API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-04 08:05:03.039584 | 2025-11-05 01:41:56.897810 | 14319749 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14319749 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-11-06 | M | AE | PT | CICCIARI | 1AK4JC6NK84 | LOUIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121026032.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_14319749_3f4cec98-af7e-476d-a30d-835755f9139a.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5596 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199346738 | N/A | N/A | 6752936 | 2222 | 4801 | 14614126 | N/A | 5065602 | 2025-11-05 01:41:56.897810 | 2025-07-01 17:25:13.681724 |
| 2025-11-04 08:04:59.903072 | 2025-11-05 03:34:13.603992 | 14319579 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14319579 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-11-06 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.100046432.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_14319579_1bee5a88-2c0d-40c7-92d6-f58dbf7c7094.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199352060 | N/A | N/A | 5568076 | 2222 | 4802 | 14629442 | N/A | 4209480 | 2025-11-05 03:34:13.603992 | 2026-04-10 02:05:15.976484 |
| 2025-11-04 08:04:53.617934 | 2025-11-05 03:34:53.829702 | 14319233 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 14319233 | Athletic Physical Therapy Inc | 1990-11-12 | 2025-11-05 | F | AE | PT | SIMONS | 94378141G | DESIREE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.100046432.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550102/check_14319233_64bf8fc3-2f66-4579-a7c3-41737cac6380.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 | 9199352947 | N/A | N/A | 5550102 | 2222 | 4802 | 14629789 | N/A | 4212176 | 2025-11-05 03:34:53.829702 | 2025-05-13 04:29:37.226514 |
| 2025-11-04 08:04:53.033134 | 2025-11-05 03:35:02.435192 | 14319202 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14319202 | Athletic Physical Therapy Inc | 1957-05-23 | 2025-11-07 | F | PT | N/A | CEASAR | LFYHC0061172 | DEBBIE | 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/2222/5543548/check_14319202_7184612f-8211-4638-b005-46d888a11bc6.json | N/A | N/A | N/A | N/A | N/A | LFYHC0061172 | Preferred Provider Organization (PPO) | LOS ANGELES FIREMENS RELIEF ASSOCIATION - RETIREE | ANTHEM BLUE CROSS | N/A | 1957-05-23 | 040 | 282527M002 | N/A | PR | false | CEASAR | N/A | JAY | N/A | 9999-12-31 | 2020-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199352942 | N/A | N/A | 5543548 | 2222 | 4793 | 14629859 | N/A | 4215327 | 2025-11-05 03:35:02.435192 | 2025-05-13 04:29:37.229651 |
| 2025-11-04 08:04:52.836681 | 2025-11-05 03:34:13.869244 | 14319194 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14319194 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-11-06 | M | AE | PT | FORTIN | R14644640MS1 | NATHANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.100046432.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_14319194_21bbeacb-75e0-4c9f-802d-5012175d3e43.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | K96 SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199352941 | N/A | N/A | 5543425 | 2222 | 4801 | 14629445 | N/A | 4215211 | 2025-11-05 03:34:13.869244 | 2026-04-02 22:30:20.020246 |
| 2025-11-04 08:04:52.553208 | 2025-11-05 03:35:03.491853 | 14319178 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14319178 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-11-07 | F | PT | N/A | DAKE | SIF326M90066 | RENEE | 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/2222/5543355/check_14319178_8abf3f46-85dc-4905-8af9-c246eb475c2a.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | Preferred Provider Organization (PPO) | SISC - MEADOWS ARTS & TECH ELEMENTARY SCHOOL | ANTHEM BLUE CROSS | N/A | 1968-01-29 | 040 | 40424B | N/A | PR | false | DAKE | N/A | RENEE | N/A | 9999-12-31 | 2018-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199352940 | N/A | N/A | 5543355 | 2222 | 4793 | 14629867 | N/A | 4215158 | 2025-11-05 03:35:03.491853 | 2025-05-13 04:29:37.229475 |
| 2025-11-04 08:04:52.241007 | 2025-11-05 01:37:02.097979 | 14319164 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 14319164 | Athletic Physical Therapy Inc | 2008-04-21 | 2025-11-07 | M | AE | PT | BERMUDEZ | 000019836525 | RAFAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121026032.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6721942/check_14319164_f06c4506-043a-40f9-aeee-fcd8a4201f7b.json | N/A | N/A | N/A | N/A | N/A | 000019836525 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 2008-04-21 | 4327748 | 226977 | N/A | N/A | false | BERMUDEZ | N/A | RAFAEL | N/A | N/A | N/A | MEDI-CAL LA CARE HEALTH PLAN ADULT AND FAMILY LTSS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199346243 | N/A | N/A | 6721942 | 2222 | 4793 | 14611481 | N/A | 5322280 | 2025-11-05 01:37:02.097979 | 2025-07-01 21:45:15.878047 |
