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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-05 08:06:32.316577 | 2025-11-06 01:53:41.970946 | 14379764 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14379764 | Athletic Physical Therapy Inc | 1960-03-22 | 2025-11-06 | F | AE | PT | ROUSHANBAKHSH | 4M68ME8GE50 | FOROUGH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.121228365.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10259566/check_14379764_7d521d3f-8408-40aa-a85d-1b029037943b.json | N/A | N/A | N/A | N/A | N/A | 4M68ME8GE50 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-03-22 | S4802 | N/A | N/A | MA | false | ROUSHANBAKHSH | N/A | FOROUGH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9209695506 | N/A | N/A | 10259566 | 2222 | 4802 | 14675460 | N/A | 4213281 | 2025-11-06 01:53:41.970946 | 2025-05-13 04:29:37.227606 |
| 2025-11-05 08:06:27.943995 | 2025-11-06 01:43:33.115488 | 14379468 | N/A | N/A | 60054 | Aetna | 1114042165 | 14379468 | Athletic Physical Therapy Inc | 1957-05-05 | 2025-11-07 | F | AE | PT | HOUSTON | TRJNP0019401 | VELINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.121336692.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11369639/check_14379468_c782c497-33e5-4cf0-9994-f262018bbb8d.json | N/A | N/A | N/A | N/A | N/A | TRJNP0019401 | N/A | N/A | AETNA | N/A | 1957-05-05 | 0724665 | 072466501100004 | N/A | N/A | false | HOUSTON | N/A | VELINA | N/A | 2001-05-31 | 2001-01-01 | AETNA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9210497815 | N/A | N/A | 11369639 | 2222 | 4802 | 14672646 | N/A | 9637804 | 2025-11-06 01:43:33.115488 | 2026-04-24 18:56:42.779565 |
| 2025-11-05 08:06:17.003638 | 2025-11-06 01:37:20.079065 | 14378690 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14378690 | Athletic Physical Therapy Inc | 1959-04-01 | 2025-11-07 | M | PT | N/A | MOYER | W0051411 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.114338664.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11282027/check_14378690_9eb45006-f284-4dea-9938-327bdfdbfdf4.json | N/A | N/A | N/A | N/A | N/A | W0051411 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1959-04-01 | N/A | N/A | N/A | N/A | false | MOYER | N/A | STEVEN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9209671705 | N/A | N/A | 11282027 | 2222 | 4801 | 14668049 | N/A | 9581032 | 2025-11-06 01:37:20.079065 | 2025-10-21 22:24:54.464325 |
| 2025-11-05 08:06:15.242963 | 2025-11-06 01:35:28.770753 | 14378583 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14378583 | Athletic Physical Therapy Inc | 1970-07-31 | 2025-11-07 | M | PT | N/A | COHEN | XEA910836494 | LOREN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.122126076.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9098901/check_14378583_ab9cea6f-26b1-4974-b40f-6cc8de9c9403.json | N/A | N/A | N/A | N/A | N/A | XEA910836494 | Preferred Provider Organization (PPO) | SKLAR KIRSH LLP | BLUE SHIELD CALIFORNIA | N/A | 1970-07-31 | 1000VX000102 | W0118531 | N/A | PR | false | COHEN | N/A | LOREN | N/A | 9999-12-31 | 2025-08-01 | PLATINUM FULL PPO 0 0 OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9209808021 | N/A | N/A | 9098901 | 2222 | 4802 | 14666328 | N/A | 7617792 | 2025-11-06 01:35:28.770753 | 2025-11-01 01:41:43.203481 |
| 2025-11-05 08:06:14.310760 | 2025-11-06 03:39:44.698852 | 14378517 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14378517 | Athletic Physical Therapy Inc | 1951-08-17 | 2025-11-06 | F | AE | PT | HYATT | 8F50NM2MU09 | CINDY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.114327393.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12216824/check_14378517_cc2ffc30-d104-4a6e-b6e9-9628a23cd504.json | N/A | N/A | N/A | N/A | N/A | 8F50NM2MU09 | N/A | N/A | CMS | N/A | 1951-08-17 | N/A | N/A | N/A | N/A | false | HYATT | N/A | CINDY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9209672421 | N/A | N/A | 12216824 | 2222 | 4802 | 14677840 | N/A | 10415709 | 2025-11-06 03:39:44.698852 | 2025-11-05 17:32:26.509741 |
| 2025-11-05 08:06:12.420662 | 2025-11-06 01:34:19.718965 | 14378384 | N/A | N/A | 60054 | Aetna | 1114042165 | 14378384 | Athletic Physical Therapy Inc | 1957-01-13 | 2025-11-07 | F | AE | PT | NAY | MBL700W17597 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.114338664.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11175434/check_14378384_a94f8cbf-4d27-4f03-82ca-e847f173d719.json | N/A | N/A | N/A | N/A | N/A | MBL700W17597 | N/A | N/A | AETNA INC | N/A | 1957-01-13 | N/A | N/A | N/A | N/A | false | NAY | 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 | 9209670105 | N/A | N/A | 11175434 | 2222 | 4793 | 14665228 | N/A | 9520463 | 2025-11-06 01:34:19.718965 | 2025-10-21 17:49:23.309023 |
