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 | insurance_company_id | subscriber_last_name | subscriber_member_id | subscriber_first_name | service_type_codes_2 | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info_member_id | plan_info_plan_type | plan_info_group_name | plan_info_payer_name | plan_info_payer_note | plan_info_patient_dob | plan_info_plan_number | plan_info_group_number | plan_info_insurance_type | plan_info_plan_type_code | plan_info_enrolled_in_qmb | plan_info_patient_last_name | plan_info_plan_sponsor_name | plan_info_patient_first_name | plan_info_patient_middle_name | plan_info_date_time_period_end | plan_info_date_time_period_start | plan_info_plan_coverage_description | plan_info_relationship_to_subscriber | service_type_codes_1 | service_type_codes_2 | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-12 08:10:45.347975 | 2025-09-12 08:10:49.079860 | 12270717 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1980-05-29 | 2025-09-12 | F | PT | 4191 | KURTZ | XED906231353 | NINA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541378/check_12270717_d658dd97-bd18-4fd8-be15-aee23f14f925.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541378/check_12270717_17543b08-6a19-4a08-a543-db159f1542b7.json | N/A | N/A | N/A | N/A | N/A | XED906231353 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1980-05-29 | 2001ZK002169 | X0001004 | N/A | PR | false | KURTZ | N/A | NINA | 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 | 8776917575 | N/A | N/A | 5541378 | 2222 | N/A | 12494430 | N/A | 4213405 | 2025-09-12 08:10:49.079860 | 2025-05-13 04:29:37.227726 |
| 2025-09-12 08:10:44.396346 | 2025-09-12 08:10:51.068539 | 12270695 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1963-07-22 | 2025-09-12 | F | PT | 4191 | ZIA AMIRHOSSEINI | XED911835748 | PARNIAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541314/check_12270695_dc9bc798-e6c3-4699-968d-37020ed9c6ea.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541314/check_12270695_62db0f81-e1f1-4397-92e5-ca03f28c69e5.json | N/A | N/A | N/A | N/A | N/A | XED911835748 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1963-07-22 | 2001ZK002186 | X0001004 | N/A | PR | false | HARRIS | N/A | ROBERT | N/A | 9999-12-31 | 2023-01-01 | IFP EMB PED VISION | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776917488 | N/A | N/A | 5541314 | 2222 | N/A | 12494435 | N/A | 4213343 | 2025-09-12 08:10:51.068539 | 2025-06-06 02:21:37.603701 |
| 2025-09-12 08:10:43.295027 | 2025-09-12 08:10:50.728911 | 12270668 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1997-07-14 | 2025-09-12 | M | PT | 4191 | SHERBETJIAN | XED910281081 | JACK | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540558/check_12270668_6bc4b7e0-348f-4ca8-9aeb-f548e3b5ac94.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540558/check_12270668_d32d766e-2638-4bc6-b3a1-6a14476d1927.json | N/A | N/A | N/A | N/A | N/A | XED910281081 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1997-07-14 | 2001ZK002184 | X0001004 | N/A | PR | false | SHERBETJIAN | N/A | JACK | N/A | 9999-12-31 | 2021-01-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776917429 | N/A | N/A | 5540558 | 2222 | N/A | 12494434 | N/A | 4212698 | 2025-09-12 08:10:50.728911 | 2025-05-13 04:29:37.227042 |
| 2025-09-12 08:10:42.613574 | 2025-09-12 08:10:48.112824 | 12270650 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1983-08-31 | 2025-09-12 | M | PT | 4191 | FLEMING | SZF839281184 | CHASE | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539901/check_12270650_aec7c5d5-0a8b-4fa0-99b6-4bc4f52b7011.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539901/check_12270650_080e496a-800c-4609-9703-1f394e7ea03b.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 | 8776917385 | N/A | N/A | 5539901 | 2222 | N/A | 12494427 | N/A | 4212134 | 2025-09-12 08:10:48.112824 | 2025-08-05 02:56:55.384378 |
