API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 99,149
| created_at | updated_at | id | athelas_task_id | cmds_task_id | payer_id | payer_name | provider_npi | trace_number | provider_name | subscriber_dob | date_of_service | subscriber_gender | service_type_codes_1 | service_type_codes_2 | subscriber_last_name | subscriber_member_id | subscriber_first_name | insurance_company_id | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-12 08:14:32.130641 | 2025-09-12 08:14:32.531223 | 12277762 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12277762 | Athletic Physical Therapy Inc | 1952-10-01 | 2025-09-15 | M | AE | PT | IMPELLIZZERI | 3UJ4DN6CC87 | ROBERT | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 5535551 | 2222 | 4801 | N/A | N/A | 4208460 | 2025-09-12 08:14:32.531223 | 2026-01-01 00:19:01.120151 |
| 2025-09-12 08:14:21.488545 | 2025-09-13 02:44:36.278201 | 12277439 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12277439 | Athletic Physical Therapy Inc | 1980-03-06 | 2025-09-15 | M | PT | N/A | Lane | XEK904721388 | Jason | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110719970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814774/check_12277439_cf520f6b-d7e0-4ec7-a882-e0b34883f93d.json | N/A | N/A | N/A | N/A | N/A | XEK904721388 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1980-03-06 | N/A | N/A | N/A | N/A | false | LANE | N/A | JASON | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776939836 | N/A | N/A | 6814774 | 2222 | 4802 | 12531772 | N/A | 5857104 | 2025-09-13 02:44:36.278201 | 2025-07-08 17:08:11.593095 |
| 2025-09-12 08:14:20.891678 | 2025-09-13 02:44:37.352882 | 12277421 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12277421 | Athletic Physical Therapy Inc | 1961-03-07 | 2025-09-15 | F | PT | N/A | PERLOV | XEA905216171 | MERA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110719970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814311/check_12277421_bee841ed-8c3f-4e78-b35c-b34fd03ab921.json | N/A | N/A | N/A | N/A | N/A | XEA905216171 | Preferred Provider Organization (PPO) | LA CARE HEALTH PLAN | BLUE SHIELD CALIFORNIA | N/A | 1961-03-07 | 1000PPOX0003 | W0051027 | N/A | PR | false | PERLOV | N/A | MERA | N/A | 9999-12-31 | 2017-05-01 | HSA RATED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776939831 | N/A | N/A | 6814311 | 2222 | 4793 | 12531782 | N/A | 5856694 | 2025-09-13 02:44:37.352882 | 2025-07-07 18:45:06.287504 |
| 2025-09-12 08:14:18.753368 | 2025-09-13 02:40:25.109976 | 12277353 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12277353 | Athletic Physical Therapy Inc | 1975-03-18 | 2025-09-15 | F | PT | N/A | FARRUKH | JXN208M92481 | ANBARIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110719970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6811878/check_12277353_96437e74-95cf-4e16-8ed3-f4250d0aaf01.json | N/A | N/A | N/A | N/A | N/A | JXN208M92481 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | ANTHEM BLUE CROSS | N/A | 1975-03-18 | 040 | 174222M9A1 | N/A | PR | false | FARRUKH | N/A | ANBARIN | N/A | 9999-12-31 | 2025-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776939814 | N/A | N/A | 6811878 | 2222 | 4793 | 12529518 | N/A | 5854231 | 2025-09-13 02:40:25.109976 | 2025-07-07 16:52:38.056680 |
| 2025-09-12 08:13:52.558889 | 2025-09-13 02:55:54.828344 | 12276625 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12276625 | Athletic Physical Therapy Inc | 1959-09-07 | 2025-09-15 | M | AE | PT | CICCIARI | 1AK4JC6NK84 | LOUIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110719970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_12276625_825f8a4b-c027-4937-815b-599ea2787a64.json | N/A | N/A | N/A | N/A | N/A | 1AK4JC6NK84 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-09-07 | S5596 | N/A | N/A | MA | false | CICCIARI | N/A | LOUIS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776939221 | N/A | N/A | 6752936 | 2222 | 4801 | 12537671 | N/A | 5065602 | 2025-09-13 02:55:54.828344 | 2025-07-01 17:25:13.681724 |
| 2025-09-12 08:13:49.206689 | 2025-09-13 02:55:57.635797 | 12276508 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12276508 | Athletic Physical Therapy Inc | 1929-10-10 | 2025-09-15 | M | AE | PT | Walter | 1TQ1EQ4FJ98 | Howard | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110719970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751304/check_12276508_b4d7b831-8fd4-4235-8ba7-b339a6b97afa.json | N/A | N/A | N/A | N/A | N/A | 1TQ1EQ4FJ98 | Medicare Part A | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1929-10-10 | N/A | N/A | N/A | MA | false | WALTER | N/A | HOWARD | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776939197 | N/A | N/A | 6751304 | 2222 | 4802 | 12537692 | N/A | 5557241 | 2025-09-13 02:55:57.635797 | 2025-07-22 17:08:51.810153 |
