API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-30 08:05:49.938988 | 2025-10-01 02:31:47.931192 | 12848794 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12848794 | Athletic Physical Therapy Inc | 1976-12-11 | 2025-10-03 | M | AE | PT | NAGATSUKA | NCF475A62996 | ANTHONY | 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/2222/8454587/check_12848794_09ed0662-e073-4f7e-8f06-8f2be06daeb5.json | N/A | N/A | N/A | N/A | N/A | NCF475A62996 | Health Maintenance Organization (HMO) | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1976-12-11 | 040 | 57AJCA | N/A | HM | false | CHAO NAGATSUKA | N/A | ANGELITA | N/A | 9999-12-31 | 2024-08-01 | POWER SELECT HMO NETWORK 126+ | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902791979 | N/A | N/A | 8454587 | 2222 | 4801 | 13128015 | N/A | 6653733 | 2025-10-01 02:31:47.931192 | 2025-08-24 22:53:15.351116 |
| 2025-09-30 08:05:49.053165 | 2025-10-01 02:29:20.752212 | 12848738 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 12848738 | Athletic Physical Therapy Inc | 1974-08-11 | 2025-10-02 | M | PT | N/A | ALBA | XEH909330777 | KYLE | 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/2222/6210099/check_12848738_225c9b50-04c9-48a2-abb5-6cb6bd0d0a3c.json | N/A | N/A | N/A | N/A | N/A | XEH909330777 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1974-08-11 | 1000VX000001 | W0069783 | N/A | HM | false | ALBA | N/A | KYLE | N/A | 9999-12-31 | 2020-07-01 | TRADER JOE S COMPANY CUSTOM ACCESS HMO 25 500 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902790461 | N/A | N/A | 6210099 | 2222 | 4793 | 13127226 | N/A | 4852857 | 2025-10-01 02:29:20.752212 | 2025-06-17 16:28:13.795457 |
| 2025-09-30 08:05:48.226350 | 2025-10-01 02:26:33.294921 | 12848683 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12848683 | Athletic Physical Therapy Inc | 2001-07-17 | 2025-10-02 | M | PT | N/A | HUNTER | XEK905471650 | KYLE | 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/2222/8420132/check_12848683_a2865905-91c0-4548-a36e-185f8deb547c.json | N/A | N/A | N/A | N/A | N/A | XEK905471650 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2001-07-17 | 2001ZK002189 | X0001000 | N/A | PR | false | HUNTER | N/A | MARK | N/A | 2025-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902814490 | N/A | N/A | 8420132 | 2222 | 4801 | 13126294 | N/A | 7097528 | 2025-10-01 02:26:33.294921 | 2025-08-25 23:26:20.393423 |
| 2025-09-30 08:05:46.799827 | 2025-10-01 02:29:46.590313 | 12848595 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12848595 | Athletic Physical Therapy Inc | 1934-05-31 | 2025-10-01 | M | AE | PT | RANDERIA | R58901143 | BHUPENDRA | 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/2222/8420255/check_12848595_6b7d440d-bf2b-4b0f-991b-29d28377679f.json | N/A | N/A | N/A | N/A | N/A | R58901143 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1934-05-31 | N/A | 106 | N/A | PR | false | RANDERIA | N/A | BHUPEN | N/A | 9999-12-31 | 2018-01-01 | STANDARD SECONDARY | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902791960 | N/A | N/A | 8420255 | 2222 | 4802 | 13127365 | N/A | 7097664 | 2025-10-01 02:29:46.590313 | 2026-04-30 18:11:14.979451 |
| 2025-09-30 08:05:44.616823 | 2025-10-01 05:14:21.391678 | 12848464 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12848464 | Athletic Physical Therapy Inc | 1976-12-11 | 2025-10-03 | M | AE | PT | NAGATSUKA | R06971566MM1 | ANTHONY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.105427670.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7813417/check_12848464_5df53959-e1b7-47d6-97e7-3e187de65708.json | N/A | N/A | N/A | N/A | N/A | R06971566MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1976-12-11 | N/A | N/A | N/A | N/A | false | NAGATSUKA | N/A | ANTHONY | N/A | 2025-09-30 | 2025-09-01 | KW3 SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902759769 | N/A | N/A | 7813417 | 2222 | 4801 | 13134893 | N/A | 6653733 | 2025-10-01 05:14:21.391678 | 2025-08-24 22:53:15.351116 |
| 2025-09-30 08:05:44.402224 | 2025-10-01 05:02:32.627096 | 12848452 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12848452 | Athletic Physical Therapy Inc | 1960-02-11 | 2025-10-03 | F | AE | PT | BASS | 101139629800 | NADINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.105427670.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7813006/check_12848452_bac01bf6-be9e-44fd-9b67-d76082b07bec.json | N/A | N/A | N/A | N/A | N/A | 101139629800 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1960-02-11 | N/A | N/A | N/A | N/A | false | BASS | N/A | NADINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902759764 | N/A | N/A | 7813006 | 2222 | 4802 | 13130722 | N/A | 6653186 | 2025-10-01 05:02:32.627096 | 2025-08-06 14:30:41.257679 |
