API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | 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 05:04:54.543096 | 2025-10-19 02:34:19.379319 | 13577660 | N/A | N/A | 60054 | Aetna | 1114042165 | 13577660 | Athletic Physical Therapy Inc | 1956-11-03 | 2025-10-21 | M | AE | PT | ARROW | 101393152200 | PAUL | 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/2222/5676385/check_13577660_6384c8d7-2003-4922-a8c9-3d5375f3369b.json | N/A | N/A | N/A | N/A | N/A | 101393152200 | Preferred Provider Organization (PPO) | BP CORPORATION NORTH AMERICA - MA | AETNA | MEDICARE | 1956-11-03 | 100181-02EG0001 | 100181-02 | N/A | PR | false | ARROW | N/A | PAUL | N/A | N/A | N/A | BP MEDICARE PPO ESA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054391526 | N/A | N/A | 5676385 | 2222 | 4802 | 13885197 | N/A | 4343439 | 2025-10-19 02:34:19.379319 | 2025-05-13 04:29:37.230918 |
| 2025-10-18 05:04:54.271196 | 2025-10-19 02:44:48.769574 | 13577652 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13577652 | Athletic Physical Therapy Inc | 1989-01-09 | 2025-10-21 | F | PT | N/A | SELTER | XEA906445770 | RACHEL | 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/2222/5676380/check_13577652_fc28e3fc-6ea3-4bab-879c-fea50b00cb69.json | N/A | N/A | N/A | N/A | N/A | XEA906445770 | Preferred Provider Organization (PPO) | AV SQUAD LP | BLUE SHIELD CALIFORNIA | N/A | 1989-01-09 | 1000PPOX0001 | W0066517 | N/A | PR | false | SELTER | N/A | BRANDON | N/A | N/A | N/A | SMILE SM SPECTRUM 50 1500 NO ORTHO MAC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054391525 | N/A | N/A | 5676380 | 2222 | 4793 | 13892526 | N/A | 4343435 | 2025-10-19 02:44:48.769574 | 2025-05-13 04:29:37.230915 |
| 2025-10-18 05:04:52.485552 | 2025-10-19 00:43:12.416425 | 13577600 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 13577600 | Athletic Physical Therapy Inc | 1937-05-08 | 2025-10-21 | F | AE | PT | GRINBERG | 04690155011 | HANNA | 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/2222/5542163/check_13577600_4aa3aec5-bf93-4661-90d6-3723062a8e34.json | N/A | N/A | N/A | N/A | N/A | 04690155011 | 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. | 1937-05-08 | N/A | N/A | N/A | SP | false | GRINBERG | N/A | HANNA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN J | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054411323 | N/A | N/A | 5542163 | 2222 | 4802 | 13875474 | N/A | 4214112 | 2025-10-19 00:43:12.416425 | 2025-05-13 04:29:37.228426 |
| 2025-10-18 05:04:51.953452 | 2025-10-19 00:43:13.856826 | 13577577 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 13577577 | Athletic Physical Therapy Inc | 1944-04-25 | 2025-10-21 | F | AE | PT | ROSENTHAL | 30096718111 | PHYLLIS | 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/2222/5541888/check_13577577_f8233f0f-da4d-4761-a6a0-b67f2c61de94.json | N/A | N/A | N/A | N/A | N/A | 30096718111 | 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. | 1944-04-25 | N/A | N/A | N/A | SP | false | ROSENTHAL | N/A | PHYLLIS | 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 | 9054411322 | N/A | N/A | 5541888 | 2222 | 4802 | 13875485 | N/A | 4213865 | 2025-10-19 00:43:13.856826 | 2025-05-13 04:29:37.228183 |
| 2025-10-18 05:04:51.529381 | 2025-10-19 00:55:17.024471 | 13577562 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13577562 | Athletic Physical Therapy Inc | 1954-01-12 | 2025-10-21 | F | AE | PT | FINCH | XDD909A67880 | DAWN | 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/2222/5538474/check_13577562_0c599e76-463f-4c84-a033-5012458fcf97.json | N/A | N/A | N/A | N/A | N/A | XDD909A67880 | N/A | CALPERS PERS PLATINUM MSUPP RETIREES(PA) REGION3 | MEDICARE B | N/A | 1954-01-12 | 040 | BS270I | N/A | N/A | false | FINCH | N/A | LELAND | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054411321 | N/A | N/A | 5538474 | 2222 | 4802 | 13879941 | N/A | 4210886 | 2025-10-19 00:55:17.024471 | 2025-05-13 04:29:37.225284 |
| 2025-10-18 05:04:51.263122 | 2025-10-19 02:34:33.801595 | 13577550 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 13577550 | override_provider | 1967-03-14 | 2025-10-20 | M | PT | N/A | LI | AXV813538866 | ZHENG | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.101951023.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9282316/check_13577550_955096a8-906f-4f61-8305-d5b40ddf9d03.json | N/A | N/A | N/A | N/A | N/A | AXV813538866 | Preferred Provider Organization (PPO) | M75 ABBVIE ACTIVE PPO PLUS | CUSTOMER SERVICE | N/A | 1967-03-14 | N/A | 778092 | N/A | PR | false | SONG | N/A | JIU LI | N/A | 9999-12-31 | 2025-08-12 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054404794 | N/A | N/A | 9282316 | 2222 | 4793 | 13885404 | N/A | 7790962 | 2025-10-19 02:34:33.801595 | 2025-09-10 20:25:23.128175 |
