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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-01 09:08:46.115139 | 2025-06-02 02:10:13.373348 | 8460699 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8460699 | Athletic Physical Therapy Inc | 1974-12-26 | 2025-06-06 | M | PT | SALEWSKE | SZR600905624 | TYSON | N/A | 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/2222/5541518/check_8460699_1a4beecc-c377-447d-846c-af543630ead8.json | N/A | N/A | N/A | N/A | N/A | SZR600905624 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1974-12-26 | N/A | N/A | N/A | N/A | false | SALEWSKE | N/A | TYSON | 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 | 5541518 | 2222 | 4793 | 8153270 | N/A | 4213526 | 2025-06-02 02:10:13.373348 | 2025-11-13 19:34:43.197819 |
| 2025-06-01 09:08:46.042901 | 2025-06-02 02:05:43.645096 | 8460696 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 8460696 | Athletic Physical Therapy Inc | 1941-02-15 | 2025-06-05 | M | PT | LAMANTIA | H79604971 | THOMAS | AE | 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/2222/5540865/check_8460696_0d9b57a0-67fc-47b2-865e-fc7670600b68.json | N/A | N/A | N/A | N/A | N/A | H79604971 | Preferred Provider Organization (PPO) | L3HARRIS TECHNOLOGIES | HUMANA | 079 249 MEDICARE PPO | 1941-02-15 | N/A | 5A763001 | N/A | PR | false | LAMANTIA | N/A | THOMAS | N/A | N/A | N/A | L3 HARRIS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540865 | 2222 | 4801 | 8146819 | N/A | 4212955 | 2025-06-02 02:05:43.645096 | 2025-07-08 12:47:00.203499 |
| 2025-06-01 09:08:45.965705 | 2025-06-02 02:10:07.678277 | 8460694 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8460694 | Athletic Physical Therapy Inc | 1936-06-28 | 2025-06-05 | F | PT | BOYLAN | MBL857M98403 | JOAN | N/A | 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/2222/5540074/check_8460694_a0745bb6-9a27-42d9-a11e-8b353e90b194.json | N/A | N/A | N/A | N/A | N/A | MBL857M98403 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1936-06-28 | 040 | CAEGR005 | N/A | N/A | false | BOYLAN | N/A | JOAN | 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 | 5540074 | 2222 | 4802 | 8153141 | N/A | 4212282 | 2025-06-02 02:10:07.678277 | 2025-05-13 04:29:37.226623 |
| 2025-06-01 09:08:45.849944 | 2025-06-02 02:03:22.844572 | 8460692 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8460692 | Athletic Physical Therapy Inc | 1957-04-05 | 2025-06-05 | M | PT | GHAFFARI | XEE980566737 | HAMID | AE | 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/2222/5540041/check_8460692_ecc8daf5-5123-461e-8897-aca02e6ac853.json | N/A | N/A | N/A | N/A | N/A | XEE980566737 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1957-04-05 | N/A | N/A | N/A | N/A | false | GHAFFARI | N/A | HAMID | 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 | 5540041 | 2222 | 4802 | 8142995 | N/A | 4212255 | 2025-06-02 02:03:22.844572 | 2025-05-13 04:29:37.226591 |
| 2025-06-01 09:08:45.737640 | 2025-06-02 02:16:06.314771 | 8460687 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8460687 | Athletic Physical Therapy Inc | 1943-08-11 | 2025-06-05 | M | PT | GILMAN | 3JF3QX7XA12 | SHELDON | AE | 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/2222/5539811/check_8460687_11835bc3-cb0c-4708-8934-00e20ec45160.json | N/A | N/A | N/A | N/A | N/A | 3JF3QX7XA12 | Medicare Part B | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1943-08-11 | S5601 | N/A | N/A | MB | false | GILMAN | N/A | SHELDON | 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 | 5539811 | 2222 | 4802 | 8161240 | N/A | 4212067 | 2025-06-02 02:16:06.314771 | 2025-05-13 04:29:37.226388 |
| 2025-06-01 09:08:45.530751 | 2025-06-02 02:07:43.447798 | 8460682 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8460682 | Athletic Physical Therapy Inc | 1958-01-24 | 2025-06-02 | M | PT | SAUER | 995746438 | MARCOS | AE | 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/2222/5539785/check_8460682_0d430b96-feeb-4699-9925-f28ce615f582.json | N/A | N/A | N/A | N/A | N/A | 995746438 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1958-01-24 | N/A | 74126 | N/A | PR | false | SAUER | N/A | MARCOS | N/A | N/A | N/A | LPPO-AARP MEDICARE ADVANTAGE FROM UHC CA-0029 (PPO | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539785 | 2222 | 4793 | 8149900 | N/A | 4212024 | 2025-06-02 02:07:43.447798 | 2025-05-28 20:17:35.019662 |
