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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-27 08:59:01.796751 | 2025-09-28 02:12:13.190402 | 12774602 | N/A | N/A | 60054 | Aetna | 1114042165 | 12774602 | Athletic Physical Therapy Inc | 1997-11-11 | 2025-09-30 | M | AE | PT | VELASQUEZ | W290801184 | EVAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542874/check_12774602_7343a995-c190-439c-b979-67f7ea327625.json | N/A | N/A | N/A | N/A | N/A | W290801184 | Point of Service (POS) | OMNICOM BENEFITS INC. | AETNA | N/A | 1997-11-11 | 0247086 | 024708602300010 | N/A | PS | false | VELASQUEZ | N/A | EVAN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886283506 | N/A | N/A | 5542874 | 2222 | 4802 | 13013713 | N/A | 4214737 | 2025-09-28 02:12:13.190402 | 2025-05-13 04:29:37.229056 |
| 2025-09-27 08:59:01.496596 | 2025-09-28 02:16:13.467206 | 12774598 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12774598 | Athletic Physical Therapy Inc | 2007-12-08 | 2025-09-30 | F | AE | PT | LARSEN | R06053944FD1 | LANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542850/check_12774598_7e003c0e-6712-4687-bc71-8866d42cdb9d.json | N/A | N/A | N/A | N/A | N/A | R06053944FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2007-12-08 | N/A | N/A | N/A | N/A | false | LARSEN | N/A | LANA | N/A | N/A | N/A | MGY COMHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886283505 | N/A | N/A | 5542850 | 2222 | 4793 | 13015052 | N/A | 4214714 | 2025-09-28 02:16:13.467206 | 2025-05-13 04:29:37.229031 |
| 2025-09-27 08:59:01.233647 | 2025-09-28 02:22:04.593249 | 12774595 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12774595 | Athletic Physical Therapy Inc | 1962-08-01 | 2025-09-30 | M | AE | PT | MIHALEV | 1NU2W44MF18 | ANGEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542783/check_12774595_a1430e1b-04b7-4e0b-b961-0e3cf2eebc07.json | N/A | N/A | N/A | N/A | N/A | 1NU2W44MF18 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1962-08-01 | S4802 | N/A | N/A | MA | false | MIHALEV | N/A | ANGEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886283504 | N/A | N/A | 5542783 | 2222 | 4801 | 13017357 | N/A | 4214658 | 2025-09-28 02:22:04.593249 | 2025-05-13 04:29:37.228977 |
| 2025-09-27 08:59:00.842568 | 2025-09-28 02:16:43.668484 | 12774592 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12774592 | Athletic Physical Therapy Inc | 1993-06-20 | 2025-09-30 | F | PT | N/A | DELOS REYES | JXN688W13372 | JANELLE LOPEZ | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542750/check_12774592_9cfd5efa-9fe7-4e6e-85e1-40b19fc47251.json | N/A | N/A | N/A | N/A | N/A | JXN688W13372 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-06-20 | N/A | N/A | N/A | N/A | false | DELOS REYES | N/A | JANELLE LOPEZ | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886283503 | N/A | N/A | 5542750 | 2222 | 4802 | 13015260 | N/A | 4214623 | 2025-09-28 02:16:43.668484 | 2025-08-28 22:11:32.536994 |
| 2025-09-27 08:59:00.513447 | 2025-09-28 02:15:32.378536 | 12774589 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12774589 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-09-30 | F | AE | PT | CHERE | 98953535F | DIANA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_12774589_f1960d89-5f14-49b4-8b12-1f7273f9d0b5.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886283502 | N/A | N/A | 5542660 | 2222 | 4802 | 13014796 | N/A | 4214542 | 2025-09-28 02:15:32.378536 | 2025-05-13 04:29:37.228868 |
| 2025-09-27 08:59:00.178063 | 2025-09-28 02:16:38.404125 | 12774586 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 12774586 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-09-30 | F | AE | PT | HAMI | 92932800G | FARIBA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542611/check_12774586_ee2dce3d-302b-4525-805b-b6e2e0fbbbfa.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1960-09-15 | N/A | N/A | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886283501 | N/A | N/A | 5542611 | 2222 | 4802 | 13015218 | N/A | 4214490 | 2025-09-28 02:16:38.404125 | 2025-05-13 04:29:37.228806 |
| 2025-09-27 08:58:59.859792 | 2025-09-28 02:22:02.771483 | 12774584 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12774584 | Athletic Physical Therapy Inc | 1950-10-11 | 2025-09-30 | F | AE | PT | FRANK | 6C06N65FN89 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542263/check_12774584_8f0903e2-2207-4d45-9af1-633c0f10d621.json | N/A | N/A | N/A | N/A | N/A | 6C06N65FN89 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-10-11 | S5601 | N/A | N/A | MB | false | FRANK | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886283500 | N/A | N/A | 5542263 | 2222 | 4802 | 13017348 | N/A | 4214201 | 2025-09-28 02:22:02.771483 | 2025-05-13 04:29:37.228535 |
