API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-01 08:07:51.595274 | 2025-10-02 02:17:59.437123 | 12887132 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12887132 | Athletic Physical Therapy Inc | 1958-07-16 | 2025-10-03 | F | PT | GALVAN GUERRERO | MMA904W16717 | MARIA | N/A | 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/2222/5541035/check_12887132_83587011-99bc-4c73-9c87-39f92181803b.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 | 8913667154 | N/A | N/A | 5541035 | 2222 | 4801 | 13174088 | 4184 | 4213091 | 2025-10-02 02:17:59.437123 | 2025-05-13 04:29:37.227417 |
| 2025-10-01 08:07:51.370864 | 2025-10-02 02:18:00.785996 | 12887120 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12887120 | Athletic Physical Therapy Inc | 2001-07-16 | 2025-10-03 | F | PT | POWELL | YWP80258506903 | WHITNEY | N/A | 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/2222/5540983/check_12887120_b9a6f135-e999-466d-a076-75d0f48f5c66.json | N/A | N/A | N/A | N/A | N/A | YWP80258506903 | N/A | HELLER CAPITAL GROUP LLC | CAPITAL BLUE CROSS | N/A | 2001-07-16 | N/A | 00531869 | N/A | N/A | false | POWELL | N/A | WHITNEY | N/A | 2025-06-30 | 2024-12-14 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8913667153 | N/A | N/A | 5540983 | 2222 | 4793 | 13174104 | N/A | 4213053 | 2025-10-02 02:18:00.785996 | 2025-08-05 22:50:43.277345 |
| 2025-10-01 08:07:51.029358 | 2025-10-02 02:17:20.696772 | 12887105 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 12887105 | Athletic Physical Therapy Inc | 1940-03-29 | 2025-10-03 | F | AE | MARTINEZ | 40032670501 | MARIA | PT | 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/2222/5540591/check_12887105_93a8645c-c598-4341-b312-868bd4e043ca.json | N/A | N/A | N/A | N/A | N/A | 40032670501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1940-03-29 | 2025H5425001 | H5425M | N/A | N/A | false | MARTINEZ | N/A | MARIA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913667152 | N/A | N/A | 5540591 | 2222 | 4801 | 13173577 | N/A | 4212724 | 2025-10-02 02:17:20.696772 | 2025-07-26 22:27:37.781276 |
| 2025-10-01 08:07:50.584891 | 2025-10-02 02:18:19.540590 | 12887084 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12887084 | Athletic Physical Therapy Inc | 1997-07-14 | 2025-10-03 | M | PT | SHERBETJIAN | XED910281081 | JACK | N/A | 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/2222/5540558/check_12887084_68388599-6349-4fa7-9662-cbfb273831ca.json | N/A | N/A | N/A | N/A | N/A | XED910281081 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-14 | 2001ZK002184 | X0001004 | N/A | PR | false | SHERBETJIAN | N/A | JACK | 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 | 8913667151 | N/A | N/A | 5540558 | 2222 | 4801 | 13174389 | N/A | 4212698 | 2025-10-02 02:18:19.540590 | 2025-05-13 04:29:37.227042 |
| 2025-10-01 08:07:50.218819 | 2025-10-02 02:23:07.138981 | 12887069 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12887069 | Athletic Physical Therapy Inc | 1940-05-13 | 2025-10-02 | F | AE | ALIZADEH GHARBAGHI | 6AX8PH3NH43 | TOURAN | PT | 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/2222/5540531/check_12887069_797c4fa7-2c4d-49bd-8d91-87a729921c3c.json | N/A | N/A | N/A | N/A | N/A | 6AX8PH3NH43 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-05-13 | S5617 | N/A | N/A | MB | 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 | 8913667150 | N/A | N/A | 5540531 | 2222 | 4802 | 13177953 | N/A | 4212676 | 2025-10-02 02:23:07.138981 | 2025-07-03 21:09:02.193065 |
| 2025-10-01 08:07:49.856992 | 2025-10-02 02:23:18.014080 | 12887055 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12887055 | Athletic Physical Therapy Inc | 1947-07-25 | 2025-10-03 | M | AE | STERN | 3VW3JQ8TH11 | WESLEY | PT | 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/2222/5539872/check_12887055_a5901333-435e-4ad7-8c78-278aa0c83973.json | N/A | N/A | N/A | N/A | N/A | 3VW3JQ8TH11 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-07-25 | S5617 | N/A | N/A | MB | false | STERN | N/A | WESLEY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913667148 | N/A | N/A | 5539872 | 2222 | 4802 | 13178071 | N/A | 4212117 | 2025-10-02 02:23:18.014080 | 2025-09-25 18:29:15.369906 |
