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 08:05:43.079959 | 2025-11-04 01:55:48.458428 | 14246396 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14246396 | Athletic Physical Therapy Inc | 1982-06-09 | 2025-11-04 | M | AE | PT | FULKERSON | R12222652MM1 | SCOTT | 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/2222/5539956/check_14246396_2c97c2ec-6464-4d1d-8017-87925c78ba49.json | N/A | N/A | N/A | N/A | N/A | R12222652MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1982-06-09 | N/A | N/A | N/A | N/A | false | FULKERSON | N/A | SCOTT | N/A | N/A | N/A | MFC UCNNHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192004032 | N/A | N/A | 5539956 | 2222 | 4801 | 14541177 | N/A | 4212166 | 2025-11-04 01:55:48.458428 | 2025-10-23 15:59:33.239127 |
| 2025-11-03 08:05:42.703911 | 2025-11-04 01:58:25.190928 | 14246363 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14246363 | Athletic Physical Therapy Inc | 2011-01-19 | 2025-11-05 | M | PT | N/A | CHELIUS | JXN662A51170 | CADEN | 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/2222/5539929/check_14246363_54121b0d-57ad-4c2a-afec-4490ba753c59.json | N/A | N/A | N/A | N/A | N/A | JXN662A51170 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | BLUE SHIELD OF CALIFORNIA | N/A | 2011-01-19 | 040 | 174222M9A1 | N/A | PR | false | CHELIUS | N/A | CRAIG | N/A | 9999-12-31 | 2021-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192004029 | N/A | N/A | 5539929 | 2222 | 4793 | 14547248 | N/A | 4212158 | 2025-11-04 01:58:25.190928 | 2025-10-22 16:00:14.919111 |
| 2025-11-03 08:05:42.407991 | 2025-11-04 01:58:25.730378 | 14246338 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14246338 | Athletic Physical Therapy Inc | 1983-08-31 | 2025-11-04 | M | PT | N/A | FLEMING | SZF839281184 | CHASE | 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/2222/5539901/check_14246338_f1e5b306-f69e-4706-bd35-fbf1f8db325a.json | N/A | N/A | N/A | N/A | N/A | SZF839281184 | Preferred Provider Organization (PPO) | ACTIVE | CUSTOMER SERVICE | N/A | 1983-08-31 | N/A | 018137 | N/A | PR | false | FLEMING | N/A | CHASE | N/A | 9999-12-31 | 2021-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192004024 | N/A | N/A | 5539901 | 2222 | 4793 | 14547266 | N/A | 4212134 | 2025-11-04 01:58:25.730378 | 2025-08-05 02:56:55.384378 |
| 2025-11-03 08:05:42.076042 | 2025-11-04 01:56:55.562352 | 14246314 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14246314 | Athletic Physical Therapy Inc | 1961-10-29 | 2025-11-04 | F | PT | N/A | STEWARD | NCF874A20085 | ANDREA | 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/2222/5539556/check_14246314_ddaf3115-20a7-4e87-b5df-9c341d8d80bf.json | N/A | N/A | N/A | N/A | N/A | NCF874A20085 | Health Maintenance Organization (HMO) | LACERS- LOS ANGELES CITY RETIREMENT SYSTEMS | ANTHEM BLUE CROSS | N/A | 1961-10-29 | 040 | 57ABBA | N/A | HM | false | STEWARD | N/A | ANDREA | N/A | 9999-12-31 | 2017-04-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192004019 | N/A | N/A | 5539556 | 2222 | 4801 | 14544021 | N/A | 4211841 | 2025-11-04 01:56:55.562352 | 2025-10-23 18:30:51.891275 |
| 2025-11-03 08:05:41.740503 | 2025-11-04 01:56:56.140196 | 14246275 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14246275 | Athletic Physical Therapy Inc | 1973-05-16 | 2025-11-04 | F | PT | N/A | WILSON | XEH905431769 | JOSEPHINE | 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/2222/5539486/check_14246275_0ebf5f49-1fc8-47ac-8bc3-f0f810c12f48.json | N/A | N/A | N/A | N/A | N/A | XEH905431769 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1973-05-16 | 1477HMOX0001 | W0051411 | N/A | HM | false | WILSON | N/A | JOSEPHINE | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192004017 | N/A | N/A | 5539486 | 2222 | 4793 | 14544048 | 4185 | 4211784 | 2025-11-04 01:56:56.140196 | 2025-06-01 03:36:02.268093 |
| 2025-11-03 08:05:41.282978 | 2025-11-04 02:04:19.078516 | 14246231 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14246231 | Athletic Physical Therapy Inc | 1956-03-01 | 2025-11-04 | M | AE | PT | KLINGE | 9JP2FT7FX98 | JOHN | 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/2222/5539484/check_14246231_78e39843-4819-4900-95b2-0f050038f15e.json | N/A | N/A | N/A | N/A | N/A | 9JP2FT7FX98 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-03-01 | S4802 | N/A | N/A | MB | false | KLINGE | N/A | JOHN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192003981 | N/A | N/A | 5539484 | 2222 | 4793 | 14556261 | N/A | 4211780 | 2025-11-04 02:04:19.078516 | 2025-10-27 16:53:51.769426 |