| 2025-10-18 05:04:49.170998 | 2025-10-19 02:36:41.962733 | 13577463 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13577463 | Athletic Physical Therapy Inc | 1947-12-09 | 2025-10-21 | F | PT | N/A | TAFFERT | MMA462W19663 | VIRGINIA | 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/2222/9830424/check_13577463_9cb81c40-1546-4995-beea-e18c66293b61.json | N/A | N/A | N/A | N/A | N/A | MMA462W19663 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1947-12-09 | 040 | CAMCRWP0 | N/A | MP | false | TAFFERT | N/A | VIRGINIA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-009-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054392952 | N/A | N/A | 9830424 | 2222 | 4793 | 13887073 | N/A | 8232327 | 2025-10-19 02:36:41.962733 | 2025-09-29 20:43:06.367634 |
| 2025-10-18 05:04:48.057116 | 2025-10-19 00:53:51.362898 | 13577421 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13577421 | Athletic Physical Therapy Inc | 1971-12-07 | 2025-10-21 | M | AE | PT | WALLACH | 1PD0KF7JH37 | CHARLES | 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/2222/7821426/check_13577421_1ce6298c-e5bd-4df3-9aeb-b936d60e2716.json | N/A | N/A | N/A | N/A | N/A | 1PD0KF7JH37 | Medicare Part A | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1971-12-07 | N/A | N/A | N/A | MA | false | WALLACH IV | N/A | CHARLES | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054416324 | N/A | N/A | 7821426 | 2222 | 4801 | 13879485 | N/A | 6660003 | 2025-10-19 00:53:51.362898 | 2026-06-01 17:03:48.982724 |
| 2025-10-18 05:04:41.510363 | 2025-10-19 02:40:05.525672 | 13577168 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13577168 | Athletic Physical Therapy Inc | 1958-10-22 | 2025-10-20 | F | AE | PT | Lee | 6D94VK8GN90 | Gisele | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102023379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9810737/check_13577168_ff61b14c-4cb7-4a34-9d25-e5e436f79a84.json | N/A | N/A | N/A | N/A | N/A | 6D94VK8GN90 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-10-22 | H4036 | N/A | N/A | MA | false | LEE | N/A | GISELE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054392933 | N/A | N/A | 9810737 | 2222 | 4802 | 13890141 | N/A | 8217179 | 2025-10-19 02:40:05.525672 | 2025-10-02 19:02:27.583990 |
| 2025-10-18 05:04:39.887029 | 2025-10-19 00:41:04.910478 | 13577111 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13577111 | Athletic Physical Therapy Inc | 1976-12-11 | 2025-10-21 | M | AE | PT | NAGATSUKA | R06971566MM1 | ANTHONY | 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/2222/7813417/check_13577111_18085e90-5461-4716-9c7d-d3928c850a0f.json | N/A | N/A | N/A | N/A | N/A | R06971566MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1976-12-11 | N/A | N/A | N/A | N/A | false | NAGATSUKA | N/A | ANTHONY | N/A | N/A | N/A | KW3 SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054415460 | N/A | N/A | 7813417 | 2222 | 4801 | 13874575 | N/A | 6653733 | 2025-10-19 00:41:04.910478 | 2025-08-24 22:53:15.351116 |
| 2025-10-18 05:04:30.134930 | 2025-10-19 00:41:04.292556 | 13576749 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13576749 | Athletic Physical Therapy Inc | 1992-12-01 | 2025-10-20 | F | AE | PT | Mullen | 97749132H | Melissa | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251018.102116277.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7799930/check_13576749_0198e9da-752f-4b43-9f94-ea9f4172ffb3.json | N/A | N/A | N/A | N/A | N/A | 97749132H | N/A | N/A | HEALTH NET, LLC | N/A | 1992-12-01 | N/A | N/A | N/A | N/A | false | MULLEN | N/A | MELISSA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054415431 | N/A | N/A | 7799930 | 2222 | 4802 | 13874571 | N/A | 6641123 | 2025-10-19 00:41:04.292556 | 2025-08-06 00:00:36.528464 |
| 2025-10-18 05:04:29.529828 | 2025-10-19 02:39:51.075648 | 13576730 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13576730 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-10-21 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | 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/2222/5568076/check_13576730_0cb2e47a-4fe4-4c25-b2c9-7447310781ec.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054390730 | N/A | N/A | 5568076 | 2222 | 4802 | 13889960 | N/A | 4209480 | 2025-10-19 02:39:51.075648 | 2026-04-10 02:05:15.976484 |
