API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-22 08:06:08.868011 | 2025-11-23 01:41:25.611684 | 15106961 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15106961 | Athletic Physical Therapy Inc | 1994-07-03 | 2025-11-25 | M | PT | STEALEY | JQU013W15922 | JACOB | N/A | N/A | 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/2222/12010678/check_15106961_00d4a319-28cf-4a96-8c6d-6c9d1abd50e0.json | N/A | N/A | N/A | N/A | N/A | JQU013W15922 | Preferred Provider Organization (PPO) | THE SAW, INC | ANTHEM BLUE CROSS | N/A | 1994-07-03 | 040 | K45474 | N/A | PR | false | STEALEY | N/A | JACOB | N/A | 9999-12-31 | 2025-02-01 | CA SG ANTHEM PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9351143429 | N/A | N/A | 12010678 | 2222 | 4801 | 15367766 | N/A | 10232475 | 2025-11-23 01:41:25.611684 | 2025-11-01 00:03:21.076437 |
| 2025-11-22 08:06:06.532015 | 2025-11-23 03:37:12.190288 | 15106887 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 15106887 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-11-25 | M | AE | BLANCHFIELD | JMV780A55541 | THOMAS | PT | N/A | 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/2222/10346222/check_15106887_3cc3c895-b9a1-4828-a041-2dad00ebe8a1.json | N/A | N/A | N/A | N/A | N/A | JMV780A55541 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | MEDICARE B | N/A | 1954-11-24 | 040 | 56677TR000 | N/A | HM | false | BLANCHFIELD | N/A | THOMAS | N/A | 9999-12-31 | 2024-07-01 | BLUE CROSS HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351119358 | N/A | N/A | 10346222 | 2222 | 4793 | 15379167 | 4184 | 4214447 | 2025-11-23 03:37:12.190288 | 2026-04-23 20:11:34.441054 |
| 2025-11-22 08:06:01.944481 | 2025-11-23 01:35:33.741589 | 15106738 | N/A | N/A | 60054 | Aetna | 1114042165 | 15106738 | Athletic Physical Therapy Inc | 1960-01-04 | 2025-11-25 | F | AE | MARLEY | W032070695 | MARIA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.101031611.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9512811/check_15106738_fb9fcd98-8f4e-4f50-978e-a257157fdb33.json | N/A | N/A | N/A | N/A | N/A | W032070695 | Exclusive Provider Organization | COSTCO WHOLESALE CORPORATION | AETNA | N/A | 1960-01-04 | 0169579 | 016957901100002 | N/A | EP | false | MARLEY | N/A | MARIA | 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 | 9351141420 | N/A | N/A | 9512811 | 2222 | 4801 | 15363930 | N/A | 7955514 | 2025-11-23 01:35:33.741589 | 2025-09-26 00:32:05.426711 |
| 2025-11-22 08:05:57.395274 | 2025-11-23 01:33:08.845269 | 15106591 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 15106591 | Athletic Physical Therapy Inc | 1956-07-15 | 2025-11-25 | M | AE | Raudonis | 34838892911 | Mark | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.120811857.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12493578/check_15106591_a470ecba-bdff-4dfb-b31b-0a7e4cff3b65.json | N/A | N/A | N/A | N/A | N/A | 34838892911 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1956-07-15 | N/A | N/A | N/A | SP | false | RAUDONIS | N/A | MARK | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351093728 | N/A | N/A | 12493578 | 2222 | 4793 | 15362234 | N/A | 10670073 | 2025-11-23 01:33:08.845269 | 2025-11-10 18:20:04.243140 |
| 2025-11-22 08:05:48.507275 | 2025-11-23 01:58:16.329839 | 15106330 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15106330 | Athletic Physical Therapy Inc | 1946-07-10 | 2025-11-25 | F | AE | KOREY | 1HMOJP3JP19 | SHEILA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100623058.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13136123/check_15106330_18ddd891-a44d-4481-9468-3b6a2a2b30c4.json | N/A | N/A | N/A | N/A | N/A | 1HMOJP3JP19 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1946-07-10 | N/A | N/A | N/A | N/A | false | KOREY | N/A | SHEILA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351116737 | N/A | N/A | 13136123 | 2222 | 4793 | 15375908 | N/A | 4214919 | 2025-11-23 01:58:16.329839 | 2025-10-15 18:27:18.538651 |
| 2025-11-22 08:05:34.496785 | 2025-11-23 01:54:29.771879 | 15105902 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15105902 | Athletic Physical Therapy Inc | 1963-01-14 | 2025-11-25 | F | PT | KRAFT | XED911569862 | KATHRIN | N/A | N/A | 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/2222/7294742/check_15105902_1dc6744c-eec4-428b-8342-35501455c360.json | N/A | N/A | N/A | N/A | N/A | XED911569862 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-01-14 | 2001ZK002184 | X0001004 | N/A | PR | false | KRAFT | N/A | KATHRIN | N/A | 9999-12-31 | 2022-08-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9351135382 | N/A | N/A | 7294742 | 2222 | 4801 | 15374591 | N/A | 6254569 | 2025-11-23 01:54:29.771879 | 2025-08-12 09:24:43.956957 |