| 2025-11-03 08:05:40.942186 | 2025-11-04 01:54:39.995173 | 14246199 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 14246199 | Athletic Physical Therapy Inc | 1944-11-21 | 2025-11-05 | M | AE | PT | KEARNS | 31193293201 | TIM | 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/2222/5539406/check_14246199_ea93f8b7-a9ce-4953-8af8-b91dda8336ef.json | N/A | N/A | N/A | N/A | N/A | 31193293201 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1944-11-21 | 2025H5425001 | H5425M | N/A | N/A | false | KEARNS | N/A | TIMOTHY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192003979 | N/A | N/A | 5539406 | 2222 | 4793 | 14538565 | N/A | 4211716 | 2025-11-04 01:54:39.995173 | 2025-12-05 19:31:54.715013 |
| 2025-11-03 08:05:40.668177 | 2025-11-04 01:56:45.258668 | 14246170 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14246170 | Athletic Physical Therapy Inc | 2008-01-01 | 2025-11-04 | M | PT | N/A | COSTELLO | JXN840A20610 | JAMES | 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/2222/5539326/check_14246170_6b1f8c3d-7228-47be-bcff-a65065f6cd02.json | N/A | N/A | N/A | N/A | N/A | JXN840A20610 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 2008-01-01 | 040 | 174222MAA1 | N/A | PR | false | COSTELLO | N/A | PATRICK | N/A | 9999-12-31 | 2022-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192003978 | N/A | N/A | 5539326 | 2222 | 4793 | 14543578 | N/A | 4211647 | 2025-11-04 01:56:45.258668 | 2025-10-21 19:53:46.280627 |
| 2025-11-03 08:05:40.329076 | 2025-11-04 01:56:49.889085 | 14246141 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14246141 | Athletic Physical Therapy Inc | 1952-09-29 | 2025-11-05 | F | PT | N/A | JOHNSON | JQS766M90611 | JANET | 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/2222/5539188/check_14246141_ec29920f-8594-4bfc-8a3c-504a3ccd2ae6.json | N/A | N/A | N/A | N/A | N/A | JQS766M90611 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-09-29 | 040 | CAMCRWP0 | N/A | MP | false | JOHNSON | N/A | JANET | 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 | 9192003976 | N/A | N/A | 5539188 | 2222 | 4801 | 14543777 | 4185 | 4211521 | 2025-11-04 01:56:49.889085 | 2025-10-19 23:43:25.603984 |
| 2025-11-03 08:05:40.036662 | 2025-11-04 01:56:48.465837 | 14246116 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14246116 | Athletic Physical Therapy Inc | 1980-04-11 | 2025-11-05 | M | PT | N/A | Hurst | JQY695A75359 | Gregory | 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/2222/5539085/check_14246116_77e83222-0aa0-4615-bc93-504159f7e85f.json | N/A | N/A | N/A | N/A | N/A | JQY695A75359 | Preferred Provider Organization (PPO) | YALE MANAGEMENT SERVICES | ANTHEM BLUE CROSS | N/A | 1980-04-11 | 040 | 342584 | N/A | PR | false | HURST | N/A | GREGORY | N/A | 2025-12-01 | 2024-12-01 | ANTHEM SILVER SELECT PPO 50/2200/40% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192003974 | N/A | N/A | 5539085 | 2222 | 4793 | 14543706 | N/A | 4211408 | 2025-11-04 01:56:48.465837 | 2025-09-18 00:42:48.586801 |
| 2025-11-03 08:05:39.649958 | 2025-11-04 02:04:20.956234 | 14246093 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14246093 | Athletic Physical Therapy Inc | 1950-08-31 | 2025-11-05 | M | AE | PT | NADRICH | 1NJ2V04GK04 | JEFFREY | 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/2222/5538990/check_14246093_63e1092e-b974-4b9f-864c-e996cf6472fb.json | N/A | N/A | N/A | N/A | N/A | 1NJ2V04GK04 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-08-31 | S5601 | N/A | N/A | MA | false | NADRICH | N/A | JEFF | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192003973 | N/A | N/A | 5538990 | 2222 | 4802 | 14556289 | N/A | 4211316 | 2025-11-04 02:04:20.956234 | 2025-05-13 04:29:37.225679 |
| 2025-11-03 08:05:38.999659 | 2025-11-04 03:33:25.938304 | 14246051 | N/A | N/A | 60054 | Aetna | 1114042165 | 14246051 | Athletic Physical Therapy Inc | 1991-08-09 | 2025-11-05 | M | AE | PT | TORIO | W287278504 | MICHAEL | 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/2222/6235883/check_14246051_6b8788d7-0e5f-4214-a35f-b9eb08d69b15.json | N/A | N/A | N/A | N/A | N/A | W287278504 | Point of Service (POS) | COADVANTAGE RESOURCES, INC. | AETNA | N/A | 1991-08-09 | 0159468 | 015946801000034 | N/A | PS | false | TORIO | N/A | MICHAEL | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192095207 | N/A | N/A | 6235883 | 2222 | 4802 | 14563771 | N/A | 4883697 | 2025-11-04 03:33:25.938304 | 2025-07-08 14:55:53.397662 |
| 2025-11-03 08:05:38.741507 | 2025-11-04 01:58:26.271453 | 14246036 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14246036 | Athletic Physical Therapy Inc | 1961-12-01 | 2025-11-06 | M | PT | N/A | TOOCH | JPU633M84536 | PETER | 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/2222/5538874/check_14246036_944abc1a-e6df-4e27-b379-d913f49b6a8e.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M001 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192003933 | N/A | N/A | 5538874 | 2222 | 4801 | 14547285 | N/A | 4211227 | 2025-11-04 01:58:26.271453 | 2025-05-13 04:29:37.225625 |
