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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-15 05:20:36.453700 | 2025-10-16 00:38:26.060934 | 13441493 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13441493 | Athletic Physical Therapy Inc | 1975-10-20 | 2025-10-17 | F | PT | BARRUS | NCF701A73626 | ERIKA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102504400.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9742864/check_13441493_7b84f0c4-834f-4620-ad4b-152270b3a17b.json | N/A | N/A | N/A | N/A | N/A | NCF701A73626 | Health Maintenance Organization (HMO) | GOLDEN STATE MEDICAL SUPPLY | ANTHEM BLUE CROSS | N/A | 1975-10-20 | 040 | L00156H001 | N/A | HM | false | BARRUS | N/A | JOHN | N/A | 9999-12-31 | 2025-06-01 | VALUE SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9027425049 | N/A | N/A | 9742864 | 2222 | 4801 | 13725988 | N/A | 8156225 | 2025-10-16 00:38:26.060934 | 2025-10-06 23:06:53.764973 |
| 2025-10-15 05:19:58.414611 | 2025-10-16 02:36:36.878161 | 13440429 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 13440429 | Athletic Physical Therapy Inc | 1956-05-22 | 2025-10-17 | F | AE | CHOOBIN | 91331250G | KEFAYAT | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102117772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8205059/check_13440429_3a3bdce9-c0e0-410b-9bdc-9d6793701aac.json | N/A | N/A | N/A | N/A | N/A | 91331250G | N/A | MCLA WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1956-05-22 | MCLA | MWLLDAGG21 | N/A | N/A | false | CHOOBIN | N/A | KEFAYAT | N/A | 2078-12-31 | 2021-05-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9027409935 | N/A | N/A | 8205059 | 2222 | 4793 | 13735844 | N/A | 6967073 | 2025-10-16 02:36:36.878161 | 2025-08-26 17:15:30.662072 |
| 2025-10-15 05:19:54.348108 | 2025-10-16 00:45:43.996580 | 13440264 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 13440264 | Athletic Physical Therapy Inc | 1977-08-24 | 2025-10-16 | F | AE | LESLIE | 106969238 | CAROLYN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102432559.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7978844/check_13440264_d48e2d66-c8f7-4a83-b4d5-0625fa85333e.json | N/A | N/A | N/A | N/A | N/A | 10696923800 | N/A | BELLWETHER ASSET MANAGEMENT, INC. | CHLIC | COMPLETE CARE MANAGEMENT | 1977-08-24 | N/A | 00634196 | N/A | N/A | false | LESLIE | N/A | CAROLYN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9027422659 | N/A | N/A | 7978844 | 2222 | 4802 | 13729596 | N/A | 6791609 | 2025-10-16 00:45:43.996580 | 2025-08-12 23:25:40.841503 |
| 2025-10-15 05:19:46.423304 | 2025-10-15 05:19:48.174381 | 13439926 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-11-30 | 2025-10-15 | F | AE | Tenner | 7NJ4CC5TK93 | Susan | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10347881/check_13439926_1ba5ef74-02b5-436d-807f-e24a107a0bf4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10347881/check_13439926_3c9772f3-86ae-4958-8bc9-2a13f06bedc1.json | N/A | N/A | N/A | N/A | N/A | 7NJ4CC5TK93 | Medicare Part A | N/A | OPTUM INSURANCE OF OHIO, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-11-30 | S8841 | N/A | N/A | MA | false | TENNER | N/A | SUSAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9027402974 | N/A | N/A | 10347881 | 2222 | N/A | 13702787 | N/A | 8614368 | 2025-10-15 05:19:48.174381 | 2025-10-13 19:03:41.164438 |
| 2025-10-15 05:19:44.600229 | 2025-10-15 05:19:52.453948 | 13439852 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-05-13 | 2025-10-15 | M | PT | NAGLE | KXJ244M92832 | JOHN | N/A | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/10346380/check_13439852_11cc1da9-5145-455c-804b-a615715e5245.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10346380/check_13439852_a8627d9e-3e78-40e3-8be9-a130442250d6.json | N/A | N/A | N/A | N/A | N/A | KXJ244M92832 | Health Maintenance Organization (HMO) | WILSHIRE ADVISORS LLC | ANTHEM BLUE CROSS | N/A | 1980-05-13 | 040 | 281520H004 | N/A | HM | false | NAGLE | N/A | JOHN | N/A | 9999-12-31 | 2025-01-01 | CLASSIC SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9027402871 | N/A | N/A | 10346380 | 2222 | N/A | 13702827 | N/A | 8612743 | 2025-10-15 05:19:52.453948 | 2025-10-15 21:28:55.332672 |
| 2025-10-15 05:19:36.775604 | 2025-10-16 00:32:34.166517 | 13439516 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 13439516 | Athletic Physical Therapy Inc | 1966-10-24 | 2025-10-16 | F | AE | DUARTE | 99133977C | TERESA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102512544.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10032559/check_13439516_061c6eb7-98c1-4df2-9c88-2a34f0707471.json | N/A | N/A | N/A | N/A | N/A | 99133977C | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 04/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1966-10-24 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | DUARTE | N/A | TERESA | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9027420636 | N/A | N/A | 10032559 | 2222 | 4802 | 13721363 | N/A | 8397995 | 2025-10-16 00:32:34.166517 | 2025-10-06 22:35:05.038045 |
