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 05:21:14.481138 | 2025-10-18 00:51:35.631832 | 13534362 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13534362 | Athletic Physical Therapy Inc | 1950-02-15 | 2025-10-20 | F | AE | PT | Schwarz | 6K39DA7XC53 | Linda | 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/2222/7546108/check_13534362_78f94592-2af1-4d33-ae06-223c89c47c96.json | N/A | N/A | N/A | N/A | N/A | 6K39DA7XC53 | Medicare Part B | N/A | ANTHEM, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-02-15 | N/A | C18445 1838NJ | N/A | MB | false | SCHWARZ | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045302018 | N/A | N/A | 7546108 | 2222 | 4802 | 13840302 | N/A | 6470898 | 2025-10-18 00:51:35.631832 | 2025-07-29 20:29:16.916703 |
| 2025-10-17 05:21:10.200943 | 2025-10-18 00:37:10.485350 | 13534220 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13534220 | Athletic Physical Therapy Inc | 2005-12-13 | 2025-10-20 | F | PT | N/A | Varivoda | ZTQ335M98588 | Alex | 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/2222/9338185/check_13534220_f0423e24-4c24-44b1-804f-92f6844e56b7.json | N/A | N/A | N/A | N/A | N/A | ZTQ335M98588 | Preferred Provider Organization (PPO) | TELEDYNE TECH INC LECROY | ANTHEM BLUE CROSS | N/A | 2005-12-13 | 040 | 174249M3AW | N/A | PR | false | VARIVODA | N/A | ALEXEY | N/A | 9999-12-31 | 2020-03-19 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045288908 | N/A | N/A | 9338185 | 2222 | 4802 | 13823358 | N/A | 7837035 | 2025-10-18 00:37:10.485350 | 2025-09-17 13:44:26.939662 |
| 2025-10-17 05:21:02.273652 | 2025-10-18 00:41:06.320428 | 13533975 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13533975 | Athletic Physical Therapy Inc | 1946-11-22 | 2025-10-20 | F | AE | PT | CAPUTA | 6JV7KY8CA74 | 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/2222/9336757/check_13533975_7a02c8f9-d7d4-444d-8b7c-11b72fbe3062.json | N/A | N/A | N/A | N/A | N/A | 6JV7KY8CA74 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-11-22 | S5601 | N/A | N/A | MA | false | CAPUTA | N/A | SANDRA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045288890 | N/A | N/A | 9336757 | 2222 | 4801 | 13827950 | N/A | 7835556 | 2025-10-18 00:41:06.320428 | 2025-09-12 16:59:25.752326 |
| 2025-10-17 05:20:59.440968 | 2025-10-18 01:13:22.661126 | 13533897 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13533897 | Athletic Physical Therapy Inc | 1968-02-25 | 2025-10-20 | F | AE | PT | Segal | 9XA2J80PT02 | Jodi | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102219615.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8493404/check_13533897_37c0e372-44ed-411b-b6f9-c4dc415eddc8.json | N/A | N/A | N/A | N/A | N/A | 9XA2J80PT02 | Medicare Part B | N/A | STATE FUND - CLAIMS PROCESSING C | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1968-02-25 | N/A | DOL 03201995 | N/A | MB | false | SEGAL | N/A | JODI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045275209 | N/A | N/A | 8493404 | 2222 | 4801 | 13857858 | N/A | 7159935 | 2025-10-18 01:13:22.661126 | 2025-09-09 21:26:40.265997 |
| 2025-10-17 05:20:56.374607 | 2025-10-18 01:08:38.794278 | 13533808 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13533808 | Athletic Physical Therapy Inc | 1947-12-03 | 2025-10-20 | M | PT | N/A | WONG | MBL700W07323 | STANLEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102219615.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8469090/check_13533808_f61a0357-a0ba-4ede-9c21-57888c8d0c5f.json | N/A | N/A | N/A | N/A | N/A | MBL700W07323 | N/A | UNITED FOOD AND COMMERCIAL WORKERS UNIONS | ANTHEM BLUE CROSS | N/A | 1947-12-03 | 040 | CAEGR014 | N/A | N/A | false | WONG | N/A | STANLEY | N/A | 9999-12-31 | 2021-01-01 | CA GRS UFCW UNION H4036-802 ANTHEM MED PREF MA 25P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045275021 | N/A | N/A | 8469090 | 2222 | 4802 | 13855261 | N/A | 7140615 | 2025-10-18 01:08:38.794278 | 2025-09-05 16:51:17.488032 |
| 2025-10-17 05:20:52.657425 | 2025-10-18 00:48:13.242625 | 13533704 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13533704 | Athletic Physical Therapy Inc | 1963-11-03 | 2025-10-20 | M | AE | PT | KUQO | 95557964G | FATMIR | 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/2222/10308328/check_13533704_6d39be69-529e-4fa0-9615-67042ba35afe.json | N/A | N/A | N/A | N/A | N/A | 95557964G | N/A | N/A | HEALTH NET, LLC | N/A | 1963-11-03 | N/A | N/A | N/A | N/A | false | KUQO | N/A | FATMIR | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045307667 | N/A | N/A | 10308328 | 2222 | 4793 | 13836748 | N/A | 8577701 | 2025-10-18 00:48:13.242625 | 2025-10-10 20:23:07.830150 |
