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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-12 05:10:19.687844 | 2025-10-13 00:39:17.978081 | 13318076 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13318076 | Athletic Physical Therapy Inc | 1959-07-23 | 2025-10-14 | M | AE | PT | Harvey | LFYHC0062508 | Roy | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133900679.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714942/check_13318076_521a25df-e964-4ddd-b43e-380f4fcd2f94.json | N/A | N/A | N/A | N/A | N/A | LFYHC0062508 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1959-07-23 | N/A | N/A | N/A | N/A | false | HARVEY | N/A | ROY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003479398 | N/A | N/A | 6714942 | 2222 | 4802 | 13580145 | N/A | 5316172 | 2025-10-13 00:39:17.978081 | 2025-07-02 15:09:36.678003 |
| 2025-10-12 05:10:19.507844 | 2025-10-13 00:38:31.412582 | 13318072 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13318072 | Athletic Physical Therapy Inc | 1951-10-16 | 2025-10-14 | F | AE | PT | GARRETT | JQE702W20596 | KATHLEEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133900679.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714934/check_13318072_ce14c707-0ccf-4ebe-9809-3a490f334016.json | N/A | N/A | N/A | N/A | N/A | JQE702W20596 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-10-16 | 040 | CASUPWP0 | N/A | N/A | false | GARRETT | N/A | KATHLEEN | N/A | 9999-12-31 | 2024-07-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003479397 | N/A | N/A | 6714934 | 2222 | 4793 | 13579394 | N/A | 5316176 | 2025-10-13 00:38:31.412582 | 2025-07-01 18:44:12.927482 |
| 2025-10-12 05:10:19.476974 | 2025-10-13 00:31:56.495725 | 13318071 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13318071 | Athletic Physical Therapy Inc | 1959-09-02 | 2025-10-15 | M | PT | N/A | Taylor | JQW214W21072 | Jonathan | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133926379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9562730/check_13318071_ca0a4c38-71d0-4aa6-8bc0-cbdb5015eab4.json | N/A | N/A | N/A | N/A | N/A | JQW214W21072 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1959-09-02 | N/A | N/A | N/A | N/A | false | TAYLOR | N/A | JONATHAN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003497844 | N/A | N/A | 9562730 | 2222 | 4801 | 13570249 | N/A | 7997814 | 2025-10-13 00:31:56.495725 | 2025-09-30 06:06:03.512607 |
| 2025-10-12 05:10:15.405846 | 2025-10-13 00:40:50.907357 | 13317949 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13317949 | Athletic Physical Therapy Inc | 1962-05-29 | 2025-10-14 | F | PT | N/A | LARSON | XEA913804058 | DEBRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133926379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9562148/check_13317949_bf992e8d-ce1b-4331-a2ee-dfadf099cfd5.json | N/A | N/A | N/A | N/A | N/A | XEA913804058 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1962-05-29 | N/A | N/A | N/A | N/A | false | LARSON | N/A | DEBRA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003497836 | N/A | N/A | 9562148 | 2222 | 4793 | 13581945 | N/A | 7997320 | 2025-10-13 00:40:50.907357 | 2025-10-02 21:07:14.563938 |
| 2025-10-12 05:10:12.038982 | 2025-10-13 00:31:56.173207 | 13317853 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13317853 | Athletic Physical Therapy Inc | 1949-05-27 | 2025-10-14 | M | AE | PT | SANDERS | 8300000051834 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133926379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9560285/check_13317853_fc9b54d5-f159-42d4-ad67-25ab337f9d78.json | N/A | N/A | N/A | N/A | N/A | 8300000051834 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1949-05-27 | N/A | N/A | N/A | N/A | false | SANDERS | N/A | MARK | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003497375 | N/A | N/A | 9560285 | 2222 | 4802 | 13570242 | N/A | 7995648 | 2025-10-13 00:31:56.173207 | 2025-09-24 14:50:57.950474 |
| 2025-10-12 05:10:10.336248 | 2025-10-13 00:40:59.587374 | 13317812 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13317812 | Athletic Physical Therapy Inc | 1952-07-15 | 2025-10-14 | M | AE | PT | WOLFE | 9Y10EH3AK90 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133847137.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10239788/check_13317812_aaffb08a-3877-4072-ba67-77c6813eac1c.json | N/A | N/A | N/A | N/A | N/A | 9Y10EH3AK90 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-15 | S5617 | N/A | N/A | MB | false | WOLFE | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003524151 | N/A | N/A | 10239788 | 2222 | 4793 | 13582119 | N/A | 8527464 | 2025-10-13 00:40:59.587374 | 2025-10-14 15:25:46.972104 |
