API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-01 08:11:43.952138 | 2025-10-02 02:07:58.872547 | 12894846 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12894846 | Athletic Physical Therapy Inc | 1968-07-21 | 2025-10-03 | F | AE | PT | MCALISTER | 4TU6H11QQ85 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.132125202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7024101/check_12894846_55d40f73-3b90-4383-aff1-501190b06bb2.json | N/A | N/A | N/A | N/A | N/A | 4TU6H11QQ85 | Medicare Part B | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1968-07-21 | N/A | N/A | N/A | MB | false | MCALISTER | 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 | 8913713141 | N/A | N/A | 7024101 | 2222 | 4801 | 13167673 | N/A | 6038562 | 2025-10-02 02:07:58.872547 | 2025-07-30 21:46:09.369299 |
| 2025-10-01 08:11:42.078796 | 2025-10-02 02:04:42.222353 | 12894825 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 12894825 | Athletic Physical Therapy Inc | 1963-05-22 | 2025-10-03 | M | AE | PT | SMITH | 99688004H | MATTHEW | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.132125202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7022680/check_12894825_1f2b8c06-bf10-4014-b428-3c72e349626c.json | N/A | N/A | N/A | N/A | N/A | 99688004H | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1963-05-22 | N/A | N/A | N/A | N/A | false | SMITH | N/A | MATTHEW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913713136 | N/A | N/A | 7022680 | 2222 | 4793 | 13166445 | N/A | 6037802 | 2025-10-02 02:04:42.222353 | 2025-07-22 17:48:16.997014 |
| 2025-10-01 08:11:35.250375 | 2025-10-02 02:04:39.593187 | 12894770 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12894770 | Athletic Physical Therapy Inc | 1959-07-25 | 2025-10-03 | F | AE | PT | CARRANZA | 00000342921 | KISELL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.132125202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7019836/check_12894770_b4d3c505-4b05-40fc-9e42-0984598c7bf2.json | N/A | N/A | N/A | N/A | N/A | 00000342921 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1959-07-25 | N/A | N/A | N/A | N/A | false | CARRANZA | N/A | KISELL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913713123 | N/A | N/A | 7019836 | 2222 | 4802 | 13166427 | 2630 | 4214064 | 2025-10-02 02:04:39.593187 | 2025-07-15 17:36:25.711810 |
| 2025-10-01 08:11:28.559266 | 2025-10-02 02:17:34.887301 | 12894631 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12894631 | Athletic Physical Therapy Inc | 1999-03-02 | 2025-10-03 | F | AE | PT | Andrieieva | 92598899G | Taisiia | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.132118777.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9104487/check_12894631_d01ef250-af76-40ca-98aa-2a1d7e5e9ba9.json | N/A | N/A | N/A | N/A | N/A | 92598899G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1999-03-02 | MCLA | MWLLNMEG21 | N/A | N/A | false | ANDRIEIVA | N/A | TAISIIA | N/A | 2078-12-31 | 2023-01-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913716348 | N/A | N/A | 9104487 | 2222 | 4802 | 13173772 | N/A | 6709145 | 2025-10-02 02:17:34.887301 | 2025-08-07 23:35:55.091438 |
| 2025-10-01 08:11:15.242828 | 2025-10-02 02:19:16.130361 | 12894302 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12894302 | Athletic Physical Therapy Inc | 1950-03-19 | 2025-10-02 | F | PT | N/A | AZUCENA | 1YT9RR4MX51 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131332141.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6235090/check_12894302_22e46189-4c6c-4845-a5cf-bc52d3a4287b.json | N/A | N/A | N/A | N/A | N/A | 1YT9RR4MX51 | N/A | N/A | CMS | N/A | 1950-03-19 | N/A | N/A | N/A | N/A | false | AZUCENA | N/A | ESPERANZA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8913651239 | N/A | N/A | 6235090 | 2222 | 4801 | 13175269 | N/A | 4213743 | 2025-10-02 02:19:16.130361 | 2025-05-13 04:29:37.228064 |
| 2025-10-01 08:10:54.147303 | 2025-10-02 02:19:16.395547 | 12893816 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12893816 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-10-03 | M | AE | PT | JACOBS | 4XJ0X61FM35 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131332141.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068049/check_12893816_36cc9fe9-f1dd-4132-910a-bd1b3d462cc2.json | N/A | N/A | N/A | N/A | N/A | 4XJ0X61FM35 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-25 | S5921 | N/A | N/A | MA | false | JACOBS | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913649263 | N/A | N/A | 6068049 | 2222 | 4793 | 13175273 | N/A | 4642852 | 2025-10-02 02:19:16.395547 | 2025-11-21 18:38:17.056437 |
