API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-13 05:35:57.071729 | 2025-10-13 05:36:03.747029 | 13375705 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-09-14 | 2025-10-15 | M | AE | PT | Luthra | 70548686400 | Rahil | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9415757/check_13375705_01b4e050-feed-488f-8b62-8779c98c0474.json | UHC | N/A | GOOGLE_CLOUD | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9415757/check_13375705_ea637d52-e9cc-41a9-911c-817fe2f54181.json | N/A | N/A | N/A | N/A | N/A | 70548686400 | N/A | N/A | UnitedHealthcare Benefits Plan of California | N/A | 2005-09-14 | N/A | 1727199 | N/A | N/A | false | LUTHRA | N/A | RAHIL | 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 | 9415757 | 2222 | N/A | 13609417 | N/A | 7884645 | 2025-10-13 05:36:03.747029 | 2025-09-23 18:47:24.441583 |
| 2025-10-13 05:35:45.521580 | 2025-10-13 05:35:51.452421 | 13375632 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-05-23 | 2025-10-16 | F | AE | PT | Hanson | 6403111400 | Stasia | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9316600/check_13375632_5b300c63-acb3-4429-b626-fa56978c9399.json | UHC | N/A | GOOGLE_CLOUD | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9316600/check_13375632_40bffb6b-da4e-44b1-9a79-5c62d9512780.json | N/A | N/A | N/A | N/A | N/A | 640311400 | N/A | N/A | UNITEDHEALTHCARE | N/A | 2005-05-23 | N/A | 215825 | N/A | N/A | false | HANSON | N/A | STASIA | 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 | 9316600 | 2222 | N/A | 13609348 | N/A | 7815191 | 2025-10-13 05:35:51.452421 | 2025-09-11 15:56:53.475981 |
| 2025-10-13 05:34:33.066414 | 2025-10-13 05:34:39.799315 | 13375157 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-06-06 | 2025-10-15 | F | AE | PT | GIESSINGER | 976913826 | OLIVIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/8385973/check_13375157_fcd46dab-6e0e-4724-b6f1-71779e1cc8f7.json | UHC | N/A | GOOGLE_CLOUD | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8385973/check_13375157_dbe7cee0-ab8f-4af0-a567-487b6dd5d7ff.json | N/A | N/A | N/A | N/A | N/A | 976913826 | N/A | N/A | UNITEDHEALTHCARE | N/A | 2001-06-06 | N/A | 48656 | N/A | N/A | false | GIESSINGER | N/A | OLIVIA | 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 | 8385973 | 2222 | N/A | 13608948 | N/A | 7065184 | 2025-10-13 05:34:39.799315 | 2025-08-21 01:04:39.891389 |
| 2025-10-13 05:32:35.842248 | 2025-10-13 05:32:41.219938 | 13374404 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-07-29 | 2025-10-16 | M | AE | PT | Cappello | 45750956400 | Benjamin | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6938506/check_13374404_72293426-e74b-42e7-9b10-ac77a2bf50bb.json | UHC | N/A | GOOGLE_CLOUD | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6938506/check_13374404_7a8cbc9d-bd94-4c81-93af-a76992d13b0d.json | N/A | N/A | N/A | N/A | N/A | 45750956400 | N/A | N/A | UnitedHealthcare Benefits Plan of California | N/A | 1987-07-29 | N/A | 1664558 | N/A | N/A | false | Cappello | N/A | Benjamin | 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 | 6938506 | 2222 | N/A | 13608275 | N/A | 5969183 | 2025-10-13 05:32:41.219938 | 2025-07-09 21:28:58.856145 |
| 2025-10-13 05:31:20.624490 | 2025-10-13 05:31:28.241520 | 13373912 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-08-18 | 2025-10-16 | F | AE | PT | DABBY JOYCE | 69863444000 | LISA | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068059/check_13373912_70f502d4-a793-477d-93c3-f6875253f5af.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068059/check_13373912_6f7bce49-8848-4551-b157-e2cd7d489861.json | N/A | N/A | N/A | N/A | N/A | 69863444000 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1978-08-18 | N/A | N/A | N/A | N/A | false | DABBY JOYCE | N/A | LISA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006324871 | N/A | N/A | 6068059 | 2222 | N/A | 13607859 | N/A | 4713001 | 2025-10-13 05:31:28.241520 | 2025-10-23 14:37:36.593472 |
| 2025-10-13 05:31:17.223118 | 2025-10-13 05:31:17.496076 | 13373883 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-08-18 | 2025-10-16 | F | AE | PT | DABBY JOYCE | 69863444000 | LISA | N/A | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-10-16 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 6068059 | 2222 | N/A | N/A | N/A | 4713001 | 2025-10-13 05:31:17.496076 | 2025-10-23 14:37:36.593472 |
