API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-31 07:15:18.413362 | 2025-11-01 00:39:42.747072 | 14112682 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14112682 | Athletic Physical Therapy Inc | 2003-10-09 | 2025-11-03 | F | PT | LUKOWITSCH | XDPCA8263500 | HALLIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121826469.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543178/check_14112682_1b1c06cd-f93e-44cd-a44d-949ce38b8965.json | N/A | N/A | N/A | N/A | N/A | XDPCA8263500 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | ANTHEM BLUE CROSS | N/A | 2003-10-09 | 040 | 275958P701 | N/A | PR | false | LUKOWITSCH | N/A | HALLIE | N/A | 9999-12-31 | 2025-09-22 | PPO UC SHIP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168195287 | N/A | N/A | 5543178 | 2222 | 4802 | 14404235 | N/A | 4215006 | 2025-11-01 00:39:42.747072 | 2025-05-13 04:29:37.229325 |
| 2025-10-31 07:15:17.923618 | 2025-11-01 00:39:30.200354 | 14112676 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 14112676 | Athletic Physical Therapy Inc | 1988-11-03 | 2025-11-03 | F | AE | CAPISTRANO | 98696372G | FERDELLE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121826469.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542513/check_14112676_5b51030c-8f9d-4bd9-9be9-d1b85738b001.json | N/A | N/A | N/A | N/A | N/A | 98696372G | N/A | N/A | AMERIHEALTH CARITAS LOUISIANA | N/A | N/A | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168195286 | N/A | N/A | 5542513 | 2222 | 4793 | 14403990 | N/A | 4214418 | 2025-11-01 00:39:30.200354 | 2025-07-03 18:12:11.075357 |
| 2025-10-31 07:15:17.583047 | 2025-11-01 00:40:45.849728 | 14112670 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14112670 | Athletic Physical Therapy Inc | 1969-07-21 | 2025-11-03 | F | PT | BAER | XEK905554072 | JUDY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121826469.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542259/check_14112670_86733ed9-715a-465d-8acb-aae1b179138c.json | N/A | N/A | N/A | N/A | N/A | XEK905554072 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1969-07-21 | 2001ZJ002648 | X0001000 | N/A | PR | false | BAER | N/A | JUDY | N/A | 9999-12-31 | 2017-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168195285 | N/A | N/A | 5542259 | 2222 | 4802 | 14405455 | N/A | 4214195 | 2025-11-01 00:40:45.849728 | 2025-05-13 04:29:37.228529 |
| 2025-10-31 07:15:17.011978 | 2025-11-01 00:39:43.729600 | 14112663 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14112663 | Athletic Physical Therapy Inc | 1942-12-17 | 2025-11-03 | F | PT | STEINBERG | MBL988M98459 | JUDY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121826469.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542014/check_14112663_3953ae60-e3d8-4617-899a-e720f2ca9f38.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | 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 | 9168195284 | N/A | N/A | 5542014 | 2222 | 4793 | 14404254 | N/A | 4213977 | 2025-11-01 00:39:43.729600 | 2025-05-13 04:29:37.228294 |
| 2025-10-31 07:15:16.509890 | 2025-11-01 00:39:39.902582 | 14112657 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 14112657 | Athletic Physical Therapy Inc | 1959-05-13 | 2025-11-03 | F | PT | ADRIANZEN FERNAN | MMA221W20054 | AURA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121826469.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541944/check_14112657_cfc8ca98-9059-410b-a6d3-80bd87beeabb.json | N/A | N/A | N/A | N/A | N/A | MMA221W20054 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-05-13 | 040 | CAMCRWP0 | N/A | MP | false | ADRIANZEN FERNANDEZ | N/A | AURA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168195283 | N/A | N/A | 5541944 | 2222 | 4801 | 14404181 | 4184 | 4213907 | 2025-11-01 00:39:39.902582 | 2025-05-13 04:29:37.228228 |
| 2025-10-31 07:15:15.920674 | 2025-11-01 00:39:43.375611 | 14112648 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14112648 | Athletic Physical Therapy Inc | 1940-08-31 | 2025-11-03 | M | PT | STEINBERG | MBL875M98441 | HARRIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121826469.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_14112648_0dd965af-8311-4136-80a2-70643ebdccad.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | 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 | 9168195282 | N/A | N/A | 5541917 | 2222 | 4793 | 14404249 | N/A | 4213891 | 2025-11-01 00:39:43.375611 | 2025-05-13 04:29:37.228207 |
| 2025-10-31 07:15:15.468518 | 2025-11-01 00:39:42.097009 | 14112640 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14112640 | Athletic Physical Therapy Inc | 2009-08-02 | 2025-11-03 | F | PT | KUZMICZ | LFYHCU059374 | AUDREY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121826469.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541748/check_14112640_090a184b-8dd7-4e93-9db7-e1e327a50a11.json | N/A | N/A | N/A | N/A | N/A | LFYHCU059374 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2009-08-02 | N/A | N/A | N/A | N/A | false | KUZMICZ | N/A | AUDREY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168195281 | N/A | N/A | 5541748 | 2222 | 4801 | 14404222 | N/A | 4213741 | 2025-11-01 00:39:42.097009 | 2025-10-10 22:38:21.840610 |
