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 | insurance_company_id | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-01 22:07:30.590231 | 2025-06-01 22:07:33.319827 | 8467856 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-07 | 2025-06-03 | M | PT | AE | 4184 | GREENFIELD | JQE140W20292 | SCOTT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6085695/check_8467856_4a04012d-660d-4b9f-b07f-149b6dcdb172.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085695/check_8467856_2e2fa65b-d307-43ba-ae50-ff433e4f40e6.json | N/A | N/A | N/A | N/A | N/A | JQE140W20292 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-07-07 | 040 | CASUPWP0 | N/A | N/A | false | GREENFIELD | N/A | SCOTT | N/A | 9999-12-31 | 2024-07-01 | CA MODERNIZED PLAN G | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6085695 | 2222 | N/A | 8140745 | N/A | 4729029 | 2025-06-01 22:07:33.319827 | 2025-05-30 23:20:48.860572 |
| 2025-06-01 22:07:15.017903 | 2025-06-01 22:07:16.846885 | 8467852 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-07 | 2025-06-03 | M | PT | AE | 4185 | GREENFIELD | JQE140W20292 | SCOTT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6085695/check_8467852_2393c8b9-6219-4a04-93c8-96651080507d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085695/check_8467852_6eb713f8-f598-4beb-8baf-de99eae9e373.json | N/A | N/A | N/A | N/A | N/A | JQE140W20292 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-07-07 | 040 | CASUPWP0 | N/A | N/A | false | GREENFIELD | N/A | SCOTT | N/A | 9999-12-31 | 2024-07-01 | CA MODERNIZED PLAN G | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6085695 | 2222 | N/A | 8140742 | N/A | 4729029 | 2025-06-01 22:07:16.846885 | 2025-05-30 23:20:48.860572 |
| 2025-06-01 22:06:38.235353 | 2025-06-01 22:06:41.053369 | 8467851 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-07 | 2025-06-03 | M | PT | AE | 4185 | GREENFIELD | JQE140W20292 | SCOTT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6085695/check_8467851_f69126f6-56e1-4e33-8562-b0ba6a699ffa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085695/check_8467851_a25bd5d9-a0ad-4a40-9b8c-0117838c0441.json | N/A | N/A | N/A | N/A | N/A | JQE140W20292 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1959-07-07 | 040 | CASUPWP0 | N/A | N/A | false | GREENFIELD | N/A | SCOTT | N/A | 9999-12-31 | 2024-07-01 | CA MODERNIZED PLAN G | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6085695 | 2222 | N/A | 8140741 | N/A | 4729029 | 2025-06-01 22:06:41.053369 | 2025-05-30 23:20:48.860572 |
| 2025-06-01 22:05:58.939990 | 2025-06-01 22:06:09.892822 | 8467850 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-07 | 2025-06-03 | M | PT | AE | 4497 | GREENFIELD | 4QM6F25PT72 | SCOTT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6085694/check_8467850_feccbca8-cfb9-44fc-a4cc-c61998d5de53.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085694/check_8467850_3135f31a-187d-4eb7-bcc5-d9331b8fd964.json | N/A | N/A | N/A | N/A | N/A | 4QM6F25PT72 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-07 | S4802 | N/A | N/A | MA | false | GREENFIELD | N/A | SCOTT | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6085694 | 2222 | N/A | 8140740 | N/A | 4729029 | 2025-06-01 22:06:09.892822 | 2025-05-30 23:20:48.860572 |
| 2025-06-01 22:04:39.884505 | 2025-06-01 22:04:41.804528 | 8467849 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-07-07 | 2025-06-03 | M | PT | AE | 4497 | GREENFIELD | 4QM6F25PT72 | SCOTT | https://storage.googleapis.com/normandy-eligibility-checks/2222/6085694/check_8467849_591fbbac-dd2b-4e8e-bb4d-560d62450ace.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085694/check_8467849_40ebdfa4-c963-46e8-8788-53aa119ac21b.json | N/A | N/A | N/A | N/A | N/A | 4QM6F25PT72 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-07-07 | S4802 | N/A | N/A | MA | false | GREENFIELD | N/A | SCOTT | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6085694 | 2222 | N/A | 8140739 | N/A | 4729029 | 2025-06-01 22:04:41.804528 | 2025-05-30 23:20:48.860572 |
| 2025-06-01 22:01:12.899033 | 2025-06-01 22:01:14.833405 | 8467846 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-12-31 | 2025-06-03 | M | PT | N/A | 4191 | SIMON | XED913765354 | DUSTIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542213/check_8467846_7e3d7dee-92f9-452a-be1f-89b53bc3bd41.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542213/check_8467846_51d8ed20-bffb-475b-98db-6597699dc257.json | N/A | N/A | N/A | N/A | N/A | XED913765354 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1996-12-31 | 2001ZK002185 | X0001004 | N/A | PR | false | SIMON | N/A | DUSTIN | 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 | N/A | 7927 | N/A | 5542213 | 2222 | N/A | 8140736 | N/A | 4214155 | 2025-06-01 22:01:14.833405 | 2025-05-13 04:29:37.228482 |
