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 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | 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 08:14:33.477047 | 2025-11-12 05:35:24.108319 | 14617536 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14617536 | Athletic Physical Therapy Inc | 1972-01-12 | 2025-11-12 | M | PT | MAGEN | B6YE01199897 | OFIR | N/A | 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/2222/6917703/check_14617536_2d0710e9-dd54-435a-a152-5850d1ced124.json | N/A | N/A | N/A | N/A | N/A | B6YE01199897 | Preferred Provider Organization (PPO) | CHARTERLIFE-2015 HIGH EPO | ANTHEM BLUE CROSS | N/A | 1972-01-12 | 040 | L06598M023 | N/A | PR | false | MAGEN | N/A | LIMOR | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256868578 | N/A | N/A | 6917703 | 2222 | 4793 | 14901311 | N/A | 5949095 | 2025-11-12 05:35:24.108319 | 2025-07-28 22:15:30.266976 |
| 2025-11-11 08:14:26.755439 | 2025-11-12 03:36:09.096186 | 14617355 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 14617355 | Athletic Physical Therapy Inc | 1953-12-17 | 2025-11-13 | F | AE | RIGGS | H6792045400 | MELINDA | PT | 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/2222/11057246/check_14617355_723ad21b-32f5-43d6-85f8-1301973f7644.json | N/A | N/A | N/A | N/A | N/A | H67920454 | 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 | 1953-12-17 | N/A | 0B527001 | N/A | HN | false | RIGGS | N/A | MELINDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256875874 | N/A | N/A | 11057246 | 2222 | 4801 | 14889338 | N/A | 9416589 | 2025-11-12 03:36:09.096186 | 2025-10-28 17:19:00.684003 |
| 2025-11-11 08:14:22.283381 | 2025-11-12 01:37:16.017070 | 14617235 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 14617235 | Athletic Physical Therapy Inc | 1962-06-24 | 2025-11-13 | F | AE | GOMEZ | 44116442 | CAROL | PT | 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/2222/6434660/check_14617235_baadf84b-02e1-4b1e-b37e-eca702886371.json | N/A | N/A | N/A | N/A | N/A | 44116442 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1962-06-24 | 406-024-000 | N/A | N/A | N/A | false | GOMEZ | N/A | CAROL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9257041003 | N/A | N/A | 6434660 | 2222 | 4801 | 14854646 | 6798 | 5079832 | 2025-11-12 01:37:16.017070 | 2025-06-23 20:02:36.660262 |
| 2025-11-11 08:14:16.560412 | 2025-11-11 08:14:19.939354 | 14617089 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-01-14 | 2025-11-11 | F | PT | KRAFT | XED911569862 | KATHRIN | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7294742/check_14617089_8e615b21-b822-4465-952e-e8dc738606ec.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7294742/check_14617089_509a5903-d2e4-43b1-8462-67c16865c91e.json | N/A | N/A | N/A | N/A | N/A | XED911569862 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-01-14 | 2001ZK002184 | X0001004 | N/A | PR | false | KRAFT | N/A | KATHRIN | N/A | 9999-12-31 | 2022-08-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256765238 | N/A | N/A | 7294742 | 2222 | N/A | 14829284 | N/A | 6254569 | 2025-11-11 08:14:19.939354 | 2025-08-12 09:24:43.956957 |
| 2025-11-11 08:14:16.437575 | 2025-11-12 03:46:49.951374 | 14617087 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14617087 | Athletic Physical Therapy Inc | 2011-10-18 | 2025-11-13 | F | PT | GARCIA | LDU736A55056 | SADIE | N/A | 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/2222/8387470/check_14617087_135672a2-e6fc-4006-99af-befca60d00ce.json | N/A | N/A | N/A | N/A | N/A | LDU736A55056 | Exclusive Provider Organization | LAUSD | ANTHEM BLUE CROSS | N/A | 2011-10-18 | 040 | 1838NJ | N/A | EP | false | GARCIA | N/A | RUBEN | N/A | 9999-12-31 | 2024-01-01 | PRUDENT BUYER EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256774358 | N/A | N/A | 8387470 | 2222 | 4801 | 14894606 | N/A | 5132739 | 2025-11-12 03:46:49.951374 | 2025-07-14 21:32:03.363712 |
| 2025-11-11 08:13:48.827541 | 2025-11-12 01:38:21.031778 | 14616202 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14616202 | Athletic Physical Therapy Inc | 1949-03-10 | 2025-11-13 | F | AE | BONESTEEL | 668W0422320 | CHEENIE | PT | 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/2222/10368765/check_14616202_af012bd1-97e7-44a8-855b-aa2e90a60e2e.json | N/A | N/A | N/A | N/A | N/A | 668W0422320 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1949-03-10 | N/A | N/A | N/A | N/A | false | BONESTEEL | N/A | CHEENIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256865010 | N/A | N/A | 10368765 | 2222 | 4801 | 14856556 | 4185 | 8631533 | 2025-11-12 01:38:21.031778 | 2026-01-20 18:31:42.469716 |
