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 08:41:50.182191 | 2025-10-08 06:04:25.337385 | 13069550 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 13069550 | Athletic Physical Therapy Inc | 1981-07-20 | 2025-10-09 | M | AE | PT | SWENSON | 96831755C | AARON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131235587.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9449115/check_13069550_10296ddd-cbee-4c9a-a288-585a20f2da81.json | N/A | N/A | N/A | N/A | N/A | 96831755C | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1981-07-20 | N/A | N/A | N/A | N/A | false | SWENSON | N/A | AARON | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963249580 | N/A | N/A | 9449115 | 2222 | 4793 | 13403899 | N/A | 7905010 | 2025-10-08 06:04:25.337385 | 2025-09-18 16:08:21.950407 |
| 2025-10-07 08:41:43.701062 | 2025-10-08 06:22:30.609758 | 13069361 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 13069361 | Athletic Physical Therapy Inc | 1954-02-25 | 2025-10-09 | F | AE | PT | ROBERTS | 00000402630 | DEBRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131257715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085762/check_13069361_645d409d-689a-4114-af33-abdf8c35183a.json | N/A | N/A | N/A | N/A | N/A | 00000402630 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1954-02-25 | H3815028 | N/A | N/A | HM | false | ROBERTS | N/A | DEBRA | 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 | 8963198396 | N/A | N/A | 6085762 | 2222 | 4793 | 13418253 | N/A | 4729138 | 2025-10-08 06:22:30.609758 | 2025-05-31 14:20:56.156252 |
| 2025-10-07 08:41:42.651913 | 2025-10-08 05:52:45.571784 | 13069332 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 13069332 | Athletic Physical Therapy Inc | 1976-02-07 | 2025-10-10 | F | AE | PT | MALTSEVA | 94237973H65017 | YEVHENIIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.140543858.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7253095/check_13069332_6286b1b2-aa79-4c15-9086-a21aefdbbee7.json | N/A | N/A | N/A | N/A | N/A | 94237973H65017 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1976-02-07 | N/A | N/A | N/A | N/A | false | MALTSEVA | N/A | YEVHENIIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963612079 | N/A | N/A | 7253095 | 2222 | 4802 | 13388533 | N/A | 6219145 | 2025-10-08 05:52:45.571784 | 2025-07-21 16:40:35.276086 |
| 2025-10-07 08:41:34.961042 | 2025-10-08 06:35:28.105579 | 13069070 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13069070 | Athletic Physical Therapy Inc | 1991-01-13 | 2025-10-09 | F | AE | PT | ALLERS | 90545004F | LEE EMILY | 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/2222/9740927/check_13069070_81403872-5d6d-44b8-ba9a-23534f7260b1.json | N/A | N/A | N/A | N/A | N/A | 90545004F | N/A | N/A | CENTENE CORPORATION | N/A | 1991-01-13 | N/A | N/A | N/A | N/A | false | ALLERS | N/A | LEE EMILY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963251807 | N/A | N/A | 9740927 | 2222 | 4802 | 13421592 | N/A | 8155009 | 2025-10-08 06:35:28.105579 | 2025-10-07 16:02:56.731329 |
| 2025-10-07 08:41:27.514037 | 2025-10-08 06:15:48.505738 | 13068810 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 13068810 | Athletic Physical Therapy Inc | 1998-01-13 | 2025-10-08 | F | AE | PT | HOWE | U9192068101 | LOCHRYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131257715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6079410/check_13068810_790b3234-dc7b-4901-b66b-27c89f9d903f.json | N/A | N/A | N/A | N/A | N/A | U9192068101 | N/A | VVG HOLDINGS, LLC | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST PREFERRED CARE MANAGEMENT | 1999-01-13 | N/A | 3343439 | N/A | N/A | false | HOWE | N/A | LOCHRYN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963198923 | N/A | N/A | 6079410 | 2222 | 4802 | 13416435 | N/A | 4723300 | 2025-10-08 06:15:48.505738 | 2025-06-04 00:42:43.684276 |