| 2025-10-01 08:10:39.736553 | 2025-10-02 05:05:35.303601 | 12893491 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 12893491 | Athletic Physical Therapy Inc | 1953-01-18 | 2025-10-03 | F | AE | PT | CANO | H7655502400 | ADELAIDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131218309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7796425/check_12893491_0987a43c-d35e-4383-aeee-fe8115d9390b.json | N/A | N/A | N/A | N/A | N/A | H76555024 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 557 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1953-01-18 | N/A | 0B635001 | N/A | HN | false | CANO | N/A | ADELAIDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913642381 | N/A | N/A | 7796425 | 2222 | 4801 | 13184558 | N/A | 6638534 | 2025-10-02 05:05:35.303601 | 2025-08-05 23:10:54.464587 |
| 2025-10-01 08:10:38.190254 | 2025-10-02 02:15:20.542285 | 12893449 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12893449 | Athletic Physical Therapy Inc | 1956-05-22 | 2025-10-03 | F | AE | PT | CHOOBIN | 6F99G11UV44 | KEFAYAT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131523160.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8205054/check_12893449_c307fd61-85cc-49a9-8c3c-c994cd100405.json | N/A | N/A | N/A | N/A | N/A | 6F99G11UV44 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-05-22 | S4802 | N/A | N/A | MA | false | CHOOBIN | N/A | KEFAYAT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913664936 | N/A | N/A | 8205054 | 2222 | 4793 | 13171670 | N/A | 6967073 | 2025-10-02 02:15:20.542285 | 2025-08-26 17:15:30.662072 |
| 2025-10-01 08:10:31.517029 | 2025-10-02 02:23:12.222976 | 12893281 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12893281 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-10-03 | M | AE | PT | JACOBS | 4XJ0X61FM35 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131521323.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993912/check_12893281_8ef916ec-b537-4f35-a0bd-028d1e6f262c.json | N/A | N/A | N/A | N/A | N/A | 4XJ0X61FM35 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-25 | S5921 | N/A | N/A | MA | false | JACOBS | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913668265 | N/A | N/A | 5993912 | 2222 | 4793 | 13178006 | N/A | 4642852 | 2025-10-02 02:23:12.222976 | 2025-11-21 18:38:17.056437 |
| 2025-10-01 08:10:30.786603 | 2025-10-02 02:18:01.606039 | 12893258 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12893258 | Athletic Physical Therapy Inc | 1996-01-20 | 2025-10-03 | F | PT | N/A | WORDEN | ORU910469318 | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131521323.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993479/check_12893258_fc9caa91-dc7a-4c4e-87c4-b4f91a097c30.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 | 8913668263 | N/A | N/A | 5993479 | 2222 | 4801 | 13174114 | N/A | 4219476 | 2025-10-02 02:18:01.606039 | 2025-05-28 20:18:04.039855 |
| 2025-10-01 08:10:30.261029 | 2025-10-02 02:22:25.816528 | 12893244 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12893244 | Athletic Physical Therapy Inc | 1956-06-26 | 2025-10-02 | F | AE | PT | SUAREZ | 4EY2NT4GU93 | ANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.132118777.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9083354/check_12893244_894053f0-37b2-4cba-b441-4d7fde78487a.json | N/A | N/A | N/A | N/A | N/A | 4EY2NT4GU93 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-06-26 | S5921 | N/A | N/A | MA | false | SUAREZ | N/A | ANA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913715945 | N/A | N/A | 9083354 | 2222 | 4801 | 13177487 | N/A | 7600312 | 2025-10-02 02:22:25.816528 | 2025-09-04 18:19:39.478018 |
| 2025-10-01 08:10:27.652829 | 2025-10-02 02:16:54.101444 | 12893172 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 12893172 | Athletic Physical Therapy Inc | 1972-05-29 | 2025-10-03 | M | AE | PT | CALDERON | 99677084E | FREDY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131332141.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549158/check_12893172_2e6a4f81-c1e4-4aa3-a3f2-58843e36e424.json | N/A | N/A | N/A | N/A | N/A | 99677084E | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1972-05-29 | N/A | N/A | N/A | N/A | 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 | 8913650792 | N/A | N/A | 5549158 | 2222 | 4801 | 13173200 | N/A | 4218873 | 2025-10-02 02:16:54.101444 | 2025-05-13 04:29:37.229886 |
