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 07:08:55.598916 | 2025-11-09 01:36:35.538276 | 14156322 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14156322 | Athletic Physical Therapy Inc | 1948-11-19 | 2025-11-03 | M | AE | PT | GONZALES JR | 1E61CX0GK13 | LEO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031617501.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456457/check_14156322_54f278ee-b2bd-40c6-9d02-20e037447987.json | N/A | N/A | N/A | N/A | N/A | 1E61CX0GK13 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-11-19 | S4802 | N/A | N/A | MB | false | GONZALEZ JR | N/A | LEO | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236868329 | N/A | N/A | 7456457 | 2222 | 4793 | 14781354 | N/A | 6405774 | 2025-11-09 01:36:35.538276 | 2026-03-16 21:02:08.525887 |
| 2025-11-01 07:08:52.117589 | 2025-11-09 01:34:58.340234 | 14156075 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14156075 | Athletic Physical Therapy Inc | 1967-01-16 | 2025-11-04 | F | AE | PT | Wesel | QUC628W15332 | Ellen | 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/2222/9854973/check_14156075_7c05f732-ff89-4882-b995-9023f944f591.json | N/A | N/A | N/A | N/A | N/A | QUC628W15332 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | CIGNA | N/A | 1967-01-16 | 040 | 280509A420 | N/A | PR | false | WESEL | N/A | RICHARD | N/A | 9999-12-31 | 2023-01-01 | UC CORE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236865481 | N/A | N/A | 9854973 | 2222 | 4802 | 14779491 | N/A | 8205288 | 2025-11-09 01:34:58.340234 | 2025-09-30 16:15:04.552446 |
| 2025-11-01 07:08:51.959775 | 2025-11-09 01:34:19.985651 | 14156065 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14156065 | Athletic Physical Therapy Inc | 1996-08-01 | 2025-11-04 | M | PT | N/A | Prichard | XED910420685 | Riley | 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/2222/7449872/check_14156065_29c81415-af46-415d-9f7f-4235ca596d5d.json | N/A | N/A | N/A | N/A | N/A | XED910420685 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1996-08-01 | 2001ZK002184 | X0001004 | N/A | PR | false | PRICHARD | N/A | RILEY | N/A | 9999-12-31 | 2021-03-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9236868298 | N/A | N/A | 7449872 | 2222 | 4802 | 14778714 | N/A | 6399679 | 2025-11-09 01:34:19.985651 | 2025-07-24 23:16:22.582609 |
| 2025-11-01 07:08:51.814939 | 2025-11-09 01:31:34.184521 | 14156049 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 14156049 | Athletic Physical Therapy Inc | 1962-09-23 | 2025-11-04 | M | AE | PT | Thur | 95641377F | Pyi | 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/2222/7449843/check_14156049_4e5ea3e7-92b7-451f-bfbb-c4ec6155b724.json | N/A | N/A | N/A | N/A | N/A | 95641377F | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1962-09-23 | N/A | N/A | N/A | N/A | false | THUR | N/A | PYI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236868297 | N/A | N/A | 7449843 | 2222 | 4802 | 14774938 | N/A | 6399635 | 2025-11-09 01:31:34.184521 | 2025-07-29 18:42:47.970149 |
| 2025-11-01 07:08:47.516230 | 2025-11-03 03:32:45.734999 | 14155732 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14155732 | Athletic Physical Therapy Inc | 1995-10-05 | 2025-11-04 | M | PT | N/A | HERNANDEZ | BWW2515564100 | JONATHAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.084418951.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9279057/check_14155732_e38ddfe6-39a2-4981-abed-61b67774568c.json | N/A | N/A | N/A | N/A | N/A | BWW2515564100 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1995-10-05 | N/A | N/A | N/A | N/A | false | HERNANDEZ | N/A | JONATHAN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9183342360 | N/A | N/A | 9279057 | 2222 | 4801 | 14453668 | N/A | 4211907 | 2025-11-03 03:32:45.734999 | 2025-05-13 04:29:37.226233 |
| 2025-11-01 07:08:45.489164 | 2025-11-09 01:36:26.042717 | 14155591 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14155591 | Athletic Physical Therapy Inc | 1947-08-18 | 2025-11-04 | F | AE | PT | FABER | 4X26K21EE83 | LINDA | 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/2222/6522947/check_14155591_50e60e13-e215-4bb0-9393-dc2d9794d441.json | N/A | N/A | N/A | N/A | N/A | 4X26K21EE83 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-08-18 | S5617 | N/A | N/A | MB | false | FABER | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236861450 | N/A | N/A | 6522947 | 2222 | 4802 | 14781159 | N/A | 5146127 | 2025-11-09 01:36:26.042717 | 2025-06-20 17:58:23.371130 |
