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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-04 08:12:03.176534 | 2025-11-05 03:40:01.550213 | 14346398 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14346398 | Athletic Physical Therapy Inc | 1952-11-30 | 2025-11-07 | F | AE | PT | Tenner | XEA913632918 | Susan | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121715199.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10347882/check_14346398_9fafe0c8-ccef-4c49-bcfc-fd8a6fc87825.json | N/A | N/A | N/A | N/A | N/A | XAN913632918 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | MEDICARE PART A AND B | N/A | 1952-11-30 | 1002VX000001 | W0051411 | N/A | PR | false | TENNER | N/A | ROBERT | N/A | 9999-12-31 | 2025-01-01 | CALPERS ASO PLATINUM PPO SUPPLEMENT TO MEDICARE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199424796 | N/A | N/A | 10347882 | 2222 | 4802 | 14632087 | N/A | 8614368 | 2025-11-05 03:40:01.550213 | 2025-10-13 19:03:41.164438 |
| 2025-11-04 08:12:02.409227 | 2025-11-05 01:48:28.260178 | 14346377 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 14346377 | Athletic Physical Therapy Inc | 1953-07-29 | 2025-11-07 | F | PT | N/A | DE SANTIAGO | 906536178001 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121325525.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10128259/check_14346377_0d241e21-23af-4402-9e75-cdd433682558.json | N/A | N/A | N/A | N/A | N/A | XEH906536178 | Health Maintenance Organization (HMO) | P W GILLIBRAND COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1953-07-29 | 1000HMOX0002 | W0001720 | N/A | HM | false | DESANTIAGO | N/A | REFUGIO | N/A | N/A | N/A | ACCESS HMO R ZERO ADMIT 30 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199392262 | N/A | N/A | 10128259 | 2222 | 4801 | 14620885 | N/A | 8452475 | 2025-11-05 01:48:28.260178 | 2025-10-07 21:19:11.415234 |
| 2025-11-04 08:11:53.993013 | 2025-11-05 01:50:11.169433 | 14346085 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14346085 | Athletic Physical Therapy Inc | 1994-07-04 | 2025-11-07 | M | PT | N/A | Daich | JQY912W17468 | Austin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.102623793.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11001702/check_14346085_207defec-68ee-41ed-887e-29c523cfcb56.json | N/A | N/A | N/A | N/A | N/A | JQY912W17468 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | BLUE SHIELD OF CALIFORNIA | N/A | 1994-07-04 | 040 | 476522 | N/A | PR | false | DAICH | N/A | AUSTIN | N/A | 9999-12-31 | 2025-09-01 | ANTHEM SILVER SELECT PPO HSA/H 2000/3300/4000 35% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199414590 | N/A | N/A | 11001702 | 2222 | 4802 | 14622086 | N/A | 9234161 | 2025-11-05 01:50:11.169433 | 2025-10-15 16:55:10.102836 |
| 2025-11-04 08:11:46.141118 | 2025-11-05 01:53:16.201366 | 14345783 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14345783 | Athletic Physical Therapy Inc | 1950-04-13 | 2025-11-06 | F | AE | PT | NATALI | 2XU8UK4DF50 | RENEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121825962.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8979192/check_14345783_d7b50ff0-9b5d-4e8e-926f-b42c8193bf53.json | N/A | N/A | N/A | N/A | N/A | 2XU8UK4DF50 | Medicare Part A | N/A | HEALTH CARE SERVICE CORPORATION | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-04-13 | S5715 | N/A | N/A | MA | false | NATALI | N/A | RENEE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199428899 | N/A | N/A | 8979192 | 2222 | 4793 | 14624627 | N/A | 7498543 | 2025-11-05 01:53:16.201366 | 2025-10-14 17:13:32.178778 |
| 2025-11-04 08:11:38.383764 | 2025-11-05 03:40:02.376160 | 14345498 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14345498 | Athletic Physical Therapy Inc | 1952-07-15 | 2025-11-06 | M | AE | PT | WOLFE | XEM909964699 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121715199.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10239789/check_14345498_f6a8a377-a31c-47a4-b1d9-e6b462e5694e.json | N/A | N/A | N/A | N/A | N/A | XEM909964699 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1952-07-15 | 2004SF000028 | X0001002 | N/A | OT | false | WOLFE | N/A | MICHAEL | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199422656 | N/A | N/A | 10239789 | 2222 | 4793 | 14632095 | N/A | 8527464 | 2025-11-05 03:40:02.376160 | 2025-10-14 15:25:46.972104 |
| 2025-11-04 08:11:37.101481 | 2025-11-05 03:32:51.583615 | 14345434 | N/A | N/A | 60054 | Aetna | 1114042165 | 14345434 | Athletic Physical Therapy Inc | 2005-12-10 | 2025-11-05 | M | AE | PT | GILENO | 600510103 | MATTHEW | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121321611.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11531257/check_14345434_8eec8c90-a04f-4130-9adf-b52a508f8796.json | N/A | N/A | N/A | N/A | N/A | 0000018738 | Point of Service (POS) | COUNTY OF SUFFOLK | AETNA | N/A | 2005-12-10 | 0237616 | 023761603900001 | N/A | PS | false | VALENTIN GILENO | N/A | DIANA | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199388252 | N/A | N/A | 11531257 | 2222 | 4802 | 14628854 | N/A | 9772186 | 2025-11-05 03:32:51.583615 | 2025-10-27 23:00:07.662269 |
