API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-11 08:13:33.350554 | 2025-11-12 01:37:39.106538 | 14615577 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 14615577 | Athletic Physical Therapy Inc | 1988-11-03 | 2025-11-13 | F | AE | PT | CAPISTRANO | 98696372G | FERDELLE | 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/2222/5542513/check_14615577_40f41fcc-523c-4b94-84dc-ed03e4e1741b.json | N/A | N/A | N/A | N/A | N/A | 98696372G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1988-11-03 | MCLA | MWLLNMEG21 | N/A | N/A | false | CAPISTRANO | N/A | FERDELLE | N/A | 2078-12-31 | 2024-05-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256773145 | N/A | N/A | 5542513 | 2222 | 4793 | 14855197 | N/A | 4214418 | 2025-11-12 01:37:39.106538 | 2025-07-03 18:12:11.075357 |
| 2025-11-11 08:13:32.807117 | 2025-11-12 01:39:00.996712 | 14615559 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14615559 | Athletic Physical Therapy Inc | 1983-10-27 | 2025-11-13 | M | PT | N/A | FEDERER | XEA911365031 | MITCH | 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/2222/5542512/check_14615559_73cc9803-a228-465a-b87d-d5ace46cea80.json | N/A | N/A | N/A | N/A | N/A | XEA911365031 | Preferred Provider Organization (PPO) | WEINSTEIN SENIOR LLP | BLUE SHIELD CALIFORNIA | N/A | 1983-10-27 | 1000VX000102 | W0122744 | N/A | PR | false | FEDERER | N/A | MITCHEL | N/A | 9999-12-31 | 2025-05-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256773144 | N/A | N/A | 5542512 | 2222 | 4793 | 14857883 | N/A | 4214416 | 2025-11-12 01:39:00.996712 | 2025-05-13 04:29:37.228740 |
| 2025-11-11 08:13:32.534298 | 2025-11-12 01:43:32.352071 | 14615549 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14615549 | Athletic Physical Therapy Inc | 1953-03-17 | 2025-11-14 | F | AE | PT | MARCUS | 4VG5XF7HN64 | LISSA | 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/2222/5542318/check_14615549_44ae7b97-4102-489d-aa97-4d534f1550e6.json | N/A | N/A | N/A | N/A | N/A | 4VG5XF7HN64 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-03-17 | S4802 | N/A | N/A | MA | false | MARCUS | N/A | LISSA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256773143 | N/A | N/A | 5542318 | 2222 | 4802 | 14867292 | N/A | 4214241 | 2025-11-12 01:43:32.352071 | 2025-05-13 04:29:37.228574 |
| 2025-11-11 08:13:32.355137 | 2025-11-12 01:37:13.796090 | 14615540 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14615540 | Athletic Physical Therapy Inc | 1977-02-09 | 2025-11-13 | F | AE | PT | SHAMAT | 96987431H | SAMA | 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/2222/5542314/check_14615540_2b652e87-23f8-4684-aa4e-68a6c46aa982.json | N/A | N/A | N/A | N/A | N/A | 96987431H | N/A | N/A | HEALTH NET, LLC | N/A | 1977-02-09 | N/A | N/A | N/A | N/A | false | SHAMAT | N/A | SAMA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256773142 | N/A | N/A | 5542314 | 2222 | 4802 | 14854576 | N/A | 4214238 | 2025-11-12 01:37:13.796090 | 2025-05-13 04:29:37.228571 |
| 2025-11-11 08:13:32.140219 | 2025-11-12 01:37:42.702858 | 14615532 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 14615532 | Athletic Physical Therapy Inc | 1975-03-26 | 2025-11-13 | F | AE | PT | HEYES | 95596436F | DARCIE | 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/2222/5542233/check_14615532_64b2e8e5-da7d-44ce-a148-5fea06cd1950.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1975-03-26 | N/A | N/A | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256773141 | N/A | N/A | 5542233 | 2222 | 4793 | 14855308 | N/A | 4214178 | 2025-11-12 01:37:42.702858 | 2025-05-13 04:29:37.228506 |
| 2025-11-11 08:13:32.007019 | 2025-11-12 01:39:02.033672 | 14615528 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14615528 | Athletic Physical Therapy Inc | 1983-04-25 | 2025-11-12 | F | PT | N/A | HASERJIAN | XED912403581 | RENEE | 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/2222/5542222/check_14615528_ba3a0770-6b70-4645-89aa-5b30f3d0264d.json | N/A | N/A | N/A | N/A | N/A | XED912403581 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1983-04-25 | 2001ZK002169 | X0001004 | N/A | PR | false | HASERJIAN | N/A | RENEE | N/A | 9999-12-31 | 2023-08-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256773139 | N/A | N/A | 5542222 | 2222 | 4793 | 14857932 | N/A | 4214148 | 2025-11-12 01:39:02.033672 | 2025-05-13 04:29:37.228475 |
