API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-01 07:12:28.351353 | 2025-11-03 01:31:50.440798 | 14167491 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 14167491 | Athletic Physical Therapy Inc | 1960-06-20 | 2025-11-04 | M | AE | PT | FLETES | H86038900 | JOSE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.093715084.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11067461/check_14167491_380403e7-872e-40e1-9705-8a673224eac5.json | N/A | N/A | N/A | N/A | N/A | H86038900 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1960-06-20 | N/A | 0B527001 | N/A | HN | false | FLETES | N/A | JOSE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183496467 | N/A | N/A | 11067461 | 2222 | 4801 | 14436922 | N/A | 9425235 | 2025-11-03 01:31:50.440798 | 2025-10-20 22:48:41.487437 |
| 2025-11-01 07:12:25.929387 | 2025-11-03 03:31:12.100447 | 14167403 | N/A | N/A | 60054 | Aetna | 1114042165 | 14167403 | Athletic Physical Therapy Inc | 1970-07-15 | 2025-11-04 | M | AE | PT | BAKER | W225972262 | MATTHEW | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.084418951.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411210/check_14167403_ff0abac1-1493-4baf-b148-7dc69f5d6ae8.json | N/A | N/A | N/A | N/A | N/A | W225972262 | N/A | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 1970-07-15 | 0232495 | 023249501300055 | N/A | N/A | false | HOBAN-BAKER | N/A | AMY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183341208 | N/A | N/A | 9411210 | 2222 | 4802 | 14452713 | N/A | 7880075 | 2025-11-03 03:31:12.100447 | 2025-10-01 14:29:57.963249 |
| 2025-11-01 07:12:25.633686 | 2025-11-03 03:35:47.605784 | 14167393 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14167393 | Athletic Physical Therapy Inc | 1955-07-01 | 2025-11-03 | F | AE | PT | GREER | 7H09HW9QG44 | ROBIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.084418951.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411083/check_14167393_89342ed4-d990-473e-a031-2b857bed3230.json | N/A | N/A | N/A | N/A | N/A | 7H09HW9QG44 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-01 | S5601 | N/A | N/A | MA | false | GREER | N/A | ROBIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183341207 | N/A | N/A | 9411083 | 2222 | 4802 | 14455308 | N/A | 7879863 | 2025-11-03 03:35:47.605784 | 2026-02-04 18:21:13.840230 |
| 2025-11-01 07:12:15.556361 | 2025-11-03 01:31:50.711535 | 14167032 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 14167032 | Athletic Physical Therapy Inc | 1953-12-17 | 2025-11-04 | F | AE | PT | RIGGS | H6792045400 | MELINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.093715084.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11057246/check_14167032_9e1d4e58-b52e-4aa4-80e6-4e72d6178d5f.json | N/A | N/A | N/A | N/A | N/A | H67920454 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1953-12-17 | N/A | 0B527001 | N/A | HN | false | RIGGS | N/A | MELINDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183498508 | N/A | N/A | 11057246 | 2222 | 4801 | 14436925 | N/A | 9416589 | 2025-11-03 01:31:50.711535 | 2025-10-28 17:19:00.684003 |
| 2025-11-01 07:12:14.590091 | 2025-11-03 01:43:19.157095 | 14167002 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 14167002 | override_provider | 1956-10-21 | 2025-11-04 | M | PT | N/A | TOROS | SAD103594467 | HALIL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.103411237.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7896723/check_14167002_0582a0d8-04b9-47b8-8a33-93bbd20ad187.json | N/A | N/A | N/A | N/A | N/A | SAD10359446700 | Preferred Provider Organization (PPO) | SAS INSTITUTE INC. | BLUE SHIELD OF CALIFORNIA | N/A | 1956-10-21 | FACETS | 14163533 | N/A | PR | false | TOROS | N/A | HALIL | N/A | 2025-12-31 | 2025-01-01 | BLUE OPTIONS | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9183786831 | N/A | N/A | 7896723 | 2222 | 4802 | 14443643 | N/A | 6723602 | 2025-11-03 01:43:19.157095 | 2025-08-12 18:22:41.461515 |
| 2025-11-01 07:12:01.867904 | 2025-11-03 03:35:46.970365 | 14166544 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14166544 | Athletic Physical Therapy Inc | 1946-06-01 | 2025-11-04 | F | AE | PT | AMIRI | 5A52N18CA24 | POURAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.084418951.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9399844/check_14166544_5d9cb792-54c0-49a4-b6c7-50e656404e72.json | N/A | N/A | N/A | N/A | N/A | 5A52N18CA24 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-06-01 | S4802 | N/A | N/A | MB | false | AMIRI | N/A | POURAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183340979 | N/A | N/A | 9399844 | 2222 | 4802 | 14455302 | N/A | 4210607 | 2025-11-03 03:35:46.970365 | 2025-08-01 18:31:38.620742 |
