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 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-27 07:19:47.071019 | 2025-10-27 07:20:21.409647 | 13944229 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-11-26 | 2025-10-28 | M | AE | PT | 6341 | COHEN | 00522745401 | JEFFREY | https://storage.googleapis.com/normandy-eligibility-checks/2222/9256904/check_13944229_a770f661-9ede-4f15-a813-e8fb2fc500f8.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-10-28 | N/A | N/A | N/A | N/A | N/A | N/A | 00522745401 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9256904 | 2222 | N/A | N/A | N/A | 7767834 | 2025-10-27 07:20:21.409647 | 2025-09-11 00:43:19.781163 |
| 2025-10-27 07:16:52.506530 | 2025-10-28 00:45:27.396816 | 13943798 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13943798 | Athletic Physical Therapy Inc | 1996-03-23 | 2025-10-30 | M | PT | N/A | N/A | XIE | R8T303W09440 | XIPENG | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132524227.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9686875/check_13943798_bb861405-4e59-4c18-8382-e312b37fe2f3.json | N/A | N/A | N/A | N/A | N/A | R8T303W09440 | Preferred Provider Organization (PPO) | RIOT GAMES INC | ANTHEM BLUE CROSS | N/A | 1996-03-23 | 040 | 174318M2A1 | N/A | PR | false | XIE | N/A | XIPENG | N/A | 9999-12-31 | 2023-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119341592 | N/A | N/A | 9686875 | 2222 | 4802 | 14226102 | N/A | 8105852 | 2025-10-28 00:45:27.396816 | 2025-09-24 19:15:51.950591 |
| 2025-10-27 07:16:51.220246 | 2025-10-28 00:46:14.266039 | 13943783 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13943783 | Athletic Physical Therapy Inc | 1963-11-05 | 2025-10-29 | M | PT | N/A | N/A | GAVCUS | 913959142000 | VINCENT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132524227.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9684155/check_13943783_10942bea-96b2-4eea-ac76-cc59dcc6789f.json | N/A | N/A | N/A | N/A | N/A | XEH913959142 | Health Maintenance Organization (HMO) | KB CONSTRUCTION COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1963-11-05 | 1000VX000101 | W0022613 | N/A | HM | false | GAVCUS | N/A | VINCENT | N/A | 9999-12-31 | 2024-10-01 | BASIC LIFE AND AD D INSURANCE 10 000 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119341580 | N/A | N/A | 9684155 | 2222 | 4801 | 14226973 | N/A | 8103467 | 2025-10-28 00:46:14.266039 | 2025-09-25 15:37:09.669427 |
| 2025-10-27 07:16:48.238923 | 2025-10-28 00:50:53.826137 | 13943754 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13943754 | Athletic Physical Therapy Inc | 1950-07-29 | 2025-10-30 | F | AE | PT | N/A | Reinis | 9E11MX6RQ31 | Meredith | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132524227.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681833/check_13943754_2bc0020c-044d-4cc4-9298-3dd552937477.json | N/A | N/A | N/A | N/A | N/A | 9E11MX6RQ31 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-07-29 | S4802 | N/A | N/A | MB | false | REINIS | N/A | MEREDITH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119342597 | N/A | N/A | 9681833 | 2222 | 4802 | 14230547 | N/A | 8101541 | 2025-10-28 00:50:53.826137 | 2025-09-29 18:50:04.958524 |
| 2025-10-27 07:16:41.227299 | 2025-10-28 00:51:26.555310 | 13943619 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13943619 | Athletic Physical Therapy Inc | 1947-02-15 | 2025-10-30 | F | AE | PT | N/A | LING WONG | 5KK4G78YK65 | YEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132429510.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9978113/check_13943619_2b8b953d-f7c2-47ad-9d73-72f4a1b9bf4a.json | N/A | N/A | N/A | N/A | N/A | 5KK4G78YK65 | N/A | N/A | CMS | N/A | 1947-02-15 | N/A | N/A | N/A | N/A | false | LING WONG | N/A | YEE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119337444 | N/A | N/A | 9978113 | 2222 | 4802 | 14230930 | N/A | 8351682 | 2025-10-28 00:51:26.555310 | 2025-10-08 14:26:11.260769 |
| 2025-10-27 07:16:30.415651 | 2025-10-28 00:41:26.916152 | 13943406 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13943406 | Athletic Physical Therapy Inc | 2001-06-21 | 2025-10-29 | M | AE | PT | N/A | RAFIEI | 92836714F | SAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132620138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173002/check_13943406_12bbb2ca-530d-4296-bd4b-42da51683c81.json | N/A | N/A | N/A | N/A | N/A | 92836714F | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2001-06-21 | N/A | N/A | N/A | N/A | false | RAFIEI | N/A | SAM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119357439 | N/A | N/A | 8173002 | 2222 | 4793 | 14221674 | N/A | 6939518 | 2025-10-28 00:41:26.916152 | 2025-08-18 21:40:08.349494 |
