API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-19 16:21:55.850038 | 2025-09-20 08:09:58.928170 | 12506727 | N/A | N/A | 60054 | Aetna | 1114042165 | 12506727 | Athletic Physical Therapy Inc | 1969-01-03 | 2025-09-22 | M | AE | PT | HUANG | W278191924 | DANNY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.192746258.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140246/check_12506727_66f8f532-b6c6-4f56-baf0-463291bd69dc.json | N/A | N/A | N/A | N/A | N/A | W278191924 | Point of Service (POS) | RIPPLING PEO 1, INC. | AETNA | N/A | 1969-01-03 | 0169696 | 016969601700012 | N/A | PS | false | HUANG | N/A | DANNY | N/A | N/A | N/A | OA MANAGED CHOICE POS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8828617261 | N/A | N/A | 6140246 | 2222 | 4802 | 12776269 | N/A | 4781166 | 2025-09-20 08:09:58.928170 | 2025-06-11 17:29:46.826705 |
| 2025-09-19 16:21:54.383057 | 2025-09-20 02:14:03.868056 | 12506703 | N/A | N/A | 60054 | Aetna | 1114042165 | 12506703 | Athletic Physical Therapy Inc | 1976-05-10 | 2025-09-22 | M | AE | PT | RAMIREZ | 9537353099 | ROY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.192742029.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6865171/check_12506703_e31ccbf5-c2ac-40dd-862b-483f585b71e3.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 | 8828620001 | N/A | N/A | 6865171 | 2222 | 4801 | 12757127 | N/A | 5902840 | 2025-09-20 02:14:03.868056 | 2025-07-28 18:58:27.354873 |
| 2025-09-19 16:21:45.509438 | 2025-09-20 02:25:53.262314 | 12506571 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12506571 | Athletic Physical Therapy Inc | 2006-05-31 | 2025-09-22 | F | PT | N/A | WARGNIER | XEA906576346 | CADENCE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.212322308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8674643/check_12506571_c06761c6-e0ce-42f7-847d-5de2900a5d61.json | N/A | N/A | N/A | N/A | N/A | XEA906576346 | Preferred Provider Organization (PPO) | NAIRMAC INC DBA PREMIER COACH | BLUE SHIELD CALIFORNIA | N/A | 2006-05-31 | 1000VX000102 | W0099736 | N/A | PR | false | WARGNIER | N/A | NEISHA | N/A | 9999-12-31 | 2025-06-01 | 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 | 8828509356 | N/A | N/A | 8674643 | 2222 | 4801 | 12762649 | N/A | 7309740 | 2025-09-20 02:25:53.262314 | 2025-09-12 11:13:33.919728 |
| 2025-09-19 16:21:43.082293 | 2025-09-20 02:24:39.044687 | 12506540 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12506540 | Athletic Physical Therapy Inc | 1969-01-24 | 2025-09-22 | F | AE | PT | DEBENEDICTIS | R00538590FS1 | JULIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.212322308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8673509/check_12506540_1c54cfa0-bd0d-4d42-bf8e-776b87765683.json | N/A | N/A | N/A | N/A | N/A | R00538590FS1 | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-24 | N/A | N/A | N/A | N/A | false | DEBENEDICTIS | N/A | JULIE | N/A | N/A | N/A | KWW PPOSBG | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8828509347 | N/A | N/A | 8673509 | 2222 | 4793 | 12761585 | N/A | 7308743 | 2025-09-20 02:24:39.044687 | 2025-09-08 16:19:09.101702 |
| 2025-09-19 16:21:41.846783 | 2025-09-20 02:26:16.341554 | 12506522 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12506522 | Athletic Physical Therapy Inc | 1952-08-20 | 2025-09-22 | M | PT | N/A | POLK | MBL292M95257 | KENNETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.211539974.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9022039/check_12506522_75debe6c-4223-43b4-a319-32439beb002a.json | N/A | N/A | N/A | N/A | N/A | MBL292M95257 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1952-08-20 | 040 | CAEGR002 | N/A | N/A | false | POLK | N/A | KENNETH | N/A | 9999-12-31 | 2021-01-01 | CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8828637864 | N/A | N/A | 9022039 | 2222 | 4801 | 12763012 | N/A | 7544773 | 2025-09-20 02:26:16.341554 | 2025-09-02 18:35:33.812098 |
| 2025-09-19 16:20:57.097509 | 2025-09-20 02:18:34.073850 | 12505806 | N/A | N/A | 60054 | Aetna | 1114042165 | 12505806 | Athletic Physical Therapy Inc | 1997-02-11 | 2025-09-22 | F | AE | PT | BELL | W29376563901 | FRANCESCA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.211539974.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9020239/check_12505806_181caa88-6078-4317-bcb4-53616fee8612.json | N/A | N/A | N/A | N/A | N/A | W293765639 | Point of Service (POS) | VINSON & ELKINS LLP | AETNA | N/A | 1997-02-11 | 0882904 | 088290401200015 | N/A | PS | false | BELL | N/A | FRANCESCA | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8828636750 | N/A | N/A | 9020239 | 2222 | 4802 | 12758730 | N/A | 7543693 | 2025-09-20 02:18:34.073850 | 2025-10-06 20:52:39.651223 |
