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 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-02 08:13:54.179852 | 2025-12-03 01:45:34.733195 | 15463661 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15463661 | Athletic Physical Therapy Inc | 1963-06-22 | 2025-12-05 | M | PT | MOSS | XA910317218 | KENNETH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121520115.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13047676/check_15463661_dd33e4c2-6b6f-4914-9fb5-f00a6a477321.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 | 9416939040 | N/A | N/A | 13047676 | 2222 | 4793 | 15737664 | N/A | 11205149 | 2025-12-03 01:45:34.733195 | 2025-11-24 18:32:22.314223 |
| 2025-12-02 08:13:53.132155 | 2025-12-03 01:44:55.029320 | 15463628 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15463628 | Athletic Physical Therapy Inc | 1954-06-16 | 2025-12-05 | M | AE | Grant | 0009933199 | Mark Antonio | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121520115.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13045814/check_15463628_fc29e135-8d99-4a1d-8568-cbca17b624b9.json | N/A | N/A | N/A | N/A | N/A | 0009933199 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1954-06-16 | N/A | N/A | N/A | N/A | false | GRANT | N/A | MARK ANTONIO | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416939034 | N/A | N/A | 13045814 | 2222 | 4802 | 15737401 | N/A | 11203117 | 2025-12-03 01:44:55.029320 | 2026-01-05 17:22:32.137960 |
| 2025-12-02 08:13:45.194208 | 2025-12-03 01:36:05.733187 | 15463444 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15463444 | Athletic Physical Therapy Inc | 1956-10-03 | 2025-12-04 | F | PT | NIELSEN | MBL578W09588 | KIMBERLEY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121721487.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11462282/check_15463444_8e3aceec-14df-4ba2-9cb8-8271aaa201e9.json | N/A | N/A | N/A | N/A | N/A | MBL578W09588 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1956-10-03 | 040 | CAEGR002 | N/A | N/A | false | NIELSEN | N/A | KIMBERLEY | N/A | 9999-12-31 | 2021-10-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416957325 | N/A | N/A | 11462282 | 2222 | 4801 | 15720678 | N/A | 9712126 | 2025-12-03 01:36:05.733187 | 2025-11-07 02:53:21.972143 |
| 2025-12-02 08:13:32.286666 | 2025-12-03 01:49:40.591001 | 15463121 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15463121 | Athletic Physical Therapy Inc | 1944-07-03 | 2025-12-05 | F | AE | CAMOU | 8V27MR5GC32 | CECILIA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121520115.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13042025/check_15463121_d387bfb3-3960-4cd8-973e-15318870176d.json | N/A | N/A | N/A | N/A | N/A | 8V27MR5GC32 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-07-03 | S5884 | N/A | N/A | MB | false | CAMOU | N/A | CECILIA | N/A | N/A | N/A | N/A | N/A | 17631 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416938603 | N/A | N/A | 13042025 | 2222 | 4801 | 15738687 | N/A | 11199300 | 2025-12-03 01:49:40.591001 | 2025-11-19 18:06:00.743602 |
| 2025-12-02 08:13:30.527020 | 2025-12-03 01:43:30.725073 | 15463066 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 15463066 | Athletic Physical Therapy Inc | 1952-07-09 | 2025-12-04 | F | AE | GILBERT | H746944777 | ELINOR | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121520115.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13040906/check_15463066_2938fac7-e9fb-4fee-b9df-4a9d04eeec26.json | N/A | N/A | N/A | N/A | N/A | H746944777 | N/A | N/A | HUMANA | N/A | N/A | N/A | N/A | N/A | N/A | false | GILBERT | N/A | ELINOR | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416938596 | N/A | N/A | 13040906 | 2222 | 4802 | 15736597 | N/A | 11198096 | 2025-12-03 01:43:30.725073 | 2025-11-19 17:42:16.749935 |
| 2025-12-02 08:13:18.387835 | 2025-12-03 01:33:34.821959 | 15462681 | N/A | N/A | 41124 | Meritain Health Minneapolis | 1114042165 | 15462681 | Athletic Physical Therapy Inc | 1948-09-20 | 2025-12-05 | F | AE | Samelim | 8290602736 | Lisa | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121928158.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13440682/check_15462681_f79cb7c7-89d6-475d-8d2a-d91e7967eadb.json | N/A | N/A | N/A | N/A | N/A | 8290602736 | N/A | N/A | MERITAIN HEALTH | N/A | 1948-09-20 | N/A | N/A | N/A | N/A | false | SAMELIM | N/A | LISA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416971607 | N/A | N/A | 13440682 | 2222 | 4802 | 15715227 | N/A | 11601413 | 2025-12-03 01:33:34.821959 | 2025-11-26 20:39:32.644182 |
| 2025-12-02 08:13:15.734679 | 2025-12-03 01:36:22.811225 | 15462590 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15462590 | Athletic Physical Therapy Inc | 1961-06-24 | 2025-12-04 | M | PT | RAY | PAS838471972 | JOHN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121721487.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11420779/check_15462590_ef805d16-06b3-4f5b-b70c-25dd57984513.json | N/A | N/A | N/A | N/A | N/A | PAS838471972 | Preferred Provider Organization (PPO) | WEST HEALTH CARE NETWORK | BLUE SHIELD OF CALIFORNIA | N/A | 1961-06-24 | N/A | 152001 | N/A | PR | false | RAY | N/A | JOHN | N/A | 9999-12-31 | 2025-06-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416957268 | N/A | N/A | 11420779 | 2222 | 4801 | 15721330 | N/A | 9673427 | 2025-12-03 01:36:22.811225 | 2025-11-03 19:27:12.288254 |
