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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-22 08:11:00.885818 | 2025-11-23 01:43:15.585096 | 15118527 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 15118527 | Athletic Physical Therapy Inc | 1956-07-22 | 2025-11-25 | F | AE | PT | DURAN DE PANTOJA | 43649326 | ROSA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100924023.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8088383/check_15118527_e5f511be-9bb9-4e51-aeba-92f091ca77af.json | N/A | N/A | N/A | N/A | N/A | 43649326 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-07-22 | N/A | N/A | N/A | N/A | false | DURAN DE PANTOJA | N/A | ROSA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351135223 | N/A | N/A | 8088383 | 2222 | 4793 | 15368627 | N/A | 6871702 | 2025-11-23 01:43:15.585096 | 2025-08-14 21:08:52.019264 |
| 2025-11-22 08:10:48.116763 | 2025-11-23 01:53:01.120609 | 15118190 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | 15118190 | Athletic Physical Therapy Inc | 1980-08-02 | 2025-11-25 | M | AE | PT | HILTSER | 208616901 | LORNE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100924023.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8048052/check_15118190_0680072d-133b-48b9-875f-1bd93af3b2b9.json | N/A | N/A | N/A | N/A | N/A | 208616901 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1980-08-02 | N/A | 265486 | N/A | C1 | false | HILTSER | N/A | LORNE | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO GOLD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351134081 | N/A | N/A | 8048052 | 2222 | 4802 | 15373790 | 6411 | 6844134 | 2025-11-23 01:53:01.120609 | 2025-08-29 16:18:21.978739 |
| 2025-11-22 08:10:47.354811 | 2025-11-23 01:52:47.748040 | 15118167 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15118167 | Athletic Physical Therapy Inc | 1942-10-02 | 2025-11-25 | M | AE | PT | SAWAYA | XDD599A52218 | PETER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100318579.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9033459/check_15118167_43118191-09fc-4489-953e-f0e5300b29dc.json | N/A | N/A | N/A | N/A | N/A | XDD599A52218 | Indemnity | SISC - COMPANIONCARE | MEDICARE D | N/A | 1942-10-02 | 040 | 40003A | N/A | IN | false | SAWAYA | N/A | PETER | N/A | 9999-12-31 | 2023-01-01 | MEDICARE SUPPLEMENT | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351122055 | N/A | N/A | 9033459 | 2222 | 4802 | 15373666 | N/A | 7553607 | 2025-11-23 01:52:47.748040 | 2025-09-02 22:55:04.873891 |
| 2025-11-22 08:10:45.914644 | 2025-11-23 03:40:53.415053 | 15118139 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15118139 | Athletic Physical Therapy Inc | 1960-05-08 | 2025-11-25 | F | AE | PT | ALNOURI | 6X49PC0RA33 | SHARIFEH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100646299.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11508125/check_15118139_9c5f1a76-dcf2-44c5-94d8-bd96e550b2d7.json | N/A | N/A | N/A | N/A | N/A | 6X49PC0RA33 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-05-08 | S4802 | N/A | N/A | MB | false | ALNOURI | N/A | SHARIFEH | N/A | N/A | N/A | N/A | N/A | 60334 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351118026 | N/A | N/A | 11508125 | 2222 | 4802 | 15380492 | N/A | 9748914 | 2025-11-23 03:40:53.415053 | 2025-10-27 18:43:47.576827 |
| 2025-11-22 08:10:42.699391 | 2025-11-23 01:52:44.613897 | 15118056 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15118056 | Athletic Physical Therapy Inc | 1948-07-07 | 2025-11-25 | F | AE | PT | GOEL | JQE690A74746 | VEENA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100318579.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969545/check_15118056_c4395201-4399-41ad-9064-224b72362640.json | N/A | N/A | N/A | N/A | N/A | JQE690A74746 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1948-07-07 | 040 | CASUPWP0 | N/A | N/A | false | GOEL | N/A | VEENA | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351122029 | N/A | N/A | 8969545 | 2222 | 4802 | 15373637 | N/A | 7485064 | 2025-11-23 01:52:44.613897 | 2025-12-29 22:41:16.623495 |
| 2025-11-22 08:10:39.686767 | 2025-11-23 01:42:43.961843 | 15117992 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15117992 | Athletic Physical Therapy Inc | 1965-10-20 | 2025-11-25 | F | PT | N/A | ROHMER | H4W1301747MB | CHRISTY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.101123820.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12438050/check_15117992_0063fddf-313e-4a96-abc2-f83d29d1289e.json | N/A | N/A | N/A | N/A | N/A | H4W1301747MB | Preferred Provider Organization (PPO) | WHITE CAP LTD | BLUE SHIELD OF CALIFORNIA | N/A | 1965-10-20 | 101 | JNT019M106 | N/A | PR | false | ROHMER | N/A | CHRISTY | N/A | 9999-12-31 | 2024-11-01 | BLUECARD PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9351143753 | N/A | N/A | 12438050 | 2222 | 4801 | 15368369 | N/A | 10618010 | 2025-11-23 01:42:43.961843 | 2026-04-21 18:05:25.486334 |