| 2025-09-19 16:20:56.779853 | 2025-09-20 02:25:51.705480 | 12505800 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12505800 | Athletic Physical Therapy Inc | 1965-06-30 | 2025-09-22 | M | PT | N/A | GAMLOWSKI | XEH906942906 | JOHN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.212322308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8650498/check_12505800_927b133d-77d9-40f9-ae1a-6dd0f805b59f.json | N/A | N/A | N/A | N/A | N/A | XEH906942906 | Health Maintenance Organization (HMO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 1965-06-30 | 1478HMOX0001 | W0051411 | N/A | HM | false | GAMLOWSKI | N/A | JOHN | N/A | N/A | N/A | CALPERS ACTIVE ACCESS HMO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8828508349 | N/A | N/A | 8650498 | 2222 | 4801 | 12762626 | N/A | 7292599 | 2025-09-20 02:25:51.705480 | 2025-08-26 22:09:31.664811 |
| 2025-09-19 16:20:56.338294 | 2025-09-20 02:25:46.704743 | 12505790 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12505790 | Athletic Physical Therapy Inc | 2011-07-26 | 2025-09-22 | M | AE | PT | Alvarado | 93787602F | Alberto | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.211539974.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9020143/check_12505790_f6c3d80d-43fc-4c83-bff0-2a173546a8da.json | N/A | N/A | N/A | N/A | N/A | 93787602F | N/A | N/A | CENTENE CORPORATION | N/A | 2011-07-26 | N/A | N/A | N/A | N/A | false | ALVARADO | N/A | ALBERTO | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8828636749 | N/A | N/A | 9020143 | 2222 | 4802 | 12762547 | N/A | 7543577 | 2025-09-20 02:25:46.704743 | 2025-09-08 18:42:17.673186 |
| 2025-09-19 16:20:50.450976 | 2025-09-20 08:24:39.035948 | 12505692 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 12505692 | Athletic Physical Therapy Inc | 1958-01-09 | 2025-09-22 | F | AE | PT | MEISTER | 4042289 | JACQUELINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.192746258.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124078/check_12505692_4b4e553a-afb8-41da-816b-b4c43c821d23.json | N/A | N/A | N/A | N/A | N/A | 4042289 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1958-01-09 | N/A | N/A | N/A | N/A | false | MEISTER | N/A | JACQUELINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8828617626 | N/A | N/A | 6124078 | 2222 | 4793 | 12778165 | N/A | 4766789 | 2025-09-20 08:24:39.035948 | 2025-06-04 04:12:38.642669 |
| 2025-09-19 16:20:48.793063 | 2025-09-20 05:19:43.666147 | 12505657 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12505657 | Athletic Physical Therapy Inc | 1955-11-13 | 2025-09-22 | F | AE | PT | GRANT | XEM910029614 | ROBIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.194705723.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8493312/check_12505657_9c0242a8-5042-43d9-bd40-78e8631b823c.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 | 8828727201 | N/A | N/A | 8493312 | 2222 | 4802 | 12771767 | N/A | 7159835 | 2025-09-20 05:19:43.666147 | 2025-08-25 22:38:59.735145 |
| 2025-09-19 16:20:36.822816 | 2025-09-20 02:23:16.739635 | 12505404 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 12505404 | Athletic Physical Therapy Inc | 1947-05-27 | 2025-09-22 | F | AE | PT | OJEDA DE VALERIO | 40054924601 | MARCELINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.212322308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8634171/check_12505404_b3919ec6-03ce-4768-b9b7-5d1ca8950d9d.json | N/A | N/A | N/A | N/A | N/A | 40054924601 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1947-05-27 | 2025H5425001 | H5425M | N/A | N/A | false | OJEDA DE VALERIO | N/A | M | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8828510221 | N/A | N/A | 8634171 | 2222 | 4801 | 12760753 | N/A | 7279268 | 2025-09-20 02:23:16.739635 | 2025-09-01 17:13:14.403136 |
| 2025-09-19 16:20:27.568273 | 2025-09-20 02:20:47.854923 | 12505209 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12505209 | Athletic Physical Therapy Inc | 1961-03-07 | 2025-09-22 | F | PT | N/A | PERLOV | XEA905216171 | MERA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.192742029.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814311/check_12505209_d11e4d43-af13-433a-a205-4659cfd761b4.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 | 8828621402 | N/A | N/A | 6814311 | 2222 | 4793 | 12759745 | N/A | 5856694 | 2025-09-20 02:20:47.854923 | 2025-07-07 18:45:06.287504 |
| 2025-09-19 16:20:20.334328 | 2025-09-20 02:19:20.630902 | 12505059 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12505059 | Athletic Physical Therapy Inc | 1975-03-18 | 2025-09-22 | F | PT | N/A | FARRUKH | JXN208M92481 | ANBARIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.192742029.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6811878/check_12505059_308e50b6-9ecc-40e2-88a9-89c38d7b7f2b.json | N/A | N/A | N/A | N/A | N/A | JXN208M92481 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 1975-03-18 | 040 | 174222M9A1 | N/A | PR | false | FARRUKH | N/A | ANBARIN | N/A | 9999-12-31 | 2025-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8828621393 | N/A | N/A | 6811878 | 2222 | 4793 | 12759118 | N/A | 5854231 | 2025-09-20 02:19:20.630902 | 2025-07-07 16:52:38.056680 |
