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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-07 10:04:38.034811 | 2025-10-07 10:04:39.917922 | 13130236 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-12-07 | 2025-10-07 | M | AE | PT | 4497 | WALLACH | 1PD0KF7JH37 | CHARLES | https://storage.googleapis.com/normandy-eligibility-checks/2222/7821426/check_13130236_da0c5b80-8860-49df-8b0c-cc74253d3f65.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7821426/check_13130236_3caa243a-20cb-441c-9d1d-a7d4e88f50bd.json | N/A | N/A | N/A | N/A | N/A | 1PD0KF7JH37 | Medicare Part B | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1971-12-07 | N/A | N/A | N/A | MB | false | WALLACH IV | N/A | CHARLES | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963681631 | N/A | N/A | 7821426 | 2222 | N/A | 13312799 | N/A | 6660003 | 2025-10-07 10:04:39.917922 | 2026-06-01 17:03:48.982724 |
| 2025-10-07 10:04:33.898545 | 2025-10-07 10:04:36.312835 | 13130217 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-01-25 | 2025-10-07 | M | AE | PT | 5505 | CORAY | 00003138358 | KLAUS | https://storage.googleapis.com/normandy-eligibility-checks/2222/7815883/check_13130217_67915b03-6d3e-41a4-bf6b-0f8432b32abe.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7815883/check_13130217_5ef3b9ff-45eb-433d-bc7d-ed4200136ba1.json | N/A | N/A | N/A | N/A | N/A | 00003138358 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1964-01-25 | N/A | N/A | N/A | N/A | false | CORAY | N/A | KLAUS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7815883 | 2222 | N/A | 13312790 | N/A | 6655655 | 2025-10-07 10:04:36.312835 | 2025-09-09 21:32:56.328170 |
| 2025-10-07 10:04:30.706435 | 2025-10-07 10:04:33.887345 | 13130201 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-01-25 | 2025-10-07 | M | AE | PT | 5505 | CORAY | 00003138358 | KLAUS | https://storage.googleapis.com/normandy-eligibility-checks/2222/7815883/check_13130201_83ce25bc-9b4e-4597-bc58-47fb2b7006c8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | N/A | N/A | N/A | N/A | N/A | N/A | 00003138358 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1964-01-25 | N/A | N/A | N/A | N/A | false | CORAY | N/A | KLAUS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7815883 | 2222 | N/A | N/A | N/A | 6655655 | 2025-10-07 10:04:33.887345 | 2025-09-09 21:32:56.328170 |
| 2025-10-07 10:04:28.856543 | 2025-10-07 10:04:31.210190 | 13130192 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-02-11 | 2025-10-07 | F | AE | PT | 23293 | BASS | 101139629800 | NADINE | https://storage.googleapis.com/normandy-eligibility-checks/2222/7813006/check_13130192_c924a04f-fb61-4469-a497-f122a19269b8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7813006/check_13130192_68d14c0a-70b0-40d1-8c2f-2360ca41d4a8.json | N/A | N/A | N/A | N/A | N/A | 101139629800 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1960-02-11 | N/A | N/A | N/A | N/A | false | BASS | N/A | NADINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7813006 | 2222 | N/A | 13312775 | N/A | 6653186 | 2025-10-07 10:04:31.210190 | 2025-08-06 14:30:41.257679 |
| 2025-10-07 10:04:26.649134 | 2025-10-07 10:04:28.850825 | 13130182 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-02-11 | 2025-10-07 | F | AE | PT | 23293 | BASS | 101139629800 | NADINE | https://storage.googleapis.com/normandy-eligibility-checks/2222/7813006/check_13130182_39f5efe0-c79f-4bab-a63a-357015cac4b9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | N/A | N/A | N/A | N/A | N/A | N/A | 101139629800 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1960-02-11 | N/A | N/A | N/A | N/A | false | BASS | N/A | NADINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7813006 | 2222 | N/A | N/A | N/A | 6653186 | 2025-10-07 10:04:28.850825 | 2025-08-06 14:30:41.257679 |
| 2025-10-07 10:03:39.422375 | 2025-10-07 10:03:41.439387 | 13129999 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-04-01 | 2025-10-07 | F | AE | PT | 23326 | WESTER | 40064582501 | EIVOR | https://storage.googleapis.com/normandy-eligibility-checks/2222/7761229/check_13129999_ea77fcd5-66c3-4220-b08c-afc3110fcb0c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7761229/check_13129999_17a33d5a-c5ec-4d16-9304-152487c3b85e.json | N/A | N/A | N/A | N/A | N/A | 40064582501 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | WESTER | N/A | EIVOR | 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 | 7761229 | 2222 | N/A | 13312685 | N/A | 6610550 | 2025-10-07 10:03:41.439387 | 2025-08-29 21:18:14.924057 |
