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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-22 21:06:43.124726 | 2025-09-22 21:06:47.874255 | 12610578 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-08-03 | 2025-09-24 | M | AE | PT | 6397 | GORMLEY | 038936091 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536819/check_12610578_34f74d07-48c5-4f82-a229-8d3d57fa674a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-24 | N/A | N/A | N/A | N/A | N/A | N/A | 038936091 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1945-08-03 | N/A | N/A | N/A | N/A | false | GORMLEY | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5536819 | 2222 | N/A | N/A | N/A | 4209498 | 2025-09-22 21:06:47.874255 | 2025-09-22 06:46:20.286658 |
| 2025-09-22 21:06:41.452725 | 2025-09-22 21:06:41.931807 | 12610570 | N/A | N/A | 87726 | UNITEDHEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1945-08-03 | 2025-09-24 | M | AE | PT | N/A | GORMLEY | 038936091 | MICHAEL | N/A | UHC | N/A | GOOGLE_CLOUD | 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 | 5536819 | 2222 | N/A | N/A | N/A | 4209498 | 2025-09-22 21:06:41.931807 | 2025-09-22 06:46:20.286658 |
| 2025-09-22 21:02:39.553620 | 2025-09-22 21:02:45.675716 | 12609952 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-07-22 | 2025-09-22 | M | AE | PT | 6411 | STEIN | 317801903-11 | DONALD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538579/check_12609952_377cdd4c-aa78-45b2-8cbc-2e7ba7f96ffd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538579/check_12609952_60431585-8f85-4a61-8de8-8146fbca3493.json | N/A | N/A | N/A | N/A | N/A | 317801903 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1943-07-22 | N/A | N/A | N/A | N/A | false | STEIN | N/A | DONALD | 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 | 5538579 | 2222 | N/A | 12807638 | N/A | 4210984 | 2025-09-22 21:02:45.675716 | 2025-08-15 17:42:50.500189 |
| 2025-09-22 21:02:28.960746 | 2025-09-22 21:02:39.392306 | 12609935 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-07-22 | 2025-09-22 | M | AE | PT | 6411 | STEIN | 317801903-11 | DONALD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538579/check_12609935_00cb34b6-4db7-48fd-8b1d-c2eb60c0ee40.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-22 | N/A | N/A | N/A | N/A | N/A | N/A | 317801903 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1943-07-22 | N/A | N/A | N/A | N/A | false | STEIN | N/A | DONALD | 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 | 5538579 | 2222 | N/A | N/A | N/A | 4210984 | 2025-09-22 21:02:39.392306 | 2025-08-15 17:42:50.500189 |
| 2025-09-22 21:02:19.924926 | 2025-09-22 21:02:20.673881 | 12609914 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1943-07-22 | 2025-09-22 | M | AE | PT | N/A | STEIN | 317801903-11 | DONALD | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-09-22 | 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 | 5538579 | 2222 | N/A | N/A | N/A | 4210984 | 2025-09-22 21:02:20.673881 | 2025-08-15 17:42:50.500189 |
| 2025-09-22 20:57:48.278856 | 2025-09-22 20:57:57.198666 | 12609552 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-11-18 | 2025-09-23 | F | AE | PT | N/A | Liberto | 229149130300 | Virginia | https://storage.googleapis.com/normandy-eligibility-checks/2222/9487561/check_12609552_fc65ec49-15e2-466a-9713-89f54188b866.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9487561/check_12609552_4f8d5bf2-eb08-468e-bfeb-bc6e7a4977b6.json | N/A | N/A | N/A | N/A | N/A | 22914913000 | N/A | N/A | Oxford Health Insurance, Inc. | N/A | 1996-11-18 | N/A | 1363990 | N/A | N/A | false | Liberto | N/A | Virginia | 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 | 9487561 | 2222 | N/A | 12807290 | N/A | 7937193 | 2025-09-22 20:57:57.198666 | 2025-09-17 23:48:53.744310 |
| 2025-09-22 20:56:55.988153 | 2025-09-22 20:57:03.074153 | 12609501 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1971-02-06 | 2025-09-23 | F | AE | PT | N/A | Nogawski | 916031325 | Emily | https://storage.googleapis.com/normandy-eligibility-checks/2222/9476201/check_12609501_997ca934-0047-48ce-b3e0-08206b5aa1a8.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9476201/check_12609501_f44a8f7b-11da-4b40-bbb9-df99680750ab.json | N/A | N/A | N/A | N/A | N/A | 916031325 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1971-02-06 | N/A | 708744 | N/A | N/A | false | NOGAWSKI | N/A | EMILY | 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 | 9476201 | 2222 | N/A | 12807240 | N/A | 7927016 | 2025-09-22 20:57:03.074153 | 2025-09-17 16:40:46.434893 |
