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 07:06:15.403314 | 2025-11-04 01:39:13.723513 | 14199805 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 14199805 | Athletic Physical Therapy Inc | 1950-06-01 | 2025-11-04 | F | AE | PT | MCDEVITT | H7220666800 | GUADALUPE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184418247.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6221805/check_14199805_48394311-3366-4f26-b4c9-0534e777967c.json | N/A | N/A | N/A | N/A | N/A | H72206668 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1950-06-01 | N/A | 0B527001 | N/A | HN | false | MCDEVITT | N/A | GUADALUPE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191565049 | N/A | N/A | 6221805 | 2222 | 4801 | 14499575 | N/A | 4865742 | 2025-11-04 01:39:13.723513 | 2025-06-11 15:46:59.098537 |
| 2025-11-02 07:06:12.997064 | 2025-11-04 01:46:00.036771 | 14199549 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14199549 | Athletic Physical Therapy Inc | 1953-06-18 | 2025-11-04 | F | AE | PT | REISMAN | 6C16CN3FM49 | GAIL | 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/2222/10984906/check_14199549_a0ac7d3c-b466-4d80-80aa-e92519961883.json | N/A | N/A | N/A | N/A | N/A | 6C16CN3FM49 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-06-18 | N/A | N/A | N/A | MA | false | REISMAN | N/A | GAIL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191537496 | N/A | N/A | 10984906 | 2222 | 4802 | 14514079 | N/A | 9156222 | 2025-11-04 01:46:00.036771 | 2026-01-08 22:56:20.879547 |
| 2025-11-02 07:06:09.488977 | 2025-11-04 01:46:33.724318 | 14199220 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 14199220 | Athletic Physical Therapy Inc | 1956-07-22 | 2025-11-04 | F | AE | PT | DURAN DE PANTOJA | 43649326 | ROSA | 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/2222/8088383/check_14199220_99b1f062-49b5-4a23-a04f-364da315b1c1.json | N/A | N/A | N/A | N/A | N/A | 43649326 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-07-22 | N/A | N/A | N/A | N/A | false | DURAN DE PANTOJA | N/A | ROSA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191545798 | N/A | N/A | 8088383 | 2222 | 4793 | 14515425 | N/A | 6871702 | 2025-11-04 01:46:33.724318 | 2025-08-14 21:08:52.019264 |
| 2025-11-02 07:06:08.255186 | 2025-11-04 01:34:49.399469 | 14199100 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14199100 | Athletic Physical Therapy Inc | 1961-03-12 | 2025-11-05 | F | PT | N/A | MCNUTT | XED904914958 | YOLANDA | 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/2222/6668755/check_14199100_2102ce53-ebe8-491c-ae38-2b10ad9faf54.json | N/A | N/A | N/A | N/A | N/A | XED904914958 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-03-12 | 2001ZK002184 | X0001004 | N/A | PR | false | FERNANDEZ-MCNUTT | N/A | YOLANDA | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191516393 | N/A | N/A | 6668755 | 2222 | 4801 | 14492475 | N/A | 5282877 | 2025-11-04 01:34:49.399469 | 2025-07-01 15:56:36.473431 |
| 2025-11-02 07:06:07.838050 | 2025-11-04 03:38:35.536287 | 14199061 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14199061 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-11-03 | F | AE | PT | BRADBURY | 5W31MW6FP03 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.165928049.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550534/check_14199061_cb6f0593-3caa-4c16-a4fa-0583550ffe6b.json | N/A | N/A | N/A | N/A | N/A | 5W31MW6FP03 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-01 | S5617 | N/A | N/A | MA | false | BRADBURY | 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 | 9191510389 | N/A | N/A | 5550534 | 2222 | 4801 | 14568868 | N/A | 4219556 | 2025-11-04 03:38:35.536287 | 2025-05-13 04:29:37.230592 |
| 2025-11-02 07:06:07.592108 | 2025-11-04 03:38:34.148551 | 14199037 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14199037 | Athletic Physical Therapy Inc | 1954-05-11 | 2025-11-03 | M | AE | PT | A Peters | 1R78CR5JR59 | Dennis | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.165928049.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550025/check_14199037_29cb0491-8b88-479d-8f95-7d143b3498d4.json | N/A | N/A | N/A | N/A | N/A | 1R78CR5JR59 | N/A | N/A | CMS | N/A | 1954-05-11 | N/A | N/A | N/A | N/A | false | A PETERS | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191510388 | N/A | N/A | 5550025 | 2222 | 4801 | 14568849 | N/A | 4219449 | 2025-11-04 03:38:34.148551 | 2025-10-07 21:32:27.567534 |
