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 07:14:13.064947 | 2025-10-25 00:38:51.727822 | 13807882 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13807882 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-10-27 | F | PT | LUCZYWEK | HFD100011213709 | DEBORA | 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/2222/5549317/check_13807882_eee15026-a064-43f8-94f0-87400b097862.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9100790337 | N/A | N/A | 5549317 | 2222 | 4801 | 14095233 | N/A | 4219010 | 2025-10-25 00:38:51.727822 | 2026-01-09 18:32:07.618867 |
| 2025-10-24 07:14:10.356438 | 2025-10-25 00:37:42.568176 | 13807726 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 13807726 | Athletic Physical Therapy Inc | 1950-03-29 | 2025-10-27 | M | AE | AKHTARI | 40045421301 | SHAHROKH | 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/2222/5543493/check_13807726_6703c27b-8355-47c3-a0b0-103604a6a5dd.json | N/A | N/A | N/A | N/A | N/A | 40045421301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-03-29 | 2025H5425084LA | H5425M | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | SCAN VENTURE (HMO), LOS ANGELES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100790328 | N/A | N/A | 5543493 | 2222 | 4793 | 14094724 | N/A | 4215273 | 2025-10-25 00:37:42.568176 | 2025-05-13 04:29:37.229594 |
| 2025-10-24 07:14:10.080852 | 2025-10-25 00:38:50.462821 | 13807715 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13807715 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-10-27 | F | PT | DAKE | SIF326M90066 | RENEE | 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/2222/5543355/check_13807715_e9160bb3-cbee-48e9-96c8-23a493b797a8.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | Preferred Provider Organization (PPO) | SISC - MEADOWS ARTS & TECH ELEMENTARY SCHOOL | ANTHEM BLUE CROSS | N/A | 1968-01-29 | 040 | 40424B | N/A | PR | false | DAKE | N/A | RENEE | N/A | 9999-12-31 | 2018-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9100790327 | N/A | N/A | 5543355 | 2222 | 4793 | 14095222 | N/A | 4215158 | 2025-10-25 00:38:50.462821 | 2025-05-13 04:29:37.229475 |
| 2025-10-24 07:14:09.895014 | 2025-10-25 00:43:40.598442 | 13807700 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13807700 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-10-27 | F | AE | HOWARD | 6JJ9KX0PY45 | JUDI | 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/2222/5543348/check_13807700_e910831f-c86b-4832-8aae-d4ccebb9a251.json | N/A | N/A | N/A | N/A | N/A | 6JJ9KX0PY45 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-11-19 | S5884 | N/A | N/A | MA | false | HOWARD | N/A | JUDI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100790326 | N/A | N/A | 5543348 | 2222 | 4793 | 14099216 | N/A | 4215147 | 2025-10-25 00:43:40.598442 | 2025-05-13 04:29:37.229464 |
| 2025-10-24 07:14:09.728976 | 2025-10-25 00:39:38.309973 | 13807690 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13807690 | Athletic Physical Therapy Inc | 1987-10-17 | 2025-10-27 | F | PT | PATEL | XEA910759571 | MAMTABEN | 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/2222/5543327/check_13807690_200b272c-93c0-4c7c-b631-7e60a9099544.json | N/A | N/A | N/A | N/A | N/A | XEA910759571 | Preferred Provider Organization (PPO) | RELATIVITY SPACE INC | BLUE SHIELD CALIFORNIA | N/A | 1987-10-17 | 1000PPOX0004 | W0071038 | N/A | PR | false | KROL | N/A | JEREMY | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1650 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9100790325 | N/A | N/A | 5543327 | 2222 | 4802 | 14095588 | N/A | 4215137 | 2025-10-25 00:39:38.309973 | 2025-10-13 23:09:53.444170 |
| 2025-10-24 07:14:09.513636 | 2025-10-25 00:38:49.537009 | 13807679 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13807679 | Athletic Physical Therapy Inc | 1962-09-27 | 2025-10-27 | F | PT | BARAJAS | NCF425A56241 | EMMA | 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/2222/5543324/check_13807679_8e8f7919-4eb2-4d60-8123-07c797d90781.json | N/A | N/A | N/A | N/A | N/A | JMV425A56241 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1962-09-27 | 040 | 56677VR000 | N/A | HM | false | BARAJAS | N/A | RAMON | N/A | 9999-12-31 | 2025-09-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9100790324 | N/A | N/A | 5543324 | 2222 | 4801 | 14095216 | 4184 | 4215131 | 2025-10-25 00:38:49.537009 | 2025-08-11 16:45:52.816842 |
