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 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | 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 08:24:31.534367 | 2025-09-27 08:24:31.882116 | 12766543 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12766543 | Athletic Physical Therapy Inc | 1957-03-21 | 2025-09-30 | F | PT | Moore | 8V70PQ9EF39 | Jeana | N/A | 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 | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 8044093 | 2222 | 4802 | N/A | N/A | 6725117 | 2025-09-27 08:24:31.882116 | 2026-02-18 22:27:04.950292 |
| 2025-09-27 08:23:41.884714 | 2025-09-28 02:49:35.222076 | 12766132 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12766132 | Athletic Physical Therapy Inc | 1983-01-17 | 2025-09-30 | M | PT | Gast | JQV110W08240 | Eberhard | N/A | 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/2222/7258119/check_12766132_70a008fa-1b04-4fee-a059-f0256a98d7a6.json | N/A | N/A | N/A | N/A | N/A | JQV110W08240 | Health Maintenance Organization (HMO) | CAL CHOICE APRIL 1.00 | ANTHEM BLUE CROSS | N/A | 1983-01-17 | 040 | 476537 | N/A | HM | false | GAST | N/A | EBERHARD RUD | N/A | 9999-12-31 | 2025-04-01 | ANTHEM GOLD SELECT HMO 30/60 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886140227 | N/A | N/A | 7258119 | 2222 | 4802 | 13021321 | 4184 | 6223297 | 2025-09-28 02:49:35.222076 | 2025-07-28 18:57:51.679781 |
| 2025-09-27 08:23:39.094162 | 2025-09-28 02:58:59.656672 | 12766108 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12766108 | Athletic Physical Therapy Inc | 1976-09-29 | 2025-09-30 | F | PT | RAND | XED912141111 | ELLEN | N/A | 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/2222/7257479/check_12766108_022b2355-597d-4abb-a4cd-78ed1e8b5695.json | N/A | N/A | N/A | N/A | N/A | XED912141111 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1976-09-29 | 2001ZK002193 | X0001004 | N/A | PR | false | RAND | N/A | ELLEN | N/A | 9999-12-31 | 2023-03-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886140167 | N/A | N/A | 7257479 | 2222 | 4802 | 13022235 | N/A | 4210270 | 2025-09-28 02:58:59.656672 | 2025-07-08 18:23:05.596578 |
| 2025-09-27 08:23:14.923440 | 2025-09-28 06:36:29.721378 | 12765896 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12765896 | Athletic Physical Therapy Inc | 1958-08-29 | 2025-09-30 | F | AE | BARRE | 4WR8HF0MV28 | RHONDA | PT | 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/2222/6418037/check_12765896_af6875dd-d605-4678-a916-e96953b055ab.json | N/A | N/A | N/A | N/A | N/A | 4WR8HF0MV28 | Medicare Part B | N/A | STATE FUND - CLAIMS PROCESSING C | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-08-29 | N/A | DOL 02061998 | N/A | MB | false | BARRE | N/A | RHONDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886132818 | N/A | N/A | 6418037 | 2222 | 4802 | 13028173 | N/A | 5065797 | 2025-09-28 06:36:29.721378 | 2025-07-28 17:08:00.544400 |
| 2025-09-27 08:23:04.386766 | 2025-09-27 08:23:05.105955 | 12765799 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12765799 | Athletic Physical Therapy Inc | 1955-06-14 | 2025-09-30 | M | AE | STAGNITTA | MBL690W21411 | ROBERT | PT | 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 | 7784381 | 2222 | 4793 | N/A | N/A | 4212542 | 2025-09-27 08:23:05.105955 | 2025-08-05 17:22:00.318869 |
| 2025-09-27 08:23:00.294738 | 2025-09-27 08:23:39.771640 | 12765765 | N/A | N/A | 99726 | TRICARE - WEST REGION | 1114042165 | N/A | Athletic Physical Therapy Inc | 1978-11-26 | 2025-09-30 | M | AE | COHEN | 00522745401 | JEFFREY | PT | 6341 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9256904/check_12765765_617712ab-ce89-46ce-b96c-a73eee3632ed.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-09-30 | N/A | N/A | N/A | N/A | N/A | N/A | 00522745401 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9256904 | 2222 | N/A | N/A | N/A | 7767834 | 2025-09-27 08:23:39.771640 | 2025-09-11 00:43:19.781163 |
| 2025-09-27 08:22:51.780819 | 2025-09-27 08:22:52.277620 | 12765690 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12765690 | Athletic Physical Therapy Inc | 1935-11-26 | 2025-09-30 | F | AE | MCCANN | JQE588W18533 | JOSEPHINE | PT | 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 | 7760464 | 2222 | 4801 | N/A | N/A | 6609924 | 2025-09-27 08:22:52.277620 | 2025-08-12 22:04:05.464362 |
