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 20:23:42.599195 | 2025-09-23 06:06:03.305720 | 12604187 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12604187 | Athletic Physical Therapy Inc | 1940-05-13 | 2025-09-25 | F | AE | PT | ALIZADEH GHARBAGHI | 6AX8PH3NH43 | TOURAN | 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/2222/5540531/check_12604187_7b1b0d07-af7f-4f94-9573-14cadd537e21.json | N/A | N/A | N/A | N/A | N/A | 6AX8PH3NH43 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-05-13 | S5617 | N/A | N/A | MB | false | ALIZADEH GHARBAGHI | N/A | TOURAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846820538 | N/A | N/A | 5540531 | 2222 | 4802 | 12840884 | N/A | 4212676 | 2025-09-23 06:06:03.305720 | 2025-07-03 21:09:02.193065 |
| 2025-09-22 20:23:41.826528 | 2025-09-23 05:38:25.970017 | 12604178 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12604178 | Athletic Physical Therapy Inc | 2008-06-19 | 2025-09-24 | F | PT | N/A | AINTABLIAN | NCF581A75701 | GARS | 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/2222/5540501/check_12604178_4b54d08b-e8cb-4bf8-a142-ebf200e2d415.json | N/A | N/A | N/A | N/A | N/A | NCF581A75701 | Point of Service (POS) | COUNTY OF LOS ANGELES | ANTHEM BLUE CROSS | N/A | 2008-06-19 | 040 | 56061A | N/A | PS | false | AINTABLIAN | N/A | TALAR | N/A | 9999-12-31 | 2025-06-01 | POINT OF SERVICE COUNTY OF LOS ANGELES | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846820537 | N/A | N/A | 5540501 | 2222 | 4793 | 12830646 | N/A | 4212652 | 2025-09-23 05:38:25.970017 | 2025-06-20 17:50:17.155057 |
| 2025-09-22 20:23:41.129559 | 2025-09-23 05:26:45.075795 | 12604172 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 12604172 | Athletic Physical Therapy Inc | 1967-12-13 | 2025-09-24 | M | AE | PT | MIDDLETON | U3369221802 | BLAKE | 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/2222/5540185/check_12604172_4bb8ab15-91c5-4643-a397-52d02aa9d3c0.json | N/A | N/A | N/A | N/A | N/A | U3369221802 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1967-12-13 | N/A | 3346355 | N/A | HM | false | MIDDLETON | N/A | BLAKE | N/A | N/A | N/A | NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846820536 | N/A | N/A | 5540185 | 2222 | 4802 | 12825055 | N/A | 4212381 | 2025-09-23 05:26:45.075795 | 2025-12-17 20:12:42.035054 |
| 2025-09-22 20:23:40.628260 | 2025-09-23 05:20:42.945113 | 12604165 | N/A | N/A | 60054 | Aetna | 1114042165 | 12604165 | Athletic Physical Therapy Inc | 1948-11-01 | 2025-09-23 | F | AE | PT | TUCKER | 101632234800 | EILEEN | 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/2222/5540116/check_12604165_ae551f29-eb8c-465f-90ca-2ca36fdb6280.json | N/A | N/A | N/A | N/A | N/A | 101632234800 | Preferred Provider Organization (PPO) | STATE OF ILLINOIS RETIREES - MAPD | AETNA | MEDICARE | 1948-11-01 | 100512-01EG0001 | 100512-01 | N/A | PR | false | TUCKER | N/A | EILEEN | N/A | N/A | N/A | MEDICARE (C05) ESA PPO PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846820535 | N/A | N/A | 5540116 | 2222 | 4801 | 12821214 | N/A | 4212312 | 2025-09-23 05:20:42.945113 | 2025-05-13 04:29:37.226651 |
| 2025-09-22 20:23:40.111973 | 2025-09-23 05:30:30.821700 | 12604157 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12604157 | Athletic Physical Therapy Inc | 1973-07-11 | 2025-09-23 | M | AE | PT | HERMAN | 95836743G | BRETT | 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/2222/5540113/check_12604157_701a1e0a-bf37-4e21-929c-72c74ee73dbf.json | N/A | N/A | N/A | N/A | N/A | 95836743G | N/A | N/A | HEALTH NET, LLC | N/A | 1973-07-11 | N/A | N/A | N/A | N/A | false | HERMAN | N/A | BRETT | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846820534 | N/A | N/A | 5540113 | 2222 | 4801 | 12827200 | N/A | 4212315 | 2025-09-23 05:30:30.821700 | 2025-12-29 21:20:15.158611 |
| 2025-09-22 20:23:39.616881 | 2025-09-23 06:06:15.533630 | 12604152 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12604152 | Athletic Physical Therapy Inc | 1952-03-05 | 2025-09-24 | F | AE | PT | MOHABBAT | 3TW4GD3RD78 | SHARIFA | 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/2222/5539942/check_12604152_b21538ad-511a-49c7-bb2b-4a74b456551c.json | N/A | N/A | N/A | N/A | N/A | 3TW4GD3RD78 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-03-05 | S4802 | N/A | N/A | MB | false | MOHABBAT | N/A | SHARIFA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846820533 | N/A | N/A | 5539942 | 2222 | 4801 | 12840942 | N/A | 4212140 | 2025-09-23 06:06:15.533630 | 2025-09-23 20:47:09.024376 |
