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 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-23 08:06:26.795227 | 2025-11-24 01:32:02.633510 | 15137111 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15137111 | Athletic Physical Therapy Inc | 1961-11-24 | 2025-11-26 | F | AE | PT | CRUTCHFIELD | 904430653 | HELEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.120828247.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10103203/check_15137111_6fc32747-c458-4d43-89ad-7c17dd48f968.json | N/A | N/A | N/A | N/A | N/A | 904430653 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1961-11-24 | N/A | N/A | N/A | N/A | false | CRUTCHFIELD | N/A | HELEN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9356641939 | N/A | N/A | 10103203 | 2222 | 4802 | 15389734 | 4211 | 8437251 | 2025-11-24 01:32:02.633510 | 2025-10-07 19:08:26.048804 |
| 2025-11-23 08:06:22.251482 | 2025-11-24 01:45:12.109851 | 15136958 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15136958 | Athletic Physical Therapy Inc | 1953-10-24 | 2025-11-26 | F | PT | N/A | MENCHACA | JQW272W06388 | RAFAELA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.121000982.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12715192/check_15136958_0589552d-d6d7-48df-bb44-38f5ff67b75c.json | N/A | N/A | N/A | N/A | N/A | JQW272W06388 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1953-10-24 | 040 | CAMCRWP0 | N/A | MP | false | MENCHACA | N/A | RAFAELA | N/A | 2025-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9356650418 | N/A | N/A | 12715192 | 2222 | 4793 | 15395774 | 4185 | 10878724 | 2025-11-24 01:45:12.109851 | 2025-11-19 21:36:29.611919 |
| 2025-11-23 08:06:22.016527 | 2025-11-24 01:44:57.630984 | 15136949 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15136949 | Athletic Physical Therapy Inc | 1988-06-08 | 2025-11-26 | F | AE | PT | Parker | 000021005631 | Tiffeny | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.121000982.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12714759/check_15136949_dee38270-4c56-4135-b127-24be1c1f9715.json | N/A | N/A | N/A | N/A | N/A | 000021005631 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1988-06-08 | 4332645 | 1650095001 | N/A | N/A | false | PARKER | N/A | TIFFENY | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 70 HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9356650417 | N/A | N/A | 12714759 | 2222 | 4802 | 15395733 | N/A | 10878419 | 2025-11-24 01:44:57.630984 | 2025-11-21 21:47:52.393943 |
| 2025-11-23 08:06:09.926373 | 2025-11-24 01:32:14.670093 | 15136530 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 15136530 | override_provider | 1963-04-03 | 2025-11-26 | F | PT | N/A | Protsenko | AJC912998623 | Tetiana | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.120828247.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9958584/check_15136530_569c107e-13ca-475c-b93f-895d32481d0e.json | N/A | N/A | N/A | N/A | N/A | AJC912998623 | Medicaid | BSC PROMISE HEALTH PLAN MEDI CAL | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1963-04-03 | 1000MCAL0008 | E0001001 | N/A | MC | false | PROTSENKO | N/A | TETIANA | N/A | N/A | N/A | BLUE SHIELD PROMISE MEDI CAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9356641860 | N/A | N/A | 9958584 | 2222 | 4802 | 15389859 | N/A | 7994720 | 2025-11-24 01:32:14.670093 | 2025-09-24 04:33:28.125297 |
| 2025-11-23 08:05:58.995553 | 2025-11-24 01:32:48.811319 | 15136110 | N/A | N/A | 61101 | HUMANA | 1114042165 | 15136110 | Athletic Physical Therapy Inc | 1956-12-09 | 2025-11-26 | F | AE | PT | MAHBOOB | H6086019300 | MEENA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.120828247.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9857387/check_15136110_fcd513ab-66fa-4c1f-861e-915bc1a03e14.json | N/A | N/A | N/A | N/A | N/A | H60860193 | 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 | 1956-12-09 | N/A | 0B666001 | N/A | HN | false | MAHBOOB | N/A | MEENA | 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 | 9356642890 | N/A | N/A | 9857387 | 2222 | 4801 | 15390236 | 5349 | 8253020 | 2025-11-24 01:32:48.811319 | 2025-11-24 19:48:59.871982 |
| 2025-11-23 08:05:58.897234 | 2025-11-24 01:34:31.403121 | 15136106 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15136106 | Athletic Physical Therapy Inc | 1954-02-05 | 2025-11-26 | M | PT | N/A | HERNANDEZ | NCF335A78493 | FELIPE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.120828247.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9857185/check_15136106_8ecf7a4e-5967-4108-ba58-2c4f5e5708c1.json | N/A | N/A | N/A | N/A | N/A | NCF335A78493 | Health Maintenance Organization (HMO) | CITY OF LOS ANGELES | ANTHEM BLUE CROSS | N/A | 1954-02-05 | 040 | 280612H004 | N/A | HM | false | HERNANDEZ | N/A | FELIPE | N/A | 9999-12-31 | 2017-10-18 | PREMIER SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9356641132 | N/A | N/A | 9857185 | 2222 | 4793 | 15391220 | N/A | 8252801 | 2025-11-24 01:34:31.403121 | 2026-02-23 23:58:40.440949 |
