API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-07 08:22:03.642074 | 2025-10-08 05:55:26.517028 | 13052176 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13052176 | Athletic Physical Therapy Inc | 1983-01-16 | 2025-10-08 | M | PT | MIRANDA | NCF728A24383 | ERICK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131234217.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7173834/check_13052176_93e27891-f5bf-4062-9275-e5f49dacb49c.json | N/A | N/A | N/A | N/A | N/A | NCF728A24383 | Health Maintenance Organization (HMO) | LOS ANGELES POLICE RELIEF ASN INC | ANTHEM BLUE CROSS | N/A | 1983-01-16 | 040 | 57CP3A | N/A | HM | false | MIRANDA | N/A | ERICK | 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 | 8963107183 | N/A | N/A | 7173834 | 2222 | 4801 | 13392027 | N/A | 6149607 | 2025-10-08 05:55:26.517028 | 2025-07-17 18:34:10.184195 |
| 2025-10-07 08:21:16.753363 | 2025-10-07 08:21:17.023732 | 13051230 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13051230 | Athletic Physical Therapy Inc | 1961-03-07 | 2025-10-09 | F | PT | PERLOV | XEA905216171 | MERA | N/A | 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 | 6814311 | 2222 | 4793 | N/A | N/A | 5856694 | 2025-10-07 08:21:17.023732 | 2025-07-07 18:45:06.287504 |
| 2025-10-07 08:21:15.384298 | 2025-10-08 06:40:50.502515 | 13051195 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13051195 | Athletic Physical Therapy Inc | 1952-06-26 | 2025-10-08 | M | AE | MATTHEWS | 00000283273 | DAVID | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.121931202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676399/check_13051195_f511f70f-acf9-472a-ac5b-99b580cb1bca.json | N/A | N/A | N/A | N/A | N/A | 00000283273 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1952-06-26 | H3815028 | N/A | N/A | HM | false | MATTHEWS | N/A | DAVID | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963533683 | N/A | N/A | 5676399 | 2222 | 4793 | 13422462 | 2630 | 4343454 | 2025-10-08 06:40:50.502515 | 2025-05-13 04:29:37.230932 |
| 2025-10-07 08:21:15.051514 | 2025-10-08 06:09:27.688676 | 13051189 | N/A | N/A | 60054 | Aetna | 1114042165 | 13051189 | Athletic Physical Therapy Inc | 1956-11-03 | 2025-10-09 | M | AE | ARROW | 101393152200 | PAUL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.121931202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676385/check_13051189_fc2f0895-a15f-4a1c-ac8a-fb37d4fb8456.json | N/A | N/A | N/A | N/A | N/A | 101393152200 | Preferred Provider Organization (PPO) | BP CORPORATION NORTH AMERICA - MA | AETNA | MEDICARE | 1956-11-03 | 100181-02EG0001 | 100181-02 | N/A | PR | false | ARROW | N/A | PAUL | N/A | N/A | N/A | BP MEDICARE PPO ESA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963533682 | N/A | N/A | 5676385 | 2222 | 4802 | 13412450 | N/A | 4343439 | 2025-10-08 06:09:27.688676 | 2025-05-13 04:29:37.230918 |
| 2025-10-07 08:21:14.630566 | 2025-10-08 06:48:28.295951 | 13051180 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13051180 | Athletic Physical Therapy Inc | 1989-01-09 | 2025-10-09 | F | PT | SELTER | XEA906445770 | RACHEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.121931202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676380/check_13051180_4e9842d7-d83c-4154-876b-e862b7d4a622.json | N/A | N/A | N/A | N/A | N/A | XEA906445770 | Preferred Provider Organization (PPO) | AV SQUAD LP | BLUE SHIELD CALIFORNIA | N/A | 1989-01-09 | 1000PPOX0001 | W0066517 | N/A | PR | false | SELTER | N/A | BRANDON | N/A | N/A | N/A | SMILE SM SPECTRUM 50 1500 NO ORTHO MAC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963533681 | N/A | N/A | 5676380 | 2222 | 4793 | 13423580 | N/A | 4343435 | 2025-10-08 06:48:28.295951 | 2025-05-13 04:29:37.230915 |
| 2025-10-07 08:21:14.363870 | 2025-10-08 07:19:30.838190 | 13051173 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13051173 | Athletic Physical Therapy Inc | 1952-07-25 | 2025-10-09 | M | AE | LANE | 4CA5FX1PJ56 | STEVEN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.121931202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676372/check_13051173_ce7642df-a0de-4980-830c-c4fe5543d321.json | N/A | N/A | N/A | N/A | N/A | 4CA5FX1PJ56 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-25 | S4802 | N/A | N/A | MA | false | LANE | N/A | STEVEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963533680 | N/A | N/A | 5676372 | 2222 | 4802 | 13427035 | N/A | 4219832 | 2025-10-08 07:19:30.838190 | 2025-05-13 04:29:37.230877 |
