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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-02 09:03:23.219530 | 2025-06-03 05:20:54.453287 | 8480214 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8480214 | Athletic Physical Therapy Inc | 2013-08-17 | 2025-06-09 | F | PT | AE | RUEMMELE | 179409499 | MAKENA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140751146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874412/check_8480214_8e79ff20-2851-4486-a3c5-3f7f2d87f6ea.json | N/A | N/A | N/A | N/A | N/A | 17940949902 | Commercial | N/A | UNITEDHEALTHCARE INSURANCE COMPANY | FUNDING TYPE = FULLY INSURED - LARGE GROUP LABORATORY DESIGNATED DIAGNOSTIC BENEFITS IMAGING DESIGNATED DIAGNOSTIC BENEFITS | 2013-08-17 | N/A | 1685837 | N/A | C1 | false | RUEMMELE | N/A | MAKENA | N/A | N/A | N/A | CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874412 | 2222 | 4793 | 8212513 | N/A | 4534546 | 2025-06-03 05:20:54.453287 | 2025-12-03 00:06:29.870228 |
| 2025-06-02 09:03:21.544015 | 2025-06-03 05:19:10.512770 | 8479945 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8479945 | Athletic Physical Therapy Inc | 1958-09-13 | 2025-06-06 | M | PT | AE | DERR | 35335410011 | DENNIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140526224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874421/check_8479945_d06a0241-fcaf-4f24-8bf2-40566d3e1bc4.json | N/A | N/A | N/A | N/A | N/A | 353354100 | N/A | N/A | UNITEDHEALTHCARE | N/A | 1958-09-28 | N/A | N/A | N/A | N/A | false | DERR | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874421 | 2222 | 4793 | 8211102 | N/A | 4534550 | 2025-06-03 05:19:10.512770 | 2025-10-15 18:36:58.255255 |
| 2025-06-02 09:03:21.215905 | 2025-06-03 02:05:28.245605 | 8479882 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8479882 | Athletic Physical Therapy Inc | 1967-02-21 | 2025-06-09 | M | AD | N/A | LEVINE | 110561060 | ROCIO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.141130769.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5994830/check_8479882_4843c1c5-09b4-4feb-b794-e0469e7bff95.json | N/A | N/A | N/A | N/A | N/A | 11056106000 | N/A | CYDCOR, LLC | CHLIC | NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT | 1967-02-21 | N/A | 00654768 | N/A | N/A | false | LEVINE | N/A | ROCIO | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5994830 | 2222 | 4793 | 8185765 | N/A | 4210945 | 2025-06-03 02:05:28.245605 | 2025-06-24 15:38:48.246227 |
| 2025-06-02 09:03:20.448239 | 2025-06-03 02:08:30.448928 | 8479747 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8479747 | Athletic Physical Therapy Inc | 2009-09-07 | 2025-06-09 | U | PT | N/A | CRUZ | TYW851751152 | GIOVANI | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.141130769.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993970/check_8479747_8ce08c50-67d4-4399-8ad4-b8aa8301018f.json | N/A | N/A | N/A | N/A | N/A | TYW851751152 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 2009-09-07 | N/A | N/A | N/A | N/A | false | CRUZ | N/A | GIOVANI | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993970 | 2222 | 4801 | 8189256 | N/A | 4642901 | 2025-06-03 02:08:30.448928 | 2025-06-06 02:34:37.518805 |
| 2025-06-02 09:03:20.405266 | 2025-06-03 02:08:31.437498 | 8479737 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8479737 | Athletic Physical Therapy Inc | 1953-05-16 | 2025-06-09 | U | PT | N/A | MASUDA | MISSINGPOLICYNUMBER | MASAKO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.141130769.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993968/check_8479737_ba21f5ca-478e-4638-9b00-456e60eeafa6.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1953-05-16 | N/A | N/A | N/A | N/A | false | MASUDA | N/A | MASAKO | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993968 | 2222 | 4802 | 8189275 | N/A | 4642899 | 2025-06-03 02:08:31.437498 | 2025-06-06 02:16:59.685673 |
| 2025-06-02 09:03:20.362065 | 2025-06-03 02:15:33.705222 | 8479730 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8479730 | Athletic Physical Therapy Inc | 1951-07-19 | 2025-06-09 | U | PT | AE | HARVEY | 8YE6EE0UG57 | CHRISTOPHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.141130769.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993966/check_8479730_cc66efac-7b21-4053-8f5f-2d1a442fd104.json | N/A | N/A | N/A | N/A | N/A | 8YE6EE0UG57 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-07-19 | S4802 | N/A | N/A | MA | false | HARVEY | N/A | CHRISTOPHE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993966 | 2222 | 4801 | 8194747 | N/A | 4642895 | 2025-06-03 02:15:33.705222 | 2025-06-04 22:10:38.563345 |
