API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-06 09:04:24.463281 | 2025-06-07 02:20:47.530872 | 8584788 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8584788 | Athletic Physical Therapy Inc | 2008-06-03 | 2025-06-09 | M | PT | DATO | NGO555A50496 | BRETT | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.120731914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551045/check_8584788_4aafd584-2f26-4128-98e2-3fcce8fae0ba.json | N/A | N/A | N/A | N/A | N/A | NGO555A50496 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 2008-06-03 | 040 | 174022MJAD | N/A | PR | false | DATO | N/A | GREGORY | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7840053118 | N/A | N/A | 5551045 | 2222 | 4793 | 8315976 | N/A | 4219851 | 2025-06-07 02:20:47.530872 | 2025-05-13 04:29:37.230897 |
| 2025-06-06 09:04:24.392574 | 2025-06-07 02:14:47.839446 | 8584784 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8584784 | Athletic Physical Therapy Inc | 2004-08-14 | 2025-06-09 | M | AE | SCHLUSSEL | 56938694804 | JACOB | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.120731914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551000/check_8584784_3390939b-965e-4628-920c-22e1c4286740.json | N/A | N/A | N/A | N/A | N/A | 56938694804 | Commercial | N/A | OXFORD HEALTH INSURANCE, INC. | FUNDING TYPE = FULLY INSURED - SMALL GROUP | 2004-08-14 | N/A | 1345440 | N/A | C1 | false | SCHLUSSEL | N/A | JACOB | N/A | N/A | N/A | LIBERTY NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7840053116 | N/A | N/A | 5551000 | 2222 | 4802 | 8313646 | N/A | 4219818 | 2025-06-07 02:14:47.839446 | 2025-05-14 09:08:41.326595 |
| 2025-06-06 09:04:24.318091 | 2025-06-07 02:21:00.538198 | 8584783 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8584783 | Athletic Physical Therapy Inc | 1966-04-27 | 2025-06-09 | M | PT | MERTES | XED914030953 | CORY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.120731914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550989/check_8584783_945fb73e-9021-4ea2-aa0b-f5818b765e77.json | N/A | N/A | N/A | N/A | N/A | XED914030953 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | ANTHEM BLUE CROSS | N/A | 1966-04-27 | 2001ZK002184 | X0001004 | N/A | PR | false | MERTES | N/A | CORY | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7840053114 | N/A | N/A | 5550989 | 2222 | 4793 | 8316015 | N/A | 4219813 | 2025-06-07 02:21:00.538198 | 2025-05-13 04:29:37.230860 |
| 2025-06-06 09:04:24.247467 | 2025-06-07 02:22:33.578734 | 8584781 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8584781 | Athletic Physical Therapy Inc | 1948-10-09 | 2025-06-09 | F | PT | RASHIDI DOUST | 902264067 | MINOO | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.120731914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550980/check_8584781_1f1ec6df-f786-4865-bc91-95845d6136e4.json | N/A | N/A | N/A | N/A | N/A | 902264067 | N/A | MEDICARE ADVANTAGE INDIVIDUAL | BLUE SHIELD CALIFORNIA | N/A | 1948-10-09 | 1110P0000106 | W0051752 | N/A | N/A | false | RASHIDI DOUST | N/A | MINOO | N/A | N/A | N/A | BLUE SHIELD RX ENHANCED PDP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7840053111 | N/A | N/A | 5550980 | 2222 | 4802 | 8316389 | N/A | 4219809 | 2025-06-07 02:22:33.578734 | 2025-05-13 04:29:37.230855 |
| 2025-06-06 09:04:24.164967 | 2025-06-07 02:20:57.118604 | 8584778 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 8584778 | Athletic Physical Therapy Inc | 1989-01-23 | 2025-06-09 | F | PT | HINKLE | NCF051W08046 | MARLENA | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.120731914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550925/check_8584778_a450d962-34b4-4f5e-8075-8cf6bb8a7df3.json | N/A | N/A | N/A | N/A | N/A | 935M99657 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1989-01-23 | 040 | 57AJCA | N/A | HM | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2021-03-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7840053110 | N/A | N/A | 5550925 | 2222 | 4793 | 8316006 | 4184 | 4219772 | 2025-06-07 02:20:57.118604 | 2025-11-18 00:45:16.378261 |
| 2025-06-06 09:04:24.090417 | 2025-06-07 02:28:57.608044 | 8584775 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8584775 | Athletic Physical Therapy Inc | 1947-02-25 | 2025-06-09 | M | PT | KLEIN | 6E76D79UJ63 | JAMES | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.120731914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550905/check_8584775_af8872b6-a297-4c4b-ae7e-69034588b884.json | N/A | N/A | N/A | N/A | N/A | 6E76D79UJ63 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-02-25 | S4802 | N/A | N/A | MA | false | KLEIN | N/A | JAMES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7840053109 | N/A | N/A | 5550905 | 2222 | 4802 | 8318435 | N/A | 4219751 | 2025-06-07 02:28:57.608044 | 2025-05-13 04:29:37.230793 |
