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 | insurance_company_id | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-07 21:31:40.671727 | 2025-06-07 21:31:42.450537 | 8635273 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1995-02-28 | 2025-06-10 | U | PT | 4184 | JONES | LTC290M90213 | CAROLINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6134260/check_8635273_34c56d40-61fd-4339-be0d-fb16f5331df3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6134260/check_8635273_33c170aa-7604-490d-b53d-28b54c81c415.json | N/A | N/A | N/A | N/A | N/A | LTC290M90213 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1995-02-28 | N/A | N/A | N/A | N/A | false | JONES | N/A | CAROLINE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6134260 | 2222 | N/A | 8326109 | N/A | 4775735 | 2025-06-07 21:31:42.450537 | 2025-07-08 23:42:37.640916 |
| 2025-06-07 21:31:38.918438 | 2025-06-07 21:31:40.662316 | 8635272 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1995-02-28 | 2025-06-10 | U | PT | 4184 | JONES | LTC290M90213 | CAROLINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6134260/check_8635272_a2616dd8-95af-4fb4-8f94-9a43f5c629c2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | N/A | N/A | N/A | N/A | N/A | N/A | LTC290M90213 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1995-02-28 | N/A | N/A | N/A | N/A | false | JONES | N/A | CAROLINE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6134260 | 2222 | N/A | N/A | N/A | 4775735 | 2025-06-07 21:31:40.662316 | 2025-07-08 23:42:37.640916 |
| 2025-06-07 09:08:39.440683 | 2025-06-08 02:07:34.876468 | 8625979 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8625979 | Athletic Physical Therapy Inc | 1959-07-02 | 2025-06-10 | M | PT | N/A | BALLETTA | 33147912211 | EDWARD | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115721882.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993962/check_8625979_f2038850-1e60-486b-8228-dc3b109b47c7.json | N/A | N/A | N/A | N/A | N/A | 331479122 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1959-07-02 | N/A | N/A | N/A | N/A | false | BALLETTA | N/A | EDWARD | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852833036 | N/A | N/A | 5993962 | 2222 | 4793 | 8330298 | N/A | 4642893 | 2025-06-08 02:07:34.876468 | 2025-05-28 20:58:29.913655 |
| 2025-06-07 09:08:39.377672 | 2025-06-08 02:09:28.150456 | 8625978 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8625978 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-06-10 | M | AE | N/A | JACOBS | JQE406W03039 | PATRICIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115721882.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993913/check_8625978_1e0600cd-bf59-4f93-8174-b8a1b7d75baf.json | N/A | N/A | N/A | N/A | N/A | JQE406W03039 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1939-06-25 | 040 | CASUPWP0 | N/A | N/A | false | JACOBS | N/A | PATRICIA | N/A | 9999-12-31 | 2019-12-11 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7852833034 | N/A | N/A | 5993913 | 2222 | 4793 | 8332153 | N/A | 4642852 | 2025-06-08 02:09:28.150456 | 2025-11-21 18:38:17.056437 |
| 2025-06-07 09:08:28.002614 | 2025-06-08 02:08:44.050776 | 8625599 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 8625599 | Athletic Physical Therapy Inc | 1981-12-16 | 2025-06-10 | F | AE | N/A | DE FELICE | R07457624FM1 | CHRISTINA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115919582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140436/check_8625599_73eb8680-a8a8-4a9d-8176-8b8a67259e10.json | N/A | N/A | N/A | N/A | N/A | R07457624FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1981-12-16 | N/A | N/A | N/A | N/A | false | DE FELICE | N/A | CHRISTINA | N/A | N/A | N/A | KA9 SBP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7852847152 | N/A | N/A | 6140436 | 2222 | 4801 | 8331565 | N/A | 4781417 | 2025-06-08 02:08:44.050776 | 2025-06-06 17:03:19.078153 |
| 2025-06-07 09:08:05.178883 | 2025-06-08 02:09:47.264254 | 8624985 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8624985 | Athletic Physical Therapy Inc | 1995-02-28 | 2025-06-10 | U | PT | N/A | JONES | LTC290M90213 | CAROLINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115919582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6134260/check_8624985_e770a87b-86f5-4b79-af98-b1f0c5adb62f.json | N/A | N/A | N/A | N/A | N/A | LTC290M90213 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1995-02-28 | N/A | N/A | N/A | N/A | false | JONES | N/A | CAROLINE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852847775 | N/A | N/A | 6134260 | 2222 | 4802 | 8332365 | N/A | 4775735 | 2025-06-08 02:09:47.264254 | 2025-07-08 23:42:37.640916 |
