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 08:50:21.031170 | 2025-10-08 06:07:14.891360 | 13088131 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 13088131 | Athletic Physical Therapy Inc | 1937-05-08 | 2025-10-09 | F | AE | PT | GRINBERG | 04690155011 | HANNA | 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/2222/5542163/check_13088131_9eeac0e0-f27f-48ed-914d-c592e31e9d37.json | N/A | N/A | N/A | N/A | N/A | 04690155011 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1937-05-08 | N/A | N/A | N/A | SP | false | GRINBERG | N/A | HANNA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN J | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963260130 | N/A | N/A | 5542163 | 2222 | 4802 | 13409417 | N/A | 4214112 | 2025-10-08 06:07:14.891360 | 2025-05-13 04:29:37.228426 |
| 2025-10-07 08:50:20.769857 | 2025-10-08 06:34:59.566136 | 13088120 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 13088120 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-10-08 | F | AE | PT | GNAD | H71897184 | MELANIE | 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/2222/5540682/check_13088120_97f16b35-cfff-4b8d-bd70-bbdb9840ee96.json | N/A | N/A | N/A | N/A | N/A | H71897184 | Supplemental Policy | HUMANA BENEFIT PLANOF ILL, INC | HUMANA | 067 023 | 1946-04-16 | N/A | 5A409005 | N/A | SP | false | GNAD | N/A | MELANIE | N/A | N/A | N/A | MEDICARE MES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963260129 | N/A | N/A | 5540682 | 2222 | 4801 | 13421463 | N/A | 4212792 | 2025-10-08 06:34:59.566136 | 2025-10-07 20:33:25.637997 |
| 2025-10-07 08:50:20.473548 | 2025-10-08 06:59:57.788207 | 13088112 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13088112 | Athletic Physical Therapy Inc | 1952-03-05 | 2025-10-08 | F | AE | PT | MOHABBAT | JQE182M78942 | SHARIFA | 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/2222/5539972/check_13088112_193f286b-dfec-4442-86d2-1b30e5f044d8.json | N/A | N/A | N/A | N/A | N/A | JQE182M78942 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-03-05 | 040 | CASUPWP0 | N/A | N/A | false | MOHABBAT | N/A | SHARIFA | N/A | 9999-12-31 | 2023-04-01 | CA MODERNIZED PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963260128 | N/A | N/A | 5539972 | 2222 | 4801 | 13424883 | N/A | 4212140 | 2025-10-08 06:59:57.788207 | 2025-09-23 20:47:09.024376 |
| 2025-10-07 08:50:20.149569 | 2025-10-08 07:08:42.782899 | 13088099 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13088099 | Athletic Physical Therapy Inc | 1947-07-25 | 2025-10-10 | M | AE | PT | STERN | XEM910096416 | WESLEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131228161.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539875/check_13088099_474c3c26-706d-46de-84ec-d17bce7bb484.json | N/A | N/A | N/A | N/A | N/A | XEM910096416 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1947-07-25 | 2002SF000028 | X0001002 | N/A | OT | false | STERN | N/A | WESLEY | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963260127 | N/A | N/A | 5539875 | 2222 | 4802 | 13425852 | N/A | 4212117 | 2025-10-08 07:08:42.782899 | 2025-09-25 18:29:15.369906 |
| 2025-10-07 08:50:19.811438 | 2025-10-08 07:00:00.026223 | 13088085 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13088085 | Athletic Physical Therapy Inc | 1957-12-18 | 2025-10-10 | F | AE | PT | MOORE WILLIAMSON | JQE118W14593 | LESLIE A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131228161.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539052/check_13088085_a0872b4d-4030-4dcc-ae4b-cb18a77ecaf0.json | N/A | N/A | N/A | N/A | N/A | JQE118W14593 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1957-12-18 | 040 | CASUPWP0 | N/A | N/A | false | MOORE WILLIAMSON | N/A | LESLIE | N/A | 9999-12-31 | 2022-12-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963260126 | N/A | N/A | 5539052 | 2222 | 4801 | 13424889 | N/A | 4211368 | 2025-10-08 07:00:00.026223 | 2025-05-13 04:29:37.225728 |
| 2025-10-07 08:50:19.532285 | 2025-10-08 07:08:32.144530 | 13088074 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13088074 | Athletic Physical Therapy Inc | 1950-08-31 | 2025-10-08 | M | AE | PT | NADRICH | XEM905604302 | JEFFREY | 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/2222/5538999/check_13088074_56698682-5e50-4d2f-9b0f-a2c095049289.json | N/A | N/A | N/A | N/A | N/A | XEM905604302 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1950-08-31 | 2004SE000030 | X0001002 | N/A | OT | false | NADRICH | N/A | JEFFREY | 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 | 8963260125 | N/A | N/A | 5538999 | 2222 | 4802 | 13425832 | N/A | 4211316 | 2025-10-08 07:08:32.144530 | 2025-05-13 04:29:37.225679 |
