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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-18 08:06:17.731222 | 2025-11-19 01:38:57.278339 | 14933226 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14933226 | Athletic Physical Therapy Inc | 1960-03-22 | 2025-11-19 | F | AE | PT | ROUSHANBAKHSH | 4M68ME8GE50 | FOROUGH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.121026804.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10259566/check_14933226_099f8c05-1368-4a1c-9390-ef1b3d49df14.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 | 9313999585 | N/A | N/A | 10259566 | 2222 | 4802 | 15207432 | N/A | 4213281 | 2025-11-19 01:38:57.278339 | 2025-05-13 04:29:37.227606 |
| 2025-11-18 08:06:15.947345 | 2025-11-19 01:35:37.759198 | 14933111 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 14933111 | Athletic Physical Therapy Inc | 1961-02-19 | 2025-11-21 | F | AE | PT | KATCHOUDA | 95258599G | RYME | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.122122664.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12788343/check_14933111_bb2f55ac-ff1e-4a10-a357-67f86fc2a10b.json | N/A | N/A | N/A | N/A | N/A | 95258599G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1961-02-08 | MCLA | MWLLNMEG21 | N/A | N/A | false | KATKHOUDA | N/A | RYME | N/A | 2078-12-31 | 2023-01-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9314076686 | N/A | N/A | 12788343 | 2222 | 4802 | 15202745 | N/A | 10954913 | 2025-11-19 01:35:37.759198 | 2026-02-03 00:31:49.512761 |
| 2025-11-18 08:06:15.010797 | 2025-11-19 01:35:45.185311 | 14933056 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14933056 | Athletic Physical Therapy Inc | 2006-04-22 | 2025-11-21 | F | PT | N/A | CAMPBELL | 707M95208970 | GRACE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.122122664.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12783258/check_14933056_47e34ad9-aa7c-4130-add7-5137788605bc.json | N/A | N/A | N/A | N/A | N/A | 707M95208970 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2006-04-22 | N/A | N/A | N/A | N/A | false | CAMPBELL | N/A | GRACE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9314076673 | N/A | N/A | 12783258 | 2222 | 4793 | 15202927 | 4185 | 10950583 | 2025-11-19 01:35:45.185311 | 2025-11-21 16:05:29.850268 |
| 2025-11-18 08:06:14.992853 | 2025-11-19 01:38:48.797588 | 14933055 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 14933055 | Athletic Physical Therapy Inc | 1953-05-21 | 2025-11-20 | M | AE | PT | DAVILA | 96682470F | RAY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.121117834.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10365901/check_14933055_345fe7bd-b546-4a07-ad52-d32c6259c81d.json | N/A | N/A | N/A | N/A | N/A | 96682470F | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1953-05-21 | N/A | N/A | N/A | N/A | false | DAVILA | N/A | RAY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9314011235 | N/A | N/A | 10365901 | 2222 | 4793 | 15207234 | N/A | 8628911 | 2025-11-19 01:38:48.797588 | 2025-10-13 20:36:48.387301 |
| 2025-11-18 08:06:14.209178 | 2025-11-19 03:35:58.117749 | 14933007 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14933007 | Athletic Physical Therapy Inc | 2008-04-21 | 2025-11-19 | M | PT | N/A | LANDIS | XED906560014 | BRONN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.121348654.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12097539/check_14933007_9390b2ce-0640-4a6e-9c3a-87b64e0b4ebc.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 | 9999-12-31 | 2025-01-01 | BRONZE 60 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9314033680 | N/A | N/A | 12097539 | 2222 | 4793 | 15223877 | N/A | 10315576 | 2025-11-19 03:35:58.117749 | 2025-11-14 23:13:16.002759 |
| 2025-11-18 08:06:13.987033 | 2025-11-19 03:34:51.032696 | 14932996 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 14932996 | Athletic Physical Therapy Inc | 1952-03-06 | 2025-11-20 | M | AE | PT | E Sack | 40039993001 | Robert | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.121348654.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12096570/check_14932996_6e81c5ca-06e7-4343-8119-3bd9339703ae.json | N/A | N/A | N/A | N/A | N/A | 40039993001 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | E SACK | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9314033679 | N/A | N/A | 12096570 | 2222 | 4793 | 15223224 | N/A | 10314571 | 2025-11-19 03:34:51.032696 | 2026-01-04 16:54:02.110823 |
| 2025-11-18 08:06:09.057623 | 2025-11-19 03:30:59.259082 | 14932697 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 14932697 | Athletic Physical Therapy Inc | 1956-07-22 | 2025-11-20 | F | AE | PT | DURAN DE PANTOJA | 43649326 | ROSA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.100123454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8088383/check_14932697_dcede8f5-bf6e-4462-88b8-336d3faba401.json | N/A | N/A | N/A | N/A | N/A | 43649326 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-07-22 | N/A | N/A | N/A | N/A | false | DURAN DE PANTOJA | N/A | ROSA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9314032707 | N/A | N/A | 8088383 | 2222 | 4793 | 15220922 | N/A | 6871702 | 2025-11-19 03:30:59.259082 | 2025-08-14 21:08:52.019264 |
