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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-03 08:07:17.683710 | 2025-11-04 01:33:58.775229 | 14255476 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14255476 | Athletic Physical Therapy Inc | 1949-12-31 | 2025-11-05 | M | AE | PT | TSING | 00000282272 | KONGHSUNG | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170326979.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8978036/check_14255476_8a13e4f5-356e-4238-b99a-5bc123e76967.json | N/A | N/A | N/A | N/A | N/A | 00000282272 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-12-31 | H3815028 | N/A | N/A | HM | false | TSING | N/A | KONGHSUNG | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192036967 | N/A | N/A | 8978036 | 2222 | 4793 | 14491634 | 2630 | 7492332 | 2025-11-04 01:33:58.775229 | 2025-10-01 21:03:48.525986 |
| 2025-11-03 08:07:11.448305 | 2025-11-04 01:54:22.466345 | 14254784 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14254784 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-11-04 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170523972.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_14254784_cef9f21c-f24d-4898-832d-d8a425ae9e63.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 | 9192001949 | N/A | N/A | 5568076 | 2222 | 4802 | 14537806 | N/A | 4209480 | 2025-11-04 01:54:22.466345 | 2026-04-10 02:05:15.976484 |
| 2025-11-03 08:07:10.743088 | 2025-11-04 01:49:39.584991 | 14254708 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14254708 | Athletic Physical Therapy Inc | 1963-09-07 | 2025-11-06 | M | PT | N/A | BAHR | FZX638A69335 | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170523158.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10371931/check_14254708_8d85d3b8-7c67-4ef8-9730-1e43b1be16c0.json | N/A | N/A | N/A | N/A | N/A | FZX638A69335 | Preferred Provider Organization (PPO) | CDHP HSA NON-INTEGRATED BNK | ANTHEM BLUE CROSS | N/A | 1963-09-07 | 423 | 201028M2CA | N/A | PR | false | BAHR | N/A | KEVIN | N/A | 9999-12-31 | 2022-01-01 | CDHP VIRGINIA HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191987224 | N/A | N/A | 10371931 | 2222 | 4793 | 14524762 | N/A | 8634062 | 2025-11-04 01:49:39.584991 | 2025-10-16 21:25:25.746427 |
| 2025-11-03 08:07:09.264664 | 2025-11-04 01:50:24.304059 | 14254552 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14254552 | Athletic Physical Therapy Inc | 1971-06-10 | 2025-11-05 | F | PT | N/A | MOON | JXN970A77206 | ESTHER | 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/2222/10016777/check_14254552_515c0170-4798-487a-8859-12993dbdc248.json | N/A | N/A | N/A | N/A | N/A | JXN970A77206 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1971-06-10 | 040 | 174222M3A1 | N/A | PR | false | PARK | N/A | JOHN | N/A | 9999-12-31 | 2020-06-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192016746 | N/A | N/A | 10016777 | 2222 | 4801 | 14527265 | N/A | 8385299 | 2025-11-04 01:50:24.304059 | 2025-11-05 17:13:51.765755 |
| 2025-11-03 08:07:06.444153 | 2025-11-04 01:50:29.417974 | 14254216 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 14254216 | Athletic Physical Therapy Inc | 2003-04-23 | 2025-11-06 | M | PT | N/A | Fiske | 913326297000 | Aidan | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170523158.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10368706/check_14254216_bda1b422-6228-4d34-a6d8-ee51929d4964.json | N/A | N/A | N/A | N/A | N/A | XEH913326297 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 2003-04-23 | 1000VX000001 | W0069783 | N/A | HM | false | FISKE | N/A | AIDAN | N/A | 9999-12-31 | 2024-07-01 | TRADER JOE S COMPANY CUSTOM ACCESS HMO 25 500 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191987174 | N/A | N/A | 10368706 | 2222 | 4802 | 14527530 | N/A | 8631458 | 2025-11-04 01:50:29.417974 | 2025-10-13 21:35:52.906882 |
| 2025-11-03 08:07:06.012523 | 2025-11-04 01:58:37.623820 | 14254164 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14254164 | Athletic Physical Therapy Inc | 1952-10-25 | 2025-11-05 | F | AE | PT | JOHNSTON | 7KA0H51YU14 | DEBORAH | 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/2222/6638066/check_14254164_3e8bb16d-44e1-4720-8730-fd2db8ffabb4.json | N/A | N/A | N/A | N/A | N/A | 7KA0H51YU14 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-10-25 | S5617 | N/A | N/A | MA | false | JOHNSTON | N/A | DEBORAH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192022282 | N/A | N/A | 6638066 | 2222 | 4793 | 14547655 | N/A | 5247837 | 2025-11-04 01:58:37.623820 | 2026-02-24 20:36:49.807283 |