| 2025-11-11 08:13:31.893640 | 2025-11-12 01:37:57.357519 | 14615522 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14615522 | Athletic Physical Therapy Inc | 1938-01-22 | 2025-11-13 | F | PT | N/A | ISTOK | MBL474M98437 | LOIS | 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/2222/5542207/check_14615522_e47b41e1-c3f9-4a02-98ee-19f03f5d4625.json | N/A | N/A | N/A | N/A | N/A | MBL474M98437 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1938-01-22 | 040 | CAEGR005 | N/A | N/A | false | ISTOK | N/A | LOIS | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256773138 | N/A | N/A | 5542207 | 2222 | 4802 | 14855815 | N/A | 4214152 | 2025-11-12 01:37:57.357519 | 2025-05-13 04:29:37.228479 |
| 2025-11-11 08:13:31.760341 | 2025-11-12 01:38:02.560181 | 14615518 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14615518 | Athletic Physical Therapy Inc | 1942-12-17 | 2025-11-12 | F | PT | N/A | STEINBERG | MBL988M98459 | JUDY | 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/2222/5542014/check_14615518_32c7f528-9867-4a2c-9977-7a0641c1b6ca.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256773137 | N/A | N/A | 5542014 | 2222 | 4793 | 14855981 | N/A | 4213977 | 2025-11-12 01:38:02.560181 | 2025-05-13 04:29:37.228294 |
| 2025-11-11 08:13:31.615110 | 2025-11-12 01:32:35.266597 | 14615510 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 14615510 | Athletic Physical Therapy Inc | 1961-02-27 | 2025-11-12 | M | AE | PT | SHRIVER | 90771207E | DANIEL | 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/2222/5541984/check_14615510_6159766b-4df3-4261-8727-5dc1d18414a0.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1961-02-27 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | SHRIVER | N/A | DANIEL | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256773136 | N/A | N/A | 5541984 | 2222 | 4802 | 14848585 | 4211 | 4213934 | 2025-11-12 01:32:35.266597 | 2026-01-27 23:36:44.802366 |
| 2025-11-11 08:13:31.422863 | 2025-11-12 01:39:02.598058 | 14615499 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14615499 | Athletic Physical Therapy Inc | 1990-09-04 | 2025-11-14 | M | PT | N/A | HASHEMI | XEA914007676 | SEYED | 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/2222/5541956/check_14615499_3facd4e9-dfac-4cb7-95c9-83c304ac2cf2.json | N/A | N/A | N/A | N/A | N/A | XEA914007676 | Preferred Provider Organization (PPO) | SILVUS TECHNOLOGIES INC | BLUE SHIELD CALIFORNIA | N/A | 1990-09-04 | 1000PPOX0002 | W3000628 | N/A | PR | false | HASHEMI | N/A | SEYED MEHRDAD | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1800 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256773135 | N/A | N/A | 5541956 | 2222 | 4802 | 14857949 | N/A | 4213923 | 2025-11-12 01:39:02.598058 | 2025-05-13 04:29:37.228244 |
| 2025-11-11 08:13:31.249482 | 2025-11-12 01:37:50.523923 | 14615489 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 14615489 | Athletic Physical Therapy Inc | 1959-05-13 | 2025-11-12 | F | PT | N/A | ADRIANZEN FERNAN | 221W2005420 | AURA | 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/2222/5541944/check_14615489_60b9b650-17cd-45b2-8dd9-130246408332.json | N/A | N/A | N/A | N/A | N/A | 221W2005420 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-05-13 | N/A | N/A | N/A | N/A | false | ADRIANZEN FERNAN | N/A | AURA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256773134 | N/A | N/A | 5541944 | 2222 | 4801 | 14855580 | 4184 | 4213907 | 2025-11-12 01:37:50.523923 | 2025-05-13 04:29:37.228228 |
| 2025-11-11 08:13:30.976095 | 2025-11-12 01:43:33.805674 | 14615479 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14615479 | Athletic Physical Therapy Inc | 1944-04-25 | 2025-11-14 | F | AE | PT | ROSENTHAL | 6WM0N21VW35 | PHYLLIS | 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/2222/5541887/check_14615479_5257da7a-8330-4f64-a5d2-582772e6b42a.json | N/A | N/A | N/A | N/A | N/A | 6WM0N21VW35 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-04-25 | S4802 | N/A | N/A | MB | false | ROSENTHAL | N/A | PHYLLIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256773133 | N/A | N/A | 5541887 | 2222 | 4802 | 14867332 | N/A | 4213865 | 2025-11-12 01:43:33.805674 | 2025-05-13 04:29:37.228183 |
| 2025-11-11 08:13:30.576618 | 2025-11-12 01:32:57.152477 | 14615467 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 14615467 | override_provider | 1957-04-11 | 2025-11-13 | M | PT | N/A | ADRIAN | MBL508W11635 | NELSON | 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/2222/5541841/check_14615467_4adca82c-d53a-42cf-b86c-d0c7127985de.json | N/A | N/A | N/A | N/A | N/A | MBL508W11635 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | BLUE SHIELD OF CALIFORNIA | N/A | 1957-04-11 | 040 | CAEGR005 | N/A | N/A | false | ADRIAN | N/A | NELSON | N/A | 2025-12-31 | 2022-04-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256773132 | N/A | N/A | 5541841 | 2222 | 4801 | 14848910 | N/A | 4213826 | 2025-11-12 01:32:57.152477 | 2025-05-13 04:29:37.228146 |