| 2025-09-22 20:54:10.985212 | 2025-09-22 20:54:19.968804 | 12609331 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-09-14 | 2025-09-23 | M | AE | PT | N/A | Luthra | 70548686400 | Rahil | https://storage.googleapis.com/normandy-eligibility-checks/2222/9415757/check_12609331_85ff1164-a466-48ab-a5bc-37d660ebc2df.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9415757/check_12609331_b04c8012-c17b-41a2-9247-877472003c0a.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 | 12807084 | N/A | 7884645 | 2025-09-22 20:54:19.968804 | 2025-09-23 18:47:24.441583 |
| 2025-09-22 20:46:21.853550 | 2025-09-22 20:46:25.849243 | 12608781 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1984-02-06 | 2025-09-23 | F | AE | PT | 6411 | SHIN | Y19071902 | YOUNGJEE | https://storage.googleapis.com/normandy-eligibility-checks/2222/9253623/check_12608781_128ff409-6e5f-4a42-841f-54818f9f9158.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9253623/check_12608781_6fce088c-3be3-4399-9b81-4e6764a038a7.json | N/A | N/A | N/A | N/A | N/A | Y19071902 | N/A | AMERICAN HONDA MOTOR CO., INC. | UMR | N/A | 1984-02-06 | 767008412885004 | 76412885 | N/A | N/A | false | SHIN | N/A | YOUNGJEE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846928051 | N/A | N/A | 9253623 | 2222 | N/A | 12806573 | N/A | 7764420 | 2025-09-22 20:46:25.849243 | 2025-09-10 00:08:26.272793 |
| 2025-09-22 20:46:19.405652 | 2025-09-22 20:46:20.134287 | 12608774 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1984-02-06 | 2025-09-23 | F | AE | PT | N/A | SHIN | Y19071902 | YOUNGJEE | N/A | UHC | N/A | GOOGLE_CLOUD | 2025-09-23 | 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 | 9253623 | 2222 | N/A | N/A | N/A | 7764420 | 2025-09-22 20:46:20.134287 | 2025-09-10 00:08:26.272793 |
| 2025-09-22 20:38:23.878059 | 2025-09-22 20:38:30.344219 | 12608172 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-09-01 | 2025-09-25 | M | AE | PT | N/A | BROWNELL | 937841928 | JASON | https://storage.googleapis.com/normandy-eligibility-checks/2222/8971099/check_12608172_cce6a569-1f96-49e0-b486-d004f3a73c98.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8971099/check_12608172_aed82fbe-ecf2-4313-b81d-3c9bee03e22b.json | N/A | N/A | N/A | N/A | N/A | 937841928 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1973-09-01 | N/A | 942154 | N/A | N/A | false | BROWNELL | N/A | JASON | 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 | 8971099 | 2222 | N/A | 12806024 | N/A | 7486549 | 2025-09-22 20:38:30.344219 | 2025-09-07 16:51:12.298737 |
| 2025-09-22 20:36:22.804229 | 2025-09-22 20:36:28.810981 | 12607985 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-04-03 | 2025-09-25 | M | AE | PT | 6411 | SNEGAROFF | 46770409 | GARY | https://storage.googleapis.com/normandy-eligibility-checks/2222/8651246/check_12607985_f594247e-48c4-45ad-80a7-db4232f20eac.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8651246/check_12607985_0817d43a-2268-45de-b0ca-cd8612ff701e.json | N/A | N/A | N/A | N/A | N/A | 46770409 | N/A | COMCAST CORPORATION | UMR | N/A | 1962-04-03 | 767000416942003 | 76416942 | N/A | N/A | false | SNEGAROFF | N/A | GARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846862327 | N/A | N/A | 8651246 | 2222 | N/A | 12805854 | N/A | 7293021 | 2025-09-22 20:36:28.810981 | 2025-09-12 15:33:16.590396 |
| 2025-09-22 20:36:18.743421 | 2025-09-22 20:36:19.426772 | 12607980 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-04-03 | 2025-09-25 | M | AE | PT | N/A | SNEGAROFF | 46770409 | GARY | N/A | UHC | N/A | GOOGLE_CLOUD | 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 | 8651246 | 2222 | N/A | N/A | N/A | 7293021 | 2025-09-22 20:36:19.426772 | 2025-09-12 15:33:16.590396 |
| 2025-09-22 20:36:16.847689 | 2025-09-22 20:36:23.171397 | 12607977 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-04-12 | 2025-09-24 | F | AE | PT | N/A | GEFFNER | 1644434-01 | RANDI | https://storage.googleapis.com/normandy-eligibility-checks/2222/8650277/check_12607977_1a9f68bd-c752-4289-a875-fc65ffc7603c.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8650277/check_12607977_ad9c39c6-538a-4d25-b033-dc4176a5ef03.json | N/A | N/A | N/A | N/A | N/A | 164443401 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1960-04-12 | N/A | HCFA21 | N/A | N/A | false | GEFFNER | N/A | RANDI | 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 | 8650277 | 2222 | N/A | 12805845 | N/A | 4212388 | 2025-09-22 20:36:23.171397 | 2025-08-27 20:50:06.362473 |
