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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-02 07:08:07.690655 | 2025-11-04 01:42:24.214172 | 14211988 | N/A | N/A | 47027 | Physicians Mutual Insurance Company | 1114042165 | 14211988 | Athletic Physical Therapy Inc | 1949-08-12 | 2025-11-05 | F | AE | PT | NAGLE | H730115547 | JAMES | 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/2222/11457995/check_14211988_647cfbc9-e8bf-41e4-9d40-2d85e18425e0.json | N/A | N/A | N/A | N/A | N/A | H730115547 | N/A | N/A | PHYSICIANS MUTUAL | PAYMENT NOT GUARANTEED; BENEFITS SUBJECT TO CLAIM APPROVAL | 1949-08-12 | N/A | N/A | N/A | N/A | false | NAGLE | N/A | JAMES | N/A | N/A | N/A | MEDICARE SUPPLEMENT 2020 PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191554451 | N/A | N/A | 11457995 | 2222 | 4801 | 14505944 | N/A | 9707473 | 2025-11-04 01:42:24.214172 | 2026-02-05 20:49:45.747494 |
| 2025-11-02 07:08:06.731825 | 2025-11-04 01:39:15.130720 | 14211868 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14211868 | Athletic Physical Therapy Inc | 1944-09-29 | 2025-11-05 | F | AE | PT | GUASTELLA | 911M7843220 | ROSE ANN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170520925.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458753/check_14211868_a66a34fe-8f0e-4ed3-9272-04b936f31bc1.json | N/A | N/A | N/A | N/A | N/A | 911M7843220 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1944-09-29 | N/A | N/A | N/A | N/A | false | GUASTELLA | N/A | ROSE ANN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191568578 | N/A | N/A | 7458753 | 2222 | 4801 | 14499629 | N/A | 6407685 | 2025-11-04 01:39:15.130720 | 2025-08-12 18:01:47.141909 |
| 2025-11-02 07:08:06.502400 | 2025-11-04 01:41:48.508197 | 14211839 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 14211839 | Athletic Physical Therapy Inc | 1947-04-18 | 2025-11-05 | F | PT | N/A | BELL | 96881701C | JACQUELYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170520925.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456429/check_14211839_504698d4-5984-4542-9449-5494dc21eb10.json | N/A | N/A | N/A | N/A | N/A | 96881701C | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1947-04-18 | N/A | N/A | N/A | N/A | false | BELL | N/A | JACQUELYN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191568575 | N/A | N/A | 7456429 | 2222 | 4802 | 14504806 | N/A | 4208856 | 2025-11-04 01:41:48.508197 | 2025-05-13 04:29:37.223284 |
| 2025-11-02 07:08:06.175168 | 2025-11-04 01:52:01.214596 | 14211791 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 14211791 | Athletic Physical Therapy Inc | 1962-12-15 | 2025-11-04 | F | AE | PT | SWAUGER | W28421156101 | TRACEY | 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/2222/11365153/check_14211791_ef1bff46-62ce-4857-b763-f8dd770b7c51.json | N/A | N/A | N/A | N/A | N/A | W28421156101 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1962-12-15 | N/A | N/A | N/A | N/A | false | SWAUGER | N/A | TRACEY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191582168 | N/A | N/A | 11365153 | 2222 | 4793 | 14531968 | N/A | 9633780 | 2025-11-04 01:52:01.214596 | 2025-11-03 19:06:43.846890 |
| 2025-11-02 07:08:04.767356 | 2025-11-04 03:52:41.832671 | 14211580 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14211580 | Athletic Physical Therapy Inc | 1942-10-02 | 2025-11-04 | M | AE | PT | SAWAYA | 3R88YH3MG32 | PETER | 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/2222/9033458/check_14211580_29eb79bf-f56d-43cd-be22-0ff4c9d6f623.json | N/A | N/A | N/A | N/A | N/A | 3R88YH3MG32 | Medicare Part A | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-10-02 | S9701 | N/A | N/A | MA | false | SAWAYA | N/A | PETER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191501750 | N/A | N/A | 9033458 | 2222 | 4802 | 14579670 | N/A | 7553607 | 2025-11-04 03:52:41.832671 | 2025-09-02 22:55:04.873891 |
| 2025-11-02 07:08:04.522341 | 2025-11-04 02:03:08.803074 | 14211547 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14211547 | Athletic Physical Therapy Inc | 1959-01-17 | 2025-11-04 | M | AE | PT | WAHL | 6CX2NW3WP90 | LELAND | 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/2222/11364481/check_14211547_7ae85fe6-3157-4d75-9a2c-bb56ca8502b7.json | N/A | N/A | N/A | N/A | N/A | 6CX2NW3WP90 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-01-17 | S5617 | N/A | N/A | MA | false | WAHL | N/A | LELAND | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191582010 | N/A | N/A | 11364481 | 2222 | 4793 | 14555065 | N/A | 9633229 | 2025-11-04 02:03:08.803074 | 2026-02-05 17:07:37.378883 |