| 2025-10-12 05:10:08.538408 | 2025-10-13 00:40:51.625067 | 13317762 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13317762 | Athletic Physical Therapy Inc | 1963-04-03 | 2025-10-14 | F | PT | N/A | Protsenko | AJC912998623 | Tetiana | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133926379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9559512/check_13317762_70d687a3-1c41-4505-8a21-b45e4bc34618.json | N/A | N/A | N/A | N/A | N/A | AJC912998623 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1963-04-03 | N/A | N/A | N/A | N/A | false | PROTSENKO | N/A | TETIANA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003497369 | N/A | N/A | 9559512 | 2222 | 4802 | 13581959 | N/A | 7994720 | 2025-10-13 00:40:51.625067 | 2025-09-24 04:33:28.125297 |
| 2025-10-12 05:10:07.318295 | 2025-10-13 02:38:25.011981 | 13317735 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13317735 | Athletic Physical Therapy Inc | 1987-11-24 | 2025-10-14 | F | PT | N/A | Halat | FIZ100010118257 | Hooram | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133914185.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7870152/check_13317735_e399bb9f-25b3-4767-a374-66641200a7d9.json | N/A | N/A | N/A | N/A | N/A | FIZ100010118257 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1987-11-24 | N/A | N/A | N/A | N/A | false | HALAT | N/A | HOORAM | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003498953 | N/A | N/A | 7870152 | 2222 | 4802 | 13599373 | N/A | 6698799 | 2025-10-13 02:38:25.011981 | 2025-08-07 18:40:53.120761 |
| 2025-10-12 05:10:04.556391 | 2025-10-13 00:48:02.046917 | 13317686 | N/A | N/A | 52192 | Bravo Health | 1114042165 | 13317686 | Athletic Physical Therapy Inc | 1957-05-08 | 2025-10-14 | F | AE | PT | CHICAS | 18628759501 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133845087.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8958480/check_13317686_f38c326a-a720-4bb0-b07d-963f63ed9786.json | N/A | N/A | N/A | N/A | N/A | 18628759501 | N/A | N/A | BRAVO HEALTH | N/A | 1957-05-08 | N/A | N/A | N/A | N/A | false | CHICAS | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003519738 | N/A | N/A | 8958480 | 2222 | 4802 | 13589366 | N/A | 6965620 | 2025-10-13 00:48:02.046917 | 2025-09-03 23:20:10.287852 |
| 2025-10-12 05:10:00.940296 | 2025-10-13 00:47:46.436364 | 13317609 | N/A | N/A | SRRGA | Railroad Medicare | 1114042165 | 13317609 | Athletic Physical Therapy Inc | 1977-03-25 | 2025-10-15 | M | AE | PT | BRADBURY | 7HR3VE4QQ94 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133926379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9557582/check_13317609_6ac2aca7-2b45-4fe2-abf2-f7a15c32851d.json | N/A | N/A | N/A | N/A | N/A | 7HR3VE4QQ94 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1977-03-25 | S5617 | N/A | N/A | MB | false | BRADBURY | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003497360 | N/A | N/A | 9557582 | 2222 | 4801 | 13589196 | N/A | 7992729 | 2025-10-13 00:47:46.436364 | 2025-10-01 17:15:45.167667 |
| 2025-10-12 05:09:58.377535 | 2025-10-13 00:37:03.040130 | 13317542 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13317542 | Athletic Physical Therapy Inc | 1967-03-31 | 2025-10-13 | F | PT | N/A | BARRERA | XEH903839121 | LOLA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133826184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7203168/check_13317542_a2396404-7ac3-4b99-accc-41a00ca68013.json | N/A | N/A | N/A | N/A | N/A | XEH903839121 | Health Maintenance Organization (HMO) | CVT MOORPARK USD | BLUE SHIELD CALIFORNIA | N/A | 1967-03-31 | 1000HMOX0005 | W0052266 | N/A | HM | false | BARRERA | N/A | LOLA | N/A | N/A | N/A | CALIFORNIA S VALUED TRUST CUSTOM HMO 10 0 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003521916 | N/A | N/A | 7203168 | 2222 | 4793 | 13577877 | N/A | 5230345 | 2025-10-13 00:37:03.040130 | 2025-07-11 20:32:03.183345 |
| 2025-10-12 05:09:50.513633 | 2025-10-13 00:34:10.145152 | 13317370 | N/A | N/A | 47027 | Physicians Mutual Insurance Company | 1114042165 | 13317370 | Athletic Physical Therapy Inc | 1952-10-25 | 2025-10-15 | F | AE | PT | JOHNSTON | H750053601 | DEBORAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133900679.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638391/check_13317370_e4f43019-8f30-4307-8d29-00a0ead40a28.json | N/A | N/A | N/A | N/A | N/A | H750053601 | N/A | N/A | PHYSICIANS MUTUAL INSURANCE COMPANY | N/A | 1952-10-25 | N/A | N/A | N/A | N/A | false | JOHNSTON | N/A | DEBORAH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003480222 | N/A | N/A | 6638391 | 2222 | 4793 | 13573939 | N/A | 5247837 | 2025-10-13 00:34:10.145152 | 2026-02-24 20:36:49.807283 |
| 2025-10-12 05:09:49.597982 | 2025-10-13 00:39:05.730863 | 13317349 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13317349 | Athletic Physical Therapy Inc | 1956-11-29 | 2025-10-15 | F | AE | PT | GOMEZ | 00000401101 | ALICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133926379.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9555104/check_13317349_2ec08339-1f30-46f7-b2ec-d2cf374c945c.json | N/A | N/A | N/A | N/A | N/A | 00000401101 | N/A | N/A | ALIGNMENT HEALTH CARE FEE FOR SERVICE | N/A | 1956-11-29 | N/A | N/A | N/A | N/A | false | GOMEZ | N/A | ALICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003497337 | N/A | N/A | 9555104 | 2222 | 4801 | 13579972 | 2630 | 7990617 | 2025-10-13 00:39:05.730863 | 2025-09-29 20:34:47.088032 |