| 2025-10-27 07:16:25.546156 | 2025-10-28 00:52:08.401862 | 13943310 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13943310 | Athletic Physical Therapy Inc | 1952-01-15 | 2025-10-30 | F | AE | PT | N/A | KIRK | 5FT7Y02EM72 | JAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132620138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8167056/check_13943310_c2fb33d9-6337-426f-b364-fca2451027b3.json | N/A | N/A | N/A | N/A | N/A | 5FT7Y02EM72 | Medicare Part A | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-01-15 | H5522 | N/A | N/A | MA | false | KIRK | N/A | JAN | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119358461 | N/A | N/A | 8167056 | 2222 | 4801 | 14231441 | N/A | 6933707 | 2025-10-28 00:52:08.401862 | 2026-05-21 16:32:55.382229 |
| 2025-10-27 07:16:18.625395 | 2025-10-28 00:50:53.098691 | 13943166 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13943166 | Athletic Physical Therapy Inc | 1952-08-04 | 2025-10-30 | F | AE | PT | N/A | Dunkerley | 9N89GR7HH33 | Elizabeth | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132524227.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9665219/check_13943166_a5e47cb7-b37b-4f35-bd13-34cee28cd8fe.json | N/A | N/A | N/A | N/A | N/A | 9N89GR7HH33 | N/A | N/A | CMS | N/A | 1952-08-04 | N/A | N/A | N/A | N/A | false | DUNKERLEY | N/A | ELIZABETH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119342180 | N/A | N/A | 9665219 | 2222 | 4802 | 14230540 | N/A | 8086688 | 2025-10-28 00:50:53.098691 | 2026-01-15 18:07:39.869679 |
| 2025-10-27 07:16:05.705549 | 2025-10-28 00:46:38.486984 | 13942940 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13942940 | Athletic Physical Therapy Inc | 1961-05-13 | 2025-10-29 | F | PT | N/A | N/A | HOUSEMAN | JAC912275311 | REBECCA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132429510.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9937308/check_13942940_60b42693-a10b-4c31-ab41-bc3a771ba85e.json | N/A | N/A | N/A | N/A | N/A | JAC912275311 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-05-13 | 2001ZK002198 | X0001004 | N/A | PR | false | HOUSEMAN | N/A | REBECCA | N/A | 9999-12-31 | 2023-05-01 | IFP EMB PED DPPO NATIVE AMER JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119337805 | N/A | N/A | 9937308 | 2222 | 4793 | 14227412 | N/A | 8318674 | 2025-10-28 00:46:38.486984 | 2025-10-03 16:07:07.538918 |
| 2025-10-27 07:15:58.993031 | 2025-10-28 00:45:55.796342 | 13942847 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 13942847 | Athletic Physical Therapy Inc | 1959-11-18 | 2025-10-30 | M | AE | PT | N/A | PEREZ | 205330201 | JUAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132429510.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9935305/check_13942847_3fad7acd-f06e-46f1-b62a-6057bd7fa2cf.json | N/A | N/A | N/A | N/A | N/A | 205330201 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1959-11-18 | N/A | HCFA21 | N/A | HN | false | PEREZ MEDINA | N/A | JUAN | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119337781 | N/A | N/A | 9935305 | 2222 | 4802 | 14226626 | N/A | 8316227 | 2025-10-28 00:45:55.796342 | 2025-10-02 19:18:17.311007 |
| 2025-10-27 07:15:54.994017 | 2025-10-28 00:45:26.364880 | 13942760 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13942760 | Athletic Physical Therapy Inc | 1966-07-12 | 2025-10-29 | M | AE | PT | N/A | Cohn | R06589895MM1 | David | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132320282.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7315101/check_13942760_63f79a0e-b3e0-4926-828a-18cb77c89244.json | N/A | N/A | N/A | N/A | N/A | R06589895MM1 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1966-07-12 | N/A | CA05620125 | N/A | N/A | false | COHN | N/A | DAVID | N/A | N/A | N/A | WELLCARE SIMPLE FOCUS (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119329388 | N/A | N/A | 7315101 | 2222 | 4802 | 14226083 | N/A | 6152454 | 2025-10-28 00:45:26.364880 | 2025-07-17 21:44:04.596080 |
| 2025-10-27 07:15:41.173134 | 2025-10-28 00:41:47.997307 | 13942521 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13942521 | Athletic Physical Therapy Inc | 2014-05-27 | 2025-10-30 | F | AE | PT | N/A | Odate | 96680377F | Keina | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132320282.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7295079/check_13942521_dbf51f96-cd92-48ab-8972-ca76f98316a5.json | N/A | N/A | N/A | N/A | N/A | 96680377F | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2014-05-27 | N/A | N/A | N/A | N/A | false | ODATE | N/A | KEINA | N/A | 2078-12-31 | 2025-05-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119330263 | N/A | N/A | 7295079 | 2222 | 4802 | 14222019 | N/A | 6254701 | 2025-10-28 00:41:47.997307 | 2026-05-21 14:19:15.159394 |