| 2025-10-01 08:10:26.569576 | 2025-10-02 02:04:39.938610 | 12893144 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 12893144 | Athletic Physical Therapy Inc | 1958-04-03 | 2025-10-03 | F | AE | PT | NIAZI | 00000388782 | RAHIMA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.132125202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6958289/check_12893144_b759e1bf-f3c7-4713-a89a-c703e88789c0.json | N/A | N/A | N/A | N/A | N/A | 00000388782 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1958-04-03 | N/A | N/A | N/A | N/A | false | NIAZI | N/A | RAHIMA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913714005 | N/A | N/A | 6958289 | 2222 | 4793 | 13166429 | N/A | 5983606 | 2025-10-02 02:04:39.938610 | 2025-07-18 18:03:17.155924 |
| 2025-10-01 08:10:26.012063 | 2025-10-02 02:11:22.212024 | 12893129 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 12893129 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-10-03 | M | AE | PT | ULLMAN | 557489000 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131332141.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535842/check_12893129_3f1ab335-6768-4104-9d0d-dbe52c478763.json | N/A | N/A | N/A | N/A | N/A | 557489000 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913650785 | N/A | N/A | 5535842 | 2222 | 4801 | 13168898 | N/A | 4208696 | 2025-10-02 02:11:22.212024 | 2025-06-07 16:16:45.844566 |
| 2025-10-01 08:10:22.130854 | 2025-10-02 05:09:24.229582 | 12893021 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12893021 | Athletic Physical Therapy Inc | 1955-06-14 | 2025-10-02 | M | AE | PT | STAGNITTA | 1XD8E47RR64 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131218309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7784368/check_12893021_50cdda74-760c-493c-9e1e-12bdbd0f91e6.json | N/A | N/A | N/A | N/A | N/A | 1XD8E47RR64 | Medicare Part B | N/A | ANTHEM, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-06-14 | H4036 | 280612 280612M004 | N/A | MB | false | STAGNITTA | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913643403 | N/A | N/A | 7784368 | 2222 | 4793 | 13185949 | N/A | 4212542 | 2025-10-02 05:09:24.229582 | 2025-08-05 17:22:00.318869 |
| 2025-10-01 08:10:21.956350 | 2025-10-02 05:06:53.393754 | 12893016 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12893016 | Athletic Physical Therapy Inc | 1959-09-25 | 2025-10-03 | F | AE | PT | SIQUEIROS | 00000416329 | NEOMI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131218309.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7783566/check_12893016_379a2ea7-3d5c-4be6-bf78-542cad9d4aea.json | N/A | N/A | N/A | N/A | N/A | 00000416329 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1959-09-25 | N/A | N/A | N/A | N/A | false | SIQUEIROS | N/A | NEOMI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913643402 | N/A | N/A | 7783566 | 2222 | 4793 | 13184900 | 2630 | 6628802 | 2025-10-02 05:06:53.393754 | 2025-08-05 16:32:50.217064 |
| 2025-10-01 08:09:57.121746 | 2025-10-02 02:14:01.506517 | 12892354 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 12892354 | override_provider | 2003-11-16 | 2025-10-03 | F | PT | N/A | HAYASHI | XLXR000032097727 | LAUREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.132118777.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9066824/check_12892354_927c96c6-9a95-4b4b-aa7e-afc1363e0bdd.json | N/A | N/A | N/A | N/A | N/A | XLXR000032097727 | Preferred Provider Organization (PPO) | OSF INDIVIDUAL PLATINUM PPO W/ DENTAL HIGH (GOLD) | BLUE SHIELD OF CALIFORNIA | N/A | 2003-11-16 | N/A | 24048 1 | N/A | PR | false | HAYASHI | N/A | NANCY | N/A | 9999-12-31 | 2023-12-01 | PLATINUM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8913715764 | N/A | N/A | 9066824 | 2222 | 4802 | 13170528 | N/A | 7582776 | 2025-10-02 02:14:01.506517 | 2025-09-24 22:06:50.112056 |
| 2025-10-01 08:09:47.757953 | 2025-10-02 02:04:41.259399 | 12892131 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12892131 | Athletic Physical Therapy Inc | 1973-05-29 | 2025-10-03 | M | AE | PT | KIM | 96135332F | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.132125202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6917652/check_12892131_9f6ce559-4c81-48c4-b7f4-7e7d34b33835.json | N/A | N/A | N/A | N/A | N/A | 96135332F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1973-05-29 | MCLA | MWLLNMEG21 | N/A | N/A | false | KIM | N/A | JOSEPH | N/A | 2078-12-31 | 2023-09-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913712810 | N/A | N/A | 6917652 | 2222 | 4802 | 13166438 | N/A | 5949044 | 2025-10-02 02:04:41.259399 | 2025-07-08 23:15:13.625855 |