| 2025-09-12 08:13:42.889475 | 2025-09-13 02:35:41.316382 | 12276268 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12276268 | Athletic Physical Therapy Inc | 1979-11-10 | 2025-09-15 | F | PT | N/A | SEITZ | SEY495A67668 | KORINNE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110639184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8225980/check_12276268_ae702e16-76ee-43b7-8a27-46ad827f064d.json | N/A | N/A | N/A | N/A | N/A | SEY495A67668 | Preferred Provider Organization (PPO) | SEMPRA HEALTH CARE PLUS | ANTHEM BLUE CROSS | N/A | 1979-11-10 | 040 | 174217M3B7 | N/A | PR | false | SEITZ | N/A | CORY | N/A | 9999-12-31 | 2019-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776943549 | N/A | N/A | 8225980 | 2222 | 4801 | 12526226 | N/A | 6982786 | 2025-09-13 02:35:41.316382 | 2025-09-05 22:05:24.545118 |
| 2025-09-12 08:13:42.782064 | 2025-09-13 02:36:30.683411 | 12276261 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12276261 | Athletic Physical Therapy Inc | 1971-06-05 | 2025-09-15 | F | PT | N/A | MENDELSON | XEK913483846 | SHARON | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110639184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8224045/check_12276261_a66d106b-b484-4e89-a76c-b5c76f452a3b.json | N/A | N/A | N/A | N/A | N/A | XEK913483846 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1971-06-05 | 2001ZK002189 | X0001000 | N/A | PR | false | MENDELSON | N/A | SIMON | N/A | 9999-12-31 | 2025-01-01 | BRONZE 60 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776943548 | N/A | N/A | 8224045 | 2222 | 4802 | 12526778 | N/A | 6981160 | 2025-09-13 02:36:30.683411 | 2025-08-26 21:16:15.557856 |
| 2025-09-12 08:13:36.908773 | 2025-09-13 02:29:20.006517 | 12275999 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 12275999 | Athletic Physical Therapy Inc | 1940-01-14 | 2025-09-15 | F | AE | PT | STELLINI | 08533317011 | DONNA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110716390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550852/check_12275999_4b6ed648-33d0-4640-9a51-bcadbc385023.json | N/A | N/A | N/A | N/A | N/A | 08533317011 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1940-01-14 | N/A | N/A | N/A | SP | false | STELLINI | N/A | DONNA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN J | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776947128 | N/A | N/A | 5550852 | 2222 | 4802 | 12521930 | N/A | 4215221 | 2025-09-13 02:29:20.006517 | 2025-05-13 04:29:37.229536 |
| 2025-09-12 08:13:34.115656 | 2025-09-12 08:13:34.931975 | 12275898 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12275898 | Athletic Physical Therapy Inc | 1964-09-12 | 2025-09-15 | F | AE | PT | Flint | 623439831 | Romy | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 9136655 | 2222 | 4802 | N/A | N/A | 7658224 | 2025-09-12 08:13:34.931975 | 2025-09-08 20:12:08.577487 |
| 2025-09-12 08:13:33.434866 | 2025-09-13 02:37:02.979442 | 12275869 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 12275869 | Athletic Physical Therapy Inc | 1940-11-11 | 2025-09-15 | M | AE | PT | GOLDBERG | U5126496602 | Michael | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110716390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542973/check_12275869_26b58afd-3eea-4172-9c72-ec4da4baed70.json | N/A | N/A | N/A | N/A | N/A | U5126496602 | Indemnity | MONTGOMERY COUNTY PUBLIC SCHOOLS | CHLIC | N/A | 1940-11-11 | N/A | 2501729 | N/A | IN | false | GOLDBERG | N/A | MICHAEL | N/A | N/A | N/A | INDEMNITY | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776947123 | N/A | N/A | 5542973 | 2222 | 4802 | 12527148 | N/A | 4214820 | 2025-09-13 02:37:02.979442 | 2025-06-30 02:56:23.324592 |
| 2025-09-12 08:13:33.216894 | 2025-09-13 02:36:01.275909 | 12275859 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12275859 | Athletic Physical Therapy Inc | 1985-06-26 | 2025-09-15 | F | PT | N/A | LORELLI | FDP190001823 | JENNIFER | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110524662.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7877415/check_12275859_b9fcee02-54b5-4701-8f54-fdd5cc50685b.json | N/A | N/A | N/A | N/A | N/A | FDP190001823 | Preferred Provider Organization (PPO) | BANFIELD PET HOSPITAL | ANTHEM BLUE CROSS | SERVICES PROVIDED TO THIS PATIENT ARE SUBJECT TO THE BALANCE BILLING PROTECTION ACT. PLEASE SEE RCW 48.49.020 FOR DETAILS. | 1985-06-26 | N/A | 10034839 | N/A | PR | false | LORELLI | N/A | JENNIFER | N/A | 9999-12-31 | 2025-01-01 | HSA3.0/PREFERRED | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776933170 | N/A | N/A | 7877415 | 2222 | 4793 | 12526439 | N/A | 6706226 | 2025-09-13 02:36:01.275909 | 2025-08-19 15:39:56.790206 |
