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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-17 08:52:50.718594 | 2025-11-17 08:52:51.094163 | 14901014 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-02-03 | 2025-11-19 | F | AE | PT | MCKAY | 93518017100 | JEANNETTE | N/A | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-11-19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6398744 | 2222 | N/A | N/A | N/A | 5046297 | 2025-11-17 08:52:51.094163 | 2025-06-17 15:15:28.403654 |
| 2025-11-17 08:52:41.456300 | 2025-11-17 08:52:45.386350 | 14900959 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-15 | 2025-11-19 | F | AE | PT | SKLAR | 997341869 | ANDREA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124041/check_14900959_71889eff-4cfa-4d5a-8578-637fbfb0ae8e.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124041/check_14900959_c2801cc0-09e7-4a57-b454-4493600ca6f6.json | N/A | N/A | N/A | N/A | N/A | 997341869 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1975-07-15 | N/A | 183644 | N/A | C1 | false | SKLAR | N/A | ANDREA | N/A | N/A | N/A | POS CHOICE PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6124041 | 2222 | N/A | 15123517 | N/A | 4766742 | 2025-11-17 08:52:45.386350 | 2025-06-04 15:23:35.717260 |
| 2025-11-17 08:52:14.871969 | 2025-11-17 08:52:19.048886 | 14900794 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-06-06 | 2025-11-20 | U | AE | PT | LOPEZ | 910168740 | DENI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549402/check_14900794_82e5b297-ae58-4466-8a85-0347792b7998.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549402/check_14900794_a313dcae-cb84-4fdf-94df-3248adbb9d5e.json | N/A | N/A | N/A | N/A | N/A | 910168740 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1958-06-06 | N/A | 742149 | N/A | N/A | false | LOPEZ | N/A | DENI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549402 | 2222 | N/A | 15123384 | N/A | 4219066 | 2025-11-17 08:52:19.048886 | 2025-11-20 19:15:16.075292 |
| 2025-11-17 08:52:14.599939 | 2025-11-17 08:52:19.364746 | 14900791 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-04-03 | 2025-11-19 | M | AE | PT | IASCONE | 960990032400 | CRAIG | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539761/check_14900791_534cc5c5-039b-4690-8e29-678b11dbb3dc.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539761/check_14900791_0f0a3623-b0c1-42f1-b4cf-141923e5f697.json | N/A | N/A | N/A | N/A | N/A | 960990324 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | N/A | 1956-04-03 | N/A | 74134 | N/A | PR | false | IASCONE | N/A | CRAIG | N/A | N/A | N/A | LPPO-AARP MEDICARE ADVANTAGE FROM UHC CA-0038 (PPO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539761 | 2222 | N/A | 15123385 | N/A | 4212022 | 2025-11-17 08:52:19.364746 | 2025-05-13 04:29:37.226346 |
| 2025-11-17 08:52:14.600146 | 2025-11-17 08:52:18.052097 | 14900790 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-07-13 | 2025-11-20 | F | AE | PT | CONNOLLY | 974474822 | ELAINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540675/check_14900790_c52cf949-8d12-438f-87b5-0fe66f2a866c.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540675/check_14900790_f04f8def-e1dc-4585-b351-708fff6c5610.json | N/A | N/A | N/A | N/A | N/A | 974474822 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 2008-07-13 | N/A | 923812 | N/A | C1 | false | CONNOLLY | N/A | ELAINE | N/A | N/A | N/A | UNITEDHEALTHCARE SELECT PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540675 | 2222 | N/A | 15123376 | N/A | 4212786 | 2025-11-17 08:52:18.052097 | 2025-05-13 04:29:37.227120 |
| 2025-11-17 08:39:31.337564 | 2025-11-17 08:40:05.250196 | 14897796 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2025-11-19 | M | AE | PT | HOLGUIN | 1407861520 | VINCENT | 6341 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_14897796_89b5e34b-c44b-4eab-ac83-8288278c43db.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-11-19 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2025-11-17 08:40:05.250196 | 2025-11-11 01:01:48.778756 |
| 2025-11-17 08:38:30.060152 | 2025-11-18 01:41:26.221308 | 14897321 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14897321 | Athletic Physical Therapy Inc | 1958-10-22 | 2025-11-19 | F | AE | PT | Lee | 6D94VK8GN90 | Gisele | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.103027590.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9810737/check_14897321_2bc98ee4-6cd4-4972-a1af-3f0d094448b5.json | N/A | N/A | N/A | N/A | N/A | 6D94VK8GN90 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-10-22 | H4036 | N/A | N/A | MA | false | LEE | N/A | GISELE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305182375 | N/A | N/A | 9810737 | 2222 | 4802 | 15156388 | N/A | 8217179 | 2025-11-18 01:41:26.221308 | 2025-10-02 19:02:27.583990 |
