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 | insurance_company_id | 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 07:10:08.656536 | 2025-11-01 00:41:41.584412 | 14106530 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 14106530 | Athletic Physical Therapy Inc | 2003-04-23 | 2025-11-03 | M | PT | Fiske | 913326297000 | Aidan | N/A | 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/2222/10368706/check_14106530_142e0bb8-a021-45ab-a71b-c892eda8e23a.json | N/A | N/A | N/A | N/A | N/A | XEH913326297 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 2003-04-23 | 1000VX000001 | W0069783 | N/A | HM | false | FISKE | N/A | AIDAN | N/A | 9999-12-31 | 2025-07-01 | TRADER JOE S COMPANY CUSTOM ACCESS HMO 25 500 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168170779 | N/A | N/A | 10368706 | 2222 | 4802 | 14406506 | N/A | 8631458 | 2025-11-01 00:41:41.584412 | 2025-10-13 21:35:52.906882 |
| 2025-10-31 07:10:03.377696 | 2025-11-01 00:32:18.646970 | 14106291 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 14106291 | Athletic Physical Therapy Inc | 1952-07-08 | 2025-11-03 | F | AE | STERINA | 31470398711 | ELIZABETH | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121214480.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8632770/check_14106291_2f7c7996-5b8d-4135-873b-e81cdff16126.json | N/A | N/A | N/A | N/A | N/A | 31470398711 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1952-07-08 | N/A | N/A | N/A | SP | false | STERINA | N/A | ELIZABETH | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN N | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168158408 | N/A | N/A | 8632770 | 2222 | 4802 | 14396508 | N/A | 7278220 | 2025-11-01 00:32:18.646970 | 2025-08-26 15:52:58.453727 |
| 2025-10-31 07:09:53.898016 | 2025-11-01 00:41:04.624487 | 14105859 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14105859 | Athletic Physical Therapy Inc | 2002-04-28 | 2025-11-03 | M | PT | FLORES | XDM534W24356 | BRIAN | N/A | 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/2222/10346949/check_14105859_65dd9a55-21a7-43a5-8bd5-d47dde727ea0.json | N/A | N/A | N/A | N/A | N/A | XDM534W24356 | Health Maintenance Organization (HMO) | TEAMSTERS MISC SECURITY TRUST | ANTHEM BLUE CROSS | N/A | 2002-04-28 | 040 | 278680H023 | N/A | HM | false | FLORES | N/A | BRIAN | N/A | 9999-12-31 | 2025-07-01 | CLASSIC TRADITIONAL HMO NETWORK NON DURATIONAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168168223 | N/A | N/A | 10346949 | 2222 | 4801 | 14405811 | 4185 | 8613420 | 2025-11-01 00:41:04.624487 | 2025-10-21 22:32:48.997763 |
| 2025-10-31 07:09:50.881831 | 2025-11-01 02:36:57.876784 | 14105729 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14105729 | Athletic Physical Therapy Inc | 1972-01-12 | 2025-11-03 | M | PT | MAGEN | B6YE01199897 | OFIR | N/A | 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/2222/6917703/check_14105729_4d44a3a3-038f-4c47-bfa1-aea5b48cfcf9.json | N/A | N/A | N/A | N/A | N/A | B6YE01199897 | Preferred Provider Organization (PPO) | CHARTERLIFE-2015 HIGH EPO | ANTHEM BLUE CROSS | N/A | 1972-01-12 | 040 | L06598M023 | N/A | PR | false | MAGEN | N/A | LIMOR | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168165200 | N/A | N/A | 6917703 | 2222 | 4793 | 14416664 | N/A | 5949095 | 2025-11-01 02:36:57.876784 | 2025-07-28 22:15:30.266976 |
| 2025-10-31 07:09:42.747169 | 2025-11-01 00:48:48.019834 | 14105382 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14105382 | Athletic Physical Therapy Inc | 1961-06-24 | 2025-11-03 | M | PT | RAY | PAS838471972 | JOHN | N/A | 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/2222/11420779/check_14105382_7eac7203-0dd7-48b2-ad40-0bf4be62d7da.json | N/A | N/A | N/A | N/A | N/A | PAS838471972 | Preferred Provider Organization (PPO) | WEST HEALTH CARE NETWORK | CUSTOMER SERVICE | N/A | 1961-06-24 | N/A | 152001 | N/A | PR | false | RAY | N/A | JOHN | N/A | 9999-12-31 | 2025-06-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168183528 | N/A | N/A | 11420779 | 2222 | 4801 | 14412121 | N/A | 9673427 | 2025-11-01 00:48:48.019834 | 2025-11-03 19:27:12.288254 |
| 2025-10-31 07:09:36.307561 | 2025-11-01 00:53:30.152245 | 14105105 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14105105 | Athletic Physical Therapy Inc | 1963-09-25 | 2025-11-03 | M | PT | zev | XED912627946 | ari | N/A | 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/2222/9280765/check_14105105_7243aa51-49e3-4153-aa68-8fbc73df83b6.json | N/A | N/A | N/A | N/A | N/A | XED912627946 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-09-25 | 2001ZK002185 | X0001004 | N/A | PR | false | ZEV | N/A | ARI | N/A | 9999-12-31 | 2023-11-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168187592 | N/A | N/A | 9280765 | 2222 | 4802 | 14413376 | N/A | 7789190 | 2025-11-01 00:53:30.152245 | 2025-09-16 16:41:33.330373 |
