API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-03 08:06:28.455799 | 2025-12-04 01:33:17.017413 | 15496848 | N/A | N/A | 60054 | Aetna | 1114042165 | 15496848 | Athletic Physical Therapy Inc | 2008-09-19 | 2025-12-05 | M | AE | PT | Pandola Paik | W284312002 | Jude | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251203.121225033.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13301746/check_15496848_f0c5b847-83d4-4ae6-868d-048e3febfcf1.json | N/A | N/A | N/A | N/A | N/A | W284312002 | Health Maintenance Organization (HMO) | RUBIN POSTAER AND ASSOCIATES | AETNA | N/A | 2008-09-19 | EAC8UH02 | 023730701000001 | N/A | HM | false | PAIK | N/A | ROMAN | N/A | N/A | N/A | HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9429036168 | N/A | N/A | 13301746 | 2222 | 4802 | 15768979 | N/A | 11449497 | 2025-12-04 01:33:17.017413 | 2025-11-21 23:43:22.822489 |
| 2025-12-03 08:06:24.323471 | 2025-12-04 01:36:35.696395 | 15496640 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15496640 | Athletic Physical Therapy Inc | 1963-09-25 | 2025-12-05 | M | PT | N/A | zev | XED912627946 | ari | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251203.120254813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9280765/check_15496640_7ac85dc5-8c5a-40e9-b81e-bdd01ae5c323.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 | 2025-12-31 | 2025-01-01 | SILVER 87 PPO JAN25 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9429007659 | N/A | N/A | 9280765 | 2222 | 4802 | 15772752 | N/A | 7789190 | 2025-12-04 01:36:35.696395 | 2025-09-16 16:41:33.330373 |
| 2025-12-03 08:06:22.697592 | 2025-12-04 03:34:35.840560 | 15496549 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 15496549 | Athletic Physical Therapy Inc | 1955-09-17 | 2025-12-05 | F | AE | PT | REED | 00000376017 | JULIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251203.121332028.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11111449/check_15496549_91305c0a-ccd6-479f-a449-7400b8d9d965.json | N/A | N/A | N/A | N/A | N/A | 00000376017 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1955-09-17 | H3815028 | N/A | N/A | HM | false | REED | N/A | JULIA | 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 | 9429043261 | N/A | N/A | 11111449 | 2222 | 4793 | 15784169 | N/A | 9461682 | 2025-12-04 03:34:35.840560 | 2025-11-11 23:15:11.613385 |
| 2025-12-03 08:06:22.335752 | 2025-12-03 08:06:24.542313 | 15496532 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-07-19 | 2025-12-03 | F | AE | PT | JALALI | 7PC8UR2FF54 | SOHEILA | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9766461/check_15496532_4cd63dd0-5c83-4c32-9ded-f033f3fb99f9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9766461/check_15496532_8c9142e4-a1fe-425a-ba1b-9589bb79cb98.json | N/A | N/A | N/A | N/A | N/A | 7PC8UR2FF54 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-07-19 | S5601 | N/A | N/A | MB | false | JALALI | N/A | SOHEILA | N/A | N/A | N/A | N/A | N/A | 274816 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9428997880 | N/A | N/A | 9766461 | 2222 | N/A | 15745709 | N/A | 8177726 | 2025-12-03 08:06:24.542313 | 2025-09-26 21:46:59.613569 |
| 2025-12-03 08:06:08.130065 | 2025-12-04 01:35:29.830066 | 15495762 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15495762 | Athletic Physical Therapy Inc | 1934-12-03 | 2025-12-05 | M | AE | PT | Dayzadeh | XEM903033247 | Nasser | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251203.115819311.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6595255/check_15495762_89d17a5f-a168-4f0c-9246-eb60cc98c7ca.json | N/A | N/A | N/A | N/A | N/A | XEM903033247 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1934-12-03 | 2101SD000023 | X0001002 | N/A | OT | false | DAYZADEH | N/A | NASSER | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN D | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9429017523 | N/A | N/A | 6595255 | 2222 | 4802 | 15771510 | N/A | 5202586 | 2025-12-04 01:35:29.830066 | 2025-06-25 17:55:27.155518 |
| 2025-12-03 08:06:02.904996 | 2025-12-04 01:37:37.882573 | 15495495 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15495495 | Athletic Physical Therapy Inc | 1987-10-07 | 2025-12-05 | M | PT | N/A | WARD | XED911682811 | AUSTIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251203.121225033.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13126723/check_15495495_82129b2a-de13-4dcb-a06c-aef8d7714c8a.json | N/A | N/A | N/A | N/A | N/A | XED911682811 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1987-10-07 | 2001ZK002166 | X0001004 | N/A | PR | false | WARD | N/A | AUSTIN | N/A | 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 | 9429035782 | N/A | N/A | 13126723 | 2222 | 4793 | 15773926 | N/A | 11277547 | 2025-12-04 01:37:37.882573 | 2026-02-16 19:33:07.484428 |