| 2025-09-12 08:13:32.847099 | 2025-09-13 02:37:02.372506 | 12275845 | N/A | N/A | 62308 | Cigna Health Plans | 1114042165 | 12275845 | Athletic Physical Therapy Inc | 1944-10-29 | 2025-09-15 | F | AE | PT | GOLDBERG | U51264966 | LINDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110716390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542937/check_12275845_9c9b000b-0562-4b26-9218-f5e0ea392b11.json | N/A | N/A | N/A | N/A | N/A | U5126496601 | Indemnity | MONTGOMERY COUNTY PUBLIC SCHOOLS | CHLIC | N/A | 1944-10-29 | N/A | 2501729 | N/A | IN | false | GOLDBERG | N/A | LINDA | N/A | N/A | N/A | INDEMNITY | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776947122 | N/A | N/A | 5542937 | 2222 | 4802 | 12527143 | N/A | 4214789 | 2025-09-13 02:37:02.372506 | 2025-12-11 23:30:31.319246 |
| 2025-09-12 08:13:32.024315 | 2025-09-13 02:29:19.253712 | 12275816 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 12275816 | Athletic Physical Therapy Inc | 1944-04-25 | 2025-09-15 | F | AE | PT | ROSENTHAL | 30096718111 | PHYLLIS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110716390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541888/check_12275816_ea4ded93-47c5-4d02-98c5-86ccd1f46adf.json | N/A | N/A | N/A | N/A | N/A | 30096718111 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1944-04-25 | N/A | N/A | N/A | SP | false | ROSENTHAL | N/A | PHYLLIS | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776947121 | N/A | N/A | 5541888 | 2222 | 4802 | 12521920 | N/A | 4213865 | 2025-09-13 02:29:19.253712 | 2025-05-13 04:29:37.228183 |
| 2025-09-12 08:13:31.414813 | 2025-09-13 02:45:10.721335 | 12275793 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12275793 | Athletic Physical Therapy Inc | 1950-08-31 | 2025-09-15 | M | AE | PT | NADRICH | XEM905604302 | JEFFREY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110716390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538999/check_12275793_d42ed632-7dde-453f-86c1-5cbad6601b4f.json | N/A | N/A | N/A | N/A | N/A | XEM905604302 | Other | MEDICARE SUPPLEMENT | MEDICARE PART A AND B | N/A | 1950-08-31 | 2004SE000030 | X0001002 | N/A | OT | false | NADRICH | N/A | JEFFREY | N/A | N/A | N/A | MEDICARE SUPPLEMENT PLAN G EXTRA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776947120 | N/A | N/A | 5538999 | 2222 | 4802 | 12532085 | N/A | 4211316 | 2025-09-13 02:45:10.721335 | 2025-05-13 04:29:37.225679 |
| 2025-09-12 08:13:30.306166 | 2025-09-13 02:29:18.377687 | 12275750 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 12275750 | Athletic Physical Therapy Inc | 1952-03-25 | 2025-09-15 | F | AE | PT | DRIMMER | 33360295512 | NADIA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110716390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537832/check_12275750_cf0937b1-f2f9-4dd6-a7c8-3f797a959f33.json | N/A | N/A | N/A | N/A | N/A | 33360295512 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1952-03-25 | N/A | N/A | N/A | SP | false | DRIMMER | N/A | NADIA | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN F | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776947118 | N/A | N/A | 5537832 | 2222 | 4802 | 12521912 | N/A | 4210338 | 2025-09-13 02:29:18.377687 | 2025-05-13 04:29:37.224744 |
| 2025-09-12 08:13:29.293557 | 2025-09-13 02:45:10.123164 | 12275724 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12275724 | Athletic Physical Therapy Inc | 1950-07-23 | 2025-09-15 | M | AE | PT | MELVILLE | XEMJ06188527 | LANNING | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110716390.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535731/check_12275724_80709396-e6fd-4a90-b671-9d648839ee11.json | N/A | N/A | N/A | N/A | N/A | XEMJ06188527 | N/A | N/A | BLUE SHIELD CALIFORNIA | N/A | 1950-07-23 | N/A | N/A | N/A | N/A | false | MELVILLE | N/A | LANNING | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776947117 | N/A | N/A | 5535731 | 2222 | 4802 | 12532075 | N/A | 4208598 | 2025-09-13 02:45:10.123164 | 2025-09-11 00:56:25.554348 |
