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 | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-07 09:33:08.481218 | 2025-10-08 06:05:28.788345 | 13122566 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 13122566 | Athletic Physical Therapy Inc | 1937-04-20 | 2025-10-08 | M | AE | PT | HAUSMAN | 34751866 | GARY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.143730480.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9280203/check_13122566_23e48bd0-f5f6-4166-a6b6-a5b284c252a9.json | N/A | N/A | N/A | N/A | N/A | 34751866 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1937-04-20 | 406-024-000 | N/A | N/A | N/A | false | HAUSMAN | N/A | GARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963563203 | N/A | N/A | 9280203 | 2222 | 4793 | 13406161 | 6798 | 7788651 | 2025-10-08 06:05:28.788345 | 2025-09-10 18:50:22.494063 |
| 2025-10-07 09:32:52.770788 | 2025-10-08 04:12:44.603057 | 13122362 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13122362 | Athletic Physical Therapy Inc | 1955-07-01 | 2025-10-09 | F | AE | PT | GREER | XEM909858172 | ROBIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.144716234.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411084/check_13122362_4cd6d153-6f99-458b-9b7e-1cb047574125.json | N/A | N/A | N/A | N/A | N/A | XEM909858172 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-07-01 | 2002SE000030 | X0001002 | N/A | OT | false | GREER | N/A | ROBIN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963608753 | N/A | N/A | 9411084 | 2222 | 4802 | 13372756 | N/A | 7879863 | 2025-10-08 04:12:44.603057 | 2026-02-04 18:21:13.840230 |
| 2025-10-07 09:32:46.549551 | 2025-10-07 09:32:49.064862 | 13122292 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-11-13 | 2025-10-07 | M | AE | PT | HACKBARTH | 00000294758 | HAROLD | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5568081/check_13122292_641db5d8-50b0-4df1-808e-7f0a9ecb93cf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568081/check_13122292_37186637-12b8-453b-8436-f95dc291bd2a.json | N/A | N/A | N/A | N/A | N/A | 00000294758 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1944-11-13 | N/A | N/A | N/A | N/A | false | HACKBARTH | N/A | HAROLD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5568081 | 2222 | N/A | 13309146 | N/A | 4212656 | 2025-10-07 09:32:49.064862 | 2025-08-12 21:09:57.607033 |
| 2025-10-07 09:32:41.886336 | 2025-10-07 09:32:46.543496 | 13122245 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-11-13 | 2025-10-07 | M | AE | PT | HACKBARTH | 00000294758 | HAROLD | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5568081/check_13122245_934dd3a5-3e2d-4461-9f17-59e6c8cba9cf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | N/A | N/A | N/A | N/A | N/A | N/A | 00000294758 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1944-11-13 | N/A | N/A | N/A | N/A | false | HACKBARTH | N/A | HAROLD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5568081 | 2222 | N/A | N/A | N/A | 4212656 | 2025-10-07 09:32:46.543496 | 2025-08-12 21:09:57.607033 |
| 2025-10-07 09:32:38.877810 | 2025-10-08 06:45:03.625765 | 13122214 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13122214 | Athletic Physical Therapy Inc | 1995-10-05 | 2025-10-09 | M | PT | N/A | HERNANDEZ | BWW2515564100 | JONATHAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.143730480.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9279057/check_13122214_dec25591-08b9-4cac-9f94-059963bd123a.json | N/A | N/A | N/A | N/A | N/A | BWW2515564100 | Preferred Provider Organization (PPO) | TASI | ANTHEM BLUE CROSS | N/A | 1995-10-05 | N/A | 3003813 | N/A | PR | false | HERNANDEZ | N/A | JONATHAN | N/A | 2999-12-31 | 2025-01-01 | PCPPO _10063573_28164 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963563110 | N/A | N/A | 9279057 | 2222 | 4801 | 13423097 | N/A | 4211907 | 2025-10-08 06:45:03.625765 | 2025-05-13 04:29:37.226233 |
| 2025-10-07 09:32:33.756037 | 2025-10-08 06:02:59.261782 | 13122161 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13122161 | Athletic Physical Therapy Inc | 1956-06-26 | 2025-10-08 | F | AE | PT | SUAREZ | 4EY2NT4GU93 | ANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.122641878.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9083354/check_13122161_8b1aebc2-02df-4aa8-9d48-9c4db503b7ee.json | N/A | N/A | N/A | N/A | N/A | 4EY2NT4GU93 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-06-26 | S5921 | N/A | N/A | MA | false | SUAREZ | N/A | ANA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963566110 | N/A | N/A | 9083354 | 2222 | 4801 | 13400941 | N/A | 7600312 | 2025-10-08 06:02:59.261782 | 2025-09-04 18:19:39.478018 |
