API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-15 09:46:04.398602 | 2025-09-15 09:46:06.809212 | 12343533 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-01-09 | 2025-09-15 | F | AE | PT | 5505 | MEISTER | 4042289 | JACQUELINE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124078/check_12343533_95d217ae-e304-4f61-a4c5-781481bdbf9b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | 4042289 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1958-01-09 | N/A | N/A | N/A | N/A | false | MEISTER | N/A | JACQUELINE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6124078 | 2222 | N/A | N/A | N/A | 4766789 | 2025-09-15 09:46:06.809212 | 2025-06-04 04:12:38.642669 |
| 2025-09-15 09:45:41.145152 | 2025-09-15 09:45:43.030540 | 12343497 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-06-10 | 2025-09-15 | F | PT | N/A | 23277 | Kassi | 957A5554370 | Keira | https://storage.googleapis.com/normandy-eligibility-checks/2222/6113467/check_12343497_8ac23b15-1981-4b2f-b8da-d58ae756e935.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6113467/check_12343497_bbb91f88-9da4-41c5-998c-2d1b917b429d.json | N/A | N/A | N/A | N/A | N/A | 957A5554370 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2005-06-10 | N/A | N/A | N/A | N/A | false | KASSI | N/A | KEIRA | 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 | 6113467 | 2222 | N/A | 12550109 | N/A | 4756194 | 2025-09-15 09:45:43.030540 | 2025-06-02 23:03:52.087356 |
| 2025-09-15 09:45:39.369092 | 2025-09-15 09:45:41.136729 | 12343494 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 2005-06-10 | 2025-09-15 | F | PT | N/A | 23277 | Kassi | 957A5554370 | Keira | https://storage.googleapis.com/normandy-eligibility-checks/2222/6113467/check_12343494_296c4835-e74b-43a9-a244-c5abea40b5be.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | 957A5554370 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 2005-06-10 | N/A | N/A | N/A | N/A | false | KASSI | N/A | KEIRA | 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 | 6113467 | 2222 | N/A | N/A | N/A | 4756194 | 2025-09-15 09:45:41.136729 | 2025-06-02 23:03:52.087356 |
| 2025-09-15 09:44:44.046156 | 2025-09-15 09:44:47.278234 | 12343406 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1929-02-22 | 2025-09-15 | M | AE | PT | 4497 | SCOTT | 2F27FV6KJ47 | GEORGE | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105989/check_12343406_b7bb0e03-05cb-471c-9d2d-222226f679d3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105989/check_12343406_a8f7c321-a74e-46de-b2a9-7a396afe72d6.json | N/A | N/A | N/A | N/A | N/A | 2F27FV6KJ47 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-02-22 | N/A | N/A | N/A | MA | false | SCOTT | N/A | GEORGE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8792448394 | N/A | N/A | 6105989 | 2222 | N/A | 12550018 | N/A | 4750274 | 2025-09-15 09:44:47.278234 | 2025-06-12 22:26:37.845238 |
| 2025-09-15 09:44:40.598679 | 2025-09-15 09:45:24.721859 | 12343400 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1982-07-02 | 2025-09-15 | M | PT | N/A | 4191 | DRISCOLL | XED912182768 | JAMES | https://storage.googleapis.com/normandy-eligibility-checks/2222/6104970/check_12343400_cd6a98f2-68a2-4f76-867d-b97dbf5212a0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104970/check_12343400_68e1e65a-6bce-46c1-b301-ba62d75d0963.json | N/A | N/A | N/A | N/A | N/A | XED912182768 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1982-07-02 | 2001ZK002184 | X0001004 | N/A | PR | false | DRISCOLL | N/A | JAMES | N/A | 9999-12-31 | 2023-04-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8792448180 | N/A | N/A | 6104970 | 2222 | N/A | 12550073 | N/A | 4749447 | 2025-09-15 09:45:24.721859 | 2025-06-06 23:16:09.869339 |
| 2025-09-15 09:44:08.359258 | 2025-09-15 09:44:15.084721 | 12343371 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-02-25 | 2025-09-15 | F | AE | PT | 2630 | ROBERTS | 00000402630 | DEBRA | https://storage.googleapis.com/normandy-eligibility-checks/2222/6085762/check_12343371_93bf521b-8d68-4d19-94ba-341988eb4c83.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085762/check_12343371_147d2dad-10bb-46d2-bb00-bb8f2ca236e4.json | N/A | N/A | N/A | N/A | N/A | 00000402630 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1954-02-25 | H3815028 | N/A | N/A | HM | false | ROBERTS | N/A | DEBRA | N/A | N/A | N/A | ALIGNMENT HEALTH MY CHOICE (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8792446718 | N/A | N/A | 6085762 | 2222 | N/A | 12549979 | N/A | 4729138 | 2025-09-15 09:44:15.084721 | 2025-05-31 14:20:56.156252 |