| 2025-10-01 08:09:27.334145 | 2025-10-02 02:15:53.669515 | 12891582 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12891582 | Athletic Physical Therapy Inc | 1956-11-29 | 2025-10-03 | F | AE | PT | GOMEZ | 00000401101 | ALICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131018544.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9555104/check_12891582_884f8403-9929-48bc-a4d0-b49f602acd7b.json | N/A | N/A | N/A | N/A | N/A | 00000401101 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1956-11-29 | N/A | N/A | N/A | N/A | false | GOMEZ | N/A | ALICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913621606 | N/A | N/A | 9555104 | 2222 | 4801 | 13172242 | 2630 | 7990617 | 2025-10-02 02:15:53.669515 | 2025-09-29 20:34:47.088032 |
| 2025-10-01 08:09:22.930882 | 2025-10-02 02:23:10.054492 | 12891385 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12891385 | Athletic Physical Therapy Inc | 1958-09-13 | 2025-10-02 | M | AE | PT | DERR | 4GK3GN5DV73 | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131521323.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874420/check_12891385_a8017845-d499-460d-b703-71908c99a55b.json | N/A | N/A | N/A | N/A | N/A | 4GK3GN5DV73 | N/A | N/A | CMS | N/A | 1958-09-13 | N/A | N/A | N/A | N/A | false | DERR | 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 | 8913668203 | N/A | N/A | 5874420 | 2222 | 4793 | 13177982 | N/A | 4534550 | 2025-10-02 02:23:10.054492 | 2025-10-15 18:36:58.255255 |
| 2025-10-01 08:09:09.383040 | 2025-10-02 02:15:21.408846 | 12890734 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12890734 | Athletic Physical Therapy Inc | 1944-09-29 | 2025-10-03 | F | AE | PT | GUASTELLA | 5V49H98DH38 | ROSE ANN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131523160.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8167484/check_12890734_85cbf532-3a1a-4e27-a18c-2f9d93f261b8.json | N/A | N/A | N/A | N/A | N/A | 5V49H98DH38 | Medicare Part B | N/A | BLUE CROSS OF CALIFORNIA | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-09-29 | H0544 | N/A | N/A | MB | false | GUASTELLA | N/A | ROSE ANN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913664507 | N/A | N/A | 8167484 | 2222 | 4801 | 13171682 | N/A | 6407685 | 2025-10-02 02:15:21.408846 | 2025-08-12 18:01:47.141909 |
| 2025-10-01 08:09:01.711214 | 2025-10-02 02:28:17.249776 | 12890398 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12890398 | Athletic Physical Therapy Inc | 1947-12-03 | 2025-10-02 | M | PT | N/A | WONG | 6GE2PF6CC92 | STANLEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131125099.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9132315/check_12890398_2b0da098-6e22-41b4-ab80-0003cc93bc5c.json | N/A | N/A | N/A | N/A | N/A | 6GE2PF6CC92 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-12-03 | H4036 | N/A | N/A | MB | false | WONG | N/A | STANLEY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8913624817 | N/A | N/A | 9132315 | 2222 | 4802 | 13181376 | N/A | 7140615 | 2025-10-02 02:28:17.249776 | 2025-09-05 16:51:17.488032 |
| 2025-10-01 08:08:41.243123 | 2025-10-02 02:17:52.792927 | 12889485 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12889485 | Athletic Physical Therapy Inc | 1953-04-27 | 2025-10-03 | M | AE | PT | TEDDER | 00000390480 | CHARLES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131521323.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676415/check_12889485_8ad1cfd5-de90-46f4-99e6-49dc34911ccb.json | N/A | N/A | N/A | N/A | N/A | 00000390480 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-04-27 | N/A | N/A | N/A | N/A | false | TEDDER | N/A | CHARLES | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913666933 | N/A | N/A | 5676415 | 2222 | 4801 | 13174001 | 2630 | 4343470 | 2025-10-02 02:17:52.792927 | 2025-05-13 04:29:37.230947 |
| 2025-10-01 08:08:41.006215 | 2025-10-02 02:23:13.691943 | 12889473 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12889473 | Athletic Physical Therapy Inc | 1952-07-25 | 2025-10-02 | M | AE | PT | LANE | 4CA5FX1PJ56 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131521323.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676372/check_12889473_eebc1a9b-757c-4654-9dda-53a9a03aac39.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 | 8913666932 | N/A | N/A | 5676372 | 2222 | 4802 | 13178020 | N/A | 4219832 | 2025-10-02 02:23:13.691943 | 2025-05-13 04:29:37.230877 |
