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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-29 08:08:41.986207 | 2025-11-30 01:32:10.623838 | 15320075 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 15320075 | Athletic Physical Therapy Inc | 1956-07-15 | 2025-12-02 | M | AE | PT | Raudonis | 34838892911 | Mark | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101517726.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12493578/check_15320075_9bbf42ed-96c7-4a3e-9d02-e96e7037ef7d.json | N/A | N/A | N/A | N/A | N/A | 34838892911 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1956-07-15 | N/A | N/A | N/A | SP | false | RAUDONIS | N/A | MARK | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395840834 | N/A | N/A | 12493578 | 2222 | 4793 | 15572120 | N/A | 10670073 | 2025-11-30 01:32:10.623838 | 2025-11-10 18:20:04.243140 |
| 2025-11-29 08:08:41.018307 | 2025-11-30 01:36:23.429545 | 15320063 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15320063 | Athletic Physical Therapy Inc | 1959-06-17 | 2025-12-02 | M | AE | PT | La Brie | 000009766266 | Richard | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.121123266.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12906322/check_15320063_571b4061-a1b2-4b9c-a652-4610ae86f605.json | N/A | N/A | N/A | N/A | N/A | 000009766266 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1959-06-17 | 4359396 | 106000 | N/A | N/A | false | LA BRIE | N/A | RICHARD | N/A | N/A | N/A | VERIZON COMMUNICATIONS WIRELINE 253 MGMT. PRE 65 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395844062 | N/A | N/A | 12906322 | 2222 | 4802 | 15577088 | N/A | 11068953 | 2025-11-30 01:36:23.429545 | 2025-11-17 19:56:24.527366 |
| 2025-11-29 08:08:35.927334 | 2025-11-30 01:36:12.713032 | 15319990 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 15319990 | Athletic Physical Therapy Inc | 1974-04-25 | 2025-12-02 | F | AE | PT | DSOUZA | 032683502 | LOLITA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.121123266.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12890318/check_15319990_1a6dd75f-f4fc-421d-9c8c-549ee0f2a84f.json | N/A | N/A | N/A | N/A | N/A | 032683502 | Commercial | N/A | PACIFICARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1974-04-25 | N/A | 101219 | N/A | C1 | false | DSOUZA | N/A | LOLITA | N/A | N/A | N/A | SIGNATUREVALUE HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395844032 | N/A | N/A | 12890318 | 2222 | 4793 | 15576906 | 6411 | 10843447 | 2025-11-30 01:36:12.713032 | 2025-11-25 16:08:55.540790 |
| 2025-11-29 08:08:28.298783 | 2025-11-30 01:38:52.713973 | 15319841 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15319841 | Athletic Physical Therapy Inc | 1951-08-07 | 2025-12-02 | F | AE | PT | HYATT | XEM911540996 | CINDY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101517726.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12216825/check_15319841_262ad3df-f37d-478b-9af4-5b5ceb1c2290.json | N/A | N/A | N/A | N/A | N/A | XEM911540996 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1951-08-07 | 2004SF000028 | X0001002 | N/A | OT | false | HYATT | N/A | CINDY | N/A | 2025-12-31 | 2025-07-01 | MEDICARE SUPPLEMENT PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395841972 | N/A | N/A | 12216825 | 2222 | 4802 | 15579923 | N/A | 10415709 | 2025-11-30 01:38:52.713973 | 2025-11-05 17:32:26.509741 |
| 2025-11-29 08:08:14.224084 | 2025-11-30 01:37:33.426699 | 15319408 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15319408 | Athletic Physical Therapy Inc | 2008-04-21 | 2025-12-02 | M | AE | PT | BERMUDEZ | 000019836525 | RAFAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101541218.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6721942/check_15319408_08024a36-b76f-4ac1-994d-014c791c4c90.json | N/A | N/A | N/A | N/A | N/A | 000019836525 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 2008-04-21 | 4327748 | 226977 | N/A | N/A | false | BERMUDEZ | N/A | RAFAEL | N/A | N/A | N/A | MEDI-CAL LA CARE HEALTH PLAN ADULT AND FAMILY LTSS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395829537 | N/A | N/A | 6721942 | 2222 | 4793 | 15578325 | N/A | 5322280 | 2025-11-30 01:37:33.426699 | 2025-07-01 21:45:15.878047 |
| 2025-11-29 08:08:12.291114 | 2025-11-30 01:38:53.581980 | 15319335 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15319335 | Athletic Physical Therapy Inc | 1960-03-18 | 2025-12-02 | F | AE | PT | MEYER | JQE221W24060 | LESLIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101517726.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11928247/check_15319335_fc3ec064-9b9b-4c82-9bd4-d48dc1e8f6e5.json | N/A | N/A | N/A | N/A | N/A | JQE221W24060 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1960-03-18 | 040 | CASUPWP0 | N/A | N/A | false | MEYER | N/A | LESLIE | N/A | 9999-12-31 | 2025-08-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395842723 | N/A | N/A | 11928247 | 2222 | 4793 | 15579943 | N/A | 4215335 | 2025-11-30 01:38:53.581980 | 2025-10-30 21:15:07.766449 |
