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 08:37:41.173337 | 2025-11-12 03:39:06.339121 | 14627275 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14627275 | Athletic Physical Therapy Inc | 1955-09-17 | 2025-11-14 | F | AE | PT | REED | 00000376017 | JULIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105743697.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11111449/check_14627275_f8aea8c5-eb98-4665-a391-59365e25e05a.json | N/A | N/A | N/A | N/A | N/A | 00000376017 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1955-09-17 | H3815028 | N/A | N/A | HM | false | REED | N/A | JULIA | 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 | 9256876129 | N/A | N/A | 11111449 | 2222 | 4793 | 14889780 | 2630 | 9461682 | 2025-11-12 03:39:06.339121 | 2025-11-11 23:15:11.613385 |
| 2025-11-11 08:37:33.792977 | 2025-11-12 03:39:55.063558 | 14627037 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 14627037 | Athletic Physical Therapy Inc | 1962-02-17 | 2025-11-13 | M | PT | N/A | SILVERMAN | 903226774003 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105743697.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11110164/check_14627037_3116f1c7-415c-4368-9f73-42e962b0d812.json | N/A | N/A | N/A | N/A | N/A | XEH903226774 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1962-02-17 | 1000HMOX0001 | W0051411 | N/A | HM | false | FREIBERG | N/A | DEBBIE | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256875590 | N/A | N/A | 11110164 | 2222 | 4801 | 14889899 | N/A | 9460573 | 2025-11-12 03:39:55.063558 | 2025-10-17 20:14:58.996951 |
| 2025-11-11 08:37:26.141060 | 2025-11-12 03:39:12.513827 | 14626857 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14626857 | Athletic Physical Therapy Inc | 1986-06-03 | 2025-11-12 | M | PT | N/A | STUMP | NCF282M98914 | COREY | 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/2222/11108497/check_14626857_bf80e2cb-c1e8-40cf-905b-373fc1df428f.json | N/A | N/A | N/A | N/A | N/A | NCF282M98914 | Health Maintenance Organization (HMO) | VENTURA COUNTY DEPUTY SHERIFFS ASSOCIATION | ANTHEM BLUE CROSS | N/A | 1986-06-03 | 040 | 282004H010 | N/A | HM | false | STUMP | N/A | COREY | N/A | 9999-12-31 | 2022-01-01 | DEDUCTIBLE HMO SELECT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256876764 | N/A | N/A | 11108497 | 2222 | 4793 | 14889797 | N/A | 9458617 | 2025-11-12 03:39:12.513827 | 2025-10-24 17:23:08.365449 |
| 2025-11-11 08:37:25.472112 | 2025-11-12 03:44:12.267724 | 14626844 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14626844 | Athletic Physical Therapy Inc | 1957-06-17 | 2025-11-13 | F | AE | PT | CHASE | 5WP3F87WV16 | MELINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105743697.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11108317/check_14626844_f142fae2-eb92-4fae-b1cb-f31876dd85eb.json | N/A | N/A | N/A | N/A | N/A | 5WP3F87WV16 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-06-17 | H4036 | N/A | N/A | MA | false | CHASE | N/A | MELINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256876759 | N/A | N/A | 11108317 | 2222 | 4801 | 14892269 | N/A | 9458434 | 2025-11-12 03:44:12.267724 | 2025-10-17 17:38:01.801720 |
| 2025-11-11 08:37:25.282322 | 2025-11-11 08:37:27.906982 | 14626841 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-12-03 | 2025-11-11 | M | AE | PT | WONG | MBL700W07323 | STANLEY | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8469090/check_14626841_db5edc39-0595-453e-a565-1346dc521544.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8469090/check_14626841_b613d28d-b96e-4f61-b950-5d0b9937245b.json | N/A | N/A | N/A | N/A | N/A | MBL700W07323 | N/A | UNITED FOOD AND COMMERCIAL WORKERS UNIONS | ANTHEM BLUE CROSS | N/A | 1947-12-03 | 040 | CAEGR014 | N/A | N/A | false | WONG | N/A | STANLEY | N/A | 9999-12-31 | 2021-01-01 | 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 | 9256859376 | N/A | N/A | 8469090 | 2222 | N/A | 14829730 | N/A | 7140615 | 2025-11-11 08:37:27.906982 | 2025-09-05 16:51:17.488032 |
| 2025-11-11 08:35:28.403396 | 2025-11-12 05:32:11.192146 | 14626228 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 14626228 | Athletic Physical Therapy Inc | 2010-03-18 | 2025-11-13 | M | PT | N/A | MARTIN | XEH906532391003 | CHRISTOPHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105758467.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6967909/check_14626228_3fbec93b-5c2c-4afa-a5c9-83804b15728f.json | N/A | N/A | N/A | N/A | N/A | XEH906532391 | Health Maintenance Organization (HMO) | WILD WONDER LLC | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2010-03-18 | 1000VX000101 | W0099153 | N/A | HM | false | MARTIN | N/A | ELIZABETH | N/A | 2029-03-31 | 2020-06-01 | SG EMB PED VISION INO FOR HMO DMHC OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256870257 | N/A | N/A | 6967909 | 2222 | 4793 | 14900437 | N/A | 5990447 | 2025-11-12 05:32:11.192146 | 2025-07-21 18:40:33.917911 |
