API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-15 08:18:12.385081 | 2025-11-16 01:48:41.339503 | 14805489 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 14805489 | Athletic Physical Therapy Inc | 1977-09-01 | 2025-11-18 | F | AE | PT | GONZALEZ | 90973117G | KARINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111047533.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12676900/check_14805489_cbd1eda6-28d4-4037-bc39-44e182d28d11.json | N/A | N/A | N/A | N/A | N/A | 90973117G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1977-09-01 | N/A | N/A | N/A | N/A | false | GONZALEZ | N/A | KARINA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295897175 | N/A | N/A | 12676900 | 2222 | 4793 | 15059568 | N/A | 10845891 | 2025-11-16 01:48:41.339503 | 2025-11-17 16:21:20.857261 |
| 2025-11-15 08:18:07.133346 | 2025-11-16 01:37:55.086629 | 14805444 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14805444 | Athletic Physical Therapy Inc | 2012-11-14 | 2025-11-18 | F | PT | N/A | IOANNOU | PAS839113807 | PENELOPE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111028079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6621141/check_14805444_b1d03e62-f687-4dd7-877a-dfb9401cd0f5.json | N/A | N/A | N/A | N/A | N/A | PAS839113807 | Preferred Provider Organization (PPO) | WEST HEALTH CARE NETWORK | CUSTOMER SERVICE | N/A | 2012-11-14 | N/A | 152010 | N/A | PR | false | IOANNOU | N/A | GEORGE | N/A | 9999-12-31 | 2018-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295880786 | N/A | N/A | 6621141 | 2222 | 4801 | 15055646 | N/A | 5237460 | 2025-11-16 01:37:55.086629 | 2025-07-24 16:59:54.908041 |
| 2025-11-15 08:18:00.953066 | 2025-11-16 01:37:00.719849 | 14805381 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14805381 | Athletic Physical Therapy Inc | 1963-02-27 | 2025-11-18 | F | PT | N/A | MARYAN | JPU047A23611 | MICHELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111028079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6600346/check_14805381_aa0159bf-ed94-4c9d-953b-162ea1041a9d.json | N/A | N/A | N/A | N/A | N/A | JPU047A23611 | Preferred Provider Organization (PPO) | PREMIER AMERICA CREDIT UNION | ANTHEM BLUE CROSS | N/A | 1963-02-27 | 040 | L06734M004 | N/A | PR | false | MARYAN | N/A | MICHELLE | N/A | 9999-12-31 | 2025-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295880077 | N/A | N/A | 6600346 | 2222 | 4801 | 15055080 | N/A | 4211322 | 2025-11-16 01:37:00.719849 | 2025-07-17 16:31:59.104530 |
| 2025-11-15 08:17:23.396591 | 2025-11-16 01:49:24.728498 | 14804958 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14804958 | Athletic Physical Therapy Inc | 2010-12-03 | 2025-11-18 | F | PT | N/A | PENG | XEA912821146 | HAILEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111047533.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12585422/check_14804958_713ab52f-7da8-446a-adf0-040e0675f4a6.json | N/A | N/A | N/A | N/A | N/A | XEA912821146 | Preferred Provider Organization (PPO) | ALIGN FOOT ANKLE CENTER | BLUE SHIELD CALIFORNIA | N/A | 2010-12-03 | 1000VX000102 | W0128498 | N/A | PR | false | PENG | N/A | HAI-EN | N/A | 2029-12-31 | 2024-01-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295897415 | N/A | N/A | 12585422 | 2222 | 4801 | 15059844 | N/A | 10754834 | 2025-11-16 01:49:24.728498 | 2025-11-12 03:06:38.906834 |
| 2025-11-15 08:17:06.096689 | 2025-11-16 01:32:06.700296 | 14804692 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 14804692 | Athletic Physical Therapy Inc | 1962-06-24 | 2025-11-18 | F | AE | PT | GOMEZ | 44116442 | CAROL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111028079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6434660/check_14804692_e51dbfcc-e744-4df4-a15c-fe75802dbe4b.json | N/A | N/A | N/A | N/A | N/A | 44116442 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1962-06-24 | 406-024-000 | N/A | N/A | N/A | false | GOMEZ | N/A | CAROL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295880754 | N/A | N/A | 6434660 | 2222 | 4801 | 15052016 | 6798 | 5079832 | 2025-11-16 01:32:06.700296 | 2025-06-23 20:02:36.660262 |
| 2025-11-15 08:16:49.804238 | 2025-11-16 01:48:47.638263 | 14804425 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14804425 | Athletic Physical Therapy Inc | 2001-09-21 | 2025-11-18 | F | PT | N/A | Kafka | JQU923M93135 | Helen | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111047533.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12531821/check_14804425_216269ee-d1ad-4cf8-bd12-9fc363318def.json | N/A | N/A | N/A | N/A | N/A | JQU923M93135 | Preferred Provider Organization (PPO) | CAL CHOICE DECEMBER 1.00 | ANTHEM BLUE CROSS | N/A | 2001-09-21 | 040 | 476517 | N/A | PR | false | HANSON | N/A | ANNE | N/A | 2025-12-01 | 2024-12-01 | ANTHEM SILVER PPO 50/1700/40% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295897607 | N/A | N/A | 12531821 | 2222 | 4802 | 15059608 | N/A | 10703699 | 2025-11-16 01:48:47.638263 | 2025-11-11 00:34:27.276866 |