| 2025-10-15 05:18:50.861731 | 2025-10-16 00:47:01.826868 | 13437802 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13437802 | Athletic Physical Therapy Inc | 1959-09-25 | 2025-10-17 | F | AE | SIQUEIROS | 00000416329 | NEOMI | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102432559.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7783566/check_13437802_97acebd2-f253-4a3f-92a6-56559b100742.json | N/A | N/A | N/A | N/A | N/A | 00000416329 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1959-09-25 | N/A | N/A | N/A | N/A | false | SIQUEIROS | N/A | NEOMI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9027423347 | N/A | N/A | 7783566 | 2222 | 4793 | 13730136 | 2630 | 6628802 | 2025-10-16 00:47:01.826868 | 2025-08-05 16:32:50.217064 |
| 2025-10-15 05:18:15.857836 | 2025-10-16 00:48:50.390362 | 13436474 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13436474 | Athletic Physical Therapy Inc | 1963-09-07 | 2025-10-16 | M | PT | BAHR | FZX638A69335 | KEVIN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102424407.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10371931/check_13436474_08a3bb4a-c31c-4ba8-8f3f-f4e4a4badc05.json | N/A | N/A | N/A | N/A | N/A | FZX638A69335 | Preferred Provider Organization (PPO) | CDHP HSA NON-INTEGRATED BNK | ANTHEM BLUE CROSS | N/A | 1963-09-07 | 423 | 201028M2CA | N/A | PR | false | BAHR | N/A | KEVIN | N/A | 9999-12-31 | 2022-01-01 | CDHP VIRGINIA HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9027425692 | N/A | N/A | 10371931 | 2222 | 4793 | 13730852 | N/A | 8634062 | 2025-10-16 00:48:50.390362 | 2025-10-16 21:25:25.746427 |
| 2025-10-15 05:18:10.136026 | 2025-10-16 00:36:44.460815 | 13436283 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13436283 | Athletic Physical Therapy Inc | 1952-07-15 | 2025-10-16 | M | AE | WOLFE | XEM909964699 | MICHAEL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.101917130.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10239789/check_13436283_0bc36547-d0d9-47c7-9f40-94110eafd759.json | N/A | N/A | N/A | N/A | N/A | XEM909964699 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1952-07-15 | 2004SF000028 | X0001002 | N/A | OT | false | WOLFE | N/A | MICHAEL | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9027400808 | N/A | N/A | 10239789 | 2222 | 4793 | 13724676 | N/A | 8527464 | 2025-10-16 00:36:44.460815 | 2025-10-14 15:25:46.972104 |
| 2025-10-15 05:18:07.604277 | 2025-10-16 02:34:07.288245 | 13436182 | N/A | N/A | 47027 | Physicians Mutual Insurance Company | 1114042165 | 13436182 | Athletic Physical Therapy Inc | 1952-10-25 | 2025-10-17 | F | AE | JOHNSTON | H750053601 | DEBORAH | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102117772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638391/check_13436182_132076bd-725e-4a3b-a16e-809c5951c728.json | N/A | N/A | N/A | N/A | N/A | H750053601 | N/A | N/A | PHYSICIANS MUTUAL | PAYMENT NOT GUARANTEED; BENEFITS SUBJECT TO CLAIM APPROVAL | 1952-10-25 | N/A | N/A | N/A | N/A | false | JOHNSTON | N/A | DEBORAH | N/A | N/A | N/A | MEDICARE SUPPLEMENT 2023 PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9027410437 | N/A | N/A | 6638391 | 2222 | 4793 | 13735337 | N/A | 5247837 | 2025-10-16 02:34:07.288245 | 2026-02-24 20:36:49.807283 |
| 2025-10-15 05:18:04.531607 | 2025-10-16 02:38:03.197881 | 13436077 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13436077 | Athletic Physical Therapy Inc | 1934-12-03 | 2025-10-17 | M | AE | Dayzadeh | XEM903033247 | Nasser | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102117772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6595255/check_13436077_d49a7c1b-b933-4e22-8ebf-d542e245790a.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 | 9027410426 | N/A | N/A | 6595255 | 2222 | 4802 | 13736014 | N/A | 5202586 | 2025-10-16 02:38:03.197881 | 2025-06-25 17:55:27.155518 |
| 2025-10-15 05:18:01.728767 | 2025-10-16 00:53:09.926781 | 13435974 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13435974 | Athletic Physical Therapy Inc | 1981-12-16 | 2025-10-17 | F | AE | DE FELICE | R07457624FM1 | CHRISTINA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102059173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140436/check_13435974_2f09fb2d-a8eb-4cad-9f5c-138d9ffbd6fd.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 | 9027405239 | N/A | N/A | 6140436 | 2222 | 4801 | 13732826 | N/A | 4781417 | 2025-10-16 00:53:09.926781 | 2025-06-06 17:03:19.078153 |