| 2025-10-07 09:31:47.994281 | 2025-10-08 05:50:02.427012 | 13121692 | N/A | N/A | 60054 | Aetna | 1114042165 | 13121692 | Athletic Physical Therapy Inc | 1992-08-27 | 2025-10-10 | F | AE | PT | FINLEY | W28806254401 | MICHAELA | N/A | 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/2222/9081026/check_13121692_cbcb8359-ad1d-4a98-8135-82508ed15bab.json | N/A | N/A | N/A | N/A | N/A | W288062544 | Health Maintenance Organization (HMO) | BARRETT BUSINESS SERVICES, INC. | AETNA | N/A | 1992-08-27 | EAC4D303 | 019472903500025 | N/A | HM | false | FINLEY | N/A | MICHAELA | N/A | N/A | N/A | AETNA VALUE NETWORK HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963566093 | N/A | N/A | 9081026 | 2222 | 4801 | 13383912 | N/A | 7597485 | 2025-10-08 05:50:02.427012 | 2025-09-04 15:52:15.446146 |
| 2025-10-07 09:31:44.636914 | 2025-10-07 09:31:46.632619 | 13121657 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-03-04 | 2025-10-07 | M | AE | PT | ARUJO | 00000223568 | RAMON | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550751/check_13121657_cc5c2f2f-8ef4-49e4-ade0-3e5dcacef3e0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550751/check_13121657_fd4aa412-398c-44ad-b9e9-d48665863b63.json | N/A | N/A | N/A | N/A | N/A | 00000223568 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1954-03-04 | H3815028 | N/A | N/A | HM | false | ARUJO | N/A | RAMON | 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 | 8963523991 | N/A | N/A | 5550751 | 2222 | N/A | 13309095 | N/A | 4219640 | 2025-10-07 09:31:46.632619 | 2025-05-13 04:29:37.230682 |
| 2025-10-07 09:31:37.975524 | 2025-10-07 09:31:41.009711 | 13121589 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-05-11 | 2025-10-07 | M | AE | PT | A Peters | 1R78CR5JR59 | Dennis | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550025/check_13121589_bf9e1d62-137a-4fe9-8ae6-bbeb38f01917.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550025/check_13121589_ae869b9c-5cfb-4c88-b362-f4d4dc58296b.json | N/A | N/A | N/A | N/A | N/A | 1R78CR5JR59 | N/A | N/A | CMS | N/A | 1954-05-11 | N/A | N/A | N/A | N/A | false | A PETERS | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550025 | 2222 | N/A | 13309089 | N/A | 4219449 | 2025-10-07 09:31:41.009711 | 2025-10-07 21:32:27.567534 |
| 2025-10-07 09:31:37.417287 | 2025-10-07 09:31:39.825079 | 13121581 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-12-30 | 2025-10-07 | F | PT | N/A | PAUL | XEK914147727 | SARA | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543211/check_13121581_3e3384ea-dfa9-4ad5-9cd8-71ae9ab7928c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543211/check_13121581_4f60d75f-1545-4191-9937-5c1b41c27728.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | 9999-12-31 | 2025-02-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963522677 | N/A | N/A | 5543211 | 2222 | N/A | 13309086 | N/A | 4215028 | 2025-10-07 09:31:39.825079 | 2025-05-13 04:29:37.229346 |
| 2025-10-07 09:31:36.362177 | 2025-10-07 09:31:40.580340 | 13121572 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-12-24 | 2025-10-07 | F | AE | PT | PORTILLO | 00000315343 | LISA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543084/check_13121572_f74c8085-da69-4b22-bd6e-6414d00d08e3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543084/check_13121572_3cce5ef3-d46f-46d2-b54e-0f172153e7d2.json | N/A | N/A | N/A | N/A | N/A | 00000315343 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1960-12-24 | H3815028 | N/A | N/A | HM | false | PORTILLO | N/A | LISA | 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 | 8963522610 | N/A | N/A | 5543084 | 2222 | N/A | 13309087 | N/A | 4214920 | 2025-10-07 09:31:40.580340 | 2025-05-13 04:29:37.229242 |
| 2025-10-07 09:31:35.832803 | 2025-10-07 09:31:38.924582 | 13121565 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1951-06-01 | 2025-10-07 | F | AE | PT | BRADBURY | 5W31MW6FP03 | BONNIE | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550534/check_13121565_39a8bb32-b73b-4b9b-b796-d0c0fd7f2c02.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550534/check_13121565_ae183bd1-5684-4ffe-bcec-40848a8ab6f7.json | N/A | N/A | N/A | N/A | N/A | 5W31MW6FP03 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-01 | S5617 | N/A | N/A | MA | false | BRADBURY | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963522484 | N/A | N/A | 5550534 | 2222 | N/A | 13309085 | N/A | 4219556 | 2025-10-07 09:31:38.924582 | 2025-05-13 04:29:37.230592 |