| 2025-10-12 05:09:33.821662 | 2025-10-13 00:56:17.258014 | 13317104 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13317104 | Athletic Physical Therapy Inc | 2008-01-30 | 2025-10-14 | F | PT | N/A | NICCOL | WRXA12977807 | AVA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133837845.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6528022/check_13317104_c09806b2-6d48-48e3-b428-a0616a27fb40.json | N/A | N/A | N/A | N/A | N/A | WRXA12977807 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 2008-01-30 | N/A | N/A | N/A | N/A | false | NICCOL | N/A | AVA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003494054 | N/A | N/A | 6528022 | 2222 | 4793 | 13593095 | N/A | 5148860 | 2025-10-13 00:56:17.258014 | 2025-06-30 14:56:45.395723 |
| 2025-10-12 05:09:24.331041 | 2025-10-13 01:05:58.584630 | 13316899 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13316899 | Athletic Physical Therapy Inc | 1947-08-18 | 2025-10-15 | F | AE | PT | FABER | 4X26K21EE83 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133837845.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_13316899_ac201cb7-2b3c-4e23-a4f3-1d385b79ee91.json | N/A | N/A | N/A | N/A | N/A | 4X26K21EE83 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1947-08-18 | N/A | N/A | N/A | N/A | false | FABER | 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 | 9003494037 | N/A | N/A | 6522947 | 2222 | 4802 | 13596863 | N/A | 5146127 | 2025-10-13 01:05:58.584630 | 2025-06-20 17:58:23.371130 |
| 2025-10-12 05:09:23.638024 | 2025-10-13 00:48:34.873837 | 13316882 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13316882 | Athletic Physical Therapy Inc | 1966-12-04 | 2025-10-14 | M | PT | N/A | CLANCY | XDMOE0503879 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.181820699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9194927/check_13316882_c34b1637-9e58-47b1-afe3-641a7fa2dea3.json | N/A | N/A | N/A | N/A | N/A | XDMOE0503879 | Health Maintenance Organization (HMO) | OPERATING ENGINEERS HEALTH&WELFARE FUND | ANTHEM BLUE CROSS | N/A | 1966-12-04 | 040 | 278671H001 | N/A | HM | false | CLANCY | N/A | JOSEPH | N/A | 9999-12-31 | 2025-02-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003882909 | N/A | N/A | 9194927 | 2222 | 4793 | 13589756 | 4184 | 7712549 | 2025-10-13 00:48:34.873837 | 2025-09-10 17:29:28.945035 |
| 2025-10-12 05:09:21.071471 | 2025-10-13 00:38:32.282667 | 13316827 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13316827 | Athletic Physical Therapy Inc | 1960-10-21 | 2025-10-14 | M | AE | PT | UPSON | JQE907W24463 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133900679.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6517484/check_13316827_f3a20e48-7072-4f87-bc39-769728251cd4.json | N/A | N/A | N/A | N/A | N/A | JQE907W24463 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1960-10-21 | 040 | CASUPWP0 | N/A | N/A | false | UPSON | N/A | MARK | N/A | 9999-12-31 | 2025-10-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003479084 | N/A | N/A | 6517484 | 2222 | 4801 | 13579411 | N/A | 4219691 | 2025-10-13 00:38:32.282667 | 2025-05-13 04:29:37.230736 |
| 2025-10-12 05:09:16.540923 | 2025-10-13 00:38:40.116609 | 13316715 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13316715 | Athletic Physical Therapy Inc | 1973-02-24 | 2025-10-14 | F | PT | N/A | TAKEMOTO | XED906098170 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133836282.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928752/check_13316715_1b8bdce5-c3da-4d0c-9ca0-3f1be6ed2d1a.json | N/A | N/A | N/A | N/A | N/A | XED906098170 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1973-02-24 | N/A | N/A | N/A | N/A | false | TAKEMOTO | N/A | NICOLE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003489171 | N/A | N/A | 5928752 | 2222 | 4802 | 13579557 | N/A | 4583701 | 2025-10-13 00:38:40.116609 | 2025-07-24 17:50:11.805587 |
| 2025-10-12 05:08:58.293733 | 2025-10-13 01:00:52.229027 | 13316256 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13316256 | Athletic Physical Therapy Inc | 1968-02-25 | 2025-10-14 | F | AE | PT | Segal | 9XA2J80PT02 | Jodi | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133845087.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8493404/check_13316256_35e6dcb1-7066-4eba-8525-e9eb4c1f4ec7.json | N/A | N/A | N/A | N/A | N/A | 9XA2J80PT02 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1968-02-25 | N/A | N/A | N/A | N/A | false | SEGAL | N/A | JODI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003520982 | N/A | N/A | 8493404 | 2222 | 4801 | 13596105 | N/A | 7159935 | 2025-10-13 01:00:52.229027 | 2025-09-09 21:26:40.265997 |