| 2025-09-15 09:43:27.075157 | 2025-09-15 09:43:29.936664 | 12343308 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-03-28 | 2025-09-15 | F | AE | PT | 4437 | SAGMAN | U9205101701 | SYDNEY | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078312/check_12343308_344294a6-15ff-4c08-bd5e-b826d155cecd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078312/check_12343308_7132b057-27ca-4920-a70f-c6b6824441bc.json | N/A | N/A | N/A | N/A | N/A | U9205101701 | Health Maintenance Organization (HMO) | DISNEY WORLDWIDE SERVICES, INC. | CGLIC | PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS | 1996-03-28 | N/A | 3346355 | N/A | HM | false | SAGMAN | N/A | SYDNEY | N/A | N/A | N/A | NETWORK | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8792444448 | N/A | N/A | 6078312 | 2222 | N/A | 12549918 | N/A | 4722569 | 2025-09-15 09:43:29.936664 | 2025-08-26 00:16:35.895658 |
| 2025-09-15 09:40:43.696760 | 2025-09-15 09:40:46.925068 | 12343094 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-01-08 | 2025-09-15 | F | AE | PT | 23322 | ALROMAIH | 91237812E | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993940/check_12343094_e7384856-f16c-4fc1-bee4-ffac6a56e603.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993940/check_12343094_eba3a954-65b8-4a5e-86b9-eaa9e5211b82.json | N/A | N/A | N/A | N/A | N/A | 91237812E | N/A | N/A | HEALTH NET, LLC | N/A | 1969-01-08 | N/A | N/A | N/A | N/A | false | ALROMAIH | N/A | SARAH | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8792436797 | N/A | N/A | 5993940 | 2222 | N/A | 12549692 | N/A | 4642877 | 2025-09-15 09:40:46.925068 | 2025-12-23 23:49:16.627667 |
| 2025-09-15 09:40:41.428061 | 2025-09-15 09:40:44.245886 | 12343091 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-05-31 | 2025-09-15 | M | AE | PT | 4625 | JOHNSON | R04617470MM1 | ROTH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993907/check_12343091_7f46f3b7-ee8b-451a-a552-cc48cbfac962.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993907/check_12343091_cb7fb537-ecdb-4495-945d-7bcf20d27fe7.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 | 8792436726 | N/A | N/A | 5993907 | 2222 | N/A | 12549690 | N/A | 4534544 | 2025-09-15 09:40:44.245886 | 2025-05-28 20:51:40.104091 |
| 2025-09-15 09:40:39.389428 | 2025-09-15 09:40:42.380540 | 12343088 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1996-01-20 | 2025-09-15 | F | PT | N/A | 4185 | WORDEN | ORU910469318 | SARAH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993479/check_12343088_5bd168c0-e5ef-4ffb-8076-f0dd431dd506.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993479/check_12343088_c6be8604-f32b-40c0-af1c-cd23f32900fb.json | N/A | N/A | N/A | N/A | N/A | ORU910469318 | Preferred Provider Organization (PPO) | OAK RIDGE ASSOCIATED UNIVERSITIES | ANTHEM BLUE CROSS | N/A | 1996-01-20 | MBPORAU0 | 89513 | N/A | PR | false | WORDEN | N/A | SARAH | N/A | 2199-12-31 | 2024-07-16 | BLUE NETWORK P | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8792436676 | N/A | N/A | 5993479 | 2222 | N/A | 12549687 | N/A | 4219476 | 2025-09-15 09:40:42.380540 | 2025-05-28 20:18:04.039855 |
| 2025-09-15 09:39:12.027676 | 2025-09-15 09:39:14.779481 | 12342959 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-02-24 | 2025-09-15 | F | PT | N/A | 4191 | TAKEMOTO | XED906098170 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928752/check_12342959_4ce919e2-2931-452b-bfe8-f8581c122f9d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928752/check_12342959_8f7d8de0-8685-4903-b72d-561d5a9c6322.json | N/A | N/A | N/A | N/A | N/A | XED906098170 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1973-02-24 | 2001ZK002184 | X0001004 | N/A | PR | false | TAKEMOTO | N/A | NICOLE | N/A | 9999-12-31 | 2018-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8792431649 | N/A | N/A | 5928752 | 2222 | N/A | 12549555 | N/A | 4583701 | 2025-09-15 09:39:14.779481 | 2025-07-24 17:50:11.805587 |
| 2025-09-15 09:37:19.892987 | 2025-09-15 09:37:24.990148 | 12342842 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-08-31 | 2025-09-15 | M | PT | N/A | 4191 | FLEMING | SZF839281184 | CHASE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539901/check_12342842_fb1bc06e-d5e3-4e4b-b5ed-a2a155e216a1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539901/check_12342842_2645a449-dbdf-4f60-a76a-3ed8a17b5e59.json | N/A | N/A | N/A | N/A | N/A | SZF839281184 | Preferred Provider Organization (PPO) | ACTIVE | CUSTOMER SERVICE | N/A | 1983-08-31 | N/A | 018137 | N/A | PR | false | FLEMING | N/A | CHASE | N/A | 9999-12-31 | 2021-01-01 | PREFERRED PROVIDER OPTION PLUS MEDICAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8792426354 | N/A | N/A | 5539901 | 2222 | N/A | 12549433 | N/A | 4212134 | 2025-09-15 09:37:24.990148 | 2025-08-05 02:56:55.384378 |
