API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-08 08:15:09.594707 | 2025-10-09 00:38:34.833960 | 13178216 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 13178216 | Athletic Physical Therapy Inc | 1953-06-18 | 2025-10-09 | M | AE | PT | CARINO | 166067001 | RODOLFO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.111124860.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8472317/check_13178216_c6267115-d585-412d-a96a-5a958a01f552.json | N/A | N/A | N/A | N/A | N/A | 166067001 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1953-06-18 | N/A | HCFA21 | N/A | HN | false | CARINO | N/A | RODOLFO | 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 | 8973706927 | N/A | N/A | 8472317 | 2222 | 4802 | 13458128 | N/A | 6543380 | 2025-10-09 00:38:34.833960 | 2025-08-01 17:39:00.802055 |
| 2025-10-08 08:15:09.033703 | 2025-10-09 00:39:13.542113 | 13178211 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13178211 | Athletic Physical Therapy Inc | 1961-03-04 | 2025-10-10 | M | PT | N/A | AVEDISSIAN | JQU233A54125 | ARMEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.111124860.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8472241/check_13178211_fab2fccd-f989-4d3f-a299-e7d77704281e.json | N/A | N/A | N/A | N/A | N/A | JQU233A54125 | Preferred Provider Organization (PPO) | BRAND PRODUCE INC | MEDICARE A | N/A | 1961-03-04 | 040 | J35185 | N/A | PR | false | AVEDISSIAN | N/A | ARMEN | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8973706925 | N/A | N/A | 8472241 | 2222 | 4801 | 13458557 | N/A | 7143064 | 2025-10-09 00:39:13.542113 | 2025-10-10 06:06:58.213429 |
| 2025-10-08 08:15:07.183705 | 2025-10-09 00:33:46.437393 | 13178190 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 13178190 | override_provider | 1986-05-15 | 2025-10-10 | M | PT | N/A | Chizever | SBN015146 | Geoffrey | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.111124860.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471737/check_13178190_ba0a0e9f-ed24-49a9-8ce2-dacbec379308.json | N/A | N/A | N/A | N/A | N/A | SBN015146 | Preferred Provider Organization (PPO) | SBN STANDARD OPTION | BLUE SHIELD OF CALIFORNIA | N/A | 1986-05-15 | N/A | SBN | N/A | PR | false | CHIZEVER | N/A | GEOFFREY | N/A | 9999-12-31 | 2020-01-01 | SBN STANDARD OPTION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8973706918 | N/A | N/A | 8471737 | 2222 | 4802 | 13455053 | N/A | 7142683 | 2025-10-09 00:33:46.437393 | 2026-01-12 20:01:37.957097 |
| 2025-10-08 08:14:53.760516 | 2025-10-09 00:33:35.942158 | 13178008 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 13178008 | Athletic Physical Therapy Inc | 1968-04-14 | 2025-10-09 | M | AE | PT | EDELMAN | 109583288 | Igor | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.131624522.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10016649/check_13178008_ef7e925e-2a8e-4afb-bb8e-d024f85e251c.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 | 8973675249 | N/A | N/A | 10016649 | 2222 | 4793 | 13454945 | N/A | 8385137 | 2025-10-09 00:33:35.942158 | 2025-10-13 16:15:02.281568 |
| 2025-10-08 08:14:52.678298 | 2025-10-09 00:41:17.860114 | 13177993 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13177993 | Athletic Physical Therapy Inc | 1945-07-04 | 2025-10-09 | M | PT | N/A | Seminario | 442W1081810 | Gustavo | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.111925636.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124845/check_13177993_b361be82-9050-4079-bd6e-aacafcb5ff48.json | N/A | N/A | N/A | N/A | N/A | 442W1081810 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1945-07-04 | N/A | N/A | N/A | N/A | false | SEMINARIO | N/A | GUSTAVO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8973732753 | N/A | N/A | 6124845 | 2222 | 4793 | 13459973 | N/A | 4767293 | 2025-10-09 00:41:17.860114 | 2025-06-06 15:11:48.015692 |
| 2025-10-08 08:14:25.065162 | 2025-10-09 02:31:08.014379 | 13177584 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13177584 | Athletic Physical Therapy Inc | 2003-04-25 | 2025-10-10 | M | PT | N/A | GREEN | 184A7260851 | ALLEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.111123355.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/10091887/check_13177584_6a57111d-2436-4e82-be61-b6cfd707465d.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 | 8973709885 | N/A | N/A | 10091887 | 2222 | 4793 | 13469634 | N/A | 8429919 | 2025-10-09 02:31:08.014379 | 2025-10-07 22:01:52.720968 |
