API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-02 11:50:30.239515 | 2025-06-03 05:10:22.656869 | 8495440 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8495440 | Athletic Physical Therapy Inc | 1956-01-20 | 2025-06-09 | F | PT | AE | SCHLEIKORN | XDD664W08200 | MARIETTE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170215591.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550960/check_8495440_f23e9972-683d-4e4d-87b7-fe67773c525f.json | N/A | N/A | N/A | N/A | N/A | XDD664W08200 | Supplemental Policy | LOS ANGELES COUNTY EMPLOYEE RETIREMENT ASSOC | ANTHEM BLUE CROSS | N/A | 1956-01-20 | 040 | 1264MD | N/A | SP | false | SCHLEIKORN | N/A | MARIETTE | N/A | 9999-12-31 | 2024-03-01 | MEDICARE SUPPLEMENT-PBP PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550960 | 2222 | 4793 | 8205297 | N/A | 4219792 | 2025-06-03 05:10:22.656869 | 2025-05-13 04:29:37.230832 |
| 2025-06-02 11:50:29.715904 | 2025-06-03 05:29:18.578777 | 8495420 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8495420 | Athletic Physical Therapy Inc | 1945-12-19 | 2025-06-09 | F | PT | AE | HUERTA | 3HK1VD9DK15 | MARIA | 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/2222/5539369/check_8495420_93d672e1-4108-4bf2-bd1f-491f4bae214b.json | N/A | N/A | N/A | N/A | N/A | 3HK1VD9DK15 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-12-19 | S5617 | N/A | N/A | MB | false | HUERTA | N/A | MARIA | 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 | 5539369 | 2222 | 4802 | 8218895 | N/A | 4211684 | 2025-06-03 05:29:18.578777 | 2025-05-13 04:29:37.226008 |
| 2025-06-02 11:50:29.640100 | 2025-06-03 05:08:57.114536 | 8495417 | N/A | N/A | 62118 | Aetna Administrator Medicare Supplement (Eligibility & Remits Only) | 1114042165 | 8495417 | Athletic Physical Therapy Inc | 1954-01-20 | 2025-06-06 | U | PT | AE | BRENNER | TER6252245 | ROCIO FLORES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170215591.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550897/check_8495417_89f7a354-872f-4fa7-b8c6-4861b4912e54.json | N/A | N/A | N/A | N/A | N/A | TER6252245 | N/A | N/A | AETNA ADMINISTRATOR MEDICARE SUPPLEMENT ELIGIBILITY REMITS O | N/A | 1954-01-20 | N/A | N/A | N/A | N/A | false | BRENNER | N/A | ROCIO FLORES | 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 | 5550897 | 2222 | 4793 | 8204358 | N/A | 4219750 | 2025-06-03 05:08:57.114536 | 2025-06-06 02:15:39.377685 |
| 2025-06-02 11:50:29.447624 | 2025-06-03 05:05:59.075501 | 8495410 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8495410 | Athletic Physical Therapy Inc | 1953-08-21 | 2025-06-09 | M | PT | AE | CUMMINGS | 29086032 | OVERSTONE | 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/2222/5539195/check_8495410_9e86946e-83cb-4a41-914e-cf04331602df.json | N/A | N/A | N/A | N/A | N/A | 29086032 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1953-08-21 | N/A | N/A | N/A | N/A | false | CUMMINGS | N/A | OVERSTONE | 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 | 5539195 | 2222 | 4801 | 8202375 | N/A | 4211528 | 2025-06-03 05:05:59.075501 | 2025-05-29 22:30:24.728697 |
| 2025-06-02 11:50:29.173367 | 2025-06-03 05:23:55.450173 | 8495401 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8495401 | Athletic Physical Therapy Inc | 1993-09-10 | 2025-06-06 | M | AD | N/A | WARD | XED913389013 | WILLIAM | 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/2222/5538129/check_8495401_f632320e-eace-4454-8091-c3d1c9098e74.json | N/A | N/A | N/A | N/A | N/A | XED913389013 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1993-09-10 | 2001ZK002169 | X0001004 | N/A | PR | false | WARD | N/A | WILLIAM | N/A | 9999-12-31 | 2024-08-01 | IFP EMB PED DPPO JAN15 | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5538129 | 2222 | 4802 | 8214904 | N/A | 4210590 | 2025-06-03 05:23:55.450173 | 2025-05-13 04:29:37.225004 |
