API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-02 08:10:40.804529 | 2025-12-03 03:34:34.168626 | 15455889 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15455889 | Athletic Physical Therapy Inc | 1987-11-24 | 2025-12-04 | F | PT | Halat | FIZ100010118257 | Hooram | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121223314.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7870152/check_15455889_f7bf5c86-1c13-4cd5-b081-541ddbf30775.json | N/A | N/A | N/A | N/A | N/A | FIZ100010118257 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS. | 1987-11-24 | N/A | N/A | N/A | PR | false | HALAT | N/A | HOORAM | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416898112 | N/A | N/A | 7870152 | 2222 | 4802 | 15740718 | N/A | 6698799 | 2025-12-03 03:34:34.168626 | 2025-08-07 18:40:53.120761 |
| 2025-12-02 08:10:34.274414 | 2025-12-03 03:34:23.466963 | 15455514 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15455514 | Athletic Physical Therapy Inc | 1969-06-19 | 2025-12-03 | F | AE | SIMSON FRANK | JQU217M93319 | GABRIELLE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121226165.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12377467/check_15455514_802e2c86-7607-4fed-bac4-99156e75a639.json | N/A | N/A | N/A | N/A | N/A | JQU217M93319 | Preferred Provider Organization (PPO) | JONATHAN D FRANK INVESTMENTS | ANTHEM BLUE CROSS | N/A | 1969-06-19 | 040 | Q50696 | N/A | PR | false | FRANK | N/A | JONATHAN | N/A | 2026-01-01 | 2025-01-01 | CA SG ANTHEM HSA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416895488 | N/A | N/A | 12377467 | 2222 | 4793 | 15740638 | N/A | 9748796 | 2025-12-03 03:34:23.466963 | 2025-10-30 15:58:51.268962 |
| 2025-12-02 08:10:28.182475 | 2025-12-03 01:35:19.112753 | 15455211 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15455211 | Athletic Physical Therapy Inc | 2003-05-02 | 2025-12-03 | M | PT | MUHAMMAD | XOF828514693 | KENNETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.101330508.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8675672/check_15455211_ea9b2e96-b78d-453d-876a-5852c88161b6.json | N/A | N/A | N/A | N/A | N/A | XOF828514693 | Preferred Provider Organization (PPO) | IBJI - BRADLEY ACTIVES | HUMANA | N/A | 2003-05-02 | N/A | PK4933 | N/A | PR | false | MUHAMMAD | N/A | KERMIT | N/A | 2026-01-01 | 2022-02-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416931594 | N/A | N/A | 8675672 | 2222 | 4793 | 15718879 | N/A | 7310369 | 2025-12-03 01:35:19.112753 | 2026-02-03 01:46:10.334485 |
| 2025-12-02 08:10:17.685850 | 2025-12-03 01:37:45.231044 | 15454734 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15454734 | Athletic Physical Therapy Inc | 1968-11-25 | 2025-12-05 | F | PT | Bomer | NCF444A64895 | Teresa | 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/2222/9923856/check_15454734_b30e314c-b242-4b3d-8f15-b2af8e1817c9.json | N/A | N/A | N/A | N/A | N/A | NCF444A64895 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1968-11-25 | 040 | 57AJCA | N/A | HM | false | BOMER | N/A | TERESA | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416901308 | N/A | N/A | 9923856 | 2222 | 4802 | 15724666 | N/A | 8308861 | 2025-12-03 01:37:45.231044 | 2025-10-02 14:30:16.702176 |
| 2025-12-02 08:09:55.029045 | 2025-12-03 01:45:06.678572 | 15453609 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 15453609 | Athletic Physical Therapy Inc | 1961-02-08 | 2025-12-05 | F | AE | KATKHOUDA | 95258599G | RYME | PT | 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/2222/12788343/check_15453609_981ac635-80ba-41f8-9593-981d40b4e2f0.json | N/A | N/A | N/A | N/A | N/A | 95258599G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1961-02-08 | MCLA | MWLLNMEG21 | N/A | N/A | false | KATKHOUDA | N/A | RYME | N/A | 2078-12-31 | 2023-01-01 | LACARE MEDICAL | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416938460 | N/A | N/A | 12788343 | 2222 | 4802 | 15737479 | N/A | 10954913 | 2025-12-03 01:45:06.678572 | 2026-02-03 00:31:49.512761 |
| 2025-12-02 08:09:49.976246 | 2025-12-03 03:33:06.719165 | 15453341 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 15453341 | Athletic Physical Therapy Inc | 1997-12-08 | 2025-12-03 | M | AE | Bhatia | R14184408MM1 | Neil | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121226165.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12295640/check_15453341_c029663e-1f8b-4342-9196-3e548fec2107.json | N/A | N/A | N/A | N/A | N/A | R14184408MM100 | N/A | N/A | HEALTH NET OF CALIFORNIA, INC. | PATIENT HAS ACTIVE COVERAGE BASED ON DATA AVAILABLE AS OF DATE OF REQUEST. CONTACT OTHER ENTITY TO VALIDATE | 1997-12-08 | N/A | N/A | N/A | N/A | false | BHATIA | N/A | NEIL | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416894228 | N/A | N/A | 12295640 | 2222 | 4802 | 15740061 | N/A | 10481513 | 2025-12-03 03:33:06.719165 | 2025-11-05 21:13:54.008259 |
