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 | insurance_company_id | 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 08:51:23.850401 | 2025-09-28 02:20:38.435340 | 12773356 | N/A | N/A | 60054 | Aetna | 1114042165 | 12773356 | Athletic Physical Therapy Inc | 1968-02-25 | 2025-09-30 | F | AE | PT | Segal | W248584098 | Jodi | N/A | 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/2222/8493403/check_12773356_45f6e572-36f3-442f-9b5d-a60f733a2667.json | N/A | N/A | N/A | N/A | N/A | W248584098 | Point of Service (POS) | FARMERS INSURANCE EXCHANGE | AETNA | N/A | 1968-02-25 | 0109198 | 010919803500001 | N/A | PS | false | SEGAL | N/A | WILLIAM | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886280271 | N/A | N/A | 8493403 | 2222 | 4801 | 13016775 | N/A | 7159935 | 2025-09-28 02:20:38.435340 | 2025-09-09 21:26:40.265997 |
| 2025-09-27 08:50:37.228667 | 2025-09-28 02:35:47.619152 | 12773276 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12773276 | Athletic Physical Therapy Inc | 1950-08-30 | 2025-09-30 | M | AE | PT | VILLA | 00000293779 | RAMON | N/A | 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/2222/8471007/check_12773276_fe44a9aa-09e8-4adb-8e26-ee78e3c317a0.json | N/A | N/A | N/A | N/A | N/A | 00000293779 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1950-08-30 | N/A | N/A | N/A | N/A | false | VILLA | N/A | RAMON | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886280230 | N/A | N/A | 8471007 | 2222 | 4801 | 13020099 | 2630 | 7142042 | 2025-09-28 02:35:47.619152 | 2025-08-25 17:21:31.750932 |
| 2025-09-27 08:49:15.387138 | 2025-09-28 02:41:28.051176 | 12773109 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12773109 | Athletic Physical Therapy Inc | 2001-07-17 | 2025-09-30 | M | PT | N/A | HUNTER | XEK905471650 | KYLE | N/A | 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/2222/8420132/check_12773109_513ef3ec-4807-44a4-9f0e-851158ca56b6.json | N/A | N/A | N/A | N/A | N/A | XEK905471650 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2001-07-17 | 2001ZK002189 | X0001000 | N/A | PR | false | HUNTER | N/A | MARK | N/A | 9999-12-31 | 2021-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886279617 | N/A | N/A | 8420132 | 2222 | 4801 | 13020609 | N/A | 7097528 | 2025-09-28 02:41:28.051176 | 2025-08-25 23:26:20.393423 |
| 2025-09-27 08:48:55.049914 | 2025-09-27 08:49:09.266821 | 12773075 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-12-07 | 2025-09-30 | M | AE | PT | WALLACH | 006908882 | CHARLES | 6341 | https://storage.googleapis.com/normandy-eligibility-checks/2222/7821426/check_12773075_5769acb2-ec28-43f1-8da2-8740b1c517ca.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7821426/check_12773075_2a2e2977-7ddb-42f8-9bbe-b1c268410d79.json | N/A | N/A | N/A | N/A | N/A | 006908882 | N/A | N/A | TRIWEST - TRICARE | N/A | 1971-12-07 | N/A | N/A | N/A | N/A | false | WALLACH | N/A | CHARLES | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7821426 | 2222 | N/A | 13008754 | N/A | 6660003 | 2025-09-27 08:49:09.266821 | 2026-06-01 17:03:48.982724 |
| 2025-09-27 08:46:38.490513 | 2025-09-28 02:28:09.036899 | 12772940 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 12772940 | Athletic Physical Therapy Inc | 2000-12-17 | 2025-09-30 | M | AE | PT | Ke | QVVKND00 | Haozhe | N/A | 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/2222/8405192/check_12772940_734998d3-8544-420f-bf9b-342cec1ddb8c.json | N/A | N/A | N/A | N/A | N/A | QVVKND00 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 2000-12-17 | N/A | N/A | N/A | N/A | false | KE | N/A | HAOZHE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886280478 | N/A | N/A | 8405192 | 2222 | 4802 | 13019235 | N/A | 7083453 | 2025-09-28 02:28:09.036899 | 2025-08-26 19:33:12.586504 |
| 2025-09-27 08:43:51.370847 | 2025-09-28 02:36:43.665907 | 12772797 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12772797 | Athletic Physical Therapy Inc | 2011-10-18 | 2025-09-30 | F | PT | N/A | GARCIA | LDU736A55056 | SADIE | N/A | 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/2222/8387470/check_12772797_c14d1b43-edd7-45a9-9635-622d12e2f7cd.json | N/A | N/A | N/A | N/A | N/A | LDU736A55056 | Exclusive Provider Organization | LAUSD | ANTHEM BLUE CROSS | N/A | 2011-10-18 | 040 | 1838NJ | N/A | EP | false | GARCIA | N/A | RUBEN | N/A | 9999-12-31 | 2024-01-01 | PRUDENT BUYER EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886279835 | N/A | N/A | 8387470 | 2222 | 4801 | 13020180 | N/A | 5132739 | 2025-09-28 02:36:43.665907 | 2025-07-14 21:32:03.363712 |
