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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-18 05:07:39.917901 | 2025-10-19 02:37:34.411477 | 13586130 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13586130 | Athletic Physical Therapy Inc | 1983-01-16 | 2025-10-21 | M | PT | MIRANDA | NCF728A24383 | ERICK | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102005127.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7173834/check_13586130_50fd12f3-36ad-4e27-acb1-27213e599e63.json | N/A | N/A | N/A | N/A | N/A | NCF728A24383 | Health Maintenance Organization (HMO) | LOS ANGELES POLICE RELIEF ASN INC | ANTHEM BLUE CROSS | N/A | 1983-01-16 | 040 | 57CP3A | N/A | HM | false | MIRANDA | N/A | ERICK | N/A | 9999-12-31 | 2023-03-01 | BLUE CROSS HMO PLUS CC01 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054396162 | N/A | N/A | 7173834 | 2222 | 4801 | 13887877 | N/A | 6149607 | 2025-10-19 02:37:34.411477 | 2025-07-17 18:34:10.184195 |
| 2025-10-18 05:07:38.371726 | 2025-10-19 02:39:23.901413 | 13586005 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13586005 | Athletic Physical Therapy Inc | 1971-08-10 | 2025-10-21 | M | PT | DEIPOLA | JQY979A63776 | GUSTAVO | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.101951023.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9611372/check_13586005_b8de5187-0ea2-4352-974f-967cfc4256cb.json | N/A | N/A | N/A | N/A | N/A | JQY979A63776 | Preferred Provider Organization (PPO) | SIERRA CREDIT CORP | ANTHEM BLUE CROSS | N/A | 1971-08-10 | 040 | Q32873 | N/A | PR | false | DEIPOLA | N/A | ANDREA | N/A | 9999-12-31 | 2025-01-01 | CA SG SELECT HSA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054404954 | N/A | N/A | 9611372 | 2222 | 4801 | 13889624 | N/A | 8042516 | 2025-10-19 02:39:23.901413 | 2025-09-24 17:27:04.210921 |
| 2025-10-18 05:07:35.654557 | 2025-10-19 00:41:34.485726 | 13585817 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13585817 | Athletic Physical Therapy Inc | 1961-03-10 | 2025-10-21 | M | PT | WEBBER | NEI801068106 | CHAD | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102116277.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8204846/check_13585817_d7d7e0ba-8fea-456b-be3b-d92055345563.json | N/A | N/A | N/A | N/A | N/A | NEI801068106 | Preferred Provider Organization (PPO) | NATIONAL ELEVATOR INDUSTRY HBP | ANTHEM BLUE CROSS | N/A | 1961-03-10 | N/A | P13346 | N/A | PR | false | WEBBER | N/A | CHAD | N/A | 9999-12-31 | 2021-10-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054415498 | N/A | N/A | 8204846 | 2222 | 4801 | 13874776 | N/A | 6966879 | 2025-10-19 00:41:34.485726 | 2025-08-19 23:20:37.306121 |
| 2025-10-18 05:07:35.151579 | 2025-10-19 02:33:22.012673 | 13585786 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 13585786 | Athletic Physical Therapy Inc | 1962-06-24 | 2025-10-21 | F | AE | GOMEZ | 44116442 | CAROL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.101932072.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6434660/check_13585786_ce720d2a-a922-4a29-8eee-5c1666343d1a.json | N/A | N/A | N/A | N/A | N/A | 44116442 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1962-06-24 | 406-024-000 | N/A | N/A | N/A | false | GOMEZ | N/A | CAROL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054390911 | N/A | N/A | 6434660 | 2222 | 4801 | 13884519 | 6798 | 5079832 | 2025-10-19 02:33:22.012673 | 2025-06-23 20:02:36.660262 |
| 2025-10-18 05:07:33.912005 | 2025-10-19 02:37:09.933852 | 13585724 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13585724 | Athletic Physical Therapy Inc | 1961-05-13 | 2025-10-21 | F | PT | HOUSEMAN | JAC912275311 | REBECCA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102023379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9937308/check_13585724_a470580a-a363-480f-884e-772759ee26d1.json | N/A | N/A | N/A | N/A | N/A | JAC912275311 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-05-13 | 2001ZK002198 | X0001004 | N/A | PR | false | HOUSEMAN | N/A | REBECCA | N/A | 9999-12-31 | 2025-01-01 | 0 COST SHARE PPO AI AN JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054393772 | N/A | N/A | 9937308 | 2222 | 4793 | 13887491 | N/A | 8318674 | 2025-10-19 02:37:09.933852 | 2025-10-03 16:07:07.538918 |
| 2025-10-18 05:07:33.799027 | 2025-10-19 00:44:04.970963 | 13585720 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13585720 | Athletic Physical Therapy Inc | 1980-12-02 | 2025-10-21 | M | PT | GODINEZ | XEK907039926 | RICHARD | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102116277.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202901/check_13585720_d2f7fc6f-a370-46b6-b95c-4963080cdc44.json | N/A | N/A | N/A | N/A | N/A | XEK907039926 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-12-02 | 2001ZK002171 | X0001000 | N/A | PR | false | GODINEZ | N/A | RICHARD | N/A | 9999-12-31 | 2019-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054415489 | N/A | N/A | 8202901 | 2222 | 4793 | 13875751 | N/A | 6965521 | 2025-10-19 00:44:04.970963 | 2025-09-10 21:42:23.177790 |
