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 05:16:00.778128 | 2025-10-18 02:32:35.664571 | 13525783 | N/A | N/A | 60054 | Aetna | 1114042165 | 13525783 | Athletic Physical Therapy Inc | 2015-03-25 | 2025-10-20 | M | AE | PT | MOLAVI | W290733985 | MATTHEW | 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/2222/5542759/check_13525783_ba625b5b-2732-442b-a459-26b0643383ff.json | N/A | N/A | N/A | N/A | N/A | W290733985 | Point of Service (POS) | THE TCW GROUP, INC. | AETNA | N/A | 2015-03-25 | 0247292 | 024729201100001 | N/A | PS | false | MOLAVI | N/A | MOHAMAD | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045269490 | N/A | N/A | 5542759 | 2222 | 4793 | 13858697 | N/A | 4214620 | 2025-10-18 02:32:35.664571 | 2025-08-05 22:41:29.756445 |
| 2025-10-17 05:16:00.289696 | 2025-10-18 02:34:59.211830 | 13525772 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13525772 | Athletic Physical Therapy Inc | 1979-11-17 | 2025-10-20 | F | AE | PT | WOODS | 96781627F | JESSICA | 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/2222/5542752/check_13525772_d92c2d0d-56e8-4052-bdc0-fe169956107e.json | N/A | N/A | N/A | N/A | N/A | 96781627F | N/A | N/A | HEALTH NET, LLC | N/A | 1979-11-17 | N/A | N/A | N/A | N/A | false | WOODS | N/A | JESSICA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045269489 | N/A | N/A | 5542752 | 2222 | 4793 | 13859346 | N/A | 4214627 | 2025-10-18 02:34:59.211830 | 2025-06-23 18:58:46.304598 |
| 2025-10-17 05:15:59.872402 | 2025-10-18 02:38:37.793046 | 13525758 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13525758 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-10-20 | M | AE | PT | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | 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/2222/5542555/check_13525758_e5184f1d-db07-432f-8dec-8a82cbdb4a02.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-24 | N/A | N/A | N/A | MB | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045269488 | N/A | N/A | 5542555 | 2222 | 4793 | 13860752 | N/A | 4214447 | 2025-10-18 02:38:37.793046 | 2026-04-23 20:11:34.441054 |
| 2025-10-17 05:15:59.525187 | 2025-10-18 02:35:24.467590 | 13525748 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 13525748 | Athletic Physical Therapy Inc | 2009-08-26 | 2025-10-20 | F | AE | PT | ELAZARY | 000019315679 | NATALEE | 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/2222/5542060/check_13525748_bfda0058-e132-488a-90d7-4c5a95614a96.json | N/A | N/A | N/A | N/A | N/A | 000019315679 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 2009-08-26 | 4344868 | 235828 | N/A | N/A | false | ELAZARY | N/A | NATALEE | N/A | N/A | N/A | CALIFORNIA'S VALUED TRUST PLAN 8/DHMO/3 TIER/ACTIV | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045269487 | N/A | N/A | 5542060 | 2222 | 4793 | 13859458 | N/A | 4214019 | 2025-10-18 02:35:24.467590 | 2025-05-13 04:29:37.228340 |
| 2025-10-17 05:15:59.172980 | 2025-10-18 02:35:19.140163 | 13525739 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 13525739 | Athletic Physical Therapy Inc | 1947-02-01 | 2025-10-20 | M | AE | PT | YEE | 412922301 | HARRY | 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/2222/5541972/check_13525739_ecd77537-02d7-406b-b633-401c33bcc938.json | N/A | N/A | N/A | N/A | N/A | 412922301 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1947-02-01 | N/A | HCFA21 | N/A | HN | false | YEE | N/A | HARRY | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045269486 | N/A | N/A | 5541972 | 2222 | 4793 | 13859437 | N/A | 4213941 | 2025-10-18 02:35:19.140163 | 2025-05-13 04:29:37.228259 |
| 2025-10-17 05:15:58.784196 | 2025-10-18 02:35:43.093991 | 13525729 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13525729 | Athletic Physical Therapy Inc | 1940-08-31 | 2025-10-20 | M | PT | N/A | STEINBERG | MBL875M98441 | HARRIS | 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/2222/5541917/check_13525729_50ebdfb9-0cb6-4afd-b0c5-dec19dac3a5f.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045269485 | N/A | N/A | 5541917 | 2222 | 4793 | 13859548 | N/A | 4213891 | 2025-10-18 02:35:43.093991 | 2025-05-13 04:29:37.228207 |
| 2025-10-17 05:15:58.437213 | 2025-10-18 02:34:58.948418 | 13525717 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13525717 | Athletic Physical Therapy Inc | 1985-02-07 | 2025-10-20 | F | AE | PT | SHEPHERD | 93180838F | EMILY | 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/2222/5541519/check_13525717_ff8cf2e4-d6ec-4f83-8db0-25900d6689e1.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | HEALTH NET, LLC | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045269484 | N/A | N/A | 5541519 | 2222 | 4802 | 13859345 | N/A | 4213530 | 2025-10-18 02:34:58.948418 | 2025-05-13 04:29:37.227860 |
