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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-14 05:24:50.365484 | 2025-10-15 00:36:11.709531 | 13407796 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13407796 | Athletic Physical Therapy Inc | 1947-12-09 | 2025-10-17 | F | PT | TAFFERT | MMA462W19663 | VIRGINIA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.081638518.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9830424/check_13407796_4c2e28e6-280a-4e1d-9611-7b17432f81fe.json | N/A | N/A | N/A | N/A | N/A | MMA462W19663 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1947-12-09 | 040 | CAMCRWP0 | N/A | MP | false | TAFFERT | N/A | VIRGINIA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-009-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017069839 | N/A | N/A | 9830424 | 2222 | 4793 | 13686175 | N/A | 8232327 | 2025-10-15 00:36:11.709531 | 2025-09-29 20:43:06.367634 |
| 2025-10-14 05:24:18.398763 | 2025-10-14 05:24:52.937814 | 13407360 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-10-17 | F | AE | YUNG | 00854676304 | MAYA | PT | 6338 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_13407360_35109dee-28a6-4d81-81f2-8c34bbbcb2e5.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-10-17 | N/A | N/A | N/A | N/A | N/A | N/A | 00854676304 | N/A | N/A | TRICARE FOR LIFE | N/A | 2011-05-18 | N/A | N/A | N/A | N/A | false | YUNG | N/A | MAYA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2025-10-14 05:24:52.937814 | 2025-05-13 04:29:37.229495 |
| 2025-10-14 05:24:07.485188 | 2025-10-15 00:49:10.572865 | 13407220 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13407220 | Athletic Physical Therapy Inc | 1955-07-01 | 2025-10-17 | F | AE | GREER | XEM909858172 | ROBIN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.102619578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411084/check_13407220_e2e6058f-c21b-432e-b578-53c3b5422e1c.json | N/A | N/A | N/A | N/A | N/A | XEM909858172 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-07-01 | 2002SE000030 | X0001002 | N/A | OT | false | GREER | N/A | ROBIN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017067992 | N/A | N/A | 9411084 | 2222 | 4802 | 13692333 | N/A | 7879863 | 2025-10-15 00:49:10.572865 | 2026-02-04 18:21:13.840230 |
| 2025-10-14 05:23:46.468574 | 2025-10-15 00:49:20.569860 | 13406940 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13406940 | Athletic Physical Therapy Inc | 1953-10-12 | 2025-10-16 | M | AE | VALLECER | JQE445W21639 | EDGAR | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.102619578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9321455/check_13406940_2327c9e4-c519-4e17-b85d-33d03be64d00.json | N/A | N/A | N/A | N/A | N/A | JQE445W21639 | N/A | CA MED-SUPP | BLUE SHIELD OF CALIFORNIA | N/A | 1953-10-12 | 040 | CASUPWP0 | N/A | N/A | false | VALLECER | N/A | EDGAR | N/A | 9999-12-31 | 2024-11-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017067417 | N/A | N/A | 9321455 | 2222 | 4801 | 13692404 | N/A | 7820740 | 2025-10-15 00:49:20.569860 | 2025-09-22 16:05:10.548691 |
| 2025-10-14 05:23:39.087031 | 2025-10-15 00:49:11.370081 | 13406846 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13406846 | Athletic Physical Therapy Inc | 1961-03-12 | 2025-10-17 | F | PT | MCNUTT | XED904914958 | YOLANDA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.102542376.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6668755/check_13406846_799fb51b-7bdd-46df-8153-5bd25acc9ab4.json | N/A | N/A | N/A | N/A | N/A | XED904914958 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-03-12 | 2001ZK002184 | X0001004 | N/A | PR | false | FERNANDEZ-MCNUTT | N/A | YOLANDA | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017058152 | N/A | N/A | 6668755 | 2222 | 4801 | 13692338 | N/A | 5282877 | 2025-10-15 00:49:11.370081 | 2025-07-01 15:56:36.473431 |
| 2025-10-14 05:23:36.226581 | 2025-10-15 02:35:58.743000 | 13406805 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 13406805 | Athletic Physical Therapy Inc | 1984-11-30 | 2025-10-15 | M | AE | LACAILLE | 0000249715259 | MARC | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.081629871.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10207867/check_13406805_bfe69084-5a84-4b40-9db4-4d3d47aecc6d.json | N/A | N/A | N/A | N/A | N/A | 0000249715259 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1984-11-30 | N/A | N/A | N/A | N/A | false | LACAILLE | N/A | MARC | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017065113 | N/A | N/A | 10207867 | 2222 | 4793 | 13697127 | N/A | 8500356 | 2025-10-15 02:35:58.743000 | 2025-10-13 22:28:47.604295 |