| 2025-11-03 08:05:38.287966 | 2025-11-04 01:58:01.070658 | 14246005 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14246005 | Athletic Physical Therapy Inc | 1980-10-31 | 2025-11-05 | M | AE | PT | PAREDES | XEH910686412 | JOSE | 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/2222/5538615/check_14246005_bc18e087-8fa1-48e0-8e85-44a57aeccfba.json | N/A | N/A | N/A | N/A | N/A | XEH910686412 | Health Maintenance Organization (HMO) | TRADER JOE S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1980-10-31 | 1000VX000001 | W0069783 | N/A | HM | false | MORDKA | N/A | LUCAS | N/A | 9999-12-31 | 2025-07-01 | TRADER JOE S COMPANY CUSTOM ACCESS HMO 25 500 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192003931 | N/A | N/A | 5538615 | 2222 | 4793 | 14546286 | N/A | 4211010 | 2025-11-04 01:58:01.070658 | 2025-09-30 17:03:18.054141 |
| 2025-11-03 08:05:38.009667 | 2025-11-04 01:48:56.051829 | 14245985 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14245985 | Athletic Physical Therapy Inc | 1962-09-14 | 2025-11-05 | F | PT | N/A | MOORE | W2A952W18561 | YOLANDA | 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/2222/7447590/check_14245985_297b55f6-4739-460b-a618-33fc4cc7018f.json | N/A | N/A | N/A | N/A | N/A | WZA952W18561 | Preferred Provider Organization (PPO) | WARNER BROS DISCOVERY INC | ANTHEM BLUE CROSS | N/A | 1962-09-14 | 130 | 270240M25A | N/A | PR | false | MOORE | N/A | YOLANDA | N/A | 9999-12-31 | 2024-01-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191969970 | N/A | N/A | 7447590 | 2222 | 4801 | 14522433 | N/A | 6397797 | 2025-11-04 01:48:56.051829 | 2025-08-12 19:16:58.418300 |
| 2025-11-03 08:05:37.744952 | 2025-11-04 02:04:10.953343 | 14245965 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14245965 | Athletic Physical Therapy Inc | 1952-12-18 | 2025-11-05 | F | AE | PT | DU BRIN | 7KN7YG8XT63 | SUSAN | 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/2222/5538600/check_14245965_cc8791bd-b2e0-4680-a51b-3c5ce77b756a.json | N/A | N/A | N/A | N/A | N/A | 7KN7YG8XT63 | Medicare Part A | N/A | UNITED SERVICES AUTOMOBILE ASSOC | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-12-18 | S4802 | DOL 06142025 | N/A | MA | false | DU BRIN | N/A | SUSAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192003930 | N/A | N/A | 5538600 | 2222 | 4793 | 14556134 | N/A | 4210998 | 2025-11-04 02:04:10.953343 | 2026-02-23 18:49:01.874308 |
| 2025-11-03 08:05:37.381746 | 2025-11-04 02:04:08.733709 | 14245939 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14245939 | Athletic Physical Therapy Inc | 1954-01-24 | 2025-11-04 | F | AE | PT | DIGIOVANNI | 4N09TQ2YY18 | JILL | 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/2222/5538592/check_14245939_bb6a29ff-8aa2-475d-95dc-8d63692a4027.json | N/A | N/A | N/A | N/A | N/A | 4N09TQ2YY18 | Medicare Part B | N/A | SENTRY INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-24 | S4802 | DOL 11022017 | N/A | MB | false | DIGIOVANNI | N/A | JILL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192003929 | N/A | N/A | 5538592 | 2222 | 4801 | 14556104 | N/A | 4210993 | 2025-11-04 02:04:08.733709 | 2025-05-13 04:29:37.225395 |
| 2025-11-03 08:05:37.202942 | 2025-11-04 01:57:40.146973 | 14245928 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14245928 | Athletic Physical Therapy Inc | 1963-09-25 | 2025-11-06 | M | PT | N/A | zev | XED912627946 | ari | 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/2222/9280765/check_14245928_757d0910-1bea-4799-92ce-4cccbddcb09f.json | N/A | N/A | N/A | N/A | N/A | XED912627946 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-09-25 | 2001ZK002185 | X0001004 | N/A | PR | false | ZEV | N/A | ARI | N/A | 9999-12-31 | 2025-01-01 | SILVER 87 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192000846 | N/A | N/A | 9280765 | 2222 | 4802 | 14545535 | N/A | 7789190 | 2025-11-04 01:57:40.146973 | 2025-09-16 16:41:33.330373 |
| 2025-11-03 08:05:36.948037 | 2025-11-04 02:04:11.743971 | 14245907 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14245907 | Athletic Physical Therapy Inc | 1954-01-12 | 2025-11-04 | F | AE | PT | FINCH | 3YV4XM6FP06 | DAWN | 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/2222/5538472/check_14245907_954708e9-2b3d-47a4-86d6-62da7aa127fc.json | N/A | N/A | N/A | N/A | N/A | 3YV4XM6FP06 | Medicare Part B | N/A | OPTUM INSURANCE OF OHIO, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-12 | S8841 | N/A | N/A | MB | false | FINCH | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192003928 | N/A | N/A | 5538472 | 2222 | 4802 | 14556153 | N/A | 4210886 | 2025-11-04 02:04:11.743971 | 2025-05-13 04:29:37.225284 |
