API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-16 08:06:11.935733 | 2025-11-17 01:44:21.644678 | 14824912 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14824912 | Athletic Physical Therapy Inc | 1968-10-03 | 2025-11-19 | M | PT | RAMIREZ | Z7M7740597AB | CESAR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.121812606.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9729132/check_14824912_f49f9fd9-3494-43f7-a012-dfc39ec4323a.json | N/A | N/A | N/A | N/A | N/A | Z7M7740597AB | Preferred Provider Organization (PPO) | HI DED LOWER FAMILY ONLY | ANTHEM BLUE CROSS | N/A | 1968-10-03 | 241 | L11957M003 | N/A | PR | false | RAMIREZ | N/A | CESAR | N/A | 9999-12-31 | 2025-01-01 | PPO WITH MO BLUE ACCESS CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9301700629 | N/A | N/A | 9729132 | 2222 | 4801 | 15083672 | N/A | 8145241 | 2025-11-17 01:44:21.644678 | 2025-09-25 17:51:33.170014 |
| 2025-11-16 08:06:10.619644 | 2025-11-17 01:46:00.589802 | 14824822 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14824822 | Athletic Physical Therapy Inc | 1979-04-20 | 2025-11-19 | F | PT | NOSRAT | XEK904721388 | CAROLYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.110615925.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7252533/check_14824822_8578c00e-f614-4545-9c4a-236bdf8dac37.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1979-04-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | NOSRAT | N/A | CAROLYN | N/A | 9999-12-31 | 2016-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9301706714 | N/A | N/A | 7252533 | 2222 | 4802 | 15086448 | N/A | 4214065 | 2025-11-17 01:46:00.589802 | 2025-05-13 04:29:37.228379 |
| 2025-11-16 08:06:05.837117 | 2025-11-17 01:45:07.424437 | 14824511 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14824511 | Athletic Physical Therapy Inc | 1934-05-31 | 2025-11-19 | M | AE | RANDERIA | 1AY5A41XE81 | BHUPENDRA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.101241237.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8420254/check_14824511_008ea677-7728-413d-b397-a2c452b45dfa.json | N/A | N/A | N/A | N/A | N/A | 1AY5A41XE81 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1934-05-31 | N/A | N/A | N/A | MA | false | RANDERIA | N/A | BHUPENDRA | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9301686147 | N/A | N/A | 8420254 | 2222 | 4802 | 15085025 | N/A | 7097664 | 2025-11-17 01:45:07.424437 | 2026-04-30 18:11:14.979451 |
| 2025-11-16 08:06:05.490266 | 2025-11-17 01:42:18.005422 | 14824495 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14824495 | Athletic Physical Therapy Inc | 2001-07-17 | 2025-11-19 | M | PT | HUNTER | XEK905471650 | KYLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.101241237.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8420132/check_14824495_126f9a02-1725-42ce-8f45-0f8c5cecb901.json | N/A | N/A | N/A | N/A | N/A | XEK905471650 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2001-07-17 | 2001ZK002189 | X0001000 | N/A | PR | false | HUNTER | N/A | MARK | N/A | 9999-12-31 | 2021-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9301686146 | N/A | N/A | 8420132 | 2222 | 4801 | 15080325 | N/A | 7097528 | 2025-11-17 01:42:18.005422 | 2025-08-25 23:26:20.393423 |
| 2025-11-16 08:05:57.430029 | 2025-11-17 01:48:55.411434 | 14823955 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14823955 | Athletic Physical Therapy Inc | 2011-05-21 | 2025-11-19 | F | AE | MAZAREI | JQK622A53763 | ARYANA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.121333406.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12764190/check_14823955_fbd31f0e-1620-4339-befd-009c2bb52455.json | N/A | N/A | N/A | N/A | N/A | JQK622A53763 | Health Maintenance Organization (HMO) | DORENFELDLAW INC | ANTHEM BLUE CROSS | N/A | 2011-05-21 | 040 | A50707 | N/A | HM | false | MAZAREI | N/A | MAZYAR | N/A | 9999-12-31 | 2025-09-01 | ANTHEM GOLD HMO 35 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9301652234 | N/A | N/A | 12764190 | 2222 | 4793 | 15091197 | N/A | 4214170 | 2025-11-17 01:48:55.411434 | 2025-05-13 04:29:37.228498 |
| 2025-11-16 08:05:50.056170 | 2025-11-17 01:45:54.148808 | 14823405 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 14823405 | Athletic Physical Therapy Inc | 1956-12-19 | 2025-11-17 | F | AE | YEN | 96046413F95176 | JENNY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.121315379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10033624/check_14823405_af6cf92a-7b11-48f9-8e90-83ffeb09e73a.json | N/A | N/A | N/A | N/A | N/A | 96046413F95176 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1956-12-19 | N/A | N/A | N/A | N/A | false | YEN | N/A | JENNY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9301661894 | N/A | N/A | 10033624 | 2222 | 4793 | 15086302 | N/A | 8398587 | 2025-11-17 01:45:54.148808 | 2025-10-07 14:21:54.880940 |