| 2025-10-07 08:50:19.235820 | 2025-10-08 04:10:00.324873 | 13088066 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13088066 | Athletic Physical Therapy Inc | 1990-12-22 | 2025-10-08 | M | AE | PT | PRABHALA | R13572760MM1 | SAI RAM | 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/2222/9321575/check_13088066_f320cf9a-1459-4ead-b9af-a3faff197da6.json | N/A | N/A | N/A | N/A | N/A | R13572760MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1990-12-22 | N/A | N/A | N/A | N/A | false | PRABHALA | N/A | SAI RAM PAVAN PRASAD | N/A | N/A | N/A | KAI SBP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963271002 | N/A | N/A | 9321575 | 2222 | 4801 | 13371098 | N/A | 7820903 | 2025-10-08 04:10:00.324873 | 2025-09-22 20:31:02.620835 |
| 2025-10-07 08:50:19.202263 | 2025-10-08 06:59:52.586577 | 13088065 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13088065 | Athletic Physical Therapy Inc | 1952-12-18 | 2025-10-08 | F | AE | PT | DU BRIN | JQE162M93481 | SUSAN | 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/2222/5538605/check_13088065_c149efdf-04e8-409f-86c8-fd328dc99556.json | N/A | N/A | N/A | N/A | N/A | JQE162M93481 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-12-18 | 040 | CASUPWP0 | N/A | N/A | false | DU BRIN | N/A | SUSAN | N/A | 9999-12-31 | 2021-03-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963260124 | N/A | N/A | 5538605 | 2222 | 4793 | 13424873 | N/A | 4210998 | 2025-10-08 06:59:52.586577 | 2026-02-23 18:49:01.874308 |
| 2025-10-07 08:50:18.931291 | 2025-10-08 06:52:56.306011 | 13088055 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13088055 | Athletic Physical Therapy Inc | 1950-09-27 | 2025-10-09 | F | AE | PT | THOMSEN | R12604487 | JANET | 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/2222/5537953/check_13088055_e2670eb1-cab2-4fd4-ae42-01d566a146fa.json | N/A | N/A | N/A | N/A | N/A | R12604487FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1950-09-27 | N/A | N/A | N/A | N/A | false | THOMSEN | N/A | JANET | N/A | 2025-11-01 | 2022-03-01 | FAP MEDIFLEX | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963260123 | N/A | N/A | 5537953 | 2222 | 4801 | 13424121 | N/A | 4210450 | 2025-10-08 06:52:56.306011 | 2026-05-04 21:51:25.248197 |
| 2025-10-07 08:50:18.647124 | 2025-10-08 06:07:12.025639 | 13088045 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 13088045 | Athletic Physical Therapy Inc | 1952-03-25 | 2025-10-09 | F | AE | PT | DRIMMER | 33360295512 | NADIA | 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/2222/5537832/check_13088045_50beaba1-ae3f-41b0-b8e0-777526168fb9.json | N/A | N/A | N/A | N/A | N/A | 33360295512 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1952-03-25 | N/A | N/A | N/A | SP | false | DRIMMER | N/A | NADIA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963260122 | N/A | N/A | 5537832 | 2222 | 4802 | 13409057 | N/A | 4210338 | 2025-10-08 06:07:12.025639 | 2025-05-13 04:29:37.224744 |
| 2025-10-07 08:50:18.387314 | 2025-10-08 06:06:58.993625 | 13088036 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 13088036 | Athletic Physical Therapy Inc | 1951-06-30 | 2025-10-10 | F | AE | PT | CHADORCHI | 33261790711 | JAFFA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131228161.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537483/check_13088036_48d612a5-3551-4fe0-a333-478909c6173d.json | N/A | N/A | N/A | N/A | N/A | 33261790711 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1951-06-30 | N/A | N/A | N/A | SP | false | CHADORCHI | N/A | JAFFA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963260120 | N/A | N/A | 5537483 | 2222 | 4802 | 13409002 | N/A | 4210038 | 2025-10-08 06:06:58.993625 | 2025-06-02 14:57:36.820684 |