| 2025-11-17 08:38:05.796636 | 2025-11-18 01:33:39.547807 | 14897131 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 14897131 | override_provider | 1951-12-15 | 2025-11-20 | F | PT | N/A | STYLES | XVL990311433 | SUSAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.102825436.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12835425/check_14897131_09aa32ca-f63c-401a-9d6d-77cab7417c6d.json | N/A | N/A | N/A | N/A | N/A | XVL990311433 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1951-12-15 | N/A | N/A | N/A | N/A | false | STYLES | N/A | SUSAN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9305177226 | N/A | N/A | 12835425 | 2222 | 4801 | 15143897 | N/A | 10999467 | 2025-11-18 01:33:39.547807 | 2025-11-14 21:36:13.911423 |
| 2025-11-17 08:37:31.871649 | 2025-11-18 01:43:22.340001 | 14896865 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 14896865 | Athletic Physical Therapy Inc | 1963-05-22 | 2025-11-19 | M | AE | PT | SMITH | 99688004H | MATTHEW | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.102720414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7022680/check_14896865_ade3601d-d850-4b6b-bd43-5a7faaabfae3.json | N/A | N/A | N/A | N/A | N/A | 99688004H | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 02/28/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1963-05-22 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | SMITH | N/A | MATTHEW | N/A | 2078-12-31 | 2025-05-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305176972 | N/A | N/A | 7022680 | 2222 | 4793 | 15159686 | 4211 | 6037802 | 2025-11-18 01:43:22.340001 | 2025-07-22 17:48:16.997014 |
| 2025-11-17 08:37:10.174535 | 2025-11-17 08:37:10.448384 | 14896630 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 14896630 | Athletic Physical Therapy Inc | 1972-07-02 | 2025-11-20 | F | AE | PT | Batra | 000022291228 | Anuradha | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-11-20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11466567 | 2222 | 4802 | N/A | N/A | 9715446 | 2025-11-17 08:37:10.448384 | 2025-10-24 23:56:29.543956 |
| 2025-11-17 08:37:05.880949 | 2025-11-18 01:37:10.444347 | 14896580 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 14896580 | Athletic Physical Therapy Inc | 1984-08-09 | 2025-11-20 | M | AE | PT | Finkelstein | 000006735240 | Adam | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.102825436.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12791955/check_14896580_85f4c9ef-54ea-4adb-8a40-4e6b932780c9.json | N/A | N/A | N/A | N/A | N/A | 000006735240 | N/A | N/A | KP HEALTH CARE REFORM - HMO | HMO - HMO COMMERCIAL | 1984-08-09 | 4361630 | 1650095001 | N/A | N/A | false | FINKELSTEIN | N/A | ADAM | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE BRONZE 60 HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305175932 | N/A | N/A | 12791955 | 2222 | 4802 | 15148988 | N/A | 10957668 | 2025-11-18 01:37:10.444347 | 2025-11-14 00:05:49.078317 |
| 2025-11-17 08:37:00.073370 | 2025-11-17 08:37:00.218771 | 14896515 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14896515 | Athletic Physical Therapy Inc | 2016-05-10 | 2025-11-20 | M | PT | N/A | ARRIOLA | XDM000517776 | ELLIS | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-11-20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11464639 | 2222 | 4801 | N/A | N/A | 9714270 | 2025-11-17 08:37:00.218771 | 2025-11-06 01:09:13.623652 |
| 2025-11-17 08:36:26.743172 | 2025-11-18 01:33:39.018251 | 14896109 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 14896109 | override_provider | 1993-03-10 | 2025-11-20 | F | PT | N/A | Campbell | R61671639 | Erin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.102825436.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12768766/check_14896109_6d76d991-62b8-4e12-8b35-1da8a4322990.json | N/A | N/A | N/A | N/A | N/A | R61671639 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1993-03-10 | N/A | 131 | N/A | PR | false | CAMPBELL | N/A | ERIN | N/A | 9999-12-31 | 2024-01-14 | FEP BLUE FOCUS | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9305174579 | N/A | N/A | 12768766 | 2222 | 4802 | 15143889 | N/A | 10924676 | 2025-11-18 01:33:39.018251 | 2025-11-13 18:50:04.008897 |
