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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-15 08:15:27.270260 | 2025-11-16 01:34:40.511869 | 14801780 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 14801780 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-11-18 | M | AD | LYKIDIS | U1221753503 | JOHN | 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/2222/5541552/check_14801780_4b1ce504-fee4-4ff6-8979-5474dd9fd05f.json | N/A | N/A | N/A | N/A | N/A | U1221753503 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 2001-11-21 | N/A | 3207160 | N/A | N/A | false | LYKIDIS | N/A | JOHN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 9295880670 | N/A | N/A | 5541552 | 2222 | 4802 | 15053609 | N/A | 4213562 | 2025-11-16 01:34:40.511869 | 2025-05-13 04:29:37.227895 |
| 2025-11-15 08:15:27.137173 | 2025-11-16 01:37:39.996204 | 14801774 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14801774 | Athletic Physical Therapy Inc | 1963-07-22 | 2025-11-18 | F | PT | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | 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/2222/5541314/check_14801774_611aa782-7669-43b7-8407-97b8d4b4fe4d.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 9999-12-31 | 2023-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295880669 | N/A | N/A | 5541314 | 2222 | 4793 | 15055486 | N/A | 4213343 | 2025-11-16 01:37:39.996204 | 2025-06-06 02:21:37.603701 |
| 2025-11-15 08:15:26.970020 | 2025-11-16 01:37:00.129047 | 14801765 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14801765 | Athletic Physical Therapy Inc | 1995-06-07 | 2025-11-18 | M | PT | Greathouse | MPI30458946Q | Kheperan | 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/2222/5540871/check_14801765_a57271ac-d9ba-4c4d-bcab-a6d112d7c007.json | N/A | N/A | N/A | N/A | N/A | MPI30458946Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1995-06-07 | 040 | 277163M402 | N/A | PR | false | GREATHOUSE | N/A | KHEPERAN | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295880668 | N/A | N/A | 5540871 | 2222 | 4793 | 15055074 | N/A | 4212959 | 2025-11-16 01:37:00.129047 | 2025-10-17 20:08:21.136268 |
| 2025-11-15 08:15:26.786593 | 2025-11-16 01:35:59.742027 | 14801757 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 14801757 | Athletic Physical Therapy Inc | 1956-07-18 | 2025-11-18 | M | AE | BELL | 40055462001 | LOWELL | PT | 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/2222/5540339/check_14801757_30469e09-1a80-4dd5-854d-d87fae25aa07.json | N/A | N/A | N/A | N/A | N/A | 40055462001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-07-18 | 2025H5425097VEF | H5425CSNP | N/A | N/A | false | BELL | N/A | LOWELL | N/A | N/A | N/A | SCAN STRIVE (HMO SNP), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295880667 | N/A | N/A | 5540339 | 2222 | 4801 | 15054450 | N/A | 4212512 | 2025-11-16 01:35:59.742027 | 2025-11-04 22:17:35.476315 |
| 2025-11-15 08:15:26.653609 | 2025-11-16 01:36:58.677727 | 14801754 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14801754 | Athletic Physical Therapy Inc | 1955-11-11 | 2025-11-18 | F | PT | CALDERON | JQU450A75837 | DEBBIE | 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/2222/5540282/check_14801754_c3c138c4-b16d-49c7-baae-5d23e25e5437.json | N/A | N/A | N/A | N/A | N/A | JQU450A75837 | Preferred Provider Organization (PPO) | ELKINS KALT WEINTRAUB REU | ANTHEM BLUE CROSS | N/A | 1955-11-11 | 040 | 494793 | N/A | PR | false | CALDERON | N/A | DEBBIE | N/A | 2025-12-01 | 2024-12-01 | ANTHEM GOLD PPO 30/500/20% RXD | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295880666 | N/A | N/A | 5540282 | 2222 | 4802 | 15055058 | N/A | 4212465 | 2025-11-16 01:36:58.677727 | 2025-05-13 04:29:37.226801 |
| 2025-11-15 08:15:26.586273 | 2025-11-16 01:48:48.207873 | 14801750 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14801750 | Athletic Physical Therapy Inc | 1994-12-09 | 2025-11-18 | F | PT | SEGURA | XDP470W14971 | YAZMIN | 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/2222/12436044/check_14801750_e854b5ab-6d10-4b66-9043-78438012f3a0.json | N/A | N/A | N/A | N/A | N/A | XDP470W14971 | Preferred Provider Organization (PPO) | AMALGAMATED TRANSIT UNION | ANTHEM BLUE CROSS | N/A | 1994-12-09 | 040 | 1115QA | N/A | PR | false | REEVES | N/A | ELI | N/A | 9999-12-31 | 2022-11-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295895734 | N/A | N/A | 12436044 | 2222 | 4801 | 15059611 | N/A | 10616467 | 2025-11-16 01:48:48.207873 | 2025-11-10 22:21:46.684447 |
