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 09:18:06.869856 | 2025-09-30 02:29:56.166792 | 12794034 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12794034 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-10-02 | M | AE | PT | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | 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/2222/6528155/check_12794034_e7f4d789-18db-48c8-ac36-998f18898242.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1954-11-24 | N/A | N/A | N/A | N/A | false | BLANCHFIELD | N/A | THOMAS | N/A | 9999-12-31 | 2024-07-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894094331 | N/A | N/A | 6528155 | 2222 | 4793 | 13071111 | N/A | 4214447 | 2025-09-30 02:29:56.166792 | 2026-04-23 20:11:34.441054 |
| 2025-09-29 09:18:02.683409 | 2025-09-30 02:16:29.859807 | 12793881 | N/A | N/A | 60054 | Aetna | 1114042165 | 12793881 | Athletic Physical Therapy Inc | 1997-02-11 | 2025-10-01 | F | AE | PT | BELL | W29376563901 | FRANCESCA | 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/2222/9020239/check_12793881_5ac857aa-203f-4219-afa4-ae49f1473c5d.json | N/A | N/A | N/A | N/A | N/A | W293765639 | Point of Service (POS) | VINSON & ELKINS LLP | AETNA | N/A | 1997-02-11 | 0882904 | 088290401200015 | N/A | PS | false | BELL | N/A | FRANCESCA | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894024598 | N/A | N/A | 9020239 | 2222 | 4802 | 13061164 | N/A | 7543693 | 2025-09-30 02:16:29.859807 | 2025-10-06 20:52:39.651223 |
| 2025-09-29 09:18:02.030955 | 2025-09-30 02:27:17.426600 | 12793858 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12793858 | Athletic Physical Therapy Inc | 2011-07-26 | 2025-10-02 | M | AE | PT | Alvarado | 93787602F | Alberto | 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/2222/9020143/check_12793858_199dab7c-e37e-4dac-b73d-031e83cee174.json | N/A | N/A | N/A | N/A | N/A | 93787602F | N/A | N/A | HEALTH NET, LLC | N/A | 2011-07-26 | N/A | N/A | N/A | N/A | false | ALVARADO | N/A | ALBERTO | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894024595 | N/A | N/A | 9020143 | 2222 | 4802 | 13069147 | N/A | 7543577 | 2025-09-30 02:27:17.426600 | 2025-09-08 18:42:17.673186 |
| 2025-09-29 09:18:01.315045 | 2025-09-29 09:18:01.509523 | 12793833 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12793833 | Athletic Physical Therapy Inc | 1957-07-28 | 2025-09-30 | F | AE | PT | NANVAR | XEM905919639 | GUITY | 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 | 8650849 | 2222 | 4802 | N/A | N/A | 7292786 | 2025-09-29 09:18:01.509523 | 2025-09-04 04:11:35.031790 |
| 2025-09-29 09:17:56.255342 | 2025-09-29 09:17:56.607099 | 12793626 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 12793626 | Athletic Physical Therapy Inc | 1952-07-08 | 2025-09-30 | F | AE | PT | STERINA | 31470398711 | ELIZABETH | 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 | 8632770 | 2222 | 4802 | N/A | N/A | 7278220 | 2025-09-29 09:17:56.607099 | 2025-08-26 15:52:58.453727 |
| 2025-09-29 09:17:51.650797 | 2025-09-29 09:17:51.873166 | 12793427 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12793427 | Athletic Physical Therapy Inc | 1968-02-25 | 2025-09-30 | F | AE | PT | Segal | 9XA2J80PT02 | Jodi | 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 | 8493404 | 2222 | 4801 | N/A | N/A | 7159935 | 2025-09-29 09:17:51.873166 | 2025-09-09 21:26:40.265997 |
| 2025-09-29 09:17:51.379867 | 2025-09-29 09:17:51.642751 | 12793419 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12793419 | Athletic Physical Therapy Inc | 1955-11-13 | 2025-10-01 | F | AE | PT | GRANT | XEM910029614 | ROBIN | 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 | 8493312 | 2222 | 4802 | N/A | N/A | 7159835 | 2025-09-29 09:17:51.642751 | 2025-08-25 22:38:59.735145 |
| 2025-09-29 09:17:47.561419 | 2025-09-30 03:05:32.387752 | 12793263 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 12793263 | Athletic Physical Therapy Inc | 1960-02-19 | 2025-10-02 | F | AE | PT | ENGLISH BLAZEJ | 40067960801 | DOREEN | 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/2222/8048674/check_12793263_b111738e-6d9a-4349-8dfb-7b44f5b047c8.json | N/A | N/A | N/A | N/A | N/A | 40067960801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1960-02-19 | 2025H5425001 | H5425M | N/A | N/A | false | ENGLISH BLAZEJ | N/A | DOREEN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894027061 | N/A | N/A | 8048674 | 2222 | 4801 | 13088127 | N/A | 6844466 | 2025-09-30 03:05:32.387752 | 2025-08-13 17:29:27.130257 |