| 2025-09-27 08:42:23.413281 | 2025-09-28 02:36:50.408973 | 12772710 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12772710 | Athletic Physical Therapy Inc | 1979-11-10 | 2025-09-30 | F | PT | N/A | SEITZ | SEY495A67668 | KORINNE | N/A | 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/2222/8225980/check_12772710_058a2163-d0fb-4182-a513-e2e4c0c383d3.json | N/A | N/A | N/A | N/A | N/A | SEY495A67668 | Preferred Provider Organization (PPO) | SEMPRA HEALTH CARE PLUS | ANTHEM BLUE CROSS | N/A | 1979-11-10 | 040 | 174217M3B7 | N/A | PR | false | SEITZ | N/A | CORY | N/A | 9999-12-31 | 2019-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886279793 | N/A | N/A | 8225980 | 2222 | 4801 | 13020188 | N/A | 6982786 | 2025-09-28 02:36:50.408973 | 2025-09-05 22:05:24.545118 |
| 2025-09-27 08:42:20.361736 | 2025-09-28 02:41:31.053298 | 12772707 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12772707 | Athletic Physical Therapy Inc | 1971-06-05 | 2025-09-29 | F | PT | N/A | MENDELSON | XEK913483846 | SHARON | N/A | 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/2222/8224045/check_12772707_f0d1f917-71ab-4c9a-8ca8-3a029a84bb20.json | N/A | N/A | N/A | N/A | N/A | XEK913483846 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1971-06-05 | 2001ZK002189 | X0001000 | N/A | PR | false | MENDELSON | N/A | SIMON | N/A | 9999-12-31 | 2024-10-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886279792 | N/A | N/A | 8224045 | 2222 | 4802 | 13020613 | N/A | 6981160 | 2025-09-28 02:41:31.053298 | 2025-08-26 21:16:15.557856 |
| 2025-09-27 08:38:04.336803 | 2025-09-28 02:24:25.670430 | 12772411 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12772411 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-09-30 | M | AE | PT | JACOBS | 4XJ0X61FM35 | PATRICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.112817779.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068049/check_12772411_2b451dfe-1678-464b-b8bc-c644c037edc4.json | N/A | N/A | N/A | N/A | N/A | 4XJ0X61FM35 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-25 | S5921 | N/A | N/A | MB | false | JACOBS | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886163437 | N/A | N/A | 6068049 | 2222 | 4793 | 13018318 | N/A | 4642852 | 2025-09-28 02:24:25.670430 | 2025-11-21 18:38:17.056437 |
| 2025-09-27 08:37:41.522940 | 2025-09-28 03:03:16.489736 | 12772338 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12772338 | Athletic Physical Therapy Inc | 1957-05-08 | 2025-09-30 | F | AE | PT | CHICAS | 2VE9DX6NU27 | MARIA | N/A | 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/2222/8202975/check_12772338_b72893f4-6c64-48d6-b30a-d8e27705e96b.json | N/A | N/A | N/A | N/A | N/A | 2VE9DX6NU27 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-05-08 | S5617 | N/A | N/A | MB | false | CHICAS | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886280847 | N/A | N/A | 8202975 | 2222 | 4802 | 13022663 | N/A | 6965620 | 2025-09-28 03:03:16.489736 | 2025-09-03 23:20:10.287852 |
| 2025-09-27 08:36:55.805819 | 2025-09-28 02:18:51.497124 | 12772163 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12772163 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-09-30 | F | AE | PT | BRADBURY | JQE669W05502 | BONNIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.112817779.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550535/check_12772163_391e1dc8-44a0-4a43-8bc6-df033d888b9a.json | N/A | N/A | N/A | N/A | N/A | JQE669W05502 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-06-01 | 040 | CASUPWP0 | N/A | N/A | false | BRADBURY | N/A | BONNIE | N/A | 9999-12-31 | 2022-12-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886163773 | N/A | N/A | 5550535 | 2222 | 4801 | 13016093 | N/A | 4219556 | 2025-09-28 02:18:51.497124 | 2025-05-13 04:29:37.230592 |
| 2025-09-27 08:36:55.495916 | 2025-09-28 02:15:58.271724 | 12772162 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 12772162 | Athletic Physical Therapy Inc | 1940-11-11 | 2025-09-29 | M | AE | PT | GOLDBERG | U5126496602 | Michael | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.112817779.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542973/check_12772162_9d1dc168-535a-432f-8daf-68929117e7ba.json | N/A | N/A | N/A | N/A | N/A | U5126496602 | Indemnity | MONTGOMERY COUNTY PUBLIC SCHOOLS | CHLIC | N/A | 1940-11-11 | N/A | 2501729 | N/A | IN | false | GOLDBERG | N/A | MICHAEL | N/A | N/A | N/A | INDEMNITY | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886163772 | N/A | N/A | 5542973 | 2222 | 4802 | 13014964 | N/A | 4214820 | 2025-09-28 02:15:58.271724 | 2025-06-30 02:56:23.324592 |