| 2025-10-31 07:15:15.236548 | 2025-11-01 00:40:46.526782 | 14112636 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14112636 | Athletic Physical Therapy Inc | 1965-09-18 | 2025-11-03 | F | PT | SHAPIRO | XEA901579979 | ANDREA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121826469.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541315/check_14112636_13612c27-8f80-491b-8005-67112c09e132.json | N/A | N/A | N/A | N/A | N/A | XEA901579979 | Preferred Provider Organization (PPO) | HANGER STEINBERG SHAPIRO AND ASH A LAW COR | BLUE SHIELD CALIFORNIA | N/A | 1965-09-18 | 1000VX000102 | W0045063 | N/A | PR | false | SHAPIRO | N/A | MARC | N/A | 2025-10-31 | 2024-11-01 | GOLD FULL PPO SAVINGS 1750 15 HDHP PREVRX OFFEX F | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168195280 | N/A | N/A | 5541315 | 2222 | 4793 | 14405467 | N/A | 4213344 | 2025-11-01 00:40:46.526782 | 2025-05-13 04:29:37.227667 |
| 2025-10-31 07:15:14.824350 | 2025-11-01 00:37:59.605248 | 14112630 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14112630 | Athletic Physical Therapy Inc | 1968-03-30 | 2025-11-03 | M | AE | FARAHMAND | 91957675E | ALEX | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121826469.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541163/check_14112630_ae26c70d-ee64-42be-a345-f9ce05301fec.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | HEALTH NET, LLC | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168195279 | N/A | N/A | 5541163 | 2222 | 4802 | 14402075 | N/A | 4213207 | 2025-11-01 00:37:59.605248 | 2025-05-13 04:29:37.227536 |
| 2025-10-31 07:15:14.413214 | 2025-11-01 00:38:03.720935 | 14112618 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 14112618 | Athletic Physical Therapy Inc | 1940-03-29 | 2025-11-03 | F | AE | MARTINEZ | 40032670501 | MARIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121826469.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540591/check_14112618_f4b7e191-a37f-47ee-acdd-38bc0daf725a.json | N/A | N/A | N/A | N/A | N/A | 40032670501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1940-03-29 | 2025H5425001 | H5425M | N/A | N/A | false | MARTINEZ | N/A | MARIA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168195277 | N/A | N/A | 5540591 | 2222 | 4801 | 14402159 | N/A | 4212724 | 2025-11-01 00:38:03.720935 | 2025-07-26 22:27:37.781276 |
| 2025-10-31 07:15:13.863583 | 2025-11-01 00:41:13.543694 | 14112609 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14112609 | Athletic Physical Therapy Inc | 2011-01-19 | 2025-11-03 | M | PT | CHELIUS | JXN662A51170 | CADEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121826469.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539929/check_14112609_fea79132-8e71-41c4-a64d-abc5a887902b.json | N/A | N/A | N/A | N/A | N/A | JXN662A51170 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | BLUE SHIELD OF CALIFORNIA | N/A | 2011-01-19 | 040 | 174222M9A1 | N/A | PR | false | CHELIUS | N/A | CRAIG | N/A | 9999-12-31 | 2021-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168195275 | N/A | N/A | 5539929 | 2222 | 4793 | 14405993 | N/A | 4212158 | 2025-11-01 00:41:13.543694 | 2025-10-22 16:00:14.919111 |
| 2025-10-31 07:15:13.498737 | 2025-11-01 00:39:41.175922 | 14112604 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14112604 | Athletic Physical Therapy Inc | 1963-05-25 | 2025-11-03 | F | PT | GINSBERG | JQU469A62630 | LISA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121826469.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539612/check_14112604_3f6229f2-62a7-4070-8982-d46abeb791c9.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1963-05-25 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 9999-12-31 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168195272 | N/A | N/A | 5539612 | 2222 | 4793 | 14404204 | N/A | 4211892 | 2025-11-01 00:39:41.175922 | 2025-11-02 22:03:21.557202 |
| 2025-10-31 07:15:13.011353 | 2025-11-01 00:39:41.802897 | 14112596 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14112596 | Athletic Physical Therapy Inc | 1952-09-29 | 2025-11-03 | F | PT | JOHNSON | JQS766M90611 | JANET | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121826469.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539188/check_14112596_df4820a0-b73b-470b-a971-92cba4a44c9e.json | N/A | N/A | N/A | N/A | N/A | JQS766M90611 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-09-29 | 040 | CAMCRWP0 | N/A | MP | false | JOHNSON | N/A | JANET | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168195271 | N/A | N/A | 5539188 | 2222 | 4801 | 14404217 | 4185 | 4211521 | 2025-11-01 00:39:41.802897 | 2025-10-19 23:43:25.603984 |