| 2025-10-07 10:03:37.287901 | 2025-10-07 10:03:39.404067 | 13129991 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1936-04-01 | 2025-10-07 | F | AE | PT | 23326 | WESTER | 40064582501 | EIVOR | https://storage.googleapis.com/normandy-eligibility-checks/2222/7761229/check_13129991_7b5b497d-6654-454f-872a-c61d4f129052.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | N/A | N/A | N/A | N/A | N/A | N/A | 40064582501 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | WESTER | N/A | EIVOR | 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 | 7761229 | 2222 | N/A | N/A | N/A | 6610550 | 2025-10-07 10:03:39.404067 | 2025-08-29 21:18:14.924057 |
| 2025-10-07 10:02:17.378074 | 2025-10-07 10:02:22.405693 | 13129735 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-07-30 | 2025-10-07 | F | AE | PT | 23277 | ROSAS | 000631488-20 | ODELI | https://storage.googleapis.com/normandy-eligibility-checks/2222/7661281/check_13129735_0dced45f-1969-44f3-a74a-6ffb33978b36.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7661281/check_13129735_43518c22-2f02-42bd-96a9-a7aff14214e9.json | N/A | N/A | N/A | N/A | N/A | 000631488-20 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1980-07-30 | N/A | N/A | N/A | N/A | false | ROSAS | N/A | ODELI | 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 | 7661281 | 2222 | N/A | 13312537 | N/A | 4211119 | 2025-10-07 10:02:22.405693 | 2025-06-06 02:30:29.873623 |
| 2025-10-07 10:02:13.809744 | 2025-10-07 10:02:17.364970 | 13129725 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-07-30 | 2025-10-07 | F | AE | PT | 23277 | ROSAS | 000631488-20 | ODELI | https://storage.googleapis.com/normandy-eligibility-checks/2222/7661281/check_13129725_17cc8dcb-af7a-40b1-a92c-16bbe8ce3f12.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | N/A | N/A | N/A | N/A | N/A | N/A | 000631488-20 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1980-07-30 | N/A | N/A | N/A | N/A | false | ROSAS | N/A | ODELI | 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 | 7661281 | 2222 | N/A | N/A | N/A | 4211119 | 2025-10-07 10:02:17.364970 | 2025-06-06 02:30:29.873623 |
| 2025-10-07 09:59:28.610387 | 2025-10-07 09:59:28.961287 | 13129115 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13129115 | Athletic Physical Therapy Inc | 1997-05-07 | 2025-10-10 | F | PT | N/A | N/A | KEIPINGER | FDP220267648 | ALEXIS | N/A | WAYSTAR | N/A | BATCH | 2025-10-10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 9980304 | 2222 | 4793 | N/A | N/A | 8354055 | 2025-10-07 09:59:28.961287 | 2025-10-03 21:21:52.013920 |
| 2025-10-07 09:58:20.269010 | 2025-10-07 09:58:22.823920 | 13128859 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1998-10-29 | 2025-10-07 | M | PT | N/A | 4184 | MARSHALL | JQU309W24257 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/7458512/check_13128859_bfcce2b8-127f-4822-b0db-7a37f2991983.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458512/check_13128859_60353333-4ca1-4c79-bd81-8bb578af5398.json | N/A | N/A | N/A | N/A | N/A | JQU309W24257 | Preferred Provider Organization (PPO) | SUNSTONE PROPERTIES LLC | ANTHEM BLUE CROSS | N/A | 1998-10-29 | 040 | A35988 | N/A | PR | false | MARSHALL | N/A | THOMAS | N/A | 9999-12-31 | 2025-07-01 | ANTHEM PLATINUM PPO 15/40/10% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963649403 | N/A | N/A | 7458512 | 2222 | N/A | 13312122 | N/A | 6021448 | 2025-10-07 09:58:22.823920 | 2025-07-14 23:05:51.728886 |
| 2025-10-07 09:58:14.461127 | 2025-10-07 09:58:16.728031 | 13128834 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13128834 | Athletic Physical Therapy Inc | 1954-12-06 | 2025-10-08 | F | AE | PT | N/A | HOLLAND | 8R45T72YM62 | PAMELA | N/A | WAYSTAR | N/A | BATCH | 2025-10-08 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 9977235 | 2222 | 4801 | N/A | N/A | 8350804 | 2025-10-07 09:58:16.728031 | 2025-10-08 00:49:14.553098 |
| 2025-10-07 09:58:12.228811 | 2025-10-07 09:58:16.583627 | 13128827 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-23 | 2025-10-07 | M | AE | PT | 4211 | Thur | 95641377F | Pyi | https://storage.googleapis.com/normandy-eligibility-checks/2222/7449843/check_13128827_24ff684b-430b-43ff-a0cb-4eae19411620.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449843/check_13128827_63a97acf-53da-427e-ba0b-393ff769701f.json | N/A | N/A | N/A | N/A | N/A | 95641377F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 11/30/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1962-09-23 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | THUR | N/A | PYI | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963649066 | N/A | N/A | 7449843 | 2222 | N/A | 13312106 | N/A | 6399635 | 2025-10-07 09:58:16.583627 | 2025-07-29 18:42:47.970149 |
