API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-30 08:04:16.952533 | 2025-10-01 05:07:46.572060 | 12842800 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12842800 | Athletic Physical Therapy Inc | 1996-03-23 | 2025-10-03 | M | PT | XIE | R8T303W09440 | XIPENG | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.105925828.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9686875/check_12842800_79ac689e-b129-4c49-b082-b179e874fdef.json | N/A | N/A | N/A | N/A | N/A | R8T303W09440 | Preferred Provider Organization (PPO) | RIOT GAMES INC | ANTHEM BLUE CROSS | N/A | 1996-03-23 | 040 | 174318M2A1 | N/A | PR | false | XIE | N/A | XIPENG | N/A | 9999-12-31 | 2023-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902769066 | N/A | N/A | 9686875 | 2222 | 4802 | 13132372 | N/A | 8105852 | 2025-10-01 05:07:46.572060 | 2025-09-24 19:15:51.950591 |
| 2025-09-30 08:04:15.251548 | 2025-10-01 05:14:26.975529 | 12842690 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 12842690 | Athletic Physical Therapy Inc | 1954-02-12 | 2025-10-03 | M | AE | NAGHSHBANDI | 600003958782 | ABDUL | PT | 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/2222/7314863/check_12842690_cfbc9de2-6ad4-4a78-90e1-3f78d1267fba.json | N/A | N/A | N/A | N/A | N/A | 600003958782 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1954-02-12 | N/A | N/A | N/A | N/A | false | NAGHSHBANDI | N/A | ABDUL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902759952 | N/A | N/A | 7314863 | 2222 | 4793 | 13134923 | N/A | 4208741 | 2025-10-01 05:14:26.975529 | 2025-08-01 18:22:58.464314 |
| 2025-09-30 08:04:07.813704 | 2025-10-01 05:16:28.661278 | 12842211 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12842211 | Athletic Physical Therapy Inc | 1963-01-14 | 2025-10-03 | F | PT | KRAFT | XED911569862 | KATHRIN | N/A | 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/2222/7294742/check_12842211_38b13a7c-3290-4aca-b761-f1b91b5a8364.json | N/A | N/A | N/A | N/A | N/A | XED911569862 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-01-14 | 2001ZK002184 | X0001004 | N/A | PR | false | KRAFT | N/A | KATHRIN | N/A | 9999-12-31 | 2022-08-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902761093 | N/A | N/A | 7294742 | 2222 | 4801 | 13135546 | N/A | 6254569 | 2025-10-01 05:16:28.661278 | 2025-08-12 09:24:43.956957 |
| 2025-09-30 08:04:02.813851 | 2025-10-01 02:25:38.927778 | 12841900 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12841900 | Athletic Physical Therapy Inc | 1946-04-03 | 2025-10-02 | F | PT | OBLINGER | JQS491M78254 | MARIA | N/A | 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/2222/5676340/check_12841900_8bdddd93-9852-4e6d-8573-5f5317119444.json | N/A | N/A | N/A | N/A | N/A | JQS491M78254 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1946-04-03 | 040 | CAMCRWP0 | N/A | MP | false | OBLINGER | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902791037 | N/A | N/A | 5676340 | 2222 | 4793 | 13125937 | 4184 | 4210531 | 2025-10-01 02:25:38.927778 | 2025-12-09 17:09:13.960610 |
| 2025-09-30 08:03:56.498966 | 2025-10-01 05:14:40.518578 | 12841557 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12841557 | Athletic Physical Therapy Inc | 1983-01-17 | 2025-10-02 | M | PT | Gast | JQV110W08240 | Eberhard | N/A | 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/2222/7258119/check_12841557_0a02b5cd-1bf5-4a00-89a5-8b7bd878cb29.json | N/A | N/A | N/A | N/A | N/A | JQV110W08240 | Health Maintenance Organization (HMO) | CAL CHOICE APRIL 1.00 | ANTHEM BLUE CROSS | N/A | 1983-01-17 | 040 | 476537 | N/A | HM | false | GAST | N/A | EBERHARD RUD | N/A | 9999-12-31 | 2025-04-01 | ANTHEM GOLD SELECT HMO 30/60 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902759328 | N/A | N/A | 7258119 | 2222 | 4802 | 13134996 | 4184 | 6223297 | 2025-10-01 05:14:40.518578 | 2025-07-28 18:57:51.679781 |
| 2025-09-30 08:03:56.321303 | 2025-10-01 05:16:31.751494 | 12841545 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12841545 | Athletic Physical Therapy Inc | 1976-09-29 | 2025-10-03 | F | PT | RAND | XED912141111 | ELLEN | N/A | 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/2222/7257479/check_12841545_e015e18e-e3a6-40a5-b342-0fd26d3beb94.json | N/A | N/A | N/A | N/A | N/A | XED912141111 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1976-09-29 | 2001ZK002193 | X0001004 | N/A | PR | false | RAND | N/A | ELLEN | N/A | 9999-12-31 | 2025-01-01 | BRONZE 60 HDHP PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902759327 | N/A | N/A | 7257479 | 2222 | 4802 | 13135558 | N/A | 4210270 | 2025-10-01 05:16:31.751494 | 2025-07-08 18:23:05.596578 |