| 2025-09-22 20:23:39.008416 | 2025-09-23 05:44:46.011806 | 12604148 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12604148 | Athletic Physical Therapy Inc | 1983-08-31 | 2025-09-24 | M | PT | N/A | FLEMING | SZF839281184 | CHASE | 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/2222/5539901/check_12604148_329cccd3-3f91-46b5-85fb-9387acadef3a.json | N/A | N/A | N/A | N/A | N/A | SZF839281184 | Preferred Provider Organization (PPO) | ACTIVE | CUSTOMER SERVICE | N/A | 1983-08-31 | N/A | 018137 | N/A | PR | false | FLEMING | N/A | CHASE | N/A | 9999-12-31 | 2021-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846820532 | N/A | N/A | 5539901 | 2222 | 4793 | 12833676 | N/A | 4212134 | 2025-09-23 05:44:46.011806 | 2025-08-05 02:56:55.384378 |
| 2025-09-22 20:23:38.283168 | 2025-09-23 05:30:58.879647 | 12604141 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 12604141 | Athletic Physical Therapy Inc | 1951-02-23 | 2025-09-23 | F | AE | PT | WENSEL | 40065419401 | 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/2222/5539718/check_12604141_a13090c0-2610-4eee-bc71-6d85bad35dde.json | N/A | N/A | N/A | N/A | N/A | 40065419401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1951-02-23 | 2025H5425001 | H5425M | N/A | N/A | false | WENSEL | N/A | KAREN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846820530 | N/A | N/A | 5539718 | 2222 | 4793 | 12827411 | N/A | 4211977 | 2025-09-23 05:30:58.879647 | 2025-05-13 04:29:37.226299 |
| 2025-09-22 20:23:37.636794 | 2025-09-23 05:38:41.524007 | 12604135 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12604135 | Athletic Physical Therapy Inc | 1963-05-25 | 2025-09-25 | F | PT | N/A | GINSBERG | JQU469A62630 | LISA | 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/2222/5539612/check_12604135_f3dbaa8a-27a9-4a85-8d41-44b1d722fae4.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1963-05-25 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 9999-12-31 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846820525 | N/A | N/A | 5539612 | 2222 | 4793 | 12830770 | N/A | 4211892 | 2025-09-23 05:38:41.524007 | 2025-11-02 22:03:21.557202 |
| 2025-09-22 20:23:37.114142 | 2025-09-23 05:30:42.034470 | 12604131 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 12604131 | Athletic Physical Therapy Inc | 1944-11-21 | 2025-09-24 | M | AE | PT | KEARNS | 31193293201 | TIM | 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/2222/5539406/check_12604131_8843a915-751e-4706-99c5-e58d67ab309d.json | N/A | N/A | N/A | N/A | N/A | 31193293201 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1944-11-21 | 2025H5425001 | H5425M | N/A | N/A | false | KEARNS | N/A | TIMOTHY | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846822131 | N/A | N/A | 5539406 | 2222 | 4793 | 12827307 | N/A | 4211716 | 2025-09-23 05:30:42.034470 | 2025-12-05 19:31:54.715013 |
| 2025-09-22 20:23:36.561806 | 2025-09-23 05:18:53.346518 | 12604124 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 12604124 | Athletic Physical Therapy Inc | 1953-08-21 | 2025-09-23 | M | AE | PT | CUMMINGS | 29086032 | OVERSTONE | 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/2222/5539195/check_12604124_c18703ca-1089-4f32-8ca7-a1932960e24d.json | N/A | N/A | N/A | N/A | N/A | 29086032 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1953-08-21 | 406-024-000 | N/A | N/A | N/A | false | CUMMINGS JR | N/A | OVERSTONE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846822130 | N/A | N/A | 5539195 | 2222 | 4801 | 12820074 | 6798 | 4211528 | 2025-09-23 05:18:53.346518 | 2025-05-29 22:30:24.728697 |
| 2025-09-22 20:23:36.050996 | 2025-09-23 05:38:44.234734 | 12604118 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12604118 | Athletic Physical Therapy Inc | 1980-04-11 | 2025-09-24 | M | PT | N/A | Hurst | JQY695A75359 | Gregory | 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/2222/5539085/check_12604118_bf6a5301-2a05-4f26-8ac2-52fb5241ed02.json | N/A | N/A | N/A | N/A | N/A | JQY695A75359 | Preferred Provider Organization (PPO) | YALE MANAGEMENT SERVICES | ANTHEM BLUE CROSS | N/A | 1980-04-11 | 040 | 342584 | N/A | PR | false | HURST | N/A | GREGORY | N/A | 9999-12-31 | 2024-12-01 | ANTHEM SILVER SELECT PPO 50/2200/40% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846822129 | N/A | N/A | 5539085 | 2222 | 4793 | 12830795 | N/A | 4211408 | 2025-09-23 05:38:44.234734 | 2025-09-18 00:42:48.586801 |
| 2025-09-22 20:23:35.502836 | 2025-09-23 05:44:50.174300 | 12604109 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12604109 | Athletic Physical Therapy Inc | 1961-12-01 | 2025-09-25 | M | PT | N/A | TOOCH | JPU633M84536 | PETER | 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/2222/5538874/check_12604109_9e9ba2ff-7909-475b-8aff-6f87cc2408b8.json | N/A | N/A | N/A | N/A | N/A | JPU633M84536 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | BLUE SHIELD OF CALIFORNIA | N/A | 1961-12-01 | 040 | L12045M001 | N/A | PR | false | TOOCH | N/A | KATHLEEN | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846822128 | N/A | N/A | 5538874 | 2222 | 4801 | 12833701 | N/A | 4211227 | 2025-09-23 05:44:50.174300 | 2025-05-13 04:29:37.225625 |
