB | false | CRAIG | N/A | JEFFREY | N/A | N/A | N/A | N/A | N/A | 117100 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9450139258 | N/A | N/A | 5549237 | 2222 | 4801 | 15876900 | N/A | 4218948 | 2025-12-06 03:38:01.559313 | 2025-05-13 04:29:37.229964 |
| 2025-12-05 08:05:00.840629 | 2025-12-06 03:31:38.026968 | 15581306 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 15581306 | Athletic Physical Therapy Inc | 1941-05-24 | 2025-12-08 | F | AE | REGGIANI | 41813758 | SUSANA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549015/check_15581306_c2668288-7f28-4a19-8a5f-5af46358ad27.json | N/A | N/A | N/A | N/A | N/A | 41813758 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1941-05-24 | 406-024-000 | N/A | N/A | N/A | false | REGGIANI | N/A | SUSANA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9450142553 | N/A | N/A | 5549015 | 2222 | 4801 | 15875630 | 6798 | 4208849 | 2025-12-06 03:31:38.026968 | 2025-05-13 04:29:37.223279 |
| 2025-12-05 08:05:00.200655 | 2025-12-06 03:34:33.541195 | 15581263 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15581263 | Athletic Physical Therapy Inc | 1963-07-02 | 2025-12-08 | M | AE | RAMPTON | R02515710 | JAMES | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543519/check_15581263_9e0296b4-8e69-4f5a-a471-2d466ba2af49.json | N/A | N/A | N/A | N/A | N/A | R02515710MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1963-07-02 | N/A | N/A | N/A | N/A | false | RAMPTON | N/A | JAMES | N/A | N/A | N/A | KZ0 SBP | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9450142545 | N/A | N/A | 5543519 | 2222 | 4801 | 15876221 | N/A | 4215303 | 2025-12-06 03:34:33.541195 | 2025-05-13 04:29:37.229622 |
| 2025-12-05 08:05:00.105302 | 2025-12-06 03:34:07.525010 | 15581256 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15581256 | Athletic Physical Therapy Inc | 1956-05-26 | 2025-12-08 | F | AE | TORRES | 40067303001 | OLGA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543371/check_15581256_f4e1d584-f901-496c-9843-7946b2052ab8.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 | 9450142544 | N/A | N/A | 5543371 | 2222 | 4793 | 15876138 | 6237 | 4215172 | 2025-12-06 03:34:07.525010 | 2025-05-13 04:29:37.229489 |
| 2025-12-05 08:05:00.010233 | 2025-12-06 03:38:01.955966 | 15581250 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15581250 | Athletic Physical Therapy Inc | 1948-08-18 | 2025-12-08 | M | AE | EDA | 9AC4JX7TW77 | MASAAKI | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543330/check_15581250_17488cf0-e2ea-4209-b248-4c5cb85807d5.json | N/A | N/A | N/A | N/A | N/A | 9AC4JX7TW77 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-08-18 | S5596 | N/A | N/A | MA | false | EDA | N/A | MASAAKI | N/A | N/A | N/A | N/A | N/A | 170415 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9450142543 | N/A | N/A | 5543330 | 2222 | 4802 | 15876901 | N/A | 4215140 | 2025-12-06 03:38:01.955966 | 2025-05-13 04:29:37.229453 |
| 2025-12-05 08:04:59.912957 | 2025-12-06 03:34:41.696176 | 15581241 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 15581241 | Athletic Physical Therapy Inc | 1947-12-04 | 2025-12-08 | F | AE | CHARTER | 00000357514 | JEAN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543042/check_15581241_b005f6ab-ec7b-418e-ae08-b13b1581f1a9.json | N/A | N/A | N/A | N/A | N/A | 00000357514 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1947-12-04 | H3815028 | N/A | N/A | HM | false | CHARTER | N/A | JEAN | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9450142542 | N/A | N/A | 5543042 | 2222 | 4793 | 15876249 | N/A | 4214881 | 2025-12-06 03:34:41.696176 | 2025-10-23 00:25:28.237067 |