| 2025-06-02 11:50:29.062528 | 2025-06-03 05:21:41.065418 | 8495399 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8495399 | Athletic Physical Therapy Inc | 1964-06-08 | 2025-06-09 | F | PT | N/A | YOUHANAIE | UQK163W10887 | TERESA | 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/2222/5537880/check_8495399_aa286056-e851-4a4d-9810-1773a10daf93.json | N/A | N/A | N/A | N/A | N/A | UQK163W10887 | N/A | CDHP HSA W/NON INTG BANKING-SILVER HDHP | ANTHEM BLUE CROSS | N/A | 1964-06-08 | 130 | 270213OHXF | N/A | N/A | false | YOUHANAIE | N/A | MARK | 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 | 5537880 | 2222 | 4793 | 8213064 | N/A | 4210385 | 2025-06-03 05:21:41.065418 | 2026-03-06 18:49:17.116017 |
| 2025-06-02 11:50:29.050984 | 2025-06-03 05:05:07.707952 | 8495398 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8495398 | Athletic Physical Therapy Inc | 1940-01-14 | 2025-06-09 | F | PT | AE | STELLINI | 08533317011 | DONNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170215591.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550852/check_8495398_fca9d0cc-1c99-4222-8f61-97eb0730fd92.json | N/A | N/A | N/A | N/A | N/A | 08533317011 | 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. | 1940-01-14 | N/A | N/A | N/A | SP | false | STELLINI | N/A | DONNA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN J | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550852 | 2222 | 4802 | 8201882 | N/A | 4215221 | 2025-06-03 05:05:07.707952 | 2025-05-13 04:29:37.229536 |
| 2025-06-02 11:50:28.938308 | 2025-06-03 05:29:16.824737 | 8495395 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8495395 | Athletic Physical Therapy Inc | 1951-06-30 | 2025-06-09 | U | PT | AE | CHADORCHI | 8MR2X19XD04 | JAFFA | 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/2222/5537480/check_8495395_af5560c7-eb31-4976-8d15-f51e185382ce.json | N/A | N/A | N/A | N/A | N/A | 8MR2X19XD04 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-30 | S5601 | N/A | N/A | MB | false | CHADORCHI | N/A | JAFFA | 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 | 5537480 | 2222 | 4802 | 8218877 | N/A | 4210038 | 2025-06-03 05:29:16.824737 | 2025-06-02 14:57:36.820684 |
| 2025-06-02 11:50:28.795303 | 2025-06-03 05:11:35.561056 | 8495393 | N/A | N/A | 60054 | Aetna | 1114042165 | 8495393 | Athletic Physical Therapy Inc | 1964-10-19 | 2025-06-09 | M | PT | AE | NIELSEN | W272380860 | ROY | 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/2222/5537178/check_8495393_dff4ceb8-b0db-47fe-8a67-8e1138ae7c80.json | N/A | N/A | N/A | N/A | N/A | W272380860 | N/A | N/A | AETNA | N/A | 1964-10-19 | 0176563 | 017656301100058 | N/A | N/A | false | NIELSEN | N/A | ROY | N/A | N/A | N/A | OPEN ACCESS MC | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537178 | 2222 | 4802 | 8206082 | N/A | 4209789 | 2025-06-03 05:11:35.561056 | 2025-05-13 04:29:37.224215 |
| 2025-06-02 11:50:28.686315 | 2025-06-03 05:06:02.637996 | 8495389 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8495389 | Athletic Physical Therapy Inc | 1943-03-11 | 2025-06-09 | M | PT | AE | MATHEU | 30908114 | CARLOS | 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/2222/5536371/check_8495389_ed602425-36dd-4b48-b861-0f82f771f4a0.json | N/A | N/A | N/A | N/A | N/A | 30908114 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1943-03-11 | N/A | N/A | N/A | N/A | false | MATHEU | N/A | CARLOS | 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 | 5536371 | 2222 | 4801 | 8202461 | N/A | 4209126 | 2025-06-03 05:06:02.637996 | 2025-05-13 04:29:37.223551 |
| 2025-06-02 11:50:28.622481 | 2025-06-03 05:10:22.935714 | 8495388 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8495388 | Athletic Physical Therapy Inc | 1996-01-20 | 2025-06-09 | F | PT | N/A | WORDEN | XDPCA8058549 | SARAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170215591.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550106/check_8495388_667048b8-7036-47bb-aef5-d1d7a8e21794.json | N/A | N/A | N/A | N/A | N/A | XDPCA8058549 | N/A | UCLA - GRAD | ANTHEM BLUE CROSS | N/A | 1996-01-20 | 040 | 275958P700 | N/A | N/A | false | WORDEN | N/A | SARAH | 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 | 5550106 | 2222 | 4801 | 8205298 | N/A | 4219476 | 2025-06-03 05:10:22.935714 | 2025-05-28 20:18:04.039855 |