| 2025-09-30 08:03:54.216203 | 2025-10-01 05:07:45.396132 | 12841423 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12841423 | Athletic Physical Therapy Inc | 1958-10-03 | 2025-10-03 | F | PT | CALEON | 485W2167620 | CARMELA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.105925828.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9661063/check_12841423_0604df2f-8d88-49c9-8689-a43397d42660.json | N/A | N/A | N/A | N/A | N/A | 485W2167620 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1958-10-03 | N/A | N/A | N/A | N/A | false | CALEON | N/A | CARMELA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902769952 | N/A | N/A | 9661063 | 2222 | 4801 | 13132364 | 4184 | 8083970 | 2025-10-01 05:07:45.396132 | 2025-09-23 20:42:44.110781 |
| 2025-09-30 08:03:54.147049 | 2025-10-01 05:04:43.273819 | 12841419 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 12841419 | Athletic Physical Therapy Inc | 1976-02-07 | 2025-10-01 | F | AE | MALTSEVA | 94237973H65017 | YEVHENIIA | PT | 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/2222/7253095/check_12841419_8b36d8ce-fc4b-4331-b2f8-49cc68fe2a44.json | N/A | N/A | N/A | N/A | N/A | 94237973H65017 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1976-02-07 | N/A | N/A | N/A | N/A | false | MALTSEVA | N/A | YEVHENIIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902759720 | N/A | N/A | 7253095 | 2222 | 4802 | 13131378 | N/A | 6219145 | 2025-10-01 05:04:43.273819 | 2025-07-21 16:40:35.276086 |
| 2025-09-30 08:03:50.820632 | 2025-10-01 02:18:59.048317 | 12841241 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 12841241 | Athletic Physical Therapy Inc | 1958-02-20 | 2025-10-02 | F | AE | SHERRY | H7159538300 | PAULA | PT | 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/2222/8193020/check_12841241_bfe47655-03b5-4014-a9b7-e403ca26b445.json | N/A | N/A | N/A | N/A | N/A | H71595383 | 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 | 1958-02-20 | N/A | 0B527001 | N/A | HN | false | SHERRY | N/A | PAULA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902814787 | N/A | N/A | 8193020 | 2222 | 4801 | 13122375 | N/A | 4214141 | 2025-10-01 02:18:59.048317 | 2025-05-13 04:29:37.228469 |
| 2025-09-30 08:03:47.519117 | 2025-10-01 02:07:21.043098 | 12841065 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 12841065 | Athletic Physical Therapy Inc | 1950-07-29 | 2025-10-03 | F | AE | Reinis | H71911100 | Meredith | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250930.105612544.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9681834/check_12841065_9f5c80ab-9d39-450c-8ce1-b71cf3d5b89f.json | N/A | N/A | N/A | N/A | N/A | H71911100 | Supplemental Policy | HUMANA BENEFIT PLANOF ILL, INC | HUMANA | 067 019 | 1950-07-29 | N/A | 5A409003 | N/A | SP | false | REINIS | N/A | MEREDITH | N/A | N/A | N/A | MEDICARE MES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902737160 | N/A | N/A | 9681834 | 2222 | 4802 | 13117730 | N/A | 8101541 | 2025-10-01 02:07:21.043098 | 2025-09-29 18:50:04.958524 |
| 2025-09-30 08:03:47.158353 | 2025-10-01 02:09:27.443699 | 12841046 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12841046 | Athletic Physical Therapy Inc | 1959-02-04 | 2025-10-02 | F | AE | SMITS | JQE291W18998 | HEIDI | PT | 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/2222/9681615/check_12841046_933e075a-67da-4aff-8ce7-6833933c3638.json | N/A | N/A | N/A | N/A | N/A | JQE291W18998 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-02-04 | 040 | CASUPWP0 | N/A | N/A | false | SMITS | N/A | HEIDI | 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 | 8902737157 | N/A | N/A | 9681615 | 2222 | 4793 | 13118309 | N/A | 8101289 | 2025-10-01 02:09:27.443699 | 2025-09-24 17:05:46.431721 |
| 2025-09-30 08:03:45.404706 | 2025-10-01 02:22:06.972777 | 12840950 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12840950 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-10-02 | F | AE | GIANOLI | R11857813FM1 | ELSY | PT | 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/2222/5568076/check_12840950_3acd5916-c865-4f8e-a62d-fc39fded935f.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902790960 | N/A | N/A | 5568076 | 2222 | 4802 | 13123947 | N/A | 4209480 | 2025-10-01 02:22:06.972777 | 2026-04-10 02:05:15.976484 |