| 2025-09-27 08:36:55.157065 | 2025-09-28 02:15:57.843263 | 12772161 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 12772161 | Athletic Physical Therapy Inc | 1944-10-29 | 2025-09-29 | F | AE | PT | GOLDBERG | U51264966 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.112817779.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542937/check_12772161_8711968c-512f-4a06-a65a-286649d7cff2.json | N/A | N/A | N/A | N/A | N/A | U5126496601 | Indemnity | MONTGOMERY COUNTY PUBLIC SCHOOLS | CHLIC | N/A | 1944-10-29 | N/A | 2501729 | N/A | IN | false | GOLDBERG | N/A | LINDA | N/A | N/A | N/A | INDEMNITY | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886163771 | N/A | N/A | 5542937 | 2222 | 4802 | 13014962 | N/A | 4214789 | 2025-09-28 02:15:57.843263 | 2025-12-11 23:30:31.319246 |
| 2025-09-27 08:36:54.852091 | 2025-09-28 02:18:52.130427 | 12772160 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12772160 | Athletic Physical Therapy Inc | 1950-10-11 | 2025-09-30 | F | AE | PT | FRANK | JQE134A79727 | KAREN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.112817779.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542269/check_12772160_813f7b7d-fabf-479d-9380-67bae43c20a2.json | N/A | N/A | N/A | N/A | N/A | JQE134A79727 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1950-10-11 | 040 | CASUPWP0 | N/A | N/A | false | FRANK | N/A | KAREN | N/A | 9999-12-31 | 2022-01-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886163770 | N/A | N/A | 5542269 | 2222 | 4802 | 13016098 | N/A | 4214201 | 2025-09-28 02:18:52.130427 | 2025-05-13 04:29:37.228535 |
| 2025-09-27 08:36:54.574972 | 2025-09-28 02:20:01.272817 | 12772159 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12772159 | Athletic Physical Therapy Inc | 1947-07-25 | 2025-09-30 | M | AE | PT | STERN | XEM910096416 | WESLEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.112817779.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539875/check_12772159_b35a8d2f-0543-4d04-b505-e21727cd9a58.json | N/A | N/A | N/A | N/A | N/A | XEM910096416 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1947-07-25 | 2002SF000028 | X0001002 | N/A | OT | false | STERN | N/A | WESLEY | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886163769 | N/A | N/A | 5539875 | 2222 | 4802 | 13016542 | N/A | 4212117 | 2025-09-28 02:20:01.272817 | 2025-09-25 18:29:15.369906 |
| 2025-09-27 08:36:54.172180 | 2025-09-28 02:22:59.709054 | 12772157 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 12772157 | Athletic Physical Therapy Inc | 1957-07-21 | 2025-09-30 | M | AE | PT | ROOFEH | 96113754F03034 | NADDER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.112817779.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538289/check_12772157_88835b31-332e-4e04-b3e8-81cbcddade9e.json | N/A | N/A | N/A | N/A | N/A | 96113754F03034 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1957-07-21 | N/A | N/A | N/A | N/A | 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 | 8886163768 | N/A | N/A | 5538289 | 2222 | 4802 | 13017696 | N/A | 4210725 | 2025-09-28 02:22:59.709054 | 2025-06-16 16:15:05.679018 |
| 2025-09-27 08:36:53.859404 | 2025-09-28 02:12:10.087527 | 12772156 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 12772156 | Athletic Physical Therapy Inc | 1951-06-30 | 2025-09-30 | F | AE | PT | CHADORCHI | 33261790711 | JAFFA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.112817779.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537483/check_12772156_bfbe6d0e-d007-4fc4-ae56-228536817fa6.json | N/A | N/A | N/A | N/A | N/A | 33261790711 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1951-06-30 | N/A | N/A | N/A | SP | false | CHADORCHI | N/A | JAFFA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886163767 | N/A | N/A | 5537483 | 2222 | 4802 | 13013697 | N/A | 4210038 | 2025-09-28 02:12:10.087527 | 2025-06-02 14:57:36.820684 |
