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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-14 09:06:17.961980 | 2025-07-15 02:04:20.807554 | 9820081 | N/A | N/A | 60054 | Aetna | 1114042165 | 9820081 | Athletic Physical Therapy Inc | 1969-05-02 | 2025-07-17 | F | AE | PT | Taylor | 0322952413 | Vienna | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.121036884.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124049/check_9820081_30dd5c36-e607-4621-aa80-68e7eba81af3.json | N/A | N/A | N/A | N/A | N/A | 0322952413 | Group Policy | N/A | AETNA INC | PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE, IND. OUT OF POCKET, FAMILY OUT OF POCKET INFORMATION | 1969-05-02 | 001 | 24281 | N/A | GP | false | TAYLOR | N/A | JEFFREY | N/A | N/A | N/A | OUT OF NETWORK MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8255003956 | N/A | N/A | 6124049 | 2222 | 4793 | 9562858 | N/A | 4766759 | 2025-07-15 02:04:20.807554 | 2025-06-04 21:51:50.184092 |
| 2025-07-14 09:06:17.686334 | 2025-07-15 02:21:27.421491 | 9820063 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9820063 | Athletic Physical Therapy Inc | 1952-10-25 | 2025-07-17 | F | AE | PT | JOHNSTON | 7KA0H51YU14 | DEBORAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.115340324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638066/check_9820063_0ed00747-9294-428b-8e30-bcb400c4e0ec.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 | 8254931861 | N/A | N/A | 6638066 | 2222 | 4793 | 9578872 | N/A | 5247837 | 2025-07-15 02:21:27.421491 | 2026-02-24 20:36:49.807283 |
| 2025-07-14 09:06:11.007558 | 2025-07-15 02:09:57.922345 | 9819724 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9819724 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-07-17 | F | AE | PT | MARTIN | DGA11867912J | DOLLY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.115429303.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550799/check_9819724_c3674afc-c199-4663-a2e3-a090e8214f5b.json | N/A | N/A | N/A | N/A | N/A | 5YV3RT3TA75 | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | MEDICARE B | N/A | 1944-09-13 | 040 | 276945M001 | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2013-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8254933773 | N/A | N/A | 5550799 | 2222 | 4793 | 9569649 | N/A | 4219681 | 2025-07-15 02:09:57.922345 | 2026-01-14 20:54:02.193776 |
| 2025-07-14 09:06:10.891725 | 2025-07-15 02:09:57.345223 | 9819717 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9819717 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-07-17 | F | AE | PT | BRADBURY | JQE669W05502 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.115429303.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550535/check_9819717_4c5d0172-2d7c-4558-b0dd-21da27a60822.json | N/A | N/A | N/A | N/A | N/A | JQE669W05502 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-06-01 | 040 | CASUPWP0 | N/A | N/A | false | BRADBURY | N/A | BONNIE | N/A | 9999-12-31 | 2022-12-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8254933772 | N/A | N/A | 5550535 | 2222 | 4801 | 9569635 | N/A | 4219556 | 2025-07-15 02:09:57.345223 | 2025-05-13 04:29:37.230592 |
| 2025-07-14 09:06:10.473121 | 2025-07-15 02:09:57.636178 | 9819700 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9819700 | Athletic Physical Therapy Inc | 1949-12-17 | 2025-07-17 | M | AE | PT | GEVURTZ | JQE714A62350 | IRWIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.115429303.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543273/check_9819700_7ea3c690-3f13-4090-b740-ac77659886a9.json | N/A | N/A | N/A | N/A | N/A | JQE714A62350 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1949-12-17 | 040 | CASUPWP0 | N/A | N/A | false | GEVURTZ | N/A | IRWIN | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8254933768 | N/A | N/A | 5543273 | 2222 | 4802 | 9569641 | N/A | 4215069 | 2025-07-15 02:09:57.636178 | 2025-05-13 04:29:37.229385 |
| 2025-07-14 09:06:10.350331 | 2025-07-15 02:09:30.836857 | 9819693 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 9819693 | N/A | 2007-12-08 | 2025-07-17 | F | AE | PT | LARSEN | R06053944FD1 | LANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.115429303.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542850/check_9819693_5cc14b93-61a7-4616-88de-f9916a59694c.json | N/A | N/A | N/A | N/A | N/A | R06053944FD1 | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 2007-12-08 | N/A | N/A | N/A | N/A | false | LARSEN | N/A | LANA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8254933767 | N/A | N/A | 5542850 | 2222 | 4793 | 9569061 | N/A | 4214714 | 2025-07-15 02:09:30.836857 | 2025-05-13 04:29:37.229031 |