| 2025-10-07 09:31:34.439281 | 2025-10-07 09:31:37.956995 | 13121552 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-05-11 | 2025-10-07 | M | AE | PT | A Peters | 1R78CR5JR59 | Dennis | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550025/check_13121552_d6311b42-26a0-4173-bdbd-5cdcd16f6257.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | N/A | N/A | N/A | N/A | N/A | N/A | 1R78CR5JR59 | N/A | N/A | CMS | N/A | 1954-05-11 | N/A | N/A | N/A | N/A | false | A PETERS | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550025 | 2222 | N/A | N/A | N/A | 4219449 | 2025-10-07 09:31:37.956995 | 2025-10-07 21:32:27.567534 |
| 2025-10-07 09:31:32.892375 | 2025-10-07 09:31:34.746583 | 13121537 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1999-02-06 | 2025-10-07 | M | AE | PT | FORTIN | R14644640MS1 | NATHANIEL | 23322 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543425/check_13121537_3e5d2ad6-9b3b-4e2d-aca6-faf6ee32e39a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_13121537_1e6816a8-fa2f-4b94-8c7e-db5c7dec9592.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | K96 SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963521838 | N/A | N/A | 5543425 | 2222 | N/A | 13309081 | N/A | 4215211 | 2025-10-07 09:31:34.746583 | 2026-04-02 22:30:20.020246 |
| 2025-10-07 09:31:32.345590 | 2025-10-07 09:31:35.115844 | 13121529 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-09-15 | 2025-10-07 | F | AE | PT | HAMI | 92932800G | FARIBA | 23304 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542611/check_13121529_2aafc49c-46a7-4f50-a69c-da92b785c320.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542611/check_13121529_224c782b-a059-42a7-8cea-17490f1536ac.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1960-09-15 | N/A | N/A | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542611 | 2222 | N/A | 13309082 | N/A | 4214490 | 2025-10-07 09:31:35.115844 | 2025-05-13 04:29:37.228806 |
| 2025-10-07 09:31:32.004664 | 2025-10-07 09:31:33.947930 | 13121527 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-02-27 | 2025-10-07 | M | AE | PT | SHRIVER | 90771207E | DANIEL | 23304 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541984/check_13121527_71a0c837-a841-47a1-b15f-1eedbbfbfd9a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541984/check_13121527_96f2ea8f-1a39-4427-8e01-6adc426ff7bf.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 | N/A | N/A | N/A | 5541984 | 2222 | N/A | 13309080 | N/A | 4213934 | 2025-10-07 09:31:33.947930 | 2026-01-27 23:36:44.802366 |
| 2025-10-07 09:31:31.008748 | 2025-10-07 09:31:33.095670 | 13121517 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-12-06 | 2025-10-07 | M | AE | PT | MEADOWS | 101352892200 | STANLEY | 3948 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542634/check_13121517_ebcb9828-450e-467b-8fb2-122b80749bd1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542634/check_13121517_219456e4-daa0-40af-81a7-678327a382ff.json | N/A | N/A | N/A | N/A | N/A | 101352892200 | Preferred Provider Organization (PPO) | FAIRFAX COUNTY PUBLIC SCHOOLS - MA | AETNA | MEDICARE | 1942-12-06 | 100297-02EG0001 | 100297-02 | N/A | PR | false | MEADOWS | N/A | STANLEY | N/A | N/A | N/A | MEDICARE (C04) ESA PPO PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963521688 | N/A | N/A | 5542634 | 2222 | N/A | 13309079 | N/A | 4214520 | 2025-10-07 09:31:33.095670 | 2025-07-28 19:32:04.879318 |
| 2025-10-07 09:31:30.127736 | 2025-10-07 09:31:31.985295 | 13121509 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-02-27 | 2025-10-07 | M | AE | PT | SHRIVER | 90771207E | DANIEL | 23304 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541984/check_13121509_90bea40c-7e20-46de-ba6d-9ffdf7a56eca.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | N/A | 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 | N/A | N/A | N/A | 5541984 | 2222 | N/A | N/A | N/A | 4213934 | 2025-10-07 09:31:31.985295 | 2026-01-27 23:36:44.802366 |
| 2025-10-07 09:31:29.168592 | 2025-10-07 09:31:32.606788 | 13121502 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-04-15 | 2025-10-07 | F | AE | PT | STULTZ | W460545844 | TRACY | 3939 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543319/check_13121502_51b1a203-6eed-422c-8d44-bf1a0e12b918.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543319/check_13121502_c448b8ed-fe51-4b7b-9067-b3e20f45102c.json | N/A | N/A | N/A | N/A | N/A | W460545844 | Exclusive Provider Organization | M. ARTHUR GENSLER, JR. & ASSOCIATES | AETNA | N/A | 1966-04-15 | 0658759 | 065875901800051 | N/A | EP | false | STULTZ | N/A | ERIC | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963521558 | N/A | N/A | 5543319 | 2222 | N/A | 13309077 | N/A | 4215127 | 2025-10-07 09:31:32.606788 | 2025-05-13 04:29:37.229443 |
