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 08:04:32.677695 | 2025-11-15 01:41:55.521497 | 14743422 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14743422 | Athletic Physical Therapy Inc | 1958-10-22 | 2025-11-17 | F | AE | PT | Lee | MBL500W17666 | Gisele | 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/2222/9810738/check_14743422_39bf6cd9-6c04-420c-ba6c-6a056b805d9c.json | N/A | N/A | N/A | N/A | N/A | MBL500W17666 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1958-10-22 | 040 | CAEGR005 | N/A | N/A | false | LEE | N/A | GISELE | N/A | 2025-12-31 | 2023-10-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285255300 | N/A | N/A | 9810738 | 2222 | 4802 | 15029454 | N/A | 8217179 | 2025-11-15 01:41:55.521497 | 2025-10-02 19:02:27.583990 |
| 2025-11-14 08:04:29.461185 | 2025-11-15 03:36:20.865271 | 14743187 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14743187 | Athletic Physical Therapy Inc | 1972-01-12 | 2025-11-17 | M | PT | N/A | MAGEN | B6YE01199897 | OFIR | 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/2222/6917703/check_14743187_34baa079-ca9d-44e8-ba4c-b0df641194a2.json | N/A | N/A | N/A | N/A | N/A | B6YE01199897 | Preferred Provider Organization (PPO) | CHARTERLIFE-2015 HIGH EPO | ANTHEM BLUE CROSS | N/A | 1972-01-12 | 040 | L06598M023 | N/A | PR | false | MAGEN | N/A | LIMOR | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285237691 | N/A | N/A | 6917703 | 2222 | 4793 | 15040736 | N/A | 5949095 | 2025-11-15 03:36:20.865271 | 2025-07-28 22:15:30.266976 |
| 2025-11-14 08:04:29.225724 | 2025-11-15 01:49:07.594018 | 14743172 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14743172 | Athletic Physical Therapy Inc | 1980-07-01 | 2025-11-17 | M | PT | N/A | Moreno jr | VDHE01043007 | Hector | 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/2222/9691081/check_14743172_8a698f5f-0e8c-4f22-9f15-390f791cb91d.json | N/A | N/A | N/A | N/A | N/A | VDHE01043007 | Preferred Provider Organization (PPO) | DIGNITY HEALTH VENTURA | ANTHEM BLUE CROSS | N/A | 1980-07-01 | 040 | 174236M3A1 | N/A | PR | false | MORENO JR | N/A | HECTOR | N/A | 9999-12-31 | 2022-07-01 | PB INCENTIVE NO SUTTER | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285252864 | N/A | N/A | 9691081 | 2222 | 4801 | 15035125 | N/A | 8110015 | 2025-11-15 01:49:07.594018 | 2025-10-05 15:24:30.421551 |
| 2025-11-14 08:04:25.588750 | 2025-11-15 01:53:05.704722 | 14742922 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14742922 | Athletic Physical Therapy Inc | 1949-03-10 | 2025-11-17 | F | AE | PT | BONESTEEL | 668W0422320 | CHEENIE | 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/2222/10368765/check_14742922_27b2c6a4-d3ef-4e02-b26a-1c9ed2c687ee.json | N/A | N/A | N/A | N/A | N/A | 668W0422320 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1949-03-10 | N/A | N/A | N/A | N/A | false | BONESTEEL | N/A | CHEENIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285245828 | N/A | N/A | 10368765 | 2222 | 4801 | 15037628 | 4185 | 8631533 | 2025-11-15 01:53:05.704722 | 2026-01-20 18:31:42.469716 |
| 2025-11-14 08:04:22.215845 | 2025-11-15 01:46:00.899377 | 14742697 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14742697 | Athletic Physical Therapy Inc | 1951-03-27 | 2025-11-17 | F | AE | PT | Jaude | JQE818A61594 | Anne | 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/2222/6125110/check_14742697_0956c915-f444-4fd2-8066-f08eb08e4da6.json | N/A | N/A | N/A | N/A | N/A | JQE818A61594 | N/A | N/A | ANTHEM BLUE CROSS | 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 | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285229620 | N/A | N/A | 6125110 | 2222 | 4802 | 15033111 | N/A | 4767362 | 2025-11-15 01:46:00.899377 | 2025-09-19 16:49:18.601418 |
| 2025-11-14 08:04:20.464481 | 2025-11-15 01:53:06.236118 | 14742579 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14742579 | Athletic Physical Therapy Inc | 1977-11-16 | 2025-11-17 | M | PT | N/A | COPELAND | SIF818M55219 | CHRISTOPHER | 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/2222/10355543/check_14742579_8098fe6e-6824-41e5-bfa8-c83150ab0caf.json | N/A | N/A | N/A | N/A | N/A | SIF818M55219 | Preferred Provider Organization (PPO) | SISC - VENTURA COUNTY COMMUNITY COLLEGE DISTRICT | ANTHEM BLUE CROSS | N/A | 1977-11-16 | 040 | 40971D | N/A | PR | false | COPELAND | N/A | CHRISTOPHER | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285245780 | N/A | N/A | 10355543 | 2222 | 4801 | 15037633 | N/A | 8619978 | 2025-11-15 01:53:06.236118 | 2025-10-13 20:53:09.422541 |
