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 | 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 05:09:57.020149 | 2025-10-13 17:21:54.654043 | 13363266 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 13363266 | Athletic Physical Therapy Inc | 1960-02-19 | 2025-10-15 | F | AE | PT | ENGLISH BLAZEJ | 40067960801 | DOREEN | 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/2222/8048674/check_13363266_a159e3d3-cf1b-4f53-b78e-0ddf8ae7f05b.json | N/A | N/A | N/A | N/A | N/A | 40067960801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1960-02-19 | 2025H5425001 | H5425M | N/A | N/A | false | ENGLISH BLAZEJ | N/A | DOREEN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006302888 | N/A | N/A | 8048674 | 2222 | 4801 | 13634391 | N/A | 6844466 | 2025-10-13 17:21:54.654043 | 2025-08-13 17:29:27.130257 |
| 2025-10-13 05:09:56.531301 | 2025-10-13 17:20:42.520813 | 13363239 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13363239 | Athletic Physical Therapy Inc | 1955-11-13 | 2025-10-14 | F | AE | PT | GRANT | XEM910029614 | ROBIN | 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/2222/8493312/check_13363239_33811818-b01b-4c47-9193-b7b244845d1e.json | N/A | N/A | N/A | N/A | N/A | XEM910029614 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-11-13 | 2002SE000030 | X0001002 | N/A | OT | false | GRANT | N/A | ROBIN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006275948 | N/A | N/A | 8493312 | 2222 | 4802 | 13633386 | N/A | 7159835 | 2025-10-13 17:20:42.520813 | 2025-08-25 22:38:59.735145 |
| 2025-10-13 05:09:53.320882 | 2025-10-14 00:47:01.740214 | 13363048 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13363048 | Athletic Physical Therapy Inc | 1929-10-10 | 2025-10-15 | M | AE | PT | Walter | XDO472A63371 | Howard | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101119096.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751424/check_13363048_b67184ca-a7d3-49dd-a97a-12c974f97da0.json | N/A | N/A | N/A | N/A | N/A | XDO472A63371 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1929-10-10 | 040 | CASUPWP0 | N/A | N/A | false | WALTER | N/A | HOWARD | N/A | 9999-12-31 | 2016-12-01 | CA PRE-MOD. BLUE CROSS SENIOR CLASSIC I | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006263049 | N/A | N/A | 6751424 | 2222 | 4802 | 13654132 | N/A | 5557241 | 2025-10-14 00:47:01.740214 | 2025-07-22 17:08:51.810153 |
| 2025-10-13 05:09:51.674276 | 2025-10-13 17:20:07.946019 | 13362962 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13362962 | Athletic Physical Therapy Inc | 1951-10-12 | 2025-10-14 | F | AE | PT | Ahadian | U5X795M98275 | Vida | 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/2222/8479499/check_13362962_2f60fa79-ef3e-4fd3-a99b-8a2f2c26db02.json | N/A | N/A | N/A | N/A | N/A | U5X795M98275 | Indemnity | UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1951-10-12 | 040 | 280509C465 | N/A | IN | false | AHADIAN | N/A | VIDA | N/A | 9999-12-31 | 2019-01-01 | UC HIGH OPTION SUPPLEMENT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006275936 | N/A | N/A | 8479499 | 2222 | 4802 | 13632901 | N/A | 7146980 | 2025-10-13 17:20:07.946019 | 2025-08-25 22:34:13.951153 |
| 2025-10-13 05:09:49.048535 | 2025-10-14 00:47:00.262166 | 13362816 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13362816 | Athletic Physical Therapy Inc | 1959-07-23 | 2025-10-14 | M | AE | PT | Harvey | LFYHC0062508 | Roy | 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/2222/6714942/check_13362816_0c2c3903-b53c-46db-b5e1-fe598f5ffa15.json | N/A | N/A | N/A | N/A | N/A | LFYHC0062508 | Preferred Provider Organization (PPO) | LOS ANGELES FIREMENS RELIEF ASSOCIATION - RETIREE | ANTHEM BLUE CROSS | N/A | 1959-07-23 | 040 | 282527M002 | N/A | PR | false | HARVEY | N/A | ROY | N/A | 9999-12-31 | 2020-02-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006262057 | N/A | N/A | 6714942 | 2222 | 4802 | 13654122 | N/A | 5316172 | 2025-10-14 00:47:00.262166 | 2025-07-02 15:09:36.678003 |
| 2025-10-13 05:09:48.048987 | 2025-10-13 17:21:51.207525 | 13362761 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13362761 | Athletic Physical Therapy Inc | 1961-03-07 | 2025-10-15 | F | PT | N/A | PERLOV | XEA905216171 | MERA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101126830.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814311/check_13362761_cb0b9310-1a0e-4bb0-9075-5682b13fea1d.json | N/A | N/A | N/A | N/A | N/A | XEA905216171 | Preferred Provider Organization (PPO) | LA CARE HEALTH PLAN | BLUE SHIELD CALIFORNIA | N/A | 1961-03-07 | 1000PPOX0003 | W0051027 | N/A | PR | false | PERLOV | N/A | MERA | N/A | 9999-12-31 | 2025-01-01 | LA CARE HEALTH PLAN PPO SAVINGS TWO TIER EMBEDDED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006262543 | N/A | N/A | 6814311 | 2222 | 4793 | 13634335 | N/A | 5856694 | 2025-10-13 17:21:51.207525 | 2025-07-07 18:45:06.287504 |