| 2025-09-19 16:20:18.684518 | 2025-09-20 02:30:08.254166 | 12505029 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12505029 | Athletic Physical Therapy Inc | 1955-11-13 | 2025-09-22 | F | AE | PT | GRANT | 9JA3JK2TK87 | ROBIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.212322308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8493311/check_12505029_27eea5fe-58f2-4c33-8aa8-b4022f76447d.json | N/A | N/A | N/A | N/A | N/A | 9JA3JK2TK87 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-11-13 | S4802 | N/A | N/A | MA | false | GRANT | 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 | 8828509333 | N/A | N/A | 8493311 | 2222 | 4802 | 12765623 | N/A | 7159835 | 2025-09-20 02:30:08.254166 | 2025-08-25 22:38:59.735145 |
| 2025-09-19 16:20:06.542768 | 2025-09-20 02:24:32.341440 | 12504773 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | 12504773 | Athletic Physical Therapy Inc | 1953-06-18 | 2025-09-22 | M | AE | PT | CARINO | 166067001 | RODOLFO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.212322308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8472317/check_12504773_62e592b6-2df9-44d2-9df1-fe1424730466.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 | 8828510179 | N/A | N/A | 8472317 | 2222 | 4802 | 12761485 | N/A | 6543380 | 2025-09-20 02:24:32.341440 | 2025-08-01 17:39:00.802055 |
| 2025-09-19 16:20:05.751466 | 2025-09-20 02:16:11.957262 | 12504755 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 12504755 | override_provider | 1986-05-15 | 2025-09-22 | M | PT | N/A | Chizever | SBN015146 | Geoffrey | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.212322308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471737/check_12504755_3e8b814d-6bbc-4068-93ce-c1248a5c03a9.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 | 8828510175 | N/A | N/A | 8471737 | 2222 | 4802 | 12757751 | N/A | 7142683 | 2025-09-20 02:16:11.957262 | 2026-01-12 20:01:37.957097 |
| 2025-09-19 16:20:04.824367 | 2025-09-20 02:25:52.829146 | 12504740 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12504740 | Athletic Physical Therapy Inc | 1957-01-26 | 2025-09-22 | F | PT | N/A | TAKAHATA | XEE980555379 | NANCY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.212322308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8471583/check_12504740_a28eaec6-90de-4e22-95d2-e9912a164765.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 | 2025-01-01 | BLUE SHIELD INSPIRE HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8828510172 | N/A | N/A | 8471583 | 2222 | 4802 | 12762644 | N/A | 7142489 | 2025-09-20 02:25:52.829146 | 2025-08-25 17:38:35.061335 |
| 2025-09-19 16:19:59.090328 | 2025-09-19 16:20:06.210951 | 12504612 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-03-28 | 2025-09-19 | F | AE | PT | SAGMAN | U9205101701 | SYDNEY | 4437 | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078312/check_12504612_d6fb9b2c-07e1-4e98-9a20-174e3422c741.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078312/check_12504612_3e1a7fdc-1a05-4ba3-9931-6deea14d21fd.json | N/A | N/A | N/A | N/A | N/A | U9205101701 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1996-03-28 | N/A | 3346355 | N/A | HM | false | SAGMAN | N/A | SYDNEY | N/A | N/A | N/A | NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8828485909 | N/A | N/A | 6078312 | 2222 | N/A | 12744432 | N/A | 4722569 | 2025-09-19 16:20:06.210951 | 2025-08-26 00:16:35.895658 |
| 2025-09-19 16:19:59.089086 | 2025-09-20 02:25:01.609591 | 12504611 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12504611 | Athletic Physical Therapy Inc | 1947-12-03 | 2025-09-22 | M | PT | N/A | WONG | MBL700W07323 | STANLEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.212322308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8469090/check_12504611_ab129c0e-ef72-4929-8b95-f56249d3b6df.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 | 8828510136 | N/A | N/A | 8469090 | 2222 | 4802 | 12761894 | N/A | 7140615 | 2025-09-20 02:25:01.609591 | 2025-09-05 16:51:17.488032 |
| 2025-09-19 16:19:36.182861 | 2025-09-20 08:40:43.370518 | 12504154 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12504154 | Athletic Physical Therapy Inc | 1929-02-22 | 2025-09-22 | M | AE | PT | SCOTT | 2F27FV6KJ47 | GEORGE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.192746258.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105989/check_12504154_5914e31f-3f87-4f40-b3e9-bc9b680c8bf0.json | N/A | N/A | N/A | N/A | N/A | 2F27FV6KJ47 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-02-22 | N/A | N/A | N/A | MA | false | SCOTT | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8828617196 | N/A | N/A | 6105989 | 2222 | 4802 | 12780521 | N/A | 4750274 | 2025-09-20 08:40:43.370518 | 2025-06-12 22:26:37.845238 |