| 2025-10-07 08:21:14.086378 | 2025-10-08 06:43:22.738751 | 13051165 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13051165 | Athletic Physical Therapy Inc | 1946-04-03 | 2025-10-09 | F | PT | OBLINGER | JQS491M78254 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.121931202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676340/check_13051165_a67d2cec-9ea2-4617-ada1-c843ceb7978a.json | N/A | N/A | N/A | N/A | N/A | JQS491M78254 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1946-04-03 | 040 | CAMCRWP0 | N/A | MP | false | OBLINGER | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963533679 | N/A | N/A | 5676340 | 2222 | 4793 | 13422850 | 4184 | 4210531 | 2025-10-08 06:43:22.738751 | 2025-12-09 17:09:13.960610 |
| 2025-10-07 08:21:08.254100 | 2025-10-08 06:08:30.324065 | 13051034 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13051034 | Athletic Physical Therapy Inc | 1949-01-02 | 2025-10-10 | F | AE | TARASEVYCH | 90733231H | VIRA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131232872.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8050658/check_13051034_d1967d82-4493-42cc-8d11-974c8000cdce.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 | 8963108765 | N/A | N/A | 8050658 | 2222 | 4793 | 13411273 | N/A | 6845945 | 2025-10-08 06:08:30.324065 | 2025-08-20 15:30:30.230373 |
| 2025-10-07 08:21:07.034504 | 2025-10-07 08:21:07.673406 | 13051006 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13051006 | Athletic Physical Therapy Inc | 1975-03-18 | 2025-10-08 | F | PT | FARRUKH | JXN208M92481 | ANBARIN | N/A | 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 | 6811878 | 2222 | 4793 | N/A | N/A | 5854231 | 2025-10-07 08:21:07.673406 | 2025-07-07 16:52:38.056680 |
| 2025-10-07 08:21:03.799255 | 2025-10-08 05:55:25.293229 | 13050932 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13050932 | Athletic Physical Therapy Inc | 1978-12-04 | 2025-10-08 | M | PT | Karp | R58968799 | Aaron | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131234217.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7036296/check_13050932_9917fff7-5f2a-478b-af12-42322155286a.json | N/A | N/A | N/A | N/A | N/A | R58968799 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1978-12-04 | N/A | 112 | N/A | PR | false | KARP | N/A | JENNIFER | N/A | 9999-12-31 | 2012-12-02 | BASIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963107641 | N/A | N/A | 7036296 | 2222 | 4802 | 13392004 | N/A | 6049018 | 2025-10-08 05:55:25.293229 | 2025-07-16 16:57:31.246752 |
| 2025-10-07 08:21:02.484294 | 2025-10-08 06:04:31.334280 | 13050901 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13050901 | Athletic Physical Therapy Inc | 1959-03-09 | 2025-10-09 | F | AE | BALLETTA | 4JJ4X54RC07 | LYNDA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131234217.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7035993/check_13050901_80a513f5-61f7-404d-9844-96d9b1455401.json | N/A | N/A | N/A | N/A | N/A | 4JJ4X54RC07 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-03-09 | S5617 | N/A | N/A | MB | false | BALLETTA | N/A | LYNDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963107637 | N/A | N/A | 7035993 | 2222 | 4793 | 13404104 | N/A | 6048781 | 2025-10-08 06:04:31.334280 | 2025-07-22 23:03:15.103027 |
| 2025-10-07 08:20:53.907161 | 2025-10-08 06:08:32.405012 | 13050716 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 13050716 | Athletic Physical Therapy Inc | 1960-02-19 | 2025-10-09 | F | AE | ENGLISH BLAZEJ | 40067960801 | DOREEN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131232872.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8048674/check_13050716_0f08f27c-dbac-4cd0-9057-d7df3bb0df01.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 | 8963106419 | N/A | N/A | 8048674 | 2222 | 4801 | 13411317 | N/A | 6844466 | 2025-10-08 06:08:32.405012 | 2025-08-13 17:29:27.130257 |
| 2025-10-07 08:20:05.782631 | 2025-10-07 08:20:06.097808 | 13049690 | N/A | N/A | 60054 | AETNA | 1114042165 | 13049690 | Athletic Physical Therapy Inc | 1940-12-29 | 2025-10-09 | M | AE | TRUNNELL | 101505559100 | WAYNE | PT | 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 08:20:06.097808 | 2025-07-15 23:19:05.900633 |