| 2025-09-22 20:23:35.044801 | 2025-09-23 06:06:26.125516 | 12604106 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12604106 | Athletic Physical Therapy Inc | 1957-07-21 | 2025-09-23 | M | AE | PT | ROOFEH | 8QJ0UJ1EM45 | NADDER | 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/2222/5538287/check_12604106_92c35103-c1a9-4dd7-a2d5-4b61b63ec8a0.json | N/A | N/A | N/A | N/A | N/A | 8QJ0UJ1EM45 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-07-21 | S5617 | N/A | N/A | MA | 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 | 8846822127 | N/A | N/A | 5538287 | 2222 | 4802 | 12840951 | N/A | 4210725 | 2025-09-23 06:06:26.125516 | 2025-06-16 16:15:05.679018 |
| 2025-09-22 20:23:34.354949 | 2025-09-23 05:39:22.555772 | 12604099 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12604099 | Athletic Physical Therapy Inc | 1964-06-08 | 2025-09-23 | F | PT | N/A | YOUHANAIE | UQK557A62707 | TERESA | 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/2222/5537881/check_12604099_83bcee3d-395a-4827-a3eb-7fd3c652a4c4.json | N/A | N/A | N/A | N/A | N/A | UQK557A62707 | Preferred Provider Organization (PPO) | CDHP HSA W/NON INTG BANKING-SILVER HDHP | ANTHEM BLUE CROSS | N/A | 1964-06-08 | 130 | 270213OHXB | N/A | PR | false | YOUHANAIE | N/A | TERESA | N/A | 9999-12-31 | 2024-08-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846822126 | N/A | N/A | 5537881 | 2222 | 4793 | 12831091 | N/A | 4210385 | 2025-09-23 05:39:22.555772 | 2026-03-06 18:49:17.116017 |
| 2025-09-22 20:23:33.305368 | 2025-09-23 06:06:06.231128 | 12604089 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12604089 | Athletic Physical Therapy Inc | 1952-03-25 | 2025-09-23 | F | AE | PT | DRIMMER | 8E03WF9AM78 | NADIA | 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/2222/5537826/check_12604089_000f1a50-89b9-488a-b400-a0fcff42cde4.json | N/A | N/A | N/A | N/A | N/A | 8E03WF9AM78 | Medicare Part B | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-03-25 | S5921 | N/A | N/A | MB | false | DRIMMER | N/A | NADIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846822125 | N/A | N/A | 5537826 | 2222 | 4802 | 12840894 | N/A | 4210338 | 2025-09-23 06:06:06.231128 | 2025-05-13 04:29:37.224744 |
| 2025-09-22 20:23:32.430330 | 2025-09-23 05:43:31.225592 | 12604084 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12604084 | Athletic Physical Therapy Inc | 1980-08-15 | 2025-09-23 | F | PT | N/A | SNELL | XED912271222 | NICOLE | 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/2222/5537740/check_12604084_f339f2ed-62e5-4a50-8157-228aa9c83633.json | N/A | N/A | N/A | N/A | N/A | XED912271222 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-08-15 | 2001ZK002185 | X0001004 | N/A | PR | false | SNELL | N/A | NICOLE | N/A | 9999-12-31 | 2025-01-01 | SILVER 87 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846822124 | N/A | N/A | 5537740 | 2222 | 4802 | 12833146 | N/A | 4210260 | 2025-09-23 05:43:31.225592 | 2025-05-13 04:29:37.224672 |
| 2025-09-22 20:23:18.246794 | 2025-09-23 05:43:32.990016 | 12604022 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12604022 | Athletic Physical Therapy Inc | 1966-08-26 | 2025-09-24 | F | PT | N/A | SOHRAB | XED914080628 | VIDA | 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/2222/5537456/check_12604022_a05808ba-cc26-4777-b56c-cc1d3f204d41.json | N/A | N/A | N/A | N/A | N/A | XED914080628 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1966-08-26 | 2001ZK002184 | X0001004 | N/A | PR | false | SOHRAB | N/A | VIDA | 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 | 8846822122 | N/A | N/A | 5537456 | 2222 | 4793 | 12833167 | N/A | 4210007 | 2025-09-23 05:43:32.990016 | 2025-05-13 04:29:37.224426 |
| 2025-09-22 20:23:17.404801 | 2025-09-23 05:30:55.219287 | 12604016 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 12604016 | Athletic Physical Therapy Inc | 1957-02-16 | 2025-09-23 | F | AE | PT | OSE | 40050866601 | 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/2222/5537366/check_12604016_d56b25dd-8b6d-472f-9f44-254138553e69.json | N/A | N/A | N/A | N/A | N/A | 40050866601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1957-02-16 | 2025H5425001 | H5425M | N/A | N/A | false | OSE | N/A | KAREN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846822120 | N/A | N/A | 5537366 | 2222 | 4793 | 12827381 | N/A | 4209945 | 2025-09-23 05:30:55.219287 | 2025-08-13 22:24:17.841096 |
