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 | insurance_company_id | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-09 20:01:17.498468 | 2025-10-09 20:01:20.244945 | 13245332 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_13245332_2d5eacee-93aa-43b5-8344-9ce75c67f731.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | N/A | N/A | N/A | N/A | N/A | N/A | 382516401 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7504846 | 2222 | N/A | N/A | N/A | 4213743 | 2025-10-09 20:01:20.244945 | 2025-05-13 04:29:37.228064 |
| 2025-10-09 20:01:14.223208 | 2025-10-09 20:01:16.849771 | 13245331 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_13245331_7a849048-7983-4ee5-9f36-4f699955ac54.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7504846/check_13245331_9ae56e17-35bb-4a0b-99ef-eaa2ae47051f.json | N/A | N/A | N/A | N/A | N/A | 382516401 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7504846 | 2222 | N/A | 13487848 | N/A | 4213743 | 2025-10-09 20:01:16.849771 | 2025-05-13 04:29:37.228064 |
| 2025-10-09 20:01:11.803973 | 2025-10-09 20:01:14.201213 | 13245330 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-19 | 2025-07-18 | N/A | PT | AE | 23277 | AZUCENA | 382516401 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7504846/check_13245330_1b4a546e-109d-4f07-905c-4e921629c8f9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | N/A | N/A | N/A | N/A | N/A | N/A | 382516401 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7504846 | 2222 | N/A | N/A | N/A | 4213743 | 2025-10-09 20:01:14.201213 | 2025-05-13 04:29:37.228064 |
| 2025-10-09 17:30:31.462557 | 2025-10-09 17:30:33.438642 | 13243608 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-02-05 | 2025-10-10 | M | PT | N/A | 23277 | HERNANDEZ | NCF335A78493 | FELIPE | https://storage.googleapis.com/normandy-eligibility-checks/2222/9857185/check_13243608_94ddf1c7-078b-4ac6-92df-609e537f0730.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9857185/check_13243608_5dfd87d5-12cc-42f6-a9a0-9c41ea9bfe16.json | N/A | N/A | N/A | N/A | N/A | NCF335A78493 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1954-02-05 | N/A | N/A | N/A | N/A | false | HERNANDEZ | N/A | FELIPE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9857185 | 2222 | N/A | 13486001 | N/A | 8252801 | 2025-10-09 17:30:33.438642 | 2026-02-23 23:58:40.440949 |
| 2025-10-09 17:30:29.655230 | 2025-10-09 17:30:31.451164 | 13243607 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-02-05 | 2025-10-10 | M | PT | N/A | 23277 | HERNANDEZ | NCF335A78493 | FELIPE | https://storage.googleapis.com/normandy-eligibility-checks/2222/9857185/check_13243607_f5d91bb8-e09b-4bd7-baa0-885022f54a5e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-10 | N/A | N/A | N/A | N/A | N/A | N/A | NCF335A78493 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1954-02-05 | N/A | N/A | N/A | N/A | false | HERNANDEZ | N/A | FELIPE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9857185 | 2222 | N/A | N/A | N/A | 8252801 | 2025-10-09 17:30:31.451164 | 2026-02-23 23:58:40.440949 |
| 2025-10-09 17:13:55.369131 | 2025-10-09 17:13:58.312887 | 13243335 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-11-23 | 2025-10-08 | F | AE | PT | 23307 | POLAK | 40047825101 | JOANNA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541023/check_13243335_ecdfcea7-71be-4a88-934e-ff21428f631c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541023/check_13243335_726e78e9-d6cd-46dc-b827-6ca5825584f5.json | N/A | N/A | N/A | N/A | N/A | 40047825101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1946-11-23 | 2025H5425006 | H5425M | N/A | N/A | false | POLAK | N/A | JOANNA | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8986098297 | 7929 | N/A | 5541023 | 2222 | N/A | 13485714 | N/A | 4213093 | 2025-10-09 17:13:58.312887 | 2025-05-13 04:29:37.227419 |
| 2025-10-09 17:12:49.589668 | 2025-10-09 17:12:53.594911 | 13243251 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-11-23 | 2025-08-29 | F | AE | PT | 23307 | POLAK | 40047825101 | JOANNA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541023/check_13243251_5cc33d83-958f-4c9a-a0ee-117a4991a015.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541023/check_13243251_5f4d39bc-d838-475b-9cb3-a2fed038f5a9.json | N/A | N/A | N/A | N/A | N/A | 40047825101 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1946-11-23 | 2025H5425006 | H5425M | N/A | N/A | false | POLAK | N/A | JOANNA | N/A | N/A | N/A | SCAN CLASSIC (HMO), LOS ANGELES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8986090524 | 7929 | N/A | 5541023 | 2222 | N/A | 13485633 | N/A | 4213093 | 2025-10-09 17:12:53.594911 | 2025-05-13 04:29:37.227419 |