| 2025-10-18 05:04:20.502586 | 2025-10-19 02:34:04.698489 | 13576439 | N/A | N/A | 60054 | Aetna | 1114042165 | 13576439 | Athletic Physical Therapy Inc | 1952-08-04 | 2025-10-21 | F | AE | PT | Dunkerley | AHC2057583 | Elizabeth | 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/2222/9665220/check_13576439_5c6c8b1f-4d63-4a03-8555-919678aeed6b.json | N/A | N/A | N/A | N/A | N/A | AHC2057583 | N/A | N/A | AETNA INC | N/A | 1952-08-04 | N/A | N/A | N/A | N/A | false | DUNKERLEY | N/A | ELIZABETH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054398315 | N/A | N/A | 9665220 | 2222 | 4802 | 13885009 | N/A | 8086688 | 2025-10-19 02:34:04.698489 | 2026-01-15 18:07:39.869679 |
| 2025-10-18 05:04:19.309711 | 2025-10-19 02:38:03.277079 | 13576410 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 13576410 | Athletic Physical Therapy Inc | 1956-07-11 | 2025-10-21 | M | AE | PT | ROGERS | 40066658301 | JOHN | 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/2222/9256747/check_13576410_2030ab45-c35b-4776-97bd-11a710ce62ce.json | N/A | N/A | N/A | N/A | N/A | 40066658301 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1956-07-11 | N/A | N/A | N/A | N/A | false | ROGERS | N/A | JOHN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054403487 | N/A | N/A | 9256747 | 2222 | 4793 | 13888360 | N/A | 7767584 | 2025-10-19 02:38:03.277079 | 2025-09-09 21:16:10.468472 |
| 2025-10-18 05:04:16.732255 | 2025-10-19 02:41:17.588903 | 13576344 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13576344 | Athletic Physical Therapy Inc | 1954-03-04 | 2025-10-21 | M | AE | PT | ARUJO | 00000223568 | RAMON | 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/2222/5550751/check_13576344_e6ea1f9d-cd9a-419e-a6d3-ad6add1f73b0.json | N/A | N/A | N/A | N/A | N/A | 00000223568 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1954-03-04 | N/A | N/A | N/A | N/A | false | ARUJO | N/A | RAMON | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054389936 | N/A | N/A | 5550751 | 2222 | 4801 | 13890732 | 2630 | 4219640 | 2025-10-19 02:41:17.588903 | 2025-05-13 04:29:37.230682 |
| 2025-10-18 05:04:16.381634 | 2025-10-19 02:53:17.008698 | 13576336 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13576336 | Athletic Physical Therapy Inc | 1954-05-11 | 2025-10-21 | M | AE | PT | A Peters | 1R78CR5JR59 | Dennis | 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/2222/5550025/check_13576336_1c854ce4-f44d-4048-bece-7f0b61c7ab81.json | N/A | N/A | N/A | N/A | N/A | 1R78CR5JR59 | N/A | N/A | CMS | N/A | 1954-05-11 | N/A | N/A | N/A | N/A | false | A PETERS | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054389935 | N/A | N/A | 5550025 | 2222 | 4801 | 13893758 | N/A | 4219449 | 2025-10-19 02:53:17.008698 | 2025-10-07 21:32:27.567534 |
| 2025-10-18 05:04:14.310692 | 2025-10-19 02:41:45.418519 | 13576292 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13576292 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-10-21 | F | PT | N/A | DAKE | SIF326M90066 | RENEE | 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/2222/5543355/check_13576292_dbd514ec-0d61-4207-a075-3c8f6d35976e.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | Preferred Provider Organization (PPO) | SISC - MEADOWS ARTS & TECH ELEMENTARY SCHOOL | ANTHEM BLUE CROSS | N/A | 1968-01-29 | 040 | 40424B | N/A | PR | false | DAKE | N/A | RENEE | N/A | 9999-12-31 | 2018-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054389927 | N/A | N/A | 5543355 | 2222 | 4793 | 13890948 | N/A | 4215158 | 2025-10-19 02:41:45.418519 | 2025-05-13 04:29:37.229475 |
| 2025-10-18 05:04:13.983928 | 2025-10-19 02:41:27.029731 | 13576284 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 13576284 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-10-21 | F | AE | PT | SILVERS | 1866968 | JOIEMAY | 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/2222/5543335/check_13576284_921d4258-8137-492a-adf9-2c4c7fde25e3.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 2001-01-23 | N/A | N/A | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054389926 | N/A | N/A | 5543335 | 2222 | 4802 | 13890795 | N/A | 4215139 | 2025-10-19 02:41:27.029731 | 2025-05-13 21:20:11.455022 |
