API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-22 20:04:59.018603 | 2025-09-23 05:30:44.172378 | 12579668 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12579668 | Athletic Physical Therapy Inc | 1958-03-16 | 2025-09-24 | F | AE | PT | SCHILLER | XEM913975324 | JUDY | 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/2222/7018196/check_12579668_b27d0d8f-2f47-41b4-b8b8-cee84f11a90f.json | N/A | N/A | N/A | N/A | N/A | XEM913975324 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1958-03-16 | 2002SEW00028 | X0001002 | N/A | OT | false | SCHILLER | N/A | JUDY | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846709837 | N/A | N/A | 7018196 | 2222 | 4802 | 12827322 | N/A | 4534564 | 2025-09-23 05:30:44.172378 | 2025-05-22 18:42:12.452816 |
| 2025-09-22 20:04:58.927222 | 2025-09-23 05:35:05.455763 | 12579660 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12579660 | Athletic Physical Therapy Inc | 1973-05-29 | 2025-09-23 | M | AE | PT | KIM | 96135332F | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231119958.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6917652/check_12579660_d167dd4e-1255-4ca1-bfd2-ad76f01db6ab.json | N/A | N/A | N/A | N/A | N/A | 96135332F | N/A | MCLA WELL ND ME>=21 | LA CARE HEALTH PLAN | N/A | 1973-05-29 | MCLA | MWLLNMEG21 | N/A | N/A | false | KIM | N/A | JOSEPH | N/A | 2078-12-31 | 2023-09-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846735912 | N/A | N/A | 6917652 | 2222 | 4802 | 12829265 | N/A | 5949044 | 2025-09-23 05:35:05.455763 | 2025-07-08 23:15:13.625855 |
| 2025-09-22 20:04:48.955210 | 2025-09-23 06:08:00.007504 | 12578985 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12578985 | Athletic Physical Therapy Inc | 1945-08-03 | 2025-09-24 | M | AE | PT | GORMLEY | 4UH0QA1WF00 | MICHAEL | 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/2222/7214829/check_12578985_9a633a41-2293-4fcd-a688-cccf16d57c7d.json | N/A | N/A | N/A | N/A | N/A | 4UH0QA1WF00 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-08-03 | S5921 | N/A | N/A | MA | false | GORMLEY | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846698922 | N/A | N/A | 7214829 | 2222 | 4802 | 12841449 | N/A | 4209498 | 2025-09-23 06:08:00.007504 | 2025-09-22 06:46:20.286658 |
| 2025-09-22 20:04:46.176548 | 2025-09-23 10:04:36.093821 | 12578813 | N/A | N/A | 60054 | Aetna | 1114042165 | 12578813 | Athletic Physical Therapy Inc | 1970-07-15 | 2025-09-23 | M | AE | PT | BAKER | W225972262 | MATTHEW | 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/2222/9411210/check_12578813_4594c04b-4e71-4677-832e-a03e093d58e2.json | N/A | N/A | N/A | N/A | N/A | W225972262 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 1970-07-15 | 0232495 | 023249501300055 | N/A | PS | false | HOBAN-BAKER | N/A | AMY | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846642824 | N/A | N/A | 9411210 | 2222 | 4802 | 12850562 | N/A | 7880075 | 2025-09-23 10:04:36.093821 | 2025-10-01 14:29:57.963249 |
| 2025-09-22 20:04:44.815744 | 2025-09-23 10:28:54.928308 | 12578722 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12578722 | Athletic Physical Therapy Inc | 1955-07-01 | 2025-09-25 | F | AE | PT | GREER | 7H09HW9QG44 | ROBIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.230620263.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9411083/check_12578722_880e01e6-2b88-4139-8b4b-b82b31c5c840.json | N/A | N/A | N/A | N/A | N/A | 7H09HW9QG44 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-07-01 | S5601 | N/A | N/A | MA | false | GREER | N/A | ROBIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846642821 | N/A | N/A | 9411083 | 2222 | 4802 | 12863527 | N/A | 7879863 | 2025-09-23 10:28:54.928308 | 2026-02-04 18:21:13.840230 |
| 2025-09-22 20:04:43.331691 | 2025-09-23 05:29:24.792876 | 12578631 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 12578631 | Athletic Physical Therapy Inc | 1953-06-18 | 2025-09-25 | M | AE | PT | CARINO | 166067001 | RODOLFO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.230626454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8472317/check_12578631_d1b9fb6d-88ab-42b7-857c-26abfebb5742.json | N/A | N/A | N/A | N/A | N/A | 166067001 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1953-06-18 | N/A | HCFA21 | N/A | HN | false | CARINO | N/A | RODOLFO | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846685353 | N/A | N/A | 8472317 | 2222 | 4802 | 12826501 | N/A | 6543380 | 2025-09-23 05:29:24.792876 | 2025-08-01 17:39:00.802055 |
