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 | insurance_company_id | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-30 08:30:05.167952 | 2025-09-30 08:30:09.573698 | 12856806 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-07-28 | 2025-09-30 | F | AE | PT | 4191 | NANVAR | XEM905919639 | GUITY | https://storage.googleapis.com/normandy-eligibility-checks/2222/8650849/check_12856806_8be43fe1-c441-45fb-9a04-a7bf9d48afc1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8650849/check_12856806_589c2741-b602-4344-afb2-6a457b68eb64.json | N/A | N/A | N/A | N/A | N/A | XEM905919639 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1957-07-28 | 2004SE000030 | X0001002 | N/A | OT | false | NAMVAR | N/A | DAVID | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902871257 | N/A | N/A | 8650849 | 2222 | N/A | 13100246 | N/A | 7292786 | 2025-09-30 08:30:09.573698 | 2025-09-04 04:11:35.031790 |
| 2025-09-30 08:30:01.522700 | 2025-09-30 08:30:06.071597 | 12856793 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-02-25 | 2025-09-30 | F | AE | PT | 4497 | Segal | 9XA2J80PT02 | Jodi | https://storage.googleapis.com/normandy-eligibility-checks/2222/8493404/check_12856793_8a3780d6-c3f2-4013-9320-4168d7645dab.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8493404/check_12856793_b2fdd2de-87f2-4966-bde6-519adadbfc13.json | N/A | N/A | N/A | N/A | N/A | 9XA2J80PT02 | Medicare Part B | N/A | STATE FUND - CLAIMS PROCESSING C | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1968-02-25 | N/A | DOL 03201995 | N/A | MB | false | SEGAL | N/A | JODI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902871009 | N/A | N/A | 8493404 | 2222 | N/A | 13100237 | N/A | 7159935 | 2025-09-30 08:30:06.071597 | 2025-09-09 21:26:40.265997 |
| 2025-09-30 08:29:59.141618 | 2025-09-30 08:30:02.823659 | 12856790 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-08 | 2025-09-30 | F | AE | PT | 3842 | STERINA | 31470398711 | ELIZABETH | https://storage.googleapis.com/normandy-eligibility-checks/2222/8632770/check_12856790_dd990c1c-568e-48a9-9166-a5dc3e0bcf00.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8632770/check_12856790_cb944feb-6386-4d37-9142-5298b28d9a9b.json | N/A | N/A | N/A | N/A | N/A | 31470398711 | 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. | 1952-07-08 | N/A | N/A | N/A | SP | false | STERINA | N/A | ELIZABETH | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN N | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902870912 | N/A | N/A | 8632770 | 2222 | N/A | 13100231 | N/A | 7278220 | 2025-09-30 08:30:02.823659 | 2025-08-26 15:52:58.453727 |
| 2025-09-30 08:27:50.486747 | 2025-09-30 08:27:53.282821 | 12856458 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-06-14 | 2025-09-30 | M | AE | PT | 4185 | STAGNITTA | MBL690W21411 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/2222/7784381/check_12856458_95356a29-1701-461f-ab0f-a36fd8d26763.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7784381/check_12856458_7fa97fc0-1c74-44fd-8695-455155baa3cb.json | N/A | N/A | N/A | N/A | N/A | MBL690W21411 | N/A | LOS ANGELES CITY EMPLOYEES' RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1955-06-14 | 040 | CA039GRS | N/A | N/A | false | STAGNITTA | N/A | ROBERT | N/A | 9999-12-31 | 2024-10-01 | CA GRS LACERS H4036-801 ANTHEM MEDICARE PREFERRED | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902863267 | N/A | N/A | 7784381 | 2222 | N/A | 13099889 | N/A | 4212542 | 2025-09-30 08:27:53.282821 | 2025-08-05 17:22:00.318869 |
| 2025-09-30 08:27:40.257446 | 2025-09-30 08:27:46.703908 | 12856433 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1935-11-26 | 2025-09-30 | F | AE | PT | 4191 | MCCANN | JQE588W18533 | JOSEPHINE | https://storage.googleapis.com/normandy-eligibility-checks/2222/7760464/check_12856433_119b2abc-114e-4682-814a-54e2b0b25e5f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7760464/check_12856433_e0cc3168-fd1a-448d-b1fe-b992697bd2f7.json | N/A | N/A | N/A | N/A | N/A | JQE588W18533 | N/A | CA MED-SUPP | BLUE SHIELD OF CALIFORNIA | N/A | 1935-11-26 | 040 | CASUPWP0 | N/A | N/A | false | MCCANN | N/A | JOSEPHINE | N/A | 9999-12-31 | 2024-02-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902862511 | N/A | N/A | 7760464 | 2222 | N/A | 13099870 | N/A | 6609924 | 2025-09-30 08:27:46.703908 | 2025-08-12 22:04:05.464362 |
| 2025-09-30 08:26:39.968464 | 2025-09-30 08:26:43.138636 | 12856327 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-10-03 | 2025-09-30 | F | AE | PT | 4191 | CAVELLA | XEA913628752 | EMIL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6203312/check_12856327_8e034d45-ff9c-4a5d-a9fa-f8671ae51991.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6203312/check_12856327_913a6d12-d3b3-4e7a-843b-d3440d23ec2f.json | N/A | N/A | N/A | N/A | N/A | XAN913628752 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | MEDICARE PART A AND B | N/A | 1945-10-03 | 1002VX000001 | W0051411 | N/A | PR | false | CAVELLA | N/A | EMIL | N/A | 2025-12-31 | 2025-01-01 | CALPERS ASO PLATINUM PPO SUPPLEMENT TO MEDICARE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902859102 | N/A | N/A | 6203312 | 2222 | N/A | 13099759 | N/A | 4846213 | 2025-09-30 08:26:43.138636 | 2025-06-10 21:58:09.734801 |
