API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-02 07:05:54.194482 | 2025-11-04 03:34:45.224611 | 14197744 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14197744 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-11-04 | F | PT | BOYLAN | MBL857M98403 | JOAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.165928049.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540074/check_14197744_bbb96b9c-2fbd-4840-8f2e-0ebcdf3a8143.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191511567 | N/A | N/A | 5540074 | 2222 | 4802 | 14565076 | N/A | 4212282 | 2025-11-04 03:34:45.224611 | 2025-05-13 04:29:37.226623 |
| 2025-11-02 07:05:54.074830 | 2025-11-04 03:34:26.747644 | 14197731 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14197731 | Athletic Physical Therapy Inc | 1982-06-09 | 2025-11-04 | M | AE | FULKERSON | R12222652MM1 | SCOTT | PT | 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/2222/5539956/check_14197731_8d195931-2c6d-4812-abbf-e3ad4201a554.json | N/A | N/A | N/A | N/A | N/A | R12222652MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1982-06-09 | N/A | N/A | N/A | N/A | false | FULKERSON | N/A | SCOTT | N/A | 2025-11-02 | 2025-01-01 | MFC UCNNHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191511566 | N/A | N/A | 5539956 | 2222 | 4801 | 14564773 | N/A | 4212166 | 2025-11-04 03:34:26.747644 | 2025-10-23 15:59:33.239127 |
| 2025-11-02 07:05:53.936493 | 2025-11-04 03:35:31.433640 | 14197718 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14197718 | Athletic Physical Therapy Inc | 1983-08-31 | 2025-11-04 | M | PT | FLEMING | SZF839281184 | CHASE | N/A | 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/2222/5539901/check_14197718_e6b13e75-c650-4802-86cc-e6a806bb0ec4.json | N/A | N/A | N/A | N/A | N/A | SZF839281184 | Preferred Provider Organization (PPO) | ACTIVE | CUSTOMER SERVICE | N/A | 1983-08-31 | N/A | 018137 | N/A | PR | false | FLEMING | N/A | CHASE | N/A | 9999-12-31 | 2021-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191511565 | N/A | N/A | 5539901 | 2222 | 4793 | 14565825 | N/A | 4212134 | 2025-11-04 03:35:31.433640 | 2025-08-05 02:56:55.384378 |
| 2025-11-02 07:05:53.805194 | 2025-11-04 03:34:49.596373 | 14197703 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14197703 | Athletic Physical Therapy Inc | 1961-10-29 | 2025-11-04 | F | PT | STEWARD | NCF874A20085 | ANDREA | N/A | 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/2222/5539556/check_14197703_0adeb402-fcf5-459b-89ce-75c302f6c6af.json | N/A | N/A | N/A | N/A | N/A | NCF874A20085 | Health Maintenance Organization (HMO) | LACERS- LOS ANGELES CITY RETIREMENT SYSTEMS | ANTHEM BLUE CROSS | N/A | 1961-10-29 | 040 | 57ABBA | N/A | HM | false | STEWARD | N/A | ANDREA | N/A | 9999-12-31 | 2017-04-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191511564 | N/A | N/A | 5539556 | 2222 | 4801 | 14565145 | N/A | 4211841 | 2025-11-04 03:34:49.596373 | 2025-10-23 18:30:51.891275 |
| 2025-11-02 07:05:53.647610 | 2025-11-04 03:34:49.911041 | 14197689 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14197689 | Athletic Physical Therapy Inc | 1973-05-16 | 2025-11-04 | F | PT | WILSON | XEH905431769 | JOSEPHINE | N/A | 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/2222/5539486/check_14197689_54fb92b4-ac86-4159-8c91-90c5e8694251.json | N/A | N/A | N/A | N/A | N/A | XEH905431769 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1973-05-16 | 1477HMOX0001 | W0051411 | N/A | HM | false | WILSON | N/A | JOSEPHINE | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191511563 | N/A | N/A | 5539486 | 2222 | 4793 | 14565149 | 4185 | 4211784 | 2025-11-04 03:34:49.911041 | 2025-06-01 03:36:02.268093 |
| 2025-11-02 07:05:53.528012 | 2025-11-04 03:38:41.491305 | 14197672 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14197672 | Athletic Physical Therapy Inc | 1956-03-01 | 2025-11-04 | M | AE | KLINGE | 9JP2FT7FX98 | JOHN | PT | 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/2222/5539484/check_14197672_098cf12d-464d-4787-bde2-ad373351bdc7.json | N/A | N/A | N/A | N/A | N/A | 9JP2FT7FX98 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-03-01 | S4802 | N/A | N/A | MA | false | KLINGE | N/A | JOHN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191511562 | N/A | N/A | 5539484 | 2222 | 4793 | 14568971 | N/A | 4211780 | 2025-11-04 03:38:41.491305 | 2025-10-27 16:53:51.769426 |