| 2025-11-22 08:05:29.842456 | 2025-11-23 01:44:50.589081 | 15105759 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15105759 | Athletic Physical Therapy Inc | 1987-10-07 | 2025-11-25 | M | PT | WARD | XED911682811 | AUSTIN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100623058.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13126723/check_15105759_0e6fcbb2-23c5-4dc2-87b3-b137b228c44b.json | N/A | N/A | N/A | N/A | N/A | XED911682811 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1987-10-07 | 2001ZK002166 | X0001004 | N/A | PR | false | WARD | N/A | AUSTIN | N/A | 9999-12-31 | 2022-10-01 | IFP EMB PED DPPO JAN15 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9351114811 | N/A | N/A | 13126723 | 2222 | 4793 | 15369560 | N/A | 11277547 | 2025-11-23 01:44:50.589081 | 2026-02-16 19:33:07.484428 |
| 2025-11-22 08:05:27.279353 | 2025-11-23 01:37:30.760126 | 15105681 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15105681 | Athletic Physical Therapy Inc | 1951-08-07 | 2025-11-25 | F | AE | HYATT | XEM911540996 | CINDY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.120811857.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12216825/check_15105681_0db492ca-94b9-412e-98eb-64b335ad99c2.json | N/A | N/A | N/A | N/A | N/A | XEM911540996 | Supplemental Policy | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1951-08-07 | 2004SF000028 | X0001002 | N/A | SP | false | HYATT | N/A | CINDY | N/A | 9999-12-31 | 2022-08-02 | MEDICARE SUPPLEMENT DENTAL PPO 1500 AUG14 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351093680 | N/A | N/A | 12216825 | 2222 | 4802 | 15365275 | N/A | 10415709 | 2025-11-23 01:37:30.760126 | 2025-11-05 17:32:26.509741 |
| 2025-11-22 08:05:16.798632 | 2025-11-23 01:39:51.409945 | 15105365 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15105365 | Athletic Physical Therapy Inc | 1948-01-09 | 2025-11-25 | M | PT | Spencer | 6R94JH0WP99 | Ray | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.120811857.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12089888/check_15105365_8e6e567f-3c5c-4d6b-bd5d-eb00ddc141e5.json | N/A | N/A | N/A | N/A | N/A | 6R94JH0WP99 | N/A | N/A | CMS | N/A | 1948-01-09 | N/A | N/A | N/A | N/A | false | SPENCER | N/A | RAY | 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 | 9351093288 | N/A | N/A | 12089888 | 2222 | 4801 | 15366929 | N/A | 10308085 | 2025-11-23 01:39:51.409945 | 2025-11-09 17:31:46.068054 |
| 2025-11-22 08:05:15.316378 | 2025-11-23 01:35:33.228664 | 15105312 | N/A | N/A | 60054 | AETNA - PPO | 1114042165 | 15105312 | Athletic Physical Therapy Inc | 1940-05-16 | 2025-11-24 | M | AE | HOPE | 101144710900 | LYNN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.101031611.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9477069/check_15105312_90687bd0-3faa-424c-b5ec-2d8d69613b54.json | N/A | N/A | N/A | N/A | N/A | 101144710900 | Point of Service (POS) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-05-16 | 000003-CA000074 | 000003-CA | N/A | PS | false | HOPE | N/A | LYNN | N/A | N/A | N/A | AETNA MEDICARE PLUS (HMO-POS) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351141350 | N/A | N/A | 9477069 | 2222 | 4802 | 15363924 | 3948 | 7927787 | 2025-11-23 01:35:33.228664 | 2025-09-17 17:11:58.574244 |
| 2025-11-22 08:05:13.237729 | 2025-11-23 01:37:13.103024 | 15105240 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 15105240 | Athletic Physical Therapy Inc | 1947-04-26 | 2025-11-25 | F | AE | BARCENES | H9209970900 | IRENE | PT | N/A | 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/2222/6231314/check_15105240_eae1ca26-ae83-457e-806a-4a0a06737cbe.json | N/A | N/A | N/A | N/A | N/A | H92099709 | 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 | 1947-04-26 | N/A | 0B527001 | N/A | HN | false | BARCENES DES | N/A | IRENE | 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 | 9351107769 | N/A | N/A | 6231314 | 2222 | 4801 | 15365056 | N/A | 4219033 | 2025-11-23 01:37:13.103024 | 2025-05-13 04:29:37.230052 |
| 2025-11-22 08:04:48.649626 | 2025-11-23 01:44:49.655155 | 15104352 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15104352 | Athletic Physical Therapy Inc | 1963-06-22 | 2025-11-25 | M | PT | MOSS | XEA910317218 | KENNETH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100623058.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13047676/check_15104352_462bc767-cf58-4f32-8e2a-a272eaa17eb0.json | N/A | N/A | N/A | N/A | N/A | XEA910317218 | Preferred Provider Organization (PPO) | PACHOWICZ GOLDENRING A PROFESSIONAL LAW CORPORATIO | BLUE SHIELD CALIFORNIA | N/A | 1963-06-22 | 1000VX000102 | W0078340 | N/A | PR | false | MOSS | N/A | KENNETH | N/A | 2025-11-30 | 2024-12-01 | PLATINUM FULL PPO 0 10 OFFEX | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9351116470 | N/A | N/A | 13047676 | 2222 | 4793 | 15369553 | N/A | 11205149 | 2025-11-23 01:44:49.655155 | 2025-11-24 18:32:22.314223 |
