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 07:14:46.364948 | 2025-10-27 00:39:33.393404 | 13865668 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13865668 | Athletic Physical Therapy Inc | 1934-05-31 | 2025-10-29 | M | AE | PT | RANDERIA | 1AY5A41XE81 | BHUPENDRA | 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/2222/8420254/check_13865668_c2b41298-34a5-48d3-bee3-4c51fed7a3cc.json | N/A | N/A | N/A | N/A | N/A | 1AY5A41XE81 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1934-05-31 | N/A | N/A | N/A | MA | false | RANDERIA | N/A | BHUPENDRA | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115749080 | N/A | N/A | 8420254 | 2222 | 4802 | 14164049 | N/A | 7097664 | 2025-10-27 00:39:33.393404 | 2026-04-30 18:11:14.979451 |
| 2025-10-26 07:14:46.289257 | 2025-10-27 00:35:45.685794 | 13865662 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13865662 | Athletic Physical Therapy Inc | 2001-07-17 | 2025-10-29 | M | PT | N/A | HUNTER | XEK905471650 | KYLE | 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/2222/8420132/check_13865662_dd0d1e05-248a-4699-9467-3cb263f778c2.json | N/A | N/A | N/A | N/A | N/A | XEK905471650 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2001-07-17 | 2001ZK002189 | X0001000 | N/A | PR | false | HUNTER | N/A | MARK | N/A | 2025-12-31 | 2025-01-01 | BRONZE 60 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9115749079 | N/A | N/A | 8420132 | 2222 | 4801 | 14158072 | N/A | 7097528 | 2025-10-27 00:35:45.685794 | 2025-08-25 23:26:20.393423 |
| 2025-10-26 07:14:43.754689 | 2025-10-27 02:34:48.300420 | 13865424 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13865424 | Athletic Physical Therapy Inc | 1966-12-04 | 2025-10-28 | M | PT | N/A | CLANCY | XDMOE0503879 | JOSEPH | 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/2222/9194927/check_13865424_413e9fdf-1ad4-49c6-940e-70d718e06d27.json | N/A | N/A | N/A | N/A | N/A | XDMOE0503879 | Health Maintenance Organization (HMO) | OPERATING ENGINEERS HEALTH&WELFARE FUND | ANTHEM BLUE CROSS | N/A | 1966-12-04 | 040 | 278671H001 | N/A | HM | false | CLANCY | N/A | JOSEPH | N/A | 9999-12-31 | 2025-02-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9115739541 | N/A | N/A | 9194927 | 2222 | 4793 | 14182242 | 4184 | 7712549 | 2025-10-27 02:34:48.300420 | 2025-09-10 17:29:28.945035 |
| 2025-10-26 07:14:37.727024 | 2025-10-27 00:32:01.592558 | 13864946 | N/A | N/A | 60054 | Aetna | 1114042165 | 13864946 | Athletic Physical Therapy Inc | 1956-11-03 | 2025-10-28 | M | AE | PT | ARROW | 101393152200 | PAUL | 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/2222/5676385/check_13864946_bef3cfc4-500b-4452-984d-6dca3a9084c3.json | N/A | N/A | N/A | N/A | N/A | 101393152200 | Preferred Provider Organization (PPO) | BP CORPORATION NORTH AMERICA - MA | AETNA | MEDICARE | 1956-11-03 | 100181-02EG0001 | 100181-02 | N/A | PR | false | ARROW | N/A | PAUL | N/A | N/A | N/A | BP MEDICARE PPO ESA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115728596 | N/A | N/A | 5676385 | 2222 | 4802 | 14151522 | N/A | 4343439 | 2025-10-27 00:32:01.592558 | 2025-05-13 04:29:37.230918 |
| 2025-10-26 07:14:37.641394 | 2025-10-27 00:35:23.271568 | 13864940 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13864940 | Athletic Physical Therapy Inc | 1989-01-09 | 2025-10-28 | F | PT | N/A | SELTER | XEA906445770 | RACHEL | 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/2222/5676380/check_13864940_df9eb2a2-5fcd-4c79-933a-1d6ef1914bfa.json | N/A | N/A | N/A | N/A | N/A | XEA906445770 | Preferred Provider Organization (PPO) | AV SQUAD LP | BLUE SHIELD CALIFORNIA | N/A | 1989-01-09 | 1000PPOX0001 | W0066517 | N/A | PR | false | SELTER | N/A | BRANDON | N/A | N/A | N/A | SMILE SM SPECTRUM 50 1500 NO ORTHO MAC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9115728595 | N/A | N/A | 5676380 | 2222 | 4793 | 14157433 | N/A | 4343435 | 2025-10-27 00:35:23.271568 | 2025-05-13 04:29:37.230915 |
| 2025-10-26 07:14:37.551884 | 2025-10-27 00:34:48.082660 | 13864931 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13864931 | Athletic Physical Therapy Inc | 1946-04-03 | 2025-10-28 | F | PT | N/A | OBLINGER | JQS491M78254 | MARIA | 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/2222/5676340/check_13864931_fbd93791-c00e-4428-b8c2-fec7d5d13968.json | N/A | N/A | N/A | N/A | N/A | JQS491M78254 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1946-04-03 | 040 | CAMCRWP0 | N/A | MP | false | OBLINGER | 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 | 9115728594 | N/A | N/A | 5676340 | 2222 | 4793 | 14156440 | 4184 | 4210531 | 2025-10-27 00:34:48.082660 | 2025-12-09 17:09:13.960610 |
