API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | 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 08:03:56.044917 | 2025-11-19 01:35:29.189579 | 14923035 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14923035 | Athletic Physical Therapy Inc | 1976-08-13 | 2025-11-20 | F | PT | GODWIN | JPU097W07528 | CASSANDRA | 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/2222/10090153/check_14923035_0a0b4892-124d-4e6f-bbed-838e90bf9572.json | N/A | N/A | N/A | N/A | N/A | JPU097W07528 | Preferred Provider Organization (PPO) | MAJCO LLC | ANTHEM BLUE CROSS | N/A | 1976-08-13 | 040 | 281949M014 | N/A | PR | false | GODWIN | N/A | CASSANDRA | N/A | 9999-12-31 | 2023-06-01 | SOLUTION PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9313998528 | N/A | N/A | 10090153 | 2222 | 4801 | 15202545 | N/A | 8428668 | 2025-11-19 01:35:29.189579 | 2025-10-12 20:55:35.014952 |
| 2025-11-18 08:03:50.389167 | 2025-11-19 03:35:04.320860 | 14922759 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14922759 | Athletic Physical Therapy Inc | 1987-11-24 | 2025-11-20 | F | PT | Halat | FIZ100010118257 | Hooram | 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/2222/7870152/check_14922759_7ad86ecd-8918-4d9a-9eb3-293eebe7ad3a.json | N/A | N/A | N/A | N/A | N/A | FIZ100010118257 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | 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. | 1987-11-24 | N/A | N/A | N/A | PR | false | HALAT | N/A | HOORAM | 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 | 9314031664 | N/A | N/A | 7870152 | 2222 | 4802 | 15223365 | N/A | 6698799 | 2025-11-19 03:35:04.320860 | 2025-08-07 18:40:53.120761 |
| 2025-11-18 08:03:50.338963 | 2025-11-19 01:33:18.613705 | 14922758 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 14922758 | Athletic Physical Therapy Inc | 1947-04-26 | 2025-11-21 | F | AE | BARCENES | H9209970900 | IRENE | PT | 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/2222/6231314/check_14922758_d1eded68-1233-4904-9fa7-e38cb5492a08.json | N/A | N/A | N/A | N/A | N/A | H92099709 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1947-04-26 | N/A | 0B527001 | N/A | HN | false | BARCENES DES | N/A | IRENE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313982879 | N/A | N/A | 6231314 | 2222 | 4801 | 15199377 | N/A | 4219033 | 2025-11-19 01:33:18.613705 | 2025-05-13 04:29:37.230052 |
| 2025-11-18 08:03:50.144094 | 2025-11-19 03:31:45.227715 | 14922748 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 14922748 | override_provider | 1989-07-26 | 2025-11-19 | F | PT | REAVES | 4039573 | AMBER | 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/2222/7868634/check_14922748_c58bbc32-0cb8-4b9a-9006-2e50d89f9e0b.json | N/A | N/A | N/A | N/A | N/A | 4039573 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1989-07-26 | N/A | N/A | N/A | N/A | false | REAVES | N/A | AMBER | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9314031663 | N/A | N/A | 7868634 | 2222 | 4793 | 15221309 | N/A | 6698213 | 2025-11-19 03:31:45.227715 | 2025-11-04 16:28:27.239529 |
| 2025-11-18 08:03:49.565971 | 2025-11-19 01:33:18.878084 | 14922720 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 14922720 | Athletic Physical Therapy Inc | 1950-06-01 | 2025-11-21 | F | AE | MCDEVITT | H7220666800 | GUADALUPE | PT | 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/2222/6221805/check_14922720_44a05bfc-4ea1-467d-8df8-64c01f7e2992.json | N/A | N/A | N/A | N/A | N/A | H72206668 | 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 | 1950-06-01 | N/A | 0B527001 | N/A | HN | false | MCDEVITT | N/A | GUADALUPE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313982863 | N/A | N/A | 6221805 | 2222 | 4801 | 15199384 | N/A | 4865742 | 2025-11-19 01:33:18.878084 | 2025-06-11 15:46:59.098537 |
| 2025-11-18 08:03:40.962823 | 2025-11-19 01:36:18.487233 | 14922297 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14922297 | Athletic Physical Therapy Inc | 1994-02-23 | 2025-11-20 | F | PT | SHU | XAN913831469 | GABRIELA | 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/2222/6121701/check_14922297_a21385fe-1f9c-453b-b813-abe4c2ddd984.json | N/A | N/A | N/A | N/A | N/A | XAN913831469 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1994-02-23 | 1479PPOX0003 | W0051411 | N/A | PR | false | SHU | N/A | GABRIELA | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9313982955 | N/A | N/A | 6121701 | 2222 | 4793 | 15203717 | N/A | 4764460 | 2025-11-19 01:36:18.487233 | 2025-06-04 04:30:06.494155 |