| 2025-11-22 08:10:39.089149 | 2025-11-23 01:50:55.016082 | 15117978 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15117978 | Athletic Physical Therapy Inc | 1957-04-23 | 2025-11-25 | M | AE | PT | ROHMER | 5UM1C62RC09 | FREDRICK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.101123820.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12437513/check_15117978_3cdb11d3-9b11-4b34-9c80-6ce633f5d4ed.json | N/A | N/A | N/A | N/A | N/A | 5UM1C62RC09 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-04-23 | S5884 | N/A | N/A | MB | false | ROHMER | N/A | FREDRICK | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | 26145 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351143752 | N/A | N/A | 12437513 | 2222 | 4801 | 15372653 | N/A | 10617817 | 2025-11-23 01:50:55.016082 | 2026-04-13 20:25:45.522313 |
| 2025-11-22 08:10:35.451636 | 2025-11-23 01:53:33.415820 | 15117865 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15117865 | Athletic Physical Therapy Inc | 1955-11-13 | 2025-11-25 | F | AE | PT | GRANT | XEM910029614 | ROBIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100318579.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8493312/check_15117865_8e86fe56-d87f-44d9-81d1-3ba526d5782b.json | N/A | N/A | N/A | N/A | N/A | XEM910029614 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-11-13 | 2002SE000030 | X0001002 | N/A | OT | false | GRANT | 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 | 9351121268 | N/A | N/A | 8493312 | 2222 | 4802 | 15374086 | N/A | 7159835 | 2025-11-23 01:53:33.415820 | 2025-08-25 22:38:59.735145 |
| 2025-11-22 08:10:29.885444 | 2025-11-23 01:54:28.481756 | 15117670 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15117670 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-11-25 | F | PT | N/A | GIANNE | XED910762094 | NATALIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100924023.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_15117670_dcdcc750-460d-47ed-bd31-a9bf33149f13.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 9999-12-31 | 2021-09-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9351134451 | N/A | N/A | 7994545 | 2222 | 4802 | 15374579 | N/A | 6802250 | 2025-11-23 01:54:28.481756 | 2025-08-11 23:58:28.358402 |
| 2025-11-22 08:10:27.024884 | 2025-11-23 03:33:42.113384 | 15117577 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 15117577 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-11-24 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_15117577_e0c274f6-4f35-43c0-8523-c7366e3aae5b.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 | 9351111667 | N/A | N/A | 5568076 | 2222 | 4802 | 15378202 | N/A | 4209480 | 2025-11-23 03:33:42.113384 | 2026-04-10 02:05:15.976484 |
| 2025-11-22 08:10:21.622579 | 2025-11-23 03:34:06.485775 | 15117360 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15117360 | Athletic Physical Therapy Inc | 1966-02-05 | 2025-11-24 | F | AE | PT | VANCELETTE | 99775204F | DEBORAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550875/check_15117360_c0fbfdc7-ea7a-44ba-b973-0ce9c5604eb9.json | N/A | N/A | N/A | N/A | N/A | 99775204F | N/A | N/A | HEALTH NET, LLC | N/A | 1966-02-05 | N/A | N/A | N/A | N/A | false | VANCELETTE | N/A | DEBORAH | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351111636 | N/A | N/A | 5550875 | 2222 | 4802 | 15378352 | N/A | 4219732 | 2025-11-23 03:34:06.485775 | 2025-05-13 04:29:37.230772 |
| 2025-11-22 08:10:21.520226 | 2025-11-23 03:38:49.009814 | 15117355 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15117355 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-11-25 | F | AE | PT | MARTIN | 5YV3RT3TA75 | DOLLY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550797/check_15117355_3ab5bb4b-9ad4-447a-8035-2e0a21a03a42.json | N/A | N/A | N/A | N/A | N/A | 5YV3RT3TA75 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-09-13 | N/A | N/A | N/A | MA | false | MARTIN | N/A | DOLLY | N/A | N/A | N/A | N/A | N/A | 311399 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351111635 | N/A | N/A | 5550797 | 2222 | 4793 | 15379716 | N/A | 4219681 | 2025-11-23 03:38:49.009814 | 2026-01-14 20:54:02.193776 |
