API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-23 17:00:37.899964 | 2025-09-24 06:43:59.261758 | 12632862 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12632862 | Athletic Physical Therapy Inc | 1979-04-20 | 2025-09-26 | F | PT | NOSRAT | XEK904721388 | CAROLYN | N/A | N/A | 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/2222/7252533/check_12632862_b17f397b-d805-4b71-b23d-163af0f0d218.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1979-04-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | NOSRAT | N/A | CAROLYN | N/A | 9999-12-31 | 2016-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8857378526 | N/A | N/A | 7252533 | 2222 | 4802 | 12893527 | N/A | 4214065 | 2025-09-24 06:43:59.261758 | 2025-05-13 04:29:37.228379 |
| 2025-09-23 17:00:37.863058 | 2025-09-24 07:35:40.625523 | 12632860 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12632860 | Athletic Physical Therapy Inc | 1942-10-02 | 2025-09-25 | M | AE | SAWAYA | XDD599A52218 | PETER | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205932743.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9033459/check_12632860_6c721f23-50c3-40d4-8276-de0cf28dff3d.json | N/A | N/A | N/A | N/A | N/A | XDD599A52218 | Indemnity | SISC - COMPANIONCARE | MEDICARE D | N/A | 1942-10-02 | 040 | 40003A | N/A | IN | false | SAWAYA | N/A | PETER | N/A | 9999-12-31 | 2023-01-01 | MEDICARE SUPPLEMENT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857333989 | N/A | N/A | 9033459 | 2222 | 4802 | 12900162 | N/A | 7553607 | 2025-09-24 07:35:40.625523 | 2025-09-02 22:55:04.873891 |
| 2025-09-23 17:00:33.508800 | 2025-09-24 06:43:26.925641 | 12632730 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 12632730 | Athletic Physical Therapy Inc | 1950-08-25 | 2025-09-26 | F | AE | POLLOCK | 40002008301 | MARY | PT | N/A | 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/2222/7992096/check_12632730_76106384-97e2-4623-84fa-e175aaefb677.json | N/A | N/A | N/A | N/A | N/A | 40002008301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-08-25 | 2025H5425001 | H5425M | N/A | N/A | false | POLLOCK | N/A | MARY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857362868 | N/A | N/A | 7992096 | 2222 | 4801 | 12893466 | N/A | 4212687 | 2025-09-24 06:43:26.925641 | 2025-08-27 18:05:06.350903 |
| 2025-09-23 17:00:30.141618 | 2025-09-24 07:38:31.242216 | 12632629 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12632629 | Athletic Physical Therapy Inc | 1960-05-09 | 2025-09-26 | F | AE | NAIM | 2TU4ET4KM92 | MANIJEH | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205948175.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9064355/check_12632629_b30b6445-23cf-4027-8e80-82e350a77f27.json | N/A | N/A | N/A | N/A | N/A | 2TU4ET4KM92 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-05-09 | S5617 | N/A | N/A | MB | false | NAIM | N/A | MANIJEH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857328853 | N/A | N/A | 9064355 | 2222 | 4802 | 12900357 | N/A | 7579800 | 2025-09-24 07:38:31.242216 | 2025-09-03 19:21:43.349664 |
| 2025-09-23 17:00:29.597898 | 2025-09-24 06:52:37.941671 | 12632612 | N/A | N/A | 61101 | Regal Medical Group | 1114042165 | 12632612 | Athletic Physical Therapy Inc | 1952-07-05 | 2025-09-26 | F | AE | HUYNH | 9100461101 | KIM | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205948175.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9063890/check_12632612_570dc6ad-0618-427e-b9b6-a919ce8bb72b.json | N/A | N/A | N/A | N/A | N/A | 9100461101 | N/A | N/A | HUMANA | N/A | N/A | N/A | N/A | N/A | N/A | false | HUYNH | N/A | KIM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857328849 | N/A | N/A | 9063890 | 2222 | 4793 | 12894654 | N/A | 7579259 | 2025-09-24 06:52:37.941671 | 2025-09-04 15:42:09.086707 |
| 2025-09-23 17:00:29.043152 | 2025-09-24 07:07:03.274959 | 12632596 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12632596 | Athletic Physical Therapy Inc | 1996-07-09 | 2025-09-25 | F | AE | GARDNER | 94664711H | ANGEL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205948175.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9063523/check_12632596_dca4a0c3-c9b3-49de-9a98-74b04f5cb484.json | N/A | N/A | N/A | N/A | N/A | 94664711H | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1996-07-09 | MCLA | MWLLNMEG21 | N/A | N/A | false | GARDNER | N/A | ANGEL | N/A | 2078-12-31 | 2025-07-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857328845 | N/A | N/A | 9063523 | 2222 | 4802 | 12896661 | N/A | 7578504 | 2025-09-24 07:07:03.274959 | 2025-09-16 23:15:33.721148 |
