API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-07 09:21:20.292217 | 2025-10-08 05:52:50.422947 | 13118864 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 13118864 | Athletic Physical Therapy Inc | 1996-07-09 | 2025-10-09 | F | AE | PT | GARDNER | 94664711H | ANGEL | 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/2222/9063523/check_13118864_9bfe7648-8e57-459b-aa00-94336a49c1c5.json | N/A | N/A | N/A | N/A | N/A | 94664711H | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1996-07-09 | MCLA | MWLLNMEG21 | N/A | N/A | false | GARDNER | N/A | ANGEL | N/A | 2078-12-31 | 2025-07-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963563919 | N/A | N/A | 9063523 | 2222 | 4802 | 13388637 | N/A | 7578504 | 2025-10-08 05:52:50.422947 | 2025-09-16 23:15:33.721148 |
| 2025-10-07 09:21:08.477583 | 2025-10-08 05:52:56.303725 | 13118818 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13118818 | Athletic Physical Therapy Inc | 1951-10-06 | 2025-10-08 | M | PT | N/A | CRONIN | NSA00368979H | KEVIN | 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/2222/9063293/check_13118818_1ce38b96-3987-41ca-bac2-a1d4c08920b4.json | N/A | N/A | N/A | N/A | N/A | NSA00368979H | Preferred Provider Organization (PPO) | MAIN PPO PLAN- EARNED | ANTHEM BLUE CROSS | N/A | 1951-10-06 | 040 | L05927A001 | N/A | PR | false | CRONIN | N/A | KEVIN | N/A | 9999-12-31 | 2023-07-01 | PB INCENTIVE NO SUTTER | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963563914 | N/A | N/A | 9063293 | 2222 | 4793 | 13388772 | N/A | 7578088 | 2025-10-08 05:52:56.303725 | 2025-09-03 18:45:56.904111 |
| 2025-10-07 09:20:44.896482 | 2025-10-08 05:50:02.089235 | 13118732 | N/A | N/A | 60054 | Aetna | 1114042165 | 13118732 | Athletic Physical Therapy Inc | 1965-07-23 | 2025-10-09 | M | AE | PT | Dominguez | W294409135 | Eric | 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/2222/9063245/check_13118732_f53c7e9c-4321-47cc-b3a3-0ec229a76649.json | N/A | N/A | N/A | N/A | N/A | W294409135 | Point of Service (POS) | ZAMIC CORPORATION | AETNA | N/A | 1965-07-23 | 0255398 | 025539801000700 | N/A | PS | false | DOMINGUEZ | N/A | ERIC | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963563906 | N/A | N/A | 9063245 | 2222 | 4801 | 13383904 | N/A | 7577918 | 2025-10-08 05:50:02.089235 | 2025-09-25 19:09:12.426454 |
| 2025-10-07 09:16:46.470113 | 2025-10-08 05:53:38.469349 | 13117878 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 13117878 | override_provider | 2001-03-26 | 2025-10-10 | F | PT | N/A | GRIFFIN | 604389070 | ALISA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.140543858.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7496180/check_13117878_de2cff9f-87ac-457d-b85e-59dc871e20c2.json | N/A | N/A | N/A | N/A | N/A | 604389070 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2001-03-26 | N/A | N/A | N/A | N/A | false | GRIFFIN | N/A | ALISA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963614855 | N/A | N/A | 7496180 | 2222 | 4801 | 13389839 | N/A | 6442600 | 2025-10-08 05:53:38.469349 | 2025-09-03 23:37:28.319879 |
| 2025-10-07 09:15:49.258138 | 2025-10-07 09:15:52.625181 | 13117679 | N/A | N/A | 60054 | Aetna | 1114042165 | 13117679 | Athletic Physical Therapy Inc | 1966-11-25 | 2025-10-09 | M | AE | PT | MARASCHI | W279080803 | RICHARD | 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 | 9905198 | 2222 | 4793 | N/A | N/A | 8292873 | 2025-10-07 09:15:52.625181 | 2025-10-02 14:48:07.243236 |
| 2025-10-07 09:15:43.846012 | 2025-10-07 09:15:49.077901 | 13117657 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 13117657 | Athletic Physical Therapy Inc | 1955-01-29 | 2025-10-09 | F | AE | PT | Pittman | 40042829601 | Jeri | 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 | 9905190 | 2222 | 4802 | N/A | N/A | 8292862 | 2025-10-07 09:15:49.077901 | 2025-10-01 22:54:36.621075 |