| 2025-11-22 08:04:45.345222 | 2025-11-23 01:39:00.825946 | 15104212 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 15104212 | Athletic Physical Therapy Inc | 1960-05-08 | 2025-11-25 | F | AE | ALNOURI | 96982708G | SHARIFEH | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.120811857.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11508126/check_15104212_e38352de-45bf-4453-a479-0f410795fc2a.json | N/A | N/A | N/A | N/A | N/A | 96982708G | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1960-05-08 | N/A | N/A | N/A | N/A | false | ALNOURI | N/A | SHARIFEH | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351093197 | N/A | N/A | 11508126 | 2222 | 4802 | 15366331 | N/A | 9748914 | 2025-11-23 01:39:00.825946 | 2025-10-27 18:43:47.576827 |
| 2025-11-22 08:04:40.124699 | 2025-11-23 01:37:03.384497 | 15103985 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 15103985 | Athletic Physical Therapy Inc | 1952-07-09 | 2025-11-25 | F | AE | GILBERT | H746944777 | ELINOR | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100623058.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/13040906/check_15103985_5ba47259-e5cc-424b-8db8-23f4c4d582c0.json | N/A | N/A | N/A | N/A | N/A | H746944777 | N/A | N/A | HUMANA | N/A | N/A | N/A | N/A | N/A | N/A | false | GILBERT | N/A | ELINOR | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351116420 | N/A | N/A | 13040906 | 2222 | 4802 | 15364930 | N/A | 11198096 | 2025-11-23 01:37:03.384497 | 2025-11-19 17:42:16.749935 |
| 2025-11-22 08:04:36.464960 | 2025-11-23 01:44:27.811830 | 15103838 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15103838 | Athletic Physical Therapy Inc | 2011-04-16 | 2025-11-25 | M | PT | DEBOREE | JQU118A63475 | FALCON | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.101031611.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9414075/check_15103838_8d5bcf98-2c05-4560-a4e4-125174a2da60.json | N/A | N/A | N/A | N/A | N/A | JQL118A63475 | Health Maintenance Organization (HMO) | N/A | ANTHEM BLUE CROSS | N/A | 2011-04-16 | 040 | 82EH00 | N/A | HM | false | DEBOREE | N/A | DEXTON | N/A | 9999-12-31 | 2025-11-01 | ANTHEM GOLD 80 D HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9351140685 | N/A | N/A | 9414075 | 2222 | 4802 | 15369320 | N/A | 7883494 | 2025-11-23 01:44:27.811830 | 2025-09-24 22:46:15.277212 |
| 2025-11-22 08:04:34.052666 | 2025-11-23 01:33:09.247782 | 15103733 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 15103733 | Athletic Physical Therapy Inc | 1952-08-21 | 2025-11-25 | M | AE | SPADARO | 35140281111 | MARK | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.120811857.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11401365/check_15103733_d9d0962b-0de1-42bb-8274-5591ab8d3bf4.json | N/A | N/A | N/A | N/A | N/A | 35140281111 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1952-08-21 | N/A | N/A | N/A | SP | false | SPADARO | N/A | MARK | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351093634 | N/A | N/A | 11401365 | 2222 | 4801 | 15362235 | N/A | 9660679 | 2025-11-23 01:33:09.247782 | 2025-10-23 16:50:55.376075 |
| 2025-11-22 08:04:26.762655 | 2025-11-23 01:37:30.466468 | 15103422 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15103422 | Athletic Physical Therapy Inc | 1942-02-01 | 2025-11-25 | F | AE | CHANG | JQE101W06364 | QUANG | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.120811857.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11159407/check_15103422_e5d55be1-cd0c-4996-95a9-4358a3652ec8.json | N/A | N/A | N/A | N/A | N/A | JQE101W06364 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1942-02-01 | 040 | CASUPWP0 | N/A | N/A | false | CHANG | N/A | QUANG CHAN | N/A | 9999-12-31 | 2021-01-01 | CA MODERNIZED PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351093450 | N/A | N/A | 11159407 | 2222 | 4793 | 15365272 | N/A | 9505845 | 2025-11-23 01:37:30.466468 | 2026-04-29 00:06:17.964395 |
| 2025-11-22 08:04:22.289979 | 2025-11-23 01:37:45.083086 | 15103233 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15103233 | Athletic Physical Therapy Inc | 1947-09-07 | 2025-11-25 | F | AE | SHIBUYA | XEM906397835 | LINDA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.120811857.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11087597/check_15103233_0d21475a-2ce6-45c0-b3f3-366e01181eb4.json | N/A | N/A | N/A | N/A | N/A | XEM906397835 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1947-09-07 | 2002SD000004 | X0001002 | N/A | OT | false | SHIBUYA | N/A | LINDA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351092313 | N/A | N/A | 11087597 | 2222 | 4801 | 15365448 | N/A | 9440436 | 2025-11-23 01:37:45.083086 | 2025-10-28 16:54:37.049151 |
