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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-21 07:13:29.371195 | 2025-10-22 00:51:30.857620 | 13700536 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13700536 | Athletic Physical Therapy Inc | 2012-11-14 | 2025-10-23 | F | PT | IOANNOU | PAS839113807 | PENELOPE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123458973.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6621141/check_13700536_b3275b7c-ad5f-4b03-8438-67d77a3a6908.json | N/A | N/A | N/A | N/A | N/A | PAS839113807 | Preferred Provider Organization (PPO) | WEST HEALTH CARE NETWORK | CUSTOMER SERVICE | N/A | 2012-11-14 | N/A | 152010 | N/A | PR | false | IOANNOU | N/A | GEORGE | N/A | 9999-12-31 | 2018-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072292795 | N/A | N/A | 6621141 | 2222 | 4801 | 13995652 | N/A | 5237460 | 2025-10-22 00:51:30.857620 | 2025-07-24 16:59:54.908041 |
| 2025-10-21 07:13:18.743334 | 2025-10-22 00:47:15.002691 | 13700174 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 13700174 | Athletic Physical Therapy Inc | 1947-09-20 | 2025-10-24 | M | AE | SHIMOHARA | H7561028700 | STANLEY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123458973.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6594216/check_13700174_6cdf7f86-c387-492f-a8bd-3b0828907521.json | N/A | N/A | N/A | N/A | N/A | H75610287 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1947-09-20 | N/A | 0B527001 | N/A | HN | false | SHIMOHARA | N/A | STANLEY | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072292168 | N/A | N/A | 6594216 | 2222 | 4801 | 13992476 | N/A | 5213181 | 2025-10-22 00:47:15.002691 | 2025-07-28 18:07:32.231640 |
| 2025-10-21 07:13:01.067173 | 2025-10-22 05:06:09.404998 | 13699697 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13699697 | Athletic Physical Therapy Inc | 1961-03-10 | 2025-10-24 | M | PT | WEBBER | NEI801068106 | CHAD | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.102023372.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8204846/check_13699697_d2342d71-731e-4283-aa99-47a384a6bd22.json | N/A | N/A | N/A | N/A | N/A | NEI801068106 | Preferred Provider Organization (PPO) | NATIONAL ELEVATOR INDUSTRY HBP | ANTHEM BLUE CROSS | N/A | 1961-03-10 | N/A | P13346 | N/A | PR | false | WEBBER | N/A | CHAD | N/A | 2025-12-31 | 2021-10-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072281804 | N/A | N/A | 8204846 | 2222 | 4801 | 14008859 | N/A | 6966879 | 2025-10-22 05:06:09.404998 | 2025-08-19 23:20:37.306121 |
| 2025-10-21 07:13:00.474523 | 2025-10-22 00:48:12.471903 | 13699682 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13699682 | Athletic Physical Therapy Inc | 1959-04-06 | 2025-10-22 | M | PT | RODRIGUEZ | MMA012W19973 | ROBERTO | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123629670.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9904588/check_13699682_9f0a6924-e4a3-4a29-9c66-6ff095d55b70.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 | 9072302974 | N/A | N/A | 9904588 | 2222 | 4793 | 13993139 | 4184 | 8292442 | 2025-10-22 00:48:12.471903 | 2025-10-03 00:00:11.631948 |
| 2025-10-21 07:12:58.177351 | 2025-10-22 00:51:09.239031 | 13699622 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13699622 | Athletic Physical Therapy Inc | 1966-03-26 | 2025-10-24 | F | PT | Deschatres | XED912070650 | Nathalie | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123458973.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577909/check_13699622_4991754b-aa0d-473c-bde6-50a31299ee51.json | N/A | N/A | N/A | N/A | N/A | XED912070650 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1966-03-26 | 2001ZK002186 | X0001004 | N/A | PR | false | DESCHATRES | N/A | NATHALIE | N/A | 9999-12-31 | 2023-02-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072293265 | N/A | N/A | 6577909 | 2222 | 4802 | 13995455 | N/A | 4766701 | 2025-10-22 00:51:09.239031 | 2025-06-03 21:11:46.573919 |
| 2025-10-21 07:12:54.150698 | 2025-10-22 05:04:02.321653 | 13699527 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 13699527 | Athletic Physical Therapy Inc | 1958-02-20 | 2025-10-23 | F | AE | SHERRY | H7159538300 | PAULA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.102023372.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8193020/check_13699527_7fbbecc3-d03a-4dca-b3c7-74c3977c2c34.json | N/A | N/A | N/A | N/A | N/A | H71595383 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1958-02-20 | N/A | 0B527001 | N/A | HN | false | SHERRY | N/A | PAULA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072282859 | N/A | N/A | 8193020 | 2222 | 4801 | 14008533 | N/A | 4214141 | 2025-10-22 05:04:02.321653 | 2025-05-13 04:29:37.228469 |