| 2025-10-17 05:15:58.097575 | 2025-10-18 02:36:14.618927 | 13525710 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13525710 | Athletic Physical Therapy Inc | 1965-09-18 | 2025-10-20 | F | PT | N/A | SHAPIRO | XEA901579979 | ANDREA | 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/2222/5541315/check_13525710_83d101a4-13a5-45ce-892f-009118b2803a.json | N/A | N/A | N/A | N/A | N/A | XEA901579979 | Preferred Provider Organization (PPO) | HANGER STEINBERG SHAPIRO AND ASH A LAW COR | BLUE SHIELD CALIFORNIA | N/A | 1965-09-18 | 1000VX000102 | W0045063 | N/A | PR | false | SHAPIRO | N/A | MARC | N/A | 9999-12-31 | 2016-11-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045269483 | N/A | N/A | 5541315 | 2222 | 4793 | 13859744 | N/A | 4213344 | 2025-10-18 02:36:14.618927 | 2025-05-13 04:29:37.227667 |
| 2025-10-17 05:15:57.709850 | 2025-10-18 02:34:58.671653 | 13525699 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13525699 | Athletic Physical Therapy Inc | 1968-03-30 | 2025-10-20 | M | AE | PT | FARAHMAND | 91957675E | ALEX | 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/2222/5541163/check_13525699_08ba0442-6363-4a27-9e6e-60f7ed0b7cd0.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | HEALTH NET, LLC | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045269482 | N/A | N/A | 5541163 | 2222 | 4802 | 13859343 | N/A | 4213207 | 2025-10-18 02:34:58.671653 | 2025-05-13 04:29:37.227536 |
| 2025-10-17 05:15:57.224475 | 2025-10-18 02:35:03.092042 | 13525683 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 13525683 | Athletic Physical Therapy Inc | 1940-03-29 | 2025-10-20 | F | AE | PT | MARTINEZ | 40032670501 | MARIA | 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/2222/5540591/check_13525683_de42d2fd-1fc1-4377-9e51-18393b6a6401.json | N/A | N/A | N/A | N/A | N/A | 40032670501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1940-03-29 | 2025H5425001 | H5425M | N/A | N/A | false | MARTINEZ | N/A | MARIA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045269481 | N/A | N/A | 5540591 | 2222 | 4801 | 13859366 | N/A | 4212724 | 2025-10-18 02:35:03.092042 | 2025-07-26 22:27:37.781276 |
| 2025-10-17 05:15:56.854770 | 2025-10-18 02:34:19.678190 | 13525676 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 13525676 | Athletic Physical Therapy Inc | 1967-12-13 | 2025-10-20 | M | AE | PT | MIDDLETON | U3369221802 | BLAKE | 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/2222/5540185/check_13525676_00f73f22-fe00-46d3-9cc1-df1c14f8c68e.json | N/A | N/A | N/A | N/A | N/A | U3369221802 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1967-12-13 | N/A | 3346355 | N/A | HM | false | MIDDLETON | N/A | BLAKE | N/A | N/A | N/A | NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045269480 | N/A | N/A | 5540185 | 2222 | 4802 | 13859147 | N/A | 4212381 | 2025-10-18 02:34:19.678190 | 2025-12-17 20:12:42.035054 |
| 2025-10-17 05:15:56.596315 | 2025-10-18 02:35:41.433669 | 13525668 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13525668 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-10-20 | F | PT | N/A | BOYLAN | MBL857M98403 | JOAN | 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/2222/5540074/check_13525668_d20208ae-23e4-412a-a666-2d375e2e35c5.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045269479 | N/A | N/A | 5540074 | 2222 | 4802 | 13859540 | N/A | 4212282 | 2025-10-18 02:35:41.433669 | 2025-05-13 04:29:37.226623 |
| 2025-10-17 05:15:56.283482 | 2025-10-18 02:36:22.424799 | 13525662 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13525662 | Athletic Physical Therapy Inc | 1983-08-31 | 2025-10-20 | M | PT | N/A | FLEMING | SZF839281184 | CHASE | 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/2222/5539901/check_13525662_aa6fd2d3-d8d0-4628-874a-79228e00c0c8.json | N/A | N/A | N/A | N/A | N/A | SZF839281184 | Preferred Provider Organization (PPO) | ACTIVE | CUSTOMER SERVICE | N/A | 1983-08-31 | N/A | 018137 | N/A | PR | false | FLEMING | N/A | CHASE | N/A | 9999-12-31 | 2021-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045269478 | N/A | N/A | 5539901 | 2222 | 4793 | 13859801 | N/A | 4212134 | 2025-10-18 02:36:22.424799 | 2025-08-05 02:56:55.384378 |
