API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | 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 05:08:11.546398 | 2025-10-14 02:35:20.231982 | 13356565 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13356565 | Athletic Physical Therapy Inc | 1952-08-20 | 2025-10-14 | M | PT | POLK | MBL292M95257 | KENNETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101034794.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9022039/check_13356565_4721d1d6-605f-49ed-9aac-b00335fa9bd7.json | N/A | N/A | N/A | N/A | N/A | MBL292M95257 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1952-08-20 | 040 | CAEGR002 | N/A | N/A | false | POLK | N/A | KENNETH | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006253980 | N/A | N/A | 9022039 | 2222 | 4801 | 13657911 | N/A | 7544773 | 2025-10-14 02:35:20.231982 | 2025-09-02 18:35:33.812098 |
| 2025-10-13 05:08:08.978167 | 2025-10-14 02:34:59.869375 | 13356341 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13356341 | Athletic Physical Therapy Inc | 2011-07-26 | 2025-10-16 | M | AE | Alvarado | 93787602F | Alberto | PT | 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/2222/9020143/check_13356341_fb6998a3-8054-495c-8586-cc2011296a17.json | N/A | N/A | N/A | N/A | N/A | 93787602F | N/A | N/A | HEALTH NET, LLC | N/A | 2011-07-26 | N/A | N/A | N/A | N/A | false | ALVARADO | N/A | ALBERTO | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006254896 | N/A | N/A | 9020143 | 2222 | 4802 | 13657789 | N/A | 7543577 | 2025-10-14 02:34:59.869375 | 2025-09-08 18:42:17.673186 |
| 2025-10-13 05:08:08.773698 | 2025-10-13 17:19:34.523302 | 13356324 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 13356324 | Athletic Physical Therapy Inc | 1952-03-30 | 2025-10-14 | F | AE | MATTHEWS | H41656712 | JUNE | PT | 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/2222/9767878/check_13356324_451b036d-40ec-4fa6-a4d4-49f5463a18d5.json | N/A | N/A | N/A | N/A | N/A | H41656712 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1952-03-30 | N/A | 0B527001 | N/A | HN | false | MATTHEWS | N/A | JUNE ANNE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006257597 | N/A | N/A | 9767878 | 2222 | 4801 | 13632398 | N/A | 8178957 | 2025-10-13 17:19:34.523302 | 2025-10-06 01:53:28.213209 |
| 2025-10-13 05:08:00.651173 | 2025-10-14 02:31:57.779159 | 13355625 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 13355625 | Athletic Physical Therapy Inc | 2014-05-27 | 2025-10-16 | F | AE | Odate | 96680377F | Keina | PT | 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/2222/7295079/check_13355625_eef13781-9828-4d75-a320-a0c856a21f4f.json | N/A | N/A | N/A | N/A | N/A | 96680377F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 09/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2014-05-27 | TFU223BP0000008 | QMXEM01909 | N/A | N/A | false | ODATE | N/A | WOW | N/A | 2078-12-31 | 2025-05-01 | ADULT FAMILY - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006271213 | N/A | N/A | 7295079 | 2222 | 4802 | 13656668 | N/A | 6254701 | 2025-10-14 02:31:57.779159 | 2026-05-21 14:19:15.159394 |
| 2025-10-13 05:07:59.827300 | 2025-10-14 02:35:51.337544 | 13355553 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13355553 | Athletic Physical Therapy Inc | 1957-10-25 | 2025-10-15 | F | PT | YINGER | MBL827W13948 | COLLEEN | N/A | 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/2222/7292126/check_13355553_b4ab0696-b264-43dd-9165-cc622bb64472.json | N/A | N/A | N/A | N/A | N/A | MBL827W13948 | N/A | THE AEROSPACE CORPORATION | ANTHEM BLUE CROSS | N/A | 1957-10-25 | 040 | CAEGR020 | N/A | N/A | false | YINGER | N/A | COLLEEN | N/A | 9999-12-31 | 2022-10-01 | CA GRS AEROSPACE H4036-801 ANTHEM MEDICARE PREFERR | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006271207 | N/A | N/A | 7292126 | 2222 | 4793 | 13658093 | N/A | 6252902 | 2025-10-14 02:35:51.337544 | 2025-07-22 20:37:37.157960 |
| 2025-10-13 05:07:56.218276 | 2025-10-13 17:16:37.670045 | 13355249 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 13355249 | override_provider | 1956-10-21 | 2025-10-14 | M | PT | TOROS | SAD103594467 | HALIL | N/A | 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/2222/7896723/check_13355249_89d1ec51-392d-4260-9fba-62df05269aa7.json | N/A | N/A | N/A | N/A | N/A | SAD10359446700 | Preferred Provider Organization (PPO) | SAS INSTITUTE INC. | BLUE SHIELD OF CALIFORNIA | N/A | 1956-10-21 | FACETS | 14163533 | N/A | PR | false | TOROS | N/A | HALIL | N/A | 2025-12-31 | 2025-01-01 | BLUE OPTIONS | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006301597 | N/A | N/A | 7896723 | 2222 | 4802 | 13629830 | N/A | 6723602 | 2025-10-13 17:16:37.670045 | 2025-08-12 18:22:41.461515 |