| 2025-06-01 09:08:45.232542 | 2025-06-02 02:10:46.338007 | 8460670 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8460670 | Athletic Physical Therapy Inc | 1963-03-09 | 2025-06-05 | M | PT | GILLETTE | ZZA129013396001 | GRADY | N/A | 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/2222/5539749/check_8460670_6065bfb4-6803-4468-af1a-a688cdb50969.json | N/A | N/A | N/A | N/A | N/A | ZZA129013396001 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1963-03-09 | N/A | N/A | N/A | N/A | false | GILLETTE | N/A | GRADY | 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 | 5539749 | 2222 | 4801 | 8154023 | N/A | 4212009 | 2025-06-02 02:10:46.338007 | 2025-05-13 04:29:37.226332 |
| 2025-06-01 09:08:45.063558 | 2025-06-02 02:10:08.803046 | 8460661 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8460661 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-06-06 | M | PT | FINNLEY | NGO832M81089 | ZEV | N/A | 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/2222/5539664/check_8460661_b35c813d-6b52-4464-a73f-331820181c56.json | N/A | N/A | N/A | N/A | N/A | 474M92023 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | ANTHEM BLUE CROSS | N/A | 1991-07-13 | 040 | 174022MJAC | N/A | PR | false | N/A | N/A | N/A | N/A | 9999-12-31 | 2022-01-01 | 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 | 5539664 | 2222 | 4793 | 8153166 | N/A | 4211935 | 2025-06-02 02:10:08.803046 | 2025-05-13 04:29:37.226259 |
| 2025-06-01 09:08:44.915504 | 2025-06-02 02:10:11.054302 | 8460652 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8460652 | Athletic Physical Therapy Inc | 1963-05-25 | 2025-06-04 | F | PT | GINSBERG | JQU469A62630 | LISA | N/A | 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/2222/5539612/check_8460652_0b1b0cb5-e26e-458f-b053-c19542e6ad48.json | N/A | N/A | N/A | N/A | N/A | JQU469A62630 | Preferred Provider Organization (PPO) | CAL CHOICE JANUARY 1.00 | ANTHEM BLUE CROSS | N/A | 1963-05-25 | 040 | 476522 | N/A | PR | false | GINSBERG | N/A | LISA | N/A | 9999-12-31 | 2025-01-01 | ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539612 | 2222 | 4793 | 8153221 | N/A | 4211892 | 2025-06-02 02:10:11.054302 | 2025-11-02 22:03:21.557202 |
| 2025-06-01 09:08:44.741129 | 2025-06-02 02:16:09.064574 | 8460644 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8460644 | Athletic Physical Therapy Inc | 1957-07-21 | 2025-06-03 | U | PT | ROOFEH | 8QJ0UJ1EM45 | NADDER | AE | 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/2222/5538287/check_8460644_1c70ecb1-18c7-473d-b126-84b9b51e704b.json | N/A | N/A | N/A | N/A | N/A | 8QJ0UJ1EM45 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-07-21 | S5617 | N/A | N/A | MA | false | ROOFEH | N/A | NADDER | 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 | 5538287 | 2222 | 4802 | 8161277 | N/A | 4210725 | 2025-06-02 02:16:09.064574 | 2025-06-16 16:15:05.679018 |
| 2025-06-01 09:08:44.551918 | 2025-06-02 02:16:08.234465 | 8460635 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8460635 | Athletic Physical Therapy Inc | 1948-08-31 | 2025-06-06 | F | PT | MIYATA | 3HJ1RG9AV22 | LARAINE | AE | 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/2222/5537627/check_8460635_cf7f39f0-f04d-4d4a-ab2a-dd4381c24e72.json | N/A | N/A | N/A | N/A | N/A | 3HJ1RG9AV22 | Medicare Part A | N/A | ONEBEACON INSURANCE GROUP | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1948-08-31 | S4802 | DOL 05242017 | N/A | MA | false | MIYATA | N/A | LARAINE | 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 | 5537627 | 2222 | 4802 | 8161260 | N/A | 4210159 | 2025-06-02 02:16:08.234465 | 2025-05-13 04:29:37.224576 |
| 2025-06-01 09:08:44.318348 | 2025-06-02 02:03:23.531780 | 8460628 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8460628 | Athletic Physical Therapy Inc | 1943-03-11 | 2025-06-06 | M | PT | MATHEU | 30908114 | CARLOS | AE | 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/2222/5536371/check_8460628_2c3135c1-3aa8-4ba7-97f0-63beb3d8da18.json | N/A | N/A | N/A | N/A | N/A | 30908114 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1943-03-11 | N/A | N/A | N/A | N/A | false | MATHEU | N/A | CARLOS | 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 | 5536371 | 2222 | 4801 | 8143019 | N/A | 4209126 | 2025-06-02 02:03:23.531780 | 2025-05-13 04:29:37.223551 |
| 2025-06-01 09:08:44.157455 | 2025-06-02 02:10:13.770264 | 8460624 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8460624 | Athletic Physical Therapy Inc | 1966-11-30 | 2025-06-04 | F | PT | SONDREAAL | WMC125993776001 | DIANE | N/A | 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/2222/5536319/check_8460624_5afb001b-efb0-41b0-aafb-1f5038516a0d.json | N/A | N/A | N/A | N/A | N/A | WMC125993776001 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1966-11-30 | N/A | N/A | N/A | N/A | false | SONDREAAL | N/A | DIANE | 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 | 5536319 | 2222 | 4793 | 8153283 | N/A | 4209086 | 2025-06-02 02:10:13.770264 | 2025-05-13 04:29:37.223507 |
