API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-28 08:13:16.943729 | 2025-11-29 01:37:42.279613 | 15287649 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15287649 | Athletic Physical Therapy Inc | 1957-05-05 | 2025-12-01 | F | PT | HOUSTON | TRJNP0019401 | VELINA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111521610.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12244725/check_15287649_9c91ffab-f75c-41d2-a8cd-8f533ed7a6ee.json | N/A | N/A | N/A | N/A | N/A | TRJNP0019401 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1957-05-05 | 040 | 276727M001 | N/A | PR | false | HOUSTON | N/A | VELINA | N/A | 9999-12-31 | 2012-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9390318818 | N/A | N/A | 12244725 | 2222 | 4802 | 15551267 | N/A | 9637804 | 2025-11-29 01:37:42.279613 | 2026-04-24 18:56:42.779565 |
| 2025-11-28 08:12:25.093120 | 2025-11-29 01:34:40.679224 | 15287323 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 15287323 | Athletic Physical Therapy Inc | 1954-02-10 | 2025-12-01 | F | AE | SHARMA | H74807838 | MONIKA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111521610.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12113464/check_15287323_dcbf7694-ffb6-4676-b78b-7c897b902b18.json | N/A | N/A | N/A | N/A | N/A | H74807838 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1954-02-10 | N/A | 0B666001 | N/A | HN | false | SHARMA | N/A | MONIKA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390319570 | N/A | N/A | 12113464 | 2222 | 4801 | 15548512 | N/A | 10330803 | 2025-11-29 01:34:40.679224 | 2025-11-03 22:25:23.404066 |
| 2025-11-28 08:11:59.374731 | 2025-11-29 01:37:58.749684 | 15287163 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15287163 | Athletic Physical Therapy Inc | 2008-04-21 | 2025-12-01 | M | PT | LANDIS | XED906560014 | BRONN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111521610.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12097539/check_15287163_58affbe6-9e48-4843-bf65-16fa638e7261.json | N/A | N/A | N/A | N/A | N/A | XED906560014 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-04-21 | 2001ZK002187 | X0001004 | N/A | PR | false | LANDIS | N/A | KIPP | N/A | 2027-04-30 | 2023-03-01 | IFP EMB PED VISION | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9390319770 | N/A | N/A | 12097539 | 2222 | 4793 | 15551500 | N/A | 10315576 | 2025-11-29 01:37:58.749684 | 2025-11-14 23:13:16.002759 |
| 2025-11-28 08:11:58.776396 | 2025-11-29 01:36:43.247414 | 15287161 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15287161 | Athletic Physical Therapy Inc | 1952-03-06 | 2025-12-01 | M | AE | E Sack | 40039993001 | Robert | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111521610.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12096570/check_15287161_ea31db70-89d9-4585-b0f9-9df1a808773f.json | N/A | N/A | N/A | N/A | N/A | 40039993001 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | E SACK | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390319768 | N/A | N/A | 12096570 | 2222 | 4793 | 15550379 | N/A | 10314571 | 2025-11-29 01:36:43.247414 | 2026-01-04 16:54:02.110823 |
| 2025-11-28 08:11:36.898195 | 2025-11-28 08:12:15.986738 | 15287037 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2025-12-01 | M | AE | HOLGUIN | 1407861520 | VINCENT | PT | 6341 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_15287037_7ec31575-bf78-486f-8355-d395641c16b8.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-12-01 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2025-11-28 08:12:15.986738 | 2025-11-11 01:01:48.778756 |
| 2025-11-28 08:10:34.425346 | 2025-11-29 01:37:40.950690 | 15286682 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15286682 | Athletic Physical Therapy Inc | 1965-07-12 | 2025-12-01 | F | PT | BENSON | NCF361A559000 | ELIZABETH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111521610.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11917007/check_15286682_5ff99d2e-e839-48ea-8b65-45357af00f9a.json | N/A | N/A | N/A | N/A | N/A | NCF361A559000 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1965-07-12 | N/A | N/A | N/A | N/A | false | BENSON | N/A | ELIZABETH | 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 | 9390320047 | N/A | N/A | 11917007 | 2222 | 4793 | 15551245 | 4185 | 10144918 | 2025-11-29 01:37:40.950690 | 2025-11-17 16:03:18.208475 |
| 2025-11-28 08:10:28.673449 | 2025-11-29 01:38:02.649848 | 15286615 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15286615 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-12-01 | M | AE | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111517223.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6528155/check_15286615_d522cf1c-2773-4d59-afd6-539169d866a6.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-11-24 | N/A | N/A | N/A | N/A | false | BLANCHFIELD | N/A | THOMAS | N/A | 9999-12-31 | 2024-07-01 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390311314 | N/A | N/A | 6528155 | 2222 | 4793 | 15551550 | 4185 | 4214447 | 2025-11-29 01:38:02.649848 | 2026-04-23 20:11:34.441054 |
