API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-24 07:22:53.342093 | 2025-10-24 07:22:53.779609 | 13820885 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13820885 | Athletic Physical Therapy Inc | 1980-09-22 | 2025-10-27 | M | PT | WRIGHT | XYQM60508454 | WILLIAM | N/A | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-10-27 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11111580 | 2222 | 4793 | N/A | N/A | 9461772 | 2025-10-24 07:22:53.779609 | 2025-10-21 22:02:26.202674 |
| 2025-10-24 07:22:48.720825 | 2025-10-25 02:36:36.504622 | 13820809 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13820809 | Athletic Physical Therapy Inc | 1975-10-20 | 2025-10-27 | F | PT | BARRUS | NCF701A73626 | ERIKA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.122430991.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9742864/check_13820809_0c0403ca-2fcc-4eec-b51d-2d7b2a7135b0.json | N/A | N/A | N/A | N/A | N/A | NCF701A73626 | Health Maintenance Organization (HMO) | GOLDEN STATE MEDICAL SUPPLY | ANTHEM BLUE CROSS | N/A | 1975-10-20 | 040 | L00156H001 | N/A | HM | false | BARRUS | N/A | JOHN | N/A | 9999-12-31 | 2025-06-01 | VALUE SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9100825276 | N/A | N/A | 9742864 | 2222 | 4801 | 14124338 | N/A | 8156225 | 2025-10-25 02:36:36.504622 | 2025-10-06 23:06:53.764973 |
| 2025-10-24 07:22:25.447285 | 2025-10-25 02:36:37.043310 | 13820435 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13820435 | Athletic Physical Therapy Inc | 1982-12-08 | 2025-10-27 | M | PT | Magpali | VUC967W18809 | Aaron | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.122430991.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9737460/check_13820435_16a1f6b2-c122-404a-8c88-f41c530eb7ca.json | N/A | N/A | N/A | N/A | N/A | VUC967W18809 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1982-12-08 | 040 | 280509S400 | N/A | PR | false | MAGPALI | N/A | AARON | N/A | 9999-12-31 | 2024-01-01 | UC CARE PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9100826182 | N/A | N/A | 9737460 | 2222 | 4801 | 14124341 | N/A | 8152382 | 2025-10-25 02:36:37.043310 | 2025-09-28 17:20:36.874498 |
| 2025-10-24 07:22:19.274073 | 2025-10-25 00:45:37.857769 | 13820328 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 13820328 | Athletic Physical Therapy Inc | 1953-06-18 | 2025-10-27 | M | AE | CARINO | 166067001 | RODOLFO | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.123521935.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8472317/check_13820328_ab4630a1-e9e5-4f72-b540-1ec15c5c319b.json | N/A | N/A | N/A | N/A | N/A | 166067001 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1953-06-18 | N/A | HCFA21 | N/A | HN | false | CARINO | N/A | RODOLFO | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100876850 | N/A | N/A | 8472317 | 2222 | 4802 | 14102371 | N/A | 6543380 | 2025-10-25 00:45:37.857769 | 2025-08-01 17:39:00.802055 |
| 2025-10-24 07:20:38.640283 | 2025-10-25 02:36:37.721867 | 13818856 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13818856 | Athletic Physical Therapy Inc | 1965-04-22 | 2025-10-27 | M | PT | MCHALE | ZGP814915047 | TIMOTHY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.122430991.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9691017/check_13818856_09b93585-3a69-42f7-8506-1fcbf482fb59.json | N/A | N/A | N/A | N/A | N/A | ZGP814915047 | Preferred Provider Organization (PPO) | NATIONAL TRENCH SAFETY, INC | CUSTOMER SERVICE | N/A | 1965-04-22 | N/A | 400397 | N/A | PR | false | MCHALE | N/A | TIMOTHY | N/A | 9999-12-31 | 2025-01-01 | PPO DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9100825580 | N/A | N/A | 9691017 | 2222 | 4801 | 14124346 | N/A | 4212607 | 2025-10-25 02:36:37.721867 | 2025-09-24 22:37:58.534216 |
| 2025-10-24 07:20:34.490509 | 2025-10-25 00:57:20.532047 | 13818803 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13818803 | Athletic Physical Therapy Inc | 1970-10-11 | 2025-10-27 | M | PT | Kahen | XEK909669840 | Shervin | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.123421121.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7787192/check_13818803_e2563369-002f-4e9e-a712-73a6b52f9bf6.json | N/A | N/A | N/A | N/A | N/A | XEK909669840 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1970-10-11 | 2001ZK002195 | X0001000 | N/A | PR | false | KAHEN | N/A | SHERVIN | N/A | 2025-12-31 | 2025-01-01 | BRONZE 60 HDHP PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9100873460 | N/A | N/A | 7787192 | 2222 | 4802 | 14111869 | N/A | 6631054 | 2025-10-25 00:57:20.532047 | 2025-12-12 20:45:04.787542 |
