API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-29 09:54:34.850208 | 2025-09-29 09:54:38.384543 | 12814416 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-07-07 | 2025-09-29 | F | AE | PT | 4184 | GOEL | JQE690A74746 | VEENA | https://storage.googleapis.com/normandy-eligibility-checks/2222/8969545/check_12814416_4253ce8a-6a31-435a-8891-eb2f82cac760.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969545/check_12814416_5654312c-1b3f-42b7-9ab5-f332128817cd.json | N/A | N/A | N/A | N/A | N/A | JQE690A74746 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1948-07-07 | 040 | CASUPWP0 | N/A | N/A | false | GOEL | N/A | VEENA | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894147103 | N/A | N/A | 8969545 | 2222 | N/A | 13038638 | N/A | 7485064 | 2025-09-29 09:54:38.384543 | 2025-12-29 22:41:16.623495 |
| 2025-09-29 09:54:02.666690 | 2025-09-29 09:54:07.000653 | 12814354 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-02-12 | 2025-09-29 | F | AE | PT | 4497 | MAJEED | 1FM5RJ6UK85 | MARY | https://storage.googleapis.com/normandy-eligibility-checks/2222/8418047/check_12814354_9e163ad3-fbb9-4750-ad8c-2b7fffc9032f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8418047/check_12814354_8b56ac3e-c381-4071-805f-aefbbb0a0cb7.json | N/A | N/A | N/A | N/A | N/A | 1FM5RJ6UK85 | Medicare Part A | N/A | UNITEDHEALTHCARE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-02-12 | H0294 | N/A | N/A | MA | false | MAJEED | N/A | MARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894145787 | N/A | N/A | 8418047 | 2222 | N/A | 13038573 | N/A | 5232379 | 2025-09-29 09:54:07.000653 | 2025-07-03 16:30:13.139077 |
| 2025-09-29 09:44:56.519827 | 2025-09-30 02:49:14.127567 | 12813162 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12813162 | Athletic Physical Therapy Inc | 1970-10-11 | 2025-10-01 | M | PT | N/A | N/A | Kahen | XEK909669840 | Shervin | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123528346.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7787192/check_12813162_5b038289-dbe2-48dd-957c-e1806c1ff706.json | N/A | N/A | N/A | N/A | N/A | XEK909669840 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1970-10-11 | 2001ZK002195 | X0001000 | N/A | PR | false | KAHEN | N/A | SHERVIN | N/A | 9999-12-31 | 2025-05-18 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894123956 | N/A | N/A | 7787192 | 2222 | 4802 | 13083840 | N/A | 6631054 | 2025-09-30 02:49:14.127567 | 2025-12-12 20:45:04.787542 |
| 2025-09-29 09:44:30.853380 | 2025-09-30 02:47:20.246710 | 12813044 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12813044 | Athletic Physical Therapy Inc | 1959-09-25 | 2025-10-01 | F | AE | PT | N/A | SIQUEIROS | 00000416329 | NEOMI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123528346.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7783566/check_12813044_a877b47c-7af0-45e1-8ebe-e783bbbda5de.json | N/A | N/A | N/A | N/A | N/A | 00000416329 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1959-09-25 | N/A | N/A | N/A | N/A | false | SIQUEIROS | N/A | NEOMI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894123523 | N/A | N/A | 7783566 | 2222 | 4793 | 13083007 | 2630 | 6628802 | 2025-09-30 02:47:20.246710 | 2025-08-05 16:32:50.217064 |
| 2025-09-29 09:43:32.376305 | 2025-09-30 02:42:33.436705 | 12812775 | N/A | N/A | 60054 | Aetna | 1114042165 | 12812775 | Athletic Physical Therapy Inc | 1973-08-11 | 2025-10-02 | M | AE | PT | N/A | YAMASAKI | W121490267 | KENNY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123528346.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7761496/check_12812775_fdc6eabe-6bde-4c5f-8fc3-f90574bc742c.json | N/A | N/A | N/A | N/A | N/A | W121490767 | Point of Service (POS) | LIONSGATE ENTERTAINMENT INC. | AETNA | N/A | 1973-08-11 | 0881709 | 088170902100001 | N/A | PS | false | YAMASAKI | N/A | KENNY | N/A | N/A | N/A | OA MANAGED CHOICE POS HDHP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894123439 | N/A | N/A | 7761496 | 2222 | 4802 | 13080568 | N/A | 6610810 | 2025-09-30 02:42:33.436705 | 2025-08-04 22:41:35.670334 |
| 2025-09-29 09:43:31.676467 | 2025-09-30 02:46:27.987358 | 12812771 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 12812771 | Athletic Physical Therapy Inc | 1936-04-01 | 2025-10-01 | F | AE | PT | N/A | WESTER | 40064582501 | EIVOR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123528346.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7761229/check_12812771_ae143cf5-5cb6-4466-b5d1-10205d9d3c87.json | N/A | N/A | N/A | N/A | N/A | 40064582501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1936-04-01 | 2025H5425001 | H5425M | N/A | N/A | false | WESTER | N/A | EIVOR | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894123438 | N/A | N/A | 7761229 | 2222 | 4793 | 13082595 | N/A | 6610550 | 2025-09-30 02:46:27.987358 | 2025-08-29 21:18:14.924057 |