| 2025-10-13 05:09:47.887697 | 2025-10-13 17:21:50.617472 | 13362751 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13362751 | Athletic Physical Therapy Inc | 1976-09-20 | 2025-10-14 | M | PT | N/A | Bolton | XEK910377236 | Stephen | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101126830.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814151/check_13362751_130d5242-1c79-4ce8-afb6-0b664646a60f.json | N/A | N/A | N/A | N/A | N/A | XEK910377236 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1976-09-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | BOLTON | N/A | STEPHEN | 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 | 9006262541 | N/A | N/A | 6814151 | 2222 | 4793 | 13634326 | N/A | 5856522 | 2025-10-13 17:21:50.617472 | 2025-07-10 02:16:48.328344 |
| 2025-10-13 05:09:46.655383 | 2025-10-13 17:54:47.646389 | 13362690 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13362690 | Athletic Physical Therapy Inc | 1952-06-26 | 2025-10-15 | M | AE | PT | MATTHEWS | 00000283273 | DAVID | 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/2222/5676399/check_13362690_04f8e20a-0323-4095-8cd9-bf2c433dfd46.json | N/A | N/A | N/A | N/A | N/A | 00000283273 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1952-06-26 | N/A | N/A | N/A | N/A | false | MATTHEWS | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006292190 | N/A | N/A | 5676399 | 2222 | 4793 | 13641891 | 2630 | 4343454 | 2025-10-13 17:54:47.646389 | 2025-05-13 04:29:37.230932 |
| 2025-10-13 05:09:46.370573 | 2025-10-13 17:20:09.202335 | 13362675 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13362675 | Athletic Physical Therapy Inc | 1947-12-03 | 2025-10-16 | M | PT | N/A | WONG | MBL700W07323 | STANLEY | 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/2222/8469090/check_13362675_da03c7a0-7ef7-41ed-b635-4cf53f399a32.json | N/A | N/A | N/A | N/A | N/A | MBL700W07323 | N/A | UNITED FOOD AND COMMERCIAL WORKERS UNIONS | ANTHEM BLUE CROSS | N/A | 1947-12-03 | 040 | CAEGR014 | N/A | N/A | false | WONG | N/A | STANLEY | N/A | 9999-12-31 | 2021-01-01 | CA GRS UFCW UNION H4036-802 ANTHEM MED PREF MA 25P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006275923 | N/A | N/A | 8469090 | 2222 | 4802 | 13632919 | N/A | 7140615 | 2025-10-13 17:20:09.202335 | 2025-09-05 16:51:17.488032 |
| 2025-10-13 05:09:46.260350 | 2025-10-13 17:56:37.401005 | 13362669 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13362669 | Athletic Physical Therapy Inc | 1989-01-09 | 2025-10-14 | F | PT | N/A | SELTER | XEA906445770 | RACHEL | 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/2222/5676380/check_13362669_f6b26efc-107b-41ac-afe5-ff0f909076d4.json | N/A | N/A | N/A | N/A | N/A | XEA906445770 | Preferred Provider Organization (PPO) | AV SQUAD LP | BLUE SHIELD CALIFORNIA | N/A | 1989-01-09 | 1000PPOX0001 | W0066517 | N/A | PR | false | SELTER | N/A | BRANDON | N/A | N/A | N/A | SMILE SM SPECTRUM 50 1500 NO ORTHO MAC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006292189 | N/A | N/A | 5676380 | 2222 | 4793 | 13642284 | N/A | 4343435 | 2025-10-13 17:56:37.401005 | 2025-05-13 04:29:37.230915 |
| 2025-10-13 05:09:46.235647 | 2025-10-13 17:20:05.842064 | 13362668 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13362668 | Athletic Physical Therapy Inc | 1975-03-18 | 2025-10-15 | F | PT | N/A | FARRUKH | JXN208M92481 | ANBARIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101126830.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6811878/check_13362668_7972c625-6f3c-4ac4-b6a5-e7845d7df3e0.json | N/A | N/A | N/A | N/A | N/A | JXN208M92481 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 1975-03-18 | 040 | 174222M9A1 | N/A | PR | false | FARRUKH | N/A | ANBARIN | 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 | 9006262511 | N/A | N/A | 6811878 | 2222 | 4793 | 13632867 | N/A | 5854231 | 2025-10-13 17:20:05.842064 | 2025-07-07 16:52:38.056680 |
| 2025-10-13 05:09:46.076131 | 2025-10-13 17:13:25.055489 | 13362662 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13362662 | Athletic Physical Therapy Inc | 1955-10-21 | 2025-10-15 | F | PT | N/A | WAKIL | MMA290W21854 | MALIHA | 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/2222/9415877/check_13362662_e3c746b7-562f-4691-ada9-76e422c6cd1c.json | N/A | N/A | N/A | N/A | N/A | MMA290W21854 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1955-10-21 | N/A | N/A | N/A | N/A | false | WAKIL | N/A | MALIHA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006277351 | N/A | N/A | 9415877 | 2222 | 4801 | 13626713 | N/A | 7884745 | 2025-10-13 17:13:25.055489 | 2025-10-02 21:33:51.225390 |