| 2025-09-22 20:04:42.482337 | 2025-09-23 05:41:41.154592 | 12578574 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12578574 | Athletic Physical Therapy Inc | 1966-04-28 | 2025-09-23 | F | PT | N/A | HAZARD | NCF794W22253 | PAULA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.230025272.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472283/check_12578574_d87501b8-dbbd-40bf-b122-884a401e581b.json | N/A | N/A | N/A | N/A | N/A | NCF794W22253 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1966-04-28 | 040 | 57AJCA | N/A | HM | false | HAZARD | N/A | PAULA | N/A | 9999-12-31 | 2025-01-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846613967 | N/A | N/A | 6472283 | 2222 | 4801 | 12832285 | N/A | 5105323 | 2025-09-23 05:41:41.154592 | 2025-07-02 18:01:41.077949 |
| 2025-09-22 20:04:40.989732 | 2025-09-23 10:11:15.511244 | 12578470 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12578470 | Athletic Physical Therapy Inc | 1948-07-07 | 2025-09-23 | F | AE | PT | GOEL | JQE690A74746 | VEENA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.225928703.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969545/check_12578470_4083821f-5449-41b2-87b1-05f4688999e6.json | N/A | N/A | N/A | N/A | N/A | JQE690A74746 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1948-07-07 | 040 | CASUPWP0 | N/A | N/A | false | GOEL | N/A | VEENA | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846609444 | N/A | N/A | 8969545 | 2222 | 4802 | 12855729 | N/A | 7485064 | 2025-09-23 10:11:15.511244 | 2025-12-29 22:41:16.623495 |
| 2025-09-22 20:04:40.431698 | 2025-09-23 05:19:43.191580 | 12578428 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 12578428 | override_provider | 1986-05-15 | 2025-09-25 | M | PT | N/A | Chizever | SBN015146 | Geoffrey | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.230626454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471737/check_12578428_2dce5886-250b-48f3-81fe-c095d24f18be.json | N/A | N/A | N/A | N/A | N/A | SBN015146 | Preferred Provider Organization (PPO) | SBN STANDARD OPTION | BLUE SHIELD OF CALIFORNIA | N/A | 1986-05-15 | N/A | SBN | N/A | PR | false | CHIZEVER | N/A | GEOFFREY | N/A | 9999-12-31 | 2020-01-01 | SBN STANDARD OPTION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846685343 | N/A | N/A | 8471737 | 2222 | 4802 | 12820578 | N/A | 7142683 | 2025-09-23 05:19:43.191580 | 2026-01-12 20:01:37.957097 |
| 2025-09-22 20:04:38.558937 | 2025-09-23 05:32:24.067499 | 12578294 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12578294 | Athletic Physical Therapy Inc | 1957-01-26 | 2025-09-24 | F | PT | N/A | TAKAHATA | XEE980555379 | NANCY | 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/2222/8471583/check_12578294_912fe8f3-76d6-4a0d-828d-9243bd9245b0.json | N/A | N/A | N/A | N/A | N/A | XEE980555379 | Other | MEDICARE ADVANTAGE INDIVIDUAL | BLUE SHIELD CALIFORNIA | N/A | 1957-01-26 | 1000HMOX0019 | W0051752 | N/A | OT | false | TAKAHATA | N/A | NANCY | N/A | 9999-12-31 | 2022-11-01 | BLUE SHIELD 65 PLUS OPTIONAL SUPPLEMENTAL DENTAL P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846687164 | N/A | N/A | 8471583 | 2222 | 4802 | 12828017 | N/A | 7142489 | 2025-09-23 05:32:24.067499 | 2025-08-25 17:38:35.061335 |
| 2025-09-22 20:04:37.906271 | 2025-09-23 05:25:17.844410 | 12578245 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 12578245 | Athletic Physical Therapy Inc | 1971-12-09 | 2025-09-25 | F | AE | PT | OSTERHOUDT | U2156506701 | TRACY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.230626454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471577/check_12578245_697fdecc-f2aa-4a54-bc8e-ae8923e9c8fc.json | N/A | N/A | N/A | N/A | N/A | U2156506701 | Health Maintenance Organization (HMO) | CAPITAL GROUP | CGLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1971-12-09 | N/A | 3173816 | N/A | HM | false | OSTERHOUDT | N/A | TRACY | N/A | N/A | N/A | NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846687162 | N/A | N/A | 8471577 | 2222 | 4801 | 12824105 | N/A | 7142472 | 2025-09-23 05:25:17.844410 | 2025-09-06 16:19:59.701160 |
| 2025-09-22 20:04:32.646433 | 2025-09-23 05:30:04.032922 | 12577846 | N/A | N/A | CCHPC | ALIGNMENT HEALTH CARE | 1114042165 | 12577846 | Athletic Physical Therapy Inc | 1950-08-30 | 2025-09-23 | M | AE | PT | VILLA | 00000293779 | RAMON | 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/2222/8471007/check_12577846_750df6aa-fe1b-4934-b502-f0f9a28c2da6.json | N/A | N/A | N/A | N/A | N/A | 00000293779 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1950-08-30 | H3815028 | N/A | N/A | HM | false | VILLA | N/A | RAMON | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846687141 | N/A | N/A | 8471007 | 2222 | 4801 | 12826903 | 2630 | 7142042 | 2025-09-23 05:30:04.032922 | 2025-08-25 17:21:31.750932 |
| 2025-09-22 20:04:32.283051 | 2025-09-23 05:28:25.226292 | 12577820 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12577820 | Athletic Physical Therapy Inc | 1998-10-29 | 2025-09-23 | M | PT | N/A | MARSHALL | AGSAH0066119 | THOMAS | 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/2222/7003223/check_12577820_0a8cc5df-3073-4ebd-8eaa-6cdc602a26fb.json | N/A | N/A | N/A | N/A | N/A | AGSAH0066119 | N/A | PEPPERDINE UNIVERSITY | ANTHEM BLUE CROSS | N/A | 1998-10-29 | 040 | 276500MG04 | N/A | N/A | false | MARSHALL | N/A | THOMAS | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846708929 | N/A | N/A | 7003223 | 2222 | 4793 | 12826016 | N/A | 6021448 | 2025-09-23 05:28:25.226292 | 2025-07-14 23:05:51.728886 |