| 2025-06-07 09:08:04.492541 | 2025-06-08 02:04:43.972764 | 8624967 | N/A | N/A | 60054 | Aetna | 1114042165 | 8624967 | Athletic Physical Therapy Inc | 1994-05-27 | 2025-06-10 | M | PT | N/A | KIM | W288897308 | JOSHUA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115919582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6134150/check_8624967_cfcd59ba-c485-48a7-a390-e14038e9dd58.json | N/A | N/A | N/A | N/A | N/A | W288897308 | Point of Service (POS) | ARES MANAGEMENT LLC | AETNA | N/A | 1995-05-27 | 0804939 | 080493901000051 | N/A | PS | false | KIM | N/A | JOSHUA | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852847772 | N/A | N/A | 6134150 | 2222 | 4802 | 8327393 | N/A | 4775588 | 2025-06-08 02:04:43.972764 | 2025-12-10 22:39:33.219148 |
| 2025-06-07 09:07:49.592060 | 2025-06-08 02:05:48.981581 | 8624515 | N/A | N/A | 62118 | Aetna Administrator Medicare Supplement (Eligibility & Remits Only) | 1114042165 | 8624515 | Athletic Physical Therapy Inc | 1954-01-20 | 2025-06-09 | F | AE | N/A | BRENNER | TER6252245 | ROCIO FLORES | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115721882.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550897/check_8624515_7c327353-f200-485e-a03c-b185b992c905.json | N/A | N/A | N/A | N/A | N/A | TER6252245 | N/A | N/A | AETNA SENIOR SUPPLEMENTAL INSURANCE | N/A | 1954-01-20 | MMS002FRTIER | N/A | N/A | N/A | false | FLORES BRENNER | N/A | ROCIO | N/A | N/A | N/A | MED SUPP PLAN F 2010 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7852832065 | N/A | N/A | 5550897 | 2222 | 4793 | 8328371 | N/A | 4219750 | 2025-06-08 02:05:48.981581 | 2025-06-06 02:15:39.377685 |
| 2025-06-07 09:07:49.511232 | 2025-06-08 02:09:28.690596 | 8624514 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8624514 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-06-10 | F | PT | N/A | MARTIN | DGA11867912J | DOLLY | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115721882.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550799/check_8624514_ed883706-8c7c-4c06-bb2f-adc77bd2c09c.json | N/A | N/A | N/A | N/A | N/A | 5YV3RT3TA75 | N/A | DIRECTORS GUILD OF AMERICA | MEDICARE B | N/A | 1944-09-13 | 040 | 276945M001 | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852832064 | N/A | N/A | 5550799 | 2222 | 4793 | 8332158 | N/A | 4219681 | 2025-06-08 02:09:28.690596 | 2026-01-14 20:54:02.193776 |
| 2025-06-07 09:07:49.443873 | 2025-06-08 02:09:26.650191 | 8624511 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8624511 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-06-10 | F | PT | N/A | BRADBURY | JQE669W05502 | BONNIE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115721882.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550535/check_8624511_43913477-84b1-4759-bc71-a108ee258dba.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 | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852832063 | N/A | N/A | 5550535 | 2222 | 4801 | 8332135 | N/A | 4219556 | 2025-06-08 02:09:26.650191 | 2025-05-13 04:29:37.230592 |
| 2025-06-07 09:07:49.224051 | 2025-06-08 02:09:29.164588 | 8624507 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8624507 | Athletic Physical Therapy Inc | 1953-05-17 | 2025-06-10 | F | PT | N/A | SINGER | XEM911011492 | KAREN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115721882.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543248/check_8624507_ef228452-356b-488e-91d7-99715bb9ce07.json | N/A | N/A | N/A | N/A | N/A | XEM911011492 | Supplemental Policy | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1953-05-17 | 2004SE000028 | X0001002 | N/A | SP | false | SINGER | N/A | JOEL | N/A | 2025-06-30 | 2024-07-01 | MEDICARE SUPPLEMENT DENTAL 1500 APR24 | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852832059 | N/A | N/A | 5543248 | 2222 | 4793 | 8332164 | N/A | 4215066 | 2025-06-08 02:09:29.164588 | 2025-05-13 04:29:37.229384 |
| 2025-06-07 09:07:49.172634 | 2025-06-08 02:05:16.120664 | 8624505 | N/A | N/A | 60054 | Aetna | 1114042165 | 8624505 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-06-10 | M | PT | N/A | KORY | 102161581800 | MICHAEL | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115721882.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542870/check_8624505_50ddd583-c6cc-4ebf-9541-2ac2c3d26d97.json | N/A | N/A | N/A | N/A | N/A | 102161581800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1959-05-08 | 000003-CA000058 | 000003-CA | N/A | PR | false | KORY | N/A | MICHAEL | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852832057 | N/A | N/A | 5542870 | 2222 | 4793 | 8327817 | N/A | 4214732 | 2025-06-08 02:05:16.120664 | 2025-06-24 20:13:53.579048 |
| 2025-06-07 09:07:49.009952 | 2025-06-08 02:09:27.684380 | 8624501 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8624501 | Athletic Physical Therapy Inc | 1950-10-11 | 2025-06-10 | F | PT | N/A | FRANK | JQE134A79727 | KAREN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115721882.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542269/check_8624501_f694c882-b510-4eae-9ff6-7161984ee77f.json | N/A | N/A | N/A | N/A | N/A | JQE134A79727 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1950-10-11 | 040 | CASUPWP0 | N/A | N/A | false | FRANK | N/A | KAREN | N/A | 9999-12-31 | 2022-01-01 | CA MODERNIZED PLAN G | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852832054 | N/A | N/A | 5542269 | 2222 | 4802 | 8332147 | N/A | 4214201 | 2025-06-08 02:09:27.684380 | 2025-05-13 04:29:37.228535 |
