API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-27 07:09:50.317755 | 2025-10-28 00:35:11.480724 | 13934638 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13934638 | Athletic Physical Therapy Inc | 2009-08-12 | 2025-10-29 | M | AE | PT | Aldana | 95423949E | George | 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/2222/6568645/check_13934638_6366d68f-fe35-44dd-8dee-51126d613015.json | N/A | N/A | N/A | N/A | N/A | 95423949E | N/A | N/A | HEALTH NET, LLC | N/A | 2009-08-12 | N/A | N/A | N/A | N/A | false | ALDANA | N/A | GEORGE | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119376438 | N/A | N/A | 6568645 | 2222 | 4802 | 14217277 | N/A | 5190481 | 2025-10-28 00:35:11.480724 | 2025-06-24 17:29:30.756528 |
| 2025-10-27 07:09:45.620502 | 2025-10-28 00:45:51.125601 | 13934342 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13934342 | Athletic Physical Therapy Inc | 2009-01-14 | 2025-10-30 | F | PT | N/A | OBACZ | JQV897A63197 | KLOIE | 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/2222/9102655/check_13934342_0a0dffbd-18ad-4aee-99a5-66c406434308.json | N/A | N/A | N/A | N/A | N/A | JQV897A63197 | Health Maintenance Organization (HMO) | EVOLVED NOVELTIES INC | ANTHEM BLUE CROSS | N/A | 2009-01-14 | 040 | F45883 | N/A | HM | false | OBACZ | N/A | JUSTIN | N/A | 9999-12-31 | 2025-01-01 | CA SG SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119326093 | N/A | N/A | 9102655 | 2222 | 4801 | 14226538 | N/A | 7621062 | 2025-10-28 00:45:51.125601 | 2025-09-12 19:10:20.936695 |
| 2025-10-27 07:09:43.236849 | 2025-10-28 00:32:25.454401 | 13934200 | N/A | N/A | 60054 | Aetna | 1114042165 | 13934200 | Athletic Physical Therapy Inc | 1993-09-26 | 2025-10-30 | M | AE | PT | Hamilton | W292751187 | Kevin | N/A | 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/2222/6555606/check_13934200_a6b981c9-2d8d-4294-99ad-cb9f74328b27.json | N/A | N/A | N/A | N/A | N/A | W292751187 | Point of Service (POS) | WILLKIE FARR & GALLAGHER LLP | AETNA | N/A | 1993-09-26 | 0308636 | 030863601400001 | N/A | PS | false | HAMILTON | N/A | KEVIN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119377103 | N/A | N/A | 6555606 | 2222 | 4802 | 14215131 | N/A | 5178755 | 2025-10-28 00:32:25.454401 | 2025-07-17 17:42:32.068740 |
| 2025-10-27 07:09:37.677795 | 2025-10-28 00:45:51.705998 | 13933881 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13933881 | Athletic Physical Therapy Inc | 1962-08-12 | 2025-10-30 | F | PT | N/A | SCHOLEFIELD | TRJNP1055193 | ROBIN | 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/2222/9087505/check_13933881_bc270bca-f527-4033-b8c2-3598b99d740b.json | N/A | N/A | N/A | N/A | N/A | TRJNP1055193 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1962-08-12 | 040 | 276727M007 | N/A | PR | false | SCHOLEFIELD | N/A | ROBIN | N/A | 9999-12-31 | 2020-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119326069 | N/A | N/A | 9087505 | 2222 | 4793 | 14226544 | N/A | 7605100 | 2025-10-28 00:45:51.705998 | 2025-09-11 15:07:41.965017 |
| 2025-10-27 07:09:34.230513 | 2025-10-28 00:52:54.454434 | 13933677 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13933677 | Athletic Physical Therapy Inc | 1956-06-26 | 2025-10-29 | F | AE | PT | SUAREZ | 4EY2NT4GU93 | ANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132222712.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9083354/check_13933677_bce6b77e-0ece-4f92-9cf9-22715824ef74.json | N/A | N/A | N/A | N/A | N/A | 4EY2NT4GU93 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-06-26 | S5921 | N/A | N/A | MB | false | SUAREZ | N/A | ANA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119325307 | N/A | N/A | 9083354 | 2222 | 4801 | 14232119 | N/A | 7600312 | 2025-10-28 00:52:54.454434 | 2025-09-04 18:19:39.478018 |
| 2025-10-27 07:09:32.687175 | 2025-10-28 00:42:54.055800 | 13933583 | N/A | N/A | 60054 | Aetna | 1114042165 | 13933583 | Athletic Physical Therapy Inc | 1976-03-18 | 2025-10-29 | M | AE | PT | SEEMAN | W290664045 | MICHAEL | N/A | 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/2222/10208244/check_13933583_de400721-cf59-4859-ac69-797fe3896c72.json | N/A | N/A | N/A | N/A | N/A | W290664045 | Point of Service (POS) | PAYCHEX BUSINESS SOLUTIONS, LLC. | AETNA | N/A | 1976-03-18 | 0176563 | 017656301100028 | N/A | PS | false | SEEMAN | N/A | MICHAEL | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119363099 | N/A | N/A | 10208244 | 2222 | 4801 | 14223312 | N/A | 8500669 | 2025-10-28 00:42:54.055800 | 2025-10-08 23:15:42.079175 |