| 2025-10-01 08:07:49.523556 | 2025-10-02 02:18:19.016708 | 12887041 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12887041 | Athletic Physical Therapy Inc | 1980-10-31 | 2025-10-03 | M | PT | PAREDES | XEH910686412 | JOSE | N/A | 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/2222/5538615/check_12887041_44d91426-77f1-4fda-bf90-363e182183ed.json | N/A | N/A | N/A | N/A | N/A | XEH910686412 | Health Maintenance Organization (HMO) | TRADER JOE S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1980-10-31 | 1000VX000001 | W0069783 | N/A | HM | false | MORDKA | N/A | LUCAS | N/A | 9999-12-31 | 2025-07-01 | TRADER JOE S COMPANY CUSTOM ACCESS HMO 25 500 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8913667147 | N/A | N/A | 5538615 | 2222 | 4793 | 13174380 | N/A | 4211010 | 2025-10-02 02:18:19.016708 | 2025-09-30 17:03:18.054141 |
| 2025-10-01 08:07:49.197612 | 2025-10-02 02:23:17.439274 | 12887029 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12887029 | Athletic Physical Therapy Inc | 1943-07-22 | 2025-10-03 | M | AE | STEIN | 8MY3V79UN60 | DONALD | PT | 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/2222/5538576/check_12887029_2d313c86-6c60-4725-a42f-eb9830abe68e.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 | 8913667146 | N/A | N/A | 5538576 | 2222 | 4802 | 13178064 | N/A | 4210984 | 2025-10-02 02:23:17.439274 | 2025-08-15 17:42:50.500189 |
| 2025-10-01 08:07:48.779050 | 2025-10-02 02:23:18.379295 | 12887008 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12887008 | Athletic Physical Therapy Inc | 1950-09-27 | 2025-10-02 | F | AE | THOMSEN | 1M31KQ8DJ99 | JANET | PT | 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/2222/5537950/check_12887008_2b75640e-7fd4-47a1-813d-123a9bfa4e5b.json | N/A | N/A | N/A | N/A | N/A | 1M31KQ8DJ99 | N/A | N/A | CMS | N/A | 1950-09-27 | N/A | N/A | N/A | N/A | false | THOMSEN | N/A | JANET | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913667145 | N/A | N/A | 5537950 | 2222 | 4801 | 13178078 | N/A | 4210450 | 2025-10-02 02:23:18.379295 | 2026-05-04 21:51:25.248197 |
| 2025-10-01 08:07:48.348194 | 2025-10-02 02:23:10.870092 | 12886992 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12886992 | Athletic Physical Therapy Inc | 1952-03-25 | 2025-10-02 | F | AE | DRIMMER | 8E03WF9AM78 | NADIA | PT | 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/2222/5537826/check_12886992_a0d39a7f-e8c1-496b-814c-14e417e43fe0.json | N/A | N/A | N/A | N/A | N/A | 8E03WF9AM78 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-03-25 | S5921 | N/A | N/A | MB | false | DRIMMER | N/A | NADIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913667144 | N/A | N/A | 5537826 | 2222 | 4802 | 13177992 | N/A | 4210338 | 2025-10-02 02:23:10.870092 | 2025-05-13 04:29:37.224744 |
| 2025-10-01 08:07:48.035722 | 2025-10-02 02:23:16.164179 | 12886981 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12886981 | Athletic Physical Therapy Inc | 1946-08-26 | 2025-10-03 | M | AE | ROTHMAN | 6H65JC7UD67 | MIKE | PT | 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/2222/5536194/check_12886981_ce2c9813-3501-4397-b016-d71602396311.json | N/A | N/A | N/A | N/A | N/A | 6H65JC7UD67 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-08-26 | S4802 | N/A | N/A | MB | false | ROTHMAN | N/A | MIKE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913667143 | N/A | N/A | 5536194 | 2222 | 4801 | 13178052 | N/A | 4208978 | 2025-10-02 02:23:16.164179 | 2025-05-13 04:29:37.223404 |
| 2025-10-01 08:07:47.690549 | 2025-10-02 02:17:58.587222 | 12886967 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12886967 | Athletic Physical Therapy Inc | 1947-04-18 | 2025-10-03 | F | PT | BELL | MNL880M78427 | JACQUELYN | N/A | 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/2222/5536041/check_12886967_12a7928a-8498-44a5-a0ef-6350a87f504a.json | N/A | N/A | N/A | N/A | N/A | MNL880M78427 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1947-04-18 | 040 | CAMCRWP0 | N/A | MP | false | BELL | N/A | JACQUELYN | N/A | 2025-12-31 | 2024-07-01 | CA H4471-001-000 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8913667142 | N/A | N/A | 5536041 | 2222 | 4802 | 13174077 | 4184 | 4208856 | 2025-10-02 02:17:58.587222 | 2025-05-13 04:29:37.223284 |
| 2025-10-01 08:07:47.368646 | 2025-10-02 02:17:51.016534 | 12886954 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 12886954 | Athletic Physical Therapy Inc | 1952-10-14 | 2025-10-03 | M | AE | CHISARI | 00000386684 | THOMAS | PT | 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/2222/5536007/check_12886954_5a19f995-8c6f-4764-84a5-a4ce9eadd9fb.json | N/A | N/A | N/A | N/A | N/A | 00000386684 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1952-10-14 | N/A | N/A | N/A | N/A | false | CHISARI | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913667141 | N/A | N/A | 5536007 | 2222 | 4793 | 13173981 | N/A | 4208829 | 2025-10-02 02:17:51.016534 | 2025-06-03 01:05:45.663969 |