| 2025-11-17 08:36:07.911284 | 2025-11-17 08:36:08.173722 | 14895930 | N/A | N/A | 60054 | Aetna | 1114042165 | 14895930 | Athletic Physical Therapy Inc | 2011-12-20 | 2025-11-19 | M | AE | PT | NAQVI | W295996740 | KAZIM | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-11-19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11417253 | 2222 | 4793 | N/A | N/A | 9671738 | 2025-11-17 08:36:08.173722 | 2025-10-29 22:32:21.591395 |
| 2025-11-17 08:36:07.371817 | 2025-11-17 08:36:07.605241 | 14895925 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14895925 | Athletic Physical Therapy Inc | 1963-02-13 | 2025-11-20 | M | PT | N/A | CLOONAN | YSW101190636 | WILLIAM | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-11-20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11417072 | 2222 | 4801 | N/A | N/A | 9671455 | 2025-11-17 08:36:07.605241 | 2025-11-05 15:23:55.419457 |
| 2025-11-17 08:36:04.781175 | 2025-11-17 08:36:04.982698 | 14895900 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 14895900 | Athletic Physical Therapy Inc | 1972-07-09 | 2025-11-19 | F | AE | PT | JOHNSON OLAD | H6507221700 | CATINA | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-11-19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11415027 | 2222 | 4793 | N/A | N/A | 9669773 | 2025-11-17 08:36:04.982698 | 2025-10-30 23:36:57.101747 |
| 2025-11-17 08:36:01.767981 | 2025-11-18 01:37:25.199704 | 14895871 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14895871 | Athletic Physical Therapy Inc | 2006-06-07 | 2025-11-20 | M | PT | N/A | BROWN | PWF7431690PT | ROY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.102825436.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12756456/check_14895871_51a90ec9-1be1-4179-b1f3-ca4931b15ffc.json | N/A | N/A | N/A | N/A | N/A | PWF7431690PT | Preferred Provider Organization (PPO) | PUBLIC-ALL REGIONS-ACTIVE/RETIREE | ANTHEM BLUE CROSS | N/A | 2006-06-07 | 040 | L02978M001 | N/A | PR | false | BROWN | N/A | ROY | N/A | 2026-01-01 | 2022-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9305176830 | N/A | N/A | 12756456 | 2222 | 4793 | 15149435 | N/A | 10914431 | 2025-11-18 01:37:25.199704 | 2025-11-16 20:25:40.530209 |
| 2025-11-17 08:34:58.900537 | 2025-11-18 01:43:50.651426 | 14895188 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 14895188 | Athletic Physical Therapy Inc | 2010-03-18 | 2025-11-20 | M | PT | N/A | MARTIN | XEH906532391003 | CHRISTOPHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.102720414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6967909/check_14895188_81c43aef-9374-493c-8a13-d8cc768f6c99.json | N/A | N/A | N/A | N/A | N/A | XEH906532391 | Health Maintenance Organization (HMO) | WILD WONDER LLC | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2010-03-18 | 1000VX000101 | W0099153 | N/A | HM | false | MARTIN | N/A | ELIZABETH | N/A | 2029-03-31 | 2020-06-01 | DENTAL HMO PLUS | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9305175213 | N/A | N/A | 6967909 | 2222 | 4793 | 15160210 | N/A | 5990447 | 2025-11-18 01:43:50.651426 | 2025-07-21 18:40:33.917911 |
| 2025-11-17 08:34:57.781052 | 2025-11-18 01:50:36.357372 | 14895176 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14895176 | Athletic Physical Therapy Inc | 1980-03-06 | 2025-11-19 | M | PT | N/A | Lane | LNJ914036056 | Jason | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.102720414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6967170/check_14895176_eb9f75fb-d108-4216-8d8b-1ef0843beca2.json | N/A | N/A | N/A | N/A | N/A | LNJ914036056 | Preferred Provider Organization (PPO) | LIVE NATION JOINT VENTURES | BLUE SHIELD OF CA | N/A | 1980-03-06 | 1000VX000001 | W3000596 | N/A | PR | false | LANE | N/A | JASON | N/A | N/A | N/A | LIVE NATION JOINT VENTURES CUSTOM DENTAL 50 1500 L | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9305175209 | N/A | N/A | 6967170 | 2222 | 4802 | 15163176 | N/A | 5857104 | 2025-11-18 01:50:36.357372 | 2025-07-08 17:08:11.593095 |
| 2025-11-17 08:34:24.830487 | 2025-11-18 01:32:04.332543 | 14894798 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 14894798 | Athletic Physical Therapy Inc | 1939-05-25 | 2025-11-20 | F | AE | PT | BECERRA | H7238954300 | ELENA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.102825436.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12679487/check_14894798_b1d9cede-9441-4966-b040-aa349d898616.json | N/A | N/A | N/A | N/A | N/A | H7238954300 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1939-05-25 | N/A | N/A | N/A | N/A | false | BECERRA | N/A | ELENA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305175809 | N/A | N/A | 12679487 | 2222 | 4801 | 15142200 | N/A | 10848181 | 2025-11-18 01:32:04.332543 | 2025-11-12 17:50:10.439107 |