| 2025-11-03 08:05:36.613250 | 2025-11-04 01:56:46.657552 | 14245877 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14245877 | Athletic Physical Therapy Inc | 2006-06-08 | 2025-11-04 | M | PT | N/A | DATO | NGO555A50496 | LUKE | 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/2222/5538229/check_14245877_e36f3b8c-8e97-492b-ac02-561f613cfb9c.json | N/A | N/A | N/A | N/A | N/A | NGO555A50496 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 2006-06-08 | 040 | 174022MJAD | N/A | PR | false | DATO | N/A | GREGORY | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192003927 | N/A | N/A | 5538229 | 2222 | 4793 | 14543636 | N/A | 4210676 | 2025-11-04 01:56:46.657552 | 2026-05-21 21:09:28.809390 |
| 2025-11-03 08:05:36.123550 | 2025-11-04 02:04:22.853123 | 14245848 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14245848 | Athletic Physical Therapy Inc | 1950-09-27 | 2025-11-04 | F | AE | PT | THOMSEN | 1M31KQ8DJ99 | JANET | 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/2222/5537950/check_14245848_85f94257-3a89-42a6-a664-eb4b56c9fe5b.json | N/A | N/A | N/A | N/A | N/A | 1M31KQ8DJ99 | N/A | N/A | CMS | N/A | 1950-09-27 | N/A | N/A | N/A | N/A | false | THOMSEN | N/A | JANET | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192003926 | N/A | N/A | 5537950 | 2222 | 4801 | 14556324 | N/A | 4210450 | 2025-11-04 02:04:22.853123 | 2026-05-04 21:51:25.248197 |
| 2025-11-03 08:05:35.992420 | 2025-11-04 01:54:57.810175 | 14245836 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14245836 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-11-05 | F | AE | PT | SHAKIB | 1MR6XC7NU77 | PARI | 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/2222/7444722/check_14245836_cf4fccd4-bac8-4afd-8823-33a07083657a.json | N/A | N/A | N/A | N/A | N/A | 1MR6XC7NU77 | Medicare Part A | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-05-04 | H5521 | N/A | N/A | MA | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191971893 | N/A | N/A | 7444722 | 2222 | 4802 | 14539224 | N/A | 6395498 | 2025-11-04 01:54:57.810175 | 2026-02-18 02:38:35.073779 |
| 2025-11-03 08:05:35.658448 | 2025-11-04 02:04:09.740958 | 14245820 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14245820 | Athletic Physical Therapy Inc | 1952-03-25 | 2025-11-06 | F | AE | PT | DRIMMER | 8E03WF9AM78 | NADIA | 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/2222/5537826/check_14245820_3812c8a2-4ec9-4b79-8311-fd1e8432f0eb.json | N/A | N/A | N/A | N/A | N/A | 8E03WF9AM78 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-03-25 | S5921 | N/A | N/A | MA | false | DRIMMER | N/A | NADIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192003925 | N/A | N/A | 5537826 | 2222 | 4802 | 14556119 | N/A | 4210338 | 2025-11-04 02:04:09.740958 | 2025-05-13 04:29:37.224744 |
| 2025-11-03 08:05:35.174373 | 2025-11-04 01:58:05.559964 | 14245793 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14245793 | Athletic Physical Therapy Inc | 1980-08-15 | 2025-11-05 | F | PT | N/A | SNELL | XED912271222 | NICOLE | 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/2222/5537740/check_14245793_f0399c19-f32d-4e2b-8fb9-952c4f015437.json | N/A | N/A | N/A | N/A | N/A | XED912271222 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-08-15 | 2001ZK002185 | X0001004 | N/A | PR | false | SNELL | N/A | NICOLE | N/A | 9999-12-31 | 2023-06-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192003924 | N/A | N/A | 5537740 | 2222 | 4802 | 14546463 | N/A | 4210260 | 2025-11-04 01:58:05.559964 | 2025-05-13 04:29:37.224672 |
| 2025-11-03 08:05:34.537797 | 2025-11-04 01:56:15.101986 | 14245757 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14245757 | Athletic Physical Therapy Inc | 1949-09-13 | 2025-11-05 | M | AE | PT | GOMES | 00000285293 | NEMESIO | 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/2222/5537439/check_14245757_64dce2d9-c89d-401e-be04-325d844386a8.json | N/A | N/A | N/A | N/A | N/A | 00000285293 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-09-13 | H3815028 | N/A | N/A | HM | false | GOMES | N/A | NEMESIO | 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 | 9192003923 | N/A | N/A | 5537439 | 2222 | 4801 | 14542305 | 2630 | 4210001 | 2025-11-04 01:56:15.101986 | 2025-05-13 04:29:37.224421 |