| 2025-10-07 09:31:28.365577 | 2025-10-07 09:31:32.249840 | 13121494 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-09-15 | 2025-10-07 | F | AE | PT | HAMI | 92932800G | FARIBA | 23304 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542611/check_13121494_554e5bd6-8ae6-42b6-bf20-e6ab7e110524.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | N/A | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1960-09-15 | N/A | N/A | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542611 | 2222 | N/A | N/A | N/A | 4214490 | 2025-10-07 09:31:32.249840 | 2025-05-13 04:29:37.228806 |
| 2025-10-07 09:31:28.227239 | 2025-10-07 09:31:31.290030 | 13121492 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-12-08 | 2025-10-07 | F | AE | PT | LARSEN | R06053944FD1 | LANA | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542850/check_13121492_868a2ac5-05f0-4458-ac19-8a9d28c8e1e4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542850/check_13121492_c27e2015-f8b1-456f-89d8-12ef649a5326.json | N/A | N/A | N/A | N/A | N/A | R06053944FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2007-12-08 | N/A | N/A | N/A | N/A | false | LARSEN | N/A | LANA | N/A | N/A | N/A | MGY COMHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963521504 | N/A | N/A | 5542850 | 2222 | N/A | 13309073 | N/A | 4214714 | 2025-10-07 09:31:31.290030 | 2025-05-13 04:29:37.229031 |
| 2025-10-07 09:31:28.078130 | 2025-10-07 09:31:31.005564 | 13121489 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-01-24 | 2025-10-07 | F | PT | N/A | JAIN | XEK909304497 | SUPARNA | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542952/check_13121489_f0a381b0-a308-4331-bf0a-fd9c7b40a29d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542952/check_13121489_42280ef1-b02e-41f2-8365-5e9be82ebf01.json | N/A | N/A | N/A | N/A | N/A | XEK909304497 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-01-24 | 2001ZK002189 | X0001000 | N/A | PR | false | JAIN | N/A | SUPARNA | N/A | 2025-12-31 | 2025-01-01 | BRONZE 60 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963521473 | N/A | N/A | 5542952 | 2222 | N/A | 13309071 | N/A | 4214804 | 2025-10-07 09:31:31.005564 | 2025-05-13 20:09:53.786482 |
| 2025-10-07 09:31:28.055573 | 2025-10-07 09:31:31.422444 | 13121488 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-08-31 | 2025-10-07 | M | PT | N/A | STEINBERG | MBL875M98441 | HARRIS | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541917/check_13121488_0ac10076-b78d-4b7e-ab32-edaa63a1596f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_13121488_7625223e-0779-4608-8e26-d1719b98d90c.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963521457 | N/A | N/A | 5541917 | 2222 | N/A | 13309074 | N/A | 4213891 | 2025-10-07 09:31:31.422444 | 2025-05-13 04:29:37.228207 |
| 2025-10-07 09:31:27.523564 | 2025-10-07 09:31:29.781326 | 13121483 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-11-21 | 2025-10-07 | M | AD | N/A | LYKIDIS | U1221753503 | JOHN | 1534 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541552/check_13121483_da2b8fff-df89-45e9-a53f-01e01409db37.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541552/check_13121483_8c1f1575-b2fe-4c00-95c7-87680f8e727f.json | N/A | N/A | N/A | N/A | N/A | U1221753503 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 2001-11-21 | N/A | 3207160 | N/A | N/A | false | LYKIDIS | N/A | JOHN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8963521404 | N/A | N/A | 5541552 | 2222 | N/A | 13309069 | N/A | 4213562 | 2025-10-07 09:31:29.781326 | 2025-05-13 04:29:37.227895 |
| 2025-10-07 09:31:27.037204 | 2025-10-07 09:31:29.975430 | 13121478 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1988-11-03 | 2025-10-07 | F | AE | PT | CAPISTRANO | 98696372G | FERDELLE | 5538 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542513/check_13121478_fbbde92b-dec3-458b-b5bc-05c656f29287.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542513/check_13121478_4a3c3c09-d9fe-41eb-ba23-b6faab205c54.json | N/A | N/A | N/A | N/A | N/A | 98696372G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1988-11-03 | MCLA | MWLLNMEG21 | N/A | N/A | false | CAPISTRANO | N/A | FERDELLE | N/A | 2078-12-31 | 2024-05-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963521365 | N/A | N/A | 5542513 | 2222 | N/A | 13309070 | N/A | 4214418 | 2025-10-07 09:31:29.975430 | 2025-07-03 18:12:11.075357 |
