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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-13 08:55:12.459712 | 2025-11-13 08:55:17.065407 | 14713053 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-01-16 | 2025-11-13 | F | AE | PT | Wesel | 953212552 | Ellen | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9795146/check_14713053_8bc966ce-33fe-4f5c-ad30-ebceb427b5da.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9795146/check_14713053_8c5fa68e-10a9-4ef1-9934-61da0941b1d6.json | N/A | N/A | N/A | N/A | N/A | 953212552 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1967-01-16 | N/A | 702581 | N/A | C1 | false | WESEL | N/A | ELLEN | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9795146 | 2222 | N/A | 14936811 | N/A | 8205288 | 2025-11-13 08:55:17.065407 | 2025-09-30 16:15:04.552446 |
| 2025-11-13 08:55:07.344535 | 2025-11-13 08:55:10.639285 | 14713002 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-12-22 | 2025-11-13 | M | AE | PT | Hsiao | 984507138 | PHINEAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9691111/check_14713002_0958e040-5134-4fc6-b0e5-a90726531c0b.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9691111/check_14713002_0e3837ca-d551-44c0-ae70-fc23e6873fb3.json | N/A | N/A | N/A | N/A | N/A | 984507138 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 2011-12-22 | N/A | 14904 | N/A | C1 | false | HSIAO | N/A | PHINEAS | N/A | N/A | N/A | MEDICA PASSPORTCHO FFS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9691111 | 2222 | N/A | 14936765 | N/A | 8110062 | 2025-11-13 08:55:10.639285 | 2025-11-04 00:13:56.329364 |
| 2025-11-13 08:55:04.908050 | 2025-11-13 08:55:08.128972 | 14712981 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1977-05-19 | 2025-11-13 | M | AE | PT | MALHOTRA | 42360756 | DAVE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9680809/check_14712981_a769c319-22c3-4639-8103-51c273c82287.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9680809/check_14712981_99c3f0b5-a018-4ce2-90a8-1e76acde69b1.json | N/A | N/A | N/A | N/A | N/A | 612027650 | Preferred Provider Organization (PPO) | N/A | OPTUMHEALTH BEHAVIORAL SOLUTIONS | N/A | 1977-05-19 | N/A | 15385 | N/A | PR | false | MALHOTRA | N/A | DAVE | N/A | N/A | N/A | FIDELITY BH UMR HEALTHFLEX PPO 2025 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9680809 | 2222 | N/A | 14936743 | N/A | 8100424 | 2025-11-13 08:55:08.128972 | 2025-10-07 13:46:29.078092 |
| 2025-11-13 08:54:35.151477 | 2025-11-13 08:54:40.175809 | 14712738 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-01-07 | 2025-11-13 | F | AE | PT | BUCHLER | 941436830 | Miroslava | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9277476/check_14712738_2e039a46-b1e7-4f0f-83d9-01e3f5db51fa.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9277476/check_14712738_56e140f8-2fc0-4c2c-a692-96c6cee0ff9d.json | N/A | N/A | N/A | N/A | N/A | 941436830 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1976-01-07 | N/A | 701444 | N/A | C1 | false | BUCHLER | N/A | MIROSLAVA | N/A | N/A | N/A | POS CHOICE PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9277476 | 2222 | N/A | 14936541 | N/A | 7785772 | 2025-11-13 08:54:40.175809 | 2025-09-16 03:06:31.754909 |
| 2025-11-13 08:52:53.363870 | 2025-11-13 08:52:59.846047 | 14711852 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-08-02 | 2025-11-13 | F | AE | PT | RAMSEY KANZAWA | 77879024100 | JENNIFER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541156/check_14711852_51c39f4a-6def-46d1-9f8b-08b31eee44da.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541156/check_14711852_c20413ae-a69b-48f6-a5d3-459aea008434.json | N/A | N/A | N/A | N/A | N/A | 77879024100 | Commercial | N/A | UnitedHealthcare Benefits Plan of California | N/A | 1972-08-02 | N/A | 1687339 | N/A | C1 | false | KANZAWA | N/A | JENNIFER | N/A | N/A | N/A | Select Plus | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541156 | 2222 | N/A | 14935765 | N/A | 4213204 | 2025-11-13 08:52:59.846047 | 2025-05-28 20:17:37.873556 |
| 2025-11-13 08:52:53.352299 | 2025-11-13 08:52:57.498068 | 14711851 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-05-06 | 2025-11-13 | F | AE | PT | IRIZARRY | 950883047 | BERNADETTE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541827/check_14711851_5a57307e-73f0-480a-b761-daeb9a88d43e.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541827/check_14711851_60ee7841-da99-4810-afbb-6c289836d40a.json | N/A | N/A | N/A | N/A | N/A | 950883047 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1969-05-06 | N/A | 905224 | N/A | C1 | false | IRIZARRY | N/A | BERNADETTE | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541827 | 2222 | N/A | 14935750 | N/A | 4213806 | 2025-11-13 08:52:57.498068 | 2025-05-13 04:29:37.228124 |
