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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-11 08:43:00.522939 | 2025-11-12 01:46:13.925418 | 14633427 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14633427 | Athletic Physical Therapy Inc | 1947-08-18 | 2025-11-13 | F | AE | PT | FABER | 4X26K21EE83 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.110019651.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_14633427_5d0410be-5296-4c90-86cd-77e75003a806.json | N/A | N/A | N/A | N/A | N/A | 4X26K21EE83 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-08-18 | S5617 | N/A | N/A | MA | false | FABER | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9257041650 | N/A | N/A | 6522947 | 2222 | 4802 | 14871643 | N/A | 5146127 | 2025-11-12 01:46:13.925418 | 2025-06-20 17:58:23.371130 |
| 2025-11-11 08:42:49.027559 | 2025-11-12 01:52:55.923597 | 14633297 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14633297 | Athletic Physical Therapy Inc | 2008-01-01 | 2025-11-13 | M | PT | N/A | COSTELLO | SIF475A59310 | JAMES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105748853.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11322321/check_14633297_ec451c03-67ff-49f4-9853-135807907a75.json | N/A | N/A | N/A | N/A | N/A | SIF475A59310 | Preferred Provider Organization (PPO) | SISC - VENTURA COUNTY COMMUNITY COLLEGE DISTRICT | ANTHEM BLUE CROSS LIFE HLTH INS C | N/A | 2008-01-01 | 040 | 40971C | N/A | PR | false | COSTELLO | N/A | MANDISSA | N/A | 9999-12-31 | 2025-09-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256890665 | N/A | N/A | 11322321 | 2222 | 4793 | 14877854 | N/A | 4211647 | 2025-11-12 01:52:55.923597 | 2025-10-21 19:53:46.280627 |
| 2025-11-11 08:42:48.039790 | 2025-11-12 01:54:00.398795 | 14633287 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14633287 | Athletic Physical Therapy Inc | 1959-04-01 | 2025-11-14 | M | PT | N/A | MOYER | W0051411 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105748853.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11282027/check_14633287_ccf8607f-0793-4523-a598-2e932d39b561.json | N/A | N/A | N/A | N/A | N/A | W0051411 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1959-04-01 | N/A | N/A | N/A | N/A | false | MOYER | N/A | STEVEN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256890658 | N/A | N/A | 11282027 | 2222 | 4801 | 14878979 | N/A | 9581032 | 2025-11-12 01:54:00.398795 | 2025-10-21 22:24:54.464325 |
| 2025-11-11 08:42:17.553004 | 2025-11-12 01:52:56.305667 | 14632845 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14632845 | Athletic Physical Therapy Inc | 1941-08-23 | 2025-11-13 | M | AE | PT | E Bogen | WXY0981A22808 | Andrew | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105748853.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11174641/check_14632845_dee1fe77-4f07-4360-aa7d-3bcc51f68641.json | N/A | N/A | N/A | N/A | N/A | WXY0981A22808 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1941-08-23 | N/A | N/A | N/A | N/A | false | E BOGEN | N/A | ANDREW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256891174 | N/A | N/A | 11174641 | 2222 | 4802 | 14877864 | N/A | 9519718 | 2025-11-12 01:52:56.305667 | 2026-02-02 19:30:57.219688 |
| 2025-11-11 08:42:13.111849 | 2025-11-12 01:56:16.416862 | 14632762 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 14632762 | Athletic Physical Therapy Inc | 1961-11-24 | 2025-11-12 | F | AE | PT | CRUTCHFIELD | 904430653 | HELEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.130022301.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10103203/check_14632762_61b5b290-0ae2-42d4-b63b-2a9ce468fb22.json | N/A | N/A | N/A | N/A | N/A | 904430653 | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1961-11-24 | N/A | N/A | N/A | N/A | false | CRUTCHFIELD | N/A | HELEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256955640 | N/A | N/A | 10103203 | 2222 | 4802 | 14881091 | N/A | 8437251 | 2025-11-12 01:56:16.416862 | 2025-10-07 19:08:26.048804 |
| 2025-11-11 08:42:12.651962 | 2025-11-12 01:39:55.956904 | 14632755 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14632755 | Athletic Physical Therapy Inc | 1949-12-31 | 2025-11-12 | M | AE | PT | TSING | 00000282272 | KONGHSUNG | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105803944.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8978036/check_14632755_deb40475-64f9-4901-951c-d5aba3ec55b9.json | N/A | N/A | N/A | N/A | N/A | 00000282272 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-12-31 | H3815028 | N/A | N/A | HM | false | TSING | N/A | KONGHSUNG | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256949776 | N/A | N/A | 8978036 | 2222 | 4793 | 14859739 | 2630 | 7492332 | 2025-11-12 01:39:55.956904 | 2025-10-01 21:03:48.525986 |