| 2025-06-07 09:07:48.772957 | 2025-06-08 02:03:36.868175 | 8624499 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8624499 | Athletic Physical Therapy Inc | 1937-05-08 | 2025-06-10 | F | PT | N/A | GRINBERG | 04690155011 | HANNA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115721882.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542163/check_8624499_dad9ebc5-8f97-435a-9641-179f48862963.json | N/A | N/A | N/A | N/A | N/A | 04690155011 | 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. | 1937-05-08 | N/A | N/A | N/A | SP | false | GRINBERG | N/A | HANNA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN J | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852832053 | N/A | N/A | 5542163 | 2222 | 4802 | 8326571 | N/A | 4214112 | 2025-06-08 02:03:36.868175 | 2025-05-13 04:29:37.228426 |
| 2025-06-07 09:07:48.610805 | 2025-06-08 02:09:27.178423 | 8624495 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8624495 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-06-10 | M | PT | N/A | FINNLEY | M4R134071249001 | ZEV | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115721882.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539665/check_8624495_d2c0f44a-ca57-4849-bdf6-ae7b033ff76f.json | N/A | N/A | N/A | N/A | N/A | NGO832M81089 | Preferred Provider Organization (PPO) | N/A | COMMERCIAL INSURANCE | FUNDING TYPE = SELF INSURED | 1991-07-13 | 379 | 174022MJAC | N/A | PR | false | FINNLEY | N/A | ZEV | N/A | N/A | N/A | NENY PPO BLENDED MED/SURG | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852832052 | N/A | N/A | 5539665 | 2222 | 4793 | 8332140 | N/A | 4211935 | 2025-06-08 02:09:27.178423 | 2025-05-13 04:29:37.226259 |
| 2025-06-07 09:07:48.450428 | 2025-06-08 02:10:29.244219 | 8624492 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8624492 | Athletic Physical Therapy Inc | 1956-08-13 | 2025-06-10 | M | PT | N/A | GORODENZIK | XEM910692096 | AMIR | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115721882.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539599/check_8624492_6ee005a1-c972-4cce-8562-e7277f4b274c.json | N/A | N/A | N/A | N/A | N/A | XEM910692096 | Supplemental Policy | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1956-08-13 | 2002SD000030 | X0001002 | N/A | SP | false | GORODENZIK | N/A | AMIR | N/A | 9999-12-31 | 2021-10-01 | MEDICARE SUPPLEMENT DENTAL PPO 1000 AUG14 | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852832051 | N/A | N/A | 5539599 | 2222 | 4793 | 8332905 | N/A | 4211880 | 2025-06-08 02:10:29.244219 | 2025-05-13 04:29:37.226201 |
| 2025-06-07 09:07:48.340899 | 2025-06-08 02:03:36.542347 | 8624489 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8624489 | Athletic Physical Therapy Inc | 1941-11-29 | 2025-06-09 | F | AE | N/A | GODBOLD | 33204792612 | SHARI | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115721882.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537863/check_8624489_20e3af47-5aa6-45fe-8fa4-1c8b4e03d942.json | N/A | N/A | N/A | N/A | N/A | 33204792612 | 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. | 1941-11-29 | N/A | N/A | N/A | SP | false | GODBOLD | N/A | SHARI | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN N | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7852832050 | N/A | N/A | 5537863 | 2222 | 4802 | 8326567 | N/A | 4210360 | 2025-06-08 02:03:36.542347 | 2025-05-13 04:29:37.224766 |
| 2025-06-07 09:07:48.267276 | 2025-06-08 02:03:36.243723 | 8624486 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8624486 | Athletic Physical Therapy Inc | 1951-06-30 | 2025-06-10 | F | PT | N/A | CHADORCHI | 33261790711 | JAFFA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115721882.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537483/check_8624486_edc08b10-ba71-46f0-b0b3-c9cc2654f2b9.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 | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852832049 | N/A | N/A | 5537483 | 2222 | 4802 | 8326564 | N/A | 4210038 | 2025-06-08 02:03:36.243723 | 2025-06-02 14:57:36.820684 |
| 2025-06-07 09:07:43.522211 | 2025-06-08 02:08:53.823175 | 8624343 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 8624343 | Athletic Physical Therapy Inc | 1956-11-11 | 2025-06-10 | F | AE | N/A | SHAH | 00000313869 | GITABEN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115919582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6125116/check_8624343_fb01bf6a-8bee-4928-9641-85c0526c657f.json | N/A | N/A | N/A | N/A | N/A | 00000313869 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1956-11-11 | H3815030 | N/A | N/A | HM | false | SHAH | N/A | GITABEN | N/A | N/A | N/A | ALIGNMENT HEALTH CALPLUSDUALS (HMO D-SNP) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7852848980 | N/A | N/A | 6125116 | 2222 | 4801 | 8331718 | 2630 | 4767564 | 2025-06-08 02:08:53.823175 | 2025-06-10 20:15:29.406532 |
