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 | insurance_company_id | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-03 08:41:18.437675 | 2025-10-04 08:15:43.855096 | 12979877 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12979877 | Athletic Physical Therapy Inc | 1969-01-08 | 2025-10-06 | F | AE | PT | ALROMAIH | 91237812E | SARAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993940/check_12979877_51a05b57-adfd-41b2-8885-e44b4ad28eac.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 | 8936971088 | N/A | N/A | 5993940 | 2222 | 4802 | 13284139 | N/A | 4642877 | 2025-10-04 08:15:43.855096 | 2025-12-23 23:49:16.627667 |
| 2025-10-03 08:41:18.152855 | 2025-10-04 08:16:34.659052 | 12979874 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12979874 | Athletic Physical Therapy Inc | 1983-05-31 | 2025-10-06 | M | AE | PT | JOHNSON | R04617470MM1 | ROTH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993907/check_12979874_aab1e1da-8db7-4735-a16b-2ba1d70248b7.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 | 8936971087 | N/A | N/A | 5993907 | 2222 | 4793 | 13284237 | N/A | 4534544 | 2025-10-04 08:16:34.659052 | 2025-05-28 20:51:40.104091 |
| 2025-10-03 08:41:17.789325 | 2025-10-03 08:41:19.662862 | 12979871 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-29 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_12979871_0853a1a4-5adc-44cb-92aa-e8ebe4085d1a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_12979871_46a474be-bd6a-445d-9c8a-67b40302a885.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | 13225548 | N/A | 4215317 | 2025-10-03 08:41:19.662862 | 2025-06-24 21:13:18.739779 |
| 2025-10-03 08:41:17.767880 | 2025-10-04 08:17:43.540103 | 12979869 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12979869 | Athletic Physical Therapy Inc | 1996-01-20 | 2025-10-06 | F | PT | N/A | WORDEN | ORU910469318 | SARAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993479/check_12979869_64f4b62a-bcb5-4a13-a8d8-139d6a9e764f.json | N/A | N/A | N/A | N/A | N/A | ORU910469318 | Preferred Provider Organization (PPO) | OAK RIDGE ASSOCIATED UNIVERSITIES | ANTHEM BLUE CROSS | N/A | 1996-01-20 | MBPORAU0 | 89513 | N/A | PR | false | WORDEN | N/A | SARAH | N/A | 2199-12-31 | 2024-07-16 | BLUE NETWORK P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8936971086 | N/A | N/A | 5993479 | 2222 | 4801 | 13284319 | N/A | 4219476 | 2025-10-04 08:17:43.540103 | 2025-05-28 20:18:04.039855 |
| 2025-10-03 08:41:15.937338 | 2025-10-03 08:41:17.786658 | 12979854 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-29 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_12979854_68ad048d-197a-4fbb-b0c1-d7c3e74dbc5a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-29 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-10-03 08:41:17.786658 | 2025-06-24 21:13:18.739779 |
| 2025-10-03 08:41:14.982518 | 2025-10-04 05:19:06.313193 | 12979845 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12979845 | Athletic Physical Therapy Inc | 1988-09-12 | 2025-10-06 | M | PT | N/A | Guzzo | JQU895W23533 | Aaron | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113917058.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7513987/check_12979845_ad1ac521-97cc-4083-9a20-afd6bb985034.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 | 8937016459 | N/A | N/A | 7513987 | 2222 | 4802 | 13280021 | N/A | 6451061 | 2025-10-04 05:19:06.313193 | 2025-07-28 22:43:26.605856 |
| 2025-10-03 08:41:13.508037 | 2025-10-03 08:41:15.562964 | 12979826 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-29 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6578550/check_12979826_9f6a0151-e4ab-430c-88d3-e3c2492a13be.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6578550/check_12979826_bb2ab284-08d7-4882-9515-5ca7e6e53d3a.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6578550 | 2222 | N/A | 13225542 | N/A | 5198354 | 2025-10-03 08:41:15.562964 | 2025-06-24 21:09:14.654827 |
