API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-10 05:10:13.507376 | 2025-10-11 00:51:43.698047 | 13260842 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13260842 | Athletic Physical Therapy Inc | 2001-07-16 | 2025-10-13 | F | PT | POWELL | YWP80258506903 | WHITNEY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.101421945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540983/check_13260842_f5c008aa-246b-4fbe-a18f-d236fbd7ef11.json | N/A | N/A | N/A | N/A | N/A | YWP80258506903 | N/A | HELLER CAPITAL GROUP LLC | CAPITAL BLUE CROSS | N/A | 2001-07-16 | N/A | 00531869 | N/A | N/A | false | POWELL | N/A | WHITNEY | N/A | 2025-06-30 | 2024-12-14 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8989516550 | N/A | N/A | 5540983 | 2222 | 4793 | 13549319 | N/A | 4213053 | 2025-10-11 00:51:43.698047 | 2025-08-05 22:50:43.277345 |
| 2025-10-10 05:10:13.198491 | 2025-10-11 01:02:47.595669 | 13260835 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13260835 | Athletic Physical Therapy Inc | 1954-06-15 | 2025-10-13 | F | AE | ADIB | 1TJ9E76RP17 | JILA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.101421945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540303/check_13260835_3644d521-b660-43c7-8541-68a8a6619815.json | N/A | N/A | N/A | N/A | N/A | 1TJ9E76RP17 | Medicare Part A | N/A | ACCESS GENERALINSUR COMP | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-06-15 | S4802 | DOL 10302012 | N/A | MA | false | ADIB | N/A | JILA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8989516547 | N/A | N/A | 5540303 | 2222 | 4801 | 13552293 | N/A | 4212486 | 2025-10-11 01:02:47.595669 | 2025-09-30 02:32:14.808821 |
| 2025-10-10 05:10:12.882364 | 2025-10-11 00:44:55.965297 | 13260832 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 13260832 | Athletic Physical Therapy Inc | 1967-12-13 | 2025-10-13 | M | AE | MIDDLETON | U3369221802 | BLAKE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.101421945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540185/check_13260832_ec37f520-4d04-4a29-9768-90f92f3fe16e.json | N/A | N/A | N/A | N/A | N/A | U3369221802 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1967-12-13 | N/A | 3346355 | N/A | HM | false | MIDDLETON | N/A | BLAKE | N/A | N/A | N/A | NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8989516546 | N/A | N/A | 5540185 | 2222 | 4802 | 13544364 | N/A | 4212381 | 2025-10-11 00:44:55.965297 | 2025-12-17 20:12:42.035054 |
| 2025-10-10 05:10:12.537919 | 2025-10-11 00:54:52.244226 | 13260823 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13260823 | Athletic Physical Therapy Inc | 1983-08-31 | 2025-10-13 | M | PT | FLEMING | SZF839281184 | CHASE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.101421945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539901/check_13260823_b55cd93b-3c02-4cd9-b5f3-3991158afe96.json | N/A | N/A | N/A | N/A | N/A | SZF839281184 | Preferred Provider Organization (PPO) | ACTIVE | CUSTOMER SERVICE | N/A | 1983-08-31 | N/A | 018137 | N/A | PR | false | FLEMING | N/A | CHASE | N/A | 9999-12-31 | 2021-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8989516545 | N/A | N/A | 5539901 | 2222 | 4793 | 13551174 | N/A | 4212134 | 2025-10-11 00:54:52.244226 | 2025-08-05 02:56:55.384378 |
| 2025-10-10 05:10:12.245239 | 2025-10-11 00:51:41.372446 | 13260816 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13260816 | Athletic Physical Therapy Inc | 1980-04-11 | 2025-10-13 | M | PT | Hurst | JQY695A75359 | Gregory | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.101421945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539085/check_13260816_b0576c39-a516-4e8f-bf1c-20eeeb74df3e.json | N/A | N/A | N/A | N/A | N/A | JQY695A75359 | Preferred Provider Organization (PPO) | YALE MANAGEMENT SERVICES | ANTHEM BLUE CROSS | N/A | 1980-04-11 | 040 | 342584 | N/A | PR | false | HURST | N/A | GREGORY | N/A | 9999-12-31 | 2024-12-01 | ANTHEM SILVER SELECT PPO 50/2200/40% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8989516544 | N/A | N/A | 5539085 | 2222 | 4793 | 13549297 | N/A | 4211408 | 2025-10-11 00:51:41.372446 | 2025-09-18 00:42:48.586801 |
| 2025-10-10 05:10:12.239898 | 2025-10-11 02:45:30.164346 | 13260815 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13260815 | Athletic Physical Therapy Inc | 1995-10-05 | 2025-10-13 | M | PT | HERNANDEZ | BWW2515564100 | JONATHAN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.080427761.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9279057/check_13260815_faed6ae3-9650-493d-8ede-3a6cfdaae81b.json | N/A | N/A | N/A | N/A | N/A | BWW2515564100 | Preferred Provider Organization (PPO) | TASI | ANTHEM BLUE CROSS | N/A | 1995-10-05 | N/A | 3003813 | N/A | PR | false | HERNANDEZ | N/A | JONATHAN | N/A | 2999-12-31 | 2025-01-01 | PCPPO _10063573_28164 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8989527451 | N/A | N/A | 9279057 | 2222 | 4801 | 13553895 | N/A | 4211907 | 2025-10-11 02:45:30.164346 | 2025-05-13 04:29:37.226233 |