| 2025-11-05 08:06:06.972920 | 2025-11-06 01:37:19.799978 | 14378014 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14378014 | Athletic Physical Therapy Inc | 1959-06-14 | 2025-11-07 | M | AE | PT | HARRIS | XEM913253164 | SCOTT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.114338664.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11150382/check_14378014_7349da28-00fa-4f58-9973-2363617abbba.json | N/A | N/A | N/A | N/A | N/A | XEM913253164 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1959-06-14 | 2002SE000030 | X0001002 | N/A | OT | false | HARRIS | N/A | SCOTT | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9209672207 | N/A | N/A | 11150382 | 2222 | 4793 | 14668045 | N/A | 9497887 | 2025-11-06 01:37:19.799978 | 2025-10-20 16:22:35.728267 |
| 2025-11-05 08:05:59.758258 | 2025-11-06 03:45:00.358709 | 14377537 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14377537 | Athletic Physical Therapy Inc | 1959-09-25 | 2025-11-07 | F | AE | PT | SIQUEIROS | 00000416329 | NEOMI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.114237354.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7783566/check_14377537_ca0988c7-1230-4c0d-aaa9-36e80bac88b5.json | N/A | N/A | N/A | N/A | N/A | 00000416329 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1959-09-25 | H3815028 | N/A | N/A | HM | false | SIQUEIROS | N/A | NEOMI | 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 | 9209702828 | N/A | N/A | 7783566 | 2222 | 4793 | 14678727 | 2630 | 6628802 | 2025-11-06 03:45:00.358709 | 2025-08-05 16:32:50.217064 |
| 2025-11-05 08:05:54.612510 | 2025-11-05 08:05:54.810625 | 14377183 | N/A | N/A | 47027 | Physicians Mutual Insurance Company | 1114042165 | 14377183 | Athletic Physical Therapy Inc | 1952-10-25 | 2025-11-07 | F | AE | PT | JOHNSTON | H750053601 | DEBORAH | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-11-07 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 6638391 | 2222 | 4793 | N/A | N/A | 5247837 | 2025-11-05 08:05:54.810625 | 2026-02-24 20:36:49.807283 |
| 2025-11-05 08:05:52.326329 | 2025-11-06 01:32:02.714561 | 14377024 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 14377024 | override_provider | 2003-11-16 | 2025-11-07 | F | PT | N/A | HAYASHI | XLXR000032097727 | LAUREN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.122126076.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9066824/check_14377024_dab377c5-052f-4109-8d77-3d135099fd84.json | N/A | N/A | N/A | N/A | N/A | XLXR000032097727 | Preferred Provider Organization (PPO) | OSF INDIVIDUAL PLATINUM PPO W/ DENTAL HIGH (GOLD) | BLUE SHIELD OF CALIFORNIA | N/A | 2003-11-16 | N/A | 24048 1 | N/A | PR | false | HAYASHI | N/A | NANCY | N/A | 9999-12-31 | 2023-12-01 | PLATINUM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9209806882 | N/A | N/A | 9066824 | 2222 | 4802 | 14663102 | N/A | 7582776 | 2025-11-06 01:32:02.714561 | 2025-09-24 22:06:50.112056 |
| 2025-11-05 08:05:51.131605 | 2025-11-06 01:51:17.062459 | 14376943 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 14376943 | Athletic Physical Therapy Inc | 1996-03-18 | 2025-11-07 | M | AE | PT | CHAINGAN | 96637102467129 | CARLO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.121336692.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11358205/check_14376943_d383fabe-6bd7-4bc9-a80d-c4cadfa903cf.json | N/A | N/A | N/A | N/A | N/A | 96637102467129 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1996-03-18 | N/A | N/A | N/A | N/A | false | CHAINGAN | N/A | CARLO | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9209733305 | N/A | N/A | 11358205 | 2222 | 4801 | 14674542 | N/A | 9629336 | 2025-11-06 01:51:17.062459 | 2025-10-28 16:50:31.547791 |
| 2025-11-05 08:05:50.806867 | 2025-11-06 01:47:51.848543 | 14376923 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14376923 | Athletic Physical Therapy Inc | 1971-09-22 | 2025-11-07 | U | PT | N/A | OCAMPO | JVM951A71931 | RENCY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.121336692.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11358041/check_14376923_e2837a94-b669-481b-a19a-312f4fe0d4a9.json | N/A | N/A | N/A | N/A | N/A | JVM951A71931 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1971-09-22 | N/A | N/A | N/A | N/A | false | OCAMPO | N/A | RENCY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9209733304 | N/A | N/A | 11358041 | 2222 | 4793 | 14673471 | 4185 | 9629144 | 2025-11-06 01:47:51.848543 | 2025-12-29 19:59:14.229199 |