| 2025-11-02 07:06:07.397028 | 2025-11-04 03:34:45.729866 | 14199019 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14199019 | Athletic Physical Therapy Inc | 1955-10-09 | 2025-11-05 | M | PT | N/A | COE | JQS589W10732 | SCOTT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.165928049.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549514/check_14199019_48c507c9-c72c-449e-a43a-16e1998c41cf.json | N/A | N/A | N/A | N/A | N/A | JQS589W10732 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1955-10-09 | 040 | CAMCRWP0 | N/A | MP | false | COE | N/A | SCOTT | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191510387 | N/A | N/A | 5549514 | 2222 | 4801 | 14565082 | 4185 | 4219161 | 2025-11-04 03:34:45.729866 | 2025-10-16 23:24:12.118501 |
| 2025-11-02 07:06:07.136526 | 2025-11-04 03:38:35.970969 | 14198990 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14198990 | Athletic Physical Therapy Inc | 1972-05-29 | 2025-11-05 | M | AE | PT | CALDERON | 4DH3VT4QR98 | FREDY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.165928049.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549153/check_14198990_ee37eb15-6ff4-48bd-a3e5-ac2ab613506e.json | N/A | N/A | N/A | N/A | N/A | 4DH3VT4QR98 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1972-05-29 | S5617 | N/A | N/A | MB | false | CALDERON | N/A | FREDY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191510386 | N/A | N/A | 5549153 | 2222 | 4801 | 14568878 | N/A | 4218873 | 2025-11-04 03:38:35.970969 | 2025-05-13 04:29:37.229886 |
| 2025-11-02 07:06:06.914271 | 2025-11-04 03:32:02.711948 | 14198970 | N/A | N/A | 60054 | Aetna | 1114042165 | 14198970 | Athletic Physical Therapy Inc | 1968-10-14 | 2025-11-04 | F | AE | PT | CARLSON | W161554352 | CYNTHIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.165928049.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549080/check_14198970_160bc6a2-7106-4c7f-93d8-68c7d84ed2ce.json | N/A | N/A | N/A | N/A | N/A | W161554352 | Point of Service (POS) | UBS FINANCIAL SERVICES INC. | AETNA | N/A | 1968-10-14 | 0880791 | 088079102500011 | N/A | PS | false | CARLSON | N/A | CYNTHIA | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191510385 | N/A | N/A | 5549080 | 2222 | 4801 | 14562417 | N/A | 4218812 | 2025-11-04 03:32:02.711948 | 2025-05-13 04:29:37.229807 |
| 2025-11-02 07:06:06.719855 | 2025-11-04 03:38:36.725426 | 14198953 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14198953 | Athletic Physical Therapy Inc | 1946-03-10 | 2025-11-05 | F | AE | PT | CLARK | 8KR2PU6TJ09 | CARLA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.165928049.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549006/check_14198953_196e7285-4e56-4ad2-b184-9c1836a2107f.json | N/A | N/A | N/A | N/A | N/A | 8KR2PU6TJ09 | Medicare Part A | N/A | EMPLOYERS INSURANCE COMPANY OF N | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-03-10 | N/A | DOL 06022014 | N/A | MA | false | CLARK | N/A | CARLA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191510384 | N/A | N/A | 5549006 | 2222 | 4801 | 14568890 | N/A | 4218754 | 2025-11-04 03:38:36.725426 | 2025-05-13 04:29:37.229746 |
| 2025-11-02 07:06:02.876675 | 2025-11-04 03:34:27.879178 | 14198615 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14198615 | Athletic Physical Therapy Inc | 1962-06-19 | 2025-11-05 | M | AE | PT | MILIAN GOMEZ | 93331019F | MIGUEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.165928049.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543555/check_14198615_9332ef11-48d7-4132-ac82-adffdc9b23a5.json | N/A | N/A | N/A | N/A | N/A | 93331019F | N/A | N/A | HEALTH NET, LLC | N/A | 1962-06-19 | N/A | N/A | N/A | N/A | false | MILIAN GOMEZ | N/A | MIGUEL | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191510368 | N/A | N/A | 5543555 | 2222 | 4802 | 14564788 | N/A | 4215332 | 2025-11-04 03:34:27.879178 | 2025-08-06 16:15:15.716322 |
| 2025-11-02 07:06:02.534063 | 2025-11-04 03:38:36.324779 | 14198586 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14198586 | Athletic Physical Therapy Inc | 1957-05-23 | 2025-11-03 | F | AE | PT | CEASAR | 6XR6JY3MJ89 | DEBBIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.165928049.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543553/check_14198586_f7c5ebb8-0db8-427d-b640-94ee5bf1023f.json | N/A | N/A | N/A | N/A | N/A | 6XR6JY3MJ89 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-23 | S5660 | N/A | N/A | MB | false | CEASAR | N/A | DEBBIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191510367 | N/A | N/A | 5543553 | 2222 | 4793 | 14568884 | N/A | 4215327 | 2025-11-04 03:38:36.324779 | 2025-05-13 04:29:37.229651 |
