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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-19 05:07:38.258032 | 2025-10-20 00:40:13.804766 | 13612713 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 13612713 | Athletic Physical Therapy Inc | 1947-04-18 | 2025-10-22 | F | PT | BELL | 96881701C | JACQUELYN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105516808.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456429/check_13612713_b6efee49-1793-46e0-9e6c-9f3b3fdd626f.json | N/A | N/A | N/A | N/A | N/A | 96881701C | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1947-04-18 | N/A | N/A | N/A | N/A | false | BELL | N/A | JACQUELYN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9060143769 | N/A | N/A | 7456429 | 2222 | 4802 | 13907580 | N/A | 4208856 | 2025-10-20 00:40:13.804766 | 2025-05-13 04:29:37.223284 |
| 2025-10-19 05:07:37.321523 | 2025-10-20 00:32:53.714853 | 13612690 | N/A | N/A | 60054 | Aetna | 1114042165 | 13612690 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-10-22 | F | AE | SHAKIB | 101129457200 | PARI | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105516808.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444723/check_13612690_40d8bdbb-1d25-4c13-98d0-d4f1cccf2a4e.json | N/A | N/A | N/A | N/A | N/A | 101129457200 | N/A | N/A | AETNA | N/A | 1952-05-04 | 000003-CA000058 | N/A | N/A | N/A | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060143027 | N/A | N/A | 7444723 | 2222 | 4802 | 13902368 | N/A | 6395498 | 2025-10-20 00:32:53.714853 | 2026-02-18 02:38:35.073779 |
| 2025-10-19 05:07:09.854508 | 2025-10-20 00:32:42.926251 | 13611996 | N/A | N/A | 47027 | Physicians Mutual Insurance Company | 1114042165 | 13611996 | Athletic Physical Therapy Inc | 1952-10-25 | 2025-10-22 | F | AE | JOHNSTON | H750053601 | DEBORAH | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105516808.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638391/check_13611996_7c2af516-63bf-4891-a5e9-86802d905bc7.json | N/A | N/A | N/A | N/A | N/A | H750053601 | N/A | N/A | PHYSICIANS MUTUAL | PAYMENT NOT GUARANTEED; BENEFITS SUBJECT TO CLAIM APPROVAL | 1952-10-25 | N/A | N/A | N/A | N/A | false | JOHNSTON | N/A | DEBORAH | N/A | N/A | N/A | MEDICARE SUPPLEMENT 2023 PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060142780 | N/A | N/A | 6638391 | 2222 | 4793 | 13902267 | N/A | 5247837 | 2025-10-20 00:32:42.926251 | 2026-02-24 20:36:49.807283 |
| 2025-10-19 05:06:45.847530 | 2025-10-20 00:42:29.161431 | 13611366 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 13611366 | Athletic Physical Therapy Inc | 1937-04-20 | 2025-10-22 | M | AE | HAUSMAN | 34751866 | GARY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105626260.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9280203/check_13611366_c79e1026-74f5-407a-846d-d3fe46d953f8.json | N/A | N/A | N/A | N/A | N/A | 34751866 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1937-04-20 | 406-024-000 | N/A | N/A | N/A | false | HAUSMAN | N/A | GARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060146990 | N/A | N/A | 9280203 | 2222 | 4793 | 13908858 | 6798 | 7788651 | 2025-10-20 00:42:29.161431 | 2025-09-10 18:50:22.494063 |
| 2025-10-19 05:06:20.987027 | 2025-10-20 00:33:09.468848 | 13610626 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 13610626 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-10-22 | F | AE | GNAD | H71897184 | MELANIE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105516808.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540682/check_13610626_2a51f3fe-7b73-4f67-9a05-3af305457e3c.json | N/A | N/A | N/A | N/A | N/A | H71897184 | Supplemental Policy | HUMANA BENEFIT PLANOF ILL, INC | HUMANA | 067 023 | 1946-04-16 | N/A | 5A409005 | N/A | SP | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | MEDICARE MES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060144240 | N/A | N/A | 5540682 | 2222 | 4801 | 13902578 | N/A | 4212792 | 2025-10-20 00:33:09.468848 | 2025-10-07 20:33:25.637997 |
| 2025-10-19 05:06:20.754756 | 2025-10-20 00:35:57.247477 | 13610620 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13610620 | Athletic Physical Therapy Inc | 1952-03-05 | 2025-10-22 | F | AE | MOHABBAT | JQE182M78942 | SHARIFA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105516808.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539972/check_13610620_6ae5ee6c-f897-4faf-8836-5db6dcfa9733.json | N/A | N/A | N/A | N/A | N/A | JQE182M78942 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-03-05 | 040 | CASUPWP0 | N/A | N/A | false | MOHABBAT | N/A | SHARIFA | N/A | 9999-12-31 | 2023-04-01 | CA MODERNIZED PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060144239 | N/A | N/A | 5539972 | 2222 | 4801 | 13904738 | N/A | 4212140 | 2025-10-20 00:35:57.247477 | 2025-09-23 20:47:09.024376 |
