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 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | 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 05:18:52.200313 | 2025-10-14 05:18:54.315038 | 13398774 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-11-25 | 2025-10-14 | F | PT | 4191 | LEE | XEK914494143 | BARBARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/7791429/check_13398774_ed493450-e6fb-40eb-8323-38bd173e1556.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7791429/check_13398774_c72a6a88-ae64-4869-b968-5d0816ec55bc.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 | 9999-12-31 | 2025-07-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017034038 | N/A | N/A | 7791429 | 2222 | N/A | 13662153 | N/A | 6634957 | 2025-10-14 05:18:54.315038 | 2025-08-18 18:53:04.814231 |
| 2025-10-14 05:18:46.128641 | 2025-10-15 00:55:10.481055 | 13398523 | N/A | N/A | SB040 | Regal Medical Group | 1114042165 | 13398523 | Athletic Physical Therapy Inc | 1945-04-26 | 2025-10-17 | M | PT | N/A | BARKEY | JQS728M78455 | JOSEPH | 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/2222/7545690/check_13398523_dd6fad62-8df8-4709-ac66-76bc24350f45.json | N/A | N/A | N/A | N/A | N/A | JQS728M78455 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1945-04-26 | 040 | CAMCRWP0 | N/A | MP | false | BARKEY | N/A | JOSEPH | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017048263 | N/A | N/A | 7545690 | 2222 | 4801 | 13694281 | N/A | 4211589 | 2025-10-15 00:55:10.481055 | 2025-05-13 04:29:37.225916 |
| 2025-10-14 05:18:44.945038 | 2025-10-15 00:49:13.952251 | 13398468 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13398468 | Athletic Physical Therapy Inc | 1973-02-24 | 2025-10-16 | F | PT | N/A | TAKEMOTO | XED906098170 | NICOLE | 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/2222/5928752/check_13398468_ddd05d36-5704-4587-94ff-bb3d03843df3.json | N/A | N/A | N/A | N/A | N/A | XED906098170 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1973-02-24 | 2001ZK002184 | X0001004 | N/A | PR | false | TAKEMOTO | N/A | NICOLE | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017059077 | N/A | N/A | 5928752 | 2222 | 4802 | 13692357 | N/A | 4583701 | 2025-10-15 00:49:13.952251 | 2025-07-24 17:50:11.805587 |
| 2025-10-14 05:18:30.414361 | 2025-10-15 00:49:44.967458 | 13397860 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 13397860 | Athletic Physical Therapy Inc | 1996-12-19 | 2025-10-17 | M | AE | N/A | BEMANIAN | U7704317301 | SHANDIS | PT | 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/2222/7533828/check_13397860_5a171a4f-7c1d-4aaf-83a6-76343af57b3f.json | N/A | N/A | N/A | N/A | N/A | U7704317301 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 1996-12-19 | N/A | 3207160 | N/A | N/A | false | BEMANIAN | N/A | SHANDIS | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017047435 | N/A | N/A | 7533828 | 2222 | 4802 | 13692576 | N/A | 4214255 | 2025-10-15 00:49:44.967458 | 2025-05-06 20:16:21.575355 |
| 2025-10-14 05:18:24.226525 | 2025-10-15 00:34:33.351878 | 13397616 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13397616 | Athletic Physical Therapy Inc | 1990-12-22 | 2025-10-17 | M | AE | N/A | PRABHALA | R13572760MM1 | SAI RAM | PT | 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/2222/9321575/check_13397616_4cc6e66e-fdf3-4bfa-a387-b72c7a9f7be7.json | N/A | N/A | N/A | N/A | N/A | R13572760MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1990-12-22 | N/A | N/A | N/A | N/A | false | PRABHALA | N/A | SAI RAM PAVAN PRASAD | N/A | N/A | N/A | KAI SBP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017050224 | N/A | N/A | 9321575 | 2222 | 4801 | 13684944 | N/A | 7820903 | 2025-10-15 00:34:33.351878 | 2025-09-22 20:31:02.620835 |
| 2025-10-14 05:18:22.073442 | 2025-10-15 01:00:18.813667 | 13397524 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13397524 | Athletic Physical Therapy Inc | 1988-09-12 | 2025-10-16 | M | PT | N/A | Guzzo | JQU895W23533 | Aaron | 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/2222/7513987/check_13397524_b084acbb-d5fe-4faa-b2f6-27ac989d7571.json | N/A | N/A | N/A | N/A | N/A | JQU895W23533 | Preferred Provider Organization (PPO) | 3 ARTS ENTERTAINMENT LLC | BLUE SHIELD OF CALIFORNIA | N/A | 1988-09-12 | 040 | H59723 | N/A | PR | false | RATHER-GUZZO | N/A | SANDY | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017046931 | N/A | N/A | 7513987 | 2222 | 4802 | 13694543 | N/A | 6451061 | 2025-10-15 01:00:18.813667 | 2025-07-28 22:43:26.605856 |
