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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-01 08:06:37.084336 | 2025-12-02 01:42:26.878058 | 15368190 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 15368190 | Athletic Physical Therapy Inc | 1951-05-28 | 2025-12-03 | M | AE | PT | ADELMAN | 27936686 | JEFFREY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.172116487.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12298760/check_15368190_9cfc2815-b149-44d9-8959-7caa297202ef.json | N/A | N/A | N/A | N/A | N/A | 27936686 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1951-05-28 | N/A | N/A | N/A | N/A | false | ADELMAN | N/A | JEFFREY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407665524 | N/A | N/A | 12298760 | 2222 | 4801 | 15651693 | N/A | 10484794 | 2025-12-02 01:42:26.878058 | 2025-11-05 22:04:00.322040 |
| 2025-12-01 08:06:30.511305 | 2025-12-02 01:44:20.566560 | 15367748 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15367748 | Athletic Physical Therapy Inc | 1975-08-07 | 2025-12-04 | M | PT | N/A | GEFFEN | CFT037A52287 | JASON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.175218240.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12686965/check_15367748_40a3c6ff-5dae-4d9a-b438-8abaef5f2eaf.json | N/A | N/A | N/A | N/A | N/A | CFT037A52287 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1975-08-07 | N/A | N/A | N/A | N/A | false | GEFFEN | N/A | JASON | 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 | 9408018717 | N/A | N/A | 12686965 | 2222 | 4793 | 15656961 | N/A | 10856744 | 2025-12-02 01:44:20.566560 | 2025-12-29 22:47:44.157557 |
| 2025-12-01 08:06:22.807946 | 2025-12-02 01:31:58.704443 | 15367236 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15367236 | Athletic Physical Therapy Inc | 2014-05-27 | 2025-12-04 | F | AE | PT | Odate | 96680377F | Keina | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.172113770.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7295079/check_15367236_568c9e11-83dc-49e4-93f7-4198b4e32fec.json | N/A | N/A | N/A | N/A | N/A | 96680377F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 09/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2014-05-27 | TFU223BP0000008 | QMXEM01909 | N/A | N/A | false | ODATE | N/A | WOW | N/A | 2078-12-31 | 2025-05-01 | ADULT FAMILY - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407667910 | N/A | N/A | 7295079 | 2222 | 4802 | 15642552 | 4211 | 6254701 | 2025-12-02 01:31:58.704443 | 2026-05-21 14:19:15.159394 |
| 2025-12-01 08:06:22.231492 | 2025-12-02 01:34:45.775203 | 15367198 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15367198 | Athletic Physical Therapy Inc | 1963-01-14 | 2025-12-04 | F | PT | N/A | KRAFT | XED911569862 | KATHRIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.172113770.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7294742/check_15367198_0f87340f-5e24-423d-bbcc-dd71cf86b368.json | N/A | N/A | N/A | N/A | N/A | XED911569862 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-01-14 | 2001ZK002184 | X0001004 | N/A | PR | false | KRAFT | N/A | KATHRIN | N/A | 9999-12-31 | 2022-08-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9407667909 | N/A | N/A | 7294742 | 2222 | 4801 | 15643771 | N/A | 6254569 | 2025-12-02 01:34:45.775203 | 2025-08-12 09:24:43.956957 |
| 2025-12-01 08:06:19.556692 | 2025-12-02 01:50:58.751881 | 15367041 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15367041 | Athletic Physical Therapy Inc | 1950-06-21 | 2025-12-02 | M | AE | PT | Aliabadi | 4H63HH1UD97 | Hossein | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171317771.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7983538/check_15367041_3f6be9a8-ed5c-4df3-93d8-ef20e6ff8258.json | N/A | N/A | N/A | N/A | N/A | 4H63HH1UD97 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-06-21 | S5601 | N/A | N/A | MA | false | ALIABADI | N/A | HOSSEIN | N/A | N/A | N/A | N/A | N/A | 65685 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407573471 | N/A | N/A | 7983538 | 2222 | 4802 | 15671879 | N/A | 6706099 | 2025-12-02 01:50:58.751881 | 2025-11-21 22:00:12.073625 |
| 2025-12-01 08:06:14.163843 | 2025-12-02 03:35:54.030396 | 15366682 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15366682 | Athletic Physical Therapy Inc | 1946-11-22 | 2025-12-02 | F | AE | PT | CAPUTA | 6JV7KY8CA74 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171816682.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9336757/check_15366682_c06a9260-6803-480d-9ace-d15b711c0f65.json | N/A | N/A | N/A | N/A | N/A | 6JV7KY8CA74 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-11-22 | S5601 | N/A | N/A | MA | false | CAPUTA | N/A | SANDRA | N/A | N/A | N/A | N/A | N/A | 130349 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407637898 | N/A | N/A | 9336757 | 2222 | 4801 | 15677755 | N/A | 7835556 | 2025-12-02 03:35:54.030396 | 2025-09-12 16:59:25.752326 |