| 2025-09-15 09:37:17.059038 | 2025-09-15 09:37:20.153455 | 12342838 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-03-16 | 2025-09-15 | F | AE | PT | 4497 | SCHILLER | 4NG7R64EW31 | JUDY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874437/check_12342838_b4356ceb-e2b1-4b83-bffc-3f6abef3b000.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874437/check_12342838_1557cb94-b533-4838-a4bf-dc9f973eacb6.json | N/A | N/A | N/A | N/A | N/A | 4NG7R64EW31 | Medicare Part A | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-03-16 | S4802 | N/A | N/A | MA | false | SCHILLER | N/A | JUDY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8792426248 | N/A | N/A | 5874437 | 2222 | N/A | 12549427 | N/A | 4534564 | 2025-09-15 09:37:20.153455 | 2025-05-22 18:42:12.452816 |
| 2025-09-15 09:33:58.329131 | 2025-09-15 09:34:06.513133 | 12342653 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-04-27 | 2025-09-15 | M | AE | PT | 2630 | TEDDER | 00000390480 | CHARLES | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676415/check_12342653_7c08ce36-f6e9-4d1b-80d8-989b68b2d521.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676415/check_12342653_562686ba-acae-4308-a8a5-2009fc5d89e8.json | N/A | N/A | N/A | N/A | N/A | 00000390480 | N/A | N/A | ALIGNMENT HEALTH | 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 | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676415 | 2222 | N/A | 12549243 | N/A | 4343470 | 2025-09-15 09:34:06.513133 | 2025-05-13 04:29:37.230947 |
| 2025-09-15 09:33:55.521865 | 2025-09-15 09:33:58.318945 | 12342648 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1953-04-27 | 2025-09-15 | M | AE | PT | 2630 | TEDDER | 00000390480 | CHARLES | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676415/check_12342648_f6a58e4e-962c-47fa-98e1-787ea3d6225b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | 00000390480 | N/A | N/A | ALIGNMENT HEALTH | 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 | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676415 | 2222 | N/A | N/A | N/A | 4343470 | 2025-09-15 09:33:58.318945 | 2025-05-13 04:29:37.230947 |
| 2025-09-15 09:33:54.668926 | 2025-09-15 09:33:57.473849 | 12342646 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1952-06-26 | 2025-09-15 | M | AE | PT | 2630 | MATTHEWS | 00000283273 | DAVID | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676399/check_12342646_752e0112-bb32-4e1a-9c71-1e71e3918910.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676399/check_12342646_2d2efa5f-2b4b-4ef9-a42c-37aefd7583ea.json | N/A | N/A | N/A | N/A | N/A | 00000283273 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1952-06-26 | H3815028 | N/A | N/A | HM | false | MATTHEWS | N/A | DAVID | 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 | 8792414001 | N/A | N/A | 5676399 | 2222 | N/A | 12549235 | N/A | 4343454 | 2025-09-15 09:33:57.473849 | 2025-05-13 04:29:37.230932 |
| 2025-09-15 09:33:51.213726 | 2025-09-15 09:34:00.177031 | 12342644 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1956-11-03 | 2025-09-15 | M | AE | PT | 3948 | ARROW | 101393152200 | PAUL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676385/check_12342644_162ca4f7-8951-421a-b84b-00ff5d45bd89.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676385/check_12342644_6af0aa99-2078-454a-bbf5-d9364c0245e9.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 | 8792413756 | N/A | N/A | 5676385 | 2222 | N/A | 12549238 | N/A | 4343439 | 2025-09-15 09:34:00.177031 | 2025-05-13 04:29:37.230918 |
| 2025-09-15 09:33:49.103272 | 2025-09-15 09:33:52.157124 | 12342642 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-07-18 | 2025-09-15 | F | PT | N/A | 4185 | SHARMA | QUC527W09031 | SUMITA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676371/check_12342642_a97ddfbd-4363-40cc-acb3-31bb85de5f03.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676371/check_12342642_8aecee35-76f4-4b5e-b66d-03ed44c7b934.json | N/A | N/A | N/A | N/A | N/A | QUC527W09031 | Preferred Provider Organization (PPO) | UNIVERSITY OF CALIFORNIA | ANTHEM BLUE CROSS | N/A | 1990-07-18 | 040 | 280509A240 | N/A | PR | false | SHARMA | N/A | SUMITA | N/A | 9999-12-31 | 2024-01-08 | UC HEALTH SAVINGS PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8792413620 | N/A | N/A | 5676371 | 2222 | N/A | 12549231 | N/A | 4219828 | 2025-09-15 09:33:52.157124 | 2026-05-14 20:22:48.706745 |
| 2025-09-15 09:30:46.227676 | 2025-09-15 09:30:50.079230 | 12342451 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-03-21 | 2025-09-15 | F | AE | PT | 3937 | CARDINALI | W286606913 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550850/check_12342451_58f1baea-d7ea-453b-8481-a65af822f997.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550850/check_12342451_afe2cccf-0719-43d3-bb34-7683b00bc40a.json | N/A | N/A | N/A | N/A | N/A | W286606913 | Preferred Provider Organization (PPO) | LHI GROUP INC. | AETNA | N/A | 1991-03-21 | 0887487 | 088748702000001 | N/A | PR | false | CARDINALI | N/A | NICOLE | N/A | N/A | N/A | OPEN CHOICE | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8792393204 | N/A | N/A | 5550850 | 2222 | N/A | 12549040 | N/A | 4215195 | 2025-09-15 09:30:50.079230 | 2025-05-14 09:08:40.751930 |