| 2025-10-18 05:07:29.093539 | 2025-10-19 00:36:27.602203 | 13585455 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 13585455 | Athletic Physical Therapy Inc | 1958-02-20 | 2025-10-21 | F | AE | SHERRY | H7159538300 | PAULA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102116277.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8193020/check_13585455_1a08a3a8-11d1-4c53-94cd-f560f66ec201.json | N/A | N/A | N/A | N/A | N/A | H71595383 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1958-02-20 | N/A | 0B527001 | N/A | HN | false | SHERRY | N/A | PAULA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054415649 | N/A | N/A | 8193020 | 2222 | 4801 | 13872984 | N/A | 4214141 | 2025-10-19 00:36:27.602203 | 2025-05-13 04:29:37.228469 |
| 2025-10-18 05:07:28.176111 | 2025-10-19 02:40:50.411352 | 13585393 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13585393 | Athletic Physical Therapy Inc | 1962-05-29 | 2025-10-21 | F | PT | LARSON | XEA913804058 | DEBRA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.101951023.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9562148/check_13585393_07278f35-8106-4aee-92c4-49f0217d6e97.json | N/A | N/A | N/A | N/A | N/A | XAN913804058 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1962-05-29 | 1480PPOX0002 | W0051411 | N/A | PR | false | LARSON | N/A | DEBRA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054404413 | N/A | N/A | 9562148 | 2222 | 4793 | 13890520 | N/A | 7997320 | 2025-10-19 02:40:50.411352 | 2025-10-02 21:07:14.563938 |
| 2025-10-18 05:07:27.016340 | 2025-10-19 02:32:45.986845 | 13585323 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13585323 | Athletic Physical Therapy Inc | 1949-05-27 | 2025-10-21 | M | AE | SANDERS | 8300000051834 | MARK | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.101951023.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9560285/check_13585323_511e8f0a-af0f-48c5-91b6-176d2b3f794c.json | N/A | N/A | N/A | N/A | N/A | 8300000051834 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1949-05-27 | N/A | N/A | N/A | N/A | false | SANDERS | N/A | MARK | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054405253 | N/A | N/A | 9560285 | 2222 | 4802 | 13884076 | N/A | 7995648 | 2025-10-19 02:32:45.986845 | 2025-09-24 14:50:57.950474 |
| 2025-10-18 05:07:23.782046 | 2025-10-19 00:55:20.773024 | 13585127 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13585127 | Athletic Physical Therapy Inc | 1936-09-29 | 2025-10-21 | M | AE | JAUDE | JQE122A53874 | KARIM | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102020335.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6821574/check_13585127_207eab32-e1c1-4585-b470-350a414a464e.json | N/A | N/A | N/A | N/A | N/A | JQE122A53874 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1936-09-29 | 040 | CASUPWP0 | N/A | N/A | false | JAUDE | N/A | KARIM | N/A | 9999-12-31 | 2023-12-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054412057 | N/A | N/A | 6821574 | 2222 | 4802 | 13879961 | N/A | 4214191 | 2025-10-19 00:55:20.773024 | 2025-05-13 04:29:37.228525 |
| 2025-10-18 05:07:20.665819 | 2025-10-19 02:40:04.934414 | 13584922 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13584922 | Athletic Physical Therapy Inc | 1941-12-12 | 2025-10-21 | M | AE | ABARTA | 1KM2G22MJ15 | STEVEN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102023379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9929496/check_13584922_5c8250ad-4ea8-405a-8699-c12d7130cddf.json | N/A | N/A | N/A | N/A | N/A | 1KM2G22MJ15 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-12-12 | S5617 | N/A | N/A | MA | false | ABARTA | 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 | 9054393606 | N/A | N/A | 9929496 | 2222 | 4801 | 13890133 | N/A | 8313339 | 2025-10-19 02:40:04.934414 | 2025-10-02 18:29:23.013167 |
| 2025-10-18 05:07:10.820711 | 2025-10-19 00:53:48.868207 | 13584318 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13584318 | Athletic Physical Therapy Inc | 1944-09-29 | 2025-10-21 | F | AE | GUASTELLA | 5V49H98DH38 | ROSE ANN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102116277.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8167484/check_13584318_44f69308-5919-43a3-b3c0-c873b09305d5.json | N/A | N/A | N/A | N/A | N/A | 5V49H98DH38 | Medicare Part A | N/A | BLUE CROSS OF CALIFORNIA | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-09-29 | H0544 | N/A | N/A | MA | false | GUASTELLA | N/A | ROSE ANN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054414726 | N/A | N/A | 8167484 | 2222 | 4801 | 13879474 | N/A | 6407685 | 2025-10-19 00:53:48.868207 | 2025-08-12 18:01:47.141909 |
