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 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-23 21:50:03.257411 | 2025-09-23 21:50:06.168651 | 12648819 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-11-22 | 2025-09-23 | F | AE | PT | 4497 | CAPUTA | 6JV7KY8CA74 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9336757/check_12648819_cc9a0bf4-2718-4cdc-a177-9078202c1217.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9336757/check_12648819_36a40372-e880-468f-8cb9-099fcc0ee71d.json | N/A | N/A | N/A | N/A | N/A | 6JV7KY8CA74 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-11-22 | S5601 | N/A | N/A | MB | false | CAPUTA | N/A | SANDRA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8859190188 | 161267 | N/A | 9336757 | 2222 | N/A | 12880992 | N/A | 7835556 | 2025-09-23 21:50:06.168651 | 2025-09-12 16:59:25.752326 |
| 2025-09-23 21:49:53.731363 | 2025-09-23 21:49:55.723342 | 12648818 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-11-22 | 2025-09-23 | F | AE | PT | 4497 | CAPUTA | 6JV7KYACA74 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9336757/check_12648818_d26c45ca-fde8-41cb-8ced-8d782267df39.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9336757/check_12648818_450ddb0f-27f2-40c5-985f-e7b17ab71ec9.json | N/A | N/A | N/A | N/A | N/A | 6JV7KYACA74 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1946-11-22 | N/A | N/A | N/A | N/A | false | CAPUTA | N/A | SANDRA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 161267 | N/A | 9336757 | 2222 | N/A | 12880991 | N/A | 7835556 | 2025-09-23 21:49:55.723342 | 2025-09-12 16:59:25.752326 |
| 2025-09-23 21:49:49.765348 | 2025-09-23 21:49:53.726331 | 12648817 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1946-11-22 | 2025-09-23 | F | AE | PT | 4497 | CAPUTA | 6JV7KYACA74 | SANDRA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9336757/check_12648817_f8218cda-94e4-4582-95b4-9347d44becf1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-23 | N/A | N/A | N/A | N/A | N/A | N/A | 6JV7KYACA74 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1946-11-22 | N/A | N/A | N/A | N/A | false | CAPUTA | N/A | SANDRA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 161267 | N/A | 9336757 | 2222 | N/A | N/A | N/A | 7835556 | 2025-09-23 21:49:53.726331 | 2025-09-12 16:59:25.752326 |
| 2025-09-23 21:37:24.289465 | 2025-09-23 21:37:27.299238 | 12648761 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-10-21 | 2025-09-23 | F | PT | N/A | 4185 | WAKIL | MMA290W21854 | MALIHA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9415877/check_12648761_fcb1f900-e2fe-49a3-89b5-5fd445ea0123.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9415877/check_12648761_155d772f-a756-4b02-9b3b-9fb91057a847.json | N/A | N/A | N/A | N/A | N/A | MMA290W21854 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1955-10-21 | 040 | CAMCRWP0 | N/A | MP | false | WAKIL | N/A | MALIHA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8859107525 | 9482 | N/A | 9415877 | 2222 | N/A | 12880914 | N/A | 7884745 | 2025-09-23 21:37:27.299238 | 2025-10-02 21:33:51.225390 |
| 2025-09-23 21:37:10.614268 | 2025-09-23 21:37:12.481288 | 12648759 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-10-21 | 2025-09-23 | F | PT | N/A | 23277 | WAKIL | MMA290W21854 | MALIHA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9415877/check_12648759_880a27ba-ccbe-478f-881e-d163f0448992.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9415877/check_12648759_f05bbf5e-e75b-47fb-a90c-7fb31714fbbd.json | N/A | N/A | N/A | N/A | N/A | MMA290W21854 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1955-10-21 | N/A | N/A | N/A | N/A | false | WAKIL | N/A | MALIHA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 9415877 | 2222 | N/A | 12880912 | N/A | 7884745 | 2025-09-23 21:37:12.481288 | 2025-10-02 21:33:51.225390 |
| 2025-09-23 21:37:08.717365 | 2025-09-23 21:37:10.610461 | 12648757 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1955-10-21 | 2025-09-23 | F | PT | N/A | 23277 | WAKIL | MMA290W21854 | MALIHA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9415877/check_12648757_48678880-e310-4b89-b958-a3235b4ae074.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-23 | N/A | N/A | N/A | N/A | N/A | N/A | MMA290W21854 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1955-10-21 | N/A | N/A | N/A | N/A | false | WAKIL | N/A | MALIHA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 9415877 | 2222 | N/A | N/A | N/A | 7884745 | 2025-09-23 21:37:10.610461 | 2025-10-02 21:33:51.225390 |