| 2025-06-02 09:03:20.310794 | 2025-06-03 02:04:17.063880 | 8479722 | N/A | N/A | 60054 | Aetna | 1114042165 | 8479722 | Athletic Physical Therapy Inc | 1997-10-13 | 2025-06-09 | M | PT | AE | BOGNER | W293460341 | NOAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.141130769.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993959/check_8479722_5229da64-c3ef-4a04-8047-9cc96f0d2a60.json | N/A | N/A | N/A | N/A | N/A | W293460341 | Point of Service (POS) | APPLE INC. | AETNA | N/A | 1997-10-13 | 0109286 | 010928602000001 | N/A | PS | false | BOGNER | N/A | NOAH | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993959 | 2222 | 4802 | 8184438 | N/A | 4642891 | 2025-06-03 02:04:17.063880 | 2025-05-30 16:16:44.304215 |
| 2025-06-02 09:03:20.248701 | 2025-06-03 02:08:31.078881 | 8479711 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8479711 | Athletic Physical Therapy Inc | 1991-12-24 | 2025-06-09 | U | PT | N/A | KOLKER | S4G373W20309 | JOSH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.141130769.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993943/check_8479711_ef1939ef-bec0-44a6-96ab-c83e5fc39e7a.json | N/A | N/A | N/A | N/A | N/A | S4G373W20309 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1991-12-24 | N/A | N/A | N/A | N/A | false | KOLKER | N/A | JOSH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993943 | 2222 | 4802 | 8189268 | N/A | 4642875 | 2025-06-03 02:08:31.078881 | 2025-06-06 02:22:03.703999 |
| 2025-06-02 09:03:20.155086 | 2025-06-03 02:08:46.367628 | 8479694 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8479694 | Athletic Physical Therapy Inc | 1997-04-30 | 2025-06-09 | F | PT | AE | BROWNE | XEA912002755 | VICTORIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.141130769.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993942/check_8479694_4472bdb4-cfbb-4df1-abd5-082e01097bca.json | N/A | N/A | N/A | N/A | N/A | XEA912002755 | Preferred Provider Organization (PPO) | GOOD IDEAS AND POWER MOVES LLC | BLUE SHIELD CALIFORNIA | N/A | 1997-04-30 | 1000VX000102 | W0125517 | N/A | PR | false | BROWNE | N/A | VICTORIA | N/A | 9999-12-31 | 2023-01-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993942 | 2222 | 4802 | 8189565 | N/A | 4642878 | 2025-06-03 02:08:46.367628 | 2025-06-02 00:07:32.200949 |
| 2025-06-02 09:03:20.120839 | 2025-06-03 02:02:53.112155 | 8479687 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8479687 | Athletic Physical Therapy Inc | 1969-01-08 | 2025-06-09 | F | PT | AE | ALROMAIH | 91237812E | SARAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.141130769.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993940/check_8479687_21b99514-cae4-4625-8879-0e1702d39824.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993940 | 2222 | 4802 | 8183327 | N/A | 4642877 | 2025-06-03 02:02:53.112155 | 2025-12-23 23:49:16.627667 |
| 2025-06-02 09:03:20.084654 | 2025-06-03 02:07:53.220037 | 8479680 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8479680 | Athletic Physical Therapy Inc | 1949-03-01 | 2025-06-09 | F | PT | AE | MIROBALLI | 000002447244 | KATHLEEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.141130769.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993939/check_8479680_40b17ded-1eda-46e0-930c-a50578b330f6.json | N/A | N/A | N/A | N/A | N/A | 000002447244 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1949-03-01 | 3064746 | 101112 | N/A | N/A | false | MIROBALLI | N/A | KATHLEEN | N/A | N/A | N/A | LOS ANGELES DEPARTMENT OF WATER & POWER - RETIREES | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993939 | 2222 | 4793 | 8188538 | N/A | 4642874 | 2025-06-03 02:07:53.220037 | 2025-05-29 22:38:22.995059 |
| 2025-06-02 09:03:20.046227 | 2025-06-03 02:03:00.228617 | 8479673 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8479673 | Athletic Physical Therapy Inc | 1949-09-25 | 2025-06-09 | U | PT | AE | LOPEZ | 31183522601 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.141130769.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993934/check_8479673_2a7a7b05-a010-462e-9ec0-7f647bc3f0a5.json | N/A | N/A | N/A | N/A | N/A | 31183522601 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1949-09-25 | N/A | N/A | N/A | N/A | false | LOPEZ | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993934 | 2222 | 4801 | 8183360 | N/A | 4642871 | 2025-06-03 02:03:00.228617 | 2025-06-02 21:57:45.887368 |
| 2025-06-02 09:03:20.005373 | 2025-06-03 02:08:46.698152 | 8479667 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8479667 | Athletic Physical Therapy Inc | 1997-07-22 | 2025-06-09 | M | PT | N/A | BUCKWALD | XED914061341 | BLAKE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.141130769.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993926/check_8479667_9cfa7e24-c948-4ce4-b6c3-9eac2b7785aa.json | N/A | N/A | N/A | N/A | N/A | XED914061341 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | BUCKWALD | N/A | BLAKE | 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 | N/A | N/A | N/A | 5993926 | 2222 | 4802 | 8189572 | N/A | 4642862 | 2025-06-03 02:08:46.698152 | 2025-05-28 20:59:09.029689 |
