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 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-07 09:04:20.705179 | 2025-06-08 02:06:58.946076 | 8618351 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8618351 | Athletic Physical Therapy Inc | 1945-06-27 | 2025-06-09 | M | AE | PT | BROOK | 202232501 | NATASHA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115919582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068053/check_8618351_cdc9e04c-12e0-4595-92c3-f940f45227ff.json | N/A | N/A | N/A | N/A | N/A | 002022325 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1945-06-27 | N/A | HCFA21 | N/A | HN | false | N/A | N/A | N/A | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7852848364 | N/A | N/A | 6068053 | 2222 | 4793 | 8329640 | N/A | 4712995 | 2025-06-08 02:06:58.946076 | 2025-05-28 21:04:24.752114 |
| 2025-06-07 09:04:20.335992 | 2025-06-08 02:14:05.908889 | 8618345 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8618345 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-06-10 | M | AE | PT | JACOBS | 4XJ0X61FM35 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115919582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068049/check_8618345_c64c3939-2ec3-479d-a399-f301d0db161e.json | N/A | N/A | N/A | N/A | N/A | 4XJ0X61FM35 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-25 | S5921 | N/A | N/A | MA | false | JACOBS | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7852848363 | N/A | N/A | 6068049 | 2222 | 4793 | 8336500 | N/A | 4642852 | 2025-06-08 02:14:05.908889 | 2025-11-21 18:38:17.056437 |
| 2025-06-07 09:04:19.984143 | 2025-06-08 02:08:53.163308 | 8618341 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 8618341 | Athletic Physical Therapy Inc | 1955-09-16 | 2025-06-10 | F | PT | AE | ARCHULETA | 00000367146 | JAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115919582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068048/check_8618341_a7c1ba68-bd33-48a9-bf78-39cfd5008e6e.json | N/A | N/A | N/A | N/A | N/A | 00000367146 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1955-09-16 | H3815028 | N/A | N/A | HM | false | ARCHULETA | N/A | JAN | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852848362 | N/A | N/A | 6068048 | 2222 | 4793 | 8331708 | 2630 | 4208438 | 2025-06-08 02:08:53.163308 | 2025-06-03 23:28:44.457715 |
| 2025-06-07 09:03:54.743514 | 2025-06-08 02:13:07.591040 | 8617538 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8617538 | Athletic Physical Therapy Inc | 2025-06-05 | 2025-06-10 | M | PT | N/A | REBEAUD | DYZ6283553AB | JUSTIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.120426142.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145860/check_8617538_cec76344-f1c8-4283-8607-e4b6ce826f8c.json | N/A | N/A | N/A | N/A | N/A | DYZ6283553AB | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2025-06-05 | N/A | N/A | N/A | N/A | false | REBEAUD | N/A | JUSTIN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852891008 | N/A | N/A | 6145860 | 2222 | 4793 | 8335454 | N/A | 4786676 | 2025-06-08 02:13:07.591040 | 2025-06-10 23:45:59.927015 |
| 2025-06-07 09:03:53.418043 | 2025-06-08 05:08:50.755548 | 8617485 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8617485 | Athletic Physical Therapy Inc | 1954-10-02 | 2025-06-10 | M | PT | AE | TARDIF | 1DU7DV5YD36 | TEDD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115303575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6143995/check_8617485_ed3b6495-5a72-4a91-9d50-5bb43693e315.json | N/A | N/A | N/A | N/A | N/A | 1DU7DV5YD36 | Medicare Part B | N/A | SCAN HEALTH PLAN | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-10-02 | H5425 | N/A | N/A | MB | false | TARDIF | N/A | TEDD | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852784735 | N/A | N/A | 6143995 | 2222 | 4801 | 8343628 | N/A | 4214757 | 2025-06-08 05:08:50.755548 | 2026-03-20 15:26:52.406374 |
| 2025-06-07 09:03:52.849531 | 2025-06-08 05:04:46.467039 | 8617448 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8617448 | Athletic Physical Therapy Inc | 1955-12-01 | 2025-06-10 | F | PT | AE | PARLIER | MBL624W07406 | MERILEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115303575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6143804/check_8617448_7bc5fcea-8753-4d02-bfa2-a119ac2cb92a.json | N/A | N/A | N/A | N/A | N/A | MBL624W07406 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1955-12-01 | 040 | CAEGR002 | N/A | N/A | false | PARLIER | N/A | MERILEE | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852784731 | N/A | N/A | 6143804 | 2222 | 4801 | 8343002 | N/A | 4642861 | 2025-06-08 05:04:46.467039 | 2025-11-25 19:25:55.074534 |