| 2025-11-01 07:08:43.597325 | 2025-11-09 01:36:34.925080 | 14155456 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14155456 | Athletic Physical Therapy Inc | 1950-02-07 | 2025-11-03 | M | AE | PT | BHAMRAH | 8FX0NA8MD19 | KULDIP | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031617501.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7442857/check_14155456_fb06e856-9dab-4857-9af2-922cd6e7e4ea.json | N/A | N/A | N/A | N/A | N/A | 8FX0NA8MD19 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-02-07 | S5617 | N/A | N/A | MA | false | BHAMRAH | N/A | KULDIP | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236869306 | N/A | N/A | 7442857 | 2222 | 4801 | 14781342 | N/A | 6393941 | 2025-11-09 01:36:34.925080 | 2025-08-13 16:33:53.313259 |
| 2025-11-01 07:08:35.979001 | 2025-11-09 01:32:33.158469 | 14154889 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14154889 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-11-04 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_14154889_662014c6-bed2-4836-a097-1fb7862b4811.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236859052 | N/A | N/A | 5568076 | 2222 | 4802 | 14776319 | N/A | 4209480 | 2025-11-09 01:32:33.158469 | 2026-04-10 02:05:15.976484 |
| 2025-11-01 07:08:31.081375 | 2025-11-09 01:33:25.172542 | 14154507 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14154507 | Athletic Physical Therapy Inc | 1966-07-12 | 2025-11-03 | M | AE | PT | Cohn | R06589895MM1 | David | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031617501.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7315101/check_14154507_6bb04d78-ddf8-4f95-b8d6-bdc10c7a4df1.json | N/A | N/A | N/A | N/A | N/A | R06589895MM1 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1966-07-12 | N/A | CA05620125 | N/A | N/A | false | COHN | N/A | DAVID | N/A | N/A | N/A | WELLCARE SIMPLE FOCUS (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236869582 | N/A | N/A | 7315101 | 2222 | 4802 | 14777561 | N/A | 6152454 | 2025-11-09 01:33:25.172542 | 2025-07-17 21:44:04.596080 |
| 2025-11-01 07:08:28.800762 | 2025-11-03 01:31:24.628452 | 14154329 | N/A | N/A | 60054 | Aetna | 1114042165 | 14154329 | Athletic Physical Therapy Inc | 1949-03-10 | 2025-11-04 | F | AE | PT | BONESTEEL | JQW668W04223 | CHEENIE | 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/2222/10368765/check_14154329_77ac8a93-f305-4d44-8b73-4fae35c7ff78.json | N/A | N/A | N/A | N/A | N/A | JQW668W04223 | N/A | N/A | AETNA INC | N/A | 1949-03-10 | N/A | N/A | N/A | N/A | false | BONESTEEL | N/A | CHEENIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183497053 | N/A | N/A | 10368765 | 2222 | 4801 | 14436649 | N/A | 8631533 | 2025-11-03 01:31:24.628452 | 2026-01-20 18:31:42.469716 |
| 2025-11-01 07:08:25.618050 | 2025-11-03 01:41:11.073553 | 14154091 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 14154091 | Athletic Physical Therapy Inc | 1987-06-04 | 2025-11-04 | F | AE | PT | Kramer | W25290479102 | Aleah | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251102.103415316.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11314808/check_14154091_04fc2e92-0fe2-4f93-9f14-61a2bf3c550a.json | N/A | N/A | N/A | N/A | N/A | W25290479102 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1987-06-04 | N/A | N/A | N/A | N/A | false | KRAMER | N/A | ALEAH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9183289881 | N/A | N/A | 11314808 | 2222 | 4802 | 14442045 | N/A | 9379901 | 2025-11-03 01:41:11.073553 | 2025-10-21 18:31:35.446245 |
| 2025-11-01 07:08:22.367976 | 2025-11-09 01:35:27.415553 | 14153827 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14153827 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-11-03 | F | AE | PT | BRADBURY | 5W31MW6FP03 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550534/check_14153827_34ba421d-9160-4923-bd59-5d322cab1287.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 | 9236857920 | N/A | N/A | 5550534 | 2222 | 4801 | 14780040 | N/A | 4219556 | 2025-11-09 01:35:27.415553 | 2025-05-13 04:29:37.230592 |