| 2025-07-14 09:06:10.114986 | 2025-07-15 02:10:35.796132 | 9819681 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9819681 | Athletic Physical Therapy Inc | 1946-05-12 | 2025-07-17 | M | AE | PT | EGGLETON | XEM090112120 | PAUL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.115429303.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536871/check_9819681_fbf8ac19-ccaa-4755-9530-fe517d00e60e.json | N/A | N/A | N/A | N/A | N/A | XEM090112120 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1946-05-12 | N/A | N/A | N/A | N/A | false | EGGLETON | N/A | PAUL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8254933765 | N/A | N/A | 5536871 | 2222 | 4801 | 9570436 | N/A | 4209543 | 2025-07-15 02:10:35.796132 | 2025-06-18 17:33:51.700160 |
| 2025-07-14 09:06:05.120606 | 2025-07-15 02:06:45.354969 | 9819425 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 9819425 | Athletic Physical Therapy Inc | 1960-02-12 | 2025-07-17 | F | AE | PT | MAJEED | 94883653800 | MARY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.115340324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6613631/check_9819425_4403dd5b-1052-4a7e-b594-c7eac674d365.json | N/A | N/A | N/A | N/A | N/A | 94883653800 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1960-02-12 | N/A | N/A | N/A | N/A | false | MAJEED | N/A | MARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8254930952 | N/A | N/A | 6613631 | 2222 | 4793 | 9565739 | N/A | 5232379 | 2025-07-15 02:06:45.354969 | 2025-07-03 16:30:13.139077 |
| 2025-07-14 09:06:05.058219 | 2025-07-15 02:08:24.036074 | 9819422 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9819422 | Athletic Physical Therapy Inc | 1994-02-23 | 2025-07-17 | F | PT | N/A | SHU | XAN913831469 | GABRIELA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.121036884.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6121701/check_9819422_dfd02ce2-35d6-41ec-be97-d88d9577d4e8.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 | 8255002875 | N/A | N/A | 6121701 | 2222 | 4793 | 9567663 | N/A | 4764460 | 2025-07-15 02:08:24.036074 | 2025-06-04 04:30:06.494155 |
| 2025-07-14 09:06:03.448905 | 2025-07-15 02:14:38.536541 | 9819340 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9819340 | Athletic Physical Therapy Inc | 1967-03-31 | 2025-07-16 | F | PT | N/A | BARRERA | XEH903389121 | LOLA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.115340324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611912/check_9819340_6fc717cd-f7d8-49cc-9975-22d28416ecb3.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 | 8254930936 | N/A | N/A | 6611912 | 2222 | 4793 | 9575205 | N/A | 5230345 | 2025-07-15 02:14:38.536541 | 2025-07-11 20:32:03.183345 |
| 2025-07-14 09:05:58.517275 | 2025-07-15 02:17:52.169764 | 9819103 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9819103 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-07-17 | M | AE | PT | KORY | MISSINGPOLICYNUMBER | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.115314050.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858721/check_9819103_6999971f-890e-45cf-9733-749a342190ce.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1959-05-08 | N/A | N/A | N/A | N/A | false | KORY | 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 | 8254924120 | N/A | N/A | 5858721 | 2222 | 4793 | 9577432 | N/A | 4214732 | 2025-07-15 02:17:52.169764 | 2025-06-24 20:13:53.579048 |
| 2025-07-14 09:05:16.297400 | 2025-07-15 02:04:42.331137 | 9816801 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9816801 | Athletic Physical Therapy Inc | 1952-01-26 | 2025-07-17 | F | AE | PT | AGHA ZADEH SHARE | 40034093701 | FIMA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.115340324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6582113/check_9816801_9f45eb03-0f34-4710-b8a1-110da557198c.json | N/A | N/A | N/A | N/A | N/A | 40034093701 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1952-01-26 | N/A | N/A | N/A | N/A | false | AGHA ZADEH SHARE | N/A | FIMA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8254931427 | N/A | N/A | 6582113 | 2222 | 4801 | 9563272 | N/A | 5201198 | 2025-07-15 02:04:42.331137 | 2025-07-11 22:39:28.411632 |
