API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-22 06:30:38.382422 | 2025-10-23 00:40:18.590063 | 13739074 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 13739074 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-10-24 | F | AE | PT | SHAKIB | 95751543E35181 | PARI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113132131.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7561654/check_13739074_22dda2da-d4e2-4daf-9513-b6fcd574aeb5.json | N/A | N/A | N/A | N/A | N/A | 95751543E35181 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1952-05-04 | N/A | N/A | N/A | N/A | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9082504339 | N/A | N/A | 7561654 | 2222 | 4802 | 14043520 | N/A | 6395498 | 2025-10-23 00:40:18.590063 | 2026-02-18 02:38:35.073779 |
| 2025-10-22 06:30:35.419885 | 2025-10-23 00:36:38.325624 | 13739007 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13739007 | Athletic Physical Therapy Inc | 2008-01-01 | 2025-10-23 | M | PT | N/A | COSTELLO | SIF475A59310 | JAMES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113132131.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11322321/check_13739007_4e52161d-10b7-4bdc-b411-34e803c26633.json | N/A | N/A | N/A | N/A | N/A | SIF475A59310 | Preferred Provider Organization (PPO) | SISC - VENTURA COUNTY COMMUNITY COLLEGE DISTRICT | ANTHEM BLUE CROSS | N/A | 2008-01-01 | 040 | 40971C | N/A | PR | false | COSTELLO | N/A | MANDISSA | N/A | 9999-12-31 | 2025-09-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9082503756 | N/A | N/A | 11322321 | 2222 | 4793 | 14039331 | N/A | 4211647 | 2025-10-23 00:36:38.325624 | 2025-10-21 19:53:46.280627 |
| 2025-10-22 06:30:19.620270 | 2025-10-23 00:36:38.614896 | 13738631 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13738631 | Athletic Physical Therapy Inc | 1957-01-13 | 2025-10-23 | F | AE | PT | NAY | MBL700W17597 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113132131.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11175434/check_13738631_3cc87704-af1e-4566-ad64-9aeff969433d.json | N/A | N/A | N/A | N/A | N/A | MBL700W17597 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1957-01-13 | 040 | CAEGR002 | N/A | N/A | false | NAY | N/A | MARIA | N/A | 9999-12-31 | 2023-10-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9082504656 | N/A | N/A | 11175434 | 2222 | 4793 | 14039337 | N/A | 9520463 | 2025-10-23 00:36:38.614896 | 2025-10-21 17:49:23.309023 |
| 2025-10-22 06:30:04.889329 | 2025-10-22 06:30:07.632077 | 13738225 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-04-01 | 2025-10-22 | M | PT | N/A | MOYER | JXN542M92477 | STEVEN | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11278285/check_13738225_c8408b60-ad09-4d11-a450-56f9154b5717.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11278285/check_13738225_1f9bc144-2fab-4acf-9024-47393a00df89.json | N/A | N/A | N/A | N/A | N/A | JXN542M92477 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1959-04-01 | 040 | 174222M2A1 | N/A | PR | false | MOYER | N/A | STEVEN | N/A | 9999-12-31 | 2018-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9082494726 | N/A | N/A | 11278285 | 2222 | N/A | 14013009 | N/A | 9581032 | 2025-10-22 06:30:07.632077 | 2025-10-21 22:24:54.464325 |
| 2025-10-22 06:29:20.181327 | 2025-10-23 00:51:47.339524 | 13736931 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13736931 | Athletic Physical Therapy Inc | 1957-01-13 | 2025-10-23 | F | AE | PT | NAY | 5UC7QW0QK47 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113126511.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11175433/check_13736931_8977b52e-a770-403d-86eb-d9ce885a4130.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 | 9082501976 | N/A | N/A | 11175433 | 2222 | 4793 | 14048089 | N/A | 9520463 | 2025-10-23 00:51:47.339524 | 2025-10-21 17:49:23.309023 |
| 2025-10-22 06:29:18.673051 | 2025-10-23 00:40:18.308782 | 13736866 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 13736866 | Athletic Physical Therapy Inc | 1953-05-21 | 2025-10-24 | M | AE | PT | DAVILA | 96682470F | RAY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113132131.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10365901/check_13736866_6b78434f-158f-49db-aa1f-3e245bf90fd5.json | N/A | N/A | N/A | N/A | N/A | 96682470F | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1953-05-21 | N/A | N/A | N/A | N/A | false | DAVILA | N/A | RAY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9082503045 | N/A | N/A | 10365901 | 2222 | 4793 | 14043514 | N/A | 8628911 | 2025-10-23 00:40:18.308782 | 2025-10-13 20:36:48.387301 |