| 2025-11-04 08:11:34.420350 | 2025-11-05 03:32:51.872060 | 14345326 | N/A | N/A | 60054 | Aetna | 1114042165 | 14345326 | Athletic Physical Therapy Inc | 1998-11-14 | 2025-11-06 | M | AE | PT | Shirian | W742094344 | Jonathan | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121321611.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11519732/check_14345326_01f097f6-eef0-4077-a689-5e56b97c68b7.json | N/A | N/A | N/A | N/A | N/A | W274093844 | Point of Service (POS) | CASE WESTERN RESERVE UNIVERSITY | AETNA | N/A | 1998-11-14 | 0686194 | 068619403600108 | N/A | PS | false | SHIRIAN | N/A | JONATHAN | N/A | N/A | N/A | OPEN CHOICE-EARLY ARRIVAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199388232 | N/A | N/A | 11519732 | 2222 | 4802 | 14628857 | N/A | 9760542 | 2025-11-05 03:32:51.872060 | 2025-10-27 21:44:20.466934 |
| 2025-11-04 08:11:33.509753 | 2025-11-05 01:53:15.768795 | 14345290 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14345290 | Athletic Physical Therapy Inc | 1948-07-07 | 2025-11-05 | F | AE | PT | GOEL | 5RR4M63DR65 | VEENA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121825962.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969533/check_14345290_c849f3a3-a145-412c-b3e0-9534ff3af47b.json | N/A | N/A | N/A | N/A | N/A | 5RR4M63DR65 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-07 | S5596 | N/A | N/A | MA | false | GOEL | N/A | VEENA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199427949 | N/A | N/A | 8969533 | 2222 | 4802 | 14624623 | N/A | 7485064 | 2025-11-05 01:53:15.768795 | 2025-12-29 22:41:16.623495 |
| 2025-11-04 08:11:29.616082 | 2025-11-05 01:40:41.277807 | 14345140 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14345140 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-11-07 | M | AE | PT | JACOBS | JQE406W03039 | PATRICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121322093.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993913/check_14345140_e60483e5-db60-4ecf-9ab6-249dcfb65de7.json | N/A | N/A | N/A | N/A | N/A | JQE406W03039 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1939-06-25 | 040 | CASUPWP0 | N/A | N/A | false | JACOBS | N/A | PATRICIA | N/A | 9999-12-31 | 2019-12-11 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199382035 | N/A | N/A | 5993913 | 2222 | 4793 | 14613314 | N/A | 4642852 | 2025-11-05 01:40:41.277807 | 2025-11-21 18:38:17.056437 |
| 2025-11-04 08:11:26.402376 | 2025-11-05 03:42:36.821025 | 14345002 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14345002 | Athletic Physical Therapy Inc | 1960-05-08 | 2025-11-06 | F | AE | PT | ALNOURI | 6X49PCORA33 | SHARIFEH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121321611.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11508125/check_14345002_dab1f11b-7b89-4daa-99d4-39c5bf8e4bcb.json | N/A | N/A | N/A | N/A | N/A | 6X49PCORA33 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1960-05-08 | N/A | N/A | N/A | N/A | false | ALNOURI | N/A | SHARIFEH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199386926 | N/A | N/A | 11508125 | 2222 | 4802 | 14633788 | N/A | 9748914 | 2025-11-05 03:42:36.821025 | 2025-10-27 18:43:47.576827 |
| 2025-11-04 08:11:19.932915 | 2025-11-05 01:55:02.360635 | 14344705 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14344705 | Athletic Physical Therapy Inc | 1953-06-18 | 2025-11-06 | F | AE | PT | REISMAN | 6C16CN3FM49 | GAIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.102623793.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10984906/check_14344705_84f08d36-1a5d-40ca-9c03-7b9c3f6a1898.json | N/A | N/A | N/A | N/A | N/A | 6C16CN3FM49 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-06-18 | N/A | N/A | N/A | MB | false | REISMAN | N/A | GAIL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199414520 | N/A | N/A | 10984906 | 2222 | 4802 | 14626138 | N/A | 9156222 | 2025-11-05 01:55:02.360635 | 2026-01-08 22:56:20.879547 |
| 2025-11-04 08:11:12.932132 | 2025-11-05 01:40:41.598402 | 14344417 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14344417 | Athletic Physical Therapy Inc | 1941-11-27 | 2025-11-07 | M | AE | PT | NEILSON | 468A54912 | GEORGE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121322093.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542625/check_14344417_fa918993-c773-4679-bba6-fbf226d34890.json | N/A | N/A | N/A | N/A | N/A | 468A54912 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1941-11-27 | N/A | N/A | N/A | N/A | false | NEILSON | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199380295 | N/A | N/A | 5542625 | 2222 | 4801 | 14613317 | N/A | 4214511 | 2025-11-05 01:40:41.598402 | 2025-05-13 04:29:37.228826 |