| 2025-12-03 08:06:00.236740 | 2025-12-04 01:36:59.684700 | 15495360 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15495360 | Athletic Physical Therapy Inc | 1941-08-23 | 2025-12-05 | M | AE | PT | E Bogen | WXY0981A22808 | Andrew | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251203.121016811.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11174641/check_15495360_164fbc36-1e9a-4429-b1e4-10db4810ff75.json | N/A | N/A | N/A | N/A | N/A | WXY0981A22808 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1941-08-23 | N/A | N/A | N/A | N/A | false | E BOGEN | N/A | ANDREW | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9429015380 | N/A | N/A | 11174641 | 2222 | 4802 | 15773211 | N/A | 9519718 | 2025-12-04 01:36:59.684700 | 2026-02-02 19:30:57.219688 |
| 2025-12-03 08:05:55.007749 | 2025-12-04 03:32:57.339464 | 15495075 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 15495075 | Athletic Physical Therapy Inc | 1960-06-20 | 2025-12-05 | M | AE | PT | FLETES | H86038900 | JOSE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251203.121332028.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11067461/check_15495075_7c7e3f90-50f3-4547-ba57-96fced669ba6.json | N/A | N/A | N/A | N/A | N/A | H86038900 | 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 | 1960-06-20 | N/A | 0B527001 | N/A | HN | false | FLETES | N/A | JOSE | 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 | 9429043516 | N/A | N/A | 11067461 | 2222 | 4801 | 15783793 | N/A | 9425235 | 2025-12-04 03:32:57.339464 | 2025-10-20 22:48:41.487437 |
| 2025-12-03 08:05:54.500429 | 2025-12-04 01:35:14.920656 | 15495044 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15495044 | Athletic Physical Therapy Inc | 1956-09-14 | 2025-12-04 | M | AE | PT | COHENZADEH | JQE934W99391 | DAVOOD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251203.115819311.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928905/check_15495044_c1767f0d-cf74-4a5f-a48a-2ab4abe53253.json | N/A | N/A | N/A | N/A | N/A | JQE934W99391 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1956-09-14 | N/A | N/A | N/A | N/A | false | COHENZADEH | N/A | DAVOOD | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9429017296 | N/A | N/A | 5928905 | 2222 | 4802 | 15771233 | N/A | 4212983 | 2025-12-04 01:35:14.920656 | 2025-11-19 21:27:11.455704 |
| 2025-12-03 08:05:47.996325 | 2025-12-04 01:35:15.176018 | 15494721 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15494721 | Athletic Physical Therapy Inc | 1956-01-14 | 2025-12-04 | F | AE | PT | COHENZADEH | JQE794W09390 | SIMA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251203.115819311.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541062/check_15494721_2c5f1c75-1bea-4f8b-86a7-8e6416ad456e.json | N/A | N/A | N/A | N/A | N/A | JQE794W09390 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1956-01-14 | 040 | CASUPWP0 | N/A | N/A | false | COHENZADEH | N/A | SIMA | N/A | 9999-12-31 | 2021-10-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9429017247 | N/A | N/A | 5541062 | 2222 | 4802 | 15771238 | N/A | 4213119 | 2025-12-04 01:35:15.176018 | 2025-11-20 01:13:31.057962 |
| 2025-12-03 08:05:47.837707 | 2025-12-04 01:31:32.686897 | 15494711 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 15494711 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-12-05 | M | AE | PT | ULLMAN | 557489000 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251203.115819311.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535842/check_15494711_f773a28c-2ccb-40bf-b7e9-b938483a26e4.json | N/A | N/A | N/A | N/A | N/A | 557489000 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9429017246 | N/A | N/A | 5535842 | 2222 | 4801 | 15767304 | N/A | 4208696 | 2025-12-04 01:31:32.686897 | 2025-06-07 16:16:45.844566 |
| 2025-12-03 08:05:47.405003 | 2025-12-04 01:36:14.877208 | 15494687 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15494687 | Athletic Physical Therapy Inc | 1949-07-26 | 2025-12-05 | F | AE | PT | BLESSLEY | 40064625701 | DONNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251203.121016811.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11011920/check_15494687_f22bddc5-748a-44c8-b78c-0a14041e9417.json | N/A | N/A | N/A | N/A | N/A | 40064625701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1949-07-26 | 2025H5425001 | H5425M | N/A | N/A | false | BLESSLEY | N/A | DONNA | 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 | 9429016459 | N/A | N/A | 11011920 | 2222 | 4793 | 15772365 | N/A | 9377403 | 2025-12-04 01:36:14.877208 | 2025-10-15 20:29:32.165707 |