| 2025-10-17 05:20:17.406040 | 2025-10-18 00:48:01.000526 | 13532901 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13532901 | Athletic Physical Therapy Inc | 1971-06-05 | 2025-10-20 | F | PT | N/A | MENDELSON | XEK913483846 | SHARON | 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/2222/8224045/check_13532901_e2d5096e-c2b3-4c94-acf4-b94408024c43.json | N/A | N/A | N/A | N/A | N/A | XEK913483846 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1971-06-05 | 2001ZK002189 | X0001000 | N/A | PR | false | MENDELSON | N/A | SIMON | N/A | 2025-12-31 | 2025-01-01 | BRONZE 60 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045304732 | N/A | N/A | 8224045 | 2222 | 4802 | 13836532 | N/A | 6981160 | 2025-10-18 00:48:01.000526 | 2025-08-26 21:16:15.557856 |
| 2025-10-17 05:20:15.155160 | 2025-10-18 01:05:43.538425 | 13532824 | N/A | N/A | 60054 | Aetna | 1114042165 | 13532824 | Athletic Physical Therapy Inc | 1952-01-15 | 2025-10-20 | F | AE | PT | KIRK | 101297147800 | JAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102219615.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8167057/check_13532824_cf507c86-f9c5-4a00-9513-a01b36882297.json | N/A | N/A | N/A | N/A | N/A | 101297147800 | Preferred Provider Organization (PPO) | VERIZON - MA | AETNA | MEDICARE | 1952-01-15 | 100008-02EG0011 | 100008-02 | N/A | PR | false | KIRK | N/A | JAN | N/A | 2025-12-31 | 2025-01-01 | WEST ADV PLAN 125 PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045274675 | N/A | N/A | 8167057 | 2222 | 4801 | 13853047 | N/A | 6933707 | 2025-10-18 01:05:43.538425 | 2026-05-21 16:32:55.382229 |
| 2025-10-17 05:20:08.525044 | 2025-10-18 00:47:17.333624 | 13532640 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13532640 | Athletic Physical Therapy Inc | 1973-01-16 | 2025-10-20 | F | PT | N/A | FUSCO | JXN148A35914 | ANGELA | 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/2222/8221086/check_13532640_b4cf40ef-1c42-43f4-9918-bee5812cae51.json | N/A | N/A | N/A | N/A | N/A | JXN148A35914 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1973-01-16 | N/A | N/A | N/A | N/A | false | FUSCO | N/A | ANGELA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045303371 | N/A | N/A | 8221086 | 2222 | 4793 | 13835692 | N/A | 6978593 | 2025-10-18 00:47:17.333624 | 2025-09-18 02:55:14.560582 |
| 2025-10-17 05:20:05.408027 | 2025-10-18 02:41:18.313167 | 13532560 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13532560 | Athletic Physical Therapy Inc | 1947-08-18 | 2025-10-20 | F | AE | PT | FABER | 4X26K21EE83 | LINDA | 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/2222/6522947/check_13532560_7979d70a-7566-46d9-848c-767c0f1271c0.json | N/A | N/A | N/A | N/A | N/A | 4X26K21EE83 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-08-18 | S5617 | N/A | N/A | MA | false | FABER | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045387250 | N/A | N/A | 6522947 | 2222 | 4802 | 13861838 | N/A | 5146127 | 2025-10-18 02:41:18.313167 | 2025-06-20 17:58:23.371130 |
| 2025-10-17 05:19:59.105422 | 2025-10-18 01:03:23.824597 | 13532359 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13532359 | Athletic Physical Therapy Inc | 2003-04-25 | 2025-10-20 | M | PT | N/A | GREEN | JQV184A72608 | ALLEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102222676.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10091887/check_13532359_b7e19928-d86f-44f1-b1a5-06d6299d3aea.json | N/A | N/A | N/A | N/A | N/A | JQV184A72608 | Health Maintenance Organization (HMO) | GUMM AND GREEN LLP | ANTHEM BLUE CROSS | N/A | 2003-04-25 | 040 | 428474 | N/A | HM | false | GREEN | N/A | LINDSEY | N/A | 2025-12-01 | 2024-12-01 | ANTHEM GOLD SELECT HMO 35 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045276116 | N/A | N/A | 10091887 | 2222 | 4793 | 13851383 | N/A | 8429919 | 2025-10-18 01:03:23.824597 | 2025-10-07 22:01:52.720968 |
| 2025-10-17 05:19:58.710925 | 2025-10-18 00:47:48.530362 | 13532348 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13532348 | Athletic Physical Therapy Inc | 1988-09-12 | 2025-10-20 | M | PT | N/A | Guzzo | JQU895W23533 | Aaron | 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/2222/7513987/check_13532348_217533b2-2aea-4fad-bcc3-45bbac0e4958.json | N/A | N/A | N/A | N/A | N/A | JQU895W23533 | Preferred Provider Organization (PPO) | 3 ARTS ENTERTAINMENT LLC | BLUE SHIELD OF CALIFORNIA | N/A | 1988-09-12 | 040 | H59723 | N/A | PR | false | RATHER-GUZZO | N/A | SANDY | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045303810 | N/A | N/A | 7513987 | 2222 | 4802 | 13836287 | N/A | 6451061 | 2025-10-18 00:47:48.530362 | 2025-07-28 22:43:26.605856 |