| 2025-11-23 08:05:45.310877 | 2025-11-24 01:35:44.200030 | 15135609 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15135609 | Athletic Physical Therapy Inc | 1950-11-16 | 2025-11-26 | M | AE | PT | BALD | R57843094 | HARRY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.120917359.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543096/check_15135609_43f8b8f4-a963-461a-b019-1642552f26d7.json | N/A | N/A | N/A | N/A | N/A | R57843094 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1950-11-16 | N/A | N/A | N/A | N/A | false | BALD | N/A | HARRY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9356648510 | N/A | N/A | 5543096 | 2222 | 4802 | 15392003 | N/A | 4214930 | 2025-11-24 01:35:44.200030 | 2025-05-13 04:29:37.229251 |
| 2025-11-23 08:05:45.175853 | 2025-11-24 01:35:24.374868 | 15135604 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15135604 | Athletic Physical Therapy Inc | 1956-01-14 | 2025-11-26 | F | AE | PT | COHENZADEH | JQE794W09390 | SIMA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.120917359.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541062/check_15135604_0197f6f6-6de7-4307-b5eb-e25103f017cf.json | N/A | N/A | N/A | N/A | N/A | JQE794W09390 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1956-01-14 | 040 | CASUPWP0 | N/A | N/A | false | COHENZADEH | N/A | SIMA | N/A | 9999-12-31 | 2021-10-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9356648509 | N/A | N/A | 5541062 | 2222 | 4802 | 15391792 | N/A | 4213119 | 2025-11-24 01:35:24.374868 | 2025-11-20 01:13:31.057962 |
| 2025-11-23 08:05:45.007453 | 2025-11-24 01:35:41.270535 | 15135602 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15135602 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-11-26 | M | PT | N/A | FINNLEY | M4R134071249001 | ZEV | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.120917359.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539665/check_15135602_bfd152ca-c0d6-46be-994f-2a5ab833c5f7.json | N/A | N/A | N/A | N/A | N/A | M4R134071249001 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1991-07-13 | N/A | N/A | N/A | N/A | false | FINNLEY | N/A | ZEV | 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 | 9356648508 | N/A | N/A | 5539665 | 2222 | 4793 | 15391973 | N/A | 4211935 | 2025-11-24 01:35:41.270535 | 2025-05-13 04:29:37.226259 |
| 2025-11-23 08:05:44.741204 | 2025-11-24 01:31:48.720992 | 15135594 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 15135594 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-11-26 | M | AE | PT | ULLMAN | 557489000 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.120917359.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535842/check_15135594_4c578e1f-29c6-4f14-8cef-3d6c6f399e64.json | N/A | N/A | N/A | N/A | N/A | 557489000 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9356648507 | N/A | N/A | 5535842 | 2222 | 4801 | 15389581 | N/A | 4208696 | 2025-11-24 01:31:48.720992 | 2025-06-07 16:16:45.844566 |
| 2025-11-23 08:05:44.717312 | 2025-11-24 01:34:48.186889 | 15135592 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15135592 | Athletic Physical Therapy Inc | 2001-07-26 | 2025-11-26 | M | PT | N/A | ARUMUGAM | FRU100011284058 | HARIDHANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.120828247.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9727130/check_15135592_b03ce509-4906-49c2-a19d-dab759634f66.json | N/A | N/A | N/A | N/A | N/A | FRU100011284058 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 2001-07-26 | N/A | N/A | N/A | N/A | false | ARUMUGAM | N/A | HARIDHANA | 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 | 9356642160 | N/A | N/A | 9727130 | 2222 | 4801 | 15391401 | N/A | 6979235 | 2025-11-24 01:34:48.186889 | 2025-09-29 22:51:47.474872 |
| 2025-11-23 08:05:28.614501 | 2025-11-24 01:34:52.276339 | 15135033 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15135033 | Athletic Physical Therapy Inc | 1962-05-29 | 2025-11-26 | F | PT | N/A | LARSON | XEA913804058 | DEBRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.120828247.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9562148/check_15135033_1d3bbcd9-bc31-47b5-98c6-c9a6311421d8.json | N/A | N/A | N/A | N/A | N/A | XAN913804058 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1962-05-29 | 1480PPOX0002 | W0051411 | N/A | PR | false | LARSON | N/A | DEBRA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9356641822 | N/A | N/A | 9562148 | 2222 | 4793 | 15391447 | N/A | 7997320 | 2025-11-24 01:34:52.276339 | 2025-10-02 21:07:14.563938 |