| 2025-11-13 08:52:53.182116 | 2025-11-13 08:52:56.749805 | 14711849 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-07-13 | 2025-11-13 | F | AE | PT | CONNOLLY | 974474822 | ELAINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540675/check_14711849_e47e2928-c1e1-44f8-b296-3989c6f71638.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540675/check_14711849_f7448eeb-c583-4b53-9a92-2aa81a82bb24.json | N/A | N/A | N/A | N/A | N/A | 974474822 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 2008-07-13 | N/A | 923812 | N/A | C1 | false | CONNOLLY | N/A | ELAINE | N/A | N/A | N/A | UNITEDHEALTHCARE SELECT PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540675 | 2222 | N/A | 14935740 | N/A | 4212786 | 2025-11-13 08:52:56.749805 | 2025-05-13 04:29:37.227120 |
| 2025-11-13 08:52:53.065593 | 2025-11-13 08:52:58.502037 | 14711847 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-04-03 | 2025-11-13 | M | AE | PT | IASCONE | 960990032400 | CRAIG | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539761/check_14711847_de1bf505-8b55-4fc9-876d-e6184de547e7.json | UHC | N/A | GOOGLE_CLOUD | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539761/check_14711847_64ed126c-4e01-4bed-9817-44f2bfdcd20f.json | N/A | N/A | N/A | N/A | N/A | 960990324 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | N/A | 1956-04-03 | N/A | 74134 | N/A | PR | false | IASCONE | N/A | CRAIG | N/A | N/A | N/A | LPPO-AARP MEDICARE ADVANTAGE FROM UHC CA-0038 (PPO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539761 | 2222 | N/A | 14935755 | N/A | 4212022 | 2025-11-13 08:52:58.502037 | 2025-05-13 04:29:37.226346 |
| 2025-11-13 08:21:41.794897 | 2025-11-13 08:21:44.813745 | 14705023 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-01-16 | 2025-11-13 | F | AE | PT | Wesel | QUC628W15332 | Ellen | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9854973/check_14705023_027bac1b-89e0-4fe7-a79c-8a736ffb7b5f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9854973/check_14705023_95a0fdf1-fd98-4d81-b284-bb74bdfe488e.json | N/A | N/A | N/A | N/A | N/A | QUC628W15332 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | CIGNA | N/A | 1967-01-16 | 040 | 280509A420 | N/A | PR | false | WESEL | N/A | RICHARD | N/A | 9999-12-31 | 2023-01-01 | UC CORE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9276011837 | N/A | N/A | 9854973 | 2222 | N/A | 14929620 | N/A | 8205288 | 2025-11-13 08:21:44.813745 | 2025-09-30 16:15:04.552446 |
| 2025-11-13 08:20:48.839299 | 2025-11-13 08:20:54.751448 | 14704510 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-09-29 | 2025-11-13 | M | AE | PT | JAUDE | JQE122A53874 | KARIM | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6821574/check_14704510_5fe5cef8-9b8d-4242-859f-c1248b278a6f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6821574/check_14704510_df499a9a-828f-491b-8cb0-0adbc3c93811.json | N/A | N/A | N/A | N/A | N/A | JQE122A53874 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1936-09-29 | 040 | CASUPWP0 | N/A | N/A | false | JAUDE | N/A | KARIM | N/A | 9999-12-31 | 2023-12-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9276007897 | N/A | N/A | 6821574 | 2222 | N/A | 14929209 | N/A | 4214191 | 2025-11-13 08:20:54.751448 | 2025-05-13 04:29:37.228525 |
| 2025-11-13 08:20:24.819666 | 2025-11-13 08:20:27.553546 | 14704271 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-08-31 | 2025-11-13 | M | AE | PT | NADRICH | XEM905604302 | JEFFREY | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538999/check_14704271_e871d20c-1ec3-408d-a466-820170de0641.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538999/check_14704271_08a1210c-9fb9-49b7-afb4-5337685d0e52.json | N/A | N/A | N/A | N/A | N/A | XEM905604302 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1950-08-31 | 2004SE000030 | X0001002 | N/A | OT | false | NADRICH | N/A | JEFFREY | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9276004905 | N/A | N/A | 5538999 | 2222 | N/A | 14928988 | N/A | 4211316 | 2025-11-13 08:20:27.553546 | 2025-05-13 04:29:37.225679 |
| 2025-11-13 08:18:59.693070 | 2025-11-13 08:19:02.468951 | 14703256 | N/A | N/A | 22384 | Administrative Concepts, Inc | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-05-16 | 2025-11-13 | F | AE | PT | DALEY | 6JX0-PD9-XU12 | EMILY | 3906 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12573304/check_14703256_e32307fc-69d2-4557-90eb-c5d4fae19949.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12573304/check_14703256_e6b72713-75b9-44e6-ac84-f8aff1eb8a98.json | N/A | N/A | N/A | N/A | N/A | 6JX0-PD9-XU12 | N/A | N/A | ACI | N/A | 1996-05-16 | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | 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 | 12573304 | 2222 | N/A | 14928318 | N/A | 10744474 | 2025-11-13 08:19:02.468951 | 2025-11-11 18:39:36.959342 |
