API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-30 08:12:35.107799 | 2025-12-01 01:49:54.385991 | 15341402 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15341402 | Athletic Physical Therapy Inc | 1952-01-13 | 2025-12-03 | M | PT | BLANCO ESCOBAR | JQW106W18304 | SAMUEL | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.101031862.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9134245/check_15341402_c630d37e-4bc7-488f-9aa7-7d9ac9a0936d.json | N/A | N/A | N/A | N/A | N/A | JQW106W18304 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-01-13 | 040 | CAMCRWP0 | N/A | MP | false | BLANCO ESCOBAR | N/A | SAMUEL | 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 | 9401085815 | N/A | N/A | 9134245 | 2222 | 4801 | 15599095 | 4185 | 7655426 | 2025-12-01 01:49:54.385991 | 2025-09-08 18:14:46.984181 |
| 2025-11-30 08:12:25.571485 | 2025-12-01 01:49:55.193206 | 15341334 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15341334 | Athletic Physical Therapy Inc | 2009-01-14 | 2025-12-03 | F | PT | OBACZ | JQV897A63197 | KLOIE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.101031862.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9102655/check_15341334_de1701ec-9dc3-4da4-bfdd-db385fc9abd4.json | N/A | N/A | N/A | N/A | N/A | JQV897A63197 | Health Maintenance Organization (HMO) | EVOLVED NOVELTIES INC | ANTHEM BLUE CROSS | N/A | 2009-01-14 | 040 | F45883 | N/A | HM | false | OBACZ | N/A | JUSTIN | N/A | 2026-01-01 | 2025-01-01 | CA SG SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9401085786 | N/A | N/A | 9102655 | 2222 | 4801 | 15599106 | 4185 | 7621062 | 2025-12-01 01:49:55.193206 | 2025-09-12 19:10:20.936695 |
| 2025-11-30 08:12:16.275828 | 2025-12-01 01:49:42.793685 | 15341264 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15341264 | Athletic Physical Therapy Inc | 1946-03-30 | 2025-12-03 | M | AE | Kuyumjian | 0004103769 | Kevork | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100836888.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12360718/check_15341264_a5d1d9f0-c639-43a9-ab0c-3550b6354813.json | N/A | N/A | N/A | N/A | N/A | 0004103769 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1946-03-30 | N/A | N/A | N/A | N/A | false | KUYUMJIAN | N/A | KEVORK | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9401084219 | N/A | N/A | 12360718 | 2222 | 4802 | 15598957 | N/A | 10540808 | 2025-12-01 01:49:42.793685 | 2025-11-12 20:09:27.257151 |
| 2025-11-30 08:11:28.420064 | 2025-12-01 01:43:43.178864 | 15340865 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | 15340865 | Athletic Physical Therapy Inc | 1957-06-10 | 2025-12-03 | F | AE | Cinney | JQE146W12862 | Nancy | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100836888.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12199890/check_15340865_1aa3542b-0619-4684-b63c-c6ea15a79c50.json | N/A | N/A | N/A | N/A | N/A | JQE146W12862 | N/A | N/A | TCCM | N/A | 1957-06-10 | N/A | N/A | N/A | N/A | false | CINNEY | N/A | NANCY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9401083579 | N/A | N/A | 12199890 | 2222 | 4793 | 15596340 | N/A | 10405614 | 2025-12-01 01:43:43.178864 | 2025-11-11 22:04:16.516523 |
| 2025-11-30 08:11:20.496309 | 2025-12-01 01:43:54.740151 | 15340800 | N/A | N/A | 60054 | Aetna | 1114042165 | 15340800 | Athletic Physical Therapy Inc | 1983-01-09 | 2025-12-03 | F | AE | Ovaysikia | W197905578 | Shideh | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100836888.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12166597/check_15340800_07b82c21-0df8-4852-b453-5ac17f30627c.json | N/A | N/A | N/A | N/A | N/A | W197905578 | Point of Service (POS) | COHNREZNICK | AETNA | N/A | 1983-01-09 | 0884166 | 088416605000001 | N/A | PS | false | OVAYSIKIA | N/A | SHIDEH | 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 | 9401084493 | N/A | N/A | 12166597 | 2222 | 4793 | 15596470 | N/A | 10379320 | 2025-12-01 01:43:54.740151 | 2025-11-04 17:17:17.618107 |
| 2025-11-30 08:10:23.442527 | 2025-11-30 08:10:57.235337 | 15340349 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2025-12-01 | M | AE | HOLGUIN | 1407861520 | VINCENT | PT | 6341 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_15340349_01b962aa-426c-46f1-98db-2c3c6d51eef1.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-12-01 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2025-11-30 08:10:57.235337 | 2025-11-11 01:01:48.778756 |
