API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | 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 08:09:19.912525 | 2025-12-03 01:38:25.882630 | 15451304 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15451304 | Athletic Physical Therapy Inc | 1954-06-15 | 2025-12-04 | F | AE | PT | ADIB | 1TJ9E76RP17 | JILA | 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/2222/5540303/check_15451304_7fbf75e2-9bd6-43ff-8d5a-d0cf4f0ce8b8.json | N/A | N/A | N/A | N/A | N/A | 1TJ9E76RP17 | Medicare Part B | N/A | ACCESS GENERALINSUR COMP | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-06-15 | S4802 | DOL 10302012 | N/A | MB | false | ADIB | N/A | JILA | N/A | N/A | N/A | N/A | N/A | 241000 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416996372 | N/A | N/A | 5540303 | 2222 | 4801 | 15726359 | N/A | 4212486 | 2025-12-03 01:38:25.882630 | 2025-09-30 02:32:14.808821 |
| 2025-12-02 08:09:19.802937 | 2025-12-03 01:35:02.991086 | 15451292 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15451292 | Athletic Physical Therapy Inc | 1955-11-11 | 2025-12-04 | F | PT | N/A | CALDERON | JQU450A75837 | DEBBIE | 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/2222/5540282/check_15451292_aaec4547-c590-42ca-9cfa-0226fbbc7a4a.json | N/A | N/A | N/A | N/A | N/A | JQU450A75837 | Preferred Provider Organization (PPO) | ELKINS KALT WEINTRAUB REU | ANTHEM BLUE CROSS | N/A | 1955-11-11 | 040 | 494793 | N/A | PR | false | CALDERON | N/A | DEBBIE | N/A | 9999-12-31 | 2025-12-01 | ANTHEM GOLD PPO 30/500/20% | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416996371 | N/A | N/A | 5540282 | 2222 | 4802 | 15718269 | N/A | 4212465 | 2025-12-03 01:35:02.991086 | 2025-05-13 04:29:37.226801 |
| 2025-12-02 08:09:19.612550 | 2025-12-03 01:34:34.516646 | 15451282 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15451282 | Athletic Physical Therapy Inc | 1948-04-26 | 2025-12-05 | M | AE | PT | LODIN | 40064763401 | MOHAMMED | 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/2222/5540259/check_15451282_9daf76fd-6bee-42be-a30e-6b50b5a25a47.json | N/A | N/A | N/A | N/A | N/A | 40064763401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1948-04-26 | 2025H5425001 | H5425M | N/A | N/A | false | LODIN | N/A | MOHAMMED | 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 | 9416996370 | N/A | N/A | 5540259 | 2222 | 4793 | 15717250 | 6237 | 4212442 | 2025-12-03 01:34:34.516646 | 2025-05-13 04:29:37.226772 |
| 2025-12-02 08:09:19.520118 | 2025-12-03 01:35:04.540024 | 15451273 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15451273 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-12-05 | M | PT | N/A | FINNLEY | NGO832M81089 | ZEV | 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/2222/5539664/check_15451273_25d4e15b-ce37-4931-b79a-e72e753b4d78.json | N/A | N/A | N/A | N/A | N/A | NGO832M81089 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORPORATION | ANTHEM BLUE CROSS | N/A | 1991-07-13 | 040 | 174022MJAC | N/A | PR | false | FINNLEY | N/A | ZEV | N/A | 9999-12-31 | 2022-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416996369 | N/A | N/A | 5539664 | 2222 | 4793 | 15718327 | N/A | 4211935 | 2025-12-03 01:35:04.540024 | 2025-05-13 04:29:37.226259 |
| 2025-12-02 08:09:19.403630 | 2025-12-03 01:35:06.133100 | 15451265 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15451265 | Athletic Physical Therapy Inc | 1975-10-23 | 2025-12-05 | F | PT | N/A | MAGEE | SRYHC0157512 | JENNIFER | 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/2222/5539606/check_15451265_59c0124f-4696-47ee-b92e-4ff16a008800.json | N/A | N/A | N/A | N/A | N/A | SRYHC0157512 | Preferred Provider Organization (PPO) | SURVEYMONKEY PPO IN STATE | ANTHEM BLUE CROSS | N/A | 1975-10-23 | 040 | L12152M001 | N/A | PR | false | MAGEE | N/A | JENNIFER | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416996368 | N/A | N/A | 5539606 | 2222 | 4793 | 15718390 | N/A | 4211886 | 2025-12-03 01:35:06.133100 | 2026-02-06 19:09:03.082684 |
| 2025-12-02 08:09:19.313067 | 2025-12-03 01:35:07.604875 | 15451258 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15451258 | Athletic Physical Therapy Inc | 1961-10-29 | 2025-12-04 | F | PT | N/A | STEWARD | NCF874A20085 | ANDREA | 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/2222/5539556/check_15451258_34f1530f-dec4-4d2f-b916-74a38c5a4d7d.json | N/A | N/A | N/A | N/A | N/A | NCF874A20085 | Health Maintenance Organization (HMO) | LACERS- LOS ANGELES CITY RETIREMENT SYSTEMS | ANTHEM BLUE CROSS | N/A | 1961-10-29 | 040 | 57ABBA | N/A | HM | false | STEWARD | N/A | ANDREA | N/A | 9999-12-31 | 2017-04-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416996367 | N/A | N/A | 5539556 | 2222 | 4801 | 15718447 | N/A | 4211841 | 2025-12-03 01:35:07.604875 | 2025-10-23 18:30:51.891275 |
