API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-28 07:10:29.280470 | 2025-10-29 02:35:58.067747 | 13989440 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13989440 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-10-31 | F | PT | JAIN | XEK909304497 | SUPARNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542952/check_13989440_f5d01d38-e0f2-43c0-8aed-6b3ede558615.json | N/A | N/A | N/A | N/A | N/A | XEK909304497 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-01-24 | 2001ZK002189 | X0001000 | N/A | PR | false | JAIN | N/A | SUPARNA | N/A | 9999-12-31 | 2019-09-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9128690891 | N/A | N/A | 5542952 | 2222 | 4802 | 14288262 | N/A | 4214804 | 2025-10-29 02:35:58.067747 | 2025-05-13 20:09:53.786482 |
| 2025-10-28 07:10:29.135308 | 2025-10-29 02:32:10.218481 | 13989438 | N/A | N/A | 60054 | Aetna | 1114042165 | 13989438 | Athletic Physical Therapy Inc | 1997-05-24 | 2025-10-31 | M | AE | DIAZ | W290801952 | SHAWN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542855/check_13989438_74cb0531-2e6e-4fba-85c7-a7c93788283c.json | N/A | N/A | N/A | N/A | N/A | W290801952 | Point of Service (POS) | OMNICOM BENEFITS INC. | AETNA | N/A | 1997-05-24 | 0247086 | 024708602300010 | N/A | PS | false | DIAZ | N/A | SHAWN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9128690890 | N/A | N/A | 5542855 | 2222 | 4802 | 14286293 | N/A | 4214719 | 2025-10-29 02:32:10.218481 | 2025-05-13 04:29:37.229037 |
| 2025-10-28 07:10:28.993001 | 2025-10-29 02:34:49.343830 | 13989432 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13989432 | Athletic Physical Therapy Inc | 2007-12-08 | 2025-10-30 | F | AE | LARSEN | R06053944FD1 | LANA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542850/check_13989432_e7eaac94-8181-456f-aa29-4348f7ca7971.json | N/A | N/A | N/A | N/A | N/A | R06053944FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2007-12-08 | N/A | N/A | N/A | N/A | false | LARSEN | N/A | LANA | N/A | N/A | N/A | MGY COMHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9128690889 | N/A | N/A | 5542850 | 2222 | 4793 | 14287674 | N/A | 4214714 | 2025-10-29 02:34:49.343830 | 2025-05-13 04:29:37.229031 |
| 2025-10-28 07:10:28.831683 | 2025-10-29 02:35:58.415447 | 13989425 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13989425 | Athletic Physical Therapy Inc | 1974-06-26 | 2025-10-31 | M | PT | ARSHADNIA | XEK904721388 | SHAHRIAR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542770/check_13989425_96617c23-4158-45d2-b7b0-c6ae83c85556.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1974-06-26 | 2001ZJ002648 | X0001000 | N/A | PR | false | NOSRAT | N/A | CAROLYN | N/A | 9999-12-31 | 2016-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9128690888 | N/A | N/A | 5542770 | 2222 | 4802 | 14288266 | N/A | 4214643 | 2025-10-29 02:35:58.415447 | 2025-05-13 04:29:37.228964 |
| 2025-10-28 07:10:28.686613 | 2025-10-29 02:34:27.816062 | 13989422 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13989422 | Athletic Physical Therapy Inc | 1979-11-17 | 2025-10-30 | F | AE | WOODS | 96781627F | JESSICA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542752/check_13989422_249ef88c-43f0-44d4-ab16-f4ca27700eb9.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 | 9128690887 | N/A | N/A | 5542752 | 2222 | 4793 | 14287469 | N/A | 4214627 | 2025-10-29 02:34:27.816062 | 2025-06-23 18:58:46.304598 |
| 2025-10-28 07:10:28.527016 | 2025-10-29 02:35:00.814066 | 13989418 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13989418 | Athletic Physical Therapy Inc | 1993-06-20 | 2025-10-30 | F | PT | DELOS REYES | JXN688W13372 | JANELLE LOPEZ | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542750/check_13989418_6c56525d-1de8-446b-b021-c645b980a420.json | N/A | N/A | N/A | N/A | N/A | JXN688W13372 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-06-20 | N/A | N/A | N/A | N/A | false | DELOS REYES | N/A | JANELLE LOPEZ | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9128690886 | N/A | N/A | 5542750 | 2222 | 4802 | 14287782 | N/A | 4214623 | 2025-10-29 02:35:00.814066 | 2025-08-28 22:11:32.536994 |
