API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-14 08:05:43.899199 | 2025-11-15 03:36:12.047569 | 14748955 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 14748955 | Athletic Physical Therapy Inc | 1953-07-31 | 2025-11-17 | F | AE | PT | Dickenson | 91000390H | Linda | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120817810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449889/check_14748955_170b6d51-0a4b-450c-8712-c0e18754fe52.json | N/A | N/A | N/A | N/A | N/A | 91000390H | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1953-07-31 | N/A | N/A | N/A | N/A | false | DICKENSON | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285236036 | N/A | N/A | 7449889 | 2222 | 4802 | 15040706 | N/A | 6399696 | 2025-11-15 03:36:12.047569 | 2025-07-24 23:24:56.744520 |
| 2025-11-14 08:05:39.522689 | 2025-11-15 01:46:30.336690 | 14748572 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14748572 | Athletic Physical Therapy Inc | 1952-01-13 | 2025-11-17 | M | PT | N/A | BLANCO ESCOBAR | JQW106W18304 | SAMUEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120828190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9134245/check_14748572_0eed0885-f85e-4352-a3a7-d5650d2ab4b3.json | N/A | N/A | N/A | N/A | N/A | JQW106W18304 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-01-13 | 040 | CAMCRWP0 | N/A | MP | false | BLANCO ESCOBAR | N/A | SAMUEL | 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 | 9285239782 | N/A | N/A | 9134245 | 2222 | 4801 | 15033411 | 4185 | 7655426 | 2025-11-15 01:46:30.336690 | 2025-09-08 18:14:46.984181 |
| 2025-11-14 08:05:39.429651 | 2025-11-15 01:53:05.079413 | 14748567 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14748567 | Athletic Physical Therapy Inc | 1945-08-17 | 2025-11-17 | M | PT | N/A | ALVAREZ ESTRADA | JQW310W11853 | ATANASIO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120943030.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11106877/check_14748567_2cd1a52e-e4d5-417f-bdf5-a388597946c9.json | N/A | N/A | N/A | N/A | N/A | JQW310W11853 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1945-08-17 | 040 | CAMCRWP0 | N/A | MP | false | ALVAREZ ESTRADA | N/A | ATANASIO | 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 | 9285244312 | N/A | N/A | 11106877 | 2222 | 4801 | 15037622 | 4185 | 9457324 | 2025-11-15 01:53:05.079413 | 2025-10-17 17:07:00.205619 |
| 2025-11-14 08:05:33.989102 | 2025-11-15 01:39:13.828710 | 14748158 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14748158 | Athletic Physical Therapy Inc | 1989-01-23 | 2025-11-17 | F | PT | N/A | HINKLE | NCF051W08046 | MARLENA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120921565.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550925/check_14748158_4e4d0e81-6789-4485-aae0-f5a9117bcbd5.json | N/A | N/A | N/A | N/A | N/A | NCF051W08046 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1989-01-23 | 040 | 57AJCA | N/A | HM | false | HINKLE | N/A | MARLENA | N/A | 9999-12-31 | 2021-03-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285250754 | N/A | N/A | 5550925 | 2222 | 4793 | 15027393 | N/A | 4219772 | 2025-11-15 01:39:13.828710 | 2025-11-18 00:45:16.378261 |
| 2025-11-14 08:05:33.854072 | 2025-11-15 01:39:16.240874 | 14748146 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14748146 | Athletic Physical Therapy Inc | 2016-10-15 | 2025-11-17 | F | PT | N/A | WALTER | JXN523A76388 | KARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120921565.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550923/check_14748146_3b1153e0-63f2-41d0-ae5b-d8088216962e.json | N/A | N/A | N/A | N/A | N/A | JXN523A76388 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 2016-10-15 | 040 | 174222M3A1 | N/A | PR | false | WALTER | N/A | KYLE | N/A | 9999-12-31 | 2023-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285250753 | N/A | N/A | 5550923 | 2222 | 4801 | 15027422 | N/A | 4219763 | 2025-11-15 01:39:16.240874 | 2025-05-13 04:29:37.230804 |
| 2025-11-14 08:05:33.756293 | 2025-11-15 01:41:03.173938 | 14748137 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14748137 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-11-17 | F | PT | N/A | PANDYA | XEA913306283 | DHARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120921565.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_14748137_29f7ad70-4b19-4eec-b8bc-5fc89cc0b23b.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1975-08-17 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2024-06-03 | HSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285250752 | N/A | N/A | 5550845 | 2222 | 4801 | 15028830 | N/A | 4219713 | 2025-11-15 01:41:03.173938 | 2025-08-13 22:46:55.732965 |