| 2025-11-18 08:06:00.015753 | 2025-11-19 01:46:25.616560 | 14932129 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14932129 | Athletic Physical Therapy Inc | 1998-10-29 | 2025-11-20 | M | PT | N/A | MARSHALL | JQU309W24257 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.121322590.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458512/check_14932129_8cf05a3f-726e-4dd9-8467-814909304d97.json | N/A | N/A | N/A | N/A | N/A | JQU309W24257 | Preferred Provider Organization (PPO) | SUNSTONE PROPERTIES LLC | ANTHEM BLUE CROSS | N/A | 1998-10-29 | 040 | A35988 | N/A | PR | false | MARSHALL | N/A | THOMAS | N/A | 2026-01-01 | 2025-07-01 | ANTHEM PLATINUM PPO 15/40/10% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9314024692 | N/A | N/A | 7458512 | 2222 | 4793 | 15215335 | N/A | 6021448 | 2025-11-19 01:46:25.616560 | 2025-07-14 23:05:51.728886 |
| 2025-11-18 08:05:51.353935 | 2025-11-19 01:35:25.391764 | 14931534 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 14931534 | Athletic Physical Therapy Inc | 1988-06-08 | 2025-11-21 | F | AE | PT | Parker | 000021005631 | Tiffeny | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.122122664.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12714759/check_14931534_96569a96-ff42-4944-990b-1d3230ad0b30.json | N/A | N/A | N/A | N/A | N/A | 000021005631 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1988-06-08 | 4332645 | 1650095001 | N/A | N/A | false | PARKER | N/A | TIFFENY | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE PLATINUM 90 HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9314075702 | N/A | N/A | 12714759 | 2222 | 4802 | 15202454 | N/A | 10878419 | 2025-11-19 01:35:25.391764 | 2025-11-21 21:47:52.393943 |
| 2025-11-18 08:05:50.047242 | 2025-11-19 01:33:57.003751 | 14931448 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 14931448 | Athletic Physical Therapy Inc | 1962-09-23 | 2025-11-19 | M | AE | PT | Thur | 95641377F | Pyi | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.121322590.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449843/check_14931448_46586082-3f51-44a1-8959-1d87c6c8b2cb.json | N/A | N/A | N/A | N/A | N/A | 95641377F | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1962-09-23 | N/A | N/A | N/A | N/A | false | THUR | N/A | PYI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9314023565 | N/A | N/A | 7449843 | 2222 | 4802 | 15200249 | N/A | 6399635 | 2025-11-19 01:33:57.003751 | 2025-07-29 18:42:47.970149 |
| 2025-11-18 08:05:48.749771 | 2025-11-18 08:05:52.924126 | 14931350 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-02-20 | 2025-11-18 | F | AE | PT | SHERRY | H7159538300 | PAULA | 5349 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8193020/check_14931350_9a5cfb1b-9d05-4df5-ad3f-52b7ca71e15e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8193020/check_14931350_6157356f-9f28-4677-aa0f-3234c864267c.json | N/A | N/A | N/A | N/A | N/A | H71595383 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1958-02-20 | N/A | 0B527001 | N/A | HN | false | SHERRY | N/A | PAULA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313978398 | N/A | N/A | 8193020 | 2222 | N/A | 15173470 | N/A | 4214141 | 2025-11-18 08:05:52.924126 | 2025-05-13 04:29:37.228469 |
| 2025-11-18 08:05:41.589719 | 2025-11-19 01:36:22.800123 | 14930897 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14930897 | Athletic Physical Therapy Inc | 1950-05-18 | 2025-11-21 | F | AE | PT | BERINSTEIN | JQE773A62564 | PAULA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.121117834.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10172947/check_14930897_89e076e3-bdd6-4e51-9f6e-16beed3a6d24.json | N/A | N/A | N/A | N/A | N/A | JQE773A62564 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1950-05-18 | 040 | CASUPWP0 | N/A | N/A | false | BERINSTEIN | N/A | PAULA | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9314010485 | N/A | N/A | 10172947 | 2222 | 4801 | 15203818 | N/A | 8474092 | 2025-11-19 01:36:22.800123 | 2025-10-11 14:58:02.058781 |
| 2025-11-18 08:05:32.773080 | 2025-11-19 01:32:31.215075 | 14930281 | N/A | N/A | 60054 | AETNA | 1114042165 | 14930281 | Athletic Physical Therapy Inc | 1940-12-29 | 2025-11-20 | M | AE | PT | TRUNNELL | 101505559100 | WAYNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.120726408.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6786642/check_14930281_f57413bd-4f26-4719-8ead-b29546e46ab2.json | N/A | N/A | N/A | N/A | N/A | 101505559100 | Point of Service (POS) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-12-29 | 000003-CA000074 | 000003-CA | N/A | PS | false | TRUNNELL | N/A | WAYNE | N/A | N/A | N/A | AETNA MEDICARE PLUS (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313983150 | N/A | N/A | 6786642 | 2222 | 4793 | 15198217 | 3939 | 5818009 | 2025-11-19 01:32:31.215075 | 2025-07-15 23:19:05.900633 |