| 2025-11-30 08:09:40.839163 | 2025-12-01 01:45:20.263932 | 15339737 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 15339737 | Athletic Physical Therapy Inc | 1958-02-20 | 2025-12-03 | F | AE | SHERRY | H7159538300 | PAULA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.101031862.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8193020/check_15339737_7a72a0c3-cbc8-41de-a8df-772ae3bd082f.json | N/A | N/A | N/A | N/A | N/A | H71595383 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1958-02-20 | N/A | 0B527001 | N/A | HN | false | SHERRY | N/A | PAULA | 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 | 9401086371 | N/A | N/A | 8193020 | 2222 | 4801 | 15597243 | N/A | 4214141 | 2025-12-01 01:45:20.263932 | 2025-05-13 04:29:37.228469 |
| 2025-11-30 08:09:34.648708 | 2025-12-01 01:44:15.876217 | 15339620 | N/A | N/A | 60054 | Aetna | 1114042165 | 15339620 | Athletic Physical Therapy Inc | 1972-12-30 | 2025-12-03 | M | AE | MCHALE | W27265070 | MATT | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.101031862.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173116/check_15339620_7e4342e7-ca99-40c4-851f-d98d30215b91.json | N/A | N/A | N/A | N/A | N/A | W272665070 | Point of Service (POS) | SONY CORPORATION OF AMERICA | AETNA | N/A | 1972-12-30 | 0486873 | 048687302100161 | N/A | PS | false | MCHALE | N/A | MATTHEW | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9401086354 | N/A | N/A | 8173116 | 2222 | 4802 | 15596684 | N/A | 6939617 | 2025-12-01 01:44:15.876217 | 2025-09-16 00:28:24.457071 |
| 2025-11-30 08:09:34.394061 | 2025-12-01 01:41:51.846679 | 15339617 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 15339617 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-12-03 | M | AE | ULLMAN | 557489000 | DAVID | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100128086.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535842/check_15339617_154365a9-009d-4e41-80c4-589f673dc2de.json | N/A | N/A | N/A | N/A | N/A | 557489000 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9401072247 | N/A | N/A | 5535842 | 2222 | 4801 | 15595162 | N/A | 4208696 | 2025-12-01 01:41:51.846679 | 2025-06-07 16:16:45.844566 |
| 2025-11-30 08:09:23.974383 | 2025-12-01 01:50:47.497447 | 15339428 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15339428 | Athletic Physical Therapy Inc | 1977-08-05 | 2025-12-03 | F | PT | ORNELAS | NCF054W10834 | MELISSA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100836888.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11513735/check_15339428_4a2069c6-75f5-4fa7-ac71-7890edf8ee96.json | N/A | N/A | N/A | N/A | N/A | NCF054W10834 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1977-08-05 | N/A | N/A | N/A | N/A | false | ORNELAS | N/A | MELISSA | 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 | 9401084355 | N/A | N/A | 11513735 | 2222 | 4801 | 15599743 | N/A | 9754522 | 2025-12-01 01:50:47.497447 | 2025-11-11 18:53:52.074262 |
| 2025-11-30 08:08:59.342913 | 2025-12-01 01:50:17.035291 | 15338902 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15338902 | Athletic Physical Therapy Inc | 2016-05-10 | 2025-12-03 | M | PT | ARRIOLA | XDM000517776 | ELLIS | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100836888.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11464639/check_15338902_2e689657-6e6b-46c3-ab30-b1741c401c10.json | N/A | N/A | N/A | N/A | N/A | XDM000517776 | Health Maintenance Organization (HMO) | ASSOCIATION FOR LOS ANGELES DEPUTY SHERIFFS INC | ANTHEM BLUE CROSS | N/A | 2016-05-10 | 040 | 57726A | N/A | HM | false | ARRIOLA | N/A | VICTOR | N/A | 9999-12-31 | 2016-05-10 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9401082529 | N/A | N/A | 11464639 | 2222 | 4801 | 15599372 | N/A | 9714270 | 2025-12-01 01:50:17.035291 | 2025-11-06 01:09:13.623652 |
| 2025-11-30 08:08:27.038369 | 2025-12-01 01:49:54.931601 | 15338190 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15338190 | Athletic Physical Therapy Inc | 1971-05-04 | 2025-12-03 | F | PT | MAHAARACHCHI | EXHAN7912598 | Nilanthi | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.101031862.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7988722/check_15338190_515f48e7-d5e8-4e2a-824c-64f57da474ca.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | Preferred Provider Organization (PPO) | XEROX CORPORATION | ANTHEM BLUE CROSS | N/A | 1971-05-04 | 060 | 270101M11A | N/A | PR | false | MAHAARACHCHI | N/A | SENAKA | N/A | 9999-12-31 | 2025-01-01 | CDHP CT BC PPO HEALTH SAVINGS ACCOUNT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9401087655 | N/A | N/A | 7988722 | 2222 | 4793 | 15599102 | 4185 | 6798209 | 2025-12-01 01:49:54.931601 | 2025-10-29 15:15:17.952230 |