| 2025-10-07 08:19:58.826070 | 2025-10-08 05:53:06.754471 | 13049524 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13049524 | Athletic Physical Therapy Inc | 1988-09-12 | 2025-10-08 | M | PT | Guzzo | JQU895W23533 | Aaron | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.111524755.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7513987/check_13049524_acdf3ed4-fce4-4634-9649-280df21d38a3.json | N/A | N/A | N/A | N/A | N/A | JQU895W23533 | Preferred Provider Organization (PPO) | 3 ARTS ENTERTAINMENT LLC | BLUE SHIELD OF CALIFORNIA | N/A | 1988-09-12 | 040 | H59723 | N/A | PR | false | RATHER-GUZZO | N/A | SANDY | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963102061 | N/A | N/A | 7513987 | 2222 | 4802 | 13389029 | N/A | 6451061 | 2025-10-08 05:53:06.754471 | 2025-07-28 22:43:26.605856 |
| 2025-10-07 08:19:54.595422 | 2025-10-08 06:13:39.150938 | 13049424 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13049424 | Athletic Physical Therapy Inc | 1955-05-21 | 2025-10-09 | F | PT | MARTINEZ | HFD100011199462 | RACHEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131232872.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8026951/check_13049424_9b48e739-d497-4ba9-9a4c-d1560face8df.json | N/A | N/A | N/A | N/A | N/A | HFD100011199462 | 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 | 1955-05-21 | N/A | N/A | N/A | PR | false | MARTINEZ | N/A | RACHEL | 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 | 8963105625 | N/A | N/A | 8026951 | 2222 | 4801 | 13415888 | N/A | 6828511 | 2025-10-08 06:13:39.150938 | 2025-08-14 00:23:35.929152 |
| 2025-10-07 08:19:53.333734 | 2025-10-08 06:10:36.951849 | 13049393 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13049393 | Athletic Physical Therapy Inc | 1997-05-14 | 2025-10-09 | F | PT | SCHRODT | XDP041W16673 | CLARE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131232872.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8026784/check_13049393_3f7d7bdf-8621-4ab2-9f7a-d93c007770d1.json | N/A | N/A | N/A | N/A | N/A | XDP041W16673 | Preferred Provider Organization (PPO) | REGENTS OF THE UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1997-05-14 | 040 | 281636M037 | N/A | PR | false | SCHRODT | N/A | CLARE | N/A | 9999-12-31 | 2023-06-12 | UC RESIDENTS AND FELLOWS PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963105621 | N/A | N/A | 8026784 | 2222 | 4802 | 13414022 | N/A | 6828383 | 2025-10-08 06:10:36.951849 | 2025-08-12 22:27:19.278771 |
| 2025-10-07 08:19:52.108259 | 2025-10-07 08:19:52.458583 | 13049367 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13049367 | Athletic Physical Therapy Inc | 1947-12-19 | 2025-10-08 | F | PT | Taggart | MBL830M95233 | Rita | N/A | 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 08:19:52.458583 | 2025-07-03 18:24:56.520298 |
| 2025-10-07 08:19:49.076007 | 2025-10-08 05:59:06.847600 | 13049296 | N/A | N/A | 60054 | Aetna | 1114042165 | 13049296 | Athletic Physical Therapy Inc | 2005-12-05 | 2025-10-09 | M | AE | LEE | W46967828 | MICAH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131232872.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8025873/check_13049296_2407bc85-2165-4a53-8fbe-f85d7c76a052.json | N/A | N/A | N/A | N/A | N/A | W46967828 | N/A | N/A | AETNA INC | N/A | 2005-12-05 | N/A | N/A | N/A | N/A | false | LEE | N/A | MICAH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963105607 | N/A | N/A | 8025873 | 2222 | 4802 | 13396046 | N/A | 6827370 | 2025-10-08 05:59:06.847600 | 2025-08-19 17:52:17.507801 |
| 2025-10-07 08:19:47.670642 | 2025-10-08 05:59:03.631208 | 13049266 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 13049266 | override_provider | 1960-06-14 | 2025-10-09 | F | PT | VERWEY | R61817302 | CAREN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131232872.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8025542/check_13049266_bc30b6ce-20fb-466e-92aa-679b763535bf.json | N/A | N/A | N/A | N/A | N/A | R61817302 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1960-06-14 | N/A | 35C | N/A | PR | false | VERWEY | N/A | CAREN | N/A | 9999-12-31 | 2025-01-01 | FEP BLUE FOCUS | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963105602 | N/A | N/A | 8025542 | 2222 | 4801 | 13395969 | N/A | 6826965 | 2025-10-08 05:59:03.631208 | 2025-08-13 02:28:19.717631 |