| 2025-11-04 08:11:12.838603 | 2025-11-05 01:41:56.108586 | 14344415 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14344415 | Athletic Physical Therapy Inc | 1953-03-17 | 2025-11-07 | F | AE | PT | MARCUS | XEM909523924 | LISSA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121322093.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542324/check_14344415_904d18df-16f7-478d-8f82-1e1210cb9e3c.json | N/A | N/A | N/A | N/A | N/A | XEM909523924 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1953-03-17 | 2002SF000029 | X0001002 | N/A | OT | false | MARCUS | N/A | LISSA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199380294 | N/A | N/A | 5542324 | 2222 | 4802 | 14614115 | N/A | 4214241 | 2025-11-05 01:41:56.108586 | 2025-05-13 04:29:37.228574 |
| 2025-11-04 08:11:12.754121 | 2025-11-05 01:40:40.813694 | 14344409 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14344409 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-11-07 | M | PT | N/A | FINNLEY | M4R134071249001 | ZEV | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121322093.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539665/check_14344409_2e6fda7b-7c8c-44f4-a74f-cb0471bf71b0.json | N/A | N/A | N/A | N/A | N/A | M4R134071249001 | Preferred Provider Organization (PPO) | N/A | COMMERCIAL INSURANCE | FUNDING TYPE = SELF INSURED | 1991-07-13 | 379 | 174022MJAC | N/A | PR | false | FINNLEY | N/A | MARIKO | N/A | N/A | N/A | NENY PPO BLENDED MED/SURG | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199380293 | N/A | N/A | 5539665 | 2222 | 4793 | 14613310 | N/A | 4211935 | 2025-11-05 01:40:40.813694 | 2025-05-13 04:29:37.226259 |
| 2025-11-04 08:11:12.665210 | 2025-11-05 01:41:55.766099 | 14344407 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14344407 | Athletic Physical Therapy Inc | 1954-01-24 | 2025-11-07 | F | AE | PT | DIGIOVANNI | XEM910156092 | JILL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121322093.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538594/check_14344407_cc62eeeb-4877-411d-a269-26d84909c30b.json | N/A | N/A | N/A | N/A | N/A | XEM910156092 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1954-01-24 | 2002SF000029 | X0001002 | N/A | OT | false | DIGIOVANNI | N/A | JILL | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199380292 | N/A | N/A | 5538594 | 2222 | 4801 | 14614110 | N/A | 4210993 | 2025-11-05 01:41:55.766099 | 2025-05-13 04:29:37.225395 |
| 2025-11-04 08:11:12.572044 | 2025-11-05 01:40:40.366490 | 14344403 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14344403 | Athletic Physical Therapy Inc | 1954-01-12 | 2025-11-06 | F | AE | PT | FINCH | XDD909A67880 | DAWN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121322093.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538474/check_14344403_59e3edca-7171-4c8b-a688-ade12a7d4606.json | N/A | N/A | N/A | N/A | N/A | XDD909A67880 | N/A | CALPERS PERS PLATINUM MSUPP RETIREES(PA) REGION3 | MEDICARE B | N/A | 1954-01-12 | 040 | BS270I | N/A | N/A | false | FINCH | N/A | LELAND | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199380291 | N/A | N/A | 5538474 | 2222 | 4802 | 14613307 | N/A | 4210886 | 2025-11-05 01:40:40.366490 | 2025-05-13 04:29:37.225284 |
| 2025-11-04 08:11:12.472838 | 2025-11-05 01:41:56.365525 | 14344400 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14344400 | Athletic Physical Therapy Inc | 1946-08-26 | 2025-11-07 | M | AE | PT | ROTHMAN | XEM909022493 | MIKE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121322093.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536206/check_14344400_21b658a0-5777-48d7-b4ae-d805869ed1ed.json | N/A | N/A | N/A | N/A | N/A | XEM909022493 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1946-08-26 | 2002SF000029 | X0001002 | N/A | OT | false | ROTHMAN | N/A | MIKE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199380290 | N/A | N/A | 5536206 | 2222 | 4801 | 14614120 | N/A | 4208978 | 2025-11-05 01:41:56.365525 | 2025-05-13 04:29:37.223404 |
| 2025-11-04 08:10:58.280820 | 2025-11-05 01:47:13.499709 | 14343868 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14343868 | Athletic Physical Therapy Inc | 1976-08-13 | 2025-11-06 | F | PT | N/A | GODWIN | JPU097W07528 | CASSANDRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121325525.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10090153/check_14343868_69c1749f-911d-4e2f-8b59-912a30e8f3f6.json | N/A | N/A | N/A | N/A | N/A | JPU097W07528 | Preferred Provider Organization (PPO) | MAJCO LLC | ANTHEM BLUE CROSS | N/A | 1976-08-13 | 040 | 281949M014 | N/A | PR | false | GODWIN | N/A | CASSANDRA | N/A | 9999-12-31 | 2023-06-01 | SOLUTION PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199393717 | N/A | N/A | 10090153 | 2222 | 4801 | 14619912 | N/A | 8428668 | 2025-11-05 01:47:13.499709 | 2025-10-12 20:55:35.014952 |
| 2025-11-04 08:10:36.080198 | 2025-11-05 03:35:58.846293 | 14342868 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14342868 | Athletic Physical Therapy Inc | 1956-10-03 | 2025-11-07 | F | PT | N/A | NIELSEN | MBL578W09588 | KIMBERLEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121321611.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11462282/check_14342868_d9b28739-c13c-4d37-ae08-c548a6863b24.json | N/A | N/A | N/A | N/A | N/A | MBL578W09588 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1956-10-03 | 040 | CAEGR002 | N/A | N/A | false | NIELSEN | N/A | KIMBERLEY | N/A | 9999-12-31 | 2021-10-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199386862 | N/A | N/A | 11462282 | 2222 | 4801 | 14630363 | N/A | 9712126 | 2025-11-05 03:35:58.846293 | 2025-11-07 02:53:21.972143 |