| 2025-10-27 07:09:31.120370 | 2025-10-28 00:53:24.209620 | 13933486 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13933486 | Athletic Physical Therapy Inc | 1947-12-03 | 2025-10-30 | M | PT | N/A | WONG | MBL700W07323 | STANLEY | N/A | 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/2222/8469090/check_13933486_ab5904b3-5153-4689-9e24-2604827f94eb.json | N/A | N/A | N/A | N/A | N/A | MBL700W07323 | N/A | UNITED FOOD AND COMMERCIAL WORKERS UNIONS | ANTHEM BLUE CROSS | N/A | 1947-12-03 | 040 | CAEGR014 | N/A | N/A | false | WONG | N/A | STANLEY | N/A | 9999-12-31 | 2021-01-01 | CA GRS UFCW UNION H4036-802 ANTHEM MED PREF MA 25P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119364980 | N/A | N/A | 8469090 | 2222 | 4802 | 14232584 | N/A | 7140615 | 2025-10-28 00:53:24.209620 | 2025-09-05 16:51:17.488032 |
| 2025-10-27 07:09:30.956346 | 2025-10-28 00:39:52.627557 | 13933478 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13933478 | Athletic Physical Therapy Inc | 1947-08-18 | 2025-10-30 | F | AE | PT | FABER | 4X26K21EE83 | LINDA | N/A | 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/2222/6522947/check_13933478_117738ff-42c1-4cd6-9011-0c27eeb7b854.json | N/A | N/A | N/A | N/A | N/A | 4X26K21EE83 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-08-18 | S5617 | N/A | N/A | MA | false | FABER | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119376346 | N/A | N/A | 6522947 | 2222 | 4802 | 14220667 | N/A | 5146127 | 2025-10-28 00:39:52.627557 | 2025-06-20 17:58:23.371130 |
| 2025-10-27 07:09:30.221313 | 2025-10-28 00:56:54.981974 | 13933432 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13933432 | Athletic Physical Therapy Inc | 1976-12-11 | 2025-10-28 | M | AE | PT | NAGATSUKA | NCF475A62996 | ANTHONY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132618884.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8454587/check_13933432_1c71ebfa-ef2c-4431-9246-6a37ad5ebd86.json | N/A | N/A | N/A | N/A | N/A | NCF475A62996 | Health Maintenance Organization (HMO) | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1976-12-11 | 040 | 57AJCA | N/A | HM | false | CHAO NAGATSUKA | N/A | ANGELITA | N/A | 9999-12-31 | 2024-08-01 | POWER SELECT HMO NETWORK 126+ | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119364974 | N/A | N/A | 8454587 | 2222 | 4801 | 14233850 | N/A | 6653733 | 2025-10-28 00:56:54.981974 | 2025-08-24 22:53:15.351116 |
| 2025-10-27 07:09:28.525218 | 2025-10-28 00:53:21.787846 | 13933332 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13933332 | Athletic Physical Therapy Inc | 1934-05-31 | 2025-10-29 | M | AE | PT | RANDERIA | R58901143 | BHUPENDRA | N/A | 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/2222/8420255/check_13933332_37814e35-25ac-472f-a923-12cecda6228e.json | N/A | N/A | N/A | N/A | N/A | R58901143 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1934-05-31 | N/A | 106 | N/A | PR | false | RANDERIA | N/A | BHUPEN | N/A | 9999-12-31 | 2018-01-01 | STANDARD SECONDARY | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119365243 | N/A | N/A | 8420255 | 2222 | 4802 | 14232548 | N/A | 7097664 | 2025-10-28 00:53:21.787846 | 2026-04-30 18:11:14.979451 |
| 2025-10-27 07:09:25.671959 | 2025-10-28 00:42:33.525378 | 13933171 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 13933171 | override_provider | 2003-11-16 | 2025-10-29 | F | PT | N/A | HAYASHI | XLXR000032097727 | LAUREN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132222712.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9066824/check_13933171_263ec7d0-cedd-4fda-a655-05ebd71f097b.json | N/A | N/A | N/A | N/A | N/A | XLXR000032097727 | Preferred Provider Organization (PPO) | OSF INDIVIDUAL PLATINUM PPO W/ DENTAL HIGH (GOLD) | BLUE SHIELD OF CALIFORNIA | N/A | 2003-11-16 | N/A | 24048 1 | N/A | PR | false | HAYASHI | N/A | NANCY | N/A | 9999-12-31 | 2023-12-01 | PLATINUM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119326371 | N/A | N/A | 9066824 | 2222 | 4802 | 14222982 | N/A | 7582776 | 2025-10-28 00:42:33.525378 | 2025-09-24 22:06:50.112056 |
| 2025-10-27 07:09:21.673052 | 2025-10-28 00:45:49.853744 | 13932925 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13932925 | Athletic Physical Therapy Inc | 1951-10-06 | 2025-10-29 | M | PT | N/A | CRONIN | NSA00368979H | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132222712.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9063293/check_13932925_16695c6b-ebbc-47b8-b759-9ab558a6bfdd.json | N/A | N/A | N/A | N/A | N/A | NSA00368979H | Preferred Provider Organization (PPO) | MAIN PPO PLAN- EARNED | ANTHEM BLUE CROSS | N/A | 1951-10-06 | 040 | L05927A001 | N/A | PR | false | CRONIN | N/A | KEVIN | N/A | 9999-12-31 | 2023-07-01 | PB INCENTIVE NO SUTTER | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119325214 | N/A | N/A | 9063293 | 2222 | 4793 | 14226516 | N/A | 7578088 | 2025-10-28 00:45:49.853744 | 2025-09-03 18:45:56.904111 |
