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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-28 08:06:59.292924 | 2025-11-29 01:39:10.950761 | 15280392 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15280392 | Athletic Physical Therapy Inc | 1945-04-26 | 2025-12-01 | M | PT | BARKEY | JQS728M78455 | JOSEPH | 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/2222/7545690/check_15280392_bc35dc58-b819-4597-8c08-9f23d0dc14d4.json | N/A | N/A | N/A | N/A | N/A | JQS728M78455 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1945-04-26 | 040 | CAMCRWP0 | N/A | MP | false | BARKEY | N/A | JOSEPH | 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 | 9390297074 | N/A | N/A | 7545690 | 2222 | 4801 | 15552484 | 4185 | 4211589 | 2025-11-29 01:39:10.950761 | 2025-05-13 04:29:37.225916 |
| 2025-11-28 08:06:48.922673 | 2025-11-29 01:54:49.678423 | 15279888 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15279888 | Athletic Physical Therapy Inc | 1977-10-19 | 2025-12-01 | M | PT | MARTINEZ | XEA911696712 | MARK | 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/2222/10016736/check_15279888_089b0d2d-95b6-4106-be6a-36bae3fdf3ba.json | N/A | N/A | N/A | N/A | N/A | XEA911696712 | Preferred Provider Organization (PPO) | COUNTY OF VENTURA ACTIVES | BLUE SHIELD CALIFORNIA | N/A | 1977-10-19 | 1000PPOX0001 | W0067449 | N/A | PR | false | MARTINEZ | N/A | MARK | N/A | 2025-12-31 | 2025-01-01 | HSA RATED | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9390291796 | N/A | N/A | 10016736 | 2222 | 4801 | 15559216 | N/A | 8385234 | 2025-11-29 01:54:49.678423 | 2025-10-06 17:07:10.414380 |
| 2025-11-28 08:06:44.640469 | 2025-11-29 01:38:02.727025 | 15279681 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 15279681 | Athletic Physical Therapy Inc | 1988-09-04 | 2025-12-01 | F | AE | RIVERA VARGAS | 065856301 | RUBIMAR | PT | 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/2222/5874439/check_15279681_8e7269eb-c5e1-4b79-a17f-34794627b467.json | N/A | N/A | N/A | N/A | N/A | 065856301 | Commercial | ST. JOHNS | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1988-09-04 | N/A | 367345 | N/A | C1 | false | RIVERA VARGAS | N/A | RUBIMAR | N/A | N/A | N/A | SIGNATUREVALUE ADVANTAGE HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390302884 | N/A | N/A | 5874439 | 2222 | 4802 | 15551552 | 6411 | 4534566 | 2025-11-29 01:38:02.727025 | 2025-06-06 02:24:16.829168 |
| 2025-11-28 08:06:42.616984 | 2025-11-29 01:54:01.051211 | 15279595 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15279595 | Athletic Physical Therapy Inc | 1997-05-07 | 2025-12-01 | F | PT | KEIPINGER | FDP220267648 | ALEXIS | 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/2222/9980304/check_15279595_3ff08386-0fd6-489f-a215-884dc68c8cf8.json | N/A | N/A | N/A | N/A | N/A | FDP220267648 | Preferred Provider Organization (PPO) | BANFIELD PET HOSPITAL | ANTHEM BLUE CROSS | SERVICES PROVIDED TO THIS PATIENT ARE SUBJECT TO THE BALANCE BILLING PROTECTION ACT. PLEASE SEE RCW 48.49.020 FOR DETAILS. | 1997-05-07 | N/A | 10034839 | N/A | PR | false | KEIPINGER | N/A | ALEXIS | N/A | 9999-12-31 | 2025-01-01 | HSA3.0/PREFERRED | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9390291752 | N/A | N/A | 9980304 | 2222 | 4793 | 15559019 | N/A | 8354055 | 2025-11-29 01:54:01.051211 | 2025-10-03 21:21:52.013920 |
| 2025-11-28 08:06:40.633460 | 2025-11-29 01:37:58.481400 | 15279505 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15279505 | Athletic Physical Therapy Inc | 2011-08-24 | 2025-12-01 | M | PT | ASHER | XEA905199322 | ZACHARY | 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/2222/11156602/check_15279505_474ec7e8-2093-4183-9984-520b36024420.json | N/A | N/A | N/A | N/A | N/A | XEA905199322 | Preferred Provider Organization (PPO) | DIGITAL LION MARKETING | BLUE SHIELD CALIFORNIA | N/A | 2011-08-24 | 1000VX000102 | W0005232 | N/A | PR | false | ASHER | N/A | RACHEL | N/A | 2030-08-31 | 2016-05-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9390319876 | N/A | N/A | 11156602 | 2222 | 4793 | 15551497 | N/A | 9503413 | 2025-11-29 01:37:58.481400 | 2025-10-22 21:03:24.468784 |
| 2025-11-28 08:06:38.833687 | 2025-11-29 01:34:05.306698 | 15279409 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 15279409 | override_provider | 2007-12-03 | 2025-12-01 | U | PT | Sardghassemi | XEK900226280 | Asal | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.120922697.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13137680/check_15279409_3178926d-e1c0-464d-8e6c-5e14b00cc035.json | N/A | N/A | N/A | N/A | N/A | XEK900226280 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2007-12-03 | N/A | N/A | N/A | N/A | false | SARDGHASSEMI | N/A | ASAL | 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 | 9390289227 | N/A | N/A | 13137680 | 2222 | 4802 | 15548014 | N/A | 11288267 | 2025-11-29 01:34:05.306698 | 2025-12-23 22:14:53.766253 |