| 2025-10-19 05:06:20.572160 | 2025-10-20 00:36:47.082780 | 13610617 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13610617 | Athletic Physical Therapy Inc | 1946-08-26 | 2025-10-22 | M | AE | ROTHMAN | XEM909022493 | MIKE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105516808.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536206/check_13610617_59d498d7-342a-4c59-9842-113dbf9343a3.json | N/A | N/A | N/A | N/A | N/A | XEM909022493 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1946-08-26 | 2002SF000029 | X0001002 | N/A | OT | false | ROTHMAN | N/A | MIKE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060144238 | N/A | N/A | 5536206 | 2222 | 4801 | 13905380 | N/A | 4208978 | 2025-10-20 00:36:47.082780 | 2025-05-13 04:29:37.223404 |
| 2025-10-19 05:06:18.177034 | 2025-10-20 02:34:42.631343 | 13610570 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 13610570 | Athletic Physical Therapy Inc | 1961-11-24 | 2025-10-22 | F | AE | CRUTCHFIELD | 904430653 | HELEN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105620060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10103203/check_13610570_2127e277-6c33-4434-840e-c48c37e6af23.json | N/A | N/A | N/A | N/A | N/A | 904430653 | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1961-11-24 | N/A | N/A | N/A | N/A | false | CRUTCHFIELD | N/A | HELEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060147400 | N/A | N/A | 10103203 | 2222 | 4802 | 13915151 | N/A | 8437251 | 2025-10-20 02:34:42.631343 | 2025-10-07 19:08:26.048804 |
| 2025-10-19 05:06:07.214315 | 2025-10-19 05:06:42.063674 | 13610313 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-10-21 | F | AE | YUNG | 00854676304 | MAYA | PT | 6338 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_13610313_a6e21a8e-b7d3-4d97-9da8-49fceccc4b6d.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-10-21 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2025-10-19 05:06:42.063674 | 2025-05-13 04:29:37.229495 |
| 2025-10-19 05:05:49.441271 | 2025-10-20 00:36:27.316139 | 13609849 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 13609849 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-10-22 | F | AE | SHAKIB | 95751543E35181 | PARI | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105630349.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7561654/check_13609849_d6efcf62-3607-40d7-b79b-32be90364d1d.json | N/A | N/A | N/A | N/A | N/A | 95751543E35181 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1952-05-04 | N/A | N/A | N/A | N/A | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060154875 | N/A | N/A | 7561654 | 2222 | 4802 | 13905127 | N/A | 6395498 | 2025-10-20 00:36:27.316139 | 2026-02-18 02:38:35.073779 |
| 2025-10-19 05:05:43.657285 | 2025-10-20 00:45:35.165708 | 13609666 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13609666 | Athletic Physical Therapy Inc | 1966-04-15 | 2025-10-22 | M | PT | BAZARGAN | M9Z898859038 | AFSHIN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105626260.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9134247/check_13609666_29a37b10-aeec-4fc7-98ba-4788d5f67d28.json | N/A | N/A | N/A | N/A | N/A | M9Z898859038 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1966-04-15 | N/A | 55060 | N/A | PR | false | BAZARGAN | N/A | AFSHIN | N/A | N/A | N/A | PREFERRED CARE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9060146536 | N/A | N/A | 9134247 | 2222 | 4801 | 13910872 | N/A | 7655437 | 2025-10-20 00:45:35.165708 | 2025-09-09 21:12:34.622876 |
| 2025-10-19 05:05:40.228338 | 2025-10-20 00:31:50.783525 | 13609560 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 13609560 | Athletic Physical Therapy Inc | 1950-10-11 | 2025-10-22 | F | AE | RAJAGOPAL | 31147363512 | JAYASHREE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105630349.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11103633/check_13609560_c5719069-9aad-453b-8283-c912b85f58d2.json | N/A | N/A | N/A | N/A | N/A | 31147363512 | 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. | 1950-10-11 | N/A | N/A | N/A | SP | false | RAJAGOPAL | N/A | JAYASHREE | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060155039 | N/A | N/A | 11103633 | 2222 | 4793 | 13901708 | N/A | 9454101 | 2025-10-20 00:31:50.783525 | 2025-10-17 16:18:33.541597 |
| 2025-10-19 05:05:32.416658 | 2025-10-20 00:34:41.610859 | 13609290 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13609290 | Athletic Physical Therapy Inc | 1953-06-18 | 2025-10-22 | F | AE | REISMAN | WRXA13289369 | GAIL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105630349.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10984907/check_13609290_3542d56d-7f86-4303-bd57-030f892d1377.json | N/A | N/A | N/A | N/A | N/A | WRXA13289369 | Preferred Provider Organization (PPO) | WRITERS GUILD INDUSTRY HEALTH FUND | MEDICARE B | N/A | 1953-06-18 | 040 | 277242M003 | N/A | PR | false | REISMAN | N/A | MARK | N/A | 9999-12-31 | 2025-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060154576 | N/A | N/A | 10984907 | 2222 | 4802 | 13903740 | N/A | 9156222 | 2025-10-20 00:34:41.610859 | 2026-01-08 22:56:20.879547 |
