API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | plan_info_medicare_therapy_used_amount_in_usd_cents | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-21 08:23:58.881473 | 2025-11-22 01:38:57.518311 | 15077083 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15077083 | Athletic Physical Therapy Inc | 1944-03-27 | 2025-11-24 | F | AE | PT | Verratti | 1E21E50VR34 | Kathleen | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.123225024.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11936768/check_15077083_0662ed1c-fc05-4432-8d31-25ff7f771085.json | N/A | N/A | N/A | N/A | N/A | 1E21E50VR34 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-03-27 | S4802 | N/A | N/A | MA | false | VERRATTI | N/A | KATHLEEN | N/A | N/A | N/A | N/A | N/A | 186304 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9342451815 | N/A | N/A | 11936768 | 2222 | 4802 | 15337654 | N/A | 10163894 | 2025-11-22 01:38:57.518311 | 2025-10-30 22:58:10.977312 |
| 2025-11-21 08:23:22.704567 | 2025-11-22 03:34:34.197843 | 15076880 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15076880 | Athletic Physical Therapy Inc | 1982-07-02 | 2025-11-24 | M | PT | N/A | DRISCOLL | XED912182768 | JAMES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110643269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104970/check_15076880_b6728e59-faa5-44b8-b086-f675afb75c4b.json | N/A | N/A | N/A | N/A | N/A | XED912182768 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1982-07-02 | 2001ZK002184 | X0001004 | N/A | PR | false | DRISCOLL | N/A | JAMES | N/A | 2025-12-31 | 2025-01-01 | SILVER 94 PPO JAN25 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9342448567 | N/A | N/A | 6104970 | 2222 | 4802 | 15349112 | N/A | 4749447 | 2025-11-22 03:34:34.197843 | 2025-06-06 23:16:09.869339 |
| 2025-11-21 08:23:01.454767 | 2025-11-22 01:38:56.750532 | 15076781 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15076781 | Athletic Physical Therapy Inc | 1960-03-18 | 2025-11-24 | F | AE | PT | MEYER | 6AA8T47WQ51 | LESLIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.123225024.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11928201/check_15076781_1177d2cf-9c1f-483c-896a-239e50814118.json | N/A | N/A | N/A | N/A | N/A | 6AA8T47WQ51 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-03-18 | S5921 | N/A | N/A | MA | false | MEYER | N/A | LESLIE | N/A | N/A | N/A | N/A | N/A | 50277 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9342452671 | N/A | N/A | 11928201 | 2222 | 4793 | 15337635 | N/A | 4215335 | 2025-11-22 01:38:56.750532 | 2025-10-30 21:15:07.766449 |
| 2025-11-21 08:22:24.068682 | 2025-11-22 01:36:02.884162 | 15076646 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15076646 | Athletic Physical Therapy Inc | 1965-07-12 | 2025-11-24 | F | PT | N/A | BENSON | NCF361A559000 | ELIZABETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.123225024.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11917007/check_15076646_85361cad-2ef2-4b1e-92ef-7a60b45dffa3.json | N/A | N/A | N/A | N/A | N/A | NCF361A559000 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1965-07-12 | N/A | N/A | N/A | N/A | false | BENSON | N/A | ELIZABETH | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9342452658 | N/A | N/A | 11917007 | 2222 | 4793 | 15333702 | 4185 | 10144918 | 2025-11-22 01:36:02.884162 | 2025-11-17 16:03:18.208475 |
| 2025-11-21 08:21:50.995022 | 2025-11-22 01:36:03.438728 | 15076481 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15076481 | Athletic Physical Therapy Inc | 2008-02-26 | 2025-11-24 | F | PT | N/A | FOX | MPI01509229Q | ANGELA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.123225024.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11892861/check_15076481_cf9026bf-a142-485b-9386-792937bbb4ce.json | N/A | N/A | N/A | N/A | N/A | MPI01509229Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 2008-02-26 | 040 | 277163M401 | N/A | PR | false | FOX | N/A | JONATHAN | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9342452627 | N/A | N/A | 11892861 | 2222 | 4801 | 15333713 | N/A | 10121333 | 2025-11-22 01:36:03.438728 | 2025-11-10 23:09:04.545470 |
| 2025-11-21 08:19:28.028496 | 2025-11-22 03:31:50.032689 | 15075800 | N/A | N/A | 60054 | Aetna | 1114042165 | 15075800 | Athletic Physical Therapy Inc | 1986-01-20 | 2025-11-24 | F | AE | PT | DAVIS | W258779471 | MARTINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110643269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993951/check_15075800_996f02c3-e382-43e7-8ce3-ff1a5867d3e7.json | N/A | N/A | N/A | N/A | N/A | W258779471 | Point of Service (POS) | ADP TOTALSOURCE SERVICES, INC. | AETNA | N/A | 1986-01-20 | 0251371 | 025137101900020 | N/A | PS | false | DAVIS | N/A | ASTIN | N/A | N/A | N/A | OPEN ACCESS MC | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9342449068 | N/A | N/A | 5993951 | 2222 | 4802 | 15347250 | N/A | 4642884 | 2025-11-22 03:31:50.032689 | 2025-12-02 20:19:19.910444 |