| 2025-10-07 08:41:27.107922 | 2025-10-08 05:52:26.726497 | 13068798 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13068798 | Athletic Physical Therapy Inc | 1963-04-07 | 2025-10-08 | M | AE | PT | VELEZ | R06216031MM1 | FELIPE | 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/2222/6497441/check_13068798_7dafb6c8-4830-4639-a7d5-72cdc099353b.json | N/A | N/A | N/A | N/A | N/A | R06216031MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1963-04-07 | N/A | N/A | N/A | N/A | false | VELEZ | N/A | FELIPE | N/A | N/A | N/A | MFM COMHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963223749 | N/A | N/A | 6497441 | 2222 | 4802 | 13388054 | N/A | 5125553 | 2025-10-08 05:52:26.726497 | 2025-06-20 00:51:26.573932 |
| 2025-10-07 08:41:26.895334 | 2025-10-08 06:03:48.312390 | 13068794 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13068794 | Athletic Physical Therapy Inc | 1979-04-20 | 2025-10-08 | F | PT | N/A | NOSRAT | XEK904721388 | CAROLYN | 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/2222/7252533/check_13068794_aa0fad31-790e-4b54-8c23-4ad727fa4f66.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1979-04-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | NOSRAT | N/A | CAROLYN | N/A | 2025-12-31 | 2025-01-01 | SILVER 1750 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963611991 | N/A | N/A | 7252533 | 2222 | 4802 | 13402671 | N/A | 4214065 | 2025-10-08 06:03:48.312390 | 2025-05-13 04:29:37.228379 |
| 2025-10-07 08:41:23.146638 | 2025-10-08 06:19:41.332414 | 13068676 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13068676 | Athletic Physical Therapy Inc | 1973-03-27 | 2025-10-10 | F | AE | PT | KAUFMAN | R05917930FM1 | AMANDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131257715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074035/check_13068676_e10df100-68cf-44ce-8ad3-94a3e2ae06e5.json | N/A | N/A | N/A | N/A | N/A | R05917930FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1973-03-27 | N/A | N/A | N/A | N/A | false | KAUFMAN | N/A | AMANDA | N/A | N/A | N/A | MFC UCNNHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963198379 | N/A | N/A | 6074035 | 2222 | 4801 | 13417493 | N/A | 4718592 | 2025-10-08 06:19:41.332414 | 2025-05-29 20:00:22.627186 |
| 2025-10-07 08:41:17.039973 | 2025-10-08 04:12:44.178266 | 13068504 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13068504 | Athletic Physical Therapy Inc | 1955-11-13 | 2025-10-08 | F | AE | PT | GRANT | XEM910029614 | ROBIN | 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/2222/8493312/check_13068504_ce677016-2725-4255-96b1-a9c5f6d8970e.json | N/A | N/A | N/A | N/A | N/A | XEM910029614 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-11-13 | 2002SE000030 | X0001002 | N/A | OT | false | GRANT | N/A | ROBIN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963608863 | N/A | N/A | 8493312 | 2222 | 4802 | 13372752 | N/A | 7159835 | 2025-10-08 04:12:44.178266 | 2025-08-25 22:38:59.735145 |
| 2025-10-07 08:41:15.051861 | 2025-10-07 08:41:15.376522 | 13068439 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 13068439 | Athletic Physical Therapy Inc | 1953-11-17 | 2025-10-08 | M | AE | PT | Ramos | 43620299 | Federico | 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 | 6960617 | 2222 | 4802 | N/A | 6798 | 5985329 | 2025-10-07 08:41:15.376522 | 2025-09-10 17:01:27.097640 |
| 2025-10-07 08:41:08.782739 | 2025-10-08 05:52:55.884391 | 13068249 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13068249 | 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/272741.20251007.113355217.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6491817/check_13068249_b3096041-b3cc-49e5-94fb-2577f1c86806.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 | 8963223886 | N/A | N/A | 6491817 | 2222 | 4793 | 13388764 | N/A | 5120889 | 2025-10-08 05:52:55.884391 | 2025-06-23 18:24:54.219050 |
| 2025-10-07 08:41:08.557836 | 2025-10-07 08:41:08.998603 | 13068244 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 13068244 | Athletic Physical Therapy Inc | 1958-04-03 | 2025-10-10 | F | AE | PT | NIAZI | 00000388782 | RAHIMA | 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 | 6958289 | 2222 | 4793 | N/A | N/A | 5983606 | 2025-10-07 08:41:08.998603 | 2025-07-18 18:03:17.155924 |