| 2025-11-18 08:03:36.582828 | 2025-11-19 01:36:01.875508 | 14922079 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14922079 | Athletic Physical Therapy Inc | 1992-09-26 | 2025-11-21 | F | PT | WU | 60277172101 | ZEQIU | 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/2222/9106039/check_14922079_5f98fad2-4769-47d3-86be-bd0aa513fe37.json | N/A | N/A | N/A | N/A | N/A | 60277172101 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1992-09-26 | N/A | N/A | N/A | N/A | false | WU | N/A | ZEQIU | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9314029176 | N/A | N/A | 9106039 | 2222 | 4802 | 15203334 | N/A | 7625945 | 2025-11-19 01:36:01.875508 | 2025-09-26 19:56:46.569009 |
| 2025-11-18 08:03:26.280815 | 2025-11-19 01:35:43.717552 | 14921580 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14921580 | Athletic Physical Therapy Inc | 1962-08-12 | 2025-11-20 | F | PT | SCHOLEFIELD | TRJNP1055193 | ROBIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.121341736.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9087505/check_14921580_6aa1f8a8-6ce6-4806-b6ee-bcd8e5942184.json | N/A | N/A | N/A | N/A | N/A | TRJNP1055193 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1962-08-12 | 040 | 276727M007 | N/A | PR | false | SCHOLEFIELD | N/A | ROBIN | N/A | 9999-12-31 | 2020-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9314028560 | N/A | N/A | 9087505 | 2222 | 4793 | 15202889 | N/A | 7605100 | 2025-11-19 01:35:43.717552 | 2025-09-11 15:07:41.965017 |
| 2025-11-18 08:03:21.400900 | 2025-11-19 01:39:32.945349 | 14921365 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14921365 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-11-21 | M | AE | JACOBS | 4XJ0X61FM35 | PATRICIA | PT | 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/2222/5993912/check_14921365_0d29dbe8-cce9-42d4-bdaa-ddca20827139.json | N/A | N/A | N/A | N/A | N/A | 4XJ0X61FM35 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-25 | S5921 | N/A | N/A | MA | false | JACOBS | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313981029 | N/A | N/A | 5993912 | 2222 | 4793 | 15208335 | N/A | 4642852 | 2025-11-19 01:39:32.945349 | 2025-11-21 18:38:17.056437 |
| 2025-11-18 08:03:21.255351 | 2025-11-19 01:32:31.425758 | 14921362 | N/A | N/A | 60054 | Aetna | 1114042165 | 14921362 | Athletic Physical Therapy Inc | 1992-08-27 | 2025-11-21 | F | AE | FINLEY | W28806254401 | MICHAELA | PT | 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/2222/9081026/check_14921362_90aa54e0-be2e-4d89-9c84-0b1dd749c556.json | N/A | N/A | N/A | N/A | N/A | W288062544 | Health Maintenance Organization (HMO) | BARRETT BUSINESS SERVICES, INC. | AETNA | N/A | 1992-08-27 | EAC4D303 | 019472903500025 | N/A | HM | false | FINLEY | N/A | MICHAELA | N/A | N/A | N/A | AETNA VALUE NETWORK HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9314028358 | N/A | N/A | 9081026 | 2222 | 4801 | 15198222 | N/A | 7597485 | 2025-11-19 01:32:31.425758 | 2025-09-04 15:52:15.446146 |
| 2025-11-18 08:03:14.190852 | 2025-11-19 01:36:18.769526 | 14921099 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14921099 | Athletic Physical Therapy Inc | 1973-02-24 | 2025-11-20 | F | PT | TAKEMOTO | XED906098170 | NICOLE | 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/2222/5928752/check_14921099_2cb012eb-e078-47b8-b602-67ae1d42ef8f.json | N/A | N/A | N/A | N/A | N/A | XED906098170 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1973-02-24 | 2001ZK002184 | X0001004 | N/A | PR | false | TAKEMOTO | N/A | NICOLE | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9313982946 | N/A | N/A | 5928752 | 2222 | 4802 | 15203724 | N/A | 4583701 | 2025-11-19 01:36:18.769526 | 2025-07-24 17:50:11.805587 |
| 2025-11-18 08:02:56.620627 | 2025-11-19 01:35:03.892260 | 14920444 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14920444 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-11-20 | F | AE | GIANOLI | R11857813FM1 | ELSY | PT | 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/2222/5568076/check_14920444_2ac21bbb-0fca-4f69-93c3-0ad76bb94cda.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313982088 | N/A | N/A | 5568076 | 2222 | 4802 | 15201906 | N/A | 4209480 | 2025-11-19 01:35:03.892260 | 2026-04-10 02:05:15.976484 |