| 2025-09-30 08:03:40.402570 | 2025-10-01 02:24:40.864114 | 12840666 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12840666 | Athletic Physical Therapy Inc | 1954-03-04 | 2025-10-02 | M | AE | ARUJO | 00000223568 | RAMON | PT | 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/2222/5550751/check_12840666_2ea8b4bc-f88a-4b89-8d73-19a28f3df815.json | N/A | N/A | N/A | N/A | N/A | 00000223568 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1954-03-04 | N/A | N/A | N/A | N/A | false | ARUJO | 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 | 8902790878 | N/A | N/A | 5550751 | 2222 | 4801 | 13125387 | 2630 | 4219640 | 2025-10-01 02:24:40.864114 | 2025-05-13 04:29:37.230682 |
| 2025-09-30 08:03:39.169732 | 2025-10-01 02:22:34.328871 | 12840602 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 12840602 | Athletic Physical Therapy Inc | 1950-03-29 | 2025-10-03 | M | AE | AKHTARI | 40045421301 | SHAHROKH | PT | 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/2222/5543493/check_12840602_762c90e1-e9ce-4656-9950-586b52ab5e20.json | N/A | N/A | N/A | N/A | N/A | 40045421301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-03-29 | 2025H5425084LA | H5425M | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | SCAN VENTURE (HMO), LOS ANGELES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902790872 | N/A | N/A | 5543493 | 2222 | 4793 | 13124184 | N/A | 4215273 | 2025-10-01 02:22:34.328871 | 2025-05-13 04:29:37.229594 |
| 2025-09-30 08:03:38.959728 | 2025-10-01 02:09:30.564156 | 12840591 | N/A | N/A | 60054 | Aetna | 1114042165 | 12840591 | Athletic Physical Therapy Inc | 1966-04-15 | 2025-10-02 | F | AE | STULTZ | W460545844 | TRACY | PT | 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/2222/5543319/check_12840591_8b34693c-3a32-49a7-a3aa-9c089d429db9.json | N/A | N/A | N/A | N/A | N/A | W460545844 | Exclusive Provider Organization | M. ARTHUR GENSLER, JR. & ASSOCIATES | AETNA | N/A | 1966-04-15 | 0658759 | 065875901800051 | N/A | EP | false | STULTZ | N/A | ERIC | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902790871 | N/A | N/A | 5543319 | 2222 | 4802 | 13118324 | N/A | 4215127 | 2025-10-01 02:09:30.564156 | 2025-05-13 04:29:37.229443 |
| 2025-09-30 08:03:38.774189 | 2025-10-01 02:08:07.103151 | 12840580 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 12840580 | Athletic Physical Therapy Inc | 1991-07-22 | 2025-10-02 | M | AE | AZIM | 627771249 | FAIYAZ | PT | 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/2222/5543304/check_12840580_ab9da87e-fa87-4176-980a-1eecb9dfaba0.json | N/A | N/A | N/A | N/A | N/A | 627771249 | N/A | N/A | MOLINA_CA | DETAILED BENEFITS NOT AVAILABLE | 1991-07-22 | 18126CA001000201 | QMXEM01910 | N/A | N/A | false | AZIM | N/A | FAIYAZ | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902790870 | N/A | N/A | 5543304 | 2222 | 4802 | 13117972 | N/A | 4215118 | 2025-10-01 02:08:07.103151 | 2025-06-02 01:41:59.668874 |
| 2025-09-30 08:03:38.573873 | 2025-10-01 02:29:26.938382 | 12840569 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12840569 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-10-02 | F | PT | PAUL | XEK914147727 | SARA | N/A | 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/2222/5543211/check_12840569_3ae45773-a94d-408a-9906-28d78a8a0f50.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | 9999-12-31 | 2025-02-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902790869 | N/A | N/A | 5543211 | 2222 | 4801 | 13127255 | N/A | 4215028 | 2025-10-01 02:29:26.938382 | 2025-05-13 04:29:37.229346 |
| 2025-09-30 08:03:38.348163 | 2025-10-01 02:25:28.814898 | 12840558 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12840558 | Athletic Physical Therapy Inc | 1958-07-27 | 2025-10-02 | F | PT | BERARDI | JQU360A51420 | JACQUELINE | N/A | 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/2222/5543161/check_12840558_0de09cc2-14a1-4291-8757-e9680b229f4b.json | N/A | N/A | N/A | N/A | N/A | JQU360A51420 | Preferred Provider Organization (PPO) | CAL CHOICE AUGUST 1.00 | ANTHEM BLUE CROSS | N/A | 1958-07-27 | 040 | 476497 | N/A | PR | false | BERARDI | N/A | PHILIP | N/A | 9999-12-31 | 2025-08-01 | ANTHEM GOLD PPO 30/60/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902790868 | N/A | N/A | 5543161 | 2222 | 4793 | 13125838 | N/A | 4214989 | 2025-10-01 02:25:28.814898 | 2025-05-13 04:29:37.229310 |
