API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-29 08:05:41.738283 | 2025-11-30 01:37:58.496858 | 15313953 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 15313953 | Athletic Physical Therapy Inc | 1946-04-03 | 2025-12-02 | F | PT | OBLINGER | JQS491M78254 | MARIA | N/A | 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/2222/5676340/check_15313953_d2f446e0-67e8-4a6e-97ed-95e69ebee123.json | N/A | N/A | N/A | N/A | N/A | JQS491M78254 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1946-04-03 | 040 | CAMCRWP0 | N/A | MP | false | OBLINGER | N/A | MARIA | 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 | 9395828143 | N/A | N/A | 5676340 | 2222 | 4793 | 15578839 | 4184 | 4210531 | 2025-11-30 01:37:58.496858 | 2025-12-09 17:09:13.960610 |
| 2025-11-29 08:05:34.258893 | 2025-11-30 01:33:05.051958 | 15313609 | N/A | N/A | 60054 | AETNA - PPO | 1114042165 | 15313609 | Athletic Physical Therapy Inc | 1987-06-04 | 2025-12-02 | F | AE | Kramer | W25290479102 | Aleah | PT | 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/2222/11314808/check_15313609_717c28ea-0e48-48ca-81de-0bc9fa04ada7.json | N/A | N/A | N/A | N/A | N/A | W252904791 | Health Maintenance Organization (HMO) | AUCTANE, INC. | AETNA | N/A | 1987-06-04 | EABWOX11 | 023181301100001 | N/A | HM | false | MCGEE | N/A | PETER | N/A | N/A | N/A | HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395813203 | N/A | N/A | 11314808 | 2222 | 4802 | 15573264 | 3948 | 9379901 | 2025-11-30 01:33:05.051958 | 2025-10-21 18:31:35.446245 |
| 2025-11-29 08:05:33.300123 | 2025-11-30 01:38:25.876229 | 15313559 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15313559 | Athletic Physical Therapy Inc | 1956-10-11 | 2025-12-02 | M | PT | Bou Chacra | XED912823926 | Akram | N/A | 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/2222/11201492/check_15313559_fd302427-5cdf-44c8-b851-83e7183c546a.json | N/A | N/A | N/A | N/A | N/A | XED912823926 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1956-10-11 | 2001ZK002185 | X0001004 | N/A | PR | false | BOU CHACRA | N/A | AKRAM | N/A | 9999-12-31 | 2024-01-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395813190 | N/A | N/A | 11201492 | 2222 | 4793 | 15579373 | N/A | 9540458 | 2025-11-30 01:38:25.876229 | 2025-10-26 04:16:16.050614 |
| 2025-11-29 08:05:24.671860 | 2025-11-30 01:32:55.332852 | 15313060 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15313060 | Athletic Physical Therapy Inc | 1986-10-29 | 2025-12-02 | M | AE | DEROOS | 182788571 | SEAN | PT | 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/2222/5551009/check_15313060_ea428046-cc63-4ae2-b570-62f7637a9cad.json | N/A | N/A | N/A | N/A | N/A | 182788571 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 1986-10-29 | 18126CA001000101 | QMXEM01910 | N/A | N/A | false | DEROOS | N/A | SEAN | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395828489 | N/A | N/A | 5551009 | 2222 | 4802 | 15573071 | 4211 | 4219827 | 2025-11-30 01:32:55.332852 | 2025-10-31 23:39:58.530194 |
| 2025-11-29 08:05:24.449579 | 2025-11-30 01:38:23.389100 | 15313047 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15313047 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-12-02 | F | PT | PANDYA | XEA913306283 | DHARA | N/A | 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/2222/5550845/check_15313047_63ca42dc-1935-44b0-a5b7-0efe048e05d9.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1975-08-17 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2024-06-03 | HSA RATED | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395828488 | N/A | N/A | 5550845 | 2222 | 4801 | 15579322 | N/A | 4219713 | 2025-11-30 01:38:23.389100 | 2025-08-13 22:46:55.732965 |
| 2025-11-29 08:05:24.155211 | 2025-11-30 01:32:56.451242 | 15313029 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15313029 | Athletic Physical Therapy Inc | 1990-11-12 | 2025-12-02 | F | AE | SIMONS | 94378141G | DESIREE | PT | 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/2222/5550102/check_15313029_7d7336fe-f2b5-4441-bb95-a6ae5a2bfe81.json | N/A | N/A | N/A | N/A | N/A | 94378141G | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1990-11-12 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | SIMONS | N/A | DESIREE | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395828487 | N/A | N/A | 5550102 | 2222 | 4802 | 15573096 | 4211 | 4212176 | 2025-11-30 01:32:56.451242 | 2025-05-13 04:29:37.226514 |