| 2025-11-13 08:18:52.734349 | 2025-11-13 08:18:59.683571 | 14703154 | N/A | N/A | 22384 | Administrative Concepts, Inc | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-05-16 | 2025-11-13 | F | AE | PT | DALEY | 6JX0-PD9-XU12 | EMILY | 3906 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12573304/check_14703154_a41c2e84-9068-4808-9259-df78e3048558.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-13 | N/A | N/A | N/A | N/A | N/A | N/A | 6JX0-PD9-XU12 | N/A | N/A | ACI | N/A | 1996-05-16 | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | 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 | 12573304 | 2222 | N/A | N/A | N/A | 10744474 | 2025-11-13 08:18:59.683571 | 2025-11-11 18:39:36.959342 |
| 2025-11-13 08:18:29.183796 | 2025-11-13 08:18:33.134764 | 14702853 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-02-27 | 2025-11-13 | F | AE | PT | Lee | 000017103326 | Jean | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12437386/check_14702853_04bcb091-54d3-46f3-ac8c-a091f067fabf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12437386/check_14702853_c83c0900-9ab5-4b7d-806a-f48d5728821b.json | N/A | N/A | N/A | N/A | N/A | 000017103326 | N/A | N/A | KP HEALTH CARE REFORM - DHMO | HMO - HMO COMMERCIAL | 1981-02-27 | 4320748 | 228273 | N/A | N/A | false | LEE | N/A | JEAN | N/A | N/A | N/A | GILEAD SCIENCES, INC. GILEAD SCIENCES, INC. HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275996219 | N/A | N/A | 12437386 | 2222 | N/A | 14928111 | N/A | 10617653 | 2025-11-13 08:18:33.134764 | 2025-11-07 22:17:52.515771 |
| 2025-11-13 08:17:52.584592 | 2025-11-13 08:17:55.008431 | 14702149 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-03-06 | 2025-11-13 | M | AE | PT | E Sack | 40039993001 | Robert | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12096570/check_14702149_9ee86e2a-bb0f-4145-a626-e25a7bbbddce.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12096570/check_14702149_ec7ad4a6-ee82-445f-a381-0cbd3d34b2c0.json | N/A | N/A | N/A | N/A | N/A | 40039993001 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | E SACK | N/A | ROBERT | 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 | 12096570 | 2222 | N/A | 14927811 | N/A | 10314571 | 2025-11-13 08:17:55.008431 | 2026-01-04 16:54:02.110823 |
| 2025-11-13 08:17:49.003105 | 2025-11-13 08:17:52.535411 | 14702079 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-03-06 | 2025-11-13 | M | AE | PT | E Sack | 40039993001 | Robert | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12096570/check_14702079_60cbb3f4-5ab8-4681-a999-74eebbe32af2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-13 | N/A | N/A | N/A | N/A | N/A | N/A | 40039993001 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | E SACK | N/A | ROBERT | 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 | 12096570 | 2222 | N/A | N/A | N/A | 10314571 | 2025-11-13 08:17:52.535411 | 2026-01-04 16:54:02.110823 |
| 2025-11-13 08:17:12.162608 | 2025-11-13 08:17:19.230616 | 14701375 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1997-11-05 | 2025-11-13 | M | PT | N/A | VILLANUEVA | ZGP813002220 | YAIR | 4197 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11623284/check_14701375_5733d38d-ddd4-4abd-bd3b-5bea388e622e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11623284/check_14701375_3d6f3e10-3664-4029-9a8d-7d766a21c5c3.json | N/A | N/A | N/A | N/A | N/A | ZGP813002220 | Preferred Provider Organization (PPO) | RIMKUS CONSULTING GROUP, INC | BLUE SHIELD OF CALIFORNIA | N/A | 1997-11-05 | N/A | 279469 | N/A | PR | false | VILLANUEVA | N/A | YAIR | N/A | 9999-12-31 | 2025-03-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9275990392 | N/A | N/A | 11623284 | 2222 | N/A | 14927513 | N/A | 9860485 | 2025-11-13 08:17:19.230616 | 2025-11-10 18:34:52.696278 |
| 2025-11-13 08:16:49.543281 | 2025-11-14 03:42:56.128665 | 14700964 | N/A | N/A | 60054 | Aetna | 1114042165 | 14700964 | Athletic Physical Therapy Inc | 1976-12-17 | 2025-11-14 | M | AE | PT | Ramos | W263196559 | Jerome Petrocelli | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.101035964.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9862743/check_14700964_1d7805e7-7409-457c-92d6-606ab609677c.json | N/A | N/A | N/A | N/A | N/A | W263196559 | Preferred Provider Organization (PPO) | HOSPITAL CORPORATION OF AMERICA | AETNA | N/A | 1976-12-17 | 0160833 | 016083305000013 | N/A | PR | false | RAMOS | N/A | JEROME | N/A | N/A | N/A | OPEN CHOICE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9276006185 | N/A | N/A | 9862743 | 2222 | 4801 | 14984947 | N/A | 8258250 | 2025-11-14 03:42:56.128665 | 2025-09-30 21:47:59.000682 |