| 2025-11-04 08:04:52.191057 | 2025-11-05 03:34:53.444726 | 14319159 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 14319159 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-11-06 | F | AE | PT | SILVERS | 1866968 | JOIEMAY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.100046432.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543335/check_14319159_805469a8-f3dc-4441-8820-656589c7417b.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 2001-01-23 | N/A | N/A | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199352939 | N/A | N/A | 5543335 | 2222 | 4802 | 14629786 | N/A | 4215139 | 2025-11-05 03:34:53.444726 | 2025-05-13 21:20:11.455022 |
| 2025-11-04 08:04:52.069757 | 2025-11-05 03:36:33.067206 | 14319153 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14319153 | Athletic Physical Therapy Inc | 1987-10-17 | 2025-11-06 | F | PT | N/A | PATEL | XEA910759571 | MAMTABEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.100046432.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543327/check_14319153_b905bd2c-2025-4a6e-8e46-952c6f2a09b8.json | N/A | N/A | N/A | N/A | N/A | XEA910759571 | Preferred Provider Organization (PPO) | RELATIVITY SPACE INC | BLUE SHIELD CALIFORNIA | N/A | 1987-10-17 | 1000PPOX0004 | W0071038 | N/A | PR | false | KROL | N/A | JEREMY | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1650 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199352936 | N/A | N/A | 5543327 | 2222 | 4802 | 14630562 | N/A | 4215137 | 2025-11-05 03:36:33.067206 | 2025-10-13 23:09:53.444170 |
| 2025-11-04 08:04:51.909217 | 2025-11-05 03:36:34.555288 | 14319146 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14319146 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-11-06 | F | PT | N/A | PAUL | XEK914147727 | SARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.100046432.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543211/check_14319146_751ad833-1ab5-4328-917d-e1eaa7429289.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | 9999-12-31 | 2025-02-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199352935 | N/A | N/A | 5543211 | 2222 | 4801 | 14630569 | N/A | 4215028 | 2025-11-05 03:36:34.555288 | 2025-05-13 04:29:37.229346 |
| 2025-11-04 08:04:51.721258 | 2025-11-05 03:35:05.691096 | 14319137 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14319137 | Athletic Physical Therapy Inc | 1972-06-23 | 2025-11-07 | F | PT | N/A | LAWSON | JXN663W00172 | MICHELLE | 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/2222/5543167/check_14319137_0019790c-e232-44b9-9369-07ded62c72ab.json | N/A | N/A | N/A | N/A | N/A | JXN663W00172 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1972-06-23 | 040 | 174222M2A1 | N/A | PR | false | LAWSON | N/A | MICHELLE | N/A | 9999-12-31 | 2020-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199352934 | N/A | N/A | 5543167 | 2222 | 4793 | 14629889 | N/A | 4214995 | 2025-11-05 03:35:05.691096 | 2025-05-13 04:29:37.229315 |
| 2025-11-04 08:04:51.622630 | 2025-11-05 03:36:32.029456 | 14319130 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14319130 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-11-07 | F | PT | N/A | JAIN | XEK909304497 | SUPARNA | 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/2222/5542952/check_14319130_021815b4-187a-4938-92a8-aeb12c2a6cc5.json | N/A | N/A | N/A | N/A | N/A | XEK909304497 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-01-24 | 2001ZK002189 | X0001000 | N/A | PR | false | JAIN | N/A | SUPARNA | N/A | 2025-12-31 | 2025-01-01 | BRONZE 60 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199352933 | N/A | N/A | 5542952 | 2222 | 4802 | 14630559 | N/A | 4214804 | 2025-11-05 03:36:32.029456 | 2025-05-13 20:09:53.786482 |
| 2025-11-04 08:04:51.506102 | 2025-11-05 03:32:00.643721 | 14319127 | N/A | N/A | 60054 | Aetna | 1114042165 | 14319127 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-11-07 | M | AE | PT | KORY | 102161581800 | MICHAEL | 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/2222/5542870/check_14319127_977c3a2a-45b6-4b2f-aac5-ee61fe5df120.json | N/A | N/A | N/A | N/A | N/A | 102161581800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1959-05-08 | 000003-CA000058 | 000003-CA | N/A | PR | false | KORY | N/A | MICHAEL | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199352932 | N/A | N/A | 5542870 | 2222 | 4793 | 14628378 | N/A | 4214732 | 2025-11-05 03:32:00.643721 | 2025-06-24 20:13:53.579048 |