| 2025-11-03 08:05:34.119494 | 2025-11-04 01:54:41.771186 | 14245738 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 14245738 | Athletic Physical Therapy Inc | 1957-02-16 | 2025-11-04 | F | AE | PT | OSE | 40050866601 | KAREN | 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/2222/5537366/check_14245738_3efc0d1c-59b3-4e83-b060-305487aa8776.json | N/A | N/A | N/A | N/A | N/A | 40050866601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1957-02-16 | 2025H5425001 | H5425M | N/A | N/A | false | OSE | N/A | KAREN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192003921 | N/A | N/A | 5537366 | 2222 | 4793 | 14538625 | N/A | 4209945 | 2025-11-04 01:54:41.771186 | 2025-08-13 22:24:17.841096 |
| 2025-11-03 08:05:33.684435 | 2025-11-04 01:56:54.126098 | 14245713 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14245713 | Athletic Physical Therapy Inc | 1964-10-19 | 2025-11-04 | M | PT | N/A | NIELSEN | XDP057A76330 | ROY | 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/2222/5537188/check_14245713_7df3d4c2-d578-4f02-b316-db3af73d6ecd.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | N/A | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629MN16 | N/A | N/A | false | NIELSEN | N/A | ROY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192003920 | N/A | N/A | 5537188 | 2222 | 4802 | 14543956 | N/A | 4209789 | 2025-11-04 01:56:54.126098 | 2025-05-13 04:29:37.224215 |
| 2025-11-03 08:05:33.172051 | 2025-11-04 01:56:53.424522 | 14245677 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14245677 | Athletic Physical Therapy Inc | 1954-03-31 | 2025-11-04 | M | PT | N/A | MILES | MBL835W05431 | KEITH | 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/2222/5536896/check_14245677_b9e7ab0a-1e8e-4d62-a725-4b020e54a212.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | 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 | 9192003918 | N/A | N/A | 5536896 | 2222 | 4793 | 14543928 | N/A | 4209567 | 2025-11-04 01:56:53.424522 | 2025-05-13 04:29:37.223990 |
| 2025-11-03 08:05:32.660185 | 2025-11-04 01:56:50.457411 | 14245638 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14245638 | Athletic Physical Therapy Inc | 1969-03-28 | 2025-11-05 | M | PT | N/A | KOSTER | DGA11321380J | KEVIN | 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/2222/5536722/check_14245638_6d2ce0f3-80a4-4c79-ab54-b7b160bcdbce.json | N/A | N/A | N/A | N/A | N/A | DGA11321380J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1969-03-28 | 040 | 276945M001 | N/A | PR | false | KOSTER | N/A | KEVIN | N/A | 9999-12-31 | 2025-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192003917 | N/A | N/A | 5536722 | 2222 | 4802 | 14543806 | N/A | 4209420 | 2025-11-04 01:56:50.457411 | 2025-05-13 04:29:37.223843 |
| 2025-11-03 08:05:32.235570 | 2025-11-04 01:56:42.261993 | 14245602 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14245602 | Athletic Physical Therapy Inc | 1975-05-16 | 2025-11-06 | F | PT | N/A | BERRY | GGS142A51835 | LEANNE | 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/2222/5536701/check_14245602_fb7d3a48-dc8d-4235-ac55-9db3d723d356.json | N/A | N/A | N/A | N/A | N/A | GGS142A51835 | Preferred Provider Organization (PPO) | GOOGLE PPO | ANTHEM BLUE CROSS | N/A | 1975-05-16 | 040 | 174134M2A1 | N/A | PR | false | BERRY | N/A | CRAIG | N/A | 9999-12-31 | 2017-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192003914 | N/A | N/A | 5536701 | 2222 | 4802 | 14543433 | N/A | 4209398 | 2025-11-04 01:56:42.261993 | 2025-11-05 08:20:15.147573 |
| 2025-11-03 08:05:31.849926 | 2025-11-04 01:56:43.791114 | 14245572 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14245572 | Athletic Physical Therapy Inc | 1974-05-24 | 2025-11-04 | F | PT | N/A | CLARK | JQU645W04003 | CLAUDIA | 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/2222/5536134/check_14245572_f8ba3b14-2b27-4126-9e79-55a087b3a2ee.json | N/A | N/A | N/A | N/A | N/A | JQU645W04003 | Preferred Provider Organization (PPO) | ATHLETIC PHYSICAL THERAPY INC | ANTHEM BLUE CROSS | N/A | 1974-05-24 | 040 | G76231 | N/A | PR | false | CLARK | N/A | STEPHEN | N/A | 9999-12-31 | 2025-01-01 | CA SG ANTHEM HSA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192003913 | N/A | N/A | 5536134 | 2222 | 4793 | 14543512 | N/A | 4208937 | 2025-11-04 01:56:43.791114 | 2026-02-26 17:45:27.761245 |
| 2025-11-03 08:05:31.349134 | 2025-11-04 01:56:41.420151 | 14245533 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 14245533 | Athletic Physical Therapy Inc | 1947-04-18 | 2025-11-05 | F | PT | N/A | BELL | MNL880M78427 | JACQUELYN | 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/2222/5536041/check_14245533_427fb511-9e23-4304-be37-f33b0ac90ddc.json | N/A | N/A | N/A | N/A | N/A | MNL880M78427 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1947-04-18 | 040 | CAMCRWP0 | N/A | MP | false | BELL | N/A | JACQUELYN | N/A | 2025-12-31 | 2024-07-01 | CA H4471-001-000 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192003912 | N/A | N/A | 5536041 | 2222 | 4802 | 14543401 | 4184 | 4208856 | 2025-11-04 01:56:41.420151 | 2025-05-13 04:29:37.223284 |