| 2025-12-03 08:05:46.781326 | 2025-12-04 01:37:42.408770 | 15494651 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15494651 | Athletic Physical Therapy Inc | 1978-07-20 | 2025-12-04 | M | PT | N/A | LESTER | PAS811517757 | WILLIAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251203.121225033.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13056730/check_15494651_67908de5-5c89-4ebf-bd7d-48375577022b.json | N/A | N/A | N/A | N/A | N/A | PAS811517757 | Preferred Provider Organization (PPO) | WEST HEALTH CARE NETWORK | BLUE SHIELD OF CALIFORNIA | N/A | 1978-07-20 | N/A | 152000 | N/A | PR | false | LESTER | N/A | WILLIAM | N/A | 9999-12-31 | 2025-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9429036426 | N/A | N/A | 13056730 | 2222 | 4801 | 15774017 | N/A | 11213990 | 2025-12-04 01:37:42.408770 | 2025-11-19 23:10:09.275320 |
| 2025-12-03 08:05:43.746869 | 2025-12-04 01:36:05.438725 | 15494504 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15494504 | Athletic Physical Therapy Inc | 2009-01-14 | 2025-12-05 | F | PT | N/A | OBACZ | JQV897A63197 | KLOIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251203.120254813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9102655/check_15494504_26e3225d-4bee-4eb5-8104-2c9f67e2243b.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 | 9429006908 | N/A | N/A | 9102655 | 2222 | 4801 | 15772186 | 4185 | 7621062 | 2025-12-04 01:36:05.438725 | 2025-09-12 19:10:20.936695 |
| 2025-12-03 08:05:42.708141 | 2025-12-04 03:37:39.079396 | 15494452 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15494452 | Athletic Physical Therapy Inc | 1949-07-26 | 2025-12-05 | F | AE | PT | BLESSLEY | 9DW9YM7ND57 | DONNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251203.121332028.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11011921/check_15494452_c22121b3-43a5-444f-a3b3-c89a9ab4e030.json | N/A | N/A | N/A | N/A | N/A | 9DW9YM7ND57 | Medicare Part A | N/A | SCAN HEALTH PLAN | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-07-26 | H5425 | N/A | N/A | MA | false | BLESSLEY | N/A | DONNA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9429044011 | N/A | N/A | 11011921 | 2222 | 4793 | 15784830 | N/A | 9377403 | 2025-12-04 03:37:39.079396 | 2025-10-15 20:29:32.165707 |
| 2025-12-03 08:05:37.461938 | 2025-12-04 01:37:37.542379 | 15494191 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15494191 | Athletic Physical Therapy Inc | 1963-06-22 | 2025-12-04 | M | PT | N/A | MOSS | XA910317218 | KENNETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251203.121225033.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13047676/check_15494191_0aa93b8e-f11b-4982-b69f-4dc452e827c6.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 | 9429036390 | N/A | N/A | 13047676 | 2222 | 4793 | 15773919 | N/A | 11205149 | 2025-12-04 01:37:37.542379 | 2025-11-24 18:32:22.314223 |
| 2025-12-03 08:05:25.945311 | 2025-12-04 01:47:50.220236 | 15493648 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15493648 | Athletic Physical Therapy Inc | 1934-12-03 | 2025-12-05 | M | AE | PT | Dayzadeh | 9A94PK6GA08 | Nasser | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251203.121124642.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583825/check_15493648_34694772-b7f1-4e86-a9e6-e78e44e160dc.json | N/A | N/A | N/A | N/A | N/A | 9A94PK6GA08 | Medicare Part A | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1934-12-03 | S2468 | N/A | N/A | MA | false | DAYZADEH | N/A | NASSER | N/A | N/A | N/A | N/A | N/A | 261114 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9429031637 | N/A | N/A | 6583825 | 2222 | 4802 | 15780799 | N/A | 5202586 | 2025-12-04 01:47:50.220236 | 2025-06-25 17:55:27.155518 |
| 2025-12-03 08:05:23.032200 | 2025-12-03 08:05:25.798116 | 15493498 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-04-03 | 2025-12-03 | F | AE | PT | NIAZI | 00000388782 | RAHIMA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6958289/check_15493498_8604984d-5cff-4a52-83ae-ac338330ba41.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6958289/check_15493498_b0ee1682-3e2f-47e7-ba5c-1da8739c1b5e.json | N/A | N/A | N/A | N/A | N/A | 00000388782 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1958-04-03 | H3815028 | N/A | N/A | HM | false | NIAZI | N/A | RAHIMA | 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 | 9428991233 | N/A | N/A | 6958289 | 2222 | N/A | 15745354 | N/A | 5983606 | 2025-12-03 08:05:25.798116 | 2025-07-18 18:03:17.155924 |
| 2025-12-03 08:05:10.245472 | 2025-12-04 01:36:53.733904 | 15492976 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15492976 | Athletic Physical Therapy Inc | 1959-02-04 | 2025-12-05 | F | AE | PT | SMITS | 9TF8JW2XU20 | HEIDI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251203.115827489.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681583/check_15492976_eee7a68b-ce90-4a1c-8d64-5c961cc3c207.json | N/A | N/A | N/A | N/A | N/A | 9TF8JW2XU20 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-04 | S4802 | N/A | N/A | MA | false | SMITS | N/A | HEIDI | N/A | N/A | N/A | N/A | N/A | 159305 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9429048797 | N/A | N/A | 9681583 | 2222 | 4793 | 15773102 | N/A | 8101289 | 2025-12-04 01:36:53.733904 | 2025-09-24 17:05:46.431721 |