| 2025-11-01 07:08:22.274314 | 2025-11-09 01:35:26.363392 | 14153820 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14153820 | Athletic Physical Therapy Inc | 1954-05-11 | 2025-11-03 | M | AE | PT | A Peters | 1R78CR5JR59 | Dennis | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550025/check_14153820_a94126de-7585-4d90-80ea-c08a8c87a611.json | N/A | N/A | N/A | N/A | N/A | 1R78CR5JR59 | N/A | N/A | CMS | N/A | 1954-05-11 | N/A | N/A | N/A | N/A | false | A PETERS | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236857919 | N/A | N/A | 5550025 | 2222 | 4801 | 14780023 | N/A | 4219449 | 2025-11-09 01:35:26.363392 | 2025-10-07 21:32:27.567534 |
| 2025-11-01 07:08:22.144474 | 2025-11-09 01:34:39.117484 | 14153811 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14153811 | Athletic Physical Therapy Inc | 1936-09-29 | 2025-11-04 | M | AE | PT | JAUDE | JQE122A53874 | KARIM | 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/2222/6821574/check_14153811_99afe5f7-76ab-4b91-afa3-c9ad5fba953a.json | N/A | N/A | N/A | N/A | N/A | JQE122A53874 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1936-09-29 | 040 | CASUPWP0 | N/A | N/A | false | JAUDE | N/A | KARIM | N/A | 9999-12-31 | 2023-12-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236888457 | N/A | N/A | 6821574 | 2222 | 4802 | 14779104 | N/A | 4214191 | 2025-11-09 01:34:39.117484 | 2025-05-13 04:29:37.228525 |
| 2025-11-01 07:08:22.087498 | 2025-11-09 01:31:17.580618 | 14153808 | N/A | N/A | 60054 | Aetna | 1114042165 | 14153808 | Athletic Physical Therapy Inc | 1968-10-14 | 2025-11-04 | F | AE | PT | CARLSON | W161554352 | CYNTHIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549080/check_14153808_891258c6-40af-4fe1-a7d3-c214d316e601.json | N/A | N/A | N/A | N/A | N/A | W161554352 | Point of Service (POS) | UBS FINANCIAL SERVICES INC. | AETNA | N/A | 1968-10-14 | 0880791 | 088079102500011 | N/A | PS | false | CARLSON | N/A | CYNTHIA | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236857918 | N/A | N/A | 5549080 | 2222 | 4801 | 14774744 | N/A | 4218812 | 2025-11-09 01:31:17.580618 | 2025-05-13 04:29:37.229807 |
| 2025-11-01 07:08:20.810654 | 2025-11-03 03:32:15.366500 | 14153732 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14153732 | Athletic Physical Therapy Inc | 2011-10-18 | 2025-11-04 | F | PT | N/A | GARCIA | LDU736A55056 | SADIE | 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/2222/8387470/check_14153732_ce8159c0-5f7f-4e68-8d1d-45bd9c18c4b8.json | N/A | N/A | N/A | N/A | N/A | LDU736A55056 | Exclusive Provider Organization | LAUSD | ANTHEM BLUE CROSS | N/A | 2011-10-18 | 040 | 1838NJ | N/A | EP | false | GARCIA | N/A | RUBEN | N/A | 9999-12-31 | 2024-01-01 | PRUDENT BUYER EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9183407048 | N/A | N/A | 8387470 | 2222 | 4801 | 14453367 | N/A | 5132739 | 2025-11-03 03:32:15.366500 | 2025-07-14 21:32:03.363712 |
| 2025-11-01 07:08:19.937044 | 2025-11-09 01:35:27.727187 | 14153652 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14153652 | Athletic Physical Therapy Inc | 1957-05-23 | 2025-11-03 | F | AE | PT | CEASAR | 6XR6JY3MJ89 | DEBBIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543553/check_14153652_c0c2705f-2409-4d03-9f89-05e359cb36e3.json | N/A | N/A | N/A | N/A | N/A | 6XR6JY3MJ89 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-23 | S5660 | N/A | N/A | MA | false | CEASAR | N/A | DEBBIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236857907 | N/A | N/A | 5543553 | 2222 | 4793 | 14780045 | N/A | 4215327 | 2025-11-09 01:35:27.727187 | 2025-05-13 04:29:37.229651 |
| 2025-11-01 07:08:19.706190 | 2025-11-09 01:32:33.726455 | 14153635 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14153635 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-11-04 | M | AE | PT | FORTIN | R14644640MS1 | NATHANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_14153635_386b5051-802a-44ab-abe4-b1369d5f8054.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | K96 SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236857906 | N/A | N/A | 5543425 | 2222 | 4801 | 14776331 | N/A | 4215211 | 2025-11-09 01:32:33.726455 | 2026-04-02 22:30:20.020246 |