| 2025-12-01 08:06:12.760688 | 2025-12-02 01:34:45.354928 | 15366582 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15366582 | Athletic Physical Therapy Inc | 1991-10-07 | 2025-12-03 | F | PT | N/A | BOYM | XEK903045570 | DANIELLA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.172113770.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7281036/check_15366582_bb398ce7-f720-4d0b-8042-55f2895e0618.json | N/A | N/A | N/A | N/A | N/A | XEK903045570 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1991-10-07 | 2001ZJ002648 | X0001000 | N/A | PR | false | BOYM | N/A | DIMITRY | N/A | 9999-12-31 | 2024-02-01 | IFP EMB PED VISION | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9407667885 | N/A | N/A | 7281036 | 2222 | 4793 | 15643768 | N/A | 6245462 | 2025-12-02 01:34:45.354928 | 2025-07-24 01:23:15.134681 |
| 2025-12-01 08:05:57.716617 | 2025-12-02 01:42:14.801581 | 15365630 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15365630 | Athletic Physical Therapy Inc | 1977-09-01 | 2025-12-04 | F | AE | PT | GONZALEZ | 90973117G | KARINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.175218240.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12676900/check_15365630_06e90612-695d-432c-a0de-8e3001f01efe.json | N/A | N/A | N/A | N/A | N/A | 90973117G | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 01/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1977-09-01 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | GONZALEZ | N/A | KARINA | N/A | 2078-12-31 | 2025-09-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9408020779 | N/A | N/A | 12676900 | 2222 | 4793 | 15651214 | 4211 | 10845891 | 2025-12-02 01:42:14.801581 | 2025-11-17 16:21:20.857261 |
| 2025-12-01 08:05:54.123920 | 2025-12-02 01:41:12.220870 | 15365363 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15365363 | Athletic Physical Therapy Inc | 1950-05-18 | 2025-12-04 | F | AE | PT | BERINSTEIN | 4HY3M64VC99 | PAULA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.183918293.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10172946/check_15365363_b97f6523-6bdc-415d-9a5d-cf8cc4ba8966.json | N/A | N/A | N/A | N/A | N/A | 4HY3M64VC99 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-05-18 | S5601 | N/A | N/A | MB | false | BERINSTEIN | N/A | PAULA | N/A | N/A | N/A | N/A | N/A | 49613 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9408510249 | N/A | N/A | 10172946 | 2222 | 4801 | 15649316 | N/A | 8474092 | 2025-12-02 01:41:12.220870 | 2025-10-11 14:58:02.058781 |
| 2025-12-01 08:05:51.848547 | 2025-12-02 01:39:33.011348 | 15365180 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15365180 | Athletic Physical Therapy Inc | 1957-11-01 | 2025-12-03 | F | PT | N/A | Hennes | JEXNP2009208 | Valerie | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.181921369.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11463855/check_15365180_f40d7796-39f3-4252-b713-73fa6a20bf87.json | N/A | N/A | N/A | N/A | N/A | JEXNP2009208 | Exclusive Provider Organization | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1957-11-01 | 040 | 276727M003 | N/A | EP | false | HENNES | N/A | VALERIE | N/A | 9999-12-31 | 2021-09-01 | USC EPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9408287417 | N/A | N/A | 11463855 | 2222 | 4801 | 15647557 | N/A | 9713608 | 2025-12-02 01:39:33.011348 | 2025-11-13 07:29:15.484206 |
| 2025-12-01 08:05:51.703154 | 2025-12-02 01:48:07.991329 | 15365167 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15365167 | Athletic Physical Therapy Inc | 1953-06-17 | 2025-12-04 | M | AE | PT | THOMPSON | 5NK7CD2VM65 | JAMES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.172116487.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12249537/check_15365167_9e50fd82-c992-484d-b3a2-76f07cd2c97b.json | N/A | N/A | N/A | N/A | N/A | 5NK7CD2VM65 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-06-17 | S5601 | N/A | N/A | MA | false | THOMPSON | N/A | JAMES | N/A | N/A | N/A | N/A | N/A | 145767 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407665112 | N/A | N/A | 12249537 | 2222 | 4793 | 15666095 | N/A | 5197700 | 2025-12-02 01:48:07.991329 | 2025-06-30 15:33:47.069983 |
| 2025-12-01 08:05:50.802320 | 2025-12-02 01:44:52.192284 | 15365094 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15365094 | Athletic Physical Therapy Inc | 1959-08-14 | 2025-12-04 | F | AE | PT | McKinnon | XEM913376502 | Dawn | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171317771.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7783106/check_15365094_e66270b5-fcf9-433e-a992-88409ccc7d10.json | N/A | N/A | N/A | N/A | N/A | XEM913376502 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1959-08-14 | 2002SE000030 | X0001002 | N/A | OT | false | MCKINNON | N/A | DAWN | 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 | 9407572963 | N/A | N/A | 7783106 | 2222 | 4802 | 15658318 | N/A | 6628331 | 2025-12-02 01:44:52.192284 | 2025-08-22 15:16:03.942743 |
