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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-27 07:10:50.087213 | 2025-10-28 02:45:32.421694 | 13937736 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13937736 | Athletic Physical Therapy Inc | 2003-10-09 | 2025-10-29 | F | PT | LUKOWITSCH | XDPCA8263500 | HALLIE | N/A | 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/2222/5543178/check_13937736_8581ea84-6823-4fd4-a238-ee8870350e7c.json | N/A | N/A | N/A | N/A | N/A | XDPCA8263500 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | ANTHEM BLUE CROSS | N/A | 2003-10-09 | 040 | 275958P701 | N/A | PR | false | LUKOWITSCH | N/A | HALLIE | N/A | 9999-12-31 | 2025-09-22 | PPO UC SHIP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119345441 | N/A | N/A | 5543178 | 2222 | 4802 | 14237170 | N/A | 4215006 | 2025-10-28 02:45:32.421694 | 2025-05-13 04:29:37.229325 |
| 2025-10-27 07:10:49.966861 | 2025-10-28 02:45:31.785770 | 13937732 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13937732 | Athletic Physical Therapy Inc | 1972-06-23 | 2025-10-30 | F | PT | LAWSON | JXN663W00172 | MICHELLE | N/A | 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/2222/5543167/check_13937732_388a70fa-194e-4c58-b4b1-044a9ab89a4b.json | N/A | N/A | N/A | N/A | N/A | JXN663W00172 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1972-06-23 | 040 | 174222M2A1 | N/A | PR | false | LAWSON | N/A | MICHELLE | N/A | 9999-12-31 | 2020-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119345440 | N/A | N/A | 5543167 | 2222 | 4793 | 14237166 | N/A | 4214995 | 2025-10-28 02:45:31.785770 | 2025-05-13 04:29:37.229315 |
| 2025-10-27 07:10:49.814861 | 2025-10-28 02:45:18.667717 | 13937729 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13937729 | Athletic Physical Therapy Inc | 2007-12-08 | 2025-10-28 | F | AE | LARSEN | R06053944FD1 | LANA | PT | 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/2222/5542850/check_13937729_2c8f43f5-fab0-4a6d-8091-a8b747477f65.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 | 9119345439 | N/A | N/A | 5542850 | 2222 | 4793 | 14237092 | N/A | 4214714 | 2025-10-28 02:45:18.667717 | 2025-05-13 04:29:37.229031 |
| 2025-10-27 07:10:49.710875 | 2025-10-28 02:44:43.301198 | 13937724 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13937724 | Athletic Physical Therapy Inc | 1979-11-17 | 2025-10-28 | F | AE | WOODS | 96781627F | JESSICA | PT | 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/2222/5542752/check_13937724_86aa7b27-59db-4d31-8f2c-33d1c82fcbac.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 | 9119345438 | N/A | N/A | 5542752 | 2222 | 4793 | 14236959 | N/A | 4214627 | 2025-10-28 02:44:43.301198 | 2025-06-23 18:58:46.304598 |
| 2025-10-27 07:10:49.601658 | 2025-10-28 02:44:41.086607 | 13937722 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13937722 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-10-28 | F | AE | CHERE | 98953535F | DIANA | PT | 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/2222/5542660/check_13937722_e64b1246-2049-4dba-a1aa-994b2576fe30.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 | 9119345437 | N/A | N/A | 5542660 | 2222 | 4802 | 14236946 | N/A | 4214542 | 2025-10-28 02:44:41.086607 | 2025-05-13 04:29:37.228868 |
| 2025-10-27 07:10:49.506054 | 2025-10-28 02:50:16.816519 | 13937718 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13937718 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-10-30 | M | AE | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | PT | 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/2222/5542555/check_13937718_bafbfcac-55c0-477e-a18a-8a2d0337c551.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-24 | N/A | N/A | N/A | MA | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119345436 | N/A | N/A | 5542555 | 2222 | 4793 | 14238777 | N/A | 4214447 | 2025-10-28 02:50:16.816519 | 2026-04-23 20:11:34.441054 |
| 2025-10-27 07:10:49.402480 | 2025-10-28 02:45:25.115266 | 13937713 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 13937713 | Athletic Physical Therapy Inc | 1988-11-03 | 2025-10-30 | F | AE | CAPISTRANO | 98696372G | FERDELLE | PT | 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/2222/5542513/check_13937713_988b24ac-4aa7-4cbf-b108-0bd56b4ac0ff.json | N/A | N/A | N/A | N/A | N/A | 98696372G | N/A | N/A | AMERIHEALTH CARITAS LOUISIANA | N/A | N/A | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119345435 | N/A | N/A | 5542513 | 2222 | 4793 | 14237124 | N/A | 4214418 | 2025-10-28 02:45:25.115266 | 2025-07-03 18:12:11.075357 |
