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 | 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 08:26:18.135970 | 2025-11-18 01:56:58.470205 | 14874304 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14874304 | Athletic Physical Therapy Inc | 1947-08-18 | 2025-11-20 | F | AE | PT | FABER | 4X26K21EE83 | LINDA | 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/2222/6522947/check_14874304_95056253-d382-43ea-aebe-bbca5aa9a028.json | N/A | N/A | N/A | N/A | N/A | 4X26K21EE83 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-08-18 | S5617 | N/A | N/A | MA | false | FABER | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305178069 | N/A | N/A | 6522947 | 2222 | 4802 | 15165036 | N/A | 5146127 | 2025-11-18 01:56:58.470205 | 2025-06-20 17:58:23.371130 |
| 2025-11-17 08:25:58.878669 | 2025-11-18 01:48:39.508246 | 14873085 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14873085 | Athletic Physical Therapy Inc | 1953-06-17 | 2025-11-20 | M | AE | PT | THOMPSON | XEM906571592 | JAMES | 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/2222/6577665/check_14873085_edb54a5f-5622-465d-88fe-a64dd4307961.json | N/A | N/A | N/A | N/A | N/A | XEM906571592 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1953-06-17 | 2004SF000028 | X0001002 | N/A | OT | false | THOMPSON | N/A | JAMES | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305141905 | N/A | N/A | 6577665 | 2222 | 4793 | 15162441 | N/A | 5197700 | 2025-11-18 01:48:39.508246 | 2025-06-30 15:33:47.069983 |
| 2025-11-17 08:25:57.618242 | 2025-11-18 01:33:57.645091 | 14872998 | N/A | N/A | 60054 | Aetna | 1114042165 | 14872998 | Athletic Physical Therapy Inc | 1998-11-14 | 2025-11-20 | M | AE | PT | Shirian | W742094344 | Jonathan | 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/2222/11519732/check_14872998_0f9505bd-b3a9-40c5-9710-16e9970b6e48.json | N/A | N/A | N/A | N/A | N/A | W274093844 | Point of Service (POS) | CASE WESTERN RESERVE UNIVERSITY | AETNA | N/A | 1998-11-14 | 0686194 | 068619403600108 | N/A | PS | false | SHIRIAN | N/A | JONATHAN | N/A | N/A | N/A | OPEN CHOICE-EARLY ARRIVAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305154505 | N/A | N/A | 11519732 | 2222 | 4802 | 15144275 | N/A | 9760542 | 2025-11-18 01:33:57.645091 | 2025-10-27 21:44:20.466934 |
| 2025-11-17 08:25:53.020019 | 2025-11-18 01:47:55.318333 | 14872722 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14872722 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-11-20 | M | AE | PT | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | 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/2222/6528155/check_14872722_993ce262-74af-4b3d-b982-58387f74939d.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-11-24 | N/A | N/A | N/A | N/A | false | BLANCHFIELD | N/A | THOMAS | N/A | 9999-12-31 | 2024-07-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305141871 | N/A | N/A | 6528155 | 2222 | 4793 | 15162179 | 4185 | 4214447 | 2025-11-18 01:47:55.318333 | 2026-04-23 20:11:34.441054 |
| 2025-11-17 08:25:43.960518 | 2025-11-18 01:33:51.538497 | 14872136 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14872136 | Athletic Physical Therapy Inc | 1951-07-30 | 2025-11-20 | F | AE | PT | Ruhe | XEM912278054 | Jacqueline | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101408821.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12438099/check_14872136_e1048282-d7ce-42b6-b2e7-24b72fcd1e9f.json | N/A | N/A | N/A | N/A | N/A | XEM912278054 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1958-07-30 | 2002SF000028 | X0001002 | N/A | OT | false | RUHE | N/A | JACQUELINE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305112137 | N/A | N/A | 12438099 | 2222 | 4802 | 15144150 | N/A | 10618088 | 2025-11-18 01:33:51.538497 | 2026-03-18 22:31:10.360004 |
| 2025-11-17 08:25:39.716170 | 2025-11-18 01:33:58.072412 | 14871893 | N/A | N/A | 60054 | Aetna | 1114042165 | 14871893 | Athletic Physical Therapy Inc | 1969-06-19 | 2025-11-20 | F | AE | PT | SIMSON FRANK | JQU217M93319 | GABRIELLE | 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/2222/11508035/check_14871893_2a73a371-87f3-47fa-a8d6-bd23c768da6a.json | N/A | N/A | N/A | N/A | N/A | JQU217M93319 | N/A | N/A | AETNA INC | N/A | 1969-06-19 | N/A | N/A | N/A | N/A | false | SIMSON FRANK | N/A | GABRIELLE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305153750 | N/A | N/A | 11508035 | 2222 | 4793 | 15144290 | N/A | 9748796 | 2025-11-18 01:33:58.072412 | 2025-10-30 15:58:51.268962 |
