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 | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-22 20:13:21.363554 | 2025-09-23 06:07:05.123027 | 12598204 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12598204 | Athletic Physical Therapy Inc | 1959-07-23 | 2025-09-23 | M | AE | PT | Harvey | 1D65V29PD77 | Roy | N/A | 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/2222/6714928/check_12598204_efaa35fa-ef04-4500-937d-f2d932e5d6ee.json | N/A | N/A | N/A | N/A | N/A | 1D65V29PD77 | Medicare Part B | N/A | CITY OF LOS ANGELES | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-23 | S5660 | DOL 07092019 | N/A | MB | false | HARVEY | N/A | ROY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846777774 | N/A | N/A | 6714928 | 2222 | 4802 | 12841219 | N/A | 5316172 | 2025-09-23 06:07:05.123027 | 2025-07-02 15:09:36.678003 |
| 2025-09-22 20:13:17.577647 | 2025-09-23 05:30:25.759219 | 12598086 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12598086 | Athletic Physical Therapy Inc | 1968-08-30 | 2025-09-23 | M | PT | N/A | Ashley | XDM123A50756 | Dennis | N/A | 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/2222/8958011/check_12598086_bfd13664-be04-4331-b81f-dea15ab71552.json | N/A | N/A | N/A | N/A | N/A | XDM123A50756 | Health Maintenance Organization (HMO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 1968-08-30 | 040 | 57ARJB | N/A | HM | false | THAMES | N/A | KRISTEN | N/A | 2025-10-01 | 2022-01-01 | PREMIER SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846687229 | N/A | N/A | 8958011 | 2222 | 4801 | 12827142 | N/A | 7475081 | 2025-09-23 05:30:25.759219 | 2025-09-11 04:52:37.545129 |
| 2025-09-22 20:13:12.918287 | 2025-09-22 20:13:29.820803 | 12597955 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-06-29 | 2025-09-23 | F | AE | PT | Pienkowski | 996659662 | Alexandra | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078295/check_12597955_1c562be9-5b24-4c25-8885-616831ea0c71.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078295/check_12597955_2a44038d-5fe1-48e2-9a36-5f9bf2536e08.json | N/A | N/A | N/A | N/A | N/A | 996659662 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1997-06-29 | N/A | 702551 | N/A | N/A | false | PIENKOWSKI | N/A | ALEXANDRA | 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 | 6078295 | 2222 | N/A | 12802568 | N/A | 4722548 | 2025-09-22 20:13:29.820803 | 2025-05-30 04:23:27.387333 |
| 2025-09-22 20:13:09.046967 | 2025-09-23 05:15:21.672440 | 12597871 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 12597871 | Athletic Physical Therapy Inc | 1955-02-20 | 2025-09-24 | F | AE | PT | SALGUERO | 35955370 | DINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231730877.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6711965/check_12597871_52a8a61b-64bc-480a-8537-5f8dc2e4ac99.json | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | 406-005-000 | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846779676 | N/A | N/A | 6711965 | 2222 | 4793 | 12818092 | 6798 | 4210430 | 2025-09-23 05:15:21.672440 | 2025-05-13 04:29:37.224841 |
| 2025-09-22 20:12:50.427542 | 2025-09-23 05:35:17.437222 | 12597405 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12597405 | Athletic Physical Therapy Inc | 1962-09-14 | 2025-09-24 | F | PT | N/A | MOORE | W2A952W18561 | YOLANDA | N/A | 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/2222/7447590/check_12597405_3d87490e-084d-4d18-b8bf-f9da53eb16d1.json | N/A | N/A | N/A | N/A | N/A | WZA952W18561 | Preferred Provider Organization (PPO) | WARNER BROS DISCOVERY INC | ANTHEM BLUE CROSS | N/A | 1962-09-14 | 130 | 270240M25A | N/A | PR | false | MOORE | N/A | YOLANDA | N/A | 9999-12-31 | 2024-01-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846699279 | N/A | N/A | 7447590 | 2222 | 4801 | 12829326 | N/A | 6397797 | 2025-09-23 05:35:17.437222 | 2025-08-12 19:16:58.418300 |
| 2025-09-22 20:12:32.554969 | 2025-09-23 06:08:03.576195 | 12596963 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12596963 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-09-24 | F | AE | PT | SHAKIB | 1MR6XC7NU77 | PARI | N/A | 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/2222/7444722/check_12596963_b920dc63-9e5e-4f3f-a4d2-86558f0881aa.json | N/A | N/A | N/A | N/A | N/A | 1MR6XC7NU77 | Medicare Part B | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-05-04 | H5521 | N/A | N/A | MB | 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 | 8846699692 | N/A | N/A | 7444722 | 2222 | 4802 | 12841470 | N/A | 6395498 | 2025-09-23 06:08:03.576195 | 2026-02-18 02:38:35.073779 |