| 2025-11-05 08:05:46.990794 | 2025-11-06 01:38:54.273853 | 14376683 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 14376683 | Athletic Physical Therapy Inc | 1953-05-21 | 2025-11-07 | M | AE | PT | DAVILA | 96682470F | RAY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.114338664.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10365901/check_14376683_3074213f-e5d1-49ec-8db5-def5aa850b79.json | N/A | N/A | N/A | N/A | N/A | 96682470F | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1953-05-21 | N/A | N/A | N/A | N/A | false | DAVILA | N/A | RAY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9209673129 | N/A | N/A | 10365901 | 2222 | 4793 | 14669522 | N/A | 8628911 | 2025-11-06 01:38:54.273853 | 2025-10-13 20:36:48.387301 |
| 2025-11-05 08:05:25.711719 | 2025-11-05 08:05:26.049533 | 14375495 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14375495 | Athletic Physical Therapy Inc | 1960-07-20 | 2025-11-06 | F | AE | PT | NAFTZGER | XEM914412859 | SANDRA | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-11-06 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 6194938 | 2222 | 4802 | N/A | N/A | 4214889 | 2025-11-05 08:05:26.049533 | 2025-05-13 04:29:37.229212 |
| 2025-11-05 08:05:10.817833 | 2025-11-06 01:32:09.323848 | 14374665 | N/A | N/A | 60054 | Aetna | 1114042165 | 14374665 | Athletic Physical Therapy Inc | 1997-02-11 | 2025-11-07 | F | AE | PT | BELL | W29376563901 | FRANCESCA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.122126076.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9020239/check_14374665_10f5d564-073c-42bf-b485-bbc70c62c739.json | N/A | N/A | N/A | N/A | N/A | W293765639 | Point of Service (POS) | VINSON & ELKINS LLP | AETNA | N/A | 1997-02-11 | 0882904 | 088290401200015 | N/A | PS | false | BELL | N/A | FRANCESCA | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9209806570 | N/A | N/A | 9020239 | 2222 | 4802 | 14663210 | N/A | 7543693 | 2025-11-06 01:32:09.323848 | 2025-10-06 20:52:39.651223 |
| 2025-11-05 08:05:00.955898 | 2025-11-06 01:49:06.624121 | 14374079 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 14374079 | Athletic Physical Therapy Inc | 1983-05-09 | 2025-11-07 | F | AE | PT | RAJCIC | 622299781 | MAJA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.121228365.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10172287/check_14374079_68a85098-b8f2-484c-805a-3e3084f5cd26.json | N/A | N/A | N/A | N/A | N/A | 622299781 | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1983-05-09 | N/A | N/A | N/A | N/A | false | RAJCIC | N/A | MAJA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9209696692 | N/A | N/A | 10172287 | 2222 | 4802 | 14673783 | N/A | 8473558 | 2025-11-06 01:49:06.624121 | 2025-10-10 16:40:45.584452 |
| 2025-11-05 08:05:00.500046 | 2025-11-06 01:41:30.242020 | 14374050 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 14374050 | Athletic Physical Therapy Inc | 1987-06-04 | 2025-11-06 | F | AE | PT | Kramer | W25290479102 | Aleah | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.121336692.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11314808/check_14374050_68dccea1-5384-4136-a2eb-101314f56989.json | N/A | N/A | N/A | N/A | N/A | W25290479102 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1987-06-04 | N/A | N/A | N/A | N/A | false | KRAMER | N/A | ALEAH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9209733000 | N/A | N/A | 11314808 | 2222 | 4802 | 14671720 | N/A | 9379901 | 2025-11-06 01:41:30.242020 | 2025-10-21 18:31:35.446245 |
| 2025-11-05 08:05:00.020258 | 2025-11-06 01:34:19.523132 | 14374021 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14374021 | Athletic Physical Therapy Inc | 1949-12-31 | 2025-11-07 | M | AE | PT | TSING | 00000282272 | KONGHSUNG | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.122126076.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8978036/check_14374021_bd20ee00-1a5b-45f2-9a6d-740650915bf2.json | N/A | N/A | N/A | N/A | N/A | 00000282272 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-12-31 | H3815028 | N/A | N/A | HM | false | TSING | N/A | KONGHSUNG | 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 | 9209808343 | N/A | N/A | 8978036 | 2222 | 4793 | 14665224 | 2630 | 7492332 | 2025-11-06 01:34:19.523132 | 2025-10-01 21:03:48.525986 |
| 2025-11-05 08:04:58.981733 | 2025-11-06 01:47:45.872743 | 14373952 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14373952 | Athletic Physical Therapy Inc | 1959-04-01 | 2025-11-07 | M | PT | N/A | MOYER | JXN542M92477 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.121336692.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11278285/check_14373952_9ac8caad-88b8-4e14-9801-7480482a11a9.json | N/A | N/A | N/A | N/A | N/A | JXN542M92477 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1959-04-01 | 040 | 174222M2A1 | N/A | PR | false | MOYER | N/A | STEVEN | N/A | 9999-12-31 | 2018-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9209732994 | N/A | N/A | 11278285 | 2222 | 4801 | 14673451 | N/A | 9581032 | 2025-11-06 01:47:45.872743 | 2025-10-21 22:24:54.464325 |