| 2025-10-26 07:14:36.982699 | 2025-10-27 00:32:30.224358 | 13864891 | N/A | N/A | 60054 | Aetna | 1114042165 | 13864891 | Athletic Physical Therapy Inc | 2007-05-15 | 2025-10-29 | M | AE | PT | BAIRD | W295329957 | WILLIAM | 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/2222/8391594/check_13864891_34cef5ca-81e1-4e1a-9774-a22e0d41c0e6.json | N/A | N/A | N/A | N/A | N/A | W295329957 | Point of Service (POS) | PEPPERDINE UNIVERSITY | AETNA | N/A | 2007-05-15 | 0232487 | 023248701200001 | N/A | PS | false | BAIRD | N/A | SHAYA | N/A | N/A | N/A | OA MANAGED CHOICE POS HDHP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115749456 | N/A | N/A | 8391594 | 2222 | 4793 | 14152390 | N/A | 4214747 | 2025-10-27 00:32:30.224358 | 2025-05-13 04:29:37.229066 |
| 2025-10-26 07:14:34.885337 | 2025-10-27 04:31:56.003465 | 13864718 | N/A | N/A | 60054 | Aetna | 1114042165 | 13864718 | Athletic Physical Therapy Inc | 1976-05-10 | 2025-10-28 | M | AE | PT | RAMIREZ | 9537353099 | ROY | 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/2222/6865171/check_13864718_22d9b690-13b2-450b-a84e-d55f5201074c.json | N/A | N/A | N/A | N/A | N/A | 9537353099 | 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 | 1976-05-10 | A01 | 20086 | N/A | GP | false | RAMIREZ | N/A | ROY | N/A | N/A | N/A | WORKDAY INC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115739200 | N/A | N/A | 6865171 | 2222 | 4801 | 14189491 | N/A | 5902840 | 2025-10-27 04:31:56.003465 | 2025-07-28 18:58:27.354873 |
| 2025-10-26 07:14:32.856937 | 2025-10-27 00:36:23.708060 | 13864561 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13864561 | Athletic Physical Therapy Inc | 1960-11-20 | 2025-10-28 | F | PT | N/A | RUND | JQU141A61623 | Stephanie | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251026.122514982.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398636/check_13864561_84220efc-2640-491d-a9b0-7ec0dcb56b26.json | N/A | N/A | N/A | N/A | N/A | JQU141A61623 | Preferred Provider Organization (PPO) | BRUCE EDWARDS DDS | ANTHEM BLUE CROSS | N/A | 1960-11-20 | 040 | 225912 | N/A | PR | false | RUND | N/A | STEPHANIE | N/A | 2025-12-01 | 2024-12-01 | ANTHEM GOLD PPO 30/500/20% RXD | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9115770039 | N/A | N/A | 6398636 | 2222 | 4802 | 14159071 | N/A | 5046194 | 2025-10-27 00:36:23.708060 | 2026-01-06 19:15:31.520951 |
| 2025-10-26 07:14:23.875633 | 2025-10-27 00:39:32.601057 | 13863866 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13863866 | Athletic Physical Therapy Inc | 1956-05-22 | 2025-10-29 | F | AE | PT | CHOOBIN | 6F99G11UV44 | KEFAYAT | 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/2222/8205054/check_13863866_c6f18243-fbb7-40fc-a574-9d751914424b.json | N/A | N/A | N/A | N/A | N/A | 6F99G11UV44 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-05-22 | S4802 | N/A | N/A | MB | false | CHOOBIN | N/A | KEFAYAT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115750002 | N/A | N/A | 8205054 | 2222 | 4793 | 14164028 | N/A | 6967073 | 2025-10-27 00:39:32.601057 | 2025-08-26 17:15:30.662072 |
| 2025-10-26 07:14:23.283958 | 2025-10-27 00:33:51.888733 | 13863827 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13863827 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-10-28 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | 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/2222/5568076/check_13863827_38eae6c0-72f4-4ca4-a6d1-55f695a01984.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | CENTENE HEALTH PLANS | N/A | 1961-09-17 | N/A | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115729667 | N/A | N/A | 5568076 | 2222 | 4802 | 14154835 | N/A | 4209480 | 2025-10-27 00:33:51.888733 | 2026-04-10 02:05:15.976484 |
| 2025-10-26 07:14:22.954270 | 2025-10-27 00:35:45.435840 | 13863806 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13863806 | Athletic Physical Therapy Inc | 1980-12-02 | 2025-10-28 | M | PT | N/A | GODINEZ | XEK907039926 | RICHARD | 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/2222/8202901/check_13863806_bda392fd-4526-4a7b-968d-6a71d42acdb0.json | N/A | N/A | N/A | N/A | N/A | XEK907039926 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-12-02 | 2001ZK002171 | X0001000 | N/A | PR | false | GODINEZ | N/A | RICHARD | N/A | 9999-12-31 | 2019-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9115749987 | N/A | N/A | 8202901 | 2222 | 4793 | 14158064 | N/A | 6965521 | 2025-10-27 00:35:45.435840 | 2025-09-10 21:42:23.177790 |