| 2025-11-02 07:06:02.178101 | 2025-11-04 03:33:58.452079 | 14198559 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14198559 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-11-04 | M | AE | PT | FORTIN | R14644640MS1 | NATHANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.165928049.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_14198559_2d531970-b7fd-4e10-b7e0-504e21d9f946.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | K96 SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191510366 | N/A | N/A | 5543425 | 2222 | 4801 | 14564314 | N/A | 4215211 | 2025-11-04 03:33:58.452079 | 2026-04-02 22:30:20.020246 |
| 2025-11-02 07:06:01.834846 | 2025-11-04 03:34:46.692348 | 14198528 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14198528 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-11-04 | F | PT | N/A | DAKE | SIF326M90066 | RENEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.165928049.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543355/check_14198528_1ff433ec-6c51-45be-8557-cf380c64262f.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | Preferred Provider Organization (PPO) | SISC - MEADOWS ARTS & TECH ELEMENTARY SCHOOL | ANTHEM BLUE CROSS | N/A | 1968-01-29 | 040 | 40424B | N/A | PR | false | DAKE | N/A | RENEE | N/A | 9999-12-31 | 2018-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191510365 | N/A | N/A | 5543355 | 2222 | 4793 | 14565099 | N/A | 4215158 | 2025-11-04 03:34:46.692348 | 2025-05-13 04:29:37.229475 |
| 2025-11-02 07:06:01.576522 | 2025-11-04 03:38:40.565748 | 14198503 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14198503 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-11-05 | F | AE | PT | HOWARD | 6JJ9KX0PY45 | JUDI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.165928049.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543340/check_14198503_cca0f8e2-2458-4610-a613-d6ffeec64326.json | N/A | N/A | N/A | N/A | N/A | 6JJ9KX0PY45 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-11-19 | S5884 | N/A | N/A | MA | false | HOWARD | N/A | JUDI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191510363 | N/A | N/A | 5543340 | 2222 | 4793 | 14568957 | N/A | 4215147 | 2025-11-04 03:38:40.565748 | 2025-05-13 04:29:37.229464 |
| 2025-11-02 07:06:01.202719 | 2025-11-04 02:03:06.795786 | 14198470 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14198470 | Athletic Physical Therapy Inc | 1944-07-11 | 2025-11-04 | F | AE | PT | SAFAVI | 9AX5KK6UD79 | ASHRAF | 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/2222/11183545/check_14198470_651c3bc3-301e-45ed-8007-2a560cb22f54.json | N/A | N/A | N/A | N/A | N/A | 9AX5KK6UD79 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-07-11 | S4802 | N/A | N/A | MA | false | SAFAVI | N/A | ASHRAF | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191579075 | N/A | N/A | 11183545 | 2222 | 4802 | 14555027 | N/A | 9459548 | 2025-11-04 02:03:06.795786 | 2025-10-17 18:54:00.807402 |
| 2025-11-02 07:06:01.164480 | 2025-11-04 03:34:41.720052 | 14198463 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 14198463 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-11-04 | F | AE | PT | SILVERS | 1866968 | JOIEMAY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.165928049.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543335/check_14198463_e4edd21b-aeea-4c38-8c07-945caea574e0.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 2001-01-23 | N/A | N/A | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191510362 | N/A | N/A | 5543335 | 2222 | 4802 | 14565016 | N/A | 4215139 | 2025-11-04 03:34:41.720052 | 2025-05-13 21:20:11.455022 |
| 2025-11-02 07:06:00.871781 | 2025-11-04 03:35:17.880154 | 14198435 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14198435 | Athletic Physical Therapy Inc | 1987-10-17 | 2025-11-04 | F | PT | N/A | PATEL | XEA910759571 | MAMTABEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.165928049.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543327/check_14198435_a14445e6-126a-4956-9587-711c11d4a730.json | N/A | N/A | N/A | N/A | N/A | XEA910759571 | Preferred Provider Organization (PPO) | RELATIVITY SPACE INC | BLUE SHIELD CALIFORNIA | N/A | 1987-10-17 | 1000PPOX0004 | W0071038 | N/A | PR | false | KROL | N/A | JEREMY | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1650 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191510361 | N/A | N/A | 5543327 | 2222 | 4802 | 14565604 | N/A | 4215137 | 2025-11-04 03:35:17.880154 | 2025-10-13 23:09:53.444170 |