| 2025-11-02 07:08:04.183629 | 2025-11-04 01:37:17.516461 | 14211494 | N/A | N/A | 60054 | Aetna | 1114042165 | 14211494 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-11-05 | F | AE | PT | SHAKIB | 101129457200 | PARI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.170520925.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444723/check_14211494_44126715-b502-414e-971d-fba44748f9dd.json | N/A | N/A | N/A | N/A | N/A | 101129457200 | Qualified Medicare Beneficiary | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1952-05-04 | 000003-CA000058 | 000003-CA | N/A | QM | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191568538 | N/A | N/A | 7444723 | 2222 | 4802 | 14495635 | N/A | 6395498 | 2025-11-04 01:37:17.516461 | 2026-02-18 02:38:35.073779 |
| 2025-11-02 07:08:00.639397 | 2025-11-04 01:38:28.095088 | 14210992 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 14210992 | Athletic Physical Therapy Inc | 1953-12-17 | 2025-11-04 | F | AE | PT | RIGGS | H6792045400 | MELINDA | 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/2222/11057246/check_14210992_8ea9c40c-209f-4a23-8ab4-c3577a2fce4a.json | N/A | N/A | N/A | N/A | N/A | H67920454 | 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 | 1953-12-17 | N/A | 0B527001 | N/A | HN | false | RIGGS | N/A | MELINDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191538202 | N/A | N/A | 11057246 | 2222 | 4801 | 14497947 | N/A | 9416589 | 2025-11-04 01:38:28.095088 | 2025-10-28 17:19:00.684003 |
| 2025-11-02 07:07:59.176335 | 2025-11-04 01:51:16.540848 | 14210782 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14210782 | Athletic Physical Therapy Inc | 1962-05-29 | 2025-11-04 | F | PT | N/A | LARSON | XEA913804058 | DEBRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184223300.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9562148/check_14210782_bdbdb7db-de33-4bc6-af2a-c27eb30e8d15.json | N/A | N/A | N/A | N/A | N/A | XAN913804058 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1962-05-29 | 1480PPOX0002 | W0051411 | N/A | PR | false | LARSON | N/A | DEBRA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191518327 | N/A | N/A | 9562148 | 2222 | 4793 | 14529948 | N/A | 7997320 | 2025-11-04 01:51:16.540848 | 2025-10-02 21:07:14.563938 |
| 2025-11-02 07:07:58.862141 | 2025-11-04 01:52:01.163210 | 14210739 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14210739 | Athletic Physical Therapy Inc | 1980-12-02 | 2025-11-04 | M | PT | N/A | GODINEZ | XEK907039926 | RICHARD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184411464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202901/check_14210739_c342b3c4-ec68-4fd3-833e-438705118349.json | N/A | N/A | N/A | N/A | N/A | XEK907039926 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-12-02 | 2001ZK002171 | X0001000 | N/A | PR | false | GODINEZ | N/A | RICHARD | N/A | 2025-12-31 | 2025-01-01 | SPECIALTY DUO SM | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191546221 | N/A | N/A | 8202901 | 2222 | 4793 | 14531955 | N/A | 6965521 | 2025-11-04 01:52:01.163210 | 2025-09-10 21:42:23.177790 |
| 2025-11-02 07:07:58.575548 | 2025-11-04 01:52:13.538797 | 14210697 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14210697 | Athletic Physical Therapy Inc | 1985-01-29 | 2025-11-04 | F | PT | N/A | MURPHY | NGO398A23229 | DARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184411464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202094/check_14210697_08f16eb8-2830-4d2f-a502-2a25c4bcc7bd.json | N/A | N/A | N/A | N/A | N/A | NGO398A23229 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | BLUE SHIELD OF CALIFORNIA | N/A | 1985-01-29 | 040 | 174022MJAD | N/A | PR | false | MURPHY | N/A | SCOTT | 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 | 9191546218 | N/A | N/A | 8202094 | 2222 | 4793 | 14532605 | N/A | 6964828 | 2025-11-04 01:52:13.538797 | 2025-08-21 15:20:41.432970 |
| 2025-11-02 07:07:56.909637 | 2025-11-04 01:47:18.127729 | 14210442 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 14210442 | Athletic Physical Therapy Inc | 1949-05-27 | 2025-11-03 | M | AE | PT | SANDERS | 8300000051834 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184223300.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9560285/check_14210442_7ce8c13e-5907-499d-a7ec-54b8642a0f8f.json | N/A | N/A | N/A | N/A | N/A | 8300000051834 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1949-05-27 | N/A | N/A | N/A | N/A | false | SANDERS | 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 | 9191518309 | N/A | N/A | 9560285 | 2222 | 4802 | 14517485 | N/A | 7995648 | 2025-11-04 01:47:18.127729 | 2025-09-24 14:50:57.950474 |