| 2025-09-27 08:58:59.309613 | 2025-09-28 02:16:44.158807 | 12774581 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12774581 | Athletic Physical Therapy Inc | 1938-01-22 | 2025-09-30 | F | PT | N/A | ISTOK | MBL474M98437 | LOIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542207/check_12774581_14a4865c-38c1-493e-8273-6c0f373b0830.json | N/A | N/A | N/A | N/A | N/A | MBL474M98437 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1938-01-22 | 040 | CAEGR005 | N/A | N/A | false | ISTOK | N/A | LOIS | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886283499 | N/A | N/A | 5542207 | 2222 | 4802 | 13015263 | N/A | 4214152 | 2025-09-28 02:16:44.158807 | 2025-05-13 04:29:37.228479 |
| 2025-09-27 08:58:58.752700 | 2025-09-28 02:16:45.921590 | 12774578 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12774578 | Athletic Physical Therapy Inc | 1942-12-17 | 2025-09-30 | F | PT | N/A | STEINBERG | MBL988M98459 | JUDY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542014/check_12774578_e669592b-d2a1-482f-9a1b-7a288e40a543.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886283498 | N/A | N/A | 5542014 | 2222 | 4793 | 13015276 | N/A | 4213977 | 2025-09-28 02:16:45.921590 | 2025-05-13 04:29:37.228294 |
| 2025-09-27 08:58:57.997899 | 2025-09-28 02:16:39.153131 | 12774575 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 12774575 | Athletic Physical Therapy Inc | 1961-02-27 | 2025-09-30 | M | AE | PT | SHRIVER | 90771207E | DANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541984/check_12774575_2828259e-1e4f-425a-98ed-0193918bc16d.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1961-02-27 | N/A | N/A | N/A | N/A | false | SHRIVER | N/A | DANIEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886283497 | N/A | N/A | 5541984 | 2222 | 4802 | 13015224 | N/A | 4213934 | 2025-09-28 02:16:39.153131 | 2026-01-27 23:36:44.802366 |
| 2025-09-27 08:58:57.596101 | 2025-09-28 02:16:09.910992 | 12774573 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 12774573 | Athletic Physical Therapy Inc | 1947-02-01 | 2025-09-29 | M | AE | PT | YEE | 412922301 | HARRY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541972/check_12774573_3fcb462b-526c-405e-89c0-52e7e4d1e651.json | N/A | N/A | N/A | N/A | N/A | 412922301 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1947-02-01 | N/A | HCFA21 | N/A | HN | false | YEE | N/A | HARRY | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886283496 | N/A | N/A | 5541972 | 2222 | 4793 | 13015021 | N/A | 4213941 | 2025-09-28 02:16:09.910992 | 2025-05-13 04:29:37.228259 |
| 2025-09-27 08:58:57.250203 | 2025-09-28 02:16:42.572561 | 12774571 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12774571 | Athletic Physical Therapy Inc | 1959-05-13 | 2025-09-30 | F | PT | N/A | ADRIANZEN FERNAN | MMA221W20054 | AURA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541944/check_12774571_4a58c102-2dbf-4d65-b90d-d05ae88cb304.json | N/A | N/A | N/A | N/A | N/A | MMA221W20054 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-05-13 | 040 | CAMCRWP0 | N/A | MP | false | ADRIANZEN FERNANDEZ | N/A | AURA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886283495 | N/A | N/A | 5541944 | 2222 | 4801 | 13015251 | 4184 | 4213907 | 2025-09-28 02:16:42.572561 | 2025-05-13 04:29:37.228228 |
| 2025-09-27 08:58:56.912156 | 2025-09-28 02:16:31.526739 | 12774569 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 12774569 | Athletic Physical Therapy Inc | 1958-09-06 | 2025-09-30 | F | AE | PT | ZAMORA | 00000327568 | FLORYBETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541719/check_12774569_1b970794-4d43-47d0-8463-c595fbb4d648.json | N/A | N/A | N/A | N/A | N/A | 00000327568 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1958-09-06 | N/A | N/A | N/A | N/A | false | ZAMORA | N/A | FLORYBETH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886283494 | N/A | N/A | 5541719 | 2222 | 4801 | 13015169 | N/A | 4213712 | 2025-09-28 02:16:31.526739 | 2025-08-19 01:13:52.150115 |