| 2025-11-28 08:10:17.431881 | 2025-11-29 01:38:04.665117 | 15286443 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15286443 | Athletic Physical Therapy Inc | 1951-03-27 | 2025-12-01 | F | AE | Jaude | JQE818A61594 | Anne | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111517223.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6125110/check_15286443_58b80258-09a7-49a4-9217-59546023cd8d.json | N/A | N/A | N/A | N/A | N/A | JQE818A61594 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1951-03-27 | N/A | N/A | N/A | N/A | false | JAUDE | N/A | ANNE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390311260 | N/A | N/A | 6125110 | 2222 | 4802 | 15551576 | N/A | 4767362 | 2025-11-29 01:38:04.665117 | 2025-09-19 16:49:18.601418 |
| 2025-11-28 08:09:57.828173 | 2025-11-29 01:38:05.383724 | 15286171 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15286171 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-12-01 | F | AE | MARTIN | DGA11867912J | DOLLY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111517223.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550799/check_15286171_4eee0b13-2872-4dbd-aa44-2d0271c77817.json | N/A | N/A | N/A | N/A | N/A | DGA11867912J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | MEDICARE B | N/A | 1944-09-13 | 040 | 276945M001 | N/A | PR | false | MARTIN | N/A | DOLLY | N/A | 9999-12-31 | 2013-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390312016 | N/A | N/A | 5550799 | 2222 | 4793 | 15551587 | N/A | 4219681 | 2025-11-29 01:38:05.383724 | 2026-01-14 20:54:02.193776 |
| 2025-11-28 08:09:57.735944 | 2025-11-29 01:38:03.320455 | 15286170 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15286170 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-12-01 | F | AE | BRADBURY | JQE669W05502 | BONNIE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111517223.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550535/check_15286170_d513d848-9649-4c7b-aa2d-aa6dea300427.json | N/A | N/A | N/A | N/A | N/A | JQE669W05502 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-06-01 | 040 | CASUPWP0 | N/A | N/A | false | BRADBURY | N/A | BONNIE | N/A | 9999-12-31 | 2022-12-01 | CA PLAN F INNOVATIVE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390312015 | N/A | N/A | 5550535 | 2222 | 4801 | 15551557 | N/A | 4219556 | 2025-11-29 01:38:03.320455 | 2025-05-13 04:29:37.230592 |
| 2025-11-28 08:09:57.616963 | 2025-11-29 01:38:04.965637 | 15286169 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15286169 | Athletic Physical Therapy Inc | 1959-12-29 | 2025-12-01 | F | AE | LYGA | LPZ819A58009 | LISA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111517223.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549257/check_15286169_d130536c-ae4b-4404-b448-70bbef7c3cfa.json | N/A | N/A | N/A | N/A | N/A | LPZ819A58009 | Preferred Provider Organization (PPO) | LOS ANGELES POLICE RELIEF ASN INC | MEDICARE D | N/A | 1959-12-29 | 040 | 1841UV | N/A | PR | false | LYGA | N/A | FRANK | N/A | 9999-12-31 | 2024-12-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390312014 | N/A | N/A | 5549257 | 2222 | 4801 | 15551582 | N/A | 4218962 | 2025-11-29 01:38:04.965637 | 2025-05-13 04:29:37.229978 |
| 2025-11-28 08:09:57.325815 | 2025-11-29 01:38:04.289385 | 15286164 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15286164 | Athletic Physical Therapy Inc | 1948-08-18 | 2025-12-01 | M | AE | EDA | 776A78714 | MASAAKI | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111517223.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543332/check_15286164_8480d414-cf9f-4787-b058-e7c86683aa43.json | N/A | N/A | N/A | N/A | N/A | 776A78714 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1948-08-18 | N/A | N/A | N/A | N/A | false | EDA | N/A | MASAAKI | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390312009 | N/A | N/A | 5543332 | 2222 | 4802 | 15551571 | N/A | 4215140 | 2025-11-29 01:38:04.289385 | 2025-05-13 04:29:37.229453 |
| 2025-11-28 08:09:57.213573 | 2025-11-29 01:38:06.503763 | 15286163 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15286163 | Athletic Physical Therapy Inc | 1949-07-06 | 2025-12-01 | M | AE | SILVERMAN | XDD460A67934 | LAWRENCE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111517223.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541611/check_15286163_73883e78-2095-4173-afe8-181d6b6a3337.json | N/A | N/A | N/A | N/A | N/A | XDD460A67934 | Supplemental Policy | LOS ANGELES COUNTY EMPLOYEE RETIREMENT ASSOC | MEDICARE B | N/A | 1949-07-06 | 040 | 1264MD | N/A | SP | false | SILVERMAN | N/A | LAWRENCE | N/A | 9999-12-31 | 2016-04-01 | MEDICARE SUPPLEMENT-PBP PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390312008 | N/A | N/A | 5541611 | 2222 | 4793 | 15551603 | N/A | 4213611 | 2025-11-29 01:38:06.503763 | 2025-05-13 04:29:37.227938 |