| 2025-11-14 08:05:33.646080 | 2025-11-15 01:35:05.401724 | 14748128 | N/A | N/A | 62308 | CIGNA PPO | 1114042165 | 14748128 | Athletic Physical Therapy Inc | 1986-05-15 | 2025-11-17 | M | AE | PT | SOLHJOU | U7549246801 | BAHRAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120921565.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549949/check_14748128_70aac367-6979-416b-8cb1-925a5a8017e1.json | N/A | N/A | N/A | N/A | N/A | U7549246801 | Health Maintenance Organization (HMO) | COUNTY OF LOS ANGELES | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1986-05-15 | N/A | 3212364 | N/A | HM | false | SOLHJOU | N/A | BAHRAM | N/A | N/A | N/A | NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285250751 | N/A | N/A | 5549949 | 2222 | 4802 | 15024548 | 4437 | 4219432 | 2025-11-15 01:35:05.401724 | 2025-05-13 04:29:37.230466 |
| 2025-11-14 08:05:33.489194 | 2025-11-15 01:39:14.476987 | 14748115 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14748115 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-11-17 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120921565.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_14748115_23a1de76-f599-4f2a-a8c0-2d35bbc3fd0b.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285250750 | N/A | N/A | 5549317 | 2222 | 4801 | 15027401 | N/A | 4219010 | 2025-11-15 01:39:14.476987 | 2026-01-09 18:32:07.618867 |
| 2025-11-14 08:05:32.866832 | 2025-11-15 01:38:19.449229 | 14748069 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14748069 | Athletic Physical Therapy Inc | 1963-07-02 | 2025-11-17 | M | AE | PT | RAMPTON | R02515710 | JAMES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120921565.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543519/check_14748069_27877166-4639-4e92-84d0-579be57e22a5.json | N/A | N/A | N/A | N/A | N/A | R02515710MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1963-07-02 | N/A | N/A | N/A | N/A | false | RAMPTON | N/A | JAMES | N/A | N/A | N/A | K9T SBP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285250746 | N/A | N/A | 5543519 | 2222 | 4801 | 15026709 | N/A | 4215303 | 2025-11-15 01:38:19.449229 | 2025-05-13 04:29:37.229622 |
| 2025-11-14 08:05:32.725105 | 2025-11-15 01:38:18.624723 | 14748054 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14748054 | Athletic Physical Therapy Inc | 1972-07-22 | 2025-11-17 | M | AE | PT | KOZMA | U9714475101 | JASON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120921565.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542709/check_14748054_a8c2b499-aa17-49be-b5d5-fdeba06e5c95.json | N/A | N/A | N/A | N/A | N/A | U9714475101 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1972-07-22 | 67138CA0700027-01 | N/A | N/A | N/A | false | KOZMA | N/A | JASON | N/A | N/A | N/A | BRONZE 60 HDHP AMBETTER PPO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285250745 | N/A | N/A | 5542709 | 2222 | 4802 | 15026698 | N/A | 4214582 | 2025-11-15 01:38:18.624723 | 2025-12-02 00:00:04.433236 |
| 2025-11-14 08:05:32.562439 | 2025-11-15 01:41:01.486067 | 14748043 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14748043 | Athletic Physical Therapy Inc | 1969-07-21 | 2025-11-17 | F | PT | N/A | BAER | XEK905554072 | JUDY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120921565.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542259/check_14748043_c1c5bd84-d144-4022-9ac9-90c8d670b98b.json | N/A | N/A | N/A | N/A | N/A | XEK905554072 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1969-07-21 | 2001ZJ002648 | X0001000 | N/A | PR | false | BAER | N/A | JUDY | N/A | 9999-12-31 | 2017-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285250744 | N/A | N/A | 5542259 | 2222 | 4802 | 15028817 | N/A | 4214195 | 2025-11-15 01:41:01.486067 | 2025-05-13 04:29:37.228529 |
| 2025-11-14 08:05:32.416431 | 2025-11-15 01:39:15.768306 | 14748029 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14748029 | Athletic Physical Therapy Inc | 1942-12-17 | 2025-11-17 | F | PT | N/A | STEINBERG | MBL988M98459 | JUDY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120921565.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542014/check_14748029_893e99cd-cf7b-4fa1-a1e1-fda7961d7b32.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285250743 | N/A | N/A | 5542014 | 2222 | 4793 | 15027415 | N/A | 4213977 | 2025-11-15 01:39:15.768306 | 2025-05-13 04:29:37.228294 |
| 2025-11-14 08:05:32.177720 | 2025-11-15 01:39:11.945260 | 14748005 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 14748005 | Athletic Physical Therapy Inc | 1959-05-13 | 2025-11-17 | F | PT | N/A | ADRIANZEN FERNAN | 221W2005420 | AURA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120921565.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541944/check_14748005_ce0d50c3-f403-492f-87bc-a91f47ef6eef.json | N/A | N/A | N/A | N/A | N/A | 221W2005420 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-05-13 | N/A | N/A | N/A | N/A | false | ADRIANZEN FERNAN | N/A | AURA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285250742 | N/A | N/A | 5541944 | 2222 | 4801 | 15027364 | 4184 | 4213907 | 2025-11-15 01:39:11.945260 | 2025-05-13 04:29:37.228228 |