| 2025-09-19 16:19:34.829099 | 2025-09-20 08:29:03.889034 | 12504116 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12504116 | Athletic Physical Therapy Inc | 1982-07-02 | 2025-09-22 | M | PT | N/A | DRISCOLL | XED912182768 | JAMES | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.192746258.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104970/check_12504116_0cc46af8-6c50-4a13-a72e-800e9800cfac.json | N/A | N/A | N/A | N/A | N/A | XED912182768 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1982-07-02 | 2001ZK002184 | X0001004 | N/A | PR | false | DRISCOLL | N/A | JAMES | N/A | 9999-12-31 | 2025-01-01 | SILVER 94 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8828617192 | N/A | N/A | 6104970 | 2222 | 4802 | 12779069 | N/A | 4749447 | 2025-09-20 08:29:03.889034 | 2025-06-06 23:16:09.869339 |
| 2025-09-19 16:19:29.438658 | 2025-09-20 02:25:52.063695 | 12504007 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12504007 | Athletic Physical Therapy Inc | 2001-07-17 | 2025-09-22 | M | PT | N/A | HUNTER | XEK905471650 | KYLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.212322308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8420132/check_12504007_e30f8f09-a8d2-4406-b4cb-5cbc8f65a62c.json | N/A | N/A | N/A | N/A | N/A | XEK905471650 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2001-07-17 | 2001ZK002189 | X0001000 | N/A | PR | false | HUNTER | N/A | MARK | N/A | 9999-12-31 | 2021-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8828508873 | N/A | N/A | 8420132 | 2222 | 4801 | 12762631 | N/A | 7097528 | 2025-09-20 02:25:52.063695 | 2025-08-25 23:26:20.393423 |
| 2025-09-19 16:18:55.201482 | 2025-09-19 16:19:02.188672 | 12503565 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-07-24 | 2025-09-19 | M | AD | N/A | SJUKUR | U0030031901 | HANSEL | 1534 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543268/check_12503565_0831d865-f4e1-4dc9-b539-2fbdd214e7e0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543268/check_12503565_8201fc09-c1fb-43b4-b45c-704e3fd759f9.json | N/A | N/A | N/A | N/A | N/A | U0030031901 | N/A | MCKINSEY & COMPANY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1993-07-24 | N/A | 2500547 | N/A | N/A | false | SJUKUR | N/A | HANSEL C | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8828480090 | N/A | N/A | 5543268 | 2222 | N/A | 12744329 | N/A | 4215085 | 2025-09-19 16:19:02.188672 | 2025-05-23 17:53:24.114484 |
| 2025-09-19 16:18:52.314866 | 2025-09-20 08:25:16.083723 | 12503504 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 12503504 | Athletic Physical Therapy Inc | 1954-02-25 | 2025-09-22 | F | AE | PT | ROBERTS | 00000402630 | DEBRA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.192746258.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085762/check_12503504_f3e7b454-56cf-4e99-8303-14797ebf2eb9.json | N/A | N/A | N/A | N/A | N/A | 00000402630 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1954-02-25 | H3815028 | N/A | N/A | HM | false | ROBERTS | N/A | DEBRA | 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 | 8828617152 | N/A | N/A | 6085762 | 2222 | 4793 | 12778263 | N/A | 4729138 | 2025-09-20 08:25:16.083723 | 2025-05-31 14:20:56.156252 |
| 2025-09-19 16:18:16.966928 | 2025-09-20 08:17:49.461199 | 12502922 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 12502922 | Athletic Physical Therapy Inc | 1996-03-28 | 2025-09-22 | F | AE | PT | SAGMAN | U9205101701 | SYDNEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.192746258.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078312/check_12502922_eb658ef7-fec4-40e0-a811-9b4989670993.json | N/A | N/A | N/A | N/A | N/A | U9205101701 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1996-03-28 | N/A | 3346355 | N/A | HM | false | SAGMAN | N/A | SYDNEY | N/A | N/A | N/A | NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8828618654 | N/A | N/A | 6078312 | 2222 | 4802 | 12777089 | N/A | 4722569 | 2025-09-20 08:17:49.461199 | 2025-08-26 00:16:35.895658 |
| 2025-09-19 16:18:07.178957 | 2025-09-20 02:25:52.436525 | 12502780 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12502780 | Athletic Physical Therapy Inc | 1971-06-05 | 2025-09-22 | F | PT | N/A | MENDELSON | XEK913483846 | SHARON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.212322308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8224045/check_12502780_10d4011b-6619-4b87-80f4-e7a97bfcf219.json | N/A | N/A | N/A | N/A | N/A | XEK913483846 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1971-06-05 | 2001ZK002189 | X0001000 | N/A | PR | false | MENDELSON | N/A | SIMON | N/A | 9999-12-31 | 2024-10-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8828508630 | N/A | N/A | 8224045 | 2222 | 4802 | 12762636 | N/A | 6981160 | 2025-09-20 02:25:52.436525 | 2025-08-26 21:16:15.557856 |
