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 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-17 05:35:42.154201 | 2025-10-18 01:11:54.813065 | 13545343 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13545343 | Athletic Physical Therapy Inc | 1947-02-15 | 2025-10-20 | F | AE | PT | LING WONG | MBL564W07386 | YEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.111918954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10020321/check_13545343_e8aeb285-793e-43c7-879c-f592576763c5.json | N/A | N/A | N/A | N/A | N/A | MBL564W07386 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1947-02-15 | N/A | N/A | N/A | N/A | false | LING WONG | N/A | YEE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045488641 | N/A | N/A | 10020321 | 2222 | 4802 | 13857034 | N/A | 8351682 | 2025-10-18 01:11:54.813065 | 2025-10-08 14:26:11.260769 |
| 2025-10-17 05:34:27.073490 | 2025-10-18 02:41:17.747996 | 13544551 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13544551 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-10-20 | M | AE | PT | CICCIARI | 1AK4JC6NK84 | LOUIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.105933014.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_13544551_b1f687be-69c9-4db2-b043-b004b85332f2.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5596 | N/A | N/A | MB | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045388311 | N/A | N/A | 6752936 | 2222 | 4801 | 13861835 | N/A | 5065602 | 2025-10-18 02:41:17.747996 | 2025-07-01 17:25:13.681724 |
| 2025-10-17 05:34:18.607477 | 2025-10-17 05:34:21.453765 | 13544470 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-12-08 | 2025-10-17 | M | AE | PT | ALZOHAIRY | 5976397 | AHMED | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9693911/check_13544470_1a4a12a3-2b45-4f8e-bd43-7130610da781.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9693911/check_13544470_d19733d5-580c-4c5b-bff8-584d5b444e51.json | N/A | N/A | N/A | N/A | N/A | 1069948246 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1990-12-08 | N/A | N/A | N/A | N/A | false | ALZOHAIRY | N/A | AHMED | 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 | 9693911 | 2222 | N/A | 13796401 | N/A | 8112326 | 2025-10-17 05:34:21.453765 | 2025-09-25 00:01:47.147707 |
| 2025-10-17 05:34:15.760202 | 2025-10-17 05:34:18.600412 | 13544441 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-12-08 | 2025-10-17 | M | AE | PT | ALZOHAIRY | 5976397 | AHMED | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9693911/check_13544441_29e0d8cf-7b2d-49a6-b780-99409489e592.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-17 | N/A | N/A | N/A | N/A | N/A | N/A | 1069948246 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1990-12-08 | N/A | N/A | N/A | N/A | false | ALZOHAIRY | N/A | AHMED | 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 | 9693911 | 2222 | N/A | N/A | N/A | 8112326 | 2025-10-17 05:34:18.600412 | 2025-09-25 00:01:47.147707 |
| 2025-10-17 05:34:14.202741 | 2025-10-17 05:34:14.523186 | 13544423 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-12-08 | 2025-10-17 | M | AE | PT | ALZOHAIRY | 5976397 | AHMED | N/A | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-10-17 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 9693911 | 2222 | N/A | N/A | N/A | 8112326 | 2025-10-17 05:34:14.523186 | 2025-09-25 00:01:47.147707 |
| 2025-10-17 05:34:07.394245 | 2025-10-17 05:34:11.035080 | 13544345 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2013-02-09 | 2025-10-17 | M | AE | PT | BIRMINGHAM | 35509457904 | JAMES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/7783654/check_13544345_3abd7d4e-cf45-4d1d-ba3d-2f0ac403355c.json | UHC | N/A | GOOGLE_CLOUD | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7783654/check_13544345_7e3c9493-8a2f-4a77-b4e2-0d7c578d4694.json | N/A | N/A | N/A | N/A | N/A | 35509457904 | Commercial | N/A | United HealthCare Services, Inc. | N/A | 2013-02-09 | N/A | 1726579 | N/A | C1 | false | BIRMINGHAM | N/A | JAMES | N/A | N/A | N/A | NexusACO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7783654 | 2222 | N/A | 13796319 | N/A | 6628873 | 2025-10-17 05:34:11.035080 | 2025-08-05 17:04:48.228235 |
| 2025-10-17 05:33:48.002517 | 2025-10-18 02:41:19.143704 | 13544195 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13544195 | Athletic Physical Therapy Inc | 1929-10-10 | 2025-10-20 | M | AE | PT | Walter | 1TQ1EQ4FJ98 | Howard | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.105933014.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751304/check_13544195_b892746f-c13d-4890-97e3-2fc4e7f8053b.json | N/A | N/A | N/A | N/A | N/A | 1TQ1EQ4FJ98 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-10-10 | N/A | N/A | N/A | MA | false | WALTER | N/A | HOWARD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045388289 | N/A | N/A | 6751304 | 2222 | 4802 | 13861843 | N/A | 5557241 | 2025-10-18 02:41:19.143704 | 2025-07-22 17:08:51.810153 |