| 2025-06-07 09:03:43.424714 | 2025-06-08 05:04:46.154157 | 8616986 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8616986 | Athletic Physical Therapy Inc | 1946-11-12 | 2025-06-10 | F | PT | AE | MILLER | XDD616A55642 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115303575.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6134555/check_8616986_8aa65658-614c-437c-882a-21f74af3bc52.json | N/A | N/A | N/A | N/A | N/A | 4T87TH0QY36 | Indemnity | SISC - COMPANIONCARE | MEDICARE D | N/A | 1946-11-12 | 040 | 40003A | N/A | IN | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2023-01-01 | MEDICARE SUPPLEMENT | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852785189 | N/A | N/A | 6134555 | 2222 | 4802 | 8343000 | N/A | 4214465 | 2025-06-08 05:04:46.154157 | 2025-06-04 19:00:43.001374 |
| 2025-06-07 09:03:34.985740 | 2025-06-08 05:03:41.256570 | 8616581 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8616581 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-06-10 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_8616581_f84e5795-9507-4524-819b-4c7c7f6bf1ab.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1961-09-17 | N/A | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7852781606 | N/A | N/A | 5568076 | 2222 | 4802 | 8342870 | N/A | 4209480 | 2025-06-08 05:03:41.256570 | 2026-04-10 02:05:15.976484 |
| 2025-06-07 09:03:26.181055 | 2025-06-08 05:20:45.656337 | 8616204 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 8616204 | Athletic Physical Therapy Inc | 1953-04-10 | 2025-06-10 | F | PT | AE | BOWMAN | 00000386100 | GLORIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551030/check_8616204_74f9f8f1-31c3-4c93-9470-70c62de60e05.json | N/A | N/A | N/A | N/A | N/A | 00000386100 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1953-04-10 | H3815028 | N/A | N/A | HM | false | BOWMAN | N/A | GLORIA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852781570 | N/A | N/A | 5551030 | 2222 | 4801 | 8344796 | 2630 | 4219852 | 2025-06-08 05:20:45.656337 | 2025-05-13 04:29:37.230898 |
| 2025-06-07 09:03:26.139462 | 2025-06-08 05:21:03.127245 | 8616203 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 8616203 | Athletic Physical Therapy Inc | 1962-10-31 | 2025-06-10 | M | PT | AE | COOK | NCF175A24389 | JAMES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551027/check_8616203_7eef5c8e-76f3-41f4-b1f4-b61df52057e6.json | N/A | N/A | N/A | N/A | N/A | NCF175A24389 | Health Maintenance Organization (HMO) | CONEJO VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 1962-10-31 | 040 | 275928H001 | N/A | HM | false | COOK | N/A | JAMES | N/A | 9999-12-31 | 2022-07-01 | BLUE CROSS HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852781569 | N/A | N/A | 5551027 | 2222 | 4801 | 8344834 | 4184 | 4219848 | 2025-06-08 05:21:03.127245 | 2025-05-28 20:18:04.730900 |
| 2025-06-07 09:03:26.100493 | 2025-06-08 05:03:50.020944 | 8616201 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8616201 | Athletic Physical Therapy Inc | 1952-08-05 | 2025-06-10 | F | PT | AE | WOOTEN | 40041245701 | GAYLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551018/check_8616201_43a50935-81ea-4ce7-b217-5dfb34bf1667.json | N/A | N/A | N/A | N/A | N/A | 40041245701 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1952-08-05 | N/A | N/A | N/A | N/A | false | WOOTEN | N/A | GAYLE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852781568 | N/A | N/A | 5551018 | 2222 | 4801 | 8342883 | N/A | 4219841 | 2025-06-08 05:03:50.020944 | 2025-05-13 04:29:37.230890 |
| 2025-06-07 09:03:26.050449 | 2025-06-08 05:04:43.591598 | 8616200 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8616200 | Athletic Physical Therapy Inc | 1998-01-10 | 2025-06-10 | F | PT | N/A | PALACIOS | JMV542W2270020 | JASMIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551010/check_8616200_4bb97794-2a5c-4c25-bf88-69db3a7e6a0a.json | N/A | N/A | N/A | N/A | N/A | JMV542W2270020 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1998-01-10 | N/A | N/A | N/A | N/A | false | PALACIOS | N/A | JASMIN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852781567 | N/A | N/A | 5551010 | 2222 | 4802 | 8342996 | N/A | 4219831 | 2025-06-08 05:04:43.591598 | 2025-05-13 04:29:37.230876 |