| 2025-10-24 07:19:45.331939 | 2025-10-25 02:36:38.045037 | 13818263 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13818263 | Athletic Physical Therapy Inc | 1996-03-23 | 2025-10-27 | M | PT | XIE | R8T303W09440 | XIPENG | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.122430991.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9686875/check_13818263_e07d7a32-bbab-448d-bc58-5e3bc7116fd6.json | N/A | N/A | N/A | N/A | N/A | R8T303W09440 | Preferred Provider Organization (PPO) | RIOT GAMES INC | ANTHEM BLUE CROSS | N/A | 1996-03-23 | 040 | 174318M2A1 | N/A | PR | false | XIE | N/A | XIPENG | N/A | 9999-12-31 | 2023-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9100825531 | N/A | N/A | 9686875 | 2222 | 4802 | 14124351 | N/A | 8105852 | 2025-10-25 02:36:38.045037 | 2025-09-24 19:15:51.950591 |
| 2025-10-24 07:19:33.568142 | 2025-10-25 02:37:17.529428 | 13818139 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13818139 | Athletic Physical Therapy Inc | 1963-11-05 | 2025-10-27 | M | PT | GAVCUS | 913959142000 | VINCENT | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.122430991.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9684155/check_13818139_551fa1c2-89e2-476c-821a-585838e9d346.json | N/A | N/A | N/A | N/A | N/A | XEH913959142 | Health Maintenance Organization (HMO) | KB CONSTRUCTION COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1963-11-05 | 1000VX000101 | W0022613 | N/A | HM | false | GAVCUS | N/A | VINCENT | N/A | 9999-12-31 | 2024-12-01 | BASIC LIFE AND AD D INSURANCE 10 000 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9100825509 | N/A | N/A | 9684155 | 2222 | 4801 | 14124694 | N/A | 8103467 | 2025-10-25 02:37:17.529428 | 2025-09-25 15:37:09.669427 |
| 2025-10-24 07:19:27.522162 | 2025-10-25 00:46:41.186948 | 13818070 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13818070 | Athletic Physical Therapy Inc | 1971-06-05 | 2025-10-27 | F | PT | MENDELSON | XEK913483846 | SHARON | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.123521935.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8224045/check_13818070_58933a57-23ba-4124-b862-20a882ca1203.json | N/A | N/A | N/A | N/A | N/A | XEK913483846 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1971-06-05 | 2001ZK002189 | X0001000 | N/A | PR | false | MENDELSON | N/A | SIMON | 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 | 9100876464 | N/A | N/A | 8224045 | 2222 | 4802 | 14103835 | N/A | 6981160 | 2025-10-25 00:46:41.186948 | 2025-08-26 21:16:15.557856 |
| 2025-10-24 07:19:11.316658 | 2025-10-25 02:40:57.428293 | 13817830 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13817830 | Athletic Physical Therapy Inc | 1955-12-11 | 2025-10-27 | F | AE | Tatge | 2DH1CG9VR90 | Glenda | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.122017797.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641936/check_13817830_664f19ec-6aac-413b-a553-3a373a95cdd4.json | N/A | N/A | N/A | N/A | N/A | 2DH1CG9VR90 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-12-11 | S5601 | N/A | N/A | MA | false | TATGE | N/A | GLENDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100812243 | N/A | N/A | 6641936 | 2222 | 4801 | 14126579 | N/A | 5248742 | 2025-10-25 02:40:57.428293 | 2025-07-16 18:02:25.797343 |
| 2025-10-24 07:19:09.819694 | 2025-10-25 00:43:07.740244 | 13817801 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 13817801 | Athletic Physical Therapy Inc | 1951-03-20 | 2025-10-27 | F | AE | TOY | H77237018 | NELDA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.123421121.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7754038/check_13817801_bf52e613-121b-47a6-ab9a-d597a3b87cbd.json | N/A | N/A | N/A | N/A | N/A | H77237018 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 695 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1951-03-20 | N/A | 0B515001 | N/A | HN | false | TOY | N/A | NELDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100872427 | N/A | N/A | 7754038 | 2222 | 4793 | 14098290 | N/A | 6605178 | 2025-10-25 00:43:07.740244 | 2025-08-12 21:10:43.412607 |
| 2025-10-24 07:19:08.523172 | 2025-10-25 02:40:28.552925 | 13817776 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13817776 | Athletic Physical Therapy Inc | 1950-07-29 | 2025-10-27 | F | AE | Reinis | 9E11MX6RQ31 | Meredith | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.122430991.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681833/check_13817776_8f8ff07c-4126-4d88-90ed-774bef2eca32.json | N/A | N/A | N/A | N/A | N/A | 9E11MX6RQ31 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-07-29 | S4802 | N/A | N/A | MB | false | REINIS | N/A | MEREDITH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100825200 | N/A | N/A | 9681833 | 2222 | 4802 | 14126319 | N/A | 8101541 | 2025-10-25 02:40:28.552925 | 2025-09-29 18:50:04.958524 |