| 2025-11-15 08:15:26.503508 | 2025-11-16 01:36:58.395859 | 14801747 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14801747 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-11-18 | F | PT | BOYLAN | MBL857M98403 | JOAN | 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/2222/5540074/check_14801747_320cff2f-00cf-4a09-b0e3-3a33607b9bda.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295880665 | N/A | N/A | 5540074 | 2222 | 4802 | 15055054 | N/A | 4212282 | 2025-11-16 01:36:58.395859 | 2025-05-13 04:29:37.226623 |
| 2025-11-15 08:15:26.357981 | 2025-11-16 01:37:01.566653 | 14801741 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14801741 | Athletic Physical Therapy Inc | 1961-10-29 | 2025-11-18 | F | PT | STEWARD | NCF874A20085 | ANDREA | 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/2222/5539556/check_14801741_1b046273-e1ae-4370-b4d0-4c13baabbea4.json | N/A | N/A | N/A | N/A | N/A | NCF874A20085 | Health Maintenance Organization (HMO) | LACERS- LOS ANGELES CITY RETIREMENT SYSTEMS | ANTHEM BLUE CROSS | N/A | 1961-10-29 | 040 | 57ABBA | N/A | HM | false | STEWARD | N/A | ANDREA | N/A | 9999-12-31 | 2017-04-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295880664 | N/A | N/A | 5539556 | 2222 | 4801 | 15055089 | N/A | 4211841 | 2025-11-16 01:37:01.566653 | 2025-10-23 18:30:51.891275 |
| 2025-11-15 08:15:26.189640 | 2025-11-16 01:36:24.127361 | 14801734 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 14801734 | Athletic Physical Therapy Inc | 1945-01-25 | 2025-11-18 | M | AE | DELLA PUPPA | 978280294 | EGIDIO | PT | 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/2222/5539350/check_14801734_09249f06-0b71-42aa-ad4a-c5d9d5f3d482.json | N/A | N/A | N/A | N/A | N/A | 97828029400 | Commercial | N/A | OXFORD HEALTH INSURANCE, INC. | FUNDING TYPE = FULLY INSURED - SMALL GROUP | 1945-01-25 | N/A | 1317506 | N/A | C1 | false | DELLA PUPPA | N/A | EGIDIO | N/A | N/A | N/A | FREEDOM NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295880663 | N/A | N/A | 5539350 | 2222 | 4802 | 15054696 | N/A | 4211672 | 2025-11-16 01:36:24.127361 | 2025-11-10 19:39:57.037353 |
| 2025-11-15 08:15:26.017122 | 2025-11-16 01:36:59.232976 | 14801727 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14801727 | Athletic Physical Therapy Inc | 2008-01-01 | 2025-11-18 | M | PT | COSTELLO | JXN840A20610 | JAMES | 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/2222/5539326/check_14801727_72f4b4b1-3c00-4888-a7fd-490d8f84cf9a.json | N/A | N/A | N/A | N/A | N/A | JXN840A20610 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 2008-01-01 | 040 | 174222MAA1 | N/A | PR | false | COSTELLO | N/A | PATRICK | N/A | 9999-12-31 | 2022-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295879910 | N/A | N/A | 5539326 | 2222 | 4793 | 15055064 | N/A | 4211647 | 2025-11-16 01:36:59.232976 | 2025-10-21 19:53:46.280627 |
| 2025-11-15 08:15:25.861469 | 2025-11-16 01:36:59.822360 | 14801721 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14801721 | Athletic Physical Therapy Inc | 2006-06-08 | 2025-11-18 | M | PT | DATO | NGO555A50496 | LUKE | 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/2222/5538229/check_14801721_29a5ff7e-271a-403e-a1cb-d25bb6d4764b.json | N/A | N/A | N/A | N/A | N/A | NGO555A50496 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 2006-06-08 | 040 | 174022MJAD | N/A | PR | false | DATO | N/A | GREGORY | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295879909 | N/A | N/A | 5538229 | 2222 | 4793 | 15055070 | N/A | 4210676 | 2025-11-16 01:36:59.822360 | 2026-05-21 21:09:28.809390 |
| 2025-11-15 08:15:25.682693 | 2025-11-16 01:32:24.843608 | 14801713 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 14801713 | Athletic Physical Therapy Inc | 1977-04-30 | 2025-11-17 | M | AE | JOSEPH | 623127403 | CHRISTOPHER | PT | 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/2222/5537866/check_14801713_632e5af8-e328-4bd5-a2c4-9532522e5863.json | N/A | N/A | N/A | N/A | N/A | 623127403 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 1977-04-30 | 18126CA001000201 | QMXEM01910 | N/A | N/A | false | JOSEPH | N/A | CHRISTOPHER | N/A | 2025-12-31 | 2025-02-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295879908 | N/A | N/A | 5537866 | 2222 | 4802 | 15052202 | 4211 | 4210367 | 2025-11-16 01:32:24.843608 | 2025-05-13 04:29:37.224772 |
| 2025-11-15 08:15:25.536569 | 2025-11-16 01:36:00.024472 | 14801708 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 14801708 | Athletic Physical Therapy Inc | 1957-02-16 | 2025-11-18 | F | AE | OSE | 40050866601 | KAREN | PT | 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/2222/5537366/check_14801708_3e81540a-f763-4225-829c-fdb68ccdc592.json | N/A | N/A | N/A | N/A | N/A | 40050866601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1957-02-16 | 2025H5425001 | H5425M | N/A | N/A | false | OSE | N/A | KAREN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295879907 | N/A | N/A | 5537366 | 2222 | 4793 | 15054453 | N/A | 4209945 | 2025-11-16 01:36:00.024472 | 2025-08-13 22:24:17.841096 |