| 2025-12-01 08:05:47.399941 | 2025-12-02 01:44:10.927167 | 15364814 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15364814 | Athletic Physical Therapy Inc | 1969-01-08 | 2025-12-03 | F | AE | PT | ALROMAIH | 91237812E | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171819494.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993940/check_15364814_d3deaffd-c2b7-4685-9a2d-06d5f59dabd4.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407632877 | N/A | N/A | 5993940 | 2222 | 4802 | 15656512 | 4625 | 4642877 | 2025-12-02 01:44:10.927167 | 2025-12-23 23:49:16.627667 |
| 2025-12-01 08:05:46.254921 | 2025-12-02 05:33:31.815083 | 15364731 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15364731 | Athletic Physical Therapy Inc | 2012-07-01 | 2025-12-04 | M | PT | N/A | RADLOFF | 00054283150 | BRYCE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171316090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13302087/check_15364731_0b87af6d-72c5-405b-95dc-bcca29401152.json | N/A | N/A | N/A | N/A | N/A | 00054283150 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2012-07-01 | N/A | N/A | N/A | N/A | false | RADLOFF | N/A | BRYCE | 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 | 9407570963 | N/A | N/A | 13302087 | 2222 | 4801 | 15685390 | 4185 | 11449861 | 2025-12-02 05:33:31.815083 | 2026-01-08 22:48:14.733376 |
| 2025-12-01 08:05:29.294214 | 2025-12-02 01:48:06.914246 | 15363372 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15363372 | Athletic Physical Therapy Inc | 1951-08-07 | 2025-12-02 | F | AE | PT | HYATT | 8F50NM2MU09 | CINDY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.172116487.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12216824/check_15363372_600c0ac2-61d6-47c1-9677-5177a7d07113.json | N/A | N/A | N/A | N/A | N/A | 8F50NM2MU09 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-08-07 | S4802 | N/A | N/A | MA | 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 | 9407664026 | N/A | N/A | 12216824 | 2222 | 4802 | 15666055 | N/A | 10415709 | 2025-12-02 01:48:06.914246 | 2025-11-05 17:32:26.509741 |
| 2025-12-01 08:05:22.574984 | 2025-12-02 01:42:34.071012 | 15362830 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15362830 | Athletic Physical Therapy Inc | 1949-08-12 | 2025-12-03 | F | AE | PT | NAGLE | 6VF8A13VP64 | JAMES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.181921369.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11457994/check_15362830_324f5dd8-1cc8-43f9-a1e1-115c2622a30a.json | N/A | N/A | N/A | N/A | N/A | 6VF8A13VP64 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-08-12 | S5617 | N/A | N/A | MB | false | NAGLE | N/A | JAMES | N/A | N/A | N/A | N/A | N/A | 70978 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9408288721 | N/A | N/A | 11457994 | 2222 | 4801 | 15651995 | N/A | 9707473 | 2025-12-02 01:42:34.071012 | 2026-02-05 20:49:45.747494 |
| 2025-12-01 08:05:20.058461 | 2025-12-02 01:44:58.270397 | 15362606 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15362606 | Athletic Physical Therapy Inc | 1952-07-08 | 2025-12-04 | F | AE | PT | STERINA | 5G17E95JX47 | ELIZABETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171712950.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8632769/check_15362606_cbf0ca4f-04c4-4a03-8d0c-44f88a9babd2.json | N/A | N/A | N/A | N/A | N/A | 5G17E95JX47 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-08 | S4802 | N/A | N/A | MA | false | STERINA | N/A | ELIZABETH | N/A | N/A | N/A | N/A | N/A | 122504 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407624335 | N/A | N/A | 8632769 | 2222 | 4802 | 15658560 | N/A | 7278220 | 2025-12-02 01:44:58.270397 | 2025-08-26 15:52:58.453727 |
| 2025-12-01 08:05:14.254633 | 2025-12-02 01:34:33.542264 | 15362101 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15362101 | Athletic Physical Therapy Inc | 1965-05-25 | 2025-12-04 | F | PT | N/A | CLOONAN | XDM481M99931 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.172113770.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7246170/check_15362101_b2a75f2a-893f-4a90-9fc4-311c52ac06c1.json | N/A | N/A | N/A | N/A | N/A | XDM481M99931 | Health Maintenance Organization (HMO) | UFCW BENEFIT FUNDS ADMIN LLC RETIREE | ANTHEM BLUE CROSS | N/A | 1965-05-25 | 040 | 282241H019 | N/A | HM | false | CLOONAN | N/A | LINDA | N/A | 9999-12-31 | 2020-12-01 | CLASSIC SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9407667160 | N/A | N/A | 7246170 | 2222 | 4801 | 15643668 | 4185 | 4837995 | 2025-12-02 01:34:33.542264 | 2025-06-13 00:15:18.726975 |
| 2025-12-01 08:05:10.881034 | 2025-12-02 01:44:57.443680 | 15361814 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15361814 | Athletic Physical Therapy Inc | 1955-11-13 | 2025-12-02 | F | AE | PT | GRANT | 9JA3JK2TK87 | ROBIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171712950.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8493311/check_15361814_0a277101-d1dd-4ef4-9e17-e0ef3bf0d987.json | N/A | N/A | N/A | N/A | N/A | 9JA3JK2TK87 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-11-13 | S4802 | N/A | N/A | MB | 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 | 9407623240 | N/A | N/A | 8493311 | 2222 | 4802 | 15658524 | N/A | 7159835 | 2025-12-02 01:44:57.443680 | 2025-08-25 22:38:59.735145 |