| 2025-10-07 08:41:06.769567 | 2025-10-07 08:41:07.802661 | 13068184 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13068184 | Athletic Physical Therapy Inc | 1961-03-12 | 2025-10-09 | F | PT | N/A | MCNUTT | XED904914958 | YOLANDA | 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 | 6668755 | 2222 | 4801 | N/A | N/A | 5282877 | 2025-10-07 08:41:07.802661 | 2025-07-01 15:56:36.473431 |
| 2025-10-07 08:40:58.036487 | 2025-10-08 05:49:41.327244 | 13067902 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 13067902 | Athletic Physical Therapy Inc | 1975-12-22 | 2025-10-08 | M | PT | N/A | HUTH | XEH910929228 | KENT | 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/2222/7626895/check_13067902_04ab1c91-9285-420a-a648-a5731ab118f8.json | N/A | N/A | N/A | N/A | N/A | XEH910929228 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1975-12-22 | 1000HMOX0001 | W0051411 | N/A | HM | false | HUTH | N/A | KENT | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963267324 | N/A | N/A | 7626895 | 2222 | 4793 | 13383392 | N/A | 6525917 | 2025-10-08 05:49:41.327244 | 2026-05-08 22:53:13.232007 |
| 2025-10-07 08:40:40.986231 | 2025-10-08 04:12:04.604608 | 13067374 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13067374 | Athletic Physical Therapy Inc | 1951-10-12 | 2025-10-09 | F | AE | PT | Ahadian | U5X795M98275 | Vida | 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/2222/8479499/check_13067374_c205af18-d0c0-439c-9f45-fe479e5a4318.json | N/A | N/A | N/A | N/A | N/A | U5X795M98275 | Indemnity | UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1951-10-12 | 040 | 280509C465 | N/A | IN | false | AHADIAN | N/A | VIDA | N/A | 9999-12-31 | 2019-01-01 | UC HIGH OPTION SUPPLEMENT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963608843 | N/A | N/A | 8479499 | 2222 | 4802 | 13372368 | N/A | 7146980 | 2025-10-08 04:12:04.604608 | 2025-08-25 22:34:13.951153 |
| 2025-10-07 08:40:35.605301 | 2025-10-07 08:40:35.844444 | 13067216 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13067216 | Athletic Physical Therapy Inc | 2001-07-17 | 2025-10-09 | M | PT | N/A | HUNTER | XEK905471650 | KYLE | 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 | 8420132 | 2222 | 4801 | N/A | N/A | 7097528 | 2025-10-07 08:40:35.844444 | 2025-08-25 23:26:20.393423 |
| 2025-10-07 08:40:26.704304 | 2025-10-08 05:52:50.092504 | 13066927 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 13066927 | Athletic Physical Therapy Inc | 1987-06-17 | 2025-10-09 | M | AE | PT | FAVELA | 620360888 | MAXIMILIAN | 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/2222/8960010/check_13066927_1b3121ab-696d-49f3-9f70-b23d5cbe5933.json | N/A | N/A | N/A | N/A | N/A | 620360888 | N/A | L.A. CARE COVERED GOLD 80 HMO | LA CARE HEALTH PLAN | HEALTH BENEFIT PLAN COVERAGE | 1987-06-17 | LACC | 92815CA001000701 | N/A | N/A | false | FAVELA | N/A | MAXIMILIAN | 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 | 8963563578 | N/A | N/A | 8960010 | 2222 | 4802 | 13388629 | N/A | 7476978 | 2025-10-08 05:52:50.092504 | 2026-01-07 18:27:22.752552 |
| 2025-10-07 08:40:16.308370 | 2025-10-08 05:50:03.040417 | 13066561 | N/A | N/A | 60054 | Aetna | 1114042165 | 13066561 | Athletic Physical Therapy Inc | 1974-05-07 | 2025-10-10 | M | AE | PT | VIDAL | W28518662101 | THOMAS | 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/2222/8959871/check_13066561_31d381f7-abf6-4ba4-80ec-555ede29d5cd.json | N/A | N/A | N/A | N/A | N/A | W285186621 | Point of Service (POS) | PRYOR CASHMAN LLP | AETNA | N/A | 1974-05-07 | 0237510 | 023751001000003 | N/A | PS | false | VIDAL | N/A | THOMAS | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963563569 | N/A | N/A | 8959871 | 2222 | 4802 | 13383928 | N/A | 4210349 | 2025-10-08 05:50:03.040417 | 2025-05-13 04:29:37.224755 |
