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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-03 08:10:53.057508 | 2025-11-04 01:41:55.660377 | 14283457 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14283457 | Athletic Physical Therapy Inc | 1960-10-21 | 2025-11-04 | M | AE | PT | UPSON | JQE907W24463 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170538716.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6517484/check_14283457_258edfe9-bb0c-4dee-a148-f546afbd44b7.json | N/A | N/A | N/A | N/A | N/A | JQE907W24463 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1960-10-21 | 040 | CASUPWP0 | N/A | N/A | false | UPSON | N/A | MARK | N/A | 9999-12-31 | 2025-10-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191974399 | N/A | N/A | 6517484 | 2222 | 4801 | 14505069 | N/A | 4219691 | 2025-11-04 01:41:55.660377 | 2025-05-13 04:29:37.230736 |
| 2025-11-03 08:10:51.864174 | 2025-11-03 08:10:55.867900 | 14283320 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-07-12 | 2025-11-03 | M | AE | PT | Cohn | R06589895MM1 | David | 23322 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7315101/check_14283320_699ece8e-79fa-4d0e-b415-5df19c773d6f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7315101/check_14283320_83ff2970-6939-420e-8be9-39a5fb068f65.json | N/A | N/A | N/A | N/A | N/A | R06589895MM1 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1966-07-12 | N/A | CA05620125 | N/A | N/A | false | COHN | N/A | DAVID | N/A | N/A | N/A | WELLCARE SIMPLE FOCUS (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9188253781 | N/A | N/A | 7315101 | 2222 | N/A | 14463531 | N/A | 6152454 | 2025-11-03 08:10:55.867900 | 2025-07-17 21:44:04.596080 |
| 2025-11-03 08:10:51.793093 | 2025-11-04 05:37:48.503176 | 14283314 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 14283314 | Athletic Physical Therapy Inc | 1960-05-08 | 2025-11-04 | F | AE | PT | ALNOURI | 96982708G | SHARIFEH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170413998.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11508126/check_14283314_f3c1ab9e-c6e2-4fea-b17e-b7de5865a2b2.json | N/A | N/A | N/A | N/A | N/A | 96982708G | N/A | N/A | MEDICAID CALIFORNIA | 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 | 9191996342 | N/A | N/A | 11508126 | 2222 | 4802 | 14584356 | N/A | 9748914 | 2025-11-04 05:37:48.503176 | 2025-10-27 18:43:47.576827 |
| 2025-11-03 08:10:50.064790 | 2025-11-04 05:35:35.486063 | 14283131 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14283131 | Athletic Physical Therapy Inc | 1956-01-10 | 2025-11-06 | M | AE | PT | VYAS | XEM910803359 | VIJAY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170413998.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11505782/check_14283131_78870734-30df-4df7-a207-5967f620cc75.json | N/A | N/A | N/A | N/A | N/A | XEM910803359 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1956-01-10 | 2002SF000028 | X0001002 | N/A | OT | false | VYAS | N/A | VIJAY | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191996332 | N/A | N/A | 11505782 | 2222 | 4793 | 14583591 | N/A | 9746527 | 2025-11-04 05:35:35.486063 | 2025-10-27 17:25:38.455561 |
| 2025-11-03 08:10:49.872114 | 2025-11-04 01:59:45.065410 | 14283110 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14283110 | Athletic Physical Therapy Inc | 1960-03-22 | 2025-11-04 | F | AE | PT | ROUSHANBAKHSH | 4M68ME8GE50 | FOROUGH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.190921800.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10259566/check_14283110_467964ba-f624-46c6-a003-d5ae2fc14deb.json | N/A | N/A | N/A | N/A | N/A | 4M68ME8GE50 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-03-22 | S4802 | N/A | N/A | MB | false | ROUSHANBAKHSH | N/A | FOROUGH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192019260 | N/A | N/A | 10259566 | 2222 | 4802 | 14549643 | N/A | 4213281 | 2025-11-04 01:59:45.065410 | 2025-05-13 04:29:37.227606 |
| 2025-11-03 08:10:42.470051 | 2025-11-04 01:58:35.045981 | 14282288 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14282288 | Athletic Physical Therapy Inc | 1951-10-16 | 2025-11-04 | F | AE | PT | GARRETT | 3EJ1R73ND18 | KATHLEEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170321791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714932/check_14282288_99fd7925-6806-412a-97fe-2edd169582d0.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 | 9192022809 | N/A | N/A | 6714932 | 2222 | 4793 | 14547594 | N/A | 5316176 | 2025-11-04 01:58:35.045981 | 2025-07-01 18:44:12.927482 |
