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 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-26 07:16:49.564340 | 2025-10-27 00:41:43.433897 | 13877152 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 13877152 | Athletic Physical Therapy Inc | 1952-07-08 | 2025-10-29 | F | AE | PT | STERINA | 31470398711 | ELIZABETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.122111242.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8632770/check_13877152_e8cce68f-f2db-4acd-b874-f908e957b7bb.json | N/A | N/A | N/A | N/A | N/A | 31470398711 | 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. | 1952-07-08 | N/A | N/A | N/A | SP | false | STERINA | N/A | ELIZABETH | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN N | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115753887 | N/A | N/A | 8632770 | 2222 | 4802 | 14166757 | N/A | 7278220 | 2025-10-27 00:41:43.433897 | 2025-08-26 15:52:58.453727 |
| 2025-10-26 07:16:47.133194 | 2025-10-27 00:46:01.903228 | 13876919 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13876919 | Athletic Physical Therapy Inc | 1976-12-11 | 2025-10-28 | M | AE | PT | NAGATSUKA | NCF475A62996 | ANTHONY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.122111242.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8454587/check_13876919_08da046a-dcf6-41a0-a24a-0a09a5630c2d.json | N/A | N/A | N/A | N/A | N/A | NCF475A62996 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1976-12-11 | N/A | N/A | N/A | N/A | false | NAGATSUKA | N/A | ANTHONY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115752310 | N/A | N/A | 8454587 | 2222 | 4801 | 14171266 | N/A | 6653733 | 2025-10-27 00:46:01.903228 | 2025-08-24 22:53:15.351116 |
| 2025-10-26 07:16:46.288249 | 2025-10-27 00:45:43.336835 | 13876839 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13876839 | Athletic Physical Therapy Inc | 1934-05-31 | 2025-10-29 | M | AE | PT | RANDERIA | R58901143 | BHUPENDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.122111242.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8420255/check_13876839_053ae086-3995-41ba-b42c-5f04d80dfd01.json | N/A | N/A | N/A | N/A | N/A | R58901143 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1934-05-31 | N/A | N/A | N/A | N/A | false | RANDERIA | N/A | BHUPENDRA | N/A | 9999-12-31 | 2018-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115752301 | N/A | N/A | 8420255 | 2222 | 4802 | 14170951 | N/A | 7097664 | 2025-10-27 00:45:43.336835 | 2026-04-30 18:11:14.979451 |
| 2025-10-26 07:16:44.589043 | 2025-10-27 00:32:31.111489 | 13876690 | N/A | N/A | 60054 | Aetna | 1114042165 | 13876690 | Athletic Physical Therapy Inc | 1965-07-23 | 2025-10-28 | M | AE | PT | Dominguez | W294409135 | Eric | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.122017268.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9063245/check_13876690_0caaaf64-752f-4ad0-b60d-3530db7cc18c.json | N/A | N/A | N/A | N/A | N/A | W294409135 | Point of Service (POS) | ZAMIC CORPORATION | AETNA | N/A | 1965-07-23 | 0255398 | 025539801000700 | N/A | PS | false | DOMINGUEZ | N/A | ERIC | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115751073 | N/A | N/A | 9063245 | 2222 | 4801 | 14152419 | N/A | 7577918 | 2025-10-27 00:32:31.111489 | 2025-09-25 19:09:12.426454 |
| 2025-10-26 07:16:43.374239 | 2025-10-27 00:32:12.683389 | 13876580 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13876580 | Athletic Physical Therapy Inc | 1942-12-02 | 2025-10-28 | M | AE | PT | Lawrence | JOE083M00118 | Harvey | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.122002058.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11156182/check_13876580_7f7d22d7-984e-498b-b29e-dbcb00c95823.json | N/A | N/A | N/A | N/A | N/A | JOE083M00118 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1942-12-02 | N/A | N/A | N/A | N/A | false | LAWRENCE | N/A | HARVEY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115747730 | N/A | N/A | 11156182 | 2222 | 4802 | 14151815 | N/A | 9502693 | 2025-10-27 00:32:12.683389 | 2025-12-16 19:10:22.413376 |
| 2025-10-26 07:16:42.432838 | 2025-10-27 02:34:41.999636 | 13876491 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 13876491 | Athletic Physical Therapy Inc | 1990-09-10 | 2025-10-29 | M | AE | PT | Szymanski | 974058888F | Micah | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.121916962.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9480224/check_13876491_aabda1bb-b618-4226-b99c-bc4b43939b9a.json | N/A | N/A | N/A | N/A | N/A | 974058888F | 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 | 9115740932 | N/A | N/A | 9480224 | 2222 | 4802 | 14182158 | N/A | 7931021 | 2025-10-27 02:34:41.999636 | 2025-09-17 22:04:09.763232 |