| 2025-12-03 08:05:08.647290 | 2025-12-04 01:50:25.775504 | 15492908 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15492908 | Athletic Physical Therapy Inc | 2008-04-21 | 2025-12-05 | M | PT | N/A | LANDIS | XED906560014 | BRONN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251203.121529658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12097539/check_15492908_14c71081-d785-42ba-9ff0-ad0438d5d627.json | N/A | N/A | N/A | N/A | N/A | XED906560014 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-04-21 | 2001ZK002187 | X0001004 | N/A | PR | false | LANDIS | N/A | KIPP | N/A | 2025-12-31 | 2025-01-01 | BRONZE 60 PPO JAN25 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9429056633 | N/A | N/A | 12097539 | 2222 | 4793 | 15781693 | N/A | 10315576 | 2025-12-04 01:50:25.775504 | 2025-11-14 23:13:16.002759 |
| 2025-12-03 08:04:57.096737 | 2025-12-03 08:04:59.974773 | 15492439 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-01-14 | 2025-12-03 | F | AE | PT | COHENZADEH | 1YM2D25GY27 | SIMA | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541059/check_15492439_dd2f605e-c289-4702-926a-427e2683edbd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541059/check_15492439_e38180c3-5ada-43ab-bdd6-6d47d6f235ef.json | N/A | N/A | N/A | N/A | N/A | 1YM2D25GY27 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-14 | S4802 | N/A | N/A | MB | 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 | 9428988556 | N/A | N/A | 5541059 | 2222 | N/A | 15745221 | N/A | 4213119 | 2025-12-03 08:04:59.974773 | 2025-11-20 01:13:31.057962 |
| 2025-12-03 08:04:56.796816 | 2025-12-03 08:04:59.567022 | 15492426 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-09-14 | 2025-12-03 | M | AE | PT | COHENZADEH | 7UJ5QD2DD88 | DAVOOD | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540904/check_15492426_593a6b12-9005-495a-bb68-51cb870079cf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540904/check_15492426_f0d71245-7f7e-4c57-9bad-a1b98004dd9e.json | N/A | N/A | N/A | N/A | N/A | 7UJ5QD2DD88 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-09-14 | S4802 | N/A | N/A | MB | 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 | 9428988468 | N/A | N/A | 5540904 | 2222 | N/A | 15745218 | N/A | 4212983 | 2025-12-03 08:04:59.567022 | 2025-11-19 21:27:11.455704 |
| 2025-12-03 08:04:56.112635 | 2025-12-03 08:04:58.998972 | 15492396 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-04-18 | 2025-12-03 | F | PT | N/A | BELL | MNL880M78427 | JACQUELYN | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536041/check_15492396_0501116a-2a07-45b8-bf13-ca88afe73b0d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536041/check_15492396_f5db1a82-ff2a-4e27-8f3f-ad5e9e796aeb.json | N/A | N/A | N/A | N/A | N/A | MNL880M78427 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1947-04-18 | 040 | CAMCRWP0 | N/A | MP | false | BELL | N/A | JACQUELYN | N/A | 2025-12-31 | 2024-07-01 | CA H4471-001-000 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9428988301 | N/A | N/A | 5536041 | 2222 | N/A | 15745216 | N/A | 4208856 | 2025-12-03 08:04:58.998972 | 2025-05-13 04:29:37.223284 |
| 2025-12-03 08:04:55.929277 | 2025-12-03 08:04:59.013130 | 15492389 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-10-14 | 2025-12-03 | M | AE | PT | CHISARI | 00000386684 | THOMAS | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536007/check_15492389_b0a93692-26e6-4d98-a2a2-67c78a10f53c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536007/check_15492389_833bd585-4ba4-4e23-a316-6661432e08f7.json | N/A | N/A | N/A | N/A | N/A | 00000386684 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1952-10-14 | H3815028 | N/A | N/A | HM | false | CHISARI | N/A | THOMAS | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9428988278 | N/A | N/A | 5536007 | 2222 | N/A | 15745215 | N/A | 4208829 | 2025-12-03 08:04:59.013130 | 2025-06-03 01:05:45.663969 |
| 2025-12-03 08:04:48.403637 | 2025-12-04 01:36:59.939060 | 15492078 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15492078 | Athletic Physical Therapy Inc | 1956-11-29 | 2025-12-05 | M | AE | PT | LYGA | LPZ819A58009 | FRANK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251203.121016811.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9812143/check_15492078_10cc48f2-7247-41d2-b45f-fc6debea35dd.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 | 9429015617 | N/A | N/A | 9812143 | 2222 | 4801 | 15773216 | N/A | 4219584 | 2025-12-04 01:36:59.939060 | 2025-09-29 18:19:47.145731 |