| 2025-10-07 09:15:12.417190 | 2025-10-08 05:48:56.078619 | 13117568 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13117568 | Athletic Physical Therapy Inc | 1950-06-09 | 2025-10-08 | F | PT | N/A | SANDOVAL | JQS846M91559 | MARIA | 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/2222/9059249/check_13117568_5cfcf771-577e-472a-a76d-d5df05efa020.json | N/A | N/A | N/A | N/A | N/A | JQS846M91559 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1950-06-09 | N/A | N/A | N/A | N/A | false | SANDOVAL | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963565763 | N/A | N/A | 9059249 | 2222 | 4801 | 13382677 | N/A | 7574556 | 2025-10-08 05:48:56.078619 | 2025-09-03 18:09:29.032159 |
| 2025-10-07 09:15:10.854042 | 2025-10-07 09:15:14.282940 | 13117563 | N/A | N/A | 61101 | Regal Medical Group | 1114042165 | 13117563 | Athletic Physical Therapy Inc | 1944-04-23 | 2025-10-08 | F | AE | PT | SMITH | H6550642500 | RUTH | 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 | 9905019 | 2222 | 4793 | N/A | N/A | 8292696 | 2025-10-07 09:15:14.282940 | 2025-10-06 17:55:42.801914 |
| 2025-10-07 09:11:39.290614 | 2025-10-08 04:06:18.187139 | 13116729 | N/A | N/A | 60054 | Aetna | 1114042165 | 13116729 | Athletic Physical Therapy Inc | 1945-01-03 | 2025-10-08 | M | AE | PT | KIRK | 1013638055000 | DANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131240016.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7556097/check_13116729_35cc2b33-39ab-4047-8a46-4e3cde417eeb.json | N/A | N/A | N/A | N/A | N/A | 101363805500 | Preferred Provider Organization (PPO) | VERIZON - MA | AETNA | MEDICARE | 1945-01-03 | 100008-02EG0011 | 100008-02 | N/A | PR | false | KIRK | N/A | DANIEL | N/A | N/A | N/A | WEST ADV PLAN 125 PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963476651 | N/A | N/A | 7556097 | 2222 | 4801 | 13369432 | N/A | 6476881 | 2025-10-08 04:06:18.187139 | 2025-07-29 22:42:05.499172 |
| 2025-10-07 09:11:03.566551 | 2025-10-08 06:04:26.869255 | 13116000 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13116000 | Athletic Physical Therapy Inc | 1952-06-26 | 2025-10-08 | M | AE | PT | MATTHEWS | 00000283273 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120831859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676399/check_13116000_a0920b0c-c48b-4318-8b5a-e5f87f5bfe99.json | N/A | N/A | N/A | N/A | N/A | 00000283273 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1952-06-26 | H3815028 | N/A | N/A | HM | false | MATTHEWS | N/A | DAVID | 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 | 8963483836 | N/A | N/A | 5676399 | 2222 | 4793 | 13403952 | 2630 | 4343454 | 2025-10-08 06:04:26.869255 | 2025-05-13 04:29:37.230932 |
| 2025-10-07 09:11:03.250873 | 2025-10-08 05:51:01.687551 | 13115994 | N/A | N/A | 60054 | Aetna | 1114042165 | 13115994 | Athletic Physical Therapy Inc | 1956-11-03 | 2025-10-09 | M | AE | PT | ARROW | 101393152200 | PAUL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120831859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676385/check_13115994_02b73358-9639-4370-ad99-7d70b7708c5b.json | N/A | N/A | N/A | N/A | N/A | 101393152200 | Preferred Provider Organization (PPO) | BP CORPORATION NORTH AMERICA - MA | AETNA | MEDICARE | 1956-11-03 | 100181-02EG0001 | 100181-02 | N/A | PR | false | ARROW | N/A | PAUL | N/A | N/A | N/A | BP MEDICARE PPO ESA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963483835 | N/A | N/A | 5676385 | 2222 | 4802 | 13385467 | N/A | 4343439 | 2025-10-08 05:51:01.687551 | 2025-05-13 04:29:37.230918 |
| 2025-10-07 09:11:02.847495 | 2025-10-08 06:05:20.242016 | 13115987 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13115987 | Athletic Physical Therapy Inc | 1989-01-09 | 2025-10-09 | F | PT | N/A | SELTER | XEA906445770 | RACHEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120831859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676380/check_13115987_f9d01c3e-6e01-4c89-b394-7158b84c8bbe.json | N/A | N/A | N/A | N/A | N/A | XEA906445770 | Preferred Provider Organization (PPO) | AV SQUAD LP | BLUE SHIELD CALIFORNIA | N/A | 1989-01-09 | 1000PPOX0001 | W0066517 | N/A | PR | false | SELTER | N/A | BRANDON | N/A | N/A | N/A | SMILE SM SPECTRUM 50 1500 NO ORTHO MAC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963483834 | N/A | N/A | 5676380 | 2222 | 4793 | 13405880 | N/A | 4343435 | 2025-10-08 06:05:20.242016 | 2025-05-13 04:29:37.230915 |