| 2025-10-17 05:19:56.531052 | 2025-10-18 01:03:23.291805 | 13532265 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13532265 | Athletic Physical Therapy Inc | 1991-12-10 | 2025-10-20 | F | PT | N/A | DUBOIS | UCR377M98570 | DANIELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102222676.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10089562/check_13532265_e4445d62-8b79-45e0-b403-1121e2ac0d5f.json | N/A | N/A | N/A | N/A | N/A | UCR377M98570 | Preferred Provider Organization (PPO) | CHARTER COMMUNICATIONS INC | ANTHEM BLUE CROSS | N/A | 1991-12-10 | 241 | 230018ACA2 | N/A | PR | false | DUBOIS | N/A | WESTON | N/A | 9999-12-31 | 2020-01-01 | CDHP MISSOURI HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045276108 | N/A | N/A | 10089562 | 2222 | 4801 | 13851376 | N/A | 8428267 | 2025-10-18 01:03:23.291805 | 2025-10-08 02:27:24.446873 |
| 2025-10-17 05:19:38.915262 | 2025-10-18 00:37:09.924986 | 13531685 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13531685 | Athletic Physical Therapy Inc | 1982-08-25 | 2025-10-20 | F | PT | N/A | SANCHEZ | XDM281A73325 | FRANCISCA | 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/2222/9321862/check_13531685_9a977804-45c1-4b64-a910-08259d6d49da.json | N/A | N/A | N/A | N/A | N/A | XDM281A73325 | Health Maintenance Organization (HMO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 1982-08-25 | 040 | 57ARJS | N/A | HM | false | SANCHEZ | N/A | FRANCISCA | N/A | 9999-12-31 | 2025-10-01 | CLASSIC SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045289358 | N/A | N/A | 9321862 | 2222 | 4801 | 13823347 | 4184 | 7821295 | 2025-10-18 00:37:09.924986 | 2025-10-01 23:30:48.597825 |
| 2025-10-17 05:19:01.875918 | 2025-10-18 01:06:27.404344 | 13530635 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13530635 | Athletic Physical Therapy Inc | 1956-12-19 | 2025-10-20 | F | AE | PT | YEN | 7QK3HE4XQ19 | JENNY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102222676.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10033466/check_13530635_d244f08a-a9d6-47c4-9ffc-333e5948d0d8.json | N/A | N/A | N/A | N/A | N/A | 7QK3HE4XQ19 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-12-19 | S4802 | N/A | N/A | MA | false | YEN | N/A | JENNY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045275672 | N/A | N/A | 10033466 | 2222 | 4793 | 13853579 | N/A | 8398587 | 2025-10-18 01:06:27.404344 | 2025-10-07 14:21:54.880940 |
| 2025-10-17 05:18:59.500088 | 2025-10-18 02:32:34.557996 | 13530550 | N/A | N/A | 60054 | Aetna | 1114042165 | 13530550 | Athletic Physical Therapy Inc | 1986-01-20 | 2025-10-20 | F | AE | PT | DAVIS | W258779471 | MARTINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102125720.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993951/check_13530550_0455b639-5b74-4def-ae42-40fcc293551d.json | N/A | N/A | N/A | N/A | N/A | W258779471 | Point of Service (POS) | ADP TOTALSOURCE SERVICES, INC. | AETNA | N/A | 1986-01-20 | 0251371 | 025137101900020 | N/A | PS | false | DAVIS | N/A | ASTIN | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045268777 | N/A | N/A | 5993951 | 2222 | 4802 | 13858694 | N/A | 4642884 | 2025-10-18 02:32:34.557996 | 2025-12-02 20:19:19.910444 |
| 2025-10-17 05:18:59.245160 | 2025-10-18 02:34:58.429370 | 13530539 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13530539 | Athletic Physical Therapy Inc | 1969-01-08 | 2025-10-20 | F | AE | PT | ALROMAIH | 91237812E | SARAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102125720.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993940/check_13530539_b01b5eca-a27d-4bad-8ec1-e9bc8e6974d9.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045268776 | N/A | N/A | 5993940 | 2222 | 4802 | 13859342 | N/A | 4642877 | 2025-10-18 02:34:58.429370 | 2025-12-23 23:49:16.627667 |
| 2025-10-17 05:18:59.051746 | 2025-10-18 02:35:43.656436 | 13530532 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13530532 | Athletic Physical Therapy Inc | 1996-01-20 | 2025-10-20 | F | PT | N/A | WORDEN | ORU910469318 | SARAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102125720.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993479/check_13530532_00ec630e-e1a9-4801-a34b-a0807e003910.json | N/A | N/A | N/A | N/A | N/A | ORU910469318 | Preferred Provider Organization (PPO) | OAK RIDGE ASSOCIATED UNIVERSITIES | ANTHEM BLUE CROSS | N/A | 1996-01-20 | MBPORAU0 | 89513 | N/A | PR | false | WORDEN | N/A | SARAH | N/A | 2199-12-31 | 2024-07-16 | BLUE NETWORK P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045268775 | N/A | N/A | 5993479 | 2222 | 4801 | 13859551 | N/A | 4219476 | 2025-10-18 02:35:43.656436 | 2025-05-28 20:18:04.039855 |
| 2025-10-17 05:18:41.880946 | 2025-10-17 05:18:43.786882 | 13529929 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-12-08 | 2025-10-17 | M | PT | N/A | MAGEE | SRYHC0157512 | TERRENCE | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11084204/check_13529929_e60b8058-80f5-4b9f-987f-43e969159ea9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11084204/check_13529929_2e9f51a7-0b9d-4629-b8d1-f89cc7f120cb.json | N/A | N/A | N/A | N/A | N/A | SRYHC0157512 | Preferred Provider Organization (PPO) | SURVEYMONKEY PPO IN STATE | BLUE SHIELD OF CALIFORNIA | N/A | 1974-12-08 | 040 | L12152M001 | N/A | PR | false | MAGEE | N/A | JENNIFER | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045259321 | N/A | N/A | 11084204 | 2222 | N/A | 13793508 | N/A | 9438176 | 2025-10-17 05:18:43.786882 | 2025-11-14 22:03:28.394724 |