| 2025-07-14 09:05:13.763062 | 2025-07-15 02:12:36.512075 | 9816680 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9816680 | Athletic Physical Therapy Inc | 1948-08-08 | 2025-07-17 | F | AE | PT | KUTAY | XEM904117895 | JALE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.115314050.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6896315/check_9816680_95dd0a77-3824-4ae6-a76b-f26294111280.json | N/A | N/A | N/A | N/A | N/A | XEM904117895 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1948-08-08 | 2002SD000004 | X0001002 | N/A | OT | false | KUTAY | N/A | JALE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8254923565 | N/A | N/A | 6896315 | 2222 | 4802 | 9572971 | N/A | 5929817 | 2025-07-15 02:12:36.512075 | 2025-07-08 18:57:12.551440 |
| 2025-07-14 09:04:44.885809 | 2025-07-15 02:11:35.455321 | 9815517 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9815517 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-07-17 | M | AE | PT | CICCIARI | JQE123W23890 | LOUIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.115314050.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752939/check_9815517_2a1fb343-1603-4769-b631-917e1f885373.json | N/A | N/A | N/A | N/A | N/A | JQE123W23890 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-09-07 | 040 | CASUPWP0 | N/A | N/A | false | CICCIARI | N/A | LOUIS | N/A | 9999-12-31 | 2025-06-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8254923505 | N/A | N/A | 6752939 | 2222 | 4801 | 9571636 | N/A | 5065602 | 2025-07-15 02:11:35.455321 | 2025-07-01 17:25:13.681724 |
| 2025-07-14 09:04:37.410303 | 2025-07-15 02:01:35.185855 | 9815176 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9815176 | Athletic Physical Therapy Inc | 1998-01-10 | 2025-07-17 | F | PT | N/A | PALACIOS | JMV542W2270020 | JASMIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551010/check_9815176_7df6ed26-5c9f-4f7b-b472-dbcaed91d0f4.json | N/A | N/A | N/A | N/A | N/A | JMV542W2270020 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1998-01-10 | N/A | N/A | N/A | N/A | false | PALACIOS | N/A | JASMIN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8255007677 | N/A | N/A | 5551010 | 2222 | 4802 | 9560717 | N/A | 4219831 | 2025-07-15 02:01:35.185855 | 2025-05-13 04:29:37.230876 |
| 2025-07-14 09:04:37.008439 | 2025-07-15 02:13:42.828822 | 9815159 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9815159 | Athletic Physical Therapy Inc | 1944-09-13 | 2025-07-17 | F | AE | PT | MARTIN | 5YV3RT3TA75 | DOLLY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550797/check_9815159_30c6f039-5e49-44f5-9fa9-c4d149211911.json | N/A | N/A | N/A | N/A | N/A | 5YV3RT3TA75 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-09-13 | N/A | N/A | N/A | MA | false | MARTIN | N/A | DOLLY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8255007676 | N/A | N/A | 5550797 | 2222 | 4793 | 9574301 | N/A | 4219681 | 2025-07-15 02:13:42.828822 | 2026-01-14 20:54:02.193776 |
| 2025-07-14 09:04:36.649487 | 2025-07-15 02:07:15.484239 | 9815145 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 9815145 | Athletic Physical Therapy Inc | 1954-03-04 | 2025-07-17 | M | AE | PT | ARUJO | 00000223568 | RAMON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550751/check_9815145_75d58e65-aa86-40b3-9a9c-706d92cd903c.json | N/A | N/A | N/A | N/A | N/A | 00000223568 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1954-03-04 | H3815028 | N/A | N/A | HM | false | ARUJO | 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 | 8255007675 | N/A | N/A | 5550751 | 2222 | 4801 | 9566314 | 2630 | 4219640 | 2025-07-15 02:07:15.484239 | 2025-05-13 04:29:37.230682 |
| 2025-07-14 09:04:36.104979 | 2025-07-15 02:02:48.947737 | 9815123 | N/A | N/A | 60054 | Aetna | 1114042165 | 9815123 | Athletic Physical Therapy Inc | 1961-11-04 | 2025-07-17 | F | AE | PT | SANTITORO | W267422430 | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550743/check_9815123_3011bebc-9ca4-40ad-904d-c0e930d3b85a.json | N/A | N/A | N/A | N/A | N/A | W267422430 | Point of Service (POS) | CIENA CORPORATION | AETNA | N/A | 1961-11-04 | 0486875 | 048687501000001 | N/A | PS | false | SANTITORO | N/A | RALPH | 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 | 8255007674 | N/A | N/A | 5550743 | 2222 | 4801 | 9561496 | N/A | 4219643 | 2025-07-15 02:02:48.947737 | 2025-05-13 04:29:37.230685 |