| 2025-10-26 07:16:39.512393 | 2025-10-27 02:31:15.570519 | 13876221 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13876221 | Athletic Physical Therapy Inc | 1940-05-16 | 2025-10-28 | M | AE | PT | HOPE | 101144710900 | LYNN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.121916962.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9477069/check_13876221_cec0ed5b-f7ba-4fc2-bd98-12edfdb2e3ac.json | N/A | N/A | N/A | N/A | N/A | 101144710900 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1940-05-16 | N/A | N/A | N/A | N/A | false | HOPE | N/A | LYNN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115740169 | N/A | N/A | 9477069 | 2222 | 4802 | 14179382 | N/A | 7927787 | 2025-10-27 02:31:15.570519 | 2025-09-17 17:11:58.574244 |
| 2025-10-26 07:16:39.095190 | 2025-10-27 00:35:01.087928 | 13876178 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13876178 | Athletic Physical Therapy Inc | 1950-06-09 | 2025-10-29 | F | PT | N/A | SANDOVAL | JQS846M91559 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.122017268.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9059249/check_13876178_7edff5bc-e230-4d92-aa7d-f5dcbadd2da6.json | N/A | N/A | N/A | N/A | N/A | JQS846M91559 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1950-06-09 | 040 | CAMCRWP0 | N/A | MP | false | SANDOVAL | N/A | MARIA | 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 | 9115749861 | N/A | N/A | 9059249 | 2222 | 4801 | 14156810 | N/A | 7574556 | 2025-10-27 00:35:01.087928 | 2025-09-03 18:09:29.032159 |
| 2025-10-26 07:16:38.219308 | 2025-10-27 00:45:29.788120 | 13876085 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 13876085 | Athletic Physical Therapy Inc | 1956-05-22 | 2025-10-29 | F | AE | PT | CHOOBIN | 91331250G | KEFAYAT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.122111242.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8205059/check_13876085_9461bf44-f6ac-4800-a646-805e5e8d50f3.json | N/A | N/A | N/A | N/A | N/A | 91331250G | 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 | 9115753621 | N/A | N/A | 8205059 | 2222 | 4793 | 14170728 | N/A | 6967073 | 2025-10-27 00:45:29.788120 | 2025-08-26 17:15:30.662072 |
| 2025-10-26 07:16:36.730996 | 2025-10-27 00:38:11.332710 | 13875941 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13875941 | Athletic Physical Therapy Inc | 1960-07-20 | 2025-10-28 | F | AE | PT | NAFTZGER | 3NW9CG6WM45 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.121742887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6194923/check_13875941_1a92a6ec-7ad1-481e-a43b-6cdfb72b23ee.json | N/A | N/A | N/A | N/A | N/A | 3NW9CG6WM45 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-07-20 | S5617 | N/A | N/A | MA | false | NAFTZGER | 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 | 9115728063 | N/A | N/A | 6194923 | 2222 | 4802 | 14162005 | N/A | 4214889 | 2025-10-27 00:38:11.332710 | 2025-05-13 04:29:37.229212 |
| 2025-10-26 07:16:36.081966 | 2025-10-27 00:59:04.586658 | 13875871 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13875871 | Athletic Physical Therapy Inc | 1959-11-24 | 2025-10-28 | F | AE | PT | MCCLURE | 5G32FG9WU07 | WENDY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.122416928.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10180859/check_13875871_ac90ff34-252f-439f-8a4f-6815105f057e.json | N/A | N/A | N/A | N/A | N/A | 5G32FG9WU07 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-11-24 | S5884 | N/A | N/A | MA | false | MCCLURE | N/A | WENDY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115765502 | N/A | N/A | 10180859 | 2222 | 4801 | 14178278 | N/A | 8480311 | 2025-10-27 00:59:04.586658 | 2025-10-20 16:43:28.516419 |
| 2025-10-26 07:16:35.744558 | 2025-10-27 00:35:31.015696 | 13875828 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13875828 | Athletic Physical Therapy Inc | 1959-07-23 | 2025-10-28 | M | AE | PT | Harvey | LFYHC0062508 | Roy | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.122414957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714942/check_13875828_3cb8565c-4db2-47fb-b708-aacd5393e253.json | N/A | N/A | N/A | N/A | N/A | LFYHC0062508 | Preferred Provider Organization (PPO) | LOS ANGELES FIREMENS RELIEF ASSOCIATION - RETIREE | ANTHEM BLUE CROSS | N/A | 1959-07-23 | 040 | 282527M002 | N/A | PR | false | HARVEY | N/A | ROY | N/A | 9999-12-31 | 2020-02-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115791178 | N/A | N/A | 6714942 | 2222 | 4802 | 14157651 | N/A | 5316172 | 2025-10-27 00:35:31.015696 | 2025-07-02 15:09:36.678003 |
| 2025-10-26 07:16:35.119795 | 2025-10-27 00:35:30.451447 | 13875763 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13875763 | Athletic Physical Therapy Inc | 1951-10-16 | 2025-10-28 | F | AE | PT | GARRETT | JQE702W20596 | KATHLEEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.122414957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714934/check_13875763_0352b479-2264-4c8e-8bab-8071f4492d3f.json | N/A | N/A | N/A | N/A | N/A | JQE702W20596 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-10-16 | 040 | CASUPWP0 | N/A | N/A | false | GARRETT | N/A | KATHLEEN | N/A | 9999-12-31 | 2024-07-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115791173 | N/A | N/A | 6714934 | 2222 | 4793 | 14157637 | N/A | 5316176 | 2025-10-27 00:35:30.451447 | 2025-07-01 18:44:12.927482 |