| 2025-09-23 17:00:28.883814 | 2025-09-24 07:07:34.479516 | 12632591 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12632591 | Athletic Physical Therapy Inc | 1951-10-06 | 2025-09-24 | M | PT | CRONIN | NSA00368979H | KEVIN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205948175.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9063293/check_12632591_28941d89-2dfb-47c5-a07e-f57d8c1a6d04.json | N/A | N/A | N/A | N/A | N/A | NSA00368979H | Preferred Provider Organization (PPO) | MAIN PPO PLAN- EARNED | ANTHEM BLUE CROSS | N/A | 1951-10-06 | 040 | L05927A001 | N/A | PR | false | CRONIN | N/A | KEVIN | N/A | 9999-12-31 | 2023-07-01 | PB INCENTIVE NO SUTTER | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8857328844 | N/A | N/A | 9063293 | 2222 | 4793 | 12896718 | N/A | 7578088 | 2025-09-24 07:07:34.479516 | 2025-09-03 18:45:56.904111 |
| 2025-09-23 17:00:28.565239 | 2025-09-24 07:34:49.006173 | 12632581 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12632581 | Athletic Physical Therapy Inc | 1950-04-13 | 2025-09-25 | F | AE | NATALI | 94579563C | RENEE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205932743.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8979227/check_12632581_93b84494-39ae-4289-9d14-7cc5364251b8.json | N/A | N/A | N/A | N/A | N/A | 94579563C | N/A | MCLA WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1950-04-13 | MCLA | MWLLDAGG21 | N/A | N/A | false | NATALI | N/A | RENEE | N/A | 2025-07-31 | 2025-02-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857334825 | N/A | N/A | 8979227 | 2222 | 4793 | 12900099 | N/A | 7498543 | 2025-09-24 07:34:49.006173 | 2025-10-14 17:13:32.178778 |
| 2025-09-23 17:00:27.687679 | 2025-09-24 07:43:16.097632 | 12632551 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12632551 | Athletic Physical Therapy Inc | 1957-03-29 | 2025-09-26 | M | AE | WALDEN | 5AF5PY3HV89 | REGAN | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.210013374.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472393/check_12632551_e97f5879-4096-465e-8d7e-9530d21c4f63.json | N/A | N/A | N/A | N/A | N/A | 5AF5PY3HV89 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-03-29 | S5921 | N/A | N/A | MA | false | WALDEN | N/A | REGAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857340649 | N/A | N/A | 6472393 | 2222 | 4801 | 12900860 | N/A | 5105545 | 2025-09-24 07:43:16.097632 | 2025-07-07 15:29:01.484955 |
| 2025-09-23 17:00:27.298987 | 2025-09-24 07:04:28.429414 | 12632538 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12632538 | Athletic Physical Therapy Inc | 1966-04-28 | 2025-09-25 | F | PT | HAZARD | NCF794W22253 | PAULA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.210013374.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472283/check_12632538_63967ffc-ed1f-4df7-b4a6-40fbc9152cf2.json | N/A | N/A | N/A | N/A | N/A | NCF794W22253 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1966-04-28 | 040 | 57AJCA | N/A | HM | false | HAZARD | N/A | PAULA | N/A | 9999-12-31 | 2025-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8857340648 | N/A | N/A | 6472283 | 2222 | 4801 | 12896335 | N/A | 5105323 | 2025-09-24 07:04:28.429414 | 2025-07-02 18:01:41.077949 |
| 2025-09-23 17:00:14.741617 | 2025-09-24 07:35:38.406175 | 12632133 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12632133 | Athletic Physical Therapy Inc | 1948-07-07 | 2025-09-26 | F | AE | GOEL | JQE690A74746 | VEENA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205932743.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969545/check_12632133_b3991375-6540-4655-87bf-d9c6e9891cbc.json | N/A | N/A | N/A | N/A | N/A | JQE690A74746 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1948-07-07 | 040 | CASUPWP0 | N/A | N/A | false | GOEL | N/A | VEENA | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857334572 | N/A | N/A | 8969545 | 2222 | 4802 | 12900159 | N/A | 7485064 | 2025-09-24 07:35:38.406175 | 2025-12-29 22:41:16.623495 |
| 2025-09-23 17:00:05.316126 | 2025-09-24 07:38:34.126893 | 12631757 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12631757 | Athletic Physical Therapy Inc | 1942-10-02 | 2025-09-25 | M | AE | SAWAYA | 3R88YH3MG32 | PETER | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205948175.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9033458/check_12631757_7130e6fa-eb1a-4693-9d2d-7864550db0a0.json | N/A | N/A | N/A | N/A | N/A | 3R88YH3MG32 | Medicare Part A | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-10-02 | S9701 | N/A | N/A | MA | false | SAWAYA | N/A | PETER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857329013 | N/A | N/A | 9033458 | 2222 | 4802 | 12900361 | N/A | 7553607 | 2025-09-24 07:38:34.126893 | 2025-09-02 22:55:04.873891 |