| 2025-11-22 08:10:21.427199 | 2025-11-23 03:38:48.301164 | 15117354 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15117354 | Athletic Physical Therapy Inc | 1951-12-26 | 2025-11-25 | M | AE | PT | FINEBERG | 9FX3D52YD09 | MARTIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549980/check_15117354_e93e07b3-3ba2-45c2-8f52-1176e0dda665.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MA | false | FINEBERG | N/A | MARTIN | N/A | N/A | N/A | N/A | N/A | 258252 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351111634 | N/A | N/A | 5549980 | 2222 | 4802 | 15379712 | N/A | 4219436 | 2025-11-23 03:38:48.301164 | 2025-05-13 04:29:37.230471 |
| 2025-11-22 08:10:21.338778 | 2025-11-23 03:34:18.596495 | 15117351 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15117351 | Athletic Physical Therapy Inc | 1955-10-09 | 2025-11-25 | M | PT | N/A | COE | JQS589W10732 | SCOTT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549514/check_15117351_235fc712-8495-492d-a1c3-378c6f0acf11.json | N/A | N/A | N/A | N/A | N/A | JQS589W10732 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1955-10-09 | 040 | CAMCRWP0 | N/A | MP | false | COE | N/A | SCOTT | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9351111633 | N/A | N/A | 5549514 | 2222 | 4801 | 15378420 | 4185 | 4219161 | 2025-11-23 03:34:18.596495 | 2025-10-16 23:24:12.118501 |
| 2025-11-22 08:10:21.249431 | 2025-11-23 03:38:47.654801 | 15117346 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15117346 | Athletic Physical Therapy Inc | 1959-09-11 | 2025-11-25 | M | AE | PT | CRAIG | 5GR8W08TR55 | JEFFREY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549237/check_15117346_a1058a7a-f3f5-40b1-9569-5622039ab9e9.json | N/A | N/A | N/A | N/A | N/A | 5GR8W08TR55 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-11 | N/A | N/A | N/A | MA | false | CRAIG | N/A | JEFFREY | N/A | N/A | N/A | N/A | N/A | 97256 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351111632 | N/A | N/A | 5549237 | 2222 | 4801 | 15379709 | N/A | 4218948 | 2025-11-23 03:38:47.654801 | 2025-05-13 04:29:37.229964 |
| 2025-11-22 08:10:21.155816 | 2025-11-23 03:31:43.509168 | 15117344 | N/A | N/A | 60054 | Aetna | 1114042165 | 15117344 | Athletic Physical Therapy Inc | 1968-10-14 | 2025-11-25 | F | AE | PT | CARLSON | W161554352 | CYNTHIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549080/check_15117344_5ae33be9-d2e8-4686-9b05-14193dbcbba7.json | N/A | N/A | N/A | N/A | N/A | W161554352 | Point of Service (POS) | UBS FINANCIAL SERVICES INC. | AETNA | N/A | 1968-10-14 | 0880791 | 088079102500011 | N/A | PS | false | CARLSON | N/A | CYNTHIA | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351111631 | N/A | N/A | 5549080 | 2222 | 4801 | 15377420 | N/A | 4218812 | 2025-11-23 03:31:43.509168 | 2025-05-13 04:29:37.229807 |
| 2025-11-22 08:10:20.825940 | 2025-11-23 03:38:47.099420 | 15117332 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15117332 | Athletic Physical Therapy Inc | 1946-03-10 | 2025-11-25 | F | AE | PT | CLARK | 8KR2PU6TJ09 | CARLA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549006/check_15117332_73d69965-7d4b-4b5a-a3b6-1741e34b3a40.json | N/A | N/A | N/A | N/A | N/A | 8KR2PU6TJ09 | Medicare Part A | N/A | EMPLOYERS INSURANCE COMPANY OF N | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-03-10 | N/A | DOL 06022014 | N/A | MA | false | CLARK | N/A | CARLA | N/A | N/A | N/A | N/A | N/A | 138920 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351111630 | N/A | N/A | 5549006 | 2222 | 4801 | 15379705 | N/A | 4218754 | 2025-11-23 03:38:47.099420 | 2025-05-13 04:29:37.229746 |
| 2025-11-22 08:10:20.004278 | 2025-11-23 03:38:46.830820 | 15117300 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15117300 | Athletic Physical Therapy Inc | 1957-05-23 | 2025-11-25 | F | AE | PT | CEASAR | 6XR6JY3MJ89 | DEBBIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543553/check_15117300_70b33de2-321c-4205-87c8-331ae9c56d2a.json | N/A | N/A | N/A | N/A | N/A | 6XR6JY3MJ89 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-23 | S5660 | N/A | N/A | MA | false | CEASAR | N/A | DEBBIE | N/A | N/A | N/A | N/A | N/A | 60334 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351110684 | N/A | N/A | 5543553 | 2222 | 4793 | 15379704 | N/A | 4215327 | 2025-11-23 03:38:46.830820 | 2025-05-13 04:29:37.229651 |