| 2025-12-03 08:04:47.504157 | 2025-12-04 01:37:42.696386 | 15492039 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15492039 | Athletic Physical Therapy Inc | 1963-07-12 | 2025-12-05 | F | PT | N/A | MITCHELL | NCF844W18513 | HOLLY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251203.121225033.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12989755/check_15492039_9a2d8d76-d93d-42fb-b346-086ccea073e2.json | N/A | N/A | N/A | N/A | N/A | NCF844W18513 | Health Maintenance Organization (HMO) | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1963-07-12 | 040 | 57AJCA | N/A | HM | false | MITCHELL | N/A | HOLLY | N/A | 9999-12-31 | 2024-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9429035438 | N/A | N/A | 12989755 | 2222 | 4801 | 15774024 | N/A | 11147858 | 2025-12-04 01:37:42.696386 | 2025-11-24 17:02:55.426297 |
| 2025-12-03 08:04:41.312687 | 2025-12-04 01:44:21.688215 | 15491796 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 15491796 | Athletic Physical Therapy Inc | 1943-03-11 | 2025-12-04 | M | AE | PT | MATHEU | 00000270336 | CARLOS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251203.121124642.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6189737/check_15491796_8ffbc5d6-637e-4e13-b533-f440369fe2d1.json | N/A | N/A | N/A | N/A | N/A | 00000270336 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1943-03-11 | H3815028 | N/A | N/A | HM | false | MATHEU | N/A | CARLOS | 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 | 9429032789 | N/A | N/A | 6189737 | 2222 | 4801 | 15779107 | N/A | 4209126 | 2025-12-04 01:44:21.688215 | 2025-05-13 04:29:37.223551 |
| 2025-12-03 08:04:29.269493 | 2025-12-04 01:36:48.618547 | 15491288 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15491288 | Athletic Physical Therapy Inc | 1977-12-02 | 2025-12-04 | M | AE | PT | MAGALLANES | 98578736C | OCTAVIO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251203.121225033.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12966296/check_15491288_cb5dceb2-806a-406a-90ed-6900d2c1a039.json | N/A | N/A | N/A | N/A | N/A | 98578736C | N/A | N/A | HEALTH NET, LLC | N/A | 1977-12-02 | N/A | N/A | N/A | N/A | false | MAGALLANES | N/A | OCTAVIO | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9429034803 | N/A | N/A | 12966296 | 2222 | 4802 | 15773004 | 4625 | 11124567 | 2025-12-04 01:36:48.618547 | 2025-11-18 00:49:11.709178 |
| 2025-12-03 08:04:16.135515 | 2025-12-04 01:33:25.895478 | 15490697 | N/A | N/A | 60054 | Aetna | 1114042165 | 15490697 | Athletic Physical Therapy Inc | 2013-08-17 | 2025-12-04 | F | AE | PT | RUEMMELE | W297102676 | MAKENA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251203.115819311.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13600510/check_15490697_5e636d4f-ec0c-4a52-9631-48ff6f516522.json | N/A | N/A | N/A | N/A | N/A | W297102676 | Point of Service (POS) | RIPPLING PEO 1, INC. | AETNA | N/A | 2013-08-17 | 0169696 | 016969602100020 | N/A | PS | false | ALFONSO | N/A | TANYA | 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 | 9429017741 | N/A | N/A | 13600510 | 2222 | 4793 | 15769122 | N/A | 4534546 | 2025-12-04 01:33:25.895478 | 2025-12-03 00:06:29.870228 |
| 2025-12-03 08:04:15.725803 | 2025-12-04 01:35:15.684224 | 15490675 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15490675 | Athletic Physical Therapy Inc | 1939-01-15 | 2025-12-05 | M | PT | N/A | STERN | VHT837832343 | MILFORD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251203.115819311.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13598593/check_15490675_eca45a44-7e78-47fb-a28c-1350bf071de8.json | N/A | N/A | N/A | N/A | N/A | VHT837832343 | Preferred Provider Organization (PPO) | HILLTOP HOLDINGS INC | ANTHEM BLUE CROSS | N/A | 1939-01-15 | N/A | 191689 | N/A | PR | false | STERN | N/A | MILFORD | N/A | 9999-12-31 | 2017-01-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9429017737 | N/A | N/A | 13598593 | 2222 | 4802 | 15771249 | N/A | 11747144 | 2025-12-04 01:35:15.684224 | 2025-12-02 22:57:59.710370 |
| 2025-12-03 08:04:11.849535 | 2025-12-04 03:34:40.425036 | 15490479 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15490479 | Athletic Physical Therapy Inc | 1963-09-07 | 2025-12-05 | M | PT | N/A | BAHR | FZX638A69335 | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251203.121332028.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10371931/check_15490479_77a15ce6-7eaa-49e8-bbef-47df3d5ceb88.json | N/A | N/A | N/A | N/A | N/A | FZX638A69335 | Preferred Provider Organization (PPO) | CDHP HSA NON-INTEGRATED BNK | ANTHEM BLUE CROSS | N/A | 1963-09-07 | 423 | 201028M2CA | N/A | PR | false | BAHR | N/A | KEVIN | N/A | 9999-12-31 | 2022-01-01 | CDHP VIRGINIA HEALTH SAVINGS ACCOUNT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9429043709 | N/A | N/A | 10371931 | 2222 | 4793 | 15784183 | N/A | 8634062 | 2025-12-04 03:34:40.425036 | 2025-10-16 21:25:25.746427 |