| 2025-09-30 08:26:38.573805 | 2025-09-30 08:26:42.678293 | 12856325 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-03-06 | 2025-09-30 | M | PT | N/A | 4191 | Lane | LNJ914036056 | Jason | https://storage.googleapis.com/normandy-eligibility-checks/2222/6967170/check_12856325_4246e696-6c65-4964-bc06-be8edc4af028.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6967170/check_12856325_0e991f9d-0994-49e1-a343-0c2d8d54cd70.json | N/A | N/A | N/A | N/A | N/A | LNJ914036056 | Preferred Provider Organization (PPO) | LIVE NATION JOINT VENTURES | BLUE SHIELD OF CA | N/A | 1980-03-06 | 1000VX000001 | W3000596 | N/A | PR | false | LANE | N/A | JASON | N/A | N/A | N/A | LIVE NATION JOINT VENTURES CUSTOM VISION DELUXE 25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902859038 | N/A | N/A | 6967170 | 2222 | N/A | 13099758 | N/A | 5857104 | 2025-09-30 08:26:42.678293 | 2025-07-08 17:08:11.593095 |
| 2025-09-30 08:25:56.401032 | 2025-09-30 08:26:39.954910 | 12856246 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-10-03 | 2025-09-30 | F | AE | PT | 4191 | CAVELLA | XEA913628752 | EMIL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6203312/check_12856246_42b51acb-4465-4d1a-be80-c4ded224bdf5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-30 | N/A | N/A | N/A | N/A | N/A | N/A | XEA913628752 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1945-10-03 | N/A | N/A | N/A | N/A | false | CAVELLA | N/A | EMIL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6203312 | 2222 | N/A | N/A | N/A | 4846213 | 2025-09-30 08:26:39.954910 | 2025-06-10 21:58:09.734801 |
| 2025-09-30 08:13:37.505212 | 2025-09-30 08:13:39.844082 | 12854981 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-03-06 | 2025-09-30 | M | PT | N/A | 4191 | Lane | XEK904721388 | Jason | https://storage.googleapis.com/normandy-eligibility-checks/2222/6814774/check_12854981_af4f6169-6e13-43ec-9c95-08ea3aa99289.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814774/check_12854981_85322445-7943-4d3a-8a50-b0a104504880.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1980-03-06 | N/A | N/A | N/A | N/A | false | LANE | N/A | JASON | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6814774 | 2222 | N/A | 13098415 | N/A | 5857104 | 2025-09-30 08:13:39.844082 | 2025-07-08 17:08:11.593095 |
| 2025-09-30 08:13:35.134243 | 2025-09-30 08:13:37.456231 | 12854972 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-03-06 | 2025-09-30 | M | PT | N/A | 4191 | Lane | XEK904721388 | Jason | https://storage.googleapis.com/normandy-eligibility-checks/2222/6814774/check_12854972_4254bcac-f216-4f36-8f9c-e98a670e588e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-30 | N/A | N/A | N/A | N/A | N/A | N/A | XEK904721388 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1980-03-06 | N/A | N/A | N/A | N/A | false | LANE | N/A | JASON | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6814774 | 2222 | N/A | N/A | N/A | 5857104 | 2025-09-30 08:13:37.456231 | 2025-07-08 17:08:11.593095 |
| 2025-09-30 08:13:33.345939 | 2025-10-01 02:24:36.549012 | 12854964 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12854964 | Athletic Physical Therapy Inc | 1942-11-10 | 2025-10-03 | F | PT | N/A | N/A | SILBERSTEIN | XDL721A53829 | ANITA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110542646.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9063299/check_12854964_abf94d54-0e1b-4f3a-ad6e-691ecb28d94e.json | N/A | N/A | N/A | N/A | N/A | XDL721A53829 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1942-11-10 | 040 | H06200 | N/A | PR | false | SILBERSTEIN | N/A | ANITA | N/A | 9999-12-31 | 2018-03-01 | PPO SHARE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902814676 | N/A | N/A | 9063299 | 2222 | 4802 | 13125348 | N/A | 7578102 | 2025-10-01 02:24:36.549012 | 2025-09-09 18:13:04.525434 |
| 2025-09-30 08:12:02.917775 | 2025-10-01 02:15:37.722760 | 12854704 | N/A | N/A | 60054 | Aetna | 1114042165 | 12854704 | Athletic Physical Therapy Inc | 1989-01-27 | 2025-10-03 | M | AE | PT | N/A | Nawrot | W245282037 | Michael | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110542646.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9025372/check_12854704_06772e13-9a2e-47dd-b9ae-9b3e9ea014c8.json | N/A | N/A | N/A | N/A | N/A | W245282037 | Point of Service (POS) | ARES MANAGEMENT LLC | AETNA | N/A | 1989-01-27 | 0804939 | 080493901500051 | N/A | PS | false | NAWROT | N/A | MICHAEL | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902814532 | N/A | N/A | 9025372 | 2222 | 4802 | 13120783 | N/A | 7548299 | 2025-10-01 02:15:37.722760 | 2025-09-02 21:45:20.203692 |