| 2025-10-14 05:18:21.542680 | 2025-10-15 02:34:20.609657 | 13397506 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 13397506 | Athletic Physical Therapy Inc | 1968-04-14 | 2025-10-16 | M | AD | N/A | EDELMAN | 109583288 | Igor | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.081629871.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10016649/check_13397506_cbcc0e3e-b88d-49bb-abd5-3fc00d8a2af1.json | N/A | N/A | N/A | N/A | N/A | 10958328800 | N/A | TIXR, INC. | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1968-04-12 | N/A | 00651893 | N/A | N/A | false | EDELMAN | N/A | IGOR | N/A | N/A | N/A | HSA QUALIFIED HDHP | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 9017064969 | N/A | N/A | 10016649 | 2222 | 4793 | 13696642 | N/A | 8385137 | 2025-10-15 02:34:20.609657 | 2025-10-13 16:15:02.281568 |
| 2025-10-14 05:18:20.980910 | 2025-10-15 00:48:03.804945 | 13397489 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13397489 | Athletic Physical Therapy Inc | 1953-03-27 | 2025-10-16 | F | AE | N/A | FINE | 00000272194 | MICHELLE | PT | 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/2222/5858742/check_13397489_10ab2323-3f01-4828-88aa-5b205900a6fe.json | N/A | N/A | N/A | N/A | N/A | 00000272194 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-03-27 | N/A | N/A | N/A | N/A | false | FINE | N/A | MICHELLE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017058520 | N/A | N/A | 5858742 | 2222 | 4801 | 13691859 | 2630 | 4219630 | 2025-10-15 00:48:03.804945 | 2025-05-13 04:29:37.230672 |
| 2025-10-14 05:18:16.459009 | 2025-10-15 00:36:11.449945 | 13397290 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13397290 | Athletic Physical Therapy Inc | 1980-07-01 | 2025-10-17 | M | PT | N/A | Moreno jr | VDHE01043007 | Hector | 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/2222/9691081/check_13397290_00d58a11-c9c1-4cf3-a6b1-e81180933194.json | N/A | N/A | N/A | N/A | N/A | VDHE01043007 | Preferred Provider Organization (PPO) | DIGNITY HEALTH VENTURA | ANTHEM BLUE CROSS | N/A | 1980-07-01 | 040 | 174236M3A1 | N/A | PR | false | MORENO JR | N/A | HECTOR | N/A | 9999-12-31 | 2022-07-01 | PB INCENTIVE NO SUTTER | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017070430 | N/A | N/A | 9691081 | 2222 | 4801 | 13686171 | N/A | 8110015 | 2025-10-15 00:36:11.449945 | 2025-10-05 15:24:30.421551 |
| 2025-10-14 05:18:15.910076 | 2025-10-15 00:36:11.132263 | 13397267 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13397267 | Athletic Physical Therapy Inc | 1965-04-22 | 2025-10-17 | M | PT | N/A | MCHALE | ZGP814915047 | TIMOTHY | 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/2222/9691017/check_13397267_ac1fd60d-28a3-4a66-81d4-fcbeb7ec2f22.json | N/A | N/A | N/A | N/A | N/A | ZGP814915047 | Preferred Provider Organization (PPO) | NATIONAL TRENCH SAFETY, INC | CUSTOMER SERVICE | N/A | 1965-04-22 | N/A | 400397 | N/A | PR | false | MCHALE | N/A | TIMOTHY | N/A | 9999-12-31 | 2025-01-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017070429 | N/A | N/A | 9691017 | 2222 | 4801 | 13686167 | N/A | 4212607 | 2025-10-15 00:36:11.132263 | 2025-09-24 22:37:58.534216 |
| 2025-10-14 05:18:03.667842 | 2025-10-15 00:35:11.564614 | 13396784 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 13396784 | Athletic Physical Therapy Inc | 1953-05-21 | 2025-10-15 | M | AE | N/A | DAVILA | 96682470F | RAY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.101915062.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10365901/check_13396784_352829e5-2b74-4958-85cd-c606b4012916.json | N/A | N/A | N/A | N/A | N/A | 96682470F | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1953-05-21 | N/A | N/A | N/A | N/A | false | DAVILA | N/A | RAY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017033332 | N/A | N/A | 10365901 | 2222 | 4793 | 13685501 | N/A | 8628911 | 2025-10-15 00:35:11.564614 | 2025-10-13 20:36:48.387301 |
| 2025-10-14 05:18:03.337015 | 2025-10-15 00:55:16.168629 | 13396766 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13396766 | Athletic Physical Therapy Inc | 1998-10-29 | 2025-10-16 | M | PT | N/A | MARSHALL | JQU309W24257 | THOMAS | 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/2222/7458512/check_13396766_5961afa4-2845-4075-9398-c5df7753f22b.json | N/A | N/A | N/A | N/A | N/A | JQU309W24257 | Preferred Provider Organization (PPO) | SUNSTONE PROPERTIES LLC | ANTHEM BLUE CROSS | N/A | 1998-10-29 | 040 | A35988 | N/A | PR | false | MARSHALL | N/A | THOMAS | N/A | 9999-12-31 | 2025-07-01 | ANTHEM PLATINUM PPO 15/40/10% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017047805 | N/A | N/A | 7458512 | 2222 | 4793 | 13694285 | N/A | 6021448 | 2025-10-15 00:55:16.168629 | 2025-07-14 23:05:51.728886 |
