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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-26 08:14:45.905665 | 2025-09-27 02:05:23.224420 | 12723095 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12723095 | Athletic Physical Therapy Inc | 2014-05-21 | 2025-09-29 | M | PT | CHYNOWETH | JQU148M89680 | DAMIAN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.111420171.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8027485/check_12723095_0275aef3-d462-48a9-87d6-9dece4838d2a.json | N/A | N/A | N/A | N/A | N/A | JQU148M89680 | Preferred Provider Organization (PPO) | ELECTRIC POWER GROUP | ANTHEM BLUE CROSS | N/A | 2014-05-21 | 040 | 345735 | N/A | PR | false | CHYNOWETH | N/A | JOSHUA | N/A | 9999-12-31 | 2025-05-01 | ANTHEM GOLD PPO 30/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8877767993 | N/A | N/A | 8027485 | 2222 | 4793 | 12984721 | N/A | 6828971 | 2025-09-27 02:05:23.224420 | 2025-09-02 17:27:57.794692 |
| 2025-09-26 08:14:44.152448 | 2025-09-27 02:06:30.393464 | 12723067 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12723067 | Athletic Physical Therapy Inc | 1955-05-21 | 2025-09-29 | F | PT | MARTINEZ | HFD100011199462 | RACHEL | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.111420171.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8026951/check_12723067_95215c69-a10a-4d72-88e9-1793b3c6981e.json | N/A | N/A | N/A | N/A | N/A | HFD100011199462 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS. DOUBLEQUOTECHAR | 1955-05-21 | N/A | N/A | N/A | PR | false | MARTINEZ | N/A | RACHEL | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8877767990 | N/A | N/A | 8026951 | 2222 | 4801 | 12985244 | N/A | 6828511 | 2025-09-27 02:06:30.393464 | 2025-08-14 00:23:35.929152 |
| 2025-09-26 08:14:40.106526 | 2025-09-27 02:01:26.744319 | 12723001 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12723001 | Athletic Physical Therapy Inc | 1952-01-13 | 2025-09-29 | M | PT | BLANCO ESCOBAR | JQW106W18304 | SAMUEL | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.110734528.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9134245/check_12723001_ebdb9f2b-0dbd-4c0c-89d3-d51aa7b2f3ec.json | N/A | N/A | N/A | N/A | N/A | JQW106W18304 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1952-01-13 | N/A | N/A | N/A | N/A | false | BLANCO ESCOBAR | N/A | SAMUEL | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8877726257 | N/A | N/A | 9134245 | 2222 | 4801 | 12983185 | N/A | 7655426 | 2025-09-27 02:01:26.744319 | 2025-09-08 18:14:46.984181 |
| 2025-09-26 08:14:37.293004 | 2025-09-27 05:06:51.454017 | 12722954 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12722954 | Athletic Physical Therapy Inc | 1945-10-03 | 2025-09-29 | F | AE | CAVELLA | XEA913628752 | EMIL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.111421658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6203312/check_12722954_58e483ee-5182-4515-8b8e-6dc644ca7cbb.json | N/A | N/A | N/A | N/A | N/A | XAN913628752 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | MEDICARE PART A AND B | N/A | 1945-10-03 | 1002VX000001 | W0051411 | N/A | PR | false | CAVELLA | N/A | EMIL | N/A | 9999-12-31 | 2025-01-01 | CALPERS ASO PLATINUM PPO SUPPLEMENT TO MEDICARE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8877770225 | N/A | N/A | 6203312 | 2222 | 4801 | 13001441 | N/A | 4846213 | 2025-09-27 05:06:51.454017 | 2025-06-10 21:58:09.734801 |
| 2025-09-26 08:14:36.300393 | 2025-09-27 05:06:52.319445 | 12722937 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12722937 | Athletic Physical Therapy Inc | 1960-07-20 | 2025-09-29 | F | AE | NAFTZGER | XEM914412859 | SANDRA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.111421658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6194938/check_12722937_42da5723-07f0-4163-8385-f94cfbf267ce.json | N/A | N/A | N/A | N/A | N/A | XEM914412859 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1960-07-20 | 2002SEW00030 | X0001002 | N/A | OT | false | NAFTZGER | N/A | SANDRA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8877770223 | N/A | N/A | 6194938 | 2222 | 4802 | 13001444 | N/A | 4214889 | 2025-09-27 05:06:52.319445 | 2025-05-13 04:29:37.229212 |
| 2025-09-26 08:14:32.202590 | 2025-09-27 02:01:25.689805 | 12722861 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12722861 | Athletic Physical Therapy Inc | 1963-04-21 | 2025-09-29 | F | PT | ARREGUIN | NCF356A67636 | LETICIA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.110734528.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9131826/check_12722861_bc01108a-6173-4478-bcf2-993bf06a2093.json | N/A | N/A | N/A | N/A | N/A | NCF356A67636 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1963-04-21 | N/A | N/A | N/A | N/A | false | ARREGUIN | N/A | LETICIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8877726199 | N/A | N/A | 9131826 | 2222 | 4801 | 12983182 | N/A | 7652862 | 2025-09-27 02:01:25.689805 | 2025-09-19 19:09:46.068421 |