| 2025-11-21 08:19:27.364406 | 2025-11-22 03:33:37.340482 | 15075792 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 15075792 | Athletic Physical Therapy Inc | 1969-01-08 | 2025-11-24 | F | AE | PT | ALROMAIH | 91237812E | SARAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110643269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993940/check_15075792_2694b962-21d6-4272-a96e-29c0fe0174a6.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9342449067 | N/A | N/A | 5993940 | 2222 | 4802 | 15348466 | N/A | 4642877 | 2025-11-22 03:33:37.340482 | 2025-12-23 23:49:16.627667 |
| 2025-11-21 08:18:10.811878 | 2025-11-21 08:19:07.406778 | 15075467 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2025-11-24 | M | AE | PT | HOLGUIN | 1407861520 | VINCENT | 6341 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_15075467_e76ef23c-2dc9-483d-91df-a57a0cba9f1a.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-11-24 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2025-11-21 08:19:07.406778 | 2025-11-11 01:01:48.778756 |
| 2025-11-21 08:17:53.328413 | 2025-11-22 03:34:35.231588 | 15075334 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15075334 | Athletic Physical Therapy Inc | 1973-02-24 | 2025-11-24 | F | PT | N/A | TAKEMOTO | XED906098170 | NICOLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110643269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928752/check_15075334_d8949945-b445-42f8-8d51-7cddbcc0d1ac.json | N/A | N/A | N/A | N/A | N/A | XED906098170 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1973-02-24 | 2001ZK002184 | X0001004 | N/A | PR | false | TAKEMOTO | N/A | NICOLE | N/A | 9999-12-31 | 2025-01-01 | SILVER 94 PPO JAN25 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9342447861 | N/A | N/A | 5928752 | 2222 | 4802 | 15349124 | N/A | 4583701 | 2025-11-22 03:34:35.231588 | 2025-07-24 17:50:11.805587 |
| 2025-11-21 08:16:27.458189 | 2025-11-22 03:33:56.074508 | 15074688 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 15074688 | Athletic Physical Therapy Inc | 1988-09-04 | 2025-11-24 | F | AE | PT | RIVERA VARGAS | 065856301 | RUBIMAR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110643269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874439/check_15074688_cb183630-dfc9-452b-8aa6-323f04ba1361.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 | 9342448963 | N/A | N/A | 5874439 | 2222 | 4802 | 15348681 | N/A | 4534566 | 2025-11-22 03:33:56.074508 | 2025-06-06 02:24:16.829168 |
| 2025-11-21 08:16:20.437824 | 2025-11-22 03:34:05.980400 | 15074593 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 15074593 | Athletic Physical Therapy Inc | 1953-03-27 | 2025-11-24 | F | AE | PT | FINE | 00000272194 | MICHELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110643269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858742/check_15074593_dbe7c317-47c9-434b-8c22-7c9b3b430430.json | N/A | N/A | N/A | N/A | N/A | 00000272194 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1953-03-27 | H3815028 | N/A | N/A | HM | false | FINE | N/A | MICHELLE | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9342448331 | N/A | N/A | 5858742 | 2222 | 4801 | 15348793 | 2630 | 4219630 | 2025-11-22 03:34:05.980400 | 2025-05-13 04:29:37.230672 |
| 2025-11-21 08:16:12.540205 | 2025-11-22 01:33:59.749498 | 15074485 | N/A | N/A | 47027 | Physicians Mutual Insurance Company | 1114042165 | 15074485 | Athletic Physical Therapy Inc | 1952-10-25 | 2025-11-24 | F | AE | PT | JOHNSTON | H750053601 | DEBORAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.101327491.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638391/check_15074485_d17849bc-ee11-4f18-bdbd-beae31d2ffa6.json | N/A | N/A | N/A | N/A | N/A | H750053601 | N/A | N/A | PHYSICIANS MUTUAL | PAYMENT NOT GUARANTEED; BENEFITS SUBJECT TO CLAIM APPROVAL | 1952-10-25 | N/A | N/A | N/A | N/A | false | JOHNSTON | N/A | DEBORAH | N/A | N/A | N/A | MEDICARE SUPPLEMENT 2023 PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9342418876 | N/A | N/A | 6638391 | 2222 | 4793 | 15330948 | N/A | 5247837 | 2025-11-22 01:33:59.749498 | 2026-02-24 20:36:49.807283 |
| 2025-11-21 08:16:03.978922 | 2025-11-22 01:34:31.225414 | 15074371 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 15074371 | Athletic Physical Therapy Inc | 1959-09-18 | 2025-11-24 | F | AE | PT | IRWIN | 40067058701 | MARIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110623635.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11112149/check_15074371_5221ae33-50cd-40d5-89ca-44a5c55fd4d6.json | N/A | N/A | N/A | N/A | N/A | 40067058701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1959-09-18 | 2025H5425001 | H5425M | N/A | N/A | false | IRWIN | N/A | MARIE | 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 | 9342409044 | N/A | N/A | 11112149 | 2222 | 4801 | 15331643 | N/A | 9462330 | 2025-11-22 01:34:31.225414 | 2025-10-17 21:55:41.545505 |