| 2025-10-14 05:18:02.196335 | 2025-10-15 00:55:13.308566 | 13396714 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13396714 | Athletic Physical Therapy Inc | 1965-07-08 | 2025-10-16 | F | PT | N/A | CHALFIN | WAR121A52220 | LISA | 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/2222/7456267/check_13396714_692f7165-55ce-4602-9b37-87be722f53ac.json | N/A | N/A | N/A | N/A | N/A | WAR121A52220 | Exclusive Provider Organization | WARNER PACIFIC INSURANCE SERVICES | ANTHEM BLUE CROSS | N/A | 1965-07-08 | 040 | 282843M017 | N/A | EP | false | CHALFIN | N/A | LISA | N/A | 9999-12-31 | 2025-03-01 | PRUDENT BUYER EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017047799 | N/A | N/A | 7456267 | 2222 | 4793 | 13694283 | N/A | 6405582 | 2025-10-15 00:55:13.308566 | 2025-08-04 21:58:38.426681 |
| 2025-10-14 05:17:59.140890 | 2025-10-15 00:43:30.615365 | 13396590 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 13396590 | Athletic Physical Therapy Inc | 1962-09-23 | 2025-10-15 | M | AE | N/A | Thur | 95641377F | Pyi | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.102226770.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449843/check_13396590_ccbd3c92-3105-4049-8832-05efe351a671.json | N/A | N/A | N/A | N/A | N/A | 95641377F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 11/30/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1962-09-23 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | THUR | N/A | PYI | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017047778 | N/A | N/A | 7449843 | 2222 | 4802 | 13690013 | N/A | 6399635 | 2025-10-15 00:43:30.615365 | 2025-07-29 18:42:47.970149 |
| 2025-10-14 05:17:59.001391 | 2025-10-15 00:34:22.179748 | 13396582 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13396582 | Athletic Physical Therapy Inc | 1952-11-30 | 2025-10-15 | F | AE | N/A | Tenner | XEA913632918 | Susan | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.101915062.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10347882/check_13396582_c8ac061e-b85b-4c1e-aacf-b45500bf880c.json | N/A | N/A | N/A | N/A | N/A | XAN913632918 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | MEDICARE PART A AND B | N/A | 1952-11-30 | 1002VX000001 | W0051411 | N/A | PR | false | TENNER | N/A | ROBERT | N/A | 2025-12-31 | 2025-01-01 | CALPERS ASO PLATINUM PPO SUPPLEMENT TO MEDICARE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017033306 | N/A | N/A | 10347882 | 2222 | 4802 | 13684783 | N/A | 8614368 | 2025-10-15 00:34:22.179748 | 2025-10-13 19:03:41.164438 |
| 2025-10-14 05:17:46.449496 | 2025-10-15 00:43:35.640770 | 13396083 | N/A | N/A | 60054 | Aetna | 1114042165 | 13396083 | Athletic Physical Therapy Inc | 1956-11-03 | 2025-10-16 | M | AE | N/A | ARROW | 101393152200 | PAUL | PT | 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/2222/5676385/check_13396083_8be2d972-670f-4217-91fe-2287bc554cba.json | N/A | N/A | N/A | N/A | N/A | 101393152200 | Preferred Provider Organization (PPO) | BP CORPORATION NORTH AMERICA - MA | AETNA | MEDICARE | 1956-11-03 | 100181-02EG0001 | 100181-02 | N/A | PR | false | ARROW | N/A | PAUL | N/A | N/A | N/A | BP MEDICARE PPO ESA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017059595 | N/A | N/A | 5676385 | 2222 | 4802 | 13690051 | N/A | 4343439 | 2025-10-15 00:43:35.640770 | 2025-05-13 04:29:37.230918 |
| 2025-10-14 05:17:46.107666 | 2025-10-15 00:48:15.513678 | 13396069 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13396069 | Athletic Physical Therapy Inc | 1946-04-03 | 2025-10-16 | F | PT | N/A | OBLINGER | JQS491M78254 | MARIA | 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/2222/5676340/check_13396069_4a0dcb42-8d73-4692-8bd7-d29cd5aadd30.json | N/A | N/A | N/A | N/A | N/A | JQS491M78254 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1946-04-03 | 040 | CAMCRWP0 | N/A | MP | false | OBLINGER | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017059594 | N/A | N/A | 5676340 | 2222 | 4793 | 13691944 | 4184 | 4210531 | 2025-10-15 00:48:15.513678 | 2025-12-09 17:09:13.960610 |
| 2025-10-14 05:17:43.117555 | 2025-10-14 05:17:50.270344 | 13395970 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1938-01-22 | 2025-10-14 | F | PT | 4185 | ISTOK | MBL474M98437 | LOIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542207/check_13395970_736b1d39-0b16-4d24-b72d-b1559f113608.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542207/check_13395970_a7dd6807-87f6-4672-8288-5165620b0a89.json | N/A | N/A | N/A | N/A | N/A | MBL474M98437 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1938-01-22 | 040 | CAEGR005 | N/A | N/A | false | ISTOK | N/A | LOIS | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017029836 | N/A | N/A | 5542207 | 2222 | N/A | 13661842 | N/A | 4214152 | 2025-10-14 05:17:50.270344 | 2025-05-13 04:29:37.228479 |