| 2025-12-02 08:09:19.185743 | 2025-12-03 01:35:07.115430 | 15451249 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15451249 | Athletic Physical Therapy Inc | 2007-11-18 | 2025-12-05 | F | PT | N/A | PELLEGRINI | CPR038A72156 | REY | 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/2222/5539454/check_15451249_160cbb1f-b5d1-4dd4-a9b3-e9c662e6340b.json | N/A | N/A | N/A | N/A | N/A | CPR038A72156 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2007-11-18 | N/A | N/A | N/A | N/A | false | PELLEGRINI | N/A | REY | 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 | 9416996366 | N/A | N/A | 5539454 | 2222 | 4793 | 15718427 | N/A | 4211757 | 2025-12-03 01:35:07.115430 | 2025-06-05 23:05:44.239427 |
| 2025-12-02 08:09:19.056435 | 2025-12-03 01:34:33.928388 | 15451238 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15451238 | Athletic Physical Therapy Inc | 1939-12-29 | 2025-12-03 | F | AE | PT | ALESSI | 31019902301 | JEAN | 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/2222/5539133/check_15451238_561cc6e9-102f-4980-89f9-57a62166b6a3.json | N/A | N/A | N/A | N/A | N/A | 31019902301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1939-12-29 | 2025H5425001 | H5425M | N/A | N/A | false | ALESSI | N/A | JEAN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416996365 | N/A | N/A | 5539133 | 2222 | 4793 | 15717230 | N/A | 4211471 | 2025-12-03 01:34:33.928388 | 2025-07-09 03:59:33.308587 |
| 2025-12-02 08:09:18.900730 | 2025-12-03 01:32:43.456211 | 15451222 | N/A | N/A | 60054 | Aetna | 1114042165 | 15451222 | Athletic Physical Therapy Inc | 1992-03-04 | 2025-12-04 | M | AE | PT | INCHALIK | W291674431 | BENJAMIN | 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/2222/5538651/check_15451222_ad646652-364a-410b-9a05-b3c8f937b69a.json | N/A | N/A | N/A | N/A | N/A | W291674431 | Point of Service (POS) | FIGS, INC. | AETNA | N/A | 1992-03-04 | 0251488 | 025148801200001 | N/A | PS | false | INCHALIK | N/A | BENJAMIN | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416996364 | N/A | N/A | 5538651 | 2222 | 4802 | 15713542 | N/A | 4211040 | 2025-12-03 01:32:43.456211 | 2025-05-13 04:29:37.225445 |
| 2025-12-02 08:09:18.524622 | 2025-12-03 01:38:26.787774 | 15451195 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15451195 | Athletic Physical Therapy Inc | 1954-01-24 | 2025-12-05 | F | AE | PT | DIGIOVANNI | 4N09TQ2YY18 | JILL | 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/2222/5538592/check_15451195_2bef7cb2-a1cb-434d-bc3e-9f70af6bcff6.json | N/A | N/A | N/A | N/A | N/A | 4N09TQ2YY18 | Medicare Part B | N/A | SENTRY INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-24 | S4802 | DOL 11022017 | N/A | MB | false | DIGIOVANNI | N/A | JILL | N/A | N/A | N/A | N/A | N/A | 77913 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416996363 | N/A | N/A | 5538592 | 2222 | 4801 | 15726389 | N/A | 4210993 | 2025-12-03 01:38:26.787774 | 2025-05-13 04:29:37.225395 |
| 2025-12-02 08:09:18.479585 | 2025-12-03 01:38:13.133224 | 15451191 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15451191 | Athletic Physical Therapy Inc | 1951-07-30 | 2025-12-05 | F | AE | PT | Ruhe | XEM912278054 | Jacqueline | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121019873.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12438099/check_15451191_75a5c28a-30a6-45ee-83cd-832f33e5a7f4.json | N/A | N/A | N/A | N/A | N/A | XEM912278054 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1958-07-30 | 2002SF000028 | X0001002 | N/A | OT | false | RUHE | N/A | JACQUELINE | 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 | 9416870871 | N/A | N/A | 12438099 | 2222 | 4802 | 15725861 | N/A | 10618088 | 2025-12-03 01:38:13.133224 | 2026-03-18 22:31:10.360004 |
| 2025-12-02 08:09:18.429234 | 2025-12-03 01:38:27.071334 | 15451188 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15451188 | Athletic Physical Therapy Inc | 1954-01-12 | 2025-12-05 | F | AE | PT | FINCH | 3YV4XM6FP06 | DAWN | 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/2222/5538472/check_15451188_83d8fb9a-01a1-47ab-a839-a77f0bdefaf9.json | N/A | N/A | N/A | N/A | N/A | 3YV4XM6FP06 | Medicare Part A | N/A | OPTUM INSURANCE OF OHIO, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-12 | S8841 | N/A | N/A | MA | false | FINCH | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | 191892 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416996362 | N/A | N/A | 5538472 | 2222 | 4802 | 15726402 | N/A | 4210886 | 2025-12-03 01:38:27.071334 | 2025-05-13 04:29:37.225284 |
