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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-02 07:10:55.344949 | 2025-11-04 01:50:55.439508 | 14227930 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14227930 | Athletic Physical Therapy Inc | 1959-04-01 | 2025-11-05 | M | PT | MOYER | W0051411 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170417773.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11282027/check_14227930_3403fe13-16fb-42d3-8ceb-300d4df4f3a9.json | N/A | N/A | N/A | N/A | N/A | W0051411 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1959-04-01 | N/A | N/A | N/A | N/A | false | MOYER | N/A | STEVEN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191535265 | N/A | N/A | 11282027 | 2222 | 4801 | 14528926 | N/A | 9581032 | 2025-11-04 01:50:55.439508 | 2025-10-21 22:24:54.464325 |
| 2025-11-02 07:10:53.029100 | 2025-11-04 01:45:59.456581 | 14227796 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14227796 | Athletic Physical Therapy Inc | 1942-12-02 | 2025-11-03 | M | AE | Lawrence | 5N91QT7KX96 | Harvey | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184322577.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11156181/check_14227796_fa92b201-0327-49e9-a176-d11e75fa0c1a.json | N/A | N/A | N/A | N/A | N/A | 5N91QT7KX96 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-12-02 | S5884 | N/A | N/A | MB | false | LAWRENCE | N/A | HARVEY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191538054 | N/A | N/A | 11156181 | 2222 | 4802 | 14514051 | N/A | 9502693 | 2025-11-04 01:45:59.456581 | 2025-12-16 19:10:22.413376 |
| 2025-11-02 07:10:50.769793 | 2025-11-04 01:50:13.138551 | 14227642 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14227642 | Athletic Physical Therapy Inc | 1941-08-23 | 2025-11-04 | M | AE | E Bogen | WXY0981A22808 | Andrew | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170417773.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11174641/check_14227642_f85d9312-8736-44f1-b52d-0fee211f85e7.json | N/A | N/A | N/A | N/A | N/A | WXY0981A22808 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1941-08-23 | N/A | N/A | N/A | N/A | false | E BOGEN | N/A | ANDREW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191535210 | N/A | N/A | 11174641 | 2222 | 4802 | 14526646 | N/A | 9519718 | 2025-11-04 01:50:13.138551 | 2026-02-02 19:30:57.219688 |
| 2025-11-02 07:10:49.733153 | 2025-11-04 01:52:01.662006 | 14227576 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14227576 | Athletic Physical Therapy Inc | 1968-12-01 | 2025-11-05 | F | PT | BECERRA | CZCAN2537305 | BLANCA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184417618.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9487590/check_14227576_b98a1584-0c28-48f0-a1eb-648ca4f9da43.json | N/A | N/A | N/A | N/A | N/A | CZCAN2537305 | Preferred Provider Organization (PPO) | PPO W/BLUE DISTINCTION W/AIM FTR GOLD | BLUE SHIELD OF CALIFORNIA | N/A | 1968-12-01 | 060 | 270196M71A | N/A | PR | false | BECERRA | N/A | JAIME | N/A | 9999-12-31 | 2022-01-01 | CT BLUE CARD PREFERRED PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191559034 | N/A | N/A | 9487590 | 2222 | 4793 | 14532001 | N/A | 7937217 | 2025-11-04 01:52:01.662006 | 2025-09-26 14:34:41.732941 |
| 2025-11-02 07:10:48.005847 | 2025-11-04 03:51:04.429960 | 14227468 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14227468 | Athletic Physical Therapy Inc | 1936-09-29 | 2025-11-04 | M | AE | JAUDE | JQE122A53874 | KARIM | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170515030.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6821574/check_14227468_17705c28-ae4a-4e45-b3c8-d4ef019ffbc7.json | N/A | N/A | N/A | N/A | N/A | JQE122A53874 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1936-09-29 | 040 | CASUPWP0 | N/A | N/A | false | JAUDE | N/A | KARIM | N/A | 9999-12-31 | 2023-12-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191549563 | N/A | N/A | 6821574 | 2222 | 4802 | 14578994 | N/A | 4214191 | 2025-11-04 03:51:04.429960 | 2025-05-13 04:29:37.228525 |
| 2025-11-02 07:10:47.148472 | 2025-11-04 01:44:12.092138 | 14227412 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14227412 | Athletic Physical Therapy Inc | 1956-12-19 | 2025-11-03 | F | AE | YEN | 7QK3HE4XQ19 | JENNY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170534723.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10033466/check_14227412_86143328-22d8-4988-9d85-89b5bae69951.json | N/A | N/A | N/A | N/A | N/A | 7QK3HE4XQ19 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-12-19 | S4802 | N/A | N/A | MB | false | YEN | N/A | JENNY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191545334 | N/A | N/A | 10033466 | 2222 | 4793 | 14509591 | N/A | 8398587 | 2025-11-04 01:44:12.092138 | 2025-10-07 14:21:54.880940 |