| 2025-11-05 08:04:56.638937 | 2025-11-06 01:34:23.522250 | 14373807 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 14373807 | Athletic Physical Therapy Inc | 1990-11-12 | 2025-11-07 | F | AE | PT | SIMONS | 94378141G | DESIREE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.114318804.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550102/check_14373807_2033e78d-051c-4fc8-a5de-46ef5d4712f2.json | N/A | N/A | N/A | N/A | N/A | 94378141G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1990-11-12 | N/A | N/A | N/A | N/A | false | SIMONS | N/A | DESIREE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9209815329 | N/A | N/A | 5550102 | 2222 | 4802 | 14665285 | N/A | 4212176 | 2025-11-06 01:34:23.522250 | 2025-05-13 04:29:37.226514 |
| 2025-11-05 08:04:56.468013 | 2025-11-06 01:34:26.558933 | 14373797 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14373797 | Athletic Physical Therapy Inc | 1955-10-09 | 2025-11-07 | M | PT | N/A | COE | JQS589W10732 | SCOTT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.114318804.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549514/check_14373797_b437b42f-d370-456b-b6a3-d9c00f6a19dd.json | N/A | N/A | N/A | N/A | N/A | JQS589W10732 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1955-10-09 | 040 | CAMCRWP0 | N/A | MP | false | COE | N/A | SCOTT | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9209815327 | N/A | N/A | 5549514 | 2222 | 4801 | 14665328 | 4185 | 4219161 | 2025-11-06 01:34:26.558933 | 2025-10-16 23:24:12.118501 |
| 2025-11-05 08:04:56.259371 | 2025-11-06 01:34:27.325311 | 14373785 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14373785 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-11-07 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.114318804.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_14373785_385edf73-5047-4e15-9544-678b74871669.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9209815325 | N/A | N/A | 5549317 | 2222 | 4801 | 14665343 | N/A | 4219010 | 2025-11-06 01:34:27.325311 | 2026-01-09 18:32:07.618867 |
| 2025-11-05 08:04:55.937585 | 2025-11-06 01:34:17.291731 | 14373764 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14373764 | Athletic Physical Therapy Inc | 1962-06-19 | 2025-11-07 | M | AE | PT | MILIAN GOMEZ | 93331019F | MIGUEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.114318804.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543555/check_14373764_4b8a2931-fcda-4909-a6f0-4499a983b8fd.json | N/A | N/A | N/A | N/A | N/A | 93331019F | N/A | N/A | HEALTH NET, LLC | N/A | 1962-06-19 | N/A | N/A | N/A | N/A | false | MILIAN GOMEZ | N/A | MIGUEL | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9209815319 | N/A | N/A | 5543555 | 2222 | 4802 | 14665188 | N/A | 4215332 | 2025-11-06 01:34:17.291731 | 2025-08-06 16:15:15.716322 |
| 2025-11-05 08:04:55.782928 | 2025-11-06 01:38:59.457884 | 14373755 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14373755 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-11-07 | F | AE | PT | HOWARD | 6JJ9KX0PY45 | JUDI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.114318804.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543340/check_14373755_9423710c-ba10-4e9a-8794-3c5d6c3a23ec.json | N/A | N/A | N/A | N/A | N/A | 6JJ9KX0PY45 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-11-19 | S5884 | N/A | N/A | MA | false | HOWARD | N/A | JUDI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9209815318 | N/A | N/A | 5543340 | 2222 | 4793 | 14669603 | N/A | 4215147 | 2025-11-06 01:38:59.457884 | 2025-05-13 04:29:37.229464 |
| 2025-11-05 08:04:55.623026 | 2025-11-06 01:31:03.316658 | 14373744 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 14373744 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-11-07 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.114318804.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_14373744_ca344184-e676-4259-bd32-77420e825a63.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-03-27 | N/A | N/A | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9209815317 | N/A | N/A | 5543270 | 2222 | 4793 | 14662307 | N/A | 4215086 | 2025-11-06 01:31:03.316658 | 2025-05-13 04:29:37.229401 |