| 2025-09-22 20:12:27.325482 | 2025-09-23 05:20:30.174963 | 12596842 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 12596842 | Athletic Physical Therapy Inc | 1946-05-08 | 2025-09-23 | F | AE | PT | JENSEN | H8814805300 | ANN | N/A | 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/2222/7444559/check_12596842_97691c85-c7e7-441d-8c72-e34f27799633.json | N/A | N/A | N/A | N/A | N/A | H88148053 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 659 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 | 1946-05-08 | N/A | 0B527001 | N/A | HN | false | JENSEN | N/A | ANN | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846699688 | N/A | N/A | 7444559 | 2222 | 4801 | 12821069 | N/A | 6395281 | 2025-09-23 05:20:30.174963 | 2025-07-24 18:22:24.913461 |
| 2025-09-22 20:12:25.625959 | 2025-09-23 05:47:33.692079 | 12596812 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12596812 | Athletic Physical Therapy Inc | 1971-05-04 | 2025-09-24 | F | PT | N/A | MAHAARACHCHI | EXHAN7912598 | MELONY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231718957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7988722/check_12596812_bc7098f6-bb82-4081-a01e-1be5a7583dfc.json | N/A | N/A | N/A | N/A | N/A | EXHAN7912598 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1971-05-04 | N/A | N/A | N/A | N/A | false | MAHAARACHCHI | N/A | MELONY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846776451 | N/A | N/A | 7988722 | 2222 | 4793 | 12834761 | N/A | 6798209 | 2025-09-23 05:47:33.692079 | 2025-10-29 15:15:17.952230 |
| 2025-09-22 20:12:23.575720 | 2025-09-23 05:35:10.418092 | 12596781 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12596781 | Athletic Physical Therapy Inc | 1977-07-01 | 2025-09-23 | M | PT | N/A | FENERTY | XDMOE0145837 | STEPHEN | N/A | 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/2222/7444452/check_12596781_2536b27d-8633-4f98-9606-a9a718b9b618.json | N/A | N/A | N/A | N/A | N/A | XDMOE0145837 | Health Maintenance Organization (HMO) | OPERATING ENGINEERS HEALTH&WELFARE FUND | ANTHEM BLUE CROSS | N/A | 1977-07-01 | 040 | 278671H001 | N/A | HM | false | FENERTY | N/A | STEPHEN | N/A | 9999-12-31 | 2015-04-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846699682 | N/A | N/A | 7444452 | 2222 | 4801 | 12829293 | N/A | 6395187 | 2025-09-23 05:35:10.418092 | 2025-07-25 17:43:45.394385 |
| 2025-09-22 20:12:22.394342 | 2025-09-23 05:23:32.045935 | 12596766 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 12596766 | Athletic Physical Therapy Inc | 1961-03-08 | 2025-09-25 | F | AE | PT | SAPHOS | U2326133302 | CHERYL | N/A | 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/2222/7444268/check_12596766_dcce305c-9a79-49cb-af26-633ff11189ea.json | N/A | N/A | N/A | N/A | N/A | U2326133302 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 1961-03-08 | N/A | 3207160 | N/A | N/A | false | SAPHOS | N/A | CHERYL | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846699680 | N/A | N/A | 7444268 | 2222 | 4793 | 12822911 | N/A | 6395002 | 2025-09-23 05:23:32.045935 | 2025-08-01 21:55:47.943743 |
| 2025-09-22 20:12:17.957124 | 2025-09-23 05:39:24.493028 | 12596703 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12596703 | Athletic Physical Therapy Inc | 1977-10-04 | 2025-09-25 | F | PT | N/A | MCMANUS | XEH909326305 | SUSAN | N/A | 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/2222/7444072/check_12596703_6ec1685b-cae5-4cc1-9e4d-778cc7ecc816.json | N/A | N/A | N/A | N/A | N/A | XEH909326305 | Health Maintenance Organization (HMO) | TRADER JOE S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1977-10-04 | 1000VX000001 | W0069783 | N/A | HM | false | KILANOWSKI | N/A | MATTHEW | N/A | 9999-12-31 | 2025-07-01 | TRADER JOE S COMPANY CUSTOM ACCESS HMO 25 500 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846699672 | N/A | N/A | 7444072 | 2222 | 4801 | 12831127 | N/A | 6394822 | 2025-09-23 05:39:24.493028 | 2025-07-24 18:01:25.336701 |
| 2025-09-22 20:12:16.504502 | 2025-09-23 05:32:42.117418 | 12596669 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12596669 | Athletic Physical Therapy Inc | 1983-07-06 | 2025-09-23 | M | PT | N/A | VALENCIA | NCF972A20708 | ERIC | N/A | 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/2222/8764059/check_12596669_f2e50f28-b6a0-401e-bde8-f7d82420fc29.json | N/A | N/A | N/A | N/A | N/A | NCF972A20708 | Health Maintenance Organization (HMO) | HARBOR FREIGHT TOOLS USA INC | BLUE SHIELD OF CALIFORNIA | N/A | 1983-07-06 | 040 | C20881H1A1 | N/A | HM | false | VALENCIA | N/A | ERIC | N/A | 9999-12-31 | 2024-10-16 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846686766 | N/A | N/A | 8764059 | 2222 | 4801 | 12828211 | N/A | 7374543 | 2025-09-23 05:32:42.117418 | 2025-09-11 17:23:18.917967 |
| 2025-09-22 20:11:57.225880 | 2025-09-22 20:12:02.073198 | 12596223 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2013-08-17 | 2025-09-25 | F | AE | PT | RUEMMELE | 17940949900 | MAKENA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874412/check_12596223_e3dd49ab-3b5e-48df-9566-4151aed9ce35.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874412/check_12596223_0f69bd39-b7ed-43bf-b556-ed1441f297ab.json | N/A | N/A | N/A | N/A | N/A | 17940949902 | N/A | N/A | UnitedHealthcare Insurance Company | N/A | 2013-08-17 | N/A | 1685837 | N/A | N/A | false | Ruemmele | N/A | Makena | 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 | 5874412 | 2222 | N/A | 12802359 | N/A | 4534546 | 2025-09-22 20:12:02.073198 | 2025-12-03 00:06:29.870228 |