| 2025-09-27 08:36:19.439531 | 2025-09-28 02:26:29.873669 | 12772042 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 12772042 | Athletic Physical Therapy Inc | 1958-02-20 | 2025-09-30 | F | AE | PT | SHERRY | H7159538300 | PAULA | N/A | 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/2222/8193020/check_12772042_ed00a1e4-a3b9-4559-9bf0-cec1c056fba5.json | N/A | N/A | N/A | N/A | N/A | H71595383 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1958-02-20 | N/A | 0B527001 | N/A | HN | false | SHERRY | N/A | PAULA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886280819 | N/A | N/A | 8193020 | 2222 | 4801 | 13018980 | N/A | 4214141 | 2025-09-28 02:26:29.873669 | 2025-05-13 04:29:37.228469 |
| 2025-09-27 08:30:49.680579 | 2025-09-28 02:20:36.855128 | 12771259 | N/A | N/A | 60054 | Aetna | 1114042165 | 12771259 | Athletic Physical Therapy Inc | 1972-12-30 | 2025-09-29 | M | AE | PT | MCHALE | W27265070 | MATT | N/A | 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/2222/8173116/check_12771259_bec35965-f9d9-4c76-b837-2a0d7c7487cf.json | N/A | N/A | N/A | N/A | N/A | W272665070 | Point of Service (POS) | SONY CORPORATION OF AMERICA | AETNA | N/A | 1972-12-30 | 0486873 | 048687302100161 | N/A | PS | false | MCHALE | N/A | MATTHEW | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886279568 | N/A | N/A | 8173116 | 2222 | 4802 | 13016764 | N/A | 6939617 | 2025-09-28 02:20:36.855128 | 2025-09-16 00:28:24.457071 |
| 2025-09-27 08:29:45.801022 | 2025-09-27 08:29:46.276252 | 12770653 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12770653 | Athletic Physical Therapy Inc | 1953-03-30 | 2025-09-30 | F | AE | PT | ELLIS | XEM6314508 | KATHY | N/A | 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 | 2025-09-27 08:29:46.276252 | 2025-09-24 21:19:03.418185 |
| 2025-09-27 08:29:33.272525 | 2025-09-27 08:29:33.617075 | 12770483 | N/A | N/A | 60054 | Aetna | 1114042165 | 12770483 | Athletic Physical Therapy Inc | 1952-08-04 | 2025-09-30 | F | AE | PT | Dunkerley | AHC2057583 | Elizabeth | N/A | 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 | 2025-09-27 08:29:33.617075 | 2026-01-15 18:07:39.869679 |
| 2025-09-27 08:29:31.073010 | 2025-09-28 03:03:19.636930 | 12770459 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12770459 | Athletic Physical Therapy Inc | 1944-09-29 | 2025-09-30 | F | AE | PT | GUASTELLA | 5V49H98DH38 | ROSE ANN | N/A | 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/2222/8167484/check_12770459_2689fc8c-5a1e-48ee-a778-e4740ed5c1c5.json | N/A | N/A | N/A | N/A | N/A | 5V49H98DH38 | Medicare Part A | N/A | BLUE CROSS OF CALIFORNIA | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-09-29 | H0544 | N/A | N/A | MA | false | GUASTELLA | N/A | ROSE ANN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886281200 | N/A | N/A | 8167484 | 2222 | 4801 | 13022669 | N/A | 6407685 | 2025-09-28 03:03:19.636930 | 2025-08-12 18:01:47.141909 |
| 2025-09-27 08:28:50.317230 | 2025-09-28 06:10:39.283711 | 12769817 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12769817 | Athletic Physical Therapy Inc | 1961-03-12 | 2025-09-30 | F | PT | N/A | MCNUTT | XED904914958 | YOLANDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.111836479.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6668755/check_12769817_cba3f9cf-9ea0-4799-851d-aa35d77ab74c.json | N/A | N/A | N/A | N/A | N/A | XED904914958 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-03-12 | 2001ZK002184 | X0001004 | N/A | PR | false | FERNANDEZ-MCNUTT | N/A | YOLANDA | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886132984 | N/A | N/A | 6668755 | 2222 | 4801 | 13027599 | N/A | 5282877 | 2025-09-28 06:10:39.283711 | 2025-07-01 15:56:36.473431 |
| 2025-09-27 08:28:43.025126 | 2025-09-27 08:28:43.236958 | 12769699 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12769699 | Athletic Physical Therapy Inc | 1959-02-07 | 2025-09-30 | F | AE | PT | STARK | JQE451W19078 | CHERYL | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-09-30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9450019 | 2222 | 4793 | N/A | N/A | 7905968 | 2025-09-27 08:28:43.236958 | 2025-09-22 17:53:24.196861 |