| 2025-06-02 09:03:19.964456 | 2025-06-03 02:18:57.904126 | 8479658 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8479658 | Athletic Physical Therapy Inc | 1957-10-11 | 2025-06-09 | U | PT | AE | BAKMAN | JQE006W13620 | DEBBIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.141130769.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993922/check_8479658_d413a234-d218-4dc5-86eb-17d305274088.json | N/A | N/A | N/A | N/A | N/A | JQE006W13620 | N/A | N/A | MEDICARE A B ELIGIBILITY ALL STATES | N/A | 1957-10-11 | N/A | N/A | N/A | N/A | false | BAKMAN | N/A | DEBBIE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993922 | 2222 | 4801 | 8197067 | N/A | 4642860 | 2025-06-03 02:18:57.904126 | 2025-06-18 23:23:49.312526 |
| 2025-06-02 09:03:19.926210 | 2025-06-03 02:08:47.067282 | 8479650 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8479650 | Athletic Physical Therapy Inc | 1984-05-19 | 2025-06-09 | M | PT | N/A | DANG | XEA913823841 | TRAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.141130769.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993908/check_8479650_20a1636f-0e10-47d7-99e8-e125d4e6d60b.json | N/A | N/A | N/A | N/A | N/A | XAN913823841 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1984-05-16 | 1479PPOX0002 | W0051411 | N/A | PR | false | DANG | N/A | TRAM | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993908 | 2222 | 4802 | 8189579 | N/A | 4534561 | 2025-06-03 02:08:47.067282 | 2025-06-02 15:59:21.578406 |
| 2025-06-02 09:03:19.883777 | 2025-06-03 02:02:59.901866 | 8479643 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8479643 | Athletic Physical Therapy Inc | 1988-01-04 | 2025-06-09 | F | PT | AE | CATALDO | 909320518000 | NATALIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.141130769.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993812/check_8479643_f1f8608f-277e-448e-8da3-58b44e53d989.json | N/A | N/A | N/A | N/A | N/A | 909320518000 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1988-01-04 | N/A | N/A | N/A | N/A | false | CATALDO | N/A | NATALIE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993812 | 2222 | 4801 | 8183355 | N/A | 4219581 | 2025-06-03 02:02:59.901866 | 2025-05-21 21:23:40.415030 |
| 2025-06-02 09:03:19.845058 | 2025-06-03 02:08:15.947795 | 8479634 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8479634 | Athletic Physical Therapy Inc | 1996-01-20 | 2025-06-09 | F | PT | N/A | WORDEN | ORU910469318 | SARAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.141130769.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993479/check_8479634_1f6220ac-8f13-4a67-90bd-81676cfc0251.json | N/A | N/A | N/A | N/A | N/A | ORU910469318 | Preferred Provider Organization (PPO) | OAK RIDGE ASSOCIATED UNIVERSITIES | ANTHEM BLUE CROSS | N/A | 1996-01-20 | MBPORAU0 | 89513 | N/A | PR | false | WORDEN | N/A | SARAH | N/A | 2199-12-31 | 2024-07-16 | BLUE NETWORK P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993479 | 2222 | 4801 | 8188972 | N/A | 4219476 | 2025-06-03 02:08:15.947795 | 2025-05-28 20:18:04.039855 |
| 2025-06-02 09:02:58.755031 | 2025-06-03 05:23:40.855308 | 8476565 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8476565 | Athletic Physical Therapy Inc | 1956-01-20 | 2025-06-09 | F | PT | AE | SCHLEIKORN | XDD664W08200 | MARIETTE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140526224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550960/check_8476565_12827172-5b21-4134-9a06-138dcc9bad9f.json | N/A | N/A | N/A | N/A | N/A | XDD664W08200 | Supplemental Policy | LOS ANGELES COUNTY EMPLOYEE RETIREMENT ASSOC | ANTHEM BLUE CROSS | N/A | 1956-01-20 | 040 | 1264MD | N/A | SP | false | SCHLEIKORN | N/A | MARIETTE | N/A | 9999-12-31 | 2024-03-01 | MEDICARE SUPPLEMENT-PBP PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550960 | 2222 | 4793 | 8214738 | N/A | 4219792 | 2025-06-03 05:23:40.855308 | 2025-05-13 04:29:37.230832 |
| 2025-06-02 09:02:58.704110 | 2025-06-03 05:12:41.869162 | 8476562 | N/A | N/A | 62118 | Aetna Administrator Medicare Supplement (Eligibility & Remits Only) | 1114042165 | 8476562 | Athletic Physical Therapy Inc | 1954-01-20 | 2025-06-06 | U | PT | AE | BRENNER | TER6252245 | ROCIO FLORES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140526224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550897/check_8476562_859a627f-65c2-4816-bf4c-3f27492b3cda.json | N/A | N/A | N/A | N/A | N/A | TER6252245 | N/A | N/A | AETNA ADMINISTRATOR MEDICARE SUPPLEMENT ELIGIBILITY REMITS O | N/A | 1954-01-20 | N/A | N/A | N/A | N/A | false | BRENNER | N/A | ROCIO FLORES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550897 | 2222 | 4793 | 8206805 | N/A | 4219750 | 2025-06-03 05:12:41.869162 | 2025-06-06 02:15:39.377685 |
