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 | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-17 08:07:36.432137 | 2025-09-18 05:12:48.551839 | 12396596 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12396596 | Athletic Physical Therapy Inc | 1981-02-22 | 2025-09-18 | M | PT | WALKOW | XEK906265328 | RYAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.112035252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9024389/check_12396596_a6d4f45a-f7d9-4568-a81b-df21ba77a7b1.json | N/A | N/A | N/A | N/A | N/A | XEK906265328 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1981-02-22 | 2001ZK002189 | X0001000 | N/A | PR | false | WALKOW | N/A | RYAN | N/A | N/A | N/A | BRONZE 60 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810133114 | N/A | N/A | 9024389 | 2222 | 4793 | 12682351 | N/A | 7546770 | 2025-09-18 05:12:48.551839 | 2025-09-09 02:40:35.718380 |
| 2025-09-17 08:07:33.998260 | 2025-09-18 02:28:04.107696 | 12396540 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12396540 | Athletic Physical Therapy Inc | 1971-06-05 | 2025-09-18 | F | PT | MENDELSON | XEK913483846 | SHARON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.111919236.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8224045/check_12396540_550a4916-7e60-4bdf-995a-43113546a449.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 DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810144609 | N/A | N/A | 8224045 | 2222 | 4802 | 12674115 | N/A | 6981160 | 2025-09-18 02:28:04.107696 | 2025-08-26 21:16:15.557856 |
| 2025-09-17 08:07:31.851083 | 2025-09-18 05:11:52.705660 | 12396490 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12396490 | Athletic Physical Therapy Inc | 1963-09-25 | 2025-09-19 | M | PT | zev | XED912627946 | ari | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.110128550.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9280765/check_12396490_4f04f241-44e7-4c0c-bc83-4a866d2b2ad7.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 | 8810086410 | N/A | N/A | 9280765 | 2222 | 4802 | 12682116 | N/A | 7789190 | 2025-09-18 05:11:52.705660 | 2025-09-16 16:41:33.330373 |
| 2025-09-17 08:07:15.425105 | 2025-09-18 05:11:34.549355 | 12396068 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12396068 | Athletic Physical Therapy Inc | 1952-08-20 | 2025-09-18 | M | PT | POLK | MBL292M95257 | KENNETH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.112035252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9022039/check_12396068_9925d564-432f-4a21-b275-a631d10134e3.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 | 8810131939 | N/A | N/A | 9022039 | 2222 | 4801 | 12682037 | N/A | 7544773 | 2025-09-18 05:11:34.549355 | 2025-09-02 18:35:33.812098 |
| 2025-09-17 08:07:11.224291 | 2025-09-18 02:20:39.982175 | 12395956 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12395956 | Athletic Physical Therapy Inc | 1993-12-24 | 2025-09-19 | F | PT | Garcia | NCF409W01940 | Jessica | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.105922403.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7752768/check_12395956_7825f6d5-6fd4-4ac0-a6a8-b681207af850.json | N/A | N/A | N/A | N/A | N/A | NCF409W01940 | Health Maintenance Organization (HMO) | LAUSD | ANTHEM BLUE CROSS | N/A | 1993-12-24 | 040 | 57AJCA | N/A | HM | false | GARCIA | N/A | JESSICA | N/A | 9999-12-31 | 2019-09-01 | POWER SELECT HMO NETWORK 126+ | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810092493 | N/A | N/A | 7752768 | 2222 | 4802 | 12668461 | N/A | 6604326 | 2025-09-18 02:20:39.982175 | 2025-08-06 18:06:11.137864 |
| 2025-09-17 08:07:05.242286 | 2025-09-18 02:26:53.383024 | 12395809 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12395809 | Athletic Physical Therapy Inc | 1973-01-16 | 2025-09-18 | F | PT | FUSCO | JXN481A63814 | ANGELA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.111919236.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8221086/check_12395809_24e9e493-8ffe-4451-a0a0-51de2a893a11.json | N/A | N/A | N/A | N/A | N/A | JXN481A63814 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1973-01-16 | 040 | 174222M2A1 | N/A | PR | false | FUSCO | N/A | ANGELA | N/A | 9999-12-31 | 2022-04-25 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810144415 | N/A | N/A | 8221086 | 2222 | 4793 | 12673231 | N/A | 6978593 | 2025-09-18 02:26:53.383024 | 2025-09-18 02:55:14.560582 |
| 2025-09-17 08:07:00.594509 | 2025-09-18 05:11:51.216066 | 12395693 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 12395693 | Athletic Physical Therapy Inc | 1983-04-06 | 2025-09-19 | F | PT | JOHNSON | 907100866000 | HEATHER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.110128550.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9258804/check_12395693_8b17be58-24e5-4822-9743-ca21994880e3.json | N/A | N/A | N/A | N/A | N/A | XEH907100866 | Health Maintenance Organization (HMO) | COUNTY OF VENTURA ACTIVES | BLUE SHIELD CALIFORNIA | N/A | 1983-04-06 | 1000HMOX0002 | W0067449 | N/A | HM | false | JOHNSON | N/A | HEATHER | N/A | N/A | N/A | COUNTY OF VENTURA ACTIVES CUSTOM ACCESS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810085711 | N/A | N/A | 9258804 | 2222 | 4801 | 12682106 | N/A | 4213256 | 2025-09-18 05:11:51.216066 | 2025-05-13 04:29:37.227582 |