| 2025-11-23 08:05:28.494555 | 2025-11-24 01:34:30.755278 | 15135028 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15135028 | Athletic Physical Therapy Inc | 2016-09-02 | 2025-11-26 | M | PT | N/A | BARREDA | KXJ508W22665 | XANDER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.120828247.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9561269/check_15135028_8074f53a-78a6-4423-8912-e9f71268a73a.json | N/A | N/A | N/A | N/A | N/A | KXJ508W22665 | Health Maintenance Organization (HMO) | FEHBP FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM | ANTHEM BLUE CROSS | N/A | 2016-09-02 | 040 | 277579H010 | N/A | HM | false | BARREDA | N/A | JOAQUIN | N/A | 2026-01-01 | 2025-01-12 | VALUE SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9356641821 | N/A | N/A | 9561269 | 2222 | 4801 | 15391215 | 4185 | 7996503 | 2025-11-24 01:34:30.755278 | 2025-09-26 19:44:10.906799 |
| 2025-11-23 08:05:27.650067 | 2025-11-24 01:38:47.501940 | 15134998 | N/A | N/A | SRRGA | Railroad Medicare | 1114042165 | 15134998 | Athletic Physical Therapy Inc | 1977-03-25 | 2025-11-26 | M | AE | PT | BRADBURY | 7HR3VE4QQ94 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.120828247.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9557582/check_15134998_b97d454d-dda9-4ecb-9f98-2543784a113a.json | N/A | N/A | N/A | N/A | N/A | 7HR3VE4QQ94 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1977-03-25 | S5617 | N/A | N/A | MA | false | BRADBURY | 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 | 9356641813 | N/A | N/A | 9557582 | 2222 | 4801 | 15394093 | N/A | 7992729 | 2025-11-24 01:38:47.501940 | 2025-10-01 17:15:45.167667 |
| 2025-11-23 08:05:16.634254 | 2025-11-24 01:45:11.204669 | 15134605 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15134605 | Athletic Physical Therapy Inc | 1985-11-28 | 2025-11-26 | M | PT | N/A | CARRILLO | UCR227M85062 | JOSUE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.121000982.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12281526/check_15134605_a87949ec-7237-4e87-9066-77db9532730b.json | N/A | N/A | N/A | N/A | N/A | UCR227M85062 | Preferred Provider Organization (PPO) | CHARTER COMMUNICATIONS INC | ANTHEM BLUE CROSS | N/A | 1985-11-28 | 241 | 230018AAA2 | N/A | PR | false | CARRILLO | N/A | JOSUE | N/A | 9999-12-31 | 2022-01-01 | CDHP MISSOURI HEALTH REIMBURSEMENT ACCT PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9356651613 | N/A | N/A | 12281526 | 2222 | 4801 | 15395772 | N/A | 10468359 | 2025-11-24 01:45:11.204669 | 2025-11-12 23:04:16.399825 |
| 2025-11-23 08:05:10.346917 | 2025-11-24 01:45:11.692538 | 15134373 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15134373 | Athletic Physical Therapy Inc | 1957-05-05 | 2025-11-26 | F | PT | N/A | HOUSTON | TRJNP0019401 | VELINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.121000982.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12244725/check_15134373_afb32c66-6dc6-41dd-b8d9-337ef1ebc089.json | N/A | N/A | N/A | N/A | N/A | TRJNP0019401 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1957-05-05 | 040 | 276727M001 | N/A | PR | false | HOUSTON | N/A | VELINA | N/A | 9999-12-31 | 2012-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9356650874 | N/A | N/A | 12244725 | 2222 | 4802 | 15395773 | N/A | 9637804 | 2025-11-24 01:45:11.692538 | 2026-04-24 18:56:42.779565 |
| 2025-11-23 08:05:09.338838 | 2025-11-24 01:34:32.364147 | 15134340 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15134340 | Athletic Physical Therapy Inc | 2005-12-13 | 2025-11-26 | F | PT | N/A | Varivoda | ZTQ335M98588 | Alex | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.120828247.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9338185/check_15134340_a9a62b81-81a4-4fef-8c68-f65190e7e784.json | N/A | N/A | N/A | N/A | N/A | ZTQ335M98588 | Preferred Provider Organization (PPO) | TELEDYNE TECH INC LECROY | ANTHEM BLUE CROSS | N/A | 2005-12-13 | 040 | 174249M3AW | N/A | PR | false | VARIVODA | N/A | ALEXEY | N/A | 9999-12-31 | 2020-03-19 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9356642870 | N/A | N/A | 9338185 | 2222 | 4802 | 15391230 | N/A | 7837035 | 2025-11-24 01:34:32.364147 | 2025-09-17 13:44:26.939662 |
| 2025-11-23 08:05:06.977314 | 2025-11-24 01:34:32.039302 | 15134261 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 15134261 | Athletic Physical Therapy Inc | 1982-08-25 | 2025-11-26 | F | PT | N/A | SANCHEZ | XDM281A73325 | FRANCISCA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.120828247.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9321862/check_15134261_b844ab11-bfbe-4736-9284-01da2d918bb1.json | N/A | N/A | N/A | N/A | N/A | XDM281A73325 | Health Maintenance Organization (HMO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 1982-08-25 | 040 | 57ARJS | N/A | HM | false | SANCHEZ | N/A | FRANCISCA | N/A | 9999-12-31 | 2025-10-01 | CLASSIC SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9356642848 | N/A | N/A | 9321862 | 2222 | 4801 | 15391227 | 4184 | 7821295 | 2025-11-24 01:34:32.039302 | 2025-10-01 23:30:48.597825 |
