API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | 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 20:24:31.647140 | 2025-09-23 05:19:34.500920 | 12604549 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 12604549 | Athletic Physical Therapy Inc | 1991-07-22 | 2025-09-23 | M | AE | PT | AZIM | 627771249 | FAIYAZ | 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/2222/5543304/check_12604549_057de9da-6bb2-41c9-91de-e71ddcf1c56b.json | N/A | N/A | N/A | N/A | N/A | 627771249 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1991-07-22 | 18126CA001000201 | QMXEM01910 | N/A | N/A | false | AZIM | N/A | FAIYAZ | N/A | 2025-12-31 | 2025-01-01 | GOLD 80 HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846822213 | N/A | N/A | 5543304 | 2222 | 4802 | 12820489 | N/A | 4215118 | 2025-09-23 05:19:34.500920 | 2025-06-02 01:41:59.668874 |
| 2025-09-22 20:24:30.770528 | 2025-09-23 05:19:35.553328 | 12604541 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 12604541 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-09-24 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | 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/2222/5543270/check_12604541_b0ba4bd6-276d-4c54-b6b4-09feadc4d146.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-03-27 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | 2078-12-31 | 2024-11-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846822211 | N/A | N/A | 5543270 | 2222 | 4793 | 12820503 | N/A | 4215086 | 2025-09-23 05:19:35.553328 | 2025-05-13 04:29:37.229401 |
| 2025-09-22 20:24:30.097771 | 2025-09-23 05:43:16.405040 | 12604535 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12604535 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-09-23 | F | PT | N/A | PAUL | XEK914147727 | SARA | 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/2222/5543211/check_12604535_af21cf47-a835-42f0-8e09-75a2cf97490c.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | N/A | 2025-12-31 | 2025-02-01 | SILVER 2600 HDHP PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846822209 | N/A | N/A | 5543211 | 2222 | 4801 | 12833075 | N/A | 4215028 | 2025-09-23 05:43:16.405040 | 2025-05-13 04:29:37.229346 |
| 2025-09-22 20:24:29.205418 | 2025-09-23 05:38:56.968389 | 12604529 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12604529 | Athletic Physical Therapy Inc | 2003-10-09 | 2025-09-25 | F | PT | N/A | LUKOWITSCH | XDPCA8263500 | HALLIE | 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/2222/5543178/check_12604529_47140aa6-9d1d-46ab-b99a-7e37b662393d.json | N/A | N/A | N/A | N/A | N/A | XDPCA8263500 | Preferred Provider Organization (PPO) | UCLA - UNDERGRAD | ANTHEM BLUE CROSS | N/A | 2003-10-09 | 040 | 275958P701 | N/A | PR | false | LUKOWITSCH | N/A | HALLIE | N/A | N/A | N/A | PPO UC SHIP | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846820611 | N/A | N/A | 5543178 | 2222 | 4802 | 12830894 | N/A | 4215006 | 2025-09-23 05:38:56.968389 | 2025-05-13 04:29:37.229325 |
| 2025-09-22 20:24:28.234014 | 2025-09-23 05:26:48.394459 | 12604522 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 12604522 | Athletic Physical Therapy Inc | 1973-05-07 | 2025-09-24 | F | AD | N/A | FERRERAS | U6570615702 | PATRICIA | 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/2222/5543171/check_12604522_7d39779b-1f3e-4a5a-9123-e93f8d53cfd7.json | N/A | N/A | N/A | N/A | N/A | U6570615702 | N/A | WORKDAY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1973-05-07 | N/A | 3336422 | N/A | N/A | false | FERRERAS | N/A | PATRICIA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8846820607 | N/A | N/A | 5543171 | 2222 | 4793 | 12825084 | N/A | 4214998 | 2025-09-23 05:26:48.394459 | 2025-05-13 04:29:37.229318 |
| 2025-09-22 20:24:27.102178 | 2025-09-23 05:38:51.805859 | 12604512 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12604512 | Athletic Physical Therapy Inc | 1972-06-23 | 2025-09-25 | F | PT | N/A | LAWSON | JXN663W00172 | MICHELLE | 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/2222/5543167/check_12604512_a1e960ce-8660-459e-8656-05ffde2847c4.json | N/A | N/A | N/A | N/A | N/A | JXN663W00172 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1972-06-23 | 040 | 174222M2A1 | N/A | PR | false | LAWSON | N/A | MICHELLE | N/A | 9999-12-31 | 2020-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846820604 | N/A | N/A | 5543167 | 2222 | 4793 | 12830854 | N/A | 4214995 | 2025-09-23 05:38:51.805859 | 2025-05-13 04:29:37.229315 |