| 2025-09-27 08:28:38.256868 | 2025-09-28 05:52:18.079714 | 12769624 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 12769624 | Athletic Physical Therapy Inc | 1937-09-14 | 2025-09-30 | M | AE | PT | MEJIA | 40055012201 | RUBEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.111836479.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6642365/check_12769624_4ff4c690-a1fc-4d6a-b2c1-96e2f47e32d3.json | N/A | N/A | N/A | N/A | N/A | 40055012201 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | MEJIA | N/A | RUBEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886134592 | N/A | N/A | 6642365 | 2222 | 4801 | 13027281 | N/A | 5249029 | 2025-09-28 05:52:18.079714 | 2025-07-14 01:52:51.387918 |
| 2025-09-27 08:28:24.660831 | 2025-09-28 06:12:25.930877 | 12769420 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12769420 | Athletic Physical Therapy Inc | 2012-11-14 | 2025-09-30 | F | PT | N/A | IOANNOU | PAS839113807 | PENELOPE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.111836479.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6621141/check_12769420_21e71a1f-3151-4ca3-8cfc-857bbd2d5818.json | N/A | N/A | N/A | N/A | N/A | PAS839113807 | Preferred Provider Organization (PPO) | WEST HEALTH CARE NETWORK | CUSTOMER SERVICE | N/A | 2012-11-14 | N/A | 152010 | N/A | PR | false | IOANNOU | N/A | GEORGE | N/A | 9999-12-31 | 2018-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886133946 | N/A | N/A | 6621141 | 2222 | 4801 | 13027635 | N/A | 5237460 | 2025-09-28 06:12:25.930877 | 2025-07-24 16:59:54.908041 |
| 2025-09-27 08:28:19.669561 | 2025-09-28 02:49:38.492212 | 12769351 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12769351 | Athletic Physical Therapy Inc | 1940-08-20 | 2025-09-30 | F | PT | N/A | GRIFFITH | MBL120M95246 | JUDITH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.112133474.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7587363/check_12769351_3d93fd2d-c09b-438c-875c-dc1c59b96703.json | N/A | N/A | N/A | N/A | N/A | MBL120M95246 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1940-08-20 | 040 | CAEGR002 | N/A | N/A | false | GRIFFITH | N/A | JUDITH | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886138800 | N/A | N/A | 7587363 | 2222 | 4793 | 13021326 | N/A | 6497042 | 2025-09-28 02:49:38.492212 | 2025-07-31 17:19:07.355008 |
| 2025-09-27 08:28:04.473054 | 2025-09-28 06:01:41.161292 | 12769147 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12769147 | Athletic Physical Therapy Inc | 1963-02-27 | 2025-09-30 | F | PT | N/A | MARYAN | JPU047A23611 | MICHELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.111836479.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6600346/check_12769147_4719cee7-6085-496f-946a-9b52829ea901.json | N/A | N/A | N/A | N/A | N/A | JPU047A23611 | Preferred Provider Organization (PPO) | PREMIER AMERICA CREDIT UNION | ANTHEM BLUE CROSS | N/A | 1963-02-27 | 040 | L06734M004 | N/A | PR | false | MARYAN | N/A | MICHELLE | N/A | 9999-12-31 | 2025-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886133249 | N/A | N/A | 6600346 | 2222 | 4801 | 13027441 | N/A | 4211322 | 2025-09-28 06:01:41.161292 | 2025-07-17 16:31:59.104530 |
| 2025-09-27 08:27:39.597047 | 2025-09-28 05:51:52.015423 | 12768826 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 12768826 | Athletic Physical Therapy Inc | 1952-01-26 | 2025-09-30 | F | AE | PT | AGHA ZADEH SHARE | 40034093701 | FIMA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.111836479.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6582113/check_12768826_8db55293-3d4a-4ab6-b322-5144e50fa9ff.json | N/A | N/A | N/A | N/A | N/A | 40034093701 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | AGHA ZADEH SHARE | N/A | FIMA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886134971 | N/A | N/A | 6582113 | 2222 | 4801 | 13027280 | N/A | 5201198 | 2025-09-28 05:51:52.015423 | 2025-07-11 22:39:28.411632 |
| 2025-09-27 08:27:19.424926 | 2025-09-28 02:28:48.358740 | 12768607 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 12768607 | Athletic Physical Therapy Inc | 1996-12-19 | 2025-09-30 | M | AE | PT | BEMANIAN | U7704317301 | SHANDIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.112133474.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7533828/check_12768607_50ffa4a4-cb21-4e2c-9506-69f8b86af23a.json | N/A | N/A | N/A | N/A | N/A | U7704317301 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 1996-12-19 | N/A | 3207160 | N/A | N/A | false | BEMANIAN | N/A | SHANDIS | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886139166 | N/A | N/A | 7533828 | 2222 | 4802 | 13019342 | N/A | 4214255 | 2025-09-28 02:28:48.358740 | 2025-05-06 20:16:21.575355 |