| 2025-11-11 08:35:23.311988 | 2025-11-12 01:48:07.978877 | 14626196 | N/A | N/A | 61101 | Regal Medical Group | 1114042165 | 14626196 | Athletic Physical Therapy Inc | 1944-04-23 | 2025-11-12 | F | AE | PT | SMITH | H6550642500 | RUTH | 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/2222/9905019/check_14626196_f04c45b7-9e83-4cfd-83c3-c415dc597be7.json | N/A | N/A | N/A | N/A | N/A | H65506425 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 949 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1944-04-23 | N/A | Y9623001 | N/A | HN | false | SMITH | N/A | RUTH | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256873285 | N/A | N/A | 9905019 | 2222 | 4793 | 14873315 | N/A | 8292696 | 2025-11-12 01:48:07.978877 | 2025-10-06 17:55:42.801914 |
| 2025-11-11 08:35:21.266697 | 2025-11-12 03:41:50.209506 | 14626185 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | 14626185 | Athletic Physical Therapy Inc | 1993-12-24 | 2025-11-14 | F | PT | N/A | Garcia | NCF409W01940 | Jessica | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105740092.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7965049/check_14626185_3d8f52c6-7ade-475c-aaaf-ae58fa626735.json | N/A | N/A | N/A | N/A | N/A | NCF409W01940 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1993-12-24 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | JESSICA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256857527 | N/A | N/A | 7965049 | 2222 | 4802 | 14890297 | N/A | 6604326 | 2025-11-12 03:41:50.209506 | 2025-08-06 18:06:11.137864 |
| 2025-11-11 08:35:13.646580 | 2025-11-12 03:46:26.349257 | 14626147 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14626147 | Athletic Physical Therapy Inc | 1963-09-19 | 2025-11-12 | M | PT | N/A | SENKUS | XDM878M77372 | TONY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105740092.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7964946/check_14626147_d4fd6f59-4a3e-4edc-acfe-4b13bc694bb5.json | N/A | N/A | N/A | N/A | N/A | XDM878M77372 | Health Maintenance Organization (HMO) | TEAMSTERS MISC SECURITY TRUST - EARLY RETIREE | ANTHEM BLUE CROSS | N/A | 1963-09-19 | 040 | 278680H052 | N/A | HM | false | SENKUS | N/A | TONY | N/A | 9999-12-31 | 2024-10-01 | CLASSIC TRADITIONAL HMO NETWORK NON DURATIONAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256857525 | N/A | N/A | 7964946 | 2222 | 4801 | 14894280 | 4185 | 6247001 | 2025-11-12 03:46:26.349257 | 2025-07-25 21:24:35.111542 |
| 2025-11-11 08:35:01.324837 | 2025-11-12 05:36:19.864815 | 14626087 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14626087 | Athletic Physical Therapy Inc | 1980-03-06 | 2025-11-12 | M | PT | N/A | Lane | LNJ914036056 | Jason | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105758467.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6967170/check_14626087_3d1cec19-10e0-4f80-8727-e1738dd5ce2e.json | N/A | N/A | N/A | N/A | N/A | LNJ914036056 | Preferred Provider Organization (PPO) | LIVE NATION JOINT VENTURES | BLUE SHIELD OF CA | N/A | 1980-03-06 | 1000VX000001 | W3000596 | N/A | PR | false | LANE | N/A | JASON | N/A | N/A | N/A | LIVE NATION JOINT VENTURES CUSTOM PPO SAVINGS EMBE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256868810 | N/A | N/A | 6967170 | 2222 | 4802 | 14901541 | N/A | 5857104 | 2025-11-12 05:36:19.864815 | 2025-07-08 17:08:11.593095 |
| 2025-11-11 08:33:40.837245 | 2025-11-12 01:51:28.708926 | 14625677 | N/A | N/A | 60054 | Aetna | 1114042165 | 14625677 | Athletic Physical Therapy Inc | 1992-06-11 | 2025-11-14 | M | AE | PT | ROSS | W292476869 | BRYAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.125524990.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993949/check_14625677_7bac0ecc-5e75-4093-a33f-7dd547aef775.json | N/A | N/A | N/A | N/A | N/A | W292476869 | Point of Service (POS) | PAYCHEX BUSINESS SOLUTIONS, LLC. | AETNA | N/A | 1992-06-11 | 0176563 | 017656301200042 | N/A | PS | false | ROSS | N/A | BRYAN | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256936975 | N/A | N/A | 5993949 | 2222 | 4793 | 14876430 | N/A | 4642881 | 2025-11-12 01:51:28.708926 | 2025-06-06 02:27:19.212061 |
| 2025-11-11 08:33:36.072067 | 2025-11-12 01:54:56.810334 | 14625654 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14625654 | Athletic Physical Therapy Inc | 1969-01-08 | 2025-11-12 | F | AE | PT | ALROMAIH | 91237812E | SARAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.125524990.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993940/check_14625654_2b71864e-a7cd-40dc-bf9d-796575fc551b.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256936974 | N/A | N/A | 5993940 | 2222 | 4802 | 14879793 | N/A | 4642877 | 2025-11-12 01:54:56.810334 | 2025-12-23 23:49:16.627667 |