| 2025-10-17 05:18:31.938760 | 2025-10-18 02:36:15.152821 | 13529584 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13529584 | Athletic Physical Therapy Inc | 1973-02-24 | 2025-10-20 | F | PT | N/A | TAKEMOTO | XED906098170 | NICOLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102125720.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928752/check_13529584_6948150f-129f-4eb4-ad4d-cd8975d1cab3.json | N/A | N/A | N/A | N/A | N/A | XED906098170 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1973-02-24 | 2001ZK002184 | X0001004 | N/A | PR | false | TAKEMOTO | N/A | NICOLE | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045268982 | N/A | N/A | 5928752 | 2222 | 4802 | 13859748 | N/A | 4583701 | 2025-10-18 02:36:15.152821 | 2025-07-24 17:50:11.805587 |
| 2025-10-17 05:18:18.911683 | 2025-10-18 00:46:25.693941 | 13529189 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 13529189 | Athletic Physical Therapy Inc | 1953-07-31 | 2025-10-20 | F | AE | PT | Dickenson | 91000390H | Linda | 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/2222/7449889/check_13529189_23760252-06ac-49a7-8502-4c15480d56e8.json | N/A | N/A | N/A | N/A | N/A | 91000390H | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1953-07-31 | N/A | N/A | N/A | N/A | false | DICKENSON | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045301597 | N/A | N/A | 7449889 | 2222 | 4802 | 13834776 | N/A | 6399696 | 2025-10-18 00:46:25.693941 | 2025-07-24 23:24:56.744520 |
| 2025-10-17 05:18:09.844314 | 2025-10-18 00:43:05.333133 | 13528941 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13528941 | Athletic Physical Therapy Inc | 2001-06-21 | 2025-10-20 | M | AE | PT | RAFIEI | 92836714F | SAM | 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/2222/8173002/check_13528941_d4ce3594-6f98-4c25-8eef-2019e238909f.json | N/A | N/A | N/A | N/A | N/A | 92836714F | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2001-06-21 | N/A | N/A | N/A | N/A | false | RAFIEI | N/A | SAM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045304209 | N/A | N/A | 8173002 | 2222 | 4793 | 13830470 | N/A | 6939518 | 2025-10-18 00:43:05.333133 | 2025-08-18 21:40:08.349494 |
| 2025-10-17 05:17:54.979642 | 2025-10-18 00:44:45.744991 | 13528497 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 13528497 | Athletic Physical Therapy Inc | 1961-03-08 | 2025-10-20 | F | AE | PT | SAPHOS | U2326133302 | CHERYL | 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/2222/7444268/check_13528497_d1bef432-218b-4594-98e3-4bb38a799420.json | N/A | N/A | N/A | N/A | N/A | U2326133302 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 1961-03-08 | N/A | 3207160 | N/A | N/A | false | SAPHOS | N/A | CHERYL | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045304418 | N/A | N/A | 7444268 | 2222 | 4793 | 13832927 | N/A | 6395002 | 2025-10-18 00:44:45.744991 | 2025-08-01 21:55:47.943743 |
| 2025-10-17 05:17:53.634600 | 2025-10-18 00:51:07.171223 | 13528452 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13528452 | Athletic Physical Therapy Inc | 1952-01-15 | 2025-10-20 | F | AE | PT | KIRK | 5FT7Y02EM72 | JAN | 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/2222/8167056/check_13528452_48f1a5b0-677e-4d8a-91ec-52b828d36e58.json | N/A | N/A | N/A | N/A | N/A | 5FT7Y02EM72 | Medicare Part A | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-01-15 | H5522 | N/A | N/A | MA | false | KIRK | N/A | JAN | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045304168 | N/A | N/A | 8167056 | 2222 | 4801 | 13839746 | N/A | 6933707 | 2025-10-18 00:51:07.171223 | 2026-05-21 16:32:55.382229 |
| 2025-10-17 05:17:50.208216 | 2025-10-18 00:51:34.420240 | 13528337 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13528337 | Athletic Physical Therapy Inc | 1950-02-07 | 2025-10-20 | M | AE | PT | BHAMRAH | 8FX0NA8MD19 | KULDIP | 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/2222/7442857/check_13528337_6d8db651-f0a2-4d42-b77b-739bb78a1223.json | N/A | N/A | N/A | N/A | N/A | 8FX0NA8MD19 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-02-07 | S5617 | N/A | N/A | MA | false | BHAMRAH | N/A | KULDIP | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045304397 | N/A | N/A | 7442857 | 2222 | 4801 | 13840277 | N/A | 6393941 | 2025-10-18 00:51:34.420240 | 2025-08-13 16:33:53.313259 |