| 2025-10-09 17:11:38.234941 | 2025-10-09 17:11:40.142207 | 13243213 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2003-04-25 | 2025-10-10 | M | PT | N/A | 23277 | GREEN | 184A7260851 | ALLEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/10091887/check_13243213_143a29de-1210-450c-b97d-00525559baa3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10091887/check_13243213_ce472404-643d-4459-8702-1baff116514e.json | N/A | N/A | N/A | N/A | N/A | 184A7260851 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2003-04-25 | N/A | N/A | N/A | N/A | false | GREEN | N/A | ALLEN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 162972 | N/A | 10091887 | 2222 | N/A | 13485599 | N/A | 8429919 | 2025-10-09 17:11:40.142207 | 2025-10-07 22:01:52.720968 |
| 2025-10-09 17:11:36.071242 | 2025-10-09 17:11:38.224996 | 13243212 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2003-04-25 | 2025-10-10 | M | PT | N/A | 23277 | GREEN | 184A7260851 | ALLEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/10091887/check_13243212_271ee592-81a4-4cb8-845e-7739d9aee22d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-10 | N/A | N/A | N/A | N/A | N/A | N/A | 184A7260851 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2003-04-25 | N/A | N/A | N/A | N/A | false | GREEN | N/A | ALLEN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 162972 | N/A | 10091887 | 2222 | N/A | N/A | N/A | 8429919 | 2025-10-09 17:11:38.224996 | 2025-10-07 22:01:52.720968 |
| 2025-10-09 06:04:37.912110 | 2025-10-09 06:04:41.280889 | 13239716 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2025-09-17 | M | PT | AE | 4497 | ULLMAN | 8HC8F35AX50 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543201/check_13239716_e47ec484-e983-445a-9fe8-de386cab370d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543201/check_13239716_66e1b6d7-8006-4a44-9f1e-ebbde96f67d0.json | N/A | N/A | N/A | N/A | N/A | 8HC8F35AX50 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-24 | S5921 | N/A | N/A | MA | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8981192475 | 5138 | N/A | 5543201 | 2222 | N/A | 13480739 | N/A | 4215026 | 2025-10-09 06:04:41.280889 | 2025-06-07 16:16:41.178119 |
| 2025-10-09 05:30:08.679758 | 2025-10-09 05:30:10.505415 | 13237944 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-05-16 | 2025-10-09 | F | PT | N/A | 23277 | WILSON | XEH905431769 | JOSEPHINE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539486/check_13237944_5073844f-2297-469b-a869-e2cab10aa144.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539486/check_13237944_e103d94c-f999-4956-a605-49a23a426716.json | N/A | N/A | N/A | N/A | N/A | XEH905431769 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1973-05-16 | N/A | N/A | N/A | N/A | false | WILSON | N/A | JOSEPHINE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539486 | 2222 | N/A | 13479272 | N/A | 4211784 | 2025-10-09 05:30:10.505415 | 2025-06-01 03:36:02.268093 |
| 2025-10-09 05:30:06.905959 | 2025-10-09 05:30:08.670341 | 13237934 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-05-16 | 2025-10-09 | F | PT | N/A | 23277 | WILSON | XEH905431769 | JOSEPHINE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539486/check_13237934_92fae0fd-de0c-4bbd-8752-76445c4c07d4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-09 | N/A | N/A | N/A | N/A | N/A | N/A | XEH905431769 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1973-05-16 | N/A | N/A | N/A | N/A | false | WILSON | N/A | JOSEPHINE | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539486 | 2222 | N/A | N/A | N/A | 4211784 | 2025-10-09 05:30:08.670341 | 2025-06-01 03:36:02.268093 |
| 2025-10-09 05:28:49.953158 | 2025-10-10 00:36:48.307913 | 13237397 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 13237397 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-10-10 | F | AE | PT | N/A | GNAD | H71897184 | MELANIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251009.095423838.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540682/check_13237397_01381d31-121e-419f-b019-fc7e50f35110.json | N/A | N/A | N/A | N/A | N/A | H71897184 | Supplemental Policy | HUMANA BENEFIT PLANOF ILL, INC | HUMANA | 067 023 | 1946-04-16 | N/A | 5A409005 | N/A | SP | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | MEDICARE MES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8981063776 | N/A | N/A | 5540682 | 2222 | 4801 | 13494632 | N/A | 4212792 | 2025-10-10 00:36:48.307913 | 2025-10-07 20:33:25.637997 |
| 2025-10-09 05:21:00.207545 | 2025-10-10 03:04:53.359314 | 13234129 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13234129 | Athletic Physical Therapy Inc | 1996-08-01 | 2025-10-10 | M | PT | N/A | N/A | Prichard | XED910420685 | Riley | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251009.081121128.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449872/check_13234129_d4166375-052f-4ce7-a1fe-cf33f0ad3748.json | N/A | N/A | N/A | N/A | N/A | XED910420685 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1996-08-01 | 2001ZK002184 | X0001004 | N/A | PR | false | PRICHARD | N/A | RILEY | N/A | 9999-12-31 | 2021-03-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8981043007 | N/A | N/A | 7449872 | 2222 | 4802 | 13510319 | N/A | 6399679 | 2025-10-10 03:04:53.359314 | 2025-07-24 23:16:22.582609 |