| 2025-11-02 07:10:43.387638 | 2025-11-04 01:36:57.444156 | 14227181 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 14227181 | Athletic Physical Therapy Inc | 1966-10-24 | 2025-11-04 | F | AE | DUARTE | 99133977C | TERESA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170534723.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10032559/check_14227181_4cd8821d-a7d4-4d86-8373-7d00f5aa9603.json | N/A | N/A | N/A | N/A | N/A | 99133977C | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 04/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1966-10-24 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | DUARTE | N/A | TERESA | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191543686 | N/A | N/A | 10032559 | 2222 | 4802 | 14495034 | N/A | 8397995 | 2025-11-04 01:36:57.444156 | 2025-10-06 22:35:05.038045 |
| 2025-11-02 07:10:41.268263 | 2025-11-04 01:44:11.759248 | 14227049 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14227049 | Athletic Physical Therapy Inc | 1956-07-25 | 2025-11-04 | M | AE | WHITAKER | 2QX8KU9UC57 | RICHARD | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170534723.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10030667/check_14227049_888b1e22-28f1-4f32-a08d-9b27a9b58d5e.json | N/A | N/A | N/A | N/A | N/A | 2QX8KU9UC57 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-07-25 | S4802 | N/A | N/A | MB | false | WHITAKER | N/A | RICHARD | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191543654 | N/A | N/A | 10030667 | 2222 | 4801 | 14509572 | N/A | 8396855 | 2025-11-04 01:44:11.759248 | 2026-04-30 15:25:27.283280 |
| 2025-11-02 07:10:38.686091 | 2025-11-04 01:51:17.527719 | 14226903 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 14226903 | Athletic Physical Therapy Inc | 1990-09-10 | 2025-11-05 | M | AE | Szymanski | 974058888F | Micah | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184417618.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9480224/check_14226903_a67c2c82-d30d-43fc-aded-1114ce60e455.json | N/A | N/A | N/A | N/A | N/A | 974058888F | N/A | N/A | AMERIHEALTH CARITAS LOUISIANA | N/A | N/A | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191557865 | N/A | N/A | 9480224 | 2222 | 4802 | 14529999 | N/A | 7931021 | 2025-11-04 01:51:17.527719 | 2025-09-17 22:04:09.763232 |
| 2025-11-02 07:10:35.699798 | 2025-11-04 01:50:16.276171 | 14226740 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 14226740 | Athletic Physical Therapy Inc | 1943-02-06 | 2025-11-04 | F | AE | TIPPITT | 40065208701 | SHIRLEY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184321221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10305383/check_14226740_1fd5fdba-ac80-4ca6-8e5d-466c83d06a09.json | N/A | N/A | N/A | N/A | N/A | 40065208701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1943-02-06 | 2025H5425001 | H5425M | N/A | N/A | false | TIPPITT | N/A | SHIRLEY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191529519 | N/A | N/A | 10305383 | 2222 | 4793 | 14526842 | N/A | 8574477 | 2025-11-04 01:50:16.276171 | 2025-10-22 02:47:47.756973 |
| 2025-11-02 07:10:33.746083 | 2025-11-04 03:51:01.189112 | 14226633 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14226633 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-11-04 | M | AE | CICCIARI | JQE123W23890 | LOUIS | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170515030.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752939/check_14226633_0f303a65-aa84-4f18-ab45-e6476840fb4f.json | N/A | N/A | N/A | N/A | N/A | JQE123W23890 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-09-07 | 040 | CASUPWP0 | N/A | N/A | false | CICCIARI | N/A | LOUIS | N/A | 9999-12-31 | 2025-06-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191549527 | N/A | N/A | 6752939 | 2222 | 4801 | 14578977 | N/A | 5065602 | 2025-11-04 03:51:01.189112 | 2025-07-01 17:25:13.681724 |
| 2025-11-02 07:10:32.650294 | 2025-11-04 01:50:55.850780 | 14226571 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14226571 | Athletic Physical Therapy Inc | 1947-09-07 | 2025-11-05 | F | AE | SHIBUYA | XEM906397835 | LINDA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170417773.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11087597/check_14226571_ed9b33b8-4a62-424c-bb24-7f7e5df1d160.json | N/A | N/A | N/A | N/A | N/A | XEM906397835 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1947-09-07 | 2002SD000004 | X0001002 | N/A | OT | false | SHIBUYA | N/A | LINDA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191535691 | N/A | N/A | 11087597 | 2222 | 4801 | 14528951 | N/A | 9440436 | 2025-11-04 01:50:55.850780 | 2025-10-28 16:54:37.049151 |