| 2025-10-07 08:50:18.127810 | 2025-10-08 07:08:36.847543 | 13088026 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13088026 | Athletic Physical Therapy Inc | 1946-08-26 | 2025-10-10 | M | AE | PT | ROTHMAN | XEM909022493 | MIKE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131228161.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536206/check_13088026_a4875d6b-4c51-4394-8e85-63057e46fdcd.json | N/A | N/A | N/A | N/A | N/A | XEM909022493 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1946-08-26 | 2002SF000029 | X0001002 | N/A | OT | false | ROTHMAN | N/A | MIKE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963260119 | N/A | N/A | 5536206 | 2222 | 4801 | 13425841 | N/A | 4208978 | 2025-10-08 07:08:36.847543 | 2025-05-13 04:29:37.223404 |
| 2025-10-07 08:50:17.832553 | 2025-10-08 06:07:20.495224 | 13088013 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 13088013 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-10-08 | M | AE | PT | ULLMAN | 557489000 | DAVID | 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/2222/5535842/check_13088013_593c1610-5ade-46a1-bb62-5e0a2cd2477f.json | N/A | N/A | N/A | N/A | N/A | 557489000 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963260118 | N/A | N/A | 5535842 | 2222 | 4801 | 13409558 | N/A | 4208696 | 2025-10-08 06:07:20.495224 | 2025-06-07 16:16:45.844566 |
| 2025-10-07 08:50:17.549346 | 2025-10-08 07:08:30.018381 | 13088001 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13088001 | Athletic Physical Therapy Inc | 1950-07-23 | 2025-10-08 | M | AE | PT | MELVILLE | XEMJ06188527 | LANNING | 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/2222/5535731/check_13088001_1112f707-c356-48d0-8638-b582ae53f8d7.json | N/A | N/A | N/A | N/A | N/A | XEMJ06188527 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1950-07-23 | N/A | N/A | N/A | N/A | false | MELVILLE | N/A | LANNING | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963260117 | N/A | N/A | 5535731 | 2222 | 4802 | 13425827 | N/A | 4208598 | 2025-10-08 07:08:30.018381 | 2025-09-11 00:56:25.554348 |
| 2025-10-07 08:50:14.425665 | 2025-10-08 04:20:45.024931 | 13087891 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13087891 | Athletic Physical Therapy Inc | 1953-10-12 | 2025-10-10 | M | AE | PT | VALLECER | 5AT6CH1HH49 | EDGAR | 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/2222/9321454/check_13087891_eef1cd81-0571-46c6-b0df-e721b7405500.json | N/A | N/A | N/A | N/A | N/A | 5AT6CH1HH49 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-10-12 | S5617 | N/A | N/A | MB | false | VALLECER | N/A | EDGAR | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963270998 | N/A | N/A | 9321454 | 2222 | 4801 | 13376412 | N/A | 7820740 | 2025-10-08 04:20:45.024931 | 2025-09-22 16:05:10.548691 |
| 2025-10-07 08:50:10.991858 | 2025-10-08 04:12:40.250943 | 13087769 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13087769 | Athletic Physical Therapy Inc | 2010-01-19 | 2025-10-08 | M | PT | N/A | RIEMER | NSA00184555H | AUSTIN | 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/2222/9321401/check_13087769_f87aa465-a791-4894-8cc4-be699ed3552f.json | N/A | N/A | N/A | N/A | N/A | NSA00184555H | Preferred Provider Organization (PPO) | MAIN PPO PLAN- EARNED | ANTHEM BLUE CROSS | N/A | 2010-01-19 | 040 | L05927A001 | N/A | PR | false | RIEMER | N/A | JUSTIN | N/A | 9999-12-31 | 2023-01-01 | PB INCENTIVE NO SUTTER | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963272346 | N/A | N/A | 9321401 | 2222 | 4801 | 13372712 | N/A | 7820673 | 2025-10-08 04:12:40.250943 | 2025-09-12 21:33:53.471523 |
| 2025-10-07 08:50:06.143418 | 2025-10-08 07:11:51.155356 | 13087597 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13087597 | Athletic Physical Therapy Inc | 1958-10-22 | 2025-10-08 | F | AE | PT | Lee | 6D94VK8GN90 | Gisele | 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/2222/9810737/check_13087597_cd555e9a-bc8f-4958-a128-19a80150665a.json | N/A | N/A | N/A | N/A | N/A | 6D94VK8GN90 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-10-22 | H4036 | N/A | N/A | MB | false | LEE | N/A | GISELE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963253272 | N/A | N/A | 9810737 | 2222 | 4802 | 13426193 | N/A | 8217179 | 2025-10-08 07:11:51.155356 | 2025-10-02 19:02:27.583990 |
| 2025-10-07 08:49:58.668930 | 2025-10-07 08:49:58.926936 | 13087345 | N/A | N/A | 60054 | AETNA | 1114042165 | 13087345 | Athletic Physical Therapy Inc | 1940-12-29 | 2025-10-09 | M | AE | PT | TRUNNELL | 101505559100 | WAYNE | N/A | WAYSTAR | N/A | BATCH | 2025-10-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6786642 | 2222 | 4793 | N/A | 3939 | 5818009 | 2025-10-07 08:49:58.926936 | 2025-07-15 23:19:05.900633 |
