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 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-20 05:19:03.189517 | 2025-10-21 02:35:42.595982 | 13643619 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13643619 | Athletic Physical Therapy Inc | 1973-02-24 | 2025-10-23 | F | PT | TAKEMOTO | XED906098170 | NICOLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102127911.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928752/check_13643619_c0e6e96d-10ad-4110-826a-36bf24902366.json | N/A | N/A | N/A | N/A | N/A | XED906098170 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1973-02-24 | 2001ZK002184 | X0001004 | N/A | PR | false | TAKEMOTO | N/A | NICOLE | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9063180500 | N/A | N/A | 5928752 | 2222 | 4802 | 13956563 | N/A | 4583701 | 2025-10-21 02:35:42.595982 | 2025-07-24 17:50:11.805587 |
| 2025-10-20 05:19:02.947852 | 2025-10-21 05:18:04.999718 | 13643605 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13643605 | Athletic Physical Therapy Inc | 1960-10-21 | 2025-10-23 | M | AE | UPSON | JQE907W24463 | MARK | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102216018.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6517484/check_13643605_1d33ead9-97b6-43f0-8067-89ca22cfed95.json | N/A | N/A | N/A | N/A | N/A | JQE907W24463 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1960-10-21 | 040 | CASUPWP0 | N/A | N/A | false | UPSON | N/A | MARK | N/A | 9999-12-31 | 2025-10-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9063190236 | N/A | N/A | 6517484 | 2222 | 4801 | 13961628 | N/A | 4219691 | 2025-10-21 05:18:04.999718 | 2025-05-13 04:29:37.230736 |
| 2025-10-20 05:19:01.062928 | 2025-10-21 00:40:19.875568 | 13643514 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13643514 | Athletic Physical Therapy Inc | 1952-08-04 | 2025-10-23 | F | AE | Dunkerley | 9N89GR7HH33 | Elizabeth | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102226687.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9665219/check_13643514_188f9b6b-b06f-43d1-8753-af7210876ce3.json | N/A | N/A | N/A | N/A | N/A | 9N89GR7HH33 | N/A | N/A | CMS | N/A | 1952-08-04 | N/A | N/A | N/A | N/A | false | DUNKERLEY | N/A | ELIZABETH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9063189345 | N/A | N/A | 9665219 | 2222 | 4802 | 13946223 | N/A | 8086688 | 2025-10-21 00:40:19.875568 | 2026-01-15 18:07:39.869679 |
| 2025-10-20 05:18:54.128629 | 2025-10-21 00:33:08.707386 | 13643128 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 13643128 | Athletic Physical Therapy Inc | 2000-12-17 | 2025-10-23 | M | AE | Ke | QVVKND00 | Haozhe | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.081521875.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8405192/check_13643128_6516baee-48e1-402b-955a-c5f5195228d9.json | N/A | N/A | N/A | N/A | N/A | QVVKND00 | N/A | N/A | ZELIS HEALTHCARE | PATIENT HAS ACTIVE COVERAGE BASED ON DATA AVAILABLE AS OF DATE OF REQUEST. CONTACT OTHER ENTITY TO VALIDATE | 2000-12-17 | N/A | N/A | N/A | N/A | false | KE | N/A | HAOZHE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9063186249 | N/A | N/A | 8405192 | 2222 | 4802 | 13937724 | N/A | 7083453 | 2025-10-21 00:33:08.707386 | 2025-08-26 19:33:12.586504 |
| 2025-10-20 05:18:44.445739 | 2025-10-21 00:42:18.950017 | 13642683 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13642683 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-10-22 | M | AE | CICCIARI | 1AK4JC6NK84 | LOUIS | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102123761.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_13642683_37a4e613-64cd-4354-b3c5-6314c71febaf.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5596 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9063177089 | N/A | N/A | 6752936 | 2222 | 4801 | 13948549 | N/A | 5065602 | 2025-10-21 00:42:18.950017 | 2025-07-01 17:25:13.681724 |
| 2025-10-20 05:18:42.352900 | 2025-10-21 00:36:10.055458 | 13642566 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13642566 | Athletic Physical Therapy Inc | 1969-05-24 | 2025-10-23 | F | PT | KIM | AXV840499320 | MEE RHAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102226687.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9656192/check_13642566_6dc07c4a-dbad-47ae-8d22-bf20d475c889.json | N/A | N/A | N/A | N/A | N/A | AXV840499320 | Preferred Provider Organization (PPO) | M84 ACTIVE PPO PLUS | CUSTOMER SERVICE | N/A | 1969-05-24 | N/A | 778099 | N/A | PR | false | KIM | N/A | MEE RHAN | N/A | 9999-12-31 | 2024-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9063189304 | N/A | N/A | 9656192 | 2222 | 4802 | 13941545 | N/A | 8079138 | 2025-10-21 00:36:10.055458 | 2025-09-23 17:35:16.046338 |