| 2025-10-13 05:07:55.709520 | 2025-10-14 02:35:13.355133 | 13355202 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13355202 | Athletic Physical Therapy Inc | 1949-12-31 | 2025-10-14 | M | AE | TSING | 00000282272 | KONGHSUNG | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101034794.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8978036/check_13355202_a69ed781-3994-46d8-a913-2f35dbf49b4f.json | N/A | N/A | N/A | N/A | N/A | 00000282272 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1949-12-31 | N/A | N/A | N/A | N/A | false | TSING | N/A | KONGHSUNG | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006253949 | N/A | N/A | 8978036 | 2222 | 4793 | 13657871 | 2630 | 7492332 | 2025-10-14 02:35:13.355133 | 2025-10-01 21:03:48.525986 |
| 2025-10-13 05:07:40.951837 | 2025-10-13 17:29:49.424421 | 13354181 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13354181 | Athletic Physical Therapy Inc | 1975-10-20 | 2025-10-15 | F | PT | BARRUS | NCF701A73626 | ERIKA | N/A | 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/2222/9742864/check_13354181_b3ffabfd-727b-43f8-abaa-376743804933.json | N/A | N/A | N/A | N/A | N/A | NCF701A73626 | Health Maintenance Organization (HMO) | GOLDEN STATE MEDICAL SUPPLY | ANTHEM BLUE CROSS | N/A | 1975-10-20 | 040 | L00156H001 | N/A | HM | false | BARRUS | N/A | JOHN | N/A | 9999-12-31 | 2025-06-01 | VALUE SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006257495 | N/A | N/A | 9742864 | 2222 | 4801 | 13637950 | N/A | 8156225 | 2025-10-13 17:29:49.424421 | 2025-10-06 23:06:53.764973 |
| 2025-10-13 05:07:38.355173 | 2025-10-13 17:25:36.447514 | 13354013 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 13354013 | Athletic Physical Therapy Inc | 1950-09-28 | 2025-10-16 | M | AE | GURROLA | 839044301 | MIKE | PT | 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/2222/9317287/check_13354013_e39c058c-bfb7-4d67-8188-de31a71efcfa.json | N/A | N/A | N/A | N/A | N/A | 839044301 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1950-09-28 | N/A | 004237 | N/A | HN | false | GURROLA | N/A | MIKE | N/A | N/A | N/A | UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006278710 | N/A | N/A | 9317287 | 2222 | 4793 | 13636673 | N/A | 7815862 | 2025-10-13 17:25:36.447514 | 2025-09-11 18:06:18.231033 |
| 2025-10-13 05:07:30.190132 | 2025-10-13 17:36:34.923439 | 13353537 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13353537 | Athletic Physical Therapy Inc | 2004-10-12 | 2025-10-15 | F | PT | SMITH | JQU079A20315 | QUINCEY | N/A | 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/2222/9738262/check_13353537_59dc1e04-c7fc-43ff-857a-d0b2cba4afb5.json | N/A | N/A | N/A | N/A | N/A | JQU079A20315 | Preferred Provider Organization (PPO) | TREATMENT CENTER MANAGEMENT CORPORATION | BLUE SHIELD OF CALIFORNIA | N/A | 2004-10-12 | 040 | U26729 | N/A | PR | false | SMITH | N/A | CRAIG | N/A | 9999-12-31 | 2025-01-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006258661 | N/A | N/A | 9738262 | 2222 | 4802 | 13638944 | N/A | 8152988 | 2025-10-13 17:36:34.923439 | 2025-09-25 21:29:07.638267 |
| 2025-10-13 05:07:29.449060 | 2025-10-13 17:48:15.328990 | 13353498 | N/A | N/A | 60054 | Aetna | 1114042165 | 13353498 | Athletic Physical Therapy Inc | 1991-03-21 | 2025-10-15 | F | AE | CARDINALI | W286606913 | NICOLE | PT | 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/2222/5550850/check_13353498_127e5738-2d0c-4d82-80c4-b09c06c40b7a.json | N/A | N/A | N/A | N/A | N/A | W286606913 | N/A | N/A | AETNA | N/A | 1991-03-21 | 0887487 | 088748701000001 | N/A | N/A | false | CARDINALI | N/A | NICOLE | N/A | N/A | N/A | OPEN CHOICE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006293292 | N/A | N/A | 5550850 | 2222 | 4802 | 13640587 | N/A | 4215195 | 2025-10-13 17:48:15.328990 | 2025-05-14 09:08:40.751930 |
| 2025-10-13 05:07:28.573453 | 2025-10-13 17:56:38.076320 | 13353456 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13353456 | Athletic Physical Therapy Inc | 1961-10-06 | 2025-10-15 | F | PT | SMITH | XED910117839 | DEANNA | 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/2222/5549692/check_13353456_f54d6324-3569-484d-a9dc-c76a758f5625.json | N/A | N/A | N/A | N/A | N/A | XED910117839 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-10-06 | 2001ZK002184 | X0001004 | N/A | PR | false | SMITH | N/A | ADRIAN | N/A | 9999-12-31 | 2021-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006293291 | N/A | N/A | 5549692 | 2222 | 4801 | 13642287 | N/A | 4219305 | 2025-10-13 17:56:38.076320 | 2025-09-16 17:28:21.311815 |