| 2025-11-02 07:05:53.402862 | 2025-11-04 03:34:01.484138 | 14197657 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 14197657 | Athletic Physical Therapy Inc | 1944-11-21 | 2025-11-05 | M | AE | KEARNS | 31193293201 | TIM | PT | 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/2222/5539406/check_14197657_24e3b7df-f4e5-42d6-8a26-e7a74619f787.json | N/A | N/A | N/A | N/A | N/A | 31193293201 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1944-11-21 | 2025H5425001 | H5425M | N/A | N/A | false | KEARNS | N/A | TIMOTHY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191511561 | N/A | N/A | 5539406 | 2222 | 4793 | 14564361 | N/A | 4211716 | 2025-11-04 03:34:01.484138 | 2025-12-05 19:31:54.715013 |
| 2025-11-02 07:05:53.274664 | 2025-11-04 03:34:46.337354 | 14197645 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14197645 | Athletic Physical Therapy Inc | 2008-01-01 | 2025-11-04 | M | PT | COSTELLO | JXN840A20610 | JAMES | N/A | 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/2222/5539326/check_14197645_929bc39f-5a6e-4fdf-81c1-5557d0c95834.json | N/A | N/A | N/A | N/A | N/A | JXN840A20610 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 2008-01-01 | 040 | 174222MAA1 | N/A | PR | false | COSTELLO | N/A | PATRICK | N/A | 9999-12-31 | 2022-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191511560 | N/A | N/A | 5539326 | 2222 | 4793 | 14565089 | N/A | 4211647 | 2025-11-04 03:34:46.337354 | 2025-10-21 19:53:46.280627 |
| 2025-11-02 07:05:53.130363 | 2025-11-04 03:38:42.569528 | 14197627 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14197627 | Athletic Physical Therapy Inc | 1950-08-31 | 2025-11-05 | M | AE | NADRICH | 1NJ2V04GK04 | JEFFREY | PT | 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/2222/5538990/check_14197627_06803b90-b7cd-4aa3-a20e-786ca17f4de2.json | N/A | N/A | N/A | N/A | N/A | 1NJ2V04GK04 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-08-31 | S5601 | N/A | N/A | MA | false | NADRICH | N/A | JEFF | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191511559 | N/A | N/A | 5538990 | 2222 | 4802 | 14568991 | N/A | 4211316 | 2025-11-04 03:38:42.569528 | 2025-05-13 04:29:37.225679 |
| 2025-11-02 07:05:52.799205 | 2025-11-04 03:35:18.163124 | 14197593 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14197593 | Athletic Physical Therapy Inc | 1980-10-31 | 2025-11-05 | M | AE | PAREDES | XEH910686412 | JOSE | PT | 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/2222/5538615/check_14197593_e3b6f537-ca16-4e8c-a5ab-4e2df0e7da83.json | N/A | N/A | N/A | N/A | N/A | XEH910686412 | Health Maintenance Organization (HMO) | TRADER JOE S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1980-10-31 | 1000VX000001 | W0069783 | N/A | HM | false | MORDKA | N/A | LUCAS | N/A | 9999-12-31 | 2021-07-01 | TRADER JOE S COMPANY CUSTOM EYE EXAM ONLY 20 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191511557 | N/A | N/A | 5538615 | 2222 | 4793 | 14565612 | N/A | 4211010 | 2025-11-04 03:35:18.163124 | 2025-09-30 17:03:18.054141 |
| 2025-11-02 07:05:52.563883 | 2025-11-04 03:38:37.915338 | 14197570 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14197570 | Athletic Physical Therapy Inc | 1952-12-18 | 2025-11-05 | F | AE | DU BRIN | 7KN7YG8XT63 | SUSAN | PT | 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/2222/5538600/check_14197570_ddf6301d-11a2-441a-af7f-72d508bb76ad.json | N/A | N/A | N/A | N/A | N/A | 7KN7YG8XT63 | Medicare Part A | N/A | UNITED SERVICES AUTOMOBILE ASSOC | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-12-18 | S4802 | DOL 06142025 | N/A | MA | false | DU BRIN | N/A | SUSAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191511553 | N/A | N/A | 5538600 | 2222 | 4793 | 14568906 | N/A | 4210998 | 2025-11-04 03:38:37.915338 | 2026-02-23 18:49:01.874308 |
| 2025-11-02 07:05:52.335311 | 2025-11-04 03:38:37.116692 | 14197549 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14197549 | Athletic Physical Therapy Inc | 1954-01-24 | 2025-11-04 | F | AE | DIGIOVANNI | 4N09TQ2YY18 | JILL | PT | 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/2222/5538592/check_14197549_35571471-976e-41d1-9b15-a8e6f0b32424.json | N/A | N/A | N/A | N/A | N/A | 4N09TQ2YY18 | Medicare Part B | N/A | SENTRY INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-24 | S4802 | DOL 11022017 | N/A | MB | false | DIGIOVANNI | N/A | JILL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191511552 | N/A | N/A | 5538592 | 2222 | 4801 | 14568894 | N/A | 4210993 | 2025-11-04 03:38:37.116692 | 2025-05-13 04:29:37.225395 |