| 2025-10-27 07:10:49.298020 | 2025-10-28 02:46:33.461337 | 13937712 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13937712 | Athletic Physical Therapy Inc | 1983-10-27 | 2025-10-30 | M | PT | FEDERER | XEA911365031 | MITCH | N/A | 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/2222/5542512/check_13937712_8308aeb2-f7e2-47f0-8788-3548d8429124.json | N/A | N/A | N/A | N/A | N/A | XEA911365031 | Preferred Provider Organization (PPO) | WEINSTEIN SENIOR LLP | BLUE SHIELD CALIFORNIA | N/A | 1983-10-27 | 1000VX000102 | W0122744 | N/A | PR | false | FEDERER | N/A | MITCHEL | N/A | 9999-12-31 | 2022-05-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119345434 | N/A | N/A | 5542512 | 2222 | 4793 | 14237429 | N/A | 4214416 | 2025-10-28 02:46:33.461337 | 2025-05-13 04:29:37.228740 |
| 2025-10-27 07:10:49.198596 | 2025-10-28 02:45:23.046613 | 13937707 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13937707 | Athletic Physical Therapy Inc | 1957-10-24 | 2025-10-30 | F | AE | MCSHEA | 00000364203 | SANDRA | PT | 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/2222/5542046/check_13937707_a375d383-2c36-43ad-874e-5cc801b47b61.json | N/A | N/A | N/A | N/A | N/A | 00000364203 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-10-24 | H3815028 | N/A | N/A | HM | false | MCSHEA | N/A | SANDRA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119345433 | N/A | N/A | 5542046 | 2222 | 4801 | 14237111 | 2630 | 4214001 | 2025-10-28 02:45:23.046613 | 2025-05-13 04:29:37.228323 |
| 2025-10-27 07:10:49.115496 | 2025-10-28 02:45:32.987621 | 13937704 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13937704 | Athletic Physical Therapy Inc | 1942-12-17 | 2025-10-29 | F | PT | STEINBERG | MBL988M98459 | JUDY | N/A | 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/2222/5542014/check_13937704_9ae86156-959c-4d05-9c76-d2073a9dab65.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119345432 | N/A | N/A | 5542014 | 2222 | 4793 | 14237174 | N/A | 4213977 | 2025-10-28 02:45:32.987621 | 2025-05-13 04:29:37.228294 |
| 2025-10-27 07:10:49.032484 | 2025-10-28 02:44:42.848136 | 13937701 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13937701 | Athletic Physical Therapy Inc | 1985-02-07 | 2025-10-30 | F | AE | SHEPHERD | 93180838F | EMILY | PT | 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/2222/5541519/check_13937701_0e565e46-3a49-453c-8048-cfe3e0562186.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | HEALTH NET, LLC | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119345431 | N/A | N/A | 5541519 | 2222 | 4802 | 14236957 | N/A | 4213530 | 2025-10-28 02:44:42.848136 | 2025-05-13 04:29:37.227860 |
| 2025-10-27 07:10:48.953364 | 2025-10-28 02:46:34.035358 | 13937699 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13937699 | Athletic Physical Therapy Inc | 1990-07-09 | 2025-10-30 | M | PT | UPSON | XEA909162969 | RYAN | N/A | 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/2222/5541318/check_13937699_7cd52458-411c-4d53-a8c4-a3809393a01b.json | N/A | N/A | N/A | N/A | N/A | XEA909162969 | Preferred Provider Organization (PPO) | CHILD CARE RESOURCE CENTER | BLUE SHIELD CALIFORNIA | N/A | 1990-07-09 | 1000VX000001 | W0065399 | N/A | PR | false | UPSON | N/A | SANDY | N/A | N/A | N/A | CHILD CARE RESOURCE CENTER PPO COMBINED DEDUCTIBLE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119345430 | N/A | N/A | 5541318 | 2222 | 4801 | 14237432 | N/A | 4213349 | 2025-10-28 02:46:34.035358 | 2025-05-13 04:29:37.227671 |
| 2025-10-27 07:10:48.873433 | 2025-10-28 02:44:41.457383 | 13937697 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13937697 | Athletic Physical Therapy Inc | 1968-03-30 | 2025-10-30 | M | AE | FARAHMAND | 91957675E | ALEX | PT | 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/2222/5541163/check_13937697_6ec6468a-a56f-42cb-8a49-95c15224042b.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | HEALTH NET, LLC | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119345429 | N/A | N/A | 5541163 | 2222 | 4802 | 14236950 | N/A | 4213207 | 2025-10-28 02:44:41.457383 | 2025-05-13 04:29:37.227536 |
