API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-24 08:28:20.514135 | 2025-11-24 08:28:24.392173 | 15172201 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-06-29 | 2025-11-26 | F | AE | PT | Ghahremanpour | 967262832 | Nikka | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11805214/check_15172201_4b6bf192-0836-4fa5-81f5-1c69186f572a.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11805214/check_15172201_4b3747a7-56dc-49df-9103-febd443db0d4.json | N/A | N/A | N/A | N/A | N/A | 967262832 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 2011-06-29 | N/A | 907643 | N/A | C1 | false | GHAHREMANPOUR | N/A | NIKKA | N/A | N/A | N/A | SELECT PLUS PPO CA 2023 CQI3 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11805214 | 2222 | N/A | 15406116 | N/A | 10038545 | 2025-11-24 08:28:24.392173 | 2025-10-29 17:23:04.303840 |
| 2025-11-24 08:27:10.822538 | 2025-11-24 08:27:14.041541 | 15171571 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1977-05-19 | 2025-11-26 | M | AE | PT | MALHOTRA | 42360756 | DAVE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9680809/check_15171571_80300555-1753-46b4-b434-35b813471a15.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9680809/check_15171571_0c393260-08f1-4517-9f14-ea1563921fae.json | N/A | N/A | N/A | N/A | N/A | 612027650 | Preferred Provider Organization (PPO) | N/A | OPTUMHEALTH BEHAVIORAL SOLUTIONS | N/A | 1977-05-19 | N/A | 15385 | N/A | PR | false | MALHOTRA | N/A | DAVE | N/A | N/A | N/A | FIDELITY BH UMR HEALTHFLEX PPO 2025 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9680809 | 2222 | N/A | 15405549 | N/A | 8100424 | 2025-11-24 08:27:14.041541 | 2025-10-07 13:46:29.078092 |
| 2025-11-24 08:25:56.694378 | 2025-11-24 08:26:00.251569 | 15170847 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-02-03 | 2025-11-26 | F | AE | PT | MCKAY | 93518017100 | JEANNETTE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6398744/check_15170847_f7fb68cd-96af-4aea-b7e7-488b9edb825b.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398744/check_15170847_4023c60a-7140-4306-aff4-0b9ada0283ec.json | N/A | N/A | N/A | N/A | N/A | 935180171 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | N/A | 1953-02-03 | N/A | 15725 | N/A | PR | false | MCKAY | N/A | JEANNETTE | N/A | N/A | N/A | LPPO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (PP | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6398744 | 2222 | N/A | 15404901 | N/A | 5046297 | 2025-11-24 08:26:00.251569 | 2025-06-17 15:15:28.403654 |
| 2025-11-24 08:25:54.382799 | 2025-11-24 08:25:56.224961 | 15170829 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-08-04 | 2025-11-26 | M | AE | PT | DEANGELO | 985145456 | DAN | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542953/check_15170829_c378f4b1-4df7-432d-a5a2-f41508d0eb3a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542953/check_15170829_2f4ee772-f26a-4f7c-943b-5627f22c5fe8.json | N/A | N/A | N/A | N/A | N/A | 985145456 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1961-08-04 | N/A | N/A | N/A | N/A | false | DEANGELO | N/A | DAN | 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 | 5542953 | 2222 | N/A | 15404872 | N/A | 4214807 | 2025-11-24 08:25:56.224961 | 2025-12-24 19:51:54.688309 |
| 2025-11-24 08:25:51.717567 | 2025-11-24 08:25:54.379405 | 15170806 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-08-04 | 2025-11-26 | M | AE | PT | DEANGELO | 985145456 | DAN | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542953/check_15170806_09cc312a-0ac3-4f4e-8d94-61ea40bf1442.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-26 | N/A | N/A | N/A | N/A | N/A | N/A | 985145456 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1961-08-04 | N/A | N/A | N/A | N/A | false | DEANGELO | N/A | DAN | 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 | 5542953 | 2222 | N/A | N/A | N/A | 4214807 | 2025-11-24 08:25:54.379405 | 2025-12-24 19:51:54.688309 |
| 2025-11-24 08:25:49.904051 | 2025-11-24 08:25:50.321419 | 15170787 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-08-04 | 2025-11-26 | M | AE | PT | DEANGELO | 985145456 | DAN | N/A | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-11-26 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 5542953 | 2222 | N/A | N/A | N/A | 4214807 | 2025-11-24 08:25:50.321419 | 2025-12-24 19:51:54.688309 |
