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 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | 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 08:05:58.619407 | 2025-11-04 01:34:05.051032 | 14247829 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14247829 | Athletic Physical Therapy Inc | 2003-05-02 | 2025-11-05 | M | PT | MUHAMMAD | XOF828514693 | KENNETH | N/A | 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/2222/8675672/check_14247829_4124b325-a225-4ae3-b7ed-4bbe2ffd2d36.json | N/A | N/A | N/A | N/A | N/A | XOF828514693 | Preferred Provider Organization (PPO) | IBJI - BRADLEY ACTIVES | HUMANA | N/A | 2003-05-02 | N/A | PK4933 | N/A | PR | false | MUHAMMAD | N/A | KERMIT | N/A | 9999-12-31 | 2022-02-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192036798 | N/A | N/A | 8675672 | 2222 | 4793 | 14491734 | N/A | 7310369 | 2025-11-04 01:34:05.051032 | 2026-02-03 01:46:10.334485 |
| 2025-11-03 08:05:58.582592 | 2025-11-04 01:49:13.828177 | 14247823 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 14247823 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-11-05 | M | AE | MCCOWAN | 93341440D | KEVIN | PT | 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/2222/5543270/check_14247823_f7fb1fbc-b969-40e6-9ba4-7c8c84f5bc60.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-03-27 | N/A | N/A | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192001694 | N/A | N/A | 5543270 | 2222 | 4793 | 14523339 | N/A | 4215086 | 2025-11-04 01:49:13.828177 | 2025-05-13 04:29:37.229401 |
| 2025-11-03 08:05:57.925812 | 2025-11-04 01:58:02.236916 | 14247761 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14247761 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-11-04 | F | PT | PAUL | XEK914147727 | SARA | N/A | 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/2222/5543211/check_14247761_ba2d98ca-aea7-4b31-8ee0-7553cfaf1aca.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | 9999-12-31 | 2025-02-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192001693 | N/A | N/A | 5543211 | 2222 | 4801 | 14546336 | N/A | 4215028 | 2025-11-04 01:58:02.236916 | 2025-05-13 04:29:37.229346 |
| 2025-11-03 08:05:57.587640 | 2025-11-04 01:56:52.733038 | 14247729 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14247729 | Athletic Physical Therapy Inc | 2003-10-09 | 2025-11-06 | F | PT | LUKOWITSCH | XDPCA8263500 | HALLIE | N/A | 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/2222/5543178/check_14247729_9ac64484-8888-4775-a54c-8277ea680afe.json | N/A | N/A | N/A | N/A | N/A | XDPCA8263500 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | ANTHEM BLUE CROSS | N/A | 2003-10-09 | 040 | 275958P701 | N/A | PR | false | LUKOWITSCH | N/A | HALLIE | N/A | 9999-12-31 | 2025-09-22 | PPO UC SHIP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192001691 | N/A | N/A | 5543178 | 2222 | 4802 | 14543896 | N/A | 4215006 | 2025-11-04 01:56:52.733038 | 2025-05-13 04:29:37.229325 |
| 2025-11-03 08:05:57.243421 | 2025-11-04 01:54:43.380938 | 14247695 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 14247695 | Athletic Physical Therapy Inc | 1957-01-21 | 2025-11-06 | M | AE | SHADDY | 40064865601 | STEVE | PT | 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/2222/5543011/check_14247695_3f507794-8128-4313-9e58-0f21235734c8.json | N/A | N/A | N/A | N/A | N/A | 40064865601 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | SHADDY | N/A | STEVE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192001690 | N/A | N/A | 5543011 | 2222 | 4801 | 14538692 | N/A | 4214861 | 2025-11-04 01:54:43.380938 | 2026-02-04 19:10:58.526441 |
| 2025-11-03 08:05:56.907805 | 2025-11-04 01:57:59.959831 | 14247660 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14247660 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-11-04 | F | PT | JAIN | XEK909304497 | SUPARNA | N/A | 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/2222/5542952/check_14247660_effc4d1a-b8af-43d2-be49-ebf14dadb720.json | N/A | N/A | N/A | N/A | N/A | XEK909304497 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-01-24 | 2001ZK002189 | X0001000 | N/A | PR | false | JAIN | N/A | SUPARNA | N/A | 2025-12-31 | 2025-01-01 | BRONZE 60 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192001689 | N/A | N/A | 5542952 | 2222 | 4802 | 14546232 | N/A | 4214804 | 2025-11-04 01:57:59.959831 | 2025-05-13 20:09:53.786482 |