| 2025-10-24 07:14:09.284624 | 2025-10-25 00:38:52.216139 | 13807664 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13807664 | Athletic Physical Therapy Inc | 2003-10-09 | 2025-10-27 | F | PT | LUKOWITSCH | XDPCA8263500 | HALLIE | 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/2222/5543178/check_13807664_56faf028-d3d2-42a1-ab31-59a45d145137.json | N/A | N/A | N/A | N/A | N/A | XDPCA8263500 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | ANTHEM BLUE CROSS | N/A | 2003-10-09 | 040 | 275958P701 | N/A | PR | false | LUKOWITSCH | N/A | HALLIE | N/A | 9999-12-31 | 2025-09-22 | PPO UC SHIP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9100790323 | N/A | N/A | 5543178 | 2222 | 4802 | 14095236 | N/A | 4215006 | 2025-10-25 00:38:52.216139 | 2025-05-13 04:29:37.229325 |
| 2025-10-24 07:14:08.901675 | 2025-10-25 00:43:39.853258 | 13807644 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13807644 | Athletic Physical Therapy Inc | 1940-11-11 | 2025-10-27 | M | AE | GOLDBERG | 9EE6XY2TM41 | Michael | 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/2222/5542970/check_13807644_90d8723f-41ef-4e84-92a5-ac4deeb4f516.json | N/A | N/A | N/A | N/A | N/A | 9EE6XY2TM41 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-11-11 | S5601 | N/A | N/A | MA | false | GOLDBERG | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100790322 | N/A | N/A | 5542970 | 2222 | 4802 | 14099203 | N/A | 4214820 | 2025-10-25 00:43:39.853258 | 2025-06-30 02:56:23.324592 |
| 2025-10-24 07:14:08.586031 | 2025-10-25 00:43:39.390713 | 13807630 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13807630 | Athletic Physical Therapy Inc | 1944-10-29 | 2025-10-27 | F | AE | GOLDBERG | 6YD7TP7AC72 | LINDA | 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/2222/5542935/check_13807630_f611cab2-965b-4b1c-9e10-020d015523e2.json | N/A | N/A | N/A | N/A | N/A | 6YD7TP7AC72 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-10-29 | S5601 | N/A | N/A | MA | false | GOLDBERG | 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 | 9100790321 | N/A | N/A | 5542935 | 2222 | 4802 | 14099195 | N/A | 4214789 | 2025-10-25 00:43:39.390713 | 2025-12-11 23:30:31.319246 |
| 2025-10-24 07:14:08.197123 | 2025-10-25 00:33:56.127939 | 13807607 | N/A | N/A | 60054 | Aetna | 1114042165 | 13807607 | Athletic Physical Therapy Inc | 2015-03-25 | 2025-10-27 | M | AE | MOLAVI | W290733985 | MATTHEW | 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/2222/5542759/check_13807607_3e531896-4d14-4fdb-8b38-9132e9018035.json | N/A | N/A | N/A | N/A | N/A | W290733985 | Point of Service (POS) | THE TCW GROUP, INC. | AETNA | N/A | 2015-03-25 | 0247292 | 024729201100001 | N/A | PS | false | MOLAVI | N/A | MOHAMAD | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100790320 | N/A | N/A | 5542759 | 2222 | 4793 | 14093411 | N/A | 4214620 | 2025-10-25 00:33:56.127939 | 2025-08-05 22:41:29.756445 |
| 2025-10-24 07:14:07.699876 | 2025-10-25 00:43:37.740513 | 13807579 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13807579 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-10-27 | M | AE | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | 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/2222/5542555/check_13807579_d27c2abe-e99e-43ca-ac96-3831bc9224bf.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-24 | N/A | N/A | N/A | MA | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100790319 | N/A | N/A | 5542555 | 2222 | 4793 | 14099154 | N/A | 4214447 | 2025-10-25 00:43:37.740513 | 2026-04-23 20:11:34.441054 |
| 2025-10-24 07:14:07.320579 | 2025-10-25 00:38:54.075919 | 13807562 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13807562 | Athletic Physical Therapy Inc | 1942-12-17 | 2025-10-27 | F | PT | STEINBERG | MBL988M98459 | JUDY | 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/2222/5542014/check_13807562_47f7f408-05d3-4453-90f1-34b0085ce443.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9100790318 | N/A | N/A | 5542014 | 2222 | 4793 | 14095249 | N/A | 4213977 | 2025-10-25 00:38:54.075919 | 2025-05-13 04:29:37.228294 |
| 2025-10-24 07:14:06.928405 | 2025-10-25 00:38:53.501263 | 13807544 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13807544 | Athletic Physical Therapy Inc | 1940-08-31 | 2025-10-27 | M | PT | STEINBERG | MBL875M98441 | HARRIS | 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/2222/5541917/check_13807544_a21577ef-f889-4e90-a491-37a47466e14b.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9100790317 | N/A | N/A | 5541917 | 2222 | 4793 | 14095246 | N/A | 4213891 | 2025-10-25 00:38:53.501263 | 2025-05-13 04:29:37.228207 |