| 2025-10-07 09:11:02.458528 | 2025-10-08 06:08:06.485103 | 13115980 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13115980 | Athletic Physical Therapy Inc | 1952-07-25 | 2025-10-09 | M | AE | PT | LANE | 4CA5FX1PJ56 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120831859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676372/check_13115980_06368f06-4eed-43ce-8835-2bf6de4116e0.json | N/A | N/A | N/A | N/A | N/A | 4CA5FX1PJ56 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-25 | S4802 | N/A | N/A | MA | false | LANE | N/A | STEVEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963483833 | N/A | N/A | 5676372 | 2222 | 4802 | 13410758 | N/A | 4219832 | 2025-10-08 06:08:06.485103 | 2025-05-13 04:29:37.230877 |
| 2025-10-07 09:11:02.048103 | 2025-10-08 06:04:48.503590 | 13115970 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13115970 | Athletic Physical Therapy Inc | 1946-04-03 | 2025-10-09 | F | PT | N/A | OBLINGER | JQS491M78254 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120831859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676340/check_13115970_70d579a9-ac3f-4a13-9889-f777b52ff0d2.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 | 8963483832 | N/A | N/A | 5676340 | 2222 | 4793 | 13404780 | 4184 | 4210531 | 2025-10-08 06:04:48.503590 | 2025-12-09 17:09:13.960610 |
| 2025-10-07 09:10:47.790495 | 2025-10-07 09:10:48.145822 | 13115717 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13115717 | Athletic Physical Therapy Inc | 1973-01-16 | 2025-10-08 | F | PT | N/A | FUSCO | JXN148A35914 | ANGELA | 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 | 8221086 | 2222 | 4793 | N/A | N/A | 6978593 | 2025-10-07 09:10:48.145822 | 2025-09-18 02:55:14.560582 |
| 2025-10-07 09:10:31.268370 | 2025-10-08 06:52:33.357110 | 13115401 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 13115401 | Athletic Physical Therapy Inc | 1983-04-06 | 2025-10-08 | F | PT | N/A | JOHNSON | 907100866000 | HEATHER | 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/2222/9258804/check_13115401_7e7b7181-6c7c-406b-87e3-e0e3f1e10e42.json | N/A | N/A | N/A | N/A | N/A | XEH907100866 | Health Maintenance Organization (HMO) | COUNTY OF VENTURA ACTIVES | BLUE SHIELD CALIFORNIA | N/A | 1983-04-06 | 1000HMOX0002 | W0067449 | N/A | HM | false | JOHNSON | N/A | HEATHER | N/A | N/A | N/A | COUNTY OF VENTURA ACTIVES CUSTOM ACCESS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963564433 | N/A | N/A | 9258804 | 2222 | 4801 | 13424077 | N/A | 4213256 | 2025-10-08 06:52:33.357110 | 2025-05-13 04:29:37.227582 |
| 2025-10-07 09:10:25.583044 | 2025-10-08 06:45:11.351566 | 13115294 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13115294 | Athletic Physical Therapy Inc | 1952-08-31 | 2025-10-09 | M | PT | N/A | VACA | JQS284W10343 | STEVEN | 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/2222/9258711/check_13115294_8592100f-1774-4044-9312-ee29adee3305.json | N/A | N/A | N/A | N/A | N/A | JQS284W10343 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-08-31 | 040 | CAMCRWP0 | N/A | MP | false | VACA | N/A | STEVEN | 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 | 8963564430 | N/A | N/A | 9258711 | 2222 | 4801 | 13423117 | 4184 | 7768967 | 2025-10-08 06:45:11.351566 | 2025-09-17 16:11:31.615033 |
| 2025-10-07 09:10:10.600964 | 2025-10-08 04:10:23.514946 | 13115023 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13115023 | Athletic Physical Therapy Inc | 1944-09-29 | 2025-10-10 | F | AE | PT | GUASTELLA | 911M7843220 | ROSE ANN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131240016.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458753/check_13115023_f1290128-5b3d-455f-b6fb-5e0e33e1aea5.json | N/A | N/A | N/A | N/A | N/A | 911M7843220 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1944-09-29 | N/A | N/A | N/A | N/A | false | GUASTELLA | N/A | ROSE ANN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963475383 | N/A | N/A | 7458753 | 2222 | 4801 | 13371334 | N/A | 6407685 | 2025-10-08 04:10:23.514946 | 2025-08-12 18:01:47.141909 |