| 2025-09-27 08:22:46.916684 | 2025-09-28 06:01:37.013532 | 12765638 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12765638 | Athletic Physical Therapy Inc | 1967-08-29 | 2025-09-30 | M | PT | HARDING | XDP157A51099 | NATHAN | N/A | 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/2222/6398773/check_12765638_2508af8b-e762-4d95-97b3-0ef93e76af88.json | N/A | N/A | N/A | N/A | N/A | XDP157A51099 | Preferred Provider Organization (PPO) | CALIFORNIA SCHOOL EMPLOYEE BENEFIT ORGANIZATION | ANTHEM BLUE CROSS | N/A | 1967-08-29 | 040 | 175092M330 | N/A | PR | false | HARDING | N/A | MICHELE | N/A | 9999-12-31 | 2024-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886134524 | N/A | N/A | 6398773 | 2222 | 4801 | 13027440 | N/A | 5046326 | 2025-09-28 06:01:37.013532 | 2025-06-30 17:04:21.721546 |
| 2025-09-27 08:22:44.780768 | 2025-09-28 02:20:20.442818 | 12765620 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 12765620 | override_provider | 1960-06-14 | 2025-09-30 | F | PT | VERWEY | R61817302 | CAREN | N/A | 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/2222/8025542/check_12765620_9a422b86-4d3d-46a1-b7af-b303dada3465.json | N/A | N/A | N/A | N/A | N/A | R61817302 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1960-06-14 | N/A | 35C | N/A | PR | false | VERWEY | N/A | CAREN | N/A | 9999-12-31 | 2025-01-01 | FEP BLUE FOCUS | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886280110 | N/A | N/A | 8025542 | 2222 | 4801 | 13016658 | N/A | 6826965 | 2025-09-28 02:20:20.442818 | 2025-08-13 02:28:19.717631 |
| 2025-09-27 08:21:42.276705 | 2025-09-28 05:57:26.622063 | 12765163 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 12765163 | Athletic Physical Therapy Inc | 1985-10-09 | 2025-09-30 | F | AE | MURPHY | 000014458907 | CARRIE | PT | 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/2222/6222264/check_12765163_9925b211-2dfe-442d-807b-83f9887cf68e.json | N/A | N/A | N/A | N/A | N/A | 000014458907 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 1985-10-09 | 4327759 | 231629 | N/A | N/A | false | MURPHY | N/A | CARRIE | N/A | N/A | N/A | SIMI VALLEY UNIFIED SCHOOL DISTRICT XFR>EU 01 EFF | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886133727 | N/A | N/A | 6222264 | 2222 | 4793 | 13027371 | N/A | 4866412 | 2025-09-28 05:57:26.622063 | 2025-09-05 20:32:08.117585 |
| 2025-09-27 08:21:18.691902 | 2025-09-28 02:49:44.582919 | 12764987 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12764987 | Athletic Physical Therapy Inc | 1950-06-19 | 2025-09-30 | M | PT | SMITH | JQE149M79948 | WILLIAM | N/A | 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/2222/7173793/check_12764987_6c31b72e-abe3-4f08-8b47-2394acd37160.json | N/A | N/A | N/A | N/A | N/A | JQE149M79948 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1950-06-19 | 040 | CASUPWP0 | N/A | N/A | false | SMITH | N/A | WILLIAM | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886139955 | N/A | N/A | 7173793 | 2222 | 4793 | 13021337 | N/A | 6149539 | 2025-09-28 02:49:44.582919 | 2025-07-17 20:34:26.073953 |
| 2025-09-27 08:21:16.447056 | 2025-09-28 02:41:25.859543 | 12764973 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12764973 | Athletic Physical Therapy Inc | 1986-02-25 | 2025-09-29 | F | PT | GIANNE | XED910762094 | NATALIE | N/A | 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/2222/7994545/check_12764973_045e35b1-f281-4e60-bcc6-ecc94325f382.json | N/A | N/A | N/A | N/A | N/A | XED910762094 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-02-25 | 2001ZK002185 | X0001004 | N/A | PR | false | GIANNE | N/A | NATALIE | N/A | 9999-12-31 | 2025-01-01 | SILVER 87 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886281148 | N/A | N/A | 7994545 | 2222 | 4802 | 13020605 | N/A | 6802250 | 2025-09-28 02:41:25.859543 | 2025-08-11 23:58:28.358402 |