| 2025-10-17 05:32:18.668849 | 2025-10-18 02:41:18.582714 | 13543531 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13543531 | Athletic Physical Therapy Inc | 1959-07-23 | 2025-10-20 | M | AE | PT | Harvey | 1D65V29PD77 | Roy | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.105933014.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714928/check_13543531_8a9ef52a-fdd8-44bd-b35e-8c19a58ca6ee.json | N/A | N/A | N/A | N/A | N/A | 1D65V29PD77 | Medicare Part A | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-23 | S5660 | DOL 07092019 | N/A | MA | false | HARVEY | N/A | ROY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045388709 | N/A | N/A | 6714928 | 2222 | 4802 | 13861840 | N/A | 5316172 | 2025-10-18 02:41:18.582714 | 2025-07-02 15:09:36.678003 |
| 2025-10-17 05:31:17.754646 | 2025-10-18 02:32:22.210258 | 13543275 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 13543275 | Athletic Physical Therapy Inc | 1955-02-20 | 2025-10-20 | F | AE | PT | SALGUERO | 35955370 | DINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.105933014.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6711965/check_13543275_c204655c-38a6-4466-bbaf-42a4c60c35fc.json | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | 406-005-000 | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045388689 | N/A | N/A | 6711965 | 2222 | 4793 | 13858639 | 6798 | 4210430 | 2025-10-18 02:32:22.210258 | 2025-05-13 04:29:37.224841 |
| 2025-10-17 05:31:12.229460 | 2025-10-18 01:03:06.192936 | 13543235 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13543235 | Athletic Physical Therapy Inc | 1996-03-23 | 2025-10-20 | M | PT | N/A | XIE | R8T303W09440 | XIPENG | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.111723582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9686875/check_13543235_8025b92f-d57e-4f80-85f6-f8bf02d63073.json | N/A | N/A | N/A | N/A | N/A | R8T303W09440 | Preferred Provider Organization (PPO) | RIOT GAMES INC | ANTHEM BLUE CROSS | N/A | 1996-03-23 | 040 | 174318M2A1 | N/A | PR | false | XIE | N/A | XIPENG | N/A | 9999-12-31 | 2023-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045479683 | N/A | N/A | 9686875 | 2222 | 4802 | 13851141 | N/A | 8105852 | 2025-10-18 01:03:06.192936 | 2025-09-24 19:15:51.950591 |
| 2025-10-17 05:30:57.531659 | 2025-10-18 01:06:39.565027 | 13543126 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13543126 | Athletic Physical Therapy Inc | 1963-11-05 | 2025-10-20 | M | PT | N/A | GAVCUS | 913959142000 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.111723582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9684155/check_13543126_6b2b7143-c366-4750-901a-af219b8e3d0a.json | N/A | N/A | N/A | N/A | N/A | XEH913959142 | Health Maintenance Organization (HMO) | KB CONSTRUCTION COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1963-11-05 | 1000VX000101 | W0022613 | N/A | HM | false | GAVCUS | N/A | VINCENT | N/A | 9999-12-31 | 2024-10-01 | BASIC LIFE AND AD D INSURANCE 10 000 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045479666 | N/A | N/A | 9684155 | 2222 | 4801 | 13853752 | N/A | 8103467 | 2025-10-18 01:06:39.565027 | 2025-09-25 15:37:09.669427 |
| 2025-10-17 05:30:53.966306 | 2025-10-18 01:11:54.495284 | 13543097 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13543097 | Athletic Physical Therapy Inc | 1947-07-23 | 2025-10-20 | F | AE | PT | JOHNSON | JQE472A77522 | JUANITA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.111918954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9862555/check_13543097_d4c49ae5-096f-4201-bc82-81ebd8be48d3.json | N/A | N/A | N/A | N/A | N/A | JQE472A77522 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1947-07-23 | 040 | CASUPWP0 | N/A | N/A | false | JOHNSON | N/A | JUANITA | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045488146 | N/A | N/A | 9862555 | 2222 | 4801 | 13857032 | N/A | 8258095 | 2025-10-18 01:11:54.495284 | 2025-09-30 21:32:44.934397 |
| 2025-10-17 05:30:39.444818 | 2025-10-18 01:09:43.839585 | 13542984 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13542984 | Athletic Physical Therapy Inc | 1950-07-29 | 2025-10-20 | F | AE | PT | Reinis | 9E11MX6RQ31 | Meredith | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.111723582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681833/check_13542984_ab770b26-4e66-4f43-b72f-3a01517423b6.json | N/A | N/A | N/A | N/A | N/A | 9E11MX6RQ31 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-07-29 | S4802 | N/A | N/A | MA | false | REINIS | N/A | MEREDITH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045480499 | N/A | N/A | 9681833 | 2222 | 4802 | 13855855 | N/A | 8101541 | 2025-10-18 01:09:43.839585 | 2025-09-29 18:50:04.958524 |