| 2025-10-20 05:18:41.750289 | 2025-10-21 00:42:19.937545 | 13642533 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13642533 | Athletic Physical Therapy Inc | 1929-10-10 | 2025-10-23 | M | AE | Walter | 1TQ1EQ4FJ98 | Howard | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102123761.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751304/check_13642533_8d639bfc-e4a1-41e9-81ad-34a50814ec6c.json | N/A | N/A | N/A | N/A | N/A | 1TQ1EQ4FJ98 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-10-10 | N/A | N/A | N/A | MA | false | WALTER | N/A | HOWARD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9063178221 | N/A | N/A | 6751304 | 2222 | 4802 | 13948566 | N/A | 5557241 | 2025-10-21 00:42:19.937545 | 2025-07-22 17:08:51.810153 |
| 2025-10-20 05:18:36.961869 | 2025-10-21 00:37:56.501760 | 13642286 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13642286 | Athletic Physical Therapy Inc | 1956-06-26 | 2025-10-22 | F | AE | SUAREZ | JQE410W22492 | ANA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102713498.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9083355/check_13642286_b530d4fa-ebc1-4654-93cd-5871a6972cbf.json | N/A | N/A | N/A | N/A | N/A | JQE410W22492 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1956-06-26 | 040 | CASUPWP0 | N/A | N/A | false | SUAREZ | N/A | ANA | N/A | 9999-12-31 | 2025-01-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9063209464 | N/A | N/A | 9083355 | 2222 | 4801 | 13943393 | N/A | 7600312 | 2025-10-21 00:37:56.501760 | 2025-09-04 18:19:39.478018 |
| 2025-10-20 05:18:29.050187 | 2025-10-21 00:34:27.442599 | 13641864 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13641864 | Athletic Physical Therapy Inc | 1994-12-08 | 2025-10-23 | F | PT | Benet | CPT240W21227 | Lilian | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.081116702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7587004/check_13641864_8fc8a1da-f303-46d1-8a12-ef72cb944cbc.json | N/A | N/A | N/A | N/A | N/A | CPT240W21227 | Preferred Provider Organization (PPO) | THE CAPITAL GROUP COMPANIES | ANTHEM BLUE CROSS | N/A | 1994-12-08 | 040 | C20001M1A2 | N/A | PR | false | BENET | N/A | LILIAN | N/A | 9999-12-31 | 2024-08-26 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9063184500 | N/A | N/A | 7587004 | 2222 | 4802 | 13939562 | N/A | 6496624 | 2025-10-21 00:34:27.442599 | 2025-09-26 20:15:15.570978 |
| 2025-10-20 05:18:23.797087 | 2025-10-21 00:35:09.718407 | 13641588 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13641588 | Athletic Physical Therapy Inc | 1971-06-05 | 2025-10-23 | F | PT | MENDELSON | XEK913483846 | SHARON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.081521875.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8224045/check_13641588_2ffdf88a-12f7-4bd9-a477-19b722d51f58.json | N/A | N/A | N/A | N/A | N/A | XEK913483846 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1971-06-05 | 2001ZK002189 | X0001000 | N/A | PR | false | MENDELSON | N/A | SIMON | N/A | 9999-12-31 | 2024-10-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9063185511 | N/A | N/A | 8224045 | 2222 | 4802 | 13940229 | N/A | 6981160 | 2025-10-21 00:35:09.718407 | 2025-08-26 21:16:15.557856 |
| 2025-10-20 05:18:23.479286 | 2025-10-21 00:42:19.651953 | 13641568 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13641568 | Athletic Physical Therapy Inc | 1959-07-23 | 2025-10-23 | M | AE | Harvey | 1D65V29PD77 | Roy | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102123761.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714928/check_13641568_341607f1-af6f-4713-932a-156c7044b89e.json | N/A | N/A | N/A | N/A | N/A | 1D65V29PD77 | Medicare Part A | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-23 | S5660 | DOL 01291978 | N/A | MA | false | HARVEY | N/A | ROY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9063178522 | N/A | N/A | 6714928 | 2222 | 4802 | 13948560 | N/A | 5316172 | 2025-10-21 00:42:19.651953 | 2025-07-02 15:09:36.678003 |
| 2025-10-20 05:18:22.118810 | 2025-10-21 00:32:01.440973 | 13641493 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 13641493 | Athletic Physical Therapy Inc | 1955-02-20 | 2025-10-22 | F | AE | SALGUERO | 35955370 | DINA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102123761.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6711965/check_13641493_51858f98-cbe0-4660-a536-f6bc963b32a6.json | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | 406-005-000 | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9063178514 | N/A | N/A | 6711965 | 2222 | 4793 | 13935920 | 6798 | 4210430 | 2025-10-21 00:32:01.440973 | 2025-05-13 04:29:37.224841 |