| 2025-11-15 08:16:49.508055 | 2025-11-16 01:33:52.886610 | 14804420 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 14804420 | Athletic Physical Therapy Inc | 1950-06-01 | 2025-11-18 | F | AE | PT | MCDEVITT | H7220666800 | GUADALUPE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111028079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6221805/check_14804420_9e18d6eb-f428-47aa-b93e-f3191743a206.json | N/A | N/A | N/A | N/A | N/A | H72206668 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1950-06-01 | N/A | 0B527001 | N/A | HN | false | MCDEVITT | N/A | GUADALUPE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295881051 | N/A | N/A | 6221805 | 2222 | 4801 | 15053103 | N/A | 4865742 | 2025-11-16 01:33:52.886610 | 2025-06-11 15:46:59.098537 |
| 2025-11-15 08:16:38.054742 | 2025-11-16 01:37:00.879860 | 14804224 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14804224 | Athletic Physical Therapy Inc | 1998-10-29 | 2025-11-18 | M | PT | N/A | MARSHALL | AGSAH0066119 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.102017660.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7003223/check_14804224_94787657-c8a2-48b3-9acd-e25e8ece9337.json | N/A | N/A | N/A | N/A | N/A | AGSAH0066119 | N/A | PEPPERDINE UNIVERSITY | ANTHEM BLUE CROSS | N/A | 1998-10-29 | 040 | 276500MG04 | N/A | N/A | false | MARSHALL | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295868540 | N/A | N/A | 7003223 | 2222 | 4793 | 15055081 | N/A | 6021448 | 2025-11-16 01:37:00.879860 | 2025-07-14 23:05:51.728886 |
| 2025-11-15 08:16:37.570790 | 2025-11-16 01:48:47.034660 | 14804210 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14804210 | Athletic Physical Therapy Inc | 1955-08-12 | 2025-11-18 | F | PT | N/A | BROWN | JQE826W05551 | DENISE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111047533.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12522343/check_14804210_f246e574-a4d1-4390-b42c-9bbe58fabbdf.json | N/A | N/A | N/A | N/A | N/A | JQE826W05551 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1955-08-12 | 040 | CASUPWP0 | N/A | N/A | false | BROWN | N/A | DENISE | N/A | 9999-12-31 | 2020-08-01 | CA MODERNIZED PLAN G | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295896517 | N/A | N/A | 12522343 | 2222 | 4801 | 15059604 | N/A | 10695469 | 2025-11-16 01:48:47.034660 | 2025-11-10 21:31:45.637979 |
| 2025-11-15 08:16:30.251134 | 2025-11-16 01:37:40.857895 | 14804032 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14804032 | Athletic Physical Therapy Inc | 1994-02-23 | 2025-11-18 | F | PT | N/A | SHU | XAN913831469 | GABRIELA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111028079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6121701/check_14804032_a6216b4a-41dd-45f7-8c67-d3e13ba3b4bc.json | N/A | N/A | N/A | N/A | N/A | XAN913831469 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1994-02-23 | 1479PPOX0003 | W0051411 | N/A | PR | false | SHU | N/A | GABRIELA | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295880996 | N/A | N/A | 6121701 | 2222 | 4793 | 15055495 | N/A | 4764460 | 2025-11-16 01:37:40.857895 | 2025-06-04 04:30:06.494155 |
| 2025-11-15 08:16:26.894890 | 2025-11-16 01:37:00.330503 | 14803951 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14803951 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-11-18 | M | AE | PT | CICCIARI | JQE123W23890 | LOUIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.102017660.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752939/check_14803951_70c702c7-95b5-4a57-8f2a-8a1f2dd09456.json | N/A | N/A | N/A | N/A | N/A | JQE123W23890 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-09-07 | 040 | CASUPWP0 | N/A | N/A | false | CICCIARI | N/A | LOUIS | N/A | 9999-12-31 | 2025-06-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295869219 | N/A | N/A | 6752939 | 2222 | 4801 | 15055076 | N/A | 5065602 | 2025-11-16 01:37:00.330503 | 2025-07-01 17:25:13.681724 |
| 2025-11-15 08:16:24.366052 | 2025-11-16 01:43:40.146315 | 14803889 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 14803889 | Athletic Physical Therapy Inc | 1956-07-15 | 2025-11-18 | M | AE | PT | Raudonis | 34838892911 | Mark | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111032513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12493578/check_14803889_0dd9f259-7568-4cf9-9e3b-b091ef4f38d4.json | N/A | N/A | N/A | N/A | N/A | 34838892911 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1956-07-15 | N/A | N/A | N/A | SP | false | RAUDONIS | N/A | MARK | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295873734 | N/A | N/A | 12493578 | 2222 | 4793 | 15058052 | N/A | 10670073 | 2025-11-16 01:43:40.146315 | 2025-11-10 18:20:04.243140 |