| 2025-11-02 07:10:30.745969 | 2025-11-04 01:36:32.894678 | 14226443 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 14226443 | Athletic Physical Therapy Inc | 1953-11-10 | 2025-11-04 | F | AE | Herreres | H6884136600 | Irene | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170534723.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10019260/check_14226443_6a4ad708-cac5-4264-99ca-061d135a05c0.json | N/A | N/A | N/A | N/A | N/A | H6884136600 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-11-10 | N/A | N/A | N/A | N/A | false | HERRERES | N/A | IRENE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191543327 | N/A | N/A | 10019260 | 2222 | 4801 | 14494333 | N/A | 8386960 | 2025-11-04 01:36:32.894678 | 2025-10-06 18:27:19.967736 |
| 2025-11-02 07:10:27.723338 | 2025-11-04 03:51:03.145667 | 14226248 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14226248 | Athletic Physical Therapy Inc | 1959-07-23 | 2025-11-04 | M | AE | Harvey | LFYHC0062508 | Roy | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170515030.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714942/check_14226248_f5c81802-e6c1-4cd7-9e11-811c8e3ae8fd.json | N/A | N/A | N/A | N/A | N/A | LFYHC0062508 | Preferred Provider Organization (PPO) | LOS ANGELES FIREMENS RELIEF ASSOCIATION - RETIREE | ANTHEM BLUE CROSS | N/A | 1959-07-23 | 040 | 282527M002 | N/A | PR | false | HARVEY | N/A | ROY | N/A | 9999-12-31 | 2020-02-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191548430 | N/A | N/A | 6714942 | 2222 | 4802 | 14578987 | N/A | 5316172 | 2025-11-04 03:51:03.145667 | 2025-07-02 15:09:36.678003 |
| 2025-11-02 07:10:27.611507 | 2025-11-04 03:51:02.822499 | 14226239 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14226239 | Athletic Physical Therapy Inc | 1951-10-16 | 2025-11-04 | F | AE | GARRETT | JQE702W20596 | KATHLEEN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170515030.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714934/check_14226239_57569c54-fe53-4cc2-919b-d29919e0b59a.json | N/A | N/A | N/A | N/A | N/A | JQE702W20596 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-10-16 | 040 | CASUPWP0 | N/A | N/A | false | GARRETT | N/A | KATHLEEN | N/A | 9999-12-31 | 2024-07-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191548429 | N/A | N/A | 6714934 | 2222 | 4793 | 14578986 | N/A | 5316176 | 2025-11-04 03:51:02.822499 | 2025-07-01 18:44:12.927482 |
| 2025-11-02 07:10:26.525748 | 2025-11-04 01:39:34.020472 | 14226168 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14226168 | Athletic Physical Therapy Inc | 1971-06-10 | 2025-11-05 | F | PT | MOON | JXN970A77206 | ESTHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170534723.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10016777/check_14226168_e380465e-a407-4743-87c2-46333775bafc.json | N/A | N/A | N/A | N/A | N/A | JXN970A77206 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1971-06-10 | 040 | 174222M3A1 | N/A | PR | false | PARK | N/A | JOHN | N/A | 9999-12-31 | 2020-06-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191544453 | N/A | N/A | 10016777 | 2222 | 4801 | 14500308 | N/A | 8385299 | 2025-11-04 01:39:34.020472 | 2025-11-05 17:13:51.765755 |
| 2025-11-02 07:10:21.193216 | 2025-11-04 01:50:13.552414 | 14225751 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14225751 | Athletic Physical Therapy Inc | 1953-06-18 | 2025-11-04 | F | AE | REISMAN | WRXA13289369 | GAIL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170417773.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10984907/check_14225751_240a2e16-ac46-4857-a118-150cc2611d58.json | N/A | N/A | N/A | N/A | N/A | WRXA13289369 | Preferred Provider Organization (PPO) | WRITERS GUILD INDUSTRY HEALTH FUND | MEDICARE B | N/A | 1953-06-18 | 040 | 277242M003 | N/A | PR | false | REISMAN | N/A | MARK | N/A | 9999-12-31 | 2025-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191535918 | N/A | N/A | 10984907 | 2222 | 4802 | 14526673 | N/A | 9156222 | 2025-11-04 01:50:13.552414 | 2026-01-08 22:56:20.879547 |
| 2025-11-02 07:10:16.581099 | 2025-11-04 01:55:30.967839 | 14225366 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14225366 | Athletic Physical Therapy Inc | 1949-05-23 | 2025-11-05 | M | AE | BRYCE | 3RR7JD8YV50 | CHARLES | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184223300.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9635919/check_14225366_d75b1004-19a9-43cb-88e0-e7e1b510a54c.json | N/A | N/A | N/A | N/A | N/A | 3RR7JD8YV50 | N/A | N/A | CMS | N/A | 1949-05-23 | N/A | N/A | N/A | N/A | false | BRYCE | N/A | CHARLES | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191517887 | N/A | N/A | 9635919 | 2222 | 4793 | 14540498 | N/A | 8061954 | 2025-11-04 01:55:30.967839 | 2025-09-22 22:24:30.945378 |