| 2025-11-02 07:07:55.778203 | 2025-11-04 03:47:37.344763 | 14210296 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14210296 | Athletic Physical Therapy Inc | 1952-08-20 | 2025-11-05 | M | PT | N/A | POLK | MBL292M95257 | KENNETH | 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/2222/9022039/check_14210296_ef2275df-3ac8-4533-8243-13552b097317.json | N/A | N/A | N/A | N/A | N/A | MBL292M95257 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1952-08-20 | 040 | CAEGR002 | N/A | N/A | false | POLK | N/A | KENNETH | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191499772 | N/A | N/A | 9022039 | 2222 | 4801 | 14576615 | N/A | 7544773 | 2025-11-04 03:47:37.344763 | 2025-09-02 18:35:33.812098 |
| 2025-11-02 07:07:54.721008 | 2025-11-04 01:43:56.424371 | 14210135 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 14210135 | Athletic Physical Therapy Inc | 1946-11-22 | 2025-11-04 | F | AE | PT | CAPUTA | 31334080511 | SANDRA | 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/2222/9336758/check_14210135_037a6b07-0e72-492a-8efd-b2d30ddf766a.json | N/A | N/A | N/A | N/A | N/A | 31334080511 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1946-11-22 | N/A | N/A | N/A | SP | false | CAPUTA | N/A | SANDRA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191534421 | N/A | N/A | 9336758 | 2222 | 4801 | 14508936 | N/A | 7835556 | 2025-11-04 01:43:56.424371 | 2025-09-12 16:59:25.752326 |
| 2025-11-02 07:07:52.545105 | 2025-11-04 02:03:08.183449 | 14209822 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14209822 | Athletic Physical Therapy Inc | 1952-02-16 | 2025-11-03 | F | AE | PT | TEGNAZIAN | 6G53Y86XT88 | TERRY | 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/2222/11358335/check_14209822_984bd17f-dca5-4a31-b20a-f26794598f67.json | N/A | N/A | N/A | N/A | N/A | 6G53Y86XT88 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-02-16 | S5617 | N/A | N/A | MA | false | TEGNAZIAN | N/A | TERRY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191581768 | N/A | N/A | 11358335 | 2222 | 4802 | 14555053 | N/A | 9629500 | 2025-11-04 02:03:08.183449 | 2025-10-22 16:05:53.920196 |
| 2025-11-02 07:07:52.150195 | 2025-11-04 01:34:49.675133 | 14209771 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14209771 | Athletic Physical Therapy Inc | 1961-03-07 | 2025-11-05 | F | PT | N/A | PERLOV | XEA905216171 | MERA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.163736316.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814311/check_14209771_161270e1-0ac2-4800-a0b9-c3d699a3752e.json | N/A | N/A | N/A | N/A | N/A | XEA905216171 | Preferred Provider Organization (PPO) | LA CARE HEALTH PLAN | BLUE SHIELD CALIFORNIA | N/A | 1961-03-07 | 1000PPOX0003 | W0051027 | N/A | PR | false | PERLOV | N/A | MERA | N/A | 9999-12-31 | 2017-05-01 | HSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191516007 | N/A | N/A | 6814311 | 2222 | 4793 | 14492480 | N/A | 5856694 | 2025-11-04 01:34:49.675133 | 2025-07-07 18:45:06.287504 |
| 2025-11-02 07:07:51.831784 | 2025-11-04 01:34:49.125769 | 14209722 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14209722 | Athletic Physical Therapy Inc | 1976-09-20 | 2025-11-04 | M | PT | N/A | Bolton | XEK910377236 | Stephen | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.163736316.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814151/check_14209722_046a29a5-8b8e-4b34-94f3-78e9a37b5e19.json | N/A | N/A | N/A | N/A | N/A | XEK910377236 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1976-09-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | BOLTON | N/A | STEPHEN | N/A | 2025-12-31 | 2025-01-01 | SILVER 1750 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191514809 | N/A | N/A | 6814151 | 2222 | 4793 | 14492470 | N/A | 5856522 | 2025-11-04 01:34:49.125769 | 2025-07-10 02:16:48.328344 |
| 2025-11-02 07:07:51.519872 | 2025-11-04 01:32:09.510001 | 14209675 | N/A | N/A | 60054 | Aetna | 1114042165 | 14209675 | Athletic Physical Therapy Inc | 1987-03-27 | 2025-11-04 | M | AE | PT | RAFIQI | W291629581 | ROMAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.163736316.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6813848/check_14209675_5e7bb2d6-0a8f-48d3-90df-99b4366784c6.json | N/A | N/A | N/A | N/A | N/A | W291629581 | Preferred Provider Organization (PPO) | PROVIDENCE HEALTH AND SERVICES | AETNA CHOICE POS II | N/A | 1987-03-27 | 0237590 | 023759003300001 | N/A | PR | false | RAFIQI | N/A | ROMAN | N/A | N/A | N/A | AETNA SUPPLEMENTAL CONTRACEPTIVE PPO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191514788 | N/A | N/A | 6813848 | 2222 | 4801 | 14489855 | N/A | 5856139 | 2025-11-04 01:32:09.510001 | 2025-07-22 03:39:47.404623 |