| 2025-10-07 09:10:10.181770 | 2025-10-07 09:10:10.555266 | 13115011 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13115011 | Athletic Physical Therapy Inc | 1968-02-07 | 2025-10-08 | M | PT | N/A | Sariri | XDP632A69850 | Darius | 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 | 8214089 | 2222 | 4802 | N/A | N/A | 6605684 | 2025-10-07 09:10:10.555266 | 2025-08-05 01:08:16.312539 |
| 2025-10-07 09:10:08.934704 | 2025-10-08 04:15:04.386254 | 13114986 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 13114986 | Athletic Physical Therapy Inc | 1947-04-18 | 2025-10-08 | F | PT | N/A | BELL | 96881701C | JACQUELYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131240016.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456429/check_13114986_8582378a-5870-4c29-80f7-4973152e7583.json | N/A | N/A | N/A | N/A | N/A | 96881701C | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1947-04-18 | N/A | N/A | N/A | N/A | false | BELL | N/A | JACQUELYN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963475377 | N/A | N/A | 7456429 | 2222 | 4802 | 13374036 | N/A | 4208856 | 2025-10-08 04:15:04.386254 | 2025-05-13 04:29:37.223284 |
| 2025-10-07 09:09:54.058088 | 2025-10-07 09:09:54.388910 | 13114694 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13114694 | Athletic Physical Therapy Inc | 1956-05-22 | 2025-10-08 | F | AE | PT | CHOOBIN | 6F99G11UV44 | KEFAYAT | 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 | 8205054 | 2222 | 4793 | N/A | N/A | 6967073 | 2025-10-07 09:09:54.388910 | 2025-08-26 17:15:30.662072 |
| 2025-10-07 09:09:53.149947 | 2025-10-07 09:09:53.475861 | 13114677 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13114677 | Athletic Physical Therapy Inc | 1961-03-10 | 2025-10-09 | M | PT | N/A | WEBBER | NEI801068106 | CHAD | 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 | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8204846 | 2222 | 4801 | N/A | N/A | 6966879 | 2025-10-07 09:09:53.475861 | 2025-08-19 23:20:37.306121 |
| 2025-10-07 09:09:47.298290 | 2025-10-08 04:06:18.907093 | 13114569 | N/A | N/A | 60054 | Aetna | 1114042165 | 13114569 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-10-08 | F | AE | PT | SHAKIB | 101129457200 | PARI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131240016.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444723/check_13114569_2659258b-8f5e-40d1-9302-8fb856552733.json | N/A | N/A | N/A | N/A | N/A | 101129457200 | Qualified Medicare Beneficiary | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1952-05-04 | 000003-CA000058 | 000003-CA | N/A | QM | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963476917 | N/A | N/A | 7444723 | 2222 | 4802 | 13369439 | N/A | 6395498 | 2025-10-08 04:06:18.907093 | 2026-02-18 02:38:35.073779 |
| 2025-10-07 09:09:43.789715 | 2025-10-07 09:09:44.113886 | 13114503 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13114503 | Athletic Physical Therapy Inc | 2014-01-08 | 2025-10-08 | F | PT | N/A | DIAZ | XEA902904791 | MCKINLEY | 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 | 8202983 | 2222 | 4793 | N/A | N/A | 6965635 | 2025-10-07 09:09:44.113886 | 2025-09-05 19:59:40.463785 |
| 2025-10-07 09:09:17.066119 | 2025-10-08 06:01:00.671748 | 13113990 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13113990 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-10-08 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120831859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_13113990_aec333d9-14a6-4f0c-91b9-9e8a494e174c.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963482227 | N/A | N/A | 5568076 | 2222 | 4802 | 13398331 | N/A | 4209480 | 2025-10-08 06:01:00.671748 | 2026-04-10 02:05:15.976484 |
| 2025-10-07 09:09:13.095322 | 2025-10-07 09:09:13.437727 | 13113912 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 13113912 | Athletic Physical Therapy Inc | 1958-02-20 | 2025-10-09 | F | AE | PT | SHERRY | H7159538300 | PAULA | 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 | 8193020 | 2222 | 4801 | N/A | N/A | 4214141 | 2025-10-07 09:09:13.437727 | 2025-05-13 04:29:37.228469 |