| 2025-10-18 05:04:13.616633 | 2025-10-19 02:44:48.074525 | 13576278 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13576278 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-10-21 | F | PT | N/A | PAUL | XEK914147727 | SARA | 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/2222/5543211/check_13576278_39eaf651-6158-4582-b868-b73416c6e8f3.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | 2025-12-31 | 2025-02-01 | SILVER 2600 HDHP PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054389925 | N/A | N/A | 5543211 | 2222 | 4801 | 13892521 | N/A | 4215028 | 2025-10-19 02:44:48.074525 | 2025-05-13 04:29:37.229346 |
| 2025-10-18 05:04:13.245955 | 2025-10-19 02:44:47.392979 | 13576268 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13576268 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-10-21 | F | PT | N/A | JAIN | XEK909304497 | SUPARNA | 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/2222/5542952/check_13576268_779a9b34-28f6-4049-a182-94e074bf931a.json | N/A | N/A | N/A | N/A | N/A | XEK909304497 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-01-24 | 2001ZK002189 | X0001000 | N/A | PR | false | JAIN | N/A | SUPARNA | N/A | 9999-12-31 | 2019-09-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054389924 | N/A | N/A | 5542952 | 2222 | 4802 | 13892514 | N/A | 4214804 | 2025-10-19 02:44:47.392979 | 2025-05-13 20:09:53.786482 |
| 2025-10-18 05:04:12.905350 | 2025-10-19 02:34:23.985543 | 13576262 | N/A | N/A | 60054 | Aetna | 1114042165 | 13576262 | Athletic Physical Therapy Inc | 1997-11-11 | 2025-10-20 | M | AE | PT | VELASQUEZ | W290801184 | EVAN | 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/2222/5542874/check_13576262_36c0b70b-ef12-417d-abcd-f07f2195ddce.json | N/A | N/A | N/A | N/A | N/A | W290801184 | Point of Service (POS) | OMNICOM BENEFITS INC. | AETNA | N/A | 1997-11-11 | 0247086 | 024708602300010 | N/A | PS | false | VELASQUEZ | N/A | EVAN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054389923 | N/A | N/A | 5542874 | 2222 | 4802 | 13885273 | N/A | 4214737 | 2025-10-19 02:34:23.985543 | 2025-05-13 04:29:37.229056 |
| 2025-10-18 05:04:12.613626 | 2025-10-19 02:34:21.822085 | 13576255 | N/A | N/A | 60054 | Aetna | 1114042165 | 13576255 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-10-21 | M | AE | PT | KORY | 102161581800 | MICHAEL | 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/2222/5542870/check_13576255_ecfdc740-863f-44f6-be88-8b5547da565d.json | N/A | N/A | N/A | N/A | N/A | 102161581800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1959-05-08 | 000003-CA000058 | 000003-CA | N/A | PR | false | KORY | N/A | MICHAEL | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054389917 | N/A | N/A | 5542870 | 2222 | 4793 | 13885238 | N/A | 4214732 | 2025-10-19 02:34:21.822085 | 2025-06-24 20:13:53.579048 |
| 2025-10-18 05:04:12.388921 | 2025-10-19 02:33:45.610082 | 13576251 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | 13576251 | Athletic Physical Therapy Inc | 1948-01-19 | 2025-10-21 | F | AE | PT | Machleit | 29029580 | Terri | 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/2222/9253541/check_13576251_4e5fa934-45e8-4f69-aac0-4e750f7212b2.json | N/A | N/A | N/A | N/A | N/A | 29029580 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1948-01-19 | 406-024-000 | N/A | N/A | N/A | false | MACHLEIT | N/A | TERRI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054403463 | N/A | N/A | 9253541 | 2222 | 4793 | 13884767 | N/A | 7764252 | 2025-10-19 02:33:45.610082 | 2025-09-11 22:35:02.402934 |
| 2025-10-18 05:04:12.262934 | 2025-10-19 02:40:58.583700 | 13576246 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13576246 | Athletic Physical Therapy Inc | 2007-12-08 | 2025-10-21 | F | AE | PT | LARSEN | R06053944FD1 | LANA | 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/2222/5542850/check_13576246_85c518d0-8c63-475c-8a01-2073af0c3e59.json | N/A | N/A | N/A | N/A | N/A | R06053944FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2007-12-08 | N/A | N/A | N/A | N/A | false | LARSEN | N/A | LANA | N/A | N/A | N/A | MGY COMHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054389915 | N/A | N/A | 5542850 | 2222 | 4793 | 13890589 | N/A | 4214714 | 2025-10-19 02:40:58.583700 | 2025-05-13 04:29:37.229031 |