| 2025-11-18 08:05:26.999704 | 2025-11-19 01:44:46.011925 | 14929811 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14929811 | Athletic Physical Therapy Inc | 1966-07-12 | 2025-11-21 | M | AE | PT | Cohn | R06589895MM1 | David | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.121322590.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7315101/check_14929811_de7845e1-1f56-4795-bd36-bcf39ee4f2b8.json | N/A | N/A | N/A | N/A | N/A | R06589895MM1 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1966-07-12 | N/A | CA05620125 | N/A | N/A | false | COHN | N/A | DAVID | N/A | N/A | N/A | WELLCARE SIMPLE FOCUS (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9314024116 | N/A | N/A | 7315101 | 2222 | 4802 | 15214076 | N/A | 6152454 | 2025-11-19 01:44:46.011925 | 2025-07-17 21:44:04.596080 |
| 2025-11-18 08:05:26.605688 | 2025-11-19 01:39:31.674705 | 14929775 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14929775 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-11-20 | M | AE | PT | CICCIARI | 1AK4JC6NK84 | LOUIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.120726408.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_14929775_710bea58-52de-44a9-bc0f-f0e589f32cbd.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5596 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313982471 | N/A | N/A | 6752936 | 2222 | 4801 | 15208302 | N/A | 5065602 | 2025-11-19 01:39:31.674705 | 2025-07-01 17:25:13.681724 |
| 2025-11-18 08:05:25.940059 | 2025-11-19 03:33:43.829347 | 14929722 | N/A | N/A | 61101 | Regal Medical Group | 1114042165 | 14929722 | Athletic Physical Therapy Inc | 1935-03-07 | 2025-11-20 | F | AE | PT | MYERS | H6760956100 | LILA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.121348654.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12016953/check_14929722_05735561-07cd-4488-875f-df488620db90.json | N/A | N/A | N/A | N/A | N/A | H67609561 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 465 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1935-03-07 | N/A | 0B617001 | N/A | HN | false | MYERS | N/A | LILA | N/A | N/A | N/A | HUMANA HONOR | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9314034154 | N/A | N/A | 12016953 | 2222 | 4793 | 15222494 | N/A | 10238684 | 2025-11-19 03:33:43.829347 | 2025-10-31 23:14:33.453582 |
| 2025-11-18 08:05:23.453212 | 2025-11-19 03:32:50.036193 | 14929530 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 14929530 | override_provider | 1962-11-20 | 2025-11-21 | M | PT | N/A | HEDRICK | HFD100011207755 | MICHEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.121348654.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12015999/check_14929530_876f758a-5b50-473c-8a67-0af1e2526a42.json | N/A | N/A | N/A | N/A | N/A | HFD100011207755 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | RESPONSES TO ALL FUTURE DATED INQUIRIES ARE BASED ON THE PATIENT'S CURRENT BENEFITS AND ARE SUBJECT TO CHANGE. 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. | 1962-11-20 | N/A | N/A | N/A | PR | false | HEDRICK | N/A | MICHEL | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9314034143 | N/A | N/A | 12015999 | 2222 | 4801 | 15221947 | N/A | 4210286 | 2025-11-19 03:32:50.036193 | 2025-11-14 03:16:19.994419 |
| 2025-11-18 08:05:19.935994 | 2025-11-19 01:35:12.457648 | 14929254 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 14929254 | Athletic Physical Therapy Inc | 1959-09-18 | 2025-11-20 | F | AE | PT | IRWIN | 40067058701 | MARIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.121020920.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11112149/check_14929254_1f65d30b-c4b9-4ea9-9715-283588e27a46.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 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9314002686 | N/A | N/A | 11112149 | 2222 | 4801 | 15202123 | N/A | 9462330 | 2025-11-19 01:35:12.457648 | 2025-10-17 21:55:41.545505 |
| 2025-11-18 08:05:19.829977 | 2025-11-19 01:35:12.120016 | 14929249 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 14929249 | Athletic Physical Therapy Inc | 1954-02-02 | 2025-11-20 | F | AE | PT | CORNEL | 40037363901 | GLORIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.121020920.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11111720/check_14929249_dc887b9a-17b4-41f1-9f13-add85d9e7ba5.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 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9314002685 | N/A | N/A | 11111720 | 2222 | 4801 | 15202115 | N/A | 9461873 | 2025-11-19 01:35:12.120016 | 2025-10-28 18:04:57.630831 |
