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 05:03:12.088612 | 2025-10-13 00:33:13.798479 | 13298655 | N/A | N/A | 60054 | Aetna | 1114042165 | 13298655 | Athletic Physical Therapy Inc | 1972-12-30 | 2025-10-14 | M | AE | PT | MCHALE | W27265070 | MATT | 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/2222/8173116/check_13298655_c221707e-1169-46d1-80c8-e52f78bfb97f.json | N/A | N/A | N/A | N/A | N/A | W272665070 | Point of Service (POS) | SONY CORPORATION OF AMERICA | AETNA | N/A | 1972-12-30 | 0486873 | 048687302100161 | N/A | PS | false | MCHALE | N/A | MATTHEW | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003467596 | N/A | N/A | 8173116 | 2222 | 4802 | 13572484 | N/A | 6939617 | 2025-10-13 00:33:13.798479 | 2025-09-16 00:28:24.457071 |
| 2025-10-12 05:03:07.910573 | 2025-10-13 00:36:37.282907 | 13298420 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 13298420 | Athletic Physical Therapy Inc | 1944-11-13 | 2025-10-14 | M | AE | PT | HACKBARTH | 00000294758 | HAROLD | 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/2222/5568081/check_13298420_a9882b2d-2e38-48d2-aa60-6ed63c95a2ea.json | N/A | N/A | N/A | N/A | N/A | 00000294758 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1944-11-13 | N/A | N/A | N/A | N/A | false | HACKBARTH | N/A | HAROLD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003489874 | N/A | N/A | 5568081 | 2222 | 4801 | 13577295 | N/A | 4212656 | 2025-10-13 00:36:37.282907 | 2025-08-12 21:09:57.607033 |
| 2025-10-12 05:03:02.160458 | 2025-10-13 00:37:03.405154 | 13298121 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13298121 | Athletic Physical Therapy Inc | 1976-09-20 | 2025-10-14 | M | PT | N/A | Bolton | XEK910377236 | Stephen | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133826184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814151/check_13298121_93c0d560-adc3-485d-a516-f94710f46022.json | N/A | N/A | N/A | N/A | N/A | XEK910377236 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1976-09-20 | N/A | N/A | N/A | N/A | false | BOLTON | N/A | STEPHEN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003519791 | N/A | N/A | 6814151 | 2222 | 4793 | 13577883 | N/A | 5856522 | 2025-10-13 00:37:03.405154 | 2025-07-10 02:16:48.328344 |
| 2025-10-12 05:03:01.677752 | 2025-10-13 00:32:49.028675 | 13298091 | N/A | N/A | 60054 | Aetna | 1114042165 | 13298091 | Athletic Physical Therapy Inc | 1987-03-27 | 2025-10-15 | M | AE | PT | RAFIQI | W291629581 | ROMAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133826184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6813848/check_13298091_55a4a8ca-b8f3-46c5-9286-df8be6bc9860.json | N/A | N/A | N/A | N/A | N/A | W291629581 | Preferred Provider Organization (PPO) | PROVIDENCE HEALTH AND SERVICES | AETNA CHOICE POS II | N/A | 1987-03-27 | 0237590 | 023759003300001 | N/A | PR | false | RAFIQI | N/A | ROMAN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003519781 | N/A | N/A | 6813848 | 2222 | 4801 | 13571775 | N/A | 5856139 | 2025-10-13 00:32:49.028675 | 2025-07-22 03:39:47.404623 |
| 2025-10-12 05:02:50.866913 | 2025-10-13 00:32:24.836326 | 13297570 | N/A | N/A | 60054 | Aetna | 1114042165 | 13297570 | Athletic Physical Therapy Inc | 1991-03-21 | 2025-10-15 | F | AE | PT | CARDINALI | W286606913 | NICOLE | 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/2222/5550850/check_13297570_bc5a55f8-1611-405a-8538-5789b8a7ae86.json | N/A | N/A | N/A | N/A | N/A | W286606913 | N/A | N/A | AETNA | N/A | 1991-03-21 | N/A | N/A | N/A | N/A | false | CARDINALI | N/A | NICOLE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003489413 | N/A | N/A | 5550850 | 2222 | 4802 | 13571053 | N/A | 4215195 | 2025-10-13 00:32:24.836326 | 2025-05-14 09:08:40.751930 |
| 2025-10-12 05:02:50.692214 | 2025-10-13 00:32:43.169044 | 13297564 | N/A | N/A | 60054 | Aetna | 1114042165 | 13297564 | Athletic Physical Therapy Inc | 1961-11-04 | 2025-10-15 | F | AE | PT | SANTITORO | W267422430 | SARAH | 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/2222/5550743/check_13297564_c4584e0b-0251-4af2-bc4a-788624b526b0.json | N/A | N/A | N/A | N/A | N/A | W267422430 | Point of Service (POS) | CIENA CORPORATION | AETNA | N/A | 1961-11-04 | 0486875 | 048687501000001 | N/A | PS | false | SANTITORO | N/A | RALPH | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003489412 | N/A | N/A | 5550743 | 2222 | 4801 | 13571604 | N/A | 4219643 | 2025-10-13 00:32:43.169044 | 2025-05-13 04:29:37.230685 |