| 2025-11-16 08:05:45.316184 | 2025-11-17 01:49:49.228314 | 14823027 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14823027 | Athletic Physical Therapy Inc | 1950-05-18 | 2025-11-17 | F | AE | BERINSTEIN | 4HY3M64VC99 | PAULA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.111436921.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10172946/check_14823027_357ff007-4f02-4a91-b09a-6ff6a67df5fc.json | N/A | N/A | N/A | N/A | N/A | 4HY3M64VC99 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-05-18 | S5601 | N/A | N/A | MA | false | BERINSTEIN | N/A | PAULA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9301674312 | N/A | N/A | 10172946 | 2222 | 4801 | 15092818 | N/A | 8474092 | 2025-11-17 01:49:49.228314 | 2025-10-11 14:58:02.058781 |
| 2025-11-16 08:05:44.738809 | 2025-11-17 01:48:45.566511 | 14822990 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14822990 | Athletic Physical Therapy Inc | 1947-02-15 | 2025-11-18 | F | AE | LING WONG | 5KK4G78YK65 | YEE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.121315379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9978113/check_14822990_516e5228-4d19-4afc-bbca-ee19359ecce3.json | N/A | N/A | N/A | N/A | N/A | 5KK4G78YK65 | N/A | N/A | CMS | N/A | 1947-02-15 | N/A | N/A | N/A | N/A | false | LING WONG | N/A | YEE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9301661685 | N/A | N/A | 9978113 | 2222 | 4802 | 15090906 | N/A | 8351682 | 2025-11-17 01:48:45.566511 | 2025-10-08 14:26:11.260769 |
| 2025-11-16 08:05:41.047220 | 2025-11-17 01:31:01.033072 | 14822722 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 14822722 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-11-19 | F | AE | SHAKIB | 95751543E35181 | PARI | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.095133666.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7561654/check_14822722_f9921176-2086-4a6e-80de-4586116be991.json | N/A | N/A | N/A | N/A | N/A | 95751543E35181 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1952-05-04 | N/A | N/A | N/A | N/A | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9301623311 | N/A | N/A | 7561654 | 2222 | 4802 | 15077203 | N/A | 6395498 | 2025-11-17 01:31:01.033072 | 2026-02-18 02:38:35.073779 |
| 2025-11-16 08:05:39.778458 | 2025-11-17 01:44:48.908822 | 14822619 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14822619 | Athletic Physical Therapy Inc | 1959-07-16 | 2025-11-19 | F | AE | JESTER | MBL344W20467 | AUREA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.121315379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9926970/check_14822619_61beb82f-1beb-4f8f-8242-bc6da4a82e69.json | N/A | N/A | N/A | N/A | N/A | MBL344W20467 | N/A | CALIFORNIA PUBLIC EMPLOYEES RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1959-07-16 | 040 | CAEGR001 | N/A | N/A | false | JESTER | N/A | AUREA | N/A | 9999-12-31 | 2024-07-01 | CA GRS CALPERS H4036-802 ANTHEM MEDICARE PREFERRED | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9301661372 | N/A | N/A | 9926970 | 2222 | 4801 | 15084496 | N/A | 7624564 | 2025-11-17 01:44:48.908822 | 2025-10-06 23:19:36.703282 |
| 2025-11-16 08:05:34.575058 | 2025-11-17 01:44:49.167055 | 14822221 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14822221 | Athletic Physical Therapy Inc | 1953-11-15 | 2025-11-19 | M | AE | REISMAN | WRXA13289369 | MARK | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.121315379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9868746/check_14822221_3d1c9d3c-5f77-49c6-b12d-eb883ec78331.json | N/A | N/A | N/A | N/A | N/A | WRXA13289369 | Preferred Provider Organization (PPO) | WRITERS GUILD INDUSTRY HEALTH FUND | ANTHEM BLUE CROSS | N/A | 1953-11-15 | 040 | 277242M003 | N/A | PR | false | REISMAN | N/A | MARK | N/A | 9999-12-31 | 2025-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9301661319 | N/A | N/A | 9868746 | 2222 | 4802 | 15084504 | N/A | 8262262 | 2025-11-17 01:44:49.167055 | 2025-09-30 22:45:25.940454 |
| 2025-11-16 08:05:29.634027 | 2025-11-17 01:48:55.806362 | 14821829 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14821829 | Athletic Physical Therapy Inc | 1953-11-12 | 2025-11-19 | F | PT | MENCHACA | 272W0638820 | RAFAELA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.121333406.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12715192/check_14821829_c4991db2-075f-4d1f-ae3f-0b4972fdebe9.json | N/A | N/A | N/A | N/A | N/A | 272W0638820 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1953-11-12 | N/A | N/A | N/A | N/A | false | MENCHACA | N/A | RAFAELA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9301651378 | N/A | N/A | 12715192 | 2222 | 4793 | 15091211 | 4185 | 10878724 | 2025-11-17 01:48:55.806362 | 2025-11-19 21:36:29.611919 |