| 2025-11-29 08:08:07.114403 | 2025-11-30 01:32:33.135849 | 15319131 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 15319131 | Athletic Physical Therapy Inc | 1954-05-11 | 2025-12-02 | M | AE | PT | A Peters | 32146482611 | Dennis | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101520274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550027/check_15319131_0a0babc3-3f7e-444a-a283-2206ff1128de.json | N/A | N/A | N/A | N/A | N/A | 32146482611 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1954-05-11 | N/A | N/A | N/A | SP | false | PETERS | N/A | DENNIS | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395832277 | N/A | N/A | 5550027 | 2222 | 4801 | 15572617 | N/A | 4219449 | 2025-11-30 01:32:33.135849 | 2025-10-07 21:32:27.567534 |
| 2025-11-29 08:08:06.832379 | 2025-11-30 01:41:19.012772 | 15319119 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15319119 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-12-02 | F | AE | PT | HOWARD | JQE896M91712 | JUDI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101520274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543352/check_15319119_79a69dd5-d26e-4b49-a7aa-76b3f35aeafc.json | N/A | N/A | N/A | N/A | N/A | JQE896M91712 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-11-19 | 040 | CASUPWP0 | N/A | N/A | false | HOWARD | N/A | JUDI | N/A | 9999-12-31 | 2022-01-01 | CA PLAN F INNOVATIVE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395832274 | N/A | N/A | 5543352 | 2222 | 4793 | 15582865 | N/A | 4215147 | 2025-11-30 01:41:19.012772 | 2025-05-13 04:29:37.229464 |
| 2025-11-29 08:08:06.739571 | 2025-11-30 01:41:18.621499 | 15319115 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15319115 | Athletic Physical Therapy Inc | 1954-01-12 | 2025-12-02 | F | AE | PT | FINCH | XDD909A67880 | DAWN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101520274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538474/check_15319115_f9294066-8718-4dfb-8e32-d429a32b0d72.json | N/A | N/A | N/A | N/A | N/A | XDD909A67880 | N/A | CALPERS PERS PLATINUM MSUPP RETIREES(PA) REGION3 | MEDICARE B | N/A | 1954-01-12 | 040 | BS270I | N/A | N/A | false | FINCH | N/A | LELAND | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395832273 | N/A | N/A | 5538474 | 2222 | 4802 | 15582859 | N/A | 4210886 | 2025-11-30 01:41:18.621499 | 2025-05-13 04:29:37.225284 |
| 2025-11-29 08:08:06.699994 | 2025-11-30 01:33:05.500609 | 15319114 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 15319114 | override_provider | 2009-06-02 | 2025-12-02 | F | PT | N/A | MCDONALD | 90189112002 | DYLAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.121123266.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12770187/check_15319114_93f3d8af-52b3-476a-abca-046e46a66a69.json | N/A | N/A | N/A | N/A | N/A | 90189112002 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2009-06-02 | N/A | N/A | N/A | N/A | false | MCDONALD | N/A | DYLAN | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395843732 | N/A | N/A | 12770187 | 2222 | 4793 | 15573273 | N/A | 10925815 | 2025-11-30 01:33:05.500609 | 2025-11-26 16:58:09.174115 |
| 2025-11-29 08:08:06.645185 | 2025-11-30 01:32:33.424755 | 15319112 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 15319112 | Athletic Physical Therapy Inc | 1947-01-11 | 2025-12-02 | F | AE | PT | STROM | 32481540111 | YOLANDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101520274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538186/check_15319112_8a9db772-ec4b-4ca7-a14d-945f83a90860.json | N/A | N/A | N/A | N/A | N/A | 32481540111 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1947-01-11 | N/A | N/A | N/A | SP | false | STROM | N/A | YOLANDA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395832272 | N/A | N/A | 5538186 | 2222 | 4802 | 15572626 | N/A | 4210637 | 2025-11-30 01:32:33.424755 | 2025-05-13 04:29:37.225051 |
| 2025-11-29 08:08:06.558172 | 2025-11-30 01:32:32.755313 | 15319108 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 15319108 | Athletic Physical Therapy Inc | 1948-07-13 | 2025-12-02 | M | AE | PT | DENNIS | 30367363711 | CECIL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101520274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536379/check_15319108_ea1b06eb-14de-44e8-89e4-0fddabfa18ef.json | N/A | N/A | N/A | N/A | N/A | 30367363711 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1948-07-13 | N/A | N/A | N/A | SP | false | DENNIS | N/A | CECIL | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395832271 | N/A | N/A | 5536379 | 2222 | 4801 | 15572607 | N/A | 4209131 | 2025-11-30 01:32:32.755313 | 2025-09-25 15:49:36.327996 |
| 2025-11-29 08:08:06.477878 | 2025-11-30 01:41:49.771503 | 15319106 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15319106 | Athletic Physical Therapy Inc | 1946-08-26 | 2025-12-02 | M | AE | PT | ROTHMAN | XEM909022493 | MIKE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101520274.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536206/check_15319106_a8a7ad30-0ccb-42e8-a5b2-3615377d38c0.json | N/A | N/A | N/A | N/A | N/A | XEM909022493 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1946-08-26 | 2002SF000029 | X0001002 | N/A | OT | false | ROTHMAN | N/A | MIKE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395832270 | N/A | N/A | 5536206 | 2222 | 4801 | 15583436 | N/A | 4208978 | 2025-11-30 01:41:49.771503 | 2025-05-13 04:29:37.223404 |