| 2025-11-18 08:05:15.290214 | 2025-11-19 01:36:06.127474 | 14928946 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 14928946 | Athletic Physical Therapy Inc | 1962-02-17 | 2025-11-20 | M | PT | N/A | SILVERMAN | 903226774003 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.121020920.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11110164/check_14928946_efd50e91-d62a-428a-9ddf-46925d37032e.json | N/A | N/A | N/A | N/A | N/A | XEH903226774 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1962-02-17 | 1000HMOX0001 | W0051411 | N/A | HM | false | FREIBERG | N/A | DEBBIE | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9314002651 | N/A | N/A | 11110164 | 2222 | 4801 | 15203432 | N/A | 9460573 | 2025-11-19 01:36:06.127474 | 2025-10-17 20:14:58.996951 |
| 2025-11-18 08:05:11.576552 | 2025-11-19 01:38:57.021620 | 14928622 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14928622 | Athletic Physical Therapy Inc | 1950-05-18 | 2025-11-21 | F | AE | PT | BERINSTEIN | 4HY3M64VC99 | PAULA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.121026804.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10172946/check_14928622_d79eb9d3-5fd0-4073-8315-93e836af8d3a.json | N/A | N/A | N/A | N/A | N/A | 4HY3M64VC99 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-05-18 | S5601 | N/A | N/A | MB | false | BERINSTEIN | N/A | PAULA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313999195 | N/A | N/A | 10172946 | 2222 | 4801 | 15207424 | N/A | 8474092 | 2025-11-19 01:38:57.021620 | 2025-10-11 14:58:02.058781 |
| 2025-11-18 08:05:10.632389 | 2025-11-19 01:32:03.472185 | 14928550 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 14928550 | Athletic Physical Therapy Inc | 1983-05-09 | 2025-11-20 | F | AE | PT | RAJCIC | 622299781 | MAJA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.121026804.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10172287/check_14928550_9e23c16d-23d0-401e-b9af-cdc1856aac25.json | N/A | N/A | N/A | N/A | N/A | 622299781 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 1983-05-09 | 18126CA001000101 | QMXEM01910 | N/A | N/A | false | RAJCIC | N/A | MAJA | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313998247 | N/A | N/A | 10172287 | 2222 | 4802 | 15197545 | 4211 | 8473558 | 2025-11-19 01:32:03.472185 | 2025-10-10 16:40:45.584452 |
| 2025-11-18 08:05:09.839516 | 2025-11-19 03:35:08.572400 | 14928487 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14928487 | Athletic Physical Therapy Inc | 1944-09-29 | 2025-11-20 | F | AE | PT | GUASTELLA | 911M7843220 | ROSE ANN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.121355169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458753/check_14928487_59484193-e31e-4803-989a-b95d63780ce3.json | N/A | N/A | N/A | N/A | N/A | 911M7843220 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1944-09-29 | N/A | N/A | N/A | N/A | false | GUASTELLA | N/A | ROSE ANN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9314026309 | N/A | N/A | 7458753 | 2222 | 4801 | 15223410 | N/A | 6407685 | 2025-11-19 03:35:08.572400 | 2025-08-12 18:01:47.141909 |
| 2025-11-18 08:05:07.772307 | 2025-11-19 01:35:09.582877 | 14928308 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 14928308 | Athletic Physical Therapy Inc | 1942-07-28 | 2025-11-20 | M | AE | PT | SIMMONS | 40055722801 | J | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.120726408.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6685251/check_14928308_d7041d43-88a3-4b4c-adcf-71a7a4dfdf10.json | N/A | N/A | N/A | N/A | N/A | 40055722801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1942-07-28 | 2025H5425001 | H5425M | N/A | N/A | false | SIMMONS | N/A | J | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313981355 | N/A | N/A | 6685251 | 2222 | 4793 | 15202050 | N/A | 4209868 | 2025-11-19 01:35:09.582877 | 2025-08-15 22:13:56.514261 |
| 2025-11-18 08:05:06.013863 | 2025-11-19 01:46:24.924902 | 14928176 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14928176 | Athletic Physical Therapy Inc | 1988-08-19 | 2025-11-20 | M | PT | N/A | Bridgemohansingh | NTF910W08222 | Jason | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.121322590.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7258746/check_14928176_f54c3df9-dc44-487e-8477-802a25840573.json | N/A | N/A | N/A | N/A | N/A | NTF910W08222 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | ANTHEM BLUE CROSS | N/A | 1988-08-19 | 040 | L08669M002 | N/A | PR | false | BRIDGEMOHANSINGH | N/A | JASON | N/A | 9999-12-31 | 2025-08-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9314024295 | N/A | N/A | 7258746 | 2222 | 4802 | 15215323 | N/A | 6224482 | 2025-11-19 01:46:24.924902 | 2025-08-07 00:03:18.267969 |