| 2025-10-01 08:07:47.091017 | 2025-10-02 02:23:18.773652 | 12886940 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12886940 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-10-03 | M | AE | ULLMAN | 3A76X26KQ40 | DAVID | PT | 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/2222/5535838/check_12886940_52587b6e-823b-40af-9315-10a2439d3ec9.json | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | 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 | 8913667140 | N/A | N/A | 5535838 | 2222 | 4801 | 13178083 | N/A | 4208696 | 2025-10-02 02:23:18.773652 | 2025-06-07 16:16:45.844566 |
| 2025-10-01 08:07:46.721278 | 2025-10-02 02:17:21.954869 | 12886923 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 12886923 | Athletic Physical Therapy Inc | 1952-12-16 | 2025-10-03 | F | AE | PORTER | 400282215401 | SHERIL | PT | 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/2222/5535434/check_12886923_d260d0c5-1428-40b0-80c0-6f8e11de80cd.json | N/A | N/A | N/A | N/A | N/A | 40028215401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-12-16 | 2025H5425001 | H5425M | N/A | N/A | false | PORTER | N/A | SHERIL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913667139 | N/A | N/A | 5535434 | 2222 | 4793 | 13173584 | N/A | 4208356 | 2025-10-02 02:17:21.954869 | 2025-08-25 14:49:27.724897 |
| 2025-10-01 08:07:43.594196 | 2025-10-02 02:08:00.252997 | 12886758 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12886758 | Athletic Physical Therapy Inc | 1929-10-10 | 2025-10-02 | M | AE | Walter | 1TQ1EQ4FJ98 | Howard | PT | 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/2222/6751304/check_12886758_58efef47-1424-44fd-bf94-9c36e2fb74d3.json | N/A | N/A | N/A | N/A | N/A | 1TQ1EQ4FJ98 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-10-10 | N/A | N/A | N/A | MA | false | WALTER | N/A | HOWARD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913712631 | N/A | N/A | 6751304 | 2222 | 4802 | 13167679 | N/A | 5557241 | 2025-10-02 02:08:00.252997 | 2025-07-22 17:08:51.810153 |
| 2025-10-01 08:07:42.034073 | 2025-10-02 05:13:41.782608 | 12886663 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12886663 | Athletic Physical Therapy Inc | 1958-10-22 | 2025-10-02 | F | AE | Lee | 6D94VK9GN90 | Gisele | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.130925898.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9810737/check_12886663_157e9233-b044-4f11-b236-98c94055da71.json | N/A | N/A | N/A | N/A | N/A | 6D94VK9GN90 | N/A | N/A | CMS | N/A | 1958-10-22 | N/A | N/A | N/A | N/A | false | LEE | N/A | GISELE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913608774 | N/A | N/A | 9810737 | 2222 | 4802 | 13187588 | N/A | 8217179 | 2025-10-02 05:13:41.782608 | 2025-10-02 19:02:27.583990 |
| 2025-10-01 08:07:32.664587 | 2025-10-02 02:16:05.769720 | 12886138 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12886138 | Athletic Physical Therapy Inc | 1952-07-08 | 2025-10-03 | F | PT | LEJANO | MMA286W10517 | MELECIA | N/A | 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/2222/9443092/check_12886138_030c53d6-0960-45bf-8045-1960e9f3928e.json | N/A | N/A | N/A | N/A | N/A | MMA286W10517 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-07-08 | 040 | CAMCRWP0 | N/A | MP | false | LEJANO | N/A | MELECIA VICTOR | 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 | 8913621463 | N/A | N/A | 9443092 | 2222 | 4801 | 13172446 | N/A | 7899425 | 2025-10-02 02:16:05.769720 | 2025-09-18 04:34:38.232559 |
| 2025-10-01 08:07:25.199871 | 2025-10-02 02:07:57.745194 | 12885736 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12885736 | Athletic Physical Therapy Inc | 1951-10-16 | 2025-10-03 | F | AE | GARRETT | 3EJ1R73ND18 | KATHLEEN | PT | 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/2222/6714932/check_12885736_40422a85-837c-4234-926d-b5e1cdee1a81.json | N/A | N/A | N/A | N/A | N/A | 3EJ1R73ND18 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-10-16 | S5601 | N/A | N/A | MA | false | GARRETT | N/A | KATHLEEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913714287 | N/A | N/A | 6714932 | 2222 | 4793 | 13167669 | N/A | 5316176 | 2025-10-02 02:07:57.745194 | 2025-07-01 18:44:12.927482 |