| 2025-11-11 08:13:30.198356 | 2025-11-12 01:43:34.591871 | 14615452 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14615452 | Athletic Physical Therapy Inc | 1949-07-06 | 2025-11-12 | M | AE | PT | SILVERMAN | 1P91CV2QF22 | LAWRENCE | 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/2222/5541609/check_14615452_b5945090-1da2-4103-80cc-6ac95c4bbf8b.json | N/A | N/A | N/A | N/A | N/A | 1P91CV2QF22 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-07-06 | N/A | N/A | N/A | MA | false | SILVERMAN | N/A | LAWRENCE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256773131 | N/A | N/A | 5541609 | 2222 | 4793 | 14867356 | N/A | 4213611 | 2025-11-12 01:43:34.591871 | 2025-05-13 04:29:37.227938 |
| 2025-11-11 08:13:29.963940 | 2025-11-12 01:35:11.585450 | 14615444 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 14615444 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-11-14 | M | AD | N/A | LYKIDIS | U1221753503 | JOHN | 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/2222/5541552/check_14615444_c6148288-a550-40ca-995a-1c88cf3f1929.json | N/A | N/A | N/A | N/A | N/A | U1221753503 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 2001-11-21 | N/A | 3207160 | N/A | N/A | false | LYKIDIS | N/A | JOHN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 9256773130 | N/A | N/A | 5541552 | 2222 | 4802 | 14851698 | N/A | 4213562 | 2025-11-12 01:35:11.585450 | 2025-05-13 04:29:37.227895 |
| 2025-11-11 08:13:29.751115 | 2025-11-12 01:36:00.772424 | 14615437 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14615437 | Athletic Physical Therapy Inc | 1985-02-07 | 2025-11-13 | F | AE | PT | SHEPHERD | 93180838F | EMILY | 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/2222/5541519/check_14615437_c020c197-2173-408b-8a51-1ac0d2186e33.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | HEALTH NET, LLC | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256773129 | N/A | N/A | 5541519 | 2222 | 4802 | 14852908 | N/A | 4213530 | 2025-11-12 01:36:00.772424 | 2025-05-13 04:29:37.227860 |
| 2025-11-11 08:13:29.597104 | 2025-11-12 01:38:01.749493 | 14615435 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14615435 | Athletic Physical Therapy Inc | 1974-12-26 | 2025-11-13 | M | PT | N/A | SALEWSKE | SZR600905624 | TYSON | 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/2222/5541518/check_14615435_3b832dcc-f738-40ba-ad87-0cfd3dc21c05.json | N/A | N/A | N/A | N/A | N/A | SZR60090562401 | Preferred Provider Organization (PPO) | SCHWEITZER ENGINEERING LABORATORIES, INC. | ANTHEM BLUE CROSS | N/A | 1974-12-26 | N/A | 1038812 | N/A | PR | false | SALEWSKE | N/A | TYSON | N/A | 9999-12-31 | 2023-01-01 | SELF-FUNDED EXP HERITAGE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256773128 | N/A | N/A | 5541518 | 2222 | 4793 | 14855963 | N/A | 4213526 | 2025-11-12 01:38:01.749493 | 2025-11-13 19:34:43.197819 |
| 2025-11-11 08:13:29.423835 | 2025-11-12 01:37:58.621045 | 14615428 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 14615428 | Athletic Physical Therapy Inc | 2012-06-25 | 2025-11-12 | F | PT | N/A | LORD | JQK822A53740 | ALYSSA | 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/2222/5541409/check_14615428_39216501-85d1-423d-ae03-669b6609d217.json | N/A | N/A | N/A | N/A | N/A | JQT822A53740 | Health Maintenance Organization (HMO) | JLIV SERVICES INC | ANTHEM BLUE CROSS | N/A | 2012-06-25 | 040 | U54789 | N/A | HM | false | LORD | N/A | JETHRO | N/A | 9999-12-31 | 2025-08-01 | CA SG PRISELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256773127 | N/A | N/A | 5541409 | 2222 | 4793 | 14855856 | 4184 | 4213435 | 2025-11-12 01:37:58.621045 | 2025-05-13 04:29:37.227756 |
| 2025-11-11 08:13:29.273981 | 2025-11-12 01:39:04.130956 | 14615421 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14615421 | Athletic Physical Therapy Inc | 1980-05-29 | 2025-11-12 | F | PT | N/A | KURTZ | XED906231353 | NINA | 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/2222/5541378/check_14615421_5a35fcfa-b3fc-4370-9611-c3f8adf3968d.json | N/A | N/A | N/A | N/A | N/A | XED906231353 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-05-29 | 2001ZK002169 | X0001004 | N/A | PR | false | KURTZ | N/A | NINA | N/A | 9999-12-31 | 2025-01-01 | GOLD 80 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256773126 | N/A | N/A | 5541378 | 2222 | 4793 | 14858004 | N/A | 4213405 | 2025-11-12 01:39:04.130956 | 2025-05-13 04:29:37.227726 |