| 2025-11-18 08:05:04.326941 | 2025-11-19 01:36:28.137887 | 14928032 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14928032 | Athletic Physical Therapy Inc | 2010-12-03 | 2025-11-21 | F | PT | N/A | PENG | XEA912821146 | HAILEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.122122664.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12585422/check_14928032_244abff2-a7fb-4932-8f6a-5eebc9ea0799.json | N/A | N/A | N/A | N/A | N/A | XEA912821146 | Preferred Provider Organization (PPO) | ALIGN FOOT ANKLE CENTER | BLUE SHIELD CALIFORNIA | N/A | 2010-12-03 | 1000VX000102 | W0128498 | N/A | PR | false | PENG | N/A | HAI-EN | N/A | 2029-12-31 | 2024-01-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9314076218 | N/A | N/A | 12585422 | 2222 | 4801 | 15203944 | N/A | 10754834 | 2025-11-19 01:36:28.137887 | 2025-11-12 03:06:38.906834 |
| 2025-11-18 08:05:03.476476 | 2025-11-19 01:46:04.158705 | 14927966 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 14927966 | Athletic Physical Therapy Inc | 1976-02-07 | 2025-11-21 | F | AE | PT | MALTSEVA | 94237973H65017 | YEVHENIIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.121322590.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7253095/check_14927966_d93bfe2d-7bfd-4e3b-a986-77d314d1c4d2.json | N/A | N/A | N/A | N/A | N/A | 94237973H65017 | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1976-02-07 | N/A | N/A | N/A | N/A | false | MALTSEVA | N/A | YEVHENIIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9314024283 | N/A | N/A | 7253095 | 2222 | 4802 | 15215066 | N/A | 6219145 | 2025-11-19 01:46:04.158705 | 2025-07-21 16:40:35.276086 |
| 2025-11-18 08:04:59.902707 | 2025-11-19 01:42:19.601280 | 14927647 | N/A | N/A | 60054 | Aetna | 1114042165 | 14927647 | Athletic Physical Therapy Inc | 1979-08-08 | 2025-11-20 | F | AE | PT | Rosentreter | W192442790 | Lesa | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.122224132.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11372698/check_14927647_1b9e6dbd-5ac1-4e01-a744-15d23d1206da.json | N/A | N/A | N/A | N/A | N/A | W192442790 | Point of Service (POS) | LIONSGATE ENTERTAINMENT INC. | AETNA | N/A | 1979-08-08 | 0881709 | 088170902100001 | N/A | PS | false | ROSENTRETER | N/A | LESA | N/A | N/A | N/A | OA MANAGED CHOICE POS HDHP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9314080383 | N/A | N/A | 11372698 | 2222 | 4802 | 15211709 | N/A | 9640743 | 2025-11-19 01:42:19.601280 | 2025-10-22 22:45:24.589906 |
| 2025-11-18 08:04:59.607269 | 2025-11-19 01:36:16.714867 | 14927624 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14927624 | Athletic Physical Therapy Inc | 1961-03-12 | 2025-11-21 | F | PT | N/A | MCNUTT | XED904914958 | YOLANDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.120726408.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6668755/check_14927624_89391a7f-0dc1-4976-9636-3572a71e7f1c.json | N/A | N/A | N/A | N/A | N/A | XED904914958 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-03-12 | 2001ZK002184 | X0001004 | N/A | PR | false | FERNANDEZ-MCNUTT | N/A | YOLANDA | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9313981661 | N/A | N/A | 6668755 | 2222 | 4801 | 15203674 | N/A | 5282877 | 2025-11-19 01:36:16.714867 | 2025-07-01 15:56:36.473431 |
| 2025-11-18 08:04:58.475229 | 2025-11-19 01:35:45.762694 | 14927512 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14927512 | Athletic Physical Therapy Inc | 1957-04-20 | 2025-11-19 | F | PT | N/A | FOX | 941W2386920 | GENOVEVA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.122122664.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12570095/check_14927512_04ed4869-e338-4060-9440-dc96678d7a9a.json | N/A | N/A | N/A | N/A | N/A | 941W2386920 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1957-04-20 | N/A | N/A | N/A | N/A | false | FOX | N/A | GENOVEVA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9314076018 | N/A | N/A | 12570095 | 2222 | 4793 | 15202940 | N/A | 10741847 | 2025-11-19 01:35:45.762694 | 2025-11-17 21:17:39.202453 |
| 2025-11-18 08:04:56.949752 | 2025-11-19 01:39:33.282815 | 14927373 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14927373 | Athletic Physical Therapy Inc | 1952-10-25 | 2025-11-20 | F | AE | PT | JOHNSTON | 7KA0H51YU14 | DEBORAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.120726408.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638066/check_14927373_16a88d95-af3a-49f6-8f14-ec0da37fa818.json | N/A | N/A | N/A | N/A | N/A | 7KA0H51YU14 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-10-25 | S5617 | N/A | N/A | MA | false | JOHNSTON | N/A | DEBORAH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313981627 | N/A | N/A | 6638066 | 2222 | 4793 | 15208343 | N/A | 5247837 | 2025-11-19 01:39:33.282815 | 2026-02-24 20:36:49.807283 |