| 2025-10-07 09:57:09.304269 | 2025-10-07 09:57:11.450757 | 13128613 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-02-12 | 2025-10-07 | M | AE | PT | 2630 | NAGHSHBANDI | 600003958782 | ABDUL | https://storage.googleapis.com/normandy-eligibility-checks/2222/7314863/check_13128613_0812e8b6-91a4-48c1-8904-f4293b979d7c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7314863/check_13128613_d2bde629-0067-4fd3-90f5-36567a7bb987.json | N/A | N/A | N/A | N/A | N/A | 600003958782 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1954-02-12 | N/A | N/A | N/A | N/A | false | NAGHSHBANDI | N/A | ABDUL | 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 | 7314863 | 2222 | N/A | 13311983 | N/A | 4208741 | 2025-10-07 09:57:11.450757 | 2025-08-01 18:22:58.464314 |
| 2025-10-07 09:57:06.688176 | 2025-10-07 09:57:09.287933 | 13128605 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-02-12 | 2025-10-07 | M | AE | PT | 2630 | NAGHSHBANDI | 600003958782 | ABDUL | https://storage.googleapis.com/normandy-eligibility-checks/2222/7314863/check_13128605_8c50ef7b-0c5d-4b06-880e-f09564f9c483.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | N/A | N/A | N/A | N/A | N/A | N/A | 600003958782 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1954-02-12 | N/A | N/A | N/A | N/A | false | NAGHSHBANDI | N/A | ABDUL | 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 | 7314863 | 2222 | N/A | N/A | N/A | 4208741 | 2025-10-07 09:57:09.287933 | 2025-08-01 18:22:58.464314 |
| 2025-10-07 09:56:43.795425 | 2025-10-07 09:56:45.901581 | 13128526 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-01-14 | 2025-10-07 | F | PT | N/A | 4191 | KRAFT | XED911569862 | KATHRIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/7294742/check_13128526_8edacb2f-a541-4b86-a663-c5265ddb5673.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7294742/check_13128526_b69a9b87-f178-4b68-930a-e281fa7c9358.json | N/A | N/A | N/A | N/A | N/A | XED911569862 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-01-14 | 2001ZK002184 | X0001004 | N/A | PR | false | KRAFT | N/A | KATHRIN | N/A | 9999-12-31 | 2025-01-01 | SILVER 94 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963645207 | N/A | N/A | 7294742 | 2222 | N/A | 13311929 | N/A | 6254569 | 2025-10-07 09:56:45.901581 | 2025-08-12 09:24:43.956957 |
| 2025-10-07 09:53:50.739085 | 2025-10-07 09:53:54.000802 | 13128086 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-25 | 2025-10-07 | F | AE | PT | 2630 | CARRANZA | 00000342921 | KISELL | https://storage.googleapis.com/normandy-eligibility-checks/2222/7019836/check_13128086_f5526927-aee7-4f37-ba2c-f75c9e4420d6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7019836/check_13128086_ee9c06ff-3227-415d-976d-ac40ef0d76ff.json | N/A | N/A | N/A | N/A | N/A | 00000342921 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1959-07-25 | H3815039 | N/A | N/A | HM | false | CARRANZA | N/A | KISELL | N/A | N/A | N/A | ALIGNMENT HEALTH HEART & DIABETES CALPLUS (HMO C-S | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963637247 | N/A | N/A | 7019836 | 2222 | N/A | 13311649 | N/A | 4214064 | 2025-10-07 09:53:54.000802 | 2025-07-15 17:36:25.711810 |
| 2025-10-07 09:50:12.492213 | 2025-10-07 09:50:15.426266 | 13127470 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-11-23 | 2025-10-07 | F | PT | N/A | 4185 | THATTE | JQU615W06820 | MADHAVI | https://storage.googleapis.com/normandy-eligibility-checks/2222/6861355/check_13127470_8c7d3c0e-9a6c-460f-8136-c1cbeac07088.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6861355/check_13127470_d598eb6f-955e-4236-935c-f1d322c715b0.json | N/A | N/A | N/A | N/A | N/A | JQU615W06820 | Preferred Provider Organization (PPO) | CAPSIDA, INC. | ANTHEM BLUE CROSS | N/A | 1975-11-23 | 040 | K92872 | N/A | PR | false | THATTE | N/A | MADHAVI | N/A | 9999-12-31 | 2025-08-01 | CA SG ANTHEM HSA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963627320 | N/A | N/A | 6861355 | 2222 | N/A | 13311244 | N/A | 5899637 | 2025-10-07 09:50:15.426266 | 2025-07-23 05:11:18.843091 |
| 2025-10-07 09:48:34.555360 | 2025-10-07 09:48:36.548648 | 13127217 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-23 | 2025-10-07 | M | AE | PT | 4497 | Harvey | 1D65V29PD77 | Roy | https://storage.googleapis.com/normandy-eligibility-checks/2222/6714928/check_13127217_125b77ad-c809-45ac-8384-d7a6ab6629b1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714928/check_13127217_d1edaa9d-7f6a-422d-b2e9-08e7fba6e94a.json | N/A | N/A | N/A | N/A | N/A | 1D65V29PD77 | Medicare Part A | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-23 | S5660 | DOL 07092019 | N/A | MA | false | HARVEY | N/A | ROY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963621791 | N/A | N/A | 6714928 | 2222 | N/A | 13311061 | N/A | 5316172 | 2025-10-07 09:48:36.548648 | 2025-07-02 15:09:36.678003 |
