API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-29 07:07:17.847547 | 2025-10-30 00:36:44.265768 | 14023294 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 14023294 | Athletic Physical Therapy Inc | 2008-04-21 | 2025-10-30 | M | AE | PT | BERMUDEZ | 000019836525 | RAFAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.130223390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6721942/check_14023294_411509a9-0796-4a22-9c6c-32f6528175af.json | N/A | N/A | N/A | N/A | N/A | 000019836525 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 2008-04-21 | 4327748 | 226977 | N/A | N/A | false | BERMUDEZ | N/A | RAFAEL | N/A | N/A | N/A | MEDI-CAL LA CARE HEALTH PLAN ADULT AND FAMILY LTSS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9141734574 | N/A | N/A | 6721942 | 2222 | 4793 | 14320736 | N/A | 5322280 | 2025-10-30 00:36:44.265768 | 2025-07-01 21:45:15.878047 |
| 2025-10-29 07:07:11.250466 | 2025-10-30 00:38:32.400290 | 14023060 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14023060 | Athletic Physical Therapy Inc | 1968-10-03 | 2025-10-31 | M | PT | N/A | RAMIREZ | Z7M7740597AB | CESAR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.130136425.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9729132/check_14023060_90cad0f9-a1ee-45bb-9b13-72d596e04562.json | N/A | N/A | N/A | N/A | N/A | Z7M7740597AB | Preferred Provider Organization (PPO) | HI DED LOWER FAMILY ONLY | ANTHEM BLUE CROSS | N/A | 1968-10-03 | 241 | L11957M003 | N/A | PR | false | RAMIREZ | N/A | CESAR | N/A | 9999-12-31 | 2025-01-01 | PPO WITH MO BLUE ACCESS CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9141718234 | N/A | N/A | 9729132 | 2222 | 4801 | 14322902 | N/A | 8145241 | 2025-10-30 00:38:32.400290 | 2025-09-25 17:51:33.170014 |
| 2025-10-29 07:06:59.544385 | 2025-10-30 00:38:32.050377 | 14022538 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14022538 | Athletic Physical Therapy Inc | 1980-07-01 | 2025-10-31 | M | PT | N/A | Moreno jr | VDHE01043007 | Hector | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.130136425.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9691081/check_14022538_e1a70dd6-e0da-4f03-bb75-73ba6338e9c4.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 | 9141717423 | N/A | N/A | 9691081 | 2222 | 4801 | 14322892 | N/A | 8110015 | 2025-10-30 00:38:32.050377 | 2025-10-05 15:24:30.421551 |
| 2025-10-29 07:06:55.533409 | 2025-10-30 00:38:21.070478 | 14022367 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14022367 | Athletic Physical Therapy Inc | 1961-03-12 | 2025-10-31 | F | PT | N/A | MCNUTT | XED904914958 | YOLANDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.130223390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6668755/check_14022367_c41a2c2a-9804-4051-aaf7-1d321e05dfac.json | N/A | N/A | N/A | N/A | N/A | XED904914958 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-03-12 | 2001ZK002184 | X0001004 | N/A | PR | false | FERNANDEZ-MCNUTT | N/A | YOLANDA | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9141735868 | N/A | N/A | 6668755 | 2222 | 4801 | 14322698 | N/A | 5282877 | 2025-10-30 00:38:21.070478 | 2025-07-01 15:56:36.473431 |
| 2025-10-29 07:06:52.965864 | 2025-10-30 00:42:39.919693 | 14022262 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14022262 | Athletic Physical Therapy Inc | 1941-12-12 | 2025-10-30 | M | AE | PT | ABARTA | 1KM2G22MJ15 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.130037436.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9929496/check_14022262_27c1771b-53e6-4c0c-8fb7-b9db2ea9d234.json | N/A | N/A | N/A | N/A | N/A | 1KM2G22MJ15 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-12-12 | S5617 | N/A | N/A | MA | false | ABARTA | N/A | STEVE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9141711232 | N/A | N/A | 9929496 | 2222 | 4801 | 14326550 | N/A | 8313339 | 2025-10-30 00:42:39.919693 | 2025-10-02 18:29:23.013167 |
| 2025-10-29 07:06:46.462452 | 2025-10-30 00:46:03.767913 | 14021985 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14021985 | Athletic Physical Therapy Inc | 1959-02-04 | 2025-10-31 | F | AE | PT | SMITS | 9TF8JW2XU20 | HEIDI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.130136425.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681583/check_14021985_3a4eb500-b749-4cdd-bcd8-615b41a0b0f8.json | N/A | N/A | N/A | N/A | N/A | 9TF8JW2XU20 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-04 | S4802 | N/A | N/A | MB | false | SMITS | N/A | HEIDI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9141718533 | N/A | N/A | 9681583 | 2222 | 4793 | 14328292 | N/A | 8101289 | 2025-10-30 00:46:03.767913 | 2025-09-24 17:05:46.431721 |