| 2025-10-26 07:16:20.987670 | 2025-10-27 00:51:35.632628 | 13874278 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 13874278 | Athletic Physical Therapy Inc | 1983-05-09 | 2025-10-28 | F | AE | PT | RAJCIC | 622299781 | MAJA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.122416928.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10172287/check_13874278_0eca2b57-9d25-4d54-beae-f34a12ffdc6e.json | N/A | N/A | N/A | N/A | N/A | 622299781 | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1983-05-09 | N/A | N/A | N/A | N/A | false | RAJCIC | N/A | MAJA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115764964 | N/A | N/A | 10172287 | 2222 | 4802 | 14176106 | N/A | 8473558 | 2025-10-27 00:51:35.632628 | 2025-10-10 16:40:45.584452 |
| 2025-10-26 07:16:18.294985 | 2025-10-27 00:34:48.344051 | 13873979 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13873979 | Athletic Physical Therapy Inc | 1945-07-04 | 2025-10-28 | M | PT | N/A | Seminario | 442W1081810 | Gustavo | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.121742887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124845/check_13873979_be7ea443-ab65-413d-a1df-a3a15569282d.json | N/A | N/A | N/A | N/A | N/A | 442W1081810 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1945-07-04 | N/A | N/A | N/A | N/A | false | SEMINARIO | N/A | GUSTAVO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9115729227 | N/A | N/A | 6124845 | 2222 | 4793 | 14156445 | N/A | 4767293 | 2025-10-27 00:34:48.344051 | 2025-06-06 15:11:48.015692 |
| 2025-10-26 07:16:17.604135 | 2025-10-27 00:32:03.758927 | 13873898 | N/A | N/A | 60054 | Aetna | 1114042165 | 13873898 | Athletic Physical Therapy Inc | 1969-05-02 | 2025-10-28 | F | AE | PT | Taylor | 0322952413 | Vienna | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.121742887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124049/check_13873898_97da89e6-819f-46f1-9659-b050e98fa90f.json | N/A | N/A | N/A | N/A | N/A | 0322952413 | Group Policy | N/A | AETNA INC | PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE, IND. OUT OF POCKET, FAMILY OUT OF POCKET INFORMATION | 1969-05-02 | 001 | 24281 | N/A | GP | false | TAYLOR | N/A | JEFFREY | N/A | N/A | N/A | VELOCITY COMMERCIAL CAPITAL LLC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115728211 | N/A | N/A | 6124049 | 2222 | 4793 | 14151583 | N/A | 4766759 | 2025-10-27 00:32:03.758927 | 2025-06-04 21:51:50.184092 |
| 2025-10-26 07:16:16.282951 | 2025-10-27 00:31:50.876778 | 13873758 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 13873758 | Athletic Physical Therapy Inc | 1953-02-10 | 2025-10-29 | M | AE | PT | GARZA | 36183347 | LEO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.122017268.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9024952/check_13873758_d762f055-0487-4d54-ab8f-30e1dd996bb5.json | N/A | N/A | N/A | N/A | N/A | 36183347 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1953-02-10 | 406-024-000 | N/A | N/A | N/A | false | GARZA | N/A | LEOVARDO | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115750537 | N/A | N/A | 9024952 | 2222 | 4793 | 14151207 | 6798 | 7547856 | 2025-10-27 00:31:50.876778 | 2025-09-02 20:57:54.962485 |
| 2025-10-26 07:16:15.744690 | 2025-10-27 00:35:23.802482 | 13873709 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13873709 | Athletic Physical Therapy Inc | 1994-02-23 | 2025-10-28 | F | PT | N/A | SHU | XAN913831469 | GABRIELA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.121742887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6121701/check_13873709_13b76908-8cce-4ffa-877b-f810320eb9c9.json | N/A | N/A | N/A | N/A | N/A | XAN913831469 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1994-02-23 | 1479PPOX0003 | W0051411 | N/A | PR | false | SHU | N/A | GABRIELA | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9115728193 | N/A | N/A | 6121701 | 2222 | 4793 | 14157449 | N/A | 4764460 | 2025-10-27 00:35:23.802482 | 2025-06-04 04:30:06.494155 |
| 2025-10-26 07:16:13.209144 | 2025-10-27 02:32:02.518680 | 13873463 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 13873463 | override_provider | 1984-07-28 | 2025-10-28 | M | PT | N/A | ADAPA | DHC801433521 | PAVAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.121915723.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7638701/check_13873463_6a43ab65-fe32-4b32-bf5e-96e91de91202.json | N/A | N/A | N/A | N/A | N/A | DHC801433521 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1984-07-28 | N/A | N/A | N/A | N/A | false | ADAPA | N/A | PAVAN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9115744761 | N/A | N/A | 7638701 | 2222 | 4793 | 14179994 | N/A | 6533086 | 2025-10-27 02:32:02.518680 | 2025-08-12 04:29:49.496561 |