| 2025-11-21 08:16:03.398228 | 2025-11-22 01:34:30.845593 | 15074367 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15074367 | Athletic Physical Therapy Inc | 1954-02-02 | 2025-11-24 | F | AE | PT | CORNEL | 40037363901 | GLORIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110623635.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11111720/check_15074367_f405acc6-bfc2-4db7-b122-4000c761c241.json | N/A | N/A | N/A | N/A | N/A | 40037363901 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1954-02-02 | 2025H5425001 | H5425M | N/A | N/A | false | CORNEL | N/A | GLORIA | 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 | 9342409043 | N/A | N/A | 11111720 | 2222 | 4801 | 15331635 | N/A | 9461873 | 2025-11-22 01:34:30.845593 | 2025-10-28 18:04:57.630831 |
| 2025-11-21 08:16:01.559491 | 2025-11-22 01:37:57.916422 | 15074337 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15074337 | Athletic Physical Therapy Inc | 1953-06-17 | 2025-11-24 | M | AE | PT | THOMPSON | XEM906571592 | JAMES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.101327491.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577665/check_15074337_8eae7d08-3d26-4645-b67a-3efb8fbdec29.json | N/A | N/A | N/A | N/A | N/A | XEM906571592 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1953-06-17 | 2004SF000028 | X0001002 | N/A | OT | false | THOMPSON | N/A | JAMES | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9342418116 | N/A | N/A | 6577665 | 2222 | 4793 | 15336251 | N/A | 5197700 | 2025-11-22 01:37:57.916422 | 2025-06-30 15:33:47.069983 |
| 2025-11-21 08:15:22.903365 | 2025-11-22 01:35:36.467680 | 15073705 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15073705 | Athletic Physical Therapy Inc | 1977-11-12 | 2025-11-24 | M | PT | N/A | BARREDA | KXJ508W22665 | JOAQUIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110623635.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11085600/check_15073705_b8e51608-c7f0-4d0b-a477-deba5119d6d0.json | N/A | N/A | N/A | N/A | N/A | KXJ508W22665 | Health Maintenance Organization (HMO) | FEHBP FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM | BLUE SHIELD OF CALIFORNIA | N/A | 1977-11-12 | 040 | 277579H010 | N/A | HM | false | BARREDA | N/A | JOAQUIN | N/A | 2026-01-01 | 2025-01-12 | VALUE SELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9342409402 | N/A | N/A | 11085600 | 2222 | 4801 | 15333120 | N/A | 9438953 | 2025-11-22 01:35:36.467680 | 2025-10-27 18:23:12.066967 |
| 2025-11-21 08:14:33.279767 | 2025-11-22 01:37:31.265747 | 15072937 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15072937 | Athletic Physical Therapy Inc | 1951-03-27 | 2025-11-24 | F | AE | PT | Jaude | JQE818A61594 | Anne | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.101327491.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6125110/check_15072937_fccc7081-fe84-426d-8808-48a00feb5754.json | N/A | N/A | N/A | N/A | N/A | JQE818A61594 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1951-03-27 | N/A | N/A | N/A | N/A | false | JAUDE | N/A | ANNE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9342416901 | N/A | N/A | 6125110 | 2222 | 4802 | 15335609 | N/A | 4767362 | 2025-11-22 01:37:31.265747 | 2025-09-19 16:49:18.601418 |
| 2025-11-21 08:14:32.760475 | 2025-11-22 01:35:44.968512 | 15072927 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 15072927 | Athletic Physical Therapy Inc | 1994-09-23 | 2025-11-24 | M | AE | PT | RUIZ CORTES | 0023841194 | ROGELIO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.123225024.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11537156/check_15072927_3add7843-4c58-46c5-b20f-1c9c3ff3c69f.json | N/A | N/A | N/A | N/A | N/A | 0023841194 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1994-09-23 | N/A | N/A | N/A | N/A | false | RUIZ CORTES | N/A | ROGELIO | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9342452125 | N/A | N/A | 11537156 | 2222 | 4802 | 15333312 | N/A | 9778191 | 2025-11-22 01:35:44.968512 | 2025-10-27 23:17:48.522975 |
| 2025-11-21 08:14:32.023994 | 2025-11-22 01:35:19.200357 | 15072918 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 15072918 | Athletic Physical Therapy Inc | 1956-09-25 | 2025-11-24 | M | AE | PT | Marvin | 40059610101 | Terry | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.123225024.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11529617/check_15072918_9216eba4-b913-42fb-ad5c-5a10027440d0.json | N/A | N/A | N/A | N/A | N/A | 40059610101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-09-25 | 2025H5425001 | H5425M | N/A | N/A | false | MARVIN | N/A | TERRY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9342452124 | N/A | N/A | 11529617 | 2222 | 4801 | 15332723 | N/A | 9770503 | 2025-11-22 01:35:19.200357 | 2025-11-05 23:33:36.141284 |
