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 09:00:21.691810 | 2025-10-08 04:10:23.196535 | 13104927 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13104927 | Athletic Physical Therapy Inc | 1951-10-16 | 2025-10-09 | F | AE | PT | GARRETT | JQE702W20596 | KATHLEEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131240016.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714934/check_13104927_d670b5d5-5326-4736-a133-ab9b19c42ab6.json | N/A | N/A | N/A | N/A | N/A | JQE702W20596 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-10-16 | 040 | CASUPWP0 | N/A | N/A | false | GARRETT | N/A | KATHLEEN | N/A | 9999-12-31 | 2024-07-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963475519 | N/A | N/A | 6714934 | 2222 | 4793 | 13371330 | N/A | 5316176 | 2025-10-08 04:10:23.196535 | 2025-07-01 18:44:12.927482 |
| 2025-10-07 09:00:11.560927 | 2025-10-08 05:54:33.958098 | 13104738 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 13104738 | Athletic Physical Therapy Inc | 1947-09-20 | 2025-10-10 | M | AE | PT | SHIMOHARA | H7561028700 | STANLEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120450001.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6594216/check_13104738_1f6e27a7-25eb-43e3-9836-b13af48f8d78.json | N/A | N/A | N/A | N/A | N/A | H75610287 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1947-09-20 | N/A | 0B527001 | N/A | HN | false | SHIMOHARA | N/A | STANLEY | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963408569 | N/A | N/A | 6594216 | 2222 | 4801 | 13391244 | N/A | 5213181 | 2025-10-08 05:54:33.958098 | 2025-07-28 18:07:32.231640 |
| 2025-10-07 08:59:57.957941 | 2025-10-08 06:06:13.317555 | 13104477 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13104477 | Athletic Physical Therapy Inc | 1950-06-21 | 2025-10-10 | M | PT | N/A | Aliabadi | 4H63HH1UD97 | Hossein | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.144718753.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7983538/check_13104477_f9973809-e383-411d-bfe6-06b3172c0a50.json | N/A | N/A | N/A | N/A | N/A | 4H63HH1UD97 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-06-21 | S5601 | N/A | N/A | MB | false | ALIABADI | N/A | HOSSEIN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963613178 | N/A | N/A | 7983538 | 2222 | 4802 | 13407629 | N/A | 6706099 | 2025-10-08 06:06:13.317555 | 2025-11-21 22:00:12.073625 |
| 2025-10-07 08:59:47.447166 | 2025-10-08 06:07:51.181072 | 13104297 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13104297 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-10-08 | F | AE | PT | SHAKIB | 1MR6XC7NU77 | PARI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.140543858.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444722/check_13104297_0e72640c-ae39-4c1a-92f8-5dbd8a02b707.json | N/A | N/A | N/A | N/A | N/A | 1MR6XC7NU77 | Medicare Part A | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-05-04 | H5521 | N/A | N/A | MA | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963612072 | N/A | N/A | 7444722 | 2222 | 4802 | 13410371 | N/A | 6395498 | 2025-10-08 06:07:51.181072 | 2026-02-18 02:38:35.073779 |
| 2025-10-07 08:59:39.101522 | 2025-10-08 05:56:43.059709 | 13104145 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 13104145 | Athletic Physical Therapy Inc | 1946-05-08 | 2025-10-09 | F | AE | PT | JENSEN | H8814805300 | ANN | 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/2222/7444559/check_13104145_a1b38d39-3b8d-4479-98c3-107868360c16.json | N/A | N/A | N/A | N/A | N/A | H88148053 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1946-05-08 | N/A | 0B527001 | N/A | HN | false | JENSEN | N/A | ANN | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963612068 | N/A | N/A | 7444559 | 2222 | 4801 | 13393158 | N/A | 6395281 | 2025-10-08 05:56:43.059709 | 2025-07-24 18:22:24.913461 |
| 2025-10-07 08:59:30.145332 | 2025-10-08 05:59:18.385821 | 13103981 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 13103981 | Athletic Physical Therapy Inc | 1961-03-08 | 2025-10-09 | F | AE | PT | SAPHOS | U2326133302 | CHERYL | 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/2222/7444268/check_13103981_9d1761e6-7720-41fc-8756-f4bd72d8976b.json | N/A | N/A | N/A | N/A | N/A | U2326133302 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 1961-03-08 | N/A | 3207160 | N/A | N/A | false | SAPHOS | N/A | CHERYL | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963612063 | N/A | N/A | 7444268 | 2222 | 4793 | 13396316 | N/A | 6395002 | 2025-10-08 05:59:18.385821 | 2025-08-01 21:55:47.943743 |