| 2025-10-18 05:07:06.078575 | 2025-10-19 00:55:17.873044 | 13583974 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13583974 | Athletic Physical Therapy Inc | 1951-10-16 | 2025-10-21 | F | AE | GARRETT | JQE702W20596 | KATHLEEN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102020335.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714934/check_13583974_515458e2-e12a-40ec-bbe6-d8c359d69eea.json | N/A | N/A | N/A | N/A | N/A | JQE702W20596 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-10-16 | 040 | CASUPWP0 | N/A | N/A | false | GARRETT | N/A | KATHLEEN | N/A | 9999-12-31 | 2024-07-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054411015 | N/A | N/A | 6714934 | 2222 | 4793 | 13879945 | N/A | 5316176 | 2025-10-19 00:55:17.873044 | 2025-07-01 18:44:12.927482 |
| 2025-10-18 05:07:05.885898 | 2025-10-19 02:34:39.411348 | 13583959 | N/A | N/A | 60054 | Aetna | 1114042165 | 13583959 | Athletic Physical Therapy Inc | 1960-01-04 | 2025-10-21 | F | AE | MARLEY | W032070695 | MARIA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.101951023.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9512811/check_13583959_6f0817a3-3f96-470c-a91e-f9d601c365c7.json | N/A | N/A | N/A | N/A | N/A | W032070695 | Exclusive Provider Organization | COSTCO WHOLESALE CORPORATION | AETNA | N/A | 1960-01-04 | 0169579 | 016957901100002 | N/A | EP | false | MARLEY | N/A | MARIA | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054404908 | N/A | N/A | 9512811 | 2222 | 4801 | 13885478 | N/A | 7955514 | 2025-10-19 02:34:39.411348 | 2025-09-26 00:32:05.426711 |
| 2025-10-18 05:07:03.019137 | 2025-10-19 02:53:22.905112 | 13583768 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13583768 | Athletic Physical Therapy Inc | 1960-07-20 | 2025-10-21 | F | AE | NAFTZGER | 3NW9CG6WM45 | SANDRA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.101932072.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6194923/check_13583768_4c12a78f-38c5-4daa-aacc-5ad275c7d223.json | N/A | N/A | N/A | N/A | N/A | 3NW9CG6WM45 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-07-20 | S5617 | N/A | N/A | MA | false | NAFTZGER | N/A | SANDRA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054390132 | N/A | N/A | 6194923 | 2222 | 4802 | 13893766 | N/A | 4214889 | 2025-10-19 02:53:22.905112 | 2025-05-13 04:29:37.229212 |
| 2025-10-18 05:06:56.974600 | 2025-10-19 02:33:24.253516 | 13583393 | N/A | N/A | 60054 | Aetna | 1114042165 | 13583393 | Athletic Physical Therapy Inc | 1966-11-25 | 2025-10-21 | M | AE | MARASCHI | W279080803 | RICHARD | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102023379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9905198/check_13583393_e8015219-e83f-4dd9-bd5b-598d258620a4.json | N/A | N/A | N/A | N/A | N/A | W279080803 | Point of Service (POS) | ADOBE INC. | AETNA | N/A | 1966-11-25 | 0660819 | 066081901600001 | N/A | PS | false | MARASCHI | N/A | RICHARD | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054393098 | N/A | N/A | 9905198 | 2222 | 4793 | 13884548 | N/A | 8292873 | 2025-10-19 02:33:24.253516 | 2025-10-02 14:48:07.243236 |
| 2025-10-18 05:06:52.022131 | 2025-10-19 02:36:07.171669 | 13583082 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 13583082 | Athletic Physical Therapy Inc | 1951-11-14 | 2025-10-21 | M | AE | BELTRAN | 40037866601 | GUSTAVO | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102023379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9903583/check_13583082_ace0bcdd-47cf-4d95-8e12-7cf145a12f8e.json | N/A | N/A | N/A | N/A | N/A | 40037866601 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1951-11-14 | N/A | N/A | N/A | N/A | false | BELTRAN | N/A | GUSTAVO | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054393077 | N/A | N/A | 9903583 | 2222 | 4801 | 13886594 | N/A | 8291830 | 2025-10-19 02:36:07.171669 | 2025-10-13 13:22:03.458547 |
| 2025-10-18 05:06:47.913559 | 2025-10-19 02:41:50.011836 | 13582845 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13582845 | Athletic Physical Therapy Inc | 1945-07-04 | 2025-10-21 | M | PT | Seminario | 442W1081810 | Gustavo | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.101932072.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124845/check_13582845_17de28ab-0617-4e51-b142-2b15372ce603.json | N/A | N/A | N/A | N/A | N/A | 442W1081810 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1945-07-04 | N/A | N/A | N/A | N/A | false | SEMINARIO | N/A | GUSTAVO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054391239 | N/A | N/A | 6124845 | 2222 | 4793 | 13891000 | N/A | 4767293 | 2025-10-19 02:41:50.011836 | 2025-06-06 15:11:48.015692 |
| 2025-10-18 05:06:47.223069 | 2025-10-19 02:34:22.604819 | 13582801 | N/A | N/A | 60054 | Aetna | 1114042165 | 13582801 | Athletic Physical Therapy Inc | 1969-05-02 | 2025-10-21 | F | AE | Taylor | 0322952413 | Vienna | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.101932072.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124049/check_13582801_31716dfd-eef3-4c5f-8836-7644d508a05b.json | N/A | N/A | N/A | N/A | N/A | 0322952413 | Group Policy | N/A | AETNA INC | PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE, IND. OUT OF POCKET, FAMILY OUT OF POCKET INFORMATION | 1969-05-02 | 001 | 24281 | N/A | GP | false | TAYLOR | N/A | JEFFREY | N/A | N/A | N/A | VELOCITY COMMERCIAL CAPITAL LLC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054391235 | N/A | N/A | 6124049 | 2222 | 4793 | 13885249 | N/A | 4766759 | 2025-10-19 02:34:22.604819 | 2025-06-04 21:51:50.184092 |