| 2025-11-03 08:05:56.615442 | 2025-11-04 01:50:45.844973 | 14247629 | N/A | N/A | 60054 | Aetna | 1114042165 | 14247629 | Athletic Physical Therapy Inc | 1982-02-18 | 2025-11-05 | M | AE | TORGAN | W291598583 | SPENCER | PT | 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/2222/5542863/check_14247629_de292f83-5687-4ef9-b008-726df3581609.json | N/A | N/A | N/A | N/A | N/A | W291598583 | Point of Service (POS) | MORGAN STANLEY DOMESTIC HOLDINGS, L | AETNA | N/A | 1982-02-18 | 0868849 | 086884901000001 | N/A | PS | false | TORGAN | N/A | SPENCER | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192001688 | N/A | N/A | 5542863 | 2222 | 4793 | 14528367 | N/A | 4214725 | 2025-11-04 01:50:45.844973 | 2025-05-13 04:29:37.229043 |
| 2025-11-03 08:05:56.246767 | 2025-11-04 01:55:48.986284 | 14247591 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14247591 | Athletic Physical Therapy Inc | 2007-12-08 | 2025-11-05 | F | AE | LARSEN | R06053944FD1 | LANA | PT | 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/2222/5542850/check_14247591_d4742a35-4f4b-48d3-bd2e-32b0fa44774c.json | N/A | N/A | N/A | N/A | N/A | R06053944FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2007-12-08 | N/A | N/A | N/A | N/A | false | LARSEN | N/A | LANA | N/A | N/A | N/A | MGY COMHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192001687 | N/A | N/A | 5542850 | 2222 | 4793 | 14541216 | N/A | 4214714 | 2025-11-04 01:55:48.986284 | 2025-05-13 04:29:37.229031 |
| 2025-11-03 08:05:55.917219 | 2025-11-04 01:54:26.724612 | 14247558 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14247558 | Athletic Physical Therapy Inc | 1979-11-17 | 2025-11-04 | F | AE | WOODS | 96781627F | JESSICA | PT | 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/2222/5542752/check_14247558_71aff541-3b25-4644-bd60-8303810ea493.json | N/A | N/A | N/A | N/A | N/A | 96781627F | N/A | N/A | HEALTH NET, LLC | N/A | 1979-11-17 | N/A | N/A | N/A | N/A | false | WOODS | N/A | JESSICA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192001686 | N/A | N/A | 5542752 | 2222 | 4793 | 14537986 | N/A | 4214627 | 2025-11-04 01:54:26.724612 | 2025-06-23 18:58:46.304598 |
| 2025-11-03 08:05:55.491587 | 2025-11-04 01:55:47.628336 | 14247514 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14247514 | Athletic Physical Therapy Inc | 1972-07-22 | 2025-11-06 | M | AE | KOZMA | U9714475101 | JASON | PT | 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/2222/5542709/check_14247514_b0bde6dc-95c1-44ac-aea4-890ab916d13e.json | N/A | N/A | N/A | N/A | N/A | U9714475101 | 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. | 1972-07-22 | 67138CA0700027-01 | N/A | N/A | N/A | false | KOZMA | N/A | JASON | N/A | N/A | N/A | BRONZE 60 HDHP AMBETTER PPO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192001685 | N/A | N/A | 5542709 | 2222 | 4802 | 14541146 | N/A | 4214582 | 2025-11-04 01:55:47.628336 | 2025-12-02 00:00:04.433236 |
| 2025-11-03 08:05:55.148955 | 2025-11-04 01:50:42.479040 | 14247484 | N/A | N/A | 60054 | Aetna | 1114042165 | 14247484 | Athletic Physical Therapy Inc | 1975-12-13 | 2025-11-04 | F | AE | ASSENGA | TWA295A70455 | NANCY | PT | 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/2222/5542618/check_14247484_6c283e31-f998-4c7e-96a6-eefa03a04c13.json | N/A | N/A | N/A | N/A | N/A | TWA295A70455 | N/A | N/A | AETNA | N/A | 1975-12-13 | 0846522 | 084652202300182 | N/A | N/A | false | ASSENGA | N/A | NANCY | N/A | N/A | N/A | OPEN CHOICE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192001684 | N/A | N/A | 5542618 | 2222 | 4801 | 14528178 | N/A | 4214504 | 2025-11-04 01:50:42.479040 | 2025-05-13 04:29:37.228820 |
| 2025-11-03 08:05:54.819508 | 2025-11-04 01:56:19.851081 | 14247452 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 14247452 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-11-04 | F | AE | HAMI | 92932800G | FARIBA | PT | 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/2222/5542611/check_14247452_b6f2df70-971f-4a35-bba1-e07359299e03.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1960-09-15 | N/A | N/A | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192001683 | N/A | N/A | 5542611 | 2222 | 4802 | 14542508 | N/A | 4214490 | 2025-11-04 01:56:19.851081 | 2025-05-13 04:29:37.228806 |