| 2025-10-28 07:10:28.410199 | 2025-10-29 02:32:10.589290 | 13989414 | N/A | N/A | 60054 | Aetna | 1114042165 | 13989414 | Athletic Physical Therapy Inc | 2005-11-23 | 2025-10-31 | F | AE | FERRELL | W285064666 | AMELIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542678/check_13989414_1d5a5e1d-d210-43f8-8d96-e72d3b53ae8c.json | N/A | N/A | N/A | N/A | N/A | W285064666 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 2005-11-23 | 0232499 | 023249901000051 | N/A | PS | false | FERRELL | N/A | RALPH | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9128690885 | N/A | N/A | 5542678 | 2222 | 4802 | 14286295 | N/A | 4214560 | 2025-10-29 02:32:10.589290 | 2025-05-13 04:29:37.228883 |
| 2025-10-28 07:10:28.172471 | 2025-10-29 02:34:26.845383 | 13989408 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13989408 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-10-29 | F | AE | CHERE | 98953535F | DIANA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_13989408_8740f674-a301-488f-b1d8-a5b98d0562bd.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 | 9128690884 | N/A | N/A | 5542660 | 2222 | 4802 | 14287459 | N/A | 4214542 | 2025-10-29 02:34:26.845383 | 2025-05-13 04:29:37.228868 |
| 2025-10-28 07:10:28.051797 | 2025-10-29 02:32:09.578910 | 13989405 | N/A | N/A | 60054 | Aetna | 1114042165 | 13989405 | Athletic Physical Therapy Inc | 1975-12-13 | 2025-10-30 | F | PT | ASSENGA | TWA295A70455 | NANCY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542618/check_13989405_04f87c59-8cf6-444d-8eb8-6079daa77be6.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 | 9128690883 | N/A | N/A | 5542618 | 2222 | 4801 | 14286287 | N/A | 4214504 | 2025-10-29 02:32:09.578910 | 2025-05-13 04:29:37.228820 |
| 2025-10-28 07:10:27.895971 | 2025-10-29 02:34:56.725835 | 13989399 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 13989399 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-10-30 | F | AE | HAMI | 92932800G | FARIBA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542611/check_13989399_0af4e052-c616-4fe6-9f7f-0917385742ea.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1960-09-15 | N/A | N/A | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9128690882 | N/A | N/A | 5542611 | 2222 | 4802 | 14287747 | N/A | 4214490 | 2025-10-29 02:34:56.725835 | 2025-05-13 04:29:37.228806 |
| 2025-10-28 07:10:27.764537 | 2025-10-29 02:39:43.910962 | 13989395 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13989395 | Athletic Physical Therapy Inc | 1953-03-17 | 2025-10-31 | F | AE | MARCUS | 4VG5XF7HN64 | LISSA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542318/check_13989395_a7d01a78-7fe0-4f85-b8a0-fcd3c15b1841.json | N/A | N/A | N/A | N/A | N/A | 4VG5XF7HN64 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-03-17 | S4802 | N/A | N/A | MB | false | MARCUS | N/A | LISSA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9128690881 | N/A | N/A | 5542318 | 2222 | 4802 | 14290199 | N/A | 4214241 | 2025-10-29 02:39:43.910962 | 2025-05-13 04:29:37.228574 |
| 2025-10-28 07:10:27.618290 | 2025-10-29 02:35:57.087090 | 13989392 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13989392 | Athletic Physical Therapy Inc | 1969-07-21 | 2025-10-30 | F | PT | BAER | XEK905554072 | JUDY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542259/check_13989392_86988e2b-02d6-4ab5-aaa0-82f45d7bb587.json | N/A | N/A | N/A | N/A | N/A | XEK905554072 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1969-07-21 | 2001ZJ002648 | X0001000 | N/A | PR | false | BAER | N/A | JUDY | N/A | 9999-12-31 | 2017-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9128690879 | N/A | N/A | 5542259 | 2222 | 4802 | 14288254 | N/A | 4214195 | 2025-10-29 02:35:57.087090 | 2025-05-13 04:29:37.228529 |
| 2025-10-28 07:10:27.433961 | 2025-10-29 02:39:43.250139 | 13989385 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13989385 | Athletic Physical Therapy Inc | 1936-09-29 | 2025-10-30 | M | AE | JAUDE | 8D38EF9GV30 | KARIM | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542251/check_13989385_4f3485d7-4c2f-4242-8de8-93a09265bbf1.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MA | false | JAUDE | N/A | KARIM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9128690878 | N/A | N/A | 5542251 | 2222 | 4802 | 14290194 | N/A | 4214191 | 2025-10-29 02:39:43.250139 | 2025-05-13 04:29:37.228525 |