| 2025-11-24 08:25:49.863192 | 2025-11-24 08:25:55.400120 | 15170784 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-04-03 | 2025-11-26 | M | AE | PT | IASCONE | 960990032400 | CRAIG | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539761/check_15170784_56644802-1a3f-411f-bd03-6c1a8d59b15e.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539761/check_15170784_163a6c8a-0be4-4c87-b547-ac07bce1f15b.json | N/A | N/A | N/A | N/A | N/A | 960990324 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | N/A | 1956-04-03 | N/A | 74134 | N/A | PR | false | IASCONE | N/A | CRAIG | N/A | N/A | N/A | LPPO-AARP MEDICARE ADVANTAGE FROM UHC CA-0038 (PPO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539761 | 2222 | N/A | 15404864 | N/A | 4212022 | 2025-11-24 08:25:55.400120 | 2025-05-13 04:29:37.226346 |
| 2025-11-24 08:18:30.875456 | 2025-11-25 01:39:05.940472 | 15168804 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15168804 | Athletic Physical Therapy Inc | 1960-03-18 | 2025-11-26 | F | AE | PT | MEYER | JQE221W24060 | LESLIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.121424841.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11928247/check_15168804_3d0f403d-27c8-416a-9414-404b899e4c12.json | N/A | N/A | N/A | N/A | N/A | JQE221W24060 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1960-03-18 | 040 | CASUPWP0 | N/A | N/A | false | MEYER | N/A | LESLIE | N/A | 9999-12-31 | 2025-08-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360172019 | N/A | N/A | 11928247 | 2222 | 4793 | 15427018 | N/A | 4215335 | 2025-11-25 01:39:05.940472 | 2025-10-30 21:15:07.766449 |
| 2025-11-24 08:16:32.538744 | 2025-11-25 01:36:29.698126 | 15167705 | N/A | N/A | 47027 | Physicians Mutual Insurance Company | 1114042165 | 15167705 | Athletic Physical Therapy Inc | 1949-08-12 | 2025-11-26 | F | AE | PT | NAGLE | H730115547 | JAMES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.121424841.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11457995/check_15167705_a3951b19-8514-42d9-9a4c-5804afd6d64a.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 | 9360170226 | N/A | N/A | 11457995 | 2222 | 4801 | 15424448 | N/A | 9707473 | 2025-11-25 01:36:29.698126 | 2026-02-05 20:49:45.747494 |
| 2025-11-24 08:16:12.468836 | 2025-11-25 01:47:09.740992 | 15167354 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15167354 | Athletic Physical Therapy Inc | 1989-08-21 | 2025-11-26 | F | AE | PT | VANSICKLE | R14610782FS1 | KYLIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.121722481.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11190514/check_15167354_2e861335-ffc6-4e49-a663-d6ec03d139fa.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 | 9360150499 | N/A | N/A | 11190514 | 2222 | 4793 | 15433120 | N/A | 9532194 | 2025-11-25 01:47:09.740992 | 2026-04-13 16:03:49.854711 |
| 2025-11-24 08:16:01.513111 | 2025-11-25 01:52:04.310764 | 15167175 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15167175 | Athletic Physical Therapy Inc | 1941-08-23 | 2025-11-26 | M | AE | PT | E Bogen | 9P98YU0FH34 | Andrew | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.121722481.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11174640/check_15167175_4d2daf5e-00cd-45e9-946e-89d5dde4f0f8.json | N/A | N/A | N/A | N/A | N/A | 9P98YU0FH34 | N/A | N/A | CMS | N/A | 1941-08-23 | N/A | N/A | N/A | N/A | false | E BOGEN | N/A | ANDREW | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360152224 | N/A | N/A | 11174640 | 2222 | 4802 | 15434698 | N/A | 9519718 | 2025-11-25 01:52:04.310764 | 2026-02-02 19:30:57.219688 |
| 2025-11-24 08:15:43.284852 | 2025-11-25 01:39:05.687416 | 15166920 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15166920 | Athletic Physical Therapy Inc | 1941-08-23 | 2025-11-26 | M | AE | PT | E Bogen | WXY0981A22808 | Andrew | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.121424841.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11174641/check_15166920_fa5b1df2-77bb-4e34-976b-b051405f4235.json | N/A | N/A | N/A | N/A | N/A | WXY0981A22808 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1941-08-23 | N/A | N/A | N/A | N/A | false | E BOGEN | N/A | ANDREW | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360171447 | N/A | N/A | 11174641 | 2222 | 4802 | 15427013 | N/A | 9519718 | 2025-11-25 01:39:05.687416 | 2026-02-02 19:30:57.219688 |
| 2025-11-24 08:14:50.611758 | 2025-11-25 01:38:29.732304 | 15166209 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15166209 | Athletic Physical Therapy Inc | 1949-07-26 | 2025-11-26 | F | AE | PT | BLESSLEY | 40064625701 | DONNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.121424841.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11011920/check_15166209_66c4d2c9-f5fc-461d-9804-3ba0042eb3db.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 | 9360171800 | N/A | N/A | 11011920 | 2222 | 4793 | 15426433 | N/A | 9377403 | 2025-11-25 01:38:29.732304 | 2025-10-15 20:29:32.165707 |