| 2025-09-15 09:30:25.668945 | 2025-09-15 09:30:28.557566 | 12342418 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-01-14 | 2025-09-15 | F | AE | PT | 4497 | STELLINI | 9PU3FY2MU09 | DONNA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550849/check_12342418_b9594d24-c00a-4a3c-a4d4-a3fa72f5b7b5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550849/check_12342418_4c6ddc3c-40a9-47a0-a785-03eb9eeafe0e.json | N/A | N/A | N/A | N/A | N/A | 9PU3FY2MU09 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-01-14 | S5921 | N/A | N/A | MA | false | STELLINI | N/A | DONNA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8792391447 | N/A | N/A | 5550849 | 2222 | N/A | 12549003 | N/A | 4215221 | 2025-09-15 09:30:28.557566 | 2025-05-13 04:29:37.229536 |
| 2025-09-15 09:30:24.964915 | 2025-09-15 09:30:29.790006 | 12342416 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-04-09 | 2025-09-15 | F | PT | N/A | 4185 | HARDING | XDP157A51099 | MICHELE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550953/check_12342416_6c470988-8cd8-4750-ba4c-424618cae6b9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550953/check_12342416_fa5713eb-c1c4-48d7-8383-1d528b69590a.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 | 8792391400 | N/A | N/A | 5550953 | 2222 | N/A | 12549006 | N/A | 4219788 | 2025-09-15 09:30:29.790006 | 2025-06-06 22:01:46.271450 |
| 2025-09-15 09:30:24.845335 | 2025-09-15 09:30:26.675568 | 12342415 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-11-12 | 2025-09-15 | F | AE | PT | 23304 | SIMONS | 94378141G | DESIREE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550102/check_12342415_f87898a6-6f25-4886-85f4-7ca5e5416b73.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550102/check_12342415_c6e7054d-9844-421d-9d94-7b4c842d5c4b.json | N/A | N/A | N/A | N/A | N/A | 94378141G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1990-11-12 | N/A | N/A | N/A | N/A | false | SIMONS | N/A | DESIREE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550102 | 2222 | N/A | 12549000 | N/A | 4212176 | 2025-09-15 09:30:26.675568 | 2025-05-13 04:29:37.226514 |
| 2025-09-15 09:30:24.402641 | 2025-09-15 09:30:27.236025 | 12342414 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2016-10-15 | 2025-09-15 | F | PT | N/A | 4185 | WALTER | JXN523A76388 | KARA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550923/check_12342414_e60e3d96-e4d0-40a4-9d2f-9dd9f374444e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550923/check_12342414_9035cdaf-a8ac-4bde-8113-6e08dace6ac0.json | N/A | N/A | N/A | N/A | N/A | JXN523A76388 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 2016-10-15 | 040 | 174222M3A1 | N/A | PR | false | WALTER | N/A | KYLE | N/A | 9999-12-31 | 2023-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8792391339 | N/A | N/A | 5550923 | 2222 | N/A | 12549002 | N/A | 4219763 | 2025-09-15 09:30:27.236025 | 2025-05-13 04:29:37.230804 |
| 2025-09-15 09:30:24.355420 | 2025-09-15 09:30:46.223891 | 12342413 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-03-21 | 2025-09-15 | F | AE | PT | 3937 | CARDINALI | W286606913 | NICOLE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550850/check_12342413_8877b66b-c4f6-4346-8b8e-b1c6bc5ca1af.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | W286606913 | N/A | N/A | AETNA | N/A | 1991-03-21 | N/A | N/A | N/A | N/A | false | CARDINALI | N/A | NICOLE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550850 | 2222 | N/A | N/A | N/A | 4215195 | 2025-09-15 09:30:46.223891 | 2025-05-14 09:08:40.751930 |
| 2025-09-15 09:30:23.033311 | 2025-09-15 09:30:24.829062 | 12342411 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-05-15 | 2025-09-15 | M | AE | PT | 23295 | SOLHJOU | U7549246801 | BAHRAM | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549949/check_12342411_8c0d8855-c0c6-4188-8710-9f9a861974ef.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549949/check_12342411_e8e72101-d824-4e38-a78b-0d7d935fef10.json | N/A | N/A | N/A | N/A | N/A | U7549246801 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1986-05-15 | N/A | N/A | N/A | N/A | false | SOLHJOU | N/A | BAHRAM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549949 | 2222 | N/A | 12548997 | N/A | 4219432 | 2025-09-15 09:30:24.829062 | 2025-05-13 04:29:37.230466 |