| 2025-11-28 08:09:57.120999 | 2025-11-29 01:38:03.939628 | 15286162 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15286162 | Athletic Physical Therapy Inc | 1952-12-18 | 2025-12-01 | F | AE | DU BRIN | JQE162M93481 | SUSAN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111517223.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538605/check_15286162_cd73b992-dd8e-4b1a-ab32-9d6f315e76da.json | N/A | N/A | N/A | N/A | N/A | JQE162M93481 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-12-18 | 040 | CASUPWP0 | N/A | N/A | false | DU BRIN | N/A | SUSAN | N/A | 9999-12-31 | 2021-03-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390312006 | N/A | N/A | 5538605 | 2222 | 4793 | 15551565 | N/A | 4210998 | 2025-11-29 01:38:03.939628 | 2026-02-23 18:49:01.874308 |
| 2025-11-28 08:09:57.014930 | 2025-11-29 01:38:06.031953 | 15286161 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15286161 | Athletic Physical Therapy Inc | 1945-03-19 | 2025-12-01 | F | AE | ROSS | JQU064A62211 | MARTHA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111517223.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536304/check_15286161_affd6e7e-ab49-4bf5-b777-6258f56870ab.json | N/A | N/A | N/A | N/A | N/A | JQU064A62211 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1945-03-19 | 040 | 07MS00 | N/A | N/A | false | ROSS | N/A | MARTHA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390312005 | N/A | N/A | 5536304 | 2222 | 4802 | 15551592 | N/A | 4209073 | 2025-11-29 01:38:06.031953 | 2025-11-19 19:47:03.642493 |
| 2025-11-28 08:09:56.842643 | 2025-11-29 01:32:09.815286 | 15286160 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 15286160 | Athletic Physical Therapy Inc | 1939-10-22 | 2025-12-01 | M | AE | ODONNELL | 02722745411 | JOHN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111517223.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535496/check_15286160_9b74ae9f-c381-4490-87a9-85f3f1f4b3a6.json | N/A | N/A | N/A | N/A | N/A | 02722745411 | 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. | 1939-10-22 | N/A | N/A | N/A | SP | false | O DONNELL | N/A | JOHN | 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 | 9390312004 | N/A | N/A | 5535496 | 2222 | 4802 | 15546227 | N/A | 4208408 | 2025-11-29 01:32:09.815286 | 2025-05-13 04:29:37.222823 |
| 2025-11-28 08:09:30.111008 | 2025-11-29 01:36:44.052973 | 15285842 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15285842 | Athletic Physical Therapy Inc | 1952-06-27 | 2025-12-01 | M | AE | WEST | 40065315001 | KIRK | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111521610.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11799742/check_15285842_755df544-9bf9-47f9-9729-34fc94f786c3.json | N/A | N/A | N/A | N/A | N/A | 40065315001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-06-27 | 2025H5425001 | H5425M | N/A | N/A | false | WEST | N/A | KIRK | 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 | 9390319176 | N/A | N/A | 11799742 | 2222 | 4801 | 15550388 | N/A | 10033486 | 2025-11-29 01:36:44.052973 | 2025-11-04 21:34:59.842331 |
| 2025-11-28 08:09:29.957106 | 2025-11-29 01:39:05.182668 | 15285839 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15285839 | Athletic Physical Therapy Inc | 1961-03-12 | 2025-12-01 | F | PT | MCNUTT | XED904914958 | YOLANDA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111531407.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6668755/check_15285839_08d4259d-ebea-49c0-997d-4c46f60db07f.json | N/A | N/A | N/A | N/A | N/A | XED904914958 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-03-12 | 2001ZK002184 | X0001004 | N/A | PR | false | FERNANDEZ-MCNUTT | N/A | YOLANDA | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED VISION | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9390302643 | N/A | N/A | 6668755 | 2222 | 4801 | 15552408 | N/A | 5282877 | 2025-11-29 01:39:05.182668 | 2025-07-01 15:56:36.473431 |
| 2025-11-28 08:09:21.774961 | 2025-11-29 01:38:11.690350 | 15285609 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15285609 | Athletic Physical Therapy Inc | 1936-04-15 | 2025-12-01 | F | AE | MCCRAY | C4003524401 | ELIZABETH | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111531407.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583817/check_15285609_3a6f1b0a-ad85-4902-8ca6-459df3dd8cd0.json | N/A | N/A | N/A | N/A | N/A | C4003524401 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1936-04-15 | N/A | CA05620125 | N/A | N/A | false | MCCRAY | N/A | ELIZABETH | 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 | 9390303019 | N/A | N/A | 6583817 | 2222 | 4802 | 15551679 | N/A | 5202575 | 2025-11-29 01:38:11.690350 | 2025-09-17 19:56:42.576499 |