| 2025-11-03 08:05:30.892117 | 2025-11-04 02:04:18.306063 | 14245501 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14245501 | Athletic Physical Therapy Inc | 1945-09-15 | 2025-11-06 | F | AE | PT | KHORSANDI | 3CF4YQ5UH79 | PARIVASH | 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/2222/5536010/check_14245501_37d12993-8100-46d3-b31d-4db895b16da7.json | N/A | N/A | N/A | N/A | N/A | 3CF4YQ5UH79 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-09-15 | S5921 | N/A | N/A | MA | false | KHORSANDI | N/A | PARIVASH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192003910 | N/A | N/A | 5536010 | 2222 | 4802 | 14556250 | N/A | 4208831 | 2025-11-04 02:04:18.306063 | 2025-10-30 22:42:31.399473 |
| 2025-11-03 08:05:30.340539 | 2025-11-04 02:04:23.850352 | 14245470 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14245470 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-11-05 | M | AE | PT | ULLMAN | 3A76X26KQ40 | DAVID | 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/2222/5535838/check_14245470_b7ef593a-7e51-41d9-924b-fbc428fca177.json | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192003902 | N/A | N/A | 5535838 | 2222 | 4801 | 14556333 | N/A | 4208696 | 2025-11-04 02:04:23.850352 | 2025-06-07 16:16:45.844566 |
| 2025-11-03 08:05:29.903925 | 2025-11-04 01:54:42.533977 | 14245439 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 14245439 | Athletic Physical Therapy Inc | 1952-12-16 | 2025-11-05 | F | AE | PT | PORTER | 400282215401 | SHERIL | 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/2222/5535434/check_14245439_cfc591f6-7e4a-422e-ae3f-be347ff191a1.json | N/A | N/A | N/A | N/A | N/A | 40028215401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-12-16 | 2025H5425001 | H5425M | N/A | N/A | false | PORTER | N/A | SHERIL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192003900 | N/A | N/A | 5535434 | 2222 | 4793 | 14538656 | N/A | 4208356 | 2025-11-04 01:54:42.533977 | 2025-08-25 14:49:27.724897 |
| 2025-11-03 08:05:29.522710 | 2025-11-04 01:55:50.672269 | 14245413 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14245413 | Athletic Physical Therapy Inc | 1995-10-05 | 2025-11-04 | M | PT | N/A | HERNANDEZ | BWW2515564100 | JONATHAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.190823034.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9279057/check_14245413_1027eb54-5872-467e-96bb-dacd091f2a66.json | N/A | N/A | N/A | N/A | N/A | BWW2515564100 | Preferred Provider Organization (PPO) | TASI | ANTHEM BLUE CROSS | N/A | 1995-10-05 | N/A | 3003813 | N/A | PR | false | HERNANDEZ | N/A | JONATHAN | N/A | 2999-12-31 | 2025-01-01 | BBC BENEFITS CO. - MID OPTION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192000573 | N/A | N/A | 9279057 | 2222 | 4801 | 14541286 | N/A | 4211907 | 2025-11-04 01:55:50.672269 | 2025-05-13 04:29:37.226233 |
| 2025-11-03 08:05:28.252900 | 2025-11-04 03:34:34.464298 | 14245311 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 14245311 | Athletic Physical Therapy Inc | 1950-06-01 | 2025-11-04 | F | AE | PT | MCDEVITT | H7220666800 | GUADALUPE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170347268.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6221805/check_14245311_c1cb31b0-2e11-4da3-b235-3cd585e15d29.json | N/A | N/A | N/A | N/A | N/A | H72206668 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1950-06-01 | N/A | 0B527001 | N/A | HN | false | MCDEVITT | N/A | GUADALUPE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192095921 | N/A | N/A | 6221805 | 2222 | 4801 | 14564900 | N/A | 4865742 | 2025-11-04 03:34:34.464298 | 2025-06-11 15:46:59.098537 |
| 2025-11-03 08:05:23.061225 | 2025-11-04 01:38:34.251579 | 14244862 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14244862 | Athletic Physical Therapy Inc | 1955-11-13 | 2025-11-06 | F | AE | PT | GRANT | 9JA3JK2TK87 | ROBIN | 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/2222/8493311/check_14244862_c0f97814-e6f6-4bdd-8731-2118c88c6a69.json | N/A | N/A | N/A | N/A | N/A | 9JA3JK2TK87 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-11-13 | S4802 | N/A | N/A | MA | false | GRANT | N/A | ROBIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192033662 | N/A | N/A | 8493311 | 2222 | 4802 | 14498160 | N/A | 7159835 | 2025-11-04 01:38:34.251579 | 2025-08-25 22:38:59.735145 |
