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 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-19 08:10:29.012817 | 2025-11-20 01:41:54.434772 | 14997196 | N/A | N/A | 60054 | Aetna | 1114042165 | 14997196 | Athletic Physical Therapy Inc | 2011-12-20 | 2025-11-21 | M | AE | PT | NAQVI | W295996740 | KAZIM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100239110.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11417253/check_14997196_a7c4a60e-d64a-495c-9e98-0b20c76e4142.json | N/A | N/A | N/A | N/A | N/A | W295996740 | Point of Service (POS) | SHI INTERNATIONAL CORP. | AETNA | N/A | 2011-12-20 | 0308616 | 030861601600001 | N/A | PS | false | NAQVI | N/A | SYED | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324048431 | N/A | N/A | 11417253 | 2222 | 4793 | 15254682 | N/A | 9671738 | 2025-11-20 01:41:54.434772 | 2025-10-29 22:32:21.591395 |
| 2025-11-19 08:10:27.861396 | 2025-11-20 01:44:48.428277 | 14997178 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14997178 | Athletic Physical Therapy Inc | 1955-07-01 | 2025-11-21 | F | AE | PT | HINDOYAN | 00000381176 | MARIAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100239110.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11415049/check_14997178_2a84ea11-6d4e-47fa-9f62-eca5a8dd70c0.json | N/A | N/A | N/A | N/A | N/A | 00000381176 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1955-07-01 | H3815039 | N/A | N/A | HM | false | HINDOYAN | N/A | MARIAM | N/A | N/A | N/A | ALIGNMENT HEALTH HEART & DIABETES CALPLUS (HMO C-S | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324048426 | N/A | N/A | 11415049 | 2222 | 4801 | 15256404 | 2630 | 4219019 | 2025-11-20 01:44:48.428277 | 2026-03-18 18:00:45.440632 |
| 2025-11-19 08:10:22.145641 | 2025-11-20 01:45:28.789270 | 14997071 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 14997071 | Athletic Physical Therapy Inc | 1950-08-09 | 2025-11-21 | M | AE | PT | Kirgizdaev | 9438168G | Bakhtiyar | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100334440.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12407501/check_14997071_c65a1190-39e7-420e-8942-a1c89df35d25.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 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324054584 | N/A | N/A | 12407501 | 2222 | 4802 | 15256783 | N/A | 10587374 | 2025-11-20 01:45:28.789270 | 2025-12-24 19:36:03.607867 |
| 2025-11-19 08:09:46.747058 | 2025-11-19 08:10:20.940997 | 14996433 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-11-21 | F | AE | PT | YUNG | 00854676304 | MAYA | 6338 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_14996433_df5d1259-3dfb-41ae-a958-af05f47383fc.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-11-21 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | 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 | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2025-11-19 08:10:20.940997 | 2025-05-13 04:29:37.229495 |
| 2025-11-19 08:09:42.537274 | 2025-11-20 01:47:59.052597 | 14996358 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14996358 | Athletic Physical Therapy Inc | 1959-01-17 | 2025-11-21 | M | AE | PT | WAHL | 6CX2NW3WP90 | LELAND | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100239110.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11364481/check_14996358_50443d45-e14f-4688-bfa7-848a981b12ca.json | N/A | N/A | N/A | N/A | N/A | 6CX2NW3WP90 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-01-17 | S5617 | N/A | N/A | MB | false | WAHL | N/A | LELAND | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324047230 | N/A | N/A | 11364481 | 2222 | 4793 | 15258275 | N/A | 9633229 | 2025-11-20 01:47:59.052597 | 2026-02-05 17:07:37.378883 |
| 2025-11-19 08:09:12.916333 | 2025-11-20 01:41:04.966812 | 14995836 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 14995836 | Athletic Physical Therapy Inc | 1987-06-04 | 2025-11-21 | F | AE | PT | Kramer | W25290479102 | Aleah | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100239110.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11314808/check_14995836_05ecece4-4f72-470e-bc9a-be079576602e.json | N/A | N/A | N/A | N/A | N/A | W25290479102 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1987-06-04 | N/A | N/A | N/A | N/A | false | KRAMER | N/A | ALEAH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324047690 | N/A | N/A | 11314808 | 2222 | 4802 | 15253928 | N/A | 9379901 | 2025-11-20 01:41:04.966812 | 2025-10-21 18:31:35.446245 |