| 2025-12-03 08:04:11.304235 | 2025-12-04 01:35:54.345200 | 15490452 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15490452 | Athletic Physical Therapy Inc | 1950-08-30 | 2025-12-04 | M | AE | PT | VILLA | 00000293779 | RAMON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251203.120254813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471007/check_15490452_5b5ba669-236a-48e5-8eba-bc62c6dc49ba.json | N/A | N/A | N/A | N/A | N/A | 00000293779 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1950-08-30 | H3815028 | N/A | N/A | HM | false | VILLA | N/A | RAMON | 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 | 9429007372 | N/A | N/A | 8471007 | 2222 | 4801 | 15771983 | 2630 | 7142042 | 2025-12-04 01:35:54.345200 | 2025-08-25 17:21:31.750932 |
| 2025-12-03 08:03:57.845863 | 2025-12-04 01:42:13.207156 | 15490017 | N/A | N/A | 60054 | Aetna | 1114042165 | 15490017 | Athletic Physical Therapy Inc | 1992-06-11 | 2025-12-05 | M | AE | PT | ROSS | W292476869 | BRYAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251203.121124642.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993949/check_15490017_8ce95f29-f286-401b-8185-60f7fb0add52.json | N/A | N/A | N/A | N/A | N/A | W292476869 | Point of Service (POS) | PAYCHEX BUSINESS SOLUTIONS, LLC. | AETNA | N/A | 1992-06-11 | 0176563 | 017656301200042 | N/A | PS | false | ROSS | N/A | BRYAN | N/A | N/A | N/A | OPEN ACCESS MC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9429031577 | N/A | N/A | 5993949 | 2222 | 4793 | 15777807 | N/A | 4642881 | 2025-12-04 01:42:13.207156 | 2025-06-06 02:27:19.212061 |
| 2025-12-03 08:03:48.302663 | 2025-12-04 01:32:54.250592 | 15489736 | N/A | N/A | 60054 | Aetna | 1114042165 | 15489736 | Athletic Physical Therapy Inc | 1972-12-30 | 2025-12-05 | M | AE | PT | MCHALE | W27265070 | MATT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251203.120254813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173116/check_15489736_a4a9f8a2-2eba-44e1-b66f-9c0ec2920826.json | N/A | N/A | N/A | N/A | N/A | W272665070 | Point of Service (POS) | SONY CORPORATION OF AMERICA | AETNA | N/A | 1972-12-30 | 0486873 | 048687302100161 | N/A | PS | false | MCHALE | N/A | MATTHEW | 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 | 9429008325 | N/A | N/A | 8173116 | 2222 | 4802 | 15768586 | N/A | 6939617 | 2025-12-04 01:32:54.250592 | 2025-09-16 00:28:24.457071 |
| 2025-12-03 08:03:43.436799 | 2025-12-04 03:34:29.054410 | 15489599 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15489599 | Athletic Physical Therapy Inc | 1963-11-03 | 2025-12-05 | M | AE | PT | KUQO | 95557964G | FATMIR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251203.121332028.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10308328/check_15489599_800cc598-5631-4c64-a8a8-b9e517096cec.json | N/A | N/A | N/A | N/A | N/A | 95557964G | N/A | N/A | HEALTH NET, LLC | N/A | 1963-11-03 | N/A | N/A | N/A | N/A | false | KUQO | N/A | FATMIR | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9429042931 | N/A | N/A | 10308328 | 2222 | 4793 | 15784143 | 4625 | 8577701 | 2025-12-04 03:34:29.054410 | 2025-10-10 20:23:07.830150 |
| 2025-12-03 06:52:09.853381 | 2025-12-03 06:52:14.323061 | 15488857 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2025-11-21 | N/A | PT | AE | ULLMAN | 8HC8F35AX50 | DAVID | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543201/check_15488857_31e23e4d-e733-49d2-acf1-74dcf33a7327.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543201/check_15488857_b297b9f4-14cd-4a99-846e-f2720f1734e3.json | N/A | N/A | N/A | N/A | N/A | 8HC8F35AX50 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-24 | S5921 | N/A | N/A | MB | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | 310849 | PT | AE | N/A | N/A | N/A | N/A | N/A | 9428630539 | 1275 | N/A | 5543201 | 2222 | N/A | 15744590 | N/A | 4215026 | 2025-12-03 06:52:14.323061 | 2025-06-07 16:16:41.178119 |
| 2025-12-03 00:16:59.471202 | 2025-12-03 00:17:01.366067 | 15487440 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-11-30 | 2025-12-03 | F | AE | PT | Kapsman | 0000000000 | Alia | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13444338/check_15487440_8b72abde-035a-410f-bbaa-b28592b46cdd.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13444338/check_15487440_7f6b36c6-79b8-4514-974f-633753a5ce5c.json | N/A | N/A | N/A | N/A | N/A | 0000000000 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1986-11-30 | N/A | N/A | N/A | N/A | false | KAPSMAN | N/A | ALIA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 13444338 | 2222 | N/A | 15711905 | N/A | 11604567 | 2025-12-03 00:17:01.366067 | 2026-02-04 19:41:52.179287 |