| 2025-11-16 08:05:28.456658 | 2025-11-17 01:48:56.282682 | 14821734 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14821734 | Athletic Physical Therapy Inc | 1988-02-11 | 2025-11-19 | M | PT | Moore | LNC507A74754v | Errol | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.121333406.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12709721/check_14821734_b4e86e89-427f-45d5-9714-9f50ea09c006.json | N/A | N/A | N/A | N/A | N/A | LNC507A74754 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1988-02-11 | 040 | Z15900 | N/A | N/A | false | MOORE | N/A | ERROL | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9301651368 | N/A | N/A | 12709721 | 2222 | 4802 | 15091219 | N/A | 10875304 | 2025-11-17 01:48:56.282682 | 2025-11-12 23:41:56.064466 |
| 2025-11-16 08:05:18.073803 | 2025-11-17 01:48:54.925393 | 14820922 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14820922 | Athletic Physical Therapy Inc | 1975-08-07 | 2025-11-19 | M | PT | GEFFEN | CFT037A52287 | JASON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.121333406.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12686965/check_14820922_c3346743-3afb-4afc-8992-2790288d9ec7.json | N/A | N/A | N/A | N/A | N/A | CFT037A52287 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1975-08-07 | N/A | N/A | N/A | N/A | false | GEFFEN | N/A | JASON | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9301651061 | N/A | N/A | 12686965 | 2222 | 4793 | 15091182 | N/A | 10856744 | 2025-11-17 01:48:54.925393 | 2025-12-29 22:47:44.157557 |
| 2025-11-16 08:05:14.445459 | 2025-11-17 01:47:56.798033 | 14820644 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14820644 | Athletic Physical Therapy Inc | 1953-06-17 | 2025-11-17 | M | AE | THOMPSON | 5NK7CD2VM65 | JAMES | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.121013192.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12249537/check_14820644_419cc064-cf6e-4f9b-b114-c45980b14aa8.json | N/A | N/A | N/A | N/A | N/A | 5NK7CD2VM65 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-06-17 | S5601 | N/A | N/A | MB | 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 | 9301644628 | N/A | N/A | 12249537 | 2222 | 4793 | 15089437 | N/A | 5197700 | 2025-11-17 01:47:56.798033 | 2025-06-30 15:33:47.069983 |
| 2025-11-16 08:04:56.847800 | 2025-11-17 01:46:04.432565 | 14819563 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 14819563 | Athletic Physical Therapy Inc | 1961-11-24 | 2025-11-19 | F | AE | CRUTCHFIELD | 904430653 | HELEN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.111436921.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10103203/check_14819563_f679d0b0-e3c2-4f80-b9fd-869482ab39f1.json | N/A | N/A | N/A | N/A | N/A | 904430653 | N/A | N/A | MOLINA HEALTHCARE OF ARIZONA | N/A | 1961-11-24 | N/A | N/A | N/A | N/A | false | CRUTCHFIELD | N/A | HELEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9301673728 | N/A | N/A | 10103203 | 2222 | 4802 | 15086531 | N/A | 8437251 | 2025-11-17 01:46:04.432565 | 2025-10-07 19:08:26.048804 |
| 2025-11-16 08:04:44.659731 | 2025-11-17 01:46:25.285920 | 14819089 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14819089 | Athletic Physical Therapy Inc | 1980-07-16 | 2025-11-19 | M | PT | RUIZ | NCF895A77221 | MIGUEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.111436921.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10079070/check_14819089_dcf472f5-6701-4647-aa55-8a7b2c36b4ff.json | N/A | N/A | N/A | N/A | N/A | NCF895A77221 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1980-07-16 | N/A | N/A | N/A | N/A | false | RUIZ | N/A | MIGUEL | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9301672629 | N/A | N/A | 10079070 | 2222 | 4801 | 15086972 | N/A | 8422749 | 2025-11-17 01:46:25.285920 | 2025-10-09 18:37:11.515124 |
| 2025-11-16 08:04:40.825892 | 2025-11-17 01:48:58.055691 | 14818947 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14818947 | Athletic Physical Therapy Inc | 1959-02-04 | 2025-11-19 | F | AE | SMITS | 9TF8JW2XU20 | HEIDI | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.121812606.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681583/check_14818947_9fa9d562-ce92-4159-8975-fc5e9a6f10d5.json | N/A | N/A | N/A | N/A | N/A | 9TF8JW2XU20 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-04 | S4802 | N/A | N/A | MA | false | SMITS | N/A | HEIDI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9301700045 | N/A | N/A | 9681583 | 2222 | 4793 | 15091266 | N/A | 8101289 | 2025-11-17 01:48:58.055691 | 2025-09-24 17:05:46.431721 |