| 2025-11-15 08:15:25.355190 | 2025-11-16 01:36:59.503311 | 14801700 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 14801700 | Athletic Physical Therapy Inc | 1957-04-03 | 2025-11-18 | M | PT | CRUZ CHEVEZ | JQW952W07822 | RICARDO | 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/2222/5537237/check_14801700_f579b525-4d9b-460c-84c4-93680a7e40c5.json | N/A | N/A | N/A | N/A | N/A | JQW952W07822 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1957-04-03 | 040 | CAMCRWP0 | N/A | MP | false | CRUZ CHEVEZ | N/A | RICARDO | N/A | 2025-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295879906 | N/A | N/A | 5537237 | 2222 | 4793 | 15055067 | 4184 | 4209841 | 2025-11-16 01:36:59.503311 | 2025-10-22 16:05:52.993032 |
| 2025-11-15 08:15:25.216542 | 2025-11-16 01:37:00.986729 | 14801692 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14801692 | Athletic Physical Therapy Inc | 1954-03-31 | 2025-11-18 | M | PT | MILES | MBL835W05431 | KEITH | 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/2222/5536896/check_14801692_2af74a8f-dca9-461a-ac49-8b1c9e361423.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | 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 | 9295879905 | N/A | N/A | 5536896 | 2222 | 4793 | 15055083 | N/A | 4209567 | 2025-11-16 01:37:00.986729 | 2025-05-13 04:29:37.223990 |
| 2025-11-15 08:15:25.068199 | 2025-11-16 01:36:58.101545 | 14801688 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14801688 | Athletic Physical Therapy Inc | 1975-05-16 | 2025-11-18 | F | PT | BERRY | GGS142A51835 | LEANNE | 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/2222/5536701/check_14801688_7f6ca340-f539-4ef5-8b8e-3e75ff2f3f6f.json | N/A | N/A | N/A | N/A | N/A | GGS142A51835 | Preferred Provider Organization (PPO) | GOOGLE PPO | ANTHEM BLUE CROSS | N/A | 1975-05-16 | 040 | 174134M2A1 | N/A | PR | false | BERRY | N/A | CRAIG | N/A | 9999-12-31 | 2017-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295879904 | N/A | N/A | 5536701 | 2222 | 4802 | 15055052 | N/A | 4209398 | 2025-11-16 01:36:58.101545 | 2025-11-05 08:20:15.147573 |
| 2025-11-15 08:15:24.907637 | 2025-11-16 01:36:00.320304 | 14801680 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 14801680 | Athletic Physical Therapy Inc | 1952-12-16 | 2025-11-18 | F | AE | PORTER | 40028215401 | SHERIL | PT | 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/2222/5535434/check_14801680_d490a1e5-dee0-49c8-a114-4e9b72b1c085.json | N/A | N/A | N/A | N/A | N/A | 40028215401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-12-16 | 2025H5425001 | H5425M | N/A | N/A | false | PORTER | N/A | SHERIL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295879903 | N/A | N/A | 5535434 | 2222 | 4793 | 15054456 | N/A | 4208356 | 2025-11-16 01:36:00.320304 | 2025-08-25 14:49:27.724897 |
| 2025-11-15 08:15:24.733927 | 2025-11-16 01:37:01.175179 | 14801672 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14801672 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-11-18 | F | AE | MARTIN | DGA11867912J | DOLLY | PT | 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/2222/5550799/check_14801672_8d8599ff-96d6-4956-bf0d-aae9e700cada.json | N/A | N/A | N/A | N/A | N/A | DGA11867912J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | MEDICARE B | N/A | 1944-09-13 | 040 | 276945M001 | N/A | PR | false | MARTIN | N/A | DOLLY | N/A | 9999-12-31 | 2013-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295868937 | N/A | N/A | 5550799 | 2222 | 4793 | 15055085 | N/A | 4219681 | 2025-11-16 01:37:01.175179 | 2026-01-14 20:54:02.193776 |
| 2025-11-15 08:15:24.595517 | 2025-11-16 01:37:00.060551 | 14801667 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14801667 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-11-18 | F | AE | BRADBURY | JQE669W05502 | BONNIE | PT | 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/2222/5550535/check_14801667_276624ec-aba3-4b39-a6ca-78f8087d91e4.json | N/A | N/A | N/A | N/A | N/A | JQE669W05502 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-06-01 | 040 | CASUPWP0 | N/A | N/A | false | BRADBURY | N/A | BONNIE | N/A | 9999-12-31 | 2022-12-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295868936 | N/A | N/A | 5550535 | 2222 | 4801 | 15055072 | N/A | 4219556 | 2025-11-16 01:37:00.060551 | 2025-05-13 04:29:37.230592 |