| 2025-11-03 08:07:05.611826 | 2025-11-04 01:53:34.452052 | 14254120 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14254120 | Athletic Physical Therapy Inc | 1980-07-01 | 2025-11-05 | M | PT | N/A | Moreno jr | VDHE01043007 | Hector | 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/2222/9691081/check_14254120_81acabfb-90ca-45ba-b59f-a0354bffa192.json | N/A | N/A | N/A | N/A | N/A | VDHE01043007 | Preferred Provider Organization (PPO) | DIGNITY HEALTH VENTURA | ANTHEM BLUE CROSS | N/A | 1980-07-01 | 040 | 174236M3A1 | N/A | PR | false | MORENO JR | N/A | HECTOR | N/A | 9999-12-31 | 2022-07-01 | PB INCENTIVE NO SUTTER | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192052823 | N/A | N/A | 9691081 | 2222 | 4801 | 14535889 | N/A | 8110015 | 2025-11-04 01:53:34.452052 | 2025-10-05 15:24:30.421551 |
| 2025-11-03 08:07:05.401826 | 2025-11-04 01:31:52.933972 | 14254101 | N/A | N/A | 60054 | Aetna | 1114042165 | 14254101 | Athletic Physical Therapy Inc | 1967-12-19 | 2025-11-06 | F | AE | PT | BURRY | 101323278900 | CAROLYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170326979.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8971092/check_14254101_923f9a0b-3856-4fa4-89b4-7b635a30089d.json | N/A | N/A | N/A | N/A | N/A | 101323278900 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1967-12-19 | 000003-CA000058 | 000003-CA | N/A | PR | false | BURRY | N/A | CAROLYN | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192036940 | N/A | N/A | 8971092 | 2222 | 4801 | 14489576 | N/A | 7486536 | 2025-11-04 01:31:52.933972 | 2025-09-15 03:16:44.869236 |
| 2025-11-03 08:07:03.970276 | 2025-11-04 03:49:28.011623 | 14253960 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14253960 | Athletic Physical Therapy Inc | 1957-01-13 | 2025-11-05 | F | AE | PT | NAY | 5UC7QW0QK47 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.190823130.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11175433/check_14253960_247f59d5-60f6-476c-8921-412af55ccbfa.json | N/A | N/A | N/A | N/A | N/A | 5UC7QW0QK47 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-01-13 | H4036 | N/A | N/A | MB | 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 | 9192010026 | N/A | N/A | 11175433 | 2222 | 4793 | 14578159 | N/A | 9520463 | 2025-11-04 03:49:28.011623 | 2025-10-21 17:49:23.309023 |
| 2025-11-03 08:06:58.422867 | 2025-11-04 01:55:52.193834 | 14253426 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 14253426 | Athletic Physical Therapy Inc | 1982-08-25 | 2025-11-06 | F | PT | N/A | SANCHEZ | XDM281A73325 | FRANCISCA | 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/2222/9321862/check_14253426_df23099d-ecde-4c74-accb-7cc775dd1753.json | N/A | N/A | N/A | N/A | N/A | XDM281A73325 | Health Maintenance Organization (HMO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 1982-08-25 | 040 | 57ARJS | N/A | HM | false | SANCHEZ | N/A | FRANCISCA | N/A | 9999-12-31 | 2025-10-01 | CLASSIC SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192003277 | N/A | N/A | 9321862 | 2222 | 4801 | 14541347 | 4184 | 7821295 | 2025-11-04 01:55:52.193834 | 2025-10-01 23:30:48.597825 |
| 2025-11-03 08:06:58.022844 | 2025-11-04 01:54:24.566332 | 14253392 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14253392 | Athletic Physical Therapy Inc | 1990-12-22 | 2025-11-06 | M | AE | PT | PRABHALA | R13572760MM1 | SAI RAM | 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/2222/9321575/check_14253392_a70d9b28-0f3c-476f-a6fa-61b20fb8ddaf.json | N/A | N/A | N/A | N/A | N/A | R13572760MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1990-12-22 | N/A | N/A | N/A | N/A | false | PRABHALA | N/A | SAI RAM PAVAN PRASAD | N/A | N/A | N/A | KAI SBP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192003127 | N/A | N/A | 9321575 | 2222 | 4801 | 14537891 | N/A | 7820903 | 2025-11-04 01:54:24.566332 | 2025-09-22 20:31:02.620835 |
| 2025-11-03 08:06:54.574871 | 2025-11-04 01:47:04.154035 | 14253041 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 14253041 | Athletic Physical Therapy Inc | 1956-09-25 | 2025-11-06 | M | AE | PT | MARVIN | 40059610101 | TERRY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.190823076.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11529617/check_14253041_407be8f8-6a6d-40eb-9779-ce78712f4a2a.json | N/A | N/A | N/A | N/A | N/A | 40059610101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-09-25 | 2025H5425001 | H5425M | N/A | N/A | false | MARVIN | N/A | TERRY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192006915 | N/A | N/A | 11529617 | 2222 | 4801 | 14516867 | N/A | 9770503 | 2025-11-04 01:47:04.154035 | 2025-11-05 23:33:36.141284 |
