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 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-02 11:51:05.014075 | 2025-06-03 05:21:22.523393 | 8496505 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8496505 | Athletic Physical Therapy Inc | 2008-06-03 | 2025-06-06 | M | PT | DATO | NGO555A50496 | BRETT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551045/check_8496505_65f4608f-0f08-4b29-ba4b-0422496fcdb6.json | N/A | N/A | N/A | N/A | N/A | NGO555A50496 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 2008-06-03 | 040 | 174022MJAD | N/A | PR | false | DATO | N/A | GREGORY | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5551045 | 2222 | 4793 | 8212857 | N/A | 4219851 | 2025-06-03 05:21:22.523393 | 2025-05-13 04:29:37.230897 |
| 2025-06-02 11:51:04.865128 | 2025-06-03 05:29:21.531119 | 8496498 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8496498 | Athletic Physical Therapy Inc | 1943-08-11 | 2025-06-09 | M | PT | VELASQUEZ | 7RA2UD6VM18 | NELSON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550994/check_8496498_3364d64b-d7f4-4fda-ab69-1d626d51075e.json | N/A | N/A | N/A | N/A | N/A | 7RA2UD6VM18 | N/A | N/A | CMS | N/A | 1943-08-11 | N/A | N/A | N/A | N/A | false | VELASQUEZ | N/A | NELSON | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550994 | 2222 | 4801 | 8218930 | N/A | 4219819 | 2025-06-03 05:29:21.531119 | 2026-04-16 20:37:54.612915 |
| 2025-06-02 11:51:04.737165 | 2025-06-03 05:21:39.579985 | 8496491 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8496491 | Athletic Physical Therapy Inc | 1981-02-28 | 2025-06-06 | F | PT | CARROLL | JPU767A23997 | REBECCA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550993/check_8496491_ff751595-5e08-46c9-b07c-f2a9cd1fc952.json | N/A | N/A | N/A | N/A | N/A | JPU767A23997 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | ANTHEM BLUE CROSS | N/A | 1981-02-28 | 040 | L12045M001 | N/A | PR | false | STAEVSKI | N/A | THOMAS | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550993 | 2222 | 4793 | 8213039 | N/A | 4219817 | 2025-06-03 05:21:39.579985 | 2025-05-13 04:29:37.230864 |
| 2025-06-02 11:51:04.621911 | 2025-06-03 05:21:33.930128 | 8496485 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8496485 | Athletic Physical Therapy Inc | 1966-04-27 | 2025-06-03 | M | PT | MERTES | XED914030953 | CORY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550989/check_8496485_3a2fcc8b-2545-425f-bb94-1b8867214a81.json | N/A | N/A | N/A | N/A | N/A | XED914030953 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | ANTHEM BLUE CROSS | N/A | 1966-04-27 | 2001ZK002184 | X0001004 | N/A | PR | false | MERTES | N/A | CORY | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550989 | 2222 | 4793 | 8212982 | N/A | 4219813 | 2025-06-03 05:21:33.930128 | 2025-05-13 04:29:37.230860 |
| 2025-06-02 11:51:04.471183 | 2025-06-03 05:29:20.467226 | 8496476 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8496476 | Athletic Physical Therapy Inc | 1956-01-20 | 2025-06-09 | F | PT | SCHLEIKORN | 4WT5NH8WR56 | MARIETTE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550958/check_8496476_59f6a9c2-e749-4bc4-b858-dce3144160a9.json | N/A | N/A | N/A | N/A | N/A | 4WT5NH8WR56 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-20 | N/A | N/A | N/A | MA | false | SCHLEIKORN | N/A | MARIETTE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550958 | 2222 | 4793 | 8218915 | N/A | 4219792 | 2025-06-03 05:29:20.467226 | 2025-05-13 04:29:37.230832 |
| 2025-06-02 11:51:04.233750 | 2025-06-03 05:21:29.294449 | 8496470 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8496470 | Athletic Physical Therapy Inc | 1969-02-19 | 2025-06-09 | F | PT | HARRIS | AER805281513 | LYNNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550952/check_8496470_ecfd93da-ce62-4526-899b-64c64d683843.json | N/A | N/A | N/A | N/A | N/A | AER805281513 | Preferred Provider Organization (PPO) | GLOBAL MEDICAL RESPONSE INC. | ANTHEM BLUE CROSS | N/A | 1969-02-19 | N/A | 275619 | N/A | PR | false | HARRIS | N/A | KENNETH | N/A | 9999-12-31 | 2023-01-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550952 | 2222 | 4801 | 8212898 | N/A | 4219786 | 2025-06-03 05:21:29.294449 | 2025-07-28 00:01:15.733373 |