| 2025-10-26 07:16:11.707192 | 2025-10-27 00:35:00.803686 | 13873317 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13873317 | Athletic Physical Therapy Inc | 1952-08-20 | 2025-10-28 | M | PT | N/A | POLK | MBL292M95257 | KENNETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.122017268.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9022039/check_13873317_bfb12369-fef6-4a68-9748-86e8a54bb4ea.json | N/A | N/A | N/A | N/A | N/A | MBL292M95257 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1952-08-20 | 040 | CAEGR002 | N/A | N/A | false | POLK | N/A | KENNETH | 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 | 9115749618 | N/A | N/A | 9022039 | 2222 | 4801 | 14156800 | N/A | 7544773 | 2025-10-27 00:35:00.803686 | 2025-09-02 18:35:33.812098 |
| 2025-10-26 07:16:11.185126 | 2025-10-27 02:34:06.759649 | 13873263 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 13873263 | Athletic Physical Therapy Inc | 1960-03-08 | 2025-10-28 | F | AE | PT | CONNER | 40068898601 | CRISTEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.121916962.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9415234/check_13873263_689587d7-b8f9-4cf2-8750-ea569c38ecec.json | N/A | N/A | N/A | N/A | N/A | 40068898601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1960-03-08 | 2025H5425001 | H5425M | N/A | N/A | false | CONNER | N/A | CRISTEN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115740924 | N/A | N/A | 9415234 | 2222 | 4801 | 14181673 | N/A | 7884350 | 2025-10-27 02:34:06.759649 | 2025-09-15 22:38:10.066233 |
| 2025-10-26 07:16:09.709012 | 2025-10-27 02:34:48.624196 | 13873112 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13873112 | Athletic Physical Therapy Inc | 2011-04-16 | 2025-10-29 | M | PT | N/A | DEBOREE | JQU118A63475 | FALCON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.121916962.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9414075/check_13873112_b5a5e7bf-baa9-4806-b881-ae8ee143325e.json | N/A | N/A | N/A | N/A | N/A | JQU118A63475 | N/A | FALKON CREATIVE LP | ANTHEM BLUE CROSS | THIS INACTIVE MEMBER MAY BE ELIGIBLE FOR COVERAGE UNDER THEIR PRIOR COVERAGE IF THEY MEET THE ELIGIBILITY REQUIREMENTS OF THE CONSOLIDATED APPROPRIATIONS ACT. COVERAGE IS LIMITED TO SERVICES FOR CONTINUITY OF CARE CONDITIONS. ASK THE MEMBER FOR MORE INFORMATION. | 2011-04-16 | 040 | K62998 | N/A | N/A | false | DEBOREE | N/A | DEXTON | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9115740908 | N/A | N/A | 9414075 | 2222 | 4802 | 14182245 | N/A | 7883494 | 2025-10-27 02:34:48.624196 | 2025-09-24 22:46:15.277212 |
| 2025-10-26 07:16:09.578331 | 2025-10-27 00:32:30.552987 | 13873099 | N/A | N/A | 60054 | Aetna | 1114042165 | 13873099 | Athletic Physical Therapy Inc | 1997-02-11 | 2025-10-29 | F | AE | PT | BELL | W29376563901 | FRANCESCA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.122017268.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9020239/check_13873099_ba9d759f-e023-438b-b712-e58eedcceae5.json | N/A | N/A | N/A | N/A | N/A | W293765639 | Point of Service (POS) | VINSON & ELKINS LLP | AETNA | N/A | 1997-02-11 | 0882904 | 088290401200015 | N/A | PS | false | BELL | N/A | FRANCESCA | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115749595 | N/A | N/A | 9020239 | 2222 | 4802 | 14152399 | N/A | 7543693 | 2025-10-27 00:32:30.552987 | 2025-10-06 20:52:39.651223 |
| 2025-10-26 07:16:07.271211 | 2025-10-27 02:32:16.302718 | 13872860 | N/A | N/A | 60054 | Aetna | 1114042165 | 13872860 | Athletic Physical Therapy Inc | 1970-07-15 | 2025-10-28 | M | AE | PT | BAKER | W225972262 | MATTHEW | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.121916962.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411210/check_13872860_26a33139-e149-45bf-935a-9e12fef0d655.json | N/A | N/A | N/A | N/A | N/A | W225972262 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 1970-07-15 | 0232495 | 023249501300055 | N/A | PS | false | HOBAN-BAKER | N/A | AMY | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115740882 | N/A | N/A | 9411210 | 2222 | 4802 | 14180186 | N/A | 7880075 | 2025-10-27 02:32:16.302718 | 2025-10-01 14:29:57.963249 |
| 2025-10-26 07:16:03.493609 | 2025-10-27 04:41:52.735310 | 13872475 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13872475 | Athletic Physical Therapy Inc | 1968-07-21 | 2025-10-28 | F | AE | PT | MCALISTER | 4TU6H11QQ85 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.121929182.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7024101/check_13872475_6fc358f2-b5d3-4506-ab77-ba8aa871215b.json | N/A | N/A | N/A | N/A | N/A | 4TU6H11QQ85 | Medicare Part A | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1968-07-21 | N/A | N/A | N/A | MA | false | MCALISTER | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115737838 | N/A | N/A | 7024101 | 2222 | 4801 | 14190899 | N/A | 6038562 | 2025-10-27 04:41:52.735310 | 2025-07-30 21:46:09.369299 |