| 2025-10-12 05:02:50.486886 | 2025-10-13 00:42:43.110631 | 13297556 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13297556 | Athletic Physical Therapy Inc | 1956-11-29 | 2025-10-15 | M | AE | PT | LYGA | 9E33A44VQ74 | FRANK | 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/2222/5550634/check_13297556_8e083ead-431e-427a-9fa8-48401974f908.json | N/A | N/A | N/A | N/A | N/A | 9E33A44VQ74 | Medicare Part B | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-11-29 | S5596 | DOL 07071986 | N/A | MB | false | LYGA | N/A | FRANK | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003489411 | N/A | N/A | 5550634 | 2222 | 4801 | 13584196 | N/A | 4219584 | 2025-10-13 00:42:43.110631 | 2025-09-29 18:19:47.145731 |
| 2025-10-12 05:02:50.151056 | 2025-10-13 00:38:39.458615 | 13297549 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13297549 | Athletic Physical Therapy Inc | 1966-12-03 | 2025-10-15 | M | PT | N/A | STONE | XEK900408382 | RONALD | 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/2222/5550632/check_13297549_2f38a610-b04a-4ad1-af20-fbb0250924aa.json | N/A | N/A | N/A | N/A | N/A | XEK900408382 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1966-12-03 | 2001Z0002669 | X0001000 | N/A | PR | false | STONE | N/A | RONALD | N/A | 2025-12-31 | 2025-01-01 | SILVER 2600 HDHP PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003489410 | N/A | N/A | 5550632 | 2222 | 4802 | 13579549 | N/A | 4219583 | 2025-10-13 00:38:39.458615 | 2025-09-17 23:43:10.686677 |
| 2025-10-12 05:02:49.872553 | 2025-10-13 00:36:42.803197 | 13297541 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 13297541 | Athletic Physical Therapy Inc | 1990-11-12 | 2025-10-15 | F | AE | PT | SIMONS | 94378141G | DESIREE | 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/2222/5550102/check_13297541_b8276a91-0d5f-49fc-a197-b43373271a4c.json | N/A | N/A | N/A | N/A | N/A | 94378141G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1990-11-12 | N/A | N/A | N/A | N/A | false | SIMONS | N/A | DESIREE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003489409 | N/A | N/A | 5550102 | 2222 | 4802 | 13577425 | N/A | 4212176 | 2025-10-13 00:36:42.803197 | 2025-05-13 04:29:37.226514 |
| 2025-10-12 05:02:49.704739 | 2025-10-13 00:42:41.505961 | 13297536 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13297536 | Athletic Physical Therapy Inc | 1954-05-11 | 2025-10-14 | M | AE | PT | A Peters | 1R78CR5JR59 | Dennis | 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/2222/5550025/check_13297536_05795cec-4456-411c-8788-c7437b2e34a7.json | N/A | N/A | N/A | N/A | N/A | 1R78CR5JR59 | N/A | N/A | CMS | N/A | 1954-05-11 | N/A | N/A | N/A | N/A | false | A PETERS | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003489408 | N/A | N/A | 5550025 | 2222 | 4801 | 13584149 | N/A | 4219449 | 2025-10-13 00:42:41.505961 | 2025-10-07 21:32:27.567534 |
| 2025-10-12 05:02:49.521666 | 2025-10-13 00:36:53.635220 | 13297529 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13297529 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-10-15 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | 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/2222/5549317/check_13297529_567cf4d2-e6ca-4ef3-9255-25ff52c5c840.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1962-01-25 | N/A | N/A | N/A | N/A | false | LUCZYWEK | N/A | DEBORA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003489407 | N/A | N/A | 5549317 | 2222 | 4801 | 13577680 | N/A | 4219010 | 2025-10-13 00:36:53.635220 | 2026-01-09 18:32:07.618867 |
| 2025-10-12 05:02:49.262247 | 2025-10-13 00:31:37.681858 | 13297521 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | 13297521 | Athletic Physical Therapy Inc | 1965-07-05 | 2025-10-14 | F | PT | N/A | CEJA | XEH903796659 | PATRICIA | 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/2222/5549285/check_13297521_09c134ff-5e61-4717-804f-ce51e91f2263.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 | 9003489406 | N/A | N/A | 5549285 | 2222 | 4801 | 13569936 | N/A | 4218983 | 2025-10-13 00:31:37.681858 | 2025-05-13 04:29:37.230000 |