| 2025-11-14 08:04:15.373925 | 2025-11-15 01:50:06.749413 | 14742248 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14742248 | Athletic Physical Therapy Inc | 1963-11-05 | 2025-11-17 | M | PT | N/A | GAVCUS | 913959142000 | VINCENT | 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/2222/9684155/check_14742248_b3da44fd-1e8d-4d5d-852e-6a95a0f57d91.json | N/A | N/A | N/A | N/A | N/A | XEH913959142 | Health Maintenance Organization (HMO) | KB CONSTRUCTION COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1963-11-05 | 1000VX000101 | W0022613 | N/A | HM | false | GAVCUS | N/A | VINCENT | N/A | 9999-12-31 | 2024-10-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285252816 | N/A | N/A | 9684155 | 2222 | 4801 | 15035790 | N/A | 8103467 | 2025-11-15 01:50:06.749413 | 2025-09-25 15:37:09.669427 |
| 2025-11-14 08:04:14.925594 | 2025-11-15 03:32:23.800269 | 14742214 | N/A | N/A | 60054 | Aetna | 1114042165 | 14742214 | Athletic Physical Therapy Inc | 1976-05-10 | 2025-11-17 | M | AE | PT | RAMIREZ | 9537353099 | ROY | 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/2222/6865171/check_14742214_6254e0ac-3399-41e5-a038-f1c41aeada4d.json | N/A | N/A | N/A | N/A | N/A | 9537353099 | Group Policy | N/A | AETNA INC | PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE, IND. OUT OF POCKET, FAMILY OUT OF POCKET INFORMATION | 1976-05-10 | A01 | 20086 | N/A | GP | false | RAMIREZ | N/A | ROY | N/A | N/A | N/A | OUT OF NETWORK MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285237656 | N/A | N/A | 6865171 | 2222 | 4801 | 15039936 | N/A | 5902840 | 2025-11-15 03:32:23.800269 | 2025-07-28 18:58:27.354873 |
| 2025-11-14 08:04:09.384946 | 2025-11-15 01:47:46.287037 | 14741879 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14741879 | Athletic Physical Therapy Inc | 1965-10-16 | 2025-11-17 | F | PT | N/A | OTA | JQK708W18818 | JULIANNE | 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/2222/11614506/check_14741879_94b91ed6-7218-4e38-b627-c84fb47e8825.json | N/A | N/A | N/A | N/A | N/A | JQK708W18818 | Health Maintenance Organization (HMO) | HYPERCOMP INC | ANTHEM BLUE CROSS | N/A | 1965-10-16 | 040 | G78593 | N/A | HM | false | OTA | N/A | JULIANNE | N/A | 2026-01-01 | 2025-01-01 | CA SG ANTHEM HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285241545 | N/A | N/A | 11614506 | 2222 | 4801 | 15034163 | N/A | 4208609 | 2025-11-15 01:47:46.287037 | 2025-11-06 22:22:57.784313 |
| 2025-11-14 08:04:08.149093 | 2025-11-15 03:37:09.176378 | 14741803 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14741803 | Athletic Physical Therapy Inc | 1961-03-07 | 2025-11-17 | F | PT | N/A | PERLOV | XEA905216171 | MERA | 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/2222/6814311/check_14741803_4f8f1b15-4a18-4bff-abc1-f7f134dc9430.json | N/A | N/A | N/A | N/A | N/A | XEA905216171 | Preferred Provider Organization (PPO) | LA CARE HEALTH PLAN | BLUE SHIELD CALIFORNIA | N/A | 1961-03-07 | 1000PPOX0003 | W0051027 | N/A | PR | false | PERLOV | N/A | MERA | N/A | 9999-12-31 | 2017-05-01 | HSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285236795 | N/A | N/A | 6814311 | 2222 | 4793 | 15040899 | N/A | 5856694 | 2025-11-15 03:37:09.176378 | 2025-07-07 18:45:06.287504 |
| 2025-11-14 08:04:04.131844 | 2025-11-15 01:45:57.025255 | 14741586 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14741586 | Athletic Physical Therapy Inc | 1957-05-23 | 2025-11-17 | F | AE | PT | CEASAR | YFYHC0061172 | DEBBIE | 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/2222/5543559/check_14741586_ada98d93-7ce1-4e94-a053-5de93e312cdf.json | N/A | N/A | N/A | N/A | N/A | LFYHC0061172 | Preferred Provider Organization (PPO) | LOS ANGELES FIREMENS RELIEF ASSOCIATION - RETIREE | ANTHEM BLUE CROSS | N/A | 1957-05-23 | 040 | 282527M002 | N/A | PR | false | CEASAR | N/A | JAY | N/A | 9999-12-31 | 2020-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285228598 | N/A | N/A | 5543559 | 2222 | 4793 | 15033062 | N/A | 4215327 | 2025-11-15 01:45:57.025255 | 2025-05-13 04:29:37.229651 |
| 2025-11-14 08:04:04.056666 | 2025-11-15 01:46:00.331400 | 14741581 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14741581 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-11-17 | F | AE | PT | HOWARD | JQE896M91712 | JUDI | 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/2222/5543352/check_14741581_626aee90-a65e-419b-b698-529509eb1bc2.json | N/A | N/A | N/A | N/A | N/A | JQE896M91712 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-11-19 | 040 | CASUPWP0 | N/A | N/A | false | HOWARD | N/A | JUDI | N/A | 9999-12-31 | 2022-01-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285228597 | N/A | N/A | 5543352 | 2222 | 4793 | 15033102 | N/A | 4215147 | 2025-11-15 01:46:00.331400 | 2025-05-13 04:29:37.229464 |