| 2025-10-01 08:07:24.655070 | 2025-10-02 02:07:58.208375 | 12885694 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12885694 | Athletic Physical Therapy Inc | 1959-07-23 | 2025-10-03 | M | AE | Harvey | 1D65V29PD77 | Roy | PT | 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/2222/6714928/check_12885694_261d8878-0d2b-4655-9a1c-2dafa5fdfc68.json | N/A | N/A | N/A | N/A | N/A | 1D65V29PD77 | Medicare Part B | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-23 | S5660 | DOL 07092019 | N/A | MB | false | HARVEY | N/A | ROY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913714285 | N/A | N/A | 6714928 | 2222 | 4802 | 13167671 | N/A | 5316172 | 2025-10-02 02:07:58.208375 | 2025-07-02 15:09:36.678003 |
| 2025-10-01 08:07:24.305294 | 2025-10-02 02:28:16.899953 | 12885669 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12885669 | Athletic Physical Therapy Inc | 1950-06-21 | 2025-10-03 | M | PT | Aliabadi | 4H63HH1UD97 | Hossein | N/A | 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/2222/7983538/check_12885669_bf5f6ccd-cbc8-40e9-bac0-7f92140896af.json | N/A | N/A | N/A | N/A | N/A | 4H63HH1UD97 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-06-21 | S5601 | N/A | N/A | MA | false | ALIABADI | N/A | HOSSEIN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8913623913 | N/A | N/A | 7983538 | 2222 | 4802 | 13181371 | N/A | 6706099 | 2025-10-02 02:28:16.899953 | 2025-11-21 22:00:12.073625 |
| 2025-10-01 08:07:22.895577 | 2025-10-02 02:22:24.537292 | 12885588 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12885588 | Athletic Physical Therapy Inc | 1950-04-13 | 2025-10-03 | F | AE | NATALI | 2XU8UK4DF50 | RENEE | PT | 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/2222/8979192/check_12885588_68373a7a-eb92-450e-b4ac-03d96765759d.json | N/A | N/A | N/A | N/A | N/A | 2XU8UK4DF50 | Medicare Part A | N/A | HEALTH CARE SERVICE CORPORATION | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-04-13 | S5715 | N/A | N/A | MA | false | NATALI | N/A | RENEE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913715072 | N/A | N/A | 8979192 | 2222 | 4793 | 13177474 | N/A | 7498543 | 2025-10-02 02:22:24.537292 | 2025-10-14 17:13:32.178778 |
| 2025-10-01 08:07:12.717715 | 2025-10-02 02:20:02.565333 | 12884989 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12884989 | Athletic Physical Therapy Inc | 1955-07-01 | 2025-10-02 | F | AE | GREER | 7H09HW9QG44 | ROBIN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131018544.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411083/check_12884989_7182e1da-e31d-4047-9f7a-8e1231891017.json | N/A | N/A | N/A | N/A | N/A | 7H09HW9QG44 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-01 | S5601 | N/A | N/A | MB | false | GREER | N/A | ROBIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913620976 | N/A | N/A | 9411083 | 2222 | 4802 | 13175918 | N/A | 7879863 | 2025-10-02 02:20:02.565333 | 2026-02-04 18:21:13.840230 |
| 2025-10-01 08:06:47.176955 | 2025-10-02 02:16:06.540642 | 12883599 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12883599 | Athletic Physical Therapy Inc | 2005-12-13 | 2025-10-03 | F | PT | Varivoda | ZTQ335M98588 | Alex | N/A | 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/2222/9338185/check_12883599_fb4482df-a5b4-47a8-925c-fb190453023a.json | N/A | N/A | N/A | N/A | N/A | ZTQ335M98588 | Preferred Provider Organization (PPO) | TELEDYNE TECH INC LECROY | ANTHEM BLUE CROSS | N/A | 2005-12-13 | 040 | 174249M3AW | N/A | PR | false | VARIVODA | N/A | ALEXEY | N/A | 9999-12-31 | 2020-03-19 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8913620535 | N/A | N/A | 9338185 | 2222 | 4802 | 13172455 | N/A | 7837035 | 2025-10-02 02:16:06.540642 | 2025-09-17 13:44:26.939662 |
| 2025-10-01 08:06:45.280342 | 2025-10-02 02:20:02.272233 | 12883519 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12883519 | Athletic Physical Therapy Inc | 1979-02-28 | 2025-10-03 | F | AE | DIAZ | 9MR0M18DW19 | KAREN | PT | 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/2222/9336219/check_12883519_1b9f7298-00f4-4ba4-b6ec-e8e243a6fd13.json | N/A | N/A | N/A | N/A | N/A | 9MR0M18DW19 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1979-02-28 | S4802 | N/A | N/A | MB | false | DIAZ | 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 | 8913620519 | N/A | N/A | 9336219 | 2222 | 4801 | 13175913 | N/A | 4211301 | 2025-10-02 02:20:02.272233 | 2025-05-13 04:29:37.225660 |