| 2025-09-12 08:13:23.595192 | 2025-09-13 02:28:05.341536 | 12275525 | N/A | N/A | 14163 | WELLCARE HEALTH PLAN | 1114042165 | 12275525 | Athletic Physical Therapy Inc | 1955-02-20 | 2025-09-15 | F | AE | PT | SALGUERO | 35955370 | DINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110719970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6711965/check_12275525_19ecb776-3b19-4bb7-9d46-4f5d9dcde867.json | N/A | N/A | N/A | N/A | N/A | 35955370 | N/A | N/A | WELLCARE HEALTH PLANS | N/A | 1955-02-20 | 406-005-000 | N/A | N/A | N/A | false | SALGUERO | N/A | DINA | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776939482 | N/A | N/A | 6711965 | 2222 | 4793 | 12521111 | 6798 | 4210430 | 2025-09-13 02:28:05.341536 | 2025-05-13 04:29:37.224841 |
| 2025-09-12 08:13:15.415352 | 2025-09-12 08:13:15.756060 | 12275230 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12275230 | Athletic Physical Therapy Inc | 1952-01-13 | 2025-09-15 | M | PT | N/A | BLANCO ESCOBAR | 106W1830410 | SAMUEL | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 9134245 | 2222 | 4801 | N/A | N/A | 7655426 | 2025-09-12 08:13:15.756060 | 2025-09-08 18:14:46.984181 |
| 2025-09-12 08:13:08.623880 | 2025-09-13 02:36:30.271903 | 12275038 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12275038 | Athletic Physical Therapy Inc | 1980-12-02 | 2025-09-15 | M | PT | N/A | GODINEZ | XEK907039926 | RICHARD | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110639184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202901/check_12275038_f1b120d7-8563-45b5-9a6c-27d232083758.json | N/A | N/A | N/A | N/A | N/A | XEK907039926 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-12-02 | 2001ZK002171 | X0001000 | N/A | PR | false | GODINEZ | N/A | RICHARD | N/A | 9999-12-31 | 2019-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776942759 | N/A | N/A | 8202901 | 2222 | 4793 | 12526773 | N/A | 6965521 | 2025-09-13 02:36:30.271903 | 2025-09-10 21:42:23.177790 |
| 2025-09-12 08:13:07.866779 | 2025-09-13 02:36:45.734963 | 12275004 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12275004 | Athletic Physical Therapy Inc | 1985-01-29 | 2025-09-15 | F | PT | N/A | MURPHY | NGO398A23229 | DARA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110639184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8202094/check_12275004_b9c7d5f3-cdbb-4893-99ac-8cf9538b42d1.json | N/A | N/A | N/A | N/A | N/A | NGO398A23229 | Preferred Provider Organization (PPO) | NORTHROP GRUMMAN CORP | BLUE SHIELD OF CALIFORNIA | N/A | 1985-01-29 | 040 | 174022MJAD | N/A | PR | false | MURPHY | N/A | SCOTT | N/A | 9999-12-31 | 2021-01-02 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776942754 | N/A | N/A | 8202094 | 2222 | 4793 | 12526946 | N/A | 6964828 | 2025-09-13 02:36:45.734963 | 2025-08-21 15:20:41.432970 |
| 2025-09-12 08:12:37.555359 | 2025-09-12 08:12:37.721862 | 12273801 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12273801 | Athletic Physical Therapy Inc | 1960-11-20 | 2025-09-15 | F | PT | N/A | RUND | JQU141A61623 | Stephanie | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 6398636 | 2222 | 4802 | N/A | N/A | 5046194 | 2025-09-12 08:12:37.721862 | 2026-01-06 19:15:31.520951 |
| 2025-09-12 08:12:31.668958 | 2025-09-12 08:12:35.656700 | 12273560 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1973-02-24 | 2025-09-12 | F | PT | N/A | TAKEMOTO | XED906098170 | NICOLE | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928752/check_12273560_d73e74c9-99d0-4228-bddf-d66488492baa.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928752/check_12273560_65b82baa-b7a6-4d4c-a6c7-79151c64d5dc.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 | 2025-01-01 | SILVER 94 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776922433 | N/A | N/A | 5928752 | 2222 | N/A | 12494603 | N/A | 4583701 | 2025-09-12 08:12:35.656700 | 2025-07-24 17:50:11.805587 |
| 2025-09-12 08:12:30.857312 | 2025-09-13 02:43:45.229456 | 12273533 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12273533 | Athletic Physical Therapy Inc | 1947-12-03 | 2025-09-15 | M | PT | N/A | WONG | 6GE2PF6CC92 | STANLEY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110510676.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/9132315/check_12273533_c6e8f5db-1a8a-4be9-b32a-0b12ddf6cb7c.json | N/A | N/A | N/A | N/A | N/A | 6GE2PF6CC92 | Medicare Part A | N/A | ANTHEM INSURANCE COMPANIES, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1947-12-03 | H4036 | N/A | N/A | MA | false | WONG | N/A | STANLEY | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776927939 | N/A | N/A | 9132315 | 2222 | 4802 | 12531310 | N/A | 7140615 | 2025-09-13 02:43:45.229456 | 2025-09-05 16:51:17.488032 |