| 2025-09-23 17:00:03.327597 | 2025-09-24 06:46:02.377958 | 12631678 | N/A | N/A | 60054 | Aetna | 1114042165 | 12631678 | Athletic Physical Therapy Inc | 1989-01-27 | 2025-09-26 | M | AE | Nawrot | W245282037 | Michael | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205948175.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9025372/check_12631678_b8c7a3ff-bc9d-4e29-8778-216a3c6e9c59.json | N/A | N/A | N/A | N/A | N/A | W245282037 | Point of Service (POS) | ARES MANAGEMENT LLC | AETNA | N/A | 1989-01-27 | 0804939 | 080493901500051 | N/A | PS | false | NAWROT | N/A | MICHAEL | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857328997 | N/A | N/A | 9025372 | 2222 | 4802 | 12893774 | N/A | 7548299 | 2025-09-24 06:46:02.377958 | 2025-09-02 21:45:20.203692 |
| 2025-09-23 17:00:01.037642 | 2025-09-24 07:12:06.096204 | 12631599 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12631599 | Athletic Physical Therapy Inc | 1981-02-22 | 2025-09-26 | M | PT | WALKOW | XEK906265328 | RYAN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205948175.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9024389/check_12631599_c40dbf05-28e7-4539-9270-6662c6096607.json | N/A | N/A | N/A | N/A | N/A | XEK906265328 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1981-02-22 | 2001ZK002189 | X0001000 | N/A | PR | false | WALKOW | N/A | RYAN | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8857328981 | N/A | N/A | 9024389 | 2222 | 4793 | 12897322 | N/A | 7546770 | 2025-09-24 07:12:06.096204 | 2025-09-09 02:40:35.718380 |
| 2025-09-23 16:59:57.550929 | 2025-09-24 06:38:24.904321 | 12631474 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12631474 | Athletic Physical Therapy Inc | 1983-01-16 | 2025-09-26 | M | PT | MIRANDA | NCF728A24383 | ERICK | N/A | N/A | 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/2222/7173834/check_12631474_e90fcc4c-90c3-4270-80c9-c2ce5d19c0b5.json | N/A | N/A | N/A | N/A | N/A | NCF728A24383 | Health Maintenance Organization (HMO) | LOS ANGELES POLICE RELIEF ASN INC | ANTHEM BLUE CROSS | N/A | 1983-01-16 | 040 | 57CP3A | N/A | HM | false | MIRANDA | N/A | ERICK | N/A | 9999-12-31 | 2023-03-01 | BLUE CROSS HMO PLUS CC01 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8857378467 | N/A | N/A | 7173834 | 2222 | 4801 | 12892790 | N/A | 6149607 | 2025-09-24 06:38:24.904321 | 2025-07-17 18:34:10.184195 |
| 2025-09-23 16:59:57.153533 | 2025-09-23 16:59:57.753308 | 12631463 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12631463 | Athletic Physical Therapy Inc | 1953-01-05 | 2025-09-26 | F | AE | PITTS | 00000365786 | JEAN | PT | N/A | 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 | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 9413338 | 2222 | 4793 | N/A | 2630 | 7882734 | 2025-09-23 16:59:57.753308 | 2025-09-15 20:54:08.798690 |
| 2025-09-23 16:59:54.215676 | 2025-09-24 07:04:25.976714 | 12631362 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12631362 | Athletic Physical Therapy Inc | 1967-08-29 | 2025-09-25 | M | PT | HARDING | XDP157A51099 | NATHAN | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.210013374.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398773/check_12631362_18b16fbb-43ea-4e2a-ae56-e8ac5189bc8a.json | N/A | N/A | N/A | N/A | N/A | XDP157A51099 | Preferred Provider Organization (PPO) | CALIFORNIA SCHOOL EMPLOYEE BENEFIT ORGANIZATION | ANTHEM BLUE CROSS | N/A | 1967-08-29 | 040 | 175092M330 | N/A | PR | false | HARDING | N/A | MICHELE | N/A | 9999-12-31 | 2024-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8857341186 | N/A | N/A | 6398773 | 2222 | 4801 | 12896328 | N/A | 5046326 | 2025-09-24 07:04:25.976714 | 2025-06-30 17:04:21.721546 |
| 2025-09-23 16:59:53.762600 | 2025-09-24 07:04:32.948622 | 12631349 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12631349 | Athletic Physical Therapy Inc | 1960-11-20 | 2025-09-26 | F | PT | RUND | JQU141A61623 | Stephanie | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.210013374.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398636/check_12631349_f033f41f-8832-408d-9398-a9ba357347ae.json | N/A | N/A | N/A | N/A | N/A | JQU141A61623 | Preferred Provider Organization (PPO) | BRUCE EDWARDS DDS | ANTHEM BLUE CROSS | N/A | 1960-11-20 | 040 | 225912 | N/A | PR | false | RUND | N/A | STEPHANIE | N/A | 9999-12-31 | 2024-12-01 | ANTHEM GOLD PPO 30/500/20% RXD | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8857341178 | N/A | N/A | 6398636 | 2222 | 4802 | 12896346 | N/A | 5046194 | 2025-09-24 07:04:32.948622 | 2026-01-06 19:15:31.520951 |