| 2025-09-22 20:11:46.026175 | 2025-09-23 05:47:31.045758 | 12595999 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12595999 | Athletic Physical Therapy Inc | 1994-03-01 | 2025-09-23 | F | PT | N/A | GUTIERREZ | NCF513W15087 | ALBA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231718957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7972178/check_12595999_fc692134-c93f-440d-9928-841c09517930.json | N/A | N/A | N/A | N/A | N/A | NCF513W15087 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1994-03-01 | 040 | 57AJCA | N/A | HM | false | GUTIERREZ POLANC | N/A | ALBA | N/A | 9999-12-31 | 2023-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846776829 | N/A | N/A | 7972178 | 2222 | 4802 | 12834750 | N/A | 6787192 | 2025-09-23 05:47:31.045758 | 2026-03-20 03:02:52.647595 |
| 2025-09-22 20:11:35.586819 | 2025-09-23 05:19:46.518703 | 12595791 | N/A | N/A | 60054 | Aetna | 1114042165 | 12595791 | Athletic Physical Therapy Inc | 1945-01-03 | 2025-09-23 | M | AE | PT | KIRK | 1013638055000 | DANIEL | N/A | 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/2222/7556097/check_12595791_5257762b-9d57-4ec5-93f9-1d9c131c8ce5.json | N/A | N/A | N/A | N/A | N/A | 101363805500 | Preferred Provider Organization (PPO) | VERIZON - MA | AETNA | MEDICARE | 1945-01-03 | 100008-02EG0011 | 100008-02 | N/A | PR | false | KIRK | N/A | DANIEL | N/A | N/A | N/A | WEST ADV PLAN 125 PLAN | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846709340 | N/A | N/A | 7556097 | 2222 | 4801 | 12820613 | N/A | 6476881 | 2025-09-23 05:19:46.518703 | 2025-07-29 22:42:05.499172 |
| 2025-09-22 20:11:10.208782 | 2025-09-23 05:15:28.470173 | 12595252 | N/A | N/A | SB452 | Lakeside Medical Group | 1114042165 | 12595252 | Athletic Physical Therapy Inc | 1993-12-24 | 2025-09-25 | F | PT | N/A | Garcia | NCF409W01940 | Jessica | N/A | 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/2222/7965049/check_12595252_60dbb3f2-6271-4ce8-a5b9-4a1a5081cc11.json | N/A | N/A | N/A | N/A | N/A | NCF409W01940 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1993-12-24 | N/A | N/A | N/A | N/A | false | GARCIA | N/A | JESSICA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846779410 | N/A | N/A | 7965049 | 2222 | 4802 | 12818156 | N/A | 6604326 | 2025-09-23 05:15:28.470173 | 2025-08-06 18:06:11.137864 |
| 2025-09-22 20:11:02.204447 | 2025-09-23 05:30:22.730990 | 12595043 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12595043 | Athletic Physical Therapy Inc | 1966-11-25 | 2025-09-24 | M | AE | PT | Weiss | R13448501MS1 | Mark | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231716020.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7661660/check_12595043_90e70662-614e-49cc-a80b-3abcd253ce80.json | N/A | N/A | N/A | N/A | N/A | R13448501MS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1966-11-25 | N/A | N/A | N/A | N/A | false | WEISS | N/A | MARK | N/A | N/A | N/A | KW3 SBGHMOWC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846782894 | N/A | N/A | 7661660 | 2222 | 4802 | 12827109 | N/A | 6543985 | 2025-09-23 05:30:22.730990 | 2025-08-01 18:30:37.244428 |
| 2025-09-22 20:10:58.305980 | 2025-09-23 05:30:26.526936 | 12594928 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12594928 | Athletic Physical Therapy Inc | 1960-08-19 | 2025-09-23 | M | PT | N/A | WARREN | MBL523W24301 | WILLIAM | N/A | 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/2222/8681972/check_12594928_b9bf3455-7692-43aa-8d44-66b8f931f76b.json | N/A | N/A | N/A | N/A | N/A | MBL523W24301 | N/A | LOS ANGELES CITY EMPLOYEES' RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1960-08-19 | 040 | CA039GRS | N/A | N/A | false | WARREN | N/A | WILLIAM | N/A | 9999-12-31 | 2025-08-01 | CA GRS LACERS H4036-801 ANTHEM MEDICARE PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846685513 | N/A | N/A | 8681972 | 2222 | 4801 | 12827156 | N/A | 7315557 | 2025-09-23 05:30:26.526936 | 2025-09-08 19:23:27.353339 |
| 2025-09-22 20:10:48.537093 | 2025-09-22 20:10:54.841571 | 12594670 | N/A | N/A | 87726 | United Healthcare | 1114042165 | N/A | Athletic Physical Therapy Inc | 1976-03-26 | 2025-09-24 | M | AE | PT | ORLOV | G45110724 | BORIS | 6411 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543101/check_12594670_fe98233b-6762-49a2-9454-cd56c23c93c0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543101/check_12594670_56b4dc76-5cfa-4dfb-a9cd-baf049d8b5db.json | N/A | N/A | N/A | N/A | N/A | G45110724 | N/A | G.E.H.A MEDICAL FEHB/PSHB | UMR | N/A | 1976-03-26 | 767000416933003 | 76416933 | N/A | N/A | false | ORLOV | N/A | BORIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846641623 | N/A | N/A | 5543101 | 2222 | N/A | 12802223 | N/A | 4214932 | 2025-09-22 20:10:54.841571 | 2025-05-13 04:29:37.229254 |