| 2025-10-07 08:58:55.058801 | 2025-10-08 06:05:50.443145 | 13103395 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13103395 | Athletic Physical Therapy Inc | 1934-12-03 | 2025-10-10 | M | AE | PT | Dayzadeh | 9A94PK6GA08 | Nasser | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120450001.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583825/check_13103395_78d18485-d21b-4bf2-be65-1e8a66ed2f6a.json | N/A | N/A | N/A | N/A | N/A | 9A94PK6GA08 | Medicare Part A | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1934-12-03 | S2468 | N/A | N/A | MA | false | DAYZADEH | N/A | NASSER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963409184 | N/A | N/A | 6583825 | 2222 | 4802 | 13406930 | N/A | 5202586 | 2025-10-08 06:05:50.443145 | 2025-06-25 17:55:27.155518 |
| 2025-10-07 08:58:54.523192 | 2025-10-08 06:00:56.215660 | 13103386 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13103386 | Athletic Physical Therapy Inc | 1936-04-15 | 2025-10-10 | F | AE | PT | MCCRAY | C4003524401 | ELIZABETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120450001.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583817/check_13103386_b6a86b52-dae0-4a44-a84f-fb811f41fcf5.json | N/A | N/A | N/A | N/A | N/A | C4003524401 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1936-04-15 | N/A | CA05620125 | N/A | N/A | false | MCCRAY | N/A | ELIZABETH | N/A | N/A | N/A | WELLCARE SIMPLE FOCUS (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963409179 | N/A | N/A | 6583817 | 2222 | 4802 | 13398241 | N/A | 5202575 | 2025-10-08 06:00:56.215660 | 2025-09-17 19:56:42.576499 |
| 2025-10-07 08:58:45.317880 | 2025-10-08 05:59:27.862271 | 13103236 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 13103236 | Athletic Physical Therapy Inc | 1952-01-26 | 2025-10-09 | F | AE | PT | AGHA ZADEH SHARE | 40034093701 | FIMA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120450001.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6582113/check_13103236_6f6786bb-2a83-4228-9e7b-7fbb7a16a0a6.json | N/A | N/A | N/A | N/A | N/A | 40034093701 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | AGHA ZADEH SHARE | N/A | FIMA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963409138 | N/A | N/A | 6582113 | 2222 | 4801 | 13396522 | N/A | 5201198 | 2025-10-08 05:59:27.862271 | 2025-07-11 22:39:28.411632 |
| 2025-10-07 08:58:43.368791 | 2025-10-08 05:53:37.716774 | 13103212 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13103212 | Athletic Physical Therapy Inc | 1981-02-22 | 2025-10-10 | M | PT | N/A | WALKOW | XEK906265328 | RYAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.122641878.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9024389/check_13103212_90d4b178-7f78-4ab9-971b-5ccd92bc266c.json | N/A | N/A | N/A | N/A | N/A | XEK906265328 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1981-02-22 | 2001ZK002189 | X0001000 | N/A | PR | false | WALKOW | N/A | RYAN | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963565369 | N/A | N/A | 9024389 | 2222 | 4793 | 13389821 | N/A | 7546770 | 2025-10-08 05:53:37.716774 | 2025-09-09 02:40:35.718380 |
| 2025-10-07 08:58:29.448456 | 2025-10-08 05:42:04.455873 | 13103009 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13103009 | Athletic Physical Therapy Inc | 1971-12-07 | 2025-10-09 | M | AE | PT | WALLACH | 1PD0KF7JH37 | CHARLES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.114634340.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7821426/check_13103009_8322d8e2-1c30-42a2-9821-5c3082c63bd1.json | N/A | N/A | N/A | N/A | N/A | 1PD0KF7JH37 | Medicare Part B | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1971-12-07 | N/A | N/A | N/A | MB | false | WALLACH IV | N/A | CHARLES | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963288009 | N/A | N/A | 7821426 | 2222 | 4801 | 13381142 | N/A | 6660003 | 2025-10-08 05:42:04.455873 | 2026-06-01 17:03:48.982724 |
| 2025-10-07 08:58:27.916977 | 2025-10-08 04:12:06.452036 | 13102975 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13102975 | Athletic Physical Therapy Inc | 1956-06-26 | 2025-10-08 | F | AE | PT | SUAREZ | JQE410W22492 | ANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.144716234.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9083355/check_13102975_a92b3f63-0434-40af-8c8c-e4d358729322.json | N/A | N/A | N/A | N/A | N/A | JQE410W22492 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1956-06-26 | 040 | CASUPWP0 | N/A | N/A | false | SUAREZ | N/A | ANA | N/A | 9999-12-31 | 2025-01-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963609248 | N/A | N/A | 9083355 | 2222 | 4801 | 13372388 | N/A | 7600312 | 2025-10-08 04:12:06.452036 | 2025-09-04 18:19:39.478018 |
| 2025-10-07 08:58:24.508511 | 2025-10-08 06:02:28.637112 | 13102920 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13102920 | Athletic Physical Therapy Inc | 1966-03-26 | 2025-10-10 | F | PT | N/A | Deschatres | XED912070650 | Nathalie | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120450001.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577909/check_13102920_ca14bf85-61d4-4d03-8966-3a1590a919f6.json | N/A | N/A | N/A | N/A | N/A | XED912070650 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1966-03-26 | 2001ZK002186 | X0001004 | N/A | PR | false | DESCHATRES | N/A | NATHALIE | N/A | 9999-12-31 | 2023-02-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963411532 | N/A | N/A | 6577909 | 2222 | 4802 | 13400151 | N/A | 4766701 | 2025-10-08 06:02:28.637112 | 2025-06-03 21:11:46.573919 |