| 2025-12-03 00:16:55.530406 | 2025-12-03 00:16:59.462957 | 15487439 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-11-30 | 2025-12-03 | F | AE | PT | Kapsman | 0000000000 | Alia | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13444338/check_15487439_41afea81-954e-43d7-9c50-8ae2009cd63b.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-12-03 | N/A | N/A | N/A | N/A | N/A | N/A | 0000000000 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1986-11-30 | N/A | N/A | N/A | N/A | false | KAPSMAN | N/A | ALIA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 13444338 | 2222 | N/A | N/A | N/A | 11604567 | 2025-12-03 00:16:59.462957 | 2026-02-04 19:41:52.179287 |
| 2025-12-03 00:14:53.814713 | 2025-12-03 00:14:56.888286 | 15487435 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2015-02-07 | 2025-12-02 | M | AE | PT | HENRY | JQO465A58408 | KIRAN | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13601397/check_15487435_4330f3c9-182f-4594-bdbf-cb0baabc4eae.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13601397/check_15487435_378afe59-be81-451f-9c03-1fa4501e4694.json | N/A | N/A | N/A | N/A | N/A | JQO465A58408 | Health Maintenance Organization (HMO) | N/A | ANTHEM BLUE CROSS | N/A | 2015-02-07 | 040 | 82DQ00 | N/A | HM | false | HENRY | N/A | JUSTIN | N/A | 2026-01-01 | 2025-10-01 | EXCHANGE MEMBER - ANTHEM BRONZE 60 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9426710063 | 162972 | N/A | 13601397 | 2222 | N/A | 15711900 | N/A | 4215004 | 2025-12-03 00:14:56.888286 | 2025-05-16 02:19:23.134024 |
| 2025-12-03 00:13:32.629678 | 2025-12-03 00:13:36.502742 | 15487434 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-05-02 | 2025-12-03 | F | AE | PT | HASSEY DE HANSON | H6569972200 | HILDA | 5349 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536963/check_15487434_f7ec61b4-4c7a-4e9c-a2f2-0ffd4b12f66c.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536963/check_15487434_8641a827-bb26-4b55-aa71-99a0753cf879.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 | 9426706507 | N/A | N/A | 5536963 | 2222 | N/A | 15711899 | N/A | 4209616 | 2025-12-03 00:13:36.502742 | 2025-12-02 19:38:35.715555 |
| 2025-12-02 23:27:46.339442 | 2025-12-02 23:27:48.153194 | 15487101 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-11-30 | 2025-12-02 | F | AE | PT | Kapsman | 0000000000 | Alia | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13444338/check_15487101_118068e8-f112-42cc-8127-4971959737e5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13444338/check_15487101_703d8c07-a242-4145-a8fb-cd6c9d785b14.json | N/A | N/A | N/A | N/A | N/A | 0000000000 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1986-11-30 | N/A | N/A | N/A | N/A | false | KAPSMAN | N/A | ALIA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 13444338 | 2222 | N/A | 15711427 | N/A | 11604567 | 2025-12-02 23:27:48.153194 | 2026-02-04 19:41:52.179287 |
| 2025-12-02 23:27:42.554980 | 2025-12-02 23:27:46.335622 | 15487100 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-11-30 | 2025-12-02 | F | AE | PT | Kapsman | 0000000000 | Alia | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13444338/check_15487100_2dc38ef4-b743-46b2-aa79-93c70d5da136.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-02 | N/A | N/A | N/A | N/A | N/A | N/A | 0000000000 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1986-11-30 | N/A | N/A | N/A | N/A | false | KAPSMAN | N/A | ALIA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 13444338 | 2222 | N/A | N/A | N/A | 11604567 | 2025-12-02 23:27:46.335622 | 2026-02-04 19:41:52.179287 |
| 2025-12-02 23:02:55.087300 | 2025-12-02 23:02:56.966263 | 15486942 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 2009-06-02 | 2025-12-02 | F | PT | N/A | MCDONALD | 90189112-002 | DYLAN | 4197 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12770187/check_15486942_7abe2a4c-b47c-46a0-a052-39d67ccdaf6e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12770187/check_15486942_49e5d74a-b7fa-42ce-8287-d26a660910f6.json | N/A | N/A | N/A | N/A | N/A | 90189112-002 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2009-06-02 | N/A | N/A | N/A | N/A | false | MCDONALD | N/A | DYLAN | 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 | N/A | 162972 | N/A | 12770187 | 2222 | N/A | 15711161 | N/A | 10925815 | 2025-12-02 23:02:56.966263 | 2025-11-26 16:58:09.174115 |