| 2025-10-07 09:48:21.312706 | 2025-10-07 09:48:23.536763 | 13127186 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-02-20 | 2025-10-07 | F | AE | PT | 6798 | SALGUERO | 35955370 | DINA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6711965/check_13127186_f7325afb-d1e2-4d1f-ab0e-2e5500147e1f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6711965/check_13127186_01fa05bf-4a0c-43bd-8bd1-f9e14ea4d360.json | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | 406-005-000 | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963621063 | N/A | N/A | 6711965 | 2222 | N/A | 13311032 | N/A | 4210430 | 2025-10-07 09:48:23.536763 | 2025-05-13 04:29:37.224841 |
| 2025-10-07 09:46:45.379134 | 2025-10-07 09:46:47.899653 | 13126884 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-03-12 | 2025-10-07 | F | PT | N/A | 4191 | MCNUTT | XED904914958 | YOLANDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6668755/check_13126884_d04b2869-47d2-4fcc-82a0-77aa17074e09.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6668755/check_13126884_8b70d045-f60d-4acd-87e3-cdd207fd90fb.json | N/A | N/A | N/A | N/A | N/A | XED904914958 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-03-12 | 2001ZK002184 | X0001004 | N/A | PR | false | FERNANDEZ-MCNUTT | N/A | YOLANDA | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963615923 | N/A | N/A | 6668755 | 2222 | N/A | 13310796 | N/A | 5282877 | 2025-10-07 09:46:47.899653 | 2025-07-01 15:56:36.473431 |
| 2025-10-07 09:46:29.255197 | 2025-10-07 09:46:31.662932 | 13126831 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-09-14 | 2025-10-07 | M | AE | PT | 23307 | MEJIA | 400550122-01 | RUBEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6642365/check_13126831_3a2e8a37-d844-47ac-8f64-0137f373c414.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6642365/check_13126831_1c89cf1b-3730-47a1-9dad-7b623dbd90e5.json | N/A | N/A | N/A | N/A | N/A | 400550122-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | MEJIA | N/A | RUBEN | 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 | 6642365 | 2222 | N/A | 13310759 | N/A | 5249029 | 2025-10-07 09:46:31.662932 | 2025-07-14 01:52:51.387918 |
| 2025-10-07 09:46:26.205663 | 2025-10-07 09:46:29.244290 | 13126824 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-09-14 | 2025-10-07 | M | AE | PT | 23307 | MEJIA | 400550122-01 | RUBEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6642365/check_13126824_db288668-a655-4986-9261-bd38ead5ce79.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | N/A | N/A | N/A | N/A | N/A | N/A | 400550122-01 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | MEJIA | N/A | RUBEN | 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 | 6642365 | 2222 | N/A | N/A | N/A | 5249029 | 2025-10-07 09:46:29.244290 | 2025-07-14 01:52:51.387918 |
| 2025-10-07 09:46:17.123724 | 2025-10-07 09:46:20.875952 | 13126798 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2012-11-14 | 2025-10-07 | F | PT | N/A | 4191 | IOANNOU | PAS839113807 | PENELOPE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6621141/check_13126798_ab5b709f-4faa-438b-8b52-c5164e48b899.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6621141/check_13126798_a72011ca-3a9e-4588-a01b-e6cbecc41142.json | N/A | N/A | N/A | N/A | N/A | PAS839113807 | Preferred Provider Organization (PPO) | WEST HEALTH CARE NETWORK | CUSTOMER SERVICE | N/A | 2012-11-14 | N/A | 152010 | N/A | PR | false | IOANNOU | N/A | GEORGE | N/A | 9999-12-31 | 2018-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963608053 | N/A | N/A | 6621141 | 2222 | N/A | 13310737 | N/A | 5237460 | 2025-10-07 09:46:20.875952 | 2025-07-24 16:59:54.908041 |
| 2025-10-07 09:46:09.798804 | 2025-10-07 09:46:12.476175 | 13126779 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-03-31 | 2025-10-07 | F | PT | N/A | 4185 | BARRERA | XEH903389121 | LOLA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611912/check_13126779_1077b197-32f5-4b6f-96b9-d6199ccdb852.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611912/check_13126779_da0807c0-b09f-483e-8668-38ee6cba7fe0.json | N/A | N/A | N/A | N/A | N/A | XEH903389121 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1967-03-31 | N/A | N/A | N/A | N/A | false | BARRERA | N/A | LOLA | 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 | 6611912 | 2222 | N/A | 13310718 | N/A | 5230345 | 2025-10-07 09:46:12.476175 | 2025-07-11 20:32:03.183345 |