| 2025-10-31 07:09:31.747625 | 2025-11-01 02:37:23.991560 | 14104877 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14104877 | Athletic Physical Therapy Inc | 1971-06-05 | 2025-11-03 | F | PT | MENDELSON | XEK913483846 | SHARON | N/A | 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/2222/8224045/check_14104877_d12001bc-4ecd-4656-bc6a-6d49f2a86da0.json | N/A | N/A | N/A | N/A | N/A | XEK913483846 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1971-06-05 | 2001ZK002189 | X0001000 | N/A | PR | false | MENDELSON | N/A | SIMON | 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 | 9168163339 | N/A | N/A | 8224045 | 2222 | 4802 | 14416826 | N/A | 6981160 | 2025-11-01 02:37:23.991560 | 2025-08-26 21:16:15.557856 |
| 2025-10-31 07:09:27.217464 | 2025-11-01 00:39:11.228590 | 14104613 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14104613 | Athletic Physical Therapy Inc | 1963-11-03 | 2025-11-03 | M | AE | KUQO | 95557964G | FATMIR | PT | 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/2222/10308328/check_14104613_7459d58e-ee1c-44d5-ac20-c38f700b0ca0.json | N/A | N/A | N/A | N/A | N/A | 95557964G | N/A | N/A | HEALTH NET, LLC | N/A | 1963-11-03 | N/A | N/A | N/A | N/A | false | KUQO | N/A | FATMIR | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168169027 | N/A | N/A | 10308328 | 2222 | 4793 | 14403582 | N/A | 8577701 | 2025-11-01 00:39:11.228590 | 2025-10-10 20:23:07.830150 |
| 2025-10-31 07:09:24.628145 | 2025-11-01 00:42:21.515401 | 14104459 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14104459 | Athletic Physical Therapy Inc | 1952-11-30 | 2025-11-03 | F | AE | Tenner | XEA913632918 | Susan | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121115238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10347882/check_14104459_a8ec9e8a-e1a7-4339-9048-5f4656eb0435.json | N/A | N/A | N/A | N/A | N/A | XAN913632918 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | MEDICARE PART A AND B | N/A | 1952-11-30 | 1002VX000001 | W0051411 | N/A | PR | false | TENNER | N/A | ROBERT | N/A | 9999-12-31 | 2025-01-01 | CALPERS ASO PLATINUM PPO SUPPLEMENT TO MEDICARE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168146849 | N/A | N/A | 10347882 | 2222 | 4802 | 14407266 | N/A | 8614368 | 2025-11-01 00:42:21.515401 | 2025-10-13 19:03:41.164438 |
| 2025-10-31 07:09:17.948842 | 2025-11-01 02:32:39.065588 | 14104045 | N/A | N/A | 60054 | Aetna | 1114042165 | 14104045 | Athletic Physical Therapy Inc | 1976-05-10 | 2025-11-03 | M | AE | RAMIREZ | 9537353099 | ROY | PT | 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/2222/6865171/check_14104045_e540ab71-5dff-47ac-8261-c027f26ed534.json | N/A | N/A | N/A | N/A | N/A | 9537353099 | Group Policy | N/A | AETNA INC | PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE INFORMATION | 1976-05-10 | A01 | 20086 | N/A | GP | false | RAMIREZ | N/A | ROY | N/A | N/A | N/A | WORKDAY INC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168164398 | N/A | N/A | 6865171 | 2222 | 4801 | 14415020 | N/A | 5902840 | 2025-11-01 02:32:39.065588 | 2025-07-28 18:58:27.354873 |
| 2025-10-31 07:09:15.228247 | 2025-11-01 00:39:20.698446 | 14103881 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 14103881 | Athletic Physical Therapy Inc | 1940-04-13 | 2025-11-03 | F | AE | PRIVITT | 31072079201 | NORMA | PT | 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/2222/10301619/check_14103881_487db991-4ee0-4de4-91c5-b85985491c31.json | N/A | N/A | N/A | N/A | N/A | 31072079201 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1940-04-13 | 2025H5425001 | H5425M | N/A | N/A | false | PRIVITT | N/A | NORMA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168170652 | N/A | N/A | 10301619 | 2222 | 4793 | 14403789 | N/A | 8571670 | 2025-11-01 00:39:20.698446 | 2025-10-20 20:59:28.219223 |
| 2025-10-31 07:09:07.770135 | 2025-11-01 00:41:05.219030 | 14103419 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14103419 | Athletic Physical Therapy Inc | 1983-01-16 | 2025-11-03 | M | PT | MIRANDA | NCF728A24383 | ERICK | N/A | 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/2222/10294700/check_14103419_deb8c247-d9cf-4c5f-80ae-9f147203280b.json | N/A | N/A | N/A | N/A | N/A | NCF728A24383 | Health Maintenance Organization (HMO) | LOS ANGELES POLICE RELIEF ASN INC | ANTHEM BLUE CROSS | N/A | 1983-01-16 | 040 | 57CP3A | N/A | HM | false | MIRANDA | N/A | ERICK | N/A | 9999-12-31 | 2023-03-01 | BLUE CROSS HMO PLUS CC01 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168167012 | N/A | N/A | 10294700 | 2222 | 4801 | 14405823 | 4185 | 6149607 | 2025-11-01 00:41:05.219030 | 2025-07-17 18:34:10.184195 |