| 2025-11-22 08:04:10.884197 | 2025-11-23 01:39:01.053812 | 15102782 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 15102782 | Athletic Physical Therapy Inc | 1953-05-21 | 2025-11-25 | M | AE | DAVILA | 96682470F | RAY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.120811857.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10365901/check_15102782_b5f41c63-1659-405a-8338-ad0a1f26cecc.json | N/A | N/A | N/A | N/A | N/A | 96682470F | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1953-05-21 | N/A | N/A | N/A | N/A | false | DAVILA | N/A | RAY | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351093166 | N/A | N/A | 10365901 | 2222 | 4793 | 15366333 | N/A | 8628911 | 2025-11-23 01:39:01.053812 | 2025-10-13 20:36:48.387301 |
| 2025-11-22 08:04:06.418919 | 2025-11-23 03:37:12.670097 | 15102589 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15102589 | Athletic Physical Therapy Inc | 1976-08-13 | 2025-11-25 | F | PT | GODWIN | JPU097W07528 | CASSANDRA | N/A | N/A | 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/2222/10090153/check_15102589_f7c1b212-6a6d-4c3f-8863-ce6ca7bfdac1.json | N/A | N/A | N/A | N/A | N/A | JPU097W07528 | Preferred Provider Organization (PPO) | MAJCO LLC | ANTHEM BLUE CROSS | N/A | 1976-08-13 | 040 | 281949M014 | N/A | PR | false | GODWIN | N/A | CASSANDRA | N/A | 9999-12-31 | 2023-06-01 | SOLUTION PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9351118794 | N/A | N/A | 10090153 | 2222 | 4801 | 15379169 | N/A | 8428668 | 2025-11-23 03:37:12.670097 | 2025-10-12 20:55:35.014952 |
| 2025-11-22 08:04:04.849373 | 2025-11-23 01:52:03.499975 | 15102523 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15102523 | Athletic Physical Therapy Inc | 1979-02-28 | 2025-11-25 | F | AE | DIAZ | 9MR0M18DW19 | KAREN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.101031611.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9336219/check_15102523_845bb778-d7fc-48d9-a02c-f85548389da8.json | N/A | N/A | N/A | N/A | N/A | 9MR0M18DW19 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1979-02-28 | S4802 | N/A | N/A | MA | false | DIAZ | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | 119074 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351141619 | N/A | N/A | 9336219 | 2222 | 4801 | 15373271 | N/A | 4211301 | 2025-11-23 01:52:03.499975 | 2025-05-13 04:29:37.225660 |
| 2025-11-22 08:04:03.984740 | 2025-11-23 01:35:30.824829 | 15102480 | N/A | N/A | 60054 | Aetna | 1114042165 | 15102480 | Athletic Physical Therapy Inc | 1962-08-04 | 2025-11-25 | F | AE | Tabb | W291557361 | Kelly | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100623058.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12993727/check_15102480_8a3fc3a1-e510-4027-88b9-1ed7f2ef4fba.json | N/A | N/A | N/A | N/A | N/A | W291557361 | Point of Service (POS) | STARZ ENTERTAINMENT, LLC | AETNA | N/A | 1962-08-04 | 0251528 | 025152802100088 | N/A | PS | false | TABB | N/A | KELLI | N/A | N/A | N/A | OA MANAGED CHOICE POS HDHP | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351115823 | N/A | N/A | 12993727 | 2222 | 4802 | 15363892 | N/A | 11151756 | 2025-11-23 01:35:30.824829 | 2025-12-15 17:17:58.439188 |
| 2025-11-22 08:04:03.815005 | 2025-11-23 01:40:23.337919 | 15102471 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 15102471 | Athletic Physical Therapy Inc | 1949-05-18 | 2025-11-25 | F | AE | ADAMS | 40064874001 | FLORENCE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100623058.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12993504/check_15102471_5957333c-b695-4c0c-a49a-1f3133a9eeae.json | N/A | N/A | N/A | N/A | N/A | 40064874001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1949-05-18 | N/A | N/A | N/A | N/A | false | ADAMS | N/A | FLORENCE | N/A | N/A | N/A | 2025H5425001 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351115822 | N/A | N/A | 12993504 | 2222 | 4801 | 15367280 | N/A | 11151506 | 2025-11-23 01:40:23.337919 | 2025-11-18 17:54:46.455094 |
| 2025-11-22 08:04:01.162717 | 2025-11-23 01:40:24.091639 | 15102338 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 15102338 | Athletic Physical Therapy Inc | 1946-12-08 | 2025-11-25 | M | AE | BHOLAT | 31198052201 | MAHMOOD | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100623058.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12990097/check_15102338_9f6e324a-1566-41ec-b73f-437d0d7f551a.json | N/A | N/A | N/A | N/A | N/A | 31198052201 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1946-12-08 | N/A | N/A | N/A | N/A | false | BHOLAT | N/A | MAHMOOD | N/A | N/A | N/A | 2025H5425001 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351114799 | N/A | N/A | 12990097 | 2222 | 4801 | 15367293 | N/A | 11148207 | 2025-11-23 01:40:24.091639 | 2025-12-08 05:48:43.064435 |
| 2025-11-22 08:03:57.138245 | 2025-11-23 01:33:08.576547 | 15102142 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 15102142 | Athletic Physical Therapy Inc | 1941-12-12 | 2025-11-25 | M | AE | ABARTA | 03851837911 | STEVEN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.120811857.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9929497/check_15102142_a4c2fa14-e9e3-4743-a0f8-2071ae245458.json | N/A | N/A | N/A | N/A | N/A | 03851837911 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1941-12-12 | N/A | N/A | N/A | SP | false | ABARTA | N/A | STEVE | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351092862 | N/A | N/A | 9929497 | 2222 | 4801 | 15362231 | N/A | 8313339 | 2025-11-23 01:33:08.576547 | 2025-10-02 18:29:23.013167 |