| 2025-09-27 08:21:05.680751 | 2025-09-28 06:10:34.529869 | 12764887 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 12764887 | Athletic Physical Therapy Inc | 1974-08-11 | 2025-09-30 | M | PT | ALBA | XEH909330777 | KYLE | N/A | 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/2222/6210099/check_12764887_7603a51f-7497-464b-810b-1253aa543d6a.json | N/A | N/A | N/A | N/A | N/A | XEH909330777 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1974-08-11 | 1000VX000001 | W0069783 | N/A | HM | false | ALBA | N/A | KYLE | N/A | 9999-12-31 | 2020-07-01 | TRADER JOE S COMPANY CUSTOM EYE EXAM ONLY 20 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886134872 | N/A | N/A | 6210099 | 2222 | 4793 | 13027597 | N/A | 4852857 | 2025-09-28 06:10:34.529869 | 2025-06-17 16:28:13.795457 |
| 2025-09-27 08:20:57.568767 | 2025-09-27 08:20:59.167128 | 12764835 | N/A | N/A | 60054 | Aetna | 1114042165 | 12764835 | Athletic Physical Therapy Inc | 1945-01-03 | 2025-09-30 | M | AE | KIRK | 1013638055000 | DANIEL | PT | 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 | 7556097 | 2222 | 4801 | N/A | N/A | 6476881 | 2025-09-27 08:20:59.167128 | 2025-07-29 22:42:05.499172 |
| 2025-09-27 08:20:18.302220 | 2025-09-27 08:20:19.228705 | 12764561 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12764561 | Athletic Physical Therapy Inc | 1944-09-29 | 2025-09-30 | F | AE | GUASTELLA | 911M7843220 | ROSE ANN | PT | 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 | 7458753 | 2222 | 4801 | N/A | N/A | 6407685 | 2025-09-27 08:20:19.228705 | 2025-08-12 18:01:47.141909 |
| 2025-09-27 08:20:16.073030 | 2025-09-27 08:20:17.192268 | 12764549 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 12764549 | Athletic Physical Therapy Inc | 1947-04-18 | 2025-09-30 | F | PT | BELL | 96881701C | JACQUELYN | N/A | 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 | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7456429 | 2222 | 4802 | N/A | N/A | 4208856 | 2025-09-27 08:20:17.192268 | 2025-05-13 04:29:37.223284 |
| 2025-09-27 08:20:09.088610 | 2025-09-28 03:18:00.716533 | 12764510 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12764510 | Athletic Physical Therapy Inc | 1959-03-09 | 2025-09-30 | F | AE | BALLETTA | 4JJ4X54RC07 | LYNDA | PT | 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/2222/7035993/check_12764510_94564fd4-15dd-4faa-820f-897a4916a1a2.json | N/A | N/A | N/A | N/A | N/A | 4JJ4X54RC07 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-03-09 | S5617 | N/A | N/A | MB | false | BALLETTA | N/A | LYNDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886140331 | N/A | N/A | 7035993 | 2222 | 4793 | 13024575 | N/A | 6048781 | 2025-09-28 03:18:00.716533 | 2025-07-22 23:03:15.103027 |
| 2025-09-27 08:19:01.488266 | 2025-09-28 06:37:02.109198 | 12764108 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12764108 | Athletic Physical Therapy Inc | 1951-03-27 | 2025-09-30 | F | AE | Jaude | 9MG2QE6VF90 | Anne | PT | 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/2222/6124906/check_12764108_295ddae1-ee94-4441-ad6a-b717dd371ef1.json | N/A | N/A | N/A | N/A | N/A | 9MG2QE6VF90 | N/A | N/A | CMS | N/A | 1951-03-27 | N/A | N/A | N/A | N/A | false | JAUDE | N/A | ANNE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886133669 | N/A | N/A | 6124906 | 2222 | 4802 | 13028176 | N/A | 4767362 | 2025-09-28 06:37:02.109198 | 2025-09-19 16:49:18.601418 |
| 2025-09-27 08:19:00.330638 | 2025-09-28 05:12:24.738059 | 12764102 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12764102 | Athletic Physical Therapy Inc | 1945-07-04 | 2025-09-30 | M | PT | Seminario | 442W1081810 | Gustavo | N/A | 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/2222/6124845/check_12764102_3c92e8b5-b3f7-4869-9bf4-48a6b750d898.json | N/A | N/A | N/A | N/A | N/A | 442W1081810 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1945-07-04 | N/A | N/A | N/A | N/A | false | SEMINARIO | N/A | GUSTAVO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886133668 | N/A | N/A | 6124845 | 2222 | 4793 | 13026621 | N/A | 4767293 | 2025-09-28 05:12:24.738059 | 2025-06-06 15:11:48.015692 |
| 2025-09-27 08:18:55.871862 | 2025-09-28 05:57:20.741323 | 12764073 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 12764073 | Athletic Physical Therapy Inc | 1958-01-09 | 2025-09-29 | F | AE | MEISTER | 4042289 | JACQUELINE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.111836479.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124078/check_12764073_966c0dbe-9e1c-495c-aedd-ab88fb6c4876.json | N/A | N/A | N/A | N/A | N/A | 4042289 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1958-01-09 | N/A | N/A | N/A | N/A | false | MEISTER | 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 | 8886133664 | N/A | N/A | 6124078 | 2222 | 4793 | 13027369 | N/A | 4766789 | 2025-09-28 05:57:20.741323 | 2025-06-04 04:12:38.642669 |