| 2025-10-07 08:40:15.567081 | 2025-10-07 08:40:18.106661 | 13066543 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13066543 | Athletic Physical Therapy Inc | 1998-05-10 | 2025-10-08 | F | PT | N/A | STEVENS | XEK914152235 | CHLOE | 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 | 9868906 | 2222 | 4802 | N/A | N/A | 8262386 | 2025-10-07 08:40:18.106661 | 2025-10-05 15:32:36.267201 |
| 2025-10-07 08:40:14.750877 | 2025-10-07 08:40:15.072310 | 13066508 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | 13066508 | Athletic Physical Therapy Inc | 1958-07-23 | 2025-10-09 | F | PT | N/A | BURNS | JQW418W16911 | MARY BETH | 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 | 8415251 | 2222 | 4801 | N/A | N/A | 4209247 | 2025-10-07 08:40:15.072310 | 2025-07-22 18:58:10.876206 |
| 2025-10-07 08:40:14.092060 | 2025-10-08 06:25:52.095385 | 13066491 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 13066491 | Athletic Physical Therapy Inc | 1959-09-09 | 2025-10-10 | M | PT | N/A | BRUNO | NCF254A54902 | PHILLIP | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131257715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993958/check_13066491_31b94a60-2d8b-4956-b7df-1530a6401f96.json | N/A | N/A | N/A | N/A | N/A | NCF254A54902 | Health Maintenance Organization (HMO) | LOS ANGELES POLICE RELIEF ASN INC | BLUE SHIELD OF CALIFORNIA | N/A | 1959-09-09 | 040 | 57CP3A | N/A | HM | false | BRUNO | N/A | PHILLIP | N/A | 9999-12-31 | 2023-03-01 | BLUE CROSS HMO PLUS CC01 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963198220 | N/A | N/A | 5993958 | 2222 | 4801 | 13419264 | N/A | 4642892 | 2025-10-08 06:25:52.095385 | 2025-05-29 23:29:01.820749 |
| 2025-10-07 08:40:13.749817 | 2025-10-08 06:19:37.641984 | 13066478 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13066478 | Athletic Physical Therapy Inc | 1969-01-08 | 2025-10-08 | F | AE | PT | ALROMAIH | 91237812E | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131257715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993940/check_13066478_3cb5786a-2dd4-49f9-82cf-67f0bed5b605.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963198219 | N/A | N/A | 5993940 | 2222 | 4802 | 13417474 | N/A | 4642877 | 2025-10-08 06:19:37.641984 | 2025-12-23 23:49:16.627667 |
| 2025-10-07 08:40:13.384331 | 2025-10-08 06:25:22.402854 | 13066465 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13066465 | Athletic Physical Therapy Inc | 1997-07-22 | 2025-10-09 | M | PT | N/A | BUCKWALD | XED914061341 | BLAKE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131257715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993926/check_13066465_96d9ac7b-d795-416a-8e0d-65b15597e136.json | N/A | N/A | N/A | N/A | N/A | XED914061341 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | BUCKWALD | N/A | BLAKE | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963198218 | N/A | N/A | 5993926 | 2222 | 4802 | 13419118 | N/A | 4642862 | 2025-10-08 06:25:22.402854 | 2025-05-28 20:59:09.029689 |
| 2025-10-07 08:40:13.054114 | 2025-10-08 06:23:00.000539 | 13066452 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13066452 | Athletic Physical Therapy Inc | 1977-09-14 | 2025-10-08 | F | PT | N/A | CONTI | CAI143A79624 | MARIANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131257715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993920/check_13066452_92a50864-240a-4d12-8731-b0942ac9d200.json | N/A | N/A | N/A | N/A | N/A | CAI143A79624 | Health Maintenance Organization (HMO) | CALIFORNIA PUBLIC EMPLOYEES RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1977-09-14 | 040 | HNB010AS | N/A | HM | false | CONTI | N/A | MARIANA | N/A | 9999-12-31 | 2019-01-01 | CALPERS SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963198217 | N/A | N/A | 5993920 | 2222 | 4793 | 13418387 | 4184 | 4642859 | 2025-10-08 06:23:00.000539 | 2026-04-10 21:27:25.225083 |