| 2025-12-02 23:02:53.174716 | 2025-12-02 23:02:55.084102 | 15486940 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 2009-06-02 | 2025-12-02 | F | PT | N/A | MCDONALD | 90189112-002 | DYLAN | 4197 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12770187/check_15486940_6d40a840-2be2-4779-b2ef-bab35936d18e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-02 | N/A | N/A | N/A | N/A | N/A | N/A | 90189112-002 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2009-06-02 | N/A | N/A | N/A | N/A | false | MCDONALD | N/A | DYLAN | 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 | N/A | 162972 | N/A | 12770187 | 2222 | N/A | N/A | N/A | 10925815 | 2025-12-02 23:02:55.084102 | 2025-11-26 16:58:09.174115 |
| 2025-12-02 20:01:44.166642 | 2025-12-02 20:01:50.267882 | 15485103 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-12-23 | 2025-12-05 | F | AE | PT | SOL | U9859952501 | ISABEL | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549212/check_15485103_29a2d3b0-0772-4035-ac70-5f5a5d17fb26.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549212/check_15485103_c8d75afc-9c95-41e8-a801-c50326d56b7e.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 | 9424613874 | N/A | N/A | 5549212 | 2222 | N/A | 15708740 | N/A | 4218926 | 2025-12-02 20:01:50.267882 | 2025-07-30 14:07:18.779456 |
| 2025-12-02 19:37:34.919285 | 2025-12-02 19:37:36.756105 | 15484837 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-09-03 | 2025-12-03 | M | AE | PT | UDVADIA | W251088108 | SATISH | 3948 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13362427/check_15484837_5cef1ae6-77b8-4de7-a68f-becfa8da8ef9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13362427/check_15484837_aa60f441-ef0a-4df1-83f3-403e308f4408.json | N/A | N/A | N/A | N/A | N/A | W251088108 | Exclusive Provider Organization | FOX CORPORATION | AETNA | N/A | 1963-09-03 | 0109248 | 010924801500148 | N/A | EP | false | UDVADIA | N/A | SATISH | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9424391864 | N/A | N/A | 13362427 | 2222 | N/A | 15708429 | N/A | 11507262 | 2025-12-02 19:37:36.756105 | 2025-12-02 19:20:57.161446 |
| 2025-12-02 19:36:38.224585 | 2025-12-02 19:36:54.439272 | 15484828 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-09-03 | 2025-12-03 | M | AE | PT | UDVADIA | W251088108 | SATISH | 3948 | https://storage.googleapis.com/normandy-eligibility-checks/2222/13362427/check_15484828_c64667b8-b051-45ee-9e96-be2682227af3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13362427/check_15484828_b70e7803-ae50-44cb-9d9b-aa61ace785dd.json | N/A | N/A | N/A | N/A | N/A | W251088108 | Exclusive Provider Organization | FOX CORPORATION | AETNA | N/A | 1963-09-03 | 0109248 | 010924801500148 | N/A | EP | false | UDVADIA | N/A | SATISH | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9424383033 | N/A | N/A | 13362427 | 2222 | N/A | 15708420 | N/A | 11507262 | 2025-12-02 19:36:54.439272 | 2025-12-02 19:20:57.161446 |
| 2025-12-02 18:38:46.975358 | 2025-12-02 18:38:48.856057 | 15483927 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-05-02 | 2025-12-02 | F | AE | PT | HASSEY DE HANSON | H6569972200 | HILDA | 5349 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536963/check_15483927_65b411e2-dc41-456a-992e-b045539380f1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536963/check_15483927_7572901e-7599-45ed-809e-9dabb01ee9c0.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 | 9423830367 | 162972 | N/A | 5536963 | 2222 | N/A | 15707443 | N/A | 4209616 | 2025-12-02 18:38:48.856057 | 2025-12-02 19:38:35.715555 |
| 2025-12-02 15:48:59.999042 | 2025-12-02 15:49:05.567131 | 15480404 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-05-06 | 2025-12-02 | F | AE | PT | IRIZARRY | 950883047 | BERNADETTE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541827/check_15480404_1e871ffc-db39-497c-84b6-05e68ef0ccff.json | UHC | N/A | APPOINTMENT_PII_CHANGE | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541827/check_15480404_a6ca85db-db60-4626-8b66-0b7d21a851c6.json | N/A | N/A | N/A | N/A | N/A | 950883047 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1969-05-06 | N/A | 905224 | N/A | C1 | false | IRIZARRY | N/A | BERNADETTE | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541827 | 2222 | N/A | 15703777 | N/A | 4213806 | 2025-12-02 15:49:05.567131 | 2025-05-13 04:29:37.228124 |
| 2025-12-02 15:02:52.327663 | 2025-12-02 15:03:11.295105 | 15479593 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-11-21 | 2025-12-02 | M | AD | N/A | LYKIDIS | U1221753503 | JOHN | 1534 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541552/check_15479593_cbdade87-51c1-44d6-adb6-d410f3e0a30d.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541552/check_15479593_ab27255e-7aec-4de4-acc4-9cd174292c48.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 | 9421469003 | N/A | N/A | 5541552 | 2222 | N/A | 15702954 | N/A | 4213562 | 2025-12-02 15:03:11.295105 | 2025-05-13 04:29:37.227895 |