| 2025-10-27 07:09:21.363881 | 2025-10-28 00:35:24.089180 | 13932905 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13932905 | Athletic Physical Therapy Inc | 1965-05-30 | 2025-10-29 | M | PT | N/A | RODRIGUEZ | H5Q045W16688 | ROBERTO | 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/2222/6491817/check_13932905_48d4e102-8e7f-4fb0-aa58-17ce1cb6e311.json | N/A | N/A | N/A | N/A | N/A | H5Q045W16688 | Preferred Provider Organization (PPO) | THE CHEESECAKE FACTORY RESTAURANTS INC | ANTHEM BLUE CROSS | N/A | 1965-05-30 | 040 | 174297M1AD | N/A | PR | false | ROLDAN | N/A | BRENDA | N/A | 9999-12-31 | 2025-01-01 | BC PPO EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119375751 | N/A | N/A | 6491817 | 2222 | 4801 | 14217461 | N/A | 5120889 | 2025-10-28 00:35:24.089180 | 2025-06-23 18:24:54.219050 |
| 2025-10-27 07:09:11.987850 | 2025-10-28 00:42:35.376304 | 13932163 | N/A | N/A | 60054 | Aetna | 1114042165 | 13932163 | Athletic Physical Therapy Inc | 1946-06-15 | 2025-10-30 | M | AE | PT | SCHECHTER | 102181433800 | STEVEN | 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/2222/9026590/check_13932163_0ba0547f-f9a0-459f-86c8-aba5cc6373f4.json | N/A | N/A | N/A | N/A | N/A | 102181433800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1946-06-15 | 000003-CA000027 | 000003-CA | N/A | PR | false | SCHECHTER | N/A | STEVEN | N/A | 2026-01-01 | 2025-07-01 | AETNA MEDICARE CHOICE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119325167 | N/A | N/A | 9026590 | 2222 | 4793 | 14223011 | N/A | 7549031 | 2025-10-28 00:42:35.376304 | 2026-05-22 23:37:03.098359 |
| 2025-10-27 07:09:07.871960 | 2025-10-28 00:46:23.157708 | 13931861 | N/A | N/A | 60054 | Aetna | 1114042165 | 13931861 | Athletic Physical Therapy Inc | 1952-01-15 | 2025-10-30 | F | AE | PT | KIRK | 101297147800 | JAN | N/A | 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/2222/8167057/check_13931861_a02d3dec-5264-4236-ba96-33c530434307.json | N/A | N/A | N/A | N/A | N/A | 101297147800 | Preferred Provider Organization (PPO) | VERIZON - MA | AETNA | MEDICARE | 1952-01-15 | 100008-02EG0011 | 100008-02 | N/A | PR | false | KIRK | N/A | JAN | N/A | 2025-12-31 | 2025-01-01 | WEST ADV PLAN 125 PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119366796 | N/A | N/A | 8167057 | 2222 | 4801 | 14227128 | N/A | 6933707 | 2025-10-28 00:46:23.157708 | 2026-05-21 16:32:55.382229 |
| 2025-10-27 07:09:05.939313 | 2025-10-28 00:45:33.917563 | 13931722 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13931722 | Athletic Physical Therapy Inc | 2011-07-26 | 2025-10-30 | M | AE | PT | Alvarado | 93787602F | Alberto | 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/2222/9020143/check_13931722_772d7f9a-df57-47db-8c81-cb038b8e7ced.json | N/A | N/A | N/A | N/A | N/A | 93787602F | N/A | N/A | HEALTH NET, LLC | N/A | 2011-07-26 | N/A | N/A | N/A | N/A | false | ALVARADO | N/A | ALBERTO | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119324482 | N/A | N/A | 9020143 | 2222 | 4802 | 14226223 | N/A | 7543577 | 2025-10-28 00:45:33.917563 | 2025-09-08 18:42:17.673186 |
| 2025-10-27 07:08:54.161480 | 2025-10-28 00:36:35.669326 | 13930806 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13930806 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-10-29 | M | AE | PT | CICCIARI | JQE123W23890 | LOUIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132516289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752939/check_13930806_d5531ed1-80c9-4f02-9bfa-5f814e0d842b.json | N/A | N/A | N/A | N/A | N/A | JQE123W23890 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-09-07 | 040 | CASUPWP0 | N/A | N/A | false | CICCIARI | N/A | LOUIS | N/A | 9999-12-31 | 2025-06-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119354192 | N/A | N/A | 6752939 | 2222 | 4801 | 14218483 | N/A | 5065602 | 2025-10-28 00:36:35.669326 | 2025-07-01 17:25:13.681724 |
| 2025-10-27 07:08:52.370216 | 2025-10-28 00:36:36.237758 | 13930665 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13930665 | Athletic Physical Therapy Inc | 1929-10-10 | 2025-10-30 | M | AE | PT | Walter | XDO472A63371 | Howard | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132516289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751424/check_13930665_6f7a107c-e332-423f-a6cb-759135ce40d8.json | N/A | N/A | N/A | N/A | N/A | XDO472A63371 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1929-10-10 | 040 | CASUPWP0 | N/A | N/A | false | WALTER | N/A | HOWARD | N/A | 9999-12-31 | 2016-12-01 | CA PRE-MOD. BLUE CROSS SENIOR CLASSIC I | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119354183 | N/A | N/A | 6751424 | 2222 | 4802 | 14218492 | N/A | 5557241 | 2025-10-28 00:36:36.237758 | 2025-07-22 17:08:51.810153 |
| 2025-10-27 07:08:49.633836 | 2025-10-28 00:50:53.422434 | 13930465 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13930465 | Athletic Physical Therapy Inc | 1955-07-01 | 2025-10-30 | F | AE | PT | GREER | 7H09HW9QG44 | ROBIN | 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/2222/9411083/check_13930465_d594fd33-2a9d-43e9-b4fa-39518ac3f1d9.json | N/A | N/A | N/A | N/A | N/A | 7H09HW9QG44 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-01 | S5601 | N/A | N/A | MB | false | GREER | N/A | ROBIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119341287 | N/A | N/A | 9411083 | 2222 | 4802 | 14230544 | N/A | 7879863 | 2025-10-28 00:50:53.422434 | 2026-02-04 18:21:13.840230 |