| 2025-10-24 07:14:06.539266 | 2025-10-25 00:43:42.830219 | 13807521 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13807521 | Athletic Physical Therapy Inc | 1949-07-06 | 2025-10-27 | M | AE | SILVERMAN | 1P91CV2QF22 | LAWRENCE | 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/2222/5541609/check_13807521_5e100af4-c0a5-4216-8c11-5fbc5dd5c2d3.json | N/A | N/A | N/A | N/A | N/A | 1P91CV2QF22 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-07-06 | N/A | N/A | N/A | MB | false | SILVERMAN | N/A | LAWRENCE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100790316 | N/A | N/A | 5541609 | 2222 | 4793 | 14099282 | N/A | 4213611 | 2025-10-25 00:43:42.830219 | 2025-05-13 04:29:37.227938 |
| 2025-10-24 07:14:06.230142 | 2025-10-25 00:39:39.474516 | 13807506 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13807506 | Athletic Physical Therapy Inc | 1990-07-09 | 2025-10-27 | M | PT | UPSON | XEA909162969 | RYAN | 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/2222/5541318/check_13807506_d900c2a5-18f7-45f8-8a89-6633f16159a1.json | N/A | N/A | N/A | N/A | N/A | XEA909162969 | Preferred Provider Organization (PPO) | CHILD CARE RESOURCE CENTER | BLUE SHIELD CALIFORNIA | N/A | 1990-07-09 | 1000VX000001 | W0065399 | N/A | PR | false | UPSON | N/A | SANDY | N/A | N/A | N/A | CHILD CARE RESOURCE CENTER PPO COMBINED DEDUCTIBLE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9100790315 | N/A | N/A | 5541318 | 2222 | 4801 | 14095597 | N/A | 4213349 | 2025-10-25 00:39:39.474516 | 2025-05-13 04:29:37.227671 |
| 2025-10-24 07:14:05.996394 | 2025-10-25 00:39:39.088849 | 13807491 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13807491 | Athletic Physical Therapy Inc | 1965-09-18 | 2025-10-27 | F | PT | SHAPIRO | XEA901579979 | ANDREA | 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/2222/5541315/check_13807491_bf5bb82e-12ea-46c5-8901-ec32b5683d5a.json | N/A | N/A | N/A | N/A | N/A | XEA901579979 | Preferred Provider Organization (PPO) | HANGER STEINBERG SHAPIRO AND ASH A LAW COR | BLUE SHIELD CALIFORNIA | N/A | 1965-09-18 | 1000VX000102 | W0045063 | N/A | PR | false | SHAPIRO | N/A | MARC | N/A | 9999-12-31 | 2016-11-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9100790314 | N/A | N/A | 5541315 | 2222 | 4793 | 14095595 | N/A | 4213344 | 2025-10-25 00:39:39.088849 | 2025-05-13 04:29:37.227667 |
| 2025-10-24 07:14:05.667293 | 2025-10-25 00:37:35.956347 | 13807474 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13807474 | Athletic Physical Therapy Inc | 1968-03-30 | 2025-10-27 | M | AE | FARAHMAND | 91957675E | ALEX | 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/2222/5541163/check_13807474_d6184db4-e5ee-41d5-8122-1874bdea465a.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | HEALTH NET, LLC | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100790313 | N/A | N/A | 5541163 | 2222 | 4802 | 14094680 | N/A | 4213207 | 2025-10-25 00:37:35.956347 | 2025-05-13 04:29:37.227536 |
| 2025-10-24 07:14:05.377573 | 2025-10-25 00:37:43.075041 | 13807460 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 13807460 | Athletic Physical Therapy Inc | 1940-03-29 | 2025-10-27 | F | AE | MARTINEZ | 40032670501 | MARIA | 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/2222/5540591/check_13807460_210b7785-4837-4bd7-9c3e-89d79c39740d.json | N/A | N/A | N/A | N/A | N/A | 40032670501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1940-03-29 | 2025H5425001 | H5425M | N/A | N/A | false | MARTINEZ | N/A | MARIA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100790312 | N/A | N/A | 5540591 | 2222 | 4801 | 14094728 | N/A | 4212724 | 2025-10-25 00:37:43.075041 | 2025-07-26 22:27:37.781276 |
| 2025-10-24 07:14:05.142058 | 2025-10-25 00:38:49.936238 | 13807451 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13807451 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-10-27 | F | PT | BOYLAN | MBL857M98403 | JOAN | 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/2222/5540074/check_13807451_5ab33fa8-f11a-4b97-9830-dc70be9db15b.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9100790311 | N/A | N/A | 5540074 | 2222 | 4802 | 14095219 | N/A | 4212282 | 2025-10-25 00:38:49.936238 | 2025-05-13 04:29:37.226623 |