| 2025-11-01 07:11:59.402921 | 2025-11-03 03:33:07.134318 | 14166453 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14166453 | Athletic Physical Therapy Inc | 1976-08-13 | 2025-11-04 | F | PT | N/A | GODWIN | JPU097W07528 | CASSANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.091430743.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10090153/check_14166453_54772430-d2a1-4d07-a7d7-a2028438fb98.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 | 9183407705 | N/A | N/A | 10090153 | 2222 | 4801 | 14453828 | N/A | 8428668 | 2025-11-03 03:33:07.134318 | 2025-10-12 20:55:35.014952 |
| 2025-11-01 07:11:57.557054 | 2025-11-03 03:33:06.818327 | 14166393 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14166393 | Athletic Physical Therapy Inc | 1991-12-10 | 2025-11-04 | F | PT | N/A | DUBOIS | UCR377M98570 | DANIELLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.091430743.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10089562/check_14166393_12244a91-4c30-454f-8d31-38e450fadbd1.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 | 9183407699 | N/A | N/A | 10089562 | 2222 | 4801 | 14453826 | N/A | 8428267 | 2025-11-03 03:33:06.818327 | 2025-10-08 02:27:24.446873 |
| 2025-11-01 07:11:49.242644 | 2025-11-03 01:41:54.242140 | 14166094 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 14166094 | Athletic Physical Therapy Inc | 1952-03-30 | 2025-11-04 | F | AE | PT | MATTHEWS | H41656712 | JUNE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.084929491.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9767878/check_14166094_437feea6-30c6-4c9e-83cd-fbe0fa7bcb25.json | N/A | N/A | N/A | N/A | N/A | H41656712 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1952-03-30 | N/A | 0B527001 | N/A | HN | false | MATTHEWS | N/A | JUNE ANNE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183343099 | N/A | N/A | 9767878 | 2222 | 4801 | 14442581 | N/A | 8178957 | 2025-11-03 01:41:54.242140 | 2025-10-06 01:53:28.213209 |
| 2025-11-01 07:11:42.705225 | 2025-11-03 01:46:33.707564 | 14165869 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14165869 | Athletic Physical Therapy Inc | 1960-01-10 | 2025-11-03 | F | AE | PT | MAWAS | 1HM1QX0QJ05 | ASMAHAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.084929491.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9765210/check_14165869_1ddeb649-f6c8-45c2-a4fc-4e37ee6dd9f2.json | N/A | N/A | N/A | N/A | N/A | 1HM1QX0QJ05 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-01-10 | S5617 | N/A | N/A | MB | false | MAWAS | N/A | ASMAHAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183343866 | N/A | N/A | 9765210 | 2222 | 4801 | 14446400 | N/A | 8176388 | 2025-11-03 01:46:33.707564 | 2025-10-07 15:06:58.335351 |
| 2025-11-01 07:11:30.119717 | 2025-11-03 01:31:14.819734 | 14165373 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 14165373 | Athletic Physical Therapy Inc | 1941-06-09 | 2025-11-04 | F | AE | PT | DIXON | 988640039.00 | JUDIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.093715084.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11013047/check_14165373_a90f4c65-4bdb-435f-9983-9d845a0add63.json | N/A | N/A | N/A | N/A | N/A | 988640039.00 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1941-06-09 | N/A | N/A | N/A | N/A | false | DIXON | N/A | JUDIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183497813 | N/A | N/A | 11013047 | 2222 | 4793 | 14436553 | N/A | 9378405 | 2025-11-03 01:31:14.819734 | 2025-10-21 21:08:18.331994 |
| 2025-11-01 07:11:27.565854 | 2025-11-03 01:32:46.235012 | 14165260 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14165260 | Athletic Physical Therapy Inc | 1991-07-29 | 2025-11-04 | F | AE | PT | NELSON | R12416085MM1 | JAZMIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.093715084.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11011103/check_14165260_6d11f03a-f656-4307-ac2a-68d5c7f088db.json | N/A | N/A | N/A | N/A | N/A | R12416085MM1 | N/A | N/A | CENTENE CORPORATION | N/A | 1991-07-29 | N/A | N/A | N/A | N/A | false | NELSON | N/A | JAZMIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183497805 | N/A | N/A | 11011103 | 2222 | 4801 | 14437515 | N/A | 9376481 | 2025-11-03 01:32:46.235012 | 2025-10-27 22:16:51.510374 |
| 2025-11-01 07:11:24.133106 | 2025-11-03 03:35:47.305742 | 14165129 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14165129 | Athletic Physical Therapy Inc | 1946-11-22 | 2025-11-04 | F | AE | PT | CAPUTA | 6JV7KY8CA74 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.084418951.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9336757/check_14165129_c29d691a-8027-49c6-a9d3-e1305254e429.json | N/A | N/A | N/A | N/A | N/A | 6JV7KY8CA74 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-11-22 | S5601 | N/A | N/A | MB | false | CAPUTA | N/A | SANDRA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183342434 | N/A | N/A | 9336757 | 2222 | 4801 | 14455305 | N/A | 7835556 | 2025-11-03 03:35:47.305742 | 2025-09-12 16:59:25.752326 |