| 2025-10-07 09:31:25.501610 | 2025-10-07 09:31:31.780492 | 13121469 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1989-10-20 | 2025-10-07 | M | AE | PT | SAMUELS | W289332071 | ZACHARY | 3937 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542467/check_13121469_00239271-3531-4bf1-a825-5c01606754f2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542467/check_13121469_9fd797b0-03b7-4d88-b4a8-70c806fbec7a.json | N/A | N/A | N/A | N/A | N/A | W289332071 | Point of Service (POS) | CACI INTERNATIONAL INC. | AETNA | N/A | 1989-10-20 | 0169496 | 016949601000001 | N/A | PS | false | SAMUELS | N/A | ZACHARY | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963521279 | N/A | N/A | 5542467 | 2222 | N/A | 13309075 | N/A | 4214379 | 2025-10-07 09:31:31.780492 | 2025-05-13 04:29:37.228706 |
| 2025-10-07 09:31:24.372649 | 2025-10-07 09:31:27.253630 | 13121460 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-05-13 | 2025-10-07 | F | PT | N/A | ADRIANZEN FERNAN | MMA221W20054 | AURA | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541944/check_13121460_c29b66f8-61b7-40bc-9f40-cf689dbc641f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541944/check_13121460_55426482-f85b-478b-8f3e-f20e7685fd6c.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 | 8963521126 | N/A | N/A | 5541944 | 2222 | N/A | 13309068 | N/A | 4213907 | 2025-10-07 09:31:27.253630 | 2025-05-13 04:29:37.228228 |
| 2025-10-07 09:31:23.078709 | 2025-10-07 09:31:26.209964 | 13121446 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1938-01-22 | 2025-10-07 | F | PT | N/A | ISTOK | MBL474M98437 | LOIS | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542207/check_13121446_d6187aaf-06a3-48e9-89f9-5bcff8f50a5a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542207/check_13121446_c16eff50-49e8-4b97-b265-1a6ca0c27aae.json | N/A | N/A | N/A | N/A | N/A | MBL474M98437 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1938-01-22 | 040 | CAEGR005 | N/A | N/A | false | ISTOK | N/A | LOIS | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963521053 | N/A | N/A | 5542207 | 2222 | N/A | 13309067 | N/A | 4214152 | 2025-10-07 09:31:26.209964 | 2025-05-13 04:29:37.228479 |
| 2025-10-07 09:31:22.211025 | 2025-10-08 04:00:05.567536 | 13121440 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 13121440 | Athletic Physical Therapy Inc | 1946-11-22 | 2025-10-08 | F | AE | PT | CAPUTA | 31334080511 | SANDRA | N/A | 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/2222/9336758/check_13121440_4e0e3e64-a4f2-42a0-a42a-df75f561358f.json | N/A | N/A | N/A | N/A | N/A | 31334080511 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1946-11-22 | N/A | N/A | N/A | SP | false | CAPUTA | N/A | SANDRA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963609017 | N/A | N/A | 9336758 | 2222 | 4801 | 13367939 | N/A | 7835556 | 2025-10-08 04:00:05.567536 | 2025-09-12 16:59:25.752326 |
| 2025-10-07 09:31:22.003544 | 2025-10-07 09:31:24.180197 | 13121438 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1937-05-08 | 2025-10-07 | F | AE | PT | GRINBERG | 6W60TM0KP36 | HANNA | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542161/check_13121438_a96a5bab-2f80-475e-819a-a9156289681f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542161/check_13121438_6cc43f1c-1daa-4b4c-b239-cb5f1c2ed1ef.json | N/A | N/A | N/A | N/A | N/A | 6W60TM0KP36 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1937-05-08 | S5921 | N/A | N/A | MA | false | GRINBERG | N/A | HANNA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963520916 | N/A | N/A | 5542161 | 2222 | N/A | 13309065 | N/A | 4214112 | 2025-10-07 09:31:24.180197 | 2025-05-13 04:29:37.228426 |
| 2025-10-07 09:31:19.798411 | 2025-10-07 09:31:21.679152 | 13121419 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1961-12-01 | 2025-10-07 | M | PT | N/A | TOOCH | JPU633M84536 | PETER | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538874/check_13121419_574e7b46-92da-44c1-99f4-522a51b0d895.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538874/check_13121419_7a497c2f-1e2d-4f82-b199-09bc162e4d1a.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M001 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963520710 | N/A | N/A | 5538874 | 2222 | N/A | 13309062 | N/A | 4211227 | 2025-10-07 09:31:21.679152 | 2025-05-13 04:29:37.225625 |
| 2025-10-07 09:31:19.063335 | 2025-10-07 09:31:23.308282 | 13121412 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-01-08 | 2025-10-07 | M | PT | N/A | CHRISTIAN | NCF767A52319 | SETH | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536162/check_13121412_38bec6c9-1276-40c3-a4ff-0396fa52fa77.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536162/check_13121412_119df682-c571-44c5-84ed-93fc61816d2c.json | N/A | N/A | N/A | N/A | N/A | NCF767A52319 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1982-01-08 | N/A | N/A | N/A | N/A | false | CHRISTIAN | N/A | SETH | 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 | 5536162 | 2222 | N/A | 13309064 | N/A | 4208960 | 2025-10-07 09:31:23.308282 | 2025-07-11 19:38:20.011022 |