| 2025-10-10 05:10:11.840808 | 2025-10-11 00:54:53.528092 | 13260803 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13260803 | Athletic Physical Therapy Inc | 1961-12-01 | 2025-10-13 | M | PT | TOOCH | JPU633M84536 | PETER | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.101421945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538874/check_13260803_31616b7b-e742-494b-bfa3-3c8a337d3134.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M001 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8989516541 | N/A | N/A | 5538874 | 2222 | 4801 | 13551185 | N/A | 4211227 | 2025-10-11 00:54:53.528092 | 2025-05-13 04:29:37.225625 |
| 2025-10-10 05:10:11.716385 | 2025-10-11 01:02:50.325552 | 13260797 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13260797 | Athletic Physical Therapy Inc | 1952-12-18 | 2025-10-13 | F | AE | DU BRIN | 7KN7YG8XT63 | SUSAN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.101421945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538600/check_13260797_f98f3612-f2d8-43c6-9a0d-7e5cd2638f4d.json | N/A | N/A | N/A | N/A | N/A | 7KN7YG8XT63 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-12-18 | S4802 | N/A | N/A | MA | false | DU BRIN | N/A | SUSAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8989516540 | N/A | N/A | 5538600 | 2222 | 4793 | 13552296 | N/A | 4210998 | 2025-10-11 01:02:50.325552 | 2026-02-23 18:49:01.874308 |
| 2025-10-10 05:10:11.484827 | 2025-10-11 01:02:57.142851 | 13260791 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13260791 | Athletic Physical Therapy Inc | 1950-09-27 | 2025-10-13 | F | AE | THOMSEN | 1M31KQ8DJ99 | JANET | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.101421945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537950/check_13260791_232079d6-ed31-41ef-a7ed-e287a82d01a7.json | N/A | N/A | N/A | N/A | N/A | 1M31KQ8DJ99 | N/A | N/A | CMS | N/A | 1950-09-27 | N/A | N/A | N/A | N/A | false | THOMSEN | N/A | JANET | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8989516539 | N/A | N/A | 5537950 | 2222 | 4801 | 13552301 | N/A | 4210450 | 2025-10-11 01:02:57.142851 | 2026-05-04 21:51:25.248197 |
| 2025-10-10 05:10:11.105706 | 2025-10-11 00:51:49.946987 | 13260781 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13260781 | Athletic Physical Therapy Inc | 1964-06-08 | 2025-10-13 | F | PT | YOUHANAIE | UQK557A62707 | TERESA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.101421945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537881/check_13260781_caf79c04-0a99-4e92-bfec-c447aa64fd00.json | N/A | N/A | N/A | N/A | N/A | UQK557A62707 | Preferred Provider Organization (PPO) | CDHP HSA W/NON INTG BANKING-SILVER HDHP | ANTHEM BLUE CROSS | N/A | 1964-06-08 | 130 | 270213OHXB | N/A | PR | false | YOUHANAIE | N/A | TERESA | N/A | 9999-12-31 | 2024-08-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8989516538 | N/A | N/A | 5537881 | 2222 | 4793 | 13549386 | N/A | 4210385 | 2025-10-11 00:51:49.946987 | 2026-03-06 18:49:17.116017 |
| 2025-10-10 05:10:10.549414 | 2025-10-11 00:37:37.977672 | 13260773 | N/A | N/A | 60054 | Aetna | 1114042165 | 13260773 | Athletic Physical Therapy Inc | 1965-03-10 | 2025-10-13 | F | AE | LORENZO | W291592729 | CHERYL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.101421945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537616/check_13260773_4a2fe3de-1545-4a47-b1da-cd6308956b79.json | N/A | N/A | N/A | N/A | N/A | W291592729 | Point of Service (POS) | MORGAN STANLEY DOMESTIC HOLDINGS, L | AETNA | N/A | 1965-03-10 | 0868849 | 086884901000001 | N/A | PS | false | LORENZO | N/A | CHERYL | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8989516537 | N/A | N/A | 5537616 | 2222 | 4802 | 13538754 | N/A | 4210148 | 2025-10-11 00:37:37.977672 | 2025-10-06 12:12:54.911120 |
| 2025-10-10 05:10:09.980794 | 2025-10-11 00:40:59.777932 | 13260759 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13260759 | Athletic Physical Therapy Inc | 1969-05-24 | 2025-10-13 | F | PT | KIM | AXV840499320 | MEE RHAN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.080524471.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9656192/check_13260759_c72bb3ad-9f5f-4a3d-a266-97f8054b8e6e.json | N/A | N/A | N/A | N/A | N/A | AXV840499320 | Preferred Provider Organization (PPO) | M84 ACTIVE PPO PLUS | CUSTOMER SERVICE | N/A | 1969-05-24 | N/A | 778099 | N/A | PR | false | KIM | N/A | MEE RHAN | N/A | 9999-12-31 | 2024-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8989541665 | N/A | N/A | 9656192 | 2222 | 4802 | 13540922 | N/A | 8079138 | 2025-10-11 00:40:59.777932 | 2025-09-23 17:35:16.046338 |