| 2025-09-17 08:07:00.027537 | 2025-09-18 05:04:40.185515 | 12395677 | N/A | N/A | 60054 | Aetna | 1114042165 | 12395677 | Athletic Physical Therapy Inc | 1975-03-04 | 2025-09-19 | F | AE | SCHAFFER | W25054420 | KRISTY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.112035252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9019325/check_12395677_14c23dc9-b88c-423b-9817-c1db2bfcc445.json | N/A | N/A | N/A | N/A | N/A | W265054420 | Point of Service (POS) | UBS FINANCIAL SERVICES INC. | AETNA | N/A | 1975-03-04 | 0880791 | 088079102500011 | N/A | PS | false | SCHAFFER | N/A | PATRICK | 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 | 8810131406 | N/A | N/A | 9019325 | 2222 | 4802 | 12680047 | N/A | 7542823 | 2025-09-18 05:04:40.185515 | 2025-09-19 19:36:59.422230 |
| 2025-09-17 08:06:55.656775 | 2025-09-18 02:24:54.177575 | 12395574 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 12395574 | Athletic Physical Therapy Inc | 1963-05-22 | 2025-09-19 | M | AE | SMITH | 99688004H | MATTHEW | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.112017632.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7321767/check_12395574_6e1a074d-1fbb-42a8-bcb0-fdaf5354401c.json | N/A | N/A | N/A | N/A | N/A | 99688004H | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1963-05-22 | N/A | N/A | N/A | N/A | false | SMITH | N/A | MATTHEW | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810146207 | N/A | N/A | 7321767 | 2222 | 4793 | 12671757 | N/A | 6037802 | 2025-09-18 02:24:54.177575 | 2025-07-22 17:48:16.997014 |
| 2025-09-17 08:06:52.586630 | 2025-09-18 05:10:17.683582 | 12395514 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12395514 | Athletic Physical Therapy Inc | 1960-07-22 | 2025-09-18 | F | PT | Fairbairn | VUC381M87189 | SUSAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.110128550.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9256797/check_12395514_b8012566-e63a-41e8-9825-dd5e8dfa1bd1.json | N/A | N/A | N/A | N/A | N/A | VUC381M87189 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1960-07-22 | 040 | 280509A400 | N/A | PR | false | RATSCH | N/A | CHRISTIAN | N/A | 9999-12-31 | 2023-01-01 | UC CARE PPO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810085676 | N/A | N/A | 9256797 | 2222 | 4802 | 12681693 | N/A | 7767722 | 2025-09-18 05:10:17.683582 | 2025-09-09 21:30:42.448470 |
| 2025-09-17 08:06:39.738147 | 2025-09-18 02:16:17.632519 | 12395231 | N/A | N/A | 60054 | Aetna | 1114042165 | 12395231 | Athletic Physical Therapy Inc | 1986-01-20 | 2025-09-18 | F | AE | DAVIS | W258779471 | MARTINA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.112024285.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993951/check_12395231_b518a6fa-063d-4bc9-81d6-ef578798396f.json | N/A | N/A | N/A | N/A | N/A | W258779471 | Point of Service (POS) | ADP TOTALSOURCE SERVICES, INC. | AETNA | N/A | 1986-01-20 | 0251371 | 025137101900020 | N/A | PS | false | DAVIS | N/A | ASTIN | N/A | N/A | N/A | OPEN ACCESS MC | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810134344 | N/A | N/A | 5993951 | 2222 | 4802 | 12665474 | N/A | 4642884 | 2025-09-18 02:16:17.632519 | 2025-12-02 20:19:19.910444 |
| 2025-09-17 08:06:39.428960 | 2025-09-18 02:25:19.633250 | 12395224 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12395224 | Athletic Physical Therapy Inc | 1977-09-14 | 2025-09-19 | F | PT | CONTI | CAI143A79624 | MARIANA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.112024285.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993920/check_12395224_e063b3e3-2e0d-4947-9676-eb3e16eed7bd.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 | 8810134343 | N/A | N/A | 5993920 | 2222 | 4793 | 12672087 | 4184 | 4642859 | 2025-09-18 02:25:19.633250 | 2026-04-10 21:27:25.225083 |
| 2025-09-17 08:06:38.922103 | 2025-09-18 02:25:22.031230 | 12395214 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12395214 | Athletic Physical Therapy Inc | 1993-10-14 | 2025-09-18 | M | PT | SPENCE | SGEFW1503472 | STEPHEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.112024285.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993917/check_12395214_07d077bf-cd0d-47b5-bdff-0fc9390be7b6.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 | 8810134342 | N/A | N/A | 5993917 | 2222 | 4793 | 12672119 | N/A | 4642854 | 2025-09-18 02:25:22.031230 | 2025-05-28 20:57:05.075130 |