| 2025-09-30 08:03:38.152174 | 2025-10-01 02:24:45.325124 | 12840548 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 12840548 | Athletic Physical Therapy Inc | 1960-12-24 | 2025-10-01 | F | AE | PORTILLO | 00000315343 | LISA | PT | 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/2222/5543084/check_12840548_e1149371-c3ba-40de-a177-8e0c0c97e943.json | N/A | N/A | N/A | N/A | N/A | 00000315343 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1960-12-24 | N/A | N/A | N/A | N/A | false | PORTILLO | N/A | LISA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902790867 | N/A | N/A | 5543084 | 2222 | 4801 | 13125429 | N/A | 4214920 | 2025-10-01 02:24:45.325124 | 2025-05-13 04:29:37.229242 |
| 2025-09-30 08:03:36.588730 | 2025-10-01 02:29:25.598240 | 12840469 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12840469 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-10-03 | F | PT | JAIN | XEK909304497 | SUPARNA | N/A | 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/2222/5542952/check_12840469_efac9088-82ec-4c15-96b3-377a37a1e903.json | N/A | N/A | N/A | N/A | N/A | XEK909304497 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-01-24 | 2001ZK002189 | X0001000 | N/A | PR | false | JAIN | N/A | SUPARNA | N/A | 9999-12-31 | 2019-09-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902790866 | N/A | N/A | 5542952 | 2222 | 4802 | 13127247 | N/A | 4214804 | 2025-10-01 02:29:25.598240 | 2025-05-13 20:09:53.786482 |
| 2025-09-30 08:03:31.068636 | 2025-10-01 02:17:08.686912 | 12840234 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12840234 | Athletic Physical Therapy Inc | 1963-09-25 | 2025-10-03 | M | PT | zev | XED912627946 | ari | N/A | 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/2222/9280765/check_12840234_6ca62846-5fff-4a1a-a341-989ee34cbca0.json | N/A | N/A | N/A | N/A | N/A | XED912627946 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-09-25 | 2001ZK002185 | X0001004 | N/A | PR | false | ZEV | N/A | ARI | N/A | 9999-12-31 | 2023-11-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902752996 | N/A | N/A | 9280765 | 2222 | 4802 | 13121383 | N/A | 7789190 | 2025-10-01 02:17:08.686912 | 2025-09-16 16:41:33.330373 |
| 2025-09-30 08:03:30.125757 | 2025-10-01 02:09:29.095344 | 12840194 | N/A | N/A | 60054 | Aetna | 1114042165 | 12840194 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-10-03 | M | AE | KORY | 102161581800 | MICHAEL | PT | 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/2222/5542870/check_12840194_fc2ae87f-7f6c-455f-a844-0901b52af6ba.json | N/A | N/A | N/A | N/A | N/A | 102161581800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1959-05-08 | 000003-CA000058 | 000003-CA | N/A | PR | false | KORY | N/A | MICHAEL | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902790865 | N/A | N/A | 5542870 | 2222 | 4793 | 13118315 | N/A | 4214732 | 2025-10-01 02:09:29.095344 | 2025-06-24 20:13:53.579048 |
| 2025-09-30 08:03:29.898948 | 2025-10-01 02:09:27.910768 | 12840182 | N/A | N/A | 60054 | Aetna | 1114042165 | 12840182 | Athletic Physical Therapy Inc | 1997-05-24 | 2025-10-03 | M | AE | DIAZ | W290801952 | SHAWN | PT | 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/2222/5542855/check_12840182_53634e8a-c2ca-4f85-b58b-c60dabbc10a4.json | N/A | N/A | N/A | N/A | N/A | W290801952 | Point of Service (POS) | OMNICOM BENEFITS INC. | AETNA | N/A | 1997-05-24 | 0247086 | 024708602300010 | N/A | PS | false | DIAZ | N/A | SHAWN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902790864 | N/A | N/A | 5542855 | 2222 | 4802 | 13118311 | N/A | 4214719 | 2025-10-01 02:09:27.910768 | 2025-05-13 04:29:37.229037 |
| 2025-09-30 08:03:29.657399 | 2025-10-01 02:24:26.723741 | 12840173 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12840173 | Athletic Physical Therapy Inc | 2007-12-08 | 2025-10-02 | F | AE | LARSEN | R06053944FD1 | LANA | PT | 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/2222/5542850/check_12840173_9355a736-c28f-4965-a3a4-f8781607b00d.json | N/A | N/A | N/A | N/A | N/A | R06053944FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2007-12-08 | N/A | N/A | N/A | N/A | false | LARSEN | N/A | LANA | N/A | 2025-09-30 | 2025-01-01 | MGY COMHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902790863 | N/A | N/A | 5542850 | 2222 | 4793 | 13125249 | N/A | 4214714 | 2025-10-01 02:24:26.723741 | 2025-05-13 04:29:37.229031 |
| 2025-09-30 08:03:29.429896 | 2025-10-01 02:29:26.273511 | 12840162 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12840162 | Athletic Physical Therapy Inc | 1974-06-26 | 2025-10-03 | M | PT | ARSHADNIA | XEK904721388 | SHAHRIAR | N/A | 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/2222/5542770/check_12840162_9cc59cd6-3400-46d2-80cc-c525480c53b0.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1974-06-26 | 2001ZJ002648 | X0001000 | N/A | PR | false | NOSRAT | N/A | CAROLYN | N/A | 2025-12-31 | 2025-01-01 | SILVER 1750 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902790862 | N/A | N/A | 5542770 | 2222 | 4802 | 13127252 | N/A | 4214643 | 2025-10-01 02:29:26.273511 | 2025-05-13 04:29:37.228964 |