| 2025-09-23 21:33:55.627516 | 2025-09-23 21:33:59.043526 | 12648736 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2009-12-27 | 2025-09-23 | F | PT | N/A | 4185 | VALENCIA | NCF972A20708 | NEVAEH | https://storage.googleapis.com/normandy-eligibility-checks/2222/8639700/check_12648736_e839b308-3729-4115-a557-eaaa3b2f878a.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8639700/check_12648736_0f4ab3f3-30e1-46a7-ab56-77082617cb77.json | N/A | N/A | N/A | N/A | N/A | NCF972A20708 | Health Maintenance Organization (HMO) | HARBOR FREIGHT TOOLS USA INC | ANTHEM BLUE CROSS | N/A | 2009-12-27 | 040 | C20881H1A1 | N/A | HM | false | VALENCIA | N/A | ERIC | N/A | 9999-12-31 | 2024-10-16 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8859087456 | N/A | N/A | 8639700 | 2222 | N/A | 12880886 | N/A | 7100343 | 2025-09-23 21:33:59.043526 | 2025-08-26 17:30:26.978462 |
| 2025-09-23 20:52:31.110115 | 2025-09-23 20:52:32.980393 | 12648507 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-03-05 | 2025-09-24 | F | AE | PT | 4497 | MOHABBAT | 3TW4GD3RD78 | SHARIFA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539942/check_12648507_33eb99f9-69fb-48c8-a4ca-4bea6490776e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539942/check_12648507_a762fb49-3c1a-4f19-8cbe-0bb73c6d537c.json | N/A | N/A | N/A | N/A | N/A | 3TW4GD3RD78 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-03-05 | S4802 | N/A | N/A | MB | false | MOHABBAT | N/A | SHARIFA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8858811384 | N/A | N/A | 5539942 | 2222 | N/A | 12880597 | N/A | 4212140 | 2025-09-23 20:52:32.980393 | 2025-09-23 20:47:09.024376 |
| 2025-09-23 20:51:52.337575 | 2025-09-23 20:51:54.206097 | 12648504 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-03-05 | 2025-09-24 | F | AE | PT | 4497 | MOHABBAT | 3TW4GD3RD78 | SHARIFA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539942/check_12648504_6fa96d94-498e-4e02-8abe-885dc9ab378b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539942/check_12648504_3743dd28-56d6-467c-b330-61eec97949b7.json | N/A | N/A | N/A | N/A | N/A | 3TW4GD3RD78 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-03-05 | S4802 | N/A | N/A | MB | false | MOHABBAT | N/A | SHARIFA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8858808063 | N/A | N/A | 5539942 | 2222 | N/A | 12880594 | N/A | 4212140 | 2025-09-23 20:51:54.206097 | 2025-09-23 20:47:09.024376 |
| 2025-09-23 19:10:17.851190 | 2025-09-23 19:10:26.932850 | 12647592 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1977-07-01 | 2025-09-15 | M | PT | AE | 23306 | FENERTY | XDMOE0145837 | STEPHEN | https://storage.googleapis.com/normandy-eligibility-checks/2222/7880241/check_12647592_e8b022a9-5b81-4204-9914-10c129cf7019.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7880241/check_12647592_4ef3ba8c-1f74-49e0-906e-2ec282441e1f.json | N/A | N/A | N/A | N/A | N/A | XDMOE0145837 | Health Maintenance Organization (HMO) | OPERATING ENGINEERS HEALTH&WELFARE FUND | BLUE SHIELD OF CALIFORNIA | N/A | 1977-07-01 | 040 | 278671H001 | N/A | HM | false | FENERTY | N/A | STEPHEN | N/A | 9999-12-31 | 2015-04-01 | BLUE CROSS HMO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | 8858163123 | 7694 | N/A | 7880241 | 2222 | N/A | 12879498 | N/A | 6395187 | 2025-09-23 19:10:26.932850 | 2025-07-25 17:43:45.394385 |
| 2025-09-23 18:39:53.625890 | 2025-09-23 18:40:01.594141 | 12647354 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1941-04-16 | 2025-09-23 | F | AE | PT | 23326 | RYAN | 31026142401 | CAROL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535455/check_12647354_13228ccb-4af6-4288-9d34-0ba4f91bd133.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535455/check_12647354_aefe9964-4df5-45a9-9dc5-3a56eee20d64.json | N/A | N/A | N/A | N/A | N/A | 31026142401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1941-04-16 | 2025H5425001 | H5425M | N/A | N/A | false | RYAN | N/A | CAROL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857976044 | N/A | N/A | 5535455 | 2222 | N/A | 12879207 | N/A | 4208375 | 2025-09-23 18:40:01.594141 | 2025-08-08 21:08:12.459471 |
| 2025-09-23 18:28:07.980279 | 2025-09-23 18:28:12.059729 | 12647249 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2002-12-11 | 2025-09-24 | F | AE | PT | N/A | WALKER | 902213022 | ENYA | https://storage.googleapis.com/normandy-eligibility-checks/2222/9657012/check_12647249_f0e99f17-e781-464f-80d0-2542079b6d75.json | UHC | N/A | INSIGHTS | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9657012/check_12647249_6cc7b0a3-1831-4b3c-9855-7432db85c8f0.json | N/A | N/A | N/A | N/A | N/A | 902213022 | N/A | N/A | UNITEDHEALTHCARE | N/A | 2002-12-11 | N/A | 700406 | N/A | N/A | false | WALKER | N/A | ENYA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9657012 | 2222 | N/A | 12879090 | N/A | 8080003 | 2025-09-23 18:28:12.059729 | 2025-09-23 18:12:07.962326 |