| 2025-09-17 08:06:38.288122 | 2025-09-18 02:32:56.349278 | 12395204 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12395204 | Athletic Physical Therapy Inc | 1939-06-25 | 2025-09-19 | M | AE | JACOBS | 4XJ0X61FM35 | PATRICIA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.112024285.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993912/check_12395204_e450bd56-3145-4750-85db-57b14719d9d8.json | N/A | N/A | N/A | N/A | N/A | 4XJ0X61FM35 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1939-06-25 | S5921 | N/A | N/A | MA | false | JACOBS | N/A | PATRICIA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810134341 | N/A | N/A | 5993912 | 2222 | 4793 | 12676440 | N/A | 4642852 | 2025-09-18 02:32:56.349278 | 2025-11-21 18:38:17.056437 |
| 2025-09-17 08:06:37.697532 | 2025-09-18 02:24:08.011468 | 12395192 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12395192 | Athletic Physical Therapy Inc | 1983-05-31 | 2025-09-18 | M | AE | JOHNSON | R04617470MM1 | ROTH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.112024285.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993907/check_12395192_41616113-d4de-4104-8262-2793521b38b9.json | N/A | N/A | N/A | N/A | N/A | R04617470MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1983-05-31 | N/A | N/A | N/A | N/A | false | JOHNSON | N/A | ROTH | N/A | N/A | N/A | KWE PPOSBG | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810134340 | N/A | N/A | 5993907 | 2222 | 4793 | 12671267 | N/A | 4534544 | 2025-09-18 02:24:08.011468 | 2025-05-28 20:51:40.104091 |
| 2025-09-17 08:06:27.487951 | 2025-09-18 05:05:53.771049 | 12395018 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12395018 | Athletic Physical Therapy Inc | 1948-07-07 | 2025-09-19 | F | AE | GOEL | JQE690A74746 | VEENA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.122454270.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969545/check_12395018_718723e9-ffa0-4684-afa3-103cec873142.json | N/A | N/A | N/A | N/A | N/A | JQE690A74746 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1948-07-07 | 040 | CASUPWP0 | N/A | N/A | false | GOEL | N/A | VEENA | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810285959 | N/A | N/A | 8969545 | 2222 | 4802 | 12680372 | N/A | 7485064 | 2025-09-18 05:05:53.771049 | 2025-12-29 22:41:16.623495 |
| 2025-09-17 08:06:25.661533 | 2025-09-18 05:02:11.841457 | 12394992 | N/A | N/A | 14163 | Wellcare Health Plans | 1114042165 | 12394992 | N/A | 1948-01-19 | 2025-09-18 | F | AE | Machleit | 29029580 | Terri | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.110128550.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9253541/check_12394992_ebd64d09-41ec-40f3-9a07-0eb21c8f7e02.json | N/A | N/A | N/A | N/A | N/A | 29029580 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1948-01-19 | N/A | N/A | N/A | N/A | false | MACHLEIT | N/A | TERRI | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810086019 | N/A | N/A | 9253541 | 2222 | 4793 | 12679274 | N/A | 7764252 | 2025-09-18 05:02:11.841457 | 2025-09-11 22:35:02.402934 |
| 2025-09-17 08:05:58.965987 | 2025-09-18 05:20:43.936539 | 12394012 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12394012 | Athletic Physical Therapy Inc | 1950-04-13 | 2025-09-18 | F | AE | NATALI | 2XU8UK4DF50 | RENEE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.112035252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8979192/check_12394012_6ffc9690-f075-435b-938f-886f4f28794e.json | N/A | N/A | N/A | N/A | N/A | 2XU8UK4DF50 | Medicare Part B | N/A | HEALTH CARE SERVICE CORPORATION | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-04-13 | S5715 | N/A | N/A | MB | false | NATALI | N/A | RENEE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810133214 | N/A | N/A | 8979192 | 2222 | 4793 | 12683776 | N/A | 7498543 | 2025-09-18 05:20:43.936539 | 2025-10-14 17:13:32.178778 |
| 2025-09-17 08:05:56.497387 | 2025-09-18 02:20:40.446888 | 12393899 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12393899 | Athletic Physical Therapy Inc | 1990-11-27 | 2025-09-19 | M | PT | HAN | XTS845M18428 | PENGCHENG | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.105922403.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7689149/check_12393899_b2ab110a-c1f0-42a0-8f00-9f7650f308b2.json | N/A | N/A | N/A | N/A | N/A | XTS845M18428 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1990-11-27 | N/A | N/A | N/A | N/A | false | HAN | N/A | PENGCHENG | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810093680 | N/A | N/A | 7689149 | 2222 | 4793 | 12668466 | N/A | 6560578 | 2025-09-18 02:20:40.446888 | 2025-08-15 01:36:36.509527 |