| 2025-11-19 08:09:12.210491 | 2025-11-20 01:44:52.879549 | 14995819 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14995819 | Athletic Physical Therapy Inc | 1959-04-01 | 2025-11-21 | M | PT | N/A | MOYER | JXN542M92477 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100239110.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11278285/check_14995819_e952ac81-93ec-49fe-b3ac-bf1bbb0ffd9b.json | N/A | N/A | N/A | N/A | N/A | JXN542M92477 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1959-04-01 | 040 | 174222M2A1 | N/A | PR | false | MOYER | N/A | STEVEN | N/A | 9999-12-31 | 2018-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9324047677 | N/A | N/A | 11278285 | 2222 | 4801 | 15256446 | N/A | 9581032 | 2025-11-20 01:44:52.879549 | 2025-10-21 22:24:54.464325 |
| 2025-11-19 08:09:05.884356 | 2025-11-20 01:44:41.105491 | 14995692 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14995692 | Athletic Physical Therapy Inc | 1989-08-21 | 2025-11-21 | F | AE | PT | VANSICKLE | R14610782FS1 | KYLIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100239110.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11190514/check_14995692_a25d7f75-2607-4973-bce1-23d7ef51a31f.json | N/A | N/A | N/A | N/A | N/A | R14610782FS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1989-08-21 | N/A | N/A | N/A | N/A | false | VANSICKLE | N/A | KYLIE | N/A | 2025-11-02 | 2025-09-01 | KX6 PPOSBG | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324046723 | N/A | N/A | 11190514 | 2222 | 4793 | 15256328 | N/A | 9532194 | 2025-11-20 01:44:41.105491 | 2026-04-13 16:03:49.854711 |
| 2025-11-19 08:08:30.239999 | 2025-11-20 01:39:59.878348 | 14994481 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14994481 | Athletic Physical Therapy Inc | 1953-11-15 | 2025-11-21 | M | AE | PT | REISMAN | 7JW4EK4UR89 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.121127097.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9868745/check_14994481_64dabd65-b1d8-4d42-8fcf-92fd39c4e882.json | N/A | N/A | N/A | N/A | N/A | 7JW4EK4UR89 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-11-15 | N/A | N/A | N/A | MA | false | REISMAN | N/A | MARK | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324045180 | N/A | N/A | 9868745 | 2222 | 4802 | 15253501 | N/A | 8262262 | 2025-11-20 01:39:59.878348 | 2025-09-30 22:45:25.940454 |
| 2025-11-19 08:08:04.299854 | 2025-11-20 01:48:02.527670 | 14993565 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14993565 | Athletic Physical Therapy Inc | 1959-07-16 | 2025-11-21 | F | AE | PT | JESTER | MBL344W20467 | AUREA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.120918644.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9926970/check_14993565_22cfd6b6-7453-4118-b90f-663152d6da89.json | N/A | N/A | N/A | N/A | N/A | MBL344W20467 | N/A | CALIFORNIA PUBLIC EMPLOYEES RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1959-07-16 | 040 | CAEGR001 | N/A | N/A | false | JESTER | N/A | AUREA | N/A | 9999-12-31 | 2024-07-01 | CA GRS CALPERS H4036-802 ANTHEM MEDICARE PREFERRED | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324036501 | N/A | N/A | 9926970 | 2222 | 4801 | 15258308 | N/A | 7624564 | 2025-11-20 01:48:02.527670 | 2025-10-06 23:19:36.703282 |
| 2025-11-19 08:08:00.683227 | 2025-11-20 01:48:02.829966 | 14993428 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14993428 | Athletic Physical Therapy Inc | 1953-11-15 | 2025-11-21 | M | AE | PT | REISMAN | WRXA13289369 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.120918644.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9868746/check_14993428_eb159d04-cb8b-4530-81c6-4c23714bfeb7.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 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324035781 | N/A | N/A | 9868746 | 2222 | 4802 | 15258311 | N/A | 8262262 | 2025-11-20 01:48:02.829966 | 2025-09-30 22:45:25.940454 |
| 2025-11-19 08:07:47.885006 | 2025-11-20 01:42:47.466617 | 14992947 | N/A | N/A | 60054 | Aetna | 1114042165 | 14992947 | Athletic Physical Therapy Inc | 1983-01-09 | 2025-11-21 | F | AE | PT | Ovaysikia | W197905578 | Shideh | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100334440.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12166597/check_14992947_5fb43bc5-df1a-4d35-b414-1f4a92e228e1.json | N/A | N/A | N/A | N/A | N/A | W197905578 | Point of Service (POS) | COHNREZNICK | AETNA | N/A | 1983-01-09 | 0884166 | 088416605000001 | N/A | PS | false | OVAYSIKIA | N/A | SHIDEH | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324054326 | N/A | N/A | 12166597 | 2222 | 4793 | 15255283 | N/A | 10379320 | 2025-11-20 01:42:47.466617 | 2025-11-04 17:17:17.618107 |
| 2025-11-19 08:07:22.622248 | 2025-11-20 03:34:39.396140 | 14991698 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14991698 | Athletic Physical Therapy Inc | 2011-04-16 | 2025-11-20 | M | PT | N/A | DEBOREE | JQU118A63475 | FALCON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.095633783.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9414075/check_14991698_a299b9cf-b51c-4309-93b9-65325a89ae14.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 | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9324033230 | N/A | N/A | 9414075 | 2222 | 4802 | 15262600 | N/A | 7883494 | 2025-11-20 03:34:39.396140 | 2025-09-24 22:46:15.277212 |