| 2025-09-22 20:04:31.539194 | 2025-09-23 10:06:28.555211 | 12577763 | N/A | N/A | 52192 | Bravo Health | 1114042165 | 12577763 | Athletic Physical Therapy Inc | 1957-05-08 | 2025-09-23 | F | AE | PT | CHICAS | 18628759501 | MARIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.225928703.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8958480/check_12577763_62e22802-1170-4eca-b6dd-07265ddb7de2.json | N/A | N/A | N/A | N/A | N/A | 18628759501 | N/A | N/A | BRAVO HEALTH | N/A | 1957-05-08 | N/A | N/A | N/A | N/A | false | CHICAS | N/A | MARIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846608694 | N/A | N/A | 8958480 | 2222 | 4802 | 12852002 | N/A | 6965620 | 2025-09-23 10:06:28.555211 | 2025-09-03 23:20:10.287852 |
| 2025-09-22 20:04:29.463800 | 2025-09-23 05:19:48.508609 | 12577594 | N/A | N/A | 60054 | Aetna | 1114042165 | 12577594 | Athletic Physical Therapy Inc | 1948-01-06 | 2025-09-24 | F | AE | PT | FRITH SMITH | 0AT0025978 | BARBARA | 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/2222/6998368/check_12577594_99453e6f-9efc-4415-82fc-bb2785ba823b.json | N/A | N/A | N/A | N/A | N/A | 0AT0025978 | N/A | N/A | AETNA INC | N/A | 1948-01-06 | N/A | N/A | N/A | N/A | 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 | 8846708918 | N/A | N/A | 6998368 | 2222 | 4801 | 12820632 | N/A | 6017959 | 2025-09-23 05:19:48.508609 | 2025-07-14 18:22:35.995798 |
| 2025-09-22 20:04:20.446384 | 2025-09-23 05:20:20.335592 | 12576933 | N/A | N/A | 60054 | Aetna | 1114042165 | 12576933 | Athletic Physical Therapy Inc | 1976-05-10 | 2025-09-24 | M | AE | PT | RAMIREZ | 9537353099 | ROY | 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/2222/6865171/check_12576933_acf80e79-da6e-4113-b76c-b5181cdd690e.json | N/A | N/A | N/A | N/A | N/A | 9537353099 | Group Policy | N/A | AETNA INC | PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE INFORMATION | 1976-05-10 | A01 | 20086 | N/A | GP | false | RAMIREZ | N/A | ROY | N/A | N/A | N/A | SP1 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846736436 | N/A | N/A | 6865171 | 2222 | 4801 | 12820959 | N/A | 5902840 | 2025-09-23 05:20:20.335592 | 2025-07-28 18:58:27.354873 |
| 2025-09-22 20:04:15.316195 | 2025-09-23 05:30:27.274423 | 12576579 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12576579 | Athletic Physical Therapy Inc | 1947-12-03 | 2025-09-25 | M | PT | N/A | WONG | MBL700W07323 | STANLEY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.230626454.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8469090/check_12576579_6efe393c-46fa-4f9f-84b4-58ca0bd1a165.json | N/A | N/A | N/A | N/A | N/A | MBL700W07323 | N/A | UNITED FOOD AND COMMERCIAL WORKERS UNIONS | ANTHEM BLUE CROSS | N/A | 1947-12-03 | 040 | CAEGR014 | N/A | N/A | false | WONG | N/A | STANLEY | N/A | 9999-12-31 | 2021-01-01 | CA GRS UFCW UNION H4036-802 ANTHEM MED PREF MA 25P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846687032 | N/A | N/A | 8469090 | 2222 | 4802 | 12827162 | N/A | 7140615 | 2025-09-23 05:30:27.274423 | 2025-09-05 16:51:17.488032 |
| 2025-09-22 20:04:12.044632 | 2025-09-23 10:07:35.275192 | 12576362 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12576362 | Athletic Physical Therapy Inc | 2009-10-25 | 2025-09-23 | F | PT | N/A | TAITE | JQU200A62919 | SERAPHINA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.225420184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9610001/check_12576362_6f274b9e-57b0-4e85-8bc7-06b4a580ff3c.json | N/A | N/A | N/A | N/A | N/A | JQU200A62919 | Preferred Provider Organization (PPO) | TREATMENT CENTER MANAGEMENT CORPORATION | BLUE SHIELD OF CALIFORNIA | N/A | 2009-10-25 | 040 | U26732 | N/A | PR | false | TAITE | N/A | RICHARD | N/A | 9999-12-31 | 2025-05-01 | CA SG ANTHEM PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846595927 | N/A | N/A | 9610001 | 2222 | 4802 | 12852802 | N/A | 8040917 | 2025-09-23 10:07:35.275192 | 2025-09-22 14:19:04.386066 |
| 2025-09-22 20:04:11.144973 | 2025-09-23 06:07:49.633624 | 12576301 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12576301 | Athletic Physical Therapy Inc | 1959-02-09 | 2025-09-24 | F | AE | PT | FERTSCHNEIDER | 4DU9YG4YD46 | NANCY | 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/2222/7204595/check_12576301_32429b9d-61cf-4c70-a0f7-a002dacc3e48.json | N/A | N/A | N/A | N/A | N/A | 4DU9YG4YD46 | Medicare Part A | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-09 | S5884 | N/A | N/A | MA | false | FERTSCHNEIDER | N/A | NANCY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846699418 | N/A | N/A | 7204595 | 2222 | 4801 | 12841417 | N/A | 6175435 | 2025-09-23 06:07:49.633624 | 2025-08-05 19:05:08.506352 |
