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 07:07:10.056682 | 2025-10-22 02:51:45.841464 | 13680967 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13680967 | Athletic Physical Therapy Inc | 1994-07-04 | 2025-10-24 | M | PT | Daich | JQY912W17468 | Austin | N/A | 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/2222/11001702/check_13680967_6293e756-e49a-4f31-afa2-86450aae92c2.json | N/A | N/A | N/A | N/A | N/A | JQY912W17468 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | BLUE SHIELD OF CALIFORNIA | N/A | 1994-07-04 | 040 | 476522 | N/A | PR | false | DAICH | N/A | AUSTIN | N/A | 9999-12-31 | 2025-09-01 | ANTHEM SILVER SELECT PPO HSA/H 2000/3300/4000 35% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072258398 | N/A | N/A | 11001702 | 2222 | 4802 | 14005171 | N/A | 9234161 | 2025-10-22 02:51:45.841464 | 2025-10-15 16:55:10.102836 |
| 2025-10-21 07:07:00.566838 | 2025-10-22 05:10:55.359907 | 13680427 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13680427 | Athletic Physical Therapy Inc | 1971-12-07 | 2025-10-23 | M | AE | WALLACH | 1PD0KF7JH37 | CHARLES | 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/2222/7821426/check_13680427_b8454334-5781-46a2-bfa4-be826babf5d9.json | N/A | N/A | N/A | N/A | N/A | 1PD0KF7JH37 | Medicare Part A | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1971-12-07 | N/A | N/A | N/A | MA | false | WALLACH IV | N/A | CHARLES | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072282725 | N/A | N/A | 7821426 | 2222 | 4801 | 14009557 | N/A | 6660003 | 2025-10-22 05:10:55.359907 | 2026-06-01 17:03:48.982724 |
| 2025-10-21 07:06:59.569074 | 2025-10-21 07:07:02.556798 | 13680373 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-10-11 | 2025-10-21 | M | PT | Kahen | XEK909669840 | Shervin | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7787192/check_13680373_88988ee5-2158-4815-b475-0ece0faeebbf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7787192/check_13680373_1676e77e-2a7f-46d5-9e40-5c24d083eac8.json | N/A | N/A | N/A | N/A | N/A | XEK909669840 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1970-10-11 | 2001ZK002195 | X0001000 | N/A | PR | false | KAHEN | N/A | SHERVIN | N/A | 9999-12-31 | 2025-05-18 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072146287 | N/A | N/A | 7787192 | 2222 | N/A | 13963616 | N/A | 6631054 | 2025-10-21 07:07:02.556798 | 2025-12-12 20:45:04.787542 |
| 2025-10-21 07:06:56.507007 | 2025-10-22 00:31:42.550313 | 13680233 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 13680233 | Athletic Physical Therapy Inc | 1953-11-17 | 2025-10-22 | M | AE | Ramos | 43620299 | Federico | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.104126746.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6960617/check_13680233_4e262edd-11e8-4e9f-880e-c2eb1b5c21f9.json | N/A | N/A | N/A | N/A | N/A | 43620299 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1953-11-17 | 406-005-000 | N/A | N/A | N/A | false | RAMOS | N/A | FEDERICO | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072289160 | N/A | N/A | 6960617 | 2222 | 4802 | 13983778 | 6798 | 5985329 | 2025-10-22 00:31:42.550313 | 2025-09-10 17:01:27.097640 |
| 2025-10-21 07:06:49.923490 | 2025-10-22 00:40:16.760196 | 13679921 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13679921 | Athletic Physical Therapy Inc | 1959-07-16 | 2025-10-23 | F | AE | JESTER | 8WT9EW5DX41 | AUREA | PT | 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/2222/9104610/check_13679921_6329ae2e-9d10-4efb-899c-d29f227d2302.json | N/A | N/A | N/A | N/A | N/A | 8WT9EW5DX41 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-16 | H4036 | N/A | N/A | MB | false | JESTER | N/A | AUREA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072261631 | N/A | N/A | 9104610 | 2222 | 4801 | 13988144 | N/A | 7624564 | 2025-10-22 00:40:16.760196 | 2025-10-06 23:19:36.703282 |
| 2025-10-21 07:06:49.773076 | 2025-10-22 00:33:22.851945 | 13679914 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 13679914 | Athletic Physical Therapy Inc | 1972-01-18 | 2025-10-23 | F | AE | EDELMAN | 10958328801 | MARINA | PT | 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/2222/9104367/check_13679914_30ee57a5-e944-42e3-9a81-00925aea2302.json | N/A | N/A | N/A | N/A | N/A | 10958328801 | N/A | TIXR, INC. | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1972-01-18 | N/A | 00651893 | N/A | N/A | false | EDELMAN | N/A | MARINA | N/A | N/A | N/A | HSA QUALIFIED HDHP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072261630 | N/A | N/A | 9104367 | 2222 | 4793 | 13984773 | N/A | 7624210 | 2025-10-22 00:33:22.851945 | 2025-12-10 17:00:45.860910 |