| 2025-11-05 08:04:55.443571 | 2025-11-06 01:34:17.010040 | 14373731 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14373731 | Athletic Physical Therapy Inc | 2007-12-08 | 2025-11-06 | F | AE | PT | LARSEN | R06053944FD1 | LANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.114318804.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542850/check_14373731_cfebfd9e-e91c-46c7-9a6d-61c43104c8d4.json | N/A | N/A | N/A | N/A | N/A | R06053944FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2007-12-08 | N/A | N/A | N/A | N/A | false | LARSEN | N/A | LANA | N/A | N/A | N/A | MGY COMHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9209815315 | N/A | N/A | 5542850 | 2222 | 4793 | 14665185 | N/A | 4214714 | 2025-11-06 01:34:17.010040 | 2025-05-13 04:29:37.229031 |
| 2025-11-05 08:04:55.291789 | 2025-11-06 01:33:48.878211 | 14373720 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14373720 | Athletic Physical Therapy Inc | 1985-02-07 | 2025-11-06 | F | AE | PT | SHEPHERD | 93180838F | EMILY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.114318804.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541519/check_14373720_08678fe7-e5a2-453e-ac49-52e59214805e.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | HEALTH NET, LLC | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9209815313 | N/A | N/A | 5541519 | 2222 | 4802 | 14664739 | N/A | 4213530 | 2025-11-06 01:33:48.878211 | 2025-05-13 04:29:37.227860 |
| 2025-11-05 08:04:55.132483 | 2025-11-06 01:36:06.385616 | 14373710 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14373710 | Athletic Physical Therapy Inc | 1997-07-14 | 2025-11-07 | M | PT | N/A | SHERBETJIAN | XED910281081 | JACK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.114318804.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540558/check_14373710_05677de3-faf2-4ec1-bcbe-92f05e7a2063.json | N/A | N/A | N/A | N/A | N/A | XED910281081 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-14 | 2001ZK002184 | X0001004 | N/A | PR | false | SHERBETJIAN | N/A | JACK | N/A | 9999-12-31 | 2021-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9209815311 | N/A | N/A | 5540558 | 2222 | 4801 | 14666927 | N/A | 4212698 | 2025-11-06 01:36:06.385616 | 2025-05-13 04:29:37.227042 |
| 2025-11-05 08:04:54.971186 | 2025-11-06 01:34:27.037648 | 14373698 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14373698 | Athletic Physical Therapy Inc | 1980-04-11 | 2025-11-07 | M | PT | N/A | Hurst | JQY695A75359 | Gregory | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.114318804.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539085/check_14373698_d85ee22e-da92-4216-9016-89217cd27f01.json | N/A | N/A | N/A | N/A | N/A | JQY695A75359 | Preferred Provider Organization (PPO) | YALE MANAGEMENT SERVICES | ANTHEM BLUE CROSS | N/A | 1980-04-11 | 040 | 342584 | N/A | PR | false | HURST | N/A | GREGORY | N/A | 2025-12-01 | 2024-12-01 | ANTHEM SILVER SELECT PPO 50/2200/40% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9209815309 | N/A | N/A | 5539085 | 2222 | 4793 | 14665336 | N/A | 4211408 | 2025-11-06 01:34:27.037648 | 2025-09-18 00:42:48.586801 |
| 2025-11-05 08:04:54.818367 | 2025-11-06 01:39:00.315849 | 14373683 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14373683 | Athletic Physical Therapy Inc | 1950-08-31 | 2025-11-07 | M | AE | PT | NADRICH | 1NJ2V04GK04 | JEFFREY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.114318804.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538990/check_14373683_19ae1889-433e-4d93-9f2f-a85d675e2210.json | N/A | N/A | N/A | N/A | N/A | 1NJ2V04GK04 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-08-31 | S5601 | N/A | N/A | MA | false | NADRICH | N/A | JEFF | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9209815307 | N/A | N/A | 5538990 | 2222 | 4802 | 14669618 | N/A | 4211316 | 2025-11-06 01:39:00.315849 | 2025-05-13 04:29:37.225679 |
| 2025-11-05 08:04:54.652435 | 2025-11-06 01:36:06.081008 | 14373671 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14373671 | Athletic Physical Therapy Inc | 1980-10-31 | 2025-11-07 | M | PT | N/A | PAREDES | XEH910686412 | JOSE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.114318804.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538615/check_14373671_1064dcc4-f811-48c3-be3a-62b3262751b9.json | N/A | N/A | N/A | N/A | N/A | XEH910686412 | Health Maintenance Organization (HMO) | TRADER JOE S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1980-10-31 | 1000VX000001 | W0069783 | N/A | HM | false | MORDKA | N/A | LUCAS | N/A | 9999-12-31 | 2021-07-01 | TRADER JOE S COMPANY CUSTOM ACCESS HMO 25 500 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9209815304 | N/A | N/A | 5538615 | 2222 | 4793 | 14666922 | N/A | 4211010 | 2025-11-06 01:36:06.081008 | 2025-09-30 17:03:18.054141 |