| 2025-10-12 05:02:47.253511 | 2025-10-13 00:36:24.764977 | 13297446 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13297446 | Athletic Physical Therapy Inc | 1962-06-19 | 2025-10-15 | M | AE | PT | MILIAN GOMEZ | 93331019F | MIGUEL | 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/2222/5543555/check_13297446_a50ca0a7-4dcd-402a-b3ab-f7a41864e87f.json | N/A | N/A | N/A | N/A | N/A | 93331019F | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | 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 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003489394 | N/A | N/A | 5543555 | 2222 | 4802 | 13576995 | N/A | 4215332 | 2025-10-13 00:36:24.764977 | 2025-08-06 16:15:15.716322 |
| 2025-10-12 05:02:47.098109 | 2025-10-13 00:36:52.401756 | 13297439 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13297439 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-10-14 | F | PT | N/A | DAKE | SIF326M90066 | RENEE | 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/2222/5543355/check_13297439_f0e97c15-4b88-41f3-b342-c51899c2abe9.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | Preferred Provider Organization (PPO) | SISC - MEADOWS ARTS & TECH ELEMENTARY SCHOOL | ANTHEM BLUE CROSS | N/A | 1968-01-29 | 040 | 40424B | N/A | PR | false | DAKE | N/A | RENEE | N/A | 9999-12-31 | 2018-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003489393 | N/A | N/A | 5543355 | 2222 | 4793 | 13577651 | N/A | 4215158 | 2025-10-13 00:36:52.401756 | 2025-05-13 04:29:37.229475 |
| 2025-10-12 05:02:46.954342 | 2025-10-13 00:32:05.368152 | 13297434 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 13297434 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-10-14 | F | AE | PT | SILVERS | 1866968 | JOIEMAY | 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/2222/5543335/check_13297434_1e9a0d12-edef-4f90-bff3-8b27463c593e.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA HEALTHCARE OF CALIFORNIA | N/A | 2001-01-23 | N/A | N/A | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003489336 | N/A | N/A | 5543335 | 2222 | 4802 | 13570487 | N/A | 4215139 | 2025-10-13 00:32:05.368152 | 2025-05-13 21:20:11.455022 |
| 2025-10-12 05:02:46.825905 | 2025-10-13 00:32:05.973019 | 13297428 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 13297428 | Athletic Physical Therapy Inc | 1991-07-22 | 2025-10-14 | M | AE | PT | AZIM | 627771249 | FAIYAZ | 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/2222/5543304/check_13297428_4aba52c4-7cc2-4d4b-8b42-a7af725155fa.json | N/A | N/A | N/A | N/A | N/A | 627771249 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 1991-07-22 | 18126CA001000201 | QMXEM01910 | N/A | N/A | false | AZIM | N/A | FAIYAZ | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003489335 | N/A | N/A | 5543304 | 2222 | 4802 | 13570503 | N/A | 4215118 | 2025-10-13 00:32:05.973019 | 2025-06-02 01:41:59.668874 |
| 2025-10-12 05:02:46.680137 | 2025-10-13 00:32:05.088401 | 13297423 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 13297423 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-10-15 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | 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/2222/5543270/check_13297423_4a29598c-746f-4d3a-8540-e0495722cc57.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA HEALTHCARE OF CALIFORNIA | N/A | 1964-03-27 | N/A | N/A | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003489334 | N/A | N/A | 5543270 | 2222 | 4793 | 13570478 | N/A | 4215086 | 2025-10-13 00:32:05.088401 | 2025-05-13 04:29:37.229401 |
| 2025-10-12 05:02:46.553255 | 2025-10-13 00:38:35.921008 | 13297417 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13297417 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-10-14 | F | PT | N/A | PAUL | XEK914147727 | SARA | 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/2222/5543211/check_13297417_5a4126b4-8bf4-46ec-bba0-8d52d011f355.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | N/A | N/A | N/A | N/A | false | PAUL | N/A | SARA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003489333 | N/A | N/A | 5543211 | 2222 | 4801 | 13579481 | N/A | 4215028 | 2025-10-13 00:38:35.921008 | 2025-05-13 04:29:37.229346 |
| 2025-10-12 05:02:46.383249 | 2025-10-13 00:35:02.494339 | 13297411 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 13297411 | Athletic Physical Therapy Inc | 1973-05-07 | 2025-10-15 | F | AD | N/A | FERRERAS | U6570615702 | PATRICIA | 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/2222/5543171/check_13297411_c5de85ff-8e91-4f70-bd9d-4c3e9c5b83ba.json | N/A | N/A | N/A | N/A | N/A | U6570615702 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1973-05-07 | N/A | N/A | N/A | N/A | false | FERRERAS | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 9003489332 | N/A | N/A | 5543171 | 2222 | 4793 | 13575140 | N/A | 4214998 | 2025-10-13 00:35:02.494339 | 2025-05-13 04:29:37.229318 |