| 2025-12-02 08:09:18.283860 | 2025-12-03 01:35:04.011149 | 15451175 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15451175 | Athletic Physical Therapy Inc | 2006-06-08 | 2025-12-04 | M | PT | N/A | DATO | NGO555A50496 | LUKE | 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/2222/5538229/check_15451175_7495962e-ffbb-4fdb-9a80-d0efb4079c7a.json | N/A | N/A | N/A | N/A | N/A | NGO555A50496 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORPORATION | ANTHEM BLUE CROSS | N/A | 2006-06-08 | 040 | 174022MJAD | N/A | PR | false | DATO | N/A | GREGORY | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416996361 | N/A | N/A | 5538229 | 2222 | 4793 | 15718306 | N/A | 4210676 | 2025-12-03 01:35:04.011149 | 2026-05-21 21:09:28.809390 |
| 2025-12-02 08:09:18.162997 | 2025-12-03 01:35:05.326763 | 15451164 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15451164 | Athletic Physical Therapy Inc | 1952-06-27 | 2025-12-04 | F | PT | N/A | KEYLON | JOS346M97871 | SYLVIA | 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/2222/5537990/check_15451164_d8979674-8839-49a4-a280-54c31574e30b.json | N/A | N/A | N/A | N/A | N/A | JQS346M97871 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-06-27 | 040 | CAMCRWP0 | N/A | MP | false | KEYLON | N/A | SYLVIA | 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 | 9416996360 | N/A | N/A | 5537990 | 2222 | 4801 | 15718359 | N/A | 4210479 | 2025-12-03 01:35:05.326763 | 2025-11-25 04:56:21.589579 |
| 2025-12-02 08:09:18.051193 | 2025-12-03 01:32:36.725479 | 15451155 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15451155 | Athletic Physical Therapy Inc | 1977-04-30 | 2025-12-05 | M | AE | PT | JOSEPH | 623127403 | CHRISTOPHER | 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/2222/5537866/check_15451155_d68e5355-79df-4584-ac37-e9a0c3ebff07.json | N/A | N/A | N/A | N/A | N/A | 623127403 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 1977-04-30 | 18126CA001000201 | QMXEM01910 | N/A | N/A | false | JOSEPH | N/A | CHRISTOPHER | N/A | 2025-12-31 | 2025-02-01 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416996359 | N/A | N/A | 5537866 | 2222 | 4802 | 15713316 | 4211 | 4210367 | 2025-12-03 01:32:36.725479 | 2025-05-13 04:29:37.224772 |
| 2025-12-02 08:09:17.956463 | 2025-12-03 01:34:59.329819 | 15451146 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15451146 | Athletic Physical Therapy Inc | 1936-05-08 | 2025-12-04 | F | AE | PT | KENT | 00000365314 | BARBARA | 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/2222/5537777/check_15451146_76f4a853-b9cd-4b70-bb88-5642052369bd.json | N/A | N/A | N/A | N/A | N/A | 00000365314 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1936-05-08 | H3815028 | N/A | N/A | HM | false | KENT | N/A | BARBARA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416996358 | N/A | N/A | 5537777 | 2222 | 4793 | 15718137 | 2630 | 4210288 | 2025-12-03 01:34:59.329819 | 2025-05-13 04:29:37.224698 |
| 2025-12-02 08:09:17.844816 | 2025-12-03 01:35:06.379140 | 15451133 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15451133 | Athletic Physical Therapy Inc | 1977-06-07 | 2025-12-05 | M | PT | N/A | MARSHALL | MPI01520612Q | THOMAS | 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/2222/5537511/check_15451133_55adb084-5be0-4e1d-b16c-cfa33c70eb08.json | N/A | N/A | N/A | N/A | N/A | MPI01520612Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1977-06-07 | 040 | 277163M401 | N/A | PR | false | MARSHALL | N/A | THOMAS | N/A | 9999-12-31 | 2024-06-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416996357 | N/A | N/A | 5537511 | 2222 | 4801 | 15718401 | N/A | 4210061 | 2025-12-03 01:35:06.379140 | 2025-05-13 04:29:37.224481 |
| 2025-12-02 08:09:17.728910 | 2025-12-03 01:35:42.238028 | 15451124 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15451124 | Athletic Physical Therapy Inc | 1974-06-04 | 2025-12-05 | F | PT | N/A | NAIMI | KSI73549599C | ERIN | 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/2222/5537507/check_15451124_e83f8e65-35d4-49cc-8170-60d6ef421c06.json | N/A | N/A | N/A | N/A | N/A | KSI73549599C | Preferred Provider Organization (PPO) | KARL STORZ ENDOSCOPY AMERICA INC | BLUE SHIELD CALIFORNIA | N/A | 1974-06-04 | 1000PPOX0003 | W8002382 | N/A | PR | false | ABI MALHAB | N/A | NADIM | N/A | N/A | N/A | KARL STORZ ENDOSCOPY AMERICA INC SHARED ADVANTAGE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416996356 | N/A | N/A | 5537507 | 2222 | 4802 | 15719770 | N/A | 4210057 | 2025-12-03 01:35:42.238028 | 2025-05-13 04:29:37.224477 |
| 2025-12-02 08:09:17.610641 | 2025-12-03 01:34:34.803750 | 15451114 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15451114 | Athletic Physical Therapy Inc | 1957-02-16 | 2025-12-04 | F | AE | PT | OSE | 40050866601 | KAREN | 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/2222/5537366/check_15451114_7da30ba1-5820-4828-969b-8bdf1eb14f25.json | N/A | N/A | N/A | N/A | N/A | 40050866601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1957-02-16 | 2025H5425001 | H5425M | N/A | N/A | false | OSE | N/A | KAREN | 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 | 9416996355 | N/A | N/A | 5537366 | 2222 | 4793 | 15717261 | N/A | 4209945 | 2025-12-03 01:34:34.803750 | 2025-08-13 22:24:17.841096 |