| 2025-10-14 05:17:34.042715 | 2025-10-15 00:36:33.215681 | 13395600 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13395600 | Athletic Physical Therapy Inc | 2014-01-08 | 2025-10-17 | F | PT | N/A | DIAZ | XEA902904791 | MCKINLEY | 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/2222/8202983/check_13395600_eec1485a-c8a4-4e97-bd79-a2df82369912.json | N/A | N/A | N/A | N/A | N/A | XEA902904791 | Preferred Provider Organization (PPO) | HILLIGER INC | BLUE SHIELD CALIFORNIA | N/A | 2014-01-08 | 1000VX000102 | W0060472 | N/A | PR | false | HILLIGER | N/A | JENNIFER | N/A | 2033-01-31 | 2017-01-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017089841 | N/A | N/A | 8202983 | 2222 | 4793 | 13686382 | N/A | 6965635 | 2025-10-15 00:36:33.215681 | 2025-09-05 19:59:40.463785 |
| 2025-10-14 05:17:33.276071 | 2025-10-15 00:59:51.143014 | 13395569 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13395569 | Athletic Physical Therapy Inc | 1963-01-14 | 2025-10-16 | F | PT | N/A | KRAFT | XED911569862 | KATHRIN | 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/2222/7294742/check_13395569_f44b04b1-daa0-406e-b316-71a4d276e020.json | N/A | N/A | N/A | N/A | N/A | XED911569862 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-01-14 | 2001ZK002184 | X0001004 | N/A | PR | false | KRAFT | N/A | KATHRIN | N/A | 9999-12-31 | 2025-01-01 | SILVER 94 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017046393 | N/A | N/A | 7294742 | 2222 | 4801 | 13694507 | N/A | 6254569 | 2025-10-15 00:59:51.143014 | 2025-08-12 09:24:43.956957 |
| 2025-10-14 05:17:32.304026 | 2025-10-15 00:36:46.806633 | 13395544 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13395544 | Athletic Physical Therapy Inc | 1985-01-29 | 2025-10-15 | F | PT | N/A | MURPHY | NGO398A23229 | DARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.103229014.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202094/check_13395544_e97e1377-b885-4cd8-98dc-ef768193f64e.json | N/A | N/A | N/A | N/A | N/A | NGO398A23229 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | BLUE SHIELD OF CALIFORNIA | N/A | 1985-01-29 | 040 | 174022MJAD | N/A | PR | false | MURPHY | N/A | SCOTT | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017089835 | N/A | N/A | 8202094 | 2222 | 4793 | 13686493 | N/A | 6964828 | 2025-10-15 00:36:46.806633 | 2025-08-21 15:20:41.432970 |
| 2025-10-14 05:17:26.524518 | 2025-10-15 00:34:01.286324 | 13395322 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 13395322 | Athletic Physical Therapy Inc | 1958-02-20 | 2025-10-16 | F | AE | N/A | SHERRY | H7159538300 | PAULA | PT | 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/2222/8193020/check_13395322_86a0b153-c1ad-46c5-817e-da93c74a43e9.json | N/A | N/A | N/A | N/A | N/A | H71595383 | 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 | 1958-02-20 | N/A | 0B527001 | N/A | HN | false | SHERRY | N/A | PAULA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017089357 | N/A | N/A | 8193020 | 2222 | 4801 | 13684477 | N/A | 4214141 | 2025-10-15 00:34:01.286324 | 2025-05-13 04:29:37.228469 |
| 2025-10-14 05:17:24.750950 | 2025-10-15 02:36:19.059388 | 13395255 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13395255 | Athletic Physical Therapy Inc | 1997-05-07 | 2025-10-17 | F | PT | N/A | KEIPINGER | FDP220267648 | ALEXIS | 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/2222/9980304/check_13395255_913aad09-62ed-44cf-8255-fcfc4ff2193e.json | N/A | N/A | N/A | N/A | N/A | FDP220267648 | Preferred Provider Organization (PPO) | BANFIELD PET HOSPITAL | ANTHEM BLUE CROSS | SERVICES PROVIDED TO THIS PATIENT ARE SUBJECT TO THE BALANCE BILLING PROTECTION ACT. PLEASE SEE RCW 48.49.020 FOR DETAILS. | 1997-05-07 | N/A | 10034839 | N/A | PR | false | KEIPINGER | N/A | ALEXIS | N/A | 9999-12-31 | 2025-01-01 | HSA3.0/PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017065558 | N/A | N/A | 9980304 | 2222 | 4793 | 13697194 | N/A | 8354055 | 2025-10-15 02:36:19.059388 | 2025-10-03 21:21:52.013920 |
| 2025-10-14 05:17:17.675735 | 2025-10-15 00:43:30.001324 | 13395003 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 13395003 | Athletic Physical Therapy Inc | 1976-02-07 | 2025-10-16 | F | AE | N/A | MALTSEVA | 94237973H65017 | YEVHENIIA | PT | 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/2222/7253095/check_13395003_5b77478d-66df-44ca-9d9f-dc63b6d4343b.json | N/A | N/A | N/A | N/A | N/A | 94237973H65017 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1976-02-07 | N/A | N/A | N/A | N/A | false | MALTSEVA | N/A | YEVHENIIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017048006 | N/A | N/A | 7253095 | 2222 | 4802 | 13690010 | N/A | 6219145 | 2025-10-15 00:43:30.001324 | 2025-07-21 16:40:35.276086 |