| 2025-11-15 08:15:24.421354 | 2025-11-16 01:31:51.149610 | 14801660 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 14801660 | Athletic Physical Therapy Inc | 1954-05-11 | 2025-11-18 | M | AE | A Peters | 32146482611 | Dennis | PT | 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/2222/5550027/check_14801660_62f3efdd-aa0e-4685-9bb6-bd997b4a29b8.json | N/A | N/A | N/A | N/A | N/A | 32146482611 | 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. | 1954-05-11 | N/A | N/A | N/A | SP | false | PETERS | N/A | DENNIS | 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 | 9295868935 | N/A | N/A | 5550027 | 2222 | 4801 | 15051871 | N/A | 4219449 | 2025-11-16 01:31:51.149610 | 2025-10-07 21:32:27.567534 |
| 2025-11-15 08:15:23.848401 | 2025-11-16 01:31:51.441865 | 14801635 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 14801635 | Athletic Physical Therapy Inc | 1944-04-25 | 2025-11-18 | F | AE | ROSENTHAL | 30096718111 | PHYLLIS | PT | 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/2222/5541888/check_14801635_0dd0e8bb-3b82-4c81-b88d-d565a5ea3aa2.json | N/A | N/A | N/A | N/A | N/A | 30096718111 | 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. | 1944-04-25 | N/A | N/A | N/A | SP | false | ROSENTHAL | N/A | PHYLLIS | 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 | 9295868931 | N/A | N/A | 5541888 | 2222 | 4802 | 15051873 | N/A | 4213865 | 2025-11-16 01:31:51.441865 | 2025-05-13 04:29:37.228183 |
| 2025-11-15 08:15:23.746510 | 2025-11-16 01:37:38.835609 | 14801631 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14801631 | Athletic Physical Therapy Inc | 1950-08-31 | 2025-11-18 | M | AE | NADRICH | XEM905604302 | JEFFREY | PT | 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/2222/5538999/check_14801631_6d7f190f-f286-40a2-9bad-2a0c4b7945bc.json | N/A | N/A | N/A | N/A | N/A | XEM905604302 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1950-08-31 | 2004SE000030 | X0001002 | N/A | OT | false | NADRICH | N/A | JEFFREY | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295868930 | N/A | N/A | 5538999 | 2222 | 4802 | 15055473 | N/A | 4211316 | 2025-11-16 01:37:38.835609 | 2025-05-13 04:29:37.225679 |
| 2025-11-15 08:15:23.619427 | 2025-11-16 01:31:50.600656 | 14801626 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 14801626 | Athletic Physical Therapy Inc | 1951-06-30 | 2025-11-18 | F | AE | CHADORCHI | 33261790711 | JAFFA | PT | 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/2222/5537483/check_14801626_8ecc4b64-e761-408c-b3b0-9a5eca2089f2.json | N/A | N/A | N/A | N/A | N/A | 33261790711 | 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. | 1951-06-30 | N/A | N/A | N/A | SP | false | CHADORCHI | N/A | JAFFA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295868929 | N/A | N/A | 5537483 | 2222 | 4802 | 15051865 | N/A | 4210038 | 2025-11-16 01:31:50.600656 | 2025-06-02 14:57:36.820684 |
| 2025-11-15 08:15:23.410503 | 2025-11-16 01:31:50.881752 | 14801616 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 14801616 | Athletic Physical Therapy Inc | 1948-07-13 | 2025-11-17 | M | AE | DENNIS | 30367363711 | CECIL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.102017660.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536379/check_14801616_b478911e-9f1f-4759-8d11-3302662cce44.json | N/A | N/A | N/A | N/A | N/A | 30367363711 | 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. | 1948-07-13 | N/A | N/A | N/A | SP | false | DENNIS | N/A | CECIL | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295868928 | N/A | N/A | 5536379 | 2222 | 4801 | 15051868 | N/A | 4209131 | 2025-11-16 01:31:50.881752 | 2025-09-25 15:49:36.327996 |
| 2025-11-15 08:15:22.848113 | 2025-11-16 03:43:00.060805 | 14801593 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 14801593 | override_provider | 1956-10-21 | 2025-11-18 | M | PT | TOROS | SAD103594467 | HALIL | 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/2222/7896723/check_14801593_36f290a0-d615-4734-9002-27f439195ba4.json | N/A | N/A | N/A | N/A | N/A | SAD10359446700 | Preferred Provider Organization (PPO) | SAS INSTITUTE INC. | BLUE SHIELD OF CALIFORNIA | N/A | 1956-10-21 | FACETS | 14163533 | N/A | PR | false | TOROS | N/A | HALIL | N/A | 2025-12-31 | 2025-01-01 | BLUE OPTIONS | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295862143 | N/A | N/A | 7896723 | 2222 | 4802 | 15063818 | N/A | 6723602 | 2025-11-16 03:43:00.060805 | 2025-08-12 18:22:41.461515 |