| 2025-09-22 20:24:25.880351 | 2025-09-23 05:38:28.437278 | 12604506 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12604506 | Athletic Physical Therapy Inc | 1958-07-27 | 2025-09-23 | F | PT | N/A | BERARDI | JQU360A51420 | JACQUELINE | 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/2222/5543161/check_12604506_df64d3da-9387-4bae-8c4e-16ae6eec8c6a.json | N/A | N/A | N/A | N/A | N/A | JQU360A51420 | Preferred Provider Organization (PPO) | CAL CHOICE AUGUST 1.00 | ANTHEM BLUE CROSS | N/A | 1958-07-27 | 040 | 476497 | N/A | PR | false | BERARDI | N/A | PHILIP | N/A | 9999-12-31 | 2025-08-01 | ANTHEM GOLD PPO 30/60/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846820603 | N/A | N/A | 5543161 | 2222 | 4793 | 12830671 | N/A | 4214989 | 2025-09-23 05:38:28.437278 | 2025-05-13 04:29:37.229310 |
| 2025-09-22 20:24:25.129203 | 2025-09-23 05:37:09.406134 | 12604501 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 12604501 | Athletic Physical Therapy Inc | 1960-12-24 | 2025-09-24 | F | AE | PT | PORTILLO | 00000315343 | LISA | 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/2222/5543084/check_12604501_52e338e8-a449-411e-a755-86f60f75d158.json | N/A | N/A | N/A | N/A | N/A | 00000315343 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1960-12-24 | H3815028 | N/A | N/A | HM | false | PORTILLO | N/A | LISA | 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 | 8846820602 | N/A | N/A | 5543084 | 2222 | 4801 | 12830069 | N/A | 4214920 | 2025-09-23 05:37:09.406134 | 2025-05-13 04:29:37.229242 |
| 2025-09-22 20:24:24.036464 | 2025-09-23 05:30:57.609987 | 12604493 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 12604493 | Athletic Physical Therapy Inc | 1957-01-21 | 2025-09-25 | M | AE | PT | SHADDY | 40064865601 | STEVE | 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/2222/5543011/check_12604493_5ebf999d-2f3f-4c26-8742-03ed542bf2d6.json | N/A | N/A | N/A | N/A | N/A | 40064865601 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | SHADDY | N/A | STEVE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846820600 | N/A | N/A | 5543011 | 2222 | 4801 | 12827401 | N/A | 4214861 | 2025-09-23 05:30:57.609987 | 2026-02-04 19:10:58.526441 |
| 2025-09-22 20:24:23.228629 | 2025-09-23 05:43:08.414884 | 12604488 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12604488 | Athletic Physical Therapy Inc | 1965-01-24 | 2025-09-23 | F | PT | N/A | JAIN | XEK909304497 | SUPARNA | 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/2222/5542952/check_12604488_7488ad26-67d1-4132-842e-e60eb52dd57d.json | N/A | N/A | N/A | N/A | N/A | XEK909304497 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1965-01-24 | 2001ZK002189 | X0001000 | N/A | PR | false | JAIN | N/A | SUPARNA | N/A | 2025-12-31 | 2025-01-01 | BRONZE 60 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846820599 | N/A | N/A | 5542952 | 2222 | 4802 | 12833014 | N/A | 4214804 | 2025-09-23 05:43:08.414884 | 2025-05-13 20:09:53.786482 |
| 2025-09-22 20:24:22.566273 | 2025-09-23 05:43:12.088773 | 12604480 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12604480 | Athletic Physical Therapy Inc | 1971-05-30 | 2025-09-23 | M | PT | N/A | MATTHEWS | KTP903824736 | LARRY | 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/2222/5542899/check_12604480_2f78051e-615c-4afa-bd86-80c16831f6e6.json | N/A | N/A | N/A | N/A | N/A | KTP903824736 | Preferred Provider Organization (PPO) | TUTOR PERINI CORPORATION | BLUE SHIELD CALIFORNIA | N/A | 1971-05-30 | 1004PPOX0004 | W0051664 | N/A | PR | false | MATTHEWS | N/A | REGINA | N/A | N/A | N/A | FSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846820598 | N/A | N/A | 5542899 | 2222 | 4793 | 12833048 | N/A | 4214758 | 2025-09-23 05:43:12.088773 | 2025-05-13 04:29:37.229078 |
| 2025-09-22 20:24:22.004088 | 2025-09-23 05:20:36.983956 | 12604476 | N/A | N/A | 60054 | Aetna | 1114042165 | 12604476 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-09-23 | M | AE | PT | KORY | 102161581800 | MICHAEL | 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/2222/5542870/check_12604476_c09e4c43-bf84-4c3e-ab6f-8faa2b447c63.json | N/A | N/A | N/A | N/A | N/A | 102161581800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1959-05-08 | 000003-CA000058 | 000003-CA | N/A | PR | false | KORY | N/A | MICHAEL | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846820597 | N/A | N/A | 5542870 | 2222 | 4793 | 12821148 | N/A | 4214732 | 2025-09-23 05:20:36.983956 | 2025-06-24 20:13:53.579048 |