| 2025-11-30 08:07:53.591120 | 2025-12-01 01:43:55.178413 | 15337506 | N/A | N/A | 60054 | Aetna | 1114042165 | 15337506 | Athletic Physical Therapy Inc | 1979-08-08 | 2025-12-03 | F | AE | Rosentreter | W192442790 | Lesa | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100836888.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11372698/check_15337506_1fa4db18-0e23-4cf7-8de3-57d0dd7569ed.json | N/A | N/A | N/A | N/A | N/A | W192442790 | Point of Service (POS) | LIONSGATE ENTERTAINMENT INC. | AETNA | N/A | 1979-08-08 | 0881709 | 088170902100001 | N/A | PS | false | ROSENTRETER | N/A | LESA | N/A | N/A | N/A | OA MANAGED CHOICE POS HDHP | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9401083887 | N/A | N/A | 11372698 | 2222 | 4802 | 15596477 | N/A | 9640743 | 2025-12-01 01:43:55.178413 | 2025-10-22 22:45:24.589906 |
| 2025-11-30 08:07:38.390756 | 2025-12-01 01:50:04.708240 | 15337147 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15337147 | Athletic Physical Therapy Inc | 1957-11-06 | 2025-12-03 | M | AE | PAZ | 00000376554 | MARIO | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100836888.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11359237/check_15337147_752b557d-0b62-475e-a874-c188f288bd44.json | N/A | N/A | N/A | N/A | N/A | 00000376554 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-11-06 | H3815028 | N/A | N/A | HM | false | PAZ | N/A | MARIO | 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 | 9401082922 | N/A | N/A | 11359237 | 2222 | 4801 | 15599223 | 2630 | 9630212 | 2025-12-01 01:50:04.708240 | 2025-10-22 17:21:29.196650 |
| 2025-11-30 08:06:36.403650 | 2025-12-01 01:50:00.677559 | 15335434 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15335434 | Athletic Physical Therapy Inc | 1957-09-06 | 2025-12-03 | M | AE | BECKLEY | 00000375188 | STEVE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100032027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077164/check_15335434_018b509f-7fc0-4c50-8162-a27d9f306b51.json | N/A | N/A | N/A | N/A | N/A | 00000375188 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-09-06 | H3815028 | N/A | N/A | HM | false | BECKLEY | N/A | STEVE | 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 | 9401068175 | N/A | N/A | 6077164 | 2222 | 4801 | 15599174 | 2630 | 4720748 | 2025-12-01 01:50:00.677559 | 2025-06-11 15:34:07.942696 |
| 2025-11-30 08:06:18.842909 | 2025-12-01 01:43:24.995067 | 15334928 | N/A | N/A | 60054 | Aetna | 1114042165 | 15334928 | Athletic Physical Therapy Inc | 1992-06-11 | 2025-12-03 | M | AE | ROSS | W292476869 | BRYAN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100032027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993949/check_15334928_3ae998db-5fa2-42f2-9bae-e9607ed9db74.json | N/A | N/A | N/A | N/A | N/A | W292476869 | Point of Service (POS) | PAYCHEX BUSINESS SOLUTIONS, LLC. | AETNA | N/A | 1992-06-11 | 0176563 | 017656301200042 | N/A | PS | false | ROSS | N/A | BRYAN | N/A | N/A | N/A | OPEN ACCESS MC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9401069204 | N/A | N/A | 5993949 | 2222 | 4793 | 15596118 | N/A | 4642881 | 2025-12-01 01:43:24.995067 | 2025-06-06 02:27:19.212061 |
| 2025-11-30 08:06:11.026777 | 2025-12-01 06:50:50.687372 | 15334751 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15334751 | Athletic Physical Therapy Inc | 1941-08-23 | 2025-12-03 | M | AE | E Bogen | WXY0981A22808 | Andrew | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100319393.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11174641/check_15334751_dd2e5a55-e52c-46b5-8702-78f1d26ee813.json | N/A | N/A | N/A | N/A | N/A | WXY0981A22808 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1941-08-23 | N/A | N/A | N/A | N/A | false | E BOGEN | N/A | ANDREW | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9401061502 | N/A | N/A | 11174641 | 2222 | 4802 | 15605492 | N/A | 9519718 | 2025-12-01 06:50:50.687372 | 2026-02-02 19:30:57.219688 |
| 2025-11-30 08:05:56.612197 | 2025-12-01 01:49:48.974055 | 15334465 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15334465 | Athletic Physical Therapy Inc | 1964-11-15 | 2025-12-03 | F | AE | BIKOULOVA | 92040499F | ALEXANDRA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100032027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874423/check_15334465_f53b7a21-3e3b-4b6c-9333-c079fb11ab74.json | N/A | N/A | N/A | N/A | N/A | 92040499F | N/A | N/A | HEALTH NET, LLC | N/A | 1964-11-15 | N/A | N/A | N/A | N/A | false | BIKOULOVA | N/A | ALEXANDRA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9401067389 | N/A | N/A | 5874423 | 2222 | 4802 | 15599033 | 4625 | 4534552 | 2025-12-01 01:49:48.974055 | 2025-05-30 18:01:03.324126 |
| 2025-11-30 08:05:54.383143 | 2025-12-01 01:48:27.342455 | 15334422 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15334422 | Athletic Physical Therapy Inc | 1996-02-29 | 2025-12-03 | F | AE | Elzinga | 00259922229 | Stevie | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100128086.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13437538/check_15334422_84ab6e6a-df37-4459-83c1-90dc5694f090.json | N/A | N/A | N/A | N/A | N/A | 00259922229 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1996-02-29 | N/A | N/A | N/A | N/A | false | ELZINGA | N/A | STEVIE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9401071867 | N/A | N/A | 13437538 | 2222 | 4802 | 15598213 | N/A | 11598678 | 2025-12-01 01:48:27.342455 | 2025-11-26 19:50:29.795204 |