| 2025-11-23 08:04:53.507500 | 2025-11-24 01:39:13.796516 | 15133721 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15133721 | Athletic Physical Therapy Inc | 1959-07-16 | 2025-11-26 | F | AE | PT | JESTER | 8WT9EW5DX41 | AUREA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.120828247.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9104610/check_15133721_47c288d4-3edf-4124-bf05-b241b008961c.json | N/A | N/A | N/A | N/A | N/A | 8WT9EW5DX41 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-16 | H4036 | N/A | N/A | MA | false | JESTER | N/A | AUREA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9356642553 | N/A | N/A | 9104610 | 2222 | 4801 | 15394393 | N/A | 7624564 | 2025-11-24 01:39:13.796516 | 2025-10-06 23:19:36.703282 |
| 2025-11-23 08:04:47.921580 | 2025-11-24 01:32:27.770368 | 15133471 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 15133471 | Athletic Physical Therapy Inc | 1950-06-01 | 2025-11-26 | F | AE | PT | MCDEVITT | H7220666800 | GUADALUPE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.100142645.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6221805/check_15133471_c590da82-155e-411e-a6b2-9cbd8074c317.json | N/A | N/A | N/A | N/A | N/A | H72206668 | 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 | 1950-06-01 | N/A | 0B527001 | N/A | HN | false | MCDEVITT | N/A | GUADALUPE | 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 | 9356655529 | N/A | N/A | 6221805 | 2222 | 4801 | 15390004 | N/A | 4865742 | 2025-11-24 01:32:27.770368 | 2025-06-11 15:46:59.098537 |
| 2025-11-23 08:04:45.834373 | 2025-11-24 01:34:31.730308 | 15133382 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15133382 | Athletic Physical Therapy Inc | 1952-08-20 | 2025-11-26 | M | PT | N/A | POLK | MBL292M95257 | KENNETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.120828247.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9022039/check_15133382_24667dce-a342-41c7-9b68-ceb0c9d37026.json | N/A | N/A | N/A | N/A | N/A | MBL292M95257 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1952-08-20 | 040 | CAEGR002 | N/A | N/A | false | POLK | N/A | KENNETH | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9356642828 | N/A | N/A | 9022039 | 2222 | 4801 | 15391224 | N/A | 7544773 | 2025-11-24 01:34:31.730308 | 2025-09-02 18:35:33.812098 |
| 2025-11-23 08:04:26.876388 | 2025-11-24 01:44:39.739907 | 15132568 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15132568 | Athletic Physical Therapy Inc | 1952-06-27 | 2025-11-26 | M | AE | PT | WEST | 40065315001 | KIRK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.121000982.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11799742/check_15132568_e440deca-3959-4dbd-9b88-b74f5d1107ca.json | N/A | N/A | N/A | N/A | N/A | 40065315001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-06-27 | 2025H5425001 | H5425M | N/A | N/A | false | WEST | N/A | KIRK | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9356650249 | N/A | N/A | 11799742 | 2222 | 4801 | 15395683 | N/A | 10033486 | 2025-11-24 01:44:39.739907 | 2025-11-04 21:34:59.842331 |
| 2025-11-23 08:04:20.728943 | 2025-11-24 01:45:12.892947 | 15132328 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15132328 | Athletic Physical Therapy Inc | 1965-10-16 | 2025-11-26 | F | PT | N/A | OTA | JQK708W18818 | JULIANNE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.121000982.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11614506/check_15132328_717165bd-d8d2-4d37-9dd7-15e9d71cb4a3.json | N/A | N/A | N/A | N/A | N/A | JQK708W18818 | Health Maintenance Organization (HMO) | HYPERCOMP INC | ANTHEM BLUE CROSS | N/A | 1965-10-16 | 040 | G78593 | N/A | HM | false | OTA | N/A | JULIANNE | N/A | 2026-01-01 | 2025-01-01 | CA SG ANTHEM HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9356650193 | N/A | N/A | 11614506 | 2222 | 4801 | 15395776 | N/A | 4208609 | 2025-11-24 01:45:12.892947 | 2025-11-06 22:22:57.784313 |
| 2025-11-23 08:04:09.130237 | 2025-11-24 01:34:05.884585 | 15131944 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15131944 | Athletic Physical Therapy Inc | 1960-02-19 | 2025-11-26 | F | AE | PT | ENGLISH BLAZEJ | 40067960801 | DOREEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.120828247.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8048674/check_15131944_be2f98b7-a455-47f1-aaa6-f06758cc0abb.json | N/A | N/A | N/A | N/A | N/A | 40067960801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1960-02-19 | 2025H5425001 | H5425M | N/A | N/A | false | ENGLISH BLAZEJ | N/A | DOREEN | 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 | 9356642511 | N/A | N/A | 8048674 | 2222 | 4801 | 15390943 | N/A | 6844466 | 2025-11-24 01:34:05.884585 | 2025-08-13 17:29:27.130257 |
| 2025-11-23 08:03:56.570069 | 2025-11-24 01:31:52.891776 | 15131581 | N/A | N/A | 60054 | Aetna | 1114042165 | 15131581 | Athletic Physical Therapy Inc | 1992-06-11 | 2025-11-26 | M | AE | PT | ROSS | W292476869 | BRYAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.100142645.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993949/check_15131581_418b404b-d333-4d49-bebd-c443f8d4ca5b.json | N/A | N/A | N/A | N/A | N/A | W292476869 | Point of Service (POS) | PAYCHEX BUSINESS SOLUTIONS, LLC. | AETNA | N/A | 1992-06-11 | 0176563 | 017656301200042 | N/A | PS | false | ROSS | N/A | BRYAN | 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 | 9356656973 | N/A | N/A | 5993949 | 2222 | 4793 | 15389625 | N/A | 4642881 | 2025-11-24 01:31:52.891776 | 2025-06-06 02:27:19.212061 |