| 2025-10-14 05:17:13.689487 | 2025-10-15 00:33:03.779436 | 13394845 | N/A | N/A | 60054 | Aetna | 1114042165 | 13394845 | Athletic Physical Therapy Inc | 1972-12-30 | 2025-10-17 | M | AE | N/A | MCHALE | W27265070 | MATT | PT | 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/2222/8173116/check_13394845_a42a1bd2-4f37-46b0-bbc5-ac28992d1302.json | N/A | N/A | N/A | N/A | N/A | W272665070 | Point of Service (POS) | SONY CORPORATION OF AMERICA | AETNA | N/A | 1972-12-30 | 0486873 | 048687302100161 | N/A | PS | false | MCHALE | N/A | MATTHEW | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017088960 | N/A | N/A | 8173116 | 2222 | 4802 | 13683669 | N/A | 6939617 | 2025-10-15 00:33:03.779436 | 2025-09-16 00:28:24.457071 |
| 2025-10-14 05:17:13.216944 | 2025-10-15 00:32:42.655241 | 13394822 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 13394822 | Athletic Physical Therapy Inc | 2001-06-21 | 2025-10-15 | M | AE | N/A | RAFIEI | 92836714F | SAM | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.103229014.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173002/check_13394822_654be1bd-b2b9-474e-9dea-0e1d159a4178.json | N/A | N/A | N/A | N/A | N/A | 92836714F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-06-21 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | RAFIEI | N/A | SAM | N/A | 2078-12-31 | 2024-02-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017088957 | N/A | N/A | 8173002 | 2222 | 4793 | 13683374 | N/A | 6939518 | 2025-10-15 00:32:42.655241 | 2025-08-18 21:40:08.349494 |
| 2025-10-14 05:17:09.088113 | 2025-10-15 00:48:32.995891 | 13394673 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13394673 | Athletic Physical Therapy Inc | 1944-09-29 | 2025-10-17 | F | AE | N/A | GUASTELLA | 911M7843220 | ROSE ANN | PT | 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/2222/7458753/check_13394673_4a35c6b7-4d89-4e64-9eca-3f3604629b9f.json | N/A | N/A | N/A | N/A | N/A | 911M7843220 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1944-09-29 | N/A | N/A | N/A | N/A | false | GUASTELLA | N/A | ROSE ANN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017067680 | N/A | N/A | 7458753 | 2222 | 4801 | 13692070 | N/A | 6407685 | 2025-10-15 00:48:32.995891 | 2025-08-12 18:01:47.141909 |
| 2025-10-14 05:17:04.243594 | 2025-10-15 00:42:18.522425 | 13394491 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | 13394491 | Athletic Physical Therapy Inc | 1965-07-05 | 2025-10-16 | F | PT | N/A | CEJA | XEH903796659 | PATRICIA | 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/2222/5549285/check_13394491_3bc46470-f60b-4b34-a0f3-41cb8bb0ccd1.json | N/A | N/A | N/A | N/A | N/A | XEH903796659 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1965-07-05 | N/A | N/A | N/A | N/A | false | CEJA | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017058429 | N/A | N/A | 5549285 | 2222 | 4801 | 13689496 | N/A | 4218983 | 2025-10-15 00:42:18.522425 | 2025-05-13 04:29:37.230000 |
| 2025-10-14 05:17:02.476904 | 2025-10-15 00:47:18.315773 | 13394434 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 13394434 | Athletic Physical Therapy Inc | 1950-03-29 | 2025-10-16 | M | AE | N/A | AKHTARI | 40045421301 | SHAHROKH | PT | 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/2222/5543493/check_13394434_7054859b-9e7c-441a-b4bc-47c058b27618.json | N/A | N/A | N/A | N/A | N/A | 40045421301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-03-29 | 2025H5425084LA | H5425M | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | SCAN VENTURE (HMO), LOS ANGELES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017058423 | N/A | N/A | 5543493 | 2222 | 4793 | 13691578 | N/A | 4215273 | 2025-10-15 00:47:18.315773 | 2025-05-13 04:29:37.229594 |
| 2025-10-14 05:17:02.001645 | 2025-10-15 00:48:12.089170 | 13394415 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13394415 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-10-17 | F | PT | N/A | DAKE | SIF326M90066 | RENEE | 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/2222/5543355/check_13394415_0ed18538-65ee-4e20-bed6-cccca5245c53.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | Preferred Provider Organization (PPO) | SISC - MEADOWS ARTS & TECH ELEMENTARY SCHOOL | ANTHEM BLUE CROSS | N/A | 1968-01-29 | 040 | 40424B | N/A | PR | false | DAKE | N/A | RENEE | N/A | 9999-12-31 | 2018-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017058422 | N/A | N/A | 5543355 | 2222 | 4793 | 13691921 | N/A | 4215158 | 2025-10-15 00:48:12.089170 | 2025-05-13 04:29:37.229475 |
| 2025-10-14 05:17:01.308135 | 2025-10-15 00:43:13.027298 | 13394392 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 13394392 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-10-16 | F | AE | N/A | SILVERS | 1866968 | JOIEMAY | PT | 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/2222/5543335/check_13394392_a6a29127-f705-4c9a-a18e-6f3fa8d1184d.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 2001-01-23 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017058421 | N/A | N/A | 5543335 | 2222 | 4802 | 13689893 | N/A | 4215139 | 2025-10-15 00:43:13.027298 | 2025-05-13 21:20:11.455022 |