| 2025-11-03 08:06:53.851574 | 2025-11-04 01:35:04.913615 | 14252976 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14252976 | Athletic Physical Therapy Inc | 1972-01-12 | 2025-11-05 | M | PT | N/A | MAGEN | B6YE01199897 | OFIR | 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/2222/6917703/check_14252976_da8a7275-7b79-4d40-9bbb-2ea0087cf274.json | N/A | N/A | N/A | N/A | N/A | B6YE01199897 | Preferred Provider Organization (PPO) | CHARTERLIFE-2015 HIGH EPO | ANTHEM BLUE CROSS | N/A | 1972-01-12 | 040 | L06598M023 | N/A | PR | false | MAGEN | N/A | LIMOR | 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 | 9192051461 | N/A | N/A | 6917703 | 2222 | 4793 | 14492731 | N/A | 5949095 | 2025-11-04 01:35:04.913615 | 2025-07-28 22:15:30.266976 |
| 2025-11-03 08:06:45.184140 | 2025-11-04 01:49:39.894653 | 14252215 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14252215 | Athletic Physical Therapy Inc | 1977-11-16 | 2025-11-05 | M | PT | N/A | COPELAND | SIF1818M55219 | CHRISTOPHER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170523158.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10355543/check_14252215_acbe2dd7-5270-42e9-83e9-e5891e0ccfd7.json | N/A | N/A | N/A | N/A | N/A | SIF1818M55219 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1977-11-16 | N/A | N/A | N/A | N/A | false | COPELAND | N/A | CHRISTOPHER | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191988193 | N/A | N/A | 10355543 | 2222 | 4801 | 14524779 | N/A | 8619978 | 2025-11-04 01:49:39.894653 | 2025-10-13 20:53:09.422541 |
| 2025-11-03 08:06:41.065843 | 2025-11-04 01:49:40.249515 | 14251826 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14251826 | Athletic Physical Therapy Inc | 2002-04-28 | 2025-11-05 | M | PT | N/A | FLORES | XDM534W24356 | BRIAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170523158.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10346949/check_14251826_6dcde44a-6fc1-4124-9b0a-dffef3f64c20.json | N/A | N/A | N/A | N/A | N/A | XDM534W24356 | Health Maintenance Organization (HMO) | TEAMSTERS MISC SECURITY TRUST | ANTHEM BLUE CROSS | N/A | 2002-04-28 | 040 | 278680H023 | N/A | HM | false | FLORES | N/A | BRIAN | N/A | 9999-12-31 | 2025-07-01 | CLASSIC TRADITIONAL HMO NETWORK NON DURATIONAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191988127 | N/A | N/A | 10346949 | 2222 | 4801 | 14524802 | 4185 | 8613420 | 2025-11-04 01:49:40.249515 | 2025-10-21 22:32:48.997763 |
| 2025-11-03 08:06:40.170954 | 2025-11-04 05:33:59.962926 | 14251751 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 14251751 | Athletic Physical Therapy Inc | 1960-02-19 | 2025-11-05 | F | AE | PT | ENGLISH BLAZEJ | 40067960801 | DOREEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170520592.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8048674/check_14251751_3480bb9a-7dd0-48c6-882a-f66c949fe350.json | N/A | N/A | N/A | N/A | N/A | 40067960801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1960-02-19 | 2025H5425001 | H5425M | N/A | N/A | false | ENGLISH BLAZEJ | N/A | DOREEN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191991038 | N/A | N/A | 8048674 | 2222 | 4801 | 14582962 | N/A | 6844466 | 2025-11-04 05:33:59.962926 | 2025-08-13 17:29:27.130257 |
| 2025-11-03 08:06:39.795450 | 2025-11-04 01:44:10.706241 | 14251710 | N/A | N/A | 60054 | Aetna | 1114042165 | 14251710 | Athletic Physical Therapy Inc | 1969-06-19 | 2025-11-05 | F | AE | PT | SIMSON FRANK | JQU217M93319 | GABRIELLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.190823076.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11508035/check_14251710_2e270a76-cffe-4ea7-a75b-833118bb51e3.json | N/A | N/A | N/A | N/A | N/A | JQU217M93319 | N/A | N/A | AETNA INC | N/A | 1969-06-19 | N/A | N/A | N/A | N/A | false | SIMSON FRANK | N/A | GABRIELLE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192004474 | N/A | N/A | 11508035 | 2222 | 4793 | 14509525 | N/A | 9748796 | 2025-11-04 01:44:10.706241 | 2025-10-30 15:58:51.268962 |
| 2025-11-03 08:06:36.804451 | 2025-11-04 01:48:45.094654 | 14251459 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 14251459 | Athletic Physical Therapy Inc | 1949-06-12 | 2025-11-05 | F | AE | PT | VERGARA DE LUJANO | 40070773901 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170523158.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10345543/check_14251459_ed5d99fb-871e-4077-815c-e90c1a74852e.json | N/A | N/A | N/A | N/A | N/A | 40070773901 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1949-06-12 | 2025H5425001 | H5425M | N/A | N/A | false | VERGARA DE LUJANO | N/A | MARIA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191987591 | N/A | N/A | 10345543 | 2222 | 4801 | 14521788 | N/A | 8612031 | 2025-11-04 01:48:45.094654 | 2025-10-23 21:59:25.544483 |