| 2025-12-02 08:09:47.073339 | 2025-12-03 01:39:36.647356 | 15453182 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15453182 | Athletic Physical Therapy Inc | 1957-01-13 | 2025-12-05 | F | AE | NAY | 5UC7QW0QK47 | MARIA | PT | 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/2222/11175433/check_15453182_d3930778-5c76-4733-8357-67126487a1a4.json | N/A | N/A | N/A | N/A | N/A | 5UC7QW0QK47 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-01-13 | H4036 | N/A | N/A | MB | false | NAY | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416956275 | N/A | N/A | 11175433 | 2222 | 4793 | 15729258 | N/A | 9520463 | 2025-12-03 01:39:36.647356 | 2025-10-21 17:49:23.309023 |
| 2025-12-02 08:09:41.712843 | 2025-12-03 01:42:51.320762 | 15452890 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 15452890 | override_provider | 2009-06-02 | 2025-12-04 | F | PT | MCDONALD | 90189112002 | DYLAN | 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/2222/12770187/check_15452890_e5bd89b2-9a11-43cf-b4e2-adfe960fe5a7.json | N/A | N/A | N/A | N/A | N/A | 90189112002 | 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 | 9416937708 | N/A | N/A | 12770187 | 2222 | 4793 | 15735868 | N/A | 10925815 | 2025-12-03 01:42:51.320762 | 2025-11-26 16:58:09.174115 |
| 2025-12-02 08:09:37.956458 | 2025-12-03 01:38:08.934158 | 15452669 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15452669 | Athletic Physical Therapy Inc | 1955-11-13 | 2025-12-04 | F | AE | GRANT | 9JA3JK2TK87 | ROBIN | PT | 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/2222/8493311/check_15452669_7e62a56c-db0b-4e39-b9f7-6d4dc16804e8.json | N/A | N/A | N/A | N/A | N/A | 9JA3JK2TK87 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-11-13 | S4802 | N/A | N/A | MA | false | GRANT | N/A | ROBIN | N/A | N/A | N/A | N/A | N/A | 193565 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416931553 | N/A | N/A | 8493311 | 2222 | 4802 | 15725687 | N/A | 7159835 | 2025-12-03 01:38:08.934158 | 2025-08-25 22:38:59.735145 |
| 2025-12-02 08:09:36.280113 | 2025-12-03 03:34:23.731093 | 15452551 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15452551 | Athletic Physical Therapy Inc | 1957-05-05 | 2025-12-05 | F | PT | HOUSTON | TRJNP0019401 | VELINA | 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/2222/12244725/check_15452551_0788f665-d50a-42e3-94b9-1303c40b5bcf.json | N/A | N/A | N/A | N/A | N/A | TRJNP0019401 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1957-05-05 | 040 | 276727M001 | N/A | PR | false | HOUSTON | N/A | VELINA | N/A | 9999-12-31 | 2012-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416895460 | N/A | N/A | 12244725 | 2222 | 4802 | 15740640 | N/A | 9637804 | 2025-12-03 03:34:23.731093 | 2026-04-24 18:56:42.779565 |
| 2025-12-02 08:09:31.685944 | 2025-12-03 01:40:55.565897 | 15452235 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15452235 | Athletic Physical Therapy Inc | 1953-11-15 | 2025-12-04 | M | AE | REISMAN | 7JW4EK4UR89 | MARK | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121234979.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9868745/check_15452235_d6405496-20cf-4200-bce4-913e7d52db3b.json | N/A | N/A | N/A | N/A | N/A | 7JW4EK4UR89 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-11-15 | N/A | N/A | N/A | MA | false | REISMAN | N/A | MARK | N/A | N/A | N/A | N/A | N/A | 131431 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416901781 | N/A | N/A | 9868745 | 2222 | 4802 | 15732567 | N/A | 8262262 | 2025-12-03 01:40:55.565897 | 2025-09-30 22:45:25.940454 |
| 2025-12-02 08:09:31.645779 | 2025-12-03 03:37:36.068628 | 15452234 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15452234 | Athletic Physical Therapy Inc | 1951-08-07 | 2025-12-05 | F | AE | HYATT | 8F50NM2MU09 | CINDY | PT | 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/2222/12216824/check_15452234_0a6a088e-201f-4a38-b431-931ce88ecb4c.json | N/A | N/A | N/A | N/A | N/A | 8F50NM2MU09 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-08-07 | S4802 | N/A | N/A | MB | false | HYATT | N/A | CINDY | N/A | N/A | N/A | N/A | N/A | 50277 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416895421 | N/A | N/A | 12216824 | 2222 | 4802 | 15742015 | N/A | 10415709 | 2025-12-03 03:37:36.068628 | 2025-11-05 17:32:26.509741 |