| 2025-12-02 08:13:14.844957 | 2025-12-03 01:33:05.011493 | 15462565 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15462565 | Athletic Physical Therapy Inc | 1983-05-09 | 2025-12-04 | F | AE | RAJCIC | 622299781 | MAJA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.123133363.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10172287/check_15462565_ac4a94c1-fb57-488c-860c-5711be88d205.json | N/A | N/A | N/A | N/A | N/A | 622299781 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 1983-05-09 | 18126CA001000101 | QMXEM01910 | N/A | N/A | false | RAJCIC | N/A | MAJA | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9417069107 | N/A | N/A | 10172287 | 2222 | 4802 | 15714240 | 4211 | 8473558 | 2025-12-03 01:33:05.011493 | 2025-10-10 16:40:45.584452 |
| 2025-12-02 08:13:10.912390 | 2025-12-03 01:36:53.773437 | 15462430 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15462430 | Athletic Physical Therapy Inc | 1958-02-21 | 2025-12-05 | F | AE | GILL | 40059936801 | SANDRA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121928158.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13437540/check_15462430_d4f6f89c-e985-4ca7-9e78-216cb369977e.json | N/A | N/A | N/A | N/A | N/A | 40059936801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1958-02-21 | 2025H5425001 | H5425M | N/A | N/A | false | GILL | N/A | SANDRA | 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 | 9416970383 | N/A | N/A | 13437540 | 2222 | 4801 | 15722508 | 6237 | 11598682 | 2025-12-03 01:36:53.773437 | 2025-12-05 21:56:09.960213 |
| 2025-12-02 08:13:09.102993 | 2025-12-03 01:35:36.003201 | 15462362 | N/A | N/A | 61101 | HUMANA | 1114042165 | 15462362 | Athletic Physical Therapy Inc | 1955-09-07 | 2025-12-05 | F | AE | RIVERA DE ROBLES | H7112812700 | IRMA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121928158.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13436702/check_15462362_f93ee10d-3816-4022-89bf-1106730fd4ee.json | N/A | N/A | N/A | N/A | N/A | H71128127 | 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 | 1955-09-07 | N/A | 0B527001 | N/A | HN | false | RIVERA DE ROBLES | N/A | IRMA | 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 | 9416970377 | N/A | N/A | 13436702 | 2222 | 4801 | 15719526 | 5349 | 11597854 | 2025-12-03 01:35:36.003201 | 2025-11-26 19:31:11.725600 |
| 2025-12-02 08:13:08.762265 | 2025-12-03 01:37:29.775387 | 15462350 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15462350 | Athletic Physical Therapy Inc | 1947-03-22 | 2025-12-05 | F | AE | NAGEL | 00000394109 | NANCY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121928158.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13436509/check_15462350_087a4be3-3e9c-406d-9736-68554385a405.json | N/A | N/A | N/A | N/A | N/A | 00000394109 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1947-03-22 | H3815028 | N/A | N/A | HM | false | NAGEL | N/A | NANCY | 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 | 9416970376 | N/A | N/A | 13436509 | 2222 | 4801 | 15724024 | 2630 | 11597637 | 2025-12-03 01:37:29.775387 | 2025-12-05 03:13:34.667390 |
| 2025-12-02 08:13:08.497917 | 2025-12-03 01:37:29.474320 | 15462341 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15462341 | Athletic Physical Therapy Inc | 1950-05-22 | 2025-12-05 | F | AE | CAVE | 00000272920 | DEBORAH | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121928158.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13436400/check_15462341_27173412-4a53-4244-9369-6c08d5feece2.json | N/A | N/A | N/A | N/A | N/A | 00000272920 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1950-05-22 | H3815028 | N/A | N/A | HM | false | CAVE | N/A | DEBORAH | 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 | 9416970375 | N/A | N/A | 13436400 | 2222 | 4801 | 15724012 | 2630 | 4219166 | 2025-12-03 01:37:29.474320 | 2025-12-05 03:00:39.564193 |
| 2025-12-02 08:13:07.989134 | 2025-12-03 01:37:18.595456 | 15462320 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15462320 | Athletic Physical Therapy Inc | 1966-08-19 | 2025-12-05 | F | AE | GUYON | R07053865FM1 | EILEEN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121928158.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13436292/check_15462320_2ac68e92-6df5-4934-babb-9c13bd43c397.json | N/A | N/A | N/A | N/A | N/A | R07053865FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1966-08-19 | N/A | N/A | N/A | N/A | false | GUYON | N/A | EILEEN | N/A | N/A | N/A | KVZ SBGHMOWC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416970373 | N/A | N/A | 13436292 | 2222 | 4801 | 15723551 | 4625 | 11597392 | 2025-12-03 01:37:18.595456 | 2025-11-26 19:15:08.793696 |