| 2025-06-01 22:00:51.788532 | 2025-06-01 22:00:54.759214 | 8467845 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-12-31 | 2025-06-03 | M | PT | N/A | 4191 | SIMON | XED913765354 | DUSTIN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542217/check_8467845_4e9f592a-9f37-44e3-90c9-14aa2e88badf.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542217/check_8467845_63181f3f-05e0-41ba-9aa2-3bfaa74c97b5.json | N/A | N/A | N/A | N/A | N/A | XED913765354 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1996-12-31 | 2001ZK002185 | X0001004 | N/A | PR | false | SIMON | N/A | DUSTIN | N/A | N/A | N/A | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5542217 | 2222 | N/A | 8140735 | N/A | 4214155 | 2025-06-01 22:00:54.759214 | 2025-05-13 04:29:37.228482 |
| 2025-06-01 09:22:27.200143 | 2025-06-01 09:23:05.889316 | 8466413 | N/A | N/A | TDFIC | TRICARE FOR LIFE | 1114042165 | N/A | Athletic Physical Therapy Inc | 2011-05-18 | 2025-06-06 | F | PT | AE | 6338 | YUNG | 0005301565 | MAYA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_8466413_999bad65-58e8-4601-b4dc-89048e82d7d5.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | 0005301565 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | false | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2025-06-01 09:23:05.889316 | 2025-05-13 04:29:37.229495 |
| 2025-06-01 09:12:22.050376 | 2025-06-02 02:12:12.164880 | 8464268 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8464268 | Athletic Physical Therapy Inc | 1953-05-16 | 2025-06-05 | U | PT | AE | N/A | MASUDA | MISSINGPOLICYNUMBER | MASAKO | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.141819615.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993968/check_8464268_65cd9eef-8f49-41dc-b795-09b17a163b98.json | N/A | N/A | N/A | N/A | N/A | MISSINGPOLICYNUMBER | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1953-05-16 | N/A | N/A | N/A | N/A | false | MASUDA | N/A | MASAKO | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993968 | 2222 | 4802 | 8155987 | N/A | 4642899 | 2025-06-02 02:12:12.164880 | 2025-06-06 02:16:59.685673 |
| 2025-06-01 09:12:21.784472 | 2025-06-02 02:12:11.639228 | 8464266 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8464266 | Athletic Physical Therapy Inc | 1991-12-24 | 2025-06-05 | U | PT | N/A | N/A | KOLKER | S4G373W20309 | JOSH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.141819615.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993943/check_8464266_90040bf1-72ad-4785-bfe4-d6ced0b28f4e.json | N/A | N/A | N/A | N/A | N/A | S4G373W20309 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1991-12-24 | N/A | N/A | N/A | N/A | false | KOLKER | N/A | JOSH | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993943 | 2222 | 4802 | 8155975 | N/A | 4642875 | 2025-06-02 02:12:11.639228 | 2025-06-06 02:22:03.703999 |
| 2025-06-01 09:12:21.305515 | 2025-06-02 02:01:44.436834 | 8464263 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8464263 | Athletic Physical Therapy Inc | 1969-01-08 | 2025-06-04 | F | PT | AE | N/A | ALROMAIH | 91237812E | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.141819615.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993940/check_8464263_3fc2ba31-72d4-4dc6-92e0-741c7584adb2.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993940 | 2222 | 4802 | 8141271 | N/A | 4642877 | 2025-06-02 02:01:44.436834 | 2025-12-23 23:49:16.627667 |
| 2025-06-01 09:12:20.877746 | 2025-06-02 02:11:10.213632 | 8464261 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 8464261 | Athletic Physical Therapy Inc | 1949-03-01 | 2025-06-06 | F | PT | AE | N/A | MIROBALLI | 000002447244 | KATHLEEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.141819615.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993939/check_8464261_e948fc5e-547d-4070-b125-af30ff3bd0d4.json | N/A | N/A | N/A | N/A | N/A | 000002447244 | N/A | N/A | KFHP 1000 | HMO - HMO COMMERCIAL | 1949-03-01 | 3064746 | 101112 | N/A | N/A | false | MIROBALLI | N/A | KATHLEEN | N/A | N/A | N/A | DEPARTMENT OF WATER & POWER - ACTIVE EMPLOYEES DEP | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993939 | 2222 | 4793 | 8154570 | N/A | 4642874 | 2025-06-02 02:11:10.213632 | 2025-05-29 22:38:22.995059 |
| 2025-06-01 09:12:20.654811 | 2025-06-02 02:11:58.087840 | 8464259 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8464259 | Athletic Physical Therapy Inc | 1993-10-14 | 2025-06-05 | M | PT | N/A | N/A | SPENCE | SGEFW1503472 | STEPHEN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.141819615.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993917/check_8464259_ec1b9839-766a-426d-ac5a-68c068431fcd.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 | N/A | N/A | N/A | 5993917 | 2222 | 4793 | 8155701 | N/A | 4642854 | 2025-06-02 02:11:58.087840 | 2025-05-28 20:57:05.075130 |