| 2025-10-07 09:31:18.634334 | 2025-10-07 09:31:20.915632 | 13121408 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-12-04 | 2025-10-07 | M | PT | N/A | SIMMONS | 906212178-000 | LAVAR | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541240/check_13121408_83624441-f61b-4667-99a5-92ab8d5bbd0f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541240/check_13121408_f9490568-9607-489d-87c3-9fb8bfa601f6.json | N/A | N/A | N/A | N/A | N/A | XEH906212178 | Health Maintenance Organization (HMO) | VENTURA COUNTY PROFESSIONAL FIREFIGHTERS | BLUE SHIELD CALIFORNIA | N/A | 1983-12-04 | 1000HMOX0002 | W0065470 | N/A | HM | false | SIMMONS | N/A | LAVAR | N/A | N/A | N/A | VENTURA COUNTY PROFESSIONAL FIREFIGHTERS ACCESS H | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963520606 | N/A | N/A | 5541240 | 2222 | N/A | 13309061 | N/A | 4213276 | 2025-10-07 09:31:20.915632 | 2025-05-13 04:29:37.227602 |
| 2025-10-07 09:31:17.721352 | 2025-10-07 09:31:23.203133 | 13121399 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-11-01 | 2025-10-07 | F | AE | PT | TUCKER | 101632234800 | EILEEN | 3937 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540116/check_13121399_1770c719-720c-41c0-b8ed-470b97d76826.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540116/check_13121399_d89ac89f-090b-4508-b05d-4b658e4cc3a7.json | N/A | N/A | N/A | N/A | N/A | 101632234800 | Preferred Provider Organization (PPO) | STATE OF ILLINOIS RETIREES - MAPD | AETNA | MEDICARE | 1948-11-01 | 100512-01EG0001 | 100512-01 | N/A | PR | false | TUCKER | N/A | EILEEN | N/A | N/A | N/A | MEDICARE (C05) ESA PPO PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963520532 | N/A | N/A | 5540116 | 2222 | N/A | 13309063 | N/A | 4212312 | 2025-10-07 09:31:23.203133 | 2025-05-13 04:29:37.226651 |
| 2025-10-07 09:31:15.524537 | 2025-10-07 09:31:18.407961 | 13121381 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-07-11 | 2025-10-07 | M | AE | PT | HERMAN | 95836743G | BRETT | 23322 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540113/check_13121381_cef69e9e-e3cd-4e78-9bbe-3e1742c4716d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540113/check_13121381_dcffdade-8d6b-43cf-93a9-7781a28a4465.json | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | HEALTH NET, LLC | N/A | 1973-07-11 | N/A | N/A | N/A | N/A | false | HERMAN | N/A | BRETT | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963520309 | N/A | N/A | 5540113 | 2222 | N/A | 13309058 | N/A | 4212315 | 2025-10-07 09:31:18.407961 | 2025-12-29 21:20:15.158611 |
| 2025-10-07 09:31:14.920434 | 2025-10-07 09:31:16.884425 | 13121376 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-07-25 | 2025-10-07 | M | AE | PT | STERN | 3VW3JQ8TH11 | WESLEY | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539872/check_13121376_cd471b8f-7bbb-41c1-a06b-04fb87118ff8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539872/check_13121376_e569f003-09a3-447d-9bc4-29377bc56033.json | N/A | N/A | N/A | N/A | N/A | 3VW3JQ8TH11 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-07-25 | S5617 | N/A | N/A | MA | false | STERN | N/A | WESLEY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963520232 | N/A | N/A | 5539872 | 2222 | N/A | 13309056 | N/A | 4212117 | 2025-10-07 09:31:16.884425 | 2025-09-25 18:29:15.369906 |
| 2025-10-07 09:31:14.483315 | 2025-10-07 09:31:20.448260 | 13121372 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-08-31 | 2025-10-07 | M | PT | N/A | FLEMING | SZF839281184 | CHASE | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539901/check_13121372_98599dbb-efc3-4e76-98b8-ca0d0d04b2f2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539901/check_13121372_4bf2228d-2ad6-4a5a-aa29-8bec86a6ec29.json | N/A | N/A | N/A | N/A | N/A | SZF839281184 | Preferred Provider Organization (PPO) | ACTIVE | CUSTOMER SERVICE | N/A | 1983-08-31 | N/A | 018137 | N/A | PR | false | FLEMING | N/A | CHASE | N/A | 9999-12-31 | 2021-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963520219 | N/A | N/A | 5539901 | 2222 | N/A | 13309060 | N/A | 4212134 | 2025-10-07 09:31:20.448260 | 2025-08-05 02:56:55.384378 |