| 2025-11-01 07:08:19.492172 | 2025-11-09 01:33:00.784777 | 14153620 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14153620 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-11-04 | F | PT | N/A | DAKE | SIF326M90066 | RENEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543355/check_14153620_8a1ff84b-5f46-4bf0-902a-ab776cf44c8f.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | Preferred Provider Organization (PPO) | SISC - MEADOWS ARTS & TECH ELEMENTARY SCHOOL | ANTHEM BLUE CROSS | N/A | 1968-01-29 | 040 | 40424B | N/A | PR | false | DAKE | N/A | RENEE | N/A | 9999-12-31 | 2018-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9236857905 | N/A | N/A | 5543355 | 2222 | 4793 | 14776974 | N/A | 4215158 | 2025-11-09 01:33:00.784777 | 2025-05-13 04:29:37.229475 |
| 2025-11-01 07:08:19.205639 | 2025-11-09 01:32:58.445379 | 14153597 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 14153597 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-11-04 | F | AE | PT | SILVERS | 1866968 | JOIEMAY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543335/check_14153597_7922428e-add1-4952-a72f-124154b0b556.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 2001-01-23 | N/A | N/A | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236857904 | N/A | N/A | 5543335 | 2222 | 4802 | 14776915 | N/A | 4215139 | 2025-11-09 01:32:58.445379 | 2025-05-13 21:20:11.455022 |
| 2025-11-01 07:08:18.748015 | 2025-11-09 01:33:22.296703 | 14153567 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14153567 | Athletic Physical Therapy Inc | 1987-10-17 | 2025-11-04 | F | PT | N/A | PATEL | XEA910759571 | MAMTABEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543327/check_14153567_c7032149-f1df-4c27-bbfc-dae491433d42.json | N/A | N/A | N/A | N/A | N/A | XEA910759571 | Preferred Provider Organization (PPO) | RELATIVITY SPACE INC | BLUE SHIELD CALIFORNIA | N/A | 1987-10-17 | 1000PPOX0004 | W0071038 | N/A | PR | false | KROL | N/A | JEREMY | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1650 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9236857903 | N/A | N/A | 5543327 | 2222 | 4802 | 14777491 | N/A | 4215137 | 2025-11-09 01:33:22.296703 | 2025-10-13 23:09:53.444170 |
| 2025-11-01 07:08:18.441673 | 2025-11-09 01:33:22.552491 | 14153547 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14153547 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-11-04 | F | PT | N/A | PAUL | XEK914147727 | SARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543211/check_14153547_ff058832-2da7-4c26-a9b2-8c2b32f45d61.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | 9999-12-31 | 2025-02-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9236859342 | N/A | N/A | 5543211 | 2222 | 4801 | 14777498 | N/A | 4215028 | 2025-11-09 01:33:22.552491 | 2025-05-13 04:29:37.229346 |
| 2025-11-01 07:08:18.192931 | 2025-11-09 01:35:30.190448 | 14153531 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14153531 | Athletic Physical Therapy Inc | 1940-11-11 | 2025-11-03 | M | AE | PT | GOLDBERG | 9EE6XY2TM41 | Michael | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542970/check_14153531_43f532cf-c60d-48aa-96f0-cb1a0e2a87ac.json | N/A | N/A | N/A | N/A | N/A | 9EE6XY2TM41 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-11-11 | S5601 | N/A | N/A | MA | false | GOLDBERG | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236859341 | N/A | N/A | 5542970 | 2222 | 4802 | 14780083 | N/A | 4214820 | 2025-11-09 01:35:30.190448 | 2025-06-30 02:56:23.324592 |
| 2025-11-01 07:08:18.023708 | 2025-11-09 01:33:22.004975 | 14153521 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14153521 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-11-04 | F | PT | N/A | JAIN | XEK909304497 | SUPARNA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542952/check_14153521_4f6001ae-42ac-465e-83f4-19a173c0d1de.json | N/A | N/A | N/A | N/A | N/A | XEK909304497 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-01-24 | 2001ZK002189 | X0001000 | N/A | PR | false | JAIN | N/A | SUPARNA | N/A | 2025-12-31 | 2025-01-01 | BRONZE 60 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9236859340 | N/A | N/A | 5542952 | 2222 | 4802 | 14777484 | N/A | 4214804 | 2025-11-09 01:33:22.004975 | 2025-05-13 20:09:53.786482 |
| 2025-11-01 07:08:17.845124 | 2025-11-09 01:35:29.808312 | 14153510 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14153510 | Athletic Physical Therapy Inc | 1944-10-29 | 2025-11-03 | F | AE | PT | GOLDBERG | 6YD7TP7AC72 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542935/check_14153510_b22db758-de49-4088-86b5-0cff5622d507.json | N/A | N/A | N/A | N/A | N/A | 6YD7TP7AC72 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-10-29 | S5601 | N/A | N/A | MA | false | GOLDBERG | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236859339 | N/A | N/A | 5542935 | 2222 | 4802 | 14780077 | N/A | 4214789 | 2025-11-09 01:35:29.808312 | 2025-12-11 23:30:31.319246 |