| 2025-10-19 05:05:31.556731 | 2025-10-20 00:47:20.552307 | 13609252 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13609252 | Athletic Physical Therapy Inc | 1948-11-19 | 2025-10-22 | M | AE | GONZALES JR | 1E61CX0GK13 | LEO | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105620241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456457/check_13609252_b4390938-b761-44be-baf1-f70e3762727d.json | N/A | N/A | N/A | N/A | N/A | 1E61CX0GK13 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-11-19 | S4802 | N/A | N/A | MA | false | GONZALEZ JR | N/A | LEO | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060150364 | N/A | N/A | 7456457 | 2222 | 4793 | 13911438 | N/A | 6405774 | 2025-10-20 00:47:20.552307 | 2026-03-16 21:02:08.525887 |
| 2025-10-19 05:05:27.425145 | 2025-10-20 00:36:26.896547 | 13609080 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 13609080 | Athletic Physical Therapy Inc | 1953-05-21 | 2025-10-22 | M | AE | DAVILA | 96682470F | RAY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105630349.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10365901/check_13609080_b3c0612e-3da1-4394-ba2d-22e5ef560f91.json | N/A | N/A | N/A | N/A | N/A | 96682470F | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1953-05-21 | N/A | N/A | N/A | N/A | false | DAVILA | N/A | RAY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060154542 | N/A | N/A | 10365901 | 2222 | 4793 | 13905123 | N/A | 8628911 | 2025-10-20 00:36:26.896547 | 2025-10-13 20:36:48.387301 |
| 2025-10-19 05:05:26.900411 | 2025-10-20 00:36:41.264657 | 13609057 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13609057 | Athletic Physical Therapy Inc | 1996-08-01 | 2025-10-22 | M | PT | Prichard | XED910420685 | Riley | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105620241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449872/check_13609057_b3d71520-9aee-44bb-ac99-9201d8a6b7d3.json | N/A | N/A | N/A | N/A | N/A | XED910420685 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1996-08-01 | 2001ZK002184 | X0001004 | N/A | PR | false | PRICHARD | N/A | RILEY | N/A | 9999-12-31 | 2025-01-01 | SILVER 94 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9060150345 | N/A | N/A | 7449872 | 2222 | 4802 | 13905293 | N/A | 6399679 | 2025-10-20 00:36:41.264657 | 2025-07-24 23:16:22.582609 |
| 2025-10-19 05:05:25.770821 | 2025-10-20 00:45:28.608161 | 13609009 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 13609009 | Athletic Physical Therapy Inc | 1999-03-02 | 2025-10-22 | F | AE | Andrieieva | 92598899G | Taisiia | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105626260.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9104487/check_13609009_5bd7832f-f864-4f67-b0ea-4b4136a3b044.json | N/A | N/A | N/A | N/A | N/A | 92598899G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1999-03-02 | MCLA | MWLLNMEG21 | N/A | N/A | false | ANDRIEIVA | N/A | TAISIIA | N/A | 2078-12-31 | 2023-01-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060148440 | N/A | N/A | 9104487 | 2222 | 4802 | 13910822 | N/A | 6709145 | 2025-10-20 00:45:28.608161 | 2025-08-07 23:35:55.091438 |
| 2025-10-19 05:05:21.968678 | 2025-10-20 00:34:23.866638 | 13608910 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13608910 | Athletic Physical Therapy Inc | 1960-03-22 | 2025-10-22 | F | AE | ROUSHANBAKHSH | 92849351F | FOROUGH | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105630349.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10259678/check_13608910_d80f31e7-aad3-4007-a885-7ee5beff76fb.json | N/A | N/A | N/A | N/A | N/A | 92849351F | N/A | N/A | HEALTH NET, LLC | N/A | 1960-03-22 | N/A | N/A | N/A | N/A | false | ROUSHANBAKHSH | N/A | FOROUGH | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060154446 | N/A | N/A | 10259678 | 2222 | 4802 | 13903513 | N/A | 4213281 | 2025-10-20 00:34:23.866638 | 2025-05-13 04:29:37.227606 |
| 2025-10-19 05:05:19.132992 | 2025-10-20 00:35:28.953981 | 13608830 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13608830 | Athletic Physical Therapy Inc | 1962-09-14 | 2025-10-22 | F | PT | MOORE | W2A952W18561 | YOLANDA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105620241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7447590/check_13608830_eac596f6-0b29-4fa5-b27c-1537f69179ce.json | N/A | N/A | N/A | N/A | N/A | WZA952W18561 | Preferred Provider Organization (PPO) | WARNER BROS DISCOVERY INC | ANTHEM BLUE CROSS | N/A | 1962-09-14 | 130 | 270240M25A | N/A | PR | false | MOORE | N/A | YOLANDA | N/A | 9999-12-31 | 2024-01-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9060150329 | N/A | N/A | 7447590 | 2222 | 4801 | 13904389 | N/A | 6397797 | 2025-10-20 00:35:28.953981 | 2025-08-12 19:16:58.418300 |
