API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-17 05:14:14.239803 | 2025-10-18 00:41:07.873520 | 13521850 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13521850 | Athletic Physical Therapy Inc | 1947-12-03 | 2025-10-20 | M | PT | WONG | 6GE2PF6CC92 | STANLEY | N/A | 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/2222/9132315/check_13521850_aec548ba-5c14-42f8-a1d5-8be9da29a06a.json | N/A | N/A | N/A | N/A | N/A | 6GE2PF6CC92 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-12-03 | H4036 | N/A | N/A | MA | false | WONG | N/A | STANLEY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045289593 | N/A | N/A | 9132315 | 2222 | 4802 | 13827980 | N/A | 7140615 | 2025-10-18 00:41:07.873520 | 2025-09-05 16:51:17.488032 |
| 2025-10-17 05:14:09.627052 | 2025-10-18 01:01:18.288718 | 13521652 | N/A | N/A | 61101 | Regal Medical Group | 1114042165 | 13521652 | Athletic Physical Therapy Inc | 1944-04-23 | 2025-10-20 | F | AE | SMITH | H6550642500 | RUTH | PT | 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/2222/9905019/check_13521652_896065e6-15fb-491c-8283-bf486984cee5.json | N/A | N/A | N/A | N/A | N/A | H65506425 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 949 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1944-04-23 | N/A | Y9623001 | N/A | HN | false | SMITH | N/A | RUTH | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045276212 | N/A | N/A | 9905019 | 2222 | 4793 | 13849802 | N/A | 8292696 | 2025-10-18 01:01:18.288718 | 2025-10-06 17:55:42.801914 |
| 2025-10-17 05:14:04.794865 | 2025-10-18 01:03:24.085404 | 13521483 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13521483 | Athletic Physical Therapy Inc | 1959-04-06 | 2025-10-20 | M | PT | RODRIGUEZ | MMA012W19973 | ROBERTO | N/A | 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/2222/9904588/check_13521483_d3f9ae1f-c357-445d-8a2b-1f974286775d.json | N/A | N/A | N/A | N/A | N/A | MMA012W19973 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-04-06 | 040 | CAMCRWP0 | N/A | MP | false | RODRIGUEZ | N/A | ROBERTO | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045276193 | N/A | N/A | 9904588 | 2222 | 4793 | 13851387 | 4184 | 8292442 | 2025-10-18 01:03:24.085404 | 2025-10-03 00:00:11.631948 |
| 2025-10-17 05:14:01.087295 | 2025-10-18 00:48:00.661636 | 13521318 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13521318 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-10-20 | F | PT | GIANNE | XED910762094 | NATALIE | N/A | 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/2222/7994545/check_13521318_f0b0143e-d68f-4a18-bc9e-b35d51254b58.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | 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 | 9045304038 | N/A | N/A | 7994545 | 2222 | 4802 | 13836525 | N/A | 6802250 | 2025-10-18 00:48:00.661636 | 2025-08-11 23:58:28.358402 |
| 2025-10-17 05:14:00.631498 | 2025-10-18 00:46:25.437055 | 13521306 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 13521306 | Athletic Physical Therapy Inc | 1950-08-25 | 2025-10-20 | F | AE | POLLOCK | 40002008301 | MARY | PT | 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/2222/7992096/check_13521306_eb8927e2-121d-4690-ad4e-b285b6a4370c.json | N/A | N/A | N/A | N/A | N/A | 40002008301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-08-25 | 2025H5425001 | H5425M | N/A | N/A | false | POLLOCK | N/A | MARY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045304028 | N/A | N/A | 7992096 | 2222 | 4801 | 13834775 | N/A | 4212687 | 2025-10-18 00:46:25.437055 | 2025-08-27 18:05:06.350903 |
| 2025-10-17 05:13:56.709663 | 2025-10-18 01:00:30.711737 | 13521130 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 13521130 | Athletic Physical Therapy Inc | 1977-12-17 | 2025-10-20 | M | PT | GORMAN | 90370502500 | JOHN | N/A | 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/2222/9898664/check_13521130_61b7b4e1-d913-4697-ae8d-bd0851c02256.json | N/A | N/A | N/A | N/A | N/A | XEP903705025 | Point of Service (POS) | CAPE | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1977-12-17 | 1000POSX0002 | W0052320 | N/A | PS | false | GORMAN | N/A | JOHN | N/A | 9999-12-31 | 2022-01-01 | GROUP LIFE 20 000 70 65 75 50 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045276487 | N/A | N/A | 9898664 | 2222 | 4793 | 13849152 | N/A | 8287160 | 2025-10-18 01:00:30.711737 | 2025-10-01 22:48:13.212843 |