| 2025-10-18 05:06:46.051815 | 2025-10-19 02:44:49.527743 | 13582739 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13582739 | Athletic Physical Therapy Inc | 1994-02-23 | 2025-10-21 | F | PT | SHU | XAN913831469 | GABRIELA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.101932072.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6121701/check_13582739_2015e828-0ee3-4cef-8459-88106959677a.json | N/A | N/A | N/A | N/A | N/A | XAN913831469 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1994-02-23 | 1479PPOX0003 | W0051411 | N/A | PR | false | SHU | N/A | GABRIELA | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054391229 | N/A | N/A | 6121701 | 2222 | 4793 | 13892532 | N/A | 4764460 | 2025-10-19 02:44:49.527743 | 2025-06-04 04:30:06.494155 |
| 2025-10-18 05:06:42.541643 | 2025-10-18 05:07:17.221837 | 13582528 | 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_13582528_4bd79141-20bd-4f82-be82-ac3635ba3e53.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 | 2025-10-18 05:07:17.221837 | 2025-05-13 04:29:37.229495 |
| 2025-10-18 05:06:39.104716 | 2025-10-19 02:36:25.606480 | 13582333 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13582333 | Athletic Physical Therapy Inc | 1952-07-15 | 2025-10-21 | M | AE | WOLFE | XEM909964699 | MICHAEL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.101950914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10239789/check_13582333_0706c1d3-940c-4e32-8fb5-265ca13c7f01.json | N/A | N/A | N/A | N/A | N/A | XEM909964699 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1952-07-15 | 2004SF000028 | X0001002 | N/A | OT | false | WOLFE | N/A | MICHAEL | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054399144 | N/A | N/A | 10239789 | 2222 | 4793 | 13886858 | N/A | 8527464 | 2025-10-19 02:36:25.606480 | 2025-10-14 15:25:46.972104 |
| 2025-10-18 05:06:30.482702 | 2025-10-19 00:39:54.037796 | 13581848 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13581848 | Athletic Physical Therapy Inc | 1949-01-02 | 2025-10-21 | F | AE | TARASEVYCH | 90733231H | VIRA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102116277.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8050658/check_13581848_9049dbe2-d958-43b8-8e41-9b77a76f2176.json | N/A | N/A | N/A | N/A | N/A | 90733231H | N/A | N/A | HEALTH NET, LLC | N/A | 1949-01-02 | N/A | N/A | N/A | N/A | false | TARASEVYCH | N/A | VIRA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054416570 | N/A | N/A | 8050658 | 2222 | 4793 | 13874154 | N/A | 6845945 | 2025-10-19 00:39:54.037796 | 2025-08-20 15:30:30.230373 |
| 2025-10-18 05:06:22.557191 | 2025-10-19 02:40:06.054202 | 13581459 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13581459 | Athletic Physical Therapy Inc | 1953-11-15 | 2025-10-21 | M | AE | REISMAN | 7JW4EK4UR89 | MARK | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102023379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9868745/check_13581459_a5f95847-330d-4568-a1e2-37dd792da40f.json | N/A | N/A | N/A | N/A | N/A | 7JW4EK4UR89 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-11-15 | N/A | N/A | N/A | MA | false | REISMAN | N/A | MARK | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054393463 | N/A | N/A | 9868745 | 2222 | 4802 | 13890149 | N/A | 8262262 | 2025-10-19 02:40:06.054202 | 2025-09-30 22:45:25.940454 |
| 2025-10-18 05:06:15.460982 | 2025-10-19 00:34:37.609990 | 13581115 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 13581115 | override_provider | 1960-06-14 | 2025-10-21 | F | PT | VERWEY | R61817302 | CAREN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102116277.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8025542/check_13581115_aa5d1059-aa8d-4daf-b6d2-479d86a38d6a.json | N/A | N/A | N/A | N/A | N/A | R61817302 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1960-06-14 | N/A | 35C | N/A | PR | false | VERWEY | N/A | CAREN | N/A | 9999-12-31 | 2025-01-01 | FEP BLUE FOCUS | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054415880 | N/A | N/A | 8025542 | 2222 | 4801 | 13872401 | N/A | 6826965 | 2025-10-19 00:34:37.609990 | 2025-08-13 02:28:19.717631 |
| 2025-10-18 05:06:08.980856 | 2025-10-19 00:56:58.391334 | 13580828 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13580828 | Athletic Physical Therapy Inc | 1960-07-20 | 2025-10-21 | F | AE | NAFTZGER | XEM914412859 | SANDRA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102020335.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6194938/check_13580828_b334a6a0-a94a-435d-8b86-719ecbf953e6.json | N/A | N/A | N/A | N/A | N/A | XEM914412859 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1960-07-20 | 2002SEW00030 | X0001002 | N/A | OT | false | NAFTZGER | N/A | SANDRA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054410836 | N/A | N/A | 6194938 | 2222 | 4802 | 13880477 | N/A | 4214889 | 2025-10-19 00:56:58.391334 | 2025-05-13 04:29:37.229212 |