| 2025-09-29 09:17:46.857322 | 2025-09-30 02:41:31.919554 | 12793230 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 12793230 | Athletic Physical Therapy Inc | 1953-07-31 | 2025-10-02 | F | AE | PT | Dickenson | 91000390H | Linda | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123528346.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449889/check_12793230_e6aec6ee-f68c-4424-9e0c-8ac4e4d075c0.json | N/A | N/A | N/A | N/A | N/A | 91000390H | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 03/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1953-07-31 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | DICKENSON | N/A | LINDA | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894123275 | N/A | N/A | 7449889 | 2222 | 4802 | 13079774 | N/A | 6399696 | 2025-09-30 02:41:31.919554 | 2025-07-24 23:24:56.744520 |
| 2025-09-29 09:17:46.223344 | 2025-09-30 02:49:15.219946 | 12793204 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12793204 | Athletic Physical Therapy Inc | 1996-08-01 | 2025-10-02 | M | PT | N/A | Prichard | XED910420685 | Riley | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123528346.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449872/check_12793204_1764d06a-10dd-4344-b8c4-93f9dda21c25.json | N/A | N/A | N/A | N/A | N/A | XED910420685 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1996-08-01 | 2001ZK002184 | X0001004 | N/A | PR | false | PRICHARD | N/A | RILEY | N/A | 9999-12-31 | 2021-03-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894123274 | N/A | N/A | 7449872 | 2222 | 4802 | 13083849 | N/A | 6399679 | 2025-09-30 02:49:15.219946 | 2025-07-24 23:16:22.582609 |
| 2025-09-29 09:17:45.511492 | 2025-09-30 02:41:33.002843 | 12793175 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 12793175 | Athletic Physical Therapy Inc | 1962-09-23 | 2025-10-01 | M | AE | PT | Thur | 95641377F | Pyi | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123528346.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449843/check_12793175_ba5491c2-c965-42b8-9a81-41e7221172bf.json | N/A | N/A | N/A | N/A | N/A | 95641377F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 11/30/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1962-09-23 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | THUR | N/A | PYI | N/A | 2078-12-31 | 2024-01-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894123273 | N/A | N/A | 7449843 | 2222 | 4802 | 13079794 | N/A | 6399635 | 2025-09-30 02:41:33.002843 | 2025-07-29 18:42:47.970149 |
| 2025-09-29 09:17:36.559555 | 2025-09-29 09:17:36.777677 | 12792973 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12792973 | Athletic Physical Therapy Inc | 1953-03-30 | 2025-09-30 | F | AE | PT | ELLIS | XEM6314508 | KATHY | 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 | 9688800 | 2222 | 4793 | N/A | N/A | 8108118 | 2025-09-29 09:17:36.777677 | 2025-09-24 21:19:03.418185 |
| 2025-09-29 09:17:27.802463 | 2025-09-29 09:17:28.153356 | 12792759 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12792759 | Athletic Physical Therapy Inc | 1959-02-04 | 2025-10-02 | F | AE | PT | SMITS | JQE291W18998 | HEIDI | 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 | 9681615 | 2222 | 4793 | N/A | N/A | 8101289 | 2025-09-29 09:17:28.153356 | 2025-09-24 17:05:46.431721 |
| 2025-09-29 09:17:27.663251 | 2025-09-30 02:47:40.625998 | 12792757 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12792757 | Athletic Physical Therapy Inc | 1962-09-14 | 2025-10-01 | F | PT | N/A | MOORE | W2A952W18561 | YOLANDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123528346.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7447590/check_12792757_bbc91c16-c9e2-4ba5-a364-f3806910d83e.json | N/A | N/A | N/A | N/A | N/A | WZA952W18561 | Preferred Provider Organization (PPO) | WARNER BROS DISCOVERY INC | ANTHEM BLUE CROSS | N/A | 1962-09-14 | 130 | 270240M25A | N/A | PR | false | MOORE | N/A | YOLANDA | N/A | 9999-12-31 | 2024-01-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894123595 | N/A | N/A | 7447590 | 2222 | 4801 | 13083148 | N/A | 6397797 | 2025-09-30 02:47:40.625998 | 2025-08-12 19:16:58.418300 |
