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 09:21:01.640846 | 2025-09-30 02:29:31.284397 | 12799704 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12799704 | Athletic Physical Therapy Inc | 1939-07-11 | 2025-10-02 | F | AE | PT | GOMEZ | 00000357273 | EVELYN | 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/2222/5540918/check_12799704_3b4a6129-53ed-417a-9a43-c2ac5b54a1d9.json | N/A | N/A | N/A | N/A | N/A | 00000357273 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1939-07-11 | N/A | N/A | N/A | N/A | false | GOMEZ | N/A | EVELYN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894022556 | N/A | N/A | 5540918 | 2222 | 4801 | 13070812 | 2630 | 4213001 | 2025-09-30 02:29:31.284397 | 2025-05-13 04:29:37.227329 |
| 2025-09-29 09:21:01.624642 | 2025-09-30 02:12:51.746439 | 12799703 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12799703 | Athletic Physical Therapy Inc | 1952-01-13 | 2025-10-02 | M | PT | N/A | BLANCO ESCOBAR | JQW106W18304 | SAMUEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121740542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9134245/check_12799703_24f35a5e-753a-4edf-ba73-e4e87f8b5211.json | N/A | N/A | N/A | N/A | N/A | JQW106W18304 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1952-01-13 | N/A | N/A | N/A | N/A | false | BLANCO ESCOBAR | N/A | SAMUEL | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894024805 | N/A | N/A | 9134245 | 2222 | 4801 | 13059111 | N/A | 7655426 | 2025-09-30 02:12:51.746439 | 2025-09-08 18:14:46.984181 |
| 2025-09-29 09:21:01.286745 | 2025-09-30 02:42:13.123938 | 12799696 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12799696 | Athletic Physical Therapy Inc | 1949-12-02 | 2025-09-30 | F | AE | PT | LADEN | 6GY2TG9HX06 | CANDACE | 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/2222/5540768/check_12799696_cf52c400-47b8-4232-ace5-dee9e90f915d.json | N/A | N/A | N/A | N/A | N/A | 6GY2TG9HX06 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-12-02 | S4802 | N/A | N/A | MA | false | LADEN | N/A | CANDACE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894022555 | N/A | N/A | 5540768 | 2222 | 4802 | 13080319 | N/A | 4212856 | 2025-09-30 02:42:13.123938 | 2025-08-04 18:33:35.319989 |
| 2025-09-29 09:21:01.012863 | 2025-09-30 02:27:23.042510 | 12799690 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 12799690 | Athletic Physical Therapy Inc | 1940-03-29 | 2025-10-01 | F | AE | PT | MARTINEZ | 40032670501 | 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/2222/5540591/check_12799690_ea771278-76c6-485d-a657-5c0cd546aff0.json | N/A | N/A | N/A | N/A | N/A | 40032670501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1940-03-29 | 2025H5425001 | H5425M | N/A | N/A | false | MARTINEZ | N/A | MARIA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894022554 | N/A | N/A | 5540591 | 2222 | 4801 | 13069234 | N/A | 4212724 | 2025-09-30 02:27:23.042510 | 2025-07-26 22:27:37.781276 |
| 2025-09-29 09:21:00.679829 | 2025-09-30 02:32:51.599409 | 12799679 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12799679 | Athletic Physical Therapy Inc | 1997-07-14 | 2025-10-01 | M | PT | N/A | SHERBETJIAN | XED910281081 | JACK | 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/2222/5540558/check_12799679_beaf2770-74ea-487b-a573-aba244e50624.json | N/A | N/A | N/A | N/A | N/A | XED910281081 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-14 | 2001ZK002184 | X0001004 | N/A | PR | false | SHERBETJIAN | N/A | JACK | 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 | 8894022553 | N/A | N/A | 5540558 | 2222 | 4801 | 13073196 | N/A | 4212698 | 2025-09-30 02:32:51.599409 | 2025-05-13 04:29:37.227042 |
| 2025-09-29 09:21:00.417928 | 2025-09-30 02:24:13.317177 | 12799673 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 12799673 | Athletic Physical Therapy Inc | 1967-12-13 | 2025-10-01 | M | AE | PT | MIDDLETON | U3369221802 | BLAKE | 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/2222/5540185/check_12799673_1ed54c74-e0ce-48f2-a487-282cfd931282.json | N/A | N/A | N/A | N/A | N/A | U3369221802 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1967-12-13 | N/A | 3346355 | N/A | HM | false | MIDDLETON | N/A | BLAKE | N/A | N/A | N/A | NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894022552 | N/A | N/A | 5540185 | 2222 | 4802 | 13066800 | N/A | 4212381 | 2025-09-30 02:24:13.317177 | 2025-12-17 20:12:42.035054 |