| 2025-10-03 08:41:11.676816 | 2025-10-03 08:41:13.504783 | 12979809 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-29 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_12979809_62bedbb0-64fb-4545-9975-7790cf65c265.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-29 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-10-03 08:41:13.504783 | 2025-06-24 21:13:18.739779 |
| 2025-10-03 08:41:09.279946 | 2025-10-03 08:41:11.216959 | 12979786 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-29 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_12979786_81d7684e-10e1-4239-b388-b175a588ab32.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7632728/check_12979786_60e8be42-73b5-43e9-8321-457cf67e4b90.json | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | 13225534 | N/A | 4215317 | 2025-10-03 08:41:11.216959 | 2025-06-24 21:13:18.739779 |
| 2025-10-03 08:41:05.594438 | 2025-10-03 08:41:09.273164 | 12979758 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-03-02 | 2025-08-29 | N/A | PT | AE | LOPEZ | 00000393852 | ALITA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7632728/check_12979758_f870a88a-9ef2-485c-a06f-5937ed51d834.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-08-29 | N/A | N/A | N/A | N/A | N/A | N/A | 00000393852 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1955-03-02 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | ALITA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 7632728 | 2222 | N/A | N/A | N/A | 4215317 | 2025-10-03 08:41:09.273164 | 2025-06-24 21:13:18.739779 |
| 2025-10-03 08:40:48.736312 | 2025-10-04 08:18:37.792771 | 12979595 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12979595 | Athletic Physical Therapy Inc | 1973-02-24 | 2025-10-06 | F | PT | N/A | TAKEMOTO | XED906098170 | NICOLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928752/check_12979595_1050d8b5-db8a-498a-b9b6-1b6437b1e649.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 | 2025-01-01 | SILVER 94 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8936972035 | N/A | N/A | 5928752 | 2222 | 4802 | 13284417 | N/A | 4583701 | 2025-10-04 08:18:37.792771 | 2025-07-24 17:50:11.805587 |
| 2025-10-03 08:39:57.419397 | 2025-10-04 02:17:34.129854 | 12979074 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12979074 | Athletic Physical Therapy Inc | 1934-12-03 | 2025-10-06 | M | AE | PT | Dayzadeh | 9A94PK6GA08 | Nasser | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.124622800.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583825/check_12979074_c4ae0861-e416-4ddf-b5e8-d324361b692a.json | N/A | N/A | N/A | N/A | N/A | 9A94PK6GA08 | Medicare Part A | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1934-12-03 | S2468 | N/A | N/A | MA | false | DAYZADEH | N/A | NASSER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8937277890 | N/A | N/A | 6583825 | 2222 | 4802 | 13259098 | N/A | 5202586 | 2025-10-04 02:17:34.129854 | 2025-06-25 17:55:27.155518 |
| 2025-10-03 08:39:50.695074 | 2025-10-04 02:09:17.383505 | 12979024 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12979024 | Athletic Physical Therapy Inc | 1936-04-15 | 2025-10-06 | F | AE | PT | MCCRAY | C4003524401 | ELIZABETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.124622800.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583817/check_12979024_3e77d24c-c505-4c0d-a159-b726fe6d7b41.json | N/A | N/A | N/A | N/A | N/A | C4003524401 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1936-04-15 | N/A | CA05620125 | N/A | N/A | false | MCCRAY | N/A | ELIZABETH | N/A | N/A | N/A | WELLCARE SIMPLE FOCUS (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8937277889 | N/A | N/A | 6583817 | 2222 | 4802 | 13255433 | N/A | 5202575 | 2025-10-04 02:09:17.383505 | 2025-09-17 19:56:42.576499 |
| 2025-10-03 08:39:30.303880 | 2025-10-04 08:17:22.747495 | 12978844 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12978844 | Athletic Physical Therapy Inc | 1952-06-26 | 2025-10-06 | M | AE | PT | MATTHEWS | 00000283273 | DAVID | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676399/check_12978844_9ffedf6d-8ff5-46c7-95a3-cc406cdf0d4e.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 | 8936971268 | N/A | N/A | 5676399 | 2222 | 4793 | 13284285 | 2630 | 4343454 | 2025-10-04 08:17:22.747495 | 2025-05-13 04:29:37.230932 |