| 2025-10-18 05:04:11.777605 | 2025-10-19 02:41:46.816344 | 13576237 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13576237 | Athletic Physical Therapy Inc | 1993-06-20 | 2025-10-21 | F | PT | N/A | DELOS REYES | JXN688W13372 | JANELLE LOPEZ | 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/2222/5542750/check_13576237_6328252c-96f5-4d7a-9c2f-e9d2dc0876c4.json | N/A | N/A | N/A | N/A | N/A | JXN688W13372 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-06-20 | N/A | N/A | N/A | N/A | false | DELOS REYES | N/A | JANELLE LOPEZ | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054389914 | N/A | N/A | 5542750 | 2222 | 4802 | 13890966 | N/A | 4214623 | 2025-10-19 02:41:46.816344 | 2025-08-28 22:11:32.536994 |
| 2025-10-18 05:04:11.454097 | 2025-10-19 02:39:51.778586 | 13576228 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13576228 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-10-21 | F | AE | PT | CHERE | 98953535F | DIANA | 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/2222/5542660/check_13576228_303e92f7-2063-4204-9ece-00d97b7b9c3f.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054389908 | N/A | N/A | 5542660 | 2222 | 4802 | 13889967 | N/A | 4214542 | 2025-10-19 02:39:51.778586 | 2025-05-13 04:29:37.228868 |
| 2025-10-18 05:04:11.178988 | 2025-10-19 02:34:20.394049 | 13576222 | N/A | N/A | 60054 | Aetna | 1114042165 | 13576222 | Athletic Physical Therapy Inc | 1975-12-13 | 2025-10-21 | F | PT | N/A | ASSENGA | TWA295A70455 | NANCY | 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/2222/5542618/check_13576222_07fe3602-b838-485d-88d5-5606fe9bca8e.json | N/A | N/A | N/A | N/A | N/A | TWA295A70455 | N/A | N/A | AETNA | N/A | 1975-12-13 | 0846522 | 084652202300182 | N/A | N/A | false | ASSENGA | N/A | NANCY | N/A | N/A | N/A | OPEN CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054389907 | N/A | N/A | 5542618 | 2222 | 4801 | 13885211 | N/A | 4214504 | 2025-10-19 02:34:20.394049 | 2025-05-13 04:29:37.228820 |
| 2025-10-18 05:04:10.774658 | 2025-10-19 02:41:24.575905 | 13576216 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 13576216 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-10-21 | F | AE | PT | HAMI | 92932800G | FARIBA | 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/2222/5542611/check_13576216_3cc1bfff-2165-4a7c-8038-5f4b4e6067d4.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1960-09-15 | N/A | N/A | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054389906 | N/A | N/A | 5542611 | 2222 | 4802 | 13890778 | N/A | 4214490 | 2025-10-19 02:41:24.575905 | 2025-05-13 04:29:37.228806 |
| 2025-10-18 05:04:10.374964 | 2025-10-19 02:41:23.769357 | 13576209 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 13576209 | Athletic Physical Therapy Inc | 1988-11-03 | 2025-10-20 | F | AE | PT | CAPISTRANO | 98696372G | FERDELLE | 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/2222/5542513/check_13576209_4207b3c3-d1fb-49cd-b115-51b7561985cc.json | N/A | N/A | N/A | N/A | N/A | 98696372G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1988-11-03 | MCLA | MWLLNMEG21 | N/A | N/A | false | CAPISTRANO | N/A | FERDELLE | N/A | 2078-12-31 | 2024-05-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054389898 | N/A | N/A | 5542513 | 2222 | 4793 | 13890773 | N/A | 4214418 | 2025-10-19 02:41:23.769357 | 2025-07-03 18:12:11.075357 |
| 2025-10-18 05:04:09.922341 | 2025-10-19 02:53:21.492263 | 13576198 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13576198 | Athletic Physical Therapy Inc | 1936-09-29 | 2025-10-21 | M | AE | PT | JAUDE | 8D38EF9GV30 | KARIM | 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/2222/5542251/check_13576198_2aded612-a8a5-47ef-8ba6-433aafc09945.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MA | false | JAUDE | N/A | KARIM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054389893 | N/A | N/A | 5542251 | 2222 | 4802 | 13893764 | N/A | 4214191 | 2025-10-19 02:53:21.492263 | 2025-05-13 04:29:37.228525 |
| 2025-10-18 05:04:09.523238 | 2025-10-19 02:41:25.473426 | 13576189 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 13576189 | Athletic Physical Therapy Inc | 1975-03-26 | 2025-10-21 | F | AE | PT | HEYES | 95596436F | DARCIE | 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/2222/5542233/check_13576189_3f758a25-5a81-4b4c-9f35-08dc8b675122.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1975-03-26 | N/A | N/A | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054389891 | N/A | N/A | 5542233 | 2222 | 4793 | 13890783 | N/A | 4214178 | 2025-10-19 02:41:25.473426 | 2025-05-13 04:29:37.228506 |