| 2025-11-17 08:33:59.539532 | 2025-11-17 08:34:00.166682 | 14894507 | N/A | N/A | 60054 | Aetna | 1114042165 | 14894507 | Athletic Physical Therapy Inc | 1962-12-15 | 2025-11-19 | F | AE | PT | SWAUGER | HMO600540131 | TRACEY | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-11-19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11365153 | 2222 | 4793 | N/A | N/A | 9633780 | 2025-11-17 08:34:00.166682 | 2025-11-03 19:06:43.846890 |
| 2025-11-17 08:33:36.545400 | 2025-11-17 08:33:37.057589 | 14894286 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 14894286 | Athletic Physical Therapy Inc | 1996-03-18 | 2025-11-20 | M | AE | PT | CHAINGAN | 96637102467129 | CARLO | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-11-20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11358205 | 2222 | 4801 | N/A | N/A | 9629336 | 2025-11-17 08:33:37.057589 | 2025-10-28 16:50:31.547791 |
| 2025-11-17 08:33:13.982804 | 2025-11-18 01:49:02.208849 | 14894023 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14894023 | Athletic Physical Therapy Inc | 1972-01-12 | 2025-11-19 | M | PT | N/A | MAGEN | B6YE01199897 | OFIR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.102720414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6917703/check_14894023_5a4f4c34-af59-4f38-9705-5556cc04eb30.json | N/A | N/A | N/A | N/A | N/A | B6YE01199897 | Preferred Provider Organization (PPO) | CHARTERLIFE-2015 HIGH EPO | ANTHEM BLUE CROSS | N/A | 1972-01-12 | 040 | L06598M023 | N/A | PR | false | MAGEN | N/A | LIMOR | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9305176929 | N/A | N/A | 6917703 | 2222 | 4793 | 15162620 | N/A | 5949095 | 2025-11-18 01:49:02.208849 | 2025-07-28 22:15:30.266976 |
| 2025-11-17 08:32:48.499362 | 2025-11-18 01:41:26.665906 | 14893640 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14893640 | Athletic Physical Therapy Inc | 1960-01-10 | 2025-11-19 | F | AE | PT | MAWAS | 1HM1QX0QJ05 | ASMAHAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.103027590.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9765210/check_14893640_d8789e79-2107-4347-8634-e3d97e11b496.json | N/A | N/A | N/A | N/A | N/A | 1HM1QX0QJ05 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-01-10 | S5617 | N/A | N/A | MA | false | MAWAS | N/A | ASMAHAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305182003 | N/A | N/A | 9765210 | 2222 | 4801 | 15156398 | N/A | 8176388 | 2025-11-18 01:41:26.665906 | 2025-10-07 15:06:58.335351 |
| 2025-11-17 08:32:47.668572 | 2025-11-18 01:37:25.769517 | 14893623 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14893623 | Athletic Physical Therapy Inc | 1965-05-26 | 2025-11-19 | M | PT | N/A | PARRA | R58564504 | GREGORY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.102825436.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12566263/check_14893623_73ce23f9-e87b-4011-b8e9-f9c00d7f33f9.json | N/A | N/A | N/A | N/A | N/A | R58564504 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1965-05-26 | N/A | 112 | N/A | PR | false | PARRA | N/A | GREGORY | N/A | 9999-12-31 | 2007-01-07 | BASIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9305176189 | N/A | N/A | 12566263 | 2222 | 4801 | 15149451 | N/A | 10738342 | 2025-11-18 01:37:25.769517 | 2025-11-17 17:10:15.206525 |
| 2025-11-17 08:32:42.990237 | 2025-11-18 01:40:40.502217 | 14893495 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14893495 | Athletic Physical Therapy Inc | 1953-06-17 | 2025-11-20 | M | AE | PT | THOMPSON | 5NK7CD2VM65 | JAMES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.102124543.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12249537/check_14893495_504747f8-f503-40bd-a6fb-b2beef0a7959.json | N/A | N/A | N/A | N/A | N/A | 5NK7CD2VM65 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-06-17 | S5601 | N/A | N/A | MA | false | THOMPSON | N/A | JAMES | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305155416 | N/A | N/A | 12249537 | 2222 | 4793 | 15155036 | N/A | 5197700 | 2025-11-18 01:40:40.502217 | 2025-06-30 15:33:47.069983 |