| 2025-10-09 05:19:51.270147 | 2025-10-10 00:38:58.708046 | 13233495 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13233495 | Athletic Physical Therapy Inc | 1958-10-22 | 2025-10-10 | F | AE | PT | N/A | Lee | MBL500W17666 | Gisele | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251009.081125489.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9810738/check_13233495_b65405dd-bf8d-4128-ae7d-cf7e3b20897a.json | N/A | N/A | N/A | N/A | N/A | MBL500W17666 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1958-10-22 | 040 | CAEGR005 | N/A | N/A | false | LEE | N/A | GISELE | N/A | 2025-12-31 | 2023-10-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8981032983 | N/A | N/A | 9810738 | 2222 | 4802 | 13496922 | N/A | 8217179 | 2025-10-10 00:38:58.708046 | 2025-10-02 19:02:27.583990 |
| 2025-10-09 05:19:48.421910 | 2025-10-09 05:19:49.893729 | 13233456 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-12-07 | 2025-10-09 | M | AE | PT | 6341 | WALLACH | 006908882 | CHARLES | https://storage.googleapis.com/normandy-eligibility-checks/2222/7821426/check_13233456_f94a1b0f-2240-496d-95bc-8746bde80193.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7821426/check_13233456_5f2576aa-386a-4d29-a226-8534ea5cfee0.json | N/A | N/A | N/A | N/A | N/A | 006908882 | N/A | N/A | TRIWEST - TRICARE | N/A | 1971-12-07 | N/A | N/A | N/A | N/A | false | WALLACH | N/A | CHARLES | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7821426 | 2222 | N/A | 13476852 | N/A | 6660003 | 2025-10-09 05:19:49.893729 | 2026-06-01 17:03:48.982724 |
| 2025-10-09 05:18:42.310461 | 2025-10-10 00:45:33.129560 | 13232602 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 13232602 | Athletic Physical Therapy Inc | 1983-04-06 | 2025-10-10 | F | PT | N/A | N/A | JOHNSON | 907100866000 | HEATHER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251009.081641969.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9258804/check_13232602_60a437bf-6f90-4a1c-9446-b88d00da5bf7.json | N/A | N/A | N/A | N/A | N/A | XEH907100866 | Health Maintenance Organization (HMO) | COUNTY OF VENTURA ACTIVES | BLUE SHIELD CALIFORNIA | N/A | 1983-04-06 | 1000HMOX0002 | W0067449 | N/A | HM | false | JOHNSON | N/A | HEATHER | N/A | N/A | N/A | COUNTY OF VENTURA ACTIVES CUSTOM ACCESS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8981062399 | N/A | N/A | 9258804 | 2222 | 4801 | 13503966 | N/A | 4213256 | 2025-10-10 00:45:33.129560 | 2025-05-13 04:29:37.227582 |
| 2025-10-09 05:16:37.689011 | 2025-10-10 00:45:06.324284 | 13230744 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13230744 | Athletic Physical Therapy Inc | 1966-12-04 | 2025-10-10 | M | PT | N/A | N/A | CLANCY | XDMOE0503879 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251009.081641969.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9194927/check_13230744_d286abb1-838c-4f9a-8c15-132c6bf3da8e.json | N/A | N/A | N/A | N/A | N/A | XDMOE0503879 | Health Maintenance Organization (HMO) | OPERATING ENGINEERS HEALTH&WELFARE FUND | ANTHEM BLUE CROSS | N/A | 1966-12-04 | 040 | 278671H001 | N/A | HM | false | CLANCY | N/A | JOSEPH | N/A | 9999-12-31 | 2025-02-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8981062317 | N/A | N/A | 9194927 | 2222 | 4793 | 13503679 | 4184 | 7712549 | 2025-10-10 00:45:06.324284 | 2025-09-10 17:29:28.945035 |
| 2025-10-09 05:15:55.937148 | 2025-10-10 03:04:06.560973 | 13230084 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13230084 | Athletic Physical Therapy Inc | 1947-12-19 | 2025-10-10 | F | PT | N/A | N/A | Taggart | MBL830M95233 | Rita | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251009.081121128.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6780011/check_13230084_aa067ed6-e812-49d7-83cc-94197a8aab16.json | N/A | N/A | N/A | N/A | N/A | MBL830M95233 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1947-12-19 | 040 | CAEGR002 | N/A | N/A | false | TAGGART | N/A | RITA | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8981042776 | N/A | N/A | 6780011 | 2222 | 4802 | 13510191 | N/A | 5811238 | 2025-10-10 03:04:06.560973 | 2025-07-03 18:24:56.520298 |