| 2025-10-01 08:06:32.372285 | 2025-10-02 02:16:06.117790 | 12882794 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12882794 | Athletic Physical Therapy Inc | 1990-08-10 | 2025-10-03 | F | PT | RITCHEY | JQU548W19840 | STEPHANIE | N/A | 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/2222/9326119/check_12882794_8376710b-9528-40db-bcfa-f6cdde81670d.json | N/A | N/A | N/A | N/A | N/A | JQU548W19840 | Preferred Provider Organization (PPO) | KARI SAKURAI DDS INC | ANTHEM BLUE CROSS | N/A | 1990-08-10 | 040 | Q61777 | N/A | PR | false | RITCHIE | N/A | STEPHANIE | N/A | N/A | N/A | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8913621812 | N/A | N/A | 9326119 | 2222 | 4802 | 13172449 | N/A | 7824685 | 2025-10-02 02:16:06.117790 | 2025-09-17 18:00:25.911843 |
| 2025-10-01 08:06:27.730359 | 2025-10-02 02:20:03.632735 | 12882540 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12882540 | Athletic Physical Therapy Inc | 1953-10-12 | 2025-10-03 | M | AE | VALLECER | 5AT6CH1HH49 | EDGAR | PT | 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/2222/9321454/check_12882540_f5ccd776-981b-4228-8afc-ae1b11898e8c.json | N/A | N/A | N/A | N/A | N/A | 5AT6CH1HH49 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-10-12 | S5617 | N/A | N/A | MA | false | VALLECER | N/A | EDGAR | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913622143 | N/A | N/A | 9321454 | 2222 | 4801 | 13175931 | N/A | 7820740 | 2025-10-02 02:20:03.632735 | 2025-09-22 16:05:10.548691 |
| 2025-10-01 08:06:23.977348 | 2025-10-02 02:17:36.385350 | 12882309 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12882309 | Athletic Physical Therapy Inc | 2009-05-28 | 2025-10-03 | F | PT | GALLE | JXN432W14490 | MADELYN | N/A | 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/2222/8970914/check_12882309_44c3ac57-6bb5-4d1b-9cd9-5159d465e5a8.json | N/A | N/A | N/A | N/A | N/A | JXN432W14490 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 2009-05-28 | 040 | 174222M8A1 | N/A | PR | false | FRYE | N/A | BRADLEY | N/A | 9999-12-31 | 2024-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8913716234 | N/A | N/A | 8970914 | 2222 | 4793 | 13173791 | N/A | 7486302 | 2025-10-02 02:17:36.385350 | 2025-09-30 03:58:19.839826 |
| 2025-10-01 08:06:18.980902 | 2025-10-02 05:07:10.825470 | 12882045 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 12882045 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-10-03 | F | AE | SHAKIB | 95751543E35181 | PARI | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.130717599.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7561654/check_12882045_06cc6a5a-d10c-4374-82ae-738289af762f.json | N/A | N/A | N/A | N/A | N/A | 95751543E35181 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1952-05-04 | N/A | N/A | N/A | N/A | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913580806 | N/A | N/A | 7561654 | 2222 | 4802 | 13185040 | N/A | 6395498 | 2025-10-02 05:07:10.825470 | 2026-02-18 02:38:35.073779 |
| 2025-10-01 08:06:13.693608 | 2025-10-02 02:22:23.933887 | 12881695 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12881695 | Athletic Physical Therapy Inc | 1948-07-07 | 2025-10-03 | F | AE | GOEL | 5RR4M63DR65 | VEENA | PT | 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/2222/8969533/check_12881695_2729ad78-0a80-481b-a624-ffe6b8cfc42d.json | N/A | N/A | N/A | N/A | N/A | 5RR4M63DR65 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-07 | S5596 | N/A | N/A | MA | false | GOEL | N/A | VEENA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913716186 | N/A | N/A | 8969533 | 2222 | 4802 | 13177465 | N/A | 7485064 | 2025-10-02 02:22:23.933887 | 2025-12-29 22:41:16.623495 |
| 2025-10-01 08:06:12.306886 | 2025-10-02 05:13:41.450793 | 12881605 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12881605 | Athletic Physical Therapy Inc | 1953-03-30 | 2025-10-03 | F | AE | ELLIS | 9MF1PQ0JC94 | KATHY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.130925898.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9688784/check_12881605_7bc8da41-dfce-44ee-bdb4-fa5d6dfa0438.json | N/A | N/A | N/A | N/A | N/A | 9MF1PQ0JC94 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-03-30 | S5601 | N/A | N/A | MB | false | ELLIS | N/A | KATHY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913610265 | N/A | N/A | 9688784 | 2222 | 4793 | 13187586 | N/A | 8108118 | 2025-10-02 05:13:41.450793 | 2025-09-24 21:19:03.418185 |