| 2025-11-29 08:05:23.967208 | 2025-11-30 01:37:58.209152 | 15313017 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15313017 | Athletic Physical Therapy Inc | 1955-03-15 | 2025-12-02 | F | PT | MORTENSEN | MBL800W05634 | JEANIE | N/A | 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/2222/5549946/check_15313017_8f989fc3-6a58-4609-b335-ed3c56f87c8f.json | N/A | N/A | N/A | N/A | N/A | MBL800W05634 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1955-03-15 | 040 | CAEGR005 | N/A | N/A | false | MORTENSEN | N/A | JEANIE | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395828486 | N/A | N/A | 5549946 | 2222 | 4801 | 15578833 | N/A | 4219431 | 2025-11-30 01:37:58.209152 | 2025-12-01 18:45:07.315802 |
| 2025-11-29 08:05:23.749338 | 2025-11-30 01:37:55.383856 | 15313003 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15313003 | Athletic Physical Therapy Inc | 1955-10-09 | 2025-12-02 | M | PT | COE | JQS589W10732 | SCOTT | N/A | 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/2222/5549514/check_15313003_c4fa854b-545e-430a-b0ec-eb1cd6e38f52.json | N/A | N/A | N/A | N/A | N/A | JQS589W10732 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1955-10-09 | 040 | CAMCRWP0 | N/A | MP | false | COE | N/A | SCOTT | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395828485 | N/A | N/A | 5549514 | 2222 | 4801 | 15578777 | 4185 | 4219161 | 2025-11-30 01:37:55.383856 | 2025-10-16 23:24:12.118501 |
| 2025-11-29 08:05:23.489177 | 2025-11-30 01:33:27.691178 | 15312986 | N/A | N/A | 60054 | Aetna | 1114042165 | 15312986 | Athletic Physical Therapy Inc | 1968-10-14 | 2025-12-02 | F | AE | CARLSON | W161554352 | CYNTHIA | PT | 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/2222/5549080/check_15312986_f8886cad-f656-42e4-ab0d-ad951b64198d.json | N/A | N/A | N/A | N/A | N/A | W161554352 | Point of Service (POS) | UBS FINANCIAL SERVICES INC. | AETNA | N/A | 1968-10-14 | 0880791 | 088079102500011 | N/A | PS | false | CARLSON | N/A | CYNTHIA | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395828484 | N/A | N/A | 5549080 | 2222 | 4801 | 15573699 | N/A | 4218812 | 2025-11-30 01:33:27.691178 | 2025-05-13 04:29:37.229807 |
| 2025-11-29 08:05:23.175749 | 2025-11-30 01:37:33.729965 | 15312966 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15312966 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-12-02 | M | AE | FORTIN | R14644640MS1 | NATHANIEL | PT | 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/2222/5543425/check_15312966_10cacd2a-3e8c-4f92-bc09-43b629e70af3.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | K96 SBGHMOWC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395828482 | N/A | N/A | 5543425 | 2222 | 4801 | 15578332 | 4625 | 4215211 | 2025-11-30 01:37:33.729965 | 2026-04-02 22:30:20.020246 |
| 2025-11-29 08:05:22.881508 | 2025-11-30 01:37:56.029666 | 15312947 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15312947 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-12-02 | F | PT | DAKE | SIF326M90066 | RENEE | N/A | 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/2222/5543355/check_15312947_22ab1913-3f05-4d5c-882f-f3170ced1285.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | Preferred Provider Organization (PPO) | SISC - MEADOWS ARTS & TECH ELEMENTARY SCHOOL | ANTHEM BLUE CROSS | N/A | 1968-01-29 | 040 | 40424B | N/A | PR | false | DAKE | N/A | RENEE | N/A | 9999-12-31 | 2018-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395828481 | N/A | N/A | 5543355 | 2222 | 4793 | 15578789 | N/A | 4215158 | 2025-11-30 01:37:56.029666 | 2025-05-13 04:29:37.229475 |
| 2025-11-29 08:05:22.648152 | 2025-11-30 01:38:23.102956 | 15312934 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15312934 | Athletic Physical Therapy Inc | 1987-10-17 | 2025-12-02 | F | PT | PATEL | XEA910759571 | MAMTABEN | N/A | 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/2222/5543327/check_15312934_aa0b0c09-4945-47b7-8815-eff734d78c67.json | N/A | N/A | N/A | N/A | N/A | XEA910759571 | Preferred Provider Organization (PPO) | RELATIVITY SPACE INC | BLUE SHIELD CALIFORNIA | N/A | 1987-10-17 | 1000PPOX0004 | W0071038 | N/A | PR | false | KROL | N/A | JEREMY | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1650 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395828479 | N/A | N/A | 5543327 | 2222 | 4802 | 15579317 | N/A | 4215137 | 2025-11-30 01:38:23.102956 | 2025-10-13 23:09:53.444170 |
| 2025-11-29 08:05:22.398110 | 2025-11-30 01:37:58.817123 | 15312920 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15312920 | Athletic Physical Therapy Inc | 1963-10-10 | 2025-12-02 | F | PT | RUEGGER | MPI01409385Q | ANNE | N/A | 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/2222/5542955/check_15312920_97b49886-1fc2-4975-af71-8247f3b7ddad.json | N/A | N/A | N/A | N/A | N/A | MPI01409385Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN - RETIREE | ANTHEM BLUE CROSS | N/A | 1963-10-10 | 040 | 277163M406 | N/A | PR | false | RUEGGER | N/A | THOMAS | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395828478 | N/A | N/A | 5542955 | 2222 | 4793 | 15578846 | N/A | 4214809 | 2025-11-30 01:37:58.817123 | 2025-06-05 16:00:56.918021 |