| 2025-11-11 08:33:24.668490 | 2025-11-12 01:50:13.913295 | 14625594 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 14625594 | Athletic Physical Therapy Inc | 1951-11-14 | 2025-11-13 | M | AE | PT | BELTRAN | 40037866601 | GUSTAVO | 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/2222/9903583/check_14625594_baa64c5f-29a8-4240-ae51-439184a35ba4.json | N/A | N/A | N/A | N/A | N/A | 40037866601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-11-14 | 2025H5425001 | H5425M | N/A | N/A | false | BELTRAN | N/A | GUSTAVO | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256872414 | N/A | N/A | 9903583 | 2222 | 4801 | 14875357 | N/A | 8291830 | 2025-11-12 01:50:13.913295 | 2025-10-13 13:22:03.458547 |
| 2025-11-11 08:32:57.457475 | 2025-11-12 01:56:58.527556 | 14625464 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14625464 | Athletic Physical Therapy Inc | 2011-04-16 | 2025-11-12 | M | PT | N/A | DEBOREE | JQU118A63475 | FALCON | 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/2222/9414075/check_14625464_a944e723-bca1-4d16-ad63-230cbaf99f55.json | N/A | N/A | N/A | N/A | N/A | JQL118A63475 | Health Maintenance Organization (HMO) | N/A | ANTHEM BLUE CROSS | N/A | 2011-04-16 | 040 | 82EH00 | N/A | HM | false | DEBOREE | N/A | DEXTON | N/A | 9999-12-31 | 2025-11-01 | ANTHEM GOLD 80 D HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256927957 | N/A | N/A | 9414075 | 2222 | 4802 | 14881811 | N/A | 7883494 | 2025-11-12 01:56:58.527556 | 2025-09-24 22:46:15.277212 |
| 2025-11-11 08:31:52.883666 | 2025-11-12 02:03:54.840220 | 14625127 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14625127 | Athletic Physical Therapy Inc | 1956-12-19 | 2025-11-13 | F | AE | PT | YEN | 7QK3HE4XQ19 | JENNY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.130022301.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10033466/check_14625127_52074085-e06b-484a-b9db-fc769cb5e176.json | N/A | N/A | N/A | N/A | N/A | 7QK3HE4XQ19 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-12-19 | S4802 | N/A | N/A | MB | false | YEN | N/A | JENNY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256954399 | N/A | N/A | 10033466 | 2222 | 4793 | 14886734 | N/A | 8398587 | 2025-11-12 02:03:54.840220 | 2025-10-07 14:21:54.880940 |
| 2025-11-11 08:29:55.907924 | 2025-11-12 02:05:25.462224 | 14624533 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14624533 | Athletic Physical Therapy Inc | 1955-07-01 | 2025-11-14 | F | AE | PT | GREER | 7H09HW9QG44 | ROBIN | 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/2222/9411083/check_14624533_2e6a40c3-8dda-44ca-9e90-410b9f34a490.json | N/A | N/A | N/A | N/A | N/A | 7H09HW9QG44 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-01 | S5601 | N/A | N/A | MA | false | GREER | N/A | ROBIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256928518 | N/A | N/A | 9411083 | 2222 | 4802 | 14887294 | N/A | 7879863 | 2025-11-12 02:05:25.462224 | 2026-02-04 18:21:13.840230 |
| 2025-11-11 08:29:47.705862 | 2025-11-12 05:31:31.327380 | 14624494 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 14624494 | Athletic Physical Therapy Inc | 1953-11-17 | 2025-11-13 | M | AE | PT | Ramos | 43620299 | Federico | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105758467.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6960617/check_14624494_85ef17ce-0a30-4279-9eee-3fe1ea45adc2.json | N/A | N/A | N/A | N/A | N/A | 43620299 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1953-11-17 | 406-005-000 | N/A | N/A | N/A | false | RAMOS | N/A | FEDERICO | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256870036 | N/A | N/A | 6960617 | 2222 | 4802 | 14900287 | 6798 | 5985329 | 2025-11-12 05:31:31.327380 | 2025-09-10 17:01:27.097640 |
| 2025-11-11 08:29:02.360103 | 2025-11-12 01:41:40.436244 | 14624254 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 14624254 | Athletic Physical Therapy Inc | 1954-02-10 | 2025-11-14 | F | AE | PT | SHARMA | H74807838 | MONIKA | 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/2222/12113464/check_14624254_f9d3cf12-e992-4e26-add6-528efdbc9dd9.json | N/A | N/A | N/A | N/A | N/A | H74807838 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1954-02-10 | N/A | 0B666001 | N/A | HN | false | SHARMA | N/A | MONIKA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256887999 | N/A | N/A | 12113464 | 2222 | 4801 | 14863165 | N/A | 10330803 | 2025-11-12 01:41:40.436244 | 2025-11-03 22:25:23.404066 |
| 2025-11-11 08:28:02.617396 | 2025-11-12 01:51:20.339788 | 14623952 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14623952 | Athletic Physical Therapy Inc | 1961-05-16 | 2025-11-13 | F | PT | N/A | GARCIA | JQU725A51750 | THERESA | 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/2222/9895640/check_14623952_a458f75e-740a-45a1-a599-116bc7c257a3.json | N/A | N/A | N/A | N/A | N/A | JQU725A51750 | Preferred Provider Organization (PPO) | HARRISON EICHENBERG AND MURPHY LLP | ANTHEM BLUE CROSS | N/A | 1961-05-16 | 040 | H82608 | N/A | PR | false | GARCIA | N/A | THERESA | N/A | 9999-12-31 | 2025-09-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256872017 | N/A | N/A | 9895640 | 2222 | 4793 | 14876297 | N/A | 8285172 | 2025-11-12 01:51:20.339788 | 2025-10-06 14:32:40.429816 |