| 2025-11-03 08:06:36.134362 | 2025-11-04 01:53:24.714550 | 14251394 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14251394 | Athletic Physical Therapy Inc | 1956-01-10 | 2025-11-06 | M | AE | PT | VYAS | 4VW8EU6AD28 | VIJAY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.190823076.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11505781/check_14251394_6162e424-b930-426e-af3b-4b57049d38f6.json | N/A | N/A | N/A | N/A | N/A | 4VW8EU6AD28 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-10 | S5617 | N/A | N/A | MA | false | VYAS | N/A | VIJAY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192006332 | N/A | N/A | 11505781 | 2222 | 4793 | 14535604 | N/A | 9746527 | 2025-11-04 01:53:24.714550 | 2025-10-27 17:25:38.455561 |
| 2025-11-03 08:06:32.905967 | 2025-11-04 01:49:59.237280 | 14251084 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14251084 | Athletic Physical Therapy Inc | 1967-03-31 | 2025-11-04 | F | PT | N/A | BARRERA | XEH903389121 | LOLA | 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/2222/6611912/check_14251084_36eca28a-efc7-44ea-bcaa-037132fd1116.json | N/A | N/A | N/A | N/A | N/A | XEH903389121 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1967-03-31 | N/A | N/A | N/A | N/A | false | BARRERA | N/A | LOLA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192019495 | N/A | N/A | 6611912 | 2222 | 4793 | 14525835 | N/A | 5230345 | 2025-11-04 01:49:59.237280 | 2025-07-11 20:32:03.183345 |
| 2025-11-03 08:06:31.464600 | 2025-11-04 01:54:26.423133 | 14250949 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14250949 | Athletic Physical Therapy Inc | 1963-11-05 | 2025-11-05 | M | PT | N/A | GAVCUS | 913959142000 | VINCENT | 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/2222/9684155/check_14250949_a82a293c-9607-4216-b9f5-335985c87c99.json | N/A | N/A | N/A | N/A | N/A | XEH913959142 | Health Maintenance Organization (HMO) | KB CONSTRUCTION COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1963-11-05 | 1000VX000101 | W0022613 | N/A | HM | false | GAVCUS | N/A | VINCENT | N/A | 9999-12-31 | 2024-12-01 | BASIC LIFE AND AD D INSURANCE 10 000 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192050619 | N/A | N/A | 9684155 | 2222 | 4801 | 14537972 | N/A | 8103467 | 2025-11-04 01:54:26.423133 | 2025-09-25 15:37:09.669427 |
| 2025-11-03 08:06:30.756376 | 2025-11-04 03:49:26.017789 | 14250869 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14250869 | Athletic Physical Therapy Inc | 1942-02-01 | 2025-11-05 | F | AE | PT | CHANG | 3FV9E71EE00 | QUANG | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.190823130.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11159406/check_14250869_ac5a9962-d12a-4ebc-afc8-d78e4045f373.json | N/A | N/A | N/A | N/A | N/A | 3FV9E71EE00 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-02-01 | S4802 | N/A | N/A | MB | false | CHANG | N/A | QUANG CHAN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192010983 | N/A | N/A | 11159406 | 2222 | 4793 | 14578133 | N/A | 9505845 | 2025-11-04 03:49:26.017789 | 2026-04-29 00:06:17.964395 |
| 2025-11-03 08:06:29.849213 | 2025-11-04 01:50:15.188136 | 14250774 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14250774 | Athletic Physical Therapy Inc | 1988-09-12 | 2025-11-05 | M | PT | N/A | Guzzo | JQU895W23533 | Aaron | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.171919019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7513987/check_14250774_4b74c2da-8eef-4ea7-b2f5-3e46ec7c6991.json | N/A | N/A | N/A | N/A | N/A | JQU895W23533 | Preferred Provider Organization (PPO) | 3 ARTS ENTERTAINMENT LLC | BLUE SHIELD OF CALIFORNIA | N/A | 1988-09-12 | 040 | H59723 | N/A | PR | false | RATHER-GUZZO | N/A | SANDY | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191971625 | N/A | N/A | 7513987 | 2222 | 4802 | 14526776 | N/A | 6451061 | 2025-11-04 01:50:15.188136 | 2025-07-28 22:43:26.605856 |
| 2025-11-03 08:06:29.581847 | 2025-11-04 05:35:44.226753 | 14250742 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14250742 | Athletic Physical Therapy Inc | 1955-05-21 | 2025-11-04 | F | PT | N/A | MARTINEZ | HFD100011199462 | RACHEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170520592.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8026951/check_14250742_774491cd-c28c-475c-834e-edbe751af8da.json | N/A | N/A | N/A | N/A | N/A | HFD100011199462 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS. | 1955-05-21 | N/A | N/A | N/A | PR | false | MARTINEZ | N/A | RACHEL | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191989727 | N/A | N/A | 8026951 | 2222 | 4801 | 14583649 | N/A | 6828511 | 2025-11-04 05:35:44.226753 | 2025-08-14 00:23:35.929152 |