| 2025-11-02 07:05:52.103772 | 2025-11-04 03:38:43.548413 | 14197526 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14197526 | Athletic Physical Therapy Inc | 1943-07-22 | 2025-11-03 | M | AE | STEIN | 8MY3V79UN60 | DONALD | PT | 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/2222/5538576/check_14197526_086d6bf9-e216-4113-ae26-4c2c1c025325.json | N/A | N/A | N/A | N/A | N/A | 8MY3V79UN60 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-07-22 | S5921 | N/A | N/A | MA | false | STEIN | N/A | DONALD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191511551 | N/A | N/A | 5538576 | 2222 | 4802 | 14569013 | N/A | 4210984 | 2025-11-04 03:38:43.548413 | 2025-08-15 17:42:50.500189 |
| 2025-11-02 07:05:51.834051 | 2025-11-04 03:38:38.354580 | 14197499 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14197499 | Athletic Physical Therapy Inc | 1954-01-12 | 2025-11-04 | F | AE | FINCH | 3YV4XM6FP06 | DAWN | PT | 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/2222/5538472/check_14197499_4ee2c1a7-accb-40d1-8897-4649d099e64a.json | N/A | N/A | N/A | N/A | N/A | 3YV4XM6FP06 | Medicare Part A | N/A | OPTUM INSURANCE OF OHIO, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-12 | S8841 | N/A | N/A | MA | false | FINCH | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191511548 | N/A | N/A | 5538472 | 2222 | 4802 | 14568914 | N/A | 4210886 | 2025-11-04 03:38:38.354580 | 2025-05-13 04:29:37.225284 |
| 2025-11-02 07:05:51.627851 | 2025-11-04 03:34:47.061723 | 14197481 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14197481 | Athletic Physical Therapy Inc | 2006-06-08 | 2025-11-04 | M | PT | DATO | NGO555A50496 | LUKE | N/A | 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/2222/5538229/check_14197481_4da9f55e-5eac-4043-90de-96ef4c76dd6e.json | N/A | N/A | N/A | N/A | N/A | NGO555A50496 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 2006-06-08 | 040 | 174022MJAD | N/A | PR | false | DATO | N/A | GREGORY | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191511547 | N/A | N/A | 5538229 | 2222 | 4793 | 14565104 | N/A | 4210676 | 2025-11-04 03:34:47.061723 | 2026-05-21 21:09:28.809390 |
| 2025-11-02 07:05:51.430669 | 2025-11-04 03:38:43.925905 | 14197461 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14197461 | Athletic Physical Therapy Inc | 1950-09-27 | 2025-11-04 | F | AE | THOMSEN | 1M31KQ8DJ99 | JANET | PT | 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/2222/5537950/check_14197461_5381f557-6f1e-4c3b-8485-ea0fae9d62a5.json | N/A | N/A | N/A | N/A | N/A | 1M31KQ8DJ99 | N/A | N/A | CMS | N/A | 1950-09-27 | N/A | N/A | N/A | N/A | false | THOMSEN | N/A | JANET | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191511546 | N/A | N/A | 5537950 | 2222 | 4801 | 14569019 | N/A | 4210450 | 2025-11-04 03:38:43.925905 | 2026-05-04 21:51:25.248197 |
| 2025-11-02 07:05:51.269476 | 2025-11-04 03:38:37.523912 | 14197444 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14197444 | Athletic Physical Therapy Inc | 1952-03-25 | 2025-11-03 | F | AE | DRIMMER | 8E03WF9AM78 | NADIA | PT | 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/2222/5537826/check_14197444_fdfce77e-8039-4466-b7c6-f394907fcc42.json | N/A | N/A | N/A | N/A | N/A | 8E03WF9AM78 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-03-25 | S5921 | N/A | N/A | MB | false | DRIMMER | N/A | NADIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191511545 | N/A | N/A | 5537826 | 2222 | 4802 | 14568900 | N/A | 4210338 | 2025-11-04 03:38:37.523912 | 2025-05-13 04:29:37.224744 |
| 2025-11-02 07:05:51.020538 | 2025-11-04 03:35:19.917750 | 14197421 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14197421 | Athletic Physical Therapy Inc | 1980-08-15 | 2025-11-05 | F | PT | SNELL | XED912271222 | NICOLE | N/A | 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/2222/5537740/check_14197421_768e7a76-ea61-485b-9464-2fb47cc09900.json | N/A | N/A | N/A | N/A | N/A | XED912271222 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-08-15 | 2001ZK002185 | X0001004 | N/A | PR | false | SNELL | N/A | NICOLE | N/A | 9999-12-31 | 2023-06-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191511544 | N/A | N/A | 5537740 | 2222 | 4802 | 14565635 | N/A | 4210260 | 2025-11-04 03:35:19.917750 | 2025-05-13 04:29:37.224672 |
| 2025-11-02 07:05:50.830750 | 2025-11-04 03:34:37.605875 | 14197400 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14197400 | Athletic Physical Therapy Inc | 1949-09-13 | 2025-11-05 | M | AE | GOMES | 00000285293 | NEMESIO | PT | 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/2222/5537439/check_14197400_6a8e59f8-bf62-45e0-856c-e18918114f91.json | N/A | N/A | N/A | N/A | N/A | 00000285293 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-09-13 | H3815028 | N/A | N/A | HM | false | GOMES | N/A | NEMESIO | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191511543 | N/A | N/A | 5537439 | 2222 | 4801 | 14564949 | 2630 | 4210001 | 2025-11-04 03:34:37.605875 | 2025-05-13 04:29:37.224421 |