| 2025-06-07 09:03:26.011344 | 2025-06-08 05:21:08.744851 | 8616197 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8616197 | Athletic Physical Therapy Inc | 1966-02-01 | 2025-06-10 | M | PT | N/A | VARON | MPI101422173Q | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550992/check_8616197_ebbefbd6-a8ac-46a6-98ed-085d79fa10fa.json | N/A | N/A | N/A | N/A | N/A | MPI101422173Q | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-02-01 | N/A | N/A | N/A | N/A | false | VARON | N/A | BRETT | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852781566 | N/A | N/A | 5550992 | 2222 | 4793 | 8344851 | N/A | 4219816 | 2025-06-08 05:21:08.744851 | 2025-05-13 04:29:37.230863 |
| 2025-06-07 09:03:25.977054 | 2025-06-08 05:25:10.015192 | 8616196 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8616196 | Athletic Physical Therapy Inc | 1978-11-15 | 2025-06-10 | F | PT | AE | LEVIN | 8UF4J49FH09 | SHANNON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550976/check_8616196_8c31c29e-6715-4b73-85b1-11f87be3834b.json | N/A | N/A | N/A | N/A | N/A | 8UF4J49FH09 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1978-11-15 | S4802 | N/A | N/A | MB | false | LEVIN | N/A | SHANNON | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852781565 | N/A | N/A | 5550976 | 2222 | 4801 | 8345495 | N/A | 4219800 | 2025-06-08 05:25:10.015192 | 2025-05-13 04:29:37.230840 |
| 2025-06-07 09:03:25.937208 | 2025-06-08 05:21:04.894294 | 8616193 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8616193 | Athletic Physical Therapy Inc | 1959-07-17 | 2025-06-09 | F | PT | N/A | GILBERT | JPU461A71640 | SHERRI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550973/check_8616193_cdb37af4-00b4-4e80-929b-bf7811f5bba2.json | N/A | N/A | N/A | N/A | N/A | 3VT9D21WD25 | Preferred Provider Organization (PPO) | AGENCY FOR THE PERFORMING ARTS INC CA/OOS | ANTHEM BLUE CROSS | N/A | 1959-07-17 | 040 | L12155M001 | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER CLASSIC MULTI-CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852781563 | N/A | N/A | 5550973 | 2222 | 4793 | 8344838 | N/A | 4219803 | 2025-06-08 05:21:04.894294 | 2025-05-13 04:29:37.230842 |
| 2025-06-07 09:03:25.892902 | 2025-06-08 05:17:34.814991 | 8616191 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | 8616191 | Athletic Physical Therapy Inc | 1965-07-31 | 2025-06-10 | F | PT | AE | GUEVARA | G45053839 | DIANE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550940/check_8616191_78f5fac8-b84a-4f16-aa10-5deffe70e195.json | N/A | N/A | N/A | N/A | N/A | G45053839 | N/A | GEHA MEDICAL FEHB/PSHB | UMR | N/A | 1965-07-31 | 767000416933001 | 76416933 | N/A | N/A | false | GUEVARA | N/A | DIANE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852781562 | N/A | N/A | 5550940 | 2222 | 4793 | 8344399 | N/A | 4219779 | 2025-06-08 05:17:34.814991 | 2025-05-13 04:29:37.230820 |
| 2025-06-07 09:03:25.853165 | 2025-06-08 05:04:32.079828 | 8616188 | N/A | N/A | MISSING | MISSING INSURANCE NAME | 1114042165 | 8616188 | Athletic Physical Therapy Inc | 1985-07-23 | 2025-06-10 | M | PT | AE | VARGAS | MISSINGPOLICYNUMBER | JORGE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550888/check_8616188_847da53d-0f45-4322-a7ab-de6bdf104374.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | MISSING INSURANCE NAME | N/A | 1985-07-23 | N/A | N/A | N/A | N/A | false | VARGAS | N/A | JORGE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852781561 | N/A | N/A | 5550888 | 2222 | 4802 | 8342967 | N/A | 4219746 | 2025-06-08 05:04:32.079828 | 2025-05-13 04:29:37.230788 |
| 2025-06-07 09:03:25.810827 | 2025-06-08 05:22:13.709932 | 8616187 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8616187 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-06-10 | M | PT | N/A | PANDYA | XEA913306283 | DHARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_8616187_6335073e-cddd-430b-bcbd-d6f8dd22b919.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1975-08-17 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2024-06-03 | BLUE SHIELD OF CALIFORNIA ASO PPO DENTAL PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852781560 | N/A | N/A | 5550845 | 2222 | 4801 | 8344968 | N/A | 4219713 | 2025-06-08 05:22:13.709932 | 2025-08-13 22:46:55.732965 |
| 2025-06-07 09:03:25.759267 | 2025-06-08 05:04:42.672325 | 8616186 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8616186 | Athletic Physical Therapy Inc | 1982-11-09 | 2025-06-10 | M | PT | AE | JOHNSON | XEH907100980 | DANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550815/check_8616186_d5f9e5e2-5c94-4043-91de-898e5e3d5a45.json | N/A | N/A | N/A | N/A | N/A | XEH907100980 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1982-11-09 | N/A | N/A | N/A | N/A | false | JOHNSON | N/A | DANIEL | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852781558 | N/A | N/A | 5550815 | 2222 | 4801 | 8342994 | N/A | 4219693 | 2025-06-08 05:04:42.672325 | 2025-05-13 04:29:37.230738 |