| 2025-11-30 08:05:45.085435 | 2025-12-01 06:50:50.966234 | 15334195 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15334195 | Athletic Physical Therapy Inc | 1956-11-29 | 2025-12-03 | M | AE | LYGA | LPZ819A58009 | FRANK | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100319393.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9812143/check_15334195_75a64e9d-b1c8-495f-8b69-d22644b896ee.json | N/A | N/A | N/A | N/A | N/A | LPZ819A58009 | Preferred Provider Organization (PPO) | LOS ANGELES POLICE RELIEF ASN INC | MEDICARE D | N/A | 1956-11-29 | 040 | 1841UV | N/A | PR | false | LYGA | N/A | FRANK | N/A | 9999-12-31 | 2024-12-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9401061080 | N/A | N/A | 9812143 | 2222 | 4801 | 15605493 | N/A | 4219584 | 2025-12-01 06:50:50.966234 | 2025-09-29 18:19:47.145731 |
| 2025-11-30 08:05:39.710288 | 2025-12-01 06:50:52.010338 | 15334075 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15334075 | Athletic Physical Therapy Inc | 1959-02-04 | 2025-12-03 | F | AE | SMITS | JQE291W18998 | HEIDI | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100319393.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681615/check_15334075_4e648fa4-080b-4ed5-a508-cf9e55b76d85.json | N/A | N/A | N/A | N/A | N/A | JQE291W18998 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-02-04 | 040 | CASUPWP0 | N/A | N/A | false | SMITS | N/A | HEIDI | 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 | 9401061047 | N/A | N/A | 9681615 | 2222 | 4793 | 15605496 | N/A | 8101289 | 2025-12-01 06:50:52.010338 | 2025-09-24 17:05:46.431721 |
| 2025-11-30 08:05:20.134563 | 2025-12-01 01:45:33.192348 | 15333641 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 15333641 | Athletic Physical Therapy Inc | 1960-06-20 | 2025-12-03 | M | AE | FLETES | H86038900 | JOSE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100836888.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11067461/check_15333641_e09a99a8-6fcf-4da9-881d-aa858e14beb9.json | N/A | N/A | N/A | N/A | N/A | H86038900 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1960-06-20 | N/A | 0B527001 | N/A | HN | false | FLETES | N/A | JOSE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9401084126 | N/A | N/A | 11067461 | 2222 | 4801 | 15597313 | N/A | 9425235 | 2025-12-01 01:45:33.192348 | 2025-10-20 22:48:41.487437 |
| 2025-11-30 08:05:16.331541 | 2025-12-01 01:49:49.902605 | 15333558 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15333558 | Athletic Physical Therapy Inc | 1962-06-19 | 2025-12-03 | M | AE | MILIAN GOMEZ | 93331019F | MIGUEL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100032027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543555/check_15333558_df27700f-ef61-446b-9bf1-eadf62f44361.json | N/A | N/A | N/A | N/A | N/A | 93331019F | N/A | N/A | HEALTH NET, LLC | N/A | 1962-06-19 | N/A | N/A | N/A | N/A | false | MILIAN GOMEZ | N/A | MIGUEL | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9401069134 | N/A | N/A | 5543555 | 2222 | 4802 | 15599040 | N/A | 4215332 | 2025-12-01 01:49:49.902605 | 2025-08-06 16:15:15.716322 |
| 2025-11-30 08:05:16.052125 | 2025-12-01 01:49:17.489351 | 15333553 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15333553 | Athletic Physical Therapy Inc | 1956-05-26 | 2025-12-03 | F | AE | TORRES | 40067303001 | OLGA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100032027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543371/check_15333553_cc1f6d4d-b547-4ce8-8320-31c8d617fd49.json | N/A | N/A | N/A | N/A | N/A | 40067303001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-05-26 | 2025H5425001 | H5425M | N/A | N/A | false | TORRES | N/A | OLGA | 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 | 9401069133 | N/A | N/A | 5543371 | 2222 | 4793 | 15598665 | 6237 | 4215172 | 2025-12-01 01:49:17.489351 | 2025-05-13 04:29:37.229489 |
| 2025-11-30 08:05:15.647213 | 2025-12-01 01:50:08.790160 | 15333543 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 15333543 | Athletic Physical Therapy Inc | 1962-09-27 | 2025-12-03 | F | PT | BARAJAS | NCF425A56241 | EMMA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100032027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543324/check_15333543_d3ffc79a-bbbb-44b2-936f-e77ae8ca8b18.json | N/A | N/A | N/A | N/A | N/A | JMV425A56241 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1962-09-27 | 040 | 56677VR000 | N/A | HM | false | BARAJAS | N/A | RAMON | N/A | 9999-12-31 | 2025-09-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9401069132 | N/A | N/A | 5543324 | 2222 | 4801 | 15599270 | 4184 | 4215131 | 2025-12-01 01:50:08.790160 | 2025-08-11 16:45:52.816842 |