| 2025-10-29 07:06:18.912475 | 2025-10-29 07:06:21.981041 | 14020810 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-02-25 | 2025-10-29 | F | PT | N/A | GIANNE | XED910762094 | NATALIE | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7994545/check_14020810_75265ba2-9c62-4642-a7ef-7ccf94f690ed.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_14020810_61b93647-ccbf-45aa-a291-0a10686f64e7.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | 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 | 9141513914 | N/A | N/A | 7994545 | 2222 | N/A | 14293999 | N/A | 6802250 | 2025-10-29 07:06:21.981041 | 2025-08-11 23:58:28.358402 |
| 2025-10-29 07:06:18.856967 | 2025-10-30 00:49:51.809656 | 14020808 | N/A | N/A | 60054 | Aetna | 1114042165 | 14020808 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-10-31 | F | AE | PT | SHAKIB | 101129457200 | PARI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.130217120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444723/check_14020808_0a85dfe3-838c-41e5-a59a-aecf83d4efc8.json | N/A | N/A | N/A | N/A | N/A | 101129457200 | Qualified Medicare Beneficiary | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1952-05-04 | 000003-CA000058 | 000003-CA | N/A | QM | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9141729155 | N/A | N/A | 7444723 | 2222 | 4802 | 14329605 | N/A | 6395498 | 2025-10-30 00:49:51.809656 | 2026-02-18 02:38:35.073779 |
| 2025-10-29 07:06:06.170338 | 2025-10-30 00:36:58.183561 | 14020275 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14020275 | Athletic Physical Therapy Inc | 1980-05-13 | 2025-10-31 | M | PT | N/A | NAGLE | KXJ244M92832 | JOHN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.130126458.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10346380/check_14020275_09820c93-010a-42e2-bfa5-18f3be6db34a.json | N/A | N/A | N/A | N/A | N/A | KXJ244M92832 | Health Maintenance Organization (HMO) | WILSHIRE ADVISORS LLC | ANTHEM BLUE CROSS | N/A | 1980-05-13 | 040 | 281520H004 | N/A | HM | false | NAGLE | N/A | JOHN | N/A | 9999-12-31 | 2025-01-01 | CLASSIC SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9141712472 | N/A | N/A | 10346380 | 2222 | 4793 | 14321077 | N/A | 8612743 | 2025-10-30 00:36:58.183561 | 2025-10-15 21:28:55.332672 |
| 2025-10-29 07:05:53.212824 | 2025-10-30 00:36:34.215581 | 14019677 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 14019677 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-10-31 | F | AE | PT | SHAKIB | 95751543E35181 | PARI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.124710460.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7561654/check_14019677_81339f19-a14d-4b0b-b6ce-227524df6329.json | N/A | N/A | N/A | N/A | N/A | 95751543E35181 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1952-05-04 | N/A | N/A | N/A | N/A | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9141680557 | N/A | N/A | 7561654 | 2222 | 4802 | 14320531 | N/A | 6395498 | 2025-10-30 00:36:34.215581 | 2026-02-18 02:38:35.073779 |
| 2025-10-29 07:05:27.049998 | 2025-10-29 07:06:13.614464 | 14018153 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-04-25 | 2025-10-29 | F | PT | N/A | HASERJIAN | XED912403581 | RENEE | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542222/check_14018153_2676cc0d-03e6-428c-813b-1c855e5c0eff.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542222/check_14018153_07119cc1-7a33-45cc-9be1-9e3d9f748a9d.json | N/A | N/A | N/A | N/A | N/A | XED912403581 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1983-04-25 | 2001ZK002169 | X0001004 | N/A | PR | false | HASERJIAN | N/A | RENEE | N/A | 9999-12-31 | 2025-01-01 | GOLD 80 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9141509312 | N/A | N/A | 5542222 | 2222 | N/A | 14293950 | N/A | 4214148 | 2025-10-29 07:06:13.614464 | 2025-05-13 04:29:37.228475 |
| 2025-10-29 07:05:26.718664 | 2025-10-29 07:06:13.405443 | 14018135 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-05-29 | 2025-10-29 | F | PT | N/A | KURTZ | XED906231353 | NINA | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541378/check_14018135_87768c2b-7250-4e9c-a18c-43b77d3cb580.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541378/check_14018135_92a5681e-b87a-4106-8272-a9aa94a67e45.json | N/A | N/A | N/A | N/A | N/A | XED906231353 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-05-29 | 2001ZK002169 | X0001004 | N/A | PR | false | KURTZ | N/A | NINA | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9141509289 | N/A | N/A | 5541378 | 2222 | N/A | 14293948 | N/A | 4213405 | 2025-10-29 07:06:13.405443 | 2025-05-13 04:29:37.227726 |