| 2025-06-02 11:51:04.091235 | 2025-06-03 05:24:20.192069 | 8496461 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8496461 | Athletic Physical Therapy Inc | 1990-03-04 | 2025-06-09 | F | PT | MERKER | FFB813483004 | AMANDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550917/check_8496461_2028756a-5f52-4fb0-b3a0-6eaa0398f5d1.json | N/A | N/A | N/A | N/A | N/A | FFB813483004 | Preferred Provider Organization (PPO) | 48FORTY INTERMEDIATE HOLDINGS | BLUE SHIELD OF CALIFORNIA | N/A | 1990-03-04 | N/A | 396562 | N/A | PR | false | MERKER | N/A | AMANDA | 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 | N/A | N/A | N/A | 5550917 | 2222 | 4802 | 8215210 | N/A | 4219762 | 2025-06-03 05:24:20.192069 | 2025-05-13 04:29:37.230803 |
| 2025-06-02 11:51:03.890649 | 2025-06-03 05:23:38.381818 | 8496454 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8496454 | Athletic Physical Therapy Inc | 1986-08-03 | 2025-06-09 | M | PT | AMENT | XED913057951 | NATHAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550865/check_8496454_6fc96e54-e09c-40c6-9a55-2abfa88c2740.json | N/A | N/A | N/A | N/A | N/A | XED913057951 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-08-03 | 2001ZK002185 | X0001004 | N/A | PR | false | AMENT | N/A | NATHAN | N/A | 9999-12-31 | 2024-03-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550865 | 2222 | 4802 | 8214696 | N/A | 4215196 | 2025-06-03 05:23:38.381818 | 2025-05-13 04:29:37.229513 |
| 2025-06-02 11:51:03.635119 | 2025-06-03 05:11:28.146680 | 8496443 | N/A | N/A | 60054 | Aetna | 1114042165 | 8496443 | Athletic Physical Therapy Inc | 1991-03-21 | 2025-06-09 | F | PT | CARDINALI | W286606913 | NICOLE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550850/check_8496443_13d01af3-a2e1-49a3-9426-a70ef99eb5ea.json | N/A | N/A | N/A | N/A | N/A | W286606913 | Preferred Provider Organization (PPO) | LHI GROUP INC. | AETNA | N/A | 1991-03-21 | 0887487 | 088748701000001 | N/A | PR | false | CARDINALI | N/A | NICOLE | N/A | N/A | N/A | OPEN CHOICE | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550850 | 2222 | 4802 | 8205983 | N/A | 4215195 | 2025-06-03 05:11:28.146680 | 2025-05-14 09:08:40.751930 |
| 2025-06-02 11:51:03.255070 | 2025-06-03 05:29:20.791226 | 8496428 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8496428 | Athletic Physical Therapy Inc | 1940-01-14 | 2025-06-09 | F | PT | STELLINI | 9PU3FY2MU09 | DONNA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550849/check_8496428_764ee779-c579-4cd9-aae2-7515a3ee8b6b.json | N/A | N/A | N/A | N/A | N/A | 9PU3FY2MU09 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-01-14 | S5921 | N/A | N/A | MA | false | STELLINI | N/A | DONNA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550849 | 2222 | 4802 | 8218922 | N/A | 4215221 | 2025-06-03 05:29:20.791226 | 2025-05-13 04:29:37.229536 |
| 2025-06-02 11:51:02.894754 | 2025-06-03 05:23:45.941078 | 8496416 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8496416 | Athletic Physical Therapy Inc | 2005-05-27 | 2025-06-09 | F | PT | PARVIZI | XED914141701 | SIMONE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550844/check_8496416_c7a5d7fb-a230-4847-8721-a898b65429d9.json | N/A | N/A | N/A | N/A | N/A | XED914141701 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2005-05-27 | 2001ZK002187 | X0001004 | N/A | PR | false | PARVIZI | N/A | SIMONE | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550844 | 2222 | 4802 | 8214793 | N/A | 4215184 | 2025-06-03 05:23:45.941078 | 2025-05-13 04:29:37.229500 |
| 2025-06-02 11:51:02.705183 | 2025-06-03 05:21:24.307356 | 8496408 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8496408 | Athletic Physical Therapy Inc | 1975-05-11 | 2025-06-09 | F | PT | GALLO LUNA | CQP005A55866 | MARITZA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550838/check_8496408_31669491-4dc0-4a2f-a39d-33416cb480cd.json | N/A | N/A | N/A | N/A | N/A | CQP005A55866 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1975-05-11 | N/A | N/A | N/A | N/A | false | GALLO LUNA | N/A | MARITZA | 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 | 5550838 | 2222 | 4801 | 8212873 | N/A | 4219709 | 2025-06-03 05:21:24.307356 | 2025-05-13 04:29:37.230752 |
| 2025-06-02 11:51:02.338471 | 2025-06-03 05:29:18.182348 | 8496397 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8496397 | Athletic Physical Therapy Inc | 1950-09-13 | 2025-06-09 | M | PT | GU | 4AN1F55YR02 | WINSTON | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550800/check_8496397_c992359b-da06-49c9-b3b1-82857abfe4aa.json | N/A | N/A | N/A | N/A | N/A | 4AN1F55YR02 | Medicare Part A | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-09-13 | S5884 | N/A | N/A | MA | false | GU | N/A | WINSTON | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550800 | 2222 | 4801 | 8218891 | N/A | 4219679 | 2025-06-03 05:29:18.182348 | 2025-05-13 04:29:37.230723 |