| 2025-09-17 08:05:55.590556 | 2025-09-18 05:10:15.776587 | 12393857 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12393857 | Athletic Physical Therapy Inc | 1977-05-14 | 2025-09-19 | F | PT | HONG | FBJ2963169M | ANGEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.110128550.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9213662/check_12393857_43815e19-2b93-4dfd-a548-00f00506de64.json | N/A | N/A | N/A | N/A | N/A | FBJ2963169M | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1977-05-14 | N/A | N/A | N/A | N/A | false | HONG | N/A | ANGEL | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810084927 | N/A | N/A | 9213662 | 2222 | 4793 | 12681686 | N/A | 7729036 | 2025-09-18 05:10:15.776587 | 2025-09-19 20:26:46.976508 |
| 2025-09-17 08:05:55.491798 | 2025-09-18 02:05:08.211067 | 12393852 | N/A | N/A | 60054 | Aetna | 1114042165 | 12393852 | Athletic Physical Therapy Inc | 1956-11-03 | 2025-09-18 | M | AE | ARROW | 101393152200 | PAUL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.105722713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676385/check_12393852_1d8f98d2-b34a-48d4-9e11-bb73ff5e9575.json | N/A | N/A | N/A | N/A | N/A | 101393152200 | Preferred Provider Organization (PPO) | BP CORPORATION NORTH AMERICA - MA | AETNA | MEDICARE | 1956-11-03 | 100181-02EG0001 | 100181-02 | N/A | PR | false | ARROW | N/A | PAUL | N/A | N/A | N/A | BP MEDICARE PPO ESA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810071839 | N/A | N/A | 5676385 | 2222 | 4802 | 12662488 | N/A | 4343439 | 2025-09-18 02:05:08.211067 | 2025-05-13 04:29:37.230918 |
| 2025-09-17 08:05:55.402077 | 2025-09-18 02:20:59.877559 | 12393849 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12393849 | Athletic Physical Therapy Inc | 1952-07-25 | 2025-09-18 | M | AE | LANE | 4CA5FX1PJ56 | STEVEN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.105722713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676372/check_12393849_d3f931d4-2e4c-4865-9631-70d2aac37369.json | N/A | N/A | N/A | N/A | N/A | 4CA5FX1PJ56 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1952-07-25 | S4802 | N/A | N/A | MA | false | LANE | N/A | STEVEN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810071836 | N/A | N/A | 5676372 | 2222 | 4802 | 12668736 | N/A | 4219832 | 2025-09-18 02:20:59.877559 | 2025-05-13 04:29:37.230877 |
| 2025-09-17 08:05:55.311332 | 2025-09-18 02:13:49.336166 | 12393845 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12393845 | Athletic Physical Therapy Inc | 1946-04-03 | 2025-09-18 | F | PT | OBLINGER | JQS491M78254 | MARIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.105722713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676340/check_12393845_a757fee6-cde0-4ecf-81b1-548007ca0c95.json | N/A | N/A | N/A | N/A | N/A | JQS491M78254 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1946-04-03 | 040 | CAMCRWP0 | N/A | MP | false | OBLINGER | N/A | MARIA | N/A | 9999-12-31 | 2025-01-01 | CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810071835 | N/A | N/A | 5676340 | 2222 | 4793 | 12664515 | 4184 | 4210531 | 2025-09-18 02:13:49.336166 | 2025-12-09 17:09:13.960610 |
| 2025-09-17 08:05:51.847876 | 2025-09-18 05:10:13.737860 | 12393690 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12393690 | Athletic Physical Therapy Inc | 1966-12-04 | 2025-09-19 | M | PT | CLANCY | XDMOE0503879 | JOSEPH | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.110128550.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9194927/check_12393690_ef53a62d-01bb-4c2b-92fe-6681afbdb2e8.json | N/A | N/A | N/A | N/A | N/A | XDMOE0503879 | Health Maintenance Organization (HMO) | OPERATING ENGINEERS HEALTH&WELFARE FUND | ANTHEM BLUE CROSS | N/A | 1966-12-04 | 040 | 278671H001 | N/A | HM | false | CLANCY | N/A | JOSEPH | N/A | 9999-12-31 | 2025-02-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810084905 | N/A | N/A | 9194927 | 2222 | 4793 | 12681676 | 4184 | 7712549 | 2025-09-18 05:10:13.737860 | 2025-09-10 17:29:28.945035 |
| 2025-09-17 08:05:47.510285 | 2025-09-18 05:11:33.694077 | 12393484 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12393484 | Athletic Physical Therapy Inc | 2009-05-28 | 2025-09-19 | F | PT | GALLE | JXN432W14490 | MADELYN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.112035252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8970914/check_12393484_86db08b5-851a-4fcf-bcbf-9e2628c03aae.json | N/A | N/A | N/A | N/A | N/A | JXN432W14490 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 2009-05-28 | 040 | 174222M8A1 | N/A | PR | false | FRYE | N/A | BRADLEY | N/A | 9999-12-31 | 2024-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810133001 | N/A | N/A | 8970914 | 2222 | 4793 | 12682033 | N/A | 7486302 | 2025-09-18 05:11:33.694077 | 2025-09-30 03:58:19.839826 |