| 2025-11-11 08:25:58.705471 | 2025-11-12 03:44:12.967096 | 14623307 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14623307 | Athletic Physical Therapy Inc | 1947-09-07 | 2025-11-13 | F | AE | PT | SHIBUYA | 9CP3FJ2AU75 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105743697.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11087596/check_14623307_45de90f7-77e4-44d9-a50e-b4246f607f62.json | N/A | N/A | N/A | N/A | N/A | 9CP3FJ2AU75 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-09-07 | S4802 | N/A | N/A | MA | false | SHIBUYA | 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 | 9256877008 | N/A | N/A | 11087596 | 2222 | 4801 | 14892280 | N/A | 9440436 | 2025-11-12 03:44:12.967096 | 2025-10-28 16:54:37.049151 |
| 2025-11-11 08:25:57.406026 | 2025-11-12 03:38:34.882727 | 14623298 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 14623298 | Athletic Physical Therapy Inc | 2008-01-19 | 2025-11-13 | F | AE | PT | GONZALEZ | 002526618 | CAITLIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105743697.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11087501/check_14623298_f62feca7-9630-475b-be23-7b4317d08c2f.json | N/A | N/A | N/A | N/A | N/A | 002526618 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 2008-01-19 | N/A | N/A | N/A | N/A | false | GONZALEZ | N/A | CAITLIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256877007 | N/A | N/A | 11087501 | 2222 | 4801 | 14889734 | N/A | 9440359 | 2025-11-12 03:38:34.882727 | 2025-10-27 23:07:07.958316 |
| 2025-11-11 08:25:36.875045 | 2025-11-12 01:56:48.514530 | 14623196 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14623196 | Athletic Physical Therapy Inc | 1960-10-21 | 2025-11-13 | M | AE | PT | UPSON | 6MH7ED3NE57 | MARK | 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/2222/9893712/check_14623196_18fec6e8-8ad9-4e6f-a843-bc68f60333fb.json | N/A | N/A | N/A | N/A | N/A | 6MH7ED3NE57 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-10-21 | S5617 | N/A | N/A | MB | false | UPSON | N/A | MARK | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256872338 | N/A | N/A | 9893712 | 2222 | 4801 | 14881646 | N/A | 4219691 | 2025-11-12 01:56:48.514530 | 2025-05-13 04:29:37.230736 |
| 2025-11-11 08:22:57.012885 | 2025-11-12 01:56:59.011476 | 14622313 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 14622313 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-11-12 | F | AE | PT | SHAKIB | 95751543E35181 | PARI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.123306857.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7561654/check_14622313_2f295825-7d0c-40cf-b898-5ed8fbd04f3f.json | N/A | N/A | N/A | N/A | N/A | 95751543E35181 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1952-05-04 | N/A | N/A | N/A | N/A | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256840877 | N/A | N/A | 7561654 | 2222 | 4802 | 14881820 | N/A | 6395498 | 2025-11-12 01:56:59.011476 | 2026-02-18 02:38:35.073779 |
| 2025-11-11 08:22:48.470180 | 2025-11-12 03:40:05.464803 | 14622266 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14622266 | Athletic Physical Therapy Inc | 1974-12-08 | 2025-11-14 | M | PT | N/A | MAGEE | SRYHC0157512 | TERRENCE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105743697.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11084204/check_14622266_e9c2a208-05e1-4332-8d80-ea4a71fbf468.json | N/A | N/A | N/A | N/A | N/A | SRYHC0157512 | Preferred Provider Organization (PPO) | SURVEYMONKEY PPO IN STATE | BLUE SHIELD OF CALIFORNIA | N/A | 1974-12-08 | 040 | L12152M001 | N/A | PR | false | MAGEE | N/A | JENNIFER | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256876960 | N/A | N/A | 11084204 | 2222 | 4793 | 14889927 | N/A | 9438176 | 2025-11-12 03:40:05.464803 | 2025-11-14 22:03:28.394724 |
| 2025-11-11 08:22:20.337281 | 2025-11-12 01:51:19.512718 | 14622111 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 14622111 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-11-14 | F | AE | PT | MARTIN | H71092437 | DOLLY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.123306857.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7293279/check_14622111_3784e2d3-e607-412e-b0ac-07efcd054d6d.json | N/A | N/A | N/A | N/A | N/A | H71092437 | Supplemental Policy | HUMANA INSURANCE CO. | HUMANA | 067 005 | 1944-09-13 | N/A | R0802005 | N/A | SP | false | MARTIN | N/A | DOLLY | N/A | N/A | N/A | MEDICARE MES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256840864 | N/A | N/A | 7293279 | 2222 | 4793 | 14876283 | N/A | 4219681 | 2025-11-12 01:51:19.512718 | 2026-01-14 20:54:02.193776 |