| 2025-09-29 09:21:00.080231 | 2025-09-30 02:27:22.363382 | 12799665 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 12799665 | Athletic Physical Therapy Inc | 1944-11-21 | 2025-10-01 | M | AE | PT | KEARNS | 31193293201 | TIM | 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/2222/5539406/check_12799665_63a18e0f-8eb9-41a6-8fd1-b026b603d78d.json | N/A | N/A | N/A | N/A | N/A | 31193293201 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1944-11-21 | 2025H5425001 | H5425M | N/A | N/A | false | KEARNS | N/A | TIMOTHY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894022551 | N/A | N/A | 5539406 | 2222 | 4793 | 13069225 | N/A | 4211716 | 2025-09-30 02:27:22.363382 | 2025-12-05 19:31:54.715013 |
| 2025-09-29 09:20:59.701080 | 2025-09-30 02:30:04.921932 | 12799657 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12799657 | Athletic Physical Therapy Inc | 1965-02-23 | 2025-10-02 | M | PT | N/A | TALMAN | LSA820A55237 | TIMOTHY | 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/2222/5539399/check_12799657_b26150de-c07d-4f09-aba4-0cefa4909c95.json | N/A | N/A | N/A | N/A | N/A | LSA820A55237 | Preferred Provider Organization (PPO) | LOS ANGELES POLICE RELIEF ASN INC | ANTHEM BLUE CROSS | N/A | 1965-02-23 | 040 | 1841AC | N/A | PR | false | TALMAN | N/A | TIMOTHY | N/A | 9999-12-31 | 2018-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894022550 | N/A | N/A | 5539399 | 2222 | 4801 | 13071211 | N/A | 4211713 | 2025-09-30 02:30:04.921932 | 2025-05-13 04:29:37.226032 |
| 2025-09-29 09:20:59.666987 | 2025-09-29 09:20:59.925708 | 12799654 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12799654 | Athletic Physical Therapy Inc | 1953-10-12 | 2025-10-01 | M | AE | PT | VALLECER | JQE445W21639 | EDGAR | 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 | 9321455 | 2222 | 4801 | N/A | N/A | 7820740 | 2025-09-29 09:20:59.925708 | 2025-09-22 16:05:10.548691 |
| 2025-09-29 09:20:59.432316 | 2025-09-30 02:18:23.236121 | 12799648 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 12799648 | Athletic Physical Therapy Inc | 1953-08-21 | 2025-10-02 | M | AE | PT | CUMMINGS | 29086032 | OVERSTONE | 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/2222/5539195/check_12799648_b3893752-f490-4b26-ba14-cc8a5b0776f1.json | N/A | N/A | N/A | N/A | N/A | 29086032 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1953-08-21 | 406-024-000 | N/A | N/A | N/A | false | CUMMINGS JR | N/A | OVERSTONE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894022549 | N/A | N/A | 5539195 | 2222 | 4801 | 13062295 | 6798 | 4211528 | 2025-09-30 02:18:23.236121 | 2025-05-29 22:30:24.728697 |
| 2025-09-29 09:20:59.021661 | 2025-09-30 02:30:00.592741 | 12799641 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12799641 | Athletic Physical Therapy Inc | 1980-04-11 | 2025-10-01 | M | PT | N/A | Hurst | JQY695A75359 | Gregory | 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/2222/5539085/check_12799641_11243762-6e6d-4b02-91eb-142bd2d40832.json | N/A | N/A | N/A | N/A | N/A | JQY695A75359 | Preferred Provider Organization (PPO) | YALE MANAGEMENT SERVICES | ANTHEM BLUE CROSS | N/A | 1980-04-11 | 040 | 342584 | N/A | PR | false | HURST | N/A | GREGORY | N/A | 9999-12-31 | 2024-12-01 | ANTHEM SILVER SELECT PPO 50/2200/40% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894022548 | N/A | N/A | 5539085 | 2222 | 4793 | 13071167 | N/A | 4211408 | 2025-09-30 02:30:00.592741 | 2025-09-18 00:42:48.586801 |
| 2025-09-29 09:20:58.815216 | 2025-09-30 02:33:43.625441 | 12799634 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12799634 | Athletic Physical Therapy Inc | 1961-12-01 | 2025-10-02 | M | PT | N/A | TOOCH | JPU633M84536 | PETER | 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/2222/5538874/check_12799634_02350e58-1c39-424f-bb94-68da45c9c729.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M001 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894022547 | N/A | N/A | 5538874 | 2222 | 4801 | 13073873 | N/A | 4211227 | 2025-09-30 02:33:43.625441 | 2025-05-13 04:29:37.225625 |
| 2025-09-29 09:20:58.515093 | 2025-09-30 02:32:53.412755 | 12799628 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12799628 | Athletic Physical Therapy Inc | 1966-08-26 | 2025-10-01 | F | PT | N/A | SOHRAB | XED914080628 | VIDA | 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/2222/5537456/check_12799628_a33c2fe3-ad85-4524-b5b7-689a38486393.json | N/A | N/A | N/A | N/A | N/A | XED914080628 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1966-08-26 | 2001ZK002184 | X0001004 | N/A | PR | false | SOHRAB | N/A | VIDA | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894022546 | N/A | N/A | 5537456 | 2222 | 4793 | 13073217 | N/A | 4210007 | 2025-09-30 02:32:53.412755 | 2025-05-13 04:29:37.224426 |
