API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-11 08:06:03.850437 | 2025-11-12 01:44:38.309491 | 14586775 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14586775 | Athletic Physical Therapy Inc | 1959-02-09 | 2025-11-12 | F | AE | PT | FERTSCHNEIDER | 4DU9YG4YD46 | NANCY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.100118559.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7204595/check_14586775_b255d549-bbc4-4105-9860-a6cdaeeebf25.json | N/A | N/A | N/A | N/A | N/A | 4DU9YG4YD46 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-09 | S5884 | N/A | N/A | MB | false | FERTSCHNEIDER | N/A | NANCY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256735216 | N/A | N/A | 7204595 | 2222 | 4801 | 14869404 | N/A | 6175435 | 2025-11-12 01:44:38.309491 | 2025-08-05 19:05:08.506352 |
| 2025-11-11 08:06:02.348067 | 2025-11-12 01:38:44.445718 | 14586666 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 14586666 | Athletic Physical Therapy Inc | 1967-03-31 | 2025-11-12 | F | PT | N/A | BARRERA | XEH903839121 | LOLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.100118559.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7203168/check_14586666_276e9c75-47a0-47d7-bbed-0f10817a5860.json | N/A | N/A | N/A | N/A | N/A | XEH903839121 | Health Maintenance Organization (HMO) | CVT MOORPARK USD | BLUE SHIELD CALIFORNIA | N/A | 1967-03-31 | 1000HMOX0005 | W0052266 | N/A | HM | false | BARRERA | N/A | LOLA | N/A | N/A | N/A | CALIFORNIA S VALUED TRUST CUSTOM HMO 10 0 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256735199 | N/A | N/A | 7203168 | 2222 | 4793 | 14857335 | N/A | 5230345 | 2025-11-12 01:38:44.445718 | 2025-07-11 20:32:03.183345 |
| 2025-11-11 08:05:57.739653 | 2025-11-12 01:47:56.707399 | 14586323 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14586323 | Athletic Physical Therapy Inc | 1942-02-01 | 2025-11-12 | F | AE | PT | CHANG | 3FV9E71EE00 | QUANG | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105806894.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11159406/check_14586323_b72637b9-9acc-497c-beec-e7d622a65316.json | N/A | N/A | N/A | N/A | N/A | 3FV9E71EE00 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-02-01 | S4802 | N/A | N/A | MA | false | CHANG | N/A | QUANG CHAN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256731505 | N/A | N/A | 11159406 | 2222 | 4793 | 14873181 | N/A | 9505845 | 2025-11-12 01:47:56.707399 | 2026-04-29 00:06:17.964395 |
| 2025-11-11 08:05:49.087335 | 2025-11-12 01:43:21.179767 | 14585726 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14585726 | Athletic Physical Therapy Inc | 2011-08-24 | 2025-11-13 | M | PT | N/A | ASHER | XEA905199322 | ZACHARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105806894.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11156602/check_14585726_6091b01f-cffa-4d0d-915a-002740377584.json | N/A | N/A | N/A | N/A | N/A | XEA905199322 | Preferred Provider Organization (PPO) | DIGITAL LION MARKETING | BLUE SHIELD CALIFORNIA | N/A | 2011-08-24 | 1000VX000102 | W0005232 | N/A | PR | false | ASHER | N/A | RACHEL | N/A | 2025-12-31 | 2025-01-01 | PLATINUM FULL PPO 0 10 OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256731039 | N/A | N/A | 11156602 | 2222 | 4793 | 14866881 | N/A | 9503413 | 2025-11-12 01:43:21.179767 | 2025-10-22 21:03:24.468784 |
| 2025-11-11 08:05:47.098865 | 2025-11-12 01:47:57.640756 | 14585596 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14585596 | Athletic Physical Therapy Inc | 1942-12-02 | 2025-11-12 | M | AE | PT | Lawrence | 5N91QT7KX96 | Harvey | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105806894.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11156181/check_14585596_2d0ae620-19ed-4045-be0f-251fc37d2483.json | N/A | N/A | N/A | N/A | N/A | 5N91QT7KX96 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-12-02 | S5884 | N/A | N/A | MA | false | LAWRENCE | N/A | HARVEY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256731012 | N/A | N/A | 11156181 | 2222 | 4802 | 14873191 | N/A | 9502693 | 2025-11-12 01:47:57.640756 | 2025-12-16 19:10:22.413376 |
| 2025-11-11 08:05:44.672569 | 2025-11-12 01:56:59.714441 | 14585422 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 14585422 | Athletic Physical Therapy Inc | 1982-08-25 | 2025-11-13 | F | PT | N/A | SANCHEZ | XDM281A73325 | FRANCISCA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.104329755.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9321862/check_14585422_10de7fae-9d9e-4870-8058-abc76cdb5588.json | N/A | N/A | N/A | N/A | N/A | XDM281A73325 | Health Maintenance Organization (HMO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 1982-08-25 | 040 | 57ARJS | N/A | HM | false | SANCHEZ | N/A | FRANCISCA | N/A | 9999-12-31 | 2025-10-01 | CLASSIC SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256928306 | N/A | N/A | 9321862 | 2222 | 4801 | 14881835 | 4184 | 7821295 | 2025-11-12 01:56:59.714441 | 2025-10-01 23:30:48.597825 |