| 2025-10-03 08:39:29.944473 | 2025-10-04 08:12:10.211505 | 12978842 | N/A | N/A | 60054 | Aetna | 1114042165 | 12978842 | Athletic Physical Therapy Inc | 1956-11-03 | 2025-10-06 | M | AE | PT | ARROW | 101393152200 | PAUL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676385/check_12978842_f08c1cbd-ccf8-4885-84de-a3a5e1a8a27a.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 | 8936971267 | N/A | N/A | 5676385 | 2222 | 4802 | 13283531 | N/A | 4343439 | 2025-10-04 08:12:10.211505 | 2025-05-13 04:29:37.230918 |
| 2025-10-03 08:39:29.640404 | 2025-10-04 08:17:42.332448 | 12978839 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12978839 | Athletic Physical Therapy Inc | 1990-07-18 | 2025-10-06 | F | PT | N/A | SHARMA | QUC527W09031 | SUMITA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676371/check_12978839_f9c1a4da-a207-40f0-a605-077633a47236.json | N/A | N/A | N/A | N/A | N/A | QUC527W09031 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1990-07-18 | 040 | 280509A240 | N/A | PR | false | SHARMA | N/A | SUMITA | N/A | 9999-12-31 | 2024-01-08 | UC HEALTH SAVINGS PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8936971266 | N/A | N/A | 5676371 | 2222 | 4802 | 13284317 | N/A | 4219828 | 2025-10-04 08:17:42.332448 | 2026-05-14 20:22:48.706745 |
| 2025-10-03 08:39:15.816767 | 2025-10-04 02:09:24.414543 | 12978723 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12978723 | Athletic Physical Therapy Inc | 1956-06-26 | 2025-10-06 | F | AE | PT | SUAREZ | JQE410W22492 | ANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.115336353.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9083355/check_12978723_381f9ff6-164d-4a56-adfe-f4815f0aefbe.json | N/A | N/A | N/A | N/A | N/A | JQE410W22492 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1956-06-26 | 040 | CASUPWP0 | N/A | N/A | false | SUAREZ | N/A | ANA | N/A | 9999-12-31 | 2025-01-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8937009484 | N/A | N/A | 9083355 | 2222 | 4801 | 13255472 | N/A | 7600312 | 2025-10-04 02:09:24.414543 | 2025-09-04 18:19:39.478018 |
| 2025-10-03 08:38:37.355344 | 2025-10-04 08:15:43.362760 | 12978440 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12978440 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-10-06 | F | AE | PT | GIANOLI | R11857813FM1 | ELSY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_12978440_a4d29729-cd1a-45e3-9761-3c08fd6d73ac.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 | 8936971981 | N/A | N/A | 5568076 | 2222 | 4802 | 13284138 | N/A | 4209480 | 2025-10-04 08:15:43.362760 | 2026-04-10 02:05:15.976484 |
| 2025-10-03 08:38:18.572418 | 2025-10-04 08:17:43.007871 | 12978282 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12978282 | Athletic Physical Therapy Inc | 2016-10-15 | 2025-10-06 | F | PT | N/A | WALTER | JXN523A76388 | KARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550923/check_12978282_b32ba035-133a-4858-947b-c1a44429fd65.json | N/A | N/A | N/A | N/A | N/A | JXN523A76388 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 2016-10-15 | 040 | 174222M3A1 | N/A | PR | false | WALTER | N/A | KYLE | N/A | 9999-12-31 | 2023-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8936970237 | N/A | N/A | 5550923 | 2222 | 4801 | 13284318 | N/A | 4219763 | 2025-10-04 08:17:43.007871 | 2025-05-13 04:29:37.230804 |
| 2025-10-03 08:38:18.307593 | 2025-10-04 08:18:36.680003 | 12978280 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12978280 | Athletic Physical Therapy Inc | 1961-10-06 | 2025-10-06 | F | PT | N/A | SMITH | XED910117839 | DEANNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549692/check_12978280_889130a2-eaec-4ccb-abca-5c872894ce42.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 | 8936970236 | N/A | N/A | 5549692 | 2222 | 4801 | 13284415 | N/A | 4219305 | 2025-10-04 08:18:36.680003 | 2025-09-16 17:28:21.311815 |