| 2025-11-02 07:07:50.813923 | 2025-11-04 02:00:42.895233 | 14209572 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 14209572 | Athletic Physical Therapy Inc | 1996-03-18 | 2025-11-05 | M | AE | PT | CHAINGAN | 96637102467129 | CARLO | 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/2222/11358205/check_14209572_4b444f40-3c6e-4fde-a9bd-c2bb4d61a336.json | N/A | N/A | N/A | N/A | N/A | 96637102467129 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1996-03-18 | N/A | N/A | N/A | N/A | false | CHAINGAN | N/A | CARLO | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191581697 | N/A | N/A | 11358205 | 2222 | 4801 | 14551443 | N/A | 9629336 | 2025-11-04 02:00:42.895233 | 2025-10-28 16:50:31.547791 |
| 2025-11-02 07:07:50.812060 | 2025-11-04 01:45:25.449452 | 14209571 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 14209571 | Athletic Physical Therapy Inc | 1936-04-01 | 2025-11-04 | F | AE | PT | WESTER | 40064582501 | EIVOR | 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/2222/7761229/check_14209571_df5a2971-211c-4d58-a856-44e7b2d03f25.json | N/A | N/A | N/A | N/A | N/A | 40064582501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1936-04-01 | 2025H5425001 | H5425M | N/A | N/A | false | WESTER | N/A | EIVOR | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191580996 | N/A | N/A | 7761229 | 2222 | 4793 | 14512664 | N/A | 6610550 | 2025-11-04 01:45:25.449452 | 2025-08-29 21:18:14.924057 |
| 2025-11-02 07:07:50.190079 | 2025-11-04 01:57:08.959431 | 14209476 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14209476 | Athletic Physical Therapy Inc | 1971-09-22 | 2025-11-05 | U | PT | N/A | OCAMPO | JVM951A71931 | RENCY | 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/2222/11358041/check_14209476_a75d123b-ba7b-440b-b95c-0e2d0363e806.json | N/A | N/A | N/A | N/A | N/A | JVM951A71931 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1971-09-22 | N/A | N/A | N/A | N/A | false | OCAMPO | N/A | RENCY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191581640 | N/A | N/A | 11358041 | 2222 | 4793 | 14544571 | 4185 | 9629144 | 2025-11-04 01:57:08.959431 | 2025-12-29 19:59:14.229199 |
| 2025-11-02 07:07:49.719382 | 2025-11-04 01:55:26.381809 | 14209412 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14209412 | Athletic Physical Therapy Inc | 1950-05-18 | 2025-11-03 | F | AE | PT | BERINSTEIN | 4HY3M64VC99 | PAULA | 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/2222/10172946/check_14209412_b9748958-ec4e-4e79-98ce-6e7312a74037.json | N/A | N/A | N/A | N/A | N/A | 4HY3M64VC99 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-05-18 | S5601 | N/A | N/A | MA | false | BERINSTEIN | N/A | PAULA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191531981 | N/A | N/A | 10172946 | 2222 | 4801 | 14540305 | N/A | 8474092 | 2025-11-04 01:55:26.381809 | 2025-10-11 14:58:02.058781 |
| 2025-11-02 07:07:49.538982 | 2025-11-04 01:51:48.669467 | 14209385 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14209385 | Athletic Physical Therapy Inc | 1935-11-26 | 2025-11-04 | F | AE | PT | MCCANN | 9Q04X31JA99 | JOSEPHINE | 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/2222/7760463/check_14209385_5ae6a5c7-c9d0-4e64-b4c6-7384c9b4a48a.json | N/A | N/A | N/A | N/A | N/A | 9Q04X31JA99 | N/A | N/A | CMS | N/A | 1935-11-26 | N/A | N/A | N/A | N/A | false | MCCANN | N/A | JOSEPHINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191580987 | N/A | N/A | 7760463 | 2222 | 4801 | 14531423 | N/A | 6609924 | 2025-11-04 01:51:48.669467 | 2025-08-12 22:04:05.464362 |
| 2025-11-02 07:07:45.683682 | 2025-11-04 01:39:15.497404 | 14208830 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14208830 | Athletic Physical Therapy Inc | 1998-10-29 | 2025-11-04 | M | PT | N/A | MARSHALL | AGSAH0066119 | THOMAS | 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/2222/7003223/check_14208830_ce1dfcea-dd52-4f85-89b4-3843d0f858b2.json | N/A | N/A | N/A | N/A | N/A | AGSAH0066119 | N/A | PEPPERDINE UNIVERSITY | ANTHEM BLUE CROSS | N/A | 1998-10-29 | 040 | 276500MG04 | N/A | N/A | false | MARSHALL | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191567324 | N/A | N/A | 7003223 | 2222 | 4793 | 14499641 | N/A | 6021448 | 2025-11-04 01:39:15.497404 | 2025-07-14 23:05:51.728886 |
| 2025-11-02 07:07:44.077501 | 2025-11-04 01:54:41.019576 | 14208590 | N/A | N/A | SRRGA | Railroad Medicare | 1114042165 | 14208590 | Athletic Physical Therapy Inc | 1977-03-25 | 2025-11-05 | M | AE | PT | BRADBURY | 7HR3VE4QQ94 | ROBERT | 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/2222/9557582/check_14208590_852f27a4-6f84-4ecf-981d-2e4e0f443755.json | N/A | N/A | N/A | N/A | N/A | 7HR3VE4QQ94 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1977-03-25 | S5617 | N/A | N/A | MA | false | BRADBURY | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191517717 | N/A | N/A | 9557582 | 2222 | 4801 | 14538611 | N/A | 7992729 | 2025-11-04 01:54:41.019576 | 2025-10-01 17:15:45.167667 |