| 2025-06-06 09:04:23.995004 | 2025-06-07 02:03:37.712769 | 8584772 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8584772 | Athletic Physical Therapy Inc | 1943-06-13 | 2025-06-09 | F | PT | DOULTON | JQW535W08774 | ELAINE | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.120731914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550735/check_8584772_a0079e24-8572-4c72-84e7-49c5f8f86625.json | N/A | N/A | N/A | N/A | N/A | JQW535W08774 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1943-06-13 | N/A | N/A | N/A | N/A | false | DOULTON | N/A | ELAINE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7840053108 | N/A | N/A | 5550735 | 2222 | 4801 | 8307486 | N/A | 4219637 | 2025-06-07 02:03:37.712769 | 2025-06-09 15:04:30.013896 |
| 2025-06-06 09:04:23.899497 | 2025-06-07 02:07:08.419793 | 8584769 | N/A | N/A | 60054 | AETNA | 1114042165 | 8584769 | Athletic Physical Therapy Inc | 1951-02-05 | 2025-06-09 | F | PT | ELANDER | 101376609000 | ELAINE | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.120731914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550100/check_8584769_d9b2508c-ffc5-4d09-8163-65499a93707c.json | N/A | N/A | N/A | N/A | N/A | 101376609000 | N/A | N/A | AETNA | N/A | 1951-02-05 | 000003-CA000017 | N/A | N/A | N/A | false | ELANDER | N/A | ELAINE | N/A | N/A | N/A | 000003-CA HMO - H4982 PBP 012 | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7840053107 | N/A | N/A | 5550100 | 2222 | 4801 | 8309733 | 3939 | 4219473 | 2025-06-07 02:07:08.419793 | 2025-05-13 04:29:37.230512 |
| 2025-06-06 09:04:23.800569 | 2025-06-07 02:03:21.080175 | 8584767 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8584767 | Athletic Physical Therapy Inc | 1949-06-06 | 2025-06-09 | M | PT | WILSON | 31187497801 | MARVIN | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.120731914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549707/check_8584767_15f60256-b62f-41b6-9643-7e57e7e589f0.json | N/A | N/A | N/A | N/A | N/A | 31187497801 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1949-06-06 | N/A | N/A | N/A | N/A | false | WILSON | N/A | MARVIN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7840053106 | N/A | N/A | 5549707 | 2222 | 4801 | 8307372 | N/A | 4219317 | 2025-06-07 02:03:21.080175 | 2025-05-13 04:29:37.230340 |
| 2025-06-06 09:04:23.715005 | 2025-06-07 02:20:58.627246 | 8584766 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8584766 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-06-09 | F | PT | LUCZYWEK | HFD100011213709 | DEBORA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.120731914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_8584766_6139d015-6e24-401d-b0d3-5ef34b0385f3.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | IF THE MEMBER QUALIFIES FOR COBRA COVERAGE,THE POLICY MAY BE SUBJECT TO RETROACTIVE CANCELLATION OR REINSTATEMENT, BASED ON THE PLAN DESIGN AND THE MEMBER COBRA ELECTION. FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR USPSTF A AND B RECOMMENDATIONS. | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7840053105 | N/A | N/A | 5549317 | 2222 | 4801 | 8316011 | N/A | 4219010 | 2025-06-07 02:20:58.627246 | 2026-01-09 18:32:07.618867 |
| 2025-06-06 09:04:23.580387 | 2025-06-07 02:03:17.272035 | 8584761 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8584761 | Athletic Physical Therapy Inc | 1965-07-05 | 2025-06-09 | F | PT | CEJA | W0052266 | PATRICIA | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.120731914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549285/check_8584761_255a3a14-13f7-4dcf-9a6e-4aac2ed976b6.json | N/A | N/A | N/A | N/A | N/A | W0052266 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1965-07-05 | N/A | N/A | N/A | N/A | false | CEJA | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7840053104 | N/A | N/A | 5549285 | 2222 | 4801 | 8307356 | N/A | 4218983 | 2025-06-07 02:03:17.272035 | 2025-05-13 04:29:37.230000 |
| 2025-06-06 09:04:22.029553 | 2025-06-07 02:03:18.347659 | 8584716 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8584716 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-06-09 | M | PT | FORTIN | R14644640MS1 | NATHANIEL | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.120731914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_8584716_61c57068-dda2-47c5-bfae-3794eebc6092.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7840053091 | N/A | N/A | 5543425 | 2222 | 4801 | 8307360 | N/A | 4215211 | 2025-06-07 02:03:18.347659 | 2026-04-02 22:30:20.020246 |