| 2025-11-19 08:07:04.410569 | 2025-11-20 03:33:45.908395 | 14990859 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14990859 | Athletic Physical Therapy Inc | 1990-12-22 | 2025-11-21 | M | AE | PT | PRABHALA | R13572760MM1 | SAI RAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.095633783.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9321575/check_14990859_ad7a221b-c8b9-4a87-a5b8-ef8501635179.json | N/A | N/A | N/A | N/A | N/A | R13572760MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1990-12-22 | N/A | N/A | N/A | N/A | false | PRABHALA | N/A | SAI RAM PAVAN PRASAD | N/A | N/A | N/A | KAI SBP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324033504 | N/A | N/A | 9321575 | 2222 | 4801 | 15262139 | N/A | 7820903 | 2025-11-20 03:33:45.908395 | 2025-09-22 20:31:02.620835 |
| 2025-11-19 08:07:02.593849 | 2025-11-20 01:48:03.196931 | 14990760 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14990760 | Athletic Physical Therapy Inc | 1959-02-04 | 2025-11-21 | F | AE | PT | SMITS | JQE291W18998 | HEIDI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.120918644.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681615/check_14990760_6b98ed90-8a7c-4885-9602-1bd7a3630b95.json | N/A | N/A | N/A | N/A | N/A | JQE291W18998 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-02-04 | 040 | CASUPWP0 | N/A | N/A | false | SMITS | N/A | HEIDI | N/A | 9999-12-31 | 2024-02-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324037188 | N/A | N/A | 9681615 | 2222 | 4793 | 15258314 | N/A | 8101289 | 2025-11-20 01:48:03.196931 | 2025-09-24 17:05:46.431721 |
| 2025-11-19 08:06:44.979645 | 2025-11-20 01:37:16.762476 | 14989655 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 14989655 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-11-21 | F | AE | PT | SHAKIB | 95751543E35181 | PARI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.095811129.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7561654/check_14989655_ab7765df-d79d-44be-8342-0f816dddf727.json | N/A | N/A | N/A | N/A | N/A | 95751543E35181 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1952-05-04 | N/A | N/A | N/A | N/A | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324019941 | N/A | N/A | 7561654 | 2222 | 4802 | 15252093 | N/A | 6395498 | 2025-11-20 01:37:16.762476 | 2026-02-18 02:38:35.073779 |
| 2025-11-19 08:06:39.108419 | 2025-11-20 03:34:59.199994 | 14989212 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14989212 | Athletic Physical Therapy Inc | 1963-09-25 | 2025-11-21 | M | PT | N/A | zev | XED912627946 | ari | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.095633783.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9280765/check_14989212_e152980f-81a7-4858-b3d8-1140057d5d18.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 | 9999-12-31 | 2023-11-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9324032793 | N/A | N/A | 9280765 | 2222 | 4802 | 15262788 | N/A | 7789190 | 2025-11-20 03:34:59.199994 | 2025-09-16 16:41:33.330373 |
| 2025-11-19 08:06:30.727533 | 2025-11-20 01:45:41.874660 | 14988654 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14988654 | Athletic Physical Therapy Inc | 2008-04-21 | 2025-11-21 | M | PT | N/A | LANDIS | XED906560014 | BRONN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100334440.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12097539/check_14988654_41c50fc9-0698-4f41-8e32-4c11f09facaa.json | N/A | N/A | N/A | N/A | N/A | XED906560014 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-04-21 | 2001ZK002187 | X0001004 | N/A | PR | false | LANDIS | N/A | KIPP | N/A | 2027-04-30 | 2023-03-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9324053882 | N/A | N/A | 12097539 | 2222 | 4793 | 15256921 | N/A | 10315576 | 2025-11-20 01:45:41.874660 | 2025-11-14 23:13:16.002759 |
| 2025-11-19 08:06:11.195595 | 2025-11-20 03:38:27.212538 | 14987468 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14987468 | Athletic Physical Therapy Inc | 1959-07-16 | 2025-11-21 | F | AE | PT | JESTER | 8WT9EW5DX41 | AUREA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.095633783.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9104610/check_14987468_3db957a7-9f44-44b5-99f4-e40ccee6fb27.json | N/A | N/A | N/A | N/A | N/A | 8WT9EW5DX41 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-16 | H4036 | N/A | N/A | MA | false | JESTER | N/A | AUREA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324031658 | N/A | N/A | 9104610 | 2222 | 4801 | 15264767 | N/A | 7624564 | 2025-11-20 03:38:27.212538 | 2025-10-06 23:19:36.703282 |
