API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-29 09:25:30.832548 | 2025-09-30 05:17:51.671675 | 12804370 | N/A | N/A | 60054 | Aetna | 1114042165 | 12804370 | Athletic Physical Therapy Inc | 1987-03-27 | 2025-10-01 | M | AE | PT | RAFIQI | W291629581 | ROMAN | 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/2222/6813848/check_12804370_cf7dffae-2592-450a-97d4-719f339e0cfe.json | N/A | N/A | N/A | N/A | N/A | W291629581 | Preferred Provider Organization (PPO) | PROVIDENCE HEALTH AND SERVICES | AETNA CHOICE POS II | N/A | 1987-03-27 | 0237590 | 023759003300001 | N/A | PR | false | RAFIQI | N/A | ROMAN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894095257 | N/A | N/A | 6813848 | 2222 | 4801 | 13095173 | N/A | 5856139 | 2025-09-30 05:17:51.671675 | 2025-07-22 03:39:47.404623 |
| 2025-09-29 09:25:28.848196 | 2025-09-30 05:21:56.098481 | 12804312 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12804312 | Athletic Physical Therapy Inc | 1975-03-18 | 2025-10-01 | F | PT | N/A | FARRUKH | JXN208M92481 | ANBARIN | 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/2222/6811878/check_12804312_40eee4ee-cbdf-439c-b3e6-78c6df442be7.json | N/A | N/A | N/A | N/A | N/A | JXN208M92481 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 1975-03-18 | 040 | 174222M9A1 | N/A | PR | false | FARRUKH | N/A | ANBARIN | N/A | 9999-12-31 | 2025-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894095781 | N/A | N/A | 6811878 | 2222 | 4793 | 13095895 | N/A | 5854231 | 2025-09-30 05:21:56.098481 | 2025-07-07 16:52:38.056680 |
| 2025-09-29 09:24:58.781979 | 2025-09-30 02:44:14.543436 | 12803691 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12803691 | Athletic Physical Therapy Inc | 1966-08-31 | 2025-10-02 | F | PT | N/A | GRACE | MPI01390093Q | SANDRA | 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/2222/9443690/check_12803691_019578a8-f0a4-421e-b454-24d92fd37cf3.json | N/A | N/A | N/A | N/A | N/A | MPI01390093Q | Preferred Provider Organization (PPO) | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1966-08-31 | 040 | 277163M401 | N/A | PR | false | GRACE | N/A | TODD | N/A | 9999-12-31 | 2022-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894100722 | N/A | N/A | 9443690 | 2222 | 4801 | 13081518 | N/A | 7900244 | 2025-09-30 02:44:14.543436 | 2026-03-03 19:01:14.362337 |
| 2025-09-29 09:24:55.420590 | 2025-09-30 02:44:15.338172 | 12803621 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12803621 | Athletic Physical Therapy Inc | 1952-07-08 | 2025-10-01 | F | PT | N/A | LEJANO | MMA286W10517 | MELECIA | 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/2222/9443092/check_12803621_c4fae42e-97d8-48b2-98d0-5f5cd637ee8e.json | N/A | N/A | N/A | N/A | N/A | MMA286W10517 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-07-08 | 040 | CAMCRWP0 | N/A | MP | false | LEJANO | N/A | MELECIA VICTOR | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894100712 | N/A | N/A | 9443092 | 2222 | 4801 | 13081526 | N/A | 7899425 | 2025-09-30 02:44:15.338172 | 2025-09-18 04:34:38.232559 |
| 2025-09-29 09:24:41.887814 | 2025-09-30 02:36:11.246405 | 12803360 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12803360 | Athletic Physical Therapy Inc | 1964-05-26 | 2025-10-02 | F | AE | PT | FERNANDEZ | JQC95483183F | LISA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121729429.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858692/check_12803360_55b9bb54-47be-41f7-bd7d-3f8ec6de5102.json | N/A | N/A | N/A | N/A | N/A | JQC95483183F | Medicaid | LOS ANGELES/MLTSS/DUAL/CMCELIG/WELL | MEDICARE D | N/A | 1964-05-26 | 040 | 1191Z00004 | N/A | MC | false | FERNANDEZ | N/A | LISA | N/A | 9999-12-31 | 2025-03-01 | MEDI-CAL LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894044507 | N/A | N/A | 5858692 | 2222 | 4793 | 13075712 | N/A | 4210649 | 2025-09-30 02:36:11.246405 | 2025-06-19 18:43:58.008751 |
| 2025-09-29 09:24:19.713543 | 2025-09-30 02:37:10.996901 | 12802907 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12802907 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-09-30 | M | AE | PT | CICCIARI | JQE123W23890 | LOUIS | 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/2222/6752939/check_12802907_bdd781aa-37d9-42b5-8df7-ca44ed39d861.json | N/A | N/A | N/A | N/A | N/A | JQE123W23890 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-09-07 | 040 | CASUPWP0 | N/A | N/A | false | CICCIARI | N/A | LOUIS | N/A | 9999-12-31 | 2025-06-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894094714 | N/A | N/A | 6752939 | 2222 | 4801 | 13076446 | N/A | 5065602 | 2025-09-30 02:37:10.996901 | 2025-07-01 17:25:13.681724 |