| 2025-10-13 05:07:27.802074 | 2025-10-13 17:55:17.413117 | 13353424 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13353424 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-10-15 | F | PT | LUCZYWEK | HFD100011213709 | DEBORA | 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/2222/5549317/check_13353424_b5535006-aeb0-40bf-87e3-787015391129.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006293290 | N/A | N/A | 5549317 | 2222 | 4801 | 13642006 | N/A | 4219010 | 2025-10-13 17:55:17.413117 | 2026-01-09 18:32:07.618867 |
| 2025-10-13 05:07:27.754773 | 2025-10-14 02:35:15.146898 | 13353420 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 13353420 | Athletic Physical Therapy Inc | 1987-06-17 | 2025-10-14 | M | AE | FAVELA | 620360888 | MAXIMILIAN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.101034794.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8960010/check_13353420_ef610a31-2966-4071-95e2-d86663702964.json | N/A | N/A | N/A | N/A | N/A | 620360888 | N/A | L.A. CARE COVERED GOLD 80 HMO | LA CARE HEALTH PLAN | HEALTH BENEFIT PLAN COVERAGE | 1987-06-17 | LACC | 92815CA001000701 | N/A | N/A | false | FAVELA | N/A | MAXIMILIAN | N/A | 2025-12-31 | 2025-02-01 | L.A. CARE COVERED | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006255631 | N/A | N/A | 8960010 | 2222 | 4802 | 13657882 | N/A | 7476978 | 2025-10-14 02:35:15.146898 | 2026-01-07 18:27:22.752552 |
| 2025-10-13 05:07:26.737791 | 2025-10-13 16:55:09.401515 | 13353368 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | 13353368 | Athletic Physical Therapy Inc | 1965-07-05 | 2025-10-14 | F | PT | CEJA | XEH903796659 | PATRICIA | 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/2222/5549285/check_13353368_9a296205-dd47-458c-986c-ced233ecfde1.json | N/A | N/A | N/A | N/A | N/A | XEH903796659 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1965-07-05 | N/A | N/A | N/A | N/A | false | CEJA | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006293288 | N/A | N/A | 5549285 | 2222 | 4801 | 13616340 | N/A | 4218983 | 2025-10-13 16:55:09.401515 | 2025-05-13 04:29:37.230000 |
| 2025-10-13 05:07:21.877024 | 2025-10-14 02:35:50.995249 | 13353157 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13353157 | Athletic Physical Therapy Inc | 1988-08-19 | 2025-10-15 | M | PT | Bridgemohansingh | NTF910W08222 | Jason | N/A | 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/2222/7258746/check_13353157_9fd01222-2602-42e5-a8dc-20368e3cb9b1.json | N/A | N/A | N/A | N/A | N/A | NTF910W08222 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | ANTHEM BLUE CROSS | N/A | 1988-08-19 | 040 | L08669M002 | N/A | PR | false | BRIDGEMOHANSINGH | N/A | JASON | N/A | 9999-12-31 | 2025-08-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006271822 | N/A | N/A | 7258746 | 2222 | 4802 | 13658091 | N/A | 6224482 | 2025-10-14 02:35:50.995249 | 2025-08-07 00:03:18.267969 |
| 2025-10-13 05:07:19.349479 | 2025-10-13 17:54:22.991903 | 13353051 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13353051 | Athletic Physical Therapy Inc | 1962-06-19 | 2025-10-15 | M | AE | MILIAN GOMEZ | 93331019F | MIGUEL | PT | 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/2222/5543555/check_13353051_60dc5e2e-b135-4f3f-96ad-45972e86ced6.json | N/A | N/A | N/A | N/A | N/A | 93331019F | N/A | N/A | HEALTH NET, LLC | N/A | 1962-06-19 | N/A | N/A | N/A | N/A | false | MILIAN GOMEZ | N/A | MIGUEL | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006293279 | N/A | N/A | 5543555 | 2222 | 4802 | 13641799 | N/A | 4215332 | 2025-10-13 17:54:22.991903 | 2025-08-06 16:15:15.716322 |
| 2025-10-13 05:07:18.696399 | 2025-10-14 00:50:36.665522 | 13353021 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 13353021 | Athletic Physical Therapy Inc | 1950-10-31 | 2025-10-15 | F | AE | HOORIZADEH | 99091630E95124 | FLORA | PT | 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/2222/5543529/check_13353021_b21c1dbe-484e-4b92-b7ab-3fb3d2e0cd72.json | N/A | N/A | N/A | N/A | N/A | 99091630E95124 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1950-10-31 | N/A | N/A | N/A | N/A | false | HOORIZADEH | N/A | FLORA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006263203 | N/A | N/A | 5543529 | 2222 | 4802 | 13655352 | N/A | 4215312 | 2025-10-14 00:50:36.665522 | 2025-05-13 04:29:37.229631 |