| 2025-09-23 16:59:51.770574 | 2025-09-24 06:47:49.102527 | 12631289 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12631289 | Athletic Physical Therapy Inc | 1957-03-21 | 2025-09-25 | F | PT | Moore | 788W15745 | Jeana | N/A | N/A | 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/2222/7899162/check_12631289_8dd10934-1ace-4d6c-95e1-b1d757b0a886.json | N/A | N/A | N/A | N/A | N/A | MNL788W15745 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1957-03-21 | 040 | CAMCRWP0 | N/A | MP | false | MOORE | N/A | JEAN | N/A | 9999-12-31 | 2024-01-01 | CA H4471-001-000 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8857362463 | N/A | N/A | 7899162 | 2222 | 4802 | 12893999 | N/A | 6725117 | 2025-09-24 06:47:49.102527 | 2026-02-18 22:27:04.950292 |
| 2025-09-23 16:59:51.769423 | 2025-09-24 06:32:47.770772 | 12631288 | N/A | N/A | 60054 | Aetna | 1114042165 | 12631288 | Athletic Physical Therapy Inc | 1991-08-09 | 2025-09-24 | M | AE | TORIO | W287278504 | MICHAEL | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.210013374.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6235883/check_12631288_5cd99017-e0f2-42f1-9bbc-992c8655c2e6.json | N/A | N/A | N/A | N/A | N/A | W287278504 | Point of Service (POS) | COADVANTAGE RESOURCES, INC. | AETNA | N/A | 1991-08-09 | 0159468 | 015946801000026 | N/A | PS | false | TORIO | N/A | MICHAEL | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857341694 | N/A | N/A | 6235883 | 2222 | 4802 | 12892234 | N/A | 4883697 | 2025-09-24 06:32:47.770772 | 2025-07-08 14:55:53.397662 |
| 2025-09-23 16:59:48.882136 | 2025-09-24 07:02:41.533260 | 12631179 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 12631179 | Athletic Physical Therapy Inc | 1985-10-09 | 2025-09-25 | F | AE | MURPHY | 000014458907 | CARRIE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.210013374.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6222264/check_12631179_89246aae-294b-4c4d-ac11-f3617ff725f9.json | N/A | N/A | N/A | N/A | N/A | 000014458907 | N/A | N/A | KFHP 1003 | MDC - MEDICAID | 1985-10-09 | 4327759 | 231629 | N/A | N/A | false | MURPHY | N/A | CARRIE | N/A | N/A | N/A | MEDI-CAL GOLD COAST MEDI-CAL GOLD COAST HEALTH PLA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857341664 | N/A | N/A | 6222264 | 2222 | 4793 | 12896074 | N/A | 4866412 | 2025-09-24 07:02:41.533260 | 2025-09-05 20:32:08.117585 |
| 2025-09-23 16:59:48.658984 | 2025-09-24 07:52:56.350424 | 12631170 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12631170 | Athletic Physical Therapy Inc | 1968-02-25 | 2025-09-26 | F | AE | Segal | 9XA2J80PT02 | Jodi | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205932743.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8493404/check_12631170_e65d1356-ce55-4e47-99b6-81e196e9917a.json | N/A | N/A | N/A | N/A | N/A | 9XA2J80PT02 | Medicare Part A | N/A | STATE FUND - CLAIMS PROCESSING C | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1968-02-25 | N/A | DOL 03201995 | N/A | MA | false | SEGAL | N/A | JODI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857334441 | N/A | N/A | 8493404 | 2222 | 4801 | 12901688 | N/A | 7159935 | 2025-09-24 07:52:56.350424 | 2025-09-09 21:26:40.265997 |
| 2025-09-23 16:59:46.705217 | 2025-09-24 06:46:05.986865 | 12631083 | N/A | N/A | 60054 | Aetna | 1114042165 | 12631083 | Athletic Physical Therapy Inc | 1975-03-04 | 2025-09-26 | F | AE | SCHAFFER | W25054420 | KRISTY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205948175.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9019325/check_12631083_059a5ee2-e8a6-4709-8463-281bde3647a9.json | N/A | N/A | N/A | N/A | N/A | W265054420 | Point of Service (POS) | UBS FINANCIAL SERVICES INC. | AETNA | N/A | 1975-03-04 | 0880791 | 088079102500011 | N/A | PS | false | SCHAFFER | N/A | PATRICK | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857329274 | N/A | N/A | 9019325 | 2222 | 4802 | 12893782 | N/A | 7542823 | 2025-09-24 06:46:05.986865 | 2025-09-19 19:36:59.422230 |
| 2025-09-23 16:59:44.566251 | 2025-09-24 07:12:49.084157 | 12630984 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 12630984 | Athletic Physical Therapy Inc | 1974-08-11 | 2025-09-25 | M | PT | ALBA | XEH909330777 | KYLE | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.210013374.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6210099/check_12630984_eaf1628b-96fb-4dac-b1a9-6f2c7ac4228c.json | N/A | N/A | N/A | N/A | N/A | XEH909330777 | Health Maintenance Organization (HMO) | TRADER JOE'S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1974-08-11 | 1000VX000001 | W0069783 | N/A | HM | false | ALBA | N/A | KYLE | N/A | 9999-12-31 | 2025-07-01 | TRADER JOE S COMPANY CUSTOM ACCESS HMO 25 500 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8857341564 | N/A | N/A | 6210099 | 2222 | 4793 | 12897445 | N/A | 4852857 | 2025-09-24 07:12:49.084157 | 2025-06-17 16:28:13.795457 |