| 2025-09-12 08:12:29.718487 | 2025-09-12 08:12:29.949472 | 12273489 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12273489 | Athletic Physical Therapy Inc | 1991-05-10 | 2025-09-15 | F | AE | PT | NEPALI | R14157930FM1 | THILY | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 9105461 | 2222 | 4802 | N/A | N/A | 7625402 | 2025-09-12 08:12:29.949472 | 2025-09-15 23:06:48.101835 |
| 2025-09-12 08:12:27.832713 | 2025-09-12 08:12:28.375183 | 12273424 | N/A | N/A | 60054 | Aetna | 1114042165 | 12273424 | Athletic Physical Therapy Inc | 1991-08-09 | 2025-09-15 | M | AE | PT | TORIO | W287278504 | MICHAEL | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 6235883 | 2222 | 4802 | N/A | N/A | 4883697 | 2025-09-12 08:12:28.375183 | 2025-07-08 14:55:53.397662 |
| 2025-09-12 08:12:16.836386 | 2025-09-13 02:35:10.398789 | 12273056 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 12273056 | Athletic Physical Therapy Inc | 1964-01-25 | 2025-09-15 | M | AE | PT | CORAY | 00003138358 | KLAUS | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110524662.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7815883/check_12273056_d9a635c6-fb10-4633-b411-8cb8a23d3084.json | N/A | N/A | N/A | N/A | N/A | 00003138358 | N/A | N/A | KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA | N/A | 1964-01-25 | N/A | N/A | N/A | N/A | false | CORAY | N/A | KLAUS | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776933961 | N/A | N/A | 7815883 | 2222 | 4793 | 12525872 | N/A | 6655655 | 2025-09-13 02:35:10.398789 | 2025-09-09 21:32:56.328170 |
| 2025-09-12 08:12:15.534296 | 2025-09-12 08:12:15.933834 | 12273017 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 12273017 | Athletic Physical Therapy Inc | 1972-01-18 | 2025-09-15 | F | AE | PT | EDELMAN | 109583288 | MARINA | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 9104367 | 2222 | 4793 | N/A | N/A | 7624210 | 2025-09-12 08:12:15.933834 | 2025-12-10 17:00:45.860910 |
| 2025-09-12 08:12:12.664011 | 2025-09-12 08:12:13.110990 | 12272947 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 12272947 | Athletic Physical Therapy Inc | 1947-04-26 | 2025-09-15 | F | AE | PT | BARCENES | H9209970900 | IRENE | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 6231314 | 2222 | 4801 | N/A | N/A | 4219033 | 2025-09-12 08:12:13.110990 | 2025-05-13 04:29:37.230052 |
| 2025-09-12 08:12:03.001863 | 2025-09-13 02:40:01.187918 | 12272737 | N/A | N/A | 36273 | AARP Medicare Supplement by UnitedHealthcare | 1114042165 | 12272737 | Athletic Physical Therapy Inc | 1946-11-04 | 2025-09-15 | M | AE | PT | KOGUT | 32822509811 | JAMIE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110536778.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7975132/check_12272737_6fa5f54a-8d72-4b4f-a7b6-bd8179af6087.json | N/A | N/A | N/A | N/A | N/A | 32822509811 | Supplemental Policy | N/A | AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE | THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS. | 1946-11-04 | N/A | N/A | N/A | SP | false | KOGUT | N/A | JAMIE | N/A | N/A | N/A | AARP MEDICARE SUPPLEMENT PLAN G | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776932105 | N/A | N/A | 7975132 | 2222 | 4801 | 12529236 | N/A | 6228944 | 2025-09-13 02:40:01.187918 | 2025-08-09 18:39:08.251512 |
| 2025-09-12 08:11:54.224508 | 2025-09-13 02:32:17.986460 | 12272499 | N/A | N/A | 60054 | Aetna | 1114042165 | 12272499 | Athletic Physical Therapy Inc | 1972-12-30 | 2025-09-15 | M | AE | PT | MCHALE | W27265070 | MATT | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110639184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173116/check_12272499_64d396f7-74a0-44da-809c-a006e1f4c9d3.json | N/A | N/A | N/A | N/A | N/A | W272665070 | Point of Service (POS) | SONY CORPORATION OF AMERICA | AETNA | N/A | 1972-12-30 | 0486873 | 048687302100161 | N/A | PS | false | MCHALE | N/A | MATTHEW | N/A | N/A | N/A | AETNA CHOICE POS II | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776941714 | N/A | N/A | 8173116 | 2222 | 4802 | 12523896 | N/A | 6939617 | 2025-09-13 02:32:17.986460 | 2025-09-16 00:28:24.457071 |
| 2025-09-12 08:11:53.870332 | 2025-09-13 02:31:51.855451 | 12272489 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | 12272489 | Athletic Physical Therapy Inc | 2001-06-21 | 2025-09-15 | M | AE | PT | RAFIEI | 92836714F | SAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110639184.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/8173002/check_12272489_25e774a4-6273-4703-a898-f4b1646b374d.json | N/A | N/A | N/A | N/A | N/A | 92836714F | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 10/31/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 2001-06-21 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | RAFIEI | N/A | SAM | N/A | 2078-12-31 | 2024-02-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776941713 | N/A | N/A | 8173002 | 2222 | 4793 | 12523566 | N/A | 6939518 | 2025-09-13 02:31:51.855451 | 2025-08-18 21:40:08.349494 |