| 2025-09-22 20:34:24.050997 | 2025-09-22 20:34:29.128598 | 12607772 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-03-27 | 2025-09-24 | F | AE | PT | N/A | Rosenberg | 946716588 | Michelle | https://storage.googleapis.com/normandy-eligibility-checks/2222/8423262/check_12607772_d9c36d31-553c-43c9-892f-57b59f7f4f4b.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8423262/check_12607772_6e089a65-9504-4b84-a939-b1c3fde8cf90.json | N/A | N/A | N/A | N/A | N/A | 946716588 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1968-03-27 | N/A | 120789 | N/A | N/A | false | ROSENBERG | N/A | MICHELLE | 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 | 8423262 | 2222 | N/A | 12805659 | N/A | 7100313 | 2025-09-22 20:34:29.128598 | 2025-09-04 21:02:55.993025 |
| 2025-09-22 20:33:13.954158 | 2025-09-22 20:33:19.951109 | 12607663 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-06-06 | 2025-09-25 | F | AE | PT | N/A | GIESSINGER | 976913826 | OLIVIA | https://storage.googleapis.com/normandy-eligibility-checks/2222/8385973/check_12607663_93cd8db5-fd9c-4982-806f-a503d8601b2c.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8385973/check_12607663_f59c7235-f0c8-4c4a-a2ed-b55b6adffab9.json | N/A | N/A | N/A | N/A | N/A | 976913826 | N/A | N/A | UNITEDHEALTHCARE | N/A | 2001-06-06 | N/A | 48656 | N/A | N/A | false | GIESSINGER | N/A | OLIVIA | 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 | 8385973 | 2222 | N/A | 12805555 | N/A | 7065184 | 2025-09-22 20:33:19.951109 | 2025-08-21 01:04:39.891389 |
| 2025-09-22 20:29:55.902240 | 2025-09-23 05:30:08.586120 | 12607211 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12607211 | Athletic Physical Therapy Inc | 1991-05-10 | 2025-09-24 | F | AE | PT | N/A | NEPALI | R14157930FM1 | THILY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.232126120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9105461/check_12607211_906bdad0-3837-4c25-ac48-f42c3da4746f.json | N/A | N/A | N/A | N/A | N/A | R14157930FM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1991-05-10 | N/A | N/A | N/A | N/A | false | NEPALI | N/A | THILY | N/A | N/A | N/A | M53 COMHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846824540 | N/A | N/A | 9105461 | 2222 | 4802 | 12826952 | N/A | 7625402 | 2025-09-23 05:30:08.586120 | 2025-09-15 23:06:48.101835 |
| 2025-09-22 20:29:52.261659 | 2025-09-23 05:15:43.990122 | 12607186 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | 12607186 | Athletic Physical Therapy Inc | 1985-10-29 | 2025-09-24 | F | PT | N/A | N/A | GARCIA | 913328659000 | SHEYLA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.232126120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9105203/check_12607186_6eaee699-6f98-4d9c-bebc-33560a5fe8e8.json | N/A | N/A | N/A | N/A | N/A | 913328659000 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1985-10-29 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | SHEYLA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846826260 | N/A | N/A | 9105203 | 2222 | 4801 | 12818308 | N/A | 7625045 | 2025-09-23 05:15:43.990122 | 2025-09-24 18:01:16.626754 |
| 2025-09-22 20:29:45.339787 | 2025-09-23 10:35:51.028345 | 12607138 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 12607138 | Athletic Physical Therapy Inc | 1950-10-31 | 2025-09-24 | F | AE | PT | N/A | HOORIZADEH | 99091630E95124 | FLORA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231720140.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543529/check_12607138_4edd8003-9e38-4c41-98a0-4ce2e8ca705e.json | N/A | N/A | N/A | N/A | N/A | 99091630E95124 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1950-10-31 | N/A | N/A | N/A | N/A | false | HOORIZADEH | N/A | FLORA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846822829 | N/A | N/A | 5543529 | 2222 | 4802 | 12864904 | N/A | 4215312 | 2025-09-23 10:35:51.028345 | 2025-05-13 04:29:37.229631 |
| 2025-09-22 20:29:44.602884 | 2025-09-23 10:24:35.357091 | 12607132 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12607132 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-09-24 | F | AE | PT | N/A | HOWARD | JQE896M91712 | JUDI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231720140.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543352/check_12607132_7cff078e-3c66-4504-871b-13984d8fffab.json | N/A | N/A | N/A | N/A | N/A | JQE896M91712 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-11-19 | 040 | CASUPWP0 | N/A | N/A | false | HOWARD | N/A | JUDI | N/A | 9999-12-31 | 2022-01-01 | CA PLAN F INNOVATIVE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846822828 | N/A | N/A | 5543352 | 2222 | 4793 | 12862763 | N/A | 4215147 | 2025-09-23 10:24:35.357091 | 2025-05-13 04:29:37.229464 |