| 2025-11-11 08:41:59.605040 | 2025-11-12 01:52:55.227273 | 14632517 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14632517 | Athletic Physical Therapy Inc | 1942-02-01 | 2025-11-12 | F | AE | PT | CHANG | JQE101W06364 | QUANG | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105748853.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11159407/check_14632517_41a777c1-3ef7-4967-b203-23c9f3efc530.json | N/A | N/A | N/A | N/A | N/A | JQE101W06364 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1942-02-01 | 040 | CASUPWP0 | N/A | N/A | false | CHANG | N/A | QUANG CHAN | N/A | 9999-12-31 | 2021-01-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256890007 | N/A | N/A | 11159407 | 2222 | 4793 | 14877840 | N/A | 9505845 | 2025-11-12 01:52:55.227273 | 2026-04-29 00:06:17.964395 |
| 2025-11-11 08:41:55.090115 | 2025-11-12 01:53:59.978732 | 14632430 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14632430 | Athletic Physical Therapy Inc | 1942-12-02 | 2025-11-12 | M | AE | PT | Lawrence | JOE083M00118 | Harvey | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105748853.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11156182/check_14632430_5e67b4cd-b6ac-4852-84a4-39bf6e03a078.json | N/A | N/A | N/A | N/A | N/A | JOE083M00118 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1942-12-02 | N/A | N/A | N/A | N/A | false | LAWRENCE | N/A | HARVEY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256889986 | N/A | N/A | 11156182 | 2222 | 4802 | 14878972 | N/A | 9502693 | 2025-11-12 01:53:59.978732 | 2025-12-16 19:10:22.413376 |
| 2025-11-11 08:41:46.493232 | 2025-11-12 01:37:59.975761 | 14632246 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 14632246 | Athletic Physical Therapy Inc | 1951-05-28 | 2025-11-14 | M | AE | PT | ADELMAN | 27936686 | JEFFREY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.113442431.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12298760/check_14632246_15c790bd-f282-4da4-ae71-7130c4ab01e0.json | N/A | N/A | N/A | N/A | N/A | 27936686 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1951-05-28 | N/A | N/A | N/A | N/A | false | ADELMAN | N/A | JEFFREY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256886459 | N/A | N/A | 12298760 | 2222 | 4801 | 14855904 | N/A | 10484794 | 2025-11-12 01:37:59.975761 | 2025-11-05 22:04:00.322040 |
| 2025-11-11 08:41:42.383849 | 2025-11-12 01:56:32.257306 | 14632170 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14632170 | Athletic Physical Therapy Inc | 1988-06-03 | 2025-11-13 | F | AE | PT | TORST | R11937526FM1 | SHARLEAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.104329755.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9454942/check_14632170_13fde234-91db-4c64-bd21-d4dd9c596c6a.json | N/A | N/A | N/A | N/A | N/A | R11937526FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1988-06-03 | N/A | N/A | N/A | N/A | false | TORST | N/A | SHARLEAN | N/A | N/A | N/A | KVD SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256927656 | N/A | N/A | 9454942 | 2222 | 4801 | 14881365 | N/A | 7906863 | 2025-11-12 01:56:32.257306 | 2025-09-29 16:17:16.352774 |
| 2025-11-11 08:41:35.658773 | 2025-11-12 03:49:03.032909 | 14632009 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14632009 | Athletic Physical Therapy Inc | 1955-07-01 | 2025-11-14 | F | AE | PT | GREER | XEM909858172 | ROBIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.113443601.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411084/check_14632009_78ee6c26-1c90-4f37-a30c-3c0e46a43c52.json | N/A | N/A | N/A | N/A | N/A | XEM909858172 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-07-01 | 2002SE000030 | X0001002 | N/A | OT | false | GREER | N/A | ROBIN | 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 | 9256925459 | N/A | N/A | 9411084 | 2222 | 4802 | 14895984 | N/A | 7879863 | 2025-11-12 03:49:03.032909 | 2026-02-04 18:21:13.840230 |
| 2025-11-11 08:41:28.597117 | 2025-11-12 01:52:55.567958 | 14631866 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14631866 | Athletic Physical Therapy Inc | 1957-06-17 | 2025-11-13 | F | AE | PT | CHASE | MBL232W16570 | MELINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105748853.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11108318/check_14631866_c3f744ef-2377-433c-bb14-6e8a70c7b661.json | N/A | N/A | N/A | N/A | N/A | MBL232W16570 | N/A | UNITED FOOD AND COMMERCIAL WORKERS UNIONS | ANTHEM BLUE CROSS | N/A | 1957-06-17 | 040 | CAEGR014 | N/A | N/A | false | CHASE | N/A | MELINDA | N/A | 9999-12-31 | 2023-03-01 | CA GRS UFCW UNION H4036-802 ANTHEM MED PREF MA 25P | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256890331 | N/A | N/A | 11108318 | 2222 | 4801 | 14877847 | N/A | 9458434 | 2025-11-12 01:52:55.567958 | 2025-10-17 17:38:01.801720 |