| 2025-11-04 08:04:51.341065 | 2025-11-05 03:36:33.846015 | 14319119 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14319119 | Athletic Physical Therapy Inc | 1974-06-26 | 2025-11-07 | M | PT | N/A | ARSHADNIA | XEK904721388 | SHAHRIAR | 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/2222/5542770/check_14319119_71b1ac5e-fd8d-48b0-af16-ef3e396dbd0e.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1974-06-26 | 2001ZJ002648 | X0001000 | N/A | PR | false | NOSRAT | N/A | CAROLYN | N/A | 2025-12-31 | 2025-01-01 | SILVER 1750 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199352931 | N/A | N/A | 5542770 | 2222 | 4802 | 14630566 | N/A | 4214643 | 2025-11-05 03:36:33.846015 | 2025-05-13 04:29:37.228964 |
| 2025-11-04 08:04:51.172800 | 2025-11-05 03:32:00.932897 | 14319111 | N/A | N/A | 60054 | Aetna | 1114042165 | 14319111 | Athletic Physical Therapy Inc | 2015-03-25 | 2025-11-07 | M | AE | PT | MOLAVI | W290733985 | MATTHEW | 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/2222/5542759/check_14319111_5a5def28-1259-4073-8456-0cea9106d5e1.json | N/A | N/A | N/A | N/A | N/A | W290733985 | Point of Service (POS) | THE TCW GROUP, INC. | AETNA | N/A | 2015-03-25 | 0247292 | 024729201100001 | N/A | PS | false | MOLAVI | N/A | MOHAMAD | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199352930 | N/A | N/A | 5542759 | 2222 | 4793 | 14628381 | N/A | 4214620 | 2025-11-05 03:32:00.932897 | 2025-08-05 22:41:29.756445 |
| 2025-11-04 08:04:51.034922 | 2025-11-05 03:34:14.160030 | 14319103 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14319103 | Athletic Physical Therapy Inc | 1979-11-17 | 2025-11-07 | F | AE | PT | WOODS | 96781627F | JESSICA | 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/2222/5542752/check_14319103_95537bf1-b278-40b9-a5da-152fe4632b0c.json | N/A | N/A | N/A | N/A | N/A | 96781627F | N/A | N/A | HEALTH NET, LLC | N/A | 1979-11-17 | N/A | N/A | N/A | N/A | false | WOODS | N/A | JESSICA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199352929 | N/A | N/A | 5542752 | 2222 | 4793 | 14629448 | N/A | 4214627 | 2025-11-05 03:34:14.160030 | 2025-06-23 18:58:46.304598 |
| 2025-11-04 08:04:50.909863 | 2025-11-05 03:32:00.347576 | 14319095 | N/A | N/A | 60054 | Aetna | 1114042165 | 14319095 | Athletic Physical Therapy Inc | 2005-11-23 | 2025-11-07 | F | AE | PT | FERRELL | W285064666 | AMELIA | 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/2222/5542678/check_14319095_c81fcb8c-9bf1-48f4-a65b-c90d805fbd22.json | N/A | N/A | N/A | N/A | N/A | W285064666 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 2005-11-23 | 0232499 | 023249901000067 | N/A | PS | false | FERRELL | N/A | RALPH | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199352928 | N/A | N/A | 5542678 | 2222 | 4802 | 14628375 | N/A | 4214560 | 2025-11-05 03:32:00.347576 | 2025-05-13 04:29:37.228883 |
| 2025-11-04 08:04:50.799860 | 2025-11-05 03:40:14.878789 | 14319091 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14319091 | Athletic Physical Therapy Inc | 1941-11-27 | 2025-11-07 | M | AE | PT | NEILSON | 2VG5XR5CT78 | GEORGE | 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/2222/5542623/check_14319091_9305463c-c47d-4acd-9515-d635f45f229b.json | N/A | N/A | N/A | N/A | N/A | 2VG5XR5CT78 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-11-27 | S4802 | N/A | N/A | MA | 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 | 9199352926 | N/A | N/A | 5542623 | 2222 | 4801 | 14632217 | N/A | 4214511 | 2025-11-05 03:40:14.878789 | 2025-05-13 04:29:37.228826 |
| 2025-11-04 08:04:50.696569 | 2025-11-05 03:31:59.728057 | 14319082 | N/A | N/A | 60054 | Aetna | 1114042165 | 14319082 | Athletic Physical Therapy Inc | 1975-12-13 | 2025-11-07 | F | AE | PT | ASSENGA | TWA295A70455 | NANCY | 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/2222/5542618/check_14319082_73297f0b-2aa3-4f6e-9e84-f88eff21e8c6.json | N/A | N/A | N/A | N/A | N/A | TWA295A70455 | N/A | N/A | AETNA | N/A | 1975-12-13 | 0846522 | 084652202300182 | N/A | N/A | false | ASSENGA | N/A | NANCY | N/A | N/A | N/A | OPEN CHOICE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199352925 | N/A | N/A | 5542618 | 2222 | 4801 | 14628369 | N/A | 4214504 | 2025-11-05 03:31:59.728057 | 2025-05-13 04:29:37.228820 |