| 2025-11-03 08:05:18.199112 | 2025-11-04 05:35:32.622712 | 14244495 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14244495 | Athletic Physical Therapy Inc | 1970-10-11 | 2025-11-05 | M | PT | N/A | Kahen | XEK909669840 | Shervin | 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/2222/7787192/check_14244495_b59a9464-c5dd-49ff-a2d2-5cf3075d7167.json | N/A | N/A | N/A | N/A | N/A | XEK909669840 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1970-10-11 | 2001ZK002195 | X0001000 | N/A | PR | false | KAHEN | N/A | SHERVIN | N/A | 9999-12-31 | 2025-05-18 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191989944 | N/A | N/A | 7787192 | 2222 | 4802 | 14583573 | N/A | 6631054 | 2025-11-04 05:35:32.622712 | 2025-12-12 20:45:04.787542 |
| 2025-11-03 08:05:18.135813 | 2025-11-04 01:32:04.165892 | 14244491 | N/A | N/A | 60054 | Aetna | 1114042165 | 14244491 | Athletic Physical Therapy Inc | 1976-05-10 | 2025-11-06 | M | AE | PT | RAMIREZ | 9537353099 | ROY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.165641836.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6865171/check_14244491_54a2f9e0-88ab-47de-a5a6-b55ef97c6ba8.json | N/A | N/A | N/A | N/A | N/A | 9537353099 | Group Policy | N/A | AETNA INC | PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE, IND. OUT OF POCKET, FAMILY OUT OF POCKET INFORMATION | 1976-05-10 | A01 | 20086 | N/A | GP | false | RAMIREZ | N/A | ROY | N/A | N/A | N/A | WORKDAY INC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192047698 | N/A | N/A | 6865171 | 2222 | 4801 | 14489767 | N/A | 5902840 | 2025-11-04 01:32:04.165892 | 2025-07-28 18:58:27.354873 |
| 2025-11-03 08:05:15.227315 | 2025-11-04 05:34:30.006254 | 14244294 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14244294 | Athletic Physical Therapy Inc | 1959-09-25 | 2025-11-05 | F | AE | PT | SIQUEIROS | 00000416329 | NEOMI | 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/2222/7783566/check_14244294_64c1fa26-25e4-4046-89b4-6c3b3031703a.json | N/A | N/A | N/A | N/A | N/A | 00000416329 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1959-09-25 | H3815028 | N/A | N/A | HM | false | SIQUEIROS | N/A | NEOMI | 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 | 9191989920 | N/A | N/A | 7783566 | 2222 | 4793 | 14583159 | 2630 | 6628802 | 2025-11-04 05:34:30.006254 | 2025-08-05 16:32:50.217064 |
| 2025-11-03 08:05:14.765343 | 2025-11-04 01:48:02.783606 | 14244250 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14244250 | Athletic Physical Therapy Inc | 1966-07-12 | 2025-11-05 | M | AE | PT | Cohn | R06589895MM1 | David | 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/2222/7315101/check_14244250_b9d06ecd-84f4-4ce3-9834-ffd834feb114.json | N/A | N/A | N/A | N/A | N/A | R06589895MM1 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1966-07-12 | N/A | CA05620125 | N/A | N/A | false | COHN | N/A | DAVID | N/A | N/A | N/A | WELLCARE SIMPLE FOCUS (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191969933 | N/A | N/A | 7315101 | 2222 | 4802 | 14519516 | N/A | 6152454 | 2025-11-04 01:48:02.783606 | 2025-07-17 21:44:04.596080 |
| 2025-11-03 08:05:14.387356 | 2025-11-04 01:34:43.063950 | 14244217 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 14244217 | Athletic Physical Therapy Inc | 1957-01-26 | 2025-11-05 | F | PT | N/A | TAKAHATA | 980555379000 | NANCY | 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/2222/8471583/check_14244217_72c0a1be-7736-4647-b382-cef20884ed2c.json | N/A | N/A | N/A | N/A | N/A | XEE980555379 | Other | MEDICARE ADVANTAGE INDIVIDUAL | BLUE SHIELD CALIFORNIA | N/A | 1957-01-26 | 1000HMOX0019 | W0051752 | N/A | OT | false | TAKAHATA | N/A | NANCY | N/A | 9999-12-31 | 2022-11-01 | BLUE SHIELD 65 PLUS OPTIONAL SUPPLEMENTAL DENTAL P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9192033176 | N/A | N/A | 8471583 | 2222 | 4802 | 14492369 | N/A | 7142489 | 2025-11-04 01:34:43.063950 | 2025-08-25 17:38:35.061335 |
| 2025-11-03 08:05:14.302943 | 2025-11-04 01:32:55.340925 | 14244209 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 14244209 | Athletic Physical Therapy Inc | 1971-12-09 | 2025-11-05 | F | AE | PT | OSTERHOUDT | U2156506701 | TRACY | 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/2222/8471577/check_14244209_ee283ed9-e7e1-446e-85a6-634143e619d1.json | N/A | N/A | N/A | N/A | N/A | U2156506701 | Health Maintenance Organization (HMO) | CAPITAL GROUP | CGLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1971-12-09 | N/A | 3173816 | N/A | HM | false | OSTERHOUDT | N/A | TRACY | N/A | N/A | N/A | NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192033137 | N/A | N/A | 8471577 | 2222 | 4801 | 14490605 | N/A | 7142472 | 2025-11-04 01:32:55.340925 | 2025-09-06 16:19:59.701160 |