| 2025-11-14 08:04:03.965335 | 2025-11-15 01:45:58.582390 | 14741574 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14741574 | Athletic Physical Therapy Inc | 1948-08-18 | 2025-11-17 | M | AE | PT | EDA | 776A78714 | MASAAKI | 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/2222/5543332/check_14741574_e64d7ef3-dae5-43b9-b932-2b82ddd6bb3d.json | N/A | N/A | N/A | N/A | N/A | 776A78714 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1948-08-18 | N/A | N/A | N/A | N/A | false | EDA | N/A | MASAAKI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285228596 | N/A | N/A | 5543332 | 2222 | 4802 | 15033076 | N/A | 4215140 | 2025-11-15 01:45:58.582390 | 2025-05-13 04:29:37.229453 |
| 2025-11-14 08:04:03.887164 | 2025-11-15 01:46:03.096721 | 14741571 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14741571 | Athletic Physical Therapy Inc | 1949-11-21 | 2025-11-17 | M | AE | PT | WOLFE | JQE620W02902 | KEVIN | 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/2222/5542524/check_14741571_05498f37-c8df-441f-be92-04b8707b7064.json | N/A | N/A | N/A | N/A | N/A | JQE620W02902 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1949-11-21 | 040 | CASUPWP0 | N/A | N/A | false | WOLFE | N/A | KEVIN | N/A | 9999-12-31 | 2019-12-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285228595 | N/A | N/A | 5542524 | 2222 | 4801 | 15033135 | N/A | 4214422 | 2025-11-15 01:46:03.096721 | 2025-05-13 04:29:37.228745 |
| 2025-11-14 08:04:03.756329 | 2025-11-15 01:45:57.602718 | 14741560 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14741560 | Athletic Physical Therapy Inc | 1952-12-18 | 2025-11-17 | F | AE | PT | DU BRIN | JQE162M93481 | SUSAN | 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/2222/5538605/check_14741560_c2afb572-95d6-4685-bc05-8c277c0ccf54.json | N/A | N/A | N/A | N/A | N/A | JQE162M93481 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-12-18 | 040 | CASUPWP0 | N/A | N/A | false | DU BRIN | N/A | SUSAN | N/A | 9999-12-31 | 2021-03-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285228593 | N/A | N/A | 5538605 | 2222 | 4793 | 15033069 | N/A | 4210998 | 2025-11-15 01:45:57.602718 | 2026-02-23 18:49:01.874308 |
| 2025-11-14 08:04:03.680817 | 2025-11-15 01:47:07.459727 | 14741556 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14741556 | Athletic Physical Therapy Inc | 1954-01-24 | 2025-11-17 | F | AE | PT | DIGIOVANNI | XEM910156092 | JILL | 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/2222/5538594/check_14741556_bc56bdc6-3e1d-486f-8aac-bab3376337be.json | N/A | N/A | N/A | N/A | N/A | XEM910156092 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1954-01-24 | 2002SF000029 | X0001002 | N/A | OT | false | DIGIOVANNI | N/A | JILL | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285228590 | N/A | N/A | 5538594 | 2222 | 4801 | 15033794 | N/A | 4210993 | 2025-11-15 01:47:07.459727 | 2025-05-13 04:29:37.225395 |
| 2025-11-14 08:04:03.605559 | 2025-11-15 01:45:59.051680 | 14741553 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14741553 | Athletic Physical Therapy Inc | 1954-01-12 | 2025-11-17 | F | AE | PT | FINCH | XDD909A67880 | DAWN | 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/2222/5538474/check_14741553_1e1dddc6-8f58-4e7a-8fe8-509e10e2146c.json | N/A | N/A | N/A | N/A | N/A | XDD909A67880 | N/A | CALPERS PERS PLATINUM MSUPP RETIREES(PA) REGION3 | MEDICARE B | N/A | 1954-01-12 | 040 | BS270I | N/A | N/A | false | FINCH | N/A | LELAND | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285228589 | N/A | N/A | 5538474 | 2222 | 4802 | 15033090 | N/A | 4210886 | 2025-11-15 01:45:59.051680 | 2025-05-13 04:29:37.225284 |
| 2025-11-14 08:04:03.539172 | 2025-11-15 01:47:18.727384 | 14741549 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14741549 | Athletic Physical Therapy Inc | 1946-08-26 | 2025-11-17 | M | AE | PT | ROTHMAN | XEM909022493 | MIKE | 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/2222/5536206/check_14741549_23c27623-708c-4c9e-824c-174d18b65c37.json | N/A | N/A | N/A | N/A | N/A | XEM909022493 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1946-08-26 | 2002SF000029 | X0001002 | N/A | OT | false | ROTHMAN | N/A | MIKE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285228587 | N/A | N/A | 5536206 | 2222 | 4801 | 15033896 | N/A | 4208978 | 2025-11-15 01:47:18.727384 | 2025-05-13 04:29:37.223404 |
| 2025-11-14 08:04:03.474380 | 2025-11-15 01:47:18.312760 | 14741544 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14741544 | Athletic Physical Therapy Inc | 1950-07-23 | 2025-11-17 | M | AE | PT | MELVILLE | XEMJ06188527 | LANNING | 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/2222/5535731/check_14741544_0902ed52-866e-4878-a967-8d055bdb0b94.json | N/A | N/A | N/A | N/A | N/A | XEMJ06188527 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1950-07-23 | N/A | N/A | N/A | N/A | false | MELVILLE | N/A | LANNING | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285228585 | N/A | N/A | 5535731 | 2222 | 4802 | 15033889 | N/A | 4208598 | 2025-11-15 01:47:18.312760 | 2025-09-11 00:56:25.554348 |