| 2025-09-27 08:58:56.458106 | 2025-09-28 02:14:22.085119 | 12774566 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 12774566 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-09-30 | M | AD | N/A | LYKIDIS | U1221753503 | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541552/check_12774566_61942af5-d032-43da-8142-80e315ad176a.json | N/A | N/A | N/A | N/A | N/A | U1221753503 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 2001-11-21 | N/A | N/A | N/A | N/A | false | LYKIDIS | N/A | JOHN | N/A | N/A | N/A | N/A | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8886283493 | N/A | N/A | 5541552 | 2222 | 4802 | 13014362 | N/A | 4213562 | 2025-09-28 02:14:22.085119 | 2025-05-13 04:29:37.227895 |
| 2025-09-27 08:58:55.987447 | 2025-09-28 02:17:55.787385 | 12774564 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12774564 | Athletic Physical Therapy Inc | 1990-07-09 | 2025-09-30 | M | PT | N/A | UPSON | XEA909162969 | RYAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541318/check_12774564_b78988d6-41fd-4182-9b9f-ab50f366eb05.json | N/A | N/A | N/A | N/A | N/A | XEA909162969 | Preferred Provider Organization (PPO) | CHILD CARE RESOURCE CENTER | BLUE SHIELD CALIFORNIA | N/A | 1990-07-09 | 1000VX000001 | W0065399 | N/A | PR | false | UPSON | N/A | SANDY | N/A | N/A | N/A | CHILD CARE RESOURCE CENTER PPO COMBINED DEDUCTIBLE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886283492 | N/A | N/A | 5541318 | 2222 | 4801 | 13015726 | N/A | 4213349 | 2025-09-28 02:17:55.787385 | 2025-05-13 04:29:37.227671 |
| 2025-09-27 08:58:55.607780 | 2025-09-28 02:17:52.244360 | 12774560 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12774560 | Athletic Physical Therapy Inc | 1963-07-22 | 2025-09-30 | F | PT | N/A | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541314/check_12774560_1d8042fb-144b-426f-8de8-2bc17e27fb0d.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 9999-12-31 | 2023-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886283491 | N/A | N/A | 5541314 | 2222 | 4793 | 13015705 | N/A | 4213343 | 2025-09-28 02:17:52.244360 | 2025-06-06 02:21:37.603701 |
| 2025-09-27 08:58:55.299291 | 2025-09-28 02:17:55.281306 | 12774558 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12774558 | Athletic Physical Therapy Inc | 1993-10-07 | 2025-09-30 | F | PT | N/A | TRUJILLO | XED914492685 | ADRIENNE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541269/check_12774558_24ecd700-18ad-4796-a6f3-f8734032fd68.json | N/A | N/A | N/A | N/A | N/A | XED914492685 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1993-10-07 | 2001ZK002169 | X0001004 | N/A | PR | false | TRUJILLO | N/A | CHRISTIAN | 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 | 8886283490 | N/A | N/A | 5541269 | 2222 | 4793 | 13015724 | N/A | 4213302 | 2025-09-28 02:17:55.281306 | 2025-05-13 04:29:37.227624 |
| 2025-09-27 08:58:54.746379 | 2025-09-28 02:17:54.202032 | 12774557 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12774557 | Athletic Physical Therapy Inc | 1983-12-04 | 2025-09-30 | M | PT | N/A | SIMMONS | 906212178000 | LAVAR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541240/check_12774557_a26aa5f0-5ec5-4772-94d5-5de0e2f38807.json | N/A | N/A | N/A | N/A | N/A | XEH906212178 | Health Maintenance Organization (HMO) | VENTURA COUNTY PROFESSIONAL FIREFIGHTERS | BLUE SHIELD CALIFORNIA | N/A | 1983-12-04 | 1000HMOX0002 | W0065470 | N/A | HM | false | SIMMONS | N/A | LAVAR | N/A | N/A | N/A | VENTURA COUNTY PROFESSIONAL FIREFIGHTERS ACCESS H | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886283489 | N/A | N/A | 5541240 | 2222 | 4801 | 13015718 | N/A | 4213276 | 2025-09-28 02:17:54.202032 | 2025-05-13 04:29:37.227602 |
| 2025-09-27 08:58:54.154870 | 2025-09-28 02:16:45.370839 | 12774553 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12774553 | Athletic Physical Therapy Inc | 2001-07-16 | 2025-09-30 | F | PT | N/A | POWELL | YWP80258506903 | WHITNEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540983/check_12774553_1d92d2b4-913d-48e7-9bfa-497ce61d7e6d.json | N/A | N/A | N/A | N/A | N/A | YWP80258506903 | N/A | HELLER CAPITAL GROUP LLC | CAPITAL BLUE CROSS | N/A | 2001-07-16 | N/A | 00531869 | N/A | N/A | false | POWELL | N/A | WHITNEY | N/A | 2025-06-30 | 2024-12-14 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886283488 | N/A | N/A | 5540983 | 2222 | 4793 | 13015272 | N/A | 4213053 | 2025-09-28 02:16:45.370839 | 2025-08-05 22:50:43.277345 |