| 2025-11-29 08:08:02.337699 | 2025-11-30 01:36:40.371613 | 15318933 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15318933 | Athletic Physical Therapy Inc | 2006-06-07 | 2025-12-02 | M | PT | N/A | BROWN | PWF566A67898 | ROY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.121123266.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12756456/check_15318933_ee494ef1-1fde-430d-95a3-178174f6b93b.json | N/A | N/A | N/A | N/A | N/A | PWF7431690PT | Preferred Provider Organization (PPO) | PUBLIC-ALL REGIONS-ACTIVE/RETIREE | ANTHEM BLUE CROSS | N/A | 2006-06-07 | 040 | L02978M001 | N/A | PR | false | BROWN | N/A | ROY | N/A | 9999-12-31 | 2022-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395843716 | N/A | N/A | 12756456 | 2222 | 4793 | 15577370 | N/A | 10914431 | 2025-11-30 01:36:40.371613 | 2025-11-16 20:25:40.530209 |
| 2025-11-29 08:07:53.124808 | 2025-11-30 01:39:14.782860 | 15318510 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15318510 | Athletic Physical Therapy Inc | 1959-01-17 | 2025-12-02 | M | AE | PT | WAHL | XEM912647011 | LELAND | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101517726.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11364482/check_15318510_281c3c84-e67e-4926-a512-66f8ab318ce8.json | N/A | N/A | N/A | N/A | N/A | XEM912647011 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1959-01-17 | 2002SE000030 | X0001002 | N/A | OT | false | WAHL | N/A | LELAND | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395843178 | N/A | N/A | 11364482 | 2222 | 4793 | 15580366 | N/A | 9633229 | 2025-11-30 01:39:14.782860 | 2026-02-05 17:07:37.378883 |
| 2025-11-29 08:07:41.450478 | 2025-11-30 01:39:14.326239 | 15318042 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15318042 | Athletic Physical Therapy Inc | 1947-09-07 | 2025-12-02 | F | AE | PT | SHIBUYA | XEM906397835 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101517726.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11087597/check_15318042_83b41aff-37c6-4ebe-a4fc-901b1eacb9e3.json | N/A | N/A | N/A | N/A | N/A | XEM906397835 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1947-09-07 | 2002SD000004 | X0001002 | N/A | OT | false | SHIBUYA | N/A | LINDA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395841391 | N/A | N/A | 11087597 | 2222 | 4801 | 15580363 | N/A | 9440436 | 2025-11-30 01:39:14.326239 | 2025-10-28 16:54:37.049151 |
| 2025-11-29 08:07:39.342644 | 2025-11-30 01:39:16.841115 | 15317962 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15317962 | Athletic Physical Therapy Inc | 1963-09-25 | 2025-12-02 | M | PT | N/A | zev | XED912627946 | ari | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101557143.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9280765/check_15317962_ac672deb-a129-485f-a7b9-931cc9c51523.json | N/A | N/A | N/A | N/A | N/A | XED912627946 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-09-25 | 2001ZK002185 | X0001004 | N/A | PR | false | ZEV | N/A | ARI | N/A | 9999-12-31 | 2023-11-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395824653 | N/A | N/A | 9280765 | 2222 | 4802 | 15580412 | N/A | 7789190 | 2025-11-30 01:39:16.841115 | 2025-09-16 16:41:33.330373 |
| 2025-11-29 08:07:32.495182 | 2025-11-30 01:38:48.614915 | 15317701 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 15317701 | Athletic Physical Therapy Inc | 1966-12-04 | 2025-12-02 | M | PT | N/A | CLANCY | XDMOE0503879 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101557143.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9194927/check_15317701_c26b6f2b-960b-4070-b8d6-d736b121cef0.json | N/A | N/A | N/A | N/A | N/A | XDMOE0503879 | Health Maintenance Organization (HMO) | OPERATING ENGINEERS HEALTH&WELFARE FUND | ANTHEM BLUE CROSS | N/A | 1966-12-04 | 040 | 278671H001 | N/A | HM | false | CLANCY | N/A | JOSEPH | N/A | 9999-12-31 | 2025-02-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395825201 | N/A | N/A | 9194927 | 2222 | 4793 | 15579839 | 4184 | 7712549 | 2025-11-30 01:38:48.614915 | 2025-09-10 17:29:28.945035 |
| 2025-11-29 08:07:27.404096 | 2025-11-30 01:38:50.334659 | 15317541 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15317541 | Athletic Physical Therapy Inc | 1962-08-12 | 2025-12-02 | F | PT | N/A | SCHOLEFIELD | TRJNP1055193 | ROBIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101557143.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9087505/check_15317541_130dc551-38ea-4418-8b65-cd0317a3af97.json | N/A | N/A | N/A | N/A | N/A | TRJNP1055193 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1962-08-12 | 040 | 276727M007 | N/A | PR | false | SCHOLEFIELD | N/A | ROBIN | N/A | 9999-12-31 | 2020-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395825146 | N/A | N/A | 9087505 | 2222 | 4793 | 15579876 | N/A | 7605100 | 2025-11-30 01:38:50.334659 | 2025-09-11 15:07:41.965017 |