| 2025-10-09 05:13:06.088030 | 2025-10-10 00:44:51.492484 | 13226475 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 13226475 | Athletic Physical Therapy Inc | 1999-03-02 | 2025-10-10 | F | AE | PT | N/A | Andrieieva | 92598899G | Taisiia | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251009.081641969.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9104487/check_13226475_303677de-791b-4b94-aa71-602bc7e6aac7.json | N/A | N/A | N/A | N/A | N/A | 92598899G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1999-03-02 | MCLA | MWLLNMEG21 | N/A | N/A | false | ANDRIEIVA | N/A | TAISIIA | N/A | 2078-12-31 | 2023-01-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8981062904 | N/A | N/A | 9104487 | 2222 | 4802 | 13503483 | N/A | 6709145 | 2025-10-10 00:44:51.492484 | 2025-08-07 23:35:55.091438 |
| 2025-10-09 05:10:42.769735 | 2025-10-10 00:49:27.544584 | 13222536 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13222536 | Athletic Physical Therapy Inc | 1956-06-26 | 2025-10-10 | F | AE | PT | N/A | SUAREZ | 4EY2NT4GU93 | ANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251009.081641969.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9083354/check_13222536_a5315e3a-e180-4d9a-8b17-5f6da3f32f90.json | N/A | N/A | N/A | N/A | N/A | 4EY2NT4GU93 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-06-26 | S5921 | N/A | N/A | MA | false | SUAREZ | N/A | ANA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8981062855 | N/A | N/A | 9083354 | 2222 | 4801 | 13505979 | N/A | 7600312 | 2025-10-10 00:49:27.544584 | 2025-09-04 18:19:39.478018 |
| 2025-10-09 05:10:38.789215 | 2025-10-09 05:10:42.008504 | 13222438 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-16 | 2025-10-09 | F | AE | PT | 4497 | JESTER | 8WT9EW5DX41 | AUREA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9104610/check_13222438_a0e21c0a-bd41-4a9a-acbf-3359ba073983.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9104610/check_13222438_c52895a7-4cbc-4516-9b32-feadedb4fe7b.json | N/A | N/A | N/A | N/A | N/A | 8WT9EW5DX41 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-16 | H4036 | N/A | N/A | MA | false | JESTER | N/A | AUREA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8980987835 | N/A | N/A | 9104610 | 2222 | N/A | 13474028 | N/A | 7624564 | 2025-10-09 05:10:42.008504 | 2025-10-06 23:19:36.703282 |
| 2025-10-09 05:10:26.309115 | 2025-10-09 05:10:29.172123 | 13222130 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-02-10 | 2025-10-09 | M | AE | PT | 6798 | GARZA | 36183347 | LEO | https://storage.googleapis.com/normandy-eligibility-checks/2222/9024952/check_13222130_81002d24-1e74-4d2b-933e-3e6b03949cdf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9024952/check_13222130_7f0df9e4-79de-4072-9f19-5cb64a444223.json | N/A | N/A | N/A | N/A | N/A | 36183347 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1953-02-10 | 406-024-000 | N/A | N/A | N/A | false | GARZA | N/A | LEOVARDO | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8980987098 | N/A | N/A | 9024952 | 2222 | N/A | 13473918 | N/A | 7547856 | 2025-10-09 05:10:29.172123 | 2025-09-02 20:57:54.962485 |
| 2025-10-09 05:09:51.466205 | 2025-10-09 05:10:06.424297 | 13221191 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-10-10 | 2025-10-09 | F | AE | PT | 23412 | FARAHAT | 101956430 | LAURA | https://storage.googleapis.com/normandy-eligibility-checks/2222/8108868/check_13221191_ea4cb606-6173-46a0-af28-22f7eaf39b49.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8108868/check_13221191_07a450a6-63a7-463a-b0a0-9b67049a186b.json | N/A | N/A | N/A | N/A | N/A | 10195643000 | N/A | FINN PARTNERS, INC. | CHLIC | COMPLETE CARE MANAGEMENT | 1981-10-10 | N/A | 00610764 | N/A | N/A | false | FARAHAT | N/A | LAURA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8980985010 | N/A | N/A | 8108868 | 2222 | N/A | 13473718 | N/A | 4213812 | 2025-10-09 05:10:06.424297 | 2025-05-13 04:29:37.228133 |
| 2025-10-09 05:09:43.049255 | 2025-10-10 00:42:10.209372 | 13220967 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 13220967 | override_provider | 2003-11-16 | 2025-10-10 | F | PT | N/A | N/A | HAYASHI | XLXR000032097727 | LAUREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251009.081641969.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9066824/check_13220967_44eaa6b2-fa12-4714-8b39-f81d689fa260.json | N/A | N/A | N/A | N/A | N/A | XLXR000032097727 | Preferred Provider Organization (PPO) | OSF INDIVIDUAL PLATINUM PPO W/ DENTAL HIGH (GOLD) | BLUE SHIELD OF CALIFORNIA | N/A | 2003-11-16 | N/A | 24048 1 | N/A | PR | false | HAYASHI | N/A | NANCY | N/A | 9999-12-31 | 2023-12-01 | PLATINUM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8981062207 | N/A | N/A | 9066824 | 2222 | 4802 | 13500338 | N/A | 7582776 | 2025-10-10 00:42:10.209372 | 2025-09-24 22:06:50.112056 |