| 2025-10-31 07:15:12.529859 | 2025-11-01 00:39:41.513456 | 14112587 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14112587 | Athletic Physical Therapy Inc | 1980-04-11 | 2025-11-03 | M | PT | Hurst | JQY695A75359 | Gregory | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121826469.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539085/check_14112587_0c1c2aa3-9615-4764-be8e-4e8d105f7fa5.json | N/A | N/A | N/A | N/A | N/A | JQY695A75359 | Preferred Provider Organization (PPO) | YALE MANAGEMENT SERVICES | ANTHEM BLUE CROSS | N/A | 1980-04-11 | 040 | 342584 | N/A | PR | false | HURST | N/A | GREGORY | N/A | 2025-12-01 | 2024-12-01 | ANTHEM SILVER SELECT PPO 50/2200/40% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168195270 | N/A | N/A | 5539085 | 2222 | 4793 | 14404211 | N/A | 4211408 | 2025-11-01 00:39:41.513456 | 2025-09-18 00:42:48.586801 |
| 2025-10-31 07:15:12.068321 | 2025-11-01 00:41:13.848124 | 14112581 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14112581 | Athletic Physical Therapy Inc | 1961-12-01 | 2025-11-03 | M | PT | TOOCH | JPU633M84536 | PETER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121826469.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538874/check_14112581_d967b446-41b1-4b43-90b0-2a5d98def87e.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M001 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168195269 | N/A | N/A | 5538874 | 2222 | 4801 | 14405998 | N/A | 4211227 | 2025-11-01 00:41:13.848124 | 2025-05-13 04:29:37.225625 |
| 2025-10-31 07:15:11.629952 | 2025-11-01 00:38:03.413420 | 14112574 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 14112574 | Athletic Physical Therapy Inc | 1951-08-02 | 2025-11-03 | M | AE | CHADIDA | 40060913601 | DAVID | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121826469.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538674/check_14112574_fd3f9663-0d78-40cd-a710-979b426af3f9.json | N/A | N/A | N/A | N/A | N/A | 40060913601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-08-02 | 2025H5425001 | H5425M | N/A | N/A | false | CHADIDA | N/A | DAVID | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168195264 | N/A | N/A | 5538674 | 2222 | 4793 | 14402153 | N/A | 4211039 | 2025-11-01 00:38:03.413420 | 2025-05-13 04:29:37.225444 |
| 2025-10-31 07:15:11.067102 | 2025-11-01 00:39:44.048868 | 14112566 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14112566 | Athletic Physical Therapy Inc | 1964-06-08 | 2025-11-03 | F | PT | YOUHANAIE | UQK557A62707 | TERESA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121826469.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537881/check_14112566_88535aef-ce54-42fb-bd1c-32d6414b988f.json | N/A | N/A | N/A | N/A | N/A | UQK557A62707 | Preferred Provider Organization (PPO) | CDHP HSA W/NON INTG BANKING-SILVER HDHP | ANTHEM BLUE CROSS | N/A | 1964-06-08 | 130 | 270213OHXB | N/A | PR | false | YOUHANAIE | N/A | TERESA | N/A | 9999-12-31 | 2024-08-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168195262 | N/A | N/A | 5537881 | 2222 | 4793 | 14404261 | N/A | 4210385 | 2025-11-01 00:39:44.048868 | 2026-03-06 18:49:17.116017 |
| 2025-10-31 07:15:10.628270 | 2025-11-01 00:39:33.106600 | 14112557 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 14112557 | Athletic Physical Therapy Inc | 1977-04-30 | 2025-11-03 | M | AE | JOSEPH | 623127403 | CHRISTOPHER | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121826469.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537866/check_14112557_5c9d59fd-db4f-4bb9-89cc-dad6407adc89.json | N/A | N/A | N/A | N/A | N/A | 623127403 | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1977-04-30 | N/A | N/A | N/A | N/A | false | JOSEPH | N/A | CHRISTOPHER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168195260 | N/A | N/A | 5537866 | 2222 | 4802 | 14404048 | N/A | 4210367 | 2025-11-01 00:39:33.106600 | 2025-05-13 04:29:37.224772 |
| 2025-10-31 07:15:10.193704 | 2025-11-01 00:40:45.575050 | 14112551 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14112551 | Athletic Physical Therapy Inc | 1974-06-04 | 2025-11-03 | F | PT | NAIMI | KSI73549599C | ERIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121826469.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537507/check_14112551_4bc38284-5127-4ab1-b1fa-87abf69d0277.json | N/A | N/A | N/A | N/A | N/A | KSI73549599C | Preferred Provider Organization (PPO) | KARL STORZ ENDOSCOPY AMERICA INC | BLUE SHIELD CALIFORNIA | N/A | 1974-06-04 | 1000PPOX0003 | W8002382 | N/A | PR | false | ABI MALHAB | N/A | NADIM | N/A | N/A | N/A | KARL STORZ ENDOSCOPY AMERICA INC SHARED ADVANTAGE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168195256 | N/A | N/A | 5537507 | 2222 | 4802 | 14405449 | N/A | 4210057 | 2025-11-01 00:40:45.575050 | 2025-05-13 04:29:37.224477 |