| 2025-10-13 05:07:18.288675 | 2025-10-14 00:41:41.207606 | 13353007 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 13353007 | Athletic Physical Therapy Inc | 1937-05-08 | 2025-10-14 | F | AE | GRINBERG | 04690155011 | HANNA | PT | 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/2222/5542163/check_13353007_2a607e66-3e35-4380-9809-4a3dc4998eed.json | N/A | N/A | N/A | N/A | N/A | 04690155011 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1937-05-08 | N/A | N/A | N/A | SP | false | GRINBERG | N/A | HANNA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN J | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006263202 | N/A | N/A | 5542163 | 2222 | 4802 | 13652272 | N/A | 4214112 | 2025-10-14 00:41:41.207606 | 2025-05-13 04:29:37.228426 |
| 2025-10-13 05:07:18.025395 | 2025-10-13 18:02:39.270169 | 13352997 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13352997 | Athletic Physical Therapy Inc | 1950-10-31 | 2025-10-15 | F | AE | HOORIZADEH | 2DX2T46JH03 | FLORA | PT | 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/2222/5543528/check_13352997_423d06cd-72f5-449a-8c50-195c7f30347f.json | N/A | N/A | N/A | N/A | N/A | 2DX2T46JH03 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-10-31 | S4802 | N/A | N/A | MA | false | HOORIZADEH | N/A | FLORA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006293278 | N/A | N/A | 5543528 | 2222 | 4802 | 13643754 | N/A | 4215312 | 2025-10-13 18:02:39.270169 | 2025-05-13 04:29:37.229631 |
| 2025-10-13 05:07:17.789903 | 2025-10-14 00:47:01.449947 | 13352987 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13352987 | Athletic Physical Therapy Inc | 1957-12-18 | 2025-10-14 | F | AE | MOORE WILLIAMSON | JQE118W14593 | LESLIE A | PT | 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/2222/5539052/check_13352987_d43b2430-606a-4fb8-9a5a-f9544cd224fb.json | N/A | N/A | N/A | N/A | N/A | JQE118W14593 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1957-12-18 | 040 | CASUPWP0 | N/A | N/A | false | MOORE WILLIAMSON | N/A | LESLIE | N/A | 9999-12-31 | 2022-12-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006263201 | N/A | N/A | 5539052 | 2222 | 4801 | 13654130 | N/A | 4211368 | 2025-10-14 00:47:01.449947 | 2025-05-13 04:29:37.225728 |
| 2025-10-13 05:07:17.447007 | 2025-10-14 00:47:00.812668 | 13352970 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13352970 | Athletic Physical Therapy Inc | 1951-03-05 | 2025-10-16 | F | AE | KUMMER | JQE679A76010 | JANIS | PT | 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/2222/5539027/check_13352970_4edd33b4-75af-4840-be30-f22778798763.json | N/A | N/A | N/A | N/A | N/A | JQE679A76010 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-03-05 | 040 | CASUPWP0 | N/A | N/A | false | KUMMER | N/A | JANIS | N/A | 9999-12-31 | 2021-04-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006263200 | N/A | N/A | 5539027 | 2222 | 4802 | 13654126 | N/A | 4211356 | 2025-10-14 00:47:00.812668 | 2025-12-19 18:37:19.647424 |
| 2025-10-13 05:07:17.118718 | 2025-10-14 00:48:04.811863 | 13352954 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13352954 | Athletic Physical Therapy Inc | 1950-08-31 | 2025-10-15 | M | AE | NADRICH | XEM905604302 | JEFFREY | PT | 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/2222/5538999/check_13352954_4a6d6c25-86b9-4ef4-9821-15e0f3390d27.json | N/A | N/A | N/A | N/A | N/A | XEM905604302 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1950-08-31 | 2004SE000030 | X0001002 | N/A | OT | false | NADRICH | N/A | JEFFREY | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006263199 | N/A | N/A | 5538999 | 2222 | 4802 | 13654518 | N/A | 4211316 | 2025-10-14 00:48:04.811863 | 2025-05-13 04:29:37.225679 |
| 2025-10-13 05:07:16.764395 | 2025-10-13 16:55:49.757415 | 13352938 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 13352938 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-10-14 | F | AE | SILVERS | 1866968 | JOIEMAY | PT | 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/2222/5543335/check_13352938_d02bc6d1-a6d5-4ec7-96d5-e525c50988ec.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 2001-01-23 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006293277 | N/A | N/A | 5543335 | 2222 | 4802 | 13616794 | N/A | 4215139 | 2025-10-13 16:55:49.757415 | 2025-05-13 21:20:11.455022 |
| 2025-10-13 05:07:16.633399 | 2025-10-14 00:46:59.967337 | 13352933 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13352933 | Athletic Physical Therapy Inc | 1964-12-31 | 2025-10-15 | M | PT | BRIGHT | MPI01424345Q | RICHARD | N/A | 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/2222/5538212/check_13352933_9914168d-02cc-4296-acc4-35b518be4b74.json | N/A | N/A | N/A | N/A | N/A | MPI01424345Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1964-12-31 | 040 | 277163M402 | N/A | PR | false | BARR BRIGHT | N/A | CYNTHIA | N/A | 9999-12-31 | 2024-08-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006263198 | N/A | N/A | 5538212 | 2222 | 4793 | 13654120 | N/A | 4210664 | 2025-10-14 00:46:59.967337 | 2025-10-01 18:16:15.634130 |