| 2025-10-13 05:30:54.996719 | 2025-10-13 05:31:00.206894 | 13373752 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-11-23 | 2025-10-16 | F | AE | PT | REYNOLDS | 989167788-00 | NANCY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550750/check_13373752_492fa4b6-7eb3-4acf-956e-f9af0aae1ae6.json | UHC | N/A | GOOGLE_CLOUD | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550750/check_13373752_fa5b4cb2-588a-4998-b518-41414d443e9b.json | N/A | N/A | N/A | N/A | N/A | 989167788 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1954-11-23 | N/A | 15458 | N/A | N/A | false | REYNOLDS | N/A | NANCY | 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 | 5550750 | 2222 | N/A | 13607708 | N/A | 4219649 | 2025-10-13 05:31:00.206894 | 2025-05-13 04:29:37.230695 |
| 2025-10-13 05:30:53.722663 | 2025-10-13 05:30:57.413043 | 13373739 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-07-13 | 2025-10-16 | F | AE | PT | CONNOLLY | 974474822 | ELAINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540675/check_13373739_952aa768-5270-478c-ad08-4ecd486472a5.json | UHC | N/A | GOOGLE_CLOUD | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540675/check_13373739_44cf47e6-8636-4083-bb5a-68d6ba556caa.json | N/A | N/A | N/A | N/A | N/A | 974474822 | N/A | N/A | UNITEDHEALTHCARE | N/A | 2008-07-13 | N/A | 923812 | N/A | N/A | false | CONNOLLY | N/A | ELAINE | 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 | 5540675 | 2222 | N/A | 13607694 | N/A | 4212786 | 2025-10-13 05:30:57.413043 | 2025-05-13 04:29:37.227120 |
| 2025-10-13 05:26:11.912959 | 2025-10-13 05:26:19.939638 | 13372574 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-12-07 | 2025-10-14 | M | AE | PT | WALLACH | 006908882 | CHARLES | 6341 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7821426/check_13372574_116aeccf-5a09-4d8b-997a-42f283afdd95.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7821426/check_13372574_fc0b2f3d-712e-46c3-a21d-3f77aee21603.json | N/A | N/A | N/A | N/A | N/A | 006908882 | N/A | N/A | TRIWEST - TRICARE | N/A | 1971-12-07 | N/A | N/A | N/A | N/A | false | WALLACH | N/A | CHARLES | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7821426 | 2222 | N/A | 13606652 | N/A | 6660003 | 2025-10-13 05:26:19.939638 | 2026-06-01 17:03:48.982724 |
| 2025-10-13 05:18:19.177427 | 2025-10-13 17:48:22.537263 | 13371280 | N/A | N/A | 60054 | Aetna | 1114042165 | 13371280 | Athletic Physical Therapy Inc | 1991-08-09 | 2025-10-15 | M | AE | PT | TORIO | W287278504 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.102034077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6235883/check_13371280_09e6c649-528d-41f6-b750-e47f1e66b6f3.json | N/A | N/A | N/A | N/A | N/A | W287278504 | Point of Service (POS) | COADVANTAGE RESOURCES, INC. | AETNA | N/A | 1991-08-09 | 0159468 | 015946801000034 | N/A | PS | false | TORIO | N/A | MICHAEL | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006294136 | N/A | N/A | 6235883 | 2222 | 4802 | 13640603 | N/A | 4883697 | 2025-10-13 17:48:22.537263 | 2025-07-08 14:55:53.397662 |
| 2025-10-13 05:17:52.660524 | 2025-10-13 05:18:28.214959 | 13371078 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-11-26 | 2025-10-14 | M | AE | PT | COHEN | 00522745401 | JEFFREY | 6341 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9256904/check_13371078_e81c8a3a-2198-4488-bedc-edaa69fcb163.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-10-14 | N/A | N/A | N/A | N/A | N/A | N/A | 00522745401 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | 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 | 9256904 | 2222 | N/A | N/A | N/A | 7767834 | 2025-10-13 05:18:28.214959 | 2025-09-11 00:43:19.781163 |
| 2025-10-13 05:17:06.375146 | 2025-10-13 17:56:37.749915 | 13370789 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13370789 | Athletic Physical Therapy Inc | 1994-02-23 | 2025-10-14 | F | PT | N/A | SHU | XAN913831469 | GABRIELA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.102034077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6121701/check_13370789_49bb4305-fc6c-4a40-9a99-9744da406204.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 | 9006293799 | N/A | N/A | 6121701 | 2222 | 4793 | 13642286 | N/A | 4764460 | 2025-10-13 17:56:37.749915 | 2025-06-04 04:30:06.494155 |
| 2025-10-13 05:15:42.913506 | 2025-10-13 17:56:35.459325 | 13370453 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13370453 | Athletic Physical Therapy Inc | 1982-07-02 | 2025-10-15 | M | PT | N/A | DRISCOLL | XED912182768 | JAMES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.102034077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104970/check_13370453_9d5b48c3-1c79-44f3-9c6f-7ce2555a6ac3.json | N/A | N/A | N/A | N/A | N/A | XED912182768 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1982-07-02 | 2001ZK002184 | X0001004 | N/A | PR | false | DRISCOLL | N/A | JAMES | N/A | 9999-12-31 | 2023-04-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006292730 | N/A | N/A | 6104970 | 2222 | 4802 | 13642274 | N/A | 4749447 | 2025-10-13 17:56:35.459325 | 2025-06-06 23:16:09.869339 |