| 2025-11-30 08:05:15.148884 | 2025-12-01 01:42:59.776748 | 15333534 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15333534 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-12-03 | M | AE | MCCOWAN | 93341440D | KEVIN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100032027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_15333534_7a2dc339-a9ec-4cec-9d41-ab0a840b52e9.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-03-27 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | 2078-12-31 | 2024-11-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9401069131 | N/A | N/A | 5543270 | 2222 | 4793 | 15595822 | 4211 | 4215086 | 2025-12-01 01:42:59.776748 | 2025-05-13 04:29:37.229401 |
| 2025-11-30 08:05:14.791684 | 2025-12-01 01:43:24.417911 | 15333524 | N/A | N/A | 60054 | Aetna | 1114042165 | 15333524 | Athletic Physical Therapy Inc | 1994-09-02 | 2025-12-03 | F | AE | CHEN | W286265318 | KELLY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100032027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543266/check_15333524_042de8be-df89-4792-ae8c-50d54130092f.json | N/A | N/A | N/A | N/A | N/A | W286265318 | Point of Service (POS) | ADOBE INC. | AETNA | N/A | 1994-09-02 | 0660819 | 066081901600001 | N/A | PS | false | CHEN | N/A | KELLY | 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 | 9401069130 | N/A | N/A | 5543266 | 2222 | 4802 | 15596110 | N/A | 4215081 | 2025-12-01 01:43:24.417911 | 2025-05-13 04:29:37.229396 |
| 2025-11-30 08:05:14.620734 | 2025-12-01 01:50:33.883345 | 15333518 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15333518 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-12-03 | F | PT | PAUL | XEK914147727 | SARA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100032027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543211/check_15333518_7a706a28-f9c9-492e-9881-aec7b52fb701.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | 9999-12-31 | 2025-02-01 | IFP EMB PED VISION | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9401069129 | N/A | N/A | 5543211 | 2222 | 4801 | 15599574 | N/A | 4215028 | 2025-12-01 01:50:33.883345 | 2025-05-13 04:29:37.229346 |
| 2025-11-30 08:05:14.461681 | 2025-12-01 01:50:09.764624 | 15333516 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15333516 | Athletic Physical Therapy Inc | 1974-08-13 | 2025-12-03 | F | PT | HUGGINS | JXN261A50994 | DEEDEE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100032027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543043/check_15333516_29fb85af-4135-40a4-9972-2d78b377a6cb.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 9999-12-31 | 2022-01-01 | BC PPO INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9401069128 | N/A | N/A | 5543043 | 2222 | 4801 | 15599283 | N/A | 4214884 | 2025-12-01 01:50:09.764624 | 2025-11-12 00:46:10.301659 |
| 2025-11-30 08:05:14.249709 | 2025-12-01 01:49:17.168433 | 15333511 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15333511 | Athletic Physical Therapy Inc | 1957-01-21 | 2025-12-03 | M | AE | SHADDY | 40064865601 | STEVE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100032027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543011/check_15333511_db91e2e8-0d22-4455-a94b-65b40c8a4d33.json | N/A | N/A | N/A | N/A | N/A | 40064865601 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | SHADDY | N/A | STEVE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9401069127 | N/A | N/A | 5543011 | 2222 | 4801 | 15598661 | 6237 | 4214861 | 2025-12-01 01:49:17.168433 | 2026-02-04 19:10:58.526441 |
| 2025-11-30 08:05:14.133091 | 2025-12-01 06:50:51.630111 | 15333510 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15333510 | Athletic Physical Therapy Inc | 1942-10-02 | 2025-12-03 | M | AE | SAWAYA | XDD599A52218 | PETER | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100319393.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9033459/check_15333510_d7a9d840-3cd1-4433-9793-882a63da5e89.json | N/A | N/A | N/A | N/A | N/A | XDD599A52218 | Indemnity | SISC - COMPANIONCARE | MEDICARE D | N/A | 1942-10-02 | 040 | 40003A | N/A | IN | false | SAWAYA | N/A | PETER | N/A | 9999-12-31 | 2023-01-01 | MEDICARE SUPPLEMENT | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9401061622 | N/A | N/A | 9033459 | 2222 | 4802 | 15605495 | N/A | 7553607 | 2025-12-01 06:50:51.630111 | 2025-09-02 22:55:04.873891 |