| 2025-10-07 08:57:58.052845 | 2025-10-07 08:58:00.328309 | 13102485 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 13102485 | Athletic Physical Therapy Inc | 1981-10-10 | 2025-10-08 | F | AE | PT | FARAHAT | 101956430 | LAURA | 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 | 8108868 | 2222 | 4802 | N/A | N/A | 4213812 | 2025-10-07 08:58:00.328309 | 2025-05-13 04:29:37.228133 |
| 2025-10-07 08:57:25.320906 | 2025-10-08 06:00:55.137878 | 13101937 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13101937 | Athletic Physical Therapy Inc | 2009-08-12 | 2025-10-08 | M | AE | PT | Aldana | 95423949E | George | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120450001.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6568645/check_13101937_c24b8ee7-33db-420d-b414-8c91b6712d1b.json | N/A | N/A | N/A | N/A | N/A | 95423949E | N/A | N/A | HEALTH NET, LLC | N/A | 2009-08-12 | N/A | N/A | N/A | N/A | false | ALDANA | N/A | GEORGE | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963408925 | N/A | N/A | 6568645 | 2222 | 4802 | 13398214 | N/A | 5190481 | 2025-10-08 06:00:55.137878 | 2025-06-24 17:29:30.756528 |
| 2025-10-07 08:56:48.380735 | 2025-10-08 06:06:26.323863 | 13101368 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13101368 | Athletic Physical Therapy Inc | 2004-10-12 | 2025-10-10 | F | PT | N/A | SMITH | JQU079A20315 | QUINCEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131253827.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9738262/check_13101368_575dc847-2b9e-4eee-b611-7c5c3f71c0f2.json | N/A | N/A | N/A | N/A | N/A | JQU079A20315 | Preferred Provider Organization (PPO) | TREATMENT CENTER MANAGEMENT CORPORATION | BLUE SHIELD OF CALIFORNIA | N/A | 2004-10-12 | 040 | U26729 | N/A | PR | false | SMITH | N/A | CRAIG | N/A | 9999-12-31 | 2025-01-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963275473 | N/A | N/A | 9738262 | 2222 | 4802 | 13408073 | N/A | 8152988 | 2025-10-08 06:06:26.323863 | 2025-09-25 21:29:07.638267 |
| 2025-10-07 08:56:47.163057 | 2025-10-08 06:05:41.425984 | 13101344 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13101344 | Athletic Physical Therapy Inc | 1982-12-08 | 2025-10-10 | M | PT | N/A | Magpali | VUC967W18809 | Aaron | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131253827.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9737460/check_13101344_6b490a99-03fd-479f-96e5-143d15c4384b.json | N/A | N/A | N/A | N/A | N/A | VUC967W18809 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1982-12-08 | 040 | 280509S400 | N/A | PR | false | MAGPALI | N/A | AARON | N/A | 9999-12-31 | 2024-01-01 | UC CARE PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963274604 | N/A | N/A | 9737460 | 2222 | 4801 | 13406636 | N/A | 8152382 | 2025-10-08 06:05:41.425984 | 2025-09-28 17:20:36.874498 |
| 2025-10-07 08:56:46.592144 | 2025-10-08 05:52:56.881956 | 13101333 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13101333 | Athletic Physical Therapy Inc | 1952-08-20 | 2025-10-09 | M | PT | N/A | POLK | MBL292M95257 | KENNETH | 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/2222/9022039/check_13101333_51e773c1-e3ce-492c-9fd5-21c3393d7db4.json | N/A | N/A | N/A | N/A | N/A | MBL292M95257 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1952-08-20 | 040 | CAEGR002 | N/A | N/A | false | POLK | N/A | KENNETH | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963563724 | N/A | N/A | 9022039 | 2222 | 4801 | 13388787 | N/A | 7544773 | 2025-10-08 05:52:56.881956 | 2025-09-02 18:35:33.812098 |
| 2025-10-07 08:56:46.093789 | 2025-10-08 05:52:38.423295 | 13101320 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 13101320 | Athletic Physical Therapy Inc | 1972-10-20 | 2025-10-08 | F | AE | PT | Huynh | 92325476F | Heidi | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131253827.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9737213/check_13101320_d64735f6-0b43-40e6-863d-1eb91604b653.json | N/A | N/A | N/A | N/A | N/A | 92325476F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 02/28/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1972-10-20 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | HUYNH | N/A | HEIDI | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963274596 | N/A | N/A | 9737213 | 2222 | 4802 | 13388366 | N/A | 8151631 | 2025-10-08 05:52:38.423295 | 2025-09-25 22:07:45.142805 |
| 2025-10-07 08:56:30.538040 | 2025-10-08 06:05:42.020736 | 13101005 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13101005 | Athletic Physical Therapy Inc | 1968-10-03 | 2025-10-09 | M | PT | N/A | RAMIREZ | Z7M7740597AB | CESAR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131253827.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9729132/check_13101005_b6f7c138-6597-419f-a488-b46b76872e45.json | N/A | N/A | N/A | N/A | N/A | Z7M7740597AB | Preferred Provider Organization (PPO) | HI DED LOWER FAMILY ONLY | ANTHEM BLUE CROSS | N/A | 1968-10-03 | 241 | L11957M003 | N/A | PR | false | RAMIREZ | N/A | CESAR | N/A | 9999-12-31 | 2025-01-01 | PPO WITH MO BLUE ACCESS CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963275823 | N/A | N/A | 9729132 | 2222 | 4801 | 13406656 | N/A | 8145241 | 2025-10-08 06:05:42.020736 | 2025-09-25 17:51:33.170014 |
| 2025-10-07 08:56:18.703453 | 2025-10-08 04:12:39.421316 | 13100628 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13100628 | Athletic Physical Therapy Inc | 1966-08-31 | 2025-10-09 | F | PT | N/A | GRACE | MPI01390093Q | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131248080.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9443690/check_13100628_afc41425-9b8a-4483-8f83-75ffcf9fce49.json | N/A | N/A | N/A | N/A | N/A | MPI01390093Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1966-08-31 | 040 | 277163M401 | N/A | PR | false | GRACE | N/A | TODD | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963271611 | N/A | N/A | 9443690 | 2222 | 4801 | 13372703 | N/A | 7900244 | 2025-10-08 04:12:39.421316 | 2026-03-03 19:01:14.362337 |
| 2025-10-07 08:56:16.933399 | 2025-10-08 05:58:32.740229 | 13100576 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13100576 | Athletic Physical Therapy Inc | 1971-12-07 | 2025-10-09 | M | AE | PT | WALLACH | 1PD0KF7JH37 | CHARLES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.114254447.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7821426/check_13100576_8bbe70b7-1bf9-4fb8-b38d-5483cef75b65.json | N/A | N/A | N/A | N/A | N/A | 1PD0KF7JH37 | Medicare Part A | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1971-12-07 | N/A | N/A | N/A | MA | false | WALLACH IV | N/A | CHARLES | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963267539 | N/A | N/A | 7821426 | 2222 | 4801 | 13395238 | N/A | 6660003 | 2025-10-08 05:58:32.740229 | 2026-06-01 17:03:48.982724 |
| 2025-10-07 08:56:13.952381 | 2025-10-08 04:12:39.793889 | 13100501 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13100501 | Athletic Physical Therapy Inc | 1952-07-08 | 2025-10-08 | F | PT | N/A | LEJANO | MMA286W10517 | MELECIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131248080.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9443092/check_13100501_a91be686-5fc7-4886-a14d-8fbf4a557369.json | N/A | N/A | N/A | N/A | N/A | MMA286W10517 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-07-08 | 040 | CAMCRWP0 | N/A | MP | false | LEJANO | N/A | MELECIA VICTOR | 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 | 8963271596 | N/A | N/A | 9443092 | 2222 | 4801 | 13372707 | N/A | 7899425 | 2025-10-08 04:12:39.793889 | 2025-09-18 04:34:38.232559 |
| 2025-10-07 08:55:32.066264 | 2025-10-08 05:52:17.117759 | 13099300 | N/A | N/A | 60054 | Aetna | 1114042165 | 13099300 | Athletic Physical Therapy Inc | 1993-09-26 | 2025-10-08 | M | AE | PT | Hamilton | W292751187 | Kevin | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120450001.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6555606/check_13099300_efd26099-fd35-43cb-9cf3-4f8638ba533e.json | N/A | N/A | N/A | N/A | N/A | W292751187 | Point of Service (POS) | WILLKIE FARR & GALLAGHER LLP | AETNA | N/A | 1993-09-26 | 0308636 | 030863601400001 | N/A | PS | false | HAMILTON | N/A | KEVIN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963410428 | N/A | N/A | 6555606 | 2222 | 4802 | 13387764 | N/A | 5178755 | 2025-10-08 05:52:17.117759 | 2025-07-17 17:42:32.068740 |
| 2025-10-07 08:55:26.544173 | 2025-10-08 06:02:34.841982 | 13099133 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13099133 | Athletic Physical Therapy Inc | 2002-02-06 | 2025-10-09 | F | PT | N/A | MANALO LAMANNA | GSC134174111001 | ISADORE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120450001.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554790/check_13099133_09970044-9d6b-4ff5-a2af-a988826657d1.json | N/A | N/A | N/A | N/A | N/A | GSC134174111001 | Preferred Provider Organization (PPO) | WTW/ PE CONSTELLATION SOFTWARE INC. $20 /$50 COPAY | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = SELF INSURED | 2002-02-06 | 363 | 08407400 | N/A | PR | false | MANALOLAMANNA | N/A | ANDREW | N/A | 9999-12-31 | 2022-01-01 | BLUE CARD PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963410419 | N/A | N/A | 6554790 | 2222 | 4793 | 13400284 | N/A | 5177947 | 2025-10-08 06:02:34.841982 | 2026-05-11 21:31:25.186699 |
| 2025-10-07 08:55:20.610042 | 2025-10-08 04:11:52.096077 | 13098962 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13098962 | Athletic Physical Therapy Inc | 1996-07-14 | 2025-10-08 | F | AE | PT | Smith | R13448873FM1 | Hanah | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131248080.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9436237/check_13098962_9d1cff3b-ff36-4abb-b9bb-bf0a8f5940dc.json | N/A | N/A | N/A | N/A | N/A | R13448873FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1996-07-14 | N/A | N/A | N/A | N/A | false | SMITH | N/A | HANNAH | N/A | N/A | N/A | K9N SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963270842 | N/A | N/A | 9436237 | 2222 | 4802 | 13372236 | N/A | 7892301 | 2025-10-08 04:11:52.096077 | 2025-09-16 00:12:50.080432 |
| 2025-10-07 08:55:19.945857 | 2025-10-08 05:52:17.894398 | 13098947 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13098947 | Athletic Physical Therapy Inc | 1992-12-01 | 2025-10-08 | F | AE | PT | Mullen | 97749132H | Melissa | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.114254447.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7799930/check_13098947_a293e150-bb52-4e65-869e-556bd81525f8.json | N/A | N/A | N/A | N/A | N/A | 97749132H | N/A | N/A | HEALTH NET, LLC | N/A | 1992-12-01 | N/A | N/A | N/A | N/A | false | MULLEN | N/A | MELISSA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963266674 | N/A | N/A | 7799930 | 2222 | 4802 | 13387794 | N/A | 6641123 | 2025-10-08 05:52:17.894398 | 2025-08-06 00:00:36.528464 |
| 2025-10-07 08:55:17.040645 | 2025-10-08 04:00:24.106533 | 13098869 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13098869 | Athletic Physical Therapy Inc | 1955-10-21 | 2025-10-09 | F | PT | N/A | WAKIL | MMA290W21854 | MALIHA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131248080.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9415877/check_13098869_82e77249-dc75-44ca-a487-3939e10e2d2b.json | N/A | N/A | N/A | N/A | N/A | MMA290W21854 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1955-10-21 | N/A | N/A | N/A | N/A | false | WAKIL | N/A | MALIHA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963270828 | N/A | N/A | 9415877 | 2222 | 4801 | 13368001 | N/A | 7884745 | 2025-10-08 04:00:24.106533 | 2025-10-02 21:33:51.225390 |
| 2025-10-07 08:55:13.752022 | 2025-10-08 04:10:21.669651 | 13098778 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 13098778 | Athletic Physical Therapy Inc | 1960-03-08 | 2025-10-09 | F | AE | PT | CONNER | 40068898601 | CRISTEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131248080.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9415234/check_13098778_682ad66f-f535-4e29-a1e5-00b6e2e6ab25.json | N/A | N/A | N/A | N/A | N/A | 40068898601 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | CONNER | N/A | CRISTEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963272515 | N/A | N/A | 9415234 | 2222 | 4801 | 13371311 | N/A | 7884350 | 2025-10-08 04:10:21.669651 | 2025-09-15 22:38:10.066233 |
| 2025-10-07 08:55:09.807149 | 2025-10-08 05:50:22.671135 | 13098652 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 13098652 | Athletic Physical Therapy Inc | 1953-01-18 | 2025-10-08 | F | AE | PT | CANO | H7655502400 | ADELAIDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.114254447.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7796425/check_13098652_dd792777-3262-4a18-b2e7-e3eb021596c6.json | N/A | N/A | N/A | N/A | N/A | H76555024 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 557 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1953-01-18 | N/A | 0B635001 | N/A | HN | false | CANO | N/A | ADELAIDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963266169 | N/A | N/A | 7796425 | 2222 | 4801 | 13384458 | N/A | 6638534 | 2025-10-08 05:50:22.671135 | 2025-08-05 23:10:54.464587 |
| 2025-10-07 08:54:58.482785 | 2025-10-08 04:12:38.785028 | 13098265 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13098265 | Athletic Physical Therapy Inc | 2011-04-16 | 2025-10-08 | M | PT | N/A | DEBOREE | JQU118A63475 | FALCON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131248080.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9414075/check_13098265_dcfd5eb6-59f8-43f1-a2bf-3616d55c3854.json | N/A | N/A | N/A | N/A | N/A | JQU118A63475 | N/A | FALKON CREATIVE LP | ANTHEM BLUE CROSS | THIS INACTIVE MEMBER MAY BE ELIGIBLE FOR COVERAGE UNDER THEIR PRIOR COVERAGE IF THEY MEET THE ELIGIBILITY REQUIREMENTS OF THE CONSOLIDATED APPROPRIATIONS ACT. COVERAGE IS LIMITED TO SERVICES FOR CONTINUITY OF CARE CONDITIONS. ASK THE MEMBER FOR MORE INFORMATION. | 2011-04-16 | 040 | K62998 | N/A | N/A | false | DEBOREE | N/A | DEXTON | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963272253 | N/A | N/A | 9414075 | 2222 | 4802 | 13372697 | N/A | 7883494 | 2025-10-08 04:12:38.785028 | 2025-09-24 22:46:15.277212 |
| 2025-10-07 08:54:51.927927 | 2025-10-08 05:53:28.756899 | 13098033 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13098033 | Athletic Physical Therapy Inc | 1970-10-11 | 2025-10-08 | M | PT | N/A | Kahen | XEK909669840 | Shervin | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.114254447.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7787192/check_13098033_0bb39adb-91fe-43e3-a9f6-f47388878f5c.json | N/A | N/A | N/A | N/A | N/A | XEK909669840 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1970-10-11 | 2001ZK002195 | X0001000 | N/A | PR | false | KAHEN | N/A | SHERVIN | N/A | 9999-12-31 | 2025-05-18 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963267164 | N/A | N/A | 7787192 | 2222 | 4802 | 13389568 | N/A | 6631054 | 2025-10-08 05:53:28.756899 | 2025-12-12 20:45:04.787542 |
| 2025-10-07 08:54:39.054671 | 2025-10-08 05:52:23.091410 | 13097615 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13097615 | Athletic Physical Therapy Inc | 1959-09-25 | 2025-10-08 | F | AE | PT | SIQUEIROS | 00000416329 | NEOMI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.114254447.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7783566/check_13097615_0bfe2c0e-a080-4df5-859e-273cdd083ac2.json | N/A | N/A | N/A | N/A | N/A | 00000416329 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1959-09-25 | H3815028 | N/A | N/A | HM | false | SIQUEIROS | N/A | NEOMI | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963266401 | N/A | N/A | 7783566 | 2222 | 4793 | 13387951 | 2630 | 6628802 | 2025-10-08 05:52:23.091410 | 2025-08-05 16:32:50.217064 |
| 2025-10-07 08:54:39.049078 | 2025-10-08 04:05:02.742872 | 13097613 | N/A | N/A | 60054 | Aetna | 1114042165 | 13097613 | Athletic Physical Therapy Inc | 1970-07-15 | 2025-10-09 | M | AE | PT | BAKER | W225972262 | MATTHEW | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131248080.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411210/check_13097613_6f43084b-38df-49f1-861c-1caec49aa8fe.json | N/A | N/A | N/A | N/A | N/A | W225972262 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 1970-07-15 | 0232495 | 023249501300055 | N/A | PS | false | HOBAN-BAKER | N/A | AMY | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963272061 | N/A | N/A | 9411210 | 2222 | 4802 | 13369030 | N/A | 7880075 | 2025-10-08 04:05:02.742872 | 2025-10-01 14:29:57.963249 |
| 2025-10-07 08:54:38.219061 | 2025-10-08 04:20:44.733030 | 13097585 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13097585 | Athletic Physical Therapy Inc | 1955-07-01 | 2025-10-09 | F | AE | PT | GREER | 7H09HW9QG44 | ROBIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131248080.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411083/check_13097585_5a3fa2e6-a508-4291-949f-590ec23319f1.json | N/A | N/A | N/A | N/A | N/A | 7H09HW9QG44 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-01 | S5601 | N/A | N/A | MA | false | GREER | N/A | ROBIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963272057 | N/A | N/A | 9411083 | 2222 | 4802 | 13376411 | N/A | 7879863 | 2025-10-08 04:20:44.733030 | 2026-02-04 18:21:13.840230 |
| 2025-10-07 08:54:32.514082 | 2025-10-08 04:12:05.528370 | 13097363 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13097363 | Athletic Physical Therapy Inc | 1942-10-02 | 2025-10-09 | M | AE | PT | SAWAYA | XDD599A52218 | PETER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.144716234.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9033459/check_13097363_a2e85281-ce27-494d-bb8e-a4de03b437a7.json | N/A | N/A | N/A | N/A | N/A | XDD599A52218 | Indemnity | SISC - COMPANIONCARE | MEDICARE D | N/A | 1942-10-02 | 040 | 40003A | N/A | IN | false | SAWAYA | N/A | PETER | N/A | 9999-12-31 | 2023-01-01 | MEDICARE SUPPLEMENT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963610308 | N/A | N/A | 9033459 | 2222 | 4802 | 13372378 | N/A | 7553607 | 2025-10-08 04:12:05.528370 | 2025-09-02 22:55:04.873891 |
| 2025-10-07 08:54:29.541145 | 2025-10-08 06:05:41.740959 | 13097254 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13097254 | Athletic Physical Therapy Inc | 1965-04-22 | 2025-10-08 | M | PT | N/A | MCHALE | ZGP814915047 | TIMOTHY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131253827.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9691017/check_13097254_6c81a618-457e-4c6a-960b-7d85dbb26aaf.json | N/A | N/A | N/A | N/A | N/A | ZGP814915047 | Preferred Provider Organization (PPO) | NATIONAL TRENCH SAFETY, INC | CUSTOMER SERVICE | N/A | 1965-04-22 | N/A | 400397 | N/A | PR | false | MCHALE | N/A | TIMOTHY | N/A | 9999-12-31 | 2025-01-01 | PPO DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963276151 | N/A | N/A | 9691017 | 2222 | 4801 | 13406648 | N/A | 4212607 | 2025-10-08 06:05:41.740959 | 2025-09-24 22:37:58.534216 |
| 2025-10-07 08:54:10.592578 | 2025-10-08 06:45:06.386135 | 13096690 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13096690 | Athletic Physical Therapy Inc | 1977-05-14 | 2025-10-10 | F | PT | N/A | HONG | FBJ2963169M | Xi Angela | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.143730480.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9213662/check_13096690_bdfc8d37-d73d-44f5-beb2-1da3ce69f061.json | N/A | N/A | N/A | N/A | N/A | FBJ2963169M | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1977-05-14 | N/A | N/A | N/A | N/A | false | HONG | N/A | XI ANGELA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963563477 | N/A | N/A | 9213662 | 2222 | 4793 | 13423105 | N/A | 7729036 | 2025-10-08 06:45:06.386135 | 2025-09-19 20:26:46.976508 |
| 2025-10-07 08:54:10.481690 | 2025-10-08 04:13:38.969949 | 13096687 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13096687 | Athletic Physical Therapy Inc | 1975-01-26 | 2025-10-10 | F | PT | N/A | LOMAX | JPU871A55010 | SHARON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131248080.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9405086/check_13096687_3f86a90e-1106-4e84-8e84-4effd325d278.json | N/A | N/A | N/A | N/A | N/A | JPU871A55010 | Preferred Provider Organization (PPO) | MOOSE TOYS LLC CA/OOS | BLUE SHIELD OF CALIFORNIA | N/A | 1975-01-26 | 040 | L07716M001 | N/A | PR | false | LOMAX | N/A | SHARON | N/A | 9999-12-31 | 2025-02-01 | PPO PRUDENT BUYER CLASSIC MULTI-CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963270442 | N/A | N/A | 9405086 | 2222 | 4793 | 13373274 | N/A | 7874246 | 2025-10-08 04:13:38.969949 | 2025-10-06 16:02:29.071757 |
| 2025-10-07 08:53:57.327659 | 2025-10-08 07:08:35.072289 | 13096251 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13096251 | Athletic Physical Therapy Inc | 1960-07-20 | 2025-10-09 | F | AE | PT | NAFTZGER | XEM914412859 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131228161.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6194938/check_13096251_719ee41e-6986-4297-ae65-3f7c62cbc930.json | N/A | N/A | N/A | N/A | N/A | XEM914412859 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1960-07-20 | 2002SEW00030 | X0001002 | N/A | OT | false | NAFTZGER | N/A | SANDRA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963260782 | N/A | N/A | 6194938 | 2222 | 4802 | 13425836 | N/A | 4214889 | 2025-10-08 07:08:35.072289 | 2025-05-13 04:29:37.229212 |
| 2025-10-07 08:53:55.695151 | 2025-10-08 06:02:33.155737 | 13096194 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13096194 | Athletic Physical Therapy Inc | 1949-01-02 | 2025-10-10 | F | AE | PT | TARASEVYCH | 90733231H | VIRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131231225.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8050658/check_13096194_bba904be-7054-44a4-aeda-9c6979907c48.json | N/A | N/A | N/A | N/A | N/A | 90733231H | N/A | N/A | HEALTH NET, LLC | N/A | 1949-01-02 | N/A | N/A | N/A | N/A | false | TARASEVYCH | N/A | VIRA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963269759 | N/A | N/A | 8050658 | 2222 | 4793 | 13400249 | N/A | 6845945 | 2025-10-08 06:02:33.155737 | 2025-08-20 15:30:30.230373 |
| 2025-10-07 08:53:52.234723 | 2025-10-08 05:51:35.883220 | 13096076 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 13096076 | Athletic Physical Therapy Inc | 1936-04-01 | 2025-10-09 | F | AE | PT | WESTER | 40064582501 | EIVOR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.114254447.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7761229/check_13096076_019c6097-48a5-4435-931c-c4fde947d747.json | N/A | N/A | N/A | N/A | N/A | 40064582501 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | WESTER | N/A | EIVOR | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963266570 | N/A | N/A | 7761229 | 2222 | 4793 | 13386516 | N/A | 6610550 | 2025-10-08 05:51:35.883220 | 2025-08-29 21:18:14.924057 |
| 2025-10-07 08:53:51.641383 | 2025-10-08 07:08:27.444632 | 13096052 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13096052 | Athletic Physical Therapy Inc | 1958-05-19 | 2025-10-08 | F | AE | PT | MAYER | XEM912219422 | MARY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131228161.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6175091/check_13096052_392a41ef-baf7-43f6-8378-1dadcd2c4fb8.json | N/A | N/A | N/A | N/A | N/A | XEM912219422 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1958-05-19 | 2002SE000030 | X0001002 | N/A | OT | false | MAYER | N/A | MARY | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963259432 | N/A | N/A | 6175091 | 2222 | 4801 | 13425819 | N/A | 4213917 | 2025-10-08 07:08:27.444632 | 2025-06-25 01:53:37.609327 |
| 2025-10-07 08:53:49.959565 | 2025-10-08 06:09:33.276199 | 13095992 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13095992 | Athletic Physical Therapy Inc | 1953-03-30 | 2025-10-09 | F | AE | PT | ELLIS | 9MF1PQ0JC94 | KATHY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131253827.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9688784/check_13095992_331f1b6a-8e90-4b89-bf66-8790c4b37651.json | N/A | N/A | N/A | N/A | N/A | 9MF1PQ0JC94 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-03-30 | S5601 | N/A | N/A | MB | false | ELLIS | N/A | KATHY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963275046 | N/A | N/A | 9688784 | 2222 | 4793 | 13412595 | N/A | 8108118 | 2025-10-08 06:09:33.276199 | 2025-09-24 21:19:03.418185 |
| 2025-10-07 08:53:47.778208 | 2025-10-08 07:08:40.077341 | 13095909 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13095909 | Athletic Physical Therapy Inc | 1959-07-13 | 2025-10-08 | F | AE | PT | SHETH | XEA914147448 | SHAIVALINI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131228161.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145898/check_13095909_0307b40c-fe10-4328-8e12-7edc5e23a1b6.json | N/A | N/A | N/A | N/A | N/A | XAN914147448 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | MEDICARE PART A AND B | N/A | 1959-07-13 | 1002VX000001 | W0051411 | N/A | PR | false | SHETH | N/A | OJAS | N/A | 9999-12-31 | 2025-02-01 | CALPERS ASO VISION | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963259416 | N/A | N/A | 6145898 | 2222 | 4801 | 13425847 | N/A | 4786709 | 2025-10-08 07:08:40.077341 | 2025-06-20 18:28:02.399027 |
| 2025-10-07 08:53:46.071974 | 2025-10-08 06:02:33.779072 | 13095842 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 13095842 | Athletic Physical Therapy Inc | 1960-02-19 | 2025-10-09 | F | AE | PT | ENGLISH BLAZEJ | 40067960801 | DOREEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131231225.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8048674/check_13095842_07394b54-a848-46a8-b804-dd547390bb55.json | N/A | N/A | N/A | N/A | N/A | 40067960801 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | ENGLISH BLAZEJ | N/A | DOREEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963268964 | N/A | N/A | 8048674 | 2222 | 4801 | 13400263 | N/A | 6844466 | 2025-10-08 06:02:33.779072 | 2025-08-13 17:29:27.130257 |
| 2025-10-07 08:53:38.603092 | 2025-10-08 06:13:10.434426 | 13095539 | N/A | N/A | 60054 | Aetna | 1114042165 | 13095539 | Athletic Physical Therapy Inc | 1976-12-17 | 2025-10-08 | M | AE | PT | Ramos | W263196559 | Jerome Petrocelli | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120144852.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9862743/check_13095539_b77195e2-fc6b-432a-8a58-dd1aef28026d.json | N/A | N/A | N/A | N/A | N/A | W263196559 | Preferred Provider Organization (PPO) | HOSPITAL CORPORATION OF AMERICA | AETNA | N/A | 1976-12-17 | 0160833 | 016083305000013 | N/A | PR | false | RAMOS | N/A | JEROME | N/A | N/A | N/A | OPEN CHOICE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963252365 | N/A | N/A | 9862743 | 2222 | 4801 | 13415756 | N/A | 8258250 | 2025-10-08 06:13:10.434426 | 2025-09-30 21:47:59.000682 |
| 2025-10-07 08:53:36.966775 | 2025-10-08 07:11:48.825447 | 13095469 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13095469 | Athletic Physical Therapy Inc | 1947-07-23 | 2025-10-09 | F | AE | PT | JOHNSON | 1CX4UU0NX84 | JUANITA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120144852.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9862554/check_13095469_1209f2bf-1636-47d0-a42b-b2b611de34ce.json | N/A | N/A | N/A | N/A | N/A | 1CX4UU0NX84 | Medicare Part B | N/A | HUMANA INSURANCE CO. & HUMANA INSURANCE CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-07-23 | S5884 | N/A | N/A | MB | false | JOHNSON | N/A | JUANITA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963253181 | N/A | N/A | 9862554 | 2222 | 4801 | 13426189 | N/A | 8258095 | 2025-10-08 07:11:48.825447 | 2025-09-30 21:32:44.934397 |
| 2025-10-07 08:53:36.370534 | 2025-10-08 07:11:58.174646 | 13095447 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13095447 | Athletic Physical Therapy Inc | 1959-09-19 | 2025-10-08 | F | AE | PT | MOJIRI ANDANI | 3CQ3TX0XD02 | SOUSSAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.120144852.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9862291/check_13095447_9830108b-d2d2-43ff-92a8-cb765f794bbe.json | N/A | N/A | N/A | N/A | N/A | 3CQ3TX0XD02 | Medicare Part A | N/A | HEALTH CARE SERVICE CORPORATION | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-19 | S5715 | N/A | N/A | MA | false | MOJIRI-ANDANI | N/A | SOUSSAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963253179 | N/A | N/A | 9862291 | 2222 | 4802 | 13426204 | N/A | 8216024 | 2025-10-08 07:11:58.174646 | 2025-09-29 17:34:24.775132 |
| 2025-10-07 08:53:36.152641 | 2025-10-08 06:05:42.323697 | 13095437 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13095437 | Athletic Physical Therapy Inc | 1996-03-23 | 2025-10-09 | M | PT | N/A | XIE | R8T303W09440 | XIPENG | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131253827.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9686875/check_13095437_9244e56f-4036-486d-8600-236998a0fee0.json | N/A | N/A | N/A | N/A | N/A | R8T303W09440 | Preferred Provider Organization (PPO) | RIOT GAMES INC | ANTHEM BLUE CROSS | N/A | 1996-03-23 | 040 | 174318M2A1 | N/A | PR | false | XIE | N/A | XIPENG | N/A | 9999-12-31 | 2023-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963276056 | N/A | N/A | 9686875 | 2222 | 4802 | 13406661 | N/A | 8105852 | 2025-10-08 06:05:42.323697 | 2025-09-24 19:15:51.950591 |