| 2025-10-17 05:15:56.051598 | 2025-10-18 02:35:42.320362 | 13525654 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13525654 | Athletic Physical Therapy Inc | 1952-09-29 | 2025-10-20 | F | PT | N/A | JOHNSON | JQS766M90611 | JANET | 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/2222/5539188/check_13525654_0bcb652a-4e35-4144-a437-086caf6f7616.json | N/A | N/A | N/A | N/A | N/A | JQS766M90611 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-09-29 | 040 | CAMCRWP0 | N/A | MP | false | JOHNSON | N/A | JANET | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045269477 | N/A | N/A | 5539188 | 2222 | 4801 | 13859544 | N/A | 4211521 | 2025-10-18 02:35:42.320362 | 2025-10-19 23:43:25.603984 |
| 2025-10-17 05:15:55.676299 | 2025-10-18 02:35:42.048398 | 13525642 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13525642 | Athletic Physical Therapy Inc | 1980-04-11 | 2025-10-20 | M | PT | N/A | Hurst | JQY695A75359 | Gregory | 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/2222/5539085/check_13525642_4e1ff92e-8a00-4d4d-9518-8e3bdb986f5e.json | N/A | N/A | N/A | N/A | N/A | JQY695A75359 | Preferred Provider Organization (PPO) | YALE MANAGEMENT SERVICES | ANTHEM BLUE CROSS | N/A | 1980-04-11 | 040 | 342584 | N/A | PR | false | HURST | N/A | GREGORY | N/A | 2025-12-01 | 2024-12-01 | ANTHEM SILVER SELECT PPO 50/2200/40% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045269476 | N/A | N/A | 5539085 | 2222 | 4793 | 13859543 | N/A | 4211408 | 2025-10-18 02:35:42.048398 | 2025-09-18 00:42:48.586801 |
| 2025-10-17 05:15:54.882419 | 2025-10-18 02:36:22.692722 | 13525623 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13525623 | Athletic Physical Therapy Inc | 1961-12-01 | 2025-10-20 | M | PT | N/A | TOOCH | JPU633M84536 | PETER | 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/2222/5538874/check_13525623_d8140d09-ff66-4d14-ab34-8e5bf23b01de.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M001 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045269474 | N/A | N/A | 5538874 | 2222 | 4801 | 13859803 | N/A | 4211227 | 2025-10-18 02:36:22.692722 | 2025-05-13 04:29:37.225625 |
| 2025-10-17 05:15:54.476431 | 2025-10-18 02:38:39.127260 | 13525614 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13525614 | Athletic Physical Therapy Inc | 1952-12-18 | 2025-10-20 | F | AE | PT | DU BRIN | 7KN7YG8XT63 | SUSAN | 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/2222/5538600/check_13525614_ce7c7849-3a7a-4b53-99d2-fd9d6ad69515.json | N/A | N/A | N/A | N/A | N/A | 7KN7YG8XT63 | Medicare Part A | N/A | UNITED SERVICES AUTOMOBILE ASSOC | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-12-18 | S4802 | DOL 06142025 | N/A | MA | false | DU BRIN | 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 | 9045269473 | N/A | N/A | 5538600 | 2222 | 4793 | 13860761 | N/A | 4210998 | 2025-10-18 02:38:39.127260 | 2026-02-23 18:49:01.874308 |
| 2025-10-17 05:15:53.974856 | 2025-10-18 02:38:38.618825 | 13525600 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13525600 | Athletic Physical Therapy Inc | 1954-01-24 | 2025-10-20 | F | AE | PT | DIGIOVANNI | 4N09TQ2YY18 | JILL | 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/2222/5538592/check_13525600_79006335-30c2-401b-8892-75394902f5f2.json | N/A | N/A | N/A | N/A | N/A | 4N09TQ2YY18 | Medicare Part B | N/A | SENTRY INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-01-24 | S4802 | DOL 11022017 | N/A | MB | false | DIGIOVANNI | N/A | JILL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045269472 | N/A | N/A | 5538592 | 2222 | 4801 | 13860758 | N/A | 4210993 | 2025-10-18 02:38:38.618825 | 2025-05-13 04:29:37.225395 |
| 2025-10-17 05:15:53.560149 | 2025-10-18 02:38:40.856221 | 13525586 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13525586 | Athletic Physical Therapy Inc | 1943-07-22 | 2025-10-20 | M | AE | PT | STEIN | 8MY3V79UN60 | DONALD | 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/2222/5538576/check_13525586_cf79413e-ee63-4dfe-8c58-82e2753c94e0.json | N/A | N/A | N/A | N/A | N/A | 8MY3V79UN60 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-07-22 | S5921 | N/A | N/A | MA | false | STEIN | N/A | DONALD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045269471 | N/A | N/A | 5538576 | 2222 | 4802 | 13860774 | N/A | 4210984 | 2025-10-18 02:38:40.856221 | 2025-08-15 17:42:50.500189 |