| 2025-11-11 08:05:42.406813 | 2025-11-12 01:55:08.930852 | 14585251 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14585251 | Athletic Physical Therapy Inc | 1990-12-22 | 2025-11-13 | M | AE | PT | PRABHALA | R13572760MM1 | SAI RAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.104329755.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9321575/check_14585251_008b8270-cd54-44a5-8322-36f5b79555bf.json | N/A | N/A | N/A | N/A | N/A | R13572760MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1990-12-22 | N/A | N/A | N/A | N/A | false | PRABHALA | N/A | SAI RAM PAVAN PRASAD | N/A | N/A | N/A | KAI SBP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256928302 | N/A | N/A | 9321575 | 2222 | 4801 | 14879986 | N/A | 7820903 | 2025-11-12 01:55:08.930852 | 2025-09-22 20:31:02.620835 |
| 2025-11-11 08:05:30.278606 | 2025-11-12 02:03:54.455582 | 14584481 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14584481 | Athletic Physical Therapy Inc | 1947-02-15 | 2025-11-13 | F | AE | PT | LING WONG | 5KK4G78YK65 | YEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.130022301.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9978113/check_14584481_d0f0c49d-d0f9-4ecc-b7de-f26c2d25389b.json | N/A | N/A | N/A | N/A | N/A | 5KK4G78YK65 | N/A | N/A | CMS | N/A | 1947-02-15 | N/A | N/A | N/A | N/A | false | LING WONG | N/A | YEE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256954118 | N/A | N/A | 9978113 | 2222 | 4802 | 14886730 | N/A | 8351682 | 2025-11-12 02:03:54.455582 | 2025-10-08 14:26:11.260769 |
| 2025-11-11 08:05:20.328607 | 2025-11-12 01:33:29.471416 | 14583939 | N/A | N/A | 60054 | Aetna | 1114042165 | 14583939 | Athletic Physical Therapy Inc | 1976-03-18 | 2025-11-13 | M | AE | PT | SEEMAN | W290664045 | MICHAEL | 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/2222/10208244/check_14583939_d033dbed-7406-45bd-b9a4-f631e667fb56.json | N/A | N/A | N/A | N/A | N/A | W290664045 | Point of Service (POS) | PAYCHEX BUSINESS SOLUTIONS, LLC. | AETNA | N/A | 1976-03-18 | 0176563 | 017656301100028 | N/A | PS | false | SEEMAN | N/A | MICHAEL | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256864398 | N/A | N/A | 10208244 | 2222 | 4801 | 14849470 | N/A | 8500669 | 2025-11-12 01:33:29.471416 | 2025-10-08 23:15:42.079175 |
| 2025-11-11 08:05:11.171564 | 2025-11-12 01:37:09.374671 | 14583480 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14583480 | Athletic Physical Therapy Inc | 1978-12-04 | 2025-11-12 | M | PT | N/A | Karp | R58968799 | Aaron | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.100118559.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7036296/check_14583480_2613ba3d-4795-4d73-a4db-e7882877e59a.json | N/A | N/A | N/A | N/A | N/A | R58968799 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1978-12-04 | N/A | 112 | N/A | PR | false | KARP | N/A | JENNIFER | N/A | 9999-12-31 | 2012-12-02 | BASIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256734604 | N/A | N/A | 7036296 | 2222 | 4802 | 14854471 | N/A | 6049018 | 2025-11-12 01:37:09.374671 | 2025-07-16 16:57:31.246752 |
| 2025-11-11 08:05:06.783404 | 2025-11-12 03:47:50.990500 | 14583268 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14583268 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-11-12 | F | PT | N/A | GIANNE | XED910762094 | NATALIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.113530401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_14583268_32fe0e78-0579-4488-bce7-61211c63b396.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256774432 | N/A | N/A | 7994545 | 2222 | 4802 | 14895265 | N/A | 6802250 | 2025-11-12 03:47:50.990500 | 2025-08-11 23:58:28.358402 |
| 2025-11-11 08:05:04.691404 | 2025-11-12 01:57:03.394423 | 14583177 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14583177 | Athletic Physical Therapy Inc | 2009-10-25 | 2025-11-13 | F | PT | N/A | TAITE | JQU200A62919 | SERAPHINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105826028.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9610001/check_14583177_7b769a7a-524a-4252-9b1b-99f04ef57fb4.json | N/A | N/A | N/A | N/A | N/A | JQU200A62919 | Preferred Provider Organization (PPO) | TREATMENT CENTER MANAGEMENT CORPORATION | ANTHEM BLUE CROSS | N/A | 2009-10-25 | 040 | U26732 | N/A | PR | false | TAITE | N/A | RICHARD | N/A | 2026-01-01 | 2025-05-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256749106 | N/A | N/A | 9610001 | 2222 | 4802 | 14881899 | N/A | 8040917 | 2025-11-12 01:57:03.394423 | 2025-09-22 14:19:04.386066 |