| 2025-11-24 08:14:09.027646 | 2025-11-25 01:47:35.758481 | 15165667 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15165667 | Athletic Physical Therapy Inc | 1974-12-08 | 2025-11-26 | M | PT | N/A | MAGEE | SRYHC0157512 | TERRENCE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.121722481.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11084204/check_15165667_bc7cad77-df49-4c7f-8628-16572f17c232.json | N/A | N/A | N/A | N/A | N/A | SRYHC0157512 | Preferred Provider Organization (PPO) | SURVEYMONKEY PPO IN STATE | BLUE SHIELD OF CALIFORNIA | N/A | 1974-12-08 | 040 | L12152M001 | N/A | PR | false | MAGEE | N/A | JENNIFER | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9360150335 | N/A | N/A | 11084204 | 2222 | 4793 | 15433264 | N/A | 9438176 | 2025-11-25 01:47:35.758481 | 2025-11-14 22:03:28.394724 |
| 2025-11-24 08:13:35.629674 | 2025-11-25 01:52:03.984533 | 15165138 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15165138 | Athletic Physical Therapy Inc | 1949-07-26 | 2025-11-26 | F | AE | PT | BLESSLEY | 9DW9YM7ND57 | DONNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.121722481.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11011921/check_15165138_4ce99a21-972c-4f03-be42-bd1fa5c66173.json | N/A | N/A | N/A | N/A | N/A | 9DW9YM7ND57 | Medicare Part A | N/A | SCAN HEALTH PLAN | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-07-26 | H5425 | N/A | N/A | MA | false | BLESSLEY | N/A | DONNA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360151503 | N/A | N/A | 11011921 | 2222 | 4793 | 15434696 | N/A | 9377403 | 2025-11-25 01:52:03.984533 | 2025-10-15 20:29:32.165707 |
| 2025-11-24 08:13:16.843945 | 2025-11-25 03:35:04.985784 | 15164761 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15164761 | Athletic Physical Therapy Inc | 1962-08-12 | 2025-11-26 | F | PT | N/A | SCHOLEFIELD | TRJNP1055193 | ROBIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.100623066.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9087505/check_15164761_7e29659e-05a0-43db-828e-836e5ebe229c.json | N/A | N/A | N/A | N/A | N/A | TRJNP1055193 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1962-08-12 | 040 | 276727M007 | N/A | PR | false | SCHOLEFIELD | N/A | ROBIN | N/A | 9999-12-31 | 2020-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9360143358 | N/A | N/A | 9087505 | 2222 | 4793 | 15437026 | N/A | 7605100 | 2025-11-25 03:35:04.985784 | 2025-09-11 15:07:41.965017 |
| 2025-11-24 08:12:52.159161 | 2025-11-25 01:44:35.007432 | 15164409 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15164409 | Athletic Physical Therapy Inc | 1972-01-12 | 2025-11-26 | M | PT | N/A | MAGEN | B6YE01199897 | OFIR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.100624218.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6917703/check_15164409_d3149d72-7966-46b0-b66d-b293a05f0bc7.json | N/A | N/A | N/A | N/A | N/A | B6YE01199897 | Preferred Provider Organization (PPO) | CHARTERLIFE-2015 HIGH EPO | ANTHEM BLUE CROSS | N/A | 1972-01-12 | 040 | L06598M023 | N/A | PR | false | MAGEN | N/A | LIMOR | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9360141160 | N/A | N/A | 6917703 | 2222 | 4793 | 15432099 | N/A | 5949095 | 2025-11-25 01:44:35.007432 | 2025-07-28 22:15:30.266976 |
| 2025-11-24 08:11:58.457850 | 2025-11-25 01:45:03.636388 | 15163536 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15163536 | Athletic Physical Therapy Inc | 1961-03-07 | 2025-11-26 | F | PT | N/A | PERLOV | XEA905216171 | MERA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.100624218.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814311/check_15163536_1eb82a97-8424-4095-adf0-060424378d9f.json | N/A | N/A | N/A | N/A | N/A | XEA905216171 | Preferred Provider Organization (PPO) | LA CARE HEALTH PLAN | BLUE SHIELD CALIFORNIA | N/A | 1961-03-07 | 1000PPOX0003 | W0051027 | N/A | PR | false | PERLOV | N/A | MERA | N/A | 9999-12-31 | 2025-01-01 | LA CARE HEALTH PLAN PPO SAVINGS TWO TIER EMBEDDED | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9360141376 | N/A | N/A | 6814311 | 2222 | 4793 | 15432335 | N/A | 5856694 | 2025-11-25 01:45:03.636388 | 2025-07-07 18:45:06.287504 |
| 2025-11-24 08:11:47.795345 | 2025-11-25 01:47:21.029427 | 15163371 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15163371 | Athletic Physical Therapy Inc | 1963-09-07 | 2025-11-26 | M | PT | N/A | BAHR | FZX638A69335 | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.121722481.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10371931/check_15163371_37bd0601-1758-47de-90ce-4e2915cba696.json | N/A | N/A | N/A | N/A | N/A | FZX638A69335 | Preferred Provider Organization (PPO) | CDHP HSA NON-INTEGRATED BNK | ANTHEM BLUE CROSS | N/A | 1963-09-07 | 423 | 201028M2CA | N/A | PR | false | BAHR | N/A | KEVIN | N/A | 9999-12-31 | 2022-01-01 | CDHP VIRGINIA HEALTH SAVINGS ACCOUNT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9360151936 | N/A | N/A | 10371931 | 2222 | 4793 | 15433184 | N/A | 8634062 | 2025-11-25 01:47:21.029427 | 2025-10-16 21:25:25.746427 |