| 2025-10-21 07:06:47.362266 | 2025-10-22 00:34:51.413199 | 13679794 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13679794 | Athletic Physical Therapy Inc | 2009-01-14 | 2025-10-23 | F | PT | OBACZ | JQV897A63197 | KLOIE | N/A | 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/2222/9102655/check_13679794_c1ef0c9e-a293-4c80-b511-03dd5dd78925.json | N/A | N/A | N/A | N/A | N/A | JQV897A63197 | Health Maintenance Organization (HMO) | EVOLVED NOVELTIES INC | ANTHEM BLUE CROSS | N/A | 2009-01-14 | 040 | F45883 | N/A | HM | false | OBACZ | N/A | JUSTIN | N/A | 9999-12-31 | 2025-01-01 | CA SG SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072261616 | N/A | N/A | 9102655 | 2222 | 4801 | 13985560 | N/A | 7621062 | 2025-10-22 00:34:51.413199 | 2025-09-12 19:10:20.936695 |
| 2025-10-21 07:06:41.383364 | 2025-10-22 00:41:09.192209 | 13679498 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13679498 | Athletic Physical Therapy Inc | 1998-10-29 | 2025-10-23 | M | PT | MARSHALL | AGSAH0066119 | THOMAS | N/A | 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/2222/7003223/check_13679498_6671c629-ebab-4036-b50e-df527159f612.json | N/A | N/A | N/A | N/A | N/A | AGSAH0066119 | N/A | PEPPERDINE UNIVERSITY | ANTHEM BLUE CROSS | N/A | 1998-10-29 | 040 | 276500MG04 | N/A | N/A | false | MARSHALL | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072263517 | N/A | N/A | 7003223 | 2222 | 4793 | 13988604 | N/A | 6021448 | 2025-10-22 00:41:09.192209 | 2025-07-14 23:05:51.728886 |
| 2025-10-21 07:06:32.134882 | 2025-10-22 02:42:49.803632 | 13679001 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13679001 | Athletic Physical Therapy Inc | 1942-02-01 | 2025-10-22 | F | AE | CHANG | 3FV9E71EE00 | QUANG | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123419498.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11159406/check_13679001_139fc738-bc76-499e-b186-348fd2e5f3f6.json | N/A | N/A | N/A | N/A | N/A | 3FV9E71EE00 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-02-01 | S4802 | N/A | N/A | MA | false | CHANG | N/A | QUANG CHAN | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072279742 | N/A | N/A | 11159406 | 2222 | 4793 | 14003328 | N/A | 9505845 | 2025-10-22 02:42:49.803632 | 2026-04-29 00:06:17.964395 |
| 2025-10-21 07:06:29.341612 | 2025-10-22 00:46:32.534998 | 13678826 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13678826 | Athletic Physical Therapy Inc | 1955-10-21 | 2025-10-23 | F | PT | WAKIL | MMA290W21854 | MALIHA | N/A | 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/2222/9415877/check_13678826_3554a3c0-422a-4c94-ad96-5da031292860.json | N/A | N/A | N/A | N/A | N/A | MMA290W21854 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1955-10-21 | 040 | CAMCRWP0 | N/A | MP | false | WAKIL | N/A | MALIHA | 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 | 9072298569 | N/A | N/A | 9415877 | 2222 | 4801 | 13991898 | N/A | 7884745 | 2025-10-22 00:46:32.534998 | 2025-10-02 21:33:51.225390 |
| 2025-10-21 07:06:28.251299 | 2025-10-22 00:32:19.842231 | 13678754 | N/A | N/A | 60054 | Aetna | 1114042165 | 13678754 | Athletic Physical Therapy Inc | 1992-08-27 | 2025-10-24 | F | AE | FINLEY | W28806254401 | MICHAELA | PT | 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/2222/9081026/check_13678754_7674ce0c-718b-4d44-9974-798336349461.json | N/A | N/A | N/A | N/A | N/A | W288062544 | Health Maintenance Organization (HMO) | BARRETT BUSINESS SERVICES, INC. | AETNA | N/A | 1992-08-27 | EAC4D303 | 019472903500025 | N/A | HM | false | FINLEY | N/A | MICHAELA | N/A | N/A | N/A | AETNA VALUE NETWORK HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072261414 | N/A | N/A | 9081026 | 2222 | 4801 | 13984111 | N/A | 7597485 | 2025-10-22 00:32:19.842231 | 2025-09-04 15:52:15.446146 |
| 2025-10-21 07:06:27.623001 | 2025-10-22 00:44:16.603418 | 13678714 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 13678714 | Athletic Physical Therapy Inc | 1960-03-08 | 2025-10-24 | F | AE | CONNER | 40068898601 | CRISTEN | PT | 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/2222/9415234/check_13678714_1fbaa3dc-61f7-43ac-a13a-14f5c6715567.json | N/A | N/A | N/A | N/A | N/A | 40068898601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1960-03-08 | 2025H5425001 | H5425M | N/A | N/A | false | CONNER | N/A | CRISTEN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072298562 | N/A | N/A | 9415234 | 2222 | 4801 | 13990534 | N/A | 7884350 | 2025-10-22 00:44:16.603418 | 2025-09-15 22:38:10.066233 |