| 2025-06-07 09:07:42.799765 | 2025-06-08 02:14:06.340803 | 8624322 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8624322 | Athletic Physical Therapy Inc | 1951-03-27 | 2025-06-10 | F | PT | N/A | Jaude | 9MG2QE6VF90 | Anne | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115919582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124906/check_8624322_dbcaf6ac-302d-4876-b1b2-2a46b6d4149c.json | N/A | N/A | N/A | N/A | N/A | 9MG2QE6VF90 | N/A | N/A | CMS | N/A | 1951-03-27 | N/A | N/A | N/A | N/A | false | JAUDE | N/A | ANNE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852848977 | N/A | N/A | 6124906 | 2222 | 4802 | 8336507 | N/A | 4767362 | 2025-06-08 02:14:06.340803 | 2025-09-19 16:49:18.601418 |
| 2025-06-07 09:07:42.576101 | 2025-06-08 02:03:44.101307 | 8624316 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8624316 | Athletic Physical Therapy Inc | 1945-07-04 | 2025-06-10 | M | PT | N/A | Seminario | 442W1081810 | Gustavo | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115919582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124845/check_8624316_137f6309-0416-4df1-ba1b-e442bb6ea714.json | N/A | N/A | N/A | N/A | N/A | 442W1081810 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1945-07-04 | N/A | N/A | N/A | N/A | false | SEMINARIO | N/A | GUSTAVO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852848975 | N/A | N/A | 6124845 | 2222 | 4793 | 8326655 | N/A | 4767293 | 2025-06-08 02:03:44.101307 | 2025-06-06 15:11:48.015692 |
| 2025-06-07 09:07:38.849856 | 2025-06-08 02:09:28.066096 | 8624210 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8624210 | Athletic Physical Therapy Inc | 1948-09-14 | 2025-06-10 | F | PT | N/A | Yiannakakis | 913624039 | Kathy | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115919582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124357/check_8624210_13732457-8cea-4561-868e-2e4c14279f77.json | N/A | N/A | N/A | N/A | N/A | 913624039 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1948-09-14 | N/A | N/A | N/A | N/A | false | YIANNAKAKIS | N/A | KATHY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852848957 | N/A | N/A | 6124357 | 2222 | 4793 | 8332151 | N/A | 4766950 | 2025-06-08 02:09:28.066096 | 2025-06-03 22:10:54.646473 |
| 2025-06-07 09:07:37.681867 | 2025-06-08 02:10:17.982980 | 8624175 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8624175 | Athletic Physical Therapy Inc | 1969-07-12 | 2025-06-10 | F | PT | N/A | Davis | GMB811453374 | Colleen | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115919582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124061/check_8624175_a724f280-c27f-47c0-9526-0fcc4bab8391.json | N/A | N/A | N/A | N/A | N/A | GMB811453374 | Preferred Provider Organization (PPO) | ARTHUR J GALLAGHER (ILLINOIS), LLC | BLUE SHIELD OF CALIFORNIA | N/A | 1969-07-12 | N/A | 169148 | N/A | PR | false | DAVIS | N/A | COLLEEN | N/A | 9999-12-31 | 2024-08-26 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852848952 | N/A | N/A | 6124061 | 2222 | 4793 | 8332753 | N/A | 4766777 | 2025-06-08 02:10:17.982980 | 2025-06-19 23:01:11.277116 |
| 2025-06-07 09:07:36.624715 | 2025-06-08 02:04:44.247945 | 8624143 | N/A | N/A | 60054 | Aetna | 1114042165 | 8624143 | Athletic Physical Therapy Inc | 2025-06-03 | 2025-06-10 | M | PT | N/A | MIGLIAZZO | W263374265 | ANDREW | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115919582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6123757/check_8624143_a18e486c-e56b-476b-8e31-8f036725054e.json | N/A | N/A | N/A | N/A | N/A | W263374265 | N/A | N/A | AETNA | N/A | 1982-01-28 | 0160716 | 016071602500571 | N/A | N/A | false | MIGLIAZZO | N/A | NINA | N/A | N/A | N/A | OPEN CHOICE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852848948 | N/A | N/A | 6123757 | 2222 | 4793 | 8327396 | N/A | 4766470 | 2025-06-08 02:04:44.247945 | 2025-06-18 16:31:38.334570 |
| 2025-06-07 09:06:52.408902 | 2025-06-08 02:10:13.479472 | 8623077 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8623077 | Athletic Physical Therapy Inc | 1970-03-12 | 2025-06-10 | M | PT | N/A | Oleary | xea909336970 | William | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115919582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6113586/check_8623077_7507ae5c-997a-4002-b189-bfeaa52e5dc1.json | N/A | N/A | N/A | N/A | N/A | XEA909336970 | Preferred Provider Organization (PPO) | AFFORDABLE ANIMAL CLINIC GH INC DBA MISSION | BLUE SHIELD CALIFORNIA | N/A | 1970-03-12 | 1000VX000001 | W0107883 | N/A | PR | false | O'LEARY | N/A | WILLIAM | N/A | 9999-12-31 | 2019-10-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852848897 | N/A | N/A | 6113586 | 2222 | 4801 | 8332696 | N/A | 4756282 | 2025-06-08 02:10:13.479472 | 2025-06-03 14:39:12.862268 |