| 2025-11-04 08:04:50.561321 | 2025-11-05 03:34:52.038396 | 14319077 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 14319077 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-11-06 | F | AE | PT | HAMI | 92932800G | FARIBA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.100046432.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542611/check_14319077_92cd1632-2af9-4a36-a6c5-8679dc3bcc36.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1960-09-15 | N/A | N/A | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199352924 | N/A | N/A | 5542611 | 2222 | 4802 | 14629774 | N/A | 4214490 | 2025-11-05 03:34:52.038396 | 2025-05-13 04:29:37.228806 |
| 2025-11-04 08:04:50.466345 | 2025-11-05 03:40:14.610805 | 14319071 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14319071 | Athletic Physical Therapy Inc | 1953-03-17 | 2025-11-07 | F | AE | PT | MARCUS | 4VG5XF7HN64 | LISSA | 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/2222/5542318/check_14319071_a11f239e-bcc8-410a-b4cc-4eb1c38464b9.json | N/A | N/A | N/A | N/A | N/A | 4VG5XF7HN64 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-03-17 | S4802 | N/A | N/A | MA | false | MARCUS | N/A | LISSA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199352923 | N/A | N/A | 5542318 | 2222 | 4802 | 14632214 | N/A | 4214241 | 2025-11-05 03:40:14.610805 | 2025-05-13 04:29:37.228574 |
| 2025-11-04 08:04:50.349449 | 2025-11-05 03:34:52.386113 | 14319062 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 14319062 | Athletic Physical Therapy Inc | 1975-03-26 | 2025-11-06 | F | AE | PT | HEYES | 95596436F | DARCIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.100046432.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542233/check_14319062_c9e1e7b2-a04f-422a-9cfd-b42af2b1525f.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1975-03-26 | N/A | N/A | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199352917 | N/A | N/A | 5542233 | 2222 | 4793 | 14629777 | N/A | 4214178 | 2025-11-05 03:34:52.386113 | 2025-05-13 04:29:37.228506 |
| 2025-11-04 08:04:50.249127 | 2025-11-05 03:35:05.352999 | 14319057 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14319057 | Athletic Physical Therapy Inc | 1938-01-22 | 2025-11-06 | F | PT | N/A | ISTOK | MBL474M98437 | LOIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.100046432.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542207/check_14319057_bc0f69ec-2b55-4997-a373-c4f8bdf901f4.json | N/A | N/A | N/A | N/A | N/A | MBL474M98437 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1938-01-22 | 040 | CAEGR005 | N/A | N/A | false | ISTOK | N/A | LOIS | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199352915 | N/A | N/A | 5542207 | 2222 | 4802 | 14629885 | N/A | 4214152 | 2025-11-05 03:35:05.352999 | 2025-05-13 04:29:37.228479 |
| 2025-11-04 08:04:50.167251 | 2025-11-05 03:34:42.403455 | 14319053 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 14319053 | Athletic Physical Therapy Inc | 2009-08-26 | 2025-11-06 | F | AE | PT | ELAZARY | 000019315679 | NATALEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.100046432.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542060/check_14319053_48dbc3be-08d9-4746-8d75-38dbacc2da86.json | N/A | N/A | N/A | N/A | N/A | 000019315679 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 2009-08-26 | 4344868 | 235828 | N/A | N/A | false | ELAZARY | N/A | NATALEE | N/A | N/A | N/A | EDGIO INC. EDGIO ACTIVES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199352912 | N/A | N/A | 5542060 | 2222 | 4793 | 14629684 | N/A | 4214019 | 2025-11-05 03:34:42.403455 | 2025-05-13 04:29:37.228340 |
| 2025-11-04 08:04:50.067649 | 2025-11-05 03:34:53.053667 | 14319046 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 14319046 | Athletic Physical Therapy Inc | 1961-02-27 | 2025-11-06 | M | AE | PT | SHRIVER | 90771207E | DANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.100046432.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541984/check_14319046_a391d67a-0bdd-44e0-86a7-f6f84c3175e7.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1961-02-27 | N/A | N/A | N/A | N/A | false | SHRIVER | N/A | DANIEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199352911 | N/A | N/A | 5541984 | 2222 | 4802 | 14629782 | N/A | 4213934 | 2025-11-05 03:34:53.053667 | 2026-01-27 23:36:44.802366 |
| 2025-11-04 08:04:49.991364 | 2025-11-05 03:36:31.313691 | 14319043 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14319043 | Athletic Physical Therapy Inc | 1990-09-04 | 2025-11-07 | M | PT | N/A | HASHEMI | XEA914007676 | SEYED | 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/2222/5541956/check_14319043_23b7579b-7d02-4f0d-8994-0a2ce8506d84.json | N/A | N/A | N/A | N/A | N/A | XEA914007676 | Preferred Provider Organization (PPO) | SILVUS TECHNOLOGIES INC | BLUE SHIELD CALIFORNIA | N/A | 1990-09-04 | 1000PPOX0002 | W3000628 | N/A | PR | false | HASHEMI | N/A | SEYED MEHRDAD | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1800 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199352910 | N/A | N/A | 5541956 | 2222 | 4802 | 14630556 | N/A | 4213923 | 2025-11-05 03:36:31.313691 | 2025-05-13 04:29:37.228244 |