| 2025-11-11 08:05:01.820462 | 2025-11-12 08:10:19.422859 | 14583045 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 14583045 | Athletic Physical Therapy Inc | 1966-12-04 | 2025-11-14 | M | PT | N/A | CLANCY | XDMOE0503879 | JOSEPH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.100209801.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9194927/check_14583045_229f6485-7ab9-4295-b125-2cf1f347634c.json | N/A | N/A | N/A | N/A | N/A | XDMOE0503879 | Health Maintenance Organization (HMO) | OPERATING ENGINEERS HEALTH&WELFARE FUND | ANTHEM BLUE CROSS | N/A | 1966-12-04 | 040 | 278671H001 | N/A | HM | false | CLANCY | N/A | JOSEPH | N/A | 9999-12-31 | 2025-02-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256723428 | N/A | N/A | 9194927 | 2222 | 4793 | 14905630 | 4184 | 7712549 | 2025-11-12 08:10:19.422859 | 2025-09-10 17:29:28.945035 |
| 2025-11-11 08:05:00.171734 | 2025-11-12 03:46:50.223214 | 14582972 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14582972 | Athletic Physical Therapy Inc | 1971-05-04 | 2025-11-12 | F | PT | N/A | MAHAARACHCHI | EXHAN7912598 | Nilanthi | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.113530401.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7988722/check_14582972_c52f01f6-27a3-4a78-ba8d-94b458295799.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | Preferred Provider Organization (PPO) | XEROX CORPORATION | ANTHEM BLUE CROSS | N/A | 1971-05-04 | 060 | 270101M11A | N/A | PR | false | MAHAARACHCHI | N/A | SENAKA | N/A | 9999-12-31 | 2025-01-01 | CDHP CT BC PPO HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256774419 | N/A | N/A | 7988722 | 2222 | 4793 | 14894612 | 4185 | 6798209 | 2025-11-12 03:46:50.223214 | 2025-10-29 15:15:17.952230 |
| 2025-11-11 08:04:54.955109 | 2025-11-12 05:31:31.627468 | 14582753 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 14582753 | Athletic Physical Therapy Inc | 1955-02-20 | 2025-11-14 | F | AE | PT | SALGUERO | 35955370 | DINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105758467.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6711965/check_14582753_327f0cf5-6ed3-46b8-9283-d606e39d2dbd.json | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | 406-005-000 | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256869787 | N/A | N/A | 6711965 | 2222 | 4793 | 14900288 | 6798 | 4210430 | 2025-11-12 05:31:31.627468 | 2025-05-13 04:29:37.224841 |
| 2025-11-11 08:04:45.281578 | 2025-11-12 01:44:39.446446 | 14582361 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14582361 | Athletic Physical Therapy Inc | 1968-07-21 | 2025-11-12 | F | AE | PT | MCALISTER | 4TU6H11QQ85 | BONNIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.100118559.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7024101/check_14582361_29dc7aa7-f566-4799-874d-e846fac6905d.json | N/A | N/A | N/A | N/A | N/A | 4TU6H11QQ85 | Medicare Part B | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1968-07-21 | N/A | N/A | N/A | MB | false | MCALISTER | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256734352 | N/A | N/A | 7024101 | 2222 | 4801 | 14869439 | N/A | 6038562 | 2025-11-12 01:44:39.446446 | 2025-07-30 21:46:09.369299 |
| 2025-11-11 08:04:45.115494 | 2025-11-12 08:18:42.759964 | 14582354 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14582354 | Athletic Physical Therapy Inc | 1947-12-03 | 2025-11-13 | M | AE | PT | WONG | 6GE2PF6CC92 | STANLEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.100209801.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9132315/check_14582354_d29cbd38-39e0-4f4f-b545-7090ebf4b381.json | N/A | N/A | N/A | N/A | N/A | 6GE2PF6CC92 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-12-03 | H4036 | N/A | N/A | MA | false | WONG | N/A | STANLEY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256722262 | N/A | N/A | 9132315 | 2222 | 4802 | 14906572 | N/A | 7140615 | 2025-11-12 08:18:42.759964 | 2025-09-05 16:51:17.488032 |
| 2025-11-11 08:04:42.180826 | 2025-11-12 01:31:50.719465 | 14582221 | N/A | N/A | 38333 | MOLINA HEALTHCARE OF CALIFORNIA | 1114042165 | 14582221 | Athletic Physical Therapy Inc | 1963-05-22 | 2025-11-13 | M | AE | PT | SMITH | 99688004H | MATTHEW | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.100118559.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7022680/check_14582221_9e670f06-149c-483e-965a-9a595fd66b5c.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 | 9256734343 | N/A | N/A | 7022680 | 2222 | 4793 | 14848125 | 4211 | 6037802 | 2025-11-12 01:31:50.719465 | 2025-07-22 17:48:16.997014 |