| 2025-11-15 08:15:21.648576 | 2025-11-16 03:43:06.291827 | 14801537 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 14801537 | override_provider | 1997-11-05 | 2025-11-18 | M | PT | VILLANUEVA | ZGP813002220 | YAIR | 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/2222/11623284/check_14801537_2adb5847-4a5b-4a36-ac64-e919f8fbdd87.json | N/A | N/A | N/A | N/A | N/A | ZGP813002220 | Preferred Provider Organization (PPO) | RIMKUS CONSULTING GROUP, INC | BLUE SHIELD OF CALIFORNIA | N/A | 1997-11-05 | N/A | 279469 | N/A | PR | false | VILLANUEVA | N/A | YAIR | N/A | 9999-12-31 | 2025-03-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295864890 | N/A | N/A | 11623284 | 2222 | 4801 | 15063855 | N/A | 9860485 | 2025-11-16 03:43:06.291827 | 2025-11-10 18:34:52.696278 |
| 2025-11-15 08:15:21.371806 | 2025-11-16 01:48:47.941042 | 14801527 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14801527 | Athletic Physical Therapy Inc | 1966-11-27 | 2025-11-18 | M | PT | RANA | 114W0187030 | AJAY | 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/2222/12428367/check_14801527_bbb08b5d-e5f7-43fa-af8b-d1cbd4296377.json | N/A | N/A | N/A | N/A | N/A | 114W0187030 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-11-27 | N/A | N/A | N/A | N/A | false | RANA | N/A | AJAY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295897111 | N/A | N/A | 12428367 | 2222 | 4801 | 15059609 | N/A | 10608476 | 2025-11-16 01:48:47.941042 | 2025-11-13 20:33:46.858153 |
| 2025-11-15 08:15:20.235113 | 2025-11-16 03:48:43.678393 | 14801476 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 14801476 | Athletic Physical Therapy Inc | 1945-12-27 | 2025-11-18 | F | AE | SANDERS | 8300000009139 | ELIZA | PT | 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/2222/11616313/check_14801476_6d581362-fa30-4ae6-ade8-508477abd4fd.json | N/A | N/A | N/A | N/A | N/A | 8300000009139 | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1945-12-27 | N/A | N/A | N/A | N/A | false | SANDERS | N/A | ELIZA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295864877 | N/A | N/A | 11616313 | 2222 | 4802 | 15065756 | N/A | 9854001 | 2025-11-16 03:48:43.678393 | 2025-10-28 23:10:42.487962 |
| 2025-11-15 08:15:19.781530 | 2025-11-16 03:47:13.774536 | 14801455 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 14801455 | Athletic Physical Therapy Inc | 1949-06-08 | 2025-11-18 | F | AE | VASQUEZ | 40065054801 | LUZ | PT | 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/2222/11612656/check_14801455_ee129769-3bf0-4901-8e56-fef1c189d9ff.json | N/A | N/A | N/A | N/A | N/A | 40065054801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1949-06-08 | 2025H5425001 | H5425M | N/A | N/A | false | VASQUEZ | N/A | LUZ | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295864874 | N/A | N/A | 11612656 | 2222 | 4801 | 15065403 | N/A | 9850421 | 2025-11-16 03:47:13.774536 | 2025-10-28 20:49:35.276132 |
| 2025-11-15 08:15:19.721698 | 2025-11-16 03:51:17.064589 | 14801453 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14801453 | Athletic Physical Therapy Inc | 1987-11-24 | 2025-11-18 | F | PT | Halat | FIZ100010118257 | Hooram | 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/2222/7870152/check_14801453_c70a8442-be3a-4ab2-9752-478a9f485e15.json | N/A | N/A | N/A | N/A | N/A | FIZ100010118257 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS. | 1987-11-24 | N/A | N/A | N/A | PR | false | HALAT | N/A | HOORAM | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295863448 | N/A | N/A | 7870152 | 2222 | 4802 | 15066102 | N/A | 6698799 | 2025-11-16 03:51:17.064589 | 2025-08-07 18:40:53.120761 |
| 2025-11-15 08:15:19.613561 | 2025-11-16 03:43:00.361327 | 14801447 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 14801447 | override_provider | 1989-07-26 | 2025-11-18 | F | PT | REAVES | 4039573 | AMBER | 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/2222/7868634/check_14801447_12641818-c751-45a9-8a59-cb9783969e8b.json | N/A | N/A | N/A | N/A | N/A | 4039573 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1989-07-26 | N/A | N/A | N/A | N/A | false | REAVES | N/A | AMBER | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295863447 | N/A | N/A | 7868634 | 2222 | 4793 | 15063820 | N/A | 6698213 | 2025-11-16 03:43:00.361327 | 2025-11-04 16:28:27.239529 |
| 2025-11-15 08:15:10.403808 | 2025-11-16 03:47:01.126323 | 14801058 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 14801058 | Athletic Physical Therapy Inc | 1936-04-01 | 2025-11-18 | F | AE | WESTER | 40064582501 | EIVOR | PT | 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/2222/7761229/check_14801058_9da0c93a-9513-4838-8290-e21ef6437f2b.json | N/A | N/A | N/A | N/A | N/A | 40064582501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1936-04-01 | 2025H5425001 | H5425M | N/A | N/A | false | WESTER | N/A | EIVOR | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295864313 | N/A | N/A | 7761229 | 2222 | 4793 | 15065336 | N/A | 6610550 | 2025-11-16 03:47:01.126323 | 2025-08-29 21:18:14.924057 |