| 2025-10-26 07:14:22.816328 | 2025-10-27 00:35:45.948463 | 13863796 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13863796 | Athletic Physical Therapy Inc | 1985-01-29 | 2025-10-27 | F | PT | N/A | MURPHY | NGO398A23229 | DARA | 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/2222/8202094/check_13863796_7672ded5-5389-4876-b7da-de047a1451f6.json | N/A | N/A | N/A | N/A | N/A | NGO398A23229 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1985-01-29 | N/A | N/A | N/A | N/A | false | MURPHY | N/A | DARA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9115749985 | N/A | N/A | 8202094 | 2222 | 4793 | 14158080 | N/A | 6964828 | 2025-10-27 00:35:45.948463 | 2025-08-21 15:20:41.432970 |
| 2025-10-26 07:14:18.041132 | 2025-10-27 04:31:55.533079 | 13863437 | N/A | N/A | 60054 | Aetna | 1114042165 | 13863437 | Athletic Physical Therapy Inc | 1987-03-27 | 2025-10-28 | M | AE | PT | RAFIQI | W291629581 | ROMAN | 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/2222/6813848/check_13863437_2a81cdd3-493d-40d4-8ce1-a84271f48573.json | N/A | N/A | N/A | N/A | N/A | W291629581 | Preferred Provider Organization (PPO) | PROVIDENCE HEALTH AND SERVICES | AETNA CHOICE POS II | N/A | 1987-03-27 | 0237590 | 023759003300001 | N/A | PR | false | RAFIQI | N/A | ROMAN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115738689 | N/A | N/A | 6813848 | 2222 | 4801 | 14189490 | N/A | 5856139 | 2025-10-27 04:31:55.533079 | 2025-07-22 03:39:47.404623 |
| 2025-10-26 07:14:16.735697 | 2025-10-27 00:32:03.486270 | 13863316 | N/A | N/A | 60054 | Aetna | 1114042165 | 13863316 | Athletic Physical Therapy Inc | 1961-11-04 | 2025-10-29 | F | AE | PT | SANTITORO | W267422430 | SARAH | 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/2222/5550743/check_13863316_f7684e40-a4a8-4ce7-9148-62c35e5d79de.json | N/A | N/A | N/A | N/A | N/A | W267422430 | Point of Service (POS) | CIENA CORPORATION | AETNA | N/A | 1961-11-04 | 0486875 | 048687501000001 | N/A | PS | false | SANTITORO | N/A | RALPH | 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 | 9115729091 | N/A | N/A | 5550743 | 2222 | 4801 | 14151576 | N/A | 4219643 | 2025-10-27 00:32:03.486270 | 2025-05-13 04:29:37.230685 |
| 2025-10-26 07:14:16.638625 | 2025-10-27 00:38:08.534212 | 13863306 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13863306 | Athletic Physical Therapy Inc | 1954-05-11 | 2025-10-28 | M | AE | PT | A Peters | 1R78CR5JR59 | Dennis | 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/2222/5550025/check_13863306_045aa1e0-feb5-4c50-b782-4319a123fadf.json | N/A | N/A | N/A | N/A | N/A | 1R78CR5JR59 | N/A | N/A | CMS | N/A | 1954-05-11 | N/A | N/A | N/A | N/A | false | A PETERS | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115729090 | N/A | N/A | 5550025 | 2222 | 4801 | 14161937 | N/A | 4219449 | 2025-10-27 00:38:08.534212 | 2025-10-07 21:32:27.567534 |
| 2025-10-26 07:14:16.532520 | 2025-10-27 00:35:24.075005 | 13863296 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13863296 | Athletic Physical Therapy Inc | 1961-10-06 | 2025-10-29 | F | PT | N/A | SMITH | XED910117839 | DEANNA | 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/2222/5549692/check_13863296_3ba8202c-e872-4f4f-b089-011ce0b3ed9c.json | N/A | N/A | N/A | N/A | N/A | XED910117839 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-10-06 | 2001ZK002184 | X0001004 | N/A | PR | false | SMITH | N/A | ADRIAN | N/A | 2025-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9115729089 | N/A | N/A | 5549692 | 2222 | 4801 | 14157457 | N/A | 4219305 | 2025-10-27 00:35:24.075005 | 2025-09-16 17:28:21.311815 |
| 2025-10-26 07:14:16.372828 | 2025-10-27 00:34:44.961808 | 13863280 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13863280 | Athletic Physical Therapy Inc | 1955-10-09 | 2025-10-28 | M | PT | N/A | COE | JQS589W10732 | SCOTT | 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/2222/5549514/check_13863280_388032a2-a3f5-4ed4-b591-117e0f071b1c.json | N/A | N/A | N/A | N/A | N/A | JQS589W10732 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1955-10-09 | 040 | CAMCRWP0 | N/A | MP | false | COE | N/A | SCOTT | 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 | 9115729088 | N/A | N/A | 5549514 | 2222 | 4801 | 14156354 | N/A | 4219161 | 2025-10-27 00:34:44.961808 | 2025-10-16 23:24:12.118501 |