| 2025-11-11 08:04:37.232409 | 2025-11-12 01:39:55.653917 | 14581994 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14581994 | Athletic Physical Therapy Inc | 1948-06-02 | 2025-11-12 | M | AE | PT | DIAZ GONZALEZ | 00000162490 | ERASMO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105803944.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8481461/check_14581994_a5fa66cb-74d1-40d8-af06-d0025f524799.json | N/A | N/A | N/A | N/A | N/A | 00000162490 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1948-06-02 | H3815028 | N/A | N/A | HM | false | DIAZ GONZALEZ | N/A | ERASMO | 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 | 9256949723 | N/A | N/A | 8481461 | 2222 | 4801 | 14859726 | 2630 | 7150693 | 2025-11-12 01:39:55.653917 | 2025-08-25 20:10:31.213285 |
| 2025-11-11 08:04:35.673975 | 2025-11-12 01:36:38.628644 | 14581913 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14581913 | Athletic Physical Therapy Inc | 1959-07-25 | 2025-11-14 | F | AE | PT | CARRANZA | 00000342921 | KISELL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.100118559.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7019836/check_14581913_99b103ed-7468-47d7-9edf-154657b3b86e.json | N/A | N/A | N/A | N/A | N/A | 00000342921 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1959-07-25 | H3815039 | N/A | N/A | HM | false | CARRANZA | N/A | KISELL | N/A | N/A | N/A | ALIGNMENT HEALTH HEART & DIABETES CALPLUS (HMO C-S | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256734319 | N/A | N/A | 7019836 | 2222 | 4802 | 14853814 | 2630 | 4214064 | 2025-11-12 01:36:38.628644 | 2025-07-15 17:36:25.711810 |
| 2025-11-11 08:04:32.924768 | 2025-11-12 01:44:28.832751 | 14581792 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14581792 | Athletic Physical Therapy Inc | 1951-10-12 | 2025-11-12 | F | AE | PT | Ahadian | 3PT2AT4QU70 | Vida | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.105803944.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8477425/check_14581792_899dcb38-8400-4c55-9f6b-3def94f90cfa.json | N/A | N/A | N/A | N/A | N/A | 3PT2AT4QU70 | Medicare Part A | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-10-12 | S9701 | N/A | N/A | MA | false | AHADIAN | N/A | VIDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256949716 | N/A | N/A | 8477425 | 2222 | 4802 | 14869072 | N/A | 7146980 | 2025-11-12 01:44:28.832751 | 2025-08-25 22:34:13.951153 |
| 2025-11-11 08:04:27.421617 | 2025-11-12 08:10:19.787205 | 14581566 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14581566 | Athletic Physical Therapy Inc | 2009-01-14 | 2025-11-13 | F | PT | N/A | OBACZ | JQV897A63197 | KLOIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.100209801.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9102655/check_14581566_02df6718-254f-423d-85cf-bc47ab8fbc5b.json | N/A | N/A | N/A | N/A | N/A | JQV897A63197 | Health Maintenance Organization (HMO) | EVOLVED NOVELTIES INC | ANTHEM BLUE CROSS | N/A | 2009-01-14 | 040 | F45883 | N/A | HM | false | OBACZ | N/A | JUSTIN | N/A | 2026-01-01 | 2025-01-01 | CA SG SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9256722510 | N/A | N/A | 9102655 | 2222 | 4801 | 14905631 | 4185 | 7621062 | 2025-11-12 08:10:19.787205 | 2025-09-12 19:10:20.936695 |
| 2025-11-11 08:03:56.449961 | 2025-11-12 01:44:38.792113 | 14580748 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14580748 | Athletic Physical Therapy Inc | 1960-05-24 | 2025-11-12 | F | AE | PT | JIMENEZ LOPEZ | 6J82MP1YH03 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.100118559.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7000055/check_14580748_4a9f68ba-ae21-4bfb-b662-fb7699208bbe.json | N/A | N/A | N/A | N/A | N/A | 6J82MP1YH03 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-05-24 | S5617 | N/A | N/A | MA | false | JIMENEZ LOPEZ | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9256733782 | N/A | N/A | 7000055 | 2222 | 4801 | 14869421 | N/A | 6019507 | 2025-11-12 01:44:38.792113 | 2025-07-14 20:23:06.646459 |
| 2025-11-11 08:03:48.906164 | 2025-11-12 01:38:13.144303 | 14580568 | N/A | N/A | 60054 | Aetna | 1114042165 | 14580568 | Athletic Physical Therapy Inc | 1991-08-09 | 2025-11-12 | M | AE | PT | TORIO | W287278504 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251111.110019651.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6235883/check_14580568_64ad4259-2634-41a6-97fc-9cff58b95927.json | N/A | N/A | N/A | N/A | N/A | W287278504 | Point of Service (POS) | COADVANTAGE RESOURCES, INC. | AETNA | N/A | 1991-08-09 | 0159468 | 015946801000034 | N/A | PS | false | TORIO | N/A | MICHAEL | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9257039885 | N/A | N/A | 6235883 | 2222 | 4802 | 14856303 | N/A | 4883697 | 2025-11-12 01:38:13.144303 | 2025-07-08 14:55:53.397662 |
| 2025-11-11 01:25:02.968515 | 2025-11-11 01:25:41.443752 | 14578439 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-01-07 | 2025-11-11 | M | AE | PT | HOLGUIN | 1407861520 | VINCENT | 6341 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11937165/check_14578439_75dc00b1-974f-4ba6-825d-58f91e5b8657.json | AVAILITY | N/A | INSIGHTS | 2025-11-11 | N/A | N/A | N/A | N/A | N/A | N/A | 1407861520 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11937165 | 2222 | N/A | N/A | N/A | 10164259 | 2025-11-11 01:25:41.443752 | 2025-11-11 01:01:48.778756 |