| 2025-10-12 05:02:46.226274 | 2025-10-13 00:38:34.865333 | 13297406 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13297406 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-10-14 | F | PT | N/A | JAIN | XEK909304497 | SUPARNA | 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/2222/5542952/check_13297406_c4c7ca04-67a0-4092-8571-e816063d4a4f.json | N/A | N/A | N/A | N/A | N/A | XEK909304497 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-01-24 | 2001ZK002189 | X0001000 | N/A | PR | false | JAIN | N/A | SUPARNA | N/A | 2025-12-31 | 2025-01-01 | BRONZE 60 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003489331 | N/A | N/A | 5542952 | 2222 | 4802 | 13579461 | N/A | 4214804 | 2025-10-13 00:38:34.865333 | 2025-05-13 20:09:53.786482 |
| 2025-10-12 05:02:46.063556 | 2025-10-13 00:36:54.724526 | 13297399 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13297399 | Athletic Physical Therapy Inc | 1975-03-27 | 2025-10-14 | M | PT | N/A | SHAW | JQW647W16708 | MICHAEL | 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/2222/5542902/check_13297399_7eccc758-1338-4b69-8376-5c8f7d699592.json | N/A | N/A | N/A | N/A | N/A | JQW647W16708 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1975-03-27 | 040 | CAMCRWP0 | N/A | MP | false | SHAW | N/A | MICHAEL | N/A | 2025-12-31 | 2024-01-01 | CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003489330 | N/A | N/A | 5542902 | 2222 | 4801 | 13577703 | N/A | 4214761 | 2025-10-13 00:36:54.724526 | 2026-01-08 16:06:40.256372 |
| 2025-10-12 05:02:45.903043 | 2025-10-13 00:32:42.555277 | 13297395 | N/A | N/A | 60054 | Aetna | 1114042165 | 13297395 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-10-15 | M | AE | PT | KORY | 102161581800 | MICHAEL | 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/2222/5542870/check_13297395_74503482-4063-4fbc-abc1-0ee41a772ea8.json | N/A | N/A | N/A | N/A | N/A | 102161581800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1959-05-08 | 000003-CA000058 | 000003-CA | N/A | PR | false | KORY | N/A | MICHAEL | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003489329 | N/A | N/A | 5542870 | 2222 | 4793 | 13571586 | N/A | 4214732 | 2025-10-13 00:32:42.555277 | 2025-06-24 20:13:53.579048 |
| 2025-10-12 05:02:45.759880 | 2025-10-13 00:36:24.447109 | 13297388 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13297388 | Athletic Physical Therapy Inc | 2007-12-08 | 2025-10-14 | F | AE | PT | LARSEN | R06053944FD1 | LANA | 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/2222/5542850/check_13297388_d7403d30-70bc-4a19-81c6-8d60bdd4df49.json | N/A | N/A | N/A | N/A | N/A | R06053944FD1 | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 2007-12-08 | N/A | N/A | N/A | N/A | false | LARSEN | N/A | LANA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003489328 | N/A | N/A | 5542850 | 2222 | 4793 | 13576986 | N/A | 4214714 | 2025-10-13 00:36:24.447109 | 2025-05-13 04:29:37.229031 |
| 2025-10-12 05:02:45.590681 | 2025-10-13 00:36:52.970758 | 13297383 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13297383 | Athletic Physical Therapy Inc | 1993-06-20 | 2025-10-14 | F | PT | N/A | DELOS REYES | JXN688W13372 | JANELLE LOPEZ | 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/2222/5542750/check_13297383_8ca7c469-cffe-4f15-a488-7b3ab6bb84e2.json | N/A | N/A | N/A | N/A | N/A | JXN688W13372 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-06-20 | N/A | N/A | N/A | N/A | false | DELOS REYES | N/A | JANELLE LOPEZ | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003489327 | N/A | N/A | 5542750 | 2222 | 4802 | 13577666 | N/A | 4214623 | 2025-10-13 00:36:52.970758 | 2025-08-28 22:11:32.536994 |
| 2025-10-12 05:02:45.448557 | 2025-10-13 00:35:43.224440 | 13297379 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13297379 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-10-14 | F | AE | PT | CHERE | 98953535F | DIANA | 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/2222/5542660/check_13297379_8014d21d-3981-4998-b751-74210042d4b7.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003489326 | N/A | N/A | 5542660 | 2222 | 4802 | 13576109 | N/A | 4214542 | 2025-10-13 00:35:43.224440 | 2025-05-13 04:29:37.228868 |