| 2025-06-06 09:04:21.965304 | 2025-06-07 02:10:46.661761 | 8584714 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8584714 | Athletic Physical Therapy Inc | 1993-07-24 | 2025-06-09 | M | AD | SJUKUR | U0030031901 | HANSEL | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.120731914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543268/check_8584714_978ecb77-f935-4708-8fd7-4ce99bae8622.json | N/A | N/A | N/A | N/A | N/A | U0030031901 | N/A | MCKINSEY & COMPANY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1993-07-24 | N/A | 2500547 | N/A | N/A | false | SJUKUR | N/A | HANSEL C | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 7840053088 | N/A | N/A | 5543268 | 2222 | 4802 | 8311801 | N/A | 4215085 | 2025-06-07 02:10:46.661761 | 2025-05-23 17:53:24.114484 |
| 2025-06-06 09:04:21.862482 | 2025-06-07 02:28:55.043617 | 8584709 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8584709 | Athletic Physical Therapy Inc | 1949-12-17 | 2025-06-09 | M | AE | GEVURTZ | 3UF3GW6KC04 | IRWIN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.120731914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543260/check_8584709_42d9165a-ea95-4901-81ef-dc8af2f03c24.json | N/A | N/A | N/A | N/A | N/A | 3UF3GW6KC04 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-12-17 | N/A | N/A | N/A | MA | false | GEVURTZ | N/A | IRWIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7840053086 | N/A | N/A | 5543260 | 2222 | 4802 | 8318424 | N/A | 4215069 | 2025-06-07 02:28:55.043617 | 2025-05-13 04:29:37.229385 |
| 2025-06-06 09:04:21.787814 | 2025-06-07 02:06:19.772127 | 8584706 | N/A | N/A | 39026 | UMR | 1114042165 | 8584706 | Athletic Physical Therapy Inc | 1997-01-26 | 2025-06-09 | M | PT | MESSINGER | 43687468 | BEN | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.120731914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543233/check_8584706_b8626b9b-a587-46be-bac6-1e94ee6eb52a.json | N/A | N/A | N/A | N/A | N/A | 43687468 | N/A | CARVANA, LLC | UMR | N/A | 1997-01-26 | 767000416387002 | 76416387 | N/A | N/A | false | MESSINGER | N/A | BEN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7840053085 | N/A | N/A | 5543233 | 2222 | 4802 | 8309222 | N/A | 4215051 | 2025-06-07 02:06:19.772127 | 2025-05-13 04:29:37.229373 |
| 2025-06-06 09:04:21.707810 | 2025-06-07 02:20:48.847930 | 8584703 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8584703 | Athletic Physical Therapy Inc | 1963-02-12 | 2025-06-09 | M | PT | FRENCH | XDP573A61655 | JONATHAN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.120731914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543105/check_8584703_d2cc20e2-e1df-4319-b199-c9aa0b1b5358.json | N/A | N/A | N/A | N/A | N/A | XDP573A61655 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1963-02-12 | N/A | N/A | N/A | N/A | false | FRENCH | N/A | JONATHAN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7840053084 | N/A | N/A | 5543105 | 2222 | 4793 | 8315981 | N/A | 4214943 | 2025-06-07 02:20:48.847930 | 2025-05-29 02:21:31.646077 |
| 2025-06-06 09:04:21.623124 | 2025-06-07 02:20:46.263416 | 8584700 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 8584700 | Athletic Physical Therapy Inc | 2007-05-15 | 2025-06-09 | M | PT | BAIRD | XEH909620608 | WILLIAM | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.120731914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542883/check_8584700_b557273e-7b17-4dc6-b455-9a6d38744f63.json | N/A | N/A | N/A | N/A | N/A | XEH909620608 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 2007-05-15 | 1479HMOX0001 | W0051411 | N/A | HM | false | BAIRD | N/A | SHAYA | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7840053082 | N/A | N/A | 5542883 | 2222 | 4793 | 8315972 | 4184 | 4214747 | 2025-06-07 02:20:46.263416 | 2025-05-13 04:29:37.229066 |
| 2025-06-06 09:04:21.558091 | 2025-06-07 02:07:09.852395 | 8584698 | N/A | N/A | 60054 | AETNA | 1114042165 | 8584698 | Athletic Physical Therapy Inc | 1953-02-07 | 2025-06-09 | F | PT | MENENDEZ | 101791863000 | INES | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.120731914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542645/check_8584698_7b5ef382-e246-4b05-aa6e-db7fd5d7956c.json | N/A | N/A | N/A | N/A | N/A | 101791863000 | N/A | N/A | AETNA | N/A | 1953-02-07 | 000003-CA000017 | N/A | N/A | N/A | false | MENENDEZ | N/A | INES | N/A | N/A | N/A | 000003-CA HMO - H4982 PBP 012 | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7840053080 | N/A | N/A | 5542645 | 2222 | 4801 | 8309745 | 3939 | 4214517 | 2025-06-07 02:07:09.852395 | 2025-06-04 16:24:11.728512 |
| 2025-06-06 09:04:21.470597 | 2025-06-07 02:21:02.876076 | 8584696 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8584696 | Athletic Physical Therapy Inc | 2009-08-14 | 2025-06-09 | F | PT | WEBER | JQU141A54789 | MADELINE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.120731914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542628/check_8584696_5dd3f945-a349-41d7-bfbf-845727eb4865.json | N/A | N/A | N/A | N/A | N/A | JQU141A54789 | Preferred Provider Organization (PPO) | MARK H. WEBER, CPA AN ACCT CORP | ANTHEM BLUE CROSS | N/A | 2009-08-14 | 040 | F18235 | N/A | PR | false | WEBER | N/A | MARK | N/A | 9999-12-31 | 2024-08-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7840053076 | N/A | N/A | 5542628 | 2222 | 4793 | 8316021 | N/A | 4214508 | 2025-06-07 02:21:02.876076 | 2025-06-04 00:05:22.392827 |