| 2025-09-22 20:23:16.829557 | 2025-09-23 05:39:00.447922 | 12604014 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12604014 | Athletic Physical Therapy Inc | 1964-10-19 | 2025-09-23 | M | PT | N/A | NIELSEN | XDP057A76330 | ROY | 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/2222/5537188/check_12604014_bfdd31c9-a6e5-46ec-98a0-fd9ba44103e2.json | N/A | N/A | N/A | N/A | N/A | XDP057A76330 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | ANTHEM BLUE CROSS | N/A | 1964-10-19 | 040 | 280629MN16 | N/A | PR | false | NIELSEN | N/A | ROY | N/A | 9999-12-31 | 2025-06-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846822118 | N/A | N/A | 5537188 | 2222 | 4802 | 12830921 | N/A | 4209789 | 2025-09-23 05:39:00.447922 | 2025-05-13 04:29:37.224215 |
| 2025-09-22 20:23:16.138209 | 2025-09-23 05:38:49.259747 | 12604008 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12604008 | Athletic Physical Therapy Inc | 1969-03-28 | 2025-09-24 | M | PT | N/A | KOSTER | DGA11321380J | 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/2222/5536722/check_12604008_b81a71c4-4593-4eb8-a31a-6bb78e316f35.json | N/A | N/A | N/A | N/A | N/A | DGA11321380J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1969-03-28 | 040 | 276945M001 | N/A | PR | false | KOSTER | N/A | KEVIN | N/A | 9999-12-31 | 2025-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846822114 | N/A | N/A | 5536722 | 2222 | 4802 | 12830839 | N/A | 4209420 | 2025-09-23 05:38:49.259747 | 2025-05-13 04:29:37.223843 |
| 2025-09-22 20:23:15.493500 | 2025-09-23 06:06:27.492224 | 12604002 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12604002 | Athletic Physical Therapy Inc | 1946-08-26 | 2025-09-25 | M | AE | PT | ROTHMAN | 6H65JC7UD67 | MIKE | 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/2222/5536194/check_12604002_482ce4a7-6bfe-42bc-b2ac-96c91d923d90.json | N/A | N/A | N/A | N/A | N/A | 6H65JC7UD67 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-08-26 | S4802 | N/A | N/A | MA | false | ROTHMAN | N/A | MIKE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846822112 | N/A | N/A | 5536194 | 2222 | 4801 | 12841000 | N/A | 4208978 | 2025-09-23 06:06:27.492224 | 2025-05-13 04:29:37.223404 |
| 2025-09-22 20:23:14.453673 | 2025-09-23 05:37:06.703760 | 12603996 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 12603996 | Athletic Physical Therapy Inc | 1952-10-14 | 2025-09-24 | M | AE | PT | CHISARI | 00000386684 | THOMAS | 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/2222/5536007/check_12603996_dd42a7b8-eb89-413f-962e-0065a6c47120.json | N/A | N/A | N/A | N/A | N/A | 00000386684 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1952-10-14 | H3815028 | N/A | N/A | HM | false | CHISARI | N/A | THOMAS | 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 | 8846822110 | N/A | N/A | 5536007 | 2222 | 4793 | 12830049 | N/A | 4208829 | 2025-09-23 05:37:06.703760 | 2025-06-03 01:05:45.663969 |
| 2025-09-22 20:23:13.568465 | 2025-09-23 06:06:28.813355 | 12603990 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12603990 | Athletic Physical Therapy Inc | 1939-06-24 | 2025-09-24 | M | AE | PT | ULLMAN | 3A76X26KQ40 | DAVID | 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/2222/5535838/check_12603990_08b6afa8-d0a6-416b-92e6-fff933231394.json | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | 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 | 8846822109 | N/A | N/A | 5535838 | 2222 | 4801 | 12841006 | N/A | 4208696 | 2025-09-23 06:06:28.813355 | 2025-06-07 16:16:45.844566 |
| 2025-09-22 20:23:12.788342 | 2025-09-23 06:06:14.013723 | 12603981 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12603981 | Athletic Physical Therapy Inc | 1950-07-23 | 2025-09-24 | M | AE | PT | MELVILLE | 5K84YN1FD09 | LANNING | 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/2222/5535728/check_12603981_9fa4737f-adf9-4474-998b-f24ad95219bc.json | N/A | N/A | N/A | N/A | N/A | 5K84YN1FD09 | Medicare Part A | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-07-23 | S5884 | N/A | N/A | MA | 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 | 8846822108 | N/A | N/A | 5535728 | 2222 | 4802 | 12840933 | N/A | 4208598 | 2025-09-23 06:06:14.013723 | 2025-09-11 00:56:25.554348 |
| 2025-09-22 20:23:12.035574 | 2025-09-23 05:30:56.482243 | 12603974 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 12603974 | Athletic Physical Therapy Inc | 1952-12-16 | 2025-09-24 | F | AE | PT | PORTER | 400282215401 | SHERIL | 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/2222/5535434/check_12603974_c8e70520-1375-430e-8d3b-e22530fc5539.json | N/A | N/A | N/A | N/A | N/A | 40028215401 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-12-16 | 2025H5425001 | H5425M | N/A | N/A | false | PORTER | N/A | SHERIL | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846822107 | N/A | N/A | 5535434 | 2222 | 4793 | 12827391 | N/A | 4208356 | 2025-09-23 05:30:56.482243 | 2025-08-25 14:49:27.724897 |