| 2025-06-01 09:09:25.840351 | 2025-06-02 02:10:33.432546 | 8462206 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8462206 | Athletic Physical Therapy Inc | 1961-08-22 | 2025-06-02 | U | PT | N/A | N/A | LY | ZYF589M98531 | FRANCIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.141025470.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874462/check_8462206_90b1d329-237b-47f2-bd91-78df85bb4312.json | N/A | N/A | N/A | N/A | N/A | ZYF589M98531 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1961-08-22 | N/A | N/A | N/A | N/A | false | LY | N/A | FRANCIS | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874462 | 2222 | 4801 | 8153728 | N/A | 4534584 | 2025-06-02 02:10:33.432546 | 2025-06-02 22:12:48.722054 |
| 2025-06-01 09:09:25.801164 | 2025-06-02 02:16:23.817167 | 8462205 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8462205 | Athletic Physical Therapy Inc | 1953-05-16 | 2025-06-02 | U | PT | AE | N/A | KESHAVARZIAN | 7RJ5HD6NW73 | AMIR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.141025470.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874455/check_8462205_e5783bdd-e28d-4d4e-9fbd-57d1a5b1ad9d.json | N/A | N/A | N/A | N/A | N/A | 7RJ5HD6NW73 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1953-05-16 | S5617 | N/A | N/A | MA | false | KESHAVARZIAN | N/A | AMIR | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874455 | 2222 | 4801 | 8161494 | N/A | 4534577 | 2025-06-02 02:16:23.817167 | 2025-06-18 18:41:30.608585 |
| 2025-06-01 09:09:25.761986 | 2025-06-02 02:03:22.197821 | 8462199 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8462199 | Athletic Physical Therapy Inc | 1964-11-15 | 2025-06-06 | F | PT | AE | N/A | BIKOULOVA | 92040499F | ALEXANDRA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.141025470.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874423/check_8462199_0721e91d-c7f6-4400-bf01-ff08ba44f174.json | N/A | N/A | N/A | N/A | N/A | 92040499F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1964-11-15 | N/A | N/A | N/A | N/A | false | BIKOULOVA | N/A | ALEXANDRA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874423 | 2222 | 4802 | 8142976 | N/A | 4534552 | 2025-06-02 02:03:22.197821 | 2025-05-30 18:01:03.324126 |
| 2025-06-01 09:09:25.722923 | 2025-06-02 02:16:22.494942 | 8462198 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8462198 | Athletic Physical Therapy Inc | 1958-09-13 | 2025-06-04 | M | PT | AE | N/A | DERR | 4GK3GN5DV73 | DENNIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.141025470.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874420/check_8462198_b94d0e7c-93f9-44d5-988d-9eb3f36e9719.json | N/A | N/A | N/A | N/A | N/A | 4GK3GN5DV73 | N/A | N/A | CMS | N/A | 1958-09-13 | N/A | N/A | N/A | N/A | false | DERR | N/A | DENNIS | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874420 | 2222 | 4793 | 8161479 | N/A | 4534550 | 2025-06-02 02:16:22.494942 | 2025-10-15 18:36:58.255255 |
| 2025-06-01 09:09:23.700318 | 2025-06-02 02:03:22.523812 | 8462095 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8462095 | Athletic Physical Therapy Inc | 1939-06-30 | 2025-06-02 | M | PT | AE | N/A | REYES | 381803 | MANUEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.141025470.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858699/check_8462095_9f765653-7f59-4eae-9ee7-4d9676ef13ef.json | N/A | N/A | N/A | N/A | N/A | 381803 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1939-06-30 | N/A | N/A | N/A | N/A | false | REYES | N/A | MANUEL | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5858699 | 2222 | 4793 | 8142987 | N/A | 4214831 | 2025-06-02 02:03:22.523812 | 2025-05-13 04:29:37.229152 |
| 2025-06-01 09:09:00.179488 | 2025-06-02 02:10:08.116842 | 8461145 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8461145 | Athletic Physical Therapy Inc | 2008-06-03 | 2025-06-05 | M | PT | N/A | N/A | DATO | NGO555A50496 | BRETT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.122334138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551045/check_8461145_eef98bcb-bde0-4804-89a8-c307ccdaefe3.json | N/A | N/A | N/A | N/A | N/A | NGO555A50496 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 2008-06-03 | 040 | 174022MJAD | N/A | PR | false | DATO | N/A | GREGORY | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5551045 | 2222 | 4793 | 8153153 | N/A | 4219851 | 2025-06-02 02:10:08.116842 | 2025-05-13 04:29:37.230897 |