| 2025-11-04 08:10:17.291257 | 2025-11-05 03:42:28.581399 | 14341924 | N/A | N/A | 60054 | Aetna | 1114042165 | 14341924 | Athletic Physical Therapy Inc | 1972-09-27 | 2025-11-05 | F | AE | PT | GOMEZ | W161238756 | VERONICA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121321522.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12096262/check_14341924_c902034a-994a-4b8c-8d78-1da8cc3cbb8a.json | N/A | N/A | N/A | N/A | N/A | W161238756 | Exclusive Provider Organization | COSTCO WHOLESALE CORPORATION | AETNA | N/A | 1972-09-27 | 0169579 | 016957901100002 | N/A | EP | false | GOMEZ | N/A | VERONICA | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199390134 | N/A | N/A | 12096262 | 2222 | 4801 | 14633676 | N/A | 10314209 | 2025-11-05 03:42:28.581399 | 2025-11-03 20:32:45.835992 |
| 2025-11-04 08:10:11.523754 | 2025-11-05 05:37:53.018932 | 14341599 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14341599 | Athletic Physical Therapy Inc | 1952-01-15 | 2025-11-06 | F | AE | PT | KIRK | 5FT7Y02EM72 | JAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.103715733.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8167056/check_14341599_60b6d1c9-8921-4b90-ae54-ce41412b3f2e.json | N/A | N/A | N/A | N/A | N/A | 5FT7Y02EM72 | Medicare Part B | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-01-15 | H5522 | N/A | N/A | MB | false | KIRK | N/A | JAN | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199367105 | N/A | N/A | 8167056 | 2222 | 4801 | 14638863 | N/A | 6933707 | 2025-11-05 05:37:53.018932 | 2026-05-21 16:32:55.382229 |
| 2025-11-04 08:10:04.846353 | 2025-11-05 01:34:35.319759 | 14341241 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 14341241 | Athletic Physical Therapy Inc | 1946-11-22 | 2025-11-06 | F | AE | PT | CAPUTA | 31334080511 | SANDRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121147203.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9336758/check_14341241_f37c7544-2a20-44d8-ad61-48ff4784b17a.json | N/A | N/A | N/A | N/A | N/A | 31334080511 | 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. | 1946-11-22 | N/A | N/A | N/A | SP | false | CAPUTA | N/A | SANDRA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199370234 | N/A | N/A | 9336758 | 2222 | 4801 | 14610161 | N/A | 7835556 | 2025-11-05 01:34:35.319759 | 2025-09-12 16:59:25.752326 |
| 2025-11-04 08:10:01.189254 | 2025-11-05 01:48:28.807519 | 14340989 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14340989 | Athletic Physical Therapy Inc | 1977-10-19 | 2025-11-07 | M | PT | N/A | MARTINEZ | XEA911696712 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121325525.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10016736/check_14340989_075c45c2-9ca3-4145-93e6-2f4f093ba9d8.json | N/A | N/A | N/A | N/A | N/A | XEA911696712 | Preferred Provider Organization (PPO) | COUNTY OF VENTURA ACTIVES | BLUE SHIELD CALIFORNIA | N/A | 1977-10-19 | 1000PPOX0001 | W0067449 | N/A | PR | false | MARTINEZ | N/A | MARK | N/A | 9999-12-31 | 2024-01-01 | HSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199392488 | N/A | N/A | 10016736 | 2222 | 4801 | 14620893 | N/A | 8385234 | 2025-11-05 01:48:28.807519 | 2025-10-06 17:07:10.414380 |
| 2025-11-04 08:09:59.850877 | 2025-11-04 08:10:05.829202 | 14340898 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-07-21 | 2025-11-04 | F | AE | PT | MCALISTER | SFZ846186424 | BONNIE | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7024102/check_14340898_a7a3983d-7dae-4064-84da-7e1dbc00e57e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7024102/check_14340898_7829a923-57ed-46b2-9f72-09ee74ae2db4.json | N/A | N/A | N/A | N/A | N/A | SFZ846186424 | Preferred Provider Organization (PPO) | RETIREE 50 AS OF 1112 HIRED 1107 | MEDICARE | N/A | 1968-07-21 | N/A | 021104 | N/A | PR | false | MCALISTER | N/A | BONNIE | N/A | 9999-12-31 | 2013-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199350824 | N/A | N/A | 7024102 | 2222 | N/A | 14588746 | N/A | 6038562 | 2025-11-04 08:10:05.829202 | 2025-07-30 21:46:09.369299 |
| 2025-11-04 08:09:57.562429 | 2025-11-05 03:32:51.261968 | 14340738 | N/A | N/A | 60054 | Aetna | 1114042165 | 14340738 | Athletic Physical Therapy Inc | 2011-12-20 | 2025-11-06 | M | AE | PT | NAQVI | W295996740 | KAZIM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121321611.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11417253/check_14340738_d1ba5550-917b-40a7-ae30-6f998ce9c7fb.json | N/A | N/A | N/A | N/A | N/A | W295996740 | Point of Service (POS) | SHI INTERNATIONAL CORP. | AETNA | N/A | 2011-12-20 | 0308616 | 030861601600001 | N/A | PS | false | NAQVI | N/A | SYED | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199388344 | N/A | N/A | 11417253 | 2222 | 4793 | 14628851 | N/A | 9671738 | 2025-11-05 03:32:51.261968 | 2025-10-29 22:32:21.591395 |
