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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-21 07:09:54.623883 | 2025-10-22 00:53:48.358279 | 13693408 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13693408 | Athletic Physical Therapy Inc | 1951-06-30 | 2025-10-24 | F | AE | PT | CHADORCHI | 8MR2X19XD04 | JAFFA | 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/2222/5537480/check_13693408_a4e39b8b-9167-40d9-b077-7031c17e1497.json | N/A | N/A | N/A | N/A | N/A | 8MR2X19XD04 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-30 | S5601 | N/A | N/A | MA | false | CHADORCHI | N/A | JAFFA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072276411 | N/A | N/A | 5537480 | 2222 | 4802 | 13996975 | N/A | 4210038 | 2025-10-22 00:53:48.358279 | 2025-06-02 14:57:36.820684 |
| 2025-10-21 07:09:54.530751 | 2025-10-22 00:47:22.068929 | 13693402 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 13693402 | Athletic Physical Therapy Inc | 1957-02-16 | 2025-10-23 | F | AE | PT | OSE | 40050866601 | KAREN | 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/2222/5537366/check_13693402_150cca68-05db-4d81-a35e-befe4d8f9ea5.json | N/A | N/A | N/A | N/A | N/A | 40050866601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1957-02-16 | 2025H5425001 | H5425M | N/A | N/A | false | OSE | N/A | KAREN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072276410 | N/A | N/A | 5537366 | 2222 | 4793 | 13992577 | N/A | 4209945 | 2025-10-22 00:47:22.068929 | 2025-08-13 22:24:17.841096 |
| 2025-10-21 07:09:54.425536 | 2025-10-22 00:48:06.950370 | 13693394 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13693394 | Athletic Physical Therapy Inc | 1954-03-31 | 2025-10-23 | M | PT | N/A | MILES | MBL835W05431 | KEITH | 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/2222/5536896/check_13693394_e3a99c15-5cba-499b-9e20-1f6f7f73ae64.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072276409 | N/A | N/A | 5536896 | 2222 | 4793 | 13993076 | N/A | 4209567 | 2025-10-22 00:48:06.950370 | 2025-05-13 04:29:37.223990 |
| 2025-10-21 07:09:54.268435 | 2025-10-22 00:48:07.295684 | 13693384 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13693384 | Athletic Physical Therapy Inc | 1964-11-18 | 2025-10-23 | F | PT | N/A | TATE | CAI433A55164 | SANDRA | 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/2222/5536427/check_13693384_39c5fad7-7a3c-4039-96d3-a43f61dadb0f.json | N/A | N/A | N/A | N/A | N/A | CAI433A55164 | Health Maintenance Organization (HMO) | CALPERS CA RGION TWO - SO CA | ANTHEM BLUE CROSS | N/A | 1964-11-18 | 040 | HTB070HT | N/A | HM | false | TATE | N/A | SANDRA | N/A | 9999-12-31 | 2022-01-01 | PREMIER TRADITIONAL HMO NETWORK NON DURATIONAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072276408 | N/A | N/A | 5536427 | 2222 | 4793 | 13993084 | N/A | 4209167 | 2025-10-22 00:48:07.295684 | 2025-10-02 14:46:41.026614 |
| 2025-10-21 07:09:54.200664 | 2025-10-22 00:53:49.698547 | 13693379 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13693379 | Athletic Physical Therapy Inc | 1939-10-22 | 2025-10-24 | M | AE | PT | ODONNELL | 9FJ2YV1NR89 | JOHN | 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/2222/5535491/check_13693379_8578f3cc-f029-4d5a-bac1-18746984e729.json | N/A | N/A | N/A | N/A | N/A | 9FJ2YV1NR89 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-10-22 | N/A | N/A | N/A | MB | false | ODONNELL | N/A | JOHN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072276407 | N/A | N/A | 5535491 | 2222 | 4802 | 13996988 | N/A | 4208408 | 2025-10-22 00:53:49.698547 | 2025-05-13 04:29:37.222823 |
| 2025-10-21 07:09:54.112893 | 2025-10-22 00:47:23.131738 | 13693371 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 13693371 | Athletic Physical Therapy Inc | 1941-04-16 | 2025-10-24 | F | AE | PT | RYAN | 31026142401 | CAROL | 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/2222/5535455/check_13693371_78e8d540-1a30-44ea-a715-168fa42bb6c2.json | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1941-04-16 | 2025H5425001 | H5425M | N/A | N/A | false | RYAN | N/A | CAROL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072276406 | N/A | N/A | 5535455 | 2222 | 4793 | 13992589 | N/A | 4208375 | 2025-10-22 00:47:23.131738 | 2025-08-08 21:08:12.459471 |
| 2025-10-21 07:09:54.034451 | 2025-10-22 00:47:22.640331 | 13693363 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 13693363 | Athletic Physical Therapy Inc | 1952-12-16 | 2025-10-24 | F | AE | PT | PORTER | 400282215401 | SHERIL | 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/2222/5535434/check_13693363_8d77f623-abf0-44a1-806b-ec9a6f6f0d05.json | N/A | N/A | N/A | N/A | N/A | 40028215401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-12-16 | 2025H5425001 | H5425M | N/A | N/A | false | PORTER | N/A | SHERIL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072276405 | N/A | N/A | 5535434 | 2222 | 4793 | 13992582 | N/A | 4208356 | 2025-10-22 00:47:22.640331 | 2025-08-25 14:49:27.724897 |