| 2025-10-10 05:10:09.903249 | 2025-10-11 01:02:56.121135 | 13260758 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13260758 | Athletic Physical Therapy Inc | 1950-07-23 | 2025-10-13 | M | AE | MELVILLE | 5K84YN1FD09 | LANNING | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.101421945.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535728/check_13260758_e106c19c-3d8e-46fa-b328-6cfc84f6a98e.json | N/A | N/A | N/A | N/A | N/A | 5K84YN1FD09 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-07-23 | S5884 | N/A | N/A | MA | false | MELVILLE | N/A | LANNING | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8989516536 | N/A | N/A | 5535728 | 2222 | 4802 | 13552300 | N/A | 4208598 | 2025-10-11 01:02:56.121135 | 2025-09-11 00:56:25.554348 |
| 2025-10-10 05:10:08.646437 | 2025-10-11 00:43:54.991066 | 13260705 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 13260705 | Athletic Physical Therapy Inc | 1968-04-14 | 2025-10-13 | M | AD | EDELMAN | 109583288 | Igor | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.080621252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10016649/check_13260705_8cb6f69d-647d-4232-a2fa-aecf353d91ce.json | N/A | N/A | N/A | N/A | N/A | 10958328800 | N/A | TIXR, INC. | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1968-04-12 | N/A | 00651893 | N/A | N/A | false | EDELMAN | N/A | IGOR | N/A | N/A | N/A | HSA QUALIFIED HDHP | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8989535741 | N/A | N/A | 10016649 | 2222 | 4793 | 13543564 | N/A | 8385137 | 2025-10-11 00:43:54.991066 | 2025-10-13 16:15:02.281568 |
| 2025-10-10 05:10:08.443118 | 2025-10-11 00:32:31.874930 | 13260695 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | 13260695 | Athletic Physical Therapy Inc | 1958-07-23 | 2025-10-13 | F | PT | BURNS | JQW418W16911 | MARY BETH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.080220610.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8415251/check_13260695_47b97fc3-77f9-4815-8ae3-101cb241ba0a.json | N/A | N/A | N/A | N/A | N/A | JQW418W16911 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1958-07-23 | N/A | N/A | N/A | N/A | false | BURNS | N/A | MARY BETH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8989519089 | N/A | N/A | 8415251 | 2222 | 4801 | 13536016 | N/A | 4209247 | 2025-10-11 00:32:31.874930 | 2025-07-22 18:58:10.876206 |
| 2025-10-10 05:10:05.436330 | 2025-10-11 03:03:50.605575 | 13260579 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 13260579 | Athletic Physical Therapy Inc | 1953-07-31 | 2025-10-13 | F | AE | Dickenson | 91000390H | Linda | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.080433436.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449889/check_13260579_656078a3-f323-4105-8241-def1b1a63948.json | N/A | N/A | N/A | N/A | N/A | 91000390H | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1953-07-31 | N/A | N/A | N/A | N/A | false | DICKENSON | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8989538700 | N/A | N/A | 7449889 | 2222 | 4802 | 13555275 | N/A | 6399696 | 2025-10-11 03:03:50.605575 | 2025-07-24 23:24:56.744520 |
| 2025-10-10 05:09:56.214369 | 2025-10-11 00:51:42.582594 | 13260231 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13260231 | Athletic Physical Therapy Inc | 1934-12-03 | 2025-10-13 | M | AE | Dayzadeh | 9A94PK6GA08 | Nasser | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.080732525.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583825/check_13260231_83585804-a227-4fce-9404-02a4a803c611.json | N/A | N/A | N/A | N/A | N/A | 9A94PK6GA08 | Medicare Part B | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1934-12-03 | S2468 | N/A | N/A | MB | false | DAYZADEH | N/A | NASSER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8989533041 | N/A | N/A | 6583825 | 2222 | 4802 | 13549309 | N/A | 5202586 | 2025-10-11 00:51:42.582594 | 2025-06-25 17:55:27.155518 |
| 2025-10-10 05:09:55.679743 | 2025-10-11 00:46:32.596524 | 13260214 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13260214 | Athletic Physical Therapy Inc | 1936-04-15 | 2025-10-13 | F | AE | MCCRAY | C4003524401 | ELIZABETH | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.080732525.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583817/check_13260214_d54c24e0-696c-433c-b712-ebec3d7f17fc.json | N/A | N/A | N/A | N/A | N/A | C4003524401 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1936-04-15 | N/A | CA05620125 | N/A | N/A | false | MCCRAY | N/A | ELIZABETH | N/A | N/A | N/A | WELLCARE SIMPLE FOCUS (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8989533040 | N/A | N/A | 6583817 | 2222 | 4802 | 13545550 | N/A | 5202575 | 2025-10-11 00:46:32.596524 | 2025-09-17 19:56:42.576499 |
| 2025-10-10 05:09:47.746424 | 2025-10-11 02:55:23.700691 | 13259896 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 13259896 | Athletic Physical Therapy Inc | 1961-03-08 | 2025-10-13 | F | AE | SAPHOS | U2326133302 | CHERYL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.080433436.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444268/check_13259896_4c5e9a6d-81ab-49b8-8846-88982a0a8bd9.json | N/A | N/A | N/A | N/A | N/A | U2326133302 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 1961-03-08 | N/A | 3207160 | N/A | N/A | false | SAPHOS | N/A | CHERYL | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8989538662 | N/A | N/A | 7444268 | 2222 | 4793 | 13554670 | N/A | 6395002 | 2025-10-11 02:55:23.700691 | 2025-08-01 21:55:47.943743 |