| 2025-11-23 08:03:55.789958 | 2025-11-24 01:45:10.751840 | 15131564 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15131564 | Athletic Physical Therapy Inc | 2016-05-10 | 2025-11-26 | M | PT | N/A | ARRIOLA | XDM000517776 | ELLIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.121000982.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11464639/check_15131564_b1212bb0-a419-4457-8a54-3efa7346ba80.json | N/A | N/A | N/A | N/A | N/A | XDM000517776 | Health Maintenance Organization (HMO) | ASSOCIATION FOR LOS ANGELES DEPUTY SHERIFFS INC | ANTHEM BLUE CROSS | N/A | 2016-05-10 | 040 | 57726A | N/A | HM | false | ARRIOLA | N/A | VICTOR | N/A | 9999-12-31 | 2016-05-10 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9356651989 | N/A | N/A | 11464639 | 2222 | 4801 | 15395771 | N/A | 9714270 | 2025-11-24 01:45:10.751840 | 2025-11-06 01:09:13.623652 |
| 2025-11-23 08:03:31.437247 | 2025-11-24 01:49:44.630043 | 15131018 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15131018 | Athletic Physical Therapy Inc | 1959-01-17 | 2025-11-26 | M | AE | PT | WAHL | 6CX2NW3WP90 | LELAND | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.121000982.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11364481/check_15131018_455321f0-c480-49ad-98d2-954fcb3d3a3e.json | N/A | N/A | N/A | N/A | N/A | 6CX2NW3WP90 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-01-17 | S5617 | N/A | N/A | MA | false | WAHL | N/A | LELAND | N/A | N/A | N/A | N/A | N/A | 104840 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9356650162 | N/A | N/A | 11364481 | 2222 | 4793 | 15396813 | N/A | 9633229 | 2025-11-24 01:49:44.630043 | 2026-02-05 17:07:37.378883 |
| 2025-11-23 08:03:26.443618 | 2025-11-24 01:45:12.585366 | 15130888 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15130888 | Athletic Physical Therapy Inc | 1959-04-01 | 2025-11-26 | M | PT | N/A | MOYER | JXN542M92477 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.121000982.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11278285/check_15130888_819736ed-5c76-4875-b576-1f10197affa1.json | N/A | N/A | N/A | N/A | N/A | JXN542M92477 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1959-04-01 | 040 | 174222M2A1 | N/A | PR | false | MOYER | N/A | STEVEN | N/A | 9999-12-31 | 2018-01-01 | BC PPO INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9356651528 | N/A | N/A | 11278285 | 2222 | 4801 | 15395775 | N/A | 9581032 | 2025-11-24 01:45:12.585366 | 2025-10-21 22:24:54.464325 |
| 2025-11-23 08:03:23.263581 | 2025-11-24 01:49:44.346882 | 15130796 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15130796 | Athletic Physical Therapy Inc | 1944-07-11 | 2025-11-26 | F | AE | PT | SAFAVI | 9AX5KK6UD79 | ASHRAF | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.121000982.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11183545/check_15130796_733bef86-61a9-47be-8767-5cb65d18531b.json | N/A | N/A | N/A | N/A | N/A | 9AX5KK6UD79 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-07-11 | S4802 | N/A | N/A | MB | false | SAFAVI | N/A | ASHRAF | N/A | N/A | N/A | N/A | N/A | 80125 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9356651497 | N/A | N/A | 11183545 | 2222 | 4802 | 15396812 | N/A | 9459548 | 2025-11-24 01:49:44.346882 | 2025-10-17 18:54:00.807402 |
| 2025-11-23 08:03:09.394678 | 2025-11-24 01:35:25.262767 | 15130352 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15130352 | Athletic Physical Therapy Inc | 1971-11-21 | 2025-11-26 | F | PT | N/A | MARTINEZ | XDP851A67877 | LETICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.120917359.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13122920/check_15130352_04236f39-0d1f-460f-b65a-88b9df6fe777.json | N/A | N/A | N/A | N/A | N/A | XDP851A67877 | Preferred Provider Organization (PPO) | SOUTHERN CALIFORNIA ORTHOPEDIC INSTITUTE CA/OOS | ANTHEM BLUE CROSS | N/A | 1971-11-21 | 040 | L00817M001 | N/A | PR | false | MARTINEZ | N/A | LETICIA | N/A | 9999-12-31 | 2023-11-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9356647700 | N/A | N/A | 13122920 | 2222 | 4801 | 15391802 | N/A | 11273967 | 2025-11-24 01:35:25.262767 | 2025-12-31 00:35:32.240284 |
| 2025-11-23 08:03:00.830756 | 2025-11-24 01:45:32.054289 | 15130131 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15130131 | Athletic Physical Therapy Inc | 1974-12-08 | 2025-11-26 | M | PT | N/A | MAGEE | SRYHC0157512 | TERRENCE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.121000982.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11084204/check_15130131_8210e02d-743a-45a6-9962-fc2c828631ae.json | N/A | N/A | N/A | N/A | N/A | SRYHC0157512 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1974-12-08 | N/A | N/A | N/A | N/A | false | MAGEE | N/A | TERRENCE | 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 | 9356650659 | N/A | N/A | 11084204 | 2222 | 4793 | 15395823 | N/A | 9438176 | 2025-11-24 01:45:32.054289 | 2025-11-14 22:03:28.394724 |