| 2025-09-27 08:27:00.661598 | 2025-09-28 02:58:58.058837 | 12768362 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12768362 | Athletic Physical Therapy Inc | 1965-03-24 | 2025-09-30 | F | PT | N/A | LUBOW | XEK906143943 | CAROLINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.112133474.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7516790/check_12768362_22e22053-9551-49de-96fa-561636b36831.json | N/A | N/A | N/A | N/A | N/A | XEK906143943 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-03-24 | 2001ZH002662 | X0001000 | N/A | PR | false | LUBOW | N/A | CAROLINE | N/A | 2025-12-31 | 2025-01-01 | SILVER 70 OFF EXCHANGE PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886138775 | N/A | N/A | 7516790 | 2222 | 4793 | 13022231 | N/A | 6452743 | 2025-09-28 02:58:58.058837 | 2025-08-06 21:04:56.768115 |
| 2025-09-27 08:26:49.891236 | 2025-09-28 06:10:41.504142 | 12768235 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12768235 | Athletic Physical Therapy Inc | 1995-01-31 | 2025-09-30 | F | PT | N/A | MAJD | XED911263594 | SYDNEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.111836479.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6555034/check_12768235_9ee5e601-174c-4525-8d61-e7f40807a644.json | N/A | N/A | N/A | N/A | N/A | XED911263594 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1995-01-31 | 2001ZK002185 | X0001004 | N/A | PR | false | MAJD | N/A | SYDNEY | 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 | 8886133178 | N/A | N/A | 6555034 | 2222 | 4793 | 13027600 | N/A | 5178259 | 2025-09-28 06:10:41.504142 | 2025-07-08 22:15:02.277880 |
| 2025-09-27 08:26:46.249412 | 2025-09-27 08:26:46.545328 | 12768180 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12768180 | Athletic Physical Therapy Inc | 1942-10-02 | 2025-09-30 | M | AE | PT | SAWAYA | XDD599A52218 | PETER | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-09-30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9033459 | 2222 | 4802 | N/A | N/A | 7553607 | 2025-09-27 08:26:46.545328 | 2025-09-02 22:55:04.873891 |
| 2025-09-27 08:26:37.472165 | 2025-09-28 02:20:33.137793 | 12768075 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 12768075 | override_provider | 2001-03-26 | 2025-09-30 | F | PT | N/A | GRIFFIN | 604389070 | ALISA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.112133474.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7496180/check_12768075_70c91cf9-2bcc-4db8-91c5-b618be7efe5b.json | N/A | N/A | N/A | N/A | N/A | 604389070 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2001-03-26 | N/A | N/A | N/A | N/A | false | GRIFFIN | N/A | ALISA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886139402 | N/A | N/A | 7496180 | 2222 | 4801 | 13016740 | N/A | 6442600 | 2025-09-28 02:20:33.137793 | 2025-09-03 23:37:28.319879 |
| 2025-09-27 08:26:20.638483 | 2025-09-27 08:26:20.936829 | 12767893 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12767893 | Athletic Physical Therapy Inc | 1950-04-13 | 2025-09-30 | F | AE | PT | NATALI | 94579563C | RENEE | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-09-30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8979227 | 2222 | 4793 | N/A | N/A | 7498543 | 2025-09-27 08:26:20.936829 | 2025-10-14 17:13:32.178778 |
| 2025-09-27 08:26:15.960670 | 2025-09-27 08:26:16.156798 | 12767838 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12767838 | Athletic Physical Therapy Inc | 1948-07-07 | 2025-09-29 | F | AE | PT | GOEL | JQE690A74746 | VEENA | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-09-29 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 8969545 | 2222 | 4802 | N/A | N/A | 7485064 | 2025-09-27 08:26:16.156798 | 2025-12-29 22:41:16.623495 |
| 2025-09-27 08:26:13.272369 | 2025-09-28 02:49:41.141413 | 12767803 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12767803 | Athletic Physical Therapy Inc | 1998-10-29 | 2025-09-30 | M | PT | N/A | MARSHALL | JQU309W24257 | THOMAS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.112133474.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458512/check_12767803_903d7697-784f-4487-8e30-7f3dd3e75446.json | N/A | N/A | N/A | N/A | N/A | JQU309W24257 | Preferred Provider Organization (PPO) | SUNSTONE PROPERTIES LLC | ANTHEM BLUE CROSS | N/A | 1998-10-29 | 040 | A35988 | N/A | PR | false | MARSHALL | N/A | THOMAS | N/A | 9999-12-31 | 2025-07-01 | ANTHEM PLATINUM PPO 15/40/10% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886138436 | N/A | N/A | 7458512 | 2222 | 4793 | 13021331 | N/A | 6021448 | 2025-09-28 02:49:41.141413 | 2025-07-14 23:05:51.728886 |