| 2025-11-24 08:11:27.497598 | 2025-11-25 01:32:10.397718 | 15162978 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 15162978 | Athletic Physical Therapy Inc | 1951-05-28 | 2025-11-26 | M | AE | PT | ADELMAN | 27936686 | JEFFREY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.100643463.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12298760/check_15162978_d830e5f6-532f-4bbb-87d4-f59a0795f1b4.json | N/A | N/A | N/A | N/A | N/A | 27936686 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1951-05-28 | N/A | N/A | N/A | N/A | false | ADELMAN | N/A | JEFFREY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360132025 | N/A | N/A | 12298760 | 2222 | 4801 | 15421007 | N/A | 10484794 | 2025-11-25 01:32:10.397718 | 2025-11-05 22:04:00.322040 |
| 2025-11-24 08:11:26.329362 | 2025-11-25 01:35:32.204522 | 15162944 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 15162944 | Athletic Physical Therapy Inc | 1997-12-08 | 2025-11-25 | M | AE | PT | Bhatia | R14184408MM1 | Neil | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.100643463.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12295640/check_15162944_6317023b-d457-4aea-b323-2899a581e2d2.json | N/A | N/A | N/A | N/A | N/A | R14184408MM100 | N/A | N/A | HEALTH NET OF CALIFORNIA, INC. | PATIENT HAS ACTIVE COVERAGE BASED ON DATA AVAILABLE AS OF DATE OF REQUEST. CONTACT OTHER ENTITY TO VALIDATE | 1997-12-08 | N/A | N/A | N/A | N/A | false | BHATIA | N/A | NEIL | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360132017 | N/A | N/A | 12295640 | 2222 | 4802 | 15423562 | N/A | 10481513 | 2025-11-25 01:35:32.204522 | 2025-11-05 21:13:54.008259 |
| 2025-11-24 08:11:15.162903 | 2025-11-25 01:44:22.428069 | 15162642 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15162642 | Athletic Physical Therapy Inc | 2008-04-21 | 2025-11-26 | M | AE | PT | BERMUDEZ | 000019836525 | RAFAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.100624218.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6721942/check_15162642_ffbca1ec-9cb8-4274-8327-b3f37443a772.json | N/A | N/A | N/A | N/A | N/A | 000019836525 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 2008-04-21 | 4327748 | 226977 | N/A | N/A | false | BERMUDEZ | N/A | RAFAEL | N/A | N/A | N/A | MEDI-CAL LA CARE HEALTH PLAN HF TRANSITIONAL AID C | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360140740 | N/A | N/A | 6721942 | 2222 | 4793 | 15431955 | N/A | 5322280 | 2025-11-25 01:44:22.428069 | 2025-07-01 21:45:15.878047 |
| 2025-11-24 08:10:55.493842 | 2025-11-25 01:47:21.313532 | 15162119 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15162119 | Athletic Physical Therapy Inc | 1977-11-16 | 2025-11-26 | M | PT | N/A | COPELAND | SIF818M55219 | CHRISTOPHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.121722481.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10355543/check_15162119_f9177fc8-1a79-44ed-a304-8773f558707c.json | N/A | N/A | N/A | N/A | N/A | SIF818M55219 | Preferred Provider Organization (PPO) | SISC - VENTURA COUNTY COMMUNITY COLLEGE DISTRICT | ANTHEM BLUE CROSS | N/A | 1977-11-16 | 040 | 40971D | N/A | PR | false | COPELAND | N/A | CHRISTOPHER | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9360150242 | N/A | N/A | 10355543 | 2222 | 4801 | 15433186 | N/A | 8619978 | 2025-11-25 01:47:21.313532 | 2025-10-13 20:53:09.422541 |
| 2025-11-24 08:10:54.779763 | 2025-11-25 01:34:08.114808 | 15162089 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | 15162089 | Athletic Physical Therapy Inc | 1957-06-10 | 2025-11-26 | F | AE | PT | Cinney | JQE146W12862 | Nancy | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.100643463.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12199890/check_15162089_94c927c7-1765-4c9d-8a34-6adb271ea6de.json | N/A | N/A | N/A | N/A | N/A | JQE146W12862 | N/A | N/A | TCCM | N/A | 1957-06-10 | N/A | N/A | N/A | N/A | false | CINNEY | N/A | NANCY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360131725 | N/A | N/A | 12199890 | 2222 | 4793 | 15422363 | N/A | 10405614 | 2025-11-25 01:34:08.114808 | 2025-11-11 22:04:16.516523 |
| 2025-11-24 08:10:53.473182 | 2025-11-25 03:35:13.880242 | 15162052 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15162052 | Athletic Physical Therapy Inc | 2003-05-02 | 2025-11-26 | M | PT | N/A | MUHAMMAD | XOF828514693 | KENNETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.100623066.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8675672/check_15162052_07fe65b9-cb1e-46c4-9100-e54d8876a8a8.json | N/A | N/A | N/A | N/A | N/A | XOF828514693 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 2003-05-02 | N/A | N/A | N/A | N/A | false | MUHAMMAD | N/A | KENNETH | 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 | 9360142948 | N/A | N/A | 8675672 | 2222 | 4793 | 15437090 | N/A | 7310369 | 2025-11-25 03:35:13.880242 | 2026-02-03 01:46:10.334485 |