| 2025-10-17 05:13:55.575772 | 2025-10-18 00:47:17.685242 | 13521088 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13521088 | Athletic Physical Therapy Inc | 1971-05-04 | 2025-10-20 | F | PT | MAHAARACHCHI | EXHAN7912598 | MELONY | N/A | 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/2222/7988722/check_13521088_9fa72de2-95ba-4534-8a28-2a8e77c50664.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1971-05-04 | N/A | N/A | N/A | N/A | false | MAHAARACHCHI | N/A | MELONY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045303495 | N/A | N/A | 7988722 | 2222 | 4793 | 13835698 | N/A | 6798209 | 2025-10-18 00:47:17.685242 | 2025-10-29 15:15:17.952230 |
| 2025-10-17 05:13:54.478722 | 2025-10-18 01:03:23.559015 | 13521045 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13521045 | Athletic Physical Therapy Inc | 1961-05-16 | 2025-10-20 | F | PT | GARCIA | JQU725A51750 | THERESA | N/A | 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/2222/9895640/check_13521045_c5a3c440-36eb-4689-8c29-f9a7b338885a.json | N/A | N/A | N/A | N/A | N/A | JQU725A51750 | Preferred Provider Organization (PPO) | HARRISON EICHENBERG AND MURPHY LLP | ANTHEM BLUE CROSS | N/A | 1961-05-16 | 040 | H82608 | N/A | PR | false | GARCIA | N/A | THERESA | N/A | 9999-12-31 | 2025-09-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045276476 | N/A | N/A | 9895640 | 2222 | 4793 | 13851380 | N/A | 8285172 | 2025-10-18 01:03:23.559015 | 2025-10-06 14:32:40.429816 |
| 2025-10-17 05:13:52.136849 | 2025-10-18 01:06:27.141420 | 13520915 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13520915 | Athletic Physical Therapy Inc | 1960-10-21 | 2025-10-20 | M | AE | UPSON | 6MH7ED3NE57 | MARK | PT | 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/2222/9893712/check_13520915_e2eab26d-107d-4da1-a46e-d02c0a38c45e.json | N/A | N/A | N/A | N/A | N/A | 6MH7ED3NE57 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-10-21 | S5617 | N/A | N/A | MA | false | UPSON | N/A | MARK | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045277186 | N/A | N/A | 9893712 | 2222 | 4801 | 13853575 | N/A | 4219691 | 2025-10-18 01:06:27.141420 | 2025-05-13 04:29:37.230736 |
| 2025-10-17 05:13:51.864468 | 2025-10-18 01:08:37.913139 | 13520898 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13520898 | Athletic Physical Therapy Inc | 1951-03-27 | 2025-10-20 | F | AE | Jaude | JQE818A61594 | Anne | PT | 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/2222/6125110/check_13520898_ada81e2e-fda6-4a7a-8c5d-c7fcd272d043.json | N/A | N/A | N/A | N/A | N/A | JQE818A61594 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1951-03-27 | N/A | N/A | N/A | N/A | false | JAUDE | N/A | ANNE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045274692 | N/A | N/A | 6125110 | 2222 | 4802 | 13855250 | N/A | 4767362 | 2025-10-18 01:08:37.913139 | 2025-09-19 16:49:18.601418 |
| 2025-10-17 05:13:51.003013 | 2025-10-18 02:33:58.421897 | 13520852 | N/A | N/A | 60054 | Aetna | 1114042165 | 13520852 | Athletic Physical Therapy Inc | 1991-08-09 | 2025-10-20 | M | AE | TORIO | W287278504 | MICHAEL | PT | 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/2222/6235883/check_13520852_da3e3541-1548-483a-8a29-ca2459d13138.json | N/A | N/A | N/A | N/A | N/A | W287278504 | Point of Service (POS) | COADVANTAGE RESOURCES, INC. | AETNA | N/A | 1991-08-09 | 0159468 | 015946801000034 | N/A | PS | false | TORIO | N/A | MICHAEL | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045387477 | N/A | N/A | 6235883 | 2222 | 4802 | 13859039 | N/A | 4883697 | 2025-10-18 02:33:58.421897 | 2025-07-08 14:55:53.397662 |
| 2025-10-17 05:13:36.349132 | 2025-10-18 02:35:36.874042 | 13520123 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 13520123 | Athletic Physical Therapy Inc | 1947-04-26 | 2025-10-20 | F | AE | BARCENES | H9209970900 | IRENE | PT | 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/2222/6231314/check_13520123_735b8864-8ead-439c-a9b9-65d0e0d2dfac.json | N/A | N/A | N/A | N/A | N/A | H92099709 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1947-04-26 | N/A | 0B527001 | N/A | HN | false | BARCENES DES | N/A | IRENE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045387446 | N/A | N/A | 6231314 | 2222 | 4801 | 13859515 | N/A | 4219033 | 2025-10-18 02:35:36.874042 | 2025-05-13 04:29:37.230052 |
| 2025-10-17 05:13:32.168491 | 2025-10-18 01:11:55.800887 | 13519906 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13519906 | Athletic Physical Therapy Inc | 1956-06-26 | 2025-10-20 | F | AE | SUAREZ | JQE410W22492 | ANA | PT | 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/2222/9083355/check_13519906_ae457c61-a3ec-40db-9aa0-897b68a92eff.json | N/A | N/A | N/A | N/A | N/A | JQE410W22492 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1956-06-26 | 040 | CASUPWP0 | N/A | N/A | false | SUAREZ | N/A | ANA | N/A | 9999-12-31 | 2025-01-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045487830 | N/A | N/A | 9083355 | 2222 | 4801 | 13857044 | N/A | 7600312 | 2025-10-18 01:11:55.800887 | 2025-09-04 18:19:39.478018 |