| 2025-11-01 07:08:17.731885 | 2025-11-09 01:31:17.861695 | 14153506 | N/A | N/A | 60054 | Aetna | 1114042165 | 14153506 | Athletic Physical Therapy Inc | 2015-03-25 | 2025-11-03 | M | AE | PT | MOLAVI | W290733985 | MATTHEW | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542759/check_14153506_67951448-33a0-4f93-879b-d56de1d0ccbc.json | N/A | N/A | N/A | N/A | N/A | W290733985 | Point of Service (POS) | THE TCW GROUP, INC. | AETNA | N/A | 2015-03-25 | 0247292 | 024729201100001 | N/A | PS | false | MOLAVI | N/A | MOHAMAD | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236859338 | N/A | N/A | 5542759 | 2222 | 4793 | 14774747 | N/A | 4214620 | 2025-11-09 01:31:17.861695 | 2025-08-05 22:41:29.756445 |
| 2025-11-01 07:08:17.594534 | 2025-11-09 01:32:33.997069 | 14153494 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14153494 | Athletic Physical Therapy Inc | 1979-11-17 | 2025-11-04 | F | AE | PT | WOODS | 96781627F | JESSICA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542752/check_14153494_4d35b01d-54d1-4bb2-a598-f2c535bdae33.json | N/A | N/A | N/A | N/A | N/A | 96781627F | N/A | N/A | HEALTH NET, LLC | N/A | 1979-11-17 | N/A | N/A | N/A | N/A | false | WOODS | N/A | JESSICA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236859337 | N/A | N/A | 5542752 | 2222 | 4793 | 14776339 | N/A | 4214627 | 2025-11-09 01:32:33.997069 | 2025-06-23 18:58:46.304598 |
| 2025-11-01 07:08:17.488487 | 2025-11-09 01:31:17.040929 | 14153485 | N/A | N/A | 60054 | Aetna | 1114042165 | 14153485 | Athletic Physical Therapy Inc | 1975-12-13 | 2025-11-04 | F | AE | PT | ASSENGA | TWA295A70455 | NANCY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542618/check_14153485_3d36fe0f-4b13-43f7-8e00-2f1f8ae3c9f8.json | N/A | N/A | N/A | N/A | N/A | TWA295A70455 | N/A | N/A | AETNA | N/A | 1975-12-13 | 0846522 | 084652202300182 | N/A | N/A | false | ASSENGA | N/A | NANCY | N/A | N/A | N/A | OPEN CHOICE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236859336 | N/A | N/A | 5542618 | 2222 | 4801 | 14774738 | N/A | 4214504 | 2025-11-09 01:31:17.040929 | 2025-05-13 04:29:37.228820 |
| 2025-11-01 07:08:17.390370 | 2025-11-09 01:32:57.476545 | 14153474 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 14153474 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-11-04 | F | AE | PT | HAMI | 92932800G | FARIBA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542611/check_14153474_0e670e65-98fd-4fa8-a037-9973d35b96e2.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1960-09-15 | N/A | N/A | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236859335 | N/A | N/A | 5542611 | 2222 | 4802 | 14776894 | N/A | 4214490 | 2025-11-09 01:32:57.476545 | 2025-05-13 04:29:37.228806 |
| 2025-11-01 07:08:17.273846 | 2025-11-09 01:35:27.078814 | 14153467 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14153467 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-11-03 | M | AE | PT | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542555/check_14153467_c953c2be-3007-45c2-97d2-e440be97e008.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 | 9236859334 | N/A | N/A | 5542555 | 2222 | 4793 | 14780034 | N/A | 4214447 | 2025-11-09 01:35:27.078814 | 2026-04-23 20:11:34.441054 |
| 2025-11-01 07:08:17.186577 | 2025-11-09 01:35:33.835899 | 14153459 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14153459 | Athletic Physical Therapy Inc | 1949-11-21 | 2025-11-04 | M | AE | PT | WOLFE | 7JF6YW4EF47 | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542521/check_14153459_6733b529-3ad6-45f5-8703-32436617f738.json | N/A | N/A | N/A | N/A | N/A | 7JF6YW4EF47 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-11-21 | S4802 | N/A | N/A | MA | false | WOLFE | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236859333 | N/A | N/A | 5542521 | 2222 | 4801 | 14780133 | N/A | 4214422 | 2025-11-09 01:35:33.835899 | 2025-05-13 04:29:37.228745 |