| 2025-06-07 09:06:47.418893 | 2025-06-08 02:09:46.680761 | 8622961 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8622961 | Athletic Physical Therapy Inc | 1953-09-14 | 2025-06-09 | U | PT | N/A | HARMON | JQQ322M99046 | MONICA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115919582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6112352/check_8622961_db6a57fa-8c00-41b0-8695-03ee605aafb2.json | N/A | N/A | N/A | N/A | N/A | JQQ322M99046 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1953-09-14 | N/A | N/A | N/A | N/A | false | HARMON | N/A | MONICA | N/A | 9999-12-31 | 2025-01-01 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852848873 | N/A | N/A | 6112352 | 2222 | 4802 | 8332359 | N/A | 4755187 | 2025-06-08 02:09:46.680761 | 2026-05-20 17:00:41.372553 |
| 2025-06-07 09:05:54.325112 | 2025-06-08 02:18:29.018494 | 8621728 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8621728 | Athletic Physical Therapy Inc | 1932-10-05 | 2025-06-10 | M | AE | N/A | BOLTON | XDO770869054 | ALAN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.120426142.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6174537/check_8621728_d1ae0450-b1dc-4618-bd99-82dc9b7ebfa9.json | N/A | N/A | N/A | N/A | N/A | XDO770869054 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1932-10-05 | N/A | N/A | N/A | N/A | false | BOLTON | N/A | ALAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7852892161 | N/A | N/A | 6174537 | 2222 | 4793 | 8339680 | N/A | 4815871 | 2025-06-08 02:18:29.018494 | 2025-08-01 15:33:39.468574 |
| 2025-06-07 09:05:37.631519 | 2025-06-08 02:17:21.939981 | 8621081 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8621081 | Athletic Physical Therapy Inc | 1959-07-02 | 2025-06-10 | M | PT | N/A | BALLETTA | 8XJ1TM6DQ90 | EDWARD | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115526022.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993961/check_8621081_992e7ea9-bc09-4797-9ec0-601044a1a289.json | N/A | N/A | N/A | N/A | N/A | 8XJ1TM6DQ90 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-02 | S5617 | N/A | N/A | MA | false | BALLETTA | N/A | EDWARD | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852801523 | N/A | N/A | 5993961 | 2222 | 4793 | 8339093 | N/A | 4642893 | 2025-06-08 02:17:21.939981 | 2025-05-28 20:58:29.913655 |
| 2025-06-07 09:05:37.593913 | 2025-06-08 02:05:33.624890 | 8621080 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8621080 | Athletic Physical Therapy Inc | 1959-09-09 | 2025-06-10 | M | PT | N/A | BRUNO | NCF254A54902 | PHILLIP | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115526022.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993958/check_8621080_20037d78-08d8-4493-af4b-084a62ac85ec.json | N/A | N/A | N/A | N/A | N/A | NCF254A54902 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1959-09-09 | N/A | N/A | N/A | N/A | false | BRUNO | N/A | PHILLIP | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852801521 | N/A | N/A | 5993958 | 2222 | 4801 | 8328094 | N/A | 4642892 | 2025-06-08 02:05:33.624890 | 2025-05-29 23:29:01.820749 |
| 2025-06-07 09:05:37.551922 | 2025-06-08 02:07:07.702501 | 8621075 | N/A | N/A | 60054 | Aetna | 1114042165 | 8621075 | Athletic Physical Therapy Inc | 1986-01-20 | 2025-06-10 | F | PT | N/A | DAVIS | W258779471 | MARTINA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115526022.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993951/check_8621075_79b5b83c-3e71-4eba-b1fd-363d05f6d51d.json | N/A | N/A | N/A | N/A | N/A | W258779471 | Point of Service (POS) | ADP TOTALSOURCE SERVICES, INC. | AETNA | N/A | 1986-01-20 | 0251371 | 025137101900020 | N/A | PS | false | DAVIS | N/A | ASTIN | N/A | N/A | N/A | OPEN ACCESS MC | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852801520 | N/A | N/A | 5993951 | 2222 | 4802 | 8329810 | N/A | 4642884 | 2025-06-08 02:07:07.702501 | 2025-12-02 20:19:19.910444 |
| 2025-06-07 09:05:37.503301 | 2025-06-08 02:13:01.880796 | 8621073 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8621073 | Athletic Physical Therapy Inc | 1971-12-01 | 2025-06-10 | F | PT | N/A | YOUNG | MPI20006076Q | LAURA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115526022.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993950/check_8621073_4b751818-8e52-488e-aa59-fdb108f91336.json | N/A | N/A | N/A | N/A | N/A | MPI20006076Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1971-12-01 | 040 | 277163M401 | N/A | PR | false | YOUNG | N/A | VINCENT | 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 | 7852801519 | N/A | N/A | 5993950 | 2222 | 4801 | 8335340 | N/A | 4642879 | 2025-06-08 02:13:01.880796 | 2025-06-03 20:29:34.818847 |