| 2025-11-03 08:10:42.190593 | 2025-11-04 01:52:46.519227 | 14282260 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14282260 | Athletic Physical Therapy Inc | 1935-11-26 | 2025-11-04 | F | AE | PT | MCCANN | JQE588W18533 | JOSEPHINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170527206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7760464/check_14282260_e86e4a55-4823-4dce-bcda-6f51e21e0e0c.json | N/A | N/A | N/A | N/A | N/A | JQE588W18533 | N/A | CA MED-SUPP | BLUE SHIELD OF CALIFORNIA | N/A | 1935-11-26 | 040 | CASUPWP0 | N/A | N/A | false | MCCANN | N/A | JOSEPHINE | N/A | 9999-12-31 | 2024-02-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191967644 | N/A | N/A | 7760464 | 2222 | 4801 | 14534221 | N/A | 6609924 | 2025-11-04 01:52:46.519227 | 2025-08-12 22:04:05.464362 |
| 2025-11-03 08:10:42.171977 | 2025-11-04 01:58:36.016517 | 14282257 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14282257 | Athletic Physical Therapy Inc | 1959-07-23 | 2025-11-04 | M | AE | PT | Harvey | 1D65V29PD77 | Roy | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170321791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714928/check_14282257_4438ef33-0dcb-4542-88bd-e682a6dd3acb.json | N/A | N/A | N/A | N/A | N/A | 1D65V29PD77 | Medicare Part B | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-23 | S5660 | DOL 01291978 | N/A | MB | 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 | 9192022116 | N/A | N/A | 6714928 | 2222 | 4802 | 14547623 | N/A | 5316172 | 2025-11-04 01:58:36.016517 | 2025-07-02 15:09:36.678003 |
| 2025-11-03 08:10:41.179825 | 2025-11-04 01:49:55.383304 | 14282162 | N/A | N/A | 60054 | Aetna | 1114042165 | 14282162 | Athletic Physical Therapy Inc | 1960-01-04 | 2025-11-06 | F | AE | PT | MARLEY | W032070695 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.190823034.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9512811/check_14282162_2b59e31b-9577-40b1-b5a3-c96ae20fbc9c.json | N/A | N/A | N/A | N/A | N/A | W032070695 | Exclusive Provider Organization | COSTCO WHOLESALE CORPORATION | AETNA | N/A | 1960-01-04 | 0169579 | 016957901100002 | N/A | EP | false | MARLEY | N/A | MARIA | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192000708 | N/A | N/A | 9512811 | 2222 | 4801 | 14525651 | N/A | 7955514 | 2025-11-04 01:49:55.383304 | 2025-09-26 00:32:05.426711 |
| 2025-11-03 08:10:39.457572 | 2025-11-04 01:36:12.133784 | 14281989 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14281989 | Athletic Physical Therapy Inc | 1967-03-31 | 2025-11-06 | F | PT | N/A | BARRERA | XEH903839121 | LOLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.165641836.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7203168/check_14281989_bf2ee503-3e9f-4149-85a9-b29ae3c360d5.json | N/A | N/A | N/A | N/A | N/A | XEH903839121 | Health Maintenance Organization (HMO) | CVT MOORPARK USD | BLUE SHIELD CALIFORNIA | N/A | 1967-03-31 | 1000HMOX0005 | W0052266 | N/A | HM | false | BARRERA | N/A | LOLA | N/A | N/A | N/A | CALIFORNIA S VALUED TRUST CUSTOM HMO 10 0 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192050986 | N/A | N/A | 7203168 | 2222 | 4793 | 14493902 | N/A | 5230345 | 2025-11-04 01:36:12.133784 | 2025-07-11 20:32:03.183345 |
| 2025-11-03 08:10:37.937281 | 2025-11-03 08:10:40.013510 | 14281836 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-07-21 | 2025-11-03 | F | AE | PT | MCALISTER | 4TU6H11QQ85 | BONNIE | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7024101/check_14281836_1118e62b-4385-4b21-8d35-5363d9325222.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7024101/check_14281836_4f0f34dc-0aa6-4498-9303-426ba9659246.json | N/A | N/A | N/A | N/A | N/A | 4TU6H11QQ85 | Medicare Part A | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1968-07-21 | N/A | N/A | N/A | MA | false | MCALISTER | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9188252471 | N/A | N/A | 7024101 | 2222 | N/A | 14463345 | N/A | 6038562 | 2025-11-03 08:10:40.013510 | 2025-07-30 21:46:09.369299 |
| 2025-11-03 08:10:34.928096 | 2025-11-04 01:41:58.437436 | 14281538 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 14281538 | Athletic Physical Therapy Inc | 1955-02-20 | 2025-11-05 | F | AE | PT | SALGUERO | 35955370 | DINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170321791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6711965/check_14281538_002be9a1-f76b-45d0-aedf-09c04fb3837a.json | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | 406-005-000 | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192022079 | N/A | N/A | 6711965 | 2222 | 4793 | 14505148 | 6798 | 4210430 | 2025-11-04 01:41:58.437436 | 2025-05-13 04:29:37.224841 |