| 2025-11-28 08:06:34.425003 | 2025-11-29 01:43:39.469153 | 15279201 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15279201 | Athletic Physical Therapy Inc | 2008-06-24 | 2025-12-01 | M | PT | Koplow | JQU363M83319 | Alexander | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.120922697.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13127568/check_15279201_4d61c962-9e98-4066-845f-b0551e7675da.json | N/A | N/A | N/A | N/A | N/A | JQU363M83319 | Preferred Provider Organization (PPO) | ALARE TECHNOLOGIES LLC | ANTHEM BLUE CROSS | N/A | 2008-06-24 | 040 | H24644 | N/A | PR | false | KOPLOW | N/A | DAVID | N/A | 2026-01-01 | 2025-01-01 | CA SG ANTHEM PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9390289918 | N/A | N/A | 13127568 | 2222 | 4801 | 15555840 | N/A | 11278212 | 2025-11-29 01:43:39.469153 | 2025-12-10 00:01:25.104261 |
| 2025-11-28 08:06:31.513196 | 2025-11-29 01:43:34.963198 | 15279072 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15279072 | Athletic Physical Therapy Inc | 1964-08-06 | 2025-12-01 | M | PT | BRAND | 904A5499110 | JEFFREY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.120922697.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13120856/check_15279072_db4dd01c-9863-4176-9431-48ec6d6ee9c0.json | N/A | N/A | N/A | N/A | N/A | 904A5499110 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1964-08-06 | N/A | N/A | N/A | N/A | false | BRAND | N/A | JEFFREY | 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 | 9390289890 | N/A | N/A | 13120856 | 2222 | 4801 | 15555806 | 4185 | 11271755 | 2025-11-29 01:43:34.963198 | 2025-12-01 22:10:21.945830 |
| 2025-11-28 08:06:31.387989 | 2025-11-29 01:36:18.420692 | 15279067 | N/A | N/A | 61101 | HUMANA | 1114042165 | 15279067 | Athletic Physical Therapy Inc | 1943-03-04 | 2025-12-01 | F | AE | FORD | H4310928200 | JOYCE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.120922697.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13120596/check_15279067_16426973-22a3-46c8-9b44-6bb8575a9ea5.json | N/A | N/A | N/A | N/A | N/A | H43109282 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 557 GOLD+/EMP HMO - ALL OTHR WA 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 | 1943-03-04 | N/A | 0B635001 | N/A | HN | false | FORD | N/A | JOYCE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390289888 | N/A | N/A | 13120596 | 2222 | 4801 | 15549986 | 5349 | 11271464 | 2025-11-29 01:36:18.420692 | 2025-11-20 16:18:13.888065 |
| 2025-11-28 08:06:28.851443 | 2025-11-29 01:48:04.383915 | 15278954 | N/A | N/A | 61101 | HUMANA | 1114042165 | 15278954 | Athletic Physical Therapy Inc | 1944-04-23 | 2025-12-01 | F | AE | SMITH | H6550642500 | RUTH | PT | 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/2222/9905019/check_15278954_4219c560-a313-46e3-9cdd-bc4d5759f18f.json | N/A | N/A | N/A | N/A | N/A | H65506425 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 949 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 | 1944-04-23 | N/A | Y9623001 | N/A | HN | false | SMITH | N/A | RUTH | 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 | 9390292333 | N/A | N/A | 9905019 | 2222 | 4793 | 15557455 | 5349 | 8292696 | 2025-11-29 01:48:04.383915 | 2025-10-06 17:55:42.801914 |
| 2025-11-28 08:06:28.204359 | 2025-11-29 01:52:35.864477 | 15278924 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15278924 | Athletic Physical Therapy Inc | 1951-11-14 | 2025-12-01 | M | AE | BELTRAN | 40037866601 | GUSTAVO | PT | 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/2222/9903583/check_15278924_a0a61ffb-81b0-4f8f-97e8-037701087e7a.json | N/A | N/A | N/A | N/A | N/A | 40037866601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-11-14 | 2025H5425001 | H5425M | N/A | N/A | false | BELTRAN | N/A | GUSTAVO | 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 | 9390292326 | N/A | N/A | 9903583 | 2222 | 4801 | 15558699 | 6237 | 8291830 | 2025-11-29 01:52:35.864477 | 2025-10-13 13:22:03.458547 |
| 2025-11-28 08:06:27.138397 | 2025-11-29 01:44:39.032232 | 15278871 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 15278871 | Athletic Physical Therapy Inc | 1977-12-17 | 2025-12-01 | M | PT | GORMAN | 90370502500 | JOHN | 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/2222/9898664/check_15278871_e471a76d-ed3f-416e-85d9-8be2bf96b6df.json | N/A | N/A | N/A | N/A | N/A | XEP903705025 | Point of Service (POS) | CAPE | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1977-12-17 | 1000POSX0002 | W0052320 | N/A | PS | false | GORMAN | N/A | JOHN | N/A | 2025-12-31 | 2025-01-01 | GROUP LIFE 20 000 70 65 75 50 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9390292314 | N/A | N/A | 9898664 | 2222 | 4793 | 15556330 | N/A | 8287160 | 2025-11-29 01:44:39.032232 | 2025-10-01 22:48:13.212843 |