| 2025-09-22 20:10:47.222995 | 2025-09-23 05:46:33.462852 | 12594640 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12594640 | Athletic Physical Therapy Inc | 1942-10-02 | 2025-09-23 | M | AE | PT | SAWAYA | 3R88YH3MG32 | PETER | N/A | 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/2222/9033458/check_12594640_42715f4d-ca31-4e10-b4f8-850f52dc1cc3.json | N/A | N/A | N/A | N/A | N/A | 3R88YH3MG32 | Medicare Part A | N/A | DEAN HEALTH INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1942-10-02 | S9701 | N/A | N/A | MA | false | SAWAYA | N/A | PETER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846825361 | N/A | N/A | 9033458 | 2222 | 4802 | 12834369 | N/A | 7553607 | 2025-09-23 05:46:33.462852 | 2025-09-02 22:55:04.873891 |
| 2025-09-22 20:10:40.416008 | 2025-09-22 20:10:49.333698 | 12594505 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-10-24 | 2025-09-25 | F | AE | PT | WATKINS | 9118772604 | ANDREA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542927/check_12594505_8dcc359c-776c-4d59-b524-c9b734362adf.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542927/check_12594505_34c0bd2d-edfd-4dab-abe4-7837c5c8180c.json | N/A | N/A | N/A | N/A | N/A | 988607756 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1957-10-24 | N/A | 15896 | N/A | N/A | false | WATKINS | 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 | 5542927 | 2222 | N/A | 12802212 | N/A | 4214777 | 2025-09-22 20:10:49.333698 | 2025-05-13 04:29:37.229103 |
| 2025-09-22 20:10:39.984936 | 2025-09-22 20:10:45.239651 | 12594497 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1985-01-26 | 2025-09-24 | M | AE | PT | VASEF | 98235678800 | IDEAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542264/check_12594497_0a00c6cf-8370-479d-a849-40c1717e8f4a.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542264/check_12594497_18b1e23f-bf4d-46de-8e13-c3b1ccc69972.json | N/A | N/A | N/A | N/A | N/A | 98235678800 | N/A | N/A | UnitedHealthcare Insurance Company | N/A | 1985-01-26 | N/A | 1490012 | N/A | N/A | false | VASEF | N/A | IDEAN | 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 | 5542264 | 2222 | N/A | 12802199 | N/A | 4214205 | 2025-09-22 20:10:45.239651 | 2025-06-27 18:49:28.826549 |
| 2025-09-22 20:10:39.050440 | 2025-09-22 20:10:44.255631 | 12594472 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-05-06 | 2025-09-23 | F | AE | PT | IRIZARRY | 950883047 | BERNADETTE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541827/check_12594472_bc059df0-f8ed-4411-9263-e6b6a4837a7b.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541827/check_12594472_532826b5-51ee-4f75-86ce-cd94c75d3053.json | N/A | N/A | N/A | N/A | N/A | 950883047 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1969-05-06 | N/A | 905224 | N/A | N/A | false | IRIZARRY | N/A | BERNADETTE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541827 | 2222 | N/A | 12802197 | N/A | 4213806 | 2025-09-22 20:10:44.255631 | 2025-05-13 04:29:37.228124 |
| 2025-09-22 20:10:38.302352 | 2025-09-22 20:10:44.386682 | 12594457 | N/A | N/A | 87726 | UNITED HEALTHCARE | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-04-03 | 2025-09-23 | M | AE | PT | IASCONE | 960990032400 | CRAIG | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539761/check_12594457_7f5333f6-0303-4396-ba52-ed3c08f7e2ba.json | UHC | N/A | GOOGLE_CLOUD | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539761/check_12594457_d1cbef30-eac5-45f5-a076-c6b7c3cf0ebd.json | N/A | N/A | N/A | N/A | N/A | 960990324 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1956-04-03 | N/A | 74134 | N/A | N/A | false | IASCONE | N/A | CRAIG | 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 | 5539761 | 2222 | N/A | 12802198 | N/A | 4212022 | 2025-09-22 20:10:44.386682 | 2025-05-13 04:29:37.226346 |
| 2025-09-22 20:10:12.529905 | 2025-09-23 10:03:22.352436 | 12593792 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 12593792 | Athletic Physical Therapy Inc | 1957-01-30 | 2025-09-24 | F | AE | PT | SEIFERT | H7762468200 | ARMIDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.230620263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9486126/check_12593792_23b71483-04f8-4def-8e6e-88213f176542.json | N/A | N/A | N/A | N/A | N/A | H7762468200 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1957-01-30 | N/A | N/A | N/A | N/A | false | SEIFERT | N/A | ARMIDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846644074 | N/A | N/A | 9486126 | 2222 | 4793 | 12849442 | N/A | 7936248 | 2025-09-23 10:03:22.352436 | 2025-09-17 22:49:12.995113 |