| 2025-10-07 08:49:51.666937 | 2025-10-08 06:42:44.475621 | 13087091 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 13087091 | Athletic Physical Therapy Inc | 1964-09-12 | 2025-10-08 | F | AE | PT | Flint | 623439831 | Romy | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.143730480.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9136655/check_13087091_afa8af63-ac93-4815-a468-de5b74e38b14.json | N/A | N/A | N/A | N/A | N/A | 623439831 | N/A | L.A. CARE COVERED GOLD 80 HMO | LA CARE HEALTH PLAN | HEALTH BENEFIT PLAN COVERAGE | 1964-09-12 | LACC | 92815CA001000701 | N/A | N/A | false | FLINT | N/A | ROMY | N/A | 2025-12-31 | 2025-02-01 | L.A. CARE COVERED | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963563629 | N/A | N/A | 9136655 | 2222 | 4802 | 13422752 | N/A | 7658224 | 2025-10-08 06:42:44.475621 | 2025-09-08 20:12:08.577487 |
| 2025-10-07 08:49:47.212305 | 2025-10-07 08:49:47.549007 | 13086943 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13086943 | Athletic Physical Therapy Inc | 1947-12-19 | 2025-10-08 | F | PT | N/A | Taggart | MBL830M95233 | Rita | N/A | WAYSTAR | N/A | BATCH | 2025-10-08 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6780011 | 2222 | 4802 | N/A | N/A | 5811238 | 2025-10-07 08:49:47.549007 | 2025-07-03 18:24:56.520298 |
| 2025-10-07 08:49:45.592207 | 2025-10-08 05:52:46.298419 | 13086901 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 13086901 | Athletic Physical Therapy Inc | 2014-05-27 | 2025-10-09 | F | AE | PT | Odate | 96680377F | Keina | 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/2222/7295079/check_13086901_7af1096b-f9e7-4c21-8f40-a09f9c2ef0bd.json | N/A | N/A | N/A | N/A | N/A | 96680377F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 09/30/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2014-05-27 | TFU223BP0000008 | QMXEM01909 | N/A | N/A | false | ODATE | N/A | WOW | N/A | 2078-12-31 | 2025-05-01 | ADULT FAMILY - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963613613 | N/A | N/A | 7295079 | 2222 | 4802 | 13388548 | N/A | 6254701 | 2025-10-08 05:52:46.298419 | 2026-05-21 14:19:15.159394 |
| 2025-10-07 08:49:42.779743 | 2025-10-08 06:03:47.981076 | 13086813 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13086813 | Athletic Physical Therapy Inc | 1963-01-14 | 2025-10-09 | F | PT | N/A | KRAFT | XED911569862 | KATHRIN | 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/2222/7294742/check_13086813_fa124f53-f006-4c12-b8f9-7ad593456f01.json | N/A | N/A | N/A | N/A | N/A | XED911569862 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-01-14 | 2001ZK002184 | X0001004 | N/A | PR | false | KRAFT | N/A | KATHRIN | N/A | 9999-12-31 | 2022-08-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963613609 | N/A | N/A | 7294742 | 2222 | 4801 | 13402662 | N/A | 6254569 | 2025-10-08 06:03:47.981076 | 2025-08-12 09:24:43.956957 |
| 2025-10-07 08:49:41.947830 | 2025-10-08 05:52:47.477232 | 13086789 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13086789 | Athletic Physical Therapy Inc | 1949-12-31 | 2025-10-09 | M | AE | PT | TSING | 00000282272 | KONGHSUNG | 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/2222/8978036/check_13086789_237bdfae-6cc3-4b78-aa15-2661698a2dfa.json | N/A | N/A | N/A | N/A | N/A | 00000282272 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1949-12-31 | H3815028 | N/A | N/A | HM | false | TSING | N/A | KONGHSUNG | 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 | 8963565637 | N/A | N/A | 8978036 | 2222 | 4793 | 13388556 | 2630 | 7492332 | 2025-10-08 05:52:47.477232 | 2025-10-01 21:03:48.525986 |
| 2025-10-07 08:49:41.281647 | 2025-10-08 06:03:08.314109 | 13086763 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13086763 | Athletic Physical Therapy Inc | 1957-10-25 | 2025-10-08 | F | PT | N/A | YINGER | MBL827W13948 | COLLEEN | 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/2222/7292126/check_13086763_1c490599-e0d4-4ace-8a4f-cb84f4cddfc0.json | N/A | N/A | N/A | N/A | N/A | MBL827W13948 | N/A | THE AEROSPACE CORPORATION | ANTHEM BLUE CROSS | N/A | 1957-10-25 | 040 | CAEGR020 | N/A | N/A | false | YINGER | N/A | COLLEEN | N/A | 9999-12-31 | 2022-10-01 | CA GRS AEROSPACE H4036-801 ANTHEM MEDICARE PREFERR | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963613607 | N/A | N/A | 7292126 | 2222 | 4793 | 13401244 | N/A | 6252902 | 2025-10-08 06:03:08.314109 | 2025-07-22 20:37:37.157960 |