| 2025-10-31 07:09:04.621569 | 2025-11-01 00:41:48.580843 | 14103234 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14103234 | Athletic Physical Therapy Inc | 1950-05-18 | 2025-11-03 | F | AE | BERINSTEIN | JQE773A62564 | PAULA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121115238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10172947/check_14103234_98334d65-c893-4fbc-9a32-f0c8e9213ec7.json | N/A | N/A | N/A | N/A | N/A | JQE773A62564 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1950-05-18 | 040 | CASUPWP0 | N/A | N/A | false | BERINSTEIN | N/A | PAULA | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168146364 | N/A | N/A | 10172947 | 2222 | 4801 | 14406625 | N/A | 8474092 | 2025-11-01 00:41:48.580843 | 2025-10-11 14:58:02.058781 |
| 2025-10-31 07:09:00.992381 | 2025-11-01 00:40:05.290303 | 14103017 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14103017 | Athletic Physical Therapy Inc | 1959-07-25 | 2025-11-03 | F | AE | CARRANZA | 94113505C | KISELL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121214480.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7508301/check_14103017_adeb6293-92cd-493b-919d-30a3c839f20e.json | N/A | N/A | N/A | N/A | N/A | 94113505C | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-07-25 | N/A | N/A | N/A | N/A | false | CARRANZA | N/A | KISELL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168158372 | N/A | N/A | 7508301 | 2222 | 4802 | 14404687 | N/A | 4214064 | 2025-11-01 00:40:05.290303 | 2025-07-15 17:36:25.711810 |
| 2025-10-31 07:08:56.852999 | 2025-11-01 00:38:10.513753 | 14102762 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 14102762 | Athletic Physical Therapy Inc | 1950-02-07 | 2025-11-03 | M | AE | BHAMRAH | 12Y0175341 | KULDIP | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121214480.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7442859/check_14102762_c881e1fa-6621-4994-9fca-c4d0dacc0638.json | N/A | N/A | N/A | N/A | N/A | 12Y0175341 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1950-02-07 | N/A | N/A | N/A | N/A | 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 | 9168157581 | N/A | N/A | 7442859 | 2222 | 4801 | 14402300 | N/A | 6393941 | 2025-11-01 00:38:10.513753 | 2025-08-13 16:33:53.313259 |
| 2025-10-31 07:08:48.502642 | 2025-11-01 00:41:05.173779 | 14102228 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14102228 | Athletic Physical Therapy Inc | 1968-07-21 | 2025-11-03 | F | AE | MCALISTER | SFZ846186424 | BONNIE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121214480.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7024102/check_14102228_a9728deb-648b-4575-9053-7c5c5f52f47a.json | N/A | N/A | N/A | N/A | N/A | SFZ846186424 | Preferred Provider Organization (PPO) | RETIREE 50 AS OF 1112 HIRED 1107 | MEDICARE | N/A | 1968-07-21 | N/A | 021104 | N/A | PR | false | MCALISTER | N/A | BONNIE | N/A | 9999-12-31 | 2013-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168156913 | N/A | N/A | 7024102 | 2222 | 4801 | 14405821 | N/A | 6038562 | 2025-11-01 00:41:05.173779 | 2025-07-30 21:46:09.369299 |
| 2025-10-31 07:08:46.165600 | 2025-11-01 02:36:57.560314 | 14102075 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14102075 | Athletic Physical Therapy Inc | 1975-03-18 | 2025-11-03 | F | PT | FARRUKH | JXN208M92481 | ANBARIN | N/A | 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/2222/6811878/check_14102075_8bc8fe2b-3d49-4d4f-bbf4-3b1731a56269.json | N/A | N/A | N/A | N/A | N/A | JXN208M92481 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 1975-03-18 | 040 | 174222M9A1 | N/A | PR | false | FARRUKH | N/A | ANBARIN | N/A | 9999-12-31 | 2025-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168164375 | N/A | N/A | 6811878 | 2222 | 4793 | 14416661 | N/A | 5854231 | 2025-11-01 02:36:57.560314 | 2025-07-07 16:52:38.056680 |
| 2025-10-31 07:08:43.978213 | 2025-11-01 02:31:09.130366 | 14101950 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 14101950 | Athletic Physical Therapy Inc | 2001-06-21 | 2025-11-03 | M | AE | RAFIEI | 92836714F | SAM | PT | 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/2222/8173002/check_14101950_2cbc51be-09f9-4fcd-93de-6bcaab48f012.json | N/A | N/A | N/A | N/A | N/A | 92836714F | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2001-06-21 | N/A | N/A | N/A | N/A | false | RAFIEI | N/A | SAM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168163139 | N/A | N/A | 8173002 | 2222 | 4793 | 14414497 | N/A | 6939518 | 2025-11-01 02:31:09.130366 | 2025-08-18 21:40:08.349494 |
| 2025-10-31 07:08:22.959408 | 2025-11-01 00:44:18.161516 | 14101012 | N/A | N/A | 60054 | Aetna | 1114042165 | 14101012 | Athletic Physical Therapy Inc | 1979-08-08 | 2025-11-03 | F | AE | Rosentreter | W192442790 | Lesa | PT | 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/2222/11372698/check_14101012_eaf5a0c8-1005-4c5a-abfb-a36181083a41.json | N/A | N/A | N/A | N/A | N/A | W192442790 | Point of Service (POS) | LIONSGATE ENTERTAINMENT INC. | AETNA | N/A | 1979-08-08 | 0881709 | 088170902100001 | N/A | PS | false | ROSENTRETER | N/A | LESA | N/A | N/A | N/A | OA MANAGED CHOICE POS HDHP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168182058 | N/A | N/A | 11372698 | 2222 | 4802 | 14409641 | N/A | 9640743 | 2025-11-01 00:44:18.161516 | 2025-10-22 22:45:24.589906 |