| 2025-11-02 07:06:00.654653 | 2025-11-04 03:31:42.903627 | 14198414 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 14198414 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-11-05 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.165928049.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_14198414_3e63a5ad-d8e5-4b71-8ae4-6f375e822f02.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-03-27 | N/A | N/A | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191510360 | N/A | N/A | 5543270 | 2222 | 4793 | 14562120 | N/A | 4215086 | 2025-11-04 03:31:42.903627 | 2025-05-13 04:29:37.229401 |
| 2025-11-02 07:06:00.372078 | 2025-11-04 03:35:18.628671 | 14198383 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14198383 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-11-04 | F | PT | N/A | PAUL | XEK914147727 | SARA | 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/2222/5543211/check_14198383_7c771e03-28e8-4cd5-995a-f561ac3f214e.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | 9999-12-31 | 2025-02-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191510359 | N/A | N/A | 5543211 | 2222 | 4801 | 14565616 | N/A | 4215028 | 2025-11-04 03:35:18.628671 | 2025-05-13 04:29:37.229346 |
| 2025-11-02 07:06:00.046374 | 2025-11-04 03:38:39.925564 | 14198350 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14198350 | Athletic Physical Therapy Inc | 1940-11-11 | 2025-11-03 | M | AE | PT | GOLDBERG | 9EE6XY2TM41 | Michael | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.165928049.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542970/check_14198350_a775daf2-09ca-4e91-8701-05ca947489a0.json | N/A | N/A | N/A | N/A | N/A | 9EE6XY2TM41 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-11-11 | S5601 | N/A | N/A | MB | false | GOLDBERG | 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 | 9191510358 | N/A | N/A | 5542970 | 2222 | 4802 | 14568943 | N/A | 4214820 | 2025-11-04 03:38:39.925564 | 2025-06-30 02:56:23.324592 |
| 2025-11-02 07:05:59.781775 | 2025-11-04 03:35:17.516428 | 14198325 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14198325 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-11-04 | F | PT | N/A | JAIN | XEK909304497 | SUPARNA | 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/2222/5542952/check_14198325_9a8a0047-0fc0-4349-903c-30af1f111e11.json | N/A | N/A | N/A | N/A | N/A | XEK909304497 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-01-24 | 2001ZK002189 | X0001000 | N/A | PR | false | JAIN | N/A | SUPARNA | N/A | 9999-12-31 | 2019-09-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191510357 | N/A | N/A | 5542952 | 2222 | 4802 | 14565599 | N/A | 4214804 | 2025-11-04 03:35:17.516428 | 2025-05-13 20:09:53.786482 |
| 2025-11-02 07:05:59.540685 | 2025-11-04 03:38:39.576954 | 14198301 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14198301 | Athletic Physical Therapy Inc | 1944-10-29 | 2025-11-03 | F | AE | PT | GOLDBERG | 6YD7TP7AC72 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.165928049.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542935/check_14198301_302e9316-35ee-44e4-b5e8-587770783b41.json | N/A | N/A | N/A | N/A | N/A | 6YD7TP7AC72 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-10-29 | S5601 | N/A | N/A | MB | false | GOLDBERG | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191510355 | N/A | N/A | 5542935 | 2222 | 4802 | 14568938 | N/A | 4214789 | 2025-11-04 03:38:39.576954 | 2025-12-11 23:30:31.319246 |
| 2025-11-02 07:05:59.225584 | 2025-11-04 03:32:03.300565 | 14198267 | N/A | N/A | 60054 | Aetna | 1114042165 | 14198267 | Athletic Physical Therapy Inc | 1982-02-18 | 2025-11-05 | M | AE | PT | TORGAN | W291598583 | SPENCER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.165928049.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542863/check_14198267_5c3004ec-b882-4624-8da6-a0d80bfe0b76.json | N/A | N/A | N/A | N/A | N/A | W291598583 | Point of Service (POS) | MORGAN STANLEY DOMESTIC HOLDINGS, L | AETNA | N/A | 1982-02-18 | 0868849 | 086884901000001 | N/A | PS | false | TORGAN | N/A | SPENCER | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191510354 | N/A | N/A | 5542863 | 2222 | 4793 | 14562426 | N/A | 4214725 | 2025-11-04 03:32:03.300565 | 2025-05-13 04:29:37.229043 |