| 2025-11-23 08:02:55.274510 | 2025-11-24 01:31:34.272073 | 15130020 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15130020 | Athletic Physical Therapy Inc | 1990-11-12 | 2025-11-26 | F | AE | PT | SIMONS | 94378141G | DESIREE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.100142645.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550102/check_15130020_cda04472-4cff-4423-b726-0fec507317ba.json | N/A | N/A | N/A | N/A | N/A | 94378141G | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1990-11-12 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | SIMONS | N/A | DESIREE | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9356656185 | N/A | N/A | 5550102 | 2222 | 4802 | 15389427 | 4211 | 4212176 | 2025-11-24 01:31:34.272073 | 2025-05-13 04:29:37.226514 |
| 2025-11-23 08:02:55.060549 | 2025-11-24 01:31:08.436091 | 15130016 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 15130016 | Athletic Physical Therapy Inc | 1941-05-24 | 2025-11-26 | F | AE | PT | REGGIANI | 41813758 | SUSANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.100142645.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549015/check_15130016_09cca8c7-b7db-4553-a65e-fde8d75ee864.json | N/A | N/A | N/A | N/A | N/A | 41813758 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1941-05-24 | 406-024-000 | N/A | N/A | N/A | false | REGGIANI | N/A | SUSANA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9356656184 | N/A | N/A | 5549015 | 2222 | 4801 | 15389212 | 6798 | 4208849 | 2025-11-24 01:31:08.436091 | 2025-05-13 04:29:37.223279 |
| 2025-11-23 08:02:54.615571 | 2025-11-24 01:30:59.372436 | 15130006 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 15130006 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-11-26 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.100142645.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_15130006_44f4a925-e796-4d75-8929-cf91ff4528c0.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-03-27 | N/A | N/A | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9356656180 | N/A | N/A | 5543270 | 2222 | 4793 | 15389170 | N/A | 4215086 | 2025-11-24 01:30:59.372436 | 2025-05-13 04:29:37.229401 |
| 2025-11-23 08:02:54.436592 | 2025-11-24 01:31:52.297073 | 15130003 | N/A | N/A | 60054 | Aetna | 1114042165 | 15130003 | Athletic Physical Therapy Inc | 1994-09-02 | 2025-11-26 | F | AE | PT | CHEN | W286265318 | KELLY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.100142645.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543266/check_15130003_249c01ca-887d-49e5-a74c-760c1eb99d66.json | N/A | N/A | N/A | N/A | N/A | W286265318 | Point of Service (POS) | ADOBE INC. | AETNA | N/A | 1994-09-02 | 0660819 | 066081901600001 | N/A | PS | false | CHEN | N/A | KELLY | 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 | 9356656179 | N/A | N/A | 5543266 | 2222 | 4802 | 15389619 | N/A | 4215081 | 2025-11-24 01:31:52.297073 | 2025-05-13 04:29:37.229396 |
| 2025-11-23 08:02:54.288934 | 2025-11-24 01:38:31.537435 | 15130000 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15130000 | Athletic Physical Therapy Inc | 1950-11-16 | 2025-11-26 | M | AE | PT | BALD | 9QW2ME2CE10 | HARRY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.100142645.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543095/check_15130000_31b1e20a-d839-4840-bc14-c40ff4bcd81a.json | N/A | N/A | N/A | N/A | N/A | 9QW2ME2CE10 | Medicare Part A | N/A | BLUE CROSS BLUE SHIELD ASSOCIATION | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-11-16 | S2135 | N/A | N/A | MA | false | BALD | N/A | HARRY | N/A | N/A | N/A | N/A | N/A | 257609 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9356656178 | N/A | N/A | 5543095 | 2222 | 4802 | 15393909 | N/A | 4214930 | 2025-11-24 01:38:31.537435 | 2025-05-13 04:29:37.229251 |
| 2025-11-23 08:02:54.152998 | 2025-11-24 01:34:05.801237 | 15129997 | N/A | N/A | 72261 | SCAN HEALTH PLAN | 1114042165 | 15129997 | Athletic Physical Therapy Inc | 1957-01-21 | 2025-11-26 | M | AE | PT | SHADDY | 40064865601 | STEVE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.100142645.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543011/check_15129997_3ea5608c-172f-42b8-ab86-bce53becb694.json | N/A | N/A | N/A | N/A | N/A | 40064865601 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | SHADDY | N/A | STEVE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9356656177 | N/A | N/A | 5543011 | 2222 | 4801 | 15390941 | 6237 | 4214861 | 2025-11-24 01:34:05.801237 | 2026-02-04 19:10:58.526441 |