| 2025-11-02 07:07:40.336552 | 2025-11-04 01:32:09.849975 | 14208038 | N/A | N/A | 60054 | AETNA | 1114042165 | 14208038 | Athletic Physical Therapy Inc | 1940-12-29 | 2025-11-04 | M | AE | PT | TRUNNELL | 101505559100 | WAYNE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.163736316.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6786642/check_14208038_122d5275-cc68-4ba4-86fc-0f2c74903c5f.json | N/A | N/A | N/A | N/A | N/A | 101505559100 | Point of Service (POS) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-12-29 | 000003-CA000074 | 000003-CA | N/A | PS | false | TRUNNELL | N/A | WAYNE | N/A | N/A | N/A | AETNA MEDICARE PLUS (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191517429 | N/A | N/A | 6786642 | 2222 | 4793 | 14489860 | 3939 | 5818009 | 2025-11-04 01:32:09.849975 | 2025-07-15 23:19:05.900633 |
| 2025-11-02 07:07:34.425945 | 2025-11-04 03:52:41.468150 | 14207281 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14207281 | Athletic Physical Therapy Inc | 1950-04-13 | 2025-11-04 | F | AE | PT | NATALI | 2XU8UK4DF50 | RENEE | 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/2222/8979192/check_14207281_50460f96-db21-420f-964e-913321ec61a2.json | N/A | N/A | N/A | N/A | N/A | 2XU8UK4DF50 | Medicare Part A | N/A | HEALTH CARE SERVICE CORPORATION | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-04-13 | S5715 | N/A | N/A | MA | false | NATALI | N/A | RENEE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191500744 | N/A | N/A | 8979192 | 2222 | 4793 | 14579668 | N/A | 7498543 | 2025-11-04 03:52:41.468150 | 2025-10-14 17:13:32.178778 |
| 2025-11-02 07:07:33.276751 | 2025-11-04 01:47:28.319437 | 14207145 | N/A | N/A | 60054 | Aetna | 1114042165 | 14207145 | Athletic Physical Therapy Inc | 1972-12-30 | 2025-11-05 | M | AE | PT | MCHALE | W27265070 | MATT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184411464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173116/check_14207145_979ea8d8-47b0-4ea0-a08d-25250a13b6ac.json | N/A | N/A | N/A | N/A | N/A | W272665070 | Point of Service (POS) | SONY CORPORATION OF AMERICA | AETNA | N/A | 1972-12-30 | 0486873 | 048687302100161 | N/A | PS | false | MCHALE | N/A | MATTHEW | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191544805 | N/A | N/A | 8173116 | 2222 | 4802 | 14517907 | N/A | 6939617 | 2025-11-04 01:47:28.319437 | 2025-09-16 00:28:24.457071 |
| 2025-11-02 07:07:25.086558 | 2025-11-04 01:37:37.185652 | 14206332 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 14206332 | Athletic Physical Therapy Inc | 1941-06-09 | 2025-11-04 | F | AE | PT | DIXON | 988640039.00 | JUDIE | 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/2222/11013047/check_14206332_222e5832-5348-46ec-b4ec-49e9ae315eaa.json | N/A | N/A | N/A | N/A | N/A | 988640039.00 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1941-06-09 | N/A | N/A | N/A | N/A | false | DIXON | N/A | JUDIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191537585 | N/A | N/A | 11013047 | 2222 | 4793 | 14496188 | N/A | 9378405 | 2025-11-04 01:37:37.185652 | 2025-10-21 21:08:18.331994 |
| 2025-11-02 07:07:24.725967 | 2025-11-04 01:56:47.423380 | 14206295 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14206295 | Athletic Physical Therapy Inc | 1944-09-29 | 2025-11-05 | F | AE | PT | GUASTELLA | 5V49H98DH38 | ROSE ANN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184411464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8167484/check_14206295_555894db-e14d-4e8f-b910-9f1639990984.json | N/A | N/A | N/A | N/A | N/A | 5V49H98DH38 | Medicare Part B | N/A | BLUE CROSS OF CALIFORNIA | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-09-29 | H0544 | N/A | N/A | MB | false | GUASTELLA | N/A | ROSE ANN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191546763 | N/A | N/A | 8167484 | 2222 | 4801 | 14543660 | N/A | 6407685 | 2025-11-04 01:56:47.423380 | 2025-08-12 18:01:47.141909 |
| 2025-11-02 07:07:24.134555 | 2025-11-04 01:56:48.321149 | 14206239 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14206239 | Athletic Physical Therapy Inc | 1952-01-15 | 2025-11-04 | F | AE | PT | KIRK | 5FT7Y02EM72 | JAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184411464.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8167056/check_14206239_4ebc70a4-6f66-4cad-9ec3-02e07aac26fe.json | N/A | N/A | N/A | N/A | N/A | 5FT7Y02EM72 | Medicare Part A | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-01-15 | H5522 | N/A | N/A | MA | false | KIRK | N/A | JAN | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191546761 | N/A | N/A | 8167056 | 2222 | 4801 | 14543692 | N/A | 6933707 | 2025-11-04 01:56:48.321149 | 2026-05-21 16:32:55.382229 |