| 2025-10-13 05:09:45.912052 | 2025-10-13 17:55:18.322273 | 13362653 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13362653 | Athletic Physical Therapy Inc | 1946-04-03 | 2025-10-14 | F | PT | N/A | OBLINGER | JQS491M78254 | MARIA | 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/2222/5676340/check_13362653_139680c9-c6fb-4a0d-9afa-276f98f16639.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 | 9006292188 | N/A | N/A | 5676340 | 2222 | 4793 | 13642009 | 4184 | 4210531 | 2025-10-13 17:55:18.322273 | 2025-12-09 17:09:13.960610 |
| 2025-10-13 05:09:43.010085 | 2025-10-13 17:20:49.486011 | 13362501 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13362501 | Athletic Physical Therapy Inc | 1976-12-11 | 2025-10-15 | M | AE | PT | NAGATSUKA | NCF475A62996 | ANTHONY | 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/2222/8454587/check_13362501_10c534f5-4243-4f53-961a-b6841e6a47f4.json | N/A | N/A | N/A | N/A | N/A | NCF475A62996 | Health Maintenance Organization (HMO) | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1976-12-11 | 040 | 57AJCA | N/A | HM | false | CHAO NAGATSUKA | N/A | ANGELITA | N/A | 9999-12-31 | 2024-08-01 | POWER SELECT HMO NETWORK 126+ | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006275149 | N/A | N/A | 8454587 | 2222 | 4801 | 13633470 | N/A | 6653733 | 2025-10-13 17:20:49.486011 | 2025-08-24 22:53:15.351116 |
| 2025-10-13 05:09:39.797872 | 2025-10-13 17:20:08.244013 | 13362309 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13362309 | Athletic Physical Therapy Inc | 1934-05-31 | 2025-10-16 | M | AE | PT | RANDERIA | R58901143 | BHUPENDRA | 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/2222/8420255/check_13362309_8d6527ca-fbe6-47ef-9f0e-20cbb3e9fa3d.json | N/A | N/A | N/A | N/A | N/A | R58901143 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1934-05-31 | N/A | 106 | N/A | PR | false | RANDERIA | N/A | BHUPEN | N/A | 9999-12-31 | 2018-01-01 | STANDARD SECONDARY | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006275137 | N/A | N/A | 8420255 | 2222 | 4802 | 13632905 | N/A | 7097664 | 2025-10-13 17:20:08.244013 | 2026-04-30 18:11:14.979451 |
| 2025-10-13 05:09:37.892645 | 2025-10-13 17:11:21.027854 | 13362209 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 13362209 | Athletic Physical Therapy Inc | 1953-07-29 | 2025-10-16 | F | PT | N/A | DE SANTIAGO | 906536178001 | MARIA | 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/2222/10128259/check_13362209_2c11f549-6460-457c-9856-3664c941f374.json | N/A | N/A | N/A | N/A | N/A | XEH906536178 | Health Maintenance Organization (HMO) | P W GILLIBRAND COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1953-07-29 | 1000HMOX0002 | W0001720 | N/A | HM | false | DESANTIAGO | N/A | REFUGIO | N/A | N/A | N/A | ACCESS HMO R ZERO ADMIT 30 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006529718 | N/A | N/A | 10128259 | 2222 | 4801 | 13625415 | N/A | 8452475 | 2025-10-13 17:11:21.027854 | 2025-10-07 21:19:11.415234 |
| 2025-10-13 05:09:37.280571 | 2025-10-13 17:22:59.191066 | 13362171 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13362171 | Athletic Physical Therapy Inc | 2014-05-21 | 2025-10-16 | M | PT | N/A | CHYNOWETH | JQU148M89680 | DAMIAN | 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/2222/8027485/check_13362171_c011d4bf-c8c2-474b-8f03-08fddefd58ff.json | N/A | N/A | N/A | N/A | N/A | JQU148M89680 | Preferred Provider Organization (PPO) | ELECTRIC POWER GROUP | ANTHEM BLUE CROSS | N/A | 2014-05-21 | 040 | 345735 | N/A | PR | false | CHYNOWETH | N/A | JOSHUA | N/A | 9999-12-31 | 2025-05-01 | ANTHEM GOLD PPO 30/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006302393 | N/A | N/A | 8027485 | 2222 | 4793 | 13635282 | N/A | 6828971 | 2025-10-13 17:22:59.191066 | 2025-09-02 17:27:57.794692 |
| 2025-10-13 05:09:36.294305 | 2025-10-13 17:16:57.760342 | 13362114 | N/A | N/A | 60054 | Aetna | 1114042165 | 13362114 | Athletic Physical Therapy Inc | 1976-12-17 | 2025-10-16 | M | AE | PT | Ramos | W263196559 | Jerome Petrocelli | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101143205.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9862743/check_13362114_13b7ffe2-19d6-4531-8321-6b9cce6f1f7b.json | N/A | N/A | N/A | N/A | N/A | W263196559 | Preferred Provider Organization (PPO) | HOSPITAL CORPORATION OF AMERICA | AETNA | N/A | 1976-12-17 | 0160833 | 016083305000013 | N/A | PR | false | RAMOS | N/A | JEROME | N/A | N/A | N/A | OPEN CHOICE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006258784 | N/A | N/A | 9862743 | 2222 | 4801 | 13630159 | N/A | 8258250 | 2025-10-13 17:16:57.760342 | 2025-09-30 21:47:59.000682 |