| 2025-06-02 09:02:58.657475 | 2025-06-03 05:02:01.787095 | 8476559 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8476559 | Athletic Physical Therapy Inc | 1940-01-14 | 2025-06-09 | F | PT | AE | STELLINI | 08533317011 | DONNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140526224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550852/check_8476559_d8f869dc-e37c-4f32-bb66-d4d50d894dbf.json | N/A | N/A | N/A | N/A | N/A | 08533317011 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1940-01-14 | N/A | N/A | N/A | SP | false | STELLINI | N/A | DONNA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN J | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550852 | 2222 | 4802 | 8200144 | N/A | 4215221 | 2025-06-03 05:02:01.787095 | 2025-05-13 04:29:37.229536 |
| 2025-06-02 09:02:58.612408 | 2025-06-03 05:23:41.219499 | 8476553 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8476553 | Athletic Physical Therapy Inc | 1996-01-20 | 2025-06-09 | F | PT | N/A | WORDEN | XDPCA8058549 | SARAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140526224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550106/check_8476553_17ad1a99-964a-4b4c-9bdd-7ce5786bdb42.json | N/A | N/A | N/A | N/A | N/A | XDPCA8058549 | N/A | UCLA - GRAD | ANTHEM BLUE CROSS | N/A | 1996-01-20 | 040 | 275958P700 | N/A | N/A | false | WORDEN | N/A | SARAH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550106 | 2222 | 4801 | 8214741 | N/A | 4219476 | 2025-06-03 05:23:41.219499 | 2025-05-28 20:18:04.039855 |
| 2025-06-02 09:02:58.567959 | 2025-06-03 05:24:12.358640 | 8476550 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8476550 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-06-09 | F | PT | N/A | LUCZYWEK | XEA907100099 | DEBORA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140526224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549318/check_8476550_c0a08572-8bd7-4b44-858c-6b790a77d41e.json | N/A | N/A | N/A | N/A | N/A | XEA907100099 | Preferred Provider Organization (PPO) | COUNTY OF VENTURA ACTIVES | BLUE SHIELD CALIFORNIA | N/A | 1962-01-25 | 1000PPOX0001 | W0067449 | N/A | PR | false | LUCZYWEK | N/A | DEBORA | N/A | 9999-12-31 | 2025-01-01 | COUNTY OF VENTURA ACTIVES CUSTOM PPO SAVINGS EMB | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549318 | 2222 | 4801 | 8215131 | N/A | 4219010 | 2025-06-03 05:24:12.358640 | 2026-01-09 18:32:07.618867 |
| 2025-06-02 09:02:57.783688 | 2025-06-03 05:09:38.609355 | 8476487 | N/A | N/A | 60054 | Aetna | 1114042165 | 8476487 | Athletic Physical Therapy Inc | 1947-04-14 | 2025-06-09 | F | PT | AE | UYGUR | GLA008101 | NUKHET | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140526224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543315/check_8476487_bf66d5ba-dbf9-45e9-aea7-35a65d5f8a9a.json | N/A | N/A | N/A | N/A | N/A | GLA008101 | N/A | N/A | AETNA INC | N/A | 1947-04-14 | N/A | N/A | N/A | N/A | false | UYGUR | N/A | NUKHET | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543315 | 2222 | 4802 | 8204796 | N/A | 4215116 | 2025-06-03 05:09:38.609355 | 2025-05-29 22:32:19.748297 |
| 2025-06-02 09:02:57.738625 | 2025-06-03 05:19:13.586533 | 8476485 | N/A | N/A | 87726 | UHC Shared Services | 1114042165 | 8476485 | Athletic Physical Therapy Inc | 1976-03-26 | 2025-06-09 | M | PT | AE | ORLOV | 23474362GEHA | BORIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140526224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543101/check_8476485_986bc24c-a2ab-4699-bf50-88890341b5e1.json | N/A | N/A | N/A | N/A | N/A | 23474362GEHA | N/A | N/A | UNITEDHEALTHCARE | N/A | 1976-03-26 | N/A | N/A | N/A | N/A | false | ORLOV | N/A | BORIS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543101 | 2222 | 4802 | 8211125 | N/A | 4214932 | 2025-06-03 05:19:13.586533 | 2025-05-13 04:29:37.229254 |
| 2025-06-02 09:02:57.696642 | 2025-06-03 05:15:09.855389 | 8476480 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8476480 | Athletic Physical Therapy Inc | 1940-11-11 | 2025-06-09 | U | PT | AE | GOLDBERG | U5126496602 | MICAHEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140526224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542973/check_8476480_d9cd2e53-917f-4883-a6ff-ff349449a9b9.json | N/A | N/A | N/A | N/A | N/A | U5126496602 | N/A | N/A | CIGNA HEALTH PLANS | N/A | 1940-11-11 | N/A | N/A | N/A | N/A | false | GOLDBERG | N/A | MICAHEL | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542973 | 2222 | 4802 | 8208028 | N/A | 4214820 | 2025-06-03 05:15:09.855389 | 2025-06-30 02:56:23.324592 |