| 2025-10-17 05:26:55.181046 | 2025-10-18 00:43:51.314705 | 13541404 | N/A | N/A | 60054 | Aetna | 1114042165 | 13541404 | Athletic Physical Therapy Inc | 1946-06-15 | 2025-10-20 | M | AE | PT | SCHECHTER | 102181433800 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102826082.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9026590/check_13541404_21edc679-8799-44ae-ab6f-0613cb306168.json | N/A | N/A | N/A | N/A | N/A | 102181433800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1946-06-15 | 000003-CA000027 | 000003-CA | N/A | PR | false | SCHECHTER | N/A | STEVEN | N/A | 2026-01-01 | 2025-07-01 | AETNA MEDICARE CHOICE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045305551 | N/A | N/A | 9026590 | 2222 | 4793 | 13831620 | N/A | 7549031 | 2025-10-18 00:43:51.314705 | 2026-05-22 23:37:03.098359 |
| 2025-10-17 05:26:38.777661 | 2025-10-18 01:11:55.122710 | 13541164 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13541164 | Athletic Physical Therapy Inc | 1956-11-29 | 2025-10-20 | M | AE | PT | LYGA | LPZ819A58009 | FRANK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.111918954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9812143/check_13541164_cfe67203-f18f-49f4-8f78-5c706fa7469c.json | N/A | N/A | N/A | N/A | N/A | LPZ819A58009 | Preferred Provider Organization (PPO) | LOS ANGELES POLICE RELIEF ASN INC | MEDICARE D | N/A | 1956-11-29 | 040 | 1841UV | N/A | PR | false | LYGA | N/A | FRANK | N/A | 9999-12-31 | 2024-12-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045488367 | N/A | N/A | 9812143 | 2222 | 4801 | 13857038 | N/A | 4219584 | 2025-10-18 01:11:55.122710 | 2025-09-29 18:19:47.145731 |
| 2025-10-17 05:26:36.036800 | 2025-10-18 00:43:51.020732 | 13541117 | N/A | N/A | 60054 | Aetna | 1114042165 | 13541117 | Athletic Physical Therapy Inc | 1997-02-11 | 2025-10-20 | F | AE | PT | BELL | W29376563901 | FRANCESCA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102826082.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9020239/check_13541117_728f0541-0438-431e-908c-114b20c8bd5c.json | N/A | N/A | N/A | N/A | N/A | W293765639 | Point of Service (POS) | VINSON & ELKINS LLP | AETNA | N/A | 1997-02-11 | 0882904 | 088290401200015 | N/A | PS | false | BELL | N/A | FRANCESCA | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045303994 | N/A | N/A | 9020239 | 2222 | 4802 | 13831613 | N/A | 7543693 | 2025-10-18 00:43:51.020732 | 2025-10-06 20:52:39.651223 |
| 2025-10-17 05:26:35.639247 | 2025-10-18 00:47:03.554396 | 13541110 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13541110 | Athletic Physical Therapy Inc | 2011-07-26 | 2025-10-20 | M | AE | PT | Alvarado | 93787602F | Alberto | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102826082.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9020143/check_13541110_2253f055-fc4b-4f09-9b2e-a5ce5d0b8e94.json | N/A | N/A | N/A | N/A | N/A | 93787602F | N/A | N/A | HEALTH NET, LLC | N/A | 2011-07-26 | N/A | N/A | N/A | N/A | false | ALVARADO | N/A | ALBERTO | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045303993 | N/A | N/A | 9020143 | 2222 | 4802 | 13835406 | N/A | 7543577 | 2025-10-18 00:47:03.554396 | 2025-09-08 18:42:17.673186 |
| 2025-10-17 05:26:35.282107 | 2025-10-18 01:05:16.987541 | 13541104 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 13541104 | Athletic Physical Therapy Inc | 1959-09-19 | 2025-10-20 | F | AE | PT | MOJIRI ANDANI | 31411044311 | SOUSSAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.111918954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9809703/check_13541104_fcd3b2cf-9fec-4086-af83-bc13f9adc542.json | N/A | N/A | N/A | N/A | N/A | 31411044311 | 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. | 1959-09-19 | N/A | N/A | N/A | SP | false | MOJIRI-ANDANI | N/A | SOUSSAN | 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 | 9045488364 | N/A | N/A | 9809703 | 2222 | 4802 | 13852745 | N/A | 8216024 | 2025-10-18 01:05:16.987541 | 2025-09-29 17:34:24.775132 |
| 2025-10-17 05:26:33.956799 | 2025-10-18 00:42:41.661991 | 13541084 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13541084 | Athletic Physical Therapy Inc | 1960-02-11 | 2025-10-20 | F | AE | PT | BASS | 101139629800 | NADINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.081523368.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7813006/check_13541084_e624c53d-1082-49d7-85aa-60861794e4f9.json | N/A | N/A | N/A | N/A | N/A | 101139629800 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1960-02-11 | N/A | N/A | N/A | N/A | false | BASS | N/A | NADINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | Error creating eligibility check coverage from waystar response. Exception: Failed to create coverage for eligibility check 13541084 | N/A | N/A | 9045305268 | N/A | N/A | 7813006 | 2222 | 4802 | 13818810 | N/A | 6653186 | 2025-10-18 00:42:41.661991 | 2025-08-06 14:30:41.257679 |