| 2025-10-12 05:02:45.314415 | 2025-10-13 00:46:31.069368 | 13297375 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13297375 | Athletic Physical Therapy Inc | 1948-07-03 | 2025-10-15 | M | PT | AE | BATES III | 1C71E78UR99 | JAMES | 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/2222/5542657/check_13297375_94d669cc-bddc-4ad2-8d59-7fec65c882d6.json | N/A | N/A | N/A | N/A | N/A | 1C71E78UR99 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1948-07-03 | N/A | N/A | N/A | N/A | 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 | 9003489325 | N/A | N/A | 5542657 | 2222 | 4801 | 13587907 | N/A | 4214540 | 2025-10-13 00:46:31.069368 | 2025-05-13 04:29:37.228866 |
| 2025-10-12 05:02:45.179325 | 2025-10-13 00:37:21.522239 | 13297371 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13297371 | Athletic Physical Therapy Inc | 1975-12-13 | 2025-10-14 | F | PT | N/A | ASSENGA | TWA295A70455 | NANCY | 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/2222/5542618/check_13297371_024fa1fe-7841-4ca2-9102-319119e5b576.json | N/A | N/A | N/A | N/A | N/A | TWA295A70455 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1975-12-13 | N/A | N/A | N/A | N/A | false | ASSENGA | N/A | NANCY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003489324 | N/A | N/A | 5542618 | 2222 | 4801 | 13578258 | N/A | 4214504 | 2025-10-13 00:37:21.522239 | 2025-05-13 04:29:37.228820 |
| 2025-10-12 05:02:45.046771 | 2025-10-13 00:36:41.465845 | 13297365 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 13297365 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-10-14 | F | AE | PT | HAMI | 92932800G | FARIBA | 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/2222/5542611/check_13297365_889b8921-617b-45c4-8e46-11144e5b59fc.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1960-09-15 | N/A | N/A | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003489323 | N/A | N/A | 5542611 | 2222 | 4802 | 13577393 | N/A | 4214490 | 2025-10-13 00:36:41.465845 | 2025-05-13 04:29:37.228806 |
| 2025-10-12 05:02:44.894133 | 2025-10-13 00:32:42.875959 | 13297359 | N/A | N/A | 60054 | Aetna | 1114042165 | 13297359 | Athletic Physical Therapy Inc | 1989-10-20 | 2025-10-15 | M | AE | PT | SAMUELS | W289332071 | ZACHARY | 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/2222/5542467/check_13297359_f494534d-3712-4f8a-93a7-3363cc00bd05.json | N/A | N/A | N/A | N/A | N/A | W289332071 | Point of Service (POS) | CACI INTERNATIONAL INC. | AETNA | N/A | 1989-10-20 | 0169496 | 016949601000001 | N/A | PS | false | SAMUELS | N/A | ZACHARY | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003489322 | N/A | N/A | 5542467 | 2222 | 4802 | 13571594 | N/A | 4214379 | 2025-10-13 00:32:42.875959 | 2025-05-13 04:29:37.228706 |
| 2025-10-12 05:02:44.737716 | 2025-10-13 00:36:41.800263 | 13297354 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 13297354 | Athletic Physical Therapy Inc | 1975-03-26 | 2025-10-14 | F | AE | PT | HEYES | 95596436F | DARCIE | 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/2222/5542233/check_13297354_07dfc43d-7823-48d0-a29b-2862dee639be.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1975-03-26 | N/A | N/A | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003489321 | N/A | N/A | 5542233 | 2222 | 4793 | 13577402 | N/A | 4214178 | 2025-10-13 00:36:41.800263 | 2025-05-13 04:29:37.228506 |
| 2025-10-12 05:02:44.595613 | 2025-10-13 00:46:32.185719 | 13297348 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13297348 | Athletic Physical Therapy Inc | 1937-05-08 | 2025-10-14 | F | AE | PT | GRINBERG | 6W60TM0KP36 | HANNA | 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/2222/5542161/check_13297348_6ddbef33-5683-497a-81c2-f941a1a5f451.json | N/A | N/A | N/A | N/A | N/A | 6W60TM0KP36 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1937-05-08 | N/A | N/A | N/A | N/A | 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 | 9003489320 | N/A | N/A | 5542161 | 2222 | 4802 | 13587928 | N/A | 4214112 | 2025-10-13 00:46:32.185719 | 2025-05-13 04:29:37.228426 |
| 2025-10-12 05:02:44.389271 | 2025-10-13 00:36:42.371161 | 13297340 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 13297340 | Athletic Physical Therapy Inc | 1961-02-27 | 2025-10-15 | M | AE | PT | SHRIVER | 90771207E | DANIEL | 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/2222/5541984/check_13297340_84796e8a-b299-4cb4-81b8-457a9a128080.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1961-02-27 | N/A | N/A | N/A | N/A | false | SHRIVER | N/A | DANIEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003489319 | N/A | N/A | 5541984 | 2222 | 4802 | 13577417 | N/A | 4213934 | 2025-10-13 00:36:42.371161 | 2026-01-27 23:36:44.802366 |