| 2025-10-07 09:46:06.305106 | 2025-10-07 09:46:09.783164 | 13126771 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1967-03-31 | 2025-10-07 | F | PT | N/A | 4185 | BARRERA | XEH903389121 | LOLA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611912/check_13126771_3fd96197-6b24-40cc-851d-25ee98ecc9b2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | N/A | N/A | N/A | N/A | N/A | N/A | XEH903389121 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1967-03-31 | N/A | N/A | N/A | N/A | false | BARRERA | N/A | LOLA | 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 | 6611912 | 2222 | N/A | N/A | N/A | 5230345 | 2025-10-07 09:46:09.783164 | 2025-07-11 20:32:03.183345 |
| 2025-10-07 09:45:49.889188 | 2025-10-07 09:45:51.730278 | 13126730 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-02-27 | 2025-10-07 | F | PT | N/A | 4185 | MARYAN | JPU047A23611 | MICHELLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6600346/check_13126730_c139729f-f8fb-4339-94aa-65d98c30aa61.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6600346/check_13126730_8e913a4a-4f6b-438c-b6c6-5ca8be1a60cb.json | N/A | N/A | N/A | N/A | N/A | JPU047A23611 | Preferred Provider Organization (PPO) | PREMIER AMERICA CREDIT UNION | ANTHEM BLUE CROSS | N/A | 1963-02-27 | 040 | L06734M004 | N/A | PR | false | MARYAN | N/A | MICHELLE | N/A | 9999-12-31 | 2025-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963606189 | N/A | N/A | 6600346 | 2222 | N/A | 13310682 | N/A | 4211322 | 2025-10-07 09:45:51.730278 | 2025-07-17 16:31:59.104530 |
| 2025-10-07 09:45:47.083079 | 2025-10-07 09:45:50.181884 | 13126721 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13126721 | Athletic Physical Therapy Inc | 1992-07-14 | 2025-10-10 | F | AE | PT | N/A | NECKANOFF | R12248935FM1 | MARINA | N/A | WAYSTAR | N/A | BATCH | 2025-10-10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 9938308 | 2222 | 4793 | N/A | N/A | 8319448 | 2025-10-07 09:45:50.181884 | 2025-10-02 22:19:34.025783 |
| 2025-10-07 09:44:14.810532 | 2025-10-07 09:44:17.256645 | 13126481 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2002-02-06 | 2025-10-07 | F | PT | N/A | 4191 | MANALO LAMANNA | GSC134174111001 | ISADORE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6554790/check_13126481_9447a735-dfce-428d-842a-07ce44148947.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554790/check_13126481_45b30efe-00aa-46ae-90fa-3269eaee25a1.json | N/A | N/A | N/A | N/A | N/A | GSC134174111001 | Preferred Provider Organization (PPO) | WTW/ PE CONSTELLATION SOFTWARE INC. $20 /$50 COPAY | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = SELF INSURED | 2002-02-06 | 363 | 08407400 | N/A | PR | false | MANALOLAMANNA | N/A | ANDREW | N/A | 9999-12-31 | 2022-01-01 | BLUE CARD PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963598372 | N/A | N/A | 6554790 | 2222 | N/A | 13310496 | N/A | 5177947 | 2025-10-07 09:44:17.256645 | 2026-05-11 21:31:25.186699 |
| 2025-10-07 09:43:32.195330 | 2025-10-07 09:43:35.332664 | 13126378 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13126378 | Athletic Physical Therapy Inc | 1961-05-13 | 2025-10-08 | F | PT | N/A | N/A | HOUSEMAN | JAC912275311 | REBECCA | N/A | WAYSTAR | N/A | BATCH | 2025-10-08 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 9937308 | 2222 | 4793 | N/A | N/A | 8318674 | 2025-10-07 09:43:35.332664 | 2025-10-03 16:07:07.538918 |
| 2025-10-07 09:43:17.000720 | 2025-10-07 09:43:19.372105 | 13126338 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-05-30 | 2025-10-07 | M | PT | N/A | 4184 | RODRIGUEZ | H5Q045W16688 | ROBERTO | https://storage.googleapis.com/normandy-eligibility-checks/2222/6491817/check_13126338_6aba8b39-a5b5-4973-adad-7d79d9bde0da.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6491817/check_13126338_bd06c4ed-0abe-4526-95d9-657701aff2f9.json | N/A | N/A | N/A | N/A | N/A | H5Q045W16688 | Preferred Provider Organization (PPO) | THE CHEESECAKE FACTORY RESTAURANTS INC | ANTHEM BLUE CROSS | N/A | 1965-05-30 | 040 | 174297M1AD | N/A | PR | false | ROLDAN | N/A | BRENDA | N/A | 9999-12-31 | 2025-01-01 | BC PPO EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963594673 | N/A | N/A | 6491817 | 2222 | N/A | 13310387 | N/A | 5120889 | 2025-10-07 09:43:19.372105 | 2025-06-23 18:24:54.219050 |
| 2025-10-07 09:40:38.751856 | 2025-10-07 09:40:41.315448 | 13125926 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1970-03-23 | 2025-10-07 | F | AE | PT | 4497 | ADAMSKY | 5AR2R76UH88 | ARLEEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6222571/check_13125926_ed1306df-bce5-48fd-9cf6-79e167fcf243.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6222571/check_13125926_d4f5e695-a9ad-4290-a786-e0695571f3fc.json | N/A | N/A | N/A | N/A | N/A | 5AR2R76UH88 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1970-03-23 | S4802 | N/A | N/A | MB | false | ADAMSKY | N/A | ARLEEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963582152 | N/A | N/A | 6222571 | 2222 | N/A | 13310033 | N/A | 4219835 | 2025-10-07 09:40:41.315448 | 2025-06-11 17:06:07.512166 |