| 2025-09-12 08:10:41.949695 | 2025-09-12 08:10:43.932716 | 12270639 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2025-09-12 | M | AE | 4497 | ULLMAN | 3A76X26KQ40 | DAVID | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535838/check_12270639_492e2fd8-ef20-43d8-a637-0fd59968bd8b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535838/check_12270639_845bae34-c90c-46a2-b41e-0faf196d2e0c.json | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | 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 | 5535838 | 2222 | N/A | 12494422 | N/A | 4208696 | 2025-09-12 08:10:43.932716 | 2025-06-07 16:16:45.844566 |
| 2025-09-12 08:10:41.748642 | 2025-09-12 08:10:44.636682 | 12270635 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1957-12-18 | 2025-09-12 | F | AE | 4497 | MOORE WILLIAMSON | 6R91TM3CH24 | LESLIE A | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539049/check_12270635_77f56fcc-8714-470a-8311-c4e2e36ba0b5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539049/check_12270635_ac6de4bc-7ed7-4ead-82d9-42b0824dff9b.json | N/A | N/A | N/A | N/A | N/A | 6R91TM3CH24 | Medicare Part B | N/A | CALIFORNIA PHYSICIANS' SERVICE | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1957-12-18 | S2468 | N/A | N/A | MB | false | MOORE WILLIAMSON | N/A | LESLIE | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776917292 | N/A | N/A | 5539049 | 2222 | N/A | 12494425 | N/A | 4211368 | 2025-09-12 08:10:44.636682 | 2025-05-13 04:29:37.225728 |
| 2025-09-12 08:10:41.130981 | 2025-09-12 08:10:44.119325 | 12270618 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | N/A | Athletic Physical Therapy Inc | 1969-03-28 | 2025-09-12 | M | PT | 4185 | KOSTER | DGA11321380J | KEVIN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536722/check_12270618_cecaf8b1-5791-460b-b210-4ee177fabd1e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-12 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536722/check_12270618_567a6327-c41a-4a50-adc4-2ae2bf641832.json | N/A | N/A | N/A | N/A | N/A | DGA11321380J | Preferred Provider Organization (PPO) | DIRECTORS GUILD OF AMERICA | ANTHEM BLUE CROSS | N/A | 1969-03-28 | 040 | 276945M001 | N/A | PR | false | KOSTER | N/A | KEVIN | N/A | 9999-12-31 | 2025-04-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776917262 | N/A | N/A | 5536722 | 2222 | N/A | 12494424 | N/A | 4209420 | 2025-09-12 08:10:44.119325 | 2025-05-13 04:29:37.223843 |
| 2025-09-12 08:10:40.169825 | 2025-09-12 08:10:41.947177 | 12270592 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | N/A | Athletic Physical Therapy Inc | 1939-06-24 | 2025-09-12 | M | AE | 4497 | ULLMAN | 3A76X26KQ40 | DAVID | PT | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535838/check_12270592_6d1df596-b998-409a-b462-804bed1ea697.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-09-12 | N/A | N/A | N/A | N/A | N/A | N/A | 3A76X26KQ40 | N/A | N/A | CMS | N/A | 1939-06-24 | N/A | N/A | N/A | N/A | false | ULLMAN | N/A | DAVID | 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 | 5535838 | 2222 | N/A | N/A | N/A | 4208696 | 2025-09-12 08:10:41.947177 | 2025-06-07 16:16:45.844566 |
| 2025-09-12 08:10:38.463280 | 2025-09-12 08:10:38.770194 | 12270556 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12270556 | Athletic Physical Therapy Inc | 1981-12-16 | 2025-09-15 | F | AE | N/A | DE FELICE | R07457624FM1 | CHRISTINA | PT | 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 | 6140436 | 2222 | 4801 | N/A | N/A | 4781417 | 2025-09-12 08:10:38.770194 | 2025-06-06 17:03:19.078153 |
| 2025-09-12 08:10:36.973206 | 2025-09-13 02:47:13.616393 | 12270517 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12270517 | Athletic Physical Therapy Inc | 1955-06-14 | 2025-09-15 | M | AE | N/A | STAGNITTA | 1XD8E47RR64 | ROBERT | PT | 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/2222/7784368/check_12270517_bd1f60b4-336a-4f98-9523-c1e9e2734482.json | N/A | N/A | N/A | N/A | N/A | 1XD8E47RR64 | Medicare Part B | N/A | ANTHEM, INC. | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1955-06-14 | H4036 | 280612 280612M004 | N/A | MB | false | STAGNITTA | N/A | ROBERT | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776934545 | N/A | N/A | 7784368 | 2222 | 4793 | 12533293 | N/A | 4212542 | 2025-09-13 02:47:13.616393 | 2025-08-05 17:22:00.318869 |