| 2025-10-15 05:18:01.433156 | 2025-10-16 00:41:54.794596 | 13435961 | N/A | N/A | 60054 | Aetna | 1114042165 | 13435961 | Athletic Physical Therapy Inc | 1969-01-03 | 2025-10-17 | M | AE | HUANG | W278191924 | DANNY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102059173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140246/check_13435961_1dc3ec07-dcfc-466f-9f35-437e8a2b3ee8.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 | 9027405238 | N/A | N/A | 6140246 | 2222 | 4802 | 13727974 | N/A | 4781166 | 2025-10-16 00:41:54.794596 | 2025-06-11 17:29:46.826705 |
| 2025-10-15 05:17:49.315527 | 2025-10-16 02:36:38.953464 | 13435467 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13435467 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-10-16 | M | AE | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102117772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6528155/check_13435467_d105f02b-aeb1-4d3f-b1ca-803076b3d9cb.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 | 9027410206 | N/A | N/A | 6528155 | 2222 | 4793 | 13735850 | N/A | 4214447 | 2025-10-16 02:36:38.953464 | 2026-04-23 20:11:34.441054 |
| 2025-10-15 05:17:47.754458 | 2025-10-16 02:36:40.596842 | 13435396 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13435396 | Athletic Physical Therapy Inc | 1960-10-21 | 2025-10-17 | M | AE | UPSON | JQE907W24463 | MARK | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102117772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6517484/check_13435396_683d992f-2b0d-4ae3-93b4-bfee19af6d1a.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 | 9027409272 | N/A | N/A | 6517484 | 2222 | 4801 | 13735855 | N/A | 4219691 | 2025-10-16 02:36:40.596842 | 2025-05-13 04:29:37.230736 |
| 2025-10-15 05:17:45.709322 | 2025-10-16 00:48:50.764181 | 13435302 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13435302 | Athletic Physical Therapy Inc | 1954-01-03 | 2025-10-17 | M | PT | HEMMATI | IVS912A51891 | HAMID | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102424407.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10367742/check_13435302_58d6f7bb-b75a-4bf5-9924-6de5597711ac.json | N/A | N/A | N/A | N/A | N/A | IVS912A51891 | Preferred Provider Organization (PPO) | VIASAT INC | ANTHEM BLUE CROSS | N/A | 1954-01-03 | 040 | C22681M1A1 | N/A | PR | false | HEMMATI | N/A | HAMID | N/A | 9999-12-31 | 2019-11-18 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9027427294 | N/A | N/A | 10367742 | 2222 | 4802 | 13730854 | N/A | 8630719 | 2025-10-16 00:48:50.764181 | 2025-10-13 21:08:56.975646 |
| 2025-10-15 05:17:42.401473 | 2025-10-16 00:49:26.604707 | 13435182 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13435182 | Athletic Physical Therapy Inc | 1989-01-07 | 2025-10-17 | M | PT | SCHMIDT | XEH914236759 | JULIAN MICHEL | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102424407.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10356531/check_13435182_23d9762c-2d37-4ab9-a8bb-09535ddd98a3.json | N/A | N/A | N/A | N/A | N/A | XEH914236759 | Health Maintenance Organization (HMO) | CASTANEA SICILIAN CAFE INC | BLUE SHIELD CALIFORNIA | N/A | 1989-01-07 | 1000VX000101 | W0130313 | N/A | HM | false | SCHMIDT | N/A | JULIAN MICHEL | N/A | 9999-12-31 | 2025-09-01 | GOLD ACCESS HMO R 0 35 OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9027426183 | N/A | N/A | 10356531 | 2222 | 4802 | 13731124 | N/A | 8620711 | 2025-10-16 00:49:26.604707 | 2025-10-13 20:18:39.608962 |
| 2025-10-15 05:17:22.982175 | 2025-10-16 02:38:04.979400 | 13434401 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13434401 | Athletic Physical Therapy Inc | 1960-07-20 | 2025-10-16 | F | AE | NAFTZGER | XEM914412859 | SANDRA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102117772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6194938/check_13434401_68494479-03c0-41fd-aed5-e0157c977460.json | N/A | N/A | N/A | N/A | N/A | XEM914412859 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1960-07-20 | 2002SEW00030 | X0001002 | N/A | OT | false | NAFTZGER | N/A | SANDRA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9027410530 | N/A | N/A | 6194938 | 2222 | 4802 | 13736016 | N/A | 4214889 | 2025-10-16 02:38:04.979400 | 2025-05-13 04:29:37.229212 |
| 2025-10-15 05:17:19.776749 | 2025-10-16 00:31:31.948172 | 13434263 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13434263 | Athletic Physical Therapy Inc | 1996-03-28 | 2025-10-17 | F | AE | SAGMAN | U9205101701 | SYDNEY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102512544.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9924959/check_13434263_40b17c5b-6b54-4ce0-80bc-5237f7a98aaf.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 | 9027419966 | N/A | N/A | 9924959 | 2222 | 4802 | 13720759 | N/A | 4722569 | 2025-10-16 00:31:31.948172 | 2025-08-26 00:16:35.895658 |