| 2025-11-11 08:13:48.008341 | 2025-11-12 01:45:23.481742 | 14616170 | N/A | N/A | 60054 | Aetna | 1114042165 | 14616170 | Athletic Physical Therapy Inc | 1976-12-17 | 2025-11-12 | M | AE | Ramos | W263196559 | Jerome Petrocelli | PT | 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/2222/9862743/check_14616170_a06af081-160f-4c43-b432-83ad08b0ed08.json | N/A | N/A | N/A | N/A | N/A | W263196559 | Preferred Provider Organization (PPO) | HOSPITAL CORPORATION OF AMERICA | AETNA | N/A | 1976-12-17 | 0160833 | 016083305000013 | N/A | PR | false | RAMOS | N/A | JEROME | N/A | N/A | N/A | OPEN CHOICE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256873818 | N/A | N/A | 9862743 | 2222 | 4801 | 14870724 | N/A | 8258250 | 2025-11-12 01:45:23.481742 | 2025-09-30 21:47:59.000682 |
| 2025-11-11 08:13:46.139780 | 2025-11-12 01:32:34.635075 | 14616092 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 14616092 | Athletic Physical Therapy Inc | 1986-10-29 | 2025-11-14 | M | AE | DEROOS | 182788571 | SEAN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.101148530.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551009/check_14616092_b0da3604-61b2-47dc-8a50-330d495d8457.json | N/A | N/A | N/A | N/A | N/A | 182788571 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 1986-10-29 | 18126CA001000101 | QMXEM01910 | N/A | N/A | false | DEROOS | N/A | SEAN | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256771821 | N/A | N/A | 5551009 | 2222 | 4802 | 14848575 | 4211 | 4219827 | 2025-11-12 01:32:34.635075 | 2025-10-31 23:39:58.530194 |
| 2025-11-11 08:13:46.003636 | 2025-11-12 01:39:05.681291 | 14616089 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14616089 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-11-13 | F | PT | PANDYA | XEA913306283 | DHARA | N/A | 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/2222/5550845/check_14616089_3edf24a5-cf2f-435a-ad90-c85b831d4524.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1975-08-17 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2024-06-03 | HSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256771820 | N/A | N/A | 5550845 | 2222 | 4801 | 14858061 | N/A | 4219713 | 2025-11-12 01:39:05.681291 | 2025-08-13 22:46:55.732965 |
| 2025-11-11 08:13:46.001429 | 2025-11-12 03:47:51.582670 | 14616088 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14616088 | Athletic Physical Therapy Inc | 1971-06-05 | 2025-11-13 | F | PT | MENDELSON | XEK913483846 | SHARON | N/A | 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/2222/8224045/check_14616088_8dec665c-94db-4517-8eda-077a63b03a6b.json | N/A | N/A | N/A | N/A | N/A | XEK913483846 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1971-06-05 | 2001ZK002189 | X0001000 | N/A | PR | false | MENDELSON | N/A | SIMON | N/A | 2025-12-31 | 2025-01-01 | BRONZE 60 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256774027 | N/A | N/A | 8224045 | 2222 | 4802 | 14895273 | N/A | 6981160 | 2025-11-12 03:47:51.582670 | 2025-08-26 21:16:15.557856 |
| 2025-11-11 08:13:45.829208 | 2025-11-12 01:43:32.825589 | 14616080 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14616080 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-11-14 | F | AE | MARTIN | 5YV3RT3TA75 | DOLLY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.101148530.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550797/check_14616080_53eb17a7-b84c-4b13-8614-6abc47086e6d.json | N/A | N/A | N/A | N/A | N/A | 5YV3RT3TA75 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-09-13 | N/A | N/A | N/A | MA | false | MARTIN | N/A | DOLLY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256771819 | N/A | N/A | 5550797 | 2222 | 4793 | 14867302 | N/A | 4219681 | 2025-11-12 01:43:32.825589 | 2026-01-14 20:54:02.193776 |
| 2025-11-11 08:13:45.622309 | 2025-11-12 01:34:30.969950 | 14616072 | N/A | N/A | 61101 | Regal Medical Group | 1114042165 | 14616072 | Athletic Physical Therapy Inc | 1953-05-06 | 2025-11-13 | F | AE | KENNEDY | H6356897500 | ELIZABETH | PT | 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/2222/5550714/check_14616072_74a54135-9131-437d-b3a0-aae71edac092.json | N/A | N/A | N/A | N/A | N/A | H6356897500 | N/A | N/A | HUMANA | N/A | 1953-05-06 | N/A | N/A | N/A | N/A | false | KENNEDY | N/A | ELIZABETH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256771818 | N/A | N/A | 5550714 | 2222 | 4801 | 14850663 | N/A | 4219622 | 2025-11-12 01:34:30.969950 | 2025-05-13 04:29:37.230664 |