| 2025-10-10 05:09:23.363439 | 2025-10-11 00:46:32.323601 | 13258940 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13258940 | Athletic Physical Therapy Inc | 2009-08-12 | 2025-10-13 | M | AE | Aldana | 95423949E | George | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.080732525.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6568645/check_13258940_9bf1cedf-7a5c-413f-a992-027daffc6a4d.json | N/A | N/A | N/A | N/A | N/A | 95423949E | N/A | N/A | HEALTH NET, LLC | N/A | 2009-08-12 | N/A | N/A | N/A | N/A | false | ALDANA | N/A | GEORGE | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8989535060 | N/A | N/A | 6568645 | 2222 | 4802 | 13545547 | N/A | 5190481 | 2025-10-11 00:46:32.323601 | 2025-06-24 17:29:30.756528 |
| 2025-10-10 05:09:21.297234 | 2025-10-11 00:45:13.699631 | 13258865 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13258865 | Athletic Physical Therapy Inc | 1973-01-16 | 2025-10-13 | F | PT | FUSCO | JXN148A35914 | ANGELA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.080220610.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8221086/check_13258865_86242933-ebdb-42bd-ac2e-5779cb9320f7.json | N/A | N/A | N/A | N/A | N/A | JXN148A35914 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1973-01-16 | N/A | N/A | N/A | N/A | false | FUSCO | N/A | ANGELA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8989518344 | N/A | N/A | 8221086 | 2222 | 4793 | 13544613 | N/A | 6978593 | 2025-10-11 00:45:13.699631 | 2025-09-18 02:55:14.560582 |
| 2025-10-10 05:09:20.334795 | 2025-10-10 05:09:25.987011 | 13258828 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-12-31 | 2025-10-10 | M | PT | BRIGHT | MPI01424345Q | RICHARD | N/A | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538212/check_13258828_a2dfc094-5ca7-4db1-b877-2d1f97e1bf86.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538212/check_13258828_b0506cda-4fd3-454d-b26e-1a3109575a43.json | N/A | N/A | N/A | N/A | N/A | MPI01424345Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1964-12-31 | 040 | 277163M402 | N/A | PR | false | BARR BRIGHT | N/A | CYNTHIA | N/A | 9999-12-31 | 2024-08-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8989496748 | N/A | N/A | 5538212 | 2222 | N/A | 13512959 | N/A | 4210664 | 2025-10-10 05:09:25.987011 | 2025-10-01 18:16:15.634130 |
| 2025-10-10 05:09:17.752453 | 2025-10-11 00:43:05.635620 | 13258743 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13258743 | Athletic Physical Therapy Inc | 1959-02-07 | 2025-10-13 | F | AE | STARK | JQE451W19078 | CHERYL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.091317026.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9450019/check_13258743_27943db3-5a27-4776-8512-83300be8d4f6.json | N/A | N/A | N/A | N/A | N/A | JQE451W19078 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-02-07 | 040 | CASUPWP0 | N/A | N/A | false | STARK | N/A | CHERYL | N/A | 9999-12-31 | 2024-02-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8989764661 | N/A | N/A | 9450019 | 2222 | 4793 | 13542862 | N/A | 7905968 | 2025-10-11 00:43:05.635620 | 2025-09-22 17:53:24.196861 |
| 2025-10-10 05:09:10.127516 | 2025-10-11 00:46:47.168112 | 13258503 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13258503 | Athletic Physical Therapy Inc | 1997-05-07 | 2025-10-13 | F | PT | KEIPINGER | FDP220267648 | ALEXIS | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.080621252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9980304/check_13258503_c54cc08f-5230-42fe-a329-d0ab1840f397.json | N/A | N/A | N/A | N/A | N/A | FDP220267648 | Preferred Provider Organization (PPO) | BANFIELD PET HOSPITAL | ANTHEM BLUE CROSS | SERVICES PROVIDED TO THIS PATIENT ARE SUBJECT TO THE BALANCE BILLING PROTECTION ACT. PLEASE SEE RCW 48.49.020 FOR DETAILS. | 1997-05-07 | N/A | 10034839 | N/A | PR | false | KEIPINGER | N/A | ALEXIS | N/A | 9999-12-31 | 2025-01-01 | HSA3.0/PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8989535373 | N/A | N/A | 9980304 | 2222 | 4793 | 13545709 | N/A | 8354055 | 2025-10-11 00:46:47.168112 | 2025-10-03 21:21:52.013920 |
| 2025-10-10 05:08:59.101312 | 2025-10-11 00:45:14.439115 | 13258126 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13258126 | Athletic Physical Therapy Inc | 1961-03-10 | 2025-10-13 | M | PT | WEBBER | NEI801068106 | CHAD | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.080220610.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8204846/check_13258126_e8e61ff4-0b07-4417-b786-4353481275d0.json | N/A | N/A | N/A | N/A | N/A | NEI801068106 | Preferred Provider Organization (PPO) | NATIONAL ELEVATOR INDUSTRY HBP | ANTHEM BLUE CROSS | N/A | 1961-03-10 | N/A | P13346 | N/A | PR | false | WEBBER | N/A | CHAD | N/A | 9999-12-31 | 2021-10-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8989518753 | N/A | N/A | 8204846 | 2222 | 4801 | 13544620 | N/A | 6966879 | 2025-10-11 00:45:14.439115 | 2025-08-19 23:20:37.306121 |