| 2025-06-02 11:50:28.567525 | 2025-06-03 05:24:24.991802 | 8495387 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8495387 | Athletic Physical Therapy Inc | 1966-11-30 | 2025-06-09 | F | PT | N/A | SONDREAAL | WMC125993776001 | DIANE | 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/2222/5536323/check_8495387_2e023b87-5135-4c58-92c2-6fcd244cd7df.json | N/A | N/A | N/A | N/A | N/A | WMC125993776001 | Preferred Provider Organization (PPO) | WUNDERLICH-MALEC ENGINEERING, INC. CORE GROUP (PLAN 1) ACTIVES | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = SELF INSURED | 1966-11-30 | 725 | 10272720 | N/A | PR | false | SONDREAAL | N/A | PAUL | N/A | 9999-12-31 | 2023-05-01 | MED/SURG - PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5536323 | 2222 | 4793 | 8215264 | N/A | 4209086 | 2025-06-03 05:24:24.991802 | 2025-05-13 04:29:37.223507 |
| 2025-06-02 11:50:28.438665 | 2025-06-03 05:21:37.012490 | 8495383 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8495383 | Athletic Physical Therapy Inc | 1966-11-30 | 2025-06-04 | F | PT | N/A | SONDREAAL | WMC125993776001 | DIANE | N/A | 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/2222/5536319/check_8495383_58f6e229-0448-498b-964e-4a05d23e41bc.json | N/A | N/A | N/A | N/A | N/A | WMC125993776001 | Preferred Provider Organization (PPO) | WUNDERLICH-MALEC ENGINEERING, INC. CORE GROUP (PLAN 1) ACTIVES | ANTHEM BLUE CROSS | FUNDING TYPE = SELF INSURED | 1966-11-30 | 725 | 10272720 | N/A | PR | false | SONDREAAL | N/A | PAUL | N/A | N/A | N/A | MED/SURG - PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5536319 | 2222 | 4793 | 8213009 | N/A | 4209086 | 2025-06-03 05:21:37.012490 | 2025-05-13 04:29:37.223507 |
| 2025-06-02 11:50:28.297803 | 2025-06-03 05:06:01.883807 | 8495382 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8495382 | Athletic Physical Therapy Inc | 1946-07-28 | 2025-06-09 | M | PT | AE | LOGAN | 198908101 | SIDNEY | 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/2222/5535427/check_8495382_48ac0102-68f8-4ce9-b267-e07e4f20fbc3.json | N/A | N/A | N/A | N/A | N/A | 198908101 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1946-07-28 | N/A | N/A | N/A | N/A | false | LOGAN | N/A | SIDNEY | 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 | 5535427 | 2222 | 4802 | 8202453 | N/A | 4208354 | 2025-06-03 05:06:01.883807 | 2025-05-13 04:29:37.222775 |
| 2025-06-02 11:50:28.278230 | 2025-06-03 05:10:35.412425 | 8495380 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8495380 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-06-09 | F | PT | N/A | LUCZYWEK | XEA907100099 | DEBORA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.170215591.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549318/check_8495380_5b158fe1-8dd3-40b8-a468-59b8f9f5b07f.json | N/A | N/A | N/A | N/A | N/A | XEA907100099 | Preferred Provider Organization (PPO) | COUNTY OF VENTURA ACTIVES | BLUE SHIELD CALIFORNIA | N/A | 1962-01-25 | 1000PPOX0001 | W0067449 | N/A | PR | false | LUCZYWEK | N/A | DEBORA | N/A | 9999-12-31 | 2020-12-27 | HSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549318 | 2222 | 4801 | 8205425 | N/A | 4219010 | 2025-06-03 05:10:35.412425 | 2026-01-09 18:32:07.618867 |
| 2025-06-02 09:41:01.868691 | 2025-06-02 09:41:36.868275 | 8491386 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-06-06 | F | PT | AE | YUNG | 0005301565 | MAYA | 6338 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_8491386_bdf66744-1f06-4daf-8076-0f0bc63f77a1.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 0005301565 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2025-06-02 09:41:36.868275 | 2025-05-13 04:29:37.229495 |
| 2025-06-02 09:20:57.666355 | 2025-06-02 09:21:02.887823 | 8490074 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-25 | 2025-06-02 | M | PT | AE | LANE | MISSINGPOLICYNUMBER | STEVEN | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928917/check_8490074_7c14a9c3-ae4c-422a-8c97-39e3ca028286.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928917/check_8490074_9f2e6b2e-1e0e-4572-8a39-e2455be8b2ff.json | N/A | N/A | N/A | N/A | N/A | 328563857 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1952-07-25 | N/A | N/A | N/A | N/A | false | LANE | N/A | STEVEN | 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 | 5928917 | 2222 | N/A | 8170022 | N/A | 4219832 | 2025-06-02 09:21:02.887823 | 2025-05-13 04:29:37.230877 |