| 2025-11-18 08:02:53.475190 | 2025-11-19 01:32:15.829952 | 14920364 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 14920364 | Athletic Physical Therapy Inc | 1986-10-29 | 2025-11-21 | M | AE | DEROOS | 182788571 | SEAN | PT | 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/2222/5551009/check_14920364_51e1dea1-a6ff-4a59-8274-af1f667765da.json | N/A | N/A | N/A | N/A | N/A | 182788571 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 1986-10-29 | 18126CA001000101 | QMXEM01910 | N/A | N/A | false | DEROOS | N/A | SEAN | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313981791 | N/A | N/A | 5551009 | 2222 | 4802 | 15197845 | 4211 | 4219827 | 2025-11-19 01:32:15.829952 | 2025-10-31 23:39:58.530194 |
| 2025-11-18 08:02:53.399344 | 2025-11-19 01:35:52.447589 | 14920363 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14920363 | Athletic Physical Therapy Inc | 1992-05-25 | 2025-11-21 | F | PT | THANG | JMV448A23012 | KAREN | 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/2222/5550962/check_14920363_8ee0e53a-f118-4370-8b7c-b6cb6d684e51.json | N/A | N/A | N/A | N/A | N/A | JMV448A23012 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1992-05-25 | 040 | 56677NR000 | N/A | HM | false | THANG | N/A | CHI | N/A | 9999-12-31 | 2024-07-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9313981789 | N/A | N/A | 5550962 | 2222 | 4801 | 15203101 | N/A | 4219789 | 2025-11-19 01:35:52.447589 | 2025-11-06 23:39:18.562797 |
| 2025-11-18 08:02:53.323656 | 2025-11-19 01:35:33.533569 | 14920362 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14920362 | Athletic Physical Therapy Inc | 1966-02-05 | 2025-11-21 | F | AE | VANCELETTE | 99775204F | DEBORAH | PT | 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/2222/5550875/check_14920362_2dd80b23-572a-4261-af07-93d1992edd03.json | N/A | N/A | N/A | N/A | N/A | 99775204F | N/A | N/A | HEALTH NET, LLC | N/A | 1966-02-05 | N/A | N/A | N/A | N/A | false | VANCELETTE | N/A | DEBORAH | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313981788 | N/A | N/A | 5550875 | 2222 | 4802 | 15202652 | N/A | 4219732 | 2025-11-19 01:35:33.533569 | 2025-05-13 04:29:37.230772 |
| 2025-11-18 08:02:53.235851 | 2025-11-19 01:39:33.960370 | 14920360 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14920360 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-11-21 | F | AE | MARTIN | 5YV3RT3TA75 | DOLLY | PT | 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/2222/5550797/check_14920360_d4969a24-a9a8-4aba-b7bb-59980951a676.json | N/A | N/A | N/A | N/A | N/A | 5YV3RT3TA75 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-09-13 | N/A | N/A | N/A | MA | false | MARTIN | N/A | DOLLY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313981787 | N/A | N/A | 5550797 | 2222 | 4793 | 15208360 | N/A | 4219681 | 2025-11-19 01:39:33.960370 | 2026-01-14 20:54:02.193776 |
| 2025-11-18 08:02:53.143036 | 2025-11-19 01:32:17.042547 | 14920359 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 14920359 | Athletic Physical Therapy Inc | 1990-11-12 | 2025-11-21 | F | AE | SIMONS | 94378141G | DESIREE | PT | 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/2222/5550102/check_14920359_c15fbba5-b88d-4488-8431-0d6a937e2de8.json | N/A | N/A | N/A | N/A | N/A | 94378141G | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1990-11-12 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | SIMONS | N/A | DESIREE | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313981785 | N/A | N/A | 5550102 | 2222 | 4802 | 15197873 | 4211 | 4212176 | 2025-11-19 01:32:17.042547 | 2025-05-13 04:29:37.226514 |
| 2025-11-18 08:02:53.072617 | 2025-11-19 01:39:30.622329 | 14920357 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14920357 | Athletic Physical Therapy Inc | 1954-05-11 | 2025-11-20 | M | AE | A Peters | 1R78CR5JR59 | Dennis | PT | 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/2222/5550025/check_14920357_fee6ccd7-2e2b-4d35-a2ca-3e4632ff4efa.json | N/A | N/A | N/A | N/A | N/A | 1R78CR5JR59 | N/A | N/A | CMS | N/A | 1954-05-11 | N/A | N/A | N/A | N/A | false | A PETERS | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313981784 | N/A | N/A | 5550025 | 2222 | 4801 | 15208274 | N/A | 4219449 | 2025-11-19 01:39:30.622329 | 2025-10-07 21:32:27.567534 |
