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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-24 08:08:11.596897 | 2025-11-25 01:33:46.082163 | 15156979 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 15156979 | Athletic Physical Therapy Inc | 1977-12-17 | 2025-11-26 | M | PT | GORMAN | 90370502500 | JOHN | 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/2222/9898664/check_15156979_d8d2b0e7-9e70-47db-9226-a227b45578ae.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 | 9999-12-31 | 2022-01-01 | 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 | 9360116997 | N/A | N/A | 9898664 | 2222 | 4793 | 15422051 | N/A | 8287160 | 2025-11-25 01:33:46.082163 | 2025-10-01 22:48:13.212843 |
| 2025-11-24 08:07:55.988449 | 2025-11-25 01:42:16.759758 | 15156432 | N/A | N/A | 60054 | Aetna | 1114042165 | 15156432 | Athletic Physical Therapy Inc | 1991-08-09 | 2025-11-26 | M | AE | TORIO | W287278504 | MICHAEL | PT | 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/2222/6235883/check_15156432_8aad9b39-9389-4f59-bc31-c49713a65de3.json | N/A | N/A | N/A | N/A | N/A | W287278504 | Point of Service (POS) | COADVANTAGE RESOURCES, INC. | AETNA | N/A | 1991-08-09 | 0159468 | 015946801000034 | N/A | PS | false | TORIO | N/A | MICHAEL | N/A | N/A | N/A | OPEN ACCESS MC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360141021 | N/A | N/A | 6235883 | 2222 | 4802 | 15430163 | N/A | 4883697 | 2025-11-25 01:42:16.759758 | 2025-07-08 14:55:53.397662 |
| 2025-11-24 08:07:51.061321 | 2025-11-25 03:35:10.072408 | 15156255 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15156255 | Athletic Physical Therapy Inc | 1975-08-07 | 2025-11-26 | M | PT | GEFFEN | CFT037A52287 | JASON | 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/2222/12686965/check_15156255_ce124619-8f24-4cd9-bea1-ccf927702f9e.json | N/A | N/A | N/A | N/A | N/A | CFT037A52287 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1975-08-07 | N/A | N/A | N/A | N/A | false | GEFFEN | N/A | JASON | 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 | 9360133800 | N/A | N/A | 12686965 | 2222 | 4793 | 15437062 | N/A | 10856744 | 2025-11-25 03:35:10.072408 | 2025-12-29 22:47:44.157557 |
| 2025-11-24 08:07:06.421477 | 2025-11-25 03:35:05.930239 | 15154616 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15154616 | Athletic Physical Therapy Inc | 2010-12-03 | 2025-11-26 | F | PT | PENG | XEA912821146 | HAILEE | 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/2222/12585422/check_15154616_8af9e10f-ea48-4ea0-9436-1f689b5503b5.json | N/A | N/A | N/A | N/A | N/A | XEA912821146 | Preferred Provider Organization (PPO) | ALIGN FOOT ANKLE CENTER | BLUE SHIELD CALIFORNIA | N/A | 2010-12-03 | 1000VX000102 | W0128498 | N/A | PR | false | PENG | N/A | HAI-EN | N/A | 2029-12-31 | 2024-01-01 | 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 | 9360133165 | N/A | N/A | 12585422 | 2222 | 4801 | 15437033 | N/A | 10754834 | 2025-11-25 03:35:05.930239 | 2025-11-12 03:06:38.906834 |
| 2025-11-24 08:06:52.784445 | 2025-11-25 03:34:48.214192 | 15154143 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15154143 | Athletic Physical Therapy Inc | 1957-04-20 | 2025-11-26 | F | PT | FOX | 941W2386920 | GENOVEVA | 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/2222/12570095/check_15154143_e235b6a8-1567-4830-961d-6de72f36b08a.json | N/A | N/A | N/A | N/A | N/A | 941W2386920 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1957-04-20 | N/A | N/A | N/A | N/A | false | FOX | N/A | GENOVEVA | 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 | 9360134243 | N/A | N/A | 12570095 | 2222 | 4793 | 15436909 | N/A | 10741847 | 2025-11-25 03:34:48.214192 | 2025-11-17 21:17:39.202453 |
| 2025-11-24 08:06:50.386413 | 2025-11-25 01:39:20.116383 | 15154054 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15154054 | Athletic Physical Therapy Inc | 1955-07-01 | 2025-11-26 | F | AE | GREER | XEM909858172 | ROBIN | PT | 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/2222/9411084/check_15154054_5406f3e4-3131-4482-bc6b-3e5eafdc4edd.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 | 9360171256 | N/A | N/A | 9411084 | 2222 | 4802 | 15427253 | N/A | 7879863 | 2025-11-25 01:39:20.116383 | 2026-02-04 18:21:13.840230 |