| 2025-09-26 08:14:22.521944 | 2025-09-27 05:06:53.025740 | 12722692 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12722692 | Athletic Physical Therapy Inc | 1959-07-13 | 2025-09-29 | F | AE | SHETH | XEA914147448 | SHAIVALINI | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.111421658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145898/check_12722692_2c9dbd1a-6d78-4be0-bb91-fa9be09959fb.json | N/A | N/A | N/A | N/A | N/A | XAN914147448 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | MEDICARE PART A AND B | N/A | 1959-07-13 | 1002VX000001 | W0051411 | N/A | PR | false | SHETH | N/A | OJAS | N/A | 9999-12-31 | 2025-02-01 | CALPERS ASO PLATINUM PPO SUPPLEMENT TO MEDICARE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8877769167 | N/A | N/A | 6145898 | 2222 | 4801 | 13001446 | N/A | 4786709 | 2025-09-27 05:06:53.025740 | 2025-06-20 18:28:02.399027 |
| 2025-09-26 08:14:12.931795 | 2025-09-27 02:12:19.369044 | 12722496 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12722496 | Athletic Physical Therapy Inc | 1991-05-10 | 2025-09-29 | F | AE | NEPALI | R14157930FM1 | THILY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.110734528.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9105461/check_12722496_cced48cc-0209-491c-8715-227c79e8a5cb.json | N/A | N/A | N/A | N/A | N/A | R14157930FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1991-05-10 | N/A | N/A | N/A | N/A | false | NEPALI | N/A | THILY | N/A | N/A | N/A | M53 COMHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8877725732 | N/A | N/A | 9105461 | 2222 | 4802 | 12987770 | N/A | 7625402 | 2025-09-27 02:12:19.369044 | 2025-09-15 23:06:48.101835 |
| 2025-09-26 08:14:01.711185 | 2025-09-27 02:13:02.812909 | 12722257 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12722257 | Athletic Physical Therapy Inc | 2009-01-14 | 2025-09-29 | F | PT | OBACZ | JQV897A63197 | KLOIE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.110734528.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9102655/check_12722257_c5a51742-f771-43d1-adda-b4ced0e92bb3.json | N/A | N/A | N/A | N/A | N/A | JQV897A63197 | Health Maintenance Organization (HMO) | EVOLVED NOVELTIES INC | ANTHEM BLUE CROSS | N/A | 2009-01-14 | 040 | F45883 | N/A | HM | false | OBACZ | N/A | JUSTIN | N/A | 9999-12-31 | 2025-01-01 | CA SG SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8877725691 | N/A | N/A | 9102655 | 2222 | 4801 | 12988101 | N/A | 7621062 | 2025-09-27 02:13:02.812909 | 2025-09-12 19:10:20.936695 |
| 2025-09-26 08:13:50.388120 | 2025-09-27 02:04:38.657180 | 12722077 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 12722077 | Athletic Physical Therapy Inc | 1950-08-25 | 2025-09-29 | F | AE | POLLOCK | 40002008301 | MARY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.111420171.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7992096/check_12722077_53149ca7-e50c-4d2a-9ee8-246ad96748bf.json | N/A | N/A | N/A | N/A | N/A | 40002008301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-08-25 | 2025H5425001 | H5425M | N/A | N/A | false | POLLOCK | N/A | MARY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8877767434 | N/A | N/A | 7992096 | 2222 | 4801 | 12984433 | N/A | 4212687 | 2025-09-27 02:04:38.657180 | 2025-08-27 18:05:06.350903 |
| 2025-09-26 08:13:44.429815 | 2025-09-27 02:05:24.080610 | 12721952 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12721952 | Athletic Physical Therapy Inc | 1971-05-04 | 2025-09-29 | F | PT | MAHAARACHCHI | EXHAN7912598 | MELONY | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.111420171.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7988722/check_12721952_bc87bf2f-e9c9-4ca6-98bc-4c9bbe32edef.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1971-05-04 | N/A | N/A | N/A | N/A | false | MAHAARACHCHI | N/A | MELONY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8877767420 | N/A | N/A | 7988722 | 2222 | 4793 | 12984728 | N/A | 6798209 | 2025-09-27 02:05:24.080610 | 2025-10-29 15:15:17.952230 |
| 2025-09-26 08:13:40.937113 | 2025-09-27 05:14:35.749796 | 12721889 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 12721889 | Athletic Physical Therapy Inc | 1975-12-22 | 2025-09-29 | M | PT | HUTH | XEH910929228 | KENT | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.110530006.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7626895/check_12721889_40202f84-05d5-4b41-859d-874ba8c76322.json | N/A | N/A | N/A | N/A | N/A | XEH910929228 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1975-12-22 | 1000HMOX0001 | W0051411 | N/A | HM | false | HUTH | N/A | KENT | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8877712510 | N/A | N/A | 7626895 | 2222 | 4793 | 13002619 | N/A | 6525917 | 2025-09-27 05:14:35.749796 | 2026-05-08 22:53:13.232007 |