| 2025-10-01 08:08:37.405267 | 2025-10-02 02:16:27.795623 | 12889343 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12889343 | Athletic Physical Therapy Inc | 1968-12-01 | 2025-10-03 | F | PT | N/A | BECERRA | CZCAN2537305 | BLANCA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131018544.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9487590/check_12889343_d0ef652c-c0d5-426c-b9f8-a61dbd5de5c2.json | N/A | N/A | N/A | N/A | N/A | CZCAN2537305 | Preferred Provider Organization (PPO) | PPO W/BLUE DISTINCTION W/AIM FTR GOLD | BLUE SHIELD OF CALIFORNIA | N/A | 1968-12-01 | 060 | 270196M71A | N/A | PR | false | BECERRA | N/A | JAIME | N/A | 9999-12-31 | 2022-01-01 | CT BLUE CARD PREFERRED PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8913621325 | N/A | N/A | 9487590 | 2222 | 4793 | 13172797 | N/A | 7937217 | 2025-10-02 02:16:27.795623 | 2025-09-26 14:34:41.732941 |
| 2025-10-01 08:08:29.544316 | 2025-10-02 02:22:25.058062 | 12889068 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12889068 | Athletic Physical Therapy Inc | 1942-10-02 | 2025-10-02 | M | AE | PT | SAWAYA | 3R88YH3MG32 | PETER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.132118777.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9033458/check_12889068_92281a20-6c1e-4b39-a0e8-7a342395d932.json | N/A | N/A | N/A | N/A | N/A | 3R88YH3MG32 | Medicare Part A | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-10-02 | S9701 | N/A | N/A | MA | false | SAWAYA | N/A | PETER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913715709 | N/A | N/A | 9033458 | 2222 | 4802 | 13177480 | N/A | 7553607 | 2025-10-02 02:22:25.058062 | 2025-09-02 22:55:04.873891 |
| 2025-10-01 08:08:28.963524 | 2025-10-02 02:15:56.860492 | 12889042 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12889042 | Athletic Physical Therapy Inc | 1990-09-10 | 2025-10-03 | M | AE | PT | Szymanski | 974058888F | Micah | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131018544.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9480224/check_12889042_e3d6dd34-6a06-40e1-83ef-0888f5afb168.json | N/A | N/A | N/A | N/A | N/A | 97405888F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1990-09-10 | MCLA | MWLLNMEG21 | N/A | N/A | false | SZYMANSKI | N/A | MICAH | N/A | 2078-12-31 | 2022-03-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913622012 | N/A | N/A | 9480224 | 2222 | 4802 | 13172293 | N/A | 7931021 | 2025-10-02 02:15:56.860492 | 2025-09-17 22:04:09.763232 |
| 2025-10-01 08:08:26.837833 | 2025-10-02 02:16:05.467075 | 12888963 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12888963 | Athletic Physical Therapy Inc | 1959-08-20 | 2025-10-03 | F | PT | N/A | LANEUVILLE | MMA152W21217 | LESLIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131018544.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9478316/check_12888963_f3a0ae49-e176-4690-b0ea-8be3bf75ac86.json | N/A | N/A | N/A | N/A | N/A | MMA152W21217 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-08-20 | 040 | CAMCRWP0 | N/A | MP | false | LANEUVILLE | N/A | LESLIE | 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 | 8913622003 | N/A | N/A | 9478316 | 2222 | 4801 | 13172438 | N/A | 6941976 | 2025-10-02 02:16:05.467075 | 2025-09-05 19:35:59.844269 |
| 2025-10-01 08:08:06.810203 | 2025-10-02 02:12:12.046511 | 12887897 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12887897 | Athletic Physical Therapy Inc | 1998-02-18 | 2025-10-03 | M | PT | N/A | JIN | JQV592W17436 | YUANJUN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131018544.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9454953/check_12887897_8303e457-19a8-4b40-b410-350960f1fe68.json | N/A | N/A | N/A | N/A | N/A | JQV592W17436 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1998-02-18 | N/A | N/A | N/A | N/A | false | JIN | N/A | YUANJUN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8913620397 | N/A | N/A | 9454953 | 2222 | 4793 | 13169305 | N/A | 7906876 | 2025-10-02 02:12:12.046511 | 2025-09-22 06:41:05.698372 |
| 2025-10-01 08:08:01.948706 | 2025-10-02 02:14:12.600851 | 12887614 | N/A | N/A | 60054 | Aetna | 1114042165 | 12887614 | Athletic Physical Therapy Inc | 1997-02-11 | 2025-10-02 | F | AE | PT | BELL | W29376563901 | FRANCESCA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.132118777.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9020239/check_12887614_edfa4cba-9e50-41b4-83cd-d20a5cc01c48.json | N/A | N/A | N/A | N/A | N/A | W293765639 | Point of Service (POS) | VINSON & ELKINS LLP | AETNA | N/A | 1997-02-11 | 0882904 | 088290401200015 | N/A | PS | false | BELL | N/A | FRANCESCA | 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 | 8913716678 | N/A | N/A | 9020239 | 2222 | 4802 | 13170659 | N/A | 7543693 | 2025-10-02 02:14:12.600851 | 2025-10-06 20:52:39.651223 |