| 2025-11-11 08:41:18.931489 | 2025-11-12 02:05:26.750197 | 14631698 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14631698 | Athletic Physical Therapy Inc | 1959-02-07 | 2025-11-14 | F | AE | PT | STARK | 5T98ME7EA67 | CHERYL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.104329755.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9449995/check_14631698_c88fcd82-95ff-46ab-8276-bdd4beb2a185.json | N/A | N/A | N/A | N/A | N/A | 5T98ME7EA67 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-07 | S4802 | N/A | N/A | MB | false | STARK | N/A | CHERYL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256927626 | N/A | N/A | 9449995 | 2222 | 4793 | 14887299 | N/A | 7905968 | 2025-11-12 02:05:26.750197 | 2025-09-22 17:53:24.196861 |
| 2025-11-11 08:41:15.896669 | 2025-11-12 01:54:00.942038 | 14631625 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14631625 | Athletic Physical Therapy Inc | 1947-09-07 | 2025-11-13 | F | AE | PT | SHIBUYA | XEM906397835 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105748853.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11087597/check_14631625_f58fe1e2-4027-4efe-ac77-13d6c548a431.json | N/A | N/A | N/A | N/A | N/A | XEM906397835 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1947-09-07 | 2002SD000004 | X0001002 | N/A | OT | false | SHIBUYA | N/A | LINDA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256889502 | N/A | N/A | 11087597 | 2222 | 4801 | 14878986 | N/A | 9440436 | 2025-11-12 01:54:00.942038 | 2025-10-28 16:54:37.049151 |
| 2025-11-11 08:41:02.928364 | 2025-11-12 01:56:23.853071 | 14631417 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14631417 | Athletic Physical Therapy Inc | 2003-04-25 | 2025-11-12 | M | PT | N/A | GREEN | JQV184A72608 | ALLEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.130022301.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10091887/check_14631417_5356434f-2c52-490b-8290-c7f9ff0f5752.json | N/A | N/A | N/A | N/A | N/A | JQV184A72608 | Health Maintenance Organization (HMO) | GUMM AND GREEN LLP | ANTHEM BLUE CROSS | N/A | 2003-04-25 | 040 | 428474 | N/A | HM | false | GREEN | N/A | LINDSEY | N/A | 2025-12-01 | 2024-12-01 | ANTHEM GOLD SELECT HMO 35 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256955127 | N/A | N/A | 10091887 | 2222 | 4793 | 14881202 | 4185 | 8429919 | 2025-11-12 01:56:23.853071 | 2025-10-07 22:01:52.720968 |
| 2025-11-11 08:40:48.626157 | 2025-11-12 01:56:22.942754 | 14631171 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14631171 | Athletic Physical Therapy Inc | 1976-08-13 | 2025-11-14 | F | PT | N/A | GODWIN | JPU097W07528 | CASSANDRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.130022301.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10090153/check_14631171_e75d24a7-65cd-4c3c-924c-d98b3dba3dbc.json | N/A | N/A | N/A | N/A | N/A | JPU097W07528 | Preferred Provider Organization (PPO) | MAJCO LLC | ANTHEM BLUE CROSS | N/A | 1976-08-13 | 040 | 281949M014 | N/A | PR | false | GODWIN | N/A | CASSANDRA | N/A | 9999-12-31 | 2023-06-01 | SOLUTION PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256955116 | N/A | N/A | 10090153 | 2222 | 4801 | 14881191 | N/A | 8428668 | 2025-11-12 01:56:22.942754 | 2025-10-12 20:55:35.014952 |
| 2025-11-11 08:40:48.211980 | 2025-11-12 05:50:16.314884 | 14631164 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14631164 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-11-14 | F | AE | PT | MARTIN | DGA11867912J | DOLLY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.102936297.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550799/check_14631164_e77d2ef5-8c5d-4bc5-85e3-52efe48ff527.json | N/A | N/A | N/A | N/A | N/A | DGA11867912J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | MEDICARE B | N/A | 1944-09-13 | 040 | 276945M001 | N/A | PR | false | MARTIN | N/A | DOLLY | N/A | 9999-12-31 | 2013-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256894012 | N/A | N/A | 5550799 | 2222 | 4793 | 14904086 | N/A | 4219681 | 2025-11-12 05:50:16.314884 | 2026-01-14 20:54:02.193776 |
| 2025-11-11 08:40:47.821560 | 2025-11-12 05:42:13.052633 | 14631155 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 14631155 | Athletic Physical Therapy Inc | 1954-05-11 | 2025-11-12 | M | AE | PT | A Peters | 32146482611 | Dennis | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.102936297.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550027/check_14631155_0b4aee5a-d279-4f38-b61d-8c9faf309411.json | N/A | N/A | N/A | N/A | N/A | 32146482611 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1954-05-11 | N/A | N/A | N/A | SP | false | PETERS | N/A | DENNIS | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256894011 | N/A | N/A | 5550027 | 2222 | 4801 | 14902925 | N/A | 4219449 | 2025-11-12 05:42:13.052633 | 2025-10-07 21:32:27.567534 |
| 2025-11-11 08:40:45.048922 | 2025-11-12 05:50:15.935996 | 14631119 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14631119 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-11-13 | F | AE | PT | HOWARD | JQE896M91712 | JUDI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.102936297.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543352/check_14631119_6a181e64-3147-47fe-a740-bc5f8958dc6c.json | N/A | N/A | N/A | N/A | N/A | JQE896M91712 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-11-19 | 040 | CASUPWP0 | N/A | N/A | false | HOWARD | N/A | JUDI | N/A | 9999-12-31 | 2022-01-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256894006 | N/A | N/A | 5543352 | 2222 | 4793 | 14904085 | N/A | 4215147 | 2025-11-12 05:50:15.935996 | 2025-05-13 04:29:37.229464 |