| 2025-09-29 09:17:22.869991 | 2025-09-29 09:17:23.101118 | 12792564 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12792564 | Athletic Physical Therapy Inc | 1934-05-31 | 2025-10-01 | M | AE | PT | RANDERIA | R58901143 | BHUPENDRA | 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 | 8420255 | 2222 | 4802 | N/A | N/A | 7097664 | 2025-09-29 09:17:23.101118 | 2026-04-30 18:11:14.979451 |
| 2025-09-29 09:17:21.665115 | 2025-09-30 02:45:06.797739 | 12792515 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 12792515 | Athletic Physical Therapy Inc | 1961-03-08 | 2025-10-02 | F | AE | PT | SAPHOS | U2326133302 | CHERYL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123528346.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444268/check_12792515_b8a711f4-a6c3-4dee-a052-f0803dbfa603.json | N/A | N/A | N/A | N/A | N/A | U2326133302 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 1961-03-08 | N/A | 3207160 | N/A | N/A | false | SAPHOS | N/A | CHERYL | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894123582 | N/A | N/A | 7444268 | 2222 | 4793 | 13081938 | N/A | 6395002 | 2025-09-30 02:45:06.797739 | 2025-08-01 21:55:47.943743 |
| 2025-09-29 09:17:18.499208 | 2025-09-30 03:01:37.111595 | 12792381 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12792381 | Athletic Physical Therapy Inc | 1969-05-24 | 2025-10-02 | F | PT | N/A | KIM | AXV840499320 | MEE RHAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123646321.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9656192/check_12792381_a662bb8b-4304-46f8-956d-0ccd8b3b046e.json | N/A | N/A | N/A | N/A | N/A | AXV840499320 | Preferred Provider Organization (PPO) | M84 ACTIVE PPO PLUS | CUSTOMER SERVICE | N/A | 1969-05-24 | N/A | 778099 | N/A | PR | false | KIM | N/A | MEE RHAN | N/A | 9999-12-31 | 2024-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894126084 | N/A | N/A | 9656192 | 2222 | 4802 | 13087209 | N/A | 8079138 | 2025-09-30 03:01:37.111595 | 2025-09-23 17:35:16.046338 |
| 2025-09-29 09:17:18.010964 | 2025-09-29 09:17:18.453882 | 12792366 | N/A | N/A | 60054 | Aetna | 1114042165 | 12792366 | Athletic Physical Therapy Inc | 1952-08-04 | 2025-09-30 | F | AE | PT | Dunkerley | AHC2057583 | Elizabeth | 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 | 9665220 | 2222 | 4802 | N/A | N/A | 8086688 | 2025-09-29 09:17:18.453882 | 2026-01-15 18:07:39.869679 |
| 2025-09-29 09:17:10.544761 | 2025-09-30 02:27:50.845722 | 12792088 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12792088 | Athletic Physical Therapy Inc | 1949-12-31 | 2025-10-01 | M | AE | PT | TSING | 00000282272 | KONGHSUNG | 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/2222/8978036/check_12792088_b6bfc6a1-e29c-4d6a-b6c3-261cc3988ed4.json | N/A | N/A | N/A | N/A | N/A | 00000282272 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1949-12-31 | N/A | N/A | N/A | N/A | false | TSING | N/A | KONGHSUNG | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894023696 | N/A | N/A | 8978036 | 2222 | 4793 | 13069602 | 2630 | 7492332 | 2025-09-30 02:27:50.845722 | 2025-10-01 21:03:48.525986 |
| 2025-09-29 09:17:10.378211 | 2025-09-30 02:42:20.881501 | 12792082 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 12792082 | Athletic Physical Therapy Inc | 1955-09-04 | 2025-10-01 | M | AE | PT | DRATLER | 40069511301 | MARK | 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/2222/9282582/check_12792082_734dd5f5-1424-47e7-a870-ba351d2aa067.json | N/A | N/A | N/A | N/A | N/A | 40069511301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1955-09-04 | 2025H5425001 | H5425M | N/A | N/A | false | DRATLER | N/A | MARK | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894101364 | N/A | N/A | 9282582 | 2222 | 4801 | 13080422 | N/A | 7791220 | 2025-09-30 02:42:20.881501 | 2025-09-10 20:47:57.294683 |