| 2025-06-01 09:08:59.935318 | 2025-06-02 02:03:23.878052 | 8461138 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8461138 | Athletic Physical Therapy Inc | 1998-01-10 | 2025-06-04 | F | PT | N/A | N/A | PALACIOS | JMV542W2270020 | JASMIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.122334138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551010/check_8461138_dfb8502d-7ce0-4915-865c-5ac8629ebec6.json | N/A | N/A | N/A | N/A | N/A | JMV542W2270020 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1998-01-10 | N/A | N/A | N/A | N/A | false | PALACIOS | N/A | JASMIN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5551010 | 2222 | 4802 | 8143029 | N/A | 4219831 | 2025-06-02 02:03:23.878052 | 2025-05-13 04:29:37.230876 |
| 2025-06-01 09:08:59.700737 | 2025-06-02 02:16:10.928768 | 8461136 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8461136 | Athletic Physical Therapy Inc | 1943-08-11 | 2025-06-05 | M | PT | N/A | N/A | VELASQUEZ | 7RA2UD6VM18 | NELSON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.122334138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550994/check_8461136_79643cb2-9b2c-40e9-8863-0a5d7825c03d.json | N/A | N/A | N/A | N/A | N/A | 7RA2UD6VM18 | N/A | N/A | CMS | N/A | 1943-08-11 | N/A | N/A | N/A | N/A | false | VELASQUEZ | N/A | NELSON | N/A | 2025-12-31 | 2025-01-01 | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550994 | 2222 | 4801 | 8161303 | N/A | 4219819 | 2025-06-02 02:16:10.928768 | 2026-04-16 20:37:54.612915 |
| 2025-06-01 09:08:59.465651 | 2025-06-02 02:10:14.521194 | 8461128 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8461128 | Athletic Physical Therapy Inc | 1981-02-28 | 2025-06-04 | F | PT | N/A | N/A | CARROLL | JPU767A23997 | REBECCA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.122334138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550993/check_8461128_388884e8-d299-4675-b1ed-fd1834b49180.json | N/A | N/A | N/A | N/A | N/A | JPU767A23997 | Preferred Provider Organization (PPO) | SAGE PUBLICATIONS INC | ANTHEM BLUE CROSS | N/A | 1981-02-28 | 040 | L12045M001 | N/A | PR | false | STAEVSKI | N/A | THOMAS | N/A | 9999-12-31 | 2025-01-01 | PPO 51-250 PRUDENT BUYER INCENTIVE PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550993 | 2222 | 4793 | 8153302 | N/A | 4219817 | 2025-06-02 02:10:14.521194 | 2025-05-13 04:29:37.230864 |
| 2025-06-01 09:08:59.337011 | 2025-06-02 02:10:12.873017 | 8461124 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8461124 | Athletic Physical Therapy Inc | 1966-04-27 | 2025-06-03 | M | PT | N/A | N/A | MERTES | XED914030953 | CORY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.122334138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550989/check_8461124_21e0234f-13a6-4dc7-96a2-9bdc2c4fd8df.json | N/A | N/A | N/A | N/A | N/A | XED914030953 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-04-27 | N/A | N/A | N/A | N/A | false | MERTES | N/A | CORY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550989 | 2222 | 4793 | 8153261 | N/A | 4219813 | 2025-06-02 02:10:12.873017 | 2025-05-13 04:29:37.230860 |
| 2025-06-01 09:08:59.193333 | 2025-06-02 02:10:10.527448 | 8461121 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8461121 | Athletic Physical Therapy Inc | 1959-07-17 | 2025-06-06 | F | PT | N/A | N/A | GILBERT | JPU461A71640 | SHERRI | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.122334138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550973/check_8461121_c8bea222-b360-4ff2-893b-2b199a7fb5e2.json | N/A | N/A | N/A | N/A | N/A | 3VT9D21WD25 | Preferred Provider Organization (PPO) | AGENCY FOR THE PERFORMING ARTS INC CA/OOS | ANTHEM BLUE CROSS | N/A | 1959-07-17 | 040 | L12155M001 | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER CLASSIC MULTI-CHOICE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550973 | 2222 | 4793 | 8153210 | N/A | 4219803 | 2025-06-02 02:10:10.527448 | 2025-05-13 04:29:37.230842 |
| 2025-06-01 09:08:59.045275 | 2025-06-02 02:16:09.979440 | 8461114 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8461114 | Athletic Physical Therapy Inc | 1956-01-20 | 2025-06-06 | F | PT | AE | N/A | SCHLEIKORN | 4WT5NH8WR56 | MARIETTE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.122334138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550958/check_8461114_27014def-6e62-4a56-b888-502c88a61d97.json | N/A | N/A | N/A | N/A | N/A | 4WT5NH8WR56 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1956-01-20 | N/A | N/A | N/A | MA | false | SCHLEIKORN | N/A | MARIETTE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550958 | 2222 | 4793 | 8161289 | N/A | 4219792 | 2025-06-02 02:16:09.979440 | 2025-05-13 04:29:37.230832 |