| 2025-06-02 09:20:48.479102 | 2025-06-02 09:20:57.659947 | 8490055 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-07-25 | 2025-06-02 | M | PT | AE | LANE | MISSINGPOLICYNUMBER | STEVEN | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928917/check_8490055_1e9af1a9-874c-43e2-966c-fdb66443fe4d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-02 | N/A | N/A | N/A | N/A | N/A | N/A | 328563857 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1952-07-25 | N/A | N/A | N/A | N/A | false | LANE | N/A | STEVEN | 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 | 5928917 | 2222 | N/A | N/A | N/A | 4219832 | 2025-06-02 09:20:57.659947 | 2025-05-13 04:29:37.230877 |
| 2025-06-02 09:11:22.833450 | 2025-06-02 09:11:25.733899 | 8488372 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-09-10 | 2025-06-02 | M | AD | N/A | WARD | XED913389013 | WILLIAM | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538129/check_8488372_3c1de9e5-b6a6-4fa6-beaa-00de68cab0b1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538129/check_8488372_4944ba30-2154-4392-811a-beb030de5ed6.json | N/A | N/A | N/A | N/A | N/A | XED913389013 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1993-09-10 | 2001ZK002169 | X0001004 | N/A | PR | false | WARD | N/A | WILLIAM | N/A | 9999-12-31 | 2024-08-01 | IFP EMB PED VISION | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5538129 | 2222 | N/A | 8169023 | N/A | 4210590 | 2025-06-02 09:11:25.733899 | 2025-05-13 04:29:37.225004 |
| 2025-06-02 09:09:25.524666 | 2025-06-03 02:08:51.488775 | 8487768 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8487768 | Athletic Physical Therapy Inc | 2014-10-30 | 2025-06-03 | F | PT | N/A | ARROCHA | M9Z801270679 | REBECCA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.141130769.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085906/check_8487768_7d802347-68d2-4572-883c-28574138e852.json | N/A | N/A | N/A | N/A | N/A | M9Z801270679 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 2014-10-30 | N/A | 55060 | N/A | PR | false | ARROCHA CONTRERAS | N/A | EDGAR | N/A | 9999-12-31 | 2025-01-01 | PREFERRED CARE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6085906 | 2222 | 4793 | 8189666 | N/A | 4729280 | 2025-06-03 02:08:51.488775 | 2025-06-03 23:56:51.902281 |
| 2025-06-02 09:09:25.264632 | 2025-06-03 02:08:00.910928 | 8487765 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 8487765 | Athletic Physical Therapy Inc | 1954-02-25 | 2025-06-09 | F | PT | AE | ROBERTS | 00000402630 | DEBRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.141130769.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085762/check_8487765_15ede139-4df6-490a-996f-d332c8a26d75.json | N/A | N/A | N/A | N/A | N/A | 00000402630 | Health Maintenance Organization (HMO) | N/A | ALIGNMENT HEALTH | OVERALL DEDUCTIBLE | 1954-02-25 | H3815028 | N/A | N/A | HM | false | ROBERTS | N/A | DEBRA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6085762 | 2222 | 4793 | 8188689 | N/A | 4729138 | 2025-06-03 02:08:00.910928 | 2025-05-31 14:20:56.156252 |
| 2025-06-02 09:09:24.799393 | 2025-06-03 02:08:30.740703 | 8487761 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8487761 | Athletic Physical Therapy Inc | 1950-07-16 | 2025-06-09 | U | PT | N/A | DENZER | JZY122900872001 | PATRICK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.141130769.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085673/check_8487761_5c76db06-2587-423f-b9b4-38332a8e6ef3.json | N/A | N/A | N/A | N/A | N/A | JZY122900872001 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1950-07-16 | N/A | N/A | N/A | N/A | false | DENZER | N/A | PATRICK | 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 | 6085673 | 2222 | 4802 | 8189262 | N/A | 4729013 | 2025-06-03 02:08:30.740703 | 2025-06-17 17:45:48.398690 |