| 2025-09-22 20:24:21.055739 | 2025-09-23 05:35:49.107432 | 12604466 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12604466 | Athletic Physical Therapy Inc | 2007-12-08 | 2025-09-23 | F | AE | PT | LARSEN | R06053944FD1 | LANA | 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/2222/5542850/check_12604466_4da28112-4bad-4e9d-9fe1-d902a0305f19.json | N/A | N/A | N/A | N/A | N/A | R06053944FD1 | N/A | N/A | HEALTH NET, LLC | N/A | 2007-12-08 | N/A | N/A | N/A | N/A | false | LARSEN | N/A | LANA | N/A | N/A | N/A | MGY COMHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846820596 | N/A | N/A | 5542850 | 2222 | 4793 | 12829517 | N/A | 4214714 | 2025-09-23 05:35:49.107432 | 2025-05-13 04:29:37.229031 |
| 2025-09-22 20:24:19.731432 | 2025-09-23 05:38:35.661769 | 12604459 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12604459 | Athletic Physical Therapy Inc | 1993-06-20 | 2025-09-23 | F | PT | N/A | DELOS REYES | JXN688W13372 | JANELLE LOPEZ | 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/2222/5542750/check_12604459_be710719-b727-4a36-90c4-2946aabf0ba0.json | N/A | N/A | N/A | N/A | N/A | JXN688W13372 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1993-06-20 | N/A | N/A | N/A | N/A | false | DELOS REYES | N/A | JANELLE LOPEZ | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846820595 | N/A | N/A | 5542750 | 2222 | 4802 | 12830721 | N/A | 4214623 | 2025-09-23 05:38:35.661769 | 2025-08-28 22:11:32.536994 |
| 2025-09-22 20:24:18.993245 | 2025-09-23 05:30:27.599704 | 12604455 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12604455 | Athletic Physical Therapy Inc | 1968-04-07 | 2025-09-23 | F | AE | PT | CHERE | 98953535F | DIANA | 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/2222/5542660/check_12604455_206868fb-ac8b-4c3e-9a2f-e63acff45fdb.json | N/A | N/A | N/A | N/A | N/A | 98953535F | N/A | N/A | HEALTH NET, LLC | N/A | 1968-04-07 | N/A | N/A | N/A | N/A | false | CHERE | N/A | DIANA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846820594 | N/A | N/A | 5542660 | 2222 | 4802 | 12827161 | N/A | 4214542 | 2025-09-23 05:30:27.599704 | 2025-05-13 04:29:37.228868 |
| 2025-09-22 20:24:17.977793 | 2025-09-23 05:20:37.822198 | 12604446 | N/A | N/A | 60054 | Aetna | 1114042165 | 12604446 | Athletic Physical Therapy Inc | 1942-12-06 | 2025-09-24 | M | AE | PT | MEADOWS | 101352892200 | STANLEY | 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/2222/5542634/check_12604446_651313cb-4306-4583-aff8-7a96ec88b744.json | N/A | N/A | N/A | N/A | N/A | 101352892200 | Preferred Provider Organization (PPO) | FAIRFAX COUNTY PUBLIC SCHOOLS - MA | AETNA | MEDICARE | 1942-12-06 | 100297-02EG0001 | 100297-02 | N/A | PR | false | MEADOWS | N/A | STANLEY | N/A | N/A | N/A | MEDICARE (C04) ESA PPO PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846820592 | N/A | N/A | 5542634 | 2222 | 4801 | 12821158 | N/A | 4214520 | 2025-09-23 05:20:37.822198 | 2025-07-28 19:32:04.879318 |
| 2025-09-22 20:24:16.975858 | 2025-09-23 05:37:44.366359 | 12604439 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 12604439 | Athletic Physical Therapy Inc | 1960-09-15 | 2025-09-23 | F | AE | PT | HAMI | 92932800G | FARIBA | 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/2222/5542611/check_12604439_57f5942a-b6a0-45ff-9c14-cc909602bc9b.json | N/A | N/A | N/A | N/A | N/A | 92932800G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1960-09-15 | N/A | N/A | N/A | N/A | false | HAMI | N/A | FARIBA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846820591 | N/A | N/A | 5542611 | 2222 | 4802 | 12830304 | N/A | 4214490 | 2025-09-23 05:37:44.366359 | 2025-05-13 04:29:37.228806 |
| 2025-09-22 20:24:16.029194 | 2025-09-23 05:44:48.008614 | 12604431 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12604431 | Athletic Physical Therapy Inc | 1973-11-11 | 2025-09-24 | M | PT | N/A | MEJIA | NCF847W11586 | ERICK | 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/2222/5542585/check_12604431_539e911d-1d11-4e6f-9a24-1bf1d94e9878.json | N/A | N/A | N/A | N/A | N/A | NCF847W11586 | Health Maintenance Organization (HMO) | ADP TOTALSOURCE INC | BLUE SHIELD OF CALIFORNIA | N/A | 1973-11-11 | 040 | 280629JD49 | N/A | HM | false | MEJIA | N/A | ERICK | N/A | 9999-12-31 | 2025-06-01 | DEDUCTIBLE HMO TRAD | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846820590 | N/A | N/A | 5542585 | 2222 | 4801 | 12833688 | N/A | 4214475 | 2025-09-23 05:44:48.008614 | 2025-08-25 18:30:14.699303 |