| 2025-11-17 08:25:33.295154 | 2025-11-18 05:36:16.285107 | 14871427 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14871427 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-11-20 | F | PT | N/A | PANDYA | XEA913306283 | DHARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101941505.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_14871427_20c6a2b7-1fa5-4a27-bbb4-c7eda42b54a9.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1975-08-17 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2025-01-01 | BLUE SHIELD OF CA ASO VIRTUAL BLUE FULL PPO SAVING | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9305137970 | N/A | N/A | 5550845 | 2222 | 4801 | 15169542 | N/A | 4219713 | 2025-11-18 05:36:16.285107 | 2025-08-13 22:46:55.732965 |
| 2025-11-17 08:25:33.071399 | 2025-11-18 05:35:45.981123 | 14871410 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14871410 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-11-19 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101941505.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_14871410_3b4d7ca0-7689-4068-9e7c-c8c6b04ef5ee.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9305137969 | N/A | N/A | 5549317 | 2222 | 4801 | 15169362 | N/A | 4219010 | 2025-11-18 05:35:45.981123 | 2026-01-09 18:32:07.618867 |
| 2025-11-17 08:25:32.767177 | 2025-11-18 01:36:52.022879 | 14871395 | N/A | N/A | 60054 | Aetna | 1114042165 | 14871395 | Athletic Physical Therapy Inc | 1952-08-04 | 2025-11-20 | F | AE | PT | Dunkerley | AHC2057583 | Elizabeth | 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/2222/9665220/check_14871395_b73c248f-eec3-43de-a37a-d8ad0bbb762d.json | N/A | N/A | N/A | N/A | N/A | AHC2057583 | N/A | N/A | AETNA INC | N/A | 1952-08-04 | N/A | N/A | N/A | N/A | false | DUNKERLEY | N/A | ELIZABETH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305145480 | N/A | N/A | 9665220 | 2222 | 4802 | 15148438 | N/A | 8086688 | 2025-11-18 01:36:52.022879 | 2026-01-15 18:07:39.869679 |
| 2025-11-17 08:25:32.345068 | 2025-11-18 01:36:17.239951 | 14871379 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14871379 | Athletic Physical Therapy Inc | 1971-06-05 | 2025-11-20 | F | PT | N/A | MENDELSON | XEK913483846 | SHARON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.102133602.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8224045/check_14871379_3effa0f3-b7a9-4a93-87fb-c21dfed00ed5.json | N/A | N/A | N/A | N/A | N/A | XEK913483846 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1971-06-05 | 2001ZK002189 | X0001000 | N/A | PR | false | MENDELSON | N/A | SIMON | N/A | 9999-12-31 | 2024-10-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9305152537 | N/A | N/A | 8224045 | 2222 | 4802 | 15147396 | N/A | 6981160 | 2025-11-18 01:36:17.239951 | 2025-08-26 21:16:15.557856 |
| 2025-11-17 08:25:31.366797 | 2025-11-18 05:40:53.075715 | 14871325 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14871325 | Athletic Physical Therapy Inc | 1957-05-23 | 2025-11-20 | F | AE | PT | CEASAR | 6XR6JY3MJ89 | DEBBIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101941505.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543553/check_14871325_7dc8e32e-f303-412a-b41b-51e4ae7fe2fd.json | N/A | N/A | N/A | N/A | N/A | 6XR6JY3MJ89 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-23 | S5660 | N/A | N/A | MB | false | CEASAR | N/A | DEBBIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305137962 | N/A | N/A | 5543553 | 2222 | 4793 | 15171177 | N/A | 4215327 | 2025-11-18 05:40:53.075715 | 2025-05-13 04:29:37.229651 |
| 2025-11-17 08:25:31.183526 | 2025-11-18 01:41:27.043712 | 14871311 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14871311 | Athletic Physical Therapy Inc | 1959-02-07 | 2025-11-20 | F | AE | PT | STARK | 5T98ME7EA67 | CHERYL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.103027590.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9449995/check_14871311_1b5d1c00-1099-41d9-b550-b160c400a80d.json | N/A | N/A | N/A | N/A | N/A | 5T98ME7EA67 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-07 | S4802 | N/A | N/A | MB | false | STARK | N/A | CHERYL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305182493 | N/A | N/A | 9449995 | 2222 | 4793 | 15156412 | N/A | 7905968 | 2025-11-18 01:41:27.043712 | 2025-09-22 17:53:24.196861 |
| 2025-11-17 08:25:31.157284 | 2025-11-18 05:35:26.559905 | 14871307 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14871307 | Athletic Physical Therapy Inc | 1963-07-02 | 2025-11-20 | M | AE | PT | RAMPTON | R02515710 | JAMES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101941505.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543519/check_14871307_f67ba021-85d3-46bb-a06d-eb19f669ee77.json | N/A | N/A | N/A | N/A | N/A | R02515710MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1963-07-02 | N/A | N/A | N/A | N/A | false | RAMPTON | N/A | JAMES | N/A | N/A | N/A | K9T SBP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305137960 | N/A | N/A | 5543519 | 2222 | 4801 | 15169239 | N/A | 4215303 | 2025-11-18 05:35:26.559905 | 2025-05-13 04:29:37.229622 |
