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 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | 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 09:08:16.045237 | 2025-10-08 05:57:21.723746 | 13112837 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 13112837 | Athletic Physical Therapy Inc | 1973-05-07 | 2025-10-08 | F | AD | FERRERAS | U6570615702 | PATRICIA | N/A | 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/2222/5543171/check_13112837_65a2ad01-8720-4c99-bdbd-400b2070fcfb.json | N/A | N/A | N/A | N/A | N/A | U6570615702 | N/A | WORKDAY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1973-05-07 | N/A | 3336422 | N/A | N/A | false | FERRERAS | N/A | PATRICIA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8963482720 | N/A | N/A | 5543171 | 2222 | 4793 | 13393788 | N/A | 4214998 | 2025-10-08 05:57:21.723746 | 2025-05-13 04:29:37.229318 |
| 2025-10-07 09:08:15.676279 | 2025-10-08 06:04:45.407637 | 13112830 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13112830 | Athletic Physical Therapy Inc | 1972-06-23 | 2025-10-10 | F | PT | LAWSON | JXN663W00172 | MICHELLE | N/A | 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/2222/5543167/check_13112830_0fe88eae-1365-46fc-bd61-fb38324bb160.json | N/A | N/A | N/A | N/A | N/A | JXN663W00172 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1972-06-23 | 040 | 174222M2A1 | N/A | PR | false | LAWSON | N/A | MICHELLE | N/A | 9999-12-31 | 2020-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963480770 | N/A | N/A | 5543167 | 2222 | 4793 | 13404663 | N/A | 4214995 | 2025-10-08 06:04:45.407637 | 2025-05-13 04:29:37.229315 |
| 2025-10-07 09:08:15.375376 | 2025-10-08 06:04:28.018601 | 13112824 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 13112824 | Athletic Physical Therapy Inc | 1960-12-24 | 2025-10-09 | F | AE | PORTILLO | 00000315343 | LISA | PT | 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/2222/5543084/check_13112824_b8d79981-bcf9-4579-8f4f-3461bda1567b.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 | 8963480769 | N/A | N/A | 5543084 | 2222 | 4801 | 13403987 | N/A | 4214920 | 2025-10-08 06:04:28.018601 | 2025-05-13 04:29:37.229242 |
| 2025-10-07 09:08:15.067023 | 2025-10-08 06:01:45.054914 | 13112814 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 13112814 | Athletic Physical Therapy Inc | 1957-01-21 | 2025-10-09 | M | AE | SHADDY | 40064865601 | STEVE | PT | 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/2222/5543011/check_13112814_eae9048f-3e71-4fdd-9f2b-4197cc9045a1.json | N/A | N/A | N/A | N/A | N/A | 40064865601 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | SHADDY | N/A | STEVE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963480767 | N/A | N/A | 5543011 | 2222 | 4801 | 13399198 | N/A | 4214861 | 2025-10-08 06:01:45.054914 | 2026-02-04 19:10:58.526441 |
| 2025-10-07 09:08:14.637448 | 2025-10-08 06:05:18.995000 | 13112806 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13112806 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-10-10 | F | PT | JAIN | XEK909304497 | SUPARNA | N/A | 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/2222/5542952/check_13112806_8485fecf-770d-41d5-a31c-69d96bcec232.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 | 9999-12-31 | 2019-09-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963480765 | N/A | N/A | 5542952 | 2222 | 4802 | 13405833 | N/A | 4214804 | 2025-10-08 06:05:18.995000 | 2025-05-13 20:09:53.786482 |
| 2025-10-07 09:08:14.203814 | 2025-10-08 05:51:03.748071 | 13112799 | N/A | N/A | 60054 | Aetna | 1114042165 | 13112799 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-10-10 | M | AE | KORY | 102161581800 | MICHAEL | PT | 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/2222/5542870/check_13112799_31aedfda-a8d9-4387-a449-17faaed1d338.json | N/A | N/A | N/A | N/A | N/A | 102161581800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1959-05-08 | 000003-CA000058 | 000003-CA | N/A | PR | false | KORY | N/A | MICHAEL | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963480764 | N/A | N/A | 5542870 | 2222 | 4793 | 13385543 | N/A | 4214732 | 2025-10-08 05:51:03.748071 | 2025-06-24 20:13:53.579048 |