| 2025-11-11 08:40:44.698365 | 2025-11-12 05:50:14.779813 | 14631114 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14631114 | Athletic Physical Therapy Inc | 1948-08-18 | 2025-11-13 | M | AE | PT | EDA | 776A78714 | MASAAKI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.102936297.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543332/check_14631114_b478cd31-66dd-490b-aea1-0b2c0c932c1a.json | N/A | N/A | N/A | N/A | N/A | 776A78714 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1948-08-18 | N/A | N/A | N/A | N/A | false | EDA | N/A | MASAAKI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256894005 | N/A | N/A | 5543332 | 2222 | 4802 | 14904082 | N/A | 4215140 | 2025-11-12 05:50:14.779813 | 2025-05-13 04:29:37.229453 |
| 2025-11-11 08:40:44.147762 | 2025-11-12 05:51:15.398318 | 14631108 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14631108 | Athletic Physical Therapy Inc | 1953-03-17 | 2025-11-14 | F | AE | PT | MARCUS | XEM909523924 | LISSA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.102936297.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542324/check_14631108_d2de6969-6b1f-4330-8246-ce446254c640.json | N/A | N/A | N/A | N/A | N/A | XEM909523924 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1953-03-17 | 2002SF000029 | X0001002 | N/A | OT | false | MARCUS | N/A | LISSA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256894004 | N/A | N/A | 5542324 | 2222 | 4802 | 14904231 | N/A | 4214241 | 2025-11-12 05:51:15.398318 | 2025-05-13 04:29:37.228574 |
| 2025-11-11 08:40:43.701557 | 2025-11-12 05:42:13.364798 | 14631104 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 14631104 | Athletic Physical Therapy Inc | 1944-04-25 | 2025-11-14 | F | AE | PT | ROSENTHAL | 30096718111 | PHYLLIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.102936297.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541888/check_14631104_6c930011-5118-4587-bbf1-c62974e5d678.json | N/A | N/A | N/A | N/A | N/A | 30096718111 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1944-04-25 | N/A | N/A | N/A | SP | false | ROSENTHAL | N/A | PHYLLIS | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256894003 | N/A | N/A | 5541888 | 2222 | 4802 | 14902926 | N/A | 4213865 | 2025-11-12 05:42:13.364798 | 2025-05-13 04:29:37.228183 |
| 2025-11-11 08:40:43.304360 | 2025-11-12 05:50:15.583629 | 14631098 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14631098 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-11-14 | M | PT | N/A | FINNLEY | M4R134071249001 | ZEV | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.102936297.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539665/check_14631098_efd025f4-8722-4224-846f-5ff586d3a514.json | N/A | N/A | N/A | N/A | N/A | M4R134071249001 | Preferred Provider Organization (PPO) | N/A | COMMERCIAL INSURANCE | FUNDING TYPE = SELF INSURED | 1991-07-13 | 379 | 174022MJAC | N/A | PR | false | FINNLEY | N/A | MARIKO | N/A | N/A | N/A | NENY PPO BLENDED MED/SURG | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256894002 | N/A | N/A | 5539665 | 2222 | 4793 | 14904084 | N/A | 4211935 | 2025-11-12 05:50:15.583629 | 2025-05-13 04:29:37.226259 |
| 2025-11-11 08:40:42.668970 | 2025-11-12 05:51:14.917245 | 14631093 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14631093 | Athletic Physical Therapy Inc | 1956-03-01 | 2025-11-13 | M | AE | PT | KLINGE | XEM912398996 | JOHN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.102936297.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539487/check_14631093_c8e8da41-cf38-4a35-bf18-a51a2ab3e577.json | N/A | N/A | N/A | N/A | N/A | XEM912398996 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1956-03-01 | 2004SE000030 | X0001002 | N/A | OT | false | KLINGE | N/A | JOHN | 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 | 9256894001 | N/A | N/A | 5539487 | 2222 | 4793 | 14904230 | N/A | 4211780 | 2025-11-12 05:51:14.917245 | 2025-10-27 16:53:51.769426 |
| 2025-11-11 08:40:41.246522 | 2025-11-12 05:50:14.316505 | 14631080 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14631080 | Athletic Physical Therapy Inc | 1952-12-18 | 2025-11-14 | F | AE | PT | DU BRIN | JQE162M93481 | SUSAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.102936297.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538605/check_14631080_e5b08625-5d09-4e16-bcf5-273634b7d894.json | N/A | N/A | N/A | N/A | N/A | JQE162M93481 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-12-18 | 040 | CASUPWP0 | N/A | N/A | false | DU BRIN | N/A | SUSAN | N/A | 9999-12-31 | 2021-03-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256893999 | N/A | N/A | 5538605 | 2222 | 4793 | 14904081 | N/A | 4210998 | 2025-11-12 05:50:14.316505 | 2026-02-23 18:49:01.874308 |