| 2025-10-27 07:15:40.765478 | 2025-10-28 00:47:59.125809 | 13942511 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13942511 | Athletic Physical Therapy Inc | 1963-01-14 | 2025-10-30 | F | PT | N/A | N/A | KRAFT | XED911569862 | KATHRIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132320282.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7294742/check_13942511_87da867f-9b85-4f54-b3e3-920eaa0a9583.json | N/A | N/A | N/A | N/A | N/A | XED911569862 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-01-14 | 2001ZK002184 | X0001004 | N/A | PR | false | KRAFT | N/A | KATHRIN | N/A | 9999-12-31 | 2022-08-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119329386 | N/A | N/A | 7294742 | 2222 | 4801 | 14228733 | N/A | 6254569 | 2025-10-28 00:47:59.125809 | 2025-08-12 09:24:43.956957 |
| 2025-10-27 07:15:40.420973 | 2025-10-28 00:45:57.887618 | 13942503 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13942503 | Athletic Physical Therapy Inc | 1957-10-25 | 2025-10-29 | F | PT | N/A | N/A | YINGER | MBL827W13948 | COLLEEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132320282.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7292126/check_13942503_b6693691-7ed9-4eab-96ae-aeba25c12472.json | N/A | N/A | N/A | N/A | N/A | MBL827W13948 | N/A | THE AEROSPACE CORPORATION | ANTHEM BLUE CROSS | N/A | 1957-10-25 | 040 | CAEGR020 | N/A | N/A | false | YINGER | N/A | COLLEEN | N/A | 9999-12-31 | 2022-10-01 | CA GRS AEROSPACE H4036-801 ANTHEM MEDICARE PREFERR | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119329384 | N/A | N/A | 7292126 | 2222 | 4793 | 14226665 | N/A | 6252902 | 2025-10-28 00:45:57.887618 | 2025-07-22 20:37:37.157960 |
| 2025-10-27 07:15:36.848490 | 2025-10-28 00:47:58.371454 | 13942416 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13942416 | Athletic Physical Therapy Inc | 1991-10-07 | 2025-10-29 | F | PT | N/A | N/A | BOYM | XEK903045570 | DANIELLA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132320282.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7281036/check_13942416_02e769b2-9b0c-478b-a919-8c43ced86b3e.json | N/A | N/A | N/A | N/A | N/A | XEK903045570 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1991-10-07 | 2001ZJ002648 | X0001000 | N/A | PR | false | BOYM | N/A | DIMITRY | N/A | 9999-12-31 | 2024-02-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119329364 | N/A | N/A | 7281036 | 2222 | 4793 | 14228724 | N/A | 6245462 | 2025-10-28 00:47:58.371454 | 2025-07-24 01:23:15.134681 |
| 2025-10-27 07:15:27.523067 | 2025-10-28 00:48:02.488353 | 13942189 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13942189 | Athletic Physical Therapy Inc | 1976-09-29 | 2025-10-30 | F | PT | N/A | N/A | RAND | XED912141111 | ELLEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132320282.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7257479/check_13942189_40890bb7-c40b-4893-8767-782602844584.json | N/A | N/A | N/A | N/A | N/A | XED912141111 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1976-09-29 | 2001ZK002193 | X0001004 | N/A | PR | false | RAND | N/A | ELLEN | N/A | 9999-12-31 | 2023-03-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119330528 | N/A | N/A | 7257479 | 2222 | 4802 | 14228776 | N/A | 4210270 | 2025-10-28 00:48:02.488353 | 2025-07-08 18:23:05.596578 |
| 2025-10-27 07:15:20.100653 | 2025-10-28 00:46:12.740658 | 13942026 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13942026 | Athletic Physical Therapy Inc | 1959-04-06 | 2025-10-29 | M | PT | N/A | N/A | RODRIGUEZ | MMA012W19973 | ROBERTO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132429510.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9904588/check_13942026_11f79061-50d2-4e1b-b32a-09f8a4a22a9a.json | N/A | N/A | N/A | N/A | N/A | MMA012W19973 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-04-06 | 040 | CAMCRWP0 | N/A | MP | false | RODRIGUEZ | N/A | ROBERTO | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119337367 | N/A | N/A | 9904588 | 2222 | 4793 | 14226944 | 4184 | 8292442 | 2025-10-28 00:46:12.740658 | 2025-10-03 00:00:11.631948 |
| 2025-10-27 07:15:18.954850 | 2025-10-28 00:45:56.226328 | 13942002 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13942002 | Athletic Physical Therapy Inc | 1965-05-25 | 2025-10-30 | F | PT | N/A | N/A | CLOONAN | XDM481M99931 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132320282.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7246170/check_13942002_1ab3643c-b6aa-4dfe-9bda-21de56bc6407.json | N/A | N/A | N/A | N/A | N/A | XDM481M99931 | Health Maintenance Organization (HMO) | UFCW BENEFIT FUNDS ADMIN LLC RETIREE | ANTHEM BLUE CROSS | N/A | 1965-05-25 | 040 | 282241H019 | N/A | HM | false | CLOONAN | N/A | LINDA | N/A | 9999-12-31 | 2020-12-01 | CLASSIC SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119329606 | N/A | N/A | 7246170 | 2222 | 4801 | 14226634 | N/A | 4837995 | 2025-10-28 00:45:56.226328 | 2025-06-13 00:15:18.726975 |