| 2025-10-13 05:15:35.766205 | 2025-10-13 17:54:48.680002 | 13370405 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 13370405 | Athletic Physical Therapy Inc | 1954-02-25 | 2025-10-16 | F | AE | PT | ROBERTS | 00000402630 | DEBRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.102034077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085762/check_13370405_ef50d39d-7422-4af4-9911-6d1212731dc0.json | N/A | N/A | N/A | N/A | N/A | 00000402630 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1954-02-25 | N/A | N/A | N/A | N/A | false | ROBERTS | N/A | DEBRA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006292713 | N/A | N/A | 6085762 | 2222 | 4793 | 13641894 | N/A | 4729138 | 2025-10-13 17:54:48.680002 | 2025-05-31 14:20:56.156252 |
| 2025-10-13 05:15:17.349454 | 2025-10-13 17:51:34.110450 | 13370314 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 13370314 | Athletic Physical Therapy Inc | 1998-01-13 | 2025-10-15 | F | AE | PT | HOWE | U9192068101 | LOCHRYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.102034077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6079410/check_13370314_fa504638-68e9-484f-a317-b7250af1415c.json | N/A | N/A | N/A | N/A | N/A | U9192068101 | N/A | VVG HOLDINGS, LLC | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST PREFERRED CARE MANAGEMENT | 1999-01-13 | N/A | 3343439 | N/A | N/A | false | HOWE | N/A | LOCHRYN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006294026 | N/A | N/A | 6079410 | 2222 | 4802 | 13641216 | N/A | 4723300 | 2025-10-13 17:51:34.110450 | 2025-06-04 00:42:43.684276 |
| 2025-10-13 05:15:05.433333 | 2025-10-13 17:53:04.021601 | 13370252 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13370252 | Athletic Physical Therapy Inc | 1973-03-27 | 2025-10-14 | F | AE | PT | KAUFMAN | R05917930FM1 | AMANDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.102034077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074035/check_13370252_55d95053-6699-48ac-b02b-7dddf37a28c8.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 | 9006293995 | N/A | N/A | 6074035 | 2222 | 4801 | 13641539 | N/A | 4718592 | 2025-10-13 17:53:04.021601 | 2025-05-29 20:00:22.627186 |
| 2025-10-13 05:13:23.669209 | 2025-10-13 17:53:03.226917 | 13369698 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13369698 | Athletic Physical Therapy Inc | 1969-01-08 | 2025-10-15 | F | AE | PT | ALROMAIH | 91237812E | SARAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.102034077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993940/check_13369698_a2502b8f-f34e-47cb-b9a4-cbc8e89b861f.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006292220 | N/A | N/A | 5993940 | 2222 | 4802 | 13641537 | N/A | 4642877 | 2025-10-13 17:53:03.226917 | 2025-12-23 23:49:16.627667 |
| 2025-10-13 05:13:23.136835 | 2025-10-13 17:55:16.509955 | 13369696 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13369696 | Athletic Physical Therapy Inc | 1977-09-14 | 2025-10-15 | F | PT | N/A | CONTI | CAI143A79624 | MARIANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.102034077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993920/check_13369696_0a2728e1-c8cb-4944-8dae-c5672fdd72f9.json | N/A | N/A | N/A | N/A | N/A | CAI143A79624 | Health Maintenance Organization (HMO) | CALIFORNIA PUBLIC EMPLOYEES RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1977-09-14 | 040 | HNB010AS | N/A | HM | false | CONTI | N/A | MARIANA | N/A | 9999-12-31 | 2019-01-01 | CALPERS SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006292219 | N/A | N/A | 5993920 | 2222 | 4793 | 13642001 | 4184 | 4642859 | 2025-10-13 17:55:16.509955 | 2026-04-10 21:27:25.225083 |
| 2025-10-13 05:13:22.818766 | 2025-10-13 17:54:21.341047 | 13369695 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13369695 | Athletic Physical Therapy Inc | 1983-05-31 | 2025-10-16 | M | AE | PT | JOHNSON | R04617470MM1 | ROTH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.102034077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993907/check_13369695_5ffd0f3b-f118-45e3-b301-d3136dbc2b6d.json | N/A | N/A | N/A | N/A | N/A | R04617470MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1983-05-31 | N/A | N/A | N/A | N/A | false | JOHNSON | N/A | ROTH | N/A | N/A | N/A | KWE PPOSBG | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006292218 | N/A | N/A | 5993907 | 2222 | 4793 | 13641793 | N/A | 4534544 | 2025-10-13 17:54:21.341047 | 2025-05-28 20:51:40.104091 |