| 2025-09-29 09:20:58.233849 | 2025-09-30 02:29:29.999652 | 12799621 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 12799621 | Athletic Physical Therapy Inc | 1952-10-14 | 2025-10-01 | M | AE | PT | CHISARI | 00000386684 | THOMAS | 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/2222/5536007/check_12799621_7e6e8024-8a74-479d-b4a4-fa79617ddcbb.json | N/A | N/A | N/A | N/A | N/A | 00000386684 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1952-10-14 | N/A | N/A | N/A | N/A | false | CHISARI | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894022545 | N/A | N/A | 5536007 | 2222 | 4793 | 13070801 | N/A | 4208829 | 2025-09-30 02:29:29.999652 | 2025-06-03 01:05:45.663969 |
| 2025-09-29 09:20:57.950711 | 2025-09-30 02:27:23.456313 | 12799612 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 12799612 | Athletic Physical Therapy Inc | 1952-12-16 | 2025-10-01 | F | AE | PT | PORTER | 400282215401 | SHERIL | 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/2222/5535434/check_12799612_99d21114-bf55-4aad-a677-418db21fb2d0.json | N/A | N/A | N/A | N/A | N/A | 40028215401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-12-16 | 2025H5425001 | H5425M | N/A | N/A | false | PORTER | N/A | SHERIL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894022544 | N/A | N/A | 5535434 | 2222 | 4793 | 13069243 | N/A | 4208356 | 2025-09-30 02:27:23.456313 | 2025-08-25 14:49:27.724897 |
| 2025-09-29 09:20:51.851118 | 2025-09-30 02:12:51.402076 | 12799445 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12799445 | Athletic Physical Therapy Inc | 1963-04-21 | 2025-10-02 | F | PT | N/A | ARREGUIN | NCF356A67636 | LETICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121740542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9131826/check_12799445_68354f06-ba7d-493b-960d-06071e9b1e31.json | N/A | N/A | N/A | N/A | N/A | NCF356A67636 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1963-04-21 | N/A | N/A | N/A | N/A | false | ARREGUIN | N/A | LETICIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894024769 | N/A | N/A | 9131826 | 2222 | 4801 | 13059107 | N/A | 7652862 | 2025-09-30 02:12:51.402076 | 2025-09-19 19:09:46.068421 |
| 2025-09-29 09:20:50.552854 | 2025-09-30 03:02:05.319794 | 12799411 | N/A | N/A | 60054 | Aetna | 1114042165 | 12799411 | Athletic Physical Therapy Inc | 2007-05-15 | 2025-10-01 | M | AE | PT | BAIRD | W295329957 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.142334701.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8391594/check_12799411_811c2dac-0628-4902-880c-1796968b8a4a.json | N/A | N/A | N/A | N/A | N/A | W295329957 | Point of Service (POS) | PEPPERDINE UNIVERSITY | 90962060803 BLUE SHIELD OF CAL | N/A | 2007-05-15 | 0232487 | 023248701200001 | N/A | PS | false | BAIRD | N/A | SHAYA | 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 | 8894026098 | N/A | N/A | 8391594 | 2222 | 4793 | 13087328 | N/A | 4214747 | 2025-09-30 03:02:05.319794 | 2025-05-13 04:29:37.229066 |
| 2025-09-29 09:20:42.285901 | 2025-09-30 03:00:43.466178 | 12799189 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12799189 | Athletic Physical Therapy Inc | 1965-11-11 | 2025-10-01 | M | AE | PT | DAVIS | 00000223299 | SCOTT | 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/2222/9688703/check_12799189_4e42a845-2a55-48aa-96ae-0ce3d9c61cd2.json | N/A | N/A | N/A | N/A | N/A | 00000223299 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1965-11-11 | N/A | N/A | N/A | N/A | false | DAVIS | N/A | SCOTT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894125810 | N/A | N/A | 9688703 | 2222 | 4793 | 13087088 | 2630 | 8108033 | 2025-09-30 03:00:43.466178 | 2025-09-24 21:12:10.279876 |
| 2025-09-29 09:20:32.499213 | 2025-09-30 03:01:29.469004 | 12798904 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12798904 | Athletic Physical Therapy Inc | 1953-04-27 | 2025-10-01 | M | AE | PT | TEDDER | 00000390480 | CHARLES | 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/2222/5676415/check_12798904_2207574d-c31f-4af7-9e7e-273b42a21814.json | N/A | N/A | N/A | N/A | N/A | 00000390480 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-04-27 | N/A | N/A | N/A | N/A | false | TEDDER | N/A | CHARLES | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894107686 | N/A | N/A | 5676415 | 2222 | 4801 | 13087176 | 2630 | 4343470 | 2025-09-30 03:01:29.469004 | 2025-05-13 04:29:37.230947 |