| 2025-09-30 08:05:42.630277 | 2025-10-01 05:14:21.065836 | 12848346 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12848346 | Athletic Physical Therapy Inc | 1992-12-01 | 2025-10-01 | F | AE | PT | Mullen | 97749132H | Melissa | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.105427670.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7799930/check_12848346_594d503b-8ae5-4a93-8d54-08a1623643e8.json | N/A | N/A | N/A | N/A | N/A | 97749132H | N/A | N/A | HEALTH NET, LLC | N/A | 1992-12-01 | N/A | N/A | N/A | N/A | false | MULLEN | N/A | MELISSA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902759735 | N/A | N/A | 7799930 | 2222 | 4802 | 13134891 | N/A | 6641123 | 2025-10-01 05:14:21.065836 | 2025-08-06 00:00:36.528464 |
| 2025-09-30 08:05:35.543899 | 2025-10-01 05:16:48.017537 | 12847924 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12847924 | Athletic Physical Therapy Inc | 1968-02-07 | 2025-10-02 | M | PT | N/A | Sariri | XDP632A69850 | Darius | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.105427670.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7754707/check_12847924_babafa12-11da-45a7-ba95-780c1bbfbb45.json | N/A | N/A | N/A | N/A | N/A | XDP632A69850 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | BLUE SHIELD OF CALIFORNIA | N/A | 1968-02-07 | 040 | 280629Q052 | N/A | PR | false | MAVADDAT | N/A | NEUSHA | N/A | 9999-12-31 | 2025-07-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902760468 | N/A | N/A | 7754707 | 2222 | 4802 | 13135632 | N/A | 6605684 | 2025-10-01 05:16:48.017537 | 2025-08-05 01:08:16.312539 |
| 2025-09-30 08:05:32.498585 | 2025-10-01 02:03:31.568187 | 12847710 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12847710 | Athletic Physical Therapy Inc | 1945-07-04 | 2025-10-02 | M | PT | N/A | Seminario | 442W1081810 | Gustavo | 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/2222/6124845/check_12847710_75314d26-25b5-4eca-9dff-800c67b53672.json | N/A | N/A | N/A | N/A | N/A | 442W1081810 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1945-07-04 | N/A | N/A | N/A | N/A | false | SEMINARIO | N/A | GUSTAVO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902791316 | N/A | N/A | 6124845 | 2222 | 4793 | 13116965 | N/A | 4767293 | 2025-10-01 02:03:31.568187 | 2025-06-06 15:11:48.015692 |
| 2025-09-30 08:05:31.259394 | 2025-10-01 02:24:19.184331 | 12847620 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 12847620 | Athletic Physical Therapy Inc | 1958-01-09 | 2025-10-03 | F | AE | PT | MEISTER | 4042289 | JACQUELINE | 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/2222/6124078/check_12847620_fab1ad99-acfd-4e36-9fa9-804490c26ad6.json | N/A | N/A | N/A | N/A | N/A | 4042289 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1958-01-09 | N/A | N/A | N/A | N/A | false | MEISTER | N/A | JACQUELINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902791309 | N/A | N/A | 6124078 | 2222 | 4793 | 13125168 | N/A | 4766789 | 2025-10-01 02:24:19.184331 | 2025-06-04 04:12:38.642669 |
| 2025-09-30 08:05:30.875750 | 2025-10-01 02:29:27.934389 | 12847596 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12847596 | Athletic Physical Therapy Inc | 1994-02-23 | 2025-10-02 | F | PT | N/A | SHU | XAN913831469 | GABRIELA | 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/2222/6121701/check_12847596_00f5665c-4a6d-46b1-b186-6dc4c46afbf2.json | N/A | N/A | N/A | N/A | N/A | XAN913831469 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1994-02-23 | 1479PPOX0003 | W0051411 | N/A | PR | false | SHU | N/A | GABRIELA | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902791307 | N/A | N/A | 6121701 | 2222 | 4793 | 13127260 | N/A | 4764460 | 2025-10-01 02:29:27.934389 | 2025-06-04 04:30:06.494155 |
| 2025-09-30 08:05:20.437199 | 2025-10-01 05:06:42.887074 | 12846856 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 12846856 | override_provider | 1984-07-28 | 2025-10-03 | M | PT | N/A | ADAPA | DHC801433521 | PAVAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.105427670.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7638701/check_12846856_2e2e4cf8-dc98-469b-b92f-711394aef12f.json | N/A | N/A | N/A | N/A | N/A | DHC801433521 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1984-07-28 | N/A | 91305-03A | N/A | PR | false | ADAPA | N/A | PAVAN SAI KUMAR | N/A | 9999-12-31 | 2024-01-01 | PREFERRED CARE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902761528 | N/A | N/A | 7638701 | 2222 | 4793 | 13132013 | N/A | 6533086 | 2025-10-01 05:06:42.887074 | 2025-08-12 04:29:49.496561 |
| 2025-09-30 08:05:20.223724 | 2025-10-01 02:29:23.191998 | 12846839 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12846839 | Athletic Physical Therapy Inc | 1982-07-02 | 2025-10-02 | M | PT | N/A | DRISCOLL | XED912182768 | JAMES | 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/2222/6104970/check_12846839_efbe15a1-136d-43f5-b518-3846d74ddf30.json | N/A | N/A | N/A | N/A | N/A | XED912182768 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1982-07-02 | 2001ZK002184 | X0001004 | N/A | PR | false | DRISCOLL | N/A | JAMES | N/A | 9999-12-31 | 2023-04-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902790360 | N/A | N/A | 6104970 | 2222 | 4802 | 13127236 | N/A | 4749447 | 2025-10-01 02:29:23.191998 | 2025-06-06 23:16:09.869339 |