| 2025-11-04 08:09:55.781642 | 2025-11-05 03:33:47.809554 | 14340611 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 14340611 | Athletic Physical Therapy Inc | 1972-07-09 | 2025-11-07 | F | AE | PT | JOHNSON OLAD | H6507221700 | CATINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121321611.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11415027/check_14340611_a6ca88bd-6311-4bec-9e7f-692315ef0a90.json | N/A | N/A | N/A | N/A | N/A | H65072217 | 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 | 1972-07-09 | N/A | 0B666001 | N/A | HN | false | JOHNSON OLAD | N/A | CATINA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199387311 | N/A | N/A | 11415027 | 2222 | 4793 | 14629274 | N/A | 9669773 | 2025-11-05 03:33:47.809554 | 2025-10-30 23:36:57.101747 |
| 2025-11-04 08:09:48.919626 | 2025-11-05 01:44:59.504706 | 14340174 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 14340174 | Athletic Physical Therapy Inc | 1952-03-30 | 2025-11-06 | F | AE | PT | MATTHEWS | H41656712 | JUNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121135639.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9767878/check_14340174_a3e2927d-939e-4bbc-a7e0-d7964075fc9f.json | N/A | N/A | N/A | N/A | N/A | H41656712 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1952-03-30 | N/A | 0B527001 | N/A | HN | false | MATTHEWS | N/A | JUNE ANNE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199357502 | N/A | N/A | 9767878 | 2222 | 4801 | 14617699 | N/A | 8178957 | 2025-11-05 01:44:59.504706 | 2025-10-06 01:53:28.213209 |
| 2025-11-04 08:09:44.339118 | 2025-11-04 08:09:47.130461 | 14339839 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-06-30 | 2025-11-04 | F | AE | PT | CHADORCHI | 33261790711 | JAFFA | 3842 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537483/check_14339839_777f90f8-dc95-498f-9896-884f9cbf69c2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537483/check_14339839_9a7e10b9-432c-4e73-8612-e0a12620d40c.json | N/A | N/A | N/A | N/A | N/A | 33261790711 | 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. | 1951-06-30 | N/A | N/A | N/A | SP | false | CHADORCHI | N/A | JAFFA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199348588 | N/A | N/A | 5537483 | 2222 | N/A | 14588549 | N/A | 4210038 | 2025-11-04 08:09:47.130461 | 2025-06-02 14:57:36.820684 |
| 2025-11-04 08:09:43.188004 | 2025-11-05 05:31:04.179539 | 14339738 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 14339738 | Athletic Physical Therapy Inc | 1956-07-22 | 2025-11-06 | F | AE | PT | DURAN DE PANTOJA | 43649326 | ROSA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.103715733.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8088383/check_14339738_e46c58f4-46ed-4415-8a7f-116b1e9ec84f.json | N/A | N/A | N/A | N/A | N/A | 43649326 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-07-22 | N/A | N/A | N/A | N/A | false | DURAN DE PANTOJA | N/A | ROSA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199367579 | N/A | N/A | 8088383 | 2222 | 4793 | 14637216 | N/A | 6871702 | 2025-11-05 05:31:04.179539 | 2025-08-14 21:08:52.019264 |
| 2025-11-04 08:09:36.213811 | 2025-11-05 01:39:13.265379 | 14339214 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14339214 | Athletic Physical Therapy Inc | 1942-10-02 | 2025-11-06 | M | AE | PT | SAWAYA | XDD599A52218 | PETER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121147203.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9033459/check_14339214_4dd3dd07-5950-48eb-b27f-9bfca137b8b2.json | N/A | N/A | N/A | N/A | N/A | XDD599A52218 | Indemnity | SISC - COMPANIONCARE | MEDICARE D | N/A | 1942-10-02 | 040 | 40003A | N/A | IN | false | SAWAYA | N/A | PETER | N/A | 9999-12-31 | 2023-01-01 | MEDICARE SUPPLEMENT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199369827 | N/A | N/A | 9033459 | 2222 | 4802 | 14612538 | N/A | 7553607 | 2025-11-05 01:39:13.265379 | 2025-09-02 22:55:04.873891 |
| 2025-11-04 08:09:32.610588 | 2025-11-05 01:39:07.693427 | 14338931 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 14338931 | Athletic Physical Therapy Inc | 1950-04-13 | 2025-11-06 | F | AE | PT | NATALI | 94579563C | RENEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121147203.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8979227/check_14338931_d71a3bff-a07c-4553-9a08-38dd45fe2819.json | N/A | N/A | N/A | N/A | N/A | 94579563C | N/A | N/A | AMERIHEALTH CARITAS LOUISIANA | N/A | N/A | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199368961 | N/A | N/A | 8979227 | 2222 | 4793 | 14612493 | N/A | 7498543 | 2025-11-05 01:39:07.693427 | 2025-10-14 17:13:32.178778 |