| 2025-11-03 08:10:31.633789 | 2025-11-04 01:35:21.731477 | 14281216 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14281216 | Athletic Physical Therapy Inc | 1955-11-13 | 2025-11-06 | F | AE | PT | GRANT | XEM910029614 | ROBIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170327895.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8493312/check_14281216_ed6ac7d0-0e46-4b38-ad0a-4d1564958967.json | N/A | N/A | N/A | N/A | N/A | XEM910029614 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-11-13 | 2002SE000030 | X0001002 | N/A | OT | false | GRANT | N/A | ROBIN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192033368 | N/A | N/A | 8493312 | 2222 | 4802 | 14493011 | N/A | 7159835 | 2025-11-04 01:35:21.731477 | 2025-08-25 22:38:59.735145 |
| 2025-11-03 08:10:30.398354 | 2025-11-04 05:32:44.147790 | 14281097 | N/A | N/A | 47027 | Physicians Mutual Insurance Company | 1114042165 | 14281097 | Athletic Physical Therapy Inc | 1949-08-12 | 2025-11-05 | F | AE | PT | NAGLE | H730115547 | JAMES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170413998.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11457995/check_14281097_89fe37de-a8c2-44e0-b691-eae45adccd38.json | N/A | N/A | N/A | N/A | N/A | H730115547 | N/A | N/A | PHYSICIANS MUTUAL | PAYMENT NOT GUARANTEED; BENEFITS SUBJECT TO CLAIM APPROVAL | 1949-08-12 | N/A | N/A | N/A | N/A | false | NAGLE | N/A | JAMES | N/A | N/A | N/A | MEDICARE SUPPLEMENT 2020 PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191995859 | N/A | N/A | 11457995 | 2222 | 4801 | 14582446 | N/A | 9707473 | 2025-11-04 05:32:44.147790 | 2026-02-05 20:49:45.747494 |
| 2025-11-03 08:10:26.852656 | 2025-11-04 01:34:58.587663 | 14280698 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14280698 | Athletic Physical Therapy Inc | 1951-10-12 | 2025-11-04 | F | AE | PT | Ahadian | U5X795M98275 | Vida | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170327895.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8479499/check_14280698_3f09a86e-cfc1-4b9a-8eed-52d9cbc21445.json | N/A | N/A | N/A | N/A | N/A | U5X795M98275 | Indemnity | UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1951-10-12 | 040 | 280509C465 | N/A | IN | false | AHADIAN | N/A | VIDA | N/A | 9999-12-31 | 2019-01-01 | UC HIGH OPTION SUPPLEMENT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192033324 | N/A | N/A | 8479499 | 2222 | 4802 | 14492626 | N/A | 7146980 | 2025-11-04 01:34:58.587663 | 2025-08-25 22:34:13.951153 |
| 2025-11-03 08:10:24.489067 | 2025-11-04 01:37:40.674730 | 14280433 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14280433 | Athletic Physical Therapy Inc | 1952-07-15 | 2025-11-04 | M | AE | PT | WOLFE | XEM909964699 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170514893.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10239789/check_14280433_47d76a9f-c426-403e-afd1-6faa9931e22a.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 | 9192019678 | N/A | N/A | 10239789 | 2222 | 4793 | 14496312 | N/A | 8527464 | 2025-11-04 01:37:40.674730 | 2025-10-14 15:25:46.972104 |
| 2025-11-03 08:10:18.433377 | 2025-11-04 01:57:52.854374 | 14279773 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14279773 | Athletic Physical Therapy Inc | 1968-12-01 | 2025-11-05 | F | PT | N/A | BECERRA | CZCAN2537305 | BLANCA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.190823034.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9487590/check_14279773_8405a32a-7996-4b75-a4a2-5b5d0754550d.json | N/A | N/A | N/A | N/A | N/A | CZCAN2537305 | Preferred Provider Organization (PPO) | PPO W/BLUE DISTINCTION W/AIM FTR GOLD | BLUE SHIELD OF CALIFORNIA | N/A | 1968-12-01 | 060 | 270196M71A | N/A | PR | false | BECERRA | N/A | JAIME | N/A | 9999-12-31 | 2022-01-01 | CT BLUE CARD PREFERRED PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192000630 | N/A | N/A | 9487590 | 2222 | 4793 | 14545949 | N/A | 7937217 | 2025-11-04 01:57:52.854374 | 2025-09-26 14:34:41.732941 |
| 2025-11-03 08:10:17.446370 | 2025-11-04 05:37:48.862251 | 14279663 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 14279663 | Athletic Physical Therapy Inc | 1944-07-11 | 2025-11-04 | F | AE | PT | SAFAVI | 90121261A | ASHRAF | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170413998.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11417165/check_14279663_ec9b9a72-5552-4e62-9e9c-568eb9ad8720.json | N/A | N/A | N/A | N/A | N/A | 90121261A | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1944-07-11 | N/A | N/A | N/A | N/A | false | SAFAVI | N/A | ASHRAF | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191995821 | N/A | N/A | 11417165 | 2222 | 4802 | 14584358 | N/A | 9459548 | 2025-11-04 05:37:48.862251 | 2025-10-17 18:54:00.807402 |
| 2025-11-03 08:10:15.864043 | 2025-11-04 01:47:48.367436 | 14279485 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 14279485 | Athletic Physical Therapy Inc | 1957-01-30 | 2025-11-05 | F | AE | PT | SEIFERT | H77624682 | ARMIDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.190823034.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9486126/check_14279485_6a14552d-99a7-4294-a8c3-1ea09a8fc628.json | N/A | N/A | N/A | N/A | N/A | H77624682 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1957-01-30 | N/A | N/A | N/A | N/A | false | SEIFERT | N/A | ARMIDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192000613 | N/A | N/A | 9486126 | 2222 | 4793 | 14518899 | N/A | 7936248 | 2025-11-04 01:47:48.367436 | 2025-09-17 22:49:12.995113 |