| 2025-10-22 06:29:16.598426 | 2025-10-23 00:32:13.594847 | 13736782 | N/A | N/A | 60054 | Aetna | 1114042165 | 13736782 | Athletic Physical Therapy Inc | 1976-12-17 | 2025-10-24 | M | AE | PT | Ramos | W263196559 | Jerome Petrocelli | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113037802.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9862743/check_13736782_49bc5639-0a3c-4540-817d-fcf9e057d4a2.json | N/A | N/A | N/A | N/A | N/A | W263196559 | Preferred Provider Organization (PPO) | HOSPITAL CORPORATION OF AMERICA | AETNA | N/A | 1976-12-17 | 0160833 | 016083305000013 | N/A | PR | false | RAMOS | N/A | JEROME | N/A | N/A | N/A | OPEN CHOICE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9082494710 | N/A | N/A | 9862743 | 2222 | 4801 | 14033711 | N/A | 8258250 | 2025-10-23 00:32:13.594847 | 2025-09-30 21:47:59.000682 |
| 2025-10-22 06:29:11.614684 | 2025-10-23 00:35:45.656037 | 13736579 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13736579 | Athletic Physical Therapy Inc | 1954-02-05 | 2025-10-24 | M | PT | N/A | HERNANDEZ | NCF335A78493 | FELIPE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113037802.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9857185/check_13736579_7b4ebb81-e548-4651-8280-83cb1a6cdd0d.json | N/A | N/A | N/A | N/A | N/A | NCF335A78493 | Health Maintenance Organization (HMO) | CITY OF LOS ANGELES | ANTHEM BLUE CROSS | N/A | 1954-02-05 | 040 | 280612H004 | N/A | HM | false | HERNANDEZ | N/A | FELIPE | N/A | 9999-12-31 | 2017-10-18 | PREMIER SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9082494671 | N/A | N/A | 9857185 | 2222 | 4793 | 14038255 | N/A | 8252801 | 2025-10-23 00:35:45.656037 | 2026-02-23 23:58:40.440949 |
| 2025-10-22 06:29:05.224738 | 2025-10-23 00:32:27.055923 | 13736296 | N/A | N/A | 60054 | Aetna | 1114042165 | 13736296 | Athletic Physical Therapy Inc | 1992-06-11 | 2025-10-23 | M | AE | PT | ROSS | W292476869 | BRYAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113925113.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993949/check_13736296_8722b5b3-96bc-47d2-97cb-9f25fce66abb.json | N/A | N/A | N/A | N/A | N/A | W292476869 | Point of Service (POS) | PAYCHEX BUSINESS SOLUTIONS, LLC. | AETNA | N/A | 1992-06-11 | 0176563 | 017656301200042 | N/A | PS | false | ROSS | N/A | BRYAN | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9082527127 | N/A | N/A | 5993949 | 2222 | 4793 | 14034030 | N/A | 4642881 | 2025-10-23 00:32:27.055923 | 2025-06-06 02:27:19.212061 |
| 2025-10-22 06:28:18.657858 | 2025-10-23 00:35:06.525912 | 13734509 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13734509 | Athletic Physical Therapy Inc | 1953-03-27 | 2025-10-24 | F | AE | PT | FINE | 00000272194 | MICHELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113925113.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858742/check_13734509_970ccc35-9850-4756-91ad-17d02f0154df.json | N/A | N/A | N/A | N/A | N/A | 00000272194 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-03-27 | N/A | N/A | N/A | N/A | false | FINE | N/A | MICHELLE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9082526329 | N/A | N/A | 5858742 | 2222 | 4801 | 14037412 | 2630 | 4219630 | 2025-10-23 00:35:06.525912 | 2025-05-13 04:29:37.230672 |
| 2025-10-22 06:28:16.760134 | 2025-10-23 02:35:20.092353 | 13734437 | N/A | N/A | 60054 | Aetna | 1114042165 | 13734437 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-10-24 | F | AE | PT | SHAKIB | 101129457200 | PARI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113118666.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444723/check_13734437_e27c5234-8397-4b24-a955-f6fbb831c70d.json | N/A | N/A | N/A | N/A | N/A | 101129457200 | Qualified Medicare Beneficiary | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1952-05-04 | 000003-CA000058 | 000003-CA | N/A | QM | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9082498055 | N/A | N/A | 7444723 | 2222 | 4802 | 14049192 | N/A | 6395498 | 2025-10-23 02:35:20.092353 | 2026-02-18 02:38:35.073779 |
| 2025-10-22 06:28:06.616205 | 2025-10-23 00:32:08.103848 | 13734069 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 13734069 | Athletic Physical Therapy Inc | 1941-12-12 | 2025-10-24 | M | AE | PT | ABARTA | 03851837911 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113132131.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9929497/check_13734069_d3ad670e-920f-4ad0-a5a5-42fb9cd753c9.json | N/A | N/A | N/A | N/A | N/A | 03851837911 | 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. | 1941-12-12 | N/A | N/A | N/A | SP | false | ABARTA | N/A | STEVE | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9082504225 | N/A | N/A | 9929497 | 2222 | 4801 | 14033581 | N/A | 8313339 | 2025-10-23 00:32:08.103848 | 2025-10-02 18:29:23.013167 |