| 2025-11-19 08:06:00.588223 | 2025-11-20 03:39:24.301206 | 14986811 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14986811 | Athletic Physical Therapy Inc | 1954-10-13 | 2025-11-20 | F | AE | PT | COMBS | 9RM0WC3QW15 | ROBERTA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100638945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7450031/check_14986811_65ee323b-78b3-43d6-ac87-0bf962cc9b67.json | N/A | N/A | N/A | N/A | N/A | 9RM0WC3QW15 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-10-13 | N/A | N/A | N/A | MB | false | COMBS | N/A | ROBERTA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324022968 | N/A | N/A | 7450031 | 2222 | 4801 | 15265320 | N/A | 6399759 | 2025-11-20 03:39:24.301206 | 2025-07-24 23:45:59.561511 |
| 2025-11-19 08:05:59.998373 | 2025-11-20 03:39:24.618111 | 14986774 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14986774 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-11-21 | F | AE | PT | SHAKIB | 1MR6XC7NU77 | PARI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100638945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444722/check_14986774_b170d78c-4346-4201-a68f-f726cd7ea25c.json | N/A | N/A | N/A | N/A | N/A | 1MR6XC7NU77 | Medicare Part B | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-05-04 | H5521 | N/A | N/A | MB | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324022959 | N/A | N/A | 7444722 | 2222 | 4802 | 15265323 | N/A | 6395498 | 2025-11-20 03:39:24.618111 | 2026-02-18 02:38:35.073779 |
| 2025-11-19 08:05:55.655409 | 2025-11-20 03:35:38.983752 | 14986509 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14986509 | Athletic Physical Therapy Inc | 1963-01-14 | 2025-11-20 | F | PT | N/A | KRAFT | XED911569862 | KATHRIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100638945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7294742/check_14986509_e4e7c219-8338-43ac-a38b-cd69b87e2568.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 | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9324024083 | N/A | N/A | 7294742 | 2222 | 4801 | 15263165 | N/A | 6254569 | 2025-11-20 03:35:38.983752 | 2025-08-12 09:24:43.956957 |
| 2025-11-19 08:05:54.725280 | 2025-11-20 03:35:38.580168 | 14986455 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14986455 | Athletic Physical Therapy Inc | 1991-10-07 | 2025-11-21 | F | PT | N/A | BOYM | XEK903045570 | DANIELLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100638945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7281036/check_14986455_394aa595-c6e1-490b-a82a-bd6ca373c1dd.json | N/A | N/A | N/A | N/A | N/A | XEK903045570 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1991-10-07 | 2001ZJ002648 | X0001000 | N/A | PR | false | BOYM | N/A | DIMITRY | N/A | 9999-12-31 | 2024-02-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9324024073 | N/A | N/A | 7281036 | 2222 | 4793 | 15263162 | N/A | 6245462 | 2025-11-20 03:35:38.580168 | 2025-07-24 01:23:15.134681 |
| 2025-11-19 08:05:51.715885 | 2025-11-20 03:35:39.287939 | 14986265 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14986265 | Athletic Physical Therapy Inc | 1979-04-20 | 2025-11-21 | F | PT | N/A | NOSRAT | XEK904721388 | CAROLYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100638945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7252533/check_14986265_07d66809-8642-4e03-bbdb-71f32b94f503.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1979-04-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | NOSRAT | N/A | CAROLYN | N/A | 9999-12-31 | 2016-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9324024039 | N/A | N/A | 7252533 | 2222 | 4802 | 15263169 | N/A | 4214065 | 2025-11-20 03:35:39.287939 | 2025-05-13 04:29:37.228379 |
| 2025-11-19 08:05:42.259684 | 2025-11-20 03:31:52.881952 | 14985667 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 14985667 | Athletic Physical Therapy Inc | 1963-05-22 | 2025-11-21 | M | AE | PT | SMITH | 99688004H | MATTHEW | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100638945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7022680/check_14985667_fcb5d41f-972c-4225-b08b-1bdc92d8e397.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 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324023999 | N/A | N/A | 7022680 | 2222 | 4793 | 15261065 | 4211 | 6037802 | 2025-11-20 03:31:52.881952 | 2025-07-22 17:48:16.997014 |
| 2025-11-19 08:05:37.424555 | 2025-11-20 01:35:52.108685 | 14985384 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14985384 | Athletic Physical Therapy Inc | 2011-05-21 | 2025-11-20 | F | AE | PT | MAZAREI | JQK622A53763 | ARYANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100647289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12764190/check_14985384_0bd00bee-e3ad-4735-bc0b-ccab4b644977.json | N/A | N/A | N/A | N/A | N/A | JQK622A53763 | Health Maintenance Organization (HMO) | DORENFELDLAW INC | ANTHEM BLUE CROSS | N/A | 2011-05-21 | 040 | A50707 | N/A | HM | false | MAZAREI | N/A | MAZYAR | N/A | 9999-12-31 | 2025-09-01 | ANTHEM GOLD HMO 35 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324038551 | N/A | N/A | 12764190 | 2222 | 4793 | 15251216 | N/A | 4214170 | 2025-11-20 01:35:52.108685 | 2025-05-13 04:29:37.228498 |