| 2025-10-26 07:14:16.280293 | 2025-10-27 00:31:28.925474 | 13863271 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | 13863271 | Athletic Physical Therapy Inc | 1965-07-05 | 2025-10-28 | F | PT | N/A | CEJA | XEH903796659 | 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/2222/5549285/check_13863271_85a17b9f-415c-4a20-ae96-b49e48124cff.json | N/A | N/A | N/A | N/A | N/A | XEH903796659 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1965-07-05 | N/A | N/A | N/A | N/A | false | CEJA | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9115729087 | N/A | N/A | 5549285 | 2222 | 4801 | 14150613 | N/A | 4218983 | 2025-10-27 00:31:28.925474 | 2025-05-13 04:29:37.230000 |
| 2025-10-26 07:14:15.690355 | 2025-10-27 02:34:47.727895 | 13863212 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13863212 | Athletic Physical Therapy Inc | 1952-01-13 | 2025-10-28 | M | PT | N/A | BLANCO ESCOBAR | JQW106W18304 | SAMUEL | 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/2222/9134245/check_13863212_9a9b05d3-53e2-4f16-b5e0-92ca6b2814f0.json | N/A | N/A | N/A | N/A | N/A | JQW106W18304 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-01-13 | 040 | CAMCRWP0 | N/A | MP | false | BLANCO ESCOBAR | N/A | SAMUEL | N/A | 2025-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9115739751 | N/A | N/A | 9134245 | 2222 | 4801 | 14182235 | N/A | 7655426 | 2025-10-27 02:34:47.727895 | 2025-09-08 18:14:46.984181 |
| 2025-10-26 07:14:15.577836 | 2025-10-27 00:33:51.611102 | 13863198 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13863198 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-10-28 | M | AE | PT | FORTIN | R14644640MS1 | NATHANIEL | 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/2222/5543425/check_13863198_6dc71aea-9145-4af0-852a-d733ffa7992a.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | CENTENE HEALTH PLANS | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115729079 | N/A | N/A | 5543425 | 2222 | 4801 | 14154828 | N/A | 4215211 | 2025-10-27 00:33:51.611102 | 2026-04-02 22:30:20.020246 |
| 2025-10-26 07:14:15.487558 | 2025-10-27 00:31:29.222900 | 13863188 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 13863188 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-10-29 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | 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/2222/5543270/check_13863188_2bba17aa-b776-4758-913b-f62de43c61e0.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-03-27 | N/A | N/A | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115729078 | N/A | N/A | 5543270 | 2222 | 4793 | 14150619 | N/A | 4215086 | 2025-10-27 00:31:29.222900 | 2025-05-13 04:29:37.229401 |
| 2025-10-26 07:14:15.399426 | 2025-10-27 00:35:22.994771 | 13863181 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13863181 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-10-28 | F | PT | N/A | PAUL | XEK914147727 | SARA | 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/2222/5543211/check_13863181_14277f86-d625-4753-b277-e4d93b1147ec.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | 9999-12-31 | 2025-02-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9115729077 | N/A | N/A | 5543211 | 2222 | 4801 | 14157426 | N/A | 4215028 | 2025-10-27 00:35:22.994771 | 2025-05-13 04:29:37.229346 |
| 2025-10-26 07:14:15.318329 | 2025-10-27 00:33:12.829076 | 13863174 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 13863174 | Athletic Physical Therapy Inc | 1973-05-07 | 2025-10-28 | F | AD | N/A | FERRERAS | U6570615702 | 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/2222/5543171/check_13863174_fa9042ad-ab18-499c-8505-58b5f8de93f9.json | N/A | N/A | N/A | N/A | N/A | U6570615702 | N/A | WORKDAY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1973-05-07 | N/A | 3336422 | N/A | N/A | false | FERRERAS | N/A | PATRICIA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 9115729076 | N/A | N/A | 5543171 | 2222 | 4793 | 14153767 | N/A | 4214998 | 2025-10-27 00:33:12.829076 | 2025-05-13 04:29:37.229318 |
| 2025-10-26 07:14:15.235961 | 2025-10-27 00:34:47.180931 | 13863166 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13863166 | Athletic Physical Therapy Inc | 1974-08-13 | 2025-10-29 | F | PT | N/A | HUGGINS | JXN261A50994 | DEE DEE | 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/2222/5543043/check_13863166_5dffd455-4383-4d91-832d-3da7fb15c601.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 9999-12-31 | 2022-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9115729075 | N/A | N/A | 5543043 | 2222 | 4801 | 14156411 | N/A | 4214884 | 2025-10-27 00:34:47.180931 | 2025-11-12 00:46:10.301659 |