| 2025-09-23 18:25:24.415436 | 2025-09-23 18:25:29.461095 | 12647242 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-07-09 | 2025-09-23 | M | PT | N/A | 4185 | KUMAR | S6A828382017 | ARVIND | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537228/check_12647242_851fa7d7-e582-433e-a192-3e7dd0808a52.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537228/check_12647242_b5a7f7a2-e8f0-4752-9078-c3c4d234d92b.json | N/A | N/A | N/A | N/A | N/A | EVD828382017 | Preferred Provider Organization (PPO) | ATOS SYNTEL | CUSTOMER SERVICE | N/A | 1979-07-09 | N/A | 375074 | N/A | PR | false | KUMAR | N/A | ARVIND | N/A | 9999-12-31 | 2024-01-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8857880546 | N/A | N/A | 5537228 | 2222 | N/A | 12879080 | N/A | 4209833 | 2025-09-23 18:25:29.461095 | 2025-05-13 04:29:37.224254 |
| 2025-09-23 18:24:38.263728 | 2025-09-23 18:24:44.171743 | 12647229 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1979-07-09 | 2025-09-23 | M | PT | N/A | 4185 | KUMAR | S6A828382017 | ARVIND | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537228/check_12647229_e3651294-5346-4bad-bacf-0fa109335039.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537228/check_12647229_006161e8-a842-4ea2-bed8-7073fbcd753d.json | N/A | N/A | N/A | N/A | N/A | EVD828382017 | Preferred Provider Organization (PPO) | ATOS SYNTEL | CUSTOMER SERVICE | N/A | 1979-07-09 | N/A | 375074 | N/A | PR | false | KUMAR | N/A | ARVIND | N/A | 9999-12-31 | 2024-01-01 | PREFERRED PROVIDER OPTION MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8857875461 | N/A | N/A | 5537228 | 2222 | N/A | 12879068 | N/A | 4209833 | 2025-09-23 18:24:44.171743 | 2025-05-13 04:29:37.224254 |
| 2025-09-23 17:24:25.101728 | 2025-09-24 02:40:07.287019 | 12646312 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12646312 | Athletic Physical Therapy Inc | 1950-06-21 | 2025-09-26 | M | PT | N/A | N/A | Aliabadi | 4H63HH1UD97 | Hossein | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205917111.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7983538/check_12646312_16a365c7-1ce8-4f98-9d3a-beb28938bb6e.json | N/A | N/A | N/A | N/A | N/A | 4H63HH1UD97 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-06-21 | S5601 | N/A | N/A | MB | false | ALIABADI | N/A | HOSSEIN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8857484401 | N/A | N/A | 7983538 | 2222 | 4802 | 12886271 | N/A | 6706099 | 2025-09-24 02:40:07.287019 | 2025-11-21 22:00:12.073625 |
| 2025-09-23 17:19:50.473376 | 2025-09-24 02:26:21.193087 | 12645711 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12645711 | Athletic Physical Therapy Inc | 1955-06-14 | 2025-09-25 | M | AE | PT | N/A | STAGNITTA | MBL690W21411 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205917111.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7784381/check_12645711_275dfa7f-157a-4442-8646-2669cd8998e4.json | N/A | N/A | N/A | N/A | N/A | MBL690W21411 | N/A | LOS ANGELES CITY EMPLOYEES' RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1955-06-14 | 040 | CA039GRS | N/A | N/A | false | STAGNITTA | N/A | ROBERT | N/A | 9999-12-31 | 2024-10-01 | CA GRS LACERS H4036-801 ANTHEM MEDICARE PREFERRED | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857483183 | N/A | N/A | 7784381 | 2222 | 4793 | 12885222 | N/A | 4212542 | 2025-09-24 02:26:21.193087 | 2025-08-05 17:22:00.318869 |
| 2025-09-23 17:19:08.362733 | 2025-09-24 02:28:45.826686 | 12645638 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12645638 | Athletic Physical Therapy Inc | 1935-11-26 | 2025-09-25 | F | AE | PT | N/A | MCCANN | JQE588W18533 | JOSEPHINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205917111.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7760464/check_12645638_5693976d-5049-4dae-8e74-6729f90b8a8b.json | N/A | N/A | N/A | N/A | N/A | JQE588W18533 | N/A | CA MED-SUPP | BLUE SHIELD OF CALIFORNIA | N/A | 1935-11-26 | 040 | CASUPWP0 | N/A | N/A | false | MCCANN | N/A | JOSEPHINE | N/A | 9999-12-31 | 2024-02-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857483165 | N/A | N/A | 7760464 | 2222 | 4801 | 12885465 | N/A | 6609924 | 2025-09-24 02:28:45.826686 | 2025-08-12 22:04:05.464362 |
| 2025-09-23 17:13:12.415095 | 2025-09-24 02:35:21.931904 | 12644369 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 12644369 | Athletic Physical Therapy Inc | 1963-05-22 | 2025-09-24 | M | AE | PT | N/A | SMITH | 99688004H | MATTHEW | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205917111.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7321767/check_12644369_ba9b5222-3fbf-49bf-9ffc-1ef4bd7bb68b.json | N/A | N/A | N/A | N/A | N/A | 99688004H | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1963-05-22 | N/A | N/A | N/A | N/A | false | SMITH | N/A | MATTHEW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857483671 | N/A | N/A | 7321767 | 2222 | 4793 | 12885873 | N/A | 6037802 | 2025-09-24 02:35:21.931904 | 2025-07-22 17:48:16.997014 |