| 2025-09-29 09:24:14.186166 | 2025-09-30 02:37:13.176738 | 12802831 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12802831 | Athletic Physical Therapy Inc | 1929-10-10 | 2025-10-02 | M | AE | PT | Walter | XDO472A63371 | Howard | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.135718836.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751424/check_12802831_290129ce-1d7d-44a6-9ef9-227f7c40823b.json | N/A | N/A | N/A | N/A | N/A | XDO472A63371 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1929-10-10 | 040 | CASUPWP0 | N/A | N/A | false | WALTER | N/A | HOWARD | N/A | 9999-12-31 | 2016-12-01 | CA PRE-MOD. BLUE CROSS SENIOR CLASSIC I | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894094703 | N/A | N/A | 6751424 | 2222 | 4802 | 13076472 | N/A | 5557241 | 2025-09-30 02:37:13.176738 | 2025-07-22 17:08:51.810153 |
| 2025-09-29 09:23:53.433692 | 2025-09-30 02:18:25.601789 | 12802501 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 12802501 | Athletic Physical Therapy Inc | 1944-04-25 | 2025-10-02 | F | AE | PT | ROSENTHAL | 30096718111 | PHYLLIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121729429.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541888/check_12802501_6fe22f33-aadc-4db1-abbb-9fa4a8dd7abf.json | N/A | N/A | N/A | N/A | N/A | 30096718111 | 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. | 1944-04-25 | N/A | N/A | N/A | SP | false | ROSENTHAL | N/A | PHYLLIS | 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 | 8894042961 | N/A | N/A | 5541888 | 2222 | 4802 | 13062321 | N/A | 4213865 | 2025-09-30 02:18:25.601789 | 2025-05-13 04:29:37.228183 |
| 2025-09-29 09:23:53.025184 | 2025-09-30 02:36:13.345707 | 12802495 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12802495 | Athletic Physical Therapy Inc | 1952-03-05 | 2025-10-01 | F | AE | PT | MOHABBAT | JQE182M78942 | SHARIFA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121729429.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539972/check_12802495_ea6beafc-3ff8-478d-9f50-28fad8dc51d8.json | N/A | N/A | N/A | N/A | N/A | JQE182M78942 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-03-05 | 040 | CASUPWP0 | N/A | N/A | false | MOHABBAT | N/A | SHARIFA | N/A | 9999-12-31 | 2023-04-01 | CA MODERNIZED PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894042960 | N/A | N/A | 5539972 | 2222 | 4801 | 13075740 | N/A | 4212140 | 2025-09-30 02:36:13.345707 | 2025-09-23 20:47:09.024376 |
| 2025-09-29 09:23:52.397553 | 2025-09-30 02:39:34.023084 | 12802485 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12802485 | Athletic Physical Therapy Inc | 1950-08-31 | 2025-10-01 | M | AE | PT | NADRICH | XEM905604302 | JEFFREY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121729429.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538999/check_12802485_ce6c2848-c9f7-4ccf-a6d9-cfd378974cbf.json | N/A | N/A | N/A | N/A | N/A | XEM905604302 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1950-08-31 | 2004SE000030 | X0001002 | N/A | OT | false | NADRICH | N/A | JEFFREY | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894042959 | N/A | N/A | 5538999 | 2222 | 4802 | 13078277 | N/A | 4211316 | 2025-09-30 02:39:34.023084 | 2025-05-13 04:29:37.225679 |
| 2025-09-29 09:23:51.723087 | 2025-09-30 02:33:51.636345 | 12802478 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12802478 | Athletic Physical Therapy Inc | 1950-09-27 | 2025-10-02 | F | AE | PT | THOMSEN | R12604487 | JANET | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121729429.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537953/check_12802478_153f6cdc-ee1c-4724-92d3-9c46deb33d6d.json | N/A | N/A | N/A | N/A | N/A | R12604487FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1950-09-27 | N/A | N/A | N/A | N/A | false | THOMSEN | N/A | JANET | N/A | 2025-11-01 | 2022-03-01 | FAP MEDIFLEX | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894042958 | N/A | N/A | 5537953 | 2222 | 4801 | 13073971 | N/A | 4210450 | 2025-09-30 02:33:51.636345 | 2026-05-04 21:51:25.248197 |
| 2025-09-29 09:23:51.374917 | 2025-09-30 02:18:24.576056 | 12802475 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 12802475 | Athletic Physical Therapy Inc | 1952-03-25 | 2025-10-02 | F | AE | PT | DRIMMER | 33360295512 | NADIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121729429.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537832/check_12802475_069dbd19-1b64-4df7-a6ac-23343c4ba6e8.json | N/A | N/A | N/A | N/A | N/A | 33360295512 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1952-03-25 | N/A | N/A | N/A | SP | false | DRIMMER | N/A | NADIA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894042957 | N/A | N/A | 5537832 | 2222 | 4802 | 13062309 | N/A | 4210338 | 2025-09-30 02:18:24.576056 | 2025-05-13 04:29:37.224744 |