| 2025-11-11 00:40:46.577871 | 2025-11-11 00:40:48.580907 | 14578233 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-03-31 | 2025-11-10 | F | PT | N/A | BARRERA | XEH903891210 | LOLA | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611912/check_14578233_d12c687f-d859-45c7-9b53-559dbc97d84d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611912/check_14578233_0e8d784b-0a26-4ff0-a599-7385836989da.json | N/A | N/A | N/A | N/A | N/A | XEH903891210 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1967-03-31 | N/A | N/A | N/A | N/A | false | BARRERA | N/A | LOLA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6611912 | 2222 | N/A | 14810340 | N/A | 5230345 | 2025-11-11 00:40:48.580907 | 2025-07-11 20:32:03.183345 |
| 2025-11-11 00:40:43.817999 | 2025-11-11 00:40:46.572925 | 14578232 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-03-31 | 2025-11-10 | F | PT | N/A | BARRERA | XEH903891210 | LOLA | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611912/check_14578232_c85dbed7-64ff-4055-9376-a999a9e04747.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-10 | N/A | N/A | N/A | N/A | N/A | N/A | XEH903891210 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1967-03-31 | N/A | N/A | N/A | N/A | false | BARRERA | N/A | LOLA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6611912 | 2222 | N/A | N/A | N/A | 5230345 | 2025-11-11 00:40:46.572925 | 2025-07-11 20:32:03.183345 |
| 2025-11-11 00:37:21.949175 | 2025-11-11 00:37:26.962112 | 14578224 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-09-21 | 2025-11-18 | F | PT | N/A | Kafka | JQU923M93135 | Helen | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12531821/check_14578224_ed950471-f3b7-4617-a03b-3a73a889f8c9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12531821/check_14578224_160dbe55-3608-4e5c-b8b3-bc9ed36e6ede.json | N/A | N/A | N/A | N/A | N/A | JQU923M93135 | Preferred Provider Organization (PPO) | CAL CHOICE DECEMBER 1.00 | BLUE SHIELD OF CALIFORNIA | N/A | 2001-09-21 | 040 | 476517 | N/A | PR | false | HANSON | N/A | ANNE | N/A | 2025-12-01 | 2024-12-01 | ANTHEM SILVER PPO 50/1700/40% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9254944549 | N/A | N/A | 12531821 | 2222 | N/A | 14810331 | N/A | 10703699 | 2025-11-11 00:37:26.962112 | 2025-11-11 00:34:27.276866 |
| 2025-11-11 00:36:14.412673 | 2025-11-11 00:36:16.189849 | 14578221 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-03-31 | 2025-11-10 | F | PT | N/A | BARRERA | XEH9033891210 | LOLA | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611912/check_14578221_995d460b-2743-45a8-89f8-8c9fcdc4c851.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611912/check_14578221_59f9957e-4d18-4929-bd60-a90bfdd99cec.json | N/A | N/A | N/A | N/A | N/A | XEH9033891210 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1967-03-31 | N/A | N/A | N/A | N/A | false | BARRERA | N/A | LOLA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6611912 | 2222 | N/A | 14810328 | N/A | 5230345 | 2025-11-11 00:36:16.189849 | 2025-07-11 20:32:03.183345 |
| 2025-11-11 00:36:11.724290 | 2025-11-11 00:36:14.410014 | 14578220 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-03-31 | 2025-11-10 | F | PT | N/A | BARRERA | XEH9033891210 | LOLA | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611912/check_14578220_95fe137d-3bd1-4792-a126-495b753e8a27.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-10 | N/A | N/A | N/A | N/A | N/A | N/A | XEH9033891210 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1967-03-31 | N/A | N/A | N/A | N/A | false | BARRERA | N/A | LOLA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6611912 | 2222 | N/A | N/A | N/A | 5230345 | 2025-11-11 00:36:14.410014 | 2025-07-11 20:32:03.183345 |
| 2025-11-11 00:35:00.945435 | 2025-11-11 00:35:02.810215 | 14578207 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-03-31 | 2025-11-10 | F | PT | N/A | BARRERA | XEH903389121 | LOLA | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611912/check_14578207_e9273524-416a-4cad-92de-e17e36dd90b0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611912/check_14578207_067f16ae-ceb5-4f7a-b495-3d43ee2bd47e.json | N/A | N/A | N/A | N/A | N/A | XEH903389121 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1967-03-31 | N/A | N/A | N/A | N/A | false | BARRERA | N/A | LOLA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6611912 | 2222 | N/A | 14810316 | N/A | 5230345 | 2025-11-11 00:35:02.810215 | 2025-07-11 20:32:03.183345 |