| 2025-10-09 05:09:18.684754 | 2025-10-10 00:45:06.580585 | 13220338 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13220338 | Athletic Physical Therapy Inc | 1951-10-06 | 2025-10-10 | M | PT | N/A | N/A | CRONIN | NSA00368979H | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251009.081641969.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9063293/check_13220338_c7cb7823-8e29-4f0a-8ec2-8056108482a9.json | N/A | N/A | N/A | N/A | N/A | NSA00368979H | Preferred Provider Organization (PPO) | MAIN PPO PLAN- EARNED | ANTHEM BLUE CROSS | N/A | 1951-10-06 | 040 | L05927A001 | N/A | PR | false | CRONIN | N/A | KEVIN | N/A | 9999-12-31 | 2023-07-01 | PB INCENTIVE NO SUTTER | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8981061304 | N/A | N/A | 9063293 | 2222 | 4793 | 13503684 | N/A | 7578088 | 2025-10-10 00:45:06.580585 | 2025-09-03 18:45:56.904111 |
| 2025-10-09 05:07:44.323620 | 2025-10-10 00:38:40.322907 | 13217842 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 13217842 | Athletic Physical Therapy Inc | 1983-05-09 | 2025-10-10 | F | AE | PT | N/A | RAJCIC | 622299781 | MAJA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251009.095423838.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10172287/check_13217842_4c12c7ec-8074-4b72-9f9c-f26d80ce181f.json | N/A | N/A | N/A | N/A | N/A | 622299781 | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1983-05-09 | N/A | N/A | N/A | N/A | false | RAJCIC | N/A | MAJA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8981064819 | N/A | N/A | 10172287 | 2222 | 4802 | 13496615 | N/A | 8473558 | 2025-10-10 00:38:40.322907 | 2025-10-10 16:40:45.584452 |
| 2025-10-09 05:06:30.538130 | 2025-10-10 00:40:13.918469 | 13216369 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13216369 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-10-10 | F | PT | N/A | N/A | GIANNE | XED910762094 | NATALIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251009.080332932.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7994545/check_13216369_0c99fa3f-65d9-4250-be3a-5a349560bbdc.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 9999-12-31 | 2025-01-01 | SILVER 87 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8981006158 | N/A | N/A | 7994545 | 2222 | 4802 | 13498177 | N/A | 6802250 | 2025-10-10 00:40:13.918469 | 2025-08-11 23:58:28.358402 |
| 2025-10-09 05:05:39.144333 | 2025-10-10 03:02:30.688687 | 13215403 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 13215403 | Athletic Physical Therapy Inc | 1993-07-24 | 2025-10-10 | M | AD | N/A | N/A | SJUKUR | U0030031901 | HANSEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251009.081121128.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543268/check_13215403_80c87d65-90c7-4720-ba10-a0481661cde1.json | N/A | N/A | N/A | N/A | N/A | U0030031901 | N/A | MCKINSEY & COMPANY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1993-07-24 | N/A | 2500547 | N/A | N/A | false | SJUKUR | N/A | HANSEL C | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8981042112 | N/A | N/A | 5543268 | 2222 | 4802 | 13509926 | N/A | 4215085 | 2025-10-10 03:02:30.688687 | 2025-05-23 17:53:24.114484 |
| 2025-10-09 05:05:37.285839 | 2025-10-10 03:04:06.238888 | 13215367 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13215367 | Athletic Physical Therapy Inc | 1958-07-16 | 2025-10-10 | F | PT | N/A | N/A | GALVAN GUERRERO | MMA904W16717 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251009.081121128.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541035/check_13215367_8b0ab50b-f9e6-4aca-99fb-59fd227f9420.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 | 8981042111 | N/A | N/A | 5541035 | 2222 | 4801 | 13510190 | 4184 | 4213091 | 2025-10-10 03:04:06.238888 | 2025-05-13 04:29:37.227417 |
| 2025-10-09 05:05:35.711807 | 2025-10-10 02:59:29.460154 | 13215332 | N/A | N/A | 60054 | Aetna | 1114042165 | 13215332 | Athletic Physical Therapy Inc | 1982-07-27 | 2025-10-10 | M | AE | PT | N/A | BOKHTIER | W275493875 | GOLAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251009.081121128.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540723/check_13215332_c81f26a6-f71a-414e-8062-056aed327920.json | N/A | N/A | N/A | N/A | N/A | W275493875 | Exclusive Provider Organization | AMERICAN EXPRESS COMPANY | AETNA | N/A | 1982-07-27 | 0169631 | 016963101100001 | N/A | EP | false | BOKHTIER | N/A | SUMMER | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8981042110 | N/A | N/A | 5540723 | 2222 | 4793 | 13509661 | N/A | 4212833 | 2025-10-10 02:59:29.460154 | 2025-05-28 20:46:35.079848 |
| 2025-10-09 05:05:34.437066 | 2025-10-10 03:08:38.065807 | 13215314 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13215314 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-10-10 | F | AE | PT | N/A | GNAD | 9EM9VP4XX36 | MELANIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251009.081121128.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540676/check_13215314_38c5c43d-1f47-4d0a-b423-641bab27937b.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 | 8981042109 | N/A | N/A | 5540676 | 2222 | 4801 | 13510985 | N/A | 4212792 | 2025-10-10 03:08:38.065807 | 2025-10-07 20:33:25.637997 |