| 2025-10-27 07:10:48.799711 | 2025-10-28 02:50:17.421303 | 13937693 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13937693 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-10-30 | F | AE | GNAD | 9EM9VP4XX36 | MELANIE | PT | 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/2222/5540676/check_13937693_b3dd50cf-4754-4fa4-b52b-0ede9f20582b.json | N/A | N/A | N/A | N/A | N/A | 9EM9VP4XX36 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-04-16 | S5601 | N/A | N/A | MA | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119345428 | N/A | N/A | 5540676 | 2222 | 4801 | 14238781 | N/A | 4212792 | 2025-10-28 02:50:17.421303 | 2025-10-07 20:33:25.637997 |
| 2025-10-27 07:10:48.690432 | 2025-10-28 02:44:47.352032 | 13937689 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 13937689 | Athletic Physical Therapy Inc | 1940-03-29 | 2025-10-29 | F | AE | MARTINEZ | 40032670501 | MARIA | PT | 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/2222/5540591/check_13937689_1c7f4d0e-8996-4012-a3e4-7b19fb233d1d.json | N/A | N/A | N/A | N/A | N/A | 40032670501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1940-03-29 | 2025H5425001 | H5425M | N/A | N/A | false | MARTINEZ | N/A | MARIA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119345427 | N/A | N/A | 5540591 | 2222 | 4801 | 14236981 | N/A | 4212724 | 2025-10-28 02:44:47.352032 | 2025-07-26 22:27:37.781276 |
| 2025-10-27 07:10:48.572160 | 2025-10-28 02:50:16.495735 | 13937686 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13937686 | Athletic Physical Therapy Inc | 1940-05-13 | 2025-10-30 | F | AE | ALIZADEH GHARBAGHI | 6AX8PH3NH43 | TOURAN | PT | 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/2222/5540531/check_13937686_bff0ae52-7755-4d69-895e-a93b09197862.json | N/A | N/A | N/A | N/A | N/A | 6AX8PH3NH43 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-05-13 | S5617 | N/A | N/A | MA | false | ALIZADEH GHARBAGHI | N/A | TOURAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119345426 | N/A | N/A | 5540531 | 2222 | 4802 | 14238775 | N/A | 4212676 | 2025-10-28 02:50:16.495735 | 2025-07-03 21:09:02.193065 |
| 2025-10-27 07:10:48.474993 | 2025-10-28 02:44:42.362845 | 13937684 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13937684 | Athletic Physical Therapy Inc | 1973-07-11 | 2025-10-28 | M | AE | HERMAN | 95836743G | BRETT | PT | 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/2222/5540113/check_13937684_76860252-0979-4c1a-8259-291946de4139.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 | 9119345425 | N/A | N/A | 5540113 | 2222 | 4801 | 14236955 | N/A | 4212315 | 2025-10-28 02:44:42.362845 | 2025-12-29 21:20:15.158611 |
| 2025-10-27 07:10:48.385862 | 2025-10-28 02:45:30.560382 | 13937681 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13937681 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-10-30 | F | PT | BOYLAN | MBL857M98403 | JOAN | N/A | 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/2222/5540074/check_13937681_30fbccc1-a8f2-4fbf-94a9-a17e89c8edae.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | 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 | 9119345424 | N/A | N/A | 5540074 | 2222 | 4802 | 14237158 | N/A | 4212282 | 2025-10-28 02:45:30.560382 | 2025-05-13 04:29:37.226623 |
| 2025-10-27 07:10:48.300072 | 2025-10-28 02:45:18.326707 | 13937680 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13937680 | Athletic Physical Therapy Inc | 1982-06-09 | 2025-10-28 | M | AE | FULKERSON | R12222652MM1 | SCOTT | PT | 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/2222/5539956/check_13937680_96be773e-fd6f-4bb7-866c-44dce90a6bec.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 | 9119345423 | N/A | N/A | 5539956 | 2222 | 4801 | 14237091 | N/A | 4212166 | 2025-10-28 02:45:18.326707 | 2025-10-23 15:59:33.239127 |
| 2025-10-27 07:10:48.204787 | 2025-10-28 02:46:45.796589 | 13937675 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13937675 | Athletic Physical Therapy Inc | 2011-01-19 | 2025-10-29 | M | PT | CHELIUS | JXN662A51170 | CADEN | N/A | 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/2222/5539929/check_13937675_378ceea2-73e4-4bff-abed-0220a0290325.json | N/A | N/A | N/A | N/A | N/A | JXN662A51170 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | BLUE SHIELD OF CALIFORNIA | N/A | 2011-01-19 | 040 | 174222M9A1 | N/A | PR | false | CHELIUS | N/A | CRAIG | N/A | 9999-12-31 | 2021-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119345422 | N/A | N/A | 5539929 | 2222 | 4793 | 14237499 | N/A | 4212158 | 2025-10-28 02:46:45.796589 | 2025-10-22 16:00:14.919111 |