| 2025-10-07 09:08:30.296294 | 2025-10-08 06:04:24.420567 | 13113123 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13113123 | Athletic Physical Therapy Inc | 1954-03-04 | 2025-10-09 | M | AE | PT | ARUJO | 00000223568 | RAMON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120831859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550751/check_13113123_cc676aac-1ebd-4c10-b4dd-7a334946c7b7.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 | 8963482921 | N/A | N/A | 5550751 | 2222 | 4801 | 13403860 | 2630 | 4219640 | 2025-10-08 06:04:24.420567 | 2025-05-13 04:29:37.230682 |
| 2025-10-07 09:08:29.920640 | 2025-10-08 05:51:05.854377 | 13113117 | N/A | N/A | 60054 | Aetna | 1114042165 | 13113117 | Athletic Physical Therapy Inc | 1961-11-04 | 2025-10-08 | F | AE | PT | SANTITORO | W267422430 | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120831859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550743/check_13113117_d118f408-86b5-4b5b-a085-8fdddff58750.json | N/A | N/A | N/A | N/A | N/A | W267422430 | Point of Service (POS) | CIENA CORPORATION | AETNA | N/A | 1961-11-04 | 0486875 | 048687501000001 | N/A | PS | false | SANTITORO | N/A | RALPH | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963482919 | N/A | N/A | 5550743 | 2222 | 4801 | 13385607 | N/A | 4219643 | 2025-10-08 05:51:05.854377 | 2025-05-13 04:29:37.230685 |
| 2025-10-07 09:08:29.410080 | 2025-10-08 06:08:06.778133 | 13113111 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13113111 | Athletic Physical Therapy Inc | 1956-11-29 | 2025-10-08 | M | AE | PT | LYGA | 9E33A44VQ74 | FRANK | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120831859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550634/check_13113111_93c49349-1280-4111-bd39-d940d7fd2226.json | N/A | N/A | N/A | N/A | N/A | 9E33A44VQ74 | Medicare Part A | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-11-29 | S5596 | DOL 07071986 | N/A | MA | false | LYGA | N/A | FRANK | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963482918 | N/A | N/A | 5550634 | 2222 | 4801 | 13410767 | N/A | 4219584 | 2025-10-08 06:08:06.778133 | 2025-09-29 18:19:47.145731 |
| 2025-10-07 09:08:28.922376 | 2025-10-08 06:03:07.681850 | 13113104 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13113104 | Athletic Physical Therapy Inc | 1998-10-29 | 2025-10-09 | M | PT | N/A | MARSHALL | JQU309W24257 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.140543858.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458512/check_13113104_c2ff2bad-e1a4-4c6f-b904-17ed607c6266.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 | 8963614790 | N/A | N/A | 7458512 | 2222 | 4793 | 13401219 | N/A | 6021448 | 2025-10-08 06:03:07.681850 | 2025-07-14 23:05:51.728886 |
| 2025-10-07 09:08:29.059191 | 2025-10-08 06:08:04.143803 | 13113103 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13113103 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-10-10 | F | AE | PT | BRADBURY | 5W31MW6FP03 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120831859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550534/check_13113103_59ce75d2-31c4-45e4-b3a4-c64792539574.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 | 8963482904 | N/A | N/A | 5550534 | 2222 | 4801 | 13410701 | N/A | 4219556 | 2025-10-08 06:08:04.143803 | 2025-05-13 04:29:37.230592 |
| 2025-10-07 09:08:28.631785 | 2025-10-08 06:04:35.939759 | 13113097 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 13113097 | Athletic Physical Therapy Inc | 1990-11-12 | 2025-10-08 | F | AE | PT | SIMONS | 94378141G | DESIREE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120831859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550102/check_13113097_469bcdb8-bee8-4921-bc87-eb72e15ae430.json | N/A | N/A | N/A | N/A | N/A | 94378141G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1990-11-12 | N/A | N/A | N/A | N/A | false | SIMONS | N/A | DESIREE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963482903 | N/A | N/A | 5550102 | 2222 | 4802 | 13404289 | N/A | 4212176 | 2025-10-08 06:04:35.939759 | 2025-05-13 04:29:37.226514 |