| 2025-09-17 08:05:37.172991 | 2025-09-18 02:27:48.870266 | 12393040 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12393040 | Athletic Physical Therapy Inc | 1973-02-24 | 2025-09-18 | F | PT | TAKEMOTO | XED906098170 | NICOLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.112024285.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928752/check_12393040_6f50066a-d193-4997-ae17-4217e1facf46.json | N/A | N/A | N/A | N/A | N/A | XED906098170 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1973-02-24 | 2001ZK002184 | X0001004 | N/A | PR | false | TAKEMOTO | N/A | NICOLE | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810134208 | N/A | N/A | 5928752 | 2222 | 4802 | 12673922 | N/A | 4583701 | 2025-09-18 02:27:48.870266 | 2025-07-24 17:50:11.805587 |
| 2025-09-17 08:05:31.303910 | 2025-09-18 05:20:42.956922 | 12392785 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12392785 | Athletic Physical Therapy Inc | 1948-07-07 | 2025-09-19 | F | AE | GOEL | 5RR4M63DR65 | VEENA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.112035252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8969533/check_12392785_982a57f8-4d48-4238-b896-8444e60f5478.json | N/A | N/A | N/A | N/A | N/A | 5RR4M63DR65 | Medicare Part B | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-07-07 | S5596 | N/A | N/A | MB | false | GOEL | N/A | VEENA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810132931 | N/A | N/A | 8969533 | 2222 | 4802 | 12683774 | N/A | 7485064 | 2025-09-18 05:20:42.956922 | 2025-12-29 22:41:16.623495 |
| 2025-09-17 08:05:22.123643 | 2025-09-18 02:09:54.664843 | 12392429 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12392429 | Athletic Physical Therapy Inc | 1961-09-17 | 2025-09-18 | F | AE | GIANOLI | R11857813FM1 | ELSY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.105722713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_12392429_d0837e52-3a57-4649-8fd7-abab2c09f0a6.json | N/A | N/A | N/A | N/A | N/A | R11857813FM1 | N/A | N/A | HEALTH NET OF CALIFORNIA | PLEASE NOTE THAT THE PERIOD END DATE ABOVE (DTP 194) INDICATES THE CLAIMS PAID THROUGH DATE. TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1961-09-17 | 67138CA0520015-06 | N/A | N/A | N/A | false | GIANOLI | N/A | ELSY | N/A | N/A | N/A | SILVER 94 AMBETTER HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810072211 | N/A | N/A | 5568076 | 2222 | 4802 | 12663526 | N/A | 4209480 | 2025-09-18 02:09:54.664843 | 2026-04-10 02:05:15.976484 |
| 2025-09-17 08:05:15.069507 | 2025-09-18 05:01:36.636422 | 12392140 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12392140 | Athletic Physical Therapy Inc | 1963-04-21 | 2025-09-19 | F | PT | ARREGUIN | 356A6763620 | LETICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.110128550.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9131826/check_12392140_b0b790fc-eb25-43d9-bea9-3b60559f09ac.json | N/A | N/A | N/A | N/A | N/A | 356A6763620 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1963-04-21 | N/A | N/A | N/A | N/A | false | ARREGUIN | N/A | LETICIA | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810085242 | N/A | N/A | 9131826 | 2222 | 4801 | 12679089 | N/A | 7652862 | 2025-09-18 05:01:36.636422 | 2025-09-19 19:09:46.068421 |
| 2025-09-17 08:05:09.007807 | 2025-09-18 02:13:24.982033 | 12391885 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12391885 | Athletic Physical Therapy Inc | 1962-04-09 | 2025-09-18 | F | PT | HARDING | XDP157A51099 | MICHELE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.105722713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550953/check_12391885_d28a3ee3-7f83-4c77-aea9-0aaa66c6723d.json | N/A | N/A | N/A | N/A | N/A | XDP157A51099 | Preferred Provider Organization (PPO) | CALIFORNIA SCHOOL EMPLOYEE BENEFIT ORGANIZATION | ANTHEM BLUE CROSS | N/A | 1962-04-09 | 040 | 175092M330 | N/A | PR | false | HARDING | N/A | MICHELE | N/A | 9999-12-31 | 2024-01-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810071287 | N/A | N/A | 5550953 | 2222 | 4801 | 12664368 | N/A | 4219788 | 2025-09-18 02:13:24.982033 | 2025-06-06 22:01:46.271450 |
| 2025-09-17 08:05:08.859115 | 2025-09-18 02:05:10.120120 | 12391879 | N/A | N/A | 60054 | Aetna | 1114042165 | 12391879 | Athletic Physical Therapy Inc | 1961-11-04 | 2025-09-18 | F | AE | SANTITORO | W267422430 | SARAH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.105722713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550743/check_12391879_2d1fd71a-e70a-4e6f-8441-24bdaadc3984.json | N/A | N/A | N/A | N/A | N/A | W267422430 | Point of Service (POS) | CIENA CORPORATION | AETNA | N/A | 1961-11-04 | 0486875 | 048687501000001 | N/A | PS | false | SANTITORO | N/A | RALPH | 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 | 8810071286 | N/A | N/A | 5550743 | 2222 | 4801 | 12662499 | N/A | 4219643 | 2025-09-18 02:05:10.120120 | 2025-05-13 04:29:37.230685 |