| 2025-11-11 08:40:40.819214 | 2025-11-12 05:50:15.223831 | 14631075 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14631075 | Athletic Physical Therapy Inc | 1954-01-12 | 2025-11-13 | F | AE | PT | FINCH | XDD909A67880 | DAWN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.102936297.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538474/check_14631075_dcb92655-1f1d-4f6c-9fc7-df4ead1a9752.json | N/A | N/A | N/A | N/A | N/A | XDD909A67880 | N/A | CALPERS PERS PLATINUM MSUPP RETIREES(PA) REGION3 | MEDICARE B | N/A | 1954-01-12 | 040 | BS270I | N/A | N/A | false | FINCH | N/A | LELAND | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256893998 | N/A | N/A | 5538474 | 2222 | 4802 | 14904083 | N/A | 4210886 | 2025-11-12 05:50:15.223831 | 2025-05-13 04:29:37.225284 |
| 2025-11-11 08:40:40.297521 | 2025-11-12 05:42:12.067049 | 14631066 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 14631066 | Athletic Physical Therapy Inc | 1948-07-13 | 2025-11-14 | M | AE | PT | DENNIS | 30367363711 | CECIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.102936297.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536379/check_14631066_a3af7961-3c80-4724-8565-9b8226da1e56.json | N/A | N/A | N/A | N/A | N/A | 30367363711 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1948-07-13 | N/A | N/A | N/A | SP | false | DENNIS | N/A | CECIL | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256893997 | N/A | N/A | 5536379 | 2222 | 4801 | 14902922 | N/A | 4209131 | 2025-11-12 05:42:12.067049 | 2025-09-25 15:49:36.327996 |
| 2025-11-11 08:40:39.732225 | 2025-11-12 05:51:15.683870 | 14631060 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14631060 | Athletic Physical Therapy Inc | 1946-08-26 | 2025-11-13 | M | AE | PT | ROTHMAN | XEM909022493 | MIKE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.102936297.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536206/check_14631060_9bfbd7ba-6fdb-421c-88af-e2fc7cd2f3da.json | N/A | N/A | N/A | N/A | N/A | XEM909022493 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1946-08-26 | 2002SF000029 | X0001002 | N/A | OT | false | ROTHMAN | N/A | MIKE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256893996 | N/A | N/A | 5536206 | 2222 | 4801 | 14904232 | N/A | 4208978 | 2025-11-12 05:51:15.683870 | 2025-05-13 04:29:37.223404 |
| 2025-11-11 08:40:39.227975 | 2025-11-12 05:42:12.419960 | 14631056 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 14631056 | Athletic Physical Therapy Inc | 1945-09-15 | 2025-11-13 | F | AE | PT | KHORSANDI | 02684303511 | PARIVASH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.102936297.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536016/check_14631056_0220989b-5560-4798-a876-a43e828ae924.json | N/A | N/A | N/A | N/A | N/A | 34309193111 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1945-09-15 | N/A | N/A | N/A | SP | false | KHORSANDI | N/A | PARIVASH | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256893995 | N/A | N/A | 5536016 | 2222 | 4802 | 14902923 | N/A | 4208831 | 2025-11-12 05:42:12.419960 | 2025-10-30 22:42:31.399473 |
| 2025-11-11 08:40:38.750872 | 2025-11-12 05:42:12.707193 | 14631050 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 14631050 | Athletic Physical Therapy Inc | 1939-10-22 | 2025-11-14 | M | AE | PT | ODONNELL | 02722745411 | JOHN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.102936297.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535496/check_14631050_2f54fca1-5454-458d-89f4-57435fd90140.json | N/A | N/A | N/A | N/A | N/A | 02722745411 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1939-10-22 | N/A | N/A | N/A | SP | false | O DONNELL | N/A | JOHN | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256893994 | N/A | N/A | 5535496 | 2222 | 4802 | 14902924 | N/A | 4208408 | 2025-11-12 05:42:12.707193 | 2025-05-13 04:29:37.222823 |
| 2025-11-11 08:40:23.515041 | 2025-11-12 03:42:58.234589 | 14630890 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 14630890 | Athletic Physical Therapy Inc | 1946-11-22 | 2025-11-13 | F | AE | PT | CAPUTA | 31334080511 | SANDRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.113443601.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9336758/check_14630890_593ea829-fe18-4ce2-904f-b23b86efee95.json | N/A | N/A | N/A | N/A | N/A | 31334080511 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1946-11-22 | N/A | N/A | N/A | SP | false | CAPUTA | N/A | SANDRA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256923532 | N/A | N/A | 9336758 | 2222 | 4801 | 14891159 | N/A | 7835556 | 2025-11-12 03:42:58.234589 | 2025-09-12 16:59:25.752326 |