| 2025-09-27 08:58:53.703900 | 2025-09-28 02:22:01.335091 | 12774551 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12774551 | Athletic Physical Therapy Inc | 1940-05-13 | 2025-09-30 | F | AE | PT | ALIZADEH GHARBAGHI | 6AX8PH3NH43 | TOURAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540531/check_12774551_d7b17336-8f74-4004-9907-613ea2e16479.json | N/A | N/A | N/A | N/A | N/A | 6AX8PH3NH43 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-05-13 | S5617 | N/A | N/A | MB | false | ALIZADEH GHARBAGHI | N/A | TOURAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886283487 | N/A | N/A | 5540531 | 2222 | 4802 | 13017338 | N/A | 4212676 | 2025-09-28 02:22:01.335091 | 2025-07-03 21:09:02.193065 |
| 2025-09-27 08:58:53.087069 | 2025-09-28 02:12:12.806882 | 12774549 | N/A | N/A | 60054 | Aetna | 1114042165 | 12774549 | Athletic Physical Therapy Inc | 1948-11-01 | 2025-09-30 | F | AE | PT | TUCKER | 101632234800 | EILEEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540116/check_12774549_f0658eed-24c8-4d58-82d6-d3e2dcfc729c.json | N/A | N/A | N/A | N/A | N/A | 101632234800 | Preferred Provider Organization (PPO) | STATE OF ILLINOIS RETIREES - MAPD | AETNA | MEDICARE | 1948-11-01 | 100512-01EG0001 | 100512-01 | N/A | PR | false | TUCKER | N/A | EILEEN | N/A | N/A | N/A | MEDICARE (C05) ESA PPO PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886283486 | N/A | N/A | 5540116 | 2222 | 4801 | 13013711 | N/A | 4212312 | 2025-09-28 02:12:12.806882 | 2025-05-13 04:29:37.226651 |
| 2025-09-27 08:58:52.762823 | 2025-09-28 02:15:32.811267 | 12774546 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12774546 | Athletic Physical Therapy Inc | 1973-07-11 | 2025-09-30 | M | AE | PT | HERMAN | 95836743G | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540113/check_12774546_757112ea-dd5e-44e4-a263-4462438b5d3d.json | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | HEALTH NET, LLC | N/A | 1973-07-11 | N/A | N/A | N/A | N/A | false | HERMAN | N/A | BRETT | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886283485 | N/A | N/A | 5540113 | 2222 | 4801 | 13014798 | N/A | 4212315 | 2025-09-28 02:15:32.811267 | 2025-12-29 21:20:15.158611 |
| 2025-09-27 08:58:52.366802 | 2025-09-28 02:18:20.858601 | 12774544 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12774544 | Athletic Physical Therapy Inc | 1983-08-31 | 2025-09-30 | M | PT | N/A | FLEMING | SZF839281184 | CHASE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539901/check_12774544_ce785ac9-f269-45c3-a85b-8a950f5fde87.json | N/A | N/A | N/A | N/A | N/A | SZF839281184 | Preferred Provider Organization (PPO) | ACTIVE | CUSTOMER SERVICE | N/A | 1983-08-31 | N/A | 018137 | N/A | PR | false | FLEMING | N/A | CHASE | N/A | 9999-12-31 | 2021-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886283484 | N/A | N/A | 5539901 | 2222 | 4793 | 13015914 | N/A | 4212134 | 2025-09-28 02:18:20.858601 | 2025-08-05 02:56:55.384378 |
| 2025-09-27 08:58:51.885238 | 2025-09-28 02:22:05.623757 | 12774542 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12774542 | Athletic Physical Therapy Inc | 1947-07-25 | 2025-09-30 | M | AE | PT | STERN | 3VW3JQ8TH11 | WESLEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539872/check_12774542_e604ec70-bb54-4407-935d-5b45d716d02e.json | N/A | N/A | N/A | N/A | N/A | 3VW3JQ8TH11 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-07-25 | S5617 | N/A | N/A | MB | false | STERN | N/A | WESLEY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886283483 | N/A | N/A | 5539872 | 2222 | 4802 | 13017364 | N/A | 4212117 | 2025-09-28 02:22:05.623757 | 2025-09-25 18:29:15.369906 |
| 2025-09-27 08:58:51.523618 | 2025-09-28 02:15:38.068422 | 12774538 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 12774538 | Athletic Physical Therapy Inc | 1958-02-11 | 2025-09-30 | F | AE | PT | LEVESQUE | 097A2439020 | JACQUELINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539382/check_12774538_7867d90d-0814-4548-8acd-7a5d0f8b3d30.json | N/A | N/A | N/A | N/A | N/A | 097A2439020 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | LEVESQUE | N/A | JACQUELINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886283482 | N/A | N/A | 5539382 | 2222 | 4793 | 13014832 | N/A | 4211704 | 2025-09-28 02:15:38.068422 | 2025-06-06 23:08:42.876895 |
| 2025-09-27 08:58:51.121976 | 2025-09-28 02:11:16.815404 | 12774536 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | 12774536 | Athletic Physical Therapy Inc | 1980-10-31 | 2025-09-30 | M | AE | PT | PAREDES | XEH910686412 | JOSE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538615/check_12774536_ae0b00d6-ac63-452d-94ba-f439e4445cfb.json | N/A | N/A | N/A | N/A | N/A | XEH910686412 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1980-10-31 | N/A | N/A | N/A | N/A | false | PAREDES | N/A | JOSE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886283481 | N/A | N/A | 5538615 | 2222 | 4793 | 13013455 | N/A | 4211010 | 2025-09-28 02:11:16.815404 | 2025-09-30 17:03:18.054141 |