| 2025-10-27 07:08:47.725004 | 2025-10-28 00:34:42.141839 | 13930312 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13930312 | Athletic Physical Therapy Inc | 1960-03-22 | 2025-10-28 | F | AE | PT | ROUSHANBAKHSH | 92849351F | FOROUGH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.111334739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10259678/check_13930312_c78efad8-12c2-40bc-8cff-81b7a2862867.json | N/A | N/A | N/A | N/A | N/A | 92849351F | N/A | N/A | HEALTH NET, LLC | N/A | 1960-03-22 | N/A | N/A | N/A | N/A | false | ROUSHANBAKHSH | N/A | FOROUGH | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119374667 | N/A | N/A | 10259678 | 2222 | 4802 | 14216864 | N/A | 4213281 | 2025-10-28 00:34:42.141839 | 2025-05-13 04:29:37.227606 |
| 2025-10-27 07:08:40.178801 | 2025-10-28 00:40:31.364307 | 13929572 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13929572 | Athletic Physical Therapy Inc | 1957-01-13 | 2025-10-29 | F | AE | PT | NAY | 5UC7QW0QK47 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132537011.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11175433/check_13929572_9233cdaa-562a-4018-8fb8-20c0554376c6.json | N/A | N/A | N/A | N/A | N/A | 5UC7QW0QK47 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-01-13 | H4036 | N/A | N/A | MA | 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 | 9119348732 | N/A | N/A | 11175433 | 2222 | 4793 | 14221060 | N/A | 9520463 | 2025-10-28 00:40:31.364307 | 2025-10-21 17:49:23.309023 |
| 2025-10-27 07:08:34.004880 | 2025-10-28 00:45:52.230018 | 13928965 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13928965 | Athletic Physical Therapy Inc | 1960-08-19 | 2025-10-29 | M | PT | N/A | WARREN | MBL523W24301 | WILLIAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132222712.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8681972/check_13928965_98376acd-ad4e-44f5-89e4-9e3cd02fcdbc.json | N/A | N/A | N/A | N/A | N/A | MBL523W24301 | N/A | LOS ANGELES CITY EMPLOYEES' RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1960-08-19 | 040 | CA039GRS | N/A | N/A | false | WARREN | N/A | WILLIAM | N/A | 9999-12-31 | 2025-08-01 | CA GRS LACERS H4036-801 ANTHEM MEDICARE PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119326244 | N/A | N/A | 8681972 | 2222 | 4801 | 14226555 | N/A | 7315557 | 2025-10-28 00:45:52.230018 | 2025-09-08 19:23:27.353339 |
| 2025-10-27 07:08:29.385444 | 2025-10-28 00:45:50.729143 | 13928518 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13928518 | Athletic Physical Therapy Inc | 2003-05-02 | 2025-10-29 | M | PT | N/A | MUHAMMAD | XOF828514693 | KENNETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132222712.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8675672/check_13928518_14070d30-7a78-4ac9-959d-6b6d927ce192.json | N/A | N/A | N/A | N/A | N/A | XOF828514693 | Preferred Provider Organization (PPO) | IBJI - BRADLEY ACTIVES | HUMANA | N/A | 2003-05-02 | N/A | PK4933 | N/A | PR | false | MUHAMMAD | N/A | KERMIT | N/A | 9999-12-31 | 2022-02-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119325471 | N/A | N/A | 8675672 | 2222 | 4793 | 14226522 | N/A | 7310369 | 2025-10-28 00:45:50.729143 | 2026-02-03 01:46:10.334485 |
| 2025-10-27 07:08:23.585896 | 2025-10-28 00:40:31.087594 | 13928010 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13928010 | Athletic Physical Therapy Inc | 1942-02-01 | 2025-10-29 | F | AE | PT | CHANG | 3FV9E71EE00 | QUANG | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132537011.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11159406/check_13928010_dfd4fa64-b5c7-41a3-ab27-b5a86dbe0f65.json | N/A | N/A | N/A | N/A | N/A | 3FV9E71EE00 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-02-01 | S4802 | N/A | N/A | MA | false | CHANG | N/A | QUANG CHAN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119348216 | N/A | N/A | 11159406 | 2222 | 4793 | 14221057 | N/A | 9505845 | 2025-10-28 00:40:31.087594 | 2026-04-29 00:06:17.964395 |
| 2025-10-27 07:08:22.489470 | 2025-10-28 00:48:01.551305 | 13927903 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13927903 | Athletic Physical Therapy Inc | 1961-03-07 | 2025-10-29 | F | PT | N/A | PERLOV | XEA905216171 | MERA | 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/2222/6814311/check_13927903_ebd33d65-4f90-4e57-a184-6c0f4e7e3309.json | N/A | N/A | N/A | N/A | N/A | XEA905216171 | Preferred Provider Organization (PPO) | LA CARE HEALTH PLAN | BLUE SHIELD CALIFORNIA | N/A | 1961-03-07 | 1000PPOX0003 | W0051027 | N/A | PR | false | PERLOV | N/A | MERA | N/A | 9999-12-31 | 2017-05-01 | HSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119330452 | N/A | N/A | 6814311 | 2222 | 4793 | 14228756 | N/A | 5856694 | 2025-10-28 00:48:01.551305 | 2025-07-07 18:45:06.287504 |