| 2025-10-07 09:08:13.873250 | 2025-10-08 06:03:39.257768 | 13112793 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13112793 | Athletic Physical Therapy Inc | 2007-12-08 | 2025-10-09 | F | AE | LARSEN | R06053944FD1 | LANA | PT | 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/2222/5542850/check_13112793_0a2e39b5-a45e-41f6-a1f5-d6501d5611ce.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 | 8963480762 | N/A | N/A | 5542850 | 2222 | 4793 | 13402354 | N/A | 4214714 | 2025-10-08 06:03:39.257768 | 2025-05-13 04:29:37.229031 |
| 2025-10-07 09:08:13.427086 | 2025-10-08 06:08:07.645721 | 13112787 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13112787 | Athletic Physical Therapy Inc | 1962-08-01 | 2025-10-08 | M | AE | MIHALEV | 1NU2W44MF18 | ANGEL | PT | 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/2222/5542783/check_13112787_4bfe787a-4d1a-481a-b923-80caa8a04527.json | N/A | N/A | N/A | N/A | N/A | 1NU2W44MF18 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1962-08-01 | S4802 | N/A | N/A | MB | false | MIHALEV | N/A | ANGEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963480760 | N/A | N/A | 5542783 | 2222 | 4801 | 13410788 | N/A | 4214658 | 2025-10-08 06:08:07.645721 | 2025-05-13 04:29:37.228977 |
| 2025-10-07 09:08:12.930181 | 2025-10-08 06:01:11.930583 | 13112779 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13112779 | Athletic Physical Therapy Inc | 1979-11-17 | 2025-10-10 | F | AE | WOODS | 96781627F | JESSICA | PT | 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/2222/5542752/check_13112779_027b06d3-6b75-4718-b653-f9a53a107465.json | N/A | N/A | N/A | N/A | N/A | 96781627F | N/A | N/A | HEALTH NET, LLC | N/A | 1979-11-17 | N/A | N/A | N/A | N/A | false | WOODS | N/A | JESSICA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963480754 | N/A | N/A | 5542752 | 2222 | 4793 | 13398587 | N/A | 4214627 | 2025-10-08 06:01:11.930583 | 2025-06-23 18:58:46.304598 |
| 2025-10-07 09:08:12.614660 | 2025-10-08 06:04:43.604579 | 13112772 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13112772 | Athletic Physical Therapy Inc | 1993-06-20 | 2025-10-10 | F | PT | DELOS REYES | JXN688W13372 | JANELLE LOPEZ | N/A | 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/2222/5542750/check_13112772_abc33848-e630-45c3-a3ba-43aebb98d8ca.json | N/A | N/A | N/A | N/A | N/A | JXN688W13372 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-06-20 | N/A | N/A | N/A | N/A | false | DELOS REYES | N/A | JANELLE LOPEZ | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963480753 | N/A | N/A | 5542750 | 2222 | 4802 | 13404579 | N/A | 4214623 | 2025-10-08 06:04:43.604579 | 2025-08-28 22:11:32.536994 |
| 2025-10-07 09:08:12.286644 | 2025-10-08 05:51:02.686617 | 13112766 | N/A | N/A | 60054 | Aetna | 1114042165 | 13112766 | Athletic Physical Therapy Inc | 2005-11-23 | 2025-10-09 | F | AE | FERRELL | W285064666 | AMELIA | PT | 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/2222/5542678/check_13112766_0c90e638-1ad1-431b-a96b-8b49ea3d9fce.json | N/A | N/A | N/A | N/A | N/A | W285064666 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 2005-11-23 | 0232499 | 023249901000051 | N/A | PS | false | FERRELL | N/A | RALPH | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963480745 | N/A | N/A | 5542678 | 2222 | 4802 | 13385516 | N/A | 4214560 | 2025-10-08 05:51:02.686617 | 2025-05-13 04:29:37.228883 |
| 2025-10-07 09:08:11.970588 | 2025-10-08 06:01:03.531370 | 13112759 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13112759 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-10-10 | F | AE | CHERE | 98953535F | DIANA | PT | 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/2222/5542660/check_13112759_7e315e93-308b-4129-8de1-56dfe2725f27.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963480743 | N/A | N/A | 5542660 | 2222 | 4802 | 13398400 | N/A | 4214542 | 2025-10-08 06:01:03.531370 | 2025-05-13 04:29:37.228868 |
| 2025-10-07 09:08:11.620904 | 2025-10-08 05:51:04.793504 | 13112750 | N/A | N/A | 60054 | Aetna | 1114042165 | 13112750 | Athletic Physical Therapy Inc | 1942-12-06 | 2025-10-09 | M | AE | MEADOWS | 101352892200 | STANLEY | PT | 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/2222/5542634/check_13112750_bb55e09c-aa01-454e-ac0a-3a86f3fd0118.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 | 8963480739 | N/A | N/A | 5542634 | 2222 | 4801 | 13385579 | N/A | 4214520 | 2025-10-08 05:51:04.793504 | 2025-07-28 19:32:04.879318 |