| 2025-11-03 08:10:14.195133 | 2025-11-04 01:44:47.685892 | 14279305 | N/A | N/A | 60054 | Aetna | 1114042165 | 14279305 | Athletic Physical Therapy Inc | 1976-03-18 | 2025-11-05 | M | AE | PT | SEEMAN | W290664045 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.190921800.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10208244/check_14279305_0ec0bdec-2580-4285-a9e9-589e24a93128.json | N/A | N/A | N/A | N/A | N/A | W290664045 | Point of Service (POS) | PAYCHEX BUSINESS SOLUTIONS, LLC. | AETNA | N/A | 1976-03-18 | 0176563 | 017656301100028 | N/A | PS | false | SEEMAN | N/A | MICHAEL | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192019128 | N/A | N/A | 10208244 | 2222 | 4801 | 14511044 | N/A | 8500669 | 2025-11-04 01:44:47.685892 | 2025-10-08 23:15:42.079175 |
| 2025-11-03 08:10:11.280017 | 2025-11-03 08:10:13.504650 | 14278977 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1929-10-10 | 2025-11-03 | M | AE | PT | Walter | 1TQ1EQ4FJ98 | Howard | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6751304/check_14278977_4a20fa36-7302-47c0-8b37-1ce60cebf393.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751304/check_14278977_24298eb9-2eb2-4be7-bd4c-9b76b7fe47f7.json | N/A | N/A | N/A | N/A | N/A | 1TQ1EQ4FJ98 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-10-10 | N/A | N/A | N/A | MA | false | WALTER | N/A | HOWARD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9188248853 | N/A | N/A | 6751304 | 2222 | N/A | 14463065 | N/A | 5557241 | 2025-11-03 08:10:13.504650 | 2025-07-22 17:08:51.810153 |
| 2025-11-03 08:10:07.780688 | 2025-11-04 01:55:32.113084 | 14278623 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 14278623 | Athletic Physical Therapy Inc | 1990-09-10 | 2025-11-05 | M | AE | PT | Szymanski | 974058888F | Micah | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.190823034.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9480224/check_14278623_47bb9fe9-11d4-4d33-9c2c-4fb0b998e7cc.json | N/A | N/A | N/A | N/A | N/A | 974058888F | 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 | 9192003245 | N/A | N/A | 9480224 | 2222 | 4802 | 14540524 | N/A | 7931021 | 2025-11-04 01:55:32.113084 | 2025-09-17 22:04:09.763232 |
| 2025-11-03 08:09:56.508934 | 2025-11-03 08:09:59.425934 | 14277498 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1934-12-03 | 2025-11-03 | M | AE | PT | Dayzadeh | 9A94PK6GA08 | Nasser | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6583825/check_14277498_ab5fab97-83a8-447f-af7c-06609bacd7dd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583825/check_14277498_4c1b3219-c04c-40e8-8459-569b18e3b763.json | N/A | N/A | N/A | N/A | N/A | 9A94PK6GA08 | Medicare Part B | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1934-12-03 | S2468 | N/A | N/A | MB | false | DAYZADEH | N/A | NASSER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9188246912 | N/A | N/A | 6583825 | 2222 | N/A | 14462916 | N/A | 5202586 | 2025-11-03 08:09:59.425934 | 2025-06-25 17:55:27.155518 |
| 2025-11-03 08:09:55.930996 | 2025-11-04 01:39:41.522141 | 14277432 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14277432 | Athletic Physical Therapy Inc | 1968-07-21 | 2025-11-06 | F | AE | PT | MCALISTER | 4TU6H11QQ85 | BONNIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.165641836.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7024101/check_14277432_091cc2c3-d81b-442f-b95b-c3ca4f3f3fa5.json | N/A | N/A | N/A | N/A | N/A | 4TU6H11QQ85 | Medicare Part A | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1968-07-21 | N/A | N/A | N/A | MA | false | MCALISTER | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192050027 | N/A | N/A | 7024101 | 2222 | 4801 | 14500580 | N/A | 6038562 | 2025-11-04 01:39:41.522141 | 2025-07-30 21:46:09.369299 |
| 2025-11-03 08:09:51.081151 | 2025-11-04 01:51:53.752411 | 14276901 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14276901 | Athletic Physical Therapy Inc | 1944-09-29 | 2025-11-05 | F | AE | PT | GUASTELLA | 911M7843220 | ROSE ANN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170527206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458753/check_14276901_8ab7fe26-f250-42ae-8577-0f75764fb44a.json | N/A | N/A | N/A | N/A | N/A | 911M7843220 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1944-09-29 | N/A | N/A | N/A | N/A | false | GUASTELLA | N/A | ROSE ANN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191966161 | N/A | N/A | 7458753 | 2222 | 4801 | 14531613 | N/A | 6407685 | 2025-11-04 01:51:53.752411 | 2025-08-12 18:01:47.141909 |