| 2025-11-28 08:09:06.751443 | 2025-11-29 01:46:24.764479 | 15285148 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15285148 | Athletic Physical Therapy Inc | 1952-02-16 | 2025-12-01 | M | AE | Scott | XEM911093537 | Alan Timothy | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111513209.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12010278/check_15285148_449651f0-0ad8-4d0e-a749-a94fea3c3238.json | N/A | N/A | N/A | N/A | N/A | XEM911093537 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1952-02-16 | 2004SE000030 | X0001002 | N/A | OT | false | HOWARD | N/A | NANCY | 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 | 9390299990 | N/A | N/A | 12010278 | 2222 | 4802 | 15556890 | N/A | 10232028 | 2025-11-29 01:46:24.764479 | 2025-11-05 23:04:36.909932 |
| 2025-11-28 08:08:42.703021 | 2025-11-29 01:32:31.957931 | 15284460 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 15284460 | Athletic Physical Therapy Inc | 1962-06-24 | 2025-12-01 | F | AE | GOMEZ | 44116442 | CAROL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111531407.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6434660/check_15284460_df039121-6dea-4346-931a-c64377f940ce.json | N/A | N/A | N/A | N/A | N/A | 44116442 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1962-06-24 | 406-024-000 | N/A | N/A | N/A | false | GOMEZ | N/A | CAROL | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390302932 | N/A | N/A | 6434660 | 2222 | 4801 | 15546608 | 6798 | 5079832 | 2025-11-29 01:32:31.957931 | 2025-06-23 20:02:36.660262 |
| 2025-11-28 08:08:41.288089 | 2025-11-29 01:40:25.535671 | 15284405 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15284405 | Athletic Physical Therapy Inc | 1971-06-05 | 2025-12-01 | F | PT | MENDELSON | XEK913483846 | SHARON | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111524997.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8224045/check_15284405_1c78d54f-982b-4682-9b39-af0d1371d18d.json | N/A | N/A | N/A | N/A | N/A | XEK913483846 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1971-06-05 | 2001ZK002189 | X0001000 | N/A | PR | false | MENDELSON | N/A | SIMON | N/A | 2025-12-31 | 2025-01-01 | BRONZE 60 PPO JAN25 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9390295481 | N/A | N/A | 8224045 | 2222 | 4802 | 15553387 | N/A | 6981160 | 2025-11-29 01:40:25.535671 | 2025-08-26 21:16:15.557856 |
| 2025-11-28 08:08:37.106325 | 2025-11-29 01:37:42.008922 | 15284258 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15284258 | Athletic Physical Therapy Inc | 1957-11-01 | 2025-12-01 | F | PT | Hennes | JEXNP2009208 | Valerie | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111521610.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11463855/check_15284258_f2f97549-ac69-4cda-b3aa-c045602b1b74.json | N/A | N/A | N/A | N/A | N/A | JEXNP2009208 | Exclusive Provider Organization | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1957-11-01 | 040 | 276727M003 | N/A | EP | false | HENNES | N/A | VALERIE | N/A | 9999-12-31 | 2021-09-01 | USC EPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9390319955 | N/A | N/A | 11463855 | 2222 | 4801 | 15551263 | N/A | 9713608 | 2025-11-29 01:37:42.008922 | 2025-11-13 07:29:15.484206 |
| 2025-11-28 08:08:35.142396 | 2025-11-29 01:32:46.813792 | 15284183 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15284183 | Athletic Physical Therapy Inc | 2001-06-21 | 2025-12-01 | M | AE | RAFIEI | 92836714F | SAM | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111524997.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173002/check_15284183_fa4df5cb-b071-49cc-bf13-2ab1c45b2f0f.json | N/A | N/A | N/A | N/A | N/A | 92836714F | 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) | 2001-06-21 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | RAFIEI | N/A | SAM | N/A | 2078-12-31 | 2024-02-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390295825 | N/A | N/A | 8173002 | 2222 | 4793 | 15546874 | 4211 | 6939518 | 2025-11-29 01:32:46.813792 | 2025-08-18 21:40:08.349494 |
| 2025-11-28 08:08:34.431000 | 2025-11-29 01:36:08.237574 | 15284153 | N/A | N/A | 47027 | Physicians Mutual Insurance Company | 1114042165 | 15284153 | Athletic Physical Therapy Inc | 1949-08-12 | 2025-12-01 | F | AE | NAGLE | H730115547 | JAMES | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111513209.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11457995/check_15284153_06ee6066-d6c7-4f1e-a900-91a5cee24bea.json | N/A | N/A | N/A | N/A | N/A | H730115547 | N/A | N/A | PHYSICIANS MUTUAL | PAYMENT NOT GUARANTEED; BENEFITS SUBJECT TO CLAIM APPROVAL | 1949-08-12 | N/A | N/A | N/A | N/A | false | NAGLE | N/A | JAMES | N/A | N/A | N/A | MEDICARE SUPPLEMENT 2020 PLAN F | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390298876 | N/A | N/A | 11457995 | 2222 | 4801 | 15549838 | N/A | 9707473 | 2025-11-29 01:36:08.237574 | 2026-02-05 20:49:45.747494 |