| 2025-09-15 09:30:21.289947 | 2025-09-15 09:30:33.632877 | 12342409 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1975-08-17 | 2025-09-15 | F | PT | N/A | 4191 | PANDYA | XEA913306283 | DHARA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550845/check_12342409_d4aee0dd-7f0c-4c1d-afe6-0cc567c084f6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_12342409_fca75b91-bfac-4daf-914b-6859d06c7ba7.json | N/A | N/A | N/A | N/A | N/A | VBG913306283 | Preferred Provider Organization (PPO) | BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP | BLUE SHIELD CALIFORNIA | N/A | 1975-08-17 | 1000VX000002 | W0051414 | N/A | PR | false | PANDYA | N/A | DHARA | N/A | 9999-12-31 | 2024-06-03 | BLUE SHIELD OF CALIFORNIA ASO PPO DENTAL PLAN | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8792391048 | N/A | N/A | 5550845 | 2222 | N/A | 12549015 | N/A | 4219713 | 2025-09-15 09:30:33.632877 | 2025-08-13 22:46:55.732965 |
| 2025-09-15 09:30:20.656647 | 2025-09-15 09:30:22.441806 | 12342408 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-12-03 | 2025-09-15 | M | PT | N/A | 4191 | STONE | XEK900408382 | RONALD | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550632/check_12342408_0d0663e7-826d-49d1-bf33-31a3304c6e8c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550632/check_12342408_aad8656c-dbc3-44e2-b847-11e7c0e62339.json | N/A | N/A | N/A | N/A | N/A | XEK900408382 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1966-12-03 | 2001Z0002669 | X0001000 | N/A | PR | false | STONE | N/A | RONALD | N/A | 9999-12-31 | 2023-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8792390984 | N/A | N/A | 5550632 | 2222 | N/A | 12548992 | N/A | 4219583 | 2025-09-15 09:30:22.441806 | 2025-09-17 23:43:10.686677 |
| 2025-09-15 09:30:17.790847 | 2025-09-15 09:30:24.841003 | 12342407 | N/A | N/A | MCC01 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-11-12 | 2025-09-15 | F | AE | PT | 23304 | SIMONS | 94378141G | DESIREE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550102/check_12342407_ed3009e9-0f01-4c69-8f75-10f74c456ea7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | 94378141G | N/A | N/A | MOLINA COMPLETE CARE OF ARIZONA | N/A | 1990-11-12 | N/A | N/A | N/A | N/A | false | SIMONS | N/A | DESIREE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5550102 | 2222 | N/A | N/A | N/A | 4212176 | 2025-09-15 09:30:24.841003 | 2025-05-13 04:29:37.226514 |
| 2025-09-15 09:30:17.683072 | 2025-09-15 09:30:23.030163 | 12342406 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1986-05-15 | 2025-09-15 | M | AE | PT | 23295 | SOLHJOU | U7549246801 | BAHRAM | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549949/check_12342406_38a3cc64-7e5e-491b-ab08-71e6584dfefa.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | U7549246801 | N/A | N/A | REGAL MEDICAL GROUP | N/A | 1986-05-15 | N/A | N/A | N/A | N/A | false | SOLHJOU | N/A | BAHRAM | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5549949 | 2222 | N/A | N/A | N/A | 4219432 | 2025-09-15 09:30:23.030163 | 2025-05-13 04:29:37.230466 |
| 2025-09-15 09:30:11.964529 | 2025-09-15 09:30:29.213356 | 12342397 | N/A | N/A | 72261 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1950-03-29 | 2025-09-15 | M | AE | PT | 23307 | AKHTARI | 400454213-01 | SHAHROKH | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543493/check_12342397_ff5b05a8-b8e7-4162-94ea-dbec47b64e1e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543493/check_12342397_0a5d903f-5d1e-479f-921e-2e7ecbf2daed.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 | 8792390024 | N/A | N/A | 5543493 | 2222 | N/A | 12549004 | N/A | 4215273 | 2025-09-15 09:30:29.213356 | 2025-05-13 04:29:37.229594 |
| 2025-09-15 09:30:09.593973 | 2025-09-15 09:30:14.680419 | 12342392 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1966-04-15 | 2025-09-15 | F | AE | PT | 3939 | STULTZ | W460545844 | TRACY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543319/check_12342392_de337fa4-7890-41cb-9ef0-35fdf9c08ee1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543319/check_12342392_08d4b672-2d5f-4748-a8ed-e0f2b70717cd.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 | 8792389794 | N/A | N/A | 5543319 | 2222 | N/A | 12548981 | N/A | 4215127 | 2025-09-15 09:30:14.680419 | 2025-05-13 04:29:37.229443 |
| 2025-09-15 09:30:09.250230 | 2025-09-15 09:30:12.313201 | 12342391 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-09-27 | 2025-09-15 | F | PT | N/A | 4184 | BARAJAS | NCF425A56241 | EMMA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543324/check_12342391_51a17b5b-303b-4ba5-abcd-02739db485c3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543324/check_12342391_6727e2a4-ed60-46a1-ba5e-3af160129d69.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 | 8792389727 | N/A | N/A | 5543324 | 2222 | N/A | 12548980 | N/A | 4215131 | 2025-09-15 09:30:12.313201 | 2025-08-11 16:45:52.816842 |