| 2025-09-22 20:24:15.256781 | 2025-09-23 05:37:37.794449 | 12604421 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12604421 | Athletic Physical Therapy Inc | 1988-11-03 | 2025-09-23 | F | AE | PT | CAPISTRANO | 98696372G | FERDELLE | 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/2222/5542513/check_12604421_c65b5124-5f04-41f4-a231-92395b0dd2c1.json | N/A | N/A | N/A | N/A | N/A | 98696372G | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1988-11-03 | MCLA | MWLLNMEG21 | N/A | N/A | false | CAPISTRANO | N/A | FERDELLE | N/A | 2078-12-31 | 2024-05-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846820589 | N/A | N/A | 5542513 | 2222 | 4793 | 12830245 | N/A | 4214418 | 2025-09-23 05:37:37.794449 | 2025-07-03 18:12:11.075357 |
| 2025-09-22 20:24:14.344439 | 2025-09-23 05:43:00.959873 | 12604416 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12604416 | Athletic Physical Therapy Inc | 1983-10-27 | 2025-09-25 | M | PT | N/A | FEDERER | XEA911365031 | MITCH | 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/2222/5542512/check_12604416_4a1f3cfc-8625-46ea-802b-252b712e9f09.json | N/A | N/A | N/A | N/A | N/A | XEA911365031 | Preferred Provider Organization (PPO) | WEINSTEIN SENIOR LLP | BLUE SHIELD CALIFORNIA | N/A | 1983-10-27 | 1000VX000102 | W0122744 | N/A | PR | false | FEDERER | N/A | MITCHEL | N/A | 9999-12-31 | 2022-05-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846820588 | N/A | N/A | 5542512 | 2222 | 4793 | 12832953 | N/A | 4214416 | 2025-09-23 05:43:00.959873 | 2025-05-13 04:29:37.228740 |
| 2025-09-22 20:24:13.486594 | 2025-09-23 05:20:39.282479 | 12604408 | N/A | N/A | 60054 | Aetna | 1114042165 | 12604408 | Athletic Physical Therapy Inc | 1989-10-20 | 2025-09-23 | M | AE | PT | SAMUELS | W289332071 | ZACHARY | 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/2222/5542467/check_12604408_4156891a-3060-4538-8a68-e8c50d78961a.json | N/A | N/A | N/A | N/A | N/A | W289332071 | Point of Service (POS) | CACI INTERNATIONAL INC. | AETNA | N/A | 1989-10-20 | 0169496 | 016949601000001 | N/A | PS | false | SAMUELS | N/A | ZACHARY | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846820586 | N/A | N/A | 5542467 | 2222 | 4802 | 12821171 | N/A | 4214379 | 2025-09-23 05:20:39.282479 | 2025-05-13 04:29:37.228706 |
| 2025-09-22 20:24:12.814218 | 2025-09-23 06:06:07.350667 | 12604400 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12604400 | Athletic Physical Therapy Inc | 1950-10-11 | 2025-09-23 | F | AE | PT | FRANK | 6C06N65FN89 | KAREN | 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/2222/5542263/check_12604400_e47fe6ba-0bbd-4d15-a0c5-3e126b3a64ef.json | N/A | N/A | N/A | N/A | N/A | 6C06N65FN89 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-10-11 | S5601 | N/A | N/A | MA | false | FRANK | N/A | KAREN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846820585 | N/A | N/A | 5542263 | 2222 | 4802 | 12840903 | N/A | 4214201 | 2025-09-23 06:06:07.350667 | 2025-05-13 04:29:37.228535 |
| 2025-09-22 20:24:12.016381 | 2025-09-23 05:20:34.306827 | 12604394 | N/A | N/A | 60054 | Aetna | 1114042165 | 12604394 | Athletic Physical Therapy Inc | 1969-09-28 | 2025-09-23 | F | AE | PT | BEDDING | W265304433 | DEBRA | 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/2222/5542255/check_12604394_8caab501-e04b-4a1c-991f-0383a2ff22b7.json | N/A | N/A | N/A | N/A | N/A | W265304433 | Point of Service (POS) | FOX CORPORATION | AETNA | N/A | 1969-09-28 | 0109248 | 010924803000460 | N/A | PS | false | BEDDING | N/A | DEBRA | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846820584 | N/A | N/A | 5542255 | 2222 | 4793 | 12821115 | N/A | 4214196 | 2025-09-23 05:20:34.306827 | 2025-05-13 04:29:37.228530 |
| 2025-09-22 20:24:11.428781 | 2025-09-23 05:43:04.866884 | 12604390 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12604390 | Athletic Physical Therapy Inc | 1983-04-25 | 2025-09-24 | F | PT | N/A | HASERJIAN | XED912403581 | RENEE | 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/2222/5542222/check_12604390_ec33854c-b7f1-484d-bd06-e847c8281032.json | N/A | N/A | N/A | N/A | N/A | XED912403581 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1983-04-25 | 2001ZK002169 | X0001004 | N/A | PR | false | HASERJIAN | N/A | RENEE | N/A | 9999-12-31 | 2025-01-01 | GOLD 80 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846820582 | N/A | N/A | 5542222 | 2222 | 4793 | 12832987 | N/A | 4214148 | 2025-09-23 05:43:04.866884 | 2025-05-13 04:29:37.228475 |
| 2025-09-22 20:24:10.417451 | 2025-09-23 05:38:46.588646 | 12604381 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12604381 | Athletic Physical Therapy Inc | 1938-01-22 | 2025-09-23 | F | PT | N/A | ISTOK | MBL474M98437 | LOIS | 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/2222/5542207/check_12604381_c63436bf-44bf-4ed7-a491-9f79cc0a5204.json | N/A | N/A | N/A | N/A | N/A | MBL474M98437 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1938-01-22 | 040 | CAEGR005 | N/A | N/A | false | ISTOK | N/A | LOIS | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846820580 | N/A | N/A | 5542207 | 2222 | 4802 | 12830819 | N/A | 4214152 | 2025-09-23 05:38:46.588646 | 2025-05-13 04:29:37.228479 |