| 2025-06-01 09:08:43.959281 | 2025-06-02 02:07:42.215865 | 8460617 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8460617 | Athletic Physical Therapy Inc | 1935-06-20 | 2025-06-06 | F | PT | GOLDMAN | 949158511 | MARALYN | AE | 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/2222/5535982/check_8460617_8c9c5525-cdfa-4870-be83-3281b8a15728.json | N/A | N/A | N/A | N/A | N/A | 949158511 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1935-06-20 | N/A | 15306 | N/A | PR | false | GOLDMAN | N/A | MARALYN | N/A | N/A | N/A | LPPO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (PP | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5535982 | 2222 | 4802 | 8149875 | N/A | 4208807 | 2025-06-02 02:07:42.215865 | 2025-05-13 04:29:37.223234 |
| 2025-06-01 09:08:43.745306 | 2025-06-02 02:03:23.181830 | 8460613 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8460613 | Athletic Physical Therapy Inc | 1946-07-28 | 2025-06-06 | M | PT | LOGAN | 198908101 | SIDNEY | AE | 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/2222/5535427/check_8460613_a2c8074e-a95e-43c1-bfd1-748334ac9954.json | N/A | N/A | N/A | N/A | N/A | 198908101 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1946-07-28 | N/A | N/A | N/A | N/A | false | LOGAN | N/A | SIDNEY | 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 | 5535427 | 2222 | 4802 | 8143006 | N/A | 4208354 | 2025-06-02 02:03:23.181830 | 2025-05-13 04:29:37.222775 |
| 2025-06-01 09:08:18.471023 | 2025-06-02 02:07:46.299574 | 8459848 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8459848 | Athletic Physical Therapy Inc | 1956-01-20 | 2025-06-06 | F | PT | SCHLEIKORN | XDD664W08200 | MARIETTE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.141119013.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550960/check_8459848_8ce75ea0-6f97-4e76-a22c-1ff3da256c84.json | N/A | N/A | N/A | N/A | N/A | XDD664W08200 | Supplemental Policy | LOS ANGELES COUNTY EMPLOYEE RETIREMENT ASSOC | ANTHEM BLUE CROSS | N/A | 1956-01-20 | 040 | 1264MD | N/A | SP | false | SCHLEIKORN | N/A | MARIETTE | N/A | 9999-12-31 | 2024-03-01 | MEDICARE SUPPLEMENT-PBP PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550960 | 2222 | 4793 | 8149971 | N/A | 4219792 | 2025-06-02 02:07:46.299574 | 2025-05-13 04:29:37.230832 |
| 2025-06-01 09:08:18.285650 | 2025-06-02 02:04:09.023290 | 8459843 | N/A | N/A | 62118 | Aetna Administrator Medicare Supplement (Eligibility & Remits Only) | 1114042165 | 8459843 | Athletic Physical Therapy Inc | 1954-01-20 | 2025-06-05 | U | PT | BRENNER | TER6252245 | ROCIO FLORES | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.141119013.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550897/check_8459843_dd7c22c9-8831-4c92-a6b5-0ab961f31110.json | N/A | N/A | N/A | N/A | N/A | TER6252245 | N/A | N/A | AETNA ADMINISTRATOR MEDICARE SUPPLEMENT ELIGIBILITY REMITS O | N/A | 1954-01-20 | N/A | N/A | N/A | N/A | false | BRENNER | N/A | ROCIO FLORES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550897 | 2222 | 4793 | 8144221 | N/A | 4219750 | 2025-06-02 02:04:09.023290 | 2025-06-06 02:15:39.377685 |
| 2025-06-01 09:08:18.123541 | 2025-06-02 02:08:33.798513 | 8459838 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8459838 | Athletic Physical Therapy Inc | 1962-01-25 | 2025-06-06 | F | PT | LUCZYWEK | XEA907100099 | DEBORA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.141119013.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549318/check_8459838_9752534a-57e4-4e6a-adf7-019c48a2cb16.json | N/A | N/A | N/A | N/A | N/A | XEA907100099 | Preferred Provider Organization (PPO) | COUNTY OF VENTURA ACTIVES | BLUE SHIELD CALIFORNIA | N/A | 1962-01-25 | 1000PPOX0001 | W0067449 | N/A | PR | false | LUCZYWEK | N/A | DEBORA | N/A | 9999-12-31 | 2020-12-27 | HSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549318 | 2222 | 4801 | 8151067 | N/A | 4219010 | 2025-06-02 02:08:33.798513 | 2026-01-09 18:32:07.618867 |
| 2025-06-01 09:08:17.427772 | 2025-06-02 02:11:00.072450 | 8459809 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 8459809 | Athletic Physical Therapy Inc | 1944-02-28 | 2025-06-03 | F | PT | HANNA | 92962788E | NELLY | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.141119013.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543344/check_8459809_e773430b-222c-4381-aea7-591a9ed2170d.json | N/A | N/A | N/A | N/A | N/A | 92962788E | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1944-02-28 | N/A | N/A | N/A | N/A | false | HANNA | N/A | NELLY | 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 | 5543344 | 2222 | 4802 | 8154341 | N/A | 4215151 | 2025-06-02 02:11:00.072450 | 2025-05-13 04:29:37.229467 |