| 2025-09-23 16:59:36.264596 | 2025-09-24 07:38:32.394107 | 12630609 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12630609 | Athletic Physical Therapy Inc | 1950-04-13 | 2025-09-25 | F | AE | NATALI | 2XU8UK4DF50 | RENEE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205948175.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8979192/check_12630609_f1a9c8d7-30d4-476f-a9c9-369e8a3170bd.json | N/A | N/A | N/A | N/A | N/A | 2XU8UK4DF50 | Medicare Part A | N/A | HEALTH CARE SERVICE CORPORATION | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-04-13 | S5715 | N/A | N/A | MA | false | NATALI | N/A | RENEE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857328107 | N/A | N/A | 8979192 | 2222 | 4793 | 12900358 | N/A | 7498543 | 2025-09-24 07:38:32.394107 | 2025-10-14 17:13:32.178778 |
| 2025-09-23 16:59:35.592865 | 2025-09-24 06:47:47.194632 | 12630590 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12630590 | Athletic Physical Therapy Inc | 1950-06-21 | 2025-09-26 | M | PT | Aliabadi | FJB10490729M | Hossein | N/A | N/A | 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/2222/7877206/check_12630590_050f6b93-e631-4b11-97f9-23fa93d58be7.json | N/A | N/A | N/A | N/A | N/A | FJB10490729M | Preferred Provider Organization (PPO) | ALL | ANTHEM BLUE CROSS | N/A | 1950-06-21 | 101 | 174549M211 | N/A | PR | false | MANTEGHI | N/A | MEHRNAZ | N/A | 2025-10-01 | 2025-05-01 | BLUECARD PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8857362251 | N/A | N/A | 7877206 | 2222 | 4802 | 12893996 | N/A | 6706099 | 2025-09-24 06:47:47.194632 | 2025-11-21 22:00:12.073625 |
| 2025-09-23 16:59:31.773258 | 2025-09-24 07:14:13.743679 | 12630459 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12630459 | Athletic Physical Therapy Inc | 1968-07-21 | 2025-09-25 | F | AE | MCALISTER | 4TU6H11QQ85 | BONNIE | PT | N/A | 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/2222/7024101/check_12630459_50ed0735-cfc3-491f-9c99-d8196749e8dd.json | N/A | N/A | N/A | N/A | N/A | 4TU6H11QQ85 | Medicare Part A | N/A | CMS | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1968-07-21 | N/A | N/A | N/A | MA | false | MCALISTER | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857378112 | N/A | N/A | 7024101 | 2222 | 4801 | 12897649 | N/A | 6038562 | 2025-09-24 07:14:13.743679 | 2025-07-30 21:46:09.369299 |
| 2025-09-23 16:59:30.778045 | 2025-09-23 16:59:31.570946 | 12630429 | N/A | N/A | 60054 | Aetna | 1114042165 | 12630429 | Athletic Physical Therapy Inc | 1970-07-15 | 2025-09-25 | M | AE | BAKER | W225972262 | MATTHEW | PT | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-09-25 | 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 | 9411210 | 2222 | 4802 | N/A | N/A | 7880075 | 2025-09-23 16:59:31.570946 | 2025-10-01 14:29:57.963249 |
| 2025-09-23 16:59:30.404560 | 2025-09-24 06:37:33.172751 | 12630418 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 12630418 | Athletic Physical Therapy Inc | 1963-05-22 | 2025-09-24 | M | AE | SMITH | 99688004H | MATTHEW | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205949095.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7022680/check_12630418_1c28152c-48db-421e-8b1f-7d46e717ab03.json | N/A | N/A | N/A | N/A | N/A | 99688004H | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | 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 | 8857378107 | N/A | N/A | 7022680 | 2222 | 4793 | 12892702 | N/A | 6037802 | 2025-09-24 06:37:33.172751 | 2025-07-22 17:48:16.997014 |
| 2025-09-23 16:59:22.495790 | 2025-09-24 06:29:24.531839 | 12630147 | N/A | N/A | 60054 | Aetna | 1114042165 | 12630147 | Athletic Physical Therapy Inc | 2008-11-20 | 2025-09-26 | M | AE | RAJAN | WLU550A72985 | HARSHITH | PT | N/A | 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/2222/7853287/check_12630147_c919383b-1580-455a-be4a-431a876cd139.json | N/A | N/A | N/A | N/A | N/A | WLU550A72985 | N/A | N/A | AETNA INC | N/A | 2008-11-20 | N/A | N/A | N/A | N/A | false | RAJAN | N/A | HARSHITH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857362084 | N/A | N/A | 7853287 | 2222 | 4801 | 12891935 | N/A | 6687324 | 2025-09-24 06:29:24.531839 | 2025-09-10 03:05:54.378777 |