| 2025-10-31 07:15:10.080814 | 2025-11-01 00:52:40.402475 | 14112548 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14112548 | Athletic Physical Therapy Inc | 1966-08-31 | 2025-11-03 | F | PT | GRACE | MPI01390093Q | SANDRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121700659.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9443690/check_14112548_edaba9c9-aaed-4b96-963f-987e43ebe94c.json | N/A | N/A | N/A | N/A | N/A | MPI01390093Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1966-08-31 | 040 | 277163M401 | N/A | PR | false | GRACE | N/A | TODD | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168186718 | N/A | N/A | 9443690 | 2222 | 4801 | 14413163 | N/A | 7900244 | 2025-11-01 00:52:40.402475 | 2026-03-03 19:01:14.362337 |
| 2025-10-31 07:15:09.670342 | 2025-11-01 00:52:40.895521 | 14112544 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14112544 | Athletic Physical Therapy Inc | 1952-07-08 | 2025-11-03 | F | PT | LEJANO | 286W1051720 | MELECIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121700659.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9443092/check_14112544_aaaf2af2-4c32-4411-882d-d21cdd53e019.json | N/A | N/A | N/A | N/A | N/A | 286W1051720 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1952-07-08 | N/A | N/A | N/A | N/A | false | LEJANO | N/A | MELECIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168186714 | N/A | N/A | 9443092 | 2222 | 4801 | 14413165 | 4185 | 7899425 | 2025-11-01 00:52:40.895521 | 2025-09-18 04:34:38.232559 |
| 2025-10-31 07:15:09.480301 | 2025-11-01 00:39:40.570638 | 14112542 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14112542 | Athletic Physical Therapy Inc | 1975-05-16 | 2025-11-03 | F | PT | BERRY | GGS142A51835 | LEANNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121826469.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536701/check_14112542_16eea4c0-2c09-402f-a0a5-1b185c26b225.json | N/A | N/A | N/A | N/A | N/A | GGS142A51835 | Preferred Provider Organization (PPO) | GOOGLE PPO | ANTHEM BLUE CROSS | N/A | 1975-05-16 | 040 | 174134M2A1 | N/A | PR | false | BERRY | N/A | CRAIG | N/A | 9999-12-31 | 2017-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168195254 | N/A | N/A | 5536701 | 2222 | 4802 | 14404193 | N/A | 4209398 | 2025-11-01 00:39:40.570638 | 2025-11-05 08:20:15.147573 |
| 2025-10-31 07:15:08.984397 | 2025-11-01 00:39:40.873925 | 14112534 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14112534 | Athletic Physical Therapy Inc | 1974-05-24 | 2025-11-03 | F | PT | CLARK | JQU645W04003 | CLAUDIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121826469.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536134/check_14112534_982378f7-d0f7-4ee8-b2ef-bf1ade59af39.json | N/A | N/A | N/A | N/A | N/A | JQU645W04003 | Preferred Provider Organization (PPO) | ATHLETIC PHYSICAL THERAPY INC | ANTHEM BLUE CROSS | N/A | 1974-05-24 | 040 | G76231 | N/A | PR | false | CLARK | N/A | STEPHEN | N/A | 9999-12-31 | 2025-01-01 | CA SG ANTHEM HSA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168196580 | N/A | N/A | 5536134 | 2222 | 4793 | 14404201 | N/A | 4208937 | 2025-11-01 00:39:40.873925 | 2026-02-26 17:45:27.761245 |
| 2025-10-31 07:14:48.784851 | 2025-11-01 00:52:43.428172 | 14112245 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14112245 | Athletic Physical Therapy Inc | 2005-12-13 | 2025-11-03 | F | PT | Varivoda | ZTQ335M98588 | Alex | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121700659.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9338185/check_14112245_f1a0c7d5-dada-4744-af73-ef3e15665f83.json | N/A | N/A | N/A | N/A | N/A | ZTQ335M98588 | Preferred Provider Organization (PPO) | TELEDYNE TECH INC LECROY | ANTHEM BLUE CROSS | N/A | 2005-12-13 | 040 | 174249M3AW | N/A | PR | false | VARIVODA | N/A | ALEXEY | N/A | 9999-12-31 | 2020-03-19 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168187669 | N/A | N/A | 9338185 | 2222 | 4802 | 14413175 | N/A | 7837035 | 2025-11-01 00:52:43.428172 | 2025-09-17 13:44:26.939662 |
| 2025-10-31 07:14:24.902300 | 2025-11-01 00:52:42.251938 | 14111962 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 14111962 | Athletic Physical Therapy Inc | 1982-08-25 | 2025-11-03 | F | PT | SANCHEZ | XDM281A73325 | FRANCISCA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121700659.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9321862/check_14111962_294c71aa-5091-403a-a04b-a89c3235da8e.json | N/A | N/A | N/A | N/A | N/A | XDM281A73325 | Health Maintenance Organization (HMO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 1982-08-25 | 040 | 57ARJS | N/A | HM | false | SANCHEZ | N/A | FRANCISCA | N/A | 9999-12-31 | 2025-10-01 | CLASSIC SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168186334 | N/A | N/A | 9321862 | 2222 | 4801 | 14413171 | 4184 | 7821295 | 2025-11-01 00:52:42.251938 | 2025-10-01 23:30:48.597825 |
| 2025-10-31 07:12:23.564536 | 2025-11-01 00:44:18.447395 | 14110580 | N/A | N/A | 60054 | Aetna | 1114042165 | 14110580 | Athletic Physical Therapy Inc | 2008-07-18 | 2025-11-03 | F | AE | SARKISIAN | W24919095902 | AMELIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121623084.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11550293/check_14110580_b77675f4-30be-42db-8f63-72fcd3ad2622.json | N/A | N/A | N/A | N/A | N/A | W249190959 | Health Maintenance Organization (HMO) | BRENTWOOD SCHOOL | AETNA | N/A | 2008-07-18 | EACIZ506 | 010869401300001 | N/A | HM | false | SARKISIAN | N/A | KEITH | N/A | N/A | N/A | HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168183102 | N/A | N/A | 11550293 | 2222 | 4802 | 14409647 | N/A | 9791314 | 2025-11-01 00:44:18.447395 | 2025-10-27 23:56:20.452800 |