| 2025-10-28 07:10:27.229855 | 2025-10-29 02:34:57.060962 | 13989379 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 13989379 | Athletic Physical Therapy Inc | 1975-03-26 | 2025-10-30 | F | AE | HEYES | 95596436F | DARCIE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542233/check_13989379_5cee1b35-9811-49d0-a143-7a4d7f56911c.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1975-03-26 | N/A | N/A | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9128690877 | N/A | N/A | 5542233 | 2222 | 4793 | 14287750 | N/A | 4214178 | 2025-10-29 02:34:57.060962 | 2025-05-13 04:29:37.228506 |
| 2025-10-28 07:10:27.015906 | 2025-10-29 02:35:02.059338 | 13989373 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13989373 | Athletic Physical Therapy Inc | 1938-01-22 | 2025-10-30 | F | PT | ISTOK | MBL474M98437 | LOIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542207/check_13989373_773b7f3e-f793-422e-acc4-858d4d6e30ae.json | N/A | N/A | N/A | N/A | N/A | MBL474M98437 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1938-01-22 | 040 | CAEGR005 | N/A | N/A | false | ISTOK | N/A | LOIS | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9128690876 | N/A | N/A | 5542207 | 2222 | 4802 | 14287794 | N/A | 4214152 | 2025-10-29 02:35:02.059338 | 2025-05-13 04:29:37.228479 |
| 2025-10-28 07:10:26.783854 | 2025-10-29 02:34:48.745033 | 13989366 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 13989366 | Athletic Physical Therapy Inc | 2009-08-26 | 2025-10-30 | F | AE | ELAZARY | 000019315679 | NATALEE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542060/check_13989366_cf13f7e0-effa-48e7-86fc-72e850bcd3e4.json | N/A | N/A | N/A | N/A | N/A | 000019315679 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 2009-08-26 | 4344868 | 235828 | N/A | N/A | false | ELAZARY | N/A | NATALEE | N/A | N/A | N/A | EDGECAST NETWORKS, INC. EDGECAST NETWORKS, INC. HM | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9128690875 | N/A | N/A | 5542060 | 2222 | 4793 | 14287666 | N/A | 4214019 | 2025-10-29 02:34:48.745033 | 2025-05-13 04:29:37.228340 |
| 2025-10-28 07:10:26.598244 | 2025-10-29 02:34:57.715062 | 13989362 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 13989362 | Athletic Physical Therapy Inc | 1961-02-27 | 2025-10-31 | M | AE | SHRIVER | 90771207E | DANIEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541984/check_13989362_b54701a6-a428-496d-a5a7-d097cd26bc2d.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1961-02-27 | N/A | N/A | N/A | N/A | false | SHRIVER | N/A | DANIEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9128690874 | N/A | N/A | 5541984 | 2222 | 4802 | 14287756 | N/A | 4213934 | 2025-10-29 02:34:57.715062 | 2026-01-27 23:36:44.802366 |
| 2025-10-28 07:10:26.501337 | 2025-10-29 02:35:57.621440 | 13989359 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13989359 | Athletic Physical Therapy Inc | 1990-09-04 | 2025-10-31 | M | PT | HASHEMI | XEA914007676 | SEYED | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541956/check_13989359_d3c6fe57-4440-4648-a120-bf2a265ba056.json | N/A | N/A | N/A | N/A | N/A | XEA914007676 | Preferred Provider Organization (PPO) | SILVUS TECHNOLOGIES INC | BLUE SHIELD CALIFORNIA | N/A | 1990-09-04 | 1000PPOX0002 | W3000628 | N/A | PR | false | HASHEMI | N/A | SEYED MEHRDAD | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1800 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9128690873 | N/A | N/A | 5541956 | 2222 | 4802 | 14288257 | N/A | 4213923 | 2025-10-29 02:35:57.621440 | 2025-05-13 04:29:37.228244 |
| 2025-10-28 07:10:26.376977 | 2025-10-29 02:39:44.884749 | 13989354 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13989354 | Athletic Physical Therapy Inc | 1944-04-25 | 2025-10-31 | F | AE | ROSENTHAL | 6WM0N21VW35 | PHYLLIS | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541887/check_13989354_8e08a3d5-6b82-4d2f-a684-7acb41989160.json | N/A | N/A | N/A | N/A | N/A | 6WM0N21VW35 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-04-25 | S4802 | N/A | N/A | MA | false | ROSENTHAL | N/A | PHYLLIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9128690872 | N/A | N/A | 5541887 | 2222 | 4802 | 14290205 | N/A | 4213865 | 2025-10-29 02:39:44.884749 | 2025-05-13 04:29:37.228183 |
| 2025-10-28 07:10:26.240883 | 2025-10-29 02:39:45.187467 | 13989350 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13989350 | Athletic Physical Therapy Inc | 1949-07-06 | 2025-10-30 | M | AE | SILVERMAN | 1P91CV2QF22 | LAWRENCE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541609/check_13989350_dc395c0a-c0f8-4b22-8d85-50a1c8bd1d3f.json | N/A | N/A | N/A | N/A | N/A | 1P91CV2QF22 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-07-06 | N/A | N/A | N/A | MB | false | SILVERMAN | N/A | LAWRENCE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9128690871 | N/A | N/A | 5541609 | 2222 | 4793 | 14290208 | N/A | 4213611 | 2025-10-29 02:39:45.187467 | 2025-05-13 04:29:37.227938 |