| 2025-11-02 07:05:58.845894 | 2025-11-04 03:34:27.352559 | 14198230 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14198230 | Athletic Physical Therapy Inc | 2007-12-08 | 2025-11-05 | F | AE | PT | LARSEN | R06053944FD1 | LANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.165928049.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542850/check_14198230_4981227f-47d1-4b55-b0c7-23d39f34badc.json | N/A | N/A | N/A | N/A | N/A | R06053944FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2007-12-08 | N/A | N/A | N/A | N/A | false | LARSEN | N/A | LANA | N/A | 2025-11-02 | 2025-01-01 | MGY COMHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191510353 | N/A | N/A | 5542850 | 2222 | 4793 | 14564779 | N/A | 4214714 | 2025-11-04 03:34:27.352559 | 2025-05-13 04:29:37.229031 |
| 2025-11-02 07:05:58.839058 | 2025-11-04 01:37:14.383180 | 14198228 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14198228 | Athletic Physical Therapy Inc | 1952-10-25 | 2025-11-05 | F | AE | PT | JOHNSTON | 7KA0H51YU14 | DEBORAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.163736316.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638066/check_14198228_bd202eea-4f3c-4b0d-9fa4-13e2232e0a1d.json | N/A | N/A | N/A | N/A | N/A | 7KA0H51YU14 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-10-25 | S5617 | N/A | N/A | MA | false | JOHNSTON | N/A | DEBORAH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191514928 | N/A | N/A | 6638066 | 2222 | 4793 | 14495533 | N/A | 5247837 | 2025-11-04 01:37:14.383180 | 2026-02-24 20:36:49.807283 |
| 2025-11-02 07:05:58.579403 | 2025-11-04 03:32:03.019068 | 14198205 | N/A | N/A | 60054 | Aetna | 1114042165 | 14198205 | Athletic Physical Therapy Inc | 2015-03-25 | 2025-11-03 | M | AE | PT | MOLAVI | W290733985 | MATTHEW | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.165928049.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542759/check_14198205_582ca5fe-25d8-4859-83a0-ce17328df834.json | N/A | N/A | N/A | N/A | N/A | W290733985 | Point of Service (POS) | THE TCW GROUP, INC. | AETNA | N/A | 2015-03-25 | 0247292 | 024729201100001 | N/A | PS | false | MOLAVI | N/A | MOHAMAD | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191510352 | N/A | N/A | 5542759 | 2222 | 4793 | 14562422 | N/A | 4214620 | 2025-11-04 03:32:03.019068 | 2025-08-05 22:41:29.756445 |
| 2025-11-02 07:05:58.310362 | 2025-11-04 03:33:59.130341 | 14198178 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14198178 | Athletic Physical Therapy Inc | 1979-11-17 | 2025-11-04 | F | AE | PT | WOODS | 96781627F | JESSICA | 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/2222/5542752/check_14198178_e801ce62-c32a-465e-b8ce-43c1495545f5.json | N/A | N/A | N/A | N/A | N/A | 96781627F | N/A | N/A | HEALTH NET, LLC | N/A | 1979-11-17 | N/A | N/A | N/A | N/A | false | WOODS | N/A | JESSICA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191510351 | N/A | N/A | 5542752 | 2222 | 4793 | 14564322 | N/A | 4214627 | 2025-11-04 03:33:59.130341 | 2025-06-23 18:58:46.304598 |
| 2025-11-02 07:05:58.087769 | 2025-11-04 03:32:02.082563 | 14198157 | N/A | N/A | 60054 | Aetna | 1114042165 | 14198157 | Athletic Physical Therapy Inc | 1975-12-13 | 2025-11-04 | F | AE | PT | ASSENGA | TWA295A70455 | NANCY | 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/2222/5542618/check_14198157_46ec898c-98fa-4e97-89c9-0fd2b1493ff8.json | N/A | N/A | N/A | N/A | N/A | TWA295A70455 | N/A | N/A | AETNA | N/A | 1975-12-13 | 0846522 | 084652202300182 | N/A | N/A | false | ASSENGA | N/A | NANCY | N/A | N/A | N/A | OPEN CHOICE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191510350 | N/A | N/A | 5542618 | 2222 | 4801 | 14562409 | N/A | 4214504 | 2025-11-04 03:32:02.082563 | 2025-05-13 04:29:37.228820 |
| 2025-11-02 07:05:57.867470 | 2025-11-04 03:34:40.247655 | 14198134 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 14198134 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-11-04 | F | AE | PT | HAMI | 92932800G | FARIBA | 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/2222/5542611/check_14198134_f57ff4b9-9fbe-4bc4-89f3-4adb4a9f1a96.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1960-09-15 | N/A | N/A | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191510349 | N/A | N/A | 5542611 | 2222 | 4802 | 14564992 | N/A | 4214490 | 2025-11-04 03:34:40.247655 | 2025-05-13 04:29:37.228806 |
| 2025-11-02 07:05:57.653617 | 2025-11-04 03:38:34.914489 | 14198117 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14198117 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-11-03 | M | AE | PT | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.165928049.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542555/check_14198117_f8884efa-4563-4b64-8fed-76766bb74420.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-24 | N/A | N/A | N/A | MA | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191510348 | N/A | N/A | 5542555 | 2222 | 4793 | 14568862 | N/A | 4214447 | 2025-11-04 03:38:34.914489 | 2026-04-23 20:11:34.441054 |