| 2025-12-02 08:09:26.576650 | 2025-12-03 01:45:14.477097 | 15451867 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15451867 | Athletic Physical Therapy Inc | 2006-06-07 | 2025-12-04 | M | PT | BROWN | PWF566A67898 | ROY | 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/2222/12756456/check_15451867_b1eb1a81-8fb1-46b9-9c18-63d68313f3ce.json | N/A | N/A | N/A | N/A | N/A | PWF7431690PT | Preferred Provider Organization (PPO) | PUBLIC-ALL REGIONS-ACTIVE/RETIREE | ANTHEM BLUE CROSS | N/A | 2006-06-07 | 040 | L02978M001 | N/A | PR | false | BROWN | N/A | ROY | N/A | 9999-12-31 | 2022-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416937654 | N/A | N/A | 12756456 | 2222 | 4793 | 15737529 | N/A | 10914431 | 2025-12-03 01:45:14.477097 | 2025-11-16 20:25:40.530209 |
| 2025-12-02 08:09:25.156153 | 2025-12-03 01:32:35.902325 | 15451746 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15451746 | Athletic Physical Therapy Inc | 1986-10-29 | 2025-12-05 | M | AE | DEROOS | 182788571 | SEAN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551009/check_15451746_6786675f-29da-421c-9888-24d5aa0db64f.json | N/A | N/A | N/A | N/A | N/A | 182788571 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 1986-10-29 | 18126CA001000101 | QMXEM01910 | N/A | N/A | false | DEROOS | N/A | SEAN | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416997036 | N/A | N/A | 5551009 | 2222 | 4802 | 15713289 | 4211 | 4219827 | 2025-12-03 01:32:35.902325 | 2025-10-31 23:39:58.530194 |
| 2025-12-02 08:09:25.004405 | 2025-12-03 01:35:43.210183 | 15451732 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15451732 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-12-04 | F | PT | PANDYA | XEA913306283 | DHARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_15451732_79dd0d3b-395d-4112-8cbc-7e4e386a0c69.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1975-08-17 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2024-06-03 | BLUE SHIELD OF CALIFORNIA ASO VISION PLUS PLAN | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416997035 | N/A | N/A | 5550845 | 2222 | 4801 | 15719807 | N/A | 4219713 | 2025-12-03 01:35:43.210183 | 2025-08-13 22:46:55.732965 |
| 2025-12-02 08:09:24.910575 | 2025-12-03 01:38:28.502879 | 15451726 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15451726 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-12-05 | F | AE | MARTIN | 5YV3RT3TA75 | DOLLY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550797/check_15451726_4a44654f-d1a2-403d-8821-cd7fc7d677cc.json | N/A | N/A | N/A | N/A | N/A | 5YV3RT3TA75 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-09-13 | N/A | N/A | N/A | MA | false | MARTIN | N/A | DOLLY | N/A | N/A | N/A | N/A | N/A | 311399 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416997034 | N/A | N/A | 5550797 | 2222 | 4793 | 15726453 | N/A | 4219681 | 2025-12-03 01:38:28.502879 | 2026-01-14 20:54:02.193776 |
| 2025-12-02 08:09:24.812334 | 2025-12-03 01:38:25.605021 | 15451715 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15451715 | Athletic Physical Therapy Inc | 1954-05-11 | 2025-12-05 | M | AE | A Peters | 1R78CR5JR59 | Dennis | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550025/check_15451715_2915f69a-8984-453d-8e25-2877bf69b692.json | N/A | N/A | N/A | N/A | N/A | 1R78CR5JR59 | N/A | N/A | CMS | N/A | 1954-05-11 | N/A | N/A | N/A | N/A | false | A PETERS | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416997033 | N/A | N/A | 5550025 | 2222 | 4801 | 15726349 | N/A | 4219449 | 2025-12-03 01:38:25.605021 | 2025-10-07 21:32:27.567534 |
| 2025-12-02 08:09:24.714865 | 2025-12-03 01:38:27.337602 | 15451709 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15451709 | Athletic Physical Therapy Inc | 1951-12-26 | 2025-12-04 | M | AE | FINEBERG | 9FX3D52YD09 | MARTIN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549980/check_15451709_6d9e632e-bcf8-46a2-8005-3148fda19b7b.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MB | false | FINEBERG | N/A | MARTIN | N/A | N/A | N/A | N/A | N/A | 258252 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416997032 | N/A | N/A | 5549980 | 2222 | 4802 | 15726413 | N/A | 4219436 | 2025-12-03 01:38:27.337602 | 2025-05-13 04:29:37.230471 |