| 2025-10-22 06:27:58.316264 | 2025-10-22 06:28:01.652209 | 13733803 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-09-25 | 2025-10-22 | M | PT | N/A | zev | XED912627946 | ari | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9280765/check_13733803_8b451908-d8a0-44f0-a774-69d1722529f5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9280765/check_13733803_742ab67a-f601-4747-b842-17de1c73bd6f.json | N/A | N/A | N/A | N/A | N/A | XED912627946 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-09-25 | 2001ZK002185 | X0001004 | N/A | PR | false | ZEV | N/A | ARI | N/A | 9999-12-31 | 2025-01-01 | SILVER 87 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9082486387 | N/A | N/A | 9280765 | 2222 | N/A | 14011834 | N/A | 7789190 | 2025-10-22 06:28:01.652209 | 2025-09-16 16:41:33.330373 |
| 2025-10-22 06:27:52.355361 | 2025-10-23 00:36:08.503765 | 13733629 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 13733629 | Athletic Physical Therapy Inc | 1959-11-18 | 2025-10-24 | M | AE | PT | PEREZ | 205330201 | JUAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.114031850.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9935305/check_13733629_4dc6e0f1-ecf1-459e-8945-f6b2323e8e25.json | N/A | N/A | N/A | N/A | N/A | 205330201 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1959-11-18 | N/A | HCFA21 | N/A | HN | false | PEREZ MEDINA | N/A | JUAN | 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 | 9082529115 | N/A | N/A | 9935305 | 2222 | 4802 | 14038746 | N/A | 8316227 | 2025-10-23 00:36:08.503765 | 2025-10-02 19:18:17.311007 |
| 2025-10-22 06:27:29.879842 | 2025-10-23 02:35:08.915601 | 13733008 | N/A | N/A | 47027 | Physicians Mutual Insurance Company | 1114042165 | 13733008 | Athletic Physical Therapy Inc | 1952-10-25 | 2025-10-24 | F | AE | PT | JOHNSTON | H750053601 | DEBORAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113118666.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638391/check_13733008_dc1b1399-fbcc-4de8-b142-6e161e3a5c8e.json | N/A | N/A | N/A | N/A | N/A | H750053601 | N/A | N/A | PHYSICIANS MUTUAL | PAYMENT NOT GUARANTEED; BENEFITS SUBJECT TO CLAIM APPROVAL | 1952-10-25 | N/A | N/A | N/A | N/A | false | JOHNSTON | N/A | DEBORAH | N/A | N/A | N/A | MEDICARE SUPPLEMENT 2023 PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9082497704 | N/A | N/A | 6638391 | 2222 | 4793 | 14049168 | N/A | 5247837 | 2025-10-23 02:35:08.915601 | 2026-02-24 20:36:49.807283 |
| 2025-10-22 06:27:29.749234 | 2025-10-23 00:35:11.236854 | 13733004 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13733004 | Athletic Physical Therapy Inc | 1946-04-03 | 2025-10-23 | F | PT | N/A | OBLINGER | JQS491M78254 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113925113.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676340/check_13733004_0d36d4dd-ed0e-4788-a981-ef7c9d8b0792.json | N/A | N/A | N/A | N/A | N/A | JQS491M78254 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1946-04-03 | 040 | CAMCRWP0 | N/A | MP | false | OBLINGER | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9082527800 | N/A | N/A | 5676340 | 2222 | 4793 | 14037519 | 4184 | 4210531 | 2025-10-23 00:35:11.236854 | 2025-12-09 17:09:13.960610 |
| 2025-10-22 06:27:28.250859 | 2025-10-23 00:43:04.295215 | 13732968 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13732968 | Athletic Physical Therapy Inc | 1956-06-26 | 2025-10-24 | F | AE | PT | SUAREZ | 4EY2NT4GU93 | ANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113741262.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9083354/check_13732968_4e07a3eb-45dd-4c74-a500-d208a3e7e326.json | N/A | N/A | N/A | N/A | N/A | 4EY2NT4GU93 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-06-26 | S5921 | N/A | N/A | MB | false | SUAREZ | N/A | ANA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9082520742 | N/A | N/A | 9083354 | 2222 | 4801 | 14045696 | N/A | 7600312 | 2025-10-23 00:43:04.295215 | 2025-09-04 18:19:39.478018 |
| 2025-10-22 06:27:24.952020 | 2025-10-23 02:38:30.073270 | 13732871 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13732871 | Athletic Physical Therapy Inc | 1953-06-17 | 2025-10-24 | M | AE | PT | THOMPSON | XEM906571592 | JAMES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113118666.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577665/check_13732871_1ed0564e-f0ec-4950-a9fe-ed2081a98467.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 | 9082496293 | N/A | N/A | 6577665 | 2222 | 4793 | 14049719 | N/A | 5197700 | 2025-10-23 02:38:30.073270 | 2025-06-30 15:33:47.069983 |
| 2025-10-22 06:27:21.880517 | 2025-10-23 00:41:01.819154 | 13732783 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13732783 | Athletic Physical Therapy Inc | 1941-12-12 | 2025-10-24 | M | AE | PT | ABARTA | 1KM2G22MJ15 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.114031850.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9929496/check_13732783_a69b304e-ab60-47b8-bf70-49af3950478b.json | N/A | N/A | N/A | N/A | N/A | 1KM2G22MJ15 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-12-12 | S5617 | N/A | N/A | MB | false | ABARTA | N/A | STEVE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9082529070 | N/A | N/A | 9929496 | 2222 | 4801 | 14044411 | N/A | 8313339 | 2025-10-23 00:41:01.819154 | 2025-10-02 18:29:23.013167 |