| 2025-11-24 08:06:46.459328 | 2025-11-25 01:44:23.762728 | 15153901 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15153901 | Athletic Physical Therapy Inc | 1969-01-08 | 2025-11-26 | F | AE | ALROMAIH | 91237812E | SARAH | PT | 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/2222/5993940/check_15153901_502606dc-e49f-454a-932e-ff5549e1c112.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360140651 | N/A | N/A | 5993940 | 2222 | 4802 | 15431972 | 4625 | 4642877 | 2025-11-25 01:44:23.762728 | 2025-12-23 23:49:16.627667 |
| 2025-11-24 08:06:43.225358 | 2025-11-25 03:35:04.670914 | 15153768 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15153768 | Athletic Physical Therapy Inc | 1971-05-04 | 2025-11-26 | F | PT | MAHAARACHCHI | EXHAN7912598 | Nilanthi | 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/2222/7988722/check_15153768_f1bf2507-42d6-4d1c-8171-d861efc3e774.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | Preferred Provider Organization (PPO) | XEROX CORPORATION | ANTHEM BLUE CROSS | N/A | 1971-05-04 | 060 | 270101M11A | N/A | PR | false | MAHAARACHCHI | N/A | SENAKA | N/A | 9999-12-31 | 2025-01-01 | CDHP CT BC PPO HEALTH SAVINGS ACCOUNT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9360143722 | N/A | N/A | 7988722 | 2222 | 4793 | 15437024 | 4185 | 6798209 | 2025-11-25 03:35:04.670914 | 2025-10-29 15:15:17.952230 |
| 2025-11-24 08:06:33.695703 | 2025-11-25 01:45:03.949050 | 15153402 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15153402 | Athletic Physical Therapy Inc | 1973-02-24 | 2025-11-25 | F | PT | TAKEMOTO | XED906098170 | NICOLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.100624218.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928752/check_15153402_b91b48c5-f57f-49a8-a5d4-45bdd039d9d8.json | N/A | N/A | N/A | N/A | N/A | XED906098170 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1973-02-24 | 2001ZK002184 | X0001004 | N/A | PR | false | TAKEMOTO | N/A | NICOLE | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9360139795 | N/A | N/A | 5928752 | 2222 | 4802 | 15432337 | N/A | 4583701 | 2025-11-25 01:45:03.949050 | 2025-07-24 17:50:11.805587 |
| 2025-11-24 08:06:27.513319 | 2025-11-25 01:44:25.804748 | 15153166 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15153166 | Athletic Physical Therapy Inc | 1953-03-27 | 2025-11-26 | F | AE | FINE | 00000272194 | MICHELLE | PT | 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/2222/5858742/check_15153166_25bcb9ec-0d29-4032-ae74-28179ea81f93.json | N/A | N/A | N/A | N/A | N/A | 00000272194 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1953-03-27 | H3815028 | N/A | N/A | HM | false | FINE | N/A | MICHELLE | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360139764 | N/A | N/A | 5858742 | 2222 | 4801 | 15431994 | 2630 | 4219630 | 2025-11-25 01:44:25.804748 | 2025-05-13 04:29:37.230672 |
| 2025-11-24 08:06:26.801515 | 2025-11-25 01:36:43.358852 | 15153136 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15153136 | Athletic Physical Therapy Inc | 1994-09-23 | 2025-11-26 | M | AE | RUIZ CORTES | 0023841194 | ROGELIO | PT | 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/2222/11537156/check_15153136_8d6a8a6d-e64f-40db-83e4-991371a3f9b1.json | N/A | N/A | N/A | N/A | N/A | 0023841194 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1994-09-23 | N/A | N/A | N/A | N/A | false | RUIZ CORTES | N/A | ROGELIO | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360131219 | N/A | N/A | 11537156 | 2222 | 4802 | 15424681 | N/A | 9778191 | 2025-11-25 01:36:43.358852 | 2025-10-27 23:17:48.522975 |
| 2025-11-24 08:06:26.693869 | 2025-11-25 01:36:18.524879 | 15153134 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15153134 | Athletic Physical Therapy Inc | 1956-09-25 | 2025-11-26 | M | AE | Marvin | 40059610101 | Terry | PT | 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/2222/11529617/check_15153134_b96510f1-72fc-42af-b6dd-391c0e8e143c.json | N/A | N/A | N/A | N/A | N/A | 40059610101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-09-25 | 2025H5425001 | H5425M | N/A | N/A | false | MARVIN | N/A | TERRY | 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 | 9360131218 | N/A | N/A | 11529617 | 2222 | 4801 | 15424263 | N/A | 9770503 | 2025-11-25 01:36:18.524879 | 2025-11-05 23:33:36.141284 |
| 2025-11-24 08:06:23.200760 | 2025-11-25 01:34:14.432296 | 15153014 | N/A | N/A | 60054 | Aetna | 1114042165 | 15153014 | Athletic Physical Therapy Inc | 1998-11-14 | 2025-11-26 | M | AE | Shirian | W742094344 | Jonathan | PT | 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/2222/11519732/check_15153014_2b8ba0e3-25d3-44ff-b768-1e926161b5d6.json | N/A | N/A | N/A | N/A | N/A | W274093844 | Point of Service (POS) | CASE WESTERN RESERVE UNIVERSITY | AETNA | N/A | 1998-11-14 | 0686194 | 068619403600108 | N/A | PS | false | SHIRIAN | N/A | JONATHAN | N/A | N/A | N/A | OPEN CHOICE-EARLY ARRIVAL | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360131195 | N/A | N/A | 11519732 | 2222 | 4802 | 15422447 | N/A | 9760542 | 2025-11-25 01:34:14.432296 | 2025-10-27 21:44:20.466934 |