| 2025-11-22 08:03:55.077351 | 2025-11-23 01:37:31.046009 | 15102048 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15102048 | Athletic Physical Therapy Inc | 1953-11-15 | 2025-11-25 | M | AE | REISMAN | WRXA13289369 | MARK | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.120811857.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9868746/check_15102048_1eaa5c2a-ec41-4b89-b9af-ea5dad9df526.json | N/A | N/A | N/A | N/A | N/A | WRXA13289369 | Preferred Provider Organization (PPO) | WRITERS GUILD INDUSTRY HEALTH FUND | ANTHEM BLUE CROSS | N/A | 1953-11-15 | 040 | 277242M003 | N/A | PR | false | REISMAN | N/A | MARK | N/A | 9999-12-31 | 2025-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351092660 | N/A | N/A | 9868746 | 2222 | 4802 | 15365281 | N/A | 8262262 | 2025-11-23 01:37:31.046009 | 2025-09-30 22:45:25.940454 |
| 2025-11-22 08:03:50.464019 | 2025-11-23 01:44:42.816626 | 15101830 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15101830 | Athletic Physical Therapy Inc | 1963-05-22 | 2025-11-25 | M | AE | SMITH | 99688004H | MATTHEW | PT | N/A | 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/2222/7022680/check_15101830_8c3e7b14-b84a-495d-adf2-1d660689b4d8.json | N/A | N/A | N/A | N/A | N/A | 99688004H | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 02/28/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1963-05-22 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | SMITH | N/A | MATTHEW | N/A | 2078-12-31 | 2025-05-01 | ACA - LA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351134346 | N/A | N/A | 7022680 | 2222 | 4793 | 15369476 | 4211 | 6037802 | 2025-11-23 01:44:42.816626 | 2025-07-22 17:48:16.997014 |
| 2025-11-22 08:03:44.708984 | 2025-11-23 01:39:50.608998 | 15101575 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 15101575 | Athletic Physical Therapy Inc | 1977-12-02 | 2025-11-25 | M | AE | MAGALLANES | 98578736C | OCTAVIO | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100623058.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12966296/check_15101575_7a5d9a72-4328-4c6e-be0c-475af8d51f42.json | N/A | N/A | N/A | N/A | N/A | 98578736C | N/A | N/A | HEALTH NET, LLC | N/A | 1977-12-02 | N/A | N/A | N/A | N/A | false | MAGALLANES | N/A | OCTAVIO | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351115514 | N/A | N/A | 12966296 | 2222 | 4802 | 15366914 | N/A | 11124567 | 2025-11-23 01:39:50.608998 | 2025-11-18 00:49:11.709178 |
| 2025-11-22 08:03:43.532514 | 2025-11-23 01:43:51.933137 | 15101526 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15101526 | Athletic Physical Therapy Inc | 2008-06-09 | 2025-11-25 | M | PT | Gray | SMD481A55215 | Gary | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100623058.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12962206/check_15101526_27a3e9cd-bcfe-4376-a0b1-1f7f06bf5d68.json | N/A | N/A | N/A | N/A | N/A | SMD481A55215 | Preferred Provider Organization (PPO) | SMITHS GROUP SERVICES CORPORATION | ANTHEM BLUE CROSS | N/A | 2008-06-09 | 130 | 213010P15K | N/A | PR | false | MAHONEY | N/A | KIM | N/A | 9999-12-31 | 2019-08-01 | BLUE ACCESS PPO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9351115506 | N/A | N/A | 12962206 | 2222 | 4793 | 15368965 | N/A | 11120601 | 2025-11-23 01:43:51.933137 | 2026-01-06 17:31:01.989894 |
| 2025-11-22 08:03:42.835336 | 2025-11-23 01:45:00.675831 | 15101499 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15101499 | Athletic Physical Therapy Inc | 1963-09-25 | 2025-11-25 | M | PT | zev | XED912627946 | ari | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.101031611.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9280765/check_15101499_3a73d4ca-c1b9-45f2-9d7d-98b0ff72e39b.json | N/A | N/A | N/A | N/A | N/A | XED912627946 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-09-25 | 2001ZK002185 | X0001004 | N/A | PR | false | ZEV | N/A | ARI | N/A | 2025-12-31 | 2025-01-01 | SILVER 87 PPO JAN25 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9351140047 | N/A | N/A | 9280765 | 2222 | 4802 | 15369666 | N/A | 7789190 | 2025-11-23 01:45:00.675831 | 2025-09-16 16:41:33.330373 |
| 2025-11-22 08:03:30.310574 | 2025-11-23 01:41:20.661341 | 15101098 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15101098 | Athletic Physical Therapy Inc | 1959-06-17 | 2025-11-25 | M | AE | La Brie | 000009766266 | Richard | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.100623058.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12906322/check_15101098_34302257-2005-4c04-82a2-fa5cc02b53fd.json | N/A | N/A | N/A | N/A | N/A | 000009766266 | N/A | N/A | KFHP 1000 | SRA - SENIOR ADVANTAGE | 1959-06-17 | 4359396 | 106000 | N/A | N/A | false | LA BRIE | N/A | RICHARD | N/A | N/A | N/A | VERIZON COMMUNICATIONS WL 513M MGMT POST 65 ONLY | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9351115318 | N/A | N/A | 12906322 | 2222 | 4802 | 15367725 | N/A | 11068953 | 2025-11-23 01:41:20.661341 | 2025-11-17 19:56:24.527366 |