| 2025-10-20 05:18:11.370543 | 2025-10-21 00:35:29.315514 | 13641092 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 13641092 | Athletic Physical Therapy Inc | 1944-03-02 | 2025-10-23 | F | AE | SETRAK | 40064880801 | SETA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102226687.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9634904/check_13641092_ef54255e-5f80-48cd-9aa1-1585aa1f5a68.json | N/A | N/A | N/A | N/A | N/A | 40064880801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1944-03-02 | 2025H5425001 | H5425M | N/A | N/A | false | SETRAK | N/A | SETA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9063188736 | N/A | N/A | 9634904 | 2222 | 4801 | 13940642 | N/A | 8061360 | 2025-10-21 00:35:29.315514 | 2025-09-22 21:51:14.372865 |
| 2025-10-20 05:17:50.985550 | 2025-10-21 00:52:04.874912 | 13640061 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13640061 | Athletic Physical Therapy Inc | 1959-09-19 | 2025-10-22 | F | AE | MOJIRI ANDANI | 3CQ3TX0XD02 | SOUSSAN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102634882.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9862291/check_13640061_df32e6b0-f06e-4757-a48c-a421e241bf66.json | N/A | N/A | N/A | N/A | N/A | 3CQ3TX0XD02 | Medicare Part A | N/A | HEALTH CARE SERVICE CORPORATION | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-19 | S5715 | N/A | N/A | MA | false | MOJIRI-ANDANI | N/A | SOUSSAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9063202200 | N/A | N/A | 9862291 | 2222 | 4802 | 13953376 | N/A | 8216024 | 2025-10-21 00:52:04.874912 | 2025-09-29 17:34:24.775132 |
| 2025-10-20 05:17:42.201045 | 2025-10-21 00:54:08.448090 | 13639471 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13639471 | Athletic Physical Therapy Inc | 1947-12-03 | 2025-10-23 | M | PT | WONG | 6GE2PF6CC92 | STANLEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102424341.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9132315/check_13639471_838e3d57-1914-410b-8659-0777c1731025.json | N/A | N/A | N/A | N/A | N/A | 6GE2PF6CC92 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-12-03 | H4036 | N/A | N/A | MB | false | WONG | N/A | STANLEY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9063197595 | N/A | N/A | 9132315 | 2222 | 4802 | 13954261 | N/A | 7140615 | 2025-10-21 00:54:08.448090 | 2025-09-05 16:51:17.488032 |
| 2025-10-20 05:17:40.249244 | 2025-10-21 00:32:17.932393 | 13639333 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13639333 | Athletic Physical Therapy Inc | 1945-08-05 | 2025-10-23 | M | AE | KEARIN | JQE915W09564 | MICHAEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.101906780.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11013088/check_13639333_2155c33d-d9ff-4aaf-9599-b63f9c80bc46.json | N/A | N/A | N/A | N/A | N/A | JQE915W09564 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1945-08-05 | 040 | CASUPWP0 | N/A | N/A | false | KEARIN | N/A | MICHAEL | N/A | 9999-12-31 | 2021-10-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9063171090 | N/A | N/A | 11013088 | 2222 | 4802 | 13936344 | N/A | 9378476 | 2025-10-21 00:32:17.932393 | 2025-12-16 16:36:57.740246 |
| 2025-10-20 05:17:36.690733 | 2025-10-21 00:36:10.836792 | 13639074 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13639074 | Athletic Physical Therapy Inc | 2009-10-25 | 2025-10-21 | F | PT | TAITE | JQU200A62919 | SERAPHINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102226687.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9610001/check_13639074_7fdad795-d6b1-42ec-a012-b23082faf37a.json | N/A | N/A | N/A | N/A | N/A | JQU200A62919 | Preferred Provider Organization (PPO) | TREATMENT CENTER MANAGEMENT CORPORATION | ANTHEM BLUE CROSS | N/A | 2009-10-25 | 040 | U26732 | N/A | PR | false | TAITE | N/A | RICHARD | N/A | 9999-12-31 | 2025-05-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9063188945 | N/A | N/A | 9610001 | 2222 | 4802 | 13941564 | N/A | 8040917 | 2025-10-21 00:36:10.836792 | 2025-09-22 14:19:04.386066 |
| 2025-10-20 05:17:29.308444 | 2025-10-21 05:20:49.074641 | 13638583 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13638583 | Athletic Physical Therapy Inc | 1954-01-24 | 2025-10-22 | F | AE | DIGIOVANNI | XEM910156092 | JILL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102216018.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538594/check_13638583_ab35b1fa-732f-4127-a962-822241dc0830.json | N/A | N/A | N/A | N/A | N/A | XEM910156092 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1954-01-24 | 2002SF000029 | X0001002 | N/A | OT | false | DIGIOVANNI | N/A | JILL | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9063191472 | N/A | N/A | 5538594 | 2222 | 4801 | 13961758 | N/A | 4210993 | 2025-10-21 05:20:49.074641 | 2025-05-13 04:29:37.225395 |