| 2025-10-27 07:10:48.099312 | 2025-10-28 02:46:46.110370 | 13937673 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13937673 | Athletic Physical Therapy Inc | 1983-08-31 | 2025-10-29 | M | PT | FLEMING | SZF839281184 | CHASE | N/A | 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/2222/5539901/check_13937673_e2d00f74-ffdc-47e5-9c61-c33ed174e3fe.json | N/A | N/A | N/A | N/A | N/A | SZF839281184 | Preferred Provider Organization (PPO) | ACTIVE | CUSTOMER SERVICE | N/A | 1983-08-31 | N/A | 018137 | N/A | PR | false | FLEMING | N/A | CHASE | N/A | 9999-12-31 | 2021-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119344691 | N/A | N/A | 5539901 | 2222 | 4793 | 14237501 | N/A | 4212134 | 2025-10-28 02:46:46.110370 | 2025-08-05 02:56:55.384378 |
| 2025-10-27 07:10:47.997157 | 2025-10-28 02:45:33.292838 | 13937670 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13937670 | Athletic Physical Therapy Inc | 1973-05-16 | 2025-10-28 | F | PT | WILSON | XEH905431769 | JOSEPHINE | N/A | 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/2222/5539486/check_13937670_4c945678-d549-4f84-a648-d6babdebccc9.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 | 9119344690 | N/A | N/A | 5539486 | 2222 | 4793 | 14237176 | N/A | 4211784 | 2025-10-28 02:45:33.292838 | 2025-06-01 03:36:02.268093 |
| 2025-10-27 07:10:47.909714 | 2025-10-28 02:45:31.460372 | 13937665 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13937665 | Athletic Physical Therapy Inc | 1952-09-29 | 2025-10-29 | F | PT | JOHNSON | JQS766M90611 | JANET | N/A | 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/2222/5539188/check_13937665_f7c7b654-2831-492d-8b33-e9f42841a256.json | N/A | N/A | N/A | N/A | N/A | JQS766M90611 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-09-29 | 040 | CAMCRWP0 | N/A | MP | false | JOHNSON | N/A | JANET | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119344689 | N/A | N/A | 5539188 | 2222 | 4801 | 14237164 | N/A | 4211521 | 2025-10-28 02:45:31.460372 | 2025-10-19 23:43:25.603984 |
| 2025-10-27 07:10:47.817366 | 2025-10-28 02:45:31.159559 | 13937661 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13937661 | Athletic Physical Therapy Inc | 1980-04-11 | 2025-10-29 | M | PT | Hurst | JQY695A75359 | Gregory | N/A | 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/2222/5539085/check_13937661_5380c40e-6d2f-4011-a065-cf118ba9a382.json | N/A | N/A | N/A | N/A | N/A | JQY695A75359 | Preferred Provider Organization (PPO) | YALE MANAGEMENT SERVICES | ANTHEM BLUE CROSS | N/A | 1980-04-11 | 040 | 342584 | N/A | PR | false | HURST | N/A | GREGORY | N/A | 2025-12-01 | 2024-12-01 | ANTHEM SILVER SELECT PPO 50/2200/40% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119344688 | N/A | N/A | 5539085 | 2222 | 4793 | 14237162 | N/A | 4211408 | 2025-10-28 02:45:31.159559 | 2025-09-18 00:42:48.586801 |
| 2025-10-27 07:10:47.722310 | 2025-10-28 02:50:18.916411 | 13937660 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13937660 | Athletic Physical Therapy Inc | 1950-08-31 | 2025-10-29 | M | AE | NADRICH | 1NJ2V04GK04 | JEFFREY | PT | 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/2222/5538990/check_13937660_0597f059-6a80-4090-b849-19dee8719698.json | N/A | N/A | N/A | N/A | N/A | 1NJ2V04GK04 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-08-31 | S5601 | N/A | N/A | MB | false | NADRICH | N/A | JEFF | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119344687 | N/A | N/A | 5538990 | 2222 | 4802 | 14238791 | N/A | 4211316 | 2025-10-28 02:50:18.916411 | 2025-05-13 04:29:37.225679 |
| 2025-10-27 07:10:47.628564 | 2025-10-28 02:46:46.405433 | 13937657 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13937657 | Athletic Physical Therapy Inc | 1961-12-01 | 2025-10-30 | M | PT | TOOCH | JPU633M84536 | PETER | N/A | 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/2222/5538874/check_13937657_2fca4085-0b8d-4119-8956-90c620de91de.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M001 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119344686 | N/A | N/A | 5538874 | 2222 | 4801 | 14237503 | N/A | 4211227 | 2025-10-28 02:46:46.405433 | 2025-05-13 04:29:37.225625 |