| 2025-10-21 07:06:25.172384 | 2025-10-22 00:31:24.711444 | 13678557 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 13678557 | Athletic Physical Therapy Inc | 1953-11-10 | 2025-10-23 | F | AE | Herreres | H6884136600 | Irene | 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/2222/10019260/check_13678557_6763b2d7-5959-49c3-b605-aa8e6b4f65e6.json | N/A | N/A | N/A | N/A | N/A | H6884136600 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-11-10 | N/A | N/A | N/A | N/A | false | HERRERES | N/A | IRENE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072266585 | N/A | N/A | 10019260 | 2222 | 4801 | 13983677 | N/A | 8386960 | 2025-10-22 00:31:24.711444 | 2025-10-06 18:27:19.967736 |
| 2025-10-21 07:06:16.332791 | 2025-10-22 00:46:11.435691 | 13678074 | N/A | N/A | 60054 | Aetna | 1114042165 | 13678074 | Athletic Physical Therapy Inc | 1986-01-20 | 2025-10-22 | F | AE | DAVIS | W258779471 | MARTINA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123458973.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993951/check_13678074_a289f19b-91a0-4357-ba07-a2a0cd5ab6ce.json | N/A | N/A | N/A | N/A | N/A | W258779471 | Point of Service (POS) | ADP TOTALSOURCE SERVICES, INC. | AETNA | N/A | 1986-01-20 | 0251371 | 025137101900020 | N/A | PS | false | DAVIS | N/A | ASTIN | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072293124 | N/A | N/A | 5993951 | 2222 | 4802 | 13991640 | N/A | 4642884 | 2025-10-22 00:46:11.435691 | 2025-12-02 20:19:19.910444 |
| 2025-10-21 07:06:15.852606 | 2025-10-22 00:58:28.012133 | 13678051 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13678051 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-10-24 | M | AE | JACOBS | 4XJ0X61FM35 | PATRICIA | 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/2222/5993912/check_13678051_dade58cd-ade2-45d6-b938-34ab8cbbf6f6.json | N/A | N/A | N/A | N/A | N/A | 4XJ0X61FM35 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-25 | S5921 | N/A | N/A | MA | false | JACOBS | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072293123 | N/A | N/A | 5993912 | 2222 | 4793 | 13998658 | N/A | 4642852 | 2025-10-22 00:58:28.012133 | 2025-11-21 18:38:17.056437 |
| 2025-10-21 07:06:02.093798 | 2025-10-22 00:41:06.860125 | 13677263 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13677263 | Athletic Physical Therapy Inc | 1951-10-16 | 2025-10-24 | F | AE | GARRETT | JQE702W20596 | KATHLEEN | PT | 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/2222/6714934/check_13677263_a0783f06-f419-4c95-98f9-db3c553d3a03.json | N/A | N/A | N/A | N/A | N/A | JQE702W20596 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-10-16 | 040 | CASUPWP0 | N/A | N/A | false | GARRETT | N/A | KATHLEEN | N/A | 9999-12-31 | 2024-07-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072261742 | N/A | N/A | 6714934 | 2222 | 4793 | 13988583 | N/A | 5316176 | 2025-10-22 00:41:06.860125 | 2025-07-01 18:44:12.927482 |
| 2025-10-21 07:06:01.825137 | 2025-10-21 07:06:05.571824 | 13677244 | 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/2222/6577657/check_13677244_387f845e-9dcf-4655-b270-3e2a221f4f94.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577657/check_13677244_85a80866-43bf-4f4c-a504-91f80cca310a.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 | 9072137123 | N/A | N/A | 6577657 | 2222 | N/A | 13963296 | N/A | 5197700 | 2025-10-21 07:06:05.571824 | 2025-06-30 15:33:47.069983 |
| 2025-10-21 07:05:53.984829 | 2025-10-22 00:40:17.357148 | 13676781 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13676781 | Athletic Physical Therapy Inc | 1942-10-02 | 2025-10-23 | M | AE | SAWAYA | 3R88YH3MG32 | PETER | PT | 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/2222/9033458/check_13676781_c4afbc57-bb15-4e15-b045-7894f2ff6816.json | N/A | N/A | N/A | N/A | N/A | 3R88YH3MG32 | Medicare Part A | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-10-02 | S9701 | N/A | N/A | MA | false | SAWAYA | N/A | PETER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072259815 | N/A | N/A | 9033458 | 2222 | 4802 | 13988150 | N/A | 7553607 | 2025-10-22 00:40:17.357148 | 2025-09-02 22:55:04.873891 |