| 2025-11-11 08:40:04.188489 | 2025-11-12 01:42:58.925904 | 14630659 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 14630659 | Athletic Physical Therapy Inc | 1952-08-24 | 2025-11-12 | F | AE | PT | SORIA | 40056947101 | ELSA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.113442431.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12207499/check_14630659_bbe81c96-421c-4a0b-8429-f44980b23763.json | N/A | N/A | N/A | N/A | N/A | 40056947101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-08-24 | 2025H5425001 | H5425M | N/A | N/A | false | SORIA | N/A | ELSA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256888205 | N/A | N/A | 12207499 | 2222 | 4801 | 14866020 | N/A | 10411439 | 2025-11-12 01:42:58.925904 | 2025-11-05 00:22:12.798650 |
| 2025-11-11 08:39:57.241721 | 2025-11-12 01:52:57.949409 | 14630542 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14630542 | Athletic Physical Therapy Inc | 1953-06-18 | 2025-11-13 | F | AE | PT | REISMAN | WRXA13289369 | GAIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105748853.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10984907/check_14630542_44211073-98a0-4b80-911e-3f1b4f6e778e.json | N/A | N/A | N/A | N/A | N/A | WRXA13289369 | Preferred Provider Organization (PPO) | WRITERS GUILD INDUSTRY HEALTH FUND | MEDICARE B | N/A | 1953-06-18 | 040 | 277242M003 | N/A | PR | false | REISMAN | N/A | MARK | N/A | 9999-12-31 | 2025-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256891407 | N/A | N/A | 10984907 | 2222 | 4802 | 14877887 | N/A | 9156222 | 2025-11-12 01:52:57.949409 | 2026-01-08 22:56:20.879547 |
| 2025-11-11 08:39:55.249071 | 2025-11-12 01:35:47.418057 | 14630516 | N/A | N/A | 60054 | Aetna | 1114042165 | 14630516 | Athletic Physical Therapy Inc | 1967-12-19 | 2025-11-13 | F | AE | PT | BURRY | 101323278900 | CAROLYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105803944.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8971092/check_14630516_dc4a4a63-7946-4db5-a18f-61b819dd1ab0.json | N/A | N/A | N/A | N/A | N/A | 101323278900 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1967-12-19 | 000003-CA000058 | 000003-CA | N/A | PR | false | BURRY | N/A | CAROLYN | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256951057 | N/A | N/A | 8971092 | 2222 | 4801 | 14852583 | N/A | 7486536 | 2025-11-12 01:35:47.418057 | 2025-09-15 03:16:44.869236 |
| 2025-11-11 08:39:34.909174 | 2025-11-12 01:57:23.845393 | 14630211 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14630211 | Athletic Physical Therapy Inc | 1980-07-16 | 2025-11-14 | M | PT | N/A | RUIZ | NCF895A77221 | MIGUEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.130022301.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10079070/check_14630211_c9e108a0-959a-45af-9c47-a828a1274588.json | N/A | N/A | N/A | N/A | N/A | JMV895A77221 | Health Maintenance Organization (HMO) | CALIFORNIA LUTHERAN UNIVERSITY | BLUE SHIELD OF CALIFORNIA | N/A | 1980-07-16 | 040 | 284935H007 | N/A | HM | false | RUIZ | N/A | MIGUEL | N/A | 9999-12-31 | 2024-06-01 | ELEMENTS CHOICE HMO TRADITIONAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256954176 | N/A | N/A | 10079070 | 2222 | 4801 | 14882316 | N/A | 8422749 | 2025-11-12 01:57:23.845393 | 2025-10-09 18:37:11.515124 |
| 2025-11-11 08:39:28.156922 | 2025-11-12 01:56:59.135004 | 14630101 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14630101 | Athletic Physical Therapy Inc | 1966-08-31 | 2025-11-12 | F | PT | N/A | GRACE | MPI01390093Q | SANDRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.104329755.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9443690/check_14630101_57458f1a-3498-4c84-802a-e35cf950451c.json | N/A | N/A | N/A | N/A | N/A | MPI01390093Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1966-08-31 | 040 | 277163M401 | N/A | PR | false | GRACE | N/A | TODD | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256927969 | N/A | N/A | 9443690 | 2222 | 4801 | 14881825 | N/A | 7900244 | 2025-11-12 01:56:59.135004 | 2026-03-03 19:01:14.362337 |
| 2025-11-11 08:38:55.230150 | 2025-11-12 01:58:00.745964 | 14629404 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 14629404 | Athletic Physical Therapy Inc | 1953-05-21 | 2025-11-12 | M | AE | PT | DAVILA | 96682470F | RAY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105748853.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10365901/check_14629404_55114dc9-e8e9-4dbc-be1c-fce1ea50348f.json | N/A | N/A | N/A | N/A | N/A | 96682470F | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1953-05-21 | N/A | N/A | N/A | N/A | false | DAVILA | N/A | RAY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256890534 | N/A | N/A | 10365901 | 2222 | 4793 | 14882901 | N/A | 8628911 | 2025-11-12 01:58:00.745964 | 2025-10-13 20:36:48.387301 |