| 2025-06-02 11:51:02.080365 | 2025-06-03 05:05:27.474611 | 8496387 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8496387 | Athletic Physical Therapy Inc | 1946-02-28 | 2025-06-06 | F | PT | KUYAT | 27367124 | FAYE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550758/check_8496387_d300f4da-af99-4aa0-bea4-714c730af7ab.json | N/A | N/A | N/A | N/A | N/A | 27367124 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1946-02-28 | N/A | N/A | N/A | N/A | false | KUYAT | N/A | FAYE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550758 | 2222 | 4801 | 8202087 | N/A | 4219656 | 2025-06-03 05:05:27.474611 | 2025-05-13 04:29:37.230700 |
| 2025-06-02 11:51:01.853392 | 2025-06-03 05:05:25.050445 | 8496379 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8496379 | Athletic Physical Therapy Inc | 1954-03-04 | 2025-06-04 | M | PT | ARUJO | 00000223568 | RAMON | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550751/check_8496379_b054227e-8abd-4a69-b8e0-5bdc062ba046.json | N/A | N/A | N/A | N/A | N/A | 00000223568 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1954-03-04 | N/A | N/A | N/A | N/A | false | ARUJO | N/A | RAMON | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550751 | 2222 | 4801 | 8202060 | N/A | 4219640 | 2025-06-03 05:05:25.050445 | 2025-05-13 04:29:37.230682 |
| 2025-06-02 11:51:01.305914 | 2025-06-03 05:29:18.930725 | 8496358 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8496358 | Athletic Physical Therapy Inc | 1942-04-09 | 2025-06-09 | F | PT | JALLAD | 7AY7QW7EK46 | IKRAM | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549454/check_8496358_74e78b0c-c2c0-4356-bca0-fc0c253e0a6a.json | N/A | N/A | N/A | N/A | N/A | 7AY7QW7EK46 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-04-09 | S5617 | N/A | N/A | MA | false | JALLAD | N/A | IKRAM | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549454 | 2222 | 4801 | 8218898 | N/A | 4219116 | 2025-06-03 05:29:18.930725 | 2025-05-16 16:43:35.854220 |
| 2025-06-02 11:51:01.040222 | 2025-06-03 05:21:32.184181 | 8496348 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8496348 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-06-06 | F | PT | LUCZYWEK | HFD100011213709 | DEBORA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_8496348_cfc64745-326e-4be6-8c78-0e7efeeebf52.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | IF THE MEMBER QUALIFIES FOR COBRA COVERAGE,THE POLICY MAY BE SUBJECT TO RETROACTIVE CANCELLATION OR REINSTATEMENT, BASED ON THE PLAN DESIGN AND THE MEMBER COBRA ELECTION. FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR USPSTF A AND B RECOMMENDATIONS. | 1962-01-25 | N/A | 716116N04 | N/A | PR | false | LUCZYWEK | N/A | MARIUSZ | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549317 | 2222 | 4801 | 8212955 | N/A | 4219010 | 2025-06-03 05:21:32.184181 | 2026-01-09 18:32:07.618867 |
| 2025-06-02 11:50:44.846105 | 2025-06-03 05:29:21.195362 | 8495842 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8495842 | Athletic Physical Therapy Inc | 1947-04-14 | 2025-06-09 | F | PT | UYGUR | 1VV2MA6GE80 | NUKHET | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543311/check_8495842_5d5bd10f-fd02-44e4-8f8c-45ad0d96d930.json | N/A | N/A | N/A | N/A | N/A | 1VV2MA6GE80 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-04-14 | N/A | N/A | N/A | MA | false | UYGUR | N/A | NUKHET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543311 | 2222 | 4802 | 8218924 | N/A | 4215116 | 2025-06-03 05:29:21.195362 | 2025-05-29 22:32:19.748297 |
| 2025-06-02 11:50:44.320383 | 2025-06-03 05:09:15.224204 | 8495833 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 8495833 | Athletic Physical Therapy Inc | 1941-01-15 | 2025-06-09 | F | PT | PENATE | 100200006880 | VIANCA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543301/check_8495833_8cecd475-2f14-4191-b1d7-94dd9e3c337c.json | N/A | N/A | N/A | N/A | N/A | 100200006880 | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1941-01-15 | N/A | N/A | N/A | N/A | false | PENATE | N/A | VIANCA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543301 | 2222 | 4802 | 8204540 | N/A | 4215112 | 2025-06-03 05:09:15.224204 | 2026-02-20 19:52:51.272757 |