| 2025-09-12 08:10:36.935867 | 2025-09-12 08:10:37.356362 | 12270514 | N/A | N/A | 60054 | Aetna | 1114042165 | 12270514 | Athletic Physical Therapy Inc | 1969-01-03 | 2025-09-15 | M | AE | N/A | HUANG | W278191924 | DANNY | PT | 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 | 6140246 | 2222 | 4802 | N/A | N/A | 4781166 | 2025-09-12 08:10:37.356362 | 2025-06-11 17:29:46.826705 |
| 2025-09-12 08:10:28.861215 | 2025-09-13 02:36:46.229713 | 12270299 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12270299 | Athletic Physical Therapy Inc | 1965-05-27 | 2025-09-15 | F | PT | N/A | SIMMONS | JXN429M92474 | CYNTHIA | 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/2222/8118854/check_12270299_37743302-9bce-40e6-b9d2-e242a830a0b2.json | N/A | N/A | N/A | N/A | N/A | JXN429M92474 | Preferred Provider Organization (PPO) | CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C | BLUE SHIELD OF CALIFORNIA | N/A | 1965-05-27 | 040 | 174222M9A1 | N/A | PR | false | SIMMONS | N/A | CYNTHIA | N/A | 9999-12-31 | 2021-01-01 | CDHP CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776942619 | N/A | N/A | 8118854 | 2222 | 4801 | 12526949 | N/A | 6896967 | 2025-09-13 02:36:46.229713 | 2025-09-03 19:44:25.952611 |
| 2025-09-12 08:10:14.387235 | 2025-09-12 08:10:14.574230 | 12269938 | N/A | N/A | 94134 | Kaiser Foundation Health Plan of Southern CA Region | 1114042165 | 12269938 | Athletic Physical Therapy Inc | 1958-01-09 | 2025-09-15 | F | AE | N/A | MEISTER | 4042289 | JACQUELINE | PT | 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 | 6124078 | 2222 | 4793 | N/A | N/A | 4766789 | 2025-09-12 08:10:14.574230 | 2025-06-04 04:12:38.642669 |
| 2025-09-12 08:10:13.344927 | 2025-09-13 02:40:26.819853 | 12269908 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12269908 | Athletic Physical Therapy Inc | 2005-07-19 | 2025-09-15 | F | PT | N/A | MOORE | WZA952W18561 | FAITH | 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/2222/6644228/check_12269908_cab4591d-2796-40bc-84c9-8fd1ecc598a1.json | N/A | N/A | N/A | N/A | N/A | WZA952W18561 | Preferred Provider Organization (PPO) | WARNER BROS DISCOVERY INC | ANTHEM BLUE CROSS | N/A | 2005-07-19 | 130 | 270240M25A | N/A | PR | false | MOORE | N/A | YOLANDA | N/A | 9999-12-31 | 2024-01-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776940238 | N/A | N/A | 6644228 | 2222 | 4801 | 12529528 | N/A | 5251545 | 2025-09-13 02:40:26.819853 | 2025-07-16 15:52:27.392778 |
| 2025-09-12 08:09:57.831745 | 2025-09-12 08:09:58.218994 | 12269509 | N/A | N/A | REGAL | Regal Medical Group | 1114042165 | 12269509 | Athletic Physical Therapy Inc | 2005-06-10 | 2025-09-15 | F | PT | N/A | Kassi | 957A5554370 | Keira | 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 | 6113467 | 2222 | 4801 | N/A | N/A | 4756194 | 2025-09-12 08:09:58.218994 | 2025-06-02 23:03:52.087356 |
| 2025-09-12 08:09:50.003730 | 2025-09-13 02:37:14.589194 | 12269285 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12269285 | Athletic Physical Therapy Inc | 1962-09-14 | 2025-09-15 | F | PT | N/A | MOORE | W2A952W18561 | YOLANDA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110819141.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7447590/check_12269285_28da5f72-6440-4dba-9c73-08fb6059174b.json | N/A | N/A | N/A | N/A | N/A | WZA952W18561 | Preferred Provider Organization (PPO) | WARNER BROS DISCOVERY INC | ANTHEM BLUE CROSS | N/A | 1962-09-14 | 130 | 270240M25A | N/A | PR | false | MOORE | N/A | YOLANDA | N/A | 9999-12-31 | 2024-01-01 | CDHP IN HEALTH SAVINGS ACCOUNT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776958669 | N/A | N/A | 7447590 | 2222 | 4801 | 12527282 | N/A | 6397797 | 2025-09-13 02:37:14.589194 | 2025-08-12 19:16:58.418300 |
| 2025-09-12 08:09:47.699555 | 2025-09-13 02:37:12.258708 | 12269220 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12269220 | Athletic Physical Therapy Inc | 1977-07-01 | 2025-09-15 | M | PT | N/A | FENERTY | XDMOE0145837 | STEPHEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110819141.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444452/check_12269220_a8d27739-a397-4343-b0ce-b5b1dc7aa2bd.json | N/A | N/A | N/A | N/A | N/A | XDMOE0145837 | Health Maintenance Organization (HMO) | OPERATING ENGINEERS HEALTH&WELFARE FUND | ANTHEM BLUE CROSS | N/A | 1977-07-01 | 040 | 278671H001 | N/A | HM | false | FENERTY | N/A | STEPHEN | N/A | 9999-12-31 | 2015-04-01 | BLUE CROSS HMO | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776960041 | N/A | N/A | 7444452 | 2222 | 4801 | 12527251 | N/A | 6395187 | 2025-09-13 02:37:12.258708 | 2025-07-25 17:43:45.394385 |