| 2025-12-02 08:09:17.515488 | 2025-12-03 01:33:57.902898 | 15451103 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 15451103 | Athletic Physical Therapy Inc | 1960-01-04 | 2025-12-05 | M | AE | PT | CATLIN | U0538312401 | VINCE | 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/2222/5537309/check_15451103_29ea38fe-4c40-4daa-9f0a-ed3705c3f9e8.json | N/A | N/A | N/A | N/A | N/A | U0538312401 | Health Maintenance Organization (HMO) | PANAVISION INTERNATIONAL, L.P. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1960-01-04 | N/A | 3345947 | N/A | HM | false | CATLIN | N/A | VINCE | N/A | N/A | N/A | HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416996354 | N/A | N/A | 5537309 | 2222 | 4793 | 15715980 | N/A | 4209897 | 2025-12-03 01:33:57.902898 | 2025-11-25 00:42:44.777389 |
| 2025-12-02 08:09:17.347670 | 2025-12-03 01:35:03.502763 | 15451092 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 15451092 | Athletic Physical Therapy Inc | 1957-04-03 | 2025-12-04 | M | PT | N/A | CRUZ CHEVEZ | JQW952W07822 | RICARDO | 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/2222/5537237/check_15451092_a4389c28-22e9-4b19-9387-b1e6e95a6806.json | N/A | N/A | N/A | N/A | N/A | JQW952W07822 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1957-04-03 | 040 | CAMCRWP0 | N/A | MP | false | CRUZ CHEVEZ | N/A | RICARDO | N/A | 2025-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416996353 | N/A | N/A | 5537237 | 2222 | 4793 | 15718289 | 4184 | 4209841 | 2025-12-03 01:35:03.502763 | 2025-10-22 16:05:52.993032 |
| 2025-12-02 08:09:17.216096 | 2025-12-03 01:35:06.877290 | 15451081 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15451081 | Athletic Physical Therapy Inc | 1964-10-19 | 2025-12-05 | M | PT | N/A | NIELSEN | XDP057A76330 | ROY | 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/2222/5537188/check_15451081_902f4ef2-d2c1-46a5-8ac4-3bf4dd2c075b.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC COBRA | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629MN17 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 9999-12-31 | 2025-11-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416996352 | N/A | N/A | 5537188 | 2222 | 4802 | 15718419 | N/A | 4209789 | 2025-12-03 01:35:06.877290 | 2025-05-13 04:29:37.224215 |
| 2025-12-02 08:09:17.102432 | 2025-12-03 01:35:06.629847 | 15451071 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15451071 | Athletic Physical Therapy Inc | 1954-03-31 | 2025-12-04 | M | PT | N/A | MILES | MBL835W05431 | KEITH | 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/2222/5536896/check_15451071_5a231a48-67ef-4973-94d3-2a65e515b249.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416996351 | N/A | N/A | 5536896 | 2222 | 4793 | 15718410 | N/A | 4209567 | 2025-12-03 01:35:06.629847 | 2025-05-13 04:29:37.223990 |
| 2025-12-02 08:09:16.959629 | 2025-12-03 01:38:26.444660 | 15451058 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15451058 | Athletic Physical Therapy Inc | 1948-07-13 | 2025-12-04 | M | AE | PT | DENNIS | 8ME0Y56JD14 | CECIL | 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/2222/5536377/check_15451058_4628d516-940b-4265-8bdd-545f2f994b1d.json | N/A | N/A | N/A | N/A | N/A | 8ME0Y56JD14 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-13 | S5921 | N/A | N/A | MA | false | DENNIS | N/A | CECIL | N/A | N/A | N/A | N/A | N/A | 29767 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416996350 | N/A | N/A | 5536377 | 2222 | 4801 | 15726379 | N/A | 4209131 | 2025-12-03 01:38:26.444660 | 2025-09-25 15:49:36.327996 |
| 2025-12-02 08:09:16.810254 | 2025-12-03 01:38:29.053662 | 15451047 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15451047 | Athletic Physical Therapy Inc | 1945-03-19 | 2025-12-05 | F | AE | PT | ROSS | 6QX7T41GM46 | MARTHA | 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/2222/5536301/check_15451047_86868b4b-0c1d-4ff8-b9c1-16c178b8187d.json | N/A | N/A | N/A | N/A | N/A | 6QX7T41GM46 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-03-19 | S5617 | N/A | N/A | MB | false | ROSS | N/A | MARTHA | N/A | N/A | N/A | N/A | N/A | 20106 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416996349 | N/A | N/A | 5536301 | 2222 | 4802 | 15726473 | N/A | 4209073 | 2025-12-03 01:38:29.053662 | 2025-11-19 19:47:03.642493 |