| 2025-09-22 20:04:09.735288 | 2025-09-23 05:23:58.468414 | 12576206 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12576206 | Athletic Physical Therapy Inc | 1969-01-08 | 2025-09-24 | F | AE | PT | ALROMAIH | 91237812E | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.225932368.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993940/check_12576206_a74ace9d-1ffd-463c-bd2f-b12b93396a05.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846618631 | N/A | N/A | 5993940 | 2222 | 4802 | 12823216 | N/A | 4642877 | 2025-09-23 05:23:58.468414 | 2025-12-23 23:49:16.627667 |
| 2025-09-22 20:04:09.528452 | 2025-09-23 05:35:27.402024 | 12576198 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12576198 | Athletic Physical Therapy Inc | 1997-07-22 | 2025-09-25 | M | PT | N/A | BUCKWALD | XED914061341 | BLAKE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.225932368.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993926/check_12576198_b52c1d38-37ad-4173-83a2-dbe27869f2b0.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 VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846618629 | N/A | N/A | 5993926 | 2222 | 4802 | 12829389 | N/A | 4642862 | 2025-09-23 05:35:27.402024 | 2025-05-28 20:59:09.029689 |
| 2025-09-22 20:04:09.343688 | 2025-09-23 05:29:35.230683 | 12576189 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12576189 | Athletic Physical Therapy Inc | 1993-10-14 | 2025-09-25 | M | PT | N/A | SPENCE | SGEFW1503472 | STEPHEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.225932368.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993917/check_12576189_f2717b11-bc36-4f1d-9bae-2cc95cc31585.json | N/A | N/A | N/A | N/A | N/A | SGEFW1503472 | Preferred Provider Organization (PPO) | UNITED FOOD & COMMERCIAL WORKERS UNION | ANTHEM BLUE CROSS | N/A | 1993-10-14 | 040 | 276886M003 | N/A | PR | false | SPENCE | N/A | STEPHEN | N/A | 9999-12-31 | 2024-01-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846618628 | N/A | N/A | 5993917 | 2222 | 4793 | 12826597 | N/A | 4642854 | 2025-09-23 05:29:35.230683 | 2025-05-28 20:57:05.075130 |
| 2025-09-22 20:04:09.130384 | 2025-09-23 05:29:30.899693 | 12576178 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12576178 | Athletic Physical Therapy Inc | 1961-08-22 | 2025-09-25 | M | PT | N/A | LY | ZYF589M98531 | FRANCIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.225932368.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993906/check_12576178_f2398e18-8e98-41de-bfbf-2e2beb8f5589.json | N/A | N/A | N/A | N/A | N/A | ZYF589M98531 | Preferred Provider Organization (PPO) | MANAGEMENT | ANTHEM BLUE CROSS | N/A | 1961-08-22 | 040 | 174257M2A1 | N/A | PR | false | LY | N/A | FRANCIS | N/A | 2025-10-01 | 2019-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846618627 | N/A | N/A | 5993906 | 2222 | 4801 | 12826559 | N/A | 4534584 | 2025-09-23 05:29:30.899693 | 2025-06-02 22:12:48.722054 |
| 2025-09-22 20:04:08.603576 | 2025-09-23 06:08:04.241087 | 12576146 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12576146 | Athletic Physical Therapy Inc | 1945-01-03 | 2025-09-23 | M | AE | PT | KIRK | 8Q34XD0CC92 | DANIEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.225824017.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9261302/check_12576146_d5dabf97-796a-41cf-8d7f-e6541d5d7d4b.json | N/A | N/A | N/A | N/A | N/A | 8Q34XD0CC92 | Medicare Part A | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-01-03 | H5522 | N/A | N/A | MA | false | KIRK | N/A | DANIEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846614258 | N/A | N/A | 9261302 | 2222 | 4801 | 12841468 | N/A | 6476881 | 2025-09-23 06:08:04.241087 | 2025-07-29 22:42:05.499172 |
| 2025-09-22 20:04:06.696820 | 2025-09-23 05:31:43.504480 | 12576027 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 12576027 | Athletic Physical Therapy Inc | 1983-04-06 | 2025-09-24 | F | PT | N/A | JOHNSON | 907100866000 | HEATHER | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.225824017.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9258804/check_12576027_3f40a211-7d01-44cd-903d-de9bba8ca2d8.json | N/A | N/A | N/A | N/A | N/A | XEH907100866 | Health Maintenance Organization (HMO) | COUNTY OF VENTURA ACTIVES | BLUE SHIELD CALIFORNIA | N/A | 1983-04-06 | 1000HMOX0002 | W0067449 | N/A | HM | false | JOHNSON | N/A | HEATHER | N/A | N/A | N/A | COUNTY OF VENTURA ACTIVES CUSTOM ACCESS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846614239 | N/A | N/A | 9258804 | 2222 | 4801 | 12827750 | N/A | 4213256 | 2025-09-23 05:31:43.504480 | 2025-05-13 04:29:37.227582 |