| 2025-10-07 09:08:11.212353 | 2025-10-08 06:04:34.806792 | 13112742 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 13112742 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-10-09 | F | AE | HAMI | 92932800G | FARIBA | PT | 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/2222/5542611/check_13112742_46cffc6e-576a-4050-a081-b9cec2a05f31.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 | 8963480738 | N/A | N/A | 5542611 | 2222 | 4802 | 13404243 | N/A | 4214490 | 2025-10-08 06:04:34.806792 | 2025-05-13 04:29:37.228806 |
| 2025-10-07 09:08:10.819990 | 2025-10-08 06:08:03.835774 | 13112736 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13112736 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-10-09 | M | AE | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | PT | 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/2222/5542555/check_13112736_3d5d4eff-b657-49c6-be05-64f3f22851fe.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-24 | N/A | N/A | N/A | MB | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963480737 | N/A | N/A | 5542555 | 2222 | 4793 | 13410696 | N/A | 4214447 | 2025-10-08 06:08:03.835774 | 2026-04-23 20:11:34.441054 |
| 2025-10-07 09:08:10.486024 | 2025-10-08 06:04:35.294205 | 13112731 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 13112731 | Athletic Physical Therapy Inc | 1975-03-26 | 2025-10-09 | F | AE | HEYES | 95596436F | DARCIE | PT | 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/2222/5542233/check_13112731_bd71b8f5-cf15-44f4-a717-07dc3cf3643b.json | N/A | N/A | N/A | N/A | N/A | 95596436F | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1975-03-26 | N/A | N/A | N/A | N/A | false | HEYES | N/A | DARCIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963480736 | N/A | N/A | 5542233 | 2222 | 4793 | 13404258 | N/A | 4214178 | 2025-10-08 06:04:35.294205 | 2025-05-13 04:29:37.228506 |
| 2025-10-07 09:08:09.996970 | 2025-10-08 06:05:17.767453 | 13112722 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13112722 | Athletic Physical Therapy Inc | 1983-04-25 | 2025-10-08 | F | PT | HASERJIAN | XED912403581 | RENEE | N/A | 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/2222/5542222/check_13112722_a5371160-5610-420c-88f9-45573af586cc.json | N/A | N/A | N/A | N/A | N/A | XED912403581 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1983-04-25 | 2001ZK002169 | X0001004 | N/A | PR | false | HASERJIAN | N/A | RENEE | N/A | 9999-12-31 | 2023-08-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963480734 | N/A | N/A | 5542222 | 2222 | 4793 | 13405795 | N/A | 4214148 | 2025-10-08 06:05:17.767453 | 2025-05-13 04:29:37.228475 |
| 2025-10-07 09:08:09.607836 | 2025-10-08 06:04:44.760564 | 13112713 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13112713 | Athletic Physical Therapy Inc | 1938-01-22 | 2025-10-09 | F | PT | ISTOK | MBL474M98437 | LOIS | N/A | 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/2222/5542207/check_13112713_fe92ea74-b134-4414-972a-f8f7f1822026.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 | 8963480733 | N/A | N/A | 5542207 | 2222 | 4802 | 13404637 | N/A | 4214152 | 2025-10-08 06:04:44.760564 | 2025-05-13 04:29:37.228479 |
| 2025-10-07 09:08:09.227882 | 2025-10-08 06:08:05.948578 | 13112707 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13112707 | Athletic Physical Therapy Inc | 1937-05-08 | 2025-10-09 | F | AE | GRINBERG | 6W60TM0KP36 | HANNA | PT | 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/2222/5542161/check_13112707_f007e85c-de00-4ac3-9beb-6f84303d3296.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 | 8963480728 | N/A | N/A | 5542161 | 2222 | 4802 | 13410745 | N/A | 4214112 | 2025-10-08 06:08:05.948578 | 2025-05-13 04:29:37.228426 |
| 2025-10-07 09:08:08.877210 | 2025-10-08 06:04:27.285680 | 13112697 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13112697 | Athletic Physical Therapy Inc | 1957-10-24 | 2025-10-08 | F | AE | MCSHEA | 00000364203 | SANDRA | PT | 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/2222/5542046/check_13112697_49a95fc3-9655-43dd-89c7-28eae568f5db.json | N/A | N/A | N/A | N/A | N/A | 00000364203 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-10-24 | H3815028 | N/A | N/A | HM | false | MCSHEA | N/A | SANDRA | 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 | 8963480726 | N/A | N/A | 5542046 | 2222 | 4801 | 13403965 | 2630 | 4214001 | 2025-10-08 06:04:27.285680 | 2025-05-13 04:29:37.228323 |