| 2025-10-24 07:14:04.849644 | 2025-10-25 00:38:51.321530 | 13807437 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13807437 | Athletic Physical Therapy Inc | 1952-09-29 | 2025-10-27 | F | PT | JOHNSON | JQS766M90611 | JANET | 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/2222/5539188/check_13807437_e32fe188-7907-45aa-9a71-f2691a41e3cf.json | N/A | N/A | N/A | N/A | N/A | JQS766M90611 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-09-29 | 040 | CAMCRWP0 | N/A | MP | false | JOHNSON | N/A | JANET | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9100790310 | N/A | N/A | 5539188 | 2222 | 4801 | 14095229 | N/A | 4211521 | 2025-10-25 00:38:51.321530 | 2025-10-19 23:43:25.603984 |
| 2025-10-24 07:14:04.443380 | 2025-10-25 00:38:50.947011 | 13807421 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13807421 | Athletic Physical Therapy Inc | 1980-04-11 | 2025-10-27 | M | PT | Hurst | JQY695A75359 | Gregory | 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/2222/5539085/check_13807421_9008f176-78de-4018-970d-21779e0c58f0.json | N/A | N/A | N/A | N/A | N/A | JQY695A75359 | Preferred Provider Organization (PPO) | YALE MANAGEMENT SERVICES | ANTHEM BLUE CROSS | N/A | 1980-04-11 | 040 | 342584 | N/A | PR | false | HURST | N/A | GREGORY | N/A | 2025-12-01 | 2024-12-01 | ANTHEM SILVER SELECT PPO 50/2200/40% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9100790309 | N/A | N/A | 5539085 | 2222 | 4793 | 14095226 | N/A | 4211408 | 2025-10-25 00:38:50.947011 | 2025-09-18 00:42:48.586801 |
| 2025-10-24 07:14:03.977707 | 2025-10-25 00:43:42.409908 | 13807393 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13807393 | Athletic Physical Therapy Inc | 1950-08-31 | 2025-10-27 | M | AE | NADRICH | 1NJ2V04GK04 | JEFFREY | 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/2222/5538990/check_13807393_6fd7d8f2-f60d-48e1-8375-c2ead79bc836.json | N/A | N/A | N/A | N/A | N/A | 1NJ2V04GK04 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-08-31 | S5601 | N/A | N/A | MA | false | NADRICH | N/A | JEFF | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100790308 | N/A | N/A | 5538990 | 2222 | 4802 | 14099269 | N/A | 4211316 | 2025-10-25 00:43:42.409908 | 2025-05-13 04:29:37.225679 |
| 2025-10-24 07:14:03.636099 | 2025-10-25 00:39:50.460092 | 13807376 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13807376 | Athletic Physical Therapy Inc | 1961-12-01 | 2025-10-27 | M | PT | TOOCH | JPU633M84536 | PETER | 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/2222/5538874/check_13807376_4c336834-793d-4f34-b2a0-663aa0961f1c.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M001 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9100790307 | N/A | N/A | 5538874 | 2222 | 4801 | 14095666 | N/A | 4211227 | 2025-10-25 00:39:50.460092 | 2025-05-13 04:29:37.225625 |
| 2025-10-24 07:14:03.127475 | 2025-10-25 00:43:38.996636 | 13807347 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13807347 | Athletic Physical Therapy Inc | 1952-12-18 | 2025-10-27 | F | AE | DU BRIN | 7KN7YG8XT63 | SUSAN | 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/2222/5538600/check_13807347_c840fccf-31f1-4b87-9881-dfba784a9e4b.json | N/A | N/A | N/A | N/A | N/A | 7KN7YG8XT63 | Medicare Part A | N/A | UNITED SERVICES AUTOMOBILE ASSOC | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-12-18 | S4802 | DOL 06142025 | N/A | MA | false | DU BRIN | 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 | 9100790306 | N/A | N/A | 5538600 | 2222 | 4793 | 14099179 | N/A | 4210998 | 2025-10-25 00:43:38.996636 | 2026-02-23 18:49:01.874308 |
| 2025-10-24 07:14:02.803074 | 2025-10-25 00:43:38.140919 | 13807336 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13807336 | Athletic Physical Therapy Inc | 1954-01-24 | 2025-10-27 | F | AE | DIGIOVANNI | 4N09TQ2YY18 | JILL | 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/2222/5538592/check_13807336_3a43a364-ca19-41c2-813c-41702110e40b.json | N/A | N/A | N/A | N/A | N/A | 4N09TQ2YY18 | Medicare Part B | N/A | SENTRY INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-24 | S4802 | DOL 11022017 | N/A | MB | false | DIGIOVANNI | N/A | JILL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100790305 | N/A | N/A | 5538592 | 2222 | 4801 | 14099163 | N/A | 4210993 | 2025-10-25 00:43:38.140919 | 2025-05-13 04:29:37.225395 |