| 2025-09-22 20:22:54.620194 | 2025-09-23 05:20:56.195339 | 12603807 | N/A | N/A | 60054 | Aetna | 1114042165 | 12603807 | Athletic Physical Therapy Inc | 1992-08-27 | 2025-09-23 | F | AE | PT | FINLEY | W28806254401 | MICHAELA | 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/2222/9081026/check_12603807_d6656e53-2770-4968-b958-47c0b2b00192.json | N/A | N/A | N/A | N/A | N/A | W288062544 | Health Maintenance Organization (HMO) | BARRETT BUSINESS SERVICES, INC. | AETNA | N/A | 1992-08-27 | EAC4D303 | 019472903500025 | N/A | HM | false | FINLEY | N/A | MICHAELA | N/A | N/A | N/A | AETNA VALUE NETWORK HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846825004 | N/A | N/A | 9081026 | 2222 | 4801 | 12821366 | N/A | 7597485 | 2025-09-23 05:20:56.195339 | 2025-09-04 15:52:15.446146 |
| 2025-09-22 20:21:57.024182 | 2025-09-22 20:22:03.989149 | 12603324 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1987-07-29 | 2025-09-24 | M | AE | PT | Cappello | 45750956400 | Benjamin | https://storage.googleapis.com/normandy-eligibility-checks/2222/6938506/check_12603324_16f9e762-712b-4281-afa7-fd1178f3535c.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6938506/check_12603324_d92ee150-5b52-4a6e-9ec7-6e71e1802e7f.json | N/A | N/A | N/A | N/A | N/A | 45750956400 | N/A | N/A | UnitedHealthcare Benefits Plan of California | N/A | 1987-07-29 | N/A | 1664558 | N/A | N/A | false | Cappello | N/A | Benjamin | 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 | 6938506 | 2222 | N/A | 12803867 | N/A | 5969183 | 2025-09-22 20:22:03.989149 | 2025-07-09 21:28:58.856145 |
| 2025-09-22 20:20:08.550332 | 2025-09-23 05:33:25.731251 | 12602472 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12602472 | Athletic Physical Therapy Inc | 2003-11-16 | 2025-09-25 | F | PT | N/A | HAYASHI | R000032097727 | LAUREN | 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/2222/9066824/check_12602472_50780199-5971-4e3a-81b6-aedb83cbb54a.json | N/A | N/A | N/A | N/A | N/A | R00003209 | N/A | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 2003-11-16 | N/A | N/A | N/A | N/A | false | HAYASHI | N/A | LAUREN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846826051 | N/A | N/A | 9066824 | 2222 | 4802 | 12828542 | N/A | 7582776 | 2025-09-23 05:33:25.731251 | 2025-09-24 22:06:50.112056 |
| 2025-09-22 20:19:33.250427 | 2025-09-23 05:50:52.744669 | 12602255 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 12602255 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-09-24 | F | AE | PT | SHAKIB | 95751543E35181 | PARI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231306335.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7561654/check_12602255_9c19b4ba-fb3b-44f6-bdf3-bfb4cf8dbaa9.json | N/A | N/A | N/A | N/A | N/A | 95751543E35181 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1952-05-04 | N/A | N/A | N/A | N/A | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846725970 | N/A | N/A | 7561654 | 2222 | 4802 | 12836060 | N/A | 6395498 | 2025-09-23 05:50:52.744669 | 2026-02-18 02:38:35.073779 |
| 2025-09-22 20:19:03.190255 | 2025-09-23 06:05:23.723120 | 12602047 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12602047 | Athletic Physical Therapy Inc | 1959-05-08 | 2025-09-23 | M | AE | PT | KORY | MISSINGPOLICYNUMBER | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231306335.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858721/check_12602047_21d09b90-da53-45d0-b506-e9e8c40b7acc.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1959-05-08 | N/A | N/A | N/A | N/A | false | KORY | 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 | 8846726155 | N/A | N/A | 5858721 | 2222 | 4793 | 12840680 | N/A | 4214732 | 2025-09-23 06:05:23.723120 | 2025-06-24 20:13:53.579048 |
| 2025-09-22 20:18:27.986698 | 2025-09-22 20:18:32.485974 | 12601768 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-06-01 | 2025-09-24 | F | AE | PT | MOWERY | 98837270900 | LYNN | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611792/check_12601768_95810833-d228-414a-9a3f-9a674b78ca7d.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611792/check_12601768_82b12c6c-5341-4ce8-80a8-00425e63acec.json | N/A | N/A | N/A | N/A | N/A | 988372709 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1948-06-01 | N/A | 15743 | N/A | N/A | false | MOWERY | N/A | LYNN | 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 | 6611792 | 2222 | N/A | 12803299 | N/A | 5230196 | 2025-09-22 20:18:32.485974 | 2025-07-08 23:21:57.866357 |