| 2025-10-28 07:10:26.097025 | 2025-10-29 02:33:40.224725 | 13989347 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 13989347 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-10-31 | M | AD | LYKIDIS | U1221753503 | JOHN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541552/check_13989347_0d01a6a5-52b4-40e1-b235-b4559c946416.json | N/A | N/A | N/A | N/A | N/A | U1221753503 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 2001-11-21 | N/A | 3207160 | N/A | N/A | false | LYKIDIS | N/A | JOHN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 9128690870 | N/A | N/A | 5541552 | 2222 | 4802 | 14287040 | N/A | 4213562 | 2025-10-29 02:33:40.224725 | 2025-05-13 04:29:37.227895 |
| 2025-10-28 07:10:25.929034 | 2025-10-29 02:35:01.439425 | 13989342 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13989342 | Athletic Physical Therapy Inc | 1958-07-16 | 2025-10-31 | F | PT | GALVAN GUERRERO | MMA904W16717 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541035/check_13989342_9ea71b69-b976-45dd-b380-361c3d85e6dd.json | N/A | N/A | N/A | N/A | N/A | MMA904W16717 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-07-16 | 040 | CAMCRWP0 | N/A | MP | false | GALVAN-GUERRERO | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9128690869 | N/A | N/A | 5541035 | 2222 | 4801 | 14287788 | 4184 | 4213091 | 2025-10-29 02:35:01.439425 | 2025-05-13 04:29:37.227417 |
| 2025-10-28 07:10:25.742565 | 2025-10-29 02:35:01.727326 | 13989336 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13989336 | Athletic Physical Therapy Inc | 1995-06-07 | 2025-10-30 | M | PT | Greathouse | MPI30458946Q | Kheperan | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540871/check_13989336_6b4fee2e-310c-4bb5-8561-1f70445334fa.json | N/A | N/A | N/A | N/A | N/A | MPI30458946Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1995-06-07 | 040 | 277163M402 | N/A | PR | false | GREATHOUSE | N/A | KHEPERAN | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9128690868 | N/A | N/A | 5540871 | 2222 | 4793 | 14287792 | N/A | 4212959 | 2025-10-29 02:35:01.727326 | 2025-10-17 20:08:21.136268 |
| 2025-10-28 07:10:25.574828 | 2025-10-29 02:39:43.528214 | 13989332 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13989332 | Athletic Physical Therapy Inc | 1949-12-02 | 2025-10-30 | F | AE | LADEN | 6GY2TG9HX06 | CANDACE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540768/check_13989332_4440149c-b2aa-443f-8ab4-faf4f02c1969.json | N/A | N/A | N/A | N/A | N/A | 6GY2TG9HX06 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-12-02 | S4802 | N/A | N/A | MA | false | LADEN | N/A | CANDACE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9128690867 | N/A | N/A | 5540768 | 2222 | 4802 | 14290197 | N/A | 4212856 | 2025-10-29 02:39:43.528214 | 2025-08-04 18:33:35.319989 |
| 2025-10-28 07:10:25.392096 | 2025-10-29 02:32:09.883997 | 13989327 | N/A | N/A | 60054 | Aetna | 1114042165 | 13989327 | Athletic Physical Therapy Inc | 1982-07-27 | 2025-10-31 | M | AE | BOKHTIER | W275493875 | GOLAM | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540723/check_13989327_6f8243f0-6cd1-4c57-b264-8f48921be692.json | N/A | N/A | N/A | N/A | N/A | W275493875 | Exclusive Provider Organization | AMERICAN EXPRESS COMPANY | AETNA | N/A | 1982-07-27 | 0169631 | 016963101100001 | N/A | EP | false | BOKHTIER | N/A | SUMMER | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9128690866 | N/A | N/A | 5540723 | 2222 | 4793 | 14286290 | N/A | 4212833 | 2025-10-29 02:32:09.883997 | 2025-05-28 20:46:35.079848 |
| 2025-10-28 07:10:25.174388 | 2025-10-29 02:31:22.912964 | 13989319 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13989319 | Athletic Physical Therapy Inc | 1967-12-13 | 2025-10-31 | M | AE | MIDDLETON | U3369221802 | BLAKE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540185/check_13989319_dcdf6487-e74a-4f11-97c4-0d6e5d69012b.json | N/A | N/A | N/A | N/A | N/A | U3369221802 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1967-12-13 | N/A | N/A | N/A | N/A | false | MIDDLETON | N/A | BLAKE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9128690865 | N/A | N/A | 5540185 | 2222 | 4802 | 14285943 | N/A | 4212381 | 2025-10-29 02:31:22.912964 | 2025-12-17 20:12:42.035054 |