| 2025-10-10 05:08:59.078121 | 2025-10-11 00:42:26.833090 | 13258124 | N/A | N/A | 60054 | Aetna | 1114042165 | 13258124 | Athletic Physical Therapy Inc | 1993-09-26 | 2025-10-13 | M | AE | Hamilton | W292751187 | Kevin | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.080732525.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6555606/check_13258124_fe70e490-42e4-463b-96eb-b66998b94d60.json | N/A | N/A | N/A | N/A | N/A | W292751187 | Point of Service (POS) | WILLKIE FARR & GALLAGHER LLP | AETNA | N/A | 1993-09-26 | 0308636 | 030863601400001 | N/A | PS | false | HAMILTON | N/A | KEVIN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8989534472 | N/A | N/A | 6555606 | 2222 | 4802 | 13542289 | N/A | 5178755 | 2025-10-11 00:42:26.833090 | 2025-07-17 17:42:32.068740 |
| 2025-10-10 05:08:55.092990 | 2025-10-11 03:00:58.629772 | 13257983 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13257983 | Athletic Physical Therapy Inc | 1966-07-12 | 2025-10-13 | M | AE | Cohn | R06589895MM1 | David | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.080433436.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7315101/check_13257983_89d136d4-5010-4538-9325-c0ab3c525535.json | N/A | N/A | N/A | N/A | N/A | R06589895MM1 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1966-07-12 | N/A | CA05620125 | N/A | N/A | false | COHN | N/A | DAVID | N/A | N/A | N/A | WELLCARE SIMPLE FOCUS (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8989537715 | N/A | N/A | 7315101 | 2222 | 4802 | 13555053 | N/A | 6152454 | 2025-10-11 03:00:58.629772 | 2025-07-17 21:44:04.596080 |
| 2025-10-10 05:08:32.610800 | 2025-10-11 00:32:40.770553 | 13257213 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13257213 | Athletic Physical Therapy Inc | 1944-02-19 | 2025-10-13 | M | PT | CHRISTIE | JQS302A78569 | GEORGE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.080524471.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9635046/check_13257213_f8cd0310-766c-43ee-8853-2c9cf36ba952.json | N/A | N/A | N/A | N/A | N/A | JQS302A78569 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1944-02-19 | N/A | N/A | N/A | N/A | false | CHRISTIE | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8989541862 | N/A | N/A | 9635046 | 2222 | 4801 | 13536085 | N/A | 4213398 | 2025-10-11 00:32:40.770553 | 2025-09-22 22:02:57.508447 |
| 2025-10-10 05:08:28.165920 | 2025-10-11 03:04:04.703208 | 13257033 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13257033 | Athletic Physical Therapy Inc | 1957-10-25 | 2025-10-13 | F | PT | YINGER | MBL827W13948 | COLLEEN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.080433436.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7292126/check_13257033_a3eeabf9-094f-4655-9f5f-fecedd3b0a08.json | N/A | N/A | N/A | N/A | N/A | MBL827W13948 | N/A | THE AEROSPACE CORPORATION | ANTHEM BLUE CROSS | N/A | 1957-10-25 | 040 | CAEGR020 | N/A | N/A | false | YINGER | N/A | COLLEEN | N/A | 9999-12-31 | 2022-10-01 | CA GRS AEROSPACE H4036-801 ANTHEM MEDICARE PREFERR | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8989537083 | N/A | N/A | 7292126 | 2222 | 4793 | 13555300 | N/A | 6252902 | 2025-10-11 03:04:04.703208 | 2025-07-22 20:37:37.157960 |
| 2025-10-10 05:08:26.744415 | 2025-10-11 00:51:43.671289 | 13256977 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13256977 | Athletic Physical Therapy Inc | 1947-08-18 | 2025-10-13 | F | AE | FABER | 4X26K21EE83 | LINDA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.080732525.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_13256977_b2738aab-1897-4d0f-bc47-8f12d97df399.json | N/A | N/A | N/A | N/A | N/A | 4X26K21EE83 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-08-18 | S5617 | N/A | N/A | MA | 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 | 8989533219 | N/A | N/A | 6522947 | 2222 | 4802 | 13549318 | N/A | 5146127 | 2025-10-11 00:51:43.671289 | 2025-06-20 17:58:23.371130 |
| 2025-10-10 05:08:16.416645 | 2025-10-11 00:34:19.859680 | 13256582 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 13256582 | Athletic Physical Therapy Inc | 2001-06-21 | 2025-10-13 | M | AE | RAFIEI | 92836714F | SAM | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.080220610.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173002/check_13256582_ff266842-511b-49e2-b24e-96a3138022f2.json | N/A | N/A | N/A | N/A | N/A | 92836714F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-06-21 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | RAFIEI | N/A | SAM | N/A | 2078-12-31 | 2024-02-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8989518171 | N/A | N/A | 8173002 | 2222 | 4793 | 13536932 | N/A | 6939518 | 2025-10-11 00:34:19.859680 | 2025-08-18 21:40:08.349494 |