| 2025-10-07 08:49:20.661444 | 2025-10-08 06:01:30.874130 | 13086061 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13086061 | Athletic Physical Therapy Inc | 1965-05-30 | 2025-10-08 | M | PT | N/A | RODRIGUEZ | H5Q045W16688 | ROBERTO | 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/2222/6491817/check_13086061_cd6ac1aa-3f2c-4087-a645-0ec03daefd18.json | N/A | N/A | N/A | N/A | N/A | H5Q045W16688 | Preferred Provider Organization (PPO) | THE CHEESECAKE FACTORY RESTAURANTS INC | ANTHEM BLUE CROSS | N/A | 1965-05-30 | 040 | 174297M1AD | N/A | PR | false | ROLDAN | N/A | BRENDA | N/A | 9999-12-31 | 2025-01-01 | BC PPO EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963408851 | N/A | N/A | 6491817 | 2222 | 4793 | 13398937 | N/A | 5120889 | 2025-10-08 06:01:30.874130 | 2025-06-23 18:24:54.219050 |
| 2025-10-07 08:49:17.106662 | 2025-10-07 08:49:17.382081 | 13085931 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13085931 | Athletic Physical Therapy Inc | 1965-06-23 | 2025-10-08 | F | PT | N/A | MAGHSOUDLOO | XEA913772161 | FARIBAB | N/A | WAYSTAR | N/A | BATCH | 2025-10-08 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6770593 | 2222 | 4793 | N/A | N/A | 5788398 | 2025-10-07 08:49:17.382081 | 2025-07-31 22:52:15.686379 |
| 2025-10-07 08:49:09.622276 | 2025-10-08 04:11:16.224560 | 13085652 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13085652 | Athletic Physical Therapy Inc | 1934-12-03 | 2025-10-10 | M | AE | PT | Dayzadeh | XEM903033247 | Nasser | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131240016.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6595255/check_13085652_0e49fdeb-f964-4b6f-b5cb-40ef8a14e072.json | N/A | N/A | N/A | N/A | N/A | XEM903033247 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1934-12-03 | 2101SD000023 | X0001002 | N/A | OT | false | DAYZADEH | N/A | NASSER | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN D | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963475707 | N/A | N/A | 6595255 | 2222 | 4802 | 13371846 | N/A | 5202586 | 2025-10-08 04:11:16.224560 | 2025-06-25 17:55:27.155518 |
| 2025-10-07 08:49:05.282826 | 2025-10-08 05:56:47.958534 | 13085485 | N/A | N/A | 60054 | Aetna | 1114042165 | 13085485 | Athletic Physical Therapy Inc | 1960-01-04 | 2025-10-08 | F | AE | PT | MARLEY | W032070695 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131235587.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9512811/check_13085485_6a0adfec-0418-4d49-8583-82c5b5bb1686.json | N/A | N/A | N/A | N/A | N/A | W032070695 | Exclusive Provider Organization | COSTCO WHOLESALE CORPORATION | AETNA | N/A | 1960-01-04 | 0169579 | 016957901100002 | N/A | EP | false | MARLEY | N/A | MARIA | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963250465 | N/A | N/A | 9512811 | 2222 | 4801 | 13393232 | N/A | 7955514 | 2025-10-08 05:56:47.958534 | 2025-09-26 00:32:05.426711 |
| 2025-10-07 08:48:58.109290 | 2025-10-08 06:04:20.127041 | 13085210 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 13085210 | Athletic Physical Therapy Inc | 1959-04-22 | 2025-10-08 | F | AE | PT | MATHESON | 00000433752 | JANET | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131235587.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9511696/check_13085210_ae67f3bb-d618-4ae7-b023-5dac8823b902.json | N/A | N/A | N/A | N/A | N/A | 00000433752 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1959-04-22 | H3815028 | N/A | N/A | HM | false | MATHESON | N/A | JANET | 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 | 8963250435 | N/A | N/A | 9511696 | 2222 | 4801 | 13403719 | N/A | 7954244 | 2025-10-08 06:04:20.127041 | 2025-09-29 18:15:39.145358 |
| 2025-10-07 08:48:56.664610 | 2025-10-07 08:48:56.880224 | 13085156 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13085156 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-10-08 | M | AE | PT | CICCIARI | 1AK4JC6NK84 | LOUIS | 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 | 6752936 | 2222 | 4801 | N/A | N/A | 5065602 | 2025-10-07 08:48:56.880224 | 2025-07-01 17:25:13.681724 |