| 2025-10-01 08:07:57.695371 | 2025-10-02 02:15:15.408980 | 12887407 | N/A | N/A | 60054 | Aetna | 1114042165 | 12887407 | Athletic Physical Therapy Inc | 1961-11-04 | 2025-10-02 | F | AE | PT | SANTITORO | W267422430 | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131521323.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550743/check_12887407_a6136a59-0422-4c87-b85d-6d1bc2f18638.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 | 8913668060 | N/A | N/A | 5550743 | 2222 | 4801 | 13171581 | N/A | 4219643 | 2025-10-02 02:15:15.408980 | 2025-05-13 04:29:37.230685 |
| 2025-10-01 08:07:57.485167 | 2025-10-02 02:23:08.653579 | 12887398 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12887398 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-10-02 | F | AE | PT | BRADBURY | 5W31MW6FP03 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131521323.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550534/check_12887398_02395148-54cb-4bf5-adaa-6ea2f3b498f0.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 | 8913668059 | N/A | N/A | 5550534 | 2222 | 4801 | 13177968 | N/A | 4219556 | 2025-10-02 02:23:08.653579 | 2025-05-13 04:29:37.230592 |
| 2025-10-01 08:07:57.271267 | 2025-10-02 02:23:06.566049 | 12887387 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12887387 | Athletic Physical Therapy Inc | 1954-05-11 | 2025-10-03 | M | AE | PT | A Peters | 1R78CR5JR59 | Dennis | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131521323.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550025/check_12887387_3608460e-f053-49b4-bfa5-02b57caa2e62.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 | 8913668057 | N/A | N/A | 5550025 | 2222 | 4801 | 13177947 | N/A | 4219449 | 2025-10-02 02:23:06.566049 | 2025-10-07 21:32:27.567534 |
| 2025-10-01 08:07:57.110186 | 2025-10-02 02:23:11.557845 | 12887381 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12887381 | Athletic Physical Therapy Inc | 1951-12-26 | 2025-10-02 | M | AE | PT | FINEBERG | 9FX3D52YD09 | MARTIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131521323.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549981/check_12887381_604ebdc6-620a-4dfd-9668-27a2a5b6a1aa.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MA | false | FINEBERG | N/A | MARTIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913668056 | N/A | N/A | 5549981 | 2222 | 4802 | 13177999 | N/A | 4219436 | 2025-10-02 02:23:11.557845 | 2025-05-13 04:29:37.230471 |
| 2025-10-01 08:07:56.931498 | 2025-10-02 02:18:20.049135 | 12887373 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12887373 | Athletic Physical Therapy Inc | 1961-10-06 | 2025-10-03 | F | PT | N/A | SMITH | XED910117839 | DEANNA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131521323.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549692/check_12887373_06d54d1b-755f-4a92-bca8-0301cc7de6eb.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 VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8913668054 | N/A | N/A | 5549692 | 2222 | 4801 | 13174397 | N/A | 4219305 | 2025-10-02 02:18:20.049135 | 2025-09-16 17:28:21.311815 |
| 2025-10-01 08:07:56.734645 | 2025-10-02 02:18:00.046700 | 12887365 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12887365 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-10-03 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131521323.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_12887365_8e8c38d1-26f0-40c9-8e83-815afa89329f.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 | 8913667174 | N/A | N/A | 5549317 | 2222 | 4801 | 13174097 | N/A | 4219010 | 2025-10-02 02:18:00.046700 | 2026-01-09 18:32:07.618867 |
| 2025-10-01 08:07:56.542812 | 2025-10-02 02:23:09.268216 | 12887357 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12887357 | Athletic Physical Therapy Inc | 1972-05-29 | 2025-10-03 | M | AE | PT | CALDERON | 4DH3VT4QR98 | FREDY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131521323.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549153/check_12887357_2ef4031b-fd92-4dae-b9d3-81f2c5d7268a.json | N/A | N/A | N/A | N/A | N/A | 4DH3VT4QR98 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1972-05-29 | S5617 | N/A | N/A | MB | 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 | 8913667173 | N/A | N/A | 5549153 | 2222 | 4801 | 13177978 | N/A | 4218873 | 2025-10-02 02:23:09.268216 | 2025-05-13 04:29:37.229886 |