| 2025-10-17 05:13:30.326976 | 2025-10-18 00:55:36.920814 | 13519765 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13519765 | Athletic Physical Therapy Inc | 1976-12-24 | 2025-10-20 | F | AE | JOHNSON | R13035838FM1 | OLIVIA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251017.111319810.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-20 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11087483/check_13519765_660df765-8981-41e8-872e-b866a831eb45.json | N/A | N/A | N/A | N/A | N/A | R13035838FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1976-12-24 | N/A | N/A | N/A | N/A | false | JOHNSON | N/A | OLIVIA | N/A | N/A | N/A | MFC UCNNHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045464660 | N/A | N/A | 11087483 | 2222 | 4793 | 13844648 | N/A | 9440342 | 2025-10-18 00:55:36.920814 | 2025-10-20 22:31:23.316598 |
| 2025-10-17 05:13:29.735632 | 2025-10-18 00:51:35.343279 | 13519726 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13519726 | Athletic Physical Therapy Inc | 1968-07-21 | 2025-10-20 | F | AE | MCALISTER | 4TU6H11QQ85 | BONNIE | PT | 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/2222/7024101/check_13519726_bbabe1a9-e041-4cbb-b87c-a228cfa56d4b.json | N/A | N/A | N/A | N/A | N/A | 4TU6H11QQ85 | Medicare Part B | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1968-07-21 | N/A | N/A | N/A | MB | false | MCALISTER | 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 | 9045302565 | N/A | N/A | 7024101 | 2222 | 4801 | 13840296 | N/A | 6038562 | 2025-10-18 00:51:35.343279 | 2025-07-30 21:46:09.369299 |
| 2025-10-17 05:13:27.199892 | 2025-10-18 00:37:10.200911 | 13519567 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13519567 | Athletic Physical Therapy Inc | 1962-08-12 | 2025-10-20 | F | PT | SCHOLEFIELD | TRJNP1055193 | ROBIN | N/A | 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/2222/9087505/check_13519567_f85c9bf2-37b1-47b5-ae74-c110032bc1c2.json | N/A | N/A | N/A | N/A | N/A | TRJNP1055193 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1962-08-12 | 040 | 276727M007 | N/A | PR | false | SCHOLEFIELD | N/A | ROBIN | N/A | 9999-12-31 | 2020-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045288827 | N/A | N/A | 9087505 | 2222 | 4793 | 13823353 | N/A | 7605100 | 2025-10-18 00:37:10.200911 | 2025-09-11 15:07:41.965017 |
| 2025-10-17 05:13:23.698030 | 2025-10-18 00:41:06.966828 | 13519335 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13519335 | Athletic Physical Therapy Inc | 1944-06-21 | 2025-10-20 | M | AE | SNIDER | 3V86KA2PC78 | CHARLES | PT | 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/2222/9086542/check_13519335_f33946f8-06f9-4e55-846b-ee192cabeab4.json | N/A | N/A | N/A | N/A | N/A | 3V86KA2PC78 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-06-21 | S5601 | N/A | N/A | MB | false | SNIDER | N/A | CHARLES | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045288808 | N/A | N/A | 9086542 | 2222 | 4801 | 13827961 | N/A | 7601198 | 2025-10-18 00:41:06.966828 | 2025-09-04 18:54:01.469606 |
| 2025-10-17 05:13:20.877881 | 2025-10-18 01:06:26.269507 | 13519192 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13519192 | Athletic Physical Therapy Inc | 1947-07-23 | 2025-10-20 | F | AE | JOHNSON | 1CX4UU0NX84 | JUANITA | PT | 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/2222/9862554/check_13519192_46376991-fad7-4be3-8ca7-34dfdcb44969.json | N/A | N/A | N/A | N/A | N/A | 1CX4UU0NX84 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-07-23 | S5884 | N/A | N/A | MA | false | JOHNSON | N/A | JUANITA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045276950 | N/A | N/A | 9862554 | 2222 | 4801 | 13853566 | N/A | 8258095 | 2025-10-18 01:06:26.269507 | 2025-09-30 21:32:44.934397 |
| 2025-10-17 05:13:20.574938 | 2025-10-18 01:06:26.855926 | 13519180 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13519180 | Athletic Physical Therapy Inc | 1959-09-19 | 2025-10-20 | F | AE | MOJIRI ANDANI | 3CQ3TX0XD02 | SOUSSAN | PT | 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/2222/9862291/check_13519180_ba88879c-5737-4651-bdff-842b36aaf366.json | N/A | N/A | N/A | N/A | N/A | 3CQ3TX0XD02 | Medicare Part A | N/A | HEALTH CARE SERVICE CORPORATION | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-19 | S5715 | N/A | N/A | MA | false | MOJIRI-ANDANI | N/A | SOUSSAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045276948 | N/A | N/A | 9862291 | 2222 | 4802 | 13853572 | N/A | 8216024 | 2025-10-18 01:06:26.855926 | 2025-09-29 17:34:24.775132 |