| 2025-10-13 05:13:16.181215 | 2025-10-13 17:27:16.948331 | 13369671 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13369671 | Athletic Physical Therapy Inc | 2009-10-25 | 2025-10-14 | F | PT | N/A | TAITE | JQU200A62919 | SERAPHINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101427534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9610001/check_13369671_cfe94e35-641e-4051-8c0a-111906b04c90.json | N/A | N/A | N/A | N/A | N/A | JQU200A62919 | Preferred Provider Organization (PPO) | TREATMENT CENTER MANAGEMENT CORPORATION | ANTHEM BLUE CROSS | N/A | 2009-10-25 | 040 | U26732 | N/A | PR | false | TAITE | N/A | RICHARD | N/A | 9999-12-31 | 2025-05-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006278840 | N/A | N/A | 9610001 | 2222 | 4802 | 13637418 | N/A | 8040917 | 2025-10-13 17:27:16.948331 | 2025-09-22 14:19:04.386066 |
| 2025-10-13 05:12:46.222894 | 2025-10-13 17:33:09.169323 | 13369291 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13369291 | Athletic Physical Therapy Inc | 1962-05-29 | 2025-10-14 | F | PT | N/A | LARSON | XEA913804058 | DEBRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101427534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9562148/check_13369291_ef6ac00b-9b88-4802-b9c1-327da19b111c.json | N/A | N/A | N/A | N/A | N/A | XAN913804058 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1962-05-29 | 1480PPOX0002 | W0051411 | N/A | PR | false | LARSON | N/A | DEBRA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006278247 | N/A | N/A | 9562148 | 2222 | 4793 | 13638503 | N/A | 7997320 | 2025-10-13 17:33:09.169323 | 2025-10-02 21:07:14.563938 |
| 2025-10-13 05:12:45.783134 | 2025-10-13 17:27:18.823993 | 13369283 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13369283 | Athletic Physical Therapy Inc | 2010-12-10 | 2025-10-16 | M | PT | N/A | YI | NGO680A63518 | KYLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101427534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9561995/check_13369283_f6098381-bb43-4d70-a84f-ebe75fa09c9e.json | N/A | N/A | N/A | N/A | N/A | NGO680A63518 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 2010-12-10 | 040 | 174022MAAC | N/A | PR | false | YI | N/A | KORY | N/A | 9999-12-31 | 2025-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006278244 | N/A | N/A | 9561995 | 2222 | 4793 | 13637430 | N/A | 7997125 | 2025-10-13 17:27:18.823993 | 2025-09-28 23:06:02.931066 |
| 2025-10-13 05:12:45.652940 | 2025-10-13 17:27:11.456192 | 13369281 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13369281 | Athletic Physical Therapy Inc | 2016-09-02 | 2025-10-16 | M | PT | N/A | BARREDA | KXJ508W22665 | XANDER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101427534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9561269/check_13369281_6a2801d3-eed7-434f-b666-f57a7a4023c3.json | N/A | N/A | N/A | N/A | N/A | KXJ508W22665 | Health Maintenance Organization (HMO) | FEHBP FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM | ANTHEM BLUE CROSS | N/A | 2016-09-02 | 040 | 277579H010 | N/A | HM | false | BARREDA | N/A | JOAQUIN | N/A | 9999-12-31 | 2025-01-12 | VALUE SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006278243 | N/A | N/A | 9561269 | 2222 | 4801 | 13637378 | N/A | 7996503 | 2025-10-13 17:27:11.456192 | 2025-09-26 19:44:10.906799 |
| 2025-10-13 05:12:45.419990 | 2025-10-13 17:13:23.283759 | 13369276 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13369276 | Athletic Physical Therapy Inc | 1949-05-27 | 2025-10-14 | M | AE | PT | SANDERS | 8300000051834 | MARK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101427534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9560285/check_13369276_f47afa5e-0e28-4937-9309-b66023ea33b8.json | N/A | N/A | N/A | N/A | N/A | 8300000051834 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1949-05-27 | N/A | N/A | N/A | N/A | false | SANDERS | N/A | MARK | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006278241 | N/A | N/A | 9560285 | 2222 | 4802 | 13626689 | N/A | 7995648 | 2025-10-13 17:13:23.283759 | 2025-09-24 14:50:57.950474 |
| 2025-10-13 05:12:44.889587 | 2025-10-13 17:34:29.158401 | 13369269 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13369269 | Athletic Physical Therapy Inc | 1963-04-03 | 2025-10-14 | F | PT | N/A | Protsenko | AJC912998623 | Tetiana | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101427534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9559512/check_13369269_e7cddd7d-760d-4a95-a3d0-c391a438259f.json | N/A | N/A | N/A | N/A | N/A | AJC912998623 | Medicaid | BSC PROMISE HEALTH PLAN MEDI CAL | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1963-04-03 | 1000MCAL0008 | E0001001 | N/A | MC | false | PROTSENKO | N/A | TETIANA | N/A | N/A | N/A | BLUE SHIELD PROMISE MEDI CAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006279071 | N/A | N/A | 9559512 | 2222 | 4802 | 13638682 | N/A | 7994720 | 2025-10-13 17:34:29.158401 | 2025-09-24 04:33:28.125297 |