| 2025-10-03 08:38:17.956511 | 2025-10-04 08:17:39.941075 | 12978276 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12978276 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-10-06 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_12978276_7731ad93-df88-409f-a124-466a837d1a6c.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 | 8936970235 | N/A | N/A | 5549317 | 2222 | 4801 | 13284314 | N/A | 4219010 | 2025-10-04 08:17:39.941075 | 2026-01-09 18:32:07.618867 |
| 2025-10-03 08:38:15.056951 | 2025-10-04 08:25:14.721008 | 12978252 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12978252 | Athletic Physical Therapy Inc | 1950-10-31 | 2025-10-06 | F | AE | PT | HOORIZADEH | 2DX2T46JH03 | FLORA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543528/check_12978252_ab94cec1-0e5d-4dfa-af7c-c03eb4191a40.json | N/A | N/A | N/A | N/A | N/A | 2DX2T46JH03 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-10-31 | S4802 | N/A | N/A | MB | 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 | 8936970227 | N/A | N/A | 5543528 | 2222 | 4802 | 13284938 | N/A | 4215312 | 2025-10-04 08:25:14.721008 | 2025-05-13 04:29:37.229631 |
| 2025-10-03 08:38:14.765322 | 2025-10-04 08:15:58.111685 | 12978249 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 12978249 | Athletic Physical Therapy Inc | 1950-03-29 | 2025-10-06 | M | AE | PT | AKHTARI | 40045421301 | SHAHROKH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543493/check_12978249_f337f6f4-0087-450a-bb94-6a5472f44554.json | N/A | N/A | N/A | N/A | N/A | 40045421301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-03-29 | 2025H5425084LA | H5425M | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | SCAN VENTURE (HMO), LOS ANGELES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8936970226 | N/A | N/A | 5543493 | 2222 | 4793 | 13284165 | N/A | 4215273 | 2025-10-04 08:15:58.111685 | 2025-05-13 04:29:37.229594 |
| 2025-10-03 08:38:14.456955 | 2025-10-04 08:17:36.633458 | 12978247 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12978247 | Athletic Physical Therapy Inc | 1962-09-27 | 2025-10-06 | F | PT | N/A | BARAJAS | NCF425A56241 | EMMA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543324/check_12978247_8372bc00-baec-45f0-83c3-93f2c35b26fe.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 | 8936970526 | N/A | N/A | 5543324 | 2222 | 4801 | 13284308 | 4184 | 4215131 | 2025-10-04 08:17:36.633458 | 2025-08-11 16:45:52.816842 |
| 2025-10-03 08:38:14.161615 | 2025-10-04 08:11:54.062243 | 12978245 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 12978245 | Athletic Physical Therapy Inc | 1991-07-22 | 2025-10-06 | M | AE | PT | AZIM | 627771249 | FAIYAZ | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543304/check_12978245_38546d11-3e09-46fa-829a-8868edcc1aec.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 | 8936970525 | N/A | N/A | 5543304 | 2222 | 4802 | 13283488 | N/A | 4215118 | 2025-10-04 08:11:54.062243 | 2025-06-02 01:41:59.668874 |
| 2025-10-03 08:38:13.788448 | 2025-10-04 08:17:40.778965 | 12978243 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12978243 | Athletic Physical Therapy Inc | 2003-10-09 | 2025-10-06 | F | PT | N/A | LUKOWITSCH | XDPCA8263500 | HALLIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543178/check_12978243_f6355657-6662-40e3-be9d-b880f4fd035a.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 | 8936970524 | N/A | N/A | 5543178 | 2222 | 4802 | 13284315 | N/A | 4215006 | 2025-10-04 08:17:40.778965 | 2025-05-13 04:29:37.229325 |
| 2025-10-03 08:38:13.434620 | 2025-10-04 08:17:38.572357 | 12978239 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12978239 | Athletic Physical Therapy Inc | 1974-08-13 | 2025-10-06 | F | PT | N/A | HUGGINS | JXN261A50994 | DEE DEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543043/check_12978239_2a1bf68b-ac67-4d44-9e27-cc8dccf6d5e7.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 9999-12-31 | 2022-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8936970523 | N/A | N/A | 5543043 | 2222 | 4801 | 13284312 | N/A | 4214884 | 2025-10-04 08:17:38.572357 | 2025-11-12 00:46:10.301659 |