| 2025-09-30 08:05:19.144381 | 2025-10-01 02:29:38.600383 | 12846768 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12846768 | Athletic Physical Therapy Inc | 1956-05-22 | 2025-10-01 | F | AE | PT | CHOOBIN | 91331250G | KEFAYAT | 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/2222/8205059/check_12846768_1a5e90e8-2beb-4234-b6c1-2235936bbd7c.json | N/A | N/A | N/A | N/A | N/A | 91331250G | N/A | MCLA WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1956-05-22 | MCLA | MWLLDAGG21 | N/A | N/A | false | CHOOBIN | N/A | KEFAYAT | N/A | 2078-12-31 | 2021-05-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902791806 | N/A | N/A | 8205059 | 2222 | 4793 | 13127321 | N/A | 6967073 | 2025-10-01 02:29:38.600383 | 2025-08-26 17:15:30.662072 |
| 2025-09-30 08:05:16.171295 | 2025-10-01 05:06:43.663279 | 12846580 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 12846580 | Athletic Physical Therapy Inc | 1975-12-22 | 2025-10-03 | M | PT | N/A | HUTH | XEH910929228 | KENT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.105427670.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7626895/check_12846580_aefb0c1f-3e3a-45c2-9290-da13eee6abf0.json | N/A | N/A | N/A | N/A | N/A | XEH910929228 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1975-12-22 | 1000HMOX0001 | W0051411 | N/A | HM | false | HUTH | N/A | KENT | 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 | 8902760123 | N/A | N/A | 7626895 | 2222 | 4793 | 13132018 | N/A | 6525917 | 2025-10-01 05:06:43.663279 | 2026-05-08 22:53:13.232007 |
| 2025-09-30 08:05:12.406655 | 2025-10-01 02:17:03.078612 | 12846339 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 12846339 | Athletic Physical Therapy Inc | 1996-03-28 | 2025-10-03 | F | AE | PT | SAGMAN | U9205101701 | SYDNEY | 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/2222/6078312/check_12846339_ab668f74-99f0-4805-a839-e9b3d89a4a11.json | N/A | N/A | N/A | N/A | N/A | U9205101701 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1996-03-28 | N/A | 3346355 | N/A | HM | false | SAGMAN | N/A | SYDNEY | N/A | N/A | N/A | NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902790321 | N/A | N/A | 6078312 | 2222 | 4802 | 13121328 | N/A | 4722569 | 2025-10-01 02:17:03.078612 | 2025-08-26 00:16:35.895658 |
| 2025-09-30 08:05:11.654510 | 2025-10-01 02:24:41.807582 | 12846292 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12846292 | Athletic Physical Therapy Inc | 1957-09-06 | 2025-10-03 | M | AE | PT | BECKLEY | 00000375188 | STEVE | 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/2222/6077164/check_12846292_ed0f8ab8-2150-4062-8455-038a7a542c8b.json | N/A | N/A | N/A | N/A | N/A | 00000375188 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1957-09-06 | N/A | N/A | N/A | N/A | false | BECKLEY | N/A | STEVE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902790318 | N/A | N/A | 6077164 | 2222 | 4801 | 13125394 | 2630 | 4720748 | 2025-10-01 02:24:41.807582 | 2025-06-11 15:34:07.942696 |
| 2025-09-30 08:05:10.577004 | 2025-10-01 05:14:40.886999 | 12846221 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12846221 | Athletic Physical Therapy Inc | 1940-08-20 | 2025-10-02 | F | PT | N/A | GRIFFITH | MBL120M95246 | JUDITH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.105427670.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7587363/check_12846221_4f656fe7-8529-47be-8b25-7332a0013100.json | N/A | N/A | N/A | N/A | N/A | MBL120M95246 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1940-08-20 | 040 | CAEGR002 | N/A | N/A | false | GRIFFITH | N/A | JUDITH | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902761241 | N/A | N/A | 7587363 | 2222 | 4793 | 13134998 | N/A | 6497042 | 2025-10-01 05:14:40.886999 | 2025-07-31 17:19:07.355008 |
| 2025-09-30 08:05:10.495304 | 2025-10-01 05:14:39.772470 | 12846217 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12846217 | Athletic Physical Therapy Inc | 1994-12-08 | 2025-10-03 | F | PT | N/A | Benet | CPT240W21227 | Lilian | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.105427670.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7587004/check_12846217_aaebf750-ad7f-4fdb-902e-72c675e2f5f5.json | N/A | N/A | N/A | N/A | N/A | CPT240W21227 | Preferred Provider Organization (PPO) | THE CAPITAL GROUP COMPANIES | ANTHEM BLUE CROSS | N/A | 1994-12-08 | 040 | C20001M1A2 | N/A | PR | false | BENET | N/A | LILIAN | N/A | 9999-12-31 | 2024-08-26 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902761240 | N/A | N/A | 7587004 | 2222 | 4802 | 13134992 | N/A | 6496624 | 2025-10-01 05:14:39.772470 | 2025-09-26 20:15:15.570978 |