| 2025-10-29 07:05:26.694528 | 2025-10-30 00:40:59.888353 | 14018133 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14018133 | Athletic Physical Therapy Inc | 1959-06-14 | 2025-10-30 | M | AE | PT | HARRIS | 7UY6V94YV64 | SCOTT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.130156827.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11400164/check_14018133_294509d3-1c9e-4af1-8b35-e3a21c38343c.json | N/A | N/A | N/A | N/A | N/A | 7UY6V94YV64 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-06-14 | S5617 | N/A | N/A | MA | false | HARRIS | N/A | SCOTT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9141713894 | N/A | N/A | 11400164 | 2222 | 4793 | 14324915 | N/A | 9497887 | 2025-10-30 00:40:59.888353 | 2025-10-20 16:22:35.728267 |
| 2025-10-29 07:05:15.434260 | 2025-10-30 00:35:07.238925 | 14017516 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14017516 | Athletic Physical Therapy Inc | 1959-06-14 | 2025-10-30 | M | AE | PT | HARRIS | XEM913253164 | SCOTT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.124710460.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11150382/check_14017516_21148053-4763-4d7e-a3a2-c665f3f8d650.json | N/A | N/A | N/A | N/A | N/A | XEM913253164 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1959-06-14 | 2002SE000030 | X0001002 | N/A | OT | false | HARRIS | N/A | SCOTT | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9141680383 | N/A | N/A | 11150382 | 2222 | 4793 | 14318533 | N/A | 9497887 | 2025-10-30 00:35:07.238925 | 2025-10-20 16:22:35.728267 |
| 2025-10-29 07:05:12.563809 | 2025-10-30 00:34:49.087978 | 14017365 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14017365 | Athletic Physical Therapy Inc | 1957-06-17 | 2025-10-31 | F | AE | PT | CHASE | MBL232W16570 | MELINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.124710460.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11108318/check_14017365_91a9f253-fc07-4a98-8634-0328fa5250b9.json | N/A | N/A | N/A | N/A | N/A | MBL232W16570 | N/A | UNITED FOOD AND COMMERCIAL WORKERS UNIONS | ANTHEM BLUE CROSS | N/A | 1957-06-17 | 040 | CAEGR014 | N/A | N/A | false | CHASE | N/A | MELINDA | N/A | 9999-12-31 | 2023-03-01 | CA GRS UFCW UNION H4036-802 ANTHEM MED PREF MA 25P | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9141680335 | N/A | N/A | 11108318 | 2222 | 4801 | 14318104 | N/A | 9458434 | 2025-10-30 00:34:49.087978 | 2025-10-17 17:38:01.801720 |
| 2025-10-29 07:05:08.757576 | 2025-10-30 00:53:30.720792 | 14017162 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14017162 | Athletic Physical Therapy Inc | 1946-08-26 | 2025-10-31 | M | AE | PT | ROTHMAN | XEM909022493 | MIKE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.130217120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536206/check_14017162_7934a712-9175-4f12-988a-41685ce79e33.json | N/A | N/A | N/A | N/A | N/A | XEM909022493 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1946-08-26 | 2002SF000029 | X0001002 | N/A | OT | false | ROTHMAN | N/A | MIKE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9141726013 | N/A | N/A | 5536206 | 2222 | 4801 | 14330279 | N/A | 4208978 | 2025-10-30 00:53:30.720792 | 2025-05-13 04:29:37.223404 |
| 2025-10-29 07:05:04.462435 | 2025-10-30 00:44:14.806560 | 14016936 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14016936 | Athletic Physical Therapy Inc | 1960-03-22 | 2025-10-30 | F | AE | PT | ROUSHANBAKHSH | 4M68ME8GE50 | FOROUGH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.130126458.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10259566/check_14016936_47178f98-2019-4508-885f-270a20329347.json | N/A | N/A | N/A | N/A | N/A | 4M68ME8GE50 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-03-22 | S4802 | N/A | N/A | MB | false | ROUSHANBAKHSH | N/A | FOROUGH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9141715587 | N/A | N/A | 10259566 | 2222 | 4802 | 14327619 | N/A | 4213281 | 2025-10-30 00:44:14.806560 | 2025-05-13 04:29:37.227606 |
| 2025-10-29 07:04:58.181663 | 2025-10-30 00:36:33.917069 | 14016620 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 14016620 | Athletic Physical Therapy Inc | 1953-05-21 | 2025-10-31 | M | AE | PT | DAVILA | 96682470F | RAY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.124710460.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10365901/check_14016620_706421a4-167c-4bf3-a28b-585bf9f833af.json | N/A | N/A | N/A | N/A | N/A | 96682470F | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1953-05-21 | N/A | N/A | N/A | N/A | false | DAVILA | N/A | RAY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9141679978 | N/A | N/A | 10365901 | 2222 | 4793 | 14320524 | N/A | 8628911 | 2025-10-30 00:36:33.917069 | 2025-10-13 20:36:48.387301 |