| 2025-10-17 05:17:42.627507 | 2025-10-18 01:09:26.860563 | 13528101 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13528101 | Athletic Physical Therapy Inc | 1950-02-15 | 2025-10-20 | F | AE | PT | Schwarz | LDU982A72978 | Linda | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102219615.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7546197/check_13528101_01d3d39e-6495-4be0-a78e-8e7dda6e09db.json | N/A | N/A | N/A | N/A | N/A | LDU982A72978 | Exclusive Provider Organization | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1950-02-15 | 040 | 1838NJ | N/A | EP | false | SCHWARZ | N/A | LINDA | N/A | 9999-12-31 | 2025-01-01 | PRUDENT BUYER EXCLUSIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045274353 | N/A | N/A | 7546197 | 2222 | 4802 | 13855697 | N/A | 6470898 | 2025-10-18 01:09:26.860563 | 2025-07-29 20:29:16.916703 |
| 2025-10-17 05:17:37.513496 | 2025-10-18 00:43:44.084373 | 13527951 | N/A | N/A | 60054 | Aetna | 1114042165 | 13527951 | Athletic Physical Therapy Inc | 1957-10-24 | 2025-10-20 | F | AE | PT | MANVEL | 102147211900 | YANA | 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/2222/10243837/check_13527951_4a9310c9-0267-47e3-8188-456409af9586.json | N/A | N/A | N/A | N/A | N/A | 102147211900 | Qualified Medicare Beneficiary | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1957-10-24 | 000003-CA000097 | 000003-CA | N/A | QM | false | MANVEL | N/A | YANA | N/A | N/A | N/A | AETNA MEDICARE CORE II (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045307260 | N/A | N/A | 10243837 | 2222 | 4802 | 13831419 | N/A | 4210343 | 2025-10-18 00:43:44.084373 | 2025-10-20 19:42:31.189360 |
| 2025-10-17 05:17:20.778639 | 2025-10-18 01:11:55.478245 | 13527493 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13527493 | Athletic Physical Therapy Inc | 1959-02-07 | 2025-10-20 | F | AE | PT | STARK | JQE451W19078 | CHERYL | 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/2222/9450019/check_13527493_826972cc-5700-476d-bc7b-1924d6b608ad.json | N/A | N/A | N/A | N/A | N/A | JQE451W19078 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-02-07 | 040 | CASUPWP0 | N/A | N/A | false | STARK | N/A | CHERYL | N/A | 9999-12-31 | 2024-02-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045488791 | N/A | N/A | 9450019 | 2222 | 4793 | 13857041 | N/A | 7905968 | 2025-10-18 01:11:55.478245 | 2025-09-22 17:53:24.196861 |
| 2025-10-17 05:17:15.180413 | 2025-10-17 05:17:18.525022 | 13527347 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-11-19 | 2025-10-17 | M | AE | PT | GONZALES JR | 1E61CX0GK13 | LEO | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7456457/check_13527347_b37dd92f-de54-481f-9f07-9708844aad76.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456457/check_13527347_15d7ecc6-a838-4065-8eac-8bcc0a78f5ab.json | N/A | N/A | N/A | N/A | N/A | 1E61CX0GK13 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-11-19 | S4802 | N/A | N/A | MB | false | GONZALEZ JR | N/A | LEO | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045252867 | N/A | N/A | 7456457 | 2222 | N/A | 13792824 | N/A | 6405774 | 2025-10-17 05:17:18.525022 | 2026-03-16 21:02:08.525887 |
| 2025-10-17 05:17:14.903935 | 2025-10-18 01:01:50.937245 | 13527340 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 13527340 | Athletic Physical Therapy Inc | 1968-04-14 | 2025-10-20 | M | AD | N/A | EDELMAN | 109583288 | Igor | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102222676.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10016649/check_13527340_7d8cf019-6e82-45c9-9bb6-d105563ca769.json | N/A | N/A | N/A | N/A | N/A | 10958328800 | N/A | TIXR, INC. | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1968-04-12 | N/A | 00651893 | N/A | N/A | false | EDELMAN | N/A | IGOR | N/A | N/A | N/A | HSA QUALIFIED HDHP | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 9045276879 | N/A | N/A | 10016649 | 2222 | 4793 | 13850178 | N/A | 8385137 | 2025-10-18 01:01:50.937245 | 2025-10-13 16:15:02.281568 |
| 2025-10-17 05:16:52.534176 | 2025-10-18 00:45:54.604968 | 13526808 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13526808 | Athletic Physical Therapy Inc | 1966-07-12 | 2025-10-20 | M | AE | PT | Cohn | R06589895MM1 | David | 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/2222/7315101/check_13526808_60821507-7d84-422b-b0d4-4d6c06bf0838.json | N/A | N/A | N/A | N/A | N/A | R06589895MM1 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1966-07-12 | N/A | CA05620125 | N/A | N/A | false | COHN | N/A | DAVID | N/A | N/A | N/A | WELLCARE SIMPLE FOCUS (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045304262 | N/A | N/A | 7315101 | 2222 | 4802 | 13834127 | N/A | 6152454 | 2025-10-18 00:45:54.604968 | 2025-07-17 21:44:04.596080 |