| 2025-12-02 08:13:02.667879 | 2025-12-03 01:35:18.536708 | 15462123 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 15462123 | Athletic Physical Therapy Inc | 1966-12-04 | 2025-12-05 | M | PT | CLANCY | XDMOE0503879 | JOSEPH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.101330508.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9194927/check_15462123_15c57f86-1594-48f2-aaaf-590eefbcaaf1.json | N/A | N/A | N/A | N/A | N/A | XDMOE0503879 | Health Maintenance Organization (HMO) | OPERATING ENGINEERS HEALTH&WELFARE FUND | ANTHEM BLUE CROSS | N/A | 1966-12-04 | 040 | 278671H001 | N/A | HM | false | CLANCY | N/A | JOSEPH | N/A | 9999-12-31 | 2025-02-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416930689 | N/A | N/A | 9194927 | 2222 | 4793 | 15718855 | 4184 | 7712549 | 2025-12-03 01:35:18.536708 | 2025-09-10 17:29:28.945035 |
| 2025-12-02 08:12:49.193513 | 2025-12-03 01:44:55.362856 | 15461646 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15461646 | Athletic Physical Therapy Inc | 1966-12-11 | 2025-12-05 | F | AE | Shanti | 0014025277 | Senna | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121520115.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13000772/check_15461646_5b00550d-1208-4b6a-b9bc-3fc610671837.json | N/A | N/A | N/A | N/A | N/A | 0014025277 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1966-12-11 | N/A | N/A | N/A | N/A | false | SHANTI | N/A | SENNA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416938851 | N/A | N/A | 13000772 | 2222 | 4802 | 15737403 | N/A | 11158952 | 2025-12-03 01:44:55.362856 | 2025-11-24 23:21:16.746095 |
| 2025-12-02 08:12:39.628088 | 2025-12-03 01:44:55.648424 | 15461298 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15461298 | Athletic Physical Therapy Inc | 1997-09-11 | 2025-12-05 | F | AE | Ford | 000024065304 | Ashley | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121520115.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12992114/check_15461298_53e6291a-fb56-487c-81c8-0db5924cdbf4.json | N/A | N/A | N/A | N/A | N/A | 000024065304 | N/A | N/A | KFHP 1001 | HMO - HMO COMMERCIAL | 1997-09-11 | 4299563 | 101872 | N/A | N/A | false | FORD | N/A | ASHLEY | N/A | N/A | N/A | SONY PICTURES ENTERTAINMENT, INC. SONY PICTURES EN | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416938809 | N/A | N/A | 12992114 | 2222 | 4802 | 15737405 | N/A | 11150071 | 2025-12-03 01:44:55.648424 | 2025-11-18 17:27:36.154703 |
| 2025-12-02 08:12:38.290968 | 2025-12-02 08:12:40.206792 | 15461245 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-07-09 | 2025-12-02 | M | AE | DAUGHERTY | 2VD0WN0UQ33 | DANNY | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12529461/check_15461245_b675248c-7a23-4d42-b1db-d00d5825351b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12529461/check_15461245_89481910-fd89-427e-bcd2-79c2dc8cdcac.json | N/A | N/A | N/A | N/A | N/A | 2VD0WN0UQ33 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-07-09 | S5601 | N/A | N/A | MB | false | DAUGHERTY | N/A | DANNY | N/A | N/A | N/A | N/A | N/A | 17769 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416907415 | N/A | N/A | 12529461 | 2222 | N/A | 15689778 | N/A | 10701683 | 2025-12-02 08:12:40.206792 | 2025-11-11 19:57:20.774649 |
| 2025-12-02 08:12:37.327444 | 2025-12-03 01:32:59.782219 | 15461210 | N/A | N/A | 60054 | Aetna | 1114042165 | 15461210 | Athletic Physical Therapy Inc | 1980-11-22 | 2025-12-05 | F | AE | LEE | W170593107 | VIVIAN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121721487.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11398810/check_15461210_92788c7a-66b4-443d-8927-6e521fc16dd3.json | N/A | N/A | N/A | N/A | N/A | W170593107 | Point of Service (POS) | ADP TOTALSOURCE SERVICES, INC. | AETNA | N/A | 1980-11-22 | 0251371 | 025137101500044 | N/A | PS | false | TAM | N/A | JIMMY | 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 | 9416957550 | N/A | N/A | 11398810 | 2222 | 4793 | 15714084 | N/A | 9658574 | 2025-12-03 01:32:59.782219 | 2025-12-02 16:17:29.671080 |
| 2025-12-02 08:12:31.331713 | 2025-12-03 01:38:09.215632 | 15460967 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15460967 | Athletic Physical Therapy Inc | 1959-07-16 | 2025-12-04 | F | AE | JESTER | 8WT9EW5DX41 | AUREA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.101330508.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9104610/check_15460967_74c389a3-782b-48db-9b03-d31b03caedba.json | N/A | N/A | N/A | N/A | N/A | 8WT9EW5DX41 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-16 | H4036 | N/A | N/A | MA | false | JESTER | N/A | AUREA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416931802 | N/A | N/A | 9104610 | 2222 | 4801 | 15725700 | N/A | 7624564 | 2025-12-03 01:38:09.215632 | 2025-10-06 23:19:36.703282 |