| 2025-10-17 05:25:54.604529 | 2025-10-18 00:47:38.293160 | 13540459 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13540459 | Athletic Physical Therapy Inc | 1960-11-25 | 2025-10-20 | F | PT | N/A | LEE | XEK914494143 | BARBARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.081523368.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7791429/check_13540459_a7c3c545-5e0f-4919-a693-de6e258b1965.json | N/A | N/A | N/A | N/A | N/A | XEK914494143 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1960-11-25 | 2001ZK002189 | X0001000 | N/A | PR | false | LEE | N/A | BARBARA | N/A | 2025-12-31 | 2025-07-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045301809 | N/A | N/A | 7791429 | 2222 | 4793 | 13836094 | N/A | 6634957 | 2025-10-18 00:47:38.293160 | 2025-08-18 18:53:04.814231 |
| 2025-10-17 05:25:48.692281 | 2025-10-18 00:47:37.913355 | 13540350 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13540350 | Athletic Physical Therapy Inc | 1970-10-11 | 2025-10-20 | M | PT | N/A | Kahen | XEK909669840 | Shervin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.081523368.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7787192/check_13540350_9ea42fc5-54f2-478a-ae1d-8254a7fb792f.json | N/A | N/A | N/A | N/A | N/A | XEK909669840 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1970-10-11 | 2001ZK002195 | X0001000 | N/A | PR | false | KAHEN | N/A | SHERVIN | N/A | 9999-12-31 | 2025-05-18 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045301797 | N/A | N/A | 7787192 | 2222 | 4802 | 13836086 | N/A | 6631054 | 2025-10-18 00:47:37.913355 | 2025-12-12 20:45:04.787542 |
| 2025-10-17 05:25:46.252487 | 2025-10-18 00:47:12.686124 | 13540313 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13540313 | Athletic Physical Therapy Inc | 1949-12-31 | 2025-10-20 | M | AE | PT | TSING | 00000282272 | KONGHSUNG | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102826082.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8978036/check_13540313_0c2ded93-d133-4b2d-bcab-5fff73bf7d91.json | N/A | N/A | N/A | N/A | N/A | 00000282272 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1949-12-31 | N/A | N/A | N/A | N/A | false | TSING | N/A | KONGHSUNG | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045305437 | N/A | N/A | 8978036 | 2222 | 4793 | 13835595 | 2630 | 7492332 | 2025-10-18 00:47:12.686124 | 2025-10-01 21:03:48.525986 |
| 2025-10-17 05:25:45.429500 | 2025-10-18 00:51:35.961666 | 13540297 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13540297 | Athletic Physical Therapy Inc | 1949-10-28 | 2025-10-20 | M | AE | PT | WALROTH | 7X79TQ1VA36 | TERRY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.081523368.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7785550/check_13540297_89001db8-a0bf-42f4-8f4c-28d917b9ad8e.json | N/A | N/A | N/A | N/A | N/A | 7X79TQ1VA36 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-10-28 | N/A | N/A | N/A | MA | false | WALROTH | N/A | TERRY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045301790 | N/A | N/A | 7785550 | 2222 | 4801 | 13840306 | N/A | 6629682 | 2025-10-18 00:51:35.961666 | 2025-08-05 17:28:10.392410 |
| 2025-10-17 05:25:43.149563 | 2025-10-18 02:38:38.567548 | 13540262 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13540262 | Athletic Physical Therapy Inc | 1961-03-12 | 2025-10-20 | F | PT | N/A | MCNUTT | XED904914958 | YOLANDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.105933014.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6668755/check_13540262_9500d6d7-6358-468c-96df-8343f4fec71d.json | N/A | N/A | N/A | N/A | N/A | XED904914958 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-03-12 | 2001ZK002184 | X0001004 | N/A | PR | false | FERNANDEZ-MCNUTT | N/A | YOLANDA | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045387891 | N/A | N/A | 6668755 | 2222 | 4801 | 13860757 | N/A | 5282877 | 2025-10-18 02:38:38.567548 | 2025-07-01 15:56:36.473431 |
| 2025-10-17 05:25:26.991204 | 2025-10-18 00:47:04.519579 | 13539973 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 13539973 | Athletic Physical Therapy Inc | 1991-03-21 | 2025-10-20 | F | AE | PT | CARDINALI | 111868927 | NICOLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102825817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11003187/check_13539973_d378442a-c83f-4b3a-a5a0-c20f3a97211d.json | N/A | N/A | N/A | N/A | N/A | 11186892700 | N/A | LHI GROUP INC. | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1991-03-21 | N/A | 00659976 | N/A | N/A | false | CARDINALI | N/A | NICOLE | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045306395 | N/A | N/A | 11003187 | 2222 | 4802 | 13835424 | N/A | 4215195 | 2025-10-18 00:47:04.519579 | 2025-05-14 09:08:40.751930 |