| 2025-10-07 09:31:13.527772 | 2025-10-07 09:31:19.926169 | 13121366 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-08-15 | 2025-10-07 | F | PT | N/A | SNELL | XED912271222 | NICOLE | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537740/check_13121366_c0f200a6-de8d-423a-a1fe-e1eb43f6a23f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537740/check_13121366_e6d3de43-a4fe-4c2d-acbc-b75d37ccd03c.json | N/A | N/A | N/A | N/A | N/A | XED912271222 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-08-15 | 2001ZK002185 | X0001004 | N/A | PR | false | SNELL | N/A | NICOLE | N/A | 9999-12-31 | 2023-06-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963520108 | N/A | N/A | 5537740 | 2222 | N/A | 13309059 | N/A | 4210260 | 2025-10-07 09:31:19.926169 | 2025-05-13 04:29:37.224672 |
| 2025-10-07 09:31:13.596780 | 2025-10-07 09:31:16.509911 | 13121365 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-12-18 | 2025-10-07 | F | AE | PT | MOORE WILLIAMSON | 6R91TM3CH24 | LESLIE A | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539049/check_13121365_95e7c2a9-736c-42fa-8a6b-c4d1366c4cd4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539049/check_13121365_9158b1d1-81be-45ae-847b-51762a9f345e.json | N/A | N/A | N/A | N/A | N/A | 6R91TM3CH24 | Medicare Part A | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-12-18 | S2468 | N/A | N/A | MA | false | MOORE WILLIAMSON | N/A | LESLIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963520102 | N/A | N/A | 5539049 | 2222 | N/A | 13309054 | N/A | 4211368 | 2025-10-07 09:31:16.509911 | 2025-05-13 04:29:37.225728 |
| 2025-10-07 09:31:13.476151 | 2025-10-07 09:31:16.649015 | 13121362 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-02-16 | 2025-10-07 | F | AE | PT | OSE | 40050866601 | KAREN | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537366/check_13121362_fa15e869-cc53-4f3e-a09e-2b74d36a7bdb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537366/check_13121362_3442e239-00ff-4821-b5b6-69581ab57a57.json | N/A | N/A | N/A | N/A | N/A | 40050866601 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | OSE | N/A | KAREN | 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 | 5537366 | 2222 | N/A | 13309053 | N/A | 4209945 | 2025-10-07 09:31:16.649015 | 2025-08-13 22:24:17.841096 |
| 2025-10-07 09:31:12.390877 | 2025-10-07 09:31:18.901425 | 13121354 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-01-08 | 2025-10-07 | M | PT | N/A | CHRISTIAN | NCF767A52319 | SETH | 23277 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536162/check_13121354_316356c4-7da9-482e-b75c-7fae9607e4dd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | N/A | N/A | N/A | N/A | N/A | N/A | NCF767A52319 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1982-01-08 | N/A | N/A | N/A | N/A | false | CHRISTIAN | N/A | SETH | 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 | 5536162 | 2222 | N/A | N/A | N/A | 4208960 | 2025-10-07 09:31:18.901425 | 2025-07-11 19:38:20.011022 |
| 2025-10-07 09:31:10.172672 | 2025-10-07 09:31:13.419948 | 13121334 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-02-16 | 2025-10-07 | F | AE | PT | OSE | 40050866601 | KAREN | 6237 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537366/check_13121334_7c7502a1-8d45-4196-acec-403fe3734553.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | N/A | N/A | N/A | N/A | N/A | N/A | 40050866601 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | OSE | N/A | KAREN | 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 | 5537366 | 2222 | N/A | N/A | N/A | 4209945 | 2025-10-07 09:31:13.419948 | 2025-08-13 22:24:17.841096 |
| 2025-10-07 09:31:08.629940 | 2025-10-07 09:31:11.084148 | 13121320 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-11-18 | 2025-10-07 | F | PT | N/A | TATE | CAI433A55164 | SANDRA | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536427/check_13121320_914e9287-b812-466a-ae0d-3fa124370c03.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536427/check_13121320_7eede93d-c421-42a7-9367-4d7d3696d54e.json | N/A | N/A | N/A | N/A | N/A | CAI433A55164 | Health Maintenance Organization (HMO) | CALPERS CA RGION TWO - SO CA | ANTHEM BLUE CROSS | N/A | 1964-11-18 | 040 | HTB070HT | N/A | HM | false | TATE | N/A | SANDRA | N/A | 9999-12-31 | 2022-01-01 | PREMIER TRADITIONAL HMO NETWORK NON DURATIONAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963519558 | N/A | N/A | 5536427 | 2222 | N/A | 13309046 | N/A | 4209167 | 2025-10-07 09:31:11.084148 | 2025-10-02 14:46:41.026614 |
| 2025-10-07 09:31:08.536585 | 2025-10-07 09:31:11.790197 | 13121319 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-03-31 | 2025-10-07 | M | PT | N/A | MILES | MBL835W05431 | KEITH | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536896/check_13121319_836aeb39-862c-41d3-a809-ecde4465ba2f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536896/check_13121319_f6ae9717-248b-43b7-ac0a-51e3ecdf73cf.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963519572 | N/A | N/A | 5536896 | 2222 | N/A | 13309047 | N/A | 4209567 | 2025-10-07 09:31:11.790197 | 2025-05-13 04:29:37.223990 |