| 2025-10-21 07:09:51.177062 | 2025-10-22 05:02:42.680832 | 13693153 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 13693153 | override_provider | 1960-06-14 | 2025-10-23 | F | PT | N/A | VERWEY | R61817302 | CAREN | 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/2222/8025542/check_13693153_3c1933a6-3074-412d-9103-182d70db5310.json | N/A | N/A | N/A | N/A | N/A | R61817302 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1960-06-14 | N/A | 35C | N/A | PR | false | VERWEY | N/A | CAREN | N/A | 9999-12-31 | 2025-01-01 | FEP BLUE FOCUS | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072281663 | N/A | N/A | 8025542 | 2222 | 4801 | 14008376 | N/A | 6826965 | 2025-10-22 05:02:42.680832 | 2025-08-13 02:28:19.717631 |
| 2025-10-21 07:09:50.817627 | 2025-10-22 00:50:09.470096 | 13693130 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13693130 | Athletic Physical Therapy Inc | 1960-11-20 | 2025-10-24 | F | PT | N/A | RUND | JQU141A61623 | Stephanie | 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/2222/6398636/check_13693130_60be1d94-378c-43c4-aa09-0220bf61abce.json | N/A | N/A | N/A | N/A | N/A | JQU141A61623 | Preferred Provider Organization (PPO) | BRUCE EDWARDS DDS | ANTHEM BLUE CROSS | N/A | 1960-11-20 | 040 | 225912 | N/A | PR | false | RUND | N/A | STEPHANIE | N/A | 9999-12-31 | 2024-12-01 | ANTHEM GOLD PPO 30/500/20% RXD | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072290631 | N/A | N/A | 6398636 | 2222 | 4802 | 13994741 | N/A | 5046194 | 2025-10-22 00:50:09.470096 | 2026-01-06 19:15:31.520951 |
| 2025-10-21 07:09:45.842380 | 2025-10-22 00:39:42.115666 | 13692788 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 13692788 | Athletic Physical Therapy Inc | 1953-07-29 | 2025-10-24 | F | PT | N/A | DE SANTIAGO | 906536178001 | MARIA | 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/2222/10128259/check_13692788_2c19ca5e-6e44-43b1-80fc-0da82d930044.json | N/A | N/A | N/A | N/A | N/A | XEH906536178 | Health Maintenance Organization (HMO) | P W GILLIBRAND COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1953-07-29 | 1000HMOX0002 | W0001720 | N/A | HM | false | DESANTIAGO | N/A | REFUGIO | N/A | N/A | N/A | ACCESS HMO R ZERO ADMIT 30 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072266508 | N/A | N/A | 10128259 | 2222 | 4801 | 13987793 | N/A | 8452475 | 2025-10-22 00:39:42.115666 | 2025-10-07 21:19:11.415234 |
| 2025-10-21 07:09:36.697165 | 2025-10-22 02:36:52.369094 | 13692163 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13692163 | Athletic Physical Therapy Inc | 1942-02-01 | 2025-10-22 | F | AE | PT | CHANG | JQE101W06364 | QUANG | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123415305.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11159407/check_13692163_52ecf9ed-319a-4b62-959c-9027f3ddae12.json | N/A | N/A | N/A | N/A | N/A | JQE101W06364 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1942-02-01 | 040 | CASUPWP0 | N/A | N/A | false | CHANG | N/A | QUANG CHAN | N/A | 9999-12-31 | 2021-01-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072284303 | N/A | N/A | 11159407 | 2222 | 4793 | 14001660 | N/A | 9505845 | 2025-10-22 02:36:52.369094 | 2026-04-29 00:06:17.964395 |
| 2025-10-21 07:09:34.889758 | 2025-10-22 00:46:12.287388 | 13692020 | N/A | N/A | 60054 | Aetna | 1114042165 | 13692020 | Athletic Physical Therapy Inc | 1991-08-09 | 2025-10-24 | M | AE | PT | TORIO | W287278504 | MICHAEL | 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/2222/6235883/check_13692020_316ce3a2-ca52-4e8c-a49f-c8744eb60d66.json | N/A | N/A | N/A | N/A | N/A | W287278504 | Point of Service (POS) | COADVANTAGE RESOURCES, INC. | AETNA | N/A | 1991-08-09 | 0159468 | 015946801000034 | N/A | PS | false | TORIO | N/A | MICHAEL | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072290617 | N/A | N/A | 6235883 | 2222 | 4802 | 13991650 | N/A | 4883697 | 2025-10-22 00:46:12.287388 | 2025-07-08 14:55:53.397662 |
| 2025-10-21 07:09:31.257025 | 2025-10-22 00:41:09.670339 | 13691736 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13691736 | Athletic Physical Therapy Inc | 1942-10-02 | 2025-10-23 | M | AE | PT | SAWAYA | XDD599A52218 | PETER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123348873.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9033459/check_13691736_446e2229-8a7a-47da-a01e-dc93595d19ca.json | N/A | N/A | N/A | N/A | N/A | XDD599A52218 | Indemnity | SISC - COMPANIONCARE | MEDICARE D | N/A | 1942-10-02 | 040 | 40003A | N/A | IN | false | SAWAYA | N/A | PETER | N/A | 9999-12-31 | 2023-01-01 | MEDICARE SUPPLEMENT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072263511 | N/A | N/A | 9033459 | 2222 | 4802 | 13988610 | N/A | 7553607 | 2025-10-22 00:41:09.670339 | 2025-09-02 22:55:04.873891 |