| 2025-09-29 09:42:52.130229 | 2025-09-30 02:44:09.398068 | 12812637 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 12812637 | Athletic Physical Therapy Inc | 1951-03-20 | 2025-10-01 | F | AE | PT | N/A | TOY | H77237018 | NELDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123528346.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7754038/check_12812637_5f83de10-064b-4a44-a9c3-84e36796c700.json | N/A | N/A | N/A | N/A | N/A | H77237018 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 695 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 | 1951-03-20 | N/A | 0B515001 | N/A | HN | false | TOY | N/A | NELDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894123157 | N/A | N/A | 7754038 | 2222 | 4793 | 13081474 | N/A | 6605178 | 2025-09-30 02:44:09.398068 | 2025-08-12 21:10:43.412607 |
| 2025-09-29 09:41:20.247145 | 2025-09-30 03:00:38.989343 | 12812294 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12812294 | Athletic Physical Therapy Inc | 2009-08-12 | 2025-10-01 | M | AE | PT | N/A | Aldana | 95423949E | George | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123340221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6568645/check_12812294_6f6ef144-ab8c-4d63-88d8-f60154b42e4f.json | N/A | N/A | N/A | N/A | N/A | 95423949E | N/A | N/A | HEALTH NET, LLC | N/A | 2009-08-12 | N/A | N/A | N/A | N/A | false | ALDANA | N/A | GEORGE | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894107650 | N/A | N/A | 6568645 | 2222 | 4802 | 13087079 | N/A | 5190481 | 2025-09-30 03:00:38.989343 | 2025-06-24 17:29:30.756528 |
| 2025-09-29 09:40:56.003688 | 2025-09-30 02:46:19.326324 | 12812145 | N/A | N/A | 60054 | Aetna | 1114042165 | 12812145 | Athletic Physical Therapy Inc | 1993-09-26 | 2025-10-01 | M | AE | PT | N/A | Hamilton | W292751187 | Kevin | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123340221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6555606/check_12812145_497b6b77-3ee6-42e0-900f-75cce0e9d586.json | N/A | N/A | N/A | N/A | N/A | W292751187 | Point of Service (POS) | WILLKIE FARR & GALLAGHER LLP | AETNA | N/A | 1993-09-26 | 0308636 | 030863601400001 | N/A | PS | false | HAMILTON | N/A | KEVIN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894108743 | N/A | N/A | 6555606 | 2222 | 4802 | 13082522 | N/A | 5178755 | 2025-09-30 02:46:19.326324 | 2025-07-17 17:42:32.068740 |
| 2025-09-29 09:40:49.056407 | 2025-09-30 02:44:10.875473 | 12812116 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 12812116 | Athletic Physical Therapy Inc | 1969-06-12 | 2025-10-02 | F | AE | PT | N/A | Ballatore | 90665617F | Chloe | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123340221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6553125/check_12812116_d4e2a746-dd50-4551-b399-5580504e1c2b.json | N/A | N/A | N/A | N/A | N/A | 90665617F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 12/31/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1969-06-12 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | BALLATORE | N/A | CHLOE | N/A | 2078-12-31 | 2024-03-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894108727 | N/A | N/A | 6553125 | 2222 | 4802 | 13081479 | N/A | 5176363 | 2025-09-30 02:44:10.875473 | 2025-06-23 23:46:22.182955 |
| 2025-09-29 09:39:29.101771 | 2025-09-30 03:03:06.882161 | 12811707 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12811707 | Athletic Physical Therapy Inc | 1965-05-30 | 2025-10-02 | M | PT | N/A | N/A | RODRIGUEZ | H5Q045W16688 | ROBERTO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123340221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6491817/check_12811707_77880c0b-a2e5-4609-a8a0-d00c3bbdfc72.json | N/A | N/A | N/A | N/A | N/A | H5Q045W16688 | Preferred Provider Organization (PPO) | THE CHEESECAKE FACTORY RESTAURANTS INC | ANTHEM BLUE CROSS | N/A | 1965-05-30 | 040 | 174297M1AD | N/A | PR | false | ROLDAN | N/A | BRENDA | N/A | 9999-12-31 | 2025-01-01 | BC PPO EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894109063 | N/A | N/A | 6491817 | 2222 | 4801 | 13087546 | N/A | 5120889 | 2025-09-30 03:03:06.882161 | 2025-06-23 18:24:54.219050 |
| 2025-09-29 09:38:34.828933 | 2025-09-30 03:03:04.257714 | 12811411 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12811411 | Athletic Physical Therapy Inc | 1966-04-28 | 2025-10-02 | F | PT | N/A | N/A | HAZARD | NCF794W22253 | PAULA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123340221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472283/check_12811411_e752df56-dfb6-46de-8e18-46dc0150f59c.json | N/A | N/A | N/A | N/A | N/A | NCF794W22253 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1966-04-28 | 040 | 57AJCA | N/A | HM | false | HAZARD | N/A | PAULA | N/A | 9999-12-31 | 2025-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894107564 | N/A | N/A | 6472283 | 2222 | 4801 | 13087540 | N/A | 5105323 | 2025-09-30 03:03:04.257714 | 2025-07-02 18:01:41.077949 |