| 2025-10-24 07:18:49.419232 | 2025-10-25 02:36:02.294239 | 13817283 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13817283 | Athletic Physical Therapy Inc | 1996-07-04 | 2025-10-27 | F | PT | STOLTZ | JQY361W23827 | ARDENN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.122017797.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6605808/check_13817283_2caf2ae2-e4e0-4175-a06c-38f06d91132a.json | N/A | N/A | N/A | N/A | N/A | JQY361W23827 | Preferred Provider Organization (PPO) | KENT TAKEMOTO, M.D., INC. | ANTHEM BLUE CROSS | N/A | 1996-07-04 | 040 | Q62351 | N/A | PR | false | STOLZ | N/A | ARDENN | N/A | 9999-12-31 | 2025-04-01 | CA SG SELECT PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9100812510 | N/A | N/A | 6605808 | 2222 | 4802 | 14124031 | N/A | 4214948 | 2025-10-25 02:36:02.294239 | 2025-06-26 01:28:07.741882 |
| 2025-10-24 07:18:43.838317 | 2025-10-25 00:45:58.141574 | 13817130 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13817130 | Athletic Physical Therapy Inc | 1961-03-10 | 2025-10-27 | M | PT | WEBBER | NEI801068106 | CHAD | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.123521935.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8204846/check_13817130_5676a67b-4a91-47f4-9013-a30bf6c58182.json | N/A | N/A | N/A | N/A | N/A | NEI801068106 | Preferred Provider Organization (PPO) | NATIONAL ELEVATOR INDUSTRY HBP | ANTHEM BLUE CROSS | N/A | 1961-03-10 | N/A | P13346 | N/A | PR | false | WEBBER | N/A | CHAD | N/A | 9999-12-31 | 2021-10-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9100876754 | N/A | N/A | 8204846 | 2222 | 4801 | 14102909 | N/A | 6966879 | 2025-10-25 00:45:58.141574 | 2025-08-19 23:20:37.306121 |
| 2025-10-24 07:18:17.593195 | 2025-10-25 02:40:55.234985 | 13816456 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13816456 | Athletic Physical Therapy Inc | 1934-12-03 | 2025-10-27 | M | AE | Dayzadeh | 9A94PK6GA08 | Nasser | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.122017797.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583825/check_13816456_86fb23ef-5ce1-4872-b511-ee00a311bd43.json | N/A | N/A | N/A | N/A | N/A | 9A94PK6GA08 | Medicare Part A | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1934-12-03 | S2468 | N/A | N/A | MA | false | DAYZADEH | N/A | NASSER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100811983 | N/A | N/A | 6583825 | 2222 | 4802 | 14126566 | N/A | 5202586 | 2025-10-25 02:40:55.234985 | 2025-06-25 17:55:27.155518 |
| 2025-10-24 07:18:17.249037 | 2025-10-25 02:35:38.588487 | 13816450 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13816450 | Athletic Physical Therapy Inc | 1936-04-15 | 2025-10-27 | F | AE | MCCRAY | C4003524401 | ELIZABETH | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.122017797.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583817/check_13816450_f9e397e6-1aaa-485e-8a9a-d1bcad0360f7.json | N/A | N/A | N/A | N/A | N/A | C4003524401 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1936-04-15 | N/A | CA05620125 | N/A | N/A | false | MCCRAY | N/A | ELIZABETH | N/A | N/A | N/A | WELLCARE SIMPLE FOCUS (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100811982 | N/A | N/A | 6583817 | 2222 | 4802 | 14123815 | N/A | 5202575 | 2025-10-25 02:35:38.588487 | 2025-09-17 19:56:42.576499 |
| 2025-10-24 07:18:13.817417 | 2025-10-25 02:36:43.886600 | 13816361 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13816361 | Athletic Physical Therapy Inc | 1953-06-17 | 2025-10-27 | M | AE | THOMPSON | XEM906571592 | JAMES | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.122017797.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577657/check_13816361_7aba0dc8-fdea-4a72-9142-eddc147e341a.json | N/A | N/A | N/A | N/A | N/A | XEM906571592 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1953-06-17 | 2004SF000028 | X0001002 | N/A | OT | false | THOMPSON | N/A | JAMES | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100811959 | N/A | N/A | 6577657 | 2222 | 4793 | 14124405 | N/A | 5197700 | 2025-10-25 02:36:43.886600 | 2025-06-30 15:33:47.069983 |
| 2025-10-24 07:18:04.374236 | 2025-10-25 02:35:37.372044 | 13816129 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13816129 | Athletic Physical Therapy Inc | 2009-08-12 | 2025-10-27 | M | AE | Aldana | 95423949E | George | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.122017797.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6568645/check_13816129_47d18f40-a062-4d2c-a910-539689ed4030.json | N/A | N/A | N/A | N/A | N/A | 95423949E | N/A | N/A | HEALTH NET, LLC | N/A | 2009-08-12 | N/A | N/A | N/A | N/A | false | ALDANA | N/A | GEORGE | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100813175 | N/A | N/A | 6568645 | 2222 | 4802 | 14123803 | N/A | 5190481 | 2025-10-25 02:35:37.372044 | 2025-06-24 17:29:30.756528 |