| 2025-09-30 08:03:29.181129 | 2025-10-01 02:25:31.082447 | 12840153 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12840153 | Athletic Physical Therapy Inc | 1993-06-20 | 2025-10-03 | F | PT | DELOS REYES | JXN688W13372 | JANELLE LOPEZ | N/A | 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/2222/5542750/check_12840153_2dc17b8f-1874-4a0a-a21b-a1b5e638cc02.json | N/A | N/A | N/A | N/A | N/A | JXN688W13372 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-06-20 | N/A | N/A | N/A | N/A | false | DELOS REYES | N/A | JANELLE LOPEZ | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902790861 | N/A | N/A | 5542750 | 2222 | 4802 | 13125865 | N/A | 4214623 | 2025-10-01 02:25:31.082447 | 2025-08-28 22:11:32.536994 |
| 2025-09-30 08:03:28.918389 | 2025-10-01 02:22:10.139976 | 12840143 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12840143 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-10-02 | F | AE | CHERE | 98953535F | DIANA | PT | 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/2222/5542660/check_12840143_f56f9b54-f645-4455-a5d8-ac39feee79cd.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902790860 | N/A | N/A | 5542660 | 2222 | 4802 | 13123972 | N/A | 4214542 | 2025-10-01 02:22:10.139976 | 2025-05-13 04:29:37.228868 |
| 2025-09-30 08:03:28.702522 | 2025-10-01 02:09:29.963055 | 12840132 | N/A | N/A | 60054 | Aetna | 1114042165 | 12840132 | Athletic Physical Therapy Inc | 1942-12-06 | 2025-10-01 | M | AE | MEADOWS | 101352892200 | STANLEY | PT | 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/2222/5542634/check_12840132_2d0fe8f7-1ee7-4376-ad03-a75323ffeaec.json | N/A | N/A | N/A | N/A | N/A | 101352892200 | Preferred Provider Organization (PPO) | FAIRFAX COUNTY PUBLIC SCHOOLS - MA | AETNA | MEDICARE | 1942-12-06 | 100297-02EG0001 | 100297-02 | N/A | PR | false | MEADOWS | N/A | STANLEY | N/A | N/A | N/A | MEDICARE (C04) ESA PPO PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902790859 | N/A | N/A | 5542634 | 2222 | 4801 | 13118319 | N/A | 4214520 | 2025-10-01 02:09:29.963055 | 2025-07-28 19:32:04.879318 |
| 2025-09-30 08:03:28.476406 | 2025-10-01 02:25:06.346908 | 12840121 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 12840121 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-10-02 | F | AE | HAMI | 92932800G | FARIBA | PT | 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/2222/5542611/check_12840121_c53dd2b8-c7d0-4ba8-8f27-f783c3eae6d0.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1960-09-15 | N/A | N/A | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902790858 | N/A | N/A | 5542611 | 2222 | 4802 | 13125613 | N/A | 4214490 | 2025-10-01 02:25:06.346908 | 2025-05-13 04:29:37.228806 |
| 2025-09-30 08:03:28.251832 | 2025-10-01 02:29:21.701190 | 12840112 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12840112 | Athletic Physical Therapy Inc | 1969-07-21 | 2025-10-03 | F | PT | BAER | XEK905554072 | JUDY | N/A | 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/2222/5542259/check_12840112_56797263-300e-4c81-8252-943a42aaffaa.json | N/A | N/A | N/A | N/A | N/A | XEK905554072 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1969-07-21 | 2001ZJ002648 | X0001000 | N/A | PR | false | BAER | N/A | JUDY | N/A | 2025-12-31 | 2025-01-01 | SILVER 1750 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902790857 | N/A | N/A | 5542259 | 2222 | 4802 | 13127230 | N/A | 4214195 | 2025-10-01 02:29:21.701190 | 2025-05-13 04:29:37.228529 |
| 2025-09-30 08:03:28.018070 | 2025-10-01 02:09:26.157438 | 12840100 | N/A | N/A | 60054 | Aetna | 1114042165 | 12840100 | Athletic Physical Therapy Inc | 1969-09-28 | 2025-10-03 | F | AE | BEDDING | W265304433 | DEBRA | PT | 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/2222/5542255/check_12840100_503456f1-0e6e-4295-ab3e-04394825799a.json | N/A | N/A | N/A | N/A | N/A | W265304433 | Point of Service (POS) | FOX CORPORATION | AETNA | N/A | 1969-09-28 | 0109248 | 010924803000460 | N/A | PS | false | BEDDING | N/A | DEBRA | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902790856 | N/A | N/A | 5542255 | 2222 | 4793 | 13118303 | N/A | 4214196 | 2025-10-01 02:09:26.157438 | 2025-05-13 04:29:37.228530 |