| 2025-10-08 08:14:00.478811 | 2025-10-09 00:40:47.048421 | 13177259 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13177259 | Athletic Physical Therapy Inc | 2001-07-17 | 2025-10-09 | M | PT | N/A | HUNTER | XEK905471650 | KYLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.111124860.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8420132/check_13177259_b8475023-a7df-45d2-841f-f204c18bf77e.json | N/A | N/A | N/A | N/A | N/A | XEK905471650 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2001-07-17 | 2001ZK002189 | X0001000 | N/A | PR | false | HUNTER | N/A | MARK | N/A | 2025-12-31 | 2025-01-01 | BRONZE 60 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8973708332 | N/A | N/A | 8420132 | 2222 | 4801 | 13459617 | N/A | 7097528 | 2025-10-09 00:40:47.048421 | 2025-08-25 23:26:20.393423 |
| 2025-10-08 08:13:44.643276 | 2025-10-09 00:33:09.376706 | 13177041 | N/A | N/A | 60054 | AETNA | 1114042165 | 13177041 | Athletic Physical Therapy Inc | 1940-12-29 | 2025-10-09 | M | AE | PT | TRUNNELL | 101505559100 | WAYNE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.121030872.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6786642/check_13177041_7e2a213b-44cd-41ac-9594-2a3630eaf24d.json | N/A | N/A | N/A | N/A | N/A | 101505559100 | Point of Service (POS) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-12-29 | 000003-CA000074 | 000003-CA | N/A | PS | false | TRUNNELL | N/A | WAYNE | N/A | N/A | N/A | AETNA MEDICARE PLUS (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8974016214 | N/A | N/A | 6786642 | 2222 | 4793 | 13454630 | 3939 | 5818009 | 2025-10-09 00:33:09.376706 | 2025-07-15 23:19:05.900633 |
| 2025-10-08 08:13:25.369862 | 2025-10-09 00:31:50.395097 | 13176785 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | 13176785 | Athletic Physical Therapy Inc | 1958-07-23 | 2025-10-09 | F | PT | N/A | BURNS | JQW418W16911 | MARY BETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.111124860.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8415251/check_13176785_7207c2f3-6c06-4ac1-89b8-132cfae9b9ae.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 | 8973706482 | N/A | N/A | 8415251 | 2222 | 4801 | 13453808 | N/A | 4209247 | 2025-10-09 00:31:50.395097 | 2025-07-22 18:58:10.876206 |
| 2025-10-08 08:12:41.064722 | 2025-10-09 00:35:52.907194 | 13176141 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13176141 | Athletic Physical Therapy Inc | 1997-05-07 | 2025-10-10 | F | PT | N/A | KEIPINGER | FDP220267648 | ALEXIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.131624522.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9980304/check_13176141_6d19435c-8bdc-4aae-b170-8cb16764ccd1.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 | 8973674098 | N/A | N/A | 9980304 | 2222 | 4793 | 13456354 | N/A | 8354055 | 2025-10-09 00:35:52.907194 | 2025-10-03 21:21:52.013920 |
| 2025-10-08 08:12:36.135920 | 2025-10-09 00:36:39.204596 | 13176076 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 13176076 | Athletic Physical Therapy Inc | 2000-12-17 | 2025-10-09 | M | AE | PT | Ke | QVVKND00 | Haozhe | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.111124860.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8405192/check_13176076_053dfec7-9caf-43d7-b4df-a4bc6851f4e6.json | N/A | N/A | N/A | N/A | N/A | QVVKND00 | N/A | N/A | ZELIS HEALTHCARE | PATIENT HAS ACTIVE COVERAGE BASED ON DATA AVAILABLE AS OF DATE OF REQUEST. CONTACT OTHER ENTITY TO VALIDATE | 2000-12-17 | N/A | N/A | N/A | N/A | false | KE | N/A | HAOZHE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8973707560 | N/A | N/A | 8405192 | 2222 | 4802 | 13456887 | N/A | 7083453 | 2025-10-09 00:36:39.204596 | 2025-08-26 19:33:12.586504 |
| 2025-10-08 08:12:06.631951 | 2025-10-09 00:45:02.534885 | 13175699 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13175699 | Athletic Physical Therapy Inc | 1977-09-14 | 2025-10-10 | F | PT | N/A | CONTI | CAI143A79624 | MARIANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.111925636.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993920/check_13175699_a2a05bff-8f75-4f34-9a79-00fb8eb99faf.json | N/A | N/A | N/A | N/A | N/A | CAI143A79624 | Health Maintenance Organization (HMO) | CALIFORNIA PUBLIC EMPLOYEES RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1977-09-14 | 040 | HNB010AS | N/A | HM | false | CONTI | N/A | MARIANA | N/A | 9999-12-31 | 2019-01-01 | CALPERS SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8973732956 | N/A | N/A | 5993920 | 2222 | 4793 | 13463022 | 4184 | 4642859 | 2025-10-09 00:45:02.534885 | 2026-04-10 21:27:25.225083 |