| 2025-11-28 08:08:27.095500 | 2025-11-29 01:33:11.226232 | 15283891 | N/A | N/A | 60054 | Aetna | 1114042165 | 15283891 | Athletic Physical Therapy Inc | 1991-08-09 | 2025-12-01 | M | AE | TORIO | W287278504 | MICHAEL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111531407.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6235883/check_15283891_f07d9277-df88-4319-9ec2-3609483e30f8.json | N/A | N/A | N/A | N/A | N/A | W287278504 | Point of Service (POS) | COADVANTAGE RESOURCES, INC. | AETNA | N/A | 1991-08-09 | 0159468 | 015946801000034 | N/A | PS | false | TORIO | N/A | MICHAEL | 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 | 9390303303 | N/A | N/A | 6235883 | 2222 | 4802 | 15547272 | N/A | 4883697 | 2025-11-29 01:33:11.226232 | 2025-07-08 14:55:53.397662 |
| 2025-11-28 08:08:24.043705 | 2025-11-29 01:45:10.434684 | 15283791 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15283791 | Athletic Physical Therapy Inc | 1952-02-16 | 2025-12-01 | F | AE | TEGNAZIAN | XEM905436040 | TERRY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111513209.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11358336/check_15283791_df5a6051-7ab4-495b-a367-3035bd1bc66c.json | N/A | N/A | N/A | N/A | N/A | XEM905436040 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1952-02-16 | 2004SF000029 | X0001002 | N/A | OT | false | WHITTLE | N/A | SCOTT | 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 | 9390299742 | N/A | N/A | 11358336 | 2222 | 4802 | 15556494 | N/A | 9629500 | 2025-11-29 01:45:10.434684 | 2025-10-22 16:05:53.920196 |
| 2025-11-28 08:08:22.781526 | 2025-11-29 01:34:54.995724 | 15283752 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 15283752 | Athletic Physical Therapy Inc | 1947-04-26 | 2025-12-01 | F | AE | BARCENES | H9209970900 | IRENE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111531407.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6231314/check_15283752_98ca5b26-b4fa-4e3b-9363-00f19fcbc935.json | N/A | N/A | N/A | N/A | N/A | H92099709 | 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 | 1947-04-26 | N/A | 0B527001 | N/A | HN | false | BARCENES DES | N/A | IRENE | 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 | 9390303276 | N/A | N/A | 6231314 | 2222 | 4801 | 15548733 | N/A | 4219033 | 2025-11-29 01:34:54.995724 | 2025-05-13 04:29:37.230052 |
| 2025-11-28 08:08:21.811690 | 2025-11-29 01:46:27.937869 | 15283722 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15283722 | Athletic Physical Therapy Inc | 1959-04-01 | 2025-12-01 | M | PT | MOYER | W0051411 | STEVEN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111513209.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11282027/check_15283722_59e75898-db9e-4eba-9fe4-b3acc4c263d6.json | N/A | N/A | N/A | N/A | N/A | W0051411 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1959-04-01 | N/A | N/A | N/A | N/A | false | MOYER | N/A | STEVEN | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9390300754 | N/A | N/A | 11282027 | 2222 | 4801 | 15556908 | N/A | 9581032 | 2025-11-29 01:46:27.937869 | 2025-10-21 22:24:54.464325 |
| 2025-11-28 08:08:17.217947 | 2025-11-29 01:39:11.753167 | 15283583 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15283583 | Athletic Physical Therapy Inc | 2014-05-21 | 2025-12-01 | M | PT | CHYNOWETH | JQU148M89680 | DAMIAN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111524997.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8027485/check_15283583_9f621883-aa65-4019-add7-e8d1af1ea557.json | N/A | N/A | N/A | N/A | N/A | JQU148M89680 | Preferred Provider Organization (PPO) | ELECTRIC POWER GROUP | ANTHEM BLUE CROSS | N/A | 2014-05-21 | 040 | 345735 | N/A | PR | false | CHYNOWETH | N/A | JOSHUA | N/A | 9999-12-31 | 2025-05-01 | ANTHEM GOLD PPO 30/500/20% | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9390297196 | N/A | N/A | 8027485 | 2222 | 4793 | 15552489 | N/A | 6828971 | 2025-11-29 01:39:11.753167 | 2025-09-02 17:27:57.794692 |
| 2025-11-28 08:08:16.815806 | 2025-11-29 01:45:07.329825 | 15283570 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15283570 | Athletic Physical Therapy Inc | 1942-02-01 | 2025-12-01 | F | AE | CHANG | JQE101W06364 | QUANG | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111513209.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11159407/check_15283570_9783e6c1-eec2-4a81-950a-991689d0bb32.json | N/A | N/A | N/A | N/A | N/A | JQE101W06364 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1942-02-01 | 040 | CASUPWP0 | N/A | N/A | false | CHANG | N/A | QUANG CHAN | N/A | 9999-12-31 | 2021-01-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390300721 | N/A | N/A | 11159407 | 2222 | 4793 | 15556475 | N/A | 9505845 | 2025-11-29 01:45:07.329825 | 2026-04-29 00:06:17.964395 |