| 2025-10-07 08:19:31.923539 | 2025-10-08 06:32:50.011270 | 13048905 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13048905 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-10-08 | F | AE | GIANOLI | R11857813FM1 | ELSY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.121931202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_13048905_c55b9fe6-dbb4-4cfb-9048-4d591ae21e3c.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963533413 | N/A | N/A | 5568076 | 2222 | 4802 | 13420862 | N/A | 4209480 | 2025-10-08 06:32:50.011270 | 2026-04-10 02:05:15.976484 |
| 2025-10-07 08:19:28.379847 | 2025-10-08 06:04:32.713818 | 13048825 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13048825 | Athletic Physical Therapy Inc | 1948-01-06 | 2025-10-08 | F | AE | FRITH SMITH | 9M69RM7JM34 | BARBARA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131234217.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6998367/check_13048825_8bb83916-8c75-471c-95bd-d3291a65cd03.json | N/A | N/A | N/A | N/A | N/A | 9M69RM7JM34 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-01-06 | S4802 | N/A | N/A | MB | false | FRITH SMITH | N/A | BARBARA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963108940 | N/A | N/A | 6998367 | 2222 | 4801 | 13404156 | N/A | 6017959 | 2025-10-08 06:04:32.713818 | 2025-07-14 18:22:35.995798 |
| 2025-10-07 08:19:17.129347 | 2025-10-07 08:19:17.396925 | 13048555 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13048555 | Athletic Physical Therapy Inc | 1965-06-23 | 2025-10-08 | F | PT | MAGHSOUDLOO | XEA913772161 | FARIBAB | N/A | 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 08:19:17.396925 | 2025-07-31 22:52:15.686379 |
| 2025-10-07 08:19:02.552153 | 2025-10-08 05:49:34.529861 | 13048221 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 13048221 | override_provider | 2001-03-26 | 2025-10-10 | F | PT | GRIFFIN | 604389070 | ALISA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.111524755.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7496180/check_13048221_e8cb4a02-1cb9-4b70-acc7-82a9b52a465f.json | N/A | N/A | N/A | N/A | N/A | 604389070 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2001-03-26 | N/A | N/A | N/A | N/A | false | GRIFFIN | N/A | ALISA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963103771 | N/A | N/A | 7496180 | 2222 | 4801 | 13383214 | N/A | 6442600 | 2025-10-08 05:49:34.529861 | 2025-09-03 23:37:28.319879 |
| 2025-10-07 08:18:52.792011 | 2025-10-07 08:18:53.072274 | 13047937 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13047937 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-10-08 | M | AE | CICCIARI | 1AK4JC6NK84 | LOUIS | PT | 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 08:18:53.072274 | 2025-07-01 17:25:13.681724 |
| 2025-10-07 08:18:51.076534 | 2025-10-08 06:40:41.698974 | 13047883 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 13047883 | Athletic Physical Therapy Inc | 1954-03-04 | 2025-10-09 | M | AE | ARUJO | 00000223568 | RAMON | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.121931202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550751/check_13047883_1ab09a3d-056c-435c-98f4-64f69e6bad58.json | N/A | N/A | N/A | N/A | N/A | 00000223568 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1954-03-04 | H3815028 | N/A | N/A | HM | false | ARUJO | N/A | RAMON | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963531815 | N/A | N/A | 5550751 | 2222 | 4801 | 13422443 | 2630 | 4219640 | 2025-10-08 06:40:41.698974 | 2025-05-13 04:29:37.230682 |
| 2025-10-07 08:18:50.756331 | 2025-10-08 06:09:42.565015 | 13047874 | N/A | N/A | 60054 | Aetna | 1114042165 | 13047874 | Athletic Physical Therapy Inc | 1961-11-04 | 2025-10-08 | F | AE | SANTITORO | W267422430 | SARAH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.121931202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550743/check_13047874_79133234-71ff-4c99-abfa-42bfec48ed1d.json | N/A | N/A | N/A | N/A | N/A | W267422430 | Point of Service (POS) | CIENA CORPORATION | AETNA | N/A | 1961-11-04 | 0486875 | 048687501000001 | N/A | PS | false | SANTITORO | N/A | RALPH | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963531814 | N/A | N/A | 5550743 | 2222 | 4801 | 13412768 | N/A | 4219643 | 2025-10-08 06:09:42.565015 | 2025-05-13 04:29:37.230685 |