| 2025-09-22 20:04:06.143568 | 2025-09-23 05:26:11.784361 | 12575990 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12575990 | Athletic Physical Therapy Inc | 1952-08-31 | 2025-09-24 | M | PT | N/A | VACA | JQS284W10343 | STEVEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.225824017.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9258711/check_12575990_885b8428-dea1-4e23-aa10-b66edd810e32.json | N/A | N/A | N/A | N/A | N/A | JQS284W10343 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1952-08-31 | 040 | CAMCRWP0 | N/A | MP | false | VACA | N/A | STEVEN | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846614235 | N/A | N/A | 9258711 | 2222 | 4801 | 12824665 | 4184 | 7768967 | 2025-09-23 05:26:11.784361 | 2025-09-17 16:11:31.615033 |
| 2025-09-22 20:04:04.431797 | 2025-09-23 05:39:22.647805 | 12575897 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12575897 | Athletic Physical Therapy Inc | 1967-03-31 | 2025-09-24 | F | PT | N/A | BARRERA | XEH903839121 | LOLA | 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/2222/7203168/check_12575897_972b2f4c-4290-4a97-8467-8b417b331207.json | N/A | N/A | N/A | N/A | N/A | XEH903839121 | Health Maintenance Organization (HMO) | CVT MOORPARK USD | BLUE SHIELD CALIFORNIA | N/A | 1967-03-31 | 1000HMOX0005 | W0052266 | N/A | HM | false | BARRERA | N/A | LOLA | N/A | N/A | N/A | CALIFORNIA S VALUED TRUST CUSTOM HMO 10 0 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846699399 | N/A | N/A | 7203168 | 2222 | 4793 | 12831113 | N/A | 5230345 | 2025-09-23 05:39:22.647805 | 2025-07-11 20:32:03.183345 |
| 2025-09-22 20:04:01.594751 | 2025-09-23 10:11:58.744730 | 12575724 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12575724 | Athletic Physical Therapy Inc | 1957-07-28 | 2025-09-25 | F | AE | PT | NANVAR | XEM905919639 | GUITY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.225928703.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8650849/check_12575724_79b89611-c1d5-4cfe-9f46-fe33d7a2e9cd.json | N/A | N/A | N/A | N/A | N/A | XEM905919639 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1957-07-28 | 2004SE000030 | X0001002 | N/A | OT | false | NAMVAR | N/A | DAVID | 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 | 8846607806 | N/A | N/A | 8650849 | 2222 | 4802 | 12856353 | N/A | 7292786 | 2025-09-23 10:11:58.744730 | 2025-09-04 04:11:35.031790 |
| 2025-09-22 20:03:56.176785 | 2025-09-23 10:03:05.150643 | 12575361 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 12575361 | Athletic Physical Therapy Inc | 1952-07-08 | 2025-09-24 | F | AE | PT | STERINA | 31470398711 | ELIZABETH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.225928703.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8632770/check_12575361_9e848529-4262-4e4f-aeac-8553376d5ab3.json | N/A | N/A | N/A | N/A | N/A | 31470398711 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1952-07-08 | N/A | N/A | N/A | SP | false | STERINA | N/A | ELIZABETH | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN N | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846607771 | N/A | N/A | 8632770 | 2222 | 4802 | 12849251 | N/A | 7278220 | 2025-09-23 10:03:05.150643 | 2025-08-26 15:52:58.453727 |
| 2025-09-22 20:03:50.964129 | 2025-09-23 05:44:53.001256 | 12574975 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12574975 | Athletic Physical Therapy Inc | 1992-12-01 | 2025-09-23 | F | AE | PT | Mullen | 97749132H | Melissa | 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/2222/7799930/check_12574975_0a4cacb5-010c-47aa-9529-e88aeaf6b1bb.json | N/A | N/A | N/A | N/A | N/A | 97749132H | N/A | N/A | HEALTH NET, LLC | N/A | 1992-12-01 | N/A | N/A | N/A | N/A | false | MULLEN | N/A | MELISSA | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846778511 | N/A | N/A | 7799930 | 2222 | 4802 | 12833719 | N/A | 6641123 | 2025-09-23 05:44:53.001256 | 2025-08-06 00:00:36.528464 |
| 2025-09-22 20:03:50.734251 | 2025-09-23 10:11:58.251583 | 12574956 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12574956 | Athletic Physical Therapy Inc | 1955-11-13 | 2025-09-24 | F | AE | PT | GRANT | XEM910029614 | ROBIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.225928703.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8493312/check_12574956_c8b2c9a1-9300-4a51-836b-e9c025dc0f04.json | N/A | N/A | N/A | N/A | N/A | XEM910029614 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1955-11-13 | 2002SE000030 | X0001002 | N/A | OT | false | GRANT | 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 | 8846607735 | N/A | N/A | 8493312 | 2222 | 4802 | 12856345 | N/A | 7159835 | 2025-09-23 10:11:58.251583 | 2025-08-25 22:38:59.735145 |