| 2025-12-05 08:04:59.824163 | 2025-12-06 03:38:04.121025 | 15581237 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15581237 | Athletic Physical Therapy Inc | 1951-06-05 | 2025-12-08 | F | AE | Roberts | 8J26AQ7EV76 | Mary Bryan | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542843/check_15581237_cffe6471-126f-4a74-b00d-0a4390f04ddc.json | N/A | N/A | N/A | N/A | N/A | 8J26AQ7EV76 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-05 | S5601 | N/A | N/A | MB | false | ROBERTS | N/A | MARY | N/A | N/A | N/A | N/A | N/A | 197122 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9450142541 | N/A | N/A | 5542843 | 2222 | 4793 | 15876908 | N/A | 4214712 | 2025-12-06 03:38:04.121025 | 2025-11-12 19:26:06.663656 |
| 2025-12-05 08:04:59.712473 | 2025-12-06 03:34:34.166532 | 15581224 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15581224 | Athletic Physical Therapy Inc | 1979-11-17 | 2025-12-08 | F | AE | WOODS | 96781627F | JESSICA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542752/check_15581224_be2c7d73-c367-4bc8-a0d6-a598a1857a38.json | N/A | N/A | N/A | N/A | N/A | 96781627F | N/A | N/A | HEALTH NET, LLC | N/A | 1979-11-17 | N/A | N/A | N/A | N/A | false | WOODS | N/A | JESSICA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9450142539 | N/A | N/A | 5542752 | 2222 | 4793 | 15876223 | 4625 | 4214627 | 2025-12-06 03:34:34.166532 | 2025-06-23 18:58:46.304598 |
| 2025-12-05 08:04:59.500133 | 2025-12-06 03:34:32.225267 | 15581213 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15581213 | Athletic Physical Therapy Inc | 1972-07-22 | 2025-12-08 | M | AE | KOZMA | U9714475101 | JASON | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542709/check_15581213_a2b5cf26-542e-44bd-8bba-2db03c021f09.json | N/A | N/A | N/A | N/A | N/A | U9714475101 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1972-07-22 | 67138CA0700027-01 | N/A | N/A | N/A | false | KOZMA | N/A | JASON | N/A | N/A | N/A | BRONZE 60 HDHP AMBETTER PPO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9450142538 | N/A | N/A | 5542709 | 2222 | 4802 | 15876216 | N/A | 4214582 | 2025-12-06 03:34:32.225267 | 2025-12-02 00:00:04.433236 |
| 2025-12-05 08:04:59.272382 | 2025-12-06 03:34:32.776499 | 15581198 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15581198 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-12-08 | F | AE | CHERE | 98953535F | DIANA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_15581198_0370ed5f-d3a3-468e-ad37-da8a277df1fb.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9450142536 | N/A | N/A | 5542660 | 2222 | 4802 | 15876218 | 4625 | 4214542 | 2025-12-06 03:34:32.776499 | 2025-05-13 04:29:37.228868 |
| 2025-12-05 08:04:59.070663 | 2025-12-06 03:34:54.602832 | 15581182 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15581182 | Athletic Physical Therapy Inc | 1969-08-05 | 2025-12-08 | F | PT | ABRAHAM | JQU232A63569 | NICOLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542580/check_15581182_f5465b5a-2c70-479d-abfe-2f3f0e3db047.json | N/A | N/A | N/A | N/A | N/A | JQU232A63569 | Preferred Provider Organization (PPO) | LOGICUBE INC | ANTHEM BLUE CROSS | N/A | 1969-08-05 | 040 | 398615 | N/A | PR | false | ABRAHAM | N/A | GABI | N/A | 9999-12-31 | 2025-05-01 | ANTHEM GOLD PPO 35/1000/20% | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9450142535 | N/A | N/A | 5542580 | 2222 | 4793 | 15876290 | N/A | 4214472 | 2025-12-06 03:34:54.602832 | 2025-12-01 23:39:05.994242 |
| 2025-12-05 08:04:58.837689 | 2025-12-06 03:34:57.439731 | 15581167 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15581167 | Athletic Physical Therapy Inc | 1942-12-17 | 2025-12-08 | F | PT | STEINBERG | MBL988M98459 | JUDY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542014/check_15581167_8e6ba3b0-748c-4b22-b580-7cbf56610034.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9450142533 | N/A | N/A | 5542014 | 2222 | 4793 | 15876299 | N/A | 4213977 | 2025-12-06 03:34:57.439731 | 2025-05-13 04:29:37.228294 |