| 2025-10-03 08:38:13.143517 | 2025-10-04 08:25:14.220625 | 12978236 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12978236 | Athletic Physical Therapy Inc | 1940-11-11 | 2025-10-06 | M | AE | PT | GOLDBERG | 9EE6XY2TM41 | Michael | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542970/check_12978236_a6f03143-25ee-4888-a058-b56aa60b525e.json | N/A | N/A | N/A | N/A | N/A | 9EE6XY2TM41 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-11-11 | S5601 | N/A | N/A | MA | false | GOLDBERG | 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 | 8936970522 | N/A | N/A | 5542970 | 2222 | 4802 | 13284937 | N/A | 4214820 | 2025-10-04 08:25:14.220625 | 2025-06-30 02:56:23.324592 |
| 2025-10-03 08:38:12.792166 | 2025-10-04 08:25:13.658199 | 12978232 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12978232 | Athletic Physical Therapy Inc | 1944-10-29 | 2025-10-06 | F | AE | PT | GOLDBERG | 6YD7TP7AC72 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542935/check_12978232_6ef1e020-db01-41d4-84bd-0706becc0a5f.json | N/A | N/A | N/A | N/A | N/A | 6YD7TP7AC72 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-10-29 | S5601 | N/A | N/A | MA | false | GOLDBERG | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8936970521 | N/A | N/A | 5542935 | 2222 | 4802 | 13284936 | N/A | 4214789 | 2025-10-04 08:25:13.658199 | 2025-12-11 23:30:31.319246 |
| 2025-10-03 08:38:12.253936 | 2025-10-04 08:15:44.460104 | 12978227 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12978227 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-10-06 | F | AE | PT | CHERE | 98953535F | DIANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_12978227_a457979f-939a-4a2a-a19b-b029c99a16cd.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8936970520 | N/A | N/A | 5542660 | 2222 | 4802 | 13284141 | N/A | 4214542 | 2025-10-04 08:15:44.460104 | 2025-05-13 04:29:37.228868 |
| 2025-10-03 08:38:11.784656 | 2025-10-04 08:25:12.742740 | 12978223 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12978223 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-10-06 | M | AE | PT | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542555/check_12978223_eeb25f9f-b6a0-4bd2-94c6-ac191cd17213.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-24 | N/A | N/A | N/A | MB | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8936970519 | N/A | N/A | 5542555 | 2222 | 4793 | 13284934 | N/A | 4214447 | 2025-10-04 08:25:12.742740 | 2026-04-23 20:11:34.441054 |
| 2025-10-03 08:38:11.326176 | 2025-10-04 08:17:31.478323 | 12978220 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12978220 | Athletic Physical Therapy Inc | 1988-11-03 | 2025-10-06 | F | AE | PT | CAPISTRANO | 98696372G | FERDELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542513/check_12978220_dd68b95e-a04a-4709-8ba6-69e314ec95b9.json | N/A | N/A | N/A | N/A | N/A | 98696372G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1988-11-03 | MCLA | MWLLNMEG21 | N/A | N/A | false | CAPISTRANO | N/A | FERDELLE | N/A | 2078-12-31 | 2024-05-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8936970518 | N/A | N/A | 5542513 | 2222 | 4793 | 13284297 | N/A | 4214418 | 2025-10-04 08:17:31.478323 | 2025-07-03 18:12:11.075357 |
| 2025-10-03 08:38:10.928876 | 2025-10-04 08:25:16.097466 | 12978218 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12978218 | Athletic Physical Therapy Inc | 1953-03-17 | 2025-10-06 | F | AE | PT | MARCUS | 4VG5XF7HN64 | LISSA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542318/check_12978218_d369c252-f188-4e28-9101-1296dc5ffe2d.json | N/A | N/A | N/A | N/A | N/A | 4VG5XF7HN64 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-03-17 | S4802 | N/A | N/A | MA | false | MARCUS | N/A | LISSA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8936970517 | N/A | N/A | 5542318 | 2222 | 4802 | 13284941 | N/A | 4214241 | 2025-10-04 08:25:16.097466 | 2025-05-13 04:29:37.228574 |