| 2025-09-30 08:11:55.516332 | 2025-10-01 02:26:34.124098 | 12854686 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12854686 | Athletic Physical Therapy Inc | 1981-02-22 | 2025-10-03 | M | PT | N/A | N/A | WALKOW | XEK906265328 | RYAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110542646.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9024389/check_12854686_3828ac40-fe66-40c0-9eec-4a89fa86d839.json | N/A | N/A | N/A | N/A | N/A | XEK906265328 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1981-02-22 | 2001ZK002189 | X0001000 | N/A | PR | false | WALKOW | N/A | RYAN | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902814524 | N/A | N/A | 9024389 | 2222 | 4793 | 13126298 | N/A | 7546770 | 2025-10-01 02:26:34.124098 | 2025-09-09 02:40:35.718380 |
| 2025-09-30 08:11:38.237851 | 2025-09-30 08:11:42.393098 | 12854634 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-10-03 | 2025-09-30 | F | AE | PT | 4497 | CAVELLA | 3QD6Q97VV77 | EMIL | https://storage.googleapis.com/normandy-eligibility-checks/2222/6203310/check_12854634_53fed34c-3b50-43cb-86ec-0f7a29d71018.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6203310/check_12854634_870cc481-089b-4be4-a20c-49f8f8b650f1.json | N/A | N/A | N/A | N/A | N/A | 3QD6Q97VV77 | Medicare Part B | N/A | OPTUM INSURANCE OF OHIO, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-10-03 | S8841 | N/A | N/A | MB | false | CAVELLA | N/A | EMIL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902803056 | N/A | N/A | 6203310 | 2222 | N/A | 13098244 | N/A | 4846213 | 2025-09-30 08:11:42.393098 | 2025-06-10 21:58:09.734801 |
| 2025-09-30 08:10:24.116150 | 2025-09-30 08:10:27.732151 | 12854425 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-08-13 | 2025-09-30 | F | PT | N/A | 4185 | HUGGINS | JXN261A50994 | DEE DEE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543043/check_12854425_dcffe45e-3bbb-4d64-b2e0-04cf39337f7a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543043/check_12854425_26030a3c-084b-4165-9418-bb116bdf5a7a.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 9999-12-31 | 2022-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902795603 | N/A | N/A | 5543043 | 2222 | N/A | 13098106 | N/A | 4214884 | 2025-09-30 08:10:27.732151 | 2025-11-12 00:46:10.301659 |
| 2025-09-30 08:09:36.628372 | 2025-10-01 02:16:50.034567 | 12854003 | N/A | N/A | 60054 | Aetna | 1114042165 | 12854003 | Athletic Physical Therapy Inc | 1945-01-03 | 2025-10-02 | M | AE | PT | N/A | KIRK | 1013638055000 | DANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110218437.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7556097/check_12854003_58545085-50c4-467d-aa80-a6e7b9e38759.json | N/A | N/A | N/A | N/A | N/A | 101363805500 | Preferred Provider Organization (PPO) | VERIZON - MA | AETNA | MEDICARE | 1945-01-03 | 100008-02EG0011 | 100008-02 | N/A | PR | false | KIRK | N/A | DANIEL | N/A | N/A | N/A | WEST ADV PLAN 125 PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902798688 | N/A | N/A | 7556097 | 2222 | 4801 | 13121234 | N/A | 6476881 | 2025-10-01 02:16:50.034567 | 2025-07-29 22:42:05.499172 |
| 2025-09-30 08:09:35.706471 | 2025-10-01 02:15:36.404395 | 12853990 | N/A | N/A | 60054 | Aetna | 1114042165 | 12853990 | Athletic Physical Therapy Inc | 1967-12-19 | 2025-10-03 | F | AE | PT | N/A | BURRY | 101323278900 | CAROLYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110542646.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8971092/check_12853990_87ae01f4-88be-4884-93cf-1501d36f7021.json | N/A | N/A | N/A | N/A | N/A | 101323278900 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1967-12-19 | 000003-CA000058 | 000003-CA | N/A | PR | false | BURRY | N/A | CAROLYN | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902814932 | N/A | N/A | 8971092 | 2222 | 4801 | 13120775 | N/A | 7486536 | 2025-10-01 02:15:36.404395 | 2025-09-15 03:16:44.869236 |
| 2025-09-30 08:09:03.860372 | 2025-10-01 02:24:29.136908 | 12853670 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12853670 | Athletic Physical Therapy Inc | 1987-06-17 | 2025-10-02 | M | AE | PT | N/A | FAVELA | 620360888 | MAXIMILIAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110542646.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8960010/check_12853670_9d3dd36b-c60b-4383-bc47-111e0cac71bd.json | N/A | N/A | N/A | N/A | N/A | 620360888 | N/A | L.A. CARE COVERED GOLD 80 HMO | LA CARE HEALTH PLAN | HEALTH BENEFIT PLAN COVERAGE | 1987-06-17 | LACC | 92815CA001000701 | N/A | N/A | false | FAVELA | N/A | MAXIMILIAN | N/A | 2025-12-31 | 2025-02-01 | L.A. CARE COVERED | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902814031 | N/A | N/A | 8960010 | 2222 | 4802 | 13125272 | N/A | 7476978 | 2025-10-01 02:24:29.136908 | 2026-01-07 18:27:22.752552 |
| 2025-09-30 08:09:03.355113 | 2025-10-01 02:15:38.257290 | 12853664 | N/A | N/A | 60054 | Aetna | 1114042165 | 12853664 | Athletic Physical Therapy Inc | 1974-05-07 | 2025-10-03 | M | AE | PT | N/A | VIDAL | W28518662101 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110542646.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8959871/check_12853664_571c0dde-5647-4971-8062-db181c0b4432.json | N/A | N/A | N/A | N/A | N/A | W285186621 | Point of Service (POS) | PRYOR CASHMAN LLP | AETNA | N/A | 1974-05-07 | 0237510 | 023751001000003 | N/A | PS | false | VIDAL | N/A | THOMAS | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902814029 | N/A | N/A | 8959871 | 2222 | 4802 | 13120788 | N/A | 4210349 | 2025-10-01 02:15:38.257290 | 2025-05-13 04:29:37.224755 |