| 2025-10-21 07:09:30.104182 | 2025-10-22 00:46:29.918028 | 13691639 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13691639 | Athletic Physical Therapy Inc | 1971-08-10 | 2025-10-24 | M | PT | N/A | DEIPOLA | JQY979A63776 | GUSTAVO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.104141091.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9611372/check_13691639_c37b5312-6bf7-4204-8bf3-056c4a6f3251.json | N/A | N/A | N/A | N/A | N/A | JQY979A63776 | Preferred Provider Organization (PPO) | SIERRA CREDIT CORP | ANTHEM BLUE CROSS | N/A | 1971-08-10 | 040 | Q32873 | N/A | PR | false | DEIPOLA | N/A | ANDREA | N/A | 9999-12-31 | 2025-01-01 | CA SG SELECT HSA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072297703 | N/A | N/A | 9611372 | 2222 | 4801 | 13991864 | N/A | 8042516 | 2025-10-22 00:46:29.918028 | 2025-09-24 17:27:04.210921 |
| 2025-10-21 07:09:27.070148 | 2025-10-22 00:41:04.868657 | 13691368 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 13691368 | Athletic Physical Therapy Inc | 1950-04-13 | 2025-10-23 | F | AE | PT | NATALI | 94579563C | RENEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123348873.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8979227/check_13691368_e7736e58-141d-4e4b-9149-398ebb1e079f.json | N/A | N/A | N/A | N/A | N/A | 94579563C | N/A | MCLA WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1950-04-13 | MCLA | MWLLDAGG21 | N/A | N/A | false | NATALI | N/A | RENEE | N/A | 2025-07-31 | 2025-02-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072263466 | N/A | N/A | 8979227 | 2222 | 4793 | 13988563 | N/A | 7498543 | 2025-10-22 00:41:04.868657 | 2025-10-14 17:13:32.178778 |
| 2025-10-21 07:09:24.504676 | 2025-10-22 00:38:42.791180 | 13691166 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13691166 | Athletic Physical Therapy Inc | 1983-01-16 | 2025-10-23 | M | PT | N/A | MIRANDA | NCF728A24383 | ERICK | 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/2222/7173834/check_13691166_c0b3888d-e639-402e-bd59-19161701d346.json | N/A | N/A | N/A | N/A | N/A | NCF728A24383 | Health Maintenance Organization (HMO) | LOS ANGELES POLICE RELIEF ASN INC | ANTHEM BLUE CROSS | N/A | 1983-01-16 | 040 | 57CP3A | N/A | HM | false | MIRANDA | N/A | ERICK | N/A | 9999-12-31 | 2023-03-01 | BLUE CROSS HMO PLUS CC01 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072288507 | N/A | N/A | 7173834 | 2222 | 4801 | 13987331 | N/A | 6149607 | 2025-10-22 00:38:42.791180 | 2025-07-17 18:34:10.184195 |
| 2025-10-21 07:09:24.017070 | 2025-10-22 00:41:07.836770 | 13691129 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13691129 | Athletic Physical Therapy Inc | 1948-07-07 | 2025-10-24 | F | AE | PT | GOEL | JQE690A74746 | VEENA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123348873.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969545/check_13691129_fccaa29c-e73f-4266-88f4-959d3db051a8.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 | 9072262670 | N/A | N/A | 8969545 | 2222 | 4802 | 13988590 | N/A | 7485064 | 2025-10-22 00:41:07.836770 | 2025-12-29 22:41:16.623495 |
| 2025-10-21 07:09:23.361996 | 2025-10-22 02:36:53.269192 | 13691075 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13691075 | Athletic Physical Therapy Inc | 1935-09-04 | 2025-10-24 | M | AE | PT | MC MILLAN | JQE517W09574 | FRED | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123415305.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11070136/check_13691075_8fb63309-8a6e-4095-b955-9a831f758700.json | N/A | N/A | N/A | N/A | N/A | JQE517W09574 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1935-09-04 | N/A | N/A | N/A | N/A | false | MC MILLAN | N/A | FRED | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072284694 | N/A | N/A | 11070136 | 2222 | 4802 | 14001666 | N/A | 9427570 | 2025-10-22 02:36:53.269192 | 2025-10-16 17:38:44.796273 |
| 2025-10-21 07:09:20.054899 | 2025-10-21 07:09:22.893705 | 13690799 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-04-19 | 2025-10-21 | F | PT | N/A | Onurah | DGA12882485J | Nneka | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10302887/check_13690799_79568e50-a17c-4687-8308-f3118fa27528.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10302887/check_13690799_cc8bbc5a-a3c6-4ada-a545-bdeefae497d3.json | N/A | N/A | N/A | N/A | N/A | DGA12882485J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1989-04-19 | 040 | 276945M003 | N/A | PR | false | ONUORAH | N/A | NNEKA | N/A | 9999-12-31 | 2025-09-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072159161 | N/A | N/A | 10302887 | 2222 | N/A | 13964753 | N/A | 8572597 | 2025-10-21 07:09:22.893705 | 2025-10-10 17:17:14.959382 |