| 2025-06-01 09:08:58.902813 | 2025-06-02 02:16:05.421366 | 8461110 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8461110 | Athletic Physical Therapy Inc | 1954-01-20 | 2025-06-06 | U | PT | AE | N/A | BRENNER | 8F12ED9EE92 | ROCIO FLORES | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.122334138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550896/check_8461110_49536fb3-f729-4072-8370-54879d2a9ffd.json | N/A | N/A | N/A | N/A | N/A | 8F12ED9EE92 | N/A | N/A | CMS | N/A | 1954-01-20 | N/A | N/A | N/A | N/A | false | BRENNER | N/A | ROCIO FLORES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550896 | 2222 | 4793 | 8161219 | N/A | 4219750 | 2025-06-02 02:16:05.421366 | 2025-06-06 02:15:39.377685 |
| 2025-06-01 09:08:58.613818 | 2025-06-02 02:10:45.396921 | 8461097 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8461097 | Athletic Physical Therapy Inc | 1986-08-03 | 2025-06-03 | M | PT | N/A | N/A | AMENT | XED913057951 | NATHAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.122334138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550865/check_8461097_af97a64d-39af-4b92-b347-e655acc5c819.json | N/A | N/A | N/A | N/A | N/A | XED913057951 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1986-08-03 | 2001ZK002185 | X0001004 | N/A | PR | false | AMENT | N/A | NATHAN | N/A | 9999-12-31 | 2024-03-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550865 | 2222 | 4802 | 8154000 | N/A | 4215196 | 2025-06-02 02:10:45.396921 | 2025-05-13 04:29:37.229513 |
| 2025-06-01 09:08:58.357680 | 2025-06-02 02:16:06.992354 | 8461086 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8461086 | Athletic Physical Therapy Inc | 1950-09-13 | 2025-06-05 | M | PT | AE | N/A | GU | 4AN1F55YR02 | WINSTON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.122334138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550800/check_8461086_253b8a6a-8cfe-4541-a403-88e2dc20c8cb.json | N/A | N/A | N/A | N/A | N/A | 4AN1F55YR02 | Medicare Part A | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-09-13 | S5884 | N/A | N/A | MA | false | GU | N/A | WINSTON | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550800 | 2222 | 4801 | 8161248 | N/A | 4219679 | 2025-06-02 02:16:06.992354 | 2025-05-13 04:29:37.230723 |
| 2025-06-01 09:08:58.066459 | 2025-06-02 02:03:14.309412 | 8461077 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8461077 | Athletic Physical Therapy Inc | 1946-02-28 | 2025-06-04 | F | PT | AE | N/A | KUYAT | 27367124 | FAYE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.122334138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550758/check_8461077_c2987244-6f3a-4081-b0c0-9e04195fe30e.json | N/A | N/A | N/A | N/A | N/A | 27367124 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1946-02-28 | N/A | N/A | N/A | N/A | false | KUYAT | N/A | FAYE | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550758 | 2222 | 4801 | 8142795 | N/A | 4219656 | 2025-06-02 02:03:14.309412 | 2025-05-13 04:29:37.230700 |
| 2025-06-01 09:08:57.904645 | 2025-06-02 02:03:12.524758 | 8461072 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8461072 | Athletic Physical Therapy Inc | 1954-03-04 | 2025-06-02 | M | PT | AE | N/A | ARUJO | 00000223568 | RAMON | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.122334138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550751/check_8461072_b7efceb2-b5b5-4837-8424-e10fc9a88b45.json | N/A | N/A | N/A | N/A | N/A | 00000223568 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1954-03-04 | N/A | N/A | N/A | N/A | false | ARUJO | N/A | RAMON | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550751 | 2222 | 4801 | 8142780 | N/A | 4219640 | 2025-06-02 02:03:12.524758 | 2025-05-13 04:29:37.230682 |
| 2025-06-01 09:08:57.764838 | 2025-06-02 02:07:43.890708 | 8461068 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8461068 | Athletic Physical Therapy Inc | 1984-08-08 | 2025-06-04 | F | PT | AE | N/A | DE JESUS VARGAS | 990386490 | JOSE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.122334138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550046/check_8461068_abfdd667-140f-4788-9d6d-3bce5ea0521d.json | N/A | N/A | N/A | N/A | N/A | 990386490 | Commercial | JIM BEAM BRANDS CO. | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1984-08-08 | 0153 0153 | 228680 | N/A | C1 | false | VARGAS | N/A | JOSE DE JESUS | N/A | N/A | N/A | UNITEDHEALTHCARE CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550046 | 2222 | 4802 | 8149911 | N/A | 4219458 | 2025-06-02 02:07:43.890708 | 2025-05-28 20:45:41.823361 |