| 2025-09-22 20:10:07.444137 | 2025-09-23 05:21:01.408686 | 12593653 | N/A | N/A | 60054 | Aetna | 1114042165 | 12593653 | Athletic Physical Therapy Inc | 1946-06-15 | 2025-09-25 | M | AE | PT | SCHECHTER | 102181433800 | STEVEN | N/A | 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/2222/9026590/check_12593653_c8dca54a-1948-4355-8670-7a7dfe5f7025.json | N/A | N/A | N/A | N/A | N/A | 102181433800 | Preferred Provider Organization (PPO) | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1946-06-15 | 000003-CA000027 | 000003-CA | N/A | PR | false | SCHECHTER | N/A | STEVEN | N/A | 2026-01-01 | 2025-07-01 | AETNA MEDICARE CHOICE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846824885 | N/A | N/A | 9026590 | 2222 | 4793 | 12821425 | N/A | 7549031 | 2025-09-23 05:21:01.408686 | 2026-05-22 23:37:03.098359 |
| 2025-09-22 20:09:18.841221 | 2025-09-23 05:17:46.095905 | 12592648 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 12592648 | Athletic Physical Therapy Inc | 1953-02-10 | 2025-09-25 | M | AE | PT | GARZA | 36183347 | LEO | N/A | 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/2222/9024952/check_12592648_142ca2c1-2caa-4d8e-9aeb-763fa171b76f.json | N/A | N/A | N/A | N/A | N/A | 36183347 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1953-02-10 | 406-024-000 | N/A | N/A | N/A | false | GARZA | N/A | LEOVARDO | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846824838 | N/A | N/A | 9024952 | 2222 | 4793 | 12819447 | 6798 | 7547856 | 2025-09-23 05:17:46.095905 | 2025-09-02 20:57:54.962485 |
| 2025-09-22 20:09:18.483417 | 2025-09-23 10:12:55.696003 | 12592644 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12592644 | Athletic Physical Therapy Inc | 1959-08-20 | 2025-09-24 | F | AE | PT | LANEUVILLE | MMA152W21217 | LESLIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.230620263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9478316/check_12592644_9a902315-c747-4971-a2d5-da6d2c89dbc1.json | N/A | N/A | N/A | N/A | N/A | MMA152W21217 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-08-20 | 040 | CAMCRWP0 | N/A | MP | false | LANEUVILLE | N/A | LESLIE | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846642026 | N/A | N/A | 9478316 | 2222 | 4801 | 12857260 | N/A | 6941976 | 2025-09-23 10:12:55.696003 | 2025-09-05 19:35:59.844269 |
| 2025-09-22 20:09:16.717831 | 2025-09-23 05:46:30.231622 | 12592605 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12592605 | Athletic Physical Therapy Inc | 1960-09-02 | 2025-09-24 | F | AE | PT | CHAMBERLIN | 6EF5XM4VD84 | JULIE | N/A | 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/2222/9024939/check_12592605_045d0484-64a9-42b7-8f1d-61e2f3a08471.json | N/A | N/A | N/A | N/A | N/A | 6EF5XM4VD84 | Medicare Part A | N/A | PUBLIC RISK INNOVATION, SOLUTION | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1960-09-02 | N/A | DOL 06162014 | N/A | MA | false | CHAMBERLIN | N/A | JULIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846825622 | N/A | N/A | 9024939 | 2222 | 4801 | 12834350 | N/A | 6499323 | 2025-09-23 05:46:30.231622 | 2025-07-30 18:54:36.603528 |
| 2025-09-22 20:09:11.810479 | 2025-09-23 05:28:33.203773 | 12592468 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12592468 | Athletic Physical Therapy Inc | 1966-07-12 | 2025-09-24 | M | AE | PT | Cohn | R06589895MM1 | David | N/A | 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/2222/7315101/check_12592468_d084e86b-78c4-4862-bb56-ce6e16c9fde7.json | N/A | N/A | N/A | N/A | N/A | R06589895MM1 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1966-07-12 | N/A | CA05620125 | N/A | N/A | false | COHN | N/A | DAVID | N/A | N/A | N/A | WELLCARE SIMPLE FOCUS (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846697494 | N/A | N/A | 7315101 | 2222 | 4802 | 12826034 | N/A | 6152454 | 2025-09-23 05:28:33.203773 | 2025-07-17 21:44:04.596080 |
| 2025-09-22 20:09:10.801023 | 2025-09-23 05:47:36.655990 | 12592445 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12592445 | Athletic Physical Therapy Inc | 1957-03-21 | 2025-09-23 | F | PT | N/A | Moore | 788W15745 | Jeana | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231718957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7899162/check_12592445_9cb3541c-e99c-4b01-bba2-4ea1bafecbad.json | N/A | N/A | N/A | N/A | N/A | MNL788W15745 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1957-03-21 | 040 | CAMCRWP0 | N/A | MP | false | MOORE | N/A | JEAN | N/A | 9999-12-31 | 2024-01-01 | CA H4471-001-000 ANTHEM FULL DUAL ADVANTAGE ALIGNE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846776383 | N/A | N/A | 7899162 | 2222 | 4802 | 12834782 | N/A | 6725117 | 2025-09-23 05:47:36.655990 | 2026-02-18 22:27:04.950292 |