| 2025-11-28 08:08:15.863866 | 2025-11-29 01:46:26.215265 | 15283540 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15283540 | Athletic Physical Therapy Inc | 1942-12-02 | 2025-12-01 | M | AE | Lawrence | JOE083M00118 | Harvey | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111513209.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11156182/check_15283540_cfa9ef21-cf7b-4c99-8ba4-27949ff09583.json | N/A | N/A | N/A | N/A | N/A | JOE083M00118 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1942-12-02 | N/A | N/A | N/A | N/A | false | LAWRENCE | N/A | HARVEY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390300716 | N/A | N/A | 11156182 | 2222 | 4802 | 15556895 | N/A | 9502693 | 2025-11-29 01:46:26.215265 | 2025-12-16 19:10:22.413376 |
| 2025-11-28 08:08:12.218154 | 2025-11-29 01:32:55.399893 | 15283408 | N/A | N/A | 60054 | Aetna | 1114042165 | 15283408 | Athletic Physical Therapy Inc | 2011-12-20 | 2025-12-01 | M | AE | NAQVI | W295996740 | KAZIM | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111521610.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11417253/check_15283408_3b81345f-772a-4308-af48-0f5a5c1e9130.json | N/A | N/A | N/A | N/A | N/A | W295996740 | Point of Service (POS) | SHI INTERNATIONAL CORP. | AETNA | N/A | 2011-12-20 | 0308616 | 030861601600001 | N/A | PS | false | NAQVI | N/A | SYED | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390319018 | N/A | N/A | 11417253 | 2222 | 4793 | 15547038 | N/A | 9671738 | 2025-11-29 01:32:55.399893 | 2025-10-29 22:32:21.591395 |
| 2025-11-28 08:08:10.794319 | 2025-11-29 01:37:31.801991 | 15283354 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15283354 | Athletic Physical Therapy Inc | 1956-05-08 | 2025-12-01 | F | AE | COPLIN | 00000378130 | DEBRA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111521610.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11415453/check_15283354_e047ea65-33b7-4ea1-bada-769fc863d087.json | N/A | N/A | N/A | N/A | N/A | 00000378130 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-05-08 | H3815028 | N/A | N/A | HM | false | COPLIN | N/A | DEBRA | 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 | 9390320280 | N/A | N/A | 11415453 | 2222 | 4801 | 15551107 | 2630 | 9670237 | 2025-11-29 01:37:31.801991 | 2025-11-03 23:57:15.890657 |
| 2025-11-28 08:08:10.204711 | 2025-11-29 01:37:41.747583 | 15283333 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15283333 | Athletic Physical Therapy Inc | 1954-03-01 | 2025-12-01 | M | PT | FELLOWS | 805A6921930 | WILLIAM | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111521610.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11415367/check_15283333_1e0d1229-6ce0-4933-aaa2-ba91dc5e67c3.json | N/A | N/A | N/A | N/A | N/A | 805A6921930 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-03-01 | N/A | N/A | N/A | N/A | false | FELLOWS | N/A | WILLIAM | 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 | 9390320278 | N/A | N/A | 11415367 | 2222 | 4801 | 15551258 | 4185 | 9670147 | 2025-11-29 01:37:41.747583 | 2025-10-23 23:05:46.960193 |
| 2025-11-28 08:08:06.875070 | 2025-11-29 01:38:10.914228 | 15283220 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15283220 | Athletic Physical Therapy Inc | 1981-12-16 | 2025-12-01 | F | AE | DE FELICE | R07457624FM1 | CHRISTINA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111531407.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140436/check_15283220_a85b54aa-ca5c-4b6d-820a-93b0ba6aae5f.json | N/A | N/A | N/A | N/A | N/A | R07457624FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1981-12-16 | N/A | N/A | N/A | N/A | false | DE FELICE | N/A | CHRISTINA | N/A | N/A | N/A | KA9 SBP | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390303252 | N/A | N/A | 6140436 | 2222 | 4801 | 15551668 | N/A | 4781417 | 2025-11-29 01:38:10.914228 | 2025-06-06 17:03:19.078153 |
| 2025-11-28 08:08:06.651156 | 2025-11-29 01:42:39.133935 | 15283211 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15283211 | Athletic Physical Therapy Inc | 1949-07-26 | 2025-12-01 | F | AE | BLESSLEY | 40064625701 | DONNA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111513209.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11011920/check_15283211_71d2da32-badc-4654-9ae1-72f4c760b3a6.json | N/A | N/A | N/A | N/A | N/A | 40064625701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1949-07-26 | 2025H5425001 | H5425M | N/A | N/A | false | BLESSLEY | N/A | DONNA | 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 | 9390299919 | N/A | N/A | 11011920 | 2222 | 4793 | 15555174 | N/A | 9377403 | 2025-11-29 01:42:39.133935 | 2025-10-15 20:29:32.165707 |
| 2025-11-28 08:08:04.434226 | 2025-11-29 01:33:11.699436 | 15283133 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 15283133 | override_provider | 1956-10-21 | 2025-12-01 | M | PT | TOROS | SAD103594467 | HALIL | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111524997.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7896723/check_15283133_cf420f08-77cf-42eb-9e5a-74660092b4cb.json | N/A | N/A | N/A | N/A | N/A | SAD10359446700 | Preferred Provider Organization (PPO) | SAS INSTITUTE INC. | BLUE SHIELD OF CALIFORNIA | N/A | 1956-10-21 | FACETS | 14163533 | N/A | PR | false | TOROS | N/A | HALIL | N/A | 2025-12-31 | 2025-01-01 | BLUE OPTIONS | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9390297143 | N/A | N/A | 7896723 | 2222 | 4802 | 15547282 | N/A | 6723602 | 2025-11-29 01:33:11.699436 | 2025-08-12 18:22:41.461515 |