| 2025-11-11 08:13:29.118974 | 2025-11-12 01:39:01.548314 | 14615414 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14615414 | Athletic Physical Therapy Inc | 1963-07-22 | 2025-11-13 | F | PT | N/A | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | 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/2222/5541314/check_14615414_f1e91dea-02a0-48a1-a37a-cb355abc179f.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 9999-12-31 | 2025-01-01 | SILVER 73 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256773125 | N/A | N/A | 5541314 | 2222 | 4793 | 14857910 | N/A | 4213343 | 2025-11-12 01:39:01.548314 | 2025-06-06 02:21:37.603701 |
| 2025-11-11 08:13:28.985557 | 2025-11-12 01:36:00.030356 | 14615409 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14615409 | Athletic Physical Therapy Inc | 1968-03-30 | 2025-11-13 | M | AE | PT | FARAHMAND | 91957675E | ALEX | 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/2222/5541163/check_14615409_277fb94b-d451-419f-99b7-fd16bcf826c9.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | HEALTH NET, LLC | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256773124 | N/A | N/A | 5541163 | 2222 | 4802 | 14852889 | N/A | 4213207 | 2025-11-12 01:36:00.030356 | 2025-05-13 04:29:37.227536 |
| 2025-11-11 08:13:28.836251 | 2025-11-12 01:33:14.300162 | 14615403 | N/A | N/A | 60054 | Aetna | 1114042165 | 14615403 | Athletic Physical Therapy Inc | 1978-02-17 | 2025-11-12 | F | AE | PT | D ORSAY | NSA00801218H | BROOKE | 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/2222/5540943/check_14615403_1be885fc-33b6-4305-a80a-2e522e320d3a.json | N/A | N/A | N/A | N/A | N/A | NSA00801218H | N/A | N/A | AETNA INC | N/A | 1978-02-17 | N/A | N/A | N/A | N/A | false | D ORSAY | N/A | BROOKE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256773123 | N/A | N/A | 5540943 | 2222 | 4793 | 14849171 | N/A | 4213022 | 2025-11-12 01:33:14.300162 | 2025-05-13 04:29:37.227349 |
| 2025-11-11 08:13:28.694269 | 2025-11-12 01:37:35.483290 | 14615399 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14615399 | Athletic Physical Therapy Inc | 1939-07-11 | 2025-11-13 | F | AE | PT | GOMEZ | 00000357273 | EVELYN | 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/2222/5540918/check_14615399_b21c8534-ac1f-4f26-a334-23cf1be9d596.json | N/A | N/A | N/A | N/A | N/A | 00000357273 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1939-07-11 | H3815028 | N/A | N/A | HM | false | GOMEZ | N/A | EVELYN | 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 | 9256773122 | N/A | N/A | 5540918 | 2222 | 4801 | 14855100 | 2630 | 4213001 | 2025-11-12 01:37:35.483290 | 2025-05-13 04:29:37.227329 |
| 2025-11-11 08:13:28.440072 | 2025-11-12 01:43:31.948533 | 14615389 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14615389 | Athletic Physical Therapy Inc | 1949-12-02 | 2025-11-13 | F | AE | PT | LADEN | 6GY2TG9HX06 | CANDACE | 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/2222/5540768/check_14615389_e5cd6a17-aff3-4c70-ab7c-2be3790283c3.json | N/A | N/A | N/A | N/A | N/A | 6GY2TG9HX06 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-12-02 | S4802 | N/A | N/A | MB | false | LADEN | N/A | CANDACE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256773121 | N/A | N/A | 5540768 | 2222 | 4802 | 14867276 | N/A | 4212856 | 2025-11-12 01:43:31.948533 | 2025-08-04 18:33:35.319989 |
| 2025-11-11 08:13:28.141447 | 2025-11-12 01:33:10.283437 | 14615379 | N/A | N/A | 60054 | Aetna | 1114042165 | 14615379 | Athletic Physical Therapy Inc | 1982-07-27 | 2025-11-14 | M | AE | PT | BOKHTIER | W275493875 | GOLAM | 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/2222/5540723/check_14615379_db5c71b1-4dc1-4b78-8526-8403ee399ee1.json | N/A | N/A | N/A | N/A | N/A | W275493875 | Exclusive Provider Organization | AMERICAN EXPRESS COMPANY | AETNA | N/A | 1982-07-27 | 0169631 | 016963101100001 | N/A | EP | false | BOKHTIER | N/A | SUMMER | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256773120 | N/A | N/A | 5540723 | 2222 | 4793 | 14849107 | N/A | 4212833 | 2025-11-12 01:33:10.283437 | 2025-05-28 20:46:35.079848 |