| 2025-10-29 07:04:52.298838 | 2025-10-30 00:34:43.271900 | 14016345 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 14016345 | Athletic Physical Therapy Inc | 1960-03-22 | 2025-10-30 | F | AE | PT | ROUSHANBAKHSH | 92849351F | FOROUGH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.124710460.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10259678/check_14016345_6c808a78-5acc-4bb0-960e-0472eb98819e.json | N/A | N/A | N/A | N/A | N/A | 92849351F | N/A | N/A | HEALTH NET, LLC | N/A | 1960-03-22 | N/A | N/A | N/A | N/A | false | ROUSHANBAKHSH | N/A | FOROUGH | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9141680263 | N/A | N/A | 10259678 | 2222 | 4802 | 14317967 | N/A | 4213281 | 2025-10-30 00:34:43.271900 | 2025-05-13 04:29:37.227606 |
| 2025-10-29 07:04:43.651739 | 2025-10-30 00:33:35.849478 | 14015958 | N/A | N/A | 60054 | Aetna | 1114042165 | 14015958 | Athletic Physical Therapy Inc | 1992-06-11 | 2025-10-31 | M | AE | PT | ROSS | W292476869 | BRYAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.130223390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993949/check_14015958_8cf2c962-daa3-478d-944b-1b42f1a7a4da.json | N/A | N/A | N/A | N/A | N/A | W292476869 | Point of Service (POS) | PAYCHEX BUSINESS SOLUTIONS, LLC. | AETNA | N/A | 1992-06-11 | 0176563 | 017656301200042 | N/A | PS | false | ROSS | N/A | BRYAN | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9141736442 | N/A | N/A | 5993949 | 2222 | 4793 | 14316489 | N/A | 4642881 | 2025-10-30 00:33:35.849478 | 2025-06-06 02:27:19.212061 |
| 2025-10-29 07:04:35.111266 | 2025-10-30 00:32:45.557594 | 14015558 | N/A | N/A | 60054 | Aetna | 1114042165 | 14015558 | Athletic Physical Therapy Inc | 1976-03-18 | 2025-10-31 | M | AE | PT | SEEMAN | W290664045 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.130126458.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10208244/check_14015558_8587efc0-0cf5-4e42-84ce-b07dd77ec300.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 | 9141712315 | N/A | N/A | 10208244 | 2222 | 4801 | 14315335 | N/A | 8500669 | 2025-10-30 00:32:45.557594 | 2025-10-08 23:15:42.079175 |
| 2025-10-29 07:04:02.075217 | 2025-10-30 00:31:16.271471 | 14014189 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 14014189 | Athletic Physical Therapy Inc | 1941-12-12 | 2025-10-30 | M | AE | PT | ABARTA | 03851837911 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.124710460.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9929497/check_14014189_bfbf1d81-2071-4ca3-9e05-ea49eb5d9d77.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 | 9141680395 | N/A | N/A | 9929497 | 2222 | 4801 | 14314087 | N/A | 8313339 | 2025-10-30 00:31:16.271471 | 2025-10-02 18:29:23.013167 |
| 2025-10-29 07:03:54.992000 | 2025-10-30 00:38:39.470882 | 14013954 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14013954 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-10-30 | F | PT | N/A | GIANNE | XED910762094 | NATALIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.130225698.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_14013954_74f6d8a1-fa60-4d42-9dc4-45a23a7105b8.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 9999-12-31 | 2021-09-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9141729397 | N/A | N/A | 7994545 | 2222 | 4802 | 14323024 | N/A | 6802250 | 2025-10-30 00:38:39.470882 | 2025-08-11 23:58:28.358402 |
| 2025-10-29 07:03:53.756013 | 2025-10-30 00:37:52.044058 | 14013909 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 14013909 | Athletic Physical Therapy Inc | 1971-05-04 | 2025-10-31 | F | PT | N/A | MAHAARACHCHI | EXHAN7912598 | MELONY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.130225698.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7988722/check_14013909_f6964c67-024e-4f46-bb5c-90720246dc74.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1971-05-04 | N/A | N/A | N/A | N/A | false | MAHAARACHCHI | N/A | MELONY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9141729393 | N/A | N/A | 7988722 | 2222 | 4793 | 14322206 | N/A | 6798209 | 2025-10-30 00:37:52.044058 | 2025-10-29 15:15:17.952230 |
| 2025-10-29 07:03:50.101243 | 2025-10-30 00:33:36.180665 | 14013803 | N/A | N/A | 60054 | Aetna | 1114042165 | 14013803 | Athletic Physical Therapy Inc | 1961-11-04 | 2025-10-31 | F | AE | PT | SANTITORO | W267422430 | SARAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.130223390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550743/check_14013803_ff7890bf-6faa-4f1b-9c65-d32a93915208.json | N/A | N/A | N/A | N/A | N/A | W267422430 | Point of Service (POS) | CIENA CORPORATION | AETNA | N/A | 1961-11-04 | 0486875 | 048687501000001 | N/A | PS | false | SANTITORO | N/A | RALPH | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9141735486 | N/A | N/A | 5550743 | 2222 | 4801 | 14316500 | N/A | 4219643 | 2025-10-30 00:33:36.180665 | 2025-05-13 04:29:37.230685 |