| 2025-11-14 08:05:31.968810 | 2025-11-15 01:39:15.179983 | 14747987 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14747987 | Athletic Physical Therapy Inc | 1940-08-31 | 2025-11-17 | M | PT | N/A | STEINBERG | MBL875M98441 | HARRIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120921565.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_14747987_81a1a6f5-8ab6-45bf-a1d5-442725dba4a3.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | 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 | 9285250741 | N/A | N/A | 5541917 | 2222 | 4793 | 15027410 | N/A | 4213891 | 2025-11-15 01:39:15.179983 | 2025-05-13 04:29:37.228207 |
| 2025-11-14 08:05:31.822526 | 2025-11-15 01:39:14.142869 | 14747976 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14747976 | Athletic Physical Therapy Inc | 2009-08-02 | 2025-11-17 | F | PT | N/A | KUZMICZ | LFYHC0059374 | AUDREY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120921565.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541748/check_14747976_9f236914-a62d-4e8f-9af6-595172b77eda.json | N/A | N/A | N/A | N/A | N/A | LFYHC0059374 | Preferred Provider Organization (PPO) | LOS ANGELES FIREMENS RELIEF ASSOCIATION | ANTHEM BLUE CROSS | N/A | 2009-08-02 | 040 | 282527M001 | N/A | PR | false | KUZMICZ | N/A | CHRISTOPHER | N/A | 9999-12-31 | 2020-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285250740 | N/A | N/A | 5541748 | 2222 | 4801 | 15027397 | N/A | 4213741 | 2025-11-15 01:39:14.142869 | 2025-10-10 22:38:21.840610 |
| 2025-11-14 08:05:31.694040 | 2025-11-15 01:41:04.051953 | 14747964 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14747964 | Athletic Physical Therapy Inc | 1965-09-18 | 2025-11-17 | F | PT | N/A | SHAPIRO | XEA901579979 | ANDREA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120921565.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541315/check_14747964_88ff5ef3-e2bb-43db-915f-83e6d5834e8d.json | N/A | N/A | N/A | N/A | N/A | XEA901579979 | Preferred Provider Organization (PPO) | HANGER STEINBERG SHAPIRO AND ASH A LAW COR | BLUE SHIELD CALIFORNIA | N/A | 1965-09-18 | 1000VX000102 | W0045063 | N/A | PR | false | SHAPIRO | N/A | MARC | N/A | 9999-12-31 | 2025-11-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285250739 | N/A | N/A | 5541315 | 2222 | 4793 | 15028837 | N/A | 4213344 | 2025-11-15 01:41:04.051953 | 2025-05-13 04:29:37.227667 |
| 2025-11-14 08:05:31.510519 | 2025-11-15 01:37:29.542821 | 14747948 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14747948 | Athletic Physical Therapy Inc | 1968-03-30 | 2025-11-17 | M | AE | PT | FARAHMAND | 91957675E | ALEX | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120921565.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541163/check_14747948_2a3b8ed3-90cb-413e-894a-aa21b52304c2.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | HEALTH NET, LLC | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285250738 | N/A | N/A | 5541163 | 2222 | 4802 | 15026102 | N/A | 4213207 | 2025-11-15 01:37:29.542821 | 2025-05-13 04:29:37.227536 |
| 2025-11-14 08:05:31.335276 | 2025-11-15 01:32:26.258073 | 14747933 | N/A | N/A | 60054 | Aetna | 1114042165 | 14747933 | Athletic Physical Therapy Inc | 1978-02-17 | 2025-11-17 | F | AE | PT | D ORSAY | NSA00801218H | BROOKE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120921565.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540943/check_14747933_1ac23b87-6de4-4751-bbcf-eca262aeda1c.json | N/A | N/A | N/A | N/A | N/A | NSA00801218H | N/A | N/A | AETNA INC | N/A | 1978-02-17 | N/A | N/A | N/A | N/A | false | D ORSAY | N/A | BROOKE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285250737 | N/A | N/A | 5540943 | 2222 | 4793 | 15022393 | N/A | 4213022 | 2025-11-15 01:32:26.258073 | 2025-05-13 04:29:37.227349 |
| 2025-11-14 08:05:31.193690 | 2025-11-15 01:37:33.621673 | 14747923 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 14747923 | Athletic Physical Therapy Inc | 1940-03-29 | 2025-11-17 | F | AE | PT | MARTINEZ | 40032670501 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120921565.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540591/check_14747923_909ef39e-2d6f-4a29-81e0-aa9165428088.json | N/A | N/A | N/A | N/A | N/A | 40032670501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1940-03-29 | 2025H5425001 | H5425M | N/A | N/A | false | MARTINEZ | N/A | MARIA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285250736 | N/A | N/A | 5540591 | 2222 | 4801 | 15026155 | N/A | 4212724 | 2025-11-15 01:37:33.621673 | 2025-07-26 22:27:37.781276 |