| 2025-06-06 09:04:21.390408 | 2025-06-07 02:22:33.234392 | 8584692 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8584692 | Athletic Physical Therapy Inc | 1989-12-04 | 2025-06-09 | M | PT | HUYNH | XEA911095759 | CHRISTOPHER | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.120731914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542472/check_8584692_c3048ab7-826d-4adf-95d4-ddfe56056ad7.json | N/A | N/A | N/A | N/A | N/A | XEA911095759 | Preferred Provider Organization (PPO) | COUNTY OF VENTURA ACTIVES | BLUE SHIELD CALIFORNIA | N/A | 1989-12-04 | 1000PPOX0001 | W0067449 | N/A | PR | false | HUYNH | N/A | CHRISTOPHER | N/A | N/A | N/A | COUNTY OF VENTURA ACTIVES CUSTOM PPO SAVINGS EMB | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7840053075 | N/A | N/A | 5542472 | 2222 | 4801 | 8316387 | N/A | 4214383 | 2025-06-07 02:22:33.234392 | 2025-05-13 04:29:37.228709 |
| 2025-06-06 09:04:21.276462 | 2025-06-07 02:10:46.357305 | 8584689 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8584689 | Athletic Physical Therapy Inc | 1980-02-06 | 2025-06-09 | F | AD | PHALON | U6694621501 | ERIN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.120731914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542071/check_8584689_0fbf77de-a13d-4964-b742-4448c204ddd3.json | N/A | N/A | N/A | N/A | N/A | U6694621501 | N/A | COX, CASTLE & NICHOLSON, LLP | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1980-02-06 | N/A | 3341437 | N/A | N/A | false | PHALON | N/A | ERIN | N/A | N/A | N/A | OPEN ACCESS PLUS HDHP | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 7840053074 | N/A | N/A | 5542071 | 2222 | 4802 | 8311797 | N/A | 4214023 | 2025-06-07 02:10:46.357305 | 2025-05-13 04:29:37.228343 |
| 2025-06-06 09:04:21.187663 | 2025-06-07 02:03:38.077234 | 8584685 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8584685 | Athletic Physical Therapy Inc | 1947-02-01 | 2025-06-09 | M | PT | YEE | 412922301 | HARRY | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.120731914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541972/check_8584685_6745e131-a9fd-4664-9d7c-c9260e3a999f.json | N/A | N/A | N/A | N/A | N/A | 412922301 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1947-02-01 | N/A | N/A | N/A | N/A | false | YEE | N/A | HARRY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7840053073 | N/A | N/A | 5541972 | 2222 | 4793 | 8307490 | N/A | 4213941 | 2025-06-07 02:03:38.077234 | 2025-05-13 04:29:37.228259 |
| 2025-06-06 09:04:21.097453 | 2025-06-07 02:20:45.757556 | 8584683 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 8584683 | Athletic Physical Therapy Inc | 1959-05-13 | 2025-06-09 | F | PT | ADRIANZEN FERNAN | MMA221W20054 | AURA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.120731914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541944/check_8584683_c95d9e70-8e45-442e-9526-9a5d378b860a.json | N/A | N/A | N/A | N/A | N/A | MMA221W20054 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-05-13 | 040 | CAMCRWP0 | N/A | MP | false | ADRIANZEN FERNANDEZ | N/A | AURA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7840053072 | N/A | N/A | 5541944 | 2222 | 4801 | 8315968 | 4184 | 4213907 | 2025-06-07 02:20:45.757556 | 2025-05-13 04:29:37.228228 |
| 2025-06-06 09:04:20.992406 | 2025-06-07 02:22:32.819534 | 8584678 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8584678 | Athletic Physical Therapy Inc | 1980-03-25 | 2025-06-09 | F | PT | HILLIGER | XEA902904791 | JENNIE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.120731914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541730/check_8584678_99fc7137-45ed-46f0-bf2e-5ef691cc8d04.json | N/A | N/A | N/A | N/A | N/A | XEA902904791 | Preferred Provider Organization (PPO) | HILLIGER INC | BLUE SHIELD CALIFORNIA | N/A | 1980-03-25 | 1000VX000102 | W0060472 | N/A | PR | false | HILLIGER | N/A | JENNIFER | N/A | 9999-12-31 | 2019-06-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7840053071 | N/A | N/A | 5541730 | 2222 | 4793 | 8316382 | N/A | 4213725 | 2025-06-07 02:22:32.819534 | 2025-05-13 04:29:37.228045 |
| 2025-06-06 09:04:20.814683 | 2025-06-07 02:20:55.393738 | 8584675 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8584675 | Athletic Physical Therapy Inc | 1960-08-08 | 2025-06-09 | M | PT | GINSBERG | JQU469A62630 | STEVEN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.120731914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538693/check_8584675_3a7b8eed-cb32-49b2-bb15-a69abcaa9f6a.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 | 9999-12-31 | 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 | 7840053064 | N/A | N/A | 5538693 | 2222 | 4793 | 8315985 | N/A | 4211081 | 2025-06-07 02:20:55.393738 | 2025-05-13 04:29:37.225492 |