| 2025-10-21 07:09:14.264997 | 2025-10-22 00:48:50.615578 | 13690314 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13690314 | Athletic Physical Therapy Inc | 1962-05-29 | 2025-10-24 | F | PT | N/A | LARSON | XEA913804058 | DEBRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.104141091.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9562148/check_13690314_2515b1cb-fa70-44b0-9a5c-4b67a6f7da85.json | N/A | N/A | N/A | N/A | N/A | XAN913804058 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1962-05-29 | 1480PPOX0002 | W0051411 | N/A | PR | false | LARSON | N/A | DEBRA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072298018 | N/A | N/A | 9562148 | 2222 | 4793 | 13993637 | N/A | 7997320 | 2025-10-22 00:48:50.615578 | 2025-10-02 21:07:14.563938 |
| 2025-10-21 07:09:13.507379 | 2025-10-22 00:46:33.582043 | 13690244 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13690244 | Athletic Physical Therapy Inc | 2010-12-10 | 2025-10-22 | M | PT | N/A | YI | NGO680A63518 | KYLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.104141091.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9561995/check_13690244_19be8eac-6e54-4c1c-95b4-55ad53c86278.json | N/A | N/A | N/A | N/A | N/A | NGO680A63518 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 2010-12-10 | 040 | 174022MAAC | N/A | PR | false | YI | N/A | KORY | N/A | 9999-12-31 | 2025-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072298013 | N/A | N/A | 9561995 | 2222 | 4793 | 13991909 | N/A | 7997125 | 2025-10-22 00:46:33.582043 | 2025-09-28 23:06:02.931066 |
| 2025-10-21 07:09:09.730864 | 2025-10-22 00:32:23.769353 | 13689954 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13689954 | Athletic Physical Therapy Inc | 1949-05-27 | 2025-10-23 | M | AE | PT | SANDERS | 8300000051834 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.104141091.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9560285/check_13689954_849c7185-b4d5-4b8b-93bc-c362c1cdcfc1.json | N/A | N/A | N/A | N/A | N/A | 8300000051834 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1949-05-27 | N/A | N/A | N/A | N/A | false | SANDERS | 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 | 9072297988 | N/A | N/A | 9560285 | 2222 | 4802 | 13984146 | N/A | 7995648 | 2025-10-22 00:32:23.769353 | 2025-09-24 14:50:57.950474 |
| 2025-10-21 07:09:04.433368 | 2025-10-22 00:56:20.658836 | 13689597 | N/A | N/A | SRRGA | Railroad Medicare | 1114042165 | 13689597 | Athletic Physical Therapy Inc | 1977-03-25 | 2025-10-24 | M | AE | PT | BRADBURY | 7HR3VE4QQ94 | ROBERT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.104141091.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9557582/check_13689597_89e1ae16-c388-4970-b9be-9feaebad3d77.json | N/A | N/A | N/A | N/A | N/A | 7HR3VE4QQ94 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1977-03-25 | S5617 | N/A | N/A | MB | false | BRADBURY | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072297421 | N/A | N/A | 9557582 | 2222 | 4801 | 13998105 | N/A | 7992729 | 2025-10-22 00:56:20.658836 | 2025-10-01 17:15:45.167667 |
| 2025-10-21 07:09:02.485666 | 2025-10-22 00:58:28.937988 | 13689464 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13689464 | Athletic Physical Therapy Inc | 1960-07-20 | 2025-10-23 | F | AE | PT | NAFTZGER | 3NW9CG6WM45 | SANDRA | 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/2222/6194923/check_13689464_862a6032-296f-4b18-bf5f-d2dc3117991f.json | N/A | N/A | N/A | N/A | N/A | 3NW9CG6WM45 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-07-20 | S5617 | N/A | N/A | MA | false | NAFTZGER | N/A | SANDRA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072291147 | N/A | N/A | 6194923 | 2222 | 4802 | 13998663 | N/A | 4214889 | 2025-10-22 00:58:28.937988 | 2025-05-13 04:29:37.229212 |
| 2025-10-21 07:09:01.910769 | 2025-10-22 05:06:08.959046 | 13689432 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13689432 | Athletic Physical Therapy Inc | 1963-09-19 | 2025-10-23 | M | PT | N/A | SENKUS | XDM878M77372 | TONY | 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/2222/7964946/check_13689432_753a0ad6-511b-407f-8402-c76ec03e5435.json | N/A | N/A | N/A | N/A | N/A | XDM878M77372 | Health Maintenance Organization (HMO) | TEAMSTERS MISC SECURITY TRUST - EARLY RETIREE | ANTHEM BLUE CROSS | N/A | 1963-09-19 | 040 | 278680H052 | N/A | HM | false | SENKUS | N/A | TONY | N/A | 9999-12-31 | 2024-10-01 | CLASSIC TRADITIONAL HMO NETWORK NON DURATIONAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072281134 | N/A | N/A | 7964946 | 2222 | 4801 | 14008858 | N/A | 6247001 | 2025-10-22 05:06:08.959046 | 2025-07-25 21:24:35.111542 |