| 2025-11-04 08:09:31.063550 | 2025-11-05 01:39:11.649537 | 14338812 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14338812 | Athletic Physical Therapy Inc | 1948-07-07 | 2025-11-05 | F | AE | PT | GOEL | JQE690A74746 | VEENA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121147203.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969545/check_14338812_8093a67c-871e-4096-826e-a8a8804920c8.json | N/A | N/A | N/A | N/A | N/A | JQE690A74746 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1948-07-07 | 040 | CASUPWP0 | N/A | N/A | false | GOEL | N/A | VEENA | 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 | 9199368945 | N/A | N/A | 8969545 | 2222 | 4802 | 14612525 | N/A | 7485064 | 2025-11-05 01:39:11.649537 | 2025-12-29 22:41:16.623495 |
| 2025-11-04 08:09:28.222069 | 2025-11-05 01:47:14.350040 | 14338583 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14338583 | Athletic Physical Therapy Inc | 1997-05-07 | 2025-11-07 | F | PT | N/A | KEIPINGER | FDP220267648 | ALEXIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121325525.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9980304/check_14338583_0cf3faf2-4ec2-48f7-baee-991dda55d923.json | N/A | N/A | N/A | N/A | N/A | FDP220267648 | Preferred Provider Organization (PPO) | BANFIELD PET HOSPITAL | ANTHEM BLUE CROSS | SERVICES PROVIDED TO THIS PATIENT ARE SUBJECT TO THE BALANCE BILLING PROTECTION ACT. PLEASE SEE RCW 48.49.020 FOR DETAILS. | 1997-05-07 | N/A | 10034839 | N/A | PR | false | KEIPINGER | N/A | ALEXIS | N/A | 9999-12-31 | 2025-01-01 | HSA3.0/PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199392630 | N/A | N/A | 9980304 | 2222 | 4793 | 14619919 | N/A | 8354055 | 2025-11-05 01:47:14.350040 | 2025-10-03 21:21:52.013920 |
| 2025-11-04 08:09:26.474195 | 2025-11-05 01:43:39.178855 | 14338443 | N/A | N/A | 60054 | Aetna | 1114042165 | 14338443 | Athletic Physical Therapy Inc | 1949-03-10 | 2025-11-07 | F | AE | PT | BONESTEEL | JQW668W04223 | CHEENIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.102623793.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10368765/check_14338443_4fd90e7b-67b6-4ae1-97d5-1f43cd0f5e08.json | N/A | N/A | N/A | N/A | N/A | JQW668W04223 | N/A | N/A | AETNA INC | N/A | 1949-03-10 | N/A | N/A | N/A | N/A | false | BONESTEEL | N/A | CHEENIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199415541 | N/A | N/A | 10368765 | 2222 | 4801 | 14615870 | N/A | 8631533 | 2025-11-05 01:43:39.178855 | 2026-01-20 18:31:42.469716 |
| 2025-11-04 08:09:25.926060 | 2025-11-05 01:47:30.742361 | 14338398 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14338398 | Athletic Physical Therapy Inc | 1968-10-03 | 2025-11-06 | M | PT | N/A | RAMIREZ | Z7M7740597AB | CESAR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121135639.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9729132/check_14338398_68e48f66-5ba9-4062-ab6a-7e3230e8108a.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 | 9199357346 | N/A | N/A | 9729132 | 2222 | 4801 | 14620140 | N/A | 8145241 | 2025-11-05 01:47:30.742361 | 2025-09-25 17:51:33.170014 |
| 2025-11-04 08:09:15.450005 | 2025-11-05 01:47:30.372022 | 14337574 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14337574 | Athletic Physical Therapy Inc | 1965-04-22 | 2025-11-07 | M | PT | N/A | MCHALE | ZGP814915047 | TIMOTHY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121135639.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9691017/check_14337574_02ece2e4-7938-419d-b982-d1e30bcdf706.json | N/A | N/A | N/A | N/A | N/A | ZGP814915047 | Preferred Provider Organization (PPO) | NATIONAL TRENCH SAFETY, INC | CUSTOMER SERVICE | N/A | 1965-04-22 | N/A | 400397 | N/A | PR | false | MCHALE | N/A | TIMOTHY | N/A | 9999-12-31 | 2025-01-01 | PPO DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199356639 | N/A | N/A | 9691017 | 2222 | 4801 | 14620133 | N/A | 4212607 | 2025-11-05 01:47:30.372022 | 2025-09-24 22:37:58.534216 |
| 2025-11-04 08:09:14.992978 | 2025-11-05 03:35:58.559675 | 14337534 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14337534 | Athletic Physical Therapy Inc | 1987-08-20 | 2025-11-07 | M | PT | N/A | ELSTEIN | JQK334A21799 | PAUL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121321611.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11369719/check_14337534_fc432b6b-09f6-4333-b3c9-eedd5a739234.json | N/A | N/A | N/A | N/A | N/A | JQK334A21799 | Health Maintenance Organization (HMO) | MDC AIRCRAFT SERVICES INC | ANTHEM BLUE CROSS | N/A | 1987-08-20 | 040 | U12502 | N/A | HM | false | ELSTEIN | N/A | PAUL | N/A | 2025-12-01 | 2024-12-01 | CA SG ANTHEM HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199388465 | N/A | N/A | 11369719 | 2222 | 4801 | 14630361 | N/A | 9637893 | 2025-11-05 03:35:58.559675 | 2025-10-22 22:02:41.459520 |
| 2025-11-04 08:09:14.129837 | 2025-11-05 01:39:12.936482 | 14337458 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14337458 | Athletic Physical Therapy Inc | 1934-05-31 | 2025-11-07 | M | AE | PT | RANDERIA | R58901143 | BHUPENDRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121147203.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8420255/check_14337458_80b8e18e-5365-4b35-9ac1-5bcb9268058b.json | N/A | N/A | N/A | N/A | N/A | R58901143 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1934-05-31 | N/A | 106 | N/A | PR | false | RANDERIA | N/A | BHUPEN | N/A | 9999-12-31 | 2018-01-01 | STANDARD SECONDARY | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199370107 | N/A | N/A | 8420255 | 2222 | 4802 | 14612535 | N/A | 7097664 | 2025-11-05 01:39:12.936482 | 2026-04-30 18:11:14.979451 |