| 2025-09-29 09:35:13.336252 | 2025-09-30 02:46:22.548154 | 12810409 | N/A | N/A | 60054 | Aetna | 1114042165 | 12810409 | Athletic Physical Therapy Inc | 1991-08-09 | 2025-10-01 | M | AE | PT | N/A | TORIO | W287278504 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123340221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6235883/check_12810409_c8d0d407-fc7a-48cf-9bec-b41ccdfc386e.json | N/A | N/A | N/A | N/A | N/A | W287278504 | Point of Service (POS) | COADVANTAGE RESOURCES, INC. | AETNA | N/A | 1991-08-09 | 0159468 | 015946801000026 | N/A | PS | false | TORIO | N/A | MICHAEL | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894108353 | N/A | N/A | 6235883 | 2222 | 4802 | 13082546 | N/A | 4883697 | 2025-09-30 02:46:22.548154 | 2025-07-08 14:55:53.397662 |
| 2025-09-29 09:35:08.912658 | 2025-09-30 03:02:59.755735 | 12810384 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12810384 | Athletic Physical Therapy Inc | 1950-03-19 | 2025-10-02 | F | PT | N/A | N/A | AZUCENA | MMA139W21606 | ESPERANZA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123340221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6234679/check_12810384_2398a4f0-f44e-407d-8dfa-786d22844e25.json | N/A | N/A | N/A | N/A | N/A | MMA139W21606 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1950-03-19 | 040 | CAMCRWP0 | N/A | MP | false | AZUCENA | N/A | ESPERANZA | 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 | 8894108342 | N/A | N/A | 6234679 | 2222 | 4801 | 13087527 | N/A | 4213743 | 2025-09-30 03:02:59.755735 | 2025-05-13 04:29:37.228064 |
| 2025-09-29 09:33:48.678970 | 2025-09-30 03:00:40.349428 | 12809933 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12809933 | Athletic Physical Therapy Inc | 1981-12-16 | 2025-10-01 | F | AE | PT | N/A | DE FELICE | R07457624FM1 | CHRISTINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123340221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140436/check_12809933_f507f6a9-4728-47fe-b7b1-678eed041d88.json | N/A | N/A | N/A | N/A | N/A | R07457624FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1981-12-16 | N/A | N/A | N/A | N/A | false | DE FELICE | N/A | CHRISTINA | N/A | N/A | N/A | KA9 SBP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894107462 | N/A | N/A | 6140436 | 2222 | 4801 | 13087081 | N/A | 4781417 | 2025-09-30 03:00:40.349428 | 2025-06-06 17:03:19.078153 |
| 2025-09-29 09:33:47.356472 | 2025-09-30 02:46:21.177428 | 12809930 | N/A | N/A | 60054 | Aetna | 1114042165 | 12809930 | Athletic Physical Therapy Inc | 1969-01-03 | 2025-10-02 | M | AE | PT | N/A | HUANG | W278191924 | DANNY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123340221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140246/check_12809930_1171542a-bf70-4346-8c14-2264865fab3c.json | N/A | N/A | N/A | N/A | N/A | W278191924 | Point of Service (POS) | RIPPLING PEO 1, INC. | AETNA | N/A | 1969-01-03 | 0169696 | 016969601700012 | N/A | PS | false | HUANG | N/A | DANNY | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894107461 | N/A | N/A | 6140246 | 2222 | 4802 | 13082533 | N/A | 4781166 | 2025-09-30 02:46:21.177428 | 2025-06-11 17:29:46.826705 |
| 2025-09-29 09:32:15.540585 | 2025-09-30 03:01:28.304710 | 12809517 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 12809517 | Athletic Physical Therapy Inc | 1954-02-25 | 2025-10-02 | F | AE | PT | N/A | ROBERTS | 00000402630 | DEBRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123340221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085762/check_12809517_d44063ca-1061-4322-aea0-e6c11f8b84a6.json | N/A | N/A | N/A | N/A | N/A | 00000402630 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1954-02-25 | N/A | N/A | N/A | N/A | false | ROBERTS | N/A | DEBRA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894107748 | N/A | N/A | 6085762 | 2222 | 4793 | 13087170 | N/A | 4729138 | 2025-09-30 03:01:28.304710 | 2025-05-31 14:20:56.156252 |
| 2025-09-29 09:31:47.080483 | 2025-09-30 02:53:53.702593 | 12809386 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 12809386 | Athletic Physical Therapy Inc | 1998-01-13 | 2025-10-01 | F | AE | PT | N/A | HOWE | U9192068101 | LOCHRYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123340221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6079410/check_12809386_26dd4ec6-c3cb-406a-999a-7bd4f9d14ac9.json | N/A | N/A | N/A | N/A | N/A | U9192068101 | N/A | VVG HOLDINGS, LLC | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST PREFERRED CARE MANAGEMENT | 1999-01-13 | N/A | 3343439 | N/A | N/A | false | HOWE | N/A | LOCHRYN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894108800 | N/A | N/A | 6079410 | 2222 | 4802 | 13085653 | N/A | 4723300 | 2025-09-30 02:53:53.702593 | 2025-06-04 00:42:43.684276 |
| 2025-09-29 09:31:29.825909 | 2025-09-30 02:42:23.412164 | 12809294 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 12809294 | Athletic Physical Therapy Inc | 1975-12-22 | 2025-10-01 | M | PT | N/A | N/A | HUTH | XEH910929228 | KENT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123528346.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7626895/check_12809294_ba23bfbe-086a-4b3f-ae50-82bbe21b8f8d.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 | 8894123342 | N/A | N/A | 7626895 | 2222 | 4793 | 13080448 | N/A | 6525917 | 2025-09-30 02:42:23.412164 | 2026-05-08 22:53:13.232007 |