| 2025-09-22 20:03:48.293706 | 2025-09-23 05:26:09.577454 | 12574780 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12574780 | Athletic Physical Therapy Inc | 1960-07-22 | 2025-09-25 | F | PT | N/A | Fairbairn | VUC381M87189 | SUSAN | 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/2222/9256797/check_12574780_cc5fa523-5ae7-43e5-bba0-20ff9b7b81e9.json | N/A | N/A | N/A | N/A | N/A | VUC381M87189 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1960-07-22 | 040 | 280509A400 | N/A | PR | false | RATSCH | N/A | CHRISTIAN | N/A | 9999-12-31 | 2023-01-01 | UC CARE PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846615029 | N/A | N/A | 9256797 | 2222 | 4802 | 12824640 | N/A | 7767722 | 2025-09-23 05:26:09.577454 | 2025-09-09 21:30:42.448470 |
| 2025-09-22 20:03:47.596004 | 2025-09-23 06:07:48.734465 | 12574720 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12574720 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-09-23 | M | AE | PT | JACOBS | 4XJ0X61FM35 | PATRICIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.231216415.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068049/check_12574720_bca38cbb-8f3d-496e-8950-01b81debfdea.json | N/A | N/A | N/A | N/A | N/A | 4XJ0X61FM35 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-25 | S5921 | N/A | N/A | MA | false | JACOBS | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846772209 | N/A | N/A | 6068049 | 2222 | 4793 | 12841413 | N/A | 4642852 | 2025-09-23 06:07:48.734465 | 2025-11-21 18:38:17.056437 |
| 2025-09-22 20:03:47.024676 | 2025-09-23 05:19:14.853440 | 12574669 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 12574669 | Athletic Physical Therapy Inc | 1956-07-11 | 2025-09-23 | M | AE | PT | ROGERS | 40066658301 | JOHN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.225824017.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9256747/check_12574669_d2cfb981-1a64-4724-aa4f-854c4400346f.json | N/A | N/A | N/A | N/A | N/A | 40066658301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1956-07-11 | 2025H5425001 | H5425M | N/A | N/A | false | ROGERS | N/A | JOHN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846615014 | N/A | N/A | 9256747 | 2222 | 4793 | 12820273 | N/A | 7767584 | 2025-09-23 05:19:14.853440 | 2025-09-09 21:16:10.468472 |
| 2025-09-22 20:03:44.101868 | 2025-09-23 05:38:57.008807 | 12574454 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 12574454 | Athletic Physical Therapy Inc | 1952-01-26 | 2025-09-23 | F | AE | PT | AGHA ZADEH SHARE | 40034093701 | FIMA | 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/2222/6582113/check_12574454_a6459bf0-f8a7-4d3b-98e4-57d72569d669.json | N/A | N/A | N/A | N/A | N/A | 40034093701 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1952-01-26 | 2025H5425001 | H5425M | N/A | N/A | false | AGHA ZADEH SHARE | N/A | FIMA | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846775993 | N/A | N/A | 6582113 | 2222 | 4801 | 12830893 | N/A | 5201198 | 2025-09-23 05:38:57.008807 | 2025-07-11 22:39:28.411632 |
| 2025-09-22 20:03:43.544744 | 2025-09-23 05:46:32.081137 | 12574412 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12574412 | Athletic Physical Therapy Inc | 1950-04-13 | 2025-09-23 | F | AE | PT | NATALI | 2XU8UK4DF50 | RENEE | 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/2222/8979192/check_12574412_497ce33f-5e13-4abc-85a0-1b124b1f0314.json | N/A | N/A | N/A | N/A | N/A | 2XU8UK4DF50 | Medicare Part B | N/A | HEALTH CARE SERVICE CORPORATION | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-04-13 | S5715 | N/A | N/A | MB | false | NATALI | N/A | RENEE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846825087 | N/A | N/A | 8979192 | 2222 | 4793 | 12834361 | N/A | 7498543 | 2025-09-23 05:46:32.081137 | 2025-10-14 17:13:32.178778 |
| 2025-09-22 20:03:37.392308 | 2025-09-23 10:12:12.645653 | 12573912 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12573912 | Athletic Physical Therapy Inc | 1976-12-11 | 2025-09-23 | M | AE | PT | NAGATSUKA | NCF475A62996 | ANTHONY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.225928703.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8454587/check_12573912_6722af57-01b0-4e8d-8421-883ae5950b9c.json | N/A | N/A | N/A | N/A | N/A | NCF475A62996 | Health Maintenance Organization (HMO) | LAUSD | BLUE SHIELD OF CALIFORNIA | N/A | 1976-12-11 | 040 | 57AJCA | N/A | HM | false | CHAO NAGATSUKA | N/A | ANGELITA | N/A | 9999-12-31 | 2024-08-01 | POWER SELECT HMO NETWORK 126+ | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846609363 | N/A | N/A | 8454587 | 2222 | 4801 | 12856569 | N/A | 6653733 | 2025-09-23 10:12:12.645653 | 2025-08-24 22:53:15.351116 |
| 2025-09-22 20:03:33.782212 | 2025-09-23 10:11:15.897267 | 12573573 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12573573 | Athletic Physical Therapy Inc | 1934-05-31 | 2025-09-24 | M | AE | PT | RANDERIA | R58901143 | BHUPENDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.225928703.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8420255/check_12573573_f3197e89-ce1c-436e-9d8b-585c784834a7.json | N/A | N/A | N/A | N/A | N/A | R58901143 | Preferred Provider Organization (PPO) | N/A | ANTHEM BLUE CROSS | N/A | 1934-05-31 | N/A | 106 | N/A | PR | false | RANDERIA | N/A | BHUPEN | N/A | 9999-12-31 | 2018-01-01 | STANDARD SECONDARY | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846609342 | N/A | N/A | 8420255 | 2222 | 4802 | 12855738 | N/A | 7097664 | 2025-09-23 10:11:15.897267 | 2026-04-30 18:11:14.979451 |