| 2025-11-24 08:06:21.949486 | 2025-11-25 03:34:40.836689 | 15152969 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15152969 | Athletic Physical Therapy Inc | 1955-08-03 | 2025-11-26 | M | AE | Eisenberg | 000000569463 | Paul | PT | 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/2222/12524155/check_15152969_3c310a45-6858-438d-83f1-c0775e466cfa.json | N/A | N/A | N/A | N/A | N/A | 000000569463 | N/A | N/A | KP MEDICARE | MDC - MEDICAID | 1955-08-03 | 4295404 | 1650095002 | N/A | N/A | false | EISENBERG | N/A | PAUL | N/A | N/A | N/A | MEDI-CAL LA CARE HEALTH PLAN DISABLED LTSS ELIGIBL | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360134179 | N/A | N/A | 12524155 | 2222 | 4802 | 15436857 | N/A | 10696748 | 2025-11-25 03:34:40.836689 | 2025-11-10 21:50:10.385299 |
| 2025-11-24 08:06:20.666620 | 2025-11-25 01:37:08.777862 | 15152928 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15152928 | Athletic Physical Therapy Inc | 1977-08-05 | 2025-11-26 | F | PT | ORNELAS | NCF054W10834 | MELISSA | 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/2222/11513735/check_15152928_7005a544-54ce-469b-bdaa-542d3b8fd443.json | N/A | N/A | N/A | N/A | N/A | NCF054W10834 | Health Maintenance Organization (HMO) | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1977-08-05 | 040 | 57AJCA | N/A | HM | false | ORNELAS | N/A | MELISSA | N/A | 9999-12-31 | 2022-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9360131181 | N/A | N/A | 11513735 | 2222 | 4801 | 15425100 | N/A | 9754522 | 2025-11-25 01:37:08.777862 | 2025-11-11 18:53:52.074262 |
| 2025-11-24 08:06:05.625061 | 2025-11-25 01:37:26.463442 | 15152358 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15152358 | Athletic Physical Therapy Inc | 1968-10-03 | 2025-11-26 | M | PT | RAMIREZ | Z7M7740597AB | CESAR | 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/2222/9729132/check_15152358_1584c448-9529-4d09-a67f-d5905c9dde8d.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 | 9360117664 | N/A | N/A | 9729132 | 2222 | 4801 | 15425389 | N/A | 8145241 | 2025-11-25 01:37:26.463442 | 2025-09-25 17:51:33.170014 |
| 2025-11-24 08:06:04.144746 | 2025-11-25 01:37:26.206865 | 15152294 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15152294 | Athletic Physical Therapy Inc | 2001-07-26 | 2025-11-26 | M | PT | ARUMUGAM | FRU100011284058 | HARIDHANA | 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/2222/9727130/check_15152294_64c5cda4-6e2b-4b0c-a37b-5e02bce151c3.json | N/A | N/A | N/A | N/A | N/A | FRU100011284058 | 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." | 2001-07-26 | N/A | 716205N49 | N/A | PR | false | PERIYASAMY | N/A | ARUMUGAN | 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 | 9360117651 | N/A | N/A | 9727130 | 2222 | 4801 | 15425383 | N/A | 6979235 | 2025-11-25 01:37:26.206865 | 2025-09-29 22:51:47.474872 |
| 2025-11-24 08:05:56.938789 | 2025-11-25 01:44:22.955693 | 15152004 | N/A | N/A | 95567 | HEALTH NET OF CALIFORNIA AND OREGON (CLAIMS) | 1114042165 | 15152004 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-11-25 | F | AE | GIANOLI | R11857813FM1 | ELSY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.100624218.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_15152004_2f7e04bc-882a-40fc-945a-cf6c5a5b1b79.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | 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. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360140937 | N/A | N/A | 5568076 | 2222 | 4802 | 15431962 | 4625 | 4209480 | 2025-11-25 01:44:22.955693 | 2026-04-10 02:05:15.976484 |
| 2025-11-24 08:05:55.488071 | 2025-11-25 03:34:48.694396 | 15151957 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15151957 | Athletic Physical Therapy Inc | 2008-09-26 | 2025-11-26 | M | PT | McNulty | NSA00515638H | Colton | 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/2222/12493147/check_15151957_04f8270d-191c-4fa0-8fd8-caeb6cfbcc4a.json | N/A | N/A | N/A | N/A | N/A | NSA00515638H | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2008-09-26 | N/A | N/A | N/A | N/A | false | MCNULTY | N/A | COLTON | N/A | 2026-04-30 | 2026-01-01 | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9360133356 | N/A | N/A | 12493147 | 2222 | 4802 | 15436912 | N/A | 10669635 | 2025-11-25 03:34:48.694396 | 2026-04-13 22:33:15.662813 |