| 2025-09-23 16:59:15.697557 | 2025-09-24 06:16:22.568634 | 12629916 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12629916 | Athletic Physical Therapy Inc | 1945-07-04 | 2025-09-25 | M | PT | Seminario | 442W1081810 | Gustavo | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.210013374.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124845/check_12629916_0162a28b-8edf-48f5-a4a3-f2648d6f9ec4.json | N/A | N/A | N/A | N/A | N/A | 442W1081810 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1945-07-04 | N/A | N/A | N/A | N/A | false | SEMINARIO | N/A | GUSTAVO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8857340553 | N/A | N/A | 6124845 | 2222 | 4793 | 12890666 | N/A | 4767293 | 2025-09-24 06:16:22.568634 | 2025-06-06 15:11:48.015692 |
| 2025-09-23 16:59:15.392382 | 2025-09-24 07:38:27.546513 | 12629907 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12629907 | Athletic Physical Therapy Inc | 1948-07-07 | 2025-09-26 | F | AE | GOEL | 5RR4M63DR65 | VEENA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205948175.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969533/check_12629907_23ec22d4-9bf5-4693-ba01-1fc608c611c0.json | N/A | N/A | N/A | N/A | N/A | 5RR4M63DR65 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-07 | S5596 | N/A | N/A | MA | false | GOEL | N/A | VEENA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857328732 | N/A | N/A | 8969533 | 2222 | 4802 | 12900351 | N/A | 7485064 | 2025-09-24 07:38:27.546513 | 2025-12-29 22:41:16.623495 |
| 2025-09-23 16:59:15.050028 | 2025-09-24 07:02:36.399806 | 12629898 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 12629898 | Athletic Physical Therapy Inc | 1958-01-09 | 2025-09-26 | F | AE | MEISTER | 4042289 | JACQUELINE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.210013374.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124078/check_12629898_2a1b7c42-b916-44da-ab2f-b4a037c489d9.json | N/A | N/A | N/A | N/A | N/A | 4042289 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1958-01-09 | N/A | N/A | N/A | N/A | false | MEISTER | N/A | JACQUELINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857340548 | N/A | N/A | 6124078 | 2222 | 4793 | 12896060 | N/A | 4766789 | 2025-09-24 07:02:36.399806 | 2025-06-04 04:12:38.642669 |
| 2025-09-23 16:59:13.061977 | 2025-09-24 07:12:53.775074 | 12629840 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12629840 | Athletic Physical Therapy Inc | 1994-02-23 | 2025-09-25 | F | PT | SHU | XAN913831469 | GABRIELA | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.210013374.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6121701/check_12629840_2655db20-7a11-4567-a02d-46032f10437b.json | N/A | N/A | N/A | N/A | N/A | XAN913831469 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1994-02-23 | 1479PPOX0003 | W0051411 | N/A | PR | false | SHU | N/A | GABRIELA | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8857340534 | N/A | N/A | 6121701 | 2222 | 4793 | 12897459 | N/A | 4764460 | 2025-09-24 07:12:53.775074 | 2025-06-04 04:30:06.494155 |
| 2025-09-23 16:59:06.861291 | 2025-09-24 06:46:07.221553 | 12629621 | N/A | N/A | 60054 | Aetna | 1114042165 | 12629621 | Athletic Physical Therapy Inc | 1974-05-07 | 2025-09-26 | M | AE | VIDAL | W28518662101 | THOMAS | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205948175.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8959871/check_12629621_3ed7e6de-0ab2-4285-a427-f60d084ada8a.json | N/A | N/A | N/A | N/A | N/A | W285186621 | Point of Service (POS) | PRYOR CASHMAN LLP | AETNA | N/A | 1974-05-07 | 0237510 | 023751001000003 | N/A | PS | false | VIDAL | N/A | THOMAS | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857328666 | N/A | N/A | 8959871 | 2222 | 4802 | 12893784 | N/A | 4210349 | 2025-09-24 06:46:07.221553 | 2025-05-13 04:29:37.224755 |
| 2025-09-23 16:59:05.176873 | 2025-09-23 16:59:05.592224 | 12629561 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12629561 | Athletic Physical Therapy Inc | 1975-01-26 | 2025-09-26 | F | PT | LOMAX | JPU871A55010 | SHARON | N/A | N/A | 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 | 9405086 | 2222 | 4793 | N/A | N/A | 7874246 | 2025-09-23 16:59:05.592224 | 2025-10-06 16:02:29.071757 |
| 2025-09-23 16:59:04.211251 | 2025-09-24 07:07:44.089228 | 12629522 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12629522 | Athletic Physical Therapy Inc | 1968-08-30 | 2025-09-25 | M | PT | Ashley | XDM123A50756 | Dennis | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205948175.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8958011/check_12629522_5fbf7574-44db-4c0b-8857-ad9b6dc9ebc5.json | N/A | N/A | N/A | N/A | N/A | XDM123A50756 | Health Maintenance Organization (HMO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 1968-08-30 | 040 | 57ARJB | N/A | HM | false | THAMES | N/A | KRISTEN | N/A | 2025-10-01 | 2022-01-01 | PREMIER SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8857328645 | N/A | N/A | 8958011 | 2222 | 4801 | 12896739 | N/A | 7475081 | 2025-09-24 07:07:44.089228 | 2025-09-11 04:52:37.545129 |