| 2025-10-27 07:08:20.563794 | 2025-10-28 00:37:22.717609 | 13927728 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13927728 | Athletic Physical Therapy Inc | 1953-06-17 | 2025-10-30 | M | AE | PT | THOMPSON | XEM906571592 | JAMES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132516289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577665/check_13927728_860edd83-b267-4ed7-8b0a-a8fd4b502b03.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 | 9119353812 | N/A | N/A | 6577665 | 2222 | 4793 | 14219152 | N/A | 5197700 | 2025-10-28 00:37:22.717609 | 2025-06-30 15:33:47.069983 |
| 2025-10-27 07:08:15.574374 | 2025-10-28 00:45:56.600616 | 13927291 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13927291 | Athletic Physical Therapy Inc | 1975-03-18 | 2025-10-29 | F | PT | N/A | FARRUKH | JXN208M92481 | ANBARIN | 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/2222/6811878/check_13927291_f83d1bef-1c60-429c-9a02-ab6d36688041.json | N/A | N/A | N/A | N/A | N/A | JXN208M92481 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 1975-03-18 | 040 | 174222M9A1 | N/A | PR | false | FARRUKH | N/A | ANBARIN | N/A | 9999-12-31 | 2025-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119330440 | N/A | N/A | 6811878 | 2222 | 4793 | 14226640 | N/A | 5854231 | 2025-10-28 00:45:56.600616 | 2025-07-07 16:52:38.056680 |
| 2025-10-27 07:08:14.332920 | 2025-10-28 00:36:35.386627 | 13927184 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13927184 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-10-30 | M | AE | PT | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132516289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6528155/check_13927184_e8afe85d-6c3f-438e-aeff-60367ef7f6dc.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-11-24 | N/A | N/A | N/A | N/A | false | BLANCHFIELD | N/A | THOMAS | N/A | 9999-12-31 | 2024-07-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119354329 | N/A | N/A | 6528155 | 2222 | 4793 | 14218479 | N/A | 4214447 | 2025-10-28 00:36:35.386627 | 2026-04-23 20:11:34.441054 |
| 2025-10-27 07:08:02.295914 | 2025-10-28 00:35:11.730772 | 13926003 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13926003 | Athletic Physical Therapy Inc | 1981-12-16 | 2025-10-29 | F | AE | PT | DE FELICE | R07457624FM1 | CHRISTINA | 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/2222/6140436/check_13926003_c2e8b9db-1042-4017-9ba4-076987da2193.json | N/A | N/A | N/A | N/A | N/A | R07457624FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1981-12-16 | N/A | N/A | N/A | N/A | false | DE FELICE | N/A | CHRISTINA | N/A | N/A | N/A | KA9 SBP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119376087 | N/A | N/A | 6140436 | 2222 | 4801 | 14217281 | N/A | 4781417 | 2025-10-28 00:35:11.730772 | 2025-06-06 17:03:19.078153 |
| 2025-10-27 07:08:02.105084 | 2025-10-28 00:32:25.751537 | 13925991 | N/A | N/A | 60054 | Aetna | 1114042165 | 13925991 | Athletic Physical Therapy Inc | 1969-01-03 | 2025-10-30 | M | AE | PT | HUANG | W278191924 | DANNY | N/A | 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/2222/6140246/check_13925991_010ece4b-f750-434d-8aa4-c7347be256bb.json | N/A | N/A | N/A | N/A | N/A | W278191924 | Point of Service (POS) | RIPPLING PEO 1, INC. | AETNA | N/A | 1969-01-03 | 0169696 | 016969601700012 | N/A | PS | false | HUANG | N/A | DANNY | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119376084 | N/A | N/A | 6140246 | 2222 | 4802 | 14215134 | N/A | 4781166 | 2025-10-28 00:32:25.751537 | 2025-06-11 17:29:46.826705 |
| 2025-10-27 07:07:57.472731 | 2025-10-27 07:08:03.347012 | 13925543 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-09-22 | 2025-10-27 | M | PT | N/A | WRIGHT | XYQM60508454 | WILLIAM | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11111580/check_13925543_696a75f1-16f4-4e20-92e4-9210a627bb5d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11111580/check_13925543_badbf4fa-bfb2-4505-924c-4dd07643a3e6.json | N/A | N/A | N/A | N/A | N/A | XYQM60508454 | Preferred Provider Organization (PPO) | MARKETING ASSOCIATES, INC. DBA | BLUE SHIELD OF CALIFORNIA | N/A | 1980-09-22 | 710 | 0070092190003001 | N/A | PR | false | WRIGHT | N/A | WILLIAM | N/A | 9999-12-31 | 2025-03-01 | SIMPLY BLUE PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119022690 | N/A | N/A | 11111580 | 2222 | N/A | 14192815 | N/A | 9461772 | 2025-10-27 07:08:03.347012 | 2025-10-21 22:02:26.202674 |