| 2025-11-15 08:16:23.328311 | 2025-11-16 01:37:00.586848 | 14803862 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14803862 | Athletic Physical Therapy Inc | 1959-07-23 | 2025-11-18 | M | AE | PT | Harvey | LFYHC0062508 | Roy | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.102017660.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714942/check_14803862_0fe23368-2499-456d-abaa-177f6c42c465.json | N/A | N/A | N/A | N/A | N/A | LFYHC0062508 | Preferred Provider Organization (PPO) | LOS ANGELES FIREMENS RELIEF ASSOCIATION - RETIREE | ANTHEM BLUE CROSS | N/A | 1959-07-23 | 040 | 282527M002 | N/A | PR | false | HARVEY | N/A | ROY | N/A | 9999-12-31 | 2020-02-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295868223 | N/A | N/A | 6714942 | 2222 | 4802 | 15055079 | N/A | 5316172 | 2025-11-16 01:37:00.586848 | 2025-07-02 15:09:36.678003 |
| 2025-11-15 08:16:15.300352 | 2025-11-16 01:33:49.551922 | 14803649 | N/A | N/A | 47027 | Physicians Mutual Insurance Company | 1114042165 | 14803649 | Athletic Physical Therapy Inc | 1952-10-25 | 2025-11-18 | F | AE | PT | JOHNSTON | H750053601 | DEBORAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.102017660.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638391/check_14803649_bf3bb1d0-24c7-4b9b-93c3-cfdb7a593fec.json | N/A | N/A | N/A | N/A | N/A | H750053601 | N/A | N/A | PHYSICIANS MUTUAL | PAYMENT NOT GUARANTEED; BENEFITS SUBJECT TO CLAIM APPROVAL | 1952-10-25 | N/A | N/A | N/A | N/A | false | JOHNSTON | N/A | DEBORAH | N/A | N/A | N/A | MEDICARE SUPPLEMENT 2023 PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295869188 | N/A | N/A | 6638391 | 2222 | 4793 | 15053067 | N/A | 5247837 | 2025-11-16 01:33:49.551922 | 2026-02-24 20:36:49.807283 |
| 2025-11-15 08:16:08.554326 | 2025-11-16 01:37:01.463732 | 14803476 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14803476 | Athletic Physical Therapy Inc | 1960-10-21 | 2025-11-18 | M | AE | PT | UPSON | JQE907W24463 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.102017660.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6517484/check_14803476_116e037d-8c04-4018-92d0-8d09eea8542c.json | N/A | N/A | N/A | N/A | N/A | JQE907W24463 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1960-10-21 | 040 | CASUPWP0 | N/A | N/A | false | UPSON | N/A | MARK | N/A | 9999-12-31 | 2025-10-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295868173 | N/A | N/A | 6517484 | 2222 | 4801 | 15055088 | N/A | 4219691 | 2025-11-16 01:37:01.463732 | 2025-05-13 04:29:37.230736 |
| 2025-11-15 08:16:01.950711 | 2025-11-16 03:48:20.586066 | 14803281 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14803281 | Athletic Physical Therapy Inc | 1947-12-03 | 2025-11-18 | M | AE | PT | WONG | MBL700W07323 | STANLEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.102822333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8469090/check_14803281_0d6627ea-b6d8-4bdd-a33e-b4098b2a4cd6.json | N/A | N/A | N/A | N/A | N/A | MBL700W07323 | N/A | UNITED FOOD AND COMMERCIAL WORKERS UNIONS | ANTHEM BLUE CROSS | N/A | 1947-12-03 | 040 | CAEGR014 | N/A | N/A | false | WONG | N/A | STANLEY | N/A | 9999-12-31 | 2021-01-01 | CA GRS UFCW UNION H4036-802 ANTHEM MED PREF MA 25P | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295863540 | N/A | N/A | 8469090 | 2222 | 4802 | 15065700 | N/A | 7140615 | 2025-11-16 03:48:20.586066 | 2025-09-05 16:51:17.488032 |
| 2025-11-15 08:16:00.633026 | 2025-11-16 01:37:41.150001 | 14803223 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14803223 | Athletic Physical Therapy Inc | 1973-02-24 | 2025-11-18 | F | PT | N/A | TAKEMOTO | XED906098170 | NICOLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111028079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928752/check_14803223_44b3f2db-3f72-4e26-9c6b-a12894a84c24.json | N/A | N/A | N/A | N/A | N/A | XED906098170 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1973-02-24 | 2001ZK002184 | X0001004 | N/A | PR | false | TAKEMOTO | N/A | NICOLE | N/A | 9999-12-31 | 2025-01-01 | SILVER 94 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295880332 | N/A | N/A | 5928752 | 2222 | 4802 | 15055498 | N/A | 4583701 | 2025-11-16 01:37:41.150001 | 2025-07-24 17:50:11.805587 |
| 2025-11-15 08:15:54.675314 | 2025-11-16 01:36:41.391515 | 14802967 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14802967 | Athletic Physical Therapy Inc | 1953-03-27 | 2025-11-17 | F | AE | PT | FINE | 00000272194 | MICHELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111028079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858742/check_14802967_63a3135f-33cb-463e-9f53-ddb13e4660a7.json | N/A | N/A | N/A | N/A | N/A | 00000272194 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1953-03-27 | H3815028 | N/A | N/A | HM | false | FINE | N/A | MICHELLE | 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 | 9295879459 | N/A | N/A | 5858742 | 2222 | 4801 | 15054876 | 2630 | 4219630 | 2025-11-16 01:36:41.391515 | 2025-05-13 04:29:37.230672 |