| 2025-09-29 09:17:08.657110 | 2025-09-30 03:06:44.331858 | 12792018 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12792018 | Athletic Physical Therapy Inc | 2014-05-21 | 2025-10-02 | M | PT | N/A | CHYNOWETH | JQU148M89680 | DAMIAN | 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/2222/8027485/check_12792018_ca9f0a7e-5a12-43d9-b524-7f94b8cdbfbc.json | N/A | N/A | N/A | N/A | N/A | JQU148M89680 | Preferred Provider Organization (PPO) | ELECTRIC POWER GROUP | ANTHEM BLUE CROSS | N/A | 2014-05-21 | 040 | 345735 | N/A | PR | false | CHYNOWETH | N/A | JOSHUA | N/A | 9999-12-31 | 2025-05-01 | ANTHEM GOLD PPO 30/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894026318 | N/A | N/A | 8027485 | 2222 | 4793 | 13088431 | N/A | 6828971 | 2025-09-30 03:06:44.331858 | 2025-09-02 17:27:57.794692 |
| 2025-09-29 09:17:07.745847 | 2025-09-30 03:08:19.690303 | 12791989 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12791989 | Athletic Physical Therapy Inc | 1955-05-21 | 2025-10-01 | F | PT | N/A | MARTINEZ | HFD100011199462 | RACHEL | 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/2222/8026951/check_12791989_852f7fb2-d102-4ea8-af79-83a2674d7172.json | N/A | N/A | N/A | N/A | N/A | HFD100011199462 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | 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. DOUBLEQUOTECHAR | 1955-05-21 | N/A | N/A | N/A | PR | false | MARTINEZ | N/A | RACHEL | 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 | 8894026314 | N/A | N/A | 8026951 | 2222 | 4801 | 13088824 | N/A | 6828511 | 2025-09-30 03:08:19.690303 | 2025-08-14 00:23:35.929152 |
| 2025-09-29 09:17:00.845082 | 2025-09-30 02:28:24.608226 | 12791724 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12791724 | Athletic Physical Therapy Inc | 2009-05-28 | 2025-10-01 | F | PT | N/A | GALLE | JXN432W14490 | MADELYN | 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/2222/8970914/check_12791724_ede2e208-7ffa-408b-8389-8437a1e50d4b.json | N/A | N/A | N/A | N/A | N/A | JXN432W14490 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 2009-05-28 | 040 | 174222M8A1 | N/A | PR | false | FRYE | N/A | BRADLEY | N/A | 9999-12-31 | 2024-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894023633 | N/A | N/A | 8970914 | 2222 | 4793 | 13070008 | N/A | 7486302 | 2025-09-30 02:28:24.608226 | 2025-09-30 03:58:19.839826 |
| 2025-09-29 09:16:54.652984 | 2025-09-29 09:16:54.901566 | 12791526 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12791526 | Athletic Physical Therapy Inc | 1956-05-22 | 2025-10-01 | F | AE | PT | CHOOBIN | 91331250G | KEFAYAT | 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 | 8205059 | 2222 | 4793 | N/A | N/A | 6967073 | 2025-09-29 09:16:54.901566 | 2025-08-26 17:15:30.662072 |
| 2025-09-29 09:16:38.507224 | 2025-09-30 02:33:57.230622 | 12791028 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 12791028 | Athletic Physical Therapy Inc | 1937-04-20 | 2025-10-01 | M | AE | PT | HAUSMAN | 34751866 | GARY | 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/2222/9280203/check_12791028_5ee326fe-5c42-4a06-96be-3a1f0da12c46.json | N/A | N/A | N/A | N/A | N/A | 34751866 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1937-04-20 | 406-024-000 | N/A | N/A | N/A | false | HAUSMAN | N/A | GARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894101334 | N/A | N/A | 9280203 | 2222 | 4793 | 13074049 | 6798 | 7788651 | 2025-09-30 02:33:57.230622 | 2025-09-10 18:50:22.494063 |
| 2025-09-29 09:16:34.977624 | 2025-09-30 03:07:52.137320 | 12790926 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12790926 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-09-30 | F | PT | N/A | GIANNE | XED910762094 | NATALIE | 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/2222/7994545/check_12790926_213c58cd-93b7-4138-9576-822070dda49c.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 9999-12-31 | 2021-09-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894026923 | N/A | N/A | 7994545 | 2222 | 4802 | 13088714 | N/A | 6802250 | 2025-09-30 03:07:52.137320 | 2025-08-11 23:58:28.358402 |
| 2025-09-29 09:16:34.729994 | 2025-09-30 03:05:32.884711 | 12790919 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 12790919 | Athletic Physical Therapy Inc | 1950-08-25 | 2025-10-02 | F | AE | PT | POLLOCK | 40002008301 | MARY | 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/2222/7992096/check_12790919_d9687b07-5c5e-48de-a3da-654793b8c724.json | N/A | N/A | N/A | N/A | N/A | 40002008301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-08-25 | 2025H5425001 | H5425M | N/A | N/A | false | POLLOCK | N/A | MARY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894026922 | N/A | N/A | 7992096 | 2222 | 4801 | 13088128 | N/A | 4212687 | 2025-09-30 03:05:32.884711 | 2025-08-27 18:05:06.350903 |