| 2025-09-23 17:12:26.579931 | 2025-09-23 17:12:27.333078 | 12644173 | N/A | N/A | 22384 | Administrative Concepts, Inc | 1114042165 | 12644173 | Athletic Physical Therapy Inc | 1949-05-23 | 2025-09-24 | M | AE | PT | N/A | BRYCE | 3RR7JD8YV50 | CHARLES | N/A | WAYSTAR | N/A | BATCH | 2025-09-24 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9635919 | 2222 | 4793 | N/A | N/A | 8061954 | 2025-09-23 17:12:27.333078 | 2025-09-22 22:24:30.945378 |
| 2025-09-23 17:11:30.237569 | 2025-09-24 02:28:45.232141 | 12643917 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12643917 | Athletic Physical Therapy Inc | 1968-07-21 | 2025-09-25 | F | AE | PT | N/A | MCALISTER | SFZ846186424 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205917111.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7024102/check_12643917_9377176a-5810-4166-ab4a-0b2e26ff99fe.json | N/A | N/A | N/A | N/A | N/A | SFZ846186424 | Preferred Provider Organization (PPO) | RETIREE 50 AS OF 1112 HIRED 1107 | MEDICARE | N/A | 1968-07-21 | N/A | 021104 | N/A | PR | false | MCALISTER | N/A | BONNIE | N/A | 9999-12-31 | 2013-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857482677 | N/A | N/A | 7024102 | 2222 | 4801 | 12885464 | N/A | 6038562 | 2025-09-24 02:28:45.232141 | 2025-07-30 21:46:09.369299 |
| 2025-09-23 17:09:58.623832 | 2025-09-24 02:26:20.368944 | 12643393 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12643393 | Athletic Physical Therapy Inc | 1936-09-29 | 2025-09-26 | M | AE | PT | N/A | JAUDE | JQE122A53874 | KARIM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205917111.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6821574/check_12643393_fe9cad45-108b-4727-8ba0-2eee1077dbdd.json | N/A | N/A | N/A | N/A | N/A | JQE122A53874 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1936-09-29 | 040 | CASUPWP0 | N/A | N/A | false | JAUDE | N/A | KARIM | N/A | 9999-12-31 | 2023-12-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857483335 | N/A | N/A | 6821574 | 2222 | 4802 | 12885220 | N/A | 4214191 | 2025-09-24 02:26:20.368944 | 2025-05-13 04:29:37.228525 |
| 2025-09-23 17:09:07.126207 | 2025-09-24 02:26:19.527084 | 12643165 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12643165 | Athletic Physical Therapy Inc | 1959-07-23 | 2025-09-26 | M | AE | PT | N/A | Harvey | LFYHC0062508 | Roy | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205917111.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714942/check_12643165_d9c8ce21-19be-4525-86eb-db36518d3844.json | N/A | N/A | N/A | N/A | N/A | LFYHC0062508 | Preferred Provider Organization (PPO) | LOS ANGELES FIREMENS RELIEF ASSOCIATION - RETIREE | ANTHEM BLUE CROSS | N/A | 1959-07-23 | 040 | 282527M002 | N/A | PR | false | HARVEY | N/A | ROY | N/A | 9999-12-31 | 2020-02-01 | PPO PRUDENT BUYER INCENTIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857483526 | N/A | N/A | 6714942 | 2222 | 4802 | 12885218 | N/A | 5316172 | 2025-09-24 02:26:19.527084 | 2025-07-02 15:09:36.678003 |
| 2025-09-23 17:09:06.512630 | 2025-09-24 02:26:18.307274 | 12643162 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12643162 | Athletic Physical Therapy Inc | 1951-10-16 | 2025-09-26 | F | AE | PT | N/A | GARRETT | JQE702W20596 | KATHLEEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205917111.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714934/check_12643162_288f4b77-b9ab-437a-bdc0-99e620bc7648.json | N/A | N/A | N/A | N/A | N/A | JQE702W20596 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1951-10-16 | 040 | CASUPWP0 | N/A | N/A | false | GARRETT | N/A | KATHLEEN | N/A | 9999-12-31 | 2024-07-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857483525 | N/A | N/A | 6714934 | 2222 | 4793 | 12885216 | N/A | 5316176 | 2025-09-24 02:26:18.307274 | 2025-07-01 18:44:12.927482 |
| 2025-09-23 17:08:15.808588 | 2025-09-24 07:14:18.070933 | 12642896 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12642896 | Athletic Physical Therapy Inc | 1955-06-14 | 2025-09-25 | M | AE | PT | N/A | STAGNITTA | 1XD8E47RR64 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205949095.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7784368/check_12642896_b4d2e239-0acd-42a8-b840-d2c8831aad08.json | N/A | N/A | N/A | N/A | N/A | 1XD8E47RR64 | Medicare Part A | N/A | ANTHEM, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-06-14 | H4036 | 280612 280612M004 | N/A | MA | false | STAGNITTA | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857378098 | N/A | N/A | 7784368 | 2222 | 4793 | 12897658 | N/A | 4212542 | 2025-09-24 07:14:18.070933 | 2025-08-05 17:22:00.318869 |
| 2025-09-23 17:07:36.729494 | 2025-09-24 06:33:52.655696 | 12642658 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 12642658 | Athletic Physical Therapy Inc | 1936-04-01 | 2025-09-25 | F | AE | PT | N/A | WESTER | 40064582501 | EIVOR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205949095.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7761229/check_12642658_a3621f3c-01c0-4846-8e73-140ef4e33c4a.json | N/A | N/A | N/A | N/A | N/A | 40064582501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1936-04-01 | 2025H5425001 | H5425M | N/A | N/A | false | WESTER | N/A | EIVOR | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857378678 | N/A | N/A | 7761229 | 2222 | 4793 | 12892339 | N/A | 6610550 | 2025-09-24 06:33:52.655696 | 2025-08-29 21:18:14.924057 |