| 2025-10-12 05:08:56.852049 | 2025-10-13 00:56:24.446407 | 13316219 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13316219 | Athletic Physical Therapy Inc | 1955-11-13 | 2025-10-14 | F | AE | PT | GRANT | XEM910029614 | ROBIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133845087.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8493312/check_13316219_bede6911-f2f3-480d-bb11-d8b3e32556ed.json | N/A | N/A | N/A | N/A | N/A | XEM910029614 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1955-11-13 | N/A | N/A | N/A | N/A | false | GRANT | 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 | 9003520971 | N/A | N/A | 8493312 | 2222 | 4802 | 13593159 | N/A | 7159835 | 2025-10-13 00:56:24.446407 | 2025-08-25 22:38:59.735145 |
| 2025-10-12 05:08:48.262485 | 2025-10-13 00:55:10.890398 | 13315995 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13315995 | Athletic Physical Therapy Inc | 1951-10-12 | 2025-10-14 | F | AE | PT | Ahadian | U5X795M98275 | Vida | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133845087.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8479499/check_13315995_4869f56d-3592-4750-bc38-ac0a1264c6c6.json | N/A | N/A | N/A | N/A | N/A | U5X795M98275 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1951-10-12 | N/A | N/A | N/A | N/A | false | AHADIAN | N/A | VIDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003520928 | N/A | N/A | 8479499 | 2222 | 4802 | 13592617 | N/A | 7146980 | 2025-10-13 00:55:10.890398 | 2025-08-25 22:34:13.951153 |
| 2025-10-12 05:08:45.000219 | 2025-10-13 00:48:02.745925 | 13315905 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 13315905 | Athletic Physical Therapy Inc | 1964-09-12 | 2025-10-15 | F | AE | PT | Flint | 623439831 | Romy | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.181820699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9136655/check_13315905_ab410e81-2fb0-49e5-8262-17f07ca399e3.json | N/A | N/A | N/A | N/A | N/A | 623439831 | N/A | L.A. CARE COVERED GOLD 80 HMO | LA CARE HEALTH PLAN | HEALTH BENEFIT PLAN COVERAGE | 1964-09-12 | LACC | 92815CA001000701 | N/A | N/A | false | FLINT | N/A | ROMY | 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 | 9003882227 | N/A | N/A | 9136655 | 2222 | 4802 | 13589370 | N/A | 7658224 | 2025-10-13 00:48:02.745925 | 2025-09-08 20:12:08.577487 |
| 2025-10-12 05:08:41.120097 | 2025-10-13 02:41:41.616433 | 13315812 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13315812 | Athletic Physical Therapy Inc | 1971-12-07 | 2025-10-14 | M | AE | PT | WALLACH | 1PD0KF7JH37 | CHARLES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133914185.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7821426/check_13315812_8a2e1140-4db5-4499-b84f-0ff473617ec8.json | N/A | N/A | N/A | N/A | N/A | 1PD0KF7JH37 | Medicare Part B | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1971-12-07 | N/A | N/A | N/A | MB | false | WALLACH IV | N/A | CHARLES | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003499475 | N/A | N/A | 7821426 | 2222 | 4801 | 13600386 | N/A | 6660003 | 2025-10-13 02:41:41.616433 | 2026-06-01 17:03:48.982724 |
| 2025-10-12 05:08:39.266923 | 2025-10-13 00:56:25.528205 | 13315760 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13315760 | Athletic Physical Therapy Inc | 1976-12-11 | 2025-10-15 | M | AE | PT | NAGATSUKA | NCF475A62996 | ANTHONY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133845087.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8454587/check_13315760_27cbaf82-000a-4966-b117-8e7019d632b9.json | N/A | N/A | N/A | N/A | N/A | NCF475A62996 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1976-12-11 | N/A | N/A | N/A | N/A | false | NAGATSUKA | N/A | ANTHONY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003520887 | N/A | N/A | 8454587 | 2222 | 4801 | 13593171 | N/A | 6653733 | 2025-10-13 00:56:25.528205 | 2025-08-24 22:53:15.351116 |
| 2025-10-12 05:08:33.040797 | 2025-10-13 01:00:37.918553 | 13315606 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13315606 | Athletic Physical Therapy Inc | 1960-02-12 | 2025-10-14 | F | AE | PT | MAJEED | 1FM5RJ6UK85 | MARY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133845087.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8418047/check_13315606_7cc0d018-1d89-400a-b9a0-1aa3d9abd939.json | N/A | N/A | N/A | N/A | N/A | 1FM5RJ6UK85 | Medicare Part A | N/A | UNITEDHEALTHCARE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-02-12 | H0294 | N/A | N/A | MA | false | MAJEED | N/A | MARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003520867 | N/A | N/A | 8418047 | 2222 | 4793 | 13596017 | N/A | 5232379 | 2025-10-13 01:00:37.918553 | 2025-07-03 16:30:13.139077 |