| 2025-06-02 11:50:44.041591 | 2025-06-03 05:17:27.857195 | 8495828 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8495828 | Athletic Physical Therapy Inc | 1984-01-20 | 2025-06-09 | M | PT | MARSHALL | 771821563 | STEVE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543275/check_8495828_fa2af11a-856c-410e-987e-8e845fc9c116.json | N/A | N/A | N/A | N/A | N/A | 77182156300 | Commercial | N/A | UNITEDHEALTHCARE INSURANCE COMPANY | FUNDING TYPE = FULLY INSURED - SMALL GROUP LABORATORY DESIGNATED DIAGNOSTIC BENEFITS IMAGING DESIGNATED DIAGNOSTIC BENEFITS | 1984-01-20 | N/A | 1682006 | N/A | C1 | false | MARSHALL | N/A | STEVEN | N/A | N/A | N/A | CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543275 | 2222 | 4802 | 8209601 | N/A | 4215090 | 2025-06-03 05:17:27.857195 | 2025-05-13 04:29:37.229405 |
| 2025-06-02 11:50:43.636665 | 2025-06-03 05:16:06.449967 | 8495820 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8495820 | Athletic Physical Therapy Inc | 1993-07-24 | 2025-06-05 | M | AD | SJUKUR | U0030031901 | HANSEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543268/check_8495820_9c48e346-337c-4429-adff-0eba67040303.json | N/A | N/A | N/A | N/A | N/A | U0030031901 | N/A | MCKINSEY & COMPANY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1993-07-24 | N/A | 2500547 | N/A | N/A | false | SJUKUR | N/A | HANSEL C | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543268 | 2222 | 4802 | 8208592 | N/A | 4215085 | 2025-06-03 05:16:06.449967 | 2025-05-23 17:53:24.114484 |
| 2025-06-02 11:50:43.379618 | 2025-06-03 05:17:28.786122 | 8495817 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8495817 | Athletic Physical Therapy Inc | 1999-09-11 | 2025-06-06 | M | PT | PETERSON | 987565290 | CONNOR | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543238/check_8495817_fa30008d-b4c5-4c32-a496-d53eb8f23844.json | N/A | N/A | N/A | N/A | N/A | 987565290 | Commercial | ORACLE | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1999-09-11 | 0181 0181 | 228485 | N/A | C1 | false | PETERSON | N/A | CONNOR | N/A | N/A | N/A | SELECT PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543238 | 2222 | 4802 | 8209614 | N/A | 4215055 | 2025-06-03 05:17:28.786122 | 2025-05-13 04:29:37.229376 |
| 2025-06-02 11:50:42.951501 | 2025-06-03 05:23:49.520969 | 8495810 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8495810 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-06-09 | F | PT | PAUL | XEK914147727 | SARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543211/check_8495810_1d3248f1-0fd5-4952-9af7-c03f87d98f02.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543211 | 2222 | 4801 | 8214806 | N/A | 4215028 | 2025-06-03 05:23:49.520969 | 2025-05-13 04:29:37.229346 |
| 2025-06-02 11:50:42.687300 | 2025-06-03 05:21:25.804154 | 8495806 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8495806 | Athletic Physical Therapy Inc | 1981-10-08 | 2025-06-09 | F | PT | GOULD | M9Z806734456 | HEATHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543209/check_8495806_32ddf88d-8246-47e0-949c-935213110255.json | N/A | N/A | N/A | N/A | N/A | M9Z806734456 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1981-10-08 | N/A | 55060 | N/A | PR | false | GOULD | N/A | HEATHER | N/A | N/A | N/A | PREFERRED CARE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543209 | 2222 | 4793 | 8212884 | N/A | 4215027 | 2025-06-03 05:21:25.804154 | 2025-05-13 04:29:37.229345 |
| 2025-06-02 11:50:42.365699 | 2025-06-03 05:16:06.769626 | 8495798 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8495798 | Athletic Physical Therapy Inc | 1999-02-08 | 2025-06-09 | F | AD | SMALLWOOD | 109798591 | CORINNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543189/check_8495798_98a5279b-7337-4e39-a60a-a7f837c8d88d.json | N/A | N/A | N/A | N/A | N/A | 10979859100 | N/A | STUBHUB HOLDINGS, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1999-02-08 | N/A | 00636303 | N/A | N/A | false | SMALLWOOD | N/A | CORINNE | N/A | N/A | N/A | OPEN ACCESS PLUS IN-NETWORK | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543189 | 2222 | 4802 | 8208595 | N/A | 4215016 | 2025-06-03 05:16:06.769626 | 2025-05-13 04:29:37.229333 |