| 2025-10-31 07:08:13.279926 | 2025-11-01 00:40:06.006431 | 14100577 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14100577 | Athletic Physical Therapy Inc | 1929-10-10 | 2025-11-03 | M | AE | Walter | XDO472A63371 | Howard | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121214480.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751424/check_14100577_5bb54cb2-4851-49dc-bf47-fa65afacc2d3.json | N/A | N/A | N/A | N/A | N/A | XDO472A63371 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1929-10-10 | 040 | CASUPWP0 | N/A | N/A | false | WALTER | N/A | HOWARD | N/A | 9999-12-31 | 2016-12-01 | CA PRE-MOD. BLUE CROSS SENIOR CLASSIC I | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168158740 | N/A | N/A | 6751424 | 2222 | 4802 | 14404702 | N/A | 5557241 | 2025-11-01 00:40:06.006431 | 2025-07-22 17:08:51.810153 |
| 2025-10-31 07:07:59.227854 | 2025-11-01 00:33:06.983050 | 14099984 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 14099984 | Athletic Physical Therapy Inc | 1941-12-12 | 2025-11-03 | M | AE | ABARTA | 03851837911 | STEVEN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121115238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9929497/check_14099984_609a5182-af77-41f7-ae2a-2d8090d69fe5.json | N/A | N/A | N/A | N/A | N/A | 03851837911 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1941-12-12 | N/A | N/A | N/A | SP | false | ABARTA | N/A | STEVE | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168146613 | N/A | N/A | 9929497 | 2222 | 4801 | 14397343 | N/A | 8313339 | 2025-11-01 00:33:06.983050 | 2025-10-02 18:29:23.013167 |
| 2025-10-31 07:07:57.799355 | 2025-11-01 00:41:48.922790 | 14099927 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14099927 | Athletic Physical Therapy Inc | 1959-07-16 | 2025-11-03 | F | AE | JESTER | MBL344W20467 | AUREA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121115238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9926970/check_14099927_9d22e209-01dd-468a-8131-37c1ad1fccc8.json | N/A | N/A | N/A | N/A | N/A | MBL344W20467 | N/A | CALIFORNIA PUBLIC EMPLOYEES RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1959-07-16 | 040 | CAEGR001 | N/A | N/A | false | JESTER | N/A | AUREA | N/A | 9999-12-31 | 2024-07-01 | CA GRS CALPERS H4036-802 ANTHEM MEDICARE PREFERRED | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168146602 | N/A | N/A | 9926970 | 2222 | 4801 | 14406632 | N/A | 7624564 | 2025-11-01 00:41:48.922790 | 2025-10-06 23:19:36.703282 |
| 2025-10-31 07:07:47.212141 | 2025-11-01 00:40:57.278827 | 14099455 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14099455 | Athletic Physical Therapy Inc | 1975-10-20 | 2025-11-03 | F | PT | BARRUS | NCF701A73626 | ERIKA | N/A | 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/2222/9742864/check_14099455_2a5d7647-c211-4658-9000-6f423055e1bd.json | N/A | N/A | N/A | N/A | N/A | NCF701A73626 | Health Maintenance Organization (HMO) | GOLDEN STATE MEDICAL SUPPLY | ANTHEM BLUE CROSS | N/A | 1975-10-20 | 040 | L00156H001 | N/A | HM | false | BARRUS | N/A | JOHN | N/A | 9999-12-31 | 2025-06-01 | VALUE SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168155169 | N/A | N/A | 9742864 | 2222 | 4801 | 14405666 | N/A | 8156225 | 2025-11-01 00:40:57.278827 | 2025-10-06 23:06:53.764973 |
| 2025-10-31 07:07:44.190484 | 2025-11-01 02:31:38.838827 | 14099330 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 14099330 | Athletic Physical Therapy Inc | 1955-02-20 | 2025-11-03 | F | AE | SALGUERO | 35955370 | DINA | PT | 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/2222/6711965/check_14099330_9901fae0-3e55-4918-b6c3-7890b7a8212c.json | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | 406-005-000 | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168165566 | N/A | N/A | 6711965 | 2222 | 4793 | 14414648 | 6798 | 4210430 | 2025-11-01 02:31:38.838827 | 2025-05-13 04:29:37.224841 |
| 2025-10-31 07:07:43.600378 | 2025-11-01 00:35:04.351339 | 14099299 | N/A | N/A | 60054 | Aetna | 1114042165 | 14099299 | Athletic Physical Therapy Inc | 1976-03-18 | 2025-11-03 | M | AE | SEEMAN | W290664045 | MICHAEL | PT | 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/2222/10208244/check_14099299_b3736126-a247-4a81-9950-15ee7db3e69c.json | N/A | N/A | N/A | N/A | N/A | W290664045 | Point of Service (POS) | PAYCHEX BUSINESS SOLUTIONS, LLC. | AETNA | N/A | 1976-03-18 | 0176563 | 017656301100028 | N/A | PS | false | SEEMAN | N/A | MICHAEL | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168169805 | N/A | N/A | 10208244 | 2222 | 4801 | 14399262 | N/A | 8500669 | 2025-11-01 00:35:04.351339 | 2025-10-08 23:15:42.079175 |