| 2025-06-01 09:08:17.368182 | 2025-06-02 02:07:45.433249 | 8459806 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8459806 | Athletic Physical Therapy Inc | 1949-12-17 | 2025-06-04 | M | PT | GEVURTZ | JQE714A62350 | IRWIN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.141119013.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543273/check_8459806_7a8b84f9-dd56-4fbf-ab86-1f39e55b71e2.json | N/A | N/A | N/A | N/A | N/A | JQE714A62350 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1949-12-17 | 040 | CASUPWP0 | N/A | N/A | false | GEVURTZ | N/A | IRWIN | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543273 | 2222 | 4802 | 8149947 | N/A | 4215069 | 2025-06-02 02:07:45.433249 | 2025-05-13 04:29:37.229385 |
| 2025-06-01 09:08:17.310503 | 2025-06-02 02:11:00.613726 | 8459804 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 8459804 | Athletic Physical Therapy Inc | 1944-11-16 | 2025-06-02 | U | PT | SUAREZ | 94128772F02326 | GETRUDIS | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.141119013.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543253/check_8459804_28707adf-4dec-4a7c-9f51-254d75e27e7f.json | N/A | N/A | N/A | N/A | N/A | 94128772F02326 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1944-11-16 | N/A | N/A | N/A | N/A | false | SUAREZ | N/A | GETRUDIS | 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 | 5543253 | 2222 | 4793 | 8154360 | N/A | 4215064 | 2025-06-02 02:11:00.613726 | 2025-04-29 21:12:57.805696 |
| 2025-06-01 09:08:17.176250 | 2025-06-02 02:08:34.544783 | 8459798 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8459798 | Athletic Physical Therapy Inc | 1996-12-31 | 2025-06-05 | M | PT | SIMON | XED913765354 | DUSTIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.141119013.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542217/check_8459798_9ea7d858-f951-4973-b28b-382d090c4a36.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 | N/A | N/A | 5542217 | 2222 | 4793 | 8151087 | N/A | 4214155 | 2025-06-02 02:08:34.544783 | 2025-05-13 04:29:37.228482 |
| 2025-06-01 09:08:17.120726 | 2025-06-02 02:08:08.354204 | 8459796 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8459796 | Athletic Physical Therapy Inc | 1952-05-13 | 2025-06-06 | U | PT | WOLFE | JQE369M78235 | DIA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.141119013.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541818/check_8459796_458b5040-7b7f-4cb8-a832-14d7d72c7fe8.json | N/A | N/A | N/A | N/A | N/A | JQE369M78235 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1952-05-13 | N/A | N/A | N/A | N/A | false | WOLFE | N/A | DIA | N/A | 9999-12-31 | 2024-06-01 | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541818 | 2222 | 4801 | 8150433 | N/A | 4213795 | 2025-06-02 02:08:08.354204 | 2026-06-05 00:55:52.281598 |
| 2025-06-01 09:08:16.995428 | 2025-06-02 02:02:03.669809 | 8459791 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 8459791 | Athletic Physical Therapy Inc | 1946-04-16 | 2025-06-06 | F | PT | GNAD | 03840002311 | MELANIE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.141119013.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540682/check_8459791_acd4ad15-9d57-452c-a81a-d302f32d5d50.json | N/A | N/A | N/A | N/A | N/A | 03840002311 | N/A | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | N/A | 1946-04-16 | N/A | N/A | N/A | N/A | false | GNAD | N/A | MELANIE | 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 | 5540682 | 2222 | 4801 | 8141613 | N/A | 4212792 | 2025-06-02 02:02:03.669809 | 2025-10-07 20:33:25.637997 |
| 2025-06-01 09:08:16.824211 | 2025-06-02 02:07:45.849131 | 8459779 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8459779 | Athletic Physical Therapy Inc | 1943-08-11 | 2025-06-05 | M | PT | GILMAN | JQE374M98431 | SHELDON | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.141119013.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539812/check_8459779_a448bf28-8ef2-40fb-b75d-65811671d88c.json | N/A | N/A | N/A | N/A | N/A | JQE374M98431 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1943-08-11 | 040 | CASUPWP0 | N/A | N/A | false | GILMAN | N/A | SHELDON | N/A | 9999-12-31 | 2021-09-01 | CA MODERNIZED PLAN G | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539812 | 2222 | 4802 | 8149958 | N/A | 4212067 | 2025-06-02 02:07:45.849131 | 2025-05-13 04:29:37.226388 |