| 2025-11-29 08:07:25.835655 | 2025-11-30 01:33:28.514557 | 15317491 | N/A | N/A | 60054 | Aetna | 1114042165 | 15317491 | Athletic Physical Therapy Inc | 1992-08-27 | 2025-12-02 | F | AE | PT | FINLEY | W28806254401 | MICHAELA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101557143.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9081026/check_15317491_866df9a1-910b-4aae-bb57-2c3017274469.json | N/A | N/A | N/A | N/A | N/A | W288062544 | Health Maintenance Organization (HMO) | BARRETT BUSINESS SERVICES, INC. | AETNA | N/A | 1992-08-27 | EAC4D303 | 019472903500025 | N/A | HM | false | FINLEY | N/A | MICHAELA | N/A | N/A | N/A | AETNA VALUE NETWORK HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395824009 | N/A | N/A | 9081026 | 2222 | 4801 | 15573716 | N/A | 7597485 | 2025-11-30 01:33:28.514557 | 2025-09-04 15:52:15.446146 |
| 2025-11-29 08:07:25.276471 | 2025-11-30 01:37:00.176676 | 15317472 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15317472 | Athletic Physical Therapy Inc | 1951-11-24 | 2025-12-02 | F | AE | PT | SILVA | 40047267701 | ROSALIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101541218.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6445982/check_15317472_99ae2b0d-624e-4675-a466-e0cf72193b51.json | N/A | N/A | N/A | N/A | N/A | 40047267701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-11-24 | 2025H5425001 | H5425M | N/A | N/A | false | SILVA | N/A | ROSALIA | 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 | 9395829695 | N/A | N/A | 6445982 | 2222 | 4801 | 15577723 | 6237 | 5085675 | 2025-11-30 01:37:00.176676 | 2025-11-17 23:46:25.232629 |
| 2025-11-29 08:07:18.403903 | 2025-11-30 01:38:50.040519 | 15317239 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15317239 | Athletic Physical Therapy Inc | 1952-08-20 | 2025-12-02 | M | PT | N/A | POLK | MBL292M95257 | KENNETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101557143.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9022039/check_15317239_43c59d8b-2112-4025-98cd-b74f3c2471b5.json | N/A | N/A | N/A | N/A | N/A | MBL292M95257 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1952-08-20 | 040 | CAEGR002 | N/A | N/A | false | POLK | N/A | KENNETH | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395825578 | N/A | N/A | 9022039 | 2222 | 4801 | 15579868 | N/A | 7544773 | 2025-11-30 01:38:50.040519 | 2025-09-02 18:35:33.812098 |
| 2025-11-29 08:07:08.913180 | 2025-11-30 01:34:35.789801 | 15316980 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 15316980 | Athletic Physical Therapy Inc | 1950-06-01 | 2025-12-02 | F | AE | PT | MCDEVITT | H7220666800 | GUADALUPE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101541218.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6221805/check_15316980_3e89f669-cdf1-4cad-bc40-c7a21ab671aa.json | N/A | N/A | N/A | N/A | N/A | H72206668 | 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 | 1950-06-01 | N/A | 0B527001 | N/A | HN | false | MCDEVITT | N/A | GUADALUPE | 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 | 9395828764 | N/A | N/A | 6221805 | 2222 | 4801 | 15575094 | N/A | 4865742 | 2025-11-30 01:34:35.789801 | 2025-06-11 15:46:59.098537 |
| 2025-11-29 08:07:06.124125 | 2025-11-30 01:38:53.280837 | 15316890 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15316890 | Athletic Physical Therapy Inc | 1959-07-16 | 2025-12-02 | F | AE | PT | JESTER | MBL344W20467 | AUREA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101517726.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9926970/check_15316890_c22253a6-46e0-4398-9a10-fb50baaad3d6.json | N/A | N/A | N/A | N/A | N/A | MBL344W20467 | N/A | CALIFORNIA PUBLIC EMPLOYEES RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1959-07-16 | 040 | CAEGR001 | N/A | N/A | false | JESTER | N/A | AUREA | N/A | 9999-12-31 | 2024-07-01 | CA GRS CALPERS H4036-802 ANTHEM MEDICARE PREFERRED | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395840616 | N/A | N/A | 9926970 | 2222 | 4801 | 15579936 | N/A | 7624564 | 2025-11-30 01:38:53.280837 | 2025-10-06 23:19:36.703282 |
| 2025-11-29 08:07:03.062455 | 2025-11-30 01:38:53.887447 | 15316787 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15316787 | Athletic Physical Therapy Inc | 1953-11-15 | 2025-12-02 | M | AE | PT | REISMAN | WRXA13289369 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101517726.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9868746/check_15316787_ed8183f5-e504-4196-8b32-6cf36caef63b.json | N/A | N/A | N/A | N/A | N/A | WRXA13289369 | Preferred Provider Organization (PPO) | WRITERS GUILD INDUSTRY HEALTH FUND | ANTHEM BLUE CROSS | N/A | 1953-11-15 | 040 | 277242M003 | N/A | PR | false | REISMAN | N/A | MARK | N/A | 9999-12-31 | 2025-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395840597 | N/A | N/A | 9868746 | 2222 | 4802 | 15579949 | N/A | 8262262 | 2025-11-30 01:38:53.887447 | 2025-09-30 22:45:25.940454 |