| 2025-09-30 08:08:57.394743 | 2025-10-01 02:19:45.116758 | 12853598 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12853598 | Athletic Physical Therapy Inc | 1944-09-29 | 2025-10-03 | F | AE | PT | N/A | GUASTELLA | 911M7843220 | ROSE ANN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110218437.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458753/check_12853598_d3283e6f-7977-4078-8b59-81f04ca9428e.json | N/A | N/A | N/A | N/A | N/A | 911M7843220 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1944-09-29 | N/A | N/A | N/A | N/A | 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 | 8902796791 | N/A | N/A | 7458753 | 2222 | 4801 | 13122789 | N/A | 6407685 | 2025-10-01 02:19:45.116758 | 2025-08-12 18:01:47.141909 |
| 2025-09-30 08:08:55.112508 | 2025-10-01 02:15:37.002330 | 12853568 | N/A | N/A | 60054 | Aetna | 1114042165 | 12853568 | Athletic Physical Therapy Inc | 1999-02-07 | 2025-10-03 | M | AE | PT | N/A | ELZAYN | AH2912772 | ANDREW | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110542646.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8767675/check_12853568_59871ba4-d21b-45da-be07-4ddb6220a4ba.json | N/A | N/A | N/A | N/A | N/A | AH2912772 | N/A | N/A | OTHER SOURCE OF INFORMATION | N/A | 1999-02-07 | 0868778 | 086877802000001 | N/A | N/A | false | ELZAYN | N/A | ANDREW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902815128 | N/A | N/A | 8767675 | 2222 | 4802 | 13120779 | N/A | 7383774 | 2025-10-01 02:15:37.002330 | 2025-08-28 18:43:11.156565 |
| 2025-09-30 08:07:58.543428 | 2025-10-01 02:19:46.129798 | 12852650 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12852650 | Athletic Physical Therapy Inc | 1998-10-29 | 2025-10-02 | M | PT | N/A | N/A | MARSHALL | AGSAH0066119 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110218437.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7003223/check_12852650_51f7e458-9e2e-448f-9c97-f87982b64523.json | N/A | N/A | N/A | N/A | N/A | AGSAH0066119 | N/A | PEPPERDINE UNIVERSITY | ANTHEM BLUE CROSS | N/A | 1998-10-29 | 040 | 276500MG04 | N/A | N/A | false | MARSHALL | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902796986 | N/A | N/A | 7003223 | 2222 | 4793 | 13122796 | N/A | 6021448 | 2025-10-01 02:19:46.129798 | 2025-07-14 23:05:51.728886 |
| 2025-09-30 08:07:56.081589 | 2025-10-01 02:24:37.077911 | 12852583 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12852583 | Athletic Physical Therapy Inc | 1960-08-19 | 2025-10-02 | M | PT | N/A | N/A | WARREN | MBL523W24301 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110542646.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8681972/check_12852583_db452ea3-52e2-41cc-b18f-dd0b52e5dc7e.json | N/A | N/A | N/A | N/A | N/A | MBL523W24301 | N/A | LOS ANGELES CITY EMPLOYEES' RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1960-08-19 | 040 | CA039GRS | N/A | N/A | false | WARREN | N/A | WILLIAM | N/A | 9999-12-31 | 2025-08-01 | CA GRS LACERS H4036-801 ANTHEM MEDICARE PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902815442 | N/A | N/A | 8681972 | 2222 | 4801 | 13125353 | N/A | 7315557 | 2025-10-01 02:24:37.077911 | 2025-09-08 19:23:27.353339 |
| 2025-09-30 08:07:40.427190 | 2025-10-01 02:24:35.959044 | 12852160 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12852160 | Athletic Physical Therapy Inc | 2003-05-02 | 2025-10-02 | M | PT | N/A | N/A | MUHAMMAD | XOF828514693 | KENNETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110542646.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8675672/check_12852160_cf230579-8c5e-4626-a1fb-5cc9bf2f96d7.json | N/A | N/A | N/A | N/A | N/A | XOF828514693 | Preferred Provider Organization (PPO) | IBJI - BRADLEY ACTIVES | HUMANA | N/A | 2003-05-02 | N/A | PK4933 | N/A | PR | false | MUHAMMAD | N/A | KERMIT | N/A | 9999-12-31 | 2022-02-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902815399 | N/A | N/A | 8675672 | 2222 | 4793 | 13125343 | N/A | 7310369 | 2025-10-01 02:24:35.959044 | 2026-02-03 01:46:10.334485 |
| 2025-09-30 08:07:37.974210 | 2025-10-01 02:26:34.578507 | 12852097 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12852097 | Athletic Physical Therapy Inc | 2006-05-31 | 2025-10-03 | F | PT | N/A | N/A | WARGNIER | XEA906576346 | CADENCE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110542646.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8674643/check_12852097_c57f2b03-ebd8-4861-a2e9-d802e15ebaba.json | N/A | N/A | N/A | N/A | N/A | XEA906576346 | Preferred Provider Organization (PPO) | NAIRMAC INC DBA PREMIER COACH | BLUE SHIELD CALIFORNIA | N/A | 2006-05-31 | 1000VX000102 | W0099736 | N/A | PR | false | WARGNIER | N/A | NEISHA | N/A | 9999-12-31 | 2025-06-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902814017 | N/A | N/A | 8674643 | 2222 | 4801 | 13126303 | N/A | 7309740 | 2025-10-01 02:26:34.578507 | 2025-09-12 11:13:33.919728 |