| 2025-10-22 06:27:21.219707 | 2025-10-22 06:27:23.436252 | 13732767 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-02-25 | 2025-10-22 | F | PT | N/A | GIANNE | XED910762094 | NATALIE | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7994545/check_13732767_6d678b24-7a68-4a2a-ba6c-71412ab406b2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_13732767_c1cc7229-458d-4f7f-acce-c896ba4afa1a.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 9999-12-31 | 2025-01-01 | SILVER 87 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9082484805 | N/A | N/A | 7994545 | 2222 | N/A | 14011607 | N/A | 6802250 | 2025-10-22 06:27:23.436252 | 2025-08-11 23:58:28.358402 |
| 2025-10-22 06:26:41.658662 | 2025-10-23 02:35:44.761014 | 13731782 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 13731782 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-10-24 | F | AE | PT | GNAD | H71897184 | MELANIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113118666.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540682/check_13731782_87ee99ac-b7dc-4aa9-b596-a56a61d490c9.json | N/A | N/A | N/A | N/A | N/A | H71897184 | Supplemental Policy | HUMANA BENEFIT PLANOF ILL, INC | HUMANA | 067 023 | 1946-04-16 | N/A | 5A409005 | N/A | SP | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | MEDICARE MES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9082496981 | N/A | N/A | 5540682 | 2222 | 4801 | 14049253 | N/A | 4212792 | 2025-10-23 02:35:44.761014 | 2025-10-07 20:33:25.637997 |
| 2025-10-22 06:26:41.394593 | 2025-10-23 02:37:55.419487 | 13731779 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13731779 | Athletic Physical Therapy Inc | 1954-01-12 | 2025-10-23 | F | AE | PT | FINCH | XDD909A67880 | DAWN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113118666.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538474/check_13731779_9684a6a8-c3d7-46ee-8d1f-0e896559dee5.json | N/A | N/A | N/A | N/A | N/A | XDD909A67880 | N/A | CALPERS PERS PLATINUM MSUPP RETIREES(PA) REGION3 | MEDICARE B | N/A | 1954-01-12 | 040 | BS270I | N/A | N/A | false | FINCH | N/A | LELAND | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9082496980 | N/A | N/A | 5538474 | 2222 | 4802 | 14049623 | N/A | 4210886 | 2025-10-23 02:37:55.419487 | 2025-05-13 04:29:37.225284 |
| 2025-10-22 06:26:41.156978 | 2025-10-23 02:38:29.710799 | 13731774 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13731774 | Athletic Physical Therapy Inc | 1946-08-26 | 2025-10-24 | M | AE | PT | ROTHMAN | XEM909022493 | MIKE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113118666.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536206/check_13731774_df18389d-91c0-448b-86a5-39f74436f9d4.json | N/A | N/A | N/A | N/A | N/A | XEM909022493 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1946-08-26 | 2002SF000029 | X0001002 | N/A | OT | false | ROTHMAN | N/A | MIKE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9082496979 | N/A | N/A | 5536206 | 2222 | 4801 | 14049718 | N/A | 4208978 | 2025-10-23 02:38:29.710799 | 2025-05-13 04:29:37.223404 |
| 2025-10-22 06:26:35.552764 | 2025-10-23 00:36:38.884532 | 13731647 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13731647 | Athletic Physical Therapy Inc | 1959-02-04 | 2025-10-24 | F | AE | PT | SMITS | JQE291W18998 | HEIDI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113132131.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681615/check_13731647_8fe2ab9e-ca87-475c-b28a-d906c4b97e2b.json | N/A | N/A | N/A | N/A | N/A | JQE291W18998 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-02-04 | 040 | CASUPWP0 | N/A | N/A | false | SMITS | N/A | HEIDI | 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 | 9082502890 | N/A | N/A | 9681615 | 2222 | 4793 | 14039343 | N/A | 8101289 | 2025-10-23 00:36:38.884532 | 2025-09-24 17:05:46.431721 |
| 2025-10-22 06:26:24.324557 | 2025-10-23 00:35:45.934681 | 13731347 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13731347 | Athletic Physical Therapy Inc | 1968-10-03 | 2025-10-24 | M | PT | N/A | RAMIREZ | Z7M7740597AB | CESAR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113037802.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9729132/check_13731347_99de9895-4263-4c98-a45a-6c4188625d71.json | N/A | N/A | N/A | N/A | N/A | Z7M7740597AB | Preferred Provider Organization (PPO) | HI DED LOWER FAMILY ONLY | ANTHEM BLUE CROSS | N/A | 1968-10-03 | 241 | L11957M003 | N/A | PR | false | RAMIREZ | N/A | CESAR | N/A | 9999-12-31 | 2025-01-01 | PPO WITH MO BLUE ACCESS CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9082494463 | N/A | N/A | 9729132 | 2222 | 4801 | 14038261 | N/A | 8145241 | 2025-10-23 00:35:45.934681 | 2025-09-25 17:51:33.170014 |