| 2025-06-02 09:02:57.646999 | 2025-06-03 05:14:50.311385 | 8476476 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8476476 | Athletic Physical Therapy Inc | 1944-10-29 | 2025-06-09 | F | PT | AE | GOLDBERG | U51264966 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140526224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542937/check_8476476_786bfea5-4339-44e8-b558-580e117b3e82.json | N/A | N/A | N/A | N/A | N/A | U5126496601 | Indemnity | MONTGOMERY COUNTY PUBLIC SCHOOLS | CHLIC | N/A | 1944-10-29 | N/A | 2501729 | N/A | IN | false | GOLDBERG | N/A | LINDA | N/A | N/A | N/A | INDEMNITY | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542937 | 2222 | 4802 | 8207866 | N/A | 4214789 | 2025-06-03 05:14:50.311385 | 2025-12-11 23:30:31.319246 |
| 2025-06-02 09:02:57.601246 | 2025-06-03 05:22:15.005900 | 8476472 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 8476472 | Athletic Physical Therapy Inc | 1948-09-11 | 2025-06-09 | M | PT | AE | BAKSHI | 96558021D | ALFRED | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140526224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540448/check_8476472_ba7d64b8-e209-4d1e-bb63-08d3db1d51e3.json | N/A | N/A | N/A | N/A | N/A | 96558021D | N/A | N/A | MEDICARE | N/A | 1948-09-11 | N/A | N/A | N/A | N/A | false | BAKSHI | N/A | ALFRED | N/A | N/A | N/A | KCW MCALSTD | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540448 | 2222 | 4802 | 8213604 | N/A | 4212608 | 2025-06-03 05:22:15.005900 | 2025-05-13 04:29:37.226956 |
| 2025-06-02 09:02:57.559761 | 2025-06-03 05:14:51.653839 | 8476468 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8476468 | Athletic Physical Therapy Inc | 1988-09-18 | 2025-06-09 | F | PT | N/A | MERCADO | 11105311801 | ASHLEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140526224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539885/check_8476468_a905b221-3651-41aa-a22b-fd797c12d3ed.json | N/A | N/A | N/A | N/A | N/A | 11105311801 | N/A | TELESIGN CORPORATION | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 1988-09-18 | N/A | 00655624 | N/A | N/A | false | MERCADO | N/A | ASHLEY | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539885 | 2222 | 4802 | 8207880 | N/A | 4212122 | 2025-06-03 05:14:51.653839 | 2025-05-13 04:29:37.226459 |
| 2025-06-02 09:02:57.508892 | 2025-06-03 05:23:40.082057 | 8476465 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8476465 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-06-06 | M | PT | N/A | FINNLEY | M4R134071249001 | ZEV | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140526224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539665/check_8476465_50d87b9a-4dbc-4e63-943c-70c5a6dfd6dd.json | N/A | N/A | N/A | N/A | N/A | NGO832M81089 | Preferred Provider Organization (PPO) | N/A | COMMERCIAL INSURANCE | FUNDING TYPE = SELF INSURED | 1991-07-13 | 379 | 174022MJAC | N/A | PR | false | FINNLEY | N/A | ZEV | N/A | N/A | N/A | NENY PPO BLENDED MED/SURG | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539665 | 2222 | 4793 | 8214726 | N/A | 4211935 | 2025-06-03 05:23:40.082057 | 2025-05-13 04:29:37.226259 |
| 2025-06-02 09:02:57.405653 | 2025-06-03 05:23:41.656924 | 8476458 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8476458 | Athletic Physical Therapy Inc | 1964-06-08 | 2025-06-09 | F | PT | N/A | YOUHANAIE | UQK557A62707 | TERESA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140526224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537881/check_8476458_3d0d46b2-2543-4380-af24-26204a15b3de.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 | N/A | N/A | N/A | 5537881 | 2222 | 4793 | 8214745 | N/A | 4210385 | 2025-06-03 05:23:41.656924 | 2026-03-06 18:49:17.116017 |
| 2025-06-02 09:02:57.348696 | 2025-06-03 05:01:59.426090 | 8476454 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8476454 | Athletic Physical Therapy Inc | 1951-06-30 | 2025-06-09 | U | PT | AE | CHADORCHI | 33261790711 | JAFFA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140526224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537483/check_8476454_4dd731eb-337c-4215-afb9-756d06681934.json | N/A | N/A | N/A | N/A | N/A | 33261790711 | N/A | N/A | AARP MEDICARE SUPPLEMENT BY UNITEDHEALTHCARE | N/A | 1951-06-30 | N/A | N/A | N/A | N/A | false | CHADORCHI | N/A | JAFFA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537483 | 2222 | 4802 | 8200126 | N/A | 4210038 | 2025-06-03 05:01:59.426090 | 2025-06-02 14:57:36.820684 |
| 2025-06-02 09:02:57.291595 | 2025-06-03 05:23:40.441136 | 8476450 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8476450 | Athletic Physical Therapy Inc | 1964-10-19 | 2025-06-09 | M | PT | AE | NIELSEN | XDP057A76330 | ROY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140526224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537188/check_8476450_87af7f8f-4ee5-47ba-83c1-a65242067caa.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 | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537188 | 2222 | 4802 | 8214733 | N/A | 4209789 | 2025-06-03 05:23:40.441136 | 2025-05-13 04:29:37.224215 |