| 2025-10-19 05:05:16.387790 | 2025-10-20 00:47:21.953250 | 13608748 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13608748 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-10-22 | F | AE | SHAKIB | 1MR6XC7NU77 | PARI | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105620241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444722/check_13608748_3021026f-fbc5-48ef-b6d7-2e080d04ff7a.json | N/A | N/A | N/A | N/A | N/A | 1MR6XC7NU77 | Medicare Part A | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-05-04 | H5521 | N/A | N/A | MA | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060149707 | N/A | N/A | 7444722 | 2222 | 4802 | 13911446 | N/A | 6395498 | 2025-10-20 00:47:21.953250 | 2026-02-18 02:38:35.073779 |
| 2025-10-19 05:04:46.119392 | 2025-10-20 00:34:41.871060 | 13607413 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13607413 | Athletic Physical Therapy Inc | 1959-02-04 | 2025-10-22 | F | AE | SMITS | JQE291W18998 | HEIDI | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105630349.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681615/check_13607413_15182aa0-5250-4ea5-832d-3922baa9f7e7.json | N/A | N/A | N/A | N/A | N/A | JQE291W18998 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-02-04 | 040 | CASUPWP0 | N/A | N/A | false | SMITS | N/A | HEIDI | N/A | 9999-12-31 | 2024-02-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060154802 | N/A | N/A | 9681615 | 2222 | 4793 | 13903747 | N/A | 8101289 | 2025-10-20 00:34:41.871060 | 2025-09-24 17:05:46.431721 |
| 2025-10-19 05:04:45.129715 | 2025-10-20 02:34:24.816628 | 13607377 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 13607377 | Athletic Physical Therapy Inc | 1959-11-18 | 2025-10-22 | M | AE | PEREZ | 205330201 | JUAN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105620060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9935305/check_13607377_a1cec0a8-a959-4b5f-bfd5-95261c6fdd59.json | N/A | N/A | N/A | N/A | N/A | 205330201 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1959-11-18 | N/A | HCFA21 | N/A | HN | false | PEREZ MEDINA | N/A | JUAN | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060146780 | N/A | N/A | 9935305 | 2222 | 4802 | 13915096 | N/A | 8316227 | 2025-10-20 02:34:24.816628 | 2025-10-02 19:18:17.311007 |
| 2025-10-19 05:04:44.523748 | 2025-10-20 00:36:33.872461 | 13607356 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 13607356 | Athletic Physical Therapy Inc | 1998-01-13 | 2025-10-22 | F | AE | HOWE | U9192068101 | LOCHRYN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105724214.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6079410/check_13607356_f8954532-398d-44cf-9338-5808b7db9953.json | N/A | N/A | N/A | N/A | N/A | U9192068101 | N/A | VVG HOLDINGS, LLC | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST PREFERRED CARE MANAGEMENT | 1999-01-13 | N/A | 3343439 | N/A | N/A | false | HOWE | N/A | LOCHRYN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060156716 | N/A | N/A | 6079410 | 2222 | 4802 | 13905205 | N/A | 4723300 | 2025-10-20 00:36:33.872461 | 2025-06-04 00:42:43.684276 |
| 2025-10-19 05:04:29.923701 | 2025-10-20 00:43:11.797700 | 13606852 | N/A | N/A | 60054 | Aetna | 1114042165 | 13606852 | Athletic Physical Therapy Inc | 1965-07-23 | 2025-10-22 | M | AE | Dominguez | W294409135 | Eric | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105626260.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9063245/check_13606852_3281c574-88d3-4ae8-b094-4c62c3b3c462.json | N/A | N/A | N/A | N/A | N/A | W294409135 | Point of Service (POS) | ZAMIC CORPORATION | AETNA | N/A | 1965-07-23 | 0255398 | 025539801000700 | N/A | PS | false | DOMINGUEZ | N/A | ERIC | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060146898 | N/A | N/A | 9063245 | 2222 | 4801 | 13909393 | N/A | 7577918 | 2025-10-20 00:43:11.797700 | 2025-09-25 19:09:12.426454 |
| 2025-10-19 05:04:25.161058 | 2025-10-20 00:45:36.617981 | 13606710 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13606710 | Athletic Physical Therapy Inc | 1950-06-09 | 2025-10-22 | F | PT | SANDOVAL | JQS846M91559 | MARIA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105626260.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9059249/check_13606710_7989475e-b2c5-4594-9533-0a301c7a8eee.json | N/A | N/A | N/A | N/A | N/A | JQS846M91559 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1950-06-09 | 040 | CAMCRWP0 | N/A | MP | false | SANDOVAL | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9060148896 | N/A | N/A | 9059249 | 2222 | 4801 | 13910883 | N/A | 7574556 | 2025-10-20 00:45:36.617981 | 2025-09-03 18:09:29.032159 |