| 2025-11-11 00:34:58.163559 | 2025-11-11 00:35:00.941188 | 14578206 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-03-31 | 2025-11-10 | F | PT | N/A | BARRERA | XEH903389121 | LOLA | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611912/check_14578206_66dd77eb-e07f-4b2d-957b-dfb438c762d0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-10 | N/A | N/A | N/A | N/A | N/A | N/A | XEH903389121 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1967-03-31 | N/A | N/A | N/A | N/A | false | BARRERA | N/A | LOLA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6611912 | 2222 | N/A | N/A | N/A | 5230345 | 2025-11-11 00:35:00.941188 | 2025-07-11 20:32:03.183345 |
| 2025-11-10 23:06:50.634523 | 2025-11-10 23:06:54.496597 | 14577545 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-08-03 | 2025-11-12 | M | AE | PT | Eisenberg | 000000569463 | Paul | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12524155/check_14577545_71ef8411-84d9-480a-8b80-d02632116dbb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12524155/check_14577545_0791ecd2-db02-434c-b419-69da010bd5ae.json | N/A | N/A | N/A | N/A | N/A | 000000569463 | N/A | N/A | KP MEDICARE | MDC - MEDICAID | 1955-08-03 | 4295404 | 1650095002 | N/A | N/A | false | EISENBERG | N/A | PAUL | N/A | N/A | N/A | MEDI-CAL LA CARE HEALTH PLAN DISABLED LTSS ELIGIBL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9254640974 | N/A | N/A | 12524155 | 2222 | N/A | 14809524 | N/A | 10696748 | 2025-11-10 23:06:54.496597 | 2025-11-10 21:50:10.385299 |
| 2025-11-10 22:31:44.686304 | 2025-11-10 22:31:48.418211 | 14577228 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1994-12-09 | 2025-11-18 | F | PT | N/A | SEGURA | XDP470W14971 | YAZMIN | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12436044/check_14577228_cfd4b3d1-d16f-4c3b-988f-1b033c6a35e6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12436044/check_14577228_bc26823a-1b6f-4b62-b9b5-d3912f524d8b.json | N/A | N/A | N/A | N/A | N/A | XDP470W14971 | Preferred Provider Organization (PPO) | AMALGAMATED TRANSIT UNION | ANTHEM BLUE CROSS | N/A | 1994-12-09 | 040 | 1115QA | N/A | PR | false | REEVES | N/A | ELI | N/A | 9999-12-31 | 2022-11-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9254504632 | N/A | N/A | 12436044 | 2222 | N/A | 14809101 | N/A | 10616467 | 2025-11-10 22:31:48.418211 | 2025-11-10 22:21:46.684447 |
| 2025-11-10 22:08:10.379848 | 2025-11-10 22:08:12.452995 | 14577018 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-08-03 | 2025-11-12 | M | AE | PT | Eisenberg | 21644627639 | Paul | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12524155/check_14577018_56f5e041-05eb-4c29-9130-5ed28816a45f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12524155/check_14577018_560fc130-2adc-4c84-a3fe-a036c4c06dcc.json | N/A | N/A | N/A | N/A | N/A | 21644627639 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1955-08-03 | N/A | N/A | N/A | N/A | false | EISENBERG | N/A | PAUL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481 | N/A | 12524155 | 2222 | N/A | 14808856 | N/A | 10696748 | 2025-11-10 22:08:12.452995 | 2025-11-10 21:50:10.385299 |
| 2025-11-10 22:08:08.552445 | 2025-11-10 22:08:10.370288 | 14577017 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-08-03 | 2025-11-12 | M | AE | PT | Eisenberg | 21644627639 | Paul | 5504 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12524155/check_14577017_c3fc8603-fb54-4e62-9adb-410addb340c7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-12 | N/A | N/A | N/A | N/A | N/A | N/A | 21644627639 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1955-08-03 | N/A | N/A | N/A | N/A | false | EISENBERG | N/A | PAUL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9481 | N/A | 12524155 | 2222 | N/A | N/A | N/A | 10696748 | 2025-11-10 22:08:10.370288 | 2025-11-10 21:50:10.385299 |
| 2025-11-10 22:02:47.594859 | 2025-11-10 22:02:49.624168 | 14576985 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-11-18 | 2025-11-18 | M | PT | N/A | MCALPIN | 5W42-YGO-AH19 | MAC | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541072/check_14576985_cd266448-9b0b-4a03-a4e5-cef60a5d5ffc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541072/check_14576985_8119fbb9-a943-40de-969e-ba6d31510067.json | N/A | N/A | N/A | N/A | N/A | 5W42-YGO-AH19 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1955-11-18 | N/A | N/A | N/A | N/A | false | MCALPIN | N/A | MAC | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541072 | 2222 | N/A | 14808816 | N/A | 4213124 | 2025-11-10 22:02:49.624168 | 2025-05-13 04:29:37.227452 |