| 2025-10-07 09:40:14.218877 | 2025-10-07 09:40:16.199565 | 13125853 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-10-03 | 2025-10-07 | F | AE | PT | 4497 | CAVELLA | 3QD6Q97VV77 | EMIL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6203310/check_13125853_44872be9-25da-42a2-a407-1907ec9b723f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6203310/check_13125853_ca16c6b2-f3e1-461b-9af6-3b18194e5f4a.json | N/A | N/A | N/A | N/A | N/A | 3QD6Q97VV77 | Medicare Part B | N/A | OPTUM INSURANCE OF OHIO, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-10-03 | S8841 | N/A | N/A | MB | false | CAVELLA | N/A | EMIL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963580424 | N/A | N/A | 6203310 | 2222 | N/A | 13309973 | N/A | 4846213 | 2025-10-07 09:40:16.199565 | 2025-06-10 21:58:09.734801 |
| 2025-10-07 09:40:13.560197 | 2025-10-07 09:40:15.689017 | 13125852 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-07-20 | 2025-10-07 | F | AE | PT | 4497 | NAFTZGER | 3NW9CG6WM45 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6194923/check_13125852_f7f6c328-b78f-4b85-94f8-19d3e23db1b8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6194923/check_13125852_d2630f47-e52c-432a-b89f-73c2ca8b8d66.json | N/A | N/A | N/A | N/A | N/A | 3NW9CG6WM45 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-07-20 | S5617 | N/A | N/A | MA | false | NAFTZGER | N/A | SANDRA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963580387 | N/A | N/A | 6194923 | 2222 | N/A | 13309971 | N/A | 4214889 | 2025-10-07 09:40:15.689017 | 2025-05-13 04:29:37.229212 |
| 2025-10-07 09:39:59.385163 | 2025-10-07 09:40:03.759444 | 13125820 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 13125820 | Athletic Physical Therapy Inc | 1959-11-18 | 2025-10-09 | M | AE | PT | N/A | PEREZ | 205330201 | JUAN | N/A | WAYSTAR | N/A | BATCH | 2025-10-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 9935305 | 2222 | 4802 | N/A | N/A | 8316227 | 2025-10-07 09:40:03.759444 | 2025-10-02 19:18:17.311007 |
| 2025-10-07 09:39:28.424495 | 2025-10-07 09:39:35.720336 | 13125730 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-05-02 | 2025-10-07 | F | AE | PT | 3948 | Taylor | 0322952413 | Vienna | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124049/check_13125730_6034396c-282a-44f6-a8e6-720c13e326ec.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124049/check_13125730_50c7e642-548c-45a1-82bd-9cb2710b6dc3.json | N/A | N/A | N/A | N/A | N/A | 0322952413 | Group Policy | N/A | AETNA INC | PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE, IND. OUT OF POCKET, FAMILY OUT OF POCKET INFORMATION | 1969-05-02 | 001 | 24281 | N/A | GP | false | TAYLOR | N/A | JEFFREY | N/A | N/A | N/A | OUT OF NETWORK MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963577869 | N/A | N/A | 6124049 | 2222 | N/A | 13309883 | N/A | 4766759 | 2025-10-07 09:39:35.720336 | 2025-06-04 21:51:50.184092 |
| 2025-10-07 09:39:24.342989 | 2025-10-07 09:39:26.254273 | 13125715 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1994-02-23 | 2025-10-07 | F | PT | N/A | 4191 | SHU | XAN913831469 | GABRIELA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6121701/check_13125715_5b4491b3-0c9d-49b6-9793-d6aee2b1e40f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6121701/check_13125715_ea4fe2b1-b36a-49ef-bd99-820db18cdccb.json | N/A | N/A | N/A | N/A | N/A | XAN913831469 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1994-02-23 | 1479PPOX0003 | W0051411 | N/A | PR | false | SHU | N/A | GABRIELA | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963577616 | N/A | N/A | 6121701 | 2222 | N/A | 13309856 | N/A | 4764460 | 2025-10-07 09:39:26.254273 | 2025-06-04 04:30:06.494155 |
| 2025-10-07 09:38:47.411050 | 2025-10-07 09:38:51.366282 | 13125628 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-07-02 | 2025-10-07 | M | PT | N/A | 4191 | DRISCOLL | XED912182768 | JAMES | https://storage.googleapis.com/normandy-eligibility-checks/2222/6104970/check_13125628_bacc881b-0662-4bb7-8d19-6c070872bcf8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104970/check_13125628_83b0254f-4344-454b-9951-ba76dc7a19f4.json | N/A | N/A | N/A | N/A | N/A | XED912182768 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1982-07-02 | 2001ZK002184 | X0001004 | N/A | PR | false | DRISCOLL | N/A | JAMES | N/A | 9999-12-31 | 2023-04-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963575364 | N/A | N/A | 6104970 | 2222 | N/A | 13309789 | N/A | 4749447 | 2025-10-07 09:38:51.366282 | 2025-06-06 23:16:09.869339 |