| 2025-11-11 08:38:52.230087 | 2025-11-12 01:44:29.259783 | 14629303 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14629303 | Athletic Physical Therapy Inc | 1948-07-07 | 2025-11-14 | F | AE | PT | GOEL | 5RR4M63DR65 | VEENA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105803944.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969533/check_14629303_d053b03f-f69e-47a0-b969-fb32c44e8f62.json | N/A | N/A | N/A | N/A | N/A | 5RR4M63DR65 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-07 | S5596 | N/A | N/A | MB | false | GOEL | N/A | VEENA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256950266 | N/A | N/A | 8969533 | 2222 | 4802 | 14869089 | N/A | 7485064 | 2025-11-12 01:44:29.259783 | 2025-12-29 22:41:16.623495 |
| 2025-11-11 08:38:45.695546 | 2025-11-12 01:45:07.641815 | 14629072 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 14629072 | override_provider | 1963-04-03 | 2025-11-12 | F | PT | N/A | Protsenko | AJC912998623 | Tetiana | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.102627709.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9958584/check_14629072_1baa0fc5-eef0-4d63-93b4-9191bd1dc89a.json | N/A | N/A | N/A | N/A | N/A | AJC912998623 | Medicaid | BSC PROMISE HEALTH PLAN MEDI CAL | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1963-04-03 | 1000MCAL0008 | E0001001 | N/A | MC | false | PROTSENKO | N/A | TETIANA | N/A | N/A | N/A | BLUE SHIELD PROMISE MEDI CAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256873642 | N/A | N/A | 9958584 | 2222 | 4802 | 14870324 | N/A | 7994720 | 2025-11-12 01:45:07.641815 | 2025-09-24 04:33:28.125297 |
| 2025-11-11 08:38:39.227679 | 2025-11-11 08:38:41.191798 | 14628863 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-08-23 | 2025-11-11 | M | AE | PT | E Bogen | WXY0981A22808 | Andrew | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11174641/check_14628863_a77bd8a9-e38f-4739-b42a-1abf390250db.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11174641/check_14628863_dcb45ee3-5aea-4807-a7ed-a99dbfbcf4db.json | N/A | N/A | N/A | N/A | N/A | WXY0981A22808 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1941-08-23 | N/A | N/A | N/A | N/A | false | E BOGEN | N/A | ANDREW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11174641 | 2222 | N/A | 14830105 | N/A | 9519718 | 2025-11-11 08:38:41.191798 | 2026-02-02 19:30:57.219688 |
| 2025-11-11 08:38:37.868124 | 2025-11-11 08:38:40.948706 | 14628824 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-01-01 | 2025-11-11 | M | PT | N/A | COSTELLO | SIF475A59310 | JAMES | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11322321/check_14628824_499d49c9-396f-474c-a806-007f63576977.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11322321/check_14628824_0a8bbfc5-4571-47a9-9d30-bd23ac7256ae.json | N/A | N/A | N/A | N/A | N/A | SIF475A59310 | Preferred Provider Organization (PPO) | SISC - VENTURA COUNTY COMMUNITY COLLEGE DISTRICT | ANTHEM BLUE CROSS LIFE HLTH INS C | N/A | 2008-01-01 | 040 | 40971C | N/A | PR | false | COSTELLO | N/A | MANDISSA | N/A | 9999-12-31 | 2025-09-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256866897 | N/A | N/A | 11322321 | 2222 | N/A | 14830102 | N/A | 4211647 | 2025-11-11 08:38:40.948706 | 2025-10-21 19:53:46.280627 |
| 2025-11-11 08:38:37.529456 | 2025-11-11 08:38:39.220918 | 14628813 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-08-23 | 2025-11-11 | M | AE | PT | E Bogen | WXY0981A22808 | Andrew | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11174641/check_14628813_646b5459-6fa0-4d18-a1a5-d7e2fe387244.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-11 | N/A | N/A | N/A | N/A | N/A | N/A | WXY0981A22808 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1941-08-23 | N/A | N/A | N/A | N/A | false | E BOGEN | N/A | ANDREW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11174641 | 2222 | N/A | N/A | N/A | 9519718 | 2025-11-11 08:38:39.220918 | 2026-02-02 19:30:57.219688 |
| 2025-11-11 08:38:26.398440 | 2025-11-12 01:52:20.821775 | 14628481 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14628481 | Athletic Physical Therapy Inc | 1961-05-13 | 2025-11-14 | F | PT | N/A | HOUSEMAN | JAC912275311 | REBECCA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.102627709.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9937308/check_14628481_2010372e-ba61-4eea-a727-1e7dfddc4235.json | N/A | N/A | N/A | N/A | N/A | JAC912275311 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-05-13 | 2001ZK002198 | X0001004 | N/A | PR | false | HOUSEMAN | N/A | REBECCA | N/A | 9999-12-31 | 2023-05-01 | IFP EMB PED DPPO NATIVE AMER JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256872114 | N/A | N/A | 9937308 | 2222 | 4793 | 14877298 | N/A | 8318674 | 2025-11-12 01:52:20.821775 | 2025-10-03 16:07:07.538918 |
| 2025-11-11 08:38:22.412472 | 2025-11-12 01:50:46.143301 | 14628361 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 14628361 | Athletic Physical Therapy Inc | 1959-11-18 | 2025-11-13 | M | AE | PT | PEREZ | 205330201 | JUAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.102627709.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9935305/check_14628361_5f4082b4-a316-4df4-9186-b3d9cf9696ec.json | N/A | N/A | N/A | N/A | N/A | 205330201 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1959-11-18 | N/A | HCFA21 | N/A | HN | false | PEREZ MEDINA | N/A | JUAN | 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 | 9256872077 | N/A | N/A | 9935305 | 2222 | 4802 | 14875777 | N/A | 8316227 | 2025-11-12 01:50:46.143301 | 2025-10-02 19:18:17.311007 |