| 2025-09-29 09:29:28.965552 | 2025-09-30 02:43:57.797141 | 12808488 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12808488 | Athletic Physical Therapy Inc | 1956-11-29 | 2025-09-30 | F | AE | PT | N/A | GOMEZ | 00000401101 | ALICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.124433581.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9555104/check_12808488_984c8cb0-8cc4-44d2-a9c4-8931725171bc.json | N/A | N/A | N/A | N/A | N/A | 00000401101 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1956-11-29 | N/A | N/A | N/A | N/A | false | GOMEZ | N/A | ALICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894102603 | N/A | N/A | 9555104 | 2222 | 4801 | 13081385 | 2630 | 7990617 | 2025-09-30 02:43:57.797141 | 2025-09-29 20:34:47.088032 |
| 2025-09-29 09:29:13.282567 | 2025-09-30 05:21:49.689165 | 12808218 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 12808218 | Athletic Physical Therapy Inc | 1963-05-22 | 2025-10-01 | M | AE | PT | N/A | SMITH | 99688004H | MATTHEW | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123333837.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7022680/check_12808218_9a185628-3c04-4b7c-b9e3-98c7503286cb.json | N/A | N/A | N/A | N/A | N/A | 99688004H | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1963-05-22 | N/A | N/A | N/A | N/A | false | SMITH | N/A | MATTHEW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894097984 | N/A | N/A | 7022680 | 2222 | 4793 | 13095881 | N/A | 6037802 | 2025-09-30 05:21:49.689165 | 2025-07-22 17:48:16.997014 |
| 2025-09-29 09:29:07.650840 | 2025-09-30 05:21:42.655459 | 12808119 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12808119 | Athletic Physical Therapy Inc | 1959-07-25 | 2025-10-01 | F | AE | PT | N/A | CARRANZA | 00000342921 | KISELL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123333837.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7019836/check_12808119_0566ee0c-9bb4-4e3a-bf48-80e112e33b7c.json | N/A | N/A | N/A | N/A | N/A | 00000342921 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1959-07-25 | N/A | N/A | N/A | N/A | false | CARRANZA | N/A | KISELL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894097904 | N/A | N/A | 7019836 | 2222 | 4802 | 13095864 | 2630 | 4214064 | 2025-09-30 05:21:42.655459 | 2025-07-15 17:36:25.711810 |
| 2025-09-29 09:29:01.374932 | 2025-09-30 02:57:53.270374 | 12807998 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12807998 | Athletic Physical Therapy Inc | 1969-01-08 | 2025-10-01 | F | AE | PT | N/A | ALROMAIH | 91237812E | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123340221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993940/check_12807998_9d421a01-f473-4dff-9f69-b1a536f54c1c.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894108586 | N/A | N/A | 5993940 | 2222 | 4802 | 13086665 | N/A | 4642877 | 2025-09-30 02:57:53.270374 | 2025-12-23 23:49:16.627667 |
| 2025-09-29 09:29:00.205061 | 2025-09-30 03:03:02.370754 | 12807980 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12807980 | Athletic Physical Therapy Inc | 1977-09-14 | 2025-10-01 | F | PT | N/A | N/A | CONTI | CAI143A79624 | MARIANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123340221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993920/check_12807980_c87ff79f-17a6-407a-86a4-0feef3e7df21.json | N/A | N/A | N/A | N/A | N/A | CAI143A79624 | Health Maintenance Organization (HMO) | CALIFORNIA PUBLIC EMPLOYEES RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1977-09-14 | 040 | HNB010AS | N/A | HM | false | CONTI | N/A | MARIANA | N/A | 9999-12-31 | 2019-01-01 | CALPERS SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894108585 | N/A | N/A | 5993920 | 2222 | 4793 | 13087534 | 4184 | 4642859 | 2025-09-30 03:03:02.370754 | 2026-04-10 21:27:25.225083 |
| 2025-09-29 09:28:58.453385 | 2025-09-30 03:00:41.591578 | 12807954 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12807954 | Athletic Physical Therapy Inc | 1983-05-31 | 2025-10-02 | M | AE | PT | N/A | JOHNSON | R04617470MM1 | ROTH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123340221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993907/check_12807954_85cd9f71-78ac-4bd5-958d-ffeb37cb36d4.json | N/A | N/A | N/A | N/A | N/A | R04617470MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1983-05-31 | N/A | N/A | N/A | N/A | false | JOHNSON | N/A | ROTH | N/A | N/A | N/A | KWE PPOSBG | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894108584 | N/A | N/A | 5993907 | 2222 | 4793 | 13087084 | N/A | 4534544 | 2025-09-30 03:00:41.591578 | 2025-05-28 20:51:40.104091 |