| 2025-11-28 08:08:03.276622 | 2025-11-29 01:45:08.819447 | 15283092 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15283092 | Athletic Physical Therapy Inc | 1953-06-18 | 2025-12-01 | F | AE | REISMAN | WRXA13289369 | GAIL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111513209.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10984907/check_15283092_d710e7a6-dcd5-46dc-ab8f-f4b118a56910.json | N/A | N/A | N/A | N/A | N/A | WRXA13289369 | Preferred Provider Organization (PPO) | WRITERS GUILD INDUSTRY HEALTH FUND | MEDICARE B | N/A | 1953-06-18 | 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 | 9390299091 | N/A | N/A | 10984907 | 2222 | 4802 | 15556486 | N/A | 9156222 | 2025-11-29 01:45:08.819447 | 2026-01-08 22:56:20.879547 |
| 2025-11-28 08:07:45.567100 | 2025-11-29 01:40:24.652168 | 15282443 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15282443 | Athletic Physical Therapy Inc | 1970-10-11 | 2025-12-01 | M | PT | Kahen | XEK909669840 | Shervin | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111524997.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7787192/check_15282443_5d4d9d41-6f5b-4b7f-a9d3-8775e83c0876.json | N/A | N/A | N/A | N/A | N/A | XEK909669840 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1970-10-11 | 2001ZK002195 | X0001000 | N/A | PR | false | KAHEN | N/A | SHERVIN | N/A | 9999-12-31 | 2025-05-18 | IFP EMB PED VISION | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9390295431 | N/A | N/A | 7787192 | 2222 | 4802 | 15553367 | N/A | 6631054 | 2025-11-29 01:40:24.652168 | 2025-12-12 20:45:04.787542 |
| 2025-11-28 08:07:42.116464 | 2025-11-29 01:33:18.232247 | 15282304 | N/A | N/A | 60054 | Aetna | 1114042165 | 15282304 | Athletic Physical Therapy Inc | 1973-08-11 | 2025-12-01 | M | AE | YAMASAKI | W121490267 | KENNY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111524997.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7761496/check_15282304_a8cba392-53c4-4040-8f6a-a2544a2a1083.json | N/A | N/A | N/A | N/A | N/A | W121490767 | Point of Service (POS) | LIONSGATE ENTERTAINMENT INC. | AETNA | N/A | 1973-08-11 | 0881709 | 088170902100001 | N/A | PS | false | YAMASAKI | N/A | KENNY | N/A | N/A | N/A | OA MANAGED CHOICE POS HDHP | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390296369 | N/A | N/A | 7761496 | 2222 | 4802 | 15547385 | N/A | 6610810 | 2025-11-29 01:33:18.232247 | 2025-08-04 22:41:35.670334 |
| 2025-11-28 08:07:42.102160 | 2025-11-29 01:45:05.699919 | 15282303 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15282303 | Athletic Physical Therapy Inc | 1950-05-18 | 2025-12-01 | F | AE | BERINSTEIN | JQE773A62564 | PAULA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111513209.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10172947/check_15282303_ecc9f024-1e0a-4b1f-8acd-2e02bef5d6f1.json | N/A | N/A | N/A | N/A | N/A | JQE773A62564 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1950-05-18 | 040 | CASUPWP0 | N/A | N/A | false | BERINSTEIN | N/A | PAULA | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390300678 | N/A | N/A | 10172947 | 2222 | 4801 | 15556468 | N/A | 8474092 | 2025-11-29 01:45:05.699919 | 2025-10-11 14:58:02.058781 |
| 2025-11-28 08:07:29.468773 | 2025-11-29 01:53:25.826755 | 15281828 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15281828 | Athletic Physical Therapy Inc | 1984-11-30 | 2025-12-01 | M | AE | LACAILLE | 0000249715259 | MARC | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111523663.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10207867/check_15281828_0ae5f316-7f0c-4ea4-8575-68e5037771b9.json | N/A | N/A | N/A | N/A | N/A | 0000249715259 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1984-11-30 | N/A | N/A | N/A | N/A | false | LACAILLE | N/A | MARC | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390291976 | N/A | N/A | 10207867 | 2222 | 4793 | 15558867 | N/A | 8500356 | 2025-11-29 01:53:25.826755 | 2025-10-13 22:28:47.604295 |
| 2025-11-28 08:07:22.941183 | 2025-11-29 01:32:48.773991 | 15281520 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 15281520 | Athletic Physical Therapy Inc | 1941-12-12 | 2025-12-01 | M | AE | ABARTA | 03851837911 | STEVEN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111513209.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9929497/check_15281520_310b9e8d-6039-4818-8b1f-678ad9684712.json | N/A | N/A | N/A | N/A | N/A | 03851837911 | 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. | 1941-12-12 | N/A | N/A | N/A | SP | false | ABARTA | N/A | STEVE | 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 | 9390300193 | N/A | N/A | 9929497 | 2222 | 4801 | 15546912 | N/A | 8313339 | 2025-11-29 01:32:48.773991 | 2025-10-02 18:29:23.013167 |