| 2025-11-04 08:09:10.220568 | 2025-11-05 03:36:30.721090 | 14337132 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14337132 | Athletic Physical Therapy Inc | 1966-03-26 | 2025-11-07 | F | PT | N/A | Deschatres | XED912070650 | Nathalie | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.100046432.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577909/check_14337132_33c94f63-ae83-4e3d-ab9a-4451ba578f85.json | N/A | N/A | N/A | N/A | N/A | XED912070650 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1966-03-26 | 2001ZK002186 | X0001004 | N/A | PR | false | DESCHATRES | N/A | NATHALIE | N/A | 9999-12-31 | 2023-02-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199352568 | N/A | N/A | 6577909 | 2222 | 4802 | 14630554 | N/A | 4766701 | 2025-11-05 03:36:30.721090 | 2025-06-03 21:11:46.573919 |
| 2025-11-04 08:09:08.122373 | 2025-11-05 05:33:51.701552 | 14336924 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 14336924 | Athletic Physical Therapy Inc | 1980-08-02 | 2025-11-07 | M | AE | PT | HILTSER | 208616901 | LORNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.103715733.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8048052/check_14336924_3d34c897-4e90-4bb1-9373-1bf018cb9780.json | N/A | N/A | N/A | N/A | N/A | 208616901 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1980-08-02 | N/A | 265486 | N/A | C1 | false | HILTSER | N/A | LORNE | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO GOLD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199366920 | N/A | N/A | 8048052 | 2222 | 4802 | 14637905 | N/A | 6844134 | 2025-11-05 05:33:51.701552 | 2025-08-29 16:18:21.978739 |
| 2025-11-04 08:09:03.421386 | 2025-11-05 01:55:03.688970 | 14336484 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14336484 | Athletic Physical Therapy Inc | 1952-11-30 | 2025-11-07 | F | AE | PT | Tenner | 7NJ4CC5TK93 | Susan | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.102623793.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10347881/check_14336484_bdd16194-77c9-4b29-b7ed-2cbce40fd44a.json | N/A | N/A | N/A | N/A | N/A | 7NJ4CC5TK93 | Medicare Part A | N/A | OPTUM INSURANCE OF OHIO, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-11-30 | S8841 | N/A | N/A | MA | false | TENNER | 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 | 9199413883 | N/A | N/A | 10347881 | 2222 | 4802 | 14626155 | N/A | 8614368 | 2025-11-05 01:55:03.688970 | 2025-10-13 19:03:41.164438 |
| 2025-11-04 08:09:00.988637 | 2025-11-05 01:36:32.434880 | 14336252 | N/A | N/A | 60054 | Aetna | 1114042165 | 14336252 | Athletic Physical Therapy Inc | 1952-01-15 | 2025-11-06 | F | AE | PT | KIRK | 101297147800 | JAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121147203.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8167057/check_14336252_703eebca-38b3-4f4c-a723-04b1ae9598e5.json | N/A | N/A | N/A | N/A | N/A | 101297147800 | Preferred Provider Organization (PPO) | VERIZON - MA | AETNA | MEDICARE | 1952-01-15 | 100008-02EG0011 | 100008-02 | N/A | PR | false | KIRK | N/A | JAN | N/A | 2025-12-31 | 2025-01-01 | WEST ADV PLAN 125 PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199369456 | N/A | N/A | 8167057 | 2222 | 4801 | 14611267 | N/A | 6933707 | 2025-11-05 01:36:32.434880 | 2026-05-21 16:32:55.382229 |
| 2025-11-04 08:09:00.384619 | 2025-11-05 01:48:17.029844 | 14336194 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14336194 | Athletic Physical Therapy Inc | 1980-05-13 | 2025-11-07 | M | PT | N/A | NAGLE | KXJ244M92832 | JOHN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.102623793.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10346380/check_14336194_f0bfb8d3-f398-409a-ad76-5c52e1685d3a.json | N/A | N/A | N/A | N/A | N/A | KXJ244M92832 | Health Maintenance Organization (HMO) | WILSHIRE ADVISORS LLC | ANTHEM BLUE CROSS | N/A | 1980-05-13 | 040 | 281520H004 | N/A | HM | false | NAGLE | N/A | JOHN | N/A | 9999-12-31 | 2025-01-01 | CLASSIC SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199416293 | N/A | N/A | 10346380 | 2222 | 4793 | 14620740 | N/A | 8612743 | 2025-11-05 01:48:17.029844 | 2025-10-15 21:28:55.332672 |
| 2025-11-04 08:09:00.268820 | 2025-11-05 01:42:55.922016 | 14336184 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 14336184 | override_provider | 1963-04-03 | 2025-11-07 | F | PT | N/A | Protsenko | AJC912998623 | Tetiana | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121325525.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9958584/check_14336184_dfe8031e-b339-4a12-b264-d87116c90a06.json | N/A | N/A | N/A | N/A | N/A | AJC912998623 | Medicaid | BSC PROMISE HEALTH PLAN MEDI CAL | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1963-04-03 | 1000MCAL0008 | E0001001 | N/A | MC | false | PROTSENKO | N/A | TETIANA | N/A | N/A | N/A | BLUE SHIELD PROMISE MEDI CAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199392385 | N/A | N/A | 9958584 | 2222 | 4802 | 14615075 | N/A | 7994720 | 2025-11-05 01:42:55.922016 | 2025-09-24 04:33:28.125297 |