| 2025-10-26 07:14:15.145780 | 2025-10-27 00:34:02.925459 | 13863159 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 13863159 | Athletic Physical Therapy Inc | 1957-01-21 | 2025-10-29 | M | AE | PT | SHADDY | 40064865601 | STEVE | 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/2222/5543011/check_13863159_dd044eca-3a68-4cda-8f42-1dd4f82eb831.json | N/A | N/A | N/A | N/A | N/A | 40064865601 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | SHADDY | N/A | STEVE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115729074 | N/A | N/A | 5543011 | 2222 | 4801 | 14155145 | N/A | 4214861 | 2025-10-27 00:34:02.925459 | 2026-02-04 19:10:58.526441 |
| 2025-10-26 07:14:15.055908 | 2025-10-27 00:35:22.485300 | 13863151 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13863151 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-10-28 | F | PT | N/A | JAIN | XEK909304497 | SUPARNA | 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/2222/5542952/check_13863151_88aa8f59-5d57-4dda-a888-051e557c508d.json | N/A | N/A | N/A | N/A | N/A | XEK909304497 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-01-24 | 2001ZK002189 | X0001000 | N/A | PR | false | JAIN | N/A | SUPARNA | N/A | 9999-12-31 | 2019-09-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9115729073 | N/A | N/A | 5542952 | 2222 | 4802 | 14157411 | N/A | 4214804 | 2025-10-27 00:35:22.485300 | 2025-05-13 20:09:53.786482 |
| 2025-10-26 07:14:14.966045 | 2025-10-27 00:32:04.225055 | 13863144 | N/A | N/A | 60054 | Aetna | 1114042165 | 13863144 | Athletic Physical Therapy Inc | 1997-11-11 | 2025-10-28 | M | AE | PT | VELASQUEZ | W290801184 | EVAN | 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/2222/5542874/check_13863144_1c55999a-b71d-473c-8a74-86882c54bc72.json | N/A | N/A | N/A | N/A | N/A | W290801184 | Point of Service (POS) | OMNICOM BENEFITS INC. | AETNA | N/A | 1997-11-11 | 0247086 | 024708602300010 | N/A | PS | false | VELASQUEZ | N/A | EVAN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115729072 | N/A | N/A | 5542874 | 2222 | 4802 | 14151596 | N/A | 4214737 | 2025-10-27 00:32:04.225055 | 2025-05-13 04:29:37.229056 |
| 2025-10-26 07:14:14.875078 | 2025-10-27 00:32:02.392714 | 13863137 | N/A | N/A | 60054 | Aetna | 1114042165 | 13863137 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-10-28 | M | AE | PT | KORY | 102161581800 | MICHAEL | 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/2222/5542870/check_13863137_67c16645-bbcc-449b-a8d1-9a7cd640e523.json | N/A | N/A | N/A | N/A | N/A | 102161581800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1959-05-08 | 000003-CA000058 | 000003-CA | N/A | PR | false | KORY | N/A | MICHAEL | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115729071 | N/A | N/A | 5542870 | 2222 | 4793 | 14151543 | N/A | 4214732 | 2025-10-27 00:32:02.392714 | 2025-06-24 20:13:53.579048 |
| 2025-10-26 07:14:14.740631 | 2025-10-27 00:34:23.534331 | 13863125 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13863125 | Athletic Physical Therapy Inc | 2007-12-08 | 2025-10-28 | F | AE | PT | LARSEN | R06053944FD1 | LANA | 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/2222/5542850/check_13863125_9025853a-0d45-481f-a3d8-bbbe0184dc86.json | N/A | N/A | N/A | N/A | N/A | R06053944FD1 | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 2007-12-08 | N/A | N/A | N/A | N/A | false | LARSEN | N/A | LANA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115729070 | N/A | N/A | 5542850 | 2222 | 4793 | 14155746 | N/A | 4214714 | 2025-10-27 00:34:23.534331 | 2025-05-13 04:29:37.229031 |
| 2025-10-26 07:14:14.655345 | 2025-10-27 00:33:52.352107 | 13863119 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13863119 | Athletic Physical Therapy Inc | 1979-11-17 | 2025-10-28 | F | AE | PT | WOODS | 96781627F | JESSICA | 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/2222/5542752/check_13863119_76e54ae4-0266-46d8-8894-57924cf37f9b.json | N/A | N/A | N/A | N/A | N/A | 96781627F | N/A | N/A | CENTENE HEALTH PLANS | N/A | 1979-11-17 | N/A | N/A | N/A | N/A | false | WOODS | N/A | JESSICA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115729069 | N/A | N/A | 5542752 | 2222 | 4793 | 14154850 | N/A | 4214627 | 2025-10-27 00:33:52.352107 | 2025-06-23 18:58:46.304598 |