| 2025-11-05 08:04:54.507210 | 2025-11-06 01:38:59.103201 | 14373661 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14373661 | Athletic Physical Therapy Inc | 1952-12-18 | 2025-11-07 | F | AE | PT | DU BRIN | 7KN7YG8XT63 | SUSAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.114318804.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538600/check_14373661_284ef897-65cd-4e18-a545-4ba3b6df8a45.json | N/A | N/A | N/A | N/A | N/A | 7KN7YG8XT63 | Medicare Part B | N/A | UNITED SERVICES AUTOMOBILE ASSOC | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-12-18 | S4802 | DOL 06142025 | N/A | MB | false | DU BRIN | N/A | SUSAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9209815303 | N/A | N/A | 5538600 | 2222 | 4793 | 14669598 | N/A | 4210998 | 2025-11-06 01:38:59.103201 | 2026-02-23 18:49:01.874308 |
| 2025-11-05 08:04:54.299009 | 2025-11-06 01:39:00.957370 | 14373642 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14373642 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-11-07 | M | AE | PT | ULLMAN | 3A76X26KQ40 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.114318804.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535838/check_14373642_ace45bb7-d0fd-402a-86cc-3860ee82207a.json | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9209815299 | N/A | N/A | 5535838 | 2222 | 4801 | 14669627 | N/A | 4208696 | 2025-11-06 01:39:00.957370 | 2025-06-07 16:16:45.844566 |
| 2025-11-05 08:04:54.074146 | 2025-11-06 01:33:50.706974 | 14373629 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 14373629 | Athletic Physical Therapy Inc | 1952-12-16 | 2025-11-07 | F | AE | PT | PORTER | 400282215401 | SHERIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.114318804.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535434/check_14373629_699377b9-d19f-4723-acc4-a4f802ccc54b.json | N/A | N/A | N/A | N/A | N/A | 40028215401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-12-16 | 2025H5425001 | H5425M | N/A | N/A | false | PORTER | N/A | SHERIL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9209815297 | N/A | N/A | 5535434 | 2222 | 4793 | 14664768 | N/A | 4208356 | 2025-11-06 01:33:50.706974 | 2025-08-25 14:49:27.724897 |
| 2025-11-05 08:04:53.550578 | 2025-11-06 03:33:23.616812 | 14373599 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 14373599 | Athletic Physical Therapy Inc | 1954-02-10 | 2025-11-06 | F | AE | PT | SHARMA | H74807838 | MONIKA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.114327393.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12113464/check_14373599_62f809b0-bb1a-48ca-8aef-92adc6e2fb86.json | N/A | N/A | N/A | N/A | N/A | H74807838 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 965 HUMANA GOLD PLUS HMO-SNP MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1954-02-10 | N/A | 0B666001 | N/A | HN | false | SHARMA | N/A | MONIKA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9209672297 | N/A | N/A | 12113464 | 2222 | 4801 | 14676638 | N/A | 10330803 | 2025-11-06 03:33:23.616812 | 2025-11-03 22:25:23.404066 |
| 2025-11-05 08:04:46.449032 | 2025-11-05 08:04:46.649627 | 14373202 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14373202 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-11-07 | F | AE | PT | HOWARD | JQE896M91712 | JUDI | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-11-07 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 5543352 | 2222 | 4793 | N/A | N/A | 4215147 | 2025-11-05 08:04:46.649627 | 2025-05-13 04:29:37.229464 |
| 2025-11-05 08:04:46.226800 | 2025-11-05 08:04:46.442651 | 14373192 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14373192 | Athletic Physical Therapy Inc | 1950-08-31 | 2025-11-07 | M | AE | PT | NADRICH | XEM905604302 | JEFFREY | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-11-07 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 5538999 | 2222 | 4802 | N/A | N/A | 4211316 | 2025-11-05 08:04:46.442651 | 2025-05-13 04:29:37.225679 |
| 2025-11-05 08:04:46.049020 | 2025-11-05 08:04:46.219833 | 14373182 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14373182 | Athletic Physical Therapy Inc | 1952-12-18 | 2025-11-07 | F | AE | PT | DU BRIN | JQE162M93481 | SUSAN | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-11-07 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 5538605 | 2222 | 4793 | N/A | N/A | 4210998 | 2025-11-05 08:04:46.219833 | 2026-02-23 18:49:01.874308 |