| 2025-06-02 11:50:41.998818 | 2025-06-03 05:21:32.903521 | 8495788 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8495788 | Athletic Physical Therapy Inc | 2003-10-09 | 2025-06-09 | F | PT | LUKOWITSCH | XDPCA8263500 | HALLIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543178/check_8495788_ef37b97a-6c1e-4ed5-ba66-91cf2924eb80.json | N/A | N/A | N/A | N/A | N/A | XDPCA8263500 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | ANTHEM BLUE CROSS | N/A | 2003-10-09 | 040 | 275958P701 | N/A | PR | false | LUKOWITSCH | N/A | HALLIE | N/A | 9999-12-31 | 2024-09-23 | PPO UC SHIP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543178 | 2222 | 4802 | 8212974 | N/A | 4215006 | 2025-06-03 05:21:32.903521 | 2025-05-13 04:29:37.229325 |
| 2025-06-02 11:50:41.708776 | 2025-06-03 05:23:39.602648 | 8495778 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8495778 | Athletic Physical Therapy Inc | 2003-07-09 | 2025-06-09 | M | PT | FEY | XED912890874 | JOSEPH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543173/check_8495778_41d2a2c0-7e8b-4407-9d17-391193fd87e7.json | N/A | N/A | N/A | N/A | N/A | XED912890874 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2003-07-09 | 2001ZK002185 | X0001004 | N/A | PR | false | FEY | N/A | JOSEPH | N/A | 9999-12-31 | 2024-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543173 | 2222 | 4793 | 8214714 | N/A | 4215000 | 2025-06-03 05:23:39.602648 | 2025-05-13 04:29:37.229320 |
| 2025-06-02 11:50:41.238479 | 2025-06-03 05:21:22.926913 | 8495765 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8495765 | Athletic Physical Therapy Inc | 1963-02-12 | 2025-06-06 | M | PT | FRENCH | XDP573A61655 | JONATHAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543105/check_8495765_1927fdda-17f1-4c6c-b0ba-dcaddc847f13.json | N/A | N/A | N/A | N/A | N/A | XDP573A61655 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1963-02-12 | N/A | N/A | N/A | N/A | false | FRENCH | N/A | JONATHAN | 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 | 5543105 | 2222 | 4793 | 8212865 | N/A | 4214943 | 2025-06-03 05:21:22.926913 | 2025-05-29 02:21:31.646077 |
| 2025-06-02 11:50:40.937202 | 2025-06-03 05:17:28.374303 | 8495755 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | 8495755 | Athletic Physical Therapy Inc | 1976-03-26 | 2025-06-09 | M | PT | ORLOV | 23474362 | BORIS | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543098/check_8495755_e1f101fb-513f-497d-acd7-581332cfc519.json | N/A | N/A | N/A | N/A | N/A | 023474362 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1976-03-26 | N/A | N/A | N/A | N/A | false | ORLOV | N/A | BORIS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543098 | 2222 | 4802 | 8209607 | N/A | 4214932 | 2025-06-03 05:17:28.374303 | 2025-05-13 04:29:37.229254 |
| 2025-06-02 11:50:40.505505 | 2025-06-03 05:23:44.288058 | 8495742 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8495742 | Athletic Physical Therapy Inc | 1960-07-20 | 2025-06-09 | F | PT | NAFTZGER | XEK900854258 | SANDRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543048/check_8495742_ba1b54ae-1ca9-4742-9db5-3ab07cfbb345.json | N/A | N/A | N/A | N/A | N/A | XEK900854258 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1960-07-20 | 2001ZK002171 | X0001000 | N/A | PR | false | NAFTZGER | N/A | SANDRA | N/A | 9999-12-31 | 2014-03-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543048 | 2222 | 4802 | 8214771 | N/A | 4214889 | 2025-06-03 05:23:44.288058 | 2025-05-13 04:29:37.229212 |
| 2025-06-02 11:50:40.157478 | 2025-06-03 05:16:06.093533 | 8495730 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8495730 | Athletic Physical Therapy Inc | 1991-03-12 | 2025-06-09 | M | AD | ARDERN | 109840605 | LEWIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543007/check_8495730_7c714bd9-9901-425a-88a2-9ee3b7e8b86c.json | N/A | N/A | N/A | N/A | N/A | 10984060500 | N/A | SEMGREP, INC. | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1991-03-12 | N/A | 00652007 | N/A | N/A | false | ARDERN | N/A | LEWIS | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543007 | 2222 | 4802 | 8208589 | N/A | 4214851 | 2025-06-03 05:16:06.093533 | 2025-06-26 00:38:34.754169 |
| 2025-06-02 11:50:39.752980 | 2025-06-03 05:29:17.865838 | 8495719 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8495719 | Athletic Physical Therapy Inc | 1940-11-11 | 2025-06-09 | U | PT | GOLDBERG | 9EE6XY2TM41 | MICAHEL | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542970/check_8495719_e387ff2b-fadc-4e7a-b319-7f2669a9957a.json | N/A | N/A | N/A | N/A | N/A | 9EE6XY2TM41 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-11-11 | S5601 | N/A | N/A | MB | false | GOLDBERG | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542970 | 2222 | 4802 | 8218889 | N/A | 4214820 | 2025-06-03 05:29:17.865838 | 2025-06-30 02:56:23.324592 |