| 2025-09-23 16:59:02.685792 | 2025-09-24 06:45:58.939972 | 12629450 | N/A | N/A | 60054 | Aetna | 1114042165 | 12629450 | Athletic Physical Therapy Inc | 1999-02-07 | 2025-09-26 | M | AE | ELZAYN | AH2912772 | ANDREW | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205948175.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8767675/check_12629450_fd52bd9a-6f05-476c-a3da-bd6d95310120.json | N/A | N/A | N/A | N/A | N/A | AH2912772 | N/A | N/A | OTHER SOURCE OF INFORMATION | N/A | 1999-02-07 | 0868778 | 086877802000001 | N/A | N/A | false | ELZAYN | N/A | ANDREW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857328633 | N/A | N/A | 8767675 | 2222 | 4802 | 12893768 | N/A | 7383774 | 2025-09-24 06:45:58.939972 | 2025-08-28 18:43:11.156565 |
| 2025-09-23 16:58:59.104830 | 2025-09-24 06:42:19.478260 | 12629319 | N/A | N/A | 22384 | Administrative Concepts, Inc | 1114042165 | 12629319 | Athletic Physical Therapy Inc | 1996-05-03 | 2025-09-24 | F | AE | Salant | Z6D461W08418 | Isabella | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205948175.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8765709/check_12629319_bc2fd644-7873-4f3b-97aa-282c3a963dfa.json | N/A | N/A | N/A | N/A | N/A | Z6D461W08418 | N/A | N/A | ACI | N/A | 1996-05-03 | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857328433 | N/A | N/A | 8765709 | 2222 | 4802 | 12893319 | N/A | 7377649 | 2025-09-24 06:42:19.478260 | 2025-09-03 13:57:51.555585 |
| 2025-09-23 16:58:55.337784 | 2025-09-24 06:37:19.777119 | 12629147 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 12629147 | Athletic Physical Therapy Inc | 1958-04-03 | 2025-09-26 | F | AE | NIAZI | 00000388782 | RAHIMA | PT | N/A | 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/2222/6958289/check_12629147_8c2738be-0cb1-47eb-a79f-4516e0d1e825.json | N/A | N/A | N/A | N/A | N/A | 00000388782 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1958-04-03 | H3815028 | N/A | N/A | HM | false | NIAZI | N/A | RAHIMA | 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 | 8857377249 | N/A | N/A | 6958289 | 2222 | 4793 | 12892674 | N/A | 5983606 | 2025-09-24 06:37:19.777119 | 2025-07-18 18:03:17.155924 |
| 2025-09-23 16:58:53.746807 | 2025-09-24 07:52:54.548381 | 12629074 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12629074 | Athletic Physical Therapy Inc | 1957-03-21 | 2025-09-25 | F | PT | Moore | 8V70PQ9EF39 | Jeana | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205932743.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8044093/check_12629074_cde822e7-2efa-452e-a870-f99c23e8818a.json | N/A | N/A | N/A | N/A | N/A | 8V70PQ9EF39 | Medicare Part A | N/A | BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-03-21 | H4471 | N/A | N/A | MA | false | MOORE | N/A | JEAN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8857333544 | N/A | N/A | 8044093 | 2222 | 4802 | 12901686 | N/A | 6725117 | 2025-09-24 07:52:54.548381 | 2026-02-18 22:27:04.950292 |
| 2025-09-23 16:58:51.532729 | 2025-09-24 07:07:46.359965 | 12628969 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12628969 | Athletic Physical Therapy Inc | 1960-08-19 | 2025-09-25 | M | PT | WARREN | MBL523W24301 | WILLIAM | N/A | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.205948175.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8681972/check_12628969_f949446c-06b4-42d3-b585-7e2eaa6f9d78.json | N/A | N/A | N/A | N/A | N/A | MBL523W24301 | N/A | LOS ANGELES CITY EMPLOYEES' RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1960-08-19 | 040 | CA039GRS | N/A | N/A | false | WARREN | N/A | WILLIAM | N/A | 9999-12-31 | 2025-08-01 | CA GRS LACERS H4036-801 ANTHEM MEDICARE PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8857328292 | N/A | N/A | 8681972 | 2222 | 4801 | 12896745 | N/A | 7315557 | 2025-09-24 07:07:46.359965 | 2025-09-08 19:23:27.353339 |
| 2025-09-23 16:58:49.795670 | 2025-09-24 06:49:34.577159 | 12628893 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 12628893 | Athletic Physical Therapy Inc | 1996-03-28 | 2025-09-26 | F | AE | SAGMAN | U9205101701 | SYDNEY | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250923.210013374.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078312/check_12628893_241c1fb4-0a39-483e-a198-5565cf2e404b.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 | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857340039 | N/A | N/A | 6078312 | 2222 | 4802 | 12894228 | N/A | 4722569 | 2025-09-24 06:49:34.577159 | 2025-08-26 00:16:35.895658 |