| 2025-09-12 08:09:47.473738 | 2025-09-13 02:32:05.230687 | 12269210 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 12269210 | Athletic Physical Therapy Inc | 1961-03-08 | 2025-09-15 | F | AE | N/A | SAPHOS | U2326133302 | CHERYL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110819141.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444268/check_12269210_afa6b06a-6485-44ac-aa46-21df1e9e8647.json | N/A | N/A | N/A | N/A | N/A | U2326133302 | N/A | DISNEY WORLDWIDE SERVICES, INC. | CHLIC | PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT | 1961-03-08 | N/A | 3207160 | N/A | N/A | false | SAPHOS | N/A | CHERYL | N/A | N/A | N/A | OPEN ACCESS PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776960039 | N/A | N/A | 7444268 | 2222 | 4793 | 12523720 | N/A | 6395002 | 2025-09-13 02:32:05.230687 | 2025-08-01 21:55:47.943743 |
| 2025-09-12 08:09:47.362271 | 2025-09-13 02:40:49.941100 | 12269206 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12269206 | Athletic Physical Therapy Inc | 1977-10-04 | 2025-09-15 | F | PT | N/A | MCMANUS | XEH909326305 | SUSAN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110819141.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7444072/check_12269206_49c6d64b-e425-4038-a934-850efade0ecb.json | N/A | N/A | N/A | N/A | N/A | XEH909326305 | Health Maintenance Organization (HMO) | TRADER JOE S COMPANY | BLUE SHIELD CALIFORNIA | N/A | 1977-10-04 | 1000VX000001 | W0069783 | N/A | HM | false | KILANOWSKI | N/A | MATTHEW | N/A | 9999-12-31 | 2025-07-01 | TRADER JOE S COMPANY CUSTOM ACCESS HMO 25 500 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776960038 | N/A | N/A | 7444072 | 2222 | 4801 | 12529726 | N/A | 6394822 | 2025-09-13 02:40:49.941100 | 2025-07-24 18:01:25.336701 |
| 2025-09-12 08:09:44.580346 | 2025-09-13 02:49:24.021651 | 12269132 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12269132 | Athletic Physical Therapy Inc | 1950-02-07 | 2025-09-15 | M | AE | N/A | BHAMRAH | 8FX0NA8MD19 | KULDIP | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110819141.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7442857/check_12269132_a6cb0b5a-263f-4d9f-ac25-b465fd89995a.json | N/A | N/A | N/A | N/A | N/A | 8FX0NA8MD19 | Medicare Part A | N/A | MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1950-02-07 | S5617 | N/A | N/A | MA | false | BHAMRAH | N/A | KULDIP | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776960019 | N/A | N/A | 7442857 | 2222 | 4801 | 12534524 | N/A | 6393941 | 2025-09-13 02:49:24.021651 | 2025-08-13 16:33:53.313259 |
| 2025-09-12 08:09:35.532049 | 2025-09-13 02:51:55.428432 | 12268897 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12268897 | Athletic Physical Therapy Inc | 1955-06-14 | 2025-09-15 | M | AE | N/A | STAGNITTA | MBL690W21411 | ROBERT | PT | 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/2222/7784381/check_12268897_3cb9e2f9-49d9-4e77-9874-72ed7972ea8b.json | N/A | N/A | N/A | N/A | N/A | MBL690W21411 | N/A | LOS ANGELES CITY EMPLOYEES' RETIREMENT SYSTEM | ANTHEM BLUE CROSS | N/A | 1955-06-14 | 040 | CA039GRS | N/A | N/A | false | STAGNITTA | N/A | ROBERT | N/A | 9999-12-31 | 2024-10-01 | CA GRS LACERS H4036-801 ANTHEM MEDICARE PREFERRED | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776931726 | N/A | N/A | 7784381 | 2222 | 4793 | 12535755 | N/A | 4212542 | 2025-09-13 02:51:55.428432 | 2025-08-05 17:22:00.318869 |
| 2025-09-12 08:09:29.070012 | 2025-09-12 08:09:29.323949 | 12268685 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12268685 | Athletic Physical Therapy Inc | 1929-02-22 | 2025-09-15 | M | AE | N/A | SCOTT | 2F27FV6KJ47 | GEORGE | PT | 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 | 6105989 | 2222 | 4802 | N/A | N/A | 4750274 | 2025-09-12 08:09:29.323949 | 2025-06-12 22:26:37.845238 |