| 2025-09-22 20:24:09.473294 | 2025-09-23 05:39:09.612769 | 12604373 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12604373 | Athletic Physical Therapy Inc | 1942-12-17 | 2025-09-24 | F | PT | N/A | STEINBERG | MBL988M98459 | JUDY | 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/2222/5542014/check_12604373_246630d6-93f5-4459-8c5a-d9f7c301bc7d.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846820578 | N/A | N/A | 5542014 | 2222 | 4793 | 12831003 | N/A | 4213977 | 2025-09-23 05:39:09.612769 | 2025-05-13 04:29:37.228294 |
| 2025-09-22 20:24:08.356261 | 2025-09-23 05:37:47.184852 | 12604366 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | 12604366 | Athletic Physical Therapy Inc | 1961-02-27 | 2025-09-25 | M | AE | PT | SHRIVER | 90771207E | DANIEL | 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/2222/5541984/check_12604366_f5a303ba-ecc2-4da2-b545-5aab2ace1eeb.json | N/A | N/A | N/A | N/A | N/A | 90771207E | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1961-02-27 | N/A | N/A | N/A | N/A | false | SHRIVER | N/A | DANIEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846820577 | N/A | N/A | 5541984 | 2222 | 4802 | 12830325 | N/A | 4213934 | 2025-09-23 05:37:47.184852 | 2026-01-27 23:36:44.802366 |
| 2025-09-22 20:24:07.606892 | 2025-09-23 05:35:28.067215 | 12604358 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 12604358 | Athletic Physical Therapy Inc | 1947-02-01 | 2025-09-24 | M | AE | PT | YEE | 412922301 | HARRY | 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/2222/5541972/check_12604358_f64b6864-429e-4076-a97c-ee0f28e6daf5.json | N/A | N/A | N/A | N/A | N/A | 412922301 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1947-02-01 | N/A | HCFA21 | N/A | HN | false | YEE | N/A | HARRY | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846820574 | N/A | N/A | 5541972 | 2222 | 4793 | 12829387 | N/A | 4213941 | 2025-09-23 05:35:28.067215 | 2025-05-13 04:29:37.228259 |
| 2025-09-22 20:24:06.912621 | 2025-09-23 05:38:22.342822 | 12604355 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12604355 | Athletic Physical Therapy Inc | 1959-05-13 | 2025-09-23 | F | PT | N/A | ADRIANZEN FERNAN | MMA221W20054 | AURA | 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/2222/5541944/check_12604355_f2b7b42f-2410-4079-b5ea-f947324141c0.json | N/A | N/A | N/A | N/A | N/A | MMA221W20054 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-05-13 | 040 | CAMCRWP0 | N/A | MP | false | ADRIANZEN FERNANDEZ | N/A | AURA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846820573 | N/A | N/A | 5541944 | 2222 | 4801 | 12830612 | 4184 | 4213907 | 2025-09-23 05:38:22.342822 | 2025-05-13 04:29:37.228228 |
| 2025-09-22 20:24:06.152725 | 2025-09-23 06:06:12.738888 | 12604347 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12604347 | Athletic Physical Therapy Inc | 1958-05-19 | 2025-09-24 | F | AE | PT | MAYER | 5J41QM7YN93 | MARY | 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/2222/5541938/check_12604347_3c745923-b688-438b-b792-00b3642415f7.json | N/A | N/A | N/A | N/A | N/A | 5J41QM7YN93 | Medicare Part A | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-05-19 | S5884 | N/A | N/A | MA | false | MAYER | N/A | MARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846820572 | N/A | N/A | 5541938 | 2222 | 4801 | 12840927 | N/A | 4213917 | 2025-09-23 06:06:12.738888 | 2025-06-25 01:53:37.609327 |
| 2025-09-22 20:24:05.199386 | 2025-09-23 05:39:06.517107 | 12604342 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12604342 | Athletic Physical Therapy Inc | 1940-08-31 | 2025-09-24 | M | PT | N/A | STEINBERG | MBL875M98441 | HARRIS | 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/2222/5541917/check_12604342_7ac0b03c-8004-4f98-abc2-6f0852e88570.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846820571 | N/A | N/A | 5541917 | 2222 | 4793 | 12830978 | N/A | 4213891 | 2025-09-23 05:39:06.517107 | 2025-05-13 04:29:37.228207 |