| 2025-10-08 08:11:56.290233 | 2025-10-09 00:43:42.916340 | 13175574 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13175574 | Athletic Physical Therapy Inc | 1965-04-22 | 2025-10-10 | M | PT | N/A | MCHALE | ZGP814915047 | TIMOTHY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.110338020.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9691017/check_13175574_8c231db4-27c7-4ddc-8c26-44777fb13846.json | N/A | N/A | N/A | N/A | N/A | ZGP814915047 | Preferred Provider Organization (PPO) | NATIONAL TRENCH SAFETY, INC | CUSTOMER SERVICE | N/A | 1965-04-22 | N/A | 400397 | N/A | PR | false | MCHALE | N/A | TIMOTHY | N/A | 9999-12-31 | 2025-01-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8973678164 | N/A | N/A | 9691017 | 2222 | 4801 | 13462044 | N/A | 4212607 | 2025-10-09 00:43:42.916340 | 2025-09-24 22:37:58.534216 |
| 2025-10-08 08:11:39.124539 | 2025-10-09 00:44:54.066980 | 13175358 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13175358 | Athletic Physical Therapy Inc | 1963-11-05 | 2025-10-10 | M | PT | N/A | GAVCUS | 913959142000 | VINCENT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.110338020.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9684155/check_13175358_bbe51d94-be04-4090-8845-a181a2ccaec1.json | N/A | N/A | N/A | N/A | N/A | XEH913959142 | Health Maintenance Organization (HMO) | KB CONSTRUCTION COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1963-11-05 | 1000VX000101 | W0022613 | N/A | HM | false | GAVCUS | N/A | VINCENT | N/A | 9999-12-31 | 2024-12-01 | BASIC LIFE AND AD D INSURANCE 10 000 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8973677287 | N/A | N/A | 9684155 | 2222 | 4801 | 13462904 | N/A | 8103467 | 2025-10-09 00:44:54.066980 | 2025-09-25 15:37:09.669427 |
| 2025-10-08 08:11:34.862080 | 2025-10-09 00:51:42.033686 | 13175304 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13175304 | Athletic Physical Therapy Inc | 1959-02-04 | 2025-10-10 | F | AE | PT | SMITS | 9TF8JW2XU20 | HEIDI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.110338020.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681583/check_13175304_313b9f15-bc78-4810-b490-2d38552785e4.json | N/A | N/A | N/A | N/A | N/A | 9TF8JW2XU20 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-04 | S4802 | N/A | N/A | MA | false | SMITS | N/A | HEIDI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8973677274 | N/A | N/A | 9681583 | 2222 | 4793 | 13468001 | N/A | 8101289 | 2025-10-09 00:51:42.033686 | 2025-09-24 17:05:46.431721 |
| 2025-10-08 08:11:25.599920 | 2025-10-09 00:45:55.716499 | 13175191 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13175191 | Athletic Physical Therapy Inc | 1956-06-26 | 2025-10-10 | F | AE | PT | SUAREZ | JQE410W22492 | ANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.141022543.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9083355/check_13175191_2e4ae038-2be2-4f8a-b628-4425a44782f6.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 | 8973919426 | N/A | N/A | 9083355 | 2222 | 4801 | 13463690 | N/A | 7600312 | 2025-10-09 00:45:55.716499 | 2025-09-04 18:19:39.478018 |
| 2025-10-08 08:09:33.189123 | 2025-10-09 00:36:37.564162 | 13174156 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13174156 | Athletic Physical Therapy Inc | 1961-05-13 | 2025-10-10 | F | PT | N/A | HOUSEMAN | JAC912275311 | REBECCA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.131624522.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9937308/check_13174156_df56fa8a-d826-499e-8e25-98ef066241ed.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 | IFP EMB PED DPPO NATIVE AMER JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8973673673 | N/A | N/A | 9937308 | 2222 | 4793 | 13456872 | N/A | 8318674 | 2025-10-09 00:36:37.564162 | 2025-10-03 16:07:07.538918 |
| 2025-10-08 08:09:23.238614 | 2025-10-09 00:35:19.211277 | 13174018 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 13174018 | Athletic Physical Therapy Inc | 1959-11-18 | 2025-10-09 | M | AE | PT | PEREZ | 205330201 | JUAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.131624522.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9935305/check_13174018_275ab07b-d249-435f-93ad-1e91fd657e71.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 | 8973675223 | N/A | N/A | 9935305 | 2222 | 4802 | 13455996 | N/A | 8316227 | 2025-10-09 00:35:19.211277 | 2025-10-02 19:18:17.311007 |
| 2025-10-08 08:09:10.565028 | 2025-10-09 00:40:47.087109 | 13173825 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13173825 | Athletic Physical Therapy Inc | 1941-12-12 | 2025-10-09 | M | AE | PT | ABARTA | 1KM2G22MJ15 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.131624522.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9929496/check_13173825_9e2db2e6-1e96-4613-aaf8-59d673705990.json | N/A | N/A | N/A | N/A | N/A | 1KM2G22MJ15 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1941-12-12 | S5617 | N/A | N/A | MA | false | ABARTA | N/A | STEVE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8973673407 | N/A | N/A | 9929496 | 2222 | 4801 | 13459619 | N/A | 8313339 | 2025-10-09 00:40:47.087109 | 2025-10-02 18:29:23.013167 |