| 2025-10-31 07:07:42.750222 | 2025-11-01 00:40:58.006896 | 14099261 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14099261 | Athletic Physical Therapy Inc | 1982-12-08 | 2025-11-03 | M | PT | Magpali | VUC967W18809 | Aaron | N/A | 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/2222/9737460/check_14099261_76ddb6bd-7a33-4c8d-aaef-3021c835dc83.json | N/A | N/A | N/A | N/A | N/A | VUC967W18809 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1982-12-08 | 040 | 280509S400 | N/A | PR | false | MAGPALI | N/A | AARON | N/A | 9999-12-31 | 2024-01-01 | UC CARE PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168155143 | N/A | N/A | 9737460 | 2222 | 4801 | 14405678 | N/A | 8152382 | 2025-11-01 00:40:58.006896 | 2025-09-28 17:20:36.874498 |
| 2025-10-31 07:07:40.933812 | 2025-10-31 07:07:43.815087 | 14099178 | N/A | N/A | 47027 | Physicians Mutual Insurance Company | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-10-25 | 2025-10-31 | F | AE | JOHNSTON | H750053601 | DEBORAH | PT | 6096 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6638391/check_14099178_80a00251-8877-4bc1-9907-c9039412129f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638391/check_14099178_f993d737-fa14-4223-9d39-18f0d74f677f.json | N/A | N/A | N/A | N/A | N/A | H750053601 | N/A | N/A | PHYSICIANS MUTUAL | PAYMENT NOT GUARANTEED; BENEFITS SUBJECT TO CLAIM APPROVAL | 1952-10-25 | N/A | N/A | N/A | N/A | false | JOHNSTON | N/A | DEBORAH | N/A | N/A | N/A | MEDICARE SUPPLEMENT 2023 PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168127397 | N/A | N/A | 6638391 | 2222 | N/A | 14369898 | N/A | 5247837 | 2025-10-31 07:07:43.815087 | 2026-02-24 20:36:49.807283 |
| 2025-10-31 07:07:40.276994 | 2025-11-01 00:40:52.260655 | 14099153 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14099153 | Athletic Physical Therapy Inc | 1934-12-03 | 2025-11-03 | M | AE | Dayzadeh | XEM903033247 | Nasser | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121214480.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6595255/check_14099153_296698b7-cfbf-4139-8005-46bf0d081a4a.json | N/A | N/A | N/A | N/A | N/A | XEM903033247 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1934-12-03 | 2101SD000023 | X0001002 | N/A | OT | false | DAYZADEH | N/A | NASSER | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN D | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168157198 | N/A | N/A | 6595255 | 2222 | 4802 | 14405569 | N/A | 5202586 | 2025-11-01 00:40:52.260655 | 2025-06-25 17:55:27.155518 |
| 2025-10-31 07:07:35.081527 | 2025-11-01 02:35:26.484008 | 14098931 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 14098931 | Athletic Physical Therapy Inc | 1960-02-19 | 2025-11-03 | F | AE | ENGLISH BLAZEJ | 40067960801 | DOREEN | PT | 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/2222/8048674/check_14098931_af9afa85-f5a8-4b42-932e-a13a4e61dd9e.json | N/A | N/A | N/A | N/A | N/A | 40067960801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1960-02-19 | 2025H5425001 | H5425M | N/A | N/A | false | ENGLISH BLAZEJ | N/A | DOREEN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168161455 | N/A | N/A | 8048674 | 2222 | 4801 | 14416094 | N/A | 6844466 | 2025-11-01 02:35:26.484008 | 2025-08-13 17:29:27.130257 |
| 2025-10-31 07:07:26.497118 | 2025-11-01 00:40:04.626415 | 14098562 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14098562 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-11-03 | M | AE | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121214480.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6528155/check_14098562_12f80412-9f75-43da-bba9-2b75b0f75894.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-11-24 | N/A | N/A | N/A | N/A | false | BLANCHFIELD | N/A | THOMAS | N/A | 9999-12-31 | 2024-07-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168158289 | N/A | N/A | 6528155 | 2222 | 4793 | 14404674 | 4185 | 4214447 | 2025-11-01 00:40:04.626415 | 2026-04-23 20:11:34.441054 |
| 2025-10-31 07:07:14.040436 | 2025-11-01 00:40:58.366905 | 14098045 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14098045 | Athletic Physical Therapy Inc | 1980-07-01 | 2025-11-03 | M | PT | Moreno jr | VDHE01043007 | Hector | N/A | 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/2222/9691081/check_14098045_8614ed12-aae4-4d69-b974-94d1540ea20a.json | N/A | N/A | N/A | N/A | N/A | VDHE01043007 | Preferred Provider Organization (PPO) | DIGNITY HEALTH VENTURA | ANTHEM BLUE CROSS | N/A | 1980-07-01 | 040 | 174236M3A1 | N/A | PR | false | MORENO JR | N/A | HECTOR | N/A | 9999-12-31 | 2022-07-01 | PB INCENTIVE NO SUTTER | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168154109 | N/A | N/A | 9691081 | 2222 | 4801 | 14405683 | N/A | 8110015 | 2025-11-01 00:40:58.366905 | 2025-10-05 15:24:30.421551 |