| 2025-10-03 08:38:10.509672 | 2025-10-04 08:25:13.216606 | 12978215 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12978215 | Athletic Physical Therapy Inc | 1950-10-11 | 2025-10-06 | F | AE | PT | FRANK | 6C06N65FN89 | KAREN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542263/check_12978215_e7d629ab-6eb3-43f4-87cc-388baea33dad.json | N/A | N/A | N/A | N/A | N/A | 6C06N65FN89 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-10-11 | S5601 | N/A | N/A | MA | false | FRANK | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8936970516 | N/A | N/A | 5542263 | 2222 | 4802 | 13284935 | N/A | 4214201 | 2025-10-04 08:25:13.216606 | 2025-05-13 04:29:37.228535 |
| 2025-10-03 08:38:10.165378 | 2025-10-04 08:17:23.256561 | 12978213 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12978213 | Athletic Physical Therapy Inc | 1957-10-24 | 2025-10-06 | F | AE | PT | MCSHEA | 00000364203 | SANDRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542046/check_12978213_d2c48738-8993-430e-b214-8bf71621b8ca.json | N/A | N/A | N/A | N/A | N/A | 00000364203 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-10-24 | H3815028 | N/A | N/A | HM | false | MCSHEA | N/A | SANDRA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8936970515 | N/A | N/A | 5542046 | 2222 | 4801 | 13284286 | 2630 | 4214001 | 2025-10-04 08:17:23.256561 | 2025-05-13 04:29:37.228323 |
| 2025-10-03 08:38:09.875095 | 2025-10-04 08:17:23.813757 | 12978210 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 12978210 | Athletic Physical Therapy Inc | 1958-09-06 | 2025-10-06 | F | AE | PT | ZAMORA | 00000327568 | FLORYBETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541719/check_12978210_259b6ce3-95af-4c50-9266-d01c73b7c81a.json | N/A | N/A | N/A | N/A | N/A | 00000327568 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1958-09-06 | H3815028 | N/A | N/A | HM | false | ZAMORA | N/A | FLORYBETH | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8936970514 | N/A | N/A | 5541719 | 2222 | 4801 | 13284287 | N/A | 4213712 | 2025-10-04 08:17:23.813757 | 2025-08-19 01:13:52.150115 |
| 2025-10-03 08:38:09.561820 | 2025-10-04 08:15:45.598223 | 12978208 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12978208 | Athletic Physical Therapy Inc | 1985-02-07 | 2025-10-06 | F | AE | PT | SHEPHERD | 93180838F | EMILY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541519/check_12978208_bcf83d6b-69fe-4fa6-9b93-04ef6480faf3.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | HEALTH NET, LLC | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8936970513 | N/A | N/A | 5541519 | 2222 | 4802 | 13284143 | N/A | 4213530 | 2025-10-04 08:15:45.598223 | 2025-05-13 04:29:37.227860 |
| 2025-10-03 08:38:09.066650 | 2025-10-04 08:18:38.676984 | 12978202 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12978202 | Athletic Physical Therapy Inc | 1990-07-09 | 2025-10-06 | M | PT | N/A | UPSON | XEA909162969 | RYAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541318/check_12978202_ca932748-81cb-4313-978e-2f72c2d6543a.json | N/A | N/A | N/A | N/A | N/A | XEA909162969 | Preferred Provider Organization (PPO) | CHILD CARE RESOURCE CENTER | BLUE SHIELD CALIFORNIA | N/A | 1990-07-09 | 1000VX000001 | W0065399 | N/A | PR | false | UPSON | N/A | SANDY | N/A | N/A | N/A | CHILD CARE RESOURCE CENTER CUSTOM VISION PLUS 0 25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8936970512 | N/A | N/A | 5541318 | 2222 | 4801 | 13284419 | N/A | 4213349 | 2025-10-04 08:18:38.676984 | 2025-05-13 04:29:37.227671 |
| 2025-10-03 08:38:08.630463 | 2025-10-04 08:18:38.305404 | 12978198 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12978198 | Athletic Physical Therapy Inc | 1993-10-07 | 2025-10-06 | F | PT | N/A | TRUJILLO | XED914492685 | ADRIENNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541269/check_12978198_73848351-0170-4817-8912-e7e88320bd12.json | N/A | N/A | N/A | N/A | N/A | XED914492685 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1993-10-07 | 2001ZK002169 | X0001004 | N/A | PR | false | TRUJILLO | N/A | CHRISTIAN | N/A | N/A | N/A | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8936970511 | N/A | N/A | 5541269 | 2222 | 4793 | 13284418 | N/A | 4213302 | 2025-10-04 08:18:38.305404 | 2025-05-13 04:29:37.227624 |