| 2025-06-07 09:03:25.645306 | 2025-06-08 05:03:40.385420 | 8616182 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8616182 | Athletic Physical Therapy Inc | 1964-09-23 | 2025-06-10 | F | PT | AE | FLORES | R04366782FS1 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550814/check_8616182_260bde7f-1d89-4069-b12f-95010de97865.json | N/A | N/A | N/A | N/A | N/A | R04366782FS1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-09-23 | N/A | N/A | N/A | N/A | false | FLORES | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852781557 | N/A | N/A | 5550814 | 2222 | 4801 | 8342867 | N/A | 4219692 | 2025-06-08 05:03:40.385420 | 2025-05-13 04:29:37.230737 |
| 2025-06-07 09:03:25.506702 | 2025-06-08 05:09:00.321457 | 8616177 | N/A | N/A | 59355 | Christian Care Ministries | 1114042165 | 8616177 | Athletic Physical Therapy Inc | 1960-10-21 | 2025-06-10 | M | PT | AE | UPSON | 15831U29031 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550812/check_8616177_0a800572-5176-4c3b-ad50-f3cb91db6aef.json | N/A | N/A | N/A | N/A | N/A | 15831U29031 | N/A | N/A | MEDI-SHARE | N/A | 1960-10-21 | N/A | N/A | N/A | N/A | false | UPSON | N/A | MARK | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852781556 | N/A | N/A | 5550812 | 2222 | 4801 | 8343647 | N/A | 4219691 | 2025-06-08 05:09:00.321457 | 2025-05-13 04:29:37.230736 |
| 2025-06-07 09:03:25.339930 | 2025-06-08 05:25:10.340181 | 8616171 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8616171 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-06-10 | F | PT | AE | MARTIN | 5YV3RT3TA75 | DOLLY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550797/check_8616171_35a29c43-1505-4808-90fc-b9c4e1f4be00.json | N/A | N/A | N/A | N/A | N/A | 5YV3RT3TA75 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-09-13 | N/A | N/A | N/A | MA | false | MARTIN | N/A | DOLLY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852781555 | N/A | N/A | 5550797 | 2222 | 4793 | 8345496 | N/A | 4219681 | 2025-06-08 05:25:10.340181 | 2026-01-14 20:54:02.193776 |
| 2025-06-07 09:03:25.179970 | 2025-06-08 05:20:45.379599 | 8616165 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 8616165 | Athletic Physical Therapy Inc | 1954-03-04 | 2025-06-10 | M | PT | AE | ARUJO | 00000223568 | RAMON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550751/check_8616165_518ec698-726c-4368-99ef-67163946edac.json | N/A | N/A | N/A | N/A | N/A | 00000223568 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1954-03-04 | H3815028 | N/A | N/A | HM | false | ARUJO | N/A | RAMON | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852781554 | N/A | N/A | 5550751 | 2222 | 4801 | 8344794 | 2630 | 4219640 | 2025-06-08 05:20:45.379599 | 2025-05-13 04:29:37.230682 |
| 2025-06-07 09:03:25.053205 | 2025-06-08 05:17:54.757996 | 8616158 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8616158 | Athletic Physical Therapy Inc | 1989-04-08 | 2025-06-10 | F | PT | AE | GILREATH | 917909250 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550715/check_8616158_c885d109-5af5-4bd0-872b-cc16bdbcaa1f.json | N/A | N/A | N/A | N/A | N/A | 917909250 | Commercial | PUBLICIS GROUPE | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1989-04-08 | 0169 0169 | 936200 | N/A | C1 | false | GILREATH | N/A | BRIAN | N/A | N/A | N/A | SELECT PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852781553 | N/A | N/A | 5550715 | 2222 | 4801 | 8344433 | N/A | 4219623 | 2025-06-08 05:17:54.757996 | 2026-01-16 19:11:44.707402 |
| 2025-06-07 09:03:24.990202 | 2025-06-08 05:25:07.744420 | 8616155 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8616155 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-06-10 | F | PT | AE | BRADBURY | 5W31MW6FP03 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550534/check_8616155_06f95501-4b7c-4d7c-a433-e9590e364bd3.json | N/A | N/A | N/A | N/A | N/A | 5W31MW6FP03 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-01 | S5617 | N/A | N/A | MA | false | BRADBURY | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852781552 | N/A | N/A | 5550534 | 2222 | 4801 | 8345487 | N/A | 4219556 | 2025-06-08 05:25:07.744420 | 2025-05-13 04:29:37.230592 |