| 2025-10-13 05:07:16.380929 | 2025-10-14 02:36:34.431283 | 13352922 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13352922 | Athletic Physical Therapy Inc | 1976-09-29 | 2025-10-15 | F | PT | RAND | XED912141111 | ELLEN | N/A | 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/2222/7257479/check_13352922_b7ab49d3-c04e-4d34-9866-0aa63e035f4f.json | N/A | N/A | N/A | N/A | N/A | XED912141111 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1976-09-29 | 2001ZK002193 | X0001004 | N/A | PR | false | RAND | N/A | ELLEN | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006271812 | N/A | N/A | 7257479 | 2222 | 4802 | 13658349 | N/A | 4210270 | 2025-10-14 02:36:34.431283 | 2025-07-08 18:23:05.596578 |
| 2025-10-13 05:07:16.103281 | 2025-10-14 00:46:40.841112 | 13352910 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13352910 | Athletic Physical Therapy Inc | 1950-09-27 | 2025-10-16 | F | AE | THOMSEN | R12604487 | JANET | PT | 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/2222/5537953/check_13352910_1a6dfbb5-60e0-48b0-a8b5-88bfec91c75a.json | N/A | N/A | N/A | N/A | N/A | R12604487FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1950-09-27 | N/A | N/A | N/A | N/A | false | THOMSEN | N/A | JANET | N/A | 2025-11-01 | 2022-03-01 | FAP MEDIFLEX | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006263197 | N/A | N/A | 5537953 | 2222 | 4801 | 13653996 | N/A | 4210450 | 2025-10-14 00:46:40.841112 | 2026-05-04 21:51:25.248197 |
| 2025-10-13 05:07:15.443499 | 2025-10-14 00:41:40.931606 | 13352883 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 13352883 | Athletic Physical Therapy Inc | 1952-03-25 | 2025-10-16 | F | AE | DRIMMER | 33360295512 | NADIA | PT | 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/2222/5537832/check_13352883_dcff65dc-4c85-4d5d-8c74-b1bd3fd4dbbb.json | N/A | N/A | N/A | N/A | N/A | 33360295512 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1952-03-25 | N/A | N/A | N/A | SP | false | DRIMMER | N/A | NADIA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006263196 | N/A | N/A | 5537832 | 2222 | 4802 | 13652270 | N/A | 4210338 | 2025-10-14 00:41:40.931606 | 2025-05-13 04:29:37.224744 |
| 2025-10-13 05:07:15.081810 | 2025-10-13 16:55:49.330378 | 13352865 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 13352865 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-10-15 | M | AE | MCCOWAN | 93341440D | KEVIN | PT | 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/2222/5543270/check_13352865_aa3a94b0-a280-46e2-90c9-ac452c234ddc.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-03-27 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | 2078-12-31 | 2024-11-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006293276 | N/A | N/A | 5543270 | 2222 | 4793 | 13616790 | N/A | 4215086 | 2025-10-13 16:55:49.330378 | 2025-05-13 04:29:37.229401 |
| 2025-10-13 05:07:14.982553 | 2025-10-14 00:48:04.523253 | 13352858 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13352858 | Athletic Physical Therapy Inc | 1950-07-23 | 2025-10-15 | M | AE | MELVILLE | XEMJ06188527 | LANNING | PT | 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/2222/5535731/check_13352858_a2910043-84a4-4612-81ab-8f58e1f58e4b.json | N/A | N/A | N/A | N/A | N/A | XEMJ06188527 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1950-07-23 | N/A | N/A | N/A | N/A | false | MELVILLE | N/A | LANNING | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006263195 | N/A | N/A | 5535731 | 2222 | 4802 | 13654516 | N/A | 4208598 | 2025-10-14 00:48:04.523253 | 2025-09-11 00:56:25.554348 |
| 2025-10-13 05:07:14.718268 | 2025-10-13 17:28:08.814629 | 13352850 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13352850 | Athletic Physical Therapy Inc | 1987-11-24 | 2025-10-14 | F | PT | Halat | FIZ100010118257 | Hooram | N/A | 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/2222/7870152/check_13352850_7d3a04be-ea54-4765-9797-b38c820cd8dd.json | N/A | N/A | N/A | N/A | N/A | FIZ100010118257 | 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 | 1987-11-24 | N/A | N/A | N/A | PR | false | HALAT | N/A | HOORAM | 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 | 9006301967 | N/A | N/A | 7870152 | 2222 | 4802 | 13637636 | N/A | 6698799 | 2025-10-13 17:28:08.814629 | 2025-08-07 18:40:53.120761 |