| 2025-11-15 08:15:54.563679 | 2025-11-16 03:48:19.946142 | 14802961 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14802961 | Athletic Physical Therapy Inc | 2011-10-18 | 2025-11-18 | F | PT | N/A | GARCIA | LDU736A55056 | SADIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.102822333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8387470/check_14802961_1afae614-533a-4391-87b7-ae192d53b680.json | N/A | N/A | N/A | N/A | N/A | LDU736A55056 | Exclusive Provider Organization | LAUSD | ANTHEM BLUE CROSS | N/A | 2011-10-18 | 040 | 1838NJ | N/A | EP | false | GARCIA | N/A | RUBEN | N/A | 9999-12-31 | 2024-01-01 | PRUDENT BUYER EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295861707 | N/A | N/A | 8387470 | 2222 | 4801 | 15065696 | N/A | 5132739 | 2025-11-16 03:48:19.946142 | 2025-07-14 21:32:03.363712 |
| 2025-11-15 08:15:46.254260 | 2025-11-16 03:43:05.138022 | 14802587 | N/A | N/A | 60054 | Aetna | 1114042165 | 14802587 | Athletic Physical Therapy Inc | 1972-12-30 | 2025-11-18 | M | AE | PT | MCHALE | W27265070 | MATT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.102822333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173116/check_14802587_c6fa88c6-6cd1-4052-a252-b11cfa26662f.json | N/A | N/A | N/A | N/A | N/A | W272665070 | Point of Service (POS) | SONY CORPORATION OF AMERICA | AETNA | N/A | 1972-12-30 | 0486873 | 048687302100161 | N/A | PS | false | MCHALE | N/A | MATTHEW | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295862944 | N/A | N/A | 8173116 | 2222 | 4802 | 15063849 | N/A | 6939617 | 2025-11-16 03:43:05.138022 | 2025-09-16 00:28:24.457071 |
| 2025-11-15 08:15:45.982255 | 2025-11-16 03:48:33.836566 | 14802575 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14802575 | Athletic Physical Therapy Inc | 1955-07-22 | 2025-11-18 | M | AE | PT | BUDIG | 000002321310 | FREDERICK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111023695.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11916686/check_14802575_901d36ff-018b-4975-85cd-a7b77c8893ae.json | N/A | N/A | N/A | N/A | N/A | 000002321310 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-07-22 | N/A | N/A | N/A | N/A | false | BUDIG | N/A | FREDERICK | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295862499 | N/A | N/A | 11916686 | 2222 | 4793 | 15065734 | 2630 | 10144604 | 2025-11-16 03:48:33.836566 | 2025-11-18 17:17:05.039116 |
| 2025-11-15 08:15:40.780497 | 2025-11-16 03:41:25.143643 | 14802351 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 14802351 | Athletic Physical Therapy Inc | 1956-07-22 | 2025-11-18 | F | AE | PT | DURAN DE PANTOJA | 43649326 | ROSA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.102822333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8088383/check_14802351_94e81aed-f7f2-4283-ad29-40326140fff4.json | N/A | N/A | N/A | N/A | N/A | 43649326 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-07-22 | N/A | N/A | N/A | N/A | false | DURAN DE PANTOJA | N/A | ROSA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295865106 | N/A | N/A | 8088383 | 2222 | 4793 | 15063237 | N/A | 6871702 | 2025-11-16 03:41:25.143643 | 2025-08-14 21:08:52.019264 |
| 2025-11-15 08:15:40.132266 | 2025-11-15 08:16:17.266478 | 14802322 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-11-18 | F | AE | PT | YUNG | 00854676304 | MAYA | 6338 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_14802322_27803472-88eb-4ea6-90ac-c6a3d6f1779f.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-11-18 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2025-11-15 08:16:17.266478 | 2025-05-13 04:29:37.229495 |
| 2025-11-15 08:15:37.355212 | 2025-11-16 01:35:56.521000 | 14802202 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14802202 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-11-18 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111028079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_14802202_ba5c0f2e-2e77-467d-8625-68c08d42eb5f.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295879634 | N/A | N/A | 5568076 | 2222 | 4802 | 15054418 | N/A | 4209480 | 2025-11-16 01:35:56.521000 | 2026-04-10 02:05:15.976484 |