| 2025-10-14 05:17:00.819156 | 2025-10-15 00:49:12.821289 | 13394379 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13394379 | Athletic Physical Therapy Inc | 1987-10-17 | 2025-10-15 | F | PT | N/A | PATEL | XEA910759571 | MAMTABEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.102542376.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543327/check_13394379_4808e1c3-8f1f-4620-988b-44df01d2ec77.json | N/A | N/A | N/A | N/A | N/A | XEA910759571 | Preferred Provider Organization (PPO) | RELATIVITY SPACE INC | BLUE SHIELD CALIFORNIA | N/A | 1987-10-17 | 1000PPOX0004 | W0071038 | N/A | PR | false | KROL | N/A | JEREMY | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1650 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017058420 | N/A | N/A | 5543327 | 2222 | 4802 | 13692348 | N/A | 4215137 | 2025-10-15 00:49:12.821289 | 2025-10-13 23:09:53.444170 |
| 2025-10-14 05:17:00.508797 | 2025-10-15 00:43:12.716074 | 13394367 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 13394367 | Athletic Physical Therapy Inc | 1991-07-22 | 2025-10-16 | M | AE | N/A | AZIM | 627771249 | FAIYAZ | PT | 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/2222/5543304/check_13394367_4caf43d4-7284-4690-aeba-aed2c93d28c1.json | N/A | N/A | N/A | N/A | N/A | 627771249 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 1991-07-22 | 18126CA001000201 | QMXEM01910 | N/A | N/A | false | AZIM | N/A | FAIYAZ | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017058419 | N/A | N/A | 5543304 | 2222 | 4802 | 13689890 | N/A | 4215118 | 2025-10-15 00:43:12.716074 | 2025-06-02 01:41:59.668874 |
| 2025-10-14 05:17:00.180393 | 2025-10-15 00:49:13.386670 | 13394353 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13394353 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-10-16 | F | PT | N/A | PAUL | XEK914147727 | SARA | 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/2222/5543211/check_13394353_9b9238a2-d703-4719-aac3-031abd5d2a5a.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | 9999-12-31 | 2025-02-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017058418 | N/A | N/A | 5543211 | 2222 | 4801 | 13692353 | N/A | 4215028 | 2025-10-15 00:49:13.386670 | 2025-05-13 04:29:37.229346 |
| 2025-10-14 05:16:59.706993 | 2025-10-15 00:48:13.657707 | 13394328 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13394328 | Athletic Physical Therapy Inc | 1972-06-23 | 2025-10-17 | F | PT | N/A | LAWSON | JXN663W00172 | MICHELLE | 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/2222/5543167/check_13394328_bfc1f9ec-b3ea-426e-bf4c-a1aea76720ca.json | N/A | N/A | N/A | N/A | N/A | JXN663W00172 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1972-06-23 | 040 | 174222M2A1 | N/A | PR | false | LAWSON | N/A | MICHELLE | N/A | 9999-12-31 | 2020-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017059589 | N/A | N/A | 5543167 | 2222 | 4793 | 13691932 | N/A | 4214995 | 2025-10-15 00:48:13.657707 | 2025-05-13 04:29:37.229315 |
| 2025-10-14 05:16:59.164466 | 2025-10-15 00:49:12.534206 | 13394312 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13394312 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-10-17 | F | PT | N/A | JAIN | XEK909304497 | SUPARNA | 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/2222/5542952/check_13394312_f46f1b46-203c-49b1-b150-49c81e8f3a4b.json | N/A | N/A | N/A | N/A | N/A | XEK909304497 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-01-24 | 2001ZK002189 | X0001000 | N/A | PR | false | JAIN | N/A | SUPARNA | N/A | 9999-12-31 | 2019-09-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017059588 | N/A | N/A | 5542952 | 2222 | 4802 | 13692346 | N/A | 4214804 | 2025-10-15 00:49:12.534206 | 2025-05-13 20:09:53.786482 |
| 2025-10-14 05:16:58.670230 | 2025-10-15 00:48:16.661461 | 13394298 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13394298 | Athletic Physical Therapy Inc | 1975-03-27 | 2025-10-16 | M | PT | N/A | SHAW | JQW647W16708 | MICHAEL | 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/2222/5542902/check_13394298_3d15f25d-fc39-4a89-a3d3-f417cdbae49a.json | N/A | N/A | N/A | N/A | N/A | JQW647W16708 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1975-03-27 | 040 | CAMCRWP0 | N/A | MP | false | SHAW | N/A | MICHAEL | N/A | 2025-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017059587 | N/A | N/A | 5542902 | 2222 | 4801 | 13691952 | N/A | 4214761 | 2025-10-15 00:48:16.661461 | 2026-01-08 16:06:40.256372 |