| 2025-11-17 08:25:30.905028 | 2025-11-18 05:40:54.656495 | 14871288 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14871288 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-11-19 | F | AE | PT | HOWARD | 6JJ9KX0PY45 | JUDI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101941505.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543340/check_14871288_61b0aca5-71f2-44e5-b69c-74a397e2714e.json | N/A | N/A | N/A | N/A | N/A | 6JJ9KX0PY45 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-11-19 | S5884 | N/A | N/A | MA | false | HOWARD | N/A | JUDI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305137958 | N/A | N/A | 5543340 | 2222 | 4793 | 15171185 | N/A | 4215147 | 2025-11-18 05:40:54.656495 | 2025-05-13 04:29:37.229464 |
| 2025-11-17 08:25:30.489559 | 2025-11-18 05:40:53.797233 | 14871264 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14871264 | Athletic Physical Therapy Inc | 1948-08-18 | 2025-11-20 | M | AE | PT | EDA | 9AC4JX7TW77 | MASAAKI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101941505.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543330/check_14871264_04f835b6-1448-4597-947a-229425125b2a.json | N/A | N/A | N/A | N/A | N/A | 9AC4JX7TW77 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-08-18 | S5596 | N/A | N/A | MB | false | EDA | N/A | MASAAKI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305137957 | N/A | N/A | 5543330 | 2222 | 4802 | 15171182 | N/A | 4215140 | 2025-11-18 05:40:53.797233 | 2025-05-13 04:29:37.229453 |
| 2025-11-17 08:25:30.139171 | 2025-11-18 05:35:46.644475 | 14871241 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14871241 | Athletic Physical Therapy Inc | 1949-06-30 | 2025-11-20 | F | PT | N/A | STEWART | WSP370A66341 | ALBERTA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101941505.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542834/check_14871241_61892f74-2da2-4961-974f-2097b0741bdd.json | N/A | N/A | N/A | N/A | N/A | WSP370A66341 | N/A | ELEVANCE HEALTH | ANTHEM BLUE CROSS | N/A | 1949-06-30 | 130 | IN002GRS | N/A | N/A | false | STEWART | N/A | ALBERTA | N/A | 9999-12-31 | 2021-01-01 | IN GRS ELEVANCE HEALTH H4036-801 ANTHEM MED PREFER | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9305137956 | N/A | N/A | 5542834 | 2222 | 4801 | 15169366 | N/A | 4214700 | 2025-11-18 05:35:46.644475 | 2025-05-13 04:29:37.229017 |
| 2025-11-17 08:25:29.666169 | 2025-11-18 05:34:50.630296 | 14871212 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14871212 | Athletic Physical Therapy Inc | 1979-11-17 | 2025-11-19 | F | AE | PT | WOODS | 96781627F | JESSICA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101941505.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542752/check_14871212_82110805-6f56-4c1f-a1c5-909277cbc73c.json | N/A | N/A | N/A | N/A | N/A | 96781627F | N/A | N/A | HEALTH NET, LLC | N/A | 1979-11-17 | N/A | N/A | N/A | N/A | false | WOODS | N/A | JESSICA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305137955 | N/A | N/A | 5542752 | 2222 | 4793 | 15169001 | N/A | 4214627 | 2025-11-18 05:34:50.630296 | 2025-06-23 18:58:46.304598 |
| 2025-11-17 08:25:29.342934 | 2025-11-18 05:35:26.229803 | 14871189 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14871189 | Athletic Physical Therapy Inc | 1972-07-22 | 2025-11-20 | M | AE | PT | KOZMA | U9714475101 | JASON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101941505.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542709/check_14871189_2a96ac51-4cda-4be0-9f70-1f2e1f749ca0.json | N/A | N/A | N/A | N/A | N/A | U9714475101 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1972-07-22 | 67138CA0700027-01 | N/A | N/A | N/A | false | KOZMA | N/A | JASON | N/A | N/A | N/A | BRONZE 60 HDHP AMBETTER PPO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305137954 | N/A | N/A | 5542709 | 2222 | 4802 | 15169236 | N/A | 4214582 | 2025-11-18 05:35:26.229803 | 2025-12-02 00:00:04.433236 |
| 2025-11-17 08:25:29.156725 | 2025-11-18 05:40:57.671767 | 14871170 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14871170 | Athletic Physical Therapy Inc | 1949-11-21 | 2025-11-19 | M | AE | PT | WOLFE | 7JF6YW4EF47 | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101941505.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542521/check_14871170_1167e1b7-3de8-4b58-ac82-039e1fdb37f9.json | N/A | N/A | N/A | N/A | N/A | 7JF6YW4EF47 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-11-21 | S4802 | N/A | N/A | MA | false | WOLFE | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305137953 | N/A | N/A | 5542521 | 2222 | 4801 | 15171200 | N/A | 4214422 | 2025-11-18 05:40:57.671767 | 2025-05-13 04:29:37.228745 |