| 2025-06-01 09:08:16.635108 | 2025-06-02 02:07:45.022460 | 8459772 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8459772 | Athletic Physical Therapy Inc | 1991-07-13 | 2025-06-06 | M | PT | FINNLEY | M4R134071249001 | ZEV | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.141119013.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539665/check_8459772_cfc85637-8e2d-4bf7-b8bf-08d4527b5c23.json | N/A | N/A | N/A | N/A | N/A | M4R134071249001 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1991-07-13 | N/A | N/A | N/A | N/A | false | FINNLEY | N/A | ZEV | 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 | 5539665 | 2222 | 4793 | 8149939 | N/A | 4211935 | 2025-06-02 02:07:45.022460 | 2025-05-13 04:29:37.226259 |
| 2025-06-01 09:08:16.443291 | 2025-06-02 02:08:33.287104 | 8459766 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8459766 | Athletic Physical Therapy Inc | 1956-08-13 | 2025-06-06 | M | PT | GORODENZIK | XEM910692096 | AMIR | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.141119013.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539599/check_8459766_f668b205-00df-400f-b45f-e6bb21b7161b.json | N/A | N/A | N/A | N/A | N/A | XEM910692096 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1956-08-13 | 2002SD000030 | X0001002 | N/A | OT | false | GORODENZIK | N/A | AMIR | N/A | 2025-06-30 | 2025-01-01 | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539599 | 2222 | 4793 | 8151056 | N/A | 4211880 | 2025-06-02 02:08:33.287104 | 2025-05-13 04:29:37.226201 |
| 2025-06-01 09:08:16.291891 | 2025-06-02 02:11:00.330467 | 8459761 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | 8459761 | Athletic Physical Therapy Inc | 1957-07-21 | 2025-06-03 | U | PT | ROOFEH | 96113754F03034 | NADDER | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.141119013.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538289/check_8459761_95c59dbe-d9fc-4ac2-98c0-542242906d91.json | N/A | N/A | N/A | N/A | N/A | 96113754F03034 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 1957-07-21 | N/A | N/A | N/A | N/A | false | ROOFEH | N/A | NADDER | 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 | 5538289 | 2222 | 4802 | 8154351 | N/A | 4210725 | 2025-06-02 02:11:00.330467 | 2025-06-16 16:15:05.679018 |
| 2025-06-01 09:08:13.854833 | 2025-06-02 02:08:34.206548 | 8459719 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8459719 | Athletic Physical Therapy Inc | 1948-08-31 | 2025-06-06 | F | PT | MIYATA | XEM904724382 | LARAINE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.141119013.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537630/check_8459719_5cc9a1b5-6743-451f-8bf4-31f672d37e31.json | N/A | N/A | N/A | N/A | N/A | XEM904724382 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1948-08-31 | 2002SD000004 | X0001002 | N/A | OT | false | MIYATA | N/A | LARAINE | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5537630 | 2222 | 4802 | 8151079 | N/A | 4210159 | 2025-06-02 02:08:34.206548 | 2025-05-13 04:29:37.224576 |
| 2025-06-01 09:08:13.653916 | 2025-06-02 02:08:34.865270 | 8459714 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8459714 | Athletic Physical Therapy Inc | 1966-11-30 | 2025-06-04 | F | PT | SONDREAAL | WMC125993776001 | DIANE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.141119013.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536323/check_8459714_ce50cf87-d9a1-48a9-be50-82515f620cfb.json | N/A | N/A | N/A | N/A | N/A | WMC125993776001 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1966-11-30 | N/A | N/A | N/A | N/A | false | SONDREAAL | N/A | DIANE | 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 | 5536323 | 2222 | 4793 | 8151095 | N/A | 4209086 | 2025-06-02 02:08:34.865270 | 2025-05-13 04:29:37.223507 |
| 2025-06-01 09:07:53.088736 | 2025-06-02 02:09:51.826787 | 8459049 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8459049 | Athletic Physical Therapy Inc | 2014-10-30 | 2025-06-03 | F | PT | ARROCHA | M9Z801270679 | REBECCA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.121521966.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085906/check_8459049_52ff0ad6-daff-439e-a37c-17371aeea63e.json | N/A | N/A | N/A | N/A | N/A | M9Z801270679 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2014-10-30 | N/A | N/A | N/A | N/A | false | ARROCHA | N/A | REBECCA | 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 | 6085906 | 2222 | 4793 | 8152830 | N/A | 4729280 | 2025-06-02 02:09:51.826787 | 2025-06-03 23:56:51.902281 |
| 2025-06-01 09:07:52.678987 | 2025-06-02 02:09:52.799236 | 8459040 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8459040 | Athletic Physical Therapy Inc | 2025-05-30 | 2025-06-03 | U | PT | ROBBINS REYES | XED914236563 | FRANCISCO | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.121521966.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085778/check_8459040_ada833a3-1597-4924-99eb-7ec802defe76.json | N/A | N/A | N/A | N/A | N/A | XED914236563 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 2025-05-30 | N/A | N/A | N/A | N/A | false | ROBBINS REYES | N/A | FRANCISCO | 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 | 6085778 | 2222 | 4793 | 8152850 | N/A | 4729146 | 2025-06-02 02:09:52.799236 | 2025-06-01 22:28:32.771397 |