| 2025-10-24 07:14:02.488936 | 2025-10-25 00:43:43.301498 | 13807313 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13807313 | Athletic Physical Therapy Inc | 1943-07-22 | 2025-10-27 | M | AE | STEIN | 8MY3V79UN60 | DONALD | 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/2222/5538576/check_13807313_e6d18c91-2ba1-4c41-8a1b-cecf04a7d1a9.json | N/A | N/A | N/A | N/A | N/A | 8MY3V79UN60 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-07-22 | S5921 | N/A | N/A | MB | false | STEIN | N/A | DONALD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100790304 | N/A | N/A | 5538576 | 2222 | 4802 | 14099294 | N/A | 4210984 | 2025-10-25 00:43:43.301498 | 2025-08-15 17:42:50.500189 |
| 2025-10-24 07:14:02.269165 | 2025-10-25 00:43:38.508825 | 13807299 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13807299 | Athletic Physical Therapy Inc | 1952-03-25 | 2025-10-27 | F | AE | DRIMMER | 8E03WF9AM78 | NADIA | 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/2222/5537826/check_13807299_d3c55968-fbec-4f15-812d-e68b0d5bd4d0.json | N/A | N/A | N/A | N/A | N/A | 8E03WF9AM78 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-03-25 | S5921 | N/A | N/A | MA | false | DRIMMER | N/A | NADIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100790303 | N/A | N/A | 5537826 | 2222 | 4802 | 14099171 | N/A | 4210338 | 2025-10-25 00:43:38.508825 | 2025-05-13 04:29:37.224744 |
| 2025-10-24 07:14:02.006822 | 2025-10-25 00:33:55.518283 | 13807287 | N/A | N/A | 60054 | Aetna | 1114042165 | 13807287 | Athletic Physical Therapy Inc | 1965-03-10 | 2025-10-27 | F | AE | LORENZO | W291592729 | CHERYL | 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/2222/5537616/check_13807287_c43e202b-2779-4c79-849c-3058e00885ce.json | N/A | N/A | N/A | N/A | N/A | W291592729 | Point of Service (POS) | MORGAN STANLEY DOMESTIC HOLDINGS, L | AETNA | N/A | 1965-03-10 | 0868849 | 086884901000001 | N/A | PS | false | LORENZO | N/A | CHERYL | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100790302 | N/A | N/A | 5537616 | 2222 | 4802 | 14093407 | N/A | 4210148 | 2025-10-25 00:33:55.518283 | 2025-10-06 12:12:54.911120 |
| 2025-10-24 07:14:01.746998 | 2025-10-25 00:38:52.729299 | 13807272 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13807272 | Athletic Physical Therapy Inc | 1964-10-19 | 2025-10-27 | M | PT | NIELSEN | XDP057A76330 | ROY | 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/2222/5537188/check_13807272_ce34dd47-bbf3-4363-8ee1-b7cdb574461a.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629MN16 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 2025-11-01 | 2025-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9100790301 | N/A | N/A | 5537188 | 2222 | 4802 | 14095239 | N/A | 4209789 | 2025-10-25 00:38:52.729299 | 2025-05-13 04:29:37.224215 |
| 2025-10-24 07:14:01.463875 | 2025-10-25 00:43:41.918952 | 13807256 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13807256 | Athletic Physical Therapy Inc | 1950-07-23 | 2025-10-27 | M | AE | MELVILLE | 5K84YN1FD09 | LANNING | 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/2222/5535728/check_13807256_9444d98b-920b-4444-b3f9-d9e88bd02e6a.json | N/A | N/A | N/A | N/A | N/A | 5K84YN1FD09 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-07-23 | S5884 | N/A | N/A | MA | false | MELVILLE | N/A | LANNING | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100790300 | N/A | N/A | 5535728 | 2222 | 4802 | 14099259 | N/A | 4208598 | 2025-10-25 00:43:41.918952 | 2025-09-11 00:56:25.554348 |
| 2025-10-24 07:14:01.159184 | 2025-10-25 00:43:41.035247 | 13807241 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13807241 | Athletic Physical Therapy Inc | 1952-10-01 | 2025-10-27 | M | AE | IMPELLIZZERI | 3UJ4DN6CC87 | ROBERT | 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/2222/5535551/check_13807241_efe15cc4-874b-4055-9ae5-a13e486cb0a1.json | N/A | N/A | N/A | N/A | N/A | 3UJ4DN6CC87 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-10-01 | N/A | N/A | N/A | MA | false | IMPELLIZZERI | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100790299 | N/A | N/A | 5535551 | 2222 | 4801 | 14099234 | N/A | 4208460 | 2025-10-25 00:43:41.035247 | 2026-01-01 00:19:01.120151 |
| 2025-10-24 07:13:57.456672 | 2025-10-25 00:53:28.177439 | 13807031 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13807031 | Athletic Physical Therapy Inc | 1942-02-01 | 2025-10-27 | F | AE | CHANG | 3FV9E71EE00 | QUANG | 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/2222/11159406/check_13807031_b8f72eb2-f7c5-44b9-8d64-8a42cd3e9905.json | N/A | N/A | N/A | N/A | N/A | 3FV9E71EE00 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-02-01 | S4802 | N/A | N/A | MA | false | CHANG | N/A | QUANG CHAN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100815221 | N/A | N/A | 11159406 | 2222 | 4793 | 14109704 | N/A | 9505845 | 2025-10-25 00:53:28.177439 | 2026-04-29 00:06:17.964395 |