| 2025-10-07 09:36:47.239325 | 2025-10-07 09:36:50.721451 | 13125324 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-09-09 | 2025-10-07 | M | PT | N/A | 23306 | BRUNO | NCF254A54902 | PHILLIP | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993958/check_13125324_1d08f26f-bb00-435b-847e-b007e13b5c89.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993958/check_13125324_35a7ba76-2e8a-4383-92b7-1212c3573124.json | N/A | N/A | N/A | N/A | N/A | NCF254A54902 | Health Maintenance Organization (HMO) | LOS ANGELES POLICE RELIEF ASN INC | BLUE SHIELD OF CALIFORNIA | N/A | 1959-09-09 | 040 | 57CP3A | N/A | HM | false | BRUNO | N/A | PHILLIP | N/A | 9999-12-31 | 2023-03-01 | BLUE CROSS HMO PLUS CC01 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963567784 | N/A | N/A | 5993958 | 2222 | N/A | 13309535 | N/A | 4642892 | 2025-10-07 09:36:50.721451 | 2025-05-29 23:29:01.820749 |
| 2025-10-07 09:36:44.605415 | 2025-10-07 09:36:49.529874 | 13125318 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-01-20 | 2025-10-07 | F | AE | PT | 3948 | DAVIS | W258779471 | MARTINA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993951/check_13125318_4c03be2b-6fb4-4b15-a819-17168de5ef96.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993951/check_13125318_234086c8-65c3-41dc-b5a2-a617118f8890.json | N/A | N/A | N/A | N/A | N/A | W258779471 | Point of Service (POS) | ADP TOTALSOURCE SERVICES, INC. | AETNA | N/A | 1986-01-20 | 0251371 | 025137101900020 | N/A | PS | false | DAVIS | N/A | ASTIN | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963567601 | N/A | N/A | 5993951 | 2222 | N/A | 13309533 | N/A | 4642884 | 2025-10-07 09:36:49.529874 | 2025-12-02 20:19:19.910444 |
| 2025-10-07 09:36:44.604140 | 2025-10-07 09:36:46.489741 | 13125317 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-25 | 2025-10-07 | M | AE | PT | 4497 | JACOBS | 4XJ0X61FM35 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993912/check_13125317_b9b6666a-9956-4aec-8349-424d29667aaf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993912/check_13125317_e5153134-065c-47be-bd19-a955a2500009.json | N/A | N/A | N/A | N/A | N/A | 4XJ0X61FM35 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-25 | S5921 | N/A | N/A | MA | false | JACOBS | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963567603 | N/A | N/A | 5993912 | 2222 | N/A | 13309527 | N/A | 4642852 | 2025-10-07 09:36:46.489741 | 2025-11-21 18:38:17.056437 |
| 2025-10-07 09:36:05.460278 | 2025-10-07 09:36:09.489724 | 13125220 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13125220 | Athletic Physical Therapy Inc | 1941-12-12 | 2025-10-09 | M | AE | PT | N/A | ABARTA | 1KM2G22MJ15 | STEVEN | N/A | WAYSTAR | N/A | BATCH | 2025-10-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 9929496 | 2222 | 4801 | N/A | N/A | 8313339 | 2025-10-07 09:36:09.489724 | 2025-10-02 18:29:23.013167 |
| 2025-10-07 09:35:28.205133 | 2025-10-08 05:51:22.767740 | 13124834 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 13124834 | Athletic Physical Therapy Inc | 1972-01-18 | 2025-10-09 | F | AE | PT | N/A | EDELMAN | 10958328801 | MARINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.122641878.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9104367/check_13124834_7cfe5b8c-fa2c-44b1-8629-6b20a8065784.json | N/A | N/A | N/A | N/A | N/A | 10958328801 | N/A | TIXR, INC. | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1972-01-18 | N/A | 00651893 | N/A | N/A | false | EDELMAN | N/A | MARINA | N/A | N/A | N/A | HSA QUALIFIED HDHP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963564177 | N/A | N/A | 9104367 | 2222 | 4793 | 13386115 | N/A | 7624210 | 2025-10-08 05:51:22.767740 | 2025-12-10 17:00:45.860910 |
| 2025-10-07 09:35:08.256161 | 2025-10-08 05:52:56.592155 | 13124511 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13124511 | Athletic Physical Therapy Inc | 2009-01-14 | 2025-10-10 | F | PT | N/A | N/A | OBACZ | JQV897A63197 | KLOIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.122641878.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9102655/check_13124511_79d33d5e-12ff-48b6-a4de-2cff9e41e97e.json | N/A | N/A | N/A | N/A | N/A | JQV897A63197 | Health Maintenance Organization (HMO) | EVOLVED NOVELTIES INC | ANTHEM BLUE CROSS | N/A | 2009-01-14 | 040 | F45883 | N/A | HM | false | OBACZ | N/A | JUSTIN | N/A | 9999-12-31 | 2025-01-01 | CA SG SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963565480 | N/A | N/A | 9102655 | 2222 | 4801 | 13388779 | N/A | 7621062 | 2025-10-08 05:52:56.592155 | 2025-09-12 19:10:20.936695 |