| 2025-11-11 08:38:16.277307 | 2025-11-12 01:56:47.556368 | 14628175 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14628175 | Athletic Physical Therapy Inc | 1941-12-12 | 2025-11-13 | M | AE | PT | ABARTA | 1KM2G22MJ15 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.102627709.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9929496/check_14628175_018e83ce-3ac0-4bd7-a954-dbf85c0da9e0.json | N/A | N/A | N/A | N/A | N/A | 1KM2G22MJ15 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-12-12 | S5617 | N/A | N/A | MA | false | ABARTA | N/A | STEVE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256872681 | N/A | N/A | 9929496 | 2222 | 4801 | 14881631 | N/A | 8313339 | 2025-11-12 01:56:47.556368 | 2025-10-02 18:29:23.013167 |
| 2025-11-11 08:38:14.954936 | 2025-11-11 08:38:23.700730 | 14628142 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-05-18 | 2025-11-11 | F | AE | PT | BERINSTEIN | JQE773A62564 | PAULA | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10172947/check_14628142_fc50a395-8262-4893-ad9c-be3edbfd868f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10172947/check_14628142_dc523087-29ef-4982-b62d-2a45b1139c4d.json | N/A | N/A | N/A | N/A | N/A | JQE773A62564 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1950-05-18 | 040 | CASUPWP0 | N/A | N/A | false | BERINSTEIN | N/A | PAULA | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256863504 | N/A | N/A | 10172947 | 2222 | N/A | 14830015 | N/A | 8474092 | 2025-11-11 08:38:23.700730 | 2025-10-11 14:58:02.058781 |
| 2025-11-11 08:37:51.671560 | 2025-11-12 01:48:54.128834 | 14627629 | N/A | N/A | 62308 | CIGNA PPO | 1114042165 | 14627629 | Athletic Physical Therapy Inc | 1996-03-28 | 2025-11-14 | F | AE | PT | SAGMAN | U9205101701 | SYDNEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.102627709.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9924959/check_14627629_b1d7cee2-62c1-4da1-8caf-b41018455c0a.json | N/A | N/A | N/A | N/A | N/A | U9205101701 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1996-03-28 | N/A | 3346355 | N/A | HM | false | SAGMAN | N/A | SYDNEY | N/A | N/A | N/A | NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256873617 | N/A | N/A | 9924959 | 2222 | 4802 | 14874109 | 4437 | 4722569 | 2025-11-12 01:48:54.128834 | 2025-08-26 00:16:35.895658 |
| 2025-11-11 08:37:44.456281 | 2025-11-11 08:37:48.203587 | 14627375 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-11-22 | 2025-11-11 | F | AE | PT | CAPUTA | 31334080511 | SANDRA | 3842 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9336758/check_14627375_a1d80e3b-0b23-4db3-9fa8-d2103ae4eebe.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9336758/check_14627375_2727e37e-842e-428f-ada3-7265809954e5.json | N/A | N/A | N/A | N/A | N/A | 31334080511 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1946-11-22 | N/A | N/A | N/A | SP | false | CAPUTA | N/A | SANDRA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256860081 | N/A | N/A | 9336758 | 2222 | N/A | 14829818 | N/A | 7835556 | 2025-11-11 08:37:48.203587 | 2025-09-12 16:59:25.752326 |
| 2025-11-11 08:37:42.445790 | 2025-11-12 03:38:00.210857 | 14627317 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 14627317 | Athletic Physical Therapy Inc | 1959-09-18 | 2025-11-12 | F | AE | PT | IRWIN | 40067058701 | MARIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105743697.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11112149/check_14627317_fcbfda77-fd53-479e-aca2-18d527fb601c.json | N/A | N/A | N/A | N/A | N/A | 40067058701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1959-09-18 | 2025H5425001 | H5425M | N/A | N/A | false | IRWIN | N/A | MARIE | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256876135 | N/A | N/A | 11112149 | 2222 | 4801 | 14889645 | N/A | 9462330 | 2025-11-12 03:38:00.210857 | 2025-10-17 21:55:41.545505 |
| 2025-11-11 08:37:41.948913 | 2025-11-12 03:37:59.939831 | 14627302 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 14627302 | Athletic Physical Therapy Inc | 1954-02-02 | 2025-11-12 | F | AE | PT | CORNEL | 40037363901 | GLORIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105743697.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11111720/check_14627302_dffba9c9-cf97-4f3b-b826-e4fa12602588.json | N/A | N/A | N/A | N/A | N/A | 40037363901 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1954-02-02 | 2025H5425001 | H5425M | N/A | N/A | false | CORNEL | N/A | GLORIA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256876133 | N/A | N/A | 11111720 | 2222 | 4801 | 14889644 | N/A | 9461873 | 2025-11-12 03:37:59.939831 | 2025-10-28 18:04:57.630831 |