| 2025-10-21 07:12:39.004455 | 2025-10-22 05:10:54.770260 | 13699207 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13699207 | Athletic Physical Therapy Inc | 1944-09-29 | 2025-10-24 | F | AE | GUASTELLA | 5V49H98DH38 | ROSE ANN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.102023372.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8167484/check_13699207_3f0508ed-2713-4fa6-8148-0a92add392d3.json | N/A | N/A | N/A | N/A | N/A | 5V49H98DH38 | Medicare Part A | N/A | BLUE CROSS OF CALIFORNIA | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-09-29 | H0544 | N/A | N/A | MA | false | GUASTELLA | N/A | ROSE ANN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072281299 | N/A | N/A | 8167484 | 2222 | 4801 | 14009555 | N/A | 6407685 | 2025-10-22 05:10:54.770260 | 2025-08-12 18:01:47.141909 |
| 2025-10-21 07:12:19.857517 | 2025-10-22 00:38:41.795606 | 13698852 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13698852 | Athletic Physical Therapy Inc | 1998-10-29 | 2025-10-23 | M | PT | MARSHALL | JQU309W24257 | THOMAS | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.104126746.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458512/check_13698852_fba25dfb-ea02-4f51-bc67-855ccc56f3d7.json | N/A | N/A | N/A | N/A | N/A | JQU309W24257 | Preferred Provider Organization (PPO) | SUNSTONE PROPERTIES LLC | ANTHEM BLUE CROSS | N/A | 1998-10-29 | 040 | A35988 | N/A | PR | false | MARSHALL | N/A | THOMAS | N/A | 9999-12-31 | 2025-07-01 | ANTHEM PLATINUM PPO 15/40/10% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072290746 | N/A | N/A | 7458512 | 2222 | 4793 | 13987327 | N/A | 6021448 | 2025-10-22 00:38:41.795606 | 2025-07-14 23:05:51.728886 |
| 2025-10-21 07:12:18.006406 | 2025-10-22 00:38:40.646812 | 13698820 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13698820 | Athletic Physical Therapy Inc | 1965-07-08 | 2025-10-23 | F | PT | CHALFIN | WAR121A52220 | LISA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.104126746.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456267/check_13698820_504eb711-0704-42f1-9613-89b5e41845e7.json | N/A | N/A | N/A | N/A | N/A | WAR121A52220 | Exclusive Provider Organization | WARNER PACIFIC INSURANCE SERVICES | ANTHEM BLUE CROSS | N/A | 1965-07-08 | 040 | 282843M017 | N/A | EP | false | CHALFIN | N/A | LISA | N/A | 9999-12-31 | 2025-03-01 | PRUDENT BUYER EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072290655 | N/A | N/A | 7456267 | 2222 | 4793 | 13987324 | N/A | 6405582 | 2025-10-22 00:38:40.646812 | 2025-08-04 21:58:38.426681 |
| 2025-10-21 07:12:17.485896 | 2025-10-22 00:52:39.289774 | 13698809 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13698809 | Athletic Physical Therapy Inc | 1953-11-15 | 2025-10-23 | M | AE | REISMAN | 7JW4EK4UR89 | MARK | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123629670.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9868745/check_13698809_250a6d18-f07e-458f-b97b-9c2bc51c1ff0.json | N/A | N/A | N/A | N/A | N/A | 7JW4EK4UR89 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-11-15 | N/A | N/A | N/A | MA | false | REISMAN | N/A | MARK | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072301590 | N/A | N/A | 9868745 | 2222 | 4802 | 13996303 | N/A | 8262262 | 2025-10-22 00:52:39.289774 | 2025-09-30 22:45:25.940454 |
| 2025-10-21 07:12:13.794007 | 2025-10-21 07:12:48.513348 | 13698746 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-10-21 | F | AE | YUNG | 00854676304 | MAYA | PT | 6338 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_13698746_5e0e6dc9-e0ff-4f4f-8a52-2362f810e77a.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-10-21 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2025-10-21 07:12:48.513348 | 2025-05-13 04:29:37.229495 |
| 2025-10-21 07:12:09.149284 | 2025-10-22 00:31:26.931147 | 13698628 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13698628 | Athletic Physical Therapy Inc | 1962-09-23 | 2025-10-23 | M | AE | Thur | 95641377F | Pyi | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.104126746.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449843/check_13698628_66442642-5d6a-460c-ba6f-bc33ea4d0002.json | N/A | N/A | N/A | N/A | N/A | 95641377F | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1962-09-23 | N/A | N/A | N/A | N/A | false | THUR | N/A | PYI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072290542 | N/A | N/A | 7449843 | 2222 | 4802 | 13983693 | N/A | 6399635 | 2025-10-22 00:31:26.931147 | 2025-07-29 18:42:47.970149 |
| 2025-10-21 07:12:07.492444 | 2025-10-22 00:58:25.696257 | 13698588 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13698588 | Athletic Physical Therapy Inc | 1947-08-18 | 2025-10-23 | F | AE | FABER | 4X26K21EE83 | LINDA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123458973.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_13698588_b57b9b19-e17d-4161-940d-4dd7aa278a0d.json | N/A | N/A | N/A | N/A | N/A | 4X26K21EE83 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-08-18 | S5617 | N/A | N/A | MB | false | FABER | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072292472 | N/A | N/A | 6522947 | 2222 | 4802 | 13998648 | N/A | 5146127 | 2025-10-22 00:58:25.696257 | 2025-06-20 17:58:23.371130 |