| 2025-06-07 09:05:37.467902 | 2025-06-08 02:12:40.614700 | 8621072 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8621072 | Athletic Physical Therapy Inc | 1953-08-14 | 2025-06-10 | F | PT | N/A | ZIMMERMAN | 000021134035 | DEBORA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115526022.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993948/check_8621072_a44e550d-b097-4a6a-b4b4-c5f881968606.json | N/A | N/A | N/A | N/A | N/A | 000021134035 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1953-08-14 | 4183353 | 1650095001 | N/A | N/A | false | ZIMMERMAN | N/A | DEBORA | N/A | N/A | N/A | CALIFORNIA INDIVIDUAL EXCHANGE SILVER 87 HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852801518 | N/A | N/A | 5993948 | 2222 | 4801 | 8334915 | N/A | 4642885 | 2025-06-08 02:12:40.614700 | 2025-06-03 23:30:41.439757 |
| 2025-06-07 09:05:37.427965 | 2025-06-08 02:17:22.450022 | 8621069 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8621069 | Athletic Physical Therapy Inc | 1955-12-01 | 2025-06-10 | F | PT | N/A | PARLIER | 7D70AM9KX14 | MERILEE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115526022.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993924/check_8621069_8b070ab9-7566-467d-af3b-22d8a370d338.json | N/A | N/A | N/A | N/A | N/A | 7D70AM9KX14 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-12-01 | H4036 | N/A | N/A | MB | false | PARLIER | N/A | MERILEE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852801517 | N/A | N/A | 5993924 | 2222 | 4801 | 8339098 | N/A | 4642861 | 2025-06-08 02:17:22.450022 | 2025-11-25 19:25:55.074534 |
| 2025-06-07 09:05:37.391906 | 2025-06-08 02:13:01.588080 | 8621067 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8621067 | Athletic Physical Therapy Inc | 1993-10-14 | 2025-06-10 | M | PT | N/A | SPENCE | SGEFW1503472 | STEPHEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115526022.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993917/check_8621067_3fec50dc-12ca-4726-92d6-886e93513ffa.json | N/A | N/A | N/A | N/A | N/A | SGEFW1503472 | Preferred Provider Organization (PPO) | UNITED FOOD & COMMERCIAL WORKERS UNION | ANTHEM BLUE CROSS | N/A | 1993-10-14 | 040 | 276886M003 | N/A | PR | false | SPENCE | N/A | STEPHEN | 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 | 7852801516 | N/A | N/A | 5993917 | 2222 | 4793 | 8335336 | N/A | 4642854 | 2025-06-08 02:13:01.588080 | 2025-05-28 20:57:05.075130 |
| 2025-06-07 09:05:37.347551 | 2025-06-08 02:13:00.336595 | 8621065 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 8621065 | Athletic Physical Therapy Inc | 1957-07-08 | 2025-06-10 | M | PT | N/A | CRANE | 121W1857510 | ROBIN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115526022.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993914/check_8621065_0f1861ed-830d-4522-996b-d878840d1174.json | N/A | N/A | N/A | N/A | N/A | 121W1857510 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1957-07-08 | N/A | N/A | N/A | N/A | false | CRANE | N/A | ROBIN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852801515 | N/A | N/A | 5993914 | 2222 | 4801 | 8335311 | 4184 | 4642853 | 2025-06-08 02:13:00.336595 | 2025-06-18 17:41:38.051091 |
| 2025-06-07 09:05:11.565816 | 2025-06-08 02:13:07.908060 | 8620170 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8620170 | Athletic Physical Therapy Inc | 2000-08-04 | 2025-06-10 | M | PT | N/A | MAGHEN | XDL992A63501 | ITZCHAK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.120426142.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6172263/check_8620170_1cc61c0d-8e67-4c60-99c6-30904cee1bd4.json | N/A | N/A | N/A | N/A | N/A | XDL992A63501 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 2000-08-04 | 040 | H06200 | N/A | PR | false | SHAYANI | N/A | ESTHER | N/A | 9999-12-31 | 2009-07-01 | PPO SHARE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852891756 | N/A | N/A | 6172263 | 2222 | 4802 | 8335459 | N/A | 4813871 | 2025-06-08 02:13:07.908060 | 2025-07-08 23:07:33.420114 |
| 2025-06-07 09:04:53.644358 | 2025-06-08 02:10:18.299607 | 8619566 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8619566 | Athletic Physical Therapy Inc | 1961-05-24 | 2025-06-10 | M | PT | N/A | TIDMORE | XOX826489646 | FRED | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115919582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6079116/check_8619566_aa84f611-da4d-4fca-a4ea-ab4f2ae78c4d.json | N/A | N/A | N/A | N/A | N/A | XOX826489646 | Preferred Provider Organization (PPO) | SODICK, INC. | BLUE SHIELD OF CALIFORNIA | N/A | 1961-05-24 | N/A | 327914 | N/A | PR | false | TIDMORE | N/A | FRED | N/A | 9999-12-31 | 2023-10-01 | PPO DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852848055 | N/A | N/A | 6079116 | 2222 | 4801 | 8332758 | N/A | 4723148 | 2025-06-08 02:10:18.299607 | 2025-05-30 15:53:57.629593 |
| 2025-06-07 09:04:50.650580 | 2025-06-08 02:05:48.587863 | 8619434 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8619434 | Athletic Physical Therapy Inc | 1996-03-28 | 2025-06-10 | F | PT | N/A | SAGMAN | U9205101701 | SYDNEY | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115919582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078312/check_8619434_27c86233-f59a-4dc6-9fad-a8af26c6147f.json | N/A | N/A | N/A | N/A | N/A | U9205101701 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1996-03-28 | N/A | 3346355 | N/A | HM | false | SAGMAN | N/A | SYDNEY | N/A | N/A | N/A | NETWORK | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852848676 | N/A | N/A | 6078312 | 2222 | 4802 | 8328365 | N/A | 4722569 | 2025-06-08 02:05:48.587863 | 2025-08-26 00:16:35.895658 |