| 2025-10-26 07:14:14.577682 | 2025-10-27 00:34:45.824089 | 13863111 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13863111 | Athletic Physical Therapy Inc | 1993-06-20 | 2025-10-28 | F | PT | N/A | DELOS REYES | JXN688W13372 | JANELLE LOPEZ | 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/2222/5542750/check_13863111_0d00aa70-32e0-4ef6-9c7b-5b94531c20cf.json | N/A | N/A | N/A | N/A | N/A | JXN688W13372 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-06-20 | N/A | N/A | N/A | N/A | false | DELOS REYES | N/A | JANELLE LOPEZ | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9115729068 | N/A | N/A | 5542750 | 2222 | 4802 | 14156376 | N/A | 4214623 | 2025-10-27 00:34:45.824089 | 2025-08-28 22:11:32.536994 |
| 2025-10-26 07:14:14.493415 | 2025-10-27 00:33:51.345164 | 13863105 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13863105 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-10-28 | F | AE | PT | CHERE | 98953535F | DIANA | 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/2222/5542660/check_13863105_d7730dbc-0311-414d-8c93-ac7ce28a3ee6.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | CENTENE HEALTH PLANS | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115729067 | N/A | N/A | 5542660 | 2222 | 4802 | 14154818 | N/A | 4214542 | 2025-10-27 00:33:51.345164 | 2025-05-13 04:29:37.228868 |
| 2025-10-26 07:14:14.407460 | 2025-10-27 00:32:02.735115 | 13863097 | N/A | N/A | 60054 | Aetna | 1114042165 | 13863097 | Athletic Physical Therapy Inc | 1942-12-06 | 2025-10-29 | M | AE | PT | MEADOWS | 101352892200 | STANLEY | 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/2222/5542634/check_13863097_c859057f-d5cb-4978-a9dd-f2e411be32ee.json | N/A | N/A | N/A | N/A | N/A | 101352892200 | Preferred Provider Organization (PPO) | FAIRFAX COUNTY PUBLIC SCHOOLS - MA | AETNA | MEDICARE | 1942-12-06 | 100297-02EG0001 | 100297-02 | N/A | PR | false | MEADOWS | N/A | STANLEY | N/A | N/A | N/A | MEDICARE (C04) ESA PPO PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115729066 | N/A | N/A | 5542634 | 2222 | 4801 | 14151552 | N/A | 4214520 | 2025-10-27 00:32:02.735115 | 2025-07-28 19:32:04.879318 |
| 2025-10-26 07:14:14.320439 | 2025-10-27 00:32:01.837573 | 13863089 | N/A | N/A | 60054 | Aetna | 1114042165 | 13863089 | Athletic Physical Therapy Inc | 1975-12-13 | 2025-10-28 | F | PT | N/A | ASSENGA | TWA295A70455 | NANCY | 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/2222/5542618/check_13863089_7d6fa7f1-722e-459a-aee8-e7579980dceb.json | N/A | N/A | N/A | N/A | N/A | TWA295A70455 | N/A | N/A | AETNA | N/A | 1975-12-13 | 0846522 | 084652202300182 | N/A | N/A | false | ASSENGA | N/A | NANCY | N/A | N/A | N/A | OPEN CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9115729065 | N/A | N/A | 5542618 | 2222 | 4801 | 14151529 | N/A | 4214504 | 2025-10-27 00:32:01.837573 | 2025-05-13 04:29:37.228820 |
| 2025-10-26 07:14:14.240734 | 2025-10-27 00:34:34.854006 | 13863083 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 13863083 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-10-28 | F | AE | PT | HAMI | 92932800G | FARIBA | 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/2222/5542611/check_13863083_b1f79e48-68fc-4e93-ad6e-b51cd2d10551.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1960-09-15 | N/A | N/A | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115729064 | N/A | N/A | 5542611 | 2222 | 4802 | 14156069 | N/A | 4214490 | 2025-10-27 00:34:34.854006 | 2025-05-13 04:29:37.228806 |
| 2025-10-26 07:14:14.159540 | 2025-10-27 00:32:03.220388 | 13863075 | N/A | N/A | 60054 | Aetna | 1114042165 | 13863075 | Athletic Physical Therapy Inc | 1989-10-20 | 2025-10-28 | M | AE | PT | SAMUELS | W289332071 | ZACHARY | 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/2222/5542467/check_13863075_f0a39f70-5b90-48f9-9e9d-c2ee76617056.json | N/A | N/A | N/A | N/A | N/A | W289332071 | Point of Service (POS) | CACI INTERNATIONAL INC. | AETNA | N/A | 1989-10-20 | 0169496 | 016949601000001 | N/A | PS | false | SAMUELS | N/A | ZACHARY | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115729063 | N/A | N/A | 5542467 | 2222 | 4802 | 14151568 | N/A | 4214379 | 2025-10-27 00:32:03.220388 | 2025-05-13 04:29:37.228706 |