| 2025-11-28 08:06:23.190581 | 2025-11-29 01:36:17.513862 | 15278667 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 15278667 | Athletic Physical Therapy Inc | 1959-02-22 | 2025-12-01 | M | AE | ELGHANIAN | 9140461101 | KAM | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.120922697.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13080683/check_15278667_58d48f75-34e2-4dc9-b305-481596dd99e2.json | N/A | N/A | N/A | N/A | N/A | 9140461101 | N/A | N/A | HUMANA | N/A | N/A | N/A | N/A | N/A | N/A | false | ELGHANIAN | N/A | KAM | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390290703 | N/A | N/A | 13080683 | 2222 | 4802 | 15549976 | N/A | 11234326 | 2025-11-29 01:36:17.513862 | 2026-04-14 20:04:17.055093 |
| 2025-11-28 08:06:20.445276 | 2025-11-29 01:45:09.674341 | 15278550 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15278550 | Athletic Physical Therapy Inc | 1959-02-07 | 2025-12-01 | F | AE | STARK | JQE451W19078 | CHERYL | PT | 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/2222/9450019/check_15278550_8c11e0b1-3040-4b16-89b4-df5cdef67eb2.json | N/A | N/A | N/A | N/A | N/A | JQE451W19078 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-02-07 | 040 | CASUPWP0 | N/A | N/A | false | STARK | N/A | CHERYL | N/A | 9999-12-31 | 2024-02-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390300626 | N/A | N/A | 9450019 | 2222 | 4793 | 15556490 | N/A | 7905968 | 2025-11-29 01:45:09.674341 | 2025-09-22 17:53:24.196861 |
| 2025-11-28 08:06:18.843038 | 2025-11-29 01:42:34.341133 | 15278475 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15278475 | Athletic Physical Therapy Inc | 1954-06-16 | 2025-12-01 | M | AE | Grant | 0009933199 | Mark Antonio | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.120922697.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13045814/check_15278475_c67f6b9c-4294-434b-9286-8d0ecbeea22f.json | N/A | N/A | N/A | N/A | N/A | 0009933199 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1954-06-16 | N/A | N/A | N/A | N/A | false | GRANT | N/A | MARK ANTONIO | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390290191 | N/A | N/A | 13045814 | 2222 | 4802 | 15555112 | N/A | 11203117 | 2025-11-29 01:42:34.341133 | 2026-01-05 17:22:32.137960 |
| 2025-11-28 08:06:16.016216 | 2025-11-29 01:46:23.952041 | 15278349 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15278349 | Athletic Physical Therapy Inc | 1955-07-01 | 2025-12-01 | F | AE | GREER | XEM909858172 | ROBIN | PT | 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/2222/9411084/check_15278349_85eed274-260a-421d-9529-07f3b9947022.json | N/A | N/A | N/A | N/A | N/A | XEM909858172 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-07-01 | 2002SE000030 | X0001002 | N/A | OT | false | GREER | N/A | ROBIN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390300600 | N/A | N/A | 9411084 | 2222 | 4802 | 15556886 | N/A | 7879863 | 2025-11-29 01:46:23.952041 | 2026-02-04 18:21:13.840230 |
| 2025-11-28 08:06:14.495001 | 2025-11-29 01:36:43.632291 | 15278278 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15278278 | Athletic Physical Therapy Inc | 1959-09-18 | 2025-12-01 | F | AE | IRWIN | 40067058701 | MARIE | PT | 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/2222/11112149/check_15278278_9415bd51-10f8-47ef-83fb-28a37978afb9.json | N/A | N/A | N/A | N/A | N/A | 40067058701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1959-09-18 | 2025H5425001 | H5425M | N/A | N/A | false | IRWIN | N/A | MARIE | 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 | 9390318692 | N/A | N/A | 11112149 | 2222 | 4801 | 15550383 | 6237 | 9462330 | 2025-11-29 01:36:43.632291 | 2025-10-17 21:55:41.545505 |
| 2025-11-28 08:06:09.973525 | 2025-11-29 01:40:25.166812 | 15278030 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15278030 | Athletic Physical Therapy Inc | 1963-01-14 | 2025-12-01 | F | PT | KRAFT | XED911569862 | KATHRIN | 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/2222/7294742/check_15278030_cf8041bd-0856-45ed-bce4-dadb52f713b2.json | N/A | N/A | N/A | N/A | N/A | XED911569862 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-01-14 | 2001ZK002184 | X0001004 | N/A | PR | false | KRAFT | N/A | KATHRIN | N/A | 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 | 9390296251 | N/A | N/A | 7294742 | 2222 | 4801 | 15553379 | N/A | 6254569 | 2025-11-29 01:40:25.166812 | 2025-08-12 09:24:43.956957 |