| 2025-11-19 08:05:32.570509 | 2025-11-20 03:34:18.914225 | 14985069 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14985069 | Athletic Physical Therapy Inc | 1949-12-31 | 2025-11-21 | M | AE | PT | TSING | 00000282272 | KONGHSUNG | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.095633783.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8978036/check_14985069_ef882b36-f8b7-419b-928c-0c75efe35bb6.json | N/A | N/A | N/A | N/A | N/A | 00000282272 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-12-31 | H3815028 | N/A | N/A | HM | false | TSING | N/A | KONGHSUNG | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324032715 | N/A | N/A | 8978036 | 2222 | 4793 | 15262441 | 2630 | 7492332 | 2025-11-20 03:34:18.914225 | 2025-10-01 21:03:48.525986 |
| 2025-11-19 08:05:27.882609 | 2025-11-20 01:48:02.135630 | 14984791 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14984791 | Athletic Physical Therapy Inc | 1954-10-13 | 2025-11-20 | F | AE | PT | COMBS | XDD261A55173 | ROBERTA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.120918644.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7450034/check_14984791_43e2174a-bb1c-49de-bbb0-82b4bbda1420.json | N/A | N/A | N/A | N/A | N/A | XDD261A55173 | Supplemental Policy | LOS ANGELES COUNTY EMPLOYEE RETIREMENT ASSOC | MEDICARE B | N/A | 1954-10-13 | 040 | 1264MD | N/A | SP | false | COMBS | N/A | LOUIS | N/A | 9999-12-31 | 2019-11-01 | MEDICARE SUPPLEMENT-PBP PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324036710 | N/A | N/A | 7450034 | 2222 | 4801 | 15258305 | N/A | 6399759 | 2025-11-20 01:48:02.135630 | 2025-07-24 23:45:59.561511 |
| 2025-11-19 08:05:27.843834 | 2025-11-20 01:44:52.629873 | 14984790 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14984790 | Athletic Physical Therapy Inc | 1963-09-07 | 2025-11-20 | M | PT | N/A | BAHR | FZX638A69335 | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100239110.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10371931/check_14984790_632c3015-be3f-44ea-9c7e-077a6a6c424d.json | N/A | N/A | N/A | N/A | N/A | FZX638A69335 | Preferred Provider Organization (PPO) | CDHP HSA NON-INTEGRATED BNK | ANTHEM BLUE CROSS | N/A | 1963-09-07 | 423 | 201028M2CA | N/A | PR | false | BAHR | N/A | KEVIN | N/A | 9999-12-31 | 2022-01-01 | CDHP VIRGINIA HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9324046853 | N/A | N/A | 10371931 | 2222 | 4793 | 15256443 | N/A | 8634062 | 2025-11-20 01:44:52.629873 | 2025-10-16 21:25:25.746427 |
| 2025-11-19 08:05:26.758974 | 2025-11-20 01:45:37.818385 | 14984719 | N/A | N/A | 60054 | Aetna | 1114042165 | 14984719 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-11-21 | F | AE | PT | SHAKIB | 101129457200 | PARI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.120918644.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444723/check_14984719_a7f064f4-6eac-4ca3-9322-fd62b7981e41.json | N/A | N/A | N/A | N/A | N/A | 101129457200 | Qualified Medicare Beneficiary | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1952-05-04 | 000003-CA000058 | 000003-CA | N/A | QM | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324036701 | N/A | N/A | 7444723 | 2222 | 4802 | 15256876 | N/A | 6395498 | 2025-11-20 01:45:37.818385 | 2026-02-18 02:38:35.073779 |
| 2025-11-19 08:05:26.632637 | 2025-11-20 01:51:45.051096 | 14984713 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 14984713 | Athletic Physical Therapy Inc | 1963-05-22 | 2025-11-21 | M | AE | PT | SMITH | 99688004H | MATTHEW | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.120918644.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7321767/check_14984713_a3ab245a-042a-4279-a1d3-862e709fa046.json | N/A | N/A | N/A | N/A | N/A | 99688004H | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1963-05-22 | N/A | N/A | N/A | N/A | false | SMITH | N/A | MATTHEW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324036700 | N/A | N/A | 7321767 | 2222 | 4793 | 15259896 | N/A | 6037802 | 2025-11-20 01:51:45.051096 | 2025-07-22 17:48:16.997014 |