| 2025-09-30 08:05:10.437844 | 2025-10-01 02:22:12.735894 | 12846213 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12846213 | Athletic Physical Therapy Inc | 1973-03-27 | 2025-10-03 | F | AE | PT | KAUFMAN | R05917930FM1 | AMANDA | 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/2222/6074035/check_12846213_455d365c-aa23-4a1c-bc0f-487962c7b319.json | N/A | N/A | N/A | N/A | N/A | R05917930FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1973-03-27 | N/A | N/A | N/A | N/A | false | KAUFMAN | N/A | AMANDA | N/A | 2025-09-30 | 2025-01-01 | MFC UCNNHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902790313 | N/A | N/A | 6074035 | 2222 | 4801 | 13123997 | N/A | 4718592 | 2025-10-01 02:22:12.735894 | 2025-05-29 20:00:22.627186 |
| 2025-09-30 08:05:09.697436 | 2025-10-01 02:13:59.387557 | 12846167 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12846167 | Athletic Physical Therapy Inc | 1988-06-03 | 2025-10-01 | F | AE | PT | TORST | R11937526FM1 | SHARLEAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.105729139.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9454942/check_12846167_45e1fb84-4d28-4253-94cd-8e08a25d2065.json | N/A | N/A | N/A | N/A | N/A | R11937526FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1988-06-03 | N/A | N/A | N/A | N/A | false | TORST | N/A | SHARLEAN | N/A | 2025-09-30 | 2025-01-01 | KVD SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902752689 | N/A | N/A | 9454942 | 2222 | 4801 | 13120021 | N/A | 7906863 | 2025-10-01 02:13:59.387557 | 2025-09-29 16:17:16.352774 |
| 2025-09-30 08:05:08.946825 | 2025-10-01 02:03:51.205602 | 12846117 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 12846117 | Athletic Physical Therapy Inc | 1964-08-20 | 2025-10-03 | M | AE | PT | STOLP MUNERA | H7787393400 | CHRISTIAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.105729139.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9453081/check_12846117_58c4351c-fd66-4125-a8da-695abf107865.json | N/A | N/A | N/A | N/A | N/A | H7787393400 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-08-20 | N/A | N/A | N/A | N/A | false | STOLP MUNERA | N/A | CHRISTIAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902752681 | N/A | N/A | 9453081 | 2222 | 4793 | 13116990 | N/A | 7906478 | 2025-10-01 02:03:51.205602 | 2025-09-16 22:39:01.505180 |
| 2025-09-30 08:05:07.041818 | 2025-10-01 02:09:04.372585 | 12845991 | N/A | N/A | 61101 | Regal Medical Group | 1114042165 | 12845991 | Athletic Physical Therapy Inc | 1951-12-04 | 2025-10-01 | F | AE | PT | THOMPSON | H7878127400 | OLGA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.105729139.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9449797/check_12845991_ad7aa781-0cac-49d5-8f1e-28aa18ebf1fd.json | N/A | N/A | N/A | N/A | N/A | H78781274 | 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 | 1951-12-04 | N/A | 0B527001 | N/A | HN | false | THOMPSON | N/A | OLGA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902753953 | N/A | N/A | 9449797 | 2222 | 4801 | 13118215 | N/A | 7905803 | 2025-10-01 02:09:04.372585 | 2025-09-16 21:44:00.435181 |
| 2025-09-30 08:05:06.471021 | 2025-10-01 02:14:13.186862 | 12845954 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 12845954 | Athletic Physical Therapy Inc | 1981-07-20 | 2025-10-02 | M | AE | PT | SWENSON | 96831755C | AARON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.105729139.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9449115/check_12845954_9feae2d6-7f05-4b72-8c95-47b89d34437d.json | N/A | N/A | N/A | N/A | N/A | 96831755C | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1981-07-20 | N/A | N/A | N/A | N/A | false | SWENSON | N/A | AARON | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902753949 | N/A | N/A | 9449115 | 2222 | 4793 | 13120163 | N/A | 7905010 | 2025-10-01 02:14:13.186862 | 2025-09-18 16:08:21.950407 |
| 2025-09-30 08:04:57.567621 | 2025-10-01 02:19:44.100625 | 12845360 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12845360 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-10-02 | F | AE | PT | BRADBURY | JQE669W05502 | BONNIE | 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/2222/5550535/check_12845360_dc535180-8423-40f7-9dd4-c6c723a6b7bd.json | N/A | N/A | N/A | N/A | N/A | JQE669W05502 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-06-01 | 040 | CASUPWP0 | N/A | N/A | false | BRADBURY | N/A | BONNIE | N/A | 9999-12-31 | 2022-12-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902798462 | N/A | N/A | 5550535 | 2222 | 4801 | 13122780 | N/A | 4219556 | 2025-10-01 02:19:44.100625 | 2025-05-13 04:29:37.230592 |