| 2025-10-27 07:10:47.540134 | 2025-10-28 02:50:17.127422 | 13937652 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13937652 | Athletic Physical Therapy Inc | 1952-03-25 | 2025-10-30 | F | AE | DRIMMER | 8E03WF9AM78 | NADIA | PT | 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/2222/5537826/check_13937652_603faa4c-c9dc-4d7a-894f-5b92d152b7ec.json | N/A | N/A | N/A | N/A | N/A | 8E03WF9AM78 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-03-25 | S5921 | N/A | N/A | MB | false | DRIMMER | N/A | NADIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119344685 | N/A | N/A | 5537826 | 2222 | 4802 | 14238779 | N/A | 4210338 | 2025-10-28 02:50:17.127422 | 2025-05-13 04:29:37.224744 |
| 2025-10-27 07:10:47.395140 | 2025-10-28 02:42:00.985000 | 13937648 | N/A | N/A | 60054 | Aetna | 1114042165 | 13937648 | Athletic Physical Therapy Inc | 1965-03-10 | 2025-10-30 | F | AE | LORENZO | W291592729 | CHERYL | PT | 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/2222/5537616/check_13937648_ed9fb13f-8fb1-40b7-8f21-f4313bc8323b.json | N/A | N/A | N/A | N/A | N/A | W291592729 | Point of Service (POS) | MORGAN STANLEY DOMESTIC HOLDINGS, L | AETNA | N/A | 1965-03-10 | 0868849 | 086884901000001 | N/A | PS | false | LORENZO | N/A | CHERYL | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119344684 | N/A | N/A | 5537616 | 2222 | 4802 | 14236140 | N/A | 4210148 | 2025-10-28 02:42:00.985000 | 2025-10-06 12:12:54.911120 |
| 2025-10-27 07:10:47.273856 | 2025-10-28 02:45:32.723194 | 13937645 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13937645 | Athletic Physical Therapy Inc | 1964-10-19 | 2025-10-29 | M | PT | NIELSEN | XDP057A76330 | ROY | N/A | 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/2222/5537188/check_13937645_66be5337-0823-4f11-8e7f-d80ba5e0f38e.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629MN16 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 2025-11-01 | 2025-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119344683 | N/A | N/A | 5537188 | 2222 | 4802 | 14237172 | N/A | 4209789 | 2025-10-28 02:45:32.723194 | 2025-05-13 04:29:37.224215 |
| 2025-10-27 07:10:47.169557 | 2025-10-28 02:50:18.007621 | 13937643 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13937643 | Athletic Physical Therapy Inc | 1945-09-15 | 2025-10-30 | F | AE | KHORSANDI | 3CF4YQ5UH79 | PARIVASH | PT | 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/2222/5536010/check_13937643_fdab8703-b3f5-459a-afc2-3d00f166adbd.json | N/A | N/A | N/A | N/A | N/A | 3CF4YQ5UH79 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-09-15 | S5921 | N/A | N/A | MA | false | KHORSANDI | N/A | PARIVASH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119344682 | N/A | N/A | 5536010 | 2222 | 4802 | 14238785 | N/A | 4208831 | 2025-10-28 02:50:18.007621 | 2025-10-30 22:42:31.399473 |
| 2025-10-27 07:10:47.091841 | 2025-10-28 02:50:18.600805 | 13937642 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13937642 | Athletic Physical Therapy Inc | 1950-07-23 | 2025-10-29 | M | AE | MELVILLE | 5K84YN1FD09 | LANNING | PT | 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/2222/5535728/check_13937642_a3a10179-f98e-4991-bce1-7322b88d5ed9.json | N/A | N/A | N/A | N/A | N/A | 5K84YN1FD09 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-07-23 | S5884 | N/A | N/A | MB | false | MELVILLE | N/A | LANNING | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119344681 | N/A | N/A | 5535728 | 2222 | 4802 | 14238789 | N/A | 4208598 | 2025-10-28 02:50:18.600805 | 2025-09-11 00:56:25.554348 |
| 2025-10-27 07:10:39.821677 | 2025-10-28 00:45:19.855119 | 13937364 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13937364 | Athletic Physical Therapy Inc | 1963-11-03 | 2025-10-29 | M | AE | KUQO | 95557964G | FATMIR | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132628914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10308328/check_13937364_579d2ca7-c4b3-4cb7-9811-01a61ac17e58.json | N/A | N/A | N/A | N/A | N/A | 95557964G | N/A | N/A | HEALTH NET, LLC | N/A | 1963-11-03 | N/A | N/A | N/A | N/A | false | KUQO | N/A | FATMIR | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119363213 | N/A | N/A | 10308328 | 2222 | 4793 | 14225961 | N/A | 8577701 | 2025-10-28 00:45:19.855119 | 2025-10-10 20:23:07.830150 |
| 2025-10-27 07:10:32.995499 | 2025-10-28 00:45:18.360011 | 13937083 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13937083 | Athletic Physical Therapy Inc | 1988-06-03 | 2025-10-29 | F | AE | TORST | R11937526FM1 | SHARLEAN | PT | 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/2222/9454942/check_13937083_eb9633cb-f4a5-4363-b191-24aaa572fcf0.json | N/A | N/A | N/A | N/A | N/A | R11937526FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1988-06-03 | N/A | N/A | N/A | N/A | false | TORST | N/A | SHARLEAN | N/A | N/A | N/A | KVD SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119340868 | N/A | N/A | 9454942 | 2222 | 4801 | 14225933 | N/A | 7906863 | 2025-10-28 00:45:18.360011 | 2025-09-29 16:17:16.352774 |