| 2025-10-13 05:09:35.921045 | 2025-10-13 17:28:10.049989 | 13362090 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13362090 | Athletic Physical Therapy Inc | 1955-05-21 | 2025-10-16 | F | PT | N/A | MARTINEZ | HFD100011199462 | RACHEL | 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/2222/8026951/check_13362090_37961a0c-a8c4-4360-a5ff-f0f80d274559.json | N/A | N/A | N/A | N/A | N/A | HFD100011199462 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS. DOUBLEQUOTECHAR | 1955-05-21 | N/A | N/A | N/A | PR | false | MARTINEZ | N/A | RACHEL | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006302389 | N/A | N/A | 8026951 | 2222 | 4801 | 13637639 | N/A | 6828511 | 2025-10-13 17:28:10.049989 | 2025-08-14 00:23:35.929152 |
| 2025-10-13 05:09:35.698286 | 2025-10-13 18:09:31.437615 | 13362079 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13362079 | Athletic Physical Therapy Inc | 1959-09-19 | 2025-10-15 | F | AE | PT | MOJIRI ANDANI | 3CQ3TX0XD02 | SOUSSAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101143205.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9862291/check_13362079_0700105c-3bbd-4473-8602-a8b8a3771b24.json | N/A | N/A | N/A | N/A | N/A | 3CQ3TX0XD02 | Medicare Part B | N/A | HEALTH CARE SERVICE CORPORATION | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-19 | S5715 | N/A | N/A | MB | false | MOJIRI-ANDANI | N/A | SOUSSAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006258780 | N/A | N/A | 9862291 | 2222 | 4802 | 13644969 | N/A | 8216024 | 2025-10-13 18:09:31.437615 | 2025-09-29 17:34:24.775132 |
| 2025-10-13 05:09:32.674761 | 2025-10-13 17:16:38.770050 | 13361902 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 13361902 | override_provider | 1960-06-14 | 2025-10-14 | F | PT | N/A | VERWEY | R61817302 | CAREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.081523114.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8025542/check_13361902_41ea5c63-427f-4071-9c80-5d3b8da55e2c.json | N/A | N/A | N/A | N/A | N/A | R61817302 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1960-06-14 | N/A | 35C | N/A | PR | false | VERWEY | N/A | CAREN | N/A | 9999-12-31 | 2025-01-01 | FEP BLUE FOCUS | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006302379 | N/A | N/A | 8025542 | 2222 | 4801 | 13629847 | N/A | 6826965 | 2025-10-13 17:16:38.770050 | 2025-08-13 02:28:19.717631 |
| 2025-10-13 05:09:31.145591 | 2025-10-13 17:20:07.835217 | 13361817 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13361817 | Athletic Physical Therapy Inc | 1947-12-19 | 2025-10-15 | F | PT | N/A | Taggart | MBL830M95233 | Rita | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101126830.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6780011/check_13361817_fd4c8fd9-63e5-4b7c-ac21-142b67e2cece.json | N/A | N/A | N/A | N/A | N/A | MBL830M95233 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1947-12-19 | 040 | CAEGR002 | N/A | N/A | false | TAGGART | N/A | RITA | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006260560 | N/A | N/A | 6780011 | 2222 | 4802 | 13632898 | N/A | 5811238 | 2025-10-13 17:20:07.835217 | 2025-07-03 18:24:56.520298 |
| 2025-10-13 05:09:30.314470 | 2025-10-14 02:40:57.984779 | 13361767 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13361767 | Athletic Physical Therapy Inc | 1948-11-19 | 2025-10-15 | M | AE | PT | GONZALES JR | 1E61CX0GK13 | LEO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.080028868.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456457/check_13361767_498fe524-b1de-4dad-958c-5db84648a01f.json | N/A | N/A | N/A | N/A | N/A | 1E61CX0GK13 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-11-19 | S4802 | N/A | N/A | MB | false | GONZALEZ JR | N/A | LEO | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006271572 | N/A | N/A | 7456457 | 2222 | 4793 | 13659958 | N/A | 6405774 | 2025-10-14 02:40:57.984779 | 2026-03-16 21:02:08.525887 |
| 2025-10-13 05:09:30.211103 | 2025-10-14 00:43:57.456802 | 13361762 | N/A | N/A | 47027 | Physicians Mutual Insurance Company | 1114042165 | 13361762 | Athletic Physical Therapy Inc | 1952-10-25 | 2025-10-15 | F | AE | PT | JOHNSTON | H750053601 | DEBORAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101119096.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638391/check_13361762_dae8dea0-b66a-46b7-aa4d-1b6c09a0ff85.json | N/A | N/A | N/A | N/A | N/A | H750053601 | N/A | N/A | PHYSICIANS MUTUAL | PAYMENT NOT GUARANTEED; BENEFITS SUBJECT TO CLAIM APPROVAL | 1952-10-25 | N/A | N/A | N/A | N/A | false | JOHNSTON | N/A | DEBORAH | N/A | N/A | N/A | MEDICARE SUPPLEMENT 2023 PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006262590 | N/A | N/A | 6638391 | 2222 | 4793 | 13653093 | N/A | 5247837 | 2025-10-14 00:43:57.456802 | 2026-02-24 20:36:49.807283 |