| 2025-11-15 08:15:35.881950 | 2025-11-16 03:47:22.314557 | 14802143 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 14802143 | Athletic Physical Therapy Inc | 1980-08-02 | 2025-11-18 | M | AE | PT | HILTSER | 208616901 | LORNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.102822333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8048052/check_14802143_5a992c24-a20f-47e6-8ecf-adefe426ed30.json | N/A | N/A | N/A | N/A | N/A | 208616901 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1980-08-02 | N/A | 265486 | N/A | C1 | false | HILTSER | N/A | LORNE | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO GOLD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295862829 | N/A | N/A | 8048052 | 2222 | 4802 | 15065446 | N/A | 6844134 | 2025-11-16 03:47:22.314557 | 2025-08-29 16:18:21.978739 |
| 2025-11-15 08:15:35.231901 | 2025-11-16 03:47:59.659558 | 14802115 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 14802115 | Athletic Physical Therapy Inc | 1952-10-12 | 2025-11-18 | F | AE | PT | Abraha | 22679175290 | Tarik | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111023695.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11843086/check_14802115_2bd78b00-b0e5-4b47-86ee-76f58ca871d0.json | N/A | N/A | N/A | N/A | N/A | 22679175290 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1952-10-12 | N/A | N/A | N/A | N/A | false | ABRAHA | N/A | TARIK | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295864169 | N/A | N/A | 11843086 | 2222 | 4802 | 15065615 | N/A | 10074998 | 2025-11-16 03:47:59.659558 | 2025-10-29 23:19:49.535455 |
| 2025-11-15 08:15:32.025669 | 2025-11-16 01:50:02.310767 | 14801982 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14801982 | Athletic Physical Therapy Inc | 1960-03-18 | 2025-11-18 | F | AE | PT | MEYER | JQE221W24060 | LESLIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111032513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11928247/check_14801982_fb8e91aa-ea6b-49b8-97bc-0790596a1acb.json | N/A | N/A | N/A | N/A | N/A | JQE221W24060 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1960-03-18 | 040 | CASUPWP0 | N/A | N/A | false | MEYER | N/A | LESLIE | N/A | 9999-12-31 | 2025-08-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295873208 | N/A | N/A | 11928247 | 2222 | 4793 | 15060112 | N/A | 4215335 | 2025-11-16 01:50:02.310767 | 2025-10-30 21:15:07.766449 |
| 2025-11-15 08:15:31.477444 | 2025-11-16 01:32:24.233019 | 14801955 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 14801955 | Athletic Physical Therapy Inc | 1986-10-29 | 2025-11-18 | M | AE | PT | DEROOS | 182788571 | SEAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111028079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551009/check_14801955_07d129d0-830e-4b28-833c-2d61d5dd0a4d.json | N/A | N/A | N/A | N/A | N/A | 182788571 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 1986-10-29 | 18126CA001000101 | QMXEM01910 | N/A | N/A | false | DEROOS | N/A | SEAN | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295880694 | N/A | N/A | 5551009 | 2222 | 4802 | 15052196 | 4211 | 4219827 | 2025-11-16 01:32:24.233019 | 2025-10-31 23:39:58.530194 |
| 2025-11-15 08:15:31.215073 | 2025-11-16 01:32:25.466816 | 14801945 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 14801945 | Athletic Physical Therapy Inc | 1990-11-12 | 2025-11-18 | F | AE | PT | SIMONS | 94378141G | DESIREE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111028079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550102/check_14801945_724ca5c6-8afd-4a84-8b04-d8b87fc35594.json | N/A | N/A | N/A | N/A | N/A | 94378141G | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1990-11-12 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | SIMONS | N/A | DESIREE | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295880693 | N/A | N/A | 5550102 | 2222 | 4802 | 15052208 | 4211 | 4212176 | 2025-11-16 01:32:25.466816 | 2025-05-13 04:29:37.226514 |
| 2025-11-15 08:15:31.014083 | 2025-11-16 01:36:58.955798 | 14801936 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14801936 | Athletic Physical Therapy Inc | 1955-10-09 | 2025-11-18 | M | PT | N/A | COE | JQS589W10732 | SCOTT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111028079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549514/check_14801936_1b7a6ae5-c1be-4a3e-8eb9-912ea9216662.json | N/A | N/A | N/A | N/A | N/A | JQS589W10732 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1955-10-09 | 040 | CAMCRWP0 | N/A | MP | false | COE | N/A | SCOTT | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295880692 | N/A | N/A | 5549514 | 2222 | 4801 | 15055062 | 4185 | 4219161 | 2025-11-16 01:36:58.955798 | 2025-10-16 23:24:12.118501 |