| 2025-09-12 08:11:36.524027 | 2025-09-12 08:11:36.758843 | 12272009 | N/A | N/A | SB542 | Regal Medical Group | 1114042165 | 12272009 | Athletic Physical Therapy Inc | 1974-08-11 | 2025-09-15 | M | PT | N/A | ALBA | XEH909330777 | KYLE | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 6210099 | 2222 | 4793 | N/A | N/A | 4852857 | 2025-09-12 08:11:36.758843 | 2025-06-17 16:28:13.795457 |
| 2025-09-12 08:11:24.303307 | 2025-09-12 08:11:24.534461 | 12271720 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12271720 | Athletic Physical Therapy Inc | 1945-10-03 | 2025-09-15 | F | AE | PT | CAVELLA | 3QD6Q97VV77 | EMIL | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 6203310 | 2222 | 4801 | N/A | N/A | 4846213 | 2025-09-12 08:11:24.534461 | 2025-06-10 21:58:09.734801 |
| 2025-09-12 08:11:21.031805 | 2025-09-12 08:11:21.459199 | 12271640 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12271640 | Athletic Physical Therapy Inc | 1995-02-20 | 2025-09-15 | M | PT | N/A | SCHILLER | HXA967579440 | STEPHEN | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 6196387 | 2222 | 4802 | N/A | N/A | 4840193 | 2025-09-12 08:11:21.459199 | 2025-06-30 14:26:07.993992 |
| 2025-09-12 08:11:20.930885 | 2025-09-13 02:27:45.433924 | 12271636 | N/A | N/A | 57115 | Blue Shield of California Promise Health Plan | 1114042165 | 12271636 | N/A | 1971-10-26 | 2025-09-15 | M | PT | N/A | Knight | XEA913358013 | Sean | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110524662.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7791387/check_12271636_953aa00f-05e2-48be-8a72-af73f2c4a662.json | N/A | N/A | N/A | N/A | N/A | XEA913358013 | N/A | N/A | BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN | N/A | 1971-10-26 | N/A | N/A | N/A | N/A | false | KNIGHT | N/A | SEAN | N/A | N/A | N/A | N/A | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776934579 | N/A | N/A | 7791387 | 2222 | 4802 | 12520885 | N/A | 6634901 | 2025-09-13 02:27:45.433924 | 2025-08-05 20:39:10.530593 |
| 2025-09-12 08:11:18.106753 | 2025-09-12 08:11:18.428134 | 12271562 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12271562 | Athletic Physical Therapy Inc | 1962-08-12 | 2025-09-15 | F | PT | N/A | SCHOLEFIELD | TRJNP1055193 | ROBIN | N/A | N/A | WAYSTAR | N/A | BATCH | 2025-09-15 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 9087505 | 2222 | 4793 | N/A | N/A | 7605100 | 2025-09-12 08:11:18.428134 | 2025-09-11 15:07:41.965017 |
| 2025-09-12 08:11:03.915959 | 2025-09-13 02:44:35.028158 | 12271209 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12271209 | Athletic Physical Therapy Inc | 1961-03-12 | 2025-09-15 | F | PT | N/A | MCNUTT | XED904914958 | YOLANDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110719970.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6668755/check_12271209_89a5cd01-5cc4-41e7-8808-df0c6f77ed8d.json | N/A | N/A | N/A | N/A | N/A | XED904914958 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1961-03-12 | 2001ZK002184 | X0001004 | N/A | PR | false | FERNANDEZ-MCNUTT | N/A | YOLANDA | 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 | 8776939369 | N/A | N/A | 6668755 | 2222 | 4801 | 12531757 | N/A | 5282877 | 2025-09-13 02:44:35.028158 | 2025-07-01 15:56:36.473431 |
| 2025-09-12 08:10:53.194188 | 2025-09-12 08:10:59.480458 | 12270933 | N/A | N/A | 38333 | Molina Healthcare of California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1964-03-27 | 2025-09-12 | M | AE | PT | MCCOWAN | 93341440D | KEVIN | 4211 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543270/check_12270933_0d590863-a864-4350-8128-6d897ca0c46a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_12270933_731e8365-33e7-408a-ae1c-d712f5a15a69.json | N/A | N/A | N/A | N/A | N/A | 93341440D | N/A | N/A | MOLINA_CA | MEDICAID REDETERMINATION DATE 07/31/26 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY) | 1964-03-27 | TFU223BP0000007 | QMXEM01909 | N/A | N/A | false | MCCOWAN | N/A | KEVIN | N/A | 2078-12-31 | 2024-11-01 | ACA - LA | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776917945 | N/A | N/A | 5543270 | 2222 | N/A | 12494451 | N/A | 4215086 | 2025-09-12 08:10:59.480458 | 2025-05-13 04:29:37.229401 |