| 2025-11-02 07:05:50.479722 | 2025-11-04 03:34:01.850457 | 14197371 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 14197371 | Athletic Physical Therapy Inc | 1957-02-16 | 2025-11-04 | F | AE | OSE | 40050866601 | KAREN | PT | 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/2222/5537366/check_14197371_cc03be63-0a7b-4dae-a851-d8883068e0e3.json | N/A | N/A | N/A | N/A | N/A | 40050866601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1957-02-16 | 2025H5425001 | H5425M | N/A | N/A | false | OSE | N/A | KAREN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191511542 | N/A | N/A | 5537366 | 2222 | 4793 | 14564368 | N/A | 4209945 | 2025-11-04 03:34:01.850457 | 2025-08-13 22:24:17.841096 |
| 2025-11-02 07:05:50.324774 | 2025-11-04 03:34:49.254172 | 14197356 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14197356 | Athletic Physical Therapy Inc | 1964-10-19 | 2025-11-03 | M | PT | NIELSEN | XDP057A76330 | ROY | N/A | 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/2222/5537188/check_14197356_0372fb75-d072-4e3f-8244-36f382f5c947.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | N/A | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629MN16 | N/A | N/A | false | NIELSEN | N/A | ROY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191511541 | N/A | N/A | 5537188 | 2222 | 4802 | 14565137 | N/A | 4209789 | 2025-11-04 03:34:49.254172 | 2025-05-13 04:29:37.224215 |
| 2025-11-02 07:05:50.061050 | 2025-11-04 03:34:48.659917 | 14197331 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14197331 | Athletic Physical Therapy Inc | 1954-03-31 | 2025-11-04 | M | PT | MILES | MBL835W05431 | KEITH | N/A | 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/2222/5536896/check_14197331_c6c4b3dd-64f1-4e19-a938-feb932e6ab3f.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191511540 | N/A | N/A | 5536896 | 2222 | 4793 | 14565130 | N/A | 4209567 | 2025-11-04 03:34:48.659917 | 2025-05-13 04:29:37.223990 |
| 2025-11-02 07:05:49.829339 | 2025-11-04 03:34:48.250610 | 14197309 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14197309 | Athletic Physical Therapy Inc | 1969-03-28 | 2025-11-05 | M | PT | KOSTER | DGA11321380J | KEVIN | N/A | 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/2222/5536722/check_14197309_f3faac31-dbdb-4ed0-bc62-21e0037f0733.json | N/A | N/A | N/A | N/A | N/A | DGA11321380J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1969-03-28 | 040 | 276945M001 | N/A | PR | false | KOSTER | N/A | KEVIN | N/A | 9999-12-31 | 2025-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191511539 | N/A | N/A | 5536722 | 2222 | 4802 | 14565121 | N/A | 4209420 | 2025-11-04 03:34:48.250610 | 2025-05-13 04:29:37.223843 |
| 2025-11-02 07:05:49.539740 | 2025-11-04 03:34:44.923909 | 14197281 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 14197281 | Athletic Physical Therapy Inc | 1947-04-18 | 2025-11-05 | F | PT | BELL | MNL880M78427 | JACQUELYN | N/A | 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/2222/5536041/check_14197281_80bf208f-f6b9-40ff-bb12-c4c6f3c07ab0.json | N/A | N/A | N/A | N/A | N/A | MNL880M78427 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1947-04-18 | 040 | CAMCRWP0 | N/A | MP | false | BELL | N/A | JACQUELYN | N/A | 2025-12-31 | 2024-07-01 | CA H4471-001-000 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191511538 | N/A | N/A | 5536041 | 2222 | 4802 | 14565068 | 4184 | 4208856 | 2025-11-04 03:34:44.923909 | 2025-05-13 04:29:37.223284 |
| 2025-11-02 07:05:49.317730 | 2025-11-04 03:38:44.522393 | 14197261 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14197261 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-11-05 | M | AE | ULLMAN | 3A76X26KQ40 | DAVID | PT | 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/2222/5535838/check_14197261_db08a770-58fa-41cb-92c7-ddadb3684978.json | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191511537 | N/A | N/A | 5535838 | 2222 | 4801 | 14569025 | N/A | 4208696 | 2025-11-04 03:38:44.522393 | 2025-06-07 16:16:45.844566 |
| 2025-11-02 07:05:49.100556 | 2025-11-04 03:38:42.263132 | 14197240 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14197240 | Athletic Physical Therapy Inc | 1950-07-23 | 2025-11-03 | M | AE | MELVILLE | 5K84YN1FD09 | LANNING | PT | 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/2222/5535728/check_14197240_472841b4-b964-4e31-b28d-3ac403be63e3.json | N/A | N/A | N/A | N/A | N/A | 5K84YN1FD09 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-07-23 | S5884 | N/A | N/A | MB | false | MELVILLE | N/A | LANNING | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191511535 | N/A | N/A | 5535728 | 2222 | 4802 | 14568986 | N/A | 4208598 | 2025-11-04 03:38:42.263132 | 2025-09-11 00:56:25.554348 |