| 2025-10-07 08:40:12.697277 | 2025-10-08 06:37:35.778315 | 13066441 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13066441 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-10-10 | M | AE | PT | JACOBS | 4XJ0X61FM35 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131257715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993912/check_13066441_2803983f-51f9-4a4c-bf95-48f2f331e971.json | N/A | N/A | N/A | N/A | N/A | 4XJ0X61FM35 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-25 | S5921 | N/A | N/A | MA | false | JACOBS | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963198216 | N/A | N/A | 5993912 | 2222 | 4793 | 13421937 | N/A | 4642852 | 2025-10-08 06:37:35.778315 | 2025-11-21 18:38:17.056437 |
| 2025-10-07 08:40:12.510767 | 2025-10-08 06:22:03.137521 | 13066437 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13066437 | Athletic Physical Therapy Inc | 1983-05-31 | 2025-10-09 | M | AE | PT | JOHNSON | R04617470MM1 | ROTH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131257715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993907/check_13066437_d5886ff9-f998-4ab2-90d3-3c1f89f58e00.json | N/A | N/A | N/A | N/A | N/A | R04617470MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1983-05-31 | N/A | N/A | N/A | N/A | false | JOHNSON | N/A | ROTH | N/A | N/A | N/A | KWE PPOSBG | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963198215 | N/A | N/A | 5993907 | 2222 | 4793 | 13418104 | N/A | 4534544 | 2025-10-08 06:22:03.137521 | 2025-05-28 20:51:40.104091 |
| 2025-10-07 08:40:10.076435 | 2025-10-07 08:40:12.798601 | 13066371 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13066371 | Athletic Physical Therapy Inc | 1953-11-15 | 2025-10-08 | M | AE | PT | REISMAN | 7JW4EK4UR89 | MARK | 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 | 9868745 | 2222 | 4802 | N/A | N/A | 8262262 | 2025-10-07 08:40:12.798601 | 2025-09-30 22:45:25.940454 |
| 2025-10-07 08:39:40.115774 | 2025-10-08 04:12:06.794246 | 13065552 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13065552 | Athletic Physical Therapy Inc | 1947-12-03 | 2025-10-09 | M | PT | N/A | WONG | MBL700W07323 | STANLEY | 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/2222/8469090/check_13065552_708600d6-1e2e-4a44-91bd-3371d053069b.json | N/A | N/A | N/A | N/A | N/A | MBL700W07323 | N/A | UNITED FOOD AND COMMERCIAL WORKERS UNIONS | ANTHEM BLUE CROSS | N/A | 1947-12-03 | 040 | CAEGR014 | N/A | N/A | false | WONG | N/A | STANLEY | N/A | 9999-12-31 | 2021-01-01 | CA GRS UFCW UNION H4036-802 ANTHEM MED PREF MA 25P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963608469 | N/A | N/A | 8469090 | 2222 | 4802 | 13372392 | N/A | 7140615 | 2025-10-08 04:12:06.794246 | 2025-09-05 16:51:17.488032 |
| 2025-10-07 08:39:37.065466 | 2025-10-07 08:39:37.734779 | 13065468 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 13065468 | Athletic Physical Therapy Inc | 2000-12-17 | 2025-10-09 | M | AE | PT | Ke | QVVKND00 | Haozhe | 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 | 8405192 | 2222 | 4802 | N/A | N/A | 7083453 | 2025-10-07 08:39:37.734779 | 2025-08-26 19:33:12.586504 |
| 2025-10-07 08:39:22.826447 | 2025-10-08 06:25:24.166608 | 13065126 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13065126 | Athletic Physical Therapy Inc | 1973-02-24 | 2025-10-08 | F | PT | N/A | TAKEMOTO | XED906098170 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131257715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928752/check_13065126_28189934-9943-4459-8577-e21f5724779e.json | N/A | N/A | N/A | N/A | N/A | XED906098170 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1973-02-24 | 2001ZK002184 | X0001004 | N/A | PR | false | TAKEMOTO | N/A | NICOLE | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963199586 | N/A | N/A | 5928752 | 2222 | 4802 | 13419130 | N/A | 4583701 | 2025-10-08 06:25:24.166608 | 2025-07-24 17:50:11.805587 |
| 2025-10-07 08:38:51.026748 | 2025-10-07 08:38:51.337359 | 13064345 | N/A | N/A | 60054 | Aetna | 1114042165 | 13064345 | Athletic Physical Therapy Inc | 2007-05-15 | 2025-10-08 | M | AE | PT | BAIRD | W295329957 | WILLIAM | 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 | 8391594 | 2222 | 4793 | N/A | N/A | 4214747 | 2025-10-07 08:38:51.337359 | 2025-05-13 04:29:37.229066 |