| 2025-10-31 07:12:22.062132 | 2025-11-01 00:44:18.755120 | 14110535 | N/A | N/A | 60054 | Aetna | 1114042165 | 14110535 | Athletic Physical Therapy Inc | 2005-12-10 | 2025-11-03 | M | AE | GILENO | 600510103 | MATTHEW | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121623084.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11531257/check_14110535_73d83ea2-a813-49a6-aaab-937287fe3889.json | N/A | N/A | N/A | N/A | N/A | 0000018738 | Point of Service (POS) | COUNTY OF SUFFOLK | AETNA | N/A | 2005-12-10 | 0237616 | 023761603900001 | N/A | PS | false | VALENTIN GILENO | N/A | DIANA | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168182812 | N/A | N/A | 11531257 | 2222 | 4802 | 14409652 | N/A | 9772186 | 2025-11-01 00:44:18.755120 | 2025-10-27 23:00:07.662269 |
| 2025-10-31 07:12:21.020177 | 2025-11-01 02:38:08.735638 | 14110505 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14110505 | Athletic Physical Therapy Inc | 1963-01-14 | 2025-11-03 | F | PT | KRAFT | XED911569862 | KATHRIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121322801.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7294742/check_14110505_8346ecd4-44b9-4bc6-b715-f1437a0ab834.json | N/A | N/A | N/A | N/A | N/A | XED911569862 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-01-14 | 2001ZK002184 | X0001004 | N/A | PR | false | KRAFT | N/A | KATHRIN | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168164751 | N/A | N/A | 7294742 | 2222 | 4801 | 14417096 | N/A | 6254569 | 2025-11-01 02:38:08.735638 | 2025-08-12 09:24:43.956957 |
| 2025-10-31 07:12:20.809323 | 2025-11-01 02:36:58.531773 | 14110500 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14110500 | Athletic Physical Therapy Inc | 1957-10-25 | 2025-11-03 | F | PT | YINGER | MBL827W13948 | COLLEEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121322801.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7292126/check_14110500_f785a3c0-5bfc-4e43-ab6b-cf718c6c4374.json | N/A | N/A | N/A | N/A | N/A | MBL827W13948 | N/A | THE AEROSPACE CORPORATION | ANTHEM BLUE CROSS | N/A | 1957-10-25 | 040 | CAEGR020 | N/A | N/A | false | YINGER | N/A | COLLEEN | N/A | 9999-12-31 | 2022-10-01 | CA GRS AEROSPACE H4036-801 ANTHEM MEDICARE PREFERR | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168164749 | N/A | N/A | 7292126 | 2222 | 4793 | 14416667 | N/A | 6252902 | 2025-11-01 02:36:58.531773 | 2025-07-22 20:37:37.157960 |
| 2025-10-31 07:12:19.621383 | 2025-11-01 02:38:08.005764 | 14110468 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14110468 | Athletic Physical Therapy Inc | 1991-10-07 | 2025-11-03 | F | PT | BOYM | XEK903045570 | DANIELLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121322801.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7281036/check_14110468_d806bdba-1302-4e57-9281-b8712d31a79c.json | N/A | N/A | N/A | N/A | N/A | XEK903045570 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1991-10-07 | 2001ZJ002648 | X0001000 | N/A | PR | false | BOYM | N/A | DIMITRY | N/A | 9999-12-31 | 2024-02-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168164739 | N/A | N/A | 7281036 | 2222 | 4793 | 14417092 | N/A | 6245462 | 2025-11-01 02:38:08.005764 | 2025-07-24 01:23:15.134681 |
| 2025-10-31 07:12:15.179324 | 2025-11-01 02:36:11.056082 | 14110343 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14110343 | Athletic Physical Therapy Inc | 1949-12-31 | 2025-11-03 | M | AE | TSING | 00000282272 | KONGHSUNG | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121320892.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8978036/check_14110343_6ae4ea78-16ef-44a0-9ac7-012fb2570506.json | N/A | N/A | N/A | N/A | N/A | 00000282272 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-12-31 | H3815028 | N/A | N/A | HM | false | TSING | N/A | KONGHSUNG | 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 | 9168163181 | N/A | N/A | 8978036 | 2222 | 4793 | 14416379 | 2630 | 7492332 | 2025-11-01 02:36:11.056082 | 2025-10-01 21:03:48.525986 |
| 2025-10-31 07:12:14.570634 | 2025-11-01 02:38:09.520315 | 14110322 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14110322 | Athletic Physical Therapy Inc | 1976-09-29 | 2025-11-03 | F | PT | RAND | XED912141111 | ELLEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121322801.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7257479/check_14110322_1a177769-77a6-4317-9906-9ac7b67bf829.json | N/A | N/A | N/A | N/A | N/A | XED912141111 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1976-09-29 | 2001ZK002193 | X0001004 | N/A | PR | false | RAND | N/A | ELLEN | N/A | 9999-12-31 | 2023-03-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168165701 | N/A | N/A | 7257479 | 2222 | 4802 | 14417101 | N/A | 4210270 | 2025-11-01 02:38:09.520315 | 2025-07-08 18:23:05.596578 |