| 2025-10-07 09:34:35.445164 | 2025-10-08 05:55:56.548080 | 13123969 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 13123969 | Athletic Physical Therapy Inc | 1956-05-22 | 2025-10-08 | F | AE | PT | N/A | CHOOBIN | 91331250G | KEFAYAT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.144718753.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8205059/check_13123969_121a21e4-34bd-4086-9673-860510aaae96.json | N/A | N/A | N/A | N/A | N/A | 91331250G | N/A | MCLA WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1956-05-22 | MCLA | MWLLDAGG21 | N/A | N/A | false | CHOOBIN | N/A | KEFAYAT | N/A | 2078-12-31 | 2021-05-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963612504 | N/A | N/A | 8205059 | 2222 | 4793 | 13392471 | N/A | 6967073 | 2025-10-08 05:55:56.548080 | 2025-08-26 17:15:30.662072 |
| 2025-10-07 09:33:57.358133 | 2025-10-07 09:34:00.096362 | 13123385 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-04-03 | 2025-10-07 | F | PT | N/A | 4184 | OBLINGER | JQS491M78254 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676340/check_13123385_c1363083-2b0a-498b-87e0-9f8031c4d7a3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676340/check_13123385_7fd4289e-71b8-4434-90f1-06cbaaf7b570.json | N/A | N/A | N/A | N/A | N/A | JQS491M78254 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1946-04-03 | 040 | CAMCRWP0 | N/A | MP | false | OBLINGER | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963543762 | N/A | N/A | 5676340 | 2222 | N/A | 13309248 | N/A | 4210531 | 2025-10-07 09:34:00.096362 | 2025-12-09 17:09:13.960610 |
| 2025-10-07 09:33:48.485884 | 2025-10-08 04:12:06.023360 | 13123239 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13123239 | Athletic Physical Therapy Inc | 1959-02-07 | 2025-10-08 | F | AE | PT | N/A | STARK | JQE451W19078 | CHERYL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.144716234.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9450019/check_13123239_987937e2-18f2-47b8-9d20-57573ff19c84.json | N/A | N/A | N/A | N/A | N/A | JQE451W19078 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-02-07 | 040 | CASUPWP0 | N/A | N/A | false | STARK | N/A | CHERYL | N/A | 9999-12-31 | 2024-02-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963610562 | N/A | N/A | 9450019 | 2222 | 4793 | 13372383 | N/A | 7905968 | 2025-10-08 04:12:06.023360 | 2025-09-22 17:53:24.196861 |
| 2025-10-07 09:33:42.132845 | 2025-10-08 05:52:52.716510 | 13123132 | N/A | N/A | 60054 | Aetna | 1114042165 | 13123132 | Athletic Physical Therapy Inc | 1952-01-15 | 2025-10-09 | F | AE | PT | N/A | KIRK | 101297147800 | JAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.144718753.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8167057/check_13123132_93ce7ad0-3a06-49e1-95e2-55ccff241dbe.json | N/A | N/A | N/A | N/A | N/A | 101297147800 | Preferred Provider Organization (PPO) | VERIZON - MA | AETNA | MEDICARE | 1952-01-15 | 100008-02EG0011 | 100008-02 | N/A | PR | false | KIRK | N/A | JAN | N/A | 2025-12-31 | 2025-01-01 | WEST ADV PLAN 125 PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963612424 | N/A | N/A | 8167057 | 2222 | 4801 | 13388693 | N/A | 6933707 | 2025-10-08 05:52:52.716510 | 2026-05-21 16:32:55.382229 |
| 2025-10-07 09:33:39.081648 | 2025-10-08 05:52:57.184508 | 13123075 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13123075 | Athletic Physical Therapy Inc | 1962-08-12 | 2025-10-09 | F | PT | N/A | N/A | SCHOLEFIELD | TRJNP1055193 | ROBIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.122641878.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9087505/check_13123075_1d041e63-c880-4663-89ad-c37a9f04b74b.json | N/A | N/A | N/A | N/A | N/A | TRJNP1055193 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1962-08-12 | 040 | 276727M007 | N/A | PR | false | SCHOLEFIELD | N/A | ROBIN | N/A | 9999-12-31 | 2020-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963566243 | N/A | N/A | 9087505 | 2222 | 4793 | 13388795 | N/A | 7605100 | 2025-10-08 05:52:57.184508 | 2025-09-11 15:07:41.965017 |
| 2025-10-07 09:33:16.571870 | 2025-10-08 06:52:50.319673 | 13122699 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13122699 | Athletic Physical Therapy Inc | 1963-09-25 | 2025-10-10 | M | PT | N/A | N/A | zev | XED912627946 | ari | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.143730480.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9280765/check_13122699_be9e731b-7c4d-4b0a-b0d0-20b045ba195d.json | N/A | N/A | N/A | N/A | N/A | XED912627946 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-09-25 | 2001ZK002185 | X0001004 | N/A | PR | false | ZEV | N/A | ARI | N/A | 9999-12-31 | 2023-11-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963564668 | N/A | N/A | 9280765 | 2222 | 4802 | 13424108 | N/A | 7789190 | 2025-10-08 06:52:50.319673 | 2025-09-16 16:41:33.330373 |