| 2025-11-15 08:15:05.735367 | 2025-11-16 01:46:49.673625 | 14800877 | N/A | N/A | 47027 | Physicians Mutual Insurance Company | 1114042165 | 14800877 | Athletic Physical Therapy Inc | 1949-08-12 | 2025-11-18 | F | AE | NAGLE | H730115547 | JAMES | PT | 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/2222/11457995/check_14800877_e5c9f79d-d25e-4b6d-8f85-cf272c530a6a.json | N/A | N/A | N/A | N/A | N/A | H730115547 | N/A | N/A | PHYSICIANS MUTUAL | PAYMENT NOT GUARANTEED; BENEFITS SUBJECT TO CLAIM APPROVAL | 1949-08-12 | N/A | N/A | N/A | N/A | false | NAGLE | N/A | JAMES | N/A | N/A | N/A | MEDICARE SUPPLEMENT 2020 PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295873113 | N/A | N/A | 11457995 | 2222 | 4801 | 15058980 | N/A | 9707473 | 2025-11-16 01:46:49.673625 | 2026-02-05 20:49:45.747494 |
| 2025-11-15 08:15:05.572816 | 2025-11-16 03:47:13.057446 | 14800872 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 14800872 | Athletic Physical Therapy Inc | 1956-09-25 | 2025-11-18 | M | AE | Marvin | 40059610101 | Terry | PT | 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/2222/11529617/check_14800872_ea1a647f-dd81-4750-9e09-31bbd684c1dd.json | N/A | N/A | N/A | N/A | N/A | 40059610101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-09-25 | 2025H5425001 | H5425M | N/A | N/A | false | MARVIN | N/A | TERRY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295865384 | N/A | N/A | 11529617 | 2222 | 4801 | 15065400 | N/A | 9770503 | 2025-11-16 03:47:13.057446 | 2025-11-05 23:33:36.141284 |
| 2025-11-15 08:15:02.110912 | 2025-11-16 01:37:20.326190 | 14800695 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14800695 | Athletic Physical Therapy Inc | 1976-08-13 | 2025-11-18 | F | PT | GODWIN | JPU097W07528 | CASSANDRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.101940577.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10090153/check_14800695_f2d04995-a9e5-4301-9626-00d2317404b9.json | N/A | N/A | N/A | N/A | N/A | JPU097W07528 | Preferred Provider Organization (PPO) | MAJCO LLC | ANTHEM BLUE CROSS | N/A | 1976-08-13 | 040 | 281949M014 | N/A | PR | false | GODWIN | N/A | CASSANDRA | N/A | 9999-12-31 | 2023-06-01 | SOLUTION PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295856848 | N/A | N/A | 10090153 | 2222 | 4801 | 15055279 | N/A | 8428668 | 2025-11-16 01:37:20.326190 | 2025-10-12 20:55:35.014952 |
| 2025-11-15 08:14:53.533001 | 2025-11-16 01:37:21.215795 | 14800131 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14800131 | Athletic Physical Therapy Inc | 1947-02-15 | 2025-11-18 | F | AE | LING WONG | MBL564W07386 | YEE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.101940577.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10020321/check_14800131_50601cc4-53da-4213-b16b-921ed46b8993.json | N/A | N/A | N/A | N/A | N/A | MBL564W07386 | N/A | N/A | ANTHEM BLUE CROSS | 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 | 9295857425 | N/A | N/A | 10020321 | 2222 | 4802 | 15055288 | N/A | 8351682 | 2025-11-16 01:37:21.215795 | 2025-10-08 14:26:11.260769 |
| 2025-11-15 08:14:51.095595 | 2025-11-16 01:50:01.289077 | 14799965 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14799965 | Athletic Physical Therapy Inc | 2008-01-01 | 2025-11-18 | M | PT | COSTELLO | SIF475A59310 | JAMES | 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/2222/11322321/check_14799965_52136484-0952-4d2c-a265-91a785b59282.json | N/A | N/A | N/A | N/A | N/A | SIF475A59310 | Preferred Provider Organization (PPO) | SISC - VENTURA COUNTY COMMUNITY COLLEGE DISTRICT | ANTHEM BLUE CROSS LIFE HLTH INS C | N/A | 2008-01-01 | 040 | 40971C | N/A | PR | false | COSTELLO | N/A | MANDISSA | N/A | 9999-12-31 | 2025-09-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295874076 | N/A | N/A | 11322321 | 2222 | 4793 | 15060105 | N/A | 4211647 | 2025-11-16 01:50:01.289077 | 2025-10-21 19:53:46.280627 |
| 2025-11-15 08:14:50.497747 | 2025-11-16 01:37:20.924170 | 14799925 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14799925 | Athletic Physical Therapy Inc | 1997-05-07 | 2025-11-17 | F | PT | KEIPINGER | FDP220267648 | ALEXIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.101940577.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9980304/check_14799925_1d55d78b-5903-4445-8400-ca2df205a0ce.json | N/A | N/A | N/A | N/A | N/A | FDP220267648 | Preferred Provider Organization (PPO) | BANFIELD PET HOSPITAL | ANTHEM BLUE CROSS | SERVICES PROVIDED TO THIS PATIENT ARE SUBJECT TO THE BALANCE BILLING PROTECTION ACT. PLEASE SEE RCW 48.49.020 FOR DETAILS. | 1997-05-07 | N/A | 10034839 | N/A | PR | false | KEIPINGER | N/A | ALEXIS | N/A | 9999-12-31 | 2025-01-01 | HSA3.0/PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295857259 | N/A | N/A | 9980304 | 2222 | 4793 | 15055285 | N/A | 8354055 | 2025-11-16 01:37:20.924170 | 2025-10-03 21:21:52.013920 |