| 2025-09-22 20:03:31.725859 | 2025-09-23 10:11:38.160539 | 12573339 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12573339 | Athletic Physical Therapy Inc | 1959-03-28 | 2025-09-24 | M | AE | PT | NIAKAN | R144907774MM1 | NADER | 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/2222/9372365/check_12573339_982bad55-58b9-4487-aabd-800e2bbb51e2.json | N/A | N/A | N/A | N/A | N/A | R144907774MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1959-03-28 | N/A | N/A | N/A | N/A | false | NIAKAN | N/A | NADER | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846642586 | N/A | N/A | 9372365 | 2222 | 4801 | 12856040 | N/A | 7168203 | 2025-09-23 10:11:38.160539 | 2025-09-15 02:01:03.102080 |
| 2025-09-22 20:03:31.664373 | 2025-09-23 05:03:30.085104 | 12573330 | N/A | N/A | 60054 | Aetna | 1114042165 | 12573330 | Athletic Physical Therapy Inc | 2007-05-15 | 2025-09-24 | M | AE | PT | BAIRD | W295329957 | WILLIAM | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.225524209.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8391594/check_12573330_3b82b529-ef52-4fd2-8237-4d13af3853e0.json | N/A | N/A | N/A | N/A | N/A | W295329957 | Point of Service (POS) | PEPPERDINE UNIVERSITY | 90962060803 BLUE SHIELD OF CAL | N/A | 2007-05-15 | 0232487 | 023248701200001 | N/A | PS | false | BAIRD | N/A | SHAYA | N/A | N/A | N/A | OA MANAGED CHOICE POS HDHP | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846570018 | N/A | N/A | 8391594 | 2222 | 4793 | 12814670 | N/A | 4214747 | 2025-09-23 05:03:30.085104 | 2025-05-13 04:29:37.229066 |
| 2025-09-22 20:03:29.302307 | 2025-09-23 05:05:21.876503 | 12573117 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | 12573117 | Athletic Physical Therapy Inc | 1948-01-19 | 2025-09-23 | F | AE | PT | Machleit | 29029580 | Terri | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.225824017.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9253541/check_12573117_e728bf78-03a8-471b-81bd-2e339f27f397.json | N/A | N/A | N/A | N/A | N/A | 29029580 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1948-01-19 | 406-024-000 | N/A | N/A | N/A | false | MACHLEIT | N/A | TERRI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846613159 | N/A | N/A | 9253541 | 2222 | 4793 | 12815111 | N/A | 7764252 | 2025-09-23 05:05:21.876503 | 2025-09-11 22:35:02.402934 |
| 2025-09-22 20:03:24.583637 | 2025-09-23 10:07:26.393000 | 12572611 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12572611 | Athletic Physical Therapy Inc | 1982-01-28 | 2025-09-24 | M | AE | PT | MIGLIAZZO | XED914576125 | ANDREW | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.225420184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9561953/check_12572611_88684f62-a6ad-4b2c-8840-5f3c7068ca94.json | N/A | N/A | N/A | N/A | N/A | XED914576125 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1982-01-28 | 2001ZK002185 | X0001004 | N/A | PR | false | MIGLIAZZO | N/A | ANDREW | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846598106 | N/A | N/A | 9561953 | 2222 | 4793 | 12852698 | N/A | 4766470 | 2025-09-23 10:07:26.393000 | 2025-06-18 16:31:38.334570 |
| 2025-09-22 20:03:06.818939 | 2025-09-23 05:56:17.003212 | 12570619 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12570619 | Athletic Physical Therapy Inc | 1970-10-11 | 2025-09-24 | M | PT | N/A | Kahen | XEK909669840 | Shervin | 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/2222/7787192/check_12570619_6eb14dc8-71fe-43e9-9197-240175b62ba7.json | N/A | N/A | N/A | N/A | N/A | XEK909669840 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1970-10-11 | 2001ZK002195 | X0001000 | N/A | PR | false | KAHEN | N/A | SHERVIN | N/A | 9999-12-31 | 2025-05-18 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846777648 | N/A | N/A | 7787192 | 2222 | 4802 | 12837916 | N/A | 6631054 | 2025-09-23 05:56:17.003212 | 2025-12-12 20:45:04.787542 |
| 2025-09-22 20:03:06.443616 | 2025-09-23 05:35:22.308400 | 12570579 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12570579 | Athletic Physical Therapy Inc | 1950-06-19 | 2025-09-23 | M | PT | N/A | SMITH | JQE149M79948 | WILLIAM | 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/2222/7173793/check_12570579_1864d6a9-4fe4-4b26-8f2e-87dd403766c0.json | N/A | N/A | N/A | N/A | N/A | JQE149M79948 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1950-06-19 | 040 | CASUPWP0 | N/A | N/A | false | SMITH | N/A | WILLIAM | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846697949 | N/A | N/A | 7173793 | 2222 | 4793 | 12829349 | N/A | 6149539 | 2025-09-23 05:35:22.308400 | 2025-07-17 20:34:26.073953 |