| 2025-11-16 08:04:38.200345 | 2025-11-17 08:10:03.091172 | 14818856 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14818856 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-11-18 | F | AE | MARTIN | 5YV3RT3TA75 | DOLLY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.100322208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550797/check_14818856_6670a140-c19a-4fcd-b128-77a1cf839312.json | N/A | N/A | N/A | N/A | N/A | 5YV3RT3TA75 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-09-13 | N/A | N/A | N/A | MA | false | MARTIN | N/A | DOLLY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9301666134 | N/A | N/A | 5550797 | 2222 | 4793 | 15116352 | N/A | 4219681 | 2025-11-17 08:10:03.091172 | 2026-01-14 20:54:02.193776 |
| 2025-11-16 08:04:38.072467 | 2025-11-17 08:09:56.014481 | 14818852 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14818852 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-11-18 | F | AE | BRADBURY | 5W31MW6FP03 | BONNIE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.100322208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550534/check_14818852_b07de3f6-b5b6-40bb-96ee-434e4c2abe59.json | N/A | N/A | N/A | N/A | N/A | 5W31MW6FP03 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-01 | S5617 | N/A | N/A | MA | false | BRADBURY | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9301666132 | N/A | N/A | 5550534 | 2222 | 4801 | 15116339 | N/A | 4219556 | 2025-11-17 08:09:56.014481 | 2025-05-13 04:29:37.230592 |
| 2025-11-16 08:04:37.926294 | 2025-11-17 08:09:54.842376 | 14818847 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14818847 | Athletic Physical Therapy Inc | 1954-05-11 | 2025-11-18 | M | AE | A Peters | 1R78CR5JR59 | Dennis | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.100322208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550025/check_14818847_a013edf2-21b2-4b46-a35b-e6892d4fd718.json | N/A | N/A | N/A | N/A | N/A | 1R78CR5JR59 | N/A | N/A | CMS | N/A | 1954-05-11 | N/A | N/A | N/A | N/A | false | A PETERS | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9301666131 | N/A | N/A | 5550025 | 2222 | 4801 | 15116337 | N/A | 4219449 | 2025-11-17 08:09:54.842376 | 2025-10-07 21:32:27.567534 |
| 2025-11-16 08:04:37.815020 | 2025-11-17 08:10:00.417399 | 14818844 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14818844 | Athletic Physical Therapy Inc | 1951-12-26 | 2025-11-18 | M | AE | FINEBERG | 9FX3D52YD09 | MARTIN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.100322208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549980/check_14818844_f244175e-5d50-472b-bd67-e3d1abc165fa.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MA | false | FINEBERG | N/A | MARTIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9301666130 | N/A | N/A | 5549980 | 2222 | 4802 | 15116347 | N/A | 4219436 | 2025-11-17 08:10:00.417399 | 2025-05-13 04:29:37.230471 |
| 2025-11-16 08:04:36.313771 | 2025-11-17 08:04:51.692018 | 14818798 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14818798 | Athletic Physical Therapy Inc | 1962-06-19 | 2025-11-19 | M | AE | MILIAN GOMEZ | 93331019F | MIGUEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.100322208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543555/check_14818798_2904e4fb-544f-4c0f-ae2a-14b6bff8d4da.json | N/A | N/A | N/A | N/A | N/A | 93331019F | N/A | N/A | HEALTH NET, LLC | N/A | 1962-06-19 | N/A | N/A | N/A | N/A | false | MILIAN GOMEZ | N/A | MIGUEL | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9301666123 | N/A | N/A | 5543555 | 2222 | 4802 | 15115808 | N/A | 4215332 | 2025-11-17 08:04:51.692018 | 2025-08-06 16:15:15.716322 |
| 2025-11-16 08:04:35.896354 | 2025-11-17 08:09:56.611335 | 14818789 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14818789 | Athletic Physical Therapy Inc | 1957-05-23 | 2025-11-17 | F | AE | CEASAR | 6XR6JY3MJ89 | DEBBIE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.100322208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543553/check_14818789_185bb676-fa24-4941-afbb-3ca43b98b2f2.json | N/A | N/A | N/A | N/A | N/A | 6XR6JY3MJ89 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-23 | S5660 | N/A | N/A | MA | 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 | 9301666122 | N/A | N/A | 5543553 | 2222 | 4793 | 15116340 | N/A | 4215327 | 2025-11-17 08:09:56.611335 | 2025-05-13 04:29:37.229651 |
| 2025-11-16 08:04:35.451245 | 2025-11-17 08:05:09.159870 | 14818778 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14818778 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-11-19 | F | PT | DAKE | SIF326M90066 | RENEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.100322208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543355/check_14818778_e81d752b-920d-4a3e-b539-99e522de179f.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | Preferred Provider Organization (PPO) | SISC - MEADOWS ARTS & TECH ELEMENTARY SCHOOL | ANTHEM BLUE CROSS | N/A | 1968-01-29 | 040 | 40424B | N/A | PR | false | DAKE | N/A | RENEE | N/A | 9999-12-31 | 2018-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9301666121 | N/A | N/A | 5543355 | 2222 | 4793 | 15115843 | N/A | 4215158 | 2025-11-17 08:05:09.159870 | 2025-05-13 04:29:37.229475 |