| 2025-09-22 20:29:43.938829 | 2025-09-23 10:24:34.302989 | 12607127 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12607127 | Athletic Physical Therapy Inc | 1950-10-11 | 2025-09-23 | F | AE | PT | N/A | FRANK | JQE134A79727 | KAREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231720140.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542269/check_12607127_27b422f8-ecf4-4a96-abcd-bcf4f55fd7b0.json | N/A | N/A | N/A | N/A | N/A | JQE134A79727 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1950-10-11 | 040 | CASUPWP0 | N/A | N/A | false | FRANK | N/A | KAREN | N/A | 9999-12-31 | 2022-01-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846822827 | N/A | N/A | 5542269 | 2222 | 4802 | 12862761 | N/A | 4214201 | 2025-09-23 10:24:34.302989 | 2025-05-13 04:29:37.228535 |
| 2025-09-22 20:29:43.273017 | 2025-09-23 10:24:36.270243 | 12607121 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12607121 | Athletic Physical Therapy Inc | 1952-03-05 | 2025-09-24 | F | AE | PT | N/A | MOHABBAT | JQE182M78942 | SHARIFA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231720140.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539972/check_12607121_810b571e-50da-470d-a0bd-b507ef9e3cd3.json | N/A | N/A | N/A | N/A | N/A | JQE182M78942 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1952-03-05 | 040 | CASUPWP0 | N/A | N/A | false | MOHABBAT | N/A | SHARIFA | N/A | 9999-12-31 | 2023-04-01 | CA MODERNIZED PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846822826 | N/A | N/A | 5539972 | 2222 | 4801 | 12862765 | N/A | 4212140 | 2025-09-23 10:24:36.270243 | 2025-09-23 20:47:09.024376 |
| 2025-09-22 20:29:42.339251 | 2025-09-23 10:35:51.966668 | 12607115 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 12607115 | Athletic Physical Therapy Inc | 1957-07-21 | 2025-09-23 | M | AE | PT | N/A | ROOFEH | 96113754F03034 | NADDER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231720140.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538289/check_12607115_d1232629-a523-42e1-8e66-9ec55a306dd8.json | N/A | N/A | N/A | N/A | N/A | 96113754F03034 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1957-07-21 | N/A | N/A | N/A | N/A | false | ROOFEH | N/A | NADDER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846822825 | N/A | N/A | 5538289 | 2222 | 4802 | 12864909 | N/A | 4210725 | 2025-09-23 10:35:51.966668 | 2025-06-16 16:15:05.679018 |
| 2025-09-22 20:29:41.709337 | 2025-09-23 10:06:42.463047 | 12607111 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 12607111 | Athletic Physical Therapy Inc | 1952-03-25 | 2025-09-23 | F | AE | PT | N/A | DRIMMER | 33360295512 | NADIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231720140.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537832/check_12607111_da85b26d-1ffa-4801-8abc-57a8efc1a8b2.json | N/A | N/A | N/A | N/A | N/A | 33360295512 | 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. | 1952-03-25 | N/A | N/A | N/A | SP | false | DRIMMER | N/A | NADIA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846822824 | N/A | N/A | 5537832 | 2222 | 4802 | 12852160 | N/A | 4210338 | 2025-09-23 10:06:42.463047 | 2025-05-13 04:29:37.224744 |
| 2025-09-22 20:29:41.498445 | 2025-09-22 20:29:43.324495 | 12607109 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-07-26 | 2025-09-24 | M | AE | PT | 6411 | GHOREISHI | 988397449 | MILAD | https://storage.googleapis.com/normandy-eligibility-checks/2222/7984219/check_12607109_ebede811-aec0-4822-888f-912207381f8f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7984219/check_12607109_1da86340-fbb8-4ea6-aea0-b6f48ff24c6d.json | N/A | N/A | N/A | N/A | N/A | 988397449 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1980-07-26 | N/A | N/A | N/A | N/A | false | GHOREISHI | N/A | MILAD | 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 | 7984219 | 2222 | N/A | 12805100 | N/A | 6795338 | 2025-09-22 20:29:43.324495 | 2025-08-13 07:19:07.360247 |
| 2025-09-22 20:29:41.071295 | 2025-09-23 10:27:57.660260 | 12607105 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12607105 | Athletic Physical Therapy Inc | 1946-08-26 | 2025-09-25 | M | AE | PT | N/A | ROTHMAN | XEM909022493 | MIKE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231720140.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536206/check_12607105_cf253ca9-af07-4c3c-a2c6-42692ef3fe0d.json | N/A | N/A | N/A | N/A | N/A | XEM909022493 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1946-08-26 | 2002SF000029 | X0001002 | N/A | OT | false | ROTHMAN | N/A | MIKE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846822823 | N/A | N/A | 5536206 | 2222 | 4801 | 12863314 | N/A | 4208978 | 2025-09-23 10:27:57.660260 | 2025-05-13 04:29:37.223404 |