| 2025-10-26 07:15:56.216084 | 2025-10-27 00:39:33.131307 | 13871765 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13871765 | Athletic Physical Therapy Inc | 1950-04-13 | 2025-10-28 | F | AE | PT | NATALI | 2XU8UK4DF50 | RENEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.122017268.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8979192/check_13871765_b3305e34-3dbb-4926-9449-27d071a1641a.json | N/A | N/A | N/A | N/A | N/A | 2XU8UK4DF50 | Medicare Part B | N/A | HEALTH CARE SERVICE CORPORATION | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-04-13 | S5715 | N/A | N/A | MB | false | NATALI | N/A | RENEE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115749516 | N/A | N/A | 8979192 | 2222 | 4793 | 14164043 | N/A | 7498543 | 2025-10-27 00:39:33.131307 | 2025-10-14 17:13:32.178778 |
| 2025-10-26 07:15:54.235208 | 2025-10-27 02:38:59.108696 | 13871585 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13871585 | Athletic Physical Therapy Inc | 1979-02-28 | 2025-10-29 | F | AE | PT | DIAZ | 9MR0M18DW19 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.121916962.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9336219/check_13871585_89c3a5b3-c9e5-4b81-a422-17ccfea35dbb.json | N/A | N/A | N/A | N/A | N/A | 9MR0M18DW19 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1979-02-28 | S4802 | N/A | N/A | MA | false | DIAZ | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115740397 | N/A | N/A | 9336219 | 2222 | 4801 | 14185544 | N/A | 4211301 | 2025-10-27 02:38:59.108696 | 2025-05-13 04:29:37.225660 |
| 2025-10-26 07:15:53.111702 | 2025-10-27 00:42:23.929573 | 13871486 | N/A | N/A | 60054 | Aetna | 1114042165 | 13871486 | Athletic Physical Therapy Inc | 2011-12-20 | 2025-10-29 | M | AE | PT | NAQVI | W295996740 | KAZIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.122314999.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11417253/check_13871486_04e47969-bbc7-4743-a472-cbe2bf6717b6.json | N/A | N/A | N/A | N/A | N/A | W295996740 | Point of Service (POS) | SHI INTERNATIONAL CORP. | AETNA | N/A | 2011-12-20 | 0308616 | 030861601600001 | N/A | PS | false | NAQVI | N/A | SYED | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115759625 | N/A | N/A | 11417253 | 2222 | 4793 | 14167534 | N/A | 9671738 | 2025-10-27 00:42:23.929573 | 2025-10-29 22:32:21.591395 |
| 2025-10-26 07:15:52.697661 | 2025-10-27 00:32:30.844261 | 13871445 | N/A | N/A | 60054 | Aetna | 1114042165 | 13871445 | Athletic Physical Therapy Inc | 1967-12-19 | 2025-10-28 | F | AE | PT | BURRY | 101323278900 | CAROLYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.122017268.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8971092/check_13871445_65697f1e-3aa3-470b-b3f6-20667224c4bc.json | N/A | N/A | N/A | N/A | N/A | 101323278900 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1967-12-19 | 000003-CA000058 | 000003-CA | N/A | PR | false | BURRY | N/A | CAROLYN | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115750862 | N/A | N/A | 8971092 | 2222 | 4801 | 14152411 | N/A | 7486536 | 2025-10-27 00:32:30.844261 | 2025-09-15 03:16:44.869236 |
| 2025-10-26 07:15:50.990720 | 2025-10-27 00:33:13.096040 | 13871298 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 13871298 | Athletic Physical Therapy Inc | 1998-01-13 | 2025-10-29 | F | AE | PT | HOWE | U9192068101 | LOCHRYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.121742887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6079410/check_13871298_cdd08fcb-7bf5-4b37-8cbf-2de5809ad9a5.json | N/A | N/A | N/A | N/A | N/A | U9192068101 | N/A | VVG HOLDINGS, LLC | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST PREFERRED CARE MANAGEMENT | 1999-01-13 | N/A | 3343439 | N/A | N/A | false | HOWE | N/A | LOCHRYN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115729838 | N/A | N/A | 6079410 | 2222 | 4802 | 14153776 | N/A | 4723300 | 2025-10-27 00:33:13.096040 | 2025-06-04 00:42:43.684276 |
| 2025-10-26 07:15:45.970057 | 2025-10-27 02:34:48.916959 | 13870841 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13870841 | Athletic Physical Therapy Inc | 2010-01-19 | 2025-10-28 | M | PT | N/A | RIEMER | NSA00184555H | AUSTIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.121916962.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9321401/check_13870841_4871b918-8e62-4eee-9e09-1d2343de64b3.json | N/A | N/A | N/A | N/A | N/A | NSA00184555H | Preferred Provider Organization (PPO) | MAIN PPO PLAN- EARNED | ANTHEM BLUE CROSS | N/A | 2010-01-19 | 040 | L05927A001 | N/A | PR | false | RIEMER | N/A | JUSTIN | N/A | 9999-12-31 | 2023-01-01 | PB INCENTIVE NO SUTTER | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9115740640 | N/A | N/A | 9321401 | 2222 | 4801 | 14182249 | N/A | 7820673 | 2025-10-27 02:34:48.916959 | 2025-09-12 21:33:53.471523 |