| 2025-11-15 08:14:46.675210 | 2025-11-16 03:49:00.055894 | 14799654 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14799654 | Athletic Physical Therapy Inc | 1957-11-01 | 2025-11-18 | F | PT | Hennes | JEXNP2009208 | Valerie | 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/2222/11463855/check_14799654_0a9d9fe1-6619-4692-bfa0-beceaed90483.json | N/A | N/A | N/A | N/A | N/A | JEXNP2009208 | Exclusive Provider Organization | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1957-11-01 | 040 | 276727M003 | N/A | EP | false | HENNES | N/A | VALERIE | N/A | 9999-12-31 | 2021-09-01 | USC EPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295863034 | N/A | N/A | 11463855 | 2222 | 4801 | 15065790 | N/A | 9713608 | 2025-11-16 03:49:00.055894 | 2025-11-13 07:29:15.484206 |
| 2025-11-15 08:14:46.446552 | 2025-11-16 01:36:47.151948 | 14799636 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 14799636 | Athletic Physical Therapy Inc | 1959-11-18 | 2025-11-18 | M | AE | PEREZ | 205330201 | JUAN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.101940577.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9935305/check_14799636_beb32d50-19c9-4461-905a-54856dc23cd5.json | N/A | N/A | N/A | N/A | N/A | 205330201 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1959-11-18 | N/A | HCFA21 | N/A | HN | false | PEREZ MEDINA | N/A | JUAN | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295856505 | N/A | N/A | 9935305 | 2222 | 4802 | 15054937 | N/A | 8316227 | 2025-11-16 01:36:47.151948 | 2025-10-02 19:18:17.311007 |
| 2025-11-15 08:14:46.120479 | 2025-11-16 01:50:01.621806 | 14799613 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14799613 | Athletic Physical Therapy Inc | 1941-08-23 | 2025-11-18 | M | AE | E Bogen | WXY0981A22808 | Andrew | PT | 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/2222/11174641/check_14799613_e2e2965b-9c05-48e2-a8d4-389e41f0f9ae.json | N/A | N/A | N/A | N/A | N/A | WXY0981A22808 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1941-08-23 | N/A | N/A | N/A | N/A | false | E BOGEN | N/A | ANDREW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295873447 | N/A | N/A | 11174641 | 2222 | 4802 | 15060107 | N/A | 9519718 | 2025-11-16 01:50:01.621806 | 2026-02-02 19:30:57.219688 |
| 2025-11-15 08:14:40.287336 | 2025-11-16 01:44:25.278534 | 14799204 | N/A | N/A | 60054 | Aetna | 1114042165 | 14799204 | Athletic Physical Therapy Inc | 1980-12-26 | 2025-11-17 | M | AE | MAHINAY | W219751013 | JASON | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111047533.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12366384/check_14799204_594961fd-1348-4d1f-85e4-10eb8234aa18.json | N/A | N/A | N/A | N/A | N/A | W219751013 | Point of Service (POS) | HOLTHOUSE CARLIN & VAN TRIGT LLP | AETNA | N/A | 1980-12-26 | 0803905 | 080390501200002 | N/A | PS | false | MAHINAY | N/A | JASON | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295897391 | N/A | N/A | 12366384 | 2222 | 4793 | 15058228 | N/A | 10546247 | 2025-11-16 01:44:25.278534 | 2025-11-14 17:19:10.403651 |
| 2025-11-15 08:14:40.055537 | 2025-11-16 01:48:47.351494 | 14799190 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14799190 | Athletic Physical Therapy Inc | 1970-05-23 | 2025-11-18 | F | PT | ERINN | JXN598M92471 | COUTTS | 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/2222/12366081/check_14799190_04e4f2a5-eaca-472c-9a70-d19b971e0801.json | N/A | N/A | N/A | N/A | N/A | JXN598M92471 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1970-05-23 | N/A | N/A | N/A | N/A | false | ERINN | N/A | COUTTS | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295897390 | N/A | N/A | 12366081 | 2222 | 4801 | 15059606 | N/A | 10545951 | 2025-11-16 01:48:47.351494 | 2025-11-06 22:24:51.019444 |
| 2025-11-15 08:14:37.641399 | 2025-11-16 01:37:19.992708 | 14799026 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14799026 | Athletic Physical Therapy Inc | 1973-10-11 | 2025-11-18 | F | PT | GAIKI | WZA401W18564 | ASHWINI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.101940577.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9858377/check_14799026_19fdfe77-4247-4e68-ace7-8feaf80bbc21.json | N/A | N/A | N/A | N/A | N/A | WZA401W18564 | Preferred Provider Organization (PPO) | WARNER BROS DISCOVERY INC | ANTHEM BLUE CROSS | N/A | 1973-10-11 | 130 | 270240M35A | N/A | PR | false | GAIKI | N/A | AKASH | N/A | 9999-12-31 | 2024-01-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295856191 | N/A | N/A | 9858377 | 2222 | 4801 | 15055276 | N/A | 8253977 | 2025-11-16 01:37:19.992708 | 2025-10-08 15:49:07.618378 |