| 2025-10-03 08:38:08.307765 | 2025-10-04 08:15:45.086225 | 12978195 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12978195 | Athletic Physical Therapy Inc | 1968-03-30 | 2025-10-06 | M | AE | PT | FARAHMAND | 91957675E | ALEX | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541163/check_12978195_ded412f6-8db6-4e16-921c-d7ab4d55dd22.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | HEALTH NET, LLC | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8936970510 | N/A | N/A | 5541163 | 2222 | 4802 | 13284142 | N/A | 4213207 | 2025-10-04 08:15:45.086225 | 2025-05-13 04:29:37.227536 |
| 2025-10-03 08:38:07.964089 | 2025-10-04 08:17:37.547600 | 12978192 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12978192 | Athletic Physical Therapy Inc | 1958-07-16 | 2025-10-06 | F | PT | N/A | GALVAN GUERRERO | MMA904W16717 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541035/check_12978192_21f9364b-a702-4a3f-a8ae-53d759c67f65.json | N/A | N/A | N/A | N/A | N/A | MMA904W16717 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-07-16 | 040 | CAMCRWP0 | N/A | MP | false | GALVAN-GUERRERO | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8936970509 | N/A | N/A | 5541035 | 2222 | 4801 | 13284310 | 4184 | 4213091 | 2025-10-04 08:17:37.547600 | 2025-05-13 04:29:37.227417 |
| 2025-10-03 08:38:07.387462 | 2025-10-04 08:25:15.578774 | 12978187 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12978187 | Athletic Physical Therapy Inc | 1949-12-02 | 2025-10-06 | F | AE | PT | LADEN | 6GY2TG9HX06 | CANDACE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540768/check_12978187_c78e77aa-ac19-4e9e-be96-aa5b71fedf5f.json | N/A | N/A | N/A | N/A | N/A | 6GY2TG9HX06 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-12-02 | S4802 | N/A | N/A | MA | false | LADEN | N/A | CANDACE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8936970507 | N/A | N/A | 5540768 | 2222 | 4802 | 13284940 | N/A | 4212856 | 2025-10-04 08:25:15.578774 | 2025-08-04 18:33:35.319989 |
| 2025-10-03 08:38:06.770318 | 2025-10-04 08:25:12.297982 | 12978182 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12978182 | Athletic Physical Therapy Inc | 1940-05-13 | 2025-10-06 | F | AE | PT | ALIZADEH GHARBAGHI | 6AX8PH3NH43 | TOURAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540531/check_12978182_c05afa3c-0bea-44bc-bb62-b2c22eb63877.json | N/A | N/A | N/A | N/A | N/A | 6AX8PH3NH43 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-05-13 | S5617 | N/A | N/A | MA | false | ALIZADEH GHARBAGHI | N/A | TOURAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8936970506 | N/A | N/A | 5540531 | 2222 | 4802 | 13284933 | N/A | 4212676 | 2025-10-04 08:25:12.297982 | 2025-07-03 21:09:02.193065 |
| 2025-10-03 08:38:06.406022 | 2025-10-04 08:25:11.796360 | 12978180 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12978180 | Athletic Physical Therapy Inc | 1954-06-15 | 2025-10-06 | F | AE | PT | ADIB | 1TJ9E76RP17 | JILA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540303/check_12978180_f2c6bcfc-32aa-47c0-8e0d-a74dd64e889d.json | N/A | N/A | N/A | N/A | N/A | 1TJ9E76RP17 | Medicare Part B | N/A | ACCESS GENERALINSUR COMP | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-06-15 | S4802 | DOL 10302012 | N/A | MB | false | ADIB | N/A | JILA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8936970505 | N/A | N/A | 5540303 | 2222 | 4801 | 13284932 | N/A | 4212486 | 2025-10-04 08:25:11.796360 | 2025-09-30 02:32:14.808821 |