| 2025-10-19 05:04:19.516758 | 2025-10-20 00:36:40.958773 | 13606546 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13606546 | Athletic Physical Therapy Inc | 1979-04-20 | 2025-10-22 | F | PT | NOSRAT | XEK904721388 | CAROLYN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105620241.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7252533/check_13606546_4368de42-96a2-4728-b2f2-8e856f598b58.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1979-04-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | NOSRAT | N/A | CAROLYN | N/A | 9999-12-31 | 2016-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9060149605 | N/A | N/A | 7252533 | 2222 | 4802 | 13905288 | N/A | 4214065 | 2025-10-20 00:36:40.958773 | 2025-05-13 04:29:37.228379 |
| 2025-10-19 05:04:01.157265 | 2025-10-20 00:42:28.898245 | 13606059 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 13606059 | Athletic Physical Therapy Inc | 1953-02-10 | 2025-10-22 | M | AE | GARZA | 36183347 | LEO | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105626260.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9024952/check_13606059_1555ced9-c6cf-41ae-a112-c3efd03f9575.json | N/A | N/A | N/A | N/A | N/A | 36183347 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1953-02-10 | 406-024-000 | N/A | N/A | N/A | false | GARZA | N/A | LEOVARDO | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060148673 | N/A | N/A | 9024952 | 2222 | 4793 | 13908854 | 6798 | 7547856 | 2025-10-20 00:42:28.898245 | 2025-09-02 20:57:54.962485 |
| 2025-10-19 05:03:55.804605 | 2025-10-20 00:31:51.245165 | 13605893 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 13605893 | Athletic Physical Therapy Inc | 1952-07-08 | 2025-10-22 | F | AE | STERINA | 31470398711 | ELIZABETH | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105630349.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8632770/check_13605893_0a4f090b-fe9a-495e-be99-7ecb6ff5a025.json | N/A | N/A | N/A | N/A | N/A | 31470398711 | 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. | 1952-07-08 | N/A | N/A | N/A | SP | false | STERINA | N/A | ELIZABETH | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN N | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060154970 | N/A | N/A | 8632770 | 2222 | 4802 | 13901710 | N/A | 7278220 | 2025-10-20 00:31:51.245165 | 2025-08-26 15:52:58.453727 |
| 2025-10-19 05:03:51.813052 | 2025-10-20 00:34:41.237510 | 13605781 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13605781 | Athletic Physical Therapy Inc | 1934-05-31 | 2025-10-22 | M | AE | RANDERIA | R58901143 | BHUPENDRA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105630349.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8420255/check_13605781_b4338636-eda1-42f1-99bd-5acdca17715c.json | N/A | N/A | N/A | N/A | N/A | R58901143 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1934-05-31 | N/A | 106 | N/A | PR | false | RANDERIA | N/A | BHUPEN | N/A | 9999-12-31 | 2018-01-01 | STANDARD SECONDARY | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060154918 | N/A | N/A | 8420255 | 2222 | 4802 | 13903737 | N/A | 7097664 | 2025-10-20 00:34:41.237510 | 2026-04-30 18:11:14.979451 |
| 2025-10-19 05:03:47.064144 | 2025-10-20 00:34:38.852880 | 13605586 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 13605586 | Athletic Physical Therapy Inc | 1956-05-22 | 2025-10-22 | F | AE | CHOOBIN | 91331250G | KEFAYAT | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105630349.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8205059/check_13605586_588a7489-1479-4b0c-b718-7ee8b385ab1b.json | N/A | N/A | N/A | N/A | N/A | 91331250G | N/A | MCLA WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1956-05-22 | MCLA | MWLLDAGG21 | N/A | N/A | false | CHOOBIN | N/A | KEFAYAT | N/A | 2078-12-31 | 2021-05-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060154745 | N/A | N/A | 8205059 | 2222 | 4793 | 13903706 | N/A | 6967073 | 2025-10-20 00:34:38.852880 | 2025-08-26 17:15:30.662072 |
| 2025-10-19 05:03:41.127306 | 2025-10-20 00:38:59.857549 | 13605338 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 13605338 | Athletic Physical Therapy Inc | 1959-09-09 | 2025-10-22 | M | PT | BRUNO | NCF254A54902 | PHILLIP | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105724214.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993958/check_13605338_9fd53276-a762-44d7-84b3-4612fef2fe71.json | N/A | N/A | N/A | N/A | N/A | NCF254A54902 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1959-09-09 | N/A | N/A | N/A | N/A | false | BRUNO | N/A | PHILLIP | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9060157696 | N/A | N/A | 5993958 | 2222 | 4801 | 13906900 | N/A | 4642892 | 2025-10-20 00:38:59.857549 | 2025-05-29 23:29:01.820749 |