| 2025-11-21 08:14:22.322374 | 2025-11-22 01:38:32.574788 | 15072745 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15072745 | Athletic Physical Therapy Inc | 1949-07-26 | 2025-11-24 | F | AE | PT | BLESSLEY | 9DW9YM7ND57 | DONNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110623635.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11011921/check_15072745_7ce18ccf-ca89-4e7d-94a7-f7de2969afa3.json | N/A | N/A | N/A | N/A | N/A | 9DW9YM7ND57 | Medicare Part B | N/A | SCAN HEALTH PLAN | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-07-26 | H5425 | N/A | N/A | MB | false | BLESSLEY | N/A | DONNA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9342410839 | N/A | N/A | 11011921 | 2222 | 4793 | 15337066 | N/A | 9377403 | 2025-11-22 01:38:32.574788 | 2025-10-15 20:29:32.165707 |
| 2025-11-21 08:14:17.920747 | 2025-11-22 01:32:58.707537 | 15072657 | N/A | N/A | 60054 | Aetna | 1114042165 | 15072657 | Athletic Physical Therapy Inc | 1998-11-14 | 2025-11-24 | M | AE | PT | Shirian | W742094344 | Jonathan | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.123225024.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11519732/check_15072657_2c913d23-7123-43aa-ad19-c55f33102fbb.json | N/A | N/A | N/A | N/A | N/A | W274093844 | Point of Service (POS) | CASE WESTERN RESERVE UNIVERSITY | AETNA | N/A | 1998-11-14 | 0686194 | 068619403600108 | N/A | PS | false | SHIRIAN | N/A | JONATHAN | N/A | N/A | N/A | OPEN CHOICE-EARLY ARRIVAL | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9342452102 | N/A | N/A | 11519732 | 2222 | 4802 | 15329648 | N/A | 9760542 | 2025-11-22 01:32:58.707537 | 2025-10-27 21:44:20.466934 |
| 2025-11-21 08:14:05.133510 | 2025-11-22 01:36:21.347846 | 15072386 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15072386 | Athletic Physical Therapy Inc | 1977-08-05 | 2025-11-24 | F | PT | N/A | ORNELAS | NCF054W10834 | MELISSA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.123225024.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11513735/check_15072386_9cb2dc8c-54d4-4288-b89f-6dc701dbf2d5.json | N/A | N/A | N/A | N/A | N/A | NCF054W10834 | Health Maintenance Organization (HMO) | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1977-08-05 | 040 | 57AJCA | N/A | HM | false | ORNELAS | N/A | MELISSA | N/A | 9999-12-31 | 2022-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9342452084 | N/A | N/A | 11513735 | 2222 | 4801 | 15334118 | N/A | 9754522 | 2025-11-22 01:36:21.347846 | 2025-11-11 18:53:52.074262 |
| 2025-11-21 08:13:56.963625 | 2025-11-22 01:32:59.127992 | 15072243 | N/A | N/A | 60054 | Aetna | 1114042165 | 15072243 | Athletic Physical Therapy Inc | 1969-06-19 | 2025-11-24 | F | AE | PT | SIMSON FRANK | JQU217M93319 | GABRIELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.123225024.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11508035/check_15072243_c72bb69f-59c4-4189-9d76-51fdc2d77672.json | N/A | N/A | N/A | N/A | N/A | JQU217M93319 | N/A | N/A | AETNA INC | N/A | 1969-06-19 | N/A | N/A | N/A | N/A | false | SIMSON FRANK | N/A | GABRIELLE | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9342451135 | N/A | N/A | 11508035 | 2222 | 4793 | 15329656 | N/A | 9748796 | 2025-11-22 01:32:59.127992 | 2025-10-30 15:58:51.268962 |
| 2025-11-21 08:13:39.617640 | 2025-11-22 01:38:32.838541 | 15071869 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15071869 | Athletic Physical Therapy Inc | 1953-06-18 | 2025-11-24 | F | AE | PT | REISMAN | 6C16CN3FM49 | GAIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110623635.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10984906/check_15071869_fad98bac-5647-4df8-886b-a3ad6232c1e0.json | N/A | N/A | N/A | N/A | N/A | 6C16CN3FM49 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-06-18 | N/A | N/A | N/A | MA | false | REISMAN | N/A | GAIL | N/A | N/A | N/A | N/A | N/A | 64092 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9342410715 | N/A | N/A | 10984906 | 2222 | 4802 | 15337071 | N/A | 9156222 | 2025-11-22 01:38:32.838541 | 2026-01-08 22:56:20.879547 |
| 2025-11-21 08:13:36.410395 | 2025-11-22 03:31:38.402853 | 15071794 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15071794 | Athletic Physical Therapy Inc | 1986-10-29 | 2025-11-24 | M | AE | PT | DEROOS | 182788571 | SEAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110643269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551009/check_15071794_7843d789-c285-4bbe-966d-274a697cd12f.json | N/A | N/A | N/A | N/A | N/A | 182788571 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 1986-10-29 | 18126CA001000101 | QMXEM01910 | N/A | N/A | false | DEROOS | N/A | SEAN | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9342448517 | N/A | N/A | 5551009 | 2222 | 4802 | 15347128 | 4211 | 4219827 | 2025-11-22 03:31:38.402853 | 2025-10-31 23:39:58.530194 |