| 2025-10-15 05:17:17.496991 | 2025-10-16 02:36:40.226930 | 13434175 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13434175 | Athletic Physical Therapy Inc | 1951-03-27 | 2025-10-17 | F | AE | Jaude | JQE818A61594 | Anne | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102117772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6125110/check_13434175_27b28a38-ee08-4360-b280-331098d891f5.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 | 9027409140 | N/A | N/A | 6125110 | 2222 | 4802 | 13735854 | N/A | 4767362 | 2025-10-16 02:36:40.226930 | 2025-09-19 16:49:18.601418 |
| 2025-10-15 05:17:13.905163 | 2025-10-16 00:33:29.672982 | 13434027 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 13434027 | override_provider | 1967-03-14 | 2025-10-17 | M | PT | LI | AXV813538866 | ZHENG | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102406078.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9282316/check_13434027_9958484a-1ac5-43d4-a9c8-4eb0fb517187.json | N/A | N/A | N/A | N/A | N/A | AXV813538866 | Preferred Provider Organization (PPO) | M75 ABBVIE ACTIVE PPO PLUS | CUSTOMER SERVICE | N/A | 1967-03-14 | N/A | 778092 | N/A | PR | false | SONG | N/A | JIU LI | N/A | 9999-12-31 | 2025-08-12 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9027418138 | N/A | N/A | 9282316 | 2222 | 4793 | 13722105 | N/A | 7790962 | 2025-10-16 00:33:29.672982 | 2025-09-10 20:25:23.128175 |
| 2025-10-15 05:17:05.726241 | 2025-10-16 00:41:58.708827 | 13433733 | N/A | N/A | 60054 | Aetna | 1114042165 | 13433733 | Athletic Physical Therapy Inc | 1961-11-04 | 2025-10-17 | F | AE | SANTITORO | W267422430 | SARAH | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102059173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550743/check_13433733_c60f7d45-82d9-4e2e-ac84-4437b5475f40.json | N/A | N/A | N/A | N/A | N/A | W267422430 | Point of Service (POS) | CIENA CORPORATION | AETNA | N/A | 1961-11-04 | 0486875 | 048687501000001 | N/A | PS | false | SANTITORO | N/A | RALPH | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9027404208 | N/A | N/A | 5550743 | 2222 | 4801 | 13728007 | N/A | 4219643 | 2025-10-16 00:41:58.708827 | 2025-05-13 04:29:37.230685 |
| 2025-10-15 05:17:05.063521 | 2025-10-16 00:53:46.305530 | 13433714 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13433714 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-10-17 | F | PT | LUCZYWEK | HFD100011213709 | DEBORA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102059173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_13433714_ab097c2b-0ae0-4c8b-ad59-413d8907ff19.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | 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." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | 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 | 9027404206 | N/A | N/A | 5549317 | 2222 | 4801 | 13732931 | N/A | 4219010 | 2025-10-16 00:53:46.305530 | 2026-01-09 18:32:07.618867 |
| 2025-10-15 05:17:03.877335 | 2025-10-16 00:53:10.442873 | 13433675 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13433675 | Athletic Physical Therapy Inc | 1962-06-19 | 2025-10-17 | M | AE | MILIAN GOMEZ | 93331019F | MIGUEL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102059173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543555/check_13433675_5f47981c-860d-48e6-a7bc-c7b282518af9.json | N/A | N/A | N/A | N/A | N/A | 93331019F | N/A | N/A | HEALTH NET, LLC | N/A | 1962-06-19 | N/A | N/A | N/A | N/A | false | MILIAN GOMEZ | N/A | MIGUEL | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9027404203 | N/A | N/A | 5543555 | 2222 | 4802 | 13732829 | N/A | 4215332 | 2025-10-16 00:53:10.442873 | 2025-08-06 16:15:15.716322 |
| 2025-10-15 05:17:03.523213 | 2025-10-16 00:38:59.760399 | 13433665 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 13433665 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-10-17 | M | AE | MCCOWAN | 93341440D | KEVIN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102059173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_13433665_f64b4a0d-dfa3-4f56-a352-3a3ac3144a17.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-03-27 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | 2078-12-31 | 2024-11-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9027404202 | N/A | N/A | 5543270 | 2222 | 4793 | 13726375 | N/A | 4215086 | 2025-10-16 00:38:59.760399 | 2025-05-13 04:29:37.229401 |