| 2025-11-22 08:03:13.161950 | 2025-11-23 01:44:27.151660 | 15100660 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15100660 | Athletic Physical Therapy Inc | 1952-01-13 | 2025-11-25 | M | PT | BLANCO ESCOBAR | JQW106W18304 | SAMUEL | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251122.101031611.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9134245/check_15100660_19c1a669-31b7-4af2-8d4f-016c1c129dc1.json | N/A | N/A | N/A | N/A | N/A | JQW106W18304 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-01-13 | 040 | CAMCRWP0 | N/A | MP | false | BLANCO ESCOBAR | N/A | SAMUEL | 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 | 9351140612 | N/A | N/A | 9134245 | 2222 | 4801 | 15369311 | 4185 | 7655426 | 2025-11-23 01:44:27.151660 | 2025-09-08 18:14:46.984181 |
| 2025-11-22 05:31:11.014415 | 2025-11-22 05:31:15.924287 | 15100038 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-04-20 | 2025-05-29 | N/A | PT | GRANT | W285866811 | ROBERT | AE | 3939 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542136/check_15100038_43247963-2f90-47bd-8e68-b24106be729c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542136/check_15100038_0df813f8-f1f9-43df-8c0d-9e38fb969db3.json | N/A | N/A | N/A | N/A | N/A | W285866811 | Point of Service (POS) | GLOBALIZATION PARTNERS | MEDICARE | N/A | 1959-04-20 | 0193038 | 019303801200101 | N/A | PS | false | GRANT | N/A | ROBERT | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9350548607 | 1275 | N/A | 5542136 | 2222 | N/A | 15354638 | N/A | 4214087 | 2025-11-22 05:31:15.924287 | 2025-05-13 04:29:37.228402 |
| 2025-11-22 00:18:19.518522 | 2025-11-22 00:18:23.331867 | 15098022 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-09-04 | 2025-11-24 | F | AE | RIVERA VARGAS | 0658563-01 | RUBIMAR | PT | 23298 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874439/check_15098022_fd5321b3-5879-478b-b851-185184f23312.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874439/check_15098022_823aceeb-2b34-4297-8140-dab4634b8d50.json | N/A | N/A | N/A | N/A | N/A | 065856301 | Commercial | ST. JOHNS | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1988-09-04 | N/A | 367345 | N/A | C1 | false | RIVERA VARGAS | N/A | RUBIMAR | N/A | N/A | N/A | SIGNATUREVALUE ADVANTAGE HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9349462283 | 2182 | N/A | 5874439 | 2222 | N/A | 15327423 | N/A | 4534566 | 2025-11-22 00:18:23.331867 | 2025-06-06 02:24:16.829168 |
| 2025-11-22 00:17:30.696527 | 2025-11-22 00:17:32.538453 | 15098020 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-07-22 | 2025-11-25 | F | AE | DURAN DE PANTOJA | 43649326 | ROSA | PT | 23325 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8088383/check_15098020_297f70a6-6f17-4c55-9fef-5888c328ab33.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8088383/check_15098020_3570b90a-0f77-4317-9887-602f6b3de0ee.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 | N/A | 2182 | N/A | 8088383 | 2222 | N/A | 15327421 | N/A | 6871702 | 2025-11-22 00:17:32.538453 | 2025-08-14 21:08:52.019264 |
| 2025-11-22 00:17:29.037362 | 2025-11-22 00:17:30.691985 | 15098019 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-07-22 | 2025-11-25 | F | AE | DURAN DE PANTOJA | 43649326 | ROSA | PT | 23325 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8088383/check_15098019_75e89f8f-675b-459d-87e1-1905a0e9b35a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-25 | N/A | 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 | N/A | 2182 | N/A | 8088383 | 2222 | N/A | N/A | N/A | 6871702 | 2025-11-22 00:17:30.691985 | 2025-08-14 21:08:52.019264 |
| 2025-11-22 00:15:48.172259 | 2025-11-22 00:15:49.918707 | 15098016 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-01-08 | 2025-11-24 | F | PT | SERRENO | 441A7301220 | BRANDEE | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937469/check_15098016_43eb9f50-d394-4997-ae1a-972d9081dbbd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11937469/check_15098016_b23ea6c4-fe86-4190-915b-d3aa535595a2.json | N/A | N/A | N/A | N/A | N/A | 441A7301220 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1983-01-08 | N/A | N/A | N/A | N/A | false | SERRENO | N/A | BRANDEE | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 2182 | N/A | 11937469 | 2222 | N/A | 15327417 | N/A | 10164489 | 2025-11-22 00:15:49.918707 | 2025-11-13 00:06:18.666005 |