| 2025-11-01 07:11:23.396644 | 2025-11-03 01:41:38.891050 | 14165095 | N/A | N/A | 60054 | Aetna | 1114042165 | 14165095 | Athletic Physical Therapy Inc | 2011-12-20 | 2025-11-04 | M | AE | PT | NAQVI | W295996740 | KAZIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.103415316.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11417253/check_14165095_a4c79944-935f-42a5-81d9-a1ef428f80b0.json | N/A | N/A | N/A | N/A | N/A | W295996740 | N/A | SHI INTERNATIONAL CORP. | AETNA | N/A | 2011-12-20 | 0308616 | 030861601600001 | N/A | N/A | false | NAQVI | N/A | SYED | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183290390 | N/A | N/A | 11417253 | 2222 | 4793 | 14442393 | N/A | 9671738 | 2025-11-03 01:41:38.891050 | 2025-10-29 22:32:21.591395 |
| 2025-11-01 07:11:22.046493 | 2025-11-03 01:43:42.048336 | 14165039 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14165039 | Athletic Physical Therapy Inc | 1956-05-08 | 2025-11-04 | F | AE | PT | COPLIN | 00000378130 | DEBRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.103415316.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11415453/check_14165039_8ca90180-7d79-4f54-8a63-bd4e2c2c7dea.json | N/A | N/A | N/A | N/A | N/A | 00000378130 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-05-08 | H3815028 | N/A | N/A | HM | false | COPLIN | N/A | DEBRA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183290381 | N/A | N/A | 11415453 | 2222 | 4801 | 14443948 | 2630 | 9670237 | 2025-11-03 01:43:42.048336 | 2025-11-03 23:57:15.890657 |
| 2025-11-01 07:11:21.295679 | 2025-11-03 01:43:45.767169 | 14165008 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14165008 | Athletic Physical Therapy Inc | 1954-03-01 | 2025-11-04 | M | PT | N/A | FELLOWS | 805A6921930 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.103415316.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11415367/check_14165008_db4d13ea-69b0-42a3-9d8b-b120c8987ace.json | N/A | N/A | N/A | N/A | N/A | 805A6921930 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-03-01 | N/A | N/A | N/A | N/A | false | FELLOWS | N/A | WILLIAM | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9183290378 | N/A | N/A | 11415367 | 2222 | 4801 | 14443996 | 4185 | 9670147 | 2025-11-03 01:43:45.767169 | 2025-10-23 23:05:46.960193 |
| 2025-11-01 07:11:17.977663 | 2025-11-03 03:35:49.897375 | 14164871 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14164871 | Athletic Physical Therapy Inc | 1956-12-19 | 2025-11-03 | F | AE | PT | YEN | 7QK3HE4XQ19 | JENNY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.091430743.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10033466/check_14164871_f18e79f2-b101-47fc-b1b2-97a3fe4034bf.json | N/A | N/A | N/A | N/A | N/A | 7QK3HE4XQ19 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-12-19 | S4802 | N/A | N/A | MA | false | YEN | N/A | JENNY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183408425 | N/A | N/A | 10033466 | 2222 | 4793 | 14455330 | N/A | 8398587 | 2025-11-03 03:35:49.897375 | 2025-10-07 14:21:54.880940 |
| 2025-11-01 07:11:07.227738 | 2025-11-03 01:48:31.185833 | 14164436 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14164436 | Athletic Physical Therapy Inc | 1971-12-07 | 2025-11-04 | M | AE | PT | WALLACH | 1PD0KF7JH37 | CHARLES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.103411237.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7821426/check_14164436_1cdf763c-5bec-4ea0-87be-40c8aa787a9b.json | N/A | N/A | N/A | N/A | N/A | 1PD0KF7JH37 | Medicare Part B | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1971-12-07 | N/A | N/A | N/A | MB | false | WALLACH IV | N/A | CHARLES | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183785958 | N/A | N/A | 7821426 | 2222 | 4801 | 14448141 | N/A | 6660003 | 2025-11-03 01:48:31.185833 | 2026-06-01 17:03:48.982724 |
| 2025-11-01 07:11:04.291279 | 2025-11-03 03:31:31.099127 | 14164322 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 14164322 | Athletic Physical Therapy Inc | 1966-10-24 | 2025-11-04 | F | AE | PT | DUARTE | 99133977C | TERESA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.091430743.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10032559/check_14164322_25e306b6-07da-4256-b6f9-34d6e0c99d73.json | N/A | N/A | N/A | N/A | N/A | 99133977C | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 04/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1966-10-24 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | DUARTE | N/A | TERESA | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183407648 | N/A | N/A | 10032559 | 2222 | 4802 | 14452893 | N/A | 8397995 | 2025-11-03 03:31:31.099127 | 2025-10-06 22:35:05.038045 |