| 2025-11-21 08:13:36.017941 | 2025-11-22 01:34:44.935522 | 15071783 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 15071783 | Athletic Physical Therapy Inc | 1953-07-31 | 2025-11-24 | F | AE | PT | Dickenson | 91000390H | Linda | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110619228.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449889/check_15071783_492b48fa-5c96-46d6-9368-ff3f30cf7285.json | N/A | N/A | N/A | N/A | N/A | 91000390H | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1953-07-31 | N/A | N/A | N/A | N/A | false | DICKENSON | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9342399866 | N/A | N/A | 7449889 | 2222 | 4802 | 15331937 | N/A | 6399696 | 2025-11-22 01:34:44.935522 | 2025-07-24 23:24:56.744520 |
| 2025-11-21 08:13:35.582173 | 2025-11-22 03:34:15.536942 | 15071770 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15071770 | Athletic Physical Therapy Inc | 1989-01-23 | 2025-11-24 | F | PT | N/A | HINKLE | NCF051W08046 | MARLENA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110643269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550925/check_15071770_ef3eaa3f-b090-4cb6-92c2-65adc6844a4f.json | N/A | N/A | N/A | N/A | N/A | NCF051W08046 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1989-01-23 | 040 | 57AJCA | N/A | HM | false | HINKLE | N/A | MARLENA | N/A | 9999-12-31 | 2021-03-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9342448516 | N/A | N/A | 5550925 | 2222 | 4793 | 15348901 | N/A | 4219772 | 2025-11-22 03:34:15.536942 | 2025-11-18 00:45:16.378261 |
| 2025-11-21 08:13:35.000229 | 2025-11-22 03:34:17.743630 | 15071755 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15071755 | Athletic Physical Therapy Inc | 2016-10-15 | 2025-11-24 | F | PT | N/A | WALTER | JXN523A76388 | KARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110643269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550923/check_15071755_85ae4b29-1024-4389-ace0-379faa9d27c3.json | N/A | N/A | N/A | N/A | N/A | JXN523A76388 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 2016-10-15 | 040 | 174222M3A1 | N/A | PR | false | WALTER | N/A | KYLE | N/A | 9999-12-31 | 2023-01-01 | BC PPO INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9342448515 | N/A | N/A | 5550923 | 2222 | 4801 | 15348927 | N/A | 4219763 | 2025-11-22 03:34:17.743630 | 2025-05-13 04:29:37.230804 |
| 2025-11-21 08:13:34.268590 | 2025-11-22 03:34:34.454738 | 15071733 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15071733 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-11-24 | F | PT | N/A | PANDYA | XEA913306283 | DHARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110643269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_15071733_74d8e2a5-cee2-40a1-abfa-0498a678215a.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1975-08-17 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2024-06-03 | HSA RATED | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9342448514 | N/A | N/A | 5550845 | 2222 | 4801 | 15349115 | N/A | 4219713 | 2025-11-22 03:34:34.454738 | 2025-08-13 22:46:55.732965 |
| 2025-11-21 08:13:33.652772 | 2025-11-22 03:36:56.764316 | 15071717 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15071717 | Athletic Physical Therapy Inc | 1954-05-11 | 2025-11-24 | M | AE | PT | A Peters | 1R78CR5JR59 | Dennis | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110643269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550025/check_15071717_74b452ca-00fc-4792-b2eb-910ab1b80f45.json | N/A | N/A | N/A | N/A | N/A | 1R78CR5JR59 | N/A | N/A | CMS | N/A | 1954-05-11 | N/A | N/A | N/A | N/A | false | A PETERS | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9342448513 | N/A | N/A | 5550025 | 2222 | 4801 | 15350717 | N/A | 4219449 | 2025-11-22 03:36:56.764316 | 2025-10-07 21:32:27.567534 |
| 2025-11-21 08:13:33.190603 | 2025-11-22 03:32:58.774449 | 15071708 | N/A | N/A | 62308 | CIGNA PPO | 1114042165 | 15071708 | Athletic Physical Therapy Inc | 1986-05-15 | 2025-11-24 | M | AE | PT | SOLHJOU | U7549246801 | BAHRAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110643269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549949/check_15071708_ac5612c4-c3db-4c5f-a706-af0668c9321a.json | N/A | N/A | N/A | N/A | N/A | U7549246801 | Health Maintenance Organization (HMO) | COUNTY OF LOS ANGELES | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1986-05-15 | N/A | 3212364 | N/A | HM | false | SOLHJOU | N/A | BAHRAM | N/A | N/A | N/A | NETWORK | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9342448512 | N/A | N/A | 5549949 | 2222 | 4802 | 15348020 | 4437 | 4219432 | 2025-11-22 03:32:58.774449 | 2025-05-13 04:29:37.230466 |
| 2025-11-21 08:13:32.709228 | 2025-11-22 03:34:16.349437 | 15071696 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15071696 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-11-24 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110643269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_15071696_ee01c98d-9aa8-491b-b6c5-32a65a77d0a6.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9342448511 | N/A | N/A | 5549317 | 2222 | 4801 | 15348911 | N/A | 4219010 | 2025-11-22 03:34:16.349437 | 2026-01-09 18:32:07.618867 |