| 2025-10-07 08:18:50.368410 | 2025-10-08 07:19:33.198469 | 13047861 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13047861 | Athletic Physical Therapy Inc | 1956-11-29 | 2025-10-08 | M | AE | LYGA | 9E33A44VQ74 | FRANK | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.121931202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550634/check_13047861_9b91ee8a-0f7c-4898-9a38-4fca9fca25fa.json | N/A | N/A | N/A | N/A | N/A | 9E33A44VQ74 | Medicare Part A | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-11-29 | S5596 | DOL 07071986 | N/A | MA | false | LYGA | N/A | FRANK | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963531813 | N/A | N/A | 5550634 | 2222 | 4801 | 13427041 | N/A | 4219584 | 2025-10-08 07:19:33.198469 | 2025-09-29 18:19:47.145731 |
| 2025-10-07 08:18:50.017606 | 2025-10-08 07:19:07.131468 | 13047852 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13047852 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-10-10 | F | AE | BRADBURY | 5W31MW6FP03 | BONNIE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.121931202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550534/check_13047852_2289340e-d34f-425e-bae0-9c74f18071bc.json | N/A | N/A | N/A | N/A | N/A | 5W31MW6FP03 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-01 | S5617 | N/A | N/A | MB | false | BRADBURY | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963531812 | N/A | N/A | 5550534 | 2222 | 4801 | 13426989 | N/A | 4219556 | 2025-10-08 07:19:07.131468 | 2025-05-13 04:29:37.230592 |
| 2025-10-07 08:18:49.622224 | 2025-10-08 06:41:55.532539 | 13047839 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 13047839 | Athletic Physical Therapy Inc | 1990-11-12 | 2025-10-08 | F | AE | SIMONS | 94378141G | DESIREE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.121931202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550102/check_13047839_cdb10cd7-745c-4fd1-ae5f-552429e4f84f.json | N/A | N/A | N/A | N/A | N/A | 94378141G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1990-11-12 | N/A | N/A | N/A | N/A | false | SIMONS | N/A | DESIREE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963531811 | N/A | N/A | 5550102 | 2222 | 4802 | 13422595 | N/A | 4212176 | 2025-10-08 06:41:55.532539 | 2025-05-13 04:29:37.226514 |
| 2025-10-07 08:18:49.291359 | 2025-10-08 07:18:57.185996 | 13047829 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13047829 | Athletic Physical Therapy Inc | 1954-05-11 | 2025-10-10 | M | AE | A Peters | 1R78CR5JR59 | Dennis | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.121931202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550025/check_13047829_d42dc4ac-2514-4aa3-a198-72ee28d2cb7a.json | N/A | N/A | N/A | N/A | N/A | 1R78CR5JR59 | N/A | N/A | CMS | N/A | 1954-05-11 | N/A | N/A | N/A | N/A | false | A PETERS | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963531810 | N/A | N/A | 5550025 | 2222 | 4801 | 13426970 | N/A | 4219449 | 2025-10-08 07:18:57.185996 | 2025-10-07 21:32:27.567534 |
| 2025-10-07 08:18:48.946351 | 2025-10-08 06:48:33.471406 | 13047819 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13047819 | Athletic Physical Therapy Inc | 1961-10-06 | 2025-10-09 | F | PT | SMITH | XED910117839 | DEANNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.121931202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549692/check_13047819_32baa7eb-c8bd-424f-aeac-4402ff4abd37.json | N/A | N/A | N/A | N/A | N/A | XED910117839 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-10-06 | 2001ZK002184 | X0001004 | N/A | PR | false | SMITH | N/A | ADRIAN | N/A | 9999-12-31 | 2021-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963531809 | N/A | N/A | 5549692 | 2222 | 4801 | 13423595 | N/A | 4219305 | 2025-10-08 06:48:33.471406 | 2025-09-16 17:28:21.311815 |
| 2025-10-07 08:18:48.623601 | 2025-10-08 06:43:05.859621 | 13047809 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13047809 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-10-08 | F | PT | LUCZYWEK | HFD100011213709 | DEBORA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.121931202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_13047809_e65540bc-1148-40d4-b732-7527c3de2461.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963531808 | N/A | N/A | 5549317 | 2222 | 4801 | 13422804 | N/A | 4219010 | 2025-10-08 06:43:05.859621 | 2026-01-09 18:32:07.618867 |