| 2025-10-09 05:05:33.516278 | 2025-10-10 03:04:05.913998 | 13215298 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13215298 | Athletic Physical Therapy Inc | 1964-12-31 | 2025-10-10 | M | PT | N/A | N/A | BRIGHT | DGA10814577J | RICHARD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251009.081121128.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538211/check_13215298_24c5329c-c4a9-4892-ade6-b5ee75d38072.json | N/A | N/A | N/A | N/A | N/A | DGA10814577J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1964-12-31 | 040 | 276945M001 | N/A | PR | false | BRIGHT | N/A | RICHARD | N/A | 9999-12-31 | 2015-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8981042108 | N/A | N/A | 5538211 | 2222 | 4793 | 13510189 | N/A | 4210664 | 2025-10-10 03:04:05.913998 | 2025-10-01 18:16:15.634130 |
| 2025-10-09 05:02:54.819604 | 2025-10-10 00:33:10.380371 | 13212001 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13212001 | Athletic Physical Therapy Inc | 1945-04-26 | 2025-10-10 | M | PT | N/A | N/A | BARKEY | JQS728M78455 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251009.080332932.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7545690/check_13212001_c68fd92b-2969-4f27-bcab-b685d8bdf1db.json | N/A | N/A | N/A | N/A | N/A | JQS728M78455 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1945-04-26 | N/A | N/A | N/A | N/A | false | BARKEY | N/A | JOSEPH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8981004990 | N/A | N/A | 7545690 | 2222 | 4801 | 13491857 | N/A | 4211589 | 2025-10-10 00:33:10.380371 | 2025-05-13 04:29:37.225916 |
| 2025-10-08 20:57:07.080380 | 2025-10-08 20:57:09.901956 | 13209394 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-12-02 | 2025-10-08 | M | PT | N/A | 4191 | GODINEZ | XEK907039926 | RICHARD | https://storage.googleapis.com/normandy-eligibility-checks/2222/8202901/check_13209394_0ef374a0-a81a-4ac6-a1f7-56638e4227a4.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202901/check_13209394_5ffec0d1-1757-4afe-a1f1-968d64ccada3.json | N/A | N/A | N/A | N/A | N/A | XEK907039926 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-12-02 | 2001ZK002171 | X0001000 | N/A | PR | false | GODINEZ | N/A | RICHARD | N/A | 9999-12-31 | 2019-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8979249379 | N/A | N/A | 8202901 | 2222 | N/A | 13450956 | N/A | 6965521 | 2025-10-08 20:57:09.901956 | 2025-09-10 21:42:23.177790 |
| 2025-10-08 20:42:32.875857 | 2025-10-08 20:42:38.557621 | 13209284 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-03-02 | 2025-10-08 | F | AE | PT | 5538 | Andrieieva | 92598899G | Taisiia | https://storage.googleapis.com/normandy-eligibility-checks/2222/9104487/check_13209284_f9525401-b03d-4b1c-9f2a-9e4ab868db1f.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9104487/check_13209284_9f6bed6a-e140-4b9b-811d-b25657622f0f.json | N/A | N/A | N/A | N/A | N/A | 92598899G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1999-03-02 | MCLA | MWLLNMEG21 | N/A | N/A | false | ANDRIEIVA | N/A | TAISIIA | N/A | 2078-12-31 | 2023-01-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8979159319 | N/A | N/A | 9104487 | 2222 | N/A | 13450811 | N/A | 6709145 | 2025-10-08 20:42:38.557621 | 2025-08-07 23:35:55.091438 |
| 2025-10-08 20:38:59.824081 | 2025-10-08 20:39:04.963715 | 13209259 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-02-10 | 2025-10-14 | M | AE | PT | N/A | MELI | 982810361 | PETER | https://storage.googleapis.com/normandy-eligibility-checks/2222/10179796/check_13209259_6a52cf7a-d6bc-4eae-aca4-6e785a80433b.json | UHC | N/A | INSIGHTS | 2025-10-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10179796/check_13209259_8f6ba655-9a38-4f78-90b9-9f31023279ef.json | N/A | N/A | N/A | N/A | N/A | 982810361 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1987-02-10 | N/A | 701648 | N/A | N/A | false | MELI | N/A | PETER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 162972 | N/A | 10179796 | 2222 | N/A | 13450776 | N/A | 8479461 | 2025-10-08 20:39:04.963715 | 2025-10-13 17:05:27.690179 |
| 2025-10-08 19:32:19.681356 | 2025-10-08 19:32:23.580228 | 13208657 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-04-16 | 2025-10-08 | M | PT | N/A | 4184 | DEBOREE | JQU118A63475 | FALCON | https://storage.googleapis.com/normandy-eligibility-checks/2222/9414075/check_13208657_1794d8ef-906a-44b4-a348-a822ed179c68.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9414075/check_13208657_3a97856c-4c9b-401e-a514-76230740e138.json | N/A | N/A | N/A | N/A | N/A | JQU118A63475 | N/A | FALKON CREATIVE LP | ANTHEM BLUE CROSS | THIS INACTIVE MEMBER MAY BE ELIGIBLE FOR COVERAGE UNDER THEIR PRIOR COVERAGE IF THEY MEET THE ELIGIBILITY REQUIREMENTS OF THE CONSOLIDATED APPROPRIATIONS ACT. COVERAGE IS LIMITED TO SERVICES FOR CONTINUITY OF CARE CONDITIONS. ASK THE MEMBER FOR MORE INFORMATION. | 2011-04-16 | 040 | K62998 | N/A | N/A | false | DEBOREE | N/A | DEXTON | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8978668176 | 9481 | N/A | 9414075 | 2222 | N/A | 13450010 | N/A | 7883494 | 2025-10-08 19:32:23.580228 | 2025-09-24 22:46:15.277212 |