| 2025-09-27 08:58:50.785768 | 2025-09-28 02:22:05.136239 | 12774533 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12774533 | Athletic Physical Therapy Inc | 1957-07-21 | 2025-09-30 | M | AE | PT | ROOFEH | 8QJ0UJ1EM45 | NADDER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538287/check_12774533_ba4b6c80-2d65-4326-b7d2-27aec02e8728.json | N/A | N/A | N/A | N/A | N/A | 8QJ0UJ1EM45 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-07-21 | S5617 | N/A | N/A | MB | false | ROOFEH | N/A | NADDER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886283480 | N/A | N/A | 5538287 | 2222 | 4802 | 13017360 | N/A | 4210725 | 2025-09-28 02:22:05.136239 | 2025-06-16 16:15:05.679018 |
| 2025-09-27 08:58:50.401014 | 2025-09-28 02:16:38.804919 | 12774531 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 12774531 | Athletic Physical Therapy Inc | 1977-04-30 | 2025-09-29 | M | AE | PT | JOSEPH | 623127403 | CHRISTOPHER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537866/check_12774531_13de78a8-151e-4f54-8b73-d1ac5cbfabfb.json | N/A | N/A | N/A | N/A | N/A | 623127403 | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1977-04-30 | N/A | N/A | N/A | N/A | false | JOSEPH | N/A | CHRISTOPHER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886283479 | N/A | N/A | 5537866 | 2222 | 4802 | 13015220 | N/A | 4210367 | 2025-09-28 02:16:38.804919 | 2025-05-13 04:29:37.224772 |
| 2025-09-27 08:58:49.500444 | 2025-09-28 02:17:54.671949 | 12774528 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12774528 | Athletic Physical Therapy Inc | 1980-08-15 | 2025-09-30 | F | PT | N/A | SNELL | XED912271222 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537740/check_12774528_af2155f4-9fed-462a-bb58-8e9ce3095fb6.json | N/A | N/A | N/A | N/A | N/A | XED912271222 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-08-15 | 2001ZK002185 | X0001004 | N/A | PR | false | SNELL | N/A | NICOLE | N/A | 9999-12-31 | 2025-01-01 | SILVER 87 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886283478 | N/A | N/A | 5537740 | 2222 | 4802 | 13015721 | N/A | 4210260 | 2025-09-28 02:17:54.671949 | 2025-05-13 04:29:37.224672 |
| 2025-09-27 08:58:48.653503 | 2025-09-28 02:22:02.227208 | 12774525 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12774525 | Athletic Physical Therapy Inc | 1951-06-30 | 2025-09-30 | F | AE | PT | CHADORCHI | 8MR2X19XD04 | JAFFA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537480/check_12774525_9af1c476-44fd-49f2-97dd-ab9294f4c9e7.json | N/A | N/A | N/A | N/A | N/A | 8MR2X19XD04 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-30 | S5601 | N/A | N/A | MA | false | CHADORCHI | N/A | JAFFA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886283477 | N/A | N/A | 5537480 | 2222 | 4802 | 13017344 | N/A | 4210038 | 2025-09-28 02:22:02.227208 | 2025-06-02 14:57:36.820684 |
| 2025-09-27 08:58:48.253709 | 2025-09-28 02:15:38.539113 | 12774523 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 12774523 | Athletic Physical Therapy Inc | 1957-02-16 | 2025-09-30 | F | AE | PT | OSE | 40050866601 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537366/check_12774523_8a75f447-d3a9-48ea-b919-bced052c7d6a.json | N/A | N/A | N/A | N/A | N/A | 40050866601 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | OSE | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886283476 | N/A | N/A | 5537366 | 2222 | 4793 | 13014835 | N/A | 4209945 | 2025-09-28 02:15:38.539113 | 2025-08-13 22:24:17.841096 |
| 2025-09-27 08:58:47.923823 | 2025-09-28 02:16:44.914600 | 12774521 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12774521 | Athletic Physical Therapy Inc | 1964-10-19 | 2025-09-30 | M | PT | N/A | NIELSEN | XDP057A76330 | ROY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537188/check_12774521_8b5d64ba-9d5f-4b10-9b4b-cd68d34ede7e.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629MN16 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 9999-12-31 | 2025-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886283475 | N/A | N/A | 5537188 | 2222 | 4802 | 13015269 | N/A | 4209789 | 2025-09-28 02:16:44.914600 | 2025-05-13 04:29:37.224215 |