| 2025-10-17 05:13:17.111621 | 2025-10-18 01:08:36.752631 | 13518993 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13518993 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-10-20 | F | AE | BRADBURY | JQE669W05502 | BONNIE | PT | 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/2222/5550535/check_13518993_93c3d87f-5701-481d-b447-f7b184ddc90f.json | N/A | N/A | N/A | N/A | N/A | JQE669W05502 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-06-01 | 040 | CASUPWP0 | N/A | N/A | false | BRADBURY | N/A | BONNIE | N/A | 9999-12-31 | 2022-12-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045273939 | N/A | N/A | 5550535 | 2222 | 4801 | 13855237 | N/A | 4219556 | 2025-10-18 01:08:36.752631 | 2025-05-13 04:29:37.230592 |
| 2025-10-17 05:13:16.821093 | 2025-10-18 01:06:52.281927 | 13518975 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 13518975 | Athletic Physical Therapy Inc | 1940-11-11 | 2025-10-20 | M | AE | GOLDBERG | U5126496602 | Michael | PT | 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/2222/5542973/check_13518975_73443921-38d5-445e-a47e-fb77493ffeed.json | N/A | N/A | N/A | N/A | N/A | U5126496602 | Indemnity | MONTGOMERY COUNTY PUBLIC SCHOOLS | CHLIC | N/A | 1940-11-11 | N/A | 2501729 | N/A | IN | false | GOLDBERG | N/A | MICHAEL | N/A | N/A | N/A | INDEMNITY | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045273936 | N/A | N/A | 5542973 | 2222 | 4802 | 13853940 | N/A | 4214820 | 2025-10-18 01:06:52.281927 | 2025-06-30 02:56:23.324592 |
| 2025-10-17 05:13:16.685167 | 2025-10-18 01:06:52.010531 | 13518965 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 13518965 | Athletic Physical Therapy Inc | 1944-10-29 | 2025-10-20 | F | AE | GOLDBERG | U51264966 | LINDA | PT | 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/2222/5542937/check_13518965_fa2394e7-4c39-46b8-8f9e-76d094695afd.json | N/A | N/A | N/A | N/A | N/A | U5126496601 | Indemnity | MONTGOMERY COUNTY PUBLIC SCHOOLS | CHLIC | N/A | 1944-10-29 | N/A | 2501729 | N/A | IN | false | GOLDBERG | N/A | LINDA | N/A | N/A | N/A | INDEMNITY | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045273935 | N/A | N/A | 5542937 | 2222 | 4802 | 13853936 | N/A | 4214789 | 2025-10-18 01:06:52.010531 | 2025-12-11 23:30:31.319246 |
| 2025-10-17 05:13:16.663754 | 2025-10-18 00:41:07.569080 | 13518963 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13518963 | Athletic Physical Therapy Inc | 1956-06-26 | 2025-10-20 | F | AE | SUAREZ | 4EY2NT4GU93 | ANA | PT | 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/2222/9083354/check_13518963_96095098-b41f-4dcc-b52a-3afe30766bd6.json | N/A | N/A | N/A | N/A | N/A | 4EY2NT4GU93 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-06-26 | S5921 | N/A | N/A | MA | false | SUAREZ | N/A | ANA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045288777 | N/A | N/A | 9083354 | 2222 | 4801 | 13827974 | N/A | 7600312 | 2025-10-18 00:41:07.569080 | 2025-09-04 18:19:39.478018 |
| 2025-10-17 05:13:16.324666 | 2025-10-18 01:08:37.353892 | 13518942 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13518942 | Athletic Physical Therapy Inc | 1952-12-18 | 2025-10-20 | F | AE | DU BRIN | JQE162M93481 | SUSAN | PT | 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/2222/5538605/check_13518942_d60d51cb-c355-4bd1-a69a-812b76367166.json | N/A | N/A | N/A | N/A | N/A | JQE162M93481 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-12-18 | 040 | CASUPWP0 | N/A | N/A | false | DU BRIN | N/A | SUSAN | N/A | 9999-12-31 | 2021-03-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045273933 | N/A | N/A | 5538605 | 2222 | 4793 | 13855244 | N/A | 4210998 | 2025-10-18 01:08:37.353892 | 2026-02-23 18:49:01.874308 |
| 2025-10-17 05:13:16.165626 | 2025-10-18 01:09:15.645276 | 13518932 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13518932 | Athletic Physical Therapy Inc | 1954-01-24 | 2025-10-20 | F | AE | DIGIOVANNI | XEM910156092 | JILL | PT | 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/2222/5538594/check_13518932_7705d509-4e79-4968-9a44-a06b1e7cf777.json | N/A | N/A | N/A | N/A | N/A | XEM910156092 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1954-01-24 | 2002SF000029 | X0001002 | N/A | OT | false | DIGIOVANNI | N/A | JILL | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045273932 | N/A | N/A | 5538594 | 2222 | 4801 | 13855591 | N/A | 4210993 | 2025-10-18 01:09:15.645276 | 2025-05-13 04:29:37.225395 |