| 2025-09-26 08:13:36.962350 | 2025-09-27 02:03:38.902552 | 12721804 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 12721804 | Athletic Physical Therapy Inc | 1977-08-24 | 2025-09-29 | F | AE | LESLIE | 106969238 | CAROLYN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.111420171.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7978844/check_12721804_2661150b-f874-4d6f-9e08-7ce58484d6f3.json | N/A | N/A | N/A | N/A | N/A | 10696923800 | N/A | BELLWETHER ASSET MANAGEMENT, INC. | CHLIC | COMPLETE CARE MANAGEMENT | 1977-08-24 | N/A | 00634196 | N/A | N/A | false | LESLIE | N/A | CAROLYN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8877766886 | N/A | N/A | 7978844 | 2222 | 4802 | 12984050 | N/A | 6791609 | 2025-09-27 02:03:38.902552 | 2025-08-12 23:25:40.841503 |
| 2025-09-26 08:13:32.878687 | 2025-09-27 02:36:40.007806 | 12721733 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12721733 | Athletic Physical Therapy Inc | 1959-07-13 | 2025-09-29 | F | AE | SHETH | 4T52DU0KY22 | SHAIVALINI | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.123242918.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145897/check_12721733_d536bb70-5733-49ca-8d60-9602c08829e5.json | N/A | N/A | N/A | N/A | N/A | 4T52DU0KY22 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-13 | N/A | N/A | N/A | MA | false | SHETH | N/A | SHAIVALINI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8878029279 | N/A | N/A | 6145897 | 2222 | 4801 | 12997787 | N/A | 4786709 | 2025-09-27 02:36:40.007806 | 2025-06-20 18:28:02.399027 |
| 2025-09-26 08:13:27.275947 | 2025-09-27 02:05:23.785951 | 12721644 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12721644 | Athletic Physical Therapy Inc | 1994-03-01 | 2025-09-29 | F | PT | GUTIERREZ | NCF513W15087 | ALBA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.111420171.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7972178/check_12721644_19173088-6130-430f-b731-5e176b40d541.json | N/A | N/A | N/A | N/A | N/A | NCF513W15087 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1994-03-01 | 040 | 57AJCA | N/A | HM | false | GUTIERREZ POLANC | N/A | ALBA | N/A | 9999-12-31 | 2023-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8877766864 | N/A | N/A | 7972178 | 2222 | 4802 | 12984725 | N/A | 6787192 | 2025-09-27 02:05:23.785951 | 2026-03-20 03:02:52.647595 |
| 2025-09-26 08:13:23.857433 | 2025-09-27 02:13:06.401661 | 12721576 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12721576 | Athletic Physical Therapy Inc | 1962-08-12 | 2025-09-29 | F | PT | SCHOLEFIELD | TRJNP1055193 | ROBIN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.110734528.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9087505/check_12721576_a6e281f3-7989-451a-998d-034322d4890c.json | N/A | N/A | N/A | N/A | N/A | TRJNP1055193 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1962-08-12 | 040 | 276727M007 | N/A | PR | false | SCHOLEFIELD | N/A | ROBIN | N/A | 9999-12-31 | 2020-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8877725145 | N/A | N/A | 9087505 | 2222 | 4793 | 12988133 | N/A | 7605100 | 2025-09-27 02:13:06.401661 | 2025-09-11 15:07:41.965017 |
| 2025-09-26 08:12:56.061183 | 2025-09-27 02:25:40.944999 | 12720886 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12720886 | Athletic Physical Therapy Inc | 1981-12-16 | 2025-09-29 | F | AE | DE FELICE | R07457624FM1 | CHRISTINA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.123242918.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140436/check_12720886_9d1f0803-ba37-46b8-9469-fc65c0b3ac98.json | N/A | N/A | N/A | N/A | N/A | R07457624FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1981-12-16 | N/A | N/A | N/A | N/A | false | DE FELICE | N/A | CHRISTINA | N/A | N/A | N/A | KA9 SBP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8878029106 | N/A | N/A | 6140436 | 2222 | 4801 | 12994654 | N/A | 4781417 | 2025-09-27 02:25:40.944999 | 2025-06-06 17:03:19.078153 |
| 2025-09-26 08:12:48.045775 | 2025-09-27 02:16:21.073945 | 12720701 | N/A | N/A | 60054 | Aetna | 1114042165 | 12720701 | Athletic Physical Therapy Inc | 1969-01-03 | 2025-09-29 | M | AE | HUANG | W278191924 | DANNY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.123242918.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140246/check_12720701_a7074b85-f800-4952-ae92-149740528662.json | N/A | N/A | N/A | N/A | N/A | W278191924 | Point of Service (POS) | RIPPLING PEO 1, INC. | AETNA | N/A | 1969-01-03 | 0169696 | 016969601700012 | N/A | PS | false | HUANG | N/A | DANNY | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8878029100 | N/A | N/A | 6140246 | 2222 | 4802 | 12989834 | N/A | 4781166 | 2025-09-27 02:16:21.073945 | 2025-06-11 17:29:46.826705 |
| 2025-09-26 08:12:34.463909 | 2025-09-27 05:05:59.912903 | 12720420 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12720420 | Athletic Physical Therapy Inc | 1964-05-26 | 2025-09-29 | F | AE | FERNANDEZ | JQC95483183F | LISA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.111421658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858692/check_12720420_a3bdcd42-446b-4f6d-aa93-61f5862819db.json | N/A | N/A | N/A | N/A | N/A | JQC95483183F | Medicaid | LOS ANGELES/MLTSS/DUAL/CMCELIG/WELL | MEDICARE D | N/A | 1964-05-26 | 040 | 1191Z00004 | N/A | MC | false | FERNANDEZ | N/A | LISA | N/A | 9999-12-31 | 2025-03-01 | MEDI-CAL LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8877769688 | N/A | N/A | 5858692 | 2222 | 4793 | 13001276 | N/A | 4210649 | 2025-09-27 05:05:59.912903 | 2025-06-19 18:43:58.008751 |