| 2025-06-02 09:02:57.241401 | 2025-06-03 05:24:23.843263 | 8476444 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8476444 | Athletic Physical Therapy Inc | 1966-11-30 | 2025-06-04 | F | PT | N/A | SONDREAAL | WMC125993776001 | DIANE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140526224.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536323/check_8476444_4b3a4135-8033-4597-b961-08510e69174b.json | N/A | N/A | N/A | N/A | N/A | WMC125993776001 | Preferred Provider Organization (PPO) | WUNDERLICH-MALEC ENGINEERING, INC. CORE GROUP (PLAN 1) ACTIVES | BLUE SHIELD OF CALIFORNIA | FUNDING TYPE = SELF INSURED | 1966-11-30 | 725 | 10272720 | N/A | PR | false | SONDREAAL | N/A | PAUL | N/A | 9999-12-31 | 2023-05-01 | MED/SURG - PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5536323 | 2222 | 4793 | 8215265 | N/A | 4209086 | 2025-06-03 05:24:23.843263 | 2025-05-13 04:29:37.223507 |
| 2025-06-02 09:02:20.330286 | 2025-06-03 05:02:40.247586 | 8474391 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8474391 | Athletic Physical Therapy Inc | 1963-03-09 | 2025-06-05 | M | PT | N/A | GILLETTE | ZZA129013396001 | GRADY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.120012250.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539753/check_8474391_576acc65-b075-4232-a41e-96aef76e6882.json | N/A | N/A | N/A | N/A | N/A | ZZA129013396001 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1963-03-09 | 725 | 10527566 | N/A | N/A | false | GILLETTE | N/A | VICTORIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539753 | 2222 | 4801 | 8200424 | N/A | 4212009 | 2025-06-03 05:02:40.247586 | 2025-05-13 04:29:37.226332 |
| 2025-06-02 09:01:32.341572 | 2025-06-03 05:23:48.174725 | 8471476 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8471476 | Athletic Physical Therapy Inc | 1995-05-01 | 2025-06-09 | F | PT | N/A | CARTER | XDP836W19415 | BRITNEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140751146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676417/check_8471476_6e258ebc-21e2-4089-91d1-8df71f7e6aaf.json | N/A | N/A | N/A | N/A | N/A | XDP836W19415 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1995-05-01 | N/A | N/A | N/A | N/A | false | CARTER | N/A | BRITNEY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676417 | 2222 | 4801 | 8214828 | N/A | 4343473 | 2025-06-03 05:23:48.174725 | 2025-05-13 04:29:37.230950 |
| 2025-06-02 09:01:32.289235 | 2025-06-03 05:13:22.218556 | 8471473 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8471473 | Athletic Physical Therapy Inc | 1953-04-27 | 2025-06-09 | M | PT | AE | TEDDER | 00000390480 | CHARLES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140751146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676415/check_8471473_8a9768bd-a68f-4a37-8b04-8f919de22616.json | N/A | N/A | N/A | N/A | N/A | 00000390480 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-04-27 | N/A | N/A | N/A | N/A | false | TEDDER | N/A | CHARLES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676415 | 2222 | 4801 | 8207156 | N/A | 4343470 | 2025-06-03 05:13:22.218556 | 2025-05-13 04:29:37.230947 |
| 2025-06-02 09:01:32.252853 | 2025-06-03 05:24:14.650387 | 8471471 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8471471 | Athletic Physical Therapy Inc | 2001-04-04 | 2025-06-09 | F | PT | N/A | NEBENS | XNK909607418 | PAYTON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140751146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676414/check_8471471_f761d6cd-244f-4498-8092-ddc4862d1391.json | N/A | N/A | N/A | N/A | N/A | XNK909607418 | Preferred Provider Organization (PPO) | FIRST PACIFIC ADVISORS LP | BLUE SHIELD CALIFORNIA | N/A | 2001-04-04 | 100AVX000102 | W0109644 | N/A | PR | false | NEBENS | N/A | EDWARD | N/A | 9999-12-31 | 2022-10-01 | SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676414 | 2222 | 4802 | 8215153 | N/A | 4343466 | 2025-06-03 05:24:14.650387 | 2025-06-02 16:41:34.870528 |
| 2025-06-02 09:01:32.212020 | 2025-06-03 05:16:57.029550 | 8471470 | N/A | N/A | 39026 | UMR | 1114042165 | 8471470 | Athletic Physical Therapy Inc | 1998-08-12 | 2025-06-09 | M | PT | AE | YOUNG | 46629327 | CHRISTOPHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140751146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676405/check_8471470_72603f88-aa1b-4e70-b346-beb38a715993.json | N/A | N/A | N/A | N/A | N/A | 46629327 | N/A | UNITED TALENT AGENCY, LLC. | UMR | N/A | 1998-08-12 | 767000416652002 | 76416652 | N/A | N/A | false | YOUNG | N/A | CHRISTOPHER | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676405 | 2222 | 4802 | 8209201 | N/A | 4343460 | 2025-06-03 05:16:57.029550 | 2025-05-13 04:29:37.230938 |