| 2025-10-08 19:18:14.798277 | 2025-10-08 19:18:16.638042 | 13208522 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-12-06 | 2025-10-08 | F | AE | PT | 4497 | HOLLAND | 8R45T72YM62 | PAMELA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9977235/check_13208522_b428598d-7704-49a8-96f3-da2a238547f2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9977235/check_13208522_28b8756d-9c92-425c-a2d7-021b6869a884.json | N/A | N/A | N/A | N/A | N/A | 8R45T72YM62 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-12-06 | S4802 | N/A | N/A | MB | false | HOLLAND | N/A | PAMELA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8978562066 | N/A | N/A | 9977235 | 2222 | N/A | 13449845 | N/A | 8350804 | 2025-10-08 19:18:16.638042 | 2025-10-08 00:49:14.553098 |
| 2025-10-08 19:14:52.343826 | 2025-10-08 19:14:54.208210 | 13208439 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-12-06 | 2025-10-08 | F | AE | PT | 4497 | HOLLAND | 8R45T72YM62 | PAMELA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9977235/check_13208439_874bd16c-15f8-4439-9577-856679885e45.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9977235/check_13208439_1ab5c7d2-9c0c-47dd-a437-73574f25f9e6.json | N/A | N/A | N/A | N/A | N/A | 8R45T72YM62 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-12-06 | S4802 | N/A | N/A | MB | false | HOLLAND | N/A | PAMELA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8978539105 | N/A | N/A | 9977235 | 2222 | N/A | 13449749 | N/A | 8350804 | 2025-10-08 19:14:54.208210 | 2025-10-08 00:49:14.553098 |
| 2025-10-08 19:13:50.720285 | 2025-10-08 19:13:52.525694 | 13208382 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-12-06 | 2025-10-08 | F | AE | PT | 4497 | HOLLAND | 8R45T72YM62 | PAMELA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9977235/check_13208382_47e6e627-64ed-44b1-894c-2b7792ed6801.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9977235/check_13208382_ca3803bb-0d41-4361-9299-ff67d84d188a.json | N/A | N/A | N/A | N/A | N/A | 8R45T72YM62 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-12-06 | S4802 | N/A | N/A | MB | false | HOLLAND | N/A | PAMELA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8978531432 | N/A | N/A | 9977235 | 2222 | N/A | 13449692 | N/A | 8350804 | 2025-10-08 19:13:52.525694 | 2025-10-08 00:49:14.553098 |
| 2025-10-08 19:13:29.878562 | 2025-10-08 19:13:31.736317 | 13208362 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-12-06 | 2025-10-08 | F | AE | PT | 4497 | HOLLAND | 8R45T72YM62 | PAMELA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9977235/check_13208362_67220862-f686-4c72-a365-63fa9891b3be.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9977235/check_13208362_e93ae859-1957-4a83-aee4-b4e23bcd4612.json | N/A | N/A | N/A | N/A | N/A | 8R45T72YM62 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-12-06 | S4802 | N/A | N/A | MB | false | HOLLAND | N/A | PAMELA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8978529011 | N/A | N/A | 9977235 | 2222 | N/A | 13449673 | N/A | 8350804 | 2025-10-08 19:13:31.736317 | 2025-10-08 00:49:14.553098 |
| 2025-10-08 19:09:09.722292 | 2025-10-08 19:09:11.639307 | 13208287 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-12-06 | 2025-10-08 | F | AE | PT | 4497 | HOLLAND | 8R45T72YM62 | PAMELA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9977235/check_13208287_dc1d92b8-d087-4ab6-9f81-d02a9fe968ec.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9977235/check_13208287_157a7913-9895-4046-aed4-f909314a3d05.json | N/A | N/A | N/A | N/A | N/A | 8R45T72YM62 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-12-06 | S4802 | N/A | N/A | MA | false | HOLLAND | N/A | PAMELA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8978498025 | N/A | N/A | 9977235 | 2222 | N/A | 13449584 | N/A | 8350804 | 2025-10-08 19:09:11.639307 | 2025-10-08 00:49:14.553098 |
| 2025-10-08 19:08:59.150095 | 2025-10-08 19:09:01.229482 | 13208268 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-12-06 | 2025-10-08 | F | AE | PT | 4497 | HOLLAND | 8R45T72YM62 | PAMELA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9977235/check_13208268_96790f2a-8bfc-4d5d-9f2a-bb84227f12b8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9977235/check_13208268_cd3f13d3-3b05-42e6-ad13-0de23753d5a3.json | N/A | N/A | N/A | N/A | N/A | 8R45T72YM62 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-12-06 | S4802 | N/A | N/A | MB | false | HOLLAND | N/A | PAMELA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8978496626 | N/A | N/A | 9977235 | 2222 | N/A | 13449566 | N/A | 8350804 | 2025-10-08 19:09:01.229482 | 2025-10-08 00:49:14.553098 |