| 2025-10-07 08:38:48.897539 | 2025-10-07 08:38:49.379623 | 13064283 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13064283 | Athletic Physical Therapy Inc | 1972-01-12 | 2025-10-08 | M | PT | N/A | MAGEN | B6YE01199897 | OFIR | 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 | 6917703 | 2222 | 4793 | N/A | N/A | 5949095 | 2025-10-07 08:38:49.379623 | 2025-07-28 22:15:30.266976 |
| 2025-10-07 08:38:35.034841 | 2025-10-08 06:22:42.097256 | 13063877 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 13063877 | Athletic Physical Therapy Inc | 1995-12-18 | 2025-10-08 | F | AE | PT | PORCELLINI | 623363623 | KYLA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131257715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874433/check_13063877_54a87516-0a3d-4af0-afe5-36dbdeaf71be.json | N/A | N/A | N/A | N/A | N/A | 623363623 | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1995-12-18 | N/A | N/A | N/A | N/A | false | PORCELLINI | N/A | KYLA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963198816 | N/A | N/A | 5874433 | 2222 | 4802 | 13418311 | N/A | 4534562 | 2025-10-08 06:22:42.097256 | 2025-06-03 16:07:02.060667 |
| 2025-10-07 08:38:34.813562 | 2025-10-08 06:19:39.430269 | 13063870 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13063870 | Athletic Physical Therapy Inc | 1964-11-15 | 2025-10-08 | F | AE | PT | BIKOULOVA | 92040499F | ALEXANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131257715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874423/check_13063870_7f6b8c60-2b18-4194-9a27-ae8235759ec5.json | N/A | N/A | N/A | N/A | N/A | 92040499F | N/A | N/A | HEALTH NET, LLC | N/A | 1964-11-15 | N/A | N/A | N/A | N/A | false | BIKOULOVA | N/A | ALEXANDRA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963198815 | N/A | N/A | 5874423 | 2222 | 4802 | 13417480 | N/A | 4534552 | 2025-10-08 06:19:39.430269 | 2025-05-30 18:01:03.324126 |
| 2025-10-07 08:38:13.574906 | 2025-10-08 06:07:50.815614 | 13063201 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13063201 | Athletic Physical Therapy Inc | 1945-08-03 | 2025-10-09 | M | AE | PT | GORMLEY | 4UH0QA1WF00 | MICHAEL | 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/2222/7214829/check_13063201_060dc554-f9c0-46d8-ae53-492c131387d4.json | N/A | N/A | N/A | N/A | N/A | 4UH0QA1WF00 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-08-03 | S5921 | N/A | N/A | MA | false | GORMLEY | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963611585 | N/A | N/A | 7214829 | 2222 | 4802 | 13410362 | N/A | 4209498 | 2025-10-08 06:07:50.815614 | 2025-09-22 06:46:20.286658 |
| 2025-10-07 08:37:55.326923 | 2025-10-08 05:29:04.555585 | 13062632 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13062632 | Athletic Physical Therapy Inc | 1992-12-01 | 2025-10-08 | F | AE | PT | Mullen | 97749132H | Melissa | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.114634340.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7799930/check_13062632_96b8270d-64b1-4f5f-9371-aca17279be4f.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 | 8963287514 | N/A | N/A | 7799930 | 2222 | 4802 | 13379473 | N/A | 6641123 | 2025-10-08 05:29:04.555585 | 2025-08-06 00:00:36.528464 |
| 2025-10-07 08:37:42.920521 | 2025-10-08 06:03:17.487984 | 13062077 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13062077 | Athletic Physical Therapy Inc | 1950-06-21 | 2025-10-10 | M | PT | N/A | Aliabadi | FJB10490729M | Hossein | 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/2222/7877206/check_13062077_9487b3e9-67f9-4ce5-9c0f-8d9550fd6e3d.json | N/A | N/A | N/A | N/A | N/A | FJB10490729M | N/A | ALL | ANTHEM BLUE CROSS | N/A | 1950-06-21 | 101 | 174549M211 | N/A | N/A | false | MANTEGHI | N/A | MEHRNAZ | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963268730 | N/A | N/A | 7877206 | 2222 | 4802 | 13401574 | N/A | 6706099 | 2025-10-08 06:03:17.487984 | 2025-11-21 22:00:12.073625 |