| 2025-11-10 22:02:44.811646 | 2025-11-10 22:02:47.589740 | 14576984 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-11-18 | 2025-11-18 | M | PT | N/A | MCALPIN | 5W42-YGO-AH19 | MAC | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541072/check_14576984_6b3e794b-7a0c-4b10-a838-8d6945edac22.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-18 | N/A | N/A | N/A | N/A | N/A | N/A | 5W42-YGO-AH19 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1955-11-18 | N/A | N/A | N/A | N/A | false | MCALPIN | N/A | MAC | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541072 | 2222 | N/A | N/A | N/A | 4213124 | 2025-11-10 22:02:47.589740 | 2025-05-13 04:29:37.227452 |
| 2025-11-10 21:13:03.044206 | 2025-11-10 21:13:06.100078 | 14576465 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-02-17 | 2025-11-10 | F | PT | N/A | D'ORSAY | NSA00801218H | BROOKE | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540943/check_14576465_1a151794-c120-4b5c-a8fd-dd05c396275c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540943/check_14576465_2f295494-ffdf-4cf6-9eba-cb70c7b0d66b.json | N/A | N/A | N/A | N/A | N/A | NSA00801218H | Preferred Provider Organization (PPO) | MAIN PPO PLAN- EARNED | ANTHEM BLUE CROSS | N/A | 1978-02-17 | 040 | L05927A001 | N/A | PR | false | D'ORSAY | N/A | BROOKE | N/A | 9999-12-31 | 2023-01-01 | PB INCENTIVE NO SUTTER | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9254014995 | N/A | N/A | 5540943 | 2222 | N/A | 14808118 | N/A | 4213022 | 2025-11-10 21:13:06.100078 | 2025-05-13 04:29:37.227349 |
| 2025-11-10 21:12:56.999811 | 2025-11-10 21:13:03.040290 | 14576462 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-02-17 | 2025-11-10 | F | PT | N/A | D ORSAY | NSA00801218H | BROOKE | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540943/check_14576462_1b67eb73-425e-40b6-a467-8d4d89debc19.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-10 | N/A | N/A | N/A | N/A | N/A | N/A | NSA00801218H | N/A | N/A | ANTHEM BLUE CROSS | 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 | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540943 | 2222 | N/A | N/A | N/A | 4213022 | 2025-11-10 21:13:03.040290 | 2025-05-13 04:29:37.227349 |
| 2025-11-10 19:11:26.698040 | 2025-11-10 19:11:28.464549 | 14575139 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-03-31 | 2025-11-12 | M | AE | PT | MILLER | 93938354D | GUSSIE | 23324 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12109408/check_14575139_3eb3c9fd-088b-4c52-bf0f-2fd1e098fbf1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12109408/check_14575139_8bb30236-7853-4dff-9d05-59828f190c73.json | N/A | N/A | N/A | N/A | N/A | 93938354D | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1963-03-31 | N/A | N/A | N/A | N/A | false | MILLER | N/A | GUSSIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 12109408 | 2222 | N/A | 14806209 | N/A | 10327291 | 2025-11-10 19:11:28.464549 | 2025-11-04 18:11:41.886029 |
| 2025-11-10 19:11:22.637779 | 2025-11-10 19:11:26.693033 | 14575138 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-03-31 | 2025-11-12 | M | AE | PT | MILLER | 93938354D | GUSSIE | 23324 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12109408/check_14575138_44f3cee0-edf8-4048-8cdb-3ab8a1df3b4d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-12 | N/A | N/A | N/A | N/A | N/A | N/A | 93938354D | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1963-03-31 | N/A | N/A | N/A | N/A | false | MILLER | N/A | GUSSIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 12109408 | 2222 | N/A | N/A | N/A | 10327291 | 2025-11-10 19:11:26.693033 | 2025-11-04 18:11:41.886029 |
| 2025-11-10 18:39:28.530357 | 2025-11-10 18:39:31.008310 | 14574748 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-07-15 | 2025-11-14 | M | AE | PT | Raudonis | 4QT6EC7VG78 | Mark | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12493577/check_14574748_03dd99a1-3f26-4a19-8119-1dea07f4063b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12493577/check_14574748_e0a95963-7d90-4046-9ff0-e02eed5d2c78.json | N/A | N/A | N/A | N/A | N/A | 4QT6EC7VG78 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-07-15 | S4802 | N/A | N/A | MA | false | RAUDONIS | N/A | MARK | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9252617231 | N/A | N/A | 12493577 | 2222 | N/A | 14805677 | N/A | 10670073 | 2025-11-10 18:39:31.008310 | 2025-11-10 18:20:04.243140 |
| 2025-11-10 17:59:38.644527 | 2025-11-10 17:59:40.586600 | 14574073 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-01-23 | 2025-11-10 | F | PT | N/A | HINKLE | NCF051W08046 | MARLENA | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550925/check_14574073_d5b3892c-a437-44ee-8af5-2954d4c52e9d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550925/check_14574073_6fc9b705-1dec-4575-805e-ed52d79a8723.json | N/A | N/A | N/A | N/A | N/A | NCF051W08046 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1989-01-23 | 040 | 57AJCA | N/A | HM | false | HINKLE | N/A | MARLENA | N/A | 9999-12-31 | 2021-03-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9252314772 | N/A | N/A | 5550925 | 2222 | N/A | 14804867 | N/A | 4219772 | 2025-11-10 17:59:40.586600 | 2025-11-18 00:45:16.378261 |