| 2025-10-21 07:08:55.724853 | 2025-10-22 02:37:28.443844 | 13688986 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13688986 | Athletic Physical Therapy Inc | 1952-07-15 | 2025-10-23 | M | AE | PT | WOLFE | XEM909964699 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123415305.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10239789/check_13688986_c8376f36-4d35-4c51-a419-913daa499277.json | N/A | N/A | N/A | N/A | N/A | XEM909964699 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1952-07-15 | 2004SF000028 | X0001002 | N/A | OT | false | WOLFE | N/A | MICHAEL | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072284661 | N/A | N/A | 10239789 | 2222 | 4793 | 14001872 | N/A | 8527464 | 2025-10-22 02:37:28.443844 | 2025-10-14 15:25:46.972104 |
| 2025-10-21 07:08:21.300084 | 2025-10-22 00:35:13.432642 | 13686297 | N/A | N/A | 60054 | Aetna | 1114042165 | 13686297 | Athletic Physical Therapy Inc | 1960-01-04 | 2025-10-23 | F | AE | PT | MARLEY | W032070695 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.104141091.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9512811/check_13686297_50678d00-ac16-4d8e-95e0-8daef64a98b9.json | N/A | N/A | N/A | N/A | N/A | W032070695 | Exclusive Provider Organization | COSTCO WHOLESALE CORPORATION | AETNA | N/A | 1960-01-04 | 0169579 | 016957901100002 | N/A | EP | false | MARLEY | N/A | MARIA | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072296690 | N/A | N/A | 9512811 | 2222 | 4801 | 13985743 | N/A | 7955514 | 2025-10-22 00:35:13.432642 | 2025-09-26 00:32:05.426711 |
| 2025-10-21 07:08:18.423410 | 2025-10-22 00:51:12.386915 | 13686037 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13686037 | Athletic Physical Therapy Inc | 1994-02-23 | 2025-10-23 | F | PT | N/A | SHU | XAN913831469 | GABRIELA | 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/2222/6121701/check_13686037_dab2af14-7fc6-407f-b111-87f11e0777a9.json | N/A | N/A | N/A | N/A | N/A | XAN913831469 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1994-02-23 | 1479PPOX0003 | W0051411 | N/A | PR | false | SHU | N/A | GABRIELA | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072291390 | N/A | N/A | 6121701 | 2222 | 4793 | 13995479 | N/A | 4764460 | 2025-10-22 00:51:12.386915 | 2025-06-04 04:30:06.494155 |
| 2025-10-21 07:08:11.011494 | 2025-10-22 00:38:47.161166 | 13685543 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13685543 | Athletic Physical Therapy Inc | 1976-08-13 | 2025-10-23 | F | PT | N/A | GODWIN | JPU097W07528 | CASSANDRA | 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/2222/10090153/check_13685543_b78932f2-c51a-4066-8826-f2ad4ed14f41.json | N/A | N/A | N/A | N/A | N/A | JPU097W07528 | Preferred Provider Organization (PPO) | MAJCO LLC | ANTHEM BLUE CROSS | N/A | 1976-08-13 | 040 | 281949M014 | N/A | PR | false | GODWIN | N/A | CASSANDRA | N/A | 9999-12-31 | 2023-06-01 | SOLUTION PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072265655 | N/A | N/A | 10090153 | 2222 | 4801 | 13987355 | N/A | 8428668 | 2025-10-22 00:38:47.161166 | 2025-10-12 20:55:35.014952 |
| 2025-10-21 07:08:03.011376 | 2025-10-22 00:42:19.725730 | 13684893 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13684893 | Athletic Physical Therapy Inc | 1935-11-26 | 2025-10-23 | F | AE | PT | MCCANN | JQE588W18533 | JOSEPHINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123348873.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7760464/check_13684893_e9cfa0d2-529d-47d9-bb3d-dab725a6d716.json | N/A | N/A | N/A | N/A | N/A | JQE588W18533 | N/A | CA MED-SUPP | BLUE SHIELD OF CALIFORNIA | N/A | 1935-11-26 | 040 | CASUPWP0 | N/A | N/A | false | MCCANN | N/A | JOSEPHINE | 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 | 9072261847 | N/A | N/A | 7760464 | 2222 | 4801 | 13989301 | N/A | 6609924 | 2025-10-22 00:42:19.725730 | 2025-08-12 22:04:05.464362 |
| 2025-10-21 07:07:59.011479 | 2025-10-22 00:39:47.155753 | 13684636 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13684636 | Athletic Physical Therapy Inc | 1980-07-16 | 2025-10-24 | M | PT | N/A | RUIZ | NCF895A77221 | MIGUEL | 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/2222/10079070/check_13684636_0a06d296-58ed-458b-88c6-9131238bc30f.json | N/A | N/A | N/A | N/A | N/A | JMV895A77221 | Health Maintenance Organization (HMO) | CALIFORNIA LUTHERAN UNIVERSITY | BLUE SHIELD OF CALIFORNIA | N/A | 1980-07-16 | 040 | 284935H007 | N/A | HM | false | RUIZ | N/A | MIGUEL | N/A | 9999-12-31 | 2024-06-01 | ELEMENTS CHOICE HMO TRADITIONAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072267111 | N/A | N/A | 10079070 | 2222 | 4801 | 13987847 | N/A | 8422749 | 2025-10-22 00:39:47.155753 | 2025-10-09 18:37:11.515124 |
| 2025-10-21 07:07:53.281313 | 2025-10-22 02:36:52.647868 | 13684129 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13684129 | Athletic Physical Therapy Inc | 1959-07-16 | 2025-10-23 | F | AE | PT | JESTER | MBL344W20467 | AUREA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123415305.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9926970/check_13684129_8a726188-fec1-4973-a27c-3f1261b0b6ce.json | N/A | N/A | N/A | N/A | N/A | MBL344W20467 | N/A | CALIFORNIA PUBLIC EMPLOYEES RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1959-07-16 | 040 | CAEGR001 | N/A | N/A | false | JESTER | N/A | AUREA | N/A | 9999-12-31 | 2024-07-01 | CA GRS CALPERS H4036-802 ANTHEM MEDICARE PREFERRED | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072283962 | N/A | N/A | 9926970 | 2222 | 4801 | 14001663 | N/A | 7624564 | 2025-10-22 02:36:52.647868 | 2025-10-06 23:19:36.703282 |