| 2025-11-17 08:25:29.031560 | 2025-11-18 05:36:15.876586 | 14871164 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14871164 | Athletic Physical Therapy Inc | 1983-10-27 | 2025-11-20 | M | PT | N/A | FEDERER | XEA911365031 | MITCH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101941505.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542512/check_14871164_1cbca85e-9638-4c2a-9c56-9fa96f6835b4.json | N/A | N/A | N/A | N/A | N/A | XEA911365031 | Preferred Provider Organization (PPO) | WEINSTEIN SENIOR LLP | BLUE SHIELD CALIFORNIA | N/A | 1983-10-27 | 1000VX000102 | W0122744 | N/A | PR | false | FEDERER | N/A | MITCHEL | N/A | 9999-12-31 | 2023-05-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9305137952 | N/A | N/A | 5542512 | 2222 | 4793 | 15169540 | N/A | 4214416 | 2025-11-18 05:36:15.876586 | 2025-05-13 04:29:37.228740 |
| 2025-11-17 08:25:28.862308 | 2025-11-18 05:40:55.527704 | 14871151 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14871151 | Athletic Physical Therapy Inc | 1936-09-29 | 2025-11-20 | M | AE | PT | JAUDE | 8D38EF9GV30 | KARIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101941505.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542251/check_14871151_14ab9cb2-7c2f-44ca-9919-3db7134a2b13.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MA | false | JAUDE | N/A | KARIM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305137951 | N/A | N/A | 5542251 | 2222 | 4802 | 15171189 | N/A | 4214191 | 2025-11-18 05:40:55.527704 | 2025-05-13 04:29:37.228525 |
| 2025-11-17 08:25:28.732451 | 2025-11-18 05:35:46.281633 | 14871141 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14871141 | Athletic Physical Therapy Inc | 1942-12-17 | 2025-11-19 | F | PT | N/A | STEINBERG | MBL988M98459 | JUDY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101941505.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542014/check_14871141_b8ae2a79-1777-4b48-95d8-515ad5910b06.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | 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 | 9305137950 | N/A | N/A | 5542014 | 2222 | 4793 | 15169364 | N/A | 4213977 | 2025-11-18 05:35:46.281633 | 2025-05-13 04:29:37.228294 |
| 2025-11-17 08:25:28.518386 | 2025-11-18 05:35:44.013531 | 14871127 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 14871127 | Athletic Physical Therapy Inc | 1959-05-13 | 2025-11-19 | F | PT | N/A | ADRIANZEN FERNAN | 221W2005420 | AURA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101941505.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541944/check_14871127_b3cea499-47a1-44f4-ac16-3db6c11e74eb.json | N/A | N/A | N/A | N/A | N/A | 221W2005420 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-05-13 | N/A | N/A | N/A | N/A | false | ADRIANZEN FERNAN | N/A | AURA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9305137947 | N/A | N/A | 5541944 | 2222 | 4801 | 15169350 | 4184 | 4213907 | 2025-11-18 05:35:44.013531 | 2025-05-13 04:29:37.228228 |
| 2025-11-17 08:25:28.316965 | 2025-11-18 05:35:45.702423 | 14871113 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14871113 | Athletic Physical Therapy Inc | 2009-08-02 | 2025-11-19 | F | PT | N/A | KUZMICZ | LFYHC0059374 | AUDREY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101941505.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541748/check_14871113_fadb0f72-a88b-4dc2-9f85-13d579224b06.json | N/A | N/A | N/A | N/A | N/A | LFYHC0059374 | Preferred Provider Organization (PPO) | LOS ANGELES FIREMENS RELIEF ASSOCIATION | ANTHEM BLUE CROSS | N/A | 2009-08-02 | 040 | 282527M001 | N/A | PR | false | KUZMICZ | N/A | CHRISTOPHER | N/A | 9999-12-31 | 2020-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9305137946 | N/A | N/A | 5541748 | 2222 | 4801 | 15169360 | N/A | 4213741 | 2025-11-18 05:35:45.702423 | 2025-10-10 22:38:21.840610 |
| 2025-11-17 08:25:28.078627 | 2025-11-18 05:34:50.336884 | 14871095 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14871095 | Athletic Physical Therapy Inc | 1985-02-07 | 2025-11-20 | F | AE | PT | SHEPHERD | 93180838F | EMILY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101941505.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541519/check_14871095_63d180d8-866d-4a8c-be21-983efd92a1e9.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | HEALTH NET, LLC | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305137945 | N/A | N/A | 5541519 | 2222 | 4802 | 15168999 | N/A | 4213530 | 2025-11-18 05:34:50.336884 | 2025-05-13 04:29:37.227860 |