| 2025-10-20 05:17:29.136104 | 2025-10-21 05:18:01.055308 | 13638572 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13638572 | Athletic Physical Therapy Inc | 1964-12-31 | 2025-10-22 | M | PT | BRIGHT | MPI01424345Q | RICHARD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102216018.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538212/check_13638572_eed87988-be99-46f5-b5cb-284500a24b56.json | N/A | N/A | N/A | N/A | N/A | MPI01424345Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1964-12-31 | 040 | 277163M402 | N/A | PR | false | BARR BRIGHT | N/A | CYNTHIA | N/A | 9999-12-31 | 2024-08-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9063191471 | N/A | N/A | 5538212 | 2222 | 4793 | 13961624 | N/A | 4210664 | 2025-10-21 05:18:01.055308 | 2025-10-01 18:16:15.634130 |
| 2025-10-20 05:17:28.912476 | 2025-10-21 05:30:17.737501 | 13638559 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 13638559 | Athletic Physical Therapy Inc | 1946-06-01 | 2025-10-23 | F | AE | AMIRI | 5A52N18CA24 | POURAN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102216018.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538157/check_13638559_3347f905-b777-42fa-9e7d-3470367d8c61.json | N/A | N/A | N/A | N/A | N/A | 5A52N18CA24 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1946-06-01 | N/A | N/A | N/A | N/A | false | AMIRI | N/A | POURAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9063191470 | N/A | N/A | 5538157 | 2222 | 4802 | 13962199 | N/A | 4210607 | 2025-10-21 05:30:17.737501 | 2025-08-01 18:31:38.620742 |
| 2025-10-20 05:17:28.676438 | 2025-10-21 00:31:10.390496 | 13638545 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13638545 | Athletic Physical Therapy Inc | 2001-06-21 | 2025-10-22 | M | AE | RAFIEI | 92836714F | SAM | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.081521875.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173002/check_13638545_41f51025-338a-43c8-83be-7279a44ff548.json | N/A | N/A | N/A | N/A | N/A | 92836714F | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2001-06-21 | N/A | N/A | N/A | N/A | false | RAFIEI | N/A | SAM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9063185462 | N/A | N/A | 8173002 | 2222 | 4793 | 13935273 | N/A | 6939518 | 2025-10-21 00:31:10.390496 | 2025-08-18 21:40:08.349494 |
| 2025-10-20 05:17:28.615956 | 2025-10-21 05:17:09.408676 | 13638542 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13638542 | Athletic Physical Therapy Inc | 1950-09-27 | 2025-10-23 | F | AE | THOMSEN | R12604487 | JANET | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102216018.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537953/check_13638542_94db4beb-02a0-45ca-88c5-037281bf129a.json | N/A | N/A | N/A | N/A | N/A | R12604487FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1950-09-27 | N/A | N/A | N/A | N/A | false | THOMSEN | N/A | JANET | N/A | 2025-11-01 | 2022-03-01 | FAP MEDIFLEX | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9063191469 | N/A | N/A | 5537953 | 2222 | 4801 | 13961548 | N/A | 4210450 | 2025-10-21 05:17:09.408676 | 2026-05-04 21:51:25.248197 |
| 2025-10-20 05:17:28.444513 | 2025-10-21 05:12:12.139044 | 13638530 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 13638530 | Athletic Physical Therapy Inc | 1952-03-25 | 2025-10-23 | F | AE | DRIMMER | 33360295512 | NADIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102216018.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537832/check_13638530_1b00a3d7-afbb-4c63-a021-b50b55181bb7.json | N/A | N/A | N/A | N/A | N/A | 33360295512 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1952-03-25 | N/A | N/A | N/A | SP | false | DRIMMER | N/A | NADIA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9063191468 | N/A | N/A | 5537832 | 2222 | 4802 | 13960798 | N/A | 4210338 | 2025-10-21 05:12:12.139044 | 2025-05-13 04:29:37.224744 |
| 2025-10-20 05:17:28.230312 | 2025-10-21 05:12:12.605727 | 13638516 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 13638516 | Athletic Physical Therapy Inc | 1945-09-15 | 2025-10-23 | M | AE | KHORSANDI | 02684303511 | PARIVASH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102216018.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536016/check_13638516_c7195a58-0bbf-4c41-8ea2-6e929abec9e6.json | N/A | N/A | N/A | N/A | N/A | 34309193111 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1945-09-15 | N/A | N/A | N/A | SP | false | KHORSANDI | N/A | PARIVASH | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9063191467 | N/A | N/A | 5536016 | 2222 | 4802 | 13960799 | N/A | 4208831 | 2025-10-21 05:12:12.605727 | 2025-10-30 22:42:31.399473 |
| 2025-10-20 05:17:28.037547 | 2025-10-21 05:20:50.034235 | 13638502 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13638502 | Athletic Physical Therapy Inc | 1950-07-23 | 2025-10-22 | M | AE | MELVILLE | XEMJ06188527 | LANNING | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102216018.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535731/check_13638502_483033e8-a54c-4e22-bfbf-adb4d2911e81.json | N/A | N/A | N/A | N/A | N/A | XEMJ06188527 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1950-07-23 | N/A | N/A | N/A | N/A | false | MELVILLE | N/A | LANNING | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9063191466 | N/A | N/A | 5535731 | 2222 | 4802 | 13961759 | N/A | 4208598 | 2025-10-21 05:20:50.034235 | 2025-09-11 00:56:25.554348 |