| 2025-10-24 07:13:32.739111 | 2025-10-25 00:46:23.996920 | 13805683 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13805683 | Athletic Physical Therapy Inc | 1966-04-15 | 2025-10-27 | M | PT | BAZARGAN | M9Z898859038 | AFSHIN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.121728147.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9134247/check_13805683_efb2a89e-4357-4591-823b-5178469e7881.json | N/A | N/A | N/A | N/A | N/A | M9Z898859038 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1966-04-15 | N/A | 55060 | N/A | PR | false | BAZARGAN | N/A | AFSHIN | N/A | N/A | N/A | PREFERRED CARE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9100787759 | N/A | N/A | 9134247 | 2222 | 4801 | 14103492 | N/A | 7655437 | 2025-10-25 00:46:23.996920 | 2025-09-09 21:12:34.622876 |
| 2025-10-24 07:13:25.326246 | 2025-10-25 00:51:01.477886 | 13805282 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13805282 | Athletic Physical Therapy Inc | 1947-12-03 | 2025-10-27 | M | PT | WONG | 6GE2PF6CC92 | STANLEY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.121728147.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9132315/check_13805282_c6b8509e-d809-442c-9612-4e5360b80516.json | N/A | N/A | N/A | N/A | N/A | 6GE2PF6CC92 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-12-03 | H4036 | N/A | N/A | MB | false | WONG | N/A | STANLEY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9100788780 | N/A | N/A | 9132315 | 2222 | 4802 | 14108031 | N/A | 7140615 | 2025-10-25 00:51:01.477886 | 2025-09-05 16:51:17.488032 |
| 2025-10-24 07:13:18.786429 | 2025-10-24 07:13:18.967116 | 13804983 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 13804983 | Athletic Physical Therapy Inc | 1950-02-07 | 2025-10-27 | M | AE | BHAMRAH | 12Y0175341 | KULDIP | 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 | 7442859 | 2222 | 4801 | N/A | N/A | 6393941 | 2025-10-24 07:13:18.967116 | 2025-08-13 16:33:53.313259 |
| 2025-10-24 07:13:06.303689 | 2025-10-25 02:41:38.111273 | 13804268 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13804268 | Athletic Physical Therapy Inc | 1996-03-28 | 2025-10-27 | F | AE | SAGMAN | U9205101701 | SYDNEY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.121709132.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9924959/check_13804268_b7426333-0dc9-4864-8be7-67c82ce6450b.json | N/A | N/A | N/A | N/A | N/A | U9205101701 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1996-03-28 | N/A | N/A | N/A | N/A | false | SAGMAN | N/A | SYDNEY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100784432 | N/A | N/A | 9924959 | 2222 | 4802 | 14126913 | N/A | 4722569 | 2025-10-25 02:41:38.111273 | 2025-08-26 00:16:35.895658 |
| 2025-10-24 07:13:03.983013 | 2025-10-25 00:49:02.542881 | 13804114 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13804114 | Athletic Physical Therapy Inc | 1959-02-07 | 2025-10-27 | F | AE | STARK | JQE451W19078 | CHERYL | 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/2222/9450019/check_13804114_b18ca309-0363-47bb-85c1-eb46b52b8b31.json | N/A | N/A | N/A | N/A | N/A | JQE451W19078 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-02-07 | 040 | CASUPWP0 | N/A | N/A | false | STARK | N/A | CHERYL | N/A | 9999-12-31 | 2024-02-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100801556 | N/A | N/A | 9450019 | 2222 | 4793 | 14106434 | N/A | 7905968 | 2025-10-25 00:49:02.542881 | 2025-09-22 17:53:24.196861 |
| 2025-10-24 07:12:57.344013 | 2025-10-24 07:12:59.330621 | 13803639 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-02-01 | 2025-10-24 | F | AE | CHANG | 3FV9E71EE00 | QUANG | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11159406/check_13803639_cdc77f7d-ff34-43a0-ba69-1f88b748c45a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11159406/check_13803639_886106c0-9555-43f9-95f1-511b9da96dcd.json | N/A | N/A | N/A | N/A | N/A | 3FV9E71EE00 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-02-01 | S4802 | N/A | N/A | MA | false | CHANG | N/A | QUANG CHAN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100766696 | N/A | N/A | 11159406 | 2222 | N/A | 14064572 | N/A | 9505845 | 2025-10-24 07:12:59.330621 | 2026-04-29 00:06:17.964395 |