| 2025-10-18 05:04:09.216828 | 2025-10-19 02:41:48.175822 | 13576184 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13576184 | Athletic Physical Therapy Inc | 1938-01-22 | 2025-10-21 | F | PT | N/A | ISTOK | MBL474M98437 | LOIS | 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/2222/5542207/check_13576184_5103bec7-922f-4c56-a547-0d4c7c4c4d2b.json | N/A | N/A | N/A | N/A | N/A | MBL474M98437 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1938-01-22 | 040 | CAEGR005 | N/A | N/A | false | ISTOK | N/A | LOIS | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054389885 | N/A | N/A | 5542207 | 2222 | 4802 | 13890981 | N/A | 4214152 | 2025-10-19 02:41:48.175822 | 2025-05-13 04:29:37.228479 |
| 2025-10-18 05:04:09.039712 | 2025-10-19 02:53:19.620210 | 13576177 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13576177 | Athletic Physical Therapy Inc | 1937-05-08 | 2025-10-21 | F | AE | PT | GRINBERG | 6W60TM0KP36 | HANNA | 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/2222/5542161/check_13576177_3561ea8c-963e-4a11-99c1-8a720a525776.json | N/A | N/A | N/A | N/A | N/A | 6W60TM0KP36 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-05-08 | S5921 | N/A | N/A | MA | false | GRINBERG | N/A | HANNA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054389884 | N/A | N/A | 5542161 | 2222 | 4802 | 13893762 | N/A | 4214112 | 2025-10-19 02:53:19.620210 | 2025-05-13 04:29:37.228426 |
| 2025-10-18 05:04:08.768904 | 2025-10-19 02:41:51.200842 | 13576172 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13576172 | Athletic Physical Therapy Inc | 1942-12-17 | 2025-10-21 | F | PT | N/A | STEINBERG | MBL988M98459 | JUDY | 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/2222/5542014/check_13576172_2d99d8e1-4ba3-46df-b157-f6341a1cc2a0.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054389883 | N/A | N/A | 5542014 | 2222 | 4793 | 13891010 | N/A | 4213977 | 2025-10-19 02:41:51.200842 | 2025-05-13 04:29:37.228294 |
| 2025-10-18 05:04:08.499716 | 2025-10-19 02:41:26.003710 | 13576165 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 13576165 | Athletic Physical Therapy Inc | 1961-02-27 | 2025-10-21 | M | AE | PT | SHRIVER | 90771207E | DANIEL | 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/2222/5541984/check_13576165_46ce72e0-c7ff-4a2a-9449-c9ebc01db33d.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1961-02-27 | N/A | N/A | N/A | N/A | false | SHRIVER | N/A | DANIEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054389877 | N/A | N/A | 5541984 | 2222 | 4802 | 13890790 | N/A | 4213934 | 2025-10-19 02:41:26.003710 | 2026-01-27 23:36:44.802366 |
| 2025-10-18 05:04:08.236630 | 2025-10-19 02:37:16.778783 | 13576156 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 13576156 | Athletic Physical Therapy Inc | 2008-04-21 | 2025-10-21 | M | AE | PT | BERMUDEZ | 000019836525 | RAFAEL | 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/2222/6721942/check_13576156_591f9c14-4e4a-4540-9918-5319e90242d3.json | N/A | N/A | N/A | N/A | N/A | 000019836525 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 2008-04-21 | 4327748 | 226977 | N/A | N/A | false | BERMUDEZ | N/A | RAFAEL | N/A | N/A | N/A | MEDI-CAL LA CARE HEALTH PLAN HF AID CODE H3 AGES 1 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054395047 | N/A | N/A | 6721942 | 2222 | 4793 | 13887606 | N/A | 5322280 | 2025-10-19 02:37:16.778783 | 2025-07-01 21:45:15.878047 |
| 2025-10-18 05:04:08.129453 | 2025-10-19 02:53:23.551929 | 13576155 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13576155 | Athletic Physical Therapy Inc | 1944-04-25 | 2025-10-21 | F | AE | PT | ROSENTHAL | 6WM0N21VW35 | PHYLLIS | 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/2222/5541887/check_13576155_e010c309-7ee0-4244-8e58-a11323cc55cc.json | N/A | N/A | N/A | N/A | N/A | 6WM0N21VW35 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-04-25 | S4802 | N/A | N/A | MA | false | ROSENTHAL | N/A | PHYLLIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054389876 | N/A | N/A | 5541887 | 2222 | 4802 | 13893767 | N/A | 4213865 | 2025-10-19 02:53:23.551929 | 2025-05-13 04:29:37.228183 |
| 2025-10-18 05:04:07.850351 | 2025-10-19 02:37:59.623113 | 13576150 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 13576150 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-10-21 | M | AD | N/A | LYKIDIS | U1221753503 | JOHN | 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/2222/5541552/check_13576150_23bf7b2d-b518-4bee-b72d-16e5a3b0de09.json | N/A | N/A | N/A | N/A | N/A | U1221753503 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 2001-11-21 | N/A | 3207160 | N/A | N/A | false | LYKIDIS | N/A | JOHN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 9054391960 | N/A | N/A | 5541552 | 2222 | 4802 | 13888290 | N/A | 4213562 | 2025-10-19 02:37:59.623113 | 2025-05-13 04:29:37.227895 |