| 2025-10-20 05:17:23.094477 | 2025-10-21 02:35:41.724516 | 13638168 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13638168 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-10-23 | F | PT | PANDYA | XEA913306283 | DHARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102127911.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_13638168_68da384c-579e-4ea8-a7d6-892f06f75d93.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1975-08-17 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2024-06-03 | BLUE SHIELD OF CALIFORNIA ASO VISION PLUS PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9063180937 | N/A | N/A | 5550845 | 2222 | 4801 | 13956561 | N/A | 4219713 | 2025-10-21 02:35:41.724516 | 2025-08-13 22:46:55.732965 |
| 2025-10-20 05:17:22.982109 | 2025-10-21 00:38:54.601958 | 13638160 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13638160 | Athletic Physical Therapy Inc | 1952-01-15 | 2025-10-23 | F | AE | KIRK | 5FT7Y02EM72 | JAN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.081521875.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8167056/check_13638160_b107c8fe-6d6f-4c69-88af-0de9ecef4366.json | N/A | N/A | N/A | N/A | N/A | 5FT7Y02EM72 | Medicare Part A | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-01-15 | H5522 | N/A | N/A | MA | false | KIRK | N/A | JAN | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9063185434 | N/A | N/A | 8167056 | 2222 | 4801 | 13944483 | N/A | 6933707 | 2025-10-21 00:38:54.601958 | 2026-05-21 16:32:55.382229 |
| 2025-10-20 05:17:22.845224 | 2025-10-21 02:31:48.281350 | 13638152 | N/A | N/A | 60054 | Aetna | 1114042165 | 13638152 | Athletic Physical Therapy Inc | 1961-11-04 | 2025-10-22 | F | AE | SANTITORO | W267422430 | SARAH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102127911.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550743/check_13638152_4cccd646-8f94-4c3a-a88d-7706feaabc52.json | N/A | N/A | N/A | N/A | N/A | W267422430 | Point of Service (POS) | CIENA CORPORATION | AETNA | N/A | 1961-11-04 | 0486875 | 048687501000001 | N/A | PS | false | SANTITORO | N/A | RALPH | 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 | 9063180936 | N/A | N/A | 5550743 | 2222 | 4801 | 13955938 | N/A | 4219643 | 2025-10-21 02:31:48.281350 | 2025-05-13 04:29:37.230685 |
| 2025-10-20 05:17:22.575218 | 2025-10-21 02:42:14.241198 | 13638130 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13638130 | Athletic Physical Therapy Inc | 1956-11-29 | 2025-10-22 | M | AE | LYGA | 9E33A44VQ74 | FRANK | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102127911.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550634/check_13638130_8c23b660-2df3-49a1-bac1-1117f031dfad.json | N/A | N/A | N/A | N/A | N/A | 9E33A44VQ74 | Medicare Part B | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-11-29 | S5596 | DOL 07071986 | N/A | MB | false | LYGA | N/A | FRANK | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9063180935 | N/A | N/A | 5550634 | 2222 | 4801 | 13957198 | N/A | 4219584 | 2025-10-21 02:42:14.241198 | 2025-09-29 18:19:47.145731 |
| 2025-10-20 05:17:21.053539 | 2025-10-21 02:35:42.223487 | 13638083 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13638083 | Athletic Physical Therapy Inc | 1961-10-06 | 2025-10-23 | F | PT | SMITH | XED910117839 | DEANNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102127911.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549692/check_13638083_6b0ffd7e-1430-4534-a63e-1fb3266c5e9a.json | N/A | N/A | N/A | N/A | N/A | XED910117839 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-10-06 | 2001ZK002184 | X0001004 | N/A | PR | false | SMITH | N/A | ADRIAN | N/A | 9999-12-31 | 2021-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9063180934 | N/A | N/A | 5549692 | 2222 | 4801 | 13956562 | N/A | 4219305 | 2025-10-21 02:35:42.223487 | 2025-09-16 17:28:21.311815 |
| 2025-10-20 05:17:20.603890 | 2025-10-21 02:31:05.403809 | 13638064 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | 13638064 | Athletic Physical Therapy Inc | 1965-07-05 | 2025-10-22 | F | PT | CEJA | XEH903796659 | PATRICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102127911.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549285/check_13638064_cfcf8d1c-7b14-4bba-bb7a-038b2e95aa7c.json | N/A | N/A | N/A | N/A | N/A | XEH903796659 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1965-07-05 | N/A | N/A | N/A | N/A | false | CEJA | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9063180933 | N/A | N/A | 5549285 | 2222 | 4801 | 13955806 | N/A | 4218983 | 2025-10-21 02:31:05.403809 | 2025-05-13 04:29:37.230000 |