| 2025-10-26 07:15:44.856759 | 2025-10-27 04:41:51.986262 | 13870732 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13870732 | Athletic Physical Therapy Inc | 1960-05-24 | 2025-10-28 | F | AE | PT | JIMENEZ LOPEZ | 6J82MP1YH03 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.121929182.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7000055/check_13870732_8a5041db-fd46-418c-95c3-8d7300c0a48c.json | N/A | N/A | N/A | N/A | N/A | 6J82MP1YH03 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-05-24 | S5617 | N/A | N/A | MA | false | JIMENEZ LOPEZ | 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 | 9115739018 | N/A | N/A | 7000055 | 2222 | 4801 | 14190898 | N/A | 6019507 | 2025-10-27 04:41:51.986262 | 2025-07-14 20:23:06.646459 |
| 2025-10-26 07:15:37.524252 | 2025-10-27 00:35:06.039255 | 13870011 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13870011 | Athletic Physical Therapy Inc | 1968-10-03 | 2025-10-28 | M | PT | N/A | RAMIREZ | Z7M7740597AB | CESAR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.122418787.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9729132/check_13870011_c36b3d32-a90a-4a9f-aaa1-6748e0a7b7d3.json | N/A | N/A | N/A | N/A | N/A | Z7M7740597AB | Preferred Provider Organization (PPO) | HI DED LOWER FAMILY ONLY | ANTHEM BLUE CROSS | N/A | 1968-10-03 | 241 | L11957M003 | N/A | PR | false | RAMIREZ | N/A | CESAR | N/A | 9999-12-31 | 2025-01-01 | PPO WITH MO BLUE ACCESS CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9115763980 | N/A | N/A | 9729132 | 2222 | 4801 | 14156948 | N/A | 8145241 | 2025-10-27 00:35:06.039255 | 2025-09-25 17:51:33.170014 |
| 2025-10-26 07:15:30.220672 | 2025-10-27 00:51:35.087459 | 13869322 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 13869322 | Athletic Physical Therapy Inc | 1961-11-24 | 2025-10-29 | F | AE | PT | CRUTCHFIELD | 904430653 | HELEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.122416928.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10103203/check_13869322_5f59dde2-02b5-4702-b6ab-ad2c5ac1bd68.json | N/A | N/A | N/A | N/A | N/A | 904430653 | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1961-11-24 | N/A | N/A | N/A | N/A | false | CRUTCHFIELD | N/A | HELEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115765434 | N/A | N/A | 10103203 | 2222 | 4802 | 14176103 | N/A | 8437251 | 2025-10-27 00:51:35.087459 | 2025-10-07 19:08:26.048804 |
| 2025-10-26 07:15:27.643625 | 2025-10-27 02:31:41.218412 | 13869074 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 13869074 | Athletic Physical Therapy Inc | 1937-04-20 | 2025-10-29 | M | AE | PT | HAUSMAN | 34751866 | GARY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.121916962.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9280203/check_13869074_8384de87-343c-4dee-ab15-bc45ebe303ef.json | N/A | N/A | N/A | N/A | N/A | 34751866 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1937-04-20 | 406-024-000 | N/A | N/A | N/A | false | HAUSMAN | N/A | GARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115741110 | N/A | N/A | 9280203 | 2222 | 4793 | 14179703 | 6798 | 7788651 | 2025-10-27 02:31:41.218412 | 2025-09-10 18:50:22.494063 |
| 2025-10-26 07:15:26.618335 | 2025-10-27 00:51:43.176461 | 13868975 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13868975 | Athletic Physical Therapy Inc | 1976-08-13 | 2025-10-28 | F | PT | N/A | GODWIN | JPU097W07528 | CASSANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.122416928.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10090153/check_13868975_7c8a8d97-0206-4b3f-8323-b98facca5f9c.json | N/A | N/A | N/A | N/A | N/A | JPU097W07528 | Preferred Provider Organization (PPO) | MAJCO LLC | ANTHEM BLUE CROSS | N/A | 1976-08-13 | 040 | 281949M014 | N/A | PR | false | GODWIN | N/A | CASSANDRA | N/A | 9999-12-31 | 2023-06-01 | SOLUTION PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9115764531 | N/A | N/A | 10090153 | 2222 | 4801 | 14176170 | N/A | 8428668 | 2025-10-27 00:51:43.176461 | 2025-10-12 20:55:35.014952 |
| 2025-10-26 07:15:25.611319 | 2025-10-27 00:51:42.363185 | 13868876 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13868876 | Athletic Physical Therapy Inc | 1991-12-10 | 2025-10-28 | F | PT | N/A | DUBOIS | UCR377M98570 | DANIELLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.122416928.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10089562/check_13868876_0ccf4eb4-b60d-4360-bce3-ee05b5df796c.json | N/A | N/A | N/A | N/A | N/A | UCR377M98570 | Preferred Provider Organization (PPO) | CHARTER COMMUNICATIONS INC | ANTHEM BLUE CROSS | N/A | 1991-12-10 | 241 | 230018ACA2 | N/A | PR | false | DUBOIS | N/A | WESTON | N/A | 9999-12-31 | 2020-01-01 | CDHP MISSOURI HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9115764523 | N/A | N/A | 10089562 | 2222 | 4801 | 14176164 | N/A | 8428267 | 2025-10-27 00:51:42.363185 | 2025-10-08 02:27:24.446873 |