| 2025-09-30 08:07:37.088993 | 2025-10-01 02:29:48.998960 | 12852073 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12852073 | Athletic Physical Therapy Inc | 1956-06-26 | 2025-10-02 | F | AE | PT | N/A | SUAREZ | JQE410W22492 | ANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110220114.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9083355/check_12852073_6ecefdcf-c144-4eda-90a2-9cf46dafff41.json | N/A | N/A | N/A | N/A | N/A | JQE410W22492 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1956-06-26 | 040 | CASUPWP0 | N/A | N/A | false | SUAREZ | N/A | ANA | N/A | 9999-12-31 | 2025-01-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902789342 | N/A | N/A | 9083355 | 2222 | 4801 | 13127379 | N/A | 7600312 | 2025-10-01 02:29:48.998960 | 2025-09-04 18:19:39.478018 |
| 2025-09-30 08:07:36.136543 | 2025-10-01 02:29:24.033690 | 12852053 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12852053 | Athletic Physical Therapy Inc | 1961-03-12 | 2025-10-02 | F | PT | N/A | N/A | MCNUTT | XED904914958 | YOLANDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110135296.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6668755/check_12852053_205440bd-1e7c-4573-adff-1847acf6f4c4.json | N/A | N/A | N/A | N/A | N/A | XED904914958 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-03-12 | 2001ZK002184 | X0001004 | N/A | PR | false | FERNANDEZ-MCNUTT | N/A | YOLANDA | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902791464 | N/A | N/A | 6668755 | 2222 | 4801 | 13127239 | N/A | 5282877 | 2025-10-01 02:29:24.033690 | 2025-07-01 15:56:36.473431 |
| 2025-09-30 08:07:36.051385 | 2025-10-01 02:24:13.643224 | 12852050 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12852050 | Athletic Physical Therapy Inc | 1969-01-24 | 2025-10-03 | F | AE | PT | N/A | DEBENEDICTIS | R00538590FS1 | JULIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110542646.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8673509/check_12852050_66079f86-ca8d-438e-acbf-15545ea62f52.json | N/A | N/A | N/A | N/A | N/A | R00538590FS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-24 | N/A | N/A | N/A | N/A | false | DEBENEDICTIS | N/A | JULIE | N/A | 2025-09-30 | 2025-02-01 | KWW PPOSBG | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902814012 | N/A | N/A | 8673509 | 2222 | 4793 | 13125100 | N/A | 7308743 | 2025-10-01 02:24:13.643224 | 2025-09-08 16:19:09.101702 |
| 2025-09-30 08:07:30.755783 | 2025-10-01 02:22:38.521933 | 12851925 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 12851925 | Athletic Physical Therapy Inc | 1937-09-14 | 2025-10-02 | M | AE | PT | N/A | MEJIA | 40055012201 | RUBEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110135296.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6642365/check_12851925_0a100eea-658c-4d57-9b38-5625df5bd9b8.json | N/A | N/A | N/A | N/A | N/A | 40055012201 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1937-09-14 | 2025H5425001 | H5425M | N/A | N/A | false | MEJIA | N/A | RUBEN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902791419 | N/A | N/A | 6642365 | 2222 | 4801 | 13124213 | N/A | 5249029 | 2025-10-01 02:22:38.521933 | 2025-07-14 01:52:51.387918 |
| 2025-09-30 08:07:26.064370 | 2025-10-01 02:30:18.374515 | 12851803 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12851803 | Athletic Physical Therapy Inc | 2012-11-14 | 2025-10-02 | F | PT | N/A | N/A | IOANNOU | PAS839113807 | PENELOPE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110135296.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6621141/check_12851803_031be785-8967-4930-8305-3c79e2929830.json | N/A | N/A | N/A | N/A | N/A | PAS839113807 | Preferred Provider Organization (PPO) | WEST HEALTH CARE NETWORK | CUSTOMER SERVICE | N/A | 2012-11-14 | N/A | 152010 | N/A | PR | false | IOANNOU | N/A | GEORGE | N/A | 9999-12-31 | 2018-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902790043 | N/A | N/A | 6621141 | 2222 | 4801 | 13127522 | N/A | 5237460 | 2025-10-01 02:30:18.374515 | 2025-07-24 16:59:54.908041 |
| 2025-09-30 08:07:26.011198 | 2025-10-01 02:19:45.720980 | 12851800 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12851800 | Athletic Physical Therapy Inc | 1936-09-29 | 2025-10-03 | M | AE | PT | N/A | JAUDE | JQE122A53874 | KARIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110218437.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6821574/check_12851800_42bd2cc9-da31-4e20-896e-df19786b20d2.json | N/A | N/A | N/A | N/A | N/A | JQE122A53874 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1936-09-29 | 040 | CASUPWP0 | N/A | N/A | false | JAUDE | N/A | KARIM | N/A | 9999-12-31 | 2023-12-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902797711 | N/A | N/A | 6821574 | 2222 | 4802 | 13122794 | N/A | 4214191 | 2025-10-01 02:19:45.720980 | 2025-05-13 04:29:37.228525 |