| 2025-11-03 08:09:50.792684 | 2025-11-04 01:57:01.495298 | 14276868 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 14276868 | Athletic Physical Therapy Inc | 1947-04-18 | 2025-11-05 | F | PT | N/A | BELL | 96881701C | JACQUELYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170527206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456429/check_14276868_bc0958d2-3a93-4391-a8f2-fa40271aab8c.json | N/A | N/A | N/A | N/A | N/A | 96881701C | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1947-04-18 | N/A | N/A | N/A | N/A | false | BELL | N/A | JACQUELYN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191966155 | N/A | N/A | 7456429 | 2222 | 4802 | 14544279 | N/A | 4208856 | 2025-11-04 01:57:01.495298 | 2025-05-13 04:29:37.223284 |
| 2025-11-03 08:09:48.288064 | 2025-11-04 05:35:35.764379 | 14276569 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14276569 | Athletic Physical Therapy Inc | 1959-01-17 | 2025-11-04 | M | AE | PT | WAHL | XEM912647011 | LELAND | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170413998.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11364482/check_14276569_10a33eb2-a1eb-4076-9e84-20c9ec07bcef.json | N/A | N/A | N/A | N/A | N/A | XEM912647011 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1959-01-17 | 2002SE000030 | X0001002 | N/A | OT | false | WAHL | N/A | LELAND | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191998273 | N/A | N/A | 11364482 | 2222 | 4793 | 14583594 | N/A | 9633229 | 2025-11-04 05:35:35.764379 | 2026-02-05 17:07:37.378883 |
| 2025-11-03 08:09:46.770643 | 2025-11-04 01:48:48.581384 | 14276388 | N/A | N/A | 60054 | Aetna | 1114042165 | 14276388 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-11-05 | F | AE | PT | SHAKIB | 101129457200 | PARI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170527206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444723/check_14276388_d79ddf5f-ebc0-4ad3-8731-7d7a5ea19f71.json | N/A | N/A | N/A | N/A | N/A | 101129457200 | Qualified Medicare Beneficiary | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1952-05-04 | 000003-CA000058 | 000003-CA | N/A | QM | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191966061 | N/A | N/A | 7444723 | 2222 | 4802 | 14521994 | N/A | 6395498 | 2025-11-04 01:48:48.581384 | 2026-02-18 02:38:35.073779 |
| 2025-11-03 08:09:46.003046 | 2025-11-04 01:39:29.590900 | 14276296 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 14276296 | Athletic Physical Therapy Inc | 1956-12-19 | 2025-11-06 | F | AE | PT | YEN | 96046413F95176 | JENNY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170514893.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10033624/check_14276296_c5d9c58c-7d3c-4f75-a8be-1bac54c2ed9d.json | N/A | N/A | N/A | N/A | N/A | 96046413F95176 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1956-12-19 | N/A | N/A | N/A | N/A | false | YEN | N/A | JENNY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192021872 | N/A | N/A | 10033624 | 2222 | 4793 | 14500153 | N/A | 8398587 | 2025-11-04 01:39:29.590900 | 2025-10-07 14:21:54.880940 |
| 2025-11-03 08:09:44.244219 | 2025-11-04 05:34:14.718831 | 14276085 | N/A | N/A | 74095 | United States Automobile Association (USAA) | 1114042165 | 14276085 | Athletic Physical Therapy Inc | 1959-11-24 | 2025-11-04 | F | AE | PT | MCCLURE | M211961788 | WENDY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170413998.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11357748/check_14276085_3640d5bd-e24c-4a4b-a00f-c11c093f4eda.json | N/A | N/A | N/A | N/A | N/A | M211961788 | N/A | N/A | USAA-MEDICARE SUPPLEMENTAL | N/A | 1959-11-24 | 05052GZ61 | N/A | N/A | N/A | false | MCCLURE | N/A | WENDY | N/A | N/A | N/A | MED SUPP PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191997198 | N/A | N/A | 11357748 | 2222 | 4801 | 14583059 | N/A | 8480311 | 2025-11-04 05:34:14.718831 | 2025-10-20 16:43:28.516419 |
| 2025-11-03 08:09:43.720010 | 2025-11-04 01:37:10.438749 | 14276018 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14276018 | Athletic Physical Therapy Inc | 1956-07-25 | 2025-11-04 | M | AE | PT | WHITAKER | JQE189M00130 | RICHARD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170514893.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10030668/check_14276018_725d86b2-4965-4a97-add5-837461110c12.json | N/A | N/A | N/A | N/A | N/A | JQE189M00130 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1956-07-25 | 040 | CASUPWP0 | N/A | N/A | false | WHITAKER | N/A | RICHARD | N/A | 9999-12-31 | 2025-01-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192018988 | N/A | N/A | 10030668 | 2222 | 4801 | 14495417 | N/A | 8396855 | 2025-11-04 01:37:10.438749 | 2026-04-30 15:25:27.283280 |