| 2025-09-29 09:20:29.636148 | 2025-09-30 03:01:26.133691 | 12798807 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12798807 | Athletic Physical Therapy Inc | 1952-06-26 | 2025-10-01 | M | AE | PT | MATTHEWS | 00000283273 | DAVID | 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/2222/5676399/check_12798807_fbbe3f58-ee8c-408f-a60b-b2dbe51043d2.json | N/A | N/A | N/A | N/A | N/A | 00000283273 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1952-06-26 | N/A | N/A | N/A | N/A | false | MATTHEWS | 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 | 8894107685 | N/A | N/A | 5676399 | 2222 | 4793 | 13087165 | 2630 | 4343454 | 2025-09-30 03:01:26.133691 | 2025-05-13 04:29:37.230932 |
| 2025-09-29 09:20:27.174229 | 2025-09-30 02:46:17.686841 | 12798735 | N/A | N/A | 60054 | Aetna | 1114042165 | 12798735 | Athletic Physical Therapy Inc | 1956-11-03 | 2025-10-02 | M | AE | PT | ARROW | 101393152200 | PAUL | 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/2222/5676385/check_12798735_adcc8bad-7a51-4733-bc5a-9637830c8292.json | N/A | N/A | N/A | N/A | N/A | 101393152200 | Preferred Provider Organization (PPO) | BP CORPORATION NORTH AMERICA - MA | AETNA | MEDICARE | 1956-11-03 | 100181-02EG0001 | 100181-02 | N/A | PR | false | ARROW | N/A | PAUL | N/A | N/A | N/A | BP MEDICARE PPO ESA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894107684 | N/A | N/A | 5676385 | 2222 | 4802 | 13082509 | N/A | 4343439 | 2025-09-30 02:46:17.686841 | 2025-05-13 04:29:37.230918 |
| 2025-09-29 09:20:19.638922 | 2025-09-30 02:28:03.690524 | 12798492 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12798492 | Athletic Physical Therapy Inc | 1999-03-02 | 2025-10-01 | F | AE | PT | Andrieieva | 92598899G | Taisiia | 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/2222/9104487/check_12798492_da916c10-5f08-49f0-9125-894f9549b08b.json | N/A | N/A | N/A | N/A | N/A | 92598899G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1999-03-02 | MCLA | MWLLNMEG21 | N/A | N/A | false | ANDRIEIVA | N/A | TAISIIA | N/A | 2078-12-31 | 2023-01-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894023842 | N/A | N/A | 9104487 | 2222 | 4802 | 13069748 | N/A | 6709145 | 2025-09-30 02:28:03.690524 | 2025-08-07 23:35:55.091438 |
| 2025-09-29 09:20:14.617090 | 2025-09-30 03:06:26.401130 | 12798335 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12798335 | Athletic Physical Therapy Inc | 1963-11-05 | 2025-10-01 | M | PT | N/A | GAVCUS | 913959142000 | VINCENT | 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/2222/9684155/check_12798335_b3f1bf77-1694-4056-a0b2-7928ac6fee09.json | N/A | N/A | N/A | N/A | N/A | XEH913959142 | Health Maintenance Organization (HMO) | KB CONSTRUCTION COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1963-11-05 | 1000VX000101 | W0022613 | N/A | HM | false | GAVCUS | N/A | VINCENT | N/A | 9999-12-31 | 2024-10-01 | BASIC LIFE AND AD D INSURANCE 10 000 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894127070 | N/A | N/A | 9684155 | 2222 | 4801 | 13088349 | N/A | 8103467 | 2025-09-30 03:06:26.401130 | 2025-09-25 15:37:09.669427 |
| 2025-09-29 09:20:14.387850 | 2025-09-30 03:06:44.736335 | 12798329 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12798329 | Athletic Physical Therapy Inc | 1973-01-16 | 2025-10-01 | F | PT | N/A | FUSCO | JXN148A35914 | ANGELA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.142334701.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8221086/check_12798329_0e6f35e9-e654-4c0d-a452-dbc847d53cc4.json | N/A | N/A | N/A | N/A | N/A | JXN148A35914 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1973-01-16 | N/A | N/A | N/A | N/A | false | FUSCO | N/A | ANGELA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894027037 | N/A | N/A | 8221086 | 2222 | 4793 | 13088432 | N/A | 6978593 | 2025-09-30 03:06:44.736335 | 2025-09-18 02:55:14.560582 |
| 2025-09-29 09:20:13.988332 | 2025-09-30 02:28:25.715206 | 12798318 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12798318 | Athletic Physical Therapy Inc | 2009-01-14 | 2025-10-02 | F | PT | N/A | OBACZ | JQV897A63197 | KLOIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121740542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9102655/check_12798318_c4fe70b5-39f0-47b4-a734-b16b233de0ff.json | N/A | N/A | N/A | N/A | N/A | JQV897A63197 | Health Maintenance Organization (HMO) | EVOLVED NOVELTIES INC | ANTHEM BLUE CROSS | N/A | 2009-01-14 | 040 | F45883 | N/A | HM | false | OBACZ | N/A | JUSTIN | N/A | 9999-12-31 | 2025-01-01 | CA SG SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894023814 | N/A | N/A | 9102655 | 2222 | 4801 | 13070020 | N/A | 7621062 | 2025-09-30 02:28:25.715206 | 2025-09-12 19:10:20.936695 |