| 2025-12-02 08:09:24.555747 | 2025-12-03 01:32:43.709574 | 15451694 | N/A | N/A | 60054 | Aetna | 1114042165 | 15451694 | Athletic Physical Therapy Inc | 1955-03-15 | 2025-12-05 | F | PT | MORTENSEN | MBL800W05634 | JEANIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549946/check_15451694_f4a1e3f2-e033-4005-ade2-5ca9c48738a2.json | N/A | N/A | N/A | N/A | N/A | MBL800W05634 | N/A | N/A | AETNA | N/A | 1955-03-15 | 0169623 | 016962301000201 | N/A | N/A | false | MORTENSEN | N/A | JEANIE | N/A | N/A | N/A | PPO DENTAL 2000 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416997031 | N/A | N/A | 5549946 | 2222 | 4801 | 15713552 | N/A | 4219431 | 2025-12-03 01:32:43.709574 | 2025-12-01 18:45:07.315802 |
| 2025-12-02 08:09:24.439410 | 2025-12-03 01:35:03.244827 | 15451685 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15451685 | Athletic Physical Therapy Inc | 1955-10-09 | 2025-12-04 | M | PT | COE | JQS589W10732 | SCOTT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549514/check_15451685_d7d7e535-6dd9-40bb-aacd-1aaa7b588410.json | N/A | N/A | N/A | N/A | N/A | JQS589W10732 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1955-10-09 | 040 | CAMCRWP0 | N/A | MP | false | COE | N/A | SCOTT | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416997030 | N/A | N/A | 5549514 | 2222 | 4801 | 15718277 | 4185 | 4219161 | 2025-12-03 01:35:03.244827 | 2025-10-16 23:24:12.118501 |
| 2025-12-02 08:09:24.322648 | 2025-12-03 01:34:55.386967 | 15451675 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15451675 | Athletic Physical Therapy Inc | 1967-12-23 | 2025-12-05 | F | AE | SOL | U9859952501 | ISABEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549212/check_15451675_b3a886b8-4916-4c6c-82db-42c96bcc7af4.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 | 9416997029 | N/A | N/A | 5549212 | 2222 | 4793 | 15717994 | N/A | 4218926 | 2025-12-03 01:34:55.386967 | 2025-07-30 14:07:18.779456 |
| 2025-12-02 08:09:24.178739 | 2025-12-03 01:32:43.228821 | 15451663 | N/A | N/A | 60054 | Aetna | 1114042165 | 15451663 | Athletic Physical Therapy Inc | 1968-10-14 | 2025-12-05 | F | AE | CARLSON | W161554352 | CYNTHIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549080/check_15451663_fed8e22f-0807-4d91-8a3a-2802f3948d39.json | N/A | N/A | N/A | N/A | N/A | W161554352 | Point of Service (POS) | UBS FINANCIAL SERVICES INC. | AETNA | N/A | 1968-10-14 | 0880791 | 088079102500011 | N/A | PS | false | CARLSON | N/A | CYNTHIA | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416997028 | N/A | N/A | 5549080 | 2222 | 4801 | 15713535 | N/A | 4218812 | 2025-12-03 01:32:43.228821 | 2025-05-13 04:29:37.229807 |
| 2025-12-02 08:09:23.359191 | 2025-12-03 01:38:26.150134 | 15451596 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15451596 | Athletic Physical Therapy Inc | 1957-05-23 | 2025-12-04 | F | AE | CEASAR | 6XR6JY3MJ89 | DEBBIE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543553/check_15451596_43f86238-4bd5-4569-a4d0-d3c3e14c2ed4.json | N/A | N/A | N/A | N/A | N/A | 6XR6JY3MJ89 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-23 | S5660 | N/A | N/A | MB | false | CEASAR | N/A | DEBBIE | N/A | N/A | N/A | N/A | N/A | 80448 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416997023 | N/A | N/A | 5543553 | 2222 | 4793 | 15726369 | N/A | 4215327 | 2025-12-03 01:38:26.150134 | 2025-05-13 04:29:37.229651 |
| 2025-12-02 08:09:23.303903 | 2025-12-03 01:32:27.589417 | 15451592 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 15451592 | Athletic Physical Therapy Inc | 1956-07-15 | 2025-12-04 | M | AE | Raudonis | 34838892911 | Mark | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121019873.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12493578/check_15451592_7958a48c-cf0f-46cf-8069-a46cd79dd5cc.json | N/A | N/A | N/A | N/A | N/A | 34838892911 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1956-07-15 | N/A | N/A | N/A | SP | false | RAUDONIS | N/A | MARK | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416870431 | N/A | N/A | 12493578 | 2222 | 4793 | 15713013 | N/A | 10670073 | 2025-12-03 01:32:27.589417 | 2025-11-10 18:20:04.243140 |
| 2025-12-02 08:09:23.219228 | 2025-12-03 01:34:55.901745 | 15451580 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15451580 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-12-03 | M | AE | FORTIN | R14644640MS1 | NATHANIEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_15451580_293d5e4f-2589-4699-ad05-f68a50f14415.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | KVT SBGHMOWC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416997022 | N/A | N/A | 5543425 | 2222 | 4801 | 15718011 | 4625 | 4215211 | 2025-12-03 01:34:55.901745 | 2026-04-02 22:30:20.020246 |