| 2025-10-14 05:23:11.656789 | 2025-10-15 00:48:16.976004 | 13406457 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13406457 | Athletic Physical Therapy Inc | 1996-07-04 | 2025-10-17 | F | PT | STOLTZ | JQY361W23827 | ARDENN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.102542376.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6605808/check_13406457_abbd1438-0551-4703-a2b8-f644844607c3.json | N/A | N/A | N/A | N/A | N/A | JQY361W23827 | Preferred Provider Organization (PPO) | KENT TAKEMOTO, M.D., INC. | ANTHEM BLUE CROSS | N/A | 1996-07-04 | 040 | Q62351 | N/A | PR | false | STOLZ | N/A | ARDENN | N/A | 9999-12-31 | 2025-04-01 | CA SG SELECT PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017059129 | N/A | N/A | 6605808 | 2222 | 4802 | 13691955 | N/A | 4214948 | 2025-10-15 00:48:16.976004 | 2025-06-26 01:28:07.741882 |
| 2025-10-14 05:23:10.072775 | 2025-10-15 00:48:14.224941 | 13406439 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13406439 | Athletic Physical Therapy Inc | 1963-02-27 | 2025-10-16 | F | PT | MARYAN | JPU047A23611 | MICHELLE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.102542376.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6600346/check_13406439_9290711b-6bc6-4a95-88a4-0902fc2ed3f2.json | N/A | N/A | N/A | N/A | N/A | JPU047A23611 | Preferred Provider Organization (PPO) | PREMIER AMERICA CREDIT UNION | ANTHEM BLUE CROSS | N/A | 1963-02-27 | 040 | L06734M004 | N/A | PR | false | MARYAN | N/A | MICHELLE | N/A | 9999-12-31 | 2025-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017059125 | N/A | N/A | 6600346 | 2222 | 4801 | 13691935 | N/A | 4211322 | 2025-10-15 00:48:14.224941 | 2025-07-17 16:31:59.104530 |
| 2025-10-14 05:22:58.460233 | 2025-10-15 00:45:05.625304 | 13406325 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 13406325 | Athletic Physical Therapy Inc | 1947-09-20 | 2025-10-17 | M | AE | SHIMOHARA | H7561028700 | STANLEY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.102542376.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6594216/check_13406325_9db39f9c-873c-4891-b458-583f41d50414.json | N/A | N/A | N/A | N/A | N/A | H75610287 | 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 | 1947-09-20 | N/A | 0B527001 | N/A | HN | false | SHIMOHARA | N/A | STANLEY | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017059101 | N/A | N/A | 6594216 | 2222 | 4801 | 13690672 | N/A | 5213181 | 2025-10-15 00:45:05.625304 | 2025-07-28 18:07:32.231640 |
| 2025-10-14 05:22:50.187777 | 2025-10-15 02:36:19.404215 | 13406212 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13406212 | Athletic Physical Therapy Inc | 1996-05-31 | 2025-10-17 | M | PT | MAGGIO | H6P476W10622 | BLAKE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.081629871.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10172283/check_13406212_3e95f8d0-23e7-4e78-921e-634b27c02e44.json | N/A | N/A | N/A | N/A | N/A | H6P476W10622 | Exclusive Provider Organization | BLUEHPN OPEN ACCESS HMO BLUE NETWORK | ANTHEM BLUE CROSS | N/A | 1996-05-31 | 834 | 270138HSCA | N/A | EP | false | MAGGIO | N/A | BLAKE | N/A | 9999-12-31 | 2024-12-09 | HPN WITHOUT TIERS | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017065999 | N/A | N/A | 10172283 | 2222 | 4801 | 13697195 | N/A | 8473550 | 2025-10-15 02:36:19.404215 | 2025-10-08 15:58:17.029136 |
| 2025-10-14 05:22:42.919995 | 2025-10-15 00:49:11.066004 | 13406103 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13406103 | Athletic Physical Therapy Inc | 1966-03-26 | 2025-10-17 | F | PT | Deschatres | XED912070650 | Nathalie | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.102542376.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577909/check_13406103_c550bfff-653e-496e-9d76-123f683886f5.json | N/A | N/A | N/A | N/A | N/A | XED912070650 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1966-03-26 | 2001ZK002186 | X0001004 | N/A | PR | false | DESCHATRES | N/A | NATHALIE | N/A | 9999-12-31 | 2023-02-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017058331 | N/A | N/A | 6577909 | 2222 | 4802 | 13692336 | N/A | 4766701 | 2025-10-15 00:49:11.066004 | 2025-06-03 21:11:46.573919 |
| 2025-10-14 05:22:12.770392 | 2025-10-15 00:48:14.811432 | 13405540 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13405540 | Athletic Physical Therapy Inc | 2008-01-30 | 2025-10-16 | F | PT | NICCOL | WRXA12977807 | AVA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.102542376.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6528022/check_13405540_c4248ac5-b5ab-4668-a496-0ad6699692b1.json | N/A | N/A | N/A | N/A | N/A | WRXA12977807 | Preferred Provider Organization (PPO) | WRITERS GUILD INDUSTRY HEALTH FUND | ANTHEM BLUE CROSS | N/A | 2008-01-30 | 040 | 277242M002 | N/A | PR | false | NICCOL | N/A | ANDREW | N/A | 9999-12-31 | 2025-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017059348 | N/A | N/A | 6528022 | 2222 | 4793 | 13691939 | N/A | 5148860 | 2025-10-15 00:48:14.811432 | 2025-06-30 14:56:45.395723 |