| 2025-11-29 08:06:49.677444 | 2025-11-30 01:38:49.170973 | 15316414 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15316414 | Athletic Physical Therapy Inc | 2011-10-18 | 2025-12-02 | F | PT | N/A | GARCIA | LDU736A55056 | SADIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101557143.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8387470/check_15316414_36299137-2cb7-4445-b38d-e1465289599e.json | N/A | N/A | N/A | N/A | N/A | LDU736A55056 | Exclusive Provider Organization | LAUSD | ANTHEM BLUE CROSS | N/A | 2011-10-18 | 040 | 1838NJ | N/A | EP | false | GARCIA | N/A | RUBEN | N/A | 9999-12-31 | 2024-01-01 | PRUDENT BUYER EXCLUSIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395824894 | N/A | N/A | 8387470 | 2222 | 4801 | 15579847 | N/A | 5132739 | 2025-11-30 01:38:49.170973 | 2025-07-14 21:32:03.363712 |
| 2025-11-29 08:06:43.718322 | 2025-11-30 01:39:32.579112 | 15316241 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15316241 | Athletic Physical Therapy Inc | 1985-01-29 | 2025-12-02 | F | PT | N/A | MURPHY | NGO398A23229 | DARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101557143.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202094/check_15316241_4b383bde-44d1-488c-af21-14c843a54a1e.json | N/A | N/A | N/A | N/A | N/A | NGO398A23229 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORPORATION | BLUE SHIELD OF CALIFORNIA | N/A | 1985-01-29 | 040 | 174022MJAD | N/A | PR | false | MURPHY | N/A | SCOTT | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395825736 | N/A | N/A | 8202094 | 2222 | 4793 | 15580732 | N/A | 6964828 | 2025-11-30 01:39:32.579112 | 2025-08-21 15:20:41.432970 |
| 2025-11-29 08:06:38.860578 | 2025-11-30 01:36:41.228810 | 15316089 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15316089 | Athletic Physical Therapy Inc | 1994-12-09 | 2025-12-02 | F | PT | N/A | SEGURA | XDP470W14971 | YAZMIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.121123266.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12436044/check_15316089_83d8f633-6504-4667-822c-f52a8a8505a6.json | N/A | N/A | N/A | N/A | N/A | XDP470W14971 | Preferred Provider Organization (PPO) | AMALGAMATED TRANSIT UNION | ANTHEM BLUE CROSS | N/A | 1994-12-09 | 040 | 1115QA | N/A | PR | false | REEVES | N/A | ELI | N/A | 9999-12-31 | 2022-11-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395844350 | N/A | N/A | 12436044 | 2222 | 4801 | 15577386 | N/A | 10616467 | 2025-11-30 01:36:41.228810 | 2025-11-10 22:21:46.684447 |
| 2025-11-29 08:06:37.008733 | 2025-11-30 01:36:40.964287 | 15316027 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15316027 | Athletic Physical Therapy Inc | 1966-11-27 | 2025-12-02 | M | PT | N/A | RANA | 114W0187030 | AJAY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.121123266.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12428367/check_15316027_3a73eb2e-1765-4dbc-a6d2-caf8287a253d.json | N/A | N/A | N/A | N/A | N/A | 114W0187030 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-11-27 | N/A | N/A | N/A | N/A | false | RANA | N/A | AJAY | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395844342 | N/A | N/A | 12428367 | 2222 | 4801 | 15577381 | N/A | 10608476 | 2025-11-30 01:36:40.964287 | 2025-11-13 20:33:46.858153 |
| 2025-11-29 08:06:36.350461 | 2025-11-30 01:38:22.821444 | 15316005 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15316005 | Athletic Physical Therapy Inc | 1982-07-02 | 2025-12-02 | M | PT | N/A | DRISCOLL | XED912182768 | JAMES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101541218.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104970/check_15316005_1cea222b-6657-41c2-a6e0-716a34b1e0df.json | N/A | N/A | N/A | N/A | N/A | XED912182768 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1982-07-02 | 2001ZK002184 | X0001004 | N/A | PR | false | DRISCOLL | N/A | JAMES | N/A | 2025-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395828542 | N/A | N/A | 6104970 | 2222 | 4802 | 15579309 | N/A | 4749447 | 2025-11-30 01:38:22.821444 | 2025-06-06 23:16:09.869339 |
| 2025-11-29 08:06:35.414203 | 2025-11-30 01:32:29.687937 | 15315975 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 15315975 | Athletic Physical Therapy Inc | 1956-07-22 | 2025-12-02 | F | AE | PT | DURAN DE PANTOJA | 43649326 | ROSA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101557143.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8088383/check_15315975_155e6fa2-7460-486d-b6b6-3dfd5cd2ba04.json | N/A | N/A | N/A | N/A | N/A | 43649326 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1956-07-22 | 406-024-000 | N/A | N/A | N/A | false | DURAN DE PANTOJA | N/A | ROSA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395824842 | N/A | N/A | 8088383 | 2222 | 4793 | 15572539 | 6798 | 6871702 | 2025-11-30 01:32:29.687937 | 2025-08-14 21:08:52.019264 |