| 2025-11-13 08:16:24.552245 | 2025-11-13 08:16:28.068875 | 14700500 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-11-06 | 2025-11-13 | M | AE | PT | PAZ | 00000376554 | MARIO | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11359237/check_14700500_f1aba2c3-71cf-4ea6-9817-f6d6a3da1cb4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11359237/check_14700500_a24ec741-932e-4ee5-84fb-84c40d5cc391.json | N/A | N/A | N/A | N/A | N/A | 00000376554 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-11-06 | H3815028 | N/A | N/A | HM | false | PAZ | N/A | MARIO | 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 | 9275984966 | N/A | N/A | 11359237 | 2222 | N/A | 14927118 | N/A | 9630212 | 2025-11-13 08:16:28.068875 | 2025-10-22 17:21:29.196650 |
| 2025-11-13 08:15:47.551559 | 2025-11-13 08:15:53.233063 | 14699785 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1994-07-04 | 2025-11-13 | M | PT | N/A | Daich | JQY912W17468 | Austin | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11001702/check_14699785_e4c046c1-7a86-4d17-820f-25a0abc2af81.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11001702/check_14699785_5852271e-fda1-420e-a579-88569ee972cd.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 | 9275980903 | N/A | N/A | 11001702 | 2222 | N/A | 14926845 | N/A | 9234161 | 2025-11-13 08:15:53.233063 | 2025-10-15 16:55:10.102836 |
| 2025-11-13 08:15:20.318789 | 2025-11-13 08:15:22.246507 | 14699150 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-03-22 | 2025-11-13 | F | AE | PT | ROUSHANBAKHSH | 4M68ME8GE50 | FOROUGH | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10259566/check_14699150_324b2c4e-71ce-44f0-8c02-e8967c65ac50.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10259566/check_14699150_51d1efe2-87f3-422e-acd8-6af2375e3eed.json | N/A | N/A | N/A | N/A | N/A | 4M68ME8GE50 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-03-22 | S4802 | N/A | N/A | MB | false | ROUSHANBAKHSH | N/A | FOROUGH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275979272 | N/A | N/A | 10259566 | 2222 | N/A | 14926596 | N/A | 4213281 | 2025-11-13 08:15:22.246507 | 2025-05-13 04:29:37.227606 |
| 2025-11-13 08:14:57.100482 | 2025-11-14 01:37:07.388734 | 14698561 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14698561 | Athletic Physical Therapy Inc | 1959-02-04 | 2025-11-14 | F | AE | PT | SMITS | JQE291W18998 | HEIDI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.121916165.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681615/check_14698561_860c7867-ac8f-4101-ba95-09f5f8bc3741.json | N/A | N/A | N/A | N/A | N/A | JQE291W18998 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-02-04 | 040 | CASUPWP0 | N/A | N/A | false | SMITS | N/A | HEIDI | N/A | 9999-12-31 | 2024-02-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275999216 | N/A | N/A | 9681615 | 2222 | 4793 | 14963569 | N/A | 8101289 | 2025-11-14 01:37:07.388734 | 2025-09-24 17:05:46.431721 |
| 2025-11-13 08:13:26.661763 | 2025-11-14 01:45:54.758443 | 14696141 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14696141 | Athletic Physical Therapy Inc | 1953-03-27 | 2025-11-14 | F | AE | PT | FINE | 00000272194 | MICHELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.121724408.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858742/check_14696141_ccfdd867-1bd8-4d20-bfb2-481008f2af4c.json | N/A | N/A | N/A | N/A | N/A | 00000272194 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1953-03-27 | H3815028 | N/A | N/A | HM | false | FINE | N/A | MICHELLE | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275989228 | N/A | N/A | 5858742 | 2222 | 4801 | 14971889 | 2630 | 4219630 | 2025-11-14 01:45:54.758443 | 2025-05-13 04:29:37.230672 |
| 2025-11-13 08:13:10.043491 | 2025-11-14 01:37:07.691916 | 14695569 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14695569 | Athletic Physical Therapy Inc | 1959-02-07 | 2025-11-14 | F | AE | PT | STARK | JQE451W19078 | CHERYL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.121916165.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9450019/check_14695569_9e257533-966d-4fda-b0ec-e811cdbc97e1.json | N/A | N/A | N/A | N/A | N/A | JQE451W19078 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-02-07 | 040 | CASUPWP0 | N/A | N/A | false | STARK | N/A | CHERYL | N/A | 9999-12-31 | 2024-02-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275999509 | N/A | N/A | 9450019 | 2222 | 4793 | 14963572 | N/A | 7905968 | 2025-11-14 01:37:07.691916 | 2025-09-22 17:53:24.196861 |
| 2025-11-13 08:12:54.285613 | 2025-11-14 01:47:23.072877 | 14694920 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 14694920 | Athletic Physical Therapy Inc | 1956-09-25 | 2025-11-14 | M | AE | PT | Marvin | 40059610101 | Terry | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.101130363.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11529617/check_14694920_02f6fe14-a537-4509-94b4-a9c6c2e0a24e.json | N/A | N/A | N/A | N/A | N/A | 40059610101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-09-25 | 2025H5425001 | H5425M | N/A | N/A | false | MARVIN | N/A | TERRY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275993407 | N/A | N/A | 11529617 | 2222 | 4801 | 14974012 | N/A | 9770503 | 2025-11-14 01:47:23.072877 | 2025-11-05 23:33:36.141284 |