| 2025-10-07 08:48:43.650989 | 2025-10-07 08:48:43.955940 | 13084702 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13084702 | Athletic Physical Therapy Inc | 1929-10-10 | 2025-10-09 | M | AE | PT | Walter | 1TQ1EQ4FJ98 | Howard | N/A | WAYSTAR | N/A | BATCH | 2025-10-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6751304 | 2222 | 4802 | N/A | N/A | 5557241 | 2025-10-07 08:48:43.955940 | 2025-07-22 17:08:51.810153 |
| 2025-10-07 08:48:16.396709 | 2025-10-08 06:44:42.487666 | 13083740 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13083740 | Athletic Physical Therapy Inc | 1966-04-15 | 2025-10-09 | M | PT | N/A | BAZARGAN | M9Z898859038 | AFSHIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.143730480.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9134247/check_13083740_1c46cdfc-4958-4e5c-b59b-5006574eee09.json | N/A | N/A | N/A | N/A | N/A | M9Z898859038 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1966-04-15 | N/A | 55060 | N/A | PR | false | BAZARGAN | N/A | AFSHIN | N/A | N/A | N/A | PREFERRED CARE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963562973 | N/A | N/A | 9134247 | 2222 | 4801 | 13423048 | N/A | 7655437 | 2025-10-08 06:44:42.487666 | 2025-09-09 21:12:34.622876 |
| 2025-10-07 08:48:14.479595 | 2025-10-08 06:02:28.617630 | 13083679 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13083679 | Athletic Physical Therapy Inc | 1952-01-13 | 2025-10-08 | M | PT | N/A | BLANCO ESCOBAR | JQW106W18304 | SAMUEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.143730480.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9134245/check_13083679_64e87fbf-a651-4d0a-b5e2-2d4168e5bce4.json | N/A | N/A | N/A | N/A | N/A | JQW106W18304 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1952-01-13 | N/A | N/A | N/A | N/A | false | BLANCO ESCOBAR | N/A | SAMUEL | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963562971 | N/A | N/A | 9134245 | 2222 | 4801 | 13400125 | N/A | 7655426 | 2025-10-08 06:02:28.617630 | 2025-09-08 18:14:46.984181 |
| 2025-10-07 08:48:12.054041 | 2025-10-08 04:11:36.867691 | 13083576 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 13083576 | Athletic Physical Therapy Inc | 1950-09-28 | 2025-10-09 | M | AE | PT | GURROLA | 839044301 | MIKE | 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/2222/9317287/check_13083576_eae787b4-01e0-49ec-be1c-75ea42610e5b.json | N/A | N/A | N/A | N/A | N/A | 839044301 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1950-09-28 | N/A | 004237 | N/A | HN | false | GURROLA | N/A | MIKE | N/A | N/A | N/A | UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963270746 | N/A | N/A | 9317287 | 2222 | 4793 | 13372076 | N/A | 7815862 | 2025-10-08 04:11:36.867691 | 2025-09-11 18:06:18.231033 |
| 2025-10-07 08:47:36.515198 | 2025-10-08 06:05:12.738847 | 13082081 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13082081 | Athletic Physical Therapy Inc | 1968-12-01 | 2025-10-08 | F | PT | N/A | BECERRA | CZCAN2537305 | BLANCA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131235587.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9487590/check_13082081_0a64fb3c-2290-41e6-9024-cfb39f7f9525.json | N/A | N/A | N/A | N/A | N/A | CZCAN2537305 | Preferred Provider Organization (PPO) | PPO W/BLUE DISTINCTION W/AIM FTR GOLD | BLUE SHIELD OF CALIFORNIA | N/A | 1968-12-01 | 060 | 270196M71A | N/A | PR | false | BECERRA | N/A | JAIME | N/A | 9999-12-31 | 2022-01-01 | CT BLUE CARD PREFERRED PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963250975 | N/A | N/A | 9487590 | 2222 | 4793 | 13405614 | N/A | 7937217 | 2025-10-08 06:05:12.738847 | 2025-09-26 14:34:41.732941 |
| 2025-10-07 08:47:31.731704 | 2025-10-07 08:47:32.042266 | 13081900 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13081900 | Athletic Physical Therapy Inc | 1951-10-16 | 2025-10-09 | F | AE | PT | GARRETT | 3EJ1R73ND18 | KATHLEEN | N/A | WAYSTAR | N/A | BATCH | 2025-10-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6714932 | 2222 | 4793 | N/A | N/A | 5316176 | 2025-10-07 08:47:32.042266 | 2025-07-01 18:44:12.927482 |
| 2025-10-07 08:47:31.389286 | 2025-10-07 08:47:31.726105 | 13081885 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13081885 | Athletic Physical Therapy Inc | 1959-07-23 | 2025-10-09 | M | AE | PT | Harvey | 1D65V29PD77 | Roy | N/A | WAYSTAR | N/A | BATCH | 2025-10-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6714928 | 2222 | 4802 | N/A | N/A | 5316172 | 2025-10-07 08:47:31.726105 | 2025-07-02 15:09:36.678003 |