| 2025-06-01 09:07:51.923183 | 2025-06-02 02:02:41.580292 | 8459019 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 8459019 | Athletic Physical Therapy Inc | 1991-03-16 | 2025-06-05 | F | PT | Albornoz | 93416159G | Karina | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.121521966.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085777/check_8459019_ebb82804-b22e-42f5-84a9-bc6e038fe344.json | N/A | N/A | N/A | N/A | N/A | 93416159G | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1991-03-16 | N/A | N/A | N/A | N/A | false | ALBORNOZ | N/A | KARINA | 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 | 6085777 | 2222 | 4802 | 8142285 | N/A | 4729143 | 2025-06-02 02:02:41.580292 | 2025-05-30 23:48:36.316238 |
| 2025-06-01 09:07:48.414546 | 2025-06-02 02:15:37.294823 | 8458946 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8458946 | Athletic Physical Therapy Inc | 1959-07-07 | 2025-06-03 | M | PT | GREENFIELD | 4QM6F25PT72 | SCOTT | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.121521966.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085694/check_8458946_93f7e0b7-ea2b-45c9-b08e-2cc5440cf9d6.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 | N/A | N/A | 6085694 | 2222 | 4793 | 8160678 | N/A | 4729029 | 2025-06-02 02:15:37.294823 | 2025-05-30 23:20:48.860572 |
| 2025-06-01 09:07:19.893119 | 2025-06-02 02:09:24.303986 | 8458105 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8458105 | Athletic Physical Therapy Inc | 1986-12-31 | 2025-06-03 | M | PT | BRUNO | SZY359W18776 | JOSHUA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.121521966.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085066/check_8458105_2e9e53e7-95fe-42b3-ad8c-e97c119e6ecc.json | N/A | N/A | N/A | N/A | N/A | SZY359W18776 | Preferred Provider Organization (PPO) | PATH CCM INC | ANTHEM BLUE CROSS | N/A | 1986-12-31 | 040 | 277727U553 | N/A | PR | false | BRUNO | N/A | JOSHUA | N/A | 9999-12-31 | 2025-01-01 | PPO PRUDENT BUYER CLASSIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6085066 | 2222 | 4802 | 8152195 | N/A | 4728416 | 2025-06-02 02:09:24.303986 | 2025-05-30 20:40:23.873354 |
| 2025-06-01 09:07:01.898541 | 2025-06-02 02:04:38.128497 | 8457571 | N/A | N/A | 60054 | Aetna | 1114042165 | 8457571 | Athletic Physical Therapy Inc | 1986-04-09 | 2025-06-03 | F | PT | LIGONDE | W292325041 | KANDICE | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.121521966.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6084294/check_8457571_8a34fd62-d340-4b14-a861-f8f6559e3619.json | N/A | N/A | N/A | N/A | N/A | W292325041 | Point of Service (POS) | ADVOCATE INC., DBA NAVA BENEFITS | AETNA | N/A | 1986-04-09 | 0194013 | 019401301000001 | N/A | PS | false | LIGONDE | N/A | EDWIGE | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6084294 | 2222 | 4793 | 8144967 | N/A | 4727372 | 2025-06-02 02:04:38.128497 | 2025-06-03 17:00:01.144712 |
| 2025-06-01 09:06:13.822841 | 2025-06-02 02:04:02.581808 | 8456031 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8456031 | Athletic Physical Therapy Inc | 1963-03-09 | 2025-06-05 | M | PT | GILLETTE | ZZA129013396001 | GRADY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.140710715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539753/check_8456031_89f689ad-8766-4f98-ba3b-ad842b600386.json | N/A | N/A | N/A | N/A | N/A | ZZA129013396001 | N/A | N/A | ANTHEM BLUE CROSS | N/A | 1963-03-09 | N/A | N/A | N/A | N/A | false | GILLETTE | N/A | GRADY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5539753 | 2222 | 4801 | 8144065 | N/A | 4212009 | 2025-06-02 02:04:02.581808 | 2025-05-13 04:29:37.226332 |
| 2025-06-01 09:06:13.294526 | 2025-06-02 02:02:49.295861 | 8456013 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8456013 | Athletic Physical Therapy Inc | 1935-06-20 | 2025-06-06 | F | PT | GOLDMAN | 949158511 | MARALYN | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.140710715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535990/check_8456013_f8cf0e4a-6bc5-425d-8598-bb0bbe682eda.json | N/A | N/A | N/A | N/A | N/A | 949158511 | Preferred Provider Organization (PPO) | N/A | UNITEDHEALTHCARE | A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1935-06-20 | N/A | 15306 | N/A | PR | false | GOLDMAN | N/A | MARALYN | N/A | N/A | N/A | LPPO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (PP | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5535990 | 2222 | 4802 | 8142405 | N/A | 4208807 | 2025-06-02 02:02:49.295861 | 2025-05-13 04:29:37.223234 |