| 2025-12-05 08:04:58.724782 | 2025-12-06 03:34:57.087811 | 15581158 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15581158 | Athletic Physical Therapy Inc | 1940-08-31 | 2025-12-08 | M | PT | STEINBERG | MBL875M98441 | HARRIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_15581158_025a3fe0-323a-48c6-8fac-034357ba648d.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | 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 | 9450142532 | N/A | N/A | 5541917 | 2222 | 4793 | 15876298 | N/A | 4213891 | 2025-12-06 03:34:57.087811 | 2025-05-13 04:29:37.228207 |
| 2025-12-05 08:04:58.603277 | 2025-12-06 03:35:18.757102 | 15581149 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15581149 | Athletic Physical Therapy Inc | 1965-09-18 | 2025-12-08 | F | PT | SHAPIRO | XEA901579979 | ANDREA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541315/check_15581149_17bd76ce-4599-4838-a5a3-b21fce446607.json | N/A | N/A | N/A | N/A | N/A | XEA901579979 | Preferred Provider Organization (PPO) | HANGER STEINBERG SHAPIRO AND ASH A LAW COR | BLUE SHIELD CALIFORNIA | N/A | 1965-09-18 | 1000VX000102 | W0045063 | N/A | PR | false | SHAPIRO | N/A | MARC | N/A | 9999-12-31 | 2016-11-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9450142531 | N/A | N/A | 5541315 | 2222 | 4793 | 15876367 | N/A | 4213344 | 2025-12-06 03:35:18.757102 | 2025-05-13 04:29:37.227667 |
| 2025-12-05 08:04:58.444667 | 2025-12-06 03:34:33.291328 | 15581138 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15581138 | Athletic Physical Therapy Inc | 1968-03-30 | 2025-12-08 | M | AE | FARAHMAND | 91957675E | ALEX | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541163/check_15581138_3e676367-3261-42d4-93ae-0131b255b1dc.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | HEALTH NET, LLC | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9450142530 | N/A | N/A | 5541163 | 2222 | 4802 | 15876220 | 4625 | 4213207 | 2025-12-06 03:34:33.291328 | 2025-05-13 04:29:37.227536 |
| 2025-12-05 08:04:58.337027 | 2025-12-06 03:34:07.263123 | 15581128 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15581128 | Athletic Physical Therapy Inc | 1946-11-23 | 2025-12-08 | F | AE | POLAK | 40047825101 | JOANNA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541023/check_15581128_8ec929e1-14d4-4351-b584-798c201b010b.json | N/A | N/A | N/A | N/A | N/A | 40047825101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1946-11-23 | 2025H5425006 | H5425M | N/A | N/A | false | POLAK | N/A | JOANNA | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9450142529 | N/A | N/A | 5541023 | 2222 | 4793 | 15876137 | 6237 | 4213093 | 2025-12-06 03:34:07.263123 | 2025-05-13 04:29:37.227419 |
| 2025-12-05 08:04:58.190896 | 2025-12-06 03:38:02.879584 | 15581118 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15581118 | Athletic Physical Therapy Inc | 1949-12-02 | 2025-12-08 | F | AE | LADEN | 6GY2TG9HX06 | CANDACE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540768/check_15581118_a6aee309-4ba2-4640-9bbb-e37335233d53.json | N/A | N/A | N/A | N/A | N/A | 6GY2TG9HX06 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-12-02 | S4802 | N/A | N/A | MB | false | LADEN | N/A | CANDACE | N/A | N/A | N/A | N/A | N/A | 261114 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9450142528 | N/A | N/A | 5540768 | 2222 | 4802 | 15876904 | N/A | 4212856 | 2025-12-06 03:38:02.879584 | 2025-08-04 18:33:35.319989 |
| 2025-12-05 08:04:58.031092 | 2025-12-06 03:34:54.922029 | 15581109 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15581109 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-12-08 | F | PT | BOYLAN | MBL857M98403 | JOAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540074/check_15581109_7a851b10-f5ae-4cd7-84b8-70e37a67fa31.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9450142527 | N/A | N/A | 5540074 | 2222 | 4802 | 15876291 | N/A | 4212282 | 2025-12-06 03:34:54.922029 | 2025-05-13 04:29:37.226623 |