| 2025-10-07 09:08:08.546461 | 2025-10-08 06:04:49.360726 | 13112693 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13112693 | Athletic Physical Therapy Inc | 1942-12-17 | 2025-10-08 | F | PT | STEINBERG | MBL988M98459 | JUDY | N/A | 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/2222/5542014/check_13112693_af87bc05-b0e4-48c7-8fbf-19a5bb210413.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | 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 | 8963480719 | N/A | N/A | 5542014 | 2222 | 4793 | 13404805 | N/A | 4213977 | 2025-10-08 06:04:49.360726 | 2025-05-13 04:29:37.228294 |
| 2025-10-07 09:08:08.185723 | 2025-10-08 06:04:35.571180 | 13112685 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 13112685 | Athletic Physical Therapy Inc | 1961-02-27 | 2025-10-08 | M | AE | SHRIVER | 90771207E | DANIEL | PT | 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/2222/5541984/check_13112685_e9dea305-75a6-4dfa-9931-031c9aff9b4b.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 | 8963480716 | N/A | N/A | 5541984 | 2222 | 4802 | 13404275 | N/A | 4213934 | 2025-10-08 06:04:35.571180 | 2026-01-27 23:36:44.802366 |
| 2025-10-07 09:08:07.820929 | 2025-10-08 06:03:31.202266 | 13112678 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 13112678 | Athletic Physical Therapy Inc | 1947-02-01 | 2025-10-08 | M | AE | YEE | 412922301 | HARRY | PT | 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/2222/5541972/check_13112678_966bbb27-bc62-4e91-8998-0dfea640edc3.json | N/A | N/A | N/A | N/A | N/A | 412922301 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1947-02-01 | N/A | HCFA21 | N/A | HN | false | YEE | N/A | HARRY | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963480711 | N/A | N/A | 5541972 | 2222 | 4793 | 13402074 | N/A | 4213941 | 2025-10-08 06:03:31.202266 | 2025-05-13 04:29:37.228259 |
| 2025-10-07 09:08:07.496840 | 2025-10-08 06:05:18.077678 | 13112672 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13112672 | Athletic Physical Therapy Inc | 1990-09-04 | 2025-10-10 | M | PT | HASHEMI | XEA914007676 | SEYED | N/A | 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/2222/5541956/check_13112672_65fe80b9-b4d4-40e9-87d2-c9f8adf8987b.json | N/A | N/A | N/A | N/A | N/A | XEA914007676 | Preferred Provider Organization (PPO) | SILVUS TECHNOLOGIES INC | BLUE SHIELD CALIFORNIA | N/A | 1990-09-04 | 1000PPOX0002 | W3000628 | N/A | PR | false | HASHEMI | N/A | SEYED MEHRDAD | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1800 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963480709 | N/A | N/A | 5541956 | 2222 | 4802 | 13405810 | N/A | 4213923 | 2025-10-08 06:05:18.077678 | 2025-05-13 04:29:37.228244 |
| 2025-10-07 09:08:07.201797 | 2025-10-08 06:08:07.078554 | 13112667 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13112667 | Athletic Physical Therapy Inc | 1958-05-19 | 2025-10-08 | F | AE | MAYER | 5J41QM7YN93 | MARY | PT | 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/2222/5541938/check_13112667_80ab5f49-3f0b-4499-81b3-ac6b853fe7ff.json | N/A | N/A | N/A | N/A | N/A | 5J41QM7YN93 | Medicare Part A | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-05-19 | S5884 | N/A | N/A | MA | false | MAYER | N/A | MARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963480708 | N/A | N/A | 5541938 | 2222 | 4801 | 13410775 | N/A | 4213917 | 2025-10-08 06:08:07.078554 | 2025-06-25 01:53:37.609327 |
| 2025-10-07 09:08:06.915563 | 2025-10-08 06:05:18.370872 | 13112660 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13112660 | Athletic Physical Therapy Inc | 1980-03-25 | 2025-10-08 | F | PT | HILLIGER | XEA902904791 | JENNIE | N/A | 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/2222/5541730/check_13112660_398c9520-3f7e-4739-a19b-ad539ea4cf20.json | N/A | N/A | N/A | N/A | N/A | XEA902904791 | Preferred Provider Organization (PPO) | HILLIGER INC | BLUE SHIELD CALIFORNIA | N/A | 1980-03-25 | 1000VX000102 | W0060472 | N/A | PR | false | HILLIGER | N/A | JENNIFER | N/A | 9999-12-31 | 2017-01-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963480707 | N/A | N/A | 5541730 | 2222 | 4793 | 13405818 | N/A | 4213725 | 2025-10-08 06:05:18.370872 | 2025-05-13 04:29:37.228045 |