| 2025-09-22 20:29:39.799544 | 2025-09-23 10:06:43.237104 | 12607096 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 12607096 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-09-24 | M | AE | PT | N/A | ULLMAN | 557489000 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231720140.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535842/check_12607096_ed391f84-8b80-432a-b25a-fa56e5c2a144.json | N/A | N/A | N/A | N/A | N/A | 557489000 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846822822 | N/A | N/A | 5535842 | 2222 | 4801 | 12852173 | N/A | 4208696 | 2025-09-23 10:06:43.237104 | 2025-06-07 16:16:45.844566 |
| 2025-09-22 20:29:38.911723 | 2025-09-23 10:27:56.744000 | 12607088 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12607088 | Athletic Physical Therapy Inc | 1950-07-23 | 2025-09-24 | M | AE | PT | N/A | MELVILLE | XEMJ06188527 | LANNING | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231720140.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535731/check_12607088_18fdd031-ee5c-49c7-a3b6-4e1a6c98f1b8.json | N/A | N/A | N/A | N/A | N/A | XEMJ06188527 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1950-07-23 | N/A | N/A | N/A | N/A | false | MELVILLE | N/A | LANNING | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846822821 | N/A | N/A | 5535731 | 2222 | 4802 | 12863310 | N/A | 4208598 | 2025-09-23 10:27:56.744000 | 2025-09-11 00:56:25.554348 |
| 2025-09-22 20:29:37.652530 | 2025-09-22 20:29:41.494447 | 12607078 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-07-26 | 2025-09-24 | M | AE | PT | 6411 | GHOREISHI | 988397449 | MILAD | https://storage.googleapis.com/normandy-eligibility-checks/2222/7984219/check_12607078_55b5b682-7a62-4caa-b2a8-6f941977975d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-24 | N/A | N/A | N/A | N/A | N/A | N/A | 988397449 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1980-07-26 | N/A | N/A | N/A | N/A | false | GHOREISHI | N/A | MILAD | 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 | 7984219 | 2222 | N/A | N/A | N/A | 6795338 | 2025-09-22 20:29:41.494447 | 2025-08-13 07:19:07.360247 |
| 2025-09-22 20:29:35.658524 | 2025-09-22 20:29:35.934965 | 12607064 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-07-26 | 2025-09-24 | M | AE | PT | N/A | GHOREISHI | 988397449 | MILAD | N/A | UHC | N/A | GOOGLE_CLOUD | 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 | 7984219 | 2222 | N/A | N/A | N/A | 6795338 | 2025-09-22 20:29:35.934965 | 2025-08-13 07:19:07.360247 |
| 2025-09-22 20:29:35.355533 | 2025-09-23 05:30:52.286382 | 12607061 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12607061 | Athletic Physical Therapy Inc | 1999-03-02 | 2025-09-24 | F | AE | PT | N/A | Andrieieva | 92598899G | Taisiia | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.232126120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9104487/check_12607061_1dc628f0-82d8-4b24-a37c-0e83509e95d7.json | N/A | N/A | N/A | N/A | N/A | 92598899G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1999-03-02 | MCLA | MWLLNMEG21 | N/A | N/A | false | ANDRIEIVA | N/A | TAISIIA | N/A | 2078-12-31 | 2023-01-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846826237 | N/A | N/A | 9104487 | 2222 | 4802 | 12827364 | N/A | 6709145 | 2025-09-23 05:30:52.286382 | 2025-08-07 23:35:55.091438 |
| 2025-09-22 20:29:33.158373 | 2025-09-23 05:26:37.415495 | 12607040 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 12607040 | Athletic Physical Therapy Inc | 1972-01-18 | 2025-09-25 | F | AE | PT | N/A | EDELMAN | 10958328801 | MARINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.232126120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9104367/check_12607040_c978449e-6614-408f-b4c9-f43c4e5e0528.json | N/A | N/A | N/A | N/A | N/A | 10958328801 | N/A | TIXR, INC. | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1972-01-18 | N/A | 00651893 | N/A | N/A | false | EDELMAN | N/A | MARINA | N/A | N/A | N/A | HSA QUALIFIED HDHP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846826233 | N/A | N/A | 9104367 | 2222 | 4793 | 12824973 | N/A | 7624210 | 2025-09-23 05:26:37.415495 | 2025-12-10 17:00:45.860910 |