| 2025-11-01 07:08:17.100071 | 2025-11-09 01:35:29.143758 | 14153454 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14153454 | Athletic Physical Therapy Inc | 1950-10-11 | 2025-11-04 | F | AE | PT | FRANK | 6C06N65FN89 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542263/check_14153454_cbe73aaf-ed75-41f7-a12c-8926c4803070.json | N/A | N/A | N/A | N/A | N/A | 6C06N65FN89 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-10-11 | S5601 | N/A | N/A | MB | false | FRANK | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236859332 | N/A | N/A | 5542263 | 2222 | 4802 | 14780066 | N/A | 4214201 | 2025-11-09 01:35:29.143758 | 2025-05-13 04:29:37.228535 |
| 2025-11-01 07:08:16.981567 | 2025-11-09 01:35:30.990523 | 14153443 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14153443 | Athletic Physical Therapy Inc | 1936-09-29 | 2025-11-04 | M | AE | PT | JAUDE | 8D38EF9GV30 | KARIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542251/check_14153443_e2d211b8-3330-4240-abba-3fb4b7fdad20.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MA | false | JAUDE | N/A | KARIM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236859331 | N/A | N/A | 5542251 | 2222 | 4802 | 14780093 | N/A | 4214191 | 2025-11-09 01:35:30.990523 | 2025-05-13 04:29:37.228525 |
| 2025-11-01 07:08:16.712122 | 2025-11-09 01:32:57.761967 | 14153423 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 14153423 | Athletic Physical Therapy Inc | 1975-03-26 | 2025-11-04 | F | AE | PT | HEYES | 95596436F | DARCIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542233/check_14153423_b137cf4b-4380-4c8d-ae62-7fbc8efc6343.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1975-03-26 | N/A | N/A | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236859330 | N/A | N/A | 5542233 | 2222 | 4793 | 14776901 | N/A | 4214178 | 2025-11-09 01:32:57.761967 | 2025-05-13 04:29:37.228506 |
| 2025-11-01 07:08:16.241492 | 2025-11-09 01:33:01.675122 | 14153389 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14153389 | Athletic Physical Therapy Inc | 1938-01-22 | 2025-11-04 | F | PT | N/A | ISTOK | MBL474M98437 | LOIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542207/check_14153389_26ec46be-5380-4457-82f2-36797906307e.json | N/A | N/A | N/A | N/A | N/A | MBL474M98437 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1938-01-22 | 040 | CAEGR005 | N/A | N/A | false | ISTOK | N/A | LOIS | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9236859329 | N/A | N/A | 5542207 | 2222 | 4802 | 14776995 | N/A | 4214152 | 2025-11-09 01:33:01.675122 | 2025-05-13 04:29:37.228479 |
| 2025-11-01 07:08:15.899081 | 2025-11-09 01:35:30.575575 | 14153362 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14153362 | Athletic Physical Therapy Inc | 1937-05-08 | 2025-11-04 | F | AE | PT | GRINBERG | 6W60TM0KP36 | HANNA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542161/check_14153362_78ed1747-5245-4020-a3d1-92cf36d1d1d2.json | N/A | N/A | N/A | N/A | N/A | 6W60TM0KP36 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-05-08 | S5921 | N/A | N/A | MA | false | GRINBERG | N/A | HANNA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236859328 | N/A | N/A | 5542161 | 2222 | 4802 | 14780089 | N/A | 4214112 | 2025-11-09 01:35:30.575575 | 2025-05-13 04:29:37.228426 |
| 2025-11-01 07:08:15.793918 | 2025-11-09 01:32:50.642385 | 14153353 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 14153353 | Athletic Physical Therapy Inc | 2009-08-26 | 2025-11-04 | F | AE | PT | ELAZARY | 000019315679 | NATALEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542060/check_14153353_1fd49387-adcf-4341-a71c-56f46b2a31d2.json | N/A | N/A | N/A | N/A | N/A | 000019315679 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 2009-08-26 | 4344868 | 235828 | N/A | N/A | false | ELAZARY | N/A | NATALEE | N/A | N/A | N/A | EDGECAST NETWORKS, INC. EDGECAST NETWORKS, INC. HM | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236859327 | N/A | N/A | 5542060 | 2222 | 4793 | 14776729 | N/A | 4214019 | 2025-11-09 01:32:50.642385 | 2025-05-13 04:29:37.228340 |
| 2025-11-01 07:08:15.692751 | 2025-11-09 01:32:58.085329 | 14153346 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 14153346 | Athletic Physical Therapy Inc | 1961-02-27 | 2025-11-04 | M | AE | PT | SHRIVER | 90771207E | DANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541984/check_14153346_91e9f9b6-5b7d-4d10-a3b0-7672dba6b6b3.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1961-02-27 | N/A | N/A | N/A | N/A | false | SHRIVER | N/A | DANIEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236859326 | N/A | N/A | 5541984 | 2222 | 4802 | 14776908 | N/A | 4213934 | 2025-11-09 01:32:58.085329 | 2026-01-27 23:36:44.802366 |