| 2025-10-18 05:06:08.236470 | 2025-10-19 02:39:25.375485 | 13580795 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13580795 | Athletic Physical Therapy Inc | 1955-10-21 | 2025-10-21 | F | PT | WAKIL | MMA290W21854 | MALIHA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.101951023.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9415877/check_13580795_c00c9ded-f0b3-405b-beef-c64fadcf3cef.json | N/A | N/A | N/A | N/A | N/A | MMA290W21854 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1955-10-21 | 040 | CAMCRWP0 | N/A | MP | false | WAKIL | N/A | MALIHA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054403730 | N/A | N/A | 9415877 | 2222 | 4801 | 13889646 | N/A | 7884745 | 2025-10-19 02:39:25.375485 | 2025-10-02 21:33:51.225390 |
| 2025-10-18 05:06:06.809743 | 2025-10-19 02:38:02.982230 | 13580727 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 13580727 | Athletic Physical Therapy Inc | 1960-03-08 | 2025-10-21 | F | AE | CONNER | 40068898601 | CRISTEN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.101951023.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9415234/check_13580727_629dea18-11f9-443f-8973-0746edd412dc.json | N/A | N/A | N/A | N/A | N/A | 40068898601 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1960-03-08 | N/A | N/A | N/A | N/A | false | CONNER | N/A | CRISTEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054403723 | N/A | N/A | 9415234 | 2222 | 4801 | 13888355 | N/A | 7884350 | 2025-10-19 02:38:02.982230 | 2025-09-15 22:38:10.066233 |
| 2025-10-18 05:06:06.126482 | 2025-10-19 02:36:41.201229 | 13580689 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13580689 | Athletic Physical Therapy Inc | 1973-10-11 | 2025-10-21 | F | PT | GAIKI | WZA401W18564 | ASHWINI | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102023379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9858377/check_13580689_4a0c9621-24d4-46ed-8ec5-fdbe81713be7.json | N/A | N/A | N/A | N/A | N/A | WZA401W18564 | Preferred Provider Organization (PPO) | WARNER BROS DISCOVERY INC | ANTHEM BLUE CROSS | N/A | 1973-10-11 | 130 | 270240M35A | N/A | PR | false | GAIKI | N/A | AKASH | N/A | 9999-12-31 | 2024-01-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054393765 | N/A | N/A | 9858377 | 2222 | 4801 | 13887061 | N/A | 8253977 | 2025-10-19 02:36:41.201229 | 2025-10-08 15:49:07.618378 |
| 2025-10-18 05:05:54.216162 | 2025-10-19 02:33:43.587641 | 13580123 | N/A | N/A | 60054 | Aetna | 1114042165 | 13580123 | Athletic Physical Therapy Inc | 1976-05-10 | 2025-10-21 | M | AE | RAMIREZ | 9537353099 | ROY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102005127.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6865171/check_13580123_b00b173e-810f-4b8d-99c0-14c543f57bb5.json | N/A | N/A | N/A | N/A | N/A | 9537353099 | Group Policy | N/A | AETNA INC | PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE INFORMATION | 1976-05-10 | A01 | 20086 | N/A | GP | false | RAMIREZ | N/A | ROY | N/A | N/A | N/A | WORKDAY INC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054394718 | N/A | N/A | 6865171 | 2222 | 4801 | 13884740 | N/A | 5902840 | 2025-10-19 02:33:43.587641 | 2025-07-28 18:58:27.354873 |
| 2025-10-18 05:05:53.941687 | 2025-10-19 02:37:35.377340 | 13580108 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13580108 | Athletic Physical Therapy Inc | 1975-11-23 | 2025-10-21 | F | PT | THATTE | JQU615W06820 | MADHAVI | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102005127.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6861355/check_13580108_dc331c6f-8d18-496a-a4a9-bcddfbf6b1f5.json | N/A | N/A | N/A | N/A | N/A | JQU615W06820 | Preferred Provider Organization (PPO) | CAPSIDA, INC. | ANTHEM BLUE CROSS | N/A | 1975-11-23 | 040 | K92872 | N/A | PR | false | THATTE | N/A | MADHAVI | N/A | 9999-12-31 | 2025-08-01 | CA SG ANTHEM HSA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054394717 | N/A | N/A | 6861355 | 2222 | 4801 | 13887891 | N/A | 5899637 | 2025-10-19 02:37:35.377340 | 2025-07-23 05:11:18.843091 |
| 2025-10-18 05:05:53.652943 | 2025-10-19 02:53:20.564899 | 13580094 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13580094 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-10-21 | M | AE | JACOBS | 4XJ0X61FM35 | PATRICIA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.101932072.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993912/check_13580094_0af2d991-5a8c-4d91-b119-73acfe5e8d34.json | N/A | N/A | N/A | N/A | N/A | 4XJ0X61FM35 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-25 | S5921 | N/A | N/A | MB | false | JACOBS | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054390027 | N/A | N/A | 5993912 | 2222 | 4793 | 13893763 | N/A | 4642852 | 2025-10-19 02:53:20.564899 | 2025-11-21 18:38:17.056437 |