| 2025-10-10 05:08:01.842813 | 2025-10-10 05:08:09.614072 | 13256046 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 1967-03-14 | 2025-10-10 | M | PT | LI | AXV813538866 | ZHENG | N/A | 4197 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9282316/check_13256046_02d828c6-e1de-4b78-b6ea-f832b3038ba2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9282316/check_13256046_5edb4914-d928-4aa1-8c5f-15047c63c6ec.json | N/A | N/A | N/A | N/A | N/A | AXV813538866 | Preferred Provider Organization (PPO) | M75 ABBVIE ACTIVE PPO PLUS | CUSTOMER SERVICE | N/A | 1967-03-14 | N/A | 778092 | N/A | PR | false | SONG | N/A | JIU LI | N/A | 9999-12-31 | 2025-08-12 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8989487208 | N/A | N/A | 9282316 | 2222 | N/A | 13512329 | N/A | 7790962 | 2025-10-10 05:08:09.614072 | 2025-09-10 20:25:23.128175 |
| 2025-10-10 05:07:47.321932 | 2025-10-10 05:07:55.331824 | 13255609 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1972-12-30 | 2025-10-10 | M | AE | MCHALE | W27265070 | MATT | PT | 3937 | https://storage.googleapis.com/normandy-eligibility-checks/2222/8173116/check_13255609_8304d19a-7dc4-4753-98f4-4a6e9a5d2344.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173116/check_13255609_506829f2-37aa-44e6-bbf6-0f2ddae13151.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 | 8989484600 | N/A | N/A | 8173116 | 2222 | N/A | 13512225 | N/A | 6939617 | 2025-10-10 05:07:55.331824 | 2025-09-16 00:28:24.457071 |
| 2025-10-10 05:07:45.944387 | 2025-10-11 03:06:49.584937 | 13255579 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13255579 | Athletic Physical Therapy Inc | 1976-09-29 | 2025-10-13 | F | PT | RAND | XED912141111 | ELLEN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.080433436.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7257479/check_13255579_1dd53d21-a929-44be-9f9f-ef4d52cd7949.json | N/A | N/A | N/A | N/A | N/A | XED912141111 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1976-09-29 | 2001ZK002193 | X0001004 | N/A | PR | false | RAND | N/A | ELLEN | N/A | 9999-12-31 | 2023-03-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8989537272 | N/A | N/A | 7257479 | 2222 | 4802 | 13555541 | N/A | 4210270 | 2025-10-11 03:06:49.584937 | 2025-07-08 18:23:05.596578 |
| 2025-10-10 05:07:37.824569 | 2025-10-11 00:47:46.051923 | 13255364 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13255364 | Athletic Physical Therapy Inc | 1961-05-13 | 2025-10-13 | F | PT | HOUSEMAN | JAC912275311 | REBECCA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.080621252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9937308/check_13255364_e64275e2-3484-4569-81cf-5d7e0c6a79b0.json | N/A | N/A | N/A | N/A | N/A | JAC912275311 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-05-13 | 2001ZK002198 | X0001004 | N/A | PR | false | HOUSEMAN | N/A | REBECCA | N/A | 9999-12-31 | 2025-01-01 | 0 COST SHARE PPO AI AN JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8989534070 | N/A | N/A | 9937308 | 2222 | 4793 | 13546351 | N/A | 8318674 | 2025-10-11 00:47:46.051923 | 2025-10-03 16:07:07.538918 |
| 2025-10-10 05:07:36.833404 | 2025-10-11 00:41:01.431442 | 13255328 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13255328 | Athletic Physical Therapy Inc | 2009-10-25 | 2025-10-13 | F | PT | TAITE | JQU200A62919 | SERAPHINA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.080524471.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9610001/check_13255328_44ecc038-0968-4df6-9023-1e9e01e4d4e8.json | N/A | N/A | N/A | N/A | N/A | JQU200A62919 | Preferred Provider Organization (PPO) | TREATMENT CENTER MANAGEMENT CORPORATION | ANTHEM BLUE CROSS | N/A | 2009-10-25 | 040 | U26732 | N/A | PR | false | TAITE | N/A | RICHARD | N/A | 9999-12-31 | 2025-05-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8989542347 | N/A | N/A | 9610001 | 2222 | 4802 | 13540943 | N/A | 8040917 | 2025-10-11 00:41:01.431442 | 2025-09-22 14:19:04.386066 |
| 2025-10-10 05:07:27.073403 | 2025-10-11 00:45:30.802685 | 13255018 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 13255018 | Athletic Physical Therapy Inc | 1959-11-18 | 2025-10-13 | M | AE | PEREZ | 205330201 | JUAN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.080621252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9935305/check_13255018_eb2a54c2-f376-46de-9385-1dd57235d672.json | N/A | N/A | N/A | N/A | N/A | 205330201 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1959-11-18 | N/A | HCFA21 | N/A | HN | false | PEREZ MEDINA | N/A | JUAN | 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 | 8989534016 | N/A | N/A | 9935305 | 2222 | 4802 | 13544818 | N/A | 8316227 | 2025-10-11 00:45:30.802685 | 2025-10-02 19:18:17.311007 |