| 2025-06-07 09:03:24.950993 | 2025-06-08 05:25:08.442637 | 8616153 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8616153 | Athletic Physical Therapy Inc | 1951-12-26 | 2025-06-10 | M | PT | AE | FINEBERG | 9FX3D52YD09 | MARTIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549981/check_8616153_000f47c5-d109-4588-b07d-5d6c2f61f5ee.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MA | false | FINEBERG | N/A | MARTIN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852781551 | N/A | N/A | 5549981 | 2222 | 4802 | 8345489 | N/A | 4219436 | 2025-06-08 05:25:08.442637 | 2025-05-13 04:29:37.230471 |
| 2025-06-07 09:03:23.928617 | 2025-06-08 05:21:07.371422 | 8616093 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8616093 | Athletic Physical Therapy Inc | 1985-06-18 | 2025-06-10 | F | PT | N/A | SCHULMAN | XDP423M94945 | JESSICA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543362/check_8616093_c5950816-860e-474c-a602-0fd8afaf21d0.json | N/A | N/A | N/A | N/A | N/A | XDP423M94945 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1985-06-18 | 040 | 280629MK16 | N/A | PR | false | SCHULMAN | N/A | JESSICA | N/A | 9999-12-31 | 2025-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852782101 | N/A | N/A | 5543362 | 2222 | 4793 | 8344847 | N/A | 4215155 | 2025-06-08 05:21:07.371422 | 2025-05-13 04:29:37.229472 |
| 2025-06-07 09:03:23.887444 | 2025-06-08 05:17:50.526559 | 8616090 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8616090 | Athletic Physical Therapy Inc | 2007-11-30 | 2025-06-10 | F | AE | PT | BIERNER | 941921536 | ISABEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543359/check_8616090_f45385a0-421a-4325-962d-b0b757a47745.json | N/A | N/A | N/A | N/A | N/A | 941921536 | Commercial | APPLE INC. | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 2007-11-30 | 1254 1254 | 700406 | N/A | C1 | false | BIERNER | N/A | JACOB | N/A | N/A | N/A | SELECT PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7852782100 | N/A | N/A | 5543359 | 2222 | 4802 | 8344428 | N/A | 4215160 | 2025-06-08 05:17:50.526559 | 2025-05-13 04:29:37.229477 |
| 2025-06-07 09:03:23.827731 | 2025-06-08 05:21:03.530120 | 8616085 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8616085 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-06-10 | F | PT | N/A | DAKE | SIF326M90066 | RENEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543355/check_8616085_73c5876c-371f-4db2-b0c3-eb559ca16d4f.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | Preferred Provider Organization (PPO) | SISC - MEADOWS ARTS & TECH ELEMENTARY SCHOOL | ANTHEM BLUE CROSS | N/A | 1968-01-29 | 040 | 40424B | N/A | PR | false | DAKE | N/A | RENEE | N/A | 9999-12-31 | 2018-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852782099 | N/A | N/A | 5543355 | 2222 | 4793 | 8344835 | N/A | 4215158 | 2025-06-08 05:21:03.530120 | 2025-05-13 04:29:37.229475 |
| 2025-06-07 09:03:23.781498 | 2025-06-08 05:17:53.864528 | 8616083 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8616083 | Athletic Physical Therapy Inc | 1944-01-12 | 2025-06-10 | F | PT | AE | EGAN | 983482742 | ANNE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543317/check_8616083_d41a795d-ae20-489b-8875-739ad4119291.json | N/A | N/A | N/A | N/A | N/A | 983482742 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1944-01-12 | N/A | 74126 | N/A | PR | false | EGAN | N/A | ANNE | N/A | N/A | N/A | LPPO-AARP MEDICARE ADVANTAGE FROM UHC CA-0029 (PPO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852782098 | N/A | N/A | 5543317 | 2222 | 4802 | 8344430 | N/A | 4215113 | 2025-06-08 05:17:53.864528 | 2025-05-13 04:29:37.229425 |
| 2025-06-07 09:03:23.729845 | 2025-06-08 05:17:57.170481 | 8616080 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8616080 | Athletic Physical Therapy Inc | 2009-05-06 | 2025-06-10 | M | PT | AE | MYER | 992215076 | REMSEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543288/check_8616080_3a160e47-811f-417f-a1ec-2f8ebeeee0c8.json | N/A | N/A | N/A | N/A | N/A | 992215076 | Commercial | TRINET B | UNITEDHEALTHCARE | FUNDING TYPE = FULLY INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 2009-05-06 | 0999 0999 | 911528 | N/A | C1 | false | MYER | N/A | JARRET | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852782097 | N/A | N/A | 5543288 | 2222 | 4802 | 8344439 | N/A | 4215102 | 2025-06-08 05:17:57.170481 | 2025-06-02 22:31:17.941501 |