| 2025-11-14 08:05:31.030598 | 2025-11-15 01:39:12.459038 | 14747908 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14747908 | Athletic Physical Therapy Inc | 2011-01-19 | 2025-11-17 | M | PT | N/A | CHELIUS | JXN662A51170 | CADEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120921565.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539929/check_14747908_9af8aa25-e7e9-4521-9384-e81511d605b4.json | N/A | N/A | N/A | N/A | N/A | JXN662A51170 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 2011-01-19 | 040 | 174222M9A1 | N/A | PR | false | CHELIUS | N/A | CRAIG | N/A | 9999-12-31 | 2021-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285250735 | N/A | N/A | 5539929 | 2222 | 4793 | 15027370 | N/A | 4212158 | 2025-11-15 01:39:12.459038 | 2025-10-22 16:00:14.919111 |
| 2025-11-14 08:05:30.913219 | 2025-11-15 01:39:13.136876 | 14747897 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14747897 | Athletic Physical Therapy Inc | 1963-05-25 | 2025-11-17 | F | PT | N/A | GINSBERG | JQU469A62630 | LISA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120921565.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539612/check_14747897_5168b638-c19f-4a22-b14b-5b75cf01835b.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1963-05-25 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 2026-01-01 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285250734 | N/A | N/A | 5539612 | 2222 | 4793 | 15027382 | N/A | 4211892 | 2025-11-15 01:39:13.136876 | 2025-11-02 22:03:21.557202 |
| 2025-11-14 08:05:30.785840 | 2025-11-15 01:42:07.565269 | 14747887 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14747887 | Athletic Physical Therapy Inc | 1961-12-01 | 2025-11-17 | M | PT | N/A | TOOCH | JPU633M84536 | PETER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120921565.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538874/check_14747887_1c4fdf27-59e0-420b-a06c-de1d503c708d.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M001 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285250733 | N/A | N/A | 5538874 | 2222 | 4801 | 15029599 | N/A | 4211227 | 2025-11-15 01:42:07.565269 | 2025-05-13 04:29:37.225625 |
| 2025-11-14 08:05:30.693882 | 2025-11-15 01:39:13.436589 | 14747877 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14747877 | Athletic Physical Therapy Inc | 1960-08-08 | 2025-11-17 | M | PT | N/A | GINSBERG | JQU469A62630 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120921565.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538693/check_14747877_1e1f186a-93e8-4736-b927-a0aef03ec0d9.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1960-08-08 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 2026-01-01 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285250732 | N/A | N/A | 5538693 | 2222 | 4793 | 15027388 | N/A | 4211081 | 2025-11-15 01:39:13.436589 | 2025-05-13 04:29:37.225492 |
| 2025-11-14 08:05:30.636548 | 2025-11-14 08:05:34.434717 | 14747869 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1977-04-30 | 2025-11-14 | M | AE | PT | JOSEPH | 623127403 | CHRISTOPHER | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537866/check_14747869_15500b71-10e7-4247-8e35-5a40408aea23.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537866/check_14747869_88635ea1-2f45-4633-8093-11f3bd91ba30.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 | 9285215187 | N/A | N/A | 5537866 | 2222 | N/A | 14991631 | N/A | 4210367 | 2025-11-14 08:05:34.434717 | 2025-05-13 04:29:37.224772 |
| 2025-11-14 08:05:30.562491 | 2025-11-15 01:39:16.577743 | 14747865 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14747865 | Athletic Physical Therapy Inc | 1964-06-08 | 2025-11-17 | F | PT | N/A | YOUHANAIE | UQK557A62707 | TERESA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120921565.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537881/check_14747865_aff923bd-aeed-4b7b-810e-4306536b3606.json | N/A | N/A | N/A | N/A | N/A | UQK557A62707 | Preferred Provider Organization (PPO) | CDHP HSA W/NON INTG BANKING-SILVER HDHP | ANTHEM BLUE CROSS | N/A | 1964-06-08 | 130 | 270213OHXB | N/A | PR | false | YOUHANAIE | N/A | TERESA | N/A | 9999-12-31 | 2024-08-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285250731 | N/A | N/A | 5537881 | 2222 | 4793 | 15027428 | N/A | 4210385 | 2025-11-15 01:39:16.577743 | 2026-03-06 18:49:17.116017 |
| 2025-11-14 08:05:30.422082 | 2025-11-15 01:38:46.289080 | 14747854 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14747854 | Athletic Physical Therapy Inc | 1949-09-13 | 2025-11-17 | M | AE | PT | GOMES | 00000285293 | NEMESIO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120921565.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537439/check_14747854_78e2ff34-ba0f-40b9-a854-0d74acce01ee.json | N/A | N/A | N/A | N/A | N/A | 00000285293 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-09-13 | H3815028 | N/A | N/A | HM | false | GOMES | N/A | NEMESIO | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285250730 | N/A | N/A | 5537439 | 2222 | 4801 | 15027036 | 2630 | 4210001 | 2025-11-15 01:38:46.289080 | 2025-05-13 04:29:37.224421 |