| 2025-10-27 07:07:53.948991 | 2025-10-28 00:42:13.443054 | 13925286 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 13925286 | override_provider | 1984-07-28 | 2025-10-28 | M | PT | N/A | ADAPA | DHC801433521 | PAVAN | N/A | 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/2222/7638701/check_13925286_98cd954a-4e97-4981-89b3-0c697ffc1b08.json | N/A | N/A | N/A | N/A | N/A | DHC801433521 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1984-07-28 | N/A | 91305-03A | N/A | PR | false | ADAPA | N/A | PAVAN SAI KUMAR | N/A | 9999-12-31 | 2024-01-01 | PREFERRED CARE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119358158 | N/A | N/A | 7638701 | 2222 | 4793 | 14222613 | N/A | 6533086 | 2025-10-28 00:42:13.443054 | 2025-08-12 04:29:49.496561 |
| 2025-10-27 07:07:53.213655 | 2025-10-28 00:56:57.942007 | 13925226 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13925226 | Athletic Physical Therapy Inc | 1935-11-26 | 2025-10-28 | F | AE | PT | MCCANN | JQE588W18533 | JOSEPHINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132618884.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7760464/check_13925226_9f0b4130-ea16-4fd7-97cd-790d9dae5619.json | N/A | N/A | N/A | N/A | N/A | JQE588W18533 | N/A | CA MED-SUPP | BLUE SHIELD OF CALIFORNIA | N/A | 1935-11-26 | 040 | CASUPWP0 | N/A | N/A | false | MCCANN | N/A | JOSEPHINE | N/A | 9999-12-31 | 2024-02-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119365952 | N/A | N/A | 7760464 | 2222 | 4801 | 14233858 | N/A | 6609924 | 2025-10-28 00:56:57.942007 | 2025-08-12 22:04:05.464362 |
| 2025-10-27 07:07:51.027533 | 2025-10-28 00:36:31.004034 | 13925061 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 13925061 | Athletic Physical Therapy Inc | 1956-12-19 | 2025-10-30 | F | AE | PT | YEN | 96046413F95176 | JENNY | N/A | 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/2222/10033624/check_13925061_3fc1fad5-d6ee-400a-a0c5-fb7495cd7d7a.json | N/A | N/A | N/A | N/A | N/A | 96046413F95176 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1956-12-19 | N/A | N/A | N/A | N/A | false | YEN | N/A | JENNY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119373653 | N/A | N/A | 10033624 | 2222 | 4793 | 14218416 | N/A | 8398587 | 2025-10-28 00:36:31.004034 | 2025-10-07 14:21:54.880940 |
| 2025-10-27 07:07:46.933323 | 2025-10-28 00:45:28.185915 | 13924800 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 13924800 | Athletic Physical Therapy Inc | 1953-06-18 | 2025-10-30 | M | AE | PT | CARINO | 166067001 | RODOLFO | 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/2222/8472317/check_13924800_bf762e0e-320c-42d5-a6bd-9d220c7fdd5a.json | N/A | N/A | N/A | N/A | N/A | 166067001 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1953-06-18 | N/A | HCFA21 | N/A | HN | false | CARINO | N/A | RODOLFO | 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 | 9119325730 | N/A | N/A | 8472317 | 2222 | 4802 | 14226114 | N/A | 6543380 | 2025-10-28 00:45:28.185915 | 2025-08-01 17:39:00.802055 |
| 2025-10-27 07:07:45.723775 | 2025-10-28 00:42:33.219260 | 13924727 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 13924727 | override_provider | 1986-05-15 | 2025-10-28 | M | PT | N/A | Chizever | SBN015146 | Geoffrey | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132222712.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471737/check_13924727_47bbd2b2-f8bd-49a2-86c9-e2d130526016.json | N/A | N/A | N/A | N/A | N/A | SBN015146 | Preferred Provider Organization (PPO) | SBN STANDARD OPTION | BLUE SHIELD OF CALIFORNIA | N/A | 1986-05-15 | N/A | SBN | N/A | PR | false | CHIZEVER | N/A | GEOFFREY | N/A | 9999-12-31 | 2020-01-01 | SBN STANDARD OPTION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119325727 | N/A | N/A | 8471737 | 2222 | 4802 | 14222976 | N/A | 7142683 | 2025-10-28 00:42:33.219260 | 2026-01-12 20:01:37.957097 |
| 2025-10-27 07:07:44.603382 | 2025-10-28 00:46:42.770532 | 13924659 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 13924659 | Athletic Physical Therapy Inc | 1957-01-26 | 2025-10-30 | F | PT | N/A | TAKAHATA | 980555379000 | NANCY | 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/2222/8471583/check_13924659_1c5c3e5f-1d9f-4110-bf77-a825a017af5f.json | N/A | N/A | N/A | N/A | N/A | XEE980555379 | Other | MEDICARE ADVANTAGE INDIVIDUAL | BLUE SHIELD CALIFORNIA | N/A | 1957-01-26 | 1000HMOX0019 | W0051752 | N/A | OT | false | TAKAHATA | N/A | NANCY | N/A | 2025-12-31 | 2025-01-01 | BLUE SHIELD INSPIRE HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119325724 | N/A | N/A | 8471583 | 2222 | 4802 | 14227481 | N/A | 7142489 | 2025-10-28 00:46:42.770532 | 2025-08-25 17:38:35.061335 |
| 2025-10-27 07:07:41.345495 | 2025-10-28 00:45:42.347534 | 13924435 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13924435 | Athletic Physical Therapy Inc | 1950-08-30 | 2025-10-30 | M | AE | PT | VILLA | 00000293779 | RAMON | 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/2222/8471007/check_13924435_8a3a5217-8309-4792-9d56-8b89615fed6a.json | N/A | N/A | N/A | N/A | N/A | 00000293779 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1950-08-30 | H3815028 | N/A | N/A | HM | false | VILLA | N/A | RAMON | 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 | 9119325714 | N/A | N/A | 8471007 | 2222 | 4801 | 14226375 | 2630 | 7142042 | 2025-10-28 00:45:42.347534 | 2025-08-25 17:21:31.750932 |