| 2025-10-21 07:07:49.077073 | 2025-10-22 00:35:41.218337 | 13683762 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 13683762 | Athletic Physical Therapy Inc | 1983-04-06 | 2025-10-24 | F | PT | N/A | JOHNSON | 907100866000 | HEATHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123336228.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9258804/check_13683762_eef39bf6-d7fd-45c4-b60d-f798c4a33c2d.json | N/A | N/A | N/A | N/A | N/A | XEH907100866 | Health Maintenance Organization (HMO) | COUNTY OF VENTURA ACTIVES | BLUE SHIELD CALIFORNIA | N/A | 1983-04-06 | 1000HMOX0002 | W0067449 | N/A | HM | false | JOHNSON | N/A | HEATHER | N/A | N/A | N/A | COUNTY OF VENTURA ACTIVES CUSTOM ACCESS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072259935 | N/A | N/A | 9258804 | 2222 | 4801 | 13985973 | N/A | 4213256 | 2025-10-22 00:35:41.218337 | 2025-05-13 04:29:37.227582 |
| 2025-10-21 07:07:46.898311 | 2025-10-22 00:34:00.374934 | 13683573 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 13683573 | Athletic Physical Therapy Inc | 1956-07-11 | 2025-10-23 | M | AE | PT | ROGERS | 40066658301 | JOHN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123336228.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9256747/check_13683573_4ede9b87-6997-4b5f-acbc-755264f2ca5c.json | N/A | N/A | N/A | N/A | N/A | 40066658301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-07-11 | 2025H5425001 | H5425M | N/A | N/A | false | ROGERS | N/A | JOHN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072259917 | N/A | N/A | 9256747 | 2222 | 4793 | 13985134 | N/A | 7767584 | 2025-10-22 00:34:00.374934 | 2025-09-09 21:16:10.468472 |
| 2025-10-21 07:07:45.690216 | 2025-10-22 02:50:48.271580 | 13683457 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13683457 | Athletic Physical Therapy Inc | 1986-06-03 | 2025-10-24 | M | PT | N/A | STUMP | 282M9891410 | COREY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123324101.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11108497/check_13683457_cd37098b-1e75-4260-9ca6-c9ec33b6a8c8.json | N/A | N/A | N/A | N/A | N/A | 282M9891410 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1986-06-03 | N/A | N/A | N/A | N/A | false | STUMP | N/A | COREY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072259392 | N/A | N/A | 11108497 | 2222 | 4793 | 14004952 | N/A | 9458617 | 2025-10-22 02:50:48.271580 | 2025-10-24 17:23:08.365449 |
| 2025-10-21 07:07:44.987911 | 2025-10-22 05:07:08.921747 | 13683393 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13683393 | Athletic Physical Therapy Inc | 1987-11-24 | 2025-10-23 | F | PT | N/A | Halat | FIZ100010118257 | Hooram | 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/2222/7870152/check_13683393_256517f8-afea-4c56-be07-afeda4724495.json | N/A | N/A | N/A | N/A | N/A | FIZ100010118257 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS. | 1987-11-24 | N/A | N/A | N/A | PR | false | HALAT | N/A | HOORAM | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072282238 | N/A | N/A | 7870152 | 2222 | 4802 | 14009011 | N/A | 6698799 | 2025-10-22 05:07:08.921747 | 2025-08-07 18:40:53.120761 |
| 2025-10-21 07:07:44.807642 | 2025-10-22 02:36:54.234183 | 13683374 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13683374 | Athletic Physical Therapy Inc | 1953-11-15 | 2025-10-23 | M | AE | PT | REISMAN | WRXA13289369 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123415305.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9868746/check_13683374_58c6e7f6-82fd-4d78-928c-45f1fca3c0ee.json | N/A | N/A | N/A | N/A | N/A | WRXA13289369 | Preferred Provider Organization (PPO) | WRITERS GUILD INDUSTRY HEALTH FUND | ANTHEM BLUE CROSS | N/A | 1953-11-15 | 040 | 277242M003 | N/A | PR | false | REISMAN | N/A | MARK | N/A | 9999-12-31 | 2025-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072284529 | N/A | N/A | 9868746 | 2222 | 4802 | 14001668 | N/A | 8262262 | 2025-10-22 02:36:54.234183 | 2025-09-30 22:45:25.940454 |
| 2025-10-21 07:07:43.426932 | 2025-10-22 00:31:43.889477 | 13683252 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | 13683252 | Athletic Physical Therapy Inc | 1948-01-19 | 2025-10-23 | F | AE | PT | Machleit | 29029580 | Terri | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123336228.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9253541/check_13683252_e4b93c77-f7bd-4bf9-8b57-5641268cef87.json | N/A | N/A | N/A | N/A | N/A | 29029580 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1948-01-19 | 406-024-000 | N/A | N/A | N/A | false | MACHLEIT | N/A | TERRI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072259888 | N/A | N/A | 9253541 | 2222 | 4793 | 13983792 | N/A | 7764252 | 2025-10-22 00:31:43.889477 | 2025-09-11 22:35:02.402934 |