| 2025-10-17 05:13:15.883674 | 2025-10-18 01:08:35.938368 | 13518918 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13518918 | Athletic Physical Therapy Inc | 1964-12-31 | 2025-10-20 | M | PT | BRIGHT | MPI01424345Q | RICHARD | N/A | 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/2222/5538212/check_13518918_eb3f6494-969f-4fcc-b7c0-7406eb19335d.json | N/A | N/A | N/A | N/A | N/A | MPI01424345Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1964-12-31 | 040 | 277163M402 | N/A | PR | false | BARR BRIGHT | N/A | CYNTHIA | N/A | 9999-12-31 | 2024-08-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045273931 | N/A | N/A | 5538212 | 2222 | 4793 | 13855228 | N/A | 4210664 | 2025-10-18 01:08:35.938368 | 2025-10-01 18:16:15.634130 |
| 2025-10-17 05:13:15.653482 | 2025-10-18 01:08:11.128749 | 13518905 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13518905 | Athletic Physical Therapy Inc | 1950-09-27 | 2025-10-20 | F | AE | THOMSEN | R12604487 | JANET | PT | 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/2222/5537953/check_13518905_dff3849a-96ef-4294-91c2-1d46fbd328eb.json | N/A | N/A | N/A | N/A | N/A | R12604487FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1950-09-27 | N/A | N/A | N/A | N/A | false | THOMSEN | N/A | JANET | N/A | 2025-11-01 | 2022-03-01 | FAP MEDIFLEX | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045273930 | N/A | N/A | 5537953 | 2222 | 4801 | 13854929 | N/A | 4210450 | 2025-10-18 01:08:11.128749 | 2026-05-04 21:51:25.248197 |
| 2025-10-17 05:13:15.458353 | 2025-10-18 01:03:05.895541 | 13518893 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 13518893 | Athletic Physical Therapy Inc | 1952-03-25 | 2025-10-20 | F | AE | DRIMMER | 33360295512 | NADIA | PT | 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/2222/5537832/check_13518893_0293dea8-6f0c-486e-ae82-dd97cb212dea.json | N/A | N/A | N/A | N/A | N/A | 33360295512 | 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. | 1952-03-25 | N/A | N/A | N/A | SP | false | DRIMMER | N/A | NADIA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045273929 | N/A | N/A | 5537832 | 2222 | 4802 | 13851138 | N/A | 4210338 | 2025-10-18 01:03:05.895541 | 2025-05-13 04:29:37.224744 |
| 2025-10-17 05:13:15.296350 | 2025-10-18 01:03:05.610740 | 13518885 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 13518885 | Athletic Physical Therapy Inc | 1951-06-30 | 2025-10-20 | F | AE | CHADORCHI | 33261790711 | JAFFA | PT | 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/2222/5537483/check_13518885_5fdc9c36-0460-4bab-88c5-d3e57671558d.json | N/A | N/A | N/A | N/A | N/A | 33261790711 | 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. | 1951-06-30 | N/A | N/A | N/A | SP | false | CHADORCHI | N/A | JAFFA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045273928 | N/A | N/A | 5537483 | 2222 | 4802 | 13851134 | N/A | 4210038 | 2025-10-18 01:03:05.610740 | 2025-06-02 14:57:36.820684 |
| 2025-10-17 05:13:15.124202 | 2025-10-18 01:09:15.967151 | 13518873 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13518873 | Athletic Physical Therapy Inc | 1950-07-23 | 2025-10-20 | M | AE | MELVILLE | XEMJ06188527 | LANNING | PT | 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/2222/5535731/check_13518873_f56ffb70-36e0-45e0-b5be-c4bfb3d928ee.json | N/A | N/A | N/A | N/A | N/A | XEMJ06188527 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1950-07-23 | N/A | N/A | N/A | N/A | 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 | 9045273927 | N/A | N/A | 5535731 | 2222 | 4802 | 13855594 | N/A | 4208598 | 2025-10-18 01:09:15.967151 | 2025-09-11 00:56:25.554348 |
| 2025-10-17 05:13:14.967576 | 2025-10-18 01:03:06.227257 | 13518864 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 13518864 | Athletic Physical Therapy Inc | 1939-10-22 | 2025-10-20 | M | AE | ODONNELL | 02722745411 | JOHN | PT | 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/2222/5535496/check_13518864_ad9a1f2e-8a5e-4dd8-a274-44ed4ac4befd.json | N/A | N/A | N/A | N/A | N/A | 02722745411 | 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. | 1939-10-22 | N/A | N/A | N/A | SP | false | O DONNELL | N/A | JOHN | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045273926 | N/A | N/A | 5535496 | 2222 | 4802 | 13851143 | N/A | 4208408 | 2025-10-18 01:03:06.227257 | 2025-05-13 04:29:37.222823 |