| 2025-10-14 05:22:10.181368 | 2025-10-15 00:48:29.700376 | 13405481 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 13405481 | Athletic Physical Therapy Inc | 1950-04-13 | 2025-10-16 | F | AE | NATALI | 94579563C | RENEE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.102619578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8979227/check_13405481_0e6d16fa-b0ae-4c60-8f09-7b23f175dd8a.json | N/A | N/A | N/A | N/A | N/A | 94579563C | N/A | MCLA WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1950-04-13 | MCLA | MWLLDAGG21 | N/A | N/A | false | NATALI | N/A | RENEE | N/A | 2025-07-31 | 2025-02-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017067805 | N/A | N/A | 8979227 | 2222 | 4793 | 13692049 | N/A | 7498543 | 2025-10-15 00:48:29.700376 | 2025-10-14 17:13:32.178778 |
| 2025-10-14 05:22:03.340899 | 2025-10-15 00:48:15.780154 | 13405325 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13405325 | Athletic Physical Therapy Inc | 1965-05-30 | 2025-10-17 | M | PT | RODRIGUEZ | H5Q045W16688 | ROBERTO | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.102542376.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6491817/check_13405325_7b65727d-32f2-4a86-8275-ab584cf83ccd.json | N/A | N/A | N/A | N/A | N/A | H5Q045W16688 | Preferred Provider Organization (PPO) | THE CHEESECAKE FACTORY RESTAURANTS INC | ANTHEM BLUE CROSS | N/A | 1965-05-30 | 040 | 174297M1AD | N/A | PR | false | ROLDAN | N/A | BRENDA | N/A | 9999-12-31 | 2025-01-01 | BC PPO EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017059318 | N/A | N/A | 6491817 | 2222 | 4801 | 13691947 | N/A | 5120889 | 2025-10-15 00:48:15.780154 | 2025-06-23 18:24:54.219050 |
| 2025-10-14 05:21:58.216718 | 2025-10-15 00:48:32.696826 | 13405199 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13405199 | Athletic Physical Therapy Inc | 1948-07-07 | 2025-10-17 | F | AE | GOEL | JQE690A74746 | VEENA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.102619578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969545/check_13405199_5ae223ae-2811-40b3-8b61-d537105c9e87.json | N/A | N/A | N/A | N/A | N/A | JQE690A74746 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1948-07-07 | 040 | CASUPWP0 | N/A | N/A | false | GOEL | N/A | VEENA | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017067760 | N/A | N/A | 8969545 | 2222 | 4802 | 13692068 | N/A | 7485064 | 2025-10-15 00:48:32.696826 | 2025-12-29 22:41:16.623495 |
| 2025-10-14 05:21:41.928533 | 2025-10-14 05:21:44.879493 | 13404836 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-07-07 | 2025-10-14 | F | AE | GOEL | JQE690A74746 | VEENA | PT | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8969545/check_13404836_df749f61-c5ef-4d50-90fd-4625065705d3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969545/check_13404836_9c5f9dbf-ab6b-411b-adda-b201fcb31c1c.json | N/A | N/A | N/A | N/A | N/A | JQE690A74746 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1948-07-07 | 040 | CASUPWP0 | N/A | N/A | false | GOEL | N/A | VEENA | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017045451 | N/A | N/A | 8969545 | 2222 | N/A | 13663681 | N/A | 7485064 | 2025-10-14 05:21:44.879493 | 2025-12-29 22:41:16.623495 |
| 2025-10-14 05:21:29.387682 | 2025-10-15 00:36:33.599667 | 13404384 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13404384 | Athletic Physical Therapy Inc | 1981-02-22 | 2025-10-17 | M | PT | WALKOW | XEK906265328 | RYAN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.103229014.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9024389/check_13404384_d44e16ff-4864-4531-9b8d-c93f26247acf.json | N/A | N/A | N/A | N/A | N/A | XEK906265328 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1981-02-22 | 2001ZK002189 | X0001000 | N/A | PR | false | WALKOW | N/A | RYAN | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017089701 | N/A | N/A | 9024389 | 2222 | 4793 | 13686384 | N/A | 7546770 | 2025-10-15 00:36:33.599667 | 2025-09-09 02:40:35.718380 |
| 2025-10-14 05:21:26.995674 | 2025-10-15 00:35:49.874996 | 13404292 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13404292 | Athletic Physical Therapy Inc | 1952-08-20 | 2025-10-16 | M | PT | POLK | MBL292M95257 | KENNETH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.103229014.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9022039/check_13404292_16f950c7-fc45-477f-a0c0-373b45c26a45.json | N/A | N/A | N/A | N/A | N/A | MBL292M95257 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1952-08-20 | 040 | CAEGR002 | N/A | N/A | false | POLK | N/A | KENNETH | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017089685 | N/A | N/A | 9022039 | 2222 | 4801 | 13685954 | N/A | 7544773 | 2025-10-15 00:35:49.874996 | 2025-09-02 18:35:33.812098 |
| 2025-10-14 05:21:19.952207 | 2025-10-15 00:49:10.279398 | 13404057 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13404057 | Athletic Physical Therapy Inc | 1955-11-13 | 2025-10-16 | F | AE | GRANT | XEM910029614 | ROBIN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.102619578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8493312/check_13404057_bcbfa588-747e-4a57-90bb-7afab8babcc7.json | N/A | N/A | N/A | N/A | N/A | XEM910029614 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-11-13 | 2002SE000030 | X0001002 | N/A | OT | false | GRANT | N/A | ROBIN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017067919 | N/A | N/A | 8493312 | 2222 | 4802 | 13692331 | N/A | 7159835 | 2025-10-15 00:49:10.279398 | 2025-08-25 22:38:59.735145 |