| 2025-11-11 08:13:27.821465 | 2025-11-12 01:36:05.383464 | 14615367 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 14615367 | Athletic Physical Therapy Inc | 1940-03-29 | 2025-11-13 | F | AE | PT | MARTINEZ | 40032670501 | MARIA | 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/2222/5540591/check_14615367_e6ee1021-e8b0-4106-bece-1d22237f5d49.json | N/A | N/A | N/A | N/A | N/A | 40032670501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1940-03-29 | 2025H5425001 | H5425M | N/A | N/A | false | MARTINEZ | N/A | MARIA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256773119 | N/A | N/A | 5540591 | 2222 | 4801 | 14853029 | N/A | 4212724 | 2025-11-12 01:36:05.383464 | 2025-07-26 22:27:37.781276 |
| 2025-11-11 08:13:27.720013 | 2025-11-12 01:51:19.847065 | 14615363 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14615363 | Athletic Physical Therapy Inc | 1973-10-11 | 2025-11-13 | F | PT | N/A | GAIKI | WZA401W18564 | ASHWINI | 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/2222/9858377/check_14615363_84c0c8d3-f952-42f7-a71f-2bca0e543d8a.json | N/A | N/A | N/A | N/A | N/A | WZA401W18564 | Preferred Provider Organization (PPO) | WARNER BROS DISCOVERY INC | ANTHEM BLUE CROSS | N/A | 1973-10-11 | 130 | 270240M35A | N/A | PR | false | GAIKI | N/A | AKASH | N/A | 9999-12-31 | 2024-01-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256872890 | N/A | N/A | 9858377 | 2222 | 4801 | 14876287 | N/A | 8253977 | 2025-11-12 01:51:19.847065 | 2025-10-08 15:49:07.618378 |
| 2025-11-11 08:13:27.624536 | 2025-11-12 01:43:28.123138 | 14615358 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14615358 | Athletic Physical Therapy Inc | 1940-05-13 | 2025-11-13 | F | AE | PT | ALIZADEH GHARBAGHI | 6AX8PH3NH43 | TOURAN | 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/2222/5540531/check_14615358_bb135630-d43d-4761-aa9e-26150b6e8472.json | N/A | N/A | N/A | N/A | N/A | 6AX8PH3NH43 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-05-13 | S5617 | N/A | N/A | MB | false | ALIZADEH GHARBAGHI | N/A | TOURAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256773118 | N/A | N/A | 5540531 | 2222 | 4802 | 14867133 | N/A | 4212676 | 2025-11-12 01:43:28.123138 | 2025-07-03 21:09:02.193065 |
| 2025-11-11 08:13:27.511639 | 2025-11-12 01:36:04.437026 | 14615353 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 14615353 | Athletic Physical Therapy Inc | 1956-07-18 | 2025-11-12 | M | AE | PT | BELL | 40055462001 | LOWELL | 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/2222/5540339/check_14615353_b074de19-670a-422c-98c1-c84c66d9af5f.json | N/A | N/A | N/A | N/A | N/A | 40055462001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-07-18 | 2025H5425097VEF | H5425CSNP | N/A | N/A | false | BELL | N/A | LOWELL | N/A | N/A | N/A | SCAN STRIVE (HMO SNP), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256773117 | N/A | N/A | 5540339 | 2222 | 4801 | 14853008 | N/A | 4212512 | 2025-11-12 01:36:04.437026 | 2025-11-04 22:17:35.476315 |
| 2025-11-11 08:13:27.341340 | 2025-11-12 01:43:27.731839 | 14615347 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14615347 | Athletic Physical Therapy Inc | 1954-06-15 | 2025-11-13 | F | AE | PT | ADIB | 1TJ9E76RP17 | JILA | 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/2222/5540303/check_14615347_b94d5e31-d90e-4ec0-b442-49286a49e40c.json | N/A | N/A | N/A | N/A | N/A | 1TJ9E76RP17 | Medicare Part B | N/A | ACCESS GENERALINSUR COMP | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-06-15 | S4802 | DOL 10302012 | N/A | MB | false | ADIB | N/A | JILA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256773116 | N/A | N/A | 5540303 | 2222 | 4801 | 14867116 | N/A | 4212486 | 2025-11-12 01:43:27.731839 | 2025-09-30 02:32:14.808821 |
| 2025-11-11 08:13:27.133678 | 2025-11-12 01:35:10.137336 | 14615340 | N/A | N/A | 62308 | CIGNA PPO | 1114042165 | 14615340 | Athletic Physical Therapy Inc | 1967-12-13 | 2025-11-12 | M | AE | PT | MIDDLETON | U3369221802 | BLAKE | 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/2222/5540185/check_14615340_5b2e9dc4-b512-46a6-b318-734648f4b7bc.json | N/A | N/A | N/A | N/A | N/A | U3369221802 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1967-12-13 | N/A | 3346355 | N/A | HM | false | MIDDLETON | N/A | BLAKE | N/A | N/A | N/A | NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256773115 | N/A | N/A | 5540185 | 2222 | 4802 | 14851664 | 4437 | 4212381 | 2025-11-12 01:35:10.137336 | 2025-12-17 20:12:42.035054 |