| 2025-11-15 08:14:37.509793 | 2025-11-16 01:37:20.614431 | 14799019 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14799019 | Athletic Physical Therapy Inc | 1954-02-05 | 2025-11-18 | M | PT | HERNANDEZ | NCF335A78493 | FELIPE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.101940577.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9857185/check_14799019_85226971-baf8-421b-a35a-43cb85326282.json | N/A | N/A | N/A | N/A | N/A | NCF335A78493 | Health Maintenance Organization (HMO) | CITY OF LOS ANGELES | ANTHEM BLUE CROSS | N/A | 1954-02-05 | 040 | 280612H004 | N/A | HM | false | HERNANDEZ | N/A | FELIPE | N/A | 9999-12-31 | 2017-10-18 | PREMIER SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295856189 | N/A | N/A | 9857185 | 2222 | 4793 | 15055282 | N/A | 8252801 | 2025-11-16 01:37:20.614431 | 2026-02-23 23:58:40.440949 |
| 2025-11-15 08:14:36.567670 | 2025-11-16 03:50:55.964769 | 14798952 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14798952 | Athletic Physical Therapy Inc | 1961-06-24 | 2025-11-18 | M | PT | RAY | PAS838471972 | JOHN | 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/2222/11420779/check_14798952_1a0b3b0c-220a-4bb7-b9d4-ccf69e167239.json | N/A | N/A | N/A | N/A | N/A | PAS838471972 | Preferred Provider Organization (PPO) | WEST HEALTH CARE NETWORK | CUSTOMER SERVICE | N/A | 1961-06-24 | N/A | 152001 | N/A | PR | false | RAY | N/A | JOHN | N/A | 9999-12-31 | 2025-06-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9295862994 | N/A | N/A | 11420779 | 2222 | 4801 | 15066046 | N/A | 9673427 | 2025-11-16 03:50:55.964769 | 2025-11-03 19:27:12.288254 |
| 2025-11-15 08:14:35.884849 | 2025-11-16 01:50:31.598554 | 14798902 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14798902 | Athletic Physical Therapy Inc | 1947-09-07 | 2025-11-18 | F | AE | SHIBUYA | XEM906397835 | LINDA | PT | 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/2222/11087597/check_14798902_c4ffe675-2cd0-426a-9023-50f5872756ab.json | N/A | N/A | N/A | N/A | N/A | XEM906397835 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1947-09-07 | 2002SD000004 | X0001002 | N/A | OT | false | SHIBUYA | N/A | LINDA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295872403 | N/A | N/A | 11087597 | 2222 | 4801 | 15060314 | N/A | 9440436 | 2025-11-16 01:50:31.598554 | 2025-10-28 16:54:37.049151 |
| 2025-11-15 08:14:35.140381 | 2025-11-16 01:48:22.043603 | 14798850 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 14798850 | Athletic Physical Therapy Inc | 1946-03-30 | 2025-11-17 | M | AE | Kuyumjian | 0004103769 | Kevork | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111047533.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12360718/check_14798850_77af8133-576c-49b5-9bac-95716cfe6621.json | N/A | N/A | N/A | N/A | N/A | 0004103769 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1946-03-30 | N/A | N/A | N/A | N/A | false | KUYUMJIAN | N/A | KEVORK | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295897369 | N/A | N/A | 12360718 | 2222 | 4802 | 15059454 | N/A | 10540808 | 2025-11-16 01:48:22.043603 | 2025-11-12 20:09:27.257151 |
| 2025-11-15 08:14:33.935993 | 2025-11-16 03:48:34.421444 | 14798769 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14798769 | Athletic Physical Therapy Inc | 1956-05-08 | 2025-11-18 | F | AE | COPLIN | 00000378130 | DEBRA | PT | 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/2222/11415453/check_14798769_ca8fb806-c659-4125-9367-3534f9361fab.json | N/A | N/A | N/A | N/A | N/A | 00000378130 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-05-08 | H3815028 | N/A | N/A | HM | false | COPLIN | N/A | DEBRA | 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 | 9295862954 | N/A | N/A | 11415453 | 2222 | 4801 | 15065736 | 2630 | 9670237 | 2025-11-16 03:48:34.421444 | 2025-11-03 23:57:15.890657 |
| 2025-11-15 08:14:33.792528 | 2025-11-16 03:44:37.904394 | 14798760 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 14798760 | Athletic Physical Therapy Inc | 1972-07-09 | 2025-11-17 | F | AE | JOHNSON OLAD | H6507221700 | CATINA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251115.111023695.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11415027/check_14798760_5ee76761-db0e-47a2-a7df-0725c9a0599b.json | N/A | N/A | N/A | N/A | N/A | H65072217 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1972-07-09 | N/A | 0B666001 | N/A | HN | false | JOHNSON OLAD | N/A | CATINA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9295862953 | N/A | N/A | 11415027 | 2222 | 4793 | 15064419 | N/A | 9669773 | 2025-11-16 03:44:37.904394 | 2025-10-30 23:36:57.101747 |