| 2025-10-31 07:07:11.084000 | 2025-11-01 02:35:26.745667 | 14097908 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 14097908 | Athletic Physical Therapy Inc | 1950-08-25 | 2025-11-03 | F | AE | POLLOCK | 40002008301 | MARY | PT | 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/2222/7992096/check_14097908_e069796e-0ced-4f04-80bd-efdf3c16d15a.json | N/A | N/A | N/A | N/A | N/A | 40002008301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-08-25 | 2025H5425001 | H5425M | N/A | N/A | false | POLLOCK | N/A | MARY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168162459 | N/A | N/A | 7992096 | 2222 | 4801 | 14416096 | N/A | 4212687 | 2025-11-01 02:35:26.745667 | 2025-08-27 18:05:06.350903 |
| 2025-10-31 07:07:10.165904 | 2025-11-01 02:36:24.960957 | 14097866 | N/A | N/A | SB040 | CALIFORNIA ANTHEM BLUE CROSS | 1114042165 | 14097866 | Athletic Physical Therapy Inc | 1971-05-04 | 2025-11-03 | F | PT | MAHAARACHCHI | EXHAN7912598 | Nilanthi | N/A | 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/2222/7988722/check_14097866_3c044600-bcd6-4540-b9e5-2c70eccc90e0.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | Preferred Provider Organization (PPO) | XEROX CORPORATION | ANTHEM BLUE CROSS | N/A | 1971-05-04 | 060 | 270101M11A | N/A | PR | false | MAHAARACHCHI | N/A | SENAKA | N/A | 9999-12-31 | 2025-01-01 | CDHP CT BC PPO HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168162455 | N/A | N/A | 7988722 | 2222 | 4793 | 14416464 | 4185 | 6798209 | 2025-11-01 02:36:24.960957 | 2025-10-29 15:15:17.952230 |
| 2025-10-31 07:06:54.064541 | 2025-11-01 00:52:41.695502 | 14097216 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14097216 | Athletic Physical Therapy Inc | 1960-07-22 | 2025-11-03 | F | PT | Fairbairn | VUC381M87189 | SUSAN | N/A | 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/2222/9256797/check_14097216_f6929f43-effa-4648-aa83-52ed250da3c7.json | N/A | N/A | N/A | N/A | N/A | VUC381M87189 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1960-07-22 | 040 | 280509A400 | N/A | PR | false | RATSCH | N/A | CHRISTIAN | N/A | 9999-12-31 | 2023-01-01 | UC CARE PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168187289 | N/A | N/A | 9256797 | 2222 | 4802 | 14413167 | N/A | 7767722 | 2025-11-01 00:52:41.695502 | 2025-09-09 21:30:42.448470 |
| 2025-10-31 07:06:47.428845 | 2025-11-01 00:45:14.402987 | 14096971 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | 14096971 | Athletic Physical Therapy Inc | 1948-01-19 | 2025-11-03 | F | AE | Machleit | 29029580 | Terri | PT | 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/2222/9253541/check_14096971_101bf3ec-92ef-4f7c-aaf7-ceda59a3ef0a.json | N/A | N/A | N/A | N/A | N/A | 29029580 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1948-01-19 | 406-024-000 | N/A | N/A | N/A | false | MACHLEIT | N/A | TERRI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168187273 | N/A | N/A | 9253541 | 2222 | 4793 | 14410525 | N/A | 7764252 | 2025-11-01 00:45:14.402987 | 2025-09-11 22:35:02.402934 |
| 2025-10-31 07:06:41.377439 | 2025-11-01 00:41:41.191337 | 14096732 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 14096732 | Athletic Physical Therapy Inc | 1953-07-29 | 2025-11-03 | F | PT | DE SANTIAGO | 906536178001 | MARIA | N/A | 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/2222/10128259/check_14096732_af5c783f-a93b-4a09-8d0a-dc260741c922.json | N/A | N/A | N/A | N/A | N/A | XEH906536178 | Health Maintenance Organization (HMO) | P W GILLIBRAND COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1953-07-29 | 1000HMOX0002 | W0001720 | N/A | HM | false | DESANTIAGO | N/A | REFUGIO | N/A | N/A | N/A | ACCESS HMO R ZERO ADMIT 30 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168170289 | N/A | N/A | 10128259 | 2222 | 4801 | 14406500 | N/A | 8452475 | 2025-11-01 00:41:41.191337 | 2025-10-07 21:19:11.415234 |
| 2025-10-31 07:06:18.552014 | 2025-11-01 02:36:29.873125 | 14095754 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14095754 | Athletic Physical Therapy Inc | 1936-04-15 | 2025-11-03 | F | AE | MCCRAY | C4003524401 | ELIZABETH | PT | 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/2222/6583817/check_14095754_b4fe8bc0-8fb5-45ab-897e-52fe5d9301c7.json | N/A | N/A | N/A | N/A | N/A | C4003524401 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1936-04-15 | N/A | CA05620125 | N/A | N/A | false | MCCRAY | N/A | ELIZABETH | N/A | N/A | N/A | WELLCARE SIMPLE FOCUS (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168164269 | N/A | N/A | 6583817 | 2222 | 4802 | 14416494 | N/A | 5202575 | 2025-11-01 02:36:29.873125 | 2025-09-17 19:56:42.576499 |
| 2025-10-31 07:06:15.146964 | 2025-11-01 00:48:47.583042 | 14095607 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14095607 | Athletic Physical Therapy Inc | 1978-09-02 | 2025-11-03 | F | PT | RAMIREZ | Z7M7740597AB | IVETE | N/A | 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/2222/11236248/check_14095607_0e1b7be6-36a9-44a8-b0cf-089eb3ed19fd.json | N/A | N/A | N/A | N/A | N/A | Z7M7740597AB | Preferred Provider Organization (PPO) | HI DED LOWER FAMILY ONLY | ANTHEM BLUE CROSS | N/A | 1978-09-02 | 241 | L11957M003 | N/A | PR | false | RAMIREZ | N/A | CESAR | N/A | 9999-12-31 | 2025-01-01 | PPO WITH MO BLUE ACCESS CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168184160 | N/A | N/A | 11236248 | 2222 | 4801 | 14412119 | N/A | 9558474 | 2025-11-01 00:48:47.583042 | 2025-11-03 00:28:42.935413 |