| 2025-10-27 07:10:26.665566 | 2025-10-28 00:45:57.292927 | 13936797 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13936797 | Athletic Physical Therapy Inc | 1972-01-12 | 2025-10-29 | M | PT | MAGEN | B6YE01199897 | OFIR | N/A | 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/2222/6917703/check_13936797_8161bdf2-edf7-461a-90f3-a7c43e98b6df.json | N/A | N/A | N/A | N/A | N/A | B6YE01199897 | Preferred Provider Organization (PPO) | CHARTERLIFE-2015 HIGH EPO | ANTHEM BLUE CROSS | N/A | 1972-01-12 | 040 | L06598M023 | N/A | PR | false | MAGEN | N/A | LIMOR | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119329922 | N/A | N/A | 6917703 | 2222 | 4793 | 14226653 | N/A | 5949095 | 2025-10-28 00:45:57.292927 | 2025-07-28 22:15:30.266976 |
| 2025-10-27 07:10:23.718878 | 2025-10-28 00:44:56.951132 | 13936671 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 13936671 | Athletic Physical Therapy Inc | 1936-04-01 | 2025-10-30 | F | AE | WESTER | 40064582501 | EIVOR | PT | 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/2222/7761229/check_13936671_167b5396-6cfe-499e-818c-848c9787cd52.json | N/A | N/A | N/A | N/A | N/A | 40064582501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1936-04-01 | 2025H5425001 | H5425M | N/A | N/A | false | WESTER | N/A | EIVOR | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119357108 | N/A | N/A | 7761229 | 2222 | 4793 | 14225529 | N/A | 6610550 | 2025-10-28 00:44:56.951132 | 2025-08-29 21:18:14.924057 |
| 2025-10-27 07:10:22.830208 | 2025-10-28 00:45:32.370108 | 13936630 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 13936630 | Athletic Physical Therapy Inc | 1940-04-13 | 2025-10-29 | F | AE | PRIVITT | 31072079201 | NORMA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132628914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10301619/check_13936630_0cd6e8ec-e748-4018-9e14-f3d157acd821.json | N/A | N/A | N/A | N/A | N/A | 31072079201 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1940-04-13 | 2025H5425001 | H5425M | N/A | N/A | false | PRIVITT | N/A | NORMA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119362109 | N/A | N/A | 10301619 | 2222 | 4793 | 14226189 | N/A | 8571670 | 2025-10-28 00:45:32.370108 | 2025-10-20 20:59:28.219223 |
| 2025-10-27 07:10:21.849090 | 2025-10-28 00:35:09.609366 | 13936579 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13936579 | Athletic Physical Therapy Inc | 1950-08-27 | 2025-10-30 | M | AE | LASKER | XEM904171028 | JOHN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.111334739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11382224/check_13936579_58d2d5ca-d1dc-4d59-9c14-ce45f773dded.json | N/A | N/A | N/A | N/A | N/A | XEM904171028 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1950-08-27 | 2004SE000030 | X0001002 | N/A | OT | false | LASKER | N/A | JOHN | 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 | 9119374905 | N/A | N/A | 11382224 | 2222 | 4802 | 14217249 | N/A | 9648227 | 2025-10-28 00:35:09.609366 | 2025-10-23 00:29:34.359186 |
| 2025-10-27 07:10:19.304990 | 2025-10-28 00:36:17.336315 | 13936446 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13936446 | Athletic Physical Therapy Inc | 2012-11-14 | 2025-10-28 | F | PT | IOANNOU | PAS839113807 | PENELOPE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132725317.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6621141/check_13936446_174cfdd6-faf3-4ac5-ab24-c1b6072f7d9e.json | N/A | N/A | N/A | N/A | N/A | PAS839113807 | Preferred Provider Organization (PPO) | WEST HEALTH CARE NETWORK | CUSTOMER SERVICE | N/A | 2012-11-14 | N/A | 152010 | N/A | PR | false | IOANNOU | N/A | GEORGE | N/A | 9999-12-31 | 2018-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119377520 | N/A | N/A | 6621141 | 2222 | 4801 | 14218219 | N/A | 5237460 | 2025-10-28 00:36:17.336315 | 2025-07-24 16:59:54.908041 |