| 2025-10-07 08:18:48.255780 | 2025-10-08 06:01:56.121234 | 13047798 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | 13047798 | Athletic Physical Therapy Inc | 1965-07-05 | 2025-10-08 | F | PT | CEJA | XEH903796659 | PATRICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.121931202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549285/check_13047798_0587e0bb-ea75-4389-8b8f-8a04af751769.json | N/A | N/A | N/A | N/A | N/A | XEH903796659 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1965-07-05 | N/A | N/A | N/A | N/A | false | CEJA | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963531807 | N/A | N/A | 5549285 | 2222 | 4801 | 13399399 | N/A | 4218983 | 2025-10-08 06:01:56.121234 | 2025-05-13 04:29:37.230000 |
| 2025-10-07 08:18:47.951360 | 2025-10-08 07:19:10.405202 | 13047786 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13047786 | Athletic Physical Therapy Inc | 1972-05-29 | 2025-10-10 | M | AE | CALDERON | 4DH3VT4QR98 | FREDY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.121931202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549153/check_13047786_738cbac9-51ed-48e0-9aa7-61a7899aed44.json | N/A | N/A | N/A | N/A | N/A | 4DH3VT4QR98 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1972-05-29 | S5617 | N/A | N/A | MA | false | CALDERON | N/A | FREDY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963531806 | N/A | N/A | 5549153 | 2222 | 4801 | 13426995 | N/A | 4218873 | 2025-10-08 07:19:10.405202 | 2025-05-13 04:29:37.229886 |
| 2025-10-07 08:18:43.567396 | 2025-10-08 06:08:33.357986 | 13047647 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 13047647 | Athletic Physical Therapy Inc | 1950-08-25 | 2025-10-08 | F | AE | POLLOCK | 40002008301 | MARY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.131232872.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7992096/check_13047647_c1f8f210-f144-43b2-a81f-51f750072dba.json | N/A | N/A | N/A | N/A | N/A | 40002008301 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | POLLOCK | N/A | MARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963108191 | N/A | N/A | 7992096 | 2222 | 4801 | 13411341 | N/A | 4212687 | 2025-10-08 06:08:33.357986 | 2025-08-27 18:05:06.350903 |
| 2025-10-07 08:18:42.020854 | 2025-10-08 06:38:51.550844 | 13047600 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 13047600 | Athletic Physical Therapy Inc | 1962-06-19 | 2025-10-08 | M | AE | MILIAN GOMEZ | 93331019F | MIGUEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.121931202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543555/check_13047600_b79a369c-76f6-425f-bf59-f25e05d72571.json | N/A | N/A | N/A | N/A | N/A | 93331019F | N/A | N/A | HEALTH NET, LLC | N/A | 1962-06-19 | N/A | N/A | N/A | N/A | false | MILIAN GOMEZ | N/A | MIGUEL | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963531786 | N/A | N/A | 5543555 | 2222 | 4802 | 13422126 | N/A | 4215332 | 2025-10-08 06:38:51.550844 | 2025-08-06 16:15:15.716322 |
| 2025-10-07 08:18:41.728656 | 2025-10-08 07:19:27.686122 | 13047590 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13047590 | Athletic Physical Therapy Inc | 1950-10-31 | 2025-10-10 | F | AE | HOORIZADEH | 2DX2T46JH03 | FLORA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.121931202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543528/check_13047590_876a95c3-ee3f-4640-ba7a-53f26f803c08.json | N/A | N/A | N/A | N/A | N/A | 2DX2T46JH03 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-10-31 | S4802 | N/A | N/A | MA | false | HOORIZADEH | N/A | FLORA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963531785 | N/A | N/A | 5543528 | 2222 | 4802 | 13427029 | N/A | 4215312 | 2025-10-08 07:19:27.686122 | 2025-05-13 04:29:37.229631 |
| 2025-10-07 08:18:41.370617 | 2025-10-08 06:33:54.300678 | 13047580 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 13047580 | Athletic Physical Therapy Inc | 1950-03-29 | 2025-10-09 | M | AE | AKHTARI | 40045421301 | SHAHROKH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.121931202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543493/check_13047580_91d13caa-7728-48a4-9b39-b15a8ba236f0.json | N/A | N/A | N/A | N/A | N/A | 40045421301 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963531784 | N/A | N/A | 5543493 | 2222 | 4793 | 13421160 | N/A | 4215273 | 2025-10-08 06:33:54.300678 | 2025-05-13 04:29:37.229594 |