| 2025-11-11 08:19:14.847647 | 2025-11-12 01:40:03.064620 | 14621087 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14621087 | Athletic Physical Therapy Inc | 2003-05-02 | 2025-11-12 | M | PT | N/A | MUHAMMAD | XOF828514693 | KENNETH | 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/2222/8675672/check_14621087_4521b0a2-d416-4104-bac4-5e0c6600e4f6.json | N/A | N/A | N/A | N/A | N/A | XOF828514693 | Preferred Provider Organization (PPO) | IBJI - BRADLEY ACTIVES | HUMANA | N/A | 2003-05-02 | N/A | PK4933 | N/A | PR | false | MUHAMMAD | N/A | KERMIT | N/A | 9999-12-31 | 2022-02-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256949469 | N/A | N/A | 8675672 | 2222 | 4793 | 14859995 | N/A | 7310369 | 2025-11-12 01:40:03.064620 | 2026-02-03 01:46:10.334485 |
| 2025-11-11 08:18:24.580374 | 2025-11-12 01:48:25.300837 | 14620768 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 14620768 | Athletic Physical Therapy Inc | 1953-11-10 | 2025-11-12 | F | AE | PT | Herreres | H6884136600 | Irene | 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/2222/10019260/check_14620768_d7271645-a52d-4d05-8b60-a99731de9791.json | N/A | N/A | N/A | N/A | N/A | H6884136600 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-11-10 | N/A | N/A | N/A | N/A | false | HERRERES | N/A | IRENE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256955777 | N/A | N/A | 10019260 | 2222 | 4801 | 14873560 | N/A | 8386960 | 2025-11-12 01:48:25.300837 | 2025-10-06 18:27:19.967736 |
| 2025-11-11 08:18:00.480693 | 2025-11-12 03:48:20.334221 | 14620627 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14620627 | Athletic Physical Therapy Inc | 1942-10-02 | 2025-11-12 | M | AE | PT | SAWAYA | XDD599A52218 | PETER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.113443601.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9033459/check_14620627_c9b02dea-1f05-4f39-864f-5f755a2977e2.json | N/A | N/A | N/A | N/A | N/A | XDD599A52218 | Indemnity | SISC - COMPANIONCARE | MEDICARE D | N/A | 1942-10-02 | 040 | 40003A | N/A | IN | false | SAWAYA | N/A | PETER | N/A | 9999-12-31 | 2023-01-01 | MEDICARE SUPPLEMENT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256924413 | N/A | N/A | 9033459 | 2222 | 4802 | 14895568 | N/A | 7553607 | 2025-11-12 03:48:20.334221 | 2025-09-02 22:55:04.873891 |
| 2025-11-11 08:17:54.465058 | 2025-11-11 08:17:57.222492 | 14620579 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-01-14 | 2025-11-11 | F | PT | N/A | OBACZ | JQV897A63197 | KLOIE | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9102655/check_14620579_a03950f5-40b2-4daf-9e37-afcff6930d3c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9102655/check_14620579_27aad90e-2214-46cd-8bd0-a4aa386f0522.json | N/A | N/A | N/A | N/A | N/A | JQV897A63197 | Health Maintenance Organization (HMO) | EVOLVED NOVELTIES INC | ANTHEM BLUE CROSS | N/A | 2009-01-14 | 040 | F45883 | N/A | HM | false | OBACZ | N/A | JUSTIN | N/A | 2026-01-01 | 2025-01-01 | CA SG SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256780068 | N/A | N/A | 9102655 | 2222 | N/A | 14829616 | N/A | 7621062 | 2025-11-11 08:17:57.222492 | 2025-09-12 19:10:20.936695 |
| 2025-11-11 08:17:41.789512 | 2025-11-11 08:17:46.125682 | 14620479 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-04-01 | 2025-11-11 | F | AE | PT | WESTER | 40064582501 | EIVOR | 23326 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7761229/check_14620479_6601b1a3-ee54-4eb5-a50b-96ecc49a378e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7761229/check_14620479_a8d712e0-6d6d-4fa9-81a2-bd9f2a01f4f5.json | N/A | N/A | N/A | N/A | N/A | 40064582501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1936-04-01 | 2025H5425001 | H5425M | N/A | N/A | false | WESTER | N/A | EIVOR | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256779584 | N/A | N/A | 7761229 | 2222 | N/A | 14829604 | N/A | 6610550 | 2025-11-11 08:17:46.125682 | 2025-08-29 21:18:14.924057 |
| 2025-11-11 08:17:35.319320 | 2025-11-12 03:47:57.343038 | 14620415 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14620415 | Athletic Physical Therapy Inc | 1987-11-24 | 2025-11-13 | F | PT | N/A | Halat | FIZ100010118257 | Hooram | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105740092.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7870152/check_14620415_ea8ba60f-4298-4e7b-8295-653e7e0c14fb.json | N/A | N/A | N/A | N/A | N/A | FIZ100010118257 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS. | 1987-11-24 | N/A | N/A | N/A | PR | false | HALAT | N/A | HOORAM | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256857344 | N/A | N/A | 7870152 | 2222 | 4802 | 14895337 | N/A | 6698799 | 2025-11-12 03:47:57.343038 | 2025-08-07 18:40:53.120761 |
| 2025-11-11 08:17:30.190241 | 2025-11-12 03:43:00.285040 | 14620373 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 14620373 | override_provider | 1989-07-26 | 2025-11-14 | F | PT | N/A | REAVES | 4039573 | AMBER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105740092.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7868634/check_14620373_8be038e0-24c5-44e5-bebc-a5b5f283f132.json | N/A | N/A | N/A | N/A | N/A | 4039573 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1989-07-26 | N/A | N/A | N/A | N/A | false | REAVES | N/A | AMBER | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256857343 | N/A | N/A | 7868634 | 2222 | 4793 | 14891186 | N/A | 6698213 | 2025-11-12 03:43:00.285040 | 2025-11-04 16:28:27.239529 |