| 2025-12-01 08:05:08.342354 | 2025-12-02 01:46:59.443559 | 15361589 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15361589 | Athletic Physical Therapy Inc | 1952-10-25 | 2025-12-02 | F | AE | PT | JOHNSTON | 7KA0H51YU14 | DEBORAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171814170.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638066/check_15361589_d035a73e-6eed-43e2-af93-eee900918a89.json | N/A | N/A | N/A | N/A | N/A | 7KA0H51YU14 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-10-25 | S5617 | N/A | N/A | MA | 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 | 9407630854 | N/A | N/A | 6638066 | 2222 | 4793 | 15663449 | N/A | 5247837 | 2025-12-02 01:46:59.443559 | 2026-02-24 20:36:49.807283 |
| 2025-12-01 08:05:06.915918 | 2025-12-02 03:50:10.270551 | 15361470 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15361470 | Athletic Physical Therapy Inc | 1947-09-07 | 2025-12-02 | F | AE | PT | SHIBUYA | 9CP3FJ2AU75 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171316569.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11087596/check_15361470_13227693-760a-4328-9ee9-36a9ebd832b0.json | N/A | N/A | N/A | N/A | N/A | 9CP3FJ2AU75 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-09-07 | S4802 | N/A | N/A | MA | false | SHIBUYA | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | 241000 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407579956 | N/A | N/A | 11087596 | 2222 | 4801 | 15683344 | N/A | 9440436 | 2025-12-02 03:50:10.270551 | 2025-10-28 16:54:37.049151 |
| 2025-12-01 08:05:02.669004 | 2025-12-02 03:31:40.386617 | 15361121 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 15361121 | Athletic Physical Therapy Inc | 1937-04-20 | 2025-12-04 | M | AE | PT | HAUSMAN | 34751866 | GARY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171816682.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9280203/check_15361121_15aef00a-8627-4ef5-a175-3cf037876e7c.json | N/A | N/A | N/A | N/A | N/A | 34751866 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1937-04-20 | 406-024-000 | N/A | N/A | N/A | false | HAUSMAN | N/A | GARY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407638946 | N/A | N/A | 9280203 | 2222 | 4793 | 15675002 | 6798 | 7788651 | 2025-12-02 03:31:40.386617 | 2025-09-10 18:50:22.494063 |
| 2025-12-01 08:04:57.032459 | 2025-12-02 05:36:19.586246 | 15360685 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15360685 | Athletic Physical Therapy Inc | 1949-06-19 | 2025-12-03 | F | AE | PT | LIEBELT | 5CX2R09EP18 | MARGARET | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171316090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13140473/check_15360685_8e12da7b-413e-4012-a964-f3049ed789a4.json | N/A | N/A | N/A | N/A | N/A | 5CX2R09EP18 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-06-19 | S4802 | N/A | N/A | MB | false | LIEBELT | N/A | MARGARET | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407570931 | N/A | N/A | 13140473 | 2222 | 4801 | 15685990 | N/A | 11291133 | 2025-12-02 05:36:19.586246 | 2025-11-25 01:31:31.833218 |
| 2025-12-01 08:04:55.752419 | 2025-12-02 01:42:41.440267 | 15360596 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15360596 | Athletic Physical Therapy Inc | 1950-08-30 | 2025-12-03 | M | AE | PT | VILLA | 00000293779 | RAMON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171712950.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471007/check_15360596_b5381890-456e-44b9-99b5-6968da38ca12.json | N/A | N/A | N/A | N/A | N/A | 00000293779 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1950-08-30 | H3815028 | N/A | N/A | HM | false | VILLA | N/A | RAMON | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407624274 | N/A | N/A | 8471007 | 2222 | 4801 | 15652357 | 2630 | 7142042 | 2025-12-02 01:42:41.440267 | 2025-08-25 17:21:31.750932 |
| 2025-12-01 08:04:51.154270 | 2025-12-02 05:39:50.450089 | 15360184 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15360184 | Athletic Physical Therapy Inc | 1946-07-10 | 2025-12-02 | F | AE | PT | KOREY | 1HMOJP3JP19 | SHEILA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171316090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13136123/check_15360184_8945ae95-ca40-40fe-8109-beb25d727bca.json | N/A | N/A | N/A | N/A | N/A | 1HMOJP3JP19 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1946-07-10 | N/A | N/A | N/A | N/A | false | KOREY | N/A | SHEILA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407570911 | N/A | N/A | 13136123 | 2222 | 4793 | 15686805 | N/A | 4214919 | 2025-12-02 05:39:50.450089 | 2025-10-15 18:27:18.538651 |