| 2025-11-17 08:32:38.469389 | 2025-11-18 01:37:08.649338 | 14893358 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14893358 | Athletic Physical Therapy Inc | 1957-05-05 | 2025-11-19 | F | PT | N/A | HOUSTON | TRJNP0019401 | VELINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.102124543.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12244725/check_14893358_c8b3dd3e-60be-4326-ab4c-a732580ee86c.json | N/A | N/A | N/A | N/A | N/A | TRJNP0019401 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1957-05-05 | 040 | 276727M001 | N/A | PR | false | HOUSTON | N/A | VELINA | N/A | 9999-12-31 | 2012-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9305153991 | N/A | N/A | 12244725 | 2222 | 4802 | 15148931 | N/A | 9637804 | 2025-11-18 01:37:08.649338 | 2026-04-24 18:56:42.779565 |
| 2025-11-17 08:32:16.085094 | 2025-11-18 01:37:55.068107 | 14892603 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14892603 | Athletic Physical Therapy Inc | 1949-03-10 | 2025-11-20 | F | AE | PT | BONESTEEL | 668W0422320 | CHEENIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.123424647.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10368765/check_14892603_c3bf78c3-8dc8-4be8-b4c6-94ae610a0d27.json | N/A | N/A | N/A | N/A | N/A | 668W0422320 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1949-03-10 | N/A | N/A | N/A | N/A | false | BONESTEEL | N/A | CHEENIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305148887 | N/A | N/A | 10368765 | 2222 | 4801 | 15150318 | 4185 | 8631533 | 2025-11-18 01:37:55.068107 | 2026-01-20 18:31:42.469716 |
| 2025-11-17 08:32:08.603772 | 2025-11-18 01:33:56.963234 | 14892361 | N/A | N/A | 60054 | Aetna | 1114042165 | 14892361 | Athletic Physical Therapy Inc | 1983-01-09 | 2025-11-19 | F | AE | PT | Ovaysikia | W197905578 | Shideh | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.102124543.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12166597/check_14892361_27c108ea-915f-456a-a6ca-1cddbe130c05.json | N/A | N/A | N/A | N/A | N/A | W197905578 | Point of Service (POS) | COHNREZNICK | AETNA | N/A | 1983-01-09 | 0884166 | 088416605000001 | N/A | PS | false | OVAYSIKIA | N/A | SHIDEH | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305154940 | N/A | N/A | 12166597 | 2222 | 4793 | 15144262 | N/A | 10379320 | 2025-11-18 01:33:56.963234 | 2025-11-04 17:17:17.618107 |
| 2025-11-17 08:32:07.486921 | 2025-11-18 01:37:55.408600 | 14892318 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14892318 | Athletic Physical Therapy Inc | 1977-11-16 | 2025-11-19 | M | PT | N/A | COPELAND | SIF818M55219 | CHRISTOPHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.123424647.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10355543/check_14892318_52246d4a-c9d5-43b8-a618-3a55a36c8c7f.json | N/A | N/A | N/A | N/A | N/A | SIF818M55219 | Preferred Provider Organization (PPO) | SISC - VENTURA COUNTY COMMUNITY COLLEGE DISTRICT | ANTHEM BLUE CROSS | N/A | 1977-11-16 | 040 | 40971D | N/A | PR | false | COPELAND | N/A | CHRISTOPHER | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9305148426 | N/A | N/A | 10355543 | 2222 | 4801 | 15150328 | N/A | 8619978 | 2025-11-18 01:37:55.408600 | 2025-10-13 20:53:09.422541 |
| 2025-11-17 08:31:58.754700 | 2025-11-18 01:43:56.741172 | 14892033 | N/A | N/A | 60054 | Aetna | 1114042165 | 14892033 | Athletic Physical Therapy Inc | 1976-05-10 | 2025-11-20 | M | AE | PT | RAMIREZ | 9537353099 | ROY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.102720414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6865171/check_14892033_830023dc-9296-4cda-9529-4af52d3b6bae.json | N/A | N/A | N/A | N/A | N/A | 9537353099 | Group Policy | N/A | AETNA INC | PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE INFORMATION | 1976-05-10 | A01 | 20086 | N/A | GP | false | RAMIREZ | N/A | ROY | N/A | N/A | N/A | SP1 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305178131 | N/A | N/A | 6865171 | 2222 | 4801 | 15160305 | N/A | 5902840 | 2025-11-18 01:43:56.741172 | 2025-07-28 18:58:27.354873 |
| 2025-11-17 08:31:49.064862 | 2025-11-18 01:39:38.074474 | 14891726 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14891726 | Athletic Physical Therapy Inc | 1952-02-16 | 2025-11-20 | M | AE | PT | Scott | XEM911093537 | Alan Timothy | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.102113430.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12010278/check_14891726_aedc8eeb-0eec-4f00-a111-f59fe2714c41.json | N/A | N/A | N/A | N/A | N/A | XEM911093537 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1952-02-16 | 2004SE000030 | X0001002 | N/A | OT | false | HOWARD | N/A | NANCY | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305145251 | N/A | N/A | 12010278 | 2222 | 4802 | 15153275 | N/A | 10232028 | 2025-11-18 01:39:38.074474 | 2025-11-05 23:04:36.909932 |