| 2025-10-17 05:13:10.125907 | 2025-10-18 00:51:35.067550 | 13518614 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13518614 | Athletic Physical Therapy Inc | 1960-05-24 | 2025-10-20 | F | AE | JIMENEZ LOPEZ | 6J82MP1YH03 | MARIA | PT | 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/2222/7000055/check_13518614_14fc0406-9272-4d79-a2b8-07c678fdece4.json | N/A | N/A | N/A | N/A | N/A | 6J82MP1YH03 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-05-24 | S5617 | N/A | N/A | MB | false | JIMENEZ LOPEZ | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045301905 | N/A | N/A | 7000055 | 2222 | 4801 | 13840291 | N/A | 6019507 | 2025-10-18 00:51:35.067550 | 2025-07-14 20:23:06.646459 |
| 2025-10-17 05:12:54.562063 | 2025-10-18 00:33:23.792195 | 13517796 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 13517796 | override_provider | 2003-11-16 | 2025-10-20 | F | PT | HAYASHI | XLXR000032097727 | LAUREN | N/A | 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/2222/9066824/check_13517796_aa991e10-590b-4078-a887-6ab5207262e0.json | N/A | N/A | N/A | N/A | N/A | XLXR000032097727 | Preferred Provider Organization (PPO) | OSF INDIVIDUAL PLATINUM PPO W/ DENTAL HIGH (GOLD) | BLUE SHIELD OF CALIFORNIA | N/A | 2003-11-16 | N/A | 24048 1 | N/A | PR | false | HAYASHI | N/A | NANCY | N/A | 9999-12-31 | 2023-12-01 | PLATINUM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045288567 | N/A | N/A | 9066824 | 2222 | 4802 | 13819590 | N/A | 7582776 | 2025-10-18 00:33:23.792195 | 2025-09-24 22:06:50.112056 |
| 2025-10-17 05:12:49.827191 | 2025-10-18 02:37:37.286875 | 13517556 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13517556 | Athletic Physical Therapy Inc | 1981-12-16 | 2025-10-20 | F | AE | DE FELICE | R07457624FM1 | CHRISTINA | PT | 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/2222/6140436/check_13517556_c392a736-b73f-417c-b6d5-57b870b1535f.json | N/A | N/A | N/A | N/A | N/A | R07457624FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1981-12-16 | N/A | N/A | N/A | N/A | false | DE FELICE | N/A | CHRISTINA | N/A | N/A | N/A | KA9 SBP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045387132 | N/A | N/A | 6140436 | 2222 | 4801 | 13860328 | N/A | 4781417 | 2025-10-18 02:37:37.286875 | 2025-06-06 17:03:19.078153 |
| 2025-10-17 05:12:49.609180 | 2025-10-18 02:33:57.783708 | 13517546 | N/A | N/A | 60054 | Aetna | 1114042165 | 13517546 | Athletic Physical Therapy Inc | 1969-01-03 | 2025-10-20 | M | AE | HUANG | W278191924 | DANNY | PT | 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/2222/6140246/check_13517546_5d2be750-fb9d-4c0c-bedf-015bbb0223b7.json | N/A | N/A | N/A | N/A | N/A | W278191924 | Point of Service (POS) | RIPPLING PEO 1, INC. | AETNA | N/A | 1969-01-03 | 0169696 | 016969601700012 | N/A | PS | false | HUANG | N/A | DANNY | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045387131 | N/A | N/A | 6140246 | 2222 | 4802 | 13859036 | N/A | 4781166 | 2025-10-18 02:33:57.783708 | 2025-06-11 17:29:46.826705 |
| 2025-10-17 05:12:44.439405 | 2025-10-18 00:37:08.020924 | 13517290 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13517290 | Athletic Physical Therapy Inc | 1951-10-06 | 2025-10-20 | M | PT | CRONIN | NSA00368979H | KEVIN | N/A | 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/2222/9063293/check_13517290_c45aa1ee-49f6-4231-a74a-9f70581a0f3c.json | N/A | N/A | N/A | N/A | N/A | NSA00368979H | Preferred Provider Organization (PPO) | MAIN PPO PLAN- EARNED | ANTHEM BLUE CROSS | N/A | 1951-10-06 | 040 | L05927A001 | N/A | PR | false | CRONIN | N/A | KEVIN | N/A | 9999-12-31 | 2023-07-01 | PB INCENTIVE NO SUTTER | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045288364 | N/A | N/A | 9063293 | 2222 | 4793 | 13823309 | N/A | 7578088 | 2025-10-18 00:37:08.020924 | 2025-09-03 18:45:56.904111 |
| 2025-10-17 05:12:42.535833 | 2025-10-18 02:41:18.833982 | 13517210 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13517210 | Athletic Physical Therapy Inc | 1951-03-27 | 2025-10-20 | F | AE | Jaude | 9MG2QE6VF90 | Anne | PT | 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/2222/6124906/check_13517210_e224c742-99f7-4364-a0cc-5822daa11f8a.json | N/A | N/A | N/A | N/A | N/A | 9MG2QE6VF90 | N/A | N/A | CMS | N/A | 1951-03-27 | N/A | N/A | N/A | N/A | false | JAUDE | N/A | ANNE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045387102 | N/A | N/A | 6124906 | 2222 | 4802 | 13861842 | N/A | 4767362 | 2025-10-18 02:41:18.833982 | 2025-09-19 16:49:18.601418 |