| 2025-10-18 05:04:07.531015 | 2025-10-19 02:44:50.282895 | 13576141 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13576141 | Athletic Physical Therapy Inc | 1993-10-07 | 2025-10-21 | F | PT | N/A | TRUJILLO | XED914492685 | ADRIENNE | 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/2222/5541269/check_13576141_a996cc33-07d9-4d0a-b8b8-cb166d8a6023.json | N/A | N/A | N/A | N/A | N/A | XED914492685 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1993-10-07 | 2001ZK002169 | X0001004 | N/A | PR | false | TRUJILLO | N/A | CHRISTIAN | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054391959 | N/A | N/A | 5541269 | 2222 | 4793 | 13892536 | N/A | 4213302 | 2025-10-19 02:44:50.282895 | 2025-05-13 04:29:37.227624 |
| 2025-10-18 05:04:07.328663 | 2025-10-19 02:41:47.462093 | 13576134 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13576134 | Athletic Physical Therapy Inc | 1995-06-07 | 2025-10-21 | M | PT | N/A | Greathouse | MPI30458946Q | Kheperan | 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/2222/5540871/check_13576134_5a558c8d-7336-4a0e-a781-de7bb6ec27f3.json | N/A | N/A | N/A | N/A | N/A | MPI30458946Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1995-06-07 | 040 | 277163M402 | N/A | PR | false | GREATHOUSE | N/A | KHEPERAN | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054391958 | N/A | N/A | 5540871 | 2222 | 4793 | 13890974 | N/A | 4212959 | 2025-10-19 02:41:47.462093 | 2025-10-17 20:08:21.136268 |
| 2025-10-18 05:04:07.108318 | 2025-10-19 02:53:22.391639 | 13576127 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13576127 | Athletic Physical Therapy Inc | 1949-12-02 | 2025-10-21 | F | AE | PT | LADEN | 6GY2TG9HX06 | CANDACE | 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/2222/5540768/check_13576127_1f8fdc93-88f9-4f39-bef6-2bd2b1b0ca5f.json | N/A | N/A | N/A | N/A | N/A | 6GY2TG9HX06 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-12-02 | S4802 | N/A | N/A | MA | false | LADEN | N/A | CANDACE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054391957 | N/A | N/A | 5540768 | 2222 | 4802 | 13893765 | N/A | 4212856 | 2025-10-19 02:53:22.391639 | 2025-08-04 18:33:35.319989 |
| 2025-10-18 05:04:06.775106 | 2025-10-19 02:34:21.160202 | 13576120 | N/A | N/A | 60054 | Aetna | 1114042165 | 13576120 | Athletic Physical Therapy Inc | 1982-07-27 | 2025-10-21 | M | AE | PT | BOKHTIER | W275493875 | GOLAM | 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/2222/5540723/check_13576120_03b0819e-99e6-4b6d-85a8-7846251bf698.json | N/A | N/A | N/A | N/A | N/A | W275493875 | Exclusive Provider Organization | AMERICAN EXPRESS COMPANY | AETNA | N/A | 1982-07-27 | 0169631 | 016963101100001 | N/A | EP | false | BOKHTIER | N/A | SUMMER | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054391956 | N/A | N/A | 5540723 | 2222 | 4793 | 13885226 | N/A | 4212833 | 2025-10-19 02:34:21.160202 | 2025-05-28 20:46:35.079848 |
| 2025-10-18 05:04:06.491984 | 2025-10-19 02:53:17.397682 | 13576111 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13576111 | Athletic Physical Therapy Inc | 1940-05-13 | 2025-10-21 | F | AE | PT | ALIZADEH GHARBAGHI | 6AX8PH3NH43 | TOURAN | 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/2222/5540531/check_13576111_7bb36f48-6e28-4cf2-8e8a-ed4c262ee2af.json | N/A | N/A | N/A | N/A | N/A | 6AX8PH3NH43 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-05-13 | S5617 | N/A | N/A | MA | false | ALIZADEH GHARBAGHI | N/A | TOURAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054391955 | N/A | N/A | 5540531 | 2222 | 4802 | 13893759 | N/A | 4212676 | 2025-10-19 02:53:17.397682 | 2025-07-03 21:09:02.193065 |
| 2025-10-18 05:04:06.218027 | 2025-10-19 02:34:23.298269 | 13576106 | N/A | N/A | 60054 | Aetna | 1114042165 | 13576106 | Athletic Physical Therapy Inc | 1948-11-01 | 2025-10-21 | F | AE | PT | TUCKER | 101632234800 | EILEEN | 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/2222/5540116/check_13576106_e5f1e082-14c4-4b3b-b2b3-dcc4d5814c52.json | N/A | N/A | N/A | N/A | N/A | 101632234800 | Preferred Provider Organization (PPO) | STATE OF ILLINOIS RETIREES - MAPD | AETNA | MEDICARE | 1948-11-01 | 100512-01EG0001 | 100512-01 | N/A | PR | false | TUCKER | N/A | EILEEN | N/A | N/A | N/A | MEDICARE (C05) ESA PPO PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054391954 | N/A | N/A | 5540116 | 2222 | 4801 | 13885261 | N/A | 4212312 | 2025-10-19 02:34:23.298269 | 2025-05-13 04:29:37.226651 |