| 2025-11-01 07:11:02.893223 | 2025-11-03 01:46:41.386486 | 14164260 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14164260 | Athletic Physical Therapy Inc | 1952-08-21 | 2025-11-03 | M | AE | PT | SPADARO | 5QF7FW2XV59 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.103415316.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11401364/check_14164260_43d2df6c-3a1b-4911-8237-4c34a80d95c5.json | N/A | N/A | N/A | N/A | N/A | 5QF7FW2XV59 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-08-21 | S4802 | N/A | N/A | MA | false | SPADARO | N/A | MARK | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183290724 | N/A | N/A | 11401364 | 2222 | 4801 | 14446522 | N/A | 9660679 | 2025-11-03 01:46:41.386486 | 2025-10-23 16:50:55.376075 |
| 2025-11-01 07:11:02.384545 | 2025-11-03 01:46:40.466336 | 14164242 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14164242 | Athletic Physical Therapy Inc | 1959-06-14 | 2025-11-03 | M | AE | PT | HARRIS | 7UY6V94YV64 | SCOTT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.103415316.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11400164/check_14164242_28e3cc25-ea21-4b10-aace-684c992a2715.json | N/A | N/A | N/A | N/A | N/A | 7UY6V94YV64 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-06-14 | S5617 | N/A | N/A | MA | false | HARRIS | N/A | SCOTT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183290721 | N/A | N/A | 11400164 | 2222 | 4793 | 14446507 | N/A | 9497887 | 2025-11-03 01:46:40.466336 | 2025-10-20 16:22:35.728267 |
| 2025-11-01 07:10:55.267837 | 2025-11-03 03:35:49.566528 | 14163897 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14163897 | Athletic Physical Therapy Inc | 1956-07-25 | 2025-11-04 | M | AE | PT | WHITAKER | 2QX8KU9UC57 | RICHARD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.091430743.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10030667/check_14163897_99a270a3-db83-462b-8959-5440160da1ab.json | N/A | N/A | N/A | N/A | N/A | 2QX8KU9UC57 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-07-25 | S4802 | N/A | N/A | MA | false | WHITAKER | N/A | RICHARD | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183407620 | N/A | N/A | 10030667 | 2222 | 4801 | 14455327 | N/A | 8396855 | 2025-11-03 03:35:49.566528 | 2026-04-30 15:25:27.283280 |
| 2025-11-01 07:10:45.181578 | 2025-11-09 01:36:26.314449 | 14163388 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14163388 | Athletic Physical Therapy Inc | 1951-10-16 | 2025-11-04 | F | AE | PT | GARRETT | 3EJ1R73ND18 | KATHLEEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031519513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714932/check_14163388_457cc3b5-459e-498a-95f7-8777d6232a2b.json | N/A | N/A | N/A | N/A | N/A | 3EJ1R73ND18 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-10-16 | S5601 | N/A | N/A | MA | false | GARRETT | N/A | KATHLEEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236860362 | N/A | N/A | 6714932 | 2222 | 4793 | 14781165 | N/A | 5316176 | 2025-11-09 01:36:26.314449 | 2025-07-01 18:44:12.927482 |
| 2025-11-01 07:10:45.044785 | 2025-11-09 01:36:26.581761 | 14163379 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14163379 | Athletic Physical Therapy Inc | 1959-07-23 | 2025-11-04 | M | AE | PT | Harvey | 1D65V29PD77 | Roy | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031519513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714928/check_14163379_e43ac9f9-0ece-4554-88df-e977f3cbe2d9.json | N/A | N/A | N/A | N/A | N/A | 1D65V29PD77 | Medicare Part B | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-23 | S5660 | DOL 01291978 | N/A | MB | 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 | 9236860361 | N/A | N/A | 6714928 | 2222 | 4802 | 14781171 | N/A | 5316172 | 2025-11-09 01:36:26.581761 | 2025-07-02 15:09:36.678003 |
| 2025-11-01 07:10:40.842238 | 2025-11-03 01:43:41.147816 | 14163150 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14163150 | Athletic Physical Therapy Inc | 1968-10-03 | 2025-11-04 | M | PT | N/A | RAMIREZ | Z7M7740597AB | CESAR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.084929491.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9729132/check_14163150_911f30d0-9f7c-4eb8-a4b4-a84d094d2449.json | N/A | N/A | N/A | N/A | N/A | Z7M7740597AB | Preferred Provider Organization (PPO) | HI DED LOWER FAMILY ONLY | ANTHEM BLUE CROSS | N/A | 1968-10-03 | 241 | L11957M003 | N/A | PR | false | RAMIREZ | N/A | CESAR | N/A | 9999-12-31 | 2025-01-01 | PPO WITH MO BLUE ACCESS CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9183343387 | N/A | N/A | 9729132 | 2222 | 4801 | 14443931 | N/A | 8145241 | 2025-11-03 01:43:41.147816 | 2025-09-25 17:51:33.170014 |