| 2025-09-27 08:18:54.618224 | 2025-09-28 05:16:42.769775 | 12764066 | N/A | N/A | 60054 | Aetna | 1114042165 | 12764066 | Athletic Physical Therapy Inc | 1969-05-02 | 2025-09-30 | F | AE | Taylor | 0322952413 | Vienna | PT | 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/2222/6124049/check_12764066_2cd09c8e-ba9d-47e1-aa87-c4cbdfd50dd9.json | N/A | N/A | N/A | N/A | N/A | 0322952413 | Group Policy | N/A | AETNA INC | PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE, IND. OUT OF POCKET, FAMILY OUT OF POCKET INFORMATION | 1969-05-02 | 001 | 24281 | N/A | GP | false | TAYLOR | N/A | JEFFREY | N/A | N/A | N/A | VELOCITY COMMERCIAL CAPITAL LLC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886133663 | N/A | N/A | 6124049 | 2222 | 4793 | 13026784 | N/A | 4766759 | 2025-09-28 05:16:42.769775 | 2025-06-04 21:51:50.184092 |
| 2025-09-27 08:18:42.347921 | 2025-09-28 06:10:46.290083 | 12764007 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12764007 | Athletic Physical Therapy Inc | 1994-02-23 | 2025-09-30 | F | PT | SHU | XAN913831469 | GABRIELA | N/A | 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/2222/6121701/check_12764007_d684e8e0-3bc1-42d6-9fc1-ad1695da70d4.json | N/A | N/A | N/A | N/A | N/A | XAN913831469 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1994-02-23 | 1479PPOX0003 | W0051411 | N/A | PR | false | SHU | N/A | GABRIELA | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886134844 | N/A | N/A | 6121701 | 2222 | 4793 | 13027602 | N/A | 4764460 | 2025-09-28 06:10:46.290083 | 2025-06-04 04:30:06.494155 |
| 2025-09-27 08:17:10.961018 | 2025-09-27 08:17:11.881376 | 12763531 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 12763531 | Athletic Physical Therapy Inc | 1959-03-09 | 2025-09-30 | F | AE | BALLETTA | 33147912212 | LYNDA | PT | 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 | 7037220 | 2222 | 4793 | N/A | N/A | 6048781 | 2025-09-27 08:17:11.881376 | 2025-07-22 23:03:15.103027 |
| 2025-09-27 08:16:51.084856 | 2025-09-28 06:10:36.564715 | 12763411 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12763411 | Athletic Physical Therapy Inc | 1982-07-02 | 2025-09-30 | M | PT | DRISCOLL | XED912182768 | JAMES | N/A | 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/2222/6104970/check_12763411_bda2fa04-a48e-4506-bd37-7155a30118ec.json | N/A | N/A | N/A | N/A | N/A | XED912182768 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1982-07-02 | 2001ZK002184 | X0001004 | N/A | PR | false | DRISCOLL | N/A | JAMES | N/A | 9999-12-31 | 2023-04-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886134395 | N/A | N/A | 6104970 | 2222 | 4802 | 13027598 | N/A | 4749447 | 2025-09-28 06:10:36.564715 | 2025-06-06 23:16:09.869339 |
| 2025-09-27 08:16:33.290066 | 2025-09-27 08:16:34.059006 | 12763309 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12763309 | Athletic Physical Therapy Inc | 1998-10-29 | 2025-09-30 | M | PT | MARSHALL | AGSAH0066119 | THOMAS | N/A | 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 | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7003223 | 2222 | 4793 | N/A | N/A | 6021448 | 2025-09-27 08:16:34.059006 | 2025-07-14 23:05:51.728886 |
| 2025-09-27 08:16:30.830023 | 2025-09-28 05:59:40.844151 | 12763294 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 12763294 | Athletic Physical Therapy Inc | 1954-02-25 | 2025-09-29 | F | AE | ROBERTS | 00000402630 | DEBRA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.111836479.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085762/check_12763294_10f7518e-682c-434a-b650-239c57d97b1d.json | N/A | N/A | N/A | N/A | N/A | 00000402630 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1954-02-25 | N/A | N/A | N/A | N/A | false | ROBERTS | N/A | DEBRA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886134376 | N/A | N/A | 6085762 | 2222 | 4793 | 13027408 | N/A | 4729138 | 2025-09-28 05:59:40.844151 | 2025-05-31 14:20:56.156252 |