| 2025-09-30 08:07:22.013513 | 2025-10-01 02:25:35.259282 | 12851700 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12851700 | Athletic Physical Therapy Inc | 1963-02-27 | 2025-10-02 | F | PT | N/A | N/A | MARYAN | JPU047A23611 | MICHELLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110135296.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6600346/check_12851700_b2ff2174-0c81-4498-9adb-e013115fbb0a.json | N/A | N/A | N/A | N/A | N/A | JPU047A23611 | Preferred Provider Organization (PPO) | PREMIER AMERICA CREDIT UNION | ANTHEM BLUE CROSS | N/A | 1963-02-27 | 040 | L06734M004 | N/A | PR | false | MARYAN | N/A | MICHELLE | N/A | 9999-12-31 | 2025-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902790010 | N/A | N/A | 6600346 | 2222 | 4801 | 13125902 | N/A | 4211322 | 2025-10-01 02:25:35.259282 | 2025-07-17 16:31:59.104530 |
| 2025-09-30 08:07:19.209220 | 2025-10-01 02:13:58.106255 | 12851636 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 12851636 | Athletic Physical Therapy Inc | 1947-09-20 | 2025-10-03 | M | AE | PT | N/A | SHIMOHARA | H7561028700 | STANLEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110135296.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6594216/check_12851636_3bd18492-1fda-4c7a-a70d-555a323a7793.json | N/A | N/A | N/A | N/A | N/A | H75610287 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 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 | 1947-09-20 | N/A | 0B527001 | N/A | HN | false | SHIMOHARA | N/A | STANLEY | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902789984 | N/A | N/A | 6594216 | 2222 | 4801 | 13120002 | N/A | 5213181 | 2025-10-01 02:13:58.106255 | 2025-07-28 18:07:32.231640 |
| 2025-09-30 08:07:17.876594 | 2025-10-01 02:29:47.375984 | 12851604 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12851604 | Athletic Physical Therapy Inc | 1942-10-02 | 2025-10-02 | M | AE | PT | N/A | SAWAYA | XDD599A52218 | PETER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110220114.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9033459/check_12851604_dd33ec7e-540c-42fe-ab61-4ef7bca20eac.json | N/A | N/A | N/A | N/A | N/A | XDD599A52218 | Indemnity | SISC - COMPANIONCARE | MEDICARE D | N/A | 1942-10-02 | 040 | 40003A | N/A | IN | false | SAWAYA | N/A | PETER | N/A | 9999-12-31 | 2023-01-01 | MEDICARE SUPPLEMENT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902788836 | N/A | N/A | 9033459 | 2222 | 4802 | 13127370 | N/A | 7553607 | 2025-10-01 02:29:47.375984 | 2025-09-02 22:55:04.873891 |
| 2025-09-30 08:07:14.674790 | 2025-10-01 02:19:44.419553 | 12851514 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12851514 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-10-02 | M | AE | PT | N/A | CICCIARI | JQE123W23890 | LOUIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110218437.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752939/check_12851514_82e77954-9029-40c8-b2b8-64009a4333bc.json | N/A | N/A | N/A | N/A | N/A | JQE123W23890 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-09-07 | 040 | CASUPWP0 | N/A | N/A | false | CICCIARI | N/A | LOUIS | N/A | 9999-12-31 | 2025-06-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902798609 | N/A | N/A | 6752939 | 2222 | 4801 | 13122783 | N/A | 5065602 | 2025-10-01 02:19:44.419553 | 2025-07-01 17:25:13.681724 |
| 2025-09-30 08:07:10.012151 | 2025-10-01 02:29:22.347875 | 12851394 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12851394 | Athletic Physical Therapy Inc | 1966-03-26 | 2025-10-03 | F | PT | N/A | N/A | Deschatres | XED912070650 | Nathalie | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110135296.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577909/check_12851394_2553982e-f55a-4dd4-b9f3-8210c5874933.json | N/A | N/A | N/A | N/A | N/A | XED912070650 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1966-03-26 | 2001ZK002186 | X0001004 | N/A | PR | false | DESCHATRES | N/A | NATHALIE | N/A | 9999-12-31 | 2025-01-01 | SILVER 73 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902790766 | N/A | N/A | 6577909 | 2222 | 4802 | 13127233 | N/A | 4766701 | 2025-10-01 02:29:22.347875 | 2025-06-03 21:11:46.573919 |
| 2025-09-30 08:07:07.290491 | 2025-10-01 02:26:31.670524 | 12851330 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12851330 | Athletic Physical Therapy Inc | 1965-06-30 | 2025-10-02 | M | PT | N/A | N/A | GAMLOWSKI | XEH906942906 | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110542646.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8650498/check_12851330_3dba5788-e325-4d6f-ab33-f85dfad05001.json | N/A | N/A | N/A | N/A | N/A | XEH906942906 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1965-06-30 | 1478HMOX0001 | W0051411 | N/A | HM | false | GAMLOWSKI | N/A | JOHN | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902815301 | N/A | N/A | 8650498 | 2222 | 4801 | 13126286 | N/A | 7292599 | 2025-10-01 02:26:31.670524 | 2025-08-26 22:09:31.664811 |
| 2025-09-30 08:07:04.414713 | 2025-10-01 02:19:45.406120 | 12851252 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12851252 | Athletic Physical Therapy Inc | 1959-07-23 | 2025-10-03 | M | AE | PT | N/A | Harvey | LFYHC0062508 | Roy | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110218437.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714942/check_12851252_bc54c5e0-4502-4214-ab39-fde4de8a7a15.json | N/A | N/A | N/A | N/A | N/A | LFYHC0062508 | Preferred Provider Organization (PPO) | LOS ANGELES FIREMENS RELIEF ASSOCIATION - RETIREE | ANTHEM BLUE CROSS | N/A | 1959-07-23 | 040 | 282527M002 | N/A | PR | false | HARVEY | N/A | ROY | N/A | 9999-12-31 | 2020-02-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902798585 | N/A | N/A | 6714942 | 2222 | 4802 | 13122793 | N/A | 5316172 | 2025-10-01 02:19:45.406120 | 2025-07-02 15:09:36.678003 |