| 2025-11-24 08:05:51.238977 | 2025-11-25 01:44:34.632692 | 15151822 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15151822 | Athletic Physical Therapy Inc | 1989-01-23 | 2025-11-26 | F | PT | HINKLE | NCF051W08046 | MARLENA | 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/2222/5550925/check_15151822_88b2f2e5-e25c-49d6-bb09-0a9ee8d9924c.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 | 9360140913 | N/A | N/A | 5550925 | 2222 | 4793 | 15432095 | N/A | 4219772 | 2025-11-25 01:44:34.632692 | 2025-11-18 00:45:16.378261 |
| 2025-11-24 08:05:51.086148 | 2025-11-25 01:45:03.052765 | 15151815 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15151815 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-11-26 | F | PT | PANDYA | XEA913306283 | DHARA | 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/2222/5550845/check_15151815_4e2f40f9-c96c-4225-982e-6362264d58dc.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1975-08-17 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2025-01-01 | BLUE SHIELD OF CA ASO VIRTUAL BLUE FULL PPO SAVING | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9360140911 | N/A | N/A | 5550845 | 2222 | 4801 | 15432332 | N/A | 4219713 | 2025-11-25 01:45:03.052765 | 2025-08-13 22:46:55.732965 |
| 2025-11-24 08:05:50.857799 | 2025-11-25 01:49:52.358033 | 15151807 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15151807 | Athletic Physical Therapy Inc | 1954-05-11 | 2025-11-26 | M | AE | A Peters | 1R78CR5JR59 | Dennis | PT | 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/2222/5550025/check_15151807_f52bfd88-6a4d-405a-8b82-18f79d86f5ec.json | N/A | N/A | N/A | N/A | N/A | 1R78CR5JR59 | N/A | N/A | CMS | N/A | 1954-05-11 | N/A | N/A | N/A | N/A | false | A PETERS | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360140910 | N/A | N/A | 5550025 | 2222 | 4801 | 15433933 | N/A | 4219449 | 2025-11-25 01:49:52.358033 | 2025-10-07 21:32:27.567534 |
| 2025-11-24 08:05:50.470915 | 2025-11-25 01:44:33.755327 | 15151792 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15151792 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-11-26 | F | PT | DAKE | SIF326M90066 | RENEE | 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/2222/5543355/check_15151792_7d58add4-ef93-484f-ac44-f034dac61692.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | Preferred Provider Organization (PPO) | SISC - MEADOWS ARTS & TECH ELEMENTARY SCHOOL | ANTHEM BLUE CROSS | N/A | 1968-01-29 | 040 | 40424B | N/A | PR | false | DAKE | N/A | RENEE | N/A | 9999-12-31 | 2018-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9360140907 | N/A | N/A | 5543355 | 2222 | 4793 | 15432085 | N/A | 4215158 | 2025-11-25 01:44:33.755327 | 2025-05-13 04:29:37.229475 |
| 2025-11-24 08:05:50.158272 | 2025-11-25 01:49:52.905266 | 15151779 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15151779 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-11-26 | F | AE | HOWARD | 6JJ9KX0PY45 | JUDI | PT | 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/2222/5543340/check_15151779_0ab6dd9d-f2e7-4334-a290-17cbc9aac7f9.json | N/A | N/A | N/A | N/A | N/A | 6JJ9KX0PY45 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-11-19 | S5884 | N/A | N/A | MA | false | HOWARD | N/A | JUDI | N/A | N/A | N/A | N/A | N/A | 233814 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360140906 | N/A | N/A | 5543340 | 2222 | 4793 | 15433937 | N/A | 4215147 | 2025-11-25 01:49:52.905266 | 2025-05-13 04:29:37.229464 |
| 2025-11-24 08:05:49.769342 | 2025-11-25 01:42:05.576510 | 15151763 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15151763 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-11-26 | F | AE | SILVERS | 1866968 | JOIEMAY | PT | 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/2222/5543335/check_15151763_1a679159-a376-4ad0-ac7f-b91aaa8893fc.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 2001-01-23 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360140905 | N/A | N/A | 5543335 | 2222 | 4802 | 15429947 | 4211 | 4215139 | 2025-11-25 01:42:05.576510 | 2025-05-13 21:20:11.455022 |