| 2025-11-22 08:10:19.765725 | 2025-11-23 03:33:42.879198 | 15117291 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 15117291 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-11-25 | M | AE | PT | FORTIN | R14644640MS1 | NATHANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_15117291_3679353f-e655-4e63-b920-9e3047e5e184.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | K96 SBGHMOWC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351110683 | N/A | N/A | 5543425 | 2222 | 4801 | 15378207 | N/A | 4215211 | 2025-11-23 03:33:42.879198 | 2026-04-02 22:30:20.020246 |
| 2025-11-22 08:10:19.527559 | 2025-11-23 03:34:49.175300 | 15117286 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15117286 | Athletic Physical Therapy Inc | 1987-10-17 | 2025-11-25 | F | PT | N/A | PATEL | XEA910759571 | MAMTABEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543327/check_15117286_e5dac55a-f0cb-41cb-85f0-cd2fed8f73d3.json | N/A | N/A | N/A | N/A | N/A | XEA910759571 | Preferred Provider Organization (PPO) | RELATIVITY SPACE INC | BLUE SHIELD CALIFORNIA | N/A | 1987-10-17 | 1000PPOX0004 | W0071038 | N/A | PR | false | KROL | N/A | JEREMY | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1650 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9351110682 | N/A | N/A | 5543327 | 2222 | 4802 | 15378591 | N/A | 4215137 | 2025-11-23 03:34:49.175300 | 2025-10-13 23:09:53.444170 |
| 2025-11-22 08:10:19.282427 | 2025-11-23 03:34:48.901381 | 15117278 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15117278 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-11-25 | F | PT | N/A | JAIN | XEK909304497 | SUPARNA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542952/check_15117278_a396f287-492b-4c68-ade0-d6a3c1155c56.json | N/A | N/A | N/A | N/A | N/A | XEK909304497 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-01-24 | 2001ZK002189 | X0001000 | N/A | PR | false | JAIN | N/A | SUPARNA | N/A | 9999-12-31 | 2019-09-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9351110681 | N/A | N/A | 5542952 | 2222 | 4802 | 15378590 | N/A | 4214804 | 2025-11-23 03:34:48.901381 | 2025-05-13 20:09:53.786482 |
| 2025-11-22 08:10:19.139905 | 2025-11-23 03:31:44.087759 | 15117274 | N/A | N/A | 60054 | Aetna | 1114042165 | 15117274 | Athletic Physical Therapy Inc | 1982-02-18 | 2025-11-25 | M | AE | PT | TORGAN | W291598583 | SPENCER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542863/check_15117274_2ce445d9-1230-4fd1-9c60-e8bc8dd2420a.json | N/A | N/A | N/A | N/A | N/A | W291598583 | Point of Service (POS) | MORGAN STANLEY DOMESTIC HOLDINGS, L | AETNA | N/A | 1982-02-18 | 0868849 | 086884901000001 | N/A | PS | false | TORGAN | N/A | SPENCER | 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 | 9351110680 | N/A | N/A | 5542863 | 2222 | 4793 | 15377424 | N/A | 4214725 | 2025-11-23 03:31:44.087759 | 2025-05-13 04:29:37.229043 |
| 2025-11-22 08:10:19.022129 | 2025-11-23 03:34:20.414926 | 15117269 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15117269 | Athletic Physical Therapy Inc | 1949-06-30 | 2025-11-25 | F | PT | N/A | STEWART | WSP370A66341 | ALBERTA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542834/check_15117269_9e8e41fd-0932-43f8-94dc-5e596f9f8fa1.json | N/A | N/A | N/A | N/A | N/A | WSP370A66341 | N/A | ELEVANCE HEALTH | ANTHEM BLUE CROSS | N/A | 1949-06-30 | 130 | IN002GRS | N/A | N/A | false | STEWART | N/A | ALBERTA | N/A | 9999-12-31 | 2021-01-01 | IN GRS ELEVANCE HEALTH H4036-801 ANTHEM MED PREFER | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9351110679 | N/A | N/A | 5542834 | 2222 | 4801 | 15378432 | N/A | 4214700 | 2025-11-23 03:34:20.414926 | 2025-05-13 04:29:37.229017 |
| 2025-11-22 08:10:18.913855 | 2025-11-23 03:33:43.117839 | 15117265 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 15117265 | Athletic Physical Therapy Inc | 1979-11-17 | 2025-11-25 | F | AE | PT | WOODS | 96781627F | JESSICA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542752/check_15117265_0bb7341d-4f36-448d-bceb-222ed6501fde.json | N/A | N/A | N/A | N/A | N/A | 96781627F | N/A | N/A | HEALTH NET, LLC | N/A | 1979-11-17 | N/A | N/A | N/A | N/A | false | WOODS | N/A | JESSICA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351110678 | N/A | N/A | 5542752 | 2222 | 4793 | 15378209 | N/A | 4214627 | 2025-11-23 03:33:43.117839 | 2025-06-23 18:58:46.304598 |
| 2025-11-22 08:10:18.784441 | 2025-11-23 03:33:42.617937 | 15117259 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 15117259 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-11-25 | F | AE | PT | CHERE | 98953535F | DIANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_15117259_a9d29f5e-9022-43f8-bc3f-56da89354ffd.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351110677 | N/A | N/A | 5542660 | 2222 | 4802 | 15378206 | N/A | 4214542 | 2025-11-23 03:33:42.617937 | 2025-05-13 04:29:37.228868 |