| 2025-09-29 09:28:57.079197 | 2025-09-30 03:03:08.811159 | 12807928 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12807928 | Athletic Physical Therapy Inc | 1996-01-20 | 2025-10-01 | F | PT | N/A | N/A | WORDEN | ORU910469318 | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123340221.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993479/check_12807928_6071cedc-ded9-44c5-b5bc-901e171c3c9a.json | N/A | N/A | N/A | N/A | N/A | ORU910469318 | Preferred Provider Organization (PPO) | OAK RIDGE ASSOCIATED UNIVERSITIES | ANTHEM BLUE CROSS | N/A | 1996-01-20 | MBPORAU0 | 89513 | N/A | PR | false | WORDEN | N/A | SARAH | N/A | 2199-12-31 | 2024-07-16 | BLUE NETWORK P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894108583 | N/A | N/A | 5993479 | 2222 | 4801 | 13087555 | N/A | 4219476 | 2025-09-30 03:03:08.811159 | 2025-05-28 20:18:04.039855 |
| 2025-09-29 09:28:36.217448 | 2025-09-30 02:33:48.857642 | 12807548 | N/A | N/A | 60054 | Aetna | 1114042165 | 12807548 | Athletic Physical Therapy Inc | 1945-01-03 | 2025-09-30 | M | AE | PT | N/A | KIRK | 1013638055000 | DANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.135718836.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7556097/check_12807548_345c1017-66d7-43d9-a49b-e30b56f5941b.json | N/A | N/A | N/A | N/A | N/A | 101363805500 | Preferred Provider Organization (PPO) | VERIZON - MA | AETNA | MEDICARE | 1945-01-03 | 100008-02EG0011 | 100008-02 | N/A | PR | false | KIRK | N/A | DANIEL | N/A | N/A | N/A | WEST ADV PLAN 125 PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894093532 | N/A | N/A | 7556097 | 2222 | 4801 | 13073941 | N/A | 6476881 | 2025-09-30 02:33:48.857642 | 2025-07-29 22:42:05.499172 |
| 2025-09-29 09:28:22.560499 | 2025-09-30 02:36:06.982842 | 12807368 | N/A | N/A | 60054 | Aetna | 1114042165 | 12807368 | Athletic Physical Therapy Inc | 1960-01-04 | 2025-10-02 | F | AE | PT | N/A | MARLEY | W032070695 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.124433581.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9512811/check_12807368_a3dc9df8-7890-4c1b-b7b4-b09d19d82635.json | N/A | N/A | N/A | N/A | N/A | W032070695 | Exclusive Provider Organization | COSTCO WHOLESALE CORPORATION | AETNA | N/A | 1960-01-04 | 0169579 | 016957901100002 | N/A | EP | false | MARLEY | N/A | MARIA | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894101654 | N/A | N/A | 9512811 | 2222 | 4801 | 13075654 | N/A | 7955514 | 2025-09-30 02:36:06.982842 | 2025-09-26 00:32:05.426711 |
| 2025-09-29 09:28:08.002270 | 2025-09-30 02:43:58.236629 | 12807208 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12807208 | Athletic Physical Therapy Inc | 1959-04-22 | 2025-09-30 | F | AE | PT | N/A | MATHESON | 00000433752 | JANET | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.124433581.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9511696/check_12807208_cde322d2-287d-4457-9758-f090a2ebc16c.json | N/A | N/A | N/A | N/A | N/A | 00000433752 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1959-04-22 | N/A | N/A | N/A | N/A | false | MATHESON | N/A | JANET | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894100831 | N/A | N/A | 9511696 | 2222 | 4801 | 13081388 | 2630 | 7954244 | 2025-09-30 02:43:58.236629 | 2025-09-29 18:15:39.145358 |
| 2025-09-29 09:27:55.150225 | 2025-09-30 02:37:10.520112 | 12807028 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12807028 | Athletic Physical Therapy Inc | 1959-07-25 | 2025-10-01 | F | AE | PT | N/A | CARRANZA | 94113505C | KISELL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.135718836.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7508301/check_12807028_fdefc296-4443-45b1-9cc2-70f45fe0adf6.json | N/A | N/A | N/A | N/A | N/A | 94113505C | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1959-07-25 | N/A | N/A | N/A | N/A | false | CARRANZA | N/A | KISELL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894094542 | N/A | N/A | 7508301 | 2222 | 4802 | 13076441 | N/A | 4214064 | 2025-09-30 02:37:10.520112 | 2025-07-15 17:36:25.711810 |
| 2025-09-29 09:27:54.241916 | 2025-09-30 05:17:47.883752 | 12807010 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 12807010 | Athletic Physical Therapy Inc | 2010-03-18 | 2025-10-02 | M | PT | N/A | N/A | MARTIN | XEH906532391003 | CHRISTOPHER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123333837.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6967909/check_12807010_fba3b826-ad4d-4a2a-b9cf-b3173ef114fd.json | N/A | N/A | N/A | N/A | N/A | XEH906532391 | Health Maintenance Organization (HMO) | WILD WONDER LLC | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2010-03-18 | 1000VX000101 | W0099153 | N/A | HM | false | MARTIN | N/A | ELIZABETH | N/A | 2036-03-31 | 2019-06-01 | DENTAL HMO PLUS | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894099023 | N/A | N/A | 6967909 | 2222 | 4793 | 13095161 | N/A | 5990447 | 2025-09-30 05:17:47.883752 | 2025-07-21 18:40:33.917911 |