| 2025-11-28 08:06:08.320944 | 2025-11-29 01:42:36.268542 | 15277935 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15277935 | Athletic Physical Therapy Inc | 1961-06-10 | 2025-12-01 | F | AE | Boutayeb | 000007973321 | Jessie | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.120922697.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13010938/check_15277935_de68c4fe-2e0c-4c1f-a3a5-8d063d526f36.json | N/A | N/A | N/A | N/A | N/A | 000007973321 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1961-06-10 | 4178704 | 102624 | N/A | N/A | false | BOUTAYEB | N/A | JESSIE | N/A | N/A | N/A | UNIVERSITY OF CALIFORNIA RETIREMENT SYSTEM EARLY R | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390290622 | N/A | N/A | 13010938 | 2222 | 4802 | 15555138 | N/A | 11169586 | 2025-11-29 01:42:36.268542 | 2025-12-01 17:33:57.898247 |
| 2025-11-28 08:06:08.029916 | 2025-11-29 01:40:23.839265 | 15277918 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15277918 | Athletic Physical Therapy Inc | 1991-10-07 | 2025-12-01 | F | PT | BOYM | XEK903045570 | DANIELLA | 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/2222/7281036/check_15277918_ce4de2e7-364b-4c05-942f-5ed31caba25a.json | N/A | N/A | N/A | N/A | N/A | XEK903045570 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1991-10-07 | 2001ZJ002648 | X0001000 | N/A | PR | false | BOYM | N/A | DIMITRY | N/A | 2025-12-31 | 2025-01-01 | SILVER 1750 PPO JAN25 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9390296239 | N/A | N/A | 7281036 | 2222 | 4793 | 15553361 | N/A | 6245462 | 2025-11-29 01:40:23.839265 | 2025-07-24 01:23:15.134681 |
| 2025-11-28 08:06:04.673916 | 2025-11-29 01:42:34.879498 | 15277752 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15277752 | Athletic Physical Therapy Inc | 1966-12-11 | 2025-12-01 | F | AE | Shanti | 0014025277 | Senna | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.120922697.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13000772/check_15277752_5698be5f-0e21-4551-b9e7-90053c081b9e.json | N/A | N/A | N/A | N/A | N/A | 0014025277 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1966-12-11 | N/A | N/A | N/A | N/A | false | SHANTI | N/A | SENNA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390290129 | N/A | N/A | 13000772 | 2222 | 4802 | 15555119 | N/A | 11158952 | 2025-11-29 01:42:34.879498 | 2025-11-24 23:21:16.746095 |
| 2025-11-28 08:06:02.933280 | 2025-11-29 01:39:12.328245 | 15277667 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15277667 | Athletic Physical Therapy Inc | 1965-05-25 | 2025-12-01 | F | PT | CLOONAN | XDM481M99931 | LINDA | 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/2222/7246170/check_15277667_3cdc4539-68c6-4eaa-b522-df19e76bf17b.json | N/A | N/A | N/A | N/A | N/A | XDM481M99931 | Health Maintenance Organization (HMO) | UFCW BENEFIT FUNDS ADMIN LLC RETIREE | ANTHEM BLUE CROSS | N/A | 1965-05-25 | 040 | 282241H019 | N/A | HM | false | CLOONAN | N/A | LINDA | N/A | 9999-12-31 | 2020-12-01 | CLASSIC SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9390295716 | N/A | N/A | 7246170 | 2222 | 4801 | 15552500 | 4185 | 4837995 | 2025-11-29 01:39:12.328245 | 2025-06-13 00:15:18.726975 |
| 2025-11-28 08:06:01.536696 | 2025-11-29 01:34:22.676155 | 15277598 | N/A | N/A | 60054 | Aetna | 1114042165 | 15277598 | Athletic Physical Therapy Inc | 1962-08-04 | 2025-12-01 | F | AE | Tabb | W291557361 | Kelly | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.120922697.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12993727/check_15277598_1873e936-4e56-4493-ab56-d9de71fd28b2.json | N/A | N/A | N/A | N/A | N/A | W291557361 | Point of Service (POS) | STARZ ENTERTAINMENT, LLC | AETNA | N/A | 1962-08-04 | 0251528 | 025152802100088 | N/A | PS | false | TABB | N/A | KELLI | 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 | 9390290103 | N/A | N/A | 12993727 | 2222 | 4802 | 15548238 | N/A | 11151756 | 2025-11-29 01:34:22.676155 | 2025-12-15 17:17:58.439188 |
| 2025-11-28 08:06:00.674671 | 2025-11-29 01:38:33.457469 | 15277559 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15277559 | Athletic Physical Therapy Inc | 1989-01-23 | 2025-12-01 | F | PT | HINKLE | NCF051W08046 | MARLENA | 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/2222/5550925/check_15277559_cdd368f9-517f-456c-b66c-7822872c6ddb.json | N/A | N/A | N/A | N/A | N/A | NCF051W08046 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1989-01-23 | 040 | 57AJCA | N/A | HM | false | HINKLE | N/A | MARLENA | N/A | 9999-12-31 | 2021-03-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9390302236 | N/A | N/A | 5550925 | 2222 | 4793 | 15551982 | N/A | 4219772 | 2025-11-29 01:38:33.457469 | 2025-11-18 00:45:16.378261 |