| 2025-11-18 08:02:52.867179 | 2025-11-19 01:39:32.637490 | 14920355 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14920355 | Athletic Physical Therapy Inc | 1951-12-26 | 2025-11-20 | M | AE | FINEBERG | 9FX3D52YD09 | MARTIN | PT | 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/2222/5549980/check_14920355_7d263480-d409-46df-ae45-2aa913abad5f.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MA | false | FINEBERG | N/A | MARTIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313981783 | N/A | N/A | 5549980 | 2222 | 4802 | 15208327 | N/A | 4219436 | 2025-11-19 01:39:32.637490 | 2025-05-13 04:29:37.230471 |
| 2025-11-18 08:02:51.743763 | 2025-11-19 01:35:07.992581 | 14920341 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 14920341 | Athletic Physical Therapy Inc | 1950-03-29 | 2025-11-20 | M | AE | AKHTARI | 40045421301 | SHAHROKH | PT | 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/2222/5543493/check_14920341_eee8338a-a139-44e4-b97e-2ae54c7473b3.json | N/A | N/A | N/A | N/A | N/A | 40045421301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-03-29 | 2025H5425084LA | H5425M | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | SCAN VENTURE (HMO), LOS ANGELES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313981775 | N/A | N/A | 5543493 | 2222 | 4793 | 15202008 | N/A | 4215273 | 2025-11-19 01:35:07.992581 | 2025-05-13 04:29:37.229594 |
| 2025-11-18 08:02:51.662015 | 2025-11-19 01:35:04.813626 | 14920340 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14920340 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-11-20 | M | AE | FORTIN | R14644640MS1 | NATHANIEL | PT | 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/2222/5543425/check_14920340_6e3f612e-434e-481d-983f-bee22558191b.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | K96 SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313981773 | N/A | N/A | 5543425 | 2222 | 4801 | 15201930 | N/A | 4215211 | 2025-11-19 01:35:04.813626 | 2026-04-02 22:30:20.020246 |
| 2025-11-18 08:02:51.563343 | 2025-11-19 01:36:18.187535 | 14920337 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14920337 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-11-20 | F | PT | PAUL | XEK914147727 | SARA | 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/2222/5543211/check_14920337_7428d32f-91c1-45f6-bb0a-78b5af5166f3.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | 9999-12-31 | 2025-02-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9313981772 | N/A | N/A | 5543211 | 2222 | 4801 | 15203710 | N/A | 4215028 | 2025-11-19 01:36:18.187535 | 2025-05-13 04:29:37.229346 |
| 2025-11-18 08:02:51.469972 | 2025-11-19 01:35:49.838494 | 14920336 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14920336 | Athletic Physical Therapy Inc | 1972-06-23 | 2025-11-21 | F | PT | LAWSON | JXN663W00172 | MICHELLE | 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/2222/5543167/check_14920336_0d32fc6f-7ff7-439c-a15e-b3961e7dbe0a.json | N/A | N/A | N/A | N/A | N/A | JXN663W00172 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1972-06-23 | 040 | 174222M2A1 | N/A | PR | false | LAWSON | N/A | MICHELLE | N/A | 9999-12-31 | 2020-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9313981770 | N/A | N/A | 5543167 | 2222 | 4793 | 15203041 | N/A | 4214995 | 2025-11-19 01:35:49.838494 | 2025-05-13 04:29:37.229315 |
| 2025-11-18 08:02:51.374737 | 2025-11-19 01:35:48.915509 | 14920333 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14920333 | Athletic Physical Therapy Inc | 1974-08-13 | 2025-11-21 | F | PT | HUGGINS | JXN261A50994 | DEEDEE | 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/2222/5543043/check_14920333_751e59a6-09ac-4308-b35e-d245d7bfccd5.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 9999-12-31 | 2022-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9313981767 | N/A | N/A | 5543043 | 2222 | 4801 | 15203019 | N/A | 4214884 | 2025-11-19 01:35:48.915509 | 2025-11-12 00:46:10.301659 |
| 2025-11-18 08:02:51.287773 | 2025-11-19 01:35:51.663043 | 14920332 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14920332 | Athletic Physical Therapy Inc | 1963-10-10 | 2025-11-20 | F | PT | RUEGGER | MPI01409385Q | ANNE | 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/2222/5542955/check_14920332_d06f28e8-94f9-4df1-9a24-b4880f4cc806.json | N/A | N/A | N/A | N/A | N/A | MPI01409385Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN - RETIREE | ANTHEM BLUE CROSS | N/A | 1963-10-10 | 040 | 277163M406 | N/A | PR | false | RUEGGER | N/A | THOMAS | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9313981766 | N/A | N/A | 5542955 | 2222 | 4793 | 15203083 | N/A | 4214809 | 2025-11-19 01:35:51.663043 | 2025-06-05 16:00:56.918021 |