| 2025-09-29 09:19:55.079445 | 2025-09-30 03:06:45.855245 | 12797688 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12797688 | Athletic Physical Therapy Inc | 1961-03-10 | 2025-10-02 | M | PT | N/A | WEBBER | NEI801068106 | CHAD | 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/2222/8204846/check_12797688_0a3b6d37-501e-414a-b07b-859a846e02e7.json | N/A | N/A | N/A | N/A | N/A | NEI801068106 | Preferred Provider Organization (PPO) | NATIONAL ELEVATOR INDUSTRY HBP | ANTHEM BLUE CROSS | N/A | 1961-03-10 | N/A | P13346 | N/A | PR | false | WEBBER | N/A | CHAD | N/A | 9999-12-31 | 2021-10-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894026191 | N/A | N/A | 8204846 | 2222 | 4801 | 13088437 | N/A | 6966879 | 2025-09-30 03:06:45.855245 | 2025-08-19 23:20:37.306121 |
| 2025-09-29 09:19:54.086384 | 2025-09-30 02:28:28.524922 | 12797657 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12797657 | Athletic Physical Therapy Inc | 1962-08-12 | 2025-10-02 | F | PT | N/A | SCHOLEFIELD | TRJNP1055193 | ROBIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121740542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9087505/check_12797657_fb5832f4-293e-47d8-9e98-9ad889f51080.json | N/A | N/A | N/A | N/A | N/A | TRJNP1055193 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1962-08-12 | 040 | 276727M007 | N/A | PR | false | SCHOLEFIELD | N/A | ROBIN | N/A | 9999-12-31 | 2020-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894024963 | N/A | N/A | 9087505 | 2222 | 4793 | 13070043 | N/A | 7605100 | 2025-09-30 02:28:28.524922 | 2025-09-11 15:07:41.965017 |
| 2025-09-29 09:19:53.222174 | 2025-09-30 03:07:53.038982 | 12797626 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12797626 | Athletic Physical Therapy Inc | 2014-01-08 | 2025-10-01 | F | PT | N/A | DIAZ | XEA902904791 | MCKINLEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.142334701.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202983/check_12797626_cbc08d93-0f3b-48aa-a6f0-dc787d3c16ad.json | N/A | N/A | N/A | N/A | N/A | XEA902904791 | Preferred Provider Organization (PPO) | HILLIGER INC | BLUE SHIELD CALIFORNIA | N/A | 2014-01-08 | 1000VX000102 | W0060472 | N/A | PR | false | HILLIGER | N/A | JENNIFER | N/A | 2033-01-31 | 2017-01-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894026181 | N/A | N/A | 8202983 | 2222 | 4793 | 13088717 | N/A | 6965635 | 2025-09-30 03:07:53.038982 | 2025-09-05 19:59:40.463785 |
| 2025-09-29 09:19:52.969246 | 2025-09-30 03:07:52.613640 | 12797617 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12797617 | Athletic Physical Therapy Inc | 1980-12-02 | 2025-10-01 | M | PT | N/A | GODINEZ | XEK907039926 | RICHARD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.142334701.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202901/check_12797617_a553d404-cbfb-4abe-b7b9-095a6832d84e.json | N/A | N/A | N/A | N/A | N/A | XEK907039926 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-12-02 | 2001ZK002171 | X0001000 | N/A | PR | false | GODINEZ | N/A | RICHARD | N/A | 2025-12-31 | 2025-01-01 | GOLD 80 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894026062 | N/A | N/A | 8202901 | 2222 | 4793 | 13088716 | N/A | 6965521 | 2025-09-30 03:07:52.613640 | 2025-09-10 21:42:23.177790 |
| 2025-09-29 09:19:52.255953 | 2025-09-30 03:08:20.055395 | 12797595 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12797595 | Athletic Physical Therapy Inc | 1985-01-29 | 2025-10-01 | F | PT | N/A | MURPHY | NGO398A23229 | DARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.142334701.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202094/check_12797595_b1d2f631-53b7-4636-a1cd-81d7151f9584.json | N/A | N/A | N/A | N/A | N/A | NGO398A23229 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | BLUE SHIELD OF CALIFORNIA | N/A | 1985-01-29 | 040 | 174022MJAD | N/A | PR | false | MURPHY | N/A | SCOTT | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894026059 | N/A | N/A | 8202094 | 2222 | 4793 | 13088825 | N/A | 6964828 | 2025-09-30 03:08:20.055395 | 2025-08-21 15:20:41.432970 |