| 2025-09-12 08:10:53.122382 | 2025-09-13 02:47:14.102626 | 12270929 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12270929 | Athletic Physical Therapy Inc | 1949-10-28 | 2025-09-15 | M | AE | PT | WALROTH | 7X79TQ1VA36 | TERRY | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110524662.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7785550/check_12270929_205c437d-53d7-420a-9da9-c00c12a7dd48.json | N/A | N/A | N/A | N/A | N/A | 7X79TQ1VA36 | Medicare Part B | N/A | CMS | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1949-10-28 | N/A | N/A | N/A | MB | false | WALROTH | N/A | TERRY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776934557 | N/A | N/A | 7785550 | 2222 | 4801 | 12533299 | N/A | 6629682 | 2025-09-13 02:47:14.102626 | 2025-08-05 17:28:10.392410 |
| 2025-09-12 08:10:51.794580 | 2025-09-12 08:10:56.761013 | 12270899 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-06-19 | 2025-09-12 | M | AE | PT | MILIAN GOMEZ | 93331019F | MIGUEL | 4709 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543555/check_12270899_09caf192-4925-4447-bb7b-ad197c6414f0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543555/check_12270899_608edaf8-7284-4ba4-bb76-74c3e89c3d3f.json | N/A | N/A | N/A | N/A | N/A | 93331019F | N/A | N/A | HEALTH NET, LLC | N/A | 1962-06-19 | N/A | N/A | N/A | N/A | false | MILIAN GOMEZ | N/A | MIGUEL | N/A | N/A | N/A | KCW MCALSTD | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776917848 | N/A | N/A | 5543555 | 2222 | N/A | 12494445 | N/A | 4215332 | 2025-09-12 08:10:56.761013 | 2025-08-06 16:15:15.716322 |
| 2025-09-12 08:10:50.636692 | 2025-09-12 08:10:53.879203 | 12270860 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-04-25 | 2025-09-12 | F | PT | N/A | HASERJIAN | XED912403581 | RENEE | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542222/check_12270860_21ca561e-0bfa-45cf-bf9c-08eab52993ca.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542222/check_12270860_0a54d8ef-afcd-4748-aa73-fa8ac21c06ce.json | N/A | N/A | N/A | N/A | N/A | XED912403581 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1983-04-25 | 2001ZK002169 | X0001004 | N/A | PR | false | HASERJIAN | N/A | RENEE | N/A | 9999-12-31 | 2025-01-01 | GOLD 80 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776917792 | N/A | N/A | 5542222 | 2222 | N/A | 12494438 | N/A | 4214148 | 2025-09-12 08:10:53.879203 | 2025-05-13 04:29:37.228475 |
| 2025-09-12 08:10:50.302248 | 2025-09-12 08:10:54.086474 | 12270851 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | N/A | Athletic Physical Therapy Inc | 1962-05-03 | 2025-09-12 | M | AE | PT | MOSLEY | R02649763MM1 | MICHAEL | 4625 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542606/check_12270851_2ab8333f-e9ff-4a76-94cb-3d7485f91574.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542606/check_12270851_519b9eab-118d-48da-85dc-9150b1192323.json | N/A | N/A | N/A | N/A | N/A | R02649763MM1 | N/A | N/A | HEALTH NET, LLC | N/A | 1962-05-03 | N/A | N/A | N/A | N/A | false | MOSLEY | N/A | MICHAEL | N/A | N/A | N/A | MGY COMHMO | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776917788 | N/A | N/A | 5542606 | 2222 | N/A | 12494439 | N/A | 4214496 | 2025-09-12 08:10:54.086474 | 2025-05-13 04:29:37.228812 |
| 2025-09-12 08:10:50.212701 | 2025-09-12 08:10:54.002132 | 12270846 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1960-09-07 | 2025-09-12 | M | PT | N/A | MEINERT | XEH912496752 | TIM | 4184 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543360/check_12270846_6622bb54-74ca-42f0-8fb4-82c0847f34f4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543360/check_12270846_ba69b60a-fb45-4664-971b-830d1d8d667b.json | N/A | N/A | N/A | N/A | N/A | XEH912496752 | Health Maintenance Organization (HMO) | MILKEN COMMUNITY SCHOOLS | ANTHEM BLUE CROSS | N/A | 1960-09-07 | 1000HMOX0001 | W0070317 | N/A | HM | false | MEINERT | N/A | TIMOTHY | N/A | N/A | N/A | ACCESS HMO R PER ADMIT 10 250 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776917778 | N/A | N/A | 5543360 | 2222 | N/A | 12494440 | N/A | 4215161 | 2025-09-12 08:10:54.002132 | 2025-05-13 04:29:37.229478 |