| 2025-09-26 08:12:17.899882 | 2025-09-27 05:30:37.750950 | 12720092 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12720092 | Athletic Physical Therapy Inc | 1988-09-12 | 2025-09-29 | M | PT | Guzzo | JQU895W23533 | Aaron | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.110530006.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7513987/check_12720092_27069e70-c74a-43c2-a56b-5783d80f7ae1.json | N/A | N/A | N/A | N/A | N/A | JQU895W23533 | Preferred Provider Organization (PPO) | 3 ARTS ENTERTAINMENT LLC | BLUE SHIELD OF CALIFORNIA | N/A | 1988-09-12 | 040 | H59723 | N/A | PR | false | RATHER-GUZZO | N/A | SANDY | N/A | 9999-12-31 | 2025-06-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8877711517 | N/A | N/A | 7513987 | 2222 | 4802 | 13004103 | N/A | 6451061 | 2025-09-27 05:30:37.750950 | 2025-07-28 22:43:26.605856 |
| 2025-09-26 08:12:08.381170 | 2025-09-27 02:02:09.728630 | 12719883 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 12719883 | override_provider | 1956-10-21 | 2025-09-29 | M | PT | TOROS | SAD103594467 | HALIL | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.111420171.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7896723/check_12719883_b54b17bb-1a2a-4671-a3eb-0affae56e186.json | N/A | N/A | N/A | N/A | N/A | SAD10359446700 | Preferred Provider Organization (PPO) | SAS INSTITUTE INC. | BLUE SHIELD OF CALIFORNIA | N/A | 1956-10-21 | FACETS | 14163533 | N/A | PR | false | TOROS | N/A | HALIL | N/A | 2199-12-31 | 2025-01-01 | BLUE OPTIONS | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8877768558 | N/A | N/A | 7896723 | 2222 | 4802 | 12983445 | N/A | 6723602 | 2025-09-27 02:02:09.728630 | 2025-08-12 18:22:41.461515 |
| 2025-09-26 08:11:58.393358 | 2025-09-27 02:03:12.245690 | 12719682 | N/A | N/A | 60054 | Aetna | 1114042165 | 12719682 | Athletic Physical Therapy Inc | 1993-09-13 | 2025-09-29 | F | AE | FUREY | M27353582401 | VIRGINIA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.110734528.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9063334/check_12719682_a03d7d54-8157-4ddf-9f3d-25af094dba6a.json | N/A | N/A | N/A | N/A | N/A | W273535824 | Health Maintenance Organization (HMO) | NEIGHBORHOOD UNITARIAN UNIVERSALIST | AETNA | N/A | 1993-09-13 | EADLCK01 | 018448303500003 | N/A | HM | false | FUREY | N/A | VIRGINIA | N/A | N/A | N/A | AWH SOUTHERN CA HMO SILVER | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8877726516 | N/A | N/A | 9063334 | 2222 | 4801 | 12983870 | N/A | 7578220 | 2025-09-27 02:03:12.245690 | 2025-09-07 21:16:52.874287 |
| 2025-09-26 08:11:57.989707 | 2025-09-27 02:13:01.501794 | 12719673 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12719673 | Athletic Physical Therapy Inc | 1951-10-06 | 2025-09-29 | M | PT | CRONIN | NSA00368979H | KEVIN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.110734528.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9063293/check_12719673_11d67338-b3d0-45e2-b963-590d0c5e270a.json | N/A | N/A | N/A | N/A | N/A | NSA00368979H | Preferred Provider Organization (PPO) | MAIN PPO PLAN- EARNED | ANTHEM BLUE CROSS | N/A | 1951-10-06 | 040 | L05927A001 | N/A | PR | false | CRONIN | N/A | KEVIN | N/A | 9999-12-31 | 2023-07-01 | PB INCENTIVE NO SUTTER | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8877726515 | N/A | N/A | 9063293 | 2222 | 4793 | 12988096 | N/A | 7578088 | 2025-09-27 02:13:01.501794 | 2025-09-03 18:45:56.904111 |
| 2025-09-26 08:11:42.657462 | 2025-09-27 05:01:27.781177 | 12719364 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 12719364 | Athletic Physical Therapy Inc | 1954-05-11 | 2025-09-29 | M | AE | PETERS | 32146482611 | DENNIS | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.111421658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550027/check_12719364_f88d3ef9-4893-4859-abe3-4830fe4a57ab.json | N/A | N/A | N/A | N/A | N/A | 32146482611 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1954-05-11 | N/A | N/A | N/A | SP | false | PETERS | N/A | DENNIS | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8877770539 | N/A | N/A | 5550027 | 2222 | 4801 | 13000357 | N/A | 4219449 | 2025-09-27 05:01:27.781177 | 2025-10-07 21:32:27.567534 |
| 2025-09-26 08:11:41.107428 | 2025-09-27 05:08:56.091300 | 12719333 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 12719333 | Athletic Physical Therapy Inc | 1950-10-31 | 2025-09-29 | F | AE | HOORIZADEH | 99091630E95124 | FLORA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.111421658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543529/check_12719333_81c91037-4134-4f07-9a88-ee1ffc0203b0.json | N/A | N/A | N/A | N/A | N/A | 99091630E95124 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1950-10-31 | N/A | N/A | N/A | N/A | false | HOORIZADEH | N/A | FLORA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8877769068 | N/A | N/A | 5543529 | 2222 | 4802 | 13001841 | N/A | 4215312 | 2025-09-27 05:08:56.091300 | 2025-05-13 04:29:37.229631 |