| 2025-11-11 08:13:45.451064 | 2025-11-12 01:32:35.941254 | 14616065 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 14616065 | Athletic Physical Therapy Inc | 1990-11-12 | 2025-11-14 | F | AE | SIMONS | 94378141G | DESIREE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.101148530.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550102/check_14616065_5b0f2682-5c73-4c9d-89aa-ac82f0f1bbfe.json | N/A | N/A | N/A | N/A | N/A | 94378141G | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1990-11-12 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | SIMONS | N/A | DESIREE | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256771817 | N/A | N/A | 5550102 | 2222 | 4802 | 14848594 | 4211 | 4212176 | 2025-11-12 01:32:35.941254 | 2025-05-13 04:29:37.226514 |
| 2025-11-11 08:13:45.186821 | 2025-11-12 01:43:27.288864 | 14616054 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14616054 | Athletic Physical Therapy Inc | 1954-05-11 | 2025-11-12 | M | AE | A Peters | 1R78CR5JR59 | Dennis | PT | 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/2222/5550025/check_14616054_b2068e00-5b53-4a72-bd91-f271f209b950.json | N/A | N/A | N/A | N/A | N/A | 1R78CR5JR59 | N/A | N/A | CMS | N/A | 1954-05-11 | N/A | N/A | N/A | N/A | false | A PETERS | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256771816 | N/A | N/A | 5550025 | 2222 | 4801 | 14867102 | N/A | 4219449 | 2025-11-12 01:43:27.288864 | 2025-10-07 21:32:27.567534 |
| 2025-11-11 08:13:44.875480 | 2025-11-12 01:43:30.274231 | 14616042 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14616042 | Athletic Physical Therapy Inc | 1951-12-26 | 2025-11-13 | M | AE | FINEBERG | 9FX3D52YD09 | MARTIN | PT | 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/2222/5549980/check_14616042_28effb13-2e49-4f41-b0da-a72934a4f595.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MB | false | FINEBERG | N/A | MARTIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256771815 | N/A | N/A | 5549980 | 2222 | 4802 | 14867219 | N/A | 4219436 | 2025-11-12 01:43:30.274231 | 2025-05-13 04:29:37.230471 |
| 2025-11-11 08:13:44.526871 | 2025-11-12 01:37:53.429498 | 14616029 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14616029 | Athletic Physical Therapy Inc | 1955-10-09 | 2025-11-13 | M | PT | COE | JQS589W10732 | SCOTT | N/A | 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/2222/5549514/check_14616029_22e39a66-1eb0-4854-b0a0-11bea99082a5.json | N/A | N/A | N/A | N/A | N/A | JQS589W10732 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1955-10-09 | 040 | CAMCRWP0 | N/A | MP | false | COE | N/A | SCOTT | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256771814 | N/A | N/A | 5549514 | 2222 | 4801 | 14855682 | 4185 | 4219161 | 2025-11-12 01:37:53.429498 | 2025-10-16 23:24:12.118501 |
| 2025-11-11 08:13:44.306082 | 2025-11-12 01:37:59.039584 | 14616023 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14616023 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-11-12 | F | PT | LUCZYWEK | HFD100011213709 | DEBORA | N/A | 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/2222/5549317/check_14616023_a56c6da6-cc34-4d62-9117-34f0b86e6b80.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256771813 | N/A | N/A | 5549317 | 2222 | 4801 | 14855870 | N/A | 4219010 | 2025-11-12 01:37:59.039584 | 2026-01-09 18:32:07.618867 |
| 2025-11-11 08:13:44.077041 | 2025-11-12 01:33:10.841250 | 14616016 | N/A | N/A | 60054 | Aetna | 1114042165 | 14616016 | Athletic Physical Therapy Inc | 1968-10-14 | 2025-11-12 | F | AE | CARLSON | W161554352 | CYNTHIA | PT | 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/2222/5549080/check_14616016_349b53de-3040-49d0-b625-31c3cfad8a2c.json | N/A | N/A | N/A | N/A | N/A | W161554352 | Point of Service (POS) | UBS FINANCIAL SERVICES INC. | AETNA | N/A | 1968-10-14 | 0880791 | 088079102500011 | N/A | PS | false | CARLSON | N/A | CYNTHIA | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256771812 | N/A | N/A | 5549080 | 2222 | 4801 | 14849115 | N/A | 4218812 | 2025-11-12 01:33:10.841250 | 2025-05-13 04:29:37.229807 |
| 2025-11-11 08:13:42.688571 | 2025-11-11 08:13:44.428570 | 14615965 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-05-22 | 2025-11-11 | M | AE | SMITH | 99688004H | MATTHEW | PT | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7022680/check_14615965_c9a16289-db91-42eb-9805-9a66a54e40e2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7022680/check_14615965_89046432-b749-4cd6-b2a1-d9362c05b473.json | N/A | N/A | N/A | N/A | N/A | 99688004H | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 02/28/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1963-05-22 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | SMITH | N/A | MATTHEW | N/A | 2078-12-31 | 2025-05-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256756447 | N/A | N/A | 7022680 | 2222 | N/A | 14829200 | N/A | 6037802 | 2025-11-11 08:13:44.428570 | 2025-07-22 17:48:16.997014 |