| 2025-11-04 08:04:49.898112 | 2025-11-05 03:33:09.531270 | 14319037 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 14319037 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-11-07 | M | AD | N/A | LYKIDIS | U1221753503 | JOHN | 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/2222/5541552/check_14319037_76e46ece-1fdf-4f9a-9489-1aa05d665f0c.json | N/A | N/A | N/A | N/A | N/A | U1221753503 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 2001-11-21 | N/A | 3207160 | N/A | N/A | false | LYKIDIS | N/A | JOHN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 9199352909 | N/A | N/A | 5541552 | 2222 | 4802 | 14629013 | N/A | 4213562 | 2025-11-05 03:33:09.531270 | 2025-05-13 04:29:37.227895 |
| 2025-11-04 08:04:49.806912 | 2025-11-05 03:40:14.306340 | 14319034 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14319034 | Athletic Physical Therapy Inc | 1949-12-02 | 2025-11-06 | F | AE | PT | LADEN | 6GY2TG9HX06 | CANDACE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.100046432.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540768/check_14319034_2bd2edba-f993-4949-8339-965894abf515.json | N/A | N/A | N/A | N/A | N/A | 6GY2TG9HX06 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-12-02 | S4802 | N/A | N/A | MB | false | LADEN | N/A | CANDACE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199352908 | N/A | N/A | 5540768 | 2222 | 4802 | 14632212 | N/A | 4212856 | 2025-11-05 03:40:14.306340 | 2025-08-04 18:33:35.319989 |
| 2025-11-04 08:04:49.687877 | 2025-11-05 03:32:00.023543 | 14319026 | N/A | N/A | 60054 | Aetna | 1114042165 | 14319026 | Athletic Physical Therapy Inc | 1982-07-27 | 2025-11-07 | M | AE | PT | BOKHTIER | W275493875 | GOLAM | 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/2222/5540723/check_14319026_0f36b9f3-f958-4000-8246-3ff6c1c748bf.json | N/A | N/A | N/A | N/A | N/A | W275493875 | Exclusive Provider Organization | AMERICAN EXPRESS COMPANY | AETNA | N/A | 1982-07-27 | 0169631 | 016963101100001 | N/A | EP | false | BOKHTIER | N/A | SUMMER | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199352907 | N/A | N/A | 5540723 | 2222 | 4793 | 14628372 | N/A | 4212833 | 2025-11-05 03:32:00.023543 | 2025-05-28 20:46:35.079848 |
| 2025-11-04 08:04:49.605564 | 2025-11-05 03:40:13.157961 | 14319021 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14319021 | Athletic Physical Therapy Inc | 1954-06-15 | 2025-11-07 | F | AE | PT | ADIB | 1TJ9E76RP17 | JILA | 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/2222/5540303/check_14319021_b76fc7e8-e657-4bd2-a845-9ba9ce3df0c3.json | N/A | N/A | N/A | N/A | N/A | 1TJ9E76RP17 | Medicare Part B | N/A | ACCESS GENERALINSUR COMP | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-06-15 | S4802 | DOL 10302012 | N/A | MB | false | ADIB | N/A | JILA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199352906 | N/A | N/A | 5540303 | 2222 | 4801 | 14632200 | N/A | 4212486 | 2025-11-05 03:40:13.157961 | 2025-09-30 02:32:14.808821 |
| 2025-11-04 08:04:49.443973 | 2025-11-05 03:33:08.952425 | 14319013 | N/A | N/A | 62308 | CIGNA PPO | 1114042165 | 14319013 | Athletic Physical Therapy Inc | 1967-12-13 | 2025-11-07 | M | AE | PT | MIDDLETON | U3369221802 | BLAKE | 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/2222/5540185/check_14319013_f707de8d-943f-4b1e-9cbd-d81ddcb0cdf7.json | N/A | N/A | N/A | N/A | N/A | U3369221802 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1967-12-13 | N/A | 3346355 | N/A | HM | false | MIDDLETON | N/A | BLAKE | N/A | N/A | N/A | NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199352905 | N/A | N/A | 5540185 | 2222 | 4802 | 14629007 | 4437 | 4212381 | 2025-11-05 03:33:08.952425 | 2025-12-17 20:12:42.035054 |
| 2025-11-04 08:04:49.141962 | 2025-11-05 03:34:10.737862 | 14319003 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14319003 | Athletic Physical Therapy Inc | 1973-07-11 | 2025-11-06 | M | AE | PT | HERMAN | 95836743G | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.100046432.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540113/check_14319003_45b93c26-f6a8-46db-825c-acafa7565229.json | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | CENTENE CORPORATION | N/A | 1973-07-11 | N/A | N/A | N/A | N/A | false | HERMAN | N/A | BRETT | N/A | N/A | N/A | MCE NON DUAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199352904 | N/A | N/A | 5540113 | 2222 | 4801 | 14629414 | N/A | 4212315 | 2025-11-05 03:34:10.737862 | 2025-12-29 21:20:15.158611 |