| 2025-10-31 07:12:13.702979 | 2025-11-01 00:44:19.033088 | 14110294 | N/A | N/A | 60054 | Aetna | 1114042165 | 14110294 | Athletic Physical Therapy Inc | 1998-11-14 | 2025-11-03 | M | AE | Shirian | W742094344 | Jonathan | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121623084.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11519732/check_14110294_c9d4ce2d-f857-47c6-b29c-e12b0f6f6cfe.json | N/A | N/A | N/A | N/A | N/A | W274093844 | Point of Service (POS) | CASE WESTERN RESERVE UNIVERSITY | AETNA | N/A | 1998-11-14 | 0686194 | 068619403600108 | N/A | PS | false | SHIRIAN | N/A | JONATHAN | N/A | N/A | N/A | OPEN CHOICE-EARLY ARRIVAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168182787 | N/A | N/A | 11519732 | 2222 | 4802 | 14409658 | N/A | 9760542 | 2025-11-01 00:44:19.033088 | 2025-10-27 21:44:20.466934 |
| 2025-10-31 07:12:12.835909 | 2025-11-01 02:36:57.220662 | 14110263 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14110263 | Athletic Physical Therapy Inc | 1965-05-25 | 2025-11-03 | F | PT | CLOONAN | XDM481M99931 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121322801.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7246170/check_14110263_e24b496a-a028-4078-a99f-14107af11174.json | N/A | N/A | N/A | N/A | N/A | XDM481M99931 | Health Maintenance Organization (HMO) | UFCW BENEFIT FUNDS ADMIN LLC RETIREE | ANTHEM BLUE CROSS | N/A | 1965-05-25 | 040 | 282241H019 | N/A | HM | false | CLOONAN | N/A | LINDA | N/A | 9999-12-31 | 2020-12-01 | CLASSIC SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168165689 | N/A | N/A | 7246170 | 2222 | 4801 | 14416660 | 4185 | 4837995 | 2025-11-01 02:36:57.220662 | 2025-06-13 00:15:18.726975 |
| 2025-10-31 07:12:08.689069 | 2025-11-01 02:32:44.764279 | 14110135 | N/A | N/A | 60054 | Aetna | 1114042165 | 14110135 | Athletic Physical Therapy Inc | 1967-12-19 | 2025-11-03 | F | AE | BURRY | 101323278900 | CAROLYN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121320892.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8971092/check_14110135_ef6db8df-5487-4ef7-8ba5-da1cf8c470db.json | N/A | N/A | N/A | N/A | N/A | 101323278900 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1967-12-19 | 000003-CA000058 | 000003-CA | N/A | PR | false | BURRY | N/A | CAROLYN | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168162303 | N/A | N/A | 8971092 | 2222 | 4801 | 14415054 | N/A | 7486536 | 2025-11-01 02:32:44.764279 | 2025-09-15 03:16:44.869236 |
| 2025-10-31 07:12:00.239134 | 2025-11-01 00:44:19.350152 | 14109882 | N/A | N/A | 60054 | Aetna | 1114042165 | 14109882 | Athletic Physical Therapy Inc | 1969-06-19 | 2025-11-03 | F | AE | SIMSON FRANK | JQU217M93319 | GABRIELLE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121623084.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11508035/check_14109882_af0cf8e0-522a-4703-97cc-7d3cab771545.json | N/A | N/A | N/A | N/A | N/A | JQU217M93319 | N/A | N/A | AETNA INC | N/A | 1969-06-19 | N/A | N/A | N/A | N/A | false | SIMSON FRANK | N/A | GABRIELLE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168182751 | N/A | N/A | 11508035 | 2222 | 4793 | 14409664 | N/A | 9748796 | 2025-11-01 00:44:19.350152 | 2025-10-30 15:58:51.268962 |
| 2025-10-31 07:11:42.350955 | 2025-11-01 00:48:47.274170 | 14109384 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14109384 | Athletic Physical Therapy Inc | 1962-08-14 | 2025-11-03 | F | PT | BLASWICH | UPD267A69045 | LAURIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121623084.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11502131/check_14109384_14aac9fc-266b-483f-b686-553ca8e14e77.json | N/A | N/A | N/A | N/A | N/A | UPD267A69045 | Preferred Provider Organization (PPO) | PPO - L & W | ANTHEM BLUE CROSS | N/A | 1962-08-14 | 450 | 210029M1BA | N/A | PR | false | BLASWICH | N/A | ROBERT | N/A | 9999-12-31 | 2020-01-01 | BLUE ACCESS PPO BCBS UNITED WISCONSIN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168183549 | N/A | N/A | 11502131 | 2222 | 4793 | 14412117 | N/A | 9743068 | 2025-11-01 00:48:47.274170 | 2025-10-27 15:58:02.453075 |
| 2025-10-31 07:11:40.022936 | 2025-11-01 02:36:25.565160 | 14109326 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14109326 | Athletic Physical Therapy Inc | 2003-05-02 | 2025-11-03 | M | PT | MUHAMMAD | XOF828514693 | KENNETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121320892.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8675672/check_14109326_32e376fd-2be9-497f-98f8-7512d6b55f97.json | N/A | N/A | N/A | N/A | N/A | XOF828514693 | Preferred Provider Organization (PPO) | IBJI - BRADLEY ACTIVES | HUMANA | N/A | 2003-05-02 | N/A | PK4933 | N/A | PR | false | MUHAMMAD | N/A | KERMIT | N/A | 9999-12-31 | 2022-02-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168161117 | N/A | N/A | 8675672 | 2222 | 4793 | 14416468 | N/A | 7310369 | 2025-11-01 02:36:25.565160 | 2026-02-03 01:46:10.334485 |