| 2025-11-24 08:10:20.604084 | 2025-11-25 01:36:56.834995 | 15160982 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15160982 | Athletic Physical Therapy Inc | 1975-12-13 | 2025-11-26 | F | AE | PT | ASSENGA | TWA295A70455 | NANCY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.100643463.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12129904/check_15160982_c58e4dcb-19fa-4d85-bdc9-effeb6a9e83a.json | N/A | N/A | N/A | N/A | N/A | TWA295A70455 | Preferred Provider Organization (PPO) | WILLIS TOWERS WATSON | ANTHEM BLUE CROSS | N/A | 1975-12-13 | 101 | 270127M9A0 | N/A | PR | false | ASSENGA | N/A | NANCY | N/A | 9999-12-31 | 2024-01-01 | CDHP NY NAT GENC HEALTH SAVINGS ACCT (HSA) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360131363 | N/A | N/A | 12129904 | 2222 | 4801 | 15424905 | N/A | 4214504 | 2025-11-25 01:36:56.834995 | 2025-05-13 04:29:37.228820 |
| 2025-11-24 08:10:06.705653 | 2025-11-25 01:49:53.237045 | 15160516 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15160516 | Athletic Physical Therapy Inc | 1952-10-25 | 2025-11-26 | F | AE | PT | JOHNSTON | 7KA0H51YU14 | DEBORAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.100624218.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638066/check_15160516_b8796756-568c-4932-b4c0-9c8e9f0d3136.json | N/A | N/A | N/A | N/A | N/A | 7KA0H51YU14 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-10-25 | S5617 | N/A | N/A | MA | false | JOHNSTON | N/A | DEBORAH | N/A | N/A | N/A | N/A | N/A | 201124 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360140208 | N/A | N/A | 6638066 | 2222 | 4793 | 15433938 | N/A | 5247837 | 2025-11-25 01:49:53.237045 | 2026-02-24 20:36:49.807283 |
| 2025-11-24 08:10:00.312329 | 2025-11-25 01:39:15.486975 | 15160307 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15160307 | Athletic Physical Therapy Inc | 1959-02-09 | 2025-11-26 | F | AE | PT | FERTSCHNEIDER | JQE833W19120 | NANCY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.121217979.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7204596/check_15160307_42285a37-10ff-4112-bfe4-6333ef2c6336.json | N/A | N/A | N/A | N/A | N/A | JQE833W19120 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-02-09 | 040 | CASUPWP0 | N/A | N/A | false | FERTSCHNEIDER | N/A | NANCY | 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 | 9360127087 | N/A | N/A | 7204596 | 2222 | 4801 | 15427175 | N/A | 6175435 | 2025-11-25 01:39:15.486975 | 2025-08-05 19:05:08.506352 |
| 2025-11-24 08:09:57.522731 | 2025-11-25 01:46:50.181630 | 15160221 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15160221 | Athletic Physical Therapy Inc | 1943-02-06 | 2025-11-26 | F | AE | PT | TIPPITT | 40065208701 | SHIRLEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.121722481.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10305383/check_15160221_d5ed6378-63cd-46fc-b935-3f49c4ffd484.json | N/A | N/A | N/A | N/A | N/A | 40065208701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1943-02-06 | 2025H5425001 | H5425M | N/A | N/A | false | TIPPITT | N/A | SHIRLEY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360150684 | N/A | N/A | 10305383 | 2222 | 4793 | 15433004 | N/A | 8574477 | 2025-11-25 01:46:50.181630 | 2025-10-22 02:47:47.756973 |
| 2025-11-24 08:09:39.177102 | 2025-11-24 08:10:12.681006 | 15159709 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2025-11-24 | M | AE | PT | HOLGUIN | 1407861520 | VINCENT | 6341 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_15159709_c5ba9466-31d2-4200-bf2a-c06b6edb9615.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-11-24 | 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 | 2025-11-24 08:10:12.681006 | 2025-11-11 01:01:48.778756 |
| 2025-11-24 08:09:36.114149 | 2025-11-25 01:36:14.001324 | 15159620 | N/A | N/A | 47027 | Physicians Mutual Insurance Company | 1114042165 | 15159620 | Athletic Physical Therapy Inc | 1952-10-25 | 2025-11-26 | F | AE | PT | JOHNSTON | H750053601 | DEBORAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.121217979.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638391/check_15159620_a1241310-1b90-44cc-889f-3162fa6050bb.json | N/A | N/A | N/A | N/A | N/A | H750053601 | N/A | N/A | PHYSICIANS MUTUAL | PAYMENT NOT GUARANTEED; BENEFITS SUBJECT TO CLAIM APPROVAL | 1952-10-25 | N/A | N/A | N/A | N/A | false | JOHNSTON | N/A | DEBORAH | N/A | N/A | N/A | MEDICARE SUPPLEMENT 2023 PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360127318 | N/A | N/A | 6638391 | 2222 | 4793 | 15424186 | N/A | 5247837 | 2025-11-25 01:36:14.001324 | 2026-02-24 20:36:49.807283 |