| 2025-10-24 07:17:48.659039 | 2025-10-25 02:32:57.844974 | 13815765 | N/A | N/A | 60054 | Aetna | 1114042165 | 13815765 | Athletic Physical Therapy Inc | 1993-09-26 | 2025-10-27 | M | AE | Hamilton | W292751187 | Kevin | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.122017797.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6555606/check_13815765_db3a0387-45b8-4bc3-9c93-c94a6d69465c.json | N/A | N/A | N/A | N/A | N/A | W292751187 | Point of Service (POS) | WILLKIE FARR & GALLAGHER LLP | AETNA | N/A | 1993-09-26 | 0308636 | 030863601400001 | N/A | PS | false | HAMILTON | N/A | KEVIN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100812159 | N/A | N/A | 6555606 | 2222 | 4802 | 14122329 | N/A | 5178755 | 2025-10-25 02:32:57.844974 | 2025-07-17 17:42:32.068740 |
| 2025-10-24 07:17:31.083954 | 2025-10-25 02:40:56.267170 | 13815392 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13815392 | Athletic Physical Therapy Inc | 1947-08-18 | 2025-10-27 | F | AE | FABER | 4X26K21EE83 | LINDA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.122017797.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_13815392_dae45708-af8c-44a2-8e23-80931e826ac0.json | N/A | N/A | N/A | N/A | N/A | 4X26K21EE83 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-08-18 | S5617 | N/A | N/A | MB | false | FABER | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100812453 | N/A | N/A | 6522947 | 2222 | 4802 | 14126569 | N/A | 5146127 | 2025-10-25 02:40:56.267170 | 2025-06-20 17:58:23.371130 |
| 2025-10-24 07:17:17.824874 | 2025-10-25 02:36:01.837078 | 13815101 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13815101 | Athletic Physical Therapy Inc | 1965-05-30 | 2025-10-27 | M | PT | RODRIGUEZ | H5Q045W16688 | ROBERTO | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.122017797.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6491817/check_13815101_56cdd4c1-eefb-4f05-ab29-64fb2880ff54.json | N/A | N/A | N/A | N/A | N/A | H5Q045W16688 | Preferred Provider Organization (PPO) | THE CHEESECAKE FACTORY RESTAURANTS INC | ANTHEM BLUE CROSS | N/A | 1965-05-30 | 040 | 174297M1AD | N/A | PR | false | ROLDAN | N/A | BRENDA | N/A | 9999-12-31 | 2025-01-01 | BC PPO EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9100811321 | N/A | N/A | 6491817 | 2222 | 4801 | 14124028 | N/A | 5120889 | 2025-10-25 02:36:01.837078 | 2025-06-23 18:24:54.219050 |
| 2025-10-24 07:17:14.318569 | 2025-10-25 00:41:52.466454 | 13815018 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13815018 | Athletic Physical Therapy Inc | 2001-06-21 | 2025-10-27 | M | AE | RAFIEI | 92836714F | SAM | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.123521935.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173002/check_13815018_2ba49ef0-f34e-437a-a46d-1d7187ad710d.json | N/A | N/A | N/A | N/A | N/A | 92836714F | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2001-06-21 | N/A | N/A | N/A | N/A | false | RAFIEI | N/A | SAM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100877064 | N/A | N/A | 8173002 | 2222 | 4793 | 14096692 | N/A | 6939518 | 2025-10-25 00:41:52.466454 | 2025-08-18 21:40:08.349494 |
| 2025-10-24 07:16:56.329758 | 2025-10-25 00:52:10.083966 | 13814573 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13814573 | Athletic Physical Therapy Inc | 1952-01-15 | 2025-10-27 | F | AE | KIRK | 5FT7Y02EM72 | JAN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.123521935.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8167056/check_13814573_e5af6886-5860-4e00-abb2-f0955e0a19d1.json | N/A | N/A | N/A | N/A | N/A | 5FT7Y02EM72 | Medicare Part A | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-01-15 | H5522 | N/A | N/A | MA | false | KIRK | N/A | JAN | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100877742 | N/A | N/A | 8167056 | 2222 | 4801 | 14108710 | N/A | 6933707 | 2025-10-25 00:52:10.083966 | 2026-05-21 16:32:55.382229 |
| 2025-10-24 07:16:43.812815 | 2025-10-25 02:32:17.776888 | 13814225 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 13814225 | Athletic Physical Therapy Inc | 1962-06-24 | 2025-10-27 | F | AE | GOMEZ | 44116442 | CAROL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.122017797.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6434660/check_13814225_9bd1a332-275d-434c-9710-488a1cd73ae2.json | N/A | N/A | N/A | N/A | N/A | 44116442 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1962-06-24 | 406-024-000 | N/A | N/A | N/A | false | GOMEZ | N/A | CAROL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100812869 | N/A | N/A | 6434660 | 2222 | 4801 | 14122012 | 6798 | 5079832 | 2025-10-25 02:32:17.776888 | 2025-06-23 20:02:36.660262 |