| 2025-06-02 09:01:32.165104 | 2025-06-03 05:18:41.189211 | 8471467 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8471467 | Athletic Physical Therapy Inc | 1999-05-15 | 2025-06-09 | M | PT | AE | CAMPOS | U6223907103 | DEVON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140751146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676403/check_8471467_74ebe046-1b3e-49a6-82e1-108aa4cf4aed.json | N/A | N/A | N/A | N/A | N/A | U6223907103 | N/A | MORGAN STANLEY DOMESTIC HOLDINGS, INC. | CGLIC | N/A | 1999-05-15 | N/A | 3327984 | N/A | N/A | false | CAMPOS | N/A | DEVON | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676403 | 2222 | 4802 | 8210699 | N/A | 4343457 | 2025-06-03 05:18:41.189211 | 2025-05-13 04:29:37.230935 |
| 2025-06-02 09:01:32.118366 | 2025-06-03 05:17:28.926741 | 8471465 | N/A | N/A | 60054 | Aetna | 1114042165 | 8471465 | Athletic Physical Therapy Inc | 1996-10-14 | 2025-06-09 | F | PT | AE | HU | W290798901 | KERRY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140751146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676395/check_8471465_45ac9002-45a9-4894-9086-abd5f9f7e0d2.json | N/A | N/A | N/A | N/A | N/A | W290798901 | Point of Service (POS) | OMNICOM BENEFITS INC. | AETNA | N/A | 1996-10-14 | 0247086 | 024708602300010 | N/A | PS | false | HU | N/A | KERRY | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676395 | 2222 | 4802 | 8209611 | N/A | 4343450 | 2025-06-03 05:17:28.926741 | 2025-05-13 04:29:37.230928 |
| 2025-06-02 09:01:32.073252 | 2025-06-03 05:20:36.962329 | 8471463 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8471463 | Athletic Physical Therapy Inc | 1957-01-27 | 2025-06-09 | U | PT | AE | SHIRALI | 821763668 | MONAVAR | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140751146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676381/check_8471463_a1eb525b-aee2-48b9-8c86-806241c3676e.json | N/A | N/A | N/A | N/A | N/A | 821763668 | N/A | N/A | UNITED HEALTHCARE | N/A | 1957-01-27 | N/A | N/A | N/A | N/A | false | SHIRALI | N/A | MONAVAR | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676381 | 2222 | 4801 | 8212278 | N/A | 4343436 | 2025-06-03 05:20:36.962329 | 2025-06-05 16:13:34.180012 |
| 2025-06-02 09:01:32.024784 | 2025-06-03 05:24:15.041010 | 8471461 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8471461 | Athletic Physical Therapy Inc | 1989-01-09 | 2025-06-09 | F | PT | N/A | SELTER | XEA906445770 | RACHEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140751146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676380/check_8471461_dfbf68ff-85e1-4903-b59f-61e851b6006f.json | N/A | N/A | N/A | N/A | N/A | XEA906445770 | Preferred Provider Organization (PPO) | AV SQUAD LP | BLUE SHIELD CALIFORNIA | N/A | 1989-01-09 | 1000PPOX0001 | W0066517 | N/A | PR | false | SELTER | N/A | BRANDON | N/A | N/A | N/A | FULL PPO SPLIT DEDUCTIBLE 35 1000 80 60 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676380 | 2222 | 4793 | 8215157 | N/A | 4343435 | 2025-06-03 05:24:15.041010 | 2025-05-13 04:29:37.230915 |
| 2025-06-02 09:01:31.985892 | 2025-06-03 05:28:55.141694 | 8471459 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8471459 | Athletic Physical Therapy Inc | 1952-07-25 | 2025-06-09 | M | PT | AE | LANE | 4CA5FX1PJ56 | STEVEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250602.140751146.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676372/check_8471459_9b2e1852-c0d4-4a01-b914-8172ba64fc1b.json | N/A | N/A | N/A | N/A | N/A | 4CA5FX1PJ56 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-25 | S4802 | N/A | N/A | MB | false | LANE | N/A | STEVEN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676372 | 2222 | 4802 | 8218593 | N/A | 4219832 | 2025-06-03 05:28:55.141694 | 2025-05-13 04:29:37.230877 |
| 2025-06-02 02:48:32.372055 | 2025-06-02 02:48:36.350592 | 8468000 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1938-03-08 | 2025-06-02 | M | PT | AE | TEAGUE | 1T39QJ8JV30 | LEWIS | 4497 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543292/check_8468000_83aa75b8-09cc-4926-98de-47b400f8aec1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543292/check_8468000_fa40db8a-bf92-4826-9249-63f168532ff2.json | N/A | N/A | N/A | N/A | N/A | 1T39QJ8JV30 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1938-03-08 | N/A | N/A | N/A | MB | false | TEAGUE | N/A | LEWIS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5543292 | 2222 | N/A | 8165903 | N/A | 4215104 | 2025-06-02 02:48:36.350592 | 2025-05-13 04:29:37.229416 |