| 2025-11-24 08:05:49.173819 | 2025-11-25 01:49:52.650795 | 15151742 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15151742 | Athletic Physical Therapy Inc | 1948-08-18 | 2025-11-26 | M | AE | EDA | 9AC4JX7TW77 | MASAAKI | PT | 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/2222/5543330/check_15151742_eb1dfe29-139d-4a8a-ada0-49fd533e8d9d.json | N/A | N/A | N/A | N/A | N/A | 9AC4JX7TW77 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-08-18 | S5596 | N/A | N/A | MA | false | EDA | N/A | MASAAKI | N/A | N/A | N/A | N/A | N/A | 129686 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360140904 | N/A | N/A | 5543330 | 2222 | 4802 | 15433935 | N/A | 4215140 | 2025-11-25 01:49:52.650795 | 2025-05-13 04:29:37.229453 |
| 2025-11-24 08:05:48.610505 | 2025-11-25 01:44:33.474847 | 15151726 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 15151726 | Athletic Physical Therapy Inc | 1962-09-27 | 2025-11-26 | F | PT | BARAJAS | NCF425A56241 | EMMA | 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/2222/5543324/check_15151726_296e42fc-e1d2-4359-aa5d-211128260dea.json | N/A | N/A | N/A | N/A | N/A | JMV425A56241 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1962-09-27 | 040 | 56677VR000 | N/A | HM | false | BARAJAS | N/A | RAMON | N/A | 9999-12-31 | 2025-09-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9360140903 | N/A | N/A | 5543324 | 2222 | 4801 | 15432082 | 4184 | 4215131 | 2025-11-25 01:44:33.474847 | 2025-08-11 16:45:52.816842 |
| 2025-11-24 08:05:48.594758 | 2025-11-25 01:32:56.830000 | 15151725 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15151725 | Athletic Physical Therapy Inc | 1949-05-18 | 2025-11-26 | F | AE | Burk | JQE091A77884 | Celine | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.120805901.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12839894/check_15151725_528dacf5-4fbe-44c2-a9c7-baf4e6164d1d.json | N/A | N/A | N/A | N/A | N/A | JQE091A77884 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1949-05-18 | 040 | CASUPWP0 | N/A | N/A | false | BURK | N/A | CELINE | N/A | 9999-12-31 | 2017-11-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360106059 | N/A | N/A | 12839894 | 2222 | 4802 | 15421480 | N/A | 11004269 | 2025-11-25 01:32:56.830000 | 2025-11-14 23:42:44.614455 |
| 2025-11-24 08:05:48.423717 | 2025-11-25 01:45:03.339149 | 15151719 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15151719 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-11-26 | F | PT | PAUL | XEK914147727 | SARA | 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/2222/5543211/check_15151719_00ac89b8-8cd7-47a3-b3f5-6d0bae9a8757.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | 2025-12-31 | 2025-02-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9360140902 | N/A | N/A | 5543211 | 2222 | 4801 | 15432333 | N/A | 4215028 | 2025-11-25 01:45:03.339149 | 2025-05-13 04:29:37.229346 |
| 2025-11-24 08:05:48.173230 | 2025-11-25 01:44:35.421986 | 15151710 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15151710 | Athletic Physical Therapy Inc | 1963-10-10 | 2025-11-26 | F | PT | RUEGGER | MPI01409385Q | ANNE | 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/2222/5542955/check_15151710_d6e541f3-7d19-4744-8ab7-372b7086d387.json | N/A | N/A | N/A | N/A | N/A | MPI01409385Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN - RETIREE | ANTHEM BLUE CROSS | N/A | 1963-10-10 | 040 | 277163M406 | N/A | PR | false | RUEGGER | N/A | THOMAS | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9360140901 | N/A | N/A | 5542955 | 2222 | 4793 | 15432103 | N/A | 4214809 | 2025-11-25 01:44:35.421986 | 2025-06-05 16:00:56.918021 |
| 2025-11-24 08:05:47.892811 | 2025-11-25 01:49:53.517758 | 15151695 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15151695 | Athletic Physical Therapy Inc | 1951-06-05 | 2025-11-26 | F | AE | Roberts | 8J26AQ7EV76 | Mary Bryan | PT | 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/2222/5542843/check_15151695_008432c4-c6e5-4e1a-9382-4d62b5a0d171.json | N/A | N/A | N/A | N/A | N/A | 8J26AQ7EV76 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-05 | S5601 | N/A | N/A | MA | false | ROBERTS | N/A | MARY | N/A | N/A | N/A | N/A | N/A | 140790 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360140900 | N/A | N/A | 5542843 | 2222 | 4793 | 15433940 | N/A | 4214712 | 2025-11-25 01:49:53.517758 | 2025-11-12 19:26:06.663656 |
| 2025-11-24 08:05:47.671094 | 2025-11-25 01:44:24.002183 | 15151689 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15151689 | Athletic Physical Therapy Inc | 1977-02-09 | 2025-11-26 | F | AE | SHAMAT | 96987431H | SAMA | PT | 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/2222/5542314/check_15151689_7032f5a4-f8a6-4201-98e2-bcceef3535f4.json | N/A | N/A | N/A | N/A | N/A | 96987431H | N/A | N/A | HEALTH NET, LLC | N/A | 1977-02-09 | N/A | N/A | N/A | N/A | false | SHAMAT | N/A | SAMA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360140898 | N/A | N/A | 5542314 | 2222 | 4802 | 15431973 | N/A | 4214238 | 2025-11-25 01:44:24.002183 | 2025-05-13 04:29:37.228571 |