| 2025-07-14 09:04:35.836594 | 2025-07-15 02:13:40.743658 | 9815110 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9815110 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-07-17 | F | AE | PT | BRADBURY | 5W31MW6FP03 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550534/check_9815110_170f7f3d-5084-44cc-95b7-ad0350d91a35.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 | 8255007673 | N/A | N/A | 5550534 | 2222 | 4801 | 9574260 | N/A | 4219556 | 2025-07-15 02:13:40.743658 | 2025-05-13 04:29:37.230592 |
| 2025-07-14 09:04:35.338932 | 2025-07-15 02:11:36.528118 | 9815084 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9815084 | Athletic Physical Therapy Inc | 1959-07-23 | 2025-07-17 | M | AE | PT | Harvey | 282527M002 | Roy | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.115314050.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714942/check_9815084_0af58f1f-f27d-4997-96a0-26ef6c92b004.json | N/A | N/A | N/A | N/A | N/A | 282527M002 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-07-23 | N/A | N/A | N/A | N/A | false | HARVEY | N/A | ROY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8254924515 | N/A | N/A | 6714942 | 2222 | 4802 | 9571659 | N/A | 5316172 | 2025-07-15 02:11:36.528118 | 2025-07-02 15:09:36.678003 |
| 2025-07-14 09:04:35.100047 | 2025-07-15 02:13:41.429778 | 9815073 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9815073 | Athletic Physical Therapy Inc | 1951-12-26 | 2025-07-17 | M | AE | PT | FINEBERG | 9FX3D52YD09 | MARTIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549981/check_9815073_8090813d-9171-42fa-a920-fe489c20aac0.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MB | false | FINEBERG | N/A | MARTIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8255007671 | N/A | N/A | 5549981 | 2222 | 4802 | 9574273 | N/A | 4219436 | 2025-07-15 02:13:41.429778 | 2025-05-13 04:29:37.230471 |
| 2025-07-14 09:04:34.571016 | 2025-07-15 02:01:31.916333 | 9815048 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9815048 | Athletic Physical Therapy Inc | 1949-06-06 | 2025-07-17 | M | AE | PT | WILSON | 31187497801 | MARVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549707/check_9815048_e4e12844-ecf9-4a83-a540-e3796a4fd52f.json | N/A | N/A | N/A | N/A | N/A | 31187497801 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1949-06-06 | N/A | N/A | N/A | N/A | false | WILSON | N/A | MARVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8255007670 | N/A | N/A | 5549707 | 2222 | 4801 | 9560683 | N/A | 4219317 | 2025-07-15 02:01:31.916333 | 2025-05-13 04:29:37.230340 |
| 2025-07-14 09:04:34.114415 | 2025-07-15 02:07:35.202807 | 9815027 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9815027 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-07-16 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_9815027_fe61d36b-f071-4fa2-9457-7469b84a83d8.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | IF THE MEMBER QUALIFIES FOR COBRA COVERAGE,THE POLICY MAY BE SUBJECT TO RETROACTIVE CANCELLATION OR REINSTATEMENT, BASED ON THE PLAN DESIGN AND THE MEMBER COBRA ELECTION. 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 USPSTF A AND B RECOMMENDATIONS. | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | 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 | 8255007669 | N/A | N/A | 5549317 | 2222 | 4801 | 9566712 | N/A | 4219010 | 2025-07-15 02:07:35.202807 | 2026-01-09 18:32:07.618867 |
| 2025-07-14 09:04:34.064334 | 2025-07-15 02:08:23.625686 | 9815023 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9815023 | Athletic Physical Therapy Inc | 1982-07-02 | 2025-07-17 | M | PT | N/A | DRISCOLL | XED912182768 | JAMES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.121036884.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104970/check_9815023_1b0eaf92-5912-4012-9572-36d7c4f08d4e.json | N/A | N/A | N/A | N/A | N/A | XED912182768 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1982-07-02 | 2001ZK002184 | X0001004 | N/A | PR | false | DRISCOLL | N/A | JAMES | N/A | 9999-12-31 | 2023-04-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8255003669 | N/A | N/A | 6104970 | 2222 | 4802 | 9567657 | N/A | 4749447 | 2025-07-15 02:08:23.625686 | 2025-06-06 23:16:09.869339 |
| 2025-07-14 09:04:33.854672 | 2025-07-15 02:05:56.434574 | 9815013 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 9815013 | N/A | 1951-01-04 | 2025-07-17 | F | AE | PT | SUTTON | 40042449801 | PAMELA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549270/check_9815013_beea2f79-0e70-438b-9fc6-a346f10416af.json | N/A | N/A | N/A | N/A | N/A | 40042449801 | N/A | N/A | SCAN HEALTH PLAN - CALIFORNIA | N/A | 1951-01-04 | N/A | N/A | N/A | N/A | false | SUTTON | N/A | PAMELA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8255007668 | N/A | N/A | 5549270 | 2222 | 4801 | 9564776 | N/A | 4218971 | 2025-07-15 02:05:56.434574 | 2025-05-13 04:29:37.229987 |