| 2025-06-01 09:08:57.554353 | 2025-06-02 02:10:12.387996 | 8461060 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8461060 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-06-06 | F | PT | N/A | N/A | LUCZYWEK | HFD100011213709 | DEBORA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.122334138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_8461060_ec4c1e1a-470b-4b15-884c-da832ae001cb.json | N/A | N/A | N/A | N/A | N/A | HFD100011213709 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1962-01-25 | N/A | N/A | N/A | N/A | false | LUCZYWEK | N/A | DEBORA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549317 | 2222 | 4801 | 8153248 | N/A | 4219010 | 2025-06-02 02:10:12.387996 | 2026-01-09 18:32:07.618867 |
| 2025-06-01 09:08:51.687928 | 2025-06-02 02:10:09.961836 | 8460849 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8460849 | Athletic Physical Therapy Inc | 1951-05-22 | 2025-06-04 | M | PT | N/A | N/A | KAGON | VUC099A54201 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.122334138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543391/check_8460849_e6b9afe0-8735-4cf0-b9c3-9ba01dfd82a2.json | N/A | N/A | N/A | N/A | N/A | VUC099A54201 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1951-05-22 | 040 | 280509A400 | N/A | PR | false | FRIEDMAN | N/A | JULIE | 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 | N/A | N/A | N/A | 5543391 | 2222 | 4793 | 8153194 | N/A | 4215182 | 2025-06-02 02:10:09.961836 | 2025-05-13 04:29:37.229498 |
| 2025-06-01 09:08:51.542499 | 2025-06-02 02:06:16.402357 | 8460845 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 8460845 | Athletic Physical Therapy Inc | 1993-07-24 | 2025-06-02 | M | AD | N/A | N/A | SJUKUR | U0030031901 | HANSEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.122334138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543268/check_8460845_7b9ef1c8-5024-4e34-b7b2-b5167b1d4e7e.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 | N/A | N/A | N/A | 5543268 | 2222 | 4802 | 8147790 | N/A | 4215085 | 2025-06-02 02:06:16.402357 | 2025-05-23 17:53:24.114484 |
| 2025-06-01 09:08:51.341396 | 2025-06-02 02:03:12.141180 | 8460839 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8460839 | Athletic Physical Therapy Inc | 1962-05-10 | 2025-06-05 | F | PT | AE | N/A | ADHAMI | 95671183F | SOHAILA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.122334138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543265/check_8460839_a33ff1b7-fb77-4d6e-951f-076873de11ee.json | N/A | N/A | N/A | N/A | N/A | 95671183F | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1962-05-10 | N/A | N/A | N/A | N/A | false | ADHAMI | N/A | SOHAILA | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543265 | 2222 | 4802 | 8142773 | N/A | 4215082 | 2025-06-02 02:03:12.141180 | 2025-05-13 04:29:37.229397 |
| 2025-06-01 09:08:51.180442 | 2025-06-02 02:16:05.914068 | 8460835 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8460835 | Athletic Physical Therapy Inc | 1949-12-17 | 2025-06-04 | M | PT | AE | N/A | GEVURTZ | 3UF3GW6KC04 | IRWIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.122334138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543260/check_8460835_b5370f20-0645-4565-9fa5-57be8dfb6177.json | N/A | N/A | N/A | N/A | N/A | 3UF3GW6KC04 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-12-17 | N/A | N/A | N/A | MA | false | GEVURTZ | N/A | IRWIN | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543260 | 2222 | 4802 | 8161230 | N/A | 4215069 | 2025-06-02 02:16:05.914068 | 2025-05-13 04:29:37.229385 |
| 2025-06-01 09:08:51.018752 | 2025-06-02 02:10:11.706764 | 8460830 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8460830 | Athletic Physical Therapy Inc | 2009-04-17 | 2025-06-06 | M | PT | N/A | N/A | LINVILLE | JQU190A50426 | MEIKA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.122334138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543250/check_8460830_3c8b09dc-67aa-4b79-9d55-f662b1ed1828.json | N/A | N/A | N/A | N/A | N/A | JQU190A50426 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2009-04-17 | N/A | N/A | N/A | N/A | false | LINVILLE | N/A | MEIKA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543250 | 2222 | 4793 | 8153236 | N/A | 4215068 | 2025-06-02 02:10:11.706764 | 2025-07-22 17:55:02.066796 |
| 2025-06-01 09:08:50.846568 | 2025-06-02 02:07:42.882052 | 8460824 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8460824 | Athletic Physical Therapy Inc | 1999-09-11 | 2025-06-04 | M | PT | AE | N/A | PETERSON | 987565290 | CONNOR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.122334138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543238/check_8460824_12176da2-ba60-4b56-821e-2b7f6817bf16.json | N/A | N/A | N/A | N/A | N/A | 987565290 | Commercial | ORACLE | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1999-09-11 | 0181 0181 | 228485 | N/A | C1 | false | PETERSON | N/A | CONNOR | N/A | N/A | N/A | SELECT PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543238 | 2222 | 4802 | 8149890 | N/A | 4215055 | 2025-06-02 02:07:42.882052 | 2025-05-13 04:29:37.229376 |