| 2025-10-07 09:08:06.598447 | 2025-10-08 06:04:29.067197 | 13112651 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 13112651 | Athletic Physical Therapy Inc | 1958-09-06 | 2025-10-09 | F | AE | ZAMORA | 00000327568 | FLORYBETH | PT | 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/2222/5541719/check_13112651_450de16d-080d-4567-9b23-3e44a817f9ca.json | N/A | N/A | N/A | N/A | N/A | 00000327568 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1958-09-06 | H3815028 | N/A | N/A | HM | false | ZAMORA | N/A | FLORYBETH | 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 | 8963480706 | N/A | N/A | 5541719 | 2222 | 4801 | 13404023 | N/A | 4213712 | 2025-10-08 06:04:29.067197 | 2025-08-19 01:13:52.150115 |
| 2025-10-07 09:08:06.162558 | 2025-10-08 05:49:29.532825 | 13112642 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13112642 | Athletic Physical Therapy Inc | 1974-10-21 | 2025-10-09 | F | PT | GARCIA | NCF666A56083 | DAWN | N/A | 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/2222/5541664/check_13112642_6ef13a2e-5d48-49b3-a480-b3463ae71742.json | N/A | N/A | N/A | N/A | N/A | NCF666A56083 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1974-10-21 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963480705 | N/A | N/A | 5541664 | 2222 | 4793 | 13383128 | N/A | 4213662 | 2025-10-08 05:49:29.532825 | 2025-05-13 04:29:37.227982 |
| 2025-10-07 09:08:05.804416 | 2025-10-08 06:05:21.518975 | 13112636 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13112636 | Athletic Physical Therapy Inc | 2008-11-19 | 2025-10-08 | M | PT | ZARIN | XEK905647080 | ELLA | N/A | 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/2222/5541582/check_13112636_cc2e10d9-762e-4e0f-b2e3-9d017dfee587.json | N/A | N/A | N/A | N/A | N/A | XEK905647080 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-11-19 | 2001ZH002662 | X0001000 | N/A | PR | false | ZARIN | N/A | DORON | N/A | 2027-11-30 | 2017-02-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963480703 | N/A | N/A | 5541582 | 2222 | 4793 | 13405929 | N/A | 4213586 | 2025-10-08 06:05:21.518975 | 2025-05-28 20:44:53.527917 |
| 2025-10-07 09:08:05.420615 | 2025-10-08 05:57:25.062060 | 13112630 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 13112630 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-10-10 | M | AD | LYKIDIS | U1221753503 | JOHN | N/A | 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/2222/5541552/check_13112630_b33391d6-69ed-444b-aea5-b54d9e8aa6ac.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 | 8963480701 | N/A | N/A | 5541552 | 2222 | 4802 | 13393855 | N/A | 4213562 | 2025-10-08 05:57:25.062060 | 2025-05-13 04:29:37.227895 |
| 2025-10-07 09:08:05.088779 | 2025-10-08 06:01:10.169308 | 13112623 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13112623 | Athletic Physical Therapy Inc | 1985-02-07 | 2025-10-09 | F | AE | SHEPHERD | 93180838F | EMILY | PT | 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/2222/5541519/check_13112623_ce7b89e7-6b13-426a-8af4-adf521394eaa.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | HEALTH NET, LLC | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963480699 | N/A | N/A | 5541519 | 2222 | 4802 | 13398562 | N/A | 4213530 | 2025-10-08 06:01:10.169308 | 2025-05-13 04:29:37.227860 |
| 2025-10-07 09:08:04.592700 | 2025-10-08 06:04:45.704311 | 13112614 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13112614 | Athletic Physical Therapy Inc | 2012-06-25 | 2025-10-08 | F | PT | LORD | JQK822A53740 | ALYSSA | N/A | 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/2222/5541409/check_13112614_9f8dfc81-34f1-4896-834c-a6ff9aac7e45.json | N/A | N/A | N/A | N/A | N/A | JQT822A53740 | Health Maintenance Organization (HMO) | JLIV SERVICES INC | ANTHEM BLUE CROSS | N/A | 2012-06-25 | 040 | U54789 | N/A | HM | false | LORD | N/A | JETHRO | N/A | 9999-12-31 | 2025-08-01 | CA SG PRISELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963480698 | N/A | N/A | 5541409 | 2222 | 4793 | 13404674 | 4184 | 4213435 | 2025-10-08 06:04:45.704311 | 2025-05-13 04:29:37.227756 |