| 2025-12-01 08:04:45.748893 | 2025-12-02 01:44:13.860469 | 15359703 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15359703 | Athletic Physical Therapy Inc | 1963-02-27 | 2025-12-04 | F | PT | N/A | MARYAN | JPU047A23611 | MICHELLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171814170.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6600346/check_15359703_c2bc389c-3aff-4c20-a999-41f518aa80e5.json | N/A | N/A | N/A | N/A | N/A | JPU047A23611 | Preferred Provider Organization (PPO) | PREMIER AMERICA CREDIT UNION | ANTHEM BLUE CROSS | N/A | 1963-02-27 | 040 | L06734M004 | N/A | PR | false | MARYAN | N/A | MICHELLE | N/A | 9999-12-31 | 2025-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9407631250 | N/A | N/A | 6600346 | 2222 | 4801 | 15656633 | N/A | 4211322 | 2025-12-02 01:44:13.860469 | 2025-07-17 16:31:59.104530 |
| 2025-12-01 08:04:36.142666 | 2025-12-02 01:38:09.763921 | 15358728 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15358728 | Athletic Physical Therapy Inc | 1959-02-09 | 2025-12-04 | F | AE | PT | FERTSCHNEIDER | 4DU9YG4YD46 | NANCY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.172113770.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7204595/check_15358728_4833077f-d745-4039-a009-e4da514b5144.json | N/A | N/A | N/A | N/A | N/A | 4DU9YG4YD46 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-09 | S5884 | N/A | N/A | MA | false | FERTSCHNEIDER | N/A | NANCY | N/A | N/A | N/A | N/A | N/A | 163326 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407667013 | N/A | N/A | 7204595 | 2222 | 4801 | 15646133 | N/A | 6175435 | 2025-12-02 01:38:09.763921 | 2025-08-05 19:05:08.506352 |
| 2025-12-01 08:04:33.861070 | 2025-12-02 01:44:57.713764 | 15358501 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15358501 | Athletic Physical Therapy Inc | 1934-05-31 | 2025-12-03 | M | AE | PT | RANDERIA | 1AY5A41XE81 | BHUPENDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171712950.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8420254/check_15358501_c5bbf275-5bf1-4a8a-a8a1-5600a345ce9d.json | N/A | N/A | N/A | N/A | N/A | 1AY5A41XE81 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1934-05-31 | N/A | N/A | N/A | MA | false | RANDERIA | N/A | BHUPENDRA | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | 202827 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407624747 | N/A | N/A | 8420254 | 2222 | 4802 | 15658535 | N/A | 7097664 | 2025-12-02 01:44:57.713764 | 2026-04-30 18:11:14.979451 |
| 2025-12-01 08:04:31.203204 | 2025-12-02 05:32:12.971543 | 15358241 | N/A | N/A | 61101 | HUMANA | 1114042165 | 15358241 | Athletic Physical Therapy Inc | 1943-03-04 | 2025-12-03 | F | AE | PT | FORD | H4310928200 | JOYCE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171316090.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13120596/check_15358241_5772a9a6-aabf-46a6-91f9-f4f379471b41.json | N/A | N/A | N/A | N/A | N/A | H43109282 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 557 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1943-03-04 | N/A | 0B635001 | N/A | HN | false | FORD | N/A | JOYCE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407569250 | N/A | N/A | 13120596 | 2222 | 4801 | 15685134 | 5349 | 11271464 | 2025-12-02 05:32:12.971543 | 2025-11-20 16:18:13.888065 |
| 2025-12-01 08:04:28.098625 | 2025-12-02 01:35:57.915573 | 15357934 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15357934 | Athletic Physical Therapy Inc | 1958-08-10 | 2025-12-04 | M | AE | PT | FURTAK | 00000370322 | WAYNE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.175517199.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9766428/check_15357934_c594bc26-de0f-4c27-94e4-1e0c8dda604f.json | N/A | N/A | N/A | N/A | N/A | 00000370322 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1958-08-10 | H3815028 | N/A | N/A | HM | false | FURTAK | N/A | WAYNE | 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 | 9408048296 | N/A | N/A | 9766428 | 2222 | 4801 | 15644400 | 2630 | 8177700 | 2025-12-02 01:35:57.915573 | 2025-09-26 21:44:23.687707 |
| 2025-12-01 08:04:27.259139 | 2025-12-02 01:38:50.676503 | 15357860 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15357860 | Athletic Physical Therapy Inc | 1960-01-10 | 2025-12-03 | F | AE | PT | MAWAS | 1HM1QX0QJ05 | ASMAHAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.175517199.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9765210/check_15357860_05573868-656e-4c73-b06a-2bb3c9b72489.json | N/A | N/A | N/A | N/A | N/A | 1HM1QX0QJ05 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-01-10 | S5617 | N/A | N/A | MA | false | MAWAS | N/A | ASMAHAN | N/A | N/A | N/A | N/A | N/A | 108984 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9408048291 | N/A | N/A | 9765210 | 2222 | 4801 | 15646837 | N/A | 8176388 | 2025-12-02 01:38:50.676503 | 2025-10-07 15:06:58.335351 |
| 2025-12-01 08:04:25.585903 | 2025-12-02 03:50:08.945172 | 15357697 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15357697 | Athletic Physical Therapy Inc | 1949-07-26 | 2025-12-03 | F | AE | PT | BLESSLEY | 9DW9YM7ND57 | DONNA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171316569.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11011921/check_15357697_2874555b-7fe9-4700-84c0-c8e83c978426.json | N/A | N/A | N/A | N/A | N/A | 9DW9YM7ND57 | Medicare Part A | N/A | SCAN HEALTH PLAN | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-07-26 | H5425 | N/A | N/A | MA | false | BLESSLEY | N/A | DONNA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407579767 | N/A | N/A | 11011921 | 2222 | 4793 | 15683334 | N/A | 9377403 | 2025-12-02 03:50:08.945172 | 2025-10-15 20:29:32.165707 |