| 2025-06-01 09:08:50.683276 | 2025-06-02 02:10:45.879909 | 8460821 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8460821 | Athletic Physical Therapy Inc | 2003-07-09 | 2025-06-06 | M | PT | N/A | N/A | FEY | XED912890874 | JOSEPH | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.122334138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543173/check_8460821_23073900-24fb-4d31-8dff-0c71dd681265.json | N/A | N/A | N/A | N/A | N/A | XED912890874 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2003-07-09 | 2001ZK002185 | X0001004 | N/A | PR | false | FEY | N/A | JOSEPH | N/A | 9999-12-31 | 2024-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543173 | 2222 | 4793 | 8154013 | N/A | 4215000 | 2025-06-02 02:10:45.879909 | 2025-05-13 04:29:37.229320 |
| 2025-06-01 09:08:50.430774 | 2025-06-02 02:10:06.912012 | 8460808 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8460808 | Athletic Physical Therapy Inc | 1958-07-27 | 2025-06-05 | F | PT | N/A | N/A | BERARDI | JQU360A51420 | JACQUELINE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.122334138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543161/check_8460808_6b7c7e30-75dd-40c9-95a3-602c67280507.json | N/A | N/A | N/A | N/A | N/A | JQU360A51420 | Preferred Provider Organization (PPO) | CAL CHOICE AUGUST 1.00 | ANTHEM BLUE CROSS | N/A | 1958-07-27 | 040 | 476497 | N/A | PR | false | BERARDI | N/A | PHILIP | N/A | 9999-12-31 | 2024-08-01 | ANTHEM GOLD PPO 30/60/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543161 | 2222 | 4793 | 8153124 | N/A | 4214989 | 2025-06-02 02:10:06.912012 | 2025-05-13 04:29:37.229310 |
| 2025-06-01 09:08:50.237558 | 2025-06-02 02:10:09.279028 | 8460802 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8460802 | Athletic Physical Therapy Inc | 1963-02-12 | 2025-06-04 | M | PT | N/A | N/A | FRENCH | XDP573A61655 | JONATHAN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.122334138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543105/check_8460802_4daa7cc6-20b5-4dfe-baac-729937e473b3.json | N/A | N/A | N/A | N/A | N/A | XDP573A61655 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1963-02-12 | N/A | N/A | N/A | N/A | false | FRENCH | N/A | JONATHAN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543105 | 2222 | 4793 | 8153180 | N/A | 4214943 | 2025-06-02 02:10:09.279028 | 2025-05-29 02:21:31.646077 |
| 2025-06-01 09:08:47.107393 | 2025-06-02 02:10:14.154645 | 8460726 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8460726 | Athletic Physical Therapy Inc | 2005-12-20 | 2025-06-02 | M | PT | N/A | N/A | SPENCE | HEAHC0119474 | CHAD | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.122334138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542930/check_8460726_01dedc64-c9d0-44a1-ab97-16d0bde8d975.json | N/A | N/A | N/A | N/A | N/A | HEAHC0119474 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 2005-12-20 | N/A | N/A | N/A | N/A | false | SPENCE | N/A | CHAD | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542930 | 2222 | 4802 | 8153292 | N/A | 4214787 | 2025-06-02 02:10:14.154645 | 2025-08-17 21:31:52.380866 |
| 2025-06-01 09:08:46.909639 | 2025-06-02 02:10:47.819216 | 8460722 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8460722 | Athletic Physical Therapy Inc | 1963-08-16 | 2025-06-04 | M | PT | N/A | N/A | SILBER | XED909580436 | MICHAEL | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.122334138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542831/check_8460722_ba1b46ed-8a7c-488b-8b62-06ad78ba489f.json | N/A | N/A | N/A | N/A | N/A | XED909580436 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-08-16 | 2001ZK002184 | X0001004 | N/A | PR | false | SILBER | N/A | MICHAEL | N/A | 9999-12-31 | 2020-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542831 | 2222 | 4793 | 8154052 | N/A | 4214698 | 2025-06-02 02:10:47.819216 | 2025-05-13 04:29:37.229015 |
| 2025-06-01 09:08:46.727222 | 2025-06-02 02:10:47.024684 | 8460716 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8460716 | Athletic Physical Therapy Inc | 2000-07-25 | 2025-06-06 | F | PT | N/A | N/A | MAGHSOUDLOO | XEA913772161 | SAHAR | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.122334138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542822/check_8460716_304b2f5a-5b36-4b20-a835-7db3e96e839c.json | N/A | N/A | N/A | N/A | N/A | XAN913772161 | Preferred Provider Organization (PPO) | PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM | BLUE SHIELD CALIFORNIA | N/A | 2000-07-25 | 1254PPOX0002 | W0051411 | N/A | PR | false | MAGHSOUDLOO | N/A | FARIBA | N/A | N/A | N/A | CALPERS ASO PLATINUM PPO GROUP BILL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542822 | 2222 | 4793 | 8154038 | N/A | 4214688 | 2025-06-02 02:10:47.024684 | 2025-06-25 17:57:14.838266 |