| 2025-10-18 05:04:05.896223 | 2025-10-19 02:39:52.289887 | 13576098 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13576098 | Athletic Physical Therapy Inc | 1973-07-11 | 2025-10-21 | M | AE | PT | HERMAN | 95836743G | BRETT | 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/2222/5540113/check_13576098_26fb07f5-c08d-49e2-a4dd-fa9aca31290b.json | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | HEALTH NET, LLC | N/A | 1973-07-11 | N/A | N/A | N/A | N/A | false | HERMAN | N/A | BRETT | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054391953 | N/A | N/A | 5540113 | 2222 | 4801 | 13889976 | N/A | 4212315 | 2025-10-19 02:39:52.289887 | 2025-12-29 21:20:15.158611 |
| 2025-10-18 05:04:05.366356 | 2025-10-19 02:41:52.689469 | 13576087 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13576087 | Athletic Physical Therapy Inc | 1973-05-16 | 2025-10-21 | F | PT | N/A | WILSON | XEH905431769 | JOSEPHINE | 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/2222/5539486/check_13576087_4a50624a-f1fd-49bf-9484-1a8c997fc66e.json | N/A | N/A | N/A | N/A | N/A | XEH905431769 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1973-05-16 | 1477HMOX0001 | W0051411 | N/A | HM | false | WILSON | N/A | JOSEPHINE | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054391952 | N/A | N/A | 5539486 | 2222 | 4793 | 13891031 | N/A | 4211784 | 2025-10-19 02:41:52.689469 | 2025-06-01 03:36:02.268093 |
| 2025-10-18 05:04:05.015467 | 2025-10-19 02:41:44.505570 | 13576079 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13576079 | Athletic Physical Therapy Inc | 2008-01-01 | 2025-10-21 | M | PT | N/A | COSTELLO | JXN840A20610 | JAMES | 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/2222/5539326/check_13576079_6d59792c-c86c-419f-a2fe-581f95343104.json | N/A | N/A | N/A | N/A | N/A | JXN840A20610 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 2008-01-01 | 040 | 174222MAA1 | N/A | PR | false | COSTELLO | N/A | PATRICK | N/A | 9999-12-31 | 2022-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054391951 | N/A | N/A | 5539326 | 2222 | 4793 | 13890938 | N/A | 4211647 | 2025-10-19 02:41:44.505570 | 2025-10-21 19:53:46.280627 |
| 2025-10-18 05:04:04.613561 | 2025-10-19 02:53:18.779547 | 13576070 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13576070 | Athletic Physical Therapy Inc | 1954-01-12 | 2025-10-21 | F | AE | PT | FINCH | 3YV4XM6FP06 | DAWN | 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/2222/5538472/check_13576070_2c422a3b-b6e2-43ef-bdc9-678c16c84c95.json | N/A | N/A | N/A | N/A | N/A | 3YV4XM6FP06 | Medicare Part B | N/A | OPTUM INSURANCE OF OHIO, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-12 | S8841 | N/A | N/A | MB | false | FINCH | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054391950 | N/A | N/A | 5538472 | 2222 | 4802 | 13893761 | N/A | 4210886 | 2025-10-19 02:53:18.779547 | 2025-05-13 04:29:37.225284 |
| 2025-10-18 05:04:04.253364 | 2025-10-19 02:41:46.077206 | 13576062 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13576062 | Athletic Physical Therapy Inc | 2006-06-08 | 2025-10-21 | M | PT | N/A | DATO | NGO555A50496 | LUKE | 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/2222/5538229/check_13576062_3fc2a923-d290-4ce0-9833-364d84f4221b.json | N/A | N/A | N/A | N/A | N/A | NGO555A50496 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 2006-06-08 | 040 | 174022MJAD | N/A | PR | false | DATO | N/A | GREGORY | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9054391949 | N/A | N/A | 5538229 | 2222 | 4793 | 13890958 | N/A | 4210676 | 2025-10-19 02:41:46.077206 | 2026-05-21 21:09:28.809390 |
| 2025-10-18 05:04:04.036879 | 2025-10-19 02:39:59.355453 | 13576054 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 13576054 | Athletic Physical Therapy Inc | 1957-02-16 | 2025-10-21 | F | AE | PT | OSE | 40050866601 | KAREN | 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/2222/5537366/check_13576054_de6e36f7-149e-4556-9463-771e08d72a94.json | N/A | N/A | N/A | N/A | N/A | 40050866601 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1957-02-16 | N/A | N/A | N/A | N/A | false | OSE | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9054391948 | N/A | N/A | 5537366 | 2222 | 4793 | 13890053 | N/A | 4209945 | 2025-10-19 02:39:59.355453 | 2025-08-13 22:24:17.841096 |