| 2025-10-08 08:09:01.444000 | 2025-10-09 00:32:41.583622 | 13173659 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13173659 | Athletic Physical Therapy Inc | 1944-02-19 | 2025-10-09 | M | PT | N/A | CHRISTIE | 302A7856910 | GEORGE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.110338020.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9635046/check_13173659_dd530628-fb58-42e0-bde8-2f69dfa4f98a.json | N/A | N/A | N/A | N/A | N/A | 302A7856910 | 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 | 8973677795 | N/A | N/A | 9635046 | 2222 | 4801 | 13454299 | N/A | 4213398 | 2025-10-09 00:32:41.583622 | 2025-09-22 22:02:57.508447 |
| 2025-10-08 08:08:45.418956 | 2025-10-09 00:35:52.016524 | 13173416 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13173416 | Athletic Physical Therapy Inc | 1968-11-25 | 2025-10-10 | F | PT | N/A | Bomer | NCF444A64895 | Teresa | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.131624522.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9923856/check_13173416_3c90390c-3f53-4dea-9c32-06ad16468338.json | N/A | N/A | N/A | N/A | N/A | NCF444A64895 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1968-11-25 | 040 | 57AJCA | N/A | HM | false | BOMER | N/A | TERESA | N/A | 9999-12-31 | 2010-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8973674205 | N/A | N/A | 9923856 | 2222 | 4802 | 13456347 | N/A | 8308861 | 2025-10-09 00:35:52.016524 | 2025-10-02 14:30:16.702176 |
| 2025-10-08 08:08:28.266606 | 2025-10-09 00:43:43.642171 | 13173136 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13173136 | Athletic Physical Therapy Inc | 2010-12-10 | 2025-10-10 | M | PT | N/A | YI | NGO680A63518 | KYLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.110338020.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9561995/check_13173136_6d134e32-25f2-4475-8d1e-c11060f02831.json | N/A | N/A | N/A | N/A | N/A | NGO680A63518 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 2010-12-10 | 040 | 174022MAAC | N/A | PR | false | YI | N/A | KORY | N/A | 9999-12-31 | 2025-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8973677941 | N/A | N/A | 9561995 | 2222 | 4793 | 13462054 | N/A | 7997125 | 2025-10-09 00:43:43.642171 | 2025-09-28 23:06:02.931066 |
| 2025-10-08 08:08:25.107580 | 2025-10-09 00:31:16.621202 | 13173095 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 13173095 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-10-10 | F | AE | PT | SHAKIB | 95751543E35181 | PARI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.105510070.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7561654/check_13173095_3d1983c8-6de5-4bab-ad8f-85a76ef7e83d.json | N/A | N/A | N/A | N/A | N/A | 95751543E35181 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1952-05-04 | N/A | N/A | N/A | N/A | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8973653074 | N/A | N/A | 7561654 | 2222 | 4802 | 13453535 | N/A | 6395498 | 2025-10-09 00:31:16.621202 | 2026-02-18 02:38:35.073779 |
| 2025-10-08 08:08:23.673662 | 2025-10-09 00:51:11.468664 | 13173068 | N/A | N/A | SRRGA | Railroad Medicare | 1114042165 | 13173068 | Athletic Physical Therapy Inc | 1977-03-25 | 2025-10-10 | M | AE | PT | BRADBURY | 7HR3VE4QQ94 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.110338020.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9557582/check_13173068_55c1b408-c95a-4512-9378-16bc51088f00.json | N/A | N/A | N/A | N/A | N/A | 7HR3VE4QQ94 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1977-03-25 | S5617 | N/A | N/A | MB | false | BRADBURY | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8973677921 | N/A | N/A | 9557582 | 2222 | 4801 | 13467678 | N/A | 7992729 | 2025-10-09 00:51:11.468664 | 2025-10-01 17:15:45.167667 |
| 2025-10-08 08:08:15.321595 | 2025-10-09 00:32:18.015452 | 13172929 | N/A | N/A | 60054 | Aetna | 1114042165 | 13172929 | Athletic Physical Therapy Inc | 1966-11-25 | 2025-10-09 | M | AE | PT | MARASCHI | W279080803 | RICHARD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.131624522.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9905198/check_13172929_ba448f92-28c2-4411-a1a5-7ec98c1db0f9.json | N/A | N/A | N/A | N/A | N/A | W279080803 | Point of Service (POS) | ADOBE INC. | AETNA | N/A | 1966-11-25 | 0660819 | 066081901600001 | N/A | PS | false | MARASCHI | N/A | RICHARD | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8973674954 | N/A | N/A | 9905198 | 2222 | 4793 | 13454087 | N/A | 8292873 | 2025-10-09 00:32:18.015452 | 2025-10-02 14:48:07.243236 |