| 2025-12-02 08:12:17.805949 | 2025-12-03 01:35:19.417471 | 15460409 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15460409 | Athletic Physical Therapy Inc | 1962-08-12 | 2025-12-04 | F | PT | SCHOLEFIELD | TRJNP1055193 | ROBIN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.101330508.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9087505/check_15460409_ace3a8f9-b6ae-447a-a0e7-31ac74f41506.json | N/A | N/A | N/A | N/A | N/A | TRJNP1055193 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1962-08-12 | 040 | 276727M007 | N/A | PR | false | SCHOLEFIELD | N/A | ROBIN | N/A | 9999-12-31 | 2020-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416930888 | N/A | N/A | 9087505 | 2222 | 4793 | 15718890 | N/A | 7605100 | 2025-12-03 01:35:19.417471 | 2025-09-11 15:07:41.965017 |
| 2025-12-02 08:12:15.338306 | 2025-12-03 01:45:39.052047 | 15460302 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15460302 | Athletic Physical Therapy Inc | 1970-11-01 | 2025-12-04 | F | PT | ANDERSON | NCF059A21440 | AIMEE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121520115.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12966312/check_15460302_1af2011c-9fa2-4c19-8ff2-27c1c2c4a48c.json | N/A | N/A | N/A | N/A | N/A | NCF059A21440 | Health Maintenance Organization (HMO) | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1970-11-01 | 040 | 57AJCA | N/A | HM | false | ANDERSON | N/A | AIMEE | N/A | 2026-01-01 | 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 | 9416937483 | N/A | N/A | 12966312 | 2222 | 4801 | 15737692 | N/A | 11124576 | 2025-12-03 01:45:39.052047 | 2025-11-23 22:20:55.773725 |
| 2025-12-02 08:12:14.997406 | 2025-12-03 01:44:57.575112 | 15460288 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15460288 | Athletic Physical Therapy Inc | 1977-12-02 | 2025-12-04 | M | AE | MAGALLANES | 98578736C | OCTAVIO | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121520115.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12966296/check_15460288_17433292-a1d1-4add-b877-01a00b99d8f3.json | N/A | N/A | N/A | N/A | N/A | 98578736C | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 1977-12-02 | N/A | N/A | N/A | N/A | false | MAGALLANES | N/A | OCTAVIO | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416937482 | N/A | N/A | 12966296 | 2222 | 4802 | 15737418 | 4625 | 11124567 | 2025-12-03 01:44:57.575112 | 2025-11-18 00:49:11.709178 |
| 2025-12-02 08:12:13.430722 | 2025-12-03 01:36:06.751859 | 15460224 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15460224 | Athletic Physical Therapy Inc | 1948-07-07 | 2025-12-05 | F | AE | GOEL | JQE690A74746 | VEENA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121414950.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969545/check_15460224_3c00c7ad-8ad4-4b58-9f17-413d947f1608.json | N/A | N/A | N/A | N/A | N/A | JQE690A74746 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1948-07-07 | 040 | CASUPWP0 | N/A | N/A | false | GOEL | N/A | VEENA | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416928098 | N/A | N/A | 8969545 | 2222 | 4802 | 15720719 | N/A | 7485064 | 2025-12-03 01:36:06.751859 | 2025-12-29 22:41:16.623495 |
| 2025-12-02 08:12:11.023639 | 2025-12-03 01:32:35.886133 | 15460124 | N/A | N/A | 60054 | Aetna | 1114042165 | 15460124 | Athletic Physical Therapy Inc | 1992-08-27 | 2025-12-05 | F | AE | FINLEY | W28806254401 | MICHAELA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.101330508.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9081026/check_15460124_3fecc7c4-ab95-4643-bdf7-dbd361055c60.json | N/A | N/A | N/A | N/A | N/A | W288062544 | Health Maintenance Organization (HMO) | BARRETT BUSINESS SERVICES, INC. | AETNA | N/A | 1992-08-27 | EAC4D303 | 019472903500025 | N/A | HM | false | FINLEY | N/A | MICHAELA | N/A | N/A | N/A | AETNA VALUE NETWORK HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416930853 | N/A | N/A | 9081026 | 2222 | 4801 | 15713277 | N/A | 7597485 | 2025-12-03 01:32:35.886133 | 2025-09-04 15:52:15.446146 |
| 2025-12-02 08:12:09.373942 | 2025-12-03 01:42:40.710452 | 15460060 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 15460060 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-12-05 | F | AE | MARTIN | H71092437 | DOLLY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121312389.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7293279/check_15460060_8cbed432-b50b-4636-8b61-eec1095a2e37.json | N/A | N/A | N/A | N/A | N/A | H71092437 | Supplemental Policy | HUMANA INSURANCE CO. | HUMANA | 067 005 | 1944-09-13 | N/A | R0802005 | N/A | SP | false | MARTIN | N/A | DOLLY | N/A | N/A | N/A | MEDICARE MES | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416913254 | N/A | N/A | 7293279 | 2222 | 4793 | 15735644 | N/A | 4219681 | 2025-12-03 01:42:40.710452 | 2026-01-14 20:54:02.193776 |