| 2025-09-30 08:07:03.988577 | 2025-10-01 02:19:44.824303 | 12851241 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12851241 | Athletic Physical Therapy Inc | 1951-10-16 | 2025-10-03 | F | AE | PT | N/A | GARRETT | JQE702W20596 | KATHLEEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110218437.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714934/check_12851241_70ae3b92-2037-4dd2-bcf7-e8c7e89c7c66.json | N/A | N/A | N/A | N/A | N/A | JQE702W20596 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-10-16 | 040 | CASUPWP0 | N/A | N/A | false | GARRETT | N/A | KATHLEEN | N/A | 9999-12-31 | 2024-07-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902798583 | N/A | N/A | 6714934 | 2222 | 4793 | 13122786 | N/A | 5316176 | 2025-10-01 02:19:44.824303 | 2025-07-01 18:44:12.927482 |
| 2025-09-30 08:07:02.125124 | 2025-10-01 02:29:39.713222 | 12851192 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12851192 | Athletic Physical Therapy Inc | 1950-04-13 | 2025-10-03 | F | AE | PT | N/A | NATALI | 94579563C | RENEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110220114.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8979227/check_12851192_c6bf2a92-e610-4161-949b-04ac479243f4.json | N/A | N/A | N/A | N/A | N/A | 94579563C | N/A | MCLA WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1950-04-13 | MCLA | MWLLDAGG21 | N/A | N/A | false | NATALI | N/A | RENEE | N/A | 2025-07-31 | 2025-02-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902789480 | N/A | N/A | 8979227 | 2222 | 4793 | 13127327 | N/A | 7498543 | 2025-10-01 02:29:39.713222 | 2025-10-14 17:13:32.178778 |
| 2025-09-30 08:06:58.966746 | 2025-10-01 02:30:19.670151 | 12851099 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12851099 | Athletic Physical Therapy Inc | 2002-02-06 | 2025-10-02 | F | PT | N/A | N/A | MANALO LAMANNA | GSC134174111001 | ISADORE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110135296.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554790/check_12851099_a22e414e-3968-4af3-a860-0908bee37ca0.json | N/A | N/A | N/A | N/A | N/A | GSC134174111001 | Preferred Provider Organization (PPO) | WTW/ PE CONSTELLATION SOFTWARE INC. $20 /$50 COPAY | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = SELF INSURED | 2002-02-06 | 363 | 08407400 | N/A | PR | false | MANALOLAMANNA | N/A | ANDREW | N/A | 9999-12-31 | 2022-01-01 | BLUE CARD PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902791687 | N/A | N/A | 6554790 | 2222 | 4793 | 13127526 | N/A | 5177947 | 2025-10-01 02:30:19.670151 | 2026-05-11 21:31:25.186699 |
| 2025-09-30 08:06:55.117169 | 2025-10-01 02:29:44.803543 | 12850990 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12850990 | Athletic Physical Therapy Inc | 1948-07-07 | 2025-10-03 | F | AE | PT | N/A | GOEL | JQE690A74746 | VEENA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110220114.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969545/check_12850990_93b27082-0344-49b7-90d0-afd57c9b4e9d.json | N/A | N/A | N/A | N/A | N/A | JQE690A74746 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1948-07-07 | 040 | CASUPWP0 | N/A | N/A | false | GOEL | N/A | VEENA | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902792510 | N/A | N/A | 8969545 | 2222 | 4802 | 13127355 | N/A | 7485064 | 2025-10-01 02:29:44.803543 | 2025-12-29 22:41:16.623495 |
| 2025-09-30 08:06:53.540214 | 2025-10-01 02:24:34.564179 | 12850947 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12850947 | Athletic Physical Therapy Inc | 1962-07-16 | 2025-10-03 | M | PT | N/A | N/A | FORSTER | D7X929848912 | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110542646.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8633336/check_12850947_8057ed08-84ef-46db-8180-487a0a494783.json | N/A | N/A | N/A | N/A | N/A | D7X929848912 | Preferred Provider Organization (PPO) | CACI INTERNATIONAL | ANTHEM BLUE CROSS | N/A | 1962-07-16 | N/A | 67203000 | N/A | PR | false | FORSTER | N/A | JOHN | N/A | 9999-12-31 | 2025-07-01 | BLUECHOICE ADVANTAGE CDH | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902814883 | N/A | N/A | 8633336 | 2222 | 4801 | 13125327 | N/A | 4209604 | 2025-10-01 02:24:34.564179 | 2025-05-13 04:29:37.224032 |
| 2025-09-30 08:06:17.558329 | 2025-10-01 02:24:22.313306 | 12849997 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12849997 | Athletic Physical Therapy Inc | 1950-08-30 | 2025-10-02 | M | AE | PT | N/A | VILLA | 00000293779 | RAMON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110542646.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471007/check_12849997_386f170f-e85d-48a6-946c-600a35cfc013.json | N/A | N/A | N/A | N/A | N/A | 00000293779 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1950-08-30 | N/A | N/A | N/A | N/A | false | VILLA | N/A | RAMON | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902815055 | N/A | N/A | 8471007 | 2222 | 4801 | 13125205 | 2630 | 7142042 | 2025-10-01 02:24:22.313306 | 2025-08-25 17:21:31.750932 |