| 2025-10-22 06:26:18.892477 | 2025-10-23 00:43:08.327720 | 13731199 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 13731199 | Athletic Physical Therapy Inc | 1941-06-09 | 2025-10-23 | F | AE | PT | DIXON | 988640039.00 | JUDIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113126511.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11013047/check_13731199_fdb58c3d-c3ea-47b5-9cef-d6c31c9a39fd.json | N/A | N/A | N/A | N/A | N/A | 988640039.00 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1941-06-09 | N/A | N/A | N/A | N/A | false | DIXON | N/A | JUDIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9082500245 | N/A | N/A | 11013047 | 2222 | 4793 | 14045745 | N/A | 9378405 | 2025-10-23 00:43:08.327720 | 2025-10-21 21:08:18.331994 |
| 2025-10-22 06:25:58.031534 | 2025-10-23 00:35:02.439236 | 13730196 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13730196 | Athletic Physical Therapy Inc | 1962-06-19 | 2025-10-24 | M | AE | PT | MILIAN GOMEZ | 93331019F | MIGUEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113925113.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543555/check_13730196_88eafc71-b333-435d-a92f-a6246c527ecd.json | N/A | N/A | N/A | N/A | N/A | 93331019F | N/A | N/A | HEALTH NET, LLC | N/A | 1962-06-19 | N/A | N/A | N/A | N/A | false | MILIAN GOMEZ | N/A | MIGUEL | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9082527374 | N/A | N/A | 5543555 | 2222 | 4802 | 14037315 | N/A | 4215332 | 2025-10-23 00:35:02.439236 | 2025-08-06 16:15:15.716322 |
| 2025-10-22 06:25:57.343656 | 2025-10-23 00:34:35.190772 | 13730162 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13730162 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-10-23 | M | AE | PT | FORTIN | R14644640MS1 | NATHANIEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113925113.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_13730162_398e33c7-ec85-4fef-b78f-6d24388f81f3.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | K96 SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9082527373 | N/A | N/A | 5543425 | 2222 | 4801 | 14036676 | N/A | 4215211 | 2025-10-23 00:34:35.190772 | 2026-04-02 22:30:20.020246 |
| 2025-10-22 06:25:56.888705 | 2025-10-23 00:35:47.518415 | 13730138 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 13730138 | Athletic Physical Therapy Inc | 1955-01-29 | 2025-10-23 | F | AE | PT | Pittman | 40042829601 | Jeri | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.114031850.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9905190/check_13730138_39c9bca8-8b40-4bb8-b7ac-cab738cf3220.json | N/A | N/A | N/A | N/A | N/A | 40042829601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1955-01-29 | 2025CA200ABDLAC | H0976DSNP | N/A | N/A | false | PITTMAN | N/A | JERI | N/A | 2025-10-31 | 2025-01-01 | SCAN CONNECTIONS ABD (HMO SNP), LOS ANGELES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9082530342 | N/A | N/A | 9905190 | 2222 | 4802 | 14038294 | N/A | 8292862 | 2025-10-23 00:35:47.518415 | 2025-10-01 22:54:36.621075 |
| 2025-10-22 06:25:56.748952 | 2025-10-23 00:32:16.855649 | 13730130 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 13730130 | Athletic Physical Therapy Inc | 1991-07-22 | 2025-10-23 | M | AE | PT | AZIM | 627771249 | FAIYAZ | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113925113.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543304/check_13730130_d0bfcdef-164c-4308-a22f-bf42659fd069.json | N/A | N/A | N/A | N/A | N/A | 627771249 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 1991-07-22 | 18126CA001000201 | QMXEM01910 | N/A | N/A | false | AZIM | N/A | FAIYAZ | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9082527372 | N/A | N/A | 5543304 | 2222 | 4802 | 14033789 | N/A | 4215118 | 2025-10-23 00:32:16.855649 | 2025-06-02 01:41:59.668874 |
| 2025-10-22 06:25:56.243160 | 2025-10-23 00:31:38.353406 | 13730107 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 13730107 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-10-24 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113925113.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_13730107_10461f21-04a5-4adb-8633-4e2a4ea030c5.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-03-27 | N/A | N/A | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9082527371 | N/A | N/A | 5543270 | 2222 | 4793 | 14032961 | N/A | 4215086 | 2025-10-23 00:31:38.353406 | 2025-05-13 04:29:37.229401 |
| 2025-10-22 06:25:55.753402 | 2025-10-23 00:32:26.778656 | 13730081 | N/A | N/A | 60054 | Aetna | 1114042165 | 13730081 | Athletic Physical Therapy Inc | 1942-12-06 | 2025-10-24 | M | AE | PT | MEADOWS | 101352892200 | STANLEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113925113.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542634/check_13730081_7aec8679-9479-43f1-a15b-898a1bfcdae5.json | N/A | N/A | N/A | N/A | N/A | 101352892200 | Preferred Provider Organization (PPO) | FAIRFAX COUNTY PUBLIC SCHOOLS - MA | AETNA | MEDICARE | 1942-12-06 | 100297-02EG0001 | 100297-02 | N/A | PR | false | MEADOWS | N/A | STANLEY | N/A | N/A | N/A | MEDICARE (C04) ESA PPO PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9082527370 | N/A | N/A | 5542634 | 2222 | 4801 | 14034023 | N/A | 4214520 | 2025-10-23 00:32:26.778656 | 2025-07-28 19:32:04.879318 |