| 2025-09-29 09:23:51.040973 | 2025-09-30 02:18:26.596420 | 12802468 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 12802468 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-10-01 | M | AE | PT | ULLMAN | 557489000 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121729429.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535842/check_12802468_60dc8141-26d1-4db7-b4d7-f6d9dc85efe9.json | N/A | N/A | N/A | N/A | N/A | 557489000 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894042956 | N/A | N/A | 5535842 | 2222 | 4801 | 13062333 | N/A | 4208696 | 2025-09-30 02:18:26.596420 | 2025-06-07 16:16:45.844566 |
| 2025-09-29 09:23:50.575106 | 2025-09-30 02:39:32.942456 | 12802464 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12802464 | Athletic Physical Therapy Inc | 1950-07-23 | 2025-10-01 | M | AE | PT | MELVILLE | XEMJ06188527 | LANNING | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121729429.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535731/check_12802464_66ccbc77-67b7-40fb-a3e0-f97e609735eb.json | N/A | N/A | N/A | N/A | N/A | XEMJ06188527 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1950-07-23 | N/A | N/A | N/A | N/A | false | MELVILLE | N/A | LANNING | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894042955 | N/A | N/A | 5535731 | 2222 | 4802 | 13078268 | N/A | 4208598 | 2025-09-30 02:39:32.942456 | 2025-09-11 00:56:25.554348 |
| 2025-09-29 09:23:48.132837 | 2025-09-30 02:37:11.853522 | 12802429 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12802429 | Athletic Physical Therapy Inc | 1951-10-16 | 2025-09-30 | F | AE | PT | GARRETT | JQE702W20596 | KATHLEEN | 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/2222/6714934/check_12802429_6ac400c2-40de-4896-b994-f3868f177b83.json | N/A | N/A | N/A | N/A | N/A | JQE702W20596 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-10-16 | 040 | CASUPWP0 | N/A | N/A | false | GARRETT | N/A | KATHLEEN | N/A | 9999-12-31 | 2024-07-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894094090 | N/A | N/A | 6714934 | 2222 | 4793 | 13076455 | N/A | 5316176 | 2025-09-30 02:37:11.853522 | 2025-07-01 18:44:12.927482 |
| 2025-09-29 09:22:47.448028 | 2025-09-30 05:16:36.175523 | 12801688 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 12801688 | Athletic Physical Therapy Inc | 1955-02-20 | 2025-10-01 | F | AE | PT | SALGUERO | 35955370 | DINA | 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/2222/6711965/check_12801688_da39d3a7-b3aa-470e-b022-732b9f926e76.json | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | 406-005-000 | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894096746 | N/A | N/A | 6711965 | 2222 | 4793 | 13094951 | 6798 | 4210430 | 2025-09-30 05:16:36.175523 | 2025-05-13 04:29:37.224841 |
| 2025-09-29 09:21:56.222886 | 2025-09-29 09:21:56.468351 | 12801143 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12801143 | Athletic Physical Therapy Inc | 1959-02-07 | 2025-09-30 | F | AE | PT | STARK | JQE451W19078 | CHERYL | N/A | WAYSTAR | N/A | BATCH | 2025-09-30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9450019 | 2222 | 4793 | N/A | N/A | 7905968 | 2025-09-29 09:21:56.468351 | 2025-09-22 17:53:24.196861 |
| 2025-09-29 09:21:36.300119 | 2025-09-29 09:21:36.428392 | 12800635 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12800635 | Athletic Physical Therapy Inc | 1955-07-01 | 2025-10-02 | F | AE | PT | GREER | XEM909858172 | ROBIN | N/A | WAYSTAR | N/A | BATCH | 2025-10-02 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9411084 | 2222 | 4802 | N/A | N/A | 7879863 | 2025-09-29 09:21:36.428392 | 2026-02-04 18:21:13.840230 |
| 2025-09-29 09:21:22.456175 | 2025-09-30 02:12:55.665160 | 12800220 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | 12800220 | Athletic Physical Therapy Inc | 1958-07-23 | 2025-10-02 | F | PT | N/A | BURNS | JQW418W16911 | MARY BETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.142334701.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8415251/check_12800220_139ee1d6-2185-42ff-9e2e-f28c9279f77c.json | N/A | N/A | N/A | N/A | N/A | JQW418W16911 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1958-07-23 | N/A | N/A | N/A | N/A | false | BURNS | N/A | MARY BETH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894025360 | N/A | N/A | 8415251 | 2222 | 4801 | 13059169 | N/A | 4209247 | 2025-09-30 02:12:55.665160 | 2025-07-22 18:58:10.876206 |