| 2025-10-14 05:21:08.992474 | 2025-10-15 00:35:44.761849 | 13403655 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13403655 | Athletic Physical Therapy Inc | 1949-12-31 | 2025-10-16 | M | AE | TSING | 00000282272 | KONGHSUNG | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.103229014.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8978036/check_13403655_91146e12-8d47-4aea-9fff-46d28c9a4c3e.json | N/A | N/A | N/A | N/A | N/A | 00000282272 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1949-12-31 | N/A | N/A | N/A | N/A | false | TSING | N/A | KONGHSUNG | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017089139 | N/A | N/A | 8978036 | 2222 | 4793 | 13685896 | 2630 | 7492332 | 2025-10-15 00:35:44.761849 | 2025-10-01 21:03:48.525986 |
| 2025-10-14 05:21:06.789533 | 2025-10-15 00:53:47.663688 | 13403579 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 13403579 | Athletic Physical Therapy Inc | 1964-01-25 | 2025-10-16 | M | AE | CORAY | 00003138358 | KLAUS | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.102226770.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7815883/check_13403579_59854404-9fad-438a-b685-71ebe49c729e.json | N/A | N/A | N/A | N/A | N/A | 00003138358 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1964-01-25 | N/A | N/A | N/A | N/A | false | CORAY | N/A | KLAUS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017048355 | N/A | N/A | 7815883 | 2222 | 4793 | 13694227 | N/A | 6655655 | 2025-10-15 00:53:47.663688 | 2025-09-09 21:32:56.328170 |
| 2025-10-14 05:21:04.554054 | 2025-10-15 00:41:57.672646 | 13403497 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13403497 | Athletic Physical Therapy Inc | 1960-02-11 | 2025-10-16 | F | AE | BASS | 101139629800 | NADINE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.102226770.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7813006/check_13403497_1f4ca36d-47e9-4594-9800-010ddcd6317d.json | N/A | N/A | N/A | N/A | N/A | 101139629800 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1960-02-11 | N/A | N/A | N/A | N/A | false | BASS | N/A | NADINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017048345 | N/A | N/A | 7813006 | 2222 | 4802 | 13689411 | N/A | 6653186 | 2025-10-15 00:41:57.672646 | 2025-08-06 14:30:41.257679 |
| 2025-10-14 05:20:59.059338 | 2025-10-15 00:54:02.909432 | 13403303 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13403303 | Athletic Physical Therapy Inc | 1992-12-01 | 2025-10-17 | F | AE | Mullen | 97749132H | Melissa | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.102226770.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7799930/check_13403303_4a4b4773-f0b2-47e5-95a9-2005683f3b89.json | N/A | N/A | N/A | N/A | N/A | 97749132H | N/A | N/A | HEALTH NET, LLC | N/A | 1992-12-01 | N/A | N/A | N/A | N/A | false | MULLEN | N/A | MELISSA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017047856 | N/A | N/A | 7799930 | 2222 | 4802 | 13694237 | N/A | 6641123 | 2025-10-15 00:54:02.909432 | 2025-08-06 00:00:36.528464 |
| 2025-10-14 05:20:55.953263 | 2025-10-15 00:35:58.930237 | 13403203 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13403203 | Athletic Physical Therapy Inc | 1959-08-20 | 2025-10-17 | F | PT | LANEUVILLE | MMA152W21217 | LESLIE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.081707015.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9478316/check_13403203_675df810-5660-41b1-b0d4-9de768af4b7d.json | N/A | N/A | N/A | N/A | N/A | MMA152W21217 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-08-20 | 040 | CAMCRWP0 | N/A | MP | false | LANEUVILLE | N/A | LESLIE | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017050250 | N/A | N/A | 9478316 | 2222 | 4801 | 13686041 | N/A | 6941976 | 2025-10-15 00:35:58.930237 | 2025-09-05 19:35:59.844269 |
| 2025-10-14 05:20:55.196884 | 2025-10-15 00:46:17.487330 | 13403178 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 13403178 | Athletic Physical Therapy Inc | 1953-01-18 | 2025-10-16 | F | AE | CANO | H7655502400 | ADELAIDA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.102226770.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7796425/check_13403178_3a3f8944-2bf2-481d-af23-77098542bca4.json | N/A | N/A | N/A | N/A | N/A | H76555024 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 557 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 | 1953-01-18 | N/A | 0B635001 | N/A | HN | false | CANO | N/A | ADELAIDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017047837 | N/A | N/A | 7796425 | 2222 | 4801 | 13691160 | N/A | 6638534 | 2025-10-15 00:46:17.487330 | 2025-08-05 23:10:54.464587 |