| 2025-10-08 08:08:15.203113 | 2025-10-09 00:34:30.426606 | 13172927 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 13172927 | Athletic Physical Therapy Inc | 1955-01-29 | 2025-10-09 | F | AE | PT | Pittman | 40042829601 | Jeri | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.131624522.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9905190/check_13172927_283d704d-6c09-452e-8bb8-2ca4af28cc7e.json | N/A | N/A | N/A | N/A | N/A | 40042829601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1955-01-29 | 2025H0976001LAAF | H0976DSNP | N/A | N/A | false | PITTMAN | N/A | JERI | N/A | N/A | N/A | CALIFORNIA MEDI-CAL PLAN 200 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8973674953 | N/A | N/A | 9905190 | 2222 | 4802 | 13455514 | N/A | 8292862 | 2025-10-09 00:34:30.426606 | 2025-10-01 22:54:36.621075 |
| 2025-10-08 08:07:46.454070 | 2025-10-09 00:36:56.991850 | 13172525 | N/A | N/A | 60054 | Aetna | 1114042165 | 13172525 | Athletic Physical Therapy Inc | 1960-01-04 | 2025-10-10 | F | AE | PT | MARLEY | W032070695 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.110338020.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9512811/check_13172525_81d87697-0bb5-4d83-ad16-9e2262b1ada5.json | N/A | N/A | N/A | N/A | N/A | W032070695 | Exclusive Provider Organization | COSTCO WHOLESALE CORPORATION | AETNA | N/A | 1960-01-04 | 0169579 | 016957901100002 | N/A | EP | false | MARLEY | N/A | MARIA | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8973676183 | N/A | N/A | 9512811 | 2222 | 4801 | 13457087 | N/A | 7955514 | 2025-10-09 00:36:56.991850 | 2025-09-26 00:32:05.426711 |
| 2025-10-08 08:07:43.371808 | 2025-10-09 00:43:25.615618 | 13172495 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 13172495 | Athletic Physical Therapy Inc | 1959-04-22 | 2025-10-10 | F | AE | PT | MATHESON | 00000433752 | JANET | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.110338020.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9511696/check_13172495_f0ce571b-2eaa-4c2f-9cce-ad0934817bc1.json | N/A | N/A | N/A | N/A | N/A | 00000433752 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1959-04-22 | H3815028 | N/A | N/A | HM | false | MATHESON | N/A | JANET | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8973676175 | N/A | N/A | 9511696 | 2222 | 4801 | 13461832 | N/A | 7954244 | 2025-10-09 00:43:25.615618 | 2025-09-29 18:15:39.145358 |
| 2025-10-08 08:07:01.055522 | 2025-10-09 00:42:22.455544 | 13172143 | N/A | N/A | 60054 | Aetna | 1114042165 | 13172143 | Athletic Physical Therapy Inc | 1961-11-04 | 2025-10-10 | F | AE | PT | SANTITORO | W267422430 | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.111925636.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550743/check_13172143_6a966089-8acf-4c01-87f9-6bb3beeab7d0.json | N/A | N/A | N/A | N/A | N/A | W267422430 | Point of Service (POS) | CIENA CORPORATION | AETNA | N/A | 1961-11-04 | 0486875 | 048687501000001 | N/A | PS | false | SANTITORO | N/A | RALPH | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8973732505 | N/A | N/A | 5550743 | 2222 | 4801 | 13460925 | N/A | 4219643 | 2025-10-09 00:42:22.455544 | 2025-05-13 04:29:37.230685 |
| 2025-10-08 08:06:59.478487 | 2025-10-09 00:45:02.860420 | 13172127 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13172127 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-10-10 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.111925636.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_13172127_f0bbae50-373e-4ebb-9979-936419f8722d.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8973732504 | N/A | N/A | 5549317 | 2222 | 4801 | 13463026 | N/A | 4219010 | 2025-10-09 00:45:02.860420 | 2026-01-09 18:32:07.618867 |
| 2025-10-08 08:06:53.927397 | 2025-10-09 00:44:49.152755 | 13172080 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13172080 | Athletic Physical Therapy Inc | 1962-06-19 | 2025-10-10 | M | AE | PT | MILIAN GOMEZ | 93331019F | MIGUEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.111925636.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543555/check_13172080_760521bd-5b8e-41af-9c6a-1263804104c1.json | N/A | N/A | N/A | N/A | N/A | 93331019F | N/A | N/A | HEALTH NET, LLC | N/A | 1962-06-19 | N/A | N/A | N/A | N/A | false | MILIAN GOMEZ | N/A | MIGUEL | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8973732241 | N/A | N/A | 5543555 | 2222 | 4802 | 13462844 | N/A | 4215332 | 2025-10-09 00:44:49.152755 | 2025-08-06 16:15:15.716322 |
| 2025-10-08 08:06:53.630774 | 2025-10-09 00:45:04.241023 | 13172077 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13172077 | Athletic Physical Therapy Inc | 1968-12-01 | 2025-10-10 | F | PT | N/A | BECERRA | CZCAN2537305 | BLANCA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.110338020.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9487590/check_13172077_eb0e4218-e743-4d32-9c47-e7db3b7a2aea.json | N/A | N/A | N/A | N/A | N/A | CZCAN2537305 | Preferred Provider Organization (PPO) | PPO W/BLUE DISTINCTION W/AIM FTR GOLD | BLUE SHIELD OF CALIFORNIA | N/A | 1968-12-01 | 060 | 270196M71A | N/A | PR | false | BECERRA | N/A | JAIME | N/A | 9999-12-31 | 2022-01-01 | CT BLUE CARD PREFERRED PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8973677264 | N/A | N/A | 9487590 | 2222 | 4793 | 13463042 | N/A | 7937217 | 2025-10-09 00:45:04.241023 | 2025-09-26 14:34:41.732941 |