| 2025-10-28 07:10:25.008276 | 2025-10-29 02:32:10.915278 | 13989314 | N/A | N/A | 60054 | Aetna | 1114042165 | 13989314 | Athletic Physical Therapy Inc | 1948-11-01 | 2025-10-30 | F | AE | TUCKER | 101632234800 | EILEEN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540116/check_13989314_ea00c139-55a5-4169-8a54-0db0bf254ffa.json | N/A | N/A | N/A | N/A | N/A | 101632234800 | Preferred Provider Organization (PPO) | STATE OF ILLINOIS RETIREES - MAPD | AETNA | MEDICARE | 1948-11-01 | 100512-01EG0001 | 100512-01 | N/A | PR | false | TUCKER | N/A | EILEEN | N/A | N/A | N/A | MEDICARE (C05) ESA PPO PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9128690864 | N/A | N/A | 5540116 | 2222 | 4801 | 14286299 | N/A | 4212312 | 2025-10-29 02:32:10.915278 | 2025-05-13 04:29:37.226651 |
| 2025-10-28 07:10:24.862797 | 2025-10-29 02:34:27.511719 | 13989311 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13989311 | Athletic Physical Therapy Inc | 1973-07-11 | 2025-10-30 | M | AE | HERMAN | 95836743G | BRETT | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540113/check_13989311_bc2ab4b4-7458-4886-a4c8-22c11188bd1e.json | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | HEALTH NET, LLC | N/A | 1973-07-11 | N/A | N/A | N/A | N/A | false | HERMAN | N/A | BRETT | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9128690863 | N/A | N/A | 5540113 | 2222 | 4801 | 14287465 | N/A | 4212315 | 2025-10-29 02:34:27.511719 | 2025-12-29 21:20:15.158611 |
| 2025-10-28 07:10:24.691545 | 2025-10-29 02:34:49.047372 | 13989306 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13989306 | Athletic Physical Therapy Inc | 1982-06-09 | 2025-10-30 | M | AE | FULKERSON | R12222652MM1 | SCOTT | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539956/check_13989306_f80cd206-de8d-4232-bf24-10d17044e784.json | N/A | N/A | N/A | N/A | N/A | R12222652MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1982-06-09 | N/A | N/A | N/A | N/A | false | FULKERSON | N/A | SCOTT | N/A | N/A | N/A | MFC UCNNHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9128690862 | N/A | N/A | 5539956 | 2222 | 4801 | 14287670 | N/A | 4212166 | 2025-10-29 02:34:49.047372 | 2025-10-23 15:59:33.239127 |
| 2025-10-28 07:10:24.511573 | 2025-10-29 02:35:01.128786 | 13989301 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13989301 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-10-31 | M | PT | FINNLEY | NGO832M81089 | ZEV | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539664/check_13989301_48a80862-9a5a-47bd-bb7b-04c774d631c2.json | N/A | N/A | N/A | N/A | N/A | NGO832M81089 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 1991-07-13 | 040 | 174022MJAC | N/A | PR | false | FINNLEY | N/A | ZEV | N/A | 9999-12-31 | 2022-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9128690861 | N/A | N/A | 5539664 | 2222 | 4793 | 14287785 | N/A | 4211935 | 2025-10-29 02:35:01.128786 | 2025-05-13 04:29:37.226259 |
| 2025-10-28 07:10:24.361413 | 2025-10-29 02:35:02.707177 | 13989299 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13989299 | Athletic Physical Therapy Inc | 1973-05-16 | 2025-10-30 | F | PT | WILSON | XEH905431769 | JOSEPHINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539486/check_13989299_39a85f1d-bc20-48f0-9051-d46f81f45cfb.json | N/A | N/A | N/A | N/A | N/A | XEH905431769 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1973-05-16 | 1477HMOX0001 | W0051411 | N/A | HM | false | WILSON | N/A | JOSEPHINE | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9128690860 | N/A | N/A | 5539486 | 2222 | 4793 | 14287800 | N/A | 4211784 | 2025-10-29 02:35:02.707177 | 2025-06-01 03:36:02.268093 |
| 2025-10-28 07:10:24.166237 | 2025-10-29 02:34:59.841098 | 13989294 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13989294 | Athletic Physical Therapy Inc | 2008-01-01 | 2025-10-30 | M | PT | COSTELLO | JXN840A20610 | JAMES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539326/check_13989294_614df1d6-926b-40db-89da-3e42cf2399f5.json | N/A | N/A | N/A | N/A | N/A | JXN840A20610 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 2008-01-01 | 040 | 174222MAA1 | N/A | PR | false | COSTELLO | N/A | PATRICK | N/A | 9999-12-31 | 2022-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9128690859 | N/A | N/A | 5539326 | 2222 | 4793 | 14287773 | N/A | 4211647 | 2025-10-29 02:34:59.841098 | 2025-10-21 19:53:46.280627 |