| 2025-10-20 05:17:18.725138 | 2025-10-21 00:35:33.468825 | 13637985 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13637985 | Athletic Physical Therapy Inc | 1988-09-12 | 2025-10-23 | M | PT | Guzzo | JQU895W23533 | Aaron | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.081116702.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7513987/check_13637985_ff20bf7d-1249-487d-be1f-716d451568f7.json | N/A | N/A | N/A | N/A | N/A | JQU895W23533 | Preferred Provider Organization (PPO) | 3 ARTS ENTERTAINMENT LLC | BLUE SHIELD OF CALIFORNIA | N/A | 1988-09-12 | 040 | H59723 | N/A | PR | false | RATHER-GUZZO | N/A | SANDY | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9063183843 | N/A | N/A | 7513987 | 2222 | 4802 | 13940731 | N/A | 6451061 | 2025-10-21 00:35:33.468825 | 2025-07-28 22:43:26.605856 |
| 2025-10-20 05:17:16.550949 | 2025-10-21 02:34:10.572386 | 13637890 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 13637890 | Athletic Physical Therapy Inc | 1950-03-29 | 2025-10-23 | M | AE | AKHTARI | 40045421301 | SHAHROKH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102127911.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543493/check_13637890_a704bf3a-4e21-408d-9190-2de0d30f8213.json | N/A | N/A | N/A | N/A | N/A | 40045421301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-03-29 | 2025H5425084LA | H5425M | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | SCAN VENTURE (HMO), LOS ANGELES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9063180925 | N/A | N/A | 5543493 | 2222 | 4793 | 13956323 | N/A | 4215273 | 2025-10-21 02:34:10.572386 | 2025-05-13 04:29:37.229594 |
| 2025-10-20 05:17:16.342333 | 2025-10-21 02:35:01.555914 | 13637878 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13637878 | Athletic Physical Therapy Inc | 2003-10-09 | 2025-10-22 | F | PT | LUKOWITSCH | XDPCA8263500 | HALLIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102127911.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543178/check_13637878_aaf0e1c6-c752-4c30-ae54-24325dc8989b.json | N/A | N/A | N/A | N/A | N/A | XDPCA8263500 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | ANTHEM BLUE CROSS | N/A | 2003-10-09 | 040 | 275958P701 | N/A | PR | false | LUKOWITSCH | N/A | HALLIE | N/A | 9999-12-31 | 2025-09-22 | PPO UC SHIP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9063180924 | N/A | N/A | 5543178 | 2222 | 4802 | 13956460 | N/A | 4215006 | 2025-10-21 02:35:01.555914 | 2025-05-13 04:29:37.229325 |
| 2025-10-20 05:17:16.143318 | 2025-10-21 02:33:23.474966 | 13637863 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 13637863 | Athletic Physical Therapy Inc | 1973-05-07 | 2025-10-22 | F | AD | FERRERAS | U6570615702 | PATRICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102127911.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543171/check_13637863_273f0ac0-5ffc-493c-ab60-e2bb8823edd2.json | N/A | N/A | N/A | N/A | N/A | U6570615702 | N/A | WORKDAY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1973-05-07 | N/A | 3336422 | N/A | N/A | false | FERRERAS | N/A | PATRICIA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 9063180923 | N/A | N/A | 5543171 | 2222 | 4793 | 13956188 | N/A | 4214998 | 2025-10-21 02:33:23.474966 | 2025-05-13 04:29:37.229318 |
| 2025-10-20 05:17:15.757847 | 2025-10-21 02:35:01.211746 | 13637846 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13637846 | Athletic Physical Therapy Inc | 1972-06-23 | 2025-10-23 | F | PT | LAWSON | JXN663W00172 | MICHELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102127911.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543167/check_13637846_4da7ad4c-6a0c-4184-b733-c95ece72b04d.json | N/A | N/A | N/A | N/A | N/A | JXN663W00172 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1972-06-23 | 040 | 174222M2A1 | N/A | PR | false | LAWSON | N/A | MICHELLE | N/A | 9999-12-31 | 2020-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9063180922 | N/A | N/A | 5543167 | 2222 | 4793 | 13956459 | N/A | 4214995 | 2025-10-21 02:35:01.211746 | 2025-05-13 04:29:37.229315 |
| 2025-10-20 05:17:15.513143 | 2025-10-21 00:37:56.790299 | 13637834 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13637834 | Athletic Physical Therapy Inc | 1947-12-03 | 2025-10-23 | M | PT | WONG | MBL700W07323 | STANLEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102713498.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8469090/check_13637834_c2b1f509-4c37-4f6c-8d28-ee95fc6625ab.json | N/A | N/A | N/A | N/A | N/A | MBL700W07323 | N/A | UNITED FOOD AND COMMERCIAL WORKERS UNIONS | ANTHEM BLUE CROSS | N/A | 1947-12-03 | 040 | CAEGR014 | N/A | N/A | false | WONG | N/A | STANLEY | N/A | 9999-12-31 | 2021-01-01 | CA GRS UFCW UNION H4036-802 ANTHEM MED PREF MA 25P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9063210791 | N/A | N/A | 8469090 | 2222 | 4802 | 13943398 | N/A | 7140615 | 2025-10-21 00:37:56.790299 | 2025-09-05 16:51:17.488032 |