| 2025-11-22 08:10:18.649304 | 2025-11-23 03:31:31.771456 | 15117252 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15117252 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-11-25 | F | AE | PT | HAMI | 92932800G | FARIBA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542611/check_15117252_ec6a9865-f56d-4bdf-b1bc-3199829f692f.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MEDICARE PART AB CI003 | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1960-09-15 | BP0001 | QMXEM01909 | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | 2078-12-31 | 2025-11-01 | DUAL ELIGIBLE AGED - MSP - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351110676 | N/A | N/A | 5542611 | 2222 | 4802 | 15377340 | 4211 | 4214490 | 2025-11-23 03:31:31.771456 | 2025-05-13 04:29:37.228806 |
| 2025-11-22 08:10:18.484535 | 2025-11-23 03:38:48.583529 | 15117244 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15117244 | Athletic Physical Therapy Inc | 1936-09-29 | 2025-11-25 | M | AE | PT | JAUDE | 8D38EF9GV30 | KARIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542251/check_15117244_6d51d7b8-06b5-45aa-adb9-217e9aa07a06.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MA | false | JAUDE | N/A | KARIM | N/A | N/A | N/A | N/A | N/A | 241000 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351110675 | N/A | N/A | 5542251 | 2222 | 4802 | 15379715 | N/A | 4214191 | 2025-11-23 03:38:48.583529 | 2025-05-13 04:29:37.228525 |
| 2025-11-22 08:10:18.178530 | 2025-11-23 03:34:15.326405 | 15117231 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 15117231 | Athletic Physical Therapy Inc | 1975-03-26 | 2025-11-25 | F | AE | PT | HEYES | 95596436F | DARCIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542233/check_15117231_cfecaef6-5995-4acb-98f3-aaae9ab3226d.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1975-03-26 | N/A | N/A | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351110674 | N/A | N/A | 5542233 | 2222 | 4793 | 15378402 | N/A | 4214178 | 2025-11-23 03:34:15.326405 | 2025-05-13 04:29:37.228506 |
| 2025-11-22 08:10:17.926588 | 2025-11-23 03:32:56.637259 | 15117223 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 15117223 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-11-25 | M | AD | N/A | LYKIDIS | U1221753503 | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541552/check_15117223_0fd16132-5728-4e2a-95f5-dacd80ba4fad.json | N/A | N/A | N/A | N/A | N/A | U1221753503 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 2001-11-21 | N/A | 3207160 | N/A | N/A | false | LYKIDIS | N/A | JOHN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 9351110673 | N/A | N/A | 5541552 | 2222 | 4802 | 15377896 | N/A | 4213562 | 2025-11-23 03:32:56.637259 | 2025-05-13 04:29:37.227895 |
| 2025-11-22 08:10:17.842224 | 2025-11-23 03:34:49.457494 | 15117221 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15117221 | Athletic Physical Therapy Inc | 1980-05-29 | 2025-11-25 | F | PT | N/A | KURTZ | XED906231353 | NINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541378/check_15117221_5dc056d8-9365-4087-83bc-560e41f6578e.json | N/A | N/A | N/A | N/A | N/A | XED906231353 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-05-29 | 2001ZK002169 | X0001004 | N/A | PR | false | KURTZ | N/A | NINA | 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 | 9351110672 | N/A | N/A | 5541378 | 2222 | 4793 | 15378593 | N/A | 4213405 | 2025-11-23 03:34:49.457494 | 2025-05-13 04:29:37.227726 |
| 2025-11-22 08:10:17.725703 | 2025-11-23 03:34:48.559302 | 15117217 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15117217 | Athletic Physical Therapy Inc | 1993-03-02 | 2025-11-25 | M | PT | N/A | CHORLIAN | XED914382344 | BERJ | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541177/check_15117217_fc48ce75-92f7-4adb-b4d0-5fa600997943.json | N/A | N/A | N/A | N/A | N/A | XED914382344 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1993-03-02 | 2001ZK002187 | X0001004 | N/A | PR | false | CHORLIAN | N/A | BERJ | N/A | 9999-12-31 | 2025-06-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9351110671 | N/A | N/A | 5541177 | 2222 | 4793 | 15378588 | N/A | 4213223 | 2025-11-23 03:34:48.559302 | 2025-06-03 20:59:34.856515 |