| 2025-11-29 08:06:34.310673 | 2025-11-30 01:32:49.160842 | 15315939 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15315939 | Athletic Physical Therapy Inc | 1950-08-09 | 2025-12-02 | M | AE | PT | Kirgizdaev | 9438168G | Bakhtiyar | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.121123266.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12407501/check_15315939_2c62ed4f-6cb5-45dd-8d5d-574eb7a0152b.json | N/A | N/A | N/A | N/A | N/A | 9438168G | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1950-08-09 | N/A | N/A | N/A | N/A | false | KIRGIZDAEV | N/A | BAKHTIYAR | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395844330 | N/A | N/A | 12407501 | 2222 | 4802 | 15572937 | 4211 | 10587374 | 2025-11-30 01:32:49.160842 | 2025-12-24 19:36:03.607867 |
| 2025-11-29 08:06:29.076450 | 2025-11-30 01:38:10.349133 | 15315777 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 15315777 | Athletic Physical Therapy Inc | 1980-08-02 | 2025-12-02 | M | AE | PT | HILTSER | 208616901 | LORNE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101557143.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8048052/check_15315777_f3de6739-d496-4ad5-b599-8e076f0a2168.json | N/A | N/A | N/A | N/A | N/A | 208616901 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1980-08-02 | N/A | 265486 | N/A | C1 | false | HILTSER | N/A | LORNE | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO GOLD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395826010 | N/A | N/A | 8048052 | 2222 | 4802 | 15579051 | 6411 | 6844134 | 2025-11-30 01:38:10.349133 | 2025-08-29 16:18:21.978739 |
| 2025-11-29 08:06:23.963064 | 2025-11-30 01:33:28.819803 | 15315644 | N/A | N/A | 60054 | Aetna | 1114042165 | 15315644 | Athletic Physical Therapy Inc | 2005-12-05 | 2025-12-02 | M | AE | PT | LEE | W46967828 | MICAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101557143.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8025873/check_15315644_7a1ad0df-2e02-4e53-ac35-6be17cc80e01.json | N/A | N/A | N/A | N/A | N/A | W46967828 | N/A | N/A | AETNA INC | N/A | 2005-12-05 | N/A | N/A | N/A | N/A | false | LEE | N/A | MICAH | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395825120 | N/A | N/A | 8025873 | 2222 | 4802 | 15573722 | N/A | 6827370 | 2025-11-30 01:33:28.819803 | 2025-08-19 17:52:17.507801 |
| 2025-11-29 08:06:20.280088 | 2025-11-30 01:33:13.907576 | 15315508 | N/A | N/A | 60054 | Aetna | 1114042165 | 15315508 | Athletic Physical Therapy Inc | 1980-12-26 | 2025-12-02 | M | AE | PT | MAHINAY | W219751013 | JASON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.121123266.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12366384/check_15315508_b86c7153-fcfa-421e-98ad-9a82b14bcd04.json | N/A | N/A | N/A | N/A | N/A | W219751013 | Point of Service (POS) | HOLTHOUSE CARLIN & VAN TRIGT LLP | AETNA | N/A | 1980-12-26 | 0803905 | 080390501200002 | N/A | PS | false | MAHINAY | N/A | JASON | 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 | 9395843631 | N/A | N/A | 12366384 | 2222 | 4793 | 15573443 | N/A | 10546247 | 2025-11-30 01:33:13.907576 | 2025-11-14 17:19:10.403651 |
| 2025-11-29 08:06:19.930570 | 2025-11-30 01:32:10.040744 | 15315495 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 15315495 | Athletic Physical Therapy Inc | 1946-11-22 | 2025-12-02 | F | AE | PT | CAPUTA | 31334080511 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101517726.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9336758/check_15315495_6ec40319-4cf7-4ccf-bf45-836862632771.json | N/A | N/A | N/A | N/A | N/A | 31334080511 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1946-11-22 | N/A | N/A | N/A | SP | false | CAPUTA | N/A | SANDRA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395842511 | N/A | N/A | 9336758 | 2222 | 4801 | 15572112 | N/A | 7835556 | 2025-11-30 01:32:10.040744 | 2025-09-12 16:59:25.752326 |
| 2025-11-29 08:06:16.761828 | 2025-11-30 01:39:15.539748 | 15315390 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15315390 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-12-02 | F | PT | N/A | GIANNE | XED910762094 | NATALIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101557143.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_15315390_08c98707-afb0-4f93-b663-2cfe2d6ea1e1.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 9999-12-31 | 2021-09-01 | IFP EMB PED VISION | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395825083 | N/A | N/A | 7994545 | 2222 | 4802 | 15580381 | N/A | 6802250 | 2025-11-30 01:39:15.539748 | 2025-08-11 23:58:28.358402 |
| 2025-11-29 08:06:13.923603 | 2025-11-30 01:38:50.612524 | 15315303 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15315303 | Athletic Physical Therapy Inc | 1963-09-19 | 2025-12-02 | M | PT | N/A | SENKUS | XDM878M77372 | TONY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101557143.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7964946/check_15315303_51e02af7-4338-4f58-993b-1d3a363653db.json | N/A | N/A | N/A | N/A | N/A | XDM878M77372 | Health Maintenance Organization (HMO) | TEAMSTERS MISC SECURITY TRUST - EARLY RETIREE | ANTHEM BLUE CROSS | N/A | 1963-09-19 | 040 | 278680H052 | N/A | HM | false | SENKUS | N/A | TONY | N/A | 9999-12-31 | 2024-10-01 | CLASSIC TRADITIONAL HMO NETWORK NON DURATIONAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395823947 | N/A | N/A | 7964946 | 2222 | 4801 | 15579881 | 4185 | 6247001 | 2025-11-30 01:38:50.612524 | 2025-07-25 21:24:35.111542 |