| 2025-06-07 09:03:23.666901 | 2025-06-08 05:03:43.115286 | 8616077 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8616077 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-06-09 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_8616077_daecd591-e273-4391-8550-ab8328eb8047.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 | 7852782096 | N/A | N/A | 5543270 | 2222 | 4793 | 8342875 | N/A | 4215086 | 2025-06-08 05:03:43.115286 | 2025-05-13 04:29:37.229401 |
| 2025-06-07 09:03:23.620618 | 2025-06-08 05:25:10.657849 | 8616075 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8616075 | Athletic Physical Therapy Inc | 1953-05-17 | 2025-06-10 | F | PT | AE | SINGER | 8XN3QF1XM78 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543247/check_8616075_64777dcc-76c1-49dc-ad50-34954cbfd711.json | N/A | N/A | N/A | N/A | N/A | 8XN3QF1XM78 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-05-17 | S5601 | N/A | N/A | MB | false | SINGER | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852782095 | N/A | N/A | 5543247 | 2222 | 4793 | 8345497 | N/A | 4215066 | 2025-06-08 05:25:10.657849 | 2025-05-13 04:29:37.229384 |
| 2025-06-07 09:03:23.572344 | 2025-06-08 05:21:05.676099 | 8616073 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 8616073 | Athletic Physical Therapy Inc | 1971-12-13 | 2025-06-09 | M | PT | N/A | LEO | NCF949A57364 | SEAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543220/check_8616073_40b0758b-0588-4088-a7a0-6aa9c1860d26.json | N/A | N/A | N/A | N/A | N/A | NCF949A57364 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1971-12-13 | 040 | 57AJCA | N/A | HM | false | LEO | N/A | DAYNA | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852782094 | N/A | N/A | 5543220 | 2222 | 4793 | 8344841 | 4184 | 4215036 | 2025-06-08 05:21:05.676099 | 2025-05-13 04:29:37.229353 |
| 2025-06-07 09:03:23.531880 | 2025-06-08 05:21:05.988671 | 8616071 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8616071 | Athletic Physical Therapy Inc | 1983-04-13 | 2025-06-10 | F | PT | N/A | MICHAEL | JXN531M63256 | JUNITHA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543190/check_8616071_b9f03309-a010-4618-ac34-52fefea79aaf.json | N/A | N/A | N/A | N/A | N/A | JXN531M63256 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 1983-04-13 | 040 | 174222M9A1 | N/A | PR | false | MICHAEL | N/A | JUNITHA | N/A | 9999-12-31 | 2021-05-11 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852782093 | N/A | N/A | 5543190 | 2222 | 4793 | 8344842 | N/A | 4215014 | 2025-06-08 05:21:05.988671 | 2025-06-01 22:57:55.386960 |
| 2025-06-07 09:03:23.468440 | 2025-06-08 05:09:13.191346 | 8616068 | N/A | N/A | 60054 | AETNA | 1114042165 | 8616068 | Athletic Physical Therapy Inc | 1954-11-18 | 2025-06-10 | M | PT | AE | CUNNINGHAM | 101899291800 | RAY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543176/check_8616068_503b9057-81e5-4a15-8632-7043e0ff6967.json | N/A | N/A | N/A | N/A | N/A | 101899291800 | Qualified Medicare Beneficiary | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1954-11-18 | 000003-CA000083 | 000003-CA | N/A | QM | false | CUNNINGHAM | N/A | RAY | N/A | N/A | N/A | AETNA MEDICARE VALUE PLUS (HMO-POS) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852782092 | N/A | N/A | 5543176 | 2222 | 4802 | 8343676 | 3939 | 4215002 | 2025-06-08 05:09:13.191346 | 2025-05-28 20:18:01.917044 |
| 2025-06-07 09:03:23.361340 | 2025-06-08 05:21:01.132356 | 8616063 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8616063 | Athletic Physical Therapy Inc | 1958-07-27 | 2025-06-10 | F | PT | N/A | BERARDI | JQU360A51420 | JACQUELINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543161/check_8616063_6e5c5cab-c23e-407f-bf14-12e219ca227d.json | N/A | N/A | N/A | N/A | N/A | JQU360A51420 | Preferred Provider Organization (PPO) | CAL CHOICE AUGUST 1.00 | ANTHEM BLUE CROSS | N/A | 1958-07-27 | 040 | 476497 | N/A | PR | false | BERARDI | N/A | PHILIP | N/A | 9999-12-31 | 2024-08-01 | ANTHEM GOLD PPO 30/60/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852782091 | N/A | N/A | 5543161 | 2222 | 4793 | 8344830 | N/A | 4214989 | 2025-06-08 05:21:01.132356 | 2025-05-13 04:29:37.229310 |
| 2025-06-07 09:03:23.223011 | 2025-06-08 05:21:05.383420 | 8616060 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8616060 | Athletic Physical Therapy Inc | 1974-08-13 | 2025-06-10 | F | PT | N/A | HUGGINS | JXN261A50994 | DEE DEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543043/check_8616060_085e51d2-efca-46ab-b54e-904fad9f1f92.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 9999-12-31 | 2022-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852782090 | N/A | N/A | 5543043 | 2222 | 4801 | 8344839 | N/A | 4214884 | 2025-06-08 05:21:05.383420 | 2025-11-12 00:46:10.301659 |