| 2025-11-11 08:13:40.307207 | 2025-11-12 01:37:12.735637 | 14615870 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14615870 | Athletic Physical Therapy Inc | 1962-06-19 | 2025-11-12 | M | AE | MILIAN GOMEZ | 93331019F | MIGUEL | PT | 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/2222/5543555/check_14615870_65591f56-3b76-4301-9445-a100fe2a625d.json | N/A | N/A | N/A | N/A | N/A | 93331019F | N/A | N/A | HEALTH NET, LLC | N/A | 1962-06-19 | N/A | N/A | N/A | N/A | false | MILIAN GOMEZ | N/A | MIGUEL | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256771795 | N/A | N/A | 5543555 | 2222 | 4802 | 14854556 | N/A | 4215332 | 2025-11-12 01:37:12.735637 | 2025-08-06 16:15:15.716322 |
| 2025-11-11 08:13:40.131577 | 2025-11-12 01:43:28.534152 | 14615862 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14615862 | Athletic Physical Therapy Inc | 1957-05-23 | 2025-11-14 | F | PT | CEASAR | 6XR6JY3MJ89 | DEBBIE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.101148530.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543553/check_14615862_50d27da7-c573-466d-bad0-cc17ab2177f2.json | N/A | N/A | N/A | N/A | N/A | 6XR6JY3MJ89 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-23 | S5660 | N/A | N/A | MA | false | CEASAR | N/A | DEBBIE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256771794 | N/A | N/A | 5543553 | 2222 | 4793 | 14867147 | N/A | 4215327 | 2025-11-12 01:43:28.534152 | 2025-05-13 04:29:37.229651 |
| 2025-11-11 08:13:39.952985 | 2025-11-12 01:36:04.015848 | 14615853 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 14615853 | Athletic Physical Therapy Inc | 1950-03-29 | 2025-11-13 | M | AE | AKHTARI | 40045421301 | SHAHROKH | PT | 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/2222/5543493/check_14615853_42f7f3f9-c676-44be-994a-71139338f033.json | N/A | N/A | N/A | N/A | N/A | 40045421301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-03-29 | 2025H5425084LA | H5425M | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | SCAN VENTURE (HMO), LOS ANGELES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256771793 | N/A | N/A | 5543493 | 2222 | 4793 | 14852996 | N/A | 4215273 | 2025-11-12 01:36:04.015848 | 2025-05-13 04:29:37.229594 |
| 2025-11-11 08:13:39.545743 | 2025-11-12 01:36:00.369345 | 14615842 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14615842 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-11-12 | M | AE | FORTIN | R14644640MS1 | NATHANIEL | PT | 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/2222/5543425/check_14615842_edf650d6-43ba-42fe-9ad2-8a931b494230.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | K96 SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256771792 | N/A | N/A | 5543425 | 2222 | 4801 | 14852898 | N/A | 4215211 | 2025-11-12 01:36:00.369345 | 2026-04-02 22:30:20.020246 |
| 2025-11-11 08:13:39.388560 | 2025-11-12 01:37:54.609554 | 14615830 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14615830 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-11-14 | F | PT | DAKE | SIF326M90066 | RENEE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.101148530.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543355/check_14615830_f40cb816-14ff-46dd-846a-d45c307ff4fe.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | Preferred Provider Organization (PPO) | SISC - MEADOWS ARTS & TECH ELEMENTARY SCHOOL | ANTHEM BLUE CROSS | N/A | 1968-01-29 | 040 | 40424B | N/A | PR | false | DAKE | N/A | RENEE | N/A | 9999-12-31 | 2018-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256771791 | N/A | N/A | 5543355 | 2222 | 4793 | 14855727 | N/A | 4215158 | 2025-11-12 01:37:54.609554 | 2025-05-13 04:29:37.229475 |
| 2025-11-11 08:13:39.203060 | 2025-11-12 01:43:30.694418 | 14615826 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14615826 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-11-13 | F | AE | HOWARD | 6JJ9KX0PY45 | JUDI | PT | 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/2222/5543340/check_14615826_e9da1cbe-7440-4f66-8ca3-e22361d14b32.json | N/A | N/A | N/A | N/A | N/A | 6JJ9KX0PY45 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-11-19 | S5884 | N/A | N/A | MB | false | HOWARD | N/A | JUDI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256771790 | N/A | N/A | 5543340 | 2222 | 4793 | 14867233 | N/A | 4215147 | 2025-11-12 01:43:30.694418 | 2025-05-13 04:29:37.229464 |