| 2025-10-27 07:07:37.106346 | 2025-10-27 07:07:41.996915 | 13924134 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1994-07-04 | 2025-10-27 | M | PT | N/A | Daich | JQY912W17468 | Austin | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11001702/check_13924134_a6a420c4-d6f8-44d0-9cd8-a0216b65ad94.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11001702/check_13924134_700f56b0-e18f-4186-9974-6debec30a248.json | N/A | N/A | N/A | N/A | N/A | JQY912W17468 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | BLUE SHIELD OF CALIFORNIA | N/A | 1994-07-04 | 040 | 476522 | N/A | PR | false | DAICH | N/A | AUSTIN | N/A | 9999-12-31 | 2025-09-01 | ANTHEM SILVER SELECT PPO HSA/H 2000/3300/4000 35% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119020635 | N/A | N/A | 11001702 | 2222 | N/A | 14192663 | N/A | 9234161 | 2025-10-27 07:07:41.996915 | 2025-10-15 16:55:10.102836 |
| 2025-10-27 07:07:36.795624 | 2025-10-28 00:36:07.522056 | 13924114 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13924114 | Athletic Physical Therapy Inc | 2015-09-09 | 2025-10-30 | M | PT | N/A | KYONG | JQU531A23867 | EZRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132537011.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11112348/check_13924114_3de3e93d-f077-4b33-bfec-b994679bdf90.json | N/A | N/A | N/A | N/A | N/A | JQU531A23867 | Preferred Provider Organization (PPO) | PEAK PREP PLEASANT VALLEY | ANTHEM BLUE CROSS | N/A | 2015-09-09 | 040 | U58425 | N/A | PR | false | LEE | N/A | ESTHER | N/A | 9999-12-31 | 2025-09-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119348640 | N/A | N/A | 11112348 | 2222 | 4801 | 14218081 | N/A | 9462499 | 2025-10-28 00:36:07.522056 | 2025-10-30 20:17:07.861799 |
| 2025-10-27 07:07:36.629879 | 2025-10-28 00:35:33.036923 | 13924100 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 13924100 | Athletic Physical Therapy Inc | 1954-02-02 | 2025-10-30 | F | AE | PT | CORNEL | 40037363901 | GLORIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132537011.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11111720/check_13924100_ab0e85e2-2e88-4b65-8797-c72d14959d28.json | N/A | N/A | N/A | N/A | N/A | 40037363901 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1954-02-02 | 2025H5425001 | H5425M | N/A | N/A | false | CORNEL | N/A | GLORIA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119348638 | N/A | N/A | 11111720 | 2222 | 4801 | 14217584 | N/A | 9461873 | 2025-10-28 00:35:33.036923 | 2025-10-28 18:04:57.630831 |
| 2025-10-27 07:07:36.345946 | 2025-10-28 00:36:43.734407 | 13924081 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13924081 | Athletic Physical Therapy Inc | 1980-09-22 | 2025-10-30 | M | PT | N/A | WRIGHT | XYQM60508454 | WILLIAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132537011.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11111580/check_13924081_9e7f6bea-fb07-406b-8986-cbd70825ac0a.json | N/A | N/A | N/A | N/A | N/A | XYQM60508454 | Preferred Provider Organization (PPO) | MARKETING ASSOCIATES, INC. DBA | BLUE SHIELD OF CALIFORNIA | N/A | 1980-09-22 | 710 | 0070092190003001 | N/A | PR | false | WRIGHT | N/A | WILLIAM | N/A | 9999-12-31 | 2025-03-01 | SIMPLY BLUE PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119348635 | N/A | N/A | 11111580 | 2222 | 4793 | 14218595 | N/A | 9461772 | 2025-10-28 00:36:43.734407 | 2025-10-21 22:02:26.202674 |
| 2025-10-27 07:07:32.572106 | 2025-10-28 00:36:41.229163 | 13923845 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 13923845 | Athletic Physical Therapy Inc | 1962-02-17 | 2025-10-30 | M | PT | N/A | SILVERMAN | 903226774003 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132537011.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11110164/check_13923845_88987dbd-a89a-4f49-a253-64067c978b82.json | N/A | N/A | N/A | N/A | N/A | XEH903226774 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1962-02-17 | 1000HMOX0001 | W0051411 | N/A | HM | false | FREIBERG | N/A | DEBBIE | 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 | 9119348608 | N/A | N/A | 11110164 | 2222 | 4801 | 14218559 | N/A | 9460573 | 2025-10-28 00:36:41.229163 | 2025-10-17 20:14:58.996951 |
| 2025-10-27 07:07:30.386628 | 2025-10-28 00:45:57.597612 | 13923727 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13923727 | Athletic Physical Therapy Inc | 1947-12-19 | 2025-10-29 | F | PT | N/A | Taggart | MBL830M95233 | Rita | 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/2222/6780011/check_13923727_476e1555-2abb-4689-854f-b91d414f9f18.json | N/A | N/A | N/A | N/A | N/A | MBL830M95233 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1947-12-19 | 040 | CAEGR002 | N/A | N/A | false | TAGGART | N/A | RITA | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9119328904 | N/A | N/A | 6780011 | 2222 | 4802 | 14226660 | N/A | 5811238 | 2025-10-28 00:45:57.597612 | 2025-07-03 18:24:56.520298 |