| 2025-11-23 08:02:53.919710 | 2025-11-24 01:31:52.613321 | 15129992 | N/A | N/A | 60054 | Aetna | 1114042165 | 15129992 | Athletic Physical Therapy Inc | 2005-11-23 | 2025-11-26 | F | AE | PT | FERRELL | W285064666 | AMELIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.100142645.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542678/check_15129992_fb28e527-1f2e-401b-b5e7-ba87d5883286.json | N/A | N/A | N/A | N/A | N/A | W285064666 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 2005-11-23 | 0232499 | 023249901000067 | N/A | PS | false | FERRELL | N/A | RALPH | 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 | 9356656176 | N/A | N/A | 5542678 | 2222 | 4802 | 15389622 | N/A | 4214560 | 2025-11-24 01:31:52.613321 | 2025-05-13 04:29:37.228883 |
| 2025-11-23 08:02:53.757245 | 2025-11-24 01:38:32.042646 | 15129989 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15129989 | Athletic Physical Therapy Inc | 1959-10-03 | 2025-11-26 | F | AE | PT | REED | 2YY5KV0WP59 | SONIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.100142645.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542497/check_15129989_b1a37158-a906-4b38-808b-429e2a19f4e5.json | N/A | N/A | N/A | N/A | N/A | 2YY5KV0WP59 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-10-03 | S5617 | N/A | N/A | MA | false | REED | N/A | SONIA | N/A | N/A | N/A | N/A | N/A | 186318 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9356656175 | N/A | N/A | 5542497 | 2222 | 4801 | 15393916 | N/A | 4214397 | 2025-11-24 01:38:32.042646 | 2025-05-13 04:29:37.228723 |
| 2025-11-23 08:02:53.592181 | 2025-11-24 01:34:41.601671 | 15129985 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15129985 | Athletic Physical Therapy Inc | 1983-04-25 | 2025-11-26 | F | PT | N/A | HASERJIAN | XED912403581 | RENEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.100142645.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542222/check_15129985_a25a736a-fed1-486b-b8b7-0d746914239f.json | N/A | N/A | N/A | N/A | N/A | XED912403581 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1983-04-25 | 2001ZK002169 | X0001004 | N/A | PR | false | HASERJIAN | N/A | RENEE | N/A | 9999-12-31 | 2023-08-01 | IFP EMB PED VISION | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9356656174 | N/A | N/A | 5542222 | 2222 | 4793 | 15391332 | N/A | 4214148 | 2025-11-24 01:34:41.601671 | 2025-05-13 04:29:37.228475 |
| 2025-11-23 08:02:53.376879 | 2025-11-24 01:34:41.343158 | 15129980 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15129980 | Athletic Physical Therapy Inc | 1963-07-22 | 2025-11-26 | F | PT | N/A | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.100142645.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541314/check_15129980_061ba476-b2aa-4745-8490-4ac7a4c4f228.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 2025-12-31 | 2025-01-01 | SILVER 73 PPO JAN25 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9356656173 | N/A | N/A | 5541314 | 2222 | 4793 | 15391328 | N/A | 4213343 | 2025-11-24 01:34:41.343158 | 2025-06-06 02:21:37.603701 |
| 2025-11-23 08:02:53.240398 | 2025-11-24 01:38:31.788781 | 15129977 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15129977 | Athletic Physical Therapy Inc | 1956-01-14 | 2025-11-26 | F | AE | PT | COHENZADEH | 1YM2D25GY27 | SIMA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.100142645.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541059/check_15129977_a3ba21b8-e1df-4dba-835a-36d524f37501.json | N/A | N/A | N/A | N/A | N/A | 1YM2D25GY27 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-14 | S4802 | N/A | N/A | MB | false | COHENZADEH | N/A | SIMA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9356656172 | N/A | N/A | 5541059 | 2222 | 4802 | 15393913 | N/A | 4213119 | 2025-11-24 01:38:31.788781 | 2025-11-20 01:13:31.057962 |
| 2025-11-23 08:02:53.075019 | 2025-11-24 01:34:18.268754 | 15129974 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15129974 | Athletic Physical Therapy Inc | 1982-06-09 | 2025-11-26 | M | AE | PT | FULKERSON | R12222652MM1 | SCOTT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.100142645.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539956/check_15129974_fce9c3c6-5dfd-4085-9a5e-d752a347391d.json | N/A | N/A | N/A | N/A | N/A | R12222652MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1982-06-09 | N/A | N/A | N/A | N/A | false | FULKERSON | N/A | SCOTT | N/A | N/A | N/A | MFC UCNNHMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9356656171 | N/A | N/A | 5539956 | 2222 | 4801 | 15391079 | N/A | 4212166 | 2025-11-24 01:34:18.268754 | 2025-10-23 15:59:33.239127 |
| 2025-11-23 08:02:52.830241 | 2025-11-24 01:34:29.793754 | 15129968 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15129968 | Athletic Physical Therapy Inc | 2007-07-14 | 2025-11-26 | M | PT | N/A | RUBIN | NSA00588070H | COLBY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.100142645.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539668/check_15129968_0be29f06-95de-4b97-adbc-cd5d85c97115.json | N/A | N/A | N/A | N/A | N/A | NSA00588070H | Preferred Provider Organization (PPO) | MAIN PPO PLAN- EARNED | ANTHEM BLUE CROSS | N/A | 2007-07-14 | 040 | L05927A001 | N/A | PR | false | RUBIN | N/A | SAMUEL | N/A | 9999-12-31 | 2023-01-01 | PB INCENTIVE NO SUTTER | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9356656170 | N/A | N/A | 5539668 | 2222 | 4793 | 15391205 | N/A | 4211936 | 2025-11-24 01:34:29.793754 | 2025-05-13 04:29:37.226260 |