| 2025-06-06 09:04:20.584802 | 2025-06-07 02:28:54.492825 | 8584670 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8584670 | Athletic Physical Therapy Inc | 1954-01-12 | 2025-06-09 | F | AE | FINCH | 3YV4XM6FP06 | DAWN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.120731914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538472/check_8584670_905c642c-09dc-451e-8ea2-4e64088aa58b.json | N/A | N/A | N/A | N/A | N/A | 3YV4XM6FP06 | Medicare Part B | N/A | OPTUM INSURANCE OF OHIO, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-12 | S8841 | N/A | N/A | MB | 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 | 7840053061 | N/A | N/A | 5538472 | 2222 | 4802 | 8318421 | N/A | 4210886 | 2025-06-07 02:28:54.492825 | 2025-05-13 04:29:37.225284 |
| 2025-06-06 09:04:20.278032 | 2025-06-07 02:22:33.892280 | 8584663 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8584663 | Athletic Physical Therapy Inc | 1993-09-10 | 2025-06-09 | M | AD | WARD | XED913389013 | WILLIAM | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.120731914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538129/check_8584663_38b907bc-ef2e-4075-8156-1e5c93e618e6.json | N/A | N/A | N/A | N/A | N/A | XED913389013 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1993-09-10 | 2001ZK002169 | X0001004 | N/A | PR | false | WARD | N/A | WILLIAM | N/A | 9999-12-31 | 2024-08-01 | IFP EMB PED DPPO JAN15 | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 7840053060 | N/A | N/A | 5538129 | 2222 | 4802 | 8316391 | N/A | 4210590 | 2025-06-07 02:22:33.892280 | 2025-05-13 04:29:37.225004 |
| 2025-06-06 09:04:20.094237 | 2025-06-07 02:28:59.635667 | 8584659 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8584659 | Athletic Physical Therapy Inc | 1948-08-31 | 2025-06-09 | F | PT | MIYATA | 3HJ1RG9AV22 | LARAINE | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.120731914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537627/check_8584659_ec57f0b9-86cf-4787-90c0-51feee3590dc.json | N/A | N/A | N/A | N/A | N/A | 3HJ1RG9AV22 | Medicare Part B | N/A | ONEBEACON INSURANCE GROUP | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-08-31 | S4802 | DOL 05242017 | N/A | MB | false | MIYATA | N/A | LARAINE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7840053059 | N/A | N/A | 5537627 | 2222 | 4802 | 8318443 | N/A | 4210159 | 2025-06-07 02:28:59.635667 | 2025-05-13 04:29:37.224576 |
| 2025-06-06 09:04:19.842728 | 2025-06-07 02:03:37.425628 | 8584655 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8584655 | Athletic Physical Therapy Inc | 1961-06-27 | 2025-06-09 | F | PT | BRACKEN | NCF378A67692 | CELINA | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.120731914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535853/check_8584655_74c12c50-d5f2-4468-b37b-bfc6e01c17cf.json | N/A | N/A | N/A | N/A | N/A | NCF378A67692 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1961-06-27 | N/A | N/A | N/A | N/A | false | BRACKEN | N/A | CELINA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7840053058 | N/A | N/A | 5535853 | 2222 | 4793 | 8307483 | N/A | 4208702 | 2025-06-07 02:03:37.425628 | 2025-05-13 04:29:37.223129 |
| 2025-06-06 09:04:19.733120 | 2025-06-07 02:03:19.467984 | 8584652 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8584652 | Athletic Physical Therapy Inc | 1941-04-16 | 2025-06-09 | F | PT | RYAN | 31026142401 | CAROL | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.120731914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535455/check_8584652_f07bf6e1-5ca5-4568-ae85-7d8763c64259.json | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1941-04-16 | N/A | N/A | N/A | N/A | false | RYAN | N/A | CAROL | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7840053057 | N/A | N/A | 5535455 | 2222 | 4793 | 8307365 | N/A | 4208375 | 2025-06-07 02:03:19.467984 | 2025-08-08 21:08:12.459471 |
| 2025-06-06 09:04:00.122397 | 2025-06-07 02:10:42.310144 | 8584124 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8584124 | Athletic Physical Therapy Inc | 1943-02-13 | 2025-06-09 | F | PT | DAVIS | JQE893M95444 | HOLLY | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.115612668.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104723/check_8584124_af8d0c4b-58f1-409c-b766-bb313fe57781.json | N/A | N/A | N/A | N/A | N/A | JQE893M95444 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1943-02-13 | 040 | CASUPWP0 | N/A | N/A | false | DAVIS | N/A | HOLLY | N/A | 9999-12-31 | 2018-07-01 | CA MODERNIZED PLAN G | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7840043890 | N/A | N/A | 6104723 | 2222 | 4802 | 8311745 | N/A | 4713002 | 2025-06-07 02:10:42.310144 | 2025-06-03 01:39:13.971712 |