| 2025-11-22 08:10:17.624126 | 2025-11-23 03:38:47.368782 | 15117215 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15117215 | Athletic Physical Therapy Inc | 1956-09-14 | 2025-11-25 | M | AE | PT | COHENZADEH | 7UJ5QD2DD88 | DAVOOD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540904/check_15117215_fd1a80ed-765c-4cb6-af66-53e9737b4761.json | N/A | N/A | N/A | N/A | N/A | 7UJ5QD2DD88 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-09-14 | S4802 | N/A | N/A | MB | false | COHENZADEH | N/A | DAVOOD | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351110670 | N/A | N/A | 5540904 | 2222 | 4802 | 15379707 | N/A | 4212983 | 2025-11-23 03:38:47.368782 | 2025-11-19 21:27:11.455704 |
| 2025-11-22 08:10:17.509247 | 2025-11-23 03:34:19.244130 | 15117206 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15117206 | Athletic Physical Therapy Inc | 1995-06-07 | 2025-11-25 | M | PT | N/A | Greathouse | MPI30458946Q | Kheperan | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540871/check_15117206_aad3f3df-a5a1-448d-9726-93adc24f8ece.json | N/A | N/A | N/A | N/A | N/A | MPI30458946Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1995-06-07 | 040 | 277163M402 | N/A | PR | false | GREATHOUSE | N/A | KHEPERAN | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9351110669 | N/A | N/A | 5540871 | 2222 | 4793 | 15378424 | N/A | 4212959 | 2025-11-23 03:34:19.244130 | 2025-10-17 20:08:21.136268 |
| 2025-11-22 08:10:17.421467 | 2025-11-23 03:31:43.236752 | 15117203 | N/A | N/A | 60054 | Aetna | 1114042165 | 15117203 | Athletic Physical Therapy Inc | 1982-07-27 | 2025-11-25 | M | AE | PT | BOKHTIER | W275493875 | GOLAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540723/check_15117203_bc6f24f7-9f0d-4614-93d1-9c88640b2b72.json | N/A | N/A | N/A | N/A | N/A | W275493875 | Exclusive Provider Organization | AMERICAN EXPRESS COMPANY | AETNA | N/A | 1982-07-27 | 0169631 | 016963101100001 | N/A | EP | false | BOKHTIER | N/A | SUMMER | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351110668 | N/A | N/A | 5540723 | 2222 | 4793 | 15377418 | N/A | 4212833 | 2025-11-23 03:31:43.236752 | 2025-05-28 20:46:35.079848 |
| 2025-11-22 08:10:17.237190 | 2025-11-23 03:38:46.561286 | 15117196 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15117196 | Athletic Physical Therapy Inc | 1940-05-13 | 2025-11-25 | F | AE | PT | ALIZADEH GHARBAGHI | 6AX8PH3NH43 | TOURAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540531/check_15117196_64a3e1bd-8e64-4b51-a4be-0b913e7b75da.json | N/A | N/A | N/A | N/A | N/A | 6AX8PH3NH43 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-05-13 | S5617 | N/A | N/A | MA | false | ALIZADEH GHARBAGHI | N/A | TOURAN | N/A | N/A | N/A | N/A | N/A | 241000 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351110667 | N/A | N/A | 5540531 | 2222 | 4802 | 15379702 | N/A | 4212676 | 2025-11-23 03:38:46.561286 | 2025-07-03 21:09:02.193065 |
| 2025-11-22 08:10:16.953194 | 2025-11-23 03:33:45.416488 | 15117186 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15117186 | Athletic Physical Therapy Inc | 1956-07-18 | 2025-11-25 | M | AE | PT | BELL | 40055462001 | LOWELL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540339/check_15117186_af01ce2e-b3de-41c1-ad26-d320b38e7e6f.json | N/A | N/A | N/A | N/A | N/A | 40055462001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-07-18 | N/A | N/A | N/A | N/A | false | BELL | N/A | LOWELL | N/A | N/A | N/A | 2025H5425097VEF | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351110666 | N/A | N/A | 5540339 | 2222 | 4801 | 15378225 | N/A | 4212512 | 2025-11-23 03:33:45.416488 | 2025-11-04 22:17:35.476315 |
| 2025-11-22 08:10:16.720417 | 2025-11-23 03:34:18.195634 | 15117178 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15117178 | Athletic Physical Therapy Inc | 1955-11-11 | 2025-11-25 | F | PT | N/A | CALDERON | JQU450A75837 | DEBBIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540282/check_15117178_cab6a7a7-0788-4a43-a35f-34ee986ebfbd.json | N/A | N/A | N/A | N/A | N/A | JQU450A75837 | Preferred Provider Organization (PPO) | ELKINS KALT WEINTRAUB REU | ANTHEM BLUE CROSS | N/A | 1955-11-11 | 040 | 494793 | N/A | PR | false | CALDERON | N/A | DEBBIE | N/A | 2025-12-01 | 2024-12-01 | ANTHEM GOLD PPO 30/500/20% RXD | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9351110665 | N/A | N/A | 5540282 | 2222 | 4802 | 15378418 | N/A | 4212465 | 2025-11-23 03:34:18.195634 | 2025-05-13 04:29:37.226801 |