| 2025-11-01 07:10:34.671413 | 2025-11-03 03:31:58.541305 | 14162810 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 14162810 | Athletic Physical Therapy Inc | 1947-05-27 | 2025-11-04 | F | AE | PT | OJEDA DE VALERIO | 40054924601 | MARCELINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.091413992.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8634171/check_14162810_ac44f7c2-bccc-4d86-909f-190b9989a70d.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 | 9183406328 | N/A | N/A | 8634171 | 2222 | 4801 | 14453190 | N/A | 7279268 | 2025-11-03 03:31:58.541305 | 2025-09-01 17:13:14.403136 |
| 2025-11-01 07:10:25.580571 | 2025-11-03 01:35:25.548608 | 14162322 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14162322 | Athletic Physical Therapy Inc | 1953-06-18 | 2025-11-04 | F | AE | PT | REISMAN | 6C16CN3FM49 | GAIL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.093715084.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10984906/check_14162322_847c1f0c-7796-40fd-b2a8-ec3d65bc8331.json | N/A | N/A | N/A | N/A | N/A | 6C16CN3FM49 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-06-18 | N/A | N/A | N/A | MA | false | REISMAN | N/A | GAIL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183498866 | N/A | N/A | 10984906 | 2222 | 4802 | 14439035 | N/A | 9156222 | 2025-11-03 01:35:25.548608 | 2026-01-08 22:56:20.879547 |
| 2025-11-01 07:10:24.717703 | 2025-11-03 01:43:45.487188 | 14162281 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14162281 | Athletic Physical Therapy Inc | 1987-08-20 | 2025-11-04 | M | PT | N/A | ELSTEIN | JQK334A21799 | PAUL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.103415316.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11369719/check_14162281_c6c12a38-a22a-427d-a545-3c443fd307aa.json | N/A | N/A | N/A | N/A | N/A | JQK334A21799 | Health Maintenance Organization (HMO) | MDC AIRCRAFT SERVICES INC | ANTHEM BLUE CROSS | N/A | 1987-08-20 | 040 | U12502 | N/A | HM | false | ELSTEIN | N/A | PAUL | N/A | 2025-12-01 | 2024-12-01 | CA SG ANTHEM HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9183290067 | N/A | N/A | 11369719 | 2222 | 4801 | 14443990 | N/A | 9637893 | 2025-11-03 01:43:45.487188 | 2025-10-22 22:02:41.459520 |
| 2025-11-01 07:10:21.996083 | 2025-11-09 01:33:20.909734 | 14162124 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 14162124 | Athletic Physical Therapy Inc | 1942-07-28 | 2025-11-04 | M | AE | PT | SIMMONS | 40055722801 | J | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031519513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6685251/check_14162124_36f1b243-22bd-49d9-97ae-234a82d0bc04.json | N/A | N/A | N/A | N/A | N/A | 40055722801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1942-07-28 | 2025H5425001 | H5425M | N/A | N/A | false | SIMMONS | N/A | J | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236860634 | N/A | N/A | 6685251 | 2222 | 4793 | 14777456 | N/A | 4209868 | 2025-11-09 01:33:20.909734 | 2025-08-15 22:13:56.514261 |
| 2025-11-01 07:10:20.153771 | 2025-11-09 01:34:56.828666 | 14162017 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14162017 | Athletic Physical Therapy Inc | 2008-01-01 | 2025-11-04 | M | PT | N/A | COSTELLO | SIF475A59310 | JAMES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031533875.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11322321/check_14162017_38eec726-39e0-4775-9191-7378105c132d.json | N/A | N/A | N/A | N/A | N/A | SIF475A59310 | Preferred Provider Organization (PPO) | SISC - VENTURA COUNTY COMMUNITY COLLEGE DISTRICT | ANTHEM BLUE CROSS LIFE HLTH INS C | N/A | 2008-01-01 | 040 | 40971C | N/A | PR | false | COSTELLO | N/A | MANDISSA | N/A | 9999-12-31 | 2025-09-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9236864071 | N/A | N/A | 11322321 | 2222 | 4793 | 14779460 | N/A | 4211647 | 2025-11-09 01:34:56.828666 | 2025-10-21 19:53:46.280627 |
| 2025-11-01 07:10:15.878517 | 2025-11-09 01:34:57.148205 | 14161753 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14161753 | Athletic Physical Therapy Inc | 1941-08-23 | 2025-11-04 | M | AE | PT | E Bogen | WXY0981A22808 | Andrew | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031533875.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11174641/check_14161753_b817487a-72c5-4830-8f3a-501ac36b0b7f.json | N/A | N/A | N/A | N/A | N/A | WXY0981A22808 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1941-08-23 | N/A | N/A | N/A | N/A | false | E BOGEN | N/A | ANDREW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236864793 | N/A | N/A | 11174641 | 2222 | 4802 | 14779466 | N/A | 9519718 | 2025-11-09 01:34:57.148205 | 2026-02-02 19:30:57.219688 |