| 2025-11-17 08:31:45.620891 | 2025-11-18 01:31:42.783146 | 14891619 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 14891619 | Athletic Physical Therapy Inc | 1937-04-20 | 2025-11-19 | M | AE | PT | HAUSMAN | 34751866 | GARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.102133602.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9280203/check_14891619_b4408804-e1d6-415f-bb30-21cdd6cc51fe.json | N/A | N/A | N/A | N/A | N/A | 34751866 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1937-04-20 | 406-024-000 | N/A | N/A | N/A | false | HAUSMAN | N/A | GARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305152284 | N/A | N/A | 9280203 | 2222 | 4793 | 15141862 | 6798 | 7788651 | 2025-11-18 01:31:42.783146 | 2025-09-10 18:50:22.494063 |
| 2025-11-17 08:31:41.632622 | 2025-11-18 01:37:11.955464 | 14891487 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 14891487 | Athletic Physical Therapy Inc | 1944-03-27 | 2025-11-19 | F | AE | PT | Verratti | H73649103 | Kathleen | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.102113430.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11936769/check_14891487_118f8710-ec43-4871-9ff7-f3c5efcf017f.json | N/A | N/A | N/A | N/A | N/A | H73649103 | Supplemental Policy | COMPBENEFITS INSURANCE COMPANY | HUMANA | 067 004 | 1944-03-27 | N/A | 5A591003 | N/A | SP | false | VERRATTI | N/A | KATHLEEN | N/A | N/A | N/A | MEDICARE MES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305145199 | N/A | N/A | 11936769 | 2222 | 4802 | 15149037 | N/A | 10163894 | 2025-11-18 01:37:11.955464 | 2025-10-30 22:58:10.977312 |
| 2025-11-17 08:31:34.364672 | 2025-11-18 01:35:36.387422 | 14891250 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 14891250 | Athletic Physical Therapy Inc | 1954-02-10 | 2025-11-20 | F | AE | PT | SHARMA | H74807838 | MONIKA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.102124543.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12113464/check_14891250_e29d303d-73a1-4d67-8d6d-111c9bbabd89.json | N/A | N/A | N/A | N/A | N/A | H74807838 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. 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 | 1954-02-10 | N/A | 0B666001 | N/A | HN | false | SHARMA | N/A | MONIKA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305153906 | N/A | N/A | 12113464 | 2222 | 4801 | 15146395 | N/A | 10330803 | 2025-11-18 01:35:36.387422 | 2025-11-03 22:25:23.404066 |
| 2025-11-17 08:31:32.917591 | 2025-11-18 01:37:19.483963 | 14891214 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 14891214 | Athletic Physical Therapy Inc | 1940-04-13 | 2025-11-19 | F | AE | PT | PRIVITT | 31072079201 | NORMA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.123424647.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10301619/check_14891214_2bcc0693-362e-4be6-ae90-5d400de99740.json | N/A | N/A | N/A | N/A | N/A | 31072079201 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1940-04-13 | 2025H5425001 | H5425M | N/A | N/A | false | PRIVITT | N/A | NORMA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305150428 | N/A | N/A | 10301619 | 2222 | 4793 | 15149265 | N/A | 8571670 | 2025-11-18 01:37:19.483963 | 2025-10-20 20:59:28.219223 |
| 2025-11-17 08:31:17.185335 | 2025-11-18 01:50:36.832506 | 14890660 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14890660 | Athletic Physical Therapy Inc | 1961-03-07 | 2025-11-19 | F | PT | N/A | PERLOV | XEA905216171 | MERA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.102720414.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814311/check_14890660_ea9005be-8d8c-4a1b-9f23-161bae6da96d.json | N/A | N/A | N/A | N/A | N/A | XEA905216171 | Preferred Provider Organization (PPO) | LA CARE HEALTH PLAN | BLUE SHIELD CALIFORNIA | N/A | 1961-03-07 | 1000PPOX0003 | W0051027 | N/A | PR | false | PERLOV | N/A | MERA | N/A | 9999-12-31 | 2017-05-01 | HSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9305175011 | N/A | N/A | 6814311 | 2222 | 4793 | 15163180 | N/A | 5856694 | 2025-11-18 01:50:36.832506 | 2025-07-07 18:45:06.287504 |