| 2025-11-02 07:07:22.074725 | 2025-11-04 01:39:55.584761 | 14206049 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14206049 | Athletic Physical Therapy Inc | 1991-07-29 | 2025-11-04 | F | AE | PT | NELSON | R12416085MM1 | JAZMIN | 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/2222/11011103/check_14206049_fea8354c-217c-4bec-a5ff-432f46937aeb.json | N/A | N/A | N/A | N/A | N/A | R12416085MM1 | N/A | N/A | CENTENE CORPORATION | N/A | 1991-07-29 | N/A | N/A | N/A | N/A | false | NELSON | N/A | JAZMIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191537569 | N/A | N/A | 11011103 | 2222 | 4801 | 14501065 | N/A | 9376481 | 2025-11-04 01:39:55.584761 | 2025-10-27 22:16:51.510374 |
| 2025-11-02 07:07:20.541268 | 2025-11-04 01:37:13.224616 | 14205897 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14205897 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-11-04 | M | AE | PT | CICCIARI | 1AK4JC6NK84 | LOUIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.163736316.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_14205897_09d423ea-18f8-48a9-ad8d-47840b160f1c.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5596 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191517001 | N/A | N/A | 6752936 | 2222 | 4801 | 14495499 | N/A | 5065602 | 2025-11-04 01:37:13.224616 | 2025-07-01 17:25:13.681724 |
| 2025-11-02 07:07:15.906861 | 2025-11-04 01:51:34.028651 | 14205456 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14205456 | 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/272741.20251103.184417618.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9279057/check_14205456_a2fb1d00-ca0d-48cc-9360-fc3d3bf07cb7.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 | 9191559684 | N/A | N/A | 9279057 | 2222 | 4801 | 14530727 | N/A | 4211907 | 2025-11-04 01:51:34.028651 | 2025-05-13 04:29:37.226233 |
| 2025-11-02 07:07:15.013133 | 2025-11-04 01:37:14.644895 | 14205380 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14205380 | Athletic Physical Therapy Inc | 1929-10-10 | 2025-11-03 | M | AE | PT | Walter | 1TQ1EQ4FJ98 | Howard | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.163736316.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751304/check_14205380_b5281c65-232a-4619-ae1f-e40acc2602c5.json | N/A | N/A | N/A | N/A | N/A | 1TQ1EQ4FJ98 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-10-10 | N/A | N/A | N/A | MA | false | WALTER | N/A | HOWARD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191515272 | N/A | N/A | 6751304 | 2222 | 4802 | 14495540 | N/A | 5557241 | 2025-11-04 01:37:14.644895 | 2025-07-22 17:08:51.810153 |
| 2025-11-02 07:07:04.050713 | 2025-11-04 03:43:13.465863 | 14204443 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14204443 | Athletic Physical Therapy Inc | 1968-07-21 | 2025-11-03 | F | AE | PT | MCALISTER | 4TU6H11QQ85 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.163719881.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7024101/check_14204443_2f7f0151-6691-4a59-93b6-7d708cb1c423.json | N/A | N/A | N/A | N/A | N/A | 4TU6H11QQ85 | Medicare Part A | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1968-07-21 | N/A | N/A | N/A | MA | false | MCALISTER | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191495861 | N/A | N/A | 7024101 | 2222 | 4801 | 14572418 | N/A | 6038562 | 2025-11-04 03:43:13.465863 | 2025-07-30 21:46:09.369299 |
| 2025-11-02 07:06:58.597698 | 2025-11-04 01:59:04.536657 | 14203890 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14203890 | Athletic Physical Therapy Inc | 1960-05-08 | 2025-11-04 | F | AE | PT | ALNOURI | 6X49PCORA33 | SHARIFEH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.163726507.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11508125/check_14203890_f7960f33-11b2-4790-b0a6-3e0ea0a3fd2c.json | N/A | N/A | N/A | N/A | N/A | 6X49PCORA33 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1960-05-08 | N/A | N/A | N/A | N/A | false | ALNOURI | N/A | SHARIFEH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191525384 | N/A | N/A | 11508125 | 2222 | 4802 | 14548458 | N/A | 9748914 | 2025-11-04 01:59:04.536657 | 2025-10-27 18:43:47.576827 |