| 2025-11-05 08:04:44.928083 | 2025-11-06 01:35:18.323517 | 14373118 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14373118 | Athletic Physical Therapy Inc | 1958-08-10 | 2025-11-07 | M | AE | PT | FURTAK | 00000370322 | WAYNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.114331391.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9766428/check_14373118_2d6e3ff3-5808-46e6-bbc9-88f3283c4322.json | N/A | N/A | N/A | N/A | N/A | 00000370322 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1958-08-10 | H3815028 | N/A | N/A | HM | false | FURTAK | N/A | WAYNE | 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 | 9209810431 | N/A | N/A | 9766428 | 2222 | 4801 | 14666163 | 2630 | 8177700 | 2025-11-06 01:35:18.323517 | 2025-09-26 21:44:23.687707 |
| 2025-11-05 08:04:17.776839 | 2025-11-06 01:35:23.579495 | 14371725 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14371725 | Athletic Physical Therapy Inc | 1968-10-03 | 2025-11-07 | M | PT | N/A | RAMIREZ | Z7M7740597AB | CESAR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.114331391.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9729132/check_14371725_4858c477-0748-450c-bbef-39839c008290.json | N/A | N/A | N/A | N/A | N/A | Z7M7740597AB | Preferred Provider Organization (PPO) | HI DED LOWER FAMILY ONLY | ANTHEM BLUE CROSS | N/A | 1968-10-03 | 241 | L11957M003 | N/A | PR | false | RAMIREZ | N/A | CESAR | N/A | 9999-12-31 | 2025-01-01 | PPO WITH MO BLUE ACCESS CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9209809766 | N/A | N/A | 9729132 | 2222 | 4801 | 14666245 | N/A | 8145241 | 2025-11-06 01:35:23.579495 | 2025-09-25 17:51:33.170014 |
| 2025-11-05 08:04:15.833402 | 2025-11-06 01:51:44.314383 | 14371626 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14371626 | Athletic Physical Therapy Inc | 1957-01-13 | 2025-11-07 | F | AE | PT | NAY | 5UC7QW0QK47 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.121336692.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11175433/check_14371626_f71f8aac-f9d7-4ca8-a15b-363131926c00.json | N/A | N/A | N/A | N/A | N/A | 5UC7QW0QK47 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-01-13 | H4036 | N/A | N/A | MA | false | NAY | 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 | 9209733525 | N/A | N/A | 11175433 | 2222 | 4793 | 14674717 | N/A | 9520463 | 2025-11-06 01:51:44.314383 | 2025-10-21 17:49:23.309023 |
| 2025-11-05 08:04:05.293821 | 2025-11-06 03:49:33.336992 | 14371087 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14371087 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-11-07 | F | AE | PT | SHAKIB | 1MR6XC7NU77 | PARI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.114237354.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444722/check_14371087_350ebee8-ea3c-4a9b-a202-907074fd6797.json | N/A | N/A | N/A | N/A | N/A | 1MR6XC7NU77 | Medicare Part A | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-05-04 | H5521 | N/A | N/A | MA | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9209701985 | N/A | N/A | 7444722 | 2222 | 4802 | 14679542 | N/A | 6395498 | 2025-11-06 03:49:33.336992 | 2026-02-18 02:38:35.073779 |
| 2025-11-05 08:03:50.449489 | 2025-11-06 03:46:19.552057 | 14370594 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14370594 | Athletic Physical Therapy Inc | 1991-10-07 | 2025-11-07 | F | PT | N/A | BOYM | XEK903045570 | DANIELLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.114237354.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7281036/check_14370594_871887eb-b367-48c0-986c-9fd4b35d4f3b.json | N/A | N/A | N/A | N/A | N/A | XEK903045570 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1991-10-07 | 2001ZJ002648 | X0001000 | N/A | PR | false | BOYM | N/A | DIMITRY | N/A | 2025-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9209702412 | N/A | N/A | 7281036 | 2222 | 4793 | 14678981 | N/A | 6245462 | 2025-11-06 03:46:19.552057 | 2025-07-24 01:23:15.134681 |
| 2025-11-05 08:03:49.947747 | 2025-11-06 01:38:42.086118 | 14370586 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14370586 | Athletic Physical Therapy Inc | 1959-02-04 | 2025-11-07 | F | AE | PT | SMITS | 9TF8JW2XU20 | HEIDI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251105.114331391.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681583/check_14370586_aff3bffb-330c-45f5-9e74-3978efc26bdd.json | N/A | N/A | N/A | N/A | N/A | 9TF8JW2XU20 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-04 | S4802 | N/A | N/A | MA | false | SMITS | N/A | HEIDI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9209809322 | N/A | N/A | 9681583 | 2222 | 4793 | 14669330 | N/A | 8101289 | 2025-11-06 01:38:42.086118 | 2025-09-24 17:05:46.431721 |