| 2025-10-24 07:16:30.272605 | 2025-10-24 07:17:04.930929 | 13813859 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-10-24 | F | AE | YUNG | 00854676304 | MAYA | PT | 6338 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_13813859_7bc3d175-a0c0-4faf-a2ad-6182bb3ab64c.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-10-24 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2025-10-24 07:17:04.930929 | 2025-05-13 04:29:37.229495 |
| 2025-10-24 07:16:04.906281 | 2025-10-25 00:47:32.408831 | 13813255 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13813255 | Athletic Physical Therapy Inc | 1956-10-11 | 2025-10-27 | M | PT | Bou Chakra | XED912823926 | Akram | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.122021418.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11201492/check_13813255_224ea2c0-6c07-43e9-929c-6678109ddec6.json | N/A | N/A | N/A | N/A | N/A | XED912823926 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1956-10-11 | 2001ZK002185 | X0001004 | N/A | PR | false | BOU CHACRA | N/A | AKRAM | N/A | 9999-12-31 | 2024-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9100815534 | N/A | N/A | 11201492 | 2222 | 4793 | 14104984 | N/A | 9540458 | 2025-10-25 00:47:32.408831 | 2025-10-26 04:16:16.050614 |
| 2025-10-24 07:15:44.936392 | 2025-10-24 07:15:47.813210 | 13812707 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-02-01 | 2025-10-24 | F | AE | CHANG | JQE101W06364 | QUANG | PT | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11159407/check_13812707_ada93694-163b-4225-8f99-770ad501ea1c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11159407/check_13812707_a1a71d39-2fb8-462c-922e-497022605854.json | N/A | N/A | N/A | N/A | N/A | JQE101W06364 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1942-02-01 | 040 | CASUPWP0 | N/A | N/A | false | CHANG | N/A | QUANG CHAN | N/A | 9999-12-31 | 2021-01-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100781932 | N/A | N/A | 11159407 | 2222 | N/A | 14066491 | N/A | 9505845 | 2025-10-24 07:15:47.813210 | 2026-04-29 00:06:17.964395 |
| 2025-10-24 07:15:43.508826 | 2025-10-25 02:32:58.452020 | 13812658 | N/A | N/A | 60054 | Aetna | 1114042165 | 13812658 | Athletic Physical Therapy Inc | 1991-08-09 | 2025-10-27 | M | AE | TORIO | W287278504 | MICHAEL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.122017797.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6235883/check_13812658_68bad9d3-8031-40f2-9ec7-ea6112b6f675.json | N/A | N/A | N/A | N/A | N/A | W287278504 | Point of Service (POS) | COADVANTAGE RESOURCES, INC. | AETNA | N/A | 1991-08-09 | 0159468 | 015946801000034 | N/A | PS | false | TORIO | N/A | MICHAEL | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100811642 | N/A | N/A | 6235883 | 2222 | 4802 | 14122334 | N/A | 4883697 | 2025-10-25 02:32:58.452020 | 2025-07-08 14:55:53.397662 |
| 2025-10-24 07:15:42.604564 | 2025-10-25 00:47:00.793207 | 13812622 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13812622 | Athletic Physical Therapy Inc | 1989-08-21 | 2025-10-27 | F | AE | VANSICKLE | R14610782FS1 | KYLIE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.122021418.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11190514/check_13812622_7f871aad-a427-4002-901d-d25533ac5604.json | N/A | N/A | N/A | N/A | N/A | R14610782FS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1989-08-21 | N/A | N/A | N/A | N/A | false | VANSICKLE | N/A | KYLIE | N/A | 2025-11-02 | 2025-09-01 | KX6 PPOSBG | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100815519 | N/A | N/A | 11190514 | 2222 | 4793 | 14104288 | N/A | 9532194 | 2025-10-25 00:47:00.793207 | 2026-04-13 16:03:49.854711 |
| 2025-10-24 07:15:35.243243 | 2025-10-25 02:33:49.769362 | 13812308 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 13812308 | Athletic Physical Therapy Inc | 1947-04-26 | 2025-10-27 | F | AE | BARCENES | H9209970900 | IRENE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.122017797.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6231314/check_13812308_36b4df01-3a09-46eb-8aac-5a89a752a83e.json | N/A | N/A | N/A | N/A | N/A | H92099709 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1947-04-26 | N/A | 0B527001 | N/A | HN | false | BARCENES DES | N/A | IRENE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100811587 | N/A | N/A | 6231314 | 2222 | 4801 | 14122766 | N/A | 4219033 | 2025-10-25 02:33:49.769362 | 2025-05-13 04:29:37.230052 |
| 2025-10-24 07:15:13.919017 | 2025-10-25 00:48:29.244508 | 13811210 | N/A | N/A | 60054 | Aetna | 1114042165 | 13811210 | Athletic Physical Therapy Inc | 1957-01-13 | 2025-10-27 | F | AE | NAY | MBL700W17597 | MARIA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.133919813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11175434/check_13811210_2e9d6083-9aba-4416-8b60-d0d4eed04f38.json | N/A | N/A | N/A | N/A | N/A | MBL700W17597 | N/A | N/A | AETNA INC | N/A | 1957-01-13 | N/A | N/A | N/A | N/A | false | NAY | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9101109725 | N/A | N/A | 11175434 | 2222 | 4793 | 14105961 | N/A | 9520463 | 2025-10-25 00:48:29.244508 | 2025-10-21 17:49:23.309023 |