| 2025-09-29 09:16:30.130179 | 2025-09-29 09:16:30.351451 | 12790781 | N/A | N/A | 60054 | Aetna | 1114042165 | 12790781 | Athletic Physical Therapy Inc | 1952-01-15 | 2025-10-01 | F | AE | PT | KIRK | 101297147800 | JAN | 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 | 8167057 | 2222 | 4801 | N/A | N/A | 6933707 | 2025-09-29 09:16:30.351451 | 2026-05-21 16:32:55.382229 |
| 2025-09-29 09:16:28.827184 | 2025-09-30 03:06:45.079320 | 12790741 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12790741 | Athletic Physical Therapy Inc | 1971-05-04 | 2025-10-01 | F | PT | N/A | MAHAARACHCHI | EXHAN7912598 | MELONY | 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/2222/7988722/check_12790741_587d59c0-eb00-4106-9eef-5cabaf2ebc66.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1971-05-04 | N/A | N/A | N/A | N/A | false | MAHAARACHCHI | N/A | MELONY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894026899 | N/A | N/A | 7988722 | 2222 | 4793 | 13088434 | N/A | 6798209 | 2025-09-30 03:06:45.079320 | 2025-10-29 15:15:17.952230 |
| 2025-09-29 09:16:26.019870 | 2025-09-30 02:28:29.666694 | 12790648 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12790648 | Athletic Physical Therapy Inc | 1968-08-30 | 2025-10-02 | M | PT | N/A | Ashley | XDM123A50756 | Dennis | 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/2222/8958011/check_12790648_9206f5ed-fd93-4ab8-a9dc-79cbfdf6d47d.json | N/A | N/A | N/A | N/A | N/A | XDM123A50756 | Health Maintenance Organization (HMO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 1968-08-30 | 040 | 57ARJB | N/A | HM | false | THAMES | N/A | KRISTEN | 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 | 8894024511 | N/A | N/A | 8958011 | 2222 | 4801 | 13070056 | N/A | 7475081 | 2025-09-30 02:28:29.666694 | 2025-09-11 04:52:37.545129 |
| 2025-09-29 09:16:15.677710 | 2025-09-30 02:14:55.531348 | 12790296 | N/A | N/A | 22384 | Administrative Concepts, Inc | 1114042165 | 12790296 | Athletic Physical Therapy Inc | 1996-05-03 | 2025-10-01 | F | AE | PT | Salant | Z6D461W08418 | Isabella | 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/2222/8765709/check_12790296_50ee2781-429c-4b47-8811-a94f08690697.json | N/A | N/A | N/A | N/A | N/A | Z6D461W08418 | N/A | N/A | ACI | N/A | 1996-05-03 | N/A | N/A | N/A | N/A | false | 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 | 8894023203 | N/A | N/A | 8765709 | 2222 | 4802 | 13060419 | N/A | 7377649 | 2025-09-30 02:14:55.531348 | 2025-09-03 13:57:51.555585 |
| 2025-09-29 09:16:13.959122 | 2025-09-30 02:30:57.937973 | 12790230 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12790230 | Athletic Physical Therapy Inc | 1983-07-06 | 2025-10-01 | M | PT | N/A | VALENCIA | NCF972A20708 | ERIC | 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/2222/8764059/check_12790230_17710983-bb54-4c93-b0ce-bf80868077b7.json | N/A | N/A | N/A | N/A | N/A | NCF972A20708 | Health Maintenance Organization (HMO) | HARBOR FREIGHT TOOLS USA INC | BLUE SHIELD OF CALIFORNIA | N/A | 1983-07-06 | 040 | C20881H1A1 | N/A | HM | false | VALENCIA | N/A | ERIC | N/A | 9999-12-31 | 2024-10-16 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894023195 | N/A | N/A | 8764059 | 2222 | 4801 | 13071842 | N/A | 7374543 | 2025-09-30 02:30:57.937973 | 2025-09-11 17:23:18.917967 |
| 2025-09-29 09:16:12.067563 | 2025-09-30 02:12:56.440001 | 12790150 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | 12790150 | Athletic Physical Therapy Inc | 1993-12-24 | 2025-10-02 | F | PT | N/A | Garcia | NCF409W01940 | Jessica | 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/2222/7965049/check_12790150_2068181f-0e5b-4e51-a773-85bf4361f6d9.json | N/A | N/A | N/A | N/A | N/A | NCF409W01940 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1993-12-24 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | JESSICA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894026542 | N/A | N/A | 7965049 | 2222 | 4802 | 13059178 | N/A | 6604326 | 2025-09-30 02:12:56.440001 | 2025-08-06 18:06:11.137864 |