| 2025-12-02 08:09:23.100108 | 2025-12-03 01:35:03.741133 | 15451572 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15451572 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-12-05 | F | PT | DAKE | SIF326M90066 | RENEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543355/check_15451572_dfa0b9a3-c1c5-4d7c-84af-49a64e091174.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | Preferred Provider Organization (PPO) | SISC - MEADOWS ARTS & TECH ELEMENTARY SCHOOL | ANTHEM BLUE CROSS | N/A | 1968-01-29 | 040 | 40424B | N/A | PR | false | DAKE | N/A | RENEE | N/A | 9999-12-31 | 2018-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416997021 | N/A | N/A | 5543355 | 2222 | 4793 | 15718300 | N/A | 4215158 | 2025-12-03 01:35:03.741133 | 2025-05-13 04:29:37.229475 |
| 2025-12-02 08:09:22.953513 | 2025-12-03 01:38:27.631785 | 15451560 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15451560 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-12-04 | F | AE | HOWARD | 6JJ9KX0PY45 | JUDI | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543340/check_15451560_ffc6cbe5-9477-49e8-9fbb-b743aab6407b.json | N/A | N/A | N/A | N/A | N/A | 6JJ9KX0PY45 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-11-19 | S5884 | N/A | N/A | MA | false | HOWARD | N/A | JUDI | N/A | N/A | N/A | N/A | N/A | 241000 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416997020 | N/A | N/A | 5543340 | 2222 | 4793 | 15726423 | N/A | 4215147 | 2025-12-03 01:38:27.631785 | 2025-05-13 04:29:37.229464 |
| 2025-12-02 08:09:22.813530 | 2025-12-03 01:32:37.251690 | 15451547 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15451547 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-12-03 | F | AE | SILVERS | 1866968 | JOIEMAY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543335/check_15451547_edf2bcb3-4ba1-4602-963c-daabfba81ee3.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 2001-01-23 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416997019 | N/A | N/A | 5543335 | 2222 | 4802 | 15713333 | 4211 | 4215139 | 2025-12-03 01:32:37.251690 | 2025-05-13 21:20:11.455022 |
| 2025-12-02 08:09:22.719832 | 2025-12-03 01:35:05.847808 | 15451538 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15451538 | Athletic Physical Therapy Inc | 1972-06-23 | 2025-12-05 | F | PT | LAWSON | JXN663W00172 | MICHELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543167/check_15451538_e2b43fc8-b4e0-4764-a4b1-32c7c85c8be8.json | N/A | N/A | N/A | N/A | N/A | JXN663W00172 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1972-06-23 | 040 | 174222M2A1 | N/A | PR | false | LAWSON | N/A | MICHELLE | N/A | 9999-12-31 | 2020-01-01 | BC PPO INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416997018 | N/A | N/A | 5543167 | 2222 | 4793 | 15718379 | N/A | 4214995 | 2025-12-03 01:35:05.847808 | 2025-05-13 04:29:37.229315 |
| 2025-12-02 08:09:22.576864 | 2025-12-03 01:35:42.480251 | 15451522 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15451522 | Athletic Physical Therapy Inc | 1986-09-15 | 2025-12-03 | M | PT | ELLSWORTH | XEK911198887 | ADAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543012/check_15451522_6ad6cbf9-4e65-42d9-a746-758e75f7ba9e.json | N/A | N/A | N/A | N/A | N/A | XEK911198887 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-09-15 | 2001ZD002666 | X0001000 | N/A | PR | false | ELLSWORTH | N/A | ADAM | N/A | 2025-12-31 | 2025-01-01 | SILVER 2600 HDHP PPO JAN25 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416997017 | N/A | N/A | 5543012 | 2222 | 4802 | 15719779 | N/A | 4214859 | 2025-12-03 01:35:42.480251 | 2025-12-03 23:27:09.735417 |
| 2025-12-02 08:09:22.398211 | 2025-12-03 01:35:07.369810 | 15451507 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15451507 | Athletic Physical Therapy Inc | 1963-10-10 | 2025-12-04 | F | PT | RUEGGER | MPI01409385Q | ANNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542955/check_15451507_237ff79c-2c9f-4f48-9319-c9bb88caddfb.json | N/A | N/A | N/A | N/A | N/A | MPI01409385Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN - RETIREE | ANTHEM BLUE CROSS | N/A | 1963-10-10 | 040 | 277163M406 | N/A | PR | false | RUEGGER | N/A | THOMAS | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416997016 | N/A | N/A | 5542955 | 2222 | 4793 | 15718437 | N/A | 4214809 | 2025-12-03 01:35:07.369810 | 2025-06-05 16:00:56.918021 |