| 2025-11-15 08:15:30.855736 | 2025-11-16 01:32:42.929428 | 14801930 | N/A | N/A | 60054 | Aetna | 1114042165 | 14801930 | Athletic Physical Therapy Inc | 1968-10-14 | 2025-11-18 | F | AE | PT | CARLSON | W161554352 | CYNTHIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111028079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549080/check_14801930_6724b324-84db-4f89-a9c0-e89680f86111.json | N/A | N/A | N/A | N/A | N/A | W161554352 | Point of Service (POS) | UBS FINANCIAL SERVICES INC. | AETNA | N/A | 1968-10-14 | 0880791 | 088079102500011 | N/A | PS | false | CARLSON | N/A | CYNTHIA | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295880691 | N/A | N/A | 5549080 | 2222 | 4801 | 15052381 | N/A | 4218812 | 2025-11-16 01:32:42.929428 | 2025-05-13 04:29:37.229807 |
| 2025-11-15 08:15:30.005764 | 2025-11-16 01:35:57.436459 | 14801893 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14801893 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-11-18 | M | AE | PT | FORTIN | R14644640MS1 | NATHANIEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111028079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_14801893_63c000b0-66a3-4509-bae0-56d5f5497f72.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | K96 SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295880686 | N/A | N/A | 5543425 | 2222 | 4801 | 15054427 | N/A | 4215211 | 2025-11-16 01:35:57.436459 | 2026-04-02 22:30:20.020246 |
| 2025-11-15 08:15:29.795760 | 2025-11-16 01:36:57.844182 | 14801883 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 14801883 | Athletic Physical Therapy Inc | 1962-09-27 | 2025-11-18 | F | PT | N/A | BARAJAS | NCF425A56241 | EMMA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111028079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543324/check_14801883_f07fe1b1-a7bf-4c51-9c56-3a48fe565ac2.json | N/A | N/A | N/A | N/A | N/A | JMV425A56241 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1962-09-27 | 040 | 56677VR000 | N/A | HM | false | BARAJAS | N/A | RAMON | N/A | 9999-12-31 | 2025-09-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295880685 | N/A | N/A | 5543324 | 2222 | 4801 | 15055050 | 4184 | 4215131 | 2025-11-16 01:36:57.844182 | 2025-08-11 16:45:52.816842 |
| 2025-11-15 08:15:29.578504 | 2025-11-16 01:37:40.556279 | 14801877 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14801877 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-11-18 | F | PT | N/A | PAUL | XEK914147727 | SARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111028079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543211/check_14801877_70d2ebc3-85c5-4253-860d-da3dd1a2a8b6.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | 9999-12-31 | 2025-02-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295880684 | N/A | N/A | 5543211 | 2222 | 4801 | 15055491 | N/A | 4215028 | 2025-11-16 01:37:40.556279 | 2025-05-13 04:29:37.229346 |
| 2025-11-15 08:15:29.445162 | 2025-11-16 01:37:01.274382 | 14801870 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14801870 | Athletic Physical Therapy Inc | 1963-10-10 | 2025-11-18 | F | PT | N/A | RUEGGER | MPI01409385Q | ANNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111028079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542955/check_14801870_6ca39e17-c527-4521-ac70-243e14544d20.json | N/A | N/A | N/A | N/A | N/A | MPI01409385Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN - RETIREE | ANTHEM BLUE CROSS | N/A | 1963-10-10 | 040 | 277163M406 | N/A | PR | false | RUEGGER | N/A | THOMAS | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295880683 | N/A | N/A | 5542955 | 2222 | 4793 | 15055086 | N/A | 4214809 | 2025-11-16 01:37:01.274382 | 2025-06-05 16:00:56.918021 |
| 2025-11-15 08:15:29.296823 | 2025-11-16 01:37:40.239348 | 14801862 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14801862 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-11-18 | F | PT | N/A | JAIN | XEK909304497 | SUPARNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111028079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542952/check_14801862_4148be02-ddea-41f9-a903-6423b0443ee6.json | N/A | N/A | N/A | N/A | N/A | XEK909304497 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-01-24 | 2001ZK002189 | X0001000 | N/A | PR | false | JAIN | N/A | SUPARNA | N/A | 9999-12-31 | 2019-09-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295880682 | N/A | N/A | 5542952 | 2222 | 4802 | 15055489 | N/A | 4214804 | 2025-11-16 01:37:40.239348 | 2025-05-13 20:09:53.786482 |
| 2025-11-15 08:15:29.139247 | 2025-11-16 01:32:43.474545 | 14801855 | N/A | N/A | 60054 | Aetna | 1114042165 | 14801855 | Athletic Physical Therapy Inc | 1982-02-18 | 2025-11-18 | M | AE | PT | TORGAN | W291598583 | SPENCER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111028079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542863/check_14801855_b3920d9f-ffb9-4b49-addc-7e10f9d1b974.json | N/A | N/A | N/A | N/A | N/A | W291598583 | Point of Service (POS) | MORGAN STANLEY DOMESTIC HOLDINGS, L | AETNA | N/A | 1982-02-18 | 0868849 | 086884901000001 | N/A | PS | false | TORGAN | N/A | SPENCER | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295880681 | N/A | N/A | 5542863 | 2222 | 4793 | 15052386 | N/A | 4214725 | 2025-11-16 01:32:43.474545 | 2025-05-13 04:29:37.229043 |