| 2025-11-01 07:10:15.422745 | 2025-11-03 01:41:11.426222 | 14161723 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 14161723 | Athletic Physical Therapy Inc | 1962-12-15 | 2025-11-04 | F | AE | PT | SWAUGER | W28421156101 | TRACEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.103415316.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11365153/check_14161723_6649f7ca-a432-4453-9fea-b49e1d87b986.json | N/A | N/A | N/A | N/A | N/A | W28421156101 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1962-12-15 | N/A | N/A | N/A | N/A | false | SWAUGER | N/A | TRACEY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183289680 | N/A | N/A | 11365153 | 2222 | 4793 | 14442048 | N/A | 9633780 | 2025-11-03 01:41:11.426222 | 2025-11-03 19:06:43.846890 |
| 2025-11-01 07:10:13.271088 | 2025-11-09 01:35:12.854544 | 14161586 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14161586 | Athletic Physical Therapy Inc | 1935-11-26 | 2025-11-04 | F | AE | PT | MCCANN | JQE588W18533 | JOSEPHINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031716233.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7760464/check_14161586_3573df66-9774-4fb2-b9c9-48124d56bc70.json | N/A | N/A | N/A | N/A | N/A | JQE588W18533 | N/A | CA MED-SUPP | BLUE SHIELD OF CALIFORNIA | N/A | 1935-11-26 | 040 | CASUPWP0 | N/A | N/A | false | MCCANN | N/A | JOSEPHINE | N/A | 9999-12-31 | 2024-02-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236888278 | N/A | N/A | 7760464 | 2222 | 4801 | 14779783 | N/A | 6609924 | 2025-11-09 01:35:12.854544 | 2025-08-12 22:04:05.464362 |
| 2025-11-01 07:10:12.339021 | 2025-11-03 01:46:41.982916 | 14161519 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14161519 | Athletic Physical Therapy Inc | 1959-01-17 | 2025-11-04 | M | AE | PT | WAHL | 6CX2NW3WP90 | LELAND | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.103415316.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11364481/check_14161519_a50abb46-f366-487a-90b7-3496480d8e0c.json | N/A | N/A | N/A | N/A | N/A | 6CX2NW3WP90 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-01-17 | S5617 | N/A | N/A | MA | false | WAHL | N/A | LELAND | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183289669 | N/A | N/A | 11364481 | 2222 | 4793 | 14446532 | N/A | 9633229 | 2025-11-03 01:46:41.982916 | 2026-02-05 17:07:37.378883 |
| 2025-11-01 07:10:11.637853 | 2025-11-03 03:31:15.398291 | 14161477 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 14161477 | Athletic Physical Therapy Inc | 1953-11-10 | 2025-11-04 | F | AE | PT | Herreres | H6884136600 | Irene | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.091430743.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10019260/check_14161477_bd857b0f-550e-430c-815a-74e7c509f938.json | N/A | N/A | N/A | N/A | N/A | H6884136600 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-11-10 | N/A | N/A | N/A | N/A | false | HERRERES | N/A | IRENE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183407906 | N/A | N/A | 10019260 | 2222 | 4801 | 14452737 | N/A | 8386960 | 2025-11-03 03:31:15.398291 | 2025-10-06 18:27:19.967736 |
| 2025-11-01 07:10:01.430487 | 2025-11-03 03:34:13.730585 | 14160864 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14160864 | Athletic Physical Therapy Inc | 1951-10-12 | 2025-11-04 | F | AE | PT | Ahadian | 3PT2AT4QU70 | Vida | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.091413992.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8477425/check_14160864_ab119924-91a8-4f89-804c-ac6bd7047404.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 | 9183406698 | N/A | N/A | 8477425 | 2222 | 4802 | 14454420 | N/A | 7146980 | 2025-11-03 03:34:13.730585 | 2025-08-25 22:34:13.951153 |
| 2025-11-01 07:09:55.376207 | 2025-11-09 01:34:57.748320 | 14160543 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14160543 | Athletic Physical Therapy Inc | 1953-06-18 | 2025-11-04 | F | AE | PT | REISMAN | WRXA13289369 | GAIL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031533875.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10984907/check_14160543_7888f1d4-0fca-46a5-906e-2dda30d318f8.json | N/A | N/A | N/A | N/A | N/A | WRXA13289369 | Preferred Provider Organization (PPO) | WRITERS GUILD INDUSTRY HEALTH FUND | MEDICARE B | N/A | 1953-06-18 | 040 | 277242M003 | N/A | PR | false | REISMAN | N/A | MARK | N/A | 9999-12-31 | 2025-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236865569 | N/A | N/A | 10984907 | 2222 | 4802 | 14779478 | N/A | 9156222 | 2025-11-09 01:34:57.748320 | 2026-01-08 22:56:20.879547 |