| 2025-11-16 08:04:35.333977 | 2025-11-17 08:10:00.977025 | 14818775 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14818775 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-11-17 | F | AE | HOWARD | 6JJ9KX0PY45 | JUDI | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.100322208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543340/check_14818775_253f7a22-b13f-41e2-93db-7d9f7f5af6b3.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 | 9301666120 | N/A | N/A | 5543340 | 2222 | 4793 | 15116348 | N/A | 4215147 | 2025-11-17 08:10:00.977025 | 2025-05-13 04:29:37.229464 |
| 2025-11-16 08:04:35.217903 | 2025-11-17 08:02:56.845086 | 14818770 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 14818770 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-11-19 | F | AE | SILVERS | 1866968 | JOIEMAY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.100322208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543335/check_14818770_b9579d9b-7e1c-412b-9c0d-03b52f661070.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 2001-01-23 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9301666119 | N/A | N/A | 5543335 | 2222 | 4802 | 15115557 | 4211 | 4215139 | 2025-11-17 08:02:56.845086 | 2025-05-13 21:20:11.455022 |
| 2025-11-16 08:04:35.098204 | 2025-11-17 08:09:59.225655 | 14818764 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14818764 | Athletic Physical Therapy Inc | 1948-08-18 | 2025-11-17 | M | AE | EDA | 9AC4JX7TW77 | MASAAKI | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.100322208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543330/check_14818764_a3b978b6-757f-40ce-b07c-956b9309d2cf.json | N/A | N/A | N/A | N/A | N/A | 9AC4JX7TW77 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-08-18 | S5596 | N/A | N/A | MA | 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 | 9301666118 | N/A | N/A | 5543330 | 2222 | 4802 | 15116345 | N/A | 4215140 | 2025-11-17 08:09:59.225655 | 2025-05-13 04:29:37.229453 |
| 2025-11-16 08:04:34.899566 | 2025-11-17 08:05:30.487582 | 14818757 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14818757 | Athletic Physical Therapy Inc | 1987-10-17 | 2025-11-19 | F | PT | PATEL | XEA910759571 | MAMTABEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.100322208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543327/check_14818757_a5f40866-eee7-450f-bf4d-70c2fc2e9ef9.json | N/A | N/A | N/A | N/A | N/A | XEA910759571 | Preferred Provider Organization (PPO) | RELATIVITY SPACE INC | BLUE SHIELD CALIFORNIA | N/A | 1987-10-17 | 1000PPOX0004 | W0071038 | N/A | PR | false | KROL | N/A | JEREMY | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1650 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9301666117 | N/A | N/A | 5543327 | 2222 | 4802 | 15115883 | N/A | 4215137 | 2025-11-17 08:05:30.487582 | 2025-10-13 23:09:53.444170 |
| 2025-11-16 08:04:34.604799 | 2025-11-17 08:02:35.584068 | 14818749 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 14818749 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-11-19 | M | AE | MCCOWAN | 93341440D | KEVIN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.100322208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_14818749_475b6088-604b-4775-9e50-94e7a866575e.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-03-27 | N/A | N/A | N/A | N/A | false | MCCOWAN | 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 | 9301666116 | N/A | N/A | 5543270 | 2222 | 4793 | 15115517 | N/A | 4215086 | 2025-11-17 08:02:35.584068 | 2025-05-13 04:29:37.229401 |
| 2025-11-16 08:04:34.436512 | 2025-11-17 01:42:09.018086 | 14818744 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14818744 | Athletic Physical Therapy Inc | 1979-11-10 | 2025-11-19 | F | PT | SEITZ | SEY495A67668 | KORINNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.101241237.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8225980/check_14818744_b5956dad-c5d1-4108-bac9-99aff49c0b63.json | N/A | N/A | N/A | N/A | N/A | SEY495A67668 | Preferred Provider Organization (PPO) | SEMPRA HEALTH CARE PLUS | ANTHEM BLUE CROSS | N/A | 1979-11-10 | 040 | 174217M3B7 | N/A | PR | false | SEITZ | N/A | CORY | N/A | 9999-12-31 | 2019-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9301685096 | N/A | N/A | 8225980 | 2222 | 4801 | 15080086 | N/A | 6982786 | 2025-11-17 01:42:09.018086 | 2025-09-05 22:05:24.545118 |