| 2025-11-15 08:15:28.918013 | 2025-11-16 01:37:01.864909 | 14801846 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14801846 | Athletic Physical Therapy Inc | 1949-06-30 | 2025-11-17 | F | PT | N/A | STEWART | WSP370A66341 | ALBERTA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111028079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542834/check_14801846_4b146ab5-61e2-42c2-9dda-da2a49674612.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 | 9295880680 | N/A | N/A | 5542834 | 2222 | 4801 | 15055092 | N/A | 4214700 | 2025-11-16 01:37:01.864909 | 2025-05-13 04:29:37.229017 |
| 2025-11-15 08:15:28.719402 | 2025-11-16 01:32:43.212684 | 14801838 | N/A | N/A | 60054 | Aetna | 1114042165 | 14801838 | Athletic Physical Therapy Inc | 2015-03-25 | 2025-11-18 | M | AE | PT | MOLAVI | W290733985 | MATTHEW | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111028079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542759/check_14801838_492b49ea-9c38-49d6-8307-86c62ec46c2f.json | N/A | N/A | N/A | N/A | N/A | W290733985 | Point of Service (POS) | THE TCW GROUP, INC. | AETNA | N/A | 2015-03-25 | 0247292 | 024729201100001 | N/A | PS | false | MOLAVI | N/A | MOHAMAD | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295880679 | N/A | N/A | 5542759 | 2222 | 4793 | 15052383 | N/A | 4214620 | 2025-11-16 01:32:43.212684 | 2025-08-05 22:41:29.756445 |
| 2025-11-15 08:15:28.554818 | 2025-11-16 01:35:57.722678 | 14801830 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14801830 | Athletic Physical Therapy Inc | 1979-11-17 | 2025-11-17 | F | AE | PT | WOODS | 96781627F | JESSICA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111028079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542752/check_14801830_e60c95a3-72df-444d-bbb2-a627add7d053.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 | 9295880678 | N/A | N/A | 5542752 | 2222 | 4793 | 15054430 | N/A | 4214627 | 2025-11-16 01:35:57.722678 | 2025-06-23 18:58:46.304598 |
| 2025-11-15 08:15:28.373886 | 2025-11-16 01:35:57.110980 | 14801823 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14801823 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-11-18 | F | AE | PT | CHERE | 98953535F | DIANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111028079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_14801823_7a6f1cb0-35c6-4035-a3f0-f1842fc70438.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295880677 | N/A | N/A | 5542660 | 2222 | 4802 | 15054424 | N/A | 4214542 | 2025-11-16 01:35:57.110980 | 2025-05-13 04:29:37.228868 |
| 2025-11-15 08:15:28.373190 | 2025-11-16 03:50:49.354239 | 14801822 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14801822 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-11-18 | F | PT | N/A | GIANNE | XED910762094 | NATALIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.102822333.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_14801822_536fb5d9-86f0-46e8-9627-d3a3cab1d03f.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 9999-12-31 | 2021-09-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295863339 | N/A | N/A | 7994545 | 2222 | 4802 | 15066026 | N/A | 6802250 | 2025-11-16 03:50:49.354239 | 2025-08-11 23:58:28.358402 |
| 2025-11-15 08:15:28.198678 | 2025-11-16 01:32:24.520448 | 14801815 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 14801815 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-11-18 | F | AE | PT | HAMI | 92932800G | FARIBA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111028079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542611/check_14801815_eba762e1-cfcb-4a5f-9802-c8118ac4ccf2.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MEDICARE PART AB CI003 | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1960-09-15 | BP0001 | QMXEM01909 | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | 2078-12-31 | 2025-11-01 | DUAL ELIGIBLE AGED - MSP - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295880676 | N/A | N/A | 5542611 | 2222 | 4802 | 15052199 | 4211 | 4214490 | 2025-11-16 01:32:24.520448 | 2025-05-13 04:29:37.228806 |
| 2025-11-15 08:15:28.079520 | 2025-11-16 01:49:09.599096 | 14801811 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14801811 | Athletic Physical Therapy Inc | 1965-10-20 | 2025-11-18 | U | PT | N/A | ROHMER | H4W1301747MB | CHRISTY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111047533.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12438050/check_14801811_5f3b89c5-584d-407d-af69-f3e62be1ddd2.json | N/A | N/A | N/A | N/A | N/A | H4W1301747MB | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1965-10-20 | N/A | N/A | N/A | N/A | false | ROHMER | N/A | CHRISTY | N/A | 2025-12-31 | 2025-08-01 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295895741 | N/A | N/A | 12438050 | 2222 | 4801 | 15059736 | N/A | 10618010 | 2025-11-16 01:49:09.599096 | 2026-04-21 18:05:25.486334 |