| 2025-10-21 07:11:55.986857 | 2025-10-22 00:52:38.938796 | 13698302 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13698302 | Athletic Physical Therapy Inc | 1947-07-23 | 2025-10-24 | F | AE | JOHNSON | 1CX4UU0NX84 | JUANITA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123629670.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9862554/check_13698302_db41f0a9-f7a9-4a59-9280-3fbd9f82c5cc.json | N/A | N/A | N/A | N/A | N/A | 1CX4UU0NX84 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-07-23 | S5884 | N/A | N/A | MA | false | JOHNSON | N/A | JUANITA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072301261 | N/A | N/A | 9862554 | 2222 | 4801 | 13996300 | N/A | 8258095 | 2025-10-22 00:52:38.938796 | 2025-09-30 21:32:44.934397 |
| 2025-10-21 07:11:50.706182 | 2025-10-22 00:48:11.327124 | 13698168 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13698168 | Athletic Physical Therapy Inc | 1973-10-11 | 2025-10-23 | F | PT | GAIKI | WZA401W18564 | ASHWINI | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123629670.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9858377/check_13698168_fcbcc694-1880-4a06-acd8-580df2f7c2e9.json | N/A | N/A | N/A | N/A | N/A | WZA401W18564 | Preferred Provider Organization (PPO) | WARNER BROS DISCOVERY INC | ANTHEM BLUE CROSS | N/A | 1973-10-11 | 130 | 270240M35A | N/A | PR | false | GAIKI | N/A | AKASH | N/A | 9999-12-31 | 2024-01-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072303592 | N/A | N/A | 9858377 | 2222 | 4801 | 13993128 | N/A | 8253977 | 2025-10-22 00:48:11.327124 | 2025-10-08 15:49:07.618378 |
| 2025-10-21 07:11:46.079240 | 2025-10-22 00:50:09.114853 | 13698058 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13698058 | Athletic Physical Therapy Inc | 1965-05-30 | 2025-10-23 | M | PT | RODRIGUEZ | H5Q045W16688 | ROBERTO | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123458973.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6491817/check_13698058_8eed7f19-2ef1-4256-af7f-71283ef5f3ca.json | N/A | N/A | N/A | N/A | N/A | H5Q045W16688 | Preferred Provider Organization (PPO) | THE CHEESECAKE FACTORY RESTAURANTS INC | ANTHEM BLUE CROSS | N/A | 1965-05-30 | 040 | 174297M1AD | N/A | PR | false | ROLDAN | N/A | BRENDA | N/A | 9999-12-31 | 2025-01-01 | BC PPO EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072291514 | N/A | N/A | 6491817 | 2222 | 4801 | 13994736 | N/A | 5120889 | 2025-10-22 00:50:09.114853 | 2025-06-23 18:24:54.219050 |
| 2025-10-21 07:11:26.236318 | 2025-10-21 07:11:29.035656 | 13697584 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-07-07 | 2025-10-21 | F | AE | GOEL | JQE690A74746 | VEENA | PT | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8969545/check_13697584_0a9a5bb7-4ece-4288-93b0-6987276614fd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969545/check_13697584_6bd2fa1f-cdf2-42da-9d88-6e1951b23bdf.json | N/A | N/A | N/A | N/A | N/A | JQE690A74746 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1948-07-07 | 040 | CASUPWP0 | N/A | N/A | false | GOEL | N/A | VEENA | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072173108 | N/A | N/A | 8969545 | 2222 | N/A | 13965849 | N/A | 7485064 | 2025-10-21 07:11:29.035656 | 2025-12-29 22:41:16.623495 |
| 2025-10-21 07:11:19.520874 | 2025-10-22 00:32:44.368943 | 13697350 | N/A | N/A | 60054 | Aetna | 1114042165 | 13697350 | Athletic Physical Therapy Inc | 2008-12-08 | 2025-10-24 | F | AE | OMORUYI | W295020264 | KENDALL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.104131666.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10301744/check_13697350_90eb51cd-56c3-4b06-9eb0-9f7bc61aebdb.json | N/A | N/A | N/A | N/A | N/A | W295020264 | Exclusive Provider Organization | STANFORD HEALTH CARE | AETNA | N/A | 2008-12-08 | 0283901 | 028390101500007 | N/A | EP | false | OMORUYI | N/A | GENEVIEVE | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072266903 | N/A | N/A | 10301744 | 2222 | 4793 | 13984380 | N/A | 8571836 | 2025-10-22 00:32:44.368943 | 2025-10-17 22:58:50.492653 |
| 2025-10-21 07:11:19.004253 | 2025-10-22 00:37:38.545446 | 13697330 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 13697330 | Athletic Physical Therapy Inc | 1940-04-13 | 2025-10-24 | F | AE | PRIVITT | 31072079201 | NORMA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.104131666.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10301619/check_13697330_28ff0a87-9717-431a-83e1-e8cb29519bf7.json | N/A | N/A | N/A | N/A | N/A | 31072079201 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1940-04-13 | 2025H5425001 | H5425M | N/A | N/A | false | PRIVITT | N/A | NORMA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072266900 | N/A | N/A | 10301619 | 2222 | 4793 | 13986874 | N/A | 8571670 | 2025-10-22 00:37:38.545446 | 2025-10-20 20:59:28.219223 |