| 2025-10-13 05:07:13.816070 | 2025-10-13 17:56:37.074741 | 13352807 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13352807 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-10-14 | F | PT | PAUL | XEK914147727 | SARA | 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/2222/5543211/check_13352807_33fdff6c-5bae-4eda-92c2-c653af2b9416.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | 9999-12-31 | 2025-02-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006293275 | N/A | N/A | 5543211 | 2222 | 4801 | 13642283 | N/A | 4215028 | 2025-10-13 17:56:37.074741 | 2025-05-13 04:29:37.229346 |
| 2025-10-13 05:07:13.543618 | 2025-10-13 17:29:55.439954 | 13352797 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13352797 | Athletic Physical Therapy Inc | 1968-10-03 | 2025-10-15 | M | PT | RAMIREZ | Z7M7740597AB | CESAR | N/A | 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/2222/9729132/check_13352797_a08b9206-5ac5-4c56-ae4b-962b289837d2.json | N/A | N/A | N/A | N/A | N/A | Z7M7740597AB | Preferred Provider Organization (PPO) | HI DED LOWER FAMILY ONLY | ANTHEM BLUE CROSS | N/A | 1968-10-03 | 241 | L11957M003 | N/A | PR | false | RAMIREZ | N/A | CESAR | N/A | 9999-12-31 | 2025-01-01 | PPO WITH MO BLUE ACCESS CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006258203 | N/A | N/A | 9729132 | 2222 | 4801 | 13637967 | N/A | 8145241 | 2025-10-13 17:29:55.439954 | 2025-09-25 17:51:33.170014 |
| 2025-10-13 05:07:12.501585 | 2025-10-13 17:55:17.828626 | 13352749 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13352749 | Athletic Physical Therapy Inc | 2003-10-09 | 2025-10-15 | F | PT | LUKOWITSCH | XDPCA8263500 | HALLIE | 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/2222/5543178/check_13352749_1831e80f-1999-49f3-9698-23e4de362714.json | N/A | N/A | N/A | N/A | N/A | XDPCA8263500 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | ANTHEM BLUE CROSS | N/A | 2003-10-09 | 040 | 275958P701 | N/A | PR | false | LUKOWITSCH | N/A | HALLIE | N/A | 9999-12-31 | 2025-09-22 | PPO UC SHIP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006293274 | N/A | N/A | 5543178 | 2222 | 4802 | 13642008 | N/A | 4215006 | 2025-10-13 17:55:17.828626 | 2025-05-13 04:29:37.229325 |
| 2025-10-13 05:07:11.677657 | 2025-10-13 17:51:33.637713 | 13352709 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 13352709 | Athletic Physical Therapy Inc | 1973-05-07 | 2025-10-15 | F | AD | FERRERAS | U6570615702 | PATRICIA | 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/2222/5543171/check_13352709_b9cf7a8e-4059-4764-83d9-044979c50b0c.json | N/A | N/A | N/A | N/A | N/A | U6570615702 | N/A | WORKDAY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1973-05-07 | N/A | 3336422 | N/A | N/A | false | FERRERAS | N/A | PATRICIA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 9006293273 | N/A | N/A | 5543171 | 2222 | 4793 | 13641215 | N/A | 4214998 | 2025-10-13 17:51:33.637713 | 2025-05-13 04:29:37.229318 |
| 2025-10-13 05:07:10.896348 | 2025-10-13 17:54:48.219453 | 13352669 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 13352669 | Athletic Physical Therapy Inc | 1960-12-24 | 2025-10-16 | F | AE | PORTILLO | 00000315343 | LISA | PT | 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/2222/5543084/check_13352669_5da4393a-f5cb-4595-ad7d-10d701ba24d2.json | N/A | N/A | N/A | N/A | N/A | 00000315343 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1960-12-24 | N/A | N/A | N/A | N/A | false | PORTILLO | 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 | 9006293272 | N/A | N/A | 5543084 | 2222 | 4801 | 13641892 | N/A | 4214920 | 2025-10-13 17:54:48.219453 | 2025-05-13 04:29:37.229242 |
| 2025-10-13 05:07:10.863232 | 2025-10-13 17:12:15.186096 | 13352667 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13352667 | Athletic Physical Therapy Inc | 1959-07-16 | 2025-10-16 | F | AE | JESTER | MBL344W20467 | AUREA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251013.100912375.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9926970/check_13352667_771bf2f0-c90b-4cd6-808a-41d6572c1a37.json | N/A | N/A | N/A | N/A | N/A | MBL344W20467 | N/A | CALIFORNIA PUBLIC EMPLOYEES RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1959-07-16 | 040 | CAEGR001 | N/A | N/A | false | JESTER | N/A | AUREA | N/A | 9999-12-31 | 2024-07-01 | CA GRS CALPERS H4036-802 ANTHEM MEDICARE PREFERRED | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006251541 | N/A | N/A | 9926970 | 2222 | 4801 | 13625933 | N/A | 7624564 | 2025-10-13 17:12:15.186096 | 2025-10-06 23:19:36.703282 |