| 2025-10-17 05:25:14.102339 | 2025-10-18 00:50:14.869452 | 13539767 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13539767 | Athletic Physical Therapy Inc | 1994-07-04 | 2025-10-20 | M | PT | N/A | Daich | JQY912W17468 | Austin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102825817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11001702/check_13539767_70836dac-e591-4d7c-aef3-71364d47c951.json | N/A | N/A | N/A | N/A | N/A | JQY912W17468 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1994-07-04 | 040 | 476522 | N/A | PR | false | DAICH | N/A | AUSTIN | N/A | 9999-12-31 | 2025-09-01 | ANTHEM SILVER SELECT PPO HSA/H 2000/3300/4000 35% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045307464 | N/A | N/A | 11001702 | 2222 | 4802 | 13838837 | N/A | 9234161 | 2025-10-18 00:50:14.869452 | 2025-10-15 16:55:10.102836 |
| 2025-10-17 05:25:07.187309 | 2025-10-18 00:43:40.430707 | 13539646 | N/A | N/A | 60054 | Aetna | 1114042165 | 13539646 | Athletic Physical Therapy Inc | 1973-08-11 | 2025-10-20 | M | AE | PT | YAMASAKI | W121490267 | KENNY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.081523368.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7761496/check_13539646_e24e3b89-1124-45a9-8fb3-b8c8b1bc8e5c.json | N/A | N/A | N/A | N/A | N/A | W121490767 | Point of Service (POS) | LIONSGATE ENTERTAINMENT INC. | AETNA | N/A | 1973-08-11 | 0881709 | 088170902100001 | N/A | PS | false | YAMASAKI | N/A | KENNY | N/A | N/A | N/A | OA MANAGED CHOICE POS HDHP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045303257 | N/A | N/A | 7761496 | 2222 | 4802 | 13831329 | N/A | 6610810 | 2025-10-18 00:43:40.430707 | 2025-08-04 22:41:35.670334 |
| 2025-10-17 05:24:24.257711 | 2025-10-18 01:09:19.685614 | 13539213 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 13539213 | Athletic Physical Therapy Inc | 1950-07-29 | 2025-10-20 | F | AE | PT | Reinis | H71911100 | Meredith | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.111918954.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681834/check_13539213_d589ce3c-207e-407d-80ff-cbe6421f1e91.json | N/A | N/A | N/A | N/A | N/A | H71911100 | Supplemental Policy | HUMANA BENEFIT PLANOF ILL, INC | HUMANA | 067 019 | 1950-07-29 | N/A | 5A409003 | N/A | SP | false | REINIS | N/A | MEREDITH | N/A | N/A | N/A | MEDICARE MES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045488606 | N/A | N/A | 9681834 | 2222 | 4802 | 13855629 | N/A | 8101541 | 2025-10-18 01:09:19.685614 | 2025-09-29 18:50:04.958524 |
| 2025-10-17 05:24:23.893933 | 2025-10-18 00:44:19.106257 | 13539205 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 13539205 | Athletic Physical Therapy Inc | 1951-03-20 | 2025-10-20 | F | AE | PT | TOY | H77237018 | NELDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.081523368.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7754038/check_13539205_bff32455-7612-47d3-b590-e5f3264ec37c.json | N/A | N/A | N/A | N/A | N/A | H77237018 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 695 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1951-03-20 | N/A | 0B515001 | N/A | HN | false | TOY | N/A | NELDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045303199 | N/A | N/A | 7754038 | 2222 | 4793 | 13832335 | N/A | 6605178 | 2025-10-18 00:44:19.106257 | 2025-08-12 21:10:43.412607 |
| 2025-10-17 05:24:12.407183 | 2025-10-18 02:37:51.220201 | 13539041 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13539041 | Athletic Physical Therapy Inc | 1996-07-04 | 2025-10-20 | F | PT | N/A | STOLTZ | JQY361W23827 | ARDENN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.105933014.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6605808/check_13539041_8c0771c0-9aeb-4b8a-be3a-fcfb955c8e77.json | N/A | N/A | N/A | N/A | N/A | JQY361W23827 | Preferred Provider Organization (PPO) | KENT TAKEMOTO, M.D., INC. | ANTHEM BLUE CROSS | N/A | 1996-07-04 | 040 | Q62351 | N/A | PR | false | STOLZ | N/A | ARDENN | N/A | 9999-12-31 | 2025-04-01 | CA SG SELECT PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045388233 | N/A | N/A | 6605808 | 2222 | 4802 | 13860424 | N/A | 4214948 | 2025-10-18 02:37:51.220201 | 2025-06-26 01:28:07.741882 |
| 2025-10-17 05:23:52.099407 | 2025-10-18 00:51:09.836831 | 13538626 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13538626 | Athletic Physical Therapy Inc | 1979-08-24 | 2025-10-20 | M | AE | PT | ANDRIEU DELILLE | PNE914532321 | AYMERIC | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102825817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10979165/check_13538626_6b3793a6-1db3-44db-b7fe-62170485ba5d.json | N/A | N/A | N/A | N/A | N/A | PNE914532321 | Preferred Provider Organization (PPO) | PRIVATE NATIONAL MORTGAGE ACCEPTANCE COMPANY LLC | BLUE SHIELD CALIFORNIA | N/A | 1979-08-24 | 1000PPOX0001 | W3000535 | N/A | PR | false | ANDRIEU DELILLE | N/A | AYMERIC | N/A | N/A | N/A | PENNYMAC ASO PPO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045308017 | N/A | N/A | 10979165 | 2222 | 4793 | 13839797 | N/A | 4210368 | 2025-10-18 00:51:09.836831 | 2025-05-13 04:29:37.224773 |