| 2025-11-29 08:05:22.383144 | 2025-11-30 01:37:13.999656 | 15312919 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15312919 | Athletic Physical Therapy Inc | 1954-02-02 | 2025-12-02 | F | AE | CORNEL | 40037363901 | GLORIA | PT | 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/2222/11111720/check_15312919_53f77136-5ff3-4a9b-ad06-aade9710340d.json | N/A | N/A | N/A | N/A | N/A | 40037363901 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1954-02-02 | 2025H5425001 | H5425M | N/A | N/A | false | CORNEL | N/A | GLORIA | 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 | 9395812449 | N/A | N/A | 11111720 | 2222 | 4801 | 15577967 | N/A | 9461873 | 2025-11-30 01:37:13.999656 | 2025-10-28 18:04:57.630831 |
| 2025-11-29 08:05:22.052661 | 2025-11-30 01:33:28.297258 | 15312899 | N/A | N/A | 60054 | Aetna | 1114042165 | 15312899 | Athletic Physical Therapy Inc | 1982-02-18 | 2025-12-02 | M | AE | TORGAN | W291598583 | SPENCER | PT | 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/2222/5542863/check_15312899_09615ace-93ea-4ca2-b128-20267007695e.json | N/A | N/A | N/A | N/A | N/A | W291598583 | Point of Service (POS) | MORGAN STANLEY DOMESTIC HOLDINGS, L | AETNA | N/A | 1982-02-18 | 0868849 | 086884901000001 | N/A | PS | false | TORGAN | N/A | SPENCER | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395828477 | N/A | N/A | 5542863 | 2222 | 4793 | 15573713 | N/A | 4214725 | 2025-11-30 01:33:28.297258 | 2025-05-13 04:29:37.229043 |
| 2025-11-29 08:05:21.782186 | 2025-11-30 01:37:59.524126 | 15312888 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15312888 | Athletic Physical Therapy Inc | 1949-06-30 | 2025-12-02 | F | PT | STEWART | WSP370A66341 | ALBERTA | N/A | 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/2222/5542834/check_15312888_5fe5bd98-7601-4aef-bc50-78f6716c7ba8.json | N/A | N/A | N/A | N/A | N/A | WSP370A66341 | N/A | ELEVANCE HEALTH | ANTHEM BLUE CROSS | N/A | 1949-06-30 | 130 | IN002GRS | N/A | N/A | false | STEWART | N/A | ALBERTA | N/A | 9999-12-31 | 2021-01-01 | IN GRS ELEVANCE HEALTH H4036-801 ANTHEM MED PREFER | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395828476 | N/A | N/A | 5542834 | 2222 | 4801 | 15578859 | N/A | 4214700 | 2025-11-30 01:37:59.524126 | 2025-05-13 04:29:37.229017 |
| 2025-11-29 08:05:21.625752 | 2025-11-30 01:32:55.601472 | 15312878 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15312878 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-12-02 | F | AE | HAMI | 92932800G | FARIBA | PT | 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/2222/5542611/check_15312878_30aece74-4c4e-4a8e-9b3e-cef81df1d444.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MEDICARE PART AB CI003 | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1960-09-15 | BP0001 | QMXEM01909 | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | 2078-12-31 | 2025-11-01 | DUAL ELIGIBLE AGED - MSP - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395828475 | N/A | N/A | 5542611 | 2222 | 4802 | 15573078 | 4211 | 4214490 | 2025-11-30 01:32:55.601472 | 2025-05-13 04:29:37.228806 |
| 2025-11-29 08:05:21.397807 | 2025-11-30 01:32:55.885271 | 15312868 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15312868 | Athletic Physical Therapy Inc | 1975-03-26 | 2025-12-02 | F | AE | HEYES | 95596436F | DARCIE | PT | 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/2222/5542233/check_15312868_fb9baa1c-c9c0-4099-9eec-b4c37e35683b.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1975-03-26 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | 2078-12-31 | 2024-04-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395828474 | N/A | N/A | 5542233 | 2222 | 4793 | 15573085 | 4211 | 4214178 | 2025-11-30 01:32:55.885271 | 2025-05-13 04:29:37.228506 |
| 2025-11-29 08:05:21.192279 | 2025-11-30 01:32:56.149895 | 15312857 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15312857 | Athletic Physical Therapy Inc | 1961-02-27 | 2025-12-02 | M | AE | SHRIVER | 90771207E | DANIEL | PT | 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/2222/5541984/check_15312857_209f9c49-238a-4aef-8cd7-71020f4feff0.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-02-27 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | SHRIVER | N/A | DANIEL | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395828471 | N/A | N/A | 5541984 | 2222 | 4802 | 15573091 | 4211 | 4213934 | 2025-11-30 01:32:56.149895 | 2026-01-27 23:36:44.802366 |