| 2025-09-27 08:58:47.433841 | 2025-09-28 02:16:44.522355 | 12774519 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12774519 | Athletic Physical Therapy Inc | 1954-03-31 | 2025-09-30 | M | PT | N/A | MILES | MBL835W05431 | KEITH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536896/check_12774519_102e5aa8-2abe-4692-97a3-000e9fe3fd13.json | N/A | N/A | N/A | N/A | N/A | MBL835W05431 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1954-03-31 | 040 | CAEGR005 | N/A | N/A | false | MILES | N/A | KEITH | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886283474 | N/A | N/A | 5536896 | 2222 | 4793 | 13015265 | N/A | 4209567 | 2025-09-28 02:16:44.522355 | 2025-05-13 04:29:37.223990 |
| 2025-09-27 08:58:47.029936 | 2025-09-28 02:11:17.191700 | 12774516 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12774516 | Athletic Physical Therapy Inc | 1982-01-08 | 2025-09-30 | M | PT | N/A | CHRISTIAN | NCF767A52319 | SETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536162/check_12774516_84505819-2452-4205-8a17-b94df92c508b.json | N/A | N/A | N/A | N/A | N/A | NCF767A52319 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1982-01-08 | N/A | N/A | N/A | N/A | false | CHRISTIAN | N/A | SETH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886283473 | N/A | N/A | 5536162 | 2222 | 4793 | 13013456 | N/A | 4208960 | 2025-09-28 02:11:17.191700 | 2025-07-11 19:38:20.011022 |
| 2025-09-27 08:58:46.651194 | 2025-09-28 02:16:42.924203 | 12774513 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12774513 | Athletic Physical Therapy Inc | 1947-04-18 | 2025-09-30 | F | PT | N/A | BELL | MNL880M78427 | JACQUELYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536041/check_12774513_e05099bb-dc6f-496e-bd9f-44cf7ab65ef7.json | N/A | N/A | N/A | N/A | N/A | MNL880M78427 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1947-04-18 | 040 | CAMCRWP0 | N/A | MP | false | BELL | N/A | JACQUELYN | N/A | 9999-12-31 | 2024-07-01 | CA H4471-001-000 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886283472 | N/A | N/A | 5536041 | 2222 | 4802 | 13015254 | 4184 | 4208856 | 2025-09-28 02:16:42.924203 | 2025-05-13 04:29:37.223284 |
| 2025-09-27 08:58:46.265938 | 2025-09-28 02:15:38.883231 | 12774511 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 12774511 | Athletic Physical Therapy Inc | 1941-04-16 | 2025-09-30 | F | AE | PT | RYAN | 31026142401 | CAROL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141018562.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535455/check_12774511_49dd32c8-1837-42f0-8265-690a00283145.json | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | RYAN | N/A | CAROL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886283471 | N/A | N/A | 5535455 | 2222 | 4793 | 13014837 | N/A | 4208375 | 2025-09-28 02:15:38.883231 | 2025-08-08 21:08:12.459471 |
| 2025-09-27 08:58:34.968049 | 2025-09-28 03:03:29.980019 | 12774445 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12774445 | Athletic Physical Therapy Inc | 1950-04-13 | 2025-09-30 | F | AE | PT | NATALI | 2XU8UK4DF50 | RENEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141017876.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8979192/check_12774445_60a0091e-5a09-40d2-bfea-f7faf308d7e3.json | N/A | N/A | N/A | N/A | N/A | 2XU8UK4DF50 | Medicare Part A | N/A | HEALTH CARE SERVICE CORPORATION | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-04-13 | S5715 | N/A | N/A | MA | false | NATALI | N/A | RENEE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886281366 | N/A | N/A | 8979192 | 2222 | 4793 | 13022682 | N/A | 7498543 | 2025-09-28 03:03:29.980019 | 2025-10-14 17:13:32.178778 |
| 2025-09-27 08:58:19.208813 | 2025-09-28 02:20:32.702178 | 12774352 | N/A | N/A | 60054 | Aetna | 1114042165 | 12774352 | Athletic Physical Therapy Inc | 1967-12-19 | 2025-09-30 | F | AE | PT | BURRY | 101323278900 | CAROLYN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141017876.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8971092/check_12774352_513ee5e2-090f-4336-b813-a73dcc4f9871.json | N/A | N/A | N/A | N/A | N/A | 101323278900 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1967-12-19 | 000003-CA000058 | 000003-CA | N/A | PR | false | BURRY | N/A | CAROLYN | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886280923 | N/A | N/A | 8971092 | 2222 | 4801 | 13016736 | N/A | 7486536 | 2025-09-28 02:20:32.702178 | 2025-09-15 03:16:44.869236 |