| 2025-11-02 07:05:48.889915 | 2025-11-04 03:34:02.252237 | 14197215 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 14197215 | Athletic Physical Therapy Inc | 1952-12-16 | 2025-11-05 | F | AE | PORTER | 400282215401 | SHERIL | PT | 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/2222/5535434/check_14197215_6634dc57-e2df-4bf4-b4eb-b59770c46706.json | N/A | N/A | N/A | N/A | N/A | 40028215401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-12-16 | 2025H5425001 | H5425M | N/A | N/A | false | PORTER | N/A | SHERIL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191511534 | N/A | N/A | 5535434 | 2222 | 4793 | 14564374 | N/A | 4208356 | 2025-11-04 03:34:02.252237 | 2025-08-25 14:49:27.724897 |
| 2025-11-02 07:05:43.951135 | 2025-11-04 01:42:57.942480 | 14196641 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 14196641 | Athletic Physical Therapy Inc | 1975-12-22 | 2025-11-05 | M | PT | HUTH | XEH910929228 | KENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184512954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7626895/check_14196641_7720b684-aa1f-4137-b20a-d76b24a761c6.json | N/A | N/A | N/A | N/A | N/A | XEH910929228 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1975-12-22 | 1000HMOX0001 | W0051411 | N/A | HM | false | HUTH | N/A | KENT | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191582702 | N/A | N/A | 7626895 | 2222 | 4793 | 14506941 | N/A | 6525917 | 2025-11-04 01:42:57.942480 | 2026-05-08 22:53:13.232007 |
| 2025-11-02 07:05:43.901626 | 2025-11-04 01:34:21.435822 | 14196635 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14196635 | Athletic Physical Therapy Inc | 1967-03-31 | 2025-11-04 | F | PT | BARRERA | XEH903389121 | LOLA | N/A | 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/2222/6611912/check_14196635_1751ad50-28a7-4f34-9fd7-9be5727fd08b.json | N/A | N/A | N/A | N/A | N/A | XEH903389121 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1967-03-31 | N/A | N/A | N/A | N/A | false | BARRERA | N/A | LOLA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191518858 | N/A | N/A | 6611912 | 2222 | 4793 | 14492006 | N/A | 5230345 | 2025-11-04 01:34:21.435822 | 2025-07-11 20:32:03.183345 |
| 2025-11-02 07:05:38.088445 | 2025-11-04 02:03:06.326987 | 14195936 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14195936 | Athletic Physical Therapy Inc | 1957-01-13 | 2025-11-03 | F | AE | NAY | 5UC7QW0QK47 | MARIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184519807.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11175433/check_14195936_3cb6039f-a6b9-4e5c-aacc-01edb63ca536.json | N/A | N/A | N/A | N/A | N/A | 5UC7QW0QK47 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-01-13 | H4036 | N/A | N/A | MA | false | NAY | 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 | 9191578553 | N/A | N/A | 11175433 | 2222 | 4793 | 14555018 | N/A | 9520463 | 2025-11-04 02:03:06.326987 | 2025-10-21 17:49:23.309023 |
| 2025-11-02 07:05:36.460478 | 2025-11-04 01:51:33.446793 | 14195738 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 14195738 | Athletic Physical Therapy Inc | 1966-12-04 | 2025-11-04 | M | PT | CLANCY | XDMOE0503879 | JOSEPH | N/A | 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/2222/9194927/check_14195738_0c442e1f-5218-472c-a422-9404f509b401.json | N/A | N/A | N/A | N/A | N/A | XDMOE0503879 | Health Maintenance Organization (HMO) | OPERATING ENGINEERS HEALTH&WELFARE FUND | ANTHEM BLUE CROSS | N/A | 1966-12-04 | 040 | 278671H001 | N/A | HM | false | CLANCY | N/A | JOSEPH | N/A | 9999-12-31 | 2025-02-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191559100 | N/A | N/A | 9194927 | 2222 | 4793 | 14530704 | 4184 | 7712549 | 2025-11-04 01:51:33.446793 | 2025-09-10 17:29:28.945035 |
| 2025-11-02 07:05:35.704302 | 2025-11-04 02:03:04.850932 | 14195648 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14195648 | Athletic Physical Therapy Inc | 1941-08-23 | 2025-11-04 | M | AE | E Bogen | 9P98YU0FH34 | Andrew | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184519807.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11174640/check_14195648_005c5598-5b9d-49f8-b6e8-bb7882f982bf.json | N/A | N/A | N/A | N/A | N/A | 9P98YU0FH34 | N/A | N/A | CMS | N/A | 1941-08-23 | N/A | N/A | N/A | N/A | false | E BOGEN | N/A | ANDREW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191578536 | N/A | N/A | 11174640 | 2222 | 4802 | 14554981 | N/A | 9519718 | 2025-11-04 02:03:04.850932 | 2026-02-02 19:30:57.219688 |