| 2025-11-18 08:04:56.365607 | 2025-11-19 03:34:19.975559 | 14927321 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 14927321 | Athletic Physical Therapy Inc | 1980-08-02 | 2025-11-21 | M | AE | PT | HILTSER | 208616901 | LORNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.100123454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8048052/check_14927321_b0358df0-3543-4dd4-b108-209d69564635.json | N/A | N/A | N/A | N/A | N/A | 208616901 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1980-08-02 | N/A | 265486 | N/A | C1 | false | HILTSER | N/A | LORNE | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO GOLD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9314033009 | N/A | N/A | 8048052 | 2222 | 4802 | 15222885 | N/A | 6844134 | 2025-11-19 03:34:19.975559 | 2025-08-29 16:18:21.978739 |
| 2025-11-18 08:04:50.032988 | 2025-11-19 01:39:49.059218 | 14926752 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14926752 | Athletic Physical Therapy Inc | 1947-02-15 | 2025-11-20 | F | AE | PT | LING WONG | 5KK4G78YK65 | YEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.121117834.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9978113/check_14926752_a30d65b6-80c9-49ff-a1b0-1ced91f45947.json | N/A | N/A | N/A | N/A | N/A | 5KK4G78YK65 | N/A | N/A | CMS | N/A | 1947-02-15 | N/A | N/A | N/A | N/A | false | LING WONG | N/A | YEE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9314009635 | N/A | N/A | 9978113 | 2222 | 4802 | 15208746 | N/A | 8351682 | 2025-11-19 01:39:49.059218 | 2025-10-08 14:26:11.260769 |
| 2025-11-18 08:04:49.939536 | 2025-11-19 01:36:09.983844 | 14926745 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14926745 | 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/272741.20251118.120726408.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6605808/check_14926745_ead994fe-2054-4eff-978a-51cdc0911c34.json | N/A | N/A | N/A | N/A | N/A | JQY361W23827 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1996-07-04 | N/A | N/A | N/A | N/A | false | STOLTZ | N/A | ARDENN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9313982659 | N/A | N/A | 6605808 | 2222 | 4802 | 15203517 | N/A | 4214948 | 2025-11-19 01:36:09.983844 | 2025-06-26 01:28:07.741882 |
| 2025-11-18 08:04:49.058819 | 2025-11-19 01:35:50.506251 | 14926671 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14926671 | Athletic Physical Therapy Inc | 1963-02-27 | 2025-11-20 | F | PT | N/A | MARYAN | JPU047A23611 | MICHELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.120726408.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6600346/check_14926671_c06bbdf4-f467-4947-ba91-d126ecd20da4.json | N/A | N/A | N/A | N/A | N/A | JPU047A23611 | Preferred Provider Organization (PPO) | PREMIER AMERICA CREDIT UNION | ANTHEM BLUE CROSS | N/A | 1963-02-27 | 040 | L06734M004 | N/A | PR | false | MARYAN | N/A | MICHELLE | N/A | 9999-12-31 | 2025-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9313981612 | N/A | N/A | 6600346 | 2222 | 4801 | 15203056 | N/A | 4211322 | 2025-11-19 01:35:50.506251 | 2025-07-17 16:31:59.104530 |
| 2025-11-18 08:04:48.524485 | 2025-11-19 01:39:21.917560 | 14926626 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14926626 | Athletic Physical Therapy Inc | 1947-09-07 | 2025-11-20 | F | AE | PT | SHIBUYA | 9CP3FJ2AU75 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.121020920.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11087596/check_14926626_8e8a0439-a125-4362-8126-be1d21e57476.json | N/A | N/A | N/A | N/A | N/A | 9CP3FJ2AU75 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-09-07 | S4802 | N/A | N/A | MA | false | SHIBUYA | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9314004244 | N/A | N/A | 11087596 | 2222 | 4801 | 15208061 | N/A | 9440436 | 2025-11-19 01:39:21.917560 | 2025-10-28 16:54:37.049151 |
| 2025-11-18 08:04:47.958848 | 2025-11-19 01:36:11.000189 | 14926576 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14926576 | Athletic Physical Therapy Inc | 1977-11-12 | 2025-11-19 | M | PT | N/A | BARREDA | KXJ508W22665 | JOAQUIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.121020920.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11085600/check_14926576_e51f2764-8f11-4f01-8c6f-ecc090631f5d.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 | 9999-12-31 | 2025-01-12 | VALUE SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9314004240 | N/A | N/A | 11085600 | 2222 | 4801 | 15203543 | N/A | 9438953 | 2025-11-19 01:36:11.000189 | 2025-10-27 18:23:12.066967 |
| 2025-11-18 08:04:43.666068 | 2025-11-19 03:35:08.854201 | 14926201 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14926201 | Athletic Physical Therapy Inc | 1998-10-29 | 2025-11-20 | M | PT | N/A | MARSHALL | AGSAH0066119 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.121355169.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7003223/check_14926201_1ddc49e2-d62f-4006-b2b0-b4a094562d17.json | N/A | N/A | N/A | N/A | N/A | AGSAH0066119 | N/A | PEPPERDINE UNIVERSITY | ANTHEM BLUE CROSS | N/A | 1998-10-29 | 040 | 276500MG04 | N/A | N/A | false | MARSHALL | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9314025848 | N/A | N/A | 7003223 | 2222 | 4793 | 15223413 | N/A | 6021448 | 2025-11-19 03:35:08.854201 | 2025-07-14 23:05:51.728886 |