| 2025-10-12 05:08:20.385990 | 2025-10-13 02:35:08.830621 | 13315284 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 13315284 | Athletic Physical Therapy Inc | 1964-01-25 | 2025-10-15 | M | AE | PT | CORAY | 00003138358 | KLAUS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133914185.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7815883/check_13315284_b132cace-fabd-4f9e-834f-1ed8e9311ecd.json | N/A | N/A | N/A | N/A | N/A | 00003138358 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1964-01-25 | N/A | N/A | N/A | N/A | false | CORAY | N/A | KLAUS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003499431 | N/A | N/A | 7815883 | 2222 | 4793 | 13598840 | N/A | 6655655 | 2025-10-13 02:35:08.830621 | 2025-09-09 21:32:56.328170 |
| 2025-10-12 05:08:16.655160 | 2025-10-13 00:40:19.190724 | 13315158 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13315158 | Athletic Physical Therapy Inc | 1960-07-20 | 2025-10-14 | F | AE | PT | NAFTZGER | XEM914412859 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133900679.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6194938/check_13315158_39b368ba-90d7-42b7-ba2c-88d90c85aa37.json | N/A | N/A | N/A | N/A | N/A | XEM914412859 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1960-07-20 | N/A | N/A | N/A | N/A | false | NAFTZGER | N/A | SANDRA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003480178 | N/A | N/A | 6194938 | 2222 | 4802 | 13581311 | N/A | 4214889 | 2025-10-13 00:40:19.190724 | 2025-05-13 04:29:37.229212 |
| 2025-10-12 05:08:14.082153 | 2025-10-13 02:35:12.441061 | 13315070 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13315070 | Athletic Physical Therapy Inc | 1976-12-11 | 2025-10-15 | M | AE | PT | NAGATSUKA | R06971566MM1 | ANTHONY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133914185.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7813417/check_13315070_74a92eeb-1d7b-4460-8918-ac3874e8c952.json | N/A | N/A | N/A | N/A | N/A | R06971566MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1976-12-11 | N/A | N/A | N/A | N/A | false | NAGATSUKA | N/A | ANTHONY | N/A | N/A | N/A | KW3 SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003500522 | N/A | N/A | 7813417 | 2222 | 4801 | 13598857 | N/A | 6653733 | 2025-10-13 02:35:12.441061 | 2025-08-24 22:53:15.351116 |
| 2025-10-12 05:08:12.874120 | 2025-10-13 00:33:55.840575 | 13315033 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13315033 | Athletic Physical Therapy Inc | 1952-01-13 | 2025-10-14 | M | PT | N/A | BLANCO ESCOBAR | JQW106W18304 | SAMUEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.181820699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9134245/check_13315033_5852e6d5-a3e5-41e7-9c9a-2e9f5c1b0271.json | N/A | N/A | N/A | N/A | N/A | JQW106W18304 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1952-01-13 | N/A | N/A | N/A | N/A | false | BLANCO ESCOBAR | N/A | SAMUEL | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003881904 | N/A | N/A | 9134245 | 2222 | 4801 | 13573580 | N/A | 7655426 | 2025-10-13 00:33:55.840575 | 2025-09-08 18:14:46.984181 |
| 2025-10-12 05:08:12.652129 | 2025-10-13 02:31:02.212888 | 13315024 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13315024 | Athletic Physical Therapy Inc | 1960-02-11 | 2025-10-14 | F | AE | PT | BASS | 101139629800 | NADINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133914185.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7813006/check_13315024_74a7ddfb-691d-4fc5-9c14-b5b71ee5ceb9.json | N/A | N/A | N/A | N/A | N/A | 101139629800 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1960-02-11 | N/A | N/A | N/A | N/A | false | BASS | N/A | NADINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003500519 | N/A | N/A | 7813006 | 2222 | 4802 | 13597875 | N/A | 6653186 | 2025-10-13 02:31:02.212888 | 2025-08-06 14:30:41.257679 |
| 2025-10-12 05:08:00.839558 | 2025-10-13 00:37:47.795928 | 13314661 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13314661 | Athletic Physical Therapy Inc | 1951-10-06 | 2025-10-13 | M | PT | N/A | CRONIN | NSA00368979H | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133925070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9063293/check_13314661_46c88728-e683-431b-819a-207ac2f45c5b.json | N/A | N/A | N/A | N/A | N/A | NSA00368979H | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1951-10-06 | N/A | N/A | N/A | N/A | false | CRONIN | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003468143 | N/A | N/A | 9063293 | 2222 | 4793 | 13578716 | N/A | 7578088 | 2025-10-13 00:37:47.795928 | 2025-09-03 18:45:56.904111 |