| 2025-10-22 06:25:55.194256 | 2025-10-23 00:34:59.283146 | 13730052 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 13730052 | Athletic Physical Therapy Inc | 1947-02-01 | 2025-10-24 | M | AE | PT | YEE | 412922301 | HARRY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113925113.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541972/check_13730052_c21aff71-ce67-4021-92f3-82bbc73c2d2c.json | N/A | N/A | N/A | N/A | N/A | 412922301 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1947-02-01 | N/A | HCFA21 | N/A | HN | false | YEE | N/A | HARRY | 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 | 9082527089 | N/A | N/A | 5541972 | 2222 | 4793 | 14037239 | N/A | 4213941 | 2025-10-23 00:34:59.283146 | 2025-05-13 04:29:37.228259 |
| 2025-10-22 06:25:54.637222 | 2025-10-23 00:39:33.909595 | 13730023 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13730023 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-10-24 | F | AE | PT | GNAD | 9EM9VP4XX36 | MELANIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113925113.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540676/check_13730023_0e5cd546-7d9a-45d7-ad28-0f76a391dc51.json | N/A | N/A | N/A | N/A | N/A | 9EM9VP4XX36 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-04-16 | S5601 | N/A | N/A | MA | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9082527088 | N/A | N/A | 5540676 | 2222 | 4801 | 14042644 | N/A | 4212792 | 2025-10-23 00:39:33.909595 | 2025-10-07 20:33:25.637997 |
| 2025-10-22 06:25:54.173944 | 2025-10-23 00:35:54.288641 | 13729996 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13729996 | Athletic Physical Therapy Inc | 1997-07-14 | 2025-10-24 | M | PT | N/A | SHERBETJIAN | XED910281081 | JACK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113925113.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540558/check_13729996_3d05c1c0-5232-4c49-9219-56040be5fcb1.json | N/A | N/A | N/A | N/A | N/A | XED910281081 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-14 | 2001ZK002184 | X0001004 | N/A | PR | false | SHERBETJIAN | N/A | JACK | N/A | 9999-12-31 | 2021-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9082527087 | N/A | N/A | 5540558 | 2222 | 4801 | 14038437 | N/A | 4212698 | 2025-10-23 00:35:54.288641 | 2025-05-13 04:29:37.227042 |
| 2025-10-22 06:25:53.616928 | 2025-10-23 00:36:02.868801 | 13729965 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13729965 | Athletic Physical Therapy Inc | 1983-08-31 | 2025-10-24 | M | PT | N/A | FLEMING | SZF839281184 | CHASE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113925113.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539901/check_13729965_ae7172b1-5674-4181-b240-779c46bbecfb.json | N/A | N/A | N/A | N/A | N/A | SZF839281184 | Preferred Provider Organization (PPO) | ACTIVE | CUSTOMER SERVICE | N/A | 1983-08-31 | N/A | 018137 | N/A | PR | false | FLEMING | N/A | CHASE | N/A | 9999-12-31 | 2021-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9082527086 | N/A | N/A | 5539901 | 2222 | 4793 | 14038629 | N/A | 4212134 | 2025-10-23 00:36:02.868801 | 2025-08-05 02:56:55.384378 |
| 2025-10-22 06:25:52.983783 | 2025-10-23 00:35:10.953700 | 13729931 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13729931 | Athletic Physical Therapy Inc | 2008-01-01 | 2025-10-23 | M | PT | N/A | COSTELLO | JXN840A20610 | JAMES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113925113.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539326/check_13729931_befa305c-c174-4823-bdd8-b0dcaa306fac.json | N/A | N/A | N/A | N/A | N/A | JXN840A20610 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 2008-01-01 | 040 | 174222MAA1 | N/A | PR | false | COSTELLO | N/A | PATRICK | N/A | 9999-12-31 | 2022-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9082527085 | N/A | N/A | 5539326 | 2222 | 4793 | 14037513 | N/A | 4211647 | 2025-10-23 00:35:10.953700 | 2025-10-21 19:53:46.280627 |
| 2025-10-22 06:25:52.616086 | 2025-10-23 00:35:53.713052 | 13729912 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13729912 | Athletic Physical Therapy Inc | 1980-10-31 | 2025-10-24 | M | PT | N/A | PAREDES | XEH910686412 | JOSE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113925113.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538615/check_13729912_58057cfc-27f9-4229-a8e3-18abdc6b1413.json | N/A | N/A | N/A | N/A | N/A | XEH910686412 | Health Maintenance Organization (HMO) | TRADER JOE S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1980-10-31 | 1000VX000001 | W0069783 | N/A | HM | false | MORDKA | N/A | LUCAS | N/A | 9999-12-31 | 2021-07-01 | TRADER JOE S COMPANY CUSTOM EYE EXAM ONLY 20 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9082527084 | N/A | N/A | 5538615 | 2222 | 4793 | 14038424 | N/A | 4211010 | 2025-10-23 00:35:53.713052 | 2025-09-30 17:03:18.054141 |