| 2025-10-21 07:11:11.966674 | 2025-10-21 07:11:14.154439 | 13697031 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-06-17 | 2025-10-21 | M | AE | THOMPSON | XEM906571592 | JAMES | PT | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6577665/check_13697031_e51ab0cf-e93b-46a1-a1ca-b49b577f0196.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577665/check_13697031_e7479045-7b24-4ede-8e8a-a35996c44fc1.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 | 9072172262 | N/A | N/A | 6577665 | 2222 | N/A | 13965697 | N/A | 5197700 | 2025-10-21 07:11:14.154439 | 2025-06-30 15:33:47.069983 |
| 2025-10-21 07:11:06.966766 | 2025-10-22 00:40:59.054902 | 13696809 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13696809 | Athletic Physical Therapy Inc | 1963-01-14 | 2025-10-23 | F | PT | KRAFT | XED911569862 | KATHRIN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.104126746.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7294742/check_13696809_752a34ae-9652-4ace-8307-c58e022f5068.json | N/A | N/A | N/A | N/A | N/A | XED911569862 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-01-14 | 2001ZK002184 | X0001004 | N/A | PR | false | KRAFT | N/A | KATHRIN | N/A | 9999-12-31 | 2022-08-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072290396 | N/A | N/A | 7294742 | 2222 | 4801 | 13988507 | N/A | 6254569 | 2025-10-22 00:40:59.054902 | 2025-08-12 09:24:43.956957 |
| 2025-10-21 07:10:56.276627 | 2025-10-22 00:45:38.462533 | 13696378 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13696378 | Athletic Physical Therapy Inc | 1952-07-15 | 2025-10-23 | M | AE | WOLFE | 9Y10EH3AK90 | MICHAEL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.104131666.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10239788/check_13696378_ab4f4520-2968-43de-b91a-6de396a2645d.json | N/A | N/A | N/A | N/A | N/A | 9Y10EH3AK90 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-15 | S5617 | N/A | N/A | MA | false | WOLFE | 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 | 9072267131 | N/A | N/A | 10239788 | 2222 | 4793 | 13991258 | N/A | 8527464 | 2025-10-22 00:45:38.462533 | 2025-10-14 15:25:46.972104 |
| 2025-10-21 07:10:46.221609 | 2025-10-22 00:48:13.052157 | 13696003 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13696003 | Athletic Physical Therapy Inc | 1947-12-09 | 2025-10-24 | F | PT | TAFFERT | MMA462W19663 | VIRGINIA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123629670.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9830424/check_13696003_44105271-e0ee-43d2-8e0e-155cd0fa8670.json | N/A | N/A | N/A | N/A | N/A | MMA462W19663 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1947-12-09 | 040 | CAMCRWP0 | N/A | MP | false | TAFFERT | N/A | VIRGINIA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-009-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072303108 | N/A | N/A | 9830424 | 2222 | 4793 | 13993146 | N/A | 8232327 | 2025-10-22 00:48:13.052157 | 2025-09-29 20:43:06.367634 |
| 2025-10-21 07:10:35.169616 | 2025-10-22 00:43:59.661273 | 13695533 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 13695533 | Athletic Physical Therapy Inc | 1962-06-24 | 2025-10-23 | F | AE | GOMEZ | 44116442 | CAROL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123458973.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6434660/check_13695533_b69d2a43-569f-4eb0-8f3f-0e3212311d72.json | N/A | N/A | N/A | N/A | N/A | 44116442 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1962-06-24 | 406-024-000 | N/A | N/A | N/A | false | GOMEZ | N/A | CAROL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072293207 | N/A | N/A | 6434660 | 2222 | 4801 | 13990407 | 6798 | 5079832 | 2025-10-22 00:43:59.661273 | 2025-06-23 20:02:36.660262 |
| 2025-10-21 07:10:31.336058 | 2025-10-22 00:38:22.380762 | 13695365 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 13695365 | Athletic Physical Therapy Inc | 1976-02-07 | 2025-10-24 | F | AE | MALTSEVA | 94237973H65017 | YEVHENIIA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.104126746.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7253095/check_13695365_3370ee0c-b287-4dfc-b3f6-4bf00defc111.json | N/A | N/A | N/A | N/A | N/A | 94237973H65017 | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1976-02-07 | N/A | N/A | N/A | N/A | false | MALTSEVA | N/A | YEVHENIIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072287597 | N/A | N/A | 7253095 | 2222 | 4802 | 13987195 | N/A | 6219145 | 2025-10-22 00:38:22.380762 | 2025-07-21 16:40:35.276086 |