| 2025-09-26 08:11:40.494709 | 2025-09-27 05:01:28.396664 | 12719325 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 12719325 | Athletic Physical Therapy Inc | 1946-11-18 | 2025-09-29 | M | AE | STECHER | 34232537512 | BRIAN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.111421658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543053/check_12719325_562dc700-d3c4-49a9-871a-1d0d5fa861d2.json | N/A | N/A | N/A | N/A | N/A | 34232537512 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1946-11-18 | N/A | N/A | N/A | SP | false | STECHER | N/A | BRIAN | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8877769067 | N/A | N/A | 5543053 | 2222 | 4802 | 13000359 | N/A | 4214891 | 2025-09-27 05:01:28.396664 | 2025-05-13 04:29:37.229214 |
| 2025-09-26 08:11:39.797237 | 2025-09-27 05:01:27.510828 | 12719309 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 12719309 | Athletic Physical Therapy Inc | 1937-05-08 | 2025-09-29 | F | AE | GRINBERG | 04690155011 | HANNA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.111421658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542163/check_12719309_cd60d541-aeff-43fc-b750-20d4c72c2001.json | N/A | N/A | N/A | N/A | N/A | 04690155011 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1937-05-08 | N/A | N/A | N/A | SP | false | GRINBERG | N/A | HANNA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN J | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8877769066 | N/A | N/A | 5542163 | 2222 | 4802 | 13000356 | N/A | 4214112 | 2025-09-27 05:01:27.510828 | 2025-05-13 04:29:37.228426 |
| 2025-09-26 08:11:39.227151 | 2025-09-27 05:01:28.060206 | 12719299 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 12719299 | Athletic Physical Therapy Inc | 1944-04-25 | 2025-09-29 | F | AE | ROSENTHAL | 30096718111 | PHYLLIS | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.111421658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541888/check_12719299_2f6893cd-4d96-4e7e-9c86-0c90164826cf.json | N/A | N/A | N/A | N/A | N/A | 30096718111 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1944-04-25 | N/A | N/A | N/A | SP | false | ROSENTHAL | N/A | PHYLLIS | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8877769065 | N/A | N/A | 5541888 | 2222 | 4802 | 13000358 | N/A | 4213865 | 2025-09-27 05:01:28.060206 | 2025-05-13 04:29:37.228183 |
| 2025-09-26 08:11:38.686347 | 2025-09-27 05:06:00.545229 | 12719289 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12719289 | Athletic Physical Therapy Inc | 1952-03-05 | 2025-09-29 | F | AE | MOHABBAT | JQE182M78942 | SHARIFA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.111421658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539972/check_12719289_54438d19-ff3d-4b18-8b93-c924afef37f6.json | N/A | N/A | N/A | N/A | N/A | JQE182M78942 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-03-05 | 040 | CASUPWP0 | N/A | N/A | false | MOHABBAT | N/A | SHARIFA | N/A | 9999-12-31 | 2023-04-01 | CA MODERNIZED PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8877769064 | N/A | N/A | 5539972 | 2222 | 4801 | 13001278 | N/A | 4212140 | 2025-09-27 05:06:00.545229 | 2025-09-23 20:47:09.024376 |
| 2025-09-26 08:11:37.393865 | 2025-09-27 05:05:35.026442 | 12719268 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12719268 | Athletic Physical Therapy Inc | 1950-09-27 | 2025-09-29 | F | AE | THOMSEN | R12604487 | JANET | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.111421658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537953/check_12719268_fc1b4c8e-3314-42d4-8b1b-b5a71310d3cd.json | N/A | N/A | N/A | N/A | N/A | R12604487FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1950-09-27 | N/A | N/A | N/A | N/A | false | THOMSEN | N/A | JANET | N/A | 2025-11-01 | 2022-03-01 | FAP MEDIFLEX | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8877769062 | N/A | N/A | 5537953 | 2222 | 4801 | 13001194 | N/A | 4210450 | 2025-09-27 05:05:35.026442 | 2026-05-04 21:51:25.248197 |
| 2025-09-26 08:11:36.786451 | 2025-09-27 05:06:52.735094 | 12719254 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12719254 | Athletic Physical Therapy Inc | 1946-08-26 | 2025-09-29 | M | AE | ROTHMAN | XEM909022493 | MIKE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.111421658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536206/check_12719254_d604b6d0-b61e-4e41-935d-d7295fd1f503.json | N/A | N/A | N/A | N/A | N/A | XEM909022493 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1946-08-26 | 2002SF000029 | X0001002 | N/A | OT | false | ROTHMAN | N/A | MIKE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8877769061 | N/A | N/A | 5536206 | 2222 | 4801 | 13001445 | N/A | 4208978 | 2025-09-27 05:06:52.735094 | 2025-05-13 04:29:37.223404 |