| 2025-10-08 17:26:02.883571 | 2025-10-08 17:26:06.929050 | 13207034 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-14 | 2025-10-08 | F | PT | N/A | 4185 | MOORE | W2A952W18561 | YOLANDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/7447590/check_13207034_cb6f4cf9-d9d5-498c-8d1a-b5c85e0ab2d6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7447590/check_13207034_a9a143c9-9f2b-436b-98e4-73a0b4fb24d6.json | N/A | N/A | N/A | N/A | N/A | WZA952W18561 | Preferred Provider Organization (PPO) | WARNER BROS DISCOVERY INC | ANTHEM BLUE CROSS | N/A | 1962-09-14 | 130 | 270240M25A | N/A | PR | false | MOORE | N/A | YOLANDA | N/A | 9999-12-31 | 2024-01-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8977539836 | 7927 | N/A | 7447590 | 2222 | N/A | 13448229 | N/A | 6397797 | 2025-10-08 17:26:06.929050 | 2025-08-12 19:16:58.418300 |
| 2025-10-08 16:20:19.691339 | 2025-10-08 16:20:21.569532 | 13205777 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-04-14 | 2025-10-09 | M | AE | PT | 4437 | EDELMAN | 109583288 | Igor | https://storage.googleapis.com/normandy-eligibility-checks/2222/10016649/check_13205777_0fd391b4-1278-4bec-b2eb-ab04d76f29e9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10016649/check_13205777_51e98c5f-266d-43f5-849f-b59a484f4a8f.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 | AE | PT | N/A | N/A | N/A | N/A | N/A | 8977075111 | 162972 | N/A | 10016649 | 2222 | N/A | 13446922 | N/A | 8385137 | 2025-10-08 16:20:21.569532 | 2025-10-13 16:15:02.281568 |
| 2025-10-08 16:19:39.360482 | 2025-10-08 16:19:42.467554 | 13205770 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-04-14 | 2025-10-09 | M | AE | PT | 1534 | EDELMAN | 109583288 | Igor | https://storage.googleapis.com/normandy-eligibility-checks/2222/10016649/check_13205770_3d6e4954-b041-4a50-99f1-a78b209affc5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10016649/check_13205770_d1228e14-d4e2-47a1-a6d0-cc7f2b3ac997.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 | AE | PT | N/A | N/A | N/A | N/A | N/A | 8977069523 | 162972 | N/A | 10016649 | 2222 | N/A | 13446911 | N/A | 8385137 | 2025-10-08 16:19:42.467554 | 2025-10-13 16:15:02.281568 |
| 2025-10-08 16:00:53.670534 | 2025-10-08 16:00:56.858207 | 13205600 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-10-11 | 2025-10-09 | F | PT | N/A | 4184 | GAIKI | WZA401W18564 | ASHWINI | https://storage.googleapis.com/normandy-eligibility-checks/2222/9858377/check_13205600_da49a0fc-8b68-4532-8539-efe174d112a5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9858377/check_13205600_e0c9260c-4650-4a88-864b-470d34d5653c.json | N/A | N/A | N/A | N/A | N/A | WZA401W18564 | Preferred Provider Organization (PPO) | WARNER BROS DISCOVERY INC | ANTHEM BLUE CROSS | N/A | 1973-10-11 | 130 | 270240M35A | N/A | PR | false | GAIKI | N/A | AKASH | N/A | 9999-12-31 | 2024-01-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8976912328 | N/A | N/A | 9858377 | 2222 | N/A | 13446698 | N/A | 8253977 | 2025-10-08 16:00:56.858207 | 2025-10-08 15:49:07.618378 |
| 2025-10-08 15:29:40.908359 | 2025-10-08 15:29:48.080342 | 13205356 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2010-10-23 | 2025-10-08 | F | AE | PT | N/A | Hall | 981219560 | Naomi | https://storage.googleapis.com/normandy-eligibility-checks/2222/10171909/check_13205356_fe3eb6fc-45bf-4eb6-826a-6a6f70e7c6ed.json | UHC | N/A | APPOINTMENT_PII_CHANGE | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10171909/check_13205356_3a44cd3c-e2b1-4883-9d85-9331b7b5da4b.json | N/A | N/A | N/A | N/A | N/A | 981219560 | N/A | N/A | UNITEDHEALTHCARE | N/A | 2010-10-23 | N/A | 928305 | N/A | N/A | false | HALL | N/A | NAOMI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 10171909 | 2222 | N/A | 13446389 | N/A | 8473167 | 2025-10-08 15:29:48.080342 | 2025-10-08 15:28:08.515644 |
| 2025-10-08 14:52:41.270276 | 2025-10-08 14:52:43.120686 | 13205005 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-29 | 2025-10-08 | M | AE | PT | 4497 | LYGA | 9E33A44VQ74 | FRANK | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550634/check_13205005_085cf3b8-a736-41d3-9516-26fef0c8da97.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550634/check_13205005_69fa5250-4573-4c5e-8ea1-3d6bbf7d3eac.json | N/A | N/A | N/A | N/A | N/A | 9E33A44VQ74 | Medicare Part A | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-11-29 | S5596 | DOL 07071986 | N/A | MA | 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 | 8976276031 | N/A | N/A | 5550634 | 2222 | N/A | 13446048 | N/A | 4219584 | 2025-10-08 14:52:43.120686 | 2025-09-29 18:19:47.145731 |