| 2025-10-17 05:15:52.994452 | 2025-10-18 02:35:41.758113 | 13525571 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13525571 | Athletic Physical Therapy Inc | 1964-12-31 | 2025-10-20 | M | PT | N/A | BRIGHT | DGA10814577J | RICHARD | 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/2222/5538211/check_13525571_1396b711-4665-4f8e-894c-4390f29fccf8.json | N/A | N/A | N/A | N/A | N/A | DGA10814577J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1964-12-31 | 040 | 276945M001 | N/A | PR | false | BRIGHT | N/A | RICHARD | N/A | 9999-12-31 | 2015-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045269470 | N/A | N/A | 5538211 | 2222 | 4793 | 13859541 | N/A | 4210664 | 2025-10-18 02:35:41.758113 | 2025-10-01 18:16:15.634130 |
| 2025-10-17 05:15:52.594982 | 2025-10-18 02:36:14.057062 | 13525560 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13525560 | Athletic Physical Therapy Inc | 1963-04-10 | 2025-10-20 | U | PT | N/A | GUAN | XED909742969 | YANMIN | 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/2222/5538106/check_13525560_116ffb13-f04f-4d28-83ee-a0f417b73653.json | N/A | N/A | N/A | N/A | N/A | XED909742969 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1963-04-10 | N/A | N/A | N/A | N/A | false | GUAN | N/A | YANMIN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045269469 | N/A | N/A | 5538106 | 2222 | 4793 | 13859740 | N/A | 4210573 | 2025-10-18 02:36:14.057062 | 2025-04-29 21:00:53.997177 |
| 2025-10-17 05:15:52.136595 | 2025-10-18 02:38:41.124142 | 13525544 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13525544 | Athletic Physical Therapy Inc | 1950-09-27 | 2025-10-20 | F | AE | PT | THOMSEN | 1M31KQ8DJ99 | JANET | 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/2222/5537950/check_13525544_9d6004a5-ebf3-46f9-925f-1b7ee0682d40.json | N/A | N/A | N/A | N/A | N/A | 1M31KQ8DJ99 | N/A | N/A | CMS | N/A | 1950-09-27 | N/A | N/A | N/A | N/A | false | THOMSEN | N/A | JANET | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045269468 | N/A | N/A | 5537950 | 2222 | 4801 | 13860775 | N/A | 4210450 | 2025-10-18 02:38:41.124142 | 2026-05-04 21:51:25.248197 |
| 2025-10-17 05:15:51.709946 | 2025-10-18 02:35:43.909275 | 13525535 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13525535 | Athletic Physical Therapy Inc | 1964-06-08 | 2025-10-20 | F | PT | N/A | YOUHANAIE | UQK557A62707 | TERESA | 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/2222/5537881/check_13525535_a5199dde-e142-453e-b3f9-d1692aa2073f.json | N/A | N/A | N/A | N/A | N/A | UQK557A62707 | Preferred Provider Organization (PPO) | CDHP HSA W/NON INTG BANKING-SILVER HDHP | ANTHEM BLUE CROSS | N/A | 1964-06-08 | 130 | 270213OHXB | N/A | PR | false | YOUHANAIE | N/A | TERESA | N/A | 9999-12-31 | 2024-08-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045269467 | N/A | N/A | 5537881 | 2222 | 4793 | 13859553 | N/A | 4210385 | 2025-10-18 02:35:43.909275 | 2026-03-06 18:49:17.116017 |
| 2025-10-17 05:15:51.198840 | 2025-10-18 02:38:38.870321 | 13525519 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13525519 | Athletic Physical Therapy Inc | 1952-03-25 | 2025-10-20 | F | AE | PT | DRIMMER | 8E03WF9AM78 | NADIA | 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/2222/5537826/check_13525519_78f59520-8405-4e68-a5bc-b1fc66022f0d.json | N/A | N/A | N/A | N/A | N/A | 8E03WF9AM78 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-03-25 | S5921 | N/A | N/A | MB | false | DRIMMER | N/A | NADIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045269466 | N/A | N/A | 5537826 | 2222 | 4802 | 13860760 | N/A | 4210338 | 2025-10-18 02:38:38.870321 | 2025-05-13 04:29:37.224744 |
| 2025-10-17 05:15:50.802340 | 2025-10-18 02:32:34.938637 | 13525511 | N/A | N/A | 60054 | Aetna | 1114042165 | 13525511 | Athletic Physical Therapy Inc | 1965-03-10 | 2025-10-20 | F | AE | PT | LORENZO | W291592729 | CHERYL | 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/2222/5537616/check_13525511_5b7db0c2-635c-4d84-92f6-d9d9dafb97bf.json | N/A | N/A | N/A | N/A | N/A | W291592729 | Point of Service (POS) | MORGAN STANLEY DOMESTIC HOLDINGS, L | AETNA | N/A | 1965-03-10 | 0868849 | 086884901000001 | N/A | PS | false | LORENZO | N/A | CHERYL | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045269465 | N/A | N/A | 5537616 | 2222 | 4802 | 13858695 | N/A | 4210148 | 2025-10-18 02:32:34.938637 | 2025-10-06 12:12:54.911120 |