| 2025-10-07 09:08:28.207749 | 2025-10-08 06:08:03.291382 | 13113087 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13113087 | Athletic Physical Therapy Inc | 1954-05-11 | 2025-10-10 | M | AE | PT | A Peters | 1R78CR5JR59 | Dennis | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120831859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550025/check_13113087_b866f35d-8008-4839-97ba-521cc13ee075.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 | 8963482902 | N/A | N/A | 5550025 | 2222 | 4801 | 13410679 | N/A | 4219449 | 2025-10-08 06:08:03.291382 | 2025-10-07 21:32:27.567534 |
| 2025-10-07 09:08:27.836788 | 2025-10-08 06:05:20.805270 | 13113078 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13113078 | Athletic Physical Therapy Inc | 1961-10-06 | 2025-10-09 | F | PT | N/A | SMITH | XED910117839 | DEANNA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120831859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549692/check_13113078_6ddbd78d-a6ba-45f7-be23-bb0e8f7a3027.json | N/A | N/A | N/A | N/A | N/A | XED910117839 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-10-06 | 2001ZK002184 | X0001004 | N/A | PR | false | SMITH | N/A | ADRIAN | N/A | 9999-12-31 | 2021-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963482901 | N/A | N/A | 5549692 | 2222 | 4801 | 13405905 | N/A | 4219305 | 2025-10-08 06:05:20.805270 | 2025-09-16 17:28:21.311815 |
| 2025-10-07 09:08:27.598928 | 2025-10-08 06:04:46.263889 | 13113073 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13113073 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-10-08 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120831859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_13113073_9dce0524-10f1-4fd2-ba04-4372767b4bfe.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963482900 | N/A | N/A | 5549317 | 2222 | 4801 | 13404692 | N/A | 4219010 | 2025-10-08 06:04:46.263889 | 2026-01-09 18:32:07.618867 |
| 2025-10-07 09:08:27.234238 | 2025-10-08 05:49:28.689661 | 13113063 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | 13113063 | Athletic Physical Therapy Inc | 1965-07-05 | 2025-10-08 | F | PT | N/A | CEJA | XEH903796659 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120831859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549285/check_13113063_e37cacb7-91ae-47bf-941e-3a700da59777.json | N/A | N/A | N/A | N/A | N/A | XEH903796659 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1965-07-05 | N/A | N/A | N/A | N/A | false | CEJA | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963482899 | N/A | N/A | 5549285 | 2222 | 4801 | 13383118 | N/A | 4218983 | 2025-10-08 05:49:28.689661 | 2025-05-13 04:29:37.230000 |
| 2025-10-07 09:08:26.853988 | 2025-10-08 06:08:04.461798 | 13113057 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13113057 | Athletic Physical Therapy Inc | 1972-05-29 | 2025-10-10 | M | AE | PT | CALDERON | 4DH3VT4QR98 | FREDY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120831859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549153/check_13113057_b57d55c2-6e48-40d2-8d48-a7400b04d093.json | N/A | N/A | N/A | N/A | N/A | 4DH3VT4QR98 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1972-05-29 | S5617 | N/A | N/A | MA | false | CALDERON | N/A | FREDY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963482892 | N/A | N/A | 5549153 | 2222 | 4801 | 13410705 | N/A | 4218873 | 2025-10-08 06:08:04.461798 | 2025-05-13 04:29:37.229886 |
| 2025-10-07 09:08:23.149817 | 2025-10-07 09:08:26.137336 | 13112981 | N/A | N/A | 60054 | Aetna | 1114042165 | 13112981 | Athletic Physical Therapy Inc | 1948-09-01 | 2025-10-08 | M | AE | PT | Yompoob | 101235166500 | Issac | 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 | 9901611 | 2222 | 4802 | N/A | N/A | 8289794 | 2025-10-07 09:08:26.137336 | 2025-10-01 20:04:00.941623 |