| 2025-09-29 09:27:37.773918 | 2025-09-30 05:16:35.838029 | 12806776 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 12806776 | Athletic Physical Therapy Inc | 1953-11-17 | 2025-10-01 | M | AE | PT | N/A | Ramos | 43620299 | Federico | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123333837.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6960617/check_12806776_10a3d20a-d2ab-44d2-8aba-264c860b0e11.json | N/A | N/A | N/A | N/A | N/A | 43620299 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1953-11-17 | 406-005-000 | N/A | N/A | N/A | false | RAMOS | N/A | FEDERICO | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894097676 | N/A | N/A | 6960617 | 2222 | 4802 | 13094950 | 6798 | 5985329 | 2025-09-30 05:16:35.838029 | 2025-09-10 17:01:27.097640 |
| 2025-09-29 09:27:36.064066 | 2025-09-30 02:37:12.292827 | 12806751 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12806751 | Athletic Physical Therapy Inc | 1944-09-29 | 2025-09-30 | F | AE | PT | N/A | GUASTELLA | 911M7843220 | ROSE ANN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.135718836.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458753/check_12806751_0bce41e8-fae8-4539-99c2-92a233f6b831.json | N/A | N/A | N/A | N/A | N/A | 911M7843220 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1944-09-29 | N/A | N/A | N/A | N/A | false | GUASTELLA | N/A | ROSE ANN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894093493 | N/A | N/A | 7458753 | 2222 | 4801 | 13076460 | N/A | 6407685 | 2025-09-30 02:37:12.292827 | 2025-08-12 18:01:47.141909 |
| 2025-09-29 09:27:34.644928 | 2025-09-30 02:41:42.103733 | 12806730 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 12806730 | Athletic Physical Therapy Inc | 1947-04-18 | 2025-09-30 | F | PT | N/A | N/A | BELL | 96881701C | JACQUELYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.135718836.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456429/check_12806730_939486c9-87b1-46fb-b3e0-e4e4d1e80a3c.json | N/A | N/A | N/A | N/A | N/A | 96881701C | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1947-04-18 | N/A | N/A | N/A | N/A | false | BELL | N/A | JACQUELYN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894093489 | N/A | N/A | 7456429 | 2222 | 4802 | 13079923 | N/A | 4208856 | 2025-09-30 02:41:42.103733 | 2025-05-13 04:29:37.223284 |
| 2025-09-29 09:27:19.345228 | 2025-09-30 02:33:49.178224 | 12806486 | N/A | N/A | 60054 | Aetna | 1114042165 | 12806486 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-10-01 | F | AE | PT | N/A | SHAKIB | 101129457200 | PARI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.135718836.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444723/check_12806486_d749b167-7cf2-4b4d-8d19-ae551d2587c1.json | N/A | N/A | N/A | N/A | N/A | 101129457200 | Qualified Medicare Beneficiary | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1952-05-04 | 000003-CA000058 | 000003-CA | N/A | QM | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894095103 | N/A | N/A | 7444723 | 2222 | 4802 | 13073945 | N/A | 6395498 | 2025-09-30 02:33:49.178224 | 2026-02-18 02:38:35.073779 |
| 2025-09-29 09:26:48.122968 | 2025-09-30 02:45:25.437986 | 12805865 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12805865 | Athletic Physical Therapy Inc | 1968-12-01 | 2025-10-01 | F | PT | N/A | N/A | BECERRA | CZCAN2537305 | BLANCA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.124433581.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9487590/check_12805865_ea37cbe7-b681-4fd0-b0c4-35292332e002.json | N/A | N/A | N/A | N/A | N/A | CZCAN2537305 | Preferred Provider Organization (PPO) | PPO W/BLUE DISTINCTION W/AIM FTR GOLD | BLUE SHIELD OF CALIFORNIA | N/A | 1968-12-01 | 060 | 270196M71A | N/A | PR | false | BECERRA | N/A | JAIME | N/A | 9999-12-31 | 2022-01-01 | CT BLUE CARD PREFERRED PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894101412 | N/A | N/A | 9487590 | 2222 | 4793 | 13082088 | N/A | 7937217 | 2025-09-30 02:45:25.437986 | 2025-09-26 14:34:41.732941 |
| 2025-09-29 09:26:46.835580 | 2025-09-30 05:21:47.012711 | 12805838 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12805838 | Athletic Physical Therapy Inc | 1973-05-29 | 2025-10-01 | M | AE | PT | N/A | KIM | 96135332F | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123333837.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6917652/check_12805838_1611b1e8-0652-4624-9542-065b8d160eb7.json | N/A | N/A | N/A | N/A | N/A | 96135332F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1973-05-29 | MCLA | MWLLNMEG21 | N/A | N/A | false | KIM | N/A | JOSEPH | N/A | 2078-12-31 | 2023-09-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894097538 | N/A | N/A | 6917652 | 2222 | 4802 | 13095875 | N/A | 5949044 | 2025-09-30 05:21:47.012711 | 2025-07-08 23:15:13.625855 |