| 2025-11-18 08:04:43.591982 | 2025-11-19 01:36:11.321101 | 14926193 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14926193 | Athletic Physical Therapy Inc | 1974-12-08 | 2025-11-21 | M | PT | N/A | MAGEE | SRYHC0157512 | TERRENCE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.121020920.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11084204/check_14926193_5592e433-7fdf-4037-ba50-bf4b12d869ae.json | N/A | N/A | N/A | N/A | N/A | SRYHC0157512 | Preferred Provider Organization (PPO) | SURVEYMONKEY PPO IN STATE | BLUE SHIELD OF CALIFORNIA | N/A | 1974-12-08 | 040 | L12152M001 | N/A | PR | false | MAGEE | N/A | JENNIFER | 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 | 9314003943 | N/A | N/A | 11084204 | 2222 | 4793 | 15203551 | N/A | 9438176 | 2025-11-19 01:36:11.321101 | 2025-11-14 22:03:28.394724 |
| 2025-11-18 08:04:42.891980 | 2025-11-19 01:36:16.359337 | 14926127 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14926127 | Athletic Physical Therapy Inc | 1966-03-26 | 2025-11-21 | F | PT | N/A | Deschatres | XED912070650 | Nathalie | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.120726408.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577909/check_14926127_4980400a-57e4-4fd4-aafd-0e85ca0ef143.json | N/A | N/A | N/A | N/A | N/A | XED912070650 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1966-03-26 | 2001ZK002186 | X0001004 | N/A | PR | false | DESCHATRES | N/A | NATHALIE | N/A | 9999-12-31 | 2023-02-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9313981320 | N/A | N/A | 6577909 | 2222 | 4802 | 15203666 | N/A | 4766701 | 2025-11-19 01:36:16.359337 | 2025-06-03 21:11:46.573919 |
| 2025-11-18 08:04:37.791637 | 2025-11-19 01:47:40.956865 | 14925666 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14925666 | Athletic Physical Therapy Inc | 1965-04-22 | 2025-11-21 | M | PT | N/A | MCHALE | ZGP814915047 | TIMOTHY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.121050652.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9691017/check_14925666_c5165bf5-3007-4e79-80fd-d6299a990d59.json | N/A | N/A | N/A | N/A | N/A | ZGP814915047 | Preferred Provider Organization (PPO) | NATIONAL TRENCH SAFETY, INC | ANTHEM BLUE CROSS | N/A | 1965-04-22 | N/A | 400397 | N/A | PR | false | MCHALE | N/A | TIMOTHY | N/A | 9999-12-31 | 2025-01-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9314006942 | N/A | N/A | 9691017 | 2222 | 4801 | 15216254 | N/A | 4212607 | 2025-11-19 01:47:40.956865 | 2025-09-24 22:37:58.534216 |
| 2025-11-18 08:04:33.192879 | 2025-11-19 03:35:42.267266 | 14925261 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14925261 | Athletic Physical Therapy Inc | 1983-01-08 | 2025-11-21 | F | PT | N/A | SERRENO | 441A7301220 | BRANDEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.121348654.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11937469/check_14925261_38d2db30-1a8e-4fc0-9d47-5bbf245b38b4.json | N/A | N/A | N/A | N/A | N/A | 441A7301220 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1983-01-08 | N/A | N/A | N/A | N/A | false | SERRENO | N/A | BRANDEE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9314031795 | N/A | N/A | 11937469 | 2222 | 4801 | 15223717 | 4185 | 10164489 | 2025-11-19 03:35:42.267266 | 2025-11-13 00:06:18.666005 |
| 2025-11-18 08:04:32.604324 | 2025-11-19 01:33:12.502764 | 14925213 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 14925213 | Athletic Physical Therapy Inc | 1960-06-20 | 2025-11-21 | M | AE | PT | FLETES | H86038900 | JOSE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.121020920.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11067461/check_14925213_4652d5a5-36b8-4121-87f5-bc7594e28210.json | N/A | N/A | N/A | N/A | N/A | H86038900 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1960-06-20 | N/A | 0B527001 | N/A | HN | false | FLETES | N/A | JOSE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9314003624 | N/A | N/A | 11067461 | 2222 | 4801 | 15199229 | N/A | 9425235 | 2025-11-19 01:33:12.502764 | 2025-10-20 22:48:41.487437 |