| 2025-09-17 08:05:08.721573 | 2025-09-18 02:20:57.774842 | 12391873 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12391873 | Athletic Physical Therapy Inc | 1951-06-01 | 2025-09-19 | F | AE | BRADBURY | 5W31MW6FP03 | BONNIE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.105722713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550534/check_12391873_a62dc42c-0550-47d4-80a2-fd210414557c.json | N/A | N/A | N/A | N/A | N/A | 5W31MW6FP03 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-06-01 | S5617 | N/A | N/A | MB | false | BRADBURY | N/A | BONNIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810071285 | N/A | N/A | 5550534 | 2222 | 4801 | 12668710 | N/A | 4219556 | 2025-09-18 02:20:57.774842 | 2025-05-13 04:29:37.230592 |
| 2025-09-17 08:05:08.556937 | 2025-09-18 02:20:58.888518 | 12391867 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12391867 | Athletic Physical Therapy Inc | 1951-12-26 | 2025-09-18 | M | AE | FINEBERG | 9FX3D52YD09 | MARTIN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.105722713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549981/check_12391867_80871018-d17c-4c80-92f9-aea25ab8505a.json | N/A | N/A | N/A | N/A | N/A | 9FX3D52YD09 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1951-12-26 | S5921 | N/A | N/A | MA | false | FINEBERG | N/A | MARTIN | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810071284 | N/A | N/A | 5549981 | 2222 | 4802 | 12668725 | N/A | 4219436 | 2025-09-18 02:20:58.888518 | 2025-05-13 04:29:37.230471 |
| 2025-09-17 08:05:08.465477 | 2025-09-18 02:13:50.339927 | 12391862 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12391862 | Athletic Physical Therapy Inc | 2000-08-20 | 2025-09-18 | F | PT | SAUCERMAN | XDM288A55735 | ALEXIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.105722713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549817/check_12391862_039ea2d6-a8a6-45ed-8293-0de465f5ad6e.json | N/A | N/A | N/A | N/A | N/A | XDM288A55735 | Health Maintenance Organization (HMO) | SISC - SIMI VALLEY UNIFIED SCHOOL DISTRICT | ANTHEM BLUE CROSS | N/A | 2000-08-20 | 040 | 57ARJB | N/A | HM | false | SAUCERMAN | N/A | DEANNE | N/A | 2025-10-01 | 2022-01-01 | PREMIER SELECT HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810071053 | N/A | N/A | 5549817 | 2222 | 4793 | 12664524 | 4184 | 4211143 | 2025-09-18 02:13:50.339927 | 2025-05-31 20:12:37.092503 |
| 2025-09-17 08:05:08.320144 | 2025-09-18 02:20:58.143057 | 12391856 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12391856 | Athletic Physical Therapy Inc | 1972-05-29 | 2025-09-18 | M | AE | CALDERON | 4DH3VT4QR98 | FREDY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.105722713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549153/check_12391856_6e5bdb6c-acb4-4e6e-9384-ee1e6e604aea.json | N/A | N/A | N/A | N/A | N/A | 4DH3VT4QR98 | Medicare Part B | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1972-05-29 | S5617 | N/A | N/A | MB | false | CALDERON | N/A | FREDY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810071052 | N/A | N/A | 5549153 | 2222 | 4801 | 12668716 | N/A | 4218873 | 2025-09-18 02:20:58.143057 | 2025-05-13 04:29:37.229886 |
| 2025-09-17 08:05:06.769283 | 2025-09-18 02:11:54.738448 | 12391791 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12391791 | N/A | 1962-06-19 | 2025-09-19 | M | AE | MILIAN GOMEZ | 93331019F | MIGUEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.105722713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543555/check_12391791_fab10c92-4974-4c11-9f76-173cb2457a58.json | N/A | N/A | N/A | N/A | N/A | 93331019F | N/A | N/A | HEALTH NET OF CALIFORNIA AND OREGON | N/A | 1962-06-19 | N/A | N/A | N/A | N/A | false | MILIAN GOMEZ | N/A | MIGUEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810071039 | N/A | N/A | 5543555 | 2222 | 4802 | 12663961 | N/A | 4215332 | 2025-09-18 02:11:54.738448 | 2025-08-06 16:15:15.716322 |
| 2025-09-17 08:05:06.606146 | 2025-09-18 02:10:01.003885 | 12391787 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | 12391787 | Athletic Physical Therapy Inc | 1950-03-29 | 2025-09-19 | M | AE | AKHTARI | 40045421301 | SHAHROKH | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.105722713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543493/check_12391787_ffc356b0-2cf3-43cf-898f-b4c21109588a.json | N/A | N/A | N/A | N/A | N/A | 40045421301 | N/A | N/A | SCAN HEALTH PLAN | CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS | 1950-03-29 | 2025H5425084LA | H5425M | N/A | N/A | false | AKHTARI | N/A | SHAHROKH | N/A | N/A | N/A | SCAN VENTURE (HMO), LOS ANGELES | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810071038 | N/A | N/A | 5543493 | 2222 | 4793 | 12663564 | N/A | 4215273 | 2025-09-18 02:10:01.003885 | 2025-05-13 04:29:37.229594 |