| 2025-09-27 08:26:12.211031 | 2025-09-28 02:49:33.141055 | 12767786 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12767786 | Athletic Physical Therapy Inc | 1965-07-08 | 2025-09-30 | F | PT | N/A | CHALFIN | WAR121A52220 | LISA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.112133474.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456267/check_12767786_833fa324-12b5-45ff-a1f2-96326ba1cd90.json | N/A | N/A | N/A | N/A | N/A | WAR121A52220 | Exclusive Provider Organization | WARNER PACIFIC INSURANCE SERVICES | ANTHEM BLUE CROSS | N/A | 1965-07-08 | 040 | 282843M017 | N/A | EP | false | CHALFIN | N/A | LISA | N/A | 9999-12-31 | 2025-03-01 | PRUDENT BUYER EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886138433 | N/A | N/A | 7456267 | 2222 | 4793 | 13021315 | N/A | 6405582 | 2025-09-28 02:49:33.141055 | 2025-08-04 21:58:38.426681 |
| 2025-09-27 08:26:08.954870 | 2025-09-27 08:26:09.222579 | 12767744 | N/A | N/A | 52192 | Bravo Health | 1114042165 | 12767744 | Athletic Physical Therapy Inc | 1957-05-08 | 2025-09-30 | F | AE | PT | CHICAS | 18628759501 | MARIA | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-09-30 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8958480 | 2222 | 4802 | N/A | N/A | 6965620 | 2025-09-27 08:26:09.222579 | 2025-09-03 23:20:10.287852 |
| 2025-09-27 08:26:02.374034 | 2025-09-28 02:14:06.613848 | 12767664 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 12767664 | Athletic Physical Therapy Inc | 1956-07-22 | 2025-09-30 | F | AE | PT | DURAN DE PANTOJA | 43649326 | ROSA | N/A | 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/2222/8088383/check_12767664_2ec51e5a-3950-4b8a-b43d-64b3cc1b27bd.json | N/A | N/A | N/A | N/A | N/A | 43649326 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1956-07-22 | N/A | N/A | N/A | N/A | false | DURAN DE PANTOJA | N/A | ROSA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886279772 | N/A | N/A | 8088383 | 2222 | 4793 | 13014262 | N/A | 6871702 | 2025-09-28 02:14:06.613848 | 2025-08-14 21:08:52.019264 |
| 2025-09-27 08:25:51.071663 | 2025-09-28 02:45:17.686455 | 12767523 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 12767523 | Athletic Physical Therapy Inc | 1974-04-18 | 2025-09-30 | M | AE | PT | HENDERSON | 000009200856 | CHAD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.112133474.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7447610/check_12767523_5ddb8876-66c2-4988-9c56-7bf44611615b.json | N/A | N/A | N/A | N/A | N/A | 000009200856 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1974-04-18 | 4299566 | 105705 | N/A | N/A | false | HENDERSON | N/A | CHAD | N/A | N/A | N/A | ASCIP - SIMI VALLEY UNIFIED SCHOOL DISTRICT SVUSD- | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886138381 | N/A | N/A | 7447610 | 2222 | 4801 | 13020944 | N/A | 6397817 | 2025-09-28 02:45:17.686455 | 2025-07-24 21:00:46.278199 |
| 2025-09-27 08:25:50.863431 | 2025-09-27 08:25:51.259415 | 12767521 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12767521 | Athletic Physical Therapy Inc | 1957-07-28 | 2025-09-30 | F | AE | PT | NANVAR | XEM905919639 | GUITY | N/A | 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 | 2025-09-27 08:25:51.259415 | 2025-09-04 04:11:35.031790 |
| 2025-09-27 08:25:47.362693 | 2025-09-28 02:58:48.993809 | 12767478 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12767478 | Athletic Physical Therapy Inc | 1977-10-04 | 2025-09-30 | F | PT | N/A | MCMANUS | XEH909326305 | SUSAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.112133474.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444072/check_12767478_f1d794cc-152b-44f5-bdb8-d9af5608b3de.json | N/A | N/A | N/A | N/A | N/A | XEH909326305 | Health Maintenance Organization (HMO) | TRADER JOE S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1977-10-04 | 1000VX000001 | W0069783 | N/A | HM | false | KILANOWSKI | N/A | MATTHEW | N/A | 9999-12-31 | 2020-07-01 | TRADER JOE S COMPANY CUSTOM ACCESS HMO 25 500 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886139687 | N/A | N/A | 7444072 | 2222 | 4801 | 13022217 | N/A | 6394822 | 2025-09-28 02:58:48.993809 | 2025-07-24 18:01:25.336701 |