| 2025-09-29 09:16:07.400228 | 2025-09-30 03:00:41.847324 | 12789962 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12789962 | Athletic Physical Therapy Inc | 1959-06-05 | 2025-10-02 | M | AE | PT | CARRANZA | 00000294469 | MANUEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123646321.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9637983/check_12789962_14ba083b-b57d-45a0-8249-46bf8e3662a8.json | N/A | N/A | N/A | N/A | N/A | 00000294469 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1959-06-05 | N/A | N/A | N/A | N/A | false | CARRANZA | N/A | MANUEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894126657 | N/A | N/A | 9637983 | 2222 | 4801 | 13087085 | 2630 | 8062895 | 2025-09-30 03:00:41.847324 | 2025-09-22 23:22:14.358428 |
| 2025-09-29 09:16:06.140236 | 2025-09-30 02:46:25.080004 | 12789912 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12789912 | Athletic Physical Therapy Inc | 1966-07-12 | 2025-10-01 | M | AE | PT | Cohn | R06589895MM1 | David | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123528346.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7315101/check_12789912_ee56ff9e-0203-4c7c-b123-a0740f233f22.json | N/A | N/A | N/A | N/A | N/A | R06589895MM1 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1966-07-12 | N/A | CA05620125 | N/A | N/A | false | COHN | N/A | DAVID | N/A | N/A | N/A | WELLCARE SIMPLE FOCUS (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894123377 | N/A | N/A | 7315101 | 2222 | 4802 | 13082572 | N/A | 6152454 | 2025-09-30 02:46:25.080004 | 2025-07-17 21:44:04.596080 |
| 2025-09-29 09:15:55.764291 | 2025-09-29 09:15:56.085329 | 12789528 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12789528 | Athletic Physical Therapy Inc | 1957-03-21 | 2025-09-30 | F | PT | N/A | Moore | 8V70PQ9EF39 | Jeana | 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 | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8044093 | 2222 | 4802 | N/A | N/A | 6725117 | 2025-09-29 09:15:56.085329 | 2026-02-18 22:27:04.950292 |
| 2025-09-29 09:15:40.923632 | 2025-09-30 02:57:52.005095 | 12789069 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 12789069 | Athletic Physical Therapy Inc | 1944-03-02 | 2025-10-02 | F | AE | PT | SETRAK | 40064880801 | SETA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123646321.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9634904/check_12789069_4fa74172-8d80-4765-b769-3a32c21690e0.json | N/A | N/A | N/A | N/A | N/A | 40064880801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1944-03-02 | 2025H5425001 | H5425M | N/A | N/A | false | SETRAK | N/A | SETA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894125132 | N/A | N/A | 9634904 | 2222 | 4801 | 13086660 | N/A | 8061360 | 2025-09-30 02:57:52.005095 | 2025-09-22 21:51:14.372865 |
| 2025-09-29 09:15:37.649861 | 2025-09-30 05:21:56.521045 | 12788976 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12788976 | Athletic Physical Therapy Inc | 1996-07-04 | 2025-10-01 | F | PT | N/A | STOLTZ | JQY361W23827 | ARDENN | 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/2222/6605808/check_12788976_f838c8ab-9141-4dd1-a327-b03b35045440.json | N/A | N/A | N/A | N/A | N/A | JQY361W23827 | Preferred Provider Organization (PPO) | KENT TAKEMOTO, M.D., INC. | ANTHEM BLUE CROSS | N/A | 1996-07-04 | 040 | Q62351 | N/A | PR | false | STOLZ | N/A | ARDENN | N/A | 9999-12-31 | 2025-04-01 | CA SG SELECT PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894095988 | N/A | N/A | 6605808 | 2222 | 4802 | 13095896 | N/A | 4214948 | 2025-09-30 05:21:56.521045 | 2025-06-26 01:28:07.741882 |
| 2025-09-29 09:15:35.445371 | 2025-09-30 02:41:32.580500 | 12788902 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 12788902 | Athletic Physical Therapy Inc | 2014-05-27 | 2025-10-02 | F | AE | PT | Odate | 96680377F | Keina | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123528346.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7295079/check_12788902_74d2ee63-836e-4590-a49f-3e341a9b153d.json | N/A | N/A | N/A | N/A | N/A | 96680377F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 09/30/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2014-05-27 | TFU223BP0000008 | QMXEM01909 | N/A | N/A | false | ODATE | N/A | WOW | N/A | 2078-12-31 | 2025-05-01 | ADULT FAMILY - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894123198 | N/A | N/A | 7295079 | 2222 | 4802 | 13079785 | N/A | 6254701 | 2025-09-30 02:41:32.580500 | 2026-05-21 14:19:15.159394 |