| 2025-11-11 08:13:38.838257 | 2025-11-12 01:32:35.622967 | 14615814 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 14615814 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-11-12 | F | AE | SILVERS | 1866968 | JOIEMAY | PT | 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/2222/5543335/check_14615814_a2277a3e-98cd-4266-9f0e-9a910ae33eab.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 2001-01-23 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256771789 | N/A | N/A | 5543335 | 2222 | 4802 | 14848589 | 4211 | 4215139 | 2025-11-12 01:32:35.622967 | 2025-05-13 21:20:11.455022 |
| 2025-11-11 08:13:38.445203 | 2025-11-12 01:43:29.501273 | 14615801 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14615801 | Athletic Physical Therapy Inc | 1948-08-18 | 2025-11-13 | M | AE | EDA | 9AC4JX7TW77 | MASAAKI | PT | 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/2222/5543330/check_14615801_56e657a9-b955-47dd-9619-ebb81b4fe300.json | N/A | N/A | N/A | N/A | N/A | 9AC4JX7TW77 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-08-18 | S5596 | N/A | N/A | MA | 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 | 9256771788 | N/A | N/A | 5543330 | 2222 | 4802 | 14867189 | N/A | 4215140 | 2025-11-12 01:43:29.501273 | 2025-05-13 04:29:37.229453 |
| 2025-11-11 08:13:38.109194 | 2025-11-12 01:39:03.677251 | 14615792 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14615792 | Athletic Physical Therapy Inc | 1987-10-17 | 2025-11-13 | F | PT | PATEL | XEA910759571 | MAMTABEN | N/A | 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/2222/5543327/check_14615792_e81db7f8-8337-4781-83c2-3ad082cacd9a.json | N/A | N/A | N/A | N/A | N/A | XEA910759571 | Preferred Provider Organization (PPO) | RELATIVITY SPACE INC | BLUE SHIELD CALIFORNIA | N/A | 1987-10-17 | 1000PPOX0004 | W0071038 | N/A | PR | false | KROL | N/A | JEREMY | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1650 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256771787 | N/A | N/A | 5543327 | 2222 | 4802 | 14857985 | N/A | 4215137 | 2025-11-12 01:39:03.677251 | 2025-10-13 23:09:53.444170 |
| 2025-11-11 08:13:37.883333 | 2025-11-12 01:37:50.985917 | 14615780 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 14615780 | Athletic Physical Therapy Inc | 1962-09-27 | 2025-11-13 | F | PT | BARAJAS | NCF425A56241 | EMMA | N/A | 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/2222/5543324/check_14615780_a194fd3a-da98-4773-81e8-e3e2a855745d.json | N/A | N/A | N/A | N/A | N/A | JMV425A56241 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1962-09-27 | 040 | 56677VR000 | N/A | HM | false | BARAJAS | N/A | RAMON | N/A | 9999-12-31 | 2025-09-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256771786 | N/A | N/A | 5543324 | 2222 | 4801 | 14855593 | 4184 | 4215131 | 2025-11-12 01:37:50.985917 | 2025-08-11 16:45:52.816842 |
| 2025-11-11 08:13:37.726009 | 2025-11-12 01:32:14.233474 | 14615771 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 14615771 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-11-12 | M | AE | MCCOWAN | 93341440D | KEVIN | PT | 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/2222/5543270/check_14615771_ebcde3c9-32fa-4624-91ee-49b0529d69e5.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-03-27 | N/A | N/A | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256771785 | N/A | N/A | 5543270 | 2222 | 4793 | 14848281 | N/A | 4215086 | 2025-11-12 01:32:14.233474 | 2025-05-13 04:29:37.229401 |
| 2025-11-11 08:13:37.602051 | 2025-11-12 01:33:11.362853 | 14615765 | N/A | N/A | 60054 | Aetna | 1114042165 | 14615765 | Athletic Physical Therapy Inc | 1994-09-02 | 2025-11-14 | F | AE | CHEN | W286265318 | KELLY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.101148530.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543266/check_14615765_a52e1ebb-5385-4607-9de4-001dc7e321ea.json | N/A | N/A | N/A | N/A | N/A | W286265318 | Point of Service (POS) | ADOBE INC. | AETNA | N/A | 1994-09-02 | 0660819 | 066081901600001 | N/A | PS | false | CHEN | N/A | KELLY | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256771784 | N/A | N/A | 5543266 | 2222 | 4802 | 14849121 | N/A | 4215081 | 2025-11-12 01:33:11.362853 | 2025-05-13 04:29:37.229396 |