| 2025-10-28 07:10:24.032340 | 2025-10-29 02:39:44.395564 | 13989291 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13989291 | Athletic Physical Therapy Inc | 1957-12-18 | 2025-10-31 | F | AE | MOORE WILLIAMSON | 6R91TM3CH24 | LESLIE A | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539049/check_13989291_863edaa8-63d4-4f37-926c-d85360a89b40.json | N/A | N/A | N/A | N/A | N/A | 6R91TM3CH24 | Medicare Part A | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-12-18 | S2468 | N/A | N/A | MA | false | MOORE WILLIAMSON | N/A | LESLIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9128690858 | N/A | N/A | 5539049 | 2222 | 4801 | 14290202 | N/A | 4211368 | 2025-10-29 02:39:44.395564 | 2025-05-13 04:29:37.225728 |
| 2025-10-28 07:10:23.891865 | 2025-10-29 02:39:42.334769 | 13989286 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13989286 | Athletic Physical Therapy Inc | 1952-12-18 | 2025-10-31 | F | AE | DU BRIN | 7KN7YG8XT63 | SUSAN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538600/check_13989286_a703be6a-8678-47ca-94c7-8758079e484e.json | N/A | N/A | N/A | N/A | N/A | 7KN7YG8XT63 | Medicare Part A | N/A | UNITED SERVICES AUTOMOBILE ASSOC | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-12-18 | S4802 | DOL 06142025 | N/A | MA | false | DU BRIN | N/A | SUSAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9128690857 | N/A | N/A | 5538600 | 2222 | 4793 | 14290187 | N/A | 4210998 | 2025-10-29 02:39:42.334769 | 2026-02-23 18:49:01.874308 |
| 2025-10-28 07:10:23.764882 | 2025-10-29 02:39:45.466608 | 13989283 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13989283 | Athletic Physical Therapy Inc | 1943-07-22 | 2025-10-31 | M | AE | STEIN | 8MY3V79UN60 | DONALD | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538576/check_13989283_bb86f111-3a82-489a-a610-3fb899e985d7.json | N/A | N/A | N/A | N/A | N/A | 8MY3V79UN60 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-07-22 | S5921 | N/A | N/A | MA | false | STEIN | N/A | DONALD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9128690856 | N/A | N/A | 5538576 | 2222 | 4802 | 14290209 | N/A | 4210984 | 2025-10-29 02:39:45.466608 | 2025-08-15 17:42:50.500189 |
| 2025-10-28 07:10:23.604100 | 2025-10-29 02:39:42.623456 | 13989280 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13989280 | Athletic Physical Therapy Inc | 1954-01-12 | 2025-10-30 | F | AE | FINCH | 3YV4XM6FP06 | DAWN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538472/check_13989280_4aaa83f0-70ee-46d3-a24b-f67e791ddfd2.json | N/A | N/A | N/A | N/A | N/A | 3YV4XM6FP06 | Medicare Part A | N/A | OPTUM INSURANCE OF OHIO, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-12 | S8841 | N/A | N/A | MA | false | FINCH | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9128690855 | N/A | N/A | 5538472 | 2222 | 4802 | 14290190 | N/A | 4210886 | 2025-10-29 02:39:42.623456 | 2025-05-13 04:29:37.225284 |
| 2025-10-28 07:10:23.590063 | 2025-10-29 00:35:41.269730 | 13989279 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13989279 | Athletic Physical Therapy Inc | 1956-10-11 | 2025-10-31 | M | PT | Bou Chacra | XED912823926 | Akram | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.125625886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11201492/check_13989279_02a35d56-0565-4c30-94f4-aa5b98cfe389.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 | 2024-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9128695287 | N/A | N/A | 11201492 | 2222 | 4793 | 14272092 | N/A | 9540458 | 2025-10-29 00:35:41.269730 | 2025-10-26 04:16:16.050614 |
| 2025-10-28 07:10:23.434508 | 2025-10-29 02:35:00.325285 | 13989275 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13989275 | Athletic Physical Therapy Inc | 2006-06-08 | 2025-10-30 | M | PT | DATO | NGO555A50496 | LUKE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538229/check_13989275_6f00c7f9-cede-4a38-8997-6e05db6e0969.json | N/A | N/A | N/A | N/A | N/A | NGO555A50496 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 2006-06-08 | 040 | 174022MJAD | N/A | PR | false | DATO | N/A | GREGORY | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9128690854 | N/A | N/A | 5538229 | 2222 | 4793 | 14287777 | N/A | 4210676 | 2025-10-29 02:35:00.325285 | 2026-05-21 21:09:28.809390 |