| 2025-11-21 08:13:29.640909 | 2025-11-22 03:34:14.445801 | 15071629 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15071629 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-11-24 | F | PT | N/A | DAKE | SIF326M90066 | RENEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110643269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543355/check_15071629_759ecbbe-b368-479b-a85c-7a530e692c13.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | Preferred Provider Organization (PPO) | SISC - MEADOWS ARTS & TECH ELEMENTARY SCHOOL | ANTHEM BLUE CROSS | N/A | 1968-01-29 | 040 | 40424B | N/A | PR | false | DAKE | N/A | RENEE | N/A | 9999-12-31 | 2018-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9342448507 | N/A | N/A | 5543355 | 2222 | 4793 | 15348889 | N/A | 4215158 | 2025-11-22 03:34:14.445801 | 2025-05-13 04:29:37.229475 |
| 2025-11-21 08:13:29.038643 | 2025-11-22 03:36:57.870735 | 15071613 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15071613 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-11-24 | F | AE | PT | HOWARD | 6JJ9KX0PY45 | JUDI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110643269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543340/check_15071613_41647b13-0ebd-4fca-a30a-502b62f257e4.json | N/A | N/A | N/A | N/A | N/A | 6JJ9KX0PY45 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-11-19 | S5884 | N/A | N/A | MA | false | HOWARD | N/A | JUDI | N/A | N/A | N/A | N/A | N/A | 233814 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9342448506 | N/A | N/A | 5543340 | 2222 | 4793 | 15350729 | N/A | 4215147 | 2025-11-22 03:36:57.870735 | 2025-05-13 04:29:37.229464 |
| 2025-11-21 08:13:28.588063 | 2025-11-22 03:31:38.673532 | 15071603 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 15071603 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-11-24 | F | AE | PT | SILVERS | 1866968 | JOIEMAY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110643269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543335/check_15071603_a7326956-b6e9-44e9-ae20-f51a94754e0d.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 2001-01-23 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9342448505 | N/A | N/A | 5543335 | 2222 | 4802 | 15347131 | 4211 | 4215139 | 2025-11-22 03:31:38.673532 | 2025-05-13 21:20:11.455022 |
| 2025-11-21 08:13:27.944121 | 2025-11-22 03:36:57.621537 | 15071586 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15071586 | Athletic Physical Therapy Inc | 1948-08-18 | 2025-11-24 | M | AE | PT | EDA | 9AC4JX7TW77 | MASAAKI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110643269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543330/check_15071586_bd5fd477-ada9-4256-bc1e-b26f6b7c8ef3.json | N/A | N/A | N/A | N/A | N/A | 9AC4JX7TW77 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-08-18 | S5596 | N/A | N/A | MB | false | EDA | N/A | MASAAKI | N/A | N/A | N/A | N/A | N/A | 129686 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9342448503 | N/A | N/A | 5543330 | 2222 | 4802 | 15350726 | N/A | 4215140 | 2025-11-22 03:36:57.621537 | 2025-05-13 04:29:37.229453 |
| 2025-11-21 08:13:27.573981 | 2025-11-22 03:34:14.195019 | 15071580 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 15071580 | Athletic Physical Therapy Inc | 1962-09-27 | 2025-11-24 | F | PT | N/A | BARAJAS | NCF425A56241 | EMMA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110643269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543324/check_15071580_c9d5617a-b36b-42ef-99fa-a2f99e6cdf7f.json | N/A | N/A | N/A | N/A | N/A | JMV425A56241 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1962-09-27 | 040 | 56677VR000 | N/A | HM | false | BARAJAS | N/A | RAMON | N/A | 9999-12-31 | 2025-09-01 | BLUE CROSS HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9342448502 | N/A | N/A | 5543324 | 2222 | 4801 | 15348886 | 4184 | 4215131 | 2025-11-22 03:34:14.195019 | 2025-08-11 16:45:52.816842 |
| 2025-11-21 08:13:27.007752 | 2025-11-22 03:34:34.713452 | 15071564 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15071564 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-11-24 | F | PT | N/A | PAUL | XEK914147727 | SARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110643269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543211/check_15071564_b4589344-770a-43a5-bad1-6c60938c4549.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | 2025-12-31 | 2025-02-01 | SILVER 2600 HDHP PPO JAN25 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9342448501 | N/A | N/A | 5543211 | 2222 | 4801 | 15349118 | N/A | 4215028 | 2025-11-22 03:34:34.713452 | 2025-05-13 04:29:37.229346 |