| 2025-11-30 08:05:13.928699 | 2025-12-01 01:43:24.713502 | 15333506 | N/A | N/A | 60054 | Aetna | 1114042165 | 15333506 | Athletic Physical Therapy Inc | 2005-11-23 | 2025-12-03 | F | AE | FERRELL | W285064666 | AMELIA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100032027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542678/check_15333506_b8f70a10-ad8d-4e06-84a4-7e4d01cf7e35.json | N/A | N/A | N/A | N/A | N/A | W285064666 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 2005-11-23 | 0232499 | 023249901000067 | N/A | PS | false | FERRELL | N/A | RALPH | N/A | N/A | N/A | OPEN ACCESS MC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9401069126 | N/A | N/A | 5542678 | 2222 | 4802 | 15596114 | N/A | 4214560 | 2025-12-01 01:43:24.713502 | 2025-05-13 04:29:37.228883 |
| 2025-11-30 08:05:13.641034 | 2025-12-01 01:49:50.193945 | 15333502 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15333502 | Athletic Physical Therapy Inc | 1977-02-09 | 2025-12-03 | F | AE | SHAMAT | 96987431H | SAMA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100032027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542314/check_15333502_044d44ed-8e9a-44cc-ab26-af5f03ff58e3.json | N/A | N/A | N/A | N/A | N/A | 96987431H | N/A | N/A | HEALTH NET, LLC | N/A | 1977-02-09 | N/A | N/A | N/A | N/A | false | SHAMAT | N/A | SAMA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9401069125 | N/A | N/A | 5542314 | 2222 | 4802 | 15599044 | N/A | 4214238 | 2025-12-01 01:49:50.193945 | 2025-05-13 04:29:37.228571 |
| 2025-11-30 08:05:13.455833 | 2025-12-01 01:50:33.619911 | 15333499 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15333499 | Athletic Physical Therapy Inc | 1983-04-25 | 2025-12-03 | F | PT | HASERJIAN | XED912403581 | RENEE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100032027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542222/check_15333499_356baa78-44b6-4e19-9cfc-99a42df50e87.json | N/A | N/A | N/A | N/A | N/A | XED912403581 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1983-04-25 | 2001ZK002169 | X0001004 | N/A | PR | false | HASERJIAN | N/A | RENEE | N/A | 9999-12-31 | 2023-08-01 | IFP EMB PED VISION | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9401069123 | N/A | N/A | 5542222 | 2222 | 4793 | 15599570 | N/A | 4214148 | 2025-12-01 01:50:33.619911 | 2025-05-13 04:29:37.228475 |
| 2025-11-30 08:05:13.163518 | 2025-12-01 01:43:15.988146 | 15333493 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 15333493 | override_provider | 1957-04-11 | 2025-12-03 | M | PT | ADRIAN | MBL508W11635 | NELSON | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100032027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541841/check_15333493_d26b727e-60ec-4f19-bb2c-174305ead215.json | N/A | N/A | N/A | N/A | N/A | MBL508W11635 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1957-04-11 | N/A | N/A | N/A | N/A | false | ADRIAN | N/A | NELSON | 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 | 9401069121 | N/A | N/A | 5541841 | 2222 | 4801 | 15596017 | N/A | 4213826 | 2025-12-01 01:43:15.988146 | 2025-05-13 04:29:37.228146 |
| 2025-11-30 08:05:12.917839 | 2025-12-01 01:50:10.561231 | 15333489 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 15333489 | Athletic Physical Therapy Inc | 2012-06-25 | 2025-12-03 | F | PT | LORD | JQK822A53740 | ALYSSA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100032027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541409/check_15333489_1e2a1bda-7e35-447b-882d-4d4cc1a7a710.json | N/A | N/A | N/A | N/A | N/A | JQT822A53740 | Health Maintenance Organization (HMO) | JLIV SERVICES INC | ANTHEM BLUE CROSS | N/A | 2012-06-25 | 040 | U54789 | N/A | HM | false | LORD | N/A | JETHRO | N/A | 9999-12-31 | 2025-08-01 | CA SG PRISELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9401069120 | N/A | N/A | 5541409 | 2222 | 4793 | 15599294 | 4184 | 4213435 | 2025-12-01 01:50:10.561231 | 2025-05-13 04:29:37.227756 |
| 2025-11-30 08:05:12.721897 | 2025-12-01 01:43:16.572026 | 15333484 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 15333484 | override_provider | 1980-05-29 | 2025-12-03 | F | PT | KURTZ | XED906231353 | NINA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100032027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541378/check_15333484_070e2b97-ed59-4dcb-805a-f289ce840242.json | N/A | N/A | N/A | N/A | N/A | XED906231353 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1980-05-29 | 2001ZK002169 | X0001004 | N/A | PR | false | KURTZ | N/A | NINA | N/A | 2025-12-31 | 2025-01-01 | GOLD 80 PPO JAN25 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9401069119 | N/A | N/A | 5541378 | 2222 | 4793 | 15596020 | N/A | 4213405 | 2025-12-01 01:43:16.572026 | 2025-05-13 04:29:37.227726 |