| 2025-10-31 07:06:14.585951 | 2025-11-01 00:49:30.030664 | 14095580 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14095580 | Athletic Physical Therapy Inc | 1956-10-11 | 2025-11-03 | M | PT | Bou Chacra | XED912823926 | Akram | N/A | 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/2222/11201492/check_14095580_0113d91a-a7f3-4b80-bb29-80adbc48693a.json | N/A | N/A | N/A | N/A | N/A | XED912823926 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1956-10-11 | 2001ZK002185 | X0001004 | N/A | PR | false | BOU CHACRA | N/A | AKRAM | 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 | 9168183420 | N/A | N/A | 11201492 | 2222 | 4793 | 14412330 | N/A | 9540458 | 2025-11-01 00:49:30.030664 | 2025-10-26 04:16:16.050614 |
| 2025-10-31 07:06:05.652764 | 2025-11-01 02:36:29.000445 | 14095168 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14095168 | Athletic Physical Therapy Inc | 2009-08-12 | 2025-11-03 | M | AE | Aldana | 95423949E | George | PT | 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/2222/6568645/check_14095168_778a6940-c8ef-40ea-8a67-a2b62ebc87a6.json | N/A | N/A | N/A | N/A | N/A | 95423949E | N/A | N/A | HEALTH NET, LLC | N/A | 2009-08-12 | N/A | N/A | N/A | N/A | false | ALDANA | N/A | GEORGE | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168165107 | N/A | N/A | 6568645 | 2222 | 4802 | 14416488 | N/A | 5190481 | 2025-11-01 02:36:29.000445 | 2025-06-24 17:29:30.756528 |
| 2025-10-31 07:06:02.674732 | 2025-11-01 00:48:48.561584 | 14095024 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14095024 | Athletic Physical Therapy Inc | 1979-01-29 | 2025-11-03 | F | PT | Wagher | SIF991A73992 | Naghmeh | N/A | 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/2222/11184542/check_14095024_7aa8018a-6095-4b26-b3c7-5ebbdb63bf9e.json | N/A | N/A | N/A | N/A | N/A | SIF991A73992 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1979-01-29 | N/A | N/A | N/A | N/A | false | WAGHER | N/A | NAGHMEH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168183370 | N/A | N/A | 11184542 | 2222 | 4802 | 14412124 | N/A | 9527203 | 2025-11-01 00:48:48.561584 | 2025-10-21 18:43:46.384148 |
| 2025-10-31 07:06:02.029225 | 2025-11-01 00:41:49.366285 | 14094997 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14094997 | Athletic Physical Therapy Inc | 1958-10-22 | 2025-11-03 | F | AE | Lee | MBL500W17666 | Gisele | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121115238.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9810738/check_14094997_85458030-f15d-4eab-a3fc-68d9d9d1413d.json | N/A | N/A | N/A | N/A | N/A | MBL500W17666 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1958-10-22 | 040 | CAEGR005 | N/A | N/A | false | LEE | N/A | GISELE | N/A | 2025-12-31 | 2023-10-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168147399 | N/A | N/A | 9810738 | 2222 | 4802 | 14406637 | N/A | 8217179 | 2025-11-01 00:41:49.366285 | 2025-10-02 19:02:27.583990 |
| 2025-10-31 07:05:53.083621 | 2025-11-01 00:40:04.950357 | 14094547 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14094547 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-11-03 | F | AE | BRADBURY | JQE669W05502 | BONNIE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121214480.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550535/check_14094547_c50de724-36dd-40e8-a85b-66e8f48af87d.json | N/A | N/A | N/A | N/A | N/A | JQE669W05502 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-06-01 | 040 | CASUPWP0 | N/A | N/A | false | BRADBURY | N/A | BONNIE | N/A | 9999-12-31 | 2022-12-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168158516 | N/A | N/A | 5550535 | 2222 | 4801 | 14404681 | N/A | 4219556 | 2025-11-01 00:40:04.950357 | 2025-05-13 04:29:37.230592 |
| 2025-10-31 07:05:52.749341 | 2025-11-01 00:32:18.045088 | 14094531 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 14094531 | Athletic Physical Therapy Inc | 1954-05-11 | 2025-11-03 | M | AE | A Peters | 32146482611 | Dennis | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121214480.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550027/check_14094531_b38c2ee1-7c8b-403b-b3b7-cdcbea80dbf6.json | N/A | N/A | N/A | N/A | N/A | 32146482611 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1954-05-11 | N/A | N/A | N/A | SP | false | PETERS | N/A | DENNIS | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168158515 | N/A | N/A | 5550027 | 2222 | 4801 | 14396501 | N/A | 4219449 | 2025-11-01 00:32:18.045088 | 2025-10-07 21:32:27.567534 |