| 2025-11-28 08:06:00.478177 | 2025-11-29 01:38:11.421025 | 15277549 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15277549 | Athletic Physical Therapy Inc | 1966-02-05 | 2025-12-01 | F | AE | VANCELETTE | 99775204F | DEBORAH | PT | 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/2222/5550875/check_15277549_4c51a08a-6a56-43e4-927b-22cce963bd91.json | N/A | N/A | N/A | N/A | N/A | 99775204F | N/A | N/A | HEALTH NET, LLC | N/A | 1966-02-05 | N/A | N/A | N/A | N/A | false | VANCELETTE | N/A | DEBORAH | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390302235 | N/A | N/A | 5550875 | 2222 | 4802 | 15551674 | N/A | 4219732 | 2025-11-29 01:38:11.421025 | 2025-05-13 04:29:37.230772 |
| 2025-11-28 08:06:00.272196 | 2025-11-29 01:34:55.382116 | 15277537 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 15277537 | Athletic Physical Therapy Inc | 1953-05-06 | 2025-12-01 | F | AE | KENNEDY | H6356897500 | ELIZABETH | PT | 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/2222/5550714/check_15277537_b646cee7-fff4-4f4e-96ad-c8803aa0ac10.json | N/A | N/A | N/A | N/A | N/A | H6356897500 | N/A | N/A | HUMANA | N/A | 1953-05-06 | N/A | N/A | N/A | N/A | false | KENNEDY | N/A | ELIZABETH | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390302234 | N/A | N/A | 5550714 | 2222 | 4801 | 15548738 | N/A | 4219622 | 2025-11-29 01:34:55.382116 | 2025-05-13 04:29:37.230664 |
| 2025-11-28 08:05:59.966172 | 2025-11-29 01:36:04.750175 | 15277520 | N/A | N/A | 62308 | CIGNA PPO | 1114042165 | 15277520 | Athletic Physical Therapy Inc | 1986-05-15 | 2025-12-01 | M | AE | SOLHJOU | U7549246801 | BAHRAM | PT | 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/2222/5549949/check_15277520_582fe638-38c8-405a-98c5-847ea77ba4e6.json | N/A | N/A | N/A | N/A | N/A | U7549246801 | Health Maintenance Organization (HMO) | COUNTY OF LOS ANGELES | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1986-05-15 | N/A | 3212364 | N/A | HM | false | SOLHJOU | N/A | BAHRAM | N/A | N/A | N/A | NETWORK | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390302233 | N/A | N/A | 5549949 | 2222 | 4802 | 15549784 | 4437 | 4219432 | 2025-11-29 01:36:04.750175 | 2025-05-13 04:29:37.230466 |
| 2025-11-28 08:05:59.656349 | 2025-11-29 01:38:33.731438 | 15277503 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15277503 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-12-01 | F | PT | LUCZYWEK | HFD100011213709 | DEBORA | 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/2222/5549317/check_15277503_3d9d1532-8340-4194-99c7-988c2924808a.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | 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." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | 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 | 9390302232 | N/A | N/A | 5549317 | 2222 | 4801 | 15551986 | N/A | 4219010 | 2025-11-29 01:38:33.731438 | 2026-01-09 18:32:07.618867 |
| 2025-11-28 08:05:57.283917 | 2025-11-29 01:38:09.789796 | 15277356 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15277356 | Athletic Physical Therapy Inc | 1972-07-22 | 2025-12-01 | M | AE | KOZMA | U9714475101 | JASON | PT | 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/2222/5542709/check_15277356_585a028d-ba3a-42ce-98b0-3a326d90abb0.json | N/A | N/A | N/A | N/A | N/A | U9714475101 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1972-07-22 | 67138CA0700027-01 | N/A | N/A | N/A | false | KOZMA | N/A | JASON | N/A | N/A | N/A | BRONZE 60 HDHP AMBETTER PPO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390301623 | N/A | N/A | 5542709 | 2222 | 4802 | 15551651 | N/A | 4214582 | 2025-11-29 01:38:09.789796 | 2025-12-02 00:00:04.433236 |
| 2025-11-28 08:05:57.168187 | 2025-11-29 01:53:42.489614 | 15277349 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15277349 | Athletic Physical Therapy Inc | 1958-08-10 | 2025-12-01 | M | AE | FURTAK | 00000370322 | WAYNE | PT | 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/2222/9766428/check_15277349_4771daff-706c-47de-925c-80280bed6e09.json | N/A | N/A | N/A | N/A | N/A | 00000370322 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1958-08-10 | H3815028 | N/A | N/A | HM | false | FURTAK | N/A | WAYNE | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390293037 | N/A | N/A | 9766428 | 2222 | 4801 | 15558940 | 2630 | 8177700 | 2025-11-29 01:53:42.489614 | 2025-09-26 21:44:23.687707 |
| 2025-11-28 08:05:57.023672 | 2025-11-29 01:38:10.640452 | 15277340 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15277340 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-12-01 | F | AE | CHERE | 98953535F | DIANA | PT | 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/2222/5542660/check_15277340_4130cfe8-9bef-4840-83f8-2bc07508158a.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390301622 | N/A | N/A | 5542660 | 2222 | 4802 | 15551664 | 4625 | 4214542 | 2025-11-29 01:38:10.640452 | 2025-05-13 04:29:37.228868 |