| 2025-10-01 08:06:09.043891 | 2025-10-02 02:08:13.521883 | 12881388 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12881388 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-10-03 | F | PT | GIANNE | XED910762094 | NATALIE | N/A | 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/2222/7994545/check_12881388_2317552d-33d4-4f69-b843-57e95fa214c2.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 9999-12-31 | 2025-01-01 | SILVER 87 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8913664705 | N/A | N/A | 7994545 | 2222 | 4802 | 13167737 | N/A | 6802250 | 2025-10-02 02:08:13.521883 | 2025-08-11 23:58:28.358402 |
| 2025-10-01 08:06:05.046947 | 2025-10-02 05:06:32.728222 | 12881154 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12881154 | Athletic Physical Therapy Inc | 1967-01-16 | 2025-10-03 | F | AE | Wesel | QUC628W15332 | Ellen | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.130717599.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9854973/check_12881154_d6c625c9-ca76-420c-8de2-ecd9b663ba31.json | N/A | N/A | N/A | N/A | N/A | QUC628W15332 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | CIGNA | N/A | 1967-01-16 | 040 | 280509A420 | N/A | PR | false | WESEL | N/A | RICHARD | N/A | 9999-12-31 | 2023-01-01 | UC CORE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913580918 | N/A | N/A | 9854973 | 2222 | 4802 | 13184764 | N/A | 8205288 | 2025-10-02 05:06:32.728222 | 2025-09-30 16:15:04.552446 |
| 2025-10-01 08:06:04.817474 | 2025-10-02 02:19:22.502297 | 12881140 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12881140 | Athletic Physical Therapy Inc | 1959-07-25 | 2025-10-03 | F | AE | CARRANZA | 94113505C | KISELL | PT | 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/2222/7508301/check_12881140_d9d6b94e-3b47-4980-9a31-b041ee9b9514.json | N/A | N/A | N/A | N/A | N/A | 94113505C | N/A | N/A | ANTHEM BLUE CROSS | 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 | 8913625506 | N/A | N/A | 7508301 | 2222 | 4802 | 13175356 | N/A | 4214064 | 2025-10-02 02:19:22.502297 | 2025-07-15 17:36:25.711810 |
| 2025-10-01 08:06:02.037907 | 2025-10-02 05:13:42.055605 | 12880998 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12880998 | Athletic Physical Therapy Inc | 1950-07-29 | 2025-10-03 | F | AE | Reinis | 9E11MX6RQ31 | Meredith | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.130925898.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681833/check_12880998_27aff21d-2127-40f0-a7bf-c27bfb24bc7a.json | N/A | N/A | N/A | N/A | N/A | 9E11MX6RQ31 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-07-29 | S4802 | N/A | N/A | MA | false | REINIS | N/A | MEREDITH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913609954 | N/A | N/A | 9681833 | 2222 | 4802 | 13187590 | N/A | 8101541 | 2025-10-02 05:13:42.055605 | 2025-09-29 18:50:04.958524 |
| 2025-10-01 08:06:01.003465 | 2025-10-02 05:13:42.376575 | 12880951 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12880951 | Athletic Physical Therapy Inc | 1959-02-04 | 2025-10-02 | F | AE | SMITS | 9TF8KW2XU20 | HEIDI | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.130925898.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681583/check_12880951_9f19ae4b-05c9-40f2-b7de-d69b9f3fc0a4.json | N/A | N/A | N/A | N/A | N/A | 9TF8KW2XU20 | N/A | N/A | CMS | N/A | 1959-02-04 | N/A | N/A | N/A | N/A | false | SMITS | N/A | HEIDI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913609950 | N/A | N/A | 9681583 | 2222 | 4793 | 13187592 | N/A | 8101289 | 2025-10-02 05:13:42.376575 | 2025-09-24 17:05:46.431721 |
| 2025-10-01 08:06:00.477841 | 2025-10-02 02:22:57.620218 | 12880926 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 12880926 | Athletic Physical Therapy Inc | 1947-04-18 | 2025-10-03 | F | PT | BELL | 96881701C | JACQUELYN | N/A | 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/2222/7456429/check_12880926_207525ca-7774-46e7-9eb8-af38496314a0.json | N/A | N/A | N/A | N/A | N/A | 96881701C | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1947-04-18 | N/A | N/A | N/A | N/A | false | BELL | N/A | JACQUELYN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8913625473 | N/A | N/A | 7456429 | 2222 | 4802 | 13177844 | N/A | 4208856 | 2025-10-02 02:22:57.620218 | 2025-05-13 04:29:37.223284 |
| 2025-10-01 08:05:58.633311 | 2025-10-02 02:16:33.576828 | 12880839 | N/A | N/A | 60054 | Aetna | 1114042165 | 12880839 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-10-03 | F | AE | SHAKIB | 101129457200 | PARI | PT | 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/2222/7444723/check_12880839_a7327a69-1fca-418f-9f52-93777a7beac4.json | N/A | N/A | N/A | N/A | N/A | 101129457200 | Qualified Medicare Beneficiary | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1952-05-04 | 000003-CA000058 | 000003-CA | N/A | QM | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913625458 | N/A | N/A | 7444723 | 2222 | 4802 | 13172894 | N/A | 6395498 | 2025-10-02 02:16:33.576828 | 2026-02-18 02:38:35.073779 |