| 2025-09-23 17:07:35.233535 | 2025-09-24 07:14:16.050374 | 12642647 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12642647 | Athletic Physical Therapy Inc | 1935-11-26 | 2025-09-25 | F | AE | PT | N/A | MCCANN | 9Q04X31JA99 | JOSEPHINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205949095.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7760463/check_12642647_c9f65f34-379e-415a-90dc-f1f9a15c6240.json | N/A | N/A | N/A | N/A | N/A | 9Q04X31JA99 | N/A | N/A | CMS | N/A | 1935-11-26 | N/A | N/A | N/A | N/A | false | MCCANN | N/A | JOSEPHINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857378673 | N/A | N/A | 7760463 | 2222 | 4801 | 12897654 | N/A | 6609924 | 2025-09-24 07:14:16.050374 | 2025-08-12 22:04:05.464362 |
| 2025-09-23 17:07:29.967185 | 2025-09-24 06:45:22.520375 | 12642596 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12642596 | Athletic Physical Therapy Inc | 1968-02-07 | 2025-09-25 | M | PT | N/A | N/A | Sariri | XDP632A69850 | Darius | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205949095.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7754707/check_12642596_c5beab20-ec27-406a-a182-efd081c61aa1.json | N/A | N/A | N/A | N/A | N/A | XDP632A69850 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | BLUE SHIELD OF CALIFORNIA | N/A | 1968-02-07 | 040 | 280629Q052 | N/A | PR | false | MAVADDAT | N/A | NEUSHA | N/A | 9999-12-31 | 2025-07-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8857378641 | N/A | N/A | 7754707 | 2222 | 4802 | 12893689 | N/A | 6605684 | 2025-09-24 06:45:22.520375 | 2025-08-05 01:08:16.312539 |
| 2025-09-23 17:07:21.163827 | 2025-09-24 02:27:58.441775 | 12642512 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12642512 | Athletic Physical Therapy Inc | 1934-12-03 | 2025-09-26 | M | AE | PT | N/A | Dayzadeh | XEM903033247 | Nasser | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205917111.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6595255/check_12642512_7e333afd-aa21-4136-a6ba-9271b6834c50.json | N/A | N/A | N/A | N/A | N/A | XEM903033247 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1934-12-03 | 2101SD000023 | X0001002 | N/A | OT | false | DAYZADEH | N/A | NASSER | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN D | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857482294 | N/A | N/A | 6595255 | 2222 | 4802 | 12885412 | N/A | 5202586 | 2025-09-24 02:27:58.441775 | 2025-06-25 17:55:27.155518 |
| 2025-09-23 17:07:18.327199 | 2025-09-23 17:07:18.546137 | 12642481 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12642481 | Athletic Physical Therapy Inc | 1963-04-03 | 2025-09-26 | M | PT | N/A | N/A | Protsenko | AJC912998623 | Tetiana | N/A | WAYSTAR | N/A | BATCH | 2025-09-26 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9559512 | 2222 | 4802 | N/A | N/A | 7994720 | 2025-09-23 17:07:18.546137 | 2025-09-24 04:33:28.125297 |
| 2025-09-23 17:07:07.781979 | 2025-09-24 02:14:49.397012 | 12642360 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12642360 | Athletic Physical Therapy Inc | 1973-03-27 | 2025-09-26 | F | AE | PT | N/A | KAUFMAN | R05917930FM1 | AMANDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.213030704.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074035/check_12642360_8bcd9b01-430d-4c7e-928e-e4c2453d86f3.json | N/A | N/A | N/A | N/A | N/A | R05917930FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1973-03-27 | N/A | N/A | N/A | N/A | false | KAUFMAN | N/A | AMANDA | N/A | N/A | N/A | MFC UCNNHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857367340 | N/A | N/A | 6074035 | 2222 | 4801 | 12883299 | N/A | 4718592 | 2025-09-24 02:14:49.397012 | 2025-05-29 20:00:22.627186 |
| 2025-09-23 17:07:02.620838 | 2025-09-24 06:38:23.257728 | 12642285 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12642285 | Athletic Physical Therapy Inc | 1990-11-27 | 2025-09-26 | M | PT | N/A | N/A | HAN | XTS845M18428 | PENGCHENG | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205949095.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7689149/check_12642285_e44cae57-4d09-487e-b647-a4ed46374785.json | N/A | N/A | N/A | N/A | N/A | XTS845M18428 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1990-11-27 | N/A | N/A | N/A | N/A | false | HAN | N/A | PENGCHENG | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8857378907 | N/A | N/A | 7689149 | 2222 | 4793 | 12892786 | N/A | 6560578 | 2025-09-24 06:38:23.257728 | 2025-08-15 01:36:36.509527 |