| 2025-09-26 08:11:36.281440 | 2025-09-27 05:06:52.025244 | 12719245 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12719245 | Athletic Physical Therapy Inc | 1950-07-23 | 2025-09-29 | M | AE | MELVILLE | XEMJ06188527 | LANNING | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.111421658.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535731/check_12719245_225f06b9-10b2-41c8-8d05-98d6968a5f83.json | N/A | N/A | N/A | N/A | N/A | XEMJ06188527 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1950-07-23 | N/A | N/A | N/A | N/A | false | MELVILLE | N/A | LANNING | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8877769060 | N/A | N/A | 5535731 | 2222 | 4802 | 13001443 | N/A | 4208598 | 2025-09-27 05:06:52.025244 | 2025-09-11 00:56:25.554348 |
| 2025-09-26 08:11:33.745986 | 2025-09-27 05:14:16.020242 | 12719188 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 12719188 | Athletic Physical Therapy Inc | 1953-07-31 | 2025-09-29 | F | AE | Dickenson | 91000390H | Linda | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.110530006.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449889/check_12719188_319d9eba-dcfa-475a-bbef-7a7abf744b82.json | N/A | N/A | N/A | N/A | N/A | 91000390H | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 03/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1953-07-31 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | DICKENSON | N/A | LINDA | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8877712876 | N/A | N/A | 7449889 | 2222 | 4802 | 13002534 | N/A | 6399696 | 2025-09-27 05:14:16.020242 | 2025-07-24 23:24:56.744520 |
| 2025-09-26 08:11:27.299733 | 2025-09-27 02:07:35.184834 | 12719044 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12719044 | Athletic Physical Therapy Inc | 1934-05-31 | 2025-09-29 | M | AE | RANDERIA | R58901143 | BHUPENDRA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.133116048.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8420255/check_12719044_2a070f07-ba5f-4ab0-a957-2c8121171cdb.json | N/A | N/A | N/A | N/A | N/A | R58901143 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1934-05-31 | N/A | 106 | N/A | PR | false | RANDERIA | N/A | BHUPEN | N/A | 9999-12-31 | 2018-01-01 | STANDARD SECONDARY | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8877794360 | N/A | N/A | 8420255 | 2222 | 4802 | 12985730 | N/A | 7097664 | 2025-09-27 02:07:35.184834 | 2026-04-30 18:11:14.979451 |
| 2025-09-26 08:11:22.645122 | 2025-09-27 05:27:31.031967 | 12718938 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12718938 | Athletic Physical Therapy Inc | 1962-09-14 | 2025-09-29 | F | PT | MOORE | W2A952W18561 | YOLANDA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.110530006.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7447590/check_12718938_3b9e3aee-35c9-4867-a707-26b9afed177f.json | N/A | N/A | N/A | N/A | N/A | WZA952W18561 | Preferred Provider Organization (PPO) | WARNER BROS DISCOVERY INC | ANTHEM BLUE CROSS | N/A | 1962-09-14 | 130 | 270240M25A | N/A | PR | false | MOORE | N/A | YOLANDA | N/A | 9999-12-31 | 2024-01-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8877711975 | N/A | N/A | 7447590 | 2222 | 4801 | 13003784 | N/A | 6397797 | 2025-09-27 05:27:31.031967 | 2025-08-12 19:16:58.418300 |
| 2025-09-26 08:11:20.980053 | 2025-09-27 05:37:10.108157 | 12718897 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12718897 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-09-29 | F | AE | SHAKIB | 1MR6XC7NU77 | PARI | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.110530006.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444722/check_12718897_fe1e5879-f63c-4d95-82c1-eadefb96b01a.json | N/A | N/A | N/A | N/A | N/A | 1MR6XC7NU77 | Medicare Part B | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-05-04 | H5521 | N/A | N/A | MB | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8877711967 | N/A | N/A | 7444722 | 2222 | 4802 | 13005394 | N/A | 6395498 | 2025-09-27 05:37:10.108157 | 2026-02-18 02:38:35.073779 |
| 2025-09-26 08:11:19.117010 | 2025-09-27 05:21:47.935990 | 12718859 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 12718859 | Athletic Physical Therapy Inc | 1961-03-08 | 2025-09-29 | F | AE | SAPHOS | U2326133302 | CHERYL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.110530006.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444268/check_12718859_81d6d0b0-df11-4630-9a49-6e03667c3381.json | N/A | N/A | N/A | N/A | N/A | U2326133302 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 1961-03-08 | N/A | 3207160 | N/A | N/A | false | SAPHOS | N/A | CHERYL | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8877711960 | N/A | N/A | 7444268 | 2222 | 4793 | 13003232 | N/A | 6395002 | 2025-09-27 05:21:47.935990 | 2025-08-01 21:55:47.943743 |
| 2025-09-26 08:10:35.822710 | 2025-09-27 05:24:58.304747 | 12718055 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12718055 | Athletic Physical Therapy Inc | 1966-07-12 | 2025-09-29 | M | AE | Cohn | R06589895MM1 | David | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.110530006.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7315101/check_12718055_caf84ba2-a3b8-43ae-8da2-3cb1b4e862b3.json | N/A | N/A | N/A | N/A | N/A | R06589895MM1 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1966-07-12 | N/A | CA05620125 | N/A | N/A | false | COHN | N/A | DAVID | N/A | N/A | N/A | WELLCARE SIMPLE FOCUS (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8877713188 | N/A | N/A | 7315101 | 2222 | 4802 | 13003533 | N/A | 6152454 | 2025-09-27 05:24:58.304747 | 2025-07-17 21:44:04.596080 |