| 2025-11-14 08:04:03.401184 | 2025-11-15 01:33:01.164929 | 14741539 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 14741539 | Athletic Physical Therapy Inc | 1939-10-22 | 2025-11-17 | M | AE | PT | ODONNELL | 02722745411 | JOHN | 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/2222/5535496/check_14741539_d7eed22f-5320-458c-856f-40ac1f057fe9.json | N/A | N/A | N/A | N/A | N/A | 02722745411 | 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. | 1939-10-22 | N/A | N/A | N/A | SP | false | O DONNELL | N/A | JOHN | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285228584 | N/A | N/A | 5535496 | 2222 | 4802 | 15022956 | N/A | 4208408 | 2025-11-15 01:33:01.164929 | 2025-05-13 04:29:37.222823 |
| 2025-11-14 08:04:00.199339 | 2025-11-15 01:47:04.373362 | 14741343 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14741343 | Athletic Physical Therapy Inc | 1971-06-05 | 2025-11-17 | F | PT | N/A | MENDELSON | XEK913483846 | SHARON | 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/2222/8224045/check_14741343_21b2300a-84ef-4c01-9352-1d6803c10b99.json | N/A | N/A | N/A | N/A | N/A | XEK913483846 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1971-06-05 | 2001ZK002189 | X0001000 | N/A | PR | false | MENDELSON | N/A | SIMON | N/A | 2025-12-31 | 2025-01-01 | BRONZE 60 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285240137 | N/A | N/A | 8224045 | 2222 | 4802 | 15033764 | N/A | 6981160 | 2025-11-15 01:47:04.373362 | 2025-08-26 21:16:15.557856 |
| 2025-11-14 08:03:58.641971 | 2025-11-15 01:51:57.705695 | 14741232 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 14741232 | Athletic Physical Therapy Inc | 1940-04-13 | 2025-11-17 | F | AE | PT | PRIVITT | 31072079201 | NORMA | 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/2222/10301619/check_14741232_5b328cb0-fc1b-4ae2-84c5-de840b478f2f.json | N/A | N/A | N/A | N/A | N/A | 31072079201 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1940-04-13 | 2025H5425001 | H5425M | N/A | N/A | false | PRIVITT | N/A | NORMA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285244998 | N/A | N/A | 10301619 | 2222 | 4793 | 15036971 | N/A | 8571670 | 2025-11-15 01:51:57.705695 | 2025-10-20 20:59:28.219223 |
| 2025-11-14 08:03:54.129766 | 2025-11-15 01:47:16.848692 | 14740906 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14740906 | Athletic Physical Therapy Inc | 1985-01-29 | 2025-11-17 | F | PT | N/A | MURPHY | NGO398A23229 | DARA | 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/2222/8202094/check_14740906_c144e163-6ff1-43a4-95e4-9d27eda4c7d2.json | N/A | N/A | N/A | N/A | N/A | NGO398A23229 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | BLUE SHIELD OF CALIFORNIA | N/A | 1985-01-29 | 040 | 174022MJAD | N/A | PR | false | MURPHY | N/A | SCOTT | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285239927 | N/A | N/A | 8202094 | 2222 | 4793 | 15033877 | N/A | 6964828 | 2025-11-15 01:47:16.848692 | 2025-08-21 15:20:41.432970 |
| 2025-11-14 08:03:52.424503 | 2025-11-15 01:48:00.881749 | 14740789 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14740789 | Athletic Physical Therapy Inc | 1957-04-20 | 2025-11-17 | F | PT | N/A | FOX | 941W2386920 | GENOVEVA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251114.121923736.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12570095/check_14740789_c9033302-6213-4814-9986-dffc8b58ae2e.json | N/A | N/A | N/A | N/A | N/A | 941W2386920 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1957-04-20 | N/A | N/A | N/A | N/A | false | FOX | N/A | GENOVEVA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285305313 | N/A | N/A | 12570095 | 2222 | 4793 | 15034331 | N/A | 10741847 | 2025-11-15 01:48:00.881749 | 2025-11-17 21:17:39.202453 |
| 2025-11-14 08:03:49.427770 | 2025-11-15 01:46:43.812411 | 14740607 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 14740607 | Athletic Physical Therapy Inc | 1994-09-23 | 2025-11-17 | M | AE | PT | RUIZ CORTES | 000023841194 | ROGELIO | 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/2222/11537156/check_14740607_e55f01f6-6d24-4955-962d-2e0030c7583a.json | N/A | N/A | N/A | N/A | N/A | 000023841194 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1994-09-23 | 4327440 | 226369 | N/A | N/A | false | RUIZ CORTES | N/A | ROGELIO | N/A | N/A | N/A | PACWEST BANCORP PACWEST BANCORP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285240948 | N/A | N/A | 11537156 | 2222 | 4802 | 15033543 | N/A | 9778191 | 2025-11-15 01:46:43.812411 | 2025-10-27 23:17:48.522975 |