| 2025-11-24 08:09:35.364650 | 2025-11-25 01:37:06.171689 | 15159603 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15159603 | Athletic Physical Therapy Inc | 2008-04-21 | 2025-11-26 | M | PT | N/A | LANDIS | XED906560014 | BRONN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.100643463.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12097539/check_15159603_3744ac9e-1c7f-4946-8559-fcc1273924a7.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 DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9360130909 | N/A | N/A | 12097539 | 2222 | 4793 | 15425056 | N/A | 10315576 | 2025-11-25 01:37:06.171689 | 2025-11-14 23:13:16.002759 |
| 2025-11-24 08:09:35.204979 | 2025-11-25 01:36:18.219830 | 15159601 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15159601 | Athletic Physical Therapy Inc | 1952-03-06 | 2025-11-26 | M | AE | PT | E Sack | 40039993001 | Robert | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.100643463.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12096570/check_15159601_397b8b10-5576-446e-8824-4257014419ed.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 | 9360130908 | N/A | N/A | 12096570 | 2222 | 4793 | 15424257 | N/A | 10314571 | 2025-11-25 01:36:18.219830 | 2026-01-04 16:54:02.110823 |
| 2025-11-24 08:09:31.776071 | 2025-11-25 01:47:21.994698 | 15159499 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15159499 | Athletic Physical Therapy Inc | 1983-01-16 | 2025-11-26 | M | PT | N/A | MIRANDA | NCF728A24383 | ERICK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.121722481.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10294700/check_15159499_a83c13f8-b00e-4066-9f31-5975de395011.json | N/A | N/A | N/A | N/A | N/A | NCF728A24383 | Health Maintenance Organization (HMO) | LOS ANGELES POLICE RELIEF ASN INC | ANTHEM BLUE CROSS | N/A | 1983-01-16 | 040 | 57CP3A | N/A | HM | false | MIRANDA | N/A | ERICK | N/A | 9999-12-31 | 2023-03-01 | BLUE CROSS HMO PLUS CC01 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9360150636 | N/A | N/A | 10294700 | 2222 | 4801 | 15433189 | 4185 | 6149607 | 2025-11-25 01:47:21.994698 | 2025-07-17 18:34:10.184195 |
| 2025-11-24 08:09:24.604284 | 2025-11-25 01:44:23.505858 | 15159275 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15159275 | Athletic Physical Therapy Inc | 2009-08-12 | 2025-11-26 | M | AE | PT | Aldana | 95423949E | George | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.100624218.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6568645/check_15159275_e9361d49-29b0-471b-b45c-479594746274.json | N/A | N/A | N/A | N/A | N/A | 95423949E | N/A | N/A | HEALTH NET, LLC | N/A | 2009-08-12 | N/A | N/A | N/A | N/A | false | ALDANA | N/A | GEORGE | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360140146 | N/A | N/A | 6568645 | 2222 | 4802 | 15431968 | N/A | 5190481 | 2025-11-25 01:44:23.505858 | 2025-06-24 17:29:30.756528 |
| 2025-11-24 08:09:20.756947 | 2025-11-25 03:38:11.964475 | 15159179 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15159179 | Athletic Physical Therapy Inc | 1949-05-18 | 2025-11-26 | F | AE | PT | Burk | 5Y14AG3HK78 | Celine | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.121318588.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12839893/check_15159179_21ebd764-83c8-41e6-8a19-3ac310f37683.json | N/A | N/A | N/A | N/A | N/A | 5Y14AG3HK78 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-05-18 | S5921 | N/A | N/A | MA | false | BURK | N/A | CELINE | N/A | N/A | N/A | N/A | N/A | 410263 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360132676 | N/A | N/A | 12839893 | 2222 | 4802 | 15438374 | N/A | 11004269 | 2025-11-25 03:38:11.964475 | 2025-11-14 23:42:44.614455 |
| 2025-11-24 08:08:45.486732 | 2025-11-25 01:33:59.638635 | 15158246 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 15158246 | Athletic Physical Therapy Inc | 1954-05-11 | 2025-11-26 | M | AE | PT | A Peters | 32146482611 | Dennis | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.121217979.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550027/check_15158246_86714178-8bf6-434e-861d-721a40b0b901.json | N/A | N/A | N/A | N/A | N/A | 32146482611 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1954-05-11 | N/A | N/A | N/A | SP | false | PETERS | N/A | DENNIS | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360128633 | N/A | N/A | 5550027 | 2222 | 4801 | 15422247 | N/A | 4219449 | 2025-11-25 01:33:59.638635 | 2025-10-07 21:32:27.567534 |