| 2025-11-11 08:13:26.967344 | 2025-11-12 01:33:13.924336 | 14615333 | N/A | N/A | 60054 | Aetna | 1114042165 | 14615333 | Athletic Physical Therapy Inc | 1948-11-01 | 2025-11-14 | F | AE | PT | TUCKER | 101632234800 | EILEEN | 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/2222/5540116/check_14615333_deece7d8-83d7-4edd-a97d-6d1f5b894934.json | N/A | N/A | N/A | N/A | N/A | 101632234800 | Preferred Provider Organization (PPO) | STATE OF ILLINOIS RETIREES - MAPD | AETNA | MEDICARE | 1948-11-01 | 100512-01EG0001 | 100512-01 | N/A | PR | false | TUCKER | N/A | EILEEN | N/A | N/A | N/A | MEDICARE (C05) ESA PPO PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256773114 | N/A | N/A | 5540116 | 2222 | 4801 | 14849162 | N/A | 4212312 | 2025-11-12 01:33:13.924336 | 2025-05-13 04:29:37.226651 |
| 2025-11-11 08:13:26.820536 | 2025-11-12 01:37:52.282084 | 14615329 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14615329 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-11-13 | F | PT | N/A | BOYLAN | MBL857M98403 | JOAN | 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/2222/5540074/check_14615329_fb83e1ab-7e07-4888-a22f-2a8cd84837a8.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256773113 | N/A | N/A | 5540074 | 2222 | 4802 | 14855644 | N/A | 4212282 | 2025-11-12 01:37:52.282084 | 2025-05-13 04:29:37.226623 |
| 2025-11-11 08:13:26.696910 | 2025-11-12 01:37:11.835924 | 14615323 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14615323 | Athletic Physical Therapy Inc | 1982-06-09 | 2025-11-12 | M | AE | PT | FULKERSON | R12222652MM1 | SCOTT | 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/2222/5539956/check_14615323_5d5bf0c0-b0fe-4347-9196-302fabdd079c.json | N/A | N/A | N/A | N/A | N/A | R12222652MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1982-06-09 | N/A | N/A | N/A | N/A | false | FULKERSON | N/A | SCOTT | N/A | N/A | N/A | MFC UCNNHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256773112 | N/A | N/A | 5539956 | 2222 | 4801 | 14854539 | N/A | 4212166 | 2025-11-12 01:37:11.835924 | 2025-10-23 15:59:33.239127 |
| 2025-11-11 08:13:26.497027 | 2025-11-12 01:37:52.630543 | 14615316 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14615316 | Athletic Physical Therapy Inc | 2011-01-19 | 2025-11-14 | M | PT | N/A | CHELIUS | JXN662A51170 | CADEN | 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/2222/5539929/check_14615316_9dda3b9f-82bf-4fdf-ab80-bb291d2c6fac.json | N/A | N/A | N/A | N/A | N/A | JXN662A51170 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 2011-01-19 | 040 | 174222M9A1 | N/A | PR | false | CHELIUS | N/A | CRAIG | N/A | 9999-12-31 | 2021-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256773111 | N/A | N/A | 5539929 | 2222 | 4793 | 14855657 | N/A | 4212158 | 2025-11-12 01:37:52.630543 | 2025-10-22 16:00:14.919111 |
| 2025-11-11 08:13:26.329436 | 2025-11-12 01:39:30.008890 | 14615312 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14615312 | Athletic Physical Therapy Inc | 1983-08-31 | 2025-11-13 | M | PT | N/A | FLEMING | SZF839281184 | CHASE | 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/2222/5539901/check_14615312_53b6711a-64e8-4268-8ec9-f46864b05bc7.json | N/A | N/A | N/A | N/A | N/A | SZF839281184 | Preferred Provider Organization (PPO) | ACTIVE | CUSTOMER SERVICE | N/A | 1983-08-31 | N/A | 018137 | N/A | PR | false | FLEMING | N/A | CHASE | N/A | 9999-12-31 | 2021-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256773110 | N/A | N/A | 5539901 | 2222 | 4793 | 14858890 | N/A | 4212134 | 2025-11-12 01:39:30.008890 | 2025-08-05 02:56:55.384378 |
| 2025-11-11 08:13:26.023831 | 2025-11-12 01:37:55.535772 | 14615303 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14615303 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-11-14 | M | PT | N/A | FINNLEY | NGO832M81089 | ZEV | 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/2222/5539664/check_14615303_a956f0d1-688d-4574-bbe5-bdc875337f14.json | N/A | N/A | N/A | N/A | N/A | NGO832M81089 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 1991-07-13 | 040 | 174022MJAC | N/A | PR | false | FINNLEY | N/A | ZEV | N/A | 9999-12-31 | 2022-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256773109 | N/A | N/A | 5539664 | 2222 | 4793 | 14855754 | N/A | 4211935 | 2025-11-12 01:37:55.535772 | 2025-05-13 04:29:37.226259 |
| 2025-11-11 08:13:25.627301 | 2025-11-12 01:37:55.943438 | 14615293 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14615293 | Athletic Physical Therapy Inc | 1963-05-25 | 2025-11-12 | F | PT | N/A | GINSBERG | JQU469A62630 | LISA | 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/2222/5539612/check_14615293_33e9f659-2fd8-4949-a2c1-9e4789629108.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1963-05-25 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 2026-01-01 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256773108 | N/A | N/A | 5539612 | 2222 | 4793 | 14855769 | N/A | 4211892 | 2025-11-12 01:37:55.943438 | 2025-11-02 22:03:21.557202 |