| 2025-09-30 08:06:02.625089 | 2025-10-01 05:04:11.670721 | 12849466 | N/A | N/A | 60054 | Aetna | 1114042165 | 12849466 | Athletic Physical Therapy Inc | 1986-12-18 | 2025-10-01 | F | PT | N/A | N/A | DO | YSQ317A20292 | VI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.105925828.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9838665/check_12849466_6d3f1501-2692-442f-8186-398ff2cc392b.json | N/A | N/A | N/A | N/A | N/A | YSQ317A20292 | N/A | N/A | AETNA INC | N/A | 1986-12-18 | N/A | N/A | N/A | N/A | false | DO | N/A | VI | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902770851 | N/A | N/A | 9838665 | 2222 | 4802 | 13131217 | N/A | 8236835 | 2025-10-01 05:04:11.670721 | 2025-09-29 23:20:04.358014 |
| 2025-09-30 08:06:02.510375 | 2025-10-01 05:07:46.289085 | 12849462 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12849462 | Athletic Physical Therapy Inc | 1995-10-28 | 2025-10-02 | F | PT | N/A | N/A | Vasko | R61373421 | Jacqueline | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.105925828.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9838049/check_12849462_c56d4e18-4958-4d92-8c5b-2248bc2a0b10.json | N/A | N/A | N/A | N/A | N/A | R61373421 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1995-10-28 | N/A | 104 | N/A | PR | false | VASKO | N/A | JACQUELINE | N/A | 2025-11-04 | 2022-01-02 | STANDARD | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902770848 | N/A | N/A | 9838049 | 2222 | 4802 | 13132371 | N/A | 8236767 | 2025-10-01 05:07:46.289085 | 2025-09-29 23:04:15.485280 |
| 2025-09-30 08:06:01.916275 | 2025-10-01 02:25:42.055692 | 12849432 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12849432 | Athletic Physical Therapy Inc | 1960-11-20 | 2025-10-03 | F | PT | N/A | N/A | RUND | JQU141A61623 | Stephanie | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110135296.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398636/check_12849432_b8a6956e-0979-41a0-b3c5-516f87484f2c.json | N/A | N/A | N/A | N/A | N/A | JQU141A61623 | Preferred Provider Organization (PPO) | BRUCE EDWARDS DDS | ANTHEM BLUE CROSS | N/A | 1960-11-20 | 040 | 225912 | N/A | PR | false | RUND | N/A | STEPHANIE | N/A | 9999-12-31 | 2024-12-01 | ANTHEM GOLD PPO 30/500/20% RXD | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902791592 | N/A | N/A | 6398636 | 2222 | 4802 | 13125959 | N/A | 5046194 | 2025-10-01 02:25:42.055692 | 2026-01-06 19:15:31.520951 |
| 2025-09-30 08:05:58.793781 | 2025-10-01 02:31:28.421427 | 12849276 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12849276 | Athletic Physical Therapy Inc | 1955-11-13 | 2025-10-01 | F | AE | PT | N/A | GRANT | XEM910029614 | ROBIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110220114.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8493312/check_12849276_7d5d2981-7d00-4341-9d12-722c8f4e8d77.json | N/A | N/A | N/A | N/A | N/A | XEM910029614 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-11-13 | 2002SE000030 | X0001002 | N/A | OT | false | GRANT | N/A | ROBIN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902788676 | N/A | N/A | 8493312 | 2222 | 4802 | 13127880 | N/A | 7159835 | 2025-10-01 02:31:28.421427 | 2025-08-25 22:38:59.735145 |
| 2025-09-30 08:05:56.145475 | 2025-10-01 02:13:56.911885 | 12849142 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 12849142 | Athletic Physical Therapy Inc | 1950-06-01 | 2025-10-03 | F | AE | PT | N/A | MCDEVITT | H7220666800 | GUADALUPE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110135296.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6221805/check_12849142_472eee03-615c-40f6-a7df-cdacd268d46b.json | N/A | N/A | N/A | N/A | N/A | H72206668 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 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 | 1950-06-01 | N/A | 0B527001 | N/A | HN | false | MCDEVITT | N/A | GUADALUPE | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902791562 | N/A | N/A | 6221805 | 2222 | 4801 | 13119988 | N/A | 4865742 | 2025-10-01 02:13:56.911885 | 2025-06-11 15:46:59.098537 |
| 2025-09-30 08:05:53.430047 | 2025-10-01 05:02:20.735986 | 12849003 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12849003 | Athletic Physical Therapy Inc | 1947-12-09 | 2025-10-01 | F | PT | N/A | N/A | TAFFERT | 462W1966320 | VIRGINIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.105925828.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9830424/check_12849003_9f4d3990-770e-4864-b1ca-e68f6bd583a9.json | N/A | N/A | N/A | N/A | N/A | 462W1966320 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1947-12-09 | N/A | N/A | N/A | N/A | false | TAFFERT | N/A | VIRGINIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902768690 | N/A | N/A | 9830424 | 2222 | 4793 | 13130676 | N/A | 8232327 | 2025-10-01 05:02:20.735986 | 2025-09-29 20:43:06.367634 |