| 2025-10-07 09:08:03.995643 | 2025-10-08 06:05:19.318134 | 13112606 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13112606 | Athletic Physical Therapy Inc | 1980-05-29 | 2025-10-08 | F | PT | KURTZ | XED906231353 | NINA | N/A | 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/2222/5541378/check_13112606_b6c216d5-f33e-4f3d-b8c1-4dc4f9b74393.json | N/A | N/A | N/A | N/A | N/A | XED906231353 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-05-29 | 2001ZK002169 | X0001004 | N/A | PR | false | KURTZ | N/A | NINA | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963480695 | N/A | N/A | 5541378 | 2222 | 4793 | 13405847 | N/A | 4213405 | 2025-10-08 06:05:19.318134 | 2025-05-13 04:29:37.227726 |
| 2025-10-07 09:08:03.655831 | 2025-10-08 06:05:21.113749 | 13112601 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13112601 | Athletic Physical Therapy Inc | 1990-07-09 | 2025-10-08 | M | PT | UPSON | XEA909162969 | RYAN | N/A | 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/2222/5541318/check_13112601_b44c5621-bf04-49bd-b6f4-529bd6b40c37.json | N/A | N/A | N/A | N/A | N/A | XEA909162969 | Preferred Provider Organization (PPO) | CHILD CARE RESOURCE CENTER | BLUE SHIELD CALIFORNIA | N/A | 1990-07-09 | 1000VX000001 | W0065399 | N/A | PR | false | UPSON | N/A | SANDY | N/A | N/A | N/A | CHILD CARE RESOURCE CENTER PPO COMBINED DEDUCTIBLE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963480691 | N/A | N/A | 5541318 | 2222 | 4801 | 13405917 | N/A | 4213349 | 2025-10-08 06:05:21.113749 | 2025-05-13 04:29:37.227671 |
| 2025-10-07 09:08:03.324907 | 2025-10-08 06:05:17.357360 | 13112593 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13112593 | Athletic Physical Therapy Inc | 1963-07-22 | 2025-10-09 | F | PT | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | N/A | 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/2222/5541314/check_13112593_3c4b58ab-2730-4988-8965-358d484bb740.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 9999-12-31 | 2023-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963480689 | N/A | N/A | 5541314 | 2222 | 4793 | 13405777 | N/A | 4213343 | 2025-10-08 06:05:17.357360 | 2025-06-06 02:21:37.603701 |
| 2025-10-07 09:08:02.985957 | 2025-10-08 06:01:05.960618 | 13112587 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13112587 | Athletic Physical Therapy Inc | 1968-03-30 | 2025-10-09 | M | AE | FARAHMAND | 91957675E | ALEX | PT | 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/2222/5541163/check_13112587_dfe1bad4-feed-47d2-8872-920d595d1299.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | HEALTH NET, LLC | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963480687 | N/A | N/A | 5541163 | 2222 | 4802 | 13398463 | N/A | 4213207 | 2025-10-08 06:01:05.960618 | 2025-05-13 04:29:37.227536 |
| 2025-10-07 09:08:02.539393 | 2025-10-08 06:04:44.072031 | 13112575 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13112575 | Athletic Physical Therapy Inc | 1958-07-16 | 2025-10-08 | F | PT | GALVAN GUERRERO | MMA904W16717 | MARIA | N/A | 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/2222/5541035/check_13112575_8b6ddcb1-5287-4771-9203-ca999e3b236c.json | N/A | N/A | N/A | N/A | N/A | MMA904W16717 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-07-16 | 040 | CAMCRWP0 | N/A | MP | false | GALVAN-GUERRERO | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963480686 | N/A | N/A | 5541035 | 2222 | 4801 | 13404603 | 4184 | 4213091 | 2025-10-08 06:04:44.072031 | 2025-05-13 04:29:37.227417 |
| 2025-10-07 09:08:02.169427 | 2025-10-08 06:04:48.776466 | 13112567 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13112567 | Athletic Physical Therapy Inc | 2001-07-16 | 2025-10-08 | F | PT | POWELL | YWP80258506903 | WHITNEY | N/A | 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/2222/5540983/check_13112567_d5362b49-2c6f-4c9d-9e12-dcf0d4621e99.json | N/A | N/A | N/A | N/A | N/A | YWP80258506903 | N/A | HELLER CAPITAL GROUP LLC | CAPITAL BLUE CROSS | N/A | 2001-07-16 | N/A | 00531869 | N/A | N/A | false | POWELL | N/A | WHITNEY | N/A | 2025-06-30 | 2024-12-14 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963480685 | N/A | N/A | 5540983 | 2222 | 4793 | 13404793 | N/A | 4213053 | 2025-10-08 06:04:48.776466 | 2025-08-05 22:50:43.277345 |