| 2025-09-29 09:19:49.110266 | 2025-09-30 02:28:23.353760 | 12797497 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12797497 | Athletic Physical Therapy Inc | 1947-08-02 | 2025-10-01 | M | PT | N/A | FONG | 514M9445710 | PETER | 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/2222/9086067/check_12797497_b296a6da-caaf-487e-a2b9-8032732c7547.json | N/A | N/A | N/A | N/A | N/A | 514M9445710 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1947-08-02 | N/A | N/A | N/A | N/A | false | FONG | N/A | PETER | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894024938 | N/A | N/A | 9086067 | 2222 | 4801 | 13069999 | 4184 | 7604142 | 2025-09-30 02:28:23.353760 | 2025-09-04 21:38:10.222107 |
| 2025-09-29 09:19:45.288373 | 2025-09-30 02:44:15.663677 | 12797364 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12797364 | Athletic Physical Therapy Inc | 1990-08-10 | 2025-10-01 | F | PT | N/A | RITCHEY | JQU548W19840 | STEPHANIE | 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/2222/9326119/check_12797364_b88c9095-9984-4a0b-9315-80372a600c47.json | N/A | N/A | N/A | N/A | N/A | JQU548W19840 | Preferred Provider Organization (PPO) | KARI SAKURAI DDS INC | ANTHEM BLUE CROSS | N/A | 1990-08-10 | 040 | Q61777 | N/A | PR | false | RITCHIE | N/A | STEPHANIE | N/A | 2025-10-01 | 2025-04-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894102107 | N/A | N/A | 9326119 | 2222 | 4802 | 13081529 | N/A | 7824685 | 2025-09-30 02:44:15.663677 | 2025-09-17 18:00:25.911843 |
| 2025-09-29 09:19:42.171371 | 2025-09-30 03:06:28.085123 | 12797273 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12797273 | Athletic Physical Therapy Inc | 1961-09-20 | 2025-10-01 | M | PT | N/A | PARK | XEK914118801 | MIKE | 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/2222/9682634/check_12797273_72273c18-6bee-4dc5-beb0-62910540adcb.json | N/A | N/A | N/A | N/A | N/A | XEK914118801 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-09-20 | 2001ZK002189 | X0001000 | N/A | PR | false | PARK | N/A | INJIN | N/A | 2025-12-31 | 2025-02-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894127033 | N/A | N/A | 9682634 | 2222 | 4802 | 13088360 | N/A | 8102217 | 2025-09-30 03:06:28.085123 | 2025-09-24 17:20:10.205139 |
| 2025-09-29 09:19:41.745515 | 2025-09-30 02:42:22.147422 | 12797262 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 12797262 | Athletic Physical Therapy Inc | 1955-12-24 | 2025-10-01 | M | AE | PT | LEVESQUE | 40062637301 | PAUL | 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/2222/9323772/check_12797262_7192607c-cb1f-419e-a4f4-fa36f766f795.json | N/A | N/A | N/A | N/A | N/A | 40062637301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1955-12-24 | 2025H5425001 | H5425M | N/A | N/A | false | LEVESQUE | N/A | PAUL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894102103 | N/A | N/A | 9323772 | 2222 | 4793 | 13080435 | N/A | 7822860 | 2025-09-30 02:42:22.147422 | 2025-09-12 00:10:53.277329 |
| 2025-09-29 09:19:36.781338 | 2025-09-29 09:19:36.967612 | 12797123 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12797123 | Athletic Physical Therapy Inc | 1956-06-26 | 2025-10-02 | F | AE | PT | SUAREZ | JQE410W22492 | ANA | 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 | 9083355 | 2222 | 4801 | N/A | N/A | 7600312 | 2025-09-29 09:19:36.967612 | 2025-09-04 18:19:39.478018 |
| 2025-09-29 09:19:28.243404 | 2025-09-30 02:38:04.869531 | 12796901 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12796901 | Athletic Physical Therapy Inc | 1934-12-03 | 2025-10-01 | M | AE | PT | Dayzadeh | XEM903033247 | Nasser | 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/2222/6595255/check_12796901_d280341a-c460-47a6-b227-7b020147b582.json | N/A | N/A | N/A | N/A | N/A | XEM903033247 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1934-12-03 | 2101SD000023 | X0001002 | N/A | OT | false | DAYZADEH | N/A | NASSER | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN D | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894093710 | N/A | N/A | 6595255 | 2222 | 4802 | 13077146 | N/A | 5202586 | 2025-09-30 02:38:04.869531 | 2025-06-25 17:55:27.155518 |
| 2025-09-29 09:19:18.472157 | 2025-09-30 03:01:34.422342 | 12796586 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 12796586 | Athletic Physical Therapy Inc | 2001-06-21 | 2025-10-02 | M | AE | PT | RAFIEI | 92836714F | SAM | 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/2222/8173002/check_12796586_6dca3bc8-f320-4ff2-908a-9fab70422b26.json | N/A | N/A | N/A | N/A | N/A | 92836714F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-06-21 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | RAFIEI | N/A | SAM | N/A | 2078-12-31 | 2024-02-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894025950 | N/A | N/A | 8173002 | 2222 | 4793 | 13087199 | N/A | 6939518 | 2025-09-30 03:01:34.422342 | 2025-08-18 21:40:08.349494 |