| 2025-10-07 08:47:23.466758 | 2025-10-07 08:47:23.754380 | 13081568 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 13081568 | Athletic Physical Therapy Inc | 1955-02-20 | 2025-10-08 | F | AE | PT | SALGUERO | 35955370 | DINA | 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 | 6711965 | 2222 | 4793 | N/A | 6798 | 4210430 | 2025-10-07 08:47:23.754380 | 2025-05-13 04:29:37.224841 |
| 2025-10-07 08:47:20.857386 | 2025-10-08 05:51:37.458362 | 13081466 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 13081466 | Athletic Physical Therapy Inc | 1957-01-30 | 2025-10-08 | F | AE | PT | SEIFERT | H77624682 | ARMIDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131235587.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9486126/check_13081466_f44782bf-be85-4e78-8cb1-cbb4b1050209.json | N/A | N/A | N/A | N/A | N/A | H77624682 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1957-01-30 | N/A | N/A | N/A | N/A | false | SEIFERT | N/A | ARMIDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963249325 | N/A | N/A | 9486126 | 2222 | 4793 | 13386564 | N/A | 7936248 | 2025-10-08 05:51:37.458362 | 2025-09-17 22:49:12.995113 |
| 2025-10-07 08:46:55.756922 | 2025-10-08 06:04:22.731420 | 13080431 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 13080431 | Athletic Physical Therapy Inc | 1990-09-10 | 2025-10-08 | M | AE | PT | Szymanski | 974058888F | Micah | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131235587.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9480224/check_13080431_26bf3513-6073-421c-a4ea-96cae3dea0fe.json | N/A | N/A | N/A | N/A | N/A | 97405888F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1990-09-10 | MCLA | MWLLNMEG21 | N/A | N/A | false | SZYMANSKI | N/A | MICAH | N/A | 2078-12-31 | 2022-03-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963249393 | N/A | N/A | 9480224 | 2222 | 4802 | 13403805 | N/A | 7931021 | 2025-10-08 06:04:22.731420 | 2025-09-17 22:04:09.763232 |
| 2025-10-07 08:46:55.288876 | 2025-10-08 06:03:30.623063 | 13080410 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13080410 | Athletic Physical Therapy Inc | 1952-10-25 | 2025-10-09 | F | AE | PT | JOHNSTON | 7KA0H51YU14 | DEBORAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.113355217.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638066/check_13080410_094a20e6-5454-49e3-b040-828998fe7c6e.json | N/A | N/A | N/A | N/A | N/A | 7KA0H51YU14 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-10-25 | S5617 | N/A | N/A | MB | false | JOHNSTON | N/A | DEBORAH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963222330 | N/A | N/A | 6638066 | 2222 | 4793 | 13402065 | N/A | 5247837 | 2025-10-08 06:03:30.623063 | 2026-02-24 20:36:49.807283 |
| 2025-10-07 08:46:52.698622 | 2025-10-07 08:46:53.058388 | 13080307 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13080307 | Athletic Physical Therapy Inc | 1960-08-19 | 2025-10-09 | M | PT | N/A | WARREN | MBL523W24301 | WILLIAM | N/A | WAYSTAR | N/A | BATCH | 2025-10-09 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8681972 | 2222 | 4801 | N/A | N/A | 7315557 | 2025-10-07 08:46:53.058388 | 2025-09-08 19:23:27.353339 |
| 2025-10-07 08:46:49.629312 | 2025-10-08 07:11:45.385817 | 13080167 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13080167 | Athletic Physical Therapy Inc | 1957-07-19 | 2025-10-08 | F | AE | PT | JALALI | 7PC8UR2FF54 | SOHEILA | 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/2222/9766461/check_13080167_dce69d1e-8888-4461-94b9-444e2c8ed4ed.json | N/A | N/A | N/A | N/A | N/A | 7PC8UR2FF54 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-07-19 | S5601 | N/A | N/A | MA | false | JALALI | N/A | SOHEILA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963252574 | N/A | N/A | 9766461 | 2222 | 4802 | 13426185 | N/A | 8177726 | 2025-10-08 07:11:45.385817 | 2025-09-26 21:46:59.613569 |
| 2025-10-07 08:46:49.309809 | 2025-10-08 06:36:57.926575 | 13080151 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13080151 | Athletic Physical Therapy Inc | 1958-08-10 | 2025-10-08 | M | AE | PT | FURTAK | 00000370322 | WAYNE | 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/2222/9766428/check_13080151_23b2dc5d-ebd4-4d9e-944a-a43107954793.json | N/A | N/A | N/A | N/A | N/A | 00000370322 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1958-08-10 | H3815028 | N/A | N/A | HM | false | FURTAK | N/A | WAYNE | 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 | 8963252573 | N/A | N/A | 9766428 | 2222 | 4801 | 13421832 | 2630 | 8177700 | 2025-10-08 06:36:57.926575 | 2025-09-26 21:44:23.687707 |