| 2025-10-21 07:10:15.573720 | 2025-10-22 02:38:00.040710 | 13694588 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13694588 | Athletic Physical Therapy Inc | 1960-07-20 | 2025-10-23 | F | AE | NAFTZGER | XEM914412859 | SANDRA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123419498.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6194938/check_13694588_30a919c0-ec47-43b3-905f-7826d900f73b.json | N/A | N/A | N/A | N/A | N/A | XEM914412859 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1960-07-20 | 2002SEW00030 | X0001002 | N/A | OT | false | NAFTZGER | N/A | SANDRA | 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 | 9072278895 | N/A | N/A | 6194938 | 2222 | 4802 | 14002054 | N/A | 4214889 | 2025-10-22 02:38:00.040710 | 2025-05-13 04:29:37.229212 |
| 2025-10-21 07:10:10.926851 | 2025-10-22 00:38:40.837113 | 13694355 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 13694355 | Athletic Physical Therapy Inc | 1983-05-09 | 2025-10-23 | F | AE | RAJCIC | 622299781 | MAJA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.104131666.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10172287/check_13694355_c6ca47d7-9536-44d9-9e74-f1d82fd86c79.json | N/A | N/A | N/A | N/A | N/A | 622299781 | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1983-05-09 | N/A | N/A | N/A | N/A | false | RAJCIC | N/A | MAJA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072266769 | N/A | N/A | 10172287 | 2222 | 4802 | 13987322 | N/A | 8473558 | 2025-10-22 00:38:40.837113 | 2025-10-10 16:40:45.584452 |
| 2025-10-21 07:10:10.064507 | 2025-10-22 05:05:40.469858 | 13694313 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13694313 | Athletic Physical Therapy Inc | 1949-01-02 | 2025-10-24 | F | AE | TARASEVYCH | 90733231H | VIRA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.102023372.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8050658/check_13694313_aa7bf4ff-b8c4-497a-a66f-4a3b2d896a8d.json | N/A | N/A | N/A | N/A | N/A | 90733231H | N/A | N/A | HEALTH NET, LLC | N/A | 1949-01-02 | N/A | N/A | N/A | N/A | false | TARASEVYCH | N/A | VIRA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072281965 | N/A | N/A | 8050658 | 2222 | 4793 | 14008785 | N/A | 6845945 | 2025-10-22 05:05:40.469858 | 2025-08-20 15:30:30.230373 |
| 2025-10-21 07:10:06.100552 | 2025-10-22 02:37:10.961404 | 13694105 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13694105 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-10-24 | M | AE | JACOBS | JQE406W03039 | PATRICIA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123419498.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993913/check_13694105_baefbf6a-f11f-444b-a106-97a6d5b7bbcd.json | N/A | N/A | N/A | N/A | N/A | JQE406W03039 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1939-06-25 | 040 | CASUPWP0 | N/A | N/A | false | JACOBS | N/A | PATRICIA | N/A | 9999-12-31 | 2019-12-11 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072279063 | N/A | N/A | 5993913 | 2222 | 4793 | 14001770 | N/A | 4642852 | 2025-10-22 02:37:10.961404 | 2025-11-21 18:38:17.056437 |
| 2025-10-21 07:09:56.513338 | 2025-10-22 02:31:32.151781 | 13693550 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 13693550 | Athletic Physical Therapy Inc | 1954-05-11 | 2025-10-24 | M | AE | A Peters | 32146482611 | Dennis | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123419498.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550027/check_13693550_3aeb49e0-810a-4a85-8d29-848e98b27390.json | N/A | N/A | N/A | N/A | N/A | 32146482611 | 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. | 1954-05-11 | N/A | N/A | N/A | SP | false | PETERS | N/A | DENNIS | 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 | 9072280541 | N/A | N/A | 5550027 | 2222 | 4801 | 13999944 | N/A | 4219449 | 2025-10-22 02:31:32.151781 | 2025-10-07 21:32:27.567534 |
| 2025-10-21 07:09:56.435246 | 2025-10-22 02:31:32.389071 | 13693545 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 13693545 | Athletic Physical Therapy Inc | 1944-04-25 | 2025-10-24 | F | AE | ROSENTHAL | 30096718111 | PHYLLIS | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123419498.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541888/check_13693545_f2b72bb3-4648-450d-a7ef-37791f789c3f.json | N/A | N/A | N/A | N/A | N/A | 30096718111 | 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. | 1944-04-25 | N/A | N/A | N/A | SP | false | ROSENTHAL | N/A | PHYLLIS | 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 | 9072280540 | N/A | N/A | 5541888 | 2222 | 4802 | 13999945 | N/A | 4213865 | 2025-10-22 02:31:32.389071 | 2025-05-13 04:29:37.228183 |