| 2025-12-02 08:12:03.918443 | 2025-12-03 01:32:28.823593 | 15459847 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 15459847 | override_provider | 2003-11-16 | 2025-12-05 | F | PT | HAYASHI | XLXR000032097727 | LAUREN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.101330508.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9066824/check_15459847_5929bcb3-9562-4405-944b-e8e9f0e25ad3.json | N/A | N/A | N/A | N/A | N/A | XLXR000032097727 | Preferred Provider Organization (PPO) | OSF INDIVIDUAL PLATINUM PPO W/ DENTAL HIGH (GOLD) | BLUE SHIELD OF CALIFORNIA | N/A | 2003-11-16 | N/A | 24048 1 | N/A | PR | false | HAYASHI | N/A | NANCY | N/A | 9999-12-31 | 2023-12-01 | PLATINUM PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416932090 | N/A | N/A | 9066824 | 2222 | 4802 | 15713052 | N/A | 7582776 | 2025-12-03 01:32:28.823593 | 2025-09-24 22:06:50.112056 |
| 2025-12-02 08:11:49.466731 | 2025-12-03 01:36:21.691335 | 15459219 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15459219 | Athletic Physical Therapy Inc | 1955-11-13 | 2025-12-04 | F | AE | GRANT | XEM910029614 | ROBIN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121414950.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8493312/check_15459219_34e99768-00cd-4839-91ce-7c99391fe722.json | N/A | N/A | N/A | N/A | N/A | XEM910029614 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-11-13 | 2002SE000030 | X0001002 | N/A | OT | false | GRANT | N/A | ROBIN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416926919 | N/A | N/A | 8493312 | 2222 | 4802 | 15721288 | N/A | 7159835 | 2025-12-03 01:36:21.691335 | 2025-08-25 22:38:59.735145 |
| 2025-12-02 08:11:44.393217 | 2025-12-03 01:39:37.261220 | 15459007 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15459007 | Athletic Physical Therapy Inc | 1959-01-17 | 2025-12-05 | M | AE | WAHL | 6CX2NW3WP90 | LELAND | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121721487.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11364481/check_15459007_ce6d3d71-0cac-4e05-a451-e5933eada705.json | N/A | N/A | N/A | N/A | N/A | 6CX2NW3WP90 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-01-17 | S5617 | N/A | N/A | MB | false | WAHL | N/A | LELAND | N/A | N/A | N/A | N/A | N/A | 115383 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416957457 | N/A | N/A | 11364481 | 2222 | 4793 | 15729283 | N/A | 9633229 | 2025-12-03 01:39:37.261220 | 2026-02-05 17:07:37.378883 |
| 2025-12-02 08:11:42.496662 | 2025-12-03 01:44:55.934332 | 15458927 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15458927 | Athletic Physical Therapy Inc | 1959-06-17 | 2025-12-05 | M | AE | La Brie | 000009766266 | Richard | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121520115.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12906322/check_15458927_7841ef37-85bc-4a91-90c1-6d682765337c.json | N/A | N/A | N/A | N/A | N/A | 000009766266 | N/A | N/A | KFHP 1000 | SRA - SENIOR ADVANTAGE | 1959-06-17 | 4359396 | 106000 | N/A | N/A | false | LA BRIE | N/A | RICHARD | N/A | N/A | N/A | VERIZON COMMUNICATIONS WL 513M MGMT POST 65 ONLY | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416938799 | N/A | N/A | 12906322 | 2222 | 4802 | 15737407 | N/A | 11068953 | 2025-12-03 01:44:55.934332 | 2025-11-17 19:56:24.527366 |
| 2025-12-02 08:11:32.115522 | 2025-12-03 01:45:14.759319 | 15458504 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15458504 | Athletic Physical Therapy Inc | 1964-05-28 | 2025-12-05 | F | PT | BALCAZAR | CPZ914427238 | MARILU | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121520115.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12897578/check_15458504_474fa951-df20-4f9b-9d38-5ee282489186.json | N/A | N/A | N/A | N/A | N/A | CPZ914427238 | Preferred Provider Organization (PPO) | CHATSWORTH PRODUCTS INC | ANTHEM BLUE CROSS | N/A | 1964-05-28 | 1000PPOX0002 | W3000981 | N/A | PR | false | CANDELA LOPEZ | N/A | JOSE | N/A | N/A | N/A | CHATSWORTH PRODUCTS INC ASO EPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416937761 | N/A | N/A | 12897578 | 2222 | 4801 | 15737531 | N/A | 4213880 | 2025-12-03 01:45:14.759319 | 2025-05-13 04:29:37.228195 |
| 2025-12-02 08:11:29.765280 | 2025-12-03 01:43:22.251150 | 15458428 | N/A | N/A | 74095 | United States Automobile Association (USAA) | 1114042165 | 15458428 | Athletic Physical Therapy Inc | 1953-07-03 | 2025-12-04 | M | AE | BANBROOK | J258442047 | HAL MARK | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121312389.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13538652/check_15458428_8c074538-62d4-4eb2-9753-0f7e2a5579c8.json | N/A | N/A | N/A | N/A | N/A | J258442047 | N/A | N/A | USAA-MEDICARE SUPPLEMENTAL | N/A | 1953-07-03 | 05052GZ61 | N/A | N/A | N/A | false | BANBROOK | N/A | HAL | N/A | N/A | N/A | MED SUPP PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416913465 | N/A | N/A | 13538652 | 2222 | 4793 | 15736457 | N/A | 11688569 | 2025-12-03 01:43:22.251150 | 2026-02-25 18:57:49.387834 |