| 2025-12-01 08:04:25.084292 | 2025-12-02 03:47:11.080516 | 15357654 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15357654 | Athletic Physical Therapy Inc | 1991-07-29 | 2025-12-04 | F | AE | PT | NELSON | R12416085MM1 | JAZMIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171316569.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11011103/check_15357654_dea9da80-ad95-4d97-9cd6-31c18f89c13f.json | N/A | N/A | N/A | N/A | N/A | R12416085MM1 | N/A | N/A | CENTENE CORPORATION | N/A | 1991-07-29 | N/A | N/A | N/A | N/A | false | NELSON | N/A | JAZMIN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407579763 | N/A | N/A | 11011103 | 2222 | 4801 | 15682032 | N/A | 9376481 | 2025-12-02 03:47:11.080516 | 2025-10-27 22:16:51.510374 |
| 2025-12-01 08:04:24.336845 | 2025-12-02 01:46:23.936895 | 15357569 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15357569 | Athletic Physical Therapy Inc | 1962-02-12 | 2025-12-04 | F | PT | N/A | SZYMANSKI | PNE913933078 | JANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.175518434.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13435818/check_15357569_9eb5f566-4f5b-48fa-8016-6ba2dcef9775.json | N/A | N/A | N/A | N/A | N/A | PNE913933078 | Preferred Provider Organization (PPO) | PRIVATE NATIONAL MORTGAGE ACCEPTANCE COMPANY LLC | ANTHEM BLUE CROSS | N/A | 1962-02-12 | 1000PPOX0003 | W3000535 | N/A | PR | false | SZYMANSKI | N/A | PAUL | N/A | N/A | N/A | HSA RATED | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9408057340 | N/A | N/A | 13435818 | 2222 | 4801 | 15662035 | N/A | 11596916 | 2025-12-02 01:46:23.936895 | 2025-12-03 21:06:42.446127 |
| 2025-12-01 08:04:16.477813 | 2025-12-02 01:46:58.238571 | 15356874 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15356874 | Athletic Physical Therapy Inc | 1934-12-03 | 2025-12-03 | M | AE | PT | Dayzadeh | 9A94PK6GA08 | Nasser | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171814170.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583825/check_15356874_47533829-cc12-419d-b6a8-4628d2f2cc9d.json | N/A | N/A | N/A | N/A | N/A | 9A94PK6GA08 | Medicare Part A | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1934-12-03 | S2468 | N/A | N/A | MA | false | DAYZADEH | N/A | NASSER | N/A | N/A | N/A | N/A | N/A | 261114 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407631061 | N/A | N/A | 6583825 | 2222 | 4802 | 15663401 | N/A | 5202586 | 2025-12-02 01:46:58.238571 | 2025-06-25 17:55:27.155518 |
| 2025-12-01 08:04:14.854657 | 2025-12-02 01:43:04.680434 | 15356741 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 15356741 | override_provider | 1966-05-28 | 2025-12-04 | M | PT | N/A | EICHACKER JR | ZHQ1291483955001 | CHARLES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.175518434.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13432149/check_15356741_d467a190-0d7a-44bf-82a2-eea602947263.json | N/A | N/A | N/A | N/A | N/A | ZHQ1291483955001 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1966-05-28 | N/A | N/A | N/A | N/A | false | EICHACKER JR | N/A | CHARLES | 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 | 9408059481 | N/A | N/A | 13432149 | 2222 | 4802 | 15653523 | N/A | 11592379 | 2025-12-02 01:43:04.680434 | 2025-11-26 17:23:15.530735 |
| 2025-12-01 08:04:14.362425 | 2025-12-02 01:39:04.856284 | 15356696 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15356696 | Athletic Physical Therapy Inc | 2003-04-25 | 2025-12-03 | M | PT | N/A | GREEN | JQV184A72608 | ALLEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.183918293.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10091887/check_15356696_eece7812-4dc0-4191-9e63-75ebf86aeac1.json | N/A | N/A | N/A | N/A | N/A | JQV184A72608 | Health Maintenance Organization (HMO) | GUMM AND GREEN LLP | ANTHEM BLUE CROSS | N/A | 2003-04-25 | 040 | 428474 | N/A | HM | false | GREEN | N/A | LINDSEY | N/A | 9999-12-31 | 2025-12-01 | ANTHEM GOLD SELECT HMO 35 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9408510640 | N/A | N/A | 10091887 | 2222 | 4793 | 15647083 | 4185 | 8429919 | 2025-12-02 01:39:04.856284 | 2025-10-07 22:01:52.720968 |
| 2025-12-01 08:04:13.805594 | 2025-12-02 01:44:43.171343 | 15356642 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15356642 | Athletic Physical Therapy Inc | 1959-02-09 | 2025-12-04 | F | AE | PT | FERTSCHNEIDER | JQE833W19120 | NANCY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171317771.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7204596/check_15356642_e29f15c1-2242-4b5b-9204-e11243ad4877.json | N/A | N/A | N/A | N/A | N/A | JQE833W19120 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-02-09 | 040 | CASUPWP0 | N/A | N/A | false | FERTSCHNEIDER | N/A | NANCY | N/A | 9999-12-31 | 2024-02-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407573189 | N/A | N/A | 7204596 | 2222 | 4801 | 15657951 | N/A | 6175435 | 2025-12-02 01:44:43.171343 | 2025-08-05 19:05:08.506352 |