| 2025-10-21 07:09:56.353433 | 2025-10-22 02:37:10.633246 | 13693540 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13693540 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-10-24 | M | PT | FINNLEY | M4R134071249001 | ZEV | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123419498.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539665/check_13693540_92cb9326-abd5-48e2-9e56-36a0b9b1fa65.json | N/A | N/A | N/A | N/A | N/A | M4R134071249001 | Preferred Provider Organization (PPO) | N/A | COMMERCIAL INSURANCE | FUNDING TYPE = SELF INSURED | 1991-07-13 | 379 | 174022MJAC | N/A | PR | false | FINNLEY | N/A | MARIKO | N/A | N/A | N/A | NENY PPO BLENDED MED/SURG | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072280538 | N/A | N/A | 5539665 | 2222 | 4793 | 14001767 | N/A | 4211935 | 2025-10-22 02:37:10.633246 | 2025-05-13 04:29:37.226259 |
| 2025-10-21 07:09:56.168718 | 2025-10-22 02:37:10.305915 | 13693528 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13693528 | Athletic Physical Therapy Inc | 1952-12-18 | 2025-10-24 | F | AE | DU BRIN | JQE162M93481 | SUSAN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123419498.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538605/check_13693528_c6b542ae-af91-4e5b-bb72-e0c49401d407.json | N/A | N/A | N/A | N/A | N/A | JQE162M93481 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-12-18 | 040 | CASUPWP0 | N/A | N/A | false | DU BRIN | N/A | SUSAN | N/A | 9999-12-31 | 2021-03-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072280537 | N/A | N/A | 5538605 | 2222 | 4793 | 14001765 | N/A | 4210998 | 2025-10-22 02:37:10.305915 | 2026-02-23 18:49:01.874308 |
| 2025-10-21 07:09:56.046857 | 2025-10-22 02:31:31.579705 | 13693522 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 13693522 | Athletic Physical Therapy Inc | 1951-06-30 | 2025-10-24 | F | AE | CHADORCHI | 33261790711 | JAFFA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123419498.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537483/check_13693522_5b5da77b-752d-4ac5-8fb5-6fe2b497d006.json | N/A | N/A | N/A | N/A | N/A | 33261790711 | 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. | 1951-06-30 | N/A | N/A | N/A | SP | false | CHADORCHI | N/A | JAFFA | 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 | 9072280536 | N/A | N/A | 5537483 | 2222 | 4802 | 13999940 | N/A | 4210038 | 2025-10-22 02:31:31.579705 | 2025-06-02 14:57:36.820684 |
| 2025-10-21 07:09:55.950935 | 2025-10-22 02:31:31.858121 | 13693514 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 13693514 | Athletic Physical Therapy Inc | 1939-10-22 | 2025-10-24 | M | AE | ODONNELL | 02722745411 | JOHN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123419498.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535496/check_13693514_9041a432-cd3c-4d25-a2a0-dfbf57bb6166.json | N/A | N/A | N/A | N/A | N/A | 02722745411 | 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. | 1939-10-22 | N/A | N/A | N/A | SP | false | O DONNELL | N/A | JOHN | 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 | 9072280535 | N/A | N/A | 5535496 | 2222 | 4802 | 13999942 | N/A | 4208408 | 2025-10-22 02:31:31.858121 | 2025-05-13 04:29:37.222823 |
| 2025-10-21 07:09:55.765458 | 2025-10-22 00:49:10.130317 | 13693502 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13693502 | Athletic Physical Therapy Inc | 1990-09-04 | 2025-10-24 | M | PT | HASHEMI | XEA914007676 | SEYED | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123438337.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541956/check_13693502_b6f5f788-a71c-46f7-83d9-d775d93c421c.json | N/A | N/A | N/A | N/A | N/A | XEA914007676 | Preferred Provider Organization (PPO) | SILVUS TECHNOLOGIES INC | BLUE SHIELD CALIFORNIA | N/A | 1990-09-04 | 1000PPOX0002 | W3000628 | N/A | PR | false | HASHEMI | N/A | SEYED MEHRDAD | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1800 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072276426 | N/A | N/A | 5541956 | 2222 | 4802 | 13993929 | N/A | 4213923 | 2025-10-22 00:49:10.130317 | 2025-05-13 04:29:37.228244 |
| 2025-10-21 07:09:55.695283 | 2025-10-22 00:53:50.060962 | 13693499 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13693499 | Athletic Physical Therapy Inc | 1944-04-25 | 2025-10-24 | F | AE | ROSENTHAL | 6WM0N21VW35 | PHYLLIS | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123438337.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541887/check_13693499_0f137139-d9a6-4a62-b47a-7682936ccf83.json | N/A | N/A | N/A | N/A | N/A | 6WM0N21VW35 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-04-25 | S4802 | N/A | N/A | MA | false | ROSENTHAL | N/A | PHYLLIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072276425 | N/A | N/A | 5541887 | 2222 | 4802 | 13996992 | N/A | 4213865 | 2025-10-22 00:53:50.060962 | 2025-05-13 04:29:37.228183 |