| 2025-11-19 08:05:24.381582 | 2025-11-20 03:35:09.073234 | 14984582 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14984582 | Athletic Physical Therapy Inc | 1972-01-12 | 2025-11-21 | M | PT | N/A | MAGEN | B6YE01199897 | OFIR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100638945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6917703/check_14984582_5dbb3d5b-9646-4f4c-ab31-c30ad26d499d.json | N/A | N/A | N/A | N/A | N/A | B6YE01199897 | Preferred Provider Organization (PPO) | CHARTERLIFE-2015 HIGH EPO | ANTHEM BLUE CROSS | N/A | 1972-01-12 | 040 | L06598M023 | N/A | PR | false | MAGEN | N/A | LIMOR | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9324024492 | N/A | N/A | 6917703 | 2222 | 4793 | 15262884 | N/A | 5949095 | 2025-11-20 03:35:09.073234 | 2025-07-28 22:15:30.266976 |
| 2025-11-19 08:05:15.464727 | 2025-11-19 08:05:19.772324 | 14984061 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-11-17 | 2025-11-19 | M | AE | PT | Ramos | 43620299 | Federico | 6798 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6960617/check_14984061_5699fefb-d9f4-42d2-a7c4-1b40f2e27f09.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6960617/check_14984061_985f1e9f-292f-4e3f-9322-e17ae88ae908.json | N/A | N/A | N/A | N/A | N/A | 43620299 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1953-11-17 | 406-005-000 | N/A | N/A | N/A | false | RAMOS | N/A | FEDERICO | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324010366 | N/A | N/A | 6960617 | 2222 | N/A | 15230797 | N/A | 5985329 | 2025-11-19 08:05:19.772324 | 2025-09-10 17:01:27.097640 |
| 2025-11-19 08:05:11.525606 | 2025-11-20 01:36:55.180782 | 14983864 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14983864 | Athletic Physical Therapy Inc | 1968-10-03 | 2025-11-21 | M | PT | N/A | RAMIREZ | Z7M7740597AB | CESAR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.121127097.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9729132/check_14983864_0f7d11e3-a41c-44fd-9419-91cfd31a6133.json | N/A | N/A | N/A | N/A | N/A | Z7M7740597AB | Preferred Provider Organization (PPO) | HI DED LOWER FAMILY ONLY | ANTHEM BLUE CROSS | N/A | 1968-10-03 | 241 | L11957M003 | N/A | PR | false | RAMIREZ | N/A | CESAR | N/A | 9999-12-31 | 2025-01-01 | PPO WITH MO BLUE ACCESS CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9324043424 | N/A | N/A | 9729132 | 2222 | 4801 | 15251867 | N/A | 8145241 | 2025-11-20 01:36:55.180782 | 2025-09-25 17:51:33.170014 |
| 2025-11-19 08:05:04.872400 | 2025-11-20 01:35:51.687366 | 14983452 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14983452 | Athletic Physical Therapy Inc | 1975-08-07 | 2025-11-21 | M | PT | N/A | GEFFEN | CFT037A52287 | JASON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100647289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12686965/check_14983452_c33c2cd3-7152-4d86-901d-4a9f3967f1b0.json | N/A | N/A | N/A | N/A | N/A | CFT037A52287 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1975-08-07 | N/A | N/A | N/A | N/A | false | GEFFEN | N/A | JASON | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9324040441 | N/A | N/A | 12686965 | 2222 | 4793 | 15251213 | N/A | 10856744 | 2025-11-20 01:35:51.687366 | 2025-12-29 22:47:44.157557 |
| 2025-11-19 08:04:58.004929 | 2025-11-20 01:38:52.764827 | 14983057 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 14983057 | Athletic Physical Therapy Inc | 1977-09-01 | 2025-11-20 | F | AE | PT | GONZALEZ | 90973117G | KARINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100647289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12676900/check_14983057_adef0103-4d8e-46fb-a410-cf178f025505.json | N/A | N/A | N/A | N/A | N/A | 90973117G | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1977-09-01 | N/A | N/A | N/A | N/A | false | GONZALEZ | N/A | KARINA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324040348 | N/A | N/A | 12676900 | 2222 | 4793 | 15253049 | N/A | 10845891 | 2025-11-20 01:38:52.764827 | 2025-11-17 16:21:20.857261 |
| 2025-11-19 08:04:53.976414 | 2025-11-20 03:34:51.259806 | 14982831 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 14982831 | Athletic Physical Therapy Inc | 2008-04-21 | 2025-11-20 | M | AE | PT | BERMUDEZ | 000019836525 | RAFAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100638945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6721942/check_14982831_87a88572-eae8-4643-9217-85c1d79c4d34.json | N/A | N/A | N/A | N/A | N/A | 000019836525 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 2008-04-21 | 4327748 | 226977 | N/A | N/A | false | BERMUDEZ | N/A | RAFAEL | N/A | N/A | N/A | MEDI-CAL LA CARE HEALTH PLAN ADULT AND FAMILY LTSS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324024776 | N/A | N/A | 6721942 | 2222 | 4793 | 15262717 | N/A | 5322280 | 2025-11-20 03:34:51.259806 | 2025-07-01 21:45:15.878047 |