| 2025-10-19 05:03:40.687767 | 2025-10-20 00:38:19.491343 | 13605317 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13605317 | Athletic Physical Therapy Inc | 1977-09-14 | 2025-10-22 | F | PT | CONTI | CAI143A79624 | MARIANA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105724214.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993920/check_13605317_0eca67a8-aff0-4354-9eed-ec5201cdfc68.json | N/A | N/A | N/A | N/A | N/A | CAI143A79624 | Health Maintenance Organization (HMO) | CALIFORNIA PUBLIC EMPLOYEES RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1977-09-14 | 040 | HNB010AS | N/A | HM | false | CONTI | N/A | MARIANA | N/A | 9999-12-31 | 2019-01-01 | CALPERS SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9060157695 | N/A | N/A | 5993920 | 2222 | 4793 | 13906436 | 4184 | 4642859 | 2025-10-20 00:38:19.491343 | 2026-04-10 21:27:25.225083 |
| 2025-10-19 05:03:26.180368 | 2025-10-20 02:32:14.166921 | 13604739 | N/A | N/A | 60054 | Aetna | 1114042165 | 13604739 | Athletic Physical Therapy Inc | 1976-12-17 | 2025-10-22 | M | AE | Ramos | W263196559 | Jerome Petrocelli | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105620060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9862743/check_13604739_a572407a-caea-47bb-8bdd-6b1d6b408bfd.json | N/A | N/A | N/A | N/A | N/A | W263196559 | Preferred Provider Organization (PPO) | HOSPITAL CORPORATION OF AMERICA | AETNA | N/A | 1976-12-17 | 0160833 | 016083305000013 | N/A | PR | false | RAMOS | N/A | JEROME | N/A | N/A | N/A | OPEN CHOICE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060145807 | N/A | N/A | 9862743 | 2222 | 4801 | 13914694 | N/A | 8258250 | 2025-10-20 02:32:14.166921 | 2025-09-30 21:47:59.000682 |
| 2025-10-19 05:03:19.705597 | 2025-10-20 02:32:56.013122 | 13604456 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 13604456 | Athletic Physical Therapy Inc | 1938-06-16 | 2025-10-22 | F | AE | PICTAGGI | H55396193 | CATHERINE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105620060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9857449/check_13604456_2ee20d64-3b95-426a-b0fb-30e361c85f87.json | N/A | N/A | N/A | N/A | N/A | H55396193 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 695 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1938-06-16 | N/A | 0B515001 | N/A | HN | false | PICTAGGI | N/A | CATHERINE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060145792 | N/A | N/A | 9857449 | 2222 | 4793 | 13914818 | N/A | 8253075 | 2025-10-20 02:32:56.013122 | 2025-10-15 20:09:42.730489 |
| 2025-10-19 05:03:18.597430 | 2025-10-20 02:34:48.775099 | 13604398 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13604398 | Athletic Physical Therapy Inc | 1954-02-05 | 2025-10-22 | M | PT | HERNANDEZ | NCF335A78493 | FELIPE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105620060.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9857185/check_13604398_a3b0ecf4-302f-4445-afd4-ccda2dcb64e9.json | N/A | N/A | N/A | N/A | N/A | NCF335A78493 | Health Maintenance Organization (HMO) | CITY OF LOS ANGELES | ANTHEM BLUE CROSS | N/A | 1954-02-05 | 040 | 280612H004 | N/A | HM | false | HERNANDEZ | N/A | FELIPE | N/A | 9999-12-31 | 2017-10-18 | PREMIER SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9060145788 | N/A | N/A | 9857185 | 2222 | 4793 | 13915166 | N/A | 8252801 | 2025-10-20 02:34:48.775099 | 2026-02-23 23:58:40.440949 |
| 2025-10-19 05:03:00.185004 | 2025-10-20 00:38:12.911492 | 13603506 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13603506 | Athletic Physical Therapy Inc | 1953-03-27 | 2025-10-22 | F | AE | FINE | 00000272194 | MICHELLE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105724214.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858742/check_13603506_c6c60295-167b-46c4-8aae-e290339af208.json | N/A | N/A | N/A | N/A | N/A | 00000272194 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-03-27 | N/A | N/A | N/A | N/A | false | FINE | N/A | MICHELLE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060157564 | N/A | N/A | 5858742 | 2222 | 4801 | 13906362 | 2630 | 4219630 | 2025-10-20 00:38:12.911492 | 2025-05-13 04:29:37.230672 |
| 2025-10-19 05:02:35.899854 | 2025-10-20 00:50:47.469515 | 13602614 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13602614 | Athletic Physical Therapy Inc | 1952-07-08 | 2025-10-22 | F | AE | STERINA | 5G17E95JX47 | ELIZABETH | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105626260.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8632769/check_13602614_6ac2fe2f-875f-4706-a6cb-f3e4061a7b22.json | N/A | N/A | N/A | N/A | N/A | 5G17E95JX47 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-08 | S4802 | N/A | N/A | MB | false | STERINA | 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 | 9060146854 | N/A | N/A | 8632769 | 2222 | 4802 | 13912567 | N/A | 7278220 | 2025-10-20 00:50:47.469515 | 2025-08-26 15:52:58.453727 |