| 2025-10-13 05:09:23.907702 | 2025-10-13 17:20:06.438661 | 13361403 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13361403 | Athletic Physical Therapy Inc | 1965-06-23 | 2025-10-15 | F | PT | N/A | MAGHSOUDLOO | XEA913772161 | FARIBAB | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101126830.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6770593/check_13361403_129c49a2-96a8-40de-90cb-956710e98fcf.json | N/A | N/A | N/A | N/A | N/A | XAN913772161 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1965-06-23 | 1254PPOX0002 | W0051411 | N/A | PR | false | MAGHSOUDLOO | N/A | FARIBA | 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 | 9006262372 | N/A | N/A | 6770593 | 2222 | 4793 | 13632876 | N/A | 5788398 | 2025-10-13 17:20:06.438661 | 2025-07-31 22:52:15.686379 |
| 2025-10-13 05:09:22.628294 | 2025-10-13 17:16:09.538857 | 13361329 | N/A | N/A | 60054 | Aetna | 1114042165 | 13361329 | Athletic Physical Therapy Inc | 1970-07-15 | 2025-10-16 | M | AE | PT | BAKER | W225972262 | MATTHEW | 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/2222/9411210/check_13361329_628a4906-3197-49c1-aa16-afa67ca20700.json | N/A | N/A | N/A | N/A | N/A | W225972262 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 1970-07-15 | 0232495 | 023249501300055 | N/A | PS | false | HOBAN-BAKER | N/A | AMY | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006278534 | N/A | N/A | 9411210 | 2222 | 4802 | 13629341 | N/A | 7880075 | 2025-10-13 17:16:09.538857 | 2025-10-01 14:29:57.963249 |
| 2025-10-13 05:09:22.322100 | 2025-10-13 18:09:23.941489 | 13361311 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13361311 | Athletic Physical Therapy Inc | 1955-07-01 | 2025-10-14 | F | AE | PT | GREER | 7H09HW9QG44 | ROBIN | 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/2222/9411083/check_13361311_de7f01a0-d812-4597-9c1f-49ce585f3f8e.json | N/A | N/A | N/A | N/A | N/A | 7H09HW9QG44 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-01 | S5601 | N/A | N/A | MA | false | GREER | N/A | ROBIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006278533 | N/A | N/A | 9411083 | 2222 | 4802 | 13644955 | N/A | 7879863 | 2025-10-13 18:09:23.941489 | 2026-02-04 18:21:13.840230 |
| 2025-10-13 05:09:17.888818 | 2025-10-14 00:41:08.124933 | 13361064 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13361064 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-10-14 | M | AE | PT | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | 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/2222/6528155/check_13361064_6957e5ba-72cd-4ad0-b7e9-9e3c69d387fc.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1954-11-24 | N/A | N/A | N/A | N/A | false | BLANCHFIELD | N/A | THOMAS | N/A | 9999-12-31 | 2024-07-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006261297 | N/A | N/A | 6528155 | 2222 | 4793 | 13651969 | N/A | 4214447 | 2025-10-14 00:41:08.124933 | 2026-04-23 20:11:34.441054 |
| 2025-10-13 05:09:17.800919 | 2025-10-13 17:25:41.942132 | 13361059 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13361059 | Athletic Physical Therapy Inc | 1929-10-10 | 2025-10-15 | M | AE | PT | Walter | 1TQ1EQ4FJ98 | Howard | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101126830.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751304/check_13361059_79491f35-ff5a-42f1-95c5-9102014424d5.json | N/A | N/A | N/A | N/A | N/A | 1TQ1EQ4FJ98 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-10-10 | N/A | N/A | N/A | MA | false | WALTER | N/A | HOWARD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006259827 | N/A | N/A | 6751304 | 2222 | 4802 | 13636720 | N/A | 5557241 | 2025-10-13 17:25:41.942132 | 2025-07-22 17:08:51.810153 |
| 2025-10-13 05:09:16.047204 | 2025-10-14 02:35:44.037634 | 13360955 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 13360955 | Athletic Physical Therapy Inc | 1953-07-31 | 2025-10-16 | F | AE | PT | Dickenson | 91000390H | Linda | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.080028868.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449889/check_13360955_29fc10da-931d-4274-86dc-a7a1fb18d643.json | N/A | N/A | N/A | N/A | N/A | 91000390H | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1953-07-31 | N/A | N/A | N/A | N/A | false | DICKENSON | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006271530 | N/A | N/A | 7449889 | 2222 | 4802 | 13658051 | N/A | 6399696 | 2025-10-14 02:35:44.037634 | 2025-07-24 23:24:56.744520 |
| 2025-10-13 05:09:15.706276 | 2025-10-14 02:31:58.119266 | 13360934 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 13360934 | Athletic Physical Therapy Inc | 1962-09-23 | 2025-10-14 | M | AE | PT | Thur | 95641377F | Pyi | 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/2222/7449843/check_13360934_aba5bcd4-a0bb-4036-a549-f9b2d1ca53a6.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 | 9006271529 | N/A | N/A | 7449843 | 2222 | 4802 | 13656670 | N/A | 6399635 | 2025-10-14 02:31:58.119266 | 2025-07-29 18:42:47.970149 |