| 2025-09-22 20:18:23.133039 | 2025-09-23 05:24:34.834226 | 12601735 | N/A | N/A | 61101 | Regal Medical Group | 1114042165 | 12601735 | Athletic Physical Therapy Inc | 1952-07-05 | 2025-09-23 | F | AE | PT | HUYNH | 9100461101 | KIM | 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/2222/9063890/check_12601735_c570fd4b-383b-4199-9a19-a07cdbe01e19.json | N/A | N/A | N/A | N/A | N/A | 9100461101 | N/A | N/A | HUMANA | N/A | N/A | N/A | N/A | N/A | N/A | false | HUYNH | N/A | KIM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846823984 | N/A | N/A | 9063890 | 2222 | 4793 | 12823642 | N/A | 7579259 | 2025-09-23 05:24:34.834226 | 2025-09-04 15:42:09.086707 |
| 2025-09-22 20:18:08.151665 | 2025-09-23 05:30:53.931249 | 12601625 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12601625 | Athletic Physical Therapy Inc | 1996-07-09 | 2025-09-23 | F | AE | PT | GARDNER | 94664711H | ANGEL | 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/2222/9063523/check_12601625_bc404d4e-bee2-4721-8e2f-28569737124c.json | N/A | N/A | N/A | N/A | N/A | 94664711H | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1996-07-09 | MCLA | MWLLNMEG21 | N/A | N/A | false | GARDNER | N/A | ANGEL | N/A | 2078-12-31 | 2025-07-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846824529 | N/A | N/A | 9063523 | 2222 | 4802 | 12827369 | N/A | 7578504 | 2025-09-23 05:30:53.931249 | 2025-09-16 23:15:33.721148 |
| 2025-09-22 20:18:03.903045 | 2025-09-23 05:20:57.861286 | 12601592 | N/A | N/A | 60054 | Aetna | 1114042165 | 12601592 | Athletic Physical Therapy Inc | 1993-09-13 | 2025-09-24 | F | AE | PT | FUREY | M27353582401 | VIRGINIA | 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/2222/9063334/check_12601592_e3ee88d5-2ce0-47ce-b5ee-27c8bea2b7f7.json | N/A | N/A | N/A | N/A | N/A | W273535824 | Health Maintenance Organization (HMO) | NEIGHBORHOOD UNITARIAN UNIVERSALIST | AETNA | N/A | 1993-09-13 | EADLCK01 | 018448303500003 | N/A | HM | false | FUREY | N/A | VIRGINIA | N/A | N/A | N/A | AWH SOUTHERN CA HMO SILVER | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846824525 | N/A | N/A | 9063334 | 2222 | 4801 | 12821386 | N/A | 7578220 | 2025-09-23 05:20:57.861286 | 2025-09-07 21:16:52.874287 |
| 2025-09-22 20:18:03.052443 | 2025-09-23 05:31:17.857682 | 12601584 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12601584 | Athletic Physical Therapy Inc | 1942-11-10 | 2025-09-25 | F | PT | N/A | SILBERSTEIN | XDL721A53829 | ANITA | 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/2222/9063299/check_12601584_1bedffad-4bd6-4ea3-8b00-227f4e042954.json | N/A | N/A | N/A | N/A | N/A | XDL721A53829 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1942-11-10 | 040 | H06200 | N/A | PR | false | SILBERSTEIN | N/A | ANITA | N/A | 9999-12-31 | 2018-03-01 | PPO SHARE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846824524 | N/A | N/A | 9063299 | 2222 | 4802 | 12827562 | N/A | 7578102 | 2025-09-23 05:31:17.857682 | 2025-09-09 18:13:04.525434 |
| 2025-09-22 20:16:53.935351 | 2025-09-23 05:31:22.234994 | 12601165 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12601165 | Athletic Physical Therapy Inc | 1935-11-26 | 2025-09-23 | F | AE | PT | MCCANN | JQE588W18533 | JOSEPHINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.230420127.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7760464/check_12601165_74dd7a53-4aaa-4d65-89ae-c8101f6950b6.json | N/A | N/A | N/A | N/A | N/A | JQE588W18533 | N/A | CA MED-SUPP | BLUE SHIELD OF CALIFORNIA | N/A | 1935-11-26 | 040 | CASUPWP0 | N/A | N/A | false | MCCANN | N/A | JOSEPHINE | N/A | 9999-12-31 | 2024-02-01 | CA MODERNIZED PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846709110 | N/A | N/A | 7760464 | 2222 | 4801 | 12827583 | N/A | 6609924 | 2025-09-23 05:31:22.234994 | 2025-08-12 22:04:05.464362 |
| 2025-09-22 20:15:16.901505 | 2025-09-23 05:15:47.016002 | 12600290 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12600290 | Athletic Physical Therapy Inc | 1950-06-09 | 2025-09-24 | F | PT | N/A | SANDOVAL | 846M9155920 | MARIA | 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/2222/9059249/check_12600290_98e44b7b-a263-44af-b7a0-69c18c0dcaf2.json | N/A | N/A | N/A | N/A | N/A | 846M9155920 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1950-06-09 | N/A | N/A | N/A | N/A | false | SANDOVAL | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846824731 | N/A | N/A | 9059249 | 2222 | 4801 | 12818332 | N/A | 7574556 | 2025-09-23 05:15:47.016002 | 2025-09-03 18:09:29.032159 |