| 2025-11-01 07:09:52.635029 | 2025-11-03 01:46:41.683955 | 14160374 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14160374 | Athletic Physical Therapy Inc | 1952-02-16 | 2025-11-03 | F | AE | PT | TEGNAZIAN | 6G53Y86XT88 | TERRY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.103415316.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11358335/check_14160374_597fb219-8815-4a41-82d6-5cb919e0cb19.json | N/A | N/A | N/A | N/A | N/A | 6G53Y86XT88 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-02-16 | S5617 | N/A | N/A | MA | false | TEGNAZIAN | N/A | TERRY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183289644 | N/A | N/A | 11358335 | 2222 | 4802 | 14446527 | N/A | 9629500 | 2025-11-03 01:46:41.683955 | 2025-10-22 16:05:53.920196 |
| 2025-11-01 07:09:45.977011 | 2025-11-09 01:33:49.859941 | 14159959 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14159959 | Athletic Physical Therapy Inc | 1967-03-31 | 2025-11-04 | F | PT | N/A | BARRERA | XEH903389121 | LOLA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031519513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611912/check_14159959_2fed4a81-a76a-4c29-b9a9-8e36584813dd.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 | 9236860305 | N/A | N/A | 6611912 | 2222 | 4793 | 14778134 | N/A | 5230345 | 2025-11-09 01:33:49.859941 | 2025-07-11 20:32:03.183345 |
| 2025-11-01 07:09:40.440660 | 2025-11-03 03:32:11.677826 | 14159591 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14159591 | Athletic Physical Therapy Inc | 1950-08-30 | 2025-11-04 | M | AE | PT | VILLA | 00000293779 | RAMON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.091413992.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471007/check_14159591_d632af74-c88f-45c8-b3d6-01dbc72dbe69.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 | 9183406651 | N/A | N/A | 8471007 | 2222 | 4801 | 14453329 | 2630 | 7142042 | 2025-11-03 03:32:11.677826 | 2025-08-25 17:21:31.750932 |
| 2025-11-01 07:09:38.455918 | 2025-11-09 01:33:50.178261 | 14159438 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14159438 | Athletic Physical Therapy Inc | 1963-02-27 | 2025-11-04 | F | PT | N/A | MARYAN | JPU047A23611 | MICHELLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031519513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6600346/check_14159438_c7c73a8a-ed3d-4190-acaf-a5c45219a25d.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 | 9236861925 | N/A | N/A | 6600346 | 2222 | 4801 | 14778140 | N/A | 4211322 | 2025-11-09 01:33:50.178261 | 2025-07-17 16:31:59.104530 |
| 2025-11-01 07:09:38.442695 | 2025-11-09 01:35:17.308406 | 14159437 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14159437 | Athletic Physical Therapy Inc | 1952-07-15 | 2025-11-04 | M | AE | PT | WOLFE | XEM909964699 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031533875.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10239789/check_14159437_72c0c834-f180-4900-be85-deb8d52d75bc.json | N/A | N/A | N/A | N/A | N/A | XEM909964699 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1952-07-15 | 2004SF000028 | X0001002 | N/A | OT | false | WOLFE | N/A | MICHAEL | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236865054 | N/A | N/A | 10239789 | 2222 | 4793 | 14779863 | N/A | 8527464 | 2025-11-09 01:35:17.308406 | 2025-10-14 15:25:46.972104 |
| 2025-11-01 07:09:25.058002 | 2025-11-03 01:46:33.985191 | 14158459 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14158459 | Athletic Physical Therapy Inc | 1950-07-29 | 2025-11-03 | F | AE | PT | Reinis | 9E11MX6RQ31 | Meredith | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.084929491.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681833/check_14158459_be054be2-e09e-4138-9b19-24d836f03ffd.json | N/A | N/A | N/A | N/A | N/A | 9E11MX6RQ31 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-07-29 | S4802 | N/A | N/A | MA | false | REINIS | N/A | MEREDITH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183343796 | N/A | N/A | 9681833 | 2222 | 4802 | 14446404 | N/A | 8101541 | 2025-11-03 01:46:33.985191 | 2025-09-29 18:50:04.958524 |
| 2025-11-01 07:09:23.217207 | 2025-11-09 01:36:41.412715 | 14158314 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 14158314 | Athletic Physical Therapy Inc | 1956-12-19 | 2025-11-03 | F | AE | PT | YEN | 96046413F95176 | JENNY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031533875.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10033624/check_14158314_a8fbcae7-1665-4602-acdc-cabbc02c7aa0.json | N/A | N/A | N/A | N/A | N/A | 96046413F95176 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1956-12-19 | N/A | N/A | N/A | N/A | false | YEN | N/A | JENNY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236864504 | N/A | N/A | 10033624 | 2222 | 4793 | 14781475 | N/A | 8398587 | 2025-11-09 01:36:41.412715 | 2025-10-07 14:21:54.880940 |