| 2025-11-02 07:10:16.542820 | 2025-11-04 01:53:01.388209 | 14225362 | N/A | N/A | 60054 | Aetna | 1114042165 | 14225362 | Athletic Physical Therapy Inc | 2011-12-20 | 2025-11-04 | M | AE | NAQVI | W295996740 | KAZIM | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184519807.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11417253/check_14225362_ae99c31e-49f0-4e4c-ab6f-df748d6c6d53.json | N/A | N/A | N/A | N/A | N/A | W295996740 | Point of Service (POS) | SHI INTERNATIONAL CORP. | AETNA | N/A | 2011-12-20 | 0308616 | 030861601600001 | N/A | PS | false | NAQVI | N/A | SYED | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191578991 | N/A | N/A | 11417253 | 2222 | 4793 | 14534793 | N/A | 9671738 | 2025-11-04 01:53:01.388209 | 2025-10-29 22:32:21.591395 |
| 2025-11-02 07:10:12.752555 | 2025-11-04 01:56:42.939827 | 14225038 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14225038 | Athletic Physical Therapy Inc | 1956-05-08 | 2025-11-04 | F | AE | COPLIN | 00000378130 | DEBRA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184519807.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11415453/check_14225038_9f37db39-e9d5-49df-9875-026e28004580.json | N/A | N/A | N/A | N/A | N/A | 00000378130 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-05-08 | H3815028 | N/A | N/A | HM | false | COPLIN | N/A | DEBRA | 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 | 9191578979 | N/A | N/A | 11415453 | 2222 | 4801 | 14543483 | 2630 | 9670237 | 2025-11-04 01:56:42.939827 | 2025-11-03 23:57:15.890657 |
| 2025-11-02 07:10:11.645267 | 2025-11-04 01:56:51.399039 | 14224946 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14224946 | Athletic Physical Therapy Inc | 1954-03-01 | 2025-11-04 | M | PT | FELLOWS | 805A6921930 | WILLIAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184519807.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11415367/check_14224946_657cbabf-bad0-4d55-9de1-651e542a6d6d.json | N/A | N/A | N/A | N/A | N/A | 805A6921930 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-03-01 | N/A | N/A | N/A | N/A | false | FELLOWS | N/A | WILLIAM | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191578976 | N/A | N/A | 11415367 | 2222 | 4801 | 14543853 | 4185 | 9670147 | 2025-11-04 01:56:51.399039 | 2025-10-23 23:05:46.960193 |
| 2025-11-02 07:10:09.594125 | 2025-11-04 01:56:43.531902 | 14224763 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14224763 | Athletic Physical Therapy Inc | 1955-07-01 | 2025-11-05 | F | AE | HINDOYAN | 00000381176 | MARIAM | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184519807.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11415049/check_14224763_ae9c112a-6ffc-43ce-8999-ab9ecab77332.json | N/A | N/A | N/A | N/A | N/A | 00000381176 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1955-07-01 | H3815039 | N/A | N/A | HM | false | HINDOYAN | N/A | MARIAM | N/A | N/A | N/A | ALIGNMENT HEALTH HEART & DIABETES CALPLUS (HMO C-S | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191578970 | N/A | N/A | 11415049 | 2222 | 4801 | 14543501 | 2630 | 4219019 | 2025-11-04 01:56:43.531902 | 2026-03-18 18:00:45.440632 |
| 2025-11-02 07:10:06.972974 | 2025-11-04 01:48:14.325885 | 14224529 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14224529 | 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/272741.20251103.184512954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7870152/check_14224529_38e6a46f-c78c-45b7-b9c0-a0005e84b49b.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 | 9191581560 | N/A | N/A | 7870152 | 2222 | 4802 | 14520125 | N/A | 6698799 | 2025-11-04 01:48:14.325885 | 2025-08-07 18:40:53.120761 |
| 2025-11-02 07:10:06.672093 | 2025-11-04 01:57:32.398122 | 14224499 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14224499 | Athletic Physical Therapy Inc | 1959-02-07 | 2025-11-04 | F | AE | STARK | 5T98ME7EA67 | CHERYL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184417618.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9449995/check_14224499_25cd52bc-ad9b-43e1-bfdf-479a69e52861.json | N/A | N/A | N/A | N/A | N/A | 5T98ME7EA67 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-07 | S4802 | N/A | N/A | MB | false | STARK | N/A | CHERYL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191559792 | N/A | N/A | 9449995 | 2222 | 4793 | 14545316 | N/A | 7905968 | 2025-11-04 01:57:32.398122 | 2025-09-22 17:53:24.196861 |
| 2025-11-02 07:10:06.105866 | 2025-11-04 03:46:35.117032 | 14224447 | N/A | N/A | 47027 | Physicians Mutual Insurance Company | 1114042165 | 14224447 | Athletic Physical Therapy Inc | 1952-10-25 | 2025-11-05 | F | AE | JOHNSTON | H750053601 | DEBORAH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170515030.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638391/check_14224447_8cb2e894-9be5-424a-978f-4995ef8f1ff0.json | N/A | N/A | N/A | N/A | N/A | H750053601 | N/A | N/A | PHYSICIANS MUTUAL | PAYMENT NOT GUARANTEED; BENEFITS SUBJECT TO CLAIM APPROVAL | 1952-10-25 | N/A | N/A | N/A | N/A | false | JOHNSTON | N/A | DEBORAH | N/A | N/A | N/A | MEDICARE SUPPLEMENT 2023 PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191549183 | N/A | N/A | 6638391 | 2222 | 4793 | 14575349 | N/A | 5247837 | 2025-11-04 03:46:35.117032 | 2026-02-24 20:36:49.807283 |