| 2025-09-27 08:15:49.636930 | 2025-09-28 02:36:45.002621 | 12763068 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12763068 | Athletic Physical Therapy Inc | 1957-03-21 | 2025-09-30 | F | PT | Moore | 788W15745 | Jeana | N/A | 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/2222/7899162/check_12763068_192c3ed3-494b-4118-9109-c7eeac957928.json | N/A | N/A | N/A | N/A | N/A | MNL788W15745 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1957-03-21 | 040 | CAMCRWP0 | N/A | MP | false | MOORE | N/A | JEAN | N/A | 9999-12-31 | 2024-01-01 | CA H4471-001-000 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886280730 | N/A | N/A | 7899162 | 2222 | 4802 | 13020182 | N/A | 6725117 | 2025-09-28 02:36:45.002621 | 2026-02-18 22:27:04.950292 |
| 2025-09-27 08:15:45.426204 | 2025-09-28 05:59:36.350913 | 12763048 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12763048 | Athletic Physical Therapy Inc | 1957-09-06 | 2025-09-30 | M | AE | BECKLEY | 00000375188 | STEVE | PT | 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/2222/6077164/check_12763048_43b19f6a-0847-4975-9bb1-7d35d798de58.json | N/A | N/A | N/A | N/A | N/A | 00000375188 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1957-09-06 | N/A | N/A | N/A | N/A | false | BECKLEY | N/A | STEVE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886133860 | N/A | N/A | 6077164 | 2222 | 4801 | 13027407 | 2630 | 4720748 | 2025-09-28 05:59:36.350913 | 2025-06-11 15:34:07.942696 |
| 2025-09-27 08:15:43.205144 | 2025-09-28 05:51:10.174203 | 12763033 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12763033 | Athletic Physical Therapy Inc | 1973-03-27 | 2025-09-30 | F | AE | KAUFMAN | R05917930FM1 | AMANDA | PT | 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/2222/6074035/check_12763033_313a66c2-aa5b-417c-ba1d-2ae5db3dfb1c.json | N/A | N/A | N/A | N/A | N/A | R05917930FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1973-03-27 | N/A | N/A | N/A | N/A | false | KAUFMAN | N/A | AMANDA | N/A | N/A | N/A | MFC UCNNHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886133858 | N/A | N/A | 6074035 | 2222 | 4801 | 13027267 | N/A | 4718592 | 2025-09-28 05:51:10.174203 | 2025-05-29 20:00:22.627186 |
| 2025-09-27 08:12:59.522356 | 2025-09-27 08:13:00.390033 | 12762010 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12762010 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-09-30 | M | AE | CICCIARI | JQE123W23890 | LOUIS | PT | 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 | 6752939 | 2222 | 4801 | N/A | N/A | 5065602 | 2025-09-27 08:13:00.390033 | 2025-07-01 17:25:13.681724 |
| 2025-09-27 08:12:49.665561 | 2025-09-28 02:20:42.403656 | 12761918 | N/A | N/A | 60054 | Aetna | 1114042165 | 12761918 | Athletic Physical Therapy Inc | 2008-11-20 | 2025-09-30 | M | AE | RAJAN | WLU550A72985 | HARSHITH | PT | 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/2222/7853287/check_12761918_a03c67ab-9262-4367-8945-75b52bd00a54.json | N/A | N/A | N/A | N/A | N/A | WLU550A72985 | N/A | N/A | AETNA INC | N/A | 2008-11-20 | N/A | N/A | N/A | N/A | false | RAJAN | N/A | HARSHITH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886280401 | N/A | N/A | 7853287 | 2222 | 4801 | 13016801 | N/A | 6687324 | 2025-09-28 02:20:42.403656 | 2025-09-10 03:05:54.378777 |
| 2025-09-27 08:12:47.347483 | 2025-09-28 06:12:23.392459 | 12761899 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 12761899 | Athletic Physical Therapy Inc | 1959-09-09 | 2025-09-30 | M | PT | BRUNO | NCF254A54902 | PHILLIP | N/A | 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/2222/5993958/check_12761899_e1307ae2-6635-425a-93ec-fb8fbb69f291.json | N/A | N/A | N/A | N/A | N/A | NCF254A54902 | Health Maintenance Organization (HMO) | LOS ANGELES POLICE RELIEF ASN INC | BLUE SHIELD OF CALIFORNIA | N/A | 1959-09-09 | 040 | 57CP3A | N/A | HM | false | BRUNO | N/A | PHILLIP | N/A | 9999-12-31 | 2023-03-01 | BLUE CROSS HMO PLUS CC01 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886134622 | N/A | N/A | 5993958 | 2222 | 4801 | 13027634 | N/A | 4642892 | 2025-09-28 06:12:23.392459 | 2025-05-29 23:29:01.820749 |