| 2025-09-22 20:09:10.150144 | 2025-09-23 05:21:48.828221 | 12592426 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 12592426 | override_provider | 1956-10-21 | 2025-09-24 | M | PT | N/A | TOROS | SAD103594467 | HALIL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231718957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7896723/check_12592426_8d681192-1afe-4b35-882b-5188e17ba0f7.json | N/A | N/A | N/A | N/A | N/A | SAD10359446700 | Preferred Provider Organization (PPO) | SAS INSTITUTE INC. | BLUE SHIELD OF CALIFORNIA | N/A | 1956-10-21 | FACETS | 14163533 | N/A | PR | false | TOROS | N/A | HALIL | N/A | 2199-12-31 | 2025-01-01 | BLUE OPTIONS | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846776372 | N/A | N/A | 7896723 | 2222 | 4802 | 12821873 | N/A | 6723602 | 2025-09-23 05:21:48.828221 | 2025-08-12 18:22:41.461515 |
| 2025-09-22 20:09:07.148561 | 2025-09-23 05:34:21.686173 | 12592351 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 12592351 | Athletic Physical Therapy Inc | 1954-02-12 | 2025-09-23 | M | AE | PT | NAGHSHBANDI | 600003958782 | ABDUL | N/A | 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/2222/7314863/check_12592351_02a00028-dc46-4147-a754-cb8f52067f86.json | N/A | N/A | N/A | N/A | N/A | 600003958782 | N/A | N/A | ALIGNMENT HEALTH | N/A | 1954-02-12 | N/A | N/A | N/A | N/A | false | NAGHSHBANDI | N/A | ABDUL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846697483 | N/A | N/A | 7314863 | 2222 | 4793 | 12828948 | N/A | 4208741 | 2025-09-23 05:34:21.686173 | 2025-08-01 18:22:58.464314 |
| 2025-09-22 20:08:54.893768 | 2025-09-23 05:32:25.245573 | 12592015 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12592015 | Athletic Physical Therapy Inc | 2006-05-31 | 2025-09-24 | F | PT | N/A | WARGNIER | XEA906576346 | CADENCE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.230626454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8674643/check_12592015_f46b753c-a466-47de-9073-119907183374.json | N/A | N/A | N/A | N/A | N/A | XEA906576346 | Preferred Provider Organization (PPO) | NAIRMAC INC DBA PREMIER COACH | BLUE SHIELD CALIFORNIA | N/A | 2006-05-31 | 1000VX000102 | W0099736 | N/A | PR | false | WARGNIER | N/A | NEISHA | N/A | 9999-12-31 | 2025-06-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846686130 | N/A | N/A | 8674643 | 2222 | 4801 | 12828092 | N/A | 7309740 | 2025-09-23 05:32:25.245573 | 2025-09-12 11:13:33.919728 |
| 2025-09-22 20:08:53.340856 | 2025-09-23 05:33:03.602157 | 12591987 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12591987 | Athletic Physical Therapy Inc | 1981-02-22 | 2025-09-23 | M | PT | N/A | WALKOW | XEK906265328 | RYAN | N/A | 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/2222/9024389/check_12591987_11a2bf07-23b2-451f-bb06-869d88033f5a.json | N/A | N/A | N/A | N/A | N/A | XEK906265328 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1981-02-22 | 2001ZK002189 | X0001000 | N/A | PR | false | WALKOW | N/A | RYAN | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846825601 | N/A | N/A | 9024389 | 2222 | 4793 | 12828367 | N/A | 7546770 | 2025-09-23 05:33:03.602157 | 2025-09-09 02:40:35.718380 |
| 2025-09-22 20:08:52.763326 | 2025-09-23 06:09:28.205183 | 12591975 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12591975 | Athletic Physical Therapy Inc | 1948-01-06 | 2025-09-24 | F | AE | PT | FRITH SMITH | 9M69RM7JM34 | BARBARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231119958.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6998367/check_12591975_bcbe54bc-abf1-465a-8048-87fa36e183c0.json | N/A | N/A | N/A | N/A | N/A | 9M69RM7JM34 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-01-06 | S4802 | N/A | N/A | MA | false | FRITH SMITH | N/A | BARBARA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846737934 | N/A | N/A | 6998367 | 2222 | 4801 | 12841852 | N/A | 6017959 | 2025-09-23 06:09:28.205183 | 2025-07-14 18:22:35.995798 |
| 2025-09-22 20:08:48.918144 | 2025-09-23 05:19:47.468245 | 12591873 | N/A | N/A | 60054 | Aetna | 1114042165 | 12591873 | Athletic Physical Therapy Inc | 1952-05-04 | 2025-09-24 | F | AE | PT | SHAKIB | 101129457200 | PARI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.230420127.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444723/check_12591873_f5be1c5d-37fa-4d47-9138-21f984001e4a.json | N/A | N/A | N/A | N/A | N/A | 101129457200 | Qualified Medicare Beneficiary | MA INDIVIDUAL - CALIFORNIA | AETNA | MEDICARE | 1952-05-04 | 000003-CA000058 | 000003-CA | N/A | QM | false | SHAKIB | N/A | PARI | N/A | N/A | N/A | AETNA MEDICARE CORE (PPO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846708509 | N/A | N/A | 7444723 | 2222 | 4802 | 12820623 | N/A | 6395498 | 2025-09-23 05:19:47.468245 | 2026-02-18 02:38:35.073779 |
| 2025-09-22 20:08:34.524321 | 2025-09-23 10:04:26.702210 | 12591336 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 12591336 | override_provider | 2010-03-12 | 2025-09-23 | F | PT | N/A | MARASHLIAN | XED913752380 | SOPHIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.230620263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9474588/check_12591336_8d4b4757-4818-432a-be39-eec4310bb4f8.json | N/A | N/A | N/A | N/A | N/A | XED913752380 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2010-03-12 | 2001ZK002187 | X0001004 | N/A | PR | false | MARASHLIAN | N/A | EVALYN | 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 | 8846642628 | N/A | N/A | 9474588 | 2222 | 4793 | 12850424 | N/A | 7925405 | 2025-09-23 10:04:26.702210 | 2025-09-17 15:25:05.446530 |