| 2025-10-21 07:05:51.170194 | 2025-10-22 02:37:59.755880 | 13676626 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13676626 | Athletic Physical Therapy Inc | 2011-08-24 | 2025-10-23 | M | PT | ASHER | XEA905199322 | ZACHARY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123419498.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11156602/check_13676626_1772e1de-1948-4077-afa7-e6ed72bf3260.json | N/A | N/A | N/A | N/A | N/A | XEA905199322 | Preferred Provider Organization (PPO) | DIGITAL LION MARKETING | BLUE SHIELD CALIFORNIA | N/A | 2011-08-24 | 1000VX000102 | W0005232 | N/A | PR | false | ASHER | N/A | RACHEL | N/A | 2030-08-31 | 2016-05-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072278975 | N/A | N/A | 11156602 | 2222 | 4793 | 14002052 | N/A | 9503413 | 2025-10-22 02:37:59.755880 | 2025-10-22 21:03:24.468784 |
| 2025-10-21 07:05:45.652452 | 2025-10-22 00:34:52.085624 | 13676317 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13676317 | Athletic Physical Therapy Inc | 1952-08-20 | 2025-10-23 | M | PT | POLK | MBL292M95257 | KENNETH | N/A | 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/2222/9022039/check_13676317_f50dc1b8-b2db-4af3-a2fa-ff1ca5a7a0cf.json | N/A | N/A | N/A | N/A | N/A | MBL292M95257 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1952-08-20 | 040 | CAEGR002 | N/A | N/A | false | POLK | N/A | KENNETH | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072261007 | N/A | N/A | 9022039 | 2222 | 4801 | 13985564 | N/A | 7544773 | 2025-10-22 00:34:52.085624 | 2025-09-02 18:35:33.812098 |
| 2025-10-21 07:05:44.063601 | 2025-10-22 00:32:19.555686 | 13676242 | N/A | N/A | 60054 | Aetna | 1114042165 | 13676242 | Athletic Physical Therapy Inc | 1997-02-11 | 2025-10-22 | F | AE | BELL | W29376563901 | FRANCESCA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123336228.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9020239/check_13676242_55cf27ec-e231-4b6a-b7b2-c0a70f0cdb38.json | N/A | N/A | N/A | N/A | N/A | W293765639 | Point of Service (POS) | VINSON & ELKINS LLP | AETNA | N/A | 1997-02-11 | 0882904 | 088290401200015 | N/A | PS | false | BELL | N/A | FRANCESCA | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072260996 | N/A | N/A | 9020239 | 2222 | 4802 | 13984107 | N/A | 7543693 | 2025-10-22 00:32:19.555686 | 2025-10-06 20:52:39.651223 |
| 2025-10-21 07:05:42.934715 | 2025-10-22 02:50:47.959144 | 13676184 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13676184 | Athletic Physical Therapy Inc | 1963-09-07 | 2025-10-23 | M | PT | BAHR | FZX638A69335 | KEVIN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251021.123324101.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10371931/check_13676184_1924f37d-d4d6-4ae2-9b4d-f9492846a34f.json | N/A | N/A | N/A | N/A | N/A | FZX638A69335 | Preferred Provider Organization (PPO) | CDHP HSA NON-INTEGRATED BNK | ANTHEM BLUE CROSS | N/A | 1963-09-07 | 423 | 201028M2CA | N/A | PR | false | BAHR | N/A | KEVIN | N/A | 9999-12-31 | 2022-01-01 | CDHP VIRGINIA HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072258801 | N/A | N/A | 10371931 | 2222 | 4793 | 14004950 | N/A | 8634062 | 2025-10-22 02:50:47.959144 | 2025-10-16 21:25:25.746427 |
| 2025-10-21 07:05:42.652523 | 2025-10-21 07:05:45.631741 | 13676166 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-11-17 | 2025-10-21 | F | AE | WOODS | 96781627F | JESSICA | PT | 23322 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542752/check_13676166_a5483f09-5df6-4a84-bec3-8742b201b754.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542752/check_13676166_862ba709-e0b5-4fe4-99aa-e0b73e928102.json | N/A | N/A | N/A | N/A | N/A | 96781627F | N/A | N/A | HEALTH NET, LLC | N/A | 1979-11-17 | N/A | N/A | N/A | N/A | false | WOODS | N/A | JESSICA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072134590 | N/A | N/A | 5542752 | 2222 | N/A | 13963165 | N/A | 4214627 | 2025-10-21 07:05:45.631741 | 2025-06-23 18:58:46.304598 |
| 2025-10-21 07:05:38.599242 | 2025-10-22 02:46:04.485148 | 13675958 | N/A | N/A | 60054 | Aetna | 1114042165 | 13675958 | Athletic Physical Therapy Inc | 1949-03-10 | 2025-10-24 | F | PT | BONESTEEL | JQW668W04223 | CHEENIE | N/A | 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/2222/10368765/check_13675958_66838339-0a48-482e-949f-264dc9f6c89e.json | N/A | N/A | N/A | N/A | N/A | JQW668W04223 | N/A | N/A | AETNA INC | N/A | 1949-03-10 | N/A | N/A | N/A | N/A | false | BONESTEEL | N/A | CHEENIE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072258607 | N/A | N/A | 10368765 | 2222 | 4801 | 14003822 | N/A | 8631533 | 2025-10-22 02:46:04.485148 | 2026-01-20 18:31:42.469716 |