| 2025-11-11 08:13:25.189325 | 2025-11-12 01:37:59.954991 | 14615279 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14615279 | Athletic Physical Therapy Inc | 1975-10-23 | 2025-11-14 | F | PT | N/A | MAGEE | SRYHC0157512 | JENNIFER | 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/2222/5539606/check_14615279_e4c11eee-a981-45c3-859d-16b87b26cf86.json | N/A | N/A | N/A | N/A | N/A | SRYHC0157512 | Preferred Provider Organization (PPO) | SURVEYMONKEY PPO IN STATE | ANTHEM BLUE CROSS | N/A | 1975-10-23 | 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 | 9256773107 | N/A | N/A | 5539606 | 2222 | 4793 | 14855903 | N/A | 4211886 | 2025-11-12 01:37:59.954991 | 2026-02-06 19:09:03.082684 |
| 2025-11-11 08:13:24.997669 | 2025-11-12 01:38:03.413855 | 14615270 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14615270 | Athletic Physical Therapy Inc | 1961-10-29 | 2025-11-13 | F | PT | N/A | STEWARD | NCF874A20085 | ANDREA | 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/2222/5539556/check_14615270_248d304a-d792-471c-8de1-7c4ec87165b0.json | N/A | N/A | N/A | N/A | N/A | NCF874A20085 | Health Maintenance Organization (HMO) | LACERS- LOS ANGELES CITY RETIREMENT SYSTEMS | ANTHEM BLUE CROSS | N/A | 1961-10-29 | 040 | 57ABBA | N/A | HM | false | STEWARD | N/A | ANDREA | N/A | 9999-12-31 | 2017-04-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256773106 | N/A | N/A | 5539556 | 2222 | 4801 | 14856007 | N/A | 4211841 | 2025-11-12 01:38:03.413855 | 2025-10-23 18:30:51.891275 |
| 2025-11-11 08:13:24.858295 | 2025-11-12 01:43:31.584716 | 14615264 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14615264 | Athletic Physical Therapy Inc | 1956-03-01 | 2025-11-13 | M | AE | PT | KLINGE | 9JP2FT7FX98 | JOHN | 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/2222/5539484/check_14615264_d844a643-0880-47db-a537-718b7bfa772f.json | N/A | N/A | N/A | N/A | N/A | 9JP2FT7FX98 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-03-01 | S4802 | N/A | N/A | MA | false | KLINGE | N/A | JOHN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256773105 | N/A | N/A | 5539484 | 2222 | 4793 | 14867263 | N/A | 4211780 | 2025-11-12 01:43:31.584716 | 2025-10-27 16:53:51.769426 |
| 2025-11-11 08:13:24.655810 | 2025-11-12 01:37:03.380855 | 14615257 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 14615257 | Athletic Physical Therapy Inc | 1945-01-25 | 2025-11-14 | M | AE | PT | DELLA PUPPA | 978280294 | EGIDIO | 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/2222/5539350/check_14615257_e7d06abc-5ccc-4a89-af8b-990b28d5c396.json | N/A | N/A | N/A | N/A | N/A | 97828029400 | Commercial | N/A | OXFORD HEALTH INSURANCE, INC. | FUNDING TYPE = FULLY INSURED - SMALL GROUP | 1945-01-25 | N/A | 1317506 | N/A | C1 | false | DELLA PUPPA | N/A | EGIDIO | N/A | N/A | N/A | FREEDOM NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256773104 | N/A | N/A | 5539350 | 2222 | 4802 | 14854318 | N/A | 4211672 | 2025-11-12 01:37:03.380855 | 2025-11-10 19:39:57.037353 |
| 2025-11-11 08:13:24.467143 | 2025-11-12 01:37:53.762644 | 14615249 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14615249 | Athletic Physical Therapy Inc | 2008-01-01 | 2025-11-13 | M | PT | N/A | COSTELLO | JXN840A20610 | JAMES | 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/2222/5539326/check_14615249_341f957b-1efa-4347-9b26-b5814edf6459.json | N/A | N/A | N/A | N/A | N/A | JXN840A20610 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 2008-01-01 | 040 | 174222MAA1 | N/A | PR | false | COSTELLO | N/A | PATRICK | N/A | 9999-12-31 | 2022-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256773103 | N/A | N/A | 5539326 | 2222 | 4793 | 14855701 | N/A | 4211647 | 2025-11-12 01:37:53.762644 | 2025-10-21 19:53:46.280627 |
| 2025-11-11 08:13:24.069744 | 2025-11-12 01:37:57.821633 | 14615235 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14615235 | Athletic Physical Therapy Inc | 1952-09-29 | 2025-11-12 | F | PT | N/A | JOHNSON | JQS766M90611 | JANET | 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/2222/5539188/check_14615235_9be4bb4c-a46a-405e-bd91-2b06be8c7a5f.json | N/A | N/A | N/A | N/A | N/A | JQS766M90611 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-09-29 | 040 | CAMCRWP0 | N/A | MP | false | JOHNSON | N/A | JANET | 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 | 9256773102 | N/A | N/A | 5539188 | 2222 | 4801 | 14855827 | 4185 | 4211521 | 2025-11-12 01:37:57.821633 | 2025-10-19 23:43:25.603984 |