| 2025-11-02 07:06:55.659398 | 2025-11-04 01:39:34.398177 | 14203593 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14203593 | Athletic Physical Therapy Inc | 1947-12-09 | 2025-11-05 | F | PT | N/A | TAFFERT | MMA462W19663 | VIRGINIA | 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/2222/9830424/check_14203593_81ce02bd-1c7e-45c5-bb48-20f582e25783.json | N/A | N/A | N/A | N/A | N/A | MMA462W19663 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1947-12-09 | 040 | CAMCRWP0 | N/A | MP | false | TAFFERT | N/A | VIRGINIA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-009-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191543430 | N/A | N/A | 9830424 | 2222 | 4793 | 14500324 | 4185 | 8232327 | 2025-11-04 01:39:34.398177 | 2025-09-29 20:43:06.367634 |
| 2025-11-02 07:06:51.298093 | 2025-11-04 03:52:40.571532 | 14203248 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14203248 | Athletic Physical Therapy Inc | 1948-07-07 | 2025-11-03 | F | AE | PT | GOEL | 5RR4M63DR65 | VEENA | 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/2222/8969533/check_14203248_b9aecac7-2495-4071-8034-560c6e33855e.json | N/A | N/A | N/A | N/A | N/A | 5RR4M63DR65 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-07 | S5596 | N/A | N/A | MB | false | GOEL | N/A | VEENA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191500675 | N/A | N/A | 8969533 | 2222 | 4802 | 14579663 | N/A | 7485064 | 2025-11-04 03:52:40.571532 | 2025-12-29 22:41:16.623495 |
| 2025-11-02 07:06:51.096809 | 2025-11-04 01:37:13.804879 | 14203232 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14203232 | Athletic Physical Therapy Inc | 1951-10-16 | 2025-11-04 | F | AE | PT | GARRETT | 3EJ1R73ND18 | KATHLEEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.163736316.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714932/check_14203232_ab6cb780-7cd3-4e47-90a4-c101020e143f.json | N/A | N/A | N/A | N/A | N/A | 3EJ1R73ND18 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-10-16 | S5601 | N/A | N/A | MB | false | GARRETT | N/A | KATHLEEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191518888 | N/A | N/A | 6714932 | 2222 | 4793 | 14495515 | N/A | 5316176 | 2025-11-04 01:37:13.804879 | 2025-07-01 18:44:12.927482 |
| 2025-11-02 07:06:50.958541 | 2025-11-04 01:37:14.088185 | 14203220 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14203220 | Athletic Physical Therapy Inc | 1959-07-23 | 2025-11-04 | M | AE | PT | Harvey | 1D65V29PD77 | Roy | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.163736316.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714928/check_14203220_ce71748b-bd7e-4599-9736-37456dd2b3e4.json | N/A | N/A | N/A | N/A | N/A | 1D65V29PD77 | Medicare Part A | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-23 | S5660 | DOL 01291978 | N/A | MA | false | HARVEY | N/A | ROY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191518887 | N/A | N/A | 6714928 | 2222 | 4802 | 14495523 | N/A | 5316172 | 2025-11-04 01:37:14.088185 | 2025-07-02 15:09:36.678003 |
| 2025-11-02 07:06:38.191150 | 2025-11-04 01:52:00.704283 | 14202027 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 14202027 | Athletic Physical Therapy Inc | 1987-06-04 | 2025-11-04 | F | AE | PT | Kramer | W25290479102 | Aleah | 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/2222/11314808/check_14202027_5398578d-e22f-4f99-bf8f-bc30925a8496.json | N/A | N/A | N/A | N/A | N/A | W25290479102 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1987-06-04 | N/A | N/A | N/A | N/A | false | KRAMER | N/A | ALEAH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191581098 | N/A | N/A | 11314808 | 2222 | 4802 | 14531943 | N/A | 9379901 | 2025-11-04 01:52:00.704283 | 2025-10-21 18:31:35.446245 |
| 2025-11-02 07:06:36.675222 | 2025-11-04 01:44:10.844218 | 14201874 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14201874 | Athletic Physical Therapy Inc | 1958-10-22 | 2025-11-03 | F | AE | PT | Lee | 6D94VK8GN90 | Gisele | 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/2222/9810737/check_14201874_f0b82ac0-4bb3-4071-a6b9-55cdf93ca0ea.json | N/A | N/A | N/A | N/A | N/A | 6D94VK8GN90 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-10-22 | H4036 | N/A | N/A | MB | false | LEE | N/A | GISELE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191543379 | N/A | N/A | 9810737 | 2222 | 4802 | 14509540 | N/A | 8217179 | 2025-11-04 01:44:10.844218 | 2025-10-02 19:02:27.583990 |
| 2025-11-02 07:06:34.564272 | 2025-11-04 03:33:57.214575 | 14201663 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14201663 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-11-04 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.165928049.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_14201663_f02276ed-9505-4942-be15-691e3233709e.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191511691 | N/A | N/A | 5568076 | 2222 | 4802 | 14564288 | N/A | 4209480 | 2025-11-04 03:33:57.214575 | 2026-04-10 02:05:15.976484 |