| 2025-10-01 08:05:56.509993 | 2025-10-02 02:22:58.023216 | 12880729 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 12880729 | Athletic Physical Therapy Inc | 1963-05-22 | 2025-10-03 | M | AE | SMITH | 99688004H | MATTHEW | PT | 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/2222/7321767/check_12880729_7af21be8-67e5-452e-bcbf-72ca48fca8bf.json | N/A | N/A | N/A | N/A | N/A | 99688004H | N/A | N/A | MEDICAID CALIFORNIA | 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 | 8913625247 | N/A | N/A | 7321767 | 2222 | 4793 | 13177852 | N/A | 6037802 | 2025-10-02 02:22:58.023216 | 2025-07-22 17:48:16.997014 |
| 2025-10-01 08:05:55.582962 | 2025-10-02 02:07:24.838512 | 12880676 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12880676 | Athletic Physical Therapy Inc | 1971-05-04 | 2025-10-03 | F | PT | MAHAARACHCHI | EXHAN7912598 | MELONY | N/A | 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/2222/7988722/check_12880676_e26bd46f-d530-44d2-87e4-814ae9143673.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1971-05-04 | N/A | N/A | N/A | N/A | false | MAHAARACHCHI | N/A | MELONY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8913664691 | N/A | N/A | 7988722 | 2222 | 4793 | 13167473 | N/A | 6798209 | 2025-10-02 02:07:24.838512 | 2025-10-29 15:15:17.952230 |
| 2025-10-01 08:05:52.091168 | 2025-10-02 02:15:22.252757 | 12880492 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12880492 | Athletic Physical Therapy Inc | 1951-01-24 | 2025-10-03 | F | AE | Leinwand | 9P87PC2QC50 | Shari | PT | 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/2222/7983223/check_12880492_c4516739-37d5-404e-8bf1-d5b860ab2518.json | N/A | N/A | N/A | N/A | N/A | 9P87PC2QC50 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-01-24 | N/A | N/A | N/A | MA | false | LEINWAND | N/A | SHARI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913664684 | N/A | N/A | 7983223 | 2222 | 4802 | 13171695 | N/A | 6794499 | 2025-10-02 02:15:22.252757 | 2025-08-14 19:38:19.931659 |
| 2025-10-01 08:05:41.548301 | 2025-10-02 05:02:35.565522 | 12880206 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 12880206 | Athletic Physical Therapy Inc | 1959-09-19 | 2025-10-03 | F | AE | MOJIRI ANDANI | 31411044311 | SOUSSAN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.130717599.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9809703/check_12880206_2be292ca-7d29-453d-8fee-5d63710336be.json | N/A | N/A | N/A | N/A | N/A | 31411044311 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1959-09-19 | N/A | N/A | N/A | SP | false | MOJIRI-ANDANI | N/A | SOUSSAN | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913581612 | N/A | N/A | 9809703 | 2222 | 4802 | 13184165 | N/A | 8216024 | 2025-10-02 05:02:35.565522 | 2025-09-29 17:34:24.775132 |
| 2025-10-01 08:05:17.367329 | 2025-10-02 02:19:51.275771 | 12879378 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12879378 | Athletic Physical Therapy Inc | 1968-07-21 | 2025-10-03 | F | AE | MCALISTER | SFZ846186424 | BONNIE | PT | 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/2222/7024102/check_12879378_0eeccaf2-4d19-47f5-a2b6-648e491b9bd1.json | N/A | N/A | N/A | N/A | N/A | SFZ846186424 | Preferred Provider Organization (PPO) | RETIREE 50 AS OF 1112 HIRED 1107 | MEDICARE | N/A | 1968-07-21 | N/A | 021104 | N/A | PR | false | MCALISTER | N/A | BONNIE | N/A | 9999-12-31 | 2013-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913625440 | N/A | N/A | 7024102 | 2222 | 4801 | 13175772 | N/A | 6038562 | 2025-10-02 02:19:51.275771 | 2025-07-30 21:46:09.369299 |
| 2025-10-01 08:05:13.207206 | 2025-10-02 02:13:32.603914 | 12879270 | N/A | N/A | 22384 | Administrative Concepts, Inc | 1114042165 | 12879270 | Athletic Physical Therapy Inc | 1996-05-03 | 2025-10-03 | F | AE | Salant | Z6D461W08418 | Isabella | PT | 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/2222/8765709/check_12879270_a64a2c92-4c49-4a63-8a53-3aa42d879192.json | N/A | N/A | N/A | N/A | N/A | Z6D461W08418 | N/A | N/A | ACI | N/A | 1996-05-03 | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913716393 | N/A | N/A | 8765709 | 2222 | 4802 | 13170185 | N/A | 7377649 | 2025-10-02 02:13:32.603914 | 2025-09-03 13:57:51.555585 |