| 2025-10-01 08:07:56.400372 | 2025-10-02 02:20:03.267907 | 12887351 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12887351 | Athletic Physical Therapy Inc | 1959-02-07 | 2025-10-03 | F | AE | PT | STARK | 5T98ME7EA67 | CHERYL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131018544.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9449995/check_12887351_b3324169-ceed-41b3-8b94-ed32fbb4da29.json | N/A | N/A | N/A | N/A | N/A | 5T98ME7EA67 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-07 | S4802 | N/A | N/A | MB | false | STARK | N/A | CHERYL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913620634 | N/A | N/A | 9449995 | 2222 | 4793 | 13175927 | N/A | 7905968 | 2025-10-02 02:20:03.267907 | 2025-09-22 17:53:24.196861 |
| 2025-10-01 08:07:54.660530 | 2025-10-02 02:17:46.463710 | 12887276 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12887276 | Athletic Physical Therapy Inc | 1962-06-19 | 2025-10-03 | M | AE | PT | MILIAN GOMEZ | 93331019F | MIGUEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131521323.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543555/check_12887276_6af9dd05-6432-41b7-9eca-9d36f8abdf41.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 | 8913667164 | N/A | N/A | 5543555 | 2222 | 4802 | 13173917 | N/A | 4215332 | 2025-10-02 02:17:46.463710 | 2025-08-06 16:15:15.716322 |
| 2025-10-01 08:07:54.178559 | 2025-10-02 02:17:16.742254 | 12887254 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12887254 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-10-02 | M | AE | PT | FORTIN | R14644640MS1 | NATHANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131521323.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_12887254_1f190089-8111-489d-8a40-84f2335d6e51.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 | 8913667163 | N/A | N/A | 5543425 | 2222 | 4801 | 13173519 | N/A | 4215211 | 2025-10-02 02:17:16.742254 | 2026-04-02 22:30:20.020246 |
| 2025-10-01 08:07:53.522698 | 2025-10-02 02:14:57.102476 | 12887225 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 12887225 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-10-03 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131521323.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_12887225_d4569c4e-6acf-4e05-a27f-6d73bbabe2c6.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 | 8913667162 | N/A | N/A | 5543270 | 2222 | 4793 | 13171292 | N/A | 4215086 | 2025-10-02 02:14:57.102476 | 2025-05-13 04:29:37.229401 |
| 2025-10-01 08:07:53.474310 | 2025-10-02 02:19:19.417719 | 12887224 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12887224 | Athletic Physical Therapy Inc | 1956-05-22 | 2025-10-03 | F | AE | PT | CHOOBIN | 91331250G | KEFAYAT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131125099.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8205059/check_12887224_edb6f4dc-bcd7-42a0-b561-d6a847a040f7.json | N/A | N/A | N/A | N/A | N/A | 91331250G | N/A | MCLA WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1956-05-22 | MCLA | MWLLDAGG21 | N/A | N/A | false | CHOOBIN | N/A | KEFAYAT | N/A | 2078-12-31 | 2021-05-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913625757 | N/A | N/A | 8205059 | 2222 | 4793 | 13175307 | N/A | 6967073 | 2025-10-02 02:19:19.417719 | 2025-08-26 17:15:30.662072 |
| 2025-10-01 08:07:53.185619 | 2025-10-02 02:17:51.928661 | 12887214 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 12887214 | Athletic Physical Therapy Inc | 1960-12-24 | 2025-10-03 | F | AE | PT | PORTILLO | 00000315343 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131521323.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543084/check_12887214_60004e15-90e0-4400-8d56-2c90b3e92d75.json | N/A | N/A | N/A | N/A | N/A | 00000315343 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1960-12-24 | N/A | N/A | N/A | N/A | false | PORTILLO | N/A | LISA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913667161 | N/A | N/A | 5543084 | 2222 | 4801 | 13173991 | N/A | 4214920 | 2025-10-02 02:17:51.928661 | 2025-05-13 04:29:37.229242 |