| 2025-06-07 09:04:50.466648 | 2025-06-08 02:14:05.538210 | 8619428 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8619428 | Athletic Physical Therapy Inc | 1951-05-08 | 2025-06-10 | F | AE | N/A | BERNSTEIN NOAH | 6HK3VD1GN77 | PAULA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115919582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078301/check_8619428_ee9a0500-453e-4343-9468-6e79c1d2200f.json | N/A | N/A | N/A | N/A | N/A | 6HK3VD1GN77 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-05-08 | S5617 | N/A | N/A | MB | false | BERNSTEIN NOAH | N/A | PAULA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7852848675 | N/A | N/A | 6078301 | 2222 | 4802 | 8336491 | N/A | 4722556 | 2025-06-08 02:14:05.538210 | 2025-06-04 18:06:16.300392 |
| 2025-06-07 09:04:50.258201 | 2025-06-08 02:07:00.579779 | 8619423 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8619423 | Athletic Physical Therapy Inc | 1997-06-29 | 2025-06-10 | F | PT | N/A | Pienkowski | 996659662 | Alexandra | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115919582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078295/check_8619423_15624573-8d3a-49a9-bdb7-4ae667316d5f.json | N/A | N/A | N/A | N/A | N/A | 996659662 | Commercial | THE INTERPUBLIC GROUP OF CO | UNITEDHEALTHCARE | PROVIDER IS OUT NETWORK FOR MEMBER FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1997-06-29 | 3142 3142 | 702551 | N/A | C1 | false | PIENKOWSKI | N/A | ALEXANDRA | N/A | N/A | N/A | POS CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852848674 | N/A | N/A | 6078295 | 2222 | 4802 | 8329673 | N/A | 4722548 | 2025-06-08 02:07:00.579779 | 2025-05-30 04:23:27.387333 |
| 2025-06-07 09:04:49.755467 | 2025-06-08 02:03:43.600248 | 8619400 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8619400 | Athletic Physical Therapy Inc | 1972-03-17 | 2025-06-10 | M | PT | N/A | BARNETT | JMV357W05874 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115919582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078082/check_8619400_bfc98c16-81b3-490a-8dbf-086ad319e299.json | N/A | N/A | N/A | N/A | N/A | JMV357W05874 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1972-03-17 | N/A | N/A | N/A | N/A | false | BARNETT | N/A | MARK | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852848670 | N/A | N/A | 6078082 | 2222 | 4793 | 8326650 | N/A | 4722340 | 2025-06-08 02:03:43.600248 | 2025-06-06 20:33:59.683125 |
| 2025-06-07 09:04:48.756715 | 2025-06-08 02:07:00.115085 | 8619345 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8619345 | Athletic Physical Therapy Inc | 1965-02-14 | 2025-06-10 | F | AE | N/A | GOLDSTEIN | 000603457 | SHARON | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115919582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077490/check_8619345_944f2f73-9949-403b-b889-4f2d34fbbd8b.json | N/A | N/A | N/A | N/A | N/A | 000603457 | Commercial | US BANK | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1965-02-14 | 0162 0162 | 186359 | N/A | C1 | false | GOLDSTEIN | N/A | SHARON | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7852848660 | N/A | N/A | 6077490 | 2222 | 4793 | 8329664 | N/A | 4721602 | 2025-06-08 02:07:00.115085 | 2025-06-03 23:36:44.592003 |
| 2025-06-07 09:04:47.833387 | 2025-06-08 02:08:53.538432 | 8619313 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 8619313 | Athletic Physical Therapy Inc | 1957-09-06 | 2025-06-10 | M | PT | N/A | BECKLEY | 00000375188 | STEVE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115919582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077164/check_8619313_2a630e07-42a4-4def-8d7a-4607f0a6fb33.json | N/A | N/A | N/A | N/A | N/A | 00000375188 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1957-09-06 | H3815028 | N/A | N/A | HM | false | BECKLEY | N/A | STEVE | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852848654 | N/A | N/A | 6077164 | 2222 | 4793 | 8331714 | 2630 | 4720748 | 2025-06-08 02:08:53.538432 | 2025-06-11 15:34:07.942696 |
| 2025-06-07 09:04:46.106507 | 2025-06-08 05:03:43.748513 | 8619225 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8619225 | Athletic Physical Therapy Inc | 1935-06-20 | 2025-06-10 | F | AE | N/A | GOLDMAN | 949158511 | MARALYN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115303575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535990/check_8619225_ff56f1eb-3421-4fc7-8448-3b849f4ac46c.json | N/A | N/A | N/A | N/A | N/A | 949158511 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1935-06-20 | N/A | 15306 | N/A | PR | false | GOLDMAN | N/A | MARALYN | N/A | N/A | N/A | LPPO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (PP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7852785074 | N/A | N/A | 5535990 | 2222 | 4802 | 8342876 | N/A | 4208807 | 2025-06-08 05:03:43.748513 | 2025-05-13 04:29:37.223234 |