| 2025-10-21 07:09:55.630599 | 2025-10-22 00:46:37.363678 | 13693493 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 13693493 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-10-24 | M | AD | LYKIDIS | U1221753503 | JOHN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123438337.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541552/check_13693493_0f0d55e5-0458-4c3e-81a9-02a4adb096fe.json | N/A | N/A | N/A | N/A | N/A | U1221753503 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 2001-11-21 | N/A | 3207160 | N/A | N/A | false | LYKIDIS | N/A | JOHN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 9072276424 | N/A | N/A | 5541552 | 2222 | 4802 | 13991957 | N/A | 4213562 | 2025-10-22 00:46:37.363678 | 2025-05-13 04:29:37.227895 |
| 2025-10-21 07:09:55.554823 | 2025-10-22 00:48:05.905688 | 13693484 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13693484 | Athletic Physical Therapy Inc | 1958-07-16 | 2025-10-24 | F | PT | GALVAN GUERRERO | MMA904W16717 | MARIA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123438337.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541035/check_13693484_eca56e3a-78b5-4a74-9e0a-00fc17e5b1c0.json | N/A | N/A | N/A | N/A | N/A | MMA904W16717 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-07-16 | 040 | CAMCRWP0 | N/A | MP | false | GALVAN-GUERRERO | N/A | MARIA | 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 | 9072276423 | N/A | N/A | 5541035 | 2222 | 4801 | 13993070 | 4184 | 4213091 | 2025-10-22 00:48:05.905688 | 2025-05-13 04:29:37.227417 |
| 2025-10-21 07:09:55.486564 | 2025-10-22 00:53:49.398842 | 13693478 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13693478 | Athletic Physical Therapy Inc | 1949-12-02 | 2025-10-23 | F | AE | LADEN | 6GY2TG9HX06 | CANDACE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123438337.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540768/check_13693478_12d093b1-6628-44a2-bbdd-f67cbb6dbb1d.json | N/A | N/A | N/A | N/A | N/A | 6GY2TG9HX06 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-12-02 | S4802 | N/A | N/A | MA | false | LADEN | N/A | CANDACE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072276422 | N/A | N/A | 5540768 | 2222 | 4802 | 13996984 | N/A | 4212856 | 2025-10-22 00:53:49.398842 | 2025-08-04 18:33:35.319989 |
| 2025-10-21 07:09:55.416561 | 2025-10-22 00:44:34.656543 | 13693471 | N/A | N/A | 60054 | Aetna | 1114042165 | 13693471 | Athletic Physical Therapy Inc | 1982-07-27 | 2025-10-24 | M | AE | BOKHTIER | W275493875 | GOLAM | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123438337.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540723/check_13693471_5090b1c5-f3e6-49a3-b89b-d58d01131095.json | N/A | N/A | N/A | N/A | N/A | W275493875 | Exclusive Provider Organization | AMERICAN EXPRESS COMPANY | AETNA | N/A | 1982-07-27 | 0169631 | 016963101100001 | N/A | EP | false | BOKHTIER | N/A | SUMMER | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072276421 | N/A | N/A | 5540723 | 2222 | 4793 | 13990699 | N/A | 4212833 | 2025-10-22 00:44:34.656543 | 2025-05-28 20:46:35.079848 |
| 2025-10-21 07:09:55.348664 | 2025-10-22 00:44:35.722042 | 13693466 | N/A | N/A | 60054 | Aetna | 1114042165 | 13693466 | Athletic Physical Therapy Inc | 1948-11-01 | 2025-10-23 | F | AE | TUCKER | 101632234800 | EILEEN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123438337.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540116/check_13693466_93ef3313-f262-4c0a-b166-4d223b7d4921.json | N/A | N/A | N/A | N/A | N/A | 101632234800 | Preferred Provider Organization (PPO) | STATE OF ILLINOIS RETIREES - MAPD | AETNA | MEDICARE | 1948-11-01 | 100512-01EG0001 | 100512-01 | N/A | PR | false | TUCKER | N/A | EILEEN | N/A | N/A | N/A | MEDICARE (C05) ESA PPO PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072276420 | N/A | N/A | 5540116 | 2222 | 4801 | 13990705 | N/A | 4212312 | 2025-10-22 00:44:35.722042 | 2025-05-13 04:29:37.226651 |
| 2025-10-21 07:09:55.270710 | 2025-10-22 00:47:20.710821 | 13693460 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13693460 | Athletic Physical Therapy Inc | 1973-07-11 | 2025-10-23 | M | AE | HERMAN | 95836743G | BRETT | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123438337.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540113/check_13693460_36fe2f60-17dc-485c-bc79-37051e4c5b78.json | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | HEALTH NET, LLC | N/A | 1973-07-11 | N/A | N/A | N/A | N/A | false | HERMAN | N/A | BRETT | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072276419 | N/A | N/A | 5540113 | 2222 | 4801 | 13992561 | N/A | 4212315 | 2025-10-22 00:47:20.710821 | 2025-12-29 21:20:15.158611 |