| 2025-10-28 07:10:23.302248 | 2025-10-29 02:39:45.774094 | 13989273 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13989273 | Athletic Physical Therapy Inc | 1950-09-27 | 2025-10-31 | F | AE | THOMSEN | 1M31KQ8DJ99 | JANET | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537950/check_13989273_ad065b16-8637-40fc-8272-2ec7cda0947e.json | N/A | N/A | N/A | N/A | N/A | 1M31KQ8DJ99 | N/A | N/A | CMS | N/A | 1950-09-27 | N/A | N/A | N/A | N/A | false | THOMSEN | N/A | JANET | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9128690853 | N/A | N/A | 5537950 | 2222 | 4801 | 14290210 | N/A | 4210450 | 2025-10-29 02:39:45.774094 | 2026-05-04 21:51:25.248197 |
| 2025-10-28 07:10:23.110787 | 2025-10-29 02:34:57.389628 | 13989267 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 13989267 | Athletic Physical Therapy Inc | 1977-04-30 | 2025-10-31 | M | AE | JOSEPH | 623127403 | CHRISTOPHER | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537866/check_13989267_6815719f-8b19-4a33-ace9-2738481069e6.json | N/A | N/A | N/A | N/A | N/A | 623127403 | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1977-04-30 | N/A | N/A | N/A | N/A | false | JOSEPH | N/A | CHRISTOPHER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9128690852 | N/A | N/A | 5537866 | 2222 | 4802 | 14287754 | N/A | 4210367 | 2025-10-29 02:34:57.389628 | 2025-05-13 04:29:37.224772 |
| 2025-10-28 07:10:22.997085 | 2025-10-29 02:35:59.009392 | 13989263 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13989263 | Athletic Physical Therapy Inc | 1980-08-15 | 2025-10-31 | F | PT | SNELL | XED912271222 | NICOLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537740/check_13989263_37deb17f-b442-4471-8c69-298ee4441447.json | N/A | N/A | N/A | N/A | N/A | XED912271222 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-08-15 | 2001ZK002185 | X0001004 | N/A | PR | false | SNELL | N/A | NICOLE | N/A | 9999-12-31 | 2023-06-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9128690851 | N/A | N/A | 5537740 | 2222 | 4802 | 14288272 | N/A | 4210260 | 2025-10-29 02:35:59.009392 | 2025-05-13 04:29:37.224672 |
| 2025-10-28 07:10:22.856544 | 2025-10-29 02:39:42.025916 | 13989259 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13989259 | Athletic Physical Therapy Inc | 1951-06-30 | 2025-10-30 | F | AE | CHADORCHI | 8MR2X19XD04 | JAFFA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537480/check_13989259_d2cd93d1-32fd-4b0a-83c1-17ebeb478dd7.json | N/A | N/A | N/A | N/A | N/A | 8MR2X19XD04 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-30 | S5601 | N/A | N/A | MA | false | CHADORCHI | N/A | JAFFA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9128690850 | N/A | N/A | 5537480 | 2222 | 4802 | 14290184 | N/A | 4210038 | 2025-10-29 02:39:42.025916 | 2025-06-02 14:57:36.820684 |
| 2025-10-28 07:10:22.714522 | 2025-10-29 02:34:29.738837 | 13989256 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 13989256 | Athletic Physical Therapy Inc | 1957-02-16 | 2025-10-30 | F | AE | OSE | 40050866601 | KAREN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537366/check_13989256_c77ab5b6-e4e7-45d0-b353-c29d8190786f.json | N/A | N/A | N/A | N/A | N/A | 40050866601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1957-02-16 | 2025H5425001 | H5425M | N/A | N/A | false | OSE | N/A | KAREN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9128690455 | N/A | N/A | 5537366 | 2222 | 4793 | 14287485 | N/A | 4209945 | 2025-10-29 02:34:29.738837 | 2025-08-13 22:24:17.841096 |
| 2025-10-28 07:10:22.490288 | 2025-10-29 02:35:02.333605 | 13989250 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13989250 | Athletic Physical Therapy Inc | 1954-03-31 | 2025-10-30 | M | PT | MILES | MBL835W05431 | KEITH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536896/check_13989250_018cd74b-b7fd-4157-aaad-b16d33d7e739.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9128690454 | N/A | N/A | 5536896 | 2222 | 4793 | 14287797 | N/A | 4209567 | 2025-10-29 02:35:02.333605 | 2025-05-13 04:29:37.223990 |
| 2025-10-28 07:10:22.303987 | 2025-10-29 02:34:30.076459 | 13989245 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 13989245 | Athletic Physical Therapy Inc | 1941-04-16 | 2025-10-31 | F | AE | RYAN | 31026142401 | CAROL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.104829702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535455/check_13989245_0056c192-9b80-4539-9fc5-fc403aa3d381.json | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1941-04-16 | 2025H5425001 | H5425M | N/A | N/A | false | RYAN | N/A | CAROL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9128690453 | N/A | N/A | 5535455 | 2222 | 4793 | 14287490 | N/A | 4208375 | 2025-10-29 02:34:30.076459 | 2025-08-08 21:08:12.459471 |