| 2025-11-13 08:12:40.650824 | 2025-11-14 01:48:20.603055 | 14694380 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14694380 | Athletic Physical Therapy Inc | 1944-09-29 | 2025-11-14 | F | AE | PT | GUASTELLA | 911M7843220 | ROSE ANN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.112441621.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458753/check_14694380_13974cd6-2c4f-41cf-87d5-d1e33cc43bda.json | N/A | N/A | N/A | N/A | N/A | 911M7843220 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1944-09-29 | N/A | N/A | N/A | N/A | false | GUASTELLA | N/A | ROSE ANN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275971751 | N/A | N/A | 7458753 | 2222 | 4801 | 14975147 | N/A | 6407685 | 2025-11-14 01:48:20.603055 | 2025-08-12 18:01:47.141909 |
| 2025-11-13 08:12:38.300562 | 2025-11-14 01:45:31.888582 | 14694291 | N/A | N/A | 60054 | Aetna | 1114042165 | 14694291 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-11-14 | F | AE | PT | SHAKIB | 101129457200 | PARI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.112441621.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444723/check_14694291_d4a7b22e-f4e0-411f-b5de-4e93d4f6c734.json | N/A | N/A | N/A | N/A | N/A | 101129457200 | Qualified Medicare Beneficiary | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1952-05-04 | 000003-CA000058 | 000003-CA | N/A | QM | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275971744 | N/A | N/A | 7444723 | 2222 | 4802 | 14971460 | N/A | 6395498 | 2025-11-14 01:45:31.888582 | 2026-02-18 02:38:35.073779 |
| 2025-11-13 08:12:25.542394 | 2025-11-14 01:44:14.735476 | 14693768 | N/A | N/A | 60054 | Aetna | 1114042165 | 14693768 | Athletic Physical Therapy Inc | 1969-06-19 | 2025-11-14 | F | AE | PT | SIMSON FRANK | JQU217M93319 | GABRIELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.101130363.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11508035/check_14693768_dd4aa342-dd11-4f82-b5bc-e929499f099e.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 | 9275993160 | N/A | N/A | 11508035 | 2222 | 4793 | 14969893 | N/A | 9748796 | 2025-11-14 01:44:14.735476 | 2025-10-30 15:58:51.268962 |
| 2025-11-13 08:12:13.184282 | 2025-11-14 01:35:36.051770 | 14693171 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 14693171 | Athletic Physical Therapy Inc | 1946-03-30 | 2025-11-14 | M | AE | PT | Kuyumjian | 0004103769 | Kevork | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.121326588.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12360718/check_14693171_df159937-4a8d-44d9-b503-3337717f7b3c.json | N/A | N/A | N/A | N/A | N/A | 0004103769 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1946-03-30 | N/A | N/A | N/A | N/A | false | KUYUMJIAN | N/A | KEVORK | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275963783 | N/A | N/A | 12360718 | 2222 | 4802 | 14962636 | N/A | 10540808 | 2025-11-14 01:35:36.051770 | 2025-11-12 20:09:27.257151 |
| 2025-11-13 08:12:06.025891 | 2025-11-14 01:46:02.599898 | 14692818 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14692818 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-11-14 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.121724408.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_14692818_bad77f02-d3f8-4356-bab6-7d77545c0fbf.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 | 9275988168 | N/A | N/A | 5549317 | 2222 | 4801 | 14972069 | N/A | 4219010 | 2025-11-14 01:46:02.599898 | 2026-01-09 18:32:07.618867 |
| 2025-11-13 08:12:05.571062 | 2025-11-14 01:42:29.929691 | 14692796 | N/A | N/A | 60054 | Aetna | 1114042165 | 14692796 | Athletic Physical Therapy Inc | 1968-10-14 | 2025-11-14 | F | AE | PT | CARLSON | W161554352 | CYNTHIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.121724408.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549080/check_14692796_6cbca6d1-f7a8-4a48-9ef0-3ed8379d5571.json | N/A | N/A | N/A | N/A | N/A | W161554352 | Point of Service (POS) | UBS FINANCIAL SERVICES INC. | AETNA | N/A | 1968-10-14 | 0880791 | 088079102500011 | N/A | PS | false | CARLSON | N/A | CYNTHIA | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275988167 | N/A | N/A | 5549080 | 2222 | 4801 | 14967649 | N/A | 4218812 | 2025-11-14 01:42:29.929691 | 2025-05-13 04:29:37.229807 |