| 2025-11-10 17:59:11.422732 | 2025-11-10 17:59:13.216171 | 14574068 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-01-23 | 2025-11-10 | F | PT | N/A | HINKLE | NCF051W08046 | MARLENA | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550925/check_14574068_e511dbb2-0b69-43a0-a090-358d25f4e0c8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550925/check_14574068_419b89be-bee8-4c29-94c6-8d29c4b5f39e.json | N/A | N/A | N/A | N/A | N/A | NCF051W08046 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1989-01-23 | 040 | 57AJCA | N/A | HM | false | HINKLE | N/A | MARLENA | N/A | 9999-12-31 | 2021-03-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9252311600 | N/A | N/A | 5550925 | 2222 | N/A | 14804861 | N/A | 4219772 | 2025-11-10 17:59:13.216171 | 2025-11-18 00:45:16.378261 |
| 2025-11-10 17:58:55.934963 | 2025-11-10 17:58:58.885282 | 14574064 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-01-23 | 2025-11-10 | F | PT | N/A | HINKLE | NCF051W08046 | MARLENA | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550925/check_14574064_3ae332bf-9e20-432f-b1e4-b0f1326d9b47.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550925/check_14574064_1bc01549-2c9e-48eb-99c9-78d9f25e0a14.json | N/A | N/A | N/A | N/A | N/A | NCF051W08046 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1989-01-23 | 040 | 57AJCA | N/A | HM | false | HINKLE | N/A | MARLENA | N/A | 9999-12-31 | 2021-03-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9252309751 | N/A | N/A | 5550925 | 2222 | N/A | 14804857 | N/A | 4219772 | 2025-11-10 17:58:58.885282 | 2025-11-18 00:45:16.378261 |
| 2025-11-10 17:44:54.280467 | 2025-11-10 17:44:56.116286 | 14573905 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-12-15 | 2025-11-11 | M | AE | PT | STROM | 7TW2CN7CA26 | ROBB | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538255/check_14573905_c8ac0c74-9a8a-4826-a322-17249b95e633.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538255/check_14573905_86036096-58be-4ea2-885b-ba1837b776e0.json | N/A | N/A | N/A | N/A | N/A | 7TW2CN7CA26 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-12-15 | S5617 | N/A | N/A | MB | false | STROM | N/A | ROBB | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9252209374 | N/A | N/A | 5538255 | 2222 | N/A | 14804673 | N/A | 4210692 | 2025-11-10 17:44:56.116286 | 2025-05-13 04:29:37.225106 |
| 2025-11-10 17:15:19.793804 | 2025-11-10 17:15:31.933197 | 14573569 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-09-29 | 2025-11-11 | M | AE | PT | Dougherty | 00000386895 | Martin | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11420900/check_14573569_aa3e302d-faea-4ee9-9177-7abc13e9f32a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11420900/check_14573569_3f8407b8-929c-448a-88f9-1592d14581e9.json | N/A | N/A | N/A | N/A | N/A | 00000386895 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1956-09-29 | N/A | N/A | N/A | N/A | false | DOUGHERTY | 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 | N/A | N/A | N/A | 11420900 | 2222 | N/A | 14804314 | N/A | 9673509 | 2025-11-10 17:15:31.933197 | 2025-12-08 18:11:10.424524 |
| 2025-11-10 17:15:15.901831 | 2025-11-10 17:15:19.781621 | 14573567 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-09-29 | 2025-11-11 | M | AE | PT | Dougherty | 00000386895 | Martin | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11420900/check_14573567_5c5850ad-07cc-4da5-a0a5-c58c8247668b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-11 | N/A | N/A | N/A | N/A | N/A | N/A | 00000386895 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1956-09-29 | N/A | N/A | N/A | N/A | false | DOUGHERTY | 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 | N/A | N/A | N/A | 11420900 | 2222 | N/A | N/A | N/A | 9673509 | 2025-11-10 17:15:19.781621 | 2025-12-08 18:11:10.424524 |
| 2025-11-10 17:04:15.214322 | 2025-11-10 17:04:18.030952 | 14573445 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-12-03 | 2025-11-10 | M | PT | N/A | JAHNKE | GGS994W16023 | JOHNNA | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/12488225/check_14573445_fa8d9539-63aa-4e7a-86cf-844cc4d5ff25.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-11-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12488225/check_14573445_683b306b-62c8-41a3-a6de-50bb414d019b.json | N/A | N/A | N/A | N/A | N/A | GGS994W16023 | Preferred Provider Organization (PPO) | GOOGLE PPO | ANTHEM BLUE CROSS | N/A | 1997-12-03 | 040 | 174134M2A1 | N/A | PR | false | JAHNKE | N/A | JOHNNA | N/A | 9999-12-31 | 2024-12-02 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9251891440 | N/A | N/A | 12488225 | 2222 | N/A | 14804170 | N/A | 10665447 | 2025-11-10 17:04:18.030952 | 2025-11-10 20:37:59.321056 |