| 2025-10-28 07:10:19.768077 | 2025-10-29 00:56:22.093565 | 13989151 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13989151 | Athletic Physical Therapy Inc | 1935-09-04 | 2025-10-31 | M | AE | MC MILLAN | 6F54UU1HC85 | FRED | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.125632677.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11070135/check_13989151_24e602d6-1abc-47c8-a0be-4e7b50cc7a67.json | N/A | N/A | N/A | N/A | N/A | 6F54UU1HC85 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1935-09-04 | S5921 | N/A | N/A | MB | false | MCMILLAN | N/A | FRED | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9128705821 | N/A | N/A | 11070135 | 2222 | 4802 | 14284895 | N/A | 9427570 | 2025-10-29 00:56:22.093565 | 2025-10-16 17:38:44.796273 |
| 2025-10-28 07:10:18.913916 | 2025-10-29 00:35:06.165259 | 13989124 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13989124 | Athletic Physical Therapy Inc | 1989-08-21 | 2025-10-29 | F | AE | VANSICKLE | R14610782FS1 | KYLIE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.125625886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11190514/check_13989124_a8ac760b-267a-4cbd-af7e-28e6a6684577.json | N/A | N/A | N/A | N/A | N/A | R14610782FS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1989-08-21 | N/A | N/A | N/A | N/A | false | VANSICKLE | N/A | KYLIE | N/A | 2025-11-02 | 2025-09-01 | KX6 PPOSBG | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9128695269 | N/A | N/A | 11190514 | 2222 | 4793 | 14271506 | N/A | 9532194 | 2025-10-29 00:35:06.165259 | 2026-04-13 16:03:49.854711 |
| 2025-10-28 07:10:16.154593 | 2025-10-29 00:49:43.813434 | 13988999 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13988999 | Athletic Physical Therapy Inc | 1955-09-16 | 2025-10-31 | M | AE | HANGVAL | 00000401784 | BAHMANYAR | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.125632677.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11061532/check_13988999_b738faa4-ca29-410b-af43-cf95c5cb6579.json | N/A | N/A | N/A | N/A | N/A | 00000401784 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1955-09-16 | H3815048 | N/A | N/A | HM | false | HANGVAL | N/A | BAHMANYAR | N/A | 2025-12-31 | 2025-02-01 | ALIGNMENT HEALTH HEART & DIABETES CARE (HMO C-SNP) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9128706845 | N/A | N/A | 11061532 | 2222 | 4793 | 14282512 | 2630 | 9420286 | 2025-10-29 00:49:43.813434 | 2025-10-27 20:50:02.906306 |
| 2025-10-28 07:10:15.363406 | 2025-10-29 00:46:11.381959 | 13988961 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13988961 | Athletic Physical Therapy Inc | 1987-11-24 | 2025-10-30 | F | PT | Halat | FIZ100010118257 | Hooram | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.125626305.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7870152/check_13988961_2952a813-15ad-4835-89d5-b73c592944c0.json | N/A | N/A | N/A | N/A | N/A | FIZ100010118257 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | 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. | 1987-11-24 | N/A | N/A | N/A | PR | false | HALAT | N/A | HOORAM | 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 | 9128709371 | N/A | N/A | 7870152 | 2222 | 4802 | 14280453 | N/A | 6698799 | 2025-10-29 00:46:11.381959 | 2025-08-07 18:40:53.120761 |
| 2025-10-28 07:10:06.470607 | 2025-10-29 00:39:09.588035 | 13988604 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13988604 | Athletic Physical Therapy Inc | 1944-07-11 | 2025-10-30 | F | AE | SAFAVI | 9AX5KK6UD79 | ASHRAF | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251028.125625886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11183545/check_13988604_427e8d99-bb9a-4d0b-aa58-101fbe9424a8.json | N/A | N/A | N/A | N/A | N/A | 9AX5KK6UD79 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-07-11 | S4802 | N/A | N/A | MB | false | SAFAVI | N/A | ASHRAF | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9128695225 | N/A | N/A | 11183545 | 2222 | 4802 | 14275371 | N/A | 9459548 | 2025-10-29 00:39:09.588035 | 2025-10-17 18:54:00.807402 |