| 2025-09-22 20:28:41.929188 | 2025-09-23 05:31:14.551299 | 12606603 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12606603 | Athletic Physical Therapy Inc | 2009-01-14 | 2025-09-23 | F | PT | N/A | N/A | OBACZ | JQV897A63197 | KLOIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.232126120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9102655/check_12606603_90c23eff-93d5-4d2c-bd9d-d325eea469f1.json | N/A | N/A | N/A | N/A | N/A | JQV897A63197 | Health Maintenance Organization (HMO) | EVOLVED NOVELTIES INC | ANTHEM BLUE CROSS | N/A | 2009-01-14 | 040 | F45883 | N/A | HM | false | OBACZ | N/A | JUSTIN | N/A | 9999-12-31 | 2025-01-01 | CA SG SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846825839 | N/A | N/A | 9102655 | 2222 | 4801 | 12827541 | N/A | 7621062 | 2025-09-23 05:31:14.551299 | 2025-09-12 19:10:20.936695 |
| 2025-09-22 20:28:14.321557 | 2025-09-22 20:28:20.438492 | 12606354 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-03-15 | 2025-09-24 | F | AE | PT | N/A | Low | 63916781603 | Katie | https://storage.googleapis.com/normandy-eligibility-checks/2222/7761817/check_12606354_07a68cbe-3e53-4a03-bd0e-538b742cac8b.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7761817/check_12606354_0d14b06f-0dc8-4f7b-849d-c82e4836607a.json | N/A | N/A | N/A | N/A | N/A | 63916781603 | N/A | N/A | UnitedHealthcare Insurance Company | N/A | 2001-03-15 | N/A | 1647705 | N/A | N/A | false | LOW | N/A | KATIE | 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 | 7761817 | 2222 | N/A | 12804839 | N/A | 6611018 | 2025-09-22 20:28:20.438492 | 2025-08-05 16:22:40.954010 |
| 2025-09-22 20:26:54.738171 | 2025-09-23 05:30:25.961993 | 12605683 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12605683 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-09-23 | F | AE | PT | N/A | GIANOLI | R11857813FM1 | ELSY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231823250.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_12605683_9429fc48-61b0-4036-9f37-8dccb8c626fd.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 | 8846821561 | N/A | N/A | 5568076 | 2222 | 4802 | 12827150 | N/A | 4209480 | 2025-09-23 05:30:25.961993 | 2026-04-10 02:05:15.976484 |
| 2025-09-22 20:26:07.203577 | 2025-09-22 20:26:13.738350 | 12605291 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1995-07-25 | 2025-09-24 | M | AE | PT | N/A | STOTTS | 967425718 | DONTAE | https://storage.googleapis.com/normandy-eligibility-checks/2222/7546146/check_12605291_965634c1-307a-4033-98ea-a98a43c15a29.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7546146/check_12605291_dc1fbef4-920f-42c5-8011-e488705f7a86.json | N/A | N/A | N/A | N/A | N/A | 967425718 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1995-07-25 | N/A | 704773 | N/A | N/A | false | STOTTS | N/A | DONTAE | 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 | 7546146 | 2222 | N/A | 12804508 | N/A | 6470934 | 2025-09-22 20:26:13.738350 | 2025-07-29 20:51:08.638474 |
| 2025-09-22 20:25:37.677672 | 2025-09-23 05:31:17.070793 | 12605126 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12605126 | Athletic Physical Therapy Inc | 1962-08-12 | 2025-09-25 | F | PT | N/A | N/A | SCHOLEFIELD | TRJNP1055193 | ROBIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.232126120.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9087505/check_12605126_f10c3fd0-e59f-4ab0-acfe-df3f116b0802.json | N/A | N/A | N/A | N/A | N/A | TRJNP1055193 | Preferred Provider Organization (PPO) | UNIVERSITY OF SOUTHERN CALIFORNIA USC | ANTHEM BLUE CROSS | N/A | 1962-08-12 | 040 | 276727M007 | N/A | PR | false | SCHOLEFIELD | N/A | ROBIN | N/A | 9999-12-31 | 2020-03-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846824059 | N/A | N/A | 9087505 | 2222 | 4793 | 12827556 | N/A | 7605100 | 2025-09-23 05:31:17.070793 | 2025-09-11 15:07:41.965017 |
| 2025-09-22 20:25:01.664907 | 2025-09-23 05:20:35.842885 | 12604779 | N/A | N/A | 60054 | Aetna | 1114042165 | 12604779 | Athletic Physical Therapy Inc | 1991-03-21 | 2025-09-24 | F | AE | PT | N/A | CARDINALI | W286606913 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231823250.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550850/check_12604779_b4836626-3521-4916-a3d5-9be00c36641e.json | N/A | N/A | N/A | N/A | N/A | W286606913 | Preferred Provider Organization (PPO) | LHI GROUP INC. | AETNA | N/A | 1991-03-21 | 0887487 | 088748702000001 | N/A | PR | false | CARDINALI | N/A | NICOLE | N/A | N/A | N/A | OPEN CHOICE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846822288 | N/A | N/A | 5550850 | 2222 | 4802 | 12821129 | N/A | 4215195 | 2025-09-23 05:20:35.842885 | 2025-05-14 09:08:40.751930 |