| 2025-11-14 08:05:30.313259 | 2025-11-15 01:37:34.101957 | 14747845 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 14747845 | Athletic Physical Therapy Inc | 1941-04-16 | 2025-11-17 | F | AE | PT | RYAN | 31026142401 | CAROL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120921565.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535455/check_14747845_dc7521c0-306a-4805-8919-0e96e83959f4.json | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1941-04-16 | 2025H5425001 | H5425M | N/A | N/A | false | RYAN | N/A | CAROL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285250729 | N/A | N/A | 5535455 | 2222 | 4793 | 15026157 | N/A | 4208375 | 2025-11-15 01:37:34.101957 | 2025-08-08 21:08:12.459471 |
| 2025-11-14 08:05:30.191460 | 2025-11-15 01:39:12.804994 | 14747832 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14747832 | Athletic Physical Therapy Inc | 1960-04-27 | 2025-11-17 | M | PT | N/A | ENRIGHT | DGA10462968J | HAROLD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120921565.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535419/check_14747832_9f74fb42-26dc-4e97-bad6-bd9596f65e3f.json | N/A | N/A | N/A | N/A | N/A | DGA10462968J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1960-04-27 | 040 | 276945M001 | N/A | PR | false | ENRIGHT | N/A | HAROLD | N/A | 9999-12-31 | 2017-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285250728 | N/A | N/A | 5535419 | 2222 | 4793 | 15027379 | N/A | 4208347 | 2025-11-15 01:39:12.804994 | 2025-05-13 04:29:37.222769 |
| 2025-11-14 08:05:26.137958 | 2025-11-15 01:48:47.741961 | 14747433 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 14747433 | Athletic Physical Therapy Inc | 1960-06-20 | 2025-11-17 | M | AE | PT | FLETES | H86038900 | JOSE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120943030.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11067461/check_14747433_12bc82b3-c8e5-4599-bf91-7cc1796332d6.json | N/A | N/A | N/A | N/A | N/A | H86038900 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1960-06-20 | N/A | 0B527001 | N/A | HN | false | FLETES | N/A | JOSE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285244564 | N/A | N/A | 11067461 | 2222 | 4801 | 15034891 | N/A | 9425235 | 2025-11-15 01:48:47.741961 | 2025-10-20 22:48:41.487437 |
| 2025-11-14 08:05:24.264900 | 2025-11-15 03:37:08.340068 | 14747262 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14747262 | Athletic Physical Therapy Inc | 1991-10-07 | 2025-11-17 | F | PT | N/A | BOYM | XEK903045570 | DANIELLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120817810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7281036/check_14747262_2ef6aef9-ed64-4b3d-9e85-904e313f9ac8.json | N/A | N/A | N/A | N/A | N/A | XEK903045570 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1991-10-07 | 2001ZJ002648 | X0001000 | N/A | PR | false | BOYM | N/A | DIMITRY | N/A | 9999-12-31 | 2024-02-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285237799 | N/A | N/A | 7281036 | 2222 | 4793 | 15040896 | N/A | 6245462 | 2025-11-15 03:37:08.340068 | 2025-07-24 01:23:15.134681 |
| 2025-11-14 08:05:22.369074 | 2025-11-15 01:41:54.558417 | 14747103 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14747103 | Athletic Physical Therapy Inc | 1950-05-18 | 2025-11-17 | F | AE | PT | BERINSTEIN | JQE773A62564 | PAULA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120910594.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10172947/check_14747103_5161f184-212e-4d81-8fd1-10ee1a78c981.json | N/A | N/A | N/A | N/A | N/A | JQE773A62564 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1950-05-18 | 040 | CASUPWP0 | N/A | N/A | false | BERINSTEIN | N/A | PAULA | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285255074 | N/A | N/A | 10172947 | 2222 | 4801 | 15029441 | N/A | 8474092 | 2025-11-15 01:41:54.558417 | 2025-10-11 14:58:02.058781 |
| 2025-11-14 08:05:21.347261 | 2025-11-15 03:36:20.325173 | 14747021 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14747021 | Athletic Physical Therapy Inc | 1988-08-19 | 2025-11-17 | M | PT | N/A | Bridgemohansingh | NTF910W08222 | Jason | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120817810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7258746/check_14747021_82aa17c2-d456-4f4c-90aa-9fece87ae218.json | N/A | N/A | N/A | N/A | N/A | NTF910W08222 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | ANTHEM BLUE CROSS | N/A | 1988-08-19 | 040 | L08669M002 | N/A | PR | false | BRIDGEMOHANSINGH | N/A | JASON | N/A | 9999-12-31 | 2025-08-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285237765 | N/A | N/A | 7258746 | 2222 | 4802 | 15040734 | N/A | 6224482 | 2025-11-15 03:36:20.325173 | 2025-08-07 00:03:18.267969 |