| 2025-10-31 07:11:38.721960 | 2025-11-01 00:38:05.688471 | 14109295 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 14109295 | Athletic Physical Therapy Inc | 1991-03-21 | 2025-11-03 | F | AE | CARDINALI | 111868927 | NICOLE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121427115.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11003187/check_14109295_bc1e8568-2f59-42c1-bc04-b75f7ece5c13.json | N/A | N/A | N/A | N/A | N/A | 11186892700 | N/A | LHI GROUP INC. | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1991-03-21 | N/A | 00659976 | N/A | N/A | false | CARDINALI | N/A | NICOLE | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168171125 | N/A | N/A | 11003187 | 2222 | 4802 | 14402196 | N/A | 4215195 | 2025-11-01 00:38:05.688471 | 2025-05-14 09:08:40.751930 |
| 2025-10-31 07:11:38.001427 | 2025-11-01 02:36:44.102510 | 14109274 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 14109274 | Athletic Physical Therapy Inc | 1959-07-25 | 2025-11-03 | F | AE | CARRANZA | 00000342921 | KISELL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121322801.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7019836/check_14109274_d128bece-1b34-4409-a6e0-a35b8717d256.json | N/A | N/A | N/A | N/A | N/A | 00000342921 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1959-07-25 | H3815039 | N/A | N/A | HM | false | CARRANZA | N/A | KISELL | N/A | N/A | N/A | ALIGNMENT HEALTH HEART & DIABETES CALPLUS (HMO C-S | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168163937 | N/A | N/A | 7019836 | 2222 | 4802 | 14416582 | 2630 | 4214064 | 2025-11-01 02:36:44.102510 | 2025-07-15 17:36:25.711810 |
| 2025-10-31 07:11:32.362144 | 2025-11-01 00:41:52.116366 | 14109132 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14109132 | Athletic Physical Therapy Inc | 1994-07-04 | 2025-11-03 | M | PT | Daich | JQY912W17468 | Austin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121427115.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11001702/check_14109132_dc97477f-7b4b-4a1b-a95a-210b30ca6218.json | N/A | N/A | N/A | N/A | N/A | JQY912W17468 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | BLUE SHIELD OF CALIFORNIA | N/A | 1994-07-04 | 040 | 476522 | N/A | PR | false | DAICH | N/A | AUSTIN | N/A | 9999-12-31 | 2025-09-01 | ANTHEM SILVER SELECT PPO HSA/H 2000/3300/4000 35% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168169506 | N/A | N/A | 11001702 | 2222 | 4802 | 14406689 | N/A | 9234161 | 2025-11-01 00:41:52.116366 | 2025-10-15 16:55:10.102836 |
| 2025-10-31 07:11:08.724355 | 2025-11-01 00:41:40.852354 | 14108456 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14108456 | Athletic Physical Therapy Inc | 1979-08-24 | 2025-11-03 | M | PT | ANDRIEU DELILLE | PNE914532321 | AYMERIC | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121427115.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10979165/check_14108456_d8f5d61c-0ac9-42ae-aa8e-f2d71b854a88.json | N/A | N/A | N/A | N/A | N/A | PNE914532321 | Preferred Provider Organization (PPO) | PRIVATE NATIONAL MORTGAGE ACCEPTANCE COMPANY LLC | BLUE SHIELD CALIFORNIA | N/A | 1979-08-24 | 1000PPOX0001 | W3000535 | N/A | PR | false | ANDRIEU DELILLE | N/A | AYMERIC | N/A | N/A | N/A | PENNYMAC ASO PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168169397 | N/A | N/A | 10979165 | 2222 | 4793 | 14406494 | N/A | 4210368 | 2025-11-01 00:41:40.852354 | 2025-05-13 04:29:37.224773 |
| 2025-10-31 07:10:51.490440 | 2025-11-01 00:39:55.867117 | 14107938 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 14107938 | Athletic Physical Therapy Inc | 1959-11-18 | 2025-11-03 | M | AE | PEREZ | 205330201 | JUAN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121252700.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9935305/check_14107938_c56a3b8d-c296-460a-81c7-87011e9de790.json | N/A | N/A | N/A | N/A | N/A | 205330201 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1959-11-18 | N/A | HCFA21 | N/A | HN | false | PEREZ MEDINA | N/A | JUAN | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168156101 | N/A | N/A | 9935305 | 2222 | 4802 | 14404510 | N/A | 8316227 | 2025-11-01 00:39:55.867117 | 2025-10-02 19:18:17.311007 |
| 2025-10-31 07:10:49.597921 | 2025-11-01 02:38:09.155837 | 14107884 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14107884 | Athletic Physical Therapy Inc | 1980-03-06 | 2025-11-03 | M | PT | Lane | LNJ914036056 | Jason | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121322801.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6967170/check_14107884_68e69e72-94f8-4c20-8c63-a9ddd5e3adb1.json | N/A | N/A | N/A | N/A | N/A | LNJ914036056 | Preferred Provider Organization (PPO) | LIVE NATION JOINT VENTURES | BLUE SHIELD OF CA | N/A | 1980-03-06 | 1000VX000001 | W3000596 | N/A | PR | false | LANE | N/A | JASON | N/A | N/A | N/A | LIVE NATION JOINT VENTURES CUSTOM DENTAL 50 1500 L | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168164996 | N/A | N/A | 6967170 | 2222 | 4802 | 14417098 | N/A | 5857104 | 2025-11-01 02:38:09.155837 | 2025-07-08 17:08:11.593095 |