| 2025-09-30 08:04:57.334709 | 2025-10-01 02:12:57.756127 | 12845345 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 12845345 | Athletic Physical Therapy Inc | 1954-05-11 | 2025-10-03 | M | AE | PT | A Peters | 32146482611 | Dennis | 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/2222/5550027/check_12845345_97c4038d-c0de-4366-9fbf-800a99e382a3.json | N/A | N/A | N/A | N/A | N/A | 32146482611 | 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. | 1954-05-11 | N/A | N/A | N/A | SP | false | PETERS | N/A | DENNIS | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902798461 | N/A | N/A | 5550027 | 2222 | 4801 | 13119397 | N/A | 4219449 | 2025-10-01 02:12:57.756127 | 2025-10-07 21:32:27.567534 |
| 2025-09-30 08:04:57.190772 | 2025-10-01 02:21:03.557490 | 12845334 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12845334 | Athletic Physical Therapy Inc | 1953-03-17 | 2025-10-03 | F | AE | PT | MARCUS | XEM909523924 | LISSA | 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/2222/5542324/check_12845334_2b4a54d4-31af-4a65-b28d-2d8bcf849330.json | N/A | N/A | N/A | N/A | N/A | XEM909523924 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1953-03-17 | 2002SF000029 | X0001002 | N/A | OT | false | MARCUS | N/A | LISSA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902798460 | N/A | N/A | 5542324 | 2222 | 4802 | 13123438 | N/A | 4214241 | 2025-10-01 02:21:03.557490 | 2025-05-13 04:29:37.228574 |
| 2025-09-30 08:04:56.992310 | 2025-10-01 02:21:04.161149 | 12845322 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12845322 | Athletic Physical Therapy Inc | 1947-07-25 | 2025-10-03 | M | AE | PT | STERN | XEM910096416 | WESLEY | 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/2222/5539875/check_12845322_11ef5b5f-c881-42c7-89c0-f25de761dd62.json | N/A | N/A | N/A | N/A | N/A | XEM910096416 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1947-07-25 | 2002SF000028 | X0001002 | N/A | OT | false | STERN | N/A | WESLEY | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902798459 | N/A | N/A | 5539875 | 2222 | 4802 | 13123442 | N/A | 4212117 | 2025-10-01 02:21:04.161149 | 2025-09-25 18:29:15.369906 |
| 2025-09-30 08:04:56.852878 | 2025-10-01 02:21:03.845626 | 12845314 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12845314 | Athletic Physical Therapy Inc | 1946-08-26 | 2025-10-03 | M | AE | PT | ROTHMAN | XEM909022493 | MIKE | 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/2222/5536206/check_12845314_9c328457-01c4-4caf-9344-3ceae4c420b2.json | N/A | N/A | N/A | N/A | N/A | XEM909022493 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1946-08-26 | 2002SF000029 | X0001002 | N/A | OT | false | ROTHMAN | N/A | MIKE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902798458 | N/A | N/A | 5536206 | 2222 | 4801 | 13123439 | N/A | 4208978 | 2025-10-01 02:21:03.845626 | 2025-05-13 04:29:37.223404 |
| 2025-09-30 08:04:56.464047 | 2025-10-01 02:22:50.129941 | 12845287 | N/A | N/A | 60054 | Aetna | 1114042165 | 12845287 | Athletic Physical Therapy Inc | 1952-01-15 | 2025-10-01 | F | AE | PT | KIRK | 101297147800 | JAN | 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/2222/8167057/check_12845287_a5cbf009-aff4-44e7-9566-e6870340bf5e.json | N/A | N/A | N/A | N/A | N/A | 101297147800 | Preferred Provider Organization (PPO) | VERIZON - MA | AETNA | MEDICARE | 1952-01-15 | 100008-02EG0011 | 100008-02 | N/A | PR | false | KIRK | N/A | JAN | N/A | 2025-12-31 | 2025-01-01 | WEST ADV PLAN 125 PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902792344 | N/A | N/A | 8167057 | 2222 | 4801 | 13124314 | N/A | 6933707 | 2025-10-01 02:22:50.129941 | 2026-05-21 16:32:55.382229 |
| 2025-09-30 08:04:55.234006 | 2025-10-01 02:03:54.352409 | 12845206 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12845206 | Athletic Physical Therapy Inc | 1955-10-21 | 2025-10-02 | F | PT | N/A | WAKIL | MMA290W21854 | MALIHA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.105729139.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9415877/check_12845206_3beb7352-3c02-484d-b7d3-4c536e5fee91.json | N/A | N/A | N/A | N/A | N/A | MMA290W21854 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1955-10-21 | N/A | N/A | N/A | N/A | false | WAKIL | N/A | MALIHA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902753525 | N/A | N/A | 9415877 | 2222 | 4793 | 13116996 | N/A | 7884745 | 2025-10-01 02:03:54.352409 | 2025-10-02 21:33:51.225390 |
| 2025-09-30 08:04:54.429142 | 2025-10-01 02:11:10.819496 | 12845151 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 12845151 | Athletic Physical Therapy Inc | 1960-03-08 | 2025-10-02 | F | AE | PT | CONNER | 40068898601 | CRISTEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.105729139.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9415234/check_12845151_3cffb9d2-c43e-45bb-955f-20281d334a7e.json | N/A | N/A | N/A | N/A | N/A | 40068898601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1960-03-08 | 2025H5425001 | H5425M | N/A | N/A | false | CONNER | N/A | CRISTEN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902753517 | N/A | N/A | 9415234 | 2222 | 4801 | 13118757 | N/A | 7884350 | 2025-10-01 02:11:10.819496 | 2025-09-15 22:38:10.066233 |