| 2025-09-29 09:19:10.384118 | 2025-09-29 09:19:10.630264 | 12796299 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12796299 | Athletic Physical Therapy Inc | 1942-10-02 | 2025-09-30 | M | AE | PT | SAWAYA | XDD599A52218 | PETER | 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 | 9033459 | 2222 | 4802 | N/A | N/A | 7553607 | 2025-09-29 09:19:10.630264 | 2025-09-02 22:55:04.873891 |
| 2025-09-29 09:19:10.285570 | 2025-09-30 02:16:15.707680 | 12796296 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 12796296 | override_provider | 2003-11-16 | 2025-10-01 | F | PT | N/A | HAYASHI | XLXR000032097727 | LAUREN | 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/2222/9066824/check_12796296_57a86cd0-193b-4c88-9811-720e61a23de9.json | N/A | N/A | N/A | N/A | N/A | XLXR000032097727 | Preferred Provider Organization (PPO) | OSF INDIVIDUAL PLATINUM PPO W/ DENTAL HIGH (GOLD) | BLUE SHIELD OF CALIFORNIA | N/A | 2003-11-16 | N/A | 24048 1 | N/A | PR | false | HAYASHI | N/A | NANCY | N/A | 9999-12-31 | 2023-12-01 | PLATINUM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894024922 | N/A | N/A | 9066824 | 2222 | 4802 | 13061033 | N/A | 7582776 | 2025-09-30 02:16:15.707680 | 2025-09-24 22:06:50.112056 |
| 2025-09-29 09:18:58.667995 | 2025-09-30 02:19:38.802365 | 12795915 | N/A | N/A | 61101 | Regal Medical Group | 1114042165 | 12795915 | Athletic Physical Therapy Inc | 1952-07-05 | 2025-10-02 | F | AE | PT | HUYNH | 9100461101 | KIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121740542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9063890/check_12795915_c2bfbafb-c424-49b1-a76d-4152eb4a178f.json | N/A | N/A | N/A | N/A | N/A | 9100461101 | N/A | N/A | HUMANA | N/A | N/A | N/A | N/A | N/A | N/A | false | HUYNH | N/A | KIM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894022991 | N/A | N/A | 9063890 | 2222 | 4793 | 13063352 | N/A | 7579259 | 2025-09-30 02:19:38.802365 | 2025-09-04 15:42:09.086707 |
| 2025-09-29 09:18:57.064139 | 2025-09-30 02:28:05.885914 | 12795856 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12795856 | Athletic Physical Therapy Inc | 1996-07-09 | 2025-10-02 | F | AE | PT | GARDNER | 94664711H | ANGEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121740542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9063523/check_12795856_dc9d5385-06c6-44a0-b41a-fe01e913ec27.json | N/A | N/A | N/A | N/A | N/A | 94664711H | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1996-07-09 | MCLA | MWLLNMEG21 | N/A | N/A | false | GARDNER | N/A | ANGEL | N/A | 2078-12-31 | 2025-07-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894022983 | N/A | N/A | 9063523 | 2222 | 4802 | 13069780 | N/A | 7578504 | 2025-09-30 02:28:05.885914 | 2025-09-16 23:15:33.721148 |
| 2025-09-29 09:18:56.506543 | 2025-09-30 02:16:30.796435 | 12795834 | N/A | N/A | 60054 | Aetna | 1114042165 | 12795834 | Athletic Physical Therapy Inc | 1993-09-13 | 2025-10-01 | F | AE | PT | FUREY | M27353582401 | VIRGINIA | 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/2222/9063334/check_12795834_c7c6092f-d2ff-40a7-aa9d-25f0268cd689.json | N/A | N/A | N/A | N/A | N/A | W273535824 | Health Maintenance Organization (HMO) | NEIGHBORHOOD UNITARIAN UNIVERSALIST | AETNA | N/A | 1993-09-13 | EADLCK01 | 018448303500003 | N/A | HM | false | FUREY | N/A | VIRGINIA | N/A | N/A | N/A | AWH SOUTHERN CA HMO SILVER | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894022980 | N/A | N/A | 9063334 | 2222 | 4801 | 13061169 | N/A | 7578220 | 2025-09-30 02:16:30.796435 | 2025-09-07 21:16:52.874287 |
| 2025-09-29 09:18:56.259348 | 2025-09-30 02:28:22.309946 | 12795824 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12795824 | Athletic Physical Therapy Inc | 1951-10-06 | 2025-10-02 | M | PT | N/A | CRONIN | NSA00368979H | KEVIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121740542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9063293/check_12795824_21ebce99-a32d-4d46-b21a-049f7edc9ae4.json | N/A | N/A | N/A | N/A | N/A | NSA00368979H | Preferred Provider Organization (PPO) | MAIN PPO PLAN- EARNED | ANTHEM BLUE CROSS | N/A | 1951-10-06 | 040 | L05927A001 | N/A | PR | false | CRONIN | N/A | KEVIN | N/A | 9999-12-31 | 2023-07-01 | PB INCENTIVE NO SUTTER | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894022979 | N/A | N/A | 9063293 | 2222 | 4793 | 13069989 | N/A | 7578088 | 2025-09-30 02:28:22.309946 | 2025-09-03 18:45:56.904111 |