| 2025-10-21 07:07:42.545348 | 2025-10-22 00:46:30.847980 | 13683182 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13683182 | Athletic Physical Therapy Inc | 1959-08-20 | 2025-10-24 | F | PT | N/A | LANEUVILLE | MMA152W21217 | LESLIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.104141091.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9478316/check_13683182_8fc02775-8f0c-4eff-9740-aa001b4c570d.json | N/A | N/A | N/A | N/A | N/A | MMA152W21217 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-08-20 | 040 | CAMCRWP0 | N/A | MP | false | LANEUVILLE | N/A | LESLIE | 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 | 9072297334 | N/A | N/A | 9478316 | 2222 | 4801 | 13991877 | N/A | 6941976 | 2025-10-22 00:46:30.847980 | 2025-09-05 19:35:59.844269 |
| 2025-10-21 07:07:42.064893 | 2025-10-22 00:48:41.086987 | 13683145 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13683145 | Athletic Physical Therapy Inc | 2004-10-12 | 2025-10-23 | F | PT | N/A | SMITH | JQU079A20315 | QUINCEY | 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/2222/9738262/check_13683145_7240d6ef-7952-417b-9eaf-9878ce233a93.json | N/A | N/A | N/A | N/A | N/A | JQU079A20315 | Preferred Provider Organization (PPO) | TREATMENT CENTER MANAGEMENT CORPORATION | BLUE SHIELD OF CALIFORNIA | N/A | 2004-10-12 | 040 | U26729 | N/A | PR | false | SMITH | N/A | CRAIG | N/A | 9999-12-31 | 2025-01-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072301419 | N/A | N/A | 9738262 | 2222 | 4802 | 13993518 | N/A | 8152988 | 2025-10-22 00:48:41.086987 | 2025-09-25 21:29:07.638267 |
| 2025-10-21 07:07:41.671386 | 2025-10-22 00:48:11.757334 | 13683114 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13683114 | Athletic Physical Therapy Inc | 1982-12-08 | 2025-10-24 | M | PT | N/A | Magpali | VUC967W18809 | Aaron | 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/2222/9737460/check_13683114_98252bc2-1fc2-462b-93dd-e87f038d0888.json | N/A | N/A | N/A | N/A | N/A | VUC967W18809 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1982-12-08 | 040 | 280509S400 | N/A | PR | false | MAGPALI | N/A | AARON | N/A | 9999-12-31 | 2024-01-01 | UC CARE PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072301416 | N/A | N/A | 9737460 | 2222 | 4801 | 13993134 | N/A | 8152382 | 2025-10-22 00:48:11.757334 | 2025-09-28 17:20:36.874498 |
| 2025-10-21 07:07:40.389630 | 2025-10-22 02:36:52.943518 | 13682999 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13682999 | Athletic Physical Therapy Inc | 1947-07-23 | 2025-10-24 | F | AE | PT | JOHNSON | JQE472A77522 | JUANITA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123415305.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9862555/check_13682999_bbfe3f61-a4a9-4299-9582-1b3e8c108685.json | N/A | N/A | N/A | N/A | N/A | JQE472A77522 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1947-07-23 | 040 | CASUPWP0 | N/A | N/A | false | JOHNSON | N/A | JUANITA | 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 | 9072284965 | N/A | N/A | 9862555 | 2222 | 4801 | 14001664 | N/A | 8258095 | 2025-10-22 02:36:52.943518 | 2025-09-30 21:32:44.934397 |
| 2025-10-21 07:07:38.281838 | 2025-10-22 02:36:54.548266 | 13682809 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13682809 | Athletic Physical Therapy Inc | 1967-01-16 | 2025-10-24 | F | AE | PT | Wesel | QUC628W15332 | Ellen | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123415305.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9854973/check_13682809_d8b282ee-1cd0-4e6d-a743-9a71ff6217bd.json | N/A | N/A | N/A | N/A | N/A | QUC628W15332 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | CIGNA | N/A | 1967-01-16 | 040 | 280509A420 | N/A | PR | false | WESEL | N/A | RICHARD | N/A | 9999-12-31 | 2023-01-01 | UC CORE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072284944 | N/A | N/A | 9854973 | 2222 | 4802 | 14001672 | N/A | 8205288 | 2025-10-22 02:36:54.548266 | 2025-09-30 16:15:04.552446 |
| 2025-10-21 07:07:36.920419 | 2025-10-22 02:51:46.671208 | 13682690 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13682690 | Athletic Physical Therapy Inc | 1974-12-08 | 2025-10-24 | M | PT | N/A | MAGEE | SRYHC0157512 | TERRENCE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123324101.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11084204/check_13682690_d0a918ad-a986-46ef-8800-e39b06b82c72.json | N/A | N/A | N/A | N/A | N/A | SRYHC0157512 | Preferred Provider Organization (PPO) | SURVEYMONKEY PPO IN STATE | BLUE SHIELD OF CALIFORNIA | N/A | 1974-12-08 | 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 | 9072257672 | N/A | N/A | 11084204 | 2222 | 4793 | 14005173 | N/A | 9438176 | 2025-10-22 02:51:46.671208 | 2025-11-14 22:03:28.394724 |