| 2025-10-15 05:17:03.228841 | 2025-10-16 00:50:06.587147 | 13433655 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 13433655 | Athletic Physical Therapy Inc | 1973-05-07 | 2025-10-17 | F | AD | FERRERAS | U6570615702 | PATRICIA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102059173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543171/check_13433655_a0b707c4-3f7c-4ecc-9aa1-2aa289e07e42.json | N/A | N/A | N/A | N/A | N/A | U6570615702 | N/A | WORKDAY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1973-05-07 | N/A | 3336422 | N/A | N/A | false | FERRERAS | N/A | PATRICIA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 9027403348 | N/A | N/A | 5543171 | 2222 | 4793 | 13731422 | N/A | 4214998 | 2025-10-16 00:50:06.587147 | 2025-05-13 04:29:37.229318 |
| 2025-10-15 05:17:03.039720 | 2025-10-16 00:53:39.678280 | 13433650 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 13433650 | Athletic Physical Therapy Inc | 1961-02-27 | 2025-10-17 | M | AE | SHRIVER | 90771207E | DANIEL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102059173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541984/check_13433650_e8c6bbe1-2f3e-4bce-9892-2c6eb01f2bbf.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1961-02-27 | N/A | N/A | N/A | N/A | false | SHRIVER | N/A | DANIEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9027403347 | N/A | N/A | 5541984 | 2222 | 4802 | 13732922 | N/A | 4213934 | 2025-10-16 00:53:39.678280 | 2026-01-27 23:36:44.802366 |
| 2025-10-15 05:17:02.812948 | 2025-10-16 00:52:47.498258 | 13433640 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 13433640 | Athletic Physical Therapy Inc | 1947-02-01 | 2025-10-17 | M | AE | YEE | 412922301 | HARRY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102059173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541972/check_13433640_1b314d59-4cf7-40e9-9279-2dc0da9be588.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 | 9027403346 | N/A | N/A | 5541972 | 2222 | 4793 | 13732675 | N/A | 4213941 | 2025-10-16 00:52:47.498258 | 2025-05-13 04:29:37.228259 |
| 2025-10-15 05:17:02.584240 | 2025-10-16 00:55:20.232863 | 13433631 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13433631 | Athletic Physical Therapy Inc | 1990-07-09 | 2025-10-17 | M | PT | UPSON | XEA909162969 | RYAN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102059173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541318/check_13433631_ba16deb9-453b-46f1-bcdf-b82bc85f4da7.json | N/A | N/A | N/A | N/A | N/A | XEA909162969 | Preferred Provider Organization (PPO) | CHILD CARE RESOURCE CENTER | BLUE SHIELD CALIFORNIA | N/A | 1990-07-09 | 1000VX000001 | W0065399 | N/A | PR | false | UPSON | N/A | SANDY | N/A | N/A | N/A | CHILD CARE RESOURCE CENTER PPO COMBINED DEDUCTIBLE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9027403345 | N/A | N/A | 5541318 | 2222 | 4801 | 13733075 | N/A | 4213349 | 2025-10-16 00:55:20.232863 | 2025-05-13 04:29:37.227671 |
| 2025-10-15 05:17:02.268450 | 2025-10-16 00:55:18.565512 | 13433623 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13433623 | Athletic Physical Therapy Inc | 1963-07-22 | 2025-10-17 | F | PT | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102059173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541314/check_13433623_18133546-ae9c-4b6d-a7c3-0209bcbbca44.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 9999-12-31 | 2023-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9027403344 | N/A | N/A | 5541314 | 2222 | 4793 | 13733071 | N/A | 4213343 | 2025-10-16 00:55:18.565512 | 2025-06-06 02:21:37.603701 |
| 2025-10-15 05:17:02.081922 | 2025-10-16 00:53:44.519737 | 13433617 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13433617 | Athletic Physical Therapy Inc | 1958-07-16 | 2025-10-17 | F | PT | GALVAN GUERRERO | MMA904W16717 | MARIA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102059173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541035/check_13433617_4077ceb1-8bcc-4301-8b2c-2b9742cd5fb5.json | N/A | N/A | N/A | N/A | N/A | MMA904W16717 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-07-16 | 040 | CAMCRWP0 | N/A | MP | false | GALVAN-GUERRERO | N/A | MARIA | 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 | 9027403343 | N/A | N/A | 5541035 | 2222 | 4801 | 13732929 | 4184 | 4213091 | 2025-10-16 00:53:44.519737 | 2025-05-13 04:29:37.227417 |