| 2025-10-17 05:12:40.701186 | 2025-10-18 02:37:36.499573 | 13517139 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 13517139 | Athletic Physical Therapy Inc | 1958-01-09 | 2025-10-20 | F | AE | MEISTER | 4042289 | JACQUELINE | PT | 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/2222/6124078/check_13517139_c6a68988-72f5-48f7-8432-e81959495b62.json | N/A | N/A | N/A | N/A | N/A | 4042289 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1958-01-09 | N/A | N/A | N/A | N/A | false | MEISTER | N/A | JACQUELINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045387039 | N/A | N/A | 6124078 | 2222 | 4793 | 13860322 | N/A | 4766789 | 2025-10-18 02:37:36.499573 | 2025-06-04 04:12:38.642669 |
| 2025-10-17 05:12:28.056641 | 2025-10-18 00:43:35.730535 | 13516681 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 13516681 | Athletic Physical Therapy Inc | 2010-03-18 | 2025-10-20 | M | PT | MARTIN | XEH906532391003 | CHRISTOPHER | N/A | 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/2222/6967909/check_13516681_b0cc5577-6bad-49b7-bbd9-6deed56df134.json | N/A | N/A | N/A | N/A | N/A | XEH906532391 | Health Maintenance Organization (HMO) | WILD WONDER LLC | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2010-03-18 | 1000VX000101 | W0099153 | N/A | HM | false | MARTIN | N/A | ELIZABETH | N/A | 2036-03-31 | 2019-06-01 | DENTAL HMO PLUS | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9045301459 | N/A | N/A | 6967909 | 2222 | 4793 | 13831211 | N/A | 5990447 | 2025-10-18 00:43:35.730535 | 2025-07-21 18:40:33.917911 |
| 2025-10-17 04:46:57.896934 | 2025-10-17 04:47:02.212778 | 13516369 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-06-18 | 2025-10-22 | F | AE | REISMAN | 6C16CN3FM49 | GAIL | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10984906/check_13516369_5718b566-34f3-4634-b812-43ad4ee75211.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10984906/check_13516369_6d5d8a54-a57d-48c9-b0b3-471466f3084e.json | N/A | N/A | N/A | N/A | N/A | 6C16CN3FM49 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-06-18 | N/A | N/A | N/A | MA | false | REISMAN | N/A | GAIL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9045129078 | N/A | N/A | 10984906 | 2222 | N/A | 13792192 | N/A | 9156222 | 2025-10-17 04:47:02.212778 | 2026-01-08 22:56:20.879547 |
| 2025-10-17 02:23:48.992823 | 2025-10-17 02:23:54.227818 | 13516228 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-12-08 | 2025-10-17 | M | PT | MAGEE | SRYHC0157512 | TERRENCE | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11084204/check_13516228_87b13355-febe-4e3a-9853-49cab07243b5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11084204/check_13516228_af2bfa87-533e-4cea-b38a-2007a2374b8e.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 | 9044722219 | N/A | N/A | 11084204 | 2222 | N/A | 13784061 | N/A | 9438176 | 2025-10-17 02:23:54.227818 | 2025-11-14 22:03:28.394724 |
| 2025-10-17 02:22:46.710162 | 2025-10-17 02:23:48.978852 | 13516227 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-12-08 | 2025-10-17 | M | PT | MAGEE | SRYHC0157512 | TERRENCE | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11084204/check_13516227_539e971d-d362-4cb2-9739-b52ca2104135.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-17 | N/A | N/A | N/A | N/A | N/A | N/A | SRYHC0157512 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1974-12-08 | N/A | N/A | N/A | N/A | false | MAGEE | N/A | TERRENCE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 11084204 | 2222 | N/A | N/A | N/A | 9438176 | 2025-10-17 02:23:48.978852 | 2025-11-14 22:03:28.394724 |
| 2025-10-17 01:07:54.266397 | 2025-10-17 01:07:58.623872 | 13516190 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-05-29 | 2025-10-17 | F | AE | CORNELISON | 990430252 | ASHLEY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539453/check_13516190_4775cccc-9d78-4b65-88df-2b6cc013a4af.json | UHC | N/A | INSIGHTS | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539453/check_13516190_61a57c33-9c4d-4631-bd64-31f2755f2403.json | N/A | N/A | N/A | N/A | N/A | 990430252 | Commercial | N/A | UNITEDHEALTHCARE | N/A | 1996-05-29 | N/A | 928077 | N/A | C1 | false | CORNELISON | N/A | ASHLEY | N/A | N/A | N/A | SELECT PLUS PPO CA 2024 DKS7 MOD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539453 | 2222 | N/A | 13784023 | N/A | 4211755 | 2025-10-17 01:07:58.623872 | 2025-05-13 04:29:37.226075 |
| 2025-10-16 23:59:30.692347 | 2025-10-16 23:59:34.932401 | 13516087 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-02-20 | 2025-10-17 | M | AE | HERNANDEZ | 40069900101 | FABIAN | PT | 23326 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11000447/check_13516087_f69465c5-e37e-4dee-9a8c-e7c623cc00f1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11000447/check_13516087_5f7a01a3-d7c9-4b10-bf91-d8ef7a85d4e1.json | N/A | N/A | N/A | N/A | N/A | 40069900101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-02-20 | 2025H5425001 | H5425M | N/A | N/A | false | HERNANDEZ | N/A | FABIAN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9044341140 | N/A | N/A | 11000447 | 2222 | N/A | 13763727 | N/A | 9170712 | 2025-10-16 23:59:34.932401 | 2025-10-16 23:43:03.404306 |