| 2025-10-17 05:15:50.745011 | 2025-10-18 01:09:26.567580 | 13525507 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13525507 | Athletic Physical Therapy Inc | 1968-07-21 | 2025-10-20 | F | AE | PT | MCALISTER | SFZ846186424 | BONNIE | 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/2222/7024102/check_13525507_a6a1afa2-5a78-4756-a752-1701b5864bcc.json | N/A | N/A | N/A | N/A | N/A | SFZ846186424 | Preferred Provider Organization (PPO) | RETIREE 50 AS OF 1112 HIRED 1107 | MEDICARE | N/A | 1968-07-21 | N/A | 021104 | N/A | PR | false | MCALISTER | N/A | BONNIE | N/A | 9999-12-31 | 2013-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045274276 | N/A | N/A | 7024102 | 2222 | 4801 | 13855695 | N/A | 6038562 | 2025-10-18 01:09:26.567580 | 2025-07-30 21:46:09.369299 |
| 2025-10-17 05:15:50.431506 | 2025-10-18 02:38:38.353937 | 13525498 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13525498 | Athletic Physical Therapy Inc | 1951-06-30 | 2025-10-20 | F | AE | PT | CHADORCHI | 8MR2X19XD04 | JAFFA | 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/2222/5537480/check_13525498_0e479102-4e80-4040-8284-87e14605a0d4.json | N/A | N/A | N/A | N/A | N/A | 8MR2X19XD04 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-30 | S5601 | N/A | N/A | MB | false | CHADORCHI | N/A | JAFFA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045269464 | N/A | N/A | 5537480 | 2222 | 4802 | 13860756 | N/A | 4210038 | 2025-10-18 02:38:38.353937 | 2025-06-02 14:57:36.820684 |
| 2025-10-17 05:15:50.090385 | 2025-10-18 02:35:42.832077 | 13525489 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13525489 | Athletic Physical Therapy Inc | 1964-10-19 | 2025-10-20 | M | PT | N/A | NIELSEN | XDP057A76330 | ROY | 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/2222/5537188/check_13525489_aa98c9f2-b1c9-48c6-90ec-30562e68b159.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629MN16 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 2025-11-01 | 2025-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045269463 | N/A | N/A | 5537188 | 2222 | 4802 | 13859547 | N/A | 4209789 | 2025-10-18 02:35:42.832077 | 2025-05-13 04:29:37.224215 |
| 2025-10-17 05:15:48.774619 | 2025-10-18 02:38:40.299090 | 13525460 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13525460 | Athletic Physical Therapy Inc | 1950-07-23 | 2025-10-20 | M | AE | PT | MELVILLE | 5K84YN1FD09 | LANNING | 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/2222/5535728/check_13525460_d2a241ef-94e2-49d8-a60d-351631d263ca.json | N/A | N/A | N/A | N/A | N/A | 5K84YN1FD09 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-07-23 | S5884 | N/A | N/A | MB | false | MELVILLE | N/A | LANNING | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045269462 | N/A | N/A | 5535728 | 2222 | 4802 | 13860770 | N/A | 4208598 | 2025-10-18 02:38:40.299090 | 2025-09-11 00:56:25.554348 |
| 2025-10-17 05:15:48.260495 | 2025-10-18 02:38:40.584596 | 13525443 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13525443 | Athletic Physical Therapy Inc | 1939-10-22 | 2025-10-20 | M | AE | PT | ODONNELL | 9FJ2YV1NR89 | JOHN | 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/2222/5535491/check_13525443_b46d4e24-19b6-4036-b8a1-0c783ff0c512.json | N/A | N/A | N/A | N/A | N/A | 9FJ2YV1NR89 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-10-22 | N/A | N/A | N/A | MA | false | ODONNELL | N/A | JOHN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045269461 | N/A | N/A | 5535491 | 2222 | 4802 | 13860772 | N/A | 4208408 | 2025-10-18 02:38:40.584596 | 2025-05-13 04:29:37.222823 |
| 2025-10-17 05:15:43.601662 | 2025-10-18 01:06:26.546985 | 13525309 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13525309 | Athletic Physical Therapy Inc | 1947-02-15 | 2025-10-20 | F | AE | PT | LING WONG | 5KK4G78YK65 | YEE | 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/2222/9978113/check_13525309_dba76ad2-ec1a-46a3-bf34-e04fd34db895.json | N/A | N/A | N/A | N/A | N/A | 5KK4G78YK65 | N/A | N/A | CMS | 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 | 9045275980 | N/A | N/A | 9978113 | 2222 | 4802 | 13853568 | N/A | 8351682 | 2025-10-18 01:06:26.546985 | 2025-10-08 14:26:11.260769 |
| 2025-10-17 05:15:40.429803 | 2025-10-17 05:15:44.239234 | 13525211 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-04-07 | 2025-10-17 | F | AE | PT | CHERE | 98953535F | DIANA | 23322 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542660/check_13525211_e95e5c01-69f2-48a1-a70f-de7c73673549.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_13525211_99250852-6420-46ea-9edd-53657c9ef869.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045245605 | N/A | N/A | 5542660 | 2222 | N/A | 13792587 | N/A | 4214542 | 2025-10-17 05:15:44.239234 | 2025-05-13 04:29:37.228868 |