| 2025-10-27 07:15:03.873097 | 2025-10-28 00:47:57.686127 | 13941695 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13941695 | Athletic Physical Therapy Inc | 1967-03-31 | 2025-10-30 | F | PT | N/A | N/A | BARRERA | XEH903839121 | LOLA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132320282.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7203168/check_13941695_778b81b1-d619-4ab9-983b-c73c00084a62.json | N/A | N/A | N/A | N/A | N/A | XEH903839121 | Health Maintenance Organization (HMO) | CVT MOORPARK USD | BLUE SHIELD CALIFORNIA | N/A | 1967-03-31 | 1000HMOX0005 | W0052266 | N/A | HM | false | BARRERA | N/A | LOLA | N/A | N/A | N/A | CALIFORNIA S VALUED TRUST CUSTOM HMO 10 0 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119329030 | N/A | N/A | 7203168 | 2222 | 4793 | 14228711 | N/A | 5230345 | 2025-10-28 00:47:57.686127 | 2025-07-11 20:32:03.183345 |
| 2025-10-27 07:14:56.388092 | 2025-10-28 00:44:49.618590 | 13941563 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13941563 | Athletic Physical Therapy Inc | 1949-01-02 | 2025-10-28 | F | AE | PT | N/A | TARASEVYCH | 90733231H | VIRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132620138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8050658/check_13941563_3be69634-e578-45af-9b1e-4b17d6bbd8e6.json | N/A | N/A | N/A | N/A | N/A | 90733231H | N/A | N/A | HEALTH NET, LLC | N/A | 1949-01-02 | N/A | N/A | N/A | N/A | false | TARASEVYCH | N/A | VIRA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119357416 | N/A | N/A | 8050658 | 2222 | 4793 | 14225388 | N/A | 6845945 | 2025-10-28 00:44:49.618590 | 2025-08-20 15:30:30.230373 |
| 2025-10-27 07:14:38.785563 | 2025-10-28 00:44:56.174092 | 13941471 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 13941471 | Athletic Physical Therapy Inc | 1960-02-19 | 2025-10-29 | F | AE | PT | N/A | ENGLISH BLAZEJ | 40067960801 | DOREEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132620138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8048674/check_13941471_181ffeef-f518-41c6-b022-f92cfd4c7edc.json | N/A | N/A | N/A | N/A | N/A | 40067960801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1960-02-19 | 2025H5425001 | H5425M | N/A | N/A | false | ENGLISH BLAZEJ | N/A | DOREEN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119357401 | N/A | N/A | 8048674 | 2222 | 4801 | 14225514 | N/A | 6844466 | 2025-10-28 00:44:56.174092 | 2025-08-13 17:29:27.130257 |
| 2025-10-27 07:14:20.029239 | 2025-10-28 00:42:14.049898 | 13941169 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 13941169 | override_provider | 1960-06-14 | 2025-10-28 | F | PT | N/A | N/A | VERWEY | R61817302 | CAREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132620138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8025542/check_13941169_4fb71190-2be8-4eb0-8fcf-f27aac427023.json | N/A | N/A | N/A | N/A | N/A | R61817302 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1960-06-14 | N/A | 35C | N/A | PR | false | VERWEY | N/A | CAREN | N/A | 9999-12-31 | 2025-01-01 | FEP BLUE FOCUS | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119358384 | N/A | N/A | 8025542 | 2222 | 4801 | 14222626 | N/A | 6826965 | 2025-10-28 00:42:14.049898 | 2025-08-13 02:28:19.717631 |
| 2025-10-27 07:14:01.703318 | 2025-10-28 00:50:21.155341 | 13940937 | N/A | N/A | SRRGA | Railroad Medicare | 1114042165 | 13940937 | Athletic Physical Therapy Inc | 1977-03-25 | 2025-10-29 | M | AE | PT | N/A | BRADBURY | 7HR3VE4QQ94 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132524227.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9557582/check_13940937_54ff834e-3d6d-4f14-82eb-2520b75bbdb6.json | N/A | N/A | N/A | N/A | N/A | 7HR3VE4QQ94 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1977-03-25 | S5617 | N/A | N/A | MB | false | BRADBURY | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119341827 | N/A | N/A | 9557582 | 2222 | 4801 | 14230168 | N/A | 7992729 | 2025-10-28 00:50:21.155341 | 2025-10-01 17:15:45.167667 |
| 2025-10-27 07:13:53.819454 | 2025-10-28 00:44:56.523447 | 13940849 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 13940849 | Athletic Physical Therapy Inc | 1950-08-25 | 2025-10-29 | F | AE | PT | N/A | POLLOCK | 40002008301 | MARY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132620138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7992096/check_13940849_5fcd8afc-017c-4fae-ab8e-e6bd953f7006.json | N/A | N/A | N/A | N/A | N/A | 40002008301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-08-25 | 2025H5425001 | H5425M | N/A | N/A | false | POLLOCK | N/A | MARY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119358371 | N/A | N/A | 7992096 | 2222 | 4801 | 14225523 | N/A | 4212687 | 2025-10-28 00:44:56.523447 | 2025-08-27 18:05:06.350903 |
| 2025-10-27 07:13:51.653168 | 2025-10-28 00:45:22.614682 | 13940828 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13940828 | Athletic Physical Therapy Inc | 1956-11-29 | 2025-10-30 | F | AE | PT | N/A | GOMEZ | 00000401101 | ALICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132524227.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9555104/check_13940828_74dce74e-84ca-4a3a-80b2-b7c518d1abdf.json | N/A | N/A | N/A | N/A | N/A | 00000401101 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1956-11-29 | H3815007 | N/A | N/A | HM | false | GOMEZ | N/A | ALICIA | N/A | 2025-12-31 | 2025-06-01 | ALIGNMENT HEALTH MY CHOICE CALPLUS (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119341805 | N/A | N/A | 9555104 | 2222 | 4801 | 14226013 | 2630 | 7990617 | 2025-10-28 00:45:22.614682 | 2025-09-29 20:34:47.088032 |