| 2025-12-05 08:04:57.881894 | 2025-12-06 03:34:55.272816 | 15581097 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15581097 | Athletic Physical Therapy Inc | 2011-01-19 | 2025-12-08 | M | PT | CHELIUS | JXN662A51170 | CADEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539929/check_15581097_0621a943-309e-49ff-a0b7-a5fa08b84b76.json | N/A | N/A | N/A | N/A | N/A | JXN662A51170 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 2011-01-19 | 040 | 174222M9A1 | N/A | PR | false | CHELIUS | N/A | CRAIG | N/A | 9999-12-31 | 2021-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9450142526 | N/A | N/A | 5539929 | 2222 | 4793 | 15876292 | N/A | 4212158 | 2025-12-06 03:34:55.272816 | 2025-10-22 16:00:14.919111 |
| 2025-12-05 08:04:57.672469 | 2025-12-06 03:34:06.972675 | 15581084 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15581084 | Athletic Physical Therapy Inc | 1939-12-29 | 2025-12-08 | F | AE | ALESSI | 31019902301 | JEAN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539133/check_15581084_42ecbf79-1d3c-4c16-9c20-068bb4a18938.json | N/A | N/A | N/A | N/A | N/A | 31019902301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1939-12-29 | 2025H5425001 | H5425M | N/A | N/A | false | ALESSI | N/A | JEAN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9450142525 | N/A | N/A | 5539133 | 2222 | 4793 | 15876136 | N/A | 4211471 | 2025-12-06 03:34:06.972675 | 2025-07-09 03:59:33.308587 |
| 2025-12-05 08:04:57.473105 | 2025-12-06 03:34:56.459246 | 15581071 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15581071 | Athletic Physical Therapy Inc | 1980-04-11 | 2025-12-08 | M | PT | Hurst | JQY695A75359 | Gregory | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539085/check_15581071_6a0a9577-2bd0-4061-8419-1595798c2325.json | N/A | N/A | N/A | N/A | N/A | JQY695A75359 | Preferred Provider Organization (PPO) | YALE MANAGEMENT SERVICES | ANTHEM BLUE CROSS | N/A | 1980-04-11 | 040 | 342584 | N/A | PR | false | HURST | N/A | GREGORY | N/A | 9999-12-31 | 2025-12-01 | ANTHEM SILVER SELECT PPO 50/2200/40% | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9450142523 | N/A | N/A | 5539085 | 2222 | 4793 | 15876296 | N/A | 4211408 | 2025-12-06 03:34:56.459246 | 2025-09-18 00:42:48.586801 |
| 2025-12-05 08:04:57.311996 | 2025-12-06 03:34:55.813425 | 15581060 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15581060 | Athletic Physical Therapy Inc | 1960-08-08 | 2025-12-08 | M | PT | GINSBERG | JQU469A62630 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538693/check_15581060_1a76d837-282f-4326-ab13-8271443a80d3.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1960-08-08 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 2026-01-01 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9450142522 | N/A | N/A | 5538693 | 2222 | 4793 | 15876294 | N/A | 4211081 | 2025-12-06 03:34:55.813425 | 2025-05-13 04:29:37.225492 |
| 2025-12-05 08:04:57.063349 | 2025-12-06 03:31:59.498725 | 15581047 | N/A | N/A | 60054 | Aetna | 1114042165 | 15581047 | Athletic Physical Therapy Inc | 1992-03-04 | 2025-12-08 | M | AE | INCHALIK | W291674431 | BENJAMIN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538651/check_15581047_9363cd03-455a-4872-ad60-c488281d92f6.json | N/A | N/A | N/A | N/A | N/A | W291674431 | Point of Service (POS) | FIGS, INC. | AETNA | N/A | 1992-03-04 | 0251488 | 025148801200001 | N/A | PS | false | INCHALIK | N/A | BENJAMIN | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9450142520 | N/A | N/A | 5538651 | 2222 | 4802 | 15875702 | N/A | 4211040 | 2025-12-06 03:31:59.498725 | 2025-05-13 04:29:37.225445 |