| 2025-11-14 08:05:21.060816 | 2025-11-15 03:37:09.448791 | 14746994 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14746994 | Athletic Physical Therapy Inc | 1976-09-29 | 2025-11-17 | F | PT | N/A | RAND | XED912141111 | ELLEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120817810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7257479/check_14746994_16257a65-5d3a-45aa-8dbc-2570813dde81.json | N/A | N/A | N/A | N/A | N/A | XED912141111 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1976-09-29 | 2001ZK002193 | X0001004 | N/A | PR | false | RAND | N/A | ELLEN | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285237762 | N/A | N/A | 7257479 | 2222 | 4802 | 15040900 | N/A | 4210270 | 2025-11-15 03:37:09.448791 | 2025-07-08 18:23:05.596578 |
| 2025-11-14 08:05:19.461177 | 2025-11-15 03:36:20.596086 | 14746867 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14746867 | Athletic Physical Therapy Inc | 1965-05-25 | 2025-11-17 | F | PT | N/A | CLOONAN | XDM481M99931 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120817810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7246170/check_14746867_7d6f50f9-688d-46c7-b8f7-058575626aa0.json | N/A | N/A | N/A | N/A | N/A | XDM481M99931 | Health Maintenance Organization (HMO) | UFCW BENEFIT FUNDS ADMIN LLC RETIREE | ANTHEM BLUE CROSS | N/A | 1965-05-25 | 040 | 282241H019 | N/A | HM | false | CLOONAN | N/A | LINDA | N/A | 9999-12-31 | 2020-12-01 | CLASSIC SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285237747 | N/A | N/A | 7246170 | 2222 | 4801 | 15040735 | 4185 | 4837995 | 2025-11-15 03:36:20.596086 | 2025-06-13 00:15:18.726975 |
| 2025-11-14 08:05:16.655836 | 2025-11-15 03:37:08.026385 | 14746648 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 14746648 | Athletic Physical Therapy Inc | 1967-03-31 | 2025-11-17 | F | PT | N/A | BARRERA | XEH903839121 | LOLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120817810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7203168/check_14746648_b3185299-b8b5-4dea-a59f-ffc8d5eb7c53.json | N/A | N/A | N/A | N/A | N/A | XEH903839121 | Health Maintenance Organization (HMO) | CVT MOORPARK USD | BLUE SHIELD CALIFORNIA | N/A | 1967-03-31 | 1000HMOX0005 | W0052266 | N/A | HM | false | BARRERA | N/A | LOLA | N/A | N/A | N/A | CALIFORNIA S VALUED TRUST CUSTOM HMO 10 0 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285236842 | N/A | N/A | 7203168 | 2222 | 4793 | 15040895 | N/A | 5230345 | 2025-11-15 03:37:08.026385 | 2025-07-11 20:32:03.183345 |
| 2025-11-14 08:05:09.425811 | 2025-11-15 01:53:51.125854 | 14746116 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14746116 | Athletic Physical Therapy Inc | 1994-07-04 | 2025-11-17 | M | PT | N/A | Daich | JQY912W17468 | Austin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120943030.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11001702/check_14746116_ce81d539-2776-4a48-915a-dccb71164344.json | N/A | N/A | N/A | N/A | N/A | JQY912W17468 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | BLUE SHIELD OF CALIFORNIA | N/A | 1994-07-04 | 040 | 476522 | N/A | PR | false | DAICH | N/A | AUSTIN | N/A | 2026-01-01 | 2025-09-01 | ANTHEM SILVER SELECT PPO HSA/H 2000/3300/4000 35% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285244481 | N/A | N/A | 11001702 | 2222 | 4802 | 15038019 | N/A | 9234161 | 2025-11-15 01:53:51.125854 | 2025-10-15 16:55:10.102836 |
| 2025-11-14 08:05:08.366020 | 2025-11-15 01:42:27.561943 | 14746040 | N/A | N/A | 60054 | Aetna | 1114042165 | 14746040 | Athletic Physical Therapy Inc | 1946-06-15 | 2025-11-17 | M | AE | PT | SCHECHTER | 102181433800 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120828190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9026590/check_14746040_41fe888f-232b-465b-81f3-f9752bc38c4d.json | N/A | N/A | N/A | N/A | N/A | 102181433800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1946-06-15 | 000003-CA000027 | 000003-CA | N/A | PR | false | SCHECHTER | N/A | STEVEN | N/A | 2026-01-01 | 2025-07-01 | AETNA MEDICARE CHOICE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285238294 | N/A | N/A | 9026590 | 2222 | 4793 | 15029866 | N/A | 7549031 | 2025-11-15 01:42:27.561943 | 2026-05-22 23:37:03.098359 |
| 2025-11-14 08:05:08.098283 | 2025-11-15 01:42:12.841384 | 14746022 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 14746022 | Athletic Physical Therapy Inc | 1950-02-07 | 2025-11-17 | M | AE | PT | BHAMRAH | 12Y0175341 | KULDIP | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120829484.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7442859/check_14746022_4d06c377-cc0f-47b0-ad89-272e35a76973.json | N/A | N/A | N/A | N/A | N/A | 12Y0175341 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1950-02-07 | N/A | N/A | N/A | N/A | false | BHAMRAH | N/A | KULDIP | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285229376 | N/A | N/A | 7442859 | 2222 | 4801 | 15029672 | N/A | 6393941 | 2025-11-15 01:42:12.841384 | 2025-08-13 16:33:53.313259 |