| 2025-10-03 08:38:06.122410 | 2025-10-04 08:14:30.889372 | 12978177 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 12978177 | Athletic Physical Therapy Inc | 1967-12-13 | 2025-10-06 | M | AE | PT | MIDDLETON | U3369221802 | BLAKE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540185/check_12978177_15ea8223-628f-4009-a31e-b9e59ca4af5c.json | N/A | N/A | N/A | N/A | N/A | U3369221802 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1967-12-13 | N/A | 3346355 | N/A | HM | false | MIDDLETON | N/A | BLAKE | N/A | N/A | N/A | NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8936970504 | N/A | N/A | 5540185 | 2222 | 4802 | 13283920 | N/A | 4212381 | 2025-10-04 08:14:30.889372 | 2025-12-17 20:12:42.035054 |
| 2025-10-03 08:38:05.785257 | 2025-10-04 08:17:37.056884 | 12978174 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12978174 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-10-06 | F | PT | N/A | BOYLAN | MBL857M98403 | JOAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540074/check_12978174_7574819d-8037-4e26-9891-f9f63ddf7c5a.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8936970503 | N/A | N/A | 5540074 | 2222 | 4802 | 13284309 | N/A | 4212282 | 2025-10-04 08:17:37.056884 | 2025-05-13 04:29:37.226623 |
| 2025-10-03 08:38:05.508599 | 2025-10-04 08:17:37.978323 | 12978172 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12978172 | Athletic Physical Therapy Inc | 1963-05-25 | 2025-10-06 | F | PT | N/A | GINSBERG | JQU469A62630 | LISA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539612/check_12978172_31bb44c9-12bf-40ee-9ab2-1dd051f7678e.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1963-05-25 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 9999-12-31 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8936970502 | N/A | N/A | 5539612 | 2222 | 4793 | 13284311 | N/A | 4211892 | 2025-10-04 08:17:37.978323 | 2025-11-02 22:03:21.557202 |
| 2025-10-03 08:38:05.173665 | 2025-10-04 08:17:39.294727 | 12978170 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12978170 | Athletic Physical Therapy Inc | 1980-04-11 | 2025-10-06 | M | PT | N/A | Hurst | JQY695A75359 | Gregory | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539085/check_12978170_7ad4e776-2602-4d66-a421-681211c9a3f4.json | N/A | N/A | N/A | N/A | N/A | JQY695A75359 | Preferred Provider Organization (PPO) | YALE MANAGEMENT SERVICES | ANTHEM BLUE CROSS | N/A | 1980-04-11 | 040 | 342584 | N/A | PR | false | HURST | N/A | GREGORY | N/A | 9999-12-31 | 2024-12-01 | ANTHEM SILVER SELECT PPO 50/2200/40% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8936970501 | N/A | N/A | 5539085 | 2222 | 4793 | 13284313 | N/A | 4211408 | 2025-10-04 08:17:39.294727 | 2025-09-18 00:42:48.586801 |
| 2025-10-03 08:38:04.865271 | 2025-10-04 08:25:17.019687 | 12978166 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12978166 | Athletic Physical Therapy Inc | 1950-08-31 | 2025-10-06 | M | AE | PT | NADRICH | 1NJ2V04GK04 | JEFFREY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538990/check_12978166_3b77529c-b724-4a7f-8c08-93069ae2ff6b.json | N/A | N/A | N/A | N/A | N/A | 1NJ2V04GK04 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-08-31 | S5601 | N/A | N/A | MB | false | NADRICH | N/A | JEFF | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8936970500 | N/A | N/A | 5538990 | 2222 | 4802 | 13284943 | N/A | 4211316 | 2025-10-04 08:25:17.019687 | 2025-05-13 04:29:37.225679 |
| 2025-10-03 08:38:04.091763 | 2025-10-04 08:25:17.498103 | 12978159 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12978159 | Athletic Physical Therapy Inc | 1943-07-22 | 2025-10-06 | M | AE | PT | STEIN | 8MY3V79UN60 | DONALD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251003.113230312.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538576/check_12978159_4b10e669-e5a7-4885-93df-7b72723250f1.json | N/A | N/A | N/A | N/A | N/A | 8MY3V79UN60 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-07-22 | S5921 | N/A | N/A | MA | false | STEIN | N/A | DONALD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8936970498 | N/A | N/A | 5538576 | 2222 | 4802 | 13284944 | N/A | 4210984 | 2025-10-04 08:25:17.498103 | 2025-08-15 17:42:50.500189 |