| 2025-10-21 07:05:30.738263 | 2025-10-22 00:40:17.062306 | 13675626 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13675626 | Athletic Physical Therapy Inc | 1950-04-13 | 2025-10-23 | F | AE | NATALI | 2XU8UK4DF50 | RENEE | PT | 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/2222/8979192/check_13675626_91058558-e235-43fb-a9f0-d93005f0bea6.json | N/A | N/A | N/A | N/A | N/A | 2XU8UK4DF50 | Medicare Part B | N/A | HEALTH CARE SERVICE CORPORATION | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-04-13 | S5715 | N/A | N/A | MB | false | NATALI | N/A | RENEE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072260786 | N/A | N/A | 8979192 | 2222 | 4793 | 13988147 | N/A | 7498543 | 2025-10-22 00:40:17.062306 | 2025-10-14 17:13:32.178778 |
| 2025-10-21 07:05:18.797620 | 2025-10-22 00:40:16.473970 | 13675050 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13675050 | Athletic Physical Therapy Inc | 1948-07-07 | 2025-10-24 | F | AE | GOEL | 5RR4M63DR65 | VEENA | PT | 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/2222/8969533/check_13675050_af12accb-eaa9-4a8a-9146-029e27cec30c.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 | 9072261455 | N/A | N/A | 8969533 | 2222 | 4802 | 13988140 | N/A | 7485064 | 2025-10-22 00:40:16.473970 | 2025-12-29 22:41:16.623495 |
| 2025-10-21 07:05:17.444863 | 2025-10-22 00:32:49.886446 | 13674976 | N/A | N/A | 60054 | Aetna | 1114042165 | 13674976 | Athletic Physical Therapy Inc | 1976-05-10 | 2025-10-24 | M | AE | RAMIREZ | 9537353099 | ROY | 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/2222/6865171/check_13674976_8d0d342b-2fa2-42b9-bfd0-bd6ed0a8a9c6.json | N/A | N/A | N/A | N/A | N/A | 9537353099 | Group Policy | N/A | AETNA INC | PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE INFORMATION | 1976-05-10 | A01 | 20086 | N/A | GP | false | RAMIREZ | N/A | ROY | N/A | N/A | N/A | SP1 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072289396 | N/A | N/A | 6865171 | 2222 | 4801 | 13984447 | N/A | 5902840 | 2025-10-22 00:32:49.886446 | 2025-07-28 18:58:27.354873 |
| 2025-10-21 07:05:12.147226 | 2025-10-22 00:32:39.527180 | 13674725 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 13674725 | override_provider | 1963-04-03 | 2025-10-23 | F | PT | Protsenko | AJC912998623 | Tetiana | N/A | 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/2222/9958584/check_13674725_cb69eca5-7681-4185-9179-bc51ccad9425.json | N/A | N/A | N/A | N/A | N/A | AJC912998623 | Medicaid | BSC PROMISE HEALTH PLAN MEDI CAL | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1963-04-03 | 1000MCAL0008 | E0001001 | N/A | MC | false | PROTSENKO | N/A | TETIANA | N/A | N/A | N/A | BLUE SHIELD PROMISE MEDI CAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072265495 | N/A | N/A | 9958584 | 2222 | 4802 | 13984323 | N/A | 7994720 | 2025-10-22 00:32:39.527180 | 2025-09-24 04:33:28.125297 |
| 2025-10-21 07:05:11.109941 | 2025-10-22 00:34:33.330742 | 13674683 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 13674683 | Athletic Physical Therapy Inc | 1987-06-17 | 2025-10-23 | M | AE | FAVELA | 620360888 | MAXIMILIAN | PT | 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/2222/8960010/check_13674683_765e5ac4-1871-4344-8572-6b8ab8779e22.json | N/A | N/A | N/A | N/A | N/A | 620360888 | N/A | L.A. CARE COVERED GOLD 80 HMO | LA CARE HEALTH PLAN | HEALTH BENEFIT PLAN COVERAGE | 1987-06-17 | LACC | 92815CA001000701 | N/A | N/A | false | FAVELA | N/A | MAXIMILIAN | N/A | 2025-12-31 | 2025-02-01 | L.A. CARE COVERED | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072260675 | N/A | N/A | 8960010 | 2222 | 4802 | 13985434 | N/A | 7476978 | 2025-10-22 00:34:33.330742 | 2026-01-07 18:27:22.752552 |
| 2025-10-21 07:05:10.966114 | 2025-10-22 00:58:24.723237 | 13674675 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13674675 | Athletic Physical Therapy Inc | 1958-09-13 | 2025-10-24 | M | AE | DERR | 4GK3GN5DV73 | DENNIS | 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/2222/5874420/check_13674675_48e3c0fd-b42b-473d-986e-18bd23a3a590.json | N/A | N/A | N/A | N/A | N/A | 4GK3GN5DV73 | N/A | N/A | CMS | N/A | 1958-09-13 | N/A | N/A | N/A | N/A | false | DERR | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072292369 | N/A | N/A | 5874420 | 2222 | 4793 | 13998643 | N/A | 4534550 | 2025-10-22 00:58:24.723237 | 2025-10-15 18:36:58.255255 |
| 2025-10-21 07:05:07.119920 | 2025-10-22 05:05:40.841679 | 13674510 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 13674510 | Athletic Physical Therapy Inc | 1936-04-01 | 2025-10-23 | F | AE | WESTER | 40064582501 | EIVOR | 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/2222/7761229/check_13674510_4a4a5f43-7a9d-426e-8454-891f814fd4a7.json | N/A | N/A | N/A | N/A | N/A | 40064582501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1936-04-01 | 2025H5425001 | H5425M | N/A | N/A | false | WESTER | N/A | EIVOR | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072281342 | N/A | N/A | 7761229 | 2222 | 4793 | 14008786 | N/A | 6610550 | 2025-10-22 05:05:40.841679 | 2025-08-29 21:18:14.924057 |