| 2025-09-29 09:18:49.551407 | 2025-09-30 02:12:52.064281 | 12795565 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12795565 | Athletic Physical Therapy Inc | 1950-06-09 | 2025-10-01 | F | PT | N/A | SANDOVAL | 846M9155920 | MARIA | 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/2222/9059249/check_12795565_d53b773f-0d99-4d76-9a9b-b1077a22d2ae.json | N/A | N/A | N/A | N/A | N/A | 846M9155920 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1950-06-09 | N/A | N/A | N/A | N/A | false | SANDOVAL | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894022943 | N/A | N/A | 9059249 | 2222 | 4801 | 13059116 | N/A | 7574556 | 2025-09-30 02:12:52.064281 | 2025-09-03 18:09:29.032159 |
| 2025-09-29 09:18:45.088645 | 2025-09-29 09:18:45.289630 | 12795393 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12795393 | Athletic Physical Therapy Inc | 1950-04-13 | 2025-09-30 | F | AE | PT | NATALI | 94579563C | RENEE | 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 | 8979227 | 2222 | 4793 | N/A | N/A | 7498543 | 2025-09-29 09:18:45.289630 | 2025-10-14 17:13:32.178778 |
| 2025-09-29 09:18:40.720841 | 2025-09-30 02:42:21.553211 | 12795238 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 12795238 | Athletic Physical Therapy Inc | 1950-09-28 | 2025-10-02 | M | AE | PT | GURROLA | 839044301 | MIKE | 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/2222/9317287/check_12795238_2891e317-c121-48f9-a22f-8a985d287e53.json | N/A | N/A | N/A | N/A | N/A | 839044301 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | GURROLA | N/A | MIKE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894101896 | N/A | N/A | 9317287 | 2222 | 4793 | 13080427 | N/A | 7815862 | 2025-09-30 02:42:21.553211 | 2025-09-11 18:06:18.231033 |
| 2025-09-29 09:18:29.867212 | 2025-09-29 09:18:30.088698 | 12794870 | N/A | N/A | 52192 | Bravo Health | 1114042165 | 12794870 | Athletic Physical Therapy Inc | 1957-05-08 | 2025-09-30 | F | AE | PT | CHICAS | 18628759501 | MARIA | 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 | 8958480 | 2222 | 4802 | N/A | N/A | 6965620 | 2025-09-29 09:18:30.088698 | 2025-09-03 23:20:10.287852 |
| 2025-09-29 09:18:20.359830 | 2025-09-30 02:16:33.003183 | 12794563 | N/A | N/A | 60054 | Aetna | 1114042165 | 12794563 | Athletic Physical Therapy Inc | 1946-06-15 | 2025-10-02 | M | AE | PT | SCHECHTER | 102181433800 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121740542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9026590/check_12794563_d7da56e4-188b-458b-8aa1-06dad21faf31.json | N/A | N/A | N/A | N/A | N/A | 102181433800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1946-06-15 | 000003-CA000027 | 000003-CA | N/A | PR | false | SCHECHTER | N/A | STEVEN | N/A | 2026-01-01 | 2025-07-01 | AETNA MEDICARE CHOICE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894024683 | N/A | N/A | 9026590 | 2222 | 4793 | 13061188 | N/A | 7549031 | 2025-09-30 02:16:33.003183 | 2026-05-22 23:37:03.098359 |
| 2025-09-29 09:18:18.516680 | 2025-09-30 03:06:45.465085 | 12794485 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12794485 | Athletic Physical Therapy Inc | 2008-02-14 | 2025-10-02 | M | PT | N/A | MAZZA | XDM860A72836 | JACK | 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/2222/8083036/check_12794485_2998a8a3-2eb5-4d78-ab51-96e4f2a1b057.json | N/A | N/A | N/A | N/A | N/A | XDM860A72836 | Preferred Provider Organization (PPO) | CAHP HEALTH BENEFITS TRUST | ANTHEM BLUE CROSS | N/A | 2008-02-14 | 040 | 1855RA | N/A | PR | false | MAZZA | N/A | MICHAEL | N/A | 9999-12-31 | 2014-01-01 | PPO PB CLASSIC HOSP / PBP INCENTIVE PROF | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894025890 | N/A | N/A | 8083036 | 2222 | 4801 | 13088436 | N/A | 6866179 | 2025-09-30 03:06:45.465085 | 2025-08-14 16:10:19.684218 |
| 2025-09-29 09:18:07.427386 | 2025-09-30 02:28:26.924252 | 12794053 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12794053 | Athletic Physical Therapy Inc | 1952-08-20 | 2025-10-02 | M | PT | N/A | POLK | MBL292M95257 | KENNETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.121740542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9022039/check_12794053_49bfe70d-cde7-4106-a3e8-3b7dc5fc3b50.json | N/A | N/A | N/A | N/A | N/A | MBL292M95257 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1952-08-20 | 040 | CAEGR002 | N/A | N/A | false | POLK | N/A | KENNETH | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894024621 | N/A | N/A | 9022039 | 2222 | 4801 | 13070031 | N/A | 7544773 | 2025-09-30 02:28:26.924252 | 2025-09-02 18:35:33.812098 |