| 2025-10-12 05:02:44.213594 | 2025-10-13 00:36:17.042385 | 13297334 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 13297334 | Athletic Physical Therapy Inc | 1947-02-01 | 2025-10-13 | M | AE | PT | YEE | 412922301 | HARRY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251012.133836282.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541972/check_13297334_5da85589-d25a-46d1-8721-4434ee7b781f.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 | 9003489318 | N/A | N/A | 5541972 | 2222 | 4793 | 13576827 | N/A | 4213941 | 2025-10-13 00:36:17.042385 | 2025-05-13 04:29:37.228259 |
| 2025-10-12 05:02:44.024574 | 2025-10-13 00:37:20.982067 | 13297328 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13297328 | Athletic Physical Therapy Inc | 1959-05-13 | 2025-10-15 | F | PT | N/A | ADRIANZEN FERNAN | MMA221W20054 | AURA | 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/2222/5541944/check_13297328_06b81159-0444-4914-9502-f6e657f851e6.json | N/A | N/A | N/A | N/A | N/A | MMA221W20054 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1959-05-13 | N/A | N/A | N/A | N/A | false | ADRIANZEN FERNAN | N/A | AURA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003489317 | N/A | N/A | 5541944 | 2222 | 4801 | 13578243 | 4184 | 4213907 | 2025-10-13 00:37:20.982067 | 2025-05-13 04:29:37.228228 |
| 2025-10-12 05:02:43.849680 | 2025-10-13 00:42:45.333420 | 13297323 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13297323 | Athletic Physical Therapy Inc | 1944-04-25 | 2025-10-14 | F | AE | PT | ROSENTHAL | 6WM0N21VW35 | PHYLLIS | 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/2222/5541887/check_13297323_46cb23f8-f6ab-4bc3-b492-191c11e73b53.json | N/A | N/A | N/A | N/A | N/A | 6WM0N21VW35 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-04-25 | S4802 | N/A | N/A | MA | false | ROSENTHAL | N/A | PHYLLIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003489316 | N/A | N/A | 5541887 | 2222 | 4802 | 13584252 | N/A | 4213865 | 2025-10-13 00:42:45.333420 | 2025-05-13 04:29:37.228183 |
| 2025-10-12 05:02:43.672202 | 2025-10-13 00:38:34.434333 | 13297317 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13297317 | Athletic Physical Therapy Inc | 1980-03-25 | 2025-10-14 | F | PT | N/A | HILLIGER | XEA902904791 | JENNIE | 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/2222/5541730/check_13297317_177f9967-44ae-464b-8f38-40eaaed6ccb2.json | N/A | N/A | N/A | N/A | N/A | XEA902904791 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1980-03-25 | N/A | N/A | N/A | N/A | false | HILLIGER | N/A | JENNIE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003489315 | N/A | N/A | 5541730 | 2222 | 4793 | 13579457 | N/A | 4213725 | 2025-10-13 00:38:34.434333 | 2025-05-13 04:29:37.228045 |
| 2025-10-12 05:02:43.534175 | 2025-10-13 00:34:14.342606 | 13297310 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 13297310 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-10-14 | M | AD | N/A | LYKIDIS | U1221753503 | JOHN | 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/2222/5541552/check_13297310_f5298968-c242-4a83-a94a-c42c90fc15a1.json | N/A | N/A | N/A | N/A | N/A | U1221753503 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 2001-11-21 | N/A | 3207160 | N/A | N/A | false | LYKIDIS | N/A | JOHN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 9003489314 | N/A | N/A | 5541552 | 2222 | 4802 | 13574039 | N/A | 4213562 | 2025-10-13 00:34:14.342606 | 2025-05-13 04:29:37.227895 |
| 2025-10-12 05:02:43.376023 | 2025-10-13 00:38:41.124118 | 13297304 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13297304 | Athletic Physical Therapy Inc | 1990-07-09 | 2025-10-15 | M | PT | N/A | UPSON | XEA909162969 | RYAN | 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/2222/5541318/check_13297304_fd09067f-0e5d-42c1-bd45-4ec3a3fffc76.json | N/A | N/A | N/A | N/A | N/A | XEA909162969 | Preferred Provider Organization (PPO) | CHILD CARE RESOURCE CENTER | BLUE SHIELD CALIFORNIA | N/A | 1990-07-09 | 1000VX000001 | W0065399 | N/A | PR | false | UPSON | N/A | SANDY | N/A | N/A | N/A | CHILD CARE RESOURCE CENTER PPO COMBINED DEDUCTIBLE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003489313 | N/A | N/A | 5541318 | 2222 | 4801 | 13579577 | N/A | 4213349 | 2025-10-13 00:38:41.124118 | 2025-05-13 04:29:37.227671 |