| 2025-11-17 08:25:27.672045 | 2025-11-18 05:36:16.545483 | 14871073 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14871073 | Athletic Physical Therapy Inc | 1974-12-26 | 2025-11-20 | M | PT | N/A | SALEWSKE | 600905624 | TYSON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101941505.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541518/check_14871073_d2ab7b7d-d72d-4da3-9952-45c54918cedf.json | N/A | N/A | N/A | N/A | N/A | 600905624 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1974-12-26 | N/A | N/A | N/A | N/A | false | SALEWSKE | N/A | TYSON | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9305137944 | N/A | N/A | 5541518 | 2222 | 4793 | 15169545 | N/A | 4213526 | 2025-11-18 05:36:16.545483 | 2025-11-13 19:34:43.197819 |
| 2025-11-17 08:25:27.282351 | 2025-11-18 01:41:56.942649 | 14871050 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14871050 | Athletic Physical Therapy Inc | 1941-12-12 | 2025-11-20 | M | AE | PT | ABARTA | 1KM2G22MJ15 | STEVEN | 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/2222/9929496/check_14871050_520a35e3-3262-4920-b719-10df41555cf4.json | N/A | N/A | N/A | N/A | N/A | 1KM2G22MJ15 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-12-12 | S5617 | N/A | N/A | MA | false | ABARTA | N/A | STEVE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305149455 | N/A | N/A | 9929496 | 2222 | 4801 | 15157390 | N/A | 8313339 | 2025-11-18 01:41:56.942649 | 2025-10-02 18:29:23.013167 |
| 2025-11-17 08:25:27.227744 | 2025-11-18 05:34:50.022627 | 14871042 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14871042 | Athletic Physical Therapy Inc | 1968-03-30 | 2025-11-20 | M | AE | PT | FARAHMAND | 91957675E | ALEX | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101941505.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541163/check_14871042_f7846e0c-a620-4a6a-a823-fe3b43fc6bba.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | HEALTH NET, LLC | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305137943 | N/A | N/A | 5541163 | 2222 | 4802 | 15168997 | N/A | 4213207 | 2025-11-18 05:34:50.022627 | 2025-05-13 04:29:37.227536 |
| 2025-11-17 08:25:26.886076 | 2025-11-18 05:34:54.457992 | 14871024 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 14871024 | Athletic Physical Therapy Inc | 1946-11-23 | 2025-11-20 | F | AE | PT | POLAK | 40047825101 | JOANNA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101941505.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541023/check_14871024_5c8e8a9c-9e9f-4ee1-892a-ccd835ce9a78.json | N/A | N/A | N/A | N/A | N/A | 40047825101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1946-11-23 | 2025H5425006 | H5425M | N/A | N/A | false | POLAK | N/A | JOANNA | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305137942 | N/A | N/A | 5541023 | 2222 | 4793 | 15169029 | N/A | 4213093 | 2025-11-18 05:34:54.457992 | 2025-05-13 04:29:37.227419 |
| 2025-11-17 08:25:26.673665 | 2025-11-18 05:35:44.382792 | 14871008 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14871008 | Athletic Physical Therapy Inc | 2011-01-19 | 2025-11-20 | M | PT | N/A | CHELIUS | JXN662A51170 | CADEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101941505.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539929/check_14871008_99ebd4ea-f47c-4e51-8e9d-80a74927a1ca.json | N/A | N/A | N/A | N/A | N/A | JXN662A51170 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 2011-01-19 | 040 | 174222M9A1 | N/A | PR | false | CHELIUS | N/A | CRAIG | N/A | 9999-12-31 | 2021-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9305137941 | N/A | N/A | 5539929 | 2222 | 4793 | 15169352 | N/A | 4212158 | 2025-11-18 05:35:44.382792 | 2025-10-22 16:00:14.919111 |
| 2025-11-17 08:25:26.461726 | 2025-11-18 05:35:45.003170 | 14870994 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14870994 | Athletic Physical Therapy Inc | 1963-05-25 | 2025-11-20 | F | PT | N/A | GINSBERG | JQU469A62630 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101941505.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539612/check_14870994_4b90066a-31f4-4372-957f-9d4575ac0813.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1963-05-25 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 2026-01-01 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9305137940 | N/A | N/A | 5539612 | 2222 | 4793 | 15169356 | N/A | 4211892 | 2025-11-18 05:35:45.003170 | 2025-11-02 22:03:21.557202 |