| 2025-10-21 07:09:55.192073 | 2025-10-22 00:48:05.546086 | 13693453 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13693453 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-10-24 | M | PT | FINNLEY | NGO832M81089 | ZEV | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123438337.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539664/check_13693453_6ec548a3-a703-4deb-a012-51b91e6c08ed.json | N/A | N/A | N/A | N/A | N/A | NGO832M81089 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 1991-07-13 | 040 | 174022MJAC | N/A | PR | false | FINNLEY | N/A | ZEV | 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 | 9072276418 | N/A | N/A | 5539664 | 2222 | 4793 | 13993067 | N/A | 4211935 | 2025-10-22 00:48:05.546086 | 2025-05-13 04:29:37.226259 |
| 2025-10-21 07:09:55.124063 | 2025-10-22 00:48:06.327719 | 13693449 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13693449 | Athletic Physical Therapy Inc | 1975-10-23 | 2025-10-24 | F | PT | MAGEE | SRYHC0157512 | JENNIFER | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123438337.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539606/check_13693449_78528748-0a4a-486c-b7bf-d40ae5a7055f.json | N/A | N/A | N/A | N/A | N/A | SRYHC0157512 | Preferred Provider Organization (PPO) | SURVEYMONKEY PPO IN STATE | ANTHEM BLUE CROSS | N/A | 1975-10-23 | 040 | L12152M001 | N/A | PR | false | MAGEE | N/A | JENNIFER | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072276417 | N/A | N/A | 5539606 | 2222 | 4793 | 13993073 | N/A | 4211886 | 2025-10-22 00:48:06.327719 | 2026-02-06 19:09:03.082684 |
| 2025-10-21 07:09:55.050833 | 2025-10-22 00:48:07.663619 | 13693443 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13693443 | Athletic Physical Therapy Inc | 1973-05-16 | 2025-10-23 | F | PT | WILSON | XEH905431769 | JOSEPHINE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123438337.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539486/check_13693443_59d42273-56d4-48af-bd24-8ec5da4fd7da.json | N/A | N/A | N/A | N/A | N/A | XEH905431769 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1973-05-16 | 1477HMOX0001 | W0051411 | N/A | HM | false | WILSON | N/A | JOSEPHINE | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072276416 | N/A | N/A | 5539486 | 2222 | 4793 | 13993088 | N/A | 4211784 | 2025-10-22 00:48:07.663619 | 2025-06-01 03:36:02.268093 |
| 2025-10-21 07:09:54.917897 | 2025-10-22 00:53:48.956461 | 13693433 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13693433 | Athletic Physical Therapy Inc | 1952-12-18 | 2025-10-24 | F | AE | DU BRIN | 7KN7YG8XT63 | SUSAN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123438337.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538600/check_13693433_dba49f84-fc03-4500-beaf-b3f7c90995d8.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 | 9072276415 | N/A | N/A | 5538600 | 2222 | 4793 | 13996978 | N/A | 4210998 | 2025-10-22 00:53:48.956461 | 2026-02-23 18:49:01.874308 |
| 2025-10-21 07:09:54.848031 | 2025-10-22 00:53:50.400895 | 13693428 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13693428 | Athletic Physical Therapy Inc | 1943-07-22 | 2025-10-24 | M | AE | STEIN | 8MY3V79UN60 | DONALD | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123438337.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538576/check_13693428_1858ef81-58f5-4121-aa3d-10c99620eb00.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 | 9072276414 | N/A | N/A | 5538576 | 2222 | 4802 | 13996995 | N/A | 4210984 | 2025-10-22 00:53:50.400895 | 2025-08-15 17:42:50.500189 |
| 2025-10-21 07:09:54.781895 | 2025-10-22 00:48:05.238579 | 13693421 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13693421 | Athletic Physical Therapy Inc | 2006-06-08 | 2025-10-23 | M | PT | DATO | NGO555A50496 | LUKE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123438337.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538229/check_13693421_309f5c38-4d49-4138-ba41-93529f793fa3.json | N/A | N/A | N/A | N/A | N/A | NGO555A50496 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 2006-06-08 | 040 | 174022MJAD | N/A | PR | false | DATO | N/A | GREGORY | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072276413 | N/A | N/A | 5538229 | 2222 | 4793 | 13993065 | N/A | 4210676 | 2025-10-22 00:48:05.238579 | 2026-05-21 21:09:28.809390 |
| 2025-10-21 07:09:54.709962 | 2025-10-22 00:49:09.815338 | 13693418 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13693418 | Athletic Physical Therapy Inc | 1974-06-04 | 2025-10-24 | F | PT | NAIMI | KSI73549599C | ERIN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123438337.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537507/check_13693418_e6b56d79-63c4-47ea-bb2b-fdebd0d4b328.json | N/A | N/A | N/A | N/A | N/A | KSI73549599C | Preferred Provider Organization (PPO) | KARL STORZ ENDOSCOPY AMERICA INC | BLUE SHIELD CALIFORNIA | N/A | 1974-06-04 | 1000PPOX0003 | W8002382 | N/A | PR | false | ABI MALHAB | N/A | NADIM | N/A | N/A | N/A | KARL STORZ ENDOSCOPY AMERICA INC SHARED ADVANTAGE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072276412 | N/A | N/A | 5537507 | 2222 | 4802 | 13993925 | N/A | 4210057 | 2025-10-22 00:49:09.815338 | 2025-05-13 04:29:37.224477 |