| 2025-11-18 08:02:51.193154 | 2025-11-19 01:36:17.624336 | 14920331 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14920331 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-11-21 | F | PT | JAIN | XEK909304497 | SUPARNA | 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/2222/5542952/check_14920331_4f399cc4-e7cd-402c-8d82-2b640d651dcc.json | N/A | N/A | N/A | N/A | N/A | XEK909304497 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-01-24 | 2001ZK002189 | X0001000 | N/A | PR | false | JAIN | N/A | SUPARNA | N/A | 9999-12-31 | 2019-09-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9313981765 | N/A | N/A | 5542952 | 2222 | 4802 | 15203699 | N/A | 4214804 | 2025-11-19 01:36:17.624336 | 2025-05-13 20:09:53.786482 |
| 2025-11-18 08:02:51.099325 | 2025-11-19 01:32:30.926773 | 14920329 | N/A | N/A | 60054 | Aetna | 1114042165 | 14920329 | Athletic Physical Therapy Inc | 1982-02-18 | 2025-11-20 | M | AE | TORGAN | W291598583 | SPENCER | PT | 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/2222/5542863/check_14920329_bc79f465-b744-4640-ae34-132a62ee4593.json | N/A | N/A | N/A | N/A | N/A | W291598583 | Point of Service (POS) | MORGAN STANLEY DOMESTIC HOLDINGS, L | AETNA | N/A | 1982-02-18 | 0868849 | 086884901000001 | N/A | PS | false | TORGAN | N/A | SPENCER | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313981764 | N/A | N/A | 5542863 | 2222 | 4793 | 15198210 | N/A | 4214725 | 2025-11-19 01:32:30.926773 | 2025-05-13 04:29:37.229043 |
| 2025-11-18 08:02:51.008470 | 2025-11-19 01:32:29.834793 | 14920326 | N/A | N/A | 60054 | Aetna | 1114042165 | 14920326 | Athletic Physical Therapy Inc | 1997-05-24 | 2025-11-21 | M | AE | DIAZ | W290801952 | SHAWN | PT | 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/2222/5542855/check_14920326_54e2c98f-cc7c-4e26-a595-9d9ffc6cb3a9.json | N/A | N/A | N/A | N/A | N/A | W290801952 | Point of Service (POS) | OMNICOM BENEFITS INC. | AETNA | N/A | 1997-05-24 | 0247086 | 024708602300010 | N/A | PS | false | DIAZ | N/A | SHAWN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313981763 | N/A | N/A | 5542855 | 2222 | 4802 | 15198184 | N/A | 4214719 | 2025-11-19 01:32:29.834793 | 2025-05-13 04:29:37.229037 |
| 2025-11-18 08:02:50.890322 | 2025-11-19 01:39:35.085719 | 14920325 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14920325 | Athletic Physical Therapy Inc | 1951-06-05 | 2025-11-20 | F | AE | Roberts | 8J26AQ7EV76 | Mary Bryan | PT | 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/2222/5542843/check_14920325_9016a393-a873-42c1-9640-031b5cfc41b2.json | N/A | N/A | N/A | N/A | N/A | 8J26AQ7EV76 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-05 | S5601 | N/A | N/A | MA | false | ROBERTS | N/A | MARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313981760 | N/A | N/A | 5542843 | 2222 | 4793 | 15208388 | N/A | 4214712 | 2025-11-19 01:39:35.085719 | 2025-11-12 19:26:06.663656 |
| 2025-11-18 08:02:50.754916 | 2025-11-19 01:36:17.918311 | 14920322 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14920322 | Athletic Physical Therapy Inc | 1974-06-26 | 2025-11-21 | M | PT | ARSHADNIA | XEK904721388 | SHAHRIAR | 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/2222/5542770/check_14920322_0f38dfeb-90b3-4f05-ac72-790aeba4d3a7.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1974-06-26 | 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 | 9313981757 | N/A | N/A | 5542770 | 2222 | 4802 | 15203702 | N/A | 4214643 | 2025-11-19 01:36:17.918311 | 2025-05-13 04:29:37.228964 |
| 2025-11-18 08:02:50.670668 | 2025-11-19 01:32:30.625026 | 14920321 | N/A | N/A | 60054 | Aetna | 1114042165 | 14920321 | Athletic Physical Therapy Inc | 2015-03-25 | 2025-11-20 | M | AE | MOLAVI | W290733985 | MATTHEW | PT | 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/2222/5542759/check_14920321_073bf368-3fa9-4aa4-b7c9-7dc61222960d.json | N/A | N/A | N/A | N/A | N/A | W290733985 | Point of Service (POS) | THE TCW GROUP, INC. | AETNA | N/A | 2015-03-25 | 0247292 | 024729201100001 | N/A | PS | false | MOLAVI | N/A | MOHAMAD | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313981756 | N/A | N/A | 5542759 | 2222 | 4793 | 15198205 | N/A | 4214620 | 2025-11-19 01:32:30.625026 | 2025-08-05 22:41:29.756445 |