| 2025-10-29 07:03:49.799056 | 2025-10-30 00:38:22.117868 | 14013792 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14013792 | Athletic Physical Therapy Inc | 1961-10-06 | 2025-10-31 | F | PT | N/A | SMITH | XED910117839 | DEANNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.130223390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549692/check_14013792_579860a1-f6f8-434f-9e02-c9e0b74a1c59.json | N/A | N/A | N/A | N/A | N/A | XED910117839 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-10-06 | 2001ZK002184 | X0001004 | N/A | PR | false | SMITH | N/A | ADRIAN | N/A | 9999-12-31 | 2021-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9141735485 | N/A | N/A | 5549692 | 2222 | 4801 | 14322716 | N/A | 4219305 | 2025-10-30 00:38:22.117868 | 2025-09-16 17:28:21.311815 |
| 2025-10-29 07:03:49.552744 | 2025-10-30 00:36:57.397587 | 14013787 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14013787 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-10-31 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.130223390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_14013787_4f2a4af1-0b50-4e67-aadc-83fe4cb6d5fd.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9141735484 | N/A | N/A | 5549317 | 2222 | 4801 | 14321059 | N/A | 4219010 | 2025-10-30 00:36:57.397587 | 2026-01-09 18:32:07.618867 |
| 2025-10-29 07:03:49.222774 | 2025-10-30 00:32:35.004101 | 14013779 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | 14013779 | Athletic Physical Therapy Inc | 1965-07-05 | 2025-10-31 | F | PT | N/A | CEJA | XEH903796659 | PATRICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.130223390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549285/check_14013779_8abfa4d7-f423-46c5-b97d-c58c8312d55a.json | N/A | N/A | N/A | N/A | N/A | XEH903796659 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1965-07-05 | N/A | N/A | N/A | N/A | false | CEJA | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9141735482 | N/A | N/A | 5549285 | 2222 | 4801 | 14315118 | N/A | 4218983 | 2025-10-30 00:32:35.004101 | 2025-05-13 04:29:37.230000 |
| 2025-10-29 07:03:48.498246 | 2025-10-30 00:32:35.322714 | 14013757 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 14013757 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-10-31 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.130223390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_14013757_097dc281-da4d-4da7-9541-da71daf19923.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-03-27 | N/A | N/A | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9141735479 | N/A | N/A | 5543270 | 2222 | 4793 | 14315127 | N/A | 4215086 | 2025-10-30 00:32:35.322714 | 2025-05-13 04:29:37.229401 |
| 2025-10-29 07:03:48.246432 | 2025-10-30 00:36:12.013859 | 14013751 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14013751 | Athletic Physical Therapy Inc | 1979-11-17 | 2025-10-31 | F | AE | PT | WOODS | 96781627F | JESSICA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.130223390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542752/check_14013751_cc116b4d-309d-4dff-8ffe-dc0e28ededde.json | N/A | N/A | N/A | N/A | N/A | 96781627F | N/A | N/A | HEALTH NET, LLC | N/A | 1979-11-17 | N/A | N/A | N/A | N/A | false | WOODS | N/A | JESSICA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9141735478 | N/A | N/A | 5542752 | 2222 | 4793 | 14320029 | N/A | 4214627 | 2025-10-30 00:36:12.013859 | 2025-06-23 18:58:46.304598 |
| 2025-10-29 07:03:47.992638 | 2025-10-30 00:36:11.556471 | 14013744 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 14013744 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-10-31 | F | AE | PT | CHERE | 98953535F | DIANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.130223390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_14013744_a61bc398-3126-4874-824e-e53d56876a0a.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9141735476 | N/A | N/A | 5542660 | 2222 | 4802 | 14320022 | N/A | 4214542 | 2025-10-30 00:36:11.556471 | 2025-05-13 04:29:37.228868 |
| 2025-10-29 07:03:47.605120 | 2025-10-30 00:36:57.092452 | 14013732 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14013732 | Athletic Physical Therapy Inc | 2009-08-02 | 2025-10-31 | F | PT | N/A | KUZMICZ | LFYHCU059374 | AUDREY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.130223390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541748/check_14013732_d17b0893-ebce-4df1-bbc6-33c8fffd9d04.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 | 9141735475 | N/A | N/A | 5541748 | 2222 | 4801 | 14321052 | N/A | 4213741 | 2025-10-30 00:36:57.092452 | 2025-10-10 22:38:21.840610 |