| 2025-09-26 08:10:34.334402 | 2025-09-27 02:03:13.840561 | 12718022 | N/A | N/A | 60054 | Aetna | 1114042165 | 12718022 | Athletic Physical Therapy Inc | 1946-06-15 | 2025-09-29 | M | AE | SCHECHTER | 102181433800 | STEVEN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.110734528.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9026590/check_12718022_704e97cd-9155-4079-a520-859ceacaa2a7.json | N/A | N/A | N/A | N/A | N/A | 102181433800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1946-06-15 | 000003-CA000027 | 000003-CA | N/A | PR | false | SCHECHTER | N/A | STEVEN | N/A | 2026-01-01 | 2025-07-01 | AETNA MEDICARE CHOICE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8877726031 | N/A | N/A | 9026590 | 2222 | 4793 | 12983881 | N/A | 7549031 | 2025-09-27 02:03:13.840561 | 2026-05-22 23:37:03.098359 |
| 2025-09-26 08:10:27.592219 | 2025-09-27 02:03:13.192610 | 12717888 | N/A | N/A | 60054 | Aetna | 1114042165 | 12717888 | Athletic Physical Therapy Inc | 1989-01-27 | 2025-09-29 | M | AE | Nawrot | W245282037 | Michael | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.110734528.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9025372/check_12717888_7508c906-9f62-4b94-9c5c-68512625d28b.json | N/A | N/A | N/A | N/A | N/A | W245282037 | Point of Service (POS) | ARES MANAGEMENT LLC | AETNA | N/A | 1989-01-27 | 0804939 | 080493901500051 | N/A | PS | false | NAWROT | N/A | MICHAEL | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8877726011 | N/A | N/A | 9025372 | 2222 | 4802 | 12983877 | N/A | 7548299 | 2025-09-27 02:03:13.192610 | 2025-09-02 21:45:20.203692 |
| 2025-09-26 08:10:14.620372 | 2025-09-27 02:13:04.020517 | 12717604 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12717604 | Athletic Physical Therapy Inc | 1952-08-20 | 2025-09-29 | M | PT | POLK | MBL292M95257 | KENNETH | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.110734528.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9022039/check_12717604_c2718d02-92fd-4261-85dd-1c2e11f4b731.json | N/A | N/A | N/A | N/A | N/A | MBL292M95257 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1952-08-20 | 040 | CAEGR002 | N/A | N/A | false | POLK | N/A | KENNETH | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8877726711 | N/A | N/A | 9022039 | 2222 | 4801 | 12988113 | N/A | 7544773 | 2025-09-27 02:13:04.020517 | 2025-09-02 18:35:33.812098 |
| 2025-09-26 08:10:08.868383 | 2025-09-27 02:12:17.834961 | 12717485 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12717485 | Athletic Physical Therapy Inc | 2011-07-26 | 2025-09-29 | M | AE | Alvarado | 93787602F | Alberto | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.110734528.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9020143/check_12717485_80a902d4-bc0a-450d-98af-d5d67364b78c.json | N/A | N/A | N/A | N/A | N/A | 93787602F | N/A | N/A | HEALTH NET, LLC | N/A | 2011-07-26 | N/A | N/A | N/A | N/A | false | ALVARADO | N/A | ALBERTO | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8877726680 | N/A | N/A | 9020143 | 2222 | 4802 | 12987749 | N/A | 7543577 | 2025-09-27 02:12:17.834961 | 2025-09-08 18:42:17.673186 |
| 2025-09-26 08:10:05.601131 | 2025-09-27 02:05:09.411459 | 12717419 | N/A | N/A | 60054 | Aetna | 1114042165 | 12717419 | Athletic Physical Therapy Inc | 1952-01-15 | 2025-09-29 | F | AE | KIRK | 101297147800 | JAN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.133116048.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8167057/check_12717419_5b606db7-cb93-4a55-b82e-4ef463cf0170.json | N/A | N/A | N/A | N/A | N/A | 101297147800 | Preferred Provider Organization (PPO) | VERIZON - MA | AETNA | MEDICARE | 1952-01-15 | 100008-02EG0011 | 100008-02 | N/A | PR | false | KIRK | N/A | JAN | N/A | 2025-12-31 | 2025-01-01 | WEST ADV PLAN 125 PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8877794549 | N/A | N/A | 8167057 | 2222 | 4801 | 12984622 | N/A | 6933707 | 2025-09-27 02:05:09.411459 | 2026-05-21 16:32:55.382229 |
| 2025-09-26 08:10:02.866439 | 2025-09-27 02:05:06.802994 | 12717359 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 12717359 | Athletic Physical Therapy Inc | 1964-01-25 | 2025-09-29 | M | AE | CORAY | 00003138358 | KLAUS | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.111420171.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7815883/check_12717359_30116a49-75d3-42a2-b46a-cf92c3c0ec25.json | N/A | N/A | N/A | N/A | N/A | 00003138358 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1964-01-25 | N/A | N/A | N/A | N/A | false | CORAY | N/A | KLAUS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8877767784 | N/A | N/A | 7815883 | 2222 | 4793 | 12984604 | N/A | 6655655 | 2025-09-27 02:05:06.802994 | 2025-09-09 21:32:56.328170 |