| 2025-11-13 08:12:04.094632 | 2025-11-14 01:45:30.613801 | 14692727 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14692727 | Athletic Physical Therapy Inc | 1962-06-19 | 2025-11-14 | M | AE | PT | MILIAN GOMEZ | 93331019F | MIGUEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.121724408.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543555/check_14692727_85761567-be72-4a59-8f67-a895711292dd.json | N/A | N/A | N/A | N/A | N/A | 93331019F | N/A | N/A | HEALTH NET, LLC | N/A | 1962-06-19 | N/A | N/A | N/A | N/A | false | MILIAN GOMEZ | N/A | MIGUEL | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275988161 | N/A | N/A | 5543555 | 2222 | 4802 | 14971435 | N/A | 4215332 | 2025-11-14 01:45:30.613801 | 2025-08-06 16:15:15.716322 |
| 2025-11-13 08:12:03.737004 | 2025-11-14 01:41:39.539642 | 14692707 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 14692707 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-11-14 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.121724408.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_14692707_6b6979f2-93cf-43c8-85cd-88fcb6901c2a.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-03-27 | N/A | N/A | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275988160 | N/A | N/A | 5543270 | 2222 | 4793 | 14966428 | N/A | 4215086 | 2025-11-14 01:41:39.539642 | 2025-05-13 04:29:37.229401 |
| 2025-11-13 08:12:03.287968 | 2025-11-14 01:44:59.460382 | 14692685 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14692685 | Athletic Physical Therapy Inc | 1979-11-17 | 2025-11-14 | F | AE | PT | WOODS | 96781627F | JESSICA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.121724408.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542752/check_14692685_9035a48d-4572-4881-a4e3-508f32bb7a3a.json | N/A | N/A | N/A | N/A | N/A | 96781627F | N/A | N/A | HEALTH NET, LLC | N/A | 1979-11-17 | N/A | N/A | N/A | N/A | false | WOODS | N/A | JESSICA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275988159 | N/A | N/A | 5542752 | 2222 | 4793 | 14970778 | N/A | 4214627 | 2025-11-14 01:44:59.460382 | 2025-06-23 18:58:46.304598 |
| 2025-11-13 08:12:02.832191 | 2025-11-14 01:42:11.198432 | 14692667 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 14692667 | Athletic Physical Therapy Inc | 1961-02-27 | 2025-11-14 | M | AE | PT | SHRIVER | 90771207E | DANIEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.121724408.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541984/check_14692667_a76f3bf7-a527-420b-bd0b-44132224a1d4.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-02-27 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | SHRIVER | N/A | DANIEL | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275988158 | N/A | N/A | 5541984 | 2222 | 4802 | 14967160 | 4211 | 4213934 | 2025-11-14 01:42:11.198432 | 2026-01-27 23:36:44.802366 |
| 2025-11-13 08:12:02.326458 | 2025-11-14 01:45:01.087318 | 14692648 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 14692648 | Athletic Physical Therapy Inc | 1956-07-18 | 2025-11-14 | M | AE | PT | BELL | 40055462001 | LOWELL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.121724408.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540339/check_14692648_59e05049-237d-4054-bf1b-d532fdd7e576.json | N/A | N/A | N/A | N/A | N/A | 40055462001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-07-18 | 2025H5425097VEF | H5425CSNP | N/A | N/A | false | BELL | N/A | LOWELL | N/A | N/A | N/A | SCAN STRIVE (HMO SNP), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275988157 | N/A | N/A | 5540339 | 2222 | 4801 | 14970814 | N/A | 4212512 | 2025-11-14 01:45:01.087318 | 2025-11-04 22:17:35.476315 |
| 2025-11-13 08:12:01.884166 | 2025-11-14 01:46:02.176078 | 14692630 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14692630 | Athletic Physical Therapy Inc | 1980-04-11 | 2025-11-14 | M | PT | N/A | Hurst | JQY695A75359 | Gregory | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.121724408.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539085/check_14692630_eee73ce1-df78-442c-91db-24ab12e47c18.json | N/A | N/A | N/A | N/A | N/A | JQY695A75359 | Preferred Provider Organization (PPO) | YALE MANAGEMENT SERVICES | ANTHEM BLUE CROSS | N/A | 1980-04-11 | 040 | 342584 | N/A | PR | false | HURST | N/A | GREGORY | N/A | 2025-12-01 | 2024-12-01 | ANTHEM SILVER SELECT PPO 50/2200/40% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9275988155 | N/A | N/A | 5539085 | 2222 | 4793 | 14972063 | N/A | 4211408 | 2025-11-14 01:46:02.176078 | 2025-09-18 00:42:48.586801 |
| 2025-11-13 08:12:01.145184 | 2025-11-14 01:46:01.841221 | 14692600 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14692600 | Athletic Physical Therapy Inc | 1960-08-08 | 2025-11-14 | M | PT | N/A | GINSBERG | JQU469A62630 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.121724408.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538693/check_14692600_481264de-7172-4eb1-8a82-affc10cccaea.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 | 9275989019 | N/A | N/A | 5538693 | 2222 | 4793 | 14972055 | N/A | 4211081 | 2025-11-14 01:46:01.841221 | 2025-05-13 04:29:37.225492 |