| 2025-10-13 05:07:10.020474 | 2025-10-13 17:55:16.972621 | 13352632 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13352632 | Athletic Physical Therapy Inc | 1974-08-13 | 2025-10-16 | F | PT | HUGGINS | JXN261A50994 | DEE DEE | 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/2222/5543043/check_13352632_b7162049-38c2-4d85-a92b-bf2351f20dd2.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 9999-12-31 | 2022-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006293271 | N/A | N/A | 5543043 | 2222 | 4801 | 13642004 | N/A | 4214884 | 2025-10-13 17:55:16.972621 | 2025-11-12 00:46:10.301659 |
| 2025-10-13 05:07:09.344995 | 2025-10-13 17:54:22.422709 | 13352595 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13352595 | Athletic Physical Therapy Inc | 2007-12-08 | 2025-10-14 | F | AE | LARSEN | R06053944FD1 | LANA | PT | 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/2222/5542850/check_13352595_1c9aa693-8ad3-49f4-9d8c-3c6ecc6af2d0.json | N/A | N/A | N/A | N/A | N/A | R06053944FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2007-12-08 | N/A | N/A | N/A | N/A | false | LARSEN | N/A | LANA | N/A | N/A | N/A | MGY COMHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006293270 | N/A | N/A | 5542850 | 2222 | 4793 | 13641796 | N/A | 4214714 | 2025-10-13 17:54:22.422709 | 2025-05-13 04:29:37.229031 |
| 2025-10-13 05:07:08.170506 | 2025-10-13 17:48:17.682541 | 13352541 | N/A | N/A | 60054 | Aetna | 1114042165 | 13352541 | Athletic Physical Therapy Inc | 2005-11-23 | 2025-10-16 | F | AE | FERRELL | W285064666 | AMELIA | PT | 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/2222/5542678/check_13352541_09b8263c-273e-4b6e-a724-32edd7a47b60.json | N/A | N/A | N/A | N/A | N/A | W285064666 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 2005-11-23 | 0232499 | 023249901000051 | N/A | PS | false | FERRELL | N/A | RALPH | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006293269 | N/A | N/A | 5542678 | 2222 | 4802 | 13640593 | N/A | 4214560 | 2025-10-13 17:48:17.682541 | 2025-05-13 04:29:37.228883 |
| 2025-10-13 05:07:07.168709 | 2025-10-13 18:02:37.685961 | 13352485 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13352485 | Athletic Physical Therapy Inc | 1948-07-03 | 2025-10-15 | M | PT | BATES III | 1C71E78UR99 | JAMES | AE | 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/2222/5542657/check_13352485_12e2da7e-cccb-470d-9ba4-de1ffad0cc51.json | N/A | N/A | N/A | N/A | N/A | 1C71E78UR99 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-03 | N/A | N/A | N/A | MA | false | BATES III | N/A | JAMES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 9006293268 | N/A | N/A | 5542657 | 2222 | 4801 | 13643745 | N/A | 4214540 | 2025-10-13 18:02:37.685961 | 2025-05-13 04:29:37.228866 |
| 2025-10-13 05:07:06.003486 | 2025-10-13 17:55:14.636493 | 13352441 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13352441 | Athletic Physical Therapy Inc | 1975-12-13 | 2025-10-14 | F | PT | ASSENGA | TWA295A70455 | NANCY | 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/2222/5542618/check_13352441_0e1f2b6e-d6cc-4b7c-bb7b-0925c2b5ca78.json | N/A | N/A | N/A | N/A | N/A | TWA295A70455 | Preferred Provider Organization (PPO) | WILLIS TOWERS WATSON | ANTHEM BLUE CROSS | N/A | 1975-12-13 | 101 | 270127M9A0 | N/A | PR | false | ASSENGA | N/A | NANCY | N/A | 9999-12-31 | 2024-01-01 | CDHP NY NAT GENC HEALTH SAVINGS ACCT (HSA) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006293267 | N/A | N/A | 5542618 | 2222 | 4801 | 13641995 | N/A | 4214504 | 2025-10-13 17:55:14.636493 | 2025-05-13 04:29:37.228820 |
| 2025-10-13 05:07:04.883334 | 2025-10-13 18:02:38.102372 | 13352392 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13352392 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-10-14 | M | AE | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | PT | 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/2222/5542555/check_13352392_6dfe9896-b967-48f4-8633-f5a504a2753c.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-24 | N/A | N/A | N/A | MA | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006293266 | N/A | N/A | 5542555 | 2222 | 4793 | 13643747 | N/A | 4214447 | 2025-10-13 18:02:38.102372 | 2026-04-23 20:11:34.441054 |
| 2025-10-13 05:07:03.807099 | 2025-10-14 02:31:57.408079 | 13352346 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 13352346 | Athletic Physical Therapy Inc | 1976-02-07 | 2025-10-14 | F | AE | MALTSEVA | 94237973H65017 | YEVHENIIA | PT | 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/2222/7253095/check_13352346_dc34191d-04c5-4b43-920d-c2c3fd00a2ec.json | N/A | N/A | N/A | N/A | N/A | 94237973H65017 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1976-02-07 | N/A | N/A | N/A | N/A | false | MALTSEVA | N/A | YEVHENIIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006271786 | N/A | N/A | 7253095 | 2222 | 4802 | 13656666 | N/A | 6219145 | 2025-10-14 02:31:57.408079 | 2025-07-21 16:40:35.276086 |