| 2025-06-02 11:50:39.471615 | 2025-06-03 05:29:17.537341 | 8495712 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8495712 | Athletic Physical Therapy Inc | 1944-10-29 | 2025-06-09 | F | PT | GOLDBERG | 6YD7TP7AC72 | LINDA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542935/check_8495712_5fd93ba3-4ee7-435b-a0d5-33e683b42001.json | N/A | N/A | N/A | N/A | N/A | 6YD7TP7AC72 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-10-29 | S5601 | N/A | N/A | MB | false | GOLDBERG | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542935 | 2222 | 4802 | 8218886 | N/A | 4214789 | 2025-06-03 05:29:17.537341 | 2025-12-11 23:30:31.319246 |
| 2025-06-02 11:50:39.271522 | 2025-06-03 05:21:38.417227 | 8495707 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8495707 | Athletic Physical Therapy Inc | 2005-12-20 | 2025-06-06 | M | PT | SPENCE | HEAHC0119474 | CHAD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542930/check_8495707_f4910fed-dac9-4a81-ba35-eee8696c6062.json | N/A | N/A | N/A | N/A | N/A | HEAHC0119474 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2005-12-20 | N/A | N/A | N/A | N/A | false | SPENCE | N/A | CHAD | 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 | 5542930 | 2222 | 4802 | 8213023 | N/A | 4214787 | 2025-06-03 05:21:38.417227 | 2025-08-17 21:31:52.380866 |
| 2025-06-02 11:50:38.970791 | 2025-06-03 05:11:29.513138 | 8495699 | N/A | N/A | 60054 | Aetna | 1114042165 | 8495699 | Athletic Physical Therapy Inc | 1997-05-24 | 2025-06-09 | M | PT | DIAZ | W290801952 | SHAWN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542855/check_8495699_acad8768-399b-4384-9edd-910f6e49e694.json | N/A | N/A | N/A | N/A | N/A | W290801952 | Point of Service (POS) | OMNICOM BENEFITS INC. | AETNA | N/A | 1997-05-24 | 0247086 | 024708602300010 | N/A | PS | false | DIAZ | N/A | SHAWN | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542855 | 2222 | 4802 | 8205999 | N/A | 4214719 | 2025-06-03 05:11:29.513138 | 2025-05-13 04:29:37.229037 |
| 2025-06-02 11:50:38.760326 | 2025-06-03 05:23:53.883840 | 8495694 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8495694 | Athletic Physical Therapy Inc | 1963-08-16 | 2025-06-06 | M | PT | SILBER | XED909580436 | MICHAEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542831/check_8495694_0953d2cc-f46d-49ce-b0b9-d5fdb75c70fd.json | N/A | N/A | N/A | N/A | N/A | XED909580436 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-08-16 | 2001ZK002184 | X0001004 | N/A | PR | false | SILBER | N/A | MICHAEL | N/A | 9999-12-31 | 2020-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542831 | 2222 | 4793 | 8214883 | N/A | 4214698 | 2025-06-03 05:23:53.883840 | 2025-05-13 04:29:37.229015 |
| 2025-06-02 11:50:38.544792 | 2025-06-03 05:17:27.342768 | 8495686 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8495686 | Athletic Physical Therapy Inc | 1997-01-04 | 2025-06-09 | M | PT | GERSHMAN | 987203340 | TYLER | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542830/check_8495686_8a192d12-e6dc-4b6a-8e21-859ef1ac73a7.json | N/A | N/A | N/A | N/A | N/A | 987203340 | Consolidated Omnibus Budget Reconciliation Act (COBRA) | ORACLE | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1997-01-04 | 0169 0169 | 228485 | N/A | CO | false | GERSHMAN | N/A | TYLER | N/A | N/A | N/A | SELECT PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542830 | 2222 | 4802 | 8209593 | N/A | 4214699 | 2025-06-03 05:17:27.342768 | 2025-05-13 04:29:37.229016 |
| 2025-06-02 11:50:38.141552 | 2025-06-03 05:23:43.114297 | 8495674 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8495674 | Athletic Physical Therapy Inc | 2000-07-25 | 2025-06-09 | F | PT | MAGHSOUDLOO | XEA913772161 | SAHAR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542822/check_8495674_cf24e1a1-d89e-4b6d-b46d-ec36996ece1b.json | N/A | N/A | N/A | N/A | N/A | XAN913772161 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 2000-07-25 | 1254PPOX0002 | W0051411 | N/A | PR | false | MAGHSOUDLOO | N/A | FARIBA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542822 | 2222 | 4793 | 8214756 | N/A | 4214688 | 2025-06-03 05:23:43.114297 | 2025-06-25 17:57:14.838266 |