| 2025-11-29 08:05:20.996880 | 2025-11-30 01:37:57.656183 | 15312845 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15312845 | Athletic Physical Therapy Inc | 2009-08-02 | 2025-12-02 | F | PT | KUZMICZ | LFYHC0059374 | AUDREY | N/A | 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/2222/5541748/check_15312845_6b3f71ce-7234-438e-9bcd-ac98ee702dbd.json | N/A | N/A | N/A | N/A | N/A | LFYHC0059374 | Preferred Provider Organization (PPO) | LOS ANGELES FIREMENS RELIEF ASSOCIATION | ANTHEM BLUE CROSS | N/A | 2009-08-02 | 040 | 282527M001 | N/A | PR | false | KUZMICZ | N/A | CHRISTOPHER | N/A | 9999-12-31 | 2020-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395828470 | N/A | N/A | 5541748 | 2222 | 4801 | 15578821 | N/A | 4213741 | 2025-11-30 01:37:57.656183 | 2025-10-10 22:38:21.840610 |
| 2025-11-29 08:05:20.776286 | 2025-11-30 01:37:33.996361 | 15312832 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15312832 | Athletic Physical Therapy Inc | 1985-02-07 | 2025-12-02 | F | AE | SHEPHERD | 93180838F | EMILY | PT | 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/2222/5541519/check_15312832_025992d3-b45e-41f2-911f-87e53cb75c3e.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | HEALTH NET, LLC | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395828469 | N/A | N/A | 5541519 | 2222 | 4802 | 15578338 | 4625 | 4213530 | 2025-11-30 01:37:33.996361 | 2025-05-13 04:29:37.227860 |
| 2025-11-29 08:05:20.584416 | 2025-11-30 01:36:59.882686 | 15312823 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15312823 | Athletic Physical Therapy Inc | 1946-11-23 | 2025-12-02 | F | AE | POLAK | 40047825101 | JOANNA | PT | 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/2222/5541023/check_15312823_71ddf792-c585-498c-9250-b2d7e8c331da.json | N/A | N/A | N/A | N/A | N/A | 40047825101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1946-11-23 | 2025H5425006 | H5425M | N/A | N/A | false | POLAK | N/A | JOANNA | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395828468 | N/A | N/A | 5541023 | 2222 | 4793 | 15577718 | 6237 | 4213093 | 2025-11-30 01:36:59.882686 | 2025-05-13 04:29:37.227419 |
| 2025-11-29 08:05:20.372870 | 2025-11-30 01:37:56.846845 | 15312812 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15312812 | Athletic Physical Therapy Inc | 1995-06-07 | 2025-12-02 | M | PT | Greathouse | MPI30458946Q | Kheperan | N/A | 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/2222/5540871/check_15312812_941d03ea-2eaa-4a61-b74d-cb8390c04f7a.json | N/A | N/A | N/A | N/A | N/A | MPI30458946Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1995-06-07 | 040 | 277163M402 | N/A | PR | false | GREATHOUSE | N/A | KHEPERAN | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395828467 | N/A | N/A | 5540871 | 2222 | 4793 | 15578804 | N/A | 4212959 | 2025-11-30 01:37:56.846845 | 2025-10-17 20:08:21.136268 |
| 2025-11-29 08:05:20.219136 | 2025-11-30 01:36:59.346254 | 15312804 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15312804 | Athletic Physical Therapy Inc | 1956-07-18 | 2025-12-02 | M | AE | BELL | 40055462001 | LOWELL | PT | 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/2222/5540339/check_15312804_688ba7ec-3e7b-4a54-95af-b60ab5138e56.json | N/A | N/A | N/A | N/A | N/A | 40055462001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-07-18 | 2025H5425097VEF | H5425CSNP | N/A | N/A | false | BELL | N/A | LOWELL | N/A | N/A | N/A | SCAN STRIVE (HMO SNP), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395828466 | N/A | N/A | 5540339 | 2222 | 4801 | 15577708 | N/A | 4212512 | 2025-11-30 01:36:59.346254 | 2025-11-04 22:17:35.476315 |
| 2025-11-29 08:05:20.049131 | 2025-11-30 01:37:50.525331 | 15312792 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15312792 | Athletic Physical Therapy Inc | 2008-01-19 | 2025-12-02 | F | AE | GONZALEZ | 002526618 | CAITLIN | PT | 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/2222/11087501/check_15312792_6805012b-4fcf-4519-b2a0-ccfd21e53983.json | N/A | N/A | N/A | N/A | N/A | 002526618 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 2008-01-19 | N/A | N/A | N/A | N/A | false | GONZALEZ | N/A | CAITLIN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395811739 | N/A | N/A | 11087501 | 2222 | 4801 | 15578678 | N/A | 9440359 | 2025-11-30 01:37:50.525331 | 2025-10-27 23:07:07.958316 |