| 2025-09-22 20:14:18.193850 | 2025-09-23 05:35:15.715795 | 12599386 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12599386 | Athletic Physical Therapy Inc | 1998-10-29 | 2025-09-23 | M | PT | N/A | MARSHALL | JQU309W24257 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.230421930.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458512/check_12599386_5fbf852a-a1a9-4777-ba4f-c33be29d5b00.json | N/A | N/A | N/A | N/A | N/A | JQU309W24257 | Preferred Provider Organization (PPO) | SUNSTONE PROPERTIES LLC | ANTHEM BLUE CROSS | N/A | 1998-10-29 | 040 | A35988 | N/A | PR | false | MARSHALL | N/A | THOMAS | N/A | 9999-12-31 | 2025-07-01 | ANTHEM PLATINUM PPO 15/40/10% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846699181 | N/A | N/A | 7458512 | 2222 | 4793 | 12829315 | N/A | 6021448 | 2025-09-23 05:35:15.715795 | 2025-07-14 23:05:51.728886 |
| 2025-09-22 20:14:17.748561 | 2025-09-23 05:32:54.665744 | 12599379 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 12599379 | Athletic Physical Therapy Inc | 1970-11-24 | 2025-09-24 | M | AE | PT | CALL | 000022665066 | BRENT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.230421930.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7458401/check_12599379_834bceec-580a-4c62-94cf-e2f4b76f2666.json | N/A | N/A | N/A | N/A | N/A | 000022665066 | N/A | N/A | SELF-FUNDED/KPIC | ASO - SELF FUNDED | 1970-11-24 | 4369231 | 230283 | N/A | N/A | false | CALL | N/A | BRENT | N/A | N/A | N/A | KAISER PERMANENTE SELF-FUNDED NBU NBU PO MID ACTIV | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846699179 | N/A | N/A | 7458401 | 2222 | 4801 | 12828292 | N/A | 6407346 | 2025-09-23 05:32:54.665744 | 2025-07-25 20:38:21.233558 |
| 2025-09-22 20:14:10.448801 | 2025-09-23 05:35:08.946677 | 12599263 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12599263 | Athletic Physical Therapy Inc | 1965-07-08 | 2025-09-23 | F | PT | N/A | CHALFIN | WAR121A52220 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.230421930.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7456267/check_12599263_46aead4a-21c4-4172-b45c-e12404c04462.json | N/A | N/A | N/A | N/A | N/A | WAR121A52220 | Exclusive Provider Organization | WARNER PACIFIC INSURANCE SERVICES | ANTHEM BLUE CROSS | N/A | 1965-07-08 | 040 | 282843M017 | N/A | EP | false | CHALFIN | N/A | LISA | N/A | 9999-12-31 | 2025-03-01 | PRUDENT BUYER EXCLUSIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846699156 | N/A | N/A | 7456267 | 2222 | 4793 | 12829286 | N/A | 6405582 | 2025-09-23 05:35:08.946677 | 2025-08-04 21:58:38.426681 |
| 2025-09-22 20:13:57.262270 | 2025-09-22 20:14:02.452767 | 12599056 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-07-15 | 2025-09-24 | F | AE | PT | SKLAR | 997341869 | ANDREA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124041/check_12599056_c6fafe96-166e-4354-bf4b-247a268e9523.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124041/check_12599056_a50af754-89ab-4f7c-8644-cd9ee33d5cbf.json | N/A | N/A | N/A | N/A | N/A | 997341869 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1975-07-15 | N/A | 183644 | N/A | N/A | false | SKLAR | N/A | ANDREA | 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 | 6124041 | 2222 | N/A | 12802649 | N/A | 4766742 | 2025-09-22 20:14:02.452767 | 2025-06-04 15:23:35.717260 |
| 2025-09-22 20:13:44.762777 | 2025-09-23 05:59:36.858537 | 12598808 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12598808 | Athletic Physical Therapy Inc | 1955-05-21 | 2025-09-25 | F | PT | N/A | MARTINEZ | HFD100011199462 | RACHEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231718957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8026951/check_12598808_c8fa1fc1-fb60-49f0-81bb-33db6eae1bf6.json | N/A | N/A | N/A | N/A | N/A | HFD100011199462 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS. DOUBLEQUOTECHAR | 1955-05-21 | N/A | N/A | N/A | PR | false | MARTINEZ | N/A | RACHEL | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846776658 | N/A | N/A | 8026951 | 2222 | 4801 | 12839048 | N/A | 6828511 | 2025-09-23 05:59:36.858537 | 2025-08-14 00:23:35.929152 |
| 2025-09-22 20:13:42.149735 | 2025-09-23 05:30:08.871540 | 12598746 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12598746 | Athletic Physical Therapy Inc | 1987-06-17 | 2025-09-25 | M | AE | PT | FAVELA | 620360888 | MAXIMILIAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.230626454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8960010/check_12598746_d3cc1535-8d75-4c17-b0a6-09d23a471799.json | N/A | N/A | N/A | N/A | N/A | 620360888 | N/A | L.A. CARE COVERED GOLD 80 HMO | LA CARE HEALTH PLAN | HEALTH BENEFIT PLAN COVERAGE | 1987-06-17 | LACC | 92815CA001000701 | N/A | N/A | false | FAVELA | N/A | MAXIMILIAN | N/A | 2025-12-31 | 2025-02-01 | L.A. CARE COVERED | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846685525 | N/A | N/A | 8960010 | 2222 | 4802 | 12826958 | N/A | 7476978 | 2025-09-23 05:30:08.871540 | 2026-01-07 18:27:22.752552 |