| 2025-11-17 08:25:26.240854 | 2025-11-18 05:36:25.073256 | 14870984 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14870984 | Athletic Physical Therapy Inc | 1961-12-01 | 2025-11-20 | M | PT | N/A | TOOCH | JPU633M84536 | PETER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101941505.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538874/check_14870984_fc345c28-1ea6-4500-859e-d5b9aaf7525c.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M001 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9305137939 | N/A | N/A | 5538874 | 2222 | 4801 | 15169595 | N/A | 4211227 | 2025-11-18 05:36:25.073256 | 2025-05-13 04:29:37.225625 |
| 2025-11-17 08:25:26.047377 | 2025-11-18 05:35:45.417522 | 14870969 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14870969 | Athletic Physical Therapy Inc | 1960-08-08 | 2025-11-19 | M | PT | N/A | GINSBERG | JQU469A62630 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101941505.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538693/check_14870969_26bc98df-a4ed-495a-8634-75d7f7c66642.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1960-08-08 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 2026-01-01 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9305137938 | N/A | N/A | 5538693 | 2222 | 4793 | 15169358 | N/A | 4211081 | 2025-11-18 05:35:45.417522 | 2025-05-13 04:29:37.225492 |
| 2025-11-17 08:25:25.711196 | 2025-11-18 05:34:53.901894 | 14870945 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 14870945 | Athletic Physical Therapy Inc | 1951-08-02 | 2025-11-20 | M | AE | PT | CHADIDA | 40060913601 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101941505.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538674/check_14870945_fab044d3-5b31-4f55-beed-7454d70db63b.json | N/A | N/A | N/A | N/A | N/A | 40060913601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-08-02 | 2025H5425001 | H5425M | N/A | N/A | false | CHADIDA | N/A | DAVID | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305137937 | N/A | N/A | 5538674 | 2222 | 4793 | 15169027 | N/A | 4211039 | 2025-11-18 05:34:53.901894 | 2025-05-13 04:29:37.225444 |
| 2025-11-17 08:25:25.430039 | 2025-11-18 05:35:34.433500 | 14870929 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14870929 | Athletic Physical Therapy Inc | 1949-09-13 | 2025-11-20 | M | AE | PT | GOMES | 00000285293 | NEMESIO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101941505.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537439/check_14870929_8cd59b57-86ae-4e5a-a583-04c5da321ee1.json | N/A | N/A | N/A | N/A | N/A | 00000285293 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-09-13 | H3815028 | N/A | N/A | HM | false | GOMES | N/A | NEMESIO | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305137936 | N/A | N/A | 5537439 | 2222 | 4801 | 15169291 | 2630 | 4210001 | 2025-11-18 05:35:34.433500 | 2025-05-13 04:29:37.224421 |
| 2025-11-17 08:25:25.059298 | 2025-11-18 05:40:57.103519 | 14870909 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14870909 | Athletic Physical Therapy Inc | 1946-08-26 | 2025-11-20 | M | AE | PT | ROTHMAN | 6H65JC7UD67 | MIKE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101941505.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536194/check_14870909_05873586-1aae-4e7f-b793-396d1a140ca7.json | N/A | N/A | N/A | N/A | N/A | 6H65JC7UD67 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-08-26 | S4802 | N/A | N/A | MB | false | ROTHMAN | N/A | MIKE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305137934 | N/A | N/A | 5536194 | 2222 | 4801 | 15171196 | N/A | 4208978 | 2025-11-18 05:40:57.103519 | 2025-05-13 04:29:37.223404 |
| 2025-11-17 08:25:24.726415 | 2025-11-18 05:40:56.227682 | 14870883 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14870883 | Athletic Physical Therapy Inc | 1945-09-15 | 2025-11-20 | F | AE | PT | KHORSANDI | 3CF4YQ5UH79 | PARIVASH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101941505.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536010/check_14870883_a395f4b5-d0b6-4622-a851-b3ac92059260.json | N/A | N/A | N/A | N/A | N/A | 3CF4YQ5UH79 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-09-15 | S5921 | N/A | N/A | MB | false | KHORSANDI | N/A | PARIVASH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305137933 | N/A | N/A | 5536010 | 2222 | 4802 | 15171193 | N/A | 4208831 | 2025-11-18 05:40:56.227682 | 2025-10-30 22:42:31.399473 |
| 2025-11-17 08:25:24.567664 | 2025-11-18 05:35:44.702717 | 14870878 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14870878 | Athletic Physical Therapy Inc | 1960-04-27 | 2025-11-19 | M | PT | N/A | ENRIGHT | DGA10462968J | HAROLD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101941505.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535419/check_14870878_3a2f212f-3d3c-494d-bc0e-9edc4bb9c95a.json | N/A | N/A | N/A | N/A | N/A | DGA10462968J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1960-04-27 | 040 | 276945M001 | N/A | PR | false | ENRIGHT | N/A | HAROLD | N/A | 9999-12-31 | 2017-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9305137931 | N/A | N/A | 5535419 | 2222 | 4793 | 15169354 | N/A | 4208347 | 2025-11-18 05:35:44.702717 | 2025-05-13 04:29:37.222769 |