| 2025-11-21 08:13:25.796836 | 2025-11-22 03:34:16.639474 | 15071537 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15071537 | Athletic Physical Therapy Inc | 2003-10-09 | 2025-11-24 | F | PT | N/A | LUKOWITSCH | XDPCA8263500 | HALLIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110643269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543178/check_15071537_0b62d88e-9374-4013-b680-0eb8181e3ec9.json | N/A | N/A | N/A | N/A | N/A | XDPCA8263500 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | ANTHEM BLUE CROSS | N/A | 2003-10-09 | 040 | 275958P701 | N/A | PR | false | LUKOWITSCH | N/A | HALLIE | N/A | 9999-12-31 | 2025-09-22 | PPO UC SHIP | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9342448500 | N/A | N/A | 5543178 | 2222 | 4802 | 15348914 | N/A | 4215006 | 2025-11-22 03:34:16.639474 | 2025-05-13 04:29:37.229325 |
| 2025-11-21 08:13:25.008004 | 2025-11-22 03:34:17.230692 | 15071517 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 15071517 | Athletic Physical Therapy Inc | 1963-10-10 | 2025-11-24 | F | PT | N/A | RUEGGER | MPI01409385Q | ANNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110643269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542955/check_15071517_36af4f9a-0e42-4c77-aae4-48e95189122e.json | N/A | N/A | N/A | N/A | N/A | MPI01409385Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN - RETIREE | ANTHEM BLUE CROSS | N/A | 1963-10-10 | 040 | 277163M406 | N/A | PR | false | RUEGGER | N/A | THOMAS | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9342448499 | N/A | N/A | 5542955 | 2222 | 4793 | 15348921 | N/A | 4214809 | 2025-11-22 03:34:17.230692 | 2025-06-05 16:00:56.918021 |
| 2025-11-21 08:13:24.498222 | 2025-11-22 01:38:20.175604 | 15071504 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15071504 | Athletic Physical Therapy Inc | 1950-02-07 | 2025-11-24 | M | AE | PT | BHAMRAH | 8FX0NA8MD19 | KULDIP | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110619228.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7442857/check_15071504_dc1e88ae-f8cf-4dda-8d0b-280ac081f1d5.json | N/A | N/A | N/A | N/A | N/A | 8FX0NA8MD19 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-02-07 | S5617 | N/A | N/A | MB | false | BHAMRAH | N/A | KULDIP | N/A | N/A | N/A | N/A | N/A | 104302 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9342399562 | N/A | N/A | 7442857 | 2222 | 4801 | 15336771 | N/A | 6393941 | 2025-11-22 01:38:20.175604 | 2025-08-13 16:33:53.313259 |
| 2025-11-21 08:13:24.060319 | 2025-11-22 03:36:58.951210 | 15071493 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15071493 | Athletic Physical Therapy Inc | 1951-06-05 | 2025-11-24 | F | AE | PT | Roberts | 8J26AQ7EV76 | Mary Bryan | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110643269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542843/check_15071493_01a0c14c-2050-4780-b341-4f5bb0e89bdd.json | N/A | N/A | N/A | N/A | N/A | 8J26AQ7EV76 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-05 | S5601 | N/A | N/A | MB | false | ROBERTS | N/A | MARY | N/A | N/A | N/A | N/A | N/A | 140790 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9342448498 | N/A | N/A | 5542843 | 2222 | 4793 | 15350741 | N/A | 4214712 | 2025-11-22 03:36:58.951210 | 2025-11-12 19:26:06.663656 |
| 2025-11-21 08:13:23.349837 | 2025-11-22 03:34:00.160849 | 15071474 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15071474 | Athletic Physical Therapy Inc | 1972-07-22 | 2025-11-24 | M | AE | PT | KOZMA | U9714475101 | JASON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110643269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542709/check_15071474_59aa8f62-b985-4e61-b076-ea79a273ed2e.json | N/A | N/A | N/A | N/A | N/A | U9714475101 | 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. | 1972-07-22 | 67138CA0700027-01 | N/A | N/A | N/A | false | KOZMA | N/A | JASON | N/A | N/A | N/A | BRONZE 60 HDHP AMBETTER PPO | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9342448497 | N/A | N/A | 5542709 | 2222 | 4802 | 15348728 | N/A | 4214582 | 2025-11-22 03:34:00.160849 | 2025-12-02 00:00:04.433236 |
| 2025-11-21 08:13:22.773285 | 2025-11-22 03:34:09.348290 | 15071460 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 15071460 | Athletic Physical Therapy Inc | 1988-11-03 | 2025-11-24 | F | AE | PT | CAPISTRANO | 98696372G | FERDELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110643269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542513/check_15071460_eca7aa2a-2715-4011-afaa-7c644b182bdb.json | N/A | N/A | N/A | N/A | N/A | 98696372G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1988-11-03 | MCLA | MWLLNMEG21 | N/A | N/A | false | CAPISTRANO | N/A | FERDELLE | N/A | 2078-12-31 | 2024-05-01 | LACARE MEDICAL | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9342448496 | N/A | N/A | 5542513 | 2222 | 4793 | 15348831 | N/A | 4214418 | 2025-11-22 03:34:09.348290 | 2025-07-03 18:12:11.075357 |