| 2025-10-20 05:17:15.505420 | 2025-10-21 02:34:11.389424 | 13637833 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 13637833 | Athletic Physical Therapy Inc | 1957-01-21 | 2025-10-23 | M | AE | SHADDY | 40064865601 | STEVE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102127911.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543011/check_13637833_fbbda97f-bcf8-4195-b55f-13b95f022af8.json | N/A | N/A | N/A | N/A | N/A | 40064865601 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | SHADDY | N/A | STEVE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9063180921 | N/A | N/A | 5543011 | 2222 | 4801 | 13956325 | N/A | 4214861 | 2025-10-21 02:34:11.389424 | 2026-02-04 19:10:58.526441 |
| 2025-10-20 05:17:15.213436 | 2025-10-21 02:31:47.624227 | 13637818 | N/A | N/A | 60054 | Aetna | 1114042165 | 13637818 | Athletic Physical Therapy Inc | 2005-11-23 | 2025-10-23 | F | AE | FERRELL | W285064666 | AMELIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102127911.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542678/check_13637818_14cbb937-0d89-4bf9-9ebf-855079f965cc.json | N/A | N/A | N/A | N/A | N/A | W285064666 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 2005-11-23 | 0232499 | 023249901000051 | N/A | PS | false | FERRELL | N/A | RALPH | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9063180920 | N/A | N/A | 5542678 | 2222 | 4802 | 13955936 | N/A | 4214560 | 2025-10-21 02:31:47.624227 | 2025-05-13 04:29:37.228883 |
| 2025-10-20 05:17:14.986779 | 2025-10-21 02:42:12.191888 | 13637804 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13637804 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-10-23 | M | AE | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102127911.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542555/check_13637804_26f4d514-69e1-4dc6-8aaa-9bef482b2b76.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-24 | N/A | N/A | N/A | MA | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9063180919 | N/A | N/A | 5542555 | 2222 | 4793 | 13957194 | N/A | 4214447 | 2025-10-21 02:42:12.191888 | 2026-04-23 20:11:34.441054 |
| 2025-10-20 05:17:14.800967 | 2025-10-21 02:34:56.530001 | 13637795 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 13637795 | Athletic Physical Therapy Inc | 1988-11-03 | 2025-10-21 | F | AE | CAPISTRANO | 98696372G | FERDELLE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102127911.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542513/check_13637795_1a3b63ee-ee4b-421b-8a45-0b5252c4e87c.json | N/A | N/A | N/A | N/A | N/A | 98696372G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1988-11-03 | MCLA | MWLLNMEG21 | N/A | N/A | false | CAPISTRANO | N/A | FERDELLE | N/A | 2078-12-31 | 2024-05-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9063180918 | N/A | N/A | 5542513 | 2222 | 4793 | 13956446 | N/A | 4214418 | 2025-10-21 02:34:56.530001 | 2025-07-03 18:12:11.075357 |
| 2025-10-20 05:17:14.434390 | 2025-10-21 02:35:40.902849 | 13637779 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13637779 | Athletic Physical Therapy Inc | 1983-10-27 | 2025-10-23 | M | PT | FEDERER | XEA911365031 | MITCH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102127911.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542512/check_13637779_e119f523-677e-4b5c-9457-dc85db5acfb6.json | N/A | N/A | N/A | N/A | N/A | XEA911365031 | Preferred Provider Organization (PPO) | WEINSTEIN SENIOR LLP | BLUE SHIELD CALIFORNIA | N/A | 1983-10-27 | 1000VX000102 | W0122744 | N/A | PR | false | FEDERER | N/A | MITCHEL | N/A | 9999-12-31 | 2023-05-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9063180917 | N/A | N/A | 5542512 | 2222 | 4793 | 13956560 | N/A | 4214416 | 2025-10-21 02:35:40.902849 | 2025-05-13 04:29:37.228740 |
| 2025-10-20 05:17:14.164453 | 2025-10-21 02:34:52.784756 | 13637763 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13637763 | Athletic Physical Therapy Inc | 1957-10-24 | 2025-10-23 | F | AE | MCSHEA | 00000364203 | SANDRA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102127911.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542046/check_13637763_25cc8e8a-b35c-46e4-8491-8ca896d9769f.json | N/A | N/A | N/A | N/A | N/A | 00000364203 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1957-10-24 | N/A | N/A | N/A | N/A | false | MCSHEA | 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 | 9063180916 | N/A | N/A | 5542046 | 2222 | 4801 | 13956436 | 2630 | 4214001 | 2025-10-21 02:34:52.784756 | 2025-05-13 04:29:37.228323 |