| 2025-10-26 07:15:21.478137 | 2025-10-27 00:35:05.743613 | 13868487 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13868487 | Athletic Physical Therapy Inc | 1980-07-01 | 2025-10-29 | M | PT | N/A | Moreno jr | VDHE01043007 | Hector | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.122418787.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9691081/check_13868487_be220704-f32b-4dc4-ad8d-c49085b1add6.json | N/A | N/A | N/A | N/A | N/A | VDHE01043007 | Preferred Provider Organization (PPO) | DIGNITY HEALTH VENTURA | ANTHEM BLUE CROSS | N/A | 1980-07-01 | 040 | 174236M3A1 | N/A | PR | false | MORENO JR | N/A | HECTOR | N/A | 9999-12-31 | 2022-07-01 | PB INCENTIVE NO SUTTER | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9115763466 | N/A | N/A | 9691081 | 2222 | 4801 | 14156940 | N/A | 8110015 | 2025-10-27 00:35:05.743613 | 2025-10-05 15:24:30.421551 |
| 2025-10-26 07:15:19.629184 | 2025-10-27 00:32:02.980728 | 13868321 | N/A | N/A | 60054 | Aetna | 1114042165 | 13868321 | Athletic Physical Therapy Inc | 1992-06-11 | 2025-10-28 | M | AE | PT | ROSS | W292476869 | BRYAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.121742887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993949/check_13868321_a1fcc45f-96eb-4d67-bf17-a56021beec14.json | N/A | N/A | N/A | N/A | N/A | W292476869 | Point of Service (POS) | PAYCHEX BUSINESS SOLUTIONS, LLC. | AETNA | N/A | 1992-06-11 | 0176563 | 017656301200042 | N/A | PS | false | ROSS | N/A | BRYAN | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115729410 | N/A | N/A | 5993949 | 2222 | 4793 | 14151562 | N/A | 4642881 | 2025-10-27 00:32:02.980728 | 2025-06-06 02:27:19.212061 |
| 2025-10-26 07:15:19.536806 | 2025-10-27 00:38:09.751882 | 13868314 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13868314 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-10-28 | M | AE | PT | JACOBS | 4XJ0X61FM35 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.121742887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993912/check_13868314_f9f5ea9c-ee4c-41d1-bafb-c701270f3f94.json | N/A | N/A | N/A | N/A | N/A | 4XJ0X61FM35 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-25 | S5921 | N/A | N/A | MA | false | JACOBS | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115729409 | N/A | N/A | 5993912 | 2222 | 4793 | 14161966 | N/A | 4642852 | 2025-10-27 00:38:09.751882 | 2025-11-21 18:38:17.056437 |
| 2025-10-26 07:15:19.443743 | 2025-10-27 00:35:01.765874 | 13868307 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13868307 | Athletic Physical Therapy Inc | 1996-01-20 | 2025-10-28 | F | PT | N/A | WORDEN | ORU910469318 | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.121742887.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993479/check_13868307_c8ba8c12-5a85-4791-85bc-cd3df5edef05.json | N/A | N/A | N/A | N/A | N/A | ORU910469318 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1996-01-20 | N/A | N/A | N/A | N/A | false | WORDEN | N/A | SARAH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9115729408 | N/A | N/A | 5993479 | 2222 | 4801 | 14156830 | N/A | 4219476 | 2025-10-27 00:35:01.765874 | 2025-05-28 20:18:04.039855 |
| 2025-10-26 07:15:07.926124 | 2025-10-27 00:34:29.273823 | 13867567 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 13867567 | Athletic Physical Therapy Inc | 1947-05-27 | 2025-10-28 | F | AE | PT | OJEDA DE VALERIO | 40054924601 | MARCELINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.122017268.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8634171/check_13867567_f633df7c-3e8d-44c8-b542-3f0819e83005.json | N/A | N/A | N/A | N/A | N/A | 40054924601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1947-05-27 | 2025H5425001 | H5425M | N/A | N/A | false | OJEDA DE VALERIO | N/A | M | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115748794 | N/A | N/A | 8634171 | 2222 | 4801 | 14155906 | N/A | 7279268 | 2025-10-27 00:34:29.273823 | 2025-09-01 17:13:14.403136 |
| 2025-10-26 07:15:06.560651 | 2025-10-27 00:39:33.645017 | 13867473 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13867473 | Athletic Physical Therapy Inc | 1952-07-08 | 2025-10-29 | F | AE | PT | STERINA | 5G17E95JX47 | ELIZABETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.122017268.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8632769/check_13867473_0c46dee2-031a-4437-bbf5-ba182a078756.json | N/A | N/A | N/A | N/A | N/A | 5G17E95JX47 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-08 | S4802 | N/A | N/A | MA | false | STERINA | N/A | ELIZABETH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115748782 | N/A | N/A | 8632769 | 2222 | 4802 | 14164055 | N/A | 7278220 | 2025-10-27 00:39:33.645017 | 2025-08-26 15:52:58.453727 |
| 2025-10-26 07:14:57.880985 | 2025-10-27 02:34:49.220951 | 13866787 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13866787 | Athletic Physical Therapy Inc | 1952-08-31 | 2025-10-28 | M | PT | N/A | VACA | JQS284W10343 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.121916962.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9258711/check_13866787_d1bf976d-5195-41c4-8341-231bd67e4fc3.json | N/A | N/A | N/A | N/A | N/A | JQS284W10343 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-08-31 | 040 | CAMCRWP0 | N/A | MP | false | VACA | N/A | STEVEN | 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 | 9115740538 | N/A | N/A | 9258711 | 2222 | 4801 | 14182253 | 4184 | 7768967 | 2025-10-27 02:34:49.220951 | 2025-09-17 16:11:31.615033 |