| 2025-11-29 08:05:19.956123 | 2025-11-30 01:37:55.076447 | 15312788 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15312788 | Athletic Physical Therapy Inc | 1955-11-11 | 2025-12-02 | F | PT | CALDERON | JQU450A75837 | DEBBIE | N/A | 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/2222/5540282/check_15312788_c23a5800-e4b5-424a-b0d1-f0a92cf189a8.json | N/A | N/A | N/A | N/A | N/A | JQU450A75837 | Preferred Provider Organization (PPO) | ELKINS KALT WEINTRAUB REU | ANTHEM BLUE CROSS | N/A | 1955-11-11 | 040 | 494793 | N/A | PR | false | CALDERON | N/A | DEBBIE | N/A | 2025-12-01 | 2024-12-01 | ANTHEM GOLD PPO 30/500/20% RXD | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395828465 | N/A | N/A | 5540282 | 2222 | 4802 | 15578769 | N/A | 4212465 | 2025-11-30 01:37:55.076447 | 2025-05-13 04:29:37.226801 |
| 2025-11-29 08:05:19.697806 | 2025-11-30 01:37:59.115388 | 15312773 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15312773 | Athletic Physical Therapy Inc | 1961-10-29 | 2025-12-02 | F | PT | STEWARD | NCF874A20085 | ANDREA | N/A | 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/2222/5539556/check_15312773_539b076d-f7f7-433f-aa87-8e323d116800.json | N/A | N/A | N/A | N/A | N/A | NCF874A20085 | Health Maintenance Organization (HMO) | LACERS- LOS ANGELES CITY RETIREMENT SYSTEMS | ANTHEM BLUE CROSS | N/A | 1961-10-29 | 040 | 57ABBA | N/A | HM | false | STEWARD | N/A | ANDREA | N/A | 9999-12-31 | 2017-04-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395828464 | N/A | N/A | 5539556 | 2222 | 4801 | 15578852 | N/A | 4211841 | 2025-11-30 01:37:59.115388 | 2025-10-23 18:30:51.891275 |
| 2025-11-29 08:05:19.450067 | 2025-11-30 01:33:28.003394 | 15312758 | N/A | N/A | 60054 | Aetna | 1114042165 | 15312758 | Athletic Physical Therapy Inc | 1992-03-04 | 2025-12-02 | M | AE | INCHALIK | W291674431 | BENJAMIN | PT | 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/2222/5538651/check_15312758_cb907053-37bc-4f97-b715-b82b23e80716.json | N/A | N/A | N/A | N/A | N/A | W291674431 | Point of Service (POS) | FIGS, INC. | AETNA | N/A | 1992-03-04 | 0251488 | 025148801200001 | N/A | PS | false | INCHALIK | N/A | BENJAMIN | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395828463 | N/A | N/A | 5538651 | 2222 | 4802 | 15573706 | N/A | 4211040 | 2025-11-30 01:33:28.003394 | 2025-05-13 04:29:37.225445 |
| 2025-11-29 08:05:19.174326 | 2025-11-30 01:37:57.102147 | 15312743 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15312743 | Athletic Physical Therapy Inc | 1995-11-17 | 2025-12-02 | M | PT | HAMILTON | KZU14135950E | JAMES | N/A | 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/2222/5538409/check_15312743_06c72d27-fe02-412a-a965-594996705b97.json | N/A | N/A | N/A | N/A | N/A | KZU14135950E | Preferred Provider Organization (PPO) | AEROVIRONMENT INC | ANTHEM BLUE CROSS | N/A | 1995-11-17 | 040 | 277825M007 | N/A | PR | false | HAMILTON | N/A | JAMES | N/A | 9999-12-31 | 2022-10-10 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395828462 | N/A | N/A | 5538409 | 2222 | 4801 | 15578809 | N/A | 4210828 | 2025-11-30 01:37:57.102147 | 2025-05-13 04:29:37.225234 |
| 2025-11-29 08:05:18.967685 | 2025-11-30 01:37:56.478146 | 15312731 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15312731 | Athletic Physical Therapy Inc | 2006-06-08 | 2025-12-02 | M | PT | DATO | NGO555A50496 | LUKE | N/A | 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/2222/5538229/check_15312731_71f07ccb-99ac-4d64-9f35-fc42e229f70c.json | N/A | N/A | N/A | N/A | N/A | NGO555A50496 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORPORATION | ANTHEM BLUE CROSS | N/A | 2006-06-08 | 040 | 174022MJAD | N/A | PR | false | DATO | N/A | GREGORY | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395828461 | N/A | N/A | 5538229 | 2222 | 4793 | 15578796 | N/A | 4210676 | 2025-11-30 01:37:56.478146 | 2026-05-21 21:09:28.809390 |
| 2025-11-29 08:05:18.815637 | 2025-11-30 01:37:57.361868 | 15312724 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15312724 | Athletic Physical Therapy Inc | 1952-06-27 | 2025-12-02 | F | PT | KEYLON | JOS346M97871 | SYLVIA | N/A | 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/2222/5537990/check_15312724_9b7cf13a-bb84-4249-85e1-d663639dd01d.json | N/A | N/A | N/A | N/A | N/A | JQS346M97871 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-06-27 | 040 | CAMCRWP0 | N/A | MP | false | KEYLON | N/A | SYLVIA | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395828460 | N/A | N/A | 5537990 | 2222 | 4801 | 15578815 | N/A | 4210479 | 2025-11-30 01:37:57.361868 | 2025-11-25 04:56:21.589579 |
| 2025-11-29 08:05:18.577519 | 2025-11-30 01:38:23.668994 | 15312712 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15312712 | Athletic Physical Therapy Inc | 1980-08-15 | 2025-12-02 | F | PT | SNELL | XED912271222 | NICOLE | N/A | 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/2222/5537740/check_15312712_ecd2e97f-f2c8-49ec-bcfe-d6e83fd1c28a.json | N/A | N/A | N/A | N/A | N/A | XED912271222 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-08-15 | 2001ZK002185 | X0001004 | N/A | PR | false | SNELL | N/A | NICOLE | N/A | 9999-12-31 | 2023-06-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395828459 | N/A | N/A | 5537740 | 2222 | 4802 | 15579329 | N/A | 4210260 | 2025-11-30 01:38:23.668994 | 2025-05-13 04:29:37.224672 |