| 2025-11-03 08:05:54.530844 | 2025-11-04 02:04:06.144481 | 14247421 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14247421 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-11-06 | M | AE | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | PT | 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/2222/5542555/check_14247421_ffe23692-d82c-487c-8d22-6b81bd589cc8.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-24 | N/A | N/A | N/A | MB | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192001682 | N/A | N/A | 5542555 | 2222 | 4793 | 14556069 | N/A | 4214447 | 2025-11-04 02:04:06.144481 | 2026-04-23 20:11:34.441054 |
| 2025-11-03 08:05:54.182773 | 2025-11-04 02:04:24.914099 | 14247394 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14247394 | Athletic Physical Therapy Inc | 1949-11-21 | 2025-11-04 | M | AE | WOLFE | 7JF6YW4EF47 | KEVIN | PT | 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/2222/5542521/check_14247394_887b50d2-9e09-41e7-ba68-4d4da16df10a.json | N/A | N/A | N/A | N/A | N/A | 7JF6YW4EF47 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-11-21 | S4802 | N/A | N/A | MA | false | WOLFE | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192001681 | N/A | N/A | 5542521 | 2222 | 4801 | 14556350 | N/A | 4214422 | 2025-11-04 02:04:24.914099 | 2025-05-13 04:29:37.228745 |
| 2025-11-03 08:05:53.942844 | 2025-11-04 01:56:17.390707 | 14247370 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 14247370 | Athletic Physical Therapy Inc | 1988-11-03 | 2025-11-05 | F | AE | CAPISTRANO | 98696372G | FERDELLE | PT | 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/2222/5542513/check_14247370_daa515fc-004c-4a22-a408-98797c7e2e04.json | N/A | N/A | N/A | N/A | N/A | 98696372G | 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 | 9192001680 | N/A | N/A | 5542513 | 2222 | 4793 | 14542400 | N/A | 4214418 | 2025-11-04 01:56:17.390707 | 2025-07-03 18:12:11.075357 |
| 2025-11-03 08:05:53.664547 | 2025-11-04 01:57:58.585935 | 14247340 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14247340 | Athletic Physical Therapy Inc | 1983-10-27 | 2025-11-06 | M | PT | FEDERER | XEA911365031 | MITCH | N/A | 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/2222/5542512/check_14247340_9f93c093-a283-4f18-a3c6-e1f9c975f43e.json | N/A | N/A | N/A | N/A | N/A | XEA911365031 | Preferred Provider Organization (PPO) | WEINSTEIN SENIOR LLP | BLUE SHIELD CALIFORNIA | N/A | 1983-10-27 | 1000VX000102 | W0122744 | N/A | PR | false | FEDERER | N/A | MITCHEL | N/A | 9999-12-31 | 2023-05-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192001677 | N/A | N/A | 5542512 | 2222 | 4793 | 14546172 | N/A | 4214416 | 2025-11-04 01:57:58.585935 | 2025-05-13 04:29:37.228740 |
| 2025-11-03 08:05:53.367865 | 2025-11-04 02:04:12.584817 | 14247308 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14247308 | Athletic Physical Therapy Inc | 1950-10-11 | 2025-11-04 | F | AE | FRANK | 6C06N65FN89 | KAREN | PT | 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/2222/5542263/check_14247308_56c66f18-e8a2-4ac9-be2f-6ad2da6f6d0e.json | N/A | N/A | N/A | N/A | N/A | 6C06N65FN89 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-10-11 | S5601 | N/A | N/A | MB | false | FRANK | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192001676 | N/A | N/A | 5542263 | 2222 | 4802 | 14556166 | N/A | 4214201 | 2025-11-04 02:04:12.584817 | 2025-05-13 04:29:37.228535 |
| 2025-11-03 08:05:53.051798 | 2025-11-04 02:04:17.539885 | 14247277 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14247277 | Athletic Physical Therapy Inc | 1936-09-29 | 2025-11-04 | M | AE | JAUDE | 8D38EF9GV30 | KARIM | PT | 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/2222/5542251/check_14247277_dd1ac261-a165-40e1-b62c-2be151a386d2.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MA | false | JAUDE | N/A | KARIM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192001675 | N/A | N/A | 5542251 | 2222 | 4802 | 14556236 | N/A | 4214191 | 2025-11-04 02:04:17.539885 | 2025-05-13 04:29:37.228525 |
| 2025-11-03 08:05:52.485699 | 2025-11-04 01:56:20.395013 | 14247222 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 14247222 | Athletic Physical Therapy Inc | 1975-03-26 | 2025-11-04 | F | AE | HEYES | 95596436F | DARCIE | PT | 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/2222/5542233/check_14247222_9044fdf1-13b5-48e1-bd95-8f5049cd6a54.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1975-03-26 | N/A | N/A | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192001674 | N/A | N/A | 5542233 | 2222 | 4793 | 14542533 | N/A | 4214178 | 2025-11-04 01:56:20.395013 | 2025-05-13 04:29:37.228506 |