| 2025-11-02 07:05:57.380354 | 2025-11-04 03:38:44.900536 | 14198092 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14198092 | Athletic Physical Therapy Inc | 1949-11-21 | 2025-11-04 | M | AE | PT | WOLFE | 7JF6YW4EF47 | KEVIN | 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/2222/5542521/check_14198092_320c16de-7a5d-45e6-ad53-47489745eafd.json | N/A | N/A | N/A | N/A | N/A | 7JF6YW4EF47 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-11-21 | S4802 | N/A | N/A | MB | false | WOLFE | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191510347 | N/A | N/A | 5542521 | 2222 | 4801 | 14569034 | N/A | 4214422 | 2025-11-04 03:38:44.900536 | 2025-05-13 04:29:37.228745 |
| 2025-11-02 07:05:57.188549 | 2025-11-04 03:38:38.910730 | 14198075 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14198075 | Athletic Physical Therapy Inc | 1950-10-11 | 2025-11-04 | F | AE | PT | FRANK | 6C06N65FN89 | KAREN | 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/2222/5542263/check_14198075_72f10be5-99ac-4a60-99ea-cf5bf3886227.json | N/A | N/A | N/A | N/A | N/A | 6C06N65FN89 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-10-11 | S5601 | N/A | N/A | MB | false | FRANK | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191510346 | N/A | N/A | 5542263 | 2222 | 4802 | 14568923 | N/A | 4214201 | 2025-11-04 03:38:38.910730 | 2025-05-13 04:29:37.228535 |
| 2025-11-02 07:05:56.870859 | 2025-11-04 03:38:41.014085 | 14198042 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14198042 | Athletic Physical Therapy Inc | 1936-09-29 | 2025-11-04 | M | AE | PT | JAUDE | 8D38EF9GV30 | KARIM | 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/2222/5542251/check_14198042_618edb91-3629-4b6b-bfa4-05ceca61fe52.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MA | false | JAUDE | N/A | KARIM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191510345 | N/A | N/A | 5542251 | 2222 | 4802 | 14568965 | N/A | 4214191 | 2025-11-04 03:38:41.014085 | 2025-05-13 04:29:37.228525 |
| 2025-11-02 07:05:56.651107 | 2025-11-04 03:34:40.851787 | 14198022 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 14198022 | Athletic Physical Therapy Inc | 1975-03-26 | 2025-11-04 | F | AE | PT | HEYES | 95596436F | DARCIE | 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/2222/5542233/check_14198022_4156dd6a-f0f9-4e82-b8e2-f478a43f4246.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1975-03-26 | N/A | N/A | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191510344 | N/A | N/A | 5542233 | 2222 | 4793 | 14564999 | N/A | 4214178 | 2025-11-04 03:34:40.851787 | 2025-05-13 04:29:37.228506 |
| 2025-11-02 07:05:56.465689 | 2025-11-04 03:34:47.773969 | 14198002 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14198002 | Athletic Physical Therapy Inc | 1938-01-22 | 2025-11-04 | F | PT | N/A | ISTOK | MBL474M98437 | LOIS | 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/2222/5542207/check_14198002_bd8c5a3b-037f-44ef-b60f-91f946d8adaa.json | N/A | N/A | N/A | N/A | N/A | MBL474M98437 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1938-01-22 | 040 | CAEGR005 | N/A | N/A | false | ISTOK | N/A | LOIS | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191510343 | N/A | N/A | 5542207 | 2222 | 4802 | 14565114 | N/A | 4214152 | 2025-11-04 03:34:47.773969 | 2025-05-13 04:29:37.228479 |
| 2025-11-02 07:05:56.286181 | 2025-11-04 03:38:40.235123 | 14197982 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14197982 | Athletic Physical Therapy Inc | 1937-05-08 | 2025-11-04 | F | AE | PT | GRINBERG | 6W60TM0KP36 | HANNA | 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/2222/5542161/check_14197982_427a884a-c67e-48ba-8732-27a7f402d3ab.json | N/A | N/A | N/A | N/A | N/A | 6W60TM0KP36 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-05-08 | S5921 | N/A | N/A | MA | false | GRINBERG | N/A | HANNA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191510342 | N/A | N/A | 5542161 | 2222 | 4802 | 14568951 | N/A | 4214112 | 2025-11-04 03:38:40.235123 | 2025-05-13 04:29:37.228426 |