| 2025-09-30 08:03:27.794981 | 2025-10-01 02:25:34.027558 | 12840089 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12840089 | Athletic Physical Therapy Inc | 1938-01-22 | 2025-10-02 | F | PT | ISTOK | MBL474M98437 | LOIS | N/A | 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/2222/5542207/check_12840089_7a26f499-8e6a-48fa-a54d-927d5f891bbd.json | N/A | N/A | N/A | N/A | N/A | MBL474M98437 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1938-01-22 | 040 | CAEGR005 | N/A | N/A | false | ISTOK | N/A | LOIS | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902790855 | N/A | N/A | 5542207 | 2222 | 4802 | 13125887 | N/A | 4214152 | 2025-10-01 02:25:34.027558 | 2025-05-13 04:29:37.228479 |
| 2025-09-30 08:03:27.563941 | 2025-10-01 02:24:44.213060 | 12840075 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12840075 | Athletic Physical Therapy Inc | 1957-10-24 | 2025-10-02 | F | AE | MCSHEA | 00000364203 | SANDRA | PT | 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/2222/5542046/check_12840075_83ef502b-c7fb-45c9-b7b7-65fac8c01e0f.json | N/A | N/A | N/A | N/A | N/A | 00000364203 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1957-10-24 | N/A | N/A | N/A | N/A | false | MCSHEA | N/A | SANDRA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902790854 | N/A | N/A | 5542046 | 2222 | 4801 | 13125420 | 2630 | 4214001 | 2025-10-01 02:24:44.213060 | 2025-05-13 04:29:37.228323 |
| 2025-09-30 08:03:27.280955 | 2025-10-01 02:25:43.245988 | 12840056 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12840056 | Athletic Physical Therapy Inc | 1942-12-17 | 2025-10-03 | F | PT | STEINBERG | MBL988M98459 | JUDY | N/A | 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/2222/5542014/check_12840056_ffaefd98-3926-41c0-81d4-d7d5bf9eeac6.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902790853 | N/A | N/A | 5542014 | 2222 | 4793 | 13125967 | N/A | 4213977 | 2025-10-01 02:25:43.245988 | 2025-05-13 04:29:37.228294 |
| 2025-09-30 08:03:27.036623 | 2025-10-01 02:25:07.957195 | 12840040 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 12840040 | Athletic Physical Therapy Inc | 1961-02-27 | 2025-10-02 | M | AE | SHRIVER | 90771207E | DANIEL | PT | 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/2222/5541984/check_12840040_596ee9e0-e1b1-4519-a75e-32c457cb9de2.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1961-02-27 | N/A | N/A | N/A | N/A | false | SHRIVER | N/A | DANIEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902790852 | N/A | N/A | 5541984 | 2222 | 4802 | 13125624 | N/A | 4213934 | 2025-10-01 02:25:07.957195 | 2026-01-27 23:36:44.802366 |
| 2025-09-30 08:03:26.826809 | 2025-10-01 02:29:24.949497 | 12840028 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12840028 | Athletic Physical Therapy Inc | 1990-09-04 | 2025-10-03 | M | PT | HASHEMI | XEA914007676 | SEYED | N/A | 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/2222/5541956/check_12840028_859c45a5-3502-4c02-ad69-b71e7edcc0a2.json | N/A | N/A | N/A | N/A | N/A | XEA914007676 | Preferred Provider Organization (PPO) | SILVUS TECHNOLOGIES INC | BLUE SHIELD CALIFORNIA | N/A | 1990-09-04 | 1000PPOX0002 | W3000628 | N/A | PR | false | HASHEMI | N/A | SEYED MEHRDAD | N/A | N/A | N/A | FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1800 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902790851 | N/A | N/A | 5541956 | 2222 | 4802 | 13127245 | N/A | 4213923 | 2025-10-01 02:29:24.949497 | 2025-05-13 04:29:37.228244 |
| 2025-09-30 08:03:26.560022 | 2025-10-01 02:25:27.551776 | 12840009 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12840009 | Athletic Physical Therapy Inc | 1959-05-13 | 2025-10-02 | F | PT | ADRIANZEN FERNAN | MMA221W20054 | AURA | N/A | 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/2222/5541944/check_12840009_48604a67-6811-4485-a697-985299f7bd8a.json | N/A | N/A | N/A | N/A | N/A | MMA221W20054 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-05-13 | 040 | CAMCRWP0 | N/A | MP | false | ADRIANZEN FERNANDEZ | N/A | AURA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902790850 | N/A | N/A | 5541944 | 2222 | 4801 | 13125829 | 4184 | 4213907 | 2025-10-01 02:25:27.551776 | 2025-05-13 04:29:37.228228 |