| 2025-09-22 20:25:00.606876 | 2025-09-23 05:43:14.499882 | 12604773 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12604773 | Athletic Physical Therapy Inc | 1975-08-17 | 2025-09-24 | F | PT | N/A | N/A | PANDYA | XEA913306283 | DHARA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231823250.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_12604773_0e0c0e45-6f07-410f-b80a-6581fd887847.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1975-08-17 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2024-06-03 | BLUE SHIELD OF CALIFORNIA ASO VISION PLUS PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846822287 | N/A | N/A | 5550845 | 2222 | 4801 | 12833060 | N/A | 4219713 | 2025-09-23 05:43:14.499882 | 2025-08-13 22:46:55.732965 |
| 2025-09-22 20:24:59.387415 | 2025-09-23 05:37:04.366424 | 12604766 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12604766 | Athletic Physical Therapy Inc | 1954-03-04 | 2025-09-23 | M | AE | PT | N/A | ARUJO | 00000223568 | RAMON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231823250.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550751/check_12604766_5b9b2403-d5a0-4141-8458-49d7a9fe678f.json | N/A | N/A | N/A | N/A | N/A | 00000223568 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1954-03-04 | H3815028 | N/A | N/A | HM | false | ARUJO | 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 | 8846822286 | N/A | N/A | 5550751 | 2222 | 4801 | 12830031 | 2630 | 4219640 | 2025-09-23 05:37:04.366424 | 2025-05-13 04:29:37.230682 |
| 2025-09-22 20:24:57.530066 | 2025-09-23 05:20:40.179226 | 12604755 | N/A | N/A | 60054 | Aetna | 1114042165 | 12604755 | Athletic Physical Therapy Inc | 1961-11-04 | 2025-09-23 | F | AE | PT | N/A | SANTITORO | W267422430 | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231823250.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550743/check_12604755_9066b7bd-b80f-4b57-85e4-e90b594cbb45.json | N/A | N/A | N/A | N/A | N/A | W267422430 | Point of Service (POS) | CIENA CORPORATION | AETNA | N/A | 1961-11-04 | 0486875 | 048687501000001 | N/A | PS | false | SANTITORO | N/A | RALPH | 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 | 8846822279 | N/A | N/A | 5550743 | 2222 | 4801 | 12821185 | N/A | 4219643 | 2025-09-23 05:20:40.179226 | 2025-05-13 04:29:37.230685 |
| 2025-09-22 20:24:56.055900 | 2025-09-23 06:06:04.769114 | 12604744 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12604744 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-09-23 | F | AE | PT | N/A | BRADBURY | 5W31MW6FP03 | BONNIE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231823250.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550534/check_12604744_3e4d624d-edff-499c-9950-48e68bebbc95.json | N/A | N/A | N/A | N/A | N/A | 5W31MW6FP03 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-01 | S5617 | N/A | N/A | MB | false | BRADBURY | 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 | 8846822278 | N/A | N/A | 5550534 | 2222 | 4801 | 12840889 | N/A | 4219556 | 2025-09-23 06:06:04.769114 | 2025-05-13 04:29:37.230592 |
| 2025-09-22 20:24:54.978076 | 2025-09-23 05:38:00.473362 | 12604741 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 12604741 | Athletic Physical Therapy Inc | 1990-11-12 | 2025-09-23 | F | AE | PT | N/A | SIMONS | 94378141G | DESIREE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231823250.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550102/check_12604741_d715ff82-11ee-491a-82f3-699ce5f23d3c.json | N/A | N/A | N/A | N/A | N/A | 94378141G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1990-11-12 | N/A | N/A | N/A | N/A | false | SIMONS | N/A | DESIREE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846822277 | N/A | N/A | 5550102 | 2222 | 4802 | 12830427 | N/A | 4212176 | 2025-09-23 05:38:00.473362 | 2025-05-13 04:29:37.226514 |
| 2025-09-22 20:24:36.329466 | 2025-09-23 05:35:51.616072 | 12604593 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12604593 | Athletic Physical Therapy Inc | 1962-06-19 | 2025-09-24 | M | AE | PT | N/A | MILIAN GOMEZ | 93331019F | MIGUEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231823250.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543555/check_12604593_a582c6cd-0d16-4dff-b0a8-e792009140db.json | N/A | N/A | N/A | N/A | N/A | 93331019F | N/A | N/A | HEALTH NET, LLC | N/A | 1962-06-19 | N/A | N/A | N/A | N/A | false | MILIAN GOMEZ | N/A | MIGUEL | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846822228 | N/A | N/A | 5543555 | 2222 | 4802 | 12829529 | N/A | 4215332 | 2025-09-23 05:35:51.616072 | 2025-08-06 16:15:15.716322 |