| 2025-06-01 09:05:58.064018 | 2025-06-02 02:04:03.115514 | 8455406 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8455406 | Athletic Physical Therapy Inc | 1959-07-07 | 2025-06-03 | M | PT | GREENFIELD | JQE140W20292 | SCOTT | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.140710715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085695/check_8455406_61112ba7-659a-483d-a1ed-1babef3c55f4.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 | N/A | N/A | 6085695 | 2222 | 4793 | 8144074 | N/A | 4729029 | 2025-06-02 02:04:03.115514 | 2025-05-30 23:20:48.860572 |
| 2025-06-01 09:05:40.174566 | 2025-06-02 02:03:22.867557 | 8454552 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8454552 | Athletic Physical Therapy Inc | 1953-04-27 | 2025-06-05 | M | PT | TEDDER | 00000390480 | CHARLES | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.141025470.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-05 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676415/check_8454552_cf88145a-914c-4e6e-95dd-0294c552d92f.json | N/A | N/A | N/A | N/A | N/A | 00000390480 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1953-04-27 | N/A | N/A | N/A | N/A | false | TEDDER | N/A | CHARLES | N/A | N/A | N/A | N/A | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676415 | 2222 | 4801 | 8142998 | N/A | 4343470 | 2025-06-02 02:03:22.867557 | 2025-05-13 04:29:37.230947 |
| 2025-06-01 09:05:39.862870 | 2025-06-02 02:06:13.093636 | 8454534 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8454534 | Athletic Physical Therapy Inc | 1999-05-15 | 2025-06-06 | M | PT | CAMPOS | U6223907103 | DEVON | AE | 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/2222/5676403/check_8454534_f1bdae83-a31e-4d2e-92f7-64a015723bd7.json | N/A | N/A | N/A | N/A | N/A | U6223907103 | N/A | MORGAN STANLEY DOMESTIC HOLDINGS, INC. | CGLIC | N/A | 1999-05-15 | N/A | 3327984 | N/A | N/A | false | CAMPOS | N/A | DEVON | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676403 | 2222 | 4802 | 8147697 | N/A | 4343457 | 2025-06-02 02:06:13.093636 | 2025-05-13 04:29:37.230935 |
| 2025-06-01 09:05:37.595429 | 2025-06-02 02:05:47.413086 | 8454446 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 8454446 | Athletic Physical Therapy Inc | 1996-03-28 | 2025-06-02 | F | PT | SAGMAN | U9205101701 | SYDNEY | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.121521966.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078312/check_8454446_b5a15e74-63d6-4db2-be93-1a4c24ea2916.json | N/A | N/A | N/A | N/A | N/A | U9205101701 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1996-03-28 | N/A | 3346355 | N/A | HM | false | SAGMAN | N/A | SYDNEY | N/A | N/A | N/A | NETWORK | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6078312 | 2222 | 4802 | 8146929 | N/A | 4722569 | 2025-06-02 02:05:47.413086 | 2025-08-26 00:16:35.895658 |
| 2025-06-01 09:05:37.108762 | 2025-06-02 02:15:36.316217 | 8454427 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8454427 | Athletic Physical Therapy Inc | 1951-05-08 | 2025-06-06 | F | PT | BERNASTIEN NOAH | 6HK3VD1GN77 | PAULA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.121521966.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078301/check_8454427_7ce70331-4ba2-47e9-9ded-da0d548233f7.json | N/A | N/A | N/A | N/A | N/A | 6HK3VD1GN77 | N/A | N/A | CMS | N/A | 1951-05-08 | N/A | N/A | N/A | N/A | false | BERNASTIEN NOAH | N/A | PAULA | 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 | 6078301 | 2222 | 4802 | 8160668 | N/A | 4722556 | 2025-06-02 02:15:36.316217 | 2025-06-04 18:06:16.300392 |
| 2025-06-01 09:05:36.654846 | 2025-06-02 02:07:44.736183 | 8454395 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8454395 | Athletic Physical Therapy Inc | 1997-06-29 | 2025-06-06 | F | PT | Pienkowski | 996659662 | Alexandra | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.121521966.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078295/check_8454395_f0d1e2ce-13f8-48f8-b953-b0a4df32e174.json | N/A | N/A | N/A | N/A | N/A | 996659662 | Commercial | THE INTERPUBLIC GROUP OF CO | UNITEDHEALTHCARE | PROVIDER IS OUT NETWORK FOR MEMBER FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1997-06-29 | 3142 3142 | 702551 | N/A | C1 | false | PIENKOWSKI | N/A | ALEXANDRA | N/A | N/A | N/A | POS CHOICE PLUS | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6078295 | 2222 | 4802 | 8149927 | N/A | 4722548 | 2025-06-02 02:07:44.736183 | 2025-05-30 04:23:27.387333 |