| 2025-09-19 16:17:59.139700 | 2025-09-20 02:25:00.531989 | 12502680 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12502680 | Athletic Physical Therapy Inc | 1973-01-16 | 2025-09-22 | F | PT | N/A | FUSCO | JXN148A35914 | ANGELA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.212322308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8221086/check_12502680_6280a370-56f4-466d-8719-3715fdb3e4ab.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 | 8828509989 | N/A | N/A | 8221086 | 2222 | 4793 | 12761878 | N/A | 6978593 | 2025-09-20 02:25:00.531989 | 2025-09-18 02:55:14.560582 |
| 2025-09-19 16:17:53.129161 | 2025-09-20 02:24:21.414998 | 12502614 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12502614 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-09-22 | M | AE | PT | CICCIARI | 1AK4JC6NK84 | LOUIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.192742029.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_12502614_7571d316-5d43-4b6d-9334-aba60041c084.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5596 | N/A | N/A | MB | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8828621047 | N/A | N/A | 6752936 | 2222 | 4801 | 12761330 | N/A | 5065602 | 2025-09-20 02:24:21.414998 | 2025-07-01 17:25:13.681724 |
| 2025-09-19 16:17:24.359173 | 2025-09-20 02:24:22.608359 | 12502175 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12502175 | Athletic Physical Therapy Inc | 1929-10-10 | 2025-09-22 | M | AE | PT | Walter | 1TQ1EQ4FJ98 | Howard | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.192742029.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751304/check_12502175_620e0708-696f-40bf-bd14-c6a1f2f66842.json | N/A | N/A | N/A | N/A | N/A | 1TQ1EQ4FJ98 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-10-10 | N/A | N/A | N/A | MA | false | WALTER | N/A | HOWARD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8828621020 | N/A | N/A | 6751304 | 2222 | 4802 | 12761345 | N/A | 5557241 | 2025-09-20 02:24:22.608359 | 2025-07-22 17:08:51.810153 |
| 2025-09-19 16:16:34.116849 | 2025-09-20 02:30:58.392629 | 12501298 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12501298 | Athletic Physical Therapy Inc | 1948-04-03 | 2025-09-22 | M | AE | PT | AZZARELLO | 8DV7MT4PE38 | ROBERT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.211539974.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969663/check_12501298_f5d36be5-16ea-44a6-b322-093fe6b807dc.json | N/A | N/A | N/A | N/A | N/A | 8DV7MT4PE38 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-04-03 | S4802 | N/A | N/A | MA | false | AZZARELLO | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8828637060 | N/A | N/A | 8969663 | 2222 | 4793 | 12766059 | N/A | 7485287 | 2025-09-20 02:30:58.392629 | 2025-09-08 18:37:29.958004 |
| 2025-09-19 16:16:28.855251 | 2025-09-20 02:15:09.531699 | 12501206 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 12501206 | Athletic Physical Therapy Inc | 2001-06-21 | 2025-09-22 | M | AE | PT | RAFIEI | 92836714F | SAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.212322308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173002/check_12501206_5fb1dc28-a3dd-42d9-8dcb-d714ee438020.json | N/A | N/A | N/A | N/A | N/A | 92836714F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-06-21 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | RAFIEI | N/A | SAM | N/A | 2078-12-31 | 2024-02-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8828509225 | N/A | N/A | 8173002 | 2222 | 4793 | 12757416 | N/A | 6939518 | 2025-09-20 02:15:09.531699 | 2025-08-18 21:40:08.349494 |
| 2025-09-19 16:16:14.840322 | 2025-09-20 02:30:08.679870 | 12500984 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12500984 | Athletic Physical Therapy Inc | 1952-01-15 | 2025-09-22 | F | AE | PT | KIRK | 5FT7Y02EM72 | JAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.212322308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8167056/check_12500984_53d9ad32-ec1d-4341-969d-2a5e64a5fc92.json | N/A | N/A | N/A | N/A | N/A | 5FT7Y02EM72 | Medicare Part A | N/A | AETNA LIFE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-01-15 | H5522 | N/A | N/A | MA | false | KIRK | N/A | JAN | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8828508441 | N/A | N/A | 8167056 | 2222 | 4801 | 12765626 | N/A | 6933707 | 2025-09-20 02:30:08.679870 | 2026-05-21 16:32:55.382229 |