| 2025-09-22 20:24:04.335208 | 2025-09-23 05:43:06.446336 | 12604334 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12604334 | Athletic Physical Therapy Inc | 1980-03-25 | 2025-09-24 | F | PT | N/A | HILLIGER | XEA902904791 | JENNIE | 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/2222/5541730/check_12604334_fe1c5ae5-26d1-456a-ba74-89bbca31c394.json | N/A | N/A | N/A | N/A | N/A | XEA902904791 | Preferred Provider Organization (PPO) | HILLIGER INC | BLUE SHIELD CALIFORNIA | N/A | 1980-03-25 | 1000VX000102 | W0060472 | N/A | PR | false | HILLIGER | N/A | JENNIFER | N/A | 9999-12-31 | 2019-06-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846820568 | N/A | N/A | 5541730 | 2222 | 4793 | 12832998 | N/A | 4213725 | 2025-09-23 05:43:06.446336 | 2025-05-13 04:29:37.228045 |
| 2025-09-22 20:24:03.674606 | 2025-09-23 05:37:12.364298 | 12604325 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 12604325 | Athletic Physical Therapy Inc | 1958-09-06 | 2025-09-25 | F | AE | PT | ZAMORA | 00000327568 | FLORYBETH | 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/2222/5541719/check_12604325_6c736221-002c-4757-a1b7-472cbaf9ffb4.json | N/A | N/A | N/A | N/A | N/A | 00000327568 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1958-09-06 | H3815028 | N/A | N/A | HM | false | ZAMORA | N/A | FLORYBETH | 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 | 8846820566 | N/A | N/A | 5541719 | 2222 | 4801 | 12830100 | N/A | 4213712 | 2025-09-23 05:37:12.364298 | 2025-08-19 01:13:52.150115 |
| 2025-09-22 20:24:02.891379 | 2025-09-23 05:17:35.874168 | 12604318 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12604318 | Athletic Physical Therapy Inc | 1974-10-21 | 2025-09-23 | F | PT | N/A | GARCIA | NCF666A56083 | DAWN | 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/2222/5541664/check_12604318_df91777d-c940-4364-907e-e2491ec806e1.json | N/A | N/A | N/A | N/A | N/A | NCF666A56083 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1974-10-21 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | DAWN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846820565 | N/A | N/A | 5541664 | 2222 | 4793 | 12819347 | N/A | 4213662 | 2025-09-23 05:17:35.874168 | 2025-05-13 04:29:37.227982 |
| 2025-09-22 20:24:01.946352 | 2025-09-23 05:26:49.325442 | 12604314 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 12604314 | Athletic Physical Therapy Inc | 2001-11-21 | 2025-09-23 | M | AD | N/A | LYKIDIS | U1221753503 | JOHN | 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/2222/5541552/check_12604314_8c14a37d-6cb2-4d40-9ebf-43fa2543b674.json | N/A | N/A | N/A | N/A | N/A | U1221753503 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 2001-11-21 | N/A | 3207160 | N/A | N/A | false | LYKIDIS | N/A | JOHN | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8846820563 | N/A | N/A | 5541552 | 2222 | 4802 | 12825104 | N/A | 4213562 | 2025-09-23 05:26:49.325442 | 2025-05-13 04:29:37.227895 |
| 2025-09-22 20:24:00.993863 | 2025-09-23 05:30:32.177554 | 12604306 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12604306 | Athletic Physical Therapy Inc | 1985-02-07 | 2025-09-25 | F | AE | PT | SHEPHERD | 93180838F | EMILY | 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/2222/5541519/check_12604306_424244e6-4983-4c9e-a293-2a54e0a8edab.json | N/A | N/A | N/A | N/A | N/A | 93180838F | N/A | N/A | HEALTH NET, LLC | N/A | 1985-02-07 | N/A | N/A | N/A | N/A | false | SHEPHERD | N/A | EMILY | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846820562 | N/A | N/A | 5541519 | 2222 | 4802 | 12827213 | N/A | 4213530 | 2025-09-23 05:30:32.177554 | 2025-05-13 04:29:37.227860 |
| 2025-09-22 20:23:59.488599 | 2025-09-23 05:38:54.269212 | 12604297 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12604297 | Athletic Physical Therapy Inc | 2012-06-25 | 2025-09-24 | F | PT | N/A | LORD | JQK822A53740 | ALYSSA | 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/2222/5541409/check_12604297_2489e4ef-7dcc-4df6-8938-87de4c9a4094.json | N/A | N/A | N/A | N/A | N/A | JQT822A53740 | Health Maintenance Organization (HMO) | JLIV SERVICES INC | ANTHEM BLUE CROSS | N/A | 2012-06-25 | 040 | U54789 | N/A | HM | false | LORD | N/A | JETHRO | N/A | 9999-12-31 | 2025-08-01 | CA SG PRISELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846820560 | N/A | N/A | 5541409 | 2222 | 4793 | 12830871 | 4184 | 4213435 | 2025-09-23 05:38:54.269212 | 2025-05-13 04:29:37.227756 |
| 2025-09-22 20:23:58.261514 | 2025-09-23 05:43:10.186544 | 12604289 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12604289 | Athletic Physical Therapy Inc | 1980-05-29 | 2025-09-24 | F | PT | N/A | KURTZ | XED906231353 | NINA | 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/2222/5541378/check_12604289_6697ea38-37d4-4069-8c44-28ba7ec82fda.json | N/A | N/A | N/A | N/A | N/A | XED906231353 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-05-29 | 2001ZK002169 | X0001004 | N/A | PR | false | KURTZ | N/A | NINA | N/A | 9999-12-31 | 2025-01-01 | GOLD 80 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846820558 | N/A | N/A | 5541378 | 2222 | 4793 | 12833032 | N/A | 4213405 | 2025-09-23 05:43:10.186544 | 2025-05-13 04:29:37.227726 |