| 2025-10-07 08:18:41.048587 | 2025-10-08 06:32:58.110024 | 13047572 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 13047572 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-10-09 | M | AE | FORTIN | R14644640MS1 | NATHANIEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.121931202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_13047572_31bd2b0a-ad09-464e-8b39-6423bc0f77d5.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | K96 SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963531783 | N/A | N/A | 5543425 | 2222 | 4801 | 13420903 | N/A | 4215211 | 2025-10-08 06:32:58.110024 | 2026-04-02 22:30:20.020246 |
| 2025-10-07 08:18:40.736151 | 2025-10-08 06:06:28.294785 | 13047563 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 13047563 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-10-08 | F | AE | SILVERS | 1866968 | JOIEMAY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.121931202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543335/check_13047563_5abf615e-d9d7-4261-a166-5e4ba959390a.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 2001-01-23 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963531782 | N/A | N/A | 5543335 | 2222 | 4802 | 13408112 | N/A | 4215139 | 2025-10-08 06:06:28.294785 | 2025-05-13 21:20:11.455022 |
| 2025-10-07 08:18:40.371465 | 2025-10-08 06:42:25.758853 | 13047552 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 13047552 | Athletic Physical Therapy Inc | 1962-09-27 | 2025-10-09 | F | PT | BARAJAS | NCF425A56241 | EMMA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.121931202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543324/check_13047552_0e209fae-9411-4e6b-aec8-74fa252c6de1.json | N/A | N/A | N/A | N/A | N/A | JMV425A56241 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1962-09-27 | 040 | 56677VR000 | N/A | HM | false | BARAJAS | N/A | RAMON | N/A | 9999-12-31 | 2025-09-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963531781 | N/A | N/A | 5543324 | 2222 | 4801 | 13422695 | 4184 | 4215131 | 2025-10-08 06:42:25.758853 | 2025-08-11 16:45:52.816842 |
| 2025-10-07 08:18:40.081055 | 2025-10-08 06:09:46.090259 | 13047543 | N/A | N/A | 60054 | Aetna | 1114042165 | 13047543 | Athletic Physical Therapy Inc | 1966-04-15 | 2025-10-09 | F | AE | STULTZ | W460545844 | TRACY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.121931202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543319/check_13047543_42ada5b2-cb6e-412d-b272-dbbe376cb91e.json | N/A | N/A | N/A | N/A | N/A | W460545844 | Exclusive Provider Organization | M. ARTHUR GENSLER, JR. & ASSOCIATES | AETNA | N/A | 1966-04-15 | 0658759 | 065875901800051 | N/A | EP | false | STULTZ | N/A | ERIC | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963531780 | N/A | N/A | 5543319 | 2222 | 4802 | 13412834 | N/A | 4215127 | 2025-10-08 06:09:46.090259 | 2025-05-13 04:29:37.229443 |
| 2025-10-07 08:18:39.804436 | 2025-10-08 06:06:23.019471 | 13047534 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 13047534 | Athletic Physical Therapy Inc | 1991-07-22 | 2025-10-08 | M | AE | AZIM | 627771249 | FAIYAZ | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.121931202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543304/check_13047534_39edfb38-50d9-403c-8741-224c019dae5c.json | N/A | N/A | N/A | N/A | N/A | 627771249 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 1991-07-22 | 18126CA001000201 | QMXEM01910 | N/A | N/A | false | AZIM | N/A | FAIYAZ | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963531778 | N/A | N/A | 5543304 | 2222 | 4802 | 13407927 | N/A | 4215118 | 2025-10-08 06:06:23.019471 | 2025-06-02 01:41:59.668874 |
| 2025-10-07 08:18:39.441334 | 2025-10-08 06:06:25.165590 | 13047523 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 13047523 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-10-08 | M | AE | MCCOWAN | 93341440D | KEVIN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.121931202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_13047523_232cc8fe-9aad-482d-941d-f918604dc2de.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-03-27 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | 2078-12-31 | 2024-11-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8963531777 | N/A | N/A | 5543270 | 2222 | 4793 | 13408014 | N/A | 4215086 | 2025-10-08 06:06:25.165590 | 2025-05-13 04:29:37.229401 |