| 2025-11-28 08:05:56.789686 | 2025-11-29 01:38:34.259179 | 15277326 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15277326 | Athletic Physical Therapy Inc | 1942-12-17 | 2025-12-01 | F | PT | STEINBERG | MBL988M98459 | JUDY | 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/2222/5542014/check_15277326_f00fb2da-b05d-4c2b-94e9-87798b1228c3.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | 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 | 9390301621 | N/A | N/A | 5542014 | 2222 | 4793 | 15551994 | N/A | 4213977 | 2025-11-29 01:38:34.259179 | 2025-05-13 04:29:37.228294 |
| 2025-11-28 08:05:56.500461 | 2025-11-29 01:38:33.988332 | 15277307 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15277307 | Athletic Physical Therapy Inc | 1940-08-31 | 2025-12-01 | M | PT | STEINBERG | MBL875M98441 | HARRIS | 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/2222/5541917/check_15277307_f2f9d418-e647-45d1-acfa-189426e0b037.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | 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 | 9390301620 | N/A | N/A | 5541917 | 2222 | 4793 | 15551989 | N/A | 4213891 | 2025-11-29 01:38:33.988332 | 2025-05-13 04:29:37.228207 |
| 2025-11-28 08:05:56.262079 | 2025-11-29 01:39:05.476192 | 15277290 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15277290 | Athletic Physical Therapy Inc | 1974-12-26 | 2025-12-01 | M | PT | SALEWSKE | 600905624 | TYSON | 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/2222/5541518/check_15277290_7c13fbb5-7e72-496c-a5c9-041e2eff4c74.json | N/A | N/A | N/A | N/A | N/A | 600905624 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1974-12-26 | N/A | N/A | N/A | N/A | false | SALEWSKE | N/A | TYSON | 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 | 9390301619 | N/A | N/A | 5541518 | 2222 | 4793 | 15552411 | N/A | 4213526 | 2025-11-29 01:39:05.476192 | 2025-11-13 19:34:43.197819 |
| 2025-11-28 08:05:56.002018 | 2025-11-29 01:39:05.749956 | 15277272 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15277272 | Athletic Physical Therapy Inc | 1965-09-18 | 2025-12-01 | F | PT | SHAPIRO | XEA901579979 | ANDREA | 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/2222/5541315/check_15277272_74e00619-eca9-46a1-acb9-708287d51a83.json | N/A | N/A | N/A | N/A | N/A | XEA901579979 | Preferred Provider Organization (PPO) | HANGER STEINBERG SHAPIRO AND ASH A LAW COR | BLUE SHIELD CALIFORNIA | N/A | 1965-09-18 | 1000VX000102 | W0045063 | N/A | PR | false | SHAPIRO | N/A | MARC | N/A | 9999-12-31 | 2016-11-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9390301618 | N/A | N/A | 5541315 | 2222 | 4793 | 15552417 | N/A | 4213344 | 2025-11-29 01:39:05.749956 | 2025-05-13 04:29:37.227667 |
| 2025-11-28 08:05:55.657014 | 2025-11-29 01:38:11.171999 | 15277250 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15277250 | Athletic Physical Therapy Inc | 1968-03-30 | 2025-12-01 | M | AE | FARAHMAND | 91957675E | ALEX | PT | 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/2222/5541163/check_15277250_381d6c7d-ce92-4d89-8983-0854bf586953.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | HEALTH NET, LLC | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390301617 | N/A | N/A | 5541163 | 2222 | 4802 | 15551671 | 4625 | 4213207 | 2025-11-29 01:38:11.171999 | 2025-05-13 04:29:37.227536 |
| 2025-11-28 08:05:55.396154 | 2025-11-29 01:37:38.999117 | 15277231 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15277231 | Athletic Physical Therapy Inc | 1948-04-26 | 2025-12-01 | M | AE | LODIN | 40064763401 | MOHAMMED | PT | 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/2222/5540259/check_15277231_5de62cd4-5547-4be7-a79e-e46b9d9bfb51.json | N/A | N/A | N/A | N/A | N/A | 40064763401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1948-04-26 | 2025H5425001 | H5425M | N/A | N/A | false | LODIN | N/A | MOHAMMED | 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 | 9390301616 | N/A | N/A | 5540259 | 2222 | 4793 | 15551219 | 6237 | 4212442 | 2025-11-29 01:37:38.999117 | 2025-05-13 04:29:37.226772 |
| 2025-11-28 08:05:55.145082 | 2025-11-29 01:38:33.186251 | 15277216 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15277216 | Athletic Physical Therapy Inc | 2011-01-19 | 2025-12-01 | M | PT | CHELIUS | JXN662A51170 | CADEN | 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/2222/5539929/check_15277216_27825e2e-9377-4aa9-8062-48f04f3f1c31.json | N/A | N/A | N/A | N/A | N/A | JXN662A51170 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 2011-01-19 | 040 | 174222M9A1 | N/A | PR | false | CHELIUS | N/A | CRAIG | N/A | 9999-12-31 | 2021-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9390301615 | N/A | N/A | 5539929 | 2222 | 4793 | 15551978 | N/A | 4212158 | 2025-11-29 01:38:33.186251 | 2025-10-22 16:00:14.919111 |