| 2025-06-02 09:09:23.748304 | 2025-06-03 02:08:15.599577 | 8487754 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8487754 | Athletic Physical Therapy Inc | 2025-05-30 | 2025-06-09 | F | PT | N/A | LI | XTS845M84428 | ZHANMEI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.141130769.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085650/check_8487754_02c1fd0e-34dc-4144-8636-025294b82c26.json | N/A | N/A | N/A | N/A | N/A | XTS845M84428 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2025-05-30 | N/A | N/A | N/A | N/A | false | LI | N/A | ZHANMEI | 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 | 6085650 | 2222 | 4793 | 8188966 | N/A | 4728966 | 2025-06-03 02:08:15.599577 | 2025-06-09 22:35:38.956800 |
| 2025-06-02 09:08:38.656061 | 2025-06-03 02:05:26.156777 | 8487474 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8487474 | Athletic Physical Therapy Inc | 1996-03-28 | 2025-06-06 | F | PT | AE | SAGMAN | U9205101701 | SYDNEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.141130769.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078312/check_8487474_dc025375-58a2-46fa-b5cc-c5e12463120e.json | N/A | N/A | N/A | N/A | N/A | U9205101701 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1996-03-28 | N/A | 3346355 | N/A | HM | false | SAGMAN | N/A | SYDNEY | N/A | N/A | N/A | NETWORK | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6078312 | 2222 | 4802 | 8185727 | N/A | 4722569 | 2025-06-03 02:05:26.156777 | 2025-08-26 00:16:35.895658 |
| 2025-06-02 09:08:34.249636 | 2025-06-03 02:06:49.051720 | 8487442 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8487442 | Athletic Physical Therapy Inc | 1965-02-14 | 2025-06-06 | F | PT | AE | GOLDSTEIN | 000603457 | SHARON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.141130769.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077490/check_8487442_f86584ed-6a53-4a8e-a2aa-d42b2bdd330f.json | N/A | N/A | N/A | N/A | N/A | 000603457 | Commercial | US BANK | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1965-02-14 | 0162 0162 | 186359 | N/A | C1 | false | GOLDSTEIN | N/A | SHARON | 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 | 6077490 | 2222 | 4793 | 8187258 | N/A | 4721602 | 2025-06-03 02:06:49.051720 | 2025-06-03 23:36:44.592003 |
| 2025-06-02 09:08:29.148593 | 2025-06-03 02:08:15.256588 | 8487374 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8487374 | Athletic Physical Therapy Inc | 2005-11-11 | 2025-06-09 | M | PT | N/A | GORMLEY | SIF727A55596 | VINCENT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.141130769.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074031/check_8487374_30b1a895-1753-491e-ba6d-f34427b2aea8.json | N/A | N/A | N/A | N/A | N/A | SIF727A55596 | Preferred Provider Organization (PPO) | SISC - SANTA MONICA MALIBU UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 2005-11-11 | 040 | 40963A | N/A | PR | false | GORMLEY | N/A | BRYNN | N/A | 9999-12-31 | 2023-01-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6074031 | 2222 | 4802 | 8188959 | N/A | 4718585 | 2025-06-03 02:08:15.256588 | 2025-05-29 22:33:31.881575 |
| 2025-06-02 09:08:15.519384 | 2025-06-03 02:07:53.563814 | 8487230 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8487230 | Athletic Physical Therapy Inc | 1965-06-20 | 2025-06-09 | F | PT | AE | TRUE | 000019461014 | MYRNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.141130769.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068073/check_8487230_532e8614-4879-4451-a7bd-3928218201cd.json | N/A | N/A | N/A | N/A | N/A | 000019461014 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1965-06-20 | 3055890 | 100200 | N/A | N/A | false | TRUE | N/A | MYRNA | N/A | N/A | N/A | KAISER FOUNDATION HEALTH PLAN - SCA - 100200 KPHP | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6068073 | 2222 | 4801 | 8188545 | N/A | 4713010 | 2025-06-03 02:07:53.563814 | 2025-05-28 23:30:35.802750 |
| 2025-06-02 09:08:15.433144 | 2025-06-03 02:02:53.473599 | 8487229 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8487229 | Athletic Physical Therapy Inc | 1966-06-14 | 2025-06-09 | F | PT | AE | OROZCO | 22483267 | ODILIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.141130769.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068063/check_8487229_c96a4c3a-4647-4134-ba46-411f88db2819.json | N/A | N/A | N/A | N/A | N/A | 22483267 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1966-06-14 | N/A | N/A | N/A | N/A | false | OROZCO | N/A | ODILIA | 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 | 6068063 | 2222 | 4802 | 8183328 | N/A | 4713004 | 2025-06-03 02:02:53.473599 | 2025-05-29 21:14:47.925641 |