| 2025-11-03 08:05:52.042539 | 2025-11-04 01:56:49.226999 | 14247184 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14247184 | Athletic Physical Therapy Inc | 1938-01-22 | 2025-11-04 | F | PT | ISTOK | MBL474M98437 | LOIS | N/A | 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/2222/5542207/check_14247184_584dc3f5-4f55-4511-8baa-de09c55bb879.json | N/A | N/A | N/A | N/A | N/A | MBL474M98437 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1938-01-22 | 040 | CAEGR005 | N/A | N/A | false | ISTOK | N/A | LOIS | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192001673 | N/A | N/A | 5542207 | 2222 | 4802 | 14543743 | N/A | 4214152 | 2025-11-04 01:56:49.226999 | 2025-05-13 04:29:37.228479 |
| 2025-11-03 08:05:51.848097 | 2025-11-04 01:48:44.734883 | 14247164 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 14247164 | Athletic Physical Therapy Inc | 1940-04-13 | 2025-11-05 | F | AE | PRIVITT | 31072079201 | NORMA | PT | 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/2222/10301619/check_14247164_8a3ad285-4b20-49d6-bdfa-057f129593c4.json | N/A | N/A | N/A | N/A | N/A | 31072079201 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1940-04-13 | 2025H5425001 | H5425M | N/A | N/A | false | PRIVITT | N/A | NORMA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191985090 | N/A | N/A | 10301619 | 2222 | 4793 | 14521766 | N/A | 8571670 | 2025-11-04 01:48:44.734883 | 2025-10-20 20:59:28.219223 |
| 2025-11-03 08:05:51.586738 | 2025-11-04 02:04:14.244719 | 14247145 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14247145 | Athletic Physical Therapy Inc | 1937-05-08 | 2025-11-04 | F | AE | GRINBERG | 6W60TM0KP36 | HANNA | PT | 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/2222/5542161/check_14247145_117cea59-d6a6-488e-8018-77edec303b3b.json | N/A | N/A | N/A | N/A | N/A | 6W60TM0KP36 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-05-08 | S5921 | N/A | N/A | MA | false | GRINBERG | N/A | HANNA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192001672 | N/A | N/A | 5542161 | 2222 | 4802 | 14556194 | N/A | 4214112 | 2025-11-04 02:04:14.244719 | 2025-05-13 04:29:37.228426 |
| 2025-11-03 08:05:51.181457 | 2025-11-04 01:55:43.935521 | 14247113 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 14247113 | Athletic Physical Therapy Inc | 2009-08-26 | 2025-11-04 | F | AE | ELAZARY | 000019315679 | NATALEE | PT | 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/2222/5542060/check_14247113_d6a04af5-c90e-46ea-b239-0f0253741bfc.json | N/A | N/A | N/A | N/A | N/A | 000019315679 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 2009-08-26 | 4344868 | 235828 | N/A | N/A | false | ELAZARY | N/A | NATALEE | N/A | N/A | N/A | CALIFORNIA'S VALUED TRUST PLAN 8/DHMO/3 TIER/ACTIV | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192001671 | N/A | N/A | 5542060 | 2222 | 4793 | 14540997 | N/A | 4214019 | 2025-11-04 01:55:43.935521 | 2025-05-13 04:29:37.228340 |
| 2025-11-03 08:05:50.965204 | 2025-11-04 01:48:55.550010 | 14247097 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14247097 | Athletic Physical Therapy Inc | 1998-10-29 | 2025-11-04 | M | PT | MARSHALL | JQU309W24257 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.171919019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458512/check_14247097_66eb89e4-7ed4-4e6f-b50e-0cdab2d443bd.json | N/A | N/A | N/A | N/A | N/A | JQU309W24257 | Preferred Provider Organization (PPO) | SUNSTONE PROPERTIES LLC | ANTHEM BLUE CROSS | N/A | 1998-10-29 | 040 | A35988 | N/A | PR | false | MARSHALL | N/A | THOMAS | N/A | 9999-12-31 | 2025-07-01 | ANTHEM PLATINUM PPO 15/40/10% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191968071 | N/A | N/A | 7458512 | 2222 | 4793 | 14522410 | N/A | 6021448 | 2025-11-04 01:48:55.550010 | 2025-07-14 23:05:51.728886 |
| 2025-11-03 08:05:50.631279 | 2025-11-04 01:56:54.946158 | 14247070 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14247070 | Athletic Physical Therapy Inc | 1942-12-17 | 2025-11-05 | F | PT | STEINBERG | MBL988M98459 | JUDY | N/A | 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/2222/5542014/check_14247070_89e6bd52-abf3-45b2-a0a3-87c5dfeb4a40.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192004084 | N/A | N/A | 5542014 | 2222 | 4793 | 14543984 | N/A | 4213977 | 2025-11-04 01:56:54.946158 | 2025-05-13 04:29:37.228294 |