| 2025-06-06 09:03:54.876336 | 2025-06-07 02:10:43.444017 | 8584003 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8584003 | Athletic Physical Therapy Inc | 1959-07-07 | 2025-06-09 | M | PT | GREENFIELD | JQE140W20292 | SCOTT | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.115612668.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085695/check_8584003_3a9b90d2-946f-4646-af44-1fcd06a37711.json | N/A | N/A | N/A | N/A | N/A | JQE140W20292 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-07-07 | 040 | CASUPWP0 | N/A | N/A | false | GREENFIELD | N/A | SCOTT | N/A | 9999-12-31 | 2024-07-01 | CA MODERNIZED PLAN G | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7840044069 | N/A | N/A | 6085695 | 2222 | 4793 | 8311759 | N/A | 4729029 | 2025-06-07 02:10:43.444017 | 2025-05-30 23:20:48.860572 |
| 2025-06-06 09:03:41.702159 | 2025-06-07 02:02:29.305770 | 8583613 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8583613 | Athletic Physical Therapy Inc | 1958-08-03 | 2025-06-09 | F | PT | MENAGER | 35539785812 | STEPHANIE | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.115612668.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077872/check_8583613_a20cc7bb-baa4-494e-91ed-0d71e9b45132.json | N/A | N/A | N/A | N/A | N/A | 35539785812 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1958-08-03 | N/A | N/A | N/A | SP | false | MENAGER | N/A | STEPHANIE | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7840044014 | N/A | N/A | 6077872 | 2222 | 4793 | 8307171 | N/A | 4721874 | 2025-06-07 02:02:29.305770 | 2025-05-29 19:40:54.475674 |
| 2025-06-06 09:03:39.822735 | 2025-06-07 02:08:27.238114 | 8583567 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8583567 | Athletic Physical Therapy Inc | 1957-05-22 | 2025-06-09 | F | PT | Hugh | 35577967011 | Debra | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.115612668.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074820/check_8583567_8ab4772d-6fdd-482e-882e-115352d2e529.json | N/A | N/A | N/A | N/A | N/A | 355779670 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1957-05-22 | N/A | N/A | N/A | N/A | false | HUGH | N/A | DEBRA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7840044722 | N/A | N/A | 6074820 | 2222 | 4801 | 8310448 | N/A | 4718946 | 2025-06-07 02:08:27.238114 | 2025-06-04 21:27:14.065817 |
| 2025-06-06 09:02:24.707139 | 2025-06-07 02:08:28.074002 | 8581649 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8581649 | Athletic Physical Therapy Inc | 1952-07-25 | 2025-06-09 | M | PT | LANE | MISSINGPOLICYNUMBER | STEVEN | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.115612668.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928917/check_8581649_59d708c1-80a2-4941-b4a3-e0f2d8649fd9.json | N/A | N/A | N/A | N/A | N/A | 328563857 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1952-07-25 | N/A | N/A | N/A | N/A | false | LANE | N/A | STEVEN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7840044586 | N/A | N/A | 5928917 | 2222 | 4802 | 8310459 | N/A | 4219832 | 2025-06-07 02:08:28.074002 | 2025-05-13 04:29:37.230877 |
| 2025-06-06 09:01:55.699622 | 2025-06-07 02:10:44.701797 | 8580915 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8580915 | Athletic Physical Therapy Inc | 1943-08-11 | 2025-06-09 | M | PT | VELASQUEZ | 825A50913 | NELSON | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.115612668.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676370/check_8580915_a4b5d203-0e9c-439a-8f00-67d110d51bbb.json | N/A | N/A | N/A | N/A | N/A | MBL825A50913 | N/A | LOS ANGELES CITY EMPLOYEES' RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1943-08-11 | 040 | CA039GRS | N/A | N/A | false | VELAZQUEZ | N/A | NELSON | N/A | 9999-12-31 | 2022-01-01 | CA GRS LACERS H4036-801 ANTHEM MEDICARE PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7840044357 | N/A | N/A | 5676370 | 2222 | 4801 | 8311775 | N/A | 4219819 | 2025-06-07 02:10:44.701797 | 2026-04-16 20:37:54.612915 |
| 2025-06-06 09:01:41.857152 | 2025-06-07 02:10:44.389293 | 8580501 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8580501 | Athletic Physical Therapy Inc | 1947-02-25 | 2025-06-09 | M | PT | KLEIN | JQE989A77035 | JAMES | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.115612668.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550908/check_8580501_6c85ad1c-c4a6-41b2-9173-e9e23a0ff53d.json | N/A | N/A | N/A | N/A | N/A | JQE989A77035 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1947-02-25 | 040 | CASUPWP0 | N/A | N/A | false | KLEIN | N/A | JAMES | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7840043699 | N/A | N/A | 5550908 | 2222 | 4802 | 8311772 | N/A | 4219751 | 2025-06-07 02:10:44.389293 | 2025-05-13 04:29:37.230793 |