| 2025-12-05 08:04:56.868456 | 2025-12-06 03:34:58.083435 | 15581033 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15581033 | Athletic Physical Therapy Inc | 1964-06-08 | 2025-12-08 | F | PT | YOUHANAIE | UQK557A62707 | TERESA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537881/check_15581033_134142fb-f334-473c-bf8d-0854bd847d69.json | N/A | N/A | N/A | N/A | N/A | UQK557A62707 | Preferred Provider Organization (PPO) | CDHP HSA W/NON INTG BANKING-SILVER HDHP | ANTHEM BLUE CROSS | N/A | 1964-06-08 | 130 | 270213OHXB | N/A | PR | false | YOUHANAIE | N/A | TERESA | N/A | 9999-12-31 | 2024-08-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9450142518 | N/A | N/A | 5537881 | 2222 | 4793 | 15876301 | N/A | 4210385 | 2025-12-06 03:34:58.083435 | 2026-03-06 18:49:17.116017 |
| 2025-12-05 08:04:56.658482 | 2025-12-06 03:34:42.268101 | 15581018 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15581018 | Athletic Physical Therapy Inc | 1936-05-08 | 2025-12-08 | F | AE | KENT | 00000365314 | BARBARA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537777/check_15581018_173315a5-2f72-4d4d-a7e1-69a9fa25ace0.json | N/A | N/A | N/A | N/A | N/A | 00000365314 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1936-05-08 | H3815028 | N/A | N/A | HM | false | KENT | N/A | BARBARA | 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 | 9450142517 | N/A | N/A | 5537777 | 2222 | 4793 | 15876251 | 2630 | 4210288 | 2025-12-06 03:34:42.268101 | 2025-05-13 04:29:37.224698 |
| 2025-12-05 08:04:56.479443 | 2025-12-06 03:34:41.973977 | 15581008 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15581008 | Athletic Physical Therapy Inc | 1949-09-13 | 2025-12-08 | M | AE | GOMES | 00000285293 | NEMESIO | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537439/check_15581008_3d6c0281-f805-4210-8921-ab6b2e44bf49.json | N/A | N/A | N/A | N/A | N/A | 00000285293 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-09-13 | H3815028 | N/A | N/A | HM | false | GOMES | N/A | NEMESIO | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9450142516 | N/A | N/A | 5537439 | 2222 | 4801 | 15876250 | 2630 | 4210001 | 2025-12-06 03:34:41.973977 | 2025-05-13 04:29:37.224421 |
| 2025-12-05 08:04:56.453067 | 2025-12-06 01:42:36.994352 | 15581006 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15581006 | Athletic Physical Therapy Inc | 1956-11-29 | 2025-12-08 | M | AE | LYGA | LPZ819A58009 | FRANK | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.103321167.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9812143/check_15581006_a7129eb1-f979-4298-91c9-af2f2deedb64.json | N/A | N/A | N/A | N/A | N/A | LPZ819A58009 | Preferred Provider Organization (PPO) | LOS ANGELES POLICE RELIEF ASN INC | MEDICARE D | N/A | 1956-11-29 | 040 | 1841UV | N/A | PR | false | LYGA | N/A | FRANK | N/A | 9999-12-31 | 2024-12-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9450161711 | N/A | N/A | 9812143 | 2222 | 4801 | 15865396 | N/A | 4219584 | 2025-12-06 01:42:36.994352 | 2025-09-29 18:19:47.145731 |
| 2025-12-05 08:04:56.347822 | 2025-12-06 01:51:36.331820 | 15581001 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15581001 | Athletic Physical Therapy Inc | 2014-05-21 | 2025-12-08 | M | PT | CHYNOWETH | JQU148M89680 | DAMIAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.121020142.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8027485/check_15581001_c0bff9f4-4366-4ed0-aee7-17514fb35a2f.json | N/A | N/A | N/A | N/A | N/A | JQU148M89680 | Preferred Provider Organization (PPO) | ELECTRIC POWER GROUP | ANTHEM BLUE CROSS | N/A | 2014-05-21 | 040 | 345735 | N/A | PR | false | CHYNOWETH | N/A | JOSHUA | N/A | 9999-12-31 | 2025-05-01 | ANTHEM GOLD PPO 30/500/20% | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9450148510 | N/A | N/A | 8027485 | 2222 | 4793 | 15873265 | N/A | 6828971 | 2025-12-06 01:51:36.331820 | 2025-09-02 17:27:57.794692 |