| 2025-10-13 05:12:37.819547 | 2025-10-13 17:26:34.772131 | 13369135 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13369135 | Athletic Physical Therapy Inc | 1956-11-29 | 2025-10-15 | F | AE | PT | GOMEZ | 00000401101 | ALICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101427534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9555104/check_13369135_7c59212a-beac-40eb-9c49-723efa3d79e2.json | N/A | N/A | N/A | N/A | N/A | 00000401101 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1956-11-29 | N/A | N/A | N/A | N/A | false | GOMEZ | N/A | ALICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006279023 | N/A | N/A | 9555104 | 2222 | 4801 | 13637080 | 2630 | 7990617 | 2025-10-13 17:26:34.772131 | 2025-09-29 20:34:47.088032 |
| 2025-10-13 05:12:23.615824 | 2025-10-13 17:20:08.624131 | 13368874 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13368874 | Athletic Physical Therapy Inc | 1959-02-07 | 2025-10-16 | F | AE | PT | STARK | JQE451W19078 | CHERYL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101420327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9450019/check_13368874_9c4c9500-1121-40ca-b9ec-1b8ef848c701.json | N/A | N/A | N/A | N/A | N/A | JQE451W19078 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-02-07 | 040 | CASUPWP0 | N/A | N/A | false | STARK | N/A | CHERYL | N/A | 9999-12-31 | 2024-02-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006275658 | N/A | N/A | 9450019 | 2222 | 4793 | 13632907 | N/A | 7905968 | 2025-10-13 17:20:08.624131 | 2025-09-22 17:53:24.196861 |
| 2025-10-13 05:12:16.984115 | 2025-10-13 17:56:38.438115 | 13368688 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13368688 | Athletic Physical Therapy Inc | 1973-02-24 | 2025-10-14 | F | PT | N/A | TAKEMOTO | XED906098170 | NICOLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.102034077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928752/check_13368688_30dfde94-a6ce-437d-97a2-7ca87afb0432.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 | 9006293701 | N/A | N/A | 5928752 | 2222 | 4802 | 13642288 | N/A | 4583701 | 2025-10-13 17:56:38.438115 | 2025-07-24 17:50:11.805587 |
| 2025-10-13 05:12:09.361376 | 2025-10-13 17:23:00.009065 | 13368441 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13368441 | Athletic Physical Therapy Inc | 1968-02-07 | 2025-10-15 | M | PT | N/A | Sariri | XDP632A69850 | Darius | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.081523114.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8214089/check_13368441_2bb22c6c-59cb-4945-b6d5-db455737d15c.json | N/A | N/A | N/A | N/A | N/A | XDP632A69850 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1968-02-07 | 040 | 280629Q052 | N/A | PR | false | MAVADDAT | N/A | NEUSHA | N/A | 9999-12-31 | 2025-07-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006303462 | N/A | N/A | 8214089 | 2222 | 4802 | 13635293 | N/A | 6605684 | 2025-10-13 17:23:00.009065 | 2025-08-05 01:08:16.312539 |
| 2025-10-13 05:12:09.343496 | 2025-10-13 17:16:10.138355 | 13368440 | N/A | N/A | 60054 | Aetna | 1114042165 | 13368440 | Athletic Physical Therapy Inc | 1960-01-04 | 2025-10-16 | F | AE | PT | MARLEY | W032070695 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101427534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9512811/check_13368440_da100fb3-fbe9-4744-a612-87b832c1632b.json | N/A | N/A | N/A | N/A | N/A | W032070695 | Exclusive Provider Organization | COSTCO WHOLESALE CORPORATION | AETNA | N/A | 1960-01-04 | 0169579 | 016957901100002 | N/A | EP | false | MARLEY | N/A | MARIA | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006279182 | N/A | N/A | 9512811 | 2222 | 4801 | 13629352 | N/A | 7955514 | 2025-10-13 17:16:10.138355 | 2025-09-26 00:32:05.426711 |
| 2025-10-13 05:12:07.313682 | 2025-10-13 17:20:49.793682 | 13368364 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13368364 | Athletic Physical Therapy Inc | 1953-10-12 | 2025-10-14 | M | AE | PT | VALLECER | JQE445W21639 | EDGAR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101420327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9321455/check_13368364_65e78be4-1af7-4539-a5a8-ca57fb57d22d.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 | 9006274750 | N/A | N/A | 9321455 | 2222 | 4801 | 13633475 | N/A | 7820740 | 2025-10-13 17:20:49.793682 | 2025-09-22 16:05:10.548691 |
| 2025-10-13 05:12:06.407996 | 2025-10-13 17:47:11.957312 | 13368332 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13368332 | Athletic Physical Therapy Inc | 1956-05-22 | 2025-10-15 | F | AE | PT | CHOOBIN | 6F99G11UV44 | KEFAYAT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.081523114.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8205054/check_13368332_6e0474bc-703c-4ac7-b642-5e1bb640b70e.json | N/A | N/A | N/A | N/A | N/A | 6F99G11UV44 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-05-22 | S4802 | N/A | N/A | MB | false | CHOOBIN | N/A | KEFAYAT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006302654 | N/A | N/A | 8205054 | 2222 | 4793 | 13640480 | N/A | 6967073 | 2025-10-13 17:47:11.957312 | 2025-08-26 17:15:30.662072 |