| 2025-06-06 09:01:41.798403 | 2025-06-07 02:10:42.032649 | 8580499 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8580499 | Athletic Physical Therapy Inc | 1960-03-13 | 2025-06-09 | M | PT | COLLINS | CPR517A20001 | CHARLES | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.115612668.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550686/check_8580499_d90d8456-611f-4a7a-9e9f-5cefd73e110f.json | N/A | N/A | N/A | N/A | N/A | CPR517A20001 | N/A | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 1960-03-13 | 040 | 40954L | N/A | N/A | false | COLLINS | N/A | ALICE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7840043698 | N/A | N/A | 5550686 | 2222 | 4801 | 8311743 | N/A | 4219605 | 2025-06-07 02:10:42.032649 | 2025-06-06 16:26:34.530119 |
| 2025-06-06 09:01:41.598390 | 2025-06-07 02:10:43.106187 | 8580491 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8580491 | Athletic Physical Therapy Inc | 1949-12-17 | 2025-06-09 | M | AE | GEVURTZ | JQE714A62350 | IRWIN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.115612668.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543273/check_8580491_3df90631-0028-4244-ab37-c0500bf5cbb7.json | N/A | N/A | N/A | N/A | N/A | JQE714A62350 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1949-12-17 | 040 | CASUPWP0 | N/A | N/A | false | GEVURTZ | N/A | IRWIN | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 7840043694 | N/A | N/A | 5543273 | 2222 | 4802 | 8311753 | N/A | 4215069 | 2025-06-07 02:10:43.106187 | 2025-05-13 04:29:37.229385 |
| 2025-06-06 09:01:41.524862 | 2025-06-07 02:10:42.655133 | 8580488 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8580488 | Athletic Physical Therapy Inc | 1954-01-12 | 2025-06-09 | F | AE | FINCH | XDD909A67880 | DAWN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.115612668.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538474/check_8580488_fd1ed4c0-ffd1-4ec0-94be-65c8722d56b2.json | N/A | N/A | N/A | N/A | N/A | 3YV4XM6FP06 | N/A | CALPERS PERS PLATINUM MSUPP RETIREES(PA) REGION3 | MEDICARE B | N/A | 1954-01-12 | 040 | BS270I | 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 | 7840043693 | N/A | N/A | 5538474 | 2222 | 4802 | 8311748 | N/A | 4210886 | 2025-06-07 02:10:42.655133 | 2025-05-13 04:29:37.225284 |
| 2025-06-06 09:01:41.455577 | 2025-06-07 02:11:27.388345 | 8580486 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8580486 | Athletic Physical Therapy Inc | 1948-08-31 | 2025-06-09 | F | PT | MIYATA | XEM904724382 | LARAINE | AE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250606.115612668.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537630/check_8580486_d1137e3c-e2bc-4fa8-87ad-9d1d0cf98323.json | N/A | N/A | N/A | N/A | N/A | XEM904724382 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1948-08-31 | 2002SD000004 | X0001002 | N/A | OT | false | MIYATA | N/A | LARAINE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7840043692 | N/A | N/A | 5537630 | 2222 | 4802 | 8312203 | N/A | 4210159 | 2025-06-07 02:11:27.388345 | 2025-05-13 04:29:37.224576 |
| 2025-06-06 02:46:40.845408 | 2025-06-06 02:46:43.716150 | 8577056 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-05-24 | 2025-05-29 | F | PT | LINDSEY | 5NM0ND0FT32 | CHRISTIE | AE | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550951/check_8577056_e3456c96-debf-436e-8459-b74e974e5db9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550951/check_8577056_98b9b192-f1b3-414c-9cdb-682433e4ef78.json | N/A | N/A | N/A | N/A | N/A | 5NM0ND0FT32 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-05-24 | S4802 | N/A | N/A | MA | false | LINDSEY | N/A | CHRISTIE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7836769636 | 7927 | N/A | 5550951 | 2222 | N/A | 8283845 | N/A | 4219787 | 2025-06-06 02:46:43.716150 | 2025-05-13 04:29:37.230828 |
| 2025-06-06 02:02:02.028981 | 2025-06-06 02:02:04.846429 | 8577047 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-07-01 | 2025-06-06 | M | PT | PAQUETTE | JQU899A69081 | NICOLAS | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124048/check_8577047_1d5ea306-bba0-4992-82a2-2e91f53b9231.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124048/check_8577047_fec92e02-a34b-484a-8708-d960cb854e21.json | N/A | N/A | N/A | N/A | N/A | JQU899A69081 | Preferred Provider Organization (PPO) | EN ROUTE TRAVEL | ANTHEM BLUE CROSS | N/A | 2009-07-01 | 040 | 371007 | N/A | PR | false | PAQUETTE | N/A | BIANCA | N/A | 9999-12-31 | 2025-06-01 | ANTHEM GOLD PPO 35/500/25% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 7836409708 | 8428 | N/A | 6124048 | 2222 | N/A | 8272795 | N/A | 4766758 | 2025-06-06 02:02:04.846429 | 2025-06-03 21:40:10.090592 |