| 2025-11-02 07:06:33.662670 | 2025-11-04 01:56:51.794284 | 14201573 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14201573 | Athletic Physical Therapy Inc | 1959-04-01 | 2025-11-05 | M | PT | N/A | MOYER | JXN542M92477 | STEVEN | 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/2222/11278285/check_14201573_8182440d-8b2b-415a-a6da-05cfc9b56ec2.json | N/A | N/A | N/A | N/A | N/A | JXN542M92477 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1959-04-01 | 040 | 174222M2A1 | N/A | PR | false | MOYER | N/A | STEVEN | N/A | 9999-12-31 | 2018-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191581030 | N/A | N/A | 11278285 | 2222 | 4801 | 14543871 | N/A | 9581032 | 2025-11-04 01:56:51.794284 | 2025-10-21 22:24:54.464325 |
| 2025-11-02 07:06:29.400257 | 2025-11-04 03:43:12.638287 | 14201143 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14201143 | Athletic Physical Therapy Inc | 1960-05-24 | 2025-11-05 | F | AE | PT | JIMENEZ LOPEZ | 6J82MP1YH03 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.163719881.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7000055/check_14201143_c8ce32e3-d1a9-423f-8a5a-31ff9a7df0d2.json | N/A | N/A | N/A | N/A | N/A | 6J82MP1YH03 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-05-24 | S5617 | N/A | N/A | MA | false | JIMENEZ LOPEZ | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191499280 | N/A | N/A | 7000055 | 2222 | 4801 | 14572407 | N/A | 6019507 | 2025-11-04 03:43:12.638287 | 2025-07-14 20:23:06.646459 |
| 2025-11-02 07:06:28.364574 | 2025-11-04 01:50:46.997226 | 14201053 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 14201053 | Athletic Physical Therapy Inc | 1956-07-11 | 2025-11-04 | M | AE | PT | ROGERS | 40066658301 | JOHN | 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/2222/9256747/check_14201053_9c5a8c52-e139-4cc4-b7a7-525aecc1657e.json | N/A | N/A | N/A | N/A | N/A | 40066658301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-07-11 | 2025H5425001 | H5425M | N/A | N/A | false | ROGERS | N/A | JOHN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191559509 | N/A | N/A | 9256747 | 2222 | 4793 | 14528453 | N/A | 7767584 | 2025-11-04 01:50:46.997226 | 2025-09-09 21:16:10.468472 |
| 2025-11-02 07:06:24.537080 | 2025-11-04 03:44:49.505592 | 14200679 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14200679 | Athletic Physical Therapy Inc | 1952-02-16 | 2025-11-05 | M | AE | PT | Scott | 5FQ0Y32GF25 | Tim | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.163646207.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/12010277/check_14200679_c8ec0d4f-f92b-4a31-a61b-cec3b313a80f.json | N/A | N/A | N/A | N/A | N/A | 5FQ0Y32GF25 | N/A | N/A | CMS | N/A | 1952-02-16 | N/A | N/A | N/A | N/A | false | SCOTT | N/A | TIM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191504044 | N/A | N/A | 12010277 | 2222 | 4802 | 14573475 | N/A | 10232028 | 2025-11-04 03:44:49.505592 | 2025-11-05 23:04:36.909932 |
| 2025-11-02 07:06:23.739818 | 2025-11-04 01:33:57.209315 | 14200599 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 14200599 | Athletic Physical Therapy Inc | 1942-07-28 | 2025-11-04 | M | AE | PT | SIMMONS | 40055722801 | J | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.163736316.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6685251/check_14200599_6d927f05-d89e-47a0-a72c-1a6fa382e8de.json | N/A | N/A | N/A | N/A | N/A | 40055722801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1942-07-28 | 2025H5425001 | H5425M | N/A | N/A | false | SIMMONS | N/A | J | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191516685 | N/A | N/A | 6685251 | 2222 | 4793 | 14491606 | N/A | 4209868 | 2025-11-04 01:33:57.209315 | 2025-08-15 22:13:56.514261 |
| 2025-11-02 07:06:15.547833 | 2025-11-04 01:56:30.393030 | 14199821 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14199821 | Athletic Physical Therapy Inc | 1989-08-21 | 2025-11-04 | F | AE | PT | VANSICKLE | R14610782FS1 | KYLIE | 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/2222/11190514/check_14199821_7b7123bf-fb01-40c7-9e33-038edc69aadf.json | N/A | N/A | N/A | N/A | N/A | R14610782FS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1989-08-21 | N/A | N/A | N/A | N/A | false | VANSICKLE | N/A | KYLIE | N/A | 2025-11-02 | 2025-09-01 | KX6 PPOSBG | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191579257 | N/A | N/A | 11190514 | 2222 | 4793 | 14542934 | N/A | 9532194 | 2025-11-04 01:56:30.393030 | 2026-04-13 16:03:49.854711 |