| 2025-09-22 20:08:26.946025 | 2025-09-23 05:43:56.631899 | 12591044 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12591044 | Athletic Physical Therapy Inc | 1961-03-12 | 2025-09-23 | F | PT | N/A | MCNUTT | XED904914958 | YOLANDA | N/A | 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/2222/6668755/check_12591044_9756d6f1-b0ba-42a9-bb7b-c535cc5f1768.json | N/A | N/A | N/A | N/A | N/A | XED904914958 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-03-12 | 2001ZK002184 | X0001004 | N/A | PR | false | FERNANDEZ-MCNUTT | N/A | YOLANDA | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846779055 | N/A | N/A | 6668755 | 2222 | 4801 | 12833322 | N/A | 5282877 | 2025-09-23 05:43:56.631899 | 2025-07-01 15:56:36.473431 |
| 2025-09-22 20:08:14.086850 | 2025-09-23 05:39:41.660442 | 12590487 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12590487 | Athletic Physical Therapy Inc | 1955-07-01 | 2025-09-25 | F | AE | PT | GREER | XEM909858172 | ROBIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231306335.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411084/check_12590487_0d40d3b0-84c0-4151-b75c-2fc3d1826936.json | N/A | N/A | N/A | N/A | N/A | XEM909858172 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-07-01 | 2002SE000030 | X0001002 | N/A | OT | false | GREER | N/A | ROBIN | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846725854 | N/A | N/A | 9411084 | 2222 | 4802 | 12831283 | N/A | 7879863 | 2025-09-23 05:39:41.660442 | 2026-02-04 18:21:13.840230 |
| 2025-09-22 20:07:51.205853 | 2025-09-23 10:03:23.053945 | 12589640 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12589640 | Athletic Physical Therapy Inc | 1998-02-18 | 2025-09-24 | M | PT | N/A | JIN | 592W1743610 | YUANJUN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.230620263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9454953/check_12589640_b77317bd-6c53-46fd-8d18-0cb45834854b.json | N/A | N/A | N/A | N/A | N/A | 592W1743610 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1998-02-18 | N/A | N/A | N/A | N/A | false | JIN | N/A | YUANJUN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846644128 | N/A | N/A | 9454953 | 2222 | 4793 | 12849452 | N/A | 7906876 | 2025-09-23 10:03:23.053945 | 2025-09-22 06:41:05.698372 |
| 2025-09-22 20:07:50.679241 | 2025-09-23 05:14:28.990244 | 12589623 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 12589623 | Athletic Physical Therapy Inc | 2014-05-27 | 2025-09-25 | F | AE | PT | Odate | 96680377F | Keina | N/A | 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/2222/7295079/check_12589623_5a05c464-1c3c-4d72-9f86-709c9410517e.json | N/A | N/A | N/A | N/A | N/A | 96680377F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 09/30/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2014-05-27 | TFU223BP0000008 | QMXEM01909 | N/A | N/A | false | ODATE | N/A | WOW | N/A | 2078-12-31 | 2025-05-01 | ADULT FAMILY - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846699639 | N/A | N/A | 7295079 | 2222 | 4802 | 12817672 | N/A | 6254701 | 2025-09-23 05:14:28.990244 | 2026-05-21 14:19:15.159394 |
| 2025-09-22 20:07:49.847227 | 2025-09-23 05:31:16.096856 | 12589598 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12589598 | Athletic Physical Therapy Inc | 1952-08-20 | 2025-09-25 | M | PT | N/A | POLK | MBL292M95257 | KENNETH | N/A | 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/2222/9022039/check_12589598_3985f9da-627a-4d0f-b19b-ce15838b7855.json | N/A | N/A | N/A | N/A | N/A | MBL292M95257 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1952-08-20 | 040 | CAEGR002 | N/A | N/A | false | POLK | N/A | KENNETH | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846824653 | N/A | N/A | 9022039 | 2222 | 4801 | 12827546 | N/A | 7544773 | 2025-09-23 05:31:16.096856 | 2025-09-02 18:35:33.812098 |
| 2025-09-22 20:07:49.424177 | 2025-09-23 05:39:25.620236 | 12589586 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12589586 | Athletic Physical Therapy Inc | 1963-01-14 | 2025-09-23 | F | PT | N/A | KRAFT | XED911569862 | KATHRIN | N/A | 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/2222/7294742/check_12589586_83494663-badb-45ea-9e7c-b569f128a12b.json | N/A | N/A | N/A | N/A | N/A | XED911569862 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-01-14 | 2001ZK002184 | X0001004 | N/A | PR | false | KRAFT | N/A | KATHRIN | N/A | 9999-12-31 | 2022-08-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846699635 | N/A | N/A | 7294742 | 2222 | 4801 | 12831140 | N/A | 6254569 | 2025-09-23 05:39:25.620236 | 2025-08-12 09:24:43.956957 |