| 2025-11-11 08:13:37.470756 | 2025-11-12 01:39:06.022502 | 14615757 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14615757 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-11-14 | F | PT | PAUL | XEK914147727 | SARA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.101148530.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543211/check_14615757_db4a93b5-ac8f-4c2b-bbd2-a3ff0e03af0a.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | 9999-12-31 | 2025-02-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256771783 | N/A | N/A | 5543211 | 2222 | 4801 | 14858077 | N/A | 4215028 | 2025-11-12 01:39:06.022502 | 2025-05-13 04:29:37.229346 |
| 2025-11-11 08:13:37.302138 | 2025-11-12 01:37:59.555235 | 14615748 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14615748 | Athletic Physical Therapy Inc | 2003-10-09 | 2025-11-12 | F | PT | LUKOWITSCH | XDPCA8263500 | HALLIE | N/A | 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/2222/5543178/check_14615748_d40a6060-03c3-4020-b5b1-d0d711941275.json | N/A | N/A | N/A | N/A | N/A | XDPCA8263500 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | ANTHEM BLUE CROSS | N/A | 2003-10-09 | 040 | 275958P701 | N/A | PR | false | LUKOWITSCH | N/A | HALLIE | N/A | 9999-12-31 | 2025-09-22 | PPO UC SHIP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256771782 | N/A | N/A | 5543178 | 2222 | 4802 | 14855885 | N/A | 4215006 | 2025-11-12 01:37:59.555235 | 2025-05-13 04:29:37.229325 |
| 2025-11-11 08:13:37.141452 | 2025-11-12 01:37:58.195418 | 14615741 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14615741 | Athletic Physical Therapy Inc | 1972-06-23 | 2025-11-13 | F | PT | LAWSON | JXN663W00172 | MICHELLE | N/A | 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/2222/5543167/check_14615741_4f720f25-1375-41c8-9541-dba20590d102.json | N/A | N/A | N/A | N/A | N/A | JXN663W00172 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1972-06-23 | 040 | 174222M2A1 | N/A | PR | false | LAWSON | N/A | MICHELLE | N/A | 9999-12-31 | 2020-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256771781 | N/A | N/A | 5543167 | 2222 | 4793 | 14855843 | N/A | 4214995 | 2025-11-12 01:37:58.195418 | 2025-05-13 04:29:37.229315 |
| 2025-11-11 08:13:36.951764 | 2025-11-12 01:37:56.958955 | 14615733 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14615733 | Athletic Physical Therapy Inc | 1974-08-13 | 2025-11-12 | F | PT | HUGGINS | JXN261A50994 | DEE DEE | N/A | 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/2222/5543043/check_14615733_29e12c39-f755-4cf1-9520-d34d7cc41af0.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 9999-12-31 | 2022-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256771780 | N/A | N/A | 5543043 | 2222 | 4801 | 14855798 | N/A | 4214884 | 2025-11-12 01:37:56.958955 | 2025-11-12 00:46:10.301659 |
| 2025-11-11 08:13:36.738203 | 2025-11-12 01:36:07.758427 | 14615723 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 14615723 | Athletic Physical Therapy Inc | 1957-01-21 | 2025-11-12 | M | AE | SHADDY | 40064865601 | STEVE | PT | 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/2222/5543011/check_14615723_80a214fd-1971-4a42-bfb4-a18fdbc246c9.json | N/A | N/A | N/A | N/A | N/A | 40064865601 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | SHADDY | 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 | 9256771779 | N/A | N/A | 5543011 | 2222 | 4801 | 14853074 | N/A | 4214861 | 2025-11-12 01:36:07.758427 | 2026-02-04 19:10:58.526441 |
| 2025-11-11 08:13:36.412736 | 2025-11-12 01:38:01.164432 | 14615709 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14615709 | Athletic Physical Therapy Inc | 1963-10-10 | 2025-11-14 | F | PT | RUEGGER | MPI01409385Q | ANNE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.101148530.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542955/check_14615709_90de117c-6672-4d12-afa1-390699cf1217.json | N/A | N/A | N/A | N/A | N/A | MPI01409385Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN - RETIREE | ANTHEM BLUE CROSS | N/A | 1963-10-10 | 040 | 277163M406 | N/A | PR | false | RUEGGER | N/A | THOMAS | 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 | 9256771778 | N/A | N/A | 5542955 | 2222 | 4793 | 14855948 | N/A | 4214809 | 2025-11-12 01:38:01.164432 | 2025-06-05 16:00:56.918021 |
| 2025-11-11 08:13:36.053266 | 2025-11-12 01:39:03.054556 | 14615700 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14615700 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-11-14 | F | PT | JAIN | XEK909304497 | SUPARNA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.101148530.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542952/check_14615700_3b535f30-2d88-43d3-b5e9-b149e97ebbcc.json | N/A | N/A | N/A | N/A | N/A | XEK909304497 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-01-24 | 2001ZK002189 | X0001000 | N/A | PR | false | JAIN | N/A | SUPARNA | N/A | 9999-12-31 | 2019-09-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256771777 | N/A | N/A | 5542952 | 2222 | 4802 | 14857967 | N/A | 4214804 | 2025-11-12 01:39:03.054556 | 2025-05-13 20:09:53.786482 |