| 2025-10-27 07:13:45.609361 | 2025-10-28 00:45:56.937598 | 13940769 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13940769 | Athletic Physical Therapy Inc | 1978-12-04 | 2025-10-30 | M | PT | N/A | N/A | Karp | R58968799 | Aaron | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132320282.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7036296/check_13940769_e0591ed2-b120-414c-bbea-18651307a80f.json | N/A | N/A | N/A | N/A | N/A | R58968799 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1978-12-04 | N/A | 112 | N/A | PR | false | KARP | N/A | JENNIFER | N/A | 9999-12-31 | 2012-12-02 | BASIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119329955 | N/A | N/A | 7036296 | 2222 | 4802 | 14226647 | N/A | 6049018 | 2025-10-28 00:45:56.937598 | 2025-07-16 16:57:31.246752 |
| 2025-10-27 07:13:02.278315 | 2025-10-28 00:42:13.754327 | 13940293 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 13940293 | override_provider | 1956-10-21 | 2025-10-28 | M | PT | N/A | N/A | TOROS | SAD103594467 | HALIL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132620138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7896723/check_13940293_c35e859e-0808-435c-b3ec-b8d0e5f23e4f.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 | N/A | N/A | N/A | N/A | N/A | N/A | 9119358308 | N/A | N/A | 7896723 | 2222 | 4802 | 14222620 | N/A | 6723602 | 2025-10-28 00:42:13.754327 | 2025-08-12 18:22:41.461515 |
| 2025-10-27 07:12:26.334685 | 2025-10-28 00:46:46.651952 | 13939866 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13939866 | Athletic Physical Therapy Inc | 1987-11-24 | 2025-10-28 | F | PT | N/A | N/A | Halat | FIZ100010118257 | Hooram | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132620138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7870152/check_13939866_0a99c1a6-cf1c-452b-b40b-c8c377b5533d.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 | 9119356892 | N/A | N/A | 7870152 | 2222 | 4802 | 14227563 | N/A | 6698799 | 2025-10-28 00:46:46.651952 | 2025-08-07 18:40:53.120761 |
| 2025-10-27 07:11:56.446568 | 2025-10-28 00:41:14.189004 | 13939496 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 13939496 | Athletic Physical Therapy Inc | 1957-01-30 | 2025-10-29 | F | AE | PT | N/A | SEIFERT | H77624682 | ARMIDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132524227.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9486126/check_13939496_f5fb4787-5326-4e1b-8fd0-90df680bd862.json | N/A | N/A | N/A | N/A | N/A | H77624682 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1957-01-30 | N/A | N/A | N/A | N/A | false | SEIFERT | N/A | ARMIDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119341755 | N/A | N/A | 9486126 | 2222 | 4793 | 14221466 | N/A | 7936248 | 2025-10-28 00:41:14.189004 | 2025-09-17 22:49:12.995113 |
| 2025-10-27 07:11:48.065301 | 2025-10-28 00:53:20.564629 | 13939379 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13939379 | Athletic Physical Therapy Inc | 1956-11-29 | 2025-10-29 | M | AE | PT | N/A | LYGA | LPZ819A58009 | FRANK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132618884.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9812143/check_13939379_14931c36-f529-4281-9c8f-ce06da6dbd72.json | N/A | N/A | N/A | N/A | N/A | LPZ819A58009 | Preferred Provider Organization (PPO) | LOS ANGELES POLICE RELIEF ASN INC | MEDICARE D | N/A | 1956-11-29 | 040 | 1841UV | N/A | PR | false | LYGA | N/A | FRANK | N/A | 9999-12-31 | 2024-12-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119366376 | N/A | N/A | 9812143 | 2222 | 4801 | 14232530 | N/A | 4219584 | 2025-10-28 00:53:20.564629 | 2025-09-29 18:19:47.145731 |
| 2025-10-27 07:11:45.361529 | 2025-10-28 00:42:35.861923 | 13939309 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 13939309 | Athletic Physical Therapy Inc | 2010-03-18 | 2025-10-30 | M | PT | N/A | N/A | MARTIN | XEH906532391003 | CHRISTOPHER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132320282.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6967909/check_13939309_eece6d0a-58b9-4a51-bef7-36c405202bfe.json | N/A | N/A | N/A | N/A | N/A | XEH906532391 | Health Maintenance Organization (HMO) | WILD WONDER LLC | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2010-03-18 | 1000VX000101 | W0099153 | N/A | HM | false | MARTIN | N/A | ELIZABETH | N/A | 2036-03-31 | 2025-06-01 | PLATINUM ACCESS HMO R 0 20 OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119330134 | N/A | N/A | 6967909 | 2222 | 4793 | 14223019 | N/A | 5990447 | 2025-10-28 00:42:35.861923 | 2025-07-21 18:40:33.917911 |