| 2025-06-02 09:08:15.337196 | 2025-06-03 02:15:32.348608 | 8487228 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8487228 | Athletic Physical Therapy Inc | 1943-02-13 | 2025-06-09 | U | PT | AE | DAVIS | 3M07R08AX76 | HOLLY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.141130769.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068062/check_8487228_ee03b358-e2c2-4cd6-a4e2-bf7d11a83a88.json | N/A | N/A | N/A | N/A | N/A | 3M07R08AX76 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-02-13 | S5596 | N/A | N/A | MA | false | DAVIS | N/A | HOLLY | 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 | 6068062 | 2222 | 4802 | 8194740 | N/A | 4713002 | 2025-06-03 02:15:32.348608 | 2025-06-03 01:39:13.971712 |
| 2025-06-02 09:04:46.740889 | 2025-06-03 02:07:59.768474 | 8483549 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8483549 | Athletic Physical Therapy Inc | 2008-06-03 | 2025-06-06 | M | PT | N/A | DATO | NGO555A50496 | BRETT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140731752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551045/check_8483549_bd935757-8e34-4115-b20e-99c126aa16be.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 | 8188667 | N/A | 4219851 | 2025-06-03 02:07:59.768474 | 2025-05-13 04:29:37.230897 |
| 2025-06-02 09:04:46.543701 | 2025-06-03 02:13:58.052130 | 8483546 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8483546 | Athletic Physical Therapy Inc | 1943-08-11 | 2025-06-09 | M | PT | N/A | VELASQUEZ | 7RA2UD6VM18 | NELSON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140731752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550994/check_8483546_84666448-07fb-4232-b483-3e16ac8c202a.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 | 8193997 | N/A | 4219819 | 2025-06-03 02:13:58.052130 | 2026-04-16 20:37:54.612915 |
| 2025-06-02 09:04:46.390880 | 2025-06-03 02:08:03.928124 | 8483536 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8483536 | Athletic Physical Therapy Inc | 1981-02-28 | 2025-06-06 | F | PT | N/A | CARROLL | JPU767A23997 | REBECCA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140731752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550993/check_8483536_4c27b508-c923-45a1-aa77-2c02bf8a6619.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 | 8188745 | N/A | 4219817 | 2025-06-03 02:08:03.928124 | 2025-05-13 04:29:37.230864 |
| 2025-06-02 09:04:46.174868 | 2025-06-03 02:08:02.522077 | 8483529 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8483529 | Athletic Physical Therapy Inc | 1966-04-27 | 2025-06-03 | M | PT | N/A | MERTES | XED914030953 | CORY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140731752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550989/check_8483529_1b1dd851-48af-406a-9285-54e60b8db316.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 | 8188718 | N/A | 4219813 | 2025-06-03 02:08:02.522077 | 2025-05-13 04:29:37.230860 |
| 2025-06-02 09:04:45.861814 | 2025-06-03 02:13:55.111425 | 8483519 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8483519 | Athletic Physical Therapy Inc | 1956-01-20 | 2025-06-09 | F | PT | AE | SCHLEIKORN | 4WT5NH8WR56 | MARIETTE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140731752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550958/check_8483519_478eff7c-0859-4e1a-9bfe-f085d9b016d4.json | N/A | N/A | N/A | N/A | N/A | 4WT5NH8WR56 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-20 | N/A | N/A | N/A | MB | 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 | 8193966 | N/A | 4219792 | 2025-06-03 02:13:55.111425 | 2025-05-13 04:29:37.230832 |
| 2025-06-02 09:04:45.653114 | 2025-06-03 02:08:01.215696 | 8483512 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8483512 | Athletic Physical Therapy Inc | 1969-02-19 | 2025-06-09 | F | PT | N/A | HARRIS | AER805281513 | LYNNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140731752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550952/check_8483512_af8aa9d4-ca32-443e-92d9-7b341ec524a3.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 | 8188694 | N/A | 4219786 | 2025-06-03 02:08:01.215696 | 2025-07-28 00:01:15.733373 |