| 2025-11-30 08:05:12.449141 | 2025-12-01 01:50:33.347711 | 15333480 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15333480 | Athletic Physical Therapy Inc | 1963-07-22 | 2025-12-03 | F | PT | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100032027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541314/check_15333480_6a353eeb-780c-4039-9824-4d1fbbff8714.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | 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 | 9401069118 | N/A | N/A | 5541314 | 2222 | 4793 | 15599567 | N/A | 4213343 | 2025-12-01 01:50:33.347711 | 2025-06-06 02:21:37.603701 |
| 2025-11-30 08:05:12.254779 | 2025-12-01 01:46:50.325074 | 15333476 | N/A | N/A | 62308 | CIGNA PPO | 1114042165 | 15333476 | Athletic Physical Therapy Inc | 1967-12-13 | 2025-12-03 | M | AE | MIDDLETON | U3369221802 | BLAKE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100032027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540185/check_15333476_b446e220-b123-44a3-958b-64e2d63cceeb.json | N/A | N/A | N/A | N/A | N/A | U3369221802 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1967-12-13 | N/A | 3346355 | N/A | HM | false | MIDDLETON | N/A | BLAKE | N/A | N/A | N/A | NETWORK | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9401069117 | N/A | N/A | 5540185 | 2222 | 4802 | 15597719 | 4437 | 4212381 | 2025-12-01 01:46:50.325074 | 2025-12-17 20:12:42.035054 |
| 2025-11-30 08:05:12.106527 | 2025-12-01 01:49:49.465981 | 15333474 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15333474 | Athletic Physical Therapy Inc | 1982-06-09 | 2025-12-03 | M | AE | FULKERSON | R12222652MM1 | SCOTT | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100032027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539956/check_15333474_6400d5ec-02c7-44d1-afa8-91f6b940ed81.json | N/A | N/A | N/A | N/A | N/A | R12222652MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1982-06-09 | N/A | N/A | N/A | N/A | false | FULKERSON | N/A | SCOTT | N/A | 2025-11-30 | 2025-01-01 | MFC UCNNHMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9401069116 | N/A | N/A | 5539956 | 2222 | 4801 | 15599036 | N/A | 4212166 | 2025-12-01 01:49:49.465981 | 2025-10-23 15:59:33.239127 |
| 2025-11-30 08:05:11.937947 | 2025-12-01 01:50:09.216050 | 15333472 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15333472 | Athletic Physical Therapy Inc | 1963-05-25 | 2025-12-03 | F | PT | GINSBERG | JQU469A62630 | LISA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100032027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539612/check_15333472_49e8c4cd-6097-4fa0-9d88-8db1fc8c4b81.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1963-05-25 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 2026-01-01 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9401069115 | N/A | N/A | 5539612 | 2222 | 4793 | 15599275 | N/A | 4211892 | 2025-12-01 01:50:09.216050 | 2025-11-02 22:03:21.557202 |
| 2025-11-30 08:05:11.563543 | 2025-12-01 01:50:10.026745 | 15333466 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15333466 | Athletic Physical Therapy Inc | 1952-09-29 | 2025-12-03 | F | PT | JOHNSON | JQS766M90611 | JANET | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100032027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539188/check_15333466_3876eca8-57d5-465d-ad87-420149e8b500.json | N/A | N/A | N/A | N/A | N/A | JQS766M90611 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-09-29 | 040 | CAMCRWP0 | N/A | MP | false | JOHNSON | N/A | JANET | 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 | 9401069114 | N/A | N/A | 5539188 | 2222 | 4801 | 15599286 | 4185 | 4211521 | 2025-12-01 01:50:10.026745 | 2025-10-19 23:43:25.603984 |
| 2025-11-30 08:05:11.328033 | 2025-12-01 01:43:43.545249 | 15333461 | N/A | N/A | 60054 | Aetna | 1114042165 | 15333461 | Athletic Physical Therapy Inc | 1963-09-03 | 2025-12-03 | M | AE | UDVADIA | W251088108 | SATISH | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100128086.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13362427/check_15333461_064f5a8f-c9a9-450d-8963-900c7a768b95.json | N/A | N/A | N/A | N/A | N/A | W251088108 | Exclusive Provider Organization | FOX CORPORATION | AETNA | N/A | 1963-09-03 | 0109248 | 010924801500148 | N/A | EP | false | UDVADIA | N/A | SATISH | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9401071390 | N/A | N/A | 13362427 | 2222 | 4793 | 15596346 | N/A | 11507262 | 2025-12-01 01:43:43.545249 | 2025-12-02 19:20:57.161446 |
| 2025-11-30 08:05:11.251849 | 2025-12-01 01:50:09.470277 | 15333458 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15333458 | Athletic Physical Therapy Inc | 1960-08-08 | 2025-12-03 | M | PT | GINSBERG | JQU469A62630 | STEVEN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100032027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538693/check_15333458_c50982a0-eadb-4465-a0a0-ad4762f5fe16.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1960-08-08 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 2026-01-01 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9401068345 | N/A | N/A | 5538693 | 2222 | 4793 | 15599279 | N/A | 4211081 | 2025-12-01 01:50:09.470277 | 2025-05-13 04:29:37.225492 |