| 2025-09-15 09:30:07.050449 | 2025-09-15 09:30:11.060455 | 12342390 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1991-07-22 | 2025-09-15 | M | AE | PT | 4211 | AZIM | 627771249 | FAIYAZ | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543304/check_12342390_5002e516-5b7a-441e-b9b4-074bf7582010.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543304/check_12342390_bb737909-393b-49ba-a60a-0f64ee7158b9.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 | 8792389464 | N/A | N/A | 5543304 | 2222 | N/A | 12548978 | N/A | 4215118 | 2025-09-15 09:30:11.060455 | 2025-06-02 01:41:59.668874 |
| 2025-09-15 09:30:06.543887 | 2025-09-15 09:30:09.426148 | 12342389 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-12-24 | 2025-09-15 | F | AE | PT | 2630 | PORTILLO | 00000315343 | LISA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543084/check_12342389_2601937f-1970-4669-b56e-44318350e528.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543084/check_12342389_3c3fe2c1-7bd8-444c-97db-e52571036096.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 | 8792389377 | N/A | N/A | 5543084 | 2222 | N/A | 12548975 | N/A | 4214920 | 2025-09-15 09:30:09.426148 | 2025-05-13 04:29:37.229242 |
| 2025-09-15 09:30:05.469136 | 2025-09-15 09:30:10.718523 | 12342388 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1974-08-13 | 2025-09-15 | F | PT | N/A | 4185 | HUGGINS | JXN261A50994 | DEE DEE | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543043/check_12342388_c114fb9d-0cfc-411e-b585-509a47f323e7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543043/check_12342388_b9b86d15-2bf5-4293-90a9-e53a3f808fec.json | N/A | N/A | N/A | N/A | N/A | JXN261A50994 | Preferred Provider Organization (PPO) | TRADITIONAL PPO W/ CARELON 200K | ANTHEM BLUE CROSS | N/A | 1974-08-13 | 040 | 174222M3A1 | N/A | PR | false | HUGGINS | N/A | SETH | N/A | 9999-12-31 | 2022-01-01 | BC PPO INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8792389221 | N/A | N/A | 5543043 | 2222 | N/A | 12548977 | N/A | 4214884 | 2025-09-15 09:30:10.718523 | 2025-11-12 00:46:10.301659 |
| 2025-09-15 09:30:05.126593 | 2025-09-15 09:30:09.774215 | 12342387 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-08-01 | 2025-09-15 | M | AE | PT | 4497 | MIHALEV | 1NU2W44MF18 | ANGEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542783/check_12342387_717b1823-a02b-4ec9-b6bf-b0e850201290.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542783/check_12342387_547bdd18-15ed-4c62-ada3-ec14a5624253.json | N/A | N/A | N/A | N/A | N/A | 1NU2W44MF18 | Medicare Part B | N/A | WELLCARE PRESCRIPTION INSURANCE, INC. | 1-BENEFICIARY INSURED DUE TO DISABILITY | 1962-08-01 | S4802 | N/A | N/A | MB | false | MIHALEV | N/A | ANGEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8792389256 | N/A | N/A | 5542783 | 2222 | N/A | 12548974 | N/A | 4214658 | 2025-09-15 09:30:09.774215 | 2025-05-13 04:29:37.228977 |
| 2025-09-15 09:30:05.012403 | 2025-09-15 09:30:10.064885 | 12342386 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-11-11 | 2025-09-15 | M | AE | PT | 4497 | GOLDBERG | 9EE6XY2TM41 | Michael | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542970/check_12342386_c079e49b-8f43-4a41-8808-ab7daba3eb2f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542970/check_12342386_2fcfaed6-2160-4830-b296-1f0c5cedb8fe.json | N/A | N/A | N/A | N/A | N/A | 9EE6XY2TM41 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1940-11-11 | S5601 | N/A | N/A | MA | false | GOLDBERG | N/A | MICHAEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8792389136 | N/A | N/A | 5542970 | 2222 | N/A | 12548976 | N/A | 4214820 | 2025-09-15 09:30:10.064885 | 2025-06-30 02:56:23.324592 |
| 2025-09-15 09:30:04.005284 | 2025-09-15 09:30:06.837667 | 12342385 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1944-10-29 | 2025-09-15 | F | AE | PT | 4497 | GOLDBERG | 6YD7TP7AC72 | LINDA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542935/check_12342385_e2325a44-c27d-42ec-93ee-1c26075d8a2c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542935/check_12342385_8efdf8dd-18d5-4098-af2a-776866e44723.json | N/A | N/A | N/A | N/A | N/A | 6YD7TP7AC72 | Medicare Part A | N/A | SILVERSCRIPT INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1944-10-29 | S5601 | N/A | N/A | MA | false | GOLDBERG | N/A | LINDA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8792389003 | N/A | N/A | 5542935 | 2222 | N/A | 12548970 | N/A | 4214789 | 2025-09-15 09:30:06.837667 | 2025-12-11 23:30:31.319246 |