| 2025-10-16 23:55:22.251421 | 2025-10-16 23:55:26.165393 | 13516084 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-12-08 | 2025-10-17 | F | AE | OMORUYI | W295020264 | KENDALL | PT | 3939 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10301744/check_13516084_35776de5-ef9f-4bc4-830f-d52eea01256b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10301744/check_13516084_54b0f19b-06c3-420e-b8c7-25ef191cbce3.json | N/A | N/A | N/A | N/A | N/A | W295020264 | Exclusive Provider Organization | STANFORD HEALTH CARE | AETNA | N/A | 2008-12-08 | 0283901 | 028390101500007 | N/A | EP | false | OMORUYI | N/A | GENEVIEVE | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9044327237 | N/A | N/A | 10301744 | 2222 | N/A | 13763714 | N/A | 8571836 | 2025-10-16 23:55:26.165393 | 2025-10-17 22:58:50.492653 |
| 2025-10-16 21:56:34.508495 | 2025-10-16 21:56:36.604789 | 13515350 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-12-08 | 2025-10-17 | M | PT | MAGEE | SRYHC0157512 | TERRENCE | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11084204/check_13515350_bf45ab67-9c12-4583-84c9-bc43343fc7af.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11084204/check_13515350_8241a5f8-4709-477d-8687-7819486b3083.json | N/A | N/A | N/A | N/A | N/A | SRYHC0157512 | Preferred Provider Organization (PPO) | SURVEYMONKEY PPO IN STATE | ANTHEM BLUE CROSS | 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 | 9043961630 | 162972 | N/A | 11084204 | 2222 | N/A | 13762606 | N/A | 9438176 | 2025-10-16 21:56:36.604789 | 2025-11-14 22:03:28.394724 |
| 2025-10-16 21:56:09.275319 | 2025-10-16 21:56:12.183432 | 13515348 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-12-08 | 2025-10-17 | M | PT | MAGEE | SRYHC0157512 | TERRENCE | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11084204/check_13515348_ba8373db-3c11-4323-8608-52de9aa574c3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11084204/check_13515348_6201610a-43a8-4926-9e1d-ae99babce556.json | N/A | N/A | N/A | N/A | N/A | SRYHC0157512 | Preferred Provider Organization (PPO) | SURVEYMONKEY PPO IN STATE | ANTHEM BLUE CROSS | 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 | 9043960487 | 162972 | N/A | 11084204 | 2222 | N/A | 13762603 | N/A | 9438176 | 2025-10-16 21:56:12.183432 | 2025-11-14 22:03:28.394724 |
| 2025-10-16 21:55:50.624728 | 2025-10-16 21:55:55.515789 | 13515347 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-12-08 | 2025-10-17 | M | PT | MAGEE | SRYHC0157512 | TERRENCE | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/11084204/check_13515347_cc77b59f-ca60-4588-9d23-45dd231366a5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/11084204/check_13515347_f4c00d41-8e26-46b1-8e3d-d039a864fad5.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 | 9043959555 | 162972 | N/A | 11084204 | 2222 | N/A | 13762602 | N/A | 9438176 | 2025-10-16 21:55:55.515789 | 2025-11-14 22:03:28.394724 |
| 2025-10-16 21:34:42.709716 | 2025-10-16 21:34:46.655144 | 13515203 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-03-26 | 2025-10-21 | F | AE | HEYES | 95596436F | DARCIE | PT | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542233/check_13515203_82a78cd8-d2a1-479a-8c7f-57ddd5fcc56e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542233/check_13515203_a96c6986-4b38-4e21-a09a-ad1c8ba0fe8c.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1975-03-26 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | 2078-12-31 | 2024-04-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9043889128 | 2182 | N/A | 5542233 | 2222 | N/A | 13762443 | N/A | 4214178 | 2025-10-16 21:34:46.655144 | 2025-05-13 04:29:37.228506 |
| 2025-10-16 21:34:27.516332 | 2025-10-16 21:34:29.361961 | 13515199 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-03-26 | 2025-10-21 | F | AE | HEYES | 95596436F | DARCIE | PT | 23324 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542233/check_13515199_8ffef194-e8bd-40e2-9734-281efe5ee9d2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542233/check_13515199_6c6a73fd-54b9-40ad-9de7-793eac2db154.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1975-03-26 | N/A | N/A | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 2182 | N/A | 5542233 | 2222 | N/A | 13762439 | N/A | 4214178 | 2025-10-16 21:34:29.361961 | 2025-05-13 04:29:37.228506 |