| 2025-10-15 05:17:01.868869 | 2025-10-16 00:53:36.481529 | 13433610 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13433610 | Athletic Physical Therapy Inc | 1939-07-11 | 2025-10-17 | F | AE | GOMEZ | 00000357273 | EVELYN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102059173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540918/check_13433610_31328626-c792-428f-85e4-fd0abb41ee2b.json | N/A | N/A | N/A | N/A | N/A | 00000357273 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1939-07-11 | N/A | N/A | N/A | N/A | false | GOMEZ | N/A | EVELYN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9027403342 | N/A | N/A | 5540918 | 2222 | 4801 | 13732917 | 2630 | 4213001 | 2025-10-16 00:53:36.481529 | 2025-05-13 04:29:37.227329 |
| 2025-10-15 05:17:01.632282 | 2025-10-16 00:51:58.077547 | 13433601 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 13433601 | Athletic Physical Therapy Inc | 1940-03-29 | 2025-10-17 | F | AE | MARTINEZ | 40032670501 | MARIA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102059173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540591/check_13433601_49070c4e-021f-4f07-bc33-9a4748edfab0.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 | 9027403341 | N/A | N/A | 5540591 | 2222 | 4801 | 13732271 | N/A | 4212724 | 2025-10-16 00:51:58.077547 | 2025-07-26 22:27:37.781276 |
| 2025-10-15 05:17:01.352064 | 2025-10-16 00:55:19.642454 | 13433594 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13433594 | Athletic Physical Therapy Inc | 1997-07-14 | 2025-10-17 | M | PT | SHERBETJIAN | XED910281081 | JACK | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102059173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540558/check_13433594_940c39db-4ad3-405c-a1a8-532eeb30a70d.json | N/A | N/A | N/A | N/A | N/A | XED910281081 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-14 | 2001ZK002184 | X0001004 | N/A | PR | false | SHERBETJIAN | N/A | JACK | N/A | 9999-12-31 | 2021-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9027403340 | N/A | N/A | 5540558 | 2222 | 4801 | 13733073 | N/A | 4212698 | 2025-10-16 00:55:19.642454 | 2025-05-13 04:29:37.227042 |
| 2025-10-15 05:17:01.001783 | 2025-10-16 00:53:45.481425 | 13433584 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13433584 | Athletic Physical Therapy Inc | 1980-04-11 | 2025-10-17 | M | PT | Hurst | JQY695A75359 | Gregory | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102059173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539085/check_13433584_2d8a740a-cb1d-4d5e-8a5b-6a33e5c9c6c2.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 | 9999-12-31 | 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 | 9027403339 | N/A | N/A | 5539085 | 2222 | 4793 | 13732930 | N/A | 4211408 | 2025-10-16 00:53:45.481425 | 2025-09-18 00:42:48.586801 |
| 2025-10-15 05:17:00.700857 | 2025-10-16 00:55:19.106550 | 13433574 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13433574 | Athletic Physical Therapy Inc | 1980-10-31 | 2025-10-17 | M | PT | PAREDES | XEH910686412 | JOSE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102059173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538615/check_13433574_44124392-3bc4-4a31-b77a-5cc4cc731cb8.json | N/A | N/A | N/A | N/A | N/A | XEH910686412 | Health Maintenance Organization (HMO) | TRADER JOE S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1980-10-31 | 1000VX000001 | W0069783 | N/A | HM | false | MORDKA | N/A | LUCAS | N/A | 9999-12-31 | 2021-07-01 | TRADER JOE S COMPANY CUSTOM ACCESS HMO 25 500 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9027403338 | N/A | N/A | 5538615 | 2222 | 4793 | 13733072 | N/A | 4211010 | 2025-10-16 00:55:19.106550 | 2025-09-30 17:03:18.054141 |
| 2025-10-15 05:17:00.390718 | 2025-10-16 00:51:59.161560 | 13433565 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 13433565 | Athletic Physical Therapy Inc | 1952-12-16 | 2025-10-17 | F | AE | PORTER | 400282215401 | SHERIL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102059173.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535434/check_13433565_bfc07195-226c-49d0-8f51-10a290216107.json | N/A | N/A | N/A | N/A | N/A | 40028215401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-12-16 | 2025H5425001 | H5425M | N/A | N/A | false | PORTER | N/A | SHERIL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9027403337 | N/A | N/A | 5535434 | 2222 | 4793 | 13732277 | N/A | 4208356 | 2025-10-16 00:51:59.161560 | 2025-08-25 14:49:27.724897 |
| 2025-10-15 05:16:46.589446 | 2025-10-15 05:16:49.704499 | 13433193 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-02-25 | 2025-10-15 | F | PT | GIANNE | XED910762094 | NATALIE | N/A | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7994545/check_13433193_265942d4-0d25-4a55-a5e7-8ff0d0e1e6ee.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_13433193_b6c6a462-a961-425e-9101-82e0d8a6ebda.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 | 2021-09-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9027392845 | N/A | N/A | 7994545 | 2222 | N/A | 13701207 | N/A | 6802250 | 2025-10-15 05:16:49.704499 | 2025-08-11 23:58:28.358402 |