| 2025-11-14 08:03:48.154526 | 2025-11-15 01:41:23.946225 | 14740537 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 14740537 | Athletic Physical Therapy Inc | 2001-06-21 | 2025-11-17 | M | AE | PT | RAFIEI | 92836714F | SAM | 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/2222/8173002/check_14740537_f5ca7b7c-de43-4649-8d8b-48462c6c0c4d.json | N/A | N/A | N/A | N/A | N/A | 92836714F | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2001-06-21 | N/A | N/A | N/A | N/A | false | RAFIEI | N/A | SAM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285238276 | N/A | N/A | 8173002 | 2222 | 4793 | 15029037 | N/A | 6939518 | 2025-11-15 01:41:23.946225 | 2025-08-18 21:40:08.349494 |
| 2025-11-14 08:03:45.679020 | 2025-11-15 01:37:35.362216 | 14740399 | N/A | N/A | 60054 | Aetna | 1114042165 | 14740399 | Athletic Physical Therapy Inc | 1998-11-14 | 2025-11-17 | M | AE | PT | Shirian | W742094344 | Jonathan | 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/2222/11519732/check_14740399_06b40b64-a8c1-4655-8362-2708017517c2.json | N/A | N/A | N/A | N/A | N/A | W274093844 | Point of Service (POS) | CASE WESTERN RESERVE UNIVERSITY | AETNA | N/A | 1998-11-14 | 0686194 | 068619403600108 | N/A | PS | false | SHIRIAN | N/A | JONATHAN | N/A | N/A | N/A | OPEN CHOICE-EARLY ARRIVAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285240934 | N/A | N/A | 11519732 | 2222 | 4802 | 15026165 | N/A | 9760542 | 2025-11-15 01:37:35.362216 | 2025-10-27 21:44:20.466934 |
| 2025-11-14 08:03:41.089056 | 2025-11-15 01:37:36.673549 | 14740179 | N/A | N/A | 60054 | Aetna | 1114042165 | 14740179 | Athletic Physical Therapy Inc | 1969-06-19 | 2025-11-17 | F | AE | PT | SIMSON FRANK | JQU217M93319 | GABRIELLE | 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/2222/11508035/check_14740179_08cf5f2a-9a10-4e81-bba7-a2d077baacb3.json | N/A | N/A | N/A | N/A | N/A | JQU217M93319 | N/A | N/A | AETNA INC | N/A | 1969-06-19 | N/A | N/A | N/A | N/A | false | SIMSON FRANK | N/A | GABRIELLE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285240795 | N/A | N/A | 11508035 | 2222 | 4793 | 15026179 | N/A | 9748796 | 2025-11-15 01:37:36.673549 | 2025-10-30 15:58:51.268962 |
| 2025-11-14 08:03:34.448933 | 2025-11-15 03:31:31.460488 | 14739889 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 14739889 | Athletic Physical Therapy Inc | 1955-02-20 | 2025-11-17 | F | AE | PT | SALGUERO | 35955370 | DINA | 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/2222/6711965/check_14739889_f6534caf-a0d9-4fc3-bedf-703c678ef564.json | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | 406-005-000 | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285237609 | N/A | N/A | 6711965 | 2222 | 4793 | 15039766 | 6798 | 4210430 | 2025-11-15 03:31:31.460488 | 2025-05-13 04:29:37.224841 |
| 2025-11-14 08:03:28.353112 | 2025-11-15 01:49:08.978688 | 14739626 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14739626 | Athletic Physical Therapy Inc | 2009-10-25 | 2025-11-17 | F | PT | N/A | TAITE | JQU200A62919 | SERAPHINA | 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/2222/9610001/check_14739626_25cfd3df-8ff8-4134-a7bc-b37a3e2d1af9.json | N/A | N/A | N/A | N/A | N/A | JQU200A62919 | Preferred Provider Organization (PPO) | TREATMENT CENTER MANAGEMENT CORPORATION | ANTHEM BLUE CROSS | N/A | 2009-10-25 | 040 | U26732 | N/A | PR | false | TAITE | N/A | RICHARD | N/A | 2026-01-01 | 2025-05-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285251932 | N/A | N/A | 9610001 | 2222 | 4802 | 15035146 | N/A | 8040917 | 2025-11-15 01:49:08.978688 | 2025-09-22 14:19:04.386066 |
| 2025-11-14 08:03:14.950629 | 2025-11-15 01:46:30.617352 | 14739186 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14739186 | Athletic Physical Therapy Inc | 2014-05-21 | 2025-11-17 | M | PT | N/A | CHYNOWETH | JQU148M89680 | DAMIAN | 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/2222/8027485/check_14739186_cebbb758-4338-47db-920b-6d28091cfcc3.json | N/A | N/A | N/A | N/A | N/A | JQU148M89680 | Preferred Provider Organization (PPO) | ELECTRIC POWER GROUP | ANTHEM BLUE CROSS | N/A | 2014-05-21 | 040 | 345735 | N/A | PR | false | CHYNOWETH | N/A | JOSHUA | N/A | 9999-12-31 | 2025-05-01 | ANTHEM GOLD PPO 30/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285238844 | N/A | N/A | 8027485 | 2222 | 4793 | 15033415 | N/A | 6828971 | 2025-11-15 01:46:30.617352 | 2025-09-02 17:27:57.794692 |