| 2025-09-29 09:21:13.464150 | 2025-09-30 02:19:44.975637 | 12799994 | N/A | N/A | 60054 | Aetna | 1114042165 | 12799994 | Athletic Physical Therapy Inc | 1991-03-21 | 2025-10-01 | F | AE | PT | CARDINALI | W286606913 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121135183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550850/check_12799994_81b1222c-c625-4e36-abe4-928c4ee74bee.json | N/A | N/A | N/A | N/A | N/A | W286606913 | Preferred Provider Organization (PPO) | LHI GROUP INC. | AETNA | N/A | 1991-03-21 | 0887487 | 088748702000001 | N/A | PR | false | CARDINALI | N/A | NICOLE | N/A | N/A | N/A | OPEN CHOICE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894021353 | N/A | N/A | 5550850 | 2222 | 4802 | 13063428 | N/A | 4215195 | 2025-09-30 02:19:44.975637 | 2025-05-14 09:08:40.751930 |
| 2025-09-29 09:21:13.434865 | 2025-09-29 09:21:13.820710 | 12799993 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 12799993 | Athletic Physical Therapy Inc | 1946-11-22 | 2025-10-01 | F | AE | PT | CAPUTA | 31334080511 | SANDRA | N/A | WAYSTAR | N/A | BATCH | 2025-10-01 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9336758 | 2222 | 4801 | N/A | N/A | 7835556 | 2025-09-29 09:21:13.820710 | 2025-09-12 16:59:25.752326 |
| 2025-09-29 09:21:13.217811 | 2025-09-30 02:32:50.639061 | 12799988 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12799988 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-10-01 | F | PT | N/A | PANDYA | XEA913306283 | DHARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121135183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_12799988_ce93642a-c6ad-4a18-9f2d-ba0c7f22f5bb.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1975-08-17 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2024-06-03 | HSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894021352 | N/A | N/A | 5550845 | 2222 | 4801 | 13073185 | N/A | 4219713 | 2025-09-30 02:32:50.639061 | 2025-08-13 22:46:55.732965 |
| 2025-09-29 09:21:12.949942 | 2025-09-30 02:29:52.918710 | 12799980 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 12799980 | Athletic Physical Therapy Inc | 1990-11-12 | 2025-10-01 | F | AE | PT | SIMONS | 94378141G | DESIREE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121135183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550102/check_12799980_376f1e5b-cbe0-46cd-a60d-4ec3c2ef786a.json | N/A | N/A | N/A | N/A | N/A | 94378141G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1990-11-12 | N/A | N/A | N/A | N/A | false | SIMONS | N/A | DESIREE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894021351 | N/A | N/A | 5550102 | 2222 | 4802 | 13071065 | N/A | 4212176 | 2025-09-30 02:29:52.918710 | 2025-05-13 04:29:37.226514 |
| 2025-09-29 09:21:12.708599 | 2025-09-30 02:30:03.477385 | 12799975 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12799975 | Athletic Physical Therapy Inc | 2000-08-20 | 2025-09-30 | F | PT | N/A | SAUCERMAN | XDM288A55735 | ALEXIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121135183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549817/check_12799975_c4a4d0ec-8b06-4d04-b5cf-44204ac97241.json | N/A | N/A | N/A | N/A | N/A | XDM288A55735 | Health Maintenance Organization (HMO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 2000-08-20 | 040 | 57ARJB | N/A | HM | false | SAUCERMAN | N/A | DEANNE | N/A | 2025-10-01 | 2022-01-01 | PREMIER SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894021350 | N/A | N/A | 5549817 | 2222 | 4793 | 13071198 | 4184 | 4211143 | 2025-09-30 02:30:03.477385 | 2025-05-31 20:12:37.092503 |
| 2025-09-29 09:21:12.413840 | 2025-09-30 02:32:52.382389 | 12799968 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12799968 | Athletic Physical Therapy Inc | 1961-10-06 | 2025-10-01 | F | PT | N/A | SMITH | XED910117839 | DEANNA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121135183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549692/check_12799968_dc4cd1cc-81c3-48d1-bf26-97c076c50986.json | N/A | N/A | N/A | N/A | N/A | XED910117839 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-10-06 | 2001ZK002184 | X0001004 | N/A | PR | false | SMITH | N/A | ADRIAN | N/A | 9999-12-31 | 2021-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894021349 | N/A | N/A | 5549692 | 2222 | 4801 | 13073208 | N/A | 4219305 | 2025-09-30 02:32:52.382389 | 2025-09-16 17:28:21.311815 |