| 2025-10-17 05:23:41.038305 | 2025-10-18 00:32:42.399269 | 13538325 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 13538325 | Athletic Physical Therapy Inc | 1957-01-30 | 2025-10-20 | F | AE | PT | SEIFERT | H77624682 | ARMIDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102527242.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9486126/check_13538325_d6d9f933-71f7-4938-8e49-36e9f1b509bc.json | N/A | N/A | N/A | N/A | N/A | H77624682 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1957-01-30 | N/A | N/A | N/A | N/A | false | SEIFERT | N/A | ARMIDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045289431 | N/A | N/A | 9486126 | 2222 | 4793 | 13819029 | N/A | 7936248 | 2025-10-18 00:32:42.399269 | 2025-09-17 22:49:12.995113 |
| 2025-10-17 05:23:37.469579 | 2025-10-18 00:37:08.980255 | 13538209 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13538209 | Athletic Physical Therapy Inc | 1959-08-20 | 2025-10-20 | F | PT | N/A | LANEUVILLE | MMA152W21217 | LESLIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102527242.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9478316/check_13538209_fdd7576c-30c0-46c6-b7a9-be0034e799de.json | N/A | N/A | N/A | N/A | N/A | MMA152W21217 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-08-20 | 040 | CAMCRWP0 | N/A | MP | false | LANEUVILLE | N/A | LESLIE | 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 | 9045289384 | N/A | N/A | 9478316 | 2222 | 4801 | 13823330 | N/A | 6941976 | 2025-10-18 00:37:08.980255 | 2025-09-05 19:35:59.844269 |
| 2025-10-17 05:23:11.100020 | 2025-10-18 00:47:17.990177 | 13537521 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13537521 | Athletic Physical Therapy Inc | 2003-05-02 | 2025-10-20 | M | PT | N/A | MUHAMMAD | XOF828514693 | KENNETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102826082.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8675672/check_13537521_295584d3-b150-4dd2-9433-77a4ae4e3a2e.json | N/A | N/A | N/A | N/A | N/A | XOF828514693 | Preferred Provider Organization (PPO) | IBJI - BRADLEY ACTIVES | HUMANA | N/A | 2003-05-02 | N/A | PK4933 | N/A | PR | false | MUHAMMAD | N/A | KERMIT | N/A | 9999-12-31 | 2022-02-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045302229 | N/A | N/A | 8675672 | 2222 | 4793 | 13835704 | N/A | 7310369 | 2025-10-18 00:47:17.990177 | 2026-02-03 01:46:10.334485 |
| 2025-10-17 05:23:07.236663 | 2025-10-18 00:41:07.270863 | 13537422 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13537422 | Athletic Physical Therapy Inc | 1959-02-07 | 2025-10-20 | F | AE | PT | STARK | 5T98ME7EA67 | CHERYL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102527242.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9449995/check_13537422_51b76d67-7408-453a-a27f-b71065c83f84.json | N/A | N/A | N/A | N/A | N/A | 5T98ME7EA67 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-07 | S4802 | N/A | N/A | MB | false | STARK | N/A | CHERYL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045289539 | N/A | N/A | 9449995 | 2222 | 4793 | 13827968 | N/A | 7905968 | 2025-10-18 00:41:07.270863 | 2025-09-22 17:53:24.196861 |
| 2025-10-17 05:22:54.706150 | 2025-10-18 00:37:08.328426 | 13537114 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13537114 | Athletic Physical Therapy Inc | 1966-08-31 | 2025-10-20 | F | PT | N/A | GRACE | MPI01390093Q | SANDRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102527242.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9443690/check_13537114_b446a713-90c5-49bf-99ba-8f80a47c6b3d.json | N/A | N/A | N/A | N/A | N/A | MPI01390093Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1966-08-31 | 040 | 277163M401 | N/A | PR | false | GRACE | N/A | TODD | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045288977 | N/A | N/A | 9443690 | 2222 | 4801 | 13823315 | N/A | 7900244 | 2025-10-18 00:37:08.328426 | 2026-03-03 19:01:14.362337 |
| 2025-10-17 05:22:52.759389 | 2025-10-18 00:37:09.295976 | 13537067 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13537067 | Athletic Physical Therapy Inc | 1952-07-08 | 2025-10-20 | F | PT | N/A | LEJANO | MMA286W10517 | MELECIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102527242.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9443092/check_13537067_69638988-902c-461a-a80b-42b2c0a3a2cf.json | N/A | N/A | N/A | N/A | N/A | MMA286W10517 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-07-08 | 040 | CAMCRWP0 | N/A | MP | false | LEJANO | N/A | MELECIA VICTOR | 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 | 9045288969 | N/A | N/A | 9443092 | 2222 | 4801 | 13823335 | N/A | 7899425 | 2025-10-18 00:37:09.295976 | 2025-09-18 04:34:38.232559 |
| 2025-10-17 05:22:43.941187 | 2025-10-18 00:43:35.411427 | 13536827 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 13536827 | override_provider | 1984-07-28 | 2025-10-20 | M | PT | N/A | ADAPA | DHC801433521 | PAVAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.081523368.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7638701/check_13536827_dda3c969-ce44-4af5-889a-8f1c852e74df.json | N/A | N/A | N/A | N/A | N/A | DHC801433521 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1984-07-28 | N/A | 91305-03A | N/A | PR | false | ADAPA | N/A | PAVAN SAI KUMAR | N/A | 9999-12-31 | 2024-01-01 | PREFERRED CARE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045303907 | N/A | N/A | 7638701 | 2222 | 4793 | 13831200 | N/A | 6533086 | 2025-10-18 00:43:35.411427 | 2025-08-12 04:29:49.496561 |