| 2025-12-02 08:09:16.717600 | 2025-12-03 01:38:29.310170 | 15451037 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15451037 | Athletic Physical Therapy Inc | 1946-08-26 | 2025-12-05 | M | AE | PT | ROTHMAN | 6H65JC7UD67 | MIKE | 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/2222/5536194/check_15451037_bfdac71a-3cd0-4e30-b81e-d16b15443f7d.json | N/A | N/A | N/A | N/A | N/A | 6H65JC7UD67 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-08-26 | S4802 | N/A | N/A | MA | false | ROTHMAN | N/A | MIKE | N/A | N/A | N/A | N/A | N/A | 138920 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416996348 | N/A | N/A | 5536194 | 2222 | 4801 | 15726483 | N/A | 4208978 | 2025-12-03 01:38:29.310170 | 2025-05-13 04:29:37.223404 |
| 2025-12-02 08:09:16.641069 | 2025-12-03 01:35:04.261462 | 15451031 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15451031 | Athletic Physical Therapy Inc | 1960-04-27 | 2025-12-05 | M | PT | N/A | ENRIGHT | DGA10462968J | HAROLD | 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/2222/5535419/check_15451031_774a364f-c41d-41e6-9baf-9f97ebb99709.json | N/A | N/A | N/A | N/A | N/A | DGA10462968J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1960-04-27 | 040 | 276945M001 | N/A | PR | false | ENRIGHT | N/A | HAROLD | N/A | 9999-12-31 | 2017-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416996347 | N/A | N/A | 5535419 | 2222 | 4793 | 15718318 | N/A | 4208347 | 2025-12-03 01:35:04.261462 | 2025-05-13 04:29:37.222769 |
| 2025-12-02 08:09:13.370851 | 2025-12-03 01:37:45.572916 | 15450744 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15450744 | Athletic Physical Therapy Inc | 1954-02-05 | 2025-12-05 | M | PT | N/A | HERNANDEZ | NCF335A78493 | FELIPE | 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/2222/9857185/check_15450744_bc1cb70f-843b-4c3b-bfc6-aa568079942f.json | N/A | N/A | N/A | N/A | N/A | NCF335A78493 | Health Maintenance Organization (HMO) | CITY OF LOS ANGELES | ANTHEM BLUE CROSS | N/A | 1954-02-05 | 040 | 280612H004 | N/A | HM | false | HERNANDEZ | N/A | FELIPE | N/A | 9999-12-31 | 2017-10-18 | PREMIER SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416901028 | N/A | N/A | 9857185 | 2222 | 4793 | 15724677 | N/A | 8252801 | 2025-12-03 01:37:45.572916 | 2026-02-23 23:58:40.440949 |
| 2025-12-02 08:09:12.336966 | 2025-12-03 01:40:28.632225 | 15450657 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15450657 | Athletic Physical Therapy Inc | 1955-07-01 | 2025-12-05 | F | AE | PT | GREER | 7H09HW9QG44 | ROBIN | 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/2222/9411083/check_15450657_45ab88ca-63c0-46a7-9722-de7147e41d98.json | N/A | N/A | N/A | N/A | N/A | 7H09HW9QG44 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-01 | S5601 | N/A | N/A | MA | false | GREER | N/A | ROBIN | N/A | N/A | N/A | N/A | N/A | 241000 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416891920 | N/A | N/A | 9411083 | 2222 | 4802 | 15731458 | N/A | 7879863 | 2025-12-03 01:40:28.632225 | 2026-02-04 18:21:13.840230 |
| 2025-12-02 08:09:11.384350 | 2025-12-03 01:37:48.045114 | 15450587 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15450587 | Athletic Physical Therapy Inc | 1976-08-13 | 2025-12-04 | F | PT | N/A | GODWIN | JPU097W07528 | CASSANDRA | 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/2222/10090153/check_15450587_c9a2cac4-bc7c-489c-b8eb-137ed062b894.json | N/A | N/A | N/A | N/A | N/A | JPU097W07528 | Preferred Provider Organization (PPO) | MAJCO LLC | ANTHEM BLUE CROSS | N/A | 1976-08-13 | 040 | 281949M014 | N/A | PR | false | GODWIN | N/A | CASSANDRA | N/A | 9999-12-31 | 2023-06-01 | SOLUTION PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9417069813 | N/A | N/A | 10090153 | 2222 | 4801 | 15724785 | N/A | 8428668 | 2025-12-03 01:37:48.045114 | 2025-10-12 20:55:35.014952 |
| 2025-12-02 08:09:09.645191 | 2025-12-03 01:38:54.090076 | 15450440 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15450440 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-12-04 | M | AE | PT | CICCIARI | 1AK4JC6NK84 | LOUIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121030211.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_15450440_3f1f738d-479e-41c6-8178-5ee3004dac69.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5596 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | 318408 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416872665 | N/A | N/A | 6752936 | 2222 | 4801 | 15727490 | N/A | 5065602 | 2025-12-03 01:38:54.090076 | 2025-07-01 17:25:13.681724 |