| 2025-10-12 05:08:00.601990 | 2025-10-13 00:33:13.516982 | 13314654 | N/A | N/A | 60054 | Aetna | 1114042165 | 13314654 | Athletic Physical Therapy Inc | 1965-07-23 | 2025-10-14 | M | AE | PT | Dominguez | W294409135 | Eric | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133925070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9063245/check_13314654_8dfb1ed6-7bb7-4fcd-a1fc-6e5fd06b27c6.json | N/A | N/A | N/A | N/A | N/A | W294409135 | Point of Service (POS) | ZAMIC CORPORATION | AETNA | N/A | 1965-07-23 | 0255398 | 025539801000700 | N/A | PS | false | DOMINGUEZ | N/A | ERIC | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003468141 | N/A | N/A | 9063245 | 2222 | 4801 | 13572476 | N/A | 7577918 | 2025-10-13 00:33:13.516982 | 2025-09-25 19:09:12.426454 |
| 2025-10-12 05:07:57.361984 | 2025-10-13 00:31:54.226996 | 13314520 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13314520 | Athletic Physical Therapy Inc | 1950-06-09 | 2025-10-15 | F | PT | N/A | SANDOVAL | JQS846M91559 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133925070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9059249/check_13314520_2481c40a-91fd-4c6e-bbde-e481946ae566.json | N/A | N/A | N/A | N/A | N/A | JQS846M91559 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1950-06-09 | N/A | N/A | N/A | N/A | false | SANDOVAL | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003468115 | N/A | N/A | 9059249 | 2222 | 4801 | 13570199 | N/A | 7574556 | 2025-10-13 00:31:54.226996 | 2025-09-03 18:09:29.032159 |
| 2025-10-12 05:07:47.275566 | 2025-10-13 02:32:49.544308 | 13314094 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 13314094 | Athletic Physical Therapy Inc | 1953-01-18 | 2025-10-14 | F | AE | PT | CANO | H7655502400 | ADELAIDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133914185.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7796425/check_13314094_68d8d3f5-1d35-4b18-9746-24388a4a66ff.json | N/A | N/A | N/A | N/A | N/A | H76555024 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 557 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1953-01-18 | N/A | 0B635001 | N/A | HN | false | CANO | N/A | ADELAIDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003500347 | N/A | N/A | 7796425 | 2222 | 4801 | 13598353 | N/A | 6638534 | 2025-10-13 02:32:49.544308 | 2025-08-05 23:10:54.464587 |
| 2025-10-12 05:07:43.646714 | 2025-10-13 00:32:15.170448 | 13313936 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 13313936 | Athletic Physical Therapy Inc | 1953-02-10 | 2025-10-15 | M | AE | PT | GARZA | 36183347 | LEO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133925070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9024952/check_13313936_51e6140b-9016-4c79-893d-e2f0d21d7cbc.json | N/A | N/A | N/A | N/A | N/A | 36183347 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1953-02-10 | 406-024-000 | N/A | N/A | N/A | false | GARZA | N/A | LEOVARDO | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003468675 | N/A | N/A | 9024952 | 2222 | 4793 | 13570764 | 6798 | 7547856 | 2025-10-13 00:32:15.170448 | 2025-09-02 20:57:54.962485 |
| 2025-10-12 05:07:43.433496 | 2025-10-13 00:33:54.911101 | 13313928 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13313928 | Athletic Physical Therapy Inc | 1963-04-21 | 2025-10-14 | F | PT | N/A | ARREGUIN | NCF356A67636 | LETICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.181820699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9131826/check_13313928_12469ecf-33ea-4109-ac05-925b6b8bb965.json | N/A | N/A | N/A | N/A | N/A | NCF356A67636 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1963-04-21 | N/A | N/A | N/A | N/A | false | ARREGUIN | N/A | LETICIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003881866 | N/A | N/A | 9131826 | 2222 | 4801 | 13573559 | N/A | 7652862 | 2025-10-13 00:33:54.911101 | 2025-09-19 19:09:46.068421 |
| 2025-10-12 05:07:43.401490 | 2025-10-13 00:54:42.872307 | 13313926 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 13313926 | Athletic Physical Therapy Inc | 1956-05-22 | 2025-10-15 | F | AE | PT | CHOOBIN | 91331250G | KEFAYAT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133845087.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8205059/check_13313926_3de19cd0-bdfc-46b7-a312-13cd03b7ae2f.json | N/A | N/A | N/A | N/A | N/A | 91331250G | N/A | MCLA WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1956-05-22 | MCLA | MWLLDAGG21 | N/A | N/A | false | CHOOBIN | N/A | KEFAYAT | N/A | 2078-12-31 | 2021-05-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003520180 | N/A | N/A | 8205059 | 2222 | 4793 | 13592425 | N/A | 6967073 | 2025-10-13 00:54:42.872307 | 2025-08-26 17:15:30.662072 |
| 2025-10-12 05:07:40.556486 | 2025-10-13 00:41:49.384379 | 13313817 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13313817 | Athletic Physical Therapy Inc | 1959-03-09 | 2025-10-14 | F | AE | PT | BALLETTA | 4JJ4X54RC07 | LYNDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133826184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7035993/check_13313817_c7cd0e96-d5f2-4d14-95bb-5a1a70817345.json | N/A | N/A | N/A | N/A | N/A | 4JJ4X54RC07 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-03-09 | S5617 | N/A | N/A | MA | false | BALLETTA | N/A | LYNDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003522680 | N/A | N/A | 7035993 | 2222 | 4793 | 13583031 | N/A | 6048781 | 2025-10-13 00:41:49.384379 | 2025-07-22 23:03:15.103027 |