| 2025-09-22 20:07:41.843537 | 2025-09-23 10:03:22.659185 | 12589312 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 12589312 | Athletic Physical Therapy Inc | 1964-08-20 | 2025-09-24 | M | AE | PT | STOLP MUNERA | H7787393400 | CHRISTIAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.230620263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9453081/check_12589312_facbc0c7-ae5a-4781-a1bd-d7aac690096c.json | N/A | N/A | N/A | N/A | N/A | H7787393400 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-08-20 | N/A | N/A | N/A | N/A | false | STOLP MUNERA | N/A | CHRISTIAN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846644096 | N/A | N/A | 9453081 | 2222 | 4793 | 12849447 | N/A | 7906478 | 2025-09-23 10:03:22.659185 | 2025-09-16 22:39:01.505180 |
| 2025-09-22 20:07:39.058710 | 2025-09-23 05:20:13.633170 | 12589213 | N/A | N/A | 57115 | Lakeside Medical Group | 1114042165 | 12589213 | Athletic Physical Therapy Inc | 2010-03-18 | 2025-09-25 | M | PT | N/A | MARTIN | XEH906532391003 | CHRISTOPHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231119958.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6967909/check_12589213_74e5b7e3-54ec-4b55-aace-abcf862ee963.json | N/A | N/A | N/A | N/A | N/A | XEH906532391 | Health Maintenance Organization (HMO) | WILD WONDER LLC | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 2010-03-18 | 1000VX000101 | W0099153 | N/A | HM | false | MARTIN | N/A | ELIZABETH | N/A | 2036-03-31 | 2019-06-01 | DENTAL HMO PLUS | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846735696 | N/A | N/A | 6967909 | 2222 | 4793 | 12820892 | N/A | 5990447 | 2025-09-23 05:20:13.633170 | 2025-07-21 18:40:33.917911 |
| 2025-09-22 20:07:37.142539 | 2025-09-23 05:14:35.955734 | 12589145 | N/A | N/A | 60054 | Aetna | 1114042165 | 12589145 | Athletic Physical Therapy Inc | 1969-05-02 | 2025-09-23 | F | AE | PT | Taylor | 0322952413 | Vienna | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.225932368.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124049/check_12589145_851d52ae-1fe3-4b3a-8b40-adedf84095c9.json | N/A | N/A | N/A | N/A | N/A | 0322952413 | Group Policy | N/A | AETNA INC | PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE, IND. OUT OF POCKET, FAMILY OUT OF POCKET INFORMATION | 1969-05-02 | 001 | 24281 | N/A | GP | false | TAYLOR | N/A | JEFFREY | N/A | N/A | N/A | VELOCITY COMMERCIAL CAPITAL LLC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846619804 | N/A | N/A | 6124049 | 2222 | 4793 | 12817722 | N/A | 4766759 | 2025-09-23 05:14:35.955734 | 2025-06-04 21:51:50.184092 |
| 2025-09-22 20:07:31.438333 | 2025-09-23 05:35:32.863420 | 12588902 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12588902 | Athletic Physical Therapy Inc | 1994-02-23 | 2025-09-23 | F | PT | N/A | SHU | XAN913831469 | GABRIELA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.225932368.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6121701/check_12588902_fde8b08c-be8b-4155-83d0-5d854e397ff0.json | N/A | N/A | N/A | N/A | N/A | XAN913831469 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1994-02-23 | 1479PPOX0003 | W0051411 | N/A | PR | false | SHU | N/A | GABRIELA | N/A | N/A | N/A | CALPERS ASO GOLD PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846619771 | N/A | N/A | 6121701 | 2222 | 4793 | 12829416 | N/A | 4764460 | 2025-09-23 05:35:32.863420 | 2025-06-04 04:30:06.494155 |
| 2025-09-22 20:07:27.475840 | 2025-09-23 10:12:24.621045 | 12588720 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 12588720 | Athletic Physical Therapy Inc | 1981-07-20 | 2025-09-24 | M | AE | PT | SWENSON | 96831755C | AARON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.230620263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9449115/check_12588720_b892b856-24e7-4fb1-afc1-14df04e7dc66.json | N/A | N/A | N/A | N/A | N/A | 96831755C | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1981-07-20 | N/A | N/A | N/A | N/A | false | SWENSON | N/A | AARON | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846642395 | N/A | N/A | 9449115 | 2222 | 4793 | 12856757 | N/A | 7905010 | 2025-09-23 10:12:24.621045 | 2025-09-18 16:08:21.950407 |
| 2025-09-22 20:07:23.636164 | 2025-09-23 05:19:13.217764 | 12588500 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 12588500 | Athletic Physical Therapy Inc | 1950-09-28 | 2025-09-25 | M | AE | PT | GURROLA | 839044301 | MIKE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.225824017.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9317287/check_12588500_8ed89499-4f02-48b7-ac0e-5b34541f894a.json | N/A | N/A | N/A | N/A | N/A | 839044301 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | GURROLA | 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 | 8846616438 | N/A | N/A | 9317287 | 2222 | 4793 | 12820254 | N/A | 7815862 | 2025-09-23 05:19:13.217764 | 2025-09-11 18:06:18.231033 |