| 2025-11-04 08:04:48.894219 | 2025-11-05 03:35:02.037761 | 14318990 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14318990 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-11-06 | F | PT | N/A | BOYLAN | MBL857M98403 | JOAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.100046432.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540074/check_14318990_803b7755-177a-4ca9-91a1-e1babb824faf.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199352903 | N/A | N/A | 5540074 | 2222 | 4802 | 14629856 | N/A | 4212282 | 2025-11-05 03:35:02.037761 | 2025-05-13 04:29:37.226623 |
| 2025-11-04 08:04:48.756242 | 2025-11-05 03:34:44.005644 | 14318986 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14318986 | Athletic Physical Therapy Inc | 1982-06-09 | 2025-11-06 | M | AE | PT | FULKERSON | R12222652MM1 | SCOTT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.100046432.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539956/check_14318986_a57ef08e-6a6c-4cd5-9aeb-c8318f043e41.json | N/A | N/A | N/A | N/A | N/A | R12222652MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1982-06-09 | N/A | N/A | N/A | N/A | false | FULKERSON | N/A | SCOTT | N/A | N/A | N/A | MFC UCNNHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199352902 | N/A | N/A | 5539956 | 2222 | 4801 | 14629697 | N/A | 4212166 | 2025-11-05 03:34:44.005644 | 2025-10-23 15:59:33.239127 |
| 2025-11-04 08:04:48.665315 | 2025-11-05 03:35:07.194890 | 14318980 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14318980 | Athletic Physical Therapy Inc | 1967-09-30 | 2025-11-07 | F | PT | N/A | HOW | LTC753A71345 | DEBORAH | 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/2222/5539919/check_14318980_7e840880-3345-4d24-b543-8be7c0d405c7.json | N/A | N/A | N/A | N/A | N/A | LTC753A71345 | Preferred Provider Organization (PPO) | THE AEROSPACE CORPORATION | ANTHEM BLUE CROSS | N/A | 1967-09-30 | 040 | 174151M1A3 | N/A | PR | false | TUNG | N/A | YEH-CHING | N/A | 9999-12-31 | 2014-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199352901 | N/A | N/A | 5539919 | 2222 | 4802 | 14629903 | N/A | 4212155 | 2025-11-05 03:35:07.194890 | 2025-05-13 04:29:37.226493 |
| 2025-11-04 08:04:48.586273 | 2025-11-05 03:36:50.288042 | 14318974 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14318974 | Athletic Physical Therapy Inc | 1983-08-31 | 2025-11-06 | M | PT | N/A | FLEMING | SZF839281184 | CHASE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.100046432.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539901/check_14318974_25665308-a8f8-462b-aaa8-3ef85398681c.json | N/A | N/A | N/A | N/A | N/A | SZF839281184 | Preferred Provider Organization (PPO) | ACTIVE | CUSTOMER SERVICE | N/A | 1983-08-31 | N/A | 018137 | N/A | PR | false | FLEMING | N/A | CHASE | N/A | 9999-12-31 | 2021-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199352900 | N/A | N/A | 5539901 | 2222 | 4793 | 14630657 | N/A | 4212134 | 2025-11-05 03:36:50.288042 | 2025-08-05 02:56:55.384378 |
| 2025-11-04 08:04:48.521966 | 2025-11-05 01:41:57.604764 | 14318970 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14318970 | Athletic Physical Therapy Inc | 1951-10-16 | 2025-11-07 | F | AE | PT | GARRETT | 3EJ1R73ND18 | KATHLEEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121026032.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714932/check_14318970_a452afc5-8dff-4361-bd1b-84f763da36a4.json | N/A | N/A | N/A | N/A | N/A | 3EJ1R73ND18 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-10-16 | S5601 | N/A | N/A | MA | false | GARRETT | N/A | KATHLEEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199347565 | N/A | N/A | 6714932 | 2222 | 4793 | 14614137 | N/A | 5316176 | 2025-11-05 01:41:57.604764 | 2025-07-01 18:44:12.927482 |
| 2025-11-04 08:04:48.500674 | 2025-11-05 03:35:04.057002 | 14318968 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14318968 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-11-07 | M | PT | N/A | FINNLEY | NGO832M81089 | ZEV | 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/2222/5539664/check_14318968_bc5d8c33-dc8a-4b46-9e56-23f258b037e2.json | N/A | N/A | N/A | N/A | N/A | NGO832M81089 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 1991-07-13 | 040 | 174022MJAC | N/A | PR | false | FINNLEY | N/A | ZEV | N/A | 9999-12-31 | 2022-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199352899 | N/A | N/A | 5539664 | 2222 | 4793 | 14629873 | N/A | 4211935 | 2025-11-05 03:35:04.057002 | 2025-05-13 04:29:37.226259 |