| 2025-11-28 08:05:54.936769 | 2025-11-29 01:39:16.672450 | 15277202 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15277202 | Athletic Physical Therapy Inc | 1983-08-31 | 2025-12-01 | M | PT | FLEMING | SZF839281184 | CHASE | 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/2222/5539901/check_15277202_353f1c6c-5fe3-46c5-888d-b53a63653de3.json | N/A | N/A | N/A | N/A | N/A | SZF839281184 | Preferred Provider Organization (PPO) | ACTIVE | BLUE SHIELD OF CALIFORNIA | N/A | 1983-08-31 | N/A | 018137 | N/A | PR | false | FLEMING | N/A | CHASE | N/A | 9999-12-31 | 2021-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9390301614 | N/A | N/A | 5539901 | 2222 | 4793 | 15552565 | N/A | 4212134 | 2025-11-29 01:39:16.672450 | 2025-08-05 02:56:55.384378 |
| 2025-11-28 08:05:54.686983 | 2025-11-29 01:37:38.737531 | 15277186 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15277186 | Athletic Physical Therapy Inc | 1939-12-29 | 2025-12-01 | F | AE | ALESSI | 31019902301 | JEAN | PT | 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/2222/5539133/check_15277186_7a88c811-fe9a-432c-bda2-a581ec415191.json | N/A | N/A | N/A | N/A | N/A | 31019902301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1939-12-29 | 2025H5425001 | H5425M | N/A | N/A | false | ALESSI | N/A | JEAN | 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 | 9390301613 | N/A | N/A | 5539133 | 2222 | 4793 | 15551214 | N/A | 4211471 | 2025-11-29 01:37:38.737531 | 2025-07-09 03:59:33.308587 |
| 2025-11-28 08:05:54.507739 | 2025-11-29 01:39:16.937813 | 15277171 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15277171 | Athletic Physical Therapy Inc | 1961-12-01 | 2025-12-01 | M | PT | TOOCH | JPU633M84536 | PETER | 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/2222/5538874/check_15277171_e3692233-4c90-4fc9-a362-ae215a2170d2.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M001 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9390301612 | N/A | N/A | 5538874 | 2222 | 4801 | 15552569 | N/A | 4211227 | 2025-11-29 01:39:16.937813 | 2025-05-13 04:29:37.225625 |
| 2025-11-28 08:05:54.200187 | 2025-11-29 01:38:34.818704 | 15277154 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15277154 | Athletic Physical Therapy Inc | 1964-06-08 | 2025-12-01 | F | PT | YOUHANAIE | UQK557A62707 | TERESA | 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/2222/5537881/check_15277154_a78860ea-3b50-4339-bfc4-2d4f47907be8.json | N/A | N/A | N/A | N/A | N/A | UQK557A62707 | Preferred Provider Organization (PPO) | CDHP HSA W/NON INTG BANKING-SILVER HDHP | ANTHEM BLUE CROSS | N/A | 1964-06-08 | 130 | 270213OHXB | N/A | PR | false | YOUHANAIE | N/A | TERESA | N/A | 9999-12-31 | 2024-08-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9390301611 | N/A | N/A | 5537881 | 2222 | 4793 | 15552001 | N/A | 4210385 | 2025-11-29 01:38:34.818704 | 2026-03-06 18:49:17.116017 |
| 2025-11-28 08:05:53.975426 | 2025-11-29 01:32:51.038010 | 15277137 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15277137 | Athletic Physical Therapy Inc | 1977-04-30 | 2025-12-01 | M | AE | JOSEPH | 623127403 | CHRISTOPHER | PT | 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/2222/5537866/check_15277137_ac34f8d2-c149-4c29-85cb-34dd4aa8f6d4.json | N/A | N/A | N/A | N/A | N/A | 623127403 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 1977-04-30 | 18126CA001000201 | QMXEM01910 | N/A | N/A | false | JOSEPH | N/A | CHRISTOPHER | N/A | 2025-12-31 | 2025-02-01 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9390301610 | N/A | N/A | 5537866 | 2222 | 4802 | 15546951 | 4211 | 4210367 | 2025-11-29 01:32:51.038010 | 2025-05-13 04:29:37.224772 |
| 2025-11-28 08:05:53.784811 | 2025-11-29 01:54:01.370730 | 15277126 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15277126 | Athletic Physical Therapy Inc | 1982-12-08 | 2025-12-01 | M | PT | Magpali | VUC967W18809 | Aaron | 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/2222/9737460/check_15277126_475186e6-2897-497e-ab50-e994ec93127c.json | N/A | N/A | N/A | N/A | N/A | VUC967W18809 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1982-12-08 | 040 | 280509S400 | N/A | PR | false | MAGPALI | N/A | AARON | N/A | 9999-12-31 | 2024-01-01 | UC CARE PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9390292287 | N/A | N/A | 9737460 | 2222 | 4801 | 15559020 | N/A | 8152382 | 2025-11-29 01:54:01.370730 | 2025-09-28 17:20:36.874498 |