| 2025-09-17 08:05:06.490218 | 2025-09-18 02:13:18.916888 | 12391780 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12391780 | Athletic Physical Therapy Inc | 1968-01-29 | 2025-09-19 | F | PT | DAKE | SIF326M90066 | RENEE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.105722713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543355/check_12391780_d17f4b58-1700-4a34-9889-3d9036879f57.json | N/A | N/A | N/A | N/A | N/A | SIF326M90066 | Preferred Provider Organization (PPO) | SISC - MEADOWS ARTS & TECH ELEMENTARY SCHOOL | ANTHEM BLUE CROSS | N/A | 1968-01-29 | 040 | 40424B | N/A | PR | false | DAKE | N/A | RENEE | N/A | 9999-12-31 | 2018-10-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810071037 | N/A | N/A | 5543355 | 2222 | 4793 | 12664328 | N/A | 4215158 | 2025-09-18 02:13:18.916888 | 2025-05-13 04:29:37.229475 |
| 2025-09-17 08:05:06.327809 | 2025-09-18 02:13:14.684646 | 12391772 | N/A | N/A | SB040 | ANTHEM BLUE CROSS | 1114042165 | 12391772 | Athletic Physical Therapy Inc | 1962-09-27 | 2025-09-18 | F | PT | BARAJAS | NCF425A56241 | EMMA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.105722713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543324/check_12391772_a572645f-a136-4600-82e6-e313fab7fff6.json | N/A | N/A | N/A | N/A | N/A | JMV425A56241 | Health Maintenance Organization (HMO) | IBEW LOCAL 18 HEALTH & WELFARE TRUST | ANTHEM BLUE CROSS | N/A | 1962-09-27 | 040 | 56677VR000 | N/A | HM | false | BARAJAS | N/A | RAMON | N/A | 9999-12-31 | 2025-09-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810071036 | N/A | N/A | 5543324 | 2222 | 4801 | 12664301 | 4184 | 4215131 | 2025-09-18 02:13:14.684646 | 2025-08-11 16:45:52.816842 |
| 2025-09-17 08:05:06.215258 | 2025-09-18 02:05:11.146665 | 12391767 | N/A | N/A | 60054 | Aetna | 1114042165 | 12391767 | Athletic Physical Therapy Inc | 1966-04-15 | 2025-09-18 | F | AE | STULTZ | W460545844 | TRACY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.105722713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543319/check_12391767_c3e0e2cc-2aa3-4636-9e3f-95acfe88d0c3.json | N/A | N/A | N/A | N/A | N/A | W460545844 | Exclusive Provider Organization | M. ARTHUR GENSLER, JR. & ASSOCIATES | AETNA | N/A | 1966-04-15 | 0658759 | 065875901800051 | N/A | EP | false | STULTZ | N/A | ERIC | N/A | N/A | N/A | OPEN ACCESS AETNA SELECT | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810071033 | N/A | N/A | 5543319 | 2222 | 4802 | 12662501 | N/A | 4215127 | 2025-09-18 02:05:11.146665 | 2025-05-13 04:29:37.229443 |
| 2025-09-17 08:05:06.079685 | 2025-09-18 02:16:05.158478 | 12391765 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1114042165 | 12391765 | N/A | 1984-07-28 | 2025-09-19 | M | PT | ADAPA | DHC801433521 | PAVAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.105922403.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7638701/check_12391765_2d9df373-90c4-4160-97f9-aea92697a102.json | N/A | N/A | N/A | N/A | N/A | DHC801433521 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1984-07-28 | N/A | N/A | N/A | N/A | false | ADAPA | N/A | PAVAN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810093417 | N/A | N/A | 7638701 | 2222 | 4793 | 12665376 | N/A | 6533086 | 2025-09-18 02:16:05.158478 | 2025-08-12 04:29:49.496561 |
| 2025-09-17 08:05:06.017545 | 2025-09-18 02:04:33.956450 | 12391761 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 12391761 | Athletic Physical Therapy Inc | 1991-07-22 | 2025-09-18 | M | AE | AZIM | 627771249 | FAIYAZ | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.105722713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543304/check_12391761_91a08975-f7e6-46e7-b34b-3325962bf041.json | N/A | N/A | N/A | N/A | N/A | 627771249 | N/A | N/A | MOLINA_CA | NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1991-07-22 | 18126CA001000201 | QMXEM01910 | N/A | N/A | false | AZIM | N/A | FAIYAZ | N/A | 2025-12-31 | 2025-01-01 | GOLD 80 HMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810071032 | N/A | N/A | 5543304 | 2222 | 4802 | 12662380 | N/A | 4215118 | 2025-09-18 02:04:33.956450 | 2025-06-02 01:41:59.668874 |
| 2025-09-17 08:05:05.907958 | 2025-09-18 02:04:35.132106 | 12391755 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 12391755 | Athletic Physical Therapy Inc | 1964-03-27 | 2025-09-19 | M | AE | MCCOWAN | 93341440D | KEVIN | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.105722713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_12391755_00d228b4-c000-46af-8c53-e6adf594cb86.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-03-27 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | 2078-12-31 | 2024-11-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810071031 | N/A | N/A | 5543270 | 2222 | 4793 | 12662383 | N/A | 4215086 | 2025-09-18 02:04:35.132106 | 2025-05-13 04:29:37.229401 |
| 2025-09-17 08:05:05.796608 | 2025-09-18 02:08:53.705195 | 12391749 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 12391749 | Athletic Physical Therapy Inc | 1993-07-24 | 2025-09-18 | M | AD | SJUKUR | U0030031901 | HANSEL | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.105722713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543268/check_12391749_c00022e2-87d8-4fc0-b67b-fdca4de9b201.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 | 8810071030 | N/A | N/A | 5543268 | 2222 | 4802 | 12663289 | N/A | 4215085 | 2025-09-18 02:08:53.705195 | 2025-05-23 17:53:24.114484 |