| 2025-11-16 08:04:34.269145 | 2025-11-17 08:03:08.195329 | 14818739 | N/A | N/A | 60054 | Aetna | 1114042165 | 14818739 | Athletic Physical Therapy Inc | 1994-09-02 | 2025-11-19 | F | AE | CHEN | W286265318 | KELLY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.100322208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543266/check_14818739_40021e30-da74-4ae8-ad88-db460e49f762.json | N/A | N/A | N/A | N/A | N/A | W286265318 | Point of Service (POS) | ADOBE INC. | AETNA | N/A | 1994-09-02 | 0660819 | 066081901600001 | N/A | PS | false | CHEN | N/A | KELLY | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9301666115 | N/A | N/A | 5543266 | 2222 | 4802 | 15115582 | N/A | 4215081 | 2025-11-17 08:03:08.195329 | 2025-05-13 04:29:37.229396 |
| 2025-11-16 08:04:34.100787 | 2025-11-17 08:05:11.040853 | 14818735 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14818735 | Athletic Physical Therapy Inc | 2003-10-09 | 2025-11-19 | F | PT | LUKOWITSCH | XDPCA8263500 | HALLIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.100322208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543178/check_14818735_e20cf479-b2d0-4f71-af0d-d30ce0854cf8.json | N/A | N/A | N/A | N/A | N/A | XDPCA8263500 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | ANTHEM BLUE CROSS | N/A | 2003-10-09 | 040 | 275958P701 | N/A | PR | false | LUKOWITSCH | N/A | HALLIE | N/A | 9999-12-31 | 2025-09-22 | PPO UC SHIP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9301666114 | N/A | N/A | 5543178 | 2222 | 4802 | 15115847 | N/A | 4215006 | 2025-11-17 08:05:11.040853 | 2025-05-13 04:29:37.229325 |
| 2025-11-16 08:04:33.982414 | 2025-11-17 08:04:22.070262 | 14818729 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 14818729 | Athletic Physical Therapy Inc | 1957-01-21 | 2025-11-19 | M | AE | SHADDY | 40064865601 | STEVE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.100322208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543011/check_14818729_e2dadca0-3ffe-460b-ab45-428cf8ab4bad.json | N/A | N/A | N/A | N/A | N/A | 40064865601 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | SHADDY | 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 | 9301666113 | N/A | N/A | 5543011 | 2222 | 4801 | 15115754 | N/A | 4214861 | 2025-11-17 08:04:22.070262 | 2026-02-04 19:10:58.526441 |
| 2025-11-16 08:04:33.866042 | 2025-11-17 08:03:08.642029 | 14818726 | N/A | N/A | 60054 | Aetna | 1114042165 | 14818726 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-11-19 | M | AE | KORY | 102161581800 | MICHAEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.100322208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542870/check_14818726_1d5ff7a5-292d-491a-bf6b-2f5ba70b6621.json | N/A | N/A | N/A | N/A | N/A | 102161581800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1959-05-08 | 000003-CA000058 | 000003-CA | N/A | PR | false | KORY | N/A | MICHAEL | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9301666112 | N/A | N/A | 5542870 | 2222 | 4793 | 15115583 | N/A | 4214732 | 2025-11-17 08:03:08.642029 | 2025-06-24 20:13:53.579048 |
| 2025-11-16 08:04:33.567792 | 2025-11-17 08:10:06.513199 | 14818718 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14818718 | Athletic Physical Therapy Inc | 1951-06-05 | 2025-11-18 | F | AE | Roberts | 8J26AQ7EV76 | Mary Bryan | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.100322208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542843/check_14818718_e8642473-e8d8-43c5-bb61-e8b74e3d98f4.json | N/A | N/A | N/A | N/A | N/A | 8J26AQ7EV76 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-05 | S5601 | N/A | N/A | MA | false | ROBERTS | N/A | MARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9301666111 | N/A | N/A | 5542843 | 2222 | 4793 | 15116358 | N/A | 4214712 | 2025-11-17 08:10:06.513199 | 2025-11-12 19:26:06.663656 |
| 2025-11-16 08:04:33.275452 | 2025-11-17 08:10:04.713727 | 14818710 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14818710 | Athletic Physical Therapy Inc | 1941-11-27 | 2025-11-19 | M | AE | NEILSON | 2VG5XR5CT78 | GEORGE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.100322208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542623/check_14818710_f40d7bbb-881a-49ce-b604-d27d12d06bfe.json | N/A | N/A | N/A | N/A | N/A | 2VG5XR5CT78 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-11-27 | S4802 | N/A | N/A | MA | false | NEILSON | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9301666110 | N/A | N/A | 5542623 | 2222 | 4801 | 15116355 | N/A | 4214511 | 2025-11-17 08:10:04.713727 | 2025-05-13 04:29:37.228826 |
| 2025-11-16 08:04:32.812637 | 2025-11-17 08:10:08.277635 | 14818700 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14818700 | Athletic Physical Therapy Inc | 1949-11-21 | 2025-11-17 | M | AE | WOLFE | 7JF6YW4EF47 | KEVIN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.100322208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542521/check_14818700_5f2323be-0b14-41e3-b5b4-ebf459eda9d1.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 | 9301666109 | N/A | N/A | 5542521 | 2222 | 4801 | 15116362 | N/A | 4214422 | 2025-11-17 08:10:08.277635 | 2025-05-13 04:29:37.228745 |