| 2025-11-24 08:05:47.464886 | 2025-11-25 01:44:34.292485 | 15151678 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15151678 | Athletic Physical Therapy Inc | 1974-10-21 | 2025-11-26 | F | PT | GARCIA | NCF666A56083 | DAWN | 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/2222/5541664/check_15151678_f9caff8c-0ca8-4976-8843-527ef72e291e.json | N/A | N/A | N/A | N/A | N/A | NCF666A56083 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1974-10-21 | 040 | 57AJCA | N/A | HM | false | GARCIA | N/A | DAWN | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9360140897 | N/A | N/A | 5541664 | 2222 | 4793 | 15432091 | 4185 | 4213662 | 2025-11-25 01:44:34.292485 | 2025-05-13 04:29:37.227982 |
| 2025-11-24 08:05:47.305644 | 2025-11-25 01:49:54.078528 | 15151671 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15151671 | Athletic Physical Therapy Inc | 1949-07-06 | 2025-11-26 | M | AE | SILVERMAN | 1P91CV2QF22 | LAWRENCE | PT | 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/2222/5541609/check_15151671_d2aa00dd-3a5c-4b5f-a189-9c1c31ae2eb3.json | N/A | N/A | N/A | N/A | N/A | 1P91CV2QF22 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-07-06 | N/A | N/A | N/A | MA | false | SILVERMAN | N/A | LAWRENCE | N/A | N/A | N/A | N/A | N/A | 79512 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360140896 | N/A | N/A | 5541609 | 2222 | 4793 | 15433943 | N/A | 4213611 | 2025-11-25 01:49:54.078528 | 2025-05-13 04:29:37.227938 |
| 2025-11-24 08:05:47.039145 | 2025-11-25 01:43:53.715233 | 15151660 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15151660 | Athletic Physical Therapy Inc | 1946-11-23 | 2025-11-26 | F | AE | POLAK | 40047825101 | JOANNA | PT | 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/2222/5541023/check_15151660_10b6b913-110c-4e79-9a0c-aed341349a44.json | N/A | N/A | N/A | N/A | N/A | 40047825101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1946-11-23 | 2025H5425006 | H5425M | N/A | N/A | false | POLAK | N/A | JOANNA | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360140895 | N/A | N/A | 5541023 | 2222 | 4793 | 15431619 | 6237 | 4213093 | 2025-11-25 01:43:53.715233 | 2025-05-13 04:29:37.227419 |
| 2025-11-24 08:05:46.528566 | 2025-11-25 01:45:10.785092 | 15151645 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15151645 | Athletic Physical Therapy Inc | 1961-12-01 | 2025-11-26 | M | PT | TOOCH | JPU633M84536 | PETER | 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/2222/5538874/check_15151645_ae33101a-5d5e-422f-8978-015db76d09d9.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 | 9360140894 | N/A | N/A | 5538874 | 2222 | 4801 | 15432382 | N/A | 4211227 | 2025-11-25 01:45:10.785092 | 2025-05-13 04:29:37.225625 |
| 2025-11-24 08:05:46.091141 | 2025-11-25 01:44:26.281506 | 15151628 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15151628 | Athletic Physical Therapy Inc | 1949-09-13 | 2025-11-26 | M | AE | GOMES | 00000285293 | NEMESIO | PT | 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/2222/5537439/check_15151628_d9da8261-2e8a-45da-baa1-b34c036b7f75.json | N/A | N/A | N/A | N/A | N/A | 00000285293 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-09-13 | H3815028 | N/A | N/A | HM | false | GOMES | N/A | NEMESIO | 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 | 9360140893 | N/A | N/A | 5537439 | 2222 | 4801 | 15431997 | 2630 | 4210001 | 2025-11-25 01:44:26.281506 | 2025-05-13 04:29:37.224421 |
| 2025-11-24 08:05:45.816444 | 2025-11-25 01:49:53.796719 | 15151615 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15151615 | Athletic Physical Therapy Inc | 1946-08-26 | 2025-11-26 | M | AE | ROTHMAN | 6H65JC7UD67 | MIKE | PT | 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/2222/5536194/check_15151615_60f85a5d-bbb6-4178-b2e3-d55fdb7377e9.json | N/A | N/A | N/A | N/A | N/A | 6H65JC7UD67 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-08-26 | S4802 | N/A | N/A | MA | false | ROTHMAN | N/A | MIKE | N/A | N/A | N/A | N/A | N/A | 119074 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360140892 | N/A | N/A | 5536194 | 2222 | 4801 | 15433941 | N/A | 4208978 | 2025-11-25 01:49:53.796719 | 2025-05-13 04:29:37.223404 |