| 2025-10-08 08:06:51.728990 | 2025-10-09 00:42:03.123428 | 13172059 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 13172059 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-10-10 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.111925636.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_13172059_413c347e-108c-477b-8fba-3ce847587bd9.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-03-27 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | 2078-12-31 | 2024-11-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8973732240 | N/A | N/A | 5543270 | 2222 | 4793 | 13460634 | N/A | 4215086 | 2025-10-09 00:42:03.123428 | 2025-05-13 04:29:37.229401 |
| 2025-10-08 08:06:49.959194 | 2025-10-09 00:44:57.611383 | 13172042 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 13172042 | Athletic Physical Therapy Inc | 1961-02-27 | 2025-10-09 | M | AE | PT | SHRIVER | 90771207E | DANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.111925636.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541984/check_13172042_85e04a8d-3b42-4ee3-a5cf-7554e1e53dd3.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1961-02-27 | N/A | N/A | N/A | N/A | false | SHRIVER | N/A | DANIEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8973732239 | N/A | N/A | 5541984 | 2222 | 4802 | 13462954 | N/A | 4213934 | 2025-10-09 00:44:57.611383 | 2026-01-27 23:36:44.802366 |
| 2025-10-08 08:06:48.714029 | 2025-10-09 00:36:49.082071 | 13172035 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13172035 | Athletic Physical Therapy Inc | 2000-04-05 | 2025-10-09 | F | PT | N/A | ERLIG | NCF707A22419 | KATHERINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.131624522.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9895277/check_13172035_f295b084-6498-4806-9a28-2de3fae0a71a.json | N/A | N/A | N/A | N/A | N/A | NCF707A22419 | Health Maintenance Organization (HMO) | CALTECH JPL HMO ADVANTAGE | BLUE SHIELD OF CALIFORNIA | N/A | 2000-04-05 | 040 | 175104H220 | N/A | HM | false | ERLIG | N/A | HERNAN | N/A | 9999-12-31 | 2020-01-01 | BLUE CROSS ADVANTAGE HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8973674601 | N/A | N/A | 9895277 | 2222 | 4793 | 13456997 | N/A | 8284820 | 2025-10-09 00:36:49.082071 | 2025-10-02 18:42:34.968101 |
| 2025-10-08 08:06:47.588302 | 2025-10-09 00:44:46.678381 | 13172025 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 13172025 | Athletic Physical Therapy Inc | 1947-02-01 | 2025-10-10 | M | AE | PT | YEE | 412922301 | HARRY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.111925636.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541972/check_13172025_e6189853-5e76-42ca-999b-a6aa1796a000.json | N/A | N/A | N/A | N/A | N/A | 412922301 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1947-02-01 | N/A | HCFA21 | N/A | HN | false | YEE | N/A | HARRY | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8973732238 | N/A | N/A | 5541972 | 2222 | 4793 | 13462811 | N/A | 4213941 | 2025-10-09 00:44:46.678381 | 2025-05-13 04:29:37.228259 |
| 2025-10-08 08:06:45.566600 | 2025-10-09 00:45:02.221865 | 13172006 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13172006 | Athletic Physical Therapy Inc | 1959-05-13 | 2025-10-10 | F | PT | N/A | ADRIANZEN FERNAN | MMA221W20054 | AURA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.111925636.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541944/check_13172006_97e36314-b2d4-4a71-92b2-91bdf4329514.json | N/A | N/A | N/A | N/A | N/A | MMA221W20054 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-05-13 | 040 | CAMCRWP0 | N/A | MP | false | ADRIANZEN FERNANDEZ | N/A | AURA | 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 | 8973732237 | N/A | N/A | 5541944 | 2222 | 4801 | 13463017 | 4184 | 4213907 | 2025-10-09 00:45:02.221865 | 2025-05-13 04:29:37.228228 |
| 2025-10-08 08:06:43.944763 | 2025-10-09 00:45:31.323844 | 13171990 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13171990 | Athletic Physical Therapy Inc | 1980-03-25 | 2025-10-10 | F | PT | N/A | HILLIGER | XEA902904791 | JENNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.111925636.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541730/check_13171990_12ae5f00-6747-461b-b49c-25c8a15b2d9d.json | N/A | N/A | N/A | N/A | N/A | XEA902904791 | Preferred Provider Organization (PPO) | HILLIGER INC | BLUE SHIELD CALIFORNIA | N/A | 1980-03-25 | 1000VX000102 | W0060472 | N/A | PR | false | HILLIGER | N/A | JENNIFER | N/A | 9999-12-31 | 2025-08-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8973732236 | N/A | N/A | 5541730 | 2222 | 4793 | 13463367 | N/A | 4213725 | 2025-10-09 00:45:31.323844 | 2025-05-13 04:29:37.228045 |