| 2025-10-13 05:09:07.465631 | 2025-10-14 02:35:20.586885 | 13360399 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13360399 | Athletic Physical Therapy Inc | 1962-08-12 | 2025-10-16 | F | PT | N/A | SCHOLEFIELD | TRJNP1055193 | ROBIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101034794.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9087505/check_13360399_4bdf0430-0186-43d6-83c2-f19b57f7b6a3.json | N/A | N/A | N/A | N/A | N/A | TRJNP1055193 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1962-08-12 | 040 | 276727M007 | N/A | PR | false | SCHOLEFIELD | N/A | ROBIN | N/A | 9999-12-31 | 2020-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006254110 | N/A | N/A | 9087505 | 2222 | 4793 | 13657913 | N/A | 7605100 | 2025-10-14 02:35:20.586885 | 2025-09-11 15:07:41.965017 |
| 2025-10-13 05:09:05.815978 | 2025-10-13 17:09:59.482308 | 13360292 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 13360292 | Athletic Physical Therapy Inc | 1961-11-24 | 2025-10-16 | F | AE | PT | CRUTCHFIELD | 904430653 | HELEN | 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/2222/10103203/check_13360292_721f174f-dd85-46dd-9efa-a446350f7cac.json | N/A | N/A | N/A | N/A | N/A | 904430653 | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1961-11-24 | N/A | N/A | N/A | N/A | false | CRUTCHFIELD | N/A | HELEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006528934 | N/A | N/A | 10103203 | 2222 | 4802 | 13624578 | N/A | 8437251 | 2025-10-13 17:09:59.482308 | 2025-10-07 19:08:26.048804 |
| 2025-10-13 05:09:01.135947 | 2025-10-13 17:03:39.874994 | 13360001 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13360001 | Athletic Physical Therapy Inc | 2003-04-25 | 2025-10-15 | M | PT | N/A | GREEN | JQV184A72608 | ALLEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.112530847.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10091887/check_13360001_df48a053-15f3-4ec1-8a3b-785342ba5153.json | N/A | N/A | N/A | N/A | N/A | JQV184A72608 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2003-04-25 | N/A | N/A | N/A | N/A | false | GREEN | N/A | ALLEN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006528197 | N/A | N/A | 10091887 | 2222 | 4793 | 13620394 | N/A | 8429919 | 2025-10-13 17:03:39.874994 | 2025-10-07 22:01:52.720968 |
| 2025-10-13 05:09:01.070597 | 2025-10-14 02:40:10.235881 | 13359994 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13359994 | Athletic Physical Therapy Inc | 1956-06-26 | 2025-10-15 | F | AE | PT | SUAREZ | 4EY2NT4GU93 | ANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101034794.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9083354/check_13359994_b1461de7-cd21-4cce-b7af-7e330c8e4f5d.json | N/A | N/A | N/A | N/A | N/A | 4EY2NT4GU93 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-06-26 | S5921 | N/A | N/A | MA | false | SUAREZ | N/A | ANA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006255198 | N/A | N/A | 9083354 | 2222 | 4801 | 13659666 | N/A | 7600312 | 2025-10-14 02:40:10.235881 | 2025-09-04 18:19:39.478018 |
| 2025-10-13 05:08:59.613388 | 2025-10-14 02:33:15.472354 | 13359898 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 13359898 | Athletic Physical Therapy Inc | 1946-05-08 | 2025-10-14 | F | AE | PT | JENSEN | H8814805300 | ANN | 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/2222/7444559/check_13359898_6322d8d3-39d4-45b6-be9d-36b1b3bcf7a1.json | N/A | N/A | N/A | N/A | N/A | H88148053 | 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 | 1946-05-08 | N/A | 0B527001 | N/A | HN | false | JENSEN | N/A | ANN | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006271430 | N/A | N/A | 7444559 | 2222 | 4801 | 13657129 | N/A | 6395281 | 2025-10-14 02:33:15.472354 | 2025-07-24 18:22:24.913461 |
| 2025-10-13 05:08:59.034773 | 2025-10-13 17:10:05.660454 | 13359848 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13359848 | Athletic Physical Therapy Inc | 1991-12-10 | 2025-10-16 | F | PT | N/A | DUBOIS | UCR377M98570 | DANIELLE | 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/2222/10089562/check_13359848_7ceb8c74-4e8f-41cd-bbae-26b58b864ac0.json | N/A | N/A | N/A | N/A | N/A | UCR377M98570 | Preferred Provider Organization (PPO) | CHARTER COMMUNICATIONS INC | ANTHEM BLUE CROSS | N/A | 1991-12-10 | 241 | 230018ACA2 | N/A | PR | false | DUBOIS | N/A | WESTON | N/A | 9999-12-31 | 2020-01-01 | CDHP MISSOURI HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006528181 | N/A | N/A | 10089562 | 2222 | 4801 | 13624640 | N/A | 8428267 | 2025-10-13 17:10:05.660454 | 2025-10-08 02:27:24.446873 |