| 2025-09-27 08:25:45.383064 | 2025-09-27 08:25:45.645888 | 12767449 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 12767449 | Athletic Physical Therapy Inc | 1952-07-08 | 2025-09-30 | F | AE | PT | STERINA | 31470398711 | ELIZABETH | N/A | 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 | 2025-09-27 08:25:45.645888 | 2025-08-26 15:52:58.453727 |
| 2025-09-27 08:25:42.209326 | 2025-09-27 08:25:42.587218 | 12767410 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12767410 | Athletic Physical Therapy Inc | 1968-02-25 | 2025-09-30 | F | AE | PT | Segal | 9XA2J80PT02 | Jodi | N/A | 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 | 2025-09-27 08:25:42.587218 | 2025-09-09 21:26:40.265997 |
| 2025-09-27 08:25:33.903526 | 2025-09-27 08:25:34.163617 | 12767287 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12767287 | Athletic Physical Therapy Inc | 1960-02-12 | 2025-09-29 | F | AE | PT | MAJEED | 1FM5RJ6UK85 | MARY | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-09-29 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 8418047 | 2222 | 4793 | N/A | N/A | 5232379 | 2025-09-27 08:25:34.163617 | 2025-07-03 16:30:13.139077 |
| 2025-09-27 08:25:33.522297 | 2025-09-28 02:36:38.544149 | 12767282 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12767282 | Athletic Physical Therapy Inc | 1981-03-02 | 2025-09-30 | M | PT | N/A | BALLOW | UPX827716618 | JARRETT | N/A | 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/2222/8083299/check_12767282_b7d3362d-7094-4546-9118-37ca66c3eea0.json | N/A | N/A | N/A | N/A | N/A | UPX827716618 | Preferred Provider Organization (PPO) | UNITED SURGICAL PARTNERS INTERNATIONAL, | CUSTOMER SERVICE | N/A | 1981-03-02 | N/A | 332536 | N/A | PR | false | BALLOW | N/A | DEETTA | N/A | 9999-12-31 | 2025-01-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886279749 | N/A | N/A | 8083299 | 2222 | 4801 | 13020172 | N/A | 6866641 | 2025-09-28 02:36:38.544149 | 2025-09-16 03:24:47.780629 |
| 2025-09-27 08:25:04.230012 | 2025-09-28 02:48:08.785323 | 12766913 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 12766913 | Athletic Physical Therapy Inc | 1954-02-12 | 2025-09-30 | M | AE | PT | NAGHSHBANDI | 600003958782 | ABDUL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.112133474.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7314863/check_12766913_049e9f84-0456-454d-8bec-e045f6df7edc.json | N/A | N/A | N/A | N/A | N/A | 600003958782 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1954-02-12 | N/A | N/A | N/A | N/A | false | NAGHSHBANDI | N/A | ABDUL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886139073 | N/A | N/A | 7314863 | 2222 | 4793 | 13021184 | N/A | 4208741 | 2025-09-28 02:48:08.785323 | 2025-08-01 18:22:58.464314 |
| 2025-09-27 08:24:32.751827 | 2025-09-28 02:58:52.478196 | 12766555 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12766555 | Athletic Physical Therapy Inc | 1963-01-14 | 2025-09-30 | F | PT | N/A | KRAFT | XED911569862 | KATHRIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.112133474.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7294742/check_12766555_fd9504ed-cae6-443f-a25f-5867cb0052e8.json | N/A | N/A | N/A | N/A | N/A | XED911569862 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-01-14 | 2001ZK002184 | X0001004 | N/A | PR | false | KRAFT | N/A | KATHRIN | N/A | 9999-12-31 | 2022-08-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886139015 | N/A | N/A | 7294742 | 2222 | 4801 | 13022223 | N/A | 6254569 | 2025-09-28 02:58:52.478196 | 2025-08-12 09:24:43.956957 |
| 2025-09-27 08:24:31.800361 | 2025-09-28 02:49:50.776918 | 12766546 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12766546 | Athletic Physical Therapy Inc | 1957-10-25 | 2025-09-30 | F | PT | N/A | YINGER | MBL827W13948 | COLLEEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.112133474.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7292126/check_12766546_69b32228-7e8a-4d21-8a2c-8c87ee8b1857.json | N/A | N/A | N/A | N/A | N/A | MBL827W13948 | N/A | THE AEROSPACE CORPORATION | ANTHEM BLUE CROSS | N/A | 1957-10-25 | 040 | CAEGR020 | N/A | N/A | false | YINGER | N/A | COLLEEN | N/A | 9999-12-31 | 2022-10-01 | CA GRS AEROSPACE H4036-801 ANTHEM MEDICARE PREFERR | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886139013 | N/A | N/A | 7292126 | 2222 | 4793 | 13021347 | N/A | 6252902 | 2025-09-28 02:49:50.776918 | 2025-07-22 20:37:37.157960 |