| 2025-10-14 05:20:54.070878 | 2025-10-15 00:48:16.049451 | 13403138 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13403138 | Athletic Physical Therapy Inc | 1960-11-20 | 2025-10-17 | F | PT | RUND | JQU141A61623 | Stephanie | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.102542376.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398636/check_13403138_fe7e8dd8-830a-4a15-b2b7-78489458bdc1.json | N/A | N/A | N/A | N/A | N/A | JQU141A61623 | Preferred Provider Organization (PPO) | BRUCE EDWARDS DDS | ANTHEM BLUE CROSS | N/A | 1960-11-20 | 040 | 225912 | N/A | PR | false | RUND | N/A | STEPHANIE | N/A | 9999-12-31 | 2024-12-01 | ANTHEM GOLD PPO 30/500/20% RXD | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017058655 | N/A | N/A | 6398636 | 2222 | 4802 | 13691949 | N/A | 5046194 | 2025-10-15 00:48:16.049451 | 2026-01-06 19:15:31.520951 |
| 2025-10-14 05:20:52.475799 | 2025-10-15 00:59:52.324645 | 13403080 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13403080 | Athletic Physical Therapy Inc | 1960-11-25 | 2025-10-16 | F | PT | LEE | XEK914494143 | BARBARA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.102226770.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7791429/check_13403080_877fa34c-ea48-4237-81de-5cdf441535d4.json | N/A | N/A | N/A | N/A | N/A | XEK914494143 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1960-11-25 | 2001ZK002189 | X0001000 | N/A | PR | false | LEE | N/A | BARBARA | N/A | 2025-12-31 | 2025-07-01 | BRONZE 60 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017047825 | N/A | N/A | 7791429 | 2222 | 4793 | 13694508 | N/A | 6634957 | 2025-10-15 00:59:52.324645 | 2025-08-18 18:53:04.814231 |
| 2025-10-14 05:20:46.978340 | 2025-10-15 00:35:46.214476 | 13402884 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 13402884 | Athletic Physical Therapy Inc | 1987-06-17 | 2025-10-16 | M | AE | FAVELA | 620360888 | MAXIMILIAN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.103229014.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8960010/check_13402884_3483e752-3fe1-496d-940c-d2b2ceda89dc.json | N/A | N/A | N/A | N/A | N/A | 620360888 | N/A | L.A. CARE COVERED GOLD 80 HMO | LA CARE HEALTH PLAN | HEALTH BENEFIT PLAN COVERAGE | 1987-06-17 | LACC | 92815CA001000701 | N/A | N/A | false | FAVELA | N/A | MAXIMILIAN | N/A | 2025-12-31 | 2025-02-01 | L.A. CARE COVERED | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017089603 | N/A | N/A | 8960010 | 2222 | 4802 | 13685919 | N/A | 7476978 | 2025-10-15 00:35:46.214476 | 2026-01-07 18:27:22.752552 |
| 2025-10-14 05:20:46.819534 | 2025-10-15 00:33:04.079499 | 13402878 | N/A | N/A | 60054 | Aetna | 1114042165 | 13402878 | Athletic Physical Therapy Inc | 1974-05-07 | 2025-10-17 | M | AE | VIDAL | W28518662101 | THOMAS | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.103229014.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8959871/check_13402878_d97b0202-e505-473a-aa68-7f289c6a6dd4.json | N/A | N/A | N/A | N/A | N/A | W285186621 | Point of Service (POS) | PRYOR CASHMAN LLP | AETNA | N/A | 1974-05-07 | 0237510 | 023751001000003 | N/A | PS | false | VIDAL | N/A | THOMAS | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017089602 | N/A | N/A | 8959871 | 2222 | 4802 | 13683673 | N/A | 4210349 | 2025-10-15 00:33:04.079499 | 2025-05-13 04:29:37.224755 |
| 2025-10-14 05:20:35.497402 | 2025-10-15 00:52:41.376379 | 13402496 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 13402496 | Athletic Physical Therapy Inc | 1936-04-01 | 2025-10-16 | F | AE | WESTER | 40064582501 | EIVOR | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.102226770.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7761229/check_13402496_e2cd60ad-af27-499b-9780-87017f62d2b8.json | N/A | N/A | N/A | N/A | N/A | 40064582501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1936-04-01 | 2025H5425001 | H5425M | N/A | N/A | false | WESTER | N/A | EIVOR | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017046831 | N/A | N/A | 7761229 | 2222 | 4793 | 13694002 | N/A | 6610550 | 2025-10-15 00:52:41.376379 | 2025-08-29 21:18:14.924057 |
| 2025-10-14 05:20:30.919859 | 2025-10-15 00:34:24.015110 | 13402377 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 13402377 | Athletic Physical Therapy Inc | 1952-03-30 | 2025-10-16 | F | AE | MATTHEWS | H41656712 | JUNE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.081638518.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9767878/check_13402377_aac4a8f0-9519-4d88-8d6c-4abace677af5.json | N/A | N/A | N/A | N/A | N/A | H41656712 | 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 | 1952-03-30 | N/A | 0B527001 | N/A | HN | false | MATTHEWS | N/A | JUNE ANNE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017070090 | N/A | N/A | 9767878 | 2222 | 4801 | 13684809 | N/A | 8178957 | 2025-10-15 00:34:24.015110 | 2025-10-06 01:53:28.213209 |