| 2025-11-11 08:17:08.180997 | 2025-11-12 01:45:15.920222 | 14620170 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14620170 | Athletic Physical Therapy Inc | 2008-04-21 | 2025-11-14 | M | PT | N/A | LANDIS | XED906560014 | BRONN | 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/2222/12097539/check_14620170_c698bb58-c2e6-4ae5-9e3e-fc30c52d320a.json | N/A | N/A | N/A | N/A | N/A | XED906560014 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-04-21 | 2001ZK002187 | X0001004 | N/A | PR | false | LANDIS | N/A | KIPP | N/A | 2027-04-30 | 2023-03-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256888132 | N/A | N/A | 12097539 | 2222 | 4793 | 14870527 | N/A | 10315576 | 2025-11-12 01:45:15.920222 | 2025-11-14 23:13:16.002759 |
| 2025-11-11 08:17:06.175431 | 2025-11-12 01:40:15.258527 | 14620148 | N/A | N/A | 60054 | Aetna | 1114042165 | 14620148 | Athletic Physical Therapy Inc | 1972-09-27 | 2025-11-13 | F | AE | PT | GOMEZ | W161238756 | VERONICA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.113442431.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12096262/check_14620148_af84cff6-b0ad-47f1-a6fd-798db3282824.json | N/A | N/A | N/A | N/A | N/A | W161238756 | Exclusive Provider Organization | COSTCO WHOLESALE CORPORATION | AETNA | N/A | 1972-09-27 | 0169579 | 016957901100002 | N/A | EP | false | GOMEZ | N/A | VERONICA | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256888128 | N/A | N/A | 12096262 | 2222 | 4801 | 14860399 | N/A | 10314209 | 2025-11-12 01:40:15.258527 | 2025-11-03 20:32:45.835992 |
| 2025-11-11 08:16:31.185374 | 2025-11-12 01:57:23.491544 | 14619822 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14619822 | Athletic Physical Therapy Inc | 1971-06-10 | 2025-11-13 | F | PT | N/A | MOON | JXN97DA77206 | ESTHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.130022301.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10016777/check_14619822_7a8e3fc9-21f7-4e55-8867-e5ac85f70435.json | N/A | N/A | N/A | N/A | N/A | JXN97DA77206 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1971-06-10 | N/A | N/A | N/A | N/A | false | MOON | N/A | ESTHER | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256955499 | N/A | N/A | 10016777 | 2222 | 4801 | 14882308 | N/A | 8385299 | 2025-11-12 01:57:23.491544 | 2025-11-05 17:13:51.765755 |
| 2025-11-11 08:16:12.080282 | 2025-11-11 08:16:15.196379 | 14619593 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-07-22 | 2025-11-11 | F | AE | PT | DURAN DE PANTOJA | 43649326 | ROSA | 23325 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8088383/check_14619593_6eb70055-70a9-4d17-8cb5-8b67af6a4738.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8088383/check_14619593_cbade32d-58ba-4976-bd6d-f49e6c2bd959.json | N/A | N/A | N/A | N/A | N/A | 43649326 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-07-22 | N/A | N/A | N/A | N/A | false | DURAN DE PANTOJA | N/A | ROSA | 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 | 8088383 | 2222 | N/A | 14829492 | N/A | 6871702 | 2025-11-11 08:16:15.196379 | 2025-08-14 21:08:52.019264 |
| 2025-11-11 08:16:09.312612 | 2025-11-11 08:16:12.040687 | 14619556 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-07-22 | 2025-11-11 | F | AE | PT | DURAN DE PANTOJA | 43649326 | ROSA | 23325 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8088383/check_14619556_9a8e1d3f-5e95-44be-be56-ca8deedbcf1e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-11 | N/A | N/A | N/A | N/A | N/A | N/A | 43649326 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-07-22 | N/A | N/A | N/A | N/A | false | DURAN DE PANTOJA | N/A | ROSA | 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 | 8088383 | 2222 | N/A | N/A | N/A | 6871702 | 2025-11-11 08:16:12.040687 | 2025-08-14 21:08:52.019264 |
| 2025-11-11 08:15:49.446268 | 2025-11-12 01:38:20.711229 | 14619299 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14619299 | Athletic Physical Therapy Inc | 1963-09-07 | 2025-11-13 | M | PT | N/A | BAHR | FZX638A69335 | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.102928589.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10371931/check_14619299_2f11467a-5c7c-4159-9cb2-3d0f752f6f7f.json | N/A | N/A | N/A | N/A | N/A | FZX638A69335 | Preferred Provider Organization (PPO) | CDHP HSA NON-INTEGRATED BNK | ANTHEM BLUE CROSS | N/A | 1963-09-07 | 423 | 201028M2CA | N/A | PR | false | BAHR | N/A | KEVIN | N/A | 9999-12-31 | 2022-01-01 | CDHP VIRGINIA HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256865606 | N/A | N/A | 10371931 | 2222 | 4793 | 14856546 | N/A | 8634062 | 2025-11-12 01:38:20.711229 | 2025-10-16 21:25:25.746427 |