| 2025-11-22 08:10:16.523741 | 2025-11-23 03:32:55.200375 | 15117173 | N/A | N/A | 62308 | CIGNA PPO | 1114042165 | 15117173 | Athletic Physical Therapy Inc | 1967-12-13 | 2025-11-25 | M | AE | PT | MIDDLETON | U3369221802 | BLAKE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540185/check_15117173_b248db3b-f69d-4c63-84fd-3539104324fa.json | N/A | N/A | N/A | N/A | N/A | U3369221802 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1967-12-13 | N/A | 3346355 | N/A | HM | false | MIDDLETON | N/A | BLAKE | N/A | N/A | N/A | NETWORK | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351110664 | N/A | N/A | 5540185 | 2222 | 4802 | 15377888 | 4437 | 4212381 | 2025-11-23 03:32:55.200375 | 2025-12-17 20:12:42.035054 |
| 2025-11-22 08:10:16.502108 | 2025-11-23 01:35:24.875643 | 15117172 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 15117172 | Athletic Physical Therapy Inc | 2010-03-18 | 2025-11-25 | M | PT | N/A | MARTIN | XEH906532391003 | CHRISTOPHER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100925143.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6967909/check_15117172_27853958-8948-45d8-aab6-9f9cf807c647.json | N/A | N/A | N/A | N/A | N/A | XEH906532391 | Health Maintenance Organization (HMO) | WILD WONDER LLC | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2010-03-18 | 1000VX000101 | W0099153 | N/A | HM | false | MARTIN | N/A | ELIZABETH | N/A | 2036-03-31 | 2019-06-01 | PREFERRED VISION FOR SMALL BUSINESS 0 0 120 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9351109516 | N/A | N/A | 6967909 | 2222 | 4793 | 15363822 | N/A | 5990447 | 2025-11-23 01:35:24.875643 | 2025-07-21 18:40:33.917911 |
| 2025-11-22 08:10:16.430242 | 2025-11-23 03:34:17.930219 | 15117170 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15117170 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-11-25 | F | PT | N/A | BOYLAN | MBL857M98403 | JOAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540074/check_15117170_b93a1483-4546-4fb0-ba72-dd56eae10e1a.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9351110663 | N/A | N/A | 5540074 | 2222 | 4802 | 15378417 | N/A | 4212282 | 2025-11-23 03:34:17.930219 | 2025-05-13 04:29:37.226623 |
| 2025-11-22 08:10:16.348026 | 2025-11-23 03:34:20.097704 | 15117163 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15117163 | Athletic Physical Therapy Inc | 1961-10-29 | 2025-11-25 | F | PT | N/A | STEWARD | NCF874A20085 | ANDREA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539556/check_15117163_90e45603-dbf7-4eb6-b8ed-e9a435e037f0.json | N/A | N/A | N/A | N/A | N/A | NCF874A20085 | Health Maintenance Organization (HMO) | LACERS- LOS ANGELES CITY RETIREMENT SYSTEMS | ANTHEM BLUE CROSS | N/A | 1961-10-29 | 040 | 57ABBA | N/A | HM | false | STEWARD | N/A | ANDREA | N/A | 9999-12-31 | 2017-04-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9351110662 | N/A | N/A | 5539556 | 2222 | 4801 | 15378430 | N/A | 4211841 | 2025-11-23 03:34:20.097704 | 2025-10-23 18:30:51.891275 |
| 2025-11-22 08:10:16.239320 | 2025-11-23 03:31:43.755127 | 15117160 | N/A | N/A | 60054 | Aetna | 1114042165 | 15117160 | Athletic Physical Therapy Inc | 1992-03-04 | 2025-11-25 | M | AE | PT | INCHALIK | W291674431 | BENJAMIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538651/check_15117160_3a6a93de-f879-4e5d-9f22-cd55b2ab318b.json | N/A | N/A | N/A | N/A | N/A | W291674431 | Point of Service (POS) | FIGS, INC. | AETNA | N/A | 1992-03-04 | 0251488 | 025148801200001 | N/A | PS | false | INCHALIK | N/A | BENJAMIN | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351110661 | N/A | N/A | 5538651 | 2222 | 4802 | 15377422 | N/A | 4211040 | 2025-11-23 03:31:43.755127 | 2025-05-13 04:29:37.225445 |
| 2025-11-22 08:10:16.108005 | 2025-11-23 03:38:47.907494 | 15117157 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15117157 | Athletic Physical Therapy Inc | 1954-01-12 | 2025-11-25 | F | AE | PT | FINCH | 3YV4XM6FP06 | DAWN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538472/check_15117157_23bf3bbf-7a34-4ee3-ab95-e0224b609baf.json | N/A | N/A | N/A | N/A | N/A | 3YV4XM6FP06 | Medicare Part A | N/A | OPTUM INSURANCE OF OHIO, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-12 | S8841 | N/A | N/A | MA | false | FINCH | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | 191892 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351110660 | N/A | N/A | 5538472 | 2222 | 4802 | 15379711 | N/A | 4210886 | 2025-11-23 03:38:47.907494 | 2025-05-13 04:29:37.225284 |