| 2025-11-18 08:02:50.588299 | 2025-11-19 01:32:30.121853 | 14920320 | N/A | N/A | 60054 | Aetna | 1114042165 | 14920320 | Athletic Physical Therapy Inc | 2005-11-23 | 2025-11-21 | F | AE | FERRELL | W285064666 | AMELIA | PT | 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/2222/5542678/check_14920320_ab349b92-d967-4ded-ab83-e7f4308c8fd2.json | N/A | N/A | N/A | N/A | N/A | W285064666 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 2005-11-23 | 0232499 | 023249901000067 | N/A | PS | false | FERRELL | N/A | RALPH | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313981755 | N/A | N/A | 5542678 | 2222 | 4802 | 15198190 | N/A | 4214560 | 2025-11-19 01:32:30.121853 | 2025-05-13 04:29:37.228883 |
| 2025-11-18 08:02:50.488917 | 2025-11-19 01:35:04.501351 | 14920318 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14920318 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-11-20 | F | AE | CHERE | 98953535F | DIANA | PT | 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/2222/5542660/check_14920318_7f6532f2-9fbc-4194-85da-cf582056eb29.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313981753 | N/A | N/A | 5542660 | 2222 | 4802 | 15201922 | N/A | 4214542 | 2025-11-19 01:35:04.501351 | 2025-05-13 04:29:37.228868 |
| 2025-11-18 08:02:50.405937 | 2025-11-19 01:32:16.189366 | 14920317 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 14920317 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-11-20 | F | AE | HAMI | 92932800G | FARIBA | PT | 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/2222/5542611/check_14920317_ffcf5609-b7dd-4882-8380-136fb079b002.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MEDICARE PART AB CI003 | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1960-09-15 | BP0001 | QMXEM01909 | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | 2078-12-31 | 2025-11-01 | DUAL ELIGIBLE AGED - MSP - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313981752 | N/A | N/A | 5542611 | 2222 | 4802 | 15197852 | 4211 | 4214490 | 2025-11-19 01:32:16.189366 | 2025-05-13 04:29:37.228806 |
| 2025-11-18 08:02:50.328674 | 2025-11-19 01:35:39.962418 | 14920315 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 14920315 | Athletic Physical Therapy Inc | 1975-03-26 | 2025-11-20 | F | AE | HEYES | 95596436F | DARCIE | PT | 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/2222/5542233/check_14920315_fbc9f594-4f29-4322-a3bc-02581c48f60c.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1975-03-26 | N/A | N/A | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313981751 | N/A | N/A | 5542233 | 2222 | 4793 | 15202798 | N/A | 4214178 | 2025-11-19 01:35:39.962418 | 2025-05-13 04:29:37.228506 |
| 2025-11-18 08:02:50.193597 | 2025-11-19 01:35:49.196365 | 14920313 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14920313 | Athletic Physical Therapy Inc | 1938-01-22 | 2025-11-20 | F | PT | ISTOK | MBL474M98437 | LOIS | 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/2222/5542207/check_14920313_387bde8e-082b-4cc2-b89e-b79ed54f8636.json | N/A | N/A | N/A | N/A | N/A | MBL474M98437 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1938-01-22 | 040 | CAEGR005 | N/A | N/A | false | ISTOK | N/A | LOIS | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9313981750 | N/A | N/A | 5542207 | 2222 | 4802 | 15203026 | N/A | 4214152 | 2025-11-19 01:35:49.196365 | 2025-05-13 04:29:37.228479 |
| 2025-11-18 08:02:50.112307 | 2025-11-19 01:32:16.762978 | 14920312 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 14920312 | Athletic Physical Therapy Inc | 1961-02-27 | 2025-11-21 | M | AE | SHRIVER | 90771207E | DANIEL | PT | 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/2222/5541984/check_14920312_5ec4acb3-5782-401a-83dc-66676a137887.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-02-27 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | SHRIVER | N/A | DANIEL | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313981749 | N/A | N/A | 5541984 | 2222 | 4802 | 15197866 | 4211 | 4213934 | 2025-11-19 01:32:16.762978 | 2026-01-27 23:36:44.802366 |
| 2025-11-18 08:02:50.063478 | 2025-11-19 01:36:17.342147 | 14920310 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14920310 | Athletic Physical Therapy Inc | 1990-09-04 | 2025-11-21 | M | PT | HASHEMI | XEA914007676 | SEYED | 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/2222/5541956/check_14920310_2d886096-4bde-420b-aa15-66a4fe9f3bde.json | N/A | N/A | N/A | N/A | N/A | XEA914007676 | Preferred Provider Organization (PPO) | SILVUS TECHNOLOGIES INC | BLUE SHIELD CALIFORNIA | N/A | 1990-09-04 | 1000PPOX0002 | W3000628 | N/A | PR | false | HASHEMI | N/A | SEYED MEHRDAD | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1800 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9313981748 | N/A | N/A | 5541956 | 2222 | 4802 | 15203690 | N/A | 4213923 | 2025-11-19 01:36:17.342147 | 2025-05-13 04:29:37.228244 |