| 2025-11-17 08:31:16.761538 | 2025-11-18 01:41:57.202105 | 14890645 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14890645 | Athletic Physical Therapy Inc | 1960-03-22 | 2025-11-18 | F | AE | PT | ROUSHANBAKHSH | 4M68ME8GE50 | FOROUGH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.123424647.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10259566/check_14890645_d8990559-13e5-4685-82ff-bb10db025bdb.json | N/A | N/A | N/A | N/A | N/A | 4M68ME8GE50 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-03-22 | S4802 | N/A | N/A | MB | 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 | 9305149958 | N/A | N/A | 10259566 | 2222 | 4802 | 15157403 | N/A | 4213281 | 2025-11-18 01:41:57.202105 | 2025-05-13 04:29:37.227606 |
| 2025-11-17 08:31:05.056559 | 2025-11-18 01:38:03.265807 | 14890239 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14890239 | Athletic Physical Therapy Inc | 1980-07-01 | 2025-11-19 | M | PT | N/A | Moreno jr | VDHE01043007 | Hector | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.103027590.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9691081/check_14890239_88ed2ffc-9957-4a71-9cb1-5a651283b813.json | N/A | N/A | N/A | N/A | N/A | VDHE01043007 | Preferred Provider Organization (PPO) | DIGNITY HEALTH VENTURA | ANTHEM BLUE CROSS | N/A | 1980-07-01 | 040 | 174236M3A1 | N/A | PR | false | MORENO JR | N/A | HECTOR | N/A | 9999-12-31 | 2022-07-01 | PB INCENTIVE NO SUTTER | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9305183287 | N/A | N/A | 9691081 | 2222 | 4801 | 15150557 | N/A | 8110015 | 2025-11-18 01:38:03.265807 | 2025-10-05 15:24:30.421551 |
| 2025-11-17 08:31:00.762420 | 2025-11-18 01:47:56.828478 | 14890069 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14890069 | Athletic Physical Therapy Inc | 1959-02-07 | 2025-11-20 | F | AE | PT | STARK | JQE451W19078 | CHERYL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.123217253.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9450019/check_14890069_a2b2c2cd-d525-48b7-bb4a-bc4b62e81dfa.json | N/A | N/A | N/A | N/A | N/A | JQE451W19078 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-02-07 | 040 | CASUPWP0 | N/A | N/A | false | STARK | N/A | CHERYL | N/A | 9999-12-31 | 2024-02-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305141160 | N/A | N/A | 9450019 | 2222 | 4793 | 15162187 | N/A | 7905968 | 2025-11-18 01:47:56.828478 | 2025-09-22 17:53:24.196861 |
| 2025-11-17 08:30:56.148883 | 2025-11-18 01:37:21.882284 | 14889899 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14889899 | Athletic Physical Therapy Inc | 2008-04-21 | 2025-11-20 | M | PT | N/A | LANDIS | XED906560014 | BRONN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.102124543.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12097539/check_14889899_308191a5-834f-4a74-805b-266c8d554597.json | N/A | N/A | N/A | N/A | N/A | XED906560014 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-04-21 | 2001ZK002187 | X0001004 | N/A | PR | false | LANDIS | N/A | KIPP | N/A | 2027-04-30 | 2023-03-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9305154161 | N/A | N/A | 12097539 | 2222 | 4793 | 15149338 | N/A | 10315576 | 2025-11-18 01:37:21.882284 | 2025-11-14 23:13:16.002759 |
| 2025-11-17 08:30:55.394782 | 2025-11-18 01:48:39.106691 | 14889870 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14889870 | Athletic Physical Therapy Inc | 1955-07-01 | 2025-11-20 | F | AE | PT | GREER | XEM909858172 | ROBIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.123217253.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411084/check_14889870_af4f97cc-fd72-4d01-82d7-b99de29802b6.json | N/A | N/A | N/A | N/A | N/A | XEM909858172 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-07-01 | 2002SE000030 | X0001002 | N/A | OT | false | GREER | N/A | ROBIN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305140582 | N/A | N/A | 9411084 | 2222 | 4802 | 15162439 | N/A | 7879863 | 2025-11-18 01:48:39.106691 | 2026-02-04 18:21:13.840230 |
| 2025-11-17 08:30:54.067531 | 2025-11-17 08:31:28.605339 | 14889818 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-11-18 | F | AE | PT | YUNG | 00854676304 | MAYA | 6338 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_14889818_13df568e-d669-4cc7-b3ad-1c4575cd4a04.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-11-18 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2025-11-17 08:31:28.605339 | 2025-05-13 04:29:37.229495 |
| 2025-11-17 08:30:47.387274 | 2025-11-17 08:30:47.789418 | 14889551 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14889551 | Athletic Physical Therapy Inc | 1942-02-01 | 2025-11-19 | F | AE | PT | CHANG | 3FV9E71EE00 | QUANG | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-11-19 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11159406 | 2222 | 4793 | N/A | N/A | 9505845 | 2025-11-17 08:30:47.789418 | 2026-04-29 00:06:17.964395 |