| 2025-07-14 09:04:31.820392 | 2025-07-15 02:07:49.163765 | 9814917 | N/A | N/A | 60054 | Aetna | 1114042165 | 9814917 | Athletic Physical Therapy Inc | 1993-09-26 | 2025-07-17 | U | AE | PT | Hamilton | W292751187 | Kevin | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.115340324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6555606/check_9814917_2371d198-6c25-44ee-96bf-6b7ad5d2386c.json | N/A | N/A | N/A | N/A | N/A | W292751187 | N/A | N/A | AETNA | N/A | 1993-09-26 | N/A | N/A | N/A | N/A | false | HAMILTON | 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 | 8254931371 | N/A | N/A | 6555606 | 2222 | 4802 | 9566980 | N/A | 5178755 | 2025-07-15 02:07:49.163765 | 2025-07-17 17:42:32.068740 |
| 2025-07-14 09:04:30.483664 | 2025-07-15 02:16:36.975364 | 9814862 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9814862 | Athletic Physical Therapy Inc | 2002-02-06 | 2025-07-17 | F | PT | N/A | MANALO LAMANNA | GSC134174111001 | ISADORE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.115340324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554790/check_9814862_b3a5d472-6e1f-47f1-8827-c877636d2bf6.json | N/A | N/A | N/A | N/A | N/A | 01765049801 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = SELF INSURED | 2002-02-06 | 363 | 022039304 | N/A | PR | false | MANALOLAMANNA | N/A | ISADORE | N/A | 9999-12-31 | 2022-01-01 | BLUE CARD PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8254931362 | N/A | N/A | 6554790 | 2222 | 4793 | 9576668 | N/A | 5177947 | 2025-07-15 02:16:36.975364 | 2026-05-11 21:31:25.186699 |
| 2025-07-14 09:04:29.643963 | 2025-07-15 02:17:31.212264 | 9814821 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9814821 | Athletic Physical Therapy Inc | 1966-03-01 | 2025-07-17 | F | PT | N/A | DOUGHERTY | 913987117 | JENNIFER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120132433.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6686939/check_9814821_2cb8e68c-c09c-4140-81df-c3e2a50dffb2.json | N/A | N/A | N/A | N/A | N/A | XEH913987117 | Health Maintenance Organization (HMO) | COUNTY OF VENTURA ACTIVES | BLUE SHIELD CALIFORNIA | N/A | 1966-03-01 | 1000HMOX0002 | W0067449 | N/A | HM | false | DOUGHERTY | N/A | JENNIFER | N/A | N/A | N/A | COUNTY OF VENTURA ACTIVES CUSTOM ACCESS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8254989167 | N/A | N/A | 6686939 | 2222 | 4801 | 9577227 | N/A | 5295043 | 2025-07-15 02:17:31.212264 | 2025-07-17 01:28:10.581788 |
| 2025-07-14 09:04:28.119693 | 2025-07-15 02:21:27.908242 | 9814757 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9814757 | Athletic Physical Therapy Inc | 1939-06-18 | 2025-07-17 | F | AE | PT | SEGURA | 8DD9YX8FN41 | CIRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.115340324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6553930/check_9814757_f2da1db7-832c-489c-a95a-57ad11392028.json | N/A | N/A | N/A | N/A | N/A | 8DD9YX8FN41 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-18 | S5617 | N/A | N/A | MB | false | SEGURA | N/A | CIRA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8254931347 | N/A | N/A | 6553930 | 2222 | 4801 | 9578875 | N/A | 5177091 | 2025-07-15 02:21:27.908242 | 2025-06-23 20:23:14.340232 |
| 2025-07-14 09:04:28.111211 | 2025-07-15 02:01:30.214925 | 9814755 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9814755 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-07-17 | M | AE | PT | FORTIN | R14644640MS1 | NATHANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_9814755_63312ee5-ce17-47a6-a116-a3c1c1db29da.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | LAKESIDE MEDICAL GROUP | 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 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8255007653 | N/A | N/A | 5543425 | 2222 | 4801 | 9560670 | N/A | 4215211 | 2025-07-15 02:01:30.214925 | 2026-04-02 22:30:20.020246 |