| 2025-09-12 08:10:49.923932 | 2025-09-12 08:10:55.868812 | 12270839 | N/A | N/A | 62308 | American Specialty Health | 1114042165 | N/A | Athletic Physical Therapy Inc | 1993-07-24 | 2025-09-12 | M | AD | N/A | SJUKUR | U0030031901 | HANSEL | 1534 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543268/check_12270839_0e362f27-ae25-446e-96d2-82e3c15f390f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543268/check_12270839_6f60f6c7-42d9-4133-95ef-d2b18d5a4a13.json | N/A | N/A | N/A | N/A | N/A | U0030031901 | N/A | MCKINSEY & COMPANY, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD | 1993-07-24 | N/A | 2500547 | N/A | N/A | false | SJUKUR | N/A | HANSEL C | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AD | N/A | N/A | N/A | N/A | N/A | N/A | 8776917776 | N/A | N/A | 5543268 | 2222 | N/A | 12494444 | N/A | 4215085 | 2025-09-12 08:10:55.868812 | 2025-05-23 17:53:24.114484 |
| 2025-09-12 08:10:49.856089 | 2025-09-12 08:10:55.913212 | 12270835 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1942-12-17 | 2025-09-12 | F | PT | N/A | STEINBERG | MBL988M98459 | JUDY | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542014/check_12270835_4979df43-57b8-4ef0-baa2-44560daa549b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542014/check_12270835_c09da107-2b8f-434e-a4b7-00ae36a7c73a.json | N/A | N/A | N/A | N/A | N/A | MBL988M98459 | N/A | LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD) | ANTHEM BLUE CROSS | N/A | 1942-12-17 | 040 | CAEGR005 | N/A | N/A | false | STEINBERG | N/A | JUDITH | 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 | 8776917820 | N/A | N/A | 5542014 | 2222 | N/A | 12494443 | N/A | 4213977 | 2025-09-12 08:10:55.913212 | 2025-05-13 04:29:37.228294 |
| 2025-09-12 08:10:49.177325 | 2025-09-12 08:10:54.113180 | 12270820 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 2008-11-19 | 2025-09-12 | M | PT | N/A | ZARIN | XEK905647080 | ELLA | 4191 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541582/check_12270820_d5e8a39b-dd0d-4029-a282-38d871868316.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541582/check_12270820_ea71fced-fe2a-4359-9465-44d60b791856.json | N/A | N/A | N/A | N/A | N/A | XEK905647080 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 2008-11-19 | 2001ZH002662 | X0001000 | N/A | PR | false | ZARIN | N/A | DORON | N/A | 2027-11-30 | 2017-02-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776917769 | N/A | N/A | 5541582 | 2222 | N/A | 12494437 | N/A | 4213586 | 2025-09-12 08:10:54.113180 | 2025-05-28 20:44:53.527917 |
| 2025-09-12 08:10:46.632636 | 2025-09-12 08:10:49.432385 | 12270753 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-10-24 | 2025-09-12 | F | AE | PT | MCSHEA | 00000364203 | SANDRA | 2630 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542046/check_12270753_8772c339-34dd-4747-95c4-97f06d1181c2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542046/check_12270753_a67953ac-65a6-475a-906c-5ce3c8f01807.json | N/A | N/A | N/A | N/A | N/A | 00000364203 | Health Maintenance Organization (HMO) | N/A | MEDICARE | OVERALL DEDUCTIBLE | 1957-10-24 | H3815028 | N/A | N/A | HM | false | MCSHEA | N/A | SANDRA | 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 | 8776917638 | N/A | N/A | 5542046 | 2222 | N/A | 12494433 | N/A | 4214001 | 2025-09-12 08:10:49.432385 | 2025-05-13 04:29:37.228323 |
| 2025-09-12 08:10:45.504017 | 2025-09-12 08:10:48.375881 | 12270723 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1940-08-31 | 2025-09-12 | M | PT | N/A | STEINBERG | MBL875M98441 | HARRIS | 4185 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541917/check_12270723_c38e5ee0-f2e7-4179-95c0-0dcf0b09475a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_12270723_015f58db-1aa6-48c7-82fb-5b0456af5c68.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 | 8776917568 | N/A | N/A | 5541917 | 2222 | N/A | 12494429 | N/A | 4213891 | 2025-09-12 08:10:48.375881 | 2025-05-13 04:29:37.228207 |
| 2025-09-12 08:10:45.497015 | 2025-09-12 08:10:49.407190 | 12270722 | N/A | N/A | 87726 | Regal Medical Group | 1114042165 | N/A | Athletic Physical Therapy Inc | 1947-02-01 | 2025-09-12 | M | AE | PT | YEE | 412922301 | HARRY | 23298 | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541972/check_12270722_6b2f0250-3e6b-4454-8e15-bff693cca42f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541972/check_12270722_525bbb87-415c-4ee2-b925-86623c8c5a20.json | N/A | N/A | N/A | N/A | N/A | 412922301 | Health Maintenance Organization (HMO) - Medicare Risk | N/A | UNITEDHEALTHCARE | PCP TO SUBMIT A SPECIALIST REFERRAL | 1947-02-01 | N/A | HCFA21 | N/A | HN | false | YEE | N/A | HARRY | N/A | N/A | N/A | AARP MEDICARE ADVANTAGE FROM UHC CA-004P (HMO-POS) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776917549 | N/A | N/A | 5541972 | 2222 | N/A | 12494432 | N/A | 4213941 | 2025-09-12 08:10:49.407190 | 2025-05-13 04:29:37.228259 |