| 2025-09-19 16:15:58.942038 | 2025-09-19 16:16:00.961664 | 12500750 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-26 | 2025-09-19 | F | PT | N/A | WU | 602771721-01 | ZEQIU | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9106039/check_12500750_a7166efb-0f6d-44f3-a3ee-ea5f7f8a3130.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9106039/check_12500750_7ee7fbc9-7f29-4c18-9291-4c72179fb248.json | N/A | N/A | N/A | N/A | N/A | 602771721-01 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1992-09-26 | N/A | N/A | N/A | N/A | false | WU | N/A | ZEQIU | 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 | 9481 | N/A | 9106039 | 2222 | N/A | 12744047 | N/A | 7625945 | 2025-09-19 16:16:00.961664 | 2025-09-26 19:56:46.569009 |
| 2025-09-19 16:15:56.242421 | 2025-09-19 16:15:58.937832 | 12500708 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1992-09-26 | 2025-09-19 | F | PT | N/A | WU | 602771721-01 | ZEQIU | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9106039/check_12500708_f3fd4066-9de3-47b2-baa9-82b8c3eff3fa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-19 | N/A | N/A | N/A | N/A | N/A | N/A | 602771721-01 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1992-09-26 | N/A | N/A | N/A | N/A | false | WU | N/A | ZEQIU | 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 | 9481 | N/A | 9106039 | 2222 | N/A | N/A | N/A | 7625945 | 2025-09-19 16:15:58.937832 | 2025-09-26 19:56:46.569009 |
| 2025-09-19 16:15:47.940777 | 2025-09-20 02:26:03.926463 | 12500578 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12500578 | Athletic Physical Therapy Inc | 1965-05-27 | 2025-09-22 | F | PT | N/A | SIMMONS | JXN429M92474 | CYNTHIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.212322308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8118854/check_12500578_d108585c-4743-4186-a114-4f9091848e16.json | N/A | N/A | N/A | N/A | N/A | JXN429M92474 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | BLUE SHIELD OF CALIFORNIA | N/A | 1965-05-27 | 040 | 174222M9A1 | N/A | PR | false | SIMMONS | N/A | CYNTHIA | N/A | 9999-12-31 | 2021-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8828509113 | N/A | N/A | 8118854 | 2222 | 4801 | 12762820 | N/A | 6896967 | 2025-09-20 02:26:03.926463 | 2025-09-03 19:44:25.952611 |
| 2025-09-19 16:14:57.820285 | 2025-09-20 08:29:34.193363 | 12499917 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 12499917 | Athletic Physical Therapy Inc | 1959-09-09 | 2025-09-22 | M | PT | N/A | BRUNO | NCF254A54902 | PHILLIP | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.192746258.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993958/check_12499917_c379ce5a-eb80-4e2c-8c22-ce2dac8ffca1.json | N/A | N/A | N/A | N/A | N/A | NCF254A54902 | Health Maintenance Organization (HMO) | LOS ANGELES POLICE RELIEF ASN INC | BLUE SHIELD OF CALIFORNIA | N/A | 1959-09-09 | 040 | 57CP3A | N/A | HM | false | BRUNO | N/A | PHILLIP | N/A | 9999-12-31 | 2023-03-01 | BLUE CROSS HMO PLUS CC01 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8828617967 | N/A | N/A | 5993958 | 2222 | 4801 | 12779172 | N/A | 4642892 | 2025-09-20 08:29:34.193363 | 2025-05-29 23:29:01.820749 |
| 2025-09-19 16:14:57.196434 | 2025-09-20 02:12:13.345933 | 12499903 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 12499903 | Athletic Physical Therapy Inc | 1955-02-20 | 2025-09-22 | F | AE | PT | SALGUERO | 35955370 | DINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.192742029.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6711965/check_12499903_777c7a02-c053-4893-b701-2bcddee89fbf.json | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | 406-005-000 | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8828620528 | N/A | N/A | 6711965 | 2222 | 4793 | 12756799 | 6798 | 4210430 | 2025-09-20 02:12:13.345933 | 2025-05-13 04:29:37.224841 |
| 2025-09-19 16:14:56.750601 | 2025-09-20 08:20:39.913065 | 12499895 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12499895 | Athletic Physical Therapy Inc | 1969-01-08 | 2025-09-22 | F | AE | PT | ALROMAIH | 91237812E | SARAH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.192746258.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993940/check_12499895_315fa0e1-e4bf-4c97-9068-dfb1d5736037.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | CENTENE CORPORATION | 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 | AE | PT | N/A | N/A | N/A | N/A | N/A | 8828617966 | N/A | N/A | 5993940 | 2222 | 4802 | 12777465 | N/A | 4642877 | 2025-09-20 08:20:39.913065 | 2025-12-23 23:49:16.627667 |