| 2025-06-02 09:04:45.604408 | 2025-06-03 02:08:41.082255 | 8483509 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8483509 | Athletic Physical Therapy Inc | 1990-03-04 | 2025-06-09 | F | PT | N/A | MERKER | FFB813483004 | AMANDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140731752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550917/check_8483509_1b589c78-d779-46b0-b1f4-3459741623e5.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 | 8189464 | N/A | 4219762 | 2025-06-03 02:08:41.082255 | 2025-05-13 04:29:37.230803 |
| 2025-06-02 09:04:45.563651 | 2025-06-03 02:08:30.395799 | 8483506 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8483506 | Athletic Physical Therapy Inc | 1986-08-03 | 2025-06-09 | M | PT | N/A | AMENT | XED913057951 | NATHAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140731752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550865/check_8483506_a03ffd7e-d49b-4e02-9889-ad98f87bf82d.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 | 8189254 | N/A | 4215196 | 2025-06-03 02:08:30.395799 | 2025-05-13 04:29:37.229513 |
| 2025-06-02 09:04:45.515249 | 2025-06-03 02:04:18.789763 | 8483502 | N/A | N/A | 60054 | Aetna | 1114042165 | 8483502 | Athletic Physical Therapy Inc | 1991-03-21 | 2025-06-09 | F | PT | AE | CARDINALI | W286606913 | NICOLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140731752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550850/check_8483502_deb6cddd-235b-4437-b5bb-f196019a5af5.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 | 8184462 | N/A | 4215195 | 2025-06-03 02:04:18.789763 | 2025-05-14 09:08:40.751930 |
| 2025-06-02 09:04:45.472756 | 2025-06-03 02:13:56.478406 | 8483498 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8483498 | Athletic Physical Therapy Inc | 1940-01-14 | 2025-06-09 | F | PT | AE | STELLINI | 9PU3FY2MU09 | DONNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140731752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550849/check_8483498_f1010432-57c3-4ffa-adbf-ed377ac11012.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 | 8193977 | N/A | 4215221 | 2025-06-03 02:13:56.478406 | 2025-05-13 04:29:37.229536 |
| 2025-06-02 09:04:45.392445 | 2025-06-03 02:08:32.002997 | 8483496 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8483496 | Athletic Physical Therapy Inc | 2005-05-27 | 2025-06-09 | F | PT | N/A | PARVIZI | XED914141701 | SIMONE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140731752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550844/check_8483496_c3780d1a-b0da-4c74-81ab-e360e4da6b6c.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 | 8189287 | N/A | 4215184 | 2025-06-03 02:08:32.002997 | 2025-05-13 04:29:37.229500 |
| 2025-06-02 09:04:45.299715 | 2025-06-03 02:08:00.478701 | 8483492 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8483492 | Athletic Physical Therapy Inc | 1975-05-11 | 2025-06-09 | F | PT | N/A | GALLO LUNA | CQP005A55866 | MARITZA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140731752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550838/check_8483492_301b887e-314f-4164-b5f1-5e1ea1c7f044.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 | 8188681 | N/A | 4219709 | 2025-06-03 02:08:00.478701 | 2025-05-13 04:29:37.230752 |
| 2025-06-02 09:04:45.206564 | 2025-06-03 02:13:51.954360 | 8483486 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8483486 | Athletic Physical Therapy Inc | 1950-09-13 | 2025-06-09 | M | PT | AE | GU | 4AN1F55YR02 | WINSTON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140731752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550800/check_8483486_dbd02a0f-6f53-4bbd-9244-130af769601e.json | N/A | N/A | N/A | N/A | N/A | 4AN1F55YR02 | Medicare Part B | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-09-13 | S5884 | N/A | N/A | MB | 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 | 8193932 | N/A | 4219679 | 2025-06-03 02:13:51.954360 | 2025-05-13 04:29:37.230723 |