| 2025-10-14 05:20:08.265310 | 2025-10-15 00:48:16.324283 | 13401894 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13401894 | Athletic Physical Therapy Inc | 1945-07-04 | 2025-10-16 | M | PT | Seminario | 442W1081810 | Gustavo | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.102542376.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124845/check_13401894_518720d7-dad7-4c53-934c-b05642acbc39.json | N/A | N/A | N/A | N/A | N/A | 442W1081810 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1945-07-04 | N/A | N/A | N/A | N/A | false | SEMINARIO | N/A | GUSTAVO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017058112 | N/A | N/A | 6124845 | 2222 | 4793 | 13691950 | N/A | 4767293 | 2025-10-15 00:48:16.324283 | 2025-06-06 15:11:48.015692 |
| 2025-10-14 05:20:06.987713 | 2025-10-15 00:49:13.687834 | 13401865 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13401865 | Athletic Physical Therapy Inc | 1994-02-23 | 2025-10-16 | F | PT | SHU | XAN913831469 | GABRIELA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.102542376.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6121701/check_13401865_7104f3d9-d4ea-4885-9e98-3ebdee01f5e0.json | N/A | N/A | N/A | N/A | N/A | XAN913831469 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1994-02-23 | 1479PPOX0003 | W0051411 | N/A | PR | false | SHU | N/A | GABRIELA | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017058107 | N/A | N/A | 6121701 | 2222 | 4793 | 13692355 | N/A | 4764460 | 2025-10-15 00:49:13.687834 | 2025-06-04 04:30:06.494155 |
| 2025-10-14 05:20:01.806638 | 2025-10-15 02:36:18.795482 | 13401704 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13401704 | Athletic Physical Therapy Inc | 1976-08-13 | 2025-10-15 | F | PT | GODWIN | JPU097W07528 | CASSANDRA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.081629871.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10090153/check_13401704_f114ee3b-05e1-45b8-9e25-33f16cc3a837.json | N/A | N/A | N/A | N/A | N/A | JPU097W07528 | Preferred Provider Organization (PPO) | MAJCO LLC | ANTHEM BLUE CROSS | N/A | 1976-08-13 | 040 | 281949M014 | N/A | PR | false | GODWIN | N/A | CASSANDRA | N/A | 9999-12-31 | 2023-06-01 | SOLUTION PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017064651 | N/A | N/A | 10090153 | 2222 | 4801 | 13697192 | N/A | 8428668 | 2025-10-15 02:36:18.795482 | 2025-10-12 20:55:35.014952 |
| 2025-10-14 05:19:52.662126 | 2025-10-15 00:35:51.151732 | 13401371 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13401371 | Athletic Physical Therapy Inc | 1960-08-19 | 2025-10-16 | M | PT | WARREN | MBL523W24301 | WILLIAM | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.103229014.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8681972/check_13401371_f9f02d13-3ab3-46af-b40a-4e753c028b0c.json | N/A | N/A | N/A | N/A | N/A | MBL523W24301 | N/A | LOS ANGELES CITY EMPLOYEES' RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1960-08-19 | 040 | CA039GRS | N/A | N/A | false | WARREN | N/A | WILLIAM | N/A | 9999-12-31 | 2025-08-01 | CA GRS LACERS H4036-801 ANTHEM MEDICARE PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017088790 | N/A | N/A | 8681972 | 2222 | 4801 | 13685965 | N/A | 7315557 | 2025-10-15 00:35:51.151732 | 2025-09-08 19:23:27.353339 |
| 2025-10-14 05:19:45.519529 | 2025-10-15 00:35:59.258121 | 13401076 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13401076 | Athletic Physical Therapy Inc | 1952-07-08 | 2025-10-17 | F | PT | LEJANO | MMA286W10517 | MELECIA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.081707015.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9443092/check_13401076_325c521a-93a4-434d-9c0b-431cfa75fe16.json | N/A | N/A | N/A | N/A | N/A | MMA286W10517 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-07-08 | 040 | CAMCRWP0 | N/A | MP | false | LEJANO | N/A | MELECIA VICTOR | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017049861 | N/A | N/A | 9443092 | 2222 | 4801 | 13686045 | N/A | 7899425 | 2025-10-15 00:35:59.258121 | 2025-09-18 04:34:38.232559 |
| 2025-10-14 05:19:39.373844 | 2025-10-15 00:36:33.908460 | 13400801 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13400801 | Athletic Physical Therapy Inc | 2006-05-31 | 2025-10-17 | F | PT | WARGNIER | XEA906576346 | CADENCE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.103229014.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8674643/check_13400801_27c8d680-bc77-43e0-8cd1-eb0d4c2df0a6.json | N/A | N/A | N/A | N/A | N/A | XEA906576346 | Preferred Provider Organization (PPO) | NAIRMAC INC DBA PREMIER COACH | BLUE SHIELD CALIFORNIA | N/A | 2006-05-31 | 1000VX000102 | W0099736 | N/A | PR | false | WARGNIER | N/A | NEISHA | N/A | 9999-12-31 | 2025-06-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017089575 | N/A | N/A | 8674643 | 2222 | 4801 | 13686390 | N/A | 7309740 | 2025-10-15 00:36:33.908460 | 2025-09-12 11:13:33.919728 |
| 2025-10-14 05:19:38.560698 | 2025-10-15 00:47:12.994247 | 13400767 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13400767 | Athletic Physical Therapy Inc | 1973-03-27 | 2025-10-17 | F | AE | KAUFMAN | R05917930FM1 | AMANDA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.102542376.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074035/check_13400767_d9284e3b-5063-417e-bedc-52910ec24ba1.json | N/A | N/A | N/A | N/A | N/A | R05917930FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1973-03-27 | N/A | N/A | N/A | N/A | false | KAUFMAN | N/A | AMANDA | N/A | N/A | N/A | MFC UCNNHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017058870 | N/A | N/A | 6074035 | 2222 | 4801 | 13691529 | N/A | 4718592 | 2025-10-15 00:47:12.994247 | 2025-05-29 20:00:22.627186 |