| 2025-11-30 08:05:10.915556 | 2025-12-01 01:50:00.986689 | 15333454 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15333454 | Athletic Physical Therapy Inc | 1949-09-13 | 2025-12-03 | M | AE | GOMES | 00000285293 | NEMESIO | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100032027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537439/check_15333454_22d00c2f-03b9-4337-8671-b5dae8f56431.json | N/A | N/A | N/A | N/A | N/A | 00000285293 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-09-13 | H3815028 | N/A | N/A | HM | false | GOMES | N/A | NEMESIO | 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 | 9401068344 | N/A | N/A | 5537439 | 2222 | 4801 | 15599177 | 2630 | 4210001 | 2025-12-01 01:50:00.986689 | 2025-05-13 04:29:37.224421 |
| 2025-11-30 08:05:10.683198 | 2025-12-01 01:46:49.511843 | 15333452 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 15333452 | Athletic Physical Therapy Inc | 1960-01-04 | 2025-12-03 | M | AE | CATLIN | U0538312401 | VINCE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100032027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537309/check_15333452_aa36d08c-c0b1-4f83-a638-6fc83ddb52af.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 | 9401068343 | N/A | N/A | 5537309 | 2222 | 4793 | 15597715 | N/A | 4209897 | 2025-12-01 01:46:49.511843 | 2025-11-25 00:42:44.777389 |
| 2025-11-30 08:05:10.463696 | 2025-12-01 01:50:10.296665 | 15333447 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15333447 | Athletic Physical Therapy Inc | 1969-03-28 | 2025-12-03 | M | PT | KOSTER | DGA11321380J | KEVIN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100032027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536722/check_15333447_e969d144-a026-4be4-a259-2bca4385b0a1.json | N/A | N/A | N/A | N/A | N/A | DGA11321380J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1969-03-28 | 040 | 276945M001 | N/A | PR | false | KOSTER | N/A | KEVIN | N/A | 9999-12-31 | 2025-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9401068342 | N/A | N/A | 5536722 | 2222 | 4802 | 15599290 | N/A | 4209420 | 2025-12-01 01:50:10.296665 | 2025-05-13 04:29:37.223843 |
| 2025-11-30 08:05:10.082540 | 2025-12-01 01:49:16.525854 | 15333442 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15333442 | Athletic Physical Therapy Inc | 1952-12-16 | 2025-12-03 | F | AE | PORTER | 40028215401 | SHERIL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100032027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535434/check_15333442_374770e1-afae-48e9-91f5-747c5a0e01fb.json | N/A | N/A | N/A | N/A | N/A | 40028215401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-12-16 | 2025H5425001 | H5425M | N/A | N/A | false | PORTER | N/A | SHERIL | 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 | 9401068341 | N/A | N/A | 5535434 | 2222 | 4793 | 15598658 | 6237 | 4208356 | 2025-12-01 01:49:16.525854 | 2025-08-25 14:49:27.724897 |
| 2025-11-30 08:05:05.166327 | 2025-12-01 06:50:51.262457 | 15333319 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15333319 | Athletic Physical Therapy Inc | 1934-05-31 | 2025-12-03 | M | AE | RANDERIA | R58901143 | BHUPENDRA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100319393.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8420255/check_15333319_9078acc8-636a-4df4-9fdd-f2457a8eed28.json | N/A | N/A | N/A | N/A | N/A | R58901143 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1934-05-31 | N/A | 106 | N/A | PR | false | RANDERIA | N/A | BHUPEN | N/A | 9999-12-31 | 2018-01-01 | STANDARD SECONDARY | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9401061469 | N/A | N/A | 8420255 | 2222 | 4802 | 15605494 | N/A | 7097664 | 2025-12-01 06:50:51.262457 | 2026-04-30 18:11:14.979451 |
| 2025-11-30 08:04:33.473961 | 2025-12-01 06:50:50.359211 | 15332497 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15332497 | Athletic Physical Therapy Inc | 1954-10-13 | 2025-12-03 | F | AE | COMBS | XDD261A55173 | ROBERTA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251130.100319393.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7450034/check_15332497_439ab194-fa82-40f9-aec6-a5d960eaf5a3.json | N/A | N/A | N/A | N/A | N/A | XDD261A55173 | Supplemental Policy | LOS ANGELES COUNTY EMPLOYEE RETIREMENT ASSOC | MEDICARE B | N/A | 1954-10-13 | 040 | 1264MD | N/A | SP | false | COMBS | N/A | LOUIS | N/A | 9999-12-31 | 2019-11-01 | MEDICARE SUPPLEMENT-PBP PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9401061255 | N/A | N/A | 7450034 | 2222 | 4801 | 15605491 | N/A | 6399759 | 2025-12-01 06:50:50.359211 | 2025-07-24 23:45:59.561511 |