| 2025-11-24 08:08:45.385149 | 2025-11-25 01:39:16.504786 | 15158241 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15158241 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-11-26 | F | AE | PT | HOWARD | JQE896M91712 | JUDI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.121217979.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543352/check_15158241_faf20122-05e2-4134-a829-12149568dfd3.json | N/A | N/A | N/A | N/A | N/A | JQE896M91712 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-11-19 | 040 | CASUPWP0 | N/A | N/A | false | HOWARD | N/A | JUDI | N/A | 9999-12-31 | 2022-01-01 | CA PLAN F INNOVATIVE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360128632 | N/A | N/A | 5543352 | 2222 | 4793 | 15427187 | N/A | 4215147 | 2025-11-25 01:39:16.504786 | 2025-05-13 04:29:37.229464 |
| 2025-11-24 08:08:45.300010 | 2025-11-25 01:39:15.036332 | 15158236 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15158236 | Athletic Physical Therapy Inc | 1948-08-18 | 2025-11-26 | M | AE | PT | EDA | 776A78714 | MASAAKI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.121217979.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543332/check_15158236_099fc20e-4f6d-4e4d-b8d6-d49586e8d624.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 | 9360128631 | N/A | N/A | 5543332 | 2222 | 4802 | 15427169 | N/A | 4215140 | 2025-11-25 01:39:15.036332 | 2025-05-13 04:29:37.229453 |
| 2025-11-24 08:08:45.200029 | 2025-11-25 01:39:46.629865 | 15158234 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15158234 | Athletic Physical Therapy Inc | 1950-11-16 | 2025-11-26 | M | AE | PT | BALD | R57843094 | HARRY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.121217979.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543096/check_15158234_b801b966-eb67-4db4-8354-9b9158f219bb.json | N/A | N/A | N/A | N/A | N/A | R57843094 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1950-11-16 | N/A | 105 | N/A | PR | false | BALD | N/A | HARRY | N/A | 9999-12-31 | 1994-02-06 | STANDARD SECONDARY | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360128630 | N/A | N/A | 5543096 | 2222 | 4802 | 15427680 | N/A | 4214930 | 2025-11-25 01:39:46.629865 | 2025-05-13 04:29:37.229251 |
| 2025-11-24 08:08:45.090750 | 2025-11-25 01:39:16.879918 | 15158231 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15158231 | Athletic Physical Therapy Inc | 1949-07-06 | 2025-11-26 | M | AE | PT | SILVERMAN | XDD460A67934 | LAWRENCE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.121217979.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541611/check_15158231_d17c0459-ddd6-4452-87de-d1d3ad2efa42.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 | 9360128629 | N/A | N/A | 5541611 | 2222 | 4793 | 15427194 | N/A | 4213611 | 2025-11-25 01:39:16.879918 | 2025-05-13 04:29:37.227938 |
| 2025-11-24 08:08:45.004263 | 2025-11-25 01:39:15.984623 | 15158226 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15158226 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-11-26 | M | PT | N/A | FINNLEY | M4R134071249001 | ZEV | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.121217979.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539665/check_15158226_b968d602-9d19-4e93-8c6a-4b214005c54d.json | N/A | N/A | N/A | N/A | N/A | M4R134071249001 | Preferred Provider Organization (PPO) | N/A | COMMERCIAL INSURANCE | FUNDING TYPE = SELF INSURED | 1991-07-13 | 379 | 174022MJAC | N/A | PR | false | FINNLEY | N/A | MARIKO | N/A | N/A | N/A | NENY PPO BLENDED MED/SURG | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9360128628 | N/A | N/A | 5539665 | 2222 | 4793 | 15427180 | N/A | 4211935 | 2025-11-25 01:39:15.984623 | 2025-05-13 04:29:37.226259 |
| 2025-11-24 08:08:44.891732 | 2025-11-25 01:39:39.613114 | 15158222 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15158222 | Athletic Physical Therapy Inc | 1946-08-26 | 2025-11-26 | M | AE | PT | ROTHMAN | XEM909022493 | MIKE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.121217979.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536206/check_15158222_c9431112-db44-484b-878f-847ae27648a0.json | N/A | N/A | N/A | N/A | N/A | XEM909022493 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1946-08-26 | 2002SF000029 | X0001002 | N/A | OT | false | ROTHMAN | N/A | MIKE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360128626 | N/A | N/A | 5536206 | 2222 | 4801 | 15427560 | N/A | 4208978 | 2025-11-25 01:39:39.613114 | 2025-05-13 04:29:37.223404 |