| 2025-10-27 07:10:18.288828 | 2025-10-28 00:35:23.811590 | 13936389 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13936389 | Athletic Physical Therapy Inc | 1967-03-31 | 2025-10-28 | F | PT | BARRERA | XEH903389121 | LOLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132725317.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611912/check_13936389_f7033698-1c51-43cb-9f06-397470c7b513.json | N/A | N/A | N/A | N/A | N/A | XEH903389121 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1967-03-31 | N/A | N/A | N/A | N/A | false | BARRERA | N/A | LOLA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119377509 | N/A | N/A | 6611912 | 2222 | 4793 | 14217457 | N/A | 5230345 | 2025-10-28 00:35:23.811590 | 2025-07-11 20:32:03.183345 |
| 2025-10-27 07:10:16.723783 | 2025-10-28 00:42:05.118761 | 13936286 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | 13936286 | Athletic Physical Therapy Inc | 1948-01-19 | 2025-10-30 | F | AE | Machleit | 29029580 | Terri | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132222712.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9253541/check_13936286_38521498-a75f-42a1-8c00-2bb08a18859d.json | N/A | N/A | N/A | N/A | N/A | 29029580 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1948-01-19 | 406-024-000 | N/A | N/A | N/A | false | MACHLEIT | N/A | TERRI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119325609 | N/A | N/A | 9253541 | 2222 | 4793 | 14222422 | N/A | 7764252 | 2025-10-28 00:42:05.118761 | 2025-09-11 22:35:02.402934 |
| 2025-10-27 07:10:15.328852 | 2025-10-28 00:53:22.965755 | 13936197 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13936197 | Athletic Physical Therapy Inc | 1956-06-26 | 2025-10-29 | F | AE | SUAREZ | JQE410W22492 | ANA | PT | 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/2222/9083355/check_13936197_499dee5c-a787-42fd-ad21-d584b3b6e95a.json | N/A | N/A | N/A | N/A | N/A | JQE410W22492 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1956-06-26 | 040 | CASUPWP0 | N/A | N/A | false | SUAREZ | N/A | ANA | N/A | 9999-12-31 | 2025-01-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119365367 | N/A | N/A | 9083355 | 2222 | 4801 | 14232566 | N/A | 7600312 | 2025-10-28 00:53:22.965755 | 2025-09-04 18:19:39.478018 |
| 2025-10-27 07:10:14.908507 | 2025-10-28 00:35:24.391176 | 13936175 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13936175 | Athletic Physical Therapy Inc | 1996-07-04 | 2025-10-29 | F | PT | STOLTZ | JQY361W23827 | ARDENN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132725317.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6605808/check_13936175_b7fefb0d-821c-4f18-b875-cc8e724d699d.json | N/A | N/A | N/A | N/A | N/A | JQY361W23827 | Preferred Provider Organization (PPO) | KENT TAKEMOTO, M.D., INC. | ANTHEM BLUE CROSS | N/A | 1996-07-04 | 040 | Q62351 | N/A | PR | false | STOLZ | N/A | ARDENN | N/A | 9999-12-31 | 2025-04-01 | CA SG SELECT PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119377472 | N/A | N/A | 6605808 | 2222 | 4802 | 14217466 | N/A | 4214948 | 2025-10-28 00:35:24.391176 | 2025-06-26 01:28:07.741882 |
| 2025-10-27 07:10:10.804683 | 2025-10-28 00:42:58.957070 | 13935931 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 13935931 | Athletic Physical Therapy Inc | 1951-03-20 | 2025-10-29 | F | AE | TOY | H77237018 | NELDA | PT | 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/2222/7754038/check_13935931_66922c59-12dc-4eac-b581-40601b564060.json | N/A | N/A | N/A | N/A | N/A | H77237018 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 695 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1951-03-20 | N/A | 0B515001 | N/A | HN | false | TOY | N/A | NELDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119357739 | N/A | N/A | 7754038 | 2222 | 4793 | 14223379 | N/A | 6605178 | 2025-10-28 00:42:58.957070 | 2025-08-12 21:10:43.412607 |
| 2025-10-27 07:10:06.034621 | 2025-10-28 00:32:54.146592 | 13935655 | N/A | N/A | 60054 | Aetna | 1114042165 | 13935655 | Athletic Physical Therapy Inc | 1957-01-13 | 2025-10-29 | F | AE | NAY | MBL700W17597 | MARIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.111334739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11175434/check_13935655_318b19b5-2ad2-459e-bdda-56eb60d9d8ab.json | N/A | N/A | N/A | N/A | N/A | MBL700W17597 | N/A | N/A | AETNA INC | N/A | 1957-01-13 | N/A | N/A | N/A | N/A | false | NAY | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119373891 | N/A | N/A | 11175434 | 2222 | 4793 | 14215514 | N/A | 9520463 | 2025-10-28 00:32:54.146592 | 2025-10-21 17:49:23.309023 |