| 2025-11-17 08:25:18.504836 | 2025-11-18 01:36:36.527327 | 14870466 | N/A | N/A | 62308 | CIGNA PPO | 1114042165 | 14870466 | Athletic Physical Therapy Inc | 1996-03-28 | 2025-11-20 | F | AE | PT | SAGMAN | U9205101701 | SYDNEY | 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/2222/9924959/check_14870466_5f0ab3cb-f9b0-4ad6-a534-b4fc4025eede.json | N/A | N/A | N/A | N/A | N/A | U9205101701 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1996-03-28 | N/A | 3346355 | N/A | HM | false | SAGMAN | N/A | SYDNEY | N/A | N/A | N/A | NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305149419 | N/A | N/A | 9924959 | 2222 | 4802 | 15147978 | 4437 | 4722569 | 2025-11-18 01:36:36.527327 | 2025-08-26 00:16:35.895658 |
| 2025-11-17 08:25:07.638816 | 2025-11-18 01:32:03.675192 | 14869808 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 14869808 | Athletic Physical Therapy Inc | 1951-05-28 | 2025-11-19 | M | AE | PT | ADELMAN | 27936686 | JEFFREY | 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/2222/12298760/check_14869808_ddc68f35-53df-415c-a501-3cb287a36576.json | N/A | N/A | N/A | N/A | N/A | 27936686 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1951-05-28 | N/A | N/A | N/A | N/A | false | ADELMAN | N/A | JEFFREY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305174616 | N/A | N/A | 12298760 | 2222 | 4801 | 15142189 | N/A | 10484794 | 2025-11-18 01:32:03.675192 | 2025-11-05 22:04:00.322040 |
| 2025-11-17 08:25:06.592348 | 2025-11-18 01:36:16.972675 | 14869740 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14869740 | Athletic Physical Therapy Inc | 1980-12-02 | 2025-11-20 | M | PT | N/A | GODINEZ | XEK907039926 | RICHARD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.102133602.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202901/check_14869740_c7071f94-57cf-48dc-9024-f0b586ccc8ca.json | N/A | N/A | N/A | N/A | N/A | XEK907039926 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-12-02 | 2001ZK002171 | X0001000 | N/A | PR | false | GODINEZ | N/A | RICHARD | N/A | 2025-12-31 | 2025-01-01 | SPECIALTY DUO SM | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9305152154 | N/A | N/A | 8202901 | 2222 | 4793 | 15147388 | N/A | 6965521 | 2025-11-18 01:36:16.972675 | 2025-09-10 21:42:23.177790 |
| 2025-11-17 08:25:04.226302 | 2025-11-18 01:36:02.842877 | 14869597 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 14869597 | Athletic Physical Therapy Inc | 1997-12-08 | 2025-11-20 | M | AE | PT | Bhatia | R14184408MM1 | Neil | 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/2222/12295640/check_14869597_1dace5a1-342a-4f31-8bb5-1bac325425cc.json | N/A | N/A | N/A | N/A | N/A | R14184408MM100 | N/A | N/A | HEALTH NET OF CALIFORNIA, INC. | PATIENT HAS ACTIVE COVERAGE BASED ON DATA AVAILABLE AS OF DATE OF REQUEST. CONTACT OTHER ENTITY TO VALIDATE | 1997-12-08 | N/A | N/A | N/A | N/A | false | BHATIA | N/A | NEIL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305174410 | N/A | N/A | 12295640 | 2222 | 4802 | 15146998 | N/A | 10481513 | 2025-11-18 01:36:02.842877 | 2025-11-05 21:13:54.008259 |
| 2025-11-17 08:25:00.169804 | 2025-11-18 01:35:57.933722 | 14869359 | N/A | N/A | 61101 | Regal Medical Group | 1114042165 | 14869359 | Athletic Physical Therapy Inc | 1944-04-23 | 2025-11-19 | F | AE | PT | SMITH | H6550642500 | RUTH | 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/2222/9905019/check_14869359_9e498045-2018-473e-9c92-1afc137e4781.json | N/A | N/A | N/A | N/A | N/A | H65506425 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 949 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 | 1944-04-23 | N/A | Y9623001 | N/A | HN | false | SMITH | N/A | RUTH | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305149197 | N/A | N/A | 9905019 | 2222 | 4793 | 15146868 | N/A | 8292696 | 2025-11-18 01:35:57.933722 | 2025-10-06 17:55:42.801914 |
| 2025-11-17 08:24:50.906002 | 2025-11-18 01:34:25.821857 | 14868924 | N/A | N/A | 60054 | Aetna | 1114042165 | 14868924 | Athletic Physical Therapy Inc | 1970-07-15 | 2025-11-20 | M | AE | PT | BAKER | W225972262 | MATTHEW | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.103027590.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411210/check_14868924_fa09c3af-8eb5-49e2-87e0-1ba4c1462f93.json | N/A | N/A | N/A | N/A | N/A | W225972262 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 1970-07-15 | 0232495 | 023249501300055 | N/A | PS | false | HOBAN-BAKER | N/A | AMY | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305181867 | N/A | N/A | 9411210 | 2222 | 4802 | 15144868 | N/A | 7880075 | 2025-11-18 01:34:25.821857 | 2025-10-01 14:29:57.963249 |