| 2025-09-30 08:04:52.624263 | 2025-10-01 05:07:46.000034 | 12845029 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12845029 | Athletic Physical Therapy Inc | 1982-12-08 | 2025-10-02 | M | PT | N/A | Magpali | VUC967W18809 | Aaron | 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/2222/9737460/check_12845029_effdf4c7-80f9-40fb-97b0-6d75cc747d94.json | N/A | N/A | N/A | N/A | N/A | VUC967W18809 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1982-12-08 | 040 | 280509S400 | N/A | PR | false | MAGPALI | N/A | AARON | N/A | 9999-12-31 | 2024-01-01 | UC CARE PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902769469 | N/A | N/A | 9737460 | 2222 | 4801 | 13132368 | N/A | 8152382 | 2025-10-01 05:07:46.000034 | 2025-09-28 17:20:36.874498 |
| 2025-09-30 08:04:52.024498 | 2025-10-01 05:03:42.722762 | 12844993 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 12844993 | Athletic Physical Therapy Inc | 1972-10-20 | 2025-10-02 | F | AE | PT | Huynh | 92325476F | Heidi | 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/2222/9737213/check_12844993_b760d656-5ed5-4676-997d-f0b533a7960b.json | N/A | N/A | N/A | N/A | N/A | 92325476F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 02/28/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1972-10-20 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | HUYNH | N/A | HEIDI | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902769465 | N/A | N/A | 9737213 | 2222 | 4802 | 13131069 | N/A | 8151631 | 2025-10-01 05:03:42.722762 | 2025-09-25 22:07:45.142805 |
| 2025-09-30 08:04:49.241670 | 2025-10-01 02:06:54.062266 | 12844808 | N/A | N/A | 60054 | Aetna | 1114042165 | 12844808 | Athletic Physical Therapy Inc | 1970-07-15 | 2025-10-02 | M | AE | PT | BAKER | W225972262 | MATTHEW | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.105729139.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411210/check_12844808_581c3cda-84e2-4ba9-85b8-2224feadb78d.json | N/A | N/A | N/A | N/A | N/A | W225972262 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 1970-07-15 | 0232495 | 023249501300055 | N/A | PS | false | HOBAN-BAKER | N/A | AMY | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902753816 | N/A | N/A | 9411210 | 2222 | 4802 | 13117595 | N/A | 7880075 | 2025-10-01 02:06:54.062266 | 2025-10-01 14:29:57.963249 |
| 2025-09-30 08:04:48.963290 | 2025-10-01 02:30:16.365889 | 12844787 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 12844787 | Athletic Physical Therapy Inc | 1959-09-09 | 2025-10-03 | M | PT | N/A | BRUNO | NCF254A54902 | PHILLIP | 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/2222/5993958/check_12844787_a0d41558-d984-4379-bcd4-c4aeabb818dd.json | N/A | N/A | N/A | N/A | N/A | NCF254A54902 | Health Maintenance Organization (HMO) | LOS ANGELES POLICE RELIEF ASN INC | BLUE SHIELD OF CALIFORNIA | N/A | 1959-09-09 | 040 | 57CP3A | N/A | HM | false | BRUNO | N/A | PHILLIP | N/A | 9999-12-31 | 2023-03-01 | BLUE CROSS HMO PLUS CC01 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902790266 | N/A | N/A | 5993958 | 2222 | 4801 | 13127511 | N/A | 4642892 | 2025-10-01 02:30:16.365889 | 2025-05-29 23:29:01.820749 |
| 2025-09-30 08:04:48.733772 | 2025-10-01 02:09:26.997217 | 12844776 | N/A | N/A | 60054 | Aetna | 1114042165 | 12844776 | Athletic Physical Therapy Inc | 1986-01-20 | 2025-10-01 | F | AE | PT | DAVIS | W258779471 | MARTINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110135296.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993951/check_12844776_b8908120-eafc-4761-b68d-39ddffd55b64.json | N/A | N/A | N/A | N/A | N/A | W258779471 | Point of Service (POS) | ADP TOTALSOURCE SERVICES, INC. | AETNA | N/A | 1986-01-20 | 0251371 | 025137101900020 | N/A | PS | false | DAVIS | N/A | ASTIN | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902790265 | N/A | N/A | 5993951 | 2222 | 4802 | 13118306 | N/A | 4642884 | 2025-10-01 02:09:26.997217 | 2025-12-02 20:19:19.910444 |
| 2025-09-30 08:04:46.669974 | 2025-10-01 05:16:30.912051 | 12844642 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12844642 | Athletic Physical Therapy Inc | 1965-03-24 | 2025-10-02 | F | PT | N/A | LUBOW | XEK906143943 | CAROLINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.105427670.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7516790/check_12844642_120a8fbe-2cca-4412-975f-d74383106275.json | N/A | N/A | N/A | N/A | N/A | XEK906143943 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-03-24 | 2001ZH002662 | X0001000 | N/A | PR | false | LUBOW | N/A | CAROLINE | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902761182 | N/A | N/A | 7516790 | 2222 | 4793 | 13135554 | N/A | 6452743 | 2025-10-01 05:16:30.912051 | 2025-08-06 21:04:56.768115 |