| 2025-10-07 09:08:01.726442 | 2025-10-08 06:04:26.455887 | 13112562 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13112562 | Athletic Physical Therapy Inc | 1939-07-11 | 2025-10-09 | F | AE | GOMEZ | 00000357273 | EVELYN | PT | 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/2222/5540918/check_13112562_e5ab790d-4094-49dd-a3cd-4561be1c3180.json | N/A | N/A | N/A | N/A | N/A | 00000357273 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1939-07-11 | H3815028 | N/A | N/A | HM | false | GOMEZ | N/A | EVELYN | 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 | 8963480679 | N/A | N/A | 5540918 | 2222 | 4801 | 13403933 | 2630 | 4213001 | 2025-10-08 06:04:26.455887 | 2025-05-13 04:29:37.227329 |
| 2025-10-07 09:08:01.357864 | 2025-10-08 06:08:05.655588 | 13112556 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13112556 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-10-08 | F | AE | GNAD | 9EM9VP4XX36 | MELANIE | PT | 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/2222/5540676/check_13112556_647fa9ee-e21c-4198-9ac5-bc2b699c875a.json | N/A | N/A | N/A | N/A | N/A | 9EM9VP4XX36 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-04-16 | S5601 | N/A | N/A | MA | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963480678 | N/A | N/A | 5540676 | 2222 | 4801 | 13410734 | N/A | 4212792 | 2025-10-08 06:08:05.655588 | 2025-10-07 20:33:25.637997 |
| 2025-10-07 09:08:00.734156 | 2025-10-08 06:05:20.522406 | 13112545 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13112545 | Athletic Physical Therapy Inc | 1997-07-14 | 2025-10-08 | M | PT | SHERBETJIAN | XED910281081 | JACK | N/A | 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/2222/5540558/check_13112545_c865cda2-0762-48e9-b9f5-c348ac002ccd.json | N/A | N/A | N/A | N/A | N/A | XED910281081 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-14 | 2001ZK002184 | X0001004 | N/A | PR | false | SHERBETJIAN | N/A | JACK | N/A | 9999-12-31 | 2021-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963480670 | N/A | N/A | 5540558 | 2222 | 4801 | 13405892 | N/A | 4212698 | 2025-10-08 06:05:20.522406 | 2025-05-13 04:29:37.227042 |
| 2025-10-07 09:08:00.374864 | 2025-10-08 05:57:23.417528 | 13112538 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 13112538 | Athletic Physical Therapy Inc | 1979-11-24 | 2025-10-08 | F | AD | KHATIBI | U9102110302 | AZADEH | N/A | 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/2222/5540470/check_13112538_87c65d21-0e68-4711-9dbb-4a4ffb9d8e84.json | N/A | N/A | N/A | N/A | N/A | U9102110302 | N/A | ENVIRONMENTAL SCIENCE ASSOCIATES | CHLIC | PATIENT HAS ACTIVE COVERAGE BASED ON DATA AVAILABLE AS OF DATE OF REQUEST. CONTACT OTHER ENTITY TO VALIDATE | 1979-11-24 | N/A | 3345966 | N/A | N/A | false | KHATIBI | N/A | AZADEH | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8963480653 | N/A | N/A | 5540470 | 2222 | 4802 | 13393825 | N/A | 4212623 | 2025-10-08 05:57:23.417528 | 2025-08-07 18:30:47.571981 |
| 2025-10-07 09:07:59.925273 | 2025-10-08 06:08:03.566017 | 13112525 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13112525 | Athletic Physical Therapy Inc | 1954-06-15 | 2025-10-08 | F | AE | ADIB | 1TJ9E76RP17 | JILA | PT | 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/2222/5540303/check_13112525_51872e5e-05b2-42ff-bbc9-f05561f715c9.json | N/A | N/A | N/A | N/A | N/A | 1TJ9E76RP17 | Medicare Part B | N/A | ACCESS GENERALINSUR COMP | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-06-15 | S4802 | DOL 10302012 | N/A | MB | false | ADIB | N/A | JILA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963480645 | N/A | N/A | 5540303 | 2222 | 4801 | 13410689 | N/A | 4212486 | 2025-10-08 06:08:03.566017 | 2025-09-30 02:32:14.808821 |
| 2025-10-07 09:07:59.494732 | 2025-10-08 05:57:14.793890 | 13112517 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 13112517 | Athletic Physical Therapy Inc | 1967-12-13 | 2025-10-10 | M | AE | MIDDLETON | U3369221802 | BLAKE | PT | 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/2222/5540185/check_13112517_364f0ff2-0193-4702-8892-cfcc2042f62a.json | N/A | N/A | N/A | N/A | N/A | U3369221802 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1967-12-13 | N/A | 3346355 | N/A | HM | false | MIDDLETON | N/A | BLAKE | N/A | N/A | N/A | NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963480642 | N/A | N/A | 5540185 | 2222 | 4802 | 13393684 | N/A | 4212381 | 2025-10-08 05:57:14.793890 | 2025-12-17 20:12:42.035054 |