| 2025-10-15 05:16:43.687546 | 2025-10-16 02:36:39.891476 | 13433122 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13433122 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-10-17 | M | AE | JACOBS | JQE406W03039 | PATRICIA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102117772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993913/check_13433122_c694e155-edd1-4ddf-ab4c-8042086f411f.json | N/A | N/A | N/A | N/A | N/A | JQE406W03039 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1939-06-25 | 040 | CASUPWP0 | N/A | N/A | false | JACOBS | N/A | PATRICIA | N/A | 9999-12-31 | 2019-12-11 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9027409478 | N/A | N/A | 5993913 | 2222 | 4793 | 13735853 | N/A | 4642852 | 2025-10-16 02:36:39.891476 | 2025-11-21 18:38:17.056437 |
| 2025-10-15 05:16:32.146575 | 2025-10-16 00:36:24.681582 | 13432841 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13432841 | Athletic Physical Therapy Inc | 1956-11-29 | 2025-10-17 | M | AE | LYGA | LPZ819A58009 | FRANK | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.101917130.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9812143/check_13432841_14933f21-5049-4189-80d1-5bdfee9b1442.json | N/A | N/A | N/A | N/A | N/A | LPZ819A58009 | Preferred Provider Organization (PPO) | LOS ANGELES POLICE RELIEF ASN INC | MEDICARE D | N/A | 1956-11-29 | 040 | 1841UV | N/A | PR | false | LYGA | N/A | FRANK | N/A | 9999-12-31 | 2024-12-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9027401332 | N/A | N/A | 9812143 | 2222 | 4801 | 13724402 | N/A | 4219584 | 2025-10-16 00:36:24.681582 | 2025-09-29 18:19:47.145731 |
| 2025-10-15 05:15:52.502611 | 2025-10-16 00:36:24.967987 | 13431974 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13431974 | Athletic Physical Therapy Inc | 1959-02-04 | 2025-10-17 | F | AE | SMITS | JQE291W18998 | HEIDI | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.101917130.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681615/check_13431974_ca4962d7-ba02-4552-baad-90640c98dcf5.json | N/A | N/A | N/A | N/A | N/A | JQE291W18998 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-02-04 | 040 | CASUPWP0 | N/A | N/A | false | SMITS | N/A | HEIDI | N/A | 9999-12-31 | 2024-02-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9027400111 | N/A | N/A | 9681615 | 2222 | 4793 | 13724406 | N/A | 8101289 | 2025-10-16 00:36:24.967987 | 2025-09-24 17:05:46.431721 |
| 2025-10-15 05:15:50.714876 | 2025-10-16 02:31:44.581426 | 13431935 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 13431935 | Athletic Physical Therapy Inc | 1954-05-11 | 2025-10-17 | M | AE | A Peters | 32146482611 | Dennis | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102117772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550027/check_13431935_fe486c8f-c10c-4c75-a71d-8607d9c7d6cc.json | N/A | N/A | N/A | N/A | N/A | 32146482611 | 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. | 1954-05-11 | N/A | N/A | N/A | SP | false | PETERS | N/A | DENNIS | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9027409447 | N/A | N/A | 5550027 | 2222 | 4801 | 13734854 | N/A | 4219449 | 2025-10-16 02:31:44.581426 | 2025-10-07 21:32:27.567534 |
| 2025-10-15 05:15:47.902756 | 2025-10-16 02:34:35.321444 | 13431873 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 13431873 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-10-17 | F | AE | GNAD | H71897184 | MELANIE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102117772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540682/check_13431873_624f4d2d-5303-4655-91ca-9ad591fb3a53.json | N/A | N/A | N/A | N/A | N/A | H71897184 | Supplemental Policy | HUMANA BENEFIT PLANOF ILL, INC | HUMANA | 067 023 | 1946-04-16 | N/A | 5A409005 | N/A | SP | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | MEDICARE MES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9027409441 | N/A | N/A | 5540682 | 2222 | 4801 | 13735434 | N/A | 4212792 | 2025-10-16 02:34:35.321444 | 2025-10-07 20:33:25.637997 |
| 2025-10-15 05:15:47.471074 | 2025-10-16 02:36:39.571364 | 13431863 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13431863 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-10-17 | M | PT | FINNLEY | M4R134071249001 | ZEV | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102117772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539665/check_13431863_e0eb9feb-2259-4d9f-b674-ca417864f9b3.json | N/A | N/A | N/A | N/A | N/A | M4R134071249001 | Preferred Provider Organization (PPO) | N/A | COMMERCIAL INSURANCE | FUNDING TYPE = SELF INSURED | 1991-07-13 | 379 | 174022MJAC | N/A | PR | false | FINNLEY | N/A | MARIKO | N/A | N/A | N/A | NENY PPO BLENDED MED/SURG | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9027409440 | N/A | N/A | 5539665 | 2222 | 4793 | 13735852 | N/A | 4211935 | 2025-10-16 02:36:39.571364 | 2025-05-13 04:29:37.226259 |