| 2025-11-29 08:05:18.323475 | 2025-11-30 01:36:59.602789 | 15312696 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15312696 | Athletic Physical Therapy Inc | 1957-02-16 | 2025-12-02 | F | AE | OSE | 40050866601 | KAREN | PT | 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/2222/5537366/check_15312696_2097bf06-ad00-4c17-ac64-a691e45929a3.json | N/A | N/A | N/A | N/A | N/A | 40050866601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1957-02-16 | 2025H5425001 | H5425M | N/A | N/A | false | OSE | N/A | KAREN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395828458 | N/A | N/A | 5537366 | 2222 | 4793 | 15577715 | N/A | 4209945 | 2025-11-30 01:36:59.602789 | 2025-08-13 22:24:17.841096 |
| 2025-11-29 08:05:18.032889 | 2025-11-30 01:37:55.662119 | 15312680 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 15312680 | Athletic Physical Therapy Inc | 1957-04-03 | 2025-12-02 | M | PT | CRUZ CHEVEZ | JQW952W07822 | RICARDO | N/A | 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/2222/5537237/check_15312680_d7aa5bc4-8acf-4750-a1e5-c943707c7482.json | N/A | N/A | N/A | N/A | N/A | JQW952W07822 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1957-04-03 | 040 | CAMCRWP0 | N/A | MP | false | CRUZ CHEVEZ | N/A | RICARDO | N/A | 2025-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395828457 | N/A | N/A | 5537237 | 2222 | 4793 | 15578784 | 4184 | 4209841 | 2025-11-30 01:37:55.662119 | 2025-10-22 16:05:52.993032 |
| 2025-11-29 08:05:17.866552 | 2025-11-30 01:37:57.914400 | 15312672 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15312672 | Athletic Physical Therapy Inc | 1954-03-31 | 2025-12-02 | M | PT | MILES | MBL835W05431 | KEITH | N/A | 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/2222/5536896/check_15312672_0561392c-2020-42b9-90e2-587495e9b47c.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395828454 | N/A | N/A | 5536896 | 2222 | 4793 | 15578828 | N/A | 4209567 | 2025-11-30 01:37:57.914400 | 2025-05-13 04:29:37.223990 |
| 2025-11-29 08:05:12.225878 | 2025-11-30 01:38:38.369883 | 15312411 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15312411 | Athletic Physical Therapy Inc | 1994-07-04 | 2025-12-02 | M | PT | Daich | JQY912W17468 | Austin | N/A | 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/2222/11001702/check_15312411_12d7d1f7-a91e-463f-a19d-64f7289d64ab.json | N/A | N/A | N/A | N/A | N/A | JQY912W17468 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | BLUE SHIELD OF CALIFORNIA | N/A | 1994-07-04 | 040 | 476522 | N/A | PR | false | DAICH | N/A | AUSTIN | N/A | 2026-01-01 | 2025-09-01 | ANTHEM SILVER SELECT PPO HSA/H 2000/3300/4000 35% | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395812415 | N/A | N/A | 11001702 | 2222 | 4802 | 15579636 | N/A | 9234161 | 2025-11-30 01:38:38.369883 | 2025-10-15 16:55:10.102836 |
| 2025-11-29 08:04:58.817218 | 2025-11-30 01:37:14.817127 | 15311800 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15311800 | Athletic Physical Therapy Inc | 1943-02-06 | 2025-12-02 | F | AE | TIPPITT | 40065208701 | SHIRLEY | PT | 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/2222/10305383/check_15311800_137b7578-6da6-4803-840d-6f8def28d11b.json | N/A | N/A | N/A | N/A | N/A | 40065208701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1943-02-06 | 2025H5425001 | H5425M | N/A | N/A | false | TIPPITT | N/A | SHIRLEY | 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 | 9395812332 | N/A | N/A | 10305383 | 2222 | 4793 | 15577983 | N/A | 8574477 | 2025-11-30 01:37:14.817127 | 2025-10-22 02:47:47.756973 |
| 2025-11-29 08:04:50.142960 | 2025-11-30 01:32:30.615318 | 15311399 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15311399 | Athletic Physical Therapy Inc | 1983-05-09 | 2025-12-02 | F | AE | RAJCIC | 622299781 | MAJA | PT | 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/2222/10172287/check_15311399_89d4c3e1-afc0-4fe1-b68a-8e356224e864.json | N/A | N/A | N/A | N/A | N/A | 622299781 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 1983-05-09 | 18126CA001000101 | QMXEM01910 | N/A | N/A | false | RAJCIC | N/A | MAJA | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395813059 | N/A | N/A | 10172287 | 2222 | 4802 | 15572558 | 4211 | 8473558 | 2025-11-30 01:32:30.615318 | 2025-10-10 16:40:45.584452 |