| 2025-11-03 08:06:22.412956 | 2025-11-04 01:59:45.212693 | 14249988 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14249988 | Athletic Physical Therapy Inc | 1950-07-29 | 2025-11-06 | F | AE | PT | Reinis | 9E11MX6RQ31 | Meredith | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.191028107.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681833/check_14249988_7a2f4f6c-8e96-4ddb-99fb-1ad3409846f2.json | N/A | N/A | N/A | N/A | N/A | 9E11MX6RQ31 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-07-29 | S4802 | N/A | N/A | MB | false | REINIS | N/A | MEREDITH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192050474 | N/A | N/A | 9681833 | 2222 | 4802 | 14549640 | N/A | 8101541 | 2025-11-04 01:59:45.212693 | 2025-09-29 18:50:04.958524 |
| 2025-11-03 08:06:20.375837 | 2025-11-04 01:59:45.733263 | 14249813 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14249813 | Athletic Physical Therapy Inc | 1959-02-04 | 2025-11-05 | F | AE | PT | SMITS | 9TF8JW2XU20 | HEIDI | 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/2222/9681583/check_14249813_5fdbd3cf-6e08-4148-b6ab-70d0de55948b.json | N/A | N/A | N/A | N/A | N/A | 9TF8JW2XU20 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-04 | S4802 | N/A | N/A | MA | false | SMITS | N/A | HEIDI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192050455 | N/A | N/A | 9681583 | 2222 | 4793 | 14549659 | N/A | 8101289 | 2025-11-04 01:59:45.733263 | 2025-09-24 17:05:46.431721 |
| 2025-11-03 08:06:19.516211 | 2025-11-04 03:42:01.430776 | 14249737 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14249737 | Athletic Physical Therapy Inc | 2011-08-24 | 2025-11-06 | M | PT | N/A | ASHER | XEA905199322 | ZACHARY | 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/2222/11156602/check_14249737_17960587-2264-429d-a6a4-a49dfd699977.json | N/A | N/A | N/A | N/A | N/A | XEA905199322 | Preferred Provider Organization (PPO) | DIGITAL LION MARKETING | BLUE SHIELD CALIFORNIA | N/A | 2011-08-24 | 1000VX000102 | W0005232 | N/A | PR | false | ASHER | N/A | RACHEL | N/A | 2030-08-31 | 2016-05-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192010802 | N/A | N/A | 11156602 | 2222 | 4793 | 14571694 | N/A | 9503413 | 2025-11-04 03:42:01.430776 | 2025-10-22 21:03:24.468784 |
| 2025-11-03 08:06:17.557259 | 2025-11-04 05:34:00.236351 | 14249560 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 14249560 | Athletic Physical Therapy Inc | 1950-08-25 | 2025-11-05 | F | AE | PT | POLLOCK | 40002008301 | MARY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170520592.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7992096/check_14249560_1cf922a2-2fe5-4951-a942-21b8df3a0256.json | N/A | N/A | N/A | N/A | N/A | 40002008301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-08-25 | 2025H5425001 | H5425M | N/A | N/A | false | POLLOCK | N/A | MARY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191989398 | N/A | N/A | 7992096 | 2222 | 4801 | 14582964 | N/A | 4212687 | 2025-11-04 05:34:00.236351 | 2025-08-27 18:05:06.350903 |
| 2025-11-03 08:06:17.461220 | 2025-11-04 03:49:27.169342 | 14249549 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14249549 | Athletic Physical Therapy Inc | 1942-12-02 | 2025-11-05 | M | AE | PT | Lawrence | 5N91QT7KX96 | Harvey | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.190823130.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11156181/check_14249549_7633ed90-cc94-45d7-b004-7fd8a35fccaf.json | N/A | N/A | N/A | N/A | N/A | 5N91QT7KX96 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-12-02 | S5884 | N/A | N/A | MA | false | LAWRENCE | N/A | HARVEY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192010789 | N/A | N/A | 11156181 | 2222 | 4802 | 14578144 | N/A | 9502693 | 2025-11-04 03:49:27.169342 | 2025-12-16 19:10:22.413376 |
| 2025-11-03 08:06:16.132942 | 2025-11-04 05:34:38.918016 | 14249422 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14249422 | Athletic Physical Therapy Inc | 1971-05-04 | 2025-11-05 | F | PT | N/A | MAHAARACHCHI | EXHAN7912598 | Nilanthi | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170520592.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7988722/check_14249422_2bdb430d-6984-475b-9ade-1a1b68452d4f.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | Preferred Provider Organization (PPO) | XEROX CORPORATION | ANTHEM BLUE CROSS | N/A | 1971-05-04 | 060 | 270101M11A | N/A | PR | false | MAHAARACHCHI | N/A | SENAKA | N/A | 9999-12-31 | 2025-01-01 | CDHP CT BC PPO HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191989389 | N/A | N/A | 7988722 | 2222 | 4793 | 14583218 | 4185 | 6798209 | 2025-11-04 05:34:38.918016 | 2025-10-29 15:15:17.952230 |