| 2025-09-22 20:03:06.313610 | 2025-09-23 05:35:34.634957 | 12570564 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12570564 | Athletic Physical Therapy Inc | 1973-02-24 | 2025-09-23 | F | PT | N/A | TAKEMOTO | XED906098170 | NICOLE | 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/2222/5928752/check_12570564_de29ecaa-4f77-4786-88c2-0a3e7840235a.json | N/A | N/A | N/A | N/A | N/A | XED906098170 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1973-02-24 | 2001ZK002184 | X0001004 | N/A | PR | false | TAKEMOTO | N/A | NICOLE | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846619675 | N/A | N/A | 5928752 | 2222 | 4802 | 12829430 | N/A | 4583701 | 2025-09-23 05:35:34.634957 | 2025-07-24 17:50:11.805587 |
| 2025-09-22 20:03:01.509219 | 2025-09-23 05:43:06.243925 | 12570043 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12570043 | Athletic Physical Therapy Inc | 1961-03-07 | 2025-09-24 | F | PT | N/A | PERLOV | XEA905216171 | MERA | 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/2222/6814311/check_12570043_58e4f08e-6409-42c3-85f6-cd61f59190c4.json | N/A | N/A | N/A | N/A | N/A | XEA905216171 | Preferred Provider Organization (PPO) | LA CARE HEALTH PLAN | BLUE SHIELD CALIFORNIA | N/A | 1961-03-07 | 1000PPOX0003 | W0051027 | N/A | PR | false | PERLOV | N/A | MERA | N/A | 9999-12-31 | 2017-05-01 | HSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846737395 | N/A | N/A | 6814311 | 2222 | 4793 | 12832994 | N/A | 5856694 | 2025-09-23 05:43:06.243925 | 2025-07-07 18:45:06.287504 |
| 2025-09-22 20:03:00.705243 | 2025-09-23 05:43:02.488286 | 12569948 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12569948 | Athletic Physical Therapy Inc | 1976-09-20 | 2025-09-25 | M | PT | N/A | Bolton | XEK910377236 | Stephen | 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/2222/6814151/check_12569948_a93777d5-3be2-4e52-a248-8b13a2141328.json | N/A | N/A | N/A | N/A | N/A | XEK910377236 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1976-09-20 | 2001ZJ002648 | X0001000 | N/A | PR | false | BOLTON | N/A | STEPHEN | N/A | 9999-12-31 | 2021-02-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846737372 | N/A | N/A | 6814151 | 2222 | 4793 | 12832965 | N/A | 5856522 | 2025-09-23 05:43:02.488286 | 2025-07-10 02:16:48.328344 |
| 2025-09-22 20:03:00.277032 | 2025-09-23 10:11:09.617332 | 12569897 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12569897 | Athletic Physical Therapy Inc | 1956-05-22 | 2025-09-24 | F | AE | PT | CHOOBIN | 91331250G | KEFAYAT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.225928703.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8205059/check_12569897_2df8017c-ae35-4135-94b3-44cb1776523b.json | N/A | N/A | N/A | N/A | N/A | 91331250G | N/A | MCLA WELL DUAL AGED>=21 | LA CARE HEALTH PLAN | N/A | 1956-05-22 | MCLA | MWLLDAGG21 | N/A | N/A | false | CHOOBIN | N/A | KEFAYAT | N/A | 2078-12-31 | 2021-05-01 | LACARE MEDICAL | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846608493 | N/A | N/A | 8205059 | 2222 | 4793 | 12855649 | N/A | 6967073 | 2025-09-23 10:11:09.617332 | 2025-08-26 17:15:30.662072 |
| 2025-09-22 20:02:59.918981 | 2025-09-23 05:06:48.534158 | 12569849 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12569849 | Athletic Physical Therapy Inc | 1973-01-16 | 2025-09-24 | F | PT | N/A | FUSCO | JXN148A35914 | ANGELA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250922.225524209.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-24 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8221086/check_12569849_011f90e7-b60e-4e07-86b5-1b4b869f55b2.json | N/A | N/A | N/A | N/A | N/A | JXN148A35914 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1973-01-16 | N/A | N/A | N/A | N/A | false | FUSCO | N/A | ANGELA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8846573782 | N/A | N/A | 8221086 | 2222 | 4793 | 12815505 | N/A | 6978593 | 2025-09-23 05:06:48.534158 | 2025-09-18 02:55:14.560582 |
| 2025-09-22 20:02:59.187177 | 2025-09-23 05:20:19.396145 | 12569768 | N/A | N/A | 60054 | Aetna | 1114042165 | 12569768 | Athletic Physical Therapy Inc | 1987-03-27 | 2025-09-24 | M | AE | PT | RAFIQI | W291629581 | ROMAN | 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/2222/6813848/check_12569768_1a2fcb3c-6b10-464c-959f-bb4bff923727.json | N/A | N/A | N/A | N/A | N/A | W291629581 | Preferred Provider Organization (PPO) | PROVIDENCE HEALTH AND SERVICES | AETNA CHOICE POS II | N/A | 1987-03-27 | 0237590 | 023759003300001 | N/A | PR | false | RAFIQI | N/A | ROMAN | N/A | N/A | N/A | AETNA SUPPLEMENTAL CONTRACEPTIVE PPO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8846737343 | N/A | N/A | 6813848 | 2222 | 4801 | 12820951 | N/A | 5856139 | 2025-09-23 05:20:19.396145 | 2025-07-22 03:39:47.404623 |