| 2025-11-03 08:05:50.156876 | 2025-11-04 01:56:21.123158 | 14247028 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 14247028 | Athletic Physical Therapy Inc | 1961-02-27 | 2025-11-04 | M | AE | SHRIVER | 90771207E | DANIEL | PT | 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/2222/5541984/check_14247028_70fb9d96-59f6-462d-a1f6-32ecdb2e39fa.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1961-02-27 | N/A | N/A | N/A | N/A | false | SHRIVER | N/A | DANIEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192004078 | N/A | N/A | 5541984 | 2222 | 4802 | 14542553 | N/A | 4213934 | 2025-11-04 01:56:21.123158 | 2026-01-27 23:36:44.802366 |
| 2025-11-03 08:05:49.798826 | 2025-11-04 01:54:57.188008 | 14246998 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14246998 | Athletic Physical Therapy Inc | 1948-11-19 | 2025-11-05 | M | AE | GONZALES JR | 1E61CX0GK13 | LEO | PT | 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/2222/7456457/check_14246998_1c15d556-62ff-4f42-a0b1-39767e80ff9f.json | N/A | N/A | N/A | N/A | N/A | 1E61CX0GK13 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-11-19 | S4802 | N/A | N/A | MB | false | GONZALEZ JR | N/A | LEO | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191968006 | N/A | N/A | 7456457 | 2222 | 4793 | 14539205 | N/A | 6405774 | 2025-11-04 01:54:57.188008 | 2026-03-16 21:02:08.525887 |
| 2025-11-03 08:05:49.787991 | 2025-11-04 01:56:39.952372 | 14246995 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 14246995 | Athletic Physical Therapy Inc | 1959-05-13 | 2025-11-05 | F | PT | ADRIANZEN FERNAN | MMA221W20054 | AURA | N/A | 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/2222/5541944/check_14246995_552ef0da-84f9-4486-8f62-3ab3b9ed4fe3.json | N/A | N/A | N/A | N/A | N/A | MMA221W20054 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-05-13 | 040 | CAMCRWP0 | N/A | MP | false | ADRIANZEN FERNANDEZ | N/A | AURA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192004077 | N/A | N/A | 5541944 | 2222 | 4801 | 14543328 | 4184 | 4213907 | 2025-11-04 01:56:39.952372 | 2025-05-13 04:29:37.228228 |
| 2025-11-03 08:05:49.553425 | 2025-11-04 01:48:55.047584 | 14246980 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14246980 | Athletic Physical Therapy Inc | 1965-07-08 | 2025-11-05 | F | PT | CHALFIN | WAR121A52220 | LISA | N/A | 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/2222/7456267/check_14246980_334d108c-7e92-474d-afa7-fa28e90aedd5.json | N/A | N/A | N/A | N/A | N/A | WAR121A52220 | Exclusive Provider Organization | WARNER PACIFIC INSURANCE SERVICES | ANTHEM BLUE CROSS | N/A | 1965-07-08 | 040 | 282843M017 | N/A | EP | false | CHALFIN | N/A | LISA | N/A | 9999-12-31 | 2025-03-01 | PRUDENT BUYER EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191971394 | N/A | N/A | 7456267 | 2222 | 4793 | 14522381 | N/A | 6405582 | 2025-11-04 01:48:55.047584 | 2025-08-04 21:58:38.426681 |
| 2025-11-03 08:05:49.411668 | 2025-11-04 02:04:21.787576 | 14246969 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14246969 | Athletic Physical Therapy Inc | 1944-04-25 | 2025-11-06 | F | AE | ROSENTHAL | 6WM0N21VW35 | PHYLLIS | PT | 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/2222/5541887/check_14246969_bee8cf8b-ab39-4542-bcb7-f773d2603ebf.json | N/A | N/A | N/A | N/A | N/A | 6WM0N21VW35 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-04-25 | S4802 | N/A | N/A | MB | false | ROSENTHAL | N/A | PHYLLIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192004074 | N/A | N/A | 5541887 | 2222 | 4802 | 14556302 | N/A | 4213865 | 2025-11-04 02:04:21.787576 | 2025-05-13 04:29:37.228183 |
| 2025-11-03 08:05:49.057587 | 2025-11-04 01:56:51.312211 | 14246936 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14246936 | Athletic Physical Therapy Inc | 2009-08-02 | 2025-11-05 | F | PT | KUZMICZ | LFYHCU059374 | AUDREY | N/A | 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/2222/5541748/check_14246936_d94dea02-c78c-40f3-8243-a7a53a46e035.json | N/A | N/A | N/A | N/A | N/A | LFYHCU059374 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2009-08-02 | N/A | N/A | N/A | N/A | false | KUZMICZ | N/A | AUDREY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192004071 | N/A | N/A | 5541748 | 2222 | 4801 | 14543830 | N/A | 4213741 | 2025-11-04 01:56:51.312211 | 2025-10-10 22:38:21.840610 |