| 2025-11-02 07:10:05.996656 | 2025-11-04 01:39:15.829993 | 14224436 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14224436 | Athletic Physical Therapy Inc | 1942-10-02 | 2025-11-04 | M | AE | SAWAYA | XDD599A52218 | PETER | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170520925.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9033459/check_14224436_47e0a13a-b0b0-4fc7-a7db-d5c0723462cf.json | N/A | N/A | N/A | N/A | N/A | XDD599A52218 | Indemnity | SISC - COMPANIONCARE | MEDICARE D | N/A | 1942-10-02 | 040 | 40003A | N/A | IN | false | SAWAYA | N/A | PETER | N/A | 9999-12-31 | 2023-01-01 | MEDICARE SUPPLEMENT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191568101 | N/A | N/A | 9033459 | 2222 | 4802 | 14499653 | N/A | 7553607 | 2025-11-04 01:39:15.829993 | 2025-09-02 22:55:04.873891 |
| 2025-11-02 07:10:01.299578 | 2025-11-04 01:50:57.036414 | 14224024 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14224024 | Athletic Physical Therapy Inc | 1952-07-15 | 2025-11-04 | M | AE | WOLFE | XEM909964699 | MICHAEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170417773.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10239789/check_14224024_2b0f1511-d63c-44f6-9f53-35fe13ddf3e7.json | N/A | N/A | N/A | N/A | N/A | XEM909964699 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1952-07-15 | 2004SF000028 | X0001002 | N/A | OT | false | WOLFE | N/A | MICHAEL | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191534288 | N/A | N/A | 10239789 | 2222 | 4793 | 14528998 | N/A | 8527464 | 2025-11-04 01:50:57.036414 | 2025-10-14 15:25:46.972104 |
| 2025-11-02 07:10:00.141932 | 2025-11-04 01:39:12.876518 | 14223924 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 14223924 | Athletic Physical Therapy Inc | 1950-04-13 | 2025-11-04 | F | AE | NATALI | 94579563C | RENEE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170520925.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8979227/check_14223924_6a6fe68d-d755-441f-a819-e43f851857b2.json | N/A | N/A | N/A | N/A | N/A | 94579563C | 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 | 9191568809 | N/A | N/A | 8979227 | 2222 | 4793 | 14499542 | N/A | 7498543 | 2025-11-04 01:39:12.876518 | 2025-10-14 17:13:32.178778 |
| 2025-11-02 07:09:59.550514 | 2025-11-04 03:52:41.132251 | 14223869 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14223869 | Athletic Physical Therapy Inc | 1959-07-16 | 2025-11-03 | F | AE | JESTER | 8WT9EW5DX41 | AUREA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184220309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9104610/check_14223869_6bcc5ccd-b04d-4e27-aefe-f5893594e386.json | N/A | N/A | N/A | N/A | N/A | 8WT9EW5DX41 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-16 | H4036 | N/A | N/A | MB | false | JESTER | N/A | AUREA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191499082 | N/A | N/A | 9104610 | 2222 | 4801 | 14579666 | N/A | 7624564 | 2025-11-04 03:52:41.132251 | 2025-10-06 23:19:36.703282 |
| 2025-11-02 07:09:56.946865 | 2025-11-04 01:39:14.842250 | 14223642 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14223642 | Athletic Physical Therapy Inc | 1948-07-07 | 2025-11-03 | F | AE | GOEL | JQE690A74746 | VEENA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170520925.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969545/check_14223642_05d20ba8-9077-4909-b602-30365c16fb98.json | N/A | N/A | N/A | N/A | N/A | JQE690A74746 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1948-07-07 | 040 | CASUPWP0 | N/A | N/A | false | GOEL | N/A | VEENA | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191567238 | N/A | N/A | 8969545 | 2222 | 4802 | 14499618 | N/A | 7485064 | 2025-11-04 01:39:14.842250 | 2025-12-29 22:41:16.623495 |
| 2025-11-02 07:09:50.968742 | 2025-11-04 03:47:36.649868 | 14223124 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14223124 | Athletic Physical Therapy Inc | 2009-01-14 | 2025-11-04 | F | PT | OBACZ | JQV897A63197 | KLOIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184220309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9102655/check_14223124_f76939dc-b9f0-4f16-a76d-c4daee406b7b.json | N/A | N/A | N/A | N/A | N/A | JQV897A63197 | Health Maintenance Organization (HMO) | EVOLVED NOVELTIES INC | ANTHEM BLUE CROSS | N/A | 2009-01-14 | 040 | F45883 | N/A | HM | false | OBACZ | N/A | JUSTIN | N/A | 9999-12-31 | 2025-01-01 | CA SG SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191501932 | N/A | N/A | 9102655 | 2222 | 4801 | 14576605 | 4185 | 7621062 | 2025-11-04 03:47:36.649868 | 2025-09-12 19:10:20.936695 |