| 2025-10-13 05:12:05.778330 | 2025-10-13 17:23:01.135320 | 13368310 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13368310 | Athletic Physical Therapy Inc | 1961-03-10 | 2025-10-16 | M | PT | N/A | WEBBER | NEI801068106 | CHAD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.081523114.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8204846/check_13368310_06b4afae-c6c3-4f1f-b62d-9ec6207b12a0.json | N/A | N/A | N/A | N/A | N/A | NEI801068106 | Preferred Provider Organization (PPO) | NATIONAL ELEVATOR INDUSTRY HBP | ANTHEM BLUE CROSS | N/A | 1961-03-10 | N/A | P13346 | N/A | PR | false | WEBBER | N/A | CHAD | N/A | 9999-12-31 | 2021-10-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006302651 | N/A | N/A | 8204846 | 2222 | 4801 | 13635311 | N/A | 6966879 | 2025-10-13 17:23:01.135320 | 2025-08-19 23:20:37.306121 |
| 2025-10-13 05:12:03.145811 | 2025-10-13 17:26:42.700375 | 13368199 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13368199 | Athletic Physical Therapy Inc | 1980-12-02 | 2025-10-15 | M | PT | N/A | GODINEZ | XEK907039926 | RICHARD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.081523114.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202901/check_13368199_4beaf1f5-b6bb-4a22-933f-7e96c39839e7.json | N/A | N/A | N/A | N/A | N/A | XEK907039926 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-12-02 | 2001ZK002171 | X0001000 | N/A | PR | false | GODINEZ | N/A | RICHARD | N/A | 2025-12-31 | 2025-01-01 | SPECIALTY DUO SM | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006302632 | N/A | N/A | 8202901 | 2222 | 4793 | 13637140 | N/A | 6965521 | 2025-10-13 17:26:42.700375 | 2025-09-10 21:42:23.177790 |
| 2025-10-13 05:11:37.450687 | 2025-10-13 17:34:07.048555 | 13367284 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13367284 | Athletic Physical Therapy Inc | 1968-12-01 | 2025-10-15 | F | PT | N/A | BECERRA | CZCAN2537305 | BLANCA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101427534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9487590/check_13367284_77dc843f-be8b-4301-b666-103e45c655a1.json | N/A | N/A | N/A | N/A | N/A | CZCAN2537305 | Preferred Provider Organization (PPO) | PPO W/BLUE DISTINCTION W/AIM FTR GOLD | BLUE SHIELD OF CALIFORNIA | N/A | 1968-12-01 | 060 | 270196M71A | N/A | PR | false | BECERRA | N/A | JAIME | N/A | 9999-12-31 | 2022-01-01 | CT BLUE CARD PREFERRED PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006278059 | N/A | N/A | 9487590 | 2222 | 4793 | 13638635 | N/A | 7937217 | 2025-10-13 17:34:07.048555 | 2025-09-26 14:34:41.732941 |
| 2025-10-13 05:11:33.739607 | 2025-10-13 17:13:21.135184 | 13367146 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 13367146 | Athletic Physical Therapy Inc | 1957-01-30 | 2025-10-15 | F | AE | PT | SEIFERT | H77624682 | ARMIDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101427534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9486126/check_13367146_960394ef-0115-4e64-881c-9305aee8f1e0.json | N/A | N/A | N/A | N/A | N/A | H77624682 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1957-01-30 | N/A | N/A | N/A | N/A | false | SEIFERT | N/A | ARMIDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006277627 | N/A | N/A | 9486126 | 2222 | 4793 | 13626663 | N/A | 7936248 | 2025-10-13 17:13:21.135184 | 2025-09-17 22:49:12.995113 |
| 2025-10-13 05:11:33.024920 | 2025-10-13 17:20:08.935463 | 13367114 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13367114 | Athletic Physical Therapy Inc | 1956-06-26 | 2025-10-15 | F | AE | PT | SUAREZ | JQE410W22492 | ANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101420327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9083355/check_13367114_a6c62d76-6e3d-4d44-980b-2838feb2e9c3.json | N/A | N/A | N/A | N/A | N/A | JQE410W22492 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1956-06-26 | 040 | CASUPWP0 | N/A | N/A | false | SUAREZ | N/A | ANA | N/A | 9999-12-31 | 2025-01-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006275162 | N/A | N/A | 9083355 | 2222 | 4801 | 13632914 | N/A | 7600312 | 2025-10-13 17:20:08.935463 | 2025-09-04 18:19:39.478018 |