| 2025-11-28 08:07:16.952847 | 2025-11-29 01:33:11.990276 | 15281235 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 15281235 | Athletic Physical Therapy Inc | 1975-12-22 | 2025-12-01 | M | PT | HUTH | XEH910929228 | KENT | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111524997.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7626895/check_15281235_03fa289b-feb7-461c-8c61-cf631b04bb39.json | N/A | N/A | N/A | N/A | N/A | XEH910929228 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1975-12-22 | 1000HMOX0001 | W0051411 | N/A | HM | false | HUTH | N/A | KENT | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9390295730 | N/A | N/A | 7626895 | 2222 | 4793 | 15547287 | N/A | 6525917 | 2025-11-29 01:33:11.990276 | 2026-05-08 22:53:13.232007 |
| 2025-11-28 08:07:13.824745 | 2025-11-29 01:37:42.794068 | 15281089 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15281089 | Athletic Physical Therapy Inc | 1959-04-01 | 2025-12-01 | M | PT | MOYER | JXN542M92477 | STEVEN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111521610.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11278285/check_15281089_73d8c078-a0f2-4b20-af4b-279876c56376.json | N/A | N/A | N/A | N/A | N/A | JXN542M92477 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1959-04-01 | 040 | 174222M2A1 | N/A | PR | false | MOYER | N/A | STEVEN | N/A | 9999-12-31 | 2018-01-01 | BC PPO INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9390319685 | N/A | N/A | 11278285 | 2222 | 4801 | 15551273 | N/A | 9581032 | 2025-11-29 01:37:42.794068 | 2025-10-21 22:24:54.464325 |
| 2025-11-28 08:07:10.949777 | 2025-11-29 01:38:10.386215 | 15280952 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15280952 | Athletic Physical Therapy Inc | 1969-01-08 | 2025-12-01 | F | AE | ALROMAIH | 91237812E | SARAH | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111531407.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993940/check_15280952_b7dcfd6d-d363-4d20-b268-a90c544cbf0d.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390302561 | N/A | N/A | 5993940 | 2222 | 4802 | 15551659 | 4625 | 4642877 | 2025-11-29 01:38:10.386215 | 2025-12-23 23:49:16.627667 |
| 2025-11-28 08:07:10.677660 | 2025-11-29 01:38:34.544948 | 15280941 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15280941 | Athletic Physical Therapy Inc | 1996-01-20 | 2025-12-01 | F | PT | WORDEN | ORU910469318 | SARAH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111531407.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993479/check_15280941_64a29d67-8668-4be8-951a-ac569c7daa4c.json | N/A | N/A | N/A | N/A | N/A | ORU910469318 | Preferred Provider Organization (PPO) | OAK RIDGE ASSOCIATED UNIVERSITIES | ANTHEM BLUE CROSS | N/A | 1996-01-20 | MBPORAU0 | 89513 | N/A | PR | false | WORDEN | N/A | SARAH | N/A | 2199-12-31 | 2024-07-16 | BLUE NETWORK P | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9390302560 | N/A | N/A | 5993479 | 2222 | 4801 | 15551998 | N/A | 4219476 | 2025-11-29 01:38:34.544948 | 2025-05-28 20:18:04.039855 |
| 2025-11-28 08:07:03.994006 | 2025-11-29 01:37:22.681115 | 15280619 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15280619 | Athletic Physical Therapy Inc | 1989-08-21 | 2025-12-01 | F | AE | VANSICKLE | R14610782FS1 | KYLIE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111521610.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11190514/check_15280619_52d31357-6ae9-42a0-ba7b-366c2921934a.json | N/A | N/A | N/A | N/A | N/A | R14610782FS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1989-08-21 | N/A | N/A | N/A | N/A | false | VANSICKLE | N/A | KYLIE | N/A | 2025-11-02 | 2025-09-01 | KX6 PPOSBG | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390320708 | N/A | N/A | 11190514 | 2222 | 4793 | 15550943 | N/A | 9532194 | 2025-11-29 01:37:22.681115 | 2026-04-13 16:03:49.854711 |
| 2025-11-28 08:06:59.442401 | 2025-11-29 01:54:00.610826 | 15280400 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15280400 | Athletic Physical Therapy Inc | 2003-04-25 | 2025-12-01 | M | PT | GREEN | JQV184A72608 | ALLEN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.111523663.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10091887/check_15280400_ff734be0-846e-4134-9d83-bf7013b3c869.json | N/A | N/A | N/A | N/A | N/A | JQV184A72608 | Health Maintenance Organization (HMO) | GUMM AND GREEN LLP | ANTHEM BLUE CROSS | N/A | 2003-04-25 | 040 | 428474 | N/A | HM | false | GREEN | N/A | LINDSEY | N/A | 2025-12-01 | 2024-12-01 | ANTHEM GOLD SELECT HMO 35 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9390293566 | N/A | N/A | 10091887 | 2222 | 4793 | 15559017 | 4185 | 8429919 | 2025-11-29 01:54:00.610826 | 2025-10-07 22:01:52.720968 |