| 2025-10-19 05:02:16.835951 | 2025-10-20 00:38:14.899012 | 13602042 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 13602042 | Athletic Physical Therapy Inc | 1990-11-12 | 2025-10-22 | F | AE | SIMONS | 94378141G | DESIREE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105724214.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550102/check_13602042_9df74eaf-0493-40e2-8f42-11385d7a6747.json | N/A | N/A | N/A | N/A | N/A | 94378141G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1990-11-12 | N/A | N/A | N/A | N/A | false | SIMONS | N/A | DESIREE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060156513 | N/A | N/A | 5550102 | 2222 | 4802 | 13906388 | N/A | 4212176 | 2025-10-20 00:38:14.899012 | 2025-05-13 04:29:37.226514 |
| 2025-10-19 05:02:16.603738 | 2025-10-20 00:38:19.210851 | 13602038 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13602038 | Athletic Physical Therapy Inc | 1955-10-09 | 2025-10-22 | M | AE | COE | JQS589W10732 | SCOTT | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105724214.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549514/check_13602038_e7892a62-bbf2-4d4c-a81b-4d58c8ec5f81.json | N/A | N/A | N/A | N/A | N/A | JQS589W10732 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1955-10-09 | 040 | CAMCRWP0 | N/A | MP | false | COE | N/A | SCOTT | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060156512 | N/A | N/A | 5549514 | 2222 | 4801 | 13906432 | N/A | 4219161 | 2025-10-20 00:38:19.210851 | 2025-10-16 23:24:12.118501 |
| 2025-10-19 05:02:15.086597 | 2025-10-20 00:38:06.466809 | 13602005 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13602005 | Athletic Physical Therapy Inc | 1962-06-19 | 2025-10-22 | M | AE | MILIAN GOMEZ | 93331019F | MIGUEL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105724214.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543555/check_13602005_fb3cec7f-44ff-4d7a-b088-6e1c3e594c90.json | N/A | N/A | N/A | N/A | N/A | 93331019F | N/A | N/A | HEALTH NET, LLC | N/A | 1962-06-19 | N/A | N/A | N/A | N/A | false | MILIAN GOMEZ | N/A | MIGUEL | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060156505 | N/A | N/A | 5543555 | 2222 | 4802 | 13906285 | N/A | 4215332 | 2025-10-20 00:38:06.466809 | 2025-08-06 16:15:15.716322 |
| 2025-10-19 05:02:14.817790 | 2025-10-20 00:37:38.798944 | 13601998 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13601998 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-10-22 | M | AE | FORTIN | R14644640MS1 | NATHANIEL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105724214.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_13601998_8c4749a5-5250-42fe-ac60-3c0ffb9f159b.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | K96 SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060156504 | N/A | N/A | 5543425 | 2222 | 4801 | 13905994 | N/A | 4215211 | 2025-10-20 00:37:38.798944 | 2026-04-02 22:30:20.020246 |
| 2025-10-19 05:02:14.577890 | 2025-10-20 00:39:00.176808 | 13601993 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13601993 | Athletic Physical Therapy Inc | 1987-10-17 | 2025-10-22 | F | PT | PATEL | XEA910759571 | MAMTABEN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105724214.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543327/check_13601993_58b4b118-7b8d-4dea-9570-1845770ca38f.json | N/A | N/A | N/A | N/A | N/A | XEA910759571 | Preferred Provider Organization (PPO) | RELATIVITY SPACE INC | BLUE SHIELD CALIFORNIA | N/A | 1987-10-17 | 1000PPOX0004 | W0071038 | N/A | PR | false | KROL | N/A | JEREMY | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1650 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9060156503 | N/A | N/A | 5543327 | 2222 | 4802 | 13906902 | N/A | 4215137 | 2025-10-20 00:39:00.176808 | 2025-10-13 23:09:53.444170 |
| 2025-10-19 05:02:14.281173 | 2025-10-20 00:32:50.846648 | 13601989 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 13601989 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-10-22 | M | AE | MCCOWAN | 93341440D | KEVIN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105724214.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_13601989_34f96188-2ad7-4ad8-a6ee-2d8dc25c7149.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-03-27 | N/A | N/A | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060156502 | N/A | N/A | 5543270 | 2222 | 4793 | 13902342 | N/A | 4215086 | 2025-10-20 00:32:50.846648 | 2025-05-13 04:29:37.229401 |
| 2025-10-19 05:02:13.981222 | 2025-10-20 00:38:19.820643 | 13601984 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13601984 | Athletic Physical Therapy Inc | 1974-08-13 | 2025-10-22 | F | PT | HUGGINS | JXN261A50994 | DEE DEE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105724214.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543043/check_13601984_396c68ee-20f5-459c-ac61-857bd51cf314.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 9999-12-31 | 2022-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9060156501 | N/A | N/A | 5543043 | 2222 | 4801 | 13906439 | N/A | 4214884 | 2025-10-20 00:38:19.820643 | 2025-11-12 00:46:10.301659 |