| 2025-11-16 08:04:32.539880 | 2025-11-17 08:10:06.007865 | 14818695 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14818695 | Athletic Physical Therapy Inc | 1959-10-03 | 2025-11-17 | F | AE | REED | 2YY5KV0WP59 | SONIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.100322208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542497/check_14818695_16251f78-1cce-4465-a97d-178759b51835.json | N/A | N/A | N/A | N/A | N/A | 2YY5KV0WP59 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-10-03 | S5617 | N/A | N/A | MB | false | REED | N/A | SONIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9301666108 | N/A | N/A | 5542497 | 2222 | 4801 | 15116357 | N/A | 4214397 | 2025-11-17 08:10:06.007865 | 2025-05-13 04:29:37.228723 |
| 2025-11-16 08:04:32.394433 | 2025-11-17 08:04:47.618676 | 14818689 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 14818689 | Athletic Physical Therapy Inc | 2009-08-26 | 2025-11-19 | F | AE | ELAZARY | 000019315679 | NATALEE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.100322208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542060/check_14818689_654e284e-da1d-4b77-bbee-8c85cd124a86.json | N/A | N/A | N/A | N/A | N/A | 000019315679 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 2009-08-26 | 4344868 | 235828 | N/A | N/A | false | ELAZARY | N/A | NATALEE | N/A | N/A | N/A | EDGIO INC. EDGIO EC ACTIVES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9301666107 | N/A | N/A | 5542060 | 2222 | 4793 | 15115801 | N/A | 4214019 | 2025-11-17 08:04:47.618676 | 2025-05-13 04:29:37.228340 |
| 2025-11-16 08:04:32.224795 | 2025-11-17 08:10:06.860537 | 14818684 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14818684 | Athletic Physical Therapy Inc | 1944-04-25 | 2025-11-18 | F | AE | ROSENTHAL | 6WM0N21VW35 | PHYLLIS | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.100322208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541887/check_14818684_89a5e8b6-a216-4873-be7e-4ba378eb9ec7.json | N/A | N/A | N/A | N/A | N/A | 6WM0N21VW35 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-04-25 | S4802 | N/A | N/A | MA | false | ROSENTHAL | N/A | PHYLLIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9301666106 | N/A | N/A | 5541887 | 2222 | 4802 | 15116359 | N/A | 4213865 | 2025-11-17 08:10:06.860537 | 2025-05-13 04:29:37.228183 |
| 2025-11-16 08:04:32.073227 | 2025-11-17 08:05:31.119222 | 14818681 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14818681 | Athletic Physical Therapy Inc | 1980-05-29 | 2025-11-19 | F | PT | KURTZ | XED906231353 | NINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.100322208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541378/check_14818681_6ea3161e-b60e-44fd-8e92-c353d099c705.json | N/A | N/A | N/A | N/A | N/A | XED906231353 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-05-29 | 2001ZK002169 | X0001004 | N/A | PR | false | KURTZ | N/A | NINA | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9301666105 | N/A | N/A | 5541378 | 2222 | 4793 | 15115884 | N/A | 4213405 | 2025-11-17 08:05:31.119222 | 2025-05-13 04:29:37.227726 |
| 2025-11-16 08:04:31.781851 | 2025-11-17 08:10:02.491684 | 14818672 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14818672 | Athletic Physical Therapy Inc | 1949-12-02 | 2025-11-18 | F | AE | LADEN | 6GY2TG9HX06 | CANDACE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.100322208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540768/check_14818672_9e1c8842-640a-4c3c-b631-9e9df086d326.json | N/A | N/A | N/A | N/A | N/A | 6GY2TG9HX06 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-12-02 | S4802 | N/A | N/A | MA | false | LADEN | N/A | CANDACE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9301666104 | N/A | N/A | 5540768 | 2222 | 4802 | 15116351 | N/A | 4212856 | 2025-11-17 08:10:02.491684 | 2025-08-04 18:33:35.319989 |
| 2025-11-16 08:04:31.418128 | 2025-11-17 08:09:55.405446 | 14818661 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14818661 | Athletic Physical Therapy Inc | 1954-06-15 | 2025-11-18 | F | AE | ADIB | 1TJ9E76RP17 | JILA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.100322208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540303/check_14818661_c5667ac3-789f-4492-9a30-aa31db795e1b.json | N/A | N/A | N/A | N/A | N/A | 1TJ9E76RP17 | Medicare Part B | N/A | ACCESS GENERALINSUR COMP | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-06-15 | S4802 | DOL 10302012 | N/A | MB | false | ADIB | N/A | JILA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9301666103 | N/A | N/A | 5540303 | 2222 | 4801 | 15116338 | N/A | 4212486 | 2025-11-17 08:09:55.405446 | 2025-09-30 02:32:14.808821 |