| 2025-09-30 08:03:26.326123 | 2025-10-01 02:24:46.396517 | 12839995 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 12839995 | Athletic Physical Therapy Inc | 1958-09-06 | 2025-10-02 | F | AE | ZAMORA | 00000327568 | FLORYBETH | PT | 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/2222/5541719/check_12839995_327b35a7-b892-4417-8ff6-be8bdd9e30f8.json | N/A | N/A | N/A | N/A | N/A | 00000327568 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1958-09-06 | N/A | N/A | N/A | N/A | false | ZAMORA | N/A | FLORYBETH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902790849 | N/A | N/A | 5541719 | 2222 | 4801 | 13125438 | N/A | 4213712 | 2025-10-01 02:24:46.396517 | 2025-08-19 01:13:52.150115 |
| 2025-09-30 08:03:26.068956 | 2025-10-01 02:29:31.080111 | 12839983 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12839983 | Athletic Physical Therapy Inc | 2008-11-19 | 2025-10-03 | M | PT | ZARIN | XEK905647080 | ELLA | N/A | 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/2222/5541582/check_12839983_3c40a74a-d9a7-45ac-b9bb-42d2101f0b55.json | N/A | N/A | N/A | N/A | N/A | XEK905647080 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-11-19 | 2001ZH002662 | X0001000 | N/A | PR | false | ZARIN | N/A | DORON | N/A | 2025-12-31 | 2025-01-01 | SILVER 70 OFF EXCHANGE PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902790848 | N/A | N/A | 5541582 | 2222 | 4793 | 13127277 | N/A | 4213586 | 2025-10-01 02:29:31.080111 | 2025-05-28 20:44:53.527917 |
| 2025-09-30 08:03:25.818517 | 2025-10-01 02:17:13.731501 | 12839971 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 12839971 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-10-03 | M | AD | LYKIDIS | U1221753503 | JOHN | N/A | 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/2222/5541552/check_12839971_65f51631-59cc-484c-bb1a-2e934f285183.json | N/A | N/A | N/A | N/A | N/A | U1221753503 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 2001-11-21 | N/A | 3207160 | N/A | N/A | false | LYKIDIS | N/A | JOHN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8902790847 | N/A | N/A | 5541552 | 2222 | 4802 | 13121423 | N/A | 4213562 | 2025-10-01 02:17:13.731501 | 2025-05-13 04:29:37.227895 |
| 2025-09-30 08:03:25.605626 | 2025-10-01 02:29:29.962153 | 12839960 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12839960 | Athletic Physical Therapy Inc | 1990-07-09 | 2025-10-03 | M | PT | UPSON | XEA909162969 | RYAN | N/A | 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/2222/5541318/check_12839960_08df34f1-6b11-4dde-881f-f5b835119efd.json | N/A | N/A | N/A | N/A | N/A | XEA909162969 | Preferred Provider Organization (PPO) | CHILD CARE RESOURCE CENTER | BLUE SHIELD CALIFORNIA | N/A | 1990-07-09 | 1000VX000001 | W0065399 | N/A | PR | false | UPSON | N/A | SANDY | N/A | N/A | N/A | CHILD CARE RESOURCE CENTER CUSTOM VISION PLUS 0 25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902790846 | N/A | N/A | 5541318 | 2222 | 4801 | 13127271 | N/A | 4213349 | 2025-10-01 02:29:29.962153 | 2025-05-13 04:29:37.227671 |
| 2025-09-30 08:03:25.404919 | 2025-10-01 02:29:24.479975 | 12839947 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12839947 | Athletic Physical Therapy Inc | 1963-07-22 | 2025-10-03 | F | PT | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | N/A | 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/2222/5541314/check_12839947_a9aa111f-8bf4-4de9-ae2f-3d2417f1314e.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | 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 | 8902790845 | N/A | N/A | 5541314 | 2222 | 4793 | 13127243 | N/A | 4213343 | 2025-10-01 02:29:24.479975 | 2025-06-06 02:21:37.603701 |
| 2025-09-30 08:03:25.198919 | 2025-10-01 02:25:40.482278 | 12839937 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12839937 | Athletic Physical Therapy Inc | 2001-07-16 | 2025-10-02 | F | PT | POWELL | YWP80258506903 | WHITNEY | N/A | 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/2222/5540983/check_12839937_15f3ec83-db15-46df-9355-70bbb2b804b1.json | N/A | N/A | N/A | N/A | N/A | YWP80258506903 | N/A | HELLER CAPITAL GROUP LLC | CAPITAL BLUE CROSS | N/A | 2001-07-16 | N/A | 00531869 | N/A | N/A | false | POWELL | N/A | WHITNEY | N/A | 2025-06-30 | 2024-12-14 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902790844 | N/A | N/A | 5540983 | 2222 | 4793 | 13125948 | N/A | 4213053 | 2025-10-01 02:25:40.482278 | 2025-08-05 22:50:43.277345 |
| 2025-09-30 08:03:24.938810 | 2025-10-01 02:24:43.281295 | 12839922 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12839922 | Athletic Physical Therapy Inc | 1939-07-11 | 2025-10-02 | F | AE | GOMEZ | 00000357273 | EVELYN | PT | 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/2222/5540918/check_12839922_588070df-2368-45a5-81d0-92f42a644b18.json | N/A | N/A | N/A | N/A | N/A | 00000357273 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1939-07-11 | N/A | N/A | N/A | N/A | false | GOMEZ | N/A | EVELYN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902790755 | N/A | N/A | 5540918 | 2222 | 4801 | 13125409 | 2630 | 4213001 | 2025-10-01 02:24:43.281295 | 2025-05-13 04:29:37.227329 |