| 2025-06-01 09:05:35.592706 | 2025-06-02 02:06:50.994866 | 8454343 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 8454343 | Athletic Physical Therapy Inc | 1958-01-24 | 2025-06-06 | M | PT | SAUER | 4A29E05KW20 | MARCOS | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.140710715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068055/check_8454343_e1571195-c8a9-41b5-9e1f-a0f8d1aef05c.json | N/A | N/A | N/A | N/A | N/A | 4A29E05KW20 | Medicare Part A | N/A | UNITEDHEALTHCARE INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-01-24 | H0294 | N/A | N/A | MA | false | SAUER | N/A | MARCOS | 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 | 6068055 | 2222 | 4793 | 8148607 | N/A | 4212024 | 2025-06-02 02:06:50.994866 | 2025-05-28 20:17:35.019662 |
| 2025-06-01 09:05:26.210498 | 2025-06-02 02:07:44.216287 | 8453934 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8453934 | Athletic Physical Therapy Inc | 1965-02-14 | 2025-06-04 | F | PT | GOLDSTEIN | 000603457 | SHARON | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.121521966.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6077490/check_8453934_77302807-9811-44c8-8295-3a0e75c71d48.json | N/A | N/A | N/A | N/A | N/A | 000603457 | Commercial | US BANK | UNITEDHEALTHCARE | FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED | 1965-02-14 | 0162 0162 | 186359 | N/A | C1 | false | GOLDSTEIN | N/A | SHARON | 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 | 6077490 | 2222 | 4793 | 8149916 | N/A | 4721602 | 2025-06-02 02:07:44.216287 | 2025-06-03 23:36:44.592003 |
| 2025-06-01 09:04:57.360466 | 2025-06-02 02:09:52.273365 | 8452666 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 8452666 | Athletic Physical Therapy Inc | 1949-06-20 | 2025-06-04 | F | PT | MORALES | XEM904136832 | ANA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.121521966.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074748/check_8452666_b1637b05-6e7e-4e85-86c5-4a8e9de04e3c.json | N/A | N/A | N/A | N/A | N/A | XEM904136832 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1949-06-20 | 2002SD000004 | X0001002 | N/A | OT | false | MORALES | N/A | ANA | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN F | N/A | PT | AE | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6074748 | 2222 | 4793 | 8152841 | N/A | 4718913 | 2025-06-02 02:09:52.273365 | 2025-05-29 22:23:40.462913 |
| 2025-06-01 09:04:41.170444 | 2025-06-02 02:04:09.804487 | 8452029 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 8452029 | Athletic Physical Therapy Inc | 1941-01-22 | 2025-06-06 | U | PT | CAMRAS | XEM911589219 | LINDA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.140710715.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993923/check_8452029_bbf38710-ffc3-465c-8772-c1480f255d1f.json | N/A | N/A | N/A | N/A | N/A | XEM911589219 | N/A | N/A | BLUE CROSS CALIFORNIA | N/A | 1941-01-22 | N/A | N/A | N/A | N/A | false | CAMRAS | N/A | LINDA | 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 | 5993923 | 2222 | 4802 | 8144243 | N/A | 4642858 | 2025-06-02 02:04:09.804487 | 2025-06-04 17:40:37.742950 |
| 2025-06-01 09:03:16.919721 | 2025-06-02 02:02:38.522902 | 8448123 | N/A | N/A | LMG01 | Lakeside Medical Group | 1114042165 | 8448123 | Athletic Physical Therapy Inc | 1966-06-14 | 2025-06-06 | F | PT | OROZCO | 22483267 | ODILIA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.121521966.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068063/check_8448123_de6a65c9-60bf-47f8-bfc1-718240807003.json | N/A | N/A | N/A | N/A | N/A | 22483267 | N/A | N/A | LAKESIDE MEDICAL GROUP | N/A | 1966-06-14 | N/A | N/A | N/A | N/A | false | OROZCO | N/A | ODILIA | 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 | 6068063 | 2222 | 4802 | 8142236 | N/A | 4713004 | 2025-06-02 02:02:38.522902 | 2025-05-29 21:14:47.925641 |
| 2025-06-01 09:03:16.479915 | 2025-06-02 02:07:43.772264 | 8448097 | N/A | N/A | 87726 | United Healthcare | 1114042165 | 8448097 | Athletic Physical Therapy Inc | 1978-08-18 | 2025-06-06 | F | PT | DABBY JOYCE | 698634440 | LISA | AE | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250601.121521966.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068059/check_8448097_97cf13be-b860-40ed-b992-8343b8377580.json | N/A | N/A | N/A | N/A | N/A | 69863444000 | Commercial | N/A | UNITEDHEALTHCARE BENEFITS PLAN OF CALIFORNIA | FUNDING TYPE = FULLY INSURED - SMALL GROUP | 1978-08-18 | N/A | 1671793 | N/A | C1 | false | DABBY JOYCE | N/A | LISA | 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 | 6068059 | 2222 | 4802 | 8149908 | N/A | 4713001 | 2025-06-02 02:07:43.772264 | 2025-10-23 14:37:36.593472 |