| 2025-11-16 08:04:31.109112 | 2025-11-17 08:03:53.946354 | 14818655 | N/A | N/A | 62308 | CIGNA PPO | 1114042165 | 14818655 | Athletic Physical Therapy Inc | 1967-12-13 | 2025-11-19 | M | AE | MIDDLETON | U3369221802 | BLAKE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.100322208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540185/check_14818655_66f0de7b-9541-4fd6-a271-72f46e79bcbc.json | N/A | N/A | N/A | N/A | N/A | U3369221802 | 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 | 1967-12-13 | N/A | 3346355 | N/A | HM | false | MIDDLETON | N/A | BLAKE | N/A | N/A | N/A | NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9301666102 | N/A | N/A | 5540185 | 2222 | 4802 | 15115684 | 4437 | 4212381 | 2025-11-17 08:03:53.946354 | 2025-12-17 20:12:42.035054 |
| 2025-11-16 08:04:30.979446 | 2025-11-17 08:04:51.061194 | 14818651 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14818651 | Athletic Physical Therapy Inc | 1982-06-09 | 2025-11-19 | M | AE | FULKERSON | R12222652MM1 | SCOTT | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.100322208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539956/check_14818651_38e8ad46-3afe-4dfc-8837-89b0116b0554.json | N/A | N/A | N/A | N/A | N/A | R12222652MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1982-06-09 | N/A | N/A | N/A | N/A | false | FULKERSON | N/A | SCOTT | N/A | N/A | N/A | MFC UCNNHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9301666101 | N/A | N/A | 5539956 | 2222 | 4801 | 15115807 | N/A | 4212166 | 2025-11-17 08:04:51.061194 | 2025-10-23 15:59:33.239127 |
| 2025-11-16 08:04:30.864148 | 2025-11-17 08:05:10.060312 | 14818646 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14818646 | Athletic Physical Therapy Inc | 1980-04-11 | 2025-11-19 | M | PT | Hurst | JQY695A75359 | Gregory | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.100322208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539085/check_14818646_8a73f3ee-2243-4c02-982c-4f53dfd56dd2.json | N/A | N/A | N/A | N/A | N/A | JQY695A75359 | Preferred Provider Organization (PPO) | YALE MANAGEMENT SERVICES | ANTHEM BLUE CROSS | N/A | 1980-04-11 | 040 | 342584 | N/A | PR | false | HURST | N/A | GREGORY | N/A | 2025-12-01 | 2024-12-01 | ANTHEM SILVER SELECT PPO 50/2200/40% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9301666100 | N/A | N/A | 5539085 | 2222 | 4793 | 15115845 | N/A | 4211408 | 2025-11-17 08:05:10.060312 | 2025-09-18 00:42:48.586801 |
| 2025-11-16 08:04:30.748728 | 2025-11-17 08:10:04.182814 | 14818643 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14818643 | Athletic Physical Therapy Inc | 1950-08-31 | 2025-11-18 | M | AE | NADRICH | 1NJ2V04GK04 | JEFFREY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.100322208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538990/check_14818643_21027002-a8b7-492d-bba6-367a666bde3f.json | N/A | N/A | N/A | N/A | N/A | 1NJ2V04GK04 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-08-31 | S5601 | N/A | N/A | MB | false | NADRICH | N/A | JEFF | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9301666099 | N/A | N/A | 5538990 | 2222 | 4802 | 15116354 | N/A | 4211316 | 2025-11-17 08:10:04.182814 | 2025-05-13 04:29:37.225679 |
| 2025-11-16 08:04:30.232236 | 2025-11-17 08:09:58.661683 | 14818628 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14818628 | Athletic Physical Therapy Inc | 1952-12-18 | 2025-11-17 | F | AE | DU BRIN | 7KN7YG8XT63 | SUSAN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.100322208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538600/check_14818628_67068b9d-942c-417a-9199-c73f2f084bb7.json | N/A | N/A | N/A | N/A | N/A | 7KN7YG8XT63 | Medicare Part B | N/A | UNITED SERVICES AUTOMOBILE ASSOC | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-12-18 | S4802 | DOL 06142025 | N/A | MB | false | DU BRIN | N/A | SUSAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9301666097 | N/A | N/A | 5538600 | 2222 | 4793 | 15116344 | N/A | 4210998 | 2025-11-17 08:09:58.661683 | 2026-02-23 18:49:01.874308 |
| 2025-11-16 08:04:29.902871 | 2025-11-17 08:09:58.032887 | 14818620 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14818620 | Athletic Physical Therapy Inc | 1954-01-24 | 2025-11-17 | F | AE | DIGIOVANNI | 4N09TQ2YY18 | JILL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251116.100322208.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538592/check_14818620_3b113865-abb4-41d4-ac9a-cb4f563f3ec2.json | N/A | N/A | N/A | N/A | N/A | 4N09TQ2YY18 | Medicare Part A | N/A | SENTRY INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-24 | S4802 | DOL 11022017 | N/A | MA | false | DIGIOVANNI | N/A | JILL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9301666096 | N/A | N/A | 5538592 | 2222 | 4801 | 15116343 | N/A | 4210993 | 2025-11-17 08:09:58.032887 | 2025-05-13 04:29:37.225395 |