| 2025-06-02 02:35:49.738427 | 2025-06-02 02:35:56.574605 | 8467999 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-09-10 | 2025-06-02 | M | AD | N/A | WARD | XED913389013 | WILLIAM | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538121/check_8467999_74611935-904f-4830-a524-a19666dd11c9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538121/check_8467999_1d90d6d2-a31a-4ac7-8588-f985d07ca66b.json | N/A | N/A | N/A | N/A | N/A | XED913389013 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1993-09-10 | 2001ZK002169 | X0001004 | N/A | PR | false | WARD | N/A | WILLIAM | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5538121 | 2222 | N/A | 8165902 | N/A | 4210590 | 2025-06-02 02:35:56.574605 | 2025-05-13 04:29:37.225004 |
| 2025-06-02 02:34:28.025307 | 2025-06-02 02:34:36.828518 | 8467998 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-09-10 | 2025-06-02 | M | PT | AE | WARD | XED913389013 | WILLIAM | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538129/check_8467998_39816442-92c9-45ee-bd4f-d6be0c2b3763.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538129/check_8467998_f46e6716-5e67-4a27-aa16-0ca2299ec1fa.json | N/A | N/A | N/A | N/A | N/A | XED913389013 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1993-09-10 | 2001ZK002169 | X0001004 | N/A | PR | false | WARD | N/A | WILLIAM | N/A | 9999-12-31 | 2024-08-01 | IFP EMB PED VISION | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5538129 | 2222 | N/A | 8165901 | N/A | 4210590 | 2025-06-02 02:34:36.828518 | 2025-05-13 04:29:37.225004 |
| 2025-06-02 02:32:44.999603 | 2025-06-02 02:32:51.862752 | 8467997 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-09-10 | 2025-06-02 | M | AD | N/A | WARD | OSC7756691101 | WILLIAM | 1534 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538121/check_8467997_4acfc6e8-6a88-4fc7-b07c-3885b9bedd67.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538121/check_8467997_1608d4f4-b844-4bde-976f-4bf73ee186db.json | N/A | N/A | N/A | N/A | N/A | OSC775669110100 | N/A | N/A | OSCAR | PATIENT IS NOT COVERED BASED ON DATA AVAILABLE AS OF DATE OF REQUEST. CONTACT OTHER ENTITY TO VALIDATE | 1993-09-10 | N/A | N/A | N/A | N/A | false | WARD | N/A | WILLIAM | N/A | N/A | N/A | N/A | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5538121 | 2222 | N/A | 8165900 | N/A | 4210590 | 2025-06-02 02:32:51.862752 | 2025-05-13 04:29:37.225004 |
| 2025-06-02 02:28:36.767414 | 2025-06-02 02:28:39.756223 | 8467996 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-07-06 | 2025-06-02 | F | PT | N/A | WONG | MBL238A51912 | LOIS | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874429/check_8467996_88efd8a8-c7ef-48f1-9c15-549e9190726a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874429/check_8467996_ab2ea1bb-cd86-45aa-8af3-c40ea4d556ac.json | N/A | N/A | N/A | N/A | N/A | MBL238A51912 | N/A | LOS ANGELES CITY EMPLOYEES' RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1954-07-06 | 040 | CA039GRS | N/A | N/A | false | WONG | N/A | LOIS | N/A | 9999-12-31 | 2022-01-01 | CA GRS LACERS H4036-801 ANTHEM MEDICARE PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5874429 | 2222 | N/A | 8165899 | N/A | 4534558 | 2025-06-02 02:28:39.756223 | 2025-06-02 02:24:50.975707 |
| 2025-06-02 02:07:41.891299 | 2025-06-02 02:07:44.626473 | 8467986 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-04-04 | 2025-06-02 | F | PT | N/A | NEBENS | XNK909607418 | PAYTON | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676414/check_8467986_306bc999-2e03-449a-b3f4-63623a9c131f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676414/check_8467986_73ee389a-780e-49a5-9650-1333b3ae396d.json | N/A | N/A | N/A | N/A | N/A | XNK909607418 | Preferred Provider Organization (PPO) | FIRST PACIFIC ADVISORS LP | BLUE SHIELD CALIFORNIA | N/A | 2001-04-04 | 100AVX000102 | W0109644 | N/A | PR | false | NEBENS | N/A | EDWARD | N/A | 2027-04-30 | 2025-01-01 | PLATINUM TANDEM PPO 250 15 OFFEX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5676414 | 2222 | N/A | 8149930 | N/A | 4343466 | 2025-06-02 02:07:44.626473 | 2025-06-02 16:41:34.870528 |
| 2025-06-02 02:07:38.267511 | 2025-06-02 02:07:41.888167 | 8467985 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2001-04-04 | 2025-06-02 | F | PT | N/A | NEBENS | XNK909607418 | PAYTON | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676414/check_8467985_c95b4698-6276-408d-bb0a-2fd6a477af56.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-02 | N/A | N/A | N/A | N/A | N/A | N/A | XNK909607418 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2001-04-04 | N/A | N/A | N/A | N/A | false | NEBENS | N/A | PAYTON | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5676414 | 2222 | N/A | N/A | N/A | 4343466 | 2025-06-02 02:07:41.888167 | 2025-06-02 16:41:34.870528 |