| 2025-10-07 09:08:20.765490 | 2025-10-08 06:03:41.187851 | 13112927 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13112927 | Athletic Physical Therapy Inc | 1962-06-19 | 2025-10-08 | M | AE | PT | MILIAN GOMEZ | 93331019F | MIGUEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120831859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543555/check_13112927_b308d501-7d71-45e2-9c72-dbb3b666b215.json | N/A | N/A | N/A | N/A | N/A | 93331019F | N/A | N/A | HEALTH NET, LLC | N/A | 1962-06-19 | N/A | N/A | N/A | N/A | false | MILIAN GOMEZ | N/A | MIGUEL | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963482807 | N/A | N/A | 5543555 | 2222 | 4802 | 13402410 | N/A | 4215332 | 2025-10-08 06:03:41.187851 | 2025-08-06 16:15:15.716322 |
| 2025-10-07 09:08:20.324127 | 2025-10-08 06:08:06.203833 | 13112921 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13112921 | Athletic Physical Therapy Inc | 1950-10-31 | 2025-10-10 | F | AE | PT | HOORIZADEH | 2DX2T46JH03 | FLORA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120831859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543528/check_13112921_48fa4047-2f01-4322-a240-5d6c8c7380f2.json | N/A | N/A | N/A | N/A | N/A | 2DX2T46JH03 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-10-31 | S4802 | N/A | N/A | MB | false | HOORIZADEH | N/A | FLORA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963482792 | N/A | N/A | 5543528 | 2222 | 4802 | 13410753 | N/A | 4215312 | 2025-10-08 06:08:06.203833 | 2025-05-13 04:29:37.229631 |
| 2025-10-07 09:08:19.988445 | 2025-10-08 06:01:39.199491 | 13112911 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 13112911 | Athletic Physical Therapy Inc | 1950-03-29 | 2025-10-09 | M | AE | PT | AKHTARI | 40045421301 | SHAHROKH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120831859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543493/check_13112911_50939afc-ef0e-4aad-a72f-aa4fe816e878.json | N/A | N/A | N/A | N/A | N/A | 40045421301 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963482785 | N/A | N/A | 5543493 | 2222 | 4793 | 13399083 | N/A | 4215273 | 2025-10-08 06:01:39.199491 | 2025-05-13 04:29:37.229594 |
| 2025-10-07 09:08:19.636857 | 2025-10-08 06:01:07.512401 | 13112901 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13112901 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-10-09 | M | AE | PT | FORTIN | R14644640MS1 | NATHANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120831859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_13112901_be29130e-10c6-4337-979e-250d993b9212.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 | 8963482772 | N/A | N/A | 5543425 | 2222 | 4801 | 13398500 | N/A | 4215211 | 2025-10-08 06:01:07.512401 | 2026-04-02 22:30:20.020246 |
| 2025-10-07 09:08:19.299418 | 2025-10-08 05:49:59.142521 | 13112896 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 13112896 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-10-08 | F | AE | PT | SILVERS | 1866968 | JOIEMAY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120831859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543335/check_13112896_ba694193-63e0-4218-a7c4-b0d4818bbbe1.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 2001-01-23 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963482764 | N/A | N/A | 5543335 | 2222 | 4802 | 13383818 | N/A | 4215139 | 2025-10-08 05:49:59.142521 | 2025-05-13 21:20:11.455022 |
| 2025-10-07 09:08:18.911662 | 2025-10-08 06:04:41.737679 | 13112890 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13112890 | Athletic Physical Therapy Inc | 1962-09-27 | 2025-10-09 | F | PT | N/A | BARAJAS | NCF425A56241 | EMMA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120831859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543324/check_13112890_da20e8fc-7217-40e9-a07a-6ffb293fd25d.json | N/A | N/A | N/A | N/A | N/A | JMV425A56241 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1962-09-27 | 040 | 56677VR000 | N/A | HM | false | BARAJAS | N/A | RAMON | N/A | 9999-12-31 | 2025-09-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963482750 | N/A | N/A | 5543324 | 2222 | 4801 | 13404512 | 4184 | 4215131 | 2025-10-08 06:04:41.737679 | 2025-08-11 16:45:52.816842 |