| 2025-11-03 08:09:38.413375 | 2025-11-04 01:39:41.173974 | 14275426 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14275426 | Athletic Physical Therapy Inc | 1960-05-24 | 2025-11-05 | F | AE | PT | JIMENEZ LOPEZ | 6J82MP1YH03 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.165641836.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7000055/check_14275426_804726e1-e1b5-4f3a-ab57-f87d9c0c04dc.json | N/A | N/A | N/A | N/A | N/A | 6J82MP1YH03 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-05-24 | S5617 | N/A | N/A | MA | false | JIMENEZ LOPEZ | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192048052 | N/A | N/A | 7000055 | 2222 | 4801 | 14500568 | N/A | 6019507 | 2025-11-04 01:39:41.173974 | 2025-07-14 20:23:06.646459 |
| 2025-11-03 08:09:32.600993 | 2025-11-04 05:35:12.321852 | 14274758 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14274758 | Athletic Physical Therapy Inc | 2008-01-01 | 2025-11-04 | M | PT | N/A | COSTELLO | SIF475A59310 | JAMES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170413998.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11322321/check_14274758_13527a04-f66b-4e9f-9842-6090c57d7cc5.json | N/A | N/A | N/A | N/A | N/A | SIF475A59310 | Preferred Provider Organization (PPO) | SISC - VENTURA COUNTY COMMUNITY COLLEGE DISTRICT | ANTHEM BLUE CROSS | N/A | 2008-01-01 | 040 | 40971C | N/A | PR | false | COSTELLO | N/A | MANDISSA | N/A | 9999-12-31 | 2025-09-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191997149 | N/A | N/A | 11322321 | 2222 | 4793 | 14583438 | N/A | 4211647 | 2025-11-04 05:35:12.321852 | 2025-10-21 19:53:46.280627 |
| 2025-11-03 08:09:32.016021 | 2025-11-04 05:35:34.839640 | 14274677 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14274677 | Athletic Physical Therapy Inc | 1959-04-01 | 2025-11-05 | M | PT | N/A | MOYER | W0051411 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170413998.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11282027/check_14274677_822df17f-cbb4-432a-ab16-c93548aad852.json | N/A | N/A | N/A | N/A | N/A | W0051411 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1959-04-01 | N/A | N/A | N/A | N/A | false | MOYER | N/A | STEVEN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191997134 | N/A | N/A | 11282027 | 2222 | 4801 | 14583588 | N/A | 9581032 | 2025-11-04 05:35:34.839640 | 2025-10-21 22:24:54.464325 |
| 2025-11-03 08:09:28.636138 | 2025-11-04 01:55:18.969735 | 14274226 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14274226 | Athletic Physical Therapy Inc | 1988-06-03 | 2025-11-06 | F | AE | PT | TORST | R11937526FM1 | SHARLEAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.190823034.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9454942/check_14274226_86f524d0-74a9-485f-889a-24a2589c910d.json | N/A | N/A | N/A | N/A | N/A | R11937526FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1988-06-03 | N/A | N/A | N/A | N/A | false | TORST | N/A | SHARLEAN | N/A | N/A | N/A | KVD SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192001483 | N/A | N/A | 9454942 | 2222 | 4801 | 14540023 | N/A | 7906863 | 2025-11-04 01:55:18.969735 | 2025-09-29 16:17:16.352774 |
| 2025-11-03 08:09:27.966124 | 2025-11-04 01:32:25.521054 | 14274123 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 14274123 | Athletic Physical Therapy Inc | 1941-12-12 | 2025-11-06 | M | AE | PT | ABARTA | 03851837911 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170514893.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9929497/check_14274123_94edb53e-a774-42a8-8080-178dc2b134fc.json | N/A | N/A | N/A | N/A | N/A | 03851837911 | 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. | 1941-12-12 | N/A | N/A | N/A | SP | false | ABARTA | N/A | STEVE | 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 | 9192021023 | N/A | N/A | 9929497 | 2222 | 4801 | 14490114 | N/A | 8313339 | 2025-11-04 01:32:25.521054 | 2025-10-02 18:29:23.013167 |
| 2025-11-03 08:09:27.279232 | 2025-11-04 01:37:08.804579 | 14274021 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14274021 | Athletic Physical Therapy Inc | 1959-07-16 | 2025-11-06 | F | AE | PT | JESTER | MBL344W20467 | AUREA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170514893.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9926970/check_14274021_bdd7327d-fb3f-466e-9ac7-f72264231682.json | N/A | N/A | N/A | N/A | N/A | MBL344W20467 | N/A | CALIFORNIA PUBLIC EMPLOYEES RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1959-07-16 | 040 | CAEGR001 | N/A | N/A | false | JESTER | N/A | AUREA | N/A | 9999-12-31 | 2024-07-01 | CA GRS CALPERS H4036-802 ANTHEM MEDICARE PREFERRED | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192020967 | N/A | N/A | 9926970 | 2222 | 4801 | 14495372 | N/A | 7624564 | 2025-11-04 01:37:08.804579 | 2025-10-06 23:19:36.703282 |