| 2025-11-03 08:06:14.041027 | 2025-11-04 03:32:22.985319 | 14249216 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 14249216 | Athletic Physical Therapy Inc | 1962-06-24 | 2025-11-05 | F | AE | PT | GOMEZ | 44116442 | CAROL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170347268.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6434660/check_14249216_9f6be3b4-7b74-4ef9-847e-62a9f58b4884.json | N/A | N/A | N/A | N/A | N/A | 44116442 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1962-06-24 | 406-024-000 | N/A | N/A | N/A | false | GOMEZ | N/A | CAROL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192095315 | N/A | N/A | 6434660 | 2222 | 4801 | 14562746 | 6798 | 5079832 | 2025-11-04 03:32:22.985319 | 2025-06-23 20:02:36.660262 |
| 2025-11-03 08:06:13.019479 | 2025-11-04 01:50:00.737512 | 14249131 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14249131 | Athletic Physical Therapy Inc | 1963-02-27 | 2025-11-04 | F | PT | N/A | MARYAN | JPU047A23611 | MICHELLE | 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/2222/6600346/check_14249131_0a4368ab-35b3-4a41-b54d-ea804e519540.json | N/A | N/A | N/A | N/A | N/A | JPU047A23611 | Preferred Provider Organization (PPO) | PREMIER AMERICA CREDIT UNION | ANTHEM BLUE CROSS | N/A | 1963-02-27 | 040 | L06734M004 | N/A | PR | false | MARYAN | N/A | MICHELLE | N/A | 9999-12-31 | 2025-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192019320 | N/A | N/A | 6600346 | 2222 | 4801 | 14525925 | N/A | 4211322 | 2025-11-04 01:50:00.737512 | 2025-07-17 16:31:59.104530 |
| 2025-11-03 08:06:10.970157 | 2025-11-04 01:50:09.168916 | 14248965 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 14248965 | Athletic Physical Therapy Inc | 1986-10-29 | 2025-11-06 | M | AE | PT | DEROOS | 182788571 | SEAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170523972.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551009/check_14248965_18db9388-ab14-4a3a-a780-9c3b84558138.json | N/A | N/A | N/A | N/A | N/A | 182788571 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 1986-10-29 | 18126CA001000101 | QMXEM01910 | N/A | N/A | false | DEROOS | N/A | SEAN | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192001825 | N/A | N/A | 5551009 | 2222 | 4802 | 14526388 | N/A | 4219827 | 2025-11-04 01:50:09.168916 | 2025-10-31 23:39:58.530194 |
| 2025-11-03 08:06:10.593262 | 2025-11-04 01:58:01.723911 | 14248929 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14248929 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-11-06 | F | PT | N/A | PANDYA | XEA913306283 | DHARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170523972.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_14248929_9c0cf146-6ae9-4e79-8908-8292849f2a2e.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1975-08-17 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2024-06-03 | HSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192001824 | N/A | N/A | 5550845 | 2222 | 4801 | 14546310 | N/A | 4219713 | 2025-11-04 01:58:01.723911 | 2025-08-13 22:46:55.732965 |
| 2025-11-03 08:06:09.965919 | 2025-11-04 02:04:04.777598 | 14248868 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14248868 | Athletic Physical Therapy Inc | 1954-05-11 | 2025-11-05 | M | AE | PT | A Peters | 1R78CR5JR59 | Dennis | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170523972.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550025/check_14248868_154ee763-7e40-4570-9d95-fcead38a7781.json | N/A | N/A | N/A | N/A | N/A | 1R78CR5JR59 | N/A | N/A | CMS | N/A | 1954-05-11 | N/A | N/A | N/A | N/A | false | A PETERS | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192001823 | N/A | N/A | 5550025 | 2222 | 4801 | 14556049 | N/A | 4219449 | 2025-11-04 02:04:04.777598 | 2025-10-07 21:32:27.567534 |
| 2025-11-03 08:06:09.472396 | 2025-11-04 01:56:44.618828 | 14248822 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14248822 | Athletic Physical Therapy Inc | 1955-10-09 | 2025-11-05 | M | PT | N/A | COE | JQS589W10732 | SCOTT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170523972.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549514/check_14248822_fc40bf45-b737-42ee-b2f8-eb917c01064b.json | N/A | N/A | N/A | N/A | N/A | JQS589W10732 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1955-10-09 | 040 | CAMCRWP0 | N/A | MP | false | COE | N/A | SCOTT | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192001821 | N/A | N/A | 5549514 | 2222 | 4801 | 14543544 | 4185 | 4219161 | 2025-11-04 01:56:44.618828 | 2025-10-16 23:24:12.118501 |
| 2025-11-03 08:06:08.963688 | 2025-11-04 01:56:52.062893 | 14248776 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14248776 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-11-05 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170523972.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_14248776_c05d6a10-d80d-4924-b5ce-81ad60e51372.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192001809 | N/A | N/A | 5549317 | 2222 | 4801 | 14543868 | N/A | 4219010 | 2025-11-04 01:56:52.062893 | 2026-01-09 18:32:07.618867 |