| 2025-11-19 08:04:53.603209 | 2025-11-20 01:45:00.334466 | 14982801 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 14982801 | Athletic Physical Therapy Inc | 1952-06-27 | 2025-11-20 | M | AE | PT | WEST | 40065315001 | KIRK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100334440.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11799742/check_14982801_922ca74d-d2d9-4878-8749-1fa6295a18be.json | N/A | N/A | N/A | N/A | N/A | 40065315001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-06-27 | 2025H5425001 | H5425M | N/A | N/A | false | WEST | N/A | KIRK | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324053838 | N/A | N/A | 11799742 | 2222 | 4801 | 15256511 | N/A | 10033486 | 2025-11-20 01:45:00.334466 | 2025-11-04 21:34:59.842331 |
| 2025-11-19 08:04:47.034484 | 2025-11-19 08:04:59.978058 | 14982416 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-10-21 | 2025-11-19 | F | PT | N/A | GARCIA | NCF666A56083 | DAWN | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541664/check_14982416_4949141a-081f-4e8f-b9cb-47a03c976da0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541664/check_14982416_786d7805-ac94-4f2e-b348-2ac0259b291a.json | N/A | N/A | N/A | N/A | N/A | NCF666A56083 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1974-10-21 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | DAWN | 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 | N/A | N/A | 5541664 | 2222 | N/A | 15230663 | N/A | 4213662 | 2025-11-19 08:04:59.978058 | 2025-05-13 04:29:37.227982 |
| 2025-11-19 08:04:38.496706 | 2025-11-20 01:42:41.915289 | 14981927 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 14981927 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-11-21 | M | AE | PT | ULLMAN | 557489000 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.120918644.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535842/check_14981927_fecb3f9a-77b6-479c-946e-3162b0f8c87d.json | N/A | N/A | N/A | N/A | N/A | 557489000 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324036903 | N/A | N/A | 5535842 | 2222 | 4801 | 15255217 | N/A | 4208696 | 2025-11-20 01:42:41.915289 | 2025-06-07 16:16:45.844566 |
| 2025-11-19 08:04:36.858798 | 2025-11-20 01:36:05.062480 | 14981829 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14981829 | Athletic Physical Therapy Inc | 1959-01-17 | 2025-11-21 | M | AE | PT | WAHL | XEM912647011 | LELAND | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.095811129.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11364482/check_14981829_9fba78e2-c9ab-416d-ab07-9220b3fb08fc.json | N/A | N/A | N/A | N/A | N/A | XEM912647011 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1959-01-17 | 2002SE000030 | X0001002 | N/A | OT | false | WAHL | N/A | LELAND | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324020920 | N/A | N/A | 11364482 | 2222 | 4793 | 15251347 | N/A | 9633229 | 2025-11-20 01:36:05.062480 | 2026-02-05 17:07:37.378883 |
| 2025-11-19 08:04:34.785024 | 2025-11-20 03:35:09.759705 | 14981699 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14981699 | Athletic Physical Therapy Inc | 1996-07-04 | 2025-11-21 | F | PT | N/A | STOLTZ | JQY361W23827 | ARDENN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100638945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6605808/check_14981699_7aef10b3-7186-4e86-880f-2cc8cc9c63d6.json | N/A | N/A | N/A | N/A | N/A | JQY361W23827 | Preferred Provider Organization (PPO) | KENT TAKEMOTO, M.D., INC. | ANTHEM BLUE CROSS | N/A | 1996-07-04 | 040 | Q62351 | N/A | PR | false | STOLZ | N/A | ARDENN | N/A | 9999-12-31 | 2025-04-01 | CA SG SELECT PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9324024947 | N/A | N/A | 6605808 | 2222 | 4802 | 15262890 | N/A | 4214948 | 2025-11-20 03:35:09.759705 | 2025-06-26 01:28:07.741882 |
| 2025-11-19 08:04:34.060382 | 2025-11-19 08:04:47.029959 | 14981652 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-10-21 | 2025-11-19 | F | PT | N/A | GARCIA | NCF666A56083 | DAWN | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541664/check_14981652_37a62831-46d9-4d7a-a3cf-0f2ca9e25ade.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-19 | N/A | N/A | N/A | N/A | N/A | N/A | NCF666A56083 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1974-10-21 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | DAWN | 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 | N/A | N/A | 5541664 | 2222 | N/A | N/A | N/A | 4213662 | 2025-11-19 08:04:47.029959 | 2025-05-13 04:29:37.227982 |
| 2025-11-19 08:04:33.342352 | 2025-11-20 01:35:19.339870 | 14981609 | N/A | N/A | 74095 | United States Automobile Association (USAA) | 1114042165 | 14981609 | Athletic Physical Therapy Inc | 1954-03-16 | 2025-11-21 | M | AE | PT | MCCLURE | T099578414 | JOHN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.095811129.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11343290/check_14981609_44c9ab4c-d50c-4735-b9b4-65b815332200.json | N/A | N/A | N/A | N/A | N/A | T099578414 | N/A | N/A | USAA-MEDICARE SUPPLEMENTAL | N/A | 1954-03-16 | 05052FZ61 | N/A | N/A | N/A | false | MCCLURE | N/A | JOHN | N/A | N/A | N/A | MED SUPP F 2010 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324020892 | N/A | N/A | 11343290 | 2222 | 4801 | 15250873 | N/A | 8551982 | 2025-11-20 01:35:19.339870 | 2025-10-21 18:53:20.562386 |