| 2025-11-02 07:05:32.281581 | 2025-11-04 01:38:30.504860 | 14195210 | N/A | N/A | 60054 | Aetna | 1114042165 | 14195210 | Athletic Physical Therapy Inc | 1969-01-03 | 2025-11-05 | M | AE | HUANG | W278191924 | DANNY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184418247.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140246/check_14195210_bbcaab45-d248-4797-b8a1-b27b92c14678.json | N/A | N/A | N/A | N/A | N/A | W278191924 | Point of Service (POS) | RIPPLING PEO 1, INC. | AETNA | N/A | 1969-01-03 | 0169696 | 016969601700012 | N/A | PS | false | HUANG | N/A | DANNY | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191566092 | N/A | N/A | 6140246 | 2222 | 4802 | 14498029 | N/A | 4781166 | 2025-11-04 01:38:30.504860 | 2025-06-11 17:29:46.826705 |
| 2025-11-02 07:05:25.973683 | 2025-11-04 01:34:21.758772 | 14194526 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14194526 | Athletic Physical Therapy Inc | 1963-02-27 | 2025-11-04 | F | PT | MARYAN | JPU047A23611 | MICHELLE | N/A | 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/2222/6600346/check_14194526_b79e0bd5-91bf-4f3f-8df8-cbd67d5521e1.json | N/A | N/A | N/A | N/A | N/A | JPU047A23611 | Preferred Provider Organization (PPO) | PREMIER AMERICA CREDIT UNION | ANTHEM BLUE CROSS | N/A | 1963-02-27 | 040 | L06734M004 | N/A | PR | false | MARYAN | N/A | MICHELLE | N/A | 9999-12-31 | 2025-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191515768 | N/A | N/A | 6600346 | 2222 | 4801 | 14492011 | N/A | 4211322 | 2025-11-04 01:34:21.758772 | 2025-07-17 16:31:59.104530 |
| 2025-11-02 07:05:24.073376 | 2025-11-04 01:41:53.704946 | 14194321 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14194321 | Athletic Physical Therapy Inc | 1994-02-23 | 2025-11-04 | F | PT | SHU | XAN913831469 | GABRIELA | N/A | 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/2222/6121701/check_14194321_65515cbe-4bbe-4c98-903a-25455e48ef97.json | N/A | N/A | N/A | N/A | N/A | XAN913831469 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1994-02-23 | 1479PPOX0003 | W0051411 | N/A | PR | false | SHU | N/A | GABRIELA | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191564461 | N/A | N/A | 6121701 | 2222 | 4793 | 14505003 | N/A | 4764460 | 2025-11-04 01:41:53.704946 | 2025-06-04 04:30:06.494155 |
| 2025-11-02 07:05:17.272547 | 2025-11-04 01:50:46.279401 | 14193545 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 14193545 | Athletic Physical Therapy Inc | 1961-11-24 | 2025-11-05 | F | AE | CRUTCHFIELD | 904430653 | HELEN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184321221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10103203/check_14193545_209e592f-41f4-4690-b553-e5f064299584.json | N/A | N/A | N/A | N/A | N/A | 904430653 | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1961-11-24 | N/A | N/A | N/A | N/A | false | CRUTCHFIELD | N/A | HELEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191529629 | N/A | N/A | 10103203 | 2222 | 4802 | 14528408 | N/A | 8437251 | 2025-11-04 01:50:46.279401 | 2025-10-07 19:08:26.048804 |
| 2025-11-02 07:05:06.352504 | 2025-11-04 03:47:03.995981 | 14192373 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 14192373 | Athletic Physical Therapy Inc | 1947-05-27 | 2025-11-04 | F | AE | OJEDA DE VALERIO | 40054924601 | MARCELINA | PT | 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/2222/8634171/check_14192373_32f6d6c9-972a-4dcd-8ff8-6be09244614f.json | N/A | N/A | N/A | N/A | N/A | 40054924601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1947-05-27 | 2025H5425001 | H5425M | N/A | N/A | false | OJEDA DE VALERIO | N/A | M | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191499467 | N/A | N/A | 8634171 | 2222 | 4801 | 14575937 | N/A | 7279268 | 2025-11-04 03:47:03.995981 | 2025-09-01 17:13:14.403136 |
| 2025-11-02 07:05:01.283613 | 2025-11-04 01:50:49.060039 | 14191885 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14191885 | Athletic Physical Therapy Inc | 1976-08-13 | 2025-11-04 | F | PT | GODWIN | JPU097W07528 | CASSANDRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184321221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10090153/check_14191885_f96c2280-033f-4dc4-bb59-818a32619645.json | N/A | N/A | N/A | N/A | N/A | JPU097W07528 | Preferred Provider Organization (PPO) | MAJCO LLC | ANTHEM BLUE CROSS | N/A | 1976-08-13 | 040 | 281949M014 | N/A | PR | false | GODWIN | N/A | CASSANDRA | N/A | 9999-12-31 | 2023-06-01 | SOLUTION PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191529067 | N/A | N/A | 10090153 | 2222 | 4801 | 14528574 | N/A | 8428668 | 2025-11-04 01:50:49.060039 | 2025-10-12 20:55:35.014952 |