| 2025-11-18 08:04:32.424717 | 2025-11-18 08:04:45.554573 | 14925195 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-05-24 | 2025-11-18 | F | PT | N/A | CLARK | JQU645W04003 | CLAUDIA | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536134/check_14925195_70b0a46a-269f-4df9-a5b6-475a5e1ddd39.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536134/check_14925195_6b21d074-2c32-4da9-8ea6-813092496bea.json | N/A | N/A | N/A | N/A | N/A | JQU645W04003 | Preferred Provider Organization (PPO) | ATHLETIC PHYSICAL THERAPY INC | ANTHEM BLUE CROSS | N/A | 1974-05-24 | 040 | G76231 | N/A | PR | false | CLARK | N/A | STEPHEN | N/A | 2026-01-01 | 2025-01-01 | CA SG ANTHEM HSA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9313971827 | N/A | N/A | 5536134 | 2222 | N/A | 15173017 | N/A | 4208937 | 2025-11-18 08:04:45.554573 | 2026-02-26 17:45:27.761245 |
| 2025-11-18 08:04:32.206495 | 2025-11-19 03:35:41.661105 | 14925174 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14925174 | Athletic Physical Therapy Inc | 1958-12-04 | 2025-11-21 | M | PT | N/A | JESTER | MBL989W18008 | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.121348654.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11937085/check_14925174_5cf83381-ea3e-4fc0-b13a-706169a180e4.json | N/A | N/A | N/A | N/A | N/A | MBL989W18008 | N/A | CALIFORNIA PUBLIC EMPLOYEES RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1958-12-04 | 040 | CAEGR001 | N/A | N/A | false | JESTER | N/A | KEVIN | N/A | 9999-12-31 | 2023-12-01 | CA GRS CALPERS H4036-802 ANTHEM MEDICARE PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9314033537 | N/A | N/A | 11937085 | 2222 | 4801 | 15223711 | N/A | 10164167 | 2025-11-19 03:35:41.661105 | 2025-11-21 20:26:53.682988 |
| 2025-11-18 08:04:26.715025 | 2025-11-19 03:34:54.227028 | 14924740 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14924740 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-11-19 | F | PT | N/A | GIANNE | XED910762094 | NATALIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.100123454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_14924740_d091d9bd-0a5a-4c3f-822e-e5238c6ee6bd.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9314032139 | N/A | N/A | 7994545 | 2222 | 4802 | 15223259 | N/A | 6802250 | 2025-11-19 03:34:54.227028 | 2025-08-11 23:58:28.358402 |
| 2025-11-18 08:04:19.711840 | 2025-11-19 03:39:35.874113 | 14924328 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14924328 | Athletic Physical Therapy Inc | 1960-03-18 | 2025-11-20 | F | AE | PT | MEYER | 6AA8T47WQ51 | LESLIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.121348654.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11928201/check_14924328_d0554b3d-dabf-459f-89a7-376f5acf150f.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 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9314033473 | N/A | N/A | 11928201 | 2222 | 4793 | 15225877 | N/A | 4215335 | 2025-11-19 03:39:35.874113 | 2025-10-30 21:15:07.766449 |
| 2025-11-18 08:04:15.654174 | 2025-11-19 03:35:41.096235 | 14924087 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14924087 | Athletic Physical Therapy Inc | 1965-07-12 | 2025-11-19 | F | PT | N/A | BENSON | NCF361A559000 | ELIZABETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.121348654.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11917007/check_14924087_cd6ac8a9-5362-4f63-9503-3493659e0a24.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 | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9314032426 | N/A | N/A | 11917007 | 2222 | 4793 | 15223704 | 4185 | 10144918 | 2025-11-19 03:35:41.096235 | 2025-11-17 16:03:18.208475 |
| 2025-11-18 08:04:12.274397 | 2025-11-19 01:35:43.121843 | 14923897 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 14923897 | Athletic Physical Therapy Inc | 1966-12-04 | 2025-11-21 | M | PT | N/A | CLANCY | XDMOE0503879 | JOSEPH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.121341736.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9194927/check_14923897_98aaeebf-5251-436b-a064-8c5b54bff803.json | N/A | N/A | N/A | N/A | N/A | XDMOE0503879 | Health Maintenance Organization (HMO) | OPERATING ENGINEERS HEALTH&WELFARE FUND | ANTHEM BLUE CROSS | N/A | 1966-12-04 | 040 | 278671H001 | N/A | HM | false | CLANCY | N/A | JOSEPH | N/A | 9999-12-31 | 2025-02-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9314028080 | N/A | N/A | 9194927 | 2222 | 4793 | 15202874 | 4184 | 7712549 | 2025-11-19 01:35:43.121843 | 2025-09-10 17:29:28.945035 |
| 2025-11-18 08:04:03.656686 | 2025-11-19 01:31:52.386897 | 14923449 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 14923449 | Athletic Physical Therapy Inc | 1962-06-24 | 2025-11-20 | F | AE | PT | GOMEZ | 44116442 | CAROL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.120726408.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6434660/check_14923449_e3bc7d4e-d9c5-45fc-ba4f-f4335d0d33b9.json | N/A | N/A | N/A | N/A | N/A | 44116442 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1962-06-24 | 406-024-000 | N/A | N/A | N/A | false | GOMEZ | N/A | CAROL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313981204 | N/A | N/A | 6434660 | 2222 | 4801 | 15197312 | 6798 | 5079832 | 2025-11-19 01:31:52.386897 | 2025-06-23 20:02:36.660262 |