| 2025-07-14 09:04:27.749936 | 2025-07-15 02:07:35.790000 | 9814738 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 9814738 | Athletic Physical Therapy Inc | 1960-09-07 | 2025-07-17 | M | PT | N/A | MEINERT | XEH912496752 | TIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543360/check_9814738_542c543c-67f0-4deb-8d02-e35dff0a8fa2.json | N/A | N/A | N/A | N/A | N/A | XEH912496752 | Health Maintenance Organization (HMO) | MILKEN COMMUNITY SCHOOLS | ANTHEM BLUE CROSS | N/A | 1960-09-07 | 1000HMOX0001 | W0070317 | N/A | HM | false | MEINERT | N/A | TIMOTHY | N/A | N/A | N/A | ACCESS HMO R PER ADMIT 10 250 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8255007652 | N/A | N/A | 5543360 | 2222 | 4793 | 9566722 | 4184 | 4215161 | 2025-07-15 02:07:35.790000 | 2025-05-13 04:29:37.229478 |
| 2025-07-14 09:04:27.396107 | 2025-07-15 02:13:41.762361 | 9814721 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9814721 | Athletic Physical Therapy Inc | 1949-12-17 | 2025-07-17 | M | AE | PT | GEVURTZ | 3UF3GW6KC04 | IRWIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543260/check_9814721_7a8cec59-4ce7-4ec9-abe3-7206b703bbb1.json | N/A | N/A | N/A | N/A | N/A | 3UF3GW6KC04 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-12-17 | N/A | N/A | N/A | MA | false | GEVURTZ | N/A | IRWIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8255007651 | N/A | N/A | 5543260 | 2222 | 4802 | 9574282 | N/A | 4215069 | 2025-07-15 02:13:41.762361 | 2025-05-13 04:29:37.229385 |
| 2025-07-14 09:04:27.176250 | 2025-07-15 02:08:37.402748 | 9814712 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9814712 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-07-17 | F | PT | N/A | PAUL | XEK914147727 | SARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543211/check_9814712_0ac248f0-1a54-41a1-b133-791a1f352c95.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 | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8255007650 | N/A | N/A | 5543211 | 2222 | 4801 | 9567917 | N/A | 4215028 | 2025-07-15 02:08:37.402748 | 2025-05-13 04:29:37.229346 |
| 2025-07-14 09:04:26.880127 | 2025-07-15 02:07:34.705318 | 9814700 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 9814700 | Athletic Physical Therapy Inc | 1972-06-23 | 2025-07-17 | F | PT | N/A | LAWSON | JXN663W00172 | MICHELLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543167/check_9814700_64fd68be-12e3-40ae-a69f-d27bc54229c6.json | N/A | N/A | N/A | N/A | N/A | JXN663W00172 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1972-06-23 | 040 | 174222M2A1 | N/A | PR | false | LAWSON | N/A | MICHELLE | N/A | 9999-12-31 | 2020-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8255007649 | N/A | N/A | 5543167 | 2222 | 4793 | 9566700 | N/A | 4214995 | 2025-07-15 02:07:34.705318 | 2025-05-13 04:29:37.229315 |
| 2025-07-14 09:04:26.512825 | 2025-07-15 02:01:30.910893 | 9814686 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9814686 | Athletic Physical Therapy Inc | 1957-01-21 | 2025-07-17 | M | AE | PT | SHADDY | 40064865601 | STEVE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543011/check_9814686_18260a85-61a9-446b-aad6-49041478fe7c.json | N/A | N/A | N/A | N/A | N/A | 40064865601 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1957-01-21 | N/A | N/A | N/A | N/A | false | SHADDY | N/A | STEVE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8255007648 | N/A | N/A | 5543011 | 2222 | 4801 | 9560675 | N/A | 4214861 | 2025-07-15 02:01:30.910893 | 2026-02-04 19:10:58.526441 |
| 2025-07-14 09:04:26.009777 | 2025-07-15 02:02:48.563244 | 9814665 | N/A | N/A | 60054 | Aetna | 1114042165 | 9814665 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-07-17 | M | AE | PT | KORY | 102161581800 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542870/check_9814665_69c85a76-dda3-4991-8ae2-da11f12b5acc.json | N/A | N/A | N/A | N/A | N/A | 102161581800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1959-05-08 | 000003-CA000058 | 000003-CA | N/A | PR | false | KORY | N/A | MICHAEL | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8255007647 | N/A | N/A | 5542870 | 2222 | 4793 | 9561492 | N/A | 4214732 | 2025-07-15 02:02:48.563244 | 2025-06-24 20:13:53.579048 |
| 2025-07-14 09:04:25.695691 | 2025-07-15 02:05:05.331763 | 9814652 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 9814652 | Athletic Physical Therapy Inc | 1970-01-05 | 2025-07-17 | F | AD | N/A | HOWELLS | U4973334602 | EMMA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542686/check_9814652_3cea6cf5-50d2-4c2b-be43-4ed1e8905f72.json | N/A | N/A | N/A | N/A | N/A | U4973334602 | N/A | CRINETICS PHARMACEUTICALS, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED PERSONAL HEALTH SOLUTIONS PLUS | 1970-01-05 | N/A | 3345982 | N/A | N/A | false | HOWELLS | N/A | EMMA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8255007646 | N/A | N/A | 5542686 | 2222 | 4793 | 9563713 | N/A | 4214565 | 2025-07-15 02:05:05.331763 | 2025-05-13 04:29:37.228889 |