| 2025-09-23 16:29:14.131228 | 2025-09-23 16:29:19.200070 | 12628331 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-09-14 | 2025-09-26 | M | AE | Luthra | 70548686400 | Rahil | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/9415757/check_12628331_507f62bd-8bb3-4169-8a1e-83e963f9d70c.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9415757/check_12628331_8498be90-a255-4b87-ba52-78e6b6cff84d.json | N/A | N/A | N/A | N/A | N/A | 70548686400 | N/A | N/A | UnitedHealthcare Benefits Plan of California | N/A | 2005-09-14 | N/A | 1727199 | N/A | N/A | false | LUTHRA | N/A | RAHIL | 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 | 9415757 | 2222 | N/A | 12877150 | N/A | 7884645 | 2025-09-23 16:29:19.200070 | 2025-09-23 18:47:24.441583 |
| 2025-09-23 16:24:29.335536 | 2025-09-23 16:24:31.772848 | 12627754 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-08-14 | 2025-09-26 | F | AE | LIN | G44715088 | JESSICA | PT | 21981 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541550/check_12627754_9a31330b-629c-405e-96ac-0f77bd118ad3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541550/check_12627754_e37dee42-ffdc-48f8-8cb0-6197bb497963.json | N/A | N/A | N/A | N/A | N/A | G44715088 | N/A | G.E.H.A MEDICAL FEHB/PSHB | UMR | N/A | 1985-08-14 | 767000416933003 | 76416933 | N/A | N/A | false | LIN | N/A | JESSICA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857012824 | N/A | N/A | 5541550 | 2222 | N/A | 12876615 | N/A | 4213560 | 2025-09-23 16:24:31.772848 | 2025-05-13 04:29:37.227892 |
| 2025-09-23 16:24:26.568099 | 2025-09-23 16:24:29.221012 | 12627750 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-06-19 | 2025-09-26 | F | AE | BRENNAN | 98041884500 | DANA | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542465/check_12627750_de1ad05c-7143-4b97-b0ae-5fc221423009.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542465/check_12627750_a0b0237e-2f48-4920-8e9c-c49f595cdf89.json | N/A | N/A | N/A | N/A | N/A | 980418845 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1957-06-19 | N/A | 74126 | N/A | N/A | false | BRENNAN | N/A | DANA | 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 | 5542465 | 2222 | N/A | 12876610 | N/A | 4214375 | 2025-09-23 16:24:29.221012 | 2025-05-13 04:29:37.228698 |
| 2025-09-23 16:24:26.391541 | 2025-09-23 16:24:27.033558 | 12627749 | N/A | N/A | 39026 | United Healthcare Shared Services | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-08-14 | 2025-09-26 | F | AE | LIN | G44715088 | JESSICA | PT | N/A | N/A | UHC | N/A | GOOGLE_CLOUD | 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 | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541550 | 2222 | N/A | N/A | N/A | 4213560 | 2025-09-23 16:24:27.033558 | 2025-05-13 04:29:37.227892 |
| 2025-09-23 16:24:14.638788 | 2025-09-23 16:24:18.543355 | 12627728 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-05-06 | 2025-09-24 | F | AE | IRIZARRY | 950883047 | BERNADETTE | PT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541827/check_12627728_a5ce8772-126b-4ce1-b640-78d7f2f1d203.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541827/check_12627728_d7387488-ffdf-4db9-bbb4-e3e970a48428.json | N/A | N/A | N/A | N/A | N/A | 950883047 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1969-05-06 | N/A | 905224 | N/A | N/A | false | IRIZARRY | N/A | BERNADETTE | 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 | 5541827 | 2222 | N/A | 12876592 | N/A | 4213806 | 2025-09-23 16:24:18.543355 | 2025-05-13 04:29:37.228124 |
| 2025-09-23 16:24:13.792336 | 2025-09-23 16:24:18.786433 | 12627726 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-07-31 | 2025-09-26 | F | AE | GUEVARA | G45053839 | DIANE | PT | 21981 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550940/check_12627726_99f54e1c-d8d3-48c3-9af8-c8b1a882916a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550940/check_12627726_094a591e-aed0-4f0a-b1ef-0a1846d71d2c.json | N/A | N/A | N/A | N/A | N/A | G45053839 | N/A | G.E.H.A MEDICAL FEHB/PSHB | UMR | N/A | 1965-07-31 | 767000416933001 | 76416933 | N/A | N/A | false | GUEVARA | N/A | DIANE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8857009611 | N/A | N/A | 5550940 | 2222 | N/A | 12876593 | N/A | 4219779 | 2025-09-23 16:24:18.786433 | 2025-05-13 04:29:37.230820 |
| 2025-09-23 16:24:08.110940 | 2025-09-23 16:24:08.581480 | 12627713 | N/A | N/A | 39026 | United Healthcare Shared Services | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-07-31 | 2025-09-26 | F | AE | GUEVARA | G45053839 | DIANE | PT | N/A | N/A | UHC | N/A | GOOGLE_CLOUD | 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 | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550940 | 2222 | N/A | N/A | N/A | 4219779 | 2025-09-23 16:24:08.581480 | 2025-05-13 04:29:37.230820 |