| 2025-10-24 07:12:51.176848 | 2025-10-25 00:56:53.085824 | 13803194 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13803194 | Athletic Physical Therapy Inc | 1952-11-30 | 2025-10-27 | F | AE | Tenner | XEA913632918 | Susan | 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/2222/10347882/check_13803194_ccdf5f2c-deca-4168-93f9-1ad1d5e11fc5.json | N/A | N/A | N/A | N/A | N/A | XAN913632918 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | MEDICARE PART A AND B | N/A | 1952-11-30 | 1002VX000001 | W0051411 | N/A | PR | false | TENNER | N/A | ROBERT | N/A | 9999-12-31 | 2025-01-01 | CALPERS ASO VISION | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9101109588 | N/A | N/A | 10347882 | 2222 | 4802 | 14111596 | N/A | 8614368 | 2025-10-25 00:56:53.085824 | 2025-10-13 19:03:41.164438 |
| 2025-10-24 07:12:49.721329 | 2025-10-25 00:50:17.244719 | 13803088 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13803088 | Athletic Physical Therapy Inc | 1955-07-01 | 2025-10-27 | F | AE | GREER | XEM909858172 | ROBIN | 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/2222/9411084/check_13803088_37e421db-d174-4fd7-8147-d75880cac317.json | N/A | N/A | N/A | N/A | N/A | XEM909858172 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-07-01 | 2002SE000030 | X0001002 | N/A | OT | false | GREER | N/A | ROBIN | 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 | 9100801293 | N/A | N/A | 9411084 | 2222 | 4802 | 14107435 | N/A | 7879863 | 2025-10-25 00:50:17.244719 | 2026-02-04 18:21:13.840230 |
| 2025-10-24 07:12:45.033160 | 2025-10-25 02:36:54.959706 | 13802744 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13802744 | Athletic Physical Therapy Inc | 1988-06-03 | 2025-10-27 | F | AE | TORST | R11937526FM1 | SHARLEAN | 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/2222/9454942/check_13802744_09120315-3630-41b5-a41f-39c8bdf32301.json | N/A | N/A | N/A | N/A | N/A | R11937526FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1988-06-03 | N/A | N/A | N/A | N/A | false | TORST | N/A | SHARLEAN | N/A | N/A | N/A | KVD SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100794743 | N/A | N/A | 9454942 | 2222 | 4801 | 14124505 | N/A | 7906863 | 2025-10-25 02:36:54.959706 | 2025-09-29 16:17:16.352774 |
| 2025-10-24 07:12:42.495992 | 2025-10-24 07:12:48.415167 | 13802541 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-09-22 | 2025-10-24 | M | PT | WRIGHT | XYQM60508454 | WILLIAM | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11111580/check_13802541_8832b32e-c9dc-460d-bde3-07fb4eb0d798.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11111580/check_13802541_a6c0c908-acfe-4536-af81-409a74963c67.json | N/A | N/A | N/A | N/A | N/A | XYQM60508454 | Preferred Provider Organization (PPO) | MARKETING ASSOCIATES, INC. DBA | BLUE SHIELD OF CALIFORNIA | N/A | 1980-09-22 | 710 | 0070092190003001 | N/A | PR | false | WRIGHT | N/A | WILLIAM | N/A | 9999-12-31 | 2025-03-01 | SIMPLY BLUE PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9100765766 | N/A | N/A | 11111580 | 2222 | N/A | 14064488 | N/A | 9461772 | 2025-10-24 07:12:48.415167 | 2025-10-21 22:02:26.202674 |
| 2025-10-24 07:12:38.338605 | 2025-10-25 02:40:29.188693 | 13802245 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13802245 | Athletic Physical Therapy Inc | 1959-02-07 | 2025-10-27 | F | AE | STARK | 5T98ME7EA67 | CHERYL | 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/2222/9449995/check_13802245_b3815956-5ace-4a03-8910-acaa26693f85.json | N/A | N/A | N/A | N/A | N/A | 5T98ME7EA67 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-07 | S4802 | N/A | N/A | MA | false | STARK | N/A | CHERYL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100794714 | N/A | N/A | 9449995 | 2222 | 4793 | 14126327 | N/A | 7905968 | 2025-10-25 02:40:29.188693 | 2025-09-22 17:53:24.196861 |
| 2025-10-24 07:12:37.696355 | 2025-10-25 02:47:01.997202 | 13802197 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13802197 | Athletic Physical Therapy Inc | 1963-11-03 | 2025-10-27 | M | AE | KUQO | 95557964G | FATMIR | 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/2222/10308328/check_13802197_64e9a392-6c7d-4241-8489-d9e40c4291c9.json | N/A | N/A | N/A | N/A | N/A | 95557964G | N/A | N/A | HEALTH NET, LLC | N/A | 1963-11-03 | N/A | N/A | N/A | N/A | false | KUQO | N/A | FATMIR | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100796800 | N/A | N/A | 10308328 | 2222 | 4793 | 14129118 | N/A | 8577701 | 2025-10-25 02:47:01.997202 | 2025-10-10 20:23:07.830150 |