| 2025-10-17 05:22:41.174155 | 2025-10-18 02:41:18.047641 | 13536748 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13536748 | Athletic Physical Therapy Inc | 1934-12-03 | 2025-10-20 | M | AE | PT | Dayzadeh | 9A94PK6GA08 | Nasser | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.105933014.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583825/check_13536748_abd5ef26-13b4-47cc-a151-232c36ba5392.json | N/A | N/A | N/A | N/A | N/A | 9A94PK6GA08 | Medicare Part A | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1934-12-03 | S2468 | N/A | N/A | MA | false | DAYZADEH | N/A | NASSER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045387824 | N/A | N/A | 6583825 | 2222 | 4802 | 13861837 | N/A | 5202586 | 2025-10-18 02:41:18.047641 | 2025-06-25 17:55:27.155518 |
| 2025-10-17 05:22:40.187471 | 2025-10-18 02:37:37.592367 | 13536723 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13536723 | Athletic Physical Therapy Inc | 1936-04-15 | 2025-10-20 | F | AE | PT | MCCRAY | C4003524401 | ELIZABETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.105933014.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583817/check_13536723_296a75a8-0c51-4315-9418-db5965683747.json | N/A | N/A | N/A | N/A | N/A | C4003524401 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1936-04-15 | N/A | CA05620125 | N/A | N/A | false | MCCRAY | N/A | ELIZABETH | N/A | N/A | N/A | WELLCARE SIMPLE FOCUS (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045387823 | N/A | N/A | 6583817 | 2222 | 4802 | 13860330 | N/A | 5202575 | 2025-10-18 02:37:37.592367 | 2025-09-17 19:56:42.576499 |
| 2025-10-17 05:22:34.670957 | 2025-10-18 00:46:25.097796 | 13536574 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 13536574 | Athletic Physical Therapy Inc | 1947-05-27 | 2025-10-20 | F | AE | PT | OJEDA DE VALERIO | 40054924601 | MARCELINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102826082.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8634171/check_13536574_8575b2eb-afec-4055-ae5f-16b95d395855.json | N/A | N/A | N/A | N/A | N/A | 40054924601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1947-05-27 | 2025H5425001 | H5425M | N/A | N/A | false | OJEDA DE VALERIO | N/A | M | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045303650 | N/A | N/A | 8634171 | 2222 | 4801 | 13834768 | N/A | 7279268 | 2025-10-18 00:46:25.097796 | 2025-09-01 17:13:14.403136 |
| 2025-10-17 05:22:17.322521 | 2025-10-18 00:43:51.599672 | 13536127 | N/A | N/A | 60054 | Aetna | 1114042165 | 13536127 | Athletic Physical Therapy Inc | 1968-02-25 | 2025-10-20 | F | AE | PT | Segal | W248584098 | Jodi | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102826082.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8493403/check_13536127_73f9b554-12e1-4218-9315-4aeb697bfdf5.json | N/A | N/A | N/A | N/A | N/A | W248584098 | Point of Service (POS) | FARMERS INSURANCE EXCHANGE | AETNA | N/A | 1968-02-25 | 0109198 | 010919803500001 | N/A | PS | false | SEGAL | N/A | WILLIAM | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045302773 | N/A | N/A | 8493403 | 2222 | 4801 | 13831629 | N/A | 7159935 | 2025-10-18 00:43:51.599672 | 2025-09-09 21:26:40.265997 |
| 2025-10-17 05:22:13.712170 | 2025-10-18 00:41:06.619048 | 13536039 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13536039 | Athletic Physical Therapy Inc | 1955-07-01 | 2025-10-20 | F | AE | PT | GREER | 7H09HW9QG44 | ROBIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102527242.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411083/check_13536039_a6079cae-0f02-4233-874b-e4afae2fc59e.json | N/A | N/A | N/A | N/A | N/A | 7H09HW9QG44 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-01 | S5601 | N/A | N/A | MA | false | GREER | N/A | ROBIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045289246 | N/A | N/A | 9411083 | 2222 | 4802 | 13827956 | N/A | 7879863 | 2025-10-18 00:41:06.619048 | 2026-02-04 18:21:13.840230 |
| 2025-10-17 05:22:03.699103 | 2025-10-18 00:47:17.083094 | 13535792 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13535792 | Athletic Physical Therapy Inc | 1961-03-04 | 2025-10-20 | M | PT | N/A | AVEDISSIAN | JQU233A54125 | ARMEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102826082.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8472241/check_13535792_807461d9-8e02-4063-8475-6ab8f4c33910.json | N/A | N/A | N/A | N/A | N/A | JQU233A54125 | Preferred Provider Organization (PPO) | BRAND PRODUCE INC | MEDICARE A | N/A | 1961-03-04 | 040 | J35185 | N/A | PR | false | AVEDISSIAN | N/A | ARMEN | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045302698 | N/A | N/A | 8472241 | 2222 | 4801 | 13835686 | N/A | 7143064 | 2025-10-18 00:47:17.083094 | 2025-10-10 06:06:58.213429 |