| 2025-09-27 08:58:11.277007 | 2025-09-28 03:03:18.351974 | 12774310 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12774310 | Athletic Physical Therapy Inc | 1948-07-07 | 2025-09-29 | F | AE | PT | GOEL | 5RR4M63DR65 | VEENA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141017876.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969533/check_12774310_aa7faab0-33d0-421d-8bad-19be5fca1e0d.json | N/A | N/A | N/A | N/A | N/A | 5RR4M63DR65 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-07 | S5596 | N/A | N/A | MB | false | GOEL | N/A | VEENA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886280904 | N/A | N/A | 8969533 | 2222 | 4802 | 13022667 | N/A | 7485064 | 2025-09-28 03:03:18.351974 | 2025-12-29 22:41:16.623495 |
| 2025-09-27 08:57:49.591076 | 2025-09-28 02:36:04.004733 | 12774192 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12774192 | Athletic Physical Therapy Inc | 1987-06-17 | 2025-09-30 | M | AE | PT | FAVELA | 620360888 | MAXIMILIAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141017876.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8960010/check_12774192_afdef8e8-9369-451d-8a4e-4bfe239e6510.json | N/A | N/A | N/A | N/A | N/A | 620360888 | N/A | L.A. CARE COVERED GOLD 80 HMO | LA CARE HEALTH PLAN | HEALTH BENEFIT PLAN COVERAGE | 1987-06-17 | LACC | 92815CA001000701 | N/A | N/A | false | FAVELA | N/A | MAXIMILIAN | N/A | 2025-12-31 | 2025-02-01 | L.A. CARE COVERED | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886280316 | N/A | N/A | 8960010 | 2222 | 4802 | 13020126 | N/A | 7476978 | 2025-09-28 02:36:04.004733 | 2026-01-07 18:27:22.752552 |
| 2025-09-27 08:57:47.981349 | 2025-09-28 02:20:40.535932 | 12774187 | N/A | N/A | 60054 | Aetna | 1114042165 | 12774187 | Athletic Physical Therapy Inc | 1974-05-07 | 2025-09-30 | M | AE | PT | VIDAL | W28518662101 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141017876.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8959871/check_12774187_63542967-54c2-4fca-abef-0386a99cb2a8.json | N/A | N/A | N/A | N/A | N/A | W285186621 | Point of Service (POS) | PRYOR CASHMAN LLP | AETNA | N/A | 1974-05-07 | 0237510 | 023751001000003 | N/A | PS | false | VIDAL | N/A | THOMAS | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886280314 | N/A | N/A | 8959871 | 2222 | 4802 | 13016788 | N/A | 4210349 | 2025-09-28 02:20:40.535932 | 2025-05-13 04:29:37.224755 |
| 2025-09-27 08:57:36.824777 | 2025-09-28 02:20:34.736786 | 12774137 | N/A | N/A | 60054 | Aetna | 1114042165 | 12774137 | Athletic Physical Therapy Inc | 1999-02-07 | 2025-09-30 | M | AE | PT | ELZAYN | AH2912772 | ANDREW | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141017876.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8767675/check_12774137_f180d4ea-7e85-49ac-a419-c9af356654ae.json | N/A | N/A | N/A | N/A | N/A | AH2912772 | N/A | N/A | OTHER SOURCE OF INFORMATION | N/A | 1999-02-07 | 0868778 | 086877802000001 | N/A | N/A | false | ELZAYN | N/A | ANDREW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886280287 | N/A | N/A | 8767675 | 2222 | 4802 | 13016747 | N/A | 7383774 | 2025-09-28 02:20:34.736786 | 2025-08-28 18:43:11.156565 |
| 2025-09-27 08:57:19.846761 | 2025-09-28 02:42:47.359971 | 12774071 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12774071 | Athletic Physical Therapy Inc | 1983-07-06 | 2025-09-29 | M | PT | N/A | VALENCIA | NCF972A20708 | ERIC | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141017876.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8764059/check_12774071_fabce414-7e36-4982-a431-9ef4092495c1.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 | 8886281327 | N/A | N/A | 8764059 | 2222 | 4801 | 13020735 | N/A | 7374543 | 2025-09-28 02:42:47.359971 | 2025-09-11 17:23:18.917967 |
| 2025-09-27 08:56:19.801390 | 2025-09-28 02:36:52.024486 | 12773942 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12773942 | Athletic Physical Therapy Inc | 1960-08-19 | 2025-09-30 | M | PT | N/A | WARREN | MBL523W24301 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141017876.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8681972/check_12773942_74357866-f078-4d27-882f-912e53862543.json | N/A | N/A | N/A | N/A | N/A | MBL523W24301 | N/A | LOS ANGELES CITY EMPLOYEES' RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1960-08-19 | 040 | CA039GRS | N/A | N/A | false | WARREN | N/A | WILLIAM | N/A | 9999-12-31 | 2025-08-01 | CA GRS LACERS H4036-801 ANTHEM MEDICARE PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886280677 | N/A | N/A | 8681972 | 2222 | 4801 | 13020193 | N/A | 7315557 | 2025-09-28 02:36:52.024486 | 2025-09-08 19:23:27.353339 |