| 2025-11-04 08:04:48.410021 | 2025-11-05 03:35:04.367379 | 14318965 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14318965 | Athletic Physical Therapy Inc | 1963-05-25 | 2025-11-06 | F | PT | N/A | GINSBERG | JQU469A62630 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.100046432.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539612/check_14318965_1eec5f1e-704d-4fe7-8443-2b26948b3e0d.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1963-05-25 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 9999-12-31 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199352898 | N/A | N/A | 5539612 | 2222 | 4793 | 14629876 | N/A | 4211892 | 2025-11-05 03:35:04.367379 | 2025-11-02 22:03:21.557202 |
| 2025-11-04 08:04:48.366588 | 2025-11-05 01:41:57.974626 | 14318962 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14318962 | Athletic Physical Therapy Inc | 1959-07-23 | 2025-11-06 | M | AE | PT | Harvey | 1D65V29PD77 | Roy | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.121026032.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714928/check_14318962_2dc98b87-2447-4843-bd3d-f4a4808e868c.json | N/A | N/A | N/A | N/A | N/A | 1D65V29PD77 | Medicare Part A | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-23 | S5660 | DOL 01291978 | N/A | MA | false | HARVEY | N/A | ROY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199347564 | N/A | N/A | 6714928 | 2222 | 4802 | 14614141 | N/A | 5316172 | 2025-11-05 01:41:57.974626 | 2025-07-02 15:09:36.678003 |
| 2025-11-04 08:04:48.302983 | 2025-11-05 03:35:06.019032 | 14318959 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14318959 | Athletic Physical Therapy Inc | 1975-10-23 | 2025-11-07 | F | PT | N/A | MAGEE | SRYHC0157512 | JENNIFER | 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/2222/5539606/check_14318959_288bc9a7-9950-43e6-91ab-70a62af0296b.json | N/A | N/A | N/A | N/A | N/A | SRYHC0157512 | Preferred Provider Organization (PPO) | SURVEYMONKEY PPO IN STATE | ANTHEM BLUE CROSS | N/A | 1975-10-23 | 040 | L12152M001 | N/A | PR | false | MAGEE | N/A | JENNIFER | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199352896 | N/A | N/A | 5539606 | 2222 | 4793 | 14629891 | N/A | 4211886 | 2025-11-05 03:35:06.019032 | 2026-02-06 19:09:03.082684 |
| 2025-11-04 08:04:48.198320 | 2025-11-05 03:35:06.904734 | 14318955 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14318955 | Athletic Physical Therapy Inc | 1961-10-29 | 2025-11-06 | F | PT | N/A | STEWARD | NCF874A20085 | ANDREA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.100046432.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539556/check_14318955_b7e685c9-85fb-4118-8d5f-cc532db15cbf.json | N/A | N/A | N/A | N/A | N/A | NCF874A20085 | Health Maintenance Organization (HMO) | LACERS- LOS ANGELES CITY RETIREMENT SYSTEMS | ANTHEM BLUE CROSS | N/A | 1961-10-29 | 040 | 57ABBA | N/A | HM | false | STEWARD | N/A | ANDREA | N/A | 9999-12-31 | 2017-04-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199352895 | N/A | N/A | 5539556 | 2222 | 4801 | 14629900 | N/A | 4211841 | 2025-11-05 03:35:06.904734 | 2025-10-23 18:30:51.891275 |
| 2025-11-04 08:04:48.064392 | 2025-11-05 03:35:07.528242 | 14318949 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14318949 | Athletic Physical Therapy Inc | 1973-05-16 | 2025-11-06 | F | PT | N/A | WILSON | XEH905431769 | JOSEPHINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.100046432.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539486/check_14318949_c9bab379-e159-407a-9d69-0fa05f11b2ad.json | N/A | N/A | N/A | N/A | N/A | XEH905431769 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1973-05-16 | 1477HMOX0001 | W0051411 | N/A | HM | false | WILSON | N/A | JOSEPHINE | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199352894 | N/A | N/A | 5539486 | 2222 | 4793 | 14629906 | 4185 | 4211784 | 2025-11-05 03:35:07.528242 | 2025-06-01 03:36:02.268093 |
| 2025-11-04 08:04:47.913533 | 2025-11-05 03:35:03.106707 | 14318941 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14318941 | Athletic Physical Therapy Inc | 2008-01-01 | 2025-11-06 | M | PT | N/A | COSTELLO | JXN840A20610 | JAMES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.100046432.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539326/check_14318941_937d1e7e-3440-4821-9f8e-c8680592dad1.json | N/A | N/A | N/A | N/A | N/A | JXN840A20610 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 2008-01-01 | 040 | 174222MAA1 | N/A | PR | false | COSTELLO | N/A | PATRICK | N/A | 9999-12-31 | 2022-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199352893 | N/A | N/A | 5539326 | 2222 | 4793 | 14629865 | N/A | 4211647 | 2025-11-05 03:35:03.106707 | 2025-10-21 19:53:46.280627 |