| 2025-12-01 08:04:09.856498 | 2025-12-02 01:43:37.088684 | 15356280 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 15356280 | Athletic Physical Therapy Inc | 1954-02-10 | 2025-12-04 | F | AE | PT | SHARMA | H74807838 | MONIKA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.172116487.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12113464/check_15356280_a9400c24-85da-4164-966b-93c05fba9166.json | N/A | N/A | N/A | N/A | N/A | H74807838 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1954-02-10 | N/A | 0B666001 | N/A | HN | false | SHARMA | N/A | MONIKA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407664932 | N/A | N/A | 12113464 | 2222 | 4801 | 15655081 | N/A | 10330803 | 2025-12-02 01:43:37.088684 | 2025-11-03 22:25:23.404066 |
| 2025-12-01 08:04:05.833144 | 2025-12-02 01:44:35.762735 | 15355913 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15355913 | Athletic Physical Therapy Inc | 1989-01-09 | 2025-12-04 | F | PT | N/A | SELTER | XEA906445770 | RACHEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171819494.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676380/check_15355913_203650cb-5d7f-4435-976a-2ec5d06f3de5.json | N/A | N/A | N/A | N/A | N/A | XEA906445770 | Preferred Provider Organization (PPO) | AV SQUAD LP | BLUE SHIELD CALIFORNIA | N/A | 1989-01-09 | 1000PPOX0001 | W0066517 | N/A | PR | false | SELTER | N/A | BRANDON | N/A | N/A | N/A | SMILE SM SPECTRUM 50 1500 NO ORTHO MAC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9407633113 | N/A | N/A | 5676380 | 2222 | 4793 | 15657651 | N/A | 4343435 | 2025-12-02 01:44:35.762735 | 2025-05-13 04:29:37.230915 |
| 2025-12-01 08:04:03.627370 | 2025-12-02 01:36:02.733598 | 15355692 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15355692 | Athletic Physical Therapy Inc | 1968-10-03 | 2025-12-03 | M | PT | N/A | RAMIREZ | Z7M7740597AB | CESAR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.175517199.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9729132/check_15355692_414a2369-e321-4135-96dc-4eeb79efab3e.json | N/A | N/A | N/A | N/A | N/A | Z7M7740597AB | Preferred Provider Organization (PPO) | HI DED LOWER FAMILY ONLY | ANTHEM BLUE CROSS | N/A | 1968-10-03 | 241 | L11957M003 | N/A | PR | false | RAMIREZ | N/A | CESAR | N/A | 9999-12-31 | 2025-01-01 | PPO WITH MO BLUE ACCESS CHOICE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9408049983 | N/A | N/A | 9729132 | 2222 | 4801 | 15644441 | N/A | 8145241 | 2025-12-02 01:36:02.733598 | 2025-09-25 17:51:33.170014 |
| 2025-12-01 08:04:00.873396 | 2025-12-02 03:50:10.007506 | 15355439 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15355439 | Athletic Physical Therapy Inc | 1953-06-18 | 2025-12-03 | F | AE | PT | REISMAN | 6C16CN3FM49 | GAIL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171316569.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10984906/check_15355439_65d8d839-9cee-4ab3-ad00-f1ad206ac371.json | N/A | N/A | N/A | N/A | N/A | 6C16CN3FM49 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-06-18 | N/A | N/A | N/A | MA | false | REISMAN | N/A | GAIL | N/A | N/A | N/A | N/A | N/A | 85857 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407580516 | N/A | N/A | 10984906 | 2222 | 4802 | 15683342 | N/A | 9156222 | 2025-12-02 03:50:10.007506 | 2026-01-08 22:56:20.879547 |
| 2025-12-01 08:03:43.906934 | 2025-12-02 01:36:02.384546 | 15353963 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15353963 | Athletic Physical Therapy Inc | 1980-07-01 | 2025-12-03 | M | PT | N/A | Moreno jr | VDHE01043007 | Hector | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.175517199.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9691081/check_15353963_dbf397a0-44da-4aad-82d6-846e716447c3.json | N/A | N/A | N/A | N/A | N/A | VDHE01043007 | Preferred Provider Organization (PPO) | DIGNITY HEALTH VENTURA | ANTHEM BLUE CROSS | N/A | 1980-07-01 | 040 | 174236M3A1 | N/A | PR | false | MORENO JR | N/A | HECTOR | N/A | 9999-12-31 | 2022-07-01 | PB INCENTIVE NO SUTTER | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9408049389 | N/A | N/A | 9691081 | 2222 | 4801 | 15644438 | N/A | 8110015 | 2025-12-02 01:36:02.384546 | 2025-10-05 15:24:30.421551 |
| 2025-12-01 08:03:34.888825 | 2025-12-02 01:36:26.102657 | 15353179 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15353179 | Athletic Physical Therapy Inc | 1963-11-05 | 2025-12-03 | M | PT | N/A | GAVCUS | 913959142000 | VINCENT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.175517199.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9684155/check_15353179_0a08b1ed-b899-4f5d-8ebc-8ea42f81ce05.json | N/A | N/A | N/A | N/A | N/A | XEH913959142 | Health Maintenance Organization (HMO) | KB CONSTRUCTION COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1963-11-05 | 1000VX000101 | W0022613 | N/A | HM | false | GAVCUS | N/A | VINCENT | N/A | 9999-12-31 | 2024-10-01 | BASIC LIFE AND AD D INSURANCE 10 000 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9408049112 | N/A | N/A | 9684155 | 2222 | 4801 | 15644580 | N/A | 8103467 | 2025-12-02 01:36:26.102657 | 2025-09-25 15:37:09.669427 |