| 2025-10-12 05:02:43.218610 | 2025-10-13 00:38:40.691189 | 13297299 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13297299 | Athletic Physical Therapy Inc | 1993-10-07 | 2025-10-14 | F | PT | N/A | TRUJILLO | XED914492685 | ADRIENNE | 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/2222/5541269/check_13297299_1ea310e8-2c52-4124-95fd-58e6615e9e8f.json | N/A | N/A | N/A | N/A | N/A | XED914492685 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1993-10-07 | 2001ZK002169 | X0001004 | N/A | PR | false | TRUJILLO | N/A | CHRISTIAN | N/A | N/A | N/A | GOLD 80 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003489312 | N/A | N/A | 5541269 | 2222 | 4793 | 13579569 | N/A | 4213302 | 2025-10-13 00:38:40.691189 | 2025-05-13 04:29:37.227624 |
| 2025-10-12 05:02:43.052054 | 2025-10-13 00:38:38.439039 | 13297293 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13297293 | Athletic Physical Therapy Inc | 1983-12-04 | 2025-10-14 | M | PT | N/A | SIMMONS | 906212178000 | LAVAR | 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/2222/5541240/check_13297293_b1a2dcb5-be4f-4c4c-9693-8ec4d2d6ee7b.json | N/A | N/A | N/A | N/A | N/A | XEH906212178 | Health Maintenance Organization (HMO) | VENTURA COUNTY PROFESSIONAL FIREFIGHTERS | BLUE SHIELD CALIFORNIA | N/A | 1983-12-04 | 1000HMOX0002 | W0065470 | N/A | HM | false | SIMMONS | N/A | LAVAR | N/A | N/A | N/A | VENTURA COUNTY PROFESSIONAL FIREFIGHTERS ACCESS H | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003489311 | N/A | N/A | 5541240 | 2222 | 4801 | 13579526 | N/A | 4213276 | 2025-10-13 00:38:38.439039 | 2025-05-13 04:29:37.227602 |
| 2025-10-12 05:02:42.867528 | 2025-10-13 00:36:53.269199 | 13297288 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13297288 | Athletic Physical Therapy Inc | 1958-07-16 | 2025-10-15 | F | PT | N/A | GALVAN GUERRERO | MMA904W16717 | MARIA | 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/2222/5541035/check_13297288_4de64db5-4da2-4fef-89bd-ca5904fb7701.json | N/A | N/A | N/A | N/A | N/A | MMA904W16717 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-07-16 | 040 | CAMCRWP0 | N/A | MP | false | GALVAN-GUERRERO | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9003489310 | N/A | N/A | 5541035 | 2222 | 4801 | 13577671 | 4184 | 4213091 | 2025-10-13 00:36:53.269199 | 2025-05-13 04:29:37.227417 |
| 2025-10-12 05:02:42.697737 | 2025-10-13 00:36:36.992173 | 13297280 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13297280 | Athletic Physical Therapy Inc | 1939-07-11 | 2025-10-15 | F | AE | PT | GOMEZ | 00000357273 | EVELYN | 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/2222/5540918/check_13297280_66cfe5fe-50eb-4c9e-a5da-7847899fb0cf.json | N/A | N/A | N/A | N/A | N/A | 00000357273 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1939-07-11 | N/A | N/A | N/A | N/A | false | GOMEZ | N/A | EVELYN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003489309 | N/A | N/A | 5540918 | 2222 | 4801 | 13577288 | 2630 | 4213001 | 2025-10-13 00:36:36.992173 | 2025-05-13 04:29:37.227329 |
| 2025-10-12 05:02:42.521120 | 2025-10-13 00:42:41.988648 | 13297273 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13297273 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-10-15 | F | AE | PT | GNAD | 9EM9VP4XX36 | MELANIE | 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/2222/5540676/check_13297273_c8f0bc91-e604-471e-b97f-af1276e2eee6.json | N/A | N/A | N/A | N/A | N/A | 9EM9VP4XX36 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-04-16 | S5601 | N/A | N/A | MB | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003489308 | N/A | N/A | 5540676 | 2222 | 4801 | 13584164 | N/A | 4212792 | 2025-10-13 00:42:41.988648 | 2025-10-07 20:33:25.637997 |
| 2025-10-12 05:02:42.327494 | 2025-10-13 00:35:47.532488 | 13297265 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 13297265 | Athletic Physical Therapy Inc | 1940-03-29 | 2025-10-15 | F | AE | PT | MARTINEZ | 40032670501 | MARIA | 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/2222/5540591/check_13297265_8b969166-3813-4480-8bc9-0c5060abc1a9.json | N/A | N/A | N/A | N/A | N/A | 40032670501 | N/A | N/A | SCAN HEALTH PLAN | N/A | 1940-03-29 | N/A | N/A | N/A | N/A | false | MARTINEZ | 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 | 9003489307 | N/A | N/A | 5540591 | 2222 | 4801 | 13576203 | N/A | 4212724 | 2025-10-13 00:35:47.532488 | 2025-07-26 22:27:37.781276 |