| 2025-12-05 08:04:56.251035 | 2025-12-06 03:32:40.690897 | 15580995 | N/A | N/A | 61101 | HUMANA | 1114042165 | 15580995 | Athletic Physical Therapy Inc | 1952-05-02 | 2025-12-08 | F | AE | HASSEY DE HANSON | H6569972200 | HILDA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536963/check_15580995_405d011e-0bbb-49fd-ab05-bebd0eed20f3.json | N/A | N/A | N/A | N/A | N/A | H65699722 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1952-05-02 | N/A | 0B527001 | N/A | HN | false | HASSEY DE HA | N/A | HILDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9450142515 | N/A | N/A | 5536963 | 2222 | 4793 | 15875841 | 5349 | 4209616 | 2025-12-06 03:32:40.690897 | 2025-12-02 19:38:35.715555 |
| 2025-12-05 08:04:56.118073 | 2025-12-06 03:38:04.458793 | 15580987 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15580987 | Athletic Physical Therapy Inc | 1945-03-19 | 2025-12-08 | F | AE | ROSS | 6QX7T41GM46 | MARTHA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536301/check_15580987_cafb9f14-3230-4987-b288-2680a3cc367e.json | N/A | N/A | N/A | N/A | N/A | 6QX7T41GM46 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-03-19 | S5617 | N/A | N/A | MA | false | ROSS | N/A | MARTHA | N/A | N/A | N/A | N/A | N/A | 30163 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9450142514 | N/A | N/A | 5536301 | 2222 | 4802 | 15876909 | N/A | 4209073 | 2025-12-06 03:38:04.458793 | 2025-11-19 19:47:03.642493 |
| 2025-12-05 08:04:55.998816 | 2025-12-06 03:38:02.236867 | 15580981 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15580981 | Athletic Physical Therapy Inc | 1952-10-01 | 2025-12-08 | M | AE | IMPELLIZZERI | 3UJ4DN6CC87 | ROBERT | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535551/check_15580981_63a78834-76b0-4ab7-b8ed-23efae78a07c.json | N/A | N/A | N/A | N/A | N/A | 3UJ4DN6CC87 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-10-01 | N/A | N/A | N/A | MB | false | IMPELLIZZERI | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | 168689 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9450142512 | N/A | N/A | 5535551 | 2222 | 4801 | 15876902 | N/A | 4208460 | 2025-12-06 03:38:02.236867 | 2026-01-01 00:19:01.120151 |
| 2025-12-05 08:04:55.884366 | 2025-12-06 03:38:03.759563 | 15580974 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15580974 | Athletic Physical Therapy Inc | 1939-10-22 | 2025-12-08 | M | AE | ODONNELL | 9FJ2YV1NR89 | JOHN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535491/check_15580974_07ec981b-9ace-49c3-8df0-8a2e01a39c9d.json | N/A | N/A | N/A | N/A | N/A | 9FJ2YV1NR89 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-10-22 | N/A | N/A | N/A | MA | false | ODONNELL | N/A | JOHN | N/A | N/A | N/A | N/A | N/A | 230548 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9450142510 | N/A | N/A | 5535491 | 2222 | 4802 | 15876907 | N/A | 4208408 | 2025-12-06 03:38:03.759563 | 2025-05-13 04:29:37.222823 |
| 2025-12-05 08:04:55.775438 | 2025-12-06 03:34:55.547031 | 15580966 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15580966 | Athletic Physical Therapy Inc | 1960-04-27 | 2025-12-08 | M | PT | ENRIGHT | DGA10462968J | HAROLD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251205.120924937.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535419/check_15580966_67d93c71-b749-493f-b35e-83c7ecff8694.json | N/A | N/A | N/A | N/A | N/A | DGA10462968J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1960-04-27 | 040 | 276945M001 | N/A | PR | false | ENRIGHT | N/A | HAROLD | N/A | 9999-12-31 | 2017-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9450142509 | N/A | N/A | 5535419 | 2222 | 4793 | 15876293 | N/A | 4208347 | 2025-12-06 03:34:55.547031 | 2025-05-13 04:29:37.222769 |