| 2025-11-02 07:09:50.146248 | 2025-11-04 03:51:04.913113 | 14223057 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14223057 | Athletic Physical Therapy Inc | 1960-10-21 | 2025-11-04 | M | AE | UPSON | JQE907W24463 | MARK | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170515030.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6517484/check_14223057_0b3afc84-c990-4863-b867-a4979cac7aa2.json | N/A | N/A | N/A | N/A | N/A | JQE907W24463 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1960-10-21 | 040 | CASUPWP0 | N/A | N/A | false | UPSON | N/A | MARK | N/A | 9999-12-31 | 2025-10-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191548181 | N/A | N/A | 6517484 | 2222 | 4801 | 14578997 | N/A | 4219691 | 2025-11-04 03:51:04.913113 | 2025-05-13 04:29:37.230736 |
| 2025-11-02 07:09:44.631689 | 2025-11-04 03:48:14.949801 | 14222593 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14222593 | Athletic Physical Therapy Inc | 1970-07-31 | 2025-11-05 | M | PT | COHEN | XEA910836494 | LOREN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184220309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9098901/check_14222593_324e7678-851e-4348-a96b-65ec79156420.json | N/A | N/A | N/A | N/A | N/A | XEA910836494 | Preferred Provider Organization (PPO) | SKLAR KIRSH LLP | BLUE SHIELD CALIFORNIA | N/A | 1970-07-31 | 1000VX000102 | W0118531 | N/A | PR | false | COHEN | N/A | LOREN | N/A | 9999-12-31 | 2022-08-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191501908 | N/A | N/A | 9098901 | 2222 | 4802 | 14577142 | N/A | 7617792 | 2025-11-04 03:48:14.949801 | 2025-11-01 01:41:43.203481 |
| 2025-11-02 07:09:43.475877 | 2025-11-04 01:54:04.061379 | 14222493 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 14222493 | Athletic Physical Therapy Inc | 1956-12-19 | 2025-11-03 | F | AE | YEN | 96046413F95176 | JENNY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170417773.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10033624/check_14222493_20df403c-ca72-41ff-9a11-328099a77e0a.json | N/A | N/A | N/A | N/A | N/A | 96046413F95176 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1956-12-19 | N/A | N/A | N/A | N/A | false | YEN | N/A | JENNY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191534043 | N/A | N/A | 10033624 | 2222 | 4793 | 14537077 | N/A | 8398587 | 2025-11-04 01:54:04.061379 | 2025-10-07 14:21:54.880940 |
| 2025-11-02 07:09:41.962036 | 2025-11-04 01:50:14.818003 | 14222376 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14222376 | Athletic Physical Therapy Inc | 1956-07-25 | 2025-11-04 | M | AE | WHITAKER | JQE189M00130 | RICHARD | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170417773.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10030668/check_14222376_35d15cc1-d456-4bbf-8e57-1f25dd9e25a4.json | N/A | N/A | N/A | N/A | N/A | JQE189M00130 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1956-07-25 | 040 | CASUPWP0 | N/A | N/A | false | WHITAKER | N/A | RICHARD | N/A | 9999-12-31 | 2025-01-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191534026 | N/A | N/A | 10030668 | 2222 | 4801 | 14526748 | N/A | 8396855 | 2025-11-04 01:50:14.818003 | 2026-04-30 15:25:27.283280 |
| 2025-11-02 07:09:41.662921 | 2025-11-04 01:55:27.578650 | 14222354 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14222354 | Athletic Physical Therapy Inc | 1960-03-22 | 2025-11-03 | F | AE | ROUSHANBAKHSH | 4M68ME8GE50 | FOROUGH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184321221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10259566/check_14222354_608bafb4-2154-4d10-9bbe-a683e0a34837.json | N/A | N/A | N/A | N/A | N/A | 4M68ME8GE50 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-03-22 | S4802 | N/A | N/A | MB | false | ROUSHANBAKHSH | N/A | FOROUGH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191529414 | N/A | N/A | 10259566 | 2222 | 4802 | 14540352 | N/A | 4213281 | 2025-11-04 01:55:27.578650 | 2025-05-13 04:29:37.227606 |
| 2025-11-02 07:09:40.398368 | 2025-11-04 01:39:14.488585 | 14222252 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14222252 | Athletic Physical Therapy Inc | 1951-10-12 | 2025-11-04 | F | AE | Ahadian | U5X795M98275 | Vida | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170520925.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8479499/check_14222252_114f2ba5-b72f-4bbb-a845-e6b57148faa7.json | N/A | N/A | N/A | N/A | N/A | U5X795M98275 | Indemnity | UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1951-10-12 | 040 | 280509C465 | N/A | IN | false | AHADIAN | N/A | VIDA | N/A | 9999-12-31 | 2019-01-01 | UC HIGH OPTION SUPPLEMENT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191568404 | N/A | N/A | 8479499 | 2222 | 4802 | 14499604 | N/A | 7146980 | 2025-11-04 01:39:14.488585 | 2025-08-25 22:34:13.951153 |