| 2025-10-18 05:05:45.219335 | 2025-10-19 00:41:33.233077 | 13579673 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13579673 | Athletic Physical Therapy Inc | 1963-09-19 | 2025-10-21 | M | PT | SENKUS | XDM878M77372 | TONY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102116277.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7964946/check_13579673_95febc18-04f7-468d-b449-ebf65786353b.json | N/A | N/A | N/A | N/A | N/A | XDM878M77372 | Health Maintenance Organization (HMO) | TEAMSTERS MISC SECURITY TRUST - EARLY RETIREE | ANTHEM BLUE CROSS | N/A | 1963-09-19 | 040 | 278680H052 | N/A | HM | false | SENKUS | N/A | TONY | N/A | 9999-12-31 | 2024-10-01 | CLASSIC TRADITIONAL HMO NETWORK NON DURATIONAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054416449 | N/A | N/A | 7964946 | 2222 | 4801 | 13874767 | N/A | 6247001 | 2025-10-19 00:41:33.233077 | 2025-07-25 21:24:35.111542 |
| 2025-10-18 05:05:43.289463 | 2025-10-19 02:31:50.213387 | 13579599 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 13579599 | Athletic Physical Therapy Inc | 1941-12-12 | 2025-10-21 | M | AE | ABARTA | 03851837911 | STEVEN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.101950914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9929497/check_13579599_4f802010-293a-467f-914f-a37921ed2065.json | N/A | N/A | N/A | N/A | N/A | 03851837911 | 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. | 1941-12-12 | N/A | N/A | N/A | SP | false | ABARTA | N/A | STEVE | 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 | 9054398725 | N/A | N/A | 9929497 | 2222 | 4801 | 13883608 | N/A | 8313339 | 2025-10-19 02:31:50.213387 | 2025-10-02 18:29:23.013167 |
| 2025-10-18 05:05:42.631965 | 2025-10-19 02:36:04.777552 | 13579574 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13579574 | Athletic Physical Therapy Inc | 1959-07-16 | 2025-10-21 | F | AE | JESTER | MBL344W20467 | AUREA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.101950914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9926970/check_13579574_bc4bdcb5-0aed-4208-be05-628a042f374c.json | N/A | N/A | N/A | N/A | N/A | MBL344W20467 | N/A | CALIFORNIA PUBLIC EMPLOYEES RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1959-07-16 | 040 | CAEGR001 | N/A | N/A | false | JESTER | N/A | AUREA | N/A | 9999-12-31 | 2024-07-01 | CA GRS CALPERS H4036-802 ANTHEM MEDICARE PREFERRED | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054398723 | N/A | N/A | 9926970 | 2222 | 4801 | 13886562 | N/A | 7624564 | 2025-10-19 02:36:04.777552 | 2025-10-06 23:19:36.703282 |
| 2025-10-18 05:05:39.494715 | 2025-10-19 00:41:10.761485 | 13579464 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13579464 | Athletic Physical Therapy Inc | 1963-09-07 | 2025-10-21 | M | PT | BAHR | FZX638A69335 | KEVIN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102120878.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10371931/check_13579464_8f11ea96-3c7f-417d-acf6-ba66d4440012.json | N/A | N/A | N/A | N/A | N/A | FZX638A69335 | Preferred Provider Organization (PPO) | CDHP HSA NON-INTEGRATED BNK | ANTHEM BLUE CROSS | N/A | 1963-09-07 | 423 | 201028M2CA | N/A | PR | false | BAHR | N/A | KEVIN | N/A | 9999-12-31 | 2022-01-01 | CDHP VIRGINIA HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054419927 | N/A | N/A | 10371931 | 2222 | 4793 | 13874619 | N/A | 8634062 | 2025-10-19 00:41:10.761485 | 2025-10-16 21:25:25.746427 |
| 2025-10-18 05:05:36.451369 | 2025-10-19 02:36:25.205206 | 13579357 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13579357 | Athletic Physical Therapy Inc | 1957-07-19 | 2025-10-21 | F | AE | JALALI | XEM911510070 | SOHEILA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.101950914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9904333/check_13579357_7cd433f5-5ac1-4060-8e42-5103a0c16993.json | N/A | N/A | N/A | N/A | N/A | XEM911510070 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1957-07-19 | 2002SF000028 | X0001002 | N/A | OT | false | JALALI | N/A | SOHEILA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054398701 | N/A | N/A | 9904333 | 2222 | 4802 | 13886852 | N/A | 8177726 | 2025-10-19 02:36:25.205206 | 2025-09-26 21:46:59.613569 |
| 2025-10-18 05:05:30.902735 | 2025-10-19 00:41:48.778033 | 13579144 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 13579144 | Athletic Physical Therapy Inc | 2003-04-23 | 2025-10-21 | M | PT | Fiske | XEH913326297 | Aidan | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102120878.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10368706/check_13579144_e8aeb10e-4208-4a7e-9cde-f74d914866fe.json | N/A | N/A | N/A | N/A | N/A | XEH913326297 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 2003-04-23 | 1000VX000001 | W0069783 | N/A | HM | false | FISKE | N/A | AIDAN | N/A | 9999-12-31 | 2025-07-01 | TRADER JOE S COMPANY CUSTOM ACCESS HMO 25 500 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054419902 | N/A | N/A | 10368706 | 2222 | 4802 | 13874875 | N/A | 8631458 | 2025-10-19 00:41:48.778033 | 2025-10-13 21:35:52.906882 |