| 2025-10-26 07:14:14.073988 | 2025-10-27 00:35:21.552562 | 13863066 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13863066 | Athletic Physical Therapy Inc | 1969-07-21 | 2025-10-28 | F | PT | N/A | BAER | XEK905554072 | JUDY | 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/2222/5542259/check_13863066_e0d232ee-1412-4f31-810e-d64df0c9ddb3.json | N/A | N/A | N/A | N/A | N/A | XEK905554072 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1969-07-21 | 2001ZJ002648 | X0001000 | N/A | PR | false | BAER | N/A | JUDY | N/A | 9999-12-31 | 2017-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9115729062 | N/A | N/A | 5542259 | 2222 | 4802 | 14157386 | N/A | 4214195 | 2025-10-27 00:35:21.552562 | 2025-05-13 04:29:37.228529 |
| 2025-10-26 07:14:13.983296 | 2025-10-27 00:38:10.046396 | 13863060 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13863060 | Athletic Physical Therapy Inc | 1936-09-29 | 2025-10-28 | M | AE | PT | JAUDE | 8D38EF9GV30 | KARIM | 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/2222/5542251/check_13863060_2d9107ac-d603-4832-882a-5af1255b9de8.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MB | false | JAUDE | N/A | KARIM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115729061 | N/A | N/A | 5542251 | 2222 | 4802 | 14161975 | N/A | 4214191 | 2025-10-27 00:38:10.046396 | 2025-05-13 04:29:37.228525 |
| 2025-10-26 07:14:13.898685 | 2025-10-27 00:34:35.120919 | 13863051 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 13863051 | Athletic Physical Therapy Inc | 1975-03-26 | 2025-10-28 | F | AE | PT | HEYES | 95596436F | DARCIE | 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/2222/5542233/check_13863051_27ae3971-80ca-42f7-a5fe-d142653762a2.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1975-03-26 | N/A | N/A | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115729060 | N/A | N/A | 5542233 | 2222 | 4793 | 14156076 | N/A | 4214178 | 2025-10-27 00:34:35.120919 | 2025-05-13 04:29:37.228506 |
| 2025-10-26 07:14:13.813784 | 2025-10-27 00:38:09.366648 | 13863044 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13863044 | Athletic Physical Therapy Inc | 1937-05-08 | 2025-10-28 | F | AE | PT | GRINBERG | 6W60TM0KP36 | HANNA | 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/2222/5542161/check_13863044_9d033613-cb56-48ff-bcff-11bb5247c5c4.json | N/A | N/A | N/A | N/A | N/A | 6W60TM0KP36 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-05-08 | S5921 | N/A | N/A | MB | false | GRINBERG | N/A | HANNA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115729059 | N/A | N/A | 5542161 | 2222 | 4802 | 14161958 | N/A | 4214112 | 2025-10-27 00:38:09.366648 | 2025-05-13 04:29:37.228426 |
| 2025-10-26 07:14:13.766427 | 2025-10-27 00:32:31.774473 | 13863039 | N/A | N/A | 60054 | Aetna | 1114042165 | 13863039 | Athletic Physical Therapy Inc | 1972-12-30 | 2025-10-28 | M | AE | PT | MCHALE | W27265070 | MATT | 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/2222/8173116/check_13863039_e3d9cee8-a045-43ff-8121-3b8a5133e62b.json | N/A | N/A | N/A | N/A | N/A | W272665070 | Point of Service (POS) | SONY CORPORATION OF AMERICA | AETNA | N/A | 1972-12-30 | 0486873 | 048687302100161 | N/A | PS | false | MCHALE | N/A | MATTHEW | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115748726 | N/A | N/A | 8173116 | 2222 | 4802 | 14152439 | N/A | 6939617 | 2025-10-27 00:32:31.774473 | 2025-09-16 00:28:24.457071 |
| 2025-10-26 07:14:13.728368 | 2025-10-27 00:34:21.914842 | 13863033 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 13863033 | Athletic Physical Therapy Inc | 2009-08-26 | 2025-10-28 | F | AE | PT | ELAZARY | 000019315679 | NATALEE | 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/2222/5542060/check_13863033_3d3eec77-c517-4887-9a3b-4fe880594ed9.json | N/A | N/A | N/A | N/A | N/A | 000019315679 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 2009-08-26 | 4344868 | 235828 | N/A | N/A | false | ELAZARY | N/A | NATALEE | N/A | N/A | N/A | YAHOO HOLDINGS, INC. YAHOO INC. ACTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115729058 | N/A | N/A | 5542060 | 2222 | 4793 | 14155699 | N/A | 4214019 | 2025-10-27 00:34:21.914842 | 2025-05-13 04:29:37.228340 |
| 2025-10-26 07:14:13.626907 | 2025-10-27 00:34:35.418972 | 13863025 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 13863025 | Athletic Physical Therapy Inc | 1961-02-27 | 2025-10-28 | M | AE | PT | SHRIVER | 90771207E | DANIEL | 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/2222/5541984/check_13863025_de6190a6-37e5-4669-adc8-a2326b867e25.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1961-02-27 | N/A | N/A | N/A | N/A | false | SHRIVER | N/A | DANIEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115729057 | N/A | N/A | 5541984 | 2222 | 4802 | 14156084 | N/A | 4213934 | 2025-10-27 00:34:35.418972 | 2026-01-27 23:36:44.802366 |