| 2025-10-13 05:08:58.032790 | 2025-10-14 02:33:53.430682 | 13359774 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 13359774 | Athletic Physical Therapy Inc | 1961-03-08 | 2025-10-16 | F | AE | PT | SAPHOS | U2326133302 | CHERYL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.080028868.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444268/check_13359774_5c2b019e-df0f-4f71-b23b-c3a5ae9c7762.json | N/A | N/A | N/A | N/A | N/A | U2326133302 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 1961-03-08 | N/A | 3207160 | N/A | N/A | false | SAPHOS | N/A | CHERYL | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006271427 | N/A | N/A | 7444268 | 2222 | 4793 | 13657368 | N/A | 6395002 | 2025-10-14 02:33:53.430682 | 2025-08-01 21:55:47.943743 |
| 2025-10-13 05:08:57.687686 | 2025-10-13 17:26:41.365720 | 13359750 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13359750 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-10-14 | F | PT | N/A | GIANNE | XED910762094 | NATALIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.081523114.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_13359750_28638077-74da-4835-8e9e-a2ca810e44be.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 9999-12-31 | 2025-01-01 | SILVER 87 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006303322 | N/A | N/A | 7994545 | 2222 | 4802 | 13637127 | N/A | 6802250 | 2025-10-13 17:26:41.365720 | 2025-08-11 23:58:28.358402 |
| 2025-10-13 05:08:57.321645 | 2025-10-14 00:48:05.121378 | 13359723 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13359723 | Athletic Physical Therapy Inc | 1960-07-20 | 2025-10-14 | F | AE | PT | NAFTZGER | XEM914412859 | SANDRA | 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/2222/6194938/check_13359723_45070ccb-67af-4a12-a8d6-2dc760b63513.json | N/A | N/A | N/A | N/A | N/A | XEM914412859 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1960-07-20 | 2002SEW00030 | X0001002 | N/A | OT | false | NAFTZGER | N/A | SANDRA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006261183 | N/A | N/A | 6194938 | 2222 | 4802 | 13654519 | N/A | 4214889 | 2025-10-14 00:48:05.121378 | 2025-05-13 04:29:37.229212 |
| 2025-10-13 05:08:57.103012 | 2025-10-13 17:14:27.315356 | 13359707 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13359707 | Athletic Physical Therapy Inc | 1947-12-09 | 2025-10-14 | F | PT | N/A | TAFFERT | MMA462W19663 | VIRGINIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101143205.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9830424/check_13359707_1424f108-3da9-4255-8906-7fe1278936ef.json | N/A | N/A | N/A | N/A | N/A | MMA462W19663 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1947-12-09 | N/A | N/A | N/A | N/A | false | TAFFERT | N/A | VIRGINIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006257610 | N/A | N/A | 9830424 | 2222 | 4793 | 13627501 | N/A | 8232327 | 2025-10-13 17:14:27.315356 | 2025-09-29 20:43:06.367634 |
| 2025-10-13 05:08:56.810957 | 2025-10-13 17:21:55.049758 | 13359688 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 13359688 | Athletic Physical Therapy Inc | 1950-08-25 | 2025-10-15 | F | AE | PT | POLLOCK | 40002008301 | MARY | 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/2222/7992096/check_13359688_c7e252ae-17a1-4d80-bc47-5b9c10e91fda.json | N/A | N/A | N/A | N/A | N/A | 40002008301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-08-25 | 2025H5425001 | H5425M | N/A | N/A | false | POLLOCK | N/A | MARY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006303320 | N/A | N/A | 7992096 | 2222 | 4801 | 13634400 | N/A | 4212687 | 2025-10-13 17:21:55.049758 | 2025-08-27 18:05:06.350903 |
| 2025-10-13 05:08:51.679583 | 2025-10-13 17:12:41.854420 | 13359348 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 13359348 | Athletic Physical Therapy Inc | 1955-02-20 | 2025-10-14 | F | AE | PT | SALGUERO | 35955370 | DINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101126830.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6711965/check_13359348_78cdccfb-4cf2-40bc-8b07-2bb0b8b45946.json | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | 406-005-000 | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006261694 | N/A | N/A | 6711965 | 2222 | 4793 | 13626208 | 6798 | 4210430 | 2025-10-13 17:12:41.854420 | 2025-05-13 04:29:37.224841 |
| 2025-10-13 05:08:48.753271 | 2025-10-14 02:32:13.358015 | 13359139 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 13359139 | override_provider | 2003-11-16 | 2025-10-15 | F | PT | N/A | HAYASHI | XLXR000032097727 | LAUREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101034794.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9066824/check_13359139_1f31d4dc-daa5-471f-9169-850017442a92.json | N/A | N/A | N/A | N/A | N/A | XLXR000032097727 | Preferred Provider Organization (PPO) | OSF INDIVIDUAL PLATINUM PPO W/ DENTAL HIGH (GOLD) | BLUE SHIELD OF CALIFORNIA | N/A | 2003-11-16 | N/A | 24048 1 | N/A | PR | false | HAYASHI | N/A | NANCY | N/A | 9999-12-31 | 2023-12-01 | PLATINUM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006256029 | N/A | N/A | 9066824 | 2222 | 4802 | 13656762 | N/A | 7582776 | 2025-10-14 02:32:13.358015 | 2025-09-24 22:06:50.112056 |