| 2025-11-21 08:13:21.985102 | 2025-11-22 03:34:00.668208 | 15071436 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 15071436 | Athletic Physical Therapy Inc | 1977-02-09 | 2025-11-24 | F | AE | PT | SHAMAT | 96987431H | SAMA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110643269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542314/check_15071436_e5fd4015-4296-4562-a6cf-ee78aeaf5f5b.json | N/A | N/A | N/A | N/A | N/A | 96987431H | N/A | N/A | HEALTH NET, LLC | N/A | 1977-02-09 | N/A | N/A | N/A | N/A | false | SHAMAT | N/A | SAMA | N/A | N/A | N/A | KCW MCALSTD | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9342448494 | N/A | N/A | 5542314 | 2222 | 4802 | 15348732 | N/A | 4214238 | 2025-11-22 03:34:00.668208 | 2025-05-13 04:29:37.228571 |
| 2025-11-21 08:13:21.261786 | 2025-11-22 03:34:13.917453 | 15071421 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 15071421 | Athletic Physical Therapy Inc | 1959-05-13 | 2025-11-24 | F | PT | N/A | ADRIANZEN FERNAN | 221W2005420 | AURA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110643269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541944/check_15071421_d51485e0-1259-4f26-99f8-4978f31d3305.json | N/A | N/A | N/A | N/A | N/A | 221W2005420 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-05-13 | N/A | N/A | N/A | N/A | false | ADRIANZEN FERNAN | N/A | AURA | 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 | 9342448492 | N/A | N/A | 5541944 | 2222 | 4801 | 15348882 | 4184 | 4213907 | 2025-11-22 03:34:13.917453 | 2025-05-13 04:29:37.228228 |
| 2025-11-21 08:13:20.233029 | 2025-11-22 03:34:14.969854 | 15071394 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 15071394 | Athletic Physical Therapy Inc | 1974-10-21 | 2025-11-24 | F | PT | N/A | GARCIA | NCF666A56083 | DAWN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110643269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541664/check_15071394_519d186e-bae1-4e5a-bad8-2d6ebef5d11d.json | N/A | N/A | N/A | N/A | N/A | NCF666A56083 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1974-10-21 | 040 | 57AJCA | N/A | HM | false | GARCIA | N/A | DAWN | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9342448491 | N/A | N/A | 5541664 | 2222 | 4793 | 15348895 | 4185 | 4213662 | 2025-11-22 03:34:14.969854 | 2025-05-13 04:29:37.227982 |
| 2025-11-21 08:13:19.767937 | 2025-11-22 03:36:59.498319 | 15071384 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 15071384 | Athletic Physical Therapy Inc | 1949-07-06 | 2025-11-24 | M | AE | PT | SILVERMAN | 1P91CV2QF22 | LAWRENCE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110643269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541609/check_15071384_49597114-e25a-4a06-b293-c8c17bee8ead.json | N/A | N/A | N/A | N/A | N/A | 1P91CV2QF22 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-07-06 | N/A | N/A | N/A | MA | false | SILVERMAN | N/A | LAWRENCE | N/A | N/A | N/A | N/A | N/A | 79512 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9342448490 | N/A | N/A | 5541609 | 2222 | 4793 | 15350747 | N/A | 4213611 | 2025-11-22 03:36:59.498319 | 2025-05-13 04:29:37.227938 |
| 2025-11-21 08:13:19.415770 | 2025-11-22 03:34:16.088959 | 15071374 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 15071374 | Athletic Physical Therapy Inc | 2012-06-25 | 2025-11-24 | F | PT | N/A | LORD | JQK822A53740 | ALYSSA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110643269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541409/check_15071374_f6ec6433-d2a1-4a07-ad20-5f7da3b00f8c.json | N/A | N/A | N/A | N/A | N/A | JQT822A53740 | Health Maintenance Organization (HMO) | JLIV SERVICES INC | ANTHEM BLUE CROSS | N/A | 2012-06-25 | 040 | U54789 | N/A | HM | false | LORD | N/A | JETHRO | N/A | 9999-12-31 | 2025-08-01 | CA SG PRISELECT HMO | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9342448489 | N/A | N/A | 5541409 | 2222 | 4793 | 15348908 | 4184 | 4213435 | 2025-11-22 03:34:16.088959 | 2025-05-13 04:29:37.227756 |
| 2025-11-21 08:13:19.041035 | 2025-11-22 03:34:34.979258 | 15071364 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 15071364 | Athletic Physical Therapy Inc | 1965-09-18 | 2025-11-24 | F | PT | N/A | SHAPIRO | XEA901579979 | ANDREA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251121.110643269.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541315/check_15071364_49ca7401-dce0-4dc0-a6c6-bf2f25d61d7b.json | N/A | N/A | N/A | N/A | N/A | XEA901579979 | Preferred Provider Organization (PPO) | HANGER STEINBERG SHAPIRO AND ASH A LAW COR | BLUE SHIELD CALIFORNIA | N/A | 1965-09-18 | 1000VX000102 | W0045063 | N/A | PR | false | SHAPIRO | N/A | MARC | N/A | 9999-12-31 | 2025-11-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9342448488 | N/A | N/A | 5541315 | 2222 | 4793 | 15349121 | N/A | 4213344 | 2025-11-22 03:34:34.979258 | 2025-05-13 04:29:37.227667 |