| 2025-11-23 08:02:52.629666 | 2025-11-24 01:34:28.555154 | 15129963 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15129963 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-11-26 | M | PT | N/A | FINNLEY | NGO832M81089 | ZEV | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.100142645.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539664/check_15129963_781b55eb-ea55-4881-8ef5-07e09f30bc88.json | N/A | N/A | N/A | N/A | N/A | NGO832M81089 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORPORATION | ANTHEM BLUE CROSS | N/A | 1991-07-13 | 040 | 174022MJAC | N/A | PR | false | FINNLEY | N/A | ZEV | N/A | 9999-12-31 | 2022-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9356656167 | N/A | N/A | 5539664 | 2222 | 4793 | 15391192 | N/A | 4211935 | 2025-11-24 01:34:28.555154 | 2025-05-13 04:29:37.226259 |
| 2025-11-23 08:02:52.381589 | 2025-11-24 01:34:29.161653 | 15129959 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15129959 | Athletic Physical Therapy Inc | 1975-10-23 | 2025-11-26 | F | PT | N/A | MAGEE | SRYHC0157512 | JENNIFER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.100142645.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539606/check_15129959_f1090414-e177-4573-9009-25a8343f2286.json | N/A | N/A | N/A | N/A | N/A | SRYHC0157512 | Preferred Provider Organization (PPO) | SURVEYMONKEY PPO IN STATE | ANTHEM BLUE CROSS | N/A | 1975-10-23 | 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 | 9356656166 | N/A | N/A | 5539606 | 2222 | 4793 | 15391199 | N/A | 4211886 | 2025-11-24 01:34:29.161653 | 2026-02-06 19:09:03.082684 |
| 2025-11-23 08:02:52.202480 | 2025-11-24 01:34:05.527350 | 15129956 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15129956 | Athletic Physical Therapy Inc | 1939-12-29 | 2025-11-26 | F | AE | PT | ALESSI | 31019902301 | JEAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.100142645.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539133/check_15129956_0ac2fbd3-5bd4-4d6a-9d28-0b2a886b6144.json | N/A | N/A | N/A | N/A | N/A | 31019902301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1939-12-29 | 2025H5425001 | H5425M | N/A | N/A | false | ALESSI | N/A | JEAN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9356656165 | N/A | N/A | 5539133 | 2222 | 4793 | 15390938 | N/A | 4211471 | 2025-11-24 01:34:05.527350 | 2025-07-09 03:59:33.308587 |
| 2025-11-23 08:02:51.972574 | 2025-11-24 01:31:34.006375 | 15129951 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15129951 | Athletic Physical Therapy Inc | 1977-04-30 | 2025-11-26 | M | AE | PT | JOSEPH | 623127403 | CHRISTOPHER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.100142645.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537866/check_15129951_41fdd84a-b875-463d-9bc0-7d95f4efcac8.json | N/A | N/A | N/A | N/A | N/A | 623127403 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 1977-04-30 | 18126CA001000201 | QMXEM01910 | N/A | N/A | false | JOSEPH | N/A | CHRISTOPHER | N/A | 2025-12-31 | 2025-02-01 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9356656164 | N/A | N/A | 5537866 | 2222 | 4802 | 15389424 | 4211 | 4210367 | 2025-11-24 01:31:34.006375 | 2025-05-13 04:29:37.224772 |
| 2025-11-23 08:02:51.746150 | 2025-11-24 01:34:28.844783 | 15129947 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15129947 | Athletic Physical Therapy Inc | 1969-03-28 | 2025-11-26 | M | PT | N/A | KOSTER | DGA11321380J | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.100142645.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536722/check_15129947_f4ef3ea1-aa9e-47f6-a6a6-00bf1bc9102f.json | N/A | N/A | N/A | N/A | N/A | DGA11321380J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1969-03-28 | 040 | 276945M001 | N/A | PR | false | KOSTER | N/A | KEVIN | N/A | 9999-12-31 | 2025-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9356656163 | N/A | N/A | 5536722 | 2222 | 4802 | 15391196 | N/A | 4209420 | 2025-11-24 01:34:28.844783 | 2025-05-13 04:29:37.223843 |
| 2025-11-23 08:02:51.580252 | 2025-11-24 01:34:28.236923 | 15129944 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 15129944 | Athletic Physical Therapy Inc | 1947-04-18 | 2025-11-26 | F | PT | N/A | BELL | MNL880M78427 | JACQUELYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251123.100142645.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536041/check_15129944_fc82b3dc-6786-46bc-b863-dd32da46b56e.json | N/A | N/A | N/A | N/A | N/A | MNL880M78427 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1947-04-18 | 040 | CAMCRWP0 | N/A | MP | false | BELL | N/A | JACQUELYN | N/A | 2025-12-31 | 2024-07-01 | CA H4471-001-000 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9356656162 | N/A | N/A | 5536041 | 2222 | 4802 | 15391189 | 4184 | 4208856 | 2025-11-24 01:34:28.236923 | 2025-05-13 04:29:37.223284 |