| 2025-09-15 09:30:03.404182 | 2025-09-15 09:30:08.312725 | 12342384 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1954-11-24 | 2025-09-15 | M | AE | PT | 4497 | BLANCHFIELD | 2RP5EF8DU55 | THOMAS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542555/check_12342384_6a18fcf2-dd98-458f-a602-02834f441582.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542555/check_12342384_04d25387-748c-41a1-933c-273ad010aade.json | N/A | N/A | N/A | N/A | N/A | 2RP5EF8DU55 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1954-11-24 | N/A | N/A | N/A | MA | false | BLANCHFIELD | N/A | THOMAS | N/A | 2026-12-31 | 2026-01-01 | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8792388944 | N/A | N/A | 5542555 | 2222 | N/A | 12548972 | N/A | 4214447 | 2025-09-15 09:30:08.312725 | 2026-04-23 20:11:34.441054 |
| 2025-09-15 09:30:03.049506 | 2025-09-15 09:30:05.288087 | 12342383 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-07-21 | 2025-09-15 | F | PT | N/A | 4191 | BAER | XEK905554072 | JUDY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542259/check_12342383_2f148330-6ef5-48a9-b99d-c0d9ede3f960.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542259/check_12342383_aac06868-078a-4a43-8fb5-42cfa32a3b83.json | N/A | N/A | N/A | N/A | N/A | XEK905554072 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1969-07-21 | 2001ZJ002648 | X0001000 | N/A | PR | false | BAER | N/A | JUDY | N/A | 9999-12-31 | 2017-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8792388925 | N/A | N/A | 5542259 | 2222 | N/A | 12548968 | N/A | 4214195 | 2025-09-15 09:30:05.288087 | 2025-05-13 04:29:37.228529 |
| 2025-09-15 09:30:02.804335 | 2025-09-15 09:30:05.561032 | 12342382 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1948-07-22 | 2025-09-15 | F | PT | N/A | 4185 | UTLEY | MBL209M95251 | SHERIDAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542387/check_12342382_121d495f-687b-495e-b4ec-13883246f324.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542387/check_12342382_6e5bde8d-bb25-40a5-838c-9ceb3b530da7.json | N/A | N/A | N/A | N/A | N/A | MBL209M95251 | N/A | MOTION PICTURE INDUSTRY HEALTH PLAN | ANTHEM BLUE CROSS | N/A | 1948-07-22 | 040 | CAEGR002 | N/A | N/A | false | UTLEY | N/A | SHERIDAN | 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 | 8792388908 | N/A | N/A | 5542387 | 2222 | N/A | 12548969 | N/A | 4214300 | 2025-09-15 09:30:05.561032 | 2025-06-17 13:03:57.252701 |
| 2025-09-15 09:30:02.415639 | 2025-09-15 09:30:07.244430 | 12342381 | N/A | N/A | 60054 | Aetna | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-09-28 | 2025-09-15 | F | AE | PT | 3948 | BEDDING | W265304433 | DEBRA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542255/check_12342381_ffd5bd94-0e1b-4508-9426-43594fbb547f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542255/check_12342381_2e2bc511-f678-43d6-be7a-bc7095210c13.json | N/A | N/A | N/A | N/A | N/A | W265304433 | Point of Service (POS) | FOX CORPORATION | AETNA | N/A | 1969-09-28 | 0109248 | 010924803000460 | N/A | PS | false | BEDDING | N/A | DEBRA | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8792388888 | N/A | N/A | 5542255 | 2222 | N/A | 12548971 | N/A | 4214196 | 2025-09-15 09:30:07.244430 | 2025-05-13 04:29:37.228530 |
| 2025-09-15 09:30:01.517771 | 2025-09-15 09:30:04.280136 | 12342380 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1959-05-13 | 2025-09-15 | F | PT | N/A | 4184 | ADRIANZEN FERNAN | MMA221W20054 | AURA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541944/check_12342380_9a7539b6-cbde-446c-92ef-a90366cdc12a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541944/check_12342380_5e53f410-b645-41f6-abc9-4029eb9c2945.json | N/A | N/A | N/A | N/A | N/A | MMA221W20054 | Medicare Primary | CA MEDICARE | ANTHEM BLUE CROSS | N/A | 1959-05-13 | 040 | CAMCRWP0 | N/A | MP | false | ADRIANZEN FERNANDEZ | N/A | AURA | N/A | 9999-12-31 | 2025-01-01 | CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8792388840 | N/A | N/A | 5541944 | 2222 | N/A | 12548967 | N/A | 4213907 | 2025-09-15 09:30:04.280136 | 2025-05-13 04:29:37.228228 |
| 2025-09-15 09:30:01.241194 | 2025-09-15 09:30:02.982933 | 12342379 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-03-06 | 2025-09-15 | M | AE | PT | 4199 | REGAN | 948131328E28295 | DANIEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541349/check_12342379_bbf501f0-5e25-46db-9008-37fb5ab0885f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541349/check_12342379_9d868ee4-789b-4dc5-9b23-587fa3fdac50.json | N/A | N/A | N/A | N/A | N/A | 948131328E28295 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 2007-03-06 | N/A | N/A | N/A | N/A | false | REGAN | N/A | DANIEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541349 | 2222 | N/A | 12548964 | N/A | 4213376 | 2025-09-15 09:30:02.982933 | 2025-09-22 23:59:39.068790 |