| 2025-11-22 00:15:46.444357 | 2025-11-22 00:15:48.167765 | 15098015 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-01-08 | 2025-11-24 | F | PT | SERRENO | 441A7301220 | BRANDEE | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937469/check_15098015_672f8f16-82de-418e-98fb-e35c912d276a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-24 | N/A | N/A | N/A | N/A | N/A | N/A | 441A7301220 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1983-01-08 | N/A | N/A | N/A | N/A | false | SERRENO | N/A | BRANDEE | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 2182 | N/A | 11937469 | 2222 | N/A | N/A | N/A | 10164489 | 2025-11-22 00:15:48.167765 | 2025-11-13 00:06:18.666005 |
| 2025-11-22 00:14:41.142293 | 2025-11-22 00:14:43.047139 | 15098010 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-03-01 | 2025-11-21 | M | PT | FELLOWS | 805A6921930 | WILLIAM | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11415367/check_15098010_ed0ae939-4faa-4285-a0b0-d4ba8fa395a2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11415367/check_15098010_423234fc-a8dc-446c-82c6-fb59e2b33d34.json | N/A | N/A | N/A | N/A | N/A | 805A6921930 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-03-01 | N/A | N/A | N/A | N/A | false | FELLOWS | N/A | WILLIAM | 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 | N/A | 2182 | N/A | 11415367 | 2222 | N/A | 15327411 | N/A | 9670147 | 2025-11-22 00:14:43.047139 | 2025-10-23 23:05:46.960193 |
| 2025-11-22 00:14:39.284891 | 2025-11-22 00:14:41.138210 | 15098009 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-03-01 | 2025-11-21 | M | PT | FELLOWS | 805A6921930 | WILLIAM | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11415367/check_15098009_41185f9c-bfbc-4cc7-9c39-4d70ab6d65ab.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-21 | N/A | N/A | N/A | N/A | N/A | N/A | 805A6921930 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-03-01 | N/A | N/A | N/A | N/A | false | FELLOWS | N/A | WILLIAM | 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 | N/A | 2182 | N/A | 11415367 | 2222 | N/A | N/A | N/A | 9670147 | 2025-11-22 00:14:41.138210 | 2025-10-23 23:05:46.960193 |
| 2025-11-22 00:13:58.907838 | 2025-11-22 00:14:03.813399 | 15098006 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-04-26 | 2025-11-25 | M | AE | LODIN | 400647634-01 | MOHAMMED | PT | 23307 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540259/check_15098006_182ca967-6498-4450-9130-fce8cf0b9527.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540259/check_15098006_ce20511f-7e9d-4fe5-a628-0cfe1e97722a.json | N/A | N/A | N/A | N/A | N/A | 40064763401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1948-04-26 | 2025H5425001 | H5425M | N/A | N/A | false | LODIN | N/A | MOHAMMED | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9349453717 | 2182 | N/A | 5540259 | 2222 | N/A | 15327407 | N/A | 4212442 | 2025-11-22 00:14:03.813399 | 2025-05-13 04:29:37.226772 |
| 2025-11-22 00:13:42.994274 | 2025-11-22 00:13:47.904645 | 15098004 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-07-25 | 2025-11-25 | F | AE | TRAN | 400582540-01 | OANH | PT | 23307 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12272024/check_15098004_eedc7d2b-e16e-4386-bedf-a6864477e4da.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12272024/check_15098004_6436826e-8807-47a8-afbe-861a49363450.json | N/A | N/A | N/A | N/A | N/A | 40058254001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1958-07-25 | 2025H5425001 | H5425M | N/A | N/A | false | TRAN | N/A | OANH | 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 | 9349453315 | 2182 | N/A | 12272024 | 2222 | N/A | 15327405 | N/A | 10459569 | 2025-11-22 00:13:47.904645 | 2025-11-05 16:33:57.136921 |
| 2025-11-22 00:13:31.175013 | 2025-11-22 00:13:35.076809 | 15098003 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-11-24 | 2025-11-24 | F | AE | SILVA | 40047267701 | ROSALIA | PT | 23307 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6445982/check_15098003_f3b5f2d2-9af8-4bb4-8fd3-41f6e2485ab3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6445982/check_15098003_dbaef6a5-25b6-4c32-a7f3-19981791fc42.json | N/A | N/A | N/A | N/A | N/A | 40047267701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-11-24 | 2025H5425001 | H5425M | N/A | N/A | false | SILVA | N/A | ROSALIA | 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 | 9349452899 | 2182 | N/A | 6445982 | 2222 | N/A | 15327404 | N/A | 5085675 | 2025-11-22 00:13:35.076809 | 2025-11-17 23:46:25.232629 |
| 2025-11-22 00:09:05.306348 | 2025-11-22 00:09:11.153835 | 15097988 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-09-30 | 2025-11-24 | F | PT | HOW | LTC753A71345 | DEBORAH | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539919/check_15097988_541a3d01-f4e6-4527-bf83-5f8fc7e14a49.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539919/check_15097988_6dff0b29-1a41-4635-a78f-4334cf5c4f86.json | N/A | N/A | N/A | N/A | N/A | LTC753A71345 | Preferred Provider Organization (PPO) | THE AEROSPACE CORPORATION | ANTHEM BLUE CROSS | N/A | 1967-09-30 | 040 | 174151M1A3 | N/A | PR | false | TUNG | N/A | YEH-CHING | N/A | 9999-12-31 | 2014-01-01 | BC PPO INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9349440491 | 2182 | N/A | 5539919 | 2222 | N/A | 15327390 | N/A | 4212155 | 2025-11-22 00:09:11.153835 | 2025-05-13 04:29:37.226493 |