| 2025-09-27 08:12:45.918603 | 2025-09-28 06:36:58.938332 | 12761887 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12761887 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-09-30 | M | AE | JACOBS | 4XJ0X61FM35 | PATRICIA | PT | 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/2222/5993912/check_12761887_6ce1c6d9-7b0b-4953-9434-36b50b695d8a.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 | 8886134621 | N/A | N/A | 5993912 | 2222 | 4793 | 13028175 | N/A | 4642852 | 2025-09-28 06:36:58.938332 | 2025-11-21 18:38:17.056437 |
| 2025-09-27 08:12:18.613602 | 2025-09-27 08:12:20.389378 | 12761585 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12761585 | Athletic Physical Therapy Inc | 1951-10-16 | 2025-09-30 | F | AE | GARRETT | JQE702W20596 | KATHLEEN | PT | 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 | 6714934 | 2222 | 4793 | N/A | N/A | 5316176 | 2025-09-27 08:12:20.389378 | 2025-07-01 18:44:12.927482 |
| 2025-09-27 08:11:44.477177 | 2025-09-28 02:21:08.010424 | 12761165 | N/A | N/A | 60054 | Aetna | 1114042165 | 12761165 | Athletic Physical Therapy Inc | 1976-05-10 | 2025-09-30 | M | AE | RAMIREZ | 9537353099 | ROY | PT | 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/2222/6865171/check_12761165_b4225a6c-7426-4662-bb5f-444226a04c52.json | N/A | N/A | N/A | N/A | N/A | 9537353099 | Group Policy | N/A | AETNA INC | PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE, IND. OUT OF POCKET, FAMILY OUT OF POCKET INFORMATION | 1976-05-10 | A01 | 20086 | N/A | GP | false | RAMIREZ | N/A | ROY | N/A | N/A | N/A | WORKDAY INC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886139811 | N/A | N/A | 6865171 | 2222 | 4801 | 13016975 | N/A | 5902840 | 2025-09-28 02:21:08.010424 | 2025-07-28 18:58:27.354873 |
| 2025-09-27 08:11:43.031902 | 2025-09-28 02:49:47.793290 | 12761149 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12761149 | Athletic Physical Therapy Inc | 1975-11-23 | 2025-09-30 | F | PT | THATTE | JQU615W06820 | MADHAVI | N/A | 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/2222/6861355/check_12761149_4e34173c-05db-4b52-863d-4da0e702e73b.json | N/A | N/A | N/A | N/A | N/A | JQU615W06820 | Preferred Provider Organization (PPO) | CAPSIDA, INC. | ANTHEM BLUE CROSS | N/A | 1975-11-23 | 040 | K92872 | N/A | PR | false | THATTE | N/A | MADHAVI | N/A | 9999-12-31 | 2025-08-01 | CA SG ANTHEM HSA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886139810 | N/A | N/A | 6861355 | 2222 | 4801 | 13021343 | N/A | 5899637 | 2025-09-28 02:49:47.793290 | 2025-07-23 05:11:18.843091 |
| 2025-09-27 08:11:39.386921 | 2025-09-28 02:14:05.256478 | 12761100 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12761100 | Athletic Physical Therapy Inc | 1955-10-21 | 2025-09-30 | F | PT | WAKIL | MMA290W21854 | MALIHA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.110942655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9415877/check_12761100_bc6e0dd5-5ca6-4b42-9b86-68a01f7d7b5c.json | N/A | N/A | N/A | N/A | N/A | MMA290W21854 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1955-10-21 | N/A | N/A | N/A | N/A | false | WAKIL | N/A | MALIHA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886062448 | N/A | N/A | 9415877 | 2222 | 4793 | 13014253 | N/A | 7884745 | 2025-09-28 02:14:05.256478 | 2025-10-02 21:33:51.225390 |
| 2025-09-27 08:11:16.899526 | 2025-09-28 03:03:38.960614 | 12760978 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12760978 | Athletic Physical Therapy Inc | 1971-12-07 | 2025-09-30 | M | AE | WALLACH | 1PD0KF7JH37 | CHARLES | PT | 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/2222/7821426/check_12760978_690ebf27-d6af-4861-8de2-b51dd888b169.json | N/A | N/A | N/A | N/A | N/A | 1PD0KF7JH37 | Medicare Part A | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1971-12-07 | N/A | N/A | N/A | MA | false | WALLACH IV | 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 | 8886280079 | N/A | N/A | 7821426 | 2222 | 4801 | 13022694 | N/A | 6660003 | 2025-09-28 03:03:38.960614 | 2026-06-01 17:03:48.982724 |
| 2025-09-27 08:11:16.171564 | 2025-09-28 02:29:23.943623 | 12760968 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 12760968 | Athletic Physical Therapy Inc | 1960-03-08 | 2025-09-30 | F | AE | CONNER | 40068898601 | CRISTEN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.110942655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9415234/check_12760968_172e0892-c9fb-4d07-96db-d089c953c732.json | N/A | N/A | N/A | N/A | N/A | 40068898601 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | CONNER | N/A | CRISTEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886062439 | N/A | N/A | 9415234 | 2222 | 4801 | 13019413 | N/A | 7884350 | 2025-09-28 02:29:23.943623 | 2025-09-15 22:38:10.066233 |