| 2025-10-27 07:11:45.344965 | 2025-10-28 00:45:25.800289 | 13939307 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 13939307 | Athletic Physical Therapy Inc | 1964-01-25 | 2025-10-30 | M | AE | PT | N/A | CORAY | 00003138358 | KLAUS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132620138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7815883/check_13939307_a7903f3b-5861-4b7d-968b-7161fc5b64bd.json | N/A | N/A | N/A | N/A | N/A | 00003138358 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1964-01-25 | N/A | N/A | N/A | N/A | false | CORAY | N/A | KLAUS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119356843 | N/A | N/A | 7815883 | 2222 | 4793 | 14226069 | N/A | 6655655 | 2025-10-28 00:45:25.800289 | 2025-09-09 21:32:56.328170 |
| 2025-10-27 07:11:42.690313 | 2025-10-28 00:48:00.029678 | 13939227 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13939227 | Athletic Physical Therapy Inc | 1980-03-06 | 2025-10-29 | M | PT | N/A | N/A | Lane | LNJ914036056 | Jason | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132320282.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6967170/check_13939227_292ac3a6-1bfe-42ed-9e1d-87bce60df522.json | N/A | N/A | N/A | N/A | N/A | LNJ914036056 | Preferred Provider Organization (PPO) | LIVE NATION JOINT VENTURES | BLUE SHIELD OF CA | N/A | 1980-03-06 | 1000VX000001 | W3000596 | N/A | PR | false | LANE | N/A | JASON | N/A | N/A | N/A | LIVE NATION JOINT VENTURES CUSTOM VISION DELUXE 25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119330129 | N/A | N/A | 6967170 | 2222 | 4802 | 14228744 | N/A | 5857104 | 2025-10-28 00:48:00.029678 | 2025-07-08 17:08:11.593095 |
| 2025-10-27 07:11:41.957675 | 2025-10-28 00:45:27.877059 | 13939210 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13939210 | Athletic Physical Therapy Inc | 1976-12-11 | 2025-10-28 | M | AE | PT | N/A | NAGATSUKA | R06971566MM1 | ANTHONY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132620138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7813417/check_13939210_efedc81d-eff4-424b-a7a6-65fbce98076b.json | N/A | N/A | N/A | N/A | N/A | R06971566MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1976-12-11 | N/A | N/A | N/A | N/A | false | NAGATSUKA | N/A | ANTHONY | N/A | N/A | N/A | KW3 SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119356836 | N/A | N/A | 7813417 | 2222 | 4801 | 14226109 | N/A | 6653733 | 2025-10-28 00:45:27.877059 | 2025-08-24 22:53:15.351116 |
| 2025-10-27 07:11:32.179579 | 2025-10-28 00:47:03.065655 | 13939004 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 13939004 | Athletic Physical Therapy Inc | 1950-07-29 | 2025-10-30 | F | AE | PT | N/A | Reinis | H71911100 | Meredith | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132618884.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681834/check_13939004_6ae875cb-b7f2-420b-86b5-879a1b5b9709.json | N/A | N/A | N/A | N/A | N/A | H71911100 | Supplemental Policy | HUMANA BENEFIT PLANOF ILL, INC | HUMANA | 067 019 | 1950-07-29 | N/A | 5A409003 | N/A | SP | false | REINIS | N/A | MEREDITH | N/A | N/A | N/A | MEDICARE MES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119365719 | N/A | N/A | 9681834 | 2222 | 4802 | 14227833 | N/A | 8101541 | 2025-10-28 00:47:03.065655 | 2025-09-29 18:50:04.958524 |
| 2025-10-27 07:11:26.248411 | 2025-10-28 00:51:27.228619 | 13938853 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13938853 | Athletic Physical Therapy Inc | 1960-03-06 | 2025-10-30 | F | AE | PT | N/A | LODIN | 5AA2QP0EW26 | FARIMA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132429510.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9839151/check_13938853_cc1e875a-26ff-47c3-8811-827b152778e0.json | N/A | N/A | N/A | N/A | N/A | 5AA2QP0EW26 | Medicare Part B | N/A | ACE AMERICAN INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-03-06 | S5601 | DOL 04172009 | N/A | MB | false | LODIN | N/A | FARIMA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119337038 | N/A | N/A | 9839151 | 2222 | 4801 | 14230934 | N/A | 8237010 | 2025-10-28 00:51:27.228619 | 2025-09-29 23:35:30.340004 |
| 2025-10-27 07:11:26.152779 | 2025-10-28 00:46:22.423430 | 13938849 | N/A | N/A | 60054 | Aetna | 1114042165 | 13938849 | Athletic Physical Therapy Inc | 1952-08-04 | 2025-10-30 | F | AE | PT | N/A | Dunkerley | AHC2057583 | Elizabeth | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132618884.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9665220/check_13938849_f101d925-d401-470f-a85a-cada03e22122.json | N/A | N/A | N/A | N/A | N/A | AHC2057583 | N/A | N/A | AETNA INC | N/A | 1952-08-04 | N/A | N/A | N/A | N/A | false | DUNKERLEY | N/A | ELIZABETH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119366886 | N/A | N/A | 9665220 | 2222 | 4802 | 14227114 | N/A | 8086688 | 2025-10-28 00:46:22.423430 | 2026-01-15 18:07:39.869679 |