| 2025-11-17 08:24:50.203726 | 2025-11-18 01:41:25.851556 | 14868892 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14868892 | Athletic Physical Therapy Inc | 1955-07-01 | 2025-11-20 | F | AE | PT | GREER | 7H09HW9QG44 | ROBIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.103027590.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411083/check_14868892_03cb516e-f8af-4629-aeca-720bec296a90.json | N/A | N/A | N/A | N/A | N/A | 7H09HW9QG44 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-01 | S5601 | N/A | N/A | MB | false | GREER | N/A | ROBIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305181865 | N/A | N/A | 9411083 | 2222 | 4802 | 15156380 | N/A | 7879863 | 2025-11-18 01:41:25.851556 | 2026-02-04 18:21:13.840230 |
| 2025-11-17 08:24:45.474207 | 2025-11-18 01:33:46.790346 | 14868674 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 14868674 | Athletic Physical Therapy Inc | 1977-12-17 | 2025-11-19 | M | PT | N/A | GORMAN | 90370502500 | JOHN | 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/2222/9898664/check_14868674_9898caec-2d0c-4879-9c04-82cfd359a418.json | N/A | N/A | N/A | N/A | N/A | XEP903705025 | Point of Service (POS) | CAPE | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1977-12-17 | 1000POSX0002 | W0052320 | N/A | PS | false | GORMAN | N/A | JOHN | N/A | 2025-12-31 | 2025-01-01 | CAPE CUSTOM POS LITE OPTION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9305148983 | N/A | N/A | 9898664 | 2222 | 4793 | 15144049 | N/A | 8287160 | 2025-11-18 01:33:46.790346 | 2025-10-01 22:48:13.212843 |
| 2025-11-17 08:24:45.069109 | 2025-11-18 05:34:34.032691 | 14868657 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 14868657 | Athletic Physical Therapy Inc | 1953-07-31 | 2025-11-20 | F | AE | PT | Dickenson | 91000390H | Linda | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101848844.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449889/check_14868657_5909d257-5a7e-46ad-b6ec-442a3a6624eb.json | N/A | N/A | N/A | N/A | N/A | 91000390H | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1953-07-31 | N/A | N/A | N/A | N/A | false | DICKENSON | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305126666 | N/A | N/A | 7449889 | 2222 | 4802 | 15168889 | N/A | 6399696 | 2025-11-18 05:34:34.032691 | 2025-07-24 23:24:56.744520 |
| 2025-11-17 08:24:37.283945 | 2025-11-18 05:39:28.415965 | 14868321 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14868321 | Athletic Physical Therapy Inc | 1950-02-07 | 2025-11-20 | M | AE | PT | BHAMRAH | 8FX0NA8MD19 | KULDIP | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.101848844.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7442857/check_14868321_d22bd81f-67cc-4945-a73c-a4067988d962.json | N/A | N/A | N/A | N/A | N/A | 8FX0NA8MD19 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-02-07 | S5617 | N/A | N/A | MA | false | BHAMRAH | N/A | KULDIP | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305126627 | N/A | N/A | 7442857 | 2222 | 4801 | 15170662 | N/A | 6393941 | 2025-11-18 05:39:28.415965 | 2025-08-13 16:33:53.313259 |
| 2025-11-17 08:24:36.844649 | 2025-11-18 01:31:29.164331 | 14868305 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 14868305 | Athletic Physical Therapy Inc | 2001-06-21 | 2025-11-19 | M | AE | PT | RAFIEI | 92836714F | SAM | 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/2222/8173002/check_14868305_a8bb9d1d-4f09-411a-9608-3374c382003a.json | N/A | N/A | N/A | N/A | N/A | 92836714F | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2001-06-21 | N/A | N/A | N/A | N/A | false | RAFIEI | N/A | SAM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9305151289 | N/A | N/A | 8173002 | 2222 | 4793 | 15141699 | N/A | 6939518 | 2025-11-18 01:31:29.164331 | 2025-08-18 21:40:08.349494 |
| 2025-11-17 08:24:25.054676 | 2025-11-18 01:41:25.225024 | 14867736 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14867736 | Athletic Physical Therapy Inc | 1946-06-01 | 2025-11-20 | F | AE | PT | AMIRI | 5A52N18CA24 | POURAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251117.103027590.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9399844/check_14867736_88975e05-3aca-4626-b3e0-bfa0a06e3d37.json | N/A | N/A | N/A | N/A | N/A | 5A52N18CA24 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-06-01 | S4802 | N/A | N/A | MB | 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 | 9305181740 | N/A | N/A | 9399844 | 2222 | 4802 | 15156364 | N/A | 4210607 | 2025-11-18 01:41:25.225024 | 2025-08-01 18:31:38.620742 |