| 2025-12-02 08:09:22.251376 | 2025-12-03 01:32:43.993820 | 15451494 | N/A | N/A | 60054 | Aetna | 1114042165 | 15451494 | Athletic Physical Therapy Inc | 1982-02-18 | 2025-12-04 | M | AE | TORGAN | W291598583 | SPENCER | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542863/check_15451494_65a143ef-4367-4c48-a7d3-254a344a7cc2.json | N/A | N/A | N/A | N/A | N/A | W291598583 | Point of Service (POS) | MORGAN STANLEY DOMESTIC HOLDINGS, L | AETNA | N/A | 1982-02-18 | 0868849 | 086884901000001 | N/A | PS | false | TORGAN | N/A | SPENCER | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416997015 | N/A | N/A | 5542863 | 2222 | 4793 | 15713559 | N/A | 4214725 | 2025-12-03 01:32:43.993820 | 2025-05-13 04:29:37.229043 |
| 2025-12-02 08:09:22.100058 | 2025-12-03 01:35:07.837421 | 15451482 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15451482 | Athletic Physical Therapy Inc | 1949-06-30 | 2025-12-04 | F | PT | STEWART | WSP370A66341 | ALBERTA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542834/check_15451482_42afa700-999e-4a40-a115-80d71ca407af.json | N/A | N/A | N/A | N/A | N/A | WSP370A66341 | N/A | ELEVANCE HEALTH | ANTHEM BLUE CROSS | N/A | 1949-06-30 | 130 | IN002GRS | N/A | N/A | false | STEWART | N/A | ALBERTA | N/A | 9999-12-31 | 2021-01-01 | IN GRS ELEVANCE HEALTH H4036-801 ANTHEM MED PREFER | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416997014 | N/A | N/A | 5542834 | 2222 | 4801 | 15718456 | N/A | 4214700 | 2025-12-03 01:35:07.837421 | 2025-05-13 04:29:37.229017 |
| 2025-12-02 08:09:21.934731 | 2025-12-03 01:35:42.989309 | 15451472 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15451472 | Athletic Physical Therapy Inc | 1974-06-26 | 2025-12-05 | M | PT | ARSHADNIA | XEK904721388 | SHAHRIAR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542770/check_15451472_e939d45c-91c5-4caf-901e-2cd68e4a2557.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1974-06-26 | 2001ZJ002648 | X0001000 | N/A | PR | false | NOSRAT | N/A | CAROLYN | N/A | 9999-12-31 | 2016-01-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416997013 | N/A | N/A | 5542770 | 2222 | 4802 | 15719799 | N/A | 4214643 | 2025-12-03 01:35:42.989309 | 2025-05-13 04:29:37.228964 |
| 2025-12-02 08:09:21.834500 | 2025-12-03 01:32:36.180959 | 15451460 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15451460 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-12-04 | F | AE | HAMI | 92932800G | FARIBA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542611/check_15451460_5b177408-7ca9-475a-8d77-d845091d7121.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MEDICARE PART AB CI003 | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1960-09-15 | BP0001 | QMXEM01909 | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | 2078-12-31 | 2025-11-01 | DUAL ELIGIBLE AGED - MSP - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416997012 | N/A | N/A | 5542611 | 2222 | 4802 | 15713297 | 4211 | 4214490 | 2025-12-03 01:32:36.180959 | 2025-05-13 04:29:37.228806 |
| 2025-12-02 08:09:21.720059 | 2025-12-03 01:35:00.472218 | 15451451 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 15451451 | Athletic Physical Therapy Inc | 1988-11-03 | 2025-12-03 | F | AE | CAPISTRANO | 98696372G | FERDELLE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542513/check_15451451_7ecb778c-b48a-4911-b9a0-106a156886c7.json | N/A | N/A | N/A | N/A | N/A | 98696372G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1988-11-03 | MCLA | MWLLNMEG21 | N/A | N/A | false | CAPISTRANO | N/A | FERDELLE | N/A | 2078-12-31 | 2024-05-01 | LACARE MEDICAL | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416997011 | N/A | N/A | 5542513 | 2222 | 4793 | 15718178 | N/A | 4214418 | 2025-12-03 01:35:00.472218 | 2025-07-03 18:12:11.075357 |
| 2025-12-02 08:09:21.519818 | 2025-12-03 01:38:28.771803 | 15451433 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15451433 | Athletic Physical Therapy Inc | 1959-10-03 | 2025-12-05 | F | AE | REED | 2YY5KV0WP59 | SONIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542497/check_15451433_f73b05fc-905b-410f-af1f-792c95347b8f.json | N/A | N/A | N/A | N/A | N/A | 2YY5KV0WP59 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-10-03 | S5617 | N/A | N/A | MA | false | REED | N/A | SONIA | N/A | N/A | N/A | N/A | N/A | 186318 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416996385 | N/A | N/A | 5542497 | 2222 | 4801 | 15726464 | N/A | 4214397 | 2025-12-03 01:38:28.771803 | 2025-05-13 04:29:37.228723 |