| 2025-10-17 05:16:41.444506 | 2025-10-18 01:12:34.681426 | 13526672 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13526672 | Athletic Physical Therapy Inc | 1955-07-01 | 2025-10-20 | F | AE | PT | GREER | XEM909858172 | ROBIN | 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/2222/9411084/check_13526672_4a8249c3-4e29-4e53-ac94-3e83e196c029.json | N/A | N/A | N/A | N/A | N/A | XEM909858172 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-07-01 | 2002SE000030 | X0001002 | N/A | OT | false | GREER | N/A | ROBIN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045488696 | N/A | N/A | 9411084 | 2222 | 4802 | 13857407 | N/A | 7879863 | 2025-10-18 01:12:34.681426 | 2026-02-04 18:21:13.840230 |
| 2025-10-17 05:16:29.308844 | 2025-10-18 01:06:56.805211 | 13526529 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 13526529 | Athletic Physical Therapy Inc | 1950-02-07 | 2025-10-20 | M | AE | PT | BHAMRAH | 12Y0175341 | KULDIP | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102219615.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7442859/check_13526529_6f9a97fb-9396-4aca-a511-1e9b53eab529.json | N/A | N/A | N/A | N/A | N/A | 12Y0175341 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1950-02-07 | N/A | N/A | N/A | N/A | false | BHAMRAH | N/A | KULDIP | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045275059 | N/A | N/A | 7442859 | 2222 | 4801 | 13854008 | N/A | 6393941 | 2025-10-18 01:06:56.805211 | 2025-08-13 16:33:53.313259 |
| 2025-10-17 05:16:24.339779 | 2025-10-18 01:03:05.728140 | 13526430 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13526430 | Athletic Physical Therapy Inc | 2009-10-25 | 2025-10-20 | F | PT | N/A | TAITE | JQU200A62919 | SERAPHINA | 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/2222/9610001/check_13526430_72e3ea5a-b004-4faa-95f6-a0cd36f2574c.json | N/A | N/A | N/A | N/A | N/A | JQU200A62919 | Preferred Provider Organization (PPO) | TREATMENT CENTER MANAGEMENT CORPORATION | ANTHEM BLUE CROSS | N/A | 2009-10-25 | 040 | U26732 | N/A | PR | false | TAITE | N/A | RICHARD | N/A | 9999-12-31 | 2025-05-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045479801 | N/A | N/A | 9610001 | 2222 | 4802 | 13851130 | N/A | 8040917 | 2025-10-18 01:03:05.728140 | 2025-09-22 14:19:04.386066 |
| 2025-10-17 05:16:18.162165 | 2025-10-18 00:37:08.651887 | 13526278 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13526278 | Athletic Physical Therapy Inc | 1995-10-05 | 2025-10-20 | M | PT | N/A | HERNANDEZ | BWW2515564100 | JONATHAN | 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/2222/9279057/check_13526278_c3477a41-8e66-4b2d-933f-c60d32174bad.json | N/A | N/A | N/A | N/A | N/A | BWW2515564100 | Preferred Provider Organization (PPO) | TASI | ANTHEM BLUE CROSS | N/A | 1995-10-05 | N/A | 3003813 | N/A | PR | false | HERNANDEZ | N/A | JONATHAN | N/A | 2999-12-31 | 2025-01-01 | PCPPO _10063573_28164 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045289115 | N/A | N/A | 9279057 | 2222 | 4801 | 13823322 | N/A | 4211907 | 2025-10-18 00:37:08.651887 | 2025-05-13 04:29:37.226233 |
| 2025-10-17 05:16:14.462157 | 2025-10-18 00:46:30.938860 | 13526179 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13526179 | Athletic Physical Therapy Inc | 1957-10-25 | 2025-10-20 | F | PT | N/A | YINGER | MBL827W13948 | COLLEEN | 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/2222/7292126/check_13526179_ac034e86-18d4-4495-a053-1015d48c623b.json | N/A | N/A | N/A | N/A | N/A | MBL827W13948 | N/A | THE AEROSPACE CORPORATION | ANTHEM BLUE CROSS | N/A | 1957-10-25 | 040 | CAEGR020 | N/A | N/A | false | YINGER | N/A | COLLEEN | N/A | 9999-12-31 | 2022-10-01 | CA GRS AEROSPACE H4036-801 ANTHEM MEDICARE PREFERR | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045303038 | N/A | N/A | 7292126 | 2222 | 4793 | 13834876 | N/A | 6252902 | 2025-10-18 00:46:30.938860 | 2025-07-22 20:37:37.157960 |
| 2025-10-17 05:16:06.820362 | 2025-10-18 02:35:43.400761 | 13525957 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13525957 | Athletic Physical Therapy Inc | 2016-10-15 | 2025-10-20 | F | PT | N/A | WALTER | JXN523A76388 | KARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102125720.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550923/check_13525957_0ff08e1d-1f62-489b-b2ed-45df1da15a39.json | N/A | N/A | N/A | N/A | N/A | JXN523A76388 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 2016-10-15 | 040 | 174222M3A1 | N/A | PR | false | WALTER | N/A | KYLE | N/A | 9999-12-31 | 2023-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045269506 | N/A | N/A | 5550923 | 2222 | 4801 | 13859550 | N/A | 4219763 | 2025-10-18 02:35:43.400761 | 2025-05-13 04:29:37.230804 |
| 2025-10-17 05:16:06.533555 | 2025-10-18 02:36:14.313748 | 13525950 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13525950 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-10-20 | F | PT | N/A | PANDYA | XEA913306283 | DHARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102125720.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_13525950_f2fa2909-8d9e-424f-98c3-d44c482b22c5.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1975-08-17 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2025-01-01 | BLUE SHIELD OF CA ASO VIRTUAL BLUE FULL PPO SAVING | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045269505 | N/A | N/A | 5550845 | 2222 | 4801 | 13859742 | N/A | 4219713 | 2025-10-18 02:36:14.313748 | 2025-08-13 22:46:55.732965 |