| 2025-09-23 17:06:42.421755 | 2025-09-24 06:46:30.209548 | 12642060 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12642060 | Athletic Physical Therapy Inc | 1969-01-24 | 2025-09-26 | F | AE | PT | N/A | DEBENEDICTIS | R00538590FS1 | JULIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205955431.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8673509/check_12642060_9f9819d9-43f6-41cb-9018-8ac98e2e82e1.json | N/A | N/A | N/A | N/A | N/A | R00538590FS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-24 | N/A | N/A | N/A | N/A | false | DEBENEDICTIS | N/A | JULIE | N/A | N/A | N/A | KWW PPOSBG | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857362784 | N/A | N/A | 8673509 | 2222 | 4793 | 12893832 | N/A | 7308743 | 2025-09-24 06:46:30.209548 | 2025-09-08 16:19:09.101702 |
| 2025-09-23 17:06:30.949945 | 2025-09-24 02:04:28.197097 | 12641842 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12641842 | Athletic Physical Therapy Inc | 1954-11-24 | 2025-09-25 | M | AE | PT | N/A | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205917111.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6528155/check_12641842_38d5502c-5aec-4434-8a56-81d916f0db64.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1954-11-24 | N/A | N/A | N/A | N/A | false | BLANCHFIELD | N/A | THOMAS | N/A | 9999-12-31 | 2024-07-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857483867 | N/A | N/A | 6528155 | 2222 | 4793 | 12882369 | N/A | 4214447 | 2025-09-24 02:04:28.197097 | 2026-04-23 20:11:34.441054 |
| 2025-09-23 17:06:15.387737 | 2025-09-24 06:47:45.346845 | 12641589 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12641589 | Athletic Physical Therapy Inc | 1962-07-16 | 2025-09-26 | M | PT | N/A | N/A | FORSTER | D7X929848912 | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205955431.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8633336/check_12641589_876bf95b-b5f0-4f2d-ab80-ea6da4422500.json | N/A | N/A | N/A | N/A | N/A | D7X929848912 | Preferred Provider Organization (PPO) | CACI INTERNATIONAL | ANTHEM BLUE CROSS | N/A | 1962-07-16 | N/A | 67203000 | N/A | PR | false | FORSTER | N/A | JOHN | N/A | 9999-12-31 | 2025-07-01 | BLUECHOICE ADVANTAGE CDH | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8857363563 | N/A | N/A | 8633336 | 2222 | 4801 | 12893993 | N/A | 4209604 | 2025-09-24 06:47:45.346845 | 2025-05-13 04:29:37.224032 |
| 2025-09-23 17:06:06.752188 | 2025-09-24 02:22:30.306298 | 12641465 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12641465 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-09-26 | M | AE | PT | N/A | JACOBS | 4XJ0X61FM35 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.213030704.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993912/check_12641465_7af86f5f-9e7e-4451-92f7-d1149560db4a.json | N/A | N/A | N/A | N/A | N/A | 4XJ0X61FM35 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-25 | S5921 | N/A | N/A | MB | false | JACOBS | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857366441 | N/A | N/A | 5993912 | 2222 | 4793 | 12884531 | N/A | 4642852 | 2025-09-24 02:22:30.306298 | 2025-11-21 18:38:17.056437 |
| 2025-09-23 17:06:06.450129 | 2025-09-24 02:15:36.163689 | 12641459 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12641459 | Athletic Physical Therapy Inc | 1983-05-31 | 2025-09-26 | M | AE | PT | N/A | JOHNSON | R04617470MM1 | ROTH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.213030704.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993907/check_12641459_665baf97-2639-462b-81af-ecb3a0378e56.json | N/A | N/A | N/A | N/A | N/A | R04617470MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1983-05-31 | N/A | N/A | N/A | N/A | false | JOHNSON | N/A | ROTH | N/A | N/A | N/A | KWE PPOSBG | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857366440 | N/A | N/A | 5993907 | 2222 | 4793 | 12883426 | N/A | 4534544 | 2025-09-24 02:15:36.163689 | 2025-05-28 20:51:40.104091 |
| 2025-09-23 17:06:03.899840 | 2025-09-24 06:17:49.626950 | 12641419 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 12641419 | Athletic Physical Therapy Inc | 1975-12-22 | 2025-09-26 | M | PT | N/A | N/A | HUTH | XEH910929228 | KENT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205949095.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7626895/check_12641419_cc8cd1e1-8cfa-4def-82a8-eed124b1498f.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 | 8857379134 | N/A | N/A | 7626895 | 2222 | 4793 | 12890793 | N/A | 6525917 | 2025-09-24 06:17:49.626950 | 2026-05-08 22:53:13.232007 |