| 2025-10-29 07:03:47.105446 | 2025-10-30 00:38:21.715427 | 14013721 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 14013721 | Athletic Physical Therapy Inc | 1997-07-14 | 2025-10-31 | M | PT | N/A | SHERBETJIAN | XED910281081 | JACK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.130223390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540558/check_14013721_87bafe9b-e8bc-40b6-953b-30311208c23f.json | N/A | N/A | N/A | N/A | N/A | XED910281081 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-14 | 2001ZK002184 | X0001004 | N/A | PR | false | SHERBETJIAN | N/A | JACK | N/A | 9999-12-31 | 2021-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9141735473 | N/A | N/A | 5540558 | 2222 | 4801 | 14322710 | N/A | 4212698 | 2025-10-30 00:38:21.715427 | 2025-05-13 04:29:37.227042 |
| 2025-10-29 07:03:46.762897 | 2025-10-30 00:36:56.733033 | 14013711 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14013711 | Athletic Physical Therapy Inc | 1980-04-11 | 2025-10-31 | M | PT | N/A | Hurst | JQY695A75359 | Gregory | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.130223390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539085/check_14013711_723adfbd-dfdb-496a-b38d-9a9d83ebccd1.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 | 9141735472 | N/A | N/A | 5539085 | 2222 | 4793 | 14321039 | N/A | 4211408 | 2025-10-30 00:36:56.733033 | 2025-09-18 00:42:48.586801 |
| 2025-10-29 07:03:46.445376 | 2025-10-30 00:36:58.075582 | 14013702 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 14013702 | Athletic Physical Therapy Inc | 1964-10-19 | 2025-10-31 | M | PT | N/A | NIELSEN | XDP057A76330 | ROY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.130223390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537188/check_14013702_1ed76a68-f0a2-4390-a4f8-59b08ed3ae2b.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629MN16 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 2025-11-01 | 2025-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9141735469 | N/A | N/A | 5537188 | 2222 | 4802 | 14321073 | N/A | 4209789 | 2025-10-30 00:36:58.075582 | 2025-05-13 04:29:37.224215 |
| 2025-10-29 07:03:46.158164 | 2025-10-30 00:43:32.478134 | 14013693 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14013693 | Athletic Physical Therapy Inc | 1946-08-26 | 2025-10-31 | M | AE | PT | ROTHMAN | 6H65JC7UD67 | MIKE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.130223390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536194/check_14013693_2491a6f3-fedc-46c3-a7da-8f95312e52f3.json | N/A | N/A | N/A | N/A | N/A | 6H65JC7UD67 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-08-26 | S4802 | N/A | N/A | MA | false | ROTHMAN | N/A | MIKE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9141735468 | N/A | N/A | 5536194 | 2222 | 4801 | 14327262 | N/A | 4208978 | 2025-10-30 00:43:32.478134 | 2025-05-13 04:29:37.223404 |
| 2025-10-29 07:03:45.830577 | 2025-10-30 00:43:33.352485 | 14013685 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 14013685 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-10-31 | M | AE | PT | ULLMAN | 3A76X26KQ40 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.130223390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535838/check_14013685_f0fcc1e3-1492-4ced-8ca8-1e632c43b09e.json | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9141735466 | N/A | N/A | 5535838 | 2222 | 4801 | 14327272 | N/A | 4208696 | 2025-10-30 00:43:33.352485 | 2025-06-07 16:16:45.844566 |
| 2025-10-29 07:03:45.572386 | 2025-10-30 00:36:13.473120 | 14013678 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 14013678 | Athletic Physical Therapy Inc | 1952-12-16 | 2025-10-31 | F | AE | PT | PORTER | 400282215401 | SHERIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251029.130223390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535434/check_14013678_63c140ec-bc39-4573-8848-ad6dcbfaca33.json | N/A | N/A | N/A | N/A | N/A | 40028215401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-12-16 | 2025H5425001 | H5425M | N/A | N/A | false | PORTER | N/A | SHERIL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9141735464 | N/A | N/A | 5535434 | 2222 | 4793 | 14320064 | N/A | 4208356 | 2025-10-30 00:36:13.473120 | 2025-08-25 14:49:27.724897 |