| 2025-10-12 05:02:42.032274 | 2025-10-13 00:38:37.210653 | 13297256 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13297256 | Athletic Physical Therapy Inc | 1997-07-14 | 2025-10-15 | M | PT | N/A | SHERBETJIAN | XED910281081 | JACK | 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/2222/5540558/check_13297256_6f905ca4-0b7a-49a7-999d-21dddb1f195c.json | N/A | N/A | N/A | N/A | N/A | XED910281081 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-14 | 2001ZK002184 | X0001004 | N/A | PR | false | SHERBETJIAN | N/A | JACK | 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 | 9003489306 | N/A | N/A | 5540558 | 2222 | 4801 | 13579506 | N/A | 4212698 | 2025-10-13 00:38:37.210653 | 2025-05-13 04:29:37.227042 |
| 2025-10-12 05:02:41.712439 | 2025-10-13 00:32:43.810236 | 13297246 | N/A | N/A | 60054 | Aetna | 1114042165 | 13297246 | Athletic Physical Therapy Inc | 1948-11-01 | 2025-10-14 | F | AE | PT | TUCKER | 101632234800 | EILEEN | 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/2222/5540116/check_13297246_6917da9e-2792-4966-894d-7cead48766de.json | N/A | N/A | N/A | N/A | N/A | 101632234800 | Preferred Provider Organization (PPO) | STATE OF ILLINOIS RETIREES - MAPD | AETNA | MEDICARE | 1948-11-01 | 100512-01EG0001 | 100512-01 | N/A | PR | false | TUCKER | N/A | EILEEN | N/A | N/A | N/A | MEDICARE (C05) ESA PPO PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003489305 | N/A | N/A | 5540116 | 2222 | 4801 | 13571623 | N/A | 4212312 | 2025-10-13 00:32:43.810236 | 2025-05-13 04:29:37.226651 |
| 2025-10-12 05:02:41.553820 | 2025-10-13 00:35:43.521597 | 13297239 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13297239 | Athletic Physical Therapy Inc | 1973-07-11 | 2025-10-14 | M | AE | PT | HERMAN | 95836743G | BRETT | 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/2222/5540113/check_13297239_fbfde2e3-7564-47bb-b54b-d5f88b134f93.json | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | HEALTH NET, LLC | N/A | 1973-07-11 | N/A | N/A | N/A | N/A | false | HERMAN | N/A | BRETT | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003489304 | N/A | N/A | 5540113 | 2222 | 4801 | 13576116 | N/A | 4212315 | 2025-10-13 00:35:43.521597 | 2025-12-29 21:20:15.158611 |
| 2025-10-12 05:02:41.341682 | 2025-10-13 00:36:51.665070 | 13297232 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13297232 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-10-14 | F | PT | N/A | BOYLAN | MBL857M98403 | JOAN | 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/2222/5540074/check_13297232_29b74f08-e0b6-4049-ba98-ab4ca2454934.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | 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 | 9003489303 | N/A | N/A | 5540074 | 2222 | 4802 | 13577634 | N/A | 4212282 | 2025-10-13 00:36:51.665070 | 2025-05-13 04:29:37.226623 |
| 2025-10-12 05:02:41.159652 | 2025-10-13 00:42:43.671460 | 13297223 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13297223 | Athletic Physical Therapy Inc | 1957-12-18 | 2025-10-14 | F | AE | PT | MOORE WILLIAMSON | 6R91TM3CH24 | LESLIE A | 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/2222/5539049/check_13297223_9c6c4171-b202-4eeb-b754-0ea56a7d30f9.json | N/A | N/A | N/A | N/A | N/A | 6R91TM3CH24 | Medicare Part A | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-12-18 | S2468 | N/A | N/A | MA | false | MOORE WILLIAMSON | N/A | LESLIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003489302 | N/A | N/A | 5539049 | 2222 | 4801 | 13584212 | N/A | 4211368 | 2025-10-13 00:42:43.671460 | 2025-05-13 04:29:37.225728 |
| 2025-10-12 05:02:40.926868 | 2025-10-13 00:46:32.561960 | 13297217 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13297217 | Athletic Physical Therapy Inc | 1950-08-31 | 2025-10-15 | M | AE | PT | NADRICH | 1NJ2V04GK04 | JEFFREY | 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/2222/5538990/check_13297217_8f5af1f6-a417-43c0-aa7e-74feed98900a.json | N/A | N/A | N/A | N/A | N/A | 1NJ2V04GK04 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1950-08-31 | N/A | N/A | N/A | N/A | false | NADRICH | N/A | JEFFREY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 9003489301 | N/A | N/A | 5538990 | 2222 | 4802 | 13587934 | N/A | 4211316 | 2025-10-13 00:46:32.561960 | 2025-05-13 04:29:37.225679 |