| 2025-10-31 07:10:47.227956 | 2025-11-01 02:36:24.309763 | 14107807 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14107807 | Athletic Physical Therapy Inc | 1961-03-04 | 2025-11-03 | M | PT | AVEDISSIAN | JQU233A54125 | ARMEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121320892.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8472241/check_14107807_fef1af31-2c49-49a4-ad97-f84365128e1c.json | N/A | N/A | N/A | N/A | N/A | JQU233A54125 | Preferred Provider Organization (PPO) | BRAND PRODUCE INC | MEDICARE A | N/A | 1961-03-04 | 040 | J35185 | N/A | PR | false | AVEDISSIAN | N/A | ARMEN | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168161911 | N/A | N/A | 8472241 | 2222 | 4801 | 14416460 | N/A | 7143064 | 2025-11-01 02:36:24.309763 | 2025-10-10 06:06:58.213429 |
| 2025-10-31 07:10:29.062220 | 2025-11-01 00:40:58.680849 | 14107266 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 14107266 | Athletic Physical Therapy Inc | 1959-04-06 | 2025-11-03 | M | PT | RODRIGUEZ | MMA012W19973 | ROBERTO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121252700.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9904588/check_14107266_8a25d452-b4e9-46ea-b241-9bd4a45ef181.json | N/A | N/A | N/A | N/A | N/A | MMA012W19973 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-04-06 | 040 | CAMCRWP0 | N/A | MP | false | RODRIGUEZ | N/A | ROBERTO | 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 | 9168156468 | N/A | N/A | 9904588 | 2222 | 4793 | 14405692 | 4184 | 8292442 | 2025-11-01 00:40:58.680849 | 2025-10-03 00:00:11.631948 |
| 2025-10-31 07:10:26.655350 | 2025-11-01 00:38:51.571234 | 14107202 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 14107202 | Athletic Physical Therapy Inc | 1951-11-14 | 2025-11-03 | M | AE | BELTRAN | 40037866601 | GUSTAVO | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121252700.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9903583/check_14107202_5606b1b0-b765-45e5-a17f-33266eee3edb.json | N/A | N/A | N/A | N/A | N/A | 40037866601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-11-14 | 2025H5425001 | H5425M | N/A | N/A | false | BELTRAN | N/A | GUSTAVO | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168156455 | N/A | N/A | 9903583 | 2222 | 4801 | 14403160 | N/A | 8291830 | 2025-11-01 00:38:51.571234 | 2025-10-13 13:22:03.458547 |
| 2025-10-31 07:10:20.412225 | 2025-11-01 00:34:20.308519 | 14106979 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 14106979 | Athletic Physical Therapy Inc | 1977-12-17 | 2025-11-03 | M | PT | GORMAN | 90370502500 | JOHN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121252700.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9898664/check_14106979_32bbe28a-49bd-4aba-b222-5676af62a1eb.json | N/A | N/A | N/A | N/A | N/A | XEP903705025 | Point of Service (POS) | CAPE | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1977-12-17 | 1000POSX0002 | W0052320 | N/A | PS | false | GORMAN | N/A | JOHN | N/A | 2025-12-31 | 2025-01-01 | GROUP LIFE 20 000 70 65 75 50 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168156406 | N/A | N/A | 9898664 | 2222 | 4793 | 14398481 | N/A | 8287160 | 2025-11-01 00:34:20.308519 | 2025-10-01 22:48:13.212843 |
| 2025-10-31 07:10:19.150405 | 2025-11-01 00:40:57.657832 | 14106929 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14106929 | Athletic Physical Therapy Inc | 1961-05-16 | 2025-11-03 | F | PT | GARCIA | JQU725A51750 | THERESA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121252700.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9895640/check_14106929_d89db06c-f651-483b-bd94-4d6ab0a486ca.json | N/A | N/A | N/A | N/A | N/A | JQU725A51750 | Preferred Provider Organization (PPO) | HARRISON EICHENBERG AND MURPHY LLP | ANTHEM BLUE CROSS | N/A | 1961-05-16 | 040 | H82608 | N/A | PR | false | GARCIA | N/A | THERESA | N/A | 9999-12-31 | 2025-09-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168154368 | N/A | N/A | 9895640 | 2222 | 4793 | 14405672 | N/A | 8285172 | 2025-11-01 00:40:57.657832 | 2025-10-06 14:32:40.429816 |
| 2025-10-31 07:10:15.742680 | 2025-11-01 00:41:04.353587 | 14106784 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14106784 | Athletic Physical Therapy Inc | 1963-09-07 | 2025-11-03 | M | PT | BAHR | FZX638A69335 | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121427115.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10371931/check_14106784_e5d79619-7a47-497e-bef0-291b848c12a4.json | N/A | N/A | N/A | N/A | N/A | FZX638A69335 | Preferred Provider Organization (PPO) | CDHP HSA NON-INTEGRATED BNK | ANTHEM BLUE CROSS | N/A | 1963-09-07 | 423 | 201028M2CA | N/A | PR | false | BAHR | N/A | KEVIN | N/A | 9999-12-31 | 2022-01-01 | CDHP VIRGINIA HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168170847 | N/A | N/A | 10371931 | 2222 | 4793 | 14405803 | N/A | 8634062 | 2025-11-01 00:41:04.353587 | 2025-10-16 21:25:25.746427 |