| 2025-11-03 08:05:48.753849 | 2025-11-04 02:04:22.363276 | 14246907 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14246907 | Athletic Physical Therapy Inc | 1949-07-06 | 2025-11-05 | M | AE | SILVERMAN | 1P91CV2QF22 | LAWRENCE | PT | 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/2222/5541609/check_14246907_7701f02a-d66b-4c38-ac06-c1cc27f1bb12.json | N/A | N/A | N/A | N/A | N/A | 1P91CV2QF22 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-07-06 | N/A | N/A | N/A | MA | false | SILVERMAN | N/A | LAWRENCE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192004070 | N/A | N/A | 5541609 | 2222 | 4793 | 14556314 | N/A | 4213611 | 2025-11-04 02:04:22.363276 | 2025-05-13 04:29:37.227938 |
| 2025-11-03 08:05:48.361900 | 2025-11-04 01:52:59.324419 | 14246869 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 14246869 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-11-04 | M | AD | LYKIDIS | U1221753503 | JOHN | N/A | 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/2222/5541552/check_14246869_47035265-3740-4226-b05f-e48d7f6e00e9.json | N/A | N/A | N/A | N/A | N/A | U1221753503 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 2001-11-21 | N/A | 3207160 | N/A | N/A | false | LYKIDIS | N/A | JOHN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 9192004067 | N/A | N/A | 5541552 | 2222 | 4802 | 14534708 | N/A | 4213562 | 2025-11-04 01:52:59.324419 | 2025-05-13 04:29:37.227895 |
| 2025-11-03 08:05:47.975674 | 2025-11-04 01:58:04.013522 | 14246835 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14246835 | Athletic Physical Therapy Inc | 1965-09-18 | 2025-11-05 | F | PT | SHAPIRO | XEA901579979 | ANDREA | N/A | 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/2222/5541315/check_14246835_806b5a9e-b6ca-4dcd-b1c9-c189dab92f49.json | N/A | N/A | N/A | N/A | N/A | XEA901579979 | Preferred Provider Organization (PPO) | HANGER STEINBERG SHAPIRO AND ASH A LAW COR | BLUE SHIELD CALIFORNIA | N/A | 1965-09-18 | 1000VX000102 | W0045063 | N/A | PR | false | SHAPIRO | N/A | MARC | N/A | 9999-12-31 | 2016-11-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192004060 | N/A | N/A | 5541315 | 2222 | 4793 | 14546393 | N/A | 4213344 | 2025-11-04 01:58:04.013522 | 2025-05-13 04:29:37.227667 |
| 2025-11-03 08:05:47.406040 | 2025-11-04 01:57:59.304673 | 14246790 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14246790 | Athletic Physical Therapy Inc | 1963-07-22 | 2025-11-05 | F | PT | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | N/A | 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/2222/5541314/check_14246790_141f7bab-d71e-40bd-88e7-91d0f7c1f0e4.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 9999-12-31 | 2023-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192004059 | N/A | N/A | 5541314 | 2222 | 4793 | 14546200 | N/A | 4213343 | 2025-11-04 01:57:59.304673 | 2025-06-06 02:21:37.603701 |
| 2025-11-03 08:05:46.883960 | 2025-11-04 05:35:43.947749 | 14246740 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14246740 | Athletic Physical Therapy Inc | 1987-11-24 | 2025-11-05 | F | PT | Halat | FIZ100010118257 | Hooram | N/A | 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/2222/7870152/check_14246740_d49effe7-e265-4df0-996e-d54e0b1797c5.json | N/A | N/A | N/A | N/A | N/A | FIZ100010118257 | 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. | 1987-11-24 | N/A | N/A | N/A | PR | false | HALAT | N/A | HOORAM | 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 | 9191989297 | N/A | N/A | 7870152 | 2222 | 4802 | 14583647 | N/A | 6698799 | 2025-11-04 05:35:43.947749 | 2025-08-07 18:40:53.120761 |
| 2025-11-03 08:05:46.826987 | 2025-11-04 01:54:24.963961 | 14246737 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14246737 | Athletic Physical Therapy Inc | 1968-03-30 | 2025-11-06 | M | AE | FARAHMAND | 91957675E | ALEX | PT | 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/2222/5541163/check_14246737_e75c70f6-b013-4cb4-8381-9e9ba7d7eed3.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | HEALTH NET, LLC | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192004058 | N/A | N/A | 5541163 | 2222 | 4802 | 14537901 | N/A | 4213207 | 2025-11-04 01:54:24.963961 | 2025-05-13 04:29:37.227536 |
| 2025-11-03 08:05:46.320595 | 2025-11-04 01:56:47.645706 | 14246688 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 14246688 | Athletic Physical Therapy Inc | 1958-07-16 | 2025-11-04 | F | PT | GALVAN GUERRERO | MMA904W16717 | MARIA | N/A | 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/2222/5541035/check_14246688_96672205-29c5-4d44-8327-ec61d70388dd.json | N/A | N/A | N/A | N/A | N/A | MMA904W16717 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-07-16 | 040 | CAMCRWP0 | N/A | MP | false | GALVAN-GUERRERO | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192004057 | N/A | N/A | 5541035 | 2222 | 4801 | 14543664 | 4184 | 4213091 | 2025-11-04 01:56:47.645706 | 2025-05-13 04:29:37.227417 |