| 2025-11-02 07:05:56.130011 | 2025-11-04 03:34:25.400678 | 14197966 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 14197966 | Athletic Physical Therapy Inc | 2009-08-26 | 2025-11-04 | F | AE | PT | ELAZARY | 000019315679 | NATALEE | 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/2222/5542060/check_14197966_2f460226-863b-4076-8634-24a9a1c7779d.json | N/A | N/A | N/A | N/A | N/A | 000019315679 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 2009-08-26 | 4344868 | 235828 | N/A | N/A | false | ELAZARY | N/A | NATALEE | N/A | N/A | N/A | CALIFORNIA'S VALUED TRUST PLAN 8/DHMO/3 TIER/ACTIV | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191510341 | N/A | N/A | 5542060 | 2222 | 4793 | 14564752 | N/A | 4214019 | 2025-11-04 03:34:25.400678 | 2025-05-13 04:29:37.228340 |
| 2025-11-02 07:05:55.995607 | 2025-11-04 03:34:41.384067 | 14197947 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 14197947 | Athletic Physical Therapy Inc | 1961-02-27 | 2025-11-04 | M | AE | PT | SHRIVER | 90771207E | DANIEL | 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/2222/5541984/check_14197947_03967970-c14d-4e2f-8aa2-c4bdd7015c2e.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1961-02-27 | N/A | N/A | N/A | N/A | false | SHRIVER | N/A | DANIEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191510340 | N/A | N/A | 5541984 | 2222 | 4802 | 14565009 | N/A | 4213934 | 2025-11-04 03:34:41.384067 | 2026-01-27 23:36:44.802366 |
| 2025-11-02 07:05:55.805931 | 2025-11-04 03:38:42.920146 | 14197927 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14197927 | Athletic Physical Therapy Inc | 1944-04-25 | 2025-11-03 | F | AE | PT | ROSENTHAL | 6WM0N21VW35 | PHYLLIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.165928049.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541887/check_14197927_bec1c7ba-c8f4-469e-8b56-abfd27294685.json | N/A | N/A | N/A | N/A | N/A | 6WM0N21VW35 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-04-25 | S4802 | N/A | N/A | MA | false | ROSENTHAL | N/A | PHYLLIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191510339 | N/A | N/A | 5541887 | 2222 | 4802 | 14568998 | N/A | 4213865 | 2025-11-04 03:38:42.920146 | 2025-05-13 04:29:37.228183 |
| 2025-11-02 07:05:55.639599 | 2025-11-04 03:38:43.254768 | 14197909 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14197909 | Athletic Physical Therapy Inc | 1949-07-06 | 2025-11-03 | M | AE | PT | SILVERMAN | 1P91CV2QF22 | LAWRENCE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.165928049.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541609/check_14197909_caf54cb8-775a-4fc6-9bad-9b3f53d1078e.json | N/A | N/A | N/A | N/A | N/A | 1P91CV2QF22 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-07-06 | N/A | N/A | N/A | MA | false | SILVERMAN | N/A | LAWRENCE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191510338 | N/A | N/A | 5541609 | 2222 | 4793 | 14569007 | N/A | 4213611 | 2025-11-04 03:38:43.254768 | 2025-05-13 04:29:37.227938 |
| 2025-11-02 07:05:55.487257 | 2025-11-04 03:33:09.308683 | 14197893 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 14197893 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-11-04 | M | AD | N/A | LYKIDIS | U1221753503 | JOHN | 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/2222/5541552/check_14197893_f9168a8b-cdfd-4f0c-86fc-9df473e959e8.json | N/A | N/A | N/A | N/A | N/A | U1221753503 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 2001-11-21 | N/A | 3207160 | N/A | N/A | false | LYKIDIS | N/A | JOHN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 9191510337 | N/A | N/A | 5541552 | 2222 | 4802 | 14563506 | N/A | 4213562 | 2025-11-04 03:33:09.308683 | 2025-05-13 04:29:37.227895 |
| 2025-11-02 07:05:55.325038 | 2025-11-04 03:35:17.124296 | 14197873 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14197873 | Athletic Physical Therapy Inc | 1963-07-22 | 2025-11-05 | F | PT | N/A | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.165928049.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541314/check_14197873_1e42f4ca-c723-4df9-a566-0a56c93854f1.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 9999-12-31 | 2025-01-01 | SILVER 73 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191510336 | N/A | N/A | 5541314 | 2222 | 4793 | 14565591 | N/A | 4213343 | 2025-11-04 03:35:17.124296 | 2025-06-06 02:21:37.603701 |
| 2025-11-02 07:05:55.193320 | 2025-11-04 03:34:47.435306 | 14197858 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 14197858 | Athletic Physical Therapy Inc | 1958-07-16 | 2025-11-04 | F | PT | N/A | GALVAN GUERRERO | MMA904W16717 | MARIA | 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/2222/5541035/check_14197858_ae0f0a54-5b81-49db-8097-bedcf5518b70.json | N/A | N/A | N/A | N/A | N/A | MMA904W16717 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-07-16 | 040 | CAMCRWP0 | N/A | MP | false | GALVAN-GUERRERO | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191510335 | N/A | N/A | 5541035 | 2222 | 4801 | 14565110 | 4184 | 4213091 | 2025-11-04 03:34:47.435306 | 2025-05-13 04:29:37.227417 |