| 2025-09-22 20:23:57.358981 | 2025-09-23 06:02:00.616946 | 12604284 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 12604284 | Athletic Physical Therapy Inc | 2007-03-06 | 2025-09-24 | M | AE | PT | REGAN | 948131328E28295 | DANIEL | 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/2222/5541349/check_12604284_2aec3b87-949b-40ce-8d73-a50b2968e228.json | N/A | N/A | N/A | N/A | N/A | 948131328E28295 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 2007-03-06 | N/A | N/A | N/A | N/A | false | REGAN | N/A | DANIEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846820554 | N/A | N/A | 5541349 | 2222 | 4793 | 12839759 | N/A | 4213376 | 2025-09-23 06:02:00.616946 | 2025-09-22 23:59:39.068790 |
| 2025-09-22 20:23:55.940489 | 2025-09-23 05:43:37.833148 | 12604271 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12604271 | Athletic Physical Therapy Inc | 1990-07-09 | 2025-09-25 | M | PT | N/A | UPSON | XEA909162969 | RYAN | 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/2222/5541318/check_12604271_2c3bb4bc-6678-4ef3-bc61-65c124393442.json | N/A | N/A | N/A | N/A | N/A | XEA909162969 | Preferred Provider Organization (PPO) | CHILD CARE RESOURCE CENTER | BLUE SHIELD CALIFORNIA | N/A | 1990-07-09 | 1000VX000001 | W0065399 | N/A | PR | false | UPSON | N/A | SANDY | N/A | N/A | N/A | CHILD CARE RESOURCE CENTER CUSTOM VISION PLUS 0 25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846820553 | N/A | N/A | 5541318 | 2222 | 4801 | 12833202 | N/A | 4213349 | 2025-09-23 05:43:37.833148 | 2025-05-13 04:29:37.227671 |
| 2025-09-22 20:23:55.037249 | 2025-09-23 05:43:02.654039 | 12604266 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12604266 | Athletic Physical Therapy Inc | 1963-07-22 | 2025-09-24 | F | PT | N/A | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | 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/2222/5541314/check_12604266_392e8f8d-39fe-4533-9033-c359ed291a07.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 9999-12-31 | 2025-01-01 | SILVER 73 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846820552 | N/A | N/A | 5541314 | 2222 | 4793 | 12832969 | N/A | 4213343 | 2025-09-23 05:43:02.654039 | 2025-06-06 02:21:37.603701 |
| 2025-09-22 20:23:52.428255 | 2025-09-23 05:43:35.556968 | 12604253 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12604253 | Athletic Physical Therapy Inc | 1993-10-07 | 2025-09-23 | F | PT | N/A | TRUJILLO | XED914492685 | ADRIENNE | 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/2222/5541269/check_12604253_5f9d647a-a26f-452e-86d3-08e1dba511dc.json | N/A | N/A | N/A | N/A | N/A | XED914492685 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1993-10-07 | 2001ZK002169 | X0001004 | N/A | PR | false | TRUJILLO | N/A | CHRISTIAN | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846820551 | N/A | N/A | 5541269 | 2222 | 4793 | 12833184 | N/A | 4213302 | 2025-09-23 05:43:35.556968 | 2025-05-13 04:29:37.227624 |
| 2025-09-22 20:23:49.501226 | 2025-09-23 05:43:20.534908 | 12604240 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12604240 | Athletic Physical Therapy Inc | 1983-12-04 | 2025-09-24 | M | PT | N/A | SIMMONS | 906212178000 | LAVAR | 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/2222/5541240/check_12604240_71d1be2b-490e-46a5-9cfe-b23268c700f4.json | N/A | N/A | N/A | N/A | N/A | XEH906212178 | Health Maintenance Organization (HMO) | VENTURA COUNTY PROFESSIONAL FIREFIGHTERS | BLUE SHIELD CALIFORNIA | N/A | 1983-12-04 | 1000HMOX0002 | W0065470 | N/A | HM | false | SIMMONS | N/A | LAVAR | N/A | N/A | N/A | VENTURA COUNTY PROFESSIONAL FIREFIGHTERS ACCESS H | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846820550 | N/A | N/A | 5541240 | 2222 | 4801 | 12833099 | N/A | 4213276 | 2025-09-23 05:43:20.534908 | 2025-05-13 04:29:37.227602 |
| 2025-09-22 20:23:48.717044 | 2025-09-23 05:30:28.968983 | 12604232 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12604232 | Athletic Physical Therapy Inc | 1968-03-30 | 2025-09-25 | M | AE | PT | FARAHMAND | 91957675E | ALEX | 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/2222/5541163/check_12604232_12ffc8ec-dffa-46e7-8be5-9cef00c549a0.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | HEALTH NET, LLC | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846820549 | N/A | N/A | 5541163 | 2222 | 4802 | 12827176 | N/A | 4213207 | 2025-09-23 05:30:28.968983 | 2025-05-13 04:29:37.227536 |