| 2025-11-02 07:09:36.397340 | 2025-11-04 01:44:10.532885 | 14221927 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14221927 | Athletic Physical Therapy Inc | 1941-12-12 | 2025-11-03 | M | AE | ABARTA | 1KM2G22MJ15 | STEVEN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170534723.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9929496/check_14221927_bdce5bd4-26d6-4e30-832b-68d05e1a75e9.json | N/A | N/A | N/A | N/A | N/A | 1KM2G22MJ15 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-12-12 | S5617 | N/A | N/A | MB | false | ABARTA | 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 | 9191544382 | N/A | N/A | 9929496 | 2222 | 4801 | 14509527 | N/A | 8313339 | 2025-11-04 01:44:10.532885 | 2025-10-02 18:29:23.013167 |
| 2025-11-02 07:09:33.139463 | 2025-11-04 01:39:33.464236 | 14221615 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 14221615 | Athletic Physical Therapy Inc | 1954-02-02 | 2025-11-04 | F | AE | CORNEL | 40037363901 | GLORIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184322577.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11111720/check_14221615_bd451f77-1d40-4f13-b513-867824899b3f.json | N/A | N/A | N/A | N/A | N/A | 40037363901 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1954-02-02 | 2025H5425001 | H5425M | N/A | N/A | false | CORNEL | N/A | GLORIA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191538256 | N/A | N/A | 11111720 | 2222 | 4801 | 14500294 | N/A | 9461873 | 2025-11-04 01:39:33.464236 | 2025-10-28 18:04:57.630831 |
| 2025-11-02 07:09:30.354106 | 2025-11-04 02:03:07.470787 | 14221344 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14221344 | Athletic Physical Therapy Inc | 1952-08-21 | 2025-11-03 | M | AE | SPADARO | 5QF7FW2XV59 | MARK | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184519807.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11401364/check_14221344_185436e2-651f-43f4-a639-2bc6858c3df2.json | N/A | N/A | N/A | N/A | N/A | 5QF7FW2XV59 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-08-21 | S4802 | N/A | N/A | MA | false | SPADARO | N/A | MARK | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191579150 | N/A | N/A | 11401364 | 2222 | 4801 | 14555037 | N/A | 9660679 | 2025-11-04 02:03:07.470787 | 2025-10-23 16:50:55.376075 |
| 2025-11-02 07:09:29.896161 | 2025-11-04 01:51:49.222343 | 14221295 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14221295 | Athletic Physical Therapy Inc | 1971-12-07 | 2025-11-04 | M | AE | WALLACH | 1PD0KF7JH37 | CHARLES | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184512954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7821426/check_14221295_1cda23ea-03c8-4ec8-8241-b685447c7f8f.json | N/A | N/A | N/A | N/A | N/A | 1PD0KF7JH37 | Medicare Part A | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1971-12-07 | N/A | N/A | N/A | MA | false | WALLACH IV | N/A | CHARLES | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191581934 | N/A | N/A | 7821426 | 2222 | 4801 | 14531450 | N/A | 6660003 | 2025-11-04 01:51:49.222343 | 2026-06-01 17:03:48.982724 |
| 2025-11-02 07:09:29.032825 | 2025-11-04 01:49:16.285367 | 14221213 | N/A | N/A | 60054 | Aetna | 1114042165 | 14221213 | Athletic Physical Therapy Inc | 1970-07-15 | 2025-11-04 | M | AE | BAKER | W225972262 | MATTHEW | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184417618.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411210/check_14221213_cfc99ac7-b2be-4da9-86ea-d1f7d2784a1c.json | N/A | N/A | N/A | N/A | N/A | W225972262 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 1970-07-15 | 0232495 | 023249501300055 | N/A | PS | false | HOBAN-BAKER | N/A | AMY | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191559350 | N/A | N/A | 9411210 | 2222 | 4802 | 14523495 | N/A | 7880075 | 2025-11-04 01:49:16.285367 | 2025-10-01 14:29:57.963249 |
| 2025-11-02 07:09:28.666198 | 2025-11-04 01:57:32.048754 | 14221177 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14221177 | Athletic Physical Therapy Inc | 1955-07-01 | 2025-11-03 | F | AE | GREER | 7H09HW9QG44 | ROBIN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184417618.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411083/check_14221177_2e4f8e7b-a672-481c-969c-75182f771853.json | N/A | N/A | N/A | N/A | N/A | 7H09HW9QG44 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-01 | S5601 | N/A | N/A | MA | false | GREER | 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 | 9191559348 | N/A | N/A | 9411083 | 2222 | 4802 | 14545305 | N/A | 7879863 | 2025-11-04 01:57:32.048754 | 2026-02-04 18:21:13.840230 |
| 2025-11-02 07:09:28.519676 | 2025-11-04 02:03:05.365757 | 14221164 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14221164 | Athletic Physical Therapy Inc | 1959-06-14 | 2025-11-03 | M | AE | HARRIS | 7UY6V94YV64 | SCOTT | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184519807.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11400164/check_14221164_025ba66a-0470-469e-90dc-9d7929ac1977.json | N/A | N/A | N/A | N/A | N/A | 7UY6V94YV64 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-06-14 | S5617 | N/A | N/A | MA | false | HARRIS | N/A | SCOTT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191578375 | N/A | N/A | 11400164 | 2222 | 4793 | 14554995 | N/A | 9497887 | 2025-11-04 02:03:05.365757 | 2025-10-20 16:22:35.728267 |