| 2025-10-18 05:05:29.998900 | 2025-10-19 00:34:37.071869 | 13579100 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 13579100 | override_provider | 1956-10-21 | 2025-10-21 | M | PT | TOROS | SAD103594467 | HALIL | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102116277.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7896723/check_13579100_141cae45-8599-408f-b11b-d47e296d5947.json | N/A | N/A | N/A | N/A | N/A | SAD10359446700 | Preferred Provider Organization (PPO) | SAS INSTITUTE INC. | BLUE SHIELD OF CALIFORNIA | N/A | 1956-10-21 | FACETS | 14163533 | N/A | PR | false | TOROS | N/A | HALIL | N/A | 2025-12-31 | 2025-01-01 | BLUE OPTIONS | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054415829 | N/A | N/A | 7896723 | 2222 | 4802 | 13872397 | N/A | 6723602 | 2025-10-19 00:34:37.071869 | 2025-08-12 18:22:41.461515 |
| 2025-10-18 05:05:29.799545 | 2025-10-19 02:36:06.089118 | 13579091 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13579091 | Athletic Physical Therapy Inc | 1953-11-15 | 2025-10-21 | M | AE | REISMAN | WRXA13289369 | MARK | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.101950914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9868746/check_13579091_ff60efe8-954e-40cf-a614-faa9df764cde.json | N/A | N/A | N/A | N/A | N/A | WRXA13289369 | Preferred Provider Organization (PPO) | WRITERS GUILD INDUSTRY HEALTH FUND | ANTHEM BLUE CROSS | N/A | 1953-11-15 | 040 | 277242M003 | N/A | PR | false | REISMAN | N/A | MARK | N/A | 9999-12-31 | 2025-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054398672 | N/A | N/A | 9868746 | 2222 | 4802 | 13886577 | N/A | 8262262 | 2025-10-19 02:36:06.089118 | 2025-09-30 22:45:25.940454 |
| 2025-10-18 05:05:28.282381 | 2025-10-19 00:55:20.110905 | 13579029 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13579029 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-10-21 | M | AE | JACOBS | JQE406W03039 | PATRICIA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102020335.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993913/check_13579029_825ae4d0-2f40-4cc8-8df1-6d094a378f95.json | N/A | N/A | N/A | N/A | N/A | JQE406W03039 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1939-06-25 | 040 | CASUPWP0 | N/A | N/A | false | JACOBS | N/A | PATRICIA | N/A | 9999-12-31 | 2019-12-11 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054411651 | N/A | N/A | 5993913 | 2222 | 4793 | 13879957 | N/A | 4642852 | 2025-10-19 00:55:20.110905 | 2025-11-21 18:38:17.056437 |
| 2025-10-18 05:05:24.893564 | 2025-10-19 02:36:06.515492 | 13578864 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13578864 | Athletic Physical Therapy Inc | 1967-01-16 | 2025-10-21 | F | AE | Wesel | QUC628W15332 | Ellen | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.101950914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9854973/check_13578864_93be8e84-ed29-4735-a9dc-468baec467a1.json | N/A | N/A | N/A | N/A | N/A | QUC628W15332 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | CIGNA | N/A | 1967-01-16 | 040 | 280509A420 | N/A | PR | false | WESEL | N/A | RICHARD | N/A | 9999-12-31 | 2023-01-01 | UC CORE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054398655 | N/A | N/A | 9854973 | 2222 | 4802 | 13886583 | N/A | 8205288 | 2025-10-19 02:36:06.515492 | 2025-09-30 16:15:04.552446 |
| 2025-10-18 05:05:21.718965 | 2025-10-19 02:39:25.065792 | 13578713 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13578713 | Athletic Physical Therapy Inc | 2010-01-19 | 2025-10-21 | M | PT | RIEMER | NSA00184555H | AUSTIN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.101951023.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9321401/check_13578713_44489af9-9cbf-4aea-9b83-83e6ce9d0c49.json | N/A | N/A | N/A | N/A | N/A | NSA00184555H | Preferred Provider Organization (PPO) | MAIN PPO PLAN- EARNED | ANTHEM BLUE CROSS | N/A | 2010-01-19 | 040 | L05927A001 | N/A | PR | false | RIEMER | N/A | JUSTIN | N/A | 9999-12-31 | 2023-01-01 | PB INCENTIVE NO SUTTER | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054404565 | N/A | N/A | 9321401 | 2222 | 4801 | 13889641 | N/A | 7820673 | 2025-10-19 02:39:25.065792 | 2025-09-12 21:33:53.471523 |
| 2025-10-18 05:05:20.983025 | 2025-10-19 02:53:18.163572 | 13578681 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13578681 | Athletic Physical Therapy Inc | 1958-09-13 | 2025-10-20 | M | AE | DERR | 4GK3GN5DV73 | DENNIS | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.101932072.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874420/check_13578681_2aed2f0a-f412-4606-a024-0c9c45f7d66b.json | N/A | N/A | N/A | N/A | N/A | 4GK3GN5DV73 | N/A | N/A | CMS | N/A | 1958-09-13 | N/A | N/A | N/A | N/A | false | DERR | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054390567 | N/A | N/A | 5874420 | 2222 | 4793 | 13893760 | N/A | 4534550 | 2025-10-19 02:53:18.163572 | 2025-10-15 18:36:58.255255 |