| 2025-11-13 08:12:00.799691 | 2025-11-14 01:46:23.382570 | 14692585 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14692585 | Athletic Physical Therapy Inc | 1980-10-31 | 2025-11-14 | M | PT | N/A | PAREDES | XEH910686412 | JOSE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.121724408.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538615/check_14692585_3ac59934-9c7f-496f-aff3-648b1da252c2.json | N/A | N/A | N/A | N/A | N/A | XEH910686412 | Health Maintenance Organization (HMO) | TRADER JOE S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1980-10-31 | 1000VX000001 | W0069783 | N/A | HM | false | MORDKA | N/A | LUCAS | N/A | 9999-12-31 | 2025-07-01 | TRADER JOE S COMPANY CUSTOM ACCESS HMO 25 500 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9275989018 | N/A | N/A | 5538615 | 2222 | 4793 | 14972540 | N/A | 4211010 | 2025-11-14 01:46:23.382570 | 2025-09-30 17:03:18.054141 |
| 2025-11-13 08:12:00.358529 | 2025-11-14 01:50:01.793704 | 14692563 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14692563 | Athletic Physical Therapy Inc | 1959-12-15 | 2025-11-14 | M | AE | PT | STROM | 7TW2CN7CA26 | ROBB | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.121724408.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538255/check_14692563_2e240bba-31d6-483c-ba40-c975ecb5550e.json | N/A | N/A | N/A | N/A | N/A | 7TW2CN7CA26 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-12-15 | S5617 | N/A | N/A | MA | false | STROM | N/A | ROBB | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275989017 | N/A | N/A | 5538255 | 2222 | 4802 | 14976887 | N/A | 4210692 | 2025-11-14 01:50:01.793704 | 2025-05-13 04:29:37.225106 |
| 2025-11-13 08:11:59.947293 | 2025-11-14 01:46:01.502698 | 14692541 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14692541 | Athletic Physical Therapy Inc | 2006-06-08 | 2025-11-14 | M | PT | N/A | DATO | NGO555A50496 | LUKE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.121724408.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538229/check_14692541_19e3be85-5d5c-4759-8895-3d71a1ebd98c.json | N/A | N/A | N/A | N/A | N/A | NGO555A50496 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 2006-06-08 | 040 | 174022MJAD | N/A | PR | false | DATO | N/A | GREGORY | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9275989016 | N/A | N/A | 5538229 | 2222 | 4793 | 14972046 | N/A | 4210676 | 2025-11-14 01:46:01.502698 | 2026-05-21 21:09:28.809390 |
| 2025-11-13 08:11:59.365943 | 2025-11-14 01:45:55.015151 | 14692515 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14692515 | Athletic Physical Therapy Inc | 1949-09-13 | 2025-11-14 | M | AE | PT | GOMES | 00000285293 | NEMESIO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.121724408.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537439/check_14692515_bd728043-77f5-4bad-bde1-569739789b42.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 | 9275989015 | N/A | N/A | 5537439 | 2222 | 4801 | 14971896 | 2630 | 4210001 | 2025-11-14 01:45:55.015151 | 2025-05-13 04:29:37.224421 |
| 2025-11-13 08:11:58.981458 | 2025-11-14 01:46:00.992548 | 14692495 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14692495 | Athletic Physical Therapy Inc | 1974-05-24 | 2025-11-14 | F | PT | N/A | CLARK | JQU645W04003 | CLAUDIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.121724408.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536134/check_14692495_37b63398-61fc-4ad1-b1ae-6c70154ee910.json | N/A | N/A | N/A | N/A | N/A | JQU645W04003 | Preferred Provider Organization (PPO) | ATHLETIC PHYSICAL THERAPY INC | ANTHEM BLUE CROSS | N/A | 1974-05-24 | 040 | G76231 | N/A | PR | false | CLARK | N/A | STEPHEN | N/A | 2026-01-01 | 2025-01-01 | CA SG ANTHEM HSA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9275989014 | N/A | N/A | 5536134 | 2222 | 4793 | 14972038 | N/A | 4208937 | 2025-11-14 01:46:00.992548 | 2026-02-26 17:45:27.761245 |
| 2025-11-13 08:11:58.741339 | 2025-11-14 01:45:01.427135 | 14692486 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 14692486 | Athletic Physical Therapy Inc | 1952-12-16 | 2025-11-14 | F | AE | PT | PORTER | 40028215401 | SHERIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.121724408.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535434/check_14692486_3ddb8766-07d6-4bac-b40c-13ae222a63c3.json | N/A | N/A | N/A | N/A | N/A | 40028215401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-12-16 | 2025H5425001 | H5425M | N/A | N/A | false | PORTER | N/A | SHERIL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275989013 | N/A | N/A | 5535434 | 2222 | 4793 | 14970820 | N/A | 4208356 | 2025-11-14 01:45:01.427135 | 2025-08-25 14:49:27.724897 |