| 2025-09-12 08:09:28.214899 | 2025-09-12 08:09:28.431036 | 12268656 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12268656 | Athletic Physical Therapy Inc | 1982-07-02 | 2025-09-15 | M | PT | N/A | DRISCOLL | XED912182768 | JAMES | 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 | 6104970 | 2222 | 4802 | N/A | N/A | 4749447 | 2025-09-12 08:09:28.431036 | 2025-06-06 23:16:09.869339 |
| 2025-09-12 08:09:23.117676 | 2025-09-13 02:35:08.220128 | 12268505 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12268505 | Athletic Physical Therapy Inc | 1966-07-12 | 2025-09-15 | M | AE | N/A | Cohn | R06589895MM1 | David | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110819141.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7315101/check_12268505_120396b9-acff-4a3e-9d54-f50ebf70a107.json | N/A | N/A | N/A | N/A | N/A | R06589895MM1 | N/A | MEDICARE DIVISION | HEALTHNET OF CA | TO DETERMINE IF A PRIOR AUTHORIZATION IS REQUIRED, PLEASE CHECK THE HEALTH PLAN'S WEBSITE. | 1966-07-12 | N/A | CA05620125 | N/A | N/A | false | COHN | N/A | DAVID | N/A | N/A | N/A | WELLCARE SIMPLE FOCUS (HMO) | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776958940 | N/A | N/A | 7315101 | 2222 | 4802 | 12525848 | N/A | 6152454 | 2025-09-13 02:35:08.220128 | 2025-07-17 21:44:04.596080 |
| 2025-09-12 08:09:16.683008 | 2025-09-12 08:09:16.857026 | 12268250 | N/A | N/A | CCHPC | Alignment Health Care (Fee For Service) | 1114042165 | 12268250 | Athletic Physical Therapy Inc | 1954-02-25 | 2025-09-15 | F | AE | N/A | ROBERTS | 00000402630 | DEBRA | PT | 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 | 6085762 | 2222 | 4793 | N/A | N/A | 4729138 | 2025-09-12 08:09:16.857026 | 2025-05-31 14:20:56.156252 |
| 2025-09-12 08:09:04.745764 | 2025-09-13 02:40:48.677338 | 12267763 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12267763 | Athletic Physical Therapy Inc | 1991-10-07 | 2025-09-15 | F | PT | N/A | BOYM | XEK903045570 | DANIELLA | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110819141.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7281036/check_12267763_8c3563a4-49c8-41a5-af59-081de3c459f5.json | N/A | N/A | N/A | N/A | N/A | XEK903045570 | Preferred Provider Organization (PPO) | IFP OFF EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1991-10-07 | 2001ZJ002648 | X0001000 | N/A | PR | false | BOYM | N/A | DIMITRY | N/A | 9999-12-31 | 2025-01-01 | SILVER 1750 PPO JAN25 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776959396 | N/A | N/A | 7281036 | 2222 | 4793 | 12529720 | N/A | 6245462 | 2025-09-13 02:40:48.677338 | 2025-07-24 01:23:15.134681 |
| 2025-09-12 08:09:03.704759 | 2025-09-12 08:09:04.141459 | 12267735 | N/A | N/A | 62308 | CIGNA (Connecticut General, Equicor, Equitable) | 1114042165 | 12267735 | Athletic Physical Therapy Inc | 1996-03-28 | 2025-09-15 | F | AE | N/A | SAGMAN | U9205101701 | SYDNEY | PT | 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 | 6078312 | 2222 | 4802 | N/A | N/A | 4722569 | 2025-09-12 08:09:04.141459 | 2025-08-26 00:16:35.895658 |
| 2025-09-12 08:09:03.427014 | 2025-09-12 08:09:03.589560 | 12267725 | N/A | N/A | 60054 | Aetna | 1114042165 | 12267725 | Athletic Physical Therapy Inc | 1946-06-15 | 2025-09-15 | M | AE | N/A | SCHECHTER | 102181433800 | STEVEN | PT | 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 | 9026590 | 2222 | 4793 | N/A | N/A | 7549031 | 2025-09-12 08:09:03.589560 | 2026-05-22 23:37:03.098359 |
| 2025-09-12 08:08:57.993661 | 2025-09-12 08:08:58.190961 | 12267539 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12267539 | Athletic Physical Therapy Inc | 1973-03-27 | 2025-09-15 | F | AE | N/A | KAUFMAN | R05917930FM1 | AMANDA | PT | 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 | 6074035 | 2222 | 4801 | N/A | N/A | 4718592 | 2025-09-12 08:08:58.190961 | 2025-05-29 20:00:22.627186 |
| 2025-09-12 08:08:57.425560 | 2025-09-12 08:08:57.731277 | 12267518 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12267518 | Athletic Physical Therapy Inc | 1960-09-02 | 2025-09-15 | F | PT | N/A | CHAMBERLIN | 6EF5XM4VD84 | JULIE | 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 | 9024939 | 2222 | 4801 | N/A | N/A | 6499323 | 2025-09-12 08:08:57.731277 | 2025-07-30 18:54:36.603528 |