| 2025-09-27 08:11:05.159441 | 2025-09-28 02:19:04.986336 | 12760840 | N/A | N/A | 60054 | Aetna | 1114042165 | 12760840 | Athletic Physical Therapy Inc | 1970-07-15 | 2025-09-30 | M | AE | BAKER | W225972262 | MATTHEW | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.110942655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411210/check_12760840_5b6fde79-8bc8-4d85-ae1b-4ff375b6c094.json | N/A | N/A | N/A | N/A | N/A | W225972262 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 1970-07-15 | 0232495 | 023249501300055 | N/A | PS | false | HOBAN-BAKER | N/A | AMY | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886062404 | N/A | N/A | 9411210 | 2222 | 4802 | 13016164 | N/A | 7880075 | 2025-09-28 02:19:04.986336 | 2025-10-01 14:29:57.963249 |
| 2025-09-27 08:10:56.298304 | 2025-09-28 06:10:48.297297 | 12760736 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12760736 | Athletic Physical Therapy Inc | 1973-02-24 | 2025-09-30 | F | PT | TAKEMOTO | XED906098170 | NICOLE | N/A | 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/2222/5928752/check_12760736_688324b9-77bb-45ac-a1d5-0f678604780f.json | N/A | N/A | N/A | N/A | N/A | XED906098170 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1973-02-24 | 2001ZK002184 | X0001004 | N/A | PR | false | TAKEMOTO | N/A | NICOLE | 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 | 8886134272 | N/A | N/A | 5928752 | 2222 | 4802 | 13027603 | N/A | 4583701 | 2025-09-28 06:10:48.297297 | 2025-07-24 17:50:11.805587 |
| 2025-09-27 08:10:47.666016 | 2025-09-28 08:19:51.727081 | 12760633 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12760633 | Athletic Physical Therapy Inc | 2004-10-12 | 2025-09-30 | F | PT | SMITH | JQU079A20315 | QUINCEY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.110442279.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9738262/check_12760633_0b8284a6-37c1-4921-b20f-435b6a6f1948.json | N/A | N/A | N/A | N/A | N/A | JQU079A20315 | Preferred Provider Organization (PPO) | TREATMENT CENTER MANAGEMENT CORPORATION | BLUE SHIELD OF CALIFORNIA | N/A | 2004-10-12 | 040 | U26729 | N/A | PR | false | SMITH | N/A | CRAIG | N/A | 9999-12-31 | 2025-01-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886068511 | N/A | N/A | 9738262 | 2222 | 4802 | 13030849 | N/A | 8152988 | 2025-09-28 08:19:51.727081 | 2025-09-25 21:29:07.638267 |
| 2025-09-27 08:10:19.739346 | 2025-09-28 02:39:36.015177 | 12760284 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12760284 | Athletic Physical Therapy Inc | 2005-12-13 | 2025-09-30 | F | PT | Varivoda | ZTQ335M98588 | Alex | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.110942655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9338185/check_12760284_050b67e6-3637-4943-b758-d5eb88be17f7.json | N/A | N/A | N/A | N/A | N/A | ZTQ335M98588 | Preferred Provider Organization (PPO) | TELEDYNE TECH INC LECROY | ANTHEM BLUE CROSS | N/A | 2005-12-13 | 040 | 174249M3AW | N/A | PR | false | VARIVODA | N/A | ALEXEY | N/A | 9999-12-31 | 2020-03-19 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8886060989 | N/A | N/A | 9338185 | 2222 | 4802 | 13020432 | N/A | 7837035 | 2025-09-28 02:39:36.015177 | 2025-09-17 13:44:26.939662 |
| 2025-09-27 08:10:05.607469 | 2025-09-28 02:14:12.245761 | 12760114 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12760114 | Athletic Physical Therapy Inc | 1960-02-11 | 2025-09-30 | F | AE | BASS | 101139629800 | NADINE | PT | 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/2222/7813006/check_12760114_6a704677-69a5-4990-809c-2bb3c7b447a7.json | N/A | N/A | N/A | N/A | N/A | 101139629800 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1960-02-11 | N/A | N/A | N/A | N/A | false | BASS | N/A | NADINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886280048 | N/A | N/A | 7813006 | 2222 | 4802 | 13014290 | N/A | 6653186 | 2025-09-28 02:14:12.245761 | 2025-08-06 14:30:41.257679 |