| 2025-11-24 08:08:37.176495 | 2025-11-25 01:36:57.319993 | 15157914 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15157914 | Athletic Physical Therapy Inc | 1983-01-08 | 2025-11-26 | F | PT | N/A | SERRENO | 441A7301220 | BRANDEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.100643463.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11937469/check_15157914_0b443c80-b1ee-46ca-98d5-3acc398ce0b7.json | N/A | N/A | N/A | N/A | N/A | 441A7301220 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1983-01-08 | N/A | N/A | N/A | N/A | false | SERRENO | N/A | BRANDEE | 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 | 9360130224 | N/A | N/A | 11937469 | 2222 | 4801 | 15424914 | 4185 | 10164489 | 2025-11-25 01:36:57.319993 | 2025-11-13 00:06:18.666005 |
| 2025-11-24 08:08:28.827489 | 2025-11-25 03:33:00.973331 | 15157597 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 15157597 | Athletic Physical Therapy Inc | 1958-02-20 | 2025-11-26 | F | AE | PT | SHERRY | H7159538300 | PAULA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.100623066.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8193020/check_15157597_d8c99456-225f-429d-af82-0bd4d1be5435.json | N/A | N/A | N/A | N/A | N/A | H71595383 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1958-02-20 | N/A | 0B527001 | N/A | HN | false | SHERRY | N/A | PAULA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360144429 | N/A | N/A | 8193020 | 2222 | 4801 | 15436148 | N/A | 4214141 | 2025-11-25 03:33:00.973331 | 2025-05-13 04:29:37.228469 |
| 2025-11-24 08:08:26.662043 | 2025-11-25 01:40:11.562112 | 15157523 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15157523 | Athletic Physical Therapy Inc | 1960-03-18 | 2025-11-26 | F | AE | PT | MEYER | 6AA8T47WQ51 | LESLIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.100643463.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11928201/check_15157523_8a5a931e-a32f-4377-a25e-643d905c8a1f.json | N/A | N/A | N/A | N/A | N/A | 6AA8T47WQ51 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-03-18 | S5921 | N/A | N/A | MB | false | MEYER | N/A | LESLIE | N/A | N/A | N/A | N/A | N/A | 50277 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360130172 | N/A | N/A | 11928201 | 2222 | 4793 | 15428078 | N/A | 4215335 | 2025-11-25 01:40:11.562112 | 2025-10-30 21:15:07.766449 |
| 2025-11-24 08:08:24.401422 | 2025-11-25 03:34:47.931183 | 15157441 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15157441 | Athletic Physical Therapy Inc | 2006-06-07 | 2025-11-25 | M | PT | N/A | BROWN | PWF566A67898 | ROY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.121318588.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12756456/check_15157441_939fbf0a-32b6-48e6-90a9-680d16f41c9c.json | N/A | N/A | N/A | N/A | N/A | PWF7431690PT | Preferred Provider Organization (PPO) | PUBLIC-ALL REGIONS-ACTIVE/RETIREE | ANTHEM BLUE CROSS | N/A | 2006-06-07 | 040 | L02978M001 | N/A | PR | false | BROWN | N/A | ROY | N/A | 9999-12-31 | 2022-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9360133439 | N/A | N/A | 12756456 | 2222 | 4793 | 15436907 | N/A | 10914431 | 2025-11-25 03:34:47.931183 | 2025-11-16 20:25:40.530209 |
| 2025-11-24 08:08:22.607598 | 2025-11-25 01:36:57.067238 | 15157368 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15157368 | Athletic Physical Therapy Inc | 1965-07-12 | 2025-11-26 | F | PT | N/A | BENSON | NCF361A559000 | ELIZABETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.100643463.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11917007/check_15157368_2a440d80-a44b-40d9-9681-73389252b699.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 | 9360129980 | N/A | N/A | 11917007 | 2222 | 4793 | 15424909 | 4185 | 10144918 | 2025-11-25 01:36:57.067238 | 2025-11-17 16:03:18.208475 |
| 2025-11-24 08:08:17.352942 | 2025-11-25 03:31:55.438342 | 15157170 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15157170 | Athletic Physical Therapy Inc | 2001-06-21 | 2025-11-26 | M | AE | PT | RAFIEI | 92836714F | SAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.100623066.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173002/check_15157170_e68ea80f-89a4-46b0-8f93-e5b5bfcfb6cb.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 | 9360144392 | N/A | N/A | 8173002 | 2222 | 4793 | 15435720 | 4211 | 6939518 | 2025-11-25 03:31:55.438342 | 2025-08-18 21:40:08.349494 |
| 2025-11-24 08:08:15.049068 | 2025-11-25 01:35:27.477458 | 15157088 | N/A | N/A | 61101 | HUMANA | 1114042165 | 15157088 | Athletic Physical Therapy Inc | 1944-04-23 | 2025-11-26 | F | AE | PT | SMITH | H6550642500 | RUTH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.095952358.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9905019/check_15157088_c31d5fea-260a-46f1-a718-1b4c73eff5da.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 | 9360117489 | N/A | N/A | 9905019 | 2222 | 4793 | 15423488 | 5349 | 8292696 | 2025-11-25 01:35:27.477458 | 2025-10-06 17:55:42.801914 |