| 2025-09-29 09:21:12.054115 | 2025-09-30 02:30:02.219936 | 12799958 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12799958 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-10-01 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121135183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_12799958_9c94474b-fcf0-46b9-a186-b2a5993c7e1a.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS." | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894021348 | N/A | N/A | 5549317 | 2222 | 4801 | 13071185 | N/A | 4219010 | 2025-09-30 02:30:02.219936 | 2026-01-09 18:32:07.618867 |
| 2025-09-29 09:21:11.388753 | 2025-09-30 03:04:04.989558 | 12799941 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 12799941 | Athletic Physical Therapy Inc | 2000-12-17 | 2025-09-30 | M | AE | PT | Ke | QVVKND00 | Haozhe | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.142334701.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8405192/check_12799941_912a7e26-2205-4b98-8305-62c68ba88f10.json | N/A | N/A | N/A | N/A | N/A | QVVKND00 | N/A | N/A | ZELIS HEALTHCARE | PATIENT HAS ACTIVE COVERAGE BASED ON DATA AVAILABLE AS OF DATE OF REQUEST. CONTACT OTHER ENTITY TO VALIDATE | 2000-12-17 | N/A | N/A | N/A | N/A | false | KE | N/A | HAOZHE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894026796 | N/A | N/A | 8405192 | 2222 | 4802 | 13087791 | N/A | 7083453 | 2025-09-30 03:04:04.989558 | 2025-08-26 19:33:12.586504 |
| 2025-09-29 09:21:10.810633 | 2025-09-30 02:28:04.643994 | 12799922 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12799922 | Athletic Physical Therapy Inc | 1964-09-12 | 2025-10-01 | F | AE | PT | Flint | 623439831 | Romy | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121740542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9136655/check_12799922_d5cc722c-3b1d-4cbc-ac46-1ec4ff244090.json | N/A | N/A | N/A | N/A | N/A | 623439831 | N/A | L.A. CARE COVERED GOLD 80 HMO | LA CARE HEALTH PLAN | HEALTH BENEFIT PLAN COVERAGE | 1964-09-12 | LACC | 92815CA001000701 | N/A | N/A | false | FLINT | N/A | ROMY | N/A | 2025-12-31 | 2025-02-01 | L.A. CARE COVERED | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894023929 | N/A | N/A | 9136655 | 2222 | 4802 | 13069769 | N/A | 7658224 | 2025-09-30 02:28:04.643994 | 2025-09-08 20:12:08.577487 |
| 2025-09-29 09:21:09.674594 | 2025-09-30 02:28:49.293607 | 12799898 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12799898 | Athletic Physical Therapy Inc | 1962-06-19 | 2025-10-01 | M | AE | PT | MILIAN GOMEZ | 93331019F | MIGUEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121135183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543555/check_12799898_7f57b228-620e-4498-8e8b-911421530582.json | N/A | N/A | N/A | N/A | N/A | 93331019F | N/A | N/A | HEALTH NET, LLC | N/A | 1962-06-19 | N/A | N/A | N/A | N/A | false | MILIAN GOMEZ | N/A | MIGUEL | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894022578 | N/A | N/A | 5543555 | 2222 | 4802 | 13070297 | N/A | 4215332 | 2025-09-30 02:28:49.293607 | 2025-08-06 16:15:15.716322 |
| 2025-09-29 09:21:09.312121 | 2025-09-30 02:27:14.499720 | 12799889 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12799889 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-10-01 | M | AE | PT | FORTIN | R14644640MS1 | NATHANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121135183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_12799889_3dd265a7-0e6e-457c-9782-e6101635b02e.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | K96 SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894022577 | N/A | N/A | 5543425 | 2222 | 4801 | 13069113 | N/A | 4215211 | 2025-09-30 02:27:14.499720 | 2026-04-02 22:30:20.020246 |
| 2025-09-29 09:21:08.963415 | 2025-09-30 02:29:59.273564 | 12799881 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12799881 | Athletic Physical Therapy Inc | 1962-09-27 | 2025-10-01 | F | PT | N/A | BARAJAS | NCF425A56241 | EMMA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121135183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543324/check_12799881_6fe1914e-8bf7-4684-ac76-be70562b01b8.json | N/A | N/A | N/A | N/A | N/A | JMV425A56241 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1962-09-27 | 040 | 56677VR000 | N/A | HM | false | BARAJAS | N/A | RAMON | N/A | 9999-12-31 | 2025-09-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894022576 | N/A | N/A | 5543324 | 2222 | 4801 | 13071153 | 4184 | 4215131 | 2025-09-30 02:29:59.273564 | 2025-08-11 16:45:52.816842 |