| 2025-06-07 09:04:45.293658 | 2025-06-08 02:12:40.342959 | 8619185 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8619185 | Athletic Physical Therapy Inc | 1944-01-31 | 2025-06-10 | F | PT | N/A | DVORSKY | 000009483838 | LINDA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115526022.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874461/check_8619185_9f2b434a-f560-48a2-a459-39701ee33fa2.json | N/A | N/A | N/A | N/A | N/A | 000009483838 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1944-01-31 | 3003378 | 1650095001 | N/A | N/A | false | DVORSKY | N/A | LINDA | N/A | N/A | N/A | GF JANUARY - KPIF COPAY COPAYMENT $25 HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852801793 | N/A | N/A | 5874461 | 2222 | 4801 | 8334907 | N/A | 4534583 | 2025-06-08 02:12:40.342959 | 2025-05-27 21:59:00.919365 |
| 2025-06-07 09:04:45.254228 | 2025-06-08 02:05:32.947312 | 8619183 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8619183 | Athletic Physical Therapy Inc | 1944-11-30 | 2025-06-10 | F | PT | N/A | AMOROSA | 40037132201 | RITA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115526022.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874458/check_8619183_9e1793a4-8f3f-4c17-a381-ebe51b2f75c2.json | N/A | N/A | N/A | N/A | N/A | 40037132201 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1944-11-30 | N/A | N/A | N/A | N/A | false | AMOROSA | N/A | RITA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852801792 | N/A | N/A | 5874458 | 2222 | 4801 | 8328083 | N/A | 4534582 | 2025-06-08 02:05:32.947312 | 2026-03-02 22:06:30.224734 |
| 2025-06-07 09:04:45.214392 | 2025-06-08 02:05:23.421091 | 8619181 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8619181 | Athletic Physical Therapy Inc | 1964-11-15 | 2025-06-10 | F | PT | N/A | BIKOULOVA | 92040499F | ALEXANDRA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115526022.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874423/check_8619181_f6d463be-ad72-43c1-857f-4d07ad80ac9c.json | N/A | N/A | N/A | N/A | N/A | 92040499F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-11-15 | N/A | N/A | N/A | N/A | false | BIKOULOVA | N/A | ALEXANDRA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852801791 | N/A | N/A | 5874423 | 2222 | 4802 | 8327922 | N/A | 4534552 | 2025-06-08 02:05:23.421091 | 2025-05-30 18:01:03.324126 |
| 2025-06-07 09:04:43.417330 | 2025-06-08 02:03:39.140765 | 8619100 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8619100 | Athletic Physical Therapy Inc | 1973-03-27 | 2025-06-10 | F | PT | N/A | KAUFMAN | R05917930FM1 | AMANDA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115919582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074035/check_8619100_b31e05e1-270b-44c1-ae4c-fd6c428dbec2.json | N/A | N/A | N/A | N/A | N/A | R05917930FM1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1973-03-27 | N/A | N/A | N/A | N/A | false | KAUFMAN | N/A | AMANDA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852848803 | N/A | N/A | 6074035 | 2222 | 4801 | 8326598 | N/A | 4718592 | 2025-06-08 02:03:39.140765 | 2025-05-29 20:00:22.627186 |
| 2025-06-07 09:04:21.139767 | 2025-06-08 02:03:43.852542 | 8618358 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8618358 | Athletic Physical Therapy Inc | 1993-12-11 | 2025-06-10 | F | PT | N/A | FREEMAN | XDM000900795 | NICOLE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115919582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068071/check_8618358_02078363-29da-449e-bbed-5ac75f538c2a.json | N/A | N/A | N/A | N/A | N/A | XDM000900795 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1993-12-11 | N/A | N/A | N/A | N/A | false | FREEMAN | N/A | NICOLE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852848366 | N/A | N/A | 6068071 | 2222 | 4801 | 8326652 | N/A | 4713009 | 2025-06-08 02:03:43.852542 | 2025-05-30 17:56:41.585988 |
| 2025-06-07 09:04:20.919459 | 2025-06-08 02:06:59.658526 | 8618353 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8618353 | Athletic Physical Therapy Inc | 1978-08-18 | 2025-06-10 | F | PT | N/A | DABBY JOYCE | 698634440 | LISA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115919582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068059/check_8618353_b2658d1e-2e04-4626-9b16-c8fef98383ef.json | N/A | N/A | N/A | N/A | N/A | 69863444000 | Commercial | N/A | UNITEDHEALTHCARE BENEFITS PLAN OF CALIFORNIA | MEMBER ON DOWNSTREAM HOLD 2025-06-02 - 2025-08-02 FUNDING TYPE = FULLY INSURED - SMALL GROUP | 1978-08-18 | N/A | 1671793 | N/A | C1 | false | DABBY JOYCE | N/A | LISA | N/A | N/A | N/A | SELECT PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852848365 | N/A | N/A | 6068059 | 2222 | 4802 | 8329653 | N/A | 4713001 | 2025-06-08 02:06:59.658526 | 2025-10-23 14:37:36.593472 |