| 2025-06-01 09:08:46.644136 | 2025-06-02 02:04:45.697704 | 8460715 | N/A | N/A | 60054 | Aetna | 1114042165 | 8460715 | Athletic Physical Therapy Inc | 2005-11-23 | 2025-06-04 | F | PT | AE | N/A | FERRELL | W285064666 | AMELIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.122334138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542678/check_8460715_f16ee2c4-134f-41ff-a7b8-d7f00a793e73.json | N/A | N/A | N/A | N/A | N/A | W285064666 | Point of Service (POS) | JUSTWORKS EMPLOYMENT GROUP LLC | AETNA | N/A | 2005-11-23 | 0232499 | 023249901000051 | N/A | PS | false | FERRELL | N/A | RALPH | N/A | N/A | N/A | OPEN ACCESS MC | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542678 | 2222 | 4802 | 8145186 | N/A | 4214560 | 2025-06-02 02:04:45.697704 | 2025-05-13 04:29:37.228883 |
| 2025-06-01 09:08:46.580526 | 2025-06-02 02:10:48.224704 | 8460713 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8460713 | Athletic Physical Therapy Inc | 1996-12-31 | 2025-06-05 | M | PT | N/A | N/A | SIMON | 913762408 | DUSTIN | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.122334138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542213/check_8460713_6e14876e-26cc-485b-afd7-c1e598707ca4.json | N/A | N/A | N/A | N/A | N/A | 913762408 | N/A | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1996-12-31 | 2001DA000346 | X0001004 | N/A | N/A | false | SIMON | N/A | DUSTIN | N/A | N/A | N/A | FAMILY DENTAL HMO PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542213 | 2222 | 4793 | 8154067 | N/A | 4214155 | 2025-06-02 02:10:48.224704 | 2025-05-13 04:29:37.228482 |
| 2025-06-01 09:08:46.515328 | 2025-06-02 02:04:46.121243 | 8460709 | N/A | N/A | 60054 | Aetna | 1114042165 | 8460709 | Athletic Physical Therapy Inc | 1959-04-20 | 2025-06-06 | M | PT | AE | N/A | GRANT | W285866811 | ROBERT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.122334138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542136/check_8460709_0d5523c8-0c11-4809-b7b7-562a451081ad.json | N/A | N/A | N/A | N/A | N/A | W285866811 | Point of Service (POS) | GLOBALIZATION PARTNERS | MEDICARE | N/A | 1959-04-20 | 0193038 | 019303801200101 | N/A | PS | false | GRANT | N/A | ROBERT | N/A | N/A | N/A | HSA AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5542136 | 2222 | 4793 | 8145199 | N/A | 4214087 | 2025-06-02 02:04:46.121243 | 2025-05-13 04:29:37.228402 |
| 2025-06-01 09:08:46.409778 | 2025-06-02 02:03:24.270297 | 8460708 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8460708 | Athletic Physical Therapy Inc | 1947-02-01 | 2025-06-02 | M | PT | AE | N/A | YEE | 412922301 | HARRY | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.122334138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541972/check_8460708_af61fa65-8454-47b9-9c23-59ef0508b6dd.json | N/A | N/A | N/A | N/A | N/A | 412922301 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1947-02-01 | N/A | N/A | N/A | N/A | false | YEE | N/A | HARRY | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541972 | 2222 | 4793 | 8143036 | N/A | 4213941 | 2025-06-02 02:03:24.270297 | 2025-05-13 04:29:37.228259 |
| 2025-06-01 09:08:46.314894 | 2025-06-02 02:10:14.939757 | 8460705 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8460705 | Athletic Physical Therapy Inc | 1940-08-31 | 2025-06-06 | M | PT | N/A | N/A | STEINBERG | MBL875M98441 | HARRIS | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.122334138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_8460705_f0efe969-a1ef-4d4f-89e0-c4a53c6824d7.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541917 | 2222 | 4793 | 8153314 | N/A | 4213891 | 2025-06-02 02:10:14.939757 | 2025-05-13 04:29:37.228207 |
| 2025-06-01 09:08:46.215687 | 2025-06-02 02:16:12.401631 | 8460704 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8460704 | Athletic Physical Therapy Inc | 1952-05-13 | 2025-06-06 | U | PT | AE | N/A | WOLFE | 1HG7NP4AM73 | DIA | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.122334138.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541812/check_8460704_b05bc65d-af28-4427-b064-e1cc28ea225f.json | N/A | N/A | N/A | N/A | N/A | 1HG7NP4AM73 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-05-13 | S4802 | N/A | N/A | MA | false | WOLFE | N/A | DIA | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541812 | 2222 | 4801 | 8161319 | N/A | 4213795 | 2025-06-02 02:16:12.401631 | 2026-06-05 00:55:52.281598 |