| 2025-09-29 09:21:08.676585 | 2025-09-30 02:19:02.788481 | 12799870 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 12799870 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-10-01 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121135183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_12799870_74a3950d-d5fe-4322-8f90-2d0958d58d15.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-03-27 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | 2078-12-31 | 2024-11-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894022575 | N/A | N/A | 5543270 | 2222 | 4793 | 13062810 | N/A | 4215086 | 2025-09-30 02:19:02.788481 | 2025-05-13 04:29:37.229401 |
| 2025-09-29 09:21:08.031871 | 2025-09-30 02:30:02.925571 | 12799860 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12799860 | Athletic Physical Therapy Inc | 2003-10-09 | 2025-10-02 | F | PT | N/A | LUKOWITSCH | XDPCA8263500 | HALLIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121135183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543178/check_12799860_4e96347e-79b5-42ce-8aaa-6578a69b07dc.json | N/A | N/A | N/A | N/A | N/A | XDPCA8263500 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | ANTHEM BLUE CROSS | N/A | 2003-10-09 | 040 | 275958P701 | N/A | PR | false | LUKOWITSCH | N/A | HALLIE | N/A | 9999-12-31 | 2025-09-22 | PPO UC SHIP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894022574 | N/A | N/A | 5543178 | 2222 | 4802 | 13071193 | N/A | 4215006 | 2025-09-30 02:30:02.925571 | 2025-05-13 04:29:37.229325 |
| 2025-09-29 09:21:07.346318 | 2025-09-30 02:30:01.513674 | 12799846 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12799846 | Athletic Physical Therapy Inc | 1972-06-23 | 2025-10-01 | F | PT | N/A | LAWSON | JXN663W00172 | MICHELLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121135183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543167/check_12799846_3cbcc5b9-1ab3-438f-811c-f39ffd6d8824.json | N/A | N/A | N/A | N/A | N/A | JXN663W00172 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1972-06-23 | 040 | 174222M2A1 | N/A | PR | false | LAWSON | N/A | MICHELLE | N/A | 9999-12-31 | 2020-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894022573 | N/A | N/A | 5543167 | 2222 | 4793 | 13071176 | N/A | 4214995 | 2025-09-30 02:30:01.513674 | 2025-05-13 04:29:37.229315 |
| 2025-09-29 09:21:06.951049 | 2025-09-30 02:29:33.299604 | 12799836 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 12799836 | Athletic Physical Therapy Inc | 1960-12-24 | 2025-10-01 | F | AE | PT | PORTILLO | 00000315343 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121135183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543084/check_12799836_c5639128-af06-439a-b128-f70a68be2499.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 | 8894022572 | N/A | N/A | 5543084 | 2222 | 4801 | 13070833 | N/A | 4214920 | 2025-09-30 02:29:33.299604 | 2025-05-13 04:29:37.229242 |
| 2025-09-29 09:21:06.701808 | 2025-09-30 02:27:23.938732 | 12799831 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 12799831 | Athletic Physical Therapy Inc | 1957-01-21 | 2025-10-02 | M | AE | PT | SHADDY | 40064865601 | STEVE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121135183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543011/check_12799831_a090257f-d772-4a9f-b29a-6ff10b53612f.json | N/A | N/A | N/A | N/A | N/A | 40064865601 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | SHADDY | N/A | STEVE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894022571 | N/A | N/A | 5543011 | 2222 | 4801 | 13069251 | N/A | 4214861 | 2025-09-30 02:27:23.938732 | 2026-02-04 19:10:58.526441 |
| 2025-09-29 09:21:06.380216 | 2025-09-30 02:30:04.228401 | 12799820 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12799820 | Athletic Physical Therapy Inc | 1975-03-27 | 2025-10-01 | M | AE | PT | SHAW | JOW647W16708 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121135183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542902/check_12799820_b4d12097-eeee-44f4-a116-f6238cc65237.json | N/A | N/A | N/A | N/A | N/A | JOW647W16708 | N/A | N/A | ANTHEM BLUE CROSS | N/A | N/A | N/A | N/A | N/A | N/A | false | SHAW | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894022570 | N/A | N/A | 5542902 | 2222 | 4801 | 13071206 | N/A | 4214761 | 2025-09-30 02:30:04.228401 | 2026-01-08 16:06:40.256372 |