| 2025-10-17 05:15:31.296242 | 2025-10-18 00:46:30.216199 | 13524926 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13524926 | Athletic Physical Therapy Inc | 1988-08-19 | 2025-10-20 | M | PT | N/A | Bridgemohansingh | NTF910W08222 | Jason | 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/2222/7258746/check_13524926_46f95fae-b47e-4834-acd6-1ca325c762a0.json | N/A | N/A | N/A | N/A | N/A | NTF910W08222 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | ANTHEM BLUE CROSS | N/A | 1988-08-19 | 040 | L08669M002 | N/A | PR | false | BRIDGEMOHANSINGH | N/A | JASON | N/A | 9999-12-31 | 2025-08-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045301535 | N/A | N/A | 7258746 | 2222 | 4802 | 13834871 | N/A | 6224482 | 2025-10-18 00:46:30.216199 | 2025-08-07 00:03:18.267969 |
| 2025-10-17 05:15:29.833740 | 2025-10-18 00:47:38.544831 | 13524873 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13524873 | Athletic Physical Therapy Inc | 1976-09-29 | 2025-10-20 | F | PT | N/A | RAND | XED912141111 | ELLEN | 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/2222/7257479/check_13524873_2d4b64ff-d2e8-4154-829e-13890c46a263.json | N/A | N/A | N/A | N/A | N/A | XED912141111 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1976-09-29 | 2001ZK002193 | X0001004 | N/A | PR | false | RAND | N/A | ELLEN | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045301532 | N/A | N/A | 7257479 | 2222 | 4802 | 13836100 | N/A | 4210270 | 2025-10-18 00:47:38.544831 | 2025-07-08 18:23:05.596578 |
| 2025-10-17 05:15:19.845834 | 2025-10-18 00:46:25.975558 | 13524521 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 13524521 | Athletic Physical Therapy Inc | 1976-02-07 | 2025-10-20 | F | AE | PT | MALTSEVA | 94237973H65017 | YEVHENIIA | 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/2222/7253095/check_13524521_282ba7db-b93b-475b-90a1-3ff4b2a4a516.json | N/A | N/A | N/A | N/A | N/A | 94237973H65017 | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1976-02-07 | N/A | N/A | N/A | N/A | false | MALTSEVA | N/A | YEVHENIIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045304054 | N/A | N/A | 7253095 | 2222 | 4802 | 13834786 | N/A | 6219145 | 2025-10-18 00:46:25.975558 | 2025-07-21 16:40:35.276086 |
| 2025-10-17 05:15:15.566301 | 2025-10-18 00:56:31.245452 | 13524388 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13524388 | Athletic Physical Therapy Inc | 1959-11-24 | 2025-10-20 | F | AE | PT | MCCLURE | 5G32FG9WU07 | WENDY | 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/2222/10180859/check_13524388_fbd89c77-f8e1-493d-908c-bfb233837715.json | N/A | N/A | N/A | N/A | N/A | 5G32FG9WU07 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-11-24 | S5884 | N/A | N/A | MB | false | MCCLURE | N/A | WENDY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045306372 | N/A | N/A | 10180859 | 2222 | 4801 | 13845433 | N/A | 8480311 | 2025-10-18 00:56:31.245452 | 2025-10-20 16:43:28.516419 |
| 2025-10-17 05:15:06.110492 | 2025-10-18 00:37:09.604382 | 13524073 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13524073 | Athletic Physical Therapy Inc | 1960-07-22 | 2025-10-20 | F | PT | N/A | Fairbairn | VUC381M87189 | SUSAN | 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/2222/9256797/check_13524073_5b147298-0edd-414a-b9cd-a4bd662e5b9a.json | N/A | N/A | N/A | N/A | N/A | VUC381M87189 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1960-07-22 | 040 | 280509A400 | N/A | PR | false | RATSCH | N/A | CHRISTIAN | N/A | 9999-12-31 | 2023-01-01 | UC CARE PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045289944 | N/A | N/A | 9256797 | 2222 | 4802 | 13823342 | N/A | 7767722 | 2025-10-18 00:37:09.604382 | 2025-09-09 21:30:42.448470 |
| 2025-10-17 05:15:04.523780 | 2025-10-18 00:51:34.756329 | 13524014 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13524014 | Athletic Physical Therapy Inc | 1945-08-03 | 2025-10-20 | M | AE | PT | GORMLEY | 4UH0QA1WF00 | MICHAEL | 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/2222/7214829/check_13524014_8409427e-13ab-438d-9c33-bd8ae5e5860c.json | N/A | N/A | N/A | N/A | N/A | 4UH0QA1WF00 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-08-03 | S5921 | N/A | N/A | MB | false | GORMLEY | 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 | 9045303984 | N/A | N/A | 7214829 | 2222 | 4802 | 13840284 | N/A | 4209498 | 2025-10-18 00:51:34.756329 | 2025-09-22 06:46:20.286658 |