| 2025-11-14 08:03:06.575361 | 2025-11-15 01:46:30.857687 | 14738941 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14738941 | Athletic Physical Therapy Inc | 1971-05-04 | 2025-11-17 | F | PT | N/A | MAHAARACHCHI | EXHAN7912598 | Nilanthi | 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/2222/7988722/check_14738941_b58a11a4-617d-4cac-9a0a-98a362ea60bc.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | Preferred Provider Organization (PPO) | XEROX CORPORATION | ANTHEM BLUE CROSS | N/A | 1971-05-04 | 060 | 270101M11A | N/A | PR | false | MAHAARACHCHI | N/A | SENAKA | N/A | 9999-12-31 | 2025-01-01 | CDHP CT BC PPO HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9285238506 | N/A | N/A | 7988722 | 2222 | 4793 | 15033418 | 4185 | 6798209 | 2025-11-15 01:46:30.857687 | 2025-10-29 15:15:17.952230 |
| 2025-11-14 08:02:48.639169 | 2025-11-15 03:36:04.898082 | 14738522 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14738522 | Athletic Physical Therapy Inc | 1936-04-15 | 2025-11-17 | F | AE | PT | MCCRAY | C4003524401 | ELIZABETH | 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/2222/6583817/check_14738522_19988a19-81af-4b51-bad3-3a6fb56df42b.json | N/A | N/A | N/A | N/A | N/A | C4003524401 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1936-04-15 | N/A | CA05620125 | N/A | N/A | false | MCCRAY | N/A | ELIZABETH | N/A | N/A | N/A | WELLCARE SIMPLE FOCUS (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9285236277 | N/A | N/A | 6583817 | 2222 | 4802 | 15040681 | N/A | 5202575 | 2025-11-15 03:36:04.898082 | 2025-09-17 19:56:42.576499 |
| 2025-11-14 04:58:34.211972 | 2025-11-14 04:58:37.117726 | 14736246 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-11-20 | 2025-11-14 | M | PT | N/A | HEDRICK | HFD100011207755 | MICHEL | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12015999/check_14736246_0d08b63f-2f3b-4b76-83de-1149ff49d396.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12015999/check_14736246_116ba91d-d1d9-49be-97bf-fb25cab11e83.json | N/A | N/A | N/A | N/A | N/A | HFD100011207755 | 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." | 1962-11-20 | N/A | N/A | N/A | PR | false | HEDRICK | N/A | MICHEL | 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 | 9284604641 | N/A | N/A | 12015999 | 2222 | N/A | 14987094 | N/A | 4210286 | 2025-11-14 04:58:37.117726 | 2025-11-14 03:16:19.994419 |
| 2025-11-14 01:17:16.908364 | 2025-11-14 01:17:25.795885 | 14735593 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-08-14 | 2025-11-14 | F | AE | PT | McKinnon | 4Q81VP4NU12 | Dawn | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7783105/check_14735593_8b28a456-8095-466c-b67e-e14fccce53f7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7783105/check_14735593_81abdac0-f5d4-4a29-b2ae-ae05ad9f0805.json | N/A | N/A | N/A | N/A | N/A | 4Q81VP4NU12 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-08-14 | S4802 | N/A | N/A | MB | false | MCKINNON | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9283798240 | N/A | N/A | 7783105 | 2222 | N/A | 14960075 | N/A | 6628331 | 2025-11-14 01:17:25.795885 | 2025-08-22 15:16:03.942743 |
| 2025-11-14 01:16:07.586425 | 2025-11-14 01:17:16.904796 | 14735585 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-08-14 | 2025-11-14 | F | AE | PT | McKinnon | 4Q81VP4NU12 | Dawn | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7783105/check_14735585_cb41924b-e989-4ed6-a60f-9c39e021e65e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-14 | N/A | N/A | N/A | N/A | N/A | N/A | 4Q81VP4NU12 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1959-08-14 | N/A | N/A | N/A | N/A | false | MCKINNON | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7783105 | 2222 | N/A | N/A | N/A | 6628331 | 2025-11-14 01:17:16.904796 | 2025-08-22 15:16:03.942743 |
| 2025-11-13 22:10:47.137783 | 2025-11-13 22:10:52.033833 | 14733524 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1949-07-26 | 2025-11-19 | F | AE | PT | BLESSLEY | 9DW9-YM7-ND57 | DONNA | 23326 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11011921/check_14733524_53f81539-c5db-4c4d-96ed-d7b31cb94c5c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11011921/check_14733524_9c1c8add-501c-49a2-892d-ef3d5947df94.json | N/A | N/A | N/A | N/A | N/A | 40064625701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1949-07-26 | 2025H5425001 | H5425M | N/A | N/A | false | BLESSLEY | N/A | DONNA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9283216838 | N/A | N/A | 11011921 | 2222 | N/A | 14957698 | N/A | 9377403 | 2025-11-13 22:10:52.033833 | 2025-10-15 20:29:32.165707 |