| 2025-12-02 08:11:25.463585 | 2025-12-03 01:44:48.994530 | 15458277 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 15458277 | Athletic Physical Therapy Inc | 1974-04-25 | 2025-12-04 | F | AE | DSOUZA | 032683502 | LOLITA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121520115.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12890318/check_15458277_cc48a120-01c1-4b6e-9f0f-db7802e06f8e.json | N/A | N/A | N/A | N/A | N/A | 032683502 | Commercial | N/A | PACIFICARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1974-04-25 | N/A | 101219 | N/A | C1 | false | DSOUZA | N/A | LOLITA | N/A | N/A | N/A | SIGNATUREVALUE HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416937733 | N/A | N/A | 12890318 | 2222 | 4793 | 15737360 | 6411 | 10843447 | 2025-12-03 01:44:48.994530 | 2025-11-25 16:08:55.540790 |
| 2025-12-02 08:11:24.298863 | 2025-12-03 01:37:40.603925 | 15458235 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15458235 | Athletic Physical Therapy Inc | 1973-12-16 | 2025-12-05 | M | PT | PAKANATI | ZYF260M98532 | RAMGOPAL | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121928158.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13386966/check_15458235_a8fa548b-77d9-4ec3-97c3-e26b3a62a62c.json | N/A | N/A | N/A | N/A | N/A | ZYF260M98532 | Preferred Provider Organization (PPO) | MANAGEMENT | ANTHEM BLUE CROSS | N/A | 1973-12-16 | 040 | 174257M2A1 | N/A | PR | false | PAKANATI | N/A | JYOTHI | N/A | 9999-12-31 | 2025-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416971817 | N/A | N/A | 13386966 | 2222 | 4801 | 15724477 | N/A | 11532449 | 2025-12-03 01:37:40.603925 | 2025-11-25 20:32:49.288912 |
| 2025-12-02 08:11:21.604706 | 2025-12-03 03:34:26.551288 | 15458119 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15458119 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-12-03 | F | PT | GIANNE | XED910762094 | NATALIE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121223314.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_15458119_c9c2cc58-4d50-4497-a916-7f34b2a508e6.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 9999-12-31 | 2025-01-01 | SILVER 87 PPO JAN25 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416898310 | N/A | N/A | 7994545 | 2222 | 4802 | 15740662 | N/A | 6802250 | 2025-12-03 03:34:26.551288 | 2025-08-11 23:58:28.358402 |
| 2025-12-02 08:11:19.007471 | 2025-12-03 01:37:40.896207 | 15458009 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15458009 | Athletic Physical Therapy Inc | 1969-03-30 | 2025-12-05 | F | PT | Ramachandran | JPU237A20670 | Shalini | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121928158.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13383139/check_15458009_6c77227b-f48a-48f2-b616-34ec37f75833.json | N/A | N/A | N/A | N/A | N/A | JPU237A20670 | Preferred Provider Organization (PPO) | LOYOLA MARYMOUNT UNIVERSITY | ANTHEM BLUE CROSS | N/A | 1969-03-30 | 040 | L08144M001 | N/A | PR | false | RAMACHANDRAN | N/A | SHALINI | N/A | 9999-12-31 | 2024-01-01 | PREMIER PPO MODIFIED 51+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416971802 | N/A | N/A | 13383139 | 2222 | 4802 | 15724490 | N/A | 11528695 | 2025-12-03 01:37:40.896207 | 2025-11-25 15:50:24.358772 |
| 2025-12-02 08:11:14.479376 | 2025-12-03 01:33:01.157166 | 15457808 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 15457808 | override_provider | 1963-04-03 | 2025-12-05 | F | PT | Protsenko | AJC912998623 | Tetiana | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121234979.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9958584/check_15457808_c0d05673-e76f-4108-9ef9-4048a3d97f30.json | N/A | N/A | N/A | N/A | N/A | AJC912998623 | Medicaid | BSC PROMISE HEALTH PLAN MEDI CAL | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1963-04-03 | 1000MCAL0008 | E0001001 | N/A | MC | false | PROTSENKO | N/A | TETIANA | N/A | N/A | N/A | BLUE SHIELD PROMISE MEDI CAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416900580 | N/A | N/A | 9958584 | 2222 | 4802 | 15714124 | N/A | 7994720 | 2025-12-03 01:33:01.157166 | 2025-09-24 04:33:28.125297 |
| 2025-12-02 08:11:11.020606 | 2025-12-03 01:44:22.841407 | 15457640 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15457640 | Athletic Physical Therapy Inc | 1950-03-28 | 2025-12-04 | M | AE | MARGALITH | XEM904148831 | AVIRAM | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121312389.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13526095/check_15457640_a9316fa5-e29a-46fe-8b02-4a1ddf775bf6.json | N/A | N/A | N/A | N/A | N/A | XEM904148831 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1950-03-28 | 2004SF000028 | X0001002 | N/A | OT | false | MARGALITH | N/A | AVIRAM | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416913005 | N/A | N/A | 13526095 | 2222 | 4802 | 15737176 | N/A | 11675973 | 2025-12-03 01:44:22.841407 | 2026-02-13 18:57:58.856823 |
| 2025-12-02 08:11:00.347566 | 2025-12-03 01:38:08.618988 | 15457117 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15457117 | Athletic Physical Therapy Inc | 1948-07-07 | 2025-12-05 | F | AE | GOEL | 5RR4M63DR65 | VEENA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.101330508.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969533/check_15457117_4811c66c-2305-4cab-a28a-2a6c70c6ce8a.json | N/A | N/A | N/A | N/A | N/A | 5RR4M63DR65 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-07 | S5596 | N/A | N/A | MA | false | GOEL | N/A | VEENA | N/A | N/A | N/A | N/A | N/A | 239758 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416931985 | N/A | N/A | 8969533 | 2222 | 4802 | 15725674 | N/A | 7485064 | 2025-12-03 01:38:08.618988 | 2025-12-29 22:41:16.623495 |