| 2025-11-03 08:05:10.616639 | 2025-11-04 05:31:56.053319 | 14243897 | N/A | N/A | 60054 | Aetna | 1114042165 | 14243897 | Athletic Physical Therapy Inc | 1973-08-11 | 2025-11-06 | M | AE | PT | YAMASAKI | W121490267 | KENNY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170520592.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7761496/check_14243897_e4d7326e-e310-4455-8539-4116214823b5.json | N/A | N/A | N/A | N/A | N/A | W121490767 | Point of Service (POS) | LIONSGATE ENTERTAINMENT INC. | AETNA | N/A | 1973-08-11 | 0881709 | 088170902100001 | N/A | PS | false | YAMASAKI | N/A | KENNY | N/A | N/A | N/A | OA MANAGED CHOICE POS HDHP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191989256 | N/A | N/A | 7761496 | 2222 | 4802 | 14582148 | N/A | 6610810 | 2025-11-04 05:31:56.053319 | 2025-08-04 22:41:35.670334 |
| 2025-11-03 08:05:07.016136 | 2025-11-04 05:32:42.981828 | 14243659 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 14243659 | Athletic Physical Therapy Inc | 1951-03-20 | 2025-11-05 | F | AE | PT | TOY | H77237018 | NELDA | 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/2222/7754038/check_14243659_ca5ec28e-0ebb-4fcb-a688-6a2f17c8ae80.json | N/A | N/A | N/A | N/A | N/A | H77237018 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 695 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1951-03-20 | N/A | 0B515001 | N/A | HN | false | TOY | N/A | NELDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191989639 | N/A | N/A | 7754038 | 2222 | 4793 | 14582438 | N/A | 6605178 | 2025-11-04 05:32:42.981828 | 2025-08-12 21:10:43.412607 |
| 2025-11-03 08:05:05.880222 | 2025-11-04 01:42:37.677044 | 14243578 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 14243578 | Athletic Physical Therapy Inc | 2014-05-27 | 2025-11-06 | F | AE | PT | Odate | 96680377F | Keina | 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/2222/7295079/check_14243578_74412def-009f-4143-836c-d5ad20e3a092.json | N/A | N/A | N/A | N/A | N/A | 96680377F | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2014-05-27 | N/A | N/A | N/A | N/A | false | ODATE | N/A | KEINA | N/A | 2078-12-31 | 2025-05-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191967789 | N/A | N/A | 7295079 | 2222 | 4802 | 14506354 | N/A | 6254701 | 2025-11-04 01:42:37.677044 | 2026-05-21 14:19:15.159394 |
| 2025-11-03 08:05:05.738199 | 2025-11-04 01:50:09.700248 | 14243567 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14243567 | Athletic Physical Therapy Inc | 1963-01-14 | 2025-11-06 | F | PT | N/A | KRAFT | XED911569862 | KATHRIN | 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/2222/7294742/check_14243567_3adcc4df-10d2-4261-923f-abdb073f5cbb.json | N/A | N/A | N/A | N/A | N/A | XED911569862 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-01-14 | 2001ZK002184 | X0001004 | N/A | PR | false | KRAFT | N/A | KATHRIN | N/A | 9999-12-31 | 2022-08-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191967787 | N/A | N/A | 7294742 | 2222 | 4801 | 14526447 | N/A | 6254569 | 2025-11-04 01:50:09.700248 | 2025-08-12 09:24:43.956957 |
| 2025-11-03 08:05:05.358433 | 2025-11-04 01:48:56.415173 | 14243541 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14243541 | Athletic Physical Therapy Inc | 1957-10-25 | 2025-11-05 | F | PT | N/A | YINGER | MBL827W13948 | COLLEEN | 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/2222/7292126/check_14243541_fd1ad158-0c9d-408a-a101-37d2516f0633.json | N/A | N/A | N/A | N/A | N/A | MBL827W13948 | N/A | THE AEROSPACE CORPORATION | ANTHEM BLUE CROSS | N/A | 1957-10-25 | 040 | CAEGR020 | N/A | N/A | false | YINGER | N/A | COLLEEN | N/A | 9999-12-31 | 2022-10-01 | CA GRS AEROSPACE H4036-801 ANTHEM MEDICARE PREFERR | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191967769 | N/A | N/A | 7292126 | 2222 | 4793 | 14522463 | N/A | 6252902 | 2025-11-04 01:48:56.415173 | 2025-07-22 20:37:37.157960 |
| 2025-11-03 08:04:59.381779 | 2025-11-04 01:51:13.168451 | 14243216 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14243216 | Athletic Physical Therapy Inc | 1953-06-17 | 2025-11-06 | M | AE | PT | THOMPSON | XEM906571592 | JAMES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170321791.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577657/check_14243216_21e9fdb0-cca1-46e7-8f14-faaf7192b571.json | N/A | N/A | N/A | N/A | N/A | XEM906571592 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1953-06-17 | 2004SF000028 | X0001002 | N/A | OT | false | THOMPSON | N/A | JAMES | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9192020477 | N/A | N/A | 6577657 | 2222 | 4793 | 14529770 | N/A | 5197700 | 2025-11-04 01:51:13.168451 | 2025-06-30 15:33:47.069983 |