| 2025-11-29 08:04:45.621033 | 2025-11-30 01:34:12.541098 | 15311170 | N/A | N/A | 61101 | HUMANA | 1114042165 | 15311170 | Athletic Physical Therapy Inc | 1935-03-07 | 2025-12-02 | F | AE | MYERS | H6760956100 | LILA | PT | 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/2222/12016953/check_15311170_e7c27e67-b930-4e49-8f30-afd4e3c06f56.json | N/A | N/A | N/A | N/A | N/A | H67609561 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 465 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 | 1935-03-07 | N/A | 0B617001 | N/A | HN | false | MYERS | N/A | LILA | N/A | N/A | N/A | HUMANA HONOR | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395844196 | N/A | N/A | 12016953 | 2222 | 4793 | 15574593 | 5349 | 10238684 | 2025-11-30 01:34:12.541098 | 2025-10-31 23:14:33.453582 |
| 2025-11-29 08:04:43.781999 | 2025-11-30 01:33:04.661316 | 15311094 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 15311094 | override_provider | 1962-11-20 | 2025-12-02 | M | PT | HEDRICK | HFD100011207755 | MICHEL | N/A | 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/2222/12015999/check_15311094_7b3cfd61-b20e-4b0c-bdbe-20e3e2d38314.json | N/A | N/A | N/A | N/A | N/A | HFD100011207755 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | RESPONSES TO ALL FUTURE DATED INQUIRIES ARE BASED ON THE PATIENT'S CURRENT BENEFITS AND ARE SUBJECT TO CHANGE. 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. | 1962-11-20 | N/A | N/A | N/A | PR | false | HEDRICK | N/A | MICHEL | 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 | 9395843902 | N/A | N/A | 12015999 | 2222 | 4801 | 15573258 | N/A | 4210286 | 2025-11-30 01:33:04.661316 | 2025-11-14 03:16:19.994419 |
| 2025-11-29 08:04:43.384822 | 2025-11-30 01:38:03.752948 | 15311072 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15311072 | Athletic Physical Therapy Inc | 1976-08-13 | 2025-12-02 | F | PT | GODWIN | JPU097W07528 | CASSANDRA | N/A | 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/2222/10090153/check_15311072_cb3d9058-c3ec-4e80-acd8-742b6a22f501.json | N/A | N/A | N/A | N/A | N/A | JPU097W07528 | Preferred Provider Organization (PPO) | MAJCO LLC | ANTHEM BLUE CROSS | N/A | 1976-08-13 | 040 | 281949M014 | N/A | PR | false | GODWIN | N/A | CASSANDRA | N/A | 9999-12-31 | 2023-06-01 | SOLUTION PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395811541 | N/A | N/A | 10090153 | 2222 | 4801 | 15578937 | N/A | 8428668 | 2025-11-30 01:38:03.752948 | 2025-10-12 20:55:35.014952 |
| 2025-11-29 08:04:42.681825 | 2025-11-30 01:36:41.479176 | 15311040 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15311040 | Athletic Physical Therapy Inc | 1994-07-03 | 2025-12-02 | M | PT | STEALEY | JQU013W15922 | JACOB | N/A | 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/2222/12010678/check_15311040_b266d9ee-6eab-4866-8107-f95e937472e4.json | N/A | N/A | N/A | N/A | N/A | JQU013W15922 | Preferred Provider Organization (PPO) | THE SAW, INC | ANTHEM BLUE CROSS | N/A | 1994-07-03 | 040 | K45474 | N/A | PR | false | STEALEY | N/A | JACOB | N/A | 9999-12-31 | 2025-02-01 | CA SG ANTHEM PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395843897 | N/A | N/A | 12010678 | 2222 | 4801 | 15577391 | N/A | 10232475 | 2025-11-30 01:36:41.479176 | 2025-11-01 00:03:21.076437 |
| 2025-11-29 08:04:41.767638 | 2025-11-30 01:38:38.968372 | 15310989 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15310989 | Athletic Physical Therapy Inc | 1980-07-16 | 2025-12-02 | M | PT | RUIZ | NCF895A77221 | MIGUEL | N/A | 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/2222/10079070/check_15310989_489fddb8-0c64-4365-abf9-5b76a26e4dd8.json | N/A | N/A | N/A | N/A | N/A | JMV895A77221 | Health Maintenance Organization (HMO) | CALIFORNIA LUTHERAN UNIVERSITY | BLUE SHIELD OF CALIFORNIA | N/A | 1980-07-16 | 040 | 284935H007 | N/A | HM | false | RUIZ | N/A | MIGUEL | N/A | 9999-12-31 | 2024-06-01 | ELEMENTS CHOICE HMO TRADITIONAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395811513 | N/A | N/A | 10079070 | 2222 | 4801 | 15579645 | N/A | 8422749 | 2025-11-30 01:38:38.968372 | 2025-10-09 18:37:11.515124 |
| 2025-11-29 08:04:37.862230 | 2025-11-30 01:35:15.726737 | 15310776 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15310776 | Athletic Physical Therapy Inc | 1986-11-30 | 2025-12-02 | F | AE | Kapsman | 0000000000 | Alia | PT | 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/2222/13444338/check_15310776_dab17985-3c22-4dce-bcc5-daca154d43d3.json | N/A | N/A | N/A | N/A | N/A | 0000000000 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1986-11-30 | N/A | N/A | N/A | N/A | false | KAPSMAN | N/A | ALIA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395833048 | N/A | N/A | 13444338 | 2222 | 4802 | 15575889 | 4211 | 11604567 | 2025-11-30 01:35:15.726737 | 2026-02-04 19:41:52.179287 |