| 2025-10-08 08:06:41.438554 | 2025-10-09 00:45:31.612201 | 13171971 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13171971 | Athletic Physical Therapy Inc | 1997-07-14 | 2025-10-10 | M | PT | N/A | SHERBETJIAN | XED910281081 | JACK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.111925636.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540558/check_13171971_5f326b82-596e-484f-9bb7-917ee5b21296.json | N/A | N/A | N/A | N/A | N/A | XED910281081 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-14 | 2001ZK002184 | X0001004 | N/A | PR | false | SHERBETJIAN | N/A | JACK | N/A | 9999-12-31 | 2021-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8973732235 | N/A | N/A | 5540558 | 2222 | 4801 | 13463371 | N/A | 4212698 | 2025-10-09 00:45:31.612201 | 2025-05-13 04:29:37.227042 |
| 2025-10-08 08:06:39.936436 | 2025-10-09 00:49:20.213818 | 13171959 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13171959 | Athletic Physical Therapy Inc | 1952-12-18 | 2025-10-10 | F | AE | PT | DU BRIN | 7KN7YG8XT63 | SUSAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.111925636.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538600/check_13171959_27b3cfe4-3e72-42c1-a80d-62dc070fe4a7.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 | 8973732233 | N/A | N/A | 5538600 | 2222 | 4793 | 13466156 | N/A | 4210998 | 2025-10-09 00:49:20.213818 | 2026-02-23 18:49:01.874308 |
| 2025-10-08 08:06:38.123172 | 2025-10-09 00:45:03.170217 | 13171943 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13171943 | Athletic Physical Therapy Inc | 1964-10-19 | 2025-10-10 | M | PT | N/A | NIELSEN | XDP057A76330 | ROY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.111925636.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537188/check_13171943_d4838e71-cdf0-4173-9355-398357a071d1.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629MN16 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 2025-11-01 | 2025-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8973732232 | N/A | N/A | 5537188 | 2222 | 4802 | 13463031 | N/A | 4209789 | 2025-10-09 00:45:03.170217 | 2025-05-13 04:29:37.224215 |
| 2025-10-08 08:06:36.861822 | 2025-10-09 00:44:33.839083 | 13171934 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 13171934 | Athletic Physical Therapy Inc | 1952-12-16 | 2025-10-10 | F | AE | PT | PORTER | 400282215401 | SHERIL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.111925636.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535434/check_13171934_1d631f01-aed6-4e7a-bd4c-fb36e7351527.json | N/A | N/A | N/A | N/A | N/A | 40028215401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-12-16 | 2025H5425001 | H5425M | N/A | N/A | false | PORTER | N/A | SHERIL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8973732231 | N/A | N/A | 5535434 | 2222 | 4793 | 13462646 | N/A | 4208356 | 2025-10-09 00:44:33.839083 | 2025-08-25 14:49:27.724897 |
| 2025-10-08 08:06:08.085570 | 2025-10-09 00:40:47.704473 | 13171673 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13171673 | Athletic Physical Therapy Inc | 1960-10-21 | 2025-10-10 | M | AE | PT | UPSON | 6MH7ED3NE57 | MARK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.131624522.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9893712/check_13171673_23ab14db-304f-4371-bb93-c7fca7638a28.json | N/A | N/A | N/A | N/A | N/A | 6MH7ED3NE57 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-10-21 | S5617 | N/A | N/A | MA | false | UPSON | N/A | MARK | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8973673912 | N/A | N/A | 9893712 | 2222 | 4801 | 13459625 | N/A | 4219691 | 2025-10-09 00:40:47.704473 | 2025-05-13 04:29:37.230736 |
| 2025-10-08 08:05:17.395573 | 2025-10-09 00:42:52.226491 | 13170982 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13170982 | Athletic Physical Therapy Inc | 1988-06-03 | 2025-10-10 | F | AE | PT | TORST | R11937526FM1 | SHARLEAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.110338020.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9454942/check_13170982_912f6dd1-a48d-40e0-9b68-573ebb747e02.json | N/A | N/A | N/A | N/A | N/A | R11937526FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1988-06-03 | N/A | N/A | N/A | N/A | false | TORST | N/A | SHARLEAN | N/A | N/A | N/A | KVD SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8973676155 | N/A | N/A | 9454942 | 2222 | 4801 | 13461354 | N/A | 7906863 | 2025-10-09 00:42:52.226491 | 2025-09-29 16:17:16.352774 |