| 2025-09-22 20:23:47.943159 | 2025-09-23 05:24:50.047460 | 12604223 | N/A | N/A | 61101 | Regal Medical Group | 1114042165 | 12604223 | Athletic Physical Therapy Inc | 1949-03-25 | 2025-09-25 | F | AE | PT | BARON | H7986555300 | AIDA | 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/2222/5541086/check_12604223_fd0f6c0c-aab0-4070-b9d8-df858548c4ab.json | N/A | N/A | N/A | N/A | N/A | H79865553 | Health Maintenance Organization (HMO) - Medicare Risk | ARCADIAN HEALTH PLAN, INC. | HUMANA | 076 657 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1949-03-25 | N/A | 5A962001 | N/A | HN | false | BARON | N/A | AIDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846820548 | N/A | N/A | 5541086 | 2222 | 4793 | 12823813 | N/A | 4213141 | 2025-09-23 05:24:50.047460 | 2025-05-13 04:29:37.227470 |
| 2025-09-22 20:23:46.867231 | 2025-09-23 05:38:38.532105 | 12604214 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12604214 | Athletic Physical Therapy Inc | 1958-07-16 | 2025-09-23 | F | PT | N/A | GALVAN GUERRERO | MMA904W16717 | MARIA | 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/2222/5541035/check_12604214_851c7603-04c5-4895-8fb5-c2fd19245e31.json | N/A | N/A | N/A | N/A | N/A | MMA904W16717 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1958-07-16 | 040 | CAMCRWP0 | N/A | MP | false | GALVAN-GUERRERO | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846820547 | N/A | N/A | 5541035 | 2222 | 4801 | 12830743 | 4184 | 4213091 | 2025-09-23 05:38:38.532105 | 2025-05-13 04:29:37.227417 |
| 2025-09-22 20:23:46.055886 | 2025-09-23 05:39:03.065562 | 12604211 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12604211 | Athletic Physical Therapy Inc | 2001-07-16 | 2025-09-23 | F | PT | N/A | POWELL | YWP80258506903 | WHITNEY | 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/2222/5540983/check_12604211_56a2dc35-40b4-452e-ae6d-431af27af2ab.json | N/A | N/A | N/A | N/A | N/A | YWP80258506903 | N/A | HELLER CAPITAL GROUP LLC | CAPITAL BLUE CROSS | N/A | 2001-07-16 | N/A | 00531869 | N/A | N/A | false | POWELL | N/A | WHITNEY | N/A | 2025-06-30 | 2024-12-14 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846820544 | N/A | N/A | 5540983 | 2222 | 4793 | 12830950 | N/A | 4213053 | 2025-09-23 05:39:03.065562 | 2025-08-05 22:50:43.277345 |
| 2025-09-22 20:23:45.309754 | 2025-09-23 06:06:11.081444 | 12604205 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12604205 | Athletic Physical Therapy Inc | 1949-12-02 | 2025-09-23 | F | AE | PT | LADEN | 6GY2TG9HX06 | CANDACE | 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/2222/5540768/check_12604205_1c26b582-934a-4bac-802b-b577e93e6c5d.json | N/A | N/A | N/A | N/A | N/A | 6GY2TG9HX06 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-12-02 | S4802 | N/A | N/A | MB | false | LADEN | N/A | CANDACE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846820542 | N/A | N/A | 5540768 | 2222 | 4802 | 12840917 | N/A | 4212856 | 2025-09-23 06:06:11.081444 | 2025-08-04 18:33:35.319989 |
| 2025-09-22 20:23:44.489355 | 2025-09-23 05:30:54.121035 | 12604201 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 12604201 | Athletic Physical Therapy Inc | 1940-03-29 | 2025-09-24 | F | AE | PT | MARTINEZ | 40032670501 | MARIA | 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/2222/5540591/check_12604201_fe4a3ef2-edb1-433b-af04-dd6ec6d4a234.json | N/A | N/A | N/A | N/A | N/A | 40032670501 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1940-03-29 | 2025H5425001 | H5425M | N/A | N/A | false | MARTINEZ | N/A | MARIA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846820540 | N/A | N/A | 5540591 | 2222 | 4801 | 12827318 | N/A | 4212724 | 2025-09-23 05:30:54.121035 | 2025-07-26 22:27:37.781276 |
| 2025-09-22 20:23:43.731065 | 2025-09-23 05:43:17.956207 | 12604192 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12604192 | Athletic Physical Therapy Inc | 1997-07-14 | 2025-09-24 | M | PT | N/A | SHERBETJIAN | XED910281081 | JACK | 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/2222/5540558/check_12604192_dc944194-11b4-4269-ba85-2fa5a70f8ccc.json | N/A | N/A | N/A | N/A | N/A | XED910281081 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-14 | 2001ZK002184 | X0001004 | N/A | PR | false | SHERBETJIAN | N/A | JACK | N/A | 9999-12-31 | 2021-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846820539 | N/A | N/A | 5540558 | 2222 | 4801 | 12833085 | N/A | 4212698 | 2025-09-23 05:43:17.956207 | 2025-05-13 04:29:37.227042 |