| 2025-10-17 05:16:06.181458 | 2025-10-18 02:32:36.358171 | 13525937 | N/A | N/A | 60054 | Aetna | 1114042165 | 13525937 | Athletic Physical Therapy Inc | 1961-11-04 | 2025-10-20 | F | AE | PT | SANTITORO | W267422430 | SARAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102125720.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550743/check_13525937_f71fb412-aa42-4b1e-82d4-c74f10747f93.json | N/A | N/A | N/A | N/A | N/A | W267422430 | Point of Service (POS) | CIENA CORPORATION | AETNA | N/A | 1961-11-04 | 0486875 | 048687501000001 | N/A | PS | false | SANTITORO | N/A | RALPH | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045269504 | N/A | N/A | 5550743 | 2222 | 4801 | 13858700 | N/A | 4219643 | 2025-10-18 02:32:36.358171 | 2025-05-13 04:29:37.230685 |
| 2025-10-17 05:16:05.912203 | 2025-10-18 02:38:40.015030 | 13525929 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13525929 | Athletic Physical Therapy Inc | 1956-11-29 | 2025-10-20 | M | AE | PT | LYGA | 9E33A44VQ74 | FRANK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102125720.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550634/check_13525929_2ca4c3fb-4f3e-44c3-bce0-8dc9112da19d.json | N/A | N/A | N/A | N/A | N/A | 9E33A44VQ74 | Medicare Part A | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-11-29 | S5596 | DOL 07071986 | N/A | MA | false | LYGA | N/A | FRANK | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045269503 | N/A | N/A | 5550634 | 2222 | 4801 | 13860768 | N/A | 4219584 | 2025-10-18 02:38:40.015030 | 2025-09-29 18:19:47.145731 |
| 2025-10-17 05:16:05.495646 | 2025-10-18 02:38:38.076839 | 13525915 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13525915 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-10-20 | F | AE | PT | BRADBURY | 5W31MW6FP03 | BONNIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102125720.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550534/check_13525915_d33bc183-db0f-4b7f-a3ac-052857fc5fdc.json | N/A | N/A | N/A | N/A | N/A | 5W31MW6FP03 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-01 | S5617 | N/A | N/A | MB | false | BRADBURY | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045269502 | N/A | N/A | 5550534 | 2222 | 4801 | 13860754 | N/A | 4219556 | 2025-10-18 02:38:38.076839 | 2025-05-13 04:29:37.230592 |
| 2025-10-17 05:16:05.072155 | 2025-10-18 02:31:51.301175 | 13525901 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13525901 | Athletic Physical Therapy Inc | 1986-05-15 | 2025-10-20 | M | AE | PT | SOLHJOU | U7549246801 | BAHRAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102125720.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549949/check_13525901_78f9598d-dd3a-47e7-a27d-76f100f7d211.json | N/A | N/A | N/A | N/A | N/A | U7549246801 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1986-05-15 | N/A | N/A | N/A | N/A | false | SOLHJOU | N/A | BAHRAM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045269501 | N/A | N/A | 5549949 | 2222 | 4802 | 13858525 | N/A | 4219432 | 2025-10-18 02:31:51.301175 | 2025-05-13 04:29:37.230466 |
| 2025-10-17 05:16:04.359027 | 2025-10-18 02:36:14.862058 | 13525882 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13525882 | Athletic Physical Therapy Inc | 1961-10-06 | 2025-10-20 | F | PT | N/A | SMITH | XED910117839 | DEANNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102125720.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549692/check_13525882_aadee936-3f36-4b79-ba08-c8479b0ef4d0.json | N/A | N/A | N/A | N/A | N/A | XED910117839 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-10-06 | 2001ZK002184 | X0001004 | N/A | PR | false | SMITH | N/A | ADRIAN | N/A | 9999-12-31 | 2021-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045269499 | N/A | N/A | 5549692 | 2222 | 4801 | 13859746 | N/A | 4219305 | 2025-10-18 02:36:14.862058 | 2025-09-16 17:28:21.311815 |
| 2025-10-17 05:16:03.952959 | 2025-10-18 02:31:50.938610 | 13525871 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | 13525871 | Athletic Physical Therapy Inc | 1965-07-05 | 2025-10-20 | F | PT | N/A | CEJA | XEH903796659 | PATRICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102125720.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549285/check_13525871_3ae36bc7-a66b-49e6-9f71-0062bad85f81.json | N/A | N/A | N/A | N/A | N/A | XEH903796659 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1965-07-05 | N/A | N/A | N/A | N/A | false | CEJA | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045269498 | N/A | N/A | 5549285 | 2222 | 4801 | 13858524 | N/A | 4218983 | 2025-10-18 02:31:50.938610 | 2025-05-13 04:29:37.230000 |