| 2025-11-11 08:15:38.448549 | 2025-11-12 03:47:51.874778 | 14619121 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 14619121 | Athletic Physical Therapy Inc | 1957-01-26 | 2025-11-13 | F | PT | N/A | TAKAHATA | 980555379000 | NANCY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.113530401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471583/check_14619121_419c127a-9ba9-42e2-8d2e-437b73bfc3ed.json | N/A | N/A | N/A | N/A | N/A | XEE980555379 | Other | MEDICARE ADVANTAGE INDIVIDUAL | BLUE SHIELD CALIFORNIA | N/A | 1957-01-26 | 1000HMOX0019 | W0051752 | N/A | OT | false | TAKAHATA | N/A | NANCY | N/A | 2025-12-31 | 2025-01-01 | BLUE SHIELD INSPIRE HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256774395 | N/A | N/A | 8471583 | 2222 | 4802 | 14895277 | N/A | 7142489 | 2025-11-12 03:47:51.874778 | 2025-08-25 17:38:35.061335 |
| 2025-11-11 08:15:38.309875 | 2025-11-12 03:45:17.869066 | 14619118 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 14619118 | Athletic Physical Therapy Inc | 1971-12-09 | 2025-11-12 | F | AE | PT | OSTERHOUDT | U2156506701 | TRACY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.113530401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471577/check_14619118_25373803-5766-44a0-a0fe-3246938e7fbd.json | N/A | N/A | N/A | N/A | N/A | U2156506701 | Health Maintenance Organization (HMO) | CAPITAL GROUP | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1971-12-09 | N/A | 3173816 | N/A | HM | false | OSTERHOUDT | N/A | TRACY | N/A | N/A | N/A | NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256774394 | N/A | N/A | 8471577 | 2222 | 4801 | 14893330 | N/A | 7142472 | 2025-11-12 03:45:17.869066 | 2025-09-06 16:19:59.701160 |
| 2025-11-11 08:15:36.269186 | 2025-11-12 03:46:42.921143 | 14619081 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14619081 | Athletic Physical Therapy Inc | 1950-08-30 | 2025-11-14 | M | AE | PT | VILLA | 00000293779 | RAMON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.113530401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471007/check_14619081_fc682dfd-b456-46a0-b74b-2a0310ae1e0b.json | N/A | N/A | N/A | N/A | N/A | 00000293779 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1950-08-30 | H3815028 | N/A | N/A | HM | false | VILLA | N/A | RAMON | 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 | 9256774383 | N/A | N/A | 8471007 | 2222 | 4801 | 14894522 | 2630 | 7142042 | 2025-11-12 03:46:42.921143 | 2025-08-25 17:21:31.750932 |
| 2025-11-11 08:15:23.365780 | 2025-11-12 01:37:36.161725 | 14618828 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14618828 | Athletic Physical Therapy Inc | 1952-06-26 | 2025-11-12 | M | AE | PT | MATTHEWS | 00000283273 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.101148530.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676399/check_14618828_b07e3d11-8490-4082-8c42-454ba7bfc46f.json | N/A | N/A | N/A | N/A | N/A | 00000283273 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1952-06-26 | H3815028 | N/A | N/A | HM | false | MATTHEWS | N/A | DAVID | 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 | 9256772100 | N/A | N/A | 5676399 | 2222 | 4793 | 14855114 | 2630 | 4343454 | 2025-11-12 01:37:36.161725 | 2025-05-13 04:29:37.230932 |
| 2025-11-11 08:15:23.187608 | 2025-11-12 01:33:09.071489 | 14618822 | N/A | N/A | 60054 | Aetna | 1114042165 | 14618822 | Athletic Physical Therapy Inc | 1956-11-03 | 2025-11-13 | M | AE | PT | ARROW | 101393152200 | PAUL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.101148530.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676385/check_14618822_32a4aa3b-793f-4b6f-80f9-a35cb96ec1f6.json | N/A | N/A | N/A | N/A | N/A | 101393152200 | Preferred Provider Organization (PPO) | BP CORPORATION NORTH AMERICA - MA | AETNA | MEDICARE | 1956-11-03 | 100181-02EG0001 | 100181-02 | N/A | PR | false | ARROW | N/A | PAUL | N/A | N/A | N/A | BP MEDICARE PPO ESA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256772099 | N/A | N/A | 5676385 | 2222 | 4802 | 14849089 | N/A | 4343439 | 2025-11-12 01:33:09.071489 | 2025-05-13 04:29:37.230918 |
| 2025-11-11 08:15:23.006772 | 2025-11-12 01:39:06.587204 | 14618816 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14618816 | Athletic Physical Therapy Inc | 1989-01-09 | 2025-11-13 | F | PT | N/A | SELTER | XEA906445770 | RACHEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.101148530.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676380/check_14618816_53ae78da-5c9b-44e8-b7a4-75ccc7d3e8d3.json | N/A | N/A | N/A | N/A | N/A | XEA906445770 | Preferred Provider Organization (PPO) | AV SQUAD LP | BLUE SHIELD CALIFORNIA | N/A | 1989-01-09 | 1000PPOX0001 | W0066517 | N/A | PR | false | SELTER | N/A | BRANDON | N/A | N/A | N/A | SMILE SM SPECTRUM 50 1500 NO ORTHO MAC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256772098 | N/A | N/A | 5676380 | 2222 | 4793 | 14858090 | N/A | 4343435 | 2025-11-12 01:39:06.587204 | 2025-05-13 04:29:37.230915 |