| 2025-10-17 05:22:01.836354 | 2025-10-18 00:48:01.313031 | 13535742 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 13535742 | Athletic Physical Therapy Inc | 1957-01-26 | 2025-10-20 | F | PT | N/A | TAKAHATA | 980555379000 | NANCY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102826082.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471583/check_13535742_3a6e8869-e720-4e0f-bd0b-5834cb3d1b2f.json | N/A | N/A | N/A | N/A | N/A | XEE980555379 | Other | MEDICARE ADVANTAGE INDIVIDUAL | BLUE SHIELD CALIFORNIA | N/A | 1957-01-26 | 1000HMOX0019 | W0051752 | N/A | OT | false | TAKAHATA | N/A | NANCY | N/A | 9999-12-31 | 2022-11-01 | BLUE SHIELD 65 PLUS OPTIONAL SUPPLEMENTAL DENTAL P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045302691 | N/A | N/A | 8471583 | 2222 | 4802 | 13836538 | N/A | 7142489 | 2025-10-18 00:48:01.313031 | 2025-08-25 17:38:35.061335 |
| 2025-10-17 05:21:56.799282 | 2025-10-18 00:56:31.901490 | 13535612 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13535612 | Athletic Physical Therapy Inc | 1952-11-30 | 2025-10-20 | F | AE | PT | Tenner | 7NJ4CC5TK93 | Susan | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102825817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10347881/check_13535612_0824715f-2d92-4368-8c96-21ad35efc359.json | N/A | N/A | N/A | N/A | N/A | 7NJ4CC5TK93 | Medicare Part B | N/A | OPTUM INSURANCE OF OHIO, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-11-30 | S8841 | N/A | N/A | MB | false | TENNER | N/A | SUSAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045306967 | N/A | N/A | 10347881 | 2222 | 4802 | 13845443 | N/A | 8614368 | 2025-10-18 00:56:31.901490 | 2025-10-13 19:03:41.164438 |
| 2025-10-17 05:21:46.775034 | 2025-10-18 02:37:37.008205 | 13535325 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13535325 | Athletic Physical Therapy Inc | 2009-08-12 | 2025-10-20 | M | AE | PT | Aldana | 95423949E | George | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.105933014.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6568645/check_13535325_c021fd54-8527-406b-bcde-c213d1678e20.json | N/A | N/A | N/A | N/A | N/A | 95423949E | N/A | N/A | HEALTH NET, LLC | N/A | 2009-08-12 | N/A | N/A | N/A | N/A | false | ALDANA | N/A | GEORGE | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045387273 | N/A | N/A | 6568645 | 2222 | 4802 | 13860326 | N/A | 5190481 | 2025-10-18 02:37:37.008205 | 2025-06-24 17:29:30.756528 |
| 2025-10-17 05:21:43.662550 | 2025-10-18 01:03:04.964925 | 13535245 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13535245 | Athletic Physical Therapy Inc | 1969-05-24 | 2025-10-20 | F | PT | N/A | KIM | AXV840499320 | MEE RHAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.111723582.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9656192/check_13535245_f651c88d-271d-4193-bcca-114c78f5ae5e.json | N/A | N/A | N/A | N/A | N/A | AXV840499320 | Preferred Provider Organization (PPO) | M84 ACTIVE PPO PLUS | CUSTOMER SERVICE | N/A | 1969-05-24 | N/A | 778099 | N/A | PR | false | KIM | N/A | MEE RHAN | N/A | 9999-12-31 | 2024-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045480166 | N/A | N/A | 9656192 | 2222 | 4802 | 13851123 | N/A | 8079138 | 2025-10-18 01:03:04.964925 | 2025-09-23 17:35:16.046338 |
| 2025-10-17 05:21:23.259625 | 2025-10-18 00:43:04.822664 | 13534665 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | 13534665 | Athletic Physical Therapy Inc | 1958-07-23 | 2025-10-20 | F | PT | N/A | BURNS | JQW418W16911 | MARY BETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102826082.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8415251/check_13534665_d9f2419b-5d66-4f1b-a82a-9fb87ff8b655.json | N/A | N/A | N/A | N/A | N/A | JQW418W16911 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1958-07-23 | N/A | N/A | N/A | N/A | false | BURNS | N/A | MARY BETH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045302680 | N/A | N/A | 8415251 | 2222 | 4801 | 13830458 | N/A | 4209247 | 2025-10-18 00:43:04.822664 | 2025-07-22 18:58:10.876206 |
| 2025-10-17 05:21:15.206774 | 2025-10-18 02:33:57.272222 | 13534386 | N/A | N/A | 60054 | Aetna | 1114042165 | 13534386 | Athletic Physical Therapy Inc | 1993-09-26 | 2025-10-20 | M | AE | PT | Hamilton | W292751187 | Kevin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.105933014.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6555606/check_13534386_76fae19d-a54d-48e8-9704-079f73837c95.json | N/A | N/A | N/A | N/A | N/A | W292751187 | Point of Service (POS) | WILLKIE FARR & GALLAGHER LLP | AETNA | N/A | 1993-09-26 | 0308636 | 030863601400001 | N/A | PS | false | HAMILTON | N/A | KEVIN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045388170 | N/A | N/A | 6555606 | 2222 | 4802 | 13859032 | N/A | 5178755 | 2025-10-18 02:33:57.272222 | 2025-07-17 17:42:32.068740 |