| 2025-07-14 09:04:25.378029 | 2025-07-15 02:07:34.221140 | 9814641 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 9814641 | Athletic Physical Therapy Inc | 1962-10-12 | 2025-07-17 | F | PT | N/A | KOOMAN ANDERSON | KXJ461W13871 | SARIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542565/check_9814641_6aa77f5b-cf89-4c98-9ac2-7c58dfdcfe20.json | N/A | N/A | N/A | N/A | N/A | KXJ461W13871 | Health Maintenance Organization (HMO) | OAKS CHRISTIAN SCHOOL | ANTHEM BLUE CROSS | N/A | 1962-10-12 | 040 | L03502H004 | N/A | HM | false | KOOMAN ANDERSON | N/A | SARIE | N/A | 9999-12-31 | 2024-09-01 | PREMIER SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8255007421 | N/A | N/A | 5542565 | 2222 | 4793 | 9566687 | 4184 | 4214430 | 2025-07-15 02:07:34.221140 | 2025-06-03 20:17:16.657562 |
| 2025-07-14 09:04:25.032708 | 2025-07-15 02:13:40.345110 | 9814625 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 9814625 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-07-17 | M | AE | PT | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542555/check_9814625_7a380f47-38e1-427d-bbcf-17063bd872f7.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 | 8255007420 | N/A | N/A | 5542555 | 2222 | 4793 | 9574252 | N/A | 4214447 | 2025-07-15 02:13:40.345110 | 2026-04-23 20:11:34.441054 |
| 2025-07-14 09:04:24.552792 | 2025-07-15 02:07:23.253267 | 9814601 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 9814601 | Athletic Physical Therapy Inc | 1988-11-03 | 2025-07-17 | F | AE | PT | CAPISTRANO | 98696372G | FERDELLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542513/check_9814601_2ea4819c-3596-4128-8452-15d2d00a890e.json | N/A | N/A | N/A | N/A | N/A | 98696372G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1988-11-03 | MCLA | MWLLNMEG21 | N/A | N/A | false | CAPISTRANO | N/A | FERDELLE | N/A | 2078-12-31 | 2024-05-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8255007419 | N/A | N/A | 5542513 | 2222 | 4793 | 9566464 | N/A | 4214418 | 2025-07-15 02:07:23.253267 | 2025-07-03 18:12:11.075357 |
| 2025-07-14 09:04:24.300965 | 2025-07-15 02:08:36.888761 | 9814590 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9814590 | Athletic Physical Therapy Inc | 1983-10-27 | 2025-07-17 | M | PT | N/A | FEDERER | XEA911365031 | MITCH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542512/check_9814590_823285f9-bc41-4110-81d6-52f00467065f.json | N/A | N/A | N/A | N/A | N/A | XEA911365031 | Preferred Provider Organization (PPO) | WEINSTEIN SENIOR LLP | BLUE SHIELD CALIFORNIA | N/A | 1983-10-27 | 1000VX000102 | W0122744 | N/A | PR | false | FEDERER | N/A | MITCHEL | N/A | 9999-12-31 | 2025-05-01 | GOLD FULL PPO 750 30 OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8255007418 | N/A | N/A | 5542512 | 2222 | 4793 | 9567907 | N/A | 4214416 | 2025-07-15 02:08:36.888761 | 2025-05-13 04:29:37.228740 |
| 2025-07-14 09:04:24.055116 | 2025-07-15 02:01:35.498129 | 9814578 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9814578 | Athletic Physical Therapy Inc | 1981-08-30 | 2025-07-17 | F | PT | N/A | SUMBY | XEH905944609 | ANNIKA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542158/check_9814578_5af7e7ce-880d-4220-8396-83ffad8124ac.json | N/A | N/A | N/A | N/A | N/A | XEH905944609 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1981-08-30 | N/A | N/A | N/A | N/A | false | SUMBY | N/A | ANNIKA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8255007417 | N/A | N/A | 5542158 | 2222 | 4801 | 9560720 | N/A | 4214108 | 2025-07-15 02:01:35.498129 | 2025-05-13 04:29:37.228423 |
| 2025-07-14 09:04:23.684327 | 2025-07-15 02:07:16.729385 | 9814562 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 9814562 | Athletic Physical Therapy Inc | 1957-10-24 | 2025-07-17 | F | AE | PT | MCSHEA | 00000364203 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542046/check_9814562_8f475796-7184-49d2-a767-82cbe09018bb.json | N/A | N/A | N/A | N/A | N/A | 00000364203 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-10-24 | H3815028 | N/A | N/A | HM | false | MCSHEA | N/A | SANDRA | 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 | 8255007416 | N/A | N/A | 5542046 | 2222 | 4801 | 9566341 | 2630 | 4214001 | 2025-07-15 02:07:16.729385 | 2025-05-13 04:29:37.228323 |