| 2025-10-18 05:05:16.307769 | 2025-10-19 00:44:05.569501 | 13578461 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13578461 | Athletic Physical Therapy Inc | 1987-11-24 | 2025-10-21 | F | PT | Halat | FIZ100010118257 | Hooram | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102116277.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7870152/check_13578461_3bef5f4d-9a0e-4c3f-bb5f-90562241013c.json | N/A | N/A | N/A | N/A | N/A | FIZ100010118257 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1987-11-24 | N/A | N/A | N/A | N/A | false | HALAT | N/A | HOORAM | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054415090 | N/A | N/A | 7870152 | 2222 | 4802 | 13875758 | N/A | 6698799 | 2025-10-19 00:44:05.569501 | 2025-08-07 18:40:53.120761 |
| 2025-10-18 05:05:14.248571 | 2025-10-19 02:33:43.904598 | 13578386 | N/A | N/A | 60054 | AETNA | 1114042165 | 13578386 | Athletic Physical Therapy Inc | 1940-12-29 | 2025-10-21 | M | AE | TRUNNELL | 101505559100 | WAYNE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102005127.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6786642/check_13578386_f448ac2b-fbb3-4175-b862-01975ecdc98a.json | N/A | N/A | N/A | N/A | N/A | 101505559100 | Point of Service (POS) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-12-29 | 000003-CA000074 | 000003-CA | N/A | PS | false | TRUNNELL | N/A | WAYNE | N/A | N/A | N/A | AETNA MEDICARE PLUS (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054395096 | N/A | N/A | 6786642 | 2222 | 4793 | 13884746 | 3939 | 5818009 | 2025-10-19 02:33:43.904598 | 2025-07-15 23:19:05.900633 |
| 2025-10-18 05:05:08.462269 | 2025-10-19 02:37:35.056933 | 13578172 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13578172 | Athletic Physical Therapy Inc | 1947-12-19 | 2025-10-21 | F | PT | Taggart | MBL830M95233 | Rita | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102005127.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6780011/check_13578172_0df973bb-2a51-4616-abaf-20caa4f66b6e.json | N/A | N/A | N/A | N/A | N/A | MBL830M95233 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1947-12-19 | 040 | CAEGR002 | N/A | N/A | false | TAGGART | N/A | RITA | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054394574 | N/A | N/A | 6780011 | 2222 | 4802 | 13887888 | N/A | 5811238 | 2025-10-19 02:37:35.056933 | 2025-07-03 18:24:56.520298 |
| 2025-10-18 05:05:07.065472 | 2025-10-19 02:36:05.368719 | 13578128 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13578128 | Athletic Physical Therapy Inc | 1958-10-22 | 2025-10-20 | F | AE | Lee | MBL500W17666 | Gisele | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.101950914.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9810738/check_13578128_1f4bd0ce-6694-4c51-9d5d-12be6411224c.json | N/A | N/A | N/A | N/A | N/A | MBL500W17666 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1958-10-22 | 040 | CAEGR005 | N/A | N/A | false | LEE | N/A | GISELE | N/A | 2025-12-31 | 2023-10-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054398605 | N/A | N/A | 9810738 | 2222 | 4802 | 13886569 | N/A | 8217179 | 2025-10-19 02:36:05.368719 | 2025-10-02 19:02:27.583990 |
| 2025-10-18 05:04:56.193839 | 2025-10-19 00:43:13.084815 | 13577713 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 13577713 | Athletic Physical Therapy Inc | 1954-05-11 | 2025-10-21 | M | AE | A Peters | 32146482611 | Dennis | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102020335.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550027/check_13577713_52f24c03-172f-4c36-a43d-f55693903def.json | N/A | N/A | N/A | N/A | N/A | 32146482611 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1954-05-11 | N/A | N/A | N/A | SP | false | PETERS | N/A | DENNIS | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054411381 | N/A | N/A | 5550027 | 2222 | 4801 | 13875479 | N/A | 4219449 | 2025-10-19 00:43:13.084815 | 2025-10-07 21:32:27.567534 |
| 2025-10-18 05:04:54.761682 | 2025-10-19 02:41:18.090107 | 13577668 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13577668 | Athletic Physical Therapy Inc | 1953-04-27 | 2025-10-21 | M | AE | TEDDER | 00000390480 | CHARLES | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.101932072.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676415/check_13577668_54970c4d-5b21-4395-98d8-abfcaa9084a0.json | N/A | N/A | N/A | N/A | N/A | 00000390480 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-04-27 | N/A | N/A | N/A | N/A | false | TEDDER | N/A | CHARLES | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054391808 | N/A | N/A | 5676415 | 2222 | 4801 | 13890736 | 2630 | 4343470 | 2025-10-19 02:41:18.090107 | 2025-05-13 04:29:37.230947 |