| 2025-11-13 20:42:16.536260 | 2025-11-13 20:42:18.484013 | 14732448 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-11-27 | 2025-11-14 | M | PT | N/A | RANA | 114W01870-30 | AJAY | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12428367/check_14732448_bde22f1e-aad5-44a8-8889-0cb8b2932e95.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12428367/check_14732448_5cf1d21e-239f-46c4-8ebe-33da6f0abe4d.json | N/A | N/A | N/A | N/A | N/A | 114W01870-30 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-11-27 | N/A | N/A | N/A | N/A | false | RANA | N/A | AJAY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 12428367 | 2222 | N/A | 14956157 | N/A | 10608476 | 2025-11-13 20:42:18.484013 | 2025-11-13 20:33:46.858153 |
| 2025-11-13 20:42:13.839984 | 2025-11-13 20:42:16.533626 | 14732447 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-11-27 | 2025-11-14 | M | PT | N/A | RANA | 114W01870-30 | AJAY | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12428367/check_14732447_0ba94de2-a0a9-4fe7-b681-76e47222d13c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-14 | N/A | N/A | N/A | N/A | N/A | N/A | 114W01870-30 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-11-27 | N/A | N/A | N/A | N/A | false | RANA | N/A | AJAY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 12428367 | 2222 | N/A | N/A | N/A | 10608476 | 2025-11-13 20:42:16.533626 | 2025-11-13 20:33:46.858153 |
| 2025-11-13 19:41:27.347663 | 2025-11-13 19:41:30.319322 | 14731674 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-12-26 | 2025-11-13 | M | PT | N/A | SALEWSKE | 600905624 | TYSON | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541518/check_14731674_1ee22fc6-2ab5-4a9b-a738-804ea4b4d629.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541518/check_14731674_fdbb802e-d5bf-45b5-8163-5ff37c75b45f.json | N/A | N/A | N/A | N/A | N/A | 600905624 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1974-12-26 | N/A | N/A | N/A | N/A | false | SALEWSKE | N/A | TYSON | 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 | 5541518 | 2222 | N/A | 14955153 | N/A | 4213526 | 2025-11-13 19:41:30.319322 | 2025-11-13 19:34:43.197819 |
| 2025-11-13 19:41:25.635334 | 2025-11-13 19:41:27.343950 | 14731673 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-12-26 | 2025-11-13 | M | PT | N/A | SALEWSKE | 600905624 | TYSON | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541518/check_14731673_9b385e98-a1c1-43e7-bc99-a81942261f22.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-13 | N/A | N/A | N/A | N/A | N/A | N/A | 600905624 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1974-12-26 | N/A | N/A | N/A | N/A | false | SALEWSKE | N/A | TYSON | 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 | 5541518 | 2222 | N/A | N/A | N/A | 4213526 | 2025-11-13 19:41:27.343950 | 2025-11-13 19:34:43.197819 |
| 2025-11-13 18:26:28.949143 | 2025-11-13 18:26:33.788122 | 14730770 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-01-18 | 2025-11-13 | F | AE | PT | CANO | H7655502400 | ADELAIDA | 5349 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7796425/check_14730770_6baaf9d8-e639-4584-b7a4-5c6ae6a8ee7b.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7796425/check_14730770_f96a07c3-0599-470e-a8b6-c3dd494c5943.json | N/A | N/A | N/A | N/A | N/A | H76555024 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 557 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 | 1953-01-18 | N/A | 0B635001 | N/A | HN | false | CANO | N/A | ADELAIDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9281730768 | N/A | N/A | 7796425 | 2222 | N/A | 14954055 | N/A | 6638534 | 2025-11-13 18:26:33.788122 | 2025-08-05 23:10:54.464587 |
| 2025-11-13 18:18:55.928065 | 2025-11-13 18:18:58.041514 | 14730586 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-08-23 | 2025-11-13 | M | AE | PT | Bogen | WXY0981A22808 | Andrew | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11174641/check_14730586_cf04ec60-bec4-4e15-8ed3-123fdb263b0e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11174641/check_14730586_455462d4-2478-4632-9035-7875392d001d.json | N/A | N/A | N/A | N/A | N/A | WXY0981A22808 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1941-08-23 | N/A | N/A | N/A | N/A | false | BOGEN | N/A | ANDREW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9487 | N/A | 11174641 | 2222 | N/A | 14953848 | N/A | 9519718 | 2025-11-13 18:18:58.041514 | 2026-02-02 19:30:57.219688 |
| 2025-11-13 18:18:52.673177 | 2025-11-13 18:18:55.922170 | 14730580 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-08-23 | 2025-11-13 | M | AE | PT | Bogen | WXY0981A22808 | Andrew | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11174641/check_14730580_d9b20c3a-e372-4958-a9ad-65f0f8a9fd91.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-13 | N/A | N/A | N/A | N/A | N/A | N/A | WXY0981A22808 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1941-08-23 | N/A | N/A | N/A | N/A | false | BOGEN | N/A | ANDREW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9487 | N/A | 11174641 | 2222 | N/A | N/A | N/A | 9519718 | 2025-11-13 18:18:55.922170 | 2026-02-02 19:30:57.219688 |