| 2025-10-13 05:07:03.564120 | 2025-10-13 17:54:52.036483 | 13352335 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 13352335 | Athletic Physical Therapy Inc | 1988-11-03 | 2025-10-14 | F | AE | CAPISTRANO | 98696372G | FERDELLE | PT | 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/2222/5542513/check_13352335_a9ba0299-3139-4e85-b30c-62e68f068824.json | N/A | N/A | N/A | N/A | N/A | 98696372G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1988-11-03 | MCLA | MWLLNMEG21 | N/A | N/A | false | CAPISTRANO | N/A | FERDELLE | N/A | 2078-12-31 | 2024-05-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006293265 | N/A | N/A | 5542513 | 2222 | 4793 | 13641906 | N/A | 4214418 | 2025-10-13 17:54:52.036483 | 2025-07-03 18:12:11.075357 |
| 2025-10-13 05:07:02.385101 | 2025-10-13 17:56:35.859072 | 13352282 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13352282 | Athletic Physical Therapy Inc | 1983-10-27 | 2025-10-16 | M | PT | FEDERER | XEA911365031 | MITCH | 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/2222/5542512/check_13352282_218d6559-bfef-44fa-a3d5-c680978095da.json | N/A | N/A | N/A | N/A | N/A | XEA911365031 | Preferred Provider Organization (PPO) | WEINSTEIN SENIOR LLP | BLUE SHIELD CALIFORNIA | N/A | 1983-10-27 | 1000VX000102 | W0122744 | N/A | PR | false | FEDERER | N/A | MITCHEL | N/A | 9999-12-31 | 2025-05-01 | GOLD FULL PPO 750 30 OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006293264 | N/A | N/A | 5542512 | 2222 | 4793 | 13642276 | N/A | 4214416 | 2025-10-13 17:56:35.859072 | 2025-05-13 04:29:37.228740 |
| 2025-10-13 05:07:01.289495 | 2025-10-13 17:56:34.560962 | 13352237 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13352237 | Athletic Physical Therapy Inc | 1969-07-21 | 2025-10-16 | F | PT | BAER | XEK905554072 | JUDY | 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/2222/5542259/check_13352237_ae38d9d9-c87c-43c2-9846-49bed6534687.json | N/A | N/A | N/A | N/A | N/A | XEK905554072 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1969-07-21 | 2001ZJ002648 | X0001000 | N/A | PR | false | BAER | N/A | JUDY | N/A | 9999-12-31 | 2017-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006293263 | N/A | N/A | 5542259 | 2222 | 4802 | 13642271 | N/A | 4214195 | 2025-10-13 17:56:34.560962 | 2025-05-13 04:29:37.228529 |
| 2025-10-13 05:07:00.292324 | 2025-10-13 18:02:38.833252 | 13352193 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13352193 | Athletic Physical Therapy Inc | 1937-05-08 | 2025-10-14 | F | AE | GRINBERG | 6W60TM0KP36 | HANNA | PT | 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/2222/5542161/check_13352193_a0e979b3-e4f2-41f3-8fe0-63e001406caf.json | N/A | N/A | N/A | N/A | N/A | 6W60TM0KP36 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-05-08 | S5921 | N/A | N/A | MA | false | GRINBERG | N/A | HANNA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006293262 | N/A | N/A | 5542161 | 2222 | 4802 | 13643752 | N/A | 4214112 | 2025-10-13 18:02:38.833252 | 2025-05-13 04:29:37.228426 |
| 2025-10-13 05:06:59.013966 | 2025-10-13 17:55:18.906171 | 13352137 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13352137 | Athletic Physical Therapy Inc | 1942-12-17 | 2025-10-15 | F | PT | STEINBERG | MBL988M98459 | JUDY | 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/2222/5542014/check_13352137_1d3a4eb1-c968-40e8-a2d6-150b7040cdbc.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | N/A | 2025-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9006293261 | N/A | N/A | 5542014 | 2222 | 4793 | 13642012 | N/A | 4213977 | 2025-10-13 17:55:18.906171 | 2025-05-13 04:29:37.228294 |
| 2025-10-13 05:06:57.914702 | 2025-10-13 17:54:11.395999 | 13352086 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 13352086 | Athletic Physical Therapy Inc | 1947-02-01 | 2025-10-15 | M | AE | YEE | 412922301 | HARRY | PT | 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/2222/5541972/check_13352086_dbde23df-51ee-46da-8c68-7cab61851a11.json | N/A | N/A | N/A | N/A | N/A | 412922301 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1947-02-01 | N/A | HCFA21 | N/A | HN | false | YEE | N/A | HARRY | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9006293260 | N/A | N/A | 5541972 | 2222 | 4793 | 13641750 | N/A | 4213941 | 2025-10-13 17:54:11.395999 | 2025-05-13 04:29:37.228259 |