| 2025-06-02 11:50:37.710185 | 2025-06-03 05:05:43.566254 | 8495661 | N/A | N/A | MISSING | MISSING INSURANCE NAME | 1114042165 | 8495661 | Athletic Physical Therapy Inc | 1989-10-04 | 2025-06-09 | F | PT | CAHN | MISSINGPOLICYNUMBER | JENNA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542489/check_8495661_2930476a-c0ef-4d83-b6b0-abc892937d55.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | MISSING INSURANCE NAME | N/A | 1989-10-04 | N/A | N/A | N/A | N/A | false | CAHN | N/A | JENNA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542489 | 2222 | 4802 | 8202243 | N/A | 4214385 | 2025-06-03 05:05:43.566254 | 2025-05-13 04:29:37.228711 |
| 2025-06-02 11:50:37.249225 | 2025-06-03 05:17:17.005585 | 8495643 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8495643 | Athletic Physical Therapy Inc | 1985-01-26 | 2025-06-09 | U | PT | VASEF | 982356788 | IDEAN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542264/check_8495643_b9e6cbfc-dd32-4e62-8cbc-c21cb606eec9.json | N/A | N/A | N/A | N/A | N/A | 982356788 | N/A | N/A | UNITED HEALTHCARE | N/A | 1985-01-26 | N/A | N/A | N/A | N/A | false | VASEF | N/A | IDEAN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542264 | 2222 | 4802 | 8209439 | N/A | 4214205 | 2025-06-03 05:17:17.005585 | 2025-06-27 18:49:28.826549 |
| 2025-06-02 11:50:36.844129 | 2025-06-03 05:23:40.791716 | 8495632 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8495632 | Athletic Physical Therapy Inc | 2016-06-10 | 2025-06-09 | U | PT | KARZI | XEK904667385 | DAMAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542225/check_8495632_09e4f7ca-4775-4c85-8cb3-baf613fd82c1.json | N/A | N/A | N/A | N/A | N/A | XEK904667385 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2016-06-10 | N/A | N/A | N/A | N/A | false | KARZI | N/A | DAMAN | 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 | 5542225 | 2222 | 4801 | 8214731 | N/A | 4214165 | 2025-06-03 05:23:40.791716 | 2025-06-06 02:22:28.229626 |
| 2025-06-02 11:50:36.458831 | 2025-06-03 05:11:30.905057 | 8495625 | N/A | N/A | 60054 | Aetna | 1114042165 | 8495625 | Athletic Physical Therapy Inc | 1959-04-20 | 2025-06-09 | M | PT | GRANT | W285866811 | ROBERT | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542136/check_8495625_4470805b-0965-45f1-8602-6aa8392b95af.json | N/A | N/A | N/A | N/A | N/A | W285866811 | Point of Service (POS) | GLOBALIZATION PARTNERS | MEDICARE | N/A | 1959-04-20 | 0193038 | 019303801200101 | N/A | PS | false | GRANT | N/A | ROBERT | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542136 | 2222 | 4793 | 8206015 | N/A | 4214087 | 2025-06-03 05:11:30.905057 | 2025-05-13 04:29:37.228402 |
| 2025-06-02 11:50:35.977072 | 2025-06-03 05:21:35.460333 | 8495611 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8495611 | Athletic Physical Therapy Inc | 1974-12-26 | 2025-06-06 | M | PT | SALEWSKE | SZR600905624 | TYSON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541518/check_8495611_3010f40d-d004-4a83-9b61-2d36d119620c.json | N/A | N/A | N/A | N/A | N/A | SZR60090562401 | Preferred Provider Organization (PPO) | SCHWEITZER ENGINEERING LABORATORIES, INC. | ANTHEM BLUE CROSS | N/A | 1974-12-26 | N/A | 1038812 | N/A | PR | false | SALEWSKE | N/A | TYSON | N/A | 9999-12-31 | 2023-01-01 | SELF-FUNDED EXP HERITAGE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541518 | 2222 | 4793 | 8212991 | N/A | 4213526 | 2025-06-03 05:21:35.460333 | 2025-11-13 19:34:43.197819 |
| 2025-06-02 11:50:35.576370 | 2025-06-03 05:17:26.893995 | 8495601 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8495601 | Athletic Physical Therapy Inc | 1978-02-23 | 2025-06-09 | F | PT | CHVATIKOVA | 99518696 | MONIKA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541499/check_8495601_b5575ae0-7834-4684-bfbb-da755dfb9da7.json | N/A | N/A | N/A | N/A | N/A | 995186969 | Commercial | ABC FITNESS SOLUTIONS LLC | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1978-02-23 | 0002 0002 | 929625 | N/A | C1 | false | CHVATIKOVA | N/A | MONIKA | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541499 | 2222 | 4802 | 8209587 | N/A | 4213512 | 2025-06-03 05:17:26.893995 | 2025-05-09 03:59:22.501514 |