| 2025-11-13 18:18:35.514693 | 2025-11-13 18:18:38.638398 | 14730538 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-08-23 | 2025-11-13 | M | AE | PT | Bogen | 9P98YU0FH34 | Andrew | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11174640/check_14730538_ce0d79c9-7c70-472e-88c3-7cdec3ec6f66.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11174640/check_14730538_3fbff3d2-a976-4b27-b9a8-37464357a56f.json | N/A | N/A | N/A | N/A | N/A | 9P98YU0FH34 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-08-23 | N/A | N/A | N/A | MA | false | BOGEN | N/A | ANDREW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9281670583 | 9487 | N/A | 11174640 | 2222 | N/A | 14953803 | N/A | 9519718 | 2025-11-13 18:18:38.638398 | 2026-02-02 19:30:57.219688 |
| 2025-11-13 18:18:18.089339 | 2025-11-13 18:18:20.174392 | 14730518 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-08-23 | 2025-11-13 | M | AE | PT | E Bogen | 9P98YU0FH34 | Andrew | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11174640/check_14730518_38a56a51-26f9-4e4f-ad55-6ed7ec7d60e2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11174640/check_14730518_030aa7c4-de4e-4868-bfa2-697c4d86bc20.json | N/A | N/A | N/A | N/A | N/A | 9P98YU0FH34 | N/A | N/A | CMS | N/A | 1941-08-23 | N/A | N/A | N/A | N/A | false | E BOGEN | N/A | ANDREW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9487 | N/A | 11174640 | 2222 | N/A | 14953783 | N/A | 9519718 | 2025-11-13 18:18:20.174392 | 2026-02-02 19:30:57.219688 |
| 2025-11-13 18:18:16.427680 | 2025-11-13 18:18:18.086609 | 14730517 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-08-23 | 2025-11-13 | M | AE | PT | E Bogen | 9P98YU0FH34 | Andrew | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11174640/check_14730517_ad11feda-070b-480d-bdb3-ab6212a4648a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-13 | N/A | N/A | N/A | N/A | N/A | N/A | 9P98YU0FH34 | N/A | N/A | CMS | N/A | 1941-08-23 | N/A | N/A | N/A | N/A | false | E BOGEN | N/A | ANDREW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9487 | N/A | 11174640 | 2222 | N/A | N/A | N/A | 9519718 | 2025-11-13 18:18:18.086609 | 2026-02-02 19:30:57.219688 |
| 2025-11-13 18:16:47.333005 | 2025-11-13 18:16:52.269068 | 14730352 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-01-09 | 2025-11-13 | F | AE | PT | Ovaysikia | W197905578 | Shideh | 3948 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12166597/check_14730352_33e6f0ae-3377-4774-ab59-ada39a299507.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12166597/check_14730352_7cbb26e8-42f9-451f-8022-2910858fc532.json | N/A | N/A | N/A | N/A | N/A | W197905578 | Point of Service (POS) | COHNREZNICK | AETNA | N/A | 1983-01-09 | 0884166 | 088416605000001 | N/A | PS | false | OVAYSIKIA | N/A | SHIDEH | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9281652924 | N/A | N/A | 12166597 | 2222 | N/A | 14953630 | N/A | 10379320 | 2025-11-13 18:16:52.269068 | 2025-11-04 17:17:17.618107 |
| 2025-11-13 18:16:25.362570 | 2025-11-13 18:16:47.328137 | 14730329 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-01-09 | 2025-11-13 | F | AE | PT | Ovaysikia | W197905578 | Shideh | 3948 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12166597/check_14730329_f14211af-35f6-43ab-bba6-22cf33f9095c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-13 | N/A | N/A | N/A | N/A | N/A | N/A | W197905578 | N/A | N/A | AETNA | N/A | 1983-01-09 | N/A | N/A | N/A | N/A | false | OVAYSIKIA | N/A | SHIDEH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 12166597 | 2222 | N/A | N/A | N/A | 10379320 | 2025-11-13 18:16:47.328137 | 2025-11-04 17:17:17.618107 |
| 2025-11-13 17:39:26.683991 | 2025-11-13 17:39:31.648930 | 14729476 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-12-26 | 2025-11-14 | M | AE | PT | MAHINAY | W219751013 | JASON | 3948 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12366384/check_14729476_11fab8cf-1c17-4eea-9955-fc10156375f0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12366384/check_14729476_e75d5317-bea9-4d26-ab69-ad9bb815b948.json | N/A | N/A | N/A | N/A | N/A | W219751013 | Point of Service (POS) | HOLTHOUSE CARLIN & VAN TRIGT LLP | AETNA | N/A | 1980-12-26 | 0803905 | 080390501200002 | N/A | PS | false | MAHINAY | N/A | JASON | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9281362901 | N/A | N/A | 12366384 | 2222 | N/A | 14952678 | N/A | 10546247 | 2025-11-13 17:39:31.648930 | 2025-11-14 17:19:10.403651 |