| 2025-09-29 09:21:06.120152 | 2025-09-30 02:32:49.705849 | 12799814 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12799814 | Athletic Physical Therapy Inc | 2000-07-25 | 2025-10-02 | F | PT | N/A | MAGHSOUDLOO | XEA913772161 | SAHAR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121135183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542822/check_12799814_3af8ff51-27a3-4f02-bb52-c36f29dada4c.json | N/A | N/A | N/A | N/A | N/A | XAN913772161 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 2000-07-25 | 1254PPOX0002 | W0051411 | N/A | PR | false | MAGHSOUDLOO | N/A | FARIBA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894022569 | N/A | N/A | 5542822 | 2222 | 4793 | 13073175 | N/A | 4214688 | 2025-09-30 02:32:49.705849 | 2025-06-25 17:57:14.838266 |
| 2025-09-29 09:21:05.801862 | 2025-09-30 02:19:46.006973 | 12799804 | N/A | N/A | 60054 | Aetna | 1114042165 | 12799804 | Athletic Physical Therapy Inc | 2005-11-23 | 2025-10-02 | F | AE | PT | FERRELL | W285064666 | AMELIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121135183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542678/check_12799804_807c672d-bd84-48be-a1b9-1a56dc2dbeb4.json | N/A | N/A | N/A | N/A | N/A | W285064666 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 2005-11-23 | 0232499 | 023249901000051 | N/A | PS | false | FERRELL | N/A | RALPH | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894022568 | N/A | N/A | 5542678 | 2222 | 4802 | 13063437 | N/A | 4214560 | 2025-09-30 02:19:46.006973 | 2025-05-13 04:29:37.228883 |
| 2025-09-29 09:21:05.273295 | 2025-09-30 02:29:47.569608 | 12799792 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12799792 | Athletic Physical Therapy Inc | 1988-11-03 | 2025-09-30 | F | AE | PT | CAPISTRANO | 98696372G | FERDELLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121135183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542513/check_12799792_4e4f6a3c-75f2-4131-bc89-c8b808134f50.json | N/A | N/A | N/A | N/A | N/A | 98696372G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1988-11-03 | MCLA | MWLLNMEG21 | N/A | N/A | false | CAPISTRANO | N/A | FERDELLE | N/A | 2078-12-31 | 2024-05-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894022567 | N/A | N/A | 5542513 | 2222 | 4793 | 13071003 | N/A | 4214418 | 2025-09-30 02:29:47.569608 | 2025-07-03 18:12:11.075357 |
| 2025-09-29 09:21:04.797888 | 2025-09-30 02:32:46.902527 | 12799784 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12799784 | Athletic Physical Therapy Inc | 1983-04-25 | 2025-10-01 | F | PT | N/A | HASERJIAN | XED912403581 | RENEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121135183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542222/check_12799784_ef8185d8-82e3-4082-8314-88546d227d72.json | N/A | N/A | N/A | N/A | N/A | XED912403581 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1983-04-25 | 2001ZK002169 | X0001004 | N/A | PR | false | HASERJIAN | N/A | RENEE | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894022566 | N/A | N/A | 5542222 | 2222 | 4793 | 13073147 | N/A | 4214148 | 2025-09-30 02:32:46.902527 | 2025-05-13 04:29:37.228475 |
| 2025-09-29 09:21:04.477241 | 2025-09-30 02:29:32.343996 | 12799775 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12799775 | Athletic Physical Therapy Inc | 1957-10-24 | 2025-10-02 | F | AE | PT | MCSHEA | 00000364203 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121135183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542046/check_12799775_7f9779b9-ef58-4e35-be6f-53f29350aa51.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 | 8894022565 | N/A | N/A | 5542046 | 2222 | 4801 | 13070824 | 2630 | 4214001 | 2025-09-30 02:29:32.343996 | 2025-05-13 04:29:37.228323 |
| 2025-09-29 09:21:04.181203 | 2025-09-30 02:28:33.326318 | 12799768 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 12799768 | Athletic Physical Therapy Inc | 1947-02-01 | 2025-10-01 | M | AE | PT | YEE | 412922301 | HARRY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121135183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541972/check_12799768_36db0786-b21d-46de-80d5-ffe9e7816e32.json | N/A | N/A | N/A | N/A | N/A | 412922301 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1947-02-01 | N/A | HCFA21 | N/A | HN | false | YEE | N/A | HARRY | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894022564 | N/A | N/A | 5541972 | 2222 | 4793 | 13070114 | N/A | 4213941 | 2025-09-30 02:28:33.326318 | 2025-05-13 04:29:37.228259 |
| 2025-09-29 09:21:03.816964 | 2025-09-30 02:32:47.941339 | 12799761 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12799761 | Athletic Physical Therapy Inc | 1980-03-25 | 2025-10-01 | F | PT | N/A | HILLIGER | XEA902904791 | JENNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121135183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541730/check_12799761_847d7e10-0d7b-402d-b2ba-a1ec83b2ec95.json | N/A | N/A | N/A | N/A | N/A | XEA902904791 | Preferred Provider Organization (PPO) | HILLIGER INC | BLUE SHIELD CALIFORNIA | N/A | 1980-03-25 | 1000VX000102 | W0060472 | N/A | PR | false | HILLIGER | N/A | JENNIFER | N/A | 9999-12-31 | 2019-06-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894022563 | N/A | N/A | 5541730 | 2222 | 4793 | 13073157 | N/A | 4213725 | 2025-09-30 02:32:47.941339 | 2025-05-13 04:29:37.228045 |