| 2025-12-02 08:09:21.449284 | 2025-12-03 01:36:16.221707 | 15451431 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15451431 | Athletic Physical Therapy Inc | 1976-09-20 | 2025-12-03 | M | PT | Bolton | XEK910377236 | Stephen | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121030211.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814151/check_15451431_0d984bf8-4c8f-4485-adad-700c51549bfe.json | N/A | N/A | N/A | N/A | N/A | XEK910377236 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1976-09-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | BOLTON | N/A | STEPHEN | N/A | 2025-12-31 | 2025-01-01 | SILVER 1750 PPO JAN25 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416872726 | N/A | N/A | 6814151 | 2222 | 4793 | 15721080 | N/A | 5856522 | 2025-12-03 01:36:16.221707 | 2025-07-10 02:16:48.328344 |
| 2025-12-02 08:09:21.421660 | 2025-12-03 01:38:28.185406 | 15451428 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15451428 | Athletic Physical Therapy Inc | 1953-03-17 | 2025-12-05 | F | AE | MARCUS | 4VG5XF7HN64 | LISSA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542318/check_15451428_7c5f0b61-1789-48dc-9dbb-ba68d62e45e3.json | N/A | N/A | N/A | N/A | N/A | 4VG5XF7HN64 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-03-17 | S4802 | N/A | N/A | MB | false | MARCUS | N/A | LISSA | N/A | N/A | N/A | N/A | N/A | 226444 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416996384 | N/A | N/A | 5542318 | 2222 | 4802 | 15726443 | N/A | 4214241 | 2025-12-03 01:38:28.185406 | 2025-05-13 04:29:37.228574 |
| 2025-12-02 08:09:21.328260 | 2025-12-03 01:38:27.922047 | 15451417 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15451417 | Athletic Physical Therapy Inc | 1936-09-29 | 2025-12-04 | M | AE | JAUDE | 8D38EF9GV30 | KARIM | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542251/check_15451417_a0cbf996-59d3-4fcc-8f61-8538440bb71c.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MA | false | JAUDE | N/A | KARIM | N/A | N/A | N/A | N/A | N/A | 241000 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416996383 | N/A | N/A | 5542251 | 2222 | 4802 | 15726432 | N/A | 4214191 | 2025-12-03 01:38:27.922047 | 2025-05-13 04:29:37.228525 |
| 2025-12-02 08:09:21.193631 | 2025-12-03 01:32:36.467399 | 15451407 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15451407 | Athletic Physical Therapy Inc | 1975-03-26 | 2025-12-04 | F | AE | HEYES | 95596436F | DARCIE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542233/check_15451407_3e3d2098-99a8-4d67-b639-096a283d43c8.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1975-03-26 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | 2078-12-31 | 2024-04-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416996382 | N/A | N/A | 5542233 | 2222 | 4793 | 15713306 | 4211 | 4214178 | 2025-12-03 01:32:36.467399 | 2025-05-13 04:29:37.228506 |
| 2025-12-02 08:09:21.051741 | 2025-12-03 01:32:37.001600 | 15451397 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15451397 | Athletic Physical Therapy Inc | 1961-02-27 | 2025-12-05 | M | AE | SHRIVER | 90771207E | DANIEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541984/check_15451397_dafc96f9-5a42-4f04-a980-01a0fa6a10bd.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-02-27 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | SHRIVER | N/A | DANIEL | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416996381 | N/A | N/A | 5541984 | 2222 | 4802 | 15713322 | 4211 | 4213934 | 2025-12-03 01:32:37.001600 | 2026-01-27 23:36:44.802366 |
| 2025-12-02 08:09:20.945747 | 2025-12-03 01:35:42.732419 | 15451389 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15451389 | Athletic Physical Therapy Inc | 1990-09-04 | 2025-12-05 | M | PT | HASHEMI | XEA914007676 | SEYED | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541956/check_15451389_f86d5f8f-ed8f-485a-80cf-521936f403b9.json | N/A | N/A | N/A | N/A | N/A | XEA914007676 | Preferred Provider Organization (PPO) | SILVUS TECHNOLOGIES INC | BLUE SHIELD CALIFORNIA | N/A | 1990-09-04 | 1000PPOX0002 | W3000628 | N/A | PR | false | HASHEMI | N/A | SEYED MEHRDAD | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1800 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416996380 | N/A | N/A | 5541956 | 2222 | 4802 | 15719788 | N/A | 4213923 | 2025-12-03 01:35:42.732419 | 2025-05-13 04:29:37.228244 |
| 2025-12-02 08:09:20.851176 | 2025-12-03 01:35:05.592193 | 15451380 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15451380 | Athletic Physical Therapy Inc | 2009-08-02 | 2025-12-04 | F | PT | KUZMICZ | LFYHC0059374 | AUDREY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541748/check_15451380_6ea453ef-8158-4e3c-bb1d-e7e6f2bb52b3.json | N/A | N/A | N/A | N/A | N/A | LFYHC0059374 | Preferred Provider Organization (PPO) | LOS ANGELES FIREMENS RELIEF ASSOCIATION | ANTHEM BLUE CROSS | N/A | 2009-08-02 | 040 | 282527M001 | N/A | PR | false | KUZMICZ | N/A | CHRISTOPHER | N/A | 9999-12-31 | 2020-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416996379 | N/A | N/A | 5541748 | 2222 | 4801 | 15718369 | N/A | 4213741 | 2025-12-03 01:35:05.592193 | 2025-10-10 22:38:21.840610 |