| 2025-12-02 08:11:00.142829 | 2025-12-03 01:32:59.493112 | 15457102 | N/A | N/A | 60054 | AETNA - PPO | 1114042165 | 15457102 | Athletic Physical Therapy Inc | 1987-06-04 | 2025-12-04 | F | AE | Kramer | W25290479102 | Aleah | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121721487.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11314808/check_15457102_f1dc8927-4085-45be-bb0a-237f8feea90f.json | N/A | N/A | N/A | N/A | N/A | W252904791 | Health Maintenance Organization (HMO) | AUCTANE, INC. | AETNA | N/A | 1987-06-04 | EABWOX11 | 023181301100001 | N/A | HM | false | MCGEE | N/A | PETER | N/A | N/A | N/A | HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416956878 | N/A | N/A | 11314808 | 2222 | 4802 | 15714073 | 3948 | 9379901 | 2025-12-03 01:32:59.493112 | 2025-10-21 18:31:35.446245 |
| 2025-12-02 08:10:57.348382 | 2025-12-03 01:36:05.433123 | 15456917 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15456917 | Athletic Physical Therapy Inc | 1959-04-01 | 2025-12-05 | M | PT | MOYER | JXN542M92477 | STEVEN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121721487.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11278285/check_15456917_8a1e967b-985c-4de2-867e-a7c8a841aa59.json | N/A | N/A | N/A | N/A | N/A | JXN542M92477 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1959-04-01 | 040 | 174222M2A1 | N/A | PR | false | MOYER | N/A | STEVEN | N/A | 9999-12-31 | 2018-01-01 | BC PPO INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416956870 | N/A | N/A | 11278285 | 2222 | 4801 | 15720666 | N/A | 9581032 | 2025-12-03 01:36:05.433123 | 2025-10-21 22:24:54.464325 |
| 2025-12-02 08:10:56.922170 | 2025-12-03 01:36:44.391459 | 15456889 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15456889 | Athletic Physical Therapy Inc | 1962-05-29 | 2025-12-05 | F | PT | LARSON | XEA913804058 | DEBRA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.100018997.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9562148/check_15456889_d2eb549e-f3d3-4332-bf43-c3b8a170f3f6.json | N/A | N/A | N/A | N/A | N/A | XAN913804058 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1962-05-29 | 1480PPOX0002 | W0051411 | N/A | PR | false | LARSON | N/A | DEBRA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416892591 | N/A | N/A | 9562148 | 2222 | 4793 | 15722162 | N/A | 7997320 | 2025-12-03 01:36:44.391459 | 2025-10-02 21:07:14.563938 |
| 2025-12-02 08:10:56.694789 | 2025-12-03 01:36:44.655479 | 15456875 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15456875 | Athletic Physical Therapy Inc | 1982-01-28 | 2025-12-04 | M | PT | MIGLIAZZO | XED914576125 | ANDREW | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.100018997.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9561953/check_15456875_eda109ec-9ce9-4dda-9364-a0cafdb75b28.json | N/A | N/A | N/A | N/A | N/A | XED914576125 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1982-01-28 | 2001ZK002185 | X0001004 | N/A | PR | false | MIGLIAZZO | N/A | ANDREW | N/A | 9999-12-31 | 2025-09-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416892588 | N/A | N/A | 9561953 | 2222 | 4793 | 15722174 | N/A | 4766470 | 2025-12-03 01:36:44.655479 | 2025-06-18 16:31:38.334570 |
| 2025-12-02 08:10:55.816793 | 2025-12-03 01:36:37.036359 | 15456816 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15456816 | Athletic Physical Therapy Inc | 2016-09-02 | 2025-12-05 | M | PT | BARREDA | KXJ508W22665 | XANDER | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.100018997.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9561269/check_15456816_2bdbd4e9-9074-4f47-8744-c148c8d618ec.json | N/A | N/A | N/A | N/A | N/A | KXJ508W22665 | Health Maintenance Organization (HMO) | FEHBP FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM | ANTHEM BLUE CROSS | N/A | 2016-09-02 | 040 | 277579H010 | N/A | HM | false | BARREDA | N/A | JOAQUIN | N/A | 2026-01-01 | 2025-01-12 | VALUE SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416892576 | N/A | N/A | 9561269 | 2222 | 4801 | 15721872 | 4185 | 7996503 | 2025-12-03 01:36:37.036359 | 2025-09-26 19:44:10.906799 |
| 2025-12-02 08:10:52.835524 | 2025-12-03 03:37:36.840410 | 15456631 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15456631 | Athletic Physical Therapy Inc | 1951-07-30 | 2025-12-05 | F | AE | Ruhe | 6E08G29GT63 | Jacqueline | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121226165.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12438098/check_15456631_0bc37431-c788-4c9f-8ff2-e35f14eb36ea.json | N/A | N/A | N/A | N/A | N/A | 6E08G29GT63 | N/A | N/A | CMS | N/A | 1951-07-30 | N/A | N/A | N/A | N/A | false | RUHE | N/A | JACQUELINE | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416894264 | N/A | N/A | 12438098 | 2222 | 4802 | 15742020 | N/A | 10618088 | 2025-12-03 03:37:36.840410 | 2026-03-18 22:31:10.360004 |