| 2025-10-20 05:17:13.926799 | 2025-10-21 02:34:37.659089 | 13637746 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 13637746 | Athletic Physical Therapy Inc | 1947-02-01 | 2025-10-22 | M | AE | YEE | 412922301 | HARRY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102127911.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541972/check_13637746_03b30920-b8df-4fce-a507-ef94f8032fff.json | N/A | N/A | N/A | N/A | N/A | 412922301 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1947-02-01 | N/A | HCFA21 | N/A | HN | false | YEE | N/A | HARRY | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9063180915 | N/A | N/A | 5541972 | 2222 | 4793 | 13956393 | N/A | 4213941 | 2025-10-21 02:34:37.659089 | 2025-05-13 04:29:37.228259 |
| 2025-10-20 05:17:13.745228 | 2025-10-21 02:34:07.100498 | 13637735 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13637735 | Athletic Physical Therapy Inc | 1985-02-07 | 2025-10-23 | F | AE | SHEPHERD | 93180838F | EMILY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102127911.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541519/check_13637735_8a2eb337-f8d9-4602-b3e9-6ff5c3970dcf.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | HEALTH NET, LLC | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9063180914 | N/A | N/A | 5541519 | 2222 | 4802 | 13956314 | N/A | 4213530 | 2025-10-21 02:34:07.100498 | 2025-05-13 04:29:37.227860 |
| 2025-10-20 05:17:13.517005 | 2025-10-21 02:34:06.419657 | 13637718 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13637718 | Athletic Physical Therapy Inc | 1968-03-30 | 2025-10-23 | M | AE | FARAHMAND | 91957675E | ALEX | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102127911.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541163/check_13637718_fbcf7588-8b69-4e65-aca9-3cdfdc218d87.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | HEALTH NET, LLC | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9063180913 | N/A | N/A | 5541163 | 2222 | 4802 | 13956312 | N/A | 4213207 | 2025-10-21 02:34:06.419657 | 2025-05-13 04:29:37.227536 |
| 2025-10-20 05:17:13.304968 | 2025-10-21 02:34:10.999853 | 13637706 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 13637706 | Athletic Physical Therapy Inc | 1940-03-29 | 2025-10-22 | F | AE | MARTINEZ | 40032670501 | MARIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102127911.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540591/check_13637706_f4284951-8548-4f06-b459-8030fa7689c1.json | N/A | N/A | N/A | N/A | N/A | 40032670501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1940-03-29 | 2025H5425001 | H5425M | N/A | N/A | false | MARTINEZ | N/A | MARIA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9063180912 | N/A | N/A | 5540591 | 2222 | 4801 | 13956324 | N/A | 4212724 | 2025-10-21 02:34:10.999853 | 2025-07-26 22:27:37.781276 |
| 2025-10-20 05:17:13.109169 | 2025-10-21 02:35:00.255382 | 13637691 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13637691 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-10-23 | F | PT | BOYLAN | MBL857M98403 | JOAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102127911.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540074/check_13637691_8826e651-2673-4454-a958-d862100c52aa.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9063180911 | N/A | N/A | 5540074 | 2222 | 4802 | 13956456 | N/A | 4212282 | 2025-10-21 02:35:00.255382 | 2025-05-13 04:29:37.226623 |
| 2025-10-20 05:17:12.918806 | 2025-10-21 02:35:53.170674 | 13637679 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13637679 | Athletic Physical Therapy Inc | 1983-08-31 | 2025-10-22 | M | PT | FLEMING | SZF839281184 | CHASE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102127911.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539901/check_13637679_5a75a5ec-7e6a-4457-bcc8-286dede290a0.json | N/A | N/A | N/A | N/A | N/A | SZF839281184 | Preferred Provider Organization (PPO) | ACTIVE | CUSTOMER SERVICE | N/A | 1983-08-31 | N/A | 018137 | N/A | PR | false | FLEMING | N/A | CHASE | N/A | 9999-12-31 | 2021-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9063180910 | N/A | N/A | 5539901 | 2222 | 4793 | 13956590 | N/A | 4212134 | 2025-10-21 02:35:53.170674 | 2025-08-05 02:56:55.384378 |
| 2025-10-20 05:17:12.752774 | 2025-10-21 02:35:53.666300 | 13637668 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13637668 | Athletic Physical Therapy Inc | 1961-12-01 | 2025-10-23 | M | PT | TOOCH | JPU633M84536 | PETER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251020.102127911.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538874/check_13637668_35812c8f-8077-4682-99a5-81b8cb20fca2.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M001 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9063180909 | N/A | N/A | 5538874 | 2222 | 4801 | 13956591 | N/A | 4211227 | 2025-10-21 02:35:53.666300 | 2025-05-13 04:29:37.225625 |