| 2025-11-28 08:05:53.735792 | 2025-11-29 01:39:04.910052 | 15277124 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15277124 | Athletic Physical Therapy Inc | 1974-06-04 | 2025-12-01 | F | PT | NAIMI | KSI73549599C | ERIN | 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/2222/5537507/check_15277124_b3969f46-5230-40d3-8bcd-7e2acfcf5369.json | N/A | N/A | N/A | N/A | N/A | KSI73549599C | Preferred Provider Organization (PPO) | KARL STORZ ENDOSCOPY AMERICA INC | BLUE SHIELD CALIFORNIA | N/A | 1974-06-04 | 1000PPOX0003 | W8002382 | N/A | PR | false | ABI MALHAB | N/A | NADIM | N/A | N/A | N/A | KARL STORZ ENDOSCOPY AMERICA INC SHARED ADVANTAGE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9390301607 | N/A | N/A | 5537507 | 2222 | 4802 | 15552405 | N/A | 4210057 | 2025-11-29 01:39:04.910052 | 2025-05-13 04:29:37.224477 |
| 2025-11-28 08:05:53.192307 | 2025-11-29 01:54:02.940921 | 15277083 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15277083 | Athletic Physical Therapy Inc | 1968-10-03 | 2025-12-01 | M | PT | RAMIREZ | Z7M7740597AB | CESAR | 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/2222/9729132/check_15277083_5fba30b4-afe6-46f9-997e-62b3928837f9.json | N/A | N/A | N/A | N/A | N/A | Z7M7740597AB | Preferred Provider Organization (PPO) | HI DED LOWER FAMILY ONLY | ANTHEM BLUE CROSS | N/A | 1968-10-03 | 241 | L11957M003 | N/A | PR | false | RAMIREZ | N/A | CESAR | N/A | 9999-12-31 | 2025-01-01 | PPO WITH MO BLUE ACCESS CHOICE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9390292278 | N/A | N/A | 9729132 | 2222 | 4801 | 15559027 | N/A | 8145241 | 2025-11-29 01:54:02.940921 | 2025-09-25 17:51:33.170014 |
| 2025-11-28 08:05:51.008495 | 2025-11-29 01:54:02.468598 | 15276935 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15276935 | Athletic Physical Therapy Inc | 1980-07-01 | 2025-12-01 | M | PT | Moreno jr | VDHE01043007 | Hector | 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/2222/9691081/check_15276935_2676aab5-96c4-4b4a-a9b1-ee0a3411c630.json | N/A | N/A | N/A | N/A | N/A | VDHE01043007 | Preferred Provider Organization (PPO) | DIGNITY HEALTH VENTURA | ANTHEM BLUE CROSS | N/A | 1980-07-01 | 040 | 174236M3A1 | N/A | PR | false | MORENO JR | N/A | HECTOR | N/A | 9999-12-31 | 2022-07-01 | PB INCENTIVE NO SUTTER | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9390293381 | N/A | N/A | 9691081 | 2222 | 4801 | 15559024 | N/A | 8110015 | 2025-11-29 01:54:02.468598 | 2025-10-05 15:24:30.421551 |
| 2025-11-28 08:05:50.857656 | 2025-11-29 01:54:01.790180 | 15276926 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15276926 | Athletic Physical Therapy Inc | 1965-04-22 | 2025-12-01 | M | PT | MCHALE | ZGP814915047 | TIMOTHY | 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/2222/9691017/check_15276926_7dcffd02-24a5-404c-9231-a604721e18ee.json | N/A | N/A | N/A | N/A | N/A | ZGP814915047 | Preferred Provider Organization (PPO) | NATIONAL TRENCH SAFETY, INC | ANTHEM BLUE CROSS | N/A | 1965-04-22 | N/A | 400397 | N/A | PR | false | MCHALE | N/A | TIMOTHY | N/A | 9999-12-31 | 2025-01-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9390293378 | N/A | N/A | 9691017 | 2222 | 4801 | 15559022 | N/A | 4212607 | 2025-11-29 01:54:01.790180 | 2025-09-24 22:37:58.534216 |
| 2025-11-28 08:05:50.173195 | 2025-11-29 01:43:39.931020 | 15276881 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15276881 | Athletic Physical Therapy Inc | 2008-06-09 | 2025-12-01 | M | PT | Gray | SMD481A55215 | Gary | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251128.120922697.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-12-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12962206/check_15276881_9bab78de-3fcf-4ea9-a7dd-b7bc9bd2c6cc.json | N/A | N/A | N/A | N/A | N/A | SMD481A55215 | Preferred Provider Organization (PPO) | SMITHS GROUP SERVICES CORPORATION | ANTHEM BLUE CROSS | N/A | 2008-06-09 | 130 | 213010P15K | N/A | PR | false | MAHONEY | N/A | KIM | N/A | 9999-12-31 | 2019-08-01 | BLUE ACCESS PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9390289521 | N/A | N/A | 12962206 | 2222 | 4793 | 15555848 | N/A | 11120601 | 2025-11-29 01:43:39.931020 | 2026-01-06 17:31:01.989894 |
| 2025-11-28 08:05:49.159311 | 2025-11-29 01:54:49.076402 | 15276810 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15276810 | Athletic Physical Therapy Inc | 1963-11-05 | 2025-12-01 | M | PT | GAVCUS | 913959142000 | VINCENT | 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/2222/9684155/check_15276810_59714118-e2bb-4420-a0ea-4d60fc3a51c7.json | N/A | N/A | N/A | N/A | N/A | XEH913959142 | Health Maintenance Organization (HMO) | KB CONSTRUCTION COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1963-11-05 | 1000VX000101 | W0022613 | N/A | HM | false | GAVCUS | N/A | VINCENT | N/A | 9999-12-31 | 2024-10-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9390293352 | N/A | N/A | 9684155 | 2222 | 4801 | 15559212 | N/A | 8103467 | 2025-11-29 01:54:49.076402 | 2025-09-25 15:37:09.669427 |