| 2025-10-27 07:10:01.736756 | 2025-10-28 00:57:49.448611 | 13935400 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13935400 | Athletic Physical Therapy Inc | 1960-03-22 | 2025-10-28 | F | AE | ROUSHANBAKHSH | 4M68ME8GE50 | FOROUGH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132628914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10259566/check_13935400_514a0961-6cd1-47e9-92f8-edc6c8655564.json | N/A | N/A | N/A | N/A | N/A | 4M68ME8GE50 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-03-22 | S4802 | N/A | N/A | MB | false | ROUSHANBAKHSH | N/A | FOROUGH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119361771 | N/A | N/A | 10259566 | 2222 | 4802 | 14234090 | N/A | 4213281 | 2025-10-28 00:57:49.448611 | 2025-05-13 04:29:37.227606 |
| 2025-10-27 07:10:00.004428 | 2025-10-28 00:34:51.886517 | 13935282 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13935282 | Athletic Physical Therapy Inc | 1942-02-01 | 2025-10-29 | F | AE | CHANG | JQE101W06364 | QUANG | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.111334739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11159407/check_13935282_0c6d5689-d415-4dd0-b878-dee2037211c3.json | N/A | N/A | N/A | N/A | N/A | JQE101W06364 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1942-02-01 | 040 | CASUPWP0 | N/A | N/A | false | CHANG | N/A | QUANG CHAN | N/A | 9999-12-31 | 2021-01-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119373855 | N/A | N/A | 11159407 | 2222 | 4793 | 14217002 | N/A | 9505845 | 2025-10-28 00:34:51.886517 | 2026-04-29 00:06:17.964395 |
| 2025-10-27 07:09:58.093674 | 2025-10-28 00:45:27.089578 | 13935145 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13935145 | Athletic Physical Therapy Inc | 1952-07-08 | 2025-10-30 | F | PT | LEJANO | 286W1051720 | MELECIA | N/A | 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/2222/9443092/check_13935145_3d717487-09b9-4bd2-90af-56bf930c0f53.json | N/A | N/A | N/A | N/A | N/A | 286W1051720 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1952-07-08 | N/A | N/A | N/A | N/A | false | LEJANO | N/A | MELECIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119342071 | N/A | N/A | 9443092 | 2222 | 4801 | 14226096 | N/A | 7899425 | 2025-10-28 00:45:27.089578 | 2025-09-18 04:34:38.232559 |
| 2025-10-27 07:09:57.430992 | 2025-10-28 00:36:10.838766 | 13935100 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13935100 | Athletic Physical Therapy Inc | 1953-06-17 | 2025-10-30 | M | AE | THOMPSON | XEM906571592 | JAMES | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132725317.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577657/check_13935100_ca222d63-98d6-43c2-a5c1-b614a633c783.json | N/A | N/A | N/A | N/A | N/A | XEM906571592 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1953-06-17 | 2004SF000028 | X0001002 | N/A | OT | false | THOMPSON | N/A | JAMES | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119377154 | N/A | N/A | 6577657 | 2222 | 4793 | 14218127 | N/A | 5197700 | 2025-10-28 00:36:10.838766 | 2025-06-30 15:33:47.069983 |
| 2025-10-27 07:09:55.489851 | 2025-10-28 00:52:54.723477 | 13934972 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13934972 | Athletic Physical Therapy Inc | 1947-12-03 | 2025-10-30 | M | PT | WONG | 6GE2PF6CC92 | STANLEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132222712.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9132315/check_13934972_e136afc8-219d-4c60-b1b3-0205cf39f59c.json | N/A | N/A | N/A | N/A | N/A | 6GE2PF6CC92 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-12-03 | H4036 | N/A | N/A | MA | false | WONG | N/A | STANLEY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119325874 | N/A | N/A | 9132315 | 2222 | 4802 | 14232126 | N/A | 7140615 | 2025-10-28 00:52:54.723477 | 2025-09-05 16:51:17.488032 |
| 2025-10-27 07:09:54.188936 | 2025-10-28 00:35:09.347150 | 13934885 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13934885 | Athletic Physical Therapy Inc | 1959-06-14 | 2025-10-29 | M | AE | HARRIS | XEM913253164 | SCOTT | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.111334739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11150382/check_13934885_95803254-6983-4111-b638-413f55a261ba.json | N/A | N/A | N/A | N/A | N/A | XEM913253164 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1959-06-14 | 2002SE000030 | X0001002 | N/A | OT | false | HARRIS | N/A | SCOTT | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119374734 | N/A | N/A | 11150382 | 2222 | 4793 | 14217245 | N/A | 9497887 | 2025-10-28 00:35:09.347150 | 2025-10-20 16:22:35.728267 |