| 2025-09-30 08:04:45.799486 | 2025-10-01 02:17:23.878910 | 12844584 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12844584 | Athletic Physical Therapy Inc | 1975-01-26 | 2025-10-03 | F | PT | N/A | LOMAX | JPU871A55010 | SHARON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.105729139.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9405086/check_12844584_57033713-eb19-4ebb-b351-60807a1905b3.json | N/A | N/A | N/A | N/A | N/A | JPU871A55010 | Preferred Provider Organization (PPO) | MOOSE TOYS LLC CA/OOS | BLUE SHIELD OF CALIFORNIA | N/A | 1975-01-26 | 040 | L07716M001 | N/A | PR | false | LOMAX | N/A | SHARON | N/A | 9999-12-31 | 2025-02-01 | PPO PRUDENT BUYER CLASSIC MULTI-CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902753779 | N/A | N/A | 9405086 | 2222 | 4793 | 13121505 | N/A | 7874246 | 2025-10-01 02:17:23.878910 | 2025-10-06 16:02:29.071757 |
| 2025-09-30 08:04:45.474918 | 2025-10-01 05:16:48.383343 | 12844564 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12844564 | Athletic Physical Therapy Inc | 1988-09-12 | 2025-10-02 | M | PT | N/A | Guzzo | JQU895W23533 | Aaron | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.105427670.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7513987/check_12844564_164e39cc-56d1-4c3c-be4d-c20ccb791b35.json | N/A | N/A | N/A | N/A | N/A | JQU895W23533 | Preferred Provider Organization (PPO) | 3 ARTS ENTERTAINMENT LLC | BLUE SHIELD OF CALIFORNIA | N/A | 1988-09-12 | 040 | H59723 | N/A | PR | false | RATHER-GUZZO | N/A | SANDY | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902761166 | N/A | N/A | 7513987 | 2222 | 4802 | 13135634 | N/A | 6451061 | 2025-10-01 05:16:48.383343 | 2025-07-28 22:43:26.605856 |
| 2025-09-30 08:04:41.195402 | 2025-10-01 05:06:44.698309 | 12844300 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 12844300 | override_provider | 2001-03-26 | 2025-10-03 | F | PT | N/A | GRIFFIN | 604389070 | ALISA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.105427670.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7496180/check_12844300_414ef37a-29e4-482e-8188-25f90ac2c553.json | N/A | N/A | N/A | N/A | N/A | 604389070 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2001-03-26 | N/A | N/A | N/A | N/A | false | GRIFFIN | N/A | ALISA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902759413 | N/A | N/A | 7496180 | 2222 | 4801 | 13132023 | N/A | 6442600 | 2025-10-01 05:06:44.698309 | 2025-09-03 23:37:28.319879 |
| 2025-09-30 08:04:35.368191 | 2025-10-01 05:14:41.657140 | 12843950 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12843950 | Athletic Physical Therapy Inc | 1998-10-29 | 2025-10-02 | M | PT | N/A | MARSHALL | JQU309W24257 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.105427670.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458512/check_12843950_f2e115bc-b59b-4afd-9b08-e85fcdcd6c72.json | N/A | N/A | N/A | N/A | N/A | JQU309W24257 | Preferred Provider Organization (PPO) | SUNSTONE PROPERTIES LLC | ANTHEM BLUE CROSS | N/A | 1998-10-29 | 040 | A35988 | N/A | PR | false | MARSHALL | N/A | THOMAS | N/A | 9999-12-31 | 2025-07-01 | ANTHEM PLATINUM PPO 15/40/10% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902761328 | N/A | N/A | 7458512 | 2222 | 4793 | 13135002 | N/A | 6021448 | 2025-10-01 05:14:41.657140 | 2025-07-14 23:05:51.728886 |
| 2025-09-30 08:04:35.245815 | 2025-10-01 05:14:15.400375 | 12843944 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 12843944 | Athletic Physical Therapy Inc | 1970-11-24 | 2025-10-03 | M | AE | PT | CALL | 000022665066 | BRENT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.105427670.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458401/check_12843944_8c464457-8f37-485f-81d3-bd703b179e66.json | N/A | N/A | N/A | N/A | N/A | 000022665066 | N/A | N/A | SELF-FUNDED/KPIC | ASO - SELF FUNDED | 1970-11-24 | 4369231 | 230283 | N/A | N/A | false | CALL | N/A | BRENT | N/A | N/A | N/A | KAISER PERMANENTE SELF-FUNDED NBU NBU PO MID ACTIV | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902761325 | N/A | N/A | 7458401 | 2222 | 4801 | 13134860 | N/A | 6407346 | 2025-10-01 05:14:15.400375 | 2025-07-25 20:38:21.233558 |
| 2025-09-30 08:04:34.862041 | 2025-10-01 05:14:40.176503 | 12843921 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12843921 | Athletic Physical Therapy Inc | 1965-07-08 | 2025-10-02 | F | PT | N/A | CHALFIN | WAR121A52220 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.105427670.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456267/check_12843921_8b43e1d8-46cb-4a49-9e05-b6da4aad857c.json | N/A | N/A | N/A | N/A | N/A | WAR121A52220 | Exclusive Provider Organization | WARNER PACIFIC INSURANCE SERVICES | ANTHEM BLUE CROSS | N/A | 1965-07-08 | 040 | 282843M017 | N/A | EP | false | CHALFIN | N/A | LISA | N/A | 9999-12-31 | 2025-03-01 | PRUDENT BUYER EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902761321 | N/A | N/A | 7456267 | 2222 | 4793 | 13134994 | N/A | 6405582 | 2025-10-01 05:14:40.176503 | 2025-08-04 21:58:38.426681 |