| 2025-11-01 07:08:15.593253 | 2025-11-09 01:35:32.495608 | 14153338 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14153338 | Athletic Physical Therapy Inc | 1944-04-25 | 2025-11-03 | F | AE | PT | ROSENTHAL | 6WM0N21VW35 | PHYLLIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541887/check_14153338_bfef0525-6ed0-421f-bad9-3deaa0c00a7c.json | N/A | N/A | N/A | N/A | N/A | 6WM0N21VW35 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-04-25 | S4802 | N/A | N/A | MB | false | ROSENTHAL | N/A | PHYLLIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236859325 | N/A | N/A | 5541887 | 2222 | 4802 | 14780114 | N/A | 4213865 | 2025-11-09 01:35:32.495608 | 2025-05-13 04:29:37.228183 |
| 2025-11-01 07:08:15.447212 | 2025-11-09 01:35:32.817061 | 14153326 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14153326 | Athletic Physical Therapy Inc | 1949-07-06 | 2025-11-03 | M | AE | PT | SILVERMAN | 1P91CV2QF22 | LAWRENCE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541609/check_14153326_323a3188-3a96-48b0-843e-80c9c24161b6.json | N/A | N/A | N/A | N/A | N/A | 1P91CV2QF22 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-07-06 | N/A | N/A | N/A | MA | false | SILVERMAN | N/A | LAWRENCE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236859324 | N/A | N/A | 5541609 | 2222 | 4793 | 14780119 | N/A | 4213611 | 2025-11-09 01:35:32.817061 | 2025-05-13 04:29:37.227938 |
| 2025-11-01 07:08:15.319999 | 2025-11-09 01:32:03.060318 | 14153318 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 14153318 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-11-04 | M | AD | N/A | LYKIDIS | U1221753503 | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541552/check_14153318_6d8ff542-7464-4ea3-be3a-0d5a62ddb38a.json | N/A | N/A | N/A | N/A | N/A | U1221753503 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 2001-11-21 | N/A | 3207160 | N/A | N/A | false | LYKIDIS | N/A | JOHN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 9236859323 | N/A | N/A | 5541552 | 2222 | 4802 | 14775577 | N/A | 4213562 | 2025-11-09 01:32:03.060318 | 2025-05-13 04:29:37.227895 |
| 2025-11-01 07:08:15.199771 | 2025-11-09 01:33:01.397264 | 14153309 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 14153309 | Athletic Physical Therapy Inc | 1958-07-16 | 2025-11-04 | F | PT | N/A | GALVAN GUERRERO | MMA904W16717 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541035/check_14153309_033c39d4-36dd-4393-9d80-75bcf8e7d5d9.json | N/A | N/A | N/A | N/A | N/A | MMA904W16717 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-07-16 | 040 | CAMCRWP0 | N/A | MP | false | GALVAN-GUERRERO | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9236859322 | N/A | N/A | 5541035 | 2222 | 4801 | 14776988 | 4184 | 4213091 | 2025-11-09 01:33:01.397264 | 2025-05-13 04:29:37.227417 |
| 2025-11-01 07:08:15.098341 | 2025-11-09 01:35:31.668466 | 14153302 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14153302 | Athletic Physical Therapy Inc | 1949-12-02 | 2025-11-04 | F | AE | PT | LADEN | 6GY2TG9HX06 | CANDACE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540768/check_14153302_b0cd72ae-3a6d-459f-bd59-612b8754418a.json | N/A | N/A | N/A | N/A | N/A | 6GY2TG9HX06 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-12-02 | S4802 | N/A | N/A | MA | false | LADEN | N/A | CANDACE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236859321 | N/A | N/A | 5540768 | 2222 | 4802 | 14780104 | N/A | 4212856 | 2025-11-09 01:35:31.668466 | 2025-08-04 18:33:35.319989 |
| 2025-11-01 07:08:15.006314 | 2025-11-09 01:31:17.312919 | 14153293 | N/A | N/A | 60054 | Aetna | 1114042165 | 14153293 | Athletic Physical Therapy Inc | 1982-07-27 | 2025-11-04 | M | AE | PT | BOKHTIER | W275493875 | GOLAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540723/check_14153293_1e42391d-2c83-4f7b-b71b-4a6db665dbc3.json | N/A | N/A | N/A | N/A | N/A | W275493875 | Exclusive Provider Organization | AMERICAN EXPRESS COMPANY | AETNA | N/A | 1982-07-27 | 0169631 | 016963101100001 | N/A | EP | false | BOKHTIER | N/A | SUMMER | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236859320 | N/A | N/A | 5540723 | 2222 | 4793 | 14774741 | N/A | 4212833 | 2025-11-09 01:31:17.312919 | 2025-05-28 20:46:35.079848 |