| 2025-10-29 06:09:08.691747 | 2025-10-29 06:09:12.104083 | 14011931 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2025-10-22 | N/A | PT | AE | ULLMAN | 8HC8F35AX50 | DAVID | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543201/check_14011931_602555ee-ee33-48fd-b262-6c55a3c251e2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543201/check_14011931_067b01b4-b6aa-422a-82c1-125e7550a4f1.json | N/A | N/A | N/A | N/A | N/A | 8HC8F35AX50 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-24 | S5921 | N/A | N/A | MA | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9141333233 | 1275 | N/A | 5543201 | 2222 | N/A | 14293028 | N/A | 4215026 | 2025-10-29 06:09:12.104083 | 2025-06-07 16:16:41.178119 |
| 2025-10-29 06:08:53.991156 | 2025-10-29 06:08:55.889778 | 14011921 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1935-11-26 | 2025-10-21 | N/A | PT | AE | MCCANN | 2CP5YA9YE63 | JOSEPHINE | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9906368/check_14011921_289b0993-ff4e-47d6-8897-8833c16b0032.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9906368/check_14011921_648e45bd-8d64-46cb-8015-76cafbb6fe94.json | N/A | N/A | N/A | N/A | N/A | 2CP5YA9YE63 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1935-11-26 | S5884 | N/A | N/A | MA | false | MCCANN | N/A | JOSEPHINE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9141330363 | 1275 | N/A | 9906368 | 2222 | N/A | 14293017 | N/A | 6609924 | 2025-10-29 06:08:55.889778 | 2025-08-12 22:04:05.464362 |
| 2025-10-29 04:35:58.420511 | 2025-10-29 04:36:00.738847 | 14010951 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-09-06 | 2025-10-31 | F | AE | PT | OLIVER | 946483728 | FIONA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/11459502/check_14010951_ff4740c6-0fd6-44fa-9dc2-92b05a9474ab.json | UHC | N/A | INSIGHTS | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11459502/check_14010951_af34f370-e456-4df5-b5e6-bf7040ef20ab.json | N/A | N/A | N/A | N/A | N/A | 946483728 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 2005-09-06 | N/A | 182563 | N/A | C1 | false | OLIVER | N/A | FIONA | N/A | N/A | N/A | POS CHOICE PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11459502 | 2222 | N/A | 14292062 | N/A | 9709200 | 2025-10-29 04:36:00.738847 | 2025-10-31 23:42:27.621107 |
| 2025-10-28 20:59:32.929799 | 2025-10-28 20:59:34.980293 | 14008711 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-12-13 | 2025-10-28 | F | PT | N/A | ASSENGA | TWA295A70455 | NANCY | 3937 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542618/check_14008711_e6943d64-c42b-487b-b275-1403addb926b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542618/check_14008711_4b840b6a-e006-4cdb-91e0-765b9c557700.json | N/A | N/A | N/A | N/A | N/A | TWA295A70455 | N/A | N/A | AETNA | N/A | 1975-12-13 | 0846522 | 084652202300182 | N/A | N/A | false | ASSENGA | N/A | NANCY | N/A | N/A | N/A | OPEN CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9137223228 | 163852 | N/A | 5542618 | 2222 | N/A | 14265277 | N/A | 4214504 | 2025-10-28 20:59:34.980293 | 2025-05-13 04:29:37.228820 |
| 2025-10-28 18:53:12.014917 | 2025-10-28 18:53:16.958471 | 14007215 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | N/A | Athletic Physical Therapy Inc | 1938-06-16 | 2025-10-15 | F | AE | PT | PICTAGGI | H55396193 | CATHERINE | 5349 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9857449/check_14007215_aa529e2c-5885-4d65-bd00-247d9c09a6fe.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9857449/check_14007215_f23f2342-939c-4324-b256-e624db5b261a.json | N/A | N/A | N/A | N/A | N/A | H55396193 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 695 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1938-06-16 | N/A | 0B515001 | N/A | HN | false | PICTAGGI | N/A | CATHERINE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9135557859 | 9339 | N/A | 9857449 | 2222 | N/A | 14263492 | N/A | 8253075 | 2025-10-28 18:53:16.958471 | 2025-10-15 20:09:42.730489 |
| 2025-10-28 18:12:37.650008 | 2025-10-28 18:12:42.579159 | 14006721 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-02-02 | 2025-10-30 | F | AE | PT | CORNEL | 40037363901 | GLORIA | 23307 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11111720/check_14006721_d51fc790-f7d1-49cc-afbe-de2baca9a990.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11111720/check_14006721_1fc61719-aa81-40f1-a28d-f9621d1471b7.json | N/A | N/A | N/A | N/A | N/A | 40037363901 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1954-02-02 | 2025H5425001 | H5425M | N/A | N/A | false | CORNEL | N/A | GLORIA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9135059772 | N/A | N/A | 11111720 | 2222 | N/A | 14262933 | N/A | 9461873 | 2025-10-28 18:12:42.579159 | 2025-10-28 18:04:57.630831 |