| 2025-10-07 09:07:58.865182 | 2025-10-08 06:01:08.640758 | 13112511 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13112511 | Athletic Physical Therapy Inc | 1973-07-11 | 2025-10-09 | M | AE | HERMAN | 95836743G | BRETT | PT | 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/2222/5540113/check_13112511_78de8dbd-2dbb-438f-89bc-38992b55ddc0.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 | 8963480639 | N/A | N/A | 5540113 | 2222 | 4801 | 13398525 | N/A | 4212315 | 2025-10-08 06:01:08.640758 | 2025-12-29 21:20:15.158611 |
| 2025-10-07 09:07:58.440980 | 2025-10-08 06:04:42.704177 | 13112502 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13112502 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-10-09 | F | PT | BOYLAN | MBL857M98403 | JOAN | N/A | 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/2222/5540074/check_13112502_872f632c-8cd3-4a20-955a-93525b86fa1b.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | 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 | 8963480638 | N/A | N/A | 5540074 | 2222 | 4802 | 13404546 | N/A | 4212282 | 2025-10-08 06:04:42.704177 | 2025-05-13 04:29:37.226623 |
| 2025-10-07 09:07:57.965984 | 2025-10-08 06:08:07.914013 | 13112494 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13112494 | Athletic Physical Therapy Inc | 1952-03-05 | 2025-10-08 | F | AE | MOHABBAT | 3TW4GD3RD78 | SHARIFA | PT | 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/2222/5539942/check_13112494_7cc3638b-31e9-493b-8980-84f50270075d.json | N/A | N/A | N/A | N/A | N/A | 3TW4GD3RD78 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-03-05 | S4802 | N/A | N/A | MA | false | MOHABBAT | N/A | SHARIFA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963480637 | N/A | N/A | 5539942 | 2222 | 4801 | 13410796 | N/A | 4212140 | 2025-10-08 06:08:07.914013 | 2025-09-23 20:47:09.024376 |
| 2025-10-07 09:07:57.565481 | 2025-10-08 06:08:09.070472 | 13112487 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13112487 | Athletic Physical Therapy Inc | 1947-07-25 | 2025-10-10 | M | AE | STERN | 3VW3JQ8TH11 | WESLEY | PT | 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/2222/5539872/check_13112487_02b4de4f-1b1f-4cb3-9605-9dab7183d4e5.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 | 8963480634 | N/A | N/A | 5539872 | 2222 | 4802 | 13410823 | N/A | 4212117 | 2025-10-08 06:08:09.070472 | 2025-09-25 18:29:15.369906 |
| 2025-10-07 09:07:57.210607 | 2025-10-08 06:04:47.032802 | 13112480 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13112480 | Athletic Physical Therapy Inc | 1975-10-23 | 2025-10-10 | F | PT | MAGEE | SRYHC0157512 | JENNIFER | N/A | 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/2222/5539606/check_13112480_adf3c717-491f-4984-adc8-da7caa98fad2.json | N/A | N/A | N/A | N/A | N/A | SRYHC0157512 | Preferred Provider Organization (PPO) | SURVEYMONKEY PPO IN STATE | ANTHEM BLUE CROSS | N/A | 1975-10-23 | 040 | L12152M001 | N/A | PR | false | MAGEE | N/A | JENNIFER | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963480633 | N/A | N/A | 5539606 | 2222 | 4793 | 13404724 | N/A | 4211886 | 2025-10-08 06:04:47.032802 | 2026-02-06 19:09:03.082684 |
| 2025-10-07 09:07:56.768269 | 2025-10-08 06:04:49.774109 | 13112469 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13112469 | Athletic Physical Therapy Inc | 1965-02-23 | 2025-10-09 | M | PT | TALMAN | LSA820A55237 | TIMOTHY | N/A | 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/2222/5539399/check_13112469_5f97c74d-95e5-4d48-90e2-b48829cb4ef6.json | N/A | N/A | N/A | N/A | N/A | LSA820A55237 | Preferred Provider Organization (PPO) | LOS ANGELES POLICE RELIEF ASN INC | ANTHEM BLUE CROSS | N/A | 1965-02-23 | 040 | 1841AC | N/A | PR | false | TALMAN | N/A | TIMOTHY | N/A | 9999-12-31 | 2018-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963480632 | N/A | N/A | 5539399 | 2222 | 4801 | 13404826 | N/A | 4211713 | 2025-10-08 06:04:49.774109 | 2025-05-13 04:29:37.226032 |