| 2025-12-02 08:09:20.694162 | 2025-12-03 01:35:04.828411 | 15451365 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15451365 | Athletic Physical Therapy Inc | 1974-10-21 | 2025-12-03 | F | PT | GARCIA | NCF666A56083 | DAWN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541664/check_15451365_770e7471-de09-436b-96d2-9ce47e783d00.json | N/A | N/A | N/A | N/A | N/A | NCF666A56083 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1974-10-21 | 040 | 57AJCA | N/A | HM | false | GARCIA | N/A | DAWN | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416996378 | N/A | N/A | 5541664 | 2222 | 4793 | 15718339 | 4185 | 4213662 | 2025-12-03 01:35:04.828411 | 2025-05-13 04:29:37.227982 |
| 2025-12-02 08:09:20.541297 | 2025-12-03 01:35:43.447823 | 15451354 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15451354 | Athletic Physical Therapy Inc | 1974-12-26 | 2025-12-05 | M | PT | SALEWSKE | 600905624 | TYSON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541518/check_15451354_35029c4e-22a1-4877-901e-9e3a3db53ca4.json | N/A | N/A | N/A | N/A | N/A | 600905624 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1974-12-26 | N/A | N/A | N/A | N/A | false | SALEWSKE | N/A | TYSON | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416996377 | N/A | N/A | 5541518 | 2222 | 4793 | 15719818 | N/A | 4213526 | 2025-12-03 01:35:43.447823 | 2025-11-13 19:34:43.197819 |
| 2025-12-02 08:09:20.440538 | 2025-12-03 01:34:56.186559 | 15451346 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15451346 | Athletic Physical Therapy Inc | 1969-06-19 | 2025-12-05 | M | AE | RODRIGUEZ | R0141403581 | FRANCISCO | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541282/check_15451346_09a99a43-0172-42fc-afd1-99c523f63e1d.json | N/A | N/A | N/A | N/A | N/A | R0141403581 | N/A | N/A | HEALTH NET, LLC | N/A | 1969-06-19 | N/A | N/A | N/A | N/A | false | RODRIGUEZ | N/A | FRANCISCO | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416996376 | N/A | N/A | 5541282 | 2222 | 4801 | 15718021 | N/A | 4213312 | 2025-12-03 01:34:56.186559 | 2025-05-13 04:29:37.227635 |
| 2025-12-02 08:09:20.286414 | 2025-12-03 01:34:35.174789 | 15451332 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15451332 | Athletic Physical Therapy Inc | 1946-11-23 | 2025-12-04 | F | AE | POLAK | 40047825101 | JOANNA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541023/check_15451332_24f3033d-c8e1-4b21-b57d-91ae109ff141.json | N/A | N/A | N/A | N/A | N/A | 40047825101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1946-11-23 | 2025H5425006 | H5425M | N/A | N/A | false | POLAK | N/A | JOANNA | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416996375 | N/A | N/A | 5541023 | 2222 | 4793 | 15717271 | 6237 | 4213093 | 2025-12-03 01:34:35.174789 | 2025-05-13 04:29:37.227419 |
| 2025-12-02 08:09:20.197729 | 2025-12-03 01:35:05.083338 | 15451325 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15451325 | Athletic Physical Therapy Inc | 1995-06-07 | 2025-12-04 | M | PT | Greathouse | MPI30458946Q | Kheperan | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540871/check_15451325_121cd342-afe2-41da-ba95-76518efb4c1a.json | N/A | N/A | N/A | N/A | N/A | MPI30458946Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1995-06-07 | 040 | 277163M402 | N/A | PR | false | GREATHOUSE | N/A | KHEPERAN | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416996374 | N/A | N/A | 5540871 | 2222 | 4793 | 15718350 | N/A | 4212959 | 2025-12-03 01:35:05.083338 | 2025-10-17 20:08:21.136268 |
| 2025-12-02 08:09:19.993410 | 2025-12-03 01:34:34.229398 | 15451311 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15451311 | Athletic Physical Therapy Inc | 1956-07-18 | 2025-12-04 | M | AE | BELL | 40055462001 | LOWELL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.122026090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540339/check_15451311_c7f693ac-850c-4851-a3f2-19588547cced.json | N/A | N/A | N/A | N/A | N/A | 40055462001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-07-18 | 2025H5425097VEF | H5425CSNP | N/A | N/A | false | BELL | N/A | LOWELL | N/A | N/A | N/A | SCAN STRIVE (HMO SNP), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416996373 | N/A | N/A | 5540339 | 2222 | 4801 | 15717239 | N/A | 4212512 | 2025-12-03 01:34:34.229398 | 2025-11-04 22:17:35.476315 |