| 2025-11-29 08:06:05.729465 | 2025-11-30 01:38:49.685888 | 15315013 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15315013 | Athletic Physical Therapy Inc | 1950-06-21 | 2025-12-02 | M | AE | PT | Aliabadi | FJB10490729M | Hossein | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101557143.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7877206/check_15315013_c9ecbc07-0d7a-4116-a67e-60abeb461f4d.json | N/A | N/A | N/A | N/A | N/A | FJB10490729M | Preferred Provider Organization (PPO) | ALL | ANTHEM BLUE CROSS | N/A | 1950-06-21 | 101 | 174549M211 | N/A | PR | false | MANTEGHI | N/A | MEHRNAZ | N/A | 9999-12-31 | 2025-01-01 | BLUECARD PPO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395823895 | N/A | N/A | 7877206 | 2222 | 4802 | 15579858 | N/A | 6706099 | 2025-11-30 01:38:49.685888 | 2025-11-21 22:00:12.073625 |
| 2025-11-29 08:06:04.140207 | 2025-11-30 01:39:32.173534 | 15314961 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15314961 | Athletic Physical Therapy Inc | 1987-11-24 | 2025-12-02 | F | PT | N/A | Halat | FIZ100010118257 | Hooram | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101557143.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7870152/check_15314961_82a643d2-b10f-44e9-83c4-b8bf905a3e3d.json | N/A | N/A | N/A | N/A | N/A | FIZ100010118257 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS. | 1987-11-24 | N/A | N/A | N/A | PR | false | HALAT | N/A | HOORAM | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395825539 | N/A | N/A | 7870152 | 2222 | 4802 | 15580725 | N/A | 6698799 | 2025-11-30 01:39:32.173534 | 2025-08-07 18:40:53.120761 |
| 2025-11-29 08:05:58.446802 | 2025-11-30 01:33:05.650751 | 15314762 | N/A | N/A | 60054 | Aetna | 1114042165 | 15314762 | Athletic Physical Therapy Inc | 1998-11-14 | 2025-12-02 | M | AE | PT | Shirian | W742094344 | Jonathan | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101532448.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11519732/check_15314762_088dbece-2585-4cc2-b5a4-5b489c315fd2.json | N/A | N/A | N/A | N/A | N/A | W274093844 | Point of Service (POS) | CASE WESTERN RESERVE UNIVERSITY | AETNA | N/A | 1998-11-14 | 0686194 | 068619403600108 | N/A | PS | false | SHIRIAN | N/A | JONATHAN | N/A | N/A | N/A | OPEN CHOICE-EARLY ARRIVAL | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395812937 | N/A | N/A | 11519732 | 2222 | 4802 | 15573277 | N/A | 9760542 | 2025-11-30 01:33:05.650751 | 2025-10-27 21:44:20.466934 |
| 2025-11-29 08:05:55.273370 | 2025-11-30 01:36:23.188536 | 15314616 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15314616 | Athletic Physical Therapy Inc | 1971-10-19 | 2025-12-02 | F | AE | PT | Kiewe | 000032073045 | Ainat | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.121123266.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12281437/check_15314616_a7da28a0-b202-4c11-83f0-f5a909c611ba.json | N/A | N/A | N/A | N/A | N/A | 000032073045 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1971-10-19 | 4362482 | 1650095001 | N/A | N/A | false | KIEWE | N/A | AINAT | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE BRONZE 60 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395843289 | N/A | N/A | 12281437 | 2222 | 4802 | 15577084 | N/A | 10468280 | 2025-11-30 01:36:23.188536 | 2025-11-05 18:18:01.544624 |
| 2025-11-29 08:05:54.578280 | 2025-11-30 01:37:44.061032 | 15314587 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15314587 | Athletic Physical Therapy Inc | 1953-03-27 | 2025-12-02 | F | AE | PT | FINE | 00000272194 | MICHELLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101541218.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858742/check_15314587_5f52b895-8542-4488-8865-dca62ec9f5f1.json | N/A | N/A | N/A | N/A | N/A | 00000272194 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1953-03-27 | H3815028 | N/A | N/A | HM | false | FINE | N/A | MICHELLE | 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 | 9395828736 | N/A | N/A | 5858742 | 2222 | 4801 | 15578548 | 2630 | 4219630 | 2025-11-30 01:37:44.061032 | 2025-05-13 04:29:37.230672 |
| 2025-11-29 08:05:53.241792 | 2025-11-30 01:35:47.057999 | 15314525 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15314525 | Athletic Physical Therapy Inc | 1958-07-25 | 2025-12-02 | F | AE | PT | TRAN | 40058254001 | OANH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.121123266.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12272024/check_15314525_f6781055-e2db-4624-9324-33ec03967def.json | N/A | N/A | N/A | N/A | N/A | 40058254001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1958-07-25 | 2025H5425001 | H5425M | N/A | N/A | false | TRAN | N/A | OANH | 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 | 9395843278 | N/A | N/A | 12272024 | 2222 | 4801 | 15576485 | 6237 | 10459569 | 2025-11-30 01:35:47.057999 | 2025-11-05 16:33:57.136921 |