| 2025-09-15 09:30:01.213310 | 2025-09-15 09:30:04.345101 | 12342378 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1958-05-19 | 2025-09-15 | F | AE | PT | 4497 | MAYER | 5J41QM7YN93 | MARY | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541938/check_12342378_04ce61ca-d3b3-44c6-af1f-3d98687277f6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541938/check_12342378_ef3d4b1d-02b2-4b87-b9a4-7ad13fcc30f1.json | N/A | N/A | N/A | N/A | N/A | 5J41QM7YN93 | Medicare Part A | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1958-05-19 | S5884 | N/A | N/A | MA | false | MAYER | N/A | MARY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8792388834 | N/A | N/A | 5541938 | 2222 | N/A | 12548966 | N/A | 4213917 | 2025-09-15 09:30:04.345101 | 2025-06-25 01:53:37.609327 |
| 2025-09-15 09:30:00.866566 | 2025-09-15 09:30:03.780532 | 12342377 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-08-31 | 2025-09-15 | M | PT | N/A | 4185 | STEINBERG | MBL875M98441 | HARRIS | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541917/check_12342377_b960eff1-aff0-4d03-8699-0730d45ab62f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_12342377_cce027b6-c38e-4343-a043-f68c10bdc74d.json | N/A | N/A | N/A | N/A | N/A | MBL875M98441 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1940-08-31 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | HARRIS | N/A | 9999-12-31 | 2021-01-01 | CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8792388820 | N/A | N/A | 5541917 | 2222 | N/A | 12548965 | N/A | 4213891 | 2025-09-15 09:30:03.780532 | 2025-05-13 04:29:37.228207 |
| 2025-09-15 09:29:59.583241 | 2025-09-15 09:30:01.239172 | 12342376 | N/A | N/A | SKCA0 | Medicaid California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2007-03-06 | 2025-09-15 | M | AE | PT | 4199 | REGAN | 948131328E28295 | DANIEL | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541349/check_12342376_a08e6017-98d7-42d4-bc38-5191b750ea9e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | 948131328E28295 | N/A | N/A | MEDICAID CALIFORNIA | N/A | 2007-03-06 | N/A | N/A | N/A | N/A | false | REGAN | N/A | DANIEL | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541349 | 2222 | N/A | N/A | N/A | 4213376 | 2025-09-15 09:30:01.239172 | 2025-09-22 23:59:39.068790 |
| 2025-09-15 09:29:59.509733 | 2025-09-15 09:30:01.481975 | 12342375 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1990-07-09 | 2025-09-15 | M | PT | N/A | 4191 | UPSON | XEA909162969 | RYAN | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541318/check_12342375_4c18b8a4-3c4a-4600-9c01-0dd0c17fb26b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541318/check_12342375_e94966cd-0ae7-4ab2-a229-5ec87a54076b.json | N/A | N/A | N/A | N/A | N/A | XEA909162969 | Preferred Provider Organization (PPO) | CHILD CARE RESOURCE CENTER | BLUE SHIELD CALIFORNIA | N/A | 1990-07-09 | 1000VX000001 | W0065399 | N/A | PR | false | UPSON | N/A | SANDY | N/A | N/A | N/A | CHILD CARE RESOURCE CENTER CUSTOM VISION PLUS 0 25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8792388664 | N/A | N/A | 5541318 | 2222 | N/A | 12548961 | N/A | 4213349 | 2025-09-15 09:30:01.481975 | 2025-05-13 04:29:37.227671 |
| 2025-09-15 09:29:58.731328 | 2025-09-15 09:30:01.705046 | 12342374 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1965-09-18 | 2025-09-15 | F | PT | N/A | 4191 | SHAPIRO | XEA901579979 | ANDREA | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541315/check_12342374_050b4dd4-7c2a-4a73-8dd3-b87b7d02b38e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541315/check_12342374_89bd0fe4-fde8-4c69-8363-52b757bf851d.json | N/A | N/A | N/A | N/A | N/A | XEA901579979 | Preferred Provider Organization (PPO) | HANGER STEINBERG SHAPIRO AND ASH A LAW COR | BLUE SHIELD CALIFORNIA | N/A | 1965-09-18 | 1000VX000102 | W0045063 | N/A | PR | false | SHAPIRO | N/A | MARC | N/A | 9999-12-31 | 2016-11-01 | BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8792388632 | N/A | N/A | 5541315 | 2222 | N/A | 12548963 | N/A | 4213344 | 2025-09-15 09:30:01.705046 | 2025-05-13 04:29:37.227667 |
| 2025-09-15 09:29:58.322241 | 2025-09-15 09:30:01.262544 | 12342373 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1968-03-30 | 2025-09-15 | M | AE | PT | 23322 | FARAHMAND | 91957675E | ALEX | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541163/check_12342373_a0eb3d6e-3784-4b0b-b732-0ce8df3f2dd1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541163/check_12342373_39cabf2f-0fae-47aa-a2f8-2cb906b72aa6.json | N/A | N/A | N/A | N/A | N/A | 91957675E | N/A | N/A | HEALTH NET, LLC | N/A | 1968-03-30 | N/A | N/A | N/A | N/A | false | FARAHMAND | N/A | ALEX | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8792388624 | N/A | N/A | 5541163 | 2222 | N/A | 12548959 | N/A | 4213207 | 2025-09-15 09:30:01.262544 | 2025-05-13 04:29:37.227536 |