| 2025-10-14 05:19:33.863148 | 2025-10-15 00:36:10.816715 | 13400555 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13400555 | Athletic Physical Therapy Inc | 1982-12-08 | 2025-10-17 | M | PT | Magpali | VUC967W18809 | Aaron | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.081638518.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9737460/check_13400555_5a56c423-2e09-4237-9893-a6c2c9161bc4.json | N/A | N/A | N/A | N/A | N/A | VUC967W18809 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1982-12-08 | 040 | 280509S400 | N/A | PR | false | MAGPALI | N/A | AARON | N/A | 9999-12-31 | 2024-01-01 | UC CARE PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017069748 | N/A | N/A | 9737460 | 2222 | 4801 | 13686164 | N/A | 8152382 | 2025-10-15 00:36:10.816715 | 2025-09-28 17:20:36.874498 |
| 2025-10-14 05:19:29.523613 | 2025-10-15 00:34:45.267118 | 13400359 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 13400359 | Athletic Physical Therapy Inc | 1960-03-08 | 2025-10-16 | F | AE | CONNER | 40068898601 | CRISTEN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.081707015.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9415234/check_13400359_8ff2f0eb-bff8-4aa2-b60c-b192543b7098.json | N/A | N/A | N/A | N/A | N/A | 40068898601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1960-03-08 | 2025H5425001 | H5425M | N/A | N/A | false | CONNER | N/A | CRISTEN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017050956 | N/A | N/A | 9415234 | 2222 | 4801 | 13685122 | N/A | 7884350 | 2025-10-15 00:34:45.267118 | 2025-09-15 22:38:10.066233 |
| 2025-10-14 05:19:17.296026 | 2025-10-14 05:19:19.322111 | 13399836 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-07-07 | 2025-10-14 | F | AE | GOEL | 5RR4M63DR65 | VEENA | PT | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8969533/check_13399836_05681f79-994a-4fc1-b0eb-07232766b639.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969533/check_13399836_58a33246-69db-4893-8ba6-3cd602e25657.json | N/A | N/A | N/A | N/A | N/A | 5RR4M63DR65 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-07 | S5596 | N/A | N/A | MA | false | GOEL | N/A | VEENA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017035337 | N/A | N/A | 8969533 | 2222 | N/A | 13662334 | N/A | 7485064 | 2025-10-14 05:19:19.322111 | 2025-12-29 22:41:16.623495 |
| 2025-10-14 05:19:17.123318 | 2025-10-15 00:44:26.484087 | 13399831 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 13399831 | Athletic Physical Therapy Inc | 1975-12-22 | 2025-10-17 | M | PT | HUTH | XEH910929228 | KENT | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.102226770.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7626895/check_13399831_96010bd9-9a7c-471f-acd0-30db8d3b2296.json | N/A | N/A | N/A | N/A | N/A | XEH910929228 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1975-12-22 | 1000HMOX0001 | W0051411 | N/A | HM | false | HUTH | N/A | KENT | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017048303 | N/A | N/A | 7626895 | 2222 | 4793 | 13690378 | N/A | 6525917 | 2025-10-15 00:44:26.484087 | 2026-05-08 22:53:13.232007 |
| 2025-10-14 05:19:13.910291 | 2025-10-15 00:48:33.830903 | 13399689 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13399689 | Athletic Physical Therapy Inc | 1950-06-21 | 2025-10-17 | M | AE | Aliabadi | FJB10490729M | Hossein | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.102619578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7877206/check_13399689_714c5ece-393d-4c9d-aff6-f8533650ef53.json | N/A | N/A | N/A | N/A | N/A | FJB10490729M | N/A | ALL | ANTHEM BLUE CROSS | N/A | 1950-06-21 | 101 | 174549M211 | N/A | N/A | false | MANTEGHI | N/A | MEHRNAZ | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017068371 | N/A | N/A | 7877206 | 2222 | 4802 | 13692076 | N/A | 6706099 | 2025-10-15 00:48:33.830903 | 2025-11-21 22:00:12.073625 |
| 2025-10-14 05:19:12.309924 | 2025-10-14 05:19:22.593893 | 13399624 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1986-05-15 | 2025-10-14 | M | PT | Chizever | SBN015146 | Geoffrey | N/A | 4197 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8471737/check_13399624_94989b97-06e1-4f6a-bb4e-9186c80457ab.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471737/check_13399624_2be63937-9d73-47c9-9fc0-9a99e5326f43.json | N/A | N/A | N/A | N/A | N/A | SBN015146 | Preferred Provider Organization (PPO) | SBN STANDARD OPTION | BLUE SHIELD OF CALIFORNIA | N/A | 1986-05-15 | N/A | SBN | N/A | PR | false | CHIZEVER | N/A | GEOFFREY | N/A | 9999-12-31 | 2020-01-01 | SBN STANDARD OPTION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017035034 | N/A | N/A | 8471737 | 2222 | N/A | 13662362 | N/A | 7142683 | 2025-10-14 05:19:22.593893 | 2026-01-12 20:01:37.957097 |