| 2025-11-22 00:08:31.151050 | 2025-11-22 00:08:32.946117 | 15097945 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-08-09 | 2025-11-21 | M | AE | Kirgizdaev | 9438168G | Bakhtiyar | PT | 23324 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12407501/check_15097945_656e911e-dcd0-4e6e-9e60-fd1e44b89a71.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12407501/check_15097945_8dd8bd24-4903-4de9-b054-e1d4657825f7.json | N/A | N/A | N/A | N/A | N/A | 9438168G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1950-08-09 | N/A | N/A | N/A | N/A | false | KIRGIZDAEV | N/A | BAKHTIYAR | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 2182 | N/A | 12407501 | 2222 | N/A | 15327347 | N/A | 10587374 | 2025-11-22 00:08:32.946117 | 2025-12-24 19:36:03.607867 |
| 2025-11-22 00:08:27.286592 | 2025-11-22 00:08:31.147726 | 15097944 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-08-09 | 2025-11-21 | M | AE | Kirgizdaev | 9438168G | Bakhtiyar | PT | 23324 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12407501/check_15097944_fb945386-8bf2-4144-b994-923ff3af4aae.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-21 | N/A | N/A | N/A | N/A | N/A | N/A | 9438168G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1950-08-09 | N/A | N/A | N/A | N/A | false | KIRGIZDAEV | N/A | BAKHTIYAR | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 2182 | N/A | 12407501 | 2222 | N/A | N/A | N/A | 10587374 | 2025-11-22 00:08:31.147726 | 2025-12-24 19:36:03.607867 |
| 2025-11-22 00:08:07.033691 | 2025-11-22 00:08:10.865032 | 15097943 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-07-08 | 2025-11-21 | F | AE | BERRY | 606308574 | KAREN | PT | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543264/check_15097943_8a2ca494-f23a-4db8-8ae5-f53f2ed89a7c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543264/check_15097943_f2507eb7-8a29-43bf-b55b-5d3617f3fedd.json | N/A | N/A | N/A | N/A | N/A | 606308574 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 1961-07-08 | 18126CA001000306 | QMXEM01910 | N/A | N/A | false | BERRY | N/A | KAREN | N/A | 2025-12-31 | 2025-09-01 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9349436877 | 2182 | N/A | 5543264 | 2222 | N/A | 15327345 | N/A | 4215080 | 2025-11-22 00:08:10.865032 | 2025-05-13 04:29:37.229395 |
| 2025-11-22 00:07:54.130598 | 2025-11-22 00:07:56.054000 | 15097902 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-06-04 | 2025-11-21 | F | AE | Kramer | W25290479102 | Aleah | PT | 3948 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11314808/check_15097902_ef89eb7e-1cf5-4522-9eed-341169df26dc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11314808/check_15097902_b49f5edc-53a8-460d-a859-75df20959c0c.json | N/A | N/A | N/A | N/A | N/A | W252904791 | Health Maintenance Organization (HMO) | AUCTANE, INC. | AETNA | N/A | 1987-06-04 | EABWOX11 | 023181301100001 | N/A | HM | false | MCGEE | N/A | PETER | N/A | N/A | N/A | HMO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9349435598 | 2182 | N/A | 11314808 | 2222 | N/A | 15327304 | N/A | 9379901 | 2025-11-22 00:07:56.054000 | 2025-10-21 18:31:35.446245 |
| 2025-11-22 00:05:32.420751 | 2025-11-22 00:05:34.206753 | 15097850 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-03-01 | 2025-11-21 | M | PT | FELLOWS | 805A6921930 | WILLIAM | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11415367/check_15097850_bd56b919-ab15-4dc4-ac96-d214423d02dc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11415367/check_15097850_391731e2-4d5f-498c-ad1a-45c56b71cfab.json | N/A | N/A | N/A | N/A | N/A | 805A6921930 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-03-01 | N/A | N/A | N/A | N/A | false | FELLOWS | N/A | WILLIAM | 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 | N/A | 2182 | N/A | 11415367 | 2222 | N/A | 15327252 | N/A | 9670147 | 2025-11-22 00:05:34.206753 | 2025-10-23 23:05:46.960193 |
| 2025-11-22 00:05:30.516073 | 2025-11-22 00:05:32.416116 | 15097849 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-03-01 | 2025-11-21 | M | PT | FELLOWS | 805A6921930 | WILLIAM | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11415367/check_15097849_f3aef07f-200b-4361-a064-a1122f46ae9d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-21 | N/A | N/A | N/A | N/A | N/A | N/A | 805A6921930 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-03-01 | N/A | N/A | N/A | N/A | false | FELLOWS | N/A | WILLIAM | 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 | N/A | 2182 | N/A | 11415367 | 2222 | N/A | N/A | N/A | 9670147 | 2025-11-22 00:05:32.416116 | 2025-10-23 23:05:46.960193 |