| 2025-10-27 07:07:28.024323 | 2025-10-28 00:34:52.181188 | 13923588 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13923588 | Athletic Physical Therapy Inc | 1947-02-15 | 2025-10-30 | F | AE | PT | LING WONG | MBL564W07386 | YEE | N/A | 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/2222/10020321/check_13923588_2f21efe3-0d03-41b8-8ccd-a3b9400beb4d.json | N/A | N/A | N/A | N/A | N/A | MBL564W07386 | N/A | N/A | ANTHEM BLUE CROSS | 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 | 9119374636 | N/A | N/A | 10020321 | 2222 | 4802 | 14217006 | N/A | 8351682 | 2025-10-28 00:34:52.181188 | 2025-10-08 14:26:11.260769 |
| 2025-10-27 07:07:19.974080 | 2025-10-28 00:50:52.777096 | 13923107 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13923107 | Athletic Physical Therapy Inc | 1946-11-22 | 2025-10-30 | F | AE | PT | CAPUTA | 6JV7KY8CA74 | SANDRA | 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/2222/9336757/check_13923107_75944477-00e5-46ac-83b9-1a2a17333c72.json | N/A | N/A | N/A | N/A | N/A | 6JV7KY8CA74 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-11-22 | S5601 | N/A | N/A | MA | false | CAPUTA | N/A | SANDRA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119341190 | N/A | N/A | 9336757 | 2222 | 4801 | 14230534 | N/A | 7835556 | 2025-10-28 00:50:52.777096 | 2025-09-12 16:59:25.752326 |
| 2025-10-27 07:07:15.845101 | 2025-10-28 00:36:35.954181 | 13922827 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13922827 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-10-30 | F | AE | PT | HOWARD | JQE896M91712 | JUDI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132516289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543352/check_13922827_68b98495-8424-4104-a6d6-833e7e4e018b.json | N/A | N/A | N/A | N/A | N/A | JQE896M91712 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-11-19 | 040 | CASUPWP0 | N/A | N/A | false | HOWARD | N/A | JUDI | N/A | 9999-12-31 | 2022-01-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119354079 | N/A | N/A | 5543352 | 2222 | 4793 | 14218488 | N/A | 4215147 | 2025-10-28 00:36:35.954181 | 2025-05-13 04:29:37.229464 |
| 2025-10-27 07:07:15.770524 | 2025-10-28 00:34:19.265238 | 13922820 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 13922820 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-10-30 | F | AE | PT | GNAD | H71897184 | MELANIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132516289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540682/check_13922820_51106ec0-13c1-47f1-adae-30c61b5da7a4.json | N/A | N/A | N/A | N/A | N/A | H71897184 | Supplemental Policy | HUMANA BENEFIT PLANOF ILL, INC | HUMANA | 067 023 | 1946-04-16 | N/A | 5A409005 | N/A | SP | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | MEDICARE MES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119354078 | N/A | N/A | 5540682 | 2222 | 4801 | 14216534 | N/A | 4212792 | 2025-10-28 00:34:19.265238 | 2025-10-07 20:33:25.637997 |
| 2025-10-27 07:07:15.455692 | 2025-10-28 00:37:22.454830 | 13922799 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13922799 | Athletic Physical Therapy Inc | 1950-08-31 | 2025-10-29 | M | AE | PT | NADRICH | XEM905604302 | JEFFREY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132516289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538999/check_13922799_7133341d-8cb4-4e66-9880-80b87f4736df.json | N/A | N/A | N/A | N/A | N/A | XEM905604302 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1950-08-31 | 2004SE000030 | X0001002 | N/A | OT | false | NADRICH | N/A | JEFFREY | 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 | 9119354076 | N/A | N/A | 5538999 | 2222 | 4802 | 14219148 | N/A | 4211316 | 2025-10-28 00:37:22.454830 | 2025-05-13 04:29:37.225679 |
| 2025-10-27 07:07:15.384647 | 2025-10-28 00:32:10.970262 | 13922796 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 13922796 | Athletic Physical Therapy Inc | 1952-03-25 | 2025-10-30 | F | AE | PT | DRIMMER | 33360295512 | NADIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251027.132516289.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537832/check_13922796_6a0c12ba-a74d-475b-a80f-53747aa73284.json | N/A | N/A | N/A | N/A | N/A | 33360295512 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1952-03-25 | N/A | N/A | N/A | SP | false | DRIMMER | N/A | NADIA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9119354075 | N/A | N/A | 5537832 | 2222 | 4802 | 14214927 | N/A | 4210338 | 2025-10-28 00:32:10.970262 | 2025-05-13 04:29:37.224744 |