| 2025-10-14 05:19:05.335975 | 2025-10-15 00:49:23.211026 | 13399329 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 13399329 | Athletic Physical Therapy Inc | 1959-09-09 | 2025-10-17 | M | PT | BRUNO | NCF254A54902 | PHILLIP | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.102542376.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993958/check_13399329_e8de77f0-60d9-4d64-b3ad-07add1066c09.json | N/A | N/A | N/A | N/A | N/A | NCF254A54902 | Health Maintenance Organization (HMO) | LOS ANGELES POLICE RELIEF ASN INC | BLUE SHIELD OF CALIFORNIA | N/A | 1959-09-09 | 040 | 57CP3A | N/A | HM | false | BRUNO | N/A | PHILLIP | N/A | 9999-12-31 | 2023-03-01 | BLUE CROSS HMO PLUS CC01 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017058247 | N/A | N/A | 5993958 | 2222 | 4801 | 13692422 | N/A | 4642892 | 2025-10-15 00:49:23.211026 | 2025-05-29 23:29:01.820749 |
| 2025-10-14 05:19:04.990220 | 2025-10-15 00:49:10.799104 | 13399316 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13399316 | Athletic Physical Therapy Inc | 1997-07-22 | 2025-10-17 | M | PT | BUCKWALD | XED914061341 | BLAKE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.102542376.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993926/check_13399316_a3b4e618-52be-4335-a20a-66c9cd3fdc8d.json | N/A | N/A | N/A | N/A | N/A | XED914061341 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | BUCKWALD | N/A | BLAKE | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017058246 | N/A | N/A | 5993926 | 2222 | 4802 | 13692334 | N/A | 4642862 | 2025-10-15 00:49:10.799104 | 2025-05-28 20:59:09.029689 |
| 2025-10-14 05:19:04.328357 | 2025-10-15 00:55:11.745377 | 13399280 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13399280 | Athletic Physical Therapy Inc | 1994-12-08 | 2025-10-17 | F | PT | Benet | CPT240W21227 | Lilian | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.102226770.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7587004/check_13399280_92a0435c-21c0-4a3b-9b23-da47bb2d0768.json | N/A | N/A | N/A | N/A | N/A | CPT240W21227 | Preferred Provider Organization (PPO) | THE CAPITAL GROUP COMPANIES | ANTHEM BLUE CROSS | N/A | 1994-12-08 | 040 | C20001M1A2 | N/A | PR | false | BENET | N/A | LILIAN | N/A | 9999-12-31 | 2024-08-26 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017047497 | N/A | N/A | 7587004 | 2222 | 4802 | 13694282 | N/A | 6496624 | 2025-10-15 00:55:11.745377 | 2025-09-26 20:15:15.570978 |
| 2025-10-14 05:18:54.557471 | 2025-10-15 00:35:33.417377 | 13398885 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 13398885 | Athletic Physical Therapy Inc | 1953-06-18 | 2025-10-16 | M | AE | CARINO | 166067001 | RODOLFO | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.103229014.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8472317/check_13398885_9ba29412-fe60-4a19-96eb-9dd5db45f982.json | N/A | N/A | N/A | N/A | N/A | 166067001 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1953-06-18 | N/A | HCFA21 | N/A | HN | false | CARINO | N/A | RODOLFO | 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 | 9017090314 | N/A | N/A | 8472317 | 2222 | 4802 | 13685795 | N/A | 6543380 | 2025-10-15 00:35:33.417377 | 2025-08-01 17:39:00.802055 |
| 2025-10-14 05:18:54.087137 | 2025-10-15 00:32:58.177049 | 13398868 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 13398868 | override_provider | 1986-05-15 | 2025-10-17 | M | PT | Chizever | SBN015146 | Geoffrey | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.103229014.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471737/check_13398868_b0b973ec-0ee4-4b0a-a1f5-67e0ed6a7f32.json | N/A | N/A | N/A | N/A | N/A | SBN015146 | Preferred Provider Organization (PPO) | SBN STANDARD OPTION | BLUE SHIELD OF CALIFORNIA | N/A | 1986-05-15 | N/A | SBN | N/A | PR | false | CHIZEVER | N/A | GEOFFREY | N/A | 9999-12-31 | 2020-01-01 | SBN STANDARD OPTION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017090312 | N/A | N/A | 8471737 | 2222 | 4802 | 13683592 | N/A | 7142683 | 2025-10-15 00:32:58.177049 | 2026-01-12 20:01:37.957097 |
| 2025-10-14 05:18:53.386224 | 2025-10-15 00:34:36.835525 | 13398834 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 13398834 | Athletic Physical Therapy Inc | 1971-12-09 | 2025-10-17 | F | AE | OSTERHOUDT | U2156506701 | TRACY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.103229014.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471577/check_13398834_1a1991ea-8d70-4b8c-8d9a-107b5e84a1d9.json | N/A | N/A | N/A | N/A | N/A | U2156506701 | Health Maintenance Organization (HMO) | CAPITAL GROUP | CGLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1971-12-09 | N/A | 3173816 | N/A | HM | false | OSTERHOUDT | N/A | TRACY | N/A | N/A | N/A | NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017090193 | N/A | N/A | 8471577 | 2222 | 4801 | 13684996 | N/A | 7142472 | 2025-10-15 00:34:36.835525 | 2025-09-06 16:19:59.701160 |