| 2025-10-07 09:31:05.450679 | 2025-10-07 09:31:08.693431 | 13121300 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-08-26 | 2025-10-07 | M | AE | PT | ROTHMAN | 6H65JC7UD67 | MIKE | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536194/check_13121300_933681d8-1a1f-422b-ae7c-09a140c486e9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-10-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536194/check_13121300_535ee677-50f6-45c0-b0fe-d9d2a08b0ae1.json | N/A | N/A | N/A | N/A | N/A | 6H65JC7UD67 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-08-26 | S4802 | N/A | N/A | MA | false | ROTHMAN | N/A | MIKE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963519314 | N/A | N/A | 5536194 | 2222 | N/A | 13309042 | N/A | 4208978 | 2025-10-07 09:31:08.693431 | 2025-05-13 04:29:37.223404 |
| 2025-10-07 09:30:29.155037 | 2025-10-08 04:12:56.570530 | 13121013 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13121013 | Athletic Physical Therapy Inc | 1953-10-12 | 2025-10-10 | M | AE | PT | VALLECER | JQE445W21639 | EDGAR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.144716234.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9321455/check_13121013_eb57a802-2030-445b-bbda-fb4123dbaae4.json | N/A | N/A | N/A | N/A | N/A | JQE445W21639 | N/A | CA MED-SUPP | BLUE SHIELD OF CALIFORNIA | N/A | 1953-10-12 | 040 | CASUPWP0 | N/A | N/A | false | VALLECER | N/A | EDGAR | N/A | 9999-12-31 | 2024-11-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963610521 | N/A | N/A | 9321455 | 2222 | 4801 | 13372867 | N/A | 7820740 | 2025-10-08 04:12:56.570530 | 2025-09-22 16:05:10.548691 |
| 2025-10-07 09:27:14.950794 | 2025-10-08 06:03:57.306840 | 13120172 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13120172 | Athletic Physical Therapy Inc | 1988-09-12 | 2025-10-08 | M | PT | N/A | Guzzo | JQU895W23533 | Aaron | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.140543858.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7513987/check_13120172_85e48c02-5ed9-40bf-9746-f00fecdf430a.json | N/A | N/A | N/A | N/A | N/A | JQU895W23533 | Preferred Provider Organization (PPO) | 3 ARTS ENTERTAINMENT LLC | BLUE SHIELD OF CALIFORNIA | N/A | 1988-09-12 | 040 | H59723 | N/A | PR | false | RATHER-GUZZO | N/A | SANDY | 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 | 8963611817 | N/A | N/A | 7513987 | 2222 | 4802 | 13402978 | N/A | 6451061 | 2025-10-08 06:03:57.306840 | 2025-07-28 22:43:26.605856 |
| 2025-10-07 09:27:07.383207 | 2025-10-07 09:27:11.158947 | 13120145 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13120145 | Athletic Physical Therapy Inc | 1968-11-25 | 2025-10-10 | F | PT | N/A | Bomer | NCF444A64895 | Teresa | N/A | 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 | 9923856 | 2222 | 4802 | N/A | N/A | 8308861 | 2025-10-07 09:27:11.158947 | 2025-10-02 14:30:16.702176 |
| 2025-10-07 09:26:44.507917 | 2025-10-08 05:49:58.806096 | 13120044 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 13120044 | override_provider | 2003-11-16 | 2025-10-08 | F | PT | N/A | HAYASHI | XLXR000032097727 | LAUREN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.122641878.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9066824/check_13120044_a1cc72ef-5a7f-40c2-adc4-5e82d3e568bd.json | N/A | N/A | N/A | N/A | N/A | XLXR000032097727 | Preferred Provider Organization (PPO) | OSF INDIVIDUAL PLATINUM PPO W/ DENTAL HIGH (GOLD) | BLUE SHIELD OF CALIFORNIA | N/A | 2003-11-16 | N/A | 24048 1 | N/A | PR | false | HAYASHI | N/A | NANCY | N/A | 9999-12-31 | 2023-12-01 | PLATINUM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963566195 | N/A | N/A | 9066824 | 2222 | 4802 | 13383820 | N/A | 7582776 | 2025-10-08 05:49:58.806096 | 2025-09-24 22:06:50.112056 |
| 2025-10-07 09:26:23.802642 | 2025-10-08 07:35:50.114166 | 13119956 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13119956 | Athletic Physical Therapy Inc | 1945-01-03 | 2025-10-08 | M | AE | PT | KIRK | 8Q34XD0CC92 | DANIEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.143730480.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9261302/check_13119956_6a44d972-1f5e-4a1c-a969-c1a5d89987f7.json | N/A | N/A | N/A | N/A | N/A | 8Q34XD0CC92 | Medicare Part B | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-01-03 | H5522 | N/A | N/A | MB | false | KIRK | 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 | 8963561924 | N/A | N/A | 9261302 | 2222 | 4801 | 13428996 | N/A | 6476881 | 2025-10-08 07:35:50.114166 | 2025-07-29 22:42:05.499172 |