| 2025-11-02 07:09:25.372152 | 2025-11-04 01:40:40.952079 | 14220844 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 14220844 | Athletic Physical Therapy Inc | 1962-02-17 | 2025-11-04 | M | PT | SILVERMAN | 903226774003 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184322577.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11110164/check_14220844_409e8243-13ae-4df3-aed5-99a94477bdfc.json | N/A | N/A | N/A | N/A | N/A | XEH903226774 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1962-02-17 | 1000HMOX0001 | W0051411 | N/A | HM | false | FREIBERG | N/A | DEBBIE | 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 | 9191538221 | N/A | N/A | 11110164 | 2222 | 4801 | 14502606 | N/A | 9460573 | 2025-11-04 01:40:40.952079 | 2025-10-17 20:14:58.996951 |
| 2025-11-02 07:09:20.130178 | 2025-11-04 01:37:17.222088 | 14220320 | N/A | N/A | 60054 | Aetna | 1114042165 | 14220320 | Athletic Physical Therapy Inc | 1952-01-15 | 2025-11-04 | F | AE | KIRK | 101297147800 | JAN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170520925.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8167057/check_14220320_09830875-ddab-436d-b60c-5012ca595317.json | N/A | N/A | N/A | N/A | N/A | 101297147800 | Preferred Provider Organization (PPO) | VERIZON - MA | AETNA | MEDICARE | 1952-01-15 | 100008-02EG0011 | 100008-02 | N/A | PR | false | KIRK | N/A | JAN | N/A | 2025-12-31 | 2025-01-01 | WEST ADV PLAN 125 PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191568746 | N/A | N/A | 8167057 | 2222 | 4801 | 14495624 | N/A | 6933707 | 2025-11-04 01:37:17.222088 | 2026-05-21 16:32:55.382229 |
| 2025-11-02 07:09:19.462895 | 2025-11-04 01:50:14.352565 | 14220252 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14220252 | Athletic Physical Therapy Inc | 1967-01-16 | 2025-11-04 | F | AE | Wesel | QUC628W15332 | Ellen | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170417773.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9854973/check_14220252_53c41cc4-1f00-4e8c-bd45-868e60aeb413.json | N/A | N/A | N/A | N/A | N/A | QUC628W15332 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | CIGNA | N/A | 1967-01-16 | 040 | 280509A420 | N/A | PR | false | WESEL | N/A | RICHARD | N/A | 9999-12-31 | 2023-01-01 | UC CORE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191534501 | N/A | N/A | 9854973 | 2222 | 4802 | 14526723 | N/A | 8205288 | 2025-11-04 01:50:14.352565 | 2025-09-30 16:15:04.552446 |
| 2025-11-02 07:09:17.664096 | 2025-11-04 01:55:28.814176 | 14220063 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14220063 | Athletic Physical Therapy Inc | 1952-07-15 | 2025-11-04 | M | AE | WOLFE | 9Y10EH3AK90 | MICHAEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184321221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10239788/check_14220063_e199096b-0901-4abe-8624-2e28639b1431.json | N/A | N/A | N/A | N/A | N/A | 9Y10EH3AK90 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-15 | S5617 | N/A | N/A | MA | false | WOLFE | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191529687 | N/A | N/A | 10239788 | 2222 | 4793 | 14540399 | N/A | 8527464 | 2025-11-04 01:55:28.814176 | 2025-10-14 15:25:46.972104 |
| 2025-11-02 07:09:15.217584 | 2025-11-04 01:45:47.436114 | 14219801 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 14219801 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-11-05 | F | AE | SHAKIB | 95751543E35181 | PARI | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170506854.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7561654/check_14219801_9f5770d7-2148-4506-9f17-dd63490f0a58.json | N/A | N/A | N/A | N/A | N/A | 95751543E35181 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1952-05-04 | N/A | N/A | N/A | N/A | 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 | 9191554501 | N/A | N/A | 7561654 | 2222 | 4802 | 14513583 | N/A | 6395498 | 2025-11-04 01:45:47.436114 | 2026-02-18 02:38:35.073779 |
| 2025-11-02 07:09:14.754996 | 2025-11-04 01:40:10.625113 | 14219749 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14219749 | Athletic Physical Therapy Inc | 1945-08-17 | 2025-11-04 | M | PT | ALVAREZ ESTRADA | JQW310W11853 | ATANASIO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184322577.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11106877/check_14219749_ecd55e46-04c9-43ac-8295-0f75390a24bc.json | N/A | N/A | N/A | N/A | N/A | JQW310W11853 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1945-08-17 | 040 | CAMCRWP0 | N/A | MP | false | ALVAREZ ESTRADA | N/A | ATANASIO | N/A | 2025-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191539123 | N/A | N/A | 11106877 | 2222 | 4801 | 14501569 | 4185 | 9457324 | 2025-11-04 01:40:10.625113 | 2025-10-17 17:07:00.205619 |