| 2025-10-10 05:07:20.560670 | 2025-10-11 03:10:43.317374 | 13254824 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13254824 | Athletic Physical Therapy Inc | 1945-08-03 | 2025-10-13 | M | AE | GORMLEY | 4UH0QA1WF00 | MICHAEL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.080433436.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7214829/check_13254824_74f712bb-62fc-446a-9298-feb9d55f35ed.json | N/A | N/A | N/A | N/A | N/A | 4UH0QA1WF00 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-08-03 | S5921 | N/A | N/A | MB | false | GORMLEY | 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 | 8989538403 | N/A | N/A | 7214829 | 2222 | 4802 | 13556508 | N/A | 4209498 | 2025-10-11 03:10:43.317374 | 2025-09-22 06:46:20.286658 |
| 2025-10-10 05:07:02.631501 | 2025-10-10 05:07:24.821266 | 13254339 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-05-07 | 2025-10-10 | F | AD | FERRERAS | U6570615702 | PATRICIA | N/A | 1534 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543171/check_13254339_1eecfc86-1349-4c69-a15a-5c63aed273ec.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543171/check_13254339_e41eb5ca-20b4-4c27-9cb0-d6b5b8c7c80e.json | N/A | N/A | N/A | N/A | N/A | U6570615702 | N/A | WORKDAY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1973-05-07 | N/A | 3336422 | N/A | N/A | false | FERRERAS | N/A | PATRICIA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8989478503 | N/A | N/A | 5543171 | 2222 | N/A | 13512032 | N/A | 4214998 | 2025-10-10 05:07:24.821266 | 2025-05-13 04:29:37.229318 |
| 2025-10-10 05:06:42.488675 | 2025-10-11 00:38:50.171219 | 13253824 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13253824 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-10-13 | F | AE | BRADBURY | JQE669W05502 | BONNIE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.080537220.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550535/check_13253824_7e5dd295-2799-41c7-a6ee-5b819243bd03.json | N/A | N/A | N/A | N/A | N/A | JQE669W05502 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-06-01 | 040 | CASUPWP0 | N/A | N/A | false | BRADBURY | N/A | BONNIE | N/A | 9999-12-31 | 2022-12-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8989548432 | N/A | N/A | 5550535 | 2222 | 4801 | 13539535 | N/A | 4219556 | 2025-10-11 00:38:50.171219 | 2025-05-13 04:29:37.230592 |
| 2025-10-10 05:06:41.238923 | 2025-10-11 00:41:54.992263 | 13253802 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 13253802 | Athletic Physical Therapy Inc | 1950-10-31 | 2025-10-13 | F | AE | HOORIZADEH | 99091630E95124 | FLORA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.080537220.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543529/check_13253802_bd347b0f-6d56-467b-8912-c3e2472027cd.json | N/A | N/A | N/A | N/A | N/A | 99091630E95124 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1950-10-31 | N/A | N/A | N/A | N/A | false | HOORIZADEH | N/A | FLORA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8989548430 | N/A | N/A | 5543529 | 2222 | 4802 | 13541822 | N/A | 4215312 | 2025-10-11 00:41:54.992263 | 2025-05-13 04:29:37.229631 |
| 2025-10-10 05:06:39.861835 | 2025-10-11 00:36:32.524926 | 13253785 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 13253785 | Athletic Physical Therapy Inc | 1940-11-11 | 2025-10-13 | M | AE | GOLDBERG | U5126496602 | Michael | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.080537220.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542973/check_13253785_1bc7a99d-824b-4a01-b1df-668f2e016a24.json | N/A | N/A | N/A | N/A | N/A | U5126496602 | Indemnity | MONTGOMERY COUNTY PUBLIC SCHOOLS | CHLIC | N/A | 1940-11-11 | N/A | 2501729 | N/A | IN | false | GOLDBERG | N/A | MICHAEL | N/A | N/A | N/A | INDEMNITY | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8989548429 | N/A | N/A | 5542973 | 2222 | 4802 | 13538190 | N/A | 4214820 | 2025-10-11 00:36:32.524926 | 2025-06-30 02:56:23.324592 |
| 2025-10-10 05:06:38.433864 | 2025-10-11 00:36:32.123244 | 13253757 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 13253757 | Athletic Physical Therapy Inc | 1944-10-29 | 2025-10-13 | F | AE | GOLDBERG | U51264966 | LINDA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.080537220.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542937/check_13253757_0b4d0b41-3f3d-450c-8eb5-0ab2385edbe0.json | N/A | N/A | N/A | N/A | N/A | U5126496601 | Indemnity | MONTGOMERY COUNTY PUBLIC SCHOOLS | CHLIC | N/A | 1944-10-29 | N/A | 2501729 | N/A | IN | false | GOLDBERG | N/A | LINDA | N/A | N/A | N/A | INDEMNITY | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8989548428 | N/A | N/A | 5542937 | 2222 | 4802 | 13538186 | N/A | 4214789 | 2025-10-11 00:36:32.123244 | 2025-12-11 23:30:31.319246 |
| 2025-10-10 05:06:36.328256 | 2025-10-11 00:38:50.450444 | 13253719 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13253719 | Athletic Physical Therapy Inc | 1952-12-18 | 2025-10-13 | F | AE | DU BRIN | JQE162M93481 | SUSAN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.080537220.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538605/check_13253719_6a3738ca-4c51-4f4f-9ea9-ff827022b71f.json | N/A | N/A | N/A | N/A | N/A | JQE162M93481 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-12-18 | 040 | CASUPWP0 | N/A | N/A | false | DU BRIN | N/A | SUSAN | N/A | 9999-12-31 | 2021-03-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8989548426 | N/A | N/A | 5538605 | 2222 | 4793 | 13539539 | N/A | 4210998 | 2025-10-11 00:38:50.450444 | 2026-02-23 18:49:01.874308 |