| 2025-10-24 07:15:13.759355 | 2025-10-25 00:38:38.962699 | 13811201 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13811201 | Athletic Physical Therapy Inc | 1952-06-26 | 2025-10-27 | M | AE | MATTHEWS | 00000283273 | DAVID | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.121621811.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676399/check_13811201_6759ce34-9595-4cb8-a7c9-78bc561786bb.json | N/A | N/A | N/A | N/A | N/A | 00000283273 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1952-06-26 | H3815028 | N/A | N/A | HM | false | MATTHEWS | N/A | DAVID | 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 | 9100791288 | N/A | N/A | 5676399 | 2222 | 4793 | 14095129 | 2630 | 4343454 | 2025-10-25 00:38:38.962699 | 2025-05-13 04:29:37.230932 |
| 2025-10-24 07:15:13.377829 | 2025-10-25 00:38:53.090415 | 13811180 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13811180 | Athletic Physical Therapy Inc | 1990-07-18 | 2025-10-27 | F | PT | SHARMA | QUC527W09031 | SUMITA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.121621811.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676371/check_13811180_52e9770e-4379-4434-b801-32572fb11654.json | N/A | N/A | N/A | N/A | N/A | QUC527W09031 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1990-07-18 | 040 | 280509A240 | N/A | PR | false | SHARMA | N/A | SUMITA | N/A | 9999-12-31 | 2024-01-08 | UC HEALTH SAVINGS PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9100791287 | N/A | N/A | 5676371 | 2222 | 4802 | 14095243 | N/A | 4219828 | 2025-10-25 00:38:53.090415 | 2026-05-14 20:22:48.706745 |
| 2025-10-24 07:15:12.879521 | 2025-10-25 00:55:36.598617 | 13811157 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13811157 | Athletic Physical Therapy Inc | 1941-08-23 | 2025-10-27 | M | AE | BOGEN | WXY0981A22808 | ANDREW | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.133919813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11174641/check_13811157_39619930-5fb8-4e95-abb4-b5c9540164a2.json | N/A | N/A | N/A | N/A | N/A | WXY0981A22808 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1941-08-23 | N/A | N/A | N/A | N/A | false | BOGEN | N/A | ANDREW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9101109722 | N/A | N/A | 11174641 | 2222 | 4802 | 14110920 | N/A | 9519718 | 2025-10-25 00:55:36.598617 | 2026-02-02 19:30:57.219688 |
| 2025-10-24 07:15:05.537771 | 2025-10-25 00:45:21.044276 | 13810778 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 13810778 | Athletic Physical Therapy Inc | 1950-07-29 | 2025-10-27 | F | AE | Reinis | H71911100 | Meredith | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.121715818.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681834/check_13810778_afee62d2-0582-43f0-a743-d99841f3846b.json | N/A | N/A | N/A | N/A | N/A | H71911100 | Supplemental Policy | HUMANA BENEFIT PLANOF ILL, INC | HUMANA | 067 019 | 1950-07-29 | N/A | 5A409003 | N/A | SP | false | REINIS | N/A | MEREDITH | N/A | N/A | N/A | MEDICARE MES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100801004 | N/A | N/A | 9681834 | 2222 | 4802 | 14101907 | N/A | 8101541 | 2025-10-25 00:45:21.044276 | 2025-09-29 18:50:04.958524 |
| 2025-10-24 07:15:03.224751 | 2025-10-25 00:53:28.681567 | 13810655 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13810655 | Athletic Physical Therapy Inc | 1957-01-13 | 2025-10-27 | F | AE | NAY | 5UC7QW0QK47 | MARIA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.122021418.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11175433/check_13810655_2be8e523-9fbd-4cf5-b9ca-3c14460cde19.json | N/A | N/A | N/A | N/A | N/A | 5UC7QW0QK47 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-01-13 | H4036 | N/A | N/A | MA | false | NAY | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100814538 | N/A | N/A | 11175433 | 2222 | 4793 | 14109708 | N/A | 9520463 | 2025-10-25 00:53:28.681567 | 2025-10-21 17:49:23.309023 |
| 2025-10-24 07:15:01.958633 | 2025-10-24 07:15:02.768294 | 13810592 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 13810592 | Athletic Physical Therapy Inc | 1991-03-21 | 2025-10-27 | F | AE | CARDINALI | 111868927 | NICOLE | PT | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-10-27 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11003187 | 2222 | 4802 | N/A | N/A | 4215195 | 2025-10-24 07:15:02.768294 | 2025-05-14 09:08:40.751930 |