| 2025-10-19 05:02:13.691117 | 2025-10-20 00:34:55.543281 | 13601979 | N/A | N/A | 60054 | Aetna | 1114042165 | 13601979 | Athletic Physical Therapy Inc | 1942-12-06 | 2025-10-22 | M | AE | MEADOWS | 101352892200 | STANLEY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105724214.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542634/check_13601979_52d6c500-569b-48d6-b2db-86bccb371a84.json | N/A | N/A | N/A | N/A | N/A | 101352892200 | N/A | N/A | AETNA | N/A | 1942-12-06 | 100297-02EG0001 | N/A | N/A | N/A | false | MEADOWS | N/A | STANLEY | N/A | N/A | N/A | MEDICARE (C04) ESA PPO PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060156500 | N/A | N/A | 5542634 | 2222 | 4801 | 13903935 | N/A | 4214520 | 2025-10-20 00:34:55.543281 | 2025-07-28 19:32:04.879318 |
| 2025-10-19 05:02:13.374110 | 2025-10-20 00:34:56.002449 | 13601975 | N/A | N/A | 60054 | Aetna | 1114042165 | 13601975 | Athletic Physical Therapy Inc | 1989-10-20 | 2025-10-22 | M | AE | SAMUELS | W289332071 | ZACHARY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105724214.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542467/check_13601975_0cc66818-f20f-4c04-9e1d-321656b658fe.json | N/A | N/A | N/A | N/A | N/A | W289332071 | Point of Service (POS) | CACI INTERNATIONAL INC. | AETNA | N/A | 1989-10-20 | 0169496 | 016949601000001 | N/A | PS | false | SAMUELS | N/A | ZACHARY | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060156499 | N/A | N/A | 5542467 | 2222 | 4802 | 13903943 | N/A | 4214379 | 2025-10-20 00:34:56.002449 | 2025-05-13 04:29:37.228706 |
| 2025-10-19 05:02:13.134521 | 2025-10-20 00:34:56.479904 | 13601972 | N/A | N/A | 60054 | Aetna | 1114042165 | 13601972 | Athletic Physical Therapy Inc | 2009-08-02 | 2025-10-22 | F | PT | KUZMICZ | LFYHCU059374 | AUDREY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105724214.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541748/check_13601972_e6b0aaca-f00d-4fc8-b534-370d78d991ff.json | N/A | N/A | N/A | N/A | N/A | LFYHCU059374 | N/A | N/A | AETNA INC | N/A | 2009-08-02 | N/A | N/A | N/A | N/A | false | KUZMICZ | N/A | AUDREY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9060156498 | N/A | N/A | 5541748 | 2222 | 4801 | 13903950 | N/A | 4213741 | 2025-10-20 00:34:56.479904 | 2025-10-10 22:38:21.840610 |
| 2025-10-19 05:02:12.913756 | 2025-10-20 00:38:20.090235 | 13601969 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13601969 | Athletic Physical Therapy Inc | 2012-06-25 | 2025-10-22 | F | PT | LORD | JQK822A53740 | ALYSSA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105724214.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541409/check_13601969_9237ea0e-e3ac-4ff2-ac46-49582621fa5f.json | N/A | N/A | N/A | N/A | N/A | JQT822A53740 | Health Maintenance Organization (HMO) | JLIV SERVICES INC | ANTHEM BLUE CROSS | N/A | 2012-06-25 | 040 | U54789 | N/A | HM | false | LORD | N/A | JETHRO | N/A | 9999-12-31 | 2025-08-01 | CA SG PRISELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9060156497 | N/A | N/A | 5541409 | 2222 | 4793 | 13906443 | 4184 | 4213435 | 2025-10-20 00:38:20.090235 | 2025-05-13 04:29:37.227756 |
| 2025-10-19 05:02:12.589550 | 2025-10-20 00:38:13.179170 | 13601964 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13601964 | Athletic Physical Therapy Inc | 1939-07-11 | 2025-10-22 | F | AE | GOMEZ | 00000357273 | EVELYN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105724214.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540918/check_13601964_9d367b46-3e7d-4a13-85c9-786e22ee50fb.json | N/A | N/A | N/A | N/A | N/A | 00000357273 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1939-07-11 | N/A | N/A | N/A | N/A | false | GOMEZ | N/A | EVELYN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060156496 | N/A | N/A | 5540918 | 2222 | 4801 | 13906367 | 2630 | 4213001 | 2025-10-20 00:38:13.179170 | 2025-05-13 04:29:37.227329 |
| 2025-10-19 05:02:12.280282 | 2025-10-20 00:42:56.389090 | 13601959 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13601959 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-10-22 | F | AE | GNAD | 9EM9VP4XX36 | MELANIE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251019.105724214.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540676/check_13601959_074c573b-4416-4988-bfb4-60c2fa0a7c51.json | N/A | N/A | N/A | N/A | N/A | 9EM9VP4XX36 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-04-16 | S5601 | N/A | N/A | MB | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9060156495 | N/A | N/A | 5540676 | 2222 | 4801 | 13909187 | N/A | 4212792 | 2025-10-20 00:42:56.389090 | 2025-10-07 20:33:25.637997 |