| 2025-11-03 08:05:46.019070 | 2025-11-04 02:04:20.231873 | 14246661 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14246661 | Athletic Physical Therapy Inc | 1949-12-02 | 2025-11-04 | F | AE | LADEN | 6GY2TG9HX06 | CANDACE | PT | 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/2222/5540768/check_14246661_aec00afb-c061-4d8c-b023-2dd03d1c92ca.json | N/A | N/A | N/A | N/A | N/A | 6GY2TG9HX06 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-12-02 | S4802 | N/A | N/A | MA | false | LADEN | N/A | CANDACE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192004055 | N/A | N/A | 5540768 | 2222 | 4802 | 14556273 | N/A | 4212856 | 2025-11-04 02:04:20.231873 | 2025-08-04 18:33:35.319989 |
| 2025-11-03 08:05:45.677768 | 2025-11-04 01:50:43.344969 | 14246631 | N/A | N/A | 60054 | Aetna | 1114042165 | 14246631 | Athletic Physical Therapy Inc | 1982-07-27 | 2025-11-04 | M | AE | BOKHTIER | W275493875 | GOLAM | PT | 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/2222/5540723/check_14246631_cc07cfe4-a7ab-45c8-a031-e5cacd4ed2ff.json | N/A | N/A | N/A | N/A | N/A | W275493875 | Exclusive Provider Organization | AMERICAN EXPRESS COMPANY | AETNA | N/A | 1982-07-27 | 0169631 | 016963101100001 | N/A | EP | false | BOKHTIER | N/A | SUMMER | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192004047 | N/A | N/A | 5540723 | 2222 | 4793 | 14528216 | N/A | 4212833 | 2025-11-04 01:50:43.344969 | 2025-05-28 20:46:35.079848 |
| 2025-11-03 08:05:45.279880 | 2025-11-04 02:04:13.401101 | 14246589 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14246589 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-11-06 | F | AE | GNAD | 9EM9VP4XX36 | MELANIE | PT | 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/2222/5540676/check_14246589_7f1aa88e-3108-4f44-8aa1-e6754d831270.json | N/A | N/A | N/A | N/A | N/A | 9EM9VP4XX36 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-04-16 | S5601 | N/A | N/A | MA | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192004046 | N/A | N/A | 5540676 | 2222 | 4801 | 14556179 | N/A | 4212792 | 2025-11-04 02:04:13.401101 | 2025-10-07 20:33:25.637997 |
| 2025-11-03 08:05:44.858132 | 2025-11-04 01:54:40.820225 | 14246553 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 14246553 | Athletic Physical Therapy Inc | 1940-03-29 | 2025-11-05 | F | AE | MARTINEZ | 40032670501 | MARIA | PT | 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/2222/5540591/check_14246553_2933a4e4-358b-4f3f-8905-1047d35caaf0.json | N/A | N/A | N/A | N/A | N/A | 40032670501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1940-03-29 | 2025H5425001 | H5425M | N/A | N/A | false | MARTINEZ | 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 | 9192004044 | N/A | N/A | 5540591 | 2222 | 4801 | 14538593 | N/A | 4212724 | 2025-11-04 01:54:40.820225 | 2025-07-26 22:27:37.781276 |
| 2025-11-03 08:05:44.570243 | 2025-11-04 01:58:04.755104 | 14246529 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14246529 | Athletic Physical Therapy Inc | 1997-07-14 | 2025-11-05 | M | PT | SHERBETJIAN | XED910281081 | JACK | N/A | 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/2222/5540558/check_14246529_d7c5924c-ac82-43c3-a098-f4393ce30bef.json | N/A | N/A | N/A | N/A | N/A | XED910281081 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-14 | 2001ZK002184 | X0001004 | N/A | PR | false | SHERBETJIAN | N/A | JACK | N/A | 9999-12-31 | 2021-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192004043 | N/A | N/A | 5540558 | 2222 | 4801 | 14546430 | N/A | 4212698 | 2025-11-04 01:58:04.755104 | 2025-05-13 04:29:37.227042 |
| 2025-11-03 08:05:44.216398 | 2025-11-04 02:04:05.428529 | 14246500 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14246500 | Athletic Physical Therapy Inc | 1940-05-13 | 2025-11-04 | F | AE | ALIZADEH GHARBAGHI | 6AX8PH3NH43 | TOURAN | PT | 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/2222/5540531/check_14246500_3649ddb0-dd4d-4b76-a5a1-63da660f0026.json | N/A | N/A | N/A | N/A | N/A | 6AX8PH3NH43 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-05-13 | S5617 | N/A | N/A | MA | false | ALIZADEH GHARBAGHI | N/A | TOURAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192004042 | N/A | N/A | 5540531 | 2222 | 4802 | 14556060 | N/A | 4212676 | 2025-11-04 02:04:05.428529 | 2025-07-03 21:09:02.193065 |