| 2025-09-12 08:08:55.910546 | 2025-09-12 08:08:56.071764 | 12267461 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12267461 | Athletic Physical Therapy Inc | 1981-02-22 | 2025-09-15 | M | PT | N/A | WALKOW | XEK906265328 | RYAN | 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 | 9024389 | 2222 | 4793 | N/A | N/A | 7546770 | 2025-09-12 08:08:56.071764 | 2025-09-09 02:40:35.718380 |
| 2025-09-12 08:08:53.684420 | 2025-09-13 02:49:26.554701 | 12267368 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12267368 | Athletic Physical Therapy Inc | 1946-11-04 | 2025-09-15 | M | AE | N/A | KOGUT | 2MV0DM5CR18 | JAMIE | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110819141.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7264301/check_12267368_768f257c-f163-4488-9134-a18f7ddd5f97.json | N/A | N/A | N/A | N/A | N/A | 2MV0DM5CR18 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1946-11-04 | S5921 | N/A | N/A | MA | false | KOGUT | N/A | JAMES | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776958449 | N/A | N/A | 7264301 | 2222 | 4801 | 12534548 | N/A | 6228944 | 2025-09-13 02:49:26.554701 | 2025-08-09 18:39:08.251512 |
| 2025-09-12 08:08:50.271457 | 2025-09-13 02:37:10.237403 | 12267230 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12267230 | Athletic Physical Therapy Inc | 1988-08-19 | 2025-09-15 | M | PT | N/A | Bridgemohansingh | NTF910W08222 | Jason | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110819141.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7258746/check_12267230_5adb2167-ccbd-4c2b-b66a-15ed1ba9231e.json | N/A | N/A | N/A | N/A | N/A | NTF910W08222 | Preferred Provider Organization (PPO) | NETFLIX INC / STREAMING | ANTHEM BLUE CROSS | N/A | 1988-08-19 | 040 | L08669M002 | N/A | PR | false | BRIDGEMOHANSINGH | N/A | JASON | N/A | 9999-12-31 | 2025-08-01 | PPO PRUDENT BUYER INCENTIVE | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776959366 | N/A | N/A | 7258746 | 2222 | 4802 | 12527226 | N/A | 6224482 | 2025-09-13 02:37:10.237403 | 2025-08-07 00:03:18.267969 |
| 2025-09-12 08:08:48.998060 | 2025-09-13 02:40:51.446030 | 12267191 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12267191 | Athletic Physical Therapy Inc | 1976-09-29 | 2025-09-15 | F | PT | N/A | RAND | XED912141111 | ELLEN | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110819141.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7257479/check_12267191_e63c816c-9e02-489c-b91a-05a71a270899.json | N/A | N/A | N/A | N/A | N/A | XED912141111 | Preferred Provider Organization (PPO) | IFP ON EXCHANGE | BLUE SHIELD CALIFORNIA | N/A | 1976-09-29 | 2001ZK002193 | X0001004 | N/A | PR | false | RAND | N/A | ELLEN | N/A | 9999-12-31 | 2023-03-01 | IFP EMB PED DPPO JAN15 | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776959360 | N/A | N/A | 7257479 | 2222 | 4802 | 12529733 | N/A | 4210270 | 2025-09-13 02:40:51.446030 | 2025-07-08 18:23:05.596578 |
| 2025-09-12 08:08:45.793534 | 2025-09-12 08:08:46.037303 | 12267071 | N/A | N/A | 60054 | Aetna | 1114042165 | 12267071 | Athletic Physical Therapy Inc | 1952-08-20 | 2025-09-15 | M | PT | N/A | POLK | MBL292M952257 | KENNETH | 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 | 9022039 | 2222 | 4801 | N/A | N/A | 7544773 | 2025-09-12 08:08:46.037303 | 2025-09-02 18:35:33.812098 |
| 2025-09-12 08:08:39.656844 | 2025-09-12 08:08:40.028250 | 12266840 | N/A | N/A | 60054 | Aetna | 1114042165 | 12266840 | Athletic Physical Therapy Inc | 1997-02-11 | 2025-09-15 | F | AE | N/A | BELL | W29376563901 | FRANCESCA | PT | 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 | 9020239 | 2222 | 4802 | N/A | N/A | 7543693 | 2025-09-12 08:08:40.028250 | 2025-10-06 20:52:39.651223 |
| 2025-09-12 08:08:39.329168 | 2025-09-12 08:08:39.641426 | 12266832 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12266832 | Athletic Physical Therapy Inc | 2011-07-26 | 2025-09-15 | M | AE | N/A | Alvarado | 93787602F | Alberto | PT | 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 | 9020143 | 2222 | 4802 | N/A | N/A | 7543577 | 2025-09-12 08:08:39.641426 | 2025-09-08 18:42:17.673186 |