| 2025-10-26 07:14:13.542837 | 2025-10-27 00:38:11.612703 | 13863018 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13863018 | Athletic Physical Therapy Inc | 1944-04-25 | 2025-10-28 | F | AE | PT | ROSENTHAL | 6WM0N21VW35 | PHYLLIS | 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/2222/5541887/check_13863018_1172bf18-2923-4a93-97d6-c46bb8588c41.json | N/A | N/A | N/A | N/A | N/A | 6WM0N21VW35 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-04-25 | S4802 | N/A | N/A | MB | false | ROSENTHAL | N/A | PHYLLIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9115729056 | N/A | N/A | 5541887 | 2222 | 4802 | 14162014 | N/A | 4213865 | 2025-10-27 00:38:11.612703 | 2025-05-13 04:29:37.228183 |
| 2025-10-26 07:14:13.448649 | 2025-10-27 00:34:47.507836 | 13863012 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13863012 | Athletic Physical Therapy Inc | 2009-08-02 | 2025-10-29 | F | PT | N/A | KUZMICZ | LFYHCU059374 | AUDREY | 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/2222/5541748/check_13863012_e3a550f7-8f86-4de3-b1e5-b71e4918a1ce.json | N/A | N/A | N/A | N/A | N/A | LFYHCU059374 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2009-08-02 | N/A | N/A | N/A | N/A | false | KUZMICZ | N/A | AUDREY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9115729055 | N/A | N/A | 5541748 | 2222 | 4801 | 14156421 | N/A | 4213741 | 2025-10-27 00:34:47.507836 | 2025-10-10 22:38:21.840610 |
| 2025-10-26 07:14:13.360560 | 2025-10-27 00:33:13.351028 | 13863003 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 13863003 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-10-28 | M | AD | N/A | LYKIDIS | U1221753503 | JOHN | 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/2222/5541552/check_13863003_2096117a-9ec2-4d03-9536-880468aeef17.json | N/A | N/A | N/A | N/A | N/A | U1221753503 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 2001-11-21 | N/A | 3207160 | N/A | N/A | false | LYKIDIS | N/A | JOHN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 9115729054 | N/A | N/A | 5541552 | 2222 | 4802 | 14153783 | N/A | 4213562 | 2025-10-27 00:33:13.351028 | 2025-05-13 04:29:37.227895 |
| 2025-10-26 07:14:13.267381 | 2025-10-27 00:34:31.902461 | 13862993 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13862993 | Athletic Physical Therapy Inc | 1939-07-11 | 2025-10-29 | F | AE | PT | GOMEZ | 00000357273 | EVELYN | 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/2222/5540918/check_13862993_bb93483b-5fc6-4245-997e-6b2913d0a8b3.json | N/A | N/A | N/A | N/A | N/A | 00000357273 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1939-07-11 | H3815028 | N/A | N/A | HM | false | GOMEZ | N/A | EVELYN | 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 | 9115729053 | N/A | N/A | 5540918 | 2222 | 4801 | 14155979 | 2630 | 4213001 | 2025-10-27 00:34:31.902461 | 2025-05-13 04:29:37.227329 |
| 2025-10-26 07:14:13.174348 | 2025-10-27 00:34:46.124465 | 13862984 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13862984 | Athletic Physical Therapy Inc | 1963-09-21 | 2025-10-28 | F | PT | N/A | FRCEK | XDP605A62818 | LORENA | 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/2222/5540910/check_13862984_a09cd1e6-ded6-4ead-83bc-e50f2052fd82.json | N/A | N/A | N/A | N/A | N/A | XDP605A62818 | Preferred Provider Organization (PPO) | LOS ANGELES COUNTY EMPLOYEE RETIREMENT ASSOC | ANTHEM BLUE CROSS | N/A | 1963-09-21 | 040 | 1264LC | N/A | PR | false | FRCEK | N/A | LORENA | N/A | 9999-12-31 | 2025-05-01 | PPO PBP INCENTIVE HOSPITAL / PBP PLUS PROFESSIONAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9115728379 | N/A | N/A | 5540910 | 2222 | 4802 | 14156385 | N/A | 4212992 | 2025-10-27 00:34:46.124465 | 2025-05-13 04:29:37.227320 |
| 2025-10-26 07:14:13.093032 | 2025-10-27 00:34:46.445659 | 13862978 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13862978 | Athletic Physical Therapy Inc | 1995-06-07 | 2025-10-28 | M | PT | N/A | Greathouse | MPI30458946Q | Kheperan | 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/2222/5540871/check_13862978_a67de6de-6cca-4da6-a609-d34c78439bd7.json | N/A | N/A | N/A | N/A | N/A | MPI30458946Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1995-06-07 | 040 | 277163M402 | N/A | PR | false | GREATHOUSE | N/A | KHEPERAN | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9115728378 | N/A | N/A | 5540871 | 2222 | 4793 | 14156393 | N/A | 4212959 | 2025-10-27 00:34:46.445659 | 2025-10-17 20:08:21.136268 |