| 2025-11-02 07:05:55.029486 | 2025-11-04 03:38:41.948856 | 14197840 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14197840 | Athletic Physical Therapy Inc | 1949-12-02 | 2025-11-04 | F | AE | PT | LADEN | 6GY2TG9HX06 | CANDACE | 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/2222/5540768/check_14197840_d3183479-b650-4452-9710-0e22dc82939a.json | N/A | N/A | N/A | N/A | N/A | 6GY2TG9HX06 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-12-02 | S4802 | N/A | N/A | MB | false | LADEN | N/A | CANDACE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191510334 | N/A | N/A | 5540768 | 2222 | 4802 | 14568981 | N/A | 4212856 | 2025-11-04 03:38:41.948856 | 2025-08-04 18:33:35.319989 |
| 2025-11-02 07:05:54.879757 | 2025-11-04 03:32:02.378223 | 14197823 | N/A | N/A | 60054 | Aetna | 1114042165 | 14197823 | Athletic Physical Therapy Inc | 1982-07-27 | 2025-11-04 | M | AE | PT | BOKHTIER | W275493875 | GOLAM | 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/2222/5540723/check_14197823_723f9473-28e4-4032-9870-b5549be625a4.json | N/A | N/A | N/A | N/A | N/A | W275493875 | Exclusive Provider Organization | AMERICAN EXPRESS COMPANY | AETNA | N/A | 1982-07-27 | 0169631 | 016963101100001 | N/A | EP | false | BOKHTIER | N/A | SUMMER | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191511575 | N/A | N/A | 5540723 | 2222 | 4793 | 14562413 | N/A | 4212833 | 2025-11-04 03:32:02.378223 | 2025-05-28 20:46:35.079848 |
| 2025-11-02 07:05:54.720787 | 2025-11-04 03:38:39.283820 | 14197808 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14197808 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-11-03 | F | AE | PT | GNAD | 9EM9VP4XX36 | MELANIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.165928049.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540676/check_14197808_fedd35cd-c6d7-4045-986b-c79d3175d569.json | N/A | N/A | N/A | N/A | N/A | 9EM9VP4XX36 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-04-16 | S5601 | N/A | N/A | MB | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191511574 | N/A | N/A | 5540676 | 2222 | 4801 | 14568930 | N/A | 4212792 | 2025-11-04 03:38:39.283820 | 2025-10-07 20:33:25.637997 |
| 2025-11-02 07:05:54.592647 | 2025-11-04 03:35:19.358897 | 14197790 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14197790 | Athletic Physical Therapy Inc | 1997-07-14 | 2025-11-05 | M | PT | N/A | SHERBETJIAN | XED910281081 | JACK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.165928049.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540558/check_14197790_9bb02021-2979-4f94-8be8-bbe6278b6a29.json | N/A | N/A | N/A | N/A | N/A | XED910281081 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-14 | 2001ZK002184 | X0001004 | N/A | PR | false | SHERBETJIAN | N/A | JACK | N/A | 9999-12-31 | 2021-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191511573 | N/A | N/A | 5540558 | 2222 | 4801 | 14565625 | N/A | 4212698 | 2025-11-04 03:35:19.358897 | 2025-05-13 04:29:37.227042 |
| 2025-11-02 07:05:54.471212 | 2025-11-04 03:38:34.489784 | 14197773 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14197773 | Athletic Physical Therapy Inc | 1940-05-13 | 2025-11-04 | F | AE | PT | ALIZADEH GHARBAGHI | 6AX8PH3NH43 | TOURAN | 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/2222/5540531/check_14197773_fa578706-a6c0-4022-9bbc-c5bfd271d8af.json | N/A | N/A | N/A | N/A | N/A | 6AX8PH3NH43 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-05-13 | S5617 | N/A | N/A | MB | false | ALIZADEH GHARBAGHI | N/A | TOURAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191511569 | N/A | N/A | 5540531 | 2222 | 4802 | 14568855 | N/A | 4212676 | 2025-11-04 03:38:34.489784 | 2025-07-03 21:09:02.193065 |
| 2025-11-02 07:05:54.328651 | 2025-11-04 03:33:58.801783 | 14197762 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14197762 | Athletic Physical Therapy Inc | 1973-07-11 | 2025-11-04 | M | AE | PT | HERMAN | 95836743G | BRETT | 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/2222/5540113/check_14197762_95abd525-5e7d-4b3b-9574-6ab1c5a947fa.json | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | HEALTH NET, LLC | N/A | 1973-07-11 | N/A | N/A | N/A | N/A | false | HERMAN | N/A | BRETT | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191511568 | N/A | N/A | 5540113 | 2222 | 4801 | 14564317 | N/A | 4212315 | 2025-11-04 03:33:58.801783 | 2025-12-29 21:20:15.158611 |