| 2025-06-02 11:50:35.317905 | 2025-06-03 05:06:01.082579 | 8495592 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8495592 | Athletic Physical Therapy Inc | 1957-06-02 | 2025-06-09 | M | PT | HUAYNATE | 40052889901 | ERASMO | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541316/check_8495592_3f1f54af-8ad0-458b-98fc-f9204539f815.json | N/A | N/A | N/A | N/A | N/A | 40052889901 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1957-06-02 | N/A | N/A | N/A | N/A | false | HUAYNATE | N/A | ERASMO | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541316 | 2222 | 4801 | 8202442 | N/A | 4213347 | 2025-06-03 05:06:01.082579 | 2025-05-13 04:29:37.227669 |
| 2025-06-02 11:50:34.879419 | 2025-06-03 05:23:52.284276 | 8495581 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8495581 | Athletic Physical Therapy Inc | 1965-09-18 | 2025-06-09 | F | PT | SHAPIRO | XEA901579979 | ANDREA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541315/check_8495581_95b98376-4b5f-42cb-af9b-f3b831f56b59.json | N/A | N/A | N/A | N/A | N/A | XEA901579979 | Preferred Provider Organization (PPO) | HANGER STEINBERG SHAPIRO AND ASH A LAW COR | BLUE SHIELD CALIFORNIA | N/A | 1965-09-18 | 1000VX000102 | W0045063 | N/A | PR | false | SHAPIRO | N/A | MARC | N/A | 9999-12-31 | 2024-11-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541315 | 2222 | 4793 | 8214866 | N/A | 4213344 | 2025-06-03 05:23:52.284276 | 2025-05-13 04:29:37.227667 |
| 2025-06-02 11:50:34.570072 | 2025-06-03 05:29:16.518224 | 8495574 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8495574 | Athletic Physical Therapy Inc | 1948-09-11 | 2025-06-09 | M | PT | BAKSHI | 8PU2T62JR27 | ALFRED | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540447/check_8495574_0e50c34b-57d9-434d-896a-642e88a3821f.json | N/A | N/A | N/A | N/A | N/A | 8PU2T62JR27 | Medicare Part A | N/A | AAA INSURANCE GROUP | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-09-11 | S5617 | DOL 01032023 | N/A | MA | false | BAKSHI | N/A | ALFRED | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540447 | 2222 | 4802 | 8218870 | N/A | 4212608 | 2025-06-03 05:29:16.518224 | 2025-05-13 04:29:37.226956 |
| 2025-06-02 11:50:34.190211 | 2025-06-03 05:21:30.773853 | 8495562 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8495562 | Athletic Physical Therapy Inc | 1988-09-18 | 2025-06-09 | F | PT | MERCADO | XDP650M97615 | ASHLEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539883/check_8495562_ab2e54ef-dce4-4320-8072-03765f2a86db.json | N/A | N/A | N/A | N/A | N/A | XDP650M97615 | N/A | TELESIGN CORP | ANTHEM BLUE CROSS | THIS INACTIVE MEMBER MAY BE ELIGIBLE FOR COVERAGE UNDER THEIR PRIOR COVERAGE IF THEY MEET THE ELIGIBILITY REQUIREMENTS OF THE CONSOLIDATED APPROPRIATIONS ACT. COVERAGE IS LIMITED TO SERVICES FOR CONTINUITY OF CARE CONDITIONS. ASK THE MEMBER FOR MORE INFORMATION. | 1988-09-18 | 040 | 277898M001 | N/A | N/A | false | LOTZER | N/A | ANDREW | 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 | 5539883 | 2222 | 4802 | 8212937 | N/A | 4212122 | 2025-06-03 05:21:30.773853 | 2025-05-13 04:29:37.226459 |
| 2025-06-02 11:50:33.769542 | 2025-06-03 05:17:29.430794 | 8495556 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8495556 | Athletic Physical Therapy Inc | 1958-01-24 | 2025-06-05 | M | PT | SAUER | 995746438 | MARCOS | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539785/check_8495556_ed1a6219-e725-4d39-8e63-ee8aee4a9b5f.json | N/A | N/A | N/A | N/A | N/A | 995746438 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1958-01-24 | N/A | 74126 | N/A | PR | false | SAUER | N/A | MARCOS | N/A | N/A | N/A | LPPO-AARP MEDICARE ADVANTAGE FROM UHC CA-0029 (PPO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539785 | 2222 | 4793 | 8209620 | N/A | 4212024 | 2025-06-03 05:17:29.430794 | 2025-05-28 20:17:35.019662 |
| 2025-06-02 11:50:32.950652 | 2025-06-03 05:24:17.491572 | 8495534 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8495534 | Athletic Physical Therapy Inc | 1963-03-09 | 2025-06-05 | M | PT | GILLETTE | ZZA129013396001 | GRADY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.165822578.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539749/check_8495534_5c2e3612-b5c1-49e7-8e69-ac1f72a9284e.json | N/A | N/A | N/A | N/A | N/A | ZZA129013396001 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1963-03-09 | 725 | 10527566 | N/A | N/A | false | GILLETTE | N/A | VICTORIA | 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 | 5539749 | 2222 | 4801 | 8215176 | N/A | 4212009 | 2025-06-03 05:24:17.491572 | 2025-05-13 04:29:37.226332 |