| 2025-10-27 07:11:24.174167 | 2025-10-28 00:46:02.192489 | 13938800 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13938800 | Athletic Physical Therapy Inc | 1963-09-07 | 2025-10-30 | M | PT | N/A | N/A | BAHR | FZX638A69335 | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132628914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10371931/check_13938800_92810228-9ec6-40a7-a718-edd2b4dd80a0.json | N/A | N/A | N/A | N/A | N/A | FZX638A69335 | Preferred Provider Organization (PPO) | CDHP HSA NON-INTEGRATED BNK | ANTHEM BLUE CROSS | N/A | 1963-09-07 | 423 | 201028M2CA | N/A | PR | false | BAHR | N/A | KEVIN | N/A | 9999-12-31 | 2022-01-01 | CDHP VIRGINIA HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119362597 | N/A | N/A | 10371931 | 2222 | 4793 | 14226747 | N/A | 8634062 | 2025-10-28 00:46:02.192489 | 2025-10-16 21:25:25.746427 |
| 2025-10-27 07:10:57.734799 | 2025-10-28 00:55:59.414676 | 13938018 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13938018 | Athletic Physical Therapy Inc | 1955-07-01 | 2025-10-30 | F | AE | PT | N/A | GREER | XEM909858172 | ROBIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132618884.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411084/check_13938018_a9dbfb86-0eb8-4780-90fa-b2078080f777.json | N/A | N/A | N/A | N/A | N/A | XEM909858172 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-07-01 | 2002SE000030 | X0001002 | N/A | OT | false | GREER | N/A | ROBIN | 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 | 9119366853 | N/A | N/A | 9411084 | 2222 | 4802 | 14233678 | N/A | 7879863 | 2025-10-28 00:55:59.414676 | 2026-02-04 18:21:13.840230 |
| 2025-10-27 07:10:57.058788 | 2025-10-28 02:44:40.305222 | 13937997 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13937997 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-10-28 | F | AE | PT | N/A | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.111424726.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_13937997_dc6f20de-7440-41c4-b28c-362269450642.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119344069 | N/A | N/A | 5568076 | 2222 | 4802 | 14236943 | N/A | 4209480 | 2025-10-28 02:44:40.305222 | 2026-04-10 02:05:15.976484 |
| 2025-10-27 07:10:55.633190 | 2025-10-28 00:46:38.395024 | 13937936 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13937936 | Athletic Physical Therapy Inc | 1970-10-11 | 2025-10-29 | M | PT | N/A | N/A | Kahen | XEK909669840 | Shervin | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132620138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7787192/check_13937936_1a9a31ff-a440-4390-adf4-4bff4853f032.json | N/A | N/A | N/A | N/A | N/A | XEK909669840 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1970-10-11 | 2001ZK002195 | X0001000 | N/A | PR | false | KAHEN | N/A | SHERVIN | N/A | 9999-12-31 | 2025-05-18 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119357615 | N/A | N/A | 7787192 | 2222 | 4802 | 14227410 | N/A | 6631054 | 2025-10-28 00:46:38.395024 | 2025-12-12 20:45:04.787542 |
| 2025-10-27 07:10:52.225706 | 2025-10-28 00:41:56.789553 | 13937815 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 13937815 | Athletic Physical Therapy Inc | 1946-11-22 | 2025-10-30 | F | AE | PT | N/A | CAPUTA | 31334080511 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132618884.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9336758/check_13937815_291b591d-29e9-4a5f-9cc5-6335145eef75.json | N/A | N/A | N/A | N/A | N/A | 31334080511 | 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. | 1946-11-22 | N/A | N/A | N/A | SP | false | CAPUTA | N/A | SANDRA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119366811 | N/A | N/A | 9336758 | 2222 | 4801 | 14222206 | N/A | 7835556 | 2025-10-28 00:41:56.789553 | 2025-09-12 16:59:25.752326 |
| 2025-10-27 07:10:51.891723 | 2025-10-28 02:46:33.781322 | 13937799 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13937799 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-10-30 | F | PT | N/A | N/A | PANDYA | XEA913306283 | DHARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.111424726.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_13937799_4d273bde-8a9f-4609-92b8-9a01f63421cf.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1975-08-17 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2024-06-03 | HSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119345460 | N/A | N/A | 5550845 | 2222 | 4801 | 14237431 | N/A | 4219713 | 2025-10-28 02:46:33.781322 | 2025-08-13 22:46:55.732965 |