| 2025-09-29 09:26:46.043680 | 2025-09-30 02:12:37.209731 | 12805824 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 12805824 | Athletic Physical Therapy Inc | 1957-01-30 | 2025-10-01 | F | AE | PT | N/A | SEIFERT | H77624682 | ARMIDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.124433581.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9486126/check_12805824_562ff3e0-98dc-4478-8f12-640f1990c919.json | N/A | N/A | N/A | N/A | N/A | H77624682 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1957-01-30 | N/A | N/A | N/A | N/A | false | SEIFERT | N/A | ARMIDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894101404 | N/A | N/A | 9486126 | 2222 | 4793 | 13058955 | N/A | 7936248 | 2025-09-30 02:12:37.209731 | 2025-09-17 22:49:12.995113 |
| 2025-09-29 09:26:34.005545 | 2025-09-30 02:44:02.048992 | 12805607 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12805607 | Athletic Physical Therapy Inc | 1990-09-10 | 2025-10-01 | M | AE | PT | N/A | Szymanski | 974058888F | Micah | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.124433581.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9480224/check_12805607_6a135fb1-2aae-4384-9db5-f00a78bd0413.json | N/A | N/A | N/A | N/A | N/A | 97405888F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1990-09-10 | MCLA | MWLLNMEG21 | N/A | N/A | false | SZYMANSKI | N/A | MICAH | N/A | 2078-12-31 | 2022-03-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894102539 | N/A | N/A | 9480224 | 2222 | 4802 | 13081422 | N/A | 7931021 | 2025-09-30 02:44:02.048992 | 2025-09-17 22:04:09.763232 |
| 2025-09-29 09:26:30.820666 | 2025-09-30 02:44:14.941629 | 12805557 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12805557 | Athletic Physical Therapy Inc | 1959-08-20 | 2025-10-01 | F | PT | N/A | N/A | LANEUVILLE | MMA152W21217 | LESLIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.124433581.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9478316/check_12805557_b1104b5d-4d17-41af-b1ea-a0b7ac02df42.json | N/A | N/A | N/A | N/A | N/A | MMA152W21217 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-08-20 | 040 | CAMCRWP0 | N/A | MP | false | LANEUVILLE | N/A | LESLIE | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894102528 | N/A | N/A | 9478316 | 2222 | 4801 | 13081522 | N/A | 6941976 | 2025-09-30 02:44:14.941629 | 2025-09-05 19:35:59.844269 |
| 2025-09-29 09:26:28.561437 | 2025-09-30 02:37:11.382893 | 12805520 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12805520 | Athletic Physical Therapy Inc | 1959-02-09 | 2025-10-01 | F | AE | PT | N/A | FERTSCHNEIDER | JQE833W19120 | NANCY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.135718836.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7204596/check_12805520_38619792-c193-4f25-aafc-1233be4dd35f.json | N/A | N/A | N/A | N/A | N/A | JQE833W19120 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-02-09 | 040 | CASUPWP0 | N/A | N/A | false | FERTSCHNEIDER | N/A | NANCY | 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 | 8894095021 | N/A | N/A | 7204596 | 2222 | 4801 | 13076449 | N/A | 6175435 | 2025-09-30 02:37:11.382893 | 2025-08-05 19:05:08.506352 |
| 2025-09-29 09:26:14.331385 | 2025-09-30 02:35:45.720002 | 12805275 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 12805275 | override_provider | 2010-03-12 | 2025-10-02 | F | PT | N/A | N/A | MARASHLIAN | XED913752380 | SOPHIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.124433581.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9474588/check_12805275_495f9537-53a2-4465-b1d0-6d5628567621.json | N/A | N/A | N/A | N/A | N/A | XED913752380 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2010-03-12 | 2001ZK002187 | X0001004 | N/A | PR | false | MARASHLIAN | N/A | EVALYN | N/A | N/A | N/A | BRONZE 60 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894101987 | N/A | N/A | 9474588 | 2222 | 4793 | 13075388 | N/A | 7925405 | 2025-09-30 02:35:45.720002 | 2025-09-17 15:25:05.446530 |
| 2025-09-29 09:26:03.105201 | 2025-09-30 02:31:25.471693 | 12805069 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 12805069 | Athletic Physical Therapy Inc | 1959-03-09 | 2025-09-30 | F | AE | PT | N/A | BALLETTA | 33147912212 | LYNDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.135718836.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7037220/check_12805069_fde480b9-051c-4711-bbe3-31f11cb9f07f.json | N/A | N/A | N/A | N/A | N/A | 33147912212 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1959-03-09 | N/A | N/A | N/A | SP | false | BALLETTA | N/A | LYNDA | 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 | 8894093329 | N/A | N/A | 7037220 | 2222 | 4793 | 13072147 | N/A | 6048781 | 2025-09-30 02:31:25.471693 | 2025-07-22 23:03:15.103027 |
| 2025-09-29 09:25:58.871368 | 2025-09-30 02:38:18.032055 | 12805000 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12805000 | Athletic Physical Therapy Inc | 1968-07-21 | 2025-10-01 | F | AE | PT | N/A | MCALISTER | SFZ846186424 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.135718836.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7024102/check_12805000_502549fd-79c8-4f32-bcfe-3e940f23a010.json | N/A | N/A | N/A | N/A | N/A | SFZ846186424 | Preferred Provider Organization (PPO) | RETIREE 50 AS OF 1112 HIRED 1107 | MEDICARE | N/A | 1968-07-21 | N/A | 021104 | N/A | PR | false | MCALISTER | N/A | BONNIE | N/A | 9999-12-31 | 2013-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894093315 | N/A | N/A | 7024102 | 2222 | 4801 | 13077300 | N/A | 6038562 | 2025-09-30 02:38:18.032055 | 2025-07-30 21:46:09.369299 |