| 2025-10-13 05:08:41.991303 | 2025-10-14 02:35:19.284099 | 13358747 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13358747 | Athletic Physical Therapy Inc | 1951-10-06 | 2025-10-15 | M | PT | N/A | CRONIN | NSA00368979H | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101034794.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9063293/check_13358747_77b6c04a-566e-46d5-b4ed-501b7d8e536c.json | N/A | N/A | N/A | N/A | N/A | NSA00368979H | Preferred Provider Organization (PPO) | MAIN PPO PLAN- EARNED | ANTHEM BLUE CROSS | N/A | 1951-10-06 | 040 | L05927A001 | N/A | PR | false | CRONIN | N/A | KEVIN | N/A | 9999-12-31 | 2023-07-01 | PB INCENTIVE NO SUTTER | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006255458 | N/A | N/A | 9063293 | 2222 | 4793 | 13657905 | N/A | 7578088 | 2025-10-14 02:35:19.284099 | 2025-09-03 18:45:56.904111 |
| 2025-10-13 05:08:21.454864 | 2025-10-14 00:47:00.533116 | 13357380 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13357380 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-10-14 | M | AE | PT | JACOBS | JQE406W03039 | PATRICIA | 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/2222/5993913/check_13357380_71a9bf75-0232-4ca3-824d-29d46cc4f2d7.json | N/A | N/A | N/A | N/A | N/A | JQE406W03039 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1939-06-25 | 040 | CASUPWP0 | N/A | N/A | false | JACOBS | N/A | PATRICIA | N/A | 9999-12-31 | 2019-12-11 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006263739 | N/A | N/A | 5993913 | 2222 | 4793 | 13654124 | N/A | 4642852 | 2025-10-14 00:47:00.533116 | 2025-11-21 18:38:17.056437 |
| 2025-10-13 05:08:19.488381 | 2025-10-13 17:53:02.278396 | 13357202 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13357202 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-10-16 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | 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/2222/5568076/check_13357202_74446bfd-a7b9-403c-93f1-3b07f29bf1bd.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006293553 | N/A | N/A | 5568076 | 2222 | 4802 | 13641530 | N/A | 4209480 | 2025-10-13 17:53:02.278396 | 2026-04-10 02:05:15.976484 |
| 2025-10-13 05:08:18.198430 | 2025-10-14 02:32:18.311190 | 13357102 | N/A | N/A | 60054 | Aetna | 1114042165 | 13357102 | Athletic Physical Therapy Inc | 1946-06-15 | 2025-10-16 | M | AE | PT | SCHECHTER | 102181433800 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101034794.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9026590/check_13357102_9d314fd8-bc23-4288-8155-cfe562adc3c1.json | N/A | N/A | N/A | N/A | N/A | 102181433800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1946-06-15 | 000003-CA000027 | 000003-CA | N/A | PR | false | SCHECHTER | N/A | STEVEN | N/A | 2026-01-01 | 2025-07-01 | AETNA MEDICARE CHOICE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006254296 | N/A | N/A | 9026590 | 2222 | 4793 | 13656791 | N/A | 7549031 | 2025-10-14 02:32:18.311190 | 2026-05-22 23:37:03.098359 |
| 2025-10-13 05:08:16.308362 | 2025-10-13 17:07:32.934290 | 13356953 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 13356953 | Athletic Physical Therapy Inc | 1968-04-14 | 2025-10-14 | M | AD | N/A | EDELMAN | 109583288 | Igor | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.112530847.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10016649/check_13356953_e977056b-9f2b-4fb0-9134-b47115fabf74.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 | 9006528673 | N/A | N/A | 10016649 | 2222 | 4793 | 13623001 | N/A | 8385137 | 2025-10-13 17:07:32.934290 | 2025-10-13 16:15:02.281568 |
| 2025-10-13 05:08:11.658854 | 2025-10-14 02:34:55.863656 | 13356575 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13356575 | Athletic Physical Therapy Inc | 1966-07-12 | 2025-10-15 | M | AE | PT | Cohn | R06589895MM1 | David | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.080028868.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7315101/check_13356575_a4716993-f352-433a-91b3-b1ec854a2efe.json | N/A | N/A | N/A | N/A | N/A | R06589895MM1 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1966-07-12 | N/A | CA05620125 | N/A | N/A | false | COHN | N/A | DAVID | N/A | N/A | N/A | WELLCARE SIMPLE FOCUS (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006271904 | N/A | N/A | 7315101 | 2222 | 4802 | 13657764 | N/A | 6152454 | 2025-10-14 02:34:55.863656 | 2025-07-17 21:44:04.596080 |