| 2025-11-29 08:05:52.714716 | 2025-11-30 01:39:16.204894 | 15314501 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15314501 | Athletic Physical Therapy Inc | 1960-11-25 | 2025-12-02 | F | PT | N/A | LEE | XEK914494143 | BARBARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101557143.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7791429/check_15314501_f0b5ec4c-70df-4467-87da-11fcee611129.json | N/A | N/A | N/A | N/A | N/A | XEK914494143 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1960-11-25 | 2001ZK002189 | X0001000 | N/A | PR | false | LEE | N/A | BARBARA | N/A | N/A | N/A | IFP EMB PED VISION | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395824622 | N/A | N/A | 7791429 | 2222 | 4793 | 15580391 | N/A | 6634957 | 2025-11-30 01:39:16.204894 | 2025-08-18 18:53:04.814231 |
| 2025-11-29 08:05:51.612698 | 2025-11-30 01:37:50.774178 | 15314450 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15314450 | Athletic Physical Therapy Inc | 1972-07-02 | 2025-12-02 | F | AE | PT | Batra | 000022291228 | Anuradha | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101532448.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11466567/check_15314450_74869489-b0be-45c3-8414-18927200228b.json | N/A | N/A | N/A | N/A | N/A | 000022291228 | N/A | N/A | SELF-FUNDED/KPIC | ASO - SELF FUNDED | 1972-07-02 | 4161897 | 230283 | N/A | N/A | false | BATRA | N/A | ANURADHA | N/A | N/A | N/A | KAISER PERMANENTE SELF-FUNDED NBU NBU PO MID ACTIV | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395812518 | N/A | N/A | 11466567 | 2222 | 4802 | 15578684 | N/A | 9715446 | 2025-11-30 01:37:50.774178 | 2025-10-24 23:56:29.543956 |
| 2025-11-29 08:05:50.072278 | 2025-11-30 01:38:04.421158 | 15314376 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15314376 | Athletic Physical Therapy Inc | 1956-10-03 | 2025-12-02 | F | PT | N/A | NIELSEN | MBL578W09588 | KIMBERLEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101532448.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11462282/check_15314376_ffae5199-08a8-483d-b32a-dbbebecdd4dd.json | N/A | N/A | N/A | N/A | N/A | MBL578W09588 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1956-10-03 | 040 | CAEGR002 | N/A | N/A | false | NIELSEN | N/A | KIMBERLEY | N/A | 9999-12-31 | 2021-10-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395812498 | N/A | N/A | 11462282 | 2222 | 4801 | 15578948 | N/A | 9712126 | 2025-11-30 01:38:04.421158 | 2025-11-07 02:53:21.972143 |
| 2025-11-29 08:05:46.372533 | 2025-11-30 01:38:38.679527 | 15314181 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15314181 | Athletic Physical Therapy Inc | 1961-06-24 | 2025-12-02 | M | PT | N/A | RAY | PAS838471972 | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101532448.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11420779/check_15314181_47f9e744-2279-4067-adcd-174c906f5a98.json | N/A | N/A | N/A | N/A | N/A | PAS838471972 | Preferred Provider Organization (PPO) | WEST HEALTH CARE NETWORK | BLUE SHIELD OF CALIFORNIA | N/A | 1961-06-24 | N/A | 152001 | N/A | PR | false | RAY | N/A | JOHN | N/A | 9999-12-31 | 2025-06-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395811236 | N/A | N/A | 11420779 | 2222 | 4801 | 15579638 | N/A | 9673427 | 2025-11-30 01:38:38.679527 | 2025-11-03 19:27:12.288254 |
| 2025-11-29 08:05:43.927383 | 2025-11-30 01:39:14.049028 | 15314065 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15314065 | Athletic Physical Therapy Inc | 1955-11-13 | 2025-12-02 | F | AE | PT | GRANT | XEM910029614 | ROBIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101517726.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8493312/check_15314065_80df5037-49bd-4ee5-8db0-2229514e2114.json | N/A | N/A | N/A | N/A | N/A | XEM910029614 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-11-13 | 2002SE000030 | X0001002 | N/A | OT | false | GRANT | N/A | ROBIN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395841114 | N/A | N/A | 8493312 | 2222 | 4802 | 15580357 | N/A | 7159835 | 2025-11-30 01:39:14.049028 | 2025-08-25 22:38:59.735145 |
| 2025-11-29 08:05:42.304038 | 2025-11-30 01:33:05.335383 | 15313982 | N/A | N/A | 60054 | Aetna | 1114042165 | 15313982 | Athletic Physical Therapy Inc | 1980-11-22 | 2025-12-02 | F | AE | PT | LEE | W170593107 | VIVIAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251129.101532448.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11398810/check_15313982_366d7b96-24d3-40ee-8980-94bd7817be3a.json | N/A | N/A | N/A | N/A | N/A | W170593107 | Point of Service (POS) | ADP TOTALSOURCE SERVICES, INC. | AETNA | N/A | 1980-11-22 | 0251371 | 025137101500044 | N/A | PS | false | TAM | N/A | JIMMY | N/A | N/A | N/A | OPEN ACCESS MC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395812698 | N/A | N/A | 11398810 | 2222 | 4793 | 15573270 | N/A | 9658574 | 2025-11-30 01:33:05.335383 | 2025-12-02 16:17:29.671080 |