| 2025-11-14 08:05:06.453276 | 2025-11-15 01:42:26.987778 | 14745904 | N/A | N/A | 60054 | Aetna | 1114042165 | 14745904 | Athletic Physical Therapy Inc | 1997-02-11 | 2025-11-17 | F | AE | PT | BELL | W29376563901 | FRANCESCA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120828190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9020239/check_14745904_c08e6066-6498-410e-91cb-50c54bf00fb3.json | N/A | N/A | N/A | N/A | N/A | W293765639 | Point of Service (POS) | VINSON & ELKINS LLP | AETNA | N/A | 1997-02-11 | 0882904 | 088290401200015 | N/A | PS | false | BELL | N/A | FRANCESCA | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285239187 | N/A | N/A | 9020239 | 2222 | 4802 | 15029859 | N/A | 7543693 | 2025-11-15 01:42:26.987778 | 2025-10-06 20:52:39.651223 |
| 2025-11-14 08:05:01.470962 | 2025-11-15 01:46:16.957739 | 14745522 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14745522 | Athletic Physical Therapy Inc | 1949-12-31 | 2025-11-17 | M | AE | PT | TSING | 00000282272 | KONGHSUNG | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120828190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8978036/check_14745522_427ebc62-2604-40d6-a196-b60257130023.json | N/A | N/A | N/A | N/A | N/A | 00000282272 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-12-31 | H3815028 | N/A | N/A | HM | false | TSING | N/A | KONGHSUNG | 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 | 9285239148 | N/A | N/A | 8978036 | 2222 | 4793 | 15033280 | 2630 | 7492332 | 2025-11-15 01:46:16.957739 | 2025-10-01 21:03:48.525986 |
| 2025-11-14 08:04:53.535735 | 2025-11-15 01:45:46.013260 | 14744938 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 14744938 | Athletic Physical Therapy Inc | 1973-05-29 | 2025-11-17 | M | AE | PT | KIM | 96135332F | JOSEPH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120829484.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6917652/check_14744938_92f92446-d004-44e7-b94f-c6c3740b1d76.json | N/A | N/A | N/A | N/A | N/A | 96135332F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1973-05-29 | MCLA | MWLLNMEG21 | N/A | N/A | false | KIM | N/A | JOSEPH | N/A | 2078-12-31 | 2023-09-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285230880 | N/A | N/A | 6917652 | 2222 | 4802 | 15032915 | N/A | 5949044 | 2025-11-15 01:45:46.013260 | 2025-07-08 23:15:13.625855 |
| 2025-11-14 08:04:46.904961 | 2025-11-15 01:49:06.606594 | 14744508 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14744508 | Athletic Physical Therapy Inc | 1982-12-08 | 2025-11-17 | M | PT | N/A | Magpali | VUC967W18809 | Aaron | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120928732.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9737460/check_14744508_70b6b4b3-5e5e-48a3-b787-5c3bb75b5467.json | N/A | N/A | N/A | N/A | N/A | VUC967W18809 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1982-12-08 | 040 | 280509S400 | N/A | PR | false | MAGPALI | N/A | AARON | N/A | 9999-12-31 | 2024-01-01 | UC CARE PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285251458 | N/A | N/A | 9737460 | 2222 | 4801 | 15035116 | N/A | 8152382 | 2025-11-15 01:49:06.606594 | 2025-09-28 17:20:36.874498 |
| 2025-11-14 08:04:46.639217 | 2025-11-15 03:37:08.885409 | 14744490 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14744490 | Athletic Physical Therapy Inc | 1980-03-06 | 2025-11-17 | M | PT | N/A | Lane | LNJ914036056 | Jason | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120817810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6967170/check_14744490_4e4184b1-6e14-4388-a3fc-35e80eb6f486.json | N/A | N/A | N/A | N/A | N/A | LNJ914036056 | Preferred Provider Organization (PPO) | LIVE NATION JOINT VENTURES | BLUE SHIELD OF CA | N/A | 1980-03-06 | 1000VX000001 | W3000596 | N/A | PR | false | LANE | N/A | JASON | N/A | N/A | N/A | LIVE NATION JOINT VENTURES CUSTOM DENTAL 50 1500 L | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285237282 | N/A | N/A | 6967170 | 2222 | 4802 | 15040898 | N/A | 5857104 | 2025-11-15 03:37:08.885409 | 2025-07-08 17:08:11.593095 |
| 2025-11-14 08:04:45.625711 | 2025-11-15 01:46:02.569951 | 14744405 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14744405 | Athletic Physical Therapy Inc | 1929-10-10 | 2025-11-17 | M | AE | PT | Walter | XDO472A63371 | Howard | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120829484.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751424/check_14744405_ddc53487-85df-436d-b232-d8e1ecce1dd8.json | N/A | N/A | N/A | N/A | N/A | XDO472A63371 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1929-10-10 | 040 | CASUPWP0 | N/A | N/A | false | WALTER | N/A | HOWARD | N/A | 9999-12-31 | 2016-12-01 | CA PRE-MOD. BLUE CROSS SENIOR CLASSIC I | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285230750 | N/A | N/A | 6751424 | 2222 | 4802 | 15033127 | N/A | 5557241 | 2025-11-15 01:46:02.569951 | 2025-07-22 17:08:51.810153 |