| 2025-09-22 20:13:39.122966 | 2025-09-23 05:20:18.468902 | 12598680 | N/A | N/A | 60054 | Aetna | 1114042165 | 12598680 | Athletic Physical Therapy Inc | 1974-05-07 | 2025-09-23 | M | AE | PT | VIDAL | W28518662101 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.230626454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8959871/check_12598680_b6abae7c-fdc6-4749-b6d5-acd082b7717f.json | N/A | N/A | N/A | N/A | N/A | W285186621 | Point of Service (POS) | PRYOR CASHMAN LLP | AETNA | N/A | 1974-05-07 | 0237510 | 023751001000003 | N/A | PS | false | VIDAL | N/A | THOMAS | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846686969 | N/A | N/A | 8959871 | 2222 | 4802 | 12820943 | N/A | 4210349 | 2025-09-23 05:20:18.468902 | 2025-05-13 04:29:37.224755 |
| 2025-09-22 20:13:35.739093 | 2025-09-23 05:21:51.105974 | 12598587 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 12598587 | override_provider | 1960-06-14 | 2025-09-25 | F | PT | N/A | VERWEY | R61817302 | CAREN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231718957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8025542/check_12598587_41ac1b12-4964-4f24-bc9b-7ddf34fd188a.json | N/A | N/A | N/A | N/A | N/A | R61817302 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1960-06-14 | N/A | 35C | N/A | PR | false | VERWEY | N/A | CAREN | N/A | 9999-12-31 | 2025-01-01 | FEP BLUE FOCUS | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846776623 | N/A | N/A | 8025542 | 2222 | 4801 | 12821891 | N/A | 6826965 | 2025-09-23 05:21:51.105974 | 2025-08-13 02:28:19.717631 |
| 2025-09-22 20:13:30.463647 | 2025-09-23 05:14:27.785694 | 12598435 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 12598435 | Athletic Physical Therapy Inc | 1953-07-31 | 2025-09-25 | F | AE | PT | Dickenson | 91000390H | Linda | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.230421930.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449889/check_12598435_8eb1d7f9-3f89-440c-90cd-e34f788fc902.json | N/A | N/A | N/A | N/A | N/A | 91000390H | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 03/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1953-07-31 | TFU223BP0000009 | QMXEM01909 | N/A | N/A | false | DICKENSON | N/A | LINDA | N/A | 2078-12-31 | 2024-01-01 | AGED DISABLED - SPD - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846698282 | N/A | N/A | 7449889 | 2222 | 4802 | 12817665 | N/A | 6399696 | 2025-09-23 05:14:27.785694 | 2025-07-24 23:24:56.744520 |
| 2025-09-22 20:13:29.878487 | 2025-09-23 05:39:26.937921 | 12598422 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12598422 | Athletic Physical Therapy Inc | 1996-08-01 | 2025-09-24 | M | PT | N/A | Prichard | XED910420685 | Riley | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.230421930.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449872/check_12598422_a78b008f-6c13-4f7f-8852-a3be287fd9bb.json | N/A | N/A | N/A | N/A | N/A | XED910420685 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1996-08-01 | 2001ZK002184 | X0001004 | N/A | PR | false | PRICHARD | N/A | RILEY | N/A | 9999-12-31 | 2021-03-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846698281 | N/A | N/A | 7449872 | 2222 | 4802 | 12831151 | N/A | 6399679 | 2025-09-23 05:39:26.937921 | 2025-07-24 23:16:22.582609 |
| 2025-09-22 20:13:28.551574 | 2025-09-23 05:14:26.663606 | 12598394 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 12598394 | Athletic Physical Therapy Inc | 1962-09-23 | 2025-09-23 | M | AE | PT | Thur | 95641377F | Pyi | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.230421930.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7449843/check_12598394_0b4b3c6d-e248-41fa-81c1-45823232aefa.json | N/A | N/A | N/A | N/A | N/A | 95641377F | N/A | N/A | MOLINA OF CALIFORNIA | N/A | 1962-09-23 | N/A | N/A | N/A | N/A | false | THUR | N/A | PYI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846698277 | N/A | N/A | 7449843 | 2222 | 4802 | 12817656 | N/A | 6399635 | 2025-09-23 05:14:26.663606 | 2025-07-29 18:42:47.970149 |
| 2025-09-22 20:13:21.816165 | 2025-09-23 06:07:02.460011 | 12598218 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12598218 | Athletic Physical Therapy Inc | 1951-10-16 | 2025-09-23 | F | AE | PT | GARRETT | 3EJ1R73ND18 | KATHLEEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231730877.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714932/check_12598218_9428cb75-d840-46c7-bf63-f8e3b866d5fb.json | N/A | N/A | N/A | N/A | N/A | 3EJ1R73ND18 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-10-16 | S5601 | N/A | N/A | MA | false | GARRETT | N/A | KATHLEEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846777788 | N/A | N/A | 6714932 | 2222 | 4793 | 12841205 | N/A | 5316176 | 2025-09-23 06:07:02.460011 | 2025-07-01 18:44:12.927482 |