| 2025-11-19 08:04:32.652586 | 2025-11-20 01:36:04.826976 | 14981567 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14981567 | Athletic Physical Therapy Inc | 1959-04-01 | 2025-11-21 | M | PT | N/A | MOYER | W0051411 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.095811129.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11282027/check_14981567_f88e01c1-2b81-4a56-ba59-65b3155b6cec.json | N/A | N/A | N/A | N/A | N/A | W0051411 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1959-04-01 | N/A | N/A | N/A | N/A | false | MOYER | N/A | STEVEN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9324019740 | N/A | N/A | 11282027 | 2222 | 4801 | 15251345 | N/A | 9581032 | 2025-11-20 01:36:04.826976 | 2025-10-21 22:24:54.464325 |
| 2025-11-19 08:04:22.607780 | 2025-11-20 01:40:00.253908 | 14980996 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14980996 | Athletic Physical Therapy Inc | 1959-02-04 | 2025-11-21 | F | AE | PT | SMITS | 9TF8JW2XU20 | HEIDI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.121127097.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681583/check_14980996_c5cd43d1-67a2-4782-bf35-8dc81736e8e1.json | N/A | N/A | N/A | N/A | N/A | 9TF8JW2XU20 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-04 | S4802 | N/A | N/A | MB | false | SMITS | N/A | HEIDI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324045077 | N/A | N/A | 9681583 | 2222 | 4793 | 15253503 | N/A | 8101289 | 2025-11-20 01:40:00.253908 | 2025-09-24 17:05:46.431721 |
| 2025-11-19 08:04:05.960373 | 2025-11-20 01:47:58.536536 | 14980107 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14980107 | Athletic Physical Therapy Inc | 1954-03-16 | 2025-11-21 | M | AE | PT | MCCLURE | 7T40AT1FV09 | JOHN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100239110.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10277418/check_14980107_af21f8c1-e0d5-46dd-9f69-2beb51a43b6c.json | N/A | N/A | N/A | N/A | N/A | 7T40AT1FV09 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-03-16 | S4802 | N/A | N/A | MB | false | MCCLURE | N/A | JOHN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324047450 | N/A | N/A | 10277418 | 2222 | 4801 | 15258269 | N/A | 8551982 | 2025-11-20 01:47:58.536536 | 2025-10-21 18:53:20.562386 |
| 2025-11-19 08:04:01.223022 | 2025-11-20 01:47:58.795295 | 14979847 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14979847 | Athletic Physical Therapy Inc | 1960-03-22 | 2025-11-21 | F | AE | PT | ROUSHANBAKHSH | 4M68ME8GE50 | FOROUGH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100239110.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10259566/check_14979847_4f083b45-90c4-43de-8256-5a2be8c39789.json | N/A | N/A | N/A | N/A | N/A | 4M68ME8GE50 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-03-22 | S4802 | N/A | N/A | MA | false | ROUSHANBAKHSH | N/A | FOROUGH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324047424 | N/A | N/A | 10259566 | 2222 | 4802 | 15258272 | N/A | 4213281 | 2025-11-20 01:47:58.795295 | 2025-05-13 04:29:37.227606 |
| 2025-11-19 08:03:57.814464 | 2025-11-20 03:31:51.760939 | 14979659 | N/A | N/A | 60054 | Aetna | 1114042165 | 14979659 | Athletic Physical Therapy Inc | 1972-12-30 | 2025-11-20 | M | AE | PT | MCHALE | W27265070 | MATT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.095633783.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173116/check_14979659_644718f1-5be3-45b3-9290-ff698abaad4e.json | N/A | N/A | N/A | N/A | N/A | W272665070 | Point of Service (POS) | SONY CORPORATION OF AMERICA | AETNA | N/A | 1972-12-30 | 0486873 | 048687302100161 | N/A | PS | false | MCHALE | N/A | MATTHEW | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324031486 | N/A | N/A | 8173116 | 2222 | 4802 | 15261053 | N/A | 6939617 | 2025-11-20 03:31:51.760939 | 2025-09-16 00:28:24.457071 |
| 2025-11-19 08:03:39.647941 | 2025-11-20 03:32:05.783223 | 14978771 | N/A | N/A | 60054 | Aetna | 1114042165 | 14978771 | Athletic Physical Therapy Inc | 1992-06-11 | 2025-11-21 | M | AE | PT | ROSS | W292476869 | BRYAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251119.100638945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993949/check_14978771_6db4bfa9-20c5-45c3-a16c-ddb551b27fae.json | N/A | N/A | N/A | N/A | N/A | W292476869 | Point of Service (POS) | PAYCHEX BUSINESS SOLUTIONS, LLC. | AETNA | N/A | 1992-06-11 | 0176563 | 017656301200042 | N/A | PS | false | ROSS | N/A | BRYAN | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9324024734 | N/A | N/A | 5993949 | 2222 | 4793 | 15261197 | N/A | 4642881 | 2025-11-20 03:32:05.783223 | 2025-06-06 02:27:19.212061 |