| 2025-11-11 08:13:35.681342 | 2025-11-12 01:33:12.561358 | 14615682 | N/A | N/A | 60054 | Aetna | 1114042165 | 14615682 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-11-12 | M | AE | KORY | 102161581800 | MICHAEL | PT | 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/2222/5542870/check_14615682_477aed91-e89e-4dad-b890-b757ffeb503b.json | N/A | N/A | N/A | N/A | N/A | 102161581800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1959-05-08 | 000003-CA000058 | 000003-CA | N/A | PR | false | KORY | N/A | MICHAEL | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256773157 | N/A | N/A | 5542870 | 2222 | 4793 | 14849135 | N/A | 4214732 | 2025-11-12 01:33:12.561358 | 2025-06-24 20:13:53.579048 |
| 2025-11-11 08:13:35.493644 | 2025-11-12 01:33:13.421950 | 14615675 | N/A | N/A | 60054 | Aetna | 1114042165 | 14615675 | Athletic Physical Therapy Inc | 1982-02-18 | 2025-11-13 | M | AE | TORGAN | W291598583 | SPENCER | PT | 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/2222/5542863/check_14615675_4dd641c1-6dde-4f00-94e2-712363fb483a.json | N/A | N/A | N/A | N/A | N/A | W291598583 | Point of Service (POS) | MORGAN STANLEY DOMESTIC HOLDINGS, L | AETNA | N/A | 1982-02-18 | 0868849 | 086884901000001 | N/A | PS | false | TORGAN | N/A | SPENCER | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256773156 | N/A | N/A | 5542863 | 2222 | 4793 | 14849152 | N/A | 4214725 | 2025-11-12 01:33:13.421950 | 2025-05-13 04:29:37.229043 |
| 2025-11-11 08:13:35.320822 | 2025-11-12 01:38:04.101277 | 14615667 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14615667 | Athletic Physical Therapy Inc | 1949-06-30 | 2025-11-14 | F | PT | STEWART | WSP370A66341 | ALBERTA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.101148530.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542834/check_14615667_49893353-ae7a-446f-b2da-607d79235b64.json | N/A | N/A | N/A | N/A | N/A | WSP370A66341 | N/A | ELEVANCE HEALTH | ANTHEM BLUE CROSS | N/A | 1949-06-30 | 130 | IN002GRS | N/A | N/A | false | STEWART | N/A | ALBERTA | N/A | 9999-12-31 | 2021-01-01 | IN GRS ELEVANCE HEALTH H4036-801 ANTHEM MED PREFER | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256773155 | N/A | N/A | 5542834 | 2222 | 4801 | 14856038 | N/A | 4214700 | 2025-11-12 01:38:04.101277 | 2025-05-13 04:29:37.229017 |
| 2025-11-11 08:13:35.171008 | 2025-11-12 01:39:05.298471 | 14615659 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14615659 | Athletic Physical Therapy Inc | 1974-06-26 | 2025-11-14 | M | PT | ARSHADNIA | XEK904721388 | SHAHRIAR | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.101148530.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542770/check_14615659_938e5807-7f73-4a4e-9620-ed8469ee53aa.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1974-06-26 | 2001ZJ002648 | X0001000 | N/A | PR | false | NOSRAT | N/A | CAROLYN | N/A | 9999-12-31 | 2016-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256773154 | N/A | N/A | 5542770 | 2222 | 4802 | 14858042 | N/A | 4214643 | 2025-11-12 01:39:05.298471 | 2025-05-13 04:29:37.228964 |
| 2025-11-11 08:13:34.981779 | 2025-11-12 01:33:12.977180 | 14615648 | N/A | N/A | 60054 | Aetna | 1114042165 | 14615648 | Athletic Physical Therapy Inc | 2015-03-25 | 2025-11-13 | M | AE | MOLAVI | W290733985 | MATTHEW | PT | 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/2222/5542759/check_14615648_0d58900f-bdf4-43b8-bca0-dd342be25823.json | N/A | N/A | N/A | N/A | N/A | W290733985 | Point of Service (POS) | THE TCW GROUP, INC. | AETNA | N/A | 2015-03-25 | 0247292 | 024729201100001 | N/A | PS | false | MOLAVI | N/A | MOHAMAD | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256773153 | N/A | N/A | 5542759 | 2222 | 4793 | 14849144 | N/A | 4214620 | 2025-11-12 01:33:12.977180 | 2025-08-05 22:41:29.756445 |
| 2025-11-11 08:13:34.795864 | 2025-11-12 01:36:01.166819 | 14615640 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14615640 | Athletic Physical Therapy Inc | 1979-11-17 | 2025-11-12 | F | AE | WOODS | 96781627F | JESSICA | PT | 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/2222/5542752/check_14615640_ad3fb917-6809-41f8-b9f0-9c83846a9f15.json | N/A | N/A | N/A | N/A | N/A | 96781627F | N/A | N/A | HEALTH NET, LLC | N/A | 1979-11-17 | N/A | N/A | N/A | N/A | false | WOODS | N/A | JESSICA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256773152 | N/A | N/A | 5542752 | 2222 | 4793 | 14852920 | N/A | 4214627 | 2025-11-12 01:36:01.166819 | 2025-06-23 18:58:46.304598 |