| 2025-10-24 07:15:01.367792 | 2025-10-25 00:55:37.429892 | 13810560 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13810560 | Athletic Physical Therapy Inc | 1942-02-01 | 2025-10-27 | F | AE | CHANG | JQE101W06364 | QUANG | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.133919813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11159407/check_13810560_aa365531-79ad-4699-b8f3-a97ad06155fb.json | N/A | N/A | N/A | N/A | N/A | JQE101W06364 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1942-02-01 | 040 | CASUPWP0 | N/A | N/A | false | CHANG | N/A | QUANG CHAN | N/A | 9999-12-31 | 2021-01-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9101109685 | N/A | N/A | 11159407 | 2222 | 4793 | 14110933 | N/A | 9505845 | 2025-10-25 00:55:37.429892 | 2026-04-29 00:06:17.964395 |
| 2025-10-24 07:15:00.596443 | 2025-10-25 00:53:27.821333 | 13810521 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13810521 | Athletic Physical Therapy Inc | 1941-08-23 | 2025-10-27 | M | AE | BOGEN | 9P98YU0FH34 | ANDREW | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.122021418.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11174640/check_13810521_fcae6b2c-9a47-4c51-b832-13bde54c09b8.json | N/A | N/A | N/A | N/A | N/A | 9P98YU0FH34 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-08-23 | N/A | N/A | N/A | MA | false | BOGEN | N/A | ANDREW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100813580 | N/A | N/A | 11174640 | 2222 | 4802 | 14109699 | N/A | 9519718 | 2025-10-25 00:53:27.821333 | 2026-02-02 19:30:57.219688 |
| 2025-10-24 07:14:50.674690 | 2025-10-25 02:35:37.669645 | 13809957 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13809957 | Athletic Physical Therapy Inc | 1981-12-16 | 2025-10-27 | F | AE | DE FELICE | R07457624FM1 | CHRISTINA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.122017797.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140436/check_13809957_45463bfe-1397-4746-b3f2-ab78a343fab3.json | N/A | N/A | N/A | N/A | N/A | R07457624FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1981-12-16 | N/A | N/A | N/A | N/A | false | DE FELICE | N/A | CHRISTINA | N/A | N/A | N/A | KA9 SBP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100812675 | N/A | N/A | 6140436 | 2222 | 4801 | 14123806 | N/A | 4781417 | 2025-10-25 02:35:37.669645 | 2025-06-06 17:03:19.078153 |
| 2025-10-24 07:14:50.324968 | 2025-10-25 02:32:58.117320 | 13809933 | N/A | N/A | 60054 | Aetna | 1114042165 | 13809933 | Athletic Physical Therapy Inc | 1969-01-03 | 2025-10-27 | M | AE | HUANG | W278191924 | DANNY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.122017797.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140246/check_13809933_08966a3d-c8a1-4360-92db-2862722ab95e.json | N/A | N/A | N/A | N/A | N/A | W278191924 | Point of Service (POS) | RIPPLING PEO 1, INC. | AETNA | N/A | 1969-01-03 | 0169696 | 016969601700012 | N/A | PS | false | HUANG | N/A | DANNY | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100812673 | N/A | N/A | 6140246 | 2222 | 4802 | 14122331 | N/A | 4781166 | 2025-10-25 02:32:58.117320 | 2025-06-11 17:29:46.826705 |
| 2025-10-24 07:14:50.279675 | 2025-10-25 00:56:52.319969 | 13809932 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13809932 | Athletic Physical Therapy Inc | 1959-06-14 | 2025-10-27 | M | AE | HARRIS | XEM913253164 | SCOTT | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.133919813.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11150382/check_13809932_e4a5d24b-7de8-4cc4-98d2-78b476eb79dc.json | N/A | N/A | N/A | N/A | N/A | XEM913253164 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1959-06-14 | 2002SE000030 | X0001002 | N/A | OT | false | HARRIS | N/A | SCOTT | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9101108932 | N/A | N/A | 11150382 | 2222 | 4793 | 14111589 | N/A | 9497887 | 2025-10-25 00:56:52.319969 | 2025-10-20 16:22:35.728267 |
| 2025-10-24 07:14:41.893028 | 2025-10-24 07:14:42.685232 | 13809494 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13809494 | Athletic Physical Therapy Inc | 1994-07-04 | 2025-10-27 | M | PT | Daich | JQY912W17468 | Austin | N/A | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-10-27 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11001702 | 2222 | 4802 | N/A | N/A | 9234161 | 2025-10-24 07:14:42.685232 | 2025-10-15 16:55:10.102836 |
| 2025-10-24 07:14:40.004572 | 2025-10-25 02:40:56.824394 | 13809400 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13809400 | Athletic Physical Therapy Inc | 1951-03-27 | 2025-10-27 | F | AE | Jaude | 9MG2QE6VF90 | Anne | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.122017797.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124906/check_13809400_bfbcbd24-367b-4fa6-b29a-f422eca1bbfc.json | N/A | N/A | N/A | N/A | N/A | 9MG2QE6VF90 | N/A | N/A | CMS | N/A | 1951-03-27 | N/A | N/A | N/A | N/A | false | JAUDE | N/A | ANNE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100811190 | N/A | N/A | 6124906 | 2222 | 4802 | 14126575 | N/A | 4767362 | 2025-10-25 02:40:56.824394 | 2025-09-19 16:49:18.601418 |