| 2025-11-14 08:04:43.167524 | 2025-11-15 01:47:42.737377 | 14744205 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14744205 | Athletic Physical Therapy Inc | 1965-07-12 | 2025-11-17 | F | PT | N/A | BENSON | 361A5590040 | ELIZABETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120826513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11917007/check_14744205_85ddd5c6-bf0c-4f34-9695-244e715a2a9b.json | N/A | N/A | N/A | N/A | N/A | 361A5590040 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1965-07-12 | N/A | N/A | N/A | N/A | false | BENSON | N/A | ELIZABETH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285241005 | N/A | N/A | 11917007 | 2222 | 4793 | 15034130 | 4185 | 10144918 | 2025-11-15 01:47:42.737377 | 2025-11-17 16:03:18.208475 |
| 2025-11-14 08:04:42.972161 | 2025-11-15 01:46:31.123778 | 14744187 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14744187 | Athletic Physical Therapy Inc | 2003-05-02 | 2025-11-17 | M | PT | N/A | MUHAMMAD | XOF828514693 | KENNETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120828190.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8675672/check_14744187_0e0fbf04-d57e-4909-a240-442ca9e857c9.json | N/A | N/A | N/A | N/A | N/A | XOF828514693 | Preferred Provider Organization (PPO) | IBJI - BRADLEY ACTIVES | HUMANA | N/A | 2003-05-02 | N/A | PK4933 | N/A | PR | false | MUHAMMAD | N/A | KERMIT | N/A | 2026-01-01 | 2022-02-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285238593 | N/A | N/A | 8675672 | 2222 | 4793 | 15033422 | N/A | 7310369 | 2025-11-15 01:46:31.123778 | 2026-02-03 01:46:10.334485 |
| 2025-11-14 08:04:40.073486 | 2025-11-15 01:49:08.425604 | 14743966 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14743966 | Athletic Physical Therapy Inc | 2001-07-26 | 2025-11-17 | M | PT | N/A | ARUMUGAM | FRU100011284058 | HARIDHANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120928732.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9727130/check_14743966_bf351fe0-5052-4d7a-ab95-b3985b6caad6.json | N/A | N/A | N/A | N/A | N/A | FRU100011284058 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 2001-07-26 | N/A | 716205N49 | N/A | PR | false | PERIYASAMY | N/A | ARUMUGAN | 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 | 9285253255 | N/A | N/A | 9727130 | 2222 | 4801 | 15035135 | N/A | 6979235 | 2025-11-15 01:49:08.425604 | 2025-09-29 22:51:47.474872 |
| 2025-11-14 08:04:39.475260 | 2025-11-15 01:47:43.547237 | 14743915 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14743915 | Athletic Physical Therapy Inc | 2008-02-26 | 2025-11-17 | F | PT | N/A | FOX | MPI01509229Q | ANGELA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120826513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11892861/check_14743915_2b95431f-deee-4b6f-8324-40b8d072ab7d.json | N/A | N/A | N/A | N/A | N/A | MPI01509229Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 2008-02-26 | 040 | 277163M401 | N/A | PR | false | FOX | N/A | JONATHAN | 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 | 9285242310 | N/A | N/A | 11892861 | 2222 | 4801 | 15034137 | N/A | 10121333 | 2025-11-15 01:47:43.547237 | 2025-11-10 23:09:04.545470 |
| 2025-11-14 08:04:35.103684 | 2025-11-15 01:47:19.244776 | 14743585 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14743585 | Athletic Physical Therapy Inc | 1953-06-17 | 2025-11-17 | M | AE | PT | THOMPSON | XEM906571592 | JAMES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120829484.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577665/check_14743585_76110f30-db69-4fe3-ad34-c4ad12c185e8.json | N/A | N/A | N/A | N/A | N/A | XEM906571592 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1953-06-17 | 2004SF000028 | X0001002 | N/A | OT | false | THOMPSON | N/A | JAMES | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285229320 | N/A | N/A | 6577665 | 2222 | 4793 | 15033899 | N/A | 5197700 | 2025-11-15 01:47:19.244776 | 2025-06-30 15:33:47.069983 |
| 2025-11-14 08:04:33.594219 | 2025-11-15 01:45:56.564946 | 14743485 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14743485 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-11-17 | M | AE | PT | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.120829484.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6528155/check_14743485_eef8b9d0-890a-441f-a031-31050f02a8eb.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-11-24 | N/A | N/A | N/A | N/A | false | BLANCHFIELD | N/A | THOMAS | N/A | 9999-12-31 | 2024-07-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285229300 | N/A | N/A | 6528155 | 2222 | 4793 | 15033053 | 4185 | 4214447 | 2025-11-15 01:45:56.564946 | 2026-04-23 20:11:34.441054 |