| 2025-10-21 07:07:34.970548 | 2025-10-22 00:32:23.983246 | 13682511 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 13682511 | Athletic Physical Therapy Inc | 1966-10-24 | 2025-10-23 | F | AE | PT | DUARTE | 99133977C | TERESA | 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/2222/10032559/check_13682511_0b08eb76-e8d7-4451-ac5b-b465e6a7f3f3.json | N/A | N/A | N/A | N/A | N/A | 99133977C | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 04/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1966-10-24 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | DUARTE | N/A | TERESA | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072267045 | N/A | N/A | 10032559 | 2222 | 4802 | 13984152 | N/A | 8397995 | 2025-10-22 00:32:23.983246 | 2025-10-06 22:35:05.038045 |
| 2025-10-21 07:07:34.023907 | 2025-10-22 02:55:27.319489 | 13682423 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13682423 | Athletic Physical Therapy Inc | 1935-09-04 | 2025-10-24 | M | AE | PT | MC MILLAN | 6F54UU1HC85 | FRED | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123324101.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11070135/check_13682423_2658cc2a-ffef-4999-bfa0-5492a5e54356.json | N/A | N/A | N/A | N/A | N/A | 6F54UU1HC85 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1935-09-04 | S5921 | N/A | N/A | MA | false | MCMILLAN | N/A | FRED | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072258718 | N/A | N/A | 11070135 | 2222 | 4802 | 14006498 | N/A | 9427570 | 2025-10-22 02:55:27.319489 | 2025-10-16 17:38:44.796273 |
| 2025-10-21 07:07:31.295438 | 2025-10-22 00:41:08.649169 | 13682181 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13682181 | Athletic Physical Therapy Inc | 1944-09-29 | 2025-10-24 | F | AE | PT | GUASTELLA | 911M7843220 | ROSE ANN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123348873.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458753/check_13682181_98f6f41f-05e8-4d3c-8c1e-639b99a6329b.json | N/A | N/A | N/A | N/A | N/A | 911M7843220 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1944-09-29 | N/A | N/A | N/A | N/A | 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 | 9072262418 | N/A | N/A | 7458753 | 2222 | 4801 | 13988599 | N/A | 6407685 | 2025-10-22 00:41:08.649169 | 2025-08-12 18:01:47.141909 |
| 2025-10-21 07:07:30.385720 | 2025-10-22 00:34:51.026540 | 13682103 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13682103 | Athletic Physical Therapy Inc | 1966-12-04 | 2025-10-24 | M | PT | N/A | CLANCY | XDMOE0503879 | JOSEPH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123336228.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9194927/check_13682103_67ffad68-4603-4057-a439-66b462735d35.json | N/A | N/A | N/A | N/A | N/A | XDMOE0503879 | Health Maintenance Organization (HMO) | OPERATING ENGINEERS HEALTH&WELFARE FUND | ANTHEM BLUE CROSS | N/A | 1966-12-04 | 040 | 278671H001 | N/A | HM | false | CLANCY | N/A | JOSEPH | N/A | 9999-12-31 | 2025-02-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072261023 | N/A | N/A | 9194927 | 2222 | 4793 | 13985556 | 4184 | 7712549 | 2025-10-22 00:34:51.026540 | 2025-09-10 17:29:28.945035 |
| 2025-10-21 07:07:27.062297 | 2025-10-21 07:07:28.985399 | 13681865 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-07-07 | 2025-10-21 | F | AE | PT | GOEL | 5RR4M63DR65 | VEENA | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8969533/check_13681865_5d9c6f9a-2e61-4257-8099-5153237102b0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969533/check_13681865_7adf33af-6b1b-44e6-993b-70ea4907b6dc.json | N/A | N/A | N/A | N/A | N/A | 5RR4M63DR65 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-07 | S5596 | N/A | N/A | MA | false | GOEL | N/A | VEENA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072149019 | N/A | N/A | 8969533 | 2222 | N/A | 13963792 | N/A | 7485064 | 2025-10-21 07:07:28.985399 | 2025-12-29 22:41:16.623495 |
| 2025-10-21 07:07:12.231761 | 2025-10-22 00:34:50.668147 | 13681072 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13681072 | Athletic Physical Therapy Inc | 1952-01-13 | 2025-10-23 | M | PT | N/A | BLANCO ESCOBAR | JQW106W18304 | SAMUEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123336228.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9134245/check_13681072_40bcc31c-5fec-4431-947c-598597e9d78a.json | N/A | N/A | N/A | N/A | N/A | JQW106W18304 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-01-13 | 040 | CAMCRWP0 | N/A | MP | false | BLANCO ESCOBAR | N/A | SAMUEL | N/A | 2025-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072260261 | N/A | N/A | 9134245 | 2222 | 4801 | 13985555 | N/A | 7655426 | 2025-10-22 00:34:50.668147 | 2025-09-08 18:14:46.984181 |