| 2025-11-02 07:05:00.375715 | 2025-11-04 01:50:48.720224 | 14191806 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14191806 | Athletic Physical Therapy Inc | 1991-12-10 | 2025-11-04 | F | PT | DUBOIS | UCR377M98570 | DANIELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184321221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10089562/check_14191806_8420a360-b2ce-4709-a8e2-66af9ef32036.json | N/A | N/A | N/A | N/A | N/A | UCR377M98570 | Preferred Provider Organization (PPO) | CHARTER COMMUNICATIONS INC | ANTHEM BLUE CROSS | N/A | 1991-12-10 | 241 | 230018ACA2 | N/A | PR | false | DUBOIS | N/A | WESTON | N/A | 9999-12-31 | 2020-01-01 | CDHP MISSOURI HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191529058 | N/A | N/A | 10089562 | 2222 | 4801 | 14528547 | N/A | 8428267 | 2025-11-04 01:50:48.720224 | 2025-10-08 02:27:24.446873 |
| 2025-11-02 07:04:55.374355 | 2025-11-04 01:49:57.910398 | 14191359 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14191359 | Athletic Physical Therapy Inc | 1949-01-02 | 2025-11-04 | F | AE | TARASEVYCH | 90733231H | VIRA | PT | 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/2222/8050658/check_14191359_ed6ea731-8ad8-4ce8-89fe-c8c9663c3214.json | N/A | N/A | N/A | N/A | N/A | 90733231H | N/A | N/A | HEALTH NET, LLC | N/A | 1949-01-02 | N/A | N/A | N/A | N/A | false | TARASEVYCH | N/A | VIRA | N/A | 2025-11-02 | 2024-02-01 | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191547032 | N/A | N/A | 8050658 | 2222 | 4793 | 14525769 | N/A | 6845945 | 2025-11-04 01:49:57.910398 | 2025-08-20 15:30:30.230373 |
| 2025-11-02 07:04:53.686193 | 2025-11-04 01:37:13.508508 | 14191207 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14191207 | Athletic Physical Therapy Inc | 1934-12-03 | 2025-11-03 | M | AE | Dayzadeh | 9A94PK6GA08 | Nasser | PT | 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/2222/6583825/check_14191207_9a22848f-3686-4d58-a199-809184328a2c.json | N/A | N/A | N/A | N/A | N/A | 9A94PK6GA08 | Medicare Part A | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1934-12-03 | S2468 | N/A | N/A | MA | false | DAYZADEH | N/A | NASSER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191518018 | N/A | N/A | 6583825 | 2222 | 4802 | 14495507 | N/A | 5202586 | 2025-11-04 01:37:13.508508 | 2025-06-25 17:55:27.155518 |
| 2025-11-02 07:04:52.010611 | 2025-11-04 01:50:23.908199 | 14191070 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 14191070 | Athletic Physical Therapy Inc | 1980-08-02 | 2025-11-04 | M | AE | HILTSER | 208616901 | LORNE | PT | 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/2222/8048052/check_14191070_0410d1e5-e396-4357-985e-344d00ca5bf4.json | N/A | N/A | N/A | N/A | N/A | 208616901 | Commercial | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1980-08-02 | N/A | 265486 | N/A | C1 | false | HILTSER | N/A | LORNE | N/A | N/A | N/A | SIGNATUREVALUE ALLIANCE HMO GOLD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191546095 | N/A | N/A | 8048052 | 2222 | 4802 | 14527224 | N/A | 6844134 | 2025-11-04 01:50:23.908199 | 2025-08-29 16:18:21.978739 |
| 2025-11-02 07:04:51.324900 | 2025-11-04 03:52:39.953427 | 14191018 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14191018 | Athletic Physical Therapy Inc | 1951-10-12 | 2025-11-04 | F | AE | Ahadian | 3PT2AT4QU70 | Vida | PT | 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/2222/8477425/check_14191018_6b7e888c-8c0b-455a-a03c-85afdda6bb50.json | N/A | N/A | N/A | N/A | N/A | 3PT2AT4QU70 | Medicare Part A | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-10-12 | S9701 | N/A | N/A | MA | false | AHADIAN | N/A | VIDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191501567 | N/A | N/A | 8477425 | 2222 | 4802 | 14579660 | N/A | 7146980 | 2025-11-04 03:52:39.953427 | 2025-08-25 22:34:13.951153 |
| 2025-11-02 07:04:50.636252 | 2025-11-04 01:51:32.709231 | 14190960 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14190960 | Athletic Physical Therapy Inc | 1952-01-13 | 2025-11-04 | M | PT | BLANCO ESCOBAR | JQW106W18304 | SAMUEL | N/A | 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/2222/9134245/check_14190960_ddbbc7a0-ff0e-4f69-8850-b288e6027bb9.json | N/A | N/A | N/A | N/A | N/A | JQW106W18304 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-01-13 | 040 | CAMCRWP0 | N/A | MP | false | BLANCO ESCOBAR | N/A | SAMUEL | N/A | 2025-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191557959 | N/A | N/A | 9134245 | 2222 | 4801 | 14530681 | 4185 | 7655426 | 2025-11-04 01:51:32.709231 | 2025-09-08 18:14:46.984181 |