| 2025-12-02 08:10:52.632210 | 2025-12-03 03:37:36.561486 | 15456618 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15456618 | Athletic Physical Therapy Inc | 1957-04-23 | 2025-12-05 | M | AE | ROHMER | 5UM1C62RC09 | FREDRICK | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121226165.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12437513/check_15456618_98048d9a-1803-45d3-acc2-5eb8918fa60a.json | N/A | N/A | N/A | N/A | N/A | 5UM1C62RC09 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-04-23 | S5884 | N/A | N/A | MA | false | ROHMER | N/A | FREDRICK | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | 36068 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416894262 | N/A | N/A | 12437513 | 2222 | 4801 | 15742019 | N/A | 10617817 | 2025-12-03 03:37:36.561486 | 2026-04-13 20:25:45.522313 |
| 2025-12-02 08:10:51.999447 | 2025-12-03 03:34:24.455989 | 15456573 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15456573 | Athletic Physical Therapy Inc | 1994-12-09 | 2025-12-05 | F | PT | SEGURA | XDP470W14971 | YAZMIN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121226165.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12436044/check_15456573_b0e140f8-29cc-4ffb-b3b4-00714c3c380f.json | N/A | N/A | N/A | N/A | N/A | XDP470W14971 | Preferred Provider Organization (PPO) | AMALGAMATED TRANSIT UNION | ANTHEM BLUE CROSS | N/A | 1994-12-09 | 040 | 1115QA | N/A | PR | false | REEVES | N/A | ELI | N/A | 9999-12-31 | 2022-11-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416894256 | N/A | N/A | 12436044 | 2222 | 4801 | 15740646 | N/A | 10616467 | 2025-12-03 03:34:24.455989 | 2025-11-10 22:21:46.684447 |
| 2025-12-02 08:10:50.389952 | 2025-12-03 01:36:06.062365 | 15456469 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15456469 | Athletic Physical Therapy Inc | 1978-09-02 | 2025-12-05 | F | PT | RAMIREZ | Z7M7740597AB | IVETE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121721487.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11236248/check_15456469_85dd3be3-0f45-43ef-a87e-3de55f91a645.json | N/A | N/A | N/A | N/A | N/A | Z7M7740597AB | Preferred Provider Organization (PPO) | HI DED LOWER FAMILY ONLY | ANTHEM BLUE CROSS | N/A | 1978-09-02 | 241 | L11957M003 | N/A | PR | false | RAMIREZ | N/A | CESAR | N/A | 9999-12-31 | 2025-01-01 | PPO WITH MO BLUE ACCESS CHOICE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416956851 | N/A | N/A | 11236248 | 2222 | 4801 | 15720688 | N/A | 9558474 | 2025-12-03 01:36:06.062365 | 2025-11-03 00:28:42.935413 |
| 2025-12-02 08:10:49.955477 | 2025-12-03 01:36:17.499833 | 15456441 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15456441 | Athletic Physical Therapy Inc | 1956-10-11 | 2025-12-04 | M | PT | Bou Chacra | XED912823926 | Akram | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121721487.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11201492/check_15456441_85258eb0-a6e0-4723-9420-9a2d89971097.json | N/A | N/A | N/A | N/A | N/A | XED912823926 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1956-10-11 | 2001ZK002185 | X0001004 | N/A | PR | false | BOU CHACRA | N/A | AKRAM | 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 | 9416956850 | N/A | N/A | 11201492 | 2222 | 4793 | 15721127 | N/A | 9540458 | 2025-12-03 01:36:17.499833 | 2025-10-26 04:16:16.050614 |
| 2025-12-02 08:10:49.171094 | 2025-12-03 03:34:24.218201 | 15456392 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15456392 | Athletic Physical Therapy Inc | 1966-11-27 | 2025-12-04 | M | PT | RANA | 114W0187030 | AJAY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121226165.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12428367/check_15456392_ba8c0d7b-a0dc-4ec5-8fdc-95f66f745767.json | N/A | N/A | N/A | N/A | N/A | 114W0187030 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-11-27 | N/A | N/A | N/A | N/A | false | RANA | N/A | AJAY | 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 | 9416894399 | N/A | N/A | 12428367 | 2222 | 4801 | 15740644 | N/A | 10608476 | 2025-12-03 03:34:24.218201 | 2025-11-13 20:33:46.858153 |
| 2025-12-02 08:10:45.810131 | 2025-12-03 03:31:44.729915 | 15456180 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15456180 | Athletic Physical Therapy Inc | 1950-08-09 | 2025-12-05 | M | AE | Kirgizdaev | 9438168G | Bakhtiyar | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121226165.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12407501/check_15456180_352f7257-5ebe-485c-8141-b7606a5e1614.json | N/A | N/A | N/A | N/A | N/A | 9438168G | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1950-08-09 | N/A | N/A | N/A | N/A | false | KIRGIZDAEV | N/A | BAKHTIYAR | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416894374 | N/A | N/A | 12407501 | 2222 | 4802 | 15739449 | 4211 | 10587374 | 2025-12-03 03:31:44.729915 | 2025-12-24 19:36:03.607867 |