| 2025-10-22 06:25:51.983788 | 2025-10-23 00:39:33.407644 | 13729885 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13729885 | Athletic Physical Therapy Inc | 1954-01-12 | 2025-10-23 | F | AE | PT | FINCH | 3YV4XM6FP06 | DAWN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113925113.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538472/check_13729885_3df1f162-cb01-4689-a5e8-7e8bf7969a4b.json | N/A | N/A | N/A | N/A | N/A | 3YV4XM6FP06 | Medicare Part A | N/A | OPTUM INSURANCE OF OHIO, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-12 | S8841 | N/A | N/A | MA | false | FINCH | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9082527083 | N/A | N/A | 5538472 | 2222 | 4802 | 14042636 | N/A | 4210886 | 2025-10-23 00:39:33.407644 | 2025-05-13 04:29:37.225284 |
| 2025-10-22 06:25:51.393112 | 2025-10-23 00:39:35.567600 | 13729856 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13729856 | Athletic Physical Therapy Inc | 1946-08-26 | 2025-10-24 | M | AE | PT | ROTHMAN | 6H65JC7UD67 | MIKE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113925113.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536194/check_13729856_f18df675-72ed-4b52-b3df-d51e4a5f4446.json | N/A | N/A | N/A | N/A | N/A | 6H65JC7UD67 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-08-26 | S4802 | N/A | N/A | MA | false | ROTHMAN | N/A | MIKE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9082527082 | N/A | N/A | 5536194 | 2222 | 4801 | 14042675 | N/A | 4208978 | 2025-10-23 00:39:35.567600 | 2025-05-13 04:29:37.223404 |
| 2025-10-22 06:25:50.289967 | 2025-10-23 00:39:36.201328 | 13729805 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13729805 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-10-24 | M | AE | PT | ULLMAN | 3A76X26KQ40 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113925113.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535838/check_13729805_7173bf6d-342b-4858-8721-75baca70a279.json | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9082527081 | N/A | N/A | 5535838 | 2222 | 4801 | 14042689 | N/A | 4208696 | 2025-10-23 00:39:36.201328 | 2025-06-07 16:16:45.844566 |
| 2025-10-22 06:25:40.349744 | 2025-10-23 00:38:32.886807 | 13729296 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13729296 | Athletic Physical Therapy Inc | 1956-05-22 | 2025-10-24 | F | AE | PT | CHOOBIN | 6F99G11UV44 | KEFAYAT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.112718560.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8205054/check_13729296_127c6a66-b478-4d9d-92ac-3e07f8abbf77.json | N/A | N/A | N/A | N/A | N/A | 6F99G11UV44 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-05-22 | S4802 | N/A | N/A | MA | false | CHOOBIN | N/A | KEFAYAT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9082478848 | N/A | N/A | 8205054 | 2222 | 4793 | 14041492 | N/A | 6967073 | 2025-10-23 00:38:32.886807 | 2025-08-26 17:15:30.662072 |
| 2025-10-22 06:25:31.120359 | 2025-10-23 00:38:58.284285 | 13728826 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13728826 | Athletic Physical Therapy Inc | 1959-02-04 | 2025-10-24 | F | AE | PT | SMITS | 9TF8JW2XU20 | HEIDI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113037802.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681583/check_13728826_6389cbe2-1380-4c91-a9cf-8ea0445ea1fa.json | N/A | N/A | N/A | N/A | N/A | 9TF8JW2XU20 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-04 | S4802 | N/A | N/A | MB | false | SMITS | N/A | HEIDI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9082493062 | N/A | N/A | 9681583 | 2222 | 4793 | 14041981 | N/A | 8101289 | 2025-10-23 00:38:58.284285 | 2025-09-24 17:05:46.431721 |
| 2025-10-22 06:25:17.129531 | 2025-10-23 00:30:57.109674 | 13728106 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 13728106 | Athletic Physical Therapy Inc | 1956-07-22 | 2025-10-23 | F | AE | PT | DURAN DE PANTOJA | 43649326 | ROSA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.112718560.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8088383/check_13728106_281c5968-0ce8-49ca-ac7a-a6bd142e8800.json | N/A | N/A | N/A | N/A | N/A | 43649326 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-07-22 | N/A | N/A | N/A | N/A | false | DURAN DE PANTOJA | N/A | ROSA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9082478496 | N/A | N/A | 8088383 | 2222 | 4793 | 14032533 | N/A | 6871702 | 2025-10-23 00:30:57.109674 | 2025-08-14 21:08:52.019264 |