| 2025-10-31 07:05:52.339790 | 2025-11-01 02:37:23.663323 | 14094510 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14094510 | Athletic Physical Therapy Inc | 1970-10-11 | 2025-11-03 | M | PT | Kahen | XEK909669840 | Shervin | N/A | 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/2222/7787192/check_14094510_3c42e30e-c84a-41c8-97b1-71b01f9aed86.json | N/A | N/A | N/A | N/A | N/A | XEK909669840 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1970-10-11 | 2001ZK002195 | X0001000 | N/A | PR | false | KAHEN | N/A | SHERVIN | N/A | 2025-12-31 | 2025-01-01 | BRONZE 60 HDHP PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9168161727 | N/A | N/A | 7787192 | 2222 | 4802 | 14416824 | N/A | 6631054 | 2025-11-01 02:37:23.663323 | 2025-12-12 20:45:04.787542 |
| 2025-10-31 07:05:52.185203 | 2025-11-01 00:38:07.529797 | 14094498 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 14094498 | Athletic Physical Therapy Inc | 1940-11-11 | 2025-11-03 | M | AE | GOLDBERG | U5126496602 | Michael | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121214480.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542973/check_14094498_50d61236-c63a-4fc7-91c8-eb097b9812f7.json | N/A | N/A | N/A | N/A | N/A | U5126496602 | Indemnity | MONTGOMERY COUNTY PUBLIC SCHOOLS | CHLIC | N/A | 1940-11-11 | N/A | 2501729 | N/A | IN | false | GOLDBERG | N/A | MICHAEL | N/A | N/A | N/A | INDEMNITY | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168158512 | N/A | N/A | 5542973 | 2222 | 4802 | 14402237 | N/A | 4214820 | 2025-11-01 00:38:07.529797 | 2025-06-30 02:56:23.324592 |
| 2025-10-31 07:05:51.947365 | 2025-11-01 00:38:07.233890 | 14094481 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 14094481 | Athletic Physical Therapy Inc | 1944-10-29 | 2025-11-03 | F | AE | GOLDBERG | U51264966 | LINDA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121214480.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542937/check_14094481_1be1302f-e9ee-4f86-9db1-4ebe7c899988.json | N/A | N/A | N/A | N/A | N/A | U5126496601 | Indemnity | MONTGOMERY COUNTY PUBLIC SCHOOLS | CHLIC | N/A | 1944-10-29 | N/A | 2501729 | N/A | IN | false | GOLDBERG | N/A | LINDA | N/A | N/A | N/A | INDEMNITY | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168158511 | N/A | N/A | 5542937 | 2222 | 4802 | 14402229 | N/A | 4214789 | 2025-11-01 00:38:07.233890 | 2025-12-11 23:30:31.319246 |
| 2025-10-31 07:05:51.783016 | 2025-11-01 00:32:18.334079 | 14094469 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 14094469 | Athletic Physical Therapy Inc | 1944-04-25 | 2025-11-03 | F | AE | ROSENTHAL | 30096718111 | PHYLLIS | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121214480.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541888/check_14094469_af3406cb-b63c-44b9-91cb-e04bb981561c.json | N/A | N/A | N/A | N/A | N/A | 30096718111 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1944-04-25 | N/A | N/A | N/A | SP | false | ROSENTHAL | N/A | PHYLLIS | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168158510 | N/A | N/A | 5541888 | 2222 | 4802 | 14396505 | N/A | 4213865 | 2025-11-01 00:32:18.334079 | 2025-05-13 04:29:37.228183 |
| 2025-10-31 07:05:51.629170 | 2025-11-01 00:40:05.736753 | 14094462 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14094462 | Athletic Physical Therapy Inc | 1949-07-06 | 2025-11-03 | M | AE | SILVERMAN | XDD460A67934 | LAWRENCE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121214480.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541611/check_14094462_743e2e14-b9d4-4339-95b8-d543f37e90a3.json | N/A | N/A | N/A | N/A | N/A | XDD460A67934 | Supplemental Policy | LOS ANGELES COUNTY EMPLOYEE RETIREMENT ASSOC | MEDICARE B | N/A | 1949-07-06 | 040 | 1264MD | N/A | SP | false | SILVERMAN | N/A | LAWRENCE | N/A | 9999-12-31 | 2016-04-01 | MEDICARE SUPPLEMENT-PBP PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168158509 | N/A | N/A | 5541611 | 2222 | 4793 | 14404694 | N/A | 4213611 | 2025-11-01 00:40:05.736753 | 2025-05-13 04:29:37.227938 |
| 2025-10-31 07:05:51.416564 | 2025-11-01 00:37:10.406086 | 14094447 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 14094447 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-11-03 | F | AE | GNAD | H71897184 | MELANIE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251031.121214480.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-11-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540682/check_14094447_b9d35505-c479-4048-8edd-85412730a942.json | N/A | N/A | N/A | N/A | N/A | H71897184 | Supplemental Policy | HUMANA BENEFIT PLANOF ILL, INC | HUMANA | 067 023 | 1946-04-16 | N/A | 5A409005 | N/A | SP | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | MEDICARE MES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9168158508 | N/A | N/A | 5540682 | 2222 | 4801 | 14401153 | N/A | 4212792 | 2025-11-01 00:37:10.406086 | 2025-10-07 20:33:25.637997 |