| 2025-12-01 08:03:31.489299 | 2025-12-02 01:38:51.540478 | 15352889 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15352889 | Athletic Physical Therapy Inc | 1959-02-04 | 2025-12-03 | F | AE | PT | SMITS | 9TF8JW2XU20 | HEIDI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.175517199.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681583/check_15352889_320e4ccc-3744-4499-b79c-769bbfc85c97.json | N/A | N/A | N/A | N/A | N/A | 9TF8JW2XU20 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-04 | S4802 | N/A | N/A | MA | false | SMITS | N/A | HEIDI | N/A | N/A | N/A | N/A | N/A | 159305 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9408048915 | N/A | N/A | 9681583 | 2222 | 4793 | 15646849 | N/A | 8101289 | 2025-12-02 01:38:51.540478 | 2025-09-24 17:05:46.431721 |
| 2025-12-01 08:03:31.177385 | 2025-12-02 01:37:38.337704 | 15352858 | N/A | N/A | 60054 | Aetna | 1114042165 | 15352858 | Athletic Physical Therapy Inc | 2011-12-20 | 2025-12-03 | M | AE | PT | NAQVI | W295996740 | KAZIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.181921369.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11417253/check_15352858_67da8c37-55ff-4747-8a59-311cca679dd3.json | N/A | N/A | N/A | N/A | N/A | W295996740 | Point of Service (POS) | SHI INTERNATIONAL CORP. | AETNA | N/A | 2011-12-20 | 0308616 | 030861601600001 | N/A | PS | false | NAQVI | N/A | SYED | 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 | 9408287624 | N/A | N/A | 11417253 | 2222 | 4793 | 15645590 | N/A | 9671738 | 2025-12-02 01:37:38.337704 | 2025-10-29 22:32:21.591395 |
| 2025-12-01 08:03:30.845253 | 2025-12-02 03:32:33.095353 | 15352828 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15352828 | Athletic Physical Therapy Inc | 1970-10-11 | 2025-12-03 | M | PT | N/A | Kahen | XEK909669840 | Shervin | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171312686.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7787192/check_15352828_471dfc23-4828-40fd-a7f4-172115278ead.json | N/A | N/A | N/A | N/A | N/A | XEK909669840 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1970-10-11 | 2001ZK002195 | X0001000 | N/A | PR | false | KAHEN | N/A | SHERVIN | N/A | 2025-12-31 | 2025-01-01 | BRONZE 60 HDHP PPO JAN25 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9407577153 | N/A | N/A | 7787192 | 2222 | 4802 | 15675580 | N/A | 6631054 | 2025-12-02 03:32:33.095353 | 2025-12-12 20:45:04.787542 |
| 2025-12-01 08:03:28.066962 | 2025-12-02 01:39:32.385099 | 15352587 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15352587 | Athletic Physical Therapy Inc | 1963-02-13 | 2025-12-04 | M | PT | N/A | CLOONAN | YSW101190636 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.181921369.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11417072/check_15352587_640f99ad-4d41-4a56-b691-8fc852b62659.json | N/A | N/A | N/A | N/A | N/A | YSW101190636 | Preferred Provider Organization (PPO) | ALBERTSONS COMPANIES | ANTHEM BLUE CROSS | N/A | 1963-02-13 | N/A | 10036166 | N/A | PR | false | CLOONAN | N/A | WILLIAM | N/A | N/A | N/A | PREFERRED PROVIDER ORGANIZATION (PPO) | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9408287617 | N/A | N/A | 11417072 | 2222 | 4801 | 15647547 | N/A | 9671455 | 2025-12-02 01:39:32.385099 | 2025-11-05 15:23:55.419457 |
| 2025-12-01 08:03:26.139425 | 2025-12-02 03:34:17.850986 | 15352418 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15352418 | Athletic Physical Therapy Inc | 1949-10-28 | 2025-12-03 | M | AE | PT | WALROTH | 7X79TQ1VA36 | TERRY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171312686.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7785550/check_15352418_e789c5bc-f509-42fa-90c4-2f51f5b253c6.json | N/A | N/A | N/A | N/A | N/A | 7X79TQ1VA36 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-10-28 | N/A | N/A | N/A | MA | false | WALROTH | N/A | TERRY | N/A | N/A | N/A | N/A | N/A | 194573 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407577134 | N/A | N/A | 7785550 | 2222 | 4801 | 15676711 | N/A | 6629682 | 2025-12-02 03:34:17.850986 | 2025-08-05 17:28:10.392410 |
| 2025-12-01 08:03:22.293648 | 2025-12-02 03:34:17.586144 | 15352109 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15352109 | Athletic Physical Therapy Inc | 1959-08-14 | 2025-12-04 | F | AE | PT | McKinnon | 4Q81VP4NU12 | Dawn | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251201.171312686.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7783105/check_15352109_2d16dc02-8530-4324-bbb4-53d6e6146f3f.json | N/A | N/A | N/A | N/A | N/A | 4Q81VP4NU12 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-08-14 | S4802 | N/A | N/A | MA | false | MCKINNON | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | 91467 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9407576438 | N/A | N/A | 7783105 | 2222 | 4802 | 15676707 | N/A | 6628331 | 2025-12-02 03:34:17.586144 | 2025-08-22 15:16:03.942743 |