| 2025-09-29 09:21:03.539121 | 2025-09-30 02:17:04.239452 | 12799753 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12799753 | Athletic Physical Therapy Inc | 1974-10-21 | 2025-10-02 | F | PT | N/A | GARCIA | NCF666A56083 | DAWN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121135183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541664/check_12799753_a4d7681f-fa29-480b-a6df-d454aa6d8118.json | N/A | N/A | N/A | N/A | N/A | NCF666A56083 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1974-10-21 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894022562 | N/A | N/A | 5541664 | 2222 | 4793 | 13061468 | N/A | 4213662 | 2025-09-30 02:17:04.239452 | 2025-05-13 04:29:37.227982 |
| 2025-09-29 09:21:03.281863 | 2025-09-30 02:24:23.325416 | 12799745 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 12799745 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-09-30 | M | AD | N/A | LYKIDIS | U1221753503 | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121135183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541552/check_12799745_856058c2-8323-460b-9ebb-cc46d38d7e4f.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 | 8894022561 | N/A | N/A | 5541552 | 2222 | 4802 | 13066890 | N/A | 4213562 | 2025-09-30 02:24:23.325416 | 2025-05-13 04:29:37.227895 |
| 2025-09-29 09:21:03.027592 | 2025-09-30 02:27:15.400575 | 12799737 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12799737 | Athletic Physical Therapy Inc | 1985-02-07 | 2025-10-02 | F | AE | PT | SHEPHERD | 93180838F | EMILY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121135183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541519/check_12799737_c6302e51-c0b7-49f9-b112-6353d871195a.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | HEALTH NET, LLC | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894022560 | N/A | N/A | 5541519 | 2222 | 4802 | 13069123 | N/A | 4213530 | 2025-09-30 02:27:15.400575 | 2025-05-13 04:29:37.227860 |
| 2025-09-29 09:21:02.688360 | 2025-09-30 02:32:48.724691 | 12799728 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12799728 | Athletic Physical Therapy Inc | 1980-05-29 | 2025-10-01 | F | PT | N/A | KURTZ | XED906231353 | NINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121135183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541378/check_12799728_db265e2c-cd0f-4f88-90b3-54bc32eeef9f.json | N/A | N/A | N/A | N/A | N/A | XED906231353 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-05-29 | 2001ZK002169 | X0001004 | N/A | PR | false | KURTZ | N/A | NINA | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894022559 | N/A | N/A | 5541378 | 2222 | 4793 | 13073167 | N/A | 4213405 | 2025-09-30 02:32:48.724691 | 2025-05-13 04:29:37.227726 |
| 2025-09-29 09:21:02.279515 | 2025-09-30 02:27:13.317660 | 12799720 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12799720 | Athletic Physical Therapy Inc | 1968-03-30 | 2025-10-02 | M | AE | PT | FARAHMAND | 91957675E | ALEX | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121135183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541163/check_12799720_f765500f-6c63-44d8-9798-3f2c52eaa8cf.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | HEALTH NET, LLC | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894022558 | N/A | N/A | 5541163 | 2222 | 4802 | 13069101 | N/A | 4213207 | 2025-09-30 02:27:13.317660 | 2025-05-13 04:29:37.227536 |
| 2025-09-29 09:21:01.963995 | 2025-09-30 02:29:59.974992 | 12799711 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12799711 | Athletic Physical Therapy Inc | 1958-07-16 | 2025-10-01 | F | PT | N/A | GALVAN GUERRERO | MMA904W16717 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121135183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541035/check_12799711_f785a324-713d-4de5-b7d3-b138f821d0f8.json | N/A | N/A | N/A | N/A | N/A | MMA904W16717 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-07-16 | 040 | CAMCRWP0 | N/A | MP | false | GALVAN-GUERRERO | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894022557 | N/A | N/A | 5541035 | 2222 | 4801 | 13071160 | 4184 | 4213091 | 2025-09-30 02:29:59.974992 | 2025-05-13 04:29:37.227417 |