| 2025-10-07 08:37:38.430973 | 2025-10-08 06:05:23.830175 | 13061865 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 13061865 | Athletic Physical Therapy Inc | 1959-06-05 | 2025-10-08 | M | AE | PT | CARRANZA | 00000294469 | MANUEL | 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/2222/9637983/check_13061865_b6496824-9757-45c9-9468-f8cd188ab849.json | N/A | N/A | N/A | N/A | N/A | 00000294469 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1959-06-05 | H3815028 | N/A | N/A | HM | false | CARRANZA | N/A | MANUEL | 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 | 8963274766 | N/A | N/A | 9637983 | 2222 | 4801 | 13406017 | N/A | 8062895 | 2025-10-08 06:05:23.830175 | 2025-09-22 23:22:14.358428 |
| 2025-10-07 08:37:38.099303 | 2025-10-08 06:04:29.470280 | 13061850 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13061850 | Athletic Physical Therapy Inc | 1987-11-24 | 2025-10-10 | F | PT | N/A | Halat | FIZ100010118257 | Hooram | 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/2222/7870152/check_13061850_0b2a783f-cd64-4165-9a32-643f17d89c5d.json | N/A | N/A | N/A | N/A | N/A | FIZ100010118257 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS. DOUBLEQUOTECHAR | 1987-11-24 | N/A | N/A | N/A | PR | false | HALAT | N/A | HOORAM | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963268643 | N/A | N/A | 7870152 | 2222 | 4802 | 13404046 | N/A | 6698799 | 2025-10-08 06:04:29.470280 | 2025-08-07 18:40:53.120761 |
| 2025-10-07 08:37:26.327827 | 2025-10-08 05:52:37.538402 | 13061259 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13061259 | Athletic Physical Therapy Inc | 1994-12-08 | 2025-10-10 | F | PT | N/A | Benet | CPT240W21227 | Lilian | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.114254447.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7587004/check_13061259_d375386c-5f2c-4407-8725-85471cca7551.json | N/A | N/A | N/A | N/A | N/A | CPT240W21227 | Preferred Provider Organization (PPO) | THE CAPITAL GROUP COMPANIES | ANTHEM BLUE CROSS | N/A | 1994-12-08 | 040 | C20001M1A2 | N/A | PR | false | BENET | N/A | LILIAN | N/A | 9999-12-31 | 2024-08-26 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963266611 | N/A | N/A | 7587004 | 2222 | 4802 | 13388356 | N/A | 6496624 | 2025-10-08 05:52:37.538402 | 2025-09-26 20:15:15.570978 |
| 2025-10-07 08:37:23.442843 | 2025-10-08 06:03:11.904537 | 13061116 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 13061116 | Athletic Physical Therapy Inc | 1944-03-02 | 2025-10-08 | F | AE | PT | SETRAK | 40064880801 | SETA | 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/2222/9634904/check_13061116_9ad058ca-65d8-4e88-8e6e-987a9d16f464.json | N/A | N/A | N/A | N/A | N/A | 40064880801 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | SETRAK | N/A | SETA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963274610 | N/A | N/A | 9634904 | 2222 | 4801 | 13401363 | N/A | 8061360 | 2025-10-08 06:03:11.904537 | 2025-09-22 21:51:14.372865 |
| 2025-10-07 08:37:17.671498 | 2025-10-08 06:06:17.552663 | 13060841 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13060841 | Athletic Physical Therapy Inc | 1984-07-13 | 2025-10-08 | F | PT | N/A | Kim | XEA909876442 | Sangmi | 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/2222/9623028/check_13060841_f6df9ad9-0b37-48dc-a698-72a566fc1ad3.json | N/A | N/A | N/A | N/A | N/A | XEA909876442 | Preferred Provider Organization (PPO) | KARRASS LIMITED | BLUE SHIELD CALIFORNIA | N/A | 1984-07-13 | 1000VX000102 | W0007790 | N/A | PR | false | KIM | N/A | SANGMI | N/A | 9999-12-31 | 2020-06-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963274278 | N/A | N/A | 9623028 | 2222 | 4802 | 13407789 | N/A | 8053034 | 2025-10-08 06:06:17.552663 | 2025-09-22 19:37:31.966356 |
| 2025-10-07 08:36:20.951456 | 2025-10-08 05:21:10.242449 | 13059683 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 13059683 | Athletic Physical Therapy Inc | 1953-01-18 | 2025-10-08 | F | AE | PT | CANO | H7655502400 | ADELAIDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.114634340.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7796425/check_13059683_173181f3-3afb-4fd2-bec0-8e0612fb6715.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 | 8963288906 | N/A | N/A | 7796425 | 2222 | 4801 | 13378774 | N/A | 6638534 | 2025-10-08 05:21:10.242449 | 2025-08-05 23:10:54.464587 |