| 2025-11-03 08:09:25.485631 | 2025-11-04 03:39:56.876776 | 14273775 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 14273775 | Athletic Physical Therapy Inc | 1972-07-02 | 2025-11-06 | F | AE | PT | Batra | 000022291228 | Anuradha | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.190823130.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11466567/check_14273775_ab8d2174-92f6-4098-8fd3-427c2925dc47.json | N/A | N/A | N/A | N/A | N/A | 000022291228 | N/A | N/A | SELF-FUNDED/KPIC | ASO - SELF FUNDED | 1972-07-02 | 4161897 | 230283 | N/A | N/A | false | BATRA | N/A | ANURADHA | N/A | N/A | N/A | KAISER PERMANENTE SELF-FUNDED NBU NBU PO MID ACTIV | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192010737 | N/A | N/A | 11466567 | 2222 | 4802 | 14570225 | N/A | 9715446 | 2025-11-04 03:39:56.876776 | 2025-10-24 23:56:29.543956 |
| 2025-11-03 08:09:24.535036 | 2025-11-04 01:41:54.977682 | 14273642 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14273642 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-11-04 | M | AE | PT | JACOBS | JQE406W03039 | PATRICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170538716.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993913/check_14273642_fa47724b-ea8d-497e-be48-0143aa46c9fc.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 | 9191973940 | N/A | N/A | 5993913 | 2222 | 4793 | 14505044 | N/A | 4642852 | 2025-11-04 01:41:54.977682 | 2025-11-21 18:38:17.056437 |
| 2025-11-03 08:09:24.252333 | 2025-11-04 01:32:55.258470 | 14273604 | N/A | N/A | 60054 | Aetna | 1114042165 | 14273604 | Athletic Physical Therapy Inc | 1952-01-15 | 2025-11-04 | F | AE | PT | KIRK | 101297147800 | JAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170327895.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8167057/check_14273604_2b2c5477-f2a4-4f23-914f-dc700a2f5a12.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 | 9192033921 | N/A | N/A | 8167057 | 2222 | 4801 | 14490604 | N/A | 6933707 | 2025-11-04 01:32:55.258470 | 2026-05-21 16:32:55.382229 |
| 2025-11-03 08:09:24.074158 | 2025-11-04 01:52:08.364197 | 14273577 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14273577 | Athletic Physical Therapy Inc | 1958-08-10 | 2025-11-05 | M | AE | PT | FURTAK | 00000370322 | WAYNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.191028107.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9766428/check_14273577_fd0d8d38-54ac-489e-977c-cb91dc3dad81.json | N/A | N/A | N/A | N/A | N/A | 00000370322 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1958-08-10 | H3815028 | N/A | N/A | HM | false | FURTAK | N/A | WAYNE | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192051311 | N/A | N/A | 9766428 | 2222 | 4801 | 14532362 | 2630 | 8177700 | 2025-11-04 01:52:08.364197 | 2025-09-26 21:44:23.687707 |
| 2025-11-03 08:09:22.676270 | 2025-11-04 03:40:30.984058 | 14273365 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14273365 | Athletic Physical Therapy Inc | 2016-05-10 | 2025-11-06 | M | PT | N/A | ARRIOLA | 00051777650 | ELLIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.190823130.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11464639/check_14273365_7e3c0280-695b-4984-afbc-901ac01587a3.json | N/A | N/A | N/A | N/A | N/A | 00051777650 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2016-05-10 | N/A | N/A | N/A | N/A | false | ARRIOLA | N/A | ELLIS | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192010219 | N/A | N/A | 11464639 | 2222 | 4801 | 14570697 | 4185 | 9714270 | 2025-11-04 03:40:30.984058 | 2025-11-06 01:09:13.623652 |
| 2025-11-03 08:09:22.470917 | 2025-11-04 05:32:50.839622 | 14273334 | N/A | N/A | 60054 | Aetna | 1114042165 | 14273334 | Athletic Physical Therapy Inc | 1957-01-13 | 2025-11-05 | F | AE | PT | NAY | MBL700W17597 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170413998.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11175434/check_14273334_276d3142-1989-486e-ac63-7984a08c2dfc.json | N/A | N/A | N/A | N/A | N/A | MBL700W17597 | N/A | N/A | AETNA INC | N/A | 1957-01-13 | N/A | N/A | N/A | N/A | false | NAY | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191998222 | N/A | N/A | 11175434 | 2222 | 4793 | 14582491 | N/A | 9520463 | 2025-11-04 05:32:50.839622 | 2025-10-21 17:49:23.309023 |
| 2025-11-03 08:09:22.288761 | 2025-11-04 01:59:43.988291 | 14273305 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14273305 | Athletic Physical Therapy Inc | 1960-01-10 | 2025-11-05 | F | AE | PT | MAWAS | 1HM1QX0QJ05 | ASMAHAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.191028107.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9765210/check_14273305_c0b63bc7-f1c0-4052-ab33-7fac7d3854ab.json | N/A | N/A | N/A | N/A | N/A | 1HM1QX0QJ05 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-01-10 | S5617 | N/A | N/A | MB | false | MAWAS | N/A | ASMAHAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192051287 | N/A | N/A | 9765210 | 2222 | 4801 | 14549600 | N/A | 8176388 | 2025-11-04 01:59:43.988291 | 2025-10-07 15:06:58.335351 |