| 2025-11-05 05:44:14.620070 | 2025-11-05 05:44:17.265411 | 14369893 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2025-10-29 | N/A | PT | AE | ULLMAN | 8HC8F35AX50 | DAVID | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543201/check_14369893_e1132bb2-aa6a-42b6-ba42-90ec67f73f5a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543201/check_14369893_156b8954-956c-4d9b-87c1-9bbf4e758ad6.json | N/A | N/A | N/A | N/A | N/A | 8HC8F35AX50 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-24 | S5921 | N/A | N/A | MA | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9209041651 | 1275 | N/A | 5543201 | 2222 | N/A | 14639723 | N/A | 4215026 | 2025-11-05 05:44:17.265411 | 2025-06-07 16:16:41.178119 |
| 2025-11-05 00:25:18.850749 | 2025-11-05 00:25:21.815152 | 14367294 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-01-14 | 2025-11-05 | F | PT | N/A | KRAFT | XED911569862 | KATHRIN | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7294742/check_14367294_011de6b3-20dc-4f38-bbef-1f5d93ccf2b5.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7294742/check_14367294_3487914f-b2e4-490a-a35d-26207fc84772.json | N/A | N/A | N/A | N/A | N/A | XED911569862 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-01-14 | 2001ZK002184 | X0001004 | N/A | PR | false | KRAFT | N/A | KATHRIN | N/A | 9999-12-31 | 2022-08-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9207823154 | N/A | N/A | 7294742 | 2222 | N/A | 14608832 | N/A | 6254569 | 2025-11-05 00:25:21.815152 | 2025-08-12 09:24:43.956957 |
| 2025-11-05 00:18:41.258413 | 2025-11-05 00:18:43.274511 | 14367259 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-03-18 | 2025-11-05 | F | AE | PT | MEYER | 6AA8T47WQ51 | LESLIE | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11928201/check_14367259_052bc9f5-fec9-4c33-a420-aa4599c816ce.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11928201/check_14367259_01806740-bbbe-4259-8925-838a5844370e.json | N/A | N/A | N/A | N/A | N/A | 6AA8T47WQ51 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-03-18 | S5921 | N/A | N/A | MA | false | MEYER | N/A | LESLIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9207795637 | N/A | N/A | 11928201 | 2222 | N/A | 14608797 | N/A | 4215335 | 2025-11-05 00:18:43.274511 | 2025-10-30 21:15:07.766449 |
| 2025-11-05 00:03:50.523857 | 2025-11-05 00:03:52.355943 | 14367096 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-02-24 | 2025-11-04 | F | PT | N/A | TAKEMOTO | XED906098170 | NICOLE | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928752/check_14367096_dae9be99-403f-424f-a07a-703d063b6be8.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928752/check_14367096_09e896df-8a07-41e6-9ff7-2e45df76b6d3.json | N/A | N/A | N/A | N/A | N/A | XED906098170 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1973-02-24 | 2001ZK002184 | X0001004 | N/A | PR | false | TAKEMOTO | N/A | NICOLE | N/A | 9999-12-31 | 2025-01-01 | SILVER 94 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9207744774 | N/A | N/A | 5928752 | 2222 | N/A | 14608634 | N/A | 4583701 | 2025-11-05 00:03:52.355943 | 2025-07-24 17:50:11.805587 |
| 2025-11-04 22:02:01.941240 | 2025-11-04 22:02:09.085490 | 14365825 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-06-27 | 2025-11-10 | M | AE | PT | WEST | 40065315001 | KIRK | 23307 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11799742/check_14365825_b03b26d2-34be-402c-b3fd-4d0b14d15be5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-11-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11799742/check_14365825_872ec77e-1c3d-4cf1-9e08-11c07a174afc.json | N/A | N/A | N/A | N/A | N/A | 40065315001 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-06-27 | 2025H5425001 | H5425M | N/A | N/A | false | WEST | N/A | KIRK | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9207217719 | N/A | N/A | 11799742 | 2222 | N/A | 14606960 | N/A | 10033486 | 2025-11-04 22:02:09.085490 | 2025-11-04 21:34:59.842331 |
| 2025-11-04 21:12:27.617912 | 2025-11-04 21:12:31.871801 | 14365379 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-01-18 | 2025-11-04 | F | AE | PT | CANO | H7655502400 | ADELAIDA | 5349 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7796425/check_14365379_00a55c9c-3a14-4240-b318-abc17739d612.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7796425/check_14365379_842afd9e-c184-4223-8f54-86bec1ecb41c.json | N/A | N/A | N/A | N/A | N/A | H76555024 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 557 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1953-01-18 | N/A | 0B635001 | N/A | HN | false | CANO | N/A | ADELAIDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9206872436 | N/A | N/A | 7796425 | 2222 | N/A | 14606387 | N/A | 6638534 | 2025-11-04 21:12:31.871801 | 2025-08-05 23:10:54.464587 |