| 2025-09-26 08:09:33.511957 | 2025-09-27 05:37:09.420274 | 12716806 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12716806 | Athletic Physical Therapy Inc | 1945-08-03 | 2025-09-29 | M | AE | GORMLEY | 4UH0QA1WF00 | MICHAEL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.110530006.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7214829/check_12716806_6bdeae98-0b67-450e-9236-db9b62fdcf58.json | N/A | N/A | N/A | N/A | N/A | 4UH0QA1WF00 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-08-03 | S5921 | N/A | N/A | MA | false | GORMLEY | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8877712817 | N/A | N/A | 7214829 | 2222 | 4802 | 13005392 | N/A | 4209498 | 2025-09-27 05:37:09.420274 | 2025-09-22 06:46:20.286658 |
| 2025-09-26 08:09:18.137528 | 2025-09-27 05:37:08.224384 | 12716485 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12716485 | Athletic Physical Therapy Inc | 1959-02-09 | 2025-09-29 | F | AE | FERTSCHNEIDER | 4DU9YG4YD46 | NANCY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.110530006.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7204595/check_12716485_17470fc9-bc1b-4581-878b-62f9fc838b1a.json | N/A | N/A | N/A | N/A | N/A | 4DU9YG4YD46 | Medicare Part B | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-09 | S5884 | N/A | N/A | MB | false | FERTSCHNEIDER | N/A | NANCY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8877712230 | N/A | N/A | 7204595 | 2222 | 4801 | 13005388 | N/A | 6175435 | 2025-09-27 05:37:08.224384 | 2025-08-05 19:05:08.506352 |
| 2025-09-26 08:09:15.633827 | 2025-09-26 08:09:24.437869 | 12716439 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | N/A | override_provider | 2008-04-07 | 2025-09-26 | M | PT | HERRERA | LCB831759896 | JAIRO | N/A | 4197 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537418/check_12716439_1bf54403-4d4d-4f3d-8967-195483f9a2c4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537418/check_12716439_d4becc4b-9f66-4543-9697-76d2597bfc03.json | N/A | N/A | N/A | N/A | N/A | LCB831759896 | Preferred Provider Organization (PPO) | LINE CONSTRUCTION BENEFIT FUND | LINECO | N/A | 2008-04-07 | N/A | P14602 | N/A | PR | false | TATUM | N/A | CHRISTOPHER | N/A | 9999-12-31 | 2020-04-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8877676932 | N/A | N/A | 5537418 | 2222 | N/A | 12963565 | N/A | 4209986 | 2025-09-26 08:09:24.437869 | 2025-05-13 04:29:37.224406 |
| 2025-09-26 08:08:59.465974 | 2025-09-27 05:30:37.239152 | 12716187 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12716187 | Athletic Physical Therapy Inc | 1980-09-20 | 2025-09-29 | F | PT | Carpio | R60757848 | Jennifer | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.110530006.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7175544/check_12716187_3db079d5-2143-45fb-b873-e0caf15c1759.json | N/A | N/A | N/A | N/A | N/A | R60757848 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1980-09-20 | N/A | 113 | N/A | PR | false | CARPIO | N/A | JENNIFER | N/A | 9999-12-31 | 2017-07-23 | BASIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8877713678 | N/A | N/A | 7175544 | 2222 | 4802 | 13004101 | N/A | 5993712 | 2025-09-27 05:30:37.239152 | 2025-07-28 16:11:32.377707 |
| 2025-09-26 08:08:30.593905 | 2025-09-27 02:06:15.052968 | 12715662 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12715662 | Athletic Physical Therapy Inc | 1960-11-25 | 2025-09-29 | F | PT | LEE | XEK914494143 | BARBARA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.111420171.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7791429/check_12715662_d63dc029-6b8a-42a9-9dee-a13599dd9a16.json | N/A | N/A | N/A | N/A | N/A | XEK914494143 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1960-11-25 | 2001ZK002189 | X0001000 | N/A | PR | false | LEE | N/A | BARBARA | N/A | 2025-12-31 | 2025-07-01 | BRONZE 60 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8877767698 | N/A | N/A | 7791429 | 2222 | 4793 | 12985126 | N/A | 6634957 | 2025-09-27 02:06:15.052968 | 2025-08-18 18:53:04.814231 |
| 2025-09-26 08:08:17.909671 | 2025-09-27 02:13:07.956097 | 12715409 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12715409 | Athletic Physical Therapy Inc | 1968-08-30 | 2025-09-29 | M | PT | Ashley | XDM123A50756 | Dennis | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250926.110734528.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-29 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8958011/check_12715409_45ef0fcf-4149-436f-938c-eec2ca92920e.json | N/A | N/A | N/A | N/A | N/A | XDM123A50756 | Health Maintenance Organization (HMO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 1968-08-30 | 040 | 57ARJB | N/A | HM | false | THAMES | N/A | KRISTEN | N/A | 2025-10-01 | 2022-01-01 | PREMIER SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8877726601 | N/A | N/A | 8958011 | 2222 | 4801 | 12988143 | N/A | 7475081 | 2025-09-27 02:13:07.956097 | 2025-09-11 04:52:37.545129 |