| 2025-11-03 08:09:21.231415 | 2025-11-04 05:35:12.661364 | 14273150 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14273150 | Athletic Physical Therapy Inc | 1941-08-23 | 2025-11-04 | M | AE | PT | E Bogen | WXY0981A22808 | Andrew | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170413998.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11174641/check_14273150_ae68c565-cc07-49e3-93d5-21829d578823.json | N/A | N/A | N/A | N/A | N/A | WXY0981A22808 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1941-08-23 | N/A | N/A | N/A | N/A | false | E BOGEN | N/A | ANDREW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191998210 | N/A | N/A | 11174641 | 2222 | 4802 | 14583440 | N/A | 9519718 | 2025-11-04 05:35:12.661364 | 2026-02-02 19:30:57.219688 |
| 2025-11-03 08:09:18.819155 | 2025-11-04 01:55:34.016046 | 14272764 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 14272764 | Athletic Physical Therapy Inc | 1981-07-20 | 2025-11-06 | M | AE | PT | SWENSON | 96831755C | AARON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.190823034.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9449115/check_14272764_7b815e6b-ee2b-4c73-9f76-d73acf8be4ba.json | N/A | N/A | N/A | N/A | N/A | 96831755C | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1981-07-20 | N/A | N/A | N/A | N/A | false | SWENSON | N/A | AARON | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192001401 | N/A | N/A | 9449115 | 2222 | 4793 | 14540585 | N/A | 7905010 | 2025-11-04 01:55:34.016046 | 2025-09-18 16:08:21.950407 |
| 2025-11-03 08:09:18.712463 | 2025-11-04 01:52:46.088861 | 14272745 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14272745 | Athletic Physical Therapy Inc | 1968-07-21 | 2025-11-06 | F | AE | PT | MCALISTER | SFZ846186424 | BONNIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170527206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7024102/check_14272745_f703517e-f672-49d7-a009-c1a7ce0ff27c.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 | 9191967109 | N/A | N/A | 7024102 | 2222 | 4801 | 14534201 | N/A | 6038562 | 2025-11-04 01:52:46.088861 | 2025-07-30 21:46:09.369299 |
| 2025-11-03 08:09:17.796354 | 2025-11-04 01:48:48.600152 | 14272598 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 14272598 | Athletic Physical Therapy Inc | 1942-07-28 | 2025-11-04 | M | AE | PT | SIMMONS | 40055722801 | J | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170321791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6685251/check_14272598_92574d91-32cc-40ec-856a-4c34f167df5a.json | N/A | N/A | N/A | N/A | N/A | 40055722801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1942-07-28 | 2025H5425001 | H5425M | N/A | N/A | false | SIMMONS | N/A | J | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192019993 | N/A | N/A | 6685251 | 2222 | 4793 | 14521971 | N/A | 4209868 | 2025-11-04 01:48:48.600152 | 2025-08-15 22:13:56.514261 |
| 2025-11-03 08:09:17.040057 | 2025-11-04 01:37:10.068282 | 14272468 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14272468 | Athletic Physical Therapy Inc | 1967-01-16 | 2025-11-04 | F | AE | PT | Wesel | QUC628W15332 | Ellen | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170514893.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9854973/check_14272468_24ee7cde-a882-4812-9709-f08312be135d.json | N/A | N/A | N/A | N/A | N/A | QUC628W15332 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | CIGNA | N/A | 1967-01-16 | 040 | 280509A420 | N/A | PR | false | WESEL | N/A | RICHARD | N/A | 9999-12-31 | 2023-01-01 | UC CORE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192018852 | N/A | N/A | 9854973 | 2222 | 4802 | 14495406 | N/A | 8205288 | 2025-11-04 01:37:10.068282 | 2025-09-30 16:15:04.552446 |
| 2025-11-03 08:09:14.748201 | 2025-11-04 01:51:55.101124 | 14272108 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14272108 | Athletic Physical Therapy Inc | 1998-10-29 | 2025-11-04 | M | PT | N/A | MARSHALL | AGSAH0066119 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170527206.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7003223/check_14272108_7f80d28f-5de7-4ac6-accc-3dd75e992df1.json | N/A | N/A | N/A | N/A | N/A | AGSAH0066119 | N/A | PEPPERDINE UNIVERSITY | ANTHEM BLUE CROSS | N/A | 1998-10-29 | 040 | 276500MG04 | N/A | N/A | false | MARSHALL | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191966039 | N/A | N/A | 7003223 | 2222 | 4793 | 14531659 | N/A | 6021448 | 2025-11-04 01:51:55.101124 | 2025-07-14 23:05:51.728886 |