| 2025-10-14 05:16:58.291568 | 2025-10-15 00:43:37.427824 | 13394279 | N/A | N/A | 60054 | Aetna | 1114042165 | 13394279 | Athletic Physical Therapy Inc | 1997-11-11 | 2025-10-17 | M | AE | N/A | VELASQUEZ | W290801184 | EVAN | PT | 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/2222/5542874/check_13394279_0207ca0b-8882-4171-b822-7e1797987b8d.json | N/A | N/A | N/A | N/A | N/A | W290801184 | Point of Service (POS) | OMNICOM BENEFITS INC. | AETNA | N/A | 1997-11-11 | 0247086 | 024708602300010 | N/A | PS | false | VELASQUEZ | N/A | EVAN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017059586 | N/A | N/A | 5542874 | 2222 | 4802 | 13690062 | N/A | 4214737 | 2025-10-15 00:43:37.427824 | 2025-05-13 04:29:37.229056 |
| 2025-10-14 05:16:58.009292 | 2025-10-15 00:43:36.452066 | 13394268 | N/A | N/A | 60054 | Aetna | 1114042165 | 13394268 | Athletic Physical Therapy Inc | 1997-05-24 | 2025-10-17 | M | AE | N/A | DIAZ | W290801952 | SHAWN | PT | 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/2222/5542855/check_13394268_9d0e3bbc-3229-4e6a-a574-2efb0a874f79.json | N/A | N/A | N/A | N/A | N/A | W290801952 | Point of Service (POS) | OMNICOM BENEFITS INC. | AETNA | N/A | 1997-05-24 | 0247086 | 024708602300010 | N/A | PS | false | DIAZ | N/A | SHAWN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017059585 | N/A | N/A | 5542855 | 2222 | 4802 | 13690057 | N/A | 4214719 | 2025-10-15 00:43:36.452066 | 2025-05-13 04:29:37.229037 |
| 2025-10-14 05:16:57.744120 | 2025-10-15 00:47:51.634574 | 13394256 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13394256 | Athletic Physical Therapy Inc | 2007-12-08 | 2025-10-16 | F | AE | N/A | LARSEN | R06053944FD1 | LANA | PT | 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/2222/5542850/check_13394256_106379b7-2577-4e40-baa3-c7ea224dfb3b.json | N/A | N/A | N/A | N/A | N/A | R06053944FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2007-12-08 | N/A | N/A | N/A | N/A | false | LARSEN | N/A | LANA | N/A | N/A | N/A | MGY COMHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017059584 | N/A | N/A | 5542850 | 2222 | 4793 | 13691813 | N/A | 4214714 | 2025-10-15 00:47:51.634574 | 2025-05-13 04:29:37.229031 |
| 2025-10-14 05:16:57.336593 | 2025-10-15 00:49:13.121838 | 13394239 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13394239 | Athletic Physical Therapy Inc | 1974-06-26 | 2025-10-17 | M | PT | N/A | ARSHADNIA | XEK904721388 | SHAHRIAR | 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/2222/5542770/check_13394239_3a3219b7-c22b-426e-8f0f-fed8a50a2a30.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1974-06-26 | 2001ZJ002648 | X0001000 | N/A | PR | false | NOSRAT | N/A | CAROLYN | N/A | 2025-12-31 | 2025-01-01 | SILVER 1750 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017059583 | N/A | N/A | 5542770 | 2222 | 4802 | 13692350 | N/A | 4214643 | 2025-10-15 00:49:13.121838 | 2025-05-13 04:29:37.228964 |
| 2025-10-14 05:16:56.835503 | 2025-10-15 00:47:13.246162 | 13394226 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13394226 | Athletic Physical Therapy Inc | 1979-11-17 | 2025-10-17 | F | AE | N/A | WOODS | 96781627F | JESSICA | PT | 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/2222/5542752/check_13394226_29595724-9949-43f9-8e03-89fcce9d2f13.json | N/A | N/A | N/A | N/A | N/A | 96781627F | N/A | N/A | HEALTH NET, LLC | N/A | 1979-11-17 | N/A | N/A | N/A | N/A | false | WOODS | N/A | JESSICA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017059582 | N/A | N/A | 5542752 | 2222 | 4793 | 13691531 | N/A | 4214627 | 2025-10-15 00:47:13.246162 | 2025-06-23 18:58:46.304598 |
| 2025-10-14 05:16:56.342768 | 2025-10-15 00:48:12.396349 | 13394206 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13394206 | Athletic Physical Therapy Inc | 1993-06-20 | 2025-10-17 | F | PT | N/A | DELOS REYES | JXN688W13372 | JANELLE LOPEZ | 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/2222/5542750/check_13394206_cca519dd-cbb7-4e5a-a641-9a2d86c58fb3.json | N/A | N/A | N/A | N/A | N/A | JXN688W13372 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-06-20 | N/A | N/A | N/A | N/A | false | DELOS REYES | N/A | JANELLE LOPEZ | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017059581 | N/A | N/A | 5542750 | 2222 | 4802 | 13691922 | N/A | 4214623 | 2025-10-15 00:48:12.396349 | 2025-08-28 22:11:32.536994 |
| 2025-10-14 05:16:55.899813 | 2025-10-15 00:47:12.431951 | 13394185 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13394185 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-10-16 | F | AE | N/A | CHERE | 98953535F | DIANA | PT | 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/2222/5542660/check_13394185_f7e1bd27-89e7-4d4f-a0ab-738de6609881.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017059580 | N/A | N/A | 5542660 | 2222 | 4802 | 13691524 | N/A | 4214542 | 2025-10-15 00:47:12.431951 | 2025-05-13 04:29:37.228868 |