| 2025-10-24 07:14:38.377457 | 2025-10-25 02:52:15.218636 | 13809321 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13809321 | Athletic Physical Therapy Inc | 1952-11-30 | 2025-10-27 | F | AE | Tenner | 7NJ4CC5TK93 | Susan | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.121722563.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10347881/check_13809321_758a6da9-0e84-4bd3-a005-6064c07e660b.json | N/A | N/A | N/A | N/A | N/A | 7NJ4CC5TK93 | Medicare Part B | N/A | OPTUM INSURANCE OF OHIO, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-11-30 | S8841 | N/A | N/A | MB | false | TENNER | N/A | SUSAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100796240 | N/A | N/A | 10347881 | 2222 | 4802 | 14130532 | N/A | 8614368 | 2025-10-25 02:52:15.218636 | 2025-10-13 19:03:41.164438 |
| 2025-10-24 07:14:14.000420 | 2025-10-25 00:38:54.846696 | 13807938 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13807938 | Athletic Physical Therapy Inc | 2016-10-15 | 2025-10-27 | F | PT | WALTER | JXN523A76388 | KARA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.121621811.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550923/check_13807938_078a2922-6bc4-4496-b53a-8d56d40fdb3c.json | N/A | N/A | N/A | N/A | N/A | JXN523A76388 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 2016-10-15 | 040 | 174222M3A1 | N/A | PR | false | WALTER | N/A | KYLE | N/A | 9999-12-31 | 2023-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9100790341 | N/A | N/A | 5550923 | 2222 | 4801 | 14095254 | N/A | 4219763 | 2025-10-25 00:38:54.846696 | 2025-05-13 04:29:37.230804 |
| 2025-10-24 07:14:13.764219 | 2025-10-25 00:39:38.734126 | 13807925 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13807925 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-10-27 | F | PT | PANDYA | XEA913306283 | DHARA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.121621811.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_13807925_27d26ba9-f867-42a6-b5d0-0f686314ce15.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1975-08-17 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2024-06-03 | HSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9100790340 | N/A | N/A | 5550845 | 2222 | 4801 | 14095592 | N/A | 4219713 | 2025-10-25 00:39:38.734126 | 2025-08-13 22:46:55.732965 |
| 2025-10-24 07:14:13.512346 | 2025-10-25 02:31:56.087602 | 13807912 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 13807912 | Athletic Physical Therapy Inc | 1957-01-30 | 2025-10-27 | F | AE | SEIFERT | H77624682 | ARMIDA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.121725088.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9486126/check_13807912_61f38c5b-fd27-4d72-bd2b-8ccc1f2dd915.json | N/A | N/A | N/A | N/A | N/A | H77624682 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1957-01-30 | N/A | N/A | N/A | N/A | false | SEIFERT | N/A | ARMIDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100795759 | N/A | N/A | 9486126 | 2222 | 4793 | 14121838 | N/A | 7936248 | 2025-10-25 02:31:56.087602 | 2025-09-17 22:49:12.995113 |
| 2025-10-24 07:14:13.465304 | 2025-10-25 00:43:41.554419 | 13807906 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13807906 | Athletic Physical Therapy Inc | 1956-11-29 | 2025-10-27 | M | AE | LYGA | 9E33A44VQ74 | FRANK | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.121621811.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550634/check_13807906_3387d5f2-5cf3-45a3-a388-bfdbd285dcc5.json | N/A | N/A | N/A | N/A | N/A | 9E33A44VQ74 | Medicare Part A | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-11-29 | S5596 | DOL 07071986 | N/A | MA | false | LYGA | N/A | FRANK | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100790339 | N/A | N/A | 5550634 | 2222 | 4801 | 14099247 | N/A | 4219584 | 2025-10-25 00:43:41.554419 | 2025-09-29 18:19:47.145731 |
| 2025-10-24 07:14:13.228879 | 2025-10-25 00:32:25.003877 | 13807894 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13807894 | Athletic Physical Therapy Inc | 1986-05-15 | 2025-10-27 | M | AE | SOLHJOU | U7549246801 | BAHRAM | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.121621811.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549949/check_13807894_1e17feb5-9031-4c7b-8bf7-0e0920fc7d8a.json | N/A | N/A | N/A | N/A | N/A | U7549246801 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1986-05-15 | N/A | N/A | N/A | N/A | false | SOLHJOU | N/A | BAHRAM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100790338 | N/A | N/A | 5549949 | 2222 | 4802 | 14093041 | N/A | 4219432 | 2025-10-25 00:32:25.003877 | 2025-05-13 04:29:37.230466 |