| 2025-09-27 08:09:52.234794 | 2025-09-28 02:28:14.957293 | 12759966 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12759966 | Athletic Physical Therapy Inc | 1990-12-22 | 2025-09-30 | M | AE | PRABHALA | R13572760MM1 | SAI RAM | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.110942655.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9321575/check_12759966_f3e7a65b-3e83-4bb2-abb6-6ca873253b53.json | N/A | N/A | N/A | N/A | N/A | R13572760MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1990-12-22 | N/A | N/A | N/A | N/A | false | PRABHALA | N/A | SAI RAM PAVAN PRASAD | N/A | N/A | N/A | KAI SBP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886061760 | N/A | N/A | 9321575 | 2222 | 4801 | 13019257 | N/A | 7820903 | 2025-09-28 02:28:14.957293 | 2025-09-22 20:31:02.620835 |
| 2025-09-27 08:09:19.050659 | 2025-09-28 05:51:06.287443 | 12759595 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12759595 | Athletic Physical Therapy Inc | 1964-11-15 | 2025-09-30 | F | AE | BIKOULOVA | 92040499F | ALEXANDRA | PT | 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/2222/5874423/check_12759595_99bffbd4-4bfb-421d-914a-ecfb97405c0c.json | N/A | N/A | N/A | N/A | N/A | 92040499F | N/A | N/A | HEALTH NET, LLC | N/A | 1964-11-15 | N/A | N/A | N/A | N/A | false | BIKOULOVA | N/A | ALEXANDRA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886133839 | N/A | N/A | 5874423 | 2222 | 4802 | 13027266 | N/A | 4534552 | 2025-09-28 05:51:06.287443 | 2025-05-30 18:01:03.324126 |
| 2025-09-27 08:09:17.681680 | 2025-09-28 06:36:31.966241 | 12759576 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12759576 | Athletic Physical Therapy Inc | 1958-09-13 | 2025-09-30 | M | AE | DERR | 4GK3GN5DV73 | DENNIS | PT | 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/2222/5874420/check_12759576_7894e2f5-09dd-4875-9cb9-e562bad4bd5a.json | N/A | N/A | N/A | N/A | N/A | 4GK3GN5DV73 | N/A | N/A | CMS | N/A | 1958-09-13 | N/A | N/A | N/A | N/A | false | DERR | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886133838 | N/A | N/A | 5874420 | 2222 | 4793 | 13028174 | N/A | 4534550 | 2025-09-28 06:36:31.966241 | 2025-10-15 18:36:58.255255 |
| 2025-09-27 08:08:59.495929 | 2025-09-28 02:21:10.481059 | 12759352 | N/A | N/A | 60054 | AETNA | 1114042165 | 12759352 | Athletic Physical Therapy Inc | 1940-12-29 | 2025-09-30 | M | AE | TRUNNELL | 101505559100 | WAYNE | PT | 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/2222/6786642/check_12759352_f19b2e52-36fa-487d-b15f-ddc22b6a73e9.json | N/A | N/A | N/A | N/A | N/A | 101505559100 | Point of Service (POS) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1940-12-29 | 000003-CA000074 | 000003-CA | N/A | PS | false | TRUNNELL | N/A | WAYNE | N/A | N/A | N/A | AETNA MEDICARE PLUS (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886139548 | N/A | N/A | 6786642 | 2222 | 4793 | 13016989 | 3939 | 5818009 | 2025-09-28 02:21:10.481059 | 2025-07-15 23:19:05.900633 |
| 2025-09-27 08:08:58.296894 | 2025-09-28 08:26:57.779838 | 12759337 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12759337 | Athletic Physical Therapy Inc | 1953-03-30 | 2025-09-30 | F | AE | ELLIS | 9MF1PQ0JC94 | KATHY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250927.110442279.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9688784/check_12759337_2c866860-1a35-4361-893c-9c0fd46426b4.json | N/A | N/A | N/A | N/A | N/A | 9MF1PQ0JC94 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-03-30 | S5601 | N/A | N/A | MB | false | ELLIS | N/A | KATHY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886069918 | N/A | N/A | 9688784 | 2222 | 4793 | 13031571 | N/A | 8108118 | 2025-09-28 08:26:57.779838 | 2025-09-24 21:19:03.418185 |
| 2025-09-27 08:08:26.566112 | 2025-09-28 02:35:16.083098 | 12759009 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12759009 | Athletic Physical Therapy Inc | 1992-12-01 | 2025-09-30 | F | AE | Mullen | 97749132H | Melissa | PT | 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/2222/7799930/check_12759009_12845cab-4498-4266-9bf0-22ddfd384e29.json | N/A | N/A | N/A | N/A | N/A | 97749132H | N/A | N/A | HEALTH NET, LLC | N/A | 1992-12-01 | N/A | N/A | N/A | N/A | false | MULLEN | N/A | MELISSA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8886279879 | N/A | N/A | 7799930 | 2222 | 4802 | 13020045 | N/A | 6641123 | 2025-09-28 02:35:16.083098 | 2025-08-06 00:00:36.528464 |