| 2025-10-21 07:05:06.485841 | 2025-10-22 05:10:55.048295 | 13674484 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13674484 | Athletic Physical Therapy Inc | 1935-11-26 | 2025-10-23 | F | AE | MCCANN | 9Q04X31JA99 | JOSEPHINE | 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/2222/7760463/check_13674484_d4e32146-232b-479e-af3e-188590d7f693.json | N/A | N/A | N/A | N/A | N/A | 9Q04X31JA99 | N/A | N/A | CMS | N/A | 1935-11-26 | N/A | N/A | N/A | N/A | false | MCCANN | N/A | JOSEPHINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072281340 | N/A | N/A | 7760463 | 2222 | 4801 | 14009556 | N/A | 6609924 | 2025-10-22 05:10:55.048295 | 2025-08-12 22:04:05.464362 |
| 2025-10-21 07:04:56.712909 | 2025-10-22 00:34:52.564922 | 13674121 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13674121 | Athletic Physical Therapy Inc | 1960-08-19 | 2025-10-23 | M | PT | WARREN | MBL523W24301 | WILLIAM | N/A | 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/2222/8681972/check_13674121_d830a1ac-d50f-42b0-af3c-aacd5118e030.json | N/A | N/A | N/A | N/A | N/A | MBL523W24301 | N/A | LOS ANGELES CITY EMPLOYEES' RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1960-08-19 | 040 | CA039GRS | N/A | N/A | false | WARREN | N/A | WILLIAM | N/A | 9999-12-31 | 2025-08-01 | CA GRS LACERS H4036-801 ANTHEM MEDICARE PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072261371 | N/A | N/A | 8681972 | 2222 | 4801 | 13985568 | N/A | 7315557 | 2025-10-22 00:34:52.564922 | 2025-09-08 19:23:27.353339 |
| 2025-10-21 07:04:38.189859 | 2025-10-22 00:46:31.690196 | 13673470 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13673470 | Athletic Physical Therapy Inc | 2010-01-19 | 2025-10-23 | M | PT | RIEMER | NSA00184555H | AUSTIN | N/A | 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/2222/9321401/check_13673470_85e0d319-a2a3-468e-89ee-17df55ac5b11.json | N/A | N/A | N/A | N/A | N/A | NSA00184555H | Preferred Provider Organization (PPO) | MAIN PPO PLAN- EARNED | ANTHEM BLUE CROSS | N/A | 2010-01-19 | 040 | L05927A001 | N/A | PR | false | RIEMER | N/A | JUSTIN | N/A | 9999-12-31 | 2023-01-01 | PB INCENTIVE NO SUTTER | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072296801 | N/A | N/A | 9321401 | 2222 | 4801 | 13991887 | N/A | 7820673 | 2025-10-22 00:46:31.690196 | 2025-09-12 21:33:53.471523 |
| 2025-10-21 07:04:34.999488 | 2025-10-22 00:49:54.671622 | 13673351 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13673351 | Athletic Physical Therapy Inc | 1952-06-26 | 2025-10-23 | M | AE | MATTHEWS | 00000283273 | DAVID | 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/2222/5676399/check_13673351_a4705b3e-2b00-49f4-91cd-468353d8ce9d.json | N/A | N/A | N/A | N/A | N/A | 00000283273 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1952-06-26 | H3815028 | N/A | N/A | HM | false | MATTHEWS | N/A | DAVID | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072291848 | N/A | N/A | 5676399 | 2222 | 4793 | 13994555 | 2630 | 4343454 | 2025-10-22 00:49:54.671622 | 2025-05-13 04:29:37.230932 |
| 2025-10-21 07:04:34.778381 | 2025-10-22 00:46:09.517228 | 13673344 | N/A | N/A | 60054 | Aetna | 1114042165 | 13673344 | Athletic Physical Therapy Inc | 1956-11-03 | 2025-10-23 | M | AE | ARROW | 101393152200 | PAUL | 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/2222/5676385/check_13673344_a6bdbb05-6816-4ab0-836f-a0488ccfad62.json | N/A | N/A | N/A | N/A | N/A | 101393152200 | Preferred Provider Organization (PPO) | BP CORPORATION NORTH AMERICA - MA | AETNA | MEDICARE | 1956-11-03 | 100181-02EG0001 | 100181-02 | N/A | PR | false | ARROW | N/A | PAUL | N/A | N/A | N/A | BP MEDICARE PPO ESA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072291847 | N/A | N/A | 5676385 | 2222 | 4802 | 13991616 | N/A | 4343439 | 2025-10-22 00:46:09.517228 | 2025-05-13 04:29:37.230918 |
| 2025-10-21 07:04:32.805320 | 2025-10-22 00:32:50.159784 | 13673278 | N/A | N/A | 60054 | AETNA | 1114042165 | 13673278 | Athletic Physical Therapy Inc | 1940-12-29 | 2025-10-24 | M | AE | TRUNNELL | 101505559100 | WAYNE | 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/2222/6786642/check_13673278_c61538f7-99fa-4b00-bc8b-871a22d6da36.json | N/A | N/A | N/A | N/A | N/A | 101505559100 | Point of Service (POS) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-12-29 | 000003-CA000074 | 000003-CA | N/A | PS | false | TRUNNELL | N/A | WAYNE | N/A | N/A | N/A | AETNA MEDICARE PLUS (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072287995 | N/A | N/A | 6786642 | 2222 | 4793 | 13984451 | 3939 | 5818009 | 2025-10-22 00:32:50.159784 | 2025-07-15 23:19:05.900633 |