| 2025-10-26 07:14:57.406661 | 2025-10-27 00:34:53.772280 | 13866733 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13866733 | Athletic Physical Therapy Inc | 1948-06-02 | 2025-10-27 | M | AE | PT | DIAZ GONZALEZ | 00000162490 | ERASMO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.122017268.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8481461/check_13866733_f86f19bc-b87e-471e-8858-3729c1021e14.json | N/A | N/A | N/A | N/A | N/A | 00000162490 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1948-06-02 | H3815028 | N/A | N/A | HM | false | DIAZ GONZALEZ | N/A | ERASMO | 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 | 9115749711 | N/A | N/A | 8481461 | 2222 | 4801 | 14156600 | 2630 | 7150693 | 2025-10-27 00:34:53.772280 | 2025-08-25 20:10:31.213285 |
| 2025-10-26 07:14:56.769891 | 2025-10-27 00:39:21.075673 | 13866671 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13866671 | Athletic Physical Therapy Inc | 1959-02-04 | 2025-10-29 | F | AE | PT | SMITS | 9TF8JW2XU20 | HEIDI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.122418787.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681583/check_13866671_0fd04095-7e3a-4e83-adc8-745ea597e62f.json | N/A | N/A | N/A | N/A | N/A | 9TF8JW2XU20 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-04 | S4802 | N/A | N/A | MA | false | SMITS | N/A | HEIDI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115762948 | N/A | N/A | 9681583 | 2222 | 4793 | 14163719 | N/A | 8101289 | 2025-10-27 00:39:21.075673 | 2025-09-24 17:05:46.431721 |
| 2025-10-26 07:14:55.793293 | 2025-10-27 00:35:00.463876 | 13866572 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13866572 | Athletic Physical Therapy Inc | 1961-03-04 | 2025-10-28 | M | PT | N/A | AVEDISSIAN | JQU233A54125 | ARMEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.122017268.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8472241/check_13866572_30fb1bc4-0f78-4320-9412-730ed3371660.json | N/A | N/A | N/A | N/A | N/A | JQU233A54125 | Preferred Provider Organization (PPO) | BRAND PRODUCE INC | MEDICARE A | N/A | 1961-03-04 | 040 | J35185 | N/A | PR | false | AVEDISSIAN | N/A | ARMEN | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9115749688 | N/A | N/A | 8472241 | 2222 | 4801 | 14156790 | N/A | 7143064 | 2025-10-27 00:35:00.463876 | 2025-10-10 06:06:58.213429 |
| 2025-10-26 07:14:55.566145 | 2025-10-27 00:32:26.465616 | 13866552 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 13866552 | override_provider | 1986-05-15 | 2025-10-28 | M | PT | N/A | Chizever | SBN015146 | Geoffrey | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.122017268.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471737/check_13866552_09255f80-a1fd-48e0-a5bc-901f9cef7eda.json | N/A | N/A | N/A | N/A | N/A | SBN015146 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1986-05-15 | N/A | N/A | N/A | N/A | false | CHIZEVER | N/A | GEOFFREY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9115749169 | N/A | N/A | 8471737 | 2222 | 4802 | 14152266 | N/A | 7142683 | 2025-10-27 00:32:26.465616 | 2026-01-12 20:01:37.957097 |
| 2025-10-26 07:14:55.224482 | 2025-10-27 00:33:37.910009 | 13866511 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 13866511 | Athletic Physical Therapy Inc | 1971-12-09 | 2025-10-29 | F | AE | PT | OSTERHOUDT | U2156506701 | TRACY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.122017268.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471577/check_13866511_8e46d697-1e86-43a6-af0b-b995b71fa1ce.json | N/A | N/A | N/A | N/A | N/A | U2156506701 | Health Maintenance Organization (HMO) | CAPITAL GROUP | CGLIC | N/A | 1971-12-09 | N/A | 3173816 | N/A | HM | false | OSTERHOUDT | N/A | TRACY | N/A | N/A | N/A | NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115749164 | N/A | N/A | 8471577 | 2222 | 4801 | 14154471 | N/A | 7142472 | 2025-10-27 00:33:37.910009 | 2025-09-06 16:19:59.701160 |
| 2025-10-26 07:14:49.943015 | 2025-10-27 00:44:07.037319 | 13866010 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 13866010 | Athletic Physical Therapy Inc | 1966-10-24 | 2025-10-28 | F | AE | PT | DUARTE | 99133977C | TERESA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.122416928.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10032559/check_13866010_1c50fcf5-bb7e-43f9-b996-10eca00cc2bc.json | N/A | N/A | N/A | N/A | N/A | 99133977C | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 04/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1966-10-24 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | DUARTE | N/A | TERESA | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115764695 | N/A | N/A | 10032559 | 2222 | 4802 | 14169395 | N/A | 8397995 | 2025-10-27 00:44:07.037319 | 2025-10-06 22:35:05.038045 |