| 2025-10-01 08:07:52.841662 | 2025-10-02 02:23:14.710217 | 12887200 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12887200 | Athletic Physical Therapy Inc | 1962-08-01 | 2025-10-02 | M | AE | PT | MIHALEV | 1NU2W44MF18 | ANGEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131521323.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542783/check_12887200_97ce6bc2-b128-4754-85e1-93e5ab001340.json | N/A | N/A | N/A | N/A | N/A | 1NU2W44MF18 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1962-08-01 | S4802 | N/A | N/A | MB | false | MIHALEV | N/A | ANGEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913667160 | N/A | N/A | 5542783 | 2222 | 4801 | 13178033 | N/A | 4214658 | 2025-10-02 02:23:14.710217 | 2025-05-13 04:29:37.228977 |
| 2025-10-01 08:07:52.585437 | 2025-10-02 02:23:07.785347 | 12887185 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12887185 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-10-02 | M | AE | PT | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131521323.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542555/check_12887185_380e50bf-5e04-41a6-a5e5-948085495714.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 | 8913667159 | N/A | N/A | 5542555 | 2222 | 4793 | 13177960 | N/A | 4214447 | 2025-10-02 02:23:07.785347 | 2026-04-23 20:11:34.441054 |
| 2025-10-01 08:07:52.400685 | 2025-10-02 02:23:14.144213 | 12887177 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12887177 | Athletic Physical Therapy Inc | 1953-03-17 | 2025-10-03 | F | AE | PT | MARCUS | 4VG5XF7HN64 | LISSA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131521323.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542318/check_12887177_9ad82959-781f-467d-9968-9d2a725150ed.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 | 8913667158 | N/A | N/A | 5542318 | 2222 | 4802 | 13178027 | N/A | 4214241 | 2025-10-02 02:23:14.144213 | 2025-05-13 04:29:37.228574 |
| 2025-10-01 08:07:52.275482 | 2025-10-02 02:07:57.341093 | 12887170 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12887170 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-10-02 | M | AE | PT | CICCIARI | 1AK4JC6NK84 | LOUIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.132125202.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_12887170_efa3a6ed-0607-4281-8ef1-05d1da51a193.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5596 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913712653 | N/A | N/A | 6752936 | 2222 | 4801 | 13167666 | N/A | 5065602 | 2025-10-02 02:07:57.341093 | 2025-07-01 17:25:13.681724 |
| 2025-10-01 08:07:52.231933 | 2025-10-02 02:23:13.027813 | 12887167 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12887167 | Athletic Physical Therapy Inc | 1936-09-29 | 2025-10-03 | M | AE | PT | JAUDE | 8D38EF9GV30 | KARIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131521323.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542251/check_12887167_89b9f573-ab6a-439a-b130-780545ec61a9.json | N/A | N/A | N/A | N/A | N/A | 8D38EF9GV30 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1936-09-29 | S5921 | N/A | N/A | MA | false | JAUDE | N/A | KARIM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913667157 | N/A | N/A | 5542251 | 2222 | 4802 | 13178013 | N/A | 4214191 | 2025-10-02 02:23:13.027813 | 2025-05-13 04:29:37.228525 |
| 2025-10-01 08:07:52.061639 | 2025-10-02 02:17:43.893796 | 12887158 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 12887158 | Athletic Physical Therapy Inc | 1947-02-01 | 2025-10-03 | M | AE | PT | YEE | 412922301 | HARRY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131521323.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541972/check_12887158_d32341c7-a692-4459-9ddf-bd6170ebace8.json | N/A | N/A | N/A | N/A | N/A | 412922301 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1947-02-01 | N/A | HCFA21 | N/A | HN | false | YEE | N/A | HARRY | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913667156 | N/A | N/A | 5541972 | 2222 | 4793 | 13173885 | N/A | 4213941 | 2025-10-02 02:17:43.893796 | 2025-05-13 04:29:37.228259 |
| 2025-10-01 08:07:51.826742 | 2025-10-02 02:23:15.674096 | 12887142 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12887142 | Athletic Physical Therapy Inc | 1944-04-25 | 2025-10-02 | F | AE | PT | ROSENTHAL | 6WM0N21VW35 | PHYLLIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131521323.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541887/check_12887142_91c2126e-3107-462f-b0ec-54f677962fb4.json | N/A | N/A | N/A | N/A | N/A | 6WM0N21VW35 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-04-25 | S4802 | N/A | N/A | MA | false | ROSENTHAL | N/A | PHYLLIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913667155 | N/A | N/A | 5541887 | 2222 | 4802 | 13178046 | N/A | 4213865 | 2025-10-02 02:23:15.674096 | 2025-05-13 04:29:37.228183 |