| 2025-10-27 07:10:51.807477 | 2025-10-28 02:50:18.295113 | 13937796 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13937796 | Athletic Physical Therapy Inc | 1956-11-29 | 2025-10-29 | M | AE | PT | N/A | LYGA | 9E33A44VQ74 | FRANK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.111424726.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550634/check_13937796_1b067e34-dced-4c79-b1a5-3d203b9811f0.json | N/A | N/A | N/A | N/A | N/A | 9E33A44VQ74 | Medicare Part B | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-11-29 | S5596 | DOL 07071986 | N/A | MB | false | LYGA | N/A | FRANK | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119345459 | N/A | N/A | 5550634 | 2222 | 4801 | 14238787 | N/A | 4219584 | 2025-10-28 02:50:18.295113 | 2025-09-29 18:19:47.145731 |
| 2025-10-27 07:10:51.638021 | 2025-10-28 02:45:32.126147 | 13937790 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13937790 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-10-29 | F | PT | N/A | N/A | LUCZYWEK | HFD100011213709 | DEBORA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.111424726.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_13937790_bbd00dcc-0951-4d37-a748-759e30eb1c62.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 | 9119345457 | N/A | N/A | 5549317 | 2222 | 4801 | 14237168 | N/A | 4219010 | 2025-10-28 02:45:32.126147 | 2026-01-09 18:32:07.618867 |
| 2025-10-27 07:10:50.509035 | 2025-10-28 02:44:47.027428 | 13937750 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 13937750 | Athletic Physical Therapy Inc | 1950-03-29 | 2025-10-30 | M | AE | PT | N/A | AKHTARI | 40045421301 | SHAHROKH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.111424726.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543493/check_13937750_05010139-5639-48d9-9435-e2f07612df12.json | N/A | N/A | N/A | N/A | N/A | 40045421301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-03-29 | 2025H5425084LA | H5425M | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | SCAN VENTURE (HMO), LOS ANGELES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119345446 | N/A | N/A | 5543493 | 2222 | 4793 | 14236980 | N/A | 4215273 | 2025-10-28 02:44:47.027428 | 2025-05-13 04:29:37.229594 |
| 2025-10-27 07:10:50.419336 | 2025-10-28 02:44:41.914604 | 13937748 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13937748 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-10-28 | M | AE | PT | N/A | FORTIN | R14644640MS1 | NATHANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.111424726.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_13937748_1e458fdb-8fb1-494a-8180-d5a2913f66a4.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | K96 SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119345445 | N/A | N/A | 5543425 | 2222 | 4801 | 14236952 | N/A | 4215211 | 2025-10-28 02:44:41.914604 | 2026-04-02 22:30:20.020246 |
| 2025-10-27 07:10:50.335169 | 2025-10-28 02:45:30.867990 | 13937746 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13937746 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-10-30 | F | PT | N/A | N/A | DAKE | SIF326M90066 | RENEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.111424726.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543355/check_13937746_003722b1-1e1a-46d3-9e42-475644d1fc61.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | Preferred Provider Organization (PPO) | SISC - MEADOWS ARTS & TECH ELEMENTARY SCHOOL | ANTHEM BLUE CROSS | N/A | 1968-01-29 | 040 | 40424B | N/A | PR | false | DAKE | N/A | RENEE | N/A | 9999-12-31 | 2018-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119345444 | N/A | N/A | 5543355 | 2222 | 4793 | 14237160 | N/A | 4215158 | 2025-10-28 02:45:30.867990 | 2025-05-13 04:29:37.229475 |
| 2025-10-27 07:10:50.260072 | 2025-10-28 02:50:17.725533 | 13937742 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13937742 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-10-30 | F | AE | PT | N/A | HOWARD | 6JJ9KX0PY45 | JUDI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.111424726.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543348/check_13937742_1c29b6a9-70e3-4bc9-b8df-8382002aa62b.json | N/A | N/A | N/A | N/A | N/A | 6JJ9KX0PY45 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-11-19 | S5884 | N/A | N/A | MA | false | HOWARD | N/A | JUDI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119345443 | N/A | N/A | 5543348 | 2222 | 4793 | 14238783 | N/A | 4215147 | 2025-10-28 02:50:17.725533 | 2025-05-13 04:29:37.229464 |
| 2025-10-27 07:10:50.177310 | 2025-10-28 02:45:30.217006 | 13937738 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13937738 | Athletic Physical Therapy Inc | 1962-09-27 | 2025-10-29 | F | PT | N/A | N/A | BARAJAS | NCF425A56241 | EMMA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.111424726.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543324/check_13937738_25476794-201c-433b-b899-f84ee855bb7c.json | N/A | N/A | N/A | N/A | N/A | JMV425A56241 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1962-09-27 | 040 | 56677VR000 | N/A | HM | false | BARAJAS | N/A | RAMON | N/A | 9999-12-31 | 2025-09-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119345442 | N/A | N/A | 5543324 | 2222 | 4801 | 14237156 | 4184 | 4215131 | 2025-10-28 02:45:30.217006 | 2025-08-11 16:45:52.816842 |