| 2025-11-15 08:15:28.053633 | 2025-11-16 01:36:44.453197 | 14801809 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 14801809 | Athletic Physical Therapy Inc | 1988-11-03 | 2025-11-18 | F | AE | PT | CAPISTRANO | 98696372G | FERDELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111028079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542513/check_14801809_c199538c-4da6-4dc7-a942-a82fdbbfbc6f.json | N/A | N/A | N/A | N/A | N/A | 98696372G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1988-11-03 | MCLA | MWLLNMEG21 | N/A | N/A | false | CAPISTRANO | N/A | FERDELLE | N/A | 2078-12-31 | 2024-05-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295880675 | N/A | N/A | 5542513 | 2222 | 4793 | 15054910 | N/A | 4214418 | 2025-11-16 01:36:44.453197 | 2025-07-03 18:12:11.075357 |
| 2025-11-15 08:15:27.895949 | 2025-11-16 01:36:46.474260 | 14801804 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 14801804 | Athletic Physical Therapy Inc | 1975-03-26 | 2025-11-18 | F | AE | PT | HEYES | 95596436F | DARCIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111028079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542233/check_14801804_8a955693-74a6-4ed1-bf53-d8d18d9febcd.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1975-03-26 | N/A | N/A | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295880674 | N/A | N/A | 5542233 | 2222 | 4793 | 15054930 | N/A | 4214178 | 2025-11-16 01:36:46.474260 | 2025-05-13 04:29:37.228506 |
| 2025-11-15 08:15:27.748262 | 2025-11-16 01:37:00.399262 | 14801798 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14801798 | Athletic Physical Therapy Inc | 1938-01-22 | 2025-11-18 | F | PT | N/A | ISTOK | MBL474M98437 | LOIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111028079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542207/check_14801798_f3a553ab-3f11-46a1-8ff6-ba2496d4296c.json | N/A | N/A | N/A | N/A | N/A | MBL474M98437 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1938-01-22 | 040 | CAEGR005 | N/A | N/A | false | ISTOK | N/A | LOIS | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295880673 | N/A | N/A | 5542207 | 2222 | 4802 | 15055077 | N/A | 4214152 | 2025-11-16 01:37:00.399262 | 2025-05-13 04:29:37.228479 |
| 2025-11-15 08:15:27.590846 | 2025-11-16 01:32:25.153234 | 14801791 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 14801791 | Athletic Physical Therapy Inc | 1961-02-27 | 2025-11-18 | M | AE | PT | SHRIVER | 90771207E | DANIEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111028079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541984/check_14801791_10aa9d1f-f9f7-418e-84a1-ae03c4381a40.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-02-27 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | SHRIVER | N/A | DANIEL | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295880672 | N/A | N/A | 5541984 | 2222 | 4802 | 15052205 | 4211 | 4213934 | 2025-11-16 01:32:25.153234 | 2026-01-27 23:36:44.802366 |
| 2025-11-15 08:15:27.549065 | 2025-11-16 03:47:14.041396 | 14801789 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 14801789 | Athletic Physical Therapy Inc | 1952-06-27 | 2025-11-18 | M | AE | PT | WEST | 40065315001 | KIRK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111023695.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11799742/check_14801789_2e68ba1f-c22f-403a-9fea-1d2aa26c668d.json | N/A | N/A | N/A | N/A | N/A | 40065315001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-06-27 | 2025H5425001 | H5425M | N/A | N/A | false | WEST | N/A | KIRK | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295862371 | N/A | N/A | 11799742 | 2222 | 4801 | 15065405 | N/A | 10033486 | 2025-11-16 03:47:14.041396 | 2025-11-04 21:34:59.842331 |
| 2025-11-15 08:15:27.428233 | 2025-11-16 01:32:40.059895 | 14801786 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 14801786 | override_provider | 1957-04-11 | 2025-11-18 | M | PT | N/A | ADRIAN | MBL508W11635 | NELSON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111028079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541841/check_14801786_d435d121-e721-4187-a6a4-2ce916cc8d7d.json | N/A | N/A | N/A | N/A | N/A | MBL508W11635 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | BLUE SHIELD OF CALIFORNIA | N/A | 1957-04-11 | 040 | CAEGR005 | N/A | N/A | false | ADRIAN | N/A | NELSON | N/A | 2025-12-31 | 2022-04-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295880671 | N/A | N/A | 5541841 | 2222 | 4801 | 15052354 | N/A | 4213826 | 2025-11-16 01:32:40.059895 | 2025-05-13 04:29:37.228146 |