| 2025-09-23 17:05:57.031899 | 2025-09-24 02:08:09.229905 | 12641293 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 12641293 | Athletic Physical Therapy Inc | 1957-03-29 | 2025-09-26 | M | AE | PT | N/A | WALDEN | 33405035111 | REGAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205917111.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472487/check_12641293_620d0463-b5d3-4d3b-8fa7-6c72c37f94c1.json | N/A | N/A | N/A | N/A | N/A | 33405035111 | 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. | 1957-03-29 | N/A | N/A | N/A | SP | false | WALDEN | N/A | REGAN | 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 | 8857482986 | N/A | N/A | 6472487 | 2222 | 4801 | 12882482 | N/A | 5105545 | 2025-09-24 02:08:09.229905 | 2025-07-07 15:29:01.484955 |
| 2025-09-23 17:05:50.384802 | 2025-09-24 02:16:45.526136 | 12641169 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12641169 | Athletic Physical Therapy Inc | 1973-02-24 | 2025-09-24 | F | PT | N/A | N/A | TAKEMOTO | XED906098170 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.213030704.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928752/check_12641169_2e33d46b-e44e-4780-b0ab-3c835c3c0e6f.json | N/A | N/A | N/A | N/A | N/A | XED906098170 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1973-02-24 | 2001ZK002184 | X0001004 | N/A | PR | false | TAKEMOTO | N/A | NICOLE | N/A | 9999-12-31 | 2025-01-01 | SILVER 94 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8857366218 | N/A | N/A | 5928752 | 2222 | 4802 | 12883663 | N/A | 4583701 | 2025-09-24 02:16:45.526136 | 2025-07-24 17:50:11.805587 |
| 2025-09-23 17:05:40.427765 | 2025-09-24 06:38:20.615752 | 12640996 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12640996 | Athletic Physical Therapy Inc | 1940-08-20 | 2025-09-26 | F | PT | N/A | N/A | GRIFFITH | MBL120M95246 | JUDITH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205949095.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7587363/check_12640996_56292bd2-ddce-40c6-9b55-6c20428c2cf9.json | N/A | N/A | N/A | N/A | N/A | MBL120M95246 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1940-08-20 | 040 | CAEGR002 | N/A | N/A | false | GRIFFITH | N/A | JUDITH | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8857379035 | N/A | N/A | 7587363 | 2222 | 4793 | 12892783 | N/A | 6497042 | 2025-09-24 06:38:20.615752 | 2025-07-31 17:19:07.355008 |
| 2025-09-23 17:05:38.680413 | 2025-09-24 06:38:11.879531 | 12640973 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12640973 | Athletic Physical Therapy Inc | 1994-12-08 | 2025-09-26 | F | PT | N/A | N/A | Benet | CPT240W21227 | Lilian | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205949095.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7587004/check_12640973_f1fdfe48-137e-4b8a-b007-90310ae5a05b.json | N/A | N/A | N/A | N/A | N/A | CPT240W21227 | Preferred Provider Organization (PPO) | THE CAPITAL GROUP COMPANIES | ANTHEM BLUE CROSS | N/A | 1994-12-08 | 040 | C20001M1A2 | N/A | PR | false | BENET | N/A | LILIAN | N/A | 9999-12-31 | 2024-08-26 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8857379031 | N/A | N/A | 7587004 | 2222 | 4802 | 12892768 | N/A | 6496624 | 2025-09-24 06:38:11.879531 | 2025-09-26 20:15:15.570978 |
| 2025-09-23 17:05:30.734406 | 2025-09-24 06:29:22.522175 | 12640887 | N/A | N/A | 60054 | Aetna | 1114042165 | 12640887 | Athletic Physical Therapy Inc | 1968-02-25 | 2025-09-26 | F | AE | PT | N/A | Segal | W248584098 | Jodi | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205955431.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8493403/check_12640887_184c9d01-208c-4e18-8fc0-88b60da0830c.json | N/A | N/A | N/A | N/A | N/A | W248584098 | Point of Service (POS) | FARMERS INSURANCE EXCHANGE | AETNA | N/A | 1968-02-25 | 0109198 | 010919803500001 | N/A | PS | false | SEGAL | N/A | WILLIAM | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857363249 | N/A | N/A | 8493403 | 2222 | 4801 | 12891931 | N/A | 7159935 | 2025-09-24 06:29:22.522175 | 2025-09-09 21:26:40.265997 |
| 2025-09-23 17:05:27.389259 | 2025-09-24 02:15:35.877661 | 12640843 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 12640843 | Athletic Physical Therapy Inc | 1944-01-31 | 2025-09-25 | F | AE | PT | N/A | DVORSKY | 000009483838 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.213030704.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874461/check_12640843_5b0435b7-7629-4294-ae36-fc1a70543b2a.json | N/A | N/A | N/A | N/A | N/A | 000009483838 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1944-01-31 | 3003378 | 1650095001 | N/A | N/A | false | DVORSKY | N/A | LINDA | N/A | N/A | N/A | GF JANUARY - KPIF COPAY COPAYMENT $25 HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857366686 | N/A | N/A | 5874461 | 2222 | 4801 | 12883425 | N/A | 4534583 | 2025-09-24 02:15:35.877661 | 2025-05-27 21:59:00.919365 |