| 2025-09-30 08:04:34.653733 | 2025-10-01 02:29:29.036342 | 12843910 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12843910 | Athletic Physical Therapy Inc | 1973-02-24 | 2025-10-02 | F | PT | N/A | TAKEMOTO | XED906098170 | NICOLE | 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/2222/5928752/check_12843910_7dda92e7-14da-4683-a555-10fd30730283.json | N/A | N/A | N/A | N/A | N/A | XED906098170 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1973-02-24 | 2001ZK002184 | X0001004 | N/A | PR | false | TAKEMOTO | N/A | NICOLE | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902791193 | N/A | N/A | 5928752 | 2222 | 4802 | 13127265 | N/A | 4583701 | 2025-10-01 02:29:29.036342 | 2025-07-24 17:50:11.805587 |
| 2025-09-30 08:04:30.973970 | 2025-10-01 02:29:45.774764 | 12843697 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12843697 | Athletic Physical Therapy Inc | 1951-01-24 | 2025-10-03 | F | AE | PT | Leinwand | WXY589A22807 | Shari | 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/2222/8055349/check_12843697_9e9958dc-1567-44f5-90db-b772ee673b33.json | N/A | N/A | N/A | N/A | N/A | WXY589A22807 | Preferred Provider Organization (PPO) | GIBSON DUNN & CRUTCHER LLP RETIREE | MEDICARE B | N/A | 1951-01-24 | 040 | 174032M113 | N/A | PR | false | LEINWAND | N/A | SHARI | N/A | 9999-12-31 | 2011-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902788993 | N/A | N/A | 8055349 | 2222 | 4802 | 13127359 | N/A | 6794499 | 2025-10-01 02:29:45.774764 | 2025-08-14 19:38:19.931659 |
| 2025-09-30 08:04:27.997753 | 2025-10-01 05:16:27.777017 | 12843513 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12843513 | Athletic Physical Therapy Inc | 1977-10-04 | 2025-10-03 | F | PT | N/A | MCMANUS | XEH909326305 | SUSAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.105427670.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444072/check_12843513_65164ad2-24ac-447e-8f2b-d66d8a14ea71.json | N/A | N/A | N/A | N/A | N/A | XEH909326305 | Health Maintenance Organization (HMO) | TRADER JOE S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1977-10-04 | 1000VX000001 | W0069783 | N/A | HM | false | KILANOWSKI | N/A | MATTHEW | 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 | 8902760934 | N/A | N/A | 7444072 | 2222 | 4801 | 13135542 | N/A | 6394822 | 2025-10-01 05:16:27.777017 | 2025-07-24 18:01:25.336701 |
| 2025-09-30 08:04:24.955094 | 2025-10-01 02:06:54.483745 | 12843319 | N/A | N/A | 60054 | Aetna | 1114042165 | 12843319 | Athletic Physical Therapy Inc | 1988-02-27 | 2025-10-03 | F | AE | PT | BOBRIAKOVA | W264381279 | ANNA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.105729139.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9321970/check_12843319_845f5110-ffa9-4766-8f61-1a906ecd927f.json | N/A | N/A | N/A | N/A | N/A | W264381279 | Point of Service (POS) | APPLE INC. | AETNA | N/A | 1988-02-27 | 0109286 | 010928602000001 | N/A | PS | false | PLITT | N/A | ALEXANDER | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902753679 | N/A | N/A | 9321970 | 2222 | 4793 | 13117596 | N/A | 7821456 | 2025-10-01 02:06:54.483745 | 2025-09-17 16:37:33.338131 |
| 2025-09-30 08:04:23.262434 | 2025-10-01 02:09:26.933148 | 12843208 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12843208 | Athletic Physical Therapy Inc | 1958-10-22 | 2025-10-02 | F | AE | PT | Lee | MBL500W17666 | Gisele | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.105612544.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9810738/check_12843208_bc5902af-12d1-4a33-9ddd-1e4411bc0eac.json | N/A | N/A | N/A | N/A | N/A | MBL500W17666 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1958-10-22 | 040 | CAEGR005 | N/A | N/A | false | LEE | N/A | GISELE | N/A | 9999-12-31 | 2023-10-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902737942 | N/A | N/A | 9810738 | 2222 | 4802 | 13118307 | N/A | 8217179 | 2025-10-01 02:09:26.933148 | 2025-10-02 19:02:27.583990 |
| 2025-09-30 08:04:21.843022 | 2025-10-01 02:22:08.287739 | 12843116 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12843116 | Athletic Physical Therapy Inc | 1964-11-15 | 2025-10-01 | F | AE | PT | BIKOULOVA | 92040499F | ALEXANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.110135296.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874423/check_12843116_ea924ac2-b1c0-4955-aa65-1c71c19b9559.json | N/A | N/A | N/A | N/A | N/A | 92040499F | N/A | N/A | HEALTH NET, LLC | N/A | 1964-11-15 | N/A | N/A | N/A | N/A | false | BIKOULOVA | N/A | ALEXANDRA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902790907 | N/A | N/A | 5874423 | 2222 | 4802 | 13123961 | N/A | 4534552 | 2025-10-01 02:22:08.287739 | 2025-05-30 18:01:03.324126 |