| 2025-06-02 09:04:45.050817 | 2025-06-03 02:03:01.039633 | 8483481 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8483481 | Athletic Physical Therapy Inc | 1946-02-28 | 2025-06-06 | F | PT | AE | KUYAT | 27367124 | FAYE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140731752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550758/check_8483481_f30150df-294f-4f8e-8fab-e32e73648cf1.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 | 8183372 | N/A | 4219656 | 2025-06-03 02:03:01.039633 | 2025-05-13 04:29:37.230700 |
| 2025-06-02 09:04:44.815504 | 2025-06-03 02:03:00.740171 | 8483474 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8483474 | Athletic Physical Therapy Inc | 1954-03-04 | 2025-06-04 | M | PT | AE | ARUJO | 00000223568 | RAMON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140731752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550751/check_8483474_50756a2f-71ad-46a9-b934-662794de77b6.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 | 8183368 | N/A | 4219640 | 2025-06-03 02:03:00.740171 | 2025-05-13 04:29:37.230682 |
| 2025-06-02 09:04:44.486481 | 2025-06-03 02:13:53.953130 | 8483461 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8483461 | Athletic Physical Therapy Inc | 1942-04-09 | 2025-06-09 | F | PT | AE | JALLAD | 7AY7QW7EK46 | IKRAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140731752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549454/check_8483461_83e8b853-5d1a-43e1-bd96-83b6a68f06f3.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 | 8193956 | N/A | 4219116 | 2025-06-03 02:13:53.953130 | 2025-05-16 16:43:35.854220 |
| 2025-06-02 09:04:44.363550 | 2025-06-03 02:08:01.872303 | 8483457 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8483457 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-06-06 | F | PT | N/A | LUCZYWEK | HFD100011213709 | DEBORA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140731752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_8483457_f6b8fe46-36ea-4038-bd96-6c5f8e609d70.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 | 8188705 | N/A | 4219010 | 2025-06-03 02:08:01.872303 | 2026-01-09 18:32:07.618867 |
| 2025-06-02 09:04:37.787349 | 2025-06-03 02:13:57.254229 | 8483226 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8483226 | Athletic Physical Therapy Inc | 1947-04-14 | 2025-06-09 | F | PT | AE | UYGUR | 1VV2MA6GE80 | NUKHET | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140731752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543311/check_8483226_97b954ce-1635-4cfd-9b43-ed0410142081.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 | 8193989 | N/A | 4215116 | 2025-06-03 02:13:57.254229 | 2025-05-29 22:32:19.748297 |
| 2025-06-02 09:04:37.463590 | 2025-06-03 02:03:54.792418 | 8483217 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 8483217 | Athletic Physical Therapy Inc | 1941-01-15 | 2025-06-09 | F | PT | AE | PENATE | 100200006880 | VIANCA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140731752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543301/check_8483217_bc013b0e-d88b-48d1-baa1-81ef9b2ab0c8.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 | 8184121 | N/A | 4215112 | 2025-06-03 02:03:54.792418 | 2026-02-20 19:52:51.272757 |
| 2025-06-02 09:04:37.074846 | 2025-06-03 02:06:38.408090 | 8483203 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8483203 | Athletic Physical Therapy Inc | 1984-01-20 | 2025-06-09 | M | PT | AE | MARSHALL | 771821563 | STEVE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140731752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543275/check_8483203_2b77825d-85d6-4ea4-a88f-17a6b51c4810.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 | 8187065 | N/A | 4215090 | 2025-06-03 02:06:38.408090 | 2025-05-13 04:29:37.229405 |
| 2025-06-02 09:04:36.849002 | 2025-06-03 02:05:30.727501 | 8483194 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8483194 | Athletic Physical Therapy Inc | 1993-07-24 | 2025-06-05 | M | AD | N/A | SJUKUR | U0030031901 | HANSEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140731752.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543268/check_8483194_27524890-0b21-4222-911a-f667f3ae5623.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 | 8185815 | N/A | 4215085 | 2025-06-03 02:05:30.727501 | 2025-05-23 17:53:24.114484 |