| 2025-10-07 08:18:39.171397 | 2025-10-08 06:26:14.246837 | 13047515 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 13047515 | Athletic Physical Therapy Inc | 1993-07-24 | 2025-10-08 | M | AD | SJUKUR | U0030031901 | HANSEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.121931202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543268/check_13047515_4694b251-d14a-4687-83eb-6458acda6fdd.json | N/A | N/A | N/A | N/A | N/A | U0030031901 | N/A | MCKINSEY & COMPANY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1993-07-24 | N/A | 2500547 | N/A | N/A | false | SJUKUR | N/A | HANSEL C | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8963531776 | N/A | N/A | 5543268 | 2222 | 4802 | 13419343 | N/A | 4215085 | 2025-10-08 06:26:14.246837 | 2025-05-23 17:53:24.114484 |
| 2025-10-07 08:18:39.022887 | 2025-10-07 08:18:39.241498 | 13047511 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 13047511 | Athletic Physical Therapy Inc | 1929-10-10 | 2025-10-09 | M | AE | Walter | 1TQ1EQ4FJ98 | Howard | PT | 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 08:18:39.241498 | 2025-07-22 17:08:51.810153 |
| 2025-10-07 08:18:38.898778 | 2025-10-08 06:48:24.408149 | 13047507 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 13047507 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-10-09 | F | PT | PAUL | XEK914147727 | SARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.121931202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543211/check_13047507_321051a6-b7ac-4420-9b4f-0255d74dc7bd.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | 9999-12-31 | 2025-02-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963531775 | N/A | N/A | 5543211 | 2222 | 4801 | 13423569 | N/A | 4215028 | 2025-10-08 06:48:24.408149 | 2025-05-13 04:29:37.229346 |
| 2025-10-07 08:18:38.606650 | 2025-10-08 06:43:09.169369 | 13047495 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13047495 | Athletic Physical Therapy Inc | 2003-10-09 | 2025-10-08 | F | PT | LUKOWITSCH | XDPCA8263500 | HALLIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.121931202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543178/check_13047495_1fd7ff1f-cf9d-4a60-9d15-8ecc3d23fa3f.json | N/A | N/A | N/A | N/A | N/A | XDPCA8263500 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | ANTHEM BLUE CROSS | N/A | 2003-10-09 | 040 | 275958P701 | N/A | PR | false | LUKOWITSCH | N/A | HALLIE | N/A | 9999-12-31 | 2025-09-22 | PPO UC SHIP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963531774 | N/A | N/A | 5543178 | 2222 | 4802 | 13422812 | N/A | 4215006 | 2025-10-08 06:43:09.169369 | 2025-05-13 04:29:37.229325 |
| 2025-10-07 08:18:38.287050 | 2025-10-08 06:25:52.554810 | 13047487 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 13047487 | Athletic Physical Therapy Inc | 1973-05-07 | 2025-10-08 | F | AD | FERRERAS | U6570615702 | PATRICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.121931202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543171/check_13047487_54f43fc0-83e0-493e-ae59-17fb2fa4e7fa.json | N/A | N/A | N/A | N/A | N/A | U6570615702 | N/A | WORKDAY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1973-05-07 | N/A | 3336422 | N/A | N/A | false | FERRERAS | N/A | PATRICIA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8963533400 | N/A | N/A | 5543171 | 2222 | 4793 | 13419262 | N/A | 4214998 | 2025-10-08 06:25:52.554810 | 2025-05-13 04:29:37.229318 |
| 2025-10-07 08:18:37.959096 | 2025-10-08 06:42:59.295480 | 13047475 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 13047475 | Athletic Physical Therapy Inc | 1972-06-23 | 2025-10-10 | F | PT | LAWSON | JXN663W00172 | MICHELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251007.121931202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543167/check_13047475_dd398a7b-01a0-4552-9f7b-7b2703cdfd0d.json | N/A | N/A | N/A | N/A | N/A | JXN663W00172 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1972-06-23 | 040 | 174222M2A1 | N/A | PR | false | LAWSON | N/A | MICHELLE | N/A | 9999-12-31 | 2020-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8963533399 | N/A | N/A | 5543167 | 2222 | 4793 | 13422792 | N/A | 4214995 | 2025-10-08 06:42:59.295480 | 2025-05-13 04:29:37.229315 |