| 2025-10-24 07:12:36.014494 | 2025-10-25 02:48:37.862300 | 13802075 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13802075 | Athletic Physical Therapy Inc | 1959-04-06 | 2025-10-27 | M | PT | RODRIGUEZ | MMA012W19973 | ROBERTO | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251024.121709132.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9904588/check_13802075_a2397416-24ae-4179-842f-72b1f2433498.json | N/A | N/A | N/A | N/A | N/A | MMA012W19973 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-04-06 | 040 | CAMCRWP0 | N/A | MP | false | RODRIGUEZ | N/A | ROBERTO | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9100783064 | N/A | N/A | 9904588 | 2222 | 4793 | 14129647 | 4184 | 8292442 | 2025-10-25 02:48:37.862300 | 2025-10-03 00:00:11.631948 |
| 2025-10-24 07:12:34.541592 | 2025-10-25 02:32:57.563121 | 13801962 | N/A | N/A | 60054 | Aetna | 1114042165 | 13801962 | Athletic Physical Therapy Inc | 1986-01-20 | 2025-10-27 | F | AE | DAVIS | W258779471 | MARTINA | 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/2222/5993951/check_13801962_f56371f4-d979-40a2-b9a4-bb0421eb02f9.json | N/A | N/A | N/A | N/A | N/A | W258779471 | Point of Service (POS) | ADP TOTALSOURCE SERVICES, INC. | AETNA | N/A | 1986-01-20 | 0251371 | 025137101900020 | N/A | PS | false | DAVIS | N/A | ASTIN | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100812777 | N/A | N/A | 5993951 | 2222 | 4802 | 14122326 | N/A | 4642884 | 2025-10-25 02:32:57.563121 | 2025-12-02 20:19:19.910444 |
| 2025-10-24 07:12:33.908313 | 2025-10-25 02:34:57.412422 | 13801926 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13801926 | Athletic Physical Therapy Inc | 1969-01-08 | 2025-10-27 | F | AE | ALROMAIH | 91237812E | SARAH | 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/2222/5993940/check_13801926_7980f385-92a6-4b9a-b308-c0697ca16100.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100812776 | N/A | N/A | 5993940 | 2222 | 4802 | 14123411 | N/A | 4642877 | 2025-10-25 02:34:57.412422 | 2025-12-23 23:49:16.627667 |
| 2025-10-24 07:12:33.303028 | 2025-10-25 02:36:01.494828 | 13801888 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13801888 | Athletic Physical Therapy Inc | 1977-09-14 | 2025-10-27 | F | PT | CONTI | CAI143A79624 | MARIANA | 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/2222/5993920/check_13801888_f74b66c5-e97e-497d-9c63-7690c78e871c.json | N/A | N/A | N/A | N/A | N/A | CAI143A79624 | Health Maintenance Organization (HMO) | CALIFORNIA PUBLIC EMPLOYEES RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1977-09-14 | 040 | HNB010AS | N/A | HM | false | CONTI | N/A | MARIANA | N/A | 9999-12-31 | 2019-01-01 | CALPERS SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9100812775 | N/A | N/A | 5993920 | 2222 | 4793 | 14124024 | 4184 | 4642859 | 2025-10-25 02:36:01.494828 | 2026-04-10 21:27:25.225083 |
| 2025-10-24 07:12:31.383080 | 2025-10-25 00:42:15.513017 | 13801773 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 13801773 | Athletic Physical Therapy Inc | 1946-11-22 | 2025-10-27 | F | AE | CAPUTA | 31334080511 | SANDRA | 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/2222/9336758/check_13801773_3d254f03-f178-43c6-aa2c-fb9429cfe947.json | N/A | N/A | N/A | N/A | N/A | 31334080511 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1946-11-22 | N/A | N/A | N/A | SP | false | CAPUTA | N/A | SANDRA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9100800390 | N/A | N/A | 9336758 | 2222 | 4801 | 14097208 | N/A | 7835556 | 2025-10-25 00:42:15.513017 | 2025-09-12 16:59:25.752326 |
| 2025-10-24 07:12:14.506929 | 2025-10-25 02:37:11.614685 | 13800666 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13800666 | Athletic Physical Therapy Inc | 1952-07-08 | 2025-10-27 | F | PT | LEJANO | 286W1051720 | MELECIA | N/A | 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/2222/9443092/check_13800666_405596b0-5538-4e34-8077-2d640269d132.json | N/A | N/A | N/A | N/A | N/A | 286W1051720 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1952-07-08 | N/A | N/A | N/A | N/A | false | LEJANO | N/A | MELECIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9100794678 | N/A | N/A | 9443092 | 2222 | 4801 | 14124642 | N/A | 7899425 | 2025-10-25 02:37:11.614685 | 2025-09-18 04:34:38.232559 |