| 2025-12-02 08:09:05.769296 | 2025-12-03 01:37:58.007768 | 15450152 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15450152 | Athletic Physical Therapy Inc | 1951-08-07 | 2025-12-05 | F | AE | PT | HYATT | XEM911540996 | CINDY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121019873.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12216825/check_15450152_93ba3f89-ed0f-4b18-828a-14833ca30426.json | N/A | N/A | N/A | N/A | N/A | XEM911540996 | Supplemental Policy | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1951-08-07 | 2004SF000028 | X0001002 | N/A | SP | false | HYATT | N/A | CINDY | N/A | 9999-12-31 | 2022-08-02 | MEDICARE SUPPLEMENT DENTAL PPO 1500 AUG14 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416871143 | N/A | N/A | 12216825 | 2222 | 4802 | 15725220 | N/A | 10415709 | 2025-12-03 01:37:58.007768 | 2025-11-05 17:32:26.509741 |
| 2025-12-02 08:09:04.337823 | 2025-12-03 01:44:07.906532 | 15450044 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15450044 | Athletic Physical Therapy Inc | 1955-07-22 | 2025-12-05 | M | AE | PT | BUDIG | 00000231310 | FREDERICK | 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/2222/13301296/check_15450044_e26defca-4943-4540-a2cf-2090cdc19617.json | N/A | N/A | N/A | N/A | N/A | 00000231310 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1955-07-22 | H3815028 | N/A | N/A | HM | false | BUDIG | N/A | FREDERICK | 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 | 9416913158 | N/A | N/A | 13301296 | 2222 | 4793 | 15737043 | 2630 | 10144604 | 2025-12-03 01:44:07.906532 | 2025-11-18 17:17:05.039116 |
| 2025-12-02 08:09:02.843652 | 2025-12-03 01:35:34.639873 | 15449937 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15449937 | Athletic Physical Therapy Inc | 2008-04-21 | 2025-12-04 | M | AE | PT | BERMUDEZ | 000019836525 | RAFAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121030211.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6721942/check_15449937_b47dda0c-afe3-41ff-8d34-290bb4b386fa.json | N/A | N/A | N/A | N/A | N/A | 000019836525 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 2008-04-21 | 4327748 | 226977 | N/A | N/A | false | BERMUDEZ | N/A | RAFAEL | N/A | N/A | N/A | MEDI-CAL LA CARE HEALTH PLAN HF TRANSITIONAL AID C | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416873772 | N/A | N/A | 6721942 | 2222 | 4793 | 15719475 | N/A | 5322280 | 2025-12-03 01:35:34.639873 | 2025-07-01 21:45:15.878047 |
| 2025-12-02 08:08:58.773529 | 2025-12-03 01:31:59.361684 | 15449624 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 15449624 | Athletic Physical Therapy Inc | 1955-02-20 | 2025-12-05 | F | AE | PT | SALGUERO | 35955370 | DINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121030211.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6711965/check_15449624_36636c8a-f714-4218-9d93-8cb4ffad6146.json | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | 406-005-000 | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416873735 | N/A | N/A | 6711965 | 2222 | 4793 | 15712404 | 6798 | 4210430 | 2025-12-03 01:31:59.361684 | 2025-05-13 04:29:37.224841 |
| 2025-12-02 08:08:56.735357 | 2025-12-03 01:44:56.191322 | 15449463 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15449463 | Athletic Physical Therapy Inc | 1988-06-08 | 2025-12-05 | F | AE | PT | Parker | 000021005631 | Tiffeny | 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/2222/12714759/check_15449463_56728c9a-ad3f-4905-a4ab-8a28197c23f6.json | N/A | N/A | N/A | N/A | N/A | 000021005631 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | MDC - MEDICAID | 1988-06-08 | 4332645 | 1650095001 | N/A | N/A | false | PARKER | N/A | TIFFENY | N/A | N/A | N/A | MEDI-CAL LA CARE HEALTH PLAN ADULT EXPANSION LTSS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416937978 | N/A | N/A | 12714759 | 2222 | 4802 | 15737409 | N/A | 10878419 | 2025-12-03 01:44:56.191322 | 2025-11-21 21:47:52.393943 |
| 2025-12-02 08:08:52.968621 | 2025-12-03 01:41:51.406384 | 15449178 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15449178 | Athletic Physical Therapy Inc | 1948-01-09 | 2025-12-05 | M | PT | N/A | Spencer | 6R94JH0WP99 | Ray | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121019873.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12089888/check_15449178_06316b78-1459-4312-aee7-aa166e73f43a.json | N/A | N/A | N/A | N/A | N/A | 6R94JH0WP99 | N/A | N/A | CMS | N/A | 1948-01-09 | N/A | N/A | N/A | N/A | false | SPENCER | N/A | RAY | 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 | 9416870012 | N/A | N/A | 12089888 | 2222 | 4801 | 15734561 | N/A | 10308085 | 2025-12-03 01:41:51.406384 | 2025-11-09 17:31:46.068054 |
| 2025-12-02 08:08:41.564250 | 2025-12-03 01:37:58.556413 | 15448310 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15448310 | Athletic Physical Therapy Inc | 1960-03-18 | 2025-12-04 | F | AE | PT | MEYER | JQE221W24060 | LESLIE | 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/2222/11928247/check_15448310_8fb3194a-22fa-42bc-af7d-9780a283681b.json | N/A | N/A | N/A | N/A | N/A | JQE221W24060 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1960-03-18 | 040 | CASUPWP0 | N/A | N/A | false | MEYER | N/A | LESLIE | N/A | 9999-12-31 | 2025-08-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416870833 | N/A | N/A | 11928247 | 2222 | 4793 | 15725244 | N/A | 4215335 | 2025-12-03 01:37:58.556413 | 2025-10-30 21:15:07.766449 |