| 2025-10-28 17:49:01.235258 | 2025-10-28 17:49:03.233156 | 14006422 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-08-17 | 2025-10-28 | M | PT | N/A | ALVAREZ ESTRADA | JQW310W11853 | ATANASIO | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11106877/check_14006422_7ea2d8f5-f048-4705-9358-7944ea0749cd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11106877/check_14006422_998c24c2-2bcd-4e15-ac70-76cc4738395a.json | N/A | N/A | N/A | N/A | N/A | JQW310W11853 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1945-08-17 | 040 | CAMCRWP0 | N/A | MP | false | ALVAREZ ESTRADA | N/A | ATANASIO | N/A | 2025-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9134801492 | 163852 | N/A | 11106877 | 2222 | N/A | 14262598 | N/A | 9457324 | 2025-10-28 17:49:03.233156 | 2025-10-17 17:07:00.205619 |
| 2025-10-28 17:30:48.522297 | 2025-10-28 17:30:52.392062 | 14006199 | N/A | N/A | 61101 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-12-17 | 2025-10-29 | F | AE | PT | RIGGS | H6792045400 | MELINDA | 23309 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11057246/check_14006199_e9605cf6-22e6-49e5-aa43-04200df13df4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11057246/check_14006199_865272e6-5ccf-43f2-bc39-f790f45c8e62.json | N/A | N/A | N/A | N/A | N/A | H67920454 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1953-12-17 | N/A | 0B527001 | N/A | HN | false | RIGGS | N/A | MELINDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9134559870 | N/A | N/A | 11057246 | 2222 | N/A | 14262354 | N/A | 9416589 | 2025-10-28 17:30:52.392062 | 2025-10-28 17:19:00.684003 |
| 2025-10-28 17:02:21.163297 | 2025-10-28 17:02:23.353077 | 14005343 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-09-07 | 2025-10-28 | F | AE | PT | SHIBUYA | 9CP3FJ2AU75 | LINDA | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11087596/check_14005343_bde7b4b6-34ff-4834-a764-638b3afbca6a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11087596/check_14005343_59923192-7925-4d99-a93d-e3479c46f9a9.json | N/A | N/A | N/A | N/A | N/A | 9CP3FJ2AU75 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-09-07 | S4802 | N/A | N/A | MB | false | SHIBUYA | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9134175961 | N/A | N/A | 11087596 | 2222 | N/A | 14261503 | N/A | 9440436 | 2025-10-28 17:02:23.353077 | 2025-10-28 16:54:37.049151 |
| 2025-10-28 15:13:30.594714 | 2025-10-28 15:13:37.824836 | 14004035 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1967-03-14 | 2025-10-20 | M | PT | AE | LI | AXV813538866 | ZHENG | 4197 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9282316/check_14004035_09fd9652-f212-4d80-ab8f-74b73bc53b65.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9282316/check_14004035_a68738c4-3cd4-4605-9f49-08bf32bc905a.json | N/A | N/A | N/A | N/A | N/A | AXV813538866 | Preferred Provider Organization (PPO) | M75 ABBVIE ACTIVE PPO PLUS | CUSTOMER SERVICE | N/A | 1967-03-14 | N/A | 778092 | N/A | PR | false | SONG | N/A | JIU LI | N/A | 9999-12-31 | 2025-08-12 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9132774518 | 7691 | N/A | 9282316 | 2222 | N/A | 14260023 | N/A | 7790962 | 2025-10-28 15:13:37.824836 | 2025-09-10 20:25:23.128175 |
| 2025-10-28 15:10:24.887851 | 2025-10-28 15:10:31.888991 | 14003996 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-10-21 | 2025-10-21 | M | PT | AE | TOROS | SAD10359446700 | HALIL | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10015096/check_14003996_c7f622db-d201-4f94-acd6-5362b9cfdd8b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10015096/check_14003996_8d90dd01-90a3-4651-94df-8ac87d8c3ec9.json | N/A | N/A | N/A | N/A | N/A | SAD10359446700 | Preferred Provider Organization (PPO) | SAS INSTITUTE INC. | BLUE SHIELD OF CALIFORNIA | N/A | 1956-10-21 | FACETS | 14163533 | N/A | PR | false | TOROS | N/A | HALIL | N/A | 2025-12-31 | 2025-01-01 | BLUE OPTIONS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9132732461 | 7691 | N/A | 10015096 | 2222 | N/A | 14259981 | N/A | 6723602 | 2025-10-28 15:10:31.888991 | 2025-08-12 18:22:41.461515 |
| 2025-10-28 09:31:07.746022 | 2025-10-28 09:31:12.654420 | 14001445 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-01-09 | 2025-10-22 | N/A | PT | AE | MEISTER | 000004042289 | JACQUELINE | 5505 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6518751/check_14001445_5784ed1e-b479-4807-ab30-1494a98d49b8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6518751/check_14001445_428c3c68-387f-4d8c-a744-14c5277108b5.json | N/A | N/A | N/A | N/A | N/A | 000004042289 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1958-01-09 | 4319864 | 101877 | N/A | N/A | false | MEISTER | N/A | JACQUELINE | N/A | N/A | N/A | CONEJO VALLEY UNIFIED SCHOOL DISTRICT CONEJO VALLE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9129179432 | 1275 | N/A | 6518751 | 2222 | N/A | 14256743 | N/A | 4766789 | 2025-10-28 09:31:12.654420 | 2025-06-04 04:12:38.642669 |