| 2025-10-21 07:04:29.326607 | 2025-10-22 00:38:43.560306 | 13673158 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13673158 | Athletic Physical Therapy Inc | 1947-12-19 | 2025-10-23 | F | PT | Taggart | MBL830M95233 | Rita | 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/2222/6780011/check_13673158_2eaa0174-0c9c-4c88-8bdf-e047da2a81bc.json | N/A | N/A | N/A | N/A | N/A | MBL830M95233 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1947-12-19 | 040 | CAEGR002 | N/A | N/A | false | TAGGART | N/A | RITA | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072287857 | N/A | N/A | 6780011 | 2222 | 4802 | 13987336 | N/A | 5811238 | 2025-10-22 00:38:43.560306 | 2025-07-03 18:24:56.520298 |
| 2025-10-21 07:04:22.614762 | 2025-10-22 00:34:32.410486 | 13672945 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13672945 | Athletic Physical Therapy Inc | 1948-06-02 | 2025-10-24 | M | AE | DIAZ GONZALEZ | 00000162490 | ERASMO | PT | 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/2222/8481461/check_13672945_44e9879b-f367-4b0a-9e6e-972a01566413.json | N/A | N/A | N/A | N/A | N/A | 00000162490 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1948-06-02 | H3815028 | N/A | N/A | HM | false | DIAZ GONZALEZ | N/A | ERASMO | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072260077 | N/A | N/A | 8481461 | 2222 | 4801 | 13985425 | 2630 | 7150693 | 2025-10-22 00:34:32.410486 | 2025-08-25 20:10:31.213285 |
| 2025-10-21 07:04:05.193081 | 2025-10-22 00:49:05.514475 | 13672624 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13672624 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-10-23 | F | AE | GIANOLI | R11857813FM1 | ELSY | 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/2222/5568076/check_13672624_dba40f4a-36af-4d9e-8dbd-bce16b91ea34.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072291132 | N/A | N/A | 5568076 | 2222 | 4802 | 13993861 | N/A | 4209480 | 2025-10-22 00:49:05.514475 | 2026-04-10 02:05:15.976484 |
| 2025-10-21 07:03:57.065200 | 2025-10-22 00:49:54.292177 | 13672512 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13672512 | Athletic Physical Therapy Inc | 1954-03-04 | 2025-10-23 | M | AE | ARUJO | 00000223568 | RAMON | 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/2222/5550751/check_13672512_defcd944-438d-49e3-b240-6563448fa561.json | N/A | N/A | N/A | N/A | N/A | 00000223568 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1954-03-04 | H3815028 | N/A | N/A | HM | false | ARUJO | N/A | RAMON | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072291099 | N/A | N/A | 5550751 | 2222 | 4801 | 13994551 | 2630 | 4219640 | 2025-10-22 00:49:54.292177 | 2025-05-13 04:29:37.230682 |
| 2025-10-21 07:03:56.803193 | 2025-10-22 00:58:23.273578 | 13672508 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13672508 | Athletic Physical Therapy Inc | 1954-05-11 | 2025-10-24 | M | AE | A Peters | 1R78CR5JR59 | Dennis | 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/2222/5550025/check_13672508_b1a98100-0868-4195-8b3b-5343d258fcd1.json | N/A | N/A | N/A | N/A | N/A | 1R78CR5JR59 | N/A | N/A | CMS | N/A | 1954-05-11 | N/A | N/A | N/A | N/A | false | A PETERS | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072291098 | N/A | N/A | 5550025 | 2222 | 4801 | 13998640 | N/A | 4219449 | 2025-10-22 00:58:23.273578 | 2025-10-07 21:32:27.567534 |
| 2025-10-21 07:03:56.600425 | 2025-10-22 00:50:08.767760 | 13672505 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13672505 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-10-24 | F | PT | LUCZYWEK | HFD100011213709 | DEBORA | 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/2222/5549317/check_13672505_f408f380-ac8d-484c-9503-f7e9ddaf2c7c.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072291097 | N/A | N/A | 5549317 | 2222 | 4801 | 13994731 | N/A | 4219010 | 2025-10-22 00:50:08.767760 | 2026-01-09 18:32:07.618867 |
| 2025-10-21 07:03:55.355136 | 2025-10-22 00:50:07.588903 | 13672490 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13672490 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-10-23 | F | PT | DAKE | SIF326M90066 | RENEE | 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/2222/5543355/check_13672490_e462b19d-474f-4d7f-a18a-46bf67cdcc8e.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | Preferred Provider Organization (PPO) | SISC - MEADOWS ARTS & TECH ELEMENTARY SCHOOL | ANTHEM BLUE CROSS | N/A | 1968-01-29 | 040 | 40424B | N/A | PR | false | DAKE | N/A | RENEE | N/A | 9999-12-31 | 2018-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072291090 | N/A | N/A | 5543355 | 2222 | 4793 | 13994713 | N/A | 4215158 | 2025-10-22 00:50:07.588903 | 2025-05-13 04:29:37.229475 |