| 2025-12-02 08:08:28.868949 | 2025-12-03 01:38:54.635374 | 15447378 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15447378 | Athletic Physical Therapy Inc | 1952-10-25 | 2025-12-04 | F | AE | PT | JOHNSTON | 7KA0H51YU14 | DEBORAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121030211.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638066/check_15447378_5b111f24-9955-4003-a427-af3a4ce06574.json | N/A | N/A | N/A | N/A | N/A | 7KA0H51YU14 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-10-25 | S5617 | N/A | N/A | MB | false | JOHNSTON | N/A | DEBORAH | N/A | N/A | N/A | N/A | N/A | 221238 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416873461 | N/A | N/A | 6638066 | 2222 | 4793 | 15727511 | N/A | 5247837 | 2025-12-03 01:38:54.635374 | 2026-02-24 20:36:49.807283 |
| 2025-12-02 08:08:27.525396 | 2025-12-03 01:35:18.830141 | 15447279 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15447279 | Athletic Physical Therapy Inc | 2011-10-18 | 2025-12-04 | F | PT | N/A | GARCIA | LDU736A55056 | SADIE | 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/2222/8387470/check_15447279_8f4670f3-e930-489c-8a57-d408d403dc2a.json | N/A | N/A | N/A | N/A | N/A | LDU736A55056 | Exclusive Provider Organization | LAUSD | ANTHEM BLUE CROSS | N/A | 2011-10-18 | 040 | 1838NJ | N/A | EP | false | GARCIA | N/A | RUBEN | N/A | 2026-01-01 | 2024-01-01 | PRUDENT BUYER EXCLUSIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416930509 | N/A | N/A | 8387470 | 2222 | 4801 | 15718867 | N/A | 5132739 | 2025-12-03 01:35:18.830141 | 2025-07-14 21:32:03.363712 |
| 2025-12-02 08:08:24.783884 | 2025-12-03 01:40:33.089200 | 15447051 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 15447051 | Athletic Physical Therapy Inc | 1960-05-08 | 2025-12-04 | F | AE | PT | ALNOURI | 96982708G | SHARIFEH | 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/2222/11508126/check_15447051_c9cdba2c-0221-410e-b40e-eeed14e556b2.json | N/A | N/A | N/A | N/A | N/A | 96982708G | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1960-05-08 | N/A | N/A | N/A | N/A | false | ALNOURI | N/A | SHARIFEH | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416870624 | N/A | N/A | 11508126 | 2222 | 4802 | 15731645 | N/A | 9748914 | 2025-12-03 01:40:33.089200 | 2025-10-27 18:43:47.576827 |
| 2025-12-02 08:08:22.160758 | 2025-12-03 01:35:52.427781 | 15446839 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15446839 | Athletic Physical Therapy Inc | 1996-07-04 | 2025-12-04 | F | PT | N/A | STOLTZ | JQY361W23827 | ARDENN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121030211.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6605808/check_15446839_df79900d-1680-4641-8689-aca0b1939ce9.json | N/A | N/A | N/A | N/A | N/A | JQY361W23827 | Preferred Provider Organization (PPO) | KENT TAKEMOTO, M.D., INC. | ANTHEM BLUE CROSS | N/A | 1996-07-04 | 040 | Q62351 | N/A | PR | false | STOLZ | N/A | ARDENN | N/A | 9999-12-31 | 2025-04-01 | CA SG SELECT PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416872609 | N/A | N/A | 6605808 | 2222 | 4802 | 15720167 | N/A | 4214948 | 2025-12-03 01:35:52.427781 | 2025-06-26 01:28:07.741882 |
| 2025-12-02 08:08:13.211228 | 2025-12-03 01:40:33.704255 | 15446202 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 15446202 | Athletic Physical Therapy Inc | 1943-02-06 | 2025-12-05 | F | AE | PT | TIPPITT | 99943464H65253 | SHIRLEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121019873.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11372620/check_15446202_33b715cf-0c2b-4be0-a28d-21a078e2b486.json | N/A | N/A | N/A | N/A | N/A | 99943464H65253 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1943-02-06 | N/A | N/A | N/A | N/A | false | TIPPITT | N/A | SHIRLEY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416869959 | N/A | N/A | 11372620 | 2222 | 4793 | 15731671 | N/A | 8574477 | 2025-12-03 01:40:33.704255 | 2025-10-22 02:47:47.756973 |
| 2025-12-02 08:08:11.243738 | 2025-12-03 01:38:13.804472 | 15446052 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15446052 | Athletic Physical Therapy Inc | 1959-01-17 | 2025-12-05 | M | AE | PT | WAHL | XEM912647011 | LELAND | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121019873.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11364482/check_15446052_2f0c645e-6fd8-41f5-b7ad-de9c19a59c32.json | N/A | N/A | N/A | N/A | N/A | XEM912647011 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1959-01-17 | 2002SE000030 | X0001002 | N/A | OT | false | WAHL | N/A | LELAND | 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 | 9416869938 | N/A | N/A | 11364482 | 2222 | 4793 | 15725883 | N/A | 9633229 | 2025-12-03 01:38:13.804472 | 2026-02-05 17:07:37.378883 |