| 2025-06-06 02:00:53.328025 | 2025-06-06 02:00:57.146588 | 8577043 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-11-03 | 2025-06-05 | F | PT | PARADI | 989539094 | SUZANNE | AE | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6134645/check_8577043_970adf87-182b-4992-b301-e105941ab6de.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6134645/check_8577043_d70134cb-99b8-47d1-9913-928e2702bdbd.json | N/A | N/A | N/A | N/A | N/A | 989539094 | Commercial | ANSCHUTZ ENTERTAINMENT GROUP | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1988-11-03 | 0014 0014 | 744401 | N/A | C1 | false | PARADI | N/A | SUZANNE | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 7836399770 | 8428 | N/A | 6134645 | 2222 | N/A | 8272475 | N/A | 4775949 | 2025-06-06 02:00:57.146588 | 2025-06-11 16:52:59.646941 |
| 2025-06-06 01:59:36.004789 | 2025-06-06 01:59:37.744470 | 8577042 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-04-19 | 2025-06-06 | F | PT | VALDIVIA | 102000030601 | CRISTINA | N/A | 23321 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549398/check_8577042_d82d3989-d05a-408b-b067-31ed1140a07f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549398/check_8577042_b2ea81c1-944c-4266-a063-67d1937e8ea9.json | N/A | N/A | N/A | N/A | N/A | 102000030601 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1957-04-19 | N/A | N/A | N/A | N/A | false | VALDIVIA | N/A | CRISTINA | 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 | 8428 | N/A | 5549398 | 2222 | N/A | 8272460 | N/A | 4219064 | 2025-06-06 01:59:37.744470 | 2025-06-06 15:26:44.406275 |
| 2025-06-06 01:59:31.347719 | 2025-06-06 01:59:36.003500 | 8577041 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-04-19 | 2025-06-06 | F | PT | VALDIVIA | 102000030601 | CRISTINA | N/A | 23321 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549398/check_8577041_dd99e4c0-5e93-480e-9183-5010798ab6dd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 102000030601 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1957-04-19 | N/A | N/A | N/A | N/A | false | VALDIVIA | N/A | CRISTINA | 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 | 8428 | N/A | 5549398 | 2222 | N/A | N/A | N/A | 4219064 | 2025-06-06 01:59:36.003500 | 2025-06-06 15:26:44.406275 |
| 2025-06-06 01:59:09.757166 | 2025-06-06 01:59:11.567686 | 8577040 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-04-19 | 2025-06-06 | F | PT | H VALDIVIA | 102000030601 | CRISTINA | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549398/check_8577040_4a9ba7e0-4a1a-409f-a65b-087cbe4f6a0f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549398/check_8577040_4e7bacf2-bb5e-4340-9e1b-247f1d21df21.json | N/A | N/A | N/A | N/A | N/A | 102000030601 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1957-04-19 | N/A | N/A | N/A | N/A | false | H VALDIVIA | N/A | CRISTINA | 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 | 8428 | N/A | 5549398 | 2222 | N/A | 8272458 | N/A | 4219064 | 2025-06-06 01:59:11.567686 | 2025-06-06 15:26:44.406275 |
| 2025-06-06 01:59:05.093714 | 2025-06-06 01:59:09.754533 | 8577039 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-04-19 | 2025-06-06 | F | PT | H VALDIVIA | 102000030601 | CRISTINA | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549398/check_8577039_668e70c4-24de-4f24-ad8f-eace5f07908b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 102000030601 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1957-04-19 | N/A | N/A | N/A | N/A | false | H VALDIVIA | N/A | CRISTINA | 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 | 8428 | N/A | 5549398 | 2222 | N/A | N/A | N/A | 4219064 | 2025-06-06 01:59:09.754533 | 2025-06-06 15:26:44.406275 |
| 2025-06-06 01:58:53.626473 | 2025-06-06 01:58:55.386072 | 8577038 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-04-19 | 2025-06-06 | F | PT | VALDIVIA | 102000030601 | CRISTINA H | N/A | 23302 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549398/check_8577038_2788b877-199a-4c79-93e7-20e64e31ed01.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549398/check_8577038_9a001e5a-350a-4081-93c0-c6f04e61dc63.json | N/A | N/A | N/A | N/A | N/A | 102000030601 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1957-04-19 | N/A | N/A | N/A | N/A | false | VALDIVIA | N/A | CRISTINA H | 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 | 8428 | N/A | 5549398 | 2222 | N/A | 8272456 | N/A | 4219064 | 2025-06-06 01:58:55.386072 | 2025-06-06 15:26:44.406275 |
| 2025-06-06 01:58:51.917820 | 2025-06-06 01:58:53.623684 | 8577037 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-04-19 | 2025-06-06 | F | PT | VALDIVIA | 102000030601 | CRISTINA H | N/A | 23302 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549398/check_8577037_9b170e36-d7c7-47b7-b49c-f637072735de.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 102000030601 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1957-04-19 | N/A | N/A | N/A | N/A | false | VALDIVIA | N/A | CRISTINA H | 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 | 8428 | N/A | 5549398 | 2222 | N/A | N/A | N/A | 4219064 | 2025-06-06 01:58:53.623684 | 2025-06-06 15:26:44.406275 |