| 2025-10-22 06:25:15.703552 | 2025-10-23 00:36:01.599304 | 13728029 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13728029 | Athletic Physical Therapy Inc | 1949-12-31 | 2025-10-24 | M | AE | PT | TSING | 00000282272 | KONGHSUNG | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113741262.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8978036/check_13728029_a4c61c92-cfda-45ad-bf8d-a8205a648629.json | N/A | N/A | N/A | N/A | N/A | 00000282272 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1949-12-31 | N/A | N/A | N/A | N/A | false | TSING | N/A | KONGHSUNG | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9082519582 | N/A | N/A | 8978036 | 2222 | 4793 | 14038605 | 2630 | 7492332 | 2025-10-23 00:36:01.599304 | 2025-10-01 21:03:48.525986 |
| 2025-10-22 06:25:15.611794 | 2025-10-23 00:34:22.035513 | 13728024 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13728024 | Athletic Physical Therapy Inc | 2008-02-14 | 2025-10-24 | M | PT | N/A | MAZZA | XDM860A72836 | JACK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.112718560.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8083036/check_13728024_0913b8c3-f3c3-4797-8d63-ce3d4d2d09aa.json | N/A | N/A | N/A | N/A | N/A | XDM860A72836 | Preferred Provider Organization (PPO) | CAHP HEALTH BENEFITS TRUST | ANTHEM BLUE CROSS | N/A | 2008-02-14 | 040 | 1855RA | N/A | PR | false | MAZZA | N/A | MICHAEL | N/A | 9999-12-31 | 2014-01-01 | PPO PB CLASSIC HOSP / PBP INCENTIVE PROF | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9082479358 | N/A | N/A | 8083036 | 2222 | 4801 | 14036384 | N/A | 6866179 | 2025-10-23 00:34:22.035513 | 2025-08-14 16:10:19.684218 |
| 2025-10-22 06:25:07.152405 | 2025-10-23 00:36:32.160554 | 13727575 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13727575 | Athletic Physical Therapy Inc | 1961-05-16 | 2025-10-24 | F | PT | N/A | GARCIA | JQU725A51750 | THERESA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.114031850.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9895640/check_13727575_854d1024-b76a-4238-991d-66298f073afe.json | N/A | N/A | N/A | N/A | N/A | JQU725A51750 | Preferred Provider Organization (PPO) | HARRISON EICHENBERG AND MURPHY LLP | ANTHEM BLUE CROSS | N/A | 1961-05-16 | 040 | H82608 | N/A | PR | false | GARCIA | N/A | THERESA | N/A | 9999-12-31 | 2025-09-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9082529877 | N/A | N/A | 9895640 | 2222 | 4793 | 14039202 | N/A | 8285172 | 2025-10-23 00:36:32.160554 | 2025-10-06 14:32:40.429816 |
| 2025-10-22 06:24:34.083231 | 2025-10-23 00:36:39.217406 | 13726066 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13726066 | Athletic Physical Therapy Inc | 1956-06-26 | 2025-10-24 | F | AE | PT | SUAREZ | JQE410W22492 | ANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113132131.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9083355/check_13726066_1fe34ed3-e108-4045-859b-cd8457c90425.json | N/A | N/A | N/A | N/A | N/A | JQE410W22492 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1956-06-26 | 040 | CASUPWP0 | N/A | N/A | false | SUAREZ | N/A | ANA | N/A | 9999-12-31 | 2025-01-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9082504121 | N/A | N/A | 9083355 | 2222 | 4801 | 14039348 | N/A | 7600312 | 2025-10-23 00:36:39.217406 | 2025-09-04 18:19:39.478018 |
| 2025-10-22 06:24:25.766552 | 2025-10-23 00:35:45.342648 | 13725714 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13725714 | Athletic Physical Therapy Inc | 1944-02-19 | 2025-10-24 | M | PT | N/A | CHRISTIE | JQS302A78569 | GEORGE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251022.113037802.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9635046/check_13725714_13f5b8e7-a421-4112-87ca-1c8d2b2d1f3e.json | N/A | N/A | N/A | N/A | N/A | JQS302A78569 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1944-02-19 | 040 | CAMCRWP0 | N/A | MP | false | CHRISTIE JR | N/A | GEORGE | 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 | 9082492776 | N/A | N/A | 9635046 | 2222 | 4801 | 14038248 | N/A | 4213398 | 2025-10-23 00:35:45.342648 | 2025-09-22 22:02:57.508447 |
| 2025-10-22 06:24:08.045439 | 2025-10-22 06:24:10.958627 | 13725057 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-05-16 | 2025-10-22 | F | PT | N/A | BERRY | GGS142A51835 | LEANNE | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536701/check_13725057_4e54aba0-e17a-4a8a-b67e-f164647eac9d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536701/check_13725057_6ace2d4b-e220-45c7-b0f4-d2681ed65abd.json | N/A | N/A | N/A | N/A | N/A | GGS142A51835 | Preferred Provider Organization (PPO) | GOOGLE PPO | ANTHEM BLUE CROSS | N/A | 1975-05-16 | 040 | 174134M2A1 | N/A | PR | false | BERRY | N/A | CRAIG | N/A | 9999-12-31 | 2017-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9082471243 | N/A | N/A | 5536701 | 2222 | N/A | 14011222 | N/A | 4209398 | 2025-10-22 06:24:10.958627 | 2025-11-05 08:20:15.147573 |