| 2025-10-17 05:15:01.545295 | 2025-10-18 01:03:04.404649 | 13523920 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13523920 | Athletic Physical Therapy Inc | 1987-04-30 | 2025-10-20 | M | PT | N/A | FORBES | JMJ569W09937 | ERIK | 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/2222/9562362/check_13523920_89560a83-d5fb-46b9-9bda-963d2a2d3bfc.json | N/A | N/A | N/A | N/A | N/A | JMJ569W09937 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1987-04-30 | N/A | N/A | N/A | N/A | false | FORBES | N/A | ERIK | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045479514 | N/A | N/A | 9562362 | 2222 | 4801 | 13851114 | N/A | 7997540 | 2025-10-18 01:03:04.404649 | 2025-09-19 22:49:06.625970 |
| 2025-10-17 05:14:56.010304 | 2025-10-18 01:08:37.092359 | 13523767 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13523767 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-10-20 | M | AE | PT | CICCIARI | JQE123W23890 | LOUIS | 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/2222/6752939/check_13523767_9efe15d7-b14e-448a-99c8-57922af30628.json | N/A | N/A | N/A | N/A | N/A | JQE123W23890 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-09-07 | 040 | CASUPWP0 | N/A | N/A | false | CICCIARI | N/A | LOUIS | N/A | 9999-12-31 | 2025-06-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045274200 | N/A | N/A | 6752939 | 2222 | 4801 | 13855242 | N/A | 5065602 | 2025-10-18 01:08:37.092359 | 2025-07-01 17:25:13.681724 |
| 2025-10-17 05:14:55.365859 | 2025-10-18 00:56:30.637991 | 13523744 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13523744 | Athletic Physical Therapy Inc | 1950-05-18 | 2025-10-20 | F | AE | PT | BERINSTEIN | 4HY3M64VC99 | PAULA | 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/2222/10172946/check_13523744_722d978e-4a37-4347-867f-9beb01526f80.json | N/A | N/A | N/A | N/A | N/A | 4HY3M64VC99 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-05-18 | S5601 | N/A | N/A | MB | false | BERINSTEIN | N/A | PAULA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045306322 | N/A | N/A | 10172946 | 2222 | 4801 | 13845426 | N/A | 8474092 | 2025-10-18 00:56:30.637991 | 2025-10-11 14:58:02.058781 |
| 2025-10-17 05:14:54.566080 | 2025-10-18 01:08:38.527116 | 13523717 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13523717 | Athletic Physical Therapy Inc | 1929-10-10 | 2025-10-20 | M | AE | PT | Walter | XDO472A63371 | Howard | 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/2222/6751424/check_13523717_5b6ba8e2-91f6-4d0d-9367-299c7ead15fe.json | N/A | N/A | N/A | N/A | N/A | XDO472A63371 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1929-10-10 | 040 | CASUPWP0 | N/A | N/A | false | WALTER | N/A | HOWARD | N/A | 9999-12-31 | 2016-12-01 | CA PRE-MOD. BLUE CROSS SENIOR CLASSIC I | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045274194 | N/A | N/A | 6751424 | 2222 | 4802 | 13855258 | N/A | 5557241 | 2025-10-18 01:08:38.527116 | 2025-07-22 17:08:51.810153 |
| 2025-10-17 05:14:51.048727 | 2025-10-18 00:46:24.680729 | 13523564 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 13523564 | Athletic Physical Therapy Inc | 1960-02-19 | 2025-10-20 | F | AE | PT | ENGLISH BLAZEJ | 40067960801 | DOREEN | 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/2222/8048674/check_13523564_9cf53f01-e563-4fe6-9cf0-e0657781ede2.json | N/A | N/A | N/A | N/A | N/A | 40067960801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1960-02-19 | 2025H5425001 | H5425M | N/A | N/A | false | ENGLISH BLAZEJ | N/A | DOREEN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045304680 | N/A | N/A | 8048674 | 2222 | 4801 | 13834760 | N/A | 6844466 | 2025-10-18 00:46:24.680729 | 2025-08-13 17:29:27.130257 |
| 2025-10-17 05:14:50.452045 | 2025-10-18 01:08:37.632145 | 13523532 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13523532 | Athletic Physical Therapy Inc | 1959-07-23 | 2025-10-20 | M | AE | PT | Harvey | LFYHC0062508 | Roy | 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/2222/6714942/check_13523532_fc7c3a09-fc9b-453c-b17b-0e79ef2fd5fe.json | N/A | N/A | N/A | N/A | N/A | LFYHC0062508 | Preferred Provider Organization (PPO) | LOS ANGELES FIREMENS RELIEF ASSOCIATION - RETIREE | ANTHEM BLUE CROSS | N/A | 1959-07-23 | 040 | 282527M002 | N/A | PR | false | HARVEY | N/A | ROY | N/A | 9999-12-31 | 2020-02-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045273577 | N/A | N/A | 6714942 | 2222 | 4802 | 13855248 | N/A | 5316172 | 2025-10-18 01:08:37.632145 | 2025-07-02 15:09:36.678003 |