| 2025-10-07 09:08:18.478954 | 2025-10-08 05:51:07.140487 | 13112883 | N/A | N/A | 60054 | Aetna | 1114042165 | 13112883 | Athletic Physical Therapy Inc | 1966-04-15 | 2025-10-09 | F | AE | PT | STULTZ | W460545844 | TRACY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120831859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543319/check_13112883_5b6753fb-01d8-493b-b28c-cd8f344f28da.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 | 8963482741 | N/A | N/A | 5543319 | 2222 | 4802 | 13385640 | N/A | 4215127 | 2025-10-08 05:51:07.140487 | 2025-05-13 04:29:37.229443 |
| 2025-10-07 09:08:18.017845 | 2025-10-08 05:49:57.720455 | 13112874 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 13112874 | Athletic Physical Therapy Inc | 1991-07-22 | 2025-10-08 | M | AE | PT | AZIM | 627771249 | FAIYAZ | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120831859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543304/check_13112874_8d29be92-9046-4b7e-aa37-0e8d2557195d.json | N/A | N/A | N/A | N/A | N/A | 627771249 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 1991-07-22 | 18126CA001000201 | QMXEM01910 | N/A | N/A | false | AZIM | N/A | FAIYAZ | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963482739 | N/A | N/A | 5543304 | 2222 | 4802 | 13383792 | N/A | 4215118 | 2025-10-08 05:49:57.720455 | 2025-06-02 01:41:59.668874 |
| 2025-10-07 09:08:17.629799 | 2025-10-08 05:49:58.196453 | 13112868 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 13112868 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-10-08 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120831859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_13112868_f0dd00da-9220-46d9-989c-d42ebb9093a2.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-03-27 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | 2078-12-31 | 2024-11-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963482738 | N/A | N/A | 5543270 | 2222 | 4793 | 13383800 | N/A | 4215086 | 2025-10-08 05:49:58.196453 | 2025-05-13 04:29:37.229401 |
| 2025-10-07 09:08:17.329871 | 2025-10-08 05:57:26.517747 | 13112858 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 13112858 | Athletic Physical Therapy Inc | 1993-07-24 | 2025-10-08 | M | AD | N/A | SJUKUR | U0030031901 | HANSEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120831859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543268/check_13112858_3294c56f-7f11-41bc-b12a-1c62106a0373.json | N/A | N/A | N/A | N/A | N/A | U0030031901 | N/A | MCKINSEY & COMPANY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1993-07-24 | N/A | 2500547 | N/A | N/A | false | SJUKUR | N/A | HANSEL C | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8963482731 | N/A | N/A | 5543268 | 2222 | 4802 | 13393877 | N/A | 4215085 | 2025-10-08 05:57:26.517747 | 2025-05-23 17:53:24.114484 |
| 2025-10-07 09:08:16.838791 | 2025-10-08 06:05:19.895551 | 13112848 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13112848 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-10-09 | F | PT | N/A | PAUL | XEK914147727 | SARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120831859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543211/check_13112848_ec26a2bb-5ba0-461f-a5b4-496ba37a7b52.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 | 2025-12-31 | 2025-02-01 | SILVER 2600 HDHP PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963482723 | N/A | N/A | 5543211 | 2222 | 4801 | 13405868 | N/A | 4215028 | 2025-10-08 06:05:19.895551 | 2025-05-13 04:29:37.229346 |
| 2025-10-07 09:08:16.462150 | 2025-10-08 06:04:46.678128 | 13112843 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13112843 | Athletic Physical Therapy Inc | 2003-10-09 | 2025-10-08 | F | PT | N/A | LUKOWITSCH | XDPCA8263500 | HALLIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120831859.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543178/check_13112843_365f093e-f970-4fd1-bdfc-873d569c14fc.json | N/A | N/A | N/A | N/A | N/A | XDPCA8263500 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | ANTHEM BLUE CROSS | N/A | 2003-10-09 | 040 | 275958P701 | N/A | PR | false | LUKOWITSCH | N/A | HALLIE | N/A | 9999-12-31 | 2025-09-22 | PPO UC SHIP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963482722 | N/A | N/A | 5543178 | 2222 | 4802 | 13404709 | N/A | 4215006 | 2025-10-08 06:04:46.678128 | 2025-05-13 04:29:37.229325 |