| 2025-09-12 08:08:39.149175 | 2025-09-13 02:38:13.601668 | 12266829 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12266829 | Athletic Physical Therapy Inc | 1968-02-07 | 2025-09-15 | M | PT | N/A | Sariri | XDP632A69850 | Darius | 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/2222/7754707/check_12266829_d5491b48-0e2e-4d27-923a-ddead5ebde83.json | N/A | N/A | N/A | N/A | N/A | XDP632A69850 | Preferred Provider Organization (PPO) | ADP TOTALSOURCE INC | BLUE SHIELD OF CALIFORNIA | N/A | 1968-02-07 | 040 | 280629Q052 | N/A | PR | false | MAVADDAT | N/A | NEUSHA | N/A | 9999-12-31 | 2025-07-01 | CA GENERIC HLTH SAVINGS ACCT | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776934743 | N/A | N/A | 7754707 | 2222 | 4802 | 12527943 | N/A | 6605684 | 2025-09-13 02:38:13.601668 | 2025-08-05 01:08:16.312539 |
| 2025-09-12 08:08:33.654399 | 2025-09-13 02:30:21.509530 | 12266619 | N/A | N/A | 61101 | Humana (and subsidiaries) claims | 1114042165 | 12266619 | Athletic Physical Therapy Inc | 1951-03-20 | 2025-09-15 | F | AE | N/A | TOY | H77237018 | NELDA | PT | 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/2222/7754038/check_12266619_9d9d5439-f861-4801-ac50-ed95434e38bd.json | N/A | N/A | N/A | N/A | N/A | H77237018 | Health Maintenance Organization (HMO) - Medicare Risk | ARCNDINN HENLTH PLNN, INC. | HUMANA | 076 695 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB | 1951-03-20 | N/A | 0B515001 | N/A | HN | false | TOY | N/A | NELDA | N/A | N/A | N/A | HUMANA GOLD PLUS | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776934734 | N/A | N/A | 7754038 | 2222 | 4793 | 12522592 | N/A | 6605178 | 2025-09-13 02:30:21.509530 | 2025-08-12 21:10:43.412607 |
| 2025-09-12 08:08:32.927561 | 2025-09-13 02:49:25.693787 | 12266592 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12266592 | Athletic Physical Therapy Inc | 1945-08-03 | 2025-09-15 | M | AE | N/A | GORMLEY | 4UH0QA1WF00 | MICHAEL | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110819141.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7214829/check_12266592_b16b201a-f24b-448c-b645-8cb3ab103b5b.json | N/A | N/A | N/A | N/A | N/A | 4UH0QA1WF00 | Medicare Part A | N/A | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1945-08-03 | S5921 | N/A | N/A | MA | false | GORMLEY | 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 | 8776958879 | N/A | N/A | 7214829 | 2222 | 4802 | 12534541 | N/A | 4209498 | 2025-09-13 02:49:25.693787 | 2025-09-22 06:46:20.286658 |
| 2025-09-12 08:08:18.320606 | 2025-09-13 02:49:24.990628 | 12265987 | N/A | N/A | Z1073 | Medicare B California Southern | 1114042165 | 12265987 | Athletic Physical Therapy Inc | 1959-02-09 | 2025-09-15 | F | AE | N/A | FERTSCHNEIDER | 4DU9YG4YD46 | NANCY | PT | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110819141.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7204595/check_12265987_ef4ba76e-1dee-4d85-ba78-1dbe8350725a.json | N/A | N/A | N/A | N/A | N/A | 4DU9YG4YD46 | Medicare Part A | N/A | HUMANA INSURANCE COMPANY | 0-BENEFICIARY INSURED DUE TO AGE OASI | 1959-02-09 | S5884 | N/A | N/A | MA | false | FERTSCHNEIDER | N/A | NANCY | N/A | N/A | N/A | N/A | N/A | AE | PT | N/A | N/A | N/A | N/A | N/A | 8776960220 | N/A | N/A | 7204595 | 2222 | 4801 | 12534534 | N/A | 6175435 | 2025-09-13 02:49:24.990628 | 2025-08-05 19:05:08.506352 |
| 2025-09-12 08:08:09.903562 | 2025-09-13 02:35:40.612794 | 12265675 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12265675 | Athletic Physical Therapy Inc | 2008-02-14 | 2025-09-15 | M | PT | N/A | MAZZA | XDM860A72836 | JACK | 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/2222/8083036/check_12265675_8b22c1e7-9767-42f2-a4f4-f653435d104d.json | N/A | N/A | N/A | N/A | N/A | XDM860A72836 | Preferred Provider Organization (PPO) | CAHP HEALTH BENEFITS TRUST | ANTHEM BLUE CROSS | N/A | 2008-02-14 | 040 | 1855RA | N/A | PR | false | MAZZA | N/A | MICHAEL | N/A | 9999-12-31 | 2014-01-01 | PPO PB CLASSIC HOSP / PBP INCENTIVE PROF | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776942704 | N/A | N/A | 8083036 | 2222 | 4801 | 12526215 | N/A | 6866179 | 2025-09-13 02:35:40.612794 | 2025-08-14 16:10:19.684218 |