| 2025-11-01 07:08:14.907249 | 2025-11-09 01:35:29.469325 | 14153284 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14153284 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-11-03 | F | AE | PT | GNAD | 9EM9VP4XX36 | MELANIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540676/check_14153284_6e66ff89-abbf-4ac0-8bfa-3a8fc9da7174.json | N/A | N/A | N/A | N/A | N/A | 9EM9VP4XX36 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-04-16 | S5601 | N/A | N/A | MA | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236859319 | N/A | N/A | 5540676 | 2222 | 4801 | 14780072 | N/A | 4212792 | 2025-11-09 01:35:29.469325 | 2025-10-07 20:33:25.637997 |
| 2025-11-01 07:08:14.777545 | 2025-11-09 01:35:26.772420 | 14153274 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14153274 | Athletic Physical Therapy Inc | 1940-05-13 | 2025-11-04 | F | AE | PT | ALIZADEH GHARBAGHI | 6AX8PH3NH43 | TOURAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540531/check_14153274_a95b213a-a792-4b97-96d8-6bf60bf03953.json | N/A | N/A | N/A | N/A | N/A | 6AX8PH3NH43 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-05-13 | S5617 | N/A | N/A | MB | false | ALIZADEH GHARBAGHI | N/A | TOURAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236859318 | N/A | N/A | 5540531 | 2222 | 4802 | 14780028 | N/A | 4212676 | 2025-11-09 01:35:26.772420 | 2025-07-03 21:09:02.193065 |
| 2025-11-01 07:08:14.629469 | 2025-11-09 01:32:32.073454 | 14153267 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14153267 | Athletic Physical Therapy Inc | 1973-07-11 | 2025-11-04 | M | AE | PT | HERMAN | 95836743G | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540113/check_14153267_054e8154-f54e-482d-ace8-c1ed21f8675a.json | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | CENTENE CORPORATION | N/A | 1973-07-11 | N/A | N/A | N/A | N/A | false | HERMAN | N/A | BRETT | N/A | N/A | N/A | MCE NON DUAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236859317 | N/A | N/A | 5540113 | 2222 | 4801 | 14776292 | N/A | 4212315 | 2025-11-09 01:32:32.073454 | 2025-12-29 21:20:15.158611 |
| 2025-11-01 07:08:14.506109 | 2025-11-09 01:33:00.189486 | 14153258 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14153258 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-11-04 | F | PT | N/A | BOYLAN | MBL857M98403 | JOAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540074/check_14153258_4a7f3740-eb17-4925-a1d4-f2caf9401638.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9236859316 | N/A | N/A | 5540074 | 2222 | 4802 | 14776957 | N/A | 4212282 | 2025-11-09 01:33:00.189486 | 2025-05-13 04:29:37.226623 |
| 2025-11-01 07:08:14.216395 | 2025-11-09 01:32:50.930406 | 14153238 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14153238 | Athletic Physical Therapy Inc | 1982-06-09 | 2025-11-04 | M | AE | PT | FULKERSON | R12222652MM1 | SCOTT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539956/check_14153238_b8726261-56d1-4231-926e-bff33c0625b3.json | N/A | N/A | N/A | N/A | N/A | R12222652MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1982-06-09 | N/A | N/A | N/A | N/A | false | FULKERSON | N/A | SCOTT | N/A | 2025-11-01 | 2025-01-01 | MFC UCNNHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9236859315 | N/A | N/A | 5539956 | 2222 | 4801 | 14776737 | N/A | 4212166 | 2025-11-09 01:32:50.930406 | 2025-10-23 15:59:33.239127 |
| 2025-11-01 07:08:13.887396 | 2025-11-09 01:33:31.280570 | 14153217 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14153217 | Athletic Physical Therapy Inc | 1983-08-31 | 2025-11-04 | M | PT | N/A | FLEMING | SZF839281184 | CHASE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251108.031425730.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539901/check_14153217_8bdafdf5-4859-4ce9-a5cd-545c1ed6a684.json | N/A | N/A | N/A | N/A | N/A | SZF839281184 | Preferred Provider Organization (PPO) | ACTIVE | CUSTOMER SERVICE | N/A | 1983-08-31 | N/A | 018137 | N/A | PR | false | FLEMING | N/A | CHASE | N/A | 9999-12-31 | 2021-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9236859314 | N/A | N/A | 5539901 | 2222 | 4793 | 14777697 | N/A | 4212134 | 2025-11-09 01:33:31.280570 | 2025-08-05 02:56:55.384378 |