| 2025-11-17 08:30:16.437096 | 2025-11-18 01:40:39.985842 | 14888185 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14888185 | Athletic Physical Therapy Inc | 1952-02-16 | 2025-11-20 | M | AE | PT | Scott | 5FQ0Y32GF25 | Alan Timothy | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.102124543.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12010277/check_14888185_be21a05f-c640-4a5e-90bf-c7f585c4dc0b.json | N/A | N/A | N/A | N/A | N/A | 5FQ0Y32GF25 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-02-16 | S5601 | N/A | N/A | MA | false | SCOTT | N/A | ALAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305153856 | N/A | N/A | 12010277 | 2222 | 4802 | 15155024 | N/A | 10232028 | 2025-11-18 01:40:39.985842 | 2025-11-05 23:04:36.909932 |
| 2025-11-17 08:30:13.265056 | 2025-11-17 08:30:13.781671 | 14888052 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14888052 | Athletic Physical Therapy Inc | 1942-12-02 | 2025-11-20 | M | AE | PT | Lawrence | 5N91QT7KX96 | Harvey | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-11-20 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11156181 | 2222 | 4802 | N/A | N/A | 9502693 | 2025-11-17 08:30:13.781671 | 2025-12-16 19:10:22.413376 |
| 2025-11-17 08:30:07.866165 | 2025-11-18 01:37:56.756492 | 14887804 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14887804 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-11-19 | F | AE | PT | HOWARD | JQE896M91712 | JUDI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101915960.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543352/check_14887804_3b0d79be-eef0-4743-a806-bde18cab8ce8.json | N/A | N/A | N/A | N/A | N/A | JQE896M91712 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-11-19 | 040 | CASUPWP0 | N/A | N/A | false | HOWARD | N/A | JUDI | N/A | 9999-12-31 | 2022-01-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305132194 | N/A | N/A | 5543352 | 2222 | 4793 | 15150370 | N/A | 4215147 | 2025-11-18 01:37:56.756492 | 2025-05-13 04:29:37.229464 |
| 2025-11-17 08:30:07.768016 | 2025-11-18 01:37:56.480921 | 14887800 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14887800 | Athletic Physical Therapy Inc | 1948-08-18 | 2025-11-20 | M | AE | PT | EDA | 776A78714 | MASAAKI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101915960.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543332/check_14887800_ba903e16-65fa-4970-bc4b-fc4b99850dc2.json | N/A | N/A | N/A | N/A | N/A | 776A78714 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1948-08-18 | N/A | N/A | N/A | N/A | false | EDA | N/A | MASAAKI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305132191 | N/A | N/A | 5543332 | 2222 | 4802 | 15150361 | N/A | 4215140 | 2025-11-18 01:37:56.480921 | 2025-05-13 04:29:37.229453 |
| 2025-11-17 08:30:07.673535 | 2025-11-18 01:37:57.001304 | 14887793 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14887793 | Athletic Physical Therapy Inc | 1949-11-21 | 2025-11-19 | M | AE | PT | WOLFE | JQE620W02902 | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101915960.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542524/check_14887793_c8fd8c96-cf2f-47f6-bf8f-8520df2d5a2c.json | N/A | N/A | N/A | N/A | N/A | JQE620W02902 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1949-11-21 | 040 | CASUPWP0 | N/A | N/A | false | WOLFE | N/A | KEVIN | N/A | 9999-12-31 | 2019-12-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305132190 | N/A | N/A | 5542524 | 2222 | 4801 | 15150377 | N/A | 4214422 | 2025-11-18 01:37:57.001304 | 2025-05-13 04:29:37.228745 |
| 2025-11-17 08:30:07.595524 | 2025-11-18 01:40:38.981570 | 14887791 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 14887791 | Athletic Physical Therapy Inc | 1946-06-01 | 2025-11-20 | F | AE | PT | AMIRI | 5A52N18CA24 | POURAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101915960.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538157/check_14887791_7ef4002b-8f13-4f2f-a056-b09cdf737497.json | N/A | N/A | N/A | N/A | N/A | 5A52N18CA24 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1946-06-01 | N/A | N/A | N/A | N/A | false | AMIRI | N/A | POURAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305132189 | N/A | N/A | 5538157 | 2222 | 4802 | 15155002 | N/A | 4210607 | 2025-11-18 01:40:38.981570 | 2025-08-01 18:31:38.620742 |