| 2025-10-13 05:11:26.710928 | 2025-10-13 17:54:57.568247 | 13366907 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 13366907 | Athletic Physical Therapy Inc | 1995-12-18 | 2025-10-15 | F | AE | PT | PORCELLINI | 623363623 | KYLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.102034077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874433/check_13366907_0f54079c-b7c9-4121-b333-fe500548496c.json | N/A | N/A | N/A | N/A | N/A | 623363623 | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1995-12-18 | N/A | N/A | N/A | N/A | false | PORCELLINI | N/A | KYLA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006293394 | N/A | N/A | 5874433 | 2222 | 4802 | 13641930 | N/A | 4534562 | 2025-10-13 17:54:57.568247 | 2025-06-03 16:07:02.060667 |
| 2025-10-13 05:11:20.973858 | 2025-10-13 17:26:47.563984 | 13366736 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 13366736 | Athletic Physical Therapy Inc | 1990-09-10 | 2025-10-15 | M | AE | PT | Szymanski | 974058888F | Micah | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101427534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9480224/check_13366736_e88f5680-1c7b-4da4-b7e3-8d2e461d6d1a.json | N/A | N/A | N/A | N/A | N/A | 97405888F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1990-09-10 | MCLA | MWLLNMEG21 | N/A | N/A | false | SZYMANSKI | N/A | MICAH | N/A | 2078-12-31 | 2022-03-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006277878 | N/A | N/A | 9480224 | 2222 | 4802 | 13637180 | N/A | 7931021 | 2025-10-13 17:26:47.563984 | 2025-09-17 22:04:09.763232 |
| 2025-10-13 05:11:01.693280 | 2025-10-13 17:20:06.339901 | 13366168 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 13366168 | Athletic Physical Therapy Inc | 1950-04-13 | 2025-10-14 | F | AE | PT | NATALI | 94579563C | RENEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101420327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8979227/check_13366168_5965d6b9-8e5c-498c-b63c-6fab5a59a333.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 | 9006275775 | N/A | N/A | 8979227 | 2222 | 4793 | 13632875 | N/A | 7498543 | 2025-10-13 17:20:06.339901 | 2025-10-14 17:13:32.178778 |
| 2025-10-13 05:10:45.062791 | 2025-10-13 17:15:41.805232 | 13365664 | N/A | N/A | 52192 | Bravo Health | 1114042165 | 13365664 | Athletic Physical Therapy Inc | 1957-05-08 | 2025-10-14 | F | AE | PT | CHICAS | 18628759501 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101420327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8958480/check_13365664_d1638490-b767-4310-9feb-09f5eea0c860.json | N/A | N/A | N/A | N/A | N/A | 18628759501 | N/A | N/A | BRAVO HEALTH | N/A | 1957-05-08 | N/A | N/A | N/A | N/A | false | CHICAS | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006274952 | N/A | N/A | 8958480 | 2222 | 4802 | 13628844 | N/A | 6965620 | 2025-10-13 17:15:41.805232 | 2025-09-03 23:20:10.287852 |
| 2025-10-13 05:10:42.601857 | 2025-10-13 17:13:44.959674 | 13365579 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 13365579 | Athletic Physical Therapy Inc | 1956-07-22 | 2025-10-16 | F | AE | PT | DURAN DE PANTOJA | 43649326 | ROSA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.081523114.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8088383/check_13365579_0d88cdeb-ca11-4e2e-96b0-292eea24877b.json | N/A | N/A | N/A | N/A | N/A | 43649326 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-07-22 | N/A | N/A | N/A | N/A | false | DURAN DE PANTOJA | N/A | ROSA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006301500 | N/A | N/A | 8088383 | 2222 | 4793 | 13626950 | N/A | 6871702 | 2025-10-13 17:13:44.959674 | 2025-08-14 21:08:52.019264 |
| 2025-10-13 05:10:34.840203 | 2025-10-13 17:23:00.557916 | 13365314 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13365314 | Athletic Physical Therapy Inc | 2008-02-14 | 2025-10-15 | M | PT | N/A | MAZZA | XDM860A72836 | JACK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.081523114.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8083036/check_13365314_447de796-7423-40b1-8f42-d0d7772d7666.json | N/A | N/A | N/A | N/A | N/A | XDM860A72836 | Preferred Provider Organization (PPO) | CAHP HEALTH BENEFITS TRUST | ANTHEM BLUE CROSS | N/A | 2008-02-14 | 040 | 1855RA | N/A | PR | false | MAZZA | N/A | MICHAEL | N/A | 9999-12-31 | 2014-01-01 | PPO PB CLASSIC HOSP / PBP INCENTIVE PROF | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006303162 | N/A | N/A | 8083036 | 2222 | 4801 | 13635304 | N/A | 6866179 | 2025-10-13 17:23:00.557916 | 2025-08-14 16:10:19.684218 |
| 2025-10-13 05:10:24.982002 | 2025-10-13 17:18:24.804598 | 13364811 | N/A | N/A | 61101 | Regal Medical Group | 1114042165 | 13364811 | Athletic Physical Therapy Inc | 1951-12-04 | 2025-10-16 | F | AE | PT | THOMPSON | H7878127400 | OLGA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101427534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9449797/check_13364811_0499aaf6-2245-4841-a00e-4d642f4eba3a.json | N/A | N/A | N/A | N/A | N/A | H78781274 | 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 | 1951-12-04 | N/A | 0B527001 | N/A | HN | false | THOMPSON | N/A | OLGA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006277775 | N/A | N/A | 9449797 | 2222 | 4801 | 13631339 | N/A | 7905803 | 2025-10-13 17:18:24.804598 | 2025-09-16 21:44:00.435181 |