| 2025-09-19 16:14:55.828153 | 2025-09-20 02:26:04.773356 | 12499882 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12499882 | Athletic Physical Therapy Inc | 1987-06-17 | 2025-09-22 | M | AE | PT | FAVELA | 620360888 | MAXIMILIAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.211539974.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8960010/check_12499882_f1efebfd-27c4-43e8-abab-22762624bb51.json | N/A | N/A | N/A | N/A | N/A | 620360888 | N/A | L.A. CARE COVERED GOLD 80 HMO | LA CARE HEALTH PLAN | HEALTH BENEFIT PLAN COVERAGE | 1987-06-17 | LACC | 92815CA001000701 | N/A | N/A | false | FAVELA | N/A | MAXIMILIAN | N/A | 2025-12-31 | 2025-02-01 | L.A. CARE COVERED | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8828636510 | N/A | N/A | 8960010 | 2222 | 4802 | 12762833 | N/A | 7476978 | 2025-09-20 02:26:04.773356 | 2026-01-07 18:27:22.752552 |
| 2025-09-19 16:14:55.792443 | 2025-09-20 08:26:23.802305 | 12499881 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12499881 | Athletic Physical Therapy Inc | 1977-09-14 | 2025-09-22 | F | PT | N/A | CONTI | CAI143A79624 | MARIANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.192746258.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993920/check_12499881_64247b39-56d4-48d1-bfee-954d7b75f9dd.json | N/A | N/A | N/A | N/A | N/A | CAI143A79624 | Health Maintenance Organization (HMO) | CALIFORNIA PUBLIC EMPLOYEES RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1977-09-14 | 040 | HNB010AS | N/A | HM | false | CONTI | N/A | MARIANA | N/A | 9999-12-31 | 2019-01-01 | CALPERS SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8828617965 | N/A | N/A | 5993920 | 2222 | 4793 | 12778472 | 4184 | 4642859 | 2025-09-20 08:26:23.802305 | 2026-04-10 21:27:25.225083 |
| 2025-09-19 16:14:54.515219 | 2025-09-20 08:24:43.487524 | 12499866 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12499866 | Athletic Physical Therapy Inc | 1983-05-31 | 2025-09-22 | M | AE | PT | JOHNSON | R04617470MM1 | ROTH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.192746258.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993907/check_12499866_b34883c1-aa1a-4778-83d6-a9b553b6095d.json | N/A | N/A | N/A | N/A | N/A | R04617470MM1 | N/A | N/A | CENTENE CORPORATION | N/A | 1983-05-31 | N/A | N/A | N/A | N/A | false | JOHNSON | N/A | ROTH | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8828617964 | N/A | N/A | 5993907 | 2222 | 4793 | 12778178 | N/A | 4534544 | 2025-09-20 08:24:43.487524 | 2025-05-28 20:51:40.104091 |
| 2025-09-19 16:14:46.496061 | 2025-09-20 02:25:01.047176 | 12499757 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12499757 | Athletic Physical Therapy Inc | 2008-02-14 | 2025-09-22 | M | PT | N/A | MAZZA | XDM860A72836 | JACK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.212322308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8083036/check_12499757_d5b05550-c859-4325-9cc7-32ec54e8364b.json | N/A | N/A | N/A | N/A | N/A | XDM860A72836 | Preferred Provider Organization (PPO) | CAHP HEALTH BENEFITS TRUST | ANTHEM BLUE CROSS | N/A | 2008-02-14 | 040 | 1855RA | N/A | PR | false | MAZZA | N/A | MICHAEL | N/A | 9999-12-31 | 2014-01-01 | PPO PB CLASSIC HOSP / PBP INCENTIVE PROF | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8828509521 | N/A | N/A | 8083036 | 2222 | 4801 | 12761888 | N/A | 6866179 | 2025-09-20 02:25:01.047176 | 2025-08-14 16:10:19.684218 |
| 2025-09-19 16:13:50.954149 | 2025-09-20 02:23:15.484557 | 12498955 | N/A | N/A | 72261 | Scan Health Plan - California | 1114042165 | 12498955 | Athletic Physical Therapy Inc | 1960-02-19 | 2025-09-22 | F | AE | PT | ENGLISH BLAZEJ | 40067960801 | DOREEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.212322308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8048674/check_12498955_d552cabe-b453-4e8d-a9b6-751ebc945014.json | N/A | N/A | N/A | N/A | N/A | 40067960801 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1960-02-19 | 2025H5425001 | H5425M | N/A | N/A | false | ENGLISH BLAZEJ | N/A | DOREEN | N/A | N/A | N/A | SCAN CLASSIC (HMO), VENTURA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8828509023 | N/A | N/A | 8048674 | 2222 | 4801 | 12760738 | N/A | 6844466 | 2025-09-20 02:23:15.484557 | 2025-08-13 17:29:27.130257 |
| 2025-09-19 16:13:25.133093 | 2025-09-20 08:29:05.035602 | 12498554 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12498554 | Athletic Physical Therapy Inc | 1973-02-24 | 2025-09-22 | F | PT | N/A | TAKEMOTO | XED906098170 | NICOLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.192746258.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928752/check_12498554_d15bdfae-36a2-4b5d-a024-a3a437919c0e.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 DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8828617737 | N/A | N/A | 5928752 | 2222 | 4802 | 12779072 | N/A | 4583701 | 2025-09-20 08:29:05.035602 | 2025-07-24 17:50:11.805587 |