| 2025-10-15 05:15:47.075100 | 2025-10-16 02:38:03.874149 | 13431856 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13431856 | Athletic Physical Therapy Inc | 1950-08-31 | 2025-10-17 | M | AE | NADRICH | XEM905604302 | JEFFREY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102117772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538999/check_13431856_604e6d61-e20e-4057-a1dd-261251711e06.json | N/A | N/A | N/A | N/A | N/A | XEM905604302 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1950-08-31 | 2004SE000030 | X0001002 | N/A | OT | false | NADRICH | N/A | JEFFREY | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9027409439 | N/A | N/A | 5538999 | 2222 | 4802 | 13736015 | N/A | 4211316 | 2025-10-16 02:38:03.874149 | 2025-05-13 04:29:37.225679 |
| 2025-10-15 05:15:46.817338 | 2025-10-16 02:36:39.276454 | 13431850 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13431850 | Athletic Physical Therapy Inc | 1952-12-18 | 2025-10-17 | F | AE | DU BRIN | JQE162M93481 | SUSAN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102117772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538605/check_13431850_94ff2460-0e65-4f8f-9e5e-0c17f29594fd.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 | 9027409438 | N/A | N/A | 5538605 | 2222 | 4793 | 13735851 | N/A | 4210998 | 2025-10-16 02:36:39.276454 | 2026-02-23 18:49:01.874308 |
| 2025-10-15 05:15:46.452319 | 2025-10-16 02:31:43.975678 | 13431842 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 13431842 | Athletic Physical Therapy Inc | 1951-06-30 | 2025-10-17 | F | AE | CHADORCHI | 33261790711 | JAFFA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102117772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537483/check_13431842_2b87d9a2-9c2a-4bc6-9362-f12c19f782ab.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 | 9027409437 | N/A | N/A | 5537483 | 2222 | 4802 | 13734852 | N/A | 4210038 | 2025-10-16 02:31:43.975678 | 2025-06-02 14:57:36.820684 |
| 2025-10-15 05:15:46.148021 | 2025-10-16 02:31:44.308721 | 13431833 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 13431833 | Athletic Physical Therapy Inc | 1945-09-15 | 2025-10-17 | M | AE | KHORSANDI | 02684303511 | PARIVASH | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102117772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536016/check_13431833_48b5045c-7cc6-4edd-a83e-a46f407cce38.json | N/A | N/A | N/A | N/A | N/A | 34309193111 | 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. | 1945-09-15 | N/A | N/A | N/A | SP | false | KHORSANDI | N/A | PARIVASH | 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 | 9027409436 | N/A | N/A | 5536016 | 2222 | 4802 | 13734853 | N/A | 4208831 | 2025-10-16 02:31:44.308721 | 2025-10-30 22:42:31.399473 |
| 2025-10-15 05:15:43.681401 | 2025-10-15 05:15:47.930776 | 13431770 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-02-16 | 2025-10-15 | F | AE | OSE | 40050866601 | KAREN | PT | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537366/check_13431770_b38f7b10-5028-40e5-a0f2-f752b6ed7ba7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537366/check_13431770_e9ccb735-5252-48a6-97a1-fb365aa4593a.json | N/A | N/A | N/A | N/A | N/A | 40050866601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1957-02-16 | 2025H5425001 | H5425M | N/A | N/A | false | OSE | N/A | KAREN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9027389853 | N/A | N/A | 5537366 | 2222 | N/A | 13700947 | N/A | 4209945 | 2025-10-15 05:15:47.930776 | 2025-08-13 22:24:17.841096 |
| 2025-10-15 05:15:30.135820 | 2025-10-16 00:38:05.655321 | 13431482 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13431482 | Athletic Physical Therapy Inc | 1966-12-04 | 2025-10-17 | M | PT | CLANCY | XDMOE0503879 | JOSEPH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251015.102406078.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9194927/check_13431482_6bc92f07-4245-4137-9215-5e9a2cd0acd5.json | N/A | N/A | N/A | N/A | N/A | XDMOE0503879 | Health Maintenance Organization (HMO) | OPERATING ENGINEERS HEALTH&WELFARE FUND | ANTHEM BLUE CROSS | N/A | 1966-12-04 | 040 | 278671H001 | N/A | HM | false | CLANCY | N/A | JOSEPH | N/A | 9999-12-31 | 2025-02-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9027417691 | N/A | N/A | 9194927 | 2222 | 4793 | 13725734 | 4184 | 7712549 | 2025-10-16 00:38:05.655321 | 2025-09-10 17:29:28.945035 |