| 2025-09-29 09:25:48.203707 | 2025-09-30 02:37:12.830565 | 12804767 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12804767 | Athletic Physical Therapy Inc | 1998-10-29 | 2025-09-30 | M | PT | N/A | N/A | MARSHALL | AGSAH0066119 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.135718836.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7003223/check_12804767_5f37a5e1-7042-4878-a8e9-a697d18f7801.json | N/A | N/A | N/A | N/A | N/A | AGSAH0066119 | N/A | PEPPERDINE UNIVERSITY | ANTHEM BLUE CROSS | N/A | 1998-10-29 | 040 | 276500MG04 | N/A | N/A | false | MARSHALL | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894094806 | N/A | N/A | 7003223 | 2222 | 4793 | 13076464 | N/A | 6021448 | 2025-09-30 02:37:12.830565 | 2025-07-14 23:05:51.728886 |
| 2025-09-29 09:25:47.136843 | 2025-09-30 02:36:12.426277 | 12804743 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12804743 | Athletic Physical Therapy Inc | 1951-03-27 | 2025-09-30 | F | AE | PT | N/A | Jaude | JQE818A61594 | Anne | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121729429.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6125110/check_12804743_3d374a71-487e-4361-9af3-698ecb0a7985.json | N/A | N/A | N/A | N/A | N/A | JQE818A61594 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1951-03-27 | N/A | N/A | N/A | N/A | false | JAUDE | N/A | ANNE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894043537 | N/A | N/A | 6125110 | 2222 | 4802 | 13075725 | N/A | 4767362 | 2025-09-30 02:36:12.426277 | 2025-09-19 16:49:18.601418 |
| 2025-09-29 09:25:44.572351 | 2025-09-30 02:33:49.476034 | 12804703 | N/A | N/A | 60054 | Aetna | 1114042165 | 12804703 | Athletic Physical Therapy Inc | 1948-01-06 | 2025-10-01 | F | AE | PT | N/A | FRITH SMITH | 0AT0025978 | BARBARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.135718836.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6998368/check_12804703_ef616c07-5f6c-415c-9998-6f63f8319bd1.json | N/A | N/A | N/A | N/A | N/A | 0AT0025978 | N/A | N/A | AETNA INC | N/A | 1948-01-06 | N/A | N/A | N/A | N/A | false | FRITH SMITH | N/A | BARBARA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894094794 | N/A | N/A | 6998368 | 2222 | 4801 | 13073951 | N/A | 6017959 | 2025-09-30 02:33:49.476034 | 2025-07-14 18:22:35.995798 |
| 2025-09-29 09:25:32.977872 | 2025-09-30 02:12:37.549636 | 12804414 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12804414 | Athletic Physical Therapy Inc | 1998-02-18 | 2025-10-01 | M | PT | N/A | N/A | JIN | JQV592W17436 | YUANJUN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.124433581.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9454953/check_12804414_ea80a9f1-4c40-4a7d-afe6-c68b89127daa.json | N/A | N/A | N/A | N/A | N/A | JQV592W17436 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1998-02-18 | N/A | N/A | N/A | N/A | false | JIN | N/A | YUANJUN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894102230 | N/A | N/A | 9454953 | 2222 | 4793 | 13058960 | N/A | 7906876 | 2025-09-30 02:12:37.549636 | 2025-09-22 06:41:05.698372 |
| 2025-09-29 09:25:32.788864 | 2025-09-30 05:23:23.532768 | 12804408 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12804408 | Athletic Physical Therapy Inc | 1961-03-07 | 2025-10-01 | F | PT | N/A | N/A | PERLOV | XEA905216171 | MERA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123333837.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814311/check_12804408_3a7d759f-3baf-481b-8b78-7bdb7d71bd10.json | N/A | N/A | N/A | N/A | N/A | XEA905216171 | Preferred Provider Organization (PPO) | LA CARE HEALTH PLAN | BLUE SHIELD CALIFORNIA | N/A | 1961-03-07 | 1000PPOX0003 | W0051027 | N/A | PR | false | PERLOV | N/A | MERA | N/A | 9999-12-31 | 2017-05-01 | HSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894095263 | N/A | N/A | 6814311 | 2222 | 4793 | 13096069 | N/A | 5856694 | 2025-09-30 05:23:23.532768 | 2025-07-07 18:45:06.287504 |
| 2025-09-29 09:25:32.365378 | 2025-09-30 03:07:51.786683 | 12804403 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12804403 | Athletic Physical Therapy Inc | 1965-05-01 | 2025-10-01 | M | PT | N/A | N/A | MELCHOR | NCF864A20691 | REYMUNDO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123646321.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9741768/check_12804403_8c9788da-1677-414d-b16a-ed846c728d33.json | N/A | N/A | N/A | N/A | N/A | NCF864A20691 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1965-05-01 | N/A | N/A | N/A | N/A | false | MELCHOR | N/A | REYMUNDO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894125729 | N/A | N/A | 9741768 | 2222 | 4802 | 13088708 | N/A | 8155504 | 2025-09-30 03:07:51.786683 | 2025-10-01 18:38:06.401121 |