| 2025-11-03 08:06:08.641746 | 2025-11-04 02:04:07.004019 | 14248746 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14248746 | Athletic Physical Therapy Inc | 1972-05-29 | 2025-11-05 | M | AE | PT | CALDERON | 4DH3VT4QR98 | FREDY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170523972.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549153/check_14248746_01f0ab62-e335-4680-b6ac-0cc2c48e6126.json | N/A | N/A | N/A | N/A | N/A | 4DH3VT4QR98 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1972-05-29 | S5617 | N/A | N/A | MB | false | CALDERON | N/A | FREDY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192001798 | N/A | N/A | 5549153 | 2222 | 4801 | 14556078 | N/A | 4218873 | 2025-11-04 02:04:07.004019 | 2025-05-13 04:29:37.229886 |
| 2025-11-03 08:06:08.319062 | 2025-11-04 01:50:43.998180 | 14248716 | N/A | N/A | 60054 | Aetna | 1114042165 | 14248716 | Athletic Physical Therapy Inc | 1968-10-14 | 2025-11-04 | F | AE | PT | CARLSON | W161554352 | CYNTHIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170523972.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549080/check_14248716_4ebe2a52-db3e-445a-abc0-6b8eb72d6ac4.json | N/A | N/A | N/A | N/A | N/A | W161554352 | Point of Service (POS) | UBS FINANCIAL SERVICES INC. | AETNA | N/A | 1968-10-14 | 0880791 | 088079102500011 | N/A | PS | false | CARLSON | N/A | CYNTHIA | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192001784 | N/A | N/A | 5549080 | 2222 | 4801 | 14528263 | N/A | 4218812 | 2025-11-04 01:50:43.998180 | 2025-05-13 04:29:37.229807 |
| 2025-11-03 08:06:07.909108 | 2025-11-04 02:04:07.757470 | 14248681 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14248681 | Athletic Physical Therapy Inc | 1946-03-10 | 2025-11-05 | F | AE | PT | CLARK | 8KR2PU6TJ09 | CARLA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170523972.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549006/check_14248681_c210b1e0-4096-43ed-8085-ce8c08fe688e.json | N/A | N/A | N/A | N/A | N/A | 8KR2PU6TJ09 | Medicare Part A | N/A | EMPLOYERS INSURANCE COMPANY OF N | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-03-10 | N/A | DOL 06022014 | N/A | MA | false | CLARK | N/A | CARLA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192001761 | N/A | N/A | 5549006 | 2222 | 4801 | 14556092 | N/A | 4218754 | 2025-11-04 02:04:07.757470 | 2025-05-13 04:29:37.229746 |
| 2025-11-03 08:06:07.886267 | 2025-11-04 05:34:39.204571 | 14248679 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14248679 | Athletic Physical Therapy Inc | 1963-09-19 | 2025-11-05 | M | PT | N/A | SENKUS | XDM878M77372 | TONY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170520592.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7964946/check_14248679_b255b697-7106-46a4-8555-5efea47d39cd.json | N/A | N/A | N/A | N/A | N/A | XDM878M77372 | Health Maintenance Organization (HMO) | TEAMSTERS MISC SECURITY TRUST - EARLY RETIREE | ANTHEM BLUE CROSS | N/A | 1963-09-19 | 040 | 278680H052 | N/A | HM | false | SENKUS | N/A | TONY | N/A | 9999-12-31 | 2024-10-01 | CLASSIC TRADITIONAL HMO NETWORK NON DURATIONAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191990780 | N/A | N/A | 7964946 | 2222 | 4801 | 14583220 | 4185 | 6247001 | 2025-11-04 05:34:39.204571 | 2025-07-25 21:24:35.111542 |
| 2025-11-03 08:06:03.815136 | 2025-11-04 01:48:22.588063 | 14248312 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14248312 | Athletic Physical Therapy Inc | 1963-11-03 | 2025-11-05 | M | AE | PT | KUQO | 95557964G | FATMIR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170523158.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10308328/check_14248312_2771f8ef-caf6-43fa-a541-0ea74daa2c8b.json | N/A | N/A | N/A | N/A | N/A | 95557964G | N/A | N/A | HEALTH NET, LLC | N/A | 1963-11-03 | N/A | N/A | N/A | N/A | false | KUQO | N/A | FATMIR | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191985649 | N/A | N/A | 10308328 | 2222 | 4793 | 14520563 | N/A | 8577701 | 2025-11-04 01:48:22.588063 | 2025-10-10 20:23:07.830150 |
| 2025-11-03 08:06:01.281518 | 2025-11-04 01:55:49.638391 | 14248074 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14248074 | Athletic Physical Therapy Inc | 1962-06-19 | 2025-11-05 | M | AE | PT | MILIAN GOMEZ | 93331019F | MIGUEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170523972.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543555/check_14248074_7c49503e-5625-44e4-b502-1ae3771d0b75.json | N/A | N/A | N/A | N/A | N/A | 93331019F | N/A | N/A | HEALTH NET, LLC | N/A | 1962-06-19 | N/A | N/A | N/A | N/A | false | MILIAN GOMEZ | N/A | MIGUEL | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192001704 | N/A | N/A | 5543555 | 2222 | 4802 | 14541240 | N/A | 4215332 | 2025-11-04 01:55:49.638391 | 2025-08-06 16:15:15.716322 |