| 2025-10-17 05:14:30.125223 | 2025-10-18 00:48:11.074013 | 13522589 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13522589 | Athletic Physical Therapy Inc | 1955-05-21 | 2025-10-20 | F | PT | N/A | MARTINEZ | HFD100011199462 | RACHEL | 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/2222/8026951/check_13522589_04cff6d5-fbfd-44f2-8a7c-f5d9e3225f3e.json | N/A | N/A | N/A | N/A | N/A | HFD100011199462 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS. DOUBLEQUOTECHAR | 1955-05-21 | N/A | N/A | N/A | PR | false | MARTINEZ | N/A | RACHEL | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045304356 | N/A | N/A | 8026951 | 2222 | 4801 | 13836720 | N/A | 6828511 | 2025-10-18 00:48:11.074013 | 2025-08-14 00:23:35.929152 |
| 2025-10-17 05:14:28.212519 | 2025-10-18 01:09:15.338627 | 13522516 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13522516 | Athletic Physical Therapy Inc | 1934-12-03 | 2025-10-20 | M | AE | PT | Dayzadeh | XEM903033247 | Nasser | 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/2222/6595255/check_13522516_61706945-ad54-4ef3-88f7-bec9df0211e2.json | N/A | N/A | N/A | N/A | N/A | XEM903033247 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1934-12-03 | 2101SD000023 | X0001002 | N/A | OT | false | DAYZADEH | N/A | NASSER | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN D | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045274862 | N/A | N/A | 6595255 | 2222 | 4802 | 13855588 | N/A | 5202586 | 2025-10-18 01:09:15.338627 | 2025-06-25 17:55:27.155518 |
| 2025-10-17 05:14:27.210200 | 2025-10-18 00:34:51.793111 | 13522473 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13522473 | Athletic Physical Therapy Inc | 1996-03-28 | 2025-10-20 | F | AE | PT | SAGMAN | U9205101701 | SYDNEY | 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/2222/9924959/check_13522473_ca1f7cb4-197b-4334-a572-216712e9af2c.json | N/A | N/A | N/A | N/A | N/A | U9205101701 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1996-03-28 | N/A | N/A | N/A | N/A | false | SAGMAN | N/A | SYDNEY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045276382 | N/A | N/A | 9924959 | 2222 | 4802 | 13820928 | N/A | 4722569 | 2025-10-18 00:34:51.793111 | 2025-08-26 00:16:35.895658 |
| 2025-10-17 05:14:18.329997 | 2025-10-18 01:08:36.409582 | 13522071 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13522071 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-10-20 | M | AE | PT | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | 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/2222/6528155/check_13522071_e43cccb1-5346-4775-89a9-bbf34c7d3a10.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1954-11-24 | N/A | N/A | N/A | N/A | false | BLANCHFIELD | N/A | THOMAS | N/A | 9999-12-31 | 2024-07-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045274745 | N/A | N/A | 6528155 | 2222 | 4793 | 13855232 | N/A | 4214447 | 2025-10-18 01:08:36.409582 | 2026-04-23 20:11:34.441054 |
| 2025-10-17 05:14:16.708993 | 2025-10-18 01:08:38.224350 | 13521988 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13521988 | Athletic Physical Therapy Inc | 1960-10-21 | 2025-10-20 | M | AE | PT | UPSON | JQE907W24463 | MARK | 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/2222/6517484/check_13521988_7376ad7a-dd01-4b34-863f-0e975ab9bea0.json | N/A | N/A | N/A | N/A | N/A | JQE907W24463 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1960-10-21 | 040 | CASUPWP0 | N/A | N/A | false | UPSON | N/A | MARK | N/A | 9999-12-31 | 2025-10-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045274737 | N/A | N/A | 6517484 | 2222 | 4801 | 13855254 | N/A | 4219691 | 2025-10-18 01:08:38.224350 | 2025-05-13 04:29:37.230736 |
| 2025-10-17 05:14:15.463293 | 2025-10-18 00:47:48.205588 | 13521922 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13521922 | Athletic Physical Therapy Inc | 1980-09-20 | 2025-10-20 | F | PT | N/A | Carpio | R60757848 | Jennifer | 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/2222/7175544/check_13521922_db574adf-97e7-4c38-8fe2-e18830f2a591.json | N/A | N/A | N/A | N/A | N/A | R60757848 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1980-09-20 | N/A | 113 | N/A | PR | false | CARPIO | N/A | JENNIFER | N/A | 9999-12-31 | 2017-07-23 | BASIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045303474 | N/A | N/A | 7175544 | 2222 | 4802 | 13836282 | N/A | 5993712 | 2025-10-18 00:47:48.205588 | 2025-07-28 16:11:32.377707 |