| 2025-10-01 08:04:43.055808 | 2025-10-02 05:06:41.115953 | 12878371 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12878371 | Athletic Physical Therapy Inc | 1953-03-30 | 2025-10-03 | F | AE | ELLIS | XEM906314508 | KATHY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.130717599.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9688800/check_12878371_31bc9cbb-50e6-4133-81a8-0601539741fe.json | N/A | N/A | N/A | N/A | N/A | XEM906314508 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1953-03-30 | 2002SD000004 | X0001002 | N/A | OT | false | ELLIS | N/A | KATHY | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913581477 | N/A | N/A | 9688800 | 2222 | 4793 | 13184814 | N/A | 8108118 | 2025-10-02 05:06:41.115953 | 2025-09-24 21:19:03.418185 |
| 2025-10-01 08:04:30.171251 | 2025-10-02 02:04:19.164487 | 12878033 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 12878033 | Athletic Physical Therapy Inc | 1952-01-26 | 2025-10-02 | F | AE | AGHA ZADEH SHARE | 40034093701 | FIMA | PT | 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/2222/6582113/check_12878033_d236c9e0-36eb-41a7-8e15-a9484ef25207.json | N/A | N/A | N/A | N/A | N/A | 40034093701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-01-26 | 2025H5425001 | H5425M | N/A | N/A | false | AGHA ZADEH SHARE | N/A | FIMA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913713473 | N/A | N/A | 6582113 | 2222 | 4801 | 13166324 | N/A | 5201198 | 2025-10-02 02:04:19.164487 | 2025-07-11 22:39:28.411632 |
| 2025-10-01 08:04:15.327750 | 2025-10-02 02:20:02.929578 | 12877667 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12877667 | Athletic Physical Therapy Inc | 1945-01-03 | 2025-10-02 | M | AE | KIRK | 8Q34XD0CC92 | DANIEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20251001.131018544.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9261302/check_12877667_649a308b-ccfe-464b-a9bc-edc9d3bdb223.json | N/A | N/A | N/A | N/A | N/A | 8Q34XD0CC92 | Medicare Part B | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-01-03 | H5522 | N/A | N/A | MB | false | KIRK | N/A | DANIEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913621749 | N/A | N/A | 9261302 | 2222 | 4801 | 13175922 | N/A | 6476881 | 2025-10-02 02:20:02.929578 | 2025-07-29 22:42:05.499172 |
| 2025-10-01 08:04:10.850180 | 2025-10-02 05:09:23.543235 | 12877527 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12877527 | Athletic Physical Therapy Inc | 1948-11-19 | 2025-10-03 | M | AE | GONZALES JR | 1E61CX0GK13 | LEO | PT | 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/2222/7456457/check_12877527_a37c4afd-b40a-4811-9f40-acf1878751da.json | N/A | N/A | N/A | N/A | N/A | 1E61CX0GK13 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-11-19 | S4802 | N/A | N/A | MB | false | GONZALEZ JR | N/A | LEO | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913642615 | N/A | N/A | 7456457 | 2222 | 4793 | 13185945 | N/A | 6405774 | 2025-10-02 05:09:23.543235 | 2026-03-16 21:02:08.525887 |
| 2025-10-01 08:03:50.735569 | 2025-10-02 02:16:24.935991 | 12877050 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 12877050 | Athletic Physical Therapy Inc | 1983-04-06 | 2025-10-03 | F | PT | JOHNSON | 907100866000 | HEATHER | N/A | 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/2222/9258804/check_12877050_5361cd53-0eca-41f0-8a2c-8e67ed64a80c.json | N/A | N/A | N/A | N/A | N/A | XEH907100866 | Health Maintenance Organization (HMO) | COUNTY OF VENTURA ACTIVES | BLUE SHIELD CALIFORNIA | N/A | 1983-04-06 | 1000HMOX0002 | W0067449 | N/A | HM | false | JOHNSON | N/A | HEATHER | N/A | N/A | N/A | COUNTY OF VENTURA ACTIVES CUSTOM ACCESS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8913621624 | N/A | N/A | 9258804 | 2222 | 4801 | 13172756 | N/A | 4213256 | 2025-10-02 02:16:24.935991 | 2025-05-13 04:29:37.227582 |
| 2025-10-01 08:03:44.872383 | 2025-10-02 05:09:23.938029 | 12876919 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12876919 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-10-03 | F | AE | SHAKIB | 1MR6XC7NU77 | PARI | PT | 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/2222/7444722/check_12876919_4ef54018-f92a-4b9c-a429-9e0ac4a0fd14.json | N/A | N/A | N/A | N/A | N/A | 1MR6XC7NU77 | Medicare Part B | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-05-04 | H5521 | N/A | N/A | MB | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8913642449 | N/A | N/A | 7444722 | 2222 | 4802 | 13185947 | N/A | 6395498 | 2025-10-02 05:09:23.938029 | 2026-02-18 02:38:35.073779 |