| 2025-09-19 16:13:20.371645 | 2025-09-20 02:26:29.425976 | 12498489 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12498489 | Athletic Physical Therapy Inc | 1963-09-25 | 2025-09-22 | M | PT | N/A | zev | XED912627946 | ari | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.211526739.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9280765/check_12498489_160411ef-2d0b-475f-aa94-1fa1242a6ac1.json | N/A | N/A | N/A | N/A | N/A | XED912627946 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-09-25 | 2001ZK002185 | X0001004 | N/A | PR | false | ZEV | N/A | ARI | N/A | 9999-12-31 | 2025-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8828705417 | N/A | N/A | 9280765 | 2222 | 4802 | 12763216 | N/A | 7789190 | 2025-09-20 02:26:29.425976 | 2025-09-16 16:41:33.330373 |
| 2025-09-19 16:13:12.208240 | 2025-09-20 02:26:03.571653 | 12498403 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12498403 | Athletic Physical Therapy Inc | 1955-05-21 | 2025-09-22 | F | PT | N/A | MARTINEZ | HFD100011199462 | RACHEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.212322308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8026951/check_12498403_f99707fb-f732-47b6-9c89-e5f38af3c3c3.json | N/A | N/A | N/A | N/A | N/A | HFD100011199462 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR U.S.P.S.T.F. A AND B RECOMMENDATIONS. DOUBLEQUOTECHAR | 1955-05-21 | N/A | N/A | N/A | PR | false | MARTINEZ | N/A | RACHEL | N/A | 2026-01-01 | 2025-01-01 | PREFERRED_PROVIDER_ORG_(PPO) | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8828508139 | N/A | N/A | 8026951 | 2222 | 4801 | 12762816 | N/A | 6828511 | 2025-09-20 02:26:03.571653 | 2025-08-14 00:23:35.929152 |
| 2025-09-19 16:13:07.888197 | 2025-09-20 02:16:13.172994 | 12498346 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1588406342 | 12498346 | override_provider | 1960-06-14 | 2025-09-22 | F | PT | N/A | VERWEY | R61817302 | CAREN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.212322308.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8025542/check_12498346_9c6f1c9f-eb8a-4bc6-ab6a-cb8a332762ae.json | N/A | N/A | N/A | N/A | N/A | R61817302 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1960-06-14 | N/A | 35C | N/A | PR | false | VERWEY | N/A | CAREN | N/A | 9999-12-31 | 2025-01-01 | FEP BLUE FOCUS | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8828508124 | N/A | N/A | 8025542 | 2222 | 4801 | 12757757 | N/A | 6826965 | 2025-09-20 02:16:13.172994 | 2025-08-13 02:28:19.717631 |
| 2025-09-19 16:12:13.640539 | 2025-09-20 08:25:39.581152 | 12497685 | N/A | N/A | MCC01 | Lakeside Medical Group | 1114042165 | 12497685 | Athletic Physical Therapy Inc | 1995-12-18 | 2025-09-22 | F | AE | PT | PORCELLINI | 623363623 | KYLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250919.192746258.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874433/check_12497685_8ac34a11-8265-4252-b210-b7fef53cb4ea.json | N/A | N/A | N/A | N/A | N/A | 623363623 | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1995-12-18 | N/A | N/A | N/A | N/A | false | PORCELLINI | N/A | KYLA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8828617500 | N/A | N/A | 5874433 | 2222 | 4802 | 12778330 | N/A | 4534562 | 2025-09-20 08:25:39.581152 | 2025-06-03 16:07:02.060667 |
| 2025-09-19 15:59:09.007744 | 2025-09-19 15:59:16.127635 | 12497055 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-20 | 2025-09-19 | M | AE | PT | SWENSON | 96831755C | AARON | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9449115/check_12497055_85285225-5a98-4565-8b3d-a5483c56f47b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9449115/check_12497055_33c6554b-fc5c-4259-b788-58772aa20667.json | N/A | N/A | N/A | N/A | N/A | 96831755C | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 01/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1981-07-20 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | SWENSON | N/A | AARON | N/A | 2078-12-31 | 2024-12-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8828362150 | 9482 | N/A | 9449115 | 2222 | N/A | 12743576 | N/A | 7905010 | 2025-09-19 15:59:16.127635 | 2025-09-18 16:08:21.950407 |
| 2025-09-19 15:58:58.494024 | 2025-09-19 15:59:00.433760 | 12497053 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1981-07-20 | 2025-09-19 | M | AE | PT | SWENSON | 96831755C | AARON | 23304 | https://storage.googleapis.com/normandy-eligibility-checks/2222/9449115/check_12497053_9a875bb6-cbd6-4049-8aab-e18dd7e343ac.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9449115/check_12497053_c72e6da2-7077-4ed3-a3a2-7f3a4355675b.json | N/A | N/A | N/A | N/A | N/A | 96831755C | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1981-07-20 | N/A | N/A | N/A | N/A | false | SWENSON | N/A | AARON | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 9449115 | 2222 | N/A | 12743573 | N/A | 7905010 | 2025-09-19 15:59:00.433760 | 2025-09-18 16:08:21.950407 |