| 2025-09-30 08:03:24.680217 | 2025-10-01 02:09:31.361985 | 12839912 | N/A | N/A | 60054 | Aetna | 1114042165 | 12839912 | Athletic Physical Therapy Inc | 1948-11-01 | 2025-10-02 | F | AE | TUCKER | 101632234800 | EILEEN | PT | 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/2222/5540116/check_12839912_8171899a-1aa2-485e-9ecd-11dedccb4f9f.json | N/A | N/A | N/A | N/A | N/A | 101632234800 | Preferred Provider Organization (PPO) | STATE OF ILLINOIS RETIREES - MAPD | AETNA | MEDICARE | 1948-11-01 | 100512-01EG0001 | 100512-01 | N/A | PR | false | TUCKER | N/A | EILEEN | N/A | N/A | N/A | MEDICARE (C05) ESA PPO PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902790754 | N/A | N/A | 5540116 | 2222 | 4801 | 13118327 | N/A | 4212312 | 2025-10-01 02:09:31.361985 | 2025-05-13 04:29:37.226651 |
| 2025-09-30 08:03:24.454845 | 2025-10-01 02:22:11.281657 | 12839902 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12839902 | Athletic Physical Therapy Inc | 1973-07-11 | 2025-10-02 | M | AE | HERMAN | 95836743G | BRETT | PT | 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/2222/5540113/check_12839902_b981a7f8-7ca4-4e76-bcf7-76ac8d5ce6bb.json | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | HEALTH NET, LLC | N/A | 1973-07-11 | N/A | N/A | N/A | N/A | false | HERMAN | N/A | BRETT | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902790753 | N/A | N/A | 5540113 | 2222 | 4801 | 13123986 | N/A | 4212315 | 2025-10-01 02:22:11.281657 | 2025-12-29 21:20:15.158611 |
| 2025-09-30 08:03:24.177536 | 2025-10-01 02:25:29.805084 | 12839890 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12839890 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-10-02 | F | PT | BOYLAN | MBL857M98403 | JOAN | N/A | 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/2222/5540074/check_12839890_3c9afe8b-54ee-466f-8c24-4d6bafe5f29b.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902790752 | N/A | N/A | 5540074 | 2222 | 4802 | 13125853 | N/A | 4212282 | 2025-10-01 02:25:29.805084 | 2025-05-13 04:29:37.226623 |
| 2025-09-30 08:03:23.968285 | 2025-10-01 02:30:17.314354 | 12839876 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12839876 | Athletic Physical Therapy Inc | 1983-08-31 | 2025-10-03 | M | PT | FLEMING | SZF839281184 | CHASE | N/A | 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/2222/5539901/check_12839876_aa0c7e24-e2e6-4058-a4ad-44700c213511.json | N/A | N/A | N/A | N/A | N/A | SZF839281184 | Preferred Provider Organization (PPO) | ACTIVE | CUSTOMER SERVICE | N/A | 1983-08-31 | N/A | 018137 | N/A | PR | false | FLEMING | N/A | CHASE | N/A | 9999-12-31 | 2021-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902790751 | N/A | N/A | 5539901 | 2222 | 4793 | 13127516 | N/A | 4212134 | 2025-10-01 02:30:17.314354 | 2025-08-05 02:56:55.384378 |
| 2025-09-30 08:03:23.755840 | 2025-10-01 02:25:32.388992 | 12839864 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12839864 | Athletic Physical Therapy Inc | 1963-05-25 | 2025-10-03 | F | PT | GINSBERG | JQU469A62630 | LISA | N/A | 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/2222/5539612/check_12839864_38e09417-f047-4a0e-9c18-69ee56bb9897.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1963-05-25 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 9999-12-31 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8902790750 | N/A | N/A | 5539612 | 2222 | 4793 | 13125875 | N/A | 4211892 | 2025-10-01 02:25:32.388992 | 2025-11-02 22:03:21.557202 |
| 2025-09-30 08:03:23.521253 | 2025-10-01 02:22:37.076007 | 12839854 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 12839854 | Athletic Physical Therapy Inc | 1958-02-11 | 2025-10-03 | F | AE | LEVESQUE | 097A2439020 | JACQUELINE | PT | 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/2222/5539382/check_12839854_6db88401-c9e2-4377-97d1-e21bcdc97136.json | N/A | N/A | N/A | N/A | N/A | 40062637201 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1958-02-11 | 2025H5425001 | H5425M | N/A | N/A | false | LEVESQUE | N/A | JACQUELINE | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8902790749 | N/A | N/A | 5539382 | 2222 | 4793 | 13124203 | N/A | 4211704 | 2025-10-01 02:22:37.076007 | 2025-06-06 23:08:42.876895 |