| 2025-09-23 17:05:27.146142 | 2025-09-24 02:22:29.705727 | 12640838 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12640838 | Athletic Physical Therapy Inc | 1958-09-13 | 2025-09-26 | M | AE | PT | N/A | DERR | 4GK3GN5DV73 | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.213030704.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874420/check_12640838_81f0ef15-e979-4622-9ba7-cecfd27d088c.json | N/A | N/A | N/A | N/A | N/A | 4GK3GN5DV73 | N/A | N/A | CMS | N/A | 1958-09-13 | N/A | N/A | N/A | N/A | false | DERR | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857366685 | N/A | N/A | 5874420 | 2222 | 4793 | 12884529 | N/A | 4534550 | 2025-09-24 02:22:29.705727 | 2025-10-15 18:36:58.255255 |
| 2025-09-23 17:05:25.920183 | 2025-09-24 02:15:42.884421 | 12640817 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12640817 | Athletic Physical Therapy Inc | 1953-03-27 | 2025-09-25 | F | AE | PT | N/A | FINE | 00000272194 | MICHELLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.213030704.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858742/check_12640817_d1c8f17f-c469-4ef8-9c4f-0c07f9d3049c.json | N/A | N/A | N/A | N/A | N/A | 00000272194 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1953-03-27 | H3815028 | N/A | N/A | HM | false | FINE | N/A | MICHELLE | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857366680 | N/A | N/A | 5858742 | 2222 | 4801 | 12883453 | 2630 | 4219630 | 2025-09-24 02:15:42.884421 | 2025-05-13 04:29:37.230672 |
| 2025-09-23 17:05:18.666871 | 2025-09-24 06:47:02.892999 | 12640695 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12640695 | Athletic Physical Therapy Inc | 1950-08-30 | 2025-09-26 | M | AE | PT | N/A | VILLA | 00000293779 | RAMON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205955431.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471007/check_12640695_9ad69332-b72b-4408-8d4b-0ddf38af2c4f.json | N/A | N/A | N/A | N/A | N/A | 00000293779 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1950-08-30 | H3815028 | N/A | N/A | HM | false | VILLA | N/A | RAMON | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857362398 | N/A | N/A | 8471007 | 2222 | 4801 | 12893893 | 2630 | 7142042 | 2025-09-24 06:47:02.892999 | 2025-08-25 17:21:31.750932 |
| 2025-09-23 17:05:02.207677 | 2025-09-24 02:15:43.199905 | 12640379 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12640379 | Athletic Physical Therapy Inc | 1953-04-27 | 2025-09-26 | M | AE | PT | N/A | TEDDER | 00000390480 | CHARLES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.213030704.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676415/check_12640379_5256c683-06c1-4686-8032-2c5bf54ad140.json | N/A | N/A | N/A | N/A | N/A | 00000390480 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1953-04-27 | N/A | N/A | N/A | N/A | false | TEDDER | N/A | CHARLES | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857367288 | N/A | N/A | 5676415 | 2222 | 4801 | 12883455 | 2630 | 4343470 | 2025-09-24 02:15:43.199905 | 2025-05-13 04:29:37.230947 |
| 2025-09-23 17:05:01.925697 | 2025-09-24 02:15:58.418855 | 12640374 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12640374 | Athletic Physical Therapy Inc | 1946-04-03 | 2025-09-25 | F | PT | N/A | N/A | OBLINGER | JQS491M78254 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.213030704.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676340/check_12640374_efb04408-7b8e-4fc8-91d0-42ac45aa5512.json | N/A | N/A | N/A | N/A | N/A | JQS491M78254 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1946-04-03 | 040 | CAMCRWP0 | N/A | MP | false | OBLINGER | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8857367287 | N/A | N/A | 5676340 | 2222 | 4793 | 12883505 | 4184 | 4210531 | 2025-09-24 02:15:58.418855 | 2025-12-09 17:09:13.960610 |
| 2025-09-23 17:04:53.881082 | 2025-09-24 06:21:08.451880 | 12640236 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | 12640236 | Athletic Physical Therapy Inc | 1958-07-23 | 2025-09-25 | F | PT | N/A | N/A | BURNS | JQW418W16911 | MARY BETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205955431.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8415251/check_12640236_fe83c0de-b15a-4a43-a681-8f7abd1c982b.json | N/A | N/A | N/A | N/A | N/A | JQW418W16911 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1958-07-23 | N/A | N/A | N/A | N/A | false | BURNS | N/A | MARY BETH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8857363156 | N/A | N/A | 8415251 | 2222 | 4801 | 12891123 | N/A | 4209247 | 2025-09-24 06:21:08.451880 | 2025-07-22 18:58:10.876206 |
| 2025-09-23 17:04:37.712839 | 2025-09-24 02:14:48.513482 | 12639969 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12639969 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-09-25 | F | AE | PT | N/A | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.213030704.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_12639969_cb8a59d6-ece1-47db-9016-befdf7c5a2ff.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857367692 | N/A | N/A | 5568076 | 2222 | 4802 | 12883296 | N/A | 4209480 | 2025-09-24 02:14:48.513482 | 2026-04-10 02:05:15.976484 |