| 2025-06-07 09:03:23.062893 | 2025-06-08 05:21:08.349260 | 8616052 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 8616052 | Athletic Physical Therapy Inc | 1984-09-02 | 2025-06-10 | M | PT | AE | SUMBY | XEH905944609 | PATRICK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542959/check_8616052_20c3b8ce-9565-442c-bba3-1c6b8dddf356.json | N/A | N/A | N/A | N/A | N/A | XEH905944609 | Health Maintenance Organization (HMO) | SOHONET INC | ANTHEM BLUE CROSS | N/A | 1984-09-02 | 1000VX000101 | W0090700 | N/A | HM | false | SUMBY | N/A | PATRICK | N/A | 9999-12-31 | 2019-10-01 | SG EMB PED VISION INO FOR HMO DMHC OFFEX | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852782089 | N/A | N/A | 5542959 | 2222 | 4801 | 8344850 | 4184 | 4214811 | 2025-06-08 05:21:08.349260 | 2025-05-13 04:29:37.229134 |
| 2025-06-07 09:03:22.914070 | 2025-06-08 05:22:11.583722 | 8616046 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8616046 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-06-10 | F | PT | N/A | JAIN | XEK909304497 | SUPARNA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542952/check_8616046_87ae202e-b631-4d68-8941-76b6ac6fcb10.json | N/A | N/A | N/A | N/A | N/A | XEK909304497 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-01-24 | 2001ZK002189 | X0001000 | N/A | PR | false | JAIN | N/A | SUPARNA | N/A | 9999-12-31 | 2019-09-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852782088 | N/A | N/A | 5542952 | 2222 | 4802 | 8344963 | N/A | 4214804 | 2025-06-08 05:22:11.583722 | 2025-05-13 20:09:53.786482 |
| 2025-06-07 09:03:22.766421 | 2025-06-08 05:17:56.226155 | 8616039 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8616039 | Athletic Physical Therapy Inc | 2000-05-11 | 2025-06-10 | F | PT | AE | KRAUS | 16776997701 | MOLLIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542934/check_8616039_bfe99504-fd89-4a1c-a4f5-1511bddcad1a.json | N/A | N/A | N/A | N/A | N/A | 16776997701 | Commercial | N/A | UNITEDHEALTHCARE BENEFITS PLAN OF CALIFORNIA | FUNDING TYPE = FULLY INSURED - SMALL GROUP | 2000-05-11 | N/A | 1687503 | N/A | C1 | false | KRAUS | N/A | MOLLIE | N/A | N/A | N/A | SELECT PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852782087 | N/A | N/A | 5542934 | 2222 | 4802 | 8344437 | N/A | 4214788 | 2025-06-08 05:17:56.226155 | 2025-05-13 04:29:37.229113 |
| 2025-06-07 09:03:22.694348 | 2025-06-08 05:22:12.507453 | 8616035 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8616035 | Athletic Physical Therapy Inc | 1971-05-30 | 2025-06-10 | M | PT | N/A | MATTHEWS | KTP903824736 | LARRY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542899/check_8616035_48b337fd-37cf-48d3-9fb7-e6b770574774.json | N/A | N/A | N/A | N/A | N/A | KTP903824736 | Preferred Provider Organization (PPO) | TUTOR PERINI CORPORATION | BLUE SHIELD CALIFORNIA | N/A | 1971-05-30 | 1004PPOX0004 | W0051664 | N/A | PR | false | MATTHEWS | N/A | REGINA | N/A | N/A | N/A | TUTOR PERINI CORPORATION ASO PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852782086 | N/A | N/A | 5542899 | 2222 | 4793 | 8344965 | N/A | 4214758 | 2025-06-08 05:22:12.507453 | 2025-05-13 04:29:37.229078 |
| 2025-06-07 09:03:22.645899 | 2025-06-08 05:03:44.098532 | 8616033 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8616033 | Athletic Physical Therapy Inc | 1954-10-02 | 2025-06-10 | M | PT | AE | TARDIF | 40037365501 | TEDD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542894/check_8616033_6ccc8648-79bf-4ad1-a1bc-3e47f3ec2d40.json | N/A | N/A | N/A | N/A | N/A | 40037365501 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1954-10-02 | N/A | N/A | N/A | N/A | false | TARDIF | N/A | TEDD | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852782085 | N/A | N/A | 5542894 | 2222 | 4801 | 8342877 | N/A | 4214757 | 2025-06-08 05:03:44.098532 | 2026-03-20 15:26:52.406374 |
| 2025-06-07 09:03:22.588239 | 2025-06-08 05:09:16.027334 | 8616031 | N/A | N/A | 60054 | Aetna | 1114042165 | 8616031 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-06-10 | M | PT | AE | KORY | 10216158100 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542868/check_8616031_4072ae78-878e-49f3-b2c2-636edd920767.json | N/A | N/A | N/A | N/A | N/A | 102161581800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1959-05-08 | 000003-CA000058 | 000003-CA | N/A | PR | false | KORY | N/A | MICHAEL | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852782084 | N/A | N/A | 5542868 | 2222 | 4793 | 8343683 | N/A | 4214732 | 2025-06-08 05:09:16.027334 | 2025-06-24 20:13:53.579048 |