| 2025-10-21 07:03:55.161502 | 2025-10-22 00:49:58.593490 | 13672488 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 13672488 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-10-23 | F | AE | SILVERS | 1866968 | JOIEMAY | 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/2222/5543335/check_13672488_9299958b-2d20-4e38-b672-f2871e141091.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 2001-01-23 | N/A | N/A | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072291089 | N/A | N/A | 5543335 | 2222 | 4802 | 13994608 | N/A | 4215139 | 2025-10-22 00:49:58.593490 | 2025-05-13 21:20:11.455022 |
| 2025-10-21 07:03:54.854777 | 2025-10-22 00:50:07.160112 | 13672484 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13672484 | Athletic Physical Therapy Inc | 1962-09-27 | 2025-10-24 | F | PT | BARAJAS | NCF425A56241 | EMMA | 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/2222/5543324/check_13672484_8920e9a6-ba2b-4ff6-b355-f18761cb2f66.json | N/A | N/A | N/A | N/A | N/A | JMV425A56241 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1962-09-27 | 040 | 56677VR000 | N/A | HM | false | BARAJAS | N/A | RAMON | N/A | 9999-12-31 | 2025-09-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072291088 | N/A | N/A | 5543324 | 2222 | 4801 | 13994705 | 4184 | 4215131 | 2025-10-22 00:50:07.160112 | 2025-08-11 16:45:52.816842 |
| 2025-10-21 07:03:54.509158 | 2025-10-22 00:51:11.616216 | 13672482 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13672482 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-10-23 | F | PT | PAUL | XEK914147727 | SARA | 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/2222/5543211/check_13672482_dcbe2a26-33ee-4871-b867-b33948792a92.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | 2025-12-31 | 2025-02-01 | SILVER 2600 HDHP PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072291087 | N/A | N/A | 5543211 | 2222 | 4801 | 13995472 | N/A | 4215028 | 2025-10-22 00:51:11.616216 | 2025-05-13 04:29:37.229346 |
| 2025-10-21 07:03:54.222620 | 2025-10-22 00:51:09.972092 | 13672477 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13672477 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-10-24 | F | PT | JAIN | XEK909304497 | SUPARNA | 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/2222/5542952/check_13672477_163a8692-228c-4ecd-a56c-0dd133b4a0c0.json | N/A | N/A | N/A | N/A | N/A | XEK909304497 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-01-24 | 2001ZK002189 | X0001000 | N/A | PR | false | JAIN | N/A | SUPARNA | N/A | 9999-12-31 | 2019-09-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072291086 | N/A | N/A | 5542952 | 2222 | 4802 | 13995461 | N/A | 4214804 | 2025-10-22 00:51:09.972092 | 2025-05-13 20:09:53.786482 |
| 2025-10-21 07:03:53.782037 | 2025-10-22 00:49:48.508427 | 13672474 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13672474 | Athletic Physical Therapy Inc | 2007-12-08 | 2025-10-23 | F | AE | LARSEN | R06053944FD1 | LANA | 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/2222/5542850/check_13672474_8cd02824-f663-47dc-b877-e9bad6146816.json | N/A | N/A | N/A | N/A | N/A | R06053944FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2007-12-08 | N/A | N/A | N/A | N/A | false | LARSEN | N/A | LANA | N/A | N/A | N/A | MGY COMHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9072291085 | N/A | N/A | 5542850 | 2222 | 4793 | 13994463 | N/A | 4214714 | 2025-10-22 00:49:48.508427 | 2025-05-13 04:29:37.229031 |
| 2025-10-21 07:03:53.504554 | 2025-10-22 00:51:10.569598 | 13672471 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13672471 | Athletic Physical Therapy Inc | 1974-06-26 | 2025-10-24 | M | PT | ARSHADNIA | XEK904721388 | SHAHRIAR | 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/2222/5542770/check_13672471_c5cfe4f7-04fc-44ec-8485-8a7ba2709835.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1974-06-26 | 2001ZJ002648 | X0001000 | N/A | PR | false | NOSRAT | N/A | CAROLYN | N/A | 9999-12-31 | 2016-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9072291084 | N/A | N/A | 5542770 | 2222 | 4802 | 13995465 | N/A | 4214643 | 2025-10-22 00:51:10.569598 | 2025-05-13 04:29:37.228964 |