| 2025-11-03 08:06:00.939101 | 2025-11-04 01:54:39.279371 | 14248046 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 14248046 | Athletic Physical Therapy Inc | 1950-03-29 | 2025-11-06 | M | AE | PT | AKHTARI | 40045421301 | SHAHROKH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170523972.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543493/check_14248046_a870abdf-eca6-4954-85c1-9d05407b025f.json | N/A | N/A | N/A | N/A | N/A | 40045421301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-03-29 | 2025H5425084LA | H5425M | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | SCAN VENTURE (HMO), LOS ANGELES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192001703 | N/A | N/A | 5543493 | 2222 | 4793 | 14538537 | N/A | 4215273 | 2025-11-04 01:54:39.279371 | 2025-05-13 04:29:37.229594 |
| 2025-11-03 08:06:00.715063 | 2025-11-04 01:54:25.493187 | 14248029 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14248029 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-11-04 | M | AE | PT | FORTIN | R14644640MS1 | NATHANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170523972.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_14248029_ec281371-616f-4aec-a11c-3b0062dd7ea8.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 | 9192001701 | N/A | N/A | 5543425 | 2222 | 4801 | 14537933 | N/A | 4215211 | 2025-11-04 01:54:25.493187 | 2026-04-02 22:30:20.020246 |
| 2025-11-03 08:06:00.411928 | 2025-11-04 01:56:46.041418 | 14248000 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14248000 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-11-04 | F | PT | N/A | DAKE | SIF326M90066 | RENEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170523972.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543355/check_14248000_72407f81-135c-4f78-b4b1-e86b4cdc1a18.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 | 9192001700 | N/A | N/A | 5543355 | 2222 | 4793 | 14543608 | N/A | 4215158 | 2025-11-04 01:56:46.041418 | 2025-05-13 04:29:37.229475 |
| 2025-11-03 08:06:00.076081 | 2025-11-04 02:04:15.388701 | 14247971 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14247971 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-11-05 | F | AE | PT | HOWARD | 6JJ9KX0PY45 | JUDI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170523972.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543340/check_14247971_bba7876d-c436-46f0-96da-661fb4c08e43.json | N/A | N/A | N/A | N/A | N/A | 6JJ9KX0PY45 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-11-19 | S5884 | N/A | N/A | MA | false | HOWARD | N/A | JUDI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192001699 | N/A | N/A | 5543340 | 2222 | 4793 | 14556206 | N/A | 4215147 | 2025-11-04 02:04:15.388701 | 2025-05-13 04:29:37.229464 |
| 2025-11-03 08:05:59.829439 | 2025-11-04 01:56:21.652879 | 14247946 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 14247946 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-11-04 | F | AE | PT | SILVERS | 1866968 | JOIEMAY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170523972.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543335/check_14247946_13361e72-ea3e-4e2b-a061-181cbc915944.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 | 9192001698 | N/A | N/A | 5543335 | 2222 | 4802 | 14542584 | N/A | 4215139 | 2025-11-04 01:56:21.652879 | 2025-05-13 21:20:11.455022 |
| 2025-11-03 08:05:59.323807 | 2025-11-04 01:58:00.528731 | 14247896 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14247896 | Athletic Physical Therapy Inc | 1987-10-17 | 2025-11-04 | F | PT | N/A | PATEL | XEA910759571 | MAMTABEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170523972.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543327/check_14247896_602b650f-635d-4c1f-bb21-e1db86f2c282.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 | 9192001696 | N/A | N/A | 5543327 | 2222 | 4802 | 14546258 | N/A | 4215137 | 2025-11-04 01:58:00.528731 | 2025-10-13 23:09:53.444170 |
| 2025-11-03 08:05:58.900998 | 2025-11-04 01:56:40.716604 | 14247856 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 14247856 | Athletic Physical Therapy Inc | 1962-09-27 | 2025-11-06 | F | PT | N/A | BARAJAS | NCF425A56241 | EMMA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170523972.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543324/check_14247856_a2d78fad-24f3-431d-8429-b45278896078.json | N/A | N/A | N/A | N/A | N/A | JMV425A56241 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1962-09-27 | 040 | 56677VR000 | N/A | HM | false | BARAJAS | N/A | RAMON | N/A | 9999-12-31 | 2025-09-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192001695 | N/A | N/A | 5543324 | 2222 | 4801 | 14543369 | 4184 | 4215131 | 2025-11-04 01:56:40.716604 | 2025-08-11 16:45:52.816842 |