| 2025-11-24 08:05:45.529932 | 2025-11-25 01:43:53.943669 | 15151605 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15151605 | Athletic Physical Therapy Inc | 1952-12-16 | 2025-11-26 | F | AE | PORTER | 40028215401 | SHERIL | PT | 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/2222/5535434/check_15151605_a4bdb780-78fd-4414-a1bd-98fbb44ca9db.json | N/A | N/A | N/A | N/A | N/A | 40028215401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-12-16 | 2025H5425001 | H5425M | N/A | N/A | false | PORTER | N/A | SHERIL | 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 | 9360140891 | N/A | N/A | 5535434 | 2222 | 4793 | 15431625 | 6237 | 4208356 | 2025-11-25 01:43:53.943669 | 2025-08-25 14:49:27.724897 |
| 2025-11-24 08:05:45.377756 | 2025-11-25 01:44:34.004608 | 15151599 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15151599 | Athletic Physical Therapy Inc | 1960-04-27 | 2025-11-26 | M | PT | ENRIGHT | DGA10462968J | HAROLD | 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/2222/5535419/check_15151599_5b152503-e3fd-4410-bf7c-f5a4304d255a.json | N/A | N/A | N/A | N/A | N/A | DGA10462968J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1960-04-27 | 040 | 276945M001 | N/A | PR | false | ENRIGHT | N/A | HAROLD | N/A | 9999-12-31 | 2017-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9360140890 | N/A | N/A | 5535419 | 2222 | 4793 | 15432088 | N/A | 4208347 | 2025-11-25 01:44:34.004608 | 2025-05-13 04:29:37.222769 |
| 2025-11-24 08:05:35.718842 | 2025-11-25 01:40:11.832999 | 15151200 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15151200 | Athletic Physical Therapy Inc | 1949-08-12 | 2025-11-26 | F | AE | NAGLE | 6VF8A13VP64 | JAMES | PT | 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/2222/11457994/check_15151200_0a40b9e5-bff9-46ef-a4f2-52c2ba0e2fe3.json | N/A | N/A | N/A | N/A | N/A | 6VF8A13VP64 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-08-12 | S5617 | N/A | N/A | MB | false | NAGLE | N/A | JAMES | N/A | N/A | N/A | N/A | N/A | 38741 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360129815 | N/A | N/A | 11457994 | 2222 | 4801 | 15428084 | N/A | 9707473 | 2025-11-25 01:40:11.832999 | 2026-02-05 20:49:45.747494 |
| 2025-11-24 08:05:28.469176 | 2025-11-25 01:37:26.794636 | 15150899 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15150899 | Athletic Physical Therapy Inc | 2009-10-25 | 2025-11-25 | F | PT | TAITE | JQU200A62919 | SERAPHINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.095952358.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9610001/check_15150899_92657f49-d2f0-4be5-9a97-08eb138a0d87.json | N/A | N/A | N/A | N/A | N/A | JQU200A62919 | Preferred Provider Organization (PPO) | TREATMENT CENTER MANAGEMENT CORPORATION | ANTHEM BLUE CROSS | N/A | 2009-10-25 | 040 | U26732 | N/A | PR | false | TAITE | N/A | RICHARD | N/A | 2026-01-01 | 2025-05-01 | CA SG ANTHEM PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9360117832 | N/A | N/A | 9610001 | 2222 | 4802 | 15425394 | N/A | 8040917 | 2025-11-25 01:37:26.794636 | 2025-09-22 14:19:04.386066 |
| 2025-11-24 08:05:24.596231 | 2025-11-25 03:34:48.970203 | 15150739 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15150739 | Athletic Physical Therapy Inc | 1966-11-27 | 2025-11-26 | M | PT | RANA | 114W0187030 | AJAY | 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/2222/12428367/check_15150739_2cc0768f-f562-4064-941b-5f503ffa9e4a.json | N/A | N/A | N/A | N/A | N/A | 114W0187030 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-11-27 | N/A | N/A | N/A | N/A | false | RANA | N/A | AJAY | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9360134074 | N/A | N/A | 12428367 | 2222 | 4801 | 15436914 | N/A | 10608476 | 2025-11-25 03:34:48.970203 | 2025-11-13 20:33:46.858153 |
| 2025-11-24 08:05:23.783312 | 2025-11-25 01:33:42.226847 | 15150705 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 15150705 | Athletic Physical Therapy Inc | 1972-07-09 | 2025-11-26 | F | AE | JOHNSON OLAD | 97773451D53165 | CATINA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251124.120805901.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12713664/check_15150705_452b89e7-292e-47bd-8e94-3e4dd05108e8.json | N/A | N/A | N/A | N/A | N/A | 97773451D53165 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1972-07-09 | N/A | N/A | N/A | N/A | false | JOHNSON OLAD | N/A | CATINA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360105953 | N/A | N/A | 12713664 | 2222 | 4793 | 15422005 | N/A | 9669773 | 2025-11-25 01:33:42.226847 | 2025-10-30 23:36:57.101747 |