| 2025-11-03 08:05:43.779379 | 2025-11-04 01:54:26.145663 | 14246464 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14246464 | Athletic Physical Therapy Inc | 1973-07-11 | 2025-11-04 | M | AE | HERMAN | 95836743G | BRETT | PT | 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/2222/5540113/check_14246464_e6e193b4-0ae4-4660-af37-23b32fb72476.json | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | HEALTH NET, LLC | N/A | 1973-07-11 | N/A | N/A | N/A | N/A | false | HERMAN | N/A | BRETT | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192004041 | N/A | N/A | 5540113 | 2222 | 4801 | 14537955 | N/A | 4212315 | 2025-11-04 01:54:26.145663 | 2025-12-29 21:20:15.158611 |
| 2025-11-03 08:05:43.447648 | 2025-11-04 01:56:43.085279 | 14246432 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14246432 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-11-04 | F | PT | BOYLAN | MBL857M98403 | JOAN | N/A | 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/2222/5540074/check_14246432_5ee7a9de-2206-4cc9-8587-d1afd284738c.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192004040 | N/A | N/A | 5540074 | 2222 | 4802 | 14543470 | N/A | 4212282 | 2025-11-04 01:56:43.085279 | 2025-05-13 04:29:37.226623 |
| 2025-11-03 08:05:43.316554 | 2025-11-04 01:48:42.534300 | 14246420 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 14246420 | Athletic Physical Therapy Inc | 1953-07-31 | 2025-11-06 | F | AE | Dickenson | 91000390H | Linda | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.171919019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449889/check_14246420_ecdf858b-99b3-4887-b3db-7cbebacca487.json | N/A | N/A | N/A | N/A | N/A | 91000390H | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1953-07-31 | N/A | N/A | N/A | N/A | false | DICKENSON | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191970112 | N/A | N/A | 7449889 | 2222 | 4802 | 14521639 | N/A | 6399696 | 2025-11-04 01:48:42.534300 | 2025-07-24 23:24:56.744520 |
| 2025-11-03 08:05:43.267796 | 2025-11-04 01:51:23.545973 | 14246417 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14246417 | Athletic Physical Therapy Inc | 1961-05-13 | 2025-11-06 | F | PT | HOUSEMAN | JAC912275311 | REBECCA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.190921800.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9937308/check_14246417_eecff8a7-7763-42e0-9918-8c0668de1e26.json | N/A | N/A | N/A | N/A | N/A | JAC912275311 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-05-13 | 2001ZK002198 | X0001004 | N/A | PR | false | HOUSEMAN | N/A | REBECCA | N/A | 9999-12-31 | 2023-05-01 | IFP EMB PED DPPO NATIVE AMER JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192016439 | N/A | N/A | 9937308 | 2222 | 4793 | 14530274 | N/A | 8318674 | 2025-11-04 01:51:23.545973 | 2025-10-03 16:07:07.538918 |
| 2025-11-03 08:05:43.233546 | 2025-11-04 01:50:10.275805 | 14246412 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14246412 | Athletic Physical Therapy Inc | 1996-08-01 | 2025-11-04 | M | PT | Prichard | XED910420685 | Riley | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.171919019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449872/check_14246412_de3766d8-f373-4a10-a0bd-15ed45a9b94a.json | N/A | N/A | N/A | N/A | N/A | XED910420685 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1996-08-01 | 2001ZK002184 | X0001004 | N/A | PR | false | PRICHARD | N/A | RILEY | N/A | 9999-12-31 | 2021-03-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191970111 | N/A | N/A | 7449872 | 2222 | 4802 | 14526478 | N/A | 6399679 | 2025-11-04 01:50:10.275805 | 2025-07-24 23:16:22.582609 |
| 2025-11-03 08:05:43.139547 | 2025-11-04 01:42:38.387524 | 14246402 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 14246402 | Athletic Physical Therapy Inc | 1962-09-23 | 2025-11-04 | M | AE | Thur | 95641377F | Pyi | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.171919019.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449843/check_14246402_6b3f91b9-7391-4fbd-8abe-53e7ac7a99d4.json | N/A | N/A | N/A | N/A | N/A | 95641377F | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1962-09-23 | N/A | N/A | N/A | N/A | false | THUR | N/A | PYI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191970110 | N/A | N/A | 7449843 | 2222 | 4802 | 14506372 | N/A | 6399635 | 2025-11-04 01:42:38.387524 | 2025-07-29 18:42:47.970149 |