| 2025-11-02 07:04:44.231002 | 2025-11-04 03:48:40.893590 | 14190366 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 14190366 | Athletic Physical Therapy Inc | 1957-01-26 | 2025-11-05 | F | PT | TAKAHATA | 980555379000 | NANCY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184220309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471583/check_14190366_dbce3182-db60-4a2c-95bc-1a229033aced.json | N/A | N/A | N/A | N/A | N/A | XEE980555379 | Other | MEDICARE ADVANTAGE INDIVIDUAL | BLUE SHIELD CALIFORNIA | N/A | 1957-01-26 | 1000HMOX0019 | W0051752 | N/A | OT | false | TAKAHATA | N/A | NANCY | N/A | 2025-12-31 | 2025-01-01 | BLUE SHIELD 65 PLUS OPTIONAL SUPPLEMENTAL DENTAL P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191500968 | N/A | N/A | 8471583 | 2222 | 4802 | 14577554 | N/A | 7142489 | 2025-11-04 03:48:40.893590 | 2025-08-25 17:38:35.061335 |
| 2025-11-02 07:04:44.053300 | 2025-11-04 03:46:22.815011 | 14190349 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 14190349 | Athletic Physical Therapy Inc | 1971-12-09 | 2025-11-05 | F | AE | OSTERHOUDT | U2156506701 | TRACY | PT | 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/2222/8471577/check_14190349_4576206b-ad16-464b-8d1d-15feb0e58266.json | N/A | N/A | N/A | N/A | N/A | U2156506701 | Health Maintenance Organization (HMO) | CAPITAL GROUP | CGLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1971-12-09 | N/A | 3173816 | N/A | HM | false | OSTERHOUDT | N/A | TRACY | N/A | N/A | N/A | NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191500967 | N/A | N/A | 8471577 | 2222 | 4801 | 14575114 | N/A | 7142472 | 2025-11-04 03:46:22.815011 | 2025-09-06 16:19:59.701160 |
| 2025-11-02 07:04:42.299577 | 2025-11-04 03:47:27.046061 | 14190201 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14190201 | Athletic Physical Therapy Inc | 1950-08-30 | 2025-11-04 | M | AE | VILLA | 00000293779 | RAMON | PT | 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/2222/8471007/check_14190201_cba37cb6-42e8-4d6f-b04b-0ae38aa2a7d2.json | N/A | N/A | N/A | N/A | N/A | 00000293779 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1950-08-30 | H3815028 | N/A | N/A | HM | false | VILLA | N/A | RAMON | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9191500936 | N/A | N/A | 8471007 | 2222 | 4801 | 14576413 | 2630 | 7142042 | 2025-11-04 03:47:27.046061 | 2025-08-25 17:21:31.750932 |
| 2025-11-02 07:04:41.849697 | 2025-11-04 01:52:12.877703 | 14190166 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14190166 | Athletic Physical Therapy Inc | 1955-05-21 | 2025-11-04 | F | PT | MARTINEZ | HFD100011199462 | RACHEL | N/A | 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/2222/8026951/check_14190166_01ff5828-4029-4b45-8d1d-af7a781bfd4e.json | N/A | N/A | N/A | N/A | N/A | HFD100011199462 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS. | 1955-05-21 | N/A | N/A | N/A | PR | false | MARTINEZ | N/A | RACHEL | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191544547 | N/A | N/A | 8026951 | 2222 | 4801 | 14532573 | N/A | 6828511 | 2025-11-04 01:52:12.877703 | 2025-08-14 00:23:35.929152 |
| 2025-11-02 07:04:23.405818 | 2025-11-04 03:48:29.003948 | 14188530 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14188530 | Athletic Physical Therapy Inc | 2001-07-17 | 2025-11-05 | M | PT | HUNTER | XEK905471650 | KYLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251103.184220309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8420132/check_14188530_ee71f842-9900-4bf4-a98a-e5b5d5ad5fc4.json | N/A | N/A | N/A | N/A | N/A | XEK905471650 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2001-07-17 | 2001ZK002189 | X0001000 | N/A | PR | false | HUNTER | N/A | MARK | N/A | 9999-12-31 | 2021-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191499406 | N/A | N/A | 8420132 | 2222 | 4801 | 14577426 | N/A | 7097528 | 2025-11-04 03:48:29.003948 | 2025-08-25 23:26:20.393423 |
| 2025-11-02 07:04:22.704776 | 2025-11-04 01:50:55.025054 | 14188470 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14188470 | Athletic Physical Therapy Inc | 1963-09-19 | 2025-11-05 | M | PT | SENKUS | XDM878M77372 | TONY | N/A | 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/2222/7964946/check_14188470_abc528ff-0c81-42a5-ba51-d5cdd7c44360.json | N/A | N/A | N/A | N/A | N/A | XDM878M77372 | Health Maintenance Organization (HMO) | TEAMSTERS MISC SECURITY TRUST - EARLY RETIREE | ANTHEM BLUE CROSS | N/A | 1963-09-19 | 040 | 278680H052 | N/A | HM | false | SENKUS | N/A | TONY | N/A | 9999-12-31 | 2024-10-01 | CLASSIC TRADITIONAL HMO NETWORK NON DURATIONAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9191546299 | N/A | N/A | 7964946 | 2222 | 4801 | 14528898 | 4185 | 6247001 | 2025-11-04 01:50:55.025054 | 2025-07-25 21:24:35.111542 |