| 2025-07-14 09:04:23.250604 | 2025-07-15 02:07:32.682874 | 9814538 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 9814538 | Athletic Physical Therapy Inc | 1959-05-13 | 2025-07-17 | F | PT | N/A | ADRIANZEN FERNAN | MMA221W20054 | AURA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541944/check_9814538_c422c774-f497-4ea5-8a6a-1de9514afe7f.json | N/A | N/A | N/A | N/A | N/A | MMA221W20054 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-05-13 | 040 | CAMCRWP0 | N/A | MP | false | ADRIANZEN FERNANDEZ | N/A | AURA | 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 | 8255007415 | N/A | N/A | 5541944 | 2222 | 4801 | 9566659 | 4184 | 4213907 | 2025-07-15 02:07:32.682874 | 2025-05-13 04:29:37.228228 |
| 2025-07-14 09:04:22.951681 | 2025-07-15 02:01:31.261680 | 9814523 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9814523 | Athletic Physical Therapy Inc | 1985-02-07 | 2025-07-17 | F | AE | PT | SHEPHERD | 93180838F | EMILY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541519/check_9814523_838e81df-ece6-4fd3-9bf2-f390a9905a30.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8255007414 | N/A | N/A | 5541519 | 2222 | 4802 | 9560676 | N/A | 4213530 | 2025-07-15 02:01:31.261680 | 2025-05-13 04:29:37.227860 |
| 2025-07-14 09:04:22.687557 | 2025-07-15 02:01:29.878528 | 9814510 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9814510 | Athletic Physical Therapy Inc | 1968-03-30 | 2025-07-17 | M | AE | PT | FARAHMAND | 91957675E | ALEX | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541163/check_9814510_99cf81a9-0baa-41a5-9595-322eb6c5b660.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8255007413 | N/A | N/A | 5541163 | 2222 | 4802 | 9560667 | N/A | 4213207 | 2025-07-15 02:01:29.878528 | 2025-05-13 04:29:37.227536 |
| 2025-07-14 09:04:22.458625 | 2025-07-15 02:01:34.561372 | 9814499 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 9814499 | Athletic Physical Therapy Inc | 1956-12-04 | 2025-07-17 | F | PT | AE | HUH | 5851983001 | SOON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540683/check_9814499_407fb3eb-4397-472e-8993-089290187301.json | N/A | N/A | N/A | N/A | N/A | 5851983001 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1956-12-04 | N/A | N/A | N/A | N/A | false | HUH | N/A | SOON | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8255007412 | N/A | N/A | 5540683 | 2222 | 4801 | 9560710 | N/A | 4212802 | 2025-07-15 02:01:34.561372 | 2025-05-27 20:48:04.588198 |
| 2025-07-14 09:04:22.104302 | 2025-07-15 02:08:37.771475 | 9814484 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 9814484 | Athletic Physical Therapy Inc | 1997-07-14 | 2025-07-17 | M | PT | N/A | SHERBETJIAN | XED910281081 | JACK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540558/check_9814484_3e1cae2e-467a-4876-8416-d3b7a0d98b7b.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 DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8255007411 | N/A | N/A | 5540558 | 2222 | 4801 | 9567926 | N/A | 4212698 | 2025-07-15 02:08:37.771475 | 2025-05-13 04:29:37.227042 |
| 2025-07-14 09:04:21.893717 | 2025-07-15 02:01:30.558099 | 9814473 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9814473 | Athletic Physical Therapy Inc | 1973-07-11 | 2025-07-17 | M | AE | PT | HERMAN | 95836743G | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540113/check_9814473_a671adda-d620-469f-96be-c096f09abf23.json | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1973-07-11 | N/A | N/A | N/A | N/A | false | HERMAN | N/A | BRETT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8255007410 | N/A | N/A | 5540113 | 2222 | 4801 | 9560673 | N/A | 4212315 | 2025-07-15 02:01:30.558099 | 2025-12-29 21:20:15.158611 |
| 2025-07-14 09:04:21.432261 | 2025-07-15 02:01:31.569132 | 9814453 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 9814453 | Athletic Physical Therapy Inc | 1951-02-23 | 2025-07-17 | F | AE | PT | WENSEL | 40065419401 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539718/check_9814453_ea38da5e-5948-4214-9024-464f06f70315.json | N/A | N/A | N/A | N/A | N/A | 40065419401 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1951-02-23 | N/A | N/A | N/A | N/A | false | WENSEL | 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 | 8255007409 | N/A | N/A | 5539718 | 2222 | 4793 | 9560679 | N/A | 4211977 | 2025-07-15 02:01:31.569132 | 2025-05-13 04:29:37.226299 |