| 2025-09-29 09:15:19.871234 | 2025-09-30 02:47:41.169515 | 12788424 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12788424 | Athletic Physical Therapy Inc | 1963-09-19 | 2025-10-01 | M | PT | N/A | SENKUS | XDM878M77372 | TONY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123528346.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7283495/check_12788424_f1633908-a4ae-459a-91b6-608c18ca9af4.json | N/A | N/A | N/A | N/A | N/A | XDM878M77372 | Health Maintenance Organization (HMO) | TEAMSTERS MISC SECURITY TRUST - EARLY RETIREE | ANTHEM BLUE CROSS | N/A | 1963-09-19 | 040 | 278680H052 | N/A | HM | false | SENKUS | N/A | TONY | N/A | 9999-12-31 | 2024-10-01 | CLASSIC TRADITIONAL HMO NETWORK NON DURATIONAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894122883 | N/A | N/A | 7283495 | 2222 | 4801 | 13083153 | N/A | 6247001 | 2025-09-30 02:47:41.169515 | 2025-07-25 21:24:35.111542 |
| 2025-09-29 09:14:53.230542 | 2025-09-30 02:28:30.892842 | 12787648 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12787648 | Athletic Physical Therapy Inc | 2009-12-27 | 2025-10-01 | F | PT | N/A | VALENCIA | NCF972A20708 | NEVAEH | 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/2222/8639700/check_12787648_d4520b6e-aeec-4397-8769-8bf16b0b9134.json | N/A | N/A | N/A | N/A | N/A | NCF972A20708 | Health Maintenance Organization (HMO) | HARBOR FREIGHT TOOLS USA INC | ANTHEM BLUE CROSS | N/A | 2009-12-27 | 040 | C20881H1A1 | N/A | HM | false | VALENCIA | N/A | ERIC | N/A | 9999-12-31 | 2024-10-16 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894023575 | N/A | N/A | 8639700 | 2222 | 4801 | 13070071 | N/A | 7100343 | 2025-09-30 02:28:30.892842 | 2025-08-26 17:30:26.978462 |
| 2025-09-29 09:14:40.041105 | 2025-09-30 02:45:16.532207 | 12787231 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 12787231 | Athletic Physical Therapy Inc | 1983-04-06 | 2025-10-01 | F | PT | N/A | JOHNSON | 907100866000 | HEATHER | 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/2222/9258804/check_12787231_04f7d40a-da73-4a42-ad2e-c8e78dbd1fc0.json | N/A | N/A | N/A | N/A | N/A | XEH907100866 | Health Maintenance Organization (HMO) | COUNTY OF VENTURA ACTIVES | BLUE SHIELD CALIFORNIA | N/A | 1983-04-06 | 1000HMOX0002 | W0067449 | N/A | HM | false | JOHNSON | N/A | HEATHER | N/A | N/A | N/A | COUNTY OF VENTURA ACTIVES CUSTOM ACCESS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894101001 | N/A | N/A | 9258804 | 2222 | 4801 | 13082009 | N/A | 4213256 | 2025-09-30 02:45:16.532207 | 2025-05-13 04:29:37.227582 |
| 2025-09-29 09:14:34.464266 | 2025-09-30 02:47:40.089161 | 12787028 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12787028 | Athletic Physical Therapy Inc | 1988-08-19 | 2025-10-01 | M | PT | N/A | Bridgemohansingh | NTF910W08222 | Jason | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123528346.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7258746/check_12787028_57d75cce-acc1-4961-938e-610a8b95090b.json | N/A | N/A | N/A | N/A | N/A | NTF910W08222 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | ANTHEM BLUE CROSS | N/A | 1988-08-19 | 040 | L08669M002 | N/A | PR | false | BRIDGEMOHANSINGH | N/A | JASON | N/A | 9999-12-31 | 2025-08-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894122747 | N/A | N/A | 7258746 | 2222 | 4802 | 13083145 | N/A | 6224482 | 2025-09-30 02:47:40.089161 | 2025-08-07 00:03:18.267969 |
| 2025-09-29 09:14:32.241464 | 2025-09-30 02:38:05.545350 | 12786956 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12786956 | Athletic Physical Therapy Inc | 1960-07-20 | 2025-10-02 | F | AE | PT | NAFTZGER | XEM914412859 | SANDRA | 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/2222/6194938/check_12786956_698f7b3c-e33b-4735-9724-cd4bc200bab3.json | N/A | N/A | N/A | N/A | N/A | XEM914412859 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1960-07-20 | 2002SEW00030 | X0001002 | N/A | OT | false | NAFTZGER | N/A | SANDRA | 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 | 8894093185 | N/A | N/A | 6194938 | 2222 | 4802 | 13077156 | N/A | 4214889 | 2025-09-30 02:38:05.545350 | 2025-05-13 04:29:37.229212 |