| 2025-09-17 08:05:05.717024 | 2025-09-18 02:15:51.328120 | 12391746 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12391746 | Athletic Physical Therapy Inc | 2008-12-30 | 2025-09-18 | F | PT | PAUL | XEK914147727 | SARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.105722713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543211/check_12391746_23099191-5aa7-46ef-b481-4cf689c68e43.json | N/A | N/A | N/A | N/A | N/A | XEK914147727 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-12-30 | 2001ZD002666 | X0001000 | N/A | PR | false | PAUL | N/A | SARA | 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 | 8810071029 | N/A | N/A | 5543211 | 2222 | 4801 | 12665288 | N/A | 4215028 | 2025-09-18 02:15:51.328120 | 2025-05-13 04:29:37.229346 |
| 2025-09-17 08:05:05.628884 | 2025-09-18 02:08:52.860012 | 12391743 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | 12391743 | Athletic Physical Therapy Inc | 1973-05-07 | 2025-09-18 | F | AD | FERRERAS | U6570615702 | PATRICIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.105722713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543171/check_12391743_58539f4e-549c-4b26-b268-1eae8f97fce6.json | N/A | N/A | N/A | N/A | N/A | U6570615702 | N/A | WORKDAY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1973-05-07 | N/A | 3336422 | N/A | N/A | false | FERRERAS | N/A | PATRICIA | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8810071028 | N/A | N/A | 5543171 | 2222 | 4793 | 12663281 | N/A | 4214998 | 2025-09-18 02:08:52.860012 | 2025-05-13 04:29:37.229318 |
| 2025-09-17 08:05:05.500907 | 2025-09-18 02:13:33.479099 | 12391735 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12391735 | Athletic Physical Therapy Inc | 1972-06-23 | 2025-09-18 | F | PT | LAWSON | JXN663W00172 | MICHELLE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.105722713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543167/check_12391735_ae7b1beb-0cb3-4d5e-b62d-0a11052b2c2f.json | N/A | N/A | N/A | N/A | N/A | JXN663W00172 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 100 000-199 999 | ANTHEM BLUE CROSS | N/A | 1972-06-23 | 040 | 174222M2A1 | N/A | PR | false | LAWSON | N/A | MICHELLE | N/A | 9999-12-31 | 2020-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810071027 | N/A | N/A | 5543167 | 2222 | 4793 | 12664424 | N/A | 4214995 | 2025-09-18 02:13:33.479099 | 2025-05-13 04:29:37.229315 |
| 2025-09-17 08:05:05.386032 | 2025-09-18 02:13:16.337429 | 12391730 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12391730 | Athletic Physical Therapy Inc | 1958-07-27 | 2025-09-18 | F | PT | BERARDI | JQU360A51420 | JACQUELINE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.105722713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543161/check_12391730_49875572-bf34-4b0c-b302-1cedc20e1f24.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 | 2025-08-01 | ANTHEM GOLD PPO 30/60/500/20% | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8810071026 | N/A | N/A | 5543161 | 2222 | 4793 | 12664311 | N/A | 4214989 | 2025-09-18 02:13:16.337429 | 2025-05-13 04:29:37.229310 |
| 2025-09-17 08:05:05.240781 | 2025-09-18 02:12:20.134789 | 12391725 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 12391725 | Athletic Physical Therapy Inc | 1960-12-24 | 2025-09-18 | F | AE | PORTILLO | 00000315343 | LISA | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.105722713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543084/check_12391725_a8e446e2-6704-4a0f-884c-59d7d46ab58a.json | N/A | N/A | N/A | N/A | N/A | 00000315343 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1960-12-24 | H3815028 | N/A | N/A | HM | false | PORTILLO | N/A | LISA | 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 | 8810071025 | N/A | N/A | 5543084 | 2222 | 4801 | 12664081 | N/A | 4214920 | 2025-09-18 02:12:20.134789 | 2025-05-13 04:29:37.229242 |
| 2025-09-17 08:05:05.134952 | 2025-09-18 02:10:03.641992 | 12391719 | N/A | N/A | 72261 | Lakeside Medical Group | 1114042165 | 12391719 | Athletic Physical Therapy Inc | 1957-01-21 | 2025-09-18 | M | AE | SHADDY | 40064865601 | STEVE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250917.105722713.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543011/check_12391719_b47de56f-ecda-4807-b7a4-f63c42f5c02e.json | N/A | N/A | N/A | N/A | N/A | 40064865601 | N/A | N/A | SCAN HEALTH PLAN | N/A | N/A | N/A | N/A | N/A | N/A | false | SHADDY | N/A | STEVE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8810071024 | N/A | N/A | 5543011 | 2222 | 4801 | 12663573 | N/A | 4214861 | 2025-09-18 02:10:03.641992 | 2026-02-04 19:10:58.526441 |