| 2025-10-07 08:33:51.635553 | 2025-10-08 05:32:38.139260 | 13059478 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13059478 | 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/272741.20251007.114634340.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7787192/check_13059478_ee936cf0-2efa-470b-897b-3481e4332d8d.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 | 8963287642 | N/A | N/A | 7787192 | 2222 | 4802 | 13379874 | N/A | 6631054 | 2025-10-08 05:32:38.139260 | 2025-12-12 20:45:04.787542 |
| 2025-10-07 08:33:27.312476 | 2025-10-07 08:33:28.238112 | 13059399 | N/A | N/A | 60054 | Aetna | 1114042165 | 13059399 | Athletic Physical Therapy Inc | 1991-08-09 | 2025-10-08 | M | AE | PT | TORIO | W287278504 | MICHAEL | 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 | 6235883 | 2222 | 4802 | N/A | N/A | 4883697 | 2025-10-07 08:33:28.238112 | 2025-07-08 14:55:53.397662 |
| 2025-10-07 08:32:38.151286 | 2025-10-08 05:29:18.223762 | 13059250 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13059250 | Athletic Physical Therapy Inc | 1959-09-25 | 2025-10-08 | F | AE | PT | SIQUEIROS | 00000416329 | NEOMI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.114634340.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7783566/check_13059250_c8846926-7dbb-4a4a-b59d-b555a15d283d.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 | 8963289163 | N/A | N/A | 7783566 | 2222 | 4793 | 13379502 | 2630 | 6628802 | 2025-10-08 05:29:18.223762 | 2025-08-05 16:32:50.217064 |
| 2025-10-07 08:32:00.140085 | 2025-10-07 08:32:00.491230 | 13058987 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 13058987 | Athletic Physical Therapy Inc | 1950-06-01 | 2025-10-08 | F | AE | PT | MCDEVITT | H7220666800 | GUADALUPE | 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 | 6221805 | 2222 | 4801 | N/A | N/A | 4865742 | 2025-10-07 08:32:00.491230 | 2025-06-11 15:46:59.098537 |
| 2025-10-07 08:31:08.645424 | 2025-10-08 05:27:10.730319 | 13058650 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 13058650 | Athletic Physical Therapy Inc | 1936-04-01 | 2025-10-09 | F | AE | PT | WESTER | 40064582501 | EIVOR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.114634340.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7761229/check_13058650_e10ea61d-b311-484b-9cc2-0c39249949dc.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 | 8963287416 | N/A | N/A | 7761229 | 2222 | 4793 | 13379269 | N/A | 6610550 | 2025-10-08 05:27:10.730319 | 2025-08-29 21:18:14.924057 |
| 2025-10-07 08:30:48.790071 | 2025-10-07 08:30:49.306410 | 13058531 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13058531 | Athletic Physical Therapy Inc | 1960-07-20 | 2025-10-09 | F | AE | PT | NAFTZGER | 3NW9CG6WM45 | SANDRA | 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 | 6194923 | 2222 | 4802 | N/A | N/A | 4214889 | 2025-10-07 08:30:49.306410 | 2025-05-13 04:29:37.229212 |
| 2025-10-07 08:30:27.523479 | 2025-10-08 05:21:11.970181 | 13058382 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 13058382 | Athletic Physical Therapy Inc | 1951-03-20 | 2025-10-08 | F | AE | PT | TOY | H77237018 | NELDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.114634340.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7754038/check_13058382_dc45a51a-4bf8-44d0-a70f-dde19f10bd29.json | N/A | N/A | N/A | N/A | N/A | H77237018 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 695 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 | 1951-03-20 | N/A | 0B515001 | N/A | HN | false | TOY | N/A | NELDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963287916 | N/A | N/A | 7754038 | 2222 | 4793 | 13378776 | N/A | 6605178 | 2025-10-08 05:21:11.970181 | 2025-08-12 21:10:43.412607 |