| 2025-11-24 08:05:12.158413 | 2025-11-25 01:34:13.879350 | 15150219 | N/A | N/A | 60054 | Aetna | 1114042165 | 15150219 | Athletic Physical Therapy Inc | 2011-12-20 | 2025-11-26 | M | AE | NAQVI | W295996740 | KAZIM | PT | 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/2222/11417253/check_15150219_b1915138-8e86-4274-a5f6-9b689789ea1f.json | N/A | N/A | N/A | N/A | N/A | W295996740 | Point of Service (POS) | SHI INTERNATIONAL CORP. | AETNA | N/A | 2011-12-20 | 0308616 | 030861601600001 | N/A | PS | false | NAQVI | N/A | SYED | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360131010 | N/A | N/A | 11417253 | 2222 | 4793 | 15422442 | N/A | 9671738 | 2025-11-25 01:34:13.879350 | 2025-10-29 22:32:21.591395 |
| 2025-11-24 08:05:11.646471 | 2025-11-25 03:34:48.457224 | 15150200 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15150200 | Athletic Physical Therapy Inc | 1969-06-19 | 2025-11-25 | F | AE | SIMSON FRANK | JQU217M93319 | GABRIELLE | PT | 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/2222/12377467/check_15150200_5a90c147-5ded-4729-8348-835e40e31509.json | N/A | N/A | N/A | N/A | N/A | JQU217M93319 | Preferred Provider Organization (PPO) | JONATHAN D FRANK INVESTMENTS | ANTHEM BLUE CROSS | N/A | 1969-06-19 | 040 | Q50696 | N/A | PR | false | FRANK | N/A | JONATHAN | N/A | 2026-01-01 | 2025-01-01 | CA SG ANTHEM HSA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360133741 | N/A | N/A | 12377467 | 2222 | 4793 | 15436910 | N/A | 9748796 | 2025-11-25 03:34:48.457224 | 2025-10-30 15:58:51.268962 |
| 2025-11-24 08:05:10.270245 | 2025-11-25 01:36:50.753080 | 15150140 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15150140 | Athletic Physical Therapy Inc | 1956-05-08 | 2025-11-26 | F | AE | COPLIN | 00000378130 | DEBRA | PT | 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/2222/11415453/check_15150140_c6892d7e-9fa0-4176-b0de-cfddfc4ce357.json | N/A | N/A | N/A | N/A | N/A | 00000378130 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-05-08 | H3815028 | N/A | N/A | HM | false | COPLIN | N/A | DEBRA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360130999 | N/A | N/A | 11415453 | 2222 | 4801 | 15424803 | 2630 | 9670237 | 2025-11-25 01:36:50.753080 | 2025-11-03 23:57:15.890657 |
| 2025-11-24 08:05:09.635402 | 2025-11-25 01:35:03.647182 | 15150115 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 15150115 | Athletic Physical Therapy Inc | 1972-07-09 | 2025-11-26 | F | AE | JOHNSON OLAD | H6507221700 | CATINA | PT | 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/2222/11415027/check_15150115_4bc1d2f6-0d3d-4016-b247-2c346f90d135.json | N/A | N/A | N/A | N/A | N/A | H65072217 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1972-07-09 | N/A | 0B666001 | N/A | HN | false | JOHNSON OLAD | N/A | CATINA | 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 | 9360130995 | N/A | N/A | 11415027 | 2222 | 4793 | 15423159 | N/A | 9669773 | 2025-11-25 01:35:03.647182 | 2025-10-30 23:36:57.101747 |
| 2025-11-24 08:05:03.493154 | 2025-11-25 03:34:40.590331 | 15149881 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15149881 | Athletic Physical Therapy Inc | 1946-03-30 | 2025-11-26 | M | AE | Kuyumjian | 0004103769 | Kevork | PT | 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/2222/12360718/check_15149881_444d15c8-6d46-4710-9338-572e84aa833d.json | N/A | N/A | N/A | N/A | N/A | 0004103769 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1946-03-30 | N/A | N/A | N/A | N/A | false | KUYUMJIAN | N/A | KEVORK | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360133319 | N/A | N/A | 12360718 | 2222 | 4802 | 15436856 | N/A | 10540808 | 2025-11-25 03:34:40.590331 | 2025-11-12 20:09:27.257151 |
| 2025-11-24 08:04:58.517761 | 2025-11-25 01:33:55.634517 | 15149725 | N/A | N/A | 60054 | AETNA - PPO | 1114042165 | 15149725 | Athletic Physical Therapy Inc | 1940-05-16 | 2025-11-26 | M | AE | HOPE | 101144710900 | LYNN | PT | 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/2222/9477069/check_15149725_e49fefa5-3ec8-478f-b2a7-40c5d07d1224.json | N/A | N/A | N/A | N/A | N/A | 101144710900 | Point of Service (POS) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-05-16 | 000003-CA000074 | 000003-CA | N/A | PS | false | HOPE | N/A | LYNN | N/A | N/A | N/A | AETNA MEDICARE PLUS (HMO-POS) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9360118378 | N/A | N/A | 9477069 | 2222 | 4802 | 15422187 | 3948 | 7927787 | 2025-11-25 01:33:55.634517 | 2025-09-17 17:11:58.574244 |