| 2025-10-10 05:06:35.586002 | 2025-10-11 00:38:16.231936 | 13253701 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13253701 | Athletic Physical Therapy Inc | 1950-09-27 | 2025-10-13 | F | AE | THOMSEN | R12604487 | JANET | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.080537220.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537953/check_13253701_2e6acc44-986e-4d80-aa83-4b36ca71443c.json | N/A | N/A | N/A | N/A | N/A | R12604487FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1950-09-27 | N/A | N/A | N/A | N/A | false | THOMSEN | N/A | JANET | N/A | 2025-11-01 | 2022-03-01 | FAP MEDIFLEX | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8989548425 | N/A | N/A | 5537953 | 2222 | 4801 | 13539150 | N/A | 4210450 | 2025-10-11 00:38:16.231936 | 2026-05-04 21:51:25.248197 |
| 2025-10-10 05:06:34.878276 | 2025-10-11 00:39:32.363032 | 13253686 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13253686 | Athletic Physical Therapy Inc | 1950-07-23 | 2025-10-13 | M | AE | MELVILLE | XEMJ06188527 | LANNING | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.080537220.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535731/check_13253686_172f9c7d-f4f3-4717-aef4-d73187f975d9.json | N/A | N/A | N/A | N/A | N/A | XEMJ06188527 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1950-07-23 | N/A | N/A | N/A | N/A | false | MELVILLE | N/A | LANNING | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8989548424 | N/A | N/A | 5535731 | 2222 | 4802 | 13539977 | N/A | 4208598 | 2025-10-11 00:39:32.363032 | 2025-09-11 00:56:25.554348 |
| 2025-10-10 05:06:23.607970 | 2025-10-11 03:03:51.789923 | 13253420 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13253420 | Athletic Physical Therapy Inc | 1947-12-03 | 2025-10-13 | M | PT | WONG | 6GE2PF6CC92 | STANLEY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.080427761.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9132315/check_13253420_fc967126-7863-4153-b1b7-93c8cac11677.json | N/A | N/A | N/A | N/A | N/A | 6GE2PF6CC92 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-12-03 | H4036 | N/A | N/A | MB | false | WONG | N/A | STANLEY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8989528329 | N/A | N/A | 9132315 | 2222 | 4802 | 13555276 | N/A | 7140615 | 2025-10-11 03:03:51.789923 | 2025-09-05 16:51:17.488032 |
| 2025-10-10 05:06:09.081813 | 2025-10-11 00:43:06.542595 | 13253080 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13253080 | Athletic Physical Therapy Inc | 1956-06-26 | 2025-10-13 | F | AE | SUAREZ | JQE410W22492 | ANA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.091317026.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9083355/check_13253080_a38968ad-b601-4dce-91c7-e27305bbc7d1.json | N/A | N/A | N/A | N/A | N/A | JQE410W22492 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1956-06-26 | 040 | CASUPWP0 | N/A | N/A | false | SUAREZ | N/A | ANA | N/A | 9999-12-31 | 2025-01-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8989765187 | N/A | N/A | 9083355 | 2222 | 4801 | 13542879 | N/A | 7600312 | 2025-10-11 00:43:06.542595 | 2025-09-04 18:19:39.478018 |
| 2025-10-10 05:06:00.867158 | 2025-10-11 00:43:21.304365 | 13252889 | N/A | N/A | 61101 | Regal Medical Group | 1114042165 | 13252889 | Athletic Physical Therapy Inc | 1944-04-23 | 2025-10-13 | F | AE | SMITH | H6550642500 | RUTH | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.080621252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9905019/check_13252889_338d6f38-165d-49a8-95ed-dbd3d71464b1.json | N/A | N/A | N/A | N/A | N/A | H65506425 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 949 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 | 1944-04-23 | N/A | Y9623001 | N/A | HN | false | SMITH | N/A | RUTH | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8989535523 | N/A | N/A | 9905019 | 2222 | 4793 | 13543106 | N/A | 8292696 | 2025-10-11 00:43:21.304365 | 2025-10-06 17:55:42.801914 |
| 2025-10-10 05:05:54.407027 | 2025-10-11 00:42:57.300660 | 13252753 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13252753 | Athletic Physical Therapy Inc | 1949-01-02 | 2025-10-13 | F | AE | TARASEVYCH | 90733231H | VIRA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251010.080220610.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8050658/check_13252753_b8e1f176-24b7-45da-9011-a812e60405e2.json | N/A | N/A | N/A | N/A | N/A | 90733231H | N/A | N/A | HEALTH NET, LLC | N/A | 1949-01-02 | N/A | N/A | N/A | N/A | false | TARASEVYCH | N/A | VIRA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8989518640 | N/A | N/A | 8050658 | 2222 | 4793 | 13542739 | N/A | 6845945 | 2025-10-11 00:42:57.300660 | 2025-08-20 15:30:30.230373 |