| 2025-11-11 08:15:12.405346 | 2025-11-12 03:36:08.717311 | 14618527 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 14618527 | Athletic Physical Therapy Inc | 1960-06-20 | 2025-11-13 | M | AE | PT | FLETES | H86038900 | JOSE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105743697.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11067461/check_14618527_0884d4c8-6e4c-4063-bbc6-828bc48b6619.json | N/A | N/A | N/A | N/A | N/A | H86038900 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1960-06-20 | N/A | 0B527001 | N/A | HN | false | FLETES | N/A | JOSE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256876429 | N/A | N/A | 11067461 | 2222 | 4801 | 14889337 | N/A | 9425235 | 2025-11-12 03:36:08.717311 | 2025-10-20 22:48:41.487437 |
| 2025-11-11 08:15:04.674491 | 2025-11-12 03:47:51.280600 | 14618327 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14618327 | Athletic Physical Therapy Inc | 2001-07-17 | 2025-11-12 | M | PT | N/A | HUNTER | XEK905471650 | KYLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.113530401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8420132/check_14618327_ab76a8b9-b652-4c3b-b378-117e5975d246.json | N/A | N/A | N/A | N/A | N/A | XEK905471650 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2001-07-17 | 2001ZK002189 | X0001000 | N/A | PR | false | HUNTER | N/A | MARK | N/A | 2025-12-31 | 2025-01-01 | BRONZE 60 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256775457 | N/A | N/A | 8420132 | 2222 | 4801 | 14895269 | N/A | 7097528 | 2025-11-12 03:47:51.280600 | 2025-08-25 23:26:20.393423 |
| 2025-11-11 08:15:00.631751 | 2025-11-12 01:41:40.051635 | 14618224 | N/A | N/A | 61101 | Regal Medical Group | 1114042165 | 14618224 | Athletic Physical Therapy Inc | 1935-03-07 | 2025-11-13 | F | AE | PT | MYERS | H6760956100 | LILA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.113442431.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12016953/check_14618224_7d26adca-355a-47d3-a61c-5d0c1234d30a.json | N/A | N/A | N/A | N/A | N/A | H67609561 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 465 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1935-03-07 | N/A | 0B617001 | N/A | HN | false | MYERS | N/A | LILA | N/A | N/A | N/A | HUMANA HONOR | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256887882 | N/A | N/A | 12016953 | 2222 | 4793 | 14863150 | N/A | 10238684 | 2025-11-12 01:41:40.051635 | 2025-10-31 23:14:33.453582 |
| 2025-11-11 08:15:00.044967 | 2025-11-11 08:15:05.015979 | 14618208 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2010-03-18 | 2025-11-11 | M | PT | N/A | MARTIN | XEH906532391-003 | CHRISTOPHER | 23320 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6967909/check_14618208_ffee7ba7-9ba4-48b4-bf95-d41439acdb9f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6967909/check_14618208_732037d3-7721-4f4d-bde4-9f0f8e00caa8.json | N/A | N/A | N/A | N/A | N/A | XEH906532391 | Health Maintenance Organization (HMO) | WILD WONDER LLC | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2010-03-18 | 1000VX000101 | W0099153 | N/A | HM | false | MARTIN | N/A | ELIZABETH | N/A | 2029-03-31 | 2020-06-01 | SG EMB PED VISION INO FOR HMO DMHC OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256768505 | N/A | N/A | 6967909 | 2222 | N/A | 14829373 | N/A | 5990447 | 2025-11-11 08:15:05.015979 | 2025-07-21 18:40:33.917911 |
| 2025-11-11 08:14:55.857459 | 2025-11-12 01:43:54.442333 | 14618102 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14618102 | Athletic Physical Therapy Inc | 1962-11-20 | 2025-11-14 | M | PT | N/A | HEDRICK | HFD100011207755 | MICHEL | 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/2222/12015999/check_14618102_38a7259d-9006-4561-aea4-40f3eeb9d402.json | N/A | N/A | N/A | N/A | N/A | HFD100011207755 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-11-20 | N/A | N/A | N/A | PR | false | HEDRICK | N/A | MICHEL | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256887872 | N/A | N/A | 12015999 | 2222 | 4801 | 14868015 | N/A | 4210286 | 2025-11-12 01:43:54.442333 | 2025-11-14 03:16:19.994419 |
| 2025-11-11 08:14:44.349253 | 2025-11-12 01:55:59.006591 | 14617807 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14617807 | Athletic Physical Therapy Inc | 1953-03-27 | 2025-11-12 | F | AE | PT | FINE | 00000272194 | MICHELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.125524990.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858742/check_14617807_06cd5549-d4b8-4769-b9ea-dfa20ba5ba89.json | N/A | N/A | N/A | N/A | N/A | 00000272194 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1953-03-27 | H3815028 | N/A | N/A | HM | false | FINE | N/A | MICHELLE | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256937679 | N/A | N/A | 5858742 | 2222 | 4801 | 14880819 | 2630 | 4219630 | 2025-11-12 01:55:59.006591 | 2025-05-13 04:29:37.230672 |