| 2025-11-29 08:04:25.745559 | 2025-11-30 01:39:16.595671 | 15310148 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15310148 | Athletic Physical Therapy Inc | 1996-08-01 | 2025-12-02 | M | PT | Prichard | XED910420685 | Riley | N/A | 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/2222/7449872/check_15310148_0cba4fe6-0394-401e-a40a-7b2e8ca63736.json | N/A | N/A | N/A | N/A | N/A | XED910420685 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1996-08-01 | 2001ZK002184 | X0001004 | N/A | PR | false | PRICHARD | N/A | RILEY | N/A | 2025-12-31 | 2025-01-01 | SILVER 94 PPO JAN25 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395825405 | N/A | N/A | 7449872 | 2222 | 4802 | 15580403 | N/A | 6399679 | 2025-11-30 01:39:16.595671 | 2025-07-24 23:16:22.582609 |
| 2025-11-29 08:04:16.732720 | 2025-11-30 01:41:19.332448 | 15309652 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15309652 | Athletic Physical Therapy Inc | 1973-12-16 | 2025-12-02 | M | PT | PAKANATI | ZYF260M98532 | RAMGOPAL | N/A | 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/2222/13386966/check_15309652_bff58276-85cc-498b-880c-a6b6681b5785.json | N/A | N/A | N/A | N/A | N/A | ZYF260M98532 | Preferred Provider Organization (PPO) | MANAGEMENT | ANTHEM BLUE CROSS | N/A | 1973-12-16 | 040 | 174257M2A1 | N/A | PR | false | PAKANATI | N/A | JYOTHI | N/A | 9999-12-31 | 2025-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395832816 | N/A | N/A | 13386966 | 2222 | 4801 | 15582871 | N/A | 11532449 | 2025-11-30 01:41:19.332448 | 2025-11-25 20:32:49.288912 |
| 2025-11-29 08:04:16.221922 | 2025-11-30 01:38:24.810333 | 15309623 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15309623 | Athletic Physical Therapy Inc | 1966-07-12 | 2025-12-02 | M | AE | Cohn | R06589895MM1 | David | PT | 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/2222/7315101/check_15309623_3d58c82c-3240-4507-b129-9346fede00ee.json | N/A | N/A | N/A | N/A | N/A | R06589895MM1 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1966-07-12 | N/A | CA05620125 | N/A | N/A | false | COHN | N/A | DAVID | N/A | N/A | N/A | WELLCARE SIMPLE FOCUS (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395824547 | N/A | N/A | 7315101 | 2222 | 4802 | 15579350 | 4625 | 6152454 | 2025-11-30 01:38:24.810333 | 2025-07-17 21:44:04.596080 |
| 2025-11-29 08:04:12.890663 | 2025-11-30 01:38:04.093213 | 15309486 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15309486 | Athletic Physical Therapy Inc | 1954-02-05 | 2025-12-02 | M | PT | HERNANDEZ | NCF335A78493 | FELIPE | N/A | 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/2222/9857185/check_15309486_a7b9e20a-06f1-431c-8d5e-92054c3acc50.json | N/A | N/A | N/A | N/A | N/A | NCF335A78493 | Health Maintenance Organization (HMO) | CITY OF LOS ANGELES | ANTHEM BLUE CROSS | N/A | 1954-02-05 | 040 | 280612H004 | N/A | HM | false | HERNANDEZ | N/A | FELIPE | N/A | 9999-12-31 | 2017-10-18 | PREMIER SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9395811930 | N/A | N/A | 9857185 | 2222 | 4793 | 15578943 | N/A | 8252801 | 2025-11-30 01:38:04.093213 | 2026-02-23 23:58:40.440949 |
| 2025-11-29 08:04:06.287164 | 2025-11-30 01:32:57.330046 | 15309243 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15309243 | Athletic Physical Therapy Inc | 1976-02-07 | 2025-12-02 | F | AE | MALTSEVA | 94237973H65017 | YEVHENIIA | PT | 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/2222/7253095/check_15309243_3e417501-dd08-4c6d-b486-6b118b833925.json | N/A | N/A | N/A | N/A | N/A | 94237973H65017 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1976-02-07 | N/A | N/A | N/A | N/A | false | MALTSEVA | N/A | YEVHENIIA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395825926 | N/A | N/A | 7253095 | 2222 | 4802 | 15573113 | 4211 | 6219145 | 2025-11-30 01:32:57.330046 | 2025-07-21 16:40:35.276086 |
| 2025-11-29 08:04:04.993916 | 2025-11-30 01:36:22.440015 | 15309197 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15309197 | Athletic Physical Therapy Inc | 1952-10-12 | 2025-12-02 | F | AE | Abraha | 22679175290 | Tarik | PT | 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/2222/11843086/check_15309197_d9d4487d-d66e-4502-964b-b854c6ebf903.json | N/A | N/A | N/A | N/A | N/A | 22679175290 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1952-10-12 | N/A | N/A | N/A | N/A | false | ABRAHA | N/A | TARIK | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9395843562 | N/A | N/A | 11843086 | 2222 | 4802 | 15577074 | N/A | 10074998 | 2025-11-30 01:36:22.440015 | 2025-10-29 23:19:49.535455 |