| 2025-06-07 09:03:22.548044 | 2025-06-08 05:22:13.280074 | 8616030 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8616030 | Athletic Physical Therapy Inc | 1964-12-21 | 2025-06-10 | F | PT | N/A | BERMAN | XEK909562521 | AMY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542576/check_8616030_b17b7f28-912c-45f9-99bb-9de7c1176876.json | N/A | N/A | N/A | N/A | N/A | XEK909562521 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1964-12-21 | 2001ZK002189 | X0001000 | N/A | PR | false | NEAL | N/A | RON | N/A | 9999-12-31 | 2025-01-01 | BRONZE 60 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852782080 | N/A | N/A | 5542576 | 2222 | 4793 | 8344967 | N/A | 4214467 | 2025-06-08 05:22:13.280074 | 2025-05-13 04:29:37.228779 |
| 2025-06-07 09:03:22.506897 | 2025-06-08 05:21:04.098235 | 8616026 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8616026 | Athletic Physical Therapy Inc | 1963-02-11 | 2025-06-10 | F | PT | N/A | FEUER | JQU495A78860 | SELLA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542574/check_8616026_47ee75a7-0752-4be2-bd91-80fa87dbc4dd.json | N/A | N/A | N/A | N/A | N/A | JQU495A78860 | Preferred Provider Organization (PPO) | CALL CENTER MANAGEMENT INC | ANTHEM BLUE CROSS | N/A | 1963-02-11 | 040 | Q91517 | N/A | PR | false | FEUER | N/A | SELLA | N/A | 9999-12-31 | 2024-09-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852782079 | N/A | N/A | 5542574 | 2222 | 4793 | 8344836 | N/A | 4214466 | 2025-06-08 05:21:04.098235 | 2025-06-03 18:09:34.500853 |
| 2025-06-07 09:03:22.463266 | 2025-06-08 05:25:08.728663 | 8616023 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8616023 | Athletic Physical Therapy Inc | 1950-10-11 | 2025-06-10 | F | PT | AE | FRANK | 6C06N65FN89 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542263/check_8616023_4fd74f41-f1d7-487c-bcf9-8525a83dd7cc.json | N/A | N/A | N/A | N/A | N/A | 6C06N65FN89 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-10-11 | S5601 | N/A | N/A | MA | false | FRANK | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852782078 | N/A | N/A | 5542263 | 2222 | 4802 | 8345490 | N/A | 4214201 | 2025-06-08 05:25:08.728663 | 2025-05-13 04:29:37.228535 |
| 2025-06-07 09:03:22.408345 | 2025-06-08 05:22:14.035151 | 8616019 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8616019 | Athletic Physical Therapy Inc | 1996-12-31 | 2025-06-10 | M | PT | N/A | SIMON | 913762408 | DUSTIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542213/check_8616019_0f7d5bd2-e1d6-4c3a-b28c-7285c5b07683.json | N/A | N/A | N/A | N/A | N/A | 913762408 | N/A | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1996-12-31 | 2001DA000346 | X0001004 | N/A | N/A | false | SIMON | N/A | DUSTIN | N/A | N/A | N/A | FAMILY DENTAL HMO PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7852782077 | N/A | N/A | 5542213 | 2222 | 4793 | 8344969 | N/A | 4214155 | 2025-06-08 05:22:14.035151 | 2025-05-13 04:29:37.228482 |
| 2025-06-07 09:03:22.366231 | 2025-06-08 05:25:09.683551 | 8616017 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8616017 | Athletic Physical Therapy Inc | 1937-05-08 | 2025-06-10 | F | PT | AE | GRINBERG | 6W60TM0KP36 | HANNA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542161/check_8616017_7daaf111-f795-4e8e-9bae-32996b30a9b5.json | N/A | N/A | N/A | N/A | N/A | 6W60TM0KP36 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-05-08 | S5921 | N/A | N/A | MA | false | GRINBERG | N/A | HANNA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852782076 | N/A | N/A | 5542161 | 2222 | 4802 | 8345494 | N/A | 4214112 | 2025-06-08 05:25:09.683551 | 2025-05-13 04:29:37.228426 |
| 2025-06-07 09:03:22.323775 | 2025-06-08 05:20:46.004110 | 8616016 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 8616016 | Athletic Physical Therapy Inc | 1957-10-24 | 2025-06-10 | F | PT | AE | MCSHEA | 00000364203 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250607.115228626.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542046/check_8616016_d2a9d46d-4207-4ebf-b6fa-72d17b7ab2b2.json | N/A | N/A | N/A | N/A | N/A | 00000364203 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1957-10-24 | H3815028 | N/A | N/A | HM | false | MCSHEA | N/A | SANDRA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7852782075 | N/A | N/A | 5542046 | 2222 | 4801 | 8344797 | 2630 | 4214001 | 2025-06-08 05:20:46.004110 | 2025-05-13 04:29:37.228323 |