| 2025-10-17 05:16:02.732482 | 2025-10-18 02:35:02.806541 | 13525840 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 13525840 | Athletic Physical Therapy Inc | 1950-03-29 | 2025-10-20 | M | AE | PT | AKHTARI | 40045421301 | SHAHROKH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102125720.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543493/check_13525840_f8fe31c6-1755-4987-aefc-d92dbb2a9e99.json | N/A | N/A | N/A | N/A | N/A | 40045421301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-03-29 | 2025H5425084LA | H5425M | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | SCAN VENTURE (HMO), LOS ANGELES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045269495 | N/A | N/A | 5543493 | 2222 | 4793 | 13859364 | N/A | 4215273 | 2025-10-18 02:35:02.806541 | 2025-05-13 04:29:37.229594 |
| 2025-10-17 05:16:02.367239 | 2025-10-18 02:35:42.572755 | 13525829 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13525829 | Athletic Physical Therapy Inc | 2003-10-09 | 2025-10-20 | F | PT | N/A | LUKOWITSCH | XDPCA8263500 | HALLIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102125720.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543178/check_13525829_087b5ec4-440d-4773-8a0e-385c6dfa6f60.json | N/A | N/A | N/A | N/A | N/A | XDPCA8263500 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | ANTHEM BLUE CROSS | N/A | 2003-10-09 | 040 | 275958P701 | N/A | PR | false | LUKOWITSCH | N/A | HALLIE | N/A | 9999-12-31 | 2025-09-22 | PPO UC SHIP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045269494 | N/A | N/A | 5543178 | 2222 | 4802 | 13859546 | N/A | 4215006 | 2025-10-18 02:35:42.572755 | 2025-05-13 04:29:37.229325 |
| 2025-10-17 05:16:02.266796 | 2025-10-18 01:05:16.582193 | 13525826 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 13525826 | Athletic Physical Therapy Inc | 1946-11-22 | 2025-10-20 | F | AE | PT | CAPUTA | 31334080511 | SANDRA | 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/2222/9336758/check_13525826_e7b3810a-860b-4dcb-8a7a-b9d2349a5456.json | N/A | N/A | N/A | N/A | N/A | 31334080511 | 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. | 1946-11-22 | N/A | N/A | N/A | SP | false | CAPUTA | N/A | SANDRA | 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 | 9045487598 | N/A | N/A | 9336758 | 2222 | 4801 | 13852741 | N/A | 7835556 | 2025-10-18 01:05:16.582193 | 2025-09-12 16:59:25.752326 |
| 2025-10-17 05:16:02.049680 | 2025-10-18 02:34:20.774979 | 13525818 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 13525818 | Athletic Physical Therapy Inc | 1973-05-07 | 2025-10-20 | F | AD | N/A | FERRERAS | U6570615702 | PATRICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102125720.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543171/check_13525818_9c9704a2-bed0-49a3-9546-b03d5f046a96.json | N/A | N/A | N/A | N/A | N/A | U6570615702 | N/A | WORKDAY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1973-05-07 | N/A | 3336422 | N/A | N/A | false | FERRERAS | N/A | PATRICIA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 9045269493 | N/A | N/A | 5543171 | 2222 | 4793 | 13859152 | N/A | 4214998 | 2025-10-18 02:34:20.774979 | 2025-05-13 04:29:37.229318 |
| 2025-10-17 05:16:01.616396 | 2025-10-18 02:38:39.754677 | 13525807 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13525807 | Athletic Physical Therapy Inc | 1940-11-11 | 2025-10-20 | M | AE | PT | GOLDBERG | 9EE6XY2TM41 | Michael | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102125720.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542970/check_13525807_1a0c7dd5-740f-41b7-a52e-54a1e59321d3.json | N/A | N/A | N/A | N/A | N/A | 9EE6XY2TM41 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-11-11 | S5601 | N/A | N/A | MB | false | GOLDBERG | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045269492 | N/A | N/A | 5542970 | 2222 | 4802 | 13860765 | N/A | 4214820 | 2025-10-18 02:38:39.754677 | 2025-06-30 02:56:23.324592 |
| 2025-10-17 05:16:01.211223 | 2025-10-18 02:38:39.385968 | 13525793 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13525793 | Athletic Physical Therapy Inc | 1944-10-29 | 2025-10-20 | F | AE | PT | GOLDBERG | 6YD7TP7AC72 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.102125720.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542935/check_13525793_5d38f040-ddb4-4cbe-8bef-f16a2ef5477b.json | N/A | N/A | N/A | N/A | N/A | 6YD7TP7AC72 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-10-29 | S5601 | N/A | N/A | MA | false | GOLDBERG | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045269491 | N/A | N/A | 5542935 | 2222 | 4802 | 13860763 | N/A | 4214789 | 2025-10-18 02:38:39.385968 | 2025-12-11 23:30:31.319246 |