| 2025-10-13 05:10:23.116629 | 2025-10-14 00:48:24.618730 | 13364702 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13364702 | Athletic Physical Therapy Inc | 1968-07-21 | 2025-10-16 | F | AE | PT | MCALISTER | SFZ846186424 | BONNIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101119096.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7024102/check_13364702_5e190c73-74d2-4618-b7f0-de6f58ce3f11.json | N/A | N/A | N/A | N/A | N/A | SFZ846186424 | Preferred Provider Organization (PPO) | RETIREE 50 AS OF 1112 HIRED 1107 | MEDICARE | N/A | 1968-07-21 | N/A | 021104 | N/A | PR | false | MCALISTER | N/A | BONNIE | N/A | 9999-12-31 | 2013-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006263909 | N/A | N/A | 7024102 | 2222 | 4801 | 13654638 | N/A | 6038562 | 2025-10-14 00:48:24.618730 | 2025-07-30 21:46:09.369299 |
| 2025-10-13 05:10:20.303645 | 2025-10-14 00:47:01.146600 | 13364530 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13364530 | Athletic Physical Therapy Inc | 1998-10-29 | 2025-10-14 | M | PT | N/A | MARSHALL | AGSAH0066119 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101119096.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7003223/check_13364530_f25a136f-4c6a-4efe-b0f0-cd6a2f341c9e.json | N/A | N/A | N/A | N/A | N/A | AGSAH0066119 | N/A | PEPPERDINE UNIVERSITY | ANTHEM BLUE CROSS | N/A | 1998-10-29 | 040 | 276500MG04 | N/A | N/A | false | MARSHALL | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006262910 | N/A | N/A | 7003223 | 2222 | 4793 | 13654128 | N/A | 6021448 | 2025-10-14 00:47:01.146600 | 2025-07-14 23:05:51.728886 |
| 2025-10-13 05:10:15.414094 | 2025-10-13 17:27:12.773465 | 13364252 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13364252 | Athletic Physical Therapy Inc | 1966-08-31 | 2025-10-16 | F | PT | N/A | GRACE | MPI01390093Q | SANDRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101427534.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9443690/check_13364252_e3bc576b-7893-49eb-8742-42e5488fbc93.json | N/A | N/A | N/A | N/A | N/A | MPI01390093Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1966-08-31 | 040 | 277163M401 | N/A | PR | false | GRACE | N/A | TODD | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006277405 | N/A | N/A | 9443690 | 2222 | 4801 | 13637392 | N/A | 7900244 | 2025-10-13 17:27:12.773465 | 2026-03-03 19:01:14.362337 |
| 2025-10-13 05:10:11.931278 | 2025-10-14 02:36:43.354175 | 13364107 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13364107 | Athletic Physical Therapy Inc | 1988-09-12 | 2025-10-14 | M | PT | N/A | Guzzo | JQU895W23533 | Aaron | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.080028868.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7513987/check_13364107_d34be973-60bf-486a-ae78-bac1234eab07.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 | 9006271965 | N/A | N/A | 7513987 | 2222 | 4802 | 13658404 | N/A | 6451061 | 2025-10-14 02:36:43.354175 | 2025-07-28 22:43:26.605856 |
| 2025-10-13 05:10:00.890100 | 2025-10-13 17:09:59.843150 | 13363506 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 13363506 | Athletic Physical Therapy Inc | 1983-05-09 | 2025-10-16 | F | AE | PT | RAJCIC | 622299781 | MAJA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.112530847.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10172287/check_13363506_b1ab51e0-1d4f-4d96-a828-d6ffd16cd143.json | N/A | N/A | N/A | N/A | N/A | 622299781 | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1983-05-09 | N/A | N/A | N/A | N/A | false | RAJCIC | N/A | MAJA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006527626 | N/A | N/A | 10172287 | 2222 | 4802 | 13624582 | N/A | 8473558 | 2025-10-13 17:09:59.843150 | 2025-10-10 16:40:45.584452 |
| 2025-10-13 05:09:57.072448 | 2025-10-13 17:26:29.819387 | 13363273 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13363273 | Athletic Physical Therapy Inc | 1968-02-25 | 2025-10-14 | F | AE | PT | Segal | 9XA2J80PT02 | Jodi | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101420327.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8493404/check_13363273_1de625c3-9ded-4a1c-a361-c9e147107e7f.json | N/A | N/A | N/A | N/A | N/A | 9XA2J80PT02 | Medicare Part B | N/A | STATE FUND - CLAIMS PROCESSING C | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1968-02-25 | N/A | DOL 03201995 | N/A | MB | false | SEGAL | N/A | JODI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006275949 | N/A | N/A | 8493404 | 2222 | 4801 | 13637042 | N/A | 7159935 | 2025-10-13 17:26:29.819387 | 2025-09-09 21:26:40.265997 |