| 2025-11-11 08:13:34.648118 | 2025-11-12 01:37:11.157296 | 14615636 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14615636 | Athletic Physical Therapy Inc | 1972-07-22 | 2025-11-13 | M | AE | KOZMA | U9714475101 | JASON | PT | 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/2222/5542709/check_14615636_ca7c99fd-1c89-4a12-9b1a-d2bb93c43a75.json | N/A | N/A | N/A | N/A | N/A | U9714475101 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1972-07-22 | 67138CA0700027-01 | N/A | N/A | N/A | false | KOZMA | N/A | JASON | N/A | N/A | N/A | BRONZE 60 HDHP AMBETTER PPO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256773151 | N/A | N/A | 5542709 | 2222 | 4802 | 14854525 | N/A | 4214582 | 2025-11-12 01:37:11.157296 | 2025-12-02 00:00:04.433236 |
| 2025-11-11 08:13:34.481154 | 2025-11-12 01:33:11.932842 | 14615623 | N/A | N/A | 60054 | Aetna | 1114042165 | 14615623 | Athletic Physical Therapy Inc | 2005-11-23 | 2025-11-14 | F | AE | FERRELL | W285064666 | AMELIA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.101148530.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542678/check_14615623_0b734b45-ce0e-494a-bebe-89570ec99dc4.json | N/A | N/A | N/A | N/A | N/A | W285064666 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 2005-11-23 | 0232499 | 023249901000067 | N/A | PS | false | FERRELL | N/A | RALPH | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256773150 | N/A | N/A | 5542678 | 2222 | 4802 | 14849127 | N/A | 4214560 | 2025-11-12 01:33:11.932842 | 2025-05-13 04:29:37.228883 |
| 2025-11-11 08:13:34.341635 | 2025-11-12 01:35:59.706010 | 14615616 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14615616 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-11-14 | F | AE | CHERE | 98953535F | DIANA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.101148530.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_14615616_1273f77e-db0a-4bae-a2a4-8b4ce503f508.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256773149 | N/A | N/A | 5542660 | 2222 | 4802 | 14852879 | N/A | 4214542 | 2025-11-12 01:35:59.706010 | 2025-05-13 04:29:37.228868 |
| 2025-11-11 08:13:34.153308 | 2025-11-12 01:33:09.755175 | 14615609 | N/A | N/A | 60054 | Aetna | 1114042165 | 14615609 | Athletic Physical Therapy Inc | 1975-12-13 | 2025-11-14 | F | AE | ASSENGA | TWA295A70455 | NANCY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.101148530.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542618/check_14615609_9b28490b-2fb8-41ae-b322-14f41ee2d692.json | N/A | N/A | N/A | N/A | N/A | TWA295A70455 | N/A | N/A | AETNA | N/A | 1975-12-13 | 0846522 | 084652202300182 | N/A | N/A | false | ASSENGA | N/A | NANCY | N/A | N/A | N/A | OPEN CHOICE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256773148 | N/A | N/A | 5542618 | 2222 | 4801 | 14849099 | N/A | 4214504 | 2025-11-12 01:33:09.755175 | 2025-05-13 04:29:37.228820 |
| 2025-11-11 08:13:33.971873 | 2025-11-12 01:32:34.974683 | 14615600 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 14615600 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-11-13 | F | AE | HAMI | 92932800G | FARIBA | PT | 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/2222/5542611/check_14615600_d3ef3f5a-df45-4e40-9248-5cfd419ae1b0.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MEDICARE PART AB CI003 | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1960-09-15 | BP0001 | QMXEM01909 | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | 2078-12-31 | 2025-11-01 | DUAL ELIGIBLE AGED - MSP - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256773147 | N/A | N/A | 5542611 | 2222 | 4802 | 14848581 | 4211 | 4214490 | 2025-11-12 01:32:34.974683 | 2025-05-13 04:29:37.228806 |
| 2025-11-11 08:13:33.754647 | 2025-11-12 01:43:35.401456 | 14615589 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14615589 | Athletic Physical Therapy Inc | 1949-11-21 | 2025-11-12 | M | AE | WOLFE | 7JF6YW4EF47 | KEVIN | PT | 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/2222/5542521/check_14615589_509033b6-8657-4f43-be1d-59ccb2ebc89a.json | N/A | N/A | N/A | N/A | N/A | 7JF6YW4EF47 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-11-21 | S4802 | N/A | N/A | MA | false | WOLFE | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256773146 | N/A | N/A | 5542521 | 2222 | 4801 | 14867381 | N/A | 4214422 | 2025-11-12 01:43:35.401456 | 2025-05-13 04:29:37.228745 |