| 2025-11-22 08:10:15.924154 | 2025-11-23 03:34:19.503256 | 15117149 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15117149 | Athletic Physical Therapy Inc | 1995-11-17 | 2025-11-25 | M | PT | N/A | HAMILTON | KZU14135950E | JAMES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538409/check_15117149_eb9f86be-216c-47e4-a7bf-1c5741405456.json | N/A | N/A | N/A | N/A | N/A | KZU14135950E | Preferred Provider Organization (PPO) | AEROVIRONMENT INC | ANTHEM BLUE CROSS | N/A | 1995-11-17 | 040 | 277825M007 | N/A | PR | false | HAMILTON | N/A | JAMES | N/A | 9999-12-31 | 2022-10-10 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9351110659 | N/A | N/A | 5538409 | 2222 | 4801 | 15378426 | N/A | 4210828 | 2025-11-23 03:34:19.503256 | 2025-05-13 04:29:37.225234 |
| 2025-11-22 08:10:15.657518 | 2025-11-23 03:38:49.720781 | 15117138 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15117138 | Athletic Physical Therapy Inc | 1947-01-11 | 2025-11-25 | F | AE | PT | STROM | 1NH2KJ7FT00 | YOLANDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538182/check_15117138_acb9fd67-59ff-4998-abd2-1a51e1814a09.json | N/A | N/A | N/A | N/A | N/A | 1NH2KJ7FT00 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-01-11 | S5921 | N/A | N/A | MB | false | STROM | N/A | YOLANDA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351110658 | N/A | N/A | 5538182 | 2222 | 4802 | 15379721 | N/A | 4210637 | 2025-11-23 03:38:49.720781 | 2025-05-13 04:29:37.225051 |
| 2025-11-22 08:10:15.304220 | 2025-11-23 03:33:45.687787 | 15117123 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15117123 | Athletic Physical Therapy Inc | 1957-02-16 | 2025-11-25 | F | AE | PT | OSE | 40050866601 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537366/check_15117123_8b8040a0-8b03-40c0-bc31-36ade169ea71.json | N/A | N/A | N/A | N/A | N/A | 40050866601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1957-02-16 | N/A | N/A | N/A | N/A | false | OSE | N/A | KAREN | N/A | N/A | N/A | 2025H5425001 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351110657 | N/A | N/A | 5537366 | 2222 | 4793 | 15378227 | N/A | 4209945 | 2025-11-23 03:33:45.687787 | 2025-08-13 22:24:17.841096 |
| 2025-11-22 08:10:15.194263 | 2025-11-23 03:34:18.959584 | 15117116 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 15117116 | Athletic Physical Therapy Inc | 1957-04-03 | 2025-11-25 | M | PT | N/A | CRUZ CHEVEZ | JQW952W07822 | RICARDO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537237/check_15117116_56fab840-decb-4a44-b2ff-e9bf9ef7b943.json | N/A | N/A | N/A | N/A | N/A | JQW952W07822 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1957-04-03 | 040 | CAMCRWP0 | N/A | MP | false | CRUZ CHEVEZ | N/A | RICARDO | 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 | 9351110656 | N/A | N/A | 5537237 | 2222 | 4793 | 15378422 | 4184 | 4209841 | 2025-11-23 03:34:18.959584 | 2025-10-22 16:05:52.993032 |
| 2025-11-22 08:10:15.093144 | 2025-11-23 03:34:19.817436 | 15117112 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15117112 | Athletic Physical Therapy Inc | 1954-03-31 | 2025-11-25 | M | PT | N/A | MILES | MBL835W05431 | KEITH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536896/check_15117112_7afa5028-bf25-4aa8-9bf8-6ae75fc329ff.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9351110655 | N/A | N/A | 5536896 | 2222 | 4793 | 15378428 | N/A | 4209567 | 2025-11-23 03:34:19.817436 | 2025-05-13 04:29:37.223990 |
| 2025-11-22 08:10:14.955039 | 2025-11-23 03:38:49.419706 | 15117108 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15117108 | Athletic Physical Therapy Inc | 1945-03-19 | 2025-11-25 | F | AE | PT | ROSS | 6QX7T41GM46 | MARTHA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536301/check_15117108_2ddeaac1-977c-41ff-b923-f7df3d1a102c.json | N/A | N/A | N/A | N/A | N/A | 6QX7T41GM46 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-03-19 | S5617 | N/A | N/A | MB | false | ROSS | N/A | MARTHA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351110654 | N/A | N/A | 5536301 | 2222 | 4802 | 15379719 | N/A | 4209073 | 2025-11-23 03:38:49.419706 | 2025-11-19 19:47:03.642493 |
| 2025-11-22 08:10:14.840106 | 2025-11-23 03:33:46.002855 | 15117104 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 15117104 | Athletic Physical Therapy Inc | 1941-04-16 | 2025-11-25 | F | AE | PT | RYAN | 31026142401 | CAROL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100120289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535455/check_15117104_d1810b2c-12cd-4a38-a4a9-f4cb4ea770d9.json | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1941-04-16 | N/A | N/A | N/A | N/A | false | RYAN | N/A | CAROL | N/A | N/A | N/A | 2025H5425001 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351110653 | N/A | N/A | 5535455 | 2222 | 4793 | 15378229 | N/A | 4208375 | 2025-11-23 03:33:46.002855 | 2025-08-08 21:08:12.459471 |