| 2025-12-02 08:08:08.458620 | 2025-12-03 01:36:16.518896 | 15445836 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15445836 | Athletic Physical Therapy Inc | 1966-03-26 | 2025-12-05 | F | PT | N/A | Deschatres | XED912070650 | Nathalie | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121030211.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577909/check_15445836_b8b99075-5346-467f-8a29-57a1002f95f3.json | N/A | N/A | N/A | N/A | N/A | XED912070650 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1966-03-26 | 2001ZK002186 | X0001004 | N/A | PR | false | DESCHATRES | N/A | NATHALIE | N/A | 2025-12-31 | 2025-01-01 | SILVER 73 PPO JAN25 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9416873009 | N/A | N/A | 6577909 | 2222 | 4802 | 15721090 | N/A | 4766701 | 2025-12-03 01:36:16.518896 | 2025-06-03 21:11:46.573919 |
| 2025-12-02 08:08:08.366135 | 2025-12-03 01:38:12.852404 | 15445827 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15445827 | Athletic Physical Therapy Inc | 1959-04-01 | 2025-12-05 | M | PT | N/A | MOYER | W0051411 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121019873.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11282027/check_15445827_8d4763dc-7389-4881-bf4a-846ce0d3bf63.json | N/A | N/A | N/A | N/A | N/A | W0051411 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1959-04-01 | N/A | N/A | N/A | N/A | false | MOYER | N/A | STEVEN | 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 | 9416871355 | N/A | N/A | 11282027 | 2222 | 4801 | 15725849 | N/A | 9581032 | 2025-12-03 01:38:12.852404 | 2025-10-21 22:24:54.464325 |
| 2025-12-02 08:08:05.390738 | 2025-12-03 01:35:12.112175 | 15445607 | N/A | N/A | 60054 | Aetna | 1114042165 | 15445607 | Athletic Physical Therapy Inc | 1957-01-13 | 2025-12-05 | F | AE | PT | NAY | MBL700W17597 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251202.121019873.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11175434/check_15445607_193fc9c3-0902-4bf5-97a8-d7e447d0159e.json | N/A | N/A | N/A | N/A | N/A | MBL700W17597 | N/A | N/A | AETNA INC | N/A | 1957-01-13 | N/A | N/A | N/A | N/A | 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 | 9416871326 | N/A | N/A | 11175434 | 2222 | 4793 | 15718616 | N/A | 9520463 | 2025-12-03 01:35:12.112175 | 2025-10-21 17:49:23.309023 |
| 2025-12-02 08:08:00.717671 | 2025-12-03 01:35:35.371300 | 15445312 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15445312 | Athletic Physical Therapy Inc | 2009-08-12 | 2025-12-03 | M | AE | PT | Aldana | 95423949E | George | 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/2222/6568645/check_15445312_4e4d4be3-9faa-4df3-914c-fc334021a6fe.json | N/A | N/A | N/A | N/A | N/A | 95423949E | N/A | N/A | CENTENE CORPORATION | N/A | 2009-08-12 | N/A | N/A | N/A | N/A | false | ALDANA | N/A | GEORGE | N/A | N/A | N/A | TANF | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416872968 | N/A | N/A | 6568645 | 2222 | 4802 | 15719504 | N/A | 5190481 | 2025-12-03 01:35:35.371300 | 2025-06-24 17:29:30.756528 |
| 2025-12-02 08:08:00.442860 | 2025-12-03 03:34:24.960574 | 15445292 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15445292 | Athletic Physical Therapy Inc | 1948-01-09 | 2025-12-05 | M | PT | N/A | Spencer | JQE255A78230 | Ray | 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/2222/12089887/check_15445292_0f30d9e1-a5fe-4726-9233-9d30bbfc11d2.json | N/A | N/A | N/A | N/A | N/A | JQE255A78230 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1948-01-09 | N/A | N/A | N/A | N/A | false | SPENCER | N/A | RAY | 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 | 9416894171 | N/A | N/A | 12089887 | 2222 | 4801 | 15740650 | N/A | 10308085 | 2025-12-03 03:34:24.960574 | 2025-11-09 17:31:46.068054 |
| 2025-12-02 08:07:53.610696 | 2025-12-03 01:38:13.414799 | 15444832 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15444832 | Athletic Physical Therapy Inc | 1947-09-07 | 2025-12-04 | F | AE | PT | SHIBUYA | XEM906397835 | LINDA | 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/2222/11087597/check_15444832_4ee4e8ba-0a2c-4575-896e-0efc99dcee52.json | N/A | N/A | N/A | N/A | N/A | XEM906397835 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1947-09-07 | 2002SD000004 | X0001002 | N/A | OT | false | SHIBUYA | N/A | LINDA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9416871573 | N/A | N/A | 11087597 | 2222 | 4801 | 15725873 | N/A | 9440436 | 2025-12-03 01:38:13.414799 | 2025-10-28 16:54:37.049151 |