| 2025-09-29 09:14:27.865247 | 2025-09-30 03:01:38.734420 | 12786824 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12786824 | Athletic Physical Therapy Inc | 2009-10-25 | 2025-09-30 | F | PT | N/A | TAITE | JQU200A62919 | SERAPHINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123646321.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9610001/check_12786824_6afb62e0-d9aa-4223-89a1-d090444538ac.json | N/A | N/A | N/A | N/A | N/A | JQU200A62919 | Preferred Provider Organization (PPO) | TREATMENT CENTER MANAGEMENT CORPORATION | ANTHEM BLUE CROSS | N/A | 2009-10-25 | 040 | U26732 | N/A | PR | false | TAITE | N/A | RICHARD | N/A | 9999-12-31 | 2025-05-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894126227 | N/A | N/A | 9610001 | 2222 | 4802 | 13087217 | N/A | 8040917 | 2025-09-30 03:01:38.734420 | 2025-09-22 14:19:04.386066 |
| 2025-09-29 09:14:21.800008 | 2025-09-30 02:42:22.685482 | 12786637 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 12786637 | Athletic Physical Therapy Inc | 1956-07-11 | 2025-10-02 | M | AE | PT | ROGERS | 40066658301 | JOHN | 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/2222/9256747/check_12786637_296c14cf-933a-41c9-855f-c47b08c38336.json | N/A | N/A | N/A | N/A | N/A | 40066658301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-07-11 | 2025H5425001 | H5425M | N/A | N/A | false | ROGERS | N/A | JOHN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894100905 | N/A | N/A | 9256747 | 2222 | 4793 | 13080442 | N/A | 7767584 | 2025-09-30 02:42:22.685482 | 2025-09-09 21:16:10.468472 |
| 2025-09-29 09:14:21.766720 | 2025-09-30 02:38:05.182832 | 12786634 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12786634 | Athletic Physical Therapy Inc | 1958-05-19 | 2025-10-01 | F | AE | PT | MAYER | XEM912219422 | MARY | 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/2222/6175091/check_12786634_17b74be6-93a9-4e42-99f6-eeb497e19da4.json | N/A | N/A | N/A | N/A | N/A | XEM912219422 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1958-05-19 | 2002SE000030 | X0001002 | N/A | OT | false | MAYER | N/A | MARY | 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 | 8894093104 | N/A | N/A | 6175091 | 2222 | 4801 | 13077152 | N/A | 4213917 | 2025-09-30 02:38:05.182832 | 2025-06-25 01:53:37.609327 |
| 2025-09-29 09:14:19.965284 | 2025-09-30 02:49:14.624733 | 12786588 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12786588 | Athletic Physical Therapy Inc | 1979-04-20 | 2025-10-01 | F | PT | N/A | NOSRAT | XEK904721388 | CAROLYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250929.123528346.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-10-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7252533/check_12786588_c345d4d1-752c-4893-8823-39be9d61797e.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1979-04-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | NOSRAT | N/A | CAROLYN | N/A | 9999-12-31 | 2016-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8894122702 | N/A | N/A | 7252533 | 2222 | 4802 | 13083846 | N/A | 4214065 | 2025-09-30 02:49:14.624733 | 2025-05-13 04:29:37.228379 |
| 2025-09-29 09:14:16.899816 | 2025-09-29 09:14:17.371846 | 12786502 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12786502 | Athletic Physical Therapy Inc | 1955-06-14 | 2025-09-30 | M | AE | PT | STAGNITTA | MBL690W21411 | ROBERT | 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 | 7784381 | 2222 | 4793 | N/A | N/A | 4212542 | 2025-09-29 09:14:17.371846 | 2025-08-05 17:22:00.318869 |
| 2025-09-29 09:14:11.535540 | 2025-09-30 02:38:05.884020 | 12786321 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12786321 | Athletic Physical Therapy Inc | 1959-07-13 | 2025-10-02 | F | AE | PT | SHETH | XEA914147448 | SHAIVALINI | 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/2222/6145898/check_12786321_cdf5ca6c-5e7b-41e1-bdf2-a8bccf109662.json | N/A | N/A | N/A | N/A | N/A | XAN914147448 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | MEDICARE PART A AND B | N/A | 1959-07-13 | 1002VX000001 | W0051411 | N/A | PR | false | SHETH | N/A | OJAS | N/A | 2025-12-31 | 2025-02-01 | CALPERS ASO PLATINUM PPO SUPPLEMENT TO MEDICARE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8894093087 | N/A | N/A | 6145898 | 2222 | 4801 | 13077161 | N/A | 4786709 | 2025-09-30 02:38:05.884020 | 2025-06-20 18:28:02.399027 |