| 2025-09-27 08:55:36.015931 | 2025-09-28 02:36:46.773736 | 12773826 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12773826 | Athletic Physical Therapy Inc | 2003-05-02 | 2025-09-30 | M | PT | N/A | MUHAMMAD | XOF828514693 | KENNETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141017876.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8675672/check_12773826_784e18d2-2b0e-4b87-a7b8-ee33746b835d.json | N/A | N/A | N/A | N/A | N/A | XOF828514693 | Preferred Provider Organization (PPO) | IBJI - BRADLEY ACTIVES | HUMANA | N/A | 2003-05-02 | N/A | PK4933 | N/A | PR | false | MUHAMMAD | N/A | KERMIT | N/A | 9999-12-31 | 2022-02-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886280624 | N/A | N/A | 8675672 | 2222 | 4793 | 13020186 | N/A | 7310369 | 2025-09-28 02:36:46.773736 | 2026-02-03 01:46:10.334485 |
| 2025-09-27 08:55:17.550433 | 2025-09-28 02:35:14.915322 | 12773775 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12773775 | Athletic Physical Therapy Inc | 1969-01-24 | 2025-09-29 | F | AE | PT | DEBENEDICTIS | R00538590FS1 | JULIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141017876.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8673509/check_12773775_2e82d5c9-11d7-4a00-b554-818fb1e478cb.json | N/A | N/A | N/A | N/A | N/A | R00538590FS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-24 | N/A | N/A | N/A | N/A | false | DEBENEDICTIS | N/A | JULIE | N/A | N/A | N/A | KWW PPOSBG | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886279948 | N/A | N/A | 8673509 | 2222 | 4793 | 13020041 | N/A | 7308743 | 2025-09-28 02:35:14.915322 | 2025-09-08 16:19:09.101702 |
| 2025-09-27 08:54:06.155958 | 2025-09-28 03:03:24.965045 | 12773617 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12773617 | Athletic Physical Therapy Inc | 1957-07-28 | 2025-09-30 | F | AE | PT | NANVAR | 9H60FA1UD17 | GUITY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141017876.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8650848/check_12773617_6b69f3e6-3f51-4a27-a18c-f801ddf3a93a.json | N/A | N/A | N/A | N/A | N/A | 9H60FA1UD17 | N/A | N/A | CMS | N/A | 1957-07-28 | N/A | N/A | N/A | N/A | false | NANVAR | N/A | GUITY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886281552 | N/A | N/A | 8650848 | 2222 | 4802 | 13022676 | N/A | 7292786 | 2025-09-28 03:03:24.965045 | 2025-09-04 04:11:35.031790 |
| 2025-09-27 08:53:58.709067 | 2025-09-28 02:41:24.041609 | 12773602 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12773602 | Athletic Physical Therapy Inc | 1965-06-30 | 2025-09-30 | M | PT | N/A | GAMLOWSKI | XEH906942906 | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141017876.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8650498/check_12773602_897462b6-fba6-4240-9672-941388a52819.json | N/A | N/A | N/A | N/A | N/A | XEH906942906 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1965-06-30 | 1478HMOX0001 | W0051411 | N/A | HM | false | GAMLOWSKI | N/A | JOHN | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886281546 | N/A | N/A | 8650498 | 2222 | 4801 | 13020602 | N/A | 7292599 | 2025-09-28 02:41:24.041609 | 2025-08-26 22:09:31.664811 |
| 2025-09-27 08:53:05.007904 | 2025-09-28 02:36:41.078869 | 12773504 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12773504 | Athletic Physical Therapy Inc | 1962-07-16 | 2025-09-30 | M | PT | N/A | FORSTER | D7X929848912 | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141017876.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8633336/check_12773504_716a6481-772f-4091-a994-1d6696e04efd.json | N/A | N/A | N/A | N/A | N/A | D7X929848912 | Preferred Provider Organization (PPO) | CACI INTERNATIONAL | ANTHEM BLUE CROSS | N/A | 1962-07-16 | N/A | 67203000 | N/A | PR | false | FORSTER | N/A | JOHN | N/A | 9999-12-31 | 2025-07-01 | BLUECHOICE ADVANTAGE CDH | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886281085 | N/A | N/A | 8633336 | 2222 | 4801 | 13020176 | N/A | 4209604 | 2025-09-28 02:36:41.078869 | 2025-05-13 04:29:37.224032 |
| 2025-09-27 08:52:57.052289 | 2025-09-28 03:03:36.898387 | 12773489 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12773489 | Athletic Physical Therapy Inc | 1952-07-08 | 2025-09-30 | F | AE | PT | STERINA | 5G17E95JX47 | ELIZABETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.141017876.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8632769/check_12773489_f7cb34ff-c8fc-4402-8905-386b236e0f6b.json | N/A | N/A | N/A | N/A | N/A | 5G17E95JX47 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-08 | S4802 | N/A | N/A | MA | false | STERINA | N/A | ELIZABETH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886281077 | N/A | N/A | 8632769 | 2222 | 4802 | 13022692 | N/A | 7278220 | 2025-09-28 03:03:36.898387 | 2025-08-26 15:52:58.453727 |