| 2025-11-13 08:11:39.266280 | 2025-11-14 01:45:38.593308 | 14691630 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 14691630 | Athletic Physical Therapy Inc | 1944-03-27 | 2025-11-14 | F | AE | PT | Verratti | H73649103 | Kathleen | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.112517002.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11936769/check_14691630_b4535abb-889a-449b-b699-56d422cd52e8.json | N/A | N/A | N/A | N/A | N/A | H73649103 | Supplemental Policy | COMPBENEFITS INSURANCE COMPANY | HUMANA | 067 004 | 1944-03-27 | N/A | 5A591003 | N/A | SP | false | VERRATTI | N/A | KATHLEEN | N/A | N/A | N/A | MEDICARE MES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275976516 | N/A | N/A | 11936769 | 2222 | 4802 | 14971601 | N/A | 10163894 | 2025-11-14 01:45:38.593308 | 2025-10-30 22:58:10.977312 |
| 2025-11-13 08:11:26.843072 | 2025-11-14 01:37:40.955861 | 14690977 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14690977 | Athletic Physical Therapy Inc | 1963-09-25 | 2025-11-14 | M | PT | N/A | zev | XED912627946 | ari | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.121240581.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9280765/check_14690977_67305f4f-88ba-47d6-963c-9a59220ec520.json | N/A | N/A | N/A | N/A | N/A | XED912627946 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-09-25 | 2001ZK002185 | X0001004 | N/A | PR | false | ZEV | N/A | ARI | N/A | 9999-12-31 | 2023-11-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9275956997 | N/A | N/A | 9280765 | 2222 | 4802 | 14963894 | N/A | 7789190 | 2025-11-14 01:37:40.955861 | 2025-09-16 16:41:33.330373 |
| 2025-11-13 08:10:57.277550 | 2025-11-13 08:11:04.304419 | 14689264 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-12-30 | 2025-11-13 | M | AE | PT | MCHALE | W27265070 | MATT | 3937 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8173116/check_14689264_5656f3b8-d193-49d3-8c95-d19e7d6d9f8a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173116/check_14689264_ecf97618-e5da-4bcd-9021-bf4fab99939c.json | N/A | N/A | N/A | N/A | N/A | W272665070 | Point of Service (POS) | SONY CORPORATION OF AMERICA | AETNA | N/A | 1972-12-30 | 0486873 | 048687302100161 | N/A | PS | false | MCHALE | N/A | MATTHEW | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275951343 | N/A | N/A | 8173116 | 2222 | N/A | 14924620 | N/A | 6939617 | 2025-11-13 08:11:04.304419 | 2025-09-16 00:28:24.457071 |
| 2025-11-13 08:10:55.287119 | 2025-11-14 01:32:59.911650 | 14689121 | N/A | N/A | 60054 | Aetna | 1114042165 | 14689121 | Athletic Physical Therapy Inc | 2012-08-08 | 2025-11-14 | F | AE | PT | BAIRD | W295329957 | BROOKLYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.121326588.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12202848/check_14689121_ca2827cb-d669-4b6d-9315-752d37c114ab.json | N/A | N/A | N/A | N/A | N/A | W295329957 | Point of Service (POS) | PEPPERDINE UNIVERSITY | AETNA | N/A | 2012-08-08 | 0232487 | 023248701200001 | N/A | PS | false | BAIRD | N/A | SHAYA | N/A | N/A | N/A | OA MANAGED CHOICE POS HDHP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275963908 | N/A | N/A | 12202848 | 2222 | 4793 | 14960927 | N/A | 10407534 | 2025-11-14 01:32:59.911650 | 2026-03-16 18:09:57.048289 |
| 2025-11-13 08:10:54.829302 | 2025-11-14 01:32:54.124272 | 14689087 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | 14689087 | Athletic Physical Therapy Inc | 1957-06-10 | 2025-11-14 | F | AE | PT | Cinney | JQE146W12862 | Nancy | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.121326588.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12199890/check_14689087_97ee5df1-e535-4ed1-9133-0c1af67e10c2.json | N/A | N/A | N/A | N/A | N/A | JQE146W12862 | N/A | N/A | TCCM | N/A | 1957-06-10 | N/A | N/A | N/A | N/A | false | CINNEY | N/A | NANCY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275963335 | N/A | N/A | 12199890 | 2222 | 4793 | 14960867 | N/A | 10405614 | 2025-11-14 01:32:54.124272 | 2025-11-11 22:04:16.516523 |
| 2025-11-13 08:10:46.301379 | 2025-11-14 01:32:40.105183 | 14688460 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 14688460 | Athletic Physical Therapy Inc | 1965-08-15 | 2025-11-14 | M | AE | PT | BRISICK | 2320654 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251113.121326588.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12172112/check_14688460_d79592f3-ff7e-459c-a37b-54ab23c6a5fe.json | N/A | N/A | N/A | N/A | N/A | 2320654 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 1965-08-15 | 18126CA001000401 | QMXEM01910 | N/A | N/A | false | BRISICK | N/A | STEVEN | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9275963660 | N/A | N/A | 12172112 | 2222 | 4802 | 14960718 | 4211 | 10384933 | 2025-11-14 01:32:40.105183 | 2025-11-04 18:26:03.763078 |