| 2025-11-04 08:08:59.880285 | 2025-11-05 05:35:08.880268 | 14336156 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14336156 | Athletic Physical Therapy Inc | 1955-05-21 | 2025-11-06 | F | PT | N/A | MARTINEZ | HFD100011199462 | RACHEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.103715733.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8026951/check_14336156_e9eb6cd6-fc1d-40e9-a05e-36ed82846383.json | N/A | N/A | N/A | N/A | N/A | HFD100011199462 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | 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. | 1955-05-21 | N/A | N/A | N/A | PR | false | MARTINEZ | N/A | RACHEL | 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 | 9199367814 | N/A | N/A | 8026951 | 2222 | 4801 | 14638232 | N/A | 6828511 | 2025-11-05 05:35:08.880268 | 2025-08-14 00:23:35.929152 |
| 2025-11-04 08:08:58.318780 | 2025-11-05 03:40:49.231529 | 14336015 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14336015 | Athletic Physical Therapy Inc | 1959-01-17 | 2025-11-07 | M | AE | PT | WAHL | 6CX2NW3WP90 | LELAND | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121321611.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11364481/check_14336015_123cb7d2-d3f0-4eab-9318-397628d6a12b.json | N/A | N/A | N/A | N/A | N/A | 6CX2NW3WP90 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-01-17 | S5617 | N/A | N/A | MB | false | WAHL | N/A | LELAND | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199388772 | N/A | N/A | 11364481 | 2222 | 4793 | 14632555 | N/A | 9633229 | 2025-11-05 03:40:49.231529 | 2026-02-05 17:07:37.378883 |
| 2025-11-04 08:08:51.122774 | 2025-11-05 05:35:04.110758 | 14335342 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14335342 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-11-05 | F | PT | N/A | GIANNE | XED910762094 | NATALIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.103715733.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_14335342_682bf819-21d7-4915-b4e0-22f365cb1304.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 9999-12-31 | 2021-09-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199366840 | N/A | N/A | 7994545 | 2222 | 4802 | 14638214 | N/A | 6802250 | 2025-11-05 05:35:04.110758 | 2025-08-11 23:58:28.358402 |
| 2025-11-04 08:08:44.057030 | 2025-11-05 05:31:04.478163 | 14334679 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | 14334679 | Athletic Physical Therapy Inc | 1993-12-24 | 2025-11-07 | F | PT | N/A | Garcia | NCF409W01940 | Jessica | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.103715733.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7965049/check_14334679_4113c746-b604-4da4-9524-6496fcc4d133.json | N/A | N/A | N/A | N/A | N/A | NCF409W01940 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1993-12-24 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | JESSICA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199368086 | N/A | N/A | 7965049 | 2222 | 4802 | 14637217 | N/A | 6604326 | 2025-11-05 05:31:04.478163 | 2025-08-06 18:06:11.137864 |
| 2025-11-04 08:08:35.100963 | 2025-11-05 01:45:07.854331 | 14333852 | N/A | N/A | 62308 | CIGNA PPO | 1114042165 | 14333852 | Athletic Physical Therapy Inc | 1996-03-28 | 2025-11-07 | F | AE | PT | SAGMAN | U9205101701 | SYDNEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121325525.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9924959/check_14333852_d16eda40-25d5-47f0-a0f1-e1c184bf4d46.json | N/A | N/A | N/A | N/A | N/A | U9205101701 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1996-03-28 | N/A | 3346355 | N/A | HM | false | SAGMAN | N/A | SYDNEY | N/A | N/A | N/A | NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199392963 | N/A | N/A | 9924959 | 2222 | 4802 | 14617860 | 4437 | 4722569 | 2025-11-05 01:45:07.854331 | 2025-08-26 00:16:35.895658 |
| 2025-11-04 08:08:33.318563 | 2025-11-05 03:43:09.091167 | 14333714 | N/A | N/A | 61101 | Regal Medical Group | 1114042165 | 14333714 | Athletic Physical Therapy Inc | 1935-03-07 | 2025-11-05 | F | AE | PT | MYERS | H6760956100 | LILA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121321522.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12016953/check_14333714_616caeb7-da2c-42e9-9cce-4556bca78af3.json | N/A | N/A | N/A | N/A | N/A | H67609561 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 465 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 | 1935-03-07 | N/A | 0B617001 | N/A | HN | false | MYERS | N/A | LILA | N/A | N/A | N/A | HUMANA HONOR | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199390641 | N/A | N/A | 12016953 | 2222 | 4793 | 14634099 | N/A | 10238684 | 2025-11-05 03:43:09.091167 | 2025-10-31 23:14:33.453582 |