| 2025-11-18 08:02:49.990084 | 2025-11-19 01:32:26.025320 | 14920308 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 14920308 | override_provider | 1957-04-11 | 2025-11-21 | M | PT | ADRIAN | MBL508W11635 | NELSON | 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/2222/5541841/check_14920308_cb31f0a7-9b32-47fd-8b43-90dcf0f5559f.json | N/A | N/A | N/A | N/A | N/A | MBL508W11635 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | BLUE SHIELD OF CALIFORNIA | N/A | 1957-04-11 | 040 | CAEGR005 | N/A | N/A | false | ADRIAN | N/A | NELSON | N/A | 2025-12-31 | 2022-04-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9313981747 | N/A | N/A | 5541841 | 2222 | 4801 | 15198090 | N/A | 4213826 | 2025-11-19 01:32:26.025320 | 2025-05-13 04:29:37.228146 |
| 2025-11-18 08:02:49.936576 | 2025-11-19 01:34:15.286232 | 14920307 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 14920307 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-11-21 | M | AD | LYKIDIS | U1221753503 | JOHN | 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/2222/5541552/check_14920307_d9d41138-f7c4-4506-9341-6cac8cfd38ff.json | N/A | N/A | N/A | N/A | N/A | U1221753503 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 2001-11-21 | N/A | 3207160 | N/A | N/A | false | LYKIDIS | N/A | JOHN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 9313981746 | N/A | N/A | 5541552 | 2222 | 4802 | 15200630 | N/A | 4213562 | 2025-11-19 01:34:15.286232 | 2025-05-13 04:29:37.227895 |
| 2025-11-18 08:02:49.882076 | 2025-11-19 01:36:17.025873 | 14920305 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14920305 | Athletic Physical Therapy Inc | 1963-07-22 | 2025-11-21 | F | PT | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | 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/2222/5541314/check_14920305_0771eb7f-4381-493d-83a3-d77739ab896b.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 9999-12-31 | 2025-01-01 | SILVER 73 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9313981745 | N/A | N/A | 5541314 | 2222 | 4793 | 15203684 | N/A | 4213343 | 2025-11-19 01:36:17.025873 | 2025-06-06 02:21:37.603701 |
| 2025-11-18 08:02:49.810802 | 2025-11-19 01:35:33.283300 | 14920303 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14920303 | Athletic Physical Therapy Inc | 1969-06-19 | 2025-11-21 | M | AE | RODRIGUEZ | R0141403581 | FRANCISCO | PT | 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/2222/5541282/check_14920303_46834e8a-0315-493f-8566-7d942bf3327d.json | N/A | N/A | N/A | N/A | N/A | R0141403581 | N/A | N/A | HEALTH NET, LLC | N/A | 1969-06-19 | N/A | N/A | N/A | N/A | false | RODRIGUEZ | N/A | FRANCISCO | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313981744 | N/A | N/A | 5541282 | 2222 | 4801 | 15202645 | N/A | 4213312 | 2025-11-19 01:35:33.283300 | 2025-05-13 04:29:37.227635 |
| 2025-11-18 08:02:49.704947 | 2025-11-19 01:35:48.605575 | 14920302 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14920302 | Athletic Physical Therapy Inc | 1995-06-07 | 2025-11-21 | M | PT | Greathouse | MPI30458946Q | Kheperan | 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/2222/5540871/check_14920302_b3efb53b-104d-41e6-98cc-62d6404107aa.json | N/A | N/A | N/A | N/A | N/A | MPI30458946Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1995-06-07 | 040 | 277163M402 | N/A | PR | false | GREATHOUSE | N/A | KHEPERAN | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9313981743 | N/A | N/A | 5540871 | 2222 | 4793 | 15203011 | N/A | 4212959 | 2025-11-19 01:35:48.605575 | 2025-10-17 20:08:21.136268 |
| 2025-11-18 08:02:49.650259 | 2025-11-19 01:39:33.616575 | 14920301 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14920301 | Athletic Physical Therapy Inc | 1949-12-02 | 2025-11-20 | F | AE | LADEN | 6GY2TG9HX06 | CANDACE | PT | 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/2222/5540768/check_14920301_fab6dbb0-b3ea-4317-bebd-4e75f8bb58e0.json | N/A | N/A | N/A | N/A | N/A | 6GY2TG9HX06 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-12-02 | S4802 | N/A | N/A | MA | false | LADEN | N/A | CANDACE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313981742 | N/A | N/A | 5540768 | 2222 | 4802 | 15208352 | N/A | 4212856 | 2025-11-19 01:39:33.616575 | 2025-08-04 18:33:35.319989 |