| 2025-11-01 07:09:21.567145 | 2025-11-09 01:34:58.650246 | 14158206 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14158206 | Athletic Physical Therapy Inc | 1956-07-25 | 2025-11-04 | M | AE | PT | WHITAKER | JQE189M00130 | RICHARD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031533875.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10030668/check_14158206_81035770-6c35-4340-a29a-207ad64885f8.json | N/A | N/A | N/A | N/A | N/A | JQE189M00130 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1956-07-25 | 040 | CASUPWP0 | N/A | N/A | false | WHITAKER | N/A | RICHARD | N/A | 9999-12-31 | 2025-01-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236864489 | N/A | N/A | 10030668 | 2222 | 4801 | 14779497 | N/A | 8396855 | 2025-11-09 01:34:58.650246 | 2026-04-30 15:25:27.283280 |
| 2025-11-01 07:09:20.695148 | 2025-11-09 01:36:25.759280 | 14158140 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14158140 | Athletic Physical Therapy Inc | 1934-12-03 | 2025-11-03 | M | AE | PT | Dayzadeh | 9A94PK6GA08 | Nasser | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031519513.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583825/check_14158140_43727b17-9543-408f-87aa-0b4b47af5be5.json | N/A | N/A | N/A | N/A | N/A | 9A94PK6GA08 | Medicare Part B | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1934-12-03 | S2468 | N/A | N/A | MB | 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 | 9236860582 | N/A | N/A | 6583825 | 2222 | 4802 | 14781153 | N/A | 5202586 | 2025-11-09 01:36:25.759280 | 2025-06-25 17:55:27.155518 |
| 2025-11-01 07:09:11.544057 | 2025-11-03 01:44:48.951820 | 14157455 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 14157455 | Athletic Physical Therapy Inc | 1936-04-01 | 2025-11-04 | F | AE | PT | WESTER | 40064582501 | EIVOR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.103411237.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7761229/check_14157455_881c7b0f-b184-4d14-b1b8-4f6f3ea22abc.json | N/A | N/A | N/A | N/A | N/A | 40064582501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1936-04-01 | 2025H5425001 | H5425M | N/A | N/A | false | WESTER | N/A | EIVOR | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183786677 | N/A | N/A | 7761229 | 2222 | 4793 | 14445004 | N/A | 6610550 | 2025-11-03 01:44:48.951820 | 2025-08-29 21:18:14.924057 |
| 2025-11-01 07:09:09.286222 | 2025-11-03 01:48:30.824149 | 14157299 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14157299 | Athletic Physical Therapy Inc | 1935-11-26 | 2025-11-04 | F | AE | PT | MCCANN | 9Q04X31JA99 | JOSEPHINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.103411237.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7760463/check_14157299_4219ce39-0791-4551-908b-03ea0678298f.json | N/A | N/A | N/A | N/A | N/A | 9Q04X31JA99 | N/A | N/A | CMS | N/A | 1935-11-26 | N/A | N/A | N/A | N/A | false | MCCANN | N/A | JOSEPHINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183786673 | N/A | N/A | 7760463 | 2222 | 4801 | 14448136 | N/A | 6609924 | 2025-11-03 01:48:30.824149 | 2025-08-12 22:04:05.464362 |
| 2025-11-01 07:09:06.675181 | 2025-11-09 01:34:39.398071 | 14157106 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14157106 | Athletic Physical Therapy Inc | 1998-10-29 | 2025-11-04 | M | PT | N/A | MARSHALL | AGSAH0066119 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031716233.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7003223/check_14157106_a599bf68-d990-4689-be9c-29e9ea019c2a.json | N/A | N/A | N/A | N/A | N/A | AGSAH0066119 | N/A | PEPPERDINE UNIVERSITY | ANTHEM BLUE CROSS | N/A | 1998-10-29 | 040 | 276500MG04 | N/A | N/A | false | MARSHALL | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9236888198 | N/A | N/A | 7003223 | 2222 | 4793 | 14779109 | N/A | 6021448 | 2025-11-09 01:34:39.398071 | 2025-07-14 23:05:51.728886 |
| 2025-11-01 07:08:56.509363 | 2025-11-09 01:33:51.862230 | 14156394 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14156394 | Athletic Physical Therapy Inc | 1998-10-29 | 2025-11-04 | M | PT | N/A | MARSHALL | JQU309W24257 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031617501.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458512/check_14156394_e1ae197a-5fa6-4016-b3c5-fd1e0f30c8d1.json | N/A | N/A | N/A | N/A | N/A | JQU309W24257 | Preferred Provider Organization (PPO) | SUNSTONE PROPERTIES LLC | ANTHEM BLUE CROSS | N/A | 1998-10-29 | 040 | A35988 | N/A | PR | false | MARSHALL | N/A | THOMAS | N/A | 9999-12-31 | 2025-07-01 | ANTHEM PLATINUM PPO 15/40/10% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9236869121 | N/A | N/A | 7458512 | 2222 | 4793 | 14778177 | N/A | 6021448 | 2025-11-09 01:33:51.862230 | 2025-07-14 23:05:51.728886 |