| 2025-11-04 08:04:47.729439 | 2025-11-05 03:35:04.671835 | 14318937 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14318937 | Athletic Physical Therapy Inc | 1960-08-08 | 2025-11-06 | M | PT | N/A | GINSBERG | JQU469A62630 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.100046432.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538693/check_14318937_c29e6d83-9e51-4b76-86a8-4b162c1df0da.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1960-08-08 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 9999-12-31 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199352892 | N/A | N/A | 5538693 | 2222 | 4793 | 14629879 | N/A | 4211081 | 2025-11-05 03:35:04.671835 | 2025-05-13 04:29:37.225492 |
| 2025-11-04 08:04:47.654112 | 2025-11-05 03:34:19.051732 | 14318934 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 14318934 | Athletic Physical Therapy Inc | 1951-08-02 | 2025-11-06 | M | AE | PT | CHADIDA | 40060913601 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.100046432.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538674/check_14318934_aa700a59-bf9c-4dce-a03e-c8323403f8bd.json | N/A | N/A | N/A | N/A | N/A | 40060913601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-08-02 | 2025H5425001 | H5425M | N/A | N/A | false | CHADIDA | N/A | DAVID | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199352643 | N/A | N/A | 5538674 | 2222 | 4793 | 14629492 | N/A | 4211039 | 2025-11-05 03:34:19.051732 | 2025-05-13 04:29:37.225444 |
| 2025-11-04 08:04:47.533182 | 2025-11-05 03:40:13.452354 | 14318929 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14318929 | Athletic Physical Therapy Inc | 1954-01-24 | 2025-11-07 | F | AE | PT | DIGIOVANNI | 4N09TQ2YY18 | JILL | 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/2222/5538592/check_14318929_a2fcbfca-3c0b-4780-8a23-7dcfc1cc5b20.json | N/A | N/A | N/A | N/A | N/A | 4N09TQ2YY18 | Medicare Part A | N/A | SENTRY INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-24 | S4802 | DOL 11022017 | N/A | MA | false | DIGIOVANNI | N/A | JILL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199352642 | N/A | N/A | 5538592 | 2222 | 4801 | 14632203 | N/A | 4210993 | 2025-11-05 03:40:13.452354 | 2025-05-13 04:29:37.225395 |
| 2025-11-04 08:04:47.444529 | 2025-11-05 03:40:13.754620 | 14318926 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14318926 | Athletic Physical Therapy Inc | 1954-01-12 | 2025-11-06 | F | AE | PT | FINCH | 3YV4XM6FP06 | DAWN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.100046432.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538472/check_14318926_d83356a2-ce60-4a8c-85e3-968d798ae03e.json | N/A | N/A | N/A | N/A | N/A | 3YV4XM6FP06 | Medicare Part B | N/A | OPTUM INSURANCE OF OHIO, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-12 | S8841 | N/A | N/A | MB | false | FINCH | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9199352641 | N/A | N/A | 5538472 | 2222 | 4802 | 14632206 | N/A | 4210886 | 2025-11-05 03:40:13.754620 | 2025-05-13 04:29:37.225284 |
| 2025-11-04 08:04:47.327737 | 2025-11-05 03:35:04.988029 | 14318921 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14318921 | Athletic Physical Therapy Inc | 1995-11-17 | 2025-11-07 | M | PT | N/A | HAMILTON | KZU14135950E | JAMES | 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/2222/5538409/check_14318921_dc8488b1-52a4-4964-9574-157f1d1a479d.json | N/A | N/A | N/A | N/A | N/A | KZU14135950E | Preferred Provider Organization (PPO) | AEROVIRONMENT INC | ANTHEM BLUE CROSS | N/A | 1995-11-17 | 040 | 277825M007 | N/A | PR | false | HAMILTON | N/A | JAMES | N/A | 9999-12-31 | 2022-10-10 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199352640 | N/A | N/A | 5538409 | 2222 | 4801 | 14629882 | N/A | 4210828 | 2025-11-05 03:35:04.988029 | 2025-05-13 04:29:37.225234 |
| 2025-11-04 08:04:47.143767 | 2025-11-05 03:35:03.774105 | 14318915 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14318915 | Athletic Physical Therapy Inc | 2006-06-08 | 2025-11-06 | M | PT | N/A | DATO | NGO555A50496 | LUKE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251104.100046432.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538229/check_14318915_70b88043-dddd-4b9f-913b-fb7955ec217d.json | N/A | N/A | N/A | N/A | N/A | NGO555A50496 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 2006-06-08 | 040 | 174022MJAD | N/A | PR | false | DATO | N/A | GREGORY | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9199352639 | N/A | N/A | 5538229 | 2222 | 4793 | 14629870 | N/A | 4210676 | 2025-11-05 03:35:03.774105 | 2026-05-21 21:09:28.809390 |