| 2025-10-12 05:07:37.137715 | 2025-10-13 00:37:48.644740 | 13313639 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13313639 | Athletic Physical Therapy Inc | 1952-08-20 | 2025-10-14 | M | PT | N/A | POLK | MBL292M95257 | KENNETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133925070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9022039/check_13313639_db6f780f-1b22-4a25-9674-4065a207311e.json | N/A | N/A | N/A | N/A | N/A | MBL292M95257 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1952-08-20 | N/A | N/A | N/A | N/A | false | POLK | N/A | KENNETH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003467972 | N/A | N/A | 9022039 | 2222 | 4801 | 13578731 | N/A | 7544773 | 2025-10-13 00:37:48.644740 | 2025-09-02 18:35:33.812098 |
| 2025-10-12 05:07:35.742160 | 2025-10-13 00:36:42.069510 | 13313563 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 13313563 | Athletic Physical Therapy Inc | 1995-12-18 | 2025-10-15 | F | AE | PT | PORCELLINI | 623363623 | KYLA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133836282.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874433/check_13313563_6e14bdcb-5300-4d53-8300-3dcc5fb09281.json | N/A | N/A | N/A | N/A | N/A | 623363623 | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1995-12-18 | N/A | N/A | N/A | N/A | false | PORCELLINI | N/A | KYLA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003489493 | N/A | N/A | 5874433 | 2222 | 4802 | 13577409 | N/A | 4534562 | 2025-10-13 00:36:42.069510 | 2025-06-03 16:07:02.060667 |
| 2025-10-12 05:07:18.836092 | 2025-10-13 00:43:33.019131 | 13312557 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13312557 | Athletic Physical Therapy Inc | 1950-04-13 | 2025-10-14 | F | AE | PT | NATALI | 2XU8UK4DF50 | RENEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133925070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8979192/check_13312557_a8561df0-8a33-4f96-b47a-fc7879e49d97.json | N/A | N/A | N/A | N/A | N/A | 2XU8UK4DF50 | Medicare Part B | N/A | HEALTH CARE SERVICE CORPORATION | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-04-13 | S5715 | N/A | N/A | MB | false | NATALI | N/A | RENEE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003468333 | N/A | N/A | 8979192 | 2222 | 4793 | 13585322 | N/A | 7498543 | 2025-10-13 00:43:33.019131 | 2025-10-14 17:13:32.178778 |
| 2025-10-12 05:07:18.327543 | 2025-10-13 00:37:12.315186 | 13312525 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13312525 | Athletic Physical Therapy Inc | 1949-12-31 | 2025-10-14 | M | AE | PT | TSING | 00000282272 | KONGHSUNG | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133925070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8978036/check_13312525_672396cc-f2e4-4c78-8ef7-2dea5bedbaa4.json | N/A | N/A | N/A | N/A | N/A | 00000282272 | N/A | N/A | ALIGNMENT HEALTH CARE FEE FOR SERVICE | 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 | 9003468328 | N/A | N/A | 8978036 | 2222 | 4793 | 13578067 | 2630 | 7492332 | 2025-10-13 00:37:12.315186 | 2025-10-01 21:03:48.525986 |
| 2025-10-12 05:07:17.088767 | 2025-10-13 02:35:29.456709 | 13312441 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13312441 | Athletic Physical Therapy Inc | 1959-09-25 | 2025-10-15 | F | AE | PT | SIQUEIROS | 00000416329 | NEOMI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133914185.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7783566/check_13312441_8198e1ad-e532-484c-8f58-ed25198711df.json | N/A | N/A | N/A | N/A | N/A | 00000416329 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1959-09-25 | N/A | N/A | N/A | N/A | false | SIQUEIROS | N/A | NEOMI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003499644 | N/A | N/A | 7783566 | 2222 | 4793 | 13598935 | 2630 | 6628802 | 2025-10-13 02:35:29.456709 | 2025-08-05 16:32:50.217064 |
| 2025-10-12 05:07:16.775817 | 2025-10-13 00:47:14.695959 | 13312417 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 13312417 | Athletic Physical Therapy Inc | 1966-10-24 | 2025-10-14 | F | AE | PT | DUARTE | 99133977C | TERESA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133936134.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10032559/check_13312417_6a42362b-08a2-41f9-a491-07372fdc0f49.json | N/A | N/A | N/A | N/A | N/A | 99133977C | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 04/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1966-10-24 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | DUARTE | N/A | TERESA | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003463269 | N/A | N/A | 10032559 | 2222 | 4802 | 13588649 | N/A | 8397995 | 2025-10-13 00:47:14.695959 | 2025-10-06 22:35:05.038045 |