| 2025-11-18 08:02:49.571670 | 2025-11-19 01:32:29.573184 | 14920299 | N/A | N/A | 60054 | Aetna | 1114042165 | 14920299 | Athletic Physical Therapy Inc | 1982-07-27 | 2025-11-21 | M | AE | BOKHTIER | W275493875 | GOLAM | PT | 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/2222/5540723/check_14920299_76bacce5-ad73-4d01-b465-4ef65de22d65.json | N/A | N/A | N/A | N/A | N/A | W275493875 | Exclusive Provider Organization | AMERICAN EXPRESS COMPANY | AETNA | N/A | 1982-07-27 | 0169631 | 016963101100001 | N/A | EP | false | BOKHTIER | N/A | SUMMER | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313981741 | N/A | N/A | 5540723 | 2222 | 4793 | 15198178 | N/A | 4212833 | 2025-11-19 01:32:29.573184 | 2025-05-28 20:46:35.079848 |
| 2025-11-18 08:02:49.506087 | 2025-11-19 01:39:31.336112 | 14920297 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14920297 | Athletic Physical Therapy Inc | 1940-05-13 | 2025-11-21 | F | AE | ALIZADEH GHARBAGHI | 6AX8PH3NH43 | TOURAN | PT | 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/2222/5540531/check_14920297_ab15c085-3f78-4bfa-8859-d001e4f2a156.json | N/A | N/A | N/A | N/A | N/A | 6AX8PH3NH43 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-05-13 | S5617 | N/A | N/A | MB | false | ALIZADEH GHARBAGHI | N/A | TOURAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313981739 | N/A | N/A | 5540531 | 2222 | 4802 | 15208291 | N/A | 4212676 | 2025-11-19 01:39:31.336112 | 2025-07-03 21:09:02.193065 |
| 2025-11-18 08:02:49.447471 | 2025-11-19 01:35:08.282951 | 14920296 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 14920296 | Athletic Physical Therapy Inc | 1956-07-18 | 2025-11-20 | M | AE | BELL | 40055462001 | LOWELL | PT | 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/2222/5540339/check_14920296_25d48fc3-1c85-494a-bcbf-a47bf14593ff.json | N/A | N/A | N/A | N/A | N/A | 40055462001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-07-18 | 2025H5425097VEF | H5425CSNP | N/A | N/A | false | BELL | N/A | LOWELL | N/A | N/A | N/A | SCAN STRIVE (HMO SNP), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313981738 | N/A | N/A | 5540339 | 2222 | 4801 | 15202016 | N/A | 4212512 | 2025-11-19 01:35:08.282951 | 2025-11-04 22:17:35.476315 |
| 2025-11-18 08:02:49.386484 | 2025-11-19 01:39:30.929927 | 14920295 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14920295 | Athletic Physical Therapy Inc | 1954-06-15 | 2025-11-20 | F | AE | ADIB | 1TJ9E76RP17 | JILA | PT | 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/2222/5540303/check_14920295_055b52c3-727c-44c5-8b16-3ee67dd9c90b.json | N/A | N/A | N/A | N/A | N/A | 1TJ9E76RP17 | Medicare Part A | N/A | ACCESS GENERALINSUR COMP | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-06-15 | S4802 | DOL 10302012 | N/A | MA | false | ADIB | N/A | JILA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9313981737 | N/A | N/A | 5540303 | 2222 | 4801 | 15208282 | N/A | 4212486 | 2025-11-19 01:39:30.929927 | 2025-09-30 02:32:14.808821 |
| 2025-11-18 08:02:49.333127 | 2025-11-19 01:35:46.655448 | 14920294 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14920294 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-11-20 | F | PT | BOYLAN | MBL857M98403 | JOAN | 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/2222/5540074/check_14920294_763eb078-e4f2-4bec-a667-4c1ecdb52476.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9313981736 | N/A | N/A | 5540074 | 2222 | 4802 | 15202962 | N/A | 4212282 | 2025-11-19 01:35:46.655448 | 2025-05-13 04:29:37.226623 |
| 2025-11-18 08:02:49.285940 | 2025-11-19 01:36:24.633646 | 14920293 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14920293 | Athletic Physical Therapy Inc | 1983-08-31 | 2025-11-19 | M | PT | FLEMING | SZF839281184 | CHASE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251118.120726408.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539901/check_14920293_826c9d16-0c96-43d7-8167-32d30676466f.json | N/A | N/A | N/A | N/A | N/A | SZF839281184 | Preferred Provider Organization (PPO) | ACTIVE | BLUE SHIELD OF CALIFORNIA | N/A | 1983-08-31 | N/A | 018137 | N/A | PR | false | FLEMING | N/A | CHASE | N/A | 9999-12-31 | 2021-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9313981735 | N/A | N/A | 5539901 | 2222 | 4793 | 15203862 | N/A | 4212134 | 2025-11-19 01:36:24.633646 | 2025-08-05 02:56:55.384378 |