| 2025-10-08 08:05:07.317668 | 2025-10-09 00:47:00.437827 | 13170828 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13170828 | Athletic Physical Therapy Inc | 1956-05-22 | 2025-10-10 | F | AE | PT | CHOOBIN | 6F99G11UV44 | KEFAYAT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.111124860.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8205054/check_13170828_72cfa666-a074-4d88-bf46-9a80a147c302.json | N/A | N/A | N/A | N/A | N/A | 6F99G11UV44 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-05-22 | S4802 | N/A | N/A | MA | false | CHOOBIN | N/A | KEFAYAT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8973706469 | N/A | N/A | 8205054 | 2222 | 4793 | 13464516 | N/A | 6967073 | 2025-10-09 00:47:00.437827 | 2025-08-26 17:15:30.662072 |
| 2025-10-08 08:05:05.461567 | 2025-10-09 00:39:14.848945 | 13170799 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13170799 | Athletic Physical Therapy Inc | 1961-03-10 | 2025-10-09 | M | PT | N/A | WEBBER | NEI801068106 | CHAD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.111124860.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8204846/check_13170799_5be6bdff-bbdf-4071-8e6b-e5cf1e1f2773.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 | 8973706465 | N/A | N/A | 8204846 | 2222 | 4801 | 13458577 | N/A | 6966879 | 2025-10-09 00:39:14.848945 | 2025-08-19 23:20:37.306121 |
| 2025-10-08 08:04:51.274161 | 2025-10-09 00:40:47.169333 | 13170574 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13170574 | Athletic Physical Therapy Inc | 1959-09-25 | 2025-10-10 | F | AE | PT | SIQUEIROS | 00000416329 | NEOMI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.111020886.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7783566/check_13170574_f8d71e07-01c9-4d14-a6df-5b857dd1e52d.json | N/A | N/A | N/A | N/A | N/A | 00000416329 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1959-09-25 | H3815028 | N/A | N/A | HM | false | SIQUEIROS | N/A | NEOMI | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8973711610 | N/A | N/A | 7783566 | 2222 | 4793 | 13459618 | 2630 | 6628802 | 2025-10-09 00:40:47.169333 | 2025-08-05 16:32:50.217064 |
| 2025-10-08 08:04:46.449929 | 2025-10-09 00:40:46.617389 | 13170498 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13170498 | Athletic Physical Therapy Inc | 2014-01-08 | 2025-10-10 | F | PT | N/A | DIAZ | XEA902904791 | MCKINLEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.111124860.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202983/check_13170498_23c35a14-c5f6-49ef-a75d-00259876a240.json | N/A | N/A | N/A | N/A | N/A | XEA902904791 | Preferred Provider Organization (PPO) | HILLIGER INC | BLUE SHIELD CALIFORNIA | N/A | 2014-01-08 | 1000VX000102 | W0060472 | N/A | PR | false | HILLIGER | N/A | JENNIFER | N/A | 2040-01-31 | 2025-08-01 | PLATINUM FULL PPO 0 10 OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8973706434 | N/A | N/A | 8202983 | 2222 | 4793 | 13459613 | N/A | 6965635 | 2025-10-09 00:40:46.617389 | 2025-09-05 19:59:40.463785 |
| 2025-10-08 08:04:45.328126 | 2025-10-09 00:42:51.540337 | 13170477 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13170477 | Athletic Physical Therapy Inc | 1996-07-14 | 2025-10-10 | F | AE | PT | Smith | R13448873FM1 | Hanah | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.110338020.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9436237/check_13170477_5dc8f7f8-0869-4609-962b-60b5bbc08980.json | N/A | N/A | N/A | N/A | N/A | R13448873FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1996-07-14 | N/A | N/A | N/A | N/A | false | SMITH | N/A | HANNAH | N/A | N/A | N/A | K9N SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8973677420 | N/A | N/A | 9436237 | 2222 | 4802 | 13461346 | N/A | 7892301 | 2025-10-09 00:42:51.540337 | 2025-09-16 00:12:50.080432 |
| 2025-10-08 08:04:42.074016 | 2025-10-09 00:32:18.306562 | 13170436 | N/A | N/A | 60054 | Aetna | 1114042165 | 13170436 | Athletic Physical Therapy Inc | 1976-12-17 | 2025-10-10 | M | AE | PT | Ramos | W263196559 | Jerome Petrocelli | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251008.131624522.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9862743/check_13170436_d55d0abe-bb9d-417b-bfcd-aa47253c2300.json | N/A | N/A | N/A | N/A | N/A | W263196559 | Preferred Provider Organization (PPO) | HOSPITAL CORPORATION OF AMERICA | AETNA | N/A | 1976-12-17 | 0160833 | 016083305000013 | N/A | PR | false | RAMOS | N/A | JEROME | N/A | N/A | N/A | OPEN CHOICE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8973674224 | N/A | N/A | 9862743 | 2222 | 4801 | 13454090 | N/A | 8258250 | 2025-10-09 00:32:18.306562 | 2025-09-30 21:47:59.000682 |