| 2025-09-22 20:24:35.788205 | 2025-09-23 06:06:08.558452 | 12604588 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12604588 | Athletic Physical Therapy Inc | 1950-10-31 | 2025-09-24 | F | AE | PT | N/A | HOORIZADEH | 2DX2T46JH03 | FLORA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231823250.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543528/check_12604588_a3f00f14-9cea-4e3b-ac39-4228f51c7c93.json | N/A | N/A | N/A | N/A | N/A | 2DX2T46JH03 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-10-31 | S4802 | N/A | N/A | MB | false | HOORIZADEH | N/A | FLORA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846822226 | N/A | N/A | 5543528 | 2222 | 4802 | 12840907 | N/A | 4215312 | 2025-09-23 06:06:08.558452 | 2025-05-13 04:29:37.229631 |
| 2025-09-22 20:24:35.014585 | 2025-09-23 05:30:29.966113 | 12604581 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12604581 | Athletic Physical Therapy Inc | 1999-02-06 | 2025-09-25 | M | AE | PT | N/A | FORTIN | R14644640MS1 | NATHANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231823250.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_12604581_b8ccc7fd-22c7-41bb-b1cb-791162ce5c79.json | N/A | N/A | N/A | N/A | N/A | R14644640MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1999-02-06 | N/A | N/A | N/A | N/A | false | FORTIN | N/A | NATHANIEL | N/A | 2026-03-31 | 2025-12-01 | K96 SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846822224 | N/A | N/A | 5543425 | 2222 | 4801 | 12827190 | N/A | 4215211 | 2025-09-23 05:30:29.966113 | 2026-04-02 22:30:20.020246 |
| 2025-09-22 20:24:34.482860 | 2025-09-23 05:38:31.609309 | 12604576 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12604576 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-09-23 | F | PT | N/A | N/A | DAKE | SIF326M90066 | RENEE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231823250.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543355/check_12604576_53ffa1df-3549-4753-a9c3-f13879188391.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | Preferred Provider Organization (PPO) | SISC - MEADOWS ARTS & TECH ELEMENTARY SCHOOL | ANTHEM BLUE CROSS | N/A | 1968-01-29 | 040 | 40424B | N/A | PR | false | DAKE | N/A | RENEE | N/A | 9999-12-31 | 2018-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846822222 | N/A | N/A | 5543355 | 2222 | 4793 | 12830693 | N/A | 4215158 | 2025-09-23 05:38:31.609309 | 2025-05-13 04:29:37.229475 |
| 2025-09-22 20:24:34.008282 | 2025-09-23 06:06:09.637765 | 12604567 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12604567 | Athletic Physical Therapy Inc | 1952-11-19 | 2025-09-24 | F | AE | PT | N/A | HOWARD | 6JJ9KX0PY45 | JUDI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231823250.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543340/check_12604567_b1c309ee-3674-4a55-8f61-62292f43f928.json | N/A | N/A | N/A | N/A | N/A | 6JJ9KX0PY45 | Medicare Part B | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-11-19 | S5884 | N/A | N/A | MB | false | HOWARD | N/A | JUDI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846822220 | N/A | N/A | 5543340 | 2222 | 4793 | 12840912 | N/A | 4215147 | 2025-09-23 06:06:09.637765 | 2025-05-13 04:29:37.229464 |
| 2025-09-22 20:24:33.355024 | 2025-09-23 05:19:37.457278 | 12604562 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 12604562 | Athletic Physical Therapy Inc | 2001-01-23 | 2025-09-23 | F | AE | PT | N/A | SILVERS | 1866968 | JOIEMAY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231823250.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543335/check_12604562_6de43c35-7d83-4a8d-9dc8-ae2b323def52.json | N/A | N/A | N/A | N/A | N/A | 1866968 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-01-23 | 18126CA001000305 | QMXEM01910 | N/A | N/A | false | SILVERS | N/A | JOIEMAY | N/A | 2025-12-31 | 2025-01-01 | SILVER 87 HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846822216 | N/A | N/A | 5543335 | 2222 | 4802 | 12820515 | N/A | 4215139 | 2025-09-23 05:19:37.457278 | 2025-05-13 21:20:11.455022 |
| 2025-09-22 20:24:32.543287 | 2025-09-23 05:20:41.762461 | 12604554 | N/A | N/A | 60054 | Aetna | 1114042165 | 12604554 | Athletic Physical Therapy Inc | 1966-04-15 | 2025-09-25 | F | AE | PT | N/A | STULTZ | W460545844 | TRACY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231823250.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543319/check_12604554_a48fb3ac-9d5f-44e3-a282-aa9d566308bb.json | N/A | N/A | N/A | N/A | N/A | W460545844 | Exclusive Provider Organization | M. ARTHUR GENSLER, JR. & ASSOCIATES | AETNA | N/A | 1966-04-15 | 0658759 | 065875901800051 | N/A | EP | false | STULTZ | N/A | ERIC | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846822214 | N/A | N/A | 5543319 | 2222 | 4802 | 12821196 | N/A | 4215127 | 2025-09-23 05:20:41.762461 | 2025-05-13 04:29:37.229443 |