| 2025-11-11 08:13:23.836424 | 2025-11-12 01:37:56.412613 | 14615229 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14615229 | Athletic Physical Therapy Inc | 1960-08-08 | 2025-11-12 | M | PT | N/A | GINSBERG | JQU469A62630 | STEVEN | 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/2222/5538693/check_14615229_26ec27db-98ab-451d-a116-1d92ab6c62bb.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1960-08-08 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 2026-01-01 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256773101 | N/A | N/A | 5538693 | 2222 | 4793 | 14855783 | N/A | 4211081 | 2025-11-12 01:37:56.412613 | 2025-05-13 04:29:37.225492 |
| 2025-11-11 08:13:23.468905 | 2025-11-12 01:36:04.842183 | 14615218 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 14615218 | Athletic Physical Therapy Inc | 1951-08-02 | 2025-11-13 | M | AE | PT | CHADIDA | 40060913601 | DAVID | 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/2222/5538674/check_14615218_1258a5e0-a358-4b8d-b747-1ed7d24c2b90.json | N/A | N/A | N/A | N/A | N/A | 40060913601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-08-02 | 2025H5425001 | H5425M | N/A | N/A | false | CHADIDA | N/A | DAVID | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256772066 | N/A | N/A | 5538674 | 2222 | 4793 | 14853017 | N/A | 4211039 | 2025-11-12 01:36:04.842183 | 2025-05-13 04:29:37.225444 |
| 2025-11-11 08:13:23.113219 | 2025-11-12 01:39:04.794928 | 14615205 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14615205 | Athletic Physical Therapy Inc | 1980-10-31 | 2025-11-12 | M | PT | N/A | PAREDES | XEH910686412 | JOSE | 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/2222/5538615/check_14615205_96878c32-70bd-44e5-80f9-61ded5f9ee67.json | N/A | N/A | N/A | N/A | N/A | XEH910686412 | Health Maintenance Organization (HMO) | TRADER JOE S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1980-10-31 | 1000VX000001 | W0069783 | N/A | HM | false | MORDKA | N/A | LUCAS | N/A | 9999-12-31 | 2021-07-01 | TRADER JOE S COMPANY CUSTOM ACCESS HMO 25 500 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256772065 | N/A | N/A | 5538615 | 2222 | 4793 | 14858018 | N/A | 4211010 | 2025-11-12 01:39:04.794928 | 2025-09-30 17:03:18.054141 |
| 2025-11-11 08:13:22.883631 | 2025-11-12 01:51:20.698882 | 14615195 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14615195 | Athletic Physical Therapy Inc | 1954-02-05 | 2025-11-12 | M | PT | N/A | HERNANDEZ | NCF335A78493 | FELIPE | 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/2222/9857185/check_14615195_73fd8bb2-001d-4b65-b2f7-bd9510618885.json | N/A | N/A | N/A | N/A | N/A | NCF335A78493 | Health Maintenance Organization (HMO) | CITY OF LOS ANGELES | ANTHEM BLUE CROSS | N/A | 1954-02-05 | 040 | 280612H004 | N/A | HM | false | HERNANDEZ | N/A | FELIPE | N/A | 9999-12-31 | 2017-10-18 | PREMIER SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256872875 | N/A | N/A | 9857185 | 2222 | 4793 | 14876306 | N/A | 8252801 | 2025-11-12 01:51:20.698882 | 2026-02-23 23:58:40.440949 |
| 2025-11-11 08:13:22.854658 | 2025-11-12 01:43:29.145759 | 14615193 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14615193 | Athletic Physical Therapy Inc | 1952-12-18 | 2025-11-14 | F | AE | PT | DU BRIN | 7KN7YG8XT63 | SUSAN | 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/2222/5538600/check_14615193_e4521435-c536-4324-bd02-5e5e1fcd028e.json | N/A | N/A | N/A | N/A | N/A | 7KN7YG8XT63 | Medicare Part B | N/A | UNITED SERVICES AUTOMOBILE ASSOC | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-12-18 | S4802 | DOL 06142025 | N/A | MB | false | DU BRIN | N/A | SUSAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256772064 | N/A | N/A | 5538600 | 2222 | 4793 | 14867178 | N/A | 4210998 | 2025-11-12 01:43:29.145759 | 2026-02-23 18:49:01.874308 |
| 2025-11-11 08:13:22.504461 | 2025-11-12 01:43:29.896705 | 14615183 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14615183 | Athletic Physical Therapy Inc | 1954-01-12 | 2025-11-13 | F | AE | PT | FINCH | 3YV4XM6FP06 | DAWN | 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/2222/5538472/check_14615183_ecfbb16c-f160-4c08-bc9e-e1726b8d8ec8.json | N/A | N/A | N/A | N/A | N/A | 3YV4XM6FP06 | Medicare Part A | N/A | OPTUM INSURANCE OF OHIO, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-12 | S8841 | N/A | N/A | MA | false | FINCH | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256772063 | N/A | N/A | 5538472 | 2222 | 4802 | 14867202 | N/A | 4210886 | 2025-11-12 01:43:29.896705 | 2025-05-13 04:29:37.225284 |