| 2025-09-12 08:07:56.462894 | 2025-09-12 08:07:56.623113 | 12265176 | N/A | N/A | 68069 | Lakeside Medical Group | 1114042165 | 12265176 | Athletic Physical Therapy Inc | 1969-01-08 | 2025-09-15 | F | AE | N/A | ALROMAIH | 91237812E | SARAH | PT | 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 | 5993940 | 2222 | 4802 | N/A | N/A | 4642877 | 2025-09-12 08:07:56.623113 | 2025-12-23 23:49:16.627667 |
| 2025-09-12 08:07:56.291188 | 2025-09-12 08:07:56.458596 | 12265168 | N/A | N/A | 95567 | Health Net of California and Oregon | 1114042165 | 12265168 | Athletic Physical Therapy Inc | 1983-05-31 | 2025-09-15 | M | AE | N/A | JOHNSON | R04617470MM1 | ROTH | PT | 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 | 5993907 | 2222 | 4793 | N/A | N/A | 4534544 | 2025-09-12 08:07:56.458596 | 2025-05-28 20:51:40.104091 |
| 2025-09-12 08:07:56.109374 | 2025-09-12 08:07:56.279280 | 12265160 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12265160 | Athletic Physical Therapy Inc | 1996-01-20 | 2025-09-15 | F | PT | N/A | WORDEN | ORU910469318 | SARAH | 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 | 5993479 | 2222 | 4801 | N/A | N/A | 4219476 | 2025-09-12 08:07:56.279280 | 2025-05-28 20:18:04.039855 |
| 2025-09-12 08:07:50.005430 | 2025-09-13 02:41:44.356850 | 12264929 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12264929 | Athletic Physical Therapy Inc | 1980-09-20 | 2025-09-15 | F | PT | N/A | Carpio | R60757848 | Jennifer | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110819141.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7175544/check_12264929_327ffde6-4fff-4397-ba64-ca380a7e7c62.json | N/A | N/A | N/A | N/A | N/A | R60757848 | Preferred Provider Organization (PPO) | N/A | BLUE SHIELD OF CALIFORNIA | N/A | 1980-09-20 | N/A | 113 | N/A | PR | false | CARPIO | N/A | JENNIFER | N/A | 9999-12-31 | 2017-07-23 | BASIC | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776959589 | N/A | N/A | 7175544 | 2222 | 4802 | 12530212 | N/A | 5993712 | 2025-09-13 02:41:44.356850 | 2025-07-28 16:11:32.377707 |
| 2025-09-12 08:07:46.467216 | 2025-09-13 02:37:15.342349 | 12264776 | N/A | N/A | SB040 | Blue Cross California | 1114042165 | 12264776 | Athletic Physical Therapy Inc | 1950-06-19 | 2025-09-15 | M | PT | N/A | SMITH | JQE149M79948 | WILLIAM | N/A | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250912.110819141.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-09-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7173793/check_12264776_325acf96-e423-4188-b0b4-ad88d5d3d41d.json | N/A | N/A | N/A | N/A | N/A | JQE149M79948 | N/A | CA MED-SUPP | ANTHEM BLUE CROSS | N/A | 1950-06-19 | 040 | CASUPWP0 | N/A | N/A | false | SMITH | N/A | WILLIAM | N/A | 9999-12-31 | 2016-12-01 | CA MODERNIZED PLAN F | N/A | PT | N/A | N/A | N/A | N/A | N/A | N/A | 8776959571 | N/A | N/A | 7173793 | 2222 | 4793 | 12527294 | N/A | 6149539 | 2025-09-13 02:37:15.342349 | 2025-07-17 20:34:26.073953 |
| 2025-09-12 08:07:38.690650 | 2025-09-12 08:07:38.828001 | 12264487 | N/A | N/A | 60054 | Aetna | 1114042165 | 12264487 | Athletic Physical Therapy Inc | 1967-12-19 | 2025-09-15 | F | AE | N/A | BURRY | 101323278900 | CAROLYN | PT | 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 | 8971092 | 2222 | 4801 | N/A | N/A | 7486536 | 2025-09-12 08:07:38.828001 | 2025-09-15 03:16:44.869236 |
| 2025-09-12 08:07:26.285938 | 2025-09-12 08:07:26.460361 | 12263987 | N/A | N/A | SB542 | Blue Shield California | 1114042165 | 12263987 | Athletic Physical Therapy Inc | 1973-02-24 | 2025-09-15 | F | PT | N/A | TAKEMOTO | XED906098170 | NICOLE | 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 | 5928752 | 2222 | 4802 | N/A | N/A | 4583701 | 2025-09-12 08:07:26.460361 | 2025-07-24 17:50:11.805587 |
| 2025-09-12 08:07:15.552041 | 2025-09-12 08:07:15.744553 | 12263581 | N/A | N/A | LACAR | LA Care Health Plan (Los Angeles Care Health Plan) | 1114042165 | 12263581 | Athletic Physical Therapy Inc | 1987-06-17 | 2025-09-15 | M | AE | N/A | FAVELA | 620360888 | MAXIMILIAN | PT | 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 | 8960010 | 2222 | 4802 | N/A | N/A | 7476978 | 2025-09-12 08:07:15.744553 | 2026-01-07 18:27:22.752552 |