| 2025-10-12 05:07:14.759132 | 2025-10-13 00:39:18.479278 | 13312285 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13312285 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-10-14 | M | AE | PT | JACOBS | JQE406W03039 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133900679.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993913/check_13312285_5772d292-f945-4e95-b3f9-abafd11dfecd.json | N/A | N/A | N/A | N/A | N/A | JQE406W03039 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1939-06-25 | N/A | N/A | N/A | N/A | false | JACOBS | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003480465 | N/A | N/A | 5993913 | 2222 | 4793 | 13580153 | N/A | 4642852 | 2025-10-13 00:39:18.479278 | 2025-11-21 18:38:17.056437 |
| 2025-10-12 05:07:10.685263 | 2025-10-13 00:43:05.272334 | 13312015 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 13312015 | Athletic Physical Therapy Inc | 1953-11-10 | 2025-10-15 | F | AE | PT | Herreres | H6884136600 | Irene | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133936134.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10019260/check_13312015_d020ba02-a9e1-402a-ad94-112e7ee2beac.json | N/A | N/A | N/A | N/A | N/A | H6884136600 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-11-10 | N/A | N/A | N/A | N/A | false | HERRERES | N/A | IRENE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003464259 | N/A | N/A | 10019260 | 2222 | 4801 | 13584717 | N/A | 8386960 | 2025-10-13 00:43:05.272334 | 2025-10-06 18:27:19.967736 |
| 2025-10-12 05:07:06.472430 | 2025-10-13 01:00:25.841740 | 13311711 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13311711 | Athletic Physical Therapy Inc | 1971-06-10 | 2025-10-14 | F | PT | N/A | MOON | JXN970A77206 | ESTHER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133936134.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10016777/check_13311711_203750df-d719-460e-8636-ced67bea4a09.json | N/A | N/A | N/A | N/A | N/A | JXN970A77206 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1971-06-10 | 040 | 174222M3A1 | N/A | PR | false | PARK | N/A | JOHN | N/A | 9999-12-31 | 2020-06-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003464205 | N/A | N/A | 10016777 | 2222 | 4801 | 13595924 | N/A | 8385299 | 2025-10-13 01:00:25.841740 | 2025-11-05 17:13:51.765755 |
| 2025-10-12 05:07:06.234625 | 2025-10-13 01:01:55.032017 | 13311694 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13311694 | Athletic Physical Therapy Inc | 1977-10-19 | 2025-10-14 | M | PT | N/A | MARTINEZ | XEA911696712 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133936134.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10016736/check_13311694_c4e40cb6-3542-47a5-a57c-eb1f1f056946.json | N/A | N/A | N/A | N/A | N/A | XEA911696712 | Preferred Provider Organization (PPO) | COUNTY OF VENTURA ACTIVES | BLUE SHIELD CALIFORNIA | N/A | 1977-10-19 | 1000PPOX0001 | W0067449 | N/A | PR | false | MARTINEZ | N/A | MARK | N/A | 9999-12-31 | 2024-01-01 | HSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003464203 | N/A | N/A | 10016736 | 2222 | 4801 | 13596403 | N/A | 8385234 | 2025-10-13 01:01:55.032017 | 2025-10-06 17:07:10.414380 |
| 2025-10-12 05:07:02.615811 | 2025-10-13 00:37:15.567925 | 13311446 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 13311446 | Athletic Physical Therapy Inc | 1987-06-17 | 2025-10-14 | M | AE | PT | FAVELA | 620360888 | MAXIMILIAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133925070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8960010/check_13311446_8ab30b08-21a6-43bb-8d16-8238e9bab47c.json | N/A | N/A | N/A | N/A | N/A | 620360888 | N/A | N/A | LA CARE HEALTH PLAN LOS ANGELES CARE HEALTH PLAN | N/A | 1987-06-17 | N/A | N/A | N/A | N/A | false | FAVELA | N/A | MAXIMILIAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003469143 | N/A | N/A | 8960010 | 2222 | 4802 | 13578135 | N/A | 7476978 | 2025-10-13 00:37:15.567925 | 2026-01-07 18:27:22.752552 |
| 2025-10-12 05:06:43.109524 | 2025-10-13 00:37:22.646618 | 13310044 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13310044 | Athletic Physical Therapy Inc | 1960-08-19 | 2025-10-14 | M | PT | N/A | WARREN | MBL523W24301 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133925070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8681972/check_13310044_bfce8537-1084-4896-bdcf-a5c7e41e2979.json | N/A | N/A | N/A | N/A | N/A | MBL523W24301 | N/A | LOS ANGELES CITY EMPLOYEES' RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1960-08-19 | 040 | CA039GRS | N/A | N/A | false | WARREN | N/A | WILLIAM | N/A | 9999-12-31 | 2025-08-01 | CA GRS LACERS H4036-801 ANTHEM MEDICARE PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003469552 | N/A | N/A | 8681972 | 2222 | 4801 | 13578279 | N/A | 7315557 | 2025-10-13 00:37:22.646618 | 2025-09-08 19:23:27.353339 |