| 2025-10-14 05:16:55.612532 | 2025-10-15 00:48:11.562088 | 13394169 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13394169 | Athletic Physical Therapy Inc | 1975-12-13 | 2025-10-17 | F | PT | N/A | ASSENGA | TWA295A70455 | NANCY | 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/2222/5542618/check_13394169_298a84ec-ab9f-41ff-b0f4-2307f16830dd.json | N/A | N/A | N/A | N/A | N/A | TWA295A70455 | Preferred Provider Organization (PPO) | WILLIS TOWERS WATSON | ANTHEM BLUE CROSS | N/A | 1975-12-13 | 101 | 270127M9A0 | N/A | PR | false | ASSENGA | N/A | NANCY | N/A | 9999-12-31 | 2024-01-01 | CDHP NY NAT GENC HEALTH SAVINGS ACCT (HSA) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017059579 | N/A | N/A | 5542618 | 2222 | 4801 | 13691917 | N/A | 4214504 | 2025-10-15 00:48:11.562088 | 2025-05-13 04:29:37.228820 |
| 2025-10-14 05:16:55.262337 | 2025-10-15 00:48:06.476955 | 13394153 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 13394153 | Athletic Physical Therapy Inc | 1988-11-03 | 2025-10-15 | F | AE | N/A | CAPISTRANO | 98696372G | FERDELLE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251014.102542376.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542513/check_13394153_ddda246c-bf9a-4d50-b2ca-3ca08b482658.json | N/A | N/A | N/A | N/A | N/A | 98696372G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1988-11-03 | MCLA | MWLLNMEG21 | N/A | N/A | false | CAPISTRANO | N/A | FERDELLE | N/A | 2078-12-31 | 2024-05-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017059578 | N/A | N/A | 5542513 | 2222 | 4793 | 13691881 | N/A | 4214418 | 2025-10-15 00:48:06.476955 | 2025-07-03 18:12:11.075357 |
| 2025-10-14 05:16:54.507130 | 2025-10-15 00:48:07.946064 | 13394132 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 13394132 | Athletic Physical Therapy Inc | 1975-03-26 | 2025-10-16 | F | AE | N/A | HEYES | 95596436F | DARCIE | PT | 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/2222/5542233/check_13394132_08dcaef0-d802-4dc0-b130-38b888d66606.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1975-03-26 | N/A | N/A | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9017059577 | N/A | N/A | 5542233 | 2222 | 4793 | 13691890 | N/A | 4214178 | 2025-10-15 00:48:07.946064 | 2025-05-13 04:29:37.228506 |
| 2025-10-14 05:16:53.975672 | 2025-10-15 00:48:13.388259 | 13394117 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13394117 | Athletic Physical Therapy Inc | 1938-01-22 | 2025-10-16 | F | PT | N/A | ISTOK | MBL474M98437 | LOIS | 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/2222/5542207/check_13394117_57f60b9f-e9ed-4c39-bb8d-4cecf1b9e513.json | N/A | N/A | N/A | N/A | N/A | MBL474M98437 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1938-01-22 | 040 | CAEGR005 | N/A | N/A | false | ISTOK | N/A | LOIS | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017059576 | N/A | N/A | 5542207 | 2222 | 4802 | 13691929 | N/A | 4214152 | 2025-10-15 00:48:13.388259 | 2025-05-13 04:29:37.228479 |
| 2025-10-14 05:16:53.540032 | 2025-10-15 00:49:11.987299 | 13394099 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13394099 | Athletic Physical Therapy Inc | 1990-09-04 | 2025-10-17 | M | PT | N/A | HASHEMI | XEA914007676 | SEYED | 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/2222/5541956/check_13394099_d21dd115-9aa8-41b4-8b6a-3774d878265a.json | N/A | N/A | N/A | N/A | N/A | XEA914007676 | Preferred Provider Organization (PPO) | SILVUS TECHNOLOGIES INC | BLUE SHIELD CALIFORNIA | N/A | 1990-09-04 | 1000PPOX0002 | W3000628 | N/A | PR | false | HASHEMI | N/A | SEYED MEHRDAD | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1800 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017059575 | N/A | N/A | 5541956 | 2222 | 4802 | 13692342 | N/A | 4213923 | 2025-10-15 00:49:11.987299 | 2025-05-13 04:29:37.228244 |
| 2025-10-14 05:16:53.212306 | 2025-10-15 00:49:12.240870 | 13394081 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13394081 | Athletic Physical Therapy Inc | 1980-03-25 | 2025-10-17 | F | PT | N/A | HILLIGER | XEA902904791 | JENNIE | 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/2222/5541730/check_13394081_977a40cb-4c93-4526-a846-c40a677cd754.json | N/A | N/A | N/A | N/A | N/A | XEA902904791 | Preferred Provider Organization (PPO) | HILLIGER INC | BLUE SHIELD CALIFORNIA | N/A | 1980-03-25 | 1000VX000102 | W0060472 | N/A | PR | false | HILLIGER | N/A | JENNIFER | N/A | 9999-12-31 | 2017-01-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9017059574 | N/A | N/A | 5541730 | 2222 | 4793 | 13692344 | N/A | 4213725 | 2025-10-15 00:49:12.240870 | 2025-05-13 04:29:37.228045 |