| 2025-10-07 08:46:44.967489 | 2025-10-07 08:46:45.230215 | 13079948 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13079948 | Athletic Physical Therapy Inc | 1967-03-31 | 2025-10-10 | F | PT | N/A | BARRERA | XEH903839121 | LOLA | N/A | WAYSTAR | N/A | BATCH | 2025-10-10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7203168 | 2222 | 4793 | N/A | N/A | 5230345 | 2025-10-07 08:46:45.230215 | 2025-07-11 20:32:03.183345 |
| 2025-10-07 08:46:36.319289 | 2025-10-08 05:53:53.477530 | 13079556 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13079556 | Athletic Physical Therapy Inc | 2012-11-14 | 2025-10-09 | F | PT | N/A | IOANNOU | PAS839113807 | PENELOPE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.113355217.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6621141/check_13079556_59ba05bf-467a-40d7-aa98-817cdb334d7d.json | N/A | N/A | N/A | N/A | N/A | PAS839113807 | Preferred Provider Organization (PPO) | WEST HEALTH CARE NETWORK | CUSTOMER SERVICE | N/A | 2012-11-14 | N/A | 152010 | N/A | PR | false | IOANNOU | N/A | GEORGE | N/A | 9999-12-31 | 2018-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963223387 | N/A | N/A | 6621141 | 2222 | 4801 | 13390251 | N/A | 5237460 | 2025-10-08 05:53:53.477530 | 2025-07-24 16:59:54.908041 |
| 2025-10-07 08:46:33.257078 | 2025-10-08 05:51:39.033032 | 13079419 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 13079419 | Athletic Physical Therapy Inc | 1940-05-16 | 2025-10-10 | M | AE | PT | HOPE | 101144710900 | LYNN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131235587.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9477069/check_13079419_f84fbeaf-62f4-4f0b-a89b-8259e650de4f.json | N/A | N/A | N/A | N/A | N/A | 101144710900 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1940-05-16 | N/A | N/A | N/A | N/A | false | HOPE | N/A | LYNN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963249654 | N/A | N/A | 9477069 | 2222 | 4802 | 13386617 | N/A | 7927787 | 2025-10-08 05:51:39.033032 | 2025-09-17 17:11:58.574244 |
| 2025-10-07 08:46:07.969095 | 2025-10-08 07:35:51.977269 | 13078202 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13078202 | Athletic Physical Therapy Inc | 1947-12-03 | 2025-10-09 | M | PT | N/A | WONG | 6GE2PF6CC92 | STANLEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.143730480.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9132315/check_13078202_e1d10f8d-7d04-4113-b6de-d54b55611ad4.json | N/A | N/A | N/A | N/A | N/A | 6GE2PF6CC92 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-12-03 | H4036 | N/A | N/A | MA | false | WONG | N/A | STANLEY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963562763 | N/A | N/A | 9132315 | 2222 | 4802 | 13429001 | N/A | 7140615 | 2025-10-08 07:35:51.977269 | 2025-09-05 16:51:17.488032 |
| 2025-10-07 08:46:05.984185 | 2025-10-08 05:52:56.185679 | 13078096 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13078096 | Athletic Physical Therapy Inc | 1996-07-04 | 2025-10-08 | F | PT | N/A | STOLTZ | JQY361W23827 | ARDENN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.113355217.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6605808/check_13078096_46335544-5d8a-4661-b742-bdcfe3125864.json | N/A | N/A | N/A | N/A | N/A | JQY361W23827 | Preferred Provider Organization (PPO) | KENT TAKEMOTO, M.D., INC. | ANTHEM BLUE CROSS | N/A | 1996-07-04 | 040 | Q62351 | N/A | PR | false | STOLZ | N/A | ARDENN | N/A | 9999-12-31 | 2025-04-01 | CA SG SELECT PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963224313 | N/A | N/A | 6605808 | 2222 | 4802 | 13388770 | N/A | 4214948 | 2025-10-08 05:52:56.185679 | 2025-06-26 01:28:07.741882 |
| 2025-10-07 08:46:04.271008 | 2025-10-07 08:46:04.460697 | 13078006 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 13078006 | Athletic Physical Therapy Inc | 1942-07-28 | 2025-10-